<a id="pl.1.3"></a><var>1.3</var>appropriations; making changes to provisions related to health care, the <br/>
<a id="pl.1.4"></a><var>1.4</var>Department of Health, children and family services, continuing care; providing <br/>
<a id="pl.1.5"></a><var>1.5</var>for data sharing; requiring eligibility determinations; encouraging the University <br/>
<a id="pl.1.6"></a><var>1.6</var>of Minnesota to request funding for rural primary care training; providing grants; <br/>
<a id="pl.1.7"></a><var>1.7</var>requiring studies and reports; appropriating money;amending Minnesota Statutes <br/>
<a id="pl.1.8"></a><var>1.8</var>2010, sections 43A.316, subdivision 5; 62A.047; 62A.21, subdivision 2a; <br/>
<a id="pl.1.9"></a><var>1.9</var>62D.02, subdivision 3; 62D.05, subdivision 6; 62D.101, subdivision 2a; 62D.12, <br/>
<a id="pl.1.10"></a><var>1.10</var>subdivision 1; 62J.26, subdivisions 3, 5, by adding a subdivision; 62J.496, <br/>
<a id="pl.1.11"></a><var>1.11</var>subdivision 2; 62Q.80; 62U.04, subdivisions 1, 2, 4, 5; 144.5509; 144A.073, by <br/>
<a id="pl.1.12"></a><var>1.12</var>adding a subdivision; 144A.351; 145.906; 245A.03, by adding a subdivision; <br/>
<a id="pl.1.13"></a><var>1.13</var>245A.11, subdivisions 2a, 7, 7a; 245B.07, subdivision 1; 245C.04, subdivision 6; <br/>
<a id="pl.1.14"></a><var>1.14</var>245C.05, subdivision 7; 256.01, by adding subdivisions; 256.975, subdivision 7; <br/>
<a id="pl.1.15"></a><var>1.15</var>256B.056, subdivision 1a; 256B.0625, subdivision 9, by adding a subdivision; <br/>
<a id="pl.1.16"></a><var>1.16</var>256B.0754, subdivision 2; 256B.0911, by adding a subdivision; 256B.092, <br/>
<a id="pl.1.17"></a><var>1.17</var>subdivision 1b; 256B.0943, subdivision 9; 256B.431, subdivision 17e, by adding <br/>
<a id="pl.1.18"></a><var>1.18</var>a subdivision; 256B.434, subdivision 10; 256B.441, by adding a subdivision; <br/>
<a id="pl.1.19"></a><var>1.19</var>256B.48, by adding a subdivision; 256B.76, by adding a subdivision; 256D.06, <br/>
<a id="pl.1.20"></a><var>1.20</var>subdivision 1b; 256D.44, subdivision 5; 626.556, by adding a subdivision; <br/>
<a id="pl.1.21"></a><var>1.21</var>Minnesota Statutes 2011 Supplement, sections 62U.04, subdivisions 3, 9; <br/>
<a id="pl.1.22"></a><var>1.22</var>119B.13, subdivision 7; 144.1222, subdivision 5; 245A.03, subdivision 7; <br/>
<a id="pl.1.23"></a><var>1.23</var>256.987, subdivision 1; 256B.056, subdivision 3; 256B.057, subdivision <br/>
<a id="pl.1.24"></a><var>1.24</var>9; 256B.0625, subdivision 17; 256B.0631, subdivisions 1, 2; 256B.0659, <br/>
<a id="pl.1.25"></a><var>1.25</var>subdivision 11; 256B.0911, subdivisions 3a, 3c; 256B.0915, subdivisions 3e, 3h; <br/>
<a id="pl.1.26"></a><var>1.26</var>256B.097, subdivision 3; 256B.49, subdivisions 15, 23; 256B.69, subdivisions <br/>
<a id="pl.1.27"></a><var>1.27</var>5a, 9c; 256B.76, subdivisions 1, 2, 4; 256B.766; 256L.12, subdivision 9; Laws <br/>
<a id="pl.1.28"></a><var>1.28</var>2011, First Special Session chapter 9, article 7, section 52; article 10, sections <br/>
<a id="pl.1.29"></a><var>1.29</var>3, subdivisions 1, 3, 4; 4, subdivision 2; 8, subdivision 8; proposing coding <br/>
<a id="pl.1.30"></a><var>1.30</var>for new law in Minnesota Statutes, chapters 62Q; 144; 148; 256B; repealing <br/>
<a id="pl.1.31"></a><var>1.31</var>Minnesota Statutes 2010, sections 62D.04, subdivision 5; 144A.073, subdivision <br/>
<a id="pl.1.32"></a><var>1.32</var>9; 256B.0644; 256B.48, subdivision 6; Minnesota Statutes 2011 Supplement, <br/>
<a id="pl.1.33"></a><var>1.33</var>section 256B.5012, subdivision 13; Laws 2011, First Special Session chapter <br/>
<a id="pl.1.34"></a><var>1.34</var>9, article 7, section 54.<br/>
<a id="pl.1.35"></a><var>1.35</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.1.0.0"></a>

<a id="bill.1.1.0"></a><a id="pl.2.3"></a><var>2.3</var>    Section 1. Minnesota Statutes 2010, section 256B.0625, subdivision 9, is amended to <br/>
<a id="pl.2.4"></a><var>2.4</var>read:<br/>
<a id="pl.2.5"></a><var>2.5</var>    Subd. 9. <b>Dental services.</b> (a) Medical assistance covers dental services.<br/>
<a id="pl.2.6"></a><var>2.6</var>(b) Medical assistance dental coverage for nonpregnant adults is limited to the <br/>
<a id="pl.2.7"></a><var>2.7</var>following services:<br/>
<a id="pl.2.8"></a><var>2.8</var>(1) comprehensive exams, limited to once every five years;<br/>
<a id="pl.2.9"></a><var>2.9</var>(2) periodic exams, limited to one per year;<br/>
<a id="pl.2.10"></a><var>2.10</var>(3) limited exams;<br/>
<a id="pl.2.11"></a><var>2.11</var>(4) bitewing x-rays, limited to one per year;<br/>
<a id="pl.2.12"></a><var>2.12</var>(5) periapical x-rays;<br/>
<a id="pl.2.13"></a><var>2.13</var>(6) panoramic x-rays, limited to one every five years except (1) when medically <br/>
<a id="pl.2.14"></a><var>2.14</var>necessary for the diagnosis and follow-up of oral and maxillofacial pathology and trauma <br/>
<a id="pl.2.15"></a><var>2.15</var>or (2) once every two years for patients who cannot cooperate for intraoral film due to <br/>
<a id="pl.2.16"></a><var>2.16</var>a developmental disability or medical condition that does not allow for intraoral film <br/>
<a id="pl.2.17"></a><var>2.17</var>placement;<br/>
<a id="pl.2.18"></a><var>2.18</var>(7) prophylaxis, limited to one per year;<br/>
<a id="pl.2.19"></a><var>2.19</var>(8) application of fluoride varnish, limited to one per year;<br/>
<a id="pl.2.20"></a><var>2.20</var>(9) posterior fillings, all at the amalgam rate;<br/>
<a id="pl.2.21"></a><var>2.21</var>(10) anterior fillings;<br/>
<a id="pl.2.22"></a><var>2.22</var>(11) endodontics, limited to root canals on the anterior and premolars only;<br/>
<a id="pl.2.23"></a><var>2.23</var>(12) removable prostheses, each dental arch limited to one every six years including <br/>
<a id="pl.2.24"></a><var>2.24</var>repairs and the replacement of each dental arch limited to one every six years;<br/>
<a id="pl.2.25"></a><var>2.25</var>(13) oral surgery, limited to extractions, biopsies, and incision and drainage of <br/>
<a id="pl.2.26"></a><var>2.26</var>abscesses;<br/>
<a id="pl.2.27"></a><var>2.27</var>(14) palliative treatment and sedative fillings for relief of pain; and<br/>
<a id="pl.2.28"></a><var>2.28</var>(15) full-mouth debridement, limited to one every five years.<br/>
<a id="pl.2.29"></a><var>2.29</var>(c) In addition to the services specified in paragraph (b), medical assistance <br/>
<a id="pl.2.30"></a><var>2.30</var>covers the following services for adults, if provided in an outpatient hospital setting or <br/>
<a id="pl.2.31"></a><var>2.31</var>freestanding ambulatory surgical center as part of outpatient dental surgery:<br/>
<a id="pl.2.32"></a><var>2.32</var>(1) periodontics, limited to periodontal scaling and root planing once every two <br/>
<a id="pl.2.33"></a><var>2.33</var>years;<br/>
<a id="pl.2.34"></a><var>2.34</var>(2) general anesthesia; and<br/>
<a id="pl.2.35"></a><var>2.35</var>(3) full-mouth survey once every five years.<br/>
<a id="pl.3.1"></a><var>3.1</var>(d) Medical assistance covers medically necessary dental services for children and <br/>
<a id="pl.3.2"></a><var>3.2</var>pregnant women. The following guidelines apply:<br/>
<a id="pl.3.3"></a><var>3.3</var>(1) posterior fillings are paid at the amalgam rate;<br/>
<a id="pl.3.4"></a><var>3.4</var>(2) application of sealants are covered once every five years per permanent molar for <br/>
<a id="pl.3.5"></a><var>3.5</var>children only;<br/>
<a id="pl.3.6"></a><var>3.6</var>(3) application of fluoride varnish is covered once every six months; and<br/>
<a id="pl.3.7"></a><var>3.7</var>(4) orthodontia is eligible for coverage for children only.<br/>
<a id="pl.3.8"></a><var>3.8</var>(e) In addition to the services specified in paragraphs (b) and (c), medical assistance <br/>
<a id="pl.3.9"></a><var>3.9</var>covers the following services for developmentally disabled adults:<br/>
<a id="pl.3.10"></a><var>3.10</var>(1) house calls or extended care facility calls for on-site delivery of covered services;<br/>
<a id="pl.3.11"></a><var>3.11</var>(2) behavioral management when additional staff time is required to accommodate <br/>
<a id="pl.3.12"></a><var>3.12</var>behavioral challenges and sedation is not used;<br/>
<a id="pl.3.13"></a><var>3.13</var>(3) oral or IV conscious sedation, if the covered dental service cannot be performed <br/>
<a id="pl.3.14"></a><var>3.14</var>safely without it or would otherwise require the service to be performed under general <br/>
<a id="pl.3.15"></a><var>3.15</var>anesthesia in a hospital or surgical center; and<br/>
<a id="pl.3.16"></a><var>3.16</var>(4) prophylaxis, in accordance with an appropriate individualized treatment plan <br/>
<a id="pl.3.17"></a><var>3.17</var>formulated by a licensed dentist, but no more than four times per year.<br/>
<a id="pl.3.18"></a><var>3.18</var><b>EFFECTIVE DATE.</b>The amendment to paragraph (b) is effective January 1, 2013.<br/>
<br/>
<a id="bill.1.2.0"></a><a id="pl.3.19"></a><var>3.19</var>    Sec. 2. Minnesota Statutes 2010, section 256B.0625, is amended by adding a <br/>
<a id="pl.3.20"></a><var>3.20</var>subdivision to read:<br/>
<a id="pl.3.21"></a><var>3.21</var>    Subd. 60. <b>Community paramedic services.</b> (a) Medical assistance covers services <br/>
<a id="pl.3.22"></a><var>3.22</var>provided by community paramedics who are certified under section 144E.28, subdivision <br/>
<a id="pl.3.23"></a><var>3.23</var>9, when the services are provided in accordance with this subdivision to an eligible <br/>
<a id="pl.3.24"></a><var>3.24</var>recipient as defined in paragraph (b).<br/>
<a id="pl.3.25"></a><var>3.25</var>(b) For purposes of this subdivision, an eligible recipient is defined as an individual <br/>
<a id="pl.3.26"></a><var>3.26</var>who has received hospital emergency department services three or more times in a period <br/>
<a id="pl.3.27"></a><var>3.27</var>of four consecutive months in the past 12 months or an individual who has been identified <br/>
<a id="pl.3.28"></a><var>3.28</var>by the individual's primary health care provider for whom community paramedic services <br/>
<a id="pl.3.29"></a><var>3.29</var>identified in paragraph (c) would likely prevent admission to or would allow discharge <br/>
<a id="pl.3.30"></a><var>3.30</var>from a nursing facility; or would likely prevent readmission to a hospital or nursing facility.<br/>
<a id="pl.3.31"></a><var>3.31</var>(c) Payment for services provided by a community paramedic under this subdivision <br/>
<a id="pl.3.32"></a><var>3.32</var>must be a part of a care plan ordered by a primary health care provider in consultation with <br/>
<a id="pl.3.33"></a><var>3.33</var>the medical director of an ambulance service and must be billed by an eligible provider <br/>
<a id="pl.3.34"></a><var>3.34</var>enrolled in medical assistance that employs or contracts with the community paramedic. <br/>
<a id="pl.3.35"></a><var>3.35</var>The care plan must ensure that the services provided by a community paramedic are <br/>
<a id="pl.4.1"></a><var>4.1</var>coordinated with other community health providers and local public health agencies and <br/>
<a id="pl.4.2"></a><var>4.2</var>that community paramedic services do not duplicate services already provided to the <br/>
<a id="pl.4.3"></a><var>4.3</var>patient, including home health and waiver services. Community paramedic services <br/>
<a id="pl.4.4"></a><var>4.4</var>shall include health assessment, chronic disease monitoring and education, medication <br/>
<a id="pl.4.5"></a><var>4.5</var>compliance, immunizations and vaccinations, laboratory specimen collection, hospital <br/>
<a id="pl.4.6"></a><var>4.6</var>discharge follow-up care, and minor medical procedures approved by the ambulance <br/>
<a id="pl.4.7"></a><var>4.7</var>medical director.<br/>
<a id="pl.4.8"></a><var>4.8</var>(d) Services provided by a community paramedic to an eligible recipient who is <br/>
<a id="pl.4.9"></a><var>4.9</var>also receiving care coordination services must be in consultation with the providers of <br/>
<a id="pl.4.10"></a><var>4.10</var>the recipient's care coordination services.<br/>
<a id="pl.4.11"></a><var>4.11</var>(e) The commissioner shall seek the necessary federal approval to implement this <br/>
<a id="pl.4.12"></a><var>4.12</var>subdivision.<br/>
<a id="pl.4.13"></a><var>4.13</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2012, or upon federal <br/>
<a id="pl.4.14"></a><var>4.14</var>approval, whichever is later.<br/>
<br/>
<a id="bill.1.3.0"></a><a id="pl.4.15"></a><var>4.15</var>    Sec. 3. Minnesota Statutes 2011 Supplement, section 256B.0631, subdivision 1, <br/>
<a id="pl.4.16"></a><var>4.16</var>is amended to read:<br/>
<a id="pl.4.17"></a><var>4.17</var>    Subdivision 1. <b>Cost-sharing.</b> (a) Except as provided in subdivision 2, the medical <br/>
<a id="pl.4.18"></a><var>4.18</var>assistance benefit plan shall include the following cost-sharing for all recipients, effective <br/>
<a id="pl.4.19"></a><var>4.19</var>for services provided on or after September 1, 2011:<br/>
<a id="pl.4.20"></a><var>4.20</var>    (1) $3 per nonpreventive visit, except as provided in paragraph (b). For purposes <br/>
<a id="pl.4.21"></a><var>4.21</var>of this subdivision, a visit means an episode of service which is required because of <br/>
<a id="pl.4.22"></a><var>4.22</var>a recipient's symptoms, diagnosis, or established illness, and which is delivered in an <br/>
<a id="pl.4.23"></a><var>4.23</var>ambulatory setting by a physician or physician ancillary, chiropractor, podiatrist, nurse <br/>
<a id="pl.4.24"></a><var>4.24</var>midwife, advanced practice nurse, audiologist, optician, or optometrist;<br/>
<a id="pl.4.25"></a><var>4.25</var>    (2) $3 for eyeglasses;<br/>
<a id="pl.4.26"></a><var>4.26</var>    (3) $3.50 for nonemergency visits to a hospital-based emergency room, except that <br/>
<a id="pl.4.27"></a><var>4.27</var>this co-payment shall be increased to $20 upon federal approval;<br/>
<a id="pl.4.28"></a><var>4.28</var>    (4) $3 per brand-name drug prescription and $1 per generic drug prescription, <br/>
<a id="pl.4.29"></a><var>4.29</var>subject to a $12 per month maximum for prescription drug co-payments. No co-payments <br/>
<a id="pl.4.30"></a><var>4.30</var>shall apply to antipsychotic drugs when used for the treatment of mental illness;<br/>
<a id="pl.4.31"></a><var>4.31</var>(5) effective January 1, 2012, a family deductible equal to the maximum amount <br/>
<a id="pl.4.32"></a><var>4.32</var>allowed under Code of Federal Regulations, title 42, part 
         <statute_ref>447.54</statute_ref>; and<br/>
<a id="pl.4.33"></a><var>4.33</var>    (6) for individuals identified by the commissioner with income at or below 100 <br/>
<a id="pl.4.34"></a><var>4.34</var>percent of the federal poverty guidelines, total monthly cost-sharing must not exceed five <br/>
<a id="pl.4.35"></a><var>4.35</var>percent of family income. For purposes of this paragraph, family income is the total <br/>
<a id="pl.5.1"></a><var>5.1</var>earned and unearned income of the individual and the individual's spouse, if the spouse is <br/>
<a id="pl.5.2"></a><var>5.2</var>enrolled in medical assistance and also subject to the five percent limit on cost-sharing.<br/>
<a id="pl.5.3"></a><var>5.3</var>    (b) Recipients of medical assistance are responsible for all co-payments and <br/>
<a id="pl.5.4"></a><var>5.4</var>deductibles in this subdivision.<br/>
<a id="pl.5.5"></a><var>5.5</var>(c) Notwithstanding paragraph (b), a prepaid health plan may waive the family <br/>
<a id="pl.5.6"></a><var>5.6</var>deductible described under paragraph (a), clause (5), within the existing capitation rates <br/>
<a id="pl.5.7"></a><var>5.7</var>on an ongoing basis.<br/>
<a id="pl.5.8"></a><var>5.8</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.1.4.0"></a><a id="pl.5.9"></a><var>5.9</var>    Sec. 4. Minnesota Statutes 2011 Supplement, section 256B.69, subdivision 5a, is <br/>
<a id="pl.5.10"></a><var>5.10</var>amended to read:<br/>
<a id="pl.5.11"></a><var>5.11</var>    Subd. 5a. <b>Managed care contracts.</b> (a) Managed care contracts under this section <br/>
<a id="pl.5.12"></a><var>5.12</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.5.13"></a><var>5.13</var>January 1, 1996. Managed care contracts which were in effect on June 30, 1995, and set to <br/>
<a id="pl.5.14"></a><var>5.14</var>renew on July 1, 1995, shall be renewed for the period July 1, 1995 through December <br/>
<a id="pl.5.15"></a><var>5.15</var>31, 1995 at the same terms that were in effect on June 30, 1995. The commissioner may <br/>
<a id="pl.5.16"></a><var>5.16</var>issue separate contracts with requirements specific to services to medical assistance <br/>
<a id="pl.5.17"></a><var>5.17</var>recipients age 65 and older.<br/>
<a id="pl.5.18"></a><var>5.18</var>    (b) A prepaid health plan providing covered health services for eligible persons <br/>
<a id="pl.5.19"></a><var>5.19</var>pursuant to chapters 256B and 256L is responsible for complying with the terms of its <br/>
<a id="pl.5.20"></a><var>5.20</var>contract with the commissioner. Requirements applicable to managed care programs <br/>
<a id="pl.5.21"></a><var>5.21</var>under chapters 256B and 256L established after the effective date of a contract with the <br/>
<a id="pl.5.22"></a><var>5.22</var>commissioner take effect when the contract is next issued or renewed.<br/>
<a id="pl.5.23"></a><var>5.23</var>    (c) Effective for services rendered on or after January 1, 2003, the commissioner <br/>
<a id="pl.5.24"></a><var>5.24</var>shall withhold five percent of managed care plan payments under this section and <br/>
<a id="pl.5.25"></a><var>5.25</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the prepaid medical <br/>
<a id="pl.5.26"></a><var>5.26</var>assistance program pending completion of performance targets. Each performance target <br/>
<a id="pl.5.27"></a><var>5.27</var>must be quantifiable, objective, measurable, and reasonably attainable, except in the case <br/>
<a id="pl.5.28"></a><var>5.28</var>of a performance target based on a federal or state law or rule. Criteria for assessment <br/>
<a id="pl.5.29"></a><var>5.29</var>of each performance target must be outlined in writing prior to the contract effective <br/>
<a id="pl.5.30"></a><var>5.30</var>date. Clinical or utilization performance targets and their related criteria must consider <br/>
<a id="pl.5.31"></a><var>5.31</var>evidence-based research and reasonable interventions when available or applicable to the <br/>
<a id="pl.5.32"></a><var>5.32</var>populations served, and must be developed with input from external clinical experts <br/>
<a id="pl.5.33"></a><var>5.33</var>and stakeholders, including managed care plans, county-based purchasing plans, and <br/>
<a id="pl.5.34"></a><var>5.34</var>providers. The managed care or county-based purchasing plan must demonstrate, <br/>
<a id="pl.5.35"></a><var>5.35</var>to the commissioner's satisfaction, that the data submitted regarding attainment of <br/>
<a id="pl.6.1"></a><var>6.1</var>the performance target is accurate. The commissioner shall periodically change the <br/>
<a id="pl.6.2"></a><var>6.2</var>administrative measures used as performance targets in order to improve plan performance <br/>
<a id="pl.6.3"></a><var>6.3</var>across a broader range of administrative services. The performance targets must include <br/>
<a id="pl.6.4"></a><var>6.4</var>measurement of plan efforts to contain spending on health care services and administrative <br/>
<a id="pl.6.5"></a><var>6.5</var>activities. The commissioner may adopt plan-specific performance targets that take into <br/>
<a id="pl.6.6"></a><var>6.6</var>account factors affecting only one plan, including characteristics of the plan's enrollee <br/>
<a id="pl.6.7"></a><var>6.7</var>population. The withheld funds must be returned no sooner than July of the following <br/>
<a id="pl.6.8"></a><var>6.8</var>year if performance targets in the contract are achieved. The commissioner may exclude <br/>
<a id="pl.6.9"></a><var>6.9</var>special demonstration projects under subdivision 23.<br/>
<a id="pl.6.10"></a><var>6.10</var>    (d) Effective for services rendered on or after January 1, 2009, through December <br/>
<a id="pl.6.11"></a><var>6.11</var>31, 2009, the commissioner shall withhold three percent of managed care plan payments <br/>
<a id="pl.6.12"></a><var>6.12</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.6.13"></a><var>6.13</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.6.14"></a><var>6.14</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.6.15"></a><var>6.15</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.6.16"></a><var>6.16</var>(e) Effective for services provided on or after January 1, 2010, the commissioner <br/>
<a id="pl.6.17"></a><var>6.17</var>shall require that managed care plans use the assessment and authorization processes, <br/>
<a id="pl.6.18"></a><var>6.18</var>forms, timelines, standards, documentation, and data reporting requirements, protocols, <br/>
<a id="pl.6.19"></a><var>6.19</var>billing processes, and policies consistent with medical assistance fee-for-service or the <br/>
<a id="pl.6.20"></a><var>6.20</var>Department of Human Services contract requirements consistent with medical assistance <br/>
<a id="pl.6.21"></a><var>6.21</var>fee-for-service or the Department of Human Services contract requirements for all <br/>
<a id="pl.6.22"></a><var>6.22</var>personal care assistance services under section 
         <statute_ref>256B.0659</statute_ref>.<br/>
<a id="pl.6.23"></a><var>6.23</var>(f) Effective for services rendered on or after January 1, 2010, through December <br/>
<a id="pl.6.24"></a><var>6.24</var>31, 2010, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.6.25"></a><var>6.25</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.6.26"></a><var>6.26</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.6.27"></a><var>6.27</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.6.28"></a><var>6.28</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.6.29"></a><var>6.29</var>(g) Effective for services rendered on or after January 1, 2011, through December <br/>
<a id="pl.6.30"></a><var>6.30</var>31, 2011, the commissioner shall include as part of the performance targets described <br/>
<a id="pl.6.31"></a><var>6.31</var>in paragraph (c) a reduction in the health plan's emergency room utilization rate for <br/>
<a id="pl.6.32"></a><var>6.32</var>state health care program enrollees by a measurable rate of five percent from the plan's <br/>
<a id="pl.6.33"></a><var>6.33</var>utilization rate for state health care program enrollees for the previous calendar year. <br/>
<a id="pl.6.34"></a><var>6.34</var>Effective for services rendered on or after January 1, 2012, the commissioner shall include <br/>
<a id="pl.6.35"></a><var>6.35</var>as part of the performance targets described in paragraph (c) a reduction in the health <br/>
<a id="pl.6.36"></a><var>6.36</var>plan's emergency department utilization rate for medical assistance and MinnesotaCare <br/>
<a id="pl.7.1"></a><var>7.1</var>enrollees, as determined by the commissioner. For 2012, the reduction shall be based on <br/>
<a id="pl.7.2"></a><var>7.2</var>the health plan's utilization in 2009. To earn the return of the withhold each subsequent <br/>
<a id="pl.7.3"></a><var>7.3</var>year, the managed care plan or county-based purchasing plan must achieve a qualifying <br/>
<a id="pl.7.4"></a><var>7.4</var>reduction of no less than ten percent of the plan's emergency department utilization <br/>
<a id="pl.7.5"></a><var>7.5</var>rate for medical assistance and MinnesotaCare enrollees, excluding Medicare enrollees <br/>
<a id="pl.7.6"></a><var>7.6</var>in programs described in subdivisions 23 and 28, compared to the previous calendar <br/>
<a id="pl.7.7"></a><var>7.7</var>measurement year until the final performance target is reached. When measuring <br/>
<a id="pl.7.8"></a><var>7.8</var>performance, the commissioner must consider the difference in health risk in a managed <br/>
<a id="pl.7.9"></a><var>7.9</var>care or county-based purchasing plan's membership in the baseline year compared to the <br/>
<a id="pl.7.10"></a><var>7.10</var>measurement year, and work with the managed care or county-based purchasing plan to <br/>
<a id="pl.7.11"></a><var>7.11</var>account for differences that they agree are significant.<br/>
<a id="pl.7.12"></a><var>7.12</var>The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.7.13"></a><var>7.13</var>of the following calendar year if the managed care plan or county-based purchasing plan <br/>
<a id="pl.7.14"></a><var>7.14</var>demonstrates to the satisfaction of the commissioner that a reduction in the utilization rate <br/>
<a id="pl.7.15"></a><var>7.15</var>was achieved. The commissioner shall structure the withhold so that the commissioner <br/>
<a id="pl.7.16"></a><var>7.16</var>returns a portion of the withheld funds in amounts commensurate with achieved reductions <br/>
<a id="pl.7.17"></a><var>7.17</var>in utilization less than the target amount.<br/>
<a id="pl.7.18"></a><var>7.18</var>The withhold described in this paragraph shall continue for each consecutive <br/>
<a id="pl.7.19"></a><var>7.19</var>contract period until the plan's emergency room utilization rate for state health care <br/>
<a id="pl.7.20"></a><var>7.20</var>program enrollees is reduced by 25 percent of the plan's emergency room utilization <br/>
<a id="pl.7.21"></a><var>7.21</var>rate for medical assistance and MinnesotaCare enrollees for calendar year 2011 2009. <br/>
<a id="pl.7.22"></a><var>7.22</var>Hospitals shall cooperate with the health plans in meeting this performance target and <br/>
<a id="pl.7.23"></a><var>7.23</var>shall accept payment withholds that may be returned to the hospitals if the performance <br/>
<a id="pl.7.24"></a><var>7.24</var>target is achieved.<br/>
<a id="pl.7.25"></a><var>7.25</var>(h) Effective for services rendered on or after January 1, 2012, the commissioner <br/>
<a id="pl.7.26"></a><var>7.26</var>shall include as part of the performance targets described in paragraph (c) a reduction in the <br/>
<a id="pl.7.27"></a><var>7.27</var>plan's hospitalization admission rate for medical assistance and MinnesotaCare enrollees, <br/>
<a id="pl.7.28"></a><var>7.28</var>as determined by the commissioner. To earn the return of the withhold each year, the <br/>
<a id="pl.7.29"></a><var>7.29</var>managed care plan or county-based purchasing plan must achieve a qualifying reduction <br/>
<a id="pl.7.30"></a><var>7.30</var>of no less than five percent of the plan's hospital admission rate for medical assistance <br/>
<a id="pl.7.31"></a><var>7.31</var>and MinnesotaCare enrollees, excluding Medicare enrollees in programs described in <br/>
<a id="pl.7.32"></a><var>7.32</var>subdivisions 23 and 28, compared to the previous calendar year until the final performance <br/>
<a id="pl.7.33"></a><var>7.33</var>target is reached. When measuring performance, the commissioner must consider the <br/>
<a id="pl.7.34"></a><var>7.34</var>difference in health risk in a managed care or county-based purchasing plan's membership <br/>
<a id="pl.7.35"></a><var>7.35</var>in the baseline year compared to the measurement year, and work with the managed care <br/>
<a id="pl.7.36"></a><var>7.36</var>or county-based purchasing plan to account for differences that they agree are significant.<br/>
<a id="pl.8.1"></a><var>8.1</var>The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.8.2"></a><var>8.2</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.8.3"></a><var>8.3</var>plan demonstrates to the satisfaction of the commissioner that this reduction in the <br/>
<a id="pl.8.4"></a><var>8.4</var>hospitalization rate was achieved. The commissioner shall structure the withhold so that <br/>
<a id="pl.8.5"></a><var>8.5</var>the commissioner returns a portion of the withheld funds in amounts commensurate with <br/>
<a id="pl.8.6"></a><var>8.6</var>achieved reductions in utilization less than the targeted amount.<br/>
<a id="pl.8.7"></a><var>8.7</var>The withhold described in this paragraph shall continue until there is a 25 percent <br/>
<a id="pl.8.8"></a><var>8.8</var>reduction in the hospital admission rate compared to the hospital admission rates in <br/>
<a id="pl.8.9"></a><var>8.9</var>calendar year 2011, as determined by the commissioner. The hospital admissions in this <br/>
<a id="pl.8.10"></a><var>8.10</var>performance target do not include the admissions applicable to the subsequent hospital <br/>
<a id="pl.8.11"></a><var>8.11</var>admission performance target under paragraph (i). Hospitals shall cooperate with the <br/>
<a id="pl.8.12"></a><var>8.12</var>plans in meeting this performance target and shall accept payment withholds that may be <br/>
<a id="pl.8.13"></a><var>8.13</var>returned to the hospitals if the performance target is achieved.<br/>
<a id="pl.8.14"></a><var>8.14</var>(i) Effective for services rendered on or after January 1, 2012, the commissioner <br/>
<a id="pl.8.15"></a><var>8.15</var>shall include as part of the performance targets described in paragraph (c) a reduction in <br/>
<a id="pl.8.16"></a><var>8.16</var>the plan's hospitalization admission rates for subsequent hospitalizations within 30 days <br/>
<a id="pl.8.17"></a><var>8.17</var>of a previous hospitalization of a patient regardless of the reason, for medical assistance <br/>
<a id="pl.8.18"></a><var>8.18</var>and MinnesotaCare enrollees, as determined by the commissioner. To earn the return of <br/>
<a id="pl.8.19"></a><var>8.19</var>the withhold each year, the managed care plan or county-based purchasing plan must <br/>
<a id="pl.8.20"></a><var>8.20</var>achieve a qualifying reduction of the subsequent hospitalization rate for medical assistance <br/>
<a id="pl.8.21"></a><var>8.21</var>and MinnesotaCare enrollees, excluding Medicare enrollees in programs described in <br/>
<a id="pl.8.22"></a><var>8.22</var>subdivisions 23 and 28, of no less than five percent compared to the previous calendar <br/>
<a id="pl.8.23"></a><var>8.23</var>year until the final performance target is reached.<br/>
<a id="pl.8.24"></a><var>8.24</var>The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.8.25"></a><var>8.25</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.8.26"></a><var>8.26</var>plan demonstrates to the satisfaction of the commissioner that a qualifying reduction in <br/>
<a id="pl.8.27"></a><var>8.27</var>the subsequent hospitalization rate was achieved. The commissioner shall structure the <br/>
<a id="pl.8.28"></a><var>8.28</var>withhold so that the commissioner returns a portion of the withheld funds in amounts <br/>
<a id="pl.8.29"></a><var>8.29</var>commensurate with achieved reductions in utilization less that the targeted amount.<br/>
<a id="pl.8.30"></a><var>8.30</var>The withhold described in this paragraph must continue for each consecutive <br/>
<a id="pl.8.31"></a><var>8.31</var>contract period until the plan's subsequent hospitalization rate for medical assistance <br/>
<a id="pl.8.32"></a><var>8.32</var>and MinnesotaCare enrollees, excluding Medicare enrollees in programs described in <br/>
<a id="pl.8.33"></a><var>8.33</var>subdivisions 23 and 28, is reduced by 25 percent of the plan's subsequent hospitalization <br/>
<a id="pl.8.34"></a><var>8.34</var>rate for calendar year 2011. Hospitals shall cooperate with the plans in meeting this <br/>
<a id="pl.8.35"></a><var>8.35</var>performance target and shall accept payment withholds that must be returned to the <br/>
<a id="pl.8.36"></a><var>8.36</var>hospitals if the performance target is achieved.<br/>
<a id="pl.9.1"></a><var>9.1</var>(j) Effective for services rendered on or after January 1, 2011, through December 31, <br/>
<a id="pl.9.2"></a><var>9.2</var>2011, the commissioner shall withhold 4.5 percent of managed care plan payments under <br/>
<a id="pl.9.3"></a><var>9.3</var>this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the <br/>
<a id="pl.9.4"></a><var>9.4</var>prepaid medical assistance program. The withheld funds must be returned no sooner than <br/>
<a id="pl.9.5"></a><var>9.5</var>July 1 and no later than July 31 of the following year. The commissioner may exclude <br/>
<a id="pl.9.6"></a><var>9.6</var>special demonstration projects under subdivision 23.<br/>
<a id="pl.9.7"></a><var>9.7</var>(k) Effective for services rendered on or after January 1, 2012, through December <br/>
<a id="pl.9.8"></a><var>9.8</var>31, 2012, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.9.9"></a><var>9.9</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.9.10"></a><var>9.10</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.9.11"></a><var>9.11</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.9.12"></a><var>9.12</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.9.13"></a><var>9.13</var>(l) Effective for services rendered on or after January 1, 2013, through December 31, <br/>
<a id="pl.9.14"></a><var>9.14</var>2013, the commissioner shall withhold 4.5 percent of managed care plan payments under <br/>
<a id="pl.9.15"></a><var>9.15</var>this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the <br/>
<a id="pl.9.16"></a><var>9.16</var>prepaid medical assistance program. The withheld funds must be returned no sooner than <br/>
<a id="pl.9.17"></a><var>9.17</var>July 1 and no later than July 31 of the following year. The commissioner may exclude <br/>
<a id="pl.9.18"></a><var>9.18</var>special demonstration projects under subdivision 23.<br/>
<a id="pl.9.19"></a><var>9.19</var>(m) Effective for services rendered on or after January 1, 2014, the commissioner <br/>
<a id="pl.9.20"></a><var>9.20</var>shall withhold three percent of managed care plan payments under this section and <br/>
<a id="pl.9.21"></a><var>9.21</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692</statute_ref> for the prepaid medical <br/>
<a id="pl.9.22"></a><var>9.22</var>assistance program. The withheld funds must be returned no sooner than July 1 and <br/>
<a id="pl.9.23"></a><var>9.23</var>no later than July 31 of the following year. The commissioner may exclude special <br/>
<a id="pl.9.24"></a><var>9.24</var>demonstration projects under subdivision 23.<br/>
<a id="pl.9.25"></a><var>9.25</var>(n) A managed care plan or a county-based purchasing plan under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.9.26"></a><var>9.26</var>may include as admitted assets under section 
         <statute_ref>62D.044</statute_ref> any amount withheld under this <br/>
<a id="pl.9.27"></a><var>9.27</var>section that is reasonably expected to be returned.<br/>
<a id="pl.9.28"></a><var>9.28</var>(o) Contracts between the commissioner and a prepaid health plan are exempt from <br/>
<a id="pl.9.29"></a><var>9.29</var>the set-aside and preference provisions of section 
         <statute_ref>16C.16, subdivisions 6</statute_ref>, paragraph <br/>
<a id="pl.9.30"></a><var>9.30</var>(a), and 7.<br/>
<a id="pl.9.31"></a><var>9.31</var>(p) The return of the withhold under paragraphs (d), (f), and (j) to (m) is not subject <br/>
<a id="pl.9.32"></a><var>9.32</var>to the requirements of paragraph (c).<br/>
<br/>
<a id="bill.1.5.0"></a><a id="pl.9.33"></a><var>9.33</var>    Sec. 5. Minnesota Statutes 2011 Supplement, section 256B.69, subdivision 9c, is <br/>
<a id="pl.9.34"></a><var>9.34</var>amended to read:<br/>
<a id="pl.10.1"></a><var>10.1</var>    Subd. 9c. <b>Managed care financial reporting.</b> (a) The commissioner shall collect <br/>
<a id="pl.10.2"></a><var>10.2</var>detailed data regarding financials, provider payments, provider rate methodologies, and <br/>
<a id="pl.10.3"></a><var>10.3</var>other data as determined by the commissioner and managed care and county-based <br/>
<a id="pl.10.4"></a><var>10.4</var>purchasing plans that are required to be submitted under this section. The commissioner, <br/>
<a id="pl.10.5"></a><var>10.5</var>in consultation with the commissioners of health and commerce, and in consultation <br/>
<a id="pl.10.6"></a><var>10.6</var>with managed care plans and county-based purchasing plans, shall set uniform criteria, <br/>
<a id="pl.10.7"></a><var>10.7</var>definitions, and standards for the data to be submitted, and shall require managed care and <br/>
<a id="pl.10.8"></a><var>10.8</var>county-based purchasing plans to comply with these criteria, definitions, and standards <br/>
<a id="pl.10.9"></a><var>10.9</var>when submitting data under this section. In carrying out the responsibilities of this <br/>
<a id="pl.10.10"></a><var>10.10</var>subdivision, the commissioner shall ensure that the data collection is implemented in an <br/>
<a id="pl.10.11"></a><var>10.11</var>integrated and coordinated manner that avoids unnecessary duplication of effort. To the <br/>
<a id="pl.10.12"></a><var>10.12</var>extent possible, the commissioner shall use existing data sources and streamline data <br/>
<a id="pl.10.13"></a><var>10.13</var>collection in order to reduce public and private sector administrative costs. Nothing in <br/>
<a id="pl.10.14"></a><var>10.14</var>this subdivision shall allow release of information that is nonpublic data pursuant to <br/>
<a id="pl.10.15"></a><var>10.15</var>section 
         <statute_ref>13.02</statute_ref>.<br/>
<a id="pl.10.16"></a><var>10.16</var>(b) Each managed care and county-based purchasing plan must annually provide <br/>
<a id="pl.10.17"></a><var>10.17</var>to the commissioner the following information on state public programs, in the form <br/>
<a id="pl.10.18"></a><var>10.18</var>and manner specified by the commissioner, according to guidelines developed by the <br/>
<a id="pl.10.19"></a><var>10.19</var>commissioner in consultation with managed care plans and county-based purchasing <br/>
<a id="pl.10.20"></a><var>10.20</var>plans under contract:<br/>
<a id="pl.10.21"></a><var>10.21</var>(1) administrative expenses by category and subcategory consistent with <br/>
<a id="pl.10.22"></a><var>10.22</var>administrative expense reporting to other state and federal regulatory agencies, by <br/>
<a id="pl.10.23"></a><var>10.23</var>program;<br/>
<a id="pl.10.24"></a><var>10.24</var>(2) revenues by program, including investment income;<br/>
<a id="pl.10.25"></a><var>10.25</var>(3) nonadministrative service payments, provider payments, and reimbursement <br/>
<a id="pl.10.26"></a><var>10.26</var>rates by provider type or service category, by program, paid by the managed care plan <br/>
<a id="pl.10.27"></a><var>10.27</var>under this section or the county-based purchasing plan under section 
         <statute_ref>256B.692</statute_ref> to <br/>
<a id="pl.10.28"></a><var>10.28</var>providers and vendors for administrative services under contract with the plan, including <br/>
<a id="pl.10.29"></a><var>10.29</var>but not limited to:<br/>
<a id="pl.10.30"></a><var>10.30</var>(i) individual-level provider payment and reimbursement rate data;<br/>
<a id="pl.10.31"></a><var>10.31</var>(ii) provider reimbursement rate methodologies by provider type, by program, <br/>
<a id="pl.10.32"></a><var>10.32</var>including a description of alternative payment arrangements and payments outside the <br/>
<a id="pl.10.33"></a><var>10.33</var>claims process;<br/>
<a id="pl.10.34"></a><var>10.34</var>(iii) data on implementation of legislatively mandated provider rate changes; and<br/>
<a id="pl.10.35"></a><var>10.35</var>(iv) individual-level provider payment and reimbursement rate data and plan-specific <br/>
<a id="pl.10.36"></a><var>10.36</var>provider reimbursement rate methodologies by provider type, by program, including <br/>
<a id="pl.11.1"></a><var>11.1</var>alternative payment arrangements and payments outside the claims process, provided to <br/>
<a id="pl.11.2"></a><var>11.2</var>the commissioner under this subdivision are nonpublic data as defined in section 
         <statute_ref>13.02</statute_ref>;<br/>
<a id="pl.11.3"></a><var>11.3</var>(4) data on the amount of reinsurance or transfer of risk by program; and<br/>
<a id="pl.11.4"></a><var>11.4</var>(5) contribution to reserve, by program.<br/>
<a id="pl.11.5"></a><var>11.5</var>(c) In the event a report is published or released based on data provided under <br/>
<a id="pl.11.6"></a><var>11.6</var>this subdivision, the commissioner shall provide the report to managed care plans and <br/>
<a id="pl.11.7"></a><var>11.7</var>county-based purchasing plans 30 days prior to the publication or release of the report. <br/>
<a id="pl.11.8"></a><var>11.8</var>Managed care plans and county-based purchasing plans shall have 30 days to review the <br/>
<a id="pl.11.9"></a><var>11.9</var>report and provide comment to the commissioner.<br/>
<a id="pl.11.10"></a><var>11.10</var>(d) The legislative auditor shall contract for the audit required under this paragraph. <br/>
<a id="pl.11.11"></a><var>11.11</var>The commissioner shall require, in the request for bids and the resulting contracts for <br/>
<a id="pl.11.12"></a><var>11.12</var>coverage to be provided under this section, that each managed care and county-based <br/>
<a id="pl.11.13"></a><var>11.13</var>purchasing plan submit to and fully cooperate with an annual independent third-party <br/>
<a id="pl.11.14"></a><var>11.14</var>financial audit of the information required under paragraph (b). For purposes of <br/>
<a id="pl.11.15"></a><var>11.15</var>this paragraph, "independent third party" means an audit firm that is independent in <br/>
<a id="pl.11.16"></a><var>11.16</var>accordance with Government Auditing Standards issued by the United States Government <br/>
<a id="pl.11.17"></a><var>11.17</var>Accountability Office and licensed in accordance with chapter 326A. In no case shall <br/>
<a id="pl.11.18"></a><var>11.18</var>the audit firm conducting the audit provide services to a managed care or county-based <br/>
<a id="pl.11.19"></a><var>11.19</var>purchasing plan at the same time as the audit is being conducted or have provided services <br/>
<a id="pl.11.20"></a><var>11.20</var>to a managed care or county-based purchasing plan during the prior three years.<br/>
<a id="pl.11.21"></a><var>11.21</var>(e) The audit of the information required under paragraph (b) shall be conducted <br/>
<a id="pl.11.22"></a><var>11.22</var>by an independent third-party firm in accordance with generally accepted government <br/>
<a id="pl.11.23"></a><var>11.23</var>auditing standards issued by the United States Government Accountability Office.<br/>
<a id="pl.11.24"></a><var>11.24</var>(f) A managed care or county-based purchasing plan that provides services under <br/>
<a id="pl.11.25"></a><var>11.25</var>this section shall provide to the commissioner biweekly encounter and claims data at <br/>
<a id="pl.11.26"></a><var>11.26</var>a detailed level and shall participate in a quality assurance program that verifies the <br/>
<a id="pl.11.27"></a><var>11.27</var>timeliness, completeness, accuracy, and consistency of data provided. The commissioner <br/>
<a id="pl.11.28"></a><var>11.28</var>shall have written protocols for the quality assurance program that are publicly available. <br/>
<a id="pl.11.29"></a><var>11.29</var>The commissioner shall contract with an independent third-party auditing firm to evaluate <br/>
<a id="pl.11.30"></a><var>11.30</var>the quality assurance protocols, the capacity of those protocols to assure complete and <br/>
<a id="pl.11.31"></a><var>11.31</var>accurate data, and the commissioner's implementation of the protocols.<br/>
<a id="pl.11.32"></a><var>11.32</var>(g) Contracts awarded under this section to a managed care or county-based <br/>
<a id="pl.11.33"></a><var>11.33</var>purchasing plan must provide that the commissioner and the contracted auditor shall have <br/>
<a id="pl.11.34"></a><var>11.34</var>unlimited access to any and all data required to complete the audit and that this access <br/>
<a id="pl.11.35"></a><var>11.35</var>shall be enforceable in a court of competent jurisdiction through the process of injunctive <br/>
<a id="pl.11.36"></a><var>11.36</var>or other appropriate relief.<br/>
<a id="pl.12.1"></a><var>12.1</var>(h) Any actuary or actuarial firm must meet the independence requirements under <br/>
<a id="pl.12.2"></a><var>12.2</var>the professional code for fellows in the Society of Actuaries when providing actuarial <br/>
<a id="pl.12.3"></a><var>12.3</var>services to the commissioner in connection with this subdivision and providing services to <br/>
<a id="pl.12.4"></a><var>12.4</var>any managed care or county-based purchasing plan participating in this subdivision during <br/>
<a id="pl.12.5"></a><var>12.5</var>the term of the actuary's work for the commissioner under this subdivision.<br/>
<a id="pl.12.6"></a><var>12.6</var>(i) The actuary or actuarial firm referenced in paragraph (h) shall certify and attest <br/>
<a id="pl.12.7"></a><var>12.7</var>to the rates paid to managed care plans and county-based purchasing plans under this <br/>
<a id="pl.12.8"></a><var>12.8</var>section, and the certification and attestation must be auditable.<br/>
<a id="pl.12.9"></a><var>12.9</var>(j) The independent third-party audit shall include a determination of compliance <br/>
<a id="pl.12.10"></a><var>12.10</var>with the federal Medicaid rate certification process.<br/>
<a id="pl.12.11"></a><var>12.11</var>(k) The legislative auditor's contract with the independent third-party auditing firm <br/>
<a id="pl.12.12"></a><var>12.12</var>shall be designed and administered so as to render the independent third-party audit <br/>
<a id="pl.12.13"></a><var>12.13</var>eligible for a federal subsidy if available for that purpose. The independent third-party <br/>
<a id="pl.12.14"></a><var>12.14</var>auditing firm shall have the same powers as the legislative auditor under section 3.978, <br/>
<a id="pl.12.15"></a><var>12.15</var>subdivision 2.<br/>
<a id="pl.12.16"></a><var>12.16</var>(l) Upon completion of the audit, and its receipt by the legislative auditor, the <br/>
<a id="pl.12.17"></a><var>12.17</var>legislative auditor shall provide copies of the audit report to the commissioner, the state <br/>
<a id="pl.12.18"></a><var>12.18</var>auditor, the attorney general, and the chairs and ranking minority members of the health <br/>
<a id="pl.12.19"></a><var>12.19</var>finance committees of the legislature.<br/>
<a id="pl.12.20"></a><var>12.20</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment <br/>
<a id="pl.12.21"></a><var>12.21</var>and applies to contracts, and the contracting process, for contracts that are effective <br/>
<a id="pl.12.22"></a><var>12.22</var>January 1, 2013, and thereafter.<br/>
<br/>
<a id="bill.1.6.0"></a><a id="pl.12.23"></a><var>12.23</var>    Sec. 6. Minnesota Statutes 2011 Supplement, section 256B.76, subdivision 4, is <br/>
<a id="pl.12.24"></a><var>12.24</var>amended to read:<br/>
<a id="pl.12.25"></a><var>12.25</var>    Subd. 4. <b>Critical access dental providers. </b> (a) Effective for dental services <br/>
<a id="pl.12.26"></a><var>12.26</var>rendered on or after January 1, 2002, the commissioner shall increase reimbursements <br/>
<a id="pl.12.27"></a><var>12.27</var>to dentists and dental clinics deemed by the commissioner to be critical access dental <br/>
<a id="pl.12.28"></a><var>12.28</var>providers. For dental services rendered on or after July 1, 2007, the commissioner shall <br/>
<a id="pl.12.29"></a><var>12.29</var>increase reimbursement by 30 percent above the reimbursement rate that would otherwise <br/>
<a id="pl.12.30"></a><var>12.30</var>be paid to the critical access dental provider. The commissioner shall pay the managed <br/>
<a id="pl.12.31"></a><var>12.31</var>care plans and county-based purchasing plans in amounts sufficient to reflect increased <br/>
<a id="pl.12.32"></a><var>12.32</var>reimbursements to critical access dental providers as approved by the commissioner.<br/>
<a id="pl.12.33"></a><var>12.33</var>(b) The commissioner shall designate the following dentists and dental clinics as <br/>
<a id="pl.12.34"></a><var>12.34</var>critical access dental providers:<br/>
<a id="pl.12.35"></a><var>12.35</var>    (1) nonprofit community clinics that:<br/>
<a id="pl.13.1"></a><var>13.1</var>(i) have nonprofit status in accordance with chapter 317A;<br/>
<a id="pl.13.2"></a><var>13.2</var>(ii) have tax exempt status in accordance with the Internal Revenue Code, section <br/>
<a id="pl.13.3"></a><var>13.3</var>501(c)(3);<br/>
<a id="pl.13.4"></a><var>13.4</var>(iii) are established to provide oral health services to patients who are low income, <br/>
<a id="pl.13.5"></a><var>13.5</var>uninsured, have special needs, and are underserved;<br/>
<a id="pl.13.6"></a><var>13.6</var>(iv) have professional staff familiar with the cultural background of the clinic's <br/>
<a id="pl.13.7"></a><var>13.7</var>patients;<br/>
<a id="pl.13.8"></a><var>13.8</var>(v) charge for services on a sliding fee scale designed to provide assistance to <br/>
<a id="pl.13.9"></a><var>13.9</var>low-income patients based on current poverty income guidelines and family size;<br/>
<a id="pl.13.10"></a><var>13.10</var>(vi) do not restrict access or services because of a patient's financial limitations <br/>
<a id="pl.13.11"></a><var>13.11</var>or public assistance status; and<br/>
<a id="pl.13.12"></a><var>13.12</var>(vii) have free care available as needed;<br/>
<a id="pl.13.13"></a><var>13.13</var>    (2) federally qualified health centers, rural health clinics, and public health clinics;<br/>
<a id="pl.13.14"></a><var>13.14</var>    (3) county owned and operated hospital-based dental clinics;<br/>
<a id="pl.13.15"></a><var>13.15</var>(4) a dental clinic or dental group owned and operated by a nonprofit corporation in <br/>
<a id="pl.13.16"></a><var>13.16</var>accordance with chapter 317A with more than 10,000 patient encounters per year with <br/>
<a id="pl.13.17"></a><var>13.17</var>patients who are uninsured or covered by medical assistance, general assistance medical <br/>
<a id="pl.13.18"></a><var>13.18</var>care, or MinnesotaCare; and<br/>
<a id="pl.13.19"></a><var>13.19</var>(5) a dental clinic owned and operated by the University of Minnesota or the <br/>
<a id="pl.13.20"></a><var>13.20</var>Minnesota State Colleges and Universities system.<br/>
<a id="pl.13.21"></a><var>13.21</var>     (c) The commissioner may designate a dentist or dental clinic as a critical access <br/>
<a id="pl.13.22"></a><var>13.22</var>dental provider if the dentist or dental clinic is willing to provide care to patients covered <br/>
<a id="pl.13.23"></a><var>13.23</var>by medical assistance, general assistance medical care, or MinnesotaCare at a level which <br/>
<a id="pl.13.24"></a><var>13.24</var>significantly increases access to dental care in the service area.<br/>
<a id="pl.13.25"></a><var>13.25</var>(d) Notwithstanding paragraph (a), critical access payments must not be made for <br/>
<a id="pl.13.26"></a><var>13.26</var>dental services provided from April 1, 2010, through June 30, 2010. A designated critical <br/>
<a id="pl.13.27"></a><var>13.27</var>access clinic shall receive the reimbursement rate specified in paragraph (a) for dental <br/>
<a id="pl.13.28"></a><var>13.28</var>services provided off-site at a private dental office if the following requirements are met:<br/>
<a id="pl.13.29"></a><var>13.29</var>(1) the designated critical access dental clinic is located within a health professional <br/>
<a id="pl.13.30"></a><var>13.30</var>shortage area as defined under the Code of Federal Regulations, title 42, part 5, and <br/>
<a id="pl.13.31"></a><var>13.31</var>the United States Code, title 42, section 254E, and is located outside the seven-county <br/>
<a id="pl.13.32"></a><var>13.32</var>metropolitan area;<br/>
<a id="pl.13.33"></a><var>13.33</var>(2) the designated critical access dental clinic is not able to provide the service <br/>
<a id="pl.13.34"></a><var>13.34</var>and refers the patient to the off-site dentist;<br/>
<a id="pl.13.35"></a><var>13.35</var>(3) the service, if provided at the critical access dental clinic, would be reimbursed <br/>
<a id="pl.13.36"></a><var>13.36</var>at the critical access reimbursement rate;<br/>
<a id="pl.14.1"></a><var>14.1</var>(4) the dentist and allied dental professionals providing the services off-site are <br/>
<a id="pl.14.2"></a><var>14.2</var>licensed and in good standing under chapter 150A;<br/>
<a id="pl.14.3"></a><var>14.3</var>(5) the dentist providing the services is enrolled as a medical assistance provider;<br/>
<a id="pl.14.4"></a><var>14.4</var>(6) the critical access dental clinic submits the claim for services provided off-site <br/>
<a id="pl.14.5"></a><var>14.5</var>and receives the payment for the services; and<br/>
<a id="pl.14.6"></a><var>14.6</var>(7) the critical access dental clinic maintains dental records for each claim submitted <br/>
<a id="pl.14.7"></a><var>14.7</var>under this paragraph, including the name of the dentist, the off-site location, and the <br/>
<a id="pl.14.8"></a><var>14.8</var>license number of the dentist and allied dental professionals providing the services.<br/>
<a id="pl.14.9"></a><var>14.9</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2012, or upon federal <br/>
<a id="pl.14.10"></a><var>14.10</var>approval, whichever is later.<br/>
<br/>
<a id="bill.1.7.0"></a><a id="pl.14.11"></a><var>14.11</var>    Sec. 7. Minnesota Statutes 2010, section 256B.76, is amended by adding a subdivision <br/>
<a id="pl.14.12"></a><var>14.12</var>to read:<br/>
<a id="pl.14.13"></a><var>14.13</var>    Subd. 7a. <b>Volunteer dental providers.</b> (a) A volunteer dentist who is not enrolled <br/>
<a id="pl.14.14"></a><var>14.14</var>as a medical assistance provider; is providing volunteer services for a nonprofit or <br/>
<a id="pl.14.15"></a><var>14.15</var>government-owned dental provider enrolled as a medical assistance dental provider; and <br/>
<a id="pl.14.16"></a><var>14.16</var>is not receiving payment for services provided, shall complete and submit a volunteer <br/>
<a id="pl.14.17"></a><var>14.17</var>agreement form as prescribed by the commissioner. The volunteer agreement shall be <br/>
<a id="pl.14.18"></a><var>14.18</var>used to enroll the dentist in medical assistance only for the purpose of providing volunteer <br/>
<a id="pl.14.19"></a><var>14.19</var>services. The volunteer agreement shall specify that a volunteer dentist:<br/>
<a id="pl.14.20"></a><var>14.20</var>(1) will not appear in the Minnesota health care programs provider directory;<br/>
<a id="pl.14.21"></a><var>14.21</var>(2) will not receive payment for the services they provide to Minnesota health care <br/>
<a id="pl.14.22"></a><var>14.22</var>program patients; and<br/>
<a id="pl.14.23"></a><var>14.23</var>(3) is not required to serve Minnesota health care program patients when providing <br/>
<a id="pl.14.24"></a><var>14.24</var>nonvolunteer services in a private practice.<br/>
<a id="pl.14.25"></a><var>14.25</var>(b) A volunteer dentist enrolled under this subdivision shall not otherwise be enrolled <br/>
<a id="pl.14.26"></a><var>14.26</var>in or receive payments from Minnesota health care programs as a fee-for-service provider.<br/>
<a id="pl.14.27"></a><var>14.27</var>(c) The volunteer dentist shall be notified by the dental provider for which they <br/>
<a id="pl.14.28"></a><var>14.28</var>are providing services that medical assistance is being billed for the volunteer services <br/>
<a id="pl.14.29"></a><var>14.29</var>provided.<br/>
<br/>
<a id="bill.1.8.0"></a><a id="pl.14.30"></a><var>14.30</var>    Sec. 8. Minnesota Statutes 2011 Supplement, section 256L.12, subdivision 9, is <br/>
<a id="pl.14.31"></a><var>14.31</var>amended to read:<br/>
<a id="pl.14.32"></a><var>14.32</var>    Subd. 9. <b>Rate setting; performance withholds.</b> (a) Rates will be prospective, <br/>
<a id="pl.14.33"></a><var>14.33</var>per capita, where possible. The commissioner may allow health plans to arrange for <br/>
<a id="pl.15.1"></a><var>15.1</var>inpatient hospital services on a risk or nonrisk basis. The commissioner shall consult with <br/>
<a id="pl.15.2"></a><var>15.2</var>an independent actuary to determine appropriate rates.<br/>
<a id="pl.15.3"></a><var>15.3</var>    (b) For services rendered on or after January 1, 2004, the commissioner shall <br/>
<a id="pl.15.4"></a><var>15.4</var>withhold five percent of managed care plan payments and county-based purchasing <br/>
<a id="pl.15.5"></a><var>15.5</var>plan payments under this section pending completion of performance targets. Each <br/>
<a id="pl.15.6"></a><var>15.6</var>performance target must be quantifiable, objective, measurable, and reasonably attainable, <br/>
<a id="pl.15.7"></a><var>15.7</var>except in the case of a performance target based on a federal or state law or rule. Criteria <br/>
<a id="pl.15.8"></a><var>15.8</var>for assessment of each performance target must be outlined in writing prior to the contract <br/>
<a id="pl.15.9"></a><var>15.9</var>effective date. Clinical or utilization performance targets and their related criteria must <br/>
<a id="pl.15.10"></a><var>15.10</var>consider evidence-based research and reasonable interventions, when available or <br/>
<a id="pl.15.11"></a><var>15.11</var>applicable to the populations served, and must be developed with input from external <br/>
<a id="pl.15.12"></a><var>15.12</var>clinical experts and stakeholders, including managed care plans, county-based purchasing <br/>
<a id="pl.15.13"></a><var>15.13</var>plans, and providers. The managed care plan must demonstrate, to the commissioner's <br/>
<a id="pl.15.14"></a><var>15.14</var>satisfaction, that the data submitted regarding attainment of the performance target is <br/>
<a id="pl.15.15"></a><var>15.15</var>accurate. The commissioner shall periodically change the administrative measures used <br/>
<a id="pl.15.16"></a><var>15.16</var>as performance targets in order to improve plan performance across a broader range of <br/>
<a id="pl.15.17"></a><var>15.17</var>administrative services. The performance targets must include measurement of plan <br/>
<a id="pl.15.18"></a><var>15.18</var>efforts to contain spending on health care services and administrative activities. The <br/>
<a id="pl.15.19"></a><var>15.19</var>commissioner may adopt plan-specific performance targets that take into account factors <br/>
<a id="pl.15.20"></a><var>15.20</var>affecting only one plan, such as characteristics of the plan's enrollee population. The <br/>
<a id="pl.15.21"></a><var>15.21</var>withheld funds must be returned no sooner than July 1 and no later than July 31 of the <br/>
<a id="pl.15.22"></a><var>15.22</var>following calendar year if performance targets in the contract are achieved.<br/>
<a id="pl.15.23"></a><var>15.23</var>(c) For services rendered on or after January 1, 2011, the commissioner shall <br/>
<a id="pl.15.24"></a><var>15.24</var>withhold an additional three percent of managed care plan or county-based purchasing <br/>
<a id="pl.15.25"></a><var>15.25</var>plan payments under this section. The withheld funds must be returned no sooner than <br/>
<a id="pl.15.26"></a><var>15.26</var>July 1 and no later than July 31 of the following calendar year. The return of the withhold <br/>
<a id="pl.15.27"></a><var>15.27</var>under this paragraph is not subject to the requirements of paragraph (b).<br/>
<a id="pl.15.28"></a><var>15.28</var>(d) Effective for services rendered on or after January 1, 2011, through December <br/>
<a id="pl.15.29"></a><var>15.29</var>31, 2011, the commissioner shall include as part of the performance targets described in <br/>
<a id="pl.15.30"></a><var>15.30</var>paragraph (b) a reduction in the plan's emergency room utilization rate for state health care <br/>
<a id="pl.15.31"></a><var>15.31</var>program enrollees by a measurable rate of five percent from the plan's utilization rate for <br/>
<a id="pl.15.32"></a><var>15.32</var>the previous calendar year. Effective for services rendered on or after January 1, 2012, <br/>
<a id="pl.15.33"></a><var>15.33</var>the commissioner shall include as part of the performance targets described in paragraph <br/>
<a id="pl.15.34"></a><var>15.34</var>(b) a reduction in the health plan's emergency department utilization rate for medical <br/>
<a id="pl.15.35"></a><var>15.35</var>assistance and MinnesotaCare enrollees, as determined by the commissioner. For 2012, <br/>
<a id="pl.15.36"></a><var>15.36</var>the reductions shall be based on the health plan's utilization in 2009. To earn the return of <br/>
<a id="pl.16.1"></a><var>16.1</var>the withhold each subsequent year, the managed care plan or county-based purchasing <br/>
<a id="pl.16.2"></a><var>16.2</var>plan must achieve a qualifying reduction of no less than ten percent of the plan's utilization <br/>
<a id="pl.16.3"></a><var>16.3</var>rate for medical assistance and MinnesotaCare enrollees, excluding Medicare enrollees in <br/>
<a id="pl.16.4"></a><var>16.4</var>programs described in section 256B.69, subdivisions 23 and 28, compared to the previous <br/>
<a id="pl.16.5"></a><var>16.5</var>calendar measurement year, until the final performance target is reached. When measuring <br/>
<a id="pl.16.6"></a><var>16.6</var>performance, the commissioner must consider the difference in health risk in a managed <br/>
<a id="pl.16.7"></a><var>16.7</var>care or county-based purchasing plan's membership in the baseline year compared to the <br/>
<a id="pl.16.8"></a><var>16.8</var>measurement year, and work with the managed care or county-based purchasing plan to <br/>
<a id="pl.16.9"></a><var>16.9</var>account for differences that they agree are significant.<br/>
<a id="pl.16.10"></a><var>16.10</var>The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.16.11"></a><var>16.11</var>of the following calendar year if the managed care plan or county-based purchasing plan <br/>
<a id="pl.16.12"></a><var>16.12</var>demonstrates to the satisfaction of the commissioner that a reduction in the utilization rate <br/>
<a id="pl.16.13"></a><var>16.13</var>was achieved. The commissioner shall structure the withhold so that the commissioner <br/>
<a id="pl.16.14"></a><var>16.14</var>returns a portion of the withheld funds in amounts commensurate with achieved reductions <br/>
<a id="pl.16.15"></a><var>16.15</var>in utilization less than the targeted amount.<br/>
<a id="pl.16.16"></a><var>16.16</var>The withhold described in this paragraph shall continue for each consecutive <br/>
<a id="pl.16.17"></a><var>16.17</var>contract period until the plan's emergency room utilization rate for state health care <br/>
<a id="pl.16.18"></a><var>16.18</var>program enrollees is reduced by 25 percent of the plan's emergency room utilization <br/>
<a id="pl.16.19"></a><var>16.19</var>rate for medical assistance and MinnesotaCare enrollees for calendar year 2011 2009. <br/>
<a id="pl.16.20"></a><var>16.20</var>Hospitals shall cooperate with the health plans in meeting this performance target and <br/>
<a id="pl.16.21"></a><var>16.21</var>shall accept payment withholds that may be returned to the hospitals if the performance <br/>
<a id="pl.16.22"></a><var>16.22</var>target is achieved.<br/>
<a id="pl.16.23"></a><var>16.23</var>(e) Effective for services rendered on or after January 1, 2012, the commissioner <br/>
<a id="pl.16.24"></a><var>16.24</var>shall include as part of the performance targets described in paragraph (b) a reduction <br/>
<a id="pl.16.25"></a><var>16.25</var>in the plan's hospitalization admission rate for medical assistance and MinnesotaCare <br/>
<a id="pl.16.26"></a><var>16.26</var>enrollees, as determined by the commissioner. To earn the return of the withhold <br/>
<a id="pl.16.27"></a><var>16.27</var>each year, the managed care plan or county-based purchasing plan must achieve a <br/>
<a id="pl.16.28"></a><var>16.28</var>qualifying reduction of no less than five percent of the plan's hospital admission rate <br/>
<a id="pl.16.29"></a><var>16.29</var>for medical assistance and MinnesotaCare enrollees, excluding Medicare enrollees <br/>
<a id="pl.16.30"></a><var>16.30</var>in programs described in section 256B.69, subdivisions 23 and 28, compared to the <br/>
<a id="pl.16.31"></a><var>16.31</var>previous calendar year, until the final performance target is reached. When measuring <br/>
<a id="pl.16.32"></a><var>16.32</var>performance, the commissioner must consider the difference in health risk in a managed <br/>
<a id="pl.16.33"></a><var>16.33</var>care or county-based purchasing plan's membership in the baseline year compared to the <br/>
<a id="pl.16.34"></a><var>16.34</var>measurement year, and work with the managed care or county-based purchasing plan to <br/>
<a id="pl.16.35"></a><var>16.35</var>account for differences that they agree are significant.<br/>
<a id="pl.17.1"></a><var>17.1</var>The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.17.2"></a><var>17.2</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.17.3"></a><var>17.3</var>plan demonstrates to the satisfaction of the commissioner that this reduction in the <br/>
<a id="pl.17.4"></a><var>17.4</var>hospitalization rate was achieved. The commissioner shall structure the withhold so that <br/>
<a id="pl.17.5"></a><var>17.5</var>the commissioner returns a portion of the withheld funds in amounts commensurate with <br/>
<a id="pl.17.6"></a><var>17.6</var>achieved reductions in utilization less than the targeted amount.<br/>
<a id="pl.17.7"></a><var>17.7</var>The withhold described in this paragraph shall continue until there is a 25 percent <br/>
<a id="pl.17.8"></a><var>17.8</var>reduction in the hospitals admission rate compared to the hospital admission rate for <br/>
<a id="pl.17.9"></a><var>17.9</var>calendar year 2011 as determined by the commissioner. Hospitals shall cooperate with the <br/>
<a id="pl.17.10"></a><var>17.10</var>plans in meeting this performance target and shall accept payment withholds that may be <br/>
<a id="pl.17.11"></a><var>17.11</var>returned to the hospitals if the performance target is achieved. The hospital admissions <br/>
<a id="pl.17.12"></a><var>17.12</var>in this performance target do not include the admissions applicable to the subsequent <br/>
<a id="pl.17.13"></a><var>17.13</var>hospital admission performance target under paragraph (f).<br/>
<a id="pl.17.14"></a><var>17.14</var>(f) Effective for services provided on or after January 1, 2012, the commissioner <br/>
<a id="pl.17.15"></a><var>17.15</var>shall include as part of the performance targets described in paragraph (b) a reduction <br/>
<a id="pl.17.16"></a><var>17.16</var>in the plan's hospitalization rate for a subsequent hospitalization within 30 days of a <br/>
<a id="pl.17.17"></a><var>17.17</var>previous hospitalization of a patient regardless of the reason, for medical assistance and <br/>
<a id="pl.17.18"></a><var>17.18</var>MinnesotaCare enrollees, as determined by the commissioner. To earn the return of the <br/>
<a id="pl.17.19"></a><var>17.19</var>withhold each year, the managed care plan or county-based purchasing plan must achieve <br/>
<a id="pl.17.20"></a><var>17.20</var>a qualifying reduction of the subsequent hospital admissions rate for medical assistance <br/>
<a id="pl.17.21"></a><var>17.21</var>and MinnesotaCare enrollees, excluding Medicare enrollees in programs described in <br/>
<a id="pl.17.22"></a><var>17.22</var>section 256B.69, subdivisions 23 and 28, of no less than five percent compared to the <br/>
<a id="pl.17.23"></a><var>17.23</var>previous calendar year until the final performance target is reached.<br/>
<a id="pl.17.24"></a><var>17.24</var>The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.17.25"></a><var>17.25</var>of the following calendar year if the managed care plan or county-based purchasing plan <br/>
<a id="pl.17.26"></a><var>17.26</var>demonstrates to the satisfaction of the commissioner that a reduction in the subsequent <br/>
<a id="pl.17.27"></a><var>17.27</var>hospitalization rate was achieved. The commissioner shall structure the withhold so that <br/>
<a id="pl.17.28"></a><var>17.28</var>the commissioner returns a portion of the withheld funds in amounts commensurate with <br/>
<a id="pl.17.29"></a><var>17.29</var>achieved reductions in utilization less than the targeted amount.<br/>
<a id="pl.17.30"></a><var>17.30</var>The withhold described in this paragraph must continue for each consecutive <br/>
<a id="pl.17.31"></a><var>17.31</var>contract period until the plan's subsequent hospitalization rate for medical assistance and <br/>
<a id="pl.17.32"></a><var>17.32</var>MinnesotaCare enrollees is reduced by 25 percent of the plan's subsequent hospitalization <br/>
<a id="pl.17.33"></a><var>17.33</var>rate for calendar year 2011. Hospitals shall cooperate with the plans in meeting this <br/>
<a id="pl.17.34"></a><var>17.34</var>performance target and shall accept payment withholds that must be returned to the <br/>
<a id="pl.17.35"></a><var>17.35</var>hospitals if the performance target is achieved.<br/>
<a id="pl.18.1"></a><var>18.1</var>(g) A managed care plan or a county-based purchasing plan under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.18.2"></a><var>18.2</var>may include as admitted assets under section 
         <statute_ref>62D.044</statute_ref> any amount withheld under this <br/>
<a id="pl.18.3"></a><var>18.3</var>section that is reasonably expected to be returned.<br/>
<br/>
<a id="bill.1.9.0"></a><a id="pl.18.4"></a><var>18.4</var>    Sec. 9. <b>EMERGENCY MEDICAL CONDITION DIALYSIS COVERAGE </b><br/>
<a id="pl.18.5"></a><var>18.5</var><b>EXCEPTION.</b><br/>
<a id="pl.18.6"></a><var>18.6</var>(a) Notwithstanding Minnesota Statutes, section 256B.06, subdivision 4, paragraph <br/>
<a id="pl.18.7"></a><var>18.7</var>(h), clause (2), dialysis services provided in a hospital or freestanding dialysis facility <br/>
<a id="pl.18.8"></a><var>18.8</var>shall be covered as an emergency medical condition under Minnesota Statutes, section <br/>
<a id="pl.18.9"></a><var>18.9</var>256B.06, subdivision 4, paragraph (f).<br/>
<a id="pl.18.10"></a><var>18.10</var>(b) Coverage under paragraph (a) is effective May 1, 2012, until June 30, 2013.<br/>
<a id="pl.18.11"></a><var>18.11</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.1.10.0"></a><a id="pl.18.12"></a><var>18.12</var>    Sec. 10. <b>COST-SHARING REQUIREMENTS STUDY.</b><br/>
<a id="pl.18.13"></a><var>18.13</var>The commissioner of human services, in consultation with managed care plans, <br/>
<a id="pl.18.14"></a><var>18.14</var>county-based purchasing plans, and other stakeholders, shall develop recommendations <br/>
<a id="pl.18.15"></a><var>18.15</var>to implement a revised cost-sharing structure for state public health care programs that <br/>
<a id="pl.18.16"></a><var>18.16</var>ensures application of meaningful cost-sharing requirements within the limits of title <br/>
<a id="pl.18.17"></a><var>18.17</var>42, Code of Federal Regulations, section 447.54, for enrollees in these programs. The <br/>
<a id="pl.18.18"></a><var>18.18</var>commissioner shall report to the chairs and ranking minority members of the legislative <br/>
<a id="pl.18.19"></a><var>18.19</var>committees with jurisdiction over these issues by January 15, 2013, with draft legislation <br/>
<a id="pl.18.20"></a><var>18.20</var>to implement these recommendations effective January 1, 2014.<br/>
<br/>
<a id="bill.1.11.0"></a><a id="pl.18.21"></a><var>18.21</var>    Sec. 11. <b>STUDY OF MANAGED CARE.</b><br/>
<a id="pl.18.22"></a><var>18.22</var>The commissioner of human services must contract with an independent vendor <br/>
<a id="pl.18.23"></a><var>18.23</var>with demonstrated expertise in evaluating Medicaid managed care programs to evaluate <br/>
<a id="pl.18.24"></a><var>18.24</var>the value of managed care for state public health care programs provided under <br/>
<a id="pl.18.25"></a><var>18.25</var>Minnesota Statutes, sections 256B.69, 256B.692, and 256L.12. The evaluation must be <br/>
<a id="pl.18.26"></a><var>18.26</var>completed and reported to the legislature by January 15, 2013. Determination of the <br/>
<a id="pl.18.27"></a><var>18.27</var>value of managed care must include consideration of the following, as compared to a <br/>
<a id="pl.18.28"></a><var>18.28</var>fee-for-service program:<br/>
<a id="pl.18.29"></a><var>18.29</var>(1) the satisfaction of state public health care program recipients and providers;<br/>
<a id="pl.18.30"></a><var>18.30</var>(2) the ability to measure and improve health outcomes of recipients;<br/>
<a id="pl.18.31"></a><var>18.31</var>(3) the access to health services for recipients;<br/>
<a id="pl.18.32"></a><var>18.32</var>(4) the availability of additional services such as care coordination, case <br/>
<a id="pl.18.33"></a><var>18.33</var>management, disease management, transportation, and after-hours nurse lines;<br/>
<a id="pl.19.1"></a><var>19.1</var>(5) actual and potential cost savings to the state;<br/>
<a id="pl.19.2"></a><var>19.2</var>(6) the level of alignment with state and federal health reform policies, including a <br/>
<a id="pl.19.3"></a><var>19.3</var>health benefit exchange for individuals not enrolled in state public health care programs; <br/>
<a id="pl.19.4"></a><var>19.4</var>and<br/>
<a id="pl.19.5"></a><var>19.5</var>(7) the ability to use different provider payment models that provide incentives for <br/>
<a id="pl.19.6"></a><var>19.6</var>cost-effective health care.<br/>
<br/>
<a id="bill.1.12.0"></a><a id="pl.19.7"></a><var>19.7</var>    Sec. 12. <b>STUDY OF FOR-PROFIT HEALTH MAINTENANCE </b><br/>
<a id="pl.19.8"></a><var>19.8</var><b>ORGANIZATIONS.</b><br/>
<a id="pl.19.9"></a><var>19.9</var>The commissioner of health shall contract with an entity with expertise in health <br/>
<a id="pl.19.10"></a><var>19.10</var>economics and health care delivery and quality to study the efficiency, costs, service <br/>
<a id="pl.19.11"></a><var>19.11</var>quality, and enrollee satisfaction of for-profit health maintenance organizations, relative to <br/>
<a id="pl.19.12"></a><var>19.12</var>not-for-profit health maintenance organizations operating in Minnesota and other states. <br/>
<a id="pl.19.13"></a><var>19.13</var>The study findings must address whether the state could: (1) reduce medical assistance <br/>
<a id="pl.19.14"></a><var>19.14</var>and MinnesotaCare costs and costs of providing coverage to state employees; and (2) <br/>
<a id="pl.19.15"></a><var>19.15</var>maintain or improve the quality of care provided to state health care program enrollees <br/>
<a id="pl.19.16"></a><var>19.16</var>and state employees if for-profit health maintenance organizations were allowed to operate <br/>
<a id="pl.19.17"></a><var>19.17</var>in the state. In comparing for-profit health maintenance organizations operating in other <br/>
<a id="pl.19.18"></a><var>19.18</var>states with not-for-profit health maintenance organizations operating in Minnesota, the <br/>
<a id="pl.19.19"></a><var>19.19</var>entity must consider differences in regulatory oversight, benefit requirements, network <br/>
<a id="pl.19.20"></a><var>19.20</var>standards, human resource costs, and assessments, fees, and taxes that may impact the <br/>
<a id="pl.19.21"></a><var>19.21</var>cost and quality comparisons. The commissioner shall require the entity under contract to <br/>
<a id="pl.19.22"></a><var>19.22</var>report study findings to the commissioner and the legislature by January 15, 2013.<br/>
<br/>
<a id="bill.1.13.0"></a><a id="pl.19.23"></a><var>19.23</var>    Sec. 13. <b> REPEALER.</b><br/>
<a id="pl.19.24"></a><var>19.24</var>Minnesota Statutes 2010, sections 62D.04, subdivision 5; and 256B.0644, are <br/>
<a id="pl.19.25"></a><var>19.25</var>repealed effective January 1, 2013.<br/>
<br/>
<a id="bill.2.0.0"></a>

<a id="bill.2.1.0"></a><a id="pl.19.28"></a><var>19.28</var>    Section 1. Minnesota Statutes 2010, section 62D.02, subdivision 3, is amended to read:<br/>
<a id="pl.19.29"></a><var>19.29</var>    Subd. 3. <b>Commissioner of </b><b>health</b><b> commerce</b><b> or commissioner.</b> "Commissioner of <br/>
<a id="pl.19.30"></a><var>19.30</var>health commerce" or "commissioner" means the state commissioner of health commerce <br/>
<a id="pl.19.31"></a><var>19.31</var>or a designee.<br/>
<br/>
<a id="bill.2.2.0"></a><a id="pl.19.32"></a><var>19.32</var>    Sec. 2. Minnesota Statutes 2010, section 62D.05, subdivision 6, is amended to read:<br/>
<a id="pl.20.1"></a><var>20.1</var>    Subd. 6. <b>Supplemental benefits.</b> (a) A health maintenance organization may, as <br/>
<a id="pl.20.2"></a><var>20.2</var>a supplemental benefit, provide coverage to its enrollees for health care services and <br/>
<a id="pl.20.3"></a><var>20.3</var>supplies received from providers who are not employed by, under contract with, or <br/>
<a id="pl.20.4"></a><var>20.4</var>otherwise affiliated with the health maintenance organization. Supplemental benefits may <br/>
<a id="pl.20.5"></a><var>20.5</var>be provided if the following conditions are met:<br/>
<a id="pl.20.6"></a><var>20.6</var>(1) a health maintenance organization desiring to offer supplemental benefits must at <br/>
<a id="pl.20.7"></a><var>20.7</var>all times comply with the requirements of sections 
         <statute_ref>62D.041</statute_ref> and 
         <statute_ref>62D.042</statute_ref>;<br/>
<a id="pl.20.8"></a><var>20.8</var>(2) a health maintenance organization offering supplemental benefits must maintain <br/>
<a id="pl.20.9"></a><var>20.9</var>an additional surplus in the first year supplemental benefits are offered equal to the <br/>
<a id="pl.20.10"></a><var>20.10</var>lesser of $500,000 or 33 percent of the supplemental benefit expenses. At the end of <br/>
<a id="pl.20.11"></a><var>20.11</var>the second year supplemental benefits are offered, the health maintenance organization <br/>
<a id="pl.20.12"></a><var>20.12</var>must maintain an additional surplus equal to the lesser of $1,000,000 or 33 percent of the <br/>
<a id="pl.20.13"></a><var>20.13</var>supplemental benefit expenses. At the end of the third year benefits are offered and every <br/>
<a id="pl.20.14"></a><var>20.14</var>year after that, the health maintenance organization must maintain an additional surplus <br/>
<a id="pl.20.15"></a><var>20.15</var>equal to the greater of $1,000,000 or 33 percent of the supplemental benefit expenses. <br/>
<a id="pl.20.16"></a><var>20.16</var>When in the judgment of the commissioner the health maintenance organization's surplus <br/>
<a id="pl.20.17"></a><var>20.17</var>is inadequate, the commissioner may require the health maintenance organization to <br/>
<a id="pl.20.18"></a><var>20.18</var>maintain additional surplus;<br/>
<a id="pl.20.19"></a><var>20.19</var>(3) claims relating to supplemental benefits must be processed in accordance with <br/>
<a id="pl.20.20"></a><var>20.20</var>the requirements of section 
         <statute_ref>72A.201</statute_ref>; and<br/>
<a id="pl.20.21"></a><var>20.21</var>(4) in marketing supplemental benefits, the health maintenance organization shall <br/>
<a id="pl.20.22"></a><var>20.22</var>fully disclose and describe to enrollees and potential enrollees the nature and extent of the <br/>
<a id="pl.20.23"></a><var>20.23</var>supplemental coverage, and any claims filing and other administrative responsibilities in <br/>
<a id="pl.20.24"></a><var>20.24</var>regard to supplemental benefits.<br/>
<a id="pl.20.25"></a><var>20.25</var>(b) The commissioner may, pursuant to chapter 14, adopt, enforce, and administer <br/>
<a id="pl.20.26"></a><var>20.26</var>rules relating to this subdivision, including: rules insuring that these benefits are <br/>
<a id="pl.20.27"></a><var>20.27</var>supplementary and not substitutes for comprehensive health maintenance services by <br/>
<a id="pl.20.28"></a><var>20.28</var>addressing percentage of out-of-plan coverage; rules relating to the establishment of <br/>
<a id="pl.20.29"></a><var>20.29</var>necessary financial reserves; rules relating to marketing practices; and other rules necessary <br/>
<a id="pl.20.30"></a><var>20.30</var>for the effective and efficient administration of this subdivision. The commissioner, in <br/>
<a id="pl.20.31"></a><var>20.31</var>adopting rules, shall give consideration to existing laws and rules administered and <br/>
<a id="pl.20.32"></a><var>20.32</var>enforced by the Department of Commerce relating to health insurance plans.<br/>
<br/>
<a id="bill.2.3.0"></a><a id="pl.20.33"></a><var>20.33</var>    Sec. 3. Minnesota Statutes 2010, section 62D.12, subdivision 1, is amended to read:<br/>
<a id="pl.20.34"></a><var>20.34</var>    Subdivision 1. <b>False representations.</b> No health maintenance organization or <br/>
<a id="pl.20.35"></a><var>20.35</var>representative thereof may cause or knowingly permit the use of advertising or solicitation <br/>
<a id="pl.21.1"></a><var>21.1</var>which is untrue or misleading, or any form of evidence of coverage which is deceptive. <br/>
<a id="pl.21.2"></a><var>21.2</var>Each health maintenance organization shall be subject to sections 
         <statute_ref>72A.17</statute_ref> to 
         <statute_ref>72A.32</statute_ref>, <br/>
<a id="pl.21.3"></a><var>21.3</var>relating to the regulation of trade practices, except (a) to the extent that the nature of a <br/>
<a id="pl.21.4"></a><var>21.4</var>health maintenance organization renders such sections clearly inappropriate and (b) that <br/>
<a id="pl.21.5"></a><var>21.5</var>enforcement shall be by the commissioner of health and not by the commissioner of <br/>
<a id="pl.21.6"></a><var>21.6</var>commerce. Every health maintenance organization shall be subject to sections 
         <statute_ref>8.31</statute_ref> and <br/>
<statute_ref><a id="pl.21.7"></a><var>21.7</var>325F.69
         </statute_ref>.<br/>
<br/>
<a id="bill.2.4.0"></a><a id="pl.21.8"></a><var>21.8</var>    Sec. 4. Minnesota Statutes 2010, section 62Q.80, is amended to read:<br/>
<a id="pl.21.9"></a><var>21.9</var><b>62Q.80 COMMUNITY-BASED HEALTH CARE COVERAGE PROGRAM.</b><br/>
<a id="pl.21.10"></a><var>21.10</var>    Subdivision 1. <b>Scope.</b> (a) Any community-based health care initiative may develop <br/>
<a id="pl.21.11"></a><var>21.11</var>and operate community-based health care coverage programs that offer to eligible <br/>
<a id="pl.21.12"></a><var>21.12</var>individuals and their dependents the option of purchasing through their employer health <br/>
<a id="pl.21.13"></a><var>21.13</var>care coverage on a fixed prepaid basis without meeting the requirements of chapter 60A, <br/>
<a id="pl.21.14"></a><var>21.14</var>62A, 62C, 62D, 62M, 62N, 62Q, 62T, or 62U, or any other law or rule that applies to <br/>
<a id="pl.21.15"></a><var>21.15</var>entities licensed under these chapters.<br/>
<a id="pl.21.16"></a><var>21.16</var>(b) Each initiative shall establish health outcomes to be achieved through the <br/>
<a id="pl.21.17"></a><var>21.17</var>programs and performance measurements in order to determine whether these outcomes <br/>
<a id="pl.21.18"></a><var>21.18</var>have been met. The outcomes must include, but are not limited to:<br/>
<a id="pl.21.19"></a><var>21.19</var>(1) a reduction in uncompensated care provided by providers participating in the <br/>
<a id="pl.21.20"></a><var>21.20</var>community-based health network;<br/>
<a id="pl.21.21"></a><var>21.21</var>(2) an increase in the delivery of preventive health care services; and<br/>
<a id="pl.21.22"></a><var>21.22</var>(3) health improvement for enrollees with chronic health conditions through the <br/>
<a id="pl.21.23"></a><var>21.23</var>management of these conditions.<br/>
<a id="pl.21.24"></a><var>21.24</var>In establishing performance measurements, the initiative shall use measures that are <br/>
<a id="pl.21.25"></a><var>21.25</var>consistent with measures published by nonprofit Minnesota or national organizations that <br/>
<a id="pl.21.26"></a><var>21.26</var>produce and disseminate health care quality measures.<br/>
<a id="pl.21.27"></a><var>21.27</var>(c) Any program established under this section shall not constitute a financial <br/>
<a id="pl.21.28"></a><var>21.28</var>liability for the state, in that any financial risk involved in the operation or termination <br/>
<a id="pl.21.29"></a><var>21.29</var>of the program shall be borne by the community-based initiative and the participating <br/>
<a id="pl.21.30"></a><var>21.30</var>health care providers.<br/>
<a id="pl.21.31"></a><var>21.31</var>    Subd. 1a. <b>Demonstration project.</b> The commissioner of health and the <br/>
<a id="pl.21.32"></a><var>21.32</var>commissioner of human services shall award demonstration project grants to <br/>
<a id="pl.21.33"></a><var>21.33</var>community-based health care initiatives to develop and operate community-based health <br/>
<a id="pl.21.34"></a><var>21.34</var>care coverage programs in Minnesota. The demonstration projects shall extend for five <br/>
<a id="pl.21.35"></a><var>21.35</var>years and must comply with the requirements of this section.<br/>
<a id="pl.22.1"></a><var>22.1</var>    Subd. 2. <b>Definitions. </b> For purposes of this section, the following definitions apply:<br/>
<a id="pl.22.2"></a><var>22.2</var>(a) "Community-based" means located in or primarily relating to the community, <br/>
<a id="pl.22.3"></a><var>22.3</var>as determined by the board of a community-based health initiative that is served by the <br/>
<a id="pl.22.4"></a><var>22.4</var>community-based health care coverage program.<br/>
<a id="pl.22.5"></a><var>22.5</var>(b) "Community-based health care coverage program" or "program" means a <br/>
<a id="pl.22.6"></a><var>22.6</var>program administered by a community-based health initiative that provides health care <br/>
<a id="pl.22.7"></a><var>22.7</var>services through provider members of a community-based health network or combination <br/>
<a id="pl.22.8"></a><var>22.8</var>of networks to eligible individuals and their dependents who are enrolled in the program.<br/>
<a id="pl.22.9"></a><var>22.9</var>(c) "Community-based health initiative" or "initiative" means a nonprofit corporation <br/>
<a id="pl.22.10"></a><var>22.10</var>that is governed by a board that has at least 80 percent of its members residing in the <br/>
<a id="pl.22.11"></a><var>22.11</var>community and includes representatives of the participating network providers and <br/>
<a id="pl.22.12"></a><var>22.12</var>employers, or a county-based purchasing organization as defined in section 
         <statute_ref>256B.692</statute_ref>.<br/>
<a id="pl.22.13"></a><var>22.13</var>(d) "Community-based health network" means a contract-based network of health <br/>
<a id="pl.22.14"></a><var>22.14</var>care providers organized by the community-based health initiative to provide or support <br/>
<a id="pl.22.15"></a><var>22.15</var>the delivery of health care services to enrollees of the community-based health care <br/>
<a id="pl.22.16"></a><var>22.16</var>coverage program on a risk-sharing or nonrisk-sharing basis.<br/>
<a id="pl.22.17"></a><var>22.17</var>(e) "Dependent" means an eligible employee's spouse or unmarried child who is <br/>
<a id="pl.22.18"></a><var>22.18</var>under the age of 19 years.<br/>
<a id="pl.22.19"></a><var>22.19</var>    Subd. 3. <b>Approval. </b> (a) Prior to the operation of a community-based health <br/>
<a id="pl.22.20"></a><var>22.20</var>care coverage program, a community-based health initiative, defined in subdivision <br/>
<a id="pl.22.21"></a><var>22.21</var>2, paragraph (c), and receiving funds from the Department of Health, shall submit to <br/>
<a id="pl.22.22"></a><var>22.22</var>the commissioner of health for approval the community-based health care coverage <br/>
<a id="pl.22.23"></a><var>22.23</var>program developed by the initiative. Each community-based health initiative as defined <br/>
<a id="pl.22.24"></a><var>22.24</var>in subdivision 2, paragraph (c), and receiving State Health Access Program (SHAP) <br/>
<a id="pl.22.25"></a><var>22.25</var>grant funding shall submit to the commissioner of human services for approval prior <br/>
<a id="pl.22.26"></a><var>22.26</var>to its operation the community-based health care coverage programs developed by the <br/>
<a id="pl.22.27"></a><var>22.27</var>initiatives. The commissioners commissioner shall ensure that each program meets <br/>
<a id="pl.22.28"></a><var>22.28</var>the federal grant requirements and any requirements described in this section and is <br/>
<a id="pl.22.29"></a><var>22.29</var>actuarially sound based on a review of appropriate records and methods utilized by the <br/>
<a id="pl.22.30"></a><var>22.30</var>community-based health initiative in establishing premium rates for the community-based <br/>
<a id="pl.22.31"></a><var>22.31</var>health care coverage programs.<br/>
<a id="pl.22.32"></a><var>22.32</var>    (b) Prior to approval, the commissioner shall also ensure that:<br/>
<a id="pl.22.33"></a><var>22.33</var>    (1) the benefits offered comply with subdivision 8 and that there are adequate <br/>
<a id="pl.22.34"></a><var>22.34</var>numbers of health care providers participating in the community-based health network to <br/>
<a id="pl.22.35"></a><var>22.35</var>deliver the benefits offered under the program;<br/>
<a id="pl.23.1"></a><var>23.1</var>    (2) the activities of the program are limited to activities that are exempt under this <br/>
<a id="pl.23.2"></a><var>23.2</var>section or otherwise from regulation by the commissioner of commerce;<br/>
<a id="pl.23.3"></a><var>23.3</var>    (3) the complaint resolution process meets the requirements of subdivision 10; and<br/>
<a id="pl.23.4"></a><var>23.4</var>    (4) the data privacy policies and procedures comply with state and federal law.<br/>
<a id="pl.23.5"></a><var>23.5</var>    Subd. 4. <b>Establishment. </b> The initiative shall establish and operate upon approval <br/>
<a id="pl.23.6"></a><var>23.6</var>by the commissioners commissioner of health and human services community-based <br/>
<a id="pl.23.7"></a><var>23.7</var>health care coverage programs. The operational structure established by the initiative <br/>
<a id="pl.23.8"></a><var>23.8</var>shall include, but is not limited to:<br/>
<a id="pl.23.9"></a><var>23.9</var>    (1) establishing a process for enrolling eligible individuals and their dependents;<br/>
<a id="pl.23.10"></a><var>23.10</var>    (2) collecting and coordinating premiums from enrollees and employers of enrollees;<br/>
<a id="pl.23.11"></a><var>23.11</var>    (3) providing payment to participating providers;<br/>
<a id="pl.23.12"></a><var>23.12</var>    (4) establishing a benefit set according to subdivision 8 and establishing premium <br/>
<a id="pl.23.13"></a><var>23.13</var>rates and cost-sharing requirements;<br/>
<a id="pl.23.14"></a><var>23.14</var>    (5) creating incentives to encourage primary care and wellness services; and<br/>
<a id="pl.23.15"></a><var>23.15</var>    (6) initiating disease management services, as appropriate.<br/>
<a id="pl.23.16"></a><var>23.16</var>    Subd. 5. <b>Qualifying employees. </b> To be eligible for the community-based health <br/>
<a id="pl.23.17"></a><var>23.17</var>care coverage program, an individual must:<br/>
<a id="pl.23.18"></a><var>23.18</var>(1) reside in or work within the designated community-based geographic area <br/>
<a id="pl.23.19"></a><var>23.19</var>served by the program;<br/>
<a id="pl.23.20"></a><var>23.20</var>(2) be employed by a qualifying employer, be an employee's dependent, or be <br/>
<a id="pl.23.21"></a><var>23.21</var>self-employed on a full-time basis;<br/>
<a id="pl.23.22"></a><var>23.22</var>(3) not be enrolled in or have currently available health coverage, except for <br/>
<a id="pl.23.23"></a><var>23.23</var>catastrophic health care coverage; and<br/>
<a id="pl.23.24"></a><var>23.24</var>(4) not be eligible for or enrolled in medical assistance or general assistance medical <br/>
<a id="pl.23.25"></a><var>23.25</var>care, and not be enrolled in MinnesotaCare or Medicare.<br/>
<a id="pl.23.26"></a><var>23.26</var>    Subd. 6. <b>Qualifying employers. </b> (a) To qualify for participation in the <br/>
<a id="pl.23.27"></a><var>23.27</var>community-based health care coverage program, an employer must:<br/>
<a id="pl.23.28"></a><var>23.28</var>(1) employ at least one but no more than 50 employees at the time of initial <br/>
<a id="pl.23.29"></a><var>23.29</var>enrollment in the program;<br/>
<a id="pl.23.30"></a><var>23.30</var>(2) pay its employees a median wage that equals 350 percent of the federal poverty <br/>
<a id="pl.23.31"></a><var>23.31</var>guidelines or less for an individual; and<br/>
<a id="pl.23.32"></a><var>23.32</var>(3) not have offered employer-subsidized health coverage to its employees for <br/>
<a id="pl.23.33"></a><var>23.33</var>at least 12 months prior to the initial enrollment in the program. For purposes of this <br/>
<a id="pl.23.34"></a><var>23.34</var>section, "employer-subsidized health coverage" means health care coverage for which the <br/>
<a id="pl.23.35"></a><var>23.35</var>employer pays at least 50 percent of the cost of coverage for the employee.<br/>
<a id="pl.23.36"></a><var>23.36</var>(b) To participate in the program, a qualifying employer agrees to:<br/>
<a id="pl.24.1"></a><var>24.1</var>(1) offer health care coverage through the program to all eligible employees and <br/>
<a id="pl.24.2"></a><var>24.2</var>their dependents regardless of health status;<br/>
<a id="pl.24.3"></a><var>24.3</var>(2) participate in the program for an initial term of at least one year;<br/>
<a id="pl.24.4"></a><var>24.4</var>(3) pay a percentage of the premium established by the initiative for the employee; <br/>
<a id="pl.24.5"></a><var>24.5</var>and<br/>
<a id="pl.24.6"></a><var>24.6</var>(4) provide the initiative with any employee information deemed necessary by the <br/>
<a id="pl.24.7"></a><var>24.7</var>initiative to determine eligibility and premium payments.<br/>
<a id="pl.24.8"></a><var>24.8</var>    Subd. 7. <b>Participating providers.</b> Any health care provider participating in the <br/>
<a id="pl.24.9"></a><var>24.9</var>community-based health network must accept as payment in full the payment rate <br/>
<a id="pl.24.10"></a><var>24.10</var>established by the initiatives and may not charge to or collect from an enrollee any amount <br/>
<a id="pl.24.11"></a><var>24.11</var>in access of this amount for any service covered under the program.<br/>
<a id="pl.24.12"></a><var>24.12</var>    Subd. 8. <b>Coverage. </b> (a) The initiatives shall establish the health care benefits offered <br/>
<a id="pl.24.13"></a><var>24.13</var>through the community-based health care coverage programs. The benefits established <br/>
<a id="pl.24.14"></a><var>24.14</var>shall include, at a minimum:<br/>
<a id="pl.24.15"></a><var>24.15</var>(1) child health supervision services up to age 18, as defined under section 
         <statute_ref>62A.047</statute_ref>; <br/>
<a id="pl.24.16"></a><var>24.16</var>and<br/>
<a id="pl.24.17"></a><var>24.17</var>(2) preventive services, including:<br/>
<a id="pl.24.18"></a><var>24.18</var>(i) health education and wellness services;<br/>
<a id="pl.24.19"></a><var>24.19</var>(ii) health supervision, evaluation, and follow-up;<br/>
<a id="pl.24.20"></a><var>24.20</var>(iii) immunizations; and<br/>
<a id="pl.24.21"></a><var>24.21</var>(iv) early disease detection.<br/>
<a id="pl.24.22"></a><var>24.22</var>(b) Coverage of health care services offered by the program may be limited to <br/>
<a id="pl.24.23"></a><var>24.23</var>participating health care providers or health networks. All services covered under the <br/>
<a id="pl.24.24"></a><var>24.24</var>programs must be services that are offered within the scope of practice of the participating <br/>
<a id="pl.24.25"></a><var>24.25</var>health care providers.<br/>
<a id="pl.24.26"></a><var>24.26</var>(c) The initiatives may establish cost-sharing requirements. Any co-payment or <br/>
<a id="pl.24.27"></a><var>24.27</var>deductible provisions established may not discriminate on the basis of age, sex, race, <br/>
<a id="pl.24.28"></a><var>24.28</var>disability, economic status, or length of enrollment in the programs.<br/>
<a id="pl.24.29"></a><var>24.29</var>(d) If any of the initiatives amends or alters the benefits offered through the program <br/>
<a id="pl.24.30"></a><var>24.30</var>from the initial offering, that initiative must notify the commissioners commissioner of <br/>
<a id="pl.24.31"></a><var>24.31</var>health and human services and all enrollees of the benefit change.<br/>
<a id="pl.24.32"></a><var>24.32</var>    Subd. 9. <b>Enrollee information.</b> (a) The initiatives must provide an individual or <br/>
<a id="pl.24.33"></a><var>24.33</var>family who enrolls in the program a clear and concise written statement that includes <br/>
<a id="pl.24.34"></a><var>24.34</var>the following information:<br/>
<a id="pl.24.35"></a><var>24.35</var>(1) health care services that are covered under the program;<br/>
<a id="pl.25.1"></a><var>25.1</var>(2) any exclusions or limitations on the health care services covered, including any <br/>
<a id="pl.25.2"></a><var>25.2</var>cost-sharing arrangements or prior authorization requirements;<br/>
<a id="pl.25.3"></a><var>25.3</var>(3) a list of where the health care services can be obtained and that all health <br/>
<a id="pl.25.4"></a><var>25.4</var>care services must be provided by or through a participating health care provider or <br/>
<a id="pl.25.5"></a><var>25.5</var>community-based health network;<br/>
<a id="pl.25.6"></a><var>25.6</var>(4) a description of the program's complaint resolution process, including how to <br/>
<a id="pl.25.7"></a><var>25.7</var>submit a complaint; how to file a complaint with the commissioner of health; and how to <br/>
<a id="pl.25.8"></a><var>25.8</var>obtain an external review of any adverse decisions as provided under subdivision 10;<br/>
<a id="pl.25.9"></a><var>25.9</var>(5) the conditions under which the program or coverage under the program may <br/>
<a id="pl.25.10"></a><var>25.10</var>be canceled or terminated; and<br/>
<a id="pl.25.11"></a><var>25.11</var>(6) a precise statement specifying that this program is not an insurance product and, <br/>
<a id="pl.25.12"></a><var>25.12</var>as such, is exempt from state regulation of insurance products.<br/>
<a id="pl.25.13"></a><var>25.13</var>(b) The commissioners commissioner of health and human services must approve a <br/>
<a id="pl.25.14"></a><var>25.14</var>copy of the written statement prior to the operation of the program.<br/>
<a id="pl.25.15"></a><var>25.15</var>    Subd. 10. <b>Complaint resolution process.</b> (a) The initiatives must establish <br/>
<a id="pl.25.16"></a><var>25.16</var>a complaint resolution process. The process must make reasonable efforts to resolve <br/>
<a id="pl.25.17"></a><var>25.17</var>complaints and to inform complainants in writing of the initiative's decision within 60 <br/>
<a id="pl.25.18"></a><var>25.18</var>days of receiving the complaint. Any decision that is adverse to the enrollee shall include <br/>
<a id="pl.25.19"></a><var>25.19</var>a description of the right to an external review as provided in paragraph (c) and how to <br/>
<a id="pl.25.20"></a><var>25.20</var>exercise this right.<br/>
<a id="pl.25.21"></a><var>25.21</var>(b) The initiatives must report any complaint that is not resolved within 60 days to <br/>
<a id="pl.25.22"></a><var>25.22</var>the commissioner of health.<br/>
<a id="pl.25.23"></a><var>25.23</var>(c) The initiatives must include in the complaint resolution process the ability of an <br/>
<a id="pl.25.24"></a><var>25.24</var>enrollee to pursue the external review process provided under section 
         <statute_ref>62Q.73 </statute_ref>with any <br/>
<a id="pl.25.25"></a><var>25.25</var>decision rendered under this external review process binding on the initiatives.<br/>
<a id="pl.25.26"></a><var>25.26</var>    Subd. 11. <b>Data privacy.</b> The initiatives shall establish data privacy policies and <br/>
<a id="pl.25.27"></a><var>25.27</var>procedures for the program that comply with state and federal data privacy laws.<br/>
<a id="pl.25.28"></a><var>25.28</var>    Subd. 12. <b>Limitations on enrollment.</b> (a) The initiatives may limit enrollment in <br/>
<a id="pl.25.29"></a><var>25.29</var>the program. If enrollment is limited, a waiting list must be established.<br/>
<a id="pl.25.30"></a><var>25.30</var>(b) The initiatives shall not restrict or deny enrollment in the program except for <br/>
<a id="pl.25.31"></a><var>25.31</var>nonpayment of premiums, fraud or misrepresentation, or as otherwise permitted under <br/>
<a id="pl.25.32"></a><var>25.32</var>this section.<br/>
<a id="pl.25.33"></a><var>25.33</var>(c) The initiatives may require a certain percentage of participation from eligible <br/>
<a id="pl.25.34"></a><var>25.34</var>employees of a qualifying employer before coverage can be offered through the program.<br/>
<a id="pl.25.35"></a><var>25.35</var>    Subd. 13. <b>Report. </b> Each initiative shall submit quarterly  an annual status reports <br/>
<a id="pl.25.36"></a><var>25.36</var>to the commissioner of health on January 15, April 15, July 15, and October 15 of each <br/>
<a id="pl.26.1"></a><var>26.1</var>year, with the first report due January 15, 2008. Each initiative receiving funding from the <br/>
<a id="pl.26.2"></a><var>26.2</var>Department of Human Services shall submit status reports to the commissioner of human <br/>
<a id="pl.26.3"></a><var>26.3</var>services as defined in the terms of the contract with the Department of Human Services. <br/>
<a id="pl.26.4"></a><var>26.4</var>Each status report shall include:<br/>
<a id="pl.26.5"></a><var>26.5</var>    (1) the financial status of the program, including the premium rates, cost per member <br/>
<a id="pl.26.6"></a><var>26.6</var>per month, claims paid out, premiums received, and administrative expenses;<br/>
<a id="pl.26.7"></a><var>26.7</var>    (2) a description of the health care benefits offered and the services utilized;<br/>
<a id="pl.26.8"></a><var>26.8</var>    (3) the number of employers participating, the number of employees and dependents <br/>
<a id="pl.26.9"></a><var>26.9</var>covered under the program, and the number of health care providers participating;<br/>
<a id="pl.26.10"></a><var>26.10</var>    (4) a description of the health outcomes to be achieved by the program and a status <br/>
<a id="pl.26.11"></a><var>26.11</var>report on the performance measurements to be used and collected; and<br/>
<a id="pl.26.12"></a><var>26.12</var>    (5) any other information requested by the commissioners of health, human services, <br/>
<a id="pl.26.13"></a><var>26.13</var>or commerce or the legislature.<br/>
<a id="pl.26.14"></a><var>26.14</var>    Subd. 14. <b>Sunset.</b> This section expires August 31, 2014.<br/>
<br/>
<a id="bill.2.5.0"></a><a id="pl.26.15"></a><var>26.15</var>    Sec. 5. Minnesota Statutes 2010, section 62U.04, subdivision 1, is amended to read:<br/>
<a id="pl.26.16"></a><var>26.16</var>    Subdivision 1. <b>Development of tools to improve costs and quality outcomes.</b><br/>
<a id="pl.26.17"></a><var>26.17</var>    The commissioner of health shall develop a plan to create transparent prices, encourage <br/>
<a id="pl.26.18"></a><var>26.18</var>greater provider innovation and collaboration across points on the health continuum <br/>
<a id="pl.26.19"></a><var>26.19</var>in cost-effective, high-quality care delivery, reduce the administrative burden on <br/>
<a id="pl.26.20"></a><var>26.20</var>providers and health plans associated with submitting and processing claims, and provide <br/>
<a id="pl.26.21"></a><var>26.21</var>comparative information to consumers on variation in health care cost and quality across <br/>
<a id="pl.26.22"></a><var>26.22</var>providers. The development must be complete by January 1, 2010.<br/>
<br/>
<a id="bill.2.6.0"></a><a id="pl.26.23"></a><var>26.23</var>    Sec. 6. Minnesota Statutes 2010, section 62U.04, subdivision 2, is amended to read:<br/>
<a id="pl.26.24"></a><var>26.24</var>    Subd. 2. <b>Calculation of health care costs and quality.</b> The commissioner of health <br/>
<a id="pl.26.25"></a><var>26.25</var>shall develop a uniform method of calculating providers' relative cost of care, defined as a <br/>
<a id="pl.26.26"></a><var>26.26</var>measure of health care spending including resource use and unit prices, and relative quality <br/>
<a id="pl.26.27"></a><var>26.27</var>of care. In developing this method, the commissioner must address the following issues:<br/>
<a id="pl.26.28"></a><var>26.28</var>    (1) provider attribution of costs and quality;<br/>
<a id="pl.26.29"></a><var>26.29</var>    (2) appropriate adjustment for outlier or catastrophic cases;<br/>
<a id="pl.26.30"></a><var>26.30</var>    (3) appropriate risk adjustment to reflect differences in the demographics and health <br/>
<a id="pl.26.31"></a><var>26.31</var>status across provider patient populations, using generally accepted and transparent risk <br/>
<a id="pl.26.32"></a><var>26.32</var>adjustment methodologies and case mix adjustment;<br/>
<a id="pl.26.33"></a><var>26.33</var>    (4) specific types of providers that should be included in the calculation;<br/>
<a id="pl.26.34"></a><var>26.34</var>    (5) specific types of services that should be included in the calculation;<br/>
<a id="pl.27.1"></a><var>27.1</var>    (6) appropriate adjustment for variation in payment rates;<br/>
<a id="pl.27.2"></a><var>27.2</var>    (7) the appropriate provider level for analysis;<br/>
<a id="pl.27.3"></a><var>27.3</var>    (8) payer mix adjustments, including variation across providers in the percentage of <br/>
<a id="pl.27.4"></a><var>27.4</var>revenue received from government programs; and<br/>
<a id="pl.27.5"></a><var>27.5</var>    (9) other factors that the commissioner determines and the advisory committee, <br/>
<a id="pl.27.6"></a><var>27.6</var>established under subdivision 3, determine are needed to ensure validity and comparability <br/>
<a id="pl.27.7"></a><var>27.7</var>of the analysis.<br/>
<br/>
<a id="bill.2.7.0"></a><a id="pl.27.8"></a><var>27.8</var>    Sec. 7. Minnesota Statutes 2011 Supplement, section 62U.04, subdivision 3, is <br/>
<a id="pl.27.9"></a><var>27.9</var>amended to read:<br/>
<a id="pl.27.10"></a><var>27.10</var>    Subd. 3. <b>Provider peer grouping</b><b>; system development; advisory committee</b><b>.</b><br/>
<a id="pl.27.11"></a><var>27.11</var>    (a) The commissioner shall develop a peer grouping system for providers based on a <br/>
<a id="pl.27.12"></a><var>27.12</var>combined measure that incorporates both provider risk-adjusted cost of care and quality of <br/>
<a id="pl.27.13"></a><var>27.13</var>care, and for specific conditions as determined by the commissioner. In developing this <br/>
<a id="pl.27.14"></a><var>27.14</var>system, the commissioner shall consult and coordinate with health care providers, health <br/>
<a id="pl.27.15"></a><var>27.15</var>plan companies, state agencies, and organizations that work to improve health care quality <br/>
<a id="pl.27.16"></a><var>27.16</var>in Minnesota. For purposes of the final establishment of the peer grouping system, the <br/>
<a id="pl.27.17"></a><var>27.17</var>commissioner shall not contract with any private entity, organization, or consortium of <br/>
<a id="pl.27.18"></a><var>27.18</var>entities that has or will have a direct financial interest in the outcome of the system.<br/>
<a id="pl.27.19"></a><var>27.19</var>(b) The commissioner shall establish an advisory committee comprised of <br/>
<a id="pl.27.20"></a><var>27.20</var>representatives of health care providers, health plan companies, consumers, state agencies, <br/>
<a id="pl.27.21"></a><var>27.21</var>employers, academic researchers, and organizations that work to improve health care <br/>
<a id="pl.27.22"></a><var>27.22</var>quality in Minnesota. The advisory committee shall meet no fewer than three times <br/>
<a id="pl.27.23"></a><var>27.23</var>per year. The commissioner shall consult with the advisory committee in developing <br/>
<a id="pl.27.24"></a><var>27.24</var>and administering the peer grouping system, including but not limited to the following <br/>
<a id="pl.27.25"></a><var>27.25</var>activities:<br/>
<a id="pl.27.26"></a><var>27.26</var>(1) establishing peer groups;<br/>
<a id="pl.27.27"></a><var>27.27</var>(2) selecting quality measures;<br/>
<a id="pl.27.28"></a><var>27.28</var>(3) recommending thresholds for completeness of data and statistical significance <br/>
<a id="pl.27.29"></a><var>27.29</var>for the purposes of public release of provider peer grouping results;<br/>
<a id="pl.27.30"></a><var>27.30</var>(4) considering whether adjustments are necessary for facilities that provide medical <br/>
<a id="pl.27.31"></a><var>27.31</var>education, level 1 trauma services, neonatal intensive care, or inpatient psychiatric care;<br/>
<a id="pl.27.32"></a><var>27.32</var>(5) recommending inclusion or exclusion of other costs; and<br/>
<a id="pl.27.33"></a><var>27.33</var>(6) adopting patient attribution and quality and cost-scoring methodologies.<br/>
<a id="pl.27.34"></a><var>27.34</var>    Subd. 3a. <b>Provider peer grouping; dissemination of data to providers.</b> (b) By <br/>
<a id="pl.27.35"></a><var>27.35</var>no later than October 15, 2010, (a) The commissioner shall disseminate information <br/>
<a id="pl.28.1"></a><var>28.1</var>to providers on their total cost of care, total resource use, total quality of care, and the <br/>
<a id="pl.28.2"></a><var>28.2</var>total care results of the grouping developed under this subdivision 3 in comparison to an <br/>
<a id="pl.28.3"></a><var>28.3</var>appropriate peer group. Data used for this analysis must be the most recent data available. <br/>
<a id="pl.28.4"></a><var>28.4</var>Any analyses or reports that identify providers may only be published after the provider <br/>
<a id="pl.28.5"></a><var>28.5</var>has been provided the opportunity by the commissioner to review the underlying data in <br/>
<a id="pl.28.6"></a><var>28.6</var>order to verify, consistent with the recommendations developed pursuant to subdivision <br/>
<a id="pl.28.7"></a><var>28.7</var>3c, paragraph (d), and adopted by the commissioner the accuracy and representativeness <br/>
<a id="pl.28.8"></a><var>28.8</var>of any analyses or reports  and submit comments to the commissioner or initiate an appeal <br/>
<a id="pl.28.9"></a><var>28.9</var>under subdivision 3b. Providers may Upon request, providers shall be given any data for <br/>
<a id="pl.28.10"></a><var>28.10</var>which they are the subject of the data. The provider shall have 30 60 days to review the <br/>
<a id="pl.28.11"></a><var>28.11</var>data for accuracy and initiate an appeal as specified in paragraph (d) subdivision 3b.<br/>
<a id="pl.28.12"></a><var>28.12</var>    (c) By no later than January 1, 2011, (b) The commissioner shall disseminate <br/>
<a id="pl.28.13"></a><var>28.13</var>information to providers on their condition-specific cost of care, condition-specific <br/>
<a id="pl.28.14"></a><var>28.14</var>resource use, condition-specific quality of care, and the condition-specific results of the <br/>
<a id="pl.28.15"></a><var>28.15</var>grouping developed under this subdivision 3 in comparison to an appropriate peer group. <br/>
<a id="pl.28.16"></a><var>28.16</var>Data used for this analysis must be the most recent data available. Any analyses or <br/>
<a id="pl.28.17"></a><var>28.17</var>reports that identify providers may only be published after the provider has been provided <br/>
<a id="pl.28.18"></a><var>28.18</var>the opportunity by the commissioner to review the underlying data in order to verify, <br/>
<a id="pl.28.19"></a><var>28.19</var>consistent with the recommendations developed pursuant to subdivision 3c, paragraph (d), <br/>
<a id="pl.28.20"></a><var>28.20</var>and adopted by the commissioner the accuracy and representativeness of any analyses or <br/>
<a id="pl.28.21"></a><var>28.21</var>reports  and submit comments to the commissioner or initiate an appeal under subdivision <br/>
<a id="pl.28.22"></a><var>28.22</var>3b. Providers may Upon request, providers shall be given any data for which they are the <br/>
<a id="pl.28.23"></a><var>28.23</var>subject of the data. The provider shall have 30 60 days to review the data for accuracy and <br/>
<a id="pl.28.24"></a><var>28.24</var>initiate an appeal as specified in paragraph (d) subdivision 3b.<br/>
<a id="pl.28.25"></a><var>28.25</var>    Subd. 3b. <b>Provider peer grouping; appeals process.</b> (d) The commissioner shall <br/>
<a id="pl.28.26"></a><var>28.26</var>establish an appeals a process to resolve disputes from providers regarding the accuracy <br/>
<a id="pl.28.27"></a><var>28.27</var>of the data used to develop analyses or reports or errors in the application of standards <br/>
<a id="pl.28.28"></a><var>28.28</var>or methodology established by the commissioner in consultation with the advisory <br/>
<a id="pl.28.29"></a><var>28.29</var>committee. When a provider appeals the accuracy of the data used to calculate the peer <br/>
<a id="pl.28.30"></a><var>28.30</var>grouping system results submits an appeal, the provider shall:<br/>
<a id="pl.28.31"></a><var>28.31</var>(1) clearly indicate the reason they believe the data used to calculate the peer group <br/>
<a id="pl.28.32"></a><var>28.32</var>system results are not accurate or reasons for the appeal;<br/>
<a id="pl.28.33"></a><var>28.33</var>(2) provide any evidence and, calculations, or documentation to support the reason <br/>
<a id="pl.28.34"></a><var>28.34</var>that data was not accurate for the appeal; and<br/>
<a id="pl.28.35"></a><var>28.35</var>(3) cooperate with the commissioner, including allowing the commissioner access to <br/>
<a id="pl.28.36"></a><var>28.36</var>data necessary and relevant to resolving the dispute.<br/>
<a id="pl.29.1"></a><var>29.1</var>The commissioner shall cooperate with the provider during the data review period <br/>
<a id="pl.29.2"></a><var>29.2</var>specified in subdivisions 3a and 3c by giving the provider information necessary for the <br/>
<a id="pl.29.3"></a><var>29.3</var>preparation of an appeal.<br/>
<a id="pl.29.4"></a><var>29.4</var>If a provider does not meet the requirements of this paragraph subdivision, a provider's <br/>
<a id="pl.29.5"></a><var>29.5</var>appeal shall be considered withdrawn. The commissioner shall not publish peer grouping <br/>
<a id="pl.29.6"></a><var>29.6</var>results for a specific provider under paragraph (e) or (f) while that provider has an <br/>
<a id="pl.29.7"></a><var>29.7</var>unresolved appeal until the appeal has been resolved.<br/>
<a id="pl.29.8"></a><var>29.8</var>    Subd. 3c. <b>Provider peer grouping; publication of information for the public.</b><br/>
<a id="pl.29.9"></a><var>29.9</var>    (e) Beginning January 1, 2011, the commissioner shall, no less than annually, publish <br/>
<a id="pl.29.10"></a><var>29.10</var>information on providers' total cost, total resource use, total quality, and the results of <br/>
<a id="pl.29.11"></a><var>29.11</var>the total care portion of the peer grouping process. The results that are published must <br/>
<a id="pl.29.12"></a><var>29.12</var>be on a risk-adjusted basis. (a) The commissioner may publicly release summary data <br/>
<a id="pl.29.13"></a><var>29.13</var>related to the peer grouping system as long as the data do not contain information or <br/>
<a id="pl.29.14"></a><var>29.14</var>descriptions from which the identity of individual hospitals, clinics, or other providers <br/>
<a id="pl.29.15"></a><var>29.15</var>may be discerned.<br/>
<a id="pl.29.16"></a><var>29.16</var>(f) Beginning March 30, 2011, the commissioner shall no less than annually publish <br/>
<a id="pl.29.17"></a><var>29.17</var>information on providers' condition-specific cost, condition-specific resource use, and <br/>
<a id="pl.29.18"></a><var>29.18</var>condition-specific quality, and the results of the condition-specific portion of the peer <br/>
<a id="pl.29.19"></a><var>29.19</var>grouping process. The results that are published must be on a risk-adjusted basis. (b) The <br/>
<a id="pl.29.20"></a><var>29.20</var>commissioner may publicly release analyses or results related to the peer grouping system <br/>
<a id="pl.29.21"></a><var>29.21</var>that identify hospitals, clinics, or other providers only if the following criteria are met:<br/>
<a id="pl.29.22"></a><var>29.22</var>(1) the results, data, and summaries, including any graphical depictions of provider <br/>
<a id="pl.29.23"></a><var>29.23</var>performance, have been distributed to providers at least 120 days prior to publication; <br/>
<a id="pl.29.24"></a><var>29.24</var>(2) the commissioner has provided an opportunity for providers to verify and review <br/>
<a id="pl.29.25"></a><var>29.25</var>data for which the provider is the subject consistent with the recommendations developed <br/>
<a id="pl.29.26"></a><var>29.26</var>pursuant to paragraph (d) and adopted by the commissioner; <br/>
<a id="pl.29.27"></a><var>29.27</var>(3) the results meet thresholds of validity, reliability, statistical significance, <br/>
<a id="pl.29.28"></a><var>29.28</var>representativeness, and other standards that reflect the recommendations of the advisory <br/>
<a id="pl.29.29"></a><var>29.29</var>committee, established under subdivision 3; and<br/>
<a id="pl.29.30"></a><var>29.30</var>(4) any public report or other usage of the analyses, report, or data used by the <br/>
<a id="pl.29.31"></a><var>29.31</var>state clearly notifies consumers about how to use and interpret the results, including <br/>
<a id="pl.29.32"></a><var>29.32</var>any limitations of the data and analysis.<br/>
<a id="pl.29.33"></a><var>29.33</var>(g) (c) After publishing the first public report, the commissioner shall, no less <br/>
<a id="pl.29.34"></a><var>29.34</var>frequently than annually, publish information on providers' total cost, total resource use, <br/>
<a id="pl.29.35"></a><var>29.35</var>total quality, and the results of the total care portion of the peer grouping process, as well <br/>
<a id="pl.29.36"></a><var>29.36</var>as information on providers' condition-specific cost, condition-specific resource use, <br/>
<a id="pl.30.1"></a><var>30.1</var>and condition-specific quality, and the results of the condition-specific portion of the <br/>
<a id="pl.30.2"></a><var>30.2</var>peer grouping process. The results that are published must be on a risk-adjusted basis, <br/>
<a id="pl.30.3"></a><var>30.3</var>including case mix adjustments. <br/>
<a id="pl.30.4"></a><var>30.4</var>(d) The commissioner shall convene a work group comprised of representatives <br/>
<a id="pl.30.5"></a><var>30.5</var>of physician clinics, hospitals, their respective statewide associations, and other <br/>
<a id="pl.30.6"></a><var>30.6</var>relevant stakeholder organizations to make recommendations on data to be made <br/>
<a id="pl.30.7"></a><var>30.7</var>available to hospitals and physician clinics to allow for verification of the accuracy and <br/>
<a id="pl.30.8"></a><var>30.8</var>representativeness of the provider peer grouping results.<br/>
<a id="pl.30.9"></a><var>30.9</var>    Subd. 3d. <b>Provider peer grouping; standards for dissemination and publication.</b><br/>
<a id="pl.30.10"></a><var>30.10</var>(a) Prior to disseminating data to providers under paragraph (b) or (c) subdivision 3a or <br/>
<a id="pl.30.11"></a><var>30.11</var>publishing information under paragraph (e) or (f) subdivision 3c, the commissioner, in <br/>
<a id="pl.30.12"></a><var>30.12</var>consultation with the advisory committee, shall ensure the scientific and statistical validity <br/>
<a id="pl.30.13"></a><var>30.13</var>and reliability of the results according to the standards described in paragraph (h) (b). <br/>
<a id="pl.30.14"></a><var>30.14</var>If additional time is needed to establish the scientific validity, statistical significance, <br/>
<a id="pl.30.15"></a><var>30.15</var>and reliability of the results, the commissioner may delay the dissemination of data to <br/>
<a id="pl.30.16"></a><var>30.16</var>providers under paragraph (b) or (c) subdivision 3a, or the publication of information under <br/>
<a id="pl.30.17"></a><var>30.17</var>paragraph (e) or (f) subdivision 3c. If the delay is more than 60 days, the commissioner <br/>
<a id="pl.30.18"></a><var>30.18</var>shall report in writing to the chairs and ranking minority members of the legislative <br/>
<a id="pl.30.19"></a><var>30.19</var>committees with jurisdiction over health care policy and finance the following information:<br/>
<a id="pl.30.20"></a><var>30.20</var>(1) the reason for the delay;<br/>
<a id="pl.30.21"></a><var>30.21</var>(2) the actions being taken to resolve the delay and establish the scientific validity <br/>
<a id="pl.30.22"></a><var>30.22</var>and reliability of the results; and<br/>
<a id="pl.30.23"></a><var>30.23</var>(3) the new dates by which the results shall be disseminated.<br/>
<a id="pl.30.24"></a><var>30.24</var>If there is a delay under this paragraph, The commissioner must disseminate the <br/>
<a id="pl.30.25"></a><var>30.25</var>information to providers under paragraph (b) or (c) subdivision 3a at least 90 120 days <br/>
<a id="pl.30.26"></a><var>30.26</var>before publishing results under paragraph (e) or (f) subdivision 3c.<br/>
<a id="pl.30.27"></a><var>30.27</var>(h) (b) The commissioner's assurance of valid, timely, and reliable clinic and hospital <br/>
<a id="pl.30.28"></a><var>30.28</var>peer grouping performance results shall include, at a minimum, the following:<br/>
<a id="pl.30.29"></a><var>30.29</var>(1) use of the best available evidence, research, and methodologies; and<br/>
<a id="pl.30.30"></a><var>30.30</var>(2) establishment of an explicit minimum reliability threshold  thresholds for both <br/>
<a id="pl.30.31"></a><var>30.31</var>quality and costs developed in collaboration with the subjects of the data and the users of <br/>
<a id="pl.30.32"></a><var>30.32</var>the data, at a level not below nationally accepted standards where such standards exist.<br/>
<a id="pl.30.33"></a><var>30.33</var>In achieving these thresholds, the commissioner shall not aggregate clinics that are not <br/>
<a id="pl.30.34"></a><var>30.34</var>part of the same system or practice group. The commissioner shall consult with and <br/>
<a id="pl.30.35"></a><var>30.35</var>solicit feedback from the advisory committee and representatives of physician clinics <br/>
<a id="pl.30.36"></a><var>30.36</var>and hospitals during the peer grouping data analysis process to obtain input on the <br/>
<a id="pl.31.1"></a><var>31.1</var>methodological options prior to final analysis and on the design, development, and testing <br/>
<a id="pl.31.2"></a><var>31.2</var>of provider reports.<br/>
<br/>
<a id="bill.2.8.0"></a><a id="pl.31.3"></a><var>31.3</var>    Sec. 8. Minnesota Statutes 2010, section 62U.04, subdivision 4, is amended to read:<br/>
<a id="pl.31.4"></a><var>31.4</var>    Subd. 4. <b>Encounter data.</b> (a) Beginning July 1, 2009, and every six months <br/>
<a id="pl.31.5"></a><var>31.5</var>thereafter, all health plan companies and third-party administrators shall submit encounter <br/>
<a id="pl.31.6"></a><var>31.6</var>data to a private entity designated by the commissioner of health. The data shall be <br/>
<a id="pl.31.7"></a><var>31.7</var>submitted in a form and manner specified by the commissioner subject to the following <br/>
<a id="pl.31.8"></a><var>31.8</var>requirements:<br/>
<a id="pl.31.9"></a><var>31.9</var>    (1) the data must be de-identified data as described under the Code of Federal <br/>
<a id="pl.31.10"></a><var>31.10</var>Regulations, title 45, section 
         <statute_ref>164.514</statute_ref>;<br/>
<a id="pl.31.11"></a><var>31.11</var>    (2) the data for each encounter must include an identifier for the patient's health care <br/>
<a id="pl.31.12"></a><var>31.12</var>home if the patient has selected a health care home; and<br/>
<a id="pl.31.13"></a><var>31.13</var>    (3) except for the identifier described in clause (2), the data must not include <br/>
<a id="pl.31.14"></a><var>31.14</var>information that is not included in a health care claim or equivalent encounter information <br/>
<a id="pl.31.15"></a><var>31.15</var>transaction that is required under section 
         <statute_ref>62J.536</statute_ref>.<br/>
<a id="pl.31.16"></a><var>31.16</var>    (b) The commissioner or the commissioner's designee shall only use the data <br/>
<a id="pl.31.17"></a><var>31.17</var>submitted under paragraph (a) for the purpose of carrying out its responsibilities in this <br/>
<a id="pl.31.18"></a><var>31.18</var>section, and must maintain the data that it receives according to the provisions of this <br/>
<a id="pl.31.19"></a><var>31.19</var>section. to carry out its responsibilities in this section, including supplying the data to <br/>
<a id="pl.31.20"></a><var>31.20</var>providers so they can verify their results of the peer grouping process consistent with the <br/>
<a id="pl.31.21"></a><var>31.21</var>recommendations developed pursuant to subdivision 3c, paragraph (d), and adopted by <br/>
<a id="pl.31.22"></a><var>31.22</var>the commissioner and, if necessary, submit comments to the commissioner or initiate <br/>
<a id="pl.31.23"></a><var>31.23</var>an appeal.<br/>
<a id="pl.31.24"></a><var>31.24</var>    (c) Data on providers collected under this subdivision are private data on individuals <br/>
<a id="pl.31.25"></a><var>31.25</var>or nonpublic data, as defined in section 
         <statute_ref>13.02</statute_ref>. Notwithstanding the definition of summary <br/>
<a id="pl.31.26"></a><var>31.26</var>data in section 
         <statute_ref>13.02, subdivision 19</statute_ref>, summary data prepared under this subdivision <br/>
<a id="pl.31.27"></a><var>31.27</var>may be derived from nonpublic data. The commissioner or the commissioner's designee <br/>
<a id="pl.31.28"></a><var>31.28</var>shall establish procedures and safeguards to protect the integrity and confidentiality of <br/>
<a id="pl.31.29"></a><var>31.29</var>any data that it maintains.<br/>
<a id="pl.31.30"></a><var>31.30</var>    (d) The commissioner or the commissioner's designee shall not publish analyses or <br/>
<a id="pl.31.31"></a><var>31.31</var>reports that identify, or could potentially identify, individual patients.<br/>
<br/>
<a id="bill.2.9.0"></a><a id="pl.31.32"></a><var>31.32</var>    Sec. 9. Minnesota Statutes 2010, section 62U.04, subdivision 5, is amended to read:<br/>
<a id="pl.31.33"></a><var>31.33</var>    Subd. 5. <b>Pricing data.</b> (a) Beginning July 1, 2009, and annually on January 1 <br/>
<a id="pl.31.34"></a><var>31.34</var>thereafter, all health plan companies and third-party administrators shall submit data <br/>
<a id="pl.32.1"></a><var>32.1</var>on their contracted prices with health care providers to a private entity designated by <br/>
<a id="pl.32.2"></a><var>32.2</var>the commissioner of health for the purposes of performing the analyses required under <br/>
<a id="pl.32.3"></a><var>32.3</var>this subdivision. The data shall be submitted in the form and manner specified by the <br/>
<a id="pl.32.4"></a><var>32.4</var>commissioner of health.<br/>
<a id="pl.32.5"></a><var>32.5</var>    (b) The commissioner or the commissioner's designee shall only use the data <br/>
<a id="pl.32.6"></a><var>32.6</var>submitted under this subdivision for the purpose of carrying out its responsibilities under <br/>
<a id="pl.32.7"></a><var>32.7</var>this section to carry out its responsibilities under this section, including supplying the <br/>
<a id="pl.32.8"></a><var>32.8</var>data to providers so they can verify their results of the peer grouping process consistent <br/>
<a id="pl.32.9"></a><var>32.9</var>with the recommendations developed pursuant to subdivision 3c, paragraph (d), and <br/>
<a id="pl.32.10"></a><var>32.10</var>adopted by the commissioner and, if necessary, submit comments to the commissioner or <br/>
<a id="pl.32.11"></a><var>32.11</var>initiate an appeal.<br/>
<a id="pl.32.12"></a><var>32.12</var>    (c) Data collected under this subdivision are nonpublic data as defined in section <br/>
<statute_ref><a id="pl.32.13"></a><var>32.13</var>13.02
         </statute_ref>. Notwithstanding the definition of summary data in section 
         <statute_ref>13.02, subdivision 19</statute_ref>, <br/>
<a id="pl.32.14"></a><var>32.14</var>summary data prepared under this section may be derived from nonpublic data. The <br/>
<a id="pl.32.15"></a><var>32.15</var>commissioner shall establish procedures and safeguards to protect the integrity and <br/>
<a id="pl.32.16"></a><var>32.16</var>confidentiality of any data that it maintains.<br/>
<br/>
<a id="bill.2.10.0"></a><a id="pl.32.17"></a><var>32.17</var>    Sec. 10. Minnesota Statutes 2011 Supplement, section 62U.04, subdivision 9, is <br/>
<a id="pl.32.18"></a><var>32.18</var>amended to read:<br/>
<a id="pl.32.19"></a><var>32.19</var>    Subd. 9. <b>Uses of information.</b> (a) For product renewals or for new products that <br/>
<a id="pl.32.20"></a><var>32.20</var>are offered, after 12 months have elapsed from publication by the commissioner of the <br/>
<a id="pl.32.21"></a><var>32.21</var>information in subdivision 3, paragraph (e):<br/>
<a id="pl.32.22"></a><var>32.22</var>    (1) the commissioner of management and budget shall may use the information and <br/>
<a id="pl.32.23"></a><var>32.23</var>methods developed under subdivision 3 subdivisions 3 to 3d to strengthen incentives for <br/>
<a id="pl.32.24"></a><var>32.24</var>members of the state employee group insurance program to use high-quality, low-cost <br/>
<a id="pl.32.25"></a><var>32.25</var>providers;<br/>
<a id="pl.32.26"></a><var>32.26</var>    (2) all political subdivisions, as defined in section 
         <statute_ref>13.02, subdivision 11</statute_ref>, that offer <br/>
<a id="pl.32.27"></a><var>32.27</var>health benefits to their employees must may offer plans that differentiate providers on their <br/>
<a id="pl.32.28"></a><var>32.28</var>cost and quality performance and create incentives for members to use better-performing <br/>
<a id="pl.32.29"></a><var>32.29</var>providers;<br/>
<a id="pl.32.30"></a><var>32.30</var>    (3) all health plan companies shall may use the information and methods developed <br/>
<a id="pl.32.31"></a><var>32.31</var>under subdivision 3 subdivisions 3 to 3d to develop products that encourage consumers to <br/>
<a id="pl.32.32"></a><var>32.32</var>use high-quality, low-cost providers; and<br/>
<a id="pl.32.33"></a><var>32.33</var>    (4) health plan companies that issue health plans in the individual market or the <br/>
<a id="pl.32.34"></a><var>32.34</var>small employer market must may offer at least one health plan that uses the information <br/>
<a id="pl.32.35"></a><var>32.35</var>developed under subdivision 3 subdivisions 3 to 3d to establish financial incentives for <br/>
<a id="pl.33.1"></a><var>33.1</var>consumers to choose higher-quality, lower-cost providers through enrollee cost-sharing <br/>
<a id="pl.33.2"></a><var>33.2</var>or selective provider networks.<br/>
<a id="pl.33.3"></a><var>33.3</var>    (b) By January 1, 2011, the commissioner of health shall report to the governor <br/>
<a id="pl.33.4"></a><var>33.4</var>and the legislature on recommendations to encourage health plan companies to promote <br/>
<a id="pl.33.5"></a><var>33.5</var>widespread adoption of products that encourage the use of high-quality, low-cost providers. <br/>
<a id="pl.33.6"></a><var>33.6</var>The commissioner's recommendations may include tax incentives, public reporting of <br/>
<a id="pl.33.7"></a><var>33.7</var>health plan performance, regulatory incentives or changes, and other strategies.<br/>
<br/>
<a id="bill.2.11.0"></a><a id="pl.33.8"></a><var>33.8</var>    Sec. 11. Minnesota Statutes 2011 Supplement, section 144.1222, subdivision 5, <br/>
<a id="pl.33.9"></a><var>33.9</var>is amended to read:<br/>
<a id="pl.33.10"></a><var>33.10</var>    Subd. 5. <b>Swimming pond exemption</b><b> Exemptions</b><b>.</b> (a) A public swimming pond <br/>
<a id="pl.33.11"></a><var>33.11</var>in existence before January 1, 2008, is not a public pool for purposes of this section and <br/>
<a id="pl.33.12"></a><var>33.12</var>section 
         <statute_ref>157.16</statute_ref>, and is exempt from the requirements for public swimming pools under <br/>
<a id="pl.33.13"></a><var>33.13</var>Minnesota Rules, chapter 4717.<br/>
<a id="pl.33.14"></a><var>33.14</var>(b) A naturally treated swimming pool located in the city of Minneapolis is not <br/>
<a id="pl.33.15"></a><var>33.15</var>a public pool for purposes of this section and section 157.16, and is exempt from the <br/>
<a id="pl.33.16"></a><var>33.16</var>requirements for public swimming pools under Minnesota Rules, chapter 4717.<br/>
<a id="pl.33.17"></a><var>33.17</var>    (b) (c) Notwithstanding paragraph paragraphs (a) and (b), a public swimming pond <br/>
<a id="pl.33.18"></a><var>33.18</var>and a naturally treated swimming pool must meet the requirements for public pools <br/>
<a id="pl.33.19"></a><var>33.19</var>described in subdivisions 1c and 1d.<br/>
<a id="pl.33.20"></a><var>33.20</var>    (c) (d) For purposes of this subdivision, a "public swimming pond" means an <br/>
<a id="pl.33.21"></a><var>33.21</var>artificial body of water contained within a lined, sand-bottom basin, intended for public <br/>
<a id="pl.33.22"></a><var>33.22</var>swimming, relaxation, or recreational use that includes a water circulation system for <br/>
<a id="pl.33.23"></a><var>33.23</var>maintaining water quality and does not include any portion of a naturally occurring lake <br/>
<a id="pl.33.24"></a><var>33.24</var>or stream.<br/>
<a id="pl.33.25"></a><var>33.25</var>(e) For purposes of this subdivision, a "naturally treated swimming pool" means an <br/>
<a id="pl.33.26"></a><var>33.26</var>artificial body of water contained in a basin, intended for public swimming, relaxation, or <br/>
<a id="pl.33.27"></a><var>33.27</var>recreational use that uses a chemical free filtration system for maintaining water quality <br/>
<a id="pl.33.28"></a><var>33.28</var>through natural processes, including the use of plants, beneficial bacteria, and microbes.<br/>
<a id="pl.33.29"></a><var>33.29</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.2.12.0"></a><a id="pl.33.30"></a><var>33.30</var>    Sec. 12. Minnesota Statutes 2010, section 144.5509, is amended to read:<br/>
<a id="pl.33.31"></a><var>33.31</var><b>144.5509 RADIATION THERAPY FACILITY CONSTRUCTION.</b><br/>
<a id="pl.34.1"></a><var>34.1</var>    (a) A radiation therapy facility may be constructed only by an entity owned, <br/>
<a id="pl.34.2"></a><var>34.2</var>operated, or controlled by a hospital licensed according to sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.56</statute_ref> either <br/>
<a id="pl.34.3"></a><var>34.3</var>alone or in cooperation with another entity. This paragraph expires August 1, 2014.<br/>
<a id="pl.34.4"></a><var>34.4</var>    (b) Notwithstanding paragraph (a), there shall be a moratorium on the construction <br/>
<a id="pl.34.5"></a><var>34.5</var>of any radiation therapy facility located in the following counties: Hennepin, Ramsey, <br/>
<a id="pl.34.6"></a><var>34.6</var>Dakota, Washington, Anoka, Carver, Scott, St. Louis, Sherburne, Benton, Stearns, <br/>
<a id="pl.34.7"></a><var>34.7</var>Chisago, Isanti, and Wright. This paragraph does not apply to the relocation or <br/>
<a id="pl.34.8"></a><var>34.8</var>reconstruction of an existing facility owned by a hospital if the relocation or reconstruction <br/>
<a id="pl.34.9"></a><var>34.9</var>is within one mile of the existing facility. This paragraph does not apply to a radiation <br/>
<a id="pl.34.10"></a><var>34.10</var>therapy facility that is being built attached to a community hospital in Wright County and <br/>
<a id="pl.34.11"></a><var>34.11</var>meets the following conditions prior to August 1, 2007: the capital expenditure report <br/>
<a id="pl.34.12"></a><var>34.12</var>required under Minnesota Statutes, section 
         <statute_ref>62J.17</statute_ref>, has been filed with the commissioner <br/>
<a id="pl.34.13"></a><var>34.13</var>of health; a timely construction schedule is developed, stipulating dates for beginning, <br/>
<a id="pl.34.14"></a><var>34.14</var>achieving various stages, and completing construction; and all zoning and building permits <br/>
<a id="pl.34.15"></a><var>34.15</var>applied for. Beginning January 1, 2013, this paragraph does not apply to any construction <br/>
<a id="pl.34.16"></a><var>34.16</var>necessary to relocate a radiation therapy machine from a community hospital-owned <br/>
<a id="pl.34.17"></a><var>34.17</var>radiation therapy facility located in the city of Maplewood to a community hospital <br/>
<a id="pl.34.18"></a><var>34.18</var>campus in the city of Woodbury within the same health system. This paragraph expires <br/>
<a id="pl.34.19"></a><var>34.19</var>August 1, 2014.<br/>
<a id="pl.34.20"></a><var>34.20</var>(c) After August 1, 2014, a radiation therapy facility may be constructed only if the <br/>
<a id="pl.34.21"></a><var>34.21</var>following requirements are met:<br/>
<a id="pl.34.22"></a><var>34.22</var>(1) the entity constructing the radiation therapy facility is controlled by or is under <br/>
<a id="pl.34.23"></a><var>34.23</var>common control with a hospital licensed under sections 144.50 to 144.56; and<br/>
<a id="pl.34.24"></a><var>34.24</var>(2) the new radiation therapy facility is located at least seven miles from an existing <br/>
<a id="pl.34.25"></a><var>34.25</var>radiation therapy facility.<br/>
<a id="pl.34.26"></a><var>34.26</var>(d) Any referring physician must provide each patient who is in need of radiation <br/>
<a id="pl.34.27"></a><var>34.27</var>therapy services with a list of all radiation therapy facilities located within the following <br/>
<a id="pl.34.28"></a><var>34.28</var>counties: Hennepin, Ramsey, Dakota, Washington, Anoka, Carver, Scott, St. Louis, <br/>
<a id="pl.34.29"></a><var>34.29</var>Sherburne, Benton, Stearns, Chisago, Isanti, and Wright. Physicians with a financial <br/>
<a id="pl.34.30"></a><var>34.30</var>interest in any radiation therapy facility must disclose to the patient the existence of the <br/>
<a id="pl.34.31"></a><var>34.31</var>interest.<br/>
<a id="pl.34.32"></a><var>34.32</var>(e) For purposes of this section, "controlled by" or "under common control with" <br/>
<a id="pl.34.33"></a><var>34.33</var>means the possession, direct or indirect, of the power to direct or cause the direction of the <br/>
<a id="pl.34.34"></a><var>34.34</var>policies, operations, or activities of an entity, through the ownership of, or right to vote <br/>
<a id="pl.34.35"></a><var>34.35</var>or to direct the disposition of shares, membership interests, or ownership interests of <br/>
<a id="pl.34.36"></a><var>34.36</var>the entity.<br/>
<a id="pl.35.1"></a><var>35.1</var>(f) For purposes of this section, "financial interest in any radiation therapy facility" <br/>
<a id="pl.35.2"></a><var>35.2</var>means a direct or indirect ownership or investment interest in a radiation therapy facility <br/>
<a id="pl.35.3"></a><var>35.3</var>or a compensation arrangement with a radiation therapy facility.<br/>
<a id="pl.35.4"></a><var>35.4</var>(g) This section does not apply to the relocation or reconstruction of an existing <br/>
<a id="pl.35.5"></a><var>35.5</var>radiation therapy facility if:<br/>
<a id="pl.35.6"></a><var>35.6</var>(1) the relocation or reconstruction of the facility remains owned by the same entity;<br/>
<a id="pl.35.7"></a><var>35.7</var>(2) the relocation or reconstruction is located within one mile of the existing facility; <br/>
<a id="pl.35.8"></a><var>35.8</var>and<br/>
<a id="pl.35.9"></a><var>35.9</var>(3) the period in which the existing facility is closed and the relocated or <br/>
<a id="pl.35.10"></a><var>35.10</var>reconstructed facility begins providing services does not exceed 12 months.<br/>
<br/>
<a id="bill.2.13.0"></a><a id="pl.35.11"></a><var>35.11</var>    Sec. 13. Minnesota Statutes 2010, section 145.906, is amended to read:<br/>
<a id="pl.35.12"></a><var>35.12</var><b>145.906 POSTPARTUM DEPRESSION EDUCATION AND INFORMATION.</b><br/>
<a id="pl.35.13"></a><var>35.13</var>(a) The commissioner of health shall work with health care facilities, licensed health <br/>
<a id="pl.35.14"></a><var>35.14</var>and mental health care professionals, the women, infants, and children (WIC) program, <br/>
<a id="pl.35.15"></a><var>35.15</var>mental health advocates, consumers, and families in the state to develop materials and <br/>
<a id="pl.35.16"></a><var>35.16</var>information about postpartum depression, including treatment resources, and develop <br/>
<a id="pl.35.17"></a><var>35.17</var>policies and procedures to comply with this section.<br/>
<a id="pl.35.18"></a><var>35.18</var>(b) Physicians, traditional midwives, and other licensed health care professionals <br/>
<a id="pl.35.19"></a><var>35.19</var>providing prenatal care to women must have available to women and their families <br/>
<a id="pl.35.20"></a><var>35.20</var>information about postpartum depression.<br/>
<a id="pl.35.21"></a><var>35.21</var>(c) Hospitals and other health care facilities in the state must provide departing new <br/>
<a id="pl.35.22"></a><var>35.22</var>mothers and fathers and other family members, as appropriate, with written information <br/>
<a id="pl.35.23"></a><var>35.23</var>about postpartum depression, including its symptoms, methods of coping with the illness, <br/>
<a id="pl.35.24"></a><var>35.24</var>and treatment resources.<br/>
<a id="pl.35.25"></a><var>35.25</var>(d) Information about postpartum depression, including its symptoms, potential <br/>
<a id="pl.35.26"></a><var>35.26</var>impact on families, and treatment resources must be available at WIC sites.<br/>
<br/>
<a id="bill.2.14.0"></a><a id="pl.35.27"></a><var>35.27</var>    Sec. 14. Minnesota Statutes 2010, section 256B.0754, subdivision 2, is amended to <br/>
<a id="pl.35.28"></a><var>35.28</var>read:<br/>
<a id="pl.35.29"></a><var>35.29</var>    Subd. 2. <b>Payment reform.</b> By no later than 12 months after the commissioner of <br/>
<a id="pl.35.30"></a><var>35.30</var>health publishes the information in section 
         <statute_ref>62U.04, subdivision 3</statute_ref>, paragraph (e) 62U.04, <br/>
<a id="pl.35.31"></a><var>35.31</var>subdivision 3c, paragraph (b), the commissioner of human services shall may use the <br/>
<a id="pl.35.32"></a><var>35.32</var>information and methods developed under section 
         <statute_ref>62U.04</statute_ref> to establish a payment system <br/>
<a id="pl.35.33"></a><var>35.33</var>that:<br/>
<a id="pl.35.34"></a><var>35.34</var>    (1) rewards high-quality, low-cost providers;<br/>
<a id="pl.36.1"></a><var>36.1</var>    (2) creates enrollee incentives to receive care from high-quality, low-cost providers; <br/>
<a id="pl.36.2"></a><var>36.2</var>and<br/>
<a id="pl.36.3"></a><var>36.3</var>    (3) fosters collaboration among providers to reduce cost shifting from one part of <br/>
<a id="pl.36.4"></a><var>36.4</var>the health continuum to another.<br/>
<br/>
<a id="bill.2.15.0"></a><a id="pl.36.5"></a><var>36.5</var>    Sec. 15. Laws 2011, First Special Session chapter 9, article 10, section 4, subdivision <br/>
<a id="pl.36.6"></a><var>36.6</var>2, 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.36.7"></a><var>36.7</var><br/>
<a id="pl.36.8"></a><var>36.8</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.36.9"></a><var>36.9</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.36.10"></a><var>36.10</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">45,577,000<br/>
</td>
<td align="right">46,030,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.36.11"></a><var>36.11</var><br/>
<a id="pl.36.12"></a><var>36.12</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.36.13"></a><var>36.13</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">16,719,000<br/>
</td>
<td align="right">1,719,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.36.14"></a><var>36.14</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">11,713,000<br/>
</td>
<td align="right">11,713,000<br/>
</td>
</tr>
</table><a id="pl.36.15"></a><var>36.15</var><b>TANF Appropriations. </b>(1) $1,156,000 of <br/>
<a id="pl.36.16"></a><var>36.16</var>the TANF funds is appropriated each year of <br/>
<a id="pl.36.17"></a><var>36.17</var>the biennium to the commissioner for family <br/>
<a id="pl.36.18"></a><var>36.18</var>planning grants under Minnesota Statutes, <br/>
<a id="pl.36.19"></a><var>36.19</var>section 
         <statute_ref>145.925</statute_ref>.<br/>
<a id="pl.36.20"></a><var>36.20</var>(2) $3,579,000 of the TANF funds is <br/>
<a id="pl.36.21"></a><var>36.21</var>appropriated each year of the biennium to <br/>
<a id="pl.36.22"></a><var>36.22</var>the commissioner for home visiting and <br/>
<a id="pl.36.23"></a><var>36.23</var>nutritional services listed under Minnesota <br/>
<a id="pl.36.24"></a><var>36.24</var>Statutes, section 
         <statute_ref>145.882, subdivision 7</statute_ref>, <br/>
<a id="pl.36.25"></a><var>36.25</var>clauses (6) and (7). Funds must be distributed <br/>
<a id="pl.36.26"></a><var>36.26</var>to community health boards according to <br/>
<a id="pl.36.27"></a><var>36.27</var>Minnesota Statutes, section 
         <statute_ref>145A.131, <br/>
<a id="pl.36.28"></a><var>36.28</var>subdivision 1
         </statute_ref>.<br/>
<a id="pl.36.29"></a><var>36.29</var>(3) $2,000,000 of the TANF funds is <br/>
<a id="pl.36.30"></a><var>36.30</var>appropriated each year of the biennium to <br/>
<a id="pl.36.31"></a><var>36.31</var>the commissioner for decreasing racial and <br/>
<a id="pl.36.32"></a><var>36.32</var>ethnic disparities in infant mortality rates <br/>
<a id="pl.36.33"></a><var>36.33</var>under Minnesota Statutes, section 
         <statute_ref>145.928, <br/>
<a id="pl.36.34"></a><var>36.34</var>subdivision 7
         </statute_ref>.<br/>
<a id="pl.37.1"></a><var>37.1</var>(4) $4,978,000 of the TANF funds is <br/>
<a id="pl.37.2"></a><var>37.2</var>appropriated each year of the biennium to the <br/>
<a id="pl.37.3"></a><var>37.3</var>commissioner for the family home visiting <br/>
<a id="pl.37.4"></a><var>37.4</var>grant program according to Minnesota <br/>
<a id="pl.37.5"></a><var>37.5</var>Statutes, section 
         <statute_ref>145A.17</statute_ref>. $4,000,000 of the <br/>
<a id="pl.37.6"></a><var>37.6</var>funding must be distributed to community <br/>
<a id="pl.37.7"></a><var>37.7</var>health boards according to Minnesota <br/>
<a id="pl.37.8"></a><var>37.8</var>Statutes, section 
         <statute_ref>145A.131, subdivision 1</statute_ref>. <br/>
<a id="pl.37.9"></a><var>37.9</var>$978,000 of the funding must be distributed <br/>
<a id="pl.37.10"></a><var>37.10</var>to tribal governments based on Minnesota <br/>
<a id="pl.37.11"></a><var>37.11</var>Statutes, section 
         <statute_ref>145A.14, subdivision 2a</statute_ref>.<br/>
<a id="pl.37.12"></a><var>37.12</var>(5) The commissioner may use up to 6.23 <br/>
<a id="pl.37.13"></a><var>37.13</var>percent of the funds appropriated each fiscal <br/>
<a id="pl.37.14"></a><var>37.14</var>year to conduct the ongoing evaluations <br/>
<a id="pl.37.15"></a><var>37.15</var>required under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.37.16"></a><var>37.16</var>145A.17, subdivision 7
         </statute_ref>, and training and <br/>
<a id="pl.37.17"></a><var>37.17</var>technical assistance as required under <br/>
<a id="pl.37.18"></a><var>37.18</var>Minnesota Statutes, section 
         <statute_ref>145A.17, <br/>
<a id="pl.37.19"></a><var>37.19</var>subdivisions 4
         </statute_ref> and 5.<br/>
<a id="pl.37.20"></a><var>37.20</var><b>TANF Carryforward. </b>Any unexpended <br/>
<a id="pl.37.21"></a><var>37.21</var>balance of the TANF appropriation in the <br/>
<a id="pl.37.22"></a><var>37.22</var>first year of the biennium does not cancel but <br/>
<a id="pl.37.23"></a><var>37.23</var>is available for the second year.<br/>
<a id="pl.37.24"></a><var>37.24</var><b>Statewide Health Improvement Program.</b> <br/>
<a id="pl.37.25"></a><var>37.25</var>(a) $15,000,000 in the biennium ending June <br/>
<a id="pl.37.26"></a><var>37.26</var>30, 2013, is appropriated from the health <br/>
<a id="pl.37.27"></a><var>37.27</var>care access fund for the statewide health <br/>
<a id="pl.37.28"></a><var>37.28</var>improvement program and is available until <br/>
<a id="pl.37.29"></a><var>37.29</var>expended. Notwithstanding Minnesota <br/>
<a id="pl.37.30"></a><var>37.30</var>Statutes, sections 
         <statute_ref>144.396</statute_ref>, and 
         <statute_ref>145.928</statute_ref>, the <br/>
<a id="pl.37.31"></a><var>37.31</var>commissioner may use tobacco prevention <br/>
<a id="pl.37.32"></a><var>37.32</var>grant funding and grant funding under <br/>
<a id="pl.37.33"></a><var>37.33</var>Minnesota Statutes, section 
         <statute_ref>145.928</statute_ref>, to <br/>
<a id="pl.37.34"></a><var>37.34</var>support the statewide health improvement <br/>
<a id="pl.37.35"></a><var>37.35</var>program. The commissioner may focus the <br/>
<a id="pl.38.1"></a><var>38.1</var>program geographically or on a specific <br/>
<a id="pl.38.2"></a><var>38.2</var>goal of tobacco use reduction or on <br/>
<a id="pl.38.3"></a><var>38.3</var>reducing obesity. By February 15, 2013, the <br/>
<a id="pl.38.4"></a><var>38.4</var>commissioner shall report to the chairs of <br/>
<a id="pl.38.5"></a><var>38.5</var>the health and human services committee <br/>
<a id="pl.38.6"></a><var>38.6</var>on progress toward meeting the goals of the <br/>
<a id="pl.38.7"></a><var>38.7</var>program as outlined in Minnesota Statutes, <br/>
<a id="pl.38.8"></a><var>38.8</var>section 
<statute_ref>145.986</statute_ref>, and estimate the dollar <br/>
<a id="pl.38.9"></a><var>38.9</var>value of the reduced health care costs for <br/>
<a id="pl.38.10"></a><var>38.10</var>both public and private payers.<br/>
<a id="pl.38.11"></a><var>38.11</var>(b) By February 15, 2012, the commissioner <br/>
<a id="pl.38.12"></a><var>38.12</var>shall develop a plan to implement <br/>
<a id="pl.38.13"></a><var>38.13</var>evidence-based strategies from the statewide <br/>
<a id="pl.38.14"></a><var>38.14</var>health improvement program as part of <br/>
<a id="pl.38.15"></a><var>38.15</var>hospital community benefit programs <br/>
<a id="pl.38.16"></a><var>38.16</var>and health maintenance organizations <br/>
<a id="pl.38.17"></a><var>38.17</var>collaboration plans. The implementation <br/>
<a id="pl.38.18"></a><var>38.18</var>plan shall include an advisory board <br/>
<a id="pl.38.19"></a><var>38.19</var>to determine priority needs for health <br/>
<a id="pl.38.20"></a><var>38.20</var>improvement in reducing obesity and <br/>
<a id="pl.38.21"></a><var>38.21</var>tobacco use in Minnesota and to review <br/>
<a id="pl.38.22"></a><var>38.22</var>and approve hospital community benefit <br/>
<a id="pl.38.23"></a><var>38.23</var>activities reported under Minnesota Statutes, <br/>
<a id="pl.38.24"></a><var>38.24</var>section 
<statute_ref>144.699</statute_ref>, and health maintenance <br/>
<a id="pl.38.25"></a><var>38.25</var>organizations collaboration plans in <br/>
<a id="pl.38.26"></a><var>38.26</var>Minnesota Statutes, section 
<statute_ref>62Q.075</statute_ref>. The <br/>
<a id="pl.38.27"></a><var>38.27</var>commissioner shall consult with hospital <br/>
<a id="pl.38.28"></a><var>38.28</var>and health maintenance organizations in <br/>
<a id="pl.38.29"></a><var>38.29</var>creating and implementing the plan. The <br/>
<a id="pl.38.30"></a><var>38.30</var>plan described in this paragraph shall be <br/>
<a id="pl.38.31"></a><var>38.31</var>implemented by July 1, 2012.<br/>
<a id="pl.38.32"></a><var>38.32</var>(c) The commissioners of Minnesota <br/>
<a id="pl.38.33"></a><var>38.33</var>management and budget, human services, <br/>
<a id="pl.38.34"></a><var>38.34</var>and health shall include in each forecast <br/>
<a id="pl.38.35"></a><var>38.35</var>beginning February of 2013 a report that <br/>
<a id="pl.38.36"></a><var>38.36</var>identifies an estimated dollar value of the <br/>
<a id="pl.39.1"></a><var>39.1</var>health care savings in the state health care <br/>
<a id="pl.39.2"></a><var>39.2</var>programs that are directly attributable to the <br/>
<a id="pl.39.3"></a><var>39.3</var>strategies funded from the statewide health <br/>
<a id="pl.39.4"></a><var>39.4</var>improvement program. The report shall <br/>
<a id="pl.39.5"></a><var>39.5</var>include a description of methodologies and <br/>
<a id="pl.39.6"></a><var>39.6</var>assumptions used to calculate the estimate.<br/>
<a id="pl.39.7"></a><var>39.7</var><b>Funding Usage.</b> Up to 75 percent of the <br/>
<a id="pl.39.8"></a><var>39.8</var>fiscal year 2012 appropriation for local public <br/>
<a id="pl.39.9"></a><var>39.9</var>health grants may be used to fund calendar <br/>
<a id="pl.39.10"></a><var>39.10</var>year 2011 allocations for this program and <br/>
<a id="pl.39.11"></a><var>39.11</var>up to 75 percent of the fiscal year 2013 <br/>
<a id="pl.39.12"></a><var>39.12</var>appropriation may be used for calendar year <br/>
<a id="pl.39.13"></a><var>39.13</var>2012 allocations. The fiscal year 2014 base <br/>
<a id="pl.39.14"></a><var>39.14</var>shall be increased by $5,193,000.<br/>
<a id="pl.39.15"></a><var>39.15</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.39.16"></a><var>39.16</var>base is increased by $5,188,000 in fiscal year <br/>
<a id="pl.39.17"></a><var>39.17</var>2014 and decreased by $5,000 in 2015.<br/>
<br/>
<a id="bill.2.16.0"></a><a id="pl.39.18"></a><var>39.18</var>    Sec. 16. <b>STUDY OF RADIATION THERAPY FACILITIES CAPACITY.</b><br/>
<a id="pl.39.19"></a><var>39.19</var>(a) To the extent of available appropriations, the commissioner of health shall <br/>
<a id="pl.39.20"></a><var>39.20</var>conduct a study of the following: (1) current treatment capacity of the existing radiation <br/>
<a id="pl.39.21"></a><var>39.21</var>therapy facilities within the state; (2) the present need for radiation therapy services based <br/>
<a id="pl.39.22"></a><var>39.22</var>on population demographics and new cancer cases; and (3) the projected need in the next <br/>
<a id="pl.39.23"></a><var>39.23</var>ten years for radiation therapy services and whether the current facilities can sustain <br/>
<a id="pl.39.24"></a><var>39.24</var>this projected need.<br/>
<a id="pl.39.25"></a><var>39.25</var>(b) The commissioner may contract with a qualified entity to conduct the study. The <br/>
<a id="pl.39.26"></a><var>39.26</var>study shall be completed by March 15, 2013, and the results shall be submitted to the <br/>
<a id="pl.39.27"></a><var>39.27</var>chairs and ranking minority members of the health and human services committees of <br/>
<a id="pl.39.28"></a><var>39.28</var>the legislature.<br/>
<br/>
<a id="bill.2.17.0"></a><a id="pl.39.29"></a><var>39.29</var>    Sec. 17. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.39.30"></a><var>39.30</var>The revisor of statutes shall change the terms "commissioner of health" or similar <br/>
<a id="pl.39.31"></a><var>39.31</var>term to "commissioner of commerce" or similar term and "department of health" or similar <br/>
<a id="pl.39.32"></a><var>39.32</var>term to "department of commerce" or similar term wherever necessary in Minnesota <br/>
<a id="pl.39.33"></a><var>39.33</var>Statutes, chapters 62A to 62U, and other relevant statutes as needed to signify the transfer <br/>
<a id="pl.40.1"></a><var>40.1</var>of regulatory jurisdiction of health maintenance organizations from the commissioner of <br/>
<a id="pl.40.2"></a><var>40.2</var>health to the commissioner of commerce.<br/>
<br/>
<a id="bill.2.18.0"></a><a id="pl.40.3"></a><var>40.3</var>    Sec. 18. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.40.4"></a><var>40.4</var>Sections 5 to 10 and 14 are effective July 1, 2012, and apply to all information <br/>
<a id="pl.40.5"></a><var>40.5</var>provided or released to the public or to health care providers, pursuant to Minnesota <br/>
<a id="pl.40.6"></a><var>40.6</var>Statutes, section 62U.04, on or after that date. Section 7 shall be implemented by the <br/>
<a id="pl.40.7"></a><var>40.7</var>commissioner of health within available resources.<br/>
<br/>
<a id="bill.3.0.0"></a>

<a id="bill.3.1.0"></a><a id="pl.40.10"></a><var>40.10</var>    Section 1. Minnesota Statutes 2011 Supplement, section 119B.13, subdivision 7, is <br/>
<a id="pl.40.11"></a><var>40.11</var>amended to read:<br/>
<a id="pl.40.12"></a><var>40.12</var>    Subd. 7. <b>Absent days.</b> (a) Licensed child care providers and license-exempt centers <br/>
<a id="pl.40.13"></a><var>40.13</var>must not be reimbursed for more than ten full-day absent days per child, excluding <br/>
<a id="pl.40.14"></a><var>40.14</var>holidays, in a fiscal year. Legal nonlicensed family child care providers must not be <br/>
<a id="pl.40.15"></a><var>40.15</var>reimbursed for absent days. If a child attends for part of the time authorized to be in care in <br/>
<a id="pl.40.16"></a><var>40.16</var>a day, but is absent for part of the time authorized to be in care in that same day, the absent <br/>
<a id="pl.40.17"></a><var>40.17</var>time must be reimbursed but the time must not count toward the ten absent day limit. <br/>
<a id="pl.40.18"></a><var>40.18</var>Child care providers must only be reimbursed for absent days if the provider has a written <br/>
<a id="pl.40.19"></a><var>40.19</var>policy for child absences and charges all other families in care for similar absences.<br/>
<a id="pl.40.20"></a><var>40.20</var>(b)  Notwithstanding paragraph (a), children in families may exceed the ten absent <br/>
<a id="pl.40.21"></a><var>40.21</var>days limit if at least one parent is: (1) under the age of 21; (2) does not have a high school <br/>
<a id="pl.40.22"></a><var>40.22</var>or general equivalency diploma; and (3) is a student in a school district or another similar <br/>
<a id="pl.40.23"></a><var>40.23</var>program that provides or arranges for child care, parenting support, social services, career <br/>
<a id="pl.40.24"></a><var>40.24</var>and employment supports, and academic support to achieve high school graduation, upon <br/>
<a id="pl.40.25"></a><var>40.25</var>request of the program and approval of the county. If a child attends part of an authorized <br/>
<a id="pl.40.26"></a><var>40.26</var>day, payment to the provider must be for the full amount of care authorized for that day.<br/>
<a id="pl.40.27"></a><var>40.27</var>    (b) (c) Child care providers must be reimbursed for up to ten federal or state <br/>
<a id="pl.40.28"></a><var>40.28</var>holidays or designated holidays per year when the provider charges all families for these <br/>
<a id="pl.40.29"></a><var>40.29</var>days and the holiday or designated holiday falls on a day when the child is authorized to <br/>
<a id="pl.40.30"></a><var>40.30</var>be in attendance. Parents may substitute other cultural or religious holidays for the ten <br/>
<a id="pl.40.31"></a><var>40.31</var>recognized state and federal holidays. Holidays do not count toward the ten absent day <br/>
<a id="pl.40.32"></a><var>40.32</var>limit.<br/>
<a id="pl.40.33"></a><var>40.33</var>    (c) (d) A family or child care provider must not be assessed an overpayment for an <br/>
<a id="pl.40.34"></a><var>40.34</var>absent day payment unless (1) there was an error in the amount of care authorized for the <br/>
<a id="pl.41.1"></a><var>41.1</var>family, (2) all of the allowed full-day absent payments for the child have been paid, or (3) <br/>
<a id="pl.41.2"></a><var>41.2</var>the family or provider did not timely report a change as required under law.<br/>
<a id="pl.41.3"></a><var>41.3</var>    (d) (e) The provider and family shall receive notification of the number of absent <br/>
<a id="pl.41.4"></a><var>41.4</var>days used upon initial provider authorization for a family and ongoing notification of the <br/>
<a id="pl.41.5"></a><var>41.5</var>number of absent days used as of the date of the notification.<br/>
<a id="pl.41.6"></a><var>41.6</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2013.<br/>
<br/>
<a id="bill.3.2.0"></a><a id="pl.41.7"></a><var>41.7</var>    Sec. 2. Minnesota Statutes 2010, section 256.01, is amended by adding a subdivision <br/>
<a id="pl.41.8"></a><var>41.8</var>to read:<br/>
<a id="pl.41.9"></a><var>41.9</var>    Subd. 18c. <b>Drug convictions.</b> (a) The state court administrator shall provide a <br/>
<a id="pl.41.10"></a><var>41.10</var>report every six months by electronic means to the commissioner of human services, <br/>
<a id="pl.41.11"></a><var>41.11</var>including the name, address, date of birth, and, if available, driver's license or state <br/>
<a id="pl.41.12"></a><var>41.12</var>identification card number, date of sentence, effective date of the sentence, and county in <br/>
<a id="pl.41.13"></a><var>41.13</var>which the conviction occurred of each person convicted of a felony under chapter 152 <br/>
<a id="pl.41.14"></a><var>41.14</var>during the previous six months.<br/>
<a id="pl.41.15"></a><var>41.15</var>(b) The commissioner shall determine whether the individuals who are the subject of <br/>
<a id="pl.41.16"></a><var>41.16</var>the data reported under paragraph (a) are receiving public assistance under chapter 256D <br/>
<a id="pl.41.17"></a><var>41.17</var>or 256J, and if the individual is receiving assistance under chapter 256D or 256J, the <br/>
<a id="pl.41.18"></a><var>41.18</var>commissioner shall instruct the county to proceed under section 256D.024 or 256J.26, <br/>
<a id="pl.41.19"></a><var>41.19</var>whichever is applicable, for this individual.<br/>
<a id="pl.41.20"></a><var>41.20</var>(c) The commissioner shall not retain any data received under paragraph (a) or (d) <br/>
<a id="pl.41.21"></a><var>41.21</var>that does not relate to an individual receiving publicly funded assistance under chapter <br/>
<a id="pl.41.22"></a><var>41.22</var>256D or 256J.<br/>
<a id="pl.41.23"></a><var>41.23</var>(d) In addition to the routine data transfer under paragraph (a), the state court <br/>
<a id="pl.41.24"></a><var>41.24</var>administrator shall provide a onetime report of the data fields under paragraph (a) for <br/>
<a id="pl.41.25"></a><var>41.25</var>individuals with a felony drug conviction under chapter 152 dated from July 1, 1997, until <br/>
<a id="pl.41.26"></a><var>41.26</var>the date of the data transfer. The commissioner shall perform the tasks identified under <br/>
<a id="pl.41.27"></a><var>41.27</var>paragraph (b) related to this data and shall retain the data according to paragraph (c).<br/>
<a id="pl.41.28"></a><var>41.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2013.<br/>
<br/>
<a id="bill.3.3.0"></a><a id="pl.41.29"></a><var>41.29</var>    Sec. 3. Minnesota Statutes 2010, section 256.01, is amended by adding a subdivision <br/>
<a id="pl.41.30"></a><var>41.30</var>to read:<br/>
<a id="pl.41.31"></a><var>41.31</var>    Subd. 18d. <b>Data sharing with the Department of Human Services; multiple </b><br/>
<a id="pl.41.32"></a><var>41.32</var><b>identification cards.</b> (a) The commissioner of public safety shall, on a monthly basis, <br/>
<a id="pl.41.33"></a><var>41.33</var>provide the commissioner of human services with the first, middle, and last name, <br/>
<a id="pl.42.1"></a><var>42.1</var>the address, date of birth, and driver's license or state identification card number of all <br/>
<a id="pl.42.2"></a><var>42.2</var>applicants and holders whose drivers' licenses and state identification cards have been <br/>
<a id="pl.42.3"></a><var>42.3</var>canceled under section 171.14, paragraph (a), clauses (2) or (3), by the commissioner of <br/>
<a id="pl.42.4"></a><var>42.4</var>public safety. After the initial data report has been provided by the commissioner of <br/>
<a id="pl.42.5"></a><var>42.5</var>public safety to the commissioner of human services under this paragraph, subsequent <br/>
<a id="pl.42.6"></a><var>42.6</var>reports shall only include cancellations that occurred after the end date of the cancellations <br/>
<a id="pl.42.7"></a><var>42.7</var>represented in the previous data report.<br/>
<a id="pl.42.8"></a><var>42.8</var>(b) The commissioner of human services shall compare the information provided <br/>
<a id="pl.42.9"></a><var>42.9</var>under paragraph (a) with the commissioner's data regarding recipients of all public <br/>
<a id="pl.42.10"></a><var>42.10</var>assistance programs managed by the Department of Human Services to determine whether <br/>
<a id="pl.42.11"></a><var>42.11</var>any person with multiple identification cards issued by the Department of Public Safety <br/>
<a id="pl.42.12"></a><var>42.12</var>has illegally or improperly enrolled in any public assistance program managed by the <br/>
<a id="pl.42.13"></a><var>42.13</var>Department of Human Services.<br/>
<a id="pl.42.14"></a><var>42.14</var>(c) If the commissioner of human services determines that an applicant or recipient <br/>
<a id="pl.42.15"></a><var>42.15</var>has illegally or improperly enrolled in any public assistance program, the commissioner <br/>
<a id="pl.42.16"></a><var>42.16</var>shall provide all due process protections to the individual before terminating the individual <br/>
<a id="pl.42.17"></a><var>42.17</var>from the program according to applicable statute and notifying the county attorney.<br/>
<a id="pl.42.18"></a><var>42.18</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2013.<br/>
<br/>
<a id="bill.3.4.0"></a><a id="pl.42.19"></a><var>42.19</var>    Sec. 4. Minnesota Statutes 2010, section 256.01, is amended by adding a subdivision <br/>
<a id="pl.42.20"></a><var>42.20</var>to read:<br/>
<a id="pl.42.21"></a><var>42.21</var>    Subd. 18e. <b>Data sharing with the Department of Human Services; legal </b><br/>
<a id="pl.42.22"></a><var>42.22</var><b>presence date.</b> (a) The commissioner of public safety shall, on a monthly basis, provide <br/>
<a id="pl.42.23"></a><var>42.23</var>the commissioner of human services with the first, middle, and last name, address, date of <br/>
<a id="pl.42.24"></a><var>42.24</var>birth, and driver's license or state identification number of all applicants and holders of <br/>
<a id="pl.42.25"></a><var>42.25</var>drivers' licenses and state identification cards whose temporary legal presence date has <br/>
<a id="pl.42.26"></a><var>42.26</var>expired and whose driver's license or identification card has been canceled under section <br/>
<a id="pl.42.27"></a><var>42.27</var>171.14 by the commissioner of public safety.<br/>
<a id="pl.42.28"></a><var>42.28</var>(b) The commissioner of human services shall use the information provided under <br/>
<a id="pl.42.29"></a><var>42.29</var>paragraph (a) to determine whether the eligibility of any recipients of public assistance <br/>
<a id="pl.42.30"></a><var>42.30</var>programs managed by the Department of Human Services has changed as a result of the <br/>
<a id="pl.42.31"></a><var>42.31</var>status change in the Department of Public Safety data.<br/>
<a id="pl.42.32"></a><var>42.32</var>(c) If the commissioner of human services determines that a recipient has illegally or <br/>
<a id="pl.42.33"></a><var>42.33</var>improperly received benefits from any public assistance program, the commissioner shall <br/>
<a id="pl.42.34"></a><var>42.34</var>provide all due process protections to the individual before terminating the individual from <br/>
<a id="pl.42.35"></a><var>42.35</var>the program according to applicable statute and notifying the county attorney.<br/>
<a id="pl.43.1"></a><var>43.1</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2013.<br/>
<br/>
<a id="bill.3.5.0"></a><a id="pl.43.2"></a><var>43.2</var>    Sec. 5. Minnesota Statutes 2011 Supplement, section 256.987, subdivision 1, is <br/>
<a id="pl.43.3"></a><var>43.3</var>amended to read:<br/>
<a id="pl.43.4"></a><var>43.4</var>    Subdivision 1. <b>Electronic benefit transfer (EBT) card.</b> Cash benefits for the <br/>
<a id="pl.43.5"></a><var>43.5</var>general assistance and Minnesota supplemental aid programs under chapter 256D and <br/>
<a id="pl.43.6"></a><var>43.6</var>programs under chapter 256J must be issued on a separate an EBT card with the name of <br/>
<a id="pl.43.7"></a><var>43.7</var>the head of household printed on the card. The card must include the following statement: <br/>
<a id="pl.43.8"></a><var>43.8</var>"It is unlawful to use this card to purchase tobacco products or alcoholic beverages." This <br/>
<a id="pl.43.9"></a><var>43.9</var>card must be issued within 30 calendar days of an eligibility determination. During the <br/>
<a id="pl.43.10"></a><var>43.10</var>initial 30 calendar days of eligibility, a recipient may have cash benefits issued on an EBT <br/>
<a id="pl.43.11"></a><var>43.11</var>card without a name printed on the card. This card may be the same card on which food <br/>
<a id="pl.43.12"></a><var>43.12</var>support benefits are issued and does not need to meet the requirements of this section.<br/>
<br/>
<a id="bill.3.6.0"></a><a id="pl.43.13"></a><var>43.13</var>    Sec. 6. Minnesota Statutes 2010, section 256D.06, subdivision 1b, is amended to read:<br/>
<a id="pl.43.14"></a><var>43.14</var>    Subd. 1b. <b>Earned income savings account.</b> In addition to the $50 disregard <br/>
<a id="pl.43.15"></a><var>43.15</var>required under subdivision 1, the county agency shall disregard an additional earned <br/>
<a id="pl.43.16"></a><var>43.16</var>income up to a maximum of $150 $500 per month for: (1) persons residing in facilities <br/>
<a id="pl.43.17"></a><var>43.17</var>licensed under Minnesota Rules, parts 9520.0500 to 9520.0690 and 9530.2500 to <br/>
<a id="pl.43.18"></a><var>43.18</var>9530.4000, and for whom discharge and work are part of a treatment plan; (2) persons <br/>
<a id="pl.43.19"></a><var>43.19</var>living in supervised apartments with services funded under Minnesota Rules, parts <br/>
<a id="pl.43.20"></a><var>43.20</var>9535.0100 to 9535.1600, and for whom discharge and work are part of a treatment plan; <br/>
<a id="pl.43.21"></a><var>43.21</var>and (3) persons residing in group residential housing, as that term is defined in section <br/>
<statute_ref><a id="pl.43.22"></a><var>43.22</var>256I.03, subdivision 3
         </statute_ref>, for whom the county agency has approved a discharge plan <br/>
<a id="pl.43.23"></a><var>43.23</var>which includes work. The additional amount disregarded must be placed in a separate <br/>
<a id="pl.43.24"></a><var>43.24</var>savings account by the eligible individual, to be used upon discharge from the residential <br/>
<a id="pl.43.25"></a><var>43.25</var>facility into the community. For individuals residing in a chemical dependency program <br/>
<a id="pl.43.26"></a><var>43.26</var>licensed under Minnesota Rules, part 9530.4100, subpart 22, item D, withdrawals from <br/>
<a id="pl.43.27"></a><var>43.27</var>the savings account require the signature of the individual and for those individuals with <br/>
<a id="pl.43.28"></a><var>43.28</var>an authorized representative payee, the signature of the payee. A maximum of $1,000 <br/>
<a id="pl.43.29"></a><var>43.29</var>$2,000, including interest, of the money in the savings account must be excluded from <br/>
<a id="pl.43.30"></a><var>43.30</var>the resource limits established by section 
         <statute_ref>256D.08, subdivision 1</statute_ref>, clause (1). Amounts in <br/>
<a id="pl.43.31"></a><var>43.31</var>that account in excess of $1,000 $2,000 must be applied to the resident's cost of care. If <br/>
<a id="pl.43.32"></a><var>43.32</var>excluded money is removed from the savings account by the eligible individual at any <br/>
<a id="pl.43.33"></a><var>43.33</var>time before the individual is discharged from the facility into the community, the money is <br/>
<a id="pl.43.34"></a><var>43.34</var>income to the individual in the month of receipt and a resource in subsequent months. If <br/>
<a id="pl.44.1"></a><var>44.1</var>an eligible individual moves from a community facility to an inpatient hospital setting, <br/>
<a id="pl.44.2"></a><var>44.2</var>the separate savings account is an excluded asset for up to 18 months. During that time, <br/>
<a id="pl.44.3"></a><var>44.3</var>amounts that accumulate in excess of the $1,000 $2,000 savings limit must be applied to <br/>
<a id="pl.44.4"></a><var>44.4</var>the patient's cost of care. If the patient continues to be hospitalized at the conclusion of the <br/>
<a id="pl.44.5"></a><var>44.5</var>18-month period, the entire account must be applied to the patient's cost of care.<br/>
<a id="pl.44.6"></a><var>44.6</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.3.7.0"></a><a id="pl.44.7"></a><var>44.7</var>    Sec. 7. Minnesota Statutes 2010, section 626.556, is amended by adding a subdivision <br/>
<a id="pl.44.8"></a><var>44.8</var>to read:<br/>
<a id="pl.44.9"></a><var>44.9</var>    Subd. 10n. <b>Required referral to early intervention services.</b> A child under <br/>
<a id="pl.44.10"></a><var>44.10</var>age three who is involved in a substantiated case of maltreatment shall be referred for <br/>
<a id="pl.44.11"></a><var>44.11</var>screening under the Individuals with Disabilities Education Act, part C. Parents must be <br/>
<a id="pl.44.12"></a><var>44.12</var>informed that the evaluation and acceptance of services are voluntary. The commissioner <br/>
<a id="pl.44.13"></a><var>44.13</var>of human services shall monitor referral rates by county and annually report the <br/>
<a id="pl.44.14"></a><var>44.14</var>information to the legislature beginning March 15, 2014. Refusal to have a child screened <br/>
<a id="pl.44.15"></a><var>44.15</var>is not a basis for a child in need of protection or services petition under chapter 260C.<br/>
<br/>
<a id="bill.3.8.0"></a><a id="pl.44.16"></a><var>44.16</var>    Sec. 8. Laws 2011, First Special Session chapter 9, article 10, section 3, subdivision 1, <br/>
<a id="pl.44.17"></a><var>44.17</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.44.18"></a><var>44.18</var><br/>
</td>
<td align="left" colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>6,259,280,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>6,212,085,000</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.44.19"></a><var>44.19</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.20"></a><var>44.20</var><br/>
</td>
<td align="left"></td>
<td align="center">2012<br/>
</td>
<td align="center">2013<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.21"></a><var>44.21</var><br/>
</td>
<td align="left">General<br/>
</td>
<td align="right">5,657,737,000<br/>
</td>
<td align="right">5,584,471,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.22"></a><var>44.22</var><br/>
<a id="pl.44.23"></a><var>44.23</var><br/>
</td>
<td align="left">State Government <br/>
                  		Special Revenue<br/>
</td>
<td align="right">3,565,000<br/>
</td>
<td align="right">3,565,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.24"></a><var>44.24</var><br/>
</td>
<td align="left">Health Care Access<br/>
</td>
<td align="right">330,435,000<br/>
</td>
<td align="right">353,283,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.25"></a><var>44.25</var><br/>
</td>
<td align="left">Federal TANF<br/>
</td>
<td align="right">265,378,000<br/>
</td>
<td align="right">268,101,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.26"></a><var>44.26</var><br/>
</td>
<td align="left">Lottery Prize<br/>
</td>
<td align="right">1,665,000<br/>
</td>
<td align="right">1,665,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.27"></a><var>44.27</var><br/>
</td>
<td align="left">Special Revenue<br/>
</td>
<td align="right">500,000<br/>
</td>
<td align="right">1,000,000<br/>
</td>
</tr>
</table><a id="pl.44.28"></a><var>44.28</var><b>Receipts for Systems Projects. </b><br/>
<a id="pl.44.29"></a><var>44.29</var>Appropriations and federal receipts for <br/>
<a id="pl.44.30"></a><var>44.30</var>information systems projects for MAXIS, <br/>
<a id="pl.44.31"></a><var>44.31</var>PRISM, MMIS, and SSIS must be deposited <br/>
<a id="pl.44.32"></a><var>44.32</var>in the state systems account authorized in <br/>
<a id="pl.44.33"></a><var>44.33</var>Minnesota Statutes, section 
         <statute_ref>256.014</statute_ref>. Money <br/>
<a id="pl.44.34"></a><var>44.34</var>appropriated for computer projects approved <br/>
<a id="pl.45.1"></a><var>45.1</var>by the Minnesota Office of Enterprise <br/>
<a id="pl.45.2"></a><var>45.2</var>Technology, funded by the legislature, <br/>
<a id="pl.45.3"></a><var>45.3</var>and approved by the commissioner <br/>
<a id="pl.45.4"></a><var>45.4</var>of management and budget, may be <br/>
<a id="pl.45.5"></a><var>45.5</var>transferred from one project to another <br/>
<a id="pl.45.6"></a><var>45.6</var>and from development to operations as the <br/>
<a id="pl.45.7"></a><var>45.7</var>commissioner of human services considers <br/>
<a id="pl.45.8"></a><var>45.8</var>necessary. Any unexpended balance in <br/>
<a id="pl.45.9"></a><var>45.9</var>the appropriation for these projects does <br/>
<a id="pl.45.10"></a><var>45.10</var>not cancel but is available for ongoing <br/>
<a id="pl.45.11"></a><var>45.11</var>development and operations.<br/>
<a id="pl.45.12"></a><var>45.12</var><b>Nonfederal Share Transfers. </b>The <br/>
<a id="pl.45.13"></a><var>45.13</var>nonfederal share of activities for which <br/>
<a id="pl.45.14"></a><var>45.14</var>federal administrative reimbursement is <br/>
<a id="pl.45.15"></a><var>45.15</var>appropriated to the commissioner may be <br/>
<a id="pl.45.16"></a><var>45.16</var>transferred to the special revenue fund.<br/>
<a id="pl.45.17"></a><var>45.17</var><b>TANF Maintenance of Effort.</b><br/>
<a id="pl.45.18"></a><var>45.18</var>(a) In order to meet the basic maintenance <br/>
<a id="pl.45.19"></a><var>45.19</var>of effort (MOE) requirements of the TANF <br/>
<a id="pl.45.20"></a><var>45.20</var>block grant specified under Code of Federal <br/>
<a id="pl.45.21"></a><var>45.21</var>Regulations, title 45, section 263.1, the <br/>
<a id="pl.45.22"></a><var>45.22</var>commissioner may only report nonfederal <br/>
<a id="pl.45.23"></a><var>45.23</var>money expended for allowable activities <br/>
<a id="pl.45.24"></a><var>45.24</var>listed in the following clauses as TANF/MOE <br/>
<a id="pl.45.25"></a><var>45.25</var>expenditures:<br/>
<a id="pl.45.26"></a><var>45.26</var>(1) MFIP cash, diversionary work program, <br/>
<a id="pl.45.27"></a><var>45.27</var>and food assistance benefits under Minnesota <br/>
<a id="pl.45.28"></a><var>45.28</var>Statutes, chapter 256J;<br/>
<a id="pl.45.29"></a><var>45.29</var>(2) the child care assistance programs <br/>
<a id="pl.45.30"></a><var>45.30</var>under Minnesota Statutes, sections 
         <statute_ref>119B.03</statute_ref> <br/>
<a id="pl.45.31"></a><var>45.31</var>and 
         <statute_ref>119B.05</statute_ref>, and county child care <br/>
<a id="pl.45.32"></a><var>45.32</var>administrative costs under Minnesota <br/>
<a id="pl.45.33"></a><var>45.33</var>Statutes, section 
         <statute_ref>119B.15</statute_ref>;<br/>
<a id="pl.46.1"></a><var>46.1</var>(3) state and county MFIP administrative <br/>
<a id="pl.46.2"></a><var>46.2</var>costs under Minnesota Statutes, chapters <br/>
<a id="pl.46.3"></a><var>46.3</var>256J and 256K;<br/>
<a id="pl.46.4"></a><var>46.4</var>(4) state, county, and tribal MFIP <br/>
<a id="pl.46.5"></a><var>46.5</var>employment services under Minnesota <br/>
<a id="pl.46.6"></a><var>46.6</var>Statutes, chapters 256J and 256K;<br/>
<a id="pl.46.7"></a><var>46.7</var>(5) expenditures made on behalf of legal <br/>
<a id="pl.46.8"></a><var>46.8</var>noncitizen MFIP recipients who qualify for <br/>
<a id="pl.46.9"></a><var>46.9</var>the MinnesotaCare program under Minnesota <br/>
<a id="pl.46.10"></a><var>46.10</var>Statutes, chapter 256L;<br/>
<a id="pl.46.11"></a><var>46.11</var>(6) qualifying working family credit <br/>
<a id="pl.46.12"></a><var>46.12</var>expenditures under Minnesota Statutes, <br/>
<a id="pl.46.13"></a><var>46.13</var>section 
         <statute_ref>290.0671</statute_ref>; and<br/>
<a id="pl.46.14"></a><var>46.14</var>(7) qualifying Minnesota education credit <br/>
<a id="pl.46.15"></a><var>46.15</var>expenditures under Minnesota Statutes, <br/>
<a id="pl.46.16"></a><var>46.16</var>section 
         <statute_ref>290.0674</statute_ref>.<br/>
<a id="pl.46.17"></a><var>46.17</var>(b) The commissioner shall ensure that <br/>
<a id="pl.46.18"></a><var>46.18</var>sufficient qualified nonfederal expenditures <br/>
<a id="pl.46.19"></a><var>46.19</var>are made each year to meet the state's <br/>
<a id="pl.46.20"></a><var>46.20</var>TANF/MOE requirements. For the activities <br/>
<a id="pl.46.21"></a><var>46.21</var>listed in paragraph (a), clauses (2) to <br/>
<a id="pl.46.22"></a><var>46.22</var>(7), the commissioner may only report <br/>
<a id="pl.46.23"></a><var>46.23</var>expenditures that are excluded from the <br/>
<a id="pl.46.24"></a><var>46.24</var>definition of assistance under Code of <br/>
<a id="pl.46.25"></a><var>46.25</var>Federal Regulations, title 45, section 
         <statute_ref>260.31</statute_ref>.<br/>
<a id="pl.46.26"></a><var>46.26</var>(c) For fiscal years beginning with state fiscal <br/>
<a id="pl.46.27"></a><var>46.27</var>year 2003, the commissioner shall assure <br/>
<a id="pl.46.28"></a><var>46.28</var>that the maintenance of effort used by the <br/>
<a id="pl.46.29"></a><var>46.29</var>commissioner of management and budget <br/>
<a id="pl.46.30"></a><var>46.30</var>for the February and November forecasts <br/>
<a id="pl.46.31"></a><var>46.31</var>required under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.46.32"></a><var>46.32</var>16A.103
         </statute_ref>, contains expenditures under <br/>
<a id="pl.46.33"></a><var>46.33</var>paragraph (a), clause (1), equal to at least 16 <br/>
<a id="pl.46.34"></a><var>46.34</var>percent of the total required under Code of <br/>
<a id="pl.46.35"></a><var>46.35</var>Federal Regulations, title 45, section 263.1.<br/>
<a id="pl.47.1"></a><var>47.1</var>(d) Minnesota Statutes, section 
         <statute_ref>256.011, <br/>
<a id="pl.47.2"></a><var>47.2</var>subdivision 3
         </statute_ref>, which requires that federal <br/>
<a id="pl.47.3"></a><var>47.3</var>grants or aids secured or obtained under that <br/>
<a id="pl.47.4"></a><var>47.4</var>subdivision be used to reduce any direct <br/>
<a id="pl.47.5"></a><var>47.5</var>appropriations provided by law, do not apply <br/>
<a id="pl.47.6"></a><var>47.6</var>if the grants or aids are federal TANF funds.<br/>
<a id="pl.47.7"></a><var>47.7</var>(e) For the federal fiscal years beginning on <br/>
<a id="pl.47.8"></a><var>47.8</var>or after October 1, 2007, the commissioner <br/>
<a id="pl.47.9"></a><var>47.9</var>may not claim an amount of TANF/MOE in <br/>
<a id="pl.47.10"></a><var>47.10</var>excess of the 75 percent standard in Code <br/>
<a id="pl.47.11"></a><var>47.11</var>of Federal Regulations, title 45, section <br/>
<a id="pl.47.12"></a><var>47.12</var>263.1(a)(2), except:<br/>
<a id="pl.47.13"></a><var>47.13</var>(1) to the extent necessary to meet the 80 <br/>
<a id="pl.47.14"></a><var>47.14</var>percent standard under Code of Federal <br/>
<a id="pl.47.15"></a><var>47.15</var>Regulations, title 45, section 263.1(a)(1), <br/>
<a id="pl.47.16"></a><var>47.16</var>if it is determined by the commissioner <br/>
<a id="pl.47.17"></a><var>47.17</var>that the state will not meet the TANF work <br/>
<a id="pl.47.18"></a><var>47.18</var>participation target rate for the current year; <br/>
<a id="pl.47.19"></a><var>47.19</var>(2) to provide any additional amounts <br/>
<a id="pl.47.20"></a><var>47.20</var>under Code of Federal Regulations, title 45, <br/>
<a id="pl.47.21"></a><var>47.21</var>section 264.5, that relate to replacement of <br/>
<a id="pl.47.22"></a><var>47.22</var>TANF funds due to the operation of TANF <br/>
<a id="pl.47.23"></a><var>47.23</var>penalties; and<br/>
<a id="pl.47.24"></a><var>47.24</var>(3) to provide any additional amounts that <br/>
<a id="pl.47.25"></a><var>47.25</var>may contribute to avoiding or reducing <br/>
<a id="pl.47.26"></a><var>47.26</var>TANF work participation penalties through <br/>
<a id="pl.47.27"></a><var>47.27</var>the operation of the excess MOE provisions <br/>
<a id="pl.47.28"></a><var>47.28</var>of Code of Federal Regulations, title 45, <br/>
<a id="pl.47.29"></a><var>47.29</var>section 
         <statute_ref>261.43 </statute_ref>(a)(2). <br/>
<a id="pl.47.30"></a><var>47.30</var>For the purposes of clauses (1) to (3), <br/>
<a id="pl.47.31"></a><var>47.31</var>the commissioner may supplement the <br/>
<a id="pl.47.32"></a><var>47.32</var>MOE claim with working family credit <br/>
<a id="pl.47.33"></a><var>47.33</var>expenditures or other qualified expenditures <br/>
<a id="pl.47.34"></a><var>47.34</var>to the extent such expenditures are otherwise <br/>
<a id="pl.48.1"></a><var>48.1</var>available after considering the expenditures <br/>
<a id="pl.48.2"></a><var>48.2</var>allowed in this subdivision. <br/>
<a id="pl.48.3"></a><var>48.3</var>(f) Notwithstanding any contrary provision <br/>
<a id="pl.48.4"></a><var>48.4</var>in this article, paragraphs (a) to (e) expire <br/>
<a id="pl.48.5"></a><var>48.5</var>June 30, 2015.<br/>
<a id="pl.48.6"></a><var>48.6</var><b>Working Family Credit Expenditures </b><br/>
<a id="pl.48.7"></a><var>48.7</var><b>as TANF/MOE. </b>The commissioner may <br/>
<a id="pl.48.8"></a><var>48.8</var>claim as TANF maintenance of effort up to <br/>
<a id="pl.48.9"></a><var>48.9</var>$6,707,000 per year of working family credit <br/>
<a id="pl.48.10"></a><var>48.10</var>expenditures for fiscal years 2012 and 2013.<br/>
<a id="pl.48.11"></a><var>48.11</var><b>Working Family Credit Expenditures </b><br/>
<a id="pl.48.12"></a><var>48.12</var><b>to be Claimed for TANF/MOE. </b>The <br/>
<a id="pl.48.13"></a><var>48.13</var>commissioner may count the following <br/>
<a id="pl.48.14"></a><var>48.14</var>amounts of working family credit <br/>
<a id="pl.48.15"></a><var>48.15</var>expenditures as TANF/MOE:<br/>
<a id="pl.48.16"></a><var>48.16</var>(1) fiscal year 2012, $23,692,000 <br/>
<a id="pl.48.17"></a><var>48.17</var>$23,761,000;<br/>
<a id="pl.48.18"></a><var>48.18</var>(2) fiscal year 2013, $44,969,000 <br/>
<a id="pl.48.19"></a><var>48.19</var>$48,738,000;<br/>
<a id="pl.48.20"></a><var>48.20</var>(3) fiscal year 2014, $32,579,000 <br/>
<a id="pl.48.21"></a><var>48.21</var>$32,665,000; and<br/>
<a id="pl.48.22"></a><var>48.22</var>(4) fiscal year 2015, $32,476,000 <br/>
<a id="pl.48.23"></a><var>48.23</var>$32,590,000.<br/>
<a id="pl.48.24"></a><var>48.24</var>Notwithstanding any contrary provision in <br/>
<a id="pl.48.25"></a><var>48.25</var>this article, this rider expires June 30, 2015.<br/>
<a id="pl.48.26"></a><var>48.26</var><b>TANF Transfer to Federal Child Care </b><br/>
<a id="pl.48.27"></a><var>48.27</var><b>and Development Fund.</b> (a) The following <br/>
<a id="pl.48.28"></a><var>48.28</var>TANF fund amounts are appropriated <br/>
<a id="pl.48.29"></a><var>48.29</var>to the commissioner for purposes of <br/>
<a id="pl.48.30"></a><var>48.30</var>MFIP/Transition Year Child Care Assistance <br/>
<a id="pl.48.31"></a><var>48.31</var>under Minnesota Statutes, section 
         <statute_ref>119B.05</statute_ref>:<br/>
<a id="pl.48.32"></a><var>48.32</var>(1) fiscal year 2012, $10,020,000;<br/>
<a id="pl.48.33"></a><var>48.33</var>(2) fiscal year 2013, $28,020,000;<br/>
<a id="pl.49.1"></a><var>49.1</var>(3) fiscal year 2014, $14,020,000; and<br/>
<a id="pl.49.2"></a><var>49.2</var>(4) fiscal year 2015, $14,020,000.<br/>
<a id="pl.49.3"></a><var>49.3</var>(b) The commissioner shall authorize the <br/>
<a id="pl.49.4"></a><var>49.4</var>transfer of sufficient TANF funds to the <br/>
<a id="pl.49.5"></a><var>49.5</var>federal child care and development fund to <br/>
<a id="pl.49.6"></a><var>49.6</var>meet this appropriation and shall ensure that <br/>
<a id="pl.49.7"></a><var>49.7</var>all transferred funds are expended according <br/>
<a id="pl.49.8"></a><var>49.8</var>to federal child care and development fund <br/>
<a id="pl.49.9"></a><var>49.9</var>regulations.<br/>
<a id="pl.49.10"></a><var>49.10</var><b>Food Stamps Employment and Training </b><br/>
<a id="pl.49.11"></a><var>49.11</var><b>Funds. </b>(a) Notwithstanding Minnesota <br/>
<a id="pl.49.12"></a><var>49.12</var>Statutes, sections 
         <statute_ref>256D.051, subdivisions 1a</statute_ref>, <br/>
<a id="pl.49.13"></a><var>49.13</var>6b, and 6c, and 
         <statute_ref>256J.626</statute_ref>, federal food stamps <br/>
<a id="pl.49.14"></a><var>49.14</var>employment and training funds received <br/>
<a id="pl.49.15"></a><var>49.15</var>as reimbursement for child care assistance <br/>
<a id="pl.49.16"></a><var>49.16</var>program expenditures must be deposited in <br/>
<a id="pl.49.17"></a><var>49.17</var>the general fund. The amount of funds must <br/>
<a id="pl.49.18"></a><var>49.18</var>be limited to $500,000 per year in fiscal <br/>
<a id="pl.49.19"></a><var>49.19</var>years 2012 through 2015, contingent upon <br/>
<a id="pl.49.20"></a><var>49.20</var>approval by the federal Food and Nutrition <br/>
<a id="pl.49.21"></a><var>49.21</var>Service.<br/>
<a id="pl.49.22"></a><var>49.22</var>(b) Consistent with the receipt of these <br/>
<a id="pl.49.23"></a><var>49.23</var>federal funds, the commissioner may <br/>
<a id="pl.49.24"></a><var>49.24</var>adjust the level of working family credit <br/>
<a id="pl.49.25"></a><var>49.25</var>expenditures claimed as TANF maintenance <br/>
<a id="pl.49.26"></a><var>49.26</var>of effort. Notwithstanding any contrary <br/>
<a id="pl.49.27"></a><var>49.27</var>provision in this article, this rider expires <br/>
<a id="pl.49.28"></a><var>49.28</var>June 30, 2015.<br/>
<a id="pl.49.29"></a><var>49.29</var><b>ARRA Food Support Benefit Increases. </b><br/>
<a id="pl.49.30"></a><var>49.30</var>The funds provided for food support benefit <br/>
<a id="pl.49.31"></a><var>49.31</var>increases under the Supplemental Nutrition <br/>
<a id="pl.49.32"></a><var>49.32</var>Assistance Program provisions of the <br/>
<a id="pl.49.33"></a><var>49.33</var>American Recovery and Reinvestment Act <br/>
<a id="pl.49.34"></a><var>49.34</var>(ARRA) of 2009 must be used for benefit <br/>
<a id="pl.49.35"></a><var>49.35</var>increases beginning July 1, 2009.<br/>
<a id="pl.50.1"></a><var>50.1</var><b>Supplemental Security Interim Assistance </b><br/>
<a id="pl.50.2"></a><var>50.2</var><b>Reimbursement Funds. </b>$2,800,000 of <br/>
<a id="pl.50.3"></a><var>50.3</var>uncommitted revenue available to the <br/>
<a id="pl.50.4"></a><var>50.4</var>commissioner of human services for SSI <br/>
<a id="pl.50.5"></a><var>50.5</var>advocacy and outreach services must be <br/>
<a id="pl.50.6"></a><var>50.6</var>transferred to and deposited into the general <br/>
<a id="pl.50.7"></a><var>50.7</var>fund by October 1, 2011.<br/>
<br/>
<a id="bill.3.9.0"></a><a id="pl.50.8"></a><var>50.8</var>    Sec. 9. <b>DIRECTIONS TO THE COMMISSIONER.</b><br/>
<a id="pl.50.9"></a><var>50.9</var>The commissioner of human services, in consultation with the commissioner of <br/>
<a id="pl.50.10"></a><var>50.10</var>public safety, shall report to the chairs and ranking minority members of the legislative <br/>
<a id="pl.50.11"></a><var>50.11</var>committees with jurisdiction over health and human services policy and finance regarding <br/>
<a id="pl.50.12"></a><var>50.12</var>the implementation of Minnesota Statutes, section 256.01, subdivisions 18d, 18e, and 18f, <br/>
<a id="pl.50.13"></a><var>50.13</var>the number of persons affected, and fiscal impact by program by April 1, 2013.<br/>
<a id="pl.50.14"></a><var>50.14</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2013.<br/>
<br/>
<a id="bill.4.0.0"></a>

<a id="bill.4.1.0"></a><a id="pl.50.17"></a><var>50.17</var>    Section 1. Minnesota Statutes 2010, section 62J.496, subdivision 2, is amended to read:<br/>
<a id="pl.50.18"></a><var>50.18</var>    Subd. 2. <b>Eligibility.</b> (a) "Eligible borrower" means one of the following:<br/>
<a id="pl.50.19"></a><var>50.19</var>(1) federally qualified health centers;<br/>
<a id="pl.50.20"></a><var>50.20</var>    (2) community clinics, as defined under section 
         <statute_ref>145.9268</statute_ref>;<br/>
<a id="pl.50.21"></a><var>50.21</var>    (3) nonprofit or local unit of government hospitals licensed under sections 
         <statute_ref>144.50 <br/>
</statute_ref><a id="pl.50.22"></a><var>50.22</var>to 
         <statute_ref>144.56</statute_ref>;<br/>
<a id="pl.50.23"></a><var>50.23</var>(4) individual or small group physician practices that are focused primarily on <br/>
<a id="pl.50.24"></a><var>50.24</var>primary care;<br/>
<a id="pl.50.25"></a><var>50.25</var>    (5) nursing facilities licensed under sections 
         <statute_ref>144A.01</statute_ref> to 
         <statute_ref>144A.27</statute_ref>;<br/>
<a id="pl.50.26"></a><var>50.26</var>(6) local public health departments as defined in chapter 145A; and<br/>
<a id="pl.50.27"></a><var>50.27</var>    (7) other providers of health or health care services approved by the commissioner <br/>
<a id="pl.50.28"></a><var>50.28</var>for which interoperable electronic health record capability would improve quality of <br/>
<a id="pl.50.29"></a><var>50.29</var>care, patient safety, or community health.<br/>
<a id="pl.50.30"></a><var>50.30</var>(b) The commissioner shall administer the loan fund to prioritize support and <br/>
<a id="pl.50.31"></a><var>50.31</var>assistance to:<br/>
<a id="pl.50.32"></a><var>50.32</var>(1) critical access hospitals;<br/>
<a id="pl.50.33"></a><var>50.33</var>(2) federally qualified health centers;<br/>
<a id="pl.51.1"></a><var>51.1</var>(3) entities that serve uninsured, underinsured, and medically underserved <br/>
<a id="pl.51.2"></a><var>51.2</var>individuals, regardless of whether such area is urban or rural; and<br/>
<a id="pl.51.3"></a><var>51.3</var>(4) individual or small group practices that are primarily focused on primary care;<br/>
<a id="pl.51.4"></a><var>51.4</var>(5) nursing facilities certified to participate in the medical assistance program; and<br/>
<a id="pl.51.5"></a><var>51.5</var>(6) providers enrolled in the elderly waiver program of customized living or 24-hour <br/>
<a id="pl.51.6"></a><var>51.6</var>customized living of the medical assistance program, if at least half of their annual <br/>
<a id="pl.51.7"></a><var>51.7</var>operating revenue is paid under that medical assistance program.<br/>
<a id="pl.51.8"></a><var>51.8</var>    (c) An eligible applicant must submit a loan application to the commissioner of <br/>
<a id="pl.51.9"></a><var>51.9</var>health on forms prescribed by the commissioner. The application must include, at a <br/>
<a id="pl.51.10"></a><var>51.10</var>minimum:<br/>
<a id="pl.51.11"></a><var>51.11</var>    (1) the amount of the loan requested and a description of the purpose or project <br/>
<a id="pl.51.12"></a><var>51.12</var>for which the loan proceeds will be used;<br/>
<a id="pl.51.13"></a><var>51.13</var>    (2) a quote from a vendor;<br/>
<a id="pl.51.14"></a><var>51.14</var>    (3) a description of the health care entities and other groups participating in the <br/>
<a id="pl.51.15"></a><var>51.15</var>project;<br/>
<a id="pl.51.16"></a><var>51.16</var>    (4) evidence of financial stability and a demonstrated ability to repay the loan; and<br/>
<a id="pl.51.17"></a><var>51.17</var>    (5) a description of how the system to be financed interoperates or plans in the <br/>
<a id="pl.51.18"></a><var>51.18</var>future to interoperate with other health care entities and provider groups located in the <br/>
<a id="pl.51.19"></a><var>51.19</var>same geographical area;<br/>
<a id="pl.51.20"></a><var>51.20</var>(6) a plan on how the certified electronic health record technology will be maintained <br/>
<a id="pl.51.21"></a><var>51.21</var>and supported over time; and<br/>
<a id="pl.51.22"></a><var>51.22</var>(7) any other requirements for applications included or developed pursuant to <br/>
<a id="pl.51.23"></a><var>51.23</var>section 3014 of the HITECH Act.<br/>
<br/>
<a id="bill.4.2.0"></a><a id="pl.51.24"></a><var>51.24</var>    Sec. 2. <b>[144.595] HOSPITAL FUTILITY POLICY.</b><br/>
<a id="pl.51.25"></a><var>51.25</var>(a) A hospital licensed under sections 144.50 to 144.56 that adopts or implements a <br/>
<a id="pl.51.26"></a><var>51.26</var>futility policy that applies to treatment of any child, from birth to 18 years of age, must <br/>
<a id="pl.51.27"></a><var>51.27</var>disclose the futility policy to the parents of children treated at the hospital when the <br/>
<a id="pl.51.28"></a><var>51.28</var>hospital identifies the need for a formal process to address concerns over the proposed <br/>
<a id="pl.51.29"></a><var>51.29</var>treatment of a child. The hospital must, upon request of a parent of a patient or prospective <br/>
<a id="pl.51.30"></a><var>51.30</var>patient, provide a copy of the current policy, if any.<br/>
<a id="pl.51.31"></a><var>51.31</var>(b) For purposes of this section, a "futility policy" is any written policy that <br/>
<a id="pl.51.32"></a><var>51.32</var>encourages or allows hospital employees, or other medical professionals who provide <br/>
<a id="pl.51.33"></a><var>51.33</var>care to patients at the hospital, to withhold or discontinue treatment for a patient on the <br/>
<a id="pl.51.34"></a><var>51.34</var>grounds of medical futility.<br/>
<br/>
<a id="bill.4.3.0"></a><a id="pl.52.1"></a><var>52.1</var>    Sec. 3. Minnesota Statutes 2010, section 144A.073, is amended by adding a <br/>
<a id="pl.52.2"></a><var>52.2</var>subdivision to read:<br/>
<a id="pl.52.3"></a><var>52.3</var>    Subd. 13. <b>Moratorium exception funding.</b> In fiscal year 2013, the commissioner <br/>
<a id="pl.52.4"></a><var>52.4</var>of health may approve moratorium exception projects under this section for which the full <br/>
<a id="pl.52.5"></a><var>52.5</var>annualized state share of medical assistance costs does not exceed $1,000,000.<br/>
<br/>
<a id="bill.4.4.0"></a><a id="pl.52.6"></a><var>52.6</var>    Sec. 4. Minnesota Statutes 2010, section 144A.351, is amended to read:<br/>
<a id="pl.52.7"></a><var>52.7</var><b>144A.351 BALANCING LONG-TERM CARE</b><b> SERVICES AND SUPPORTS</b><b>: </b><br/>
<a id="pl.52.8"></a><var>52.8</var><b>REPORT REQUIRED.</b><br/>
<a id="pl.52.9"></a><var>52.9</var>    The commissioners of health and human services, with the cooperation of counties <br/>
<a id="pl.52.10"></a><var>52.10</var>and stakeholders, including persons who need or are using long-term care services and <br/>
<a id="pl.52.11"></a><var>52.11</var>supports; lead agencies; regional entities,; senior, mental health, and disability organization <br/>
<a id="pl.52.12"></a><var>52.12</var>representatives; services providers; and community members, including representatives of <br/>
<a id="pl.52.13"></a><var>52.13</var>local business and faith communities shall prepare a report to the legislature by August 15, <br/>
<a id="pl.52.14"></a><var>52.14</var>2004 2013, and biennially thereafter, regarding the status of the full range of long-term <br/>
<a id="pl.52.15"></a><var>52.15</var>care services and supports for the elderly and children and adults with disabilities and <br/>
<a id="pl.52.16"></a><var>52.16</var>mental illnesses in Minnesota. The report shall address:<br/>
<a id="pl.52.17"></a><var>52.17</var>    (1) demographics and need for long-term care services and supports in Minnesota;<br/>
<a id="pl.52.18"></a><var>52.18</var>    (2) summary of county and regional reports on long-term care gaps, surpluses, <br/>
<a id="pl.52.19"></a><var>52.19</var>imbalances, and corrective action plans;<br/>
<a id="pl.52.20"></a><var>52.20</var>    (3) status of long-term care services by county and region including:<br/>
<a id="pl.52.21"></a><var>52.21</var>    (i) changes in availability of the range of long-term care services and housing <br/>
<a id="pl.52.22"></a><var>52.22</var>options;<br/>
<a id="pl.52.23"></a><var>52.23</var>    (ii) access problems regarding long-term care services; and<br/>
<a id="pl.52.24"></a><var>52.24</var>    (iii) comparative measures of long-term care services availability and progress <br/>
<a id="pl.52.25"></a><var>52.25</var>changes over time; and<br/>
<a id="pl.52.26"></a><var>52.26</var>    (4) recommendations regarding goals for the future of long-term care services, <br/>
<a id="pl.52.27"></a><var>52.27</var>policy  and fiscal changes, and resource needs.<br/>
<br/>
<a id="bill.4.5.0"></a><a id="pl.52.28"></a><var>52.28</var>    Sec. 5. Minnesota Statutes 2010, section 245A.03, 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. 6a. <b>Adult foster care homes serving people with mental illness; </b><br/>
<a id="pl.52.31"></a><var>52.31</var><b>certification.</b> (a) The commissioner of human services shall issue a mental health <br/>
<a id="pl.52.32"></a><var>52.32</var>certification for adult foster care homes licensed under this chapter and Minnesota Rules, <br/>
<a id="pl.52.33"></a><var>52.33</var>parts 9555.5105 to 9555.6265, that serve people with mental illness where the home is not <br/>
<a id="pl.52.34"></a><var>52.34</var>the primary residence of the license holder when a provider is determined to have met <br/>
<a id="pl.53.1"></a><var>53.1</var>the requirements under paragraph (b). This certification is voluntary for license holders. <br/>
<a id="pl.53.2"></a><var>53.2</var>The certification shall be printed on the license, and identified on the commissioner's <br/>
<a id="pl.53.3"></a><var>53.3</var>public Web site.<br/>
<a id="pl.53.4"></a><var>53.4</var>(b) The requirements for certification are:<br/>
<a id="pl.53.5"></a><var>53.5</var>(1) all staff working in the adult foster care home have received at least seven hours <br/>
<a id="pl.53.6"></a><var>53.6</var>of annual training covering all of the following topics:<br/>
<a id="pl.53.7"></a><var>53.7</var>(i) mental health diagnoses;<br/>
<a id="pl.53.8"></a><var>53.8</var>(ii) mental health crisis response and de-escalation techniques;<br/>
<a id="pl.53.9"></a><var>53.9</var>(iii) recovery from mental illness;<br/>
<a id="pl.53.10"></a><var>53.10</var>(iv) treatment options including evidence-based practices;<br/>
<a id="pl.53.11"></a><var>53.11</var>(v) medications and their side effects;<br/>
<a id="pl.53.12"></a><var>53.12</var>(vi) co-occurring substance abuse and health conditions; and<br/>
<a id="pl.53.13"></a><var>53.13</var>(vii) community resources;<br/>
<a id="pl.53.14"></a><var>53.14</var>(2) a mental health professional, as defined in section 245.462, subdivision 18, or <br/>
<a id="pl.53.15"></a><var>53.15</var>a mental health practitioner as defined in section 245.462, subdivision 17, are available <br/>
<a id="pl.53.16"></a><var>53.16</var>for consultation and assistance;<br/>
<a id="pl.53.17"></a><var>53.17</var>(3) there is a plan and protocol in place to address a mental health crisis; and<br/>
<a id="pl.53.18"></a><var>53.18</var>(4) each individual's Individual Placement Agreement identifies who is providing <br/>
<a id="pl.53.19"></a><var>53.19</var>clinical services and their contact information, and includes an individual crisis prevention <br/>
<a id="pl.53.20"></a><var>53.20</var>and management plan developed with the individual.<br/>
<a id="pl.53.21"></a><var>53.21</var>(c) License holders seeking certification under this subdivision must request this <br/>
<a id="pl.53.22"></a><var>53.22</var>certification on forms provided by the commissioner and must submit the request to the <br/>
<a id="pl.53.23"></a><var>53.23</var>county licensing agency in which the home is located. The county licensing agency must <br/>
<a id="pl.53.24"></a><var>53.24</var>forward the request to the commissioner with a county recommendation regarding whether <br/>
<a id="pl.53.25"></a><var>53.25</var>the commissioner should issue the certification.<br/>
<a id="pl.53.26"></a><var>53.26</var>(d) Ongoing compliance with the certification requirements under paragraph (b) <br/>
<a id="pl.53.27"></a><var>53.27</var>shall be reviewed by the county licensing agency at each licensing review. When a county <br/>
<a id="pl.53.28"></a><var>53.28</var>licensing agency determines that the requirements of paragraph (b) are not met, the county <br/>
<a id="pl.53.29"></a><var>53.29</var>shall inform the commissioner, and the commissioner will remove the certification.<br/>
<a id="pl.53.30"></a><var>53.30</var>(e) A denial of the certification or the removal of the certification based on a <br/>
<a id="pl.53.31"></a><var>53.31</var>determination that the requirements under paragraph (b) have not been met by the adult <br/>
<a id="pl.53.32"></a><var>53.32</var>foster care license holder are not subject to appeal. A license holder that has been denied a <br/>
<a id="pl.53.33"></a><var>53.33</var>certification or that has had a certification removed may again request certification when <br/>
<a id="pl.53.34"></a><var>53.34</var>the license holder is in compliance with the requirements of paragraph (b).<br/>
<br/>
<a id="bill.4.6.0"></a><a id="pl.54.1"></a><var>54.1</var>    Sec. 6. Minnesota Statutes 2011 Supplement, section 245A.03, subdivision 7, is <br/>
<a id="pl.54.2"></a><var>54.2</var>amended to read:<br/>
<a id="pl.54.3"></a><var>54.3</var>    Subd. 7. <b>Licensing moratorium.</b> (a) The commissioner shall not issue an <br/>
<a id="pl.54.4"></a><var>54.4</var>initial license for child foster care licensed under Minnesota Rules, parts 2960.3000 to <br/>
<a id="pl.54.5"></a><var>54.5</var>2960.3340, or adult foster care licensed under Minnesota Rules, parts 9555.5105 to <br/>
<a id="pl.54.6"></a><var>54.6</var>9555.6265, under this chapter for a physical location that will not be the primary residence <br/>
<a id="pl.54.7"></a><var>54.7</var>of the license holder for the entire period of licensure. If a license is issued during this <br/>
<a id="pl.54.8"></a><var>54.8</var>moratorium, and the license holder changes the license holder's primary residence away <br/>
<a id="pl.54.9"></a><var>54.9</var>from the physical location of the foster care license, the commissioner shall revoke the <br/>
<a id="pl.54.10"></a><var>54.10</var>license according to section 
         <statute_ref>245A.07</statute_ref>. Exceptions to the moratorium include:<br/>
<a id="pl.54.11"></a><var>54.11</var>(1) foster care settings that are required to be registered under chapter 144D;<br/>
<a id="pl.54.12"></a><var>54.12</var>(2) foster care licenses replacing foster care licenses in existence on May 15, 2009, <br/>
<a id="pl.54.13"></a><var>54.13</var>and determined to be needed by the commissioner under paragraph (b);<br/>
<a id="pl.54.14"></a><var>54.14</var>(3) new foster care licenses determined to be needed by the commissioner under <br/>
<a id="pl.54.15"></a><var>54.15</var>paragraph (b) for the closure of a nursing facility, ICF/MR, or regional treatment center, or <br/>
<a id="pl.54.16"></a><var>54.16</var>restructuring of state-operated services that limits the capacity of state-operated facilities;<br/>
<a id="pl.54.17"></a><var>54.17</var>(4) new foster care licenses determined to be needed by the commissioner under <br/>
<a id="pl.54.18"></a><var>54.18</var>paragraph (b) for persons requiring hospital level care; or<br/>
<a id="pl.54.19"></a><var>54.19</var>(5) new foster care licenses determined to be needed by the commissioner for the <br/>
<a id="pl.54.20"></a><var>54.20</var>transition of people from personal care assistance to the home and community-based <br/>
<a id="pl.54.21"></a><var>54.21</var>services.<br/>
<a id="pl.54.22"></a><var>54.22</var>(b) The commissioner shall determine the need for newly licensed foster care homes <br/>
<a id="pl.54.23"></a><var>54.23</var>as defined under this subdivision. As part of the determination, the commissioner shall <br/>
<a id="pl.54.24"></a><var>54.24</var>consider the availability of foster care capacity in the area in which the licensee seeks to <br/>
<a id="pl.54.25"></a><var>54.25</var>operate, and the recommendation of the local county board. The determination by the <br/>
<a id="pl.54.26"></a><var>54.26</var>commissioner must be final. A determination of need is not required for a change in <br/>
<a id="pl.54.27"></a><var>54.27</var>ownership at the same address.<br/>
<a id="pl.54.28"></a><var>54.28</var>    (c) Residential settings that would otherwise be subject to the moratorium established <br/>
<a id="pl.54.29"></a><var>54.29</var>in paragraph (a), that are in the process of receiving an adult or child foster care license as <br/>
<a id="pl.54.30"></a><var>54.30</var>of July 1, 2009, shall be allowed to continue to complete the process of receiving an adult <br/>
<a id="pl.54.31"></a><var>54.31</var>or child foster care license. For this paragraph, all of the following conditions must be met <br/>
<a id="pl.54.32"></a><var>54.32</var>to be considered in the process of receiving an adult or child foster care license:<br/>
<a id="pl.54.33"></a><var>54.33</var>    (1) participants have made decisions to move into the residential setting, including <br/>
<a id="pl.54.34"></a><var>54.34</var>documentation in each participant's care plan;<br/>
<a id="pl.54.35"></a><var>54.35</var>    (2) the provider has purchased housing or has made a financial investment in the <br/>
<a id="pl.54.36"></a><var>54.36</var>property;<br/>
<a id="pl.55.1"></a><var>55.1</var>    (3) the lead agency has approved the plans, including costs for the residential setting <br/>
<a id="pl.55.2"></a><var>55.2</var>for each individual;<br/>
<a id="pl.55.3"></a><var>55.3</var>    (4) the completion of the licensing process, including all necessary inspections, is <br/>
<a id="pl.55.4"></a><var>55.4</var>the only remaining component prior to being able to provide services; and<br/>
<a id="pl.55.5"></a><var>55.5</var>    (5) the needs of the individuals cannot be met within the existing capacity in that <br/>
<a id="pl.55.6"></a><var>55.6</var>county.<br/>
<a id="pl.55.7"></a><var>55.7</var>To qualify for the process under this paragraph, the lead agency must submit <br/>
<a id="pl.55.8"></a><var>55.8</var>documentation to the commissioner by August 1, 2009, that all of the above criteria are <br/>
<a id="pl.55.9"></a><var>55.9</var>met.<br/>
<a id="pl.55.10"></a><var>55.10</var>(d) The commissioner shall study the effects of the license moratorium under this <br/>
<a id="pl.55.11"></a><var>55.11</var>subdivision and shall report back to the legislature by January 15, 2011. This study shall <br/>
<a id="pl.55.12"></a><var>55.12</var>include, but is not limited to the following:<br/>
<a id="pl.55.13"></a><var>55.13</var>(1) the overall capacity and utilization of foster care beds where the physical location <br/>
<a id="pl.55.14"></a><var>55.14</var>is not the primary residence of the license holder prior to and after implementation <br/>
<a id="pl.55.15"></a><var>55.15</var>of the moratorium;<br/>
<a id="pl.55.16"></a><var>55.16</var>(2) the overall capacity and utilization of foster care beds where the physical <br/>
<a id="pl.55.17"></a><var>55.17</var>location is the primary residence of the license holder prior to and after implementation <br/>
<a id="pl.55.18"></a><var>55.18</var>of the moratorium; and<br/>
<a id="pl.55.19"></a><var>55.19</var>(3) the number of licensed and occupied ICF/MR beds prior to and after <br/>
<a id="pl.55.20"></a><var>55.20</var>implementation of the moratorium.<br/>
<a id="pl.55.21"></a><var>55.21</var>(e) When a foster care recipient moves out of a foster home that is not the primary <br/>
<a id="pl.55.22"></a><var>55.22</var>residence of the license holder according to section 
         <statute_ref>256B.49, subdivision 15</statute_ref>, paragraph <br/>
<a id="pl.55.23"></a><var>55.23</var>(f), the county shall immediately inform the Department of Human Services Licensing <br/>
<a id="pl.55.24"></a><var>55.24</var>Division, and. The department shall immediately decrease the licensed capacity for the <br/>
<a id="pl.55.25"></a><var>55.25</var>home, if the voluntary changes described in paragraph (g) are not sufficient to meet the <br/>
<a id="pl.55.26"></a><var>55.26</var>savings required by 2011 reductions in licensed bed capacity and maintain statewide <br/>
<a id="pl.55.27"></a><var>55.27</var>long-term care residential services capacity within budgetary limits. The commissioner <br/>
<a id="pl.55.28"></a><var>55.28</var>shall delicense up to 128 beds by June 30, 2013, using the needs determination process. <br/>
<a id="pl.55.29"></a><var>55.29</var>Under this paragraph, the commissioner has the authority to reduce unused licensed <br/>
<a id="pl.55.30"></a><var>55.30</var>capacity of a current foster care program to accomplish the consolidation or closure of <br/>
<a id="pl.55.31"></a><var>55.31</var>settings. A decreased licensed capacity according to this paragraph is not subject to appeal <br/>
<a id="pl.55.32"></a><var>55.32</var>under this chapter.<br/>
<a id="pl.55.33"></a><var>55.33</var>(f) Residential settings that would otherwise be subject to the decreased license <br/>
<a id="pl.55.34"></a><var>55.34</var>capacity established in paragraph (e) shall be exempt under the following circumstances:<br/>
<a id="pl.55.35"></a><var>55.35</var>(1) until August 1, 2013, the license holder's beds occupied by residents whose <br/>
<a id="pl.55.36"></a><var>55.36</var>primary diagnosis is mental illness and the license holder is:<br/>
<a id="pl.56.1"></a><var>56.1</var>(i) a provider of assertive community treatment (ACT) or adult rehabilitative mental <br/>
<a id="pl.56.2"></a><var>56.2</var>health services (ARMHS) as defined in section 256B.0623;<br/>
<a id="pl.56.3"></a><var>56.3</var>(ii) a mental health center certified under Minnesota Rules, parts 9520.0750 to <br/>
<a id="pl.56.4"></a><var>56.4</var>9520.0870;<br/>
<a id="pl.56.5"></a><var>56.5</var>(iii) a mental health clinic certified under Minnesota Rules, parts 9520.0750 to <br/>
<a id="pl.56.6"></a><var>56.6</var>9520.0870; or<br/>
<a id="pl.56.7"></a><var>56.7</var>(iv) a provider of intensive residential treatment services (IRTS) licensed under <br/>
<a id="pl.56.8"></a><var>56.8</var>Minnesota Rules, parts 9520.0500 to 9520.0670; or<br/>
<a id="pl.56.9"></a><var>56.9</var>(2) the license holder is certified under the requirements in subdivision 6a.<br/>
<a id="pl.56.10"></a><var>56.10</var>(g) A resource need determination process, managed at the state level, using the <br/>
<a id="pl.56.11"></a><var>56.11</var>available reports required by section 144A.351, and other data and information shall <br/>
<a id="pl.56.12"></a><var>56.12</var>be used to determine where the reduced capacity required under paragraph (e) will be <br/>
<a id="pl.56.13"></a><var>56.13</var>implemented. The commissioner shall consult with the stakeholders described in section <br/>
<a id="pl.56.14"></a><var>56.14</var>144A.351, and employ a variety of methods to improve the state's capacity to meet <br/>
<a id="pl.56.15"></a><var>56.15</var>long-term care service needs within budgetary limits, including seeking proposals from <br/>
<a id="pl.56.16"></a><var>56.16</var>service providers or lead agencies to change service type, capacity, or location to improve <br/>
<a id="pl.56.17"></a><var>56.17</var>services, increase the independence of residents, and better meet needs identified by the <br/>
<a id="pl.56.18"></a><var>56.18</var>long-term care services reports and statewide data and information. By February 1 of each <br/>
<a id="pl.56.19"></a><var>56.19</var>year, the commissioner shall provide information and data on the overall capacity of <br/>
<a id="pl.56.20"></a><var>56.20</var>licensed long-term care services, actions taken under this subdivision to manage statewide <br/>
<a id="pl.56.21"></a><var>56.21</var>long-term care services and supports resources, and any recommendations for change to <br/>
<a id="pl.56.22"></a><var>56.22</var>the legislative committees with jurisdiction over health and human services budget.<br/>
<br/>
<a id="bill.4.7.0"></a><a id="pl.56.23"></a><var>56.23</var>    Sec. 7. Minnesota Statutes 2010, section 245A.11, subdivision 2a, is amended to read:<br/>
<a id="pl.56.24"></a><var>56.24</var>    Subd. 2a. <b>Adult foster care license capacity.</b> (a) The commissioner shall issue <br/>
<a id="pl.56.25"></a><var>56.25</var>adult foster care licenses with a maximum licensed capacity of four beds, including <br/>
<a id="pl.56.26"></a><var>56.26</var>nonstaff roomers and boarders, except that the commissioner may issue a license with a <br/>
<a id="pl.56.27"></a><var>56.27</var>capacity of five beds, including roomers and boarders, according to paragraphs (b) to (f).<br/>
<a id="pl.56.28"></a><var>56.28</var>(b) An adult foster care license holder may have a maximum license capacity of five <br/>
<a id="pl.56.29"></a><var>56.29</var>if all persons in care are age 55 or over and do not have a serious and persistent mental <br/>
<a id="pl.56.30"></a><var>56.30</var>illness or a developmental disability.<br/>
<a id="pl.56.31"></a><var>56.31</var>(c) The commissioner may grant variances to paragraph (b) to allow a foster care <br/>
<a id="pl.56.32"></a><var>56.32</var>provider with a licensed capacity of five persons to admit an individual under the age of 55 <br/>
<a id="pl.56.33"></a><var>56.33</var>if the variance complies with section 
         <statute_ref>245A.04, subdivision 9</statute_ref>, and approval of the variance <br/>
<a id="pl.56.34"></a><var>56.34</var>is recommended by the county in which the licensed foster care provider is located.<br/>
<a id="pl.57.1"></a><var>57.1</var>(d) The commissioner may grant variances to paragraph (b) to allow the use of a fifth <br/>
<a id="pl.57.2"></a><var>57.2</var>bed for emergency crisis services for a person with serious and persistent mental illness <br/>
<a id="pl.57.3"></a><var>57.3</var>or a developmental disability, regardless of age, if the variance complies with section <br/>
<statute_ref><a id="pl.57.4"></a><var>57.4</var>245A.04, subdivision 9
         </statute_ref>, and approval of the variance is recommended by the county in <br/>
<a id="pl.57.5"></a><var>57.5</var>which the licensed foster care provider is located.<br/>
<a id="pl.57.6"></a><var>57.6</var>(e) The commissioner may grant a variance to paragraph (b) to allow for the <br/>
<a id="pl.57.7"></a><var>57.7</var>use of a fifth bed for respite services, as defined in section 245A.02, for persons with <br/>
<a id="pl.57.8"></a><var>57.8</var>disabilities, regardless of age, if the variance complies with section 245A.03, subdivision <br/>
<a id="pl.57.9"></a><var>57.9</var>7, and section 245A.04, subdivision 9, and approval of the variance is recommended by <br/>
<a id="pl.57.10"></a><var>57.10</var>the county in which the licensed foster care provider is licensed. Respite care may be <br/>
<a id="pl.57.11"></a><var>57.11</var>provided under the following conditions:<br/>
<a id="pl.57.12"></a><var>57.12</var>(1) staffing ratios cannot be reduced below the approved level for the individuals <br/>
<a id="pl.57.13"></a><var>57.13</var>being served in the home on a permanent basis;<br/>
<a id="pl.57.14"></a><var>57.14</var>(2) no more than two different individuals can be accepted for respite services in <br/>
<a id="pl.57.15"></a><var>57.15</var>any calendar month and the total respite days may not exceed 120 days per program in <br/>
<a id="pl.57.16"></a><var>57.16</var>any calendar year;<br/>
<a id="pl.57.17"></a><var>57.17</var>(3) the person receiving respite services must have his or her own bedroom, which <br/>
<a id="pl.57.18"></a><var>57.18</var>could be used for alternative purposes when not used as a respite bedroom, and cannot be <br/>
<a id="pl.57.19"></a><var>57.19</var>the room of another person who lives in the foster care home; and<br/>
<a id="pl.57.20"></a><var>57.20</var>(4) individuals living in the foster care home must be notified when the variance <br/>
<a id="pl.57.21"></a><var>57.21</var>is approved. The provider must give 60 days' notice in writing to the residents and their <br/>
<a id="pl.57.22"></a><var>57.22</var>legal representatives prior to accepting the first respite placement. Notice must be given to <br/>
<a id="pl.57.23"></a><var>57.23</var>residents at least two days prior to service initiation, or as soon as the license holder is <br/>
<a id="pl.57.24"></a><var>57.24</var>able if they receive notice of the need for respite less than two days prior to initiation, <br/>
<a id="pl.57.25"></a><var>57.25</var>each time a respite client will be served, unless the requirement for this notice is waived <br/>
<a id="pl.57.26"></a><var>57.26</var>by the resident or legal guardian.<br/>
<a id="pl.57.27"></a><var>57.27</var>(e) If the 2009 legislature adopts a rate reduction that impacts providers of adult <br/>
<a id="pl.57.28"></a><var>57.28</var>foster care services, (f)  The commissioner may issue an adult foster care license with a <br/>
<a id="pl.57.29"></a><var>57.29</var>capacity of five adults if the fifth bed does not increase the overall statewide capacity of <br/>
<a id="pl.57.30"></a><var>57.30</var>licensed adult foster care beds in homes that are not the primary residence of the license <br/>
<a id="pl.57.31"></a><var>57.31</var>holder, over the licensed capacity in such homes on July 1, 2009, as identified in a plan <br/>
<a id="pl.57.32"></a><var>57.32</var>submitted to the commissioner by the county, when the capacity is recommended by <br/>
<a id="pl.57.33"></a><var>57.33</var>the county licensing agency of the county in which the facility is located and if the <br/>
<a id="pl.57.34"></a><var>57.34</var>recommendation verifies that:<br/>
<a id="pl.57.35"></a><var>57.35</var>(1) the facility meets the physical environment requirements in the adult foster <br/>
<a id="pl.57.36"></a><var>57.36</var>care licensing rule;<br/>
<a id="pl.58.1"></a><var>58.1</var>(2) the five-bed living arrangement is specified for each resident in the resident's:<br/>
<a id="pl.58.2"></a><var>58.2</var>(i) individualized plan of care;<br/>
<a id="pl.58.3"></a><var>58.3</var>(ii) individual service plan under section 
         <statute_ref>256B.092, subdivision 1b</statute_ref>, if required; or<br/>
<a id="pl.58.4"></a><var>58.4</var>(iii) individual resident placement agreement under Minnesota Rules, part <br/>
<a id="pl.58.5"></a><var>58.5</var>9555.5105, subpart 19, if required;<br/>
<a id="pl.58.6"></a><var>58.6</var>(3) the license holder obtains written and signed informed consent from each <br/>
<a id="pl.58.7"></a><var>58.7</var>resident or resident's legal representative documenting the resident's informed choice <br/>
<a id="pl.58.8"></a><var>58.8</var>to remain living in the home and that the resident's refusal to consent would not have <br/>
<a id="pl.58.9"></a><var>58.9</var>resulted in service termination; and<br/>
<a id="pl.58.10"></a><var>58.10</var>(4) the facility was licensed for adult foster care before March 1, 2009 2011.<br/>
<a id="pl.58.11"></a><var>58.11</var>(f) (g) The commissioner shall not issue a new adult foster care license under <br/>
<a id="pl.58.12"></a><var>58.12</var>paragraph (e) (f) after June 30, 2011 2016. The commissioner shall allow a facility with <br/>
<a id="pl.58.13"></a><var>58.13</var>an adult foster care license issued under paragraph (e) (f) before June 30, 2011 2016, to <br/>
<a id="pl.58.14"></a><var>58.14</var>continue with a capacity of five adults if the license holder continues to comply with the <br/>
<a id="pl.58.15"></a><var>58.15</var>requirements in paragraph (e) (f).<br/>
<br/>
<a id="bill.4.8.0"></a><a id="pl.58.16"></a><var>58.16</var>    Sec. 8. Minnesota Statutes 2010, section 245A.11, subdivision 7, is amended to read:<br/>
<a id="pl.58.17"></a><var>58.17</var>    Subd. 7. <b>Adult foster care; variance for alternate overnight supervision.</b> (a) The <br/>
<a id="pl.58.18"></a><var>58.18</var>commissioner may grant a variance under section 
         <statute_ref>245A.04, subdivision 9</statute_ref>, to rule parts <br/>
<a id="pl.58.19"></a><var>58.19</var>requiring a caregiver to be present in an adult foster care home during normal sleeping <br/>
<a id="pl.58.20"></a><var>58.20</var>hours to allow for alternative methods of overnight supervision. The commissioner may <br/>
<a id="pl.58.21"></a><var>58.21</var>grant the variance if the local county licensing agency recommends the variance and the <br/>
<a id="pl.58.22"></a><var>58.22</var>county recommendation includes documentation verifying that:<br/>
<a id="pl.58.23"></a><var>58.23</var>    (1) the county has approved the license holder's plan for alternative methods of <br/>
<a id="pl.58.24"></a><var>58.24</var>providing overnight supervision and determined the plan protects the residents' health, <br/>
<a id="pl.58.25"></a><var>58.25</var>safety, and rights;<br/>
<a id="pl.58.26"></a><var>58.26</var>    (2) the license holder has obtained written and signed informed consent from <br/>
<a id="pl.58.27"></a><var>58.27</var>each resident or each resident's legal representative documenting the resident's or legal <br/>
<a id="pl.58.28"></a><var>58.28</var>representative's agreement with the alternative method of overnight supervision; and<br/>
<a id="pl.58.29"></a><var>58.29</var>    (3) the alternative method of providing overnight supervision, which may include <br/>
<a id="pl.58.30"></a><var>58.30</var>the use of technology, is specified for each resident in the resident's: (i) individualized <br/>
<a id="pl.58.31"></a><var>58.31</var>plan of care; (ii) individual service plan under section 
         <statute_ref>256B.092, subdivision 1b</statute_ref>, if <br/>
<a id="pl.58.32"></a><var>58.32</var>required; or (iii) individual resident placement agreement under Minnesota Rules, part <br/>
<a id="pl.58.33"></a><var>58.33</var>9555.5105, subpart 19, if required.<br/>
<a id="pl.58.34"></a><var>58.34</var>    (b) To be eligible for a variance under paragraph (a), the adult foster care license <br/>
<a id="pl.58.35"></a><var>58.35</var>holder must not have had a licensing action conditional license issued under section <br/>
<statute_ref><a id="pl.59.1"></a><var>59.1</var>245A.06
         </statute_ref>, or any other licensing sanction issued under section
<statute_ref>245A.07</statute_ref> during the prior 24 <br/>
<a id="pl.59.2"></a><var>59.2</var>months based on failure to provide adequate supervision, health care services, or resident <br/>
<a id="pl.59.3"></a><var>59.3</var>safety in the adult foster care home.<br/>
<a id="pl.59.4"></a><var>59.4</var>    (c) A license holder requesting a variance under this subdivision to utilize <br/>
<a id="pl.59.5"></a><var>59.5</var>technology as a component of a plan for alternative overnight supervision may request <br/>
<a id="pl.59.6"></a><var>59.6</var>the commissioner's review in the absence of a county recommendation. Upon receipt of <br/>
<a id="pl.59.7"></a><var>59.7</var>such a request from a license holder, the commissioner shall review the variance request <br/>
<a id="pl.59.8"></a><var>59.8</var>with the county.<br/>
<br/>
<a id="bill.4.9.0"></a><a id="pl.59.9"></a><var>59.9</var>    Sec. 9. Minnesota Statutes 2010, section 245A.11, subdivision 7a, is amended to read:<br/>
<a id="pl.59.10"></a><var>59.10</var>    Subd. 7a. <b>Alternate overnight supervision technology; adult foster care license.</b><br/>
<a id="pl.59.11"></a><var>59.11</var>    (a) The commissioner may grant an applicant or license holder an adult foster care license <br/>
<a id="pl.59.12"></a><var>59.12</var>for a residence that does not have a caregiver in the residence during normal sleeping <br/>
<a id="pl.59.13"></a><var>59.13</var>hours as required under Minnesota Rules, part 9555.5105, subpart 37, item B, but uses <br/>
<a id="pl.59.14"></a><var>59.14</var>monitoring technology to alert the license holder when an incident occurs that may <br/>
<a id="pl.59.15"></a><var>59.15</var>jeopardize the health, safety, or rights of a foster care recipient. The applicant or license <br/>
<a id="pl.59.16"></a><var>59.16</var>holder must comply with all other requirements under Minnesota Rules, parts 9555.5105 <br/>
<a id="pl.59.17"></a><var>59.17</var>to 9555.6265, and the requirements under this subdivision. The license printed by the <br/>
<a id="pl.59.18"></a><var>59.18</var>commissioner must state in bold and large font:<br/>
<a id="pl.59.19"></a><var>59.19</var>    (1) that the facility is under electronic monitoring; and<br/>
<a id="pl.59.20"></a><var>59.20</var>    (2) the telephone number of the county's common entry point for making reports of <br/>
<a id="pl.59.21"></a><var>59.21</var>suspected maltreatment of vulnerable adults under section 
         <statute_ref>626.557, subdivision 9</statute_ref>.<br/>
<a id="pl.59.22"></a><var>59.22</var>(b) Applications for a license under this section must be submitted directly to <br/>
<a id="pl.59.23"></a><var>59.23</var>the Department of Human Services licensing division. The licensing division must <br/>
<a id="pl.59.24"></a><var>59.24</var>immediately notify the host county and lead county contract agency and the host county <br/>
<a id="pl.59.25"></a><var>59.25</var>licensing agency. The licensing division must collaborate with the county licensing <br/>
<a id="pl.59.26"></a><var>59.26</var>agency in the review of the application and the licensing of the program.<br/>
<a id="pl.59.27"></a><var>59.27</var>    (c) Before a license is issued by the commissioner, and for the duration of the <br/>
<a id="pl.59.28"></a><var>59.28</var>license, the applicant or license holder must establish, maintain, and document the <br/>
<a id="pl.59.29"></a><var>59.29</var>implementation of written policies and procedures addressing the requirements in <br/>
<a id="pl.59.30"></a><var>59.30</var>paragraphs (d) through (f).<br/>
<a id="pl.59.31"></a><var>59.31</var>    (d) The applicant or license holder must have policies and procedures that:<br/>
<a id="pl.59.32"></a><var>59.32</var>    (1) establish characteristics of target populations that will be admitted into the home, <br/>
<a id="pl.59.33"></a><var>59.33</var>and characteristics of populations that will not be accepted into the home;<br/>
<a id="pl.60.1"></a><var>60.1</var>    (2) explain the discharge process when a foster care recipient requires overnight <br/>
<a id="pl.60.2"></a><var>60.2</var>supervision or other services that cannot be provided by the license holder due to the <br/>
<a id="pl.60.3"></a><var>60.3</var>limited hours that the license holder is on site;<br/>
<a id="pl.60.4"></a><var>60.4</var>    (3) describe the types of events to which the program will respond with a physical <br/>
<a id="pl.60.5"></a><var>60.5</var>presence when those events occur in the home during time when staff are not on site, and <br/>
<a id="pl.60.6"></a><var>60.6</var>how the license holder's response plan meets the requirements in paragraph (e), clause <br/>
<a id="pl.60.7"></a><var>60.7</var>(1) or (2);<br/>
<a id="pl.60.8"></a><var>60.8</var>    (4) establish a process for documenting a review of the implementation and <br/>
<a id="pl.60.9"></a><var>60.9</var>effectiveness of the response protocol for the response required under paragraph (e), <br/>
<a id="pl.60.10"></a><var>60.10</var>clause (1) or (2). The documentation must include:<br/>
<a id="pl.60.11"></a><var>60.11</var>    (i) a description of the triggering incident;<br/>
<a id="pl.60.12"></a><var>60.12</var>    (ii) the date and time of the triggering incident;<br/>
<a id="pl.60.13"></a><var>60.13</var>    (iii) the time of the response or responses under paragraph (e), clause (1) or (2);<br/>
<a id="pl.60.14"></a><var>60.14</var>    (iv) whether the response met the resident's needs;<br/>
<a id="pl.60.15"></a><var>60.15</var>    (v) whether the existing policies and response protocols were followed; and<br/>
<a id="pl.60.16"></a><var>60.16</var>    (vi) whether the existing policies and protocols are adequate or need modification.<br/>
<a id="pl.60.17"></a><var>60.17</var>    When no physical presence response is completed for a three-month period, the <br/>
<a id="pl.60.18"></a><var>60.18</var>license holder's written policies and procedures must require a physical presence response <br/>
<a id="pl.60.19"></a><var>60.19</var>drill to be conducted for which the effectiveness of the response protocol under paragraph <br/>
<a id="pl.60.20"></a><var>60.20</var>(e), clause (1) or (2), will be reviewed and documented as required under this clause; and<br/>
<a id="pl.60.21"></a><var>60.21</var>    (5) establish that emergency and nonemergency phone numbers are posted in a <br/>
<a id="pl.60.22"></a><var>60.22</var>prominent location in a common area of the home where they can be easily observed by a <br/>
<a id="pl.60.23"></a><var>60.23</var>person responding to an incident who is not otherwise affiliated with the home.<br/>
<a id="pl.60.24"></a><var>60.24</var>    (e) The license holder must document and include in the license application which <br/>
<a id="pl.60.25"></a><var>60.25</var>response alternative under clause (1) or (2) is in place for responding to situations that <br/>
<a id="pl.60.26"></a><var>60.26</var>present a serious risk to the health, safety, or rights of people receiving foster care services <br/>
<a id="pl.60.27"></a><var>60.27</var>in the home:<br/>
<a id="pl.60.28"></a><var>60.28</var>    (1) response alternative (1) requires only the technology to provide an electronic <br/>
<a id="pl.60.29"></a><var>60.29</var>notification or alert to the license holder that an event is underway that requires a response. <br/>
<a id="pl.60.30"></a><var>60.30</var>Under this alternative, no more than ten minutes will pass before the license holder will be <br/>
<a id="pl.60.31"></a><var>60.31</var>physically present on site to respond to the situation; or<br/>
<a id="pl.60.32"></a><var>60.32</var>    (2) response alternative (2) requires the electronic notification and alert system <br/>
<a id="pl.60.33"></a><var>60.33</var>under alternative (1), but more than ten minutes may pass before the license holder is <br/>
<a id="pl.60.34"></a><var>60.34</var>present on site to respond to the situation. Under alternative (2), all of the following <br/>
<a id="pl.60.35"></a><var>60.35</var>conditions are met:<br/>
<a id="pl.61.1"></a><var>61.1</var>    (i) the license holder has a written description of the interactive technological <br/>
<a id="pl.61.2"></a><var>61.2</var>applications that will assist the license holder in communicating with and assessing the <br/>
<a id="pl.61.3"></a><var>61.3</var>needs related to the care, health, and safety of the foster care recipients. This interactive <br/>
<a id="pl.61.4"></a><var>61.4</var>technology must permit the license holder to remotely assess the well being of the foster <br/>
<a id="pl.61.5"></a><var>61.5</var>care recipient without requiring the initiation of the foster care recipient. Requiring the <br/>
<a id="pl.61.6"></a><var>61.6</var>foster care recipient to initiate a telephone call does not meet this requirement;<br/>
<a id="pl.61.7"></a><var>61.7</var>(ii) the license holder documents how the remote license holder is qualified and <br/>
<a id="pl.61.8"></a><var>61.8</var>capable of meeting the needs of the foster care recipients and assessing foster care <br/>
<a id="pl.61.9"></a><var>61.9</var>recipients' needs under item (i) during the absence of the license holder on site;<br/>
<a id="pl.61.10"></a><var>61.10</var>(iii) the license holder maintains written procedures to dispatch emergency response <br/>
<a id="pl.61.11"></a><var>61.11</var>personnel to the site in the event of an identified emergency; and<br/>
<a id="pl.61.12"></a><var>61.12</var>    (iv) each foster care recipient's individualized plan of care, individual service plan <br/>
<a id="pl.61.13"></a><var>61.13</var>under section 
         <statute_ref>256B.092, subdivision 1b</statute_ref>, if required, or individual resident placement <br/>
<a id="pl.61.14"></a><var>61.14</var>agreement under Minnesota Rules, part 9555.5105, subpart 19, if required, identifies the <br/>
<a id="pl.61.15"></a><var>61.15</var>maximum response time, which may be greater than ten minutes, for the license holder <br/>
<a id="pl.61.16"></a><var>61.16</var>to be on site for that foster care recipient.<br/>
<a id="pl.61.17"></a><var>61.17</var>    (f) All Each foster care recipient's placement agreements agreement, individual <br/>
<a id="pl.61.18"></a><var>61.18</var>service agreements, and plans applicable to the foster care recipient  agreement, and plan <br/>
<a id="pl.61.19"></a><var>61.19</var>must clearly state that the adult foster care license category is a program without the <br/>
<a id="pl.61.20"></a><var>61.20</var>presence of a caregiver in the residence during normal sleeping hours; the protocols in <br/>
<a id="pl.61.21"></a><var>61.21</var>place for responding to situations that present a serious risk to the health, safety, or rights <br/>
<a id="pl.61.22"></a><var>61.22</var>of foster care recipients under paragraph (e), clause (1) or (2); and a signed informed <br/>
<a id="pl.61.23"></a><var>61.23</var>consent from each foster care recipient or the person's legal representative documenting <br/>
<a id="pl.61.24"></a><var>61.24</var>the person's or legal representative's agreement with placement in the program. If <br/>
<a id="pl.61.25"></a><var>61.25</var>electronic monitoring technology is used in the home, the informed consent form must <br/>
<a id="pl.61.26"></a><var>61.26</var>also explain the following:<br/>
<a id="pl.61.27"></a><var>61.27</var>    (1) how any electronic monitoring is incorporated into the alternative supervision <br/>
<a id="pl.61.28"></a><var>61.28</var>system;<br/>
<a id="pl.61.29"></a><var>61.29</var>    (2) the backup system for any electronic monitoring in times of electrical outages or <br/>
<a id="pl.61.30"></a><var>61.30</var>other equipment malfunctions;<br/>
<a id="pl.61.31"></a><var>61.31</var>    (3) how the license holder is caregivers are trained on the use of the technology;<br/>
<a id="pl.61.32"></a><var>61.32</var>    (4) the event types and license holder response times established under paragraph (e);<br/>
<a id="pl.61.33"></a><var>61.33</var>    (5) how the license holder protects the foster care recipient's privacy related to <br/>
<a id="pl.61.34"></a><var>61.34</var>electronic monitoring and related to any electronically recorded data generated by the <br/>
<a id="pl.61.35"></a><var>61.35</var>monitoring system. A foster care recipient may not be removed from a program under <br/>
<a id="pl.61.36"></a><var>61.36</var>this subdivision for failure to consent to electronic monitoring. The consent form must <br/>
<a id="pl.62.1"></a><var>62.1</var>explain where and how the electronically recorded data is stored, with whom it will be <br/>
<a id="pl.62.2"></a><var>62.2</var>shared, and how long it is retained; and<br/>
<a id="pl.62.3"></a><var>62.3</var>    (6) the risks and benefits of the alternative overnight supervision system.<br/>
<a id="pl.62.4"></a><var>62.4</var>    The written explanations under clauses (1) to (6) may be accomplished through <br/>
<a id="pl.62.5"></a><var>62.5</var>cross-references to other policies and procedures as long as they are explained to the <br/>
<a id="pl.62.6"></a><var>62.6</var>person giving consent, and the person giving consent is offered a copy.<br/>
<a id="pl.62.7"></a><var>62.7</var>(g) Nothing in this section requires the applicant or license holder to develop or <br/>
<a id="pl.62.8"></a><var>62.8</var>maintain separate or duplicative policies, procedures, documentation, consent forms, or <br/>
<a id="pl.62.9"></a><var>62.9</var>individual plans that may be required for other licensing standards, if the requirements of <br/>
<a id="pl.62.10"></a><var>62.10</var>this section are incorporated into those documents.<br/>
<a id="pl.62.11"></a><var>62.11</var>(h) The commissioner may grant variances to the requirements of this section <br/>
<a id="pl.62.12"></a><var>62.12</var>according to section 
         <statute_ref>245A.04, subdivision 9</statute_ref>.<br/>
<a id="pl.62.13"></a><var>62.13</var>(i) For the purposes of paragraphs (d) through (h), "license holder" has the meaning <br/>
<a id="pl.62.14"></a><var>62.14</var>under section 245A.2, subdivision 9, and additionally includes all staff, volunteers, and <br/>
<a id="pl.62.15"></a><var>62.15</var>contractors affiliated with the license holder.<br/>
<a id="pl.62.16"></a><var>62.16</var>(j) For the purposes of paragraph (e), the terms "assess" and "assessing" mean to <br/>
<a id="pl.62.17"></a><var>62.17</var>remotely determine what action the license holder needs to take to protect the well-being <br/>
<a id="pl.62.18"></a><var>62.18</var>of the foster care recipient.<br/>
<a id="pl.62.19"></a><var>62.19</var>(k) The commissioner shall evaluate license applications using the requirements <br/>
<a id="pl.62.20"></a><var>62.20</var>in paragraphs (d) to (f). The commissioner shall provide detailed application forms, <br/>
<a id="pl.62.21"></a><var>62.21</var>including a checklist of criteria needed for approval.<br/>
<a id="pl.62.22"></a><var>62.22</var>(l) To be eligible for a license under paragraph (a), the adult foster care license holder <br/>
<a id="pl.62.23"></a><var>62.23</var>must not have had a conditional license issued under section 245A.06 or any licensing <br/>
<a id="pl.62.24"></a><var>62.24</var>sanction under section 245A.07 during the prior 24 months based on failure to provide <br/>
<a id="pl.62.25"></a><var>62.25</var>adequate supervision, health care services, or resident safety in the adult foster care home.<br/>
<a id="pl.62.26"></a><var>62.26</var>(m) The commissioner shall review an application for an alternative overnight <br/>
<a id="pl.62.27"></a><var>62.27</var>supervision license within 60 days of receipt of the application. When the commissioner <br/>
<a id="pl.62.28"></a><var>62.28</var>receives an application that is incomplete because the applicant failed to submit required <br/>
<a id="pl.62.29"></a><var>62.29</var>documents or that is substantially deficient because the documents submitted do not meet <br/>
<a id="pl.62.30"></a><var>62.30</var>licensing requirements, the commissioner shall provide the applicant written notice <br/>
<a id="pl.62.31"></a><var>62.31</var>that the application is incomplete or substantially deficient. In the written notice to the <br/>
<a id="pl.62.32"></a><var>62.32</var>applicant, the commissioner shall identify documents that are missing or deficient and <br/>
<a id="pl.62.33"></a><var>62.33</var>give the applicant 45 days to resubmit a second application that is substantially complete. <br/>
<a id="pl.62.34"></a><var>62.34</var>An applicant's failure to submit a substantially complete application after receiving <br/>
<a id="pl.62.35"></a><var>62.35</var>notice from the commissioner is a basis for license denial under section 245A.05. The <br/>
<a id="pl.62.36"></a><var>62.36</var>commissioner shall complete subsequent review within 30 days.<br/>
<a id="pl.63.1"></a><var>63.1</var>(n) Once the application is considered complete under paragraph (m), the <br/>
<a id="pl.63.2"></a><var>63.2</var>commissioner will approve or deny an application for an alternative overnight supervision <br/>
<a id="pl.63.3"></a><var>63.3</var>license within 60 days.<br/>
<a id="pl.63.4"></a><var>63.4</var>(o) For the purposes of this subdivision, "supervision" means:<br/>
<a id="pl.63.5"></a><var>63.5</var>(1) oversight by a caregiver as specified in the individual resident's place agreement <br/>
<a id="pl.63.6"></a><var>63.6</var>and awareness of the resident's needs and activities; and<br/>
<a id="pl.63.7"></a><var>63.7</var>(2) the presence of a caregiver in a residence during normal sleeping hours, unless a <br/>
<a id="pl.63.8"></a><var>63.8</var>determination has been made and documented in the individual's support plan that the <br/>
<a id="pl.63.9"></a><var>63.9</var>individual does not require the presence of a caregiver during normal sleeping hours.<br/>
<br/>
<a id="bill.4.10.0"></a><a id="pl.63.10"></a><var>63.10</var>    Sec. 10. Minnesota Statutes 2010, section 245B.07, subdivision 1, is amended to read:<br/>
<a id="pl.63.11"></a><var>63.11</var>    Subdivision 1. <b>Consumer data file.</b> The license holder must maintain the following <br/>
<a id="pl.63.12"></a><var>63.12</var>information for each consumer:<br/>
<a id="pl.63.13"></a><var>63.13</var>(1) identifying information that includes date of birth, medications, legal <br/>
<a id="pl.63.14"></a><var>63.14</var>representative, history, medical, and other individual-specific information, and names and <br/>
<a id="pl.63.15"></a><var>63.15</var>telephone numbers of contacts;<br/>
<a id="pl.63.16"></a><var>63.16</var>(2) consumer health information, including individual medication administration <br/>
<a id="pl.63.17"></a><var>63.17</var>and monitoring information;<br/>
<a id="pl.63.18"></a><var>63.18</var>(3) the consumer's individual service plan. When a consumer's case manager does <br/>
<a id="pl.63.19"></a><var>63.19</var>not provide a current individual service plan, the license holder shall make a written <br/>
<a id="pl.63.20"></a><var>63.20</var>request to the case manager to provide a copy of the individual service plan and inform <br/>
<a id="pl.63.21"></a><var>63.21</var>the consumer or the consumer's legal representative of the right to an individual service <br/>
<a id="pl.63.22"></a><var>63.22</var>plan and the right to appeal under section 
         <statute_ref>256.045</statute_ref>;. In the event the case manager fails <br/>
<a id="pl.63.23"></a><var>63.23</var>to provide an individual service plan after a written request from the license holder, the <br/>
<a id="pl.63.24"></a><var>63.24</var>license holder shall not be sanctioned or penalized financially for not having a current <br/>
<a id="pl.63.25"></a><var>63.25</var>individual service plan in the consumer's data file;<br/>
<a id="pl.63.26"></a><var>63.26</var>(4) copies of assessments, analyses, summaries, and recommendations;<br/>
<a id="pl.63.27"></a><var>63.27</var>(5) progress review reports;<br/>
<a id="pl.63.28"></a><var>63.28</var>(6) incidents involving the consumer;<br/>
<a id="pl.63.29"></a><var>63.29</var>(7) reports required under section 
         <statute_ref>245B.05, subdivision 7</statute_ref>;<br/>
<a id="pl.63.30"></a><var>63.30</var>(8) discharge summary, when applicable;<br/>
<a id="pl.63.31"></a><var>63.31</var>(9) record of other license holders serving the consumer that includes a contact <br/>
<a id="pl.63.32"></a><var>63.32</var>person and telephone numbers, services being provided, services that require coordination <br/>
<a id="pl.63.33"></a><var>63.33</var>between two license holders, and name of staff responsible for coordination;<br/>
<a id="pl.63.34"></a><var>63.34</var>(10) information about verbal aggression directed at the consumer by another <br/>
<a id="pl.63.35"></a><var>63.35</var>consumer; and<br/>
<a id="pl.64.1"></a><var>64.1</var>(11) information about self-abuse.<br/>
<br/>
<a id="bill.4.11.0"></a><a id="pl.64.2"></a><var>64.2</var>    Sec. 11. Minnesota Statutes 2010, section 245C.04, subdivision 6, is amended to read:<br/>
<a id="pl.64.3"></a><var>64.3</var>    Subd. 6. <b>Unlicensed home and community-based waiver providers of service to </b><br/>
<a id="pl.64.4"></a><var>64.4</var><b>seniors and individuals with disabilities.</b> (a) Providers required to initiate background <br/>
<a id="pl.64.5"></a><var>64.5</var>studies under section 
         <statute_ref>256B.4912</statute_ref> must initiate a study before the individual begins in a <br/>
<a id="pl.64.6"></a><var>64.6</var>position allowing direct contact with persons served by the provider.<br/>
<a id="pl.64.7"></a><var>64.7</var>(b) The commissioner shall conduct Except as provided in paragraph (c), the <br/>
<a id="pl.64.8"></a><var>64.8</var>providers must initiate a background study annually of an individual required to be studied <br/>
<a id="pl.64.9"></a><var>64.9</var>under section 
         <statute_ref>245C.03, subdivision 6</statute_ref>.<br/>
<a id="pl.64.10"></a><var>64.10</var>(c) After an initial background study under this subdivision is initiated on an <br/>
<a id="pl.64.11"></a><var>64.11</var>individual by a provider of both services licensed by the commissioner and the unlicensed <br/>
<a id="pl.64.12"></a><var>64.12</var>services under this subdivision, a repeat annual background study is not required if:<br/>
<a id="pl.64.13"></a><var>64.13</var>(1) the provider maintains compliance with the requirements of section 245C.07, <br/>
<a id="pl.64.14"></a><var>64.14</var>paragraph (a), regarding one individual with one address and telephone number as the <br/>
<a id="pl.64.15"></a><var>64.15</var>person to receive sensitive background study information for the multiple programs that <br/>
<a id="pl.64.16"></a><var>64.16</var>depend on the same background study, and that the individual who is designated to receive <br/>
<a id="pl.64.17"></a><var>64.17</var>the sensitive background information is capable of determining, upon the request of the <br/>
<a id="pl.64.18"></a><var>64.18</var>commissioner, whether a background study subject is providing direct contact services <br/>
<a id="pl.64.19"></a><var>64.19</var>in one or more of the provider's programs or services and, if so, at which location or <br/>
<a id="pl.64.20"></a><var>64.20</var>locations; and<br/>
<a id="pl.64.21"></a><var>64.21</var>(2) the individual who is the subject of the background study provides direct <br/>
<a id="pl.64.22"></a><var>64.22</var>contact services under the provider's licensed program for at least 40 hours per year so <br/>
<a id="pl.64.23"></a><var>64.23</var>the individual will be recognized by a probation officer or corrections agent to prompt <br/>
<a id="pl.64.24"></a><var>64.24</var>a report to the commissioner regarding criminal convictions as required under section <br/>
<a id="pl.64.25"></a><var>64.25</var>245C.05, subdivision 7.<br/>
<br/>
<a id="bill.4.12.0"></a><a id="pl.64.26"></a><var>64.26</var>    Sec. 12. Minnesota Statutes 2010, section 245C.05, subdivision 7, is amended to read:<br/>
<a id="pl.64.27"></a><var>64.27</var>    Subd. 7. <b>Probation officer and corrections agent.</b> (a) A probation officer or <br/>
<a id="pl.64.28"></a><var>64.28</var>corrections agent shall notify the commissioner of an individual's conviction if the <br/>
<a id="pl.64.29"></a><var>64.29</var>individual is:<br/>
<a id="pl.64.30"></a><var>64.30</var>    (1) has been affiliated with a program or facility regulated by the Department of <br/>
<a id="pl.64.31"></a><var>64.31</var>Human Services or Department of Health, a facility serving children or youth licensed by <br/>
<a id="pl.64.32"></a><var>64.32</var>the Department of Corrections, or any type of home care agency or provider of personal <br/>
<a id="pl.64.33"></a><var>64.33</var>care assistance services within the preceding year; and<br/>
<a id="pl.65.1"></a><var>65.1</var>    (2) has been convicted of a crime constituting a disqualification under section <br/>
<statute_ref><a id="pl.65.2"></a><var>65.2</var>245C.14
         </statute_ref>.<br/>
<a id="pl.65.3"></a><var>65.3</var>    (b) For the purpose of this subdivision, "conviction" has the meaning given it <br/>
<a id="pl.65.4"></a><var>65.4</var>in section 
         <statute_ref>609.02, subdivision 5</statute_ref>.<br/>
<a id="pl.65.5"></a><var>65.5</var>    (c) The commissioner, in consultation with the commissioner of corrections, shall <br/>
<a id="pl.65.6"></a><var>65.6</var>develop forms and information necessary to implement this subdivision and shall provide <br/>
<a id="pl.65.7"></a><var>65.7</var>the forms and information to the commissioner of corrections for distribution to local <br/>
<a id="pl.65.8"></a><var>65.8</var>probation officers and corrections agents.<br/>
<a id="pl.65.9"></a><var>65.9</var>    (d) The commissioner shall inform individuals subject to a background study that <br/>
<a id="pl.65.10"></a><var>65.10</var>criminal convictions for disqualifying crimes will be reported to the commissioner by the <br/>
<a id="pl.65.11"></a><var>65.11</var>corrections system.<br/>
<a id="pl.65.12"></a><var>65.12</var>    (e) A probation officer, corrections agent, or corrections agency is not civilly or <br/>
<a id="pl.65.13"></a><var>65.13</var>criminally liable for disclosing or failing to disclose the information required by this <br/>
<a id="pl.65.14"></a><var>65.14</var>subdivision.<br/>
<a id="pl.65.15"></a><var>65.15</var>    (f) Upon receipt of disqualifying information, the commissioner shall provide the <br/>
<a id="pl.65.16"></a><var>65.16</var>notice required under section 
         <statute_ref>245C.17</statute_ref>, as appropriate, to agencies on record as having <br/>
<a id="pl.65.17"></a><var>65.17</var>initiated a background study or making a request for documentation of the background <br/>
<a id="pl.65.18"></a><var>65.18</var>study status of the individual.<br/>
<a id="pl.65.19"></a><var>65.19</var>    (g) This subdivision does not apply to family child care programs.<br/>
<br/>
<a id="bill.4.13.0"></a><a id="pl.65.20"></a><var>65.20</var>    Sec. 13. Minnesota Statutes 2010, section 256.975, subdivision 7, is amended to read:<br/>
<a id="pl.65.21"></a><var>65.21</var>    Subd. 7. <b>Consumer information and assistance and long-term care options </b><br/>
<a id="pl.65.22"></a><var>65.22</var><b>counseling; Senior LinkAge Line.</b> (a) The Minnesota Board on Aging shall operate a <br/>
<a id="pl.65.23"></a><var>65.23</var>statewide service to aid older Minnesotans and their families in making informed choices <br/>
<a id="pl.65.24"></a><var>65.24</var>about long-term care options and health care benefits. Language services to persons with <br/>
<a id="pl.65.25"></a><var>65.25</var>limited English language skills may be made available. The service, known as Senior <br/>
<a id="pl.65.26"></a><var>65.26</var>LinkAge Line, must be available during business hours through a statewide toll-free <br/>
<a id="pl.65.27"></a><var>65.27</var>number and must also be available through the Internet.<br/>
<a id="pl.65.28"></a><var>65.28</var>    (b) The service must provide long-term care options counseling by assisting older <br/>
<a id="pl.65.29"></a><var>65.29</var>adults, caregivers, and providers in accessing information and options counseling about <br/>
<a id="pl.65.30"></a><var>65.30</var>choices in long-term care services that are purchased through private providers or available <br/>
<a id="pl.65.31"></a><var>65.31</var>through public options. The service must:<br/>
<a id="pl.65.32"></a><var>65.32</var>    (1) develop a comprehensive database that includes detailed listings in both <br/>
<a id="pl.65.33"></a><var>65.33</var>consumer- and provider-oriented formats;<br/>
<a id="pl.65.34"></a><var>65.34</var>    (2) make the database accessible on the Internet and through other telecommunication <br/>
<a id="pl.65.35"></a><var>65.35</var>and media-related tools;<br/>
<a id="pl.66.1"></a><var>66.1</var>    (3) link callers to interactive long-term care screening tools and make these tools <br/>
<a id="pl.66.2"></a><var>66.2</var>available through the Internet by integrating the tools with the database;<br/>
<a id="pl.66.3"></a><var>66.3</var>    (4) develop community education materials with a focus on planning for long-term <br/>
<a id="pl.66.4"></a><var>66.4</var>care and evaluating independent living, housing, and service options;<br/>
<a id="pl.66.5"></a><var>66.5</var>    (5) conduct an outreach campaign to assist older adults and their caregivers in <br/>
<a id="pl.66.6"></a><var>66.6</var>finding information on the Internet and through other means of communication;<br/>
<a id="pl.66.7"></a><var>66.7</var>    (6) implement a messaging system for overflow callers and respond to these callers <br/>
<a id="pl.66.8"></a><var>66.8</var>by the next business day;<br/>
<a id="pl.66.9"></a><var>66.9</var>    (7) link callers with county human services and other providers to receive more <br/>
<a id="pl.66.10"></a><var>66.10</var>in-depth assistance and consultation related to long-term care options;<br/>
<a id="pl.66.11"></a><var>66.11</var>    (8) link callers with quality profiles for nursing facilities and other providers <br/>
<a id="pl.66.12"></a><var>66.12</var>developed by the commissioner of health;<br/>
<a id="pl.66.13"></a><var>66.13</var>    (9) incorporate information about the availability of housing options, as well as <br/>
<a id="pl.66.14"></a><var>66.14</var>registered housing with services and consumer rights within the MinnesotaHelp.info <br/>
<a id="pl.66.15"></a><var>66.15</var>network long-term care database to facilitate consumer comparison of services and costs <br/>
<a id="pl.66.16"></a><var>66.16</var>among housing with services establishments and with other in-home services and to <br/>
<a id="pl.66.17"></a><var>66.17</var>support financial self-sufficiency as long as possible. Housing with services establishments <br/>
<a id="pl.66.18"></a><var>66.18</var>and their arranged home care providers shall provide information that will facilitate price <br/>
<a id="pl.66.19"></a><var>66.19</var>comparisons, including delineation of charges for rent and for services available. The <br/>
<a id="pl.66.20"></a><var>66.20</var>commissioners of health and human services shall align the data elements required by <br/>
<a id="pl.66.21"></a><var>66.21</var>section 
         <statute_ref>144G.06</statute_ref>, the Uniform Consumer Information Guide, and this section to provide <br/>
<a id="pl.66.22"></a><var>66.22</var>consumers standardized information and ease of comparison of long-term care options. <br/>
<a id="pl.66.23"></a><var>66.23</var>The commissioner of human services shall provide the data to the Minnesota Board on <br/>
<a id="pl.66.24"></a><var>66.24</var>Aging for inclusion in the MinnesotaHelp.info network long-term care database;<br/>
<a id="pl.66.25"></a><var>66.25</var>(10) provide long-term care options counseling. Long-term care options counselors <br/>
<a id="pl.66.26"></a><var>66.26</var>shall:<br/>
<a id="pl.66.27"></a><var>66.27</var>(i) for individuals not eligible for case management under a public program or public <br/>
<a id="pl.66.28"></a><var>66.28</var>funding source, provide interactive decision support under which consumers, family <br/>
<a id="pl.66.29"></a><var>66.29</var>members, or other helpers are supported in their deliberations to determine appropriate <br/>
<a id="pl.66.30"></a><var>66.30</var>long-term care choices in the context of the consumer's needs, preferences, values, and <br/>
<a id="pl.66.31"></a><var>66.31</var>individual circumstances, including implementing a community support plan;<br/>
<a id="pl.66.32"></a><var>66.32</var>(ii) provide Web-based educational information and collateral written materials to <br/>
<a id="pl.66.33"></a><var>66.33</var>familiarize consumers, family members, or other helpers with the long-term care basics, <br/>
<a id="pl.66.34"></a><var>66.34</var>issues to be considered, and the range of options available in the community;<br/>
<a id="pl.67.1"></a><var>67.1</var>(iii) provide long-term care futures planning, which means providing assistance to <br/>
<a id="pl.67.2"></a><var>67.2</var>individuals who anticipate having long-term care needs to develop a plan for the more <br/>
<a id="pl.67.3"></a><var>67.3</var>distant future; and<br/>
<a id="pl.67.4"></a><var>67.4</var>(iv) provide expertise in benefits and financing options for long-term care, including <br/>
<a id="pl.67.5"></a><var>67.5</var>Medicare, long-term care insurance, tax or employer-based incentives, reverse mortgages, <br/>
<a id="pl.67.6"></a><var>67.6</var>private pay options, and ways to access low or no-cost services or benefits through <br/>
<a id="pl.67.7"></a><var>67.7</var>volunteer-based or charitable programs; and<br/>
<a id="pl.67.8"></a><var>67.8</var>(11) using risk management and support planning protocols, provide long-term care <br/>
<a id="pl.67.9"></a><var>67.9</var>options counseling to current residents of nursing homes deemed appropriate for discharge <br/>
<a id="pl.67.10"></a><var>67.10</var>by the commissioner. In order to meet this requirement, the commissioner shall provide <br/>
<a id="pl.67.11"></a><var>67.11</var>designated Senior LinkAge Line contact centers with a list of nursing home residents <br/>
<a id="pl.67.12"></a><var>67.12</var>appropriate for discharge planning via a secure Web portal. Senior LinkAge Line shall <br/>
<a id="pl.67.13"></a><var>67.13</var>provide these residents, if they indicate a preference to receive long-term care options <br/>
<a id="pl.67.14"></a><var>67.14</var>counseling, with initial assessment, review of risk factors, independent living support <br/>
<a id="pl.67.15"></a><var>67.15</var>consultation, or referral to:<br/>
<a id="pl.67.16"></a><var>67.16</var>(i) long-term care consultation services under section 
         <statute_ref>256B.0911</statute_ref>;<br/>
<a id="pl.67.17"></a><var>67.17</var>(ii) designated care coordinators of contracted entities under section 
         <statute_ref>256B.035</statute_ref> for <br/>
<a id="pl.67.18"></a><var>67.18</var>persons who are enrolled in a managed care plan; or<br/>
<a id="pl.67.19"></a><var>67.19</var>(iii) the long-term care consultation team for those who are appropriate for relocation <br/>
<a id="pl.67.20"></a><var>67.20</var>service coordination due to high-risk factors or psychological or physical disability; and<br/>
<a id="pl.67.21"></a><var>67.21</var>(12) develop referral protocols and processes that will assist certified health care <br/>
<a id="pl.67.22"></a><var>67.22</var>homes and hospitals to identify at-risk older adults and determine when to refer these <br/>
<a id="pl.67.23"></a><var>67.23</var>individuals to the Senior LinkAge Line for long-term care options counseling under this <br/>
<a id="pl.67.24"></a><var>67.24</var>section. The commissioner is directed to work with the commissioner of health to develop <br/>
<a id="pl.67.25"></a><var>67.25</var>protocols that would comply with the health care home designation criteria and protocols <br/>
<a id="pl.67.26"></a><var>67.26</var>available at the time of hospital discharge.<br/>
<a id="pl.67.27"></a><var>67.27</var><b>EFFECTIVE DATE.</b>This section is effective is effective July 1, 2013.<br/>
<br/>
<a id="bill.4.14.0"></a><a id="pl.67.28"></a><var>67.28</var>    Sec. 14. Minnesota Statutes 2010, section 256B.056, subdivision 1a, is amended to <br/>
<a id="pl.67.29"></a><var>67.29</var>read:<br/>
<a id="pl.67.30"></a><var>67.30</var>    Subd. 1a. <b>Income and assets generally.</b> Unless specifically required by state <br/>
<a id="pl.67.31"></a><var>67.31</var>law or rule or federal law or regulation, the methodologies used in counting income <br/>
<a id="pl.67.32"></a><var>67.32</var>and assets to determine eligibility for medical assistance for persons whose eligibility <br/>
<a id="pl.67.33"></a><var>67.33</var>category is based on blindness, disability, or age of 65 or more years, the methodologies <br/>
<a id="pl.67.34"></a><var>67.34</var>for the supplemental security income program shall be used, except as provided under <br/>
<a id="pl.67.35"></a><var>67.35</var>subdivision 3, paragraph (a), clause (6). Increases in benefits under title II of the Social <br/>
<a id="pl.68.1"></a><var>68.1</var>Security Act shall not be counted as income for purposes of this subdivision until July 1 of <br/>
<a id="pl.68.2"></a><var>68.2</var>each year. Effective upon federal approval, for children eligible under section 
         <statute_ref>256B.055, <br/>
<a id="pl.68.3"></a><var>68.3</var>subdivision 12
         </statute_ref>, or for home and community-based waiver services whose eligibility <br/>
<a id="pl.68.4"></a><var>68.4</var>for medical assistance is determined without regard to parental income, child support <br/>
<a id="pl.68.5"></a><var>68.5</var>payments, including any payments made by an obligor in satisfaction of or in addition <br/>
<a id="pl.68.6"></a><var>68.6</var>to a temporary or permanent order for child support, and Social Security payments are <br/>
<a id="pl.68.7"></a><var>68.7</var>not counted as income. For families and children, which includes all other eligibility <br/>
<a id="pl.68.8"></a><var>68.8</var>categories, the methodologies under the state's AFDC plan in effect as of July 16, 1996, as <br/>
<a id="pl.68.9"></a><var>68.9</var>required by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 <br/>
<a id="pl.68.10"></a><var>68.10</var>(PRWORA), Public Law 104-193, shall be used, except that effective October 1, 2003, the <br/>
<a id="pl.68.11"></a><var>68.11</var>earned income disregards and deductions are limited to those in subdivision 1c. For these <br/>
<a id="pl.68.12"></a><var>68.12</var>purposes, a "methodology" does not include an asset or income standard, or accounting <br/>
<a id="pl.68.13"></a><var>68.13</var>method, or method of determining effective dates.<br/>
<a id="pl.68.14"></a><var>68.14</var><b>EFFECTIVE DATE.</b>This section is effective April 1, 2012.<br/>
<br/>
<a id="bill.4.15.0"></a><a id="pl.68.15"></a><var>68.15</var>    Sec. 15. Minnesota Statutes 2011 Supplement, section 256B.056, subdivision 3, <br/>
<a id="pl.68.16"></a><var>68.16</var>is amended to read:<br/>
<a id="pl.68.17"></a><var>68.17</var>    Subd. 3. <b>Asset limitations for individuals and families.</b> (a) To be eligible for <br/>
<a id="pl.68.18"></a><var>68.18</var>medical assistance, a person must not individually own more than $3,000 in assets, or if a <br/>
<a id="pl.68.19"></a><var>68.19</var>member of a household with two family members, husband and wife, or parent and child, <br/>
<a id="pl.68.20"></a><var>68.20</var>the household must not own more than $6,000 in assets, plus $200 for each additional <br/>
<a id="pl.68.21"></a><var>68.21</var>legal dependent. In addition to these maximum amounts, an eligible individual or family <br/>
<a id="pl.68.22"></a><var>68.22</var>may accrue interest on these amounts, but they must be reduced to the maximum at the <br/>
<a id="pl.68.23"></a><var>68.23</var>time of an eligibility redetermination. The accumulation of the clothing and personal <br/>
<a id="pl.68.24"></a><var>68.24</var>needs allowance according to section 
         <statute_ref>256B.35</statute_ref> must also be reduced to the maximum at <br/>
<a id="pl.68.25"></a><var>68.25</var>the time of the eligibility redetermination. The value of assets that are not considered in <br/>
<a id="pl.68.26"></a><var>68.26</var>determining eligibility for medical assistance is the value of those assets excluded under <br/>
<a id="pl.68.27"></a><var>68.27</var>the supplemental security income program for aged, blind, and disabled persons, with <br/>
<a id="pl.68.28"></a><var>68.28</var>the following exceptions:<br/>
<a id="pl.68.29"></a><var>68.29</var>(1) household goods and personal effects are not considered;<br/>
<a id="pl.68.30"></a><var>68.30</var>(2) capital and operating assets of a trade or business that the local agency determines <br/>
<a id="pl.68.31"></a><var>68.31</var>are necessary to the person's ability to earn an income are not considered;<br/>
<a id="pl.68.32"></a><var>68.32</var>(3) motor vehicles are excluded to the same extent excluded by the supplemental <br/>
<a id="pl.68.33"></a><var>68.33</var>security income program;<br/>
<a id="pl.68.34"></a><var>68.34</var>(4) assets designated as burial expenses are excluded to the same extent excluded by <br/>
<a id="pl.68.35"></a><var>68.35</var>the supplemental security income program. Burial expenses funded by annuity contracts <br/>
<a id="pl.69.1"></a><var>69.1</var>or life insurance policies must irrevocably designate the individual's estate as contingent <br/>
<a id="pl.69.2"></a><var>69.2</var>beneficiary to the extent proceeds are not used for payment of selected burial expenses; and<br/>
<a id="pl.69.3"></a><var>69.3</var>(5) for a person who no longer qualifies as an employed person with a disability due <br/>
<a id="pl.69.4"></a><var>69.4</var>to loss of earnings, assets allowed while eligible for medical assistance under section <br/>
<statute_ref><a id="pl.69.5"></a><var>69.5</var>256B.057, subdivision 9
         </statute_ref>, are not considered for 12 months, beginning with the first month <br/>
<a id="pl.69.6"></a><var>69.6</var>of ineligibility as an employed person with a disability, to the extent that the person's total <br/>
<a id="pl.69.7"></a><var>69.7</var>assets remain within the allowed limits of section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, paragraph <br/>
<a id="pl.69.8"></a><var>69.8</var>(d).; and<br/>
<a id="pl.69.9"></a><var>69.9</var>    (6) when a person enrolled in medical assistance under section 256B.057, subdivision <br/>
<a id="pl.69.10"></a><var>69.10</var>9, is age 65 or older and has been enrolled during each of the 24 consecutive months <br/>
<a id="pl.69.11"></a><var>69.11</var>before the person's 65th birthday, the assets owned by the person and the person's spouse <br/>
<a id="pl.69.12"></a><var>69.12</var>must be disregarded, up to the limits of section 256B.057, subdivision 9, paragraph (d), <br/>
<a id="pl.69.13"></a><var>69.13</var>when determining eligibility for medical assistance under section 256B.055, subdivision <br/>
<a id="pl.69.14"></a><var>69.14</var>7. The income of a spouse of a person enrolled in medical assistance under section <br/>
<a id="pl.69.15"></a><var>69.15</var>256B.057, subdivision 9, during each of the 24 consecutive months before the person's <br/>
<a id="pl.69.16"></a><var>69.16</var>65th birthday must be disregarded when determining eligibility for medical assistance <br/>
<a id="pl.69.17"></a><var>69.17</var>under section 256B.055, subdivision 7. Persons eligible under this clause are not subject to <br/>
<a id="pl.69.18"></a><var>69.18</var>the provisions in section 256B.059. A person whose 65th birthday occurs in 2012 or 2013 <br/>
<a id="pl.69.19"></a><var>69.19</var>is required to have qualified for medical assistance under section 256B.057, subdivision 9, <br/>
<a id="pl.69.20"></a><var>69.20</var>prior to age 65 for at least 20 months in the 24 months prior to reaching age 65.<br/>
<a id="pl.69.21"></a><var>69.21</var>(b) No asset limit shall apply to persons eligible under section 
         <statute_ref>256B.055</statute_ref>, subdivision <br/>
<a id="pl.69.22"></a><var>69.22</var>15.<br/>
<br/>
<a id="bill.4.16.0"></a><a id="pl.69.23"></a><var>69.23</var>    Sec. 16. Minnesota Statutes 2011 Supplement, section 256B.057, subdivision 9, <br/>
<a id="pl.69.24"></a><var>69.24</var>is amended to read:<br/>
<a id="pl.69.25"></a><var>69.25</var>    Subd. 9. <b>Employed persons with disabilities.</b> (a) Medical assistance may be paid <br/>
<a id="pl.69.26"></a><var>69.26</var>for a person who is employed and who:<br/>
<a id="pl.69.27"></a><var>69.27</var>    (1) but for excess earnings or assets, meets the definition of disabled under the <br/>
<a id="pl.69.28"></a><var>69.28</var>Supplemental Security Income program;<br/>
<a id="pl.69.29"></a><var>69.29</var>    (2) is at least 16 but less than 65 years of age;<br/>
<a id="pl.69.30"></a><var>69.30</var>    (3) meets the asset limits in paragraph (d); and<br/>
<a id="pl.69.31"></a><var>69.31</var>    (4) (3) pays a premium and other obligations under paragraph (e).<br/>
<a id="pl.69.32"></a><var>69.32</var>    (b) For purposes of eligibility, there is a $65 earned income disregard. To be eligible <br/>
<a id="pl.69.33"></a><var>69.33</var>for medical assistance under this subdivision, a person must have more than $65 of earned <br/>
<a id="pl.69.34"></a><var>69.34</var>income. Earned income must have Medicare, Social Security, and applicable state and <br/>
<a id="pl.69.35"></a><var>69.35</var>federal taxes withheld. The person must document earned income tax withholding. Any <br/>
<a id="pl.70.1"></a><var>70.1</var>spousal income or assets shall be disregarded for purposes of eligibility and premium <br/>
<a id="pl.70.2"></a><var>70.2</var>determinations.<br/>
<a id="pl.70.3"></a><var>70.3</var>    (c) After the month of enrollment, a person enrolled in medical assistance under <br/>
<a id="pl.70.4"></a><var>70.4</var>this subdivision who:<br/>
<a id="pl.70.5"></a><var>70.5</var>    (1) is temporarily unable to work and without receipt of earned income due to a <br/>
<a id="pl.70.6"></a><var>70.6</var>medical condition, as verified by a physician; or<br/>
<a id="pl.70.7"></a><var>70.7</var>    (2) loses employment for reasons not attributable to the enrollee, and is without <br/>
<a id="pl.70.8"></a><var>70.8</var>receipt of earned income may retain eligibility for up to four consecutive months after the <br/>
<a id="pl.70.9"></a><var>70.9</var>month of job loss. To receive a four-month extension, enrollees must verify the medical <br/>
<a id="pl.70.10"></a><var>70.10</var>condition or provide notification of job loss. All other eligibility requirements must be met <br/>
<a id="pl.70.11"></a><var>70.11</var>and the enrollee must pay all calculated premium costs for continued eligibility.<br/>
<a id="pl.70.12"></a><var>70.12</var>    (d) For purposes of determining eligibility under this subdivision, a person's assets <br/>
<a id="pl.70.13"></a><var>70.13</var>must not exceed $20,000, excluding:<br/>
<a id="pl.70.14"></a><var>70.14</var>    (1) all assets excluded under section 
         <statute_ref>256B.056</statute_ref>;<br/>
<a id="pl.70.15"></a><var>70.15</var>    (2) retirement accounts, including individual accounts, 401(k) plans, 403(b) plans, <br/>
<a id="pl.70.16"></a><var>70.16</var>Keogh plans, and pension plans;<br/>
<a id="pl.70.17"></a><var>70.17</var>    (3) medical expense accounts set up through the person's employer; and<br/>
<a id="pl.70.18"></a><var>70.18</var>    (4) spousal assets, including spouse's share of jointly held assets.<br/>
<a id="pl.70.19"></a><var>70.19</var>    (e) All enrollees must pay a premium to be eligible for medical assistance under this <br/>
<a id="pl.70.20"></a><var>70.20</var>subdivision, except as provided under section 
         <statute_ref>256.01, subdivision 18b</statute_ref>.<br/>
<a id="pl.70.21"></a><var>70.21</var>    (1) An enrollee must pay the greater of a $65 premium or the premium calculated <br/>
<a id="pl.70.22"></a><var>70.22</var>based on the person's gross earned and unearned income and the applicable family size <br/>
<a id="pl.70.23"></a><var>70.23</var>using a sliding fee scale established by the commissioner, which begins at one percent of <br/>
<a id="pl.70.24"></a><var>70.24</var>income at 100 percent of the federal poverty guidelines and increases to 7.5 percent of <br/>
<a id="pl.70.25"></a><var>70.25</var>income for those with incomes at or above 300 percent of the federal poverty guidelines.<br/>
<a id="pl.70.26"></a><var>70.26</var>    (2) Annual adjustments in the premium schedule based upon changes in the federal <br/>
<a id="pl.70.27"></a><var>70.27</var>poverty guidelines shall be effective for premiums due in July of each year.<br/>
<a id="pl.70.28"></a><var>70.28</var>    (3) All enrollees who receive unearned income must pay five percent of unearned <br/>
<a id="pl.70.29"></a><var>70.29</var>income in addition to the premium amount, except as provided under section 
         <statute_ref>256.01, <br/>
<a id="pl.70.30"></a><var>70.30</var>subdivision 18b
         </statute_ref>.<br/>
<a id="pl.70.31"></a><var>70.31</var>    (4) Increases in benefits under title II of the Social Security Act shall not be counted <br/>
<a id="pl.70.32"></a><var>70.32</var>as income for purposes of this subdivision until July 1 of each year.<br/>
<a id="pl.70.33"></a><var>70.33</var>    (f) A person's eligibility and premium shall be determined by the local county <br/>
<a id="pl.70.34"></a><var>70.34</var>agency. Premiums must be paid to the commissioner. All premiums are dedicated to <br/>
<a id="pl.70.35"></a><var>70.35</var>the commissioner.<br/>
<a id="pl.71.1"></a><var>71.1</var>    (g) Any required premium shall be determined at application and redetermined at <br/>
<a id="pl.71.2"></a><var>71.2</var>the enrollee's six-month income review or when a change in income or household size is <br/>
<a id="pl.71.3"></a><var>71.3</var>reported. Enrollees must report any change in income or household size within ten days <br/>
<a id="pl.71.4"></a><var>71.4</var>of when the change occurs. A decreased premium resulting from a reported change in <br/>
<a id="pl.71.5"></a><var>71.5</var>income or household size shall be effective the first day of the next available billing month <br/>
<a id="pl.71.6"></a><var>71.6</var>after the change is reported. Except for changes occurring from annual cost-of-living <br/>
<a id="pl.71.7"></a><var>71.7</var>increases, a change resulting in an increased premium shall not affect the premium amount <br/>
<a id="pl.71.8"></a><var>71.8</var>until the next six-month review.<br/>
<a id="pl.71.9"></a><var>71.9</var>    (h) Premium payment is due upon notification from the commissioner of the <br/>
<a id="pl.71.10"></a><var>71.10</var>premium amount required. Premiums may be paid in installments at the discretion of <br/>
<a id="pl.71.11"></a><var>71.11</var>the commissioner.<br/>
<a id="pl.71.12"></a><var>71.12</var>    (i) Nonpayment of the premium shall result in denial or termination of medical <br/>
<a id="pl.71.13"></a><var>71.13</var>assistance unless the person demonstrates good cause for nonpayment. Good cause exists <br/>
<a id="pl.71.14"></a><var>71.14</var>if the requirements specified in Minnesota Rules, part 9506.0040, subpart 7, items B to <br/>
<a id="pl.71.15"></a><var>71.15</var>D, are met. Except when an installment agreement is accepted by the commissioner, <br/>
<a id="pl.71.16"></a><var>71.16</var>all persons disenrolled for nonpayment of a premium must pay any past due premiums <br/>
<a id="pl.71.17"></a><var>71.17</var>as well as current premiums due prior to being reenrolled. Nonpayment shall include <br/>
<a id="pl.71.18"></a><var>71.18</var>payment with a returned, refused, or dishonored instrument. The commissioner may <br/>
<a id="pl.71.19"></a><var>71.19</var>require a guaranteed form of payment as the only means to replace a returned, refused, <br/>
<a id="pl.71.20"></a><var>71.20</var>or dishonored instrument.<br/>
<a id="pl.71.21"></a><var>71.21</var>    (j) The commissioner shall notify enrollees annually beginning at least 24 months <br/>
<a id="pl.71.22"></a><var>71.22</var>before the person's 65th birthday of the medical assistance eligibility rules affecting <br/>
<a id="pl.71.23"></a><var>71.23</var>income, assets, and treatment of a spouse's income and assets that will be applied upon <br/>
<a id="pl.71.24"></a><var>71.24</var>reaching age 65.<br/>
<a id="pl.71.25"></a><var>71.25</var>    (k) For enrollees whose income does not exceed 200 percent of the federal poverty <br/>
<a id="pl.71.26"></a><var>71.26</var>guidelines and who are also enrolled in Medicare, the commissioner shall reimburse <br/>
<a id="pl.71.27"></a><var>71.27</var>the enrollee for Medicare part B premiums under section 
         <statute_ref>256B.0625, subdivision 15</statute_ref>, <br/>
<a id="pl.71.28"></a><var>71.28</var>paragraph (a).<br/>
<a id="pl.71.29"></a><var>71.29</var><b>EFFECTIVE DATE.</b>This section is effective April 1, 2012.<br/>
<br/>
<a id="bill.4.17.0"></a><a id="pl.71.30"></a><var>71.30</var>    Sec. 17. Minnesota Statutes 2011 Supplement, section 256B.0625, subdivision 17, <br/>
<a id="pl.71.31"></a><var>71.31</var>is amended to read:<br/>
<a id="pl.71.32"></a><var>71.32</var>    Subd. 17. <b>Transportation costs.</b> (a) Medical assistance covers medical <br/>
<a id="pl.71.33"></a><var>71.33</var>transportation costs incurred solely for obtaining emergency medical care or transportation <br/>
<a id="pl.71.34"></a><var>71.34</var>costs incurred by eligible persons in obtaining emergency or nonemergency medical <br/>
<a id="pl.72.1"></a><var>72.1</var>care when paid directly to an ambulance company, common carrier, or other recognized <br/>
<a id="pl.72.2"></a><var>72.2</var>providers of transportation services. Medical transportation must be provided by:<br/>
<a id="pl.72.3"></a><var>72.3</var>(1) an ambulance, as defined in section 
         <statute_ref>144E.001, subdivision 2</statute_ref>;<br/>
<a id="pl.72.4"></a><var>72.4</var>(2) special transportation; or<br/>
<a id="pl.72.5"></a><var>72.5</var>(3) common carrier including, but not limited to, bus, taxicab, other commercial <br/>
<a id="pl.72.6"></a><var>72.6</var>carrier, or private automobile.<br/>
<a id="pl.72.7"></a><var>72.7</var>(b) Medical assistance covers special transportation, as defined in Minnesota Rules, <br/>
<a id="pl.72.8"></a><var>72.8</var>part 9505.0315, subpart 1, item F, if the recipient has a physical or mental impairment that <br/>
<a id="pl.72.9"></a><var>72.9</var>would prohibit the recipient from safely accessing and using a bus, taxi, other commercial <br/>
<a id="pl.72.10"></a><var>72.10</var>transportation, or private automobile.<br/>
<a id="pl.72.11"></a><var>72.11</var>The commissioner may use an order by the recipient's attending physician to certify that <br/>
<a id="pl.72.12"></a><var>72.12</var>the recipient requires special transportation services. Special transportation providers shall <br/>
<a id="pl.72.13"></a><var>72.13</var>perform driver-assisted services for eligible individuals. Driver-assisted service includes <br/>
<a id="pl.72.14"></a><var>72.14</var>passenger pickup at and return to the individual's residence or place of business, assistance <br/>
<a id="pl.72.15"></a><var>72.15</var>with admittance of the individual to the medical facility, and assistance in passenger <br/>
<a id="pl.72.16"></a><var>72.16</var>securement or in securing of wheelchairs or stretchers in the vehicle. Special transportation <br/>
<a id="pl.72.17"></a><var>72.17</var>providers must obtain written documentation from the health care service provider who <br/>
<a id="pl.72.18"></a><var>72.18</var>is serving the recipient being transported, identifying the time that the recipient arrived. <br/>
<a id="pl.72.19"></a><var>72.19</var>Special transportation providers may not bill for separate base rates for the continuation of <br/>
<a id="pl.72.20"></a><var>72.20</var>a trip beyond the original destination. Special transportation providers must take recipients <br/>
<a id="pl.72.21"></a><var>72.21</var>to the nearest appropriate health care provider, using the most direct route. The minimum <br/>
<a id="pl.72.22"></a><var>72.22</var>medical assistance reimbursement rates for special transportation services are:<br/>
<a id="pl.72.23"></a><var>72.23</var>(1)(i) $17 for the base rate and $1.35 per mile for special transportation services to <br/>
<a id="pl.72.24"></a><var>72.24</var>eligible persons who need a wheelchair-accessible van;<br/>
<a id="pl.72.25"></a><var>72.25</var>(ii) $11.50 for the base rate and $1.30 per mile for special transportation services to <br/>
<a id="pl.72.26"></a><var>72.26</var>eligible persons who do not need a wheelchair-accessible van; and<br/>
<a id="pl.72.27"></a><var>72.27</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.72.28"></a><var>72.28</var>special transportation services to eligible persons who need a stretcher-accessible vehicle;<br/>
<a id="pl.72.29"></a><var>72.29</var>(2) the base rates for special transportation services in areas defined under RUCA <br/>
<a id="pl.72.30"></a><var>72.30</var>to be super rural shall be equal to the reimbursement rate established in clause (1) plus <br/>
<a id="pl.72.31"></a><var>72.31</var>11.3 percent; and<br/>
<a id="pl.72.32"></a><var>72.32</var>(3) for special transportation services in areas defined under RUCA to be rural <br/>
<a id="pl.72.33"></a><var>72.33</var>or super rural areas:<br/>
<a id="pl.72.34"></a><var>72.34</var>(i) for a trip equal to 17 miles or less, mileage reimbursement shall be equal to 125 <br/>
<a id="pl.72.35"></a><var>72.35</var>percent of the respective mileage rate in clause (1); and<br/>
<a id="pl.73.1"></a><var>73.1</var>(ii) for a trip between 18 and 50 miles, mileage reimbursement shall be equal to <br/>
<a id="pl.73.2"></a><var>73.2</var>112.5 percent of the respective mileage rate in clause (1).<br/>
<a id="pl.73.3"></a><var>73.3</var>(c) For purposes of reimbursement rates for special transportation services under <br/>
<a id="pl.73.4"></a><var>73.4</var>paragraph (b), the zip code of the recipient's place of residence shall determine whether <br/>
<a id="pl.73.5"></a><var>73.5</var>the urban, rural, or super rural reimbursement rate applies.<br/>
<a id="pl.73.6"></a><var>73.6</var>(d) For purposes of this subdivision, "rural urban commuting area" or "RUCA" <br/>
<a id="pl.73.7"></a><var>73.7</var>means a census-tract based classification system under which a geographical area is <br/>
<a id="pl.73.8"></a><var>73.8</var>determined to be urban, rural, or super rural.<br/>
<a id="pl.73.9"></a><var>73.9</var>(e) Effective for services provided on or after September 1, 2011, nonemergency <br/>
<a id="pl.73.10"></a><var>73.10</var>transportation rates, including special transportation, taxi, and other commercial carriers, <br/>
<a id="pl.73.11"></a><var>73.11</var>are reduced 4.5 percent. Payments made to managed care plans and county-based <br/>
<a id="pl.73.12"></a><var>73.12</var>purchasing plans must be reduced for services provided on or after January 1, 2012, <br/>
<a id="pl.73.13"></a><var>73.13</var>to reflect this reduction.<br/>
<a id="pl.73.14"></a><var>73.14</var>(f) Outside of a metropolitan county as defined in section 473.121, subdivision 4, <br/>
<a id="pl.73.15"></a><var>73.15</var>reimbursement rates under this subdivision may be adjusted monthly by the commissioner <br/>
<a id="pl.73.16"></a><var>73.16</var>when the statewide average price of regular grade gasoline is over $3 per gallon, as <br/>
<a id="pl.73.17"></a><var>73.17</var>calculated by Oil Price Information Service. The rate adjustment shall be a one-percent <br/>
<a id="pl.73.18"></a><var>73.18</var>increase or decrease for each corresponding $0.10 increase or decrease in the statewide <br/>
<a id="pl.73.19"></a><var>73.19</var>average price of regular grade gasoline.<br/>
<br/>
<a id="bill.4.18.0"></a><a id="pl.73.20"></a><var>73.20</var>    Sec. 18. Minnesota Statutes 2011 Supplement, section 256B.0631, subdivision 2, <br/>
<a id="pl.73.21"></a><var>73.21</var>is amended to read:<br/>
<a id="pl.73.22"></a><var>73.22</var>    Subd. 2. <b>Exceptions.</b> Co-payments and deductibles shall be subject to the following <br/>
<a id="pl.73.23"></a><var>73.23</var>exceptions:<br/>
<a id="pl.73.24"></a><var>73.24</var>(1) children under the age of 21;<br/>
<a id="pl.73.25"></a><var>73.25</var>(2) pregnant women for services that relate to the pregnancy or any other medical <br/>
<a id="pl.73.26"></a><var>73.26</var>condition that may complicate the pregnancy;<br/>
<a id="pl.73.27"></a><var>73.27</var>(3) recipients expected to reside for at least 30 days in a hospital, nursing home, or <br/>
<a id="pl.73.28"></a><var>73.28</var>intermediate care facility for the developmentally disabled;<br/>
<a id="pl.73.29"></a><var>73.29</var>(4) recipients receiving hospice care;<br/>
<a id="pl.73.30"></a><var>73.30</var>(5) 100 percent federally funded services provided by an Indian health service;<br/>
<a id="pl.73.31"></a><var>73.31</var>(6) emergency services;<br/>
<a id="pl.73.32"></a><var>73.32</var>(7) family planning services;<br/>
<a id="pl.73.33"></a><var>73.33</var>(8) services that are paid by Medicare, resulting in the medical assistance program <br/>
<a id="pl.73.34"></a><var>73.34</var>paying for the coinsurance and deductible; and<br/>
<a id="pl.74.1"></a><var>74.1</var>(9) co-payments that exceed one per day per provider for nonpreventive visits, <br/>
<a id="pl.74.2"></a><var>74.2</var>eyeglasses, and nonemergency visits to a hospital-based emergency room; and<br/>
<a id="pl.74.3"></a><var>74.3</var>(10) home and community-based waiver services for persons with developmental <br/>
<a id="pl.74.4"></a><var>74.4</var>disabilities under section 256B.501; home and community-based waiver services for the <br/>
<a id="pl.74.5"></a><var>74.5</var>elderly under section 256B.0915; waivered services under community alternatives for <br/>
<a id="pl.74.6"></a><var>74.6</var>disabled individuals under section 256B.49; community alternative care waivered services <br/>
<a id="pl.74.7"></a><var>74.7</var>under section 256B.49; traumatic brain injury waivered services under section 256B.49; <br/>
<a id="pl.74.8"></a><var>74.8</var>nursing services and home health services under section 256B.0625, subdivision 6a; <br/>
<a id="pl.74.9"></a><var>74.9</var>personal care services and nursing supervision of personal care services under section <br/>
<a id="pl.74.10"></a><var>74.10</var>256B.0625, subdivision 19a; private duty nursing services under section 256B.0625, <br/>
<a id="pl.74.11"></a><var>74.11</var>subdivision 7; personal care assistance services under section 256B.0659; and day training <br/>
<a id="pl.74.12"></a><var>74.12</var>and habilitation services for adults with developmental disabilities under sections 252.40 <br/>
<a id="pl.74.13"></a><var>74.13</var>to 252.46.<br/>
<a id="pl.74.14"></a><var>74.14</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2013.<br/>
<br/>
<a id="bill.4.19.0"></a><a id="pl.74.15"></a><var>74.15</var>    Sec. 19. Minnesota Statutes 2011 Supplement, section 256B.0911, subdivision 3a, <br/>
<a id="pl.74.16"></a><var>74.16</var>is amended to read:<br/>
<a id="pl.74.17"></a><var>74.17</var>    Subd. 3a. <b>Assessment and support planning.</b> (a) Persons requesting assessment, <br/>
<a id="pl.74.18"></a><var>74.18</var>services planning, or other assistance intended to support community-based living, <br/>
<a id="pl.74.19"></a><var>74.19</var>including persons who need assessment in order to determine waiver or alternative care <br/>
<a id="pl.74.20"></a><var>74.20</var>program eligibility, must be visited by a long-term care consultation team within 15 <br/>
<a id="pl.74.21"></a><var>74.21</var>calendar days after the date on which an assessment was requested or recommended. After <br/>
<a id="pl.74.22"></a><var>74.22</var>January 1, 2011, these requirements also apply to personal care assistance services, private <br/>
<a id="pl.74.23"></a><var>74.23</var>duty nursing, and home health agency services, on timelines established in subdivision 5. <br/>
<a id="pl.74.24"></a><var>74.24</var>Face-to-face assessments must be conducted according to paragraphs (b) to (i).<br/>
<a id="pl.74.25"></a><var>74.25</var>    (b) The county may utilize a team of either the social worker or public health nurse, <br/>
<a id="pl.74.26"></a><var>74.26</var>or both. After January 1, 2011, lead agencies shall use certified assessors to conduct the <br/>
<a id="pl.74.27"></a><var>74.27</var>assessment in a face-to-face interview. The consultation team members must confer <br/>
<a id="pl.74.28"></a><var>74.28</var>regarding the most appropriate care for each individual screened or assessed.<br/>
<a id="pl.74.29"></a><var>74.29</var>    (c) The assessment must be comprehensive and include a person-centered <br/>
<a id="pl.74.30"></a><var>74.30</var>assessment of the health, psychological, functional, environmental, and social needs of <br/>
<a id="pl.74.31"></a><var>74.31</var>referred individuals and provide information necessary to develop a support plan that <br/>
<a id="pl.74.32"></a><var>74.32</var>meets the consumers needs, using an assessment form provided by the commissioner.<br/>
<a id="pl.74.33"></a><var>74.33</var>    (d) The assessment must be conducted in a face-to-face interview with the person <br/>
<a id="pl.74.34"></a><var>74.34</var>being assessed and the person's legal representative, as required by legally executed <br/>
<a id="pl.74.35"></a><var>74.35</var>documents, and other individuals as requested by the person, who can provide information <br/>
<a id="pl.75.1"></a><var>75.1</var>on the needs, strengths, and preferences of the person necessary to develop a support plan <br/>
<a id="pl.75.2"></a><var>75.2</var>that ensures the person's health and safety, but who is not a provider of service or has any <br/>
<a id="pl.75.3"></a><var>75.3</var>financial interest in the provision of services. For persons who are to be assessed for <br/>
<a id="pl.75.4"></a><var>75.4</var>elderly waiver customized living services under section 256B.0915, with the permission <br/>
<a id="pl.75.5"></a><var>75.5</var>of the person being assessed or the person's designated or legal representative, the client's <br/>
<a id="pl.75.6"></a><var>75.6</var>current or proposed provider of services may submit a copy of the provider's nursing <br/>
<a id="pl.75.7"></a><var>75.7</var>assessment or written report outlining their recommendations regarding the client's care <br/>
<a id="pl.75.8"></a><var>75.8</var>needs. The person conducting the assessment will notify the provider of the date by which <br/>
<a id="pl.75.9"></a><var>75.9</var>this information is to be submitted. This information shall be provided to the person <br/>
<a id="pl.75.10"></a><var>75.10</var>conducting the assessment prior to the assessment.<br/>
<a id="pl.75.11"></a><var>75.11</var>    (e) The person, or the person's legal representative, must be provided with written <br/>
<a id="pl.75.12"></a><var>75.12</var>recommendations for community-based services, including consumer-directed options, <br/>
<a id="pl.75.13"></a><var>75.13</var>or institutional care that include documentation that the most cost-effective alternatives <br/>
<a id="pl.75.14"></a><var>75.14</var>available were offered to the individual, and alternatives to residential settings, including, <br/>
<a id="pl.75.15"></a><var>75.15</var>but not limited to, foster care settings that are not the primary residence of the license <br/>
<a id="pl.75.16"></a><var>75.16</var>holder. For purposes of this requirement, "cost-effective alternatives" means community <br/>
<a id="pl.75.17"></a><var>75.17</var>services and living arrangements that cost the same as or less than institutional care.<br/>
<a id="pl.75.18"></a><var>75.18</var>    (f) If the person chooses to use community-based services, the person or the person's <br/>
<a id="pl.75.19"></a><var>75.19</var>legal representative must be provided with a written community support plan, regardless <br/>
<a id="pl.75.20"></a><var>75.20</var>of whether the individual is eligible for Minnesota health care programs. A person may <br/>
<a id="pl.75.21"></a><var>75.21</var>request assistance in identifying community supports without participating in a complete <br/>
<a id="pl.75.22"></a><var>75.22</var>assessment. Upon a request for assistance identifying community support, the person must <br/>
<a id="pl.75.23"></a><var>75.23</var>be transferred or referred to the services available under sections 
         <statute_ref>256.975, subdivision 7</statute_ref>, <br/>
<a id="pl.75.24"></a><var>75.24</var>and 
         <statute_ref>256.01</statute_ref>, subdivision 24, for telephone assistance and follow up.<br/>
<a id="pl.75.25"></a><var>75.25</var>    (g) The person has the right to make the final decision between institutional <br/>
<a id="pl.75.26"></a><var>75.26</var>placement and community placement after the recommendations have been provided, <br/>
<a id="pl.75.27"></a><var>75.27</var>except as provided in subdivision 4a, paragraph (c).<br/>
<a id="pl.75.28"></a><var>75.28</var>    (h) The team must give the person receiving assessment or support planning, or <br/>
<a id="pl.75.29"></a><var>75.29</var>the person's legal representative, materials, and forms supplied by the commissioner <br/>
<a id="pl.75.30"></a><var>75.30</var>containing the following information:<br/>
<a id="pl.75.31"></a><var>75.31</var>    (1) the need for and purpose of preadmission screening if the person selects nursing <br/>
<a id="pl.75.32"></a><var>75.32</var>facility placement;<br/>
<a id="pl.75.33"></a><var>75.33</var>    (2) the role of the long-term care consultation assessment and support planning in <br/>
<a id="pl.75.34"></a><var>75.34</var>waiver and alternative care program eligibility determination;<br/>
<a id="pl.75.35"></a><var>75.35</var>    (3) information about Minnesota health care programs;<br/>
<a id="pl.75.36"></a><var>75.36</var>    (4) the person's freedom to accept or reject the recommendations of the team;<br/>
<a id="pl.76.1"></a><var>76.1</var>    (5) the person's right to confidentiality under the Minnesota Government Data <br/>
<a id="pl.76.2"></a><var>76.2</var>Practices Act, chapter 13;<br/>
<a id="pl.76.3"></a><var>76.3</var>    (6) the long-term care consultant's decision regarding the person's need for <br/>
<a id="pl.76.4"></a><var>76.4</var>institutional level of care as determined under criteria established in section 
         <statute_ref>144.0724, <br/>
<a id="pl.76.5"></a><var>76.5</var>subdivision 11
         </statute_ref>, or 
         <statute_ref>256B.092</statute_ref>; and<br/>
<a id="pl.76.6"></a><var>76.6</var>    (7) the person's right to appeal the decision regarding the need for nursing facility <br/>
<a id="pl.76.7"></a><var>76.7</var>level of care or the county's final decisions regarding public programs eligibility according <br/>
<a id="pl.76.8"></a><var>76.8</var>to section 
         <statute_ref>256.045, subdivision 3</statute_ref>.<br/>
<a id="pl.76.9"></a><var>76.9</var>    (i) Face-to-face assessment completed as part of eligibility determination for <br/>
<a id="pl.76.10"></a><var>76.10</var>the alternative care, elderly waiver, community alternatives for disabled individuals, <br/>
<a id="pl.76.11"></a><var>76.11</var>community alternative care, and traumatic brain injury waiver programs under sections <br/>
<statute_ref><a id="pl.76.12"></a><var>76.12</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.76.13"></a><var>76.13</var>than 60 calendar days after the date of assessment. The effective eligibility start date <br/>
<a id="pl.76.14"></a><var>76.14</var>for these programs can never be prior to the date of assessment. If an assessment was <br/>
<a id="pl.76.15"></a><var>76.15</var>completed more than 60 days before the effective waiver or alternative care program <br/>
<a id="pl.76.16"></a><var>76.16</var>eligibility start date, assessment and support plan information must be updated in a <br/>
<a id="pl.76.17"></a><var>76.17</var>face-to-face visit and documented in the department's Medicaid Management Information <br/>
<a id="pl.76.18"></a><var>76.18</var>System (MMIS). The effective date of program eligibility in this case cannot be prior to <br/>
<a id="pl.76.19"></a><var>76.19</var>the date the updated assessment is completed.<br/>
<br/>
<a id="bill.4.20.0"></a><a id="pl.76.20"></a><var>76.20</var>    Sec. 20. Minnesota Statutes 2011 Supplement, section 256B.0911, subdivision 3c, <br/>
<a id="pl.76.21"></a><var>76.21</var>is amended to read:<br/>
<a id="pl.76.22"></a><var>76.22</var>    Subd. 3c. <b>Consultation for housing with services.</b> (a) The purpose of long-term <br/>
<a id="pl.76.23"></a><var>76.23</var>care consultation for registered housing with services is to support persons with current or <br/>
<a id="pl.76.24"></a><var>76.24</var>anticipated long-term care needs in making informed choices among options that include <br/>
<a id="pl.76.25"></a><var>76.25</var>the most cost-effective and least restrictive settings. Prospective residents maintain the <br/>
<a id="pl.76.26"></a><var>76.26</var>right to choose housing with services or assisted living if that option is their preference.<br/>
<a id="pl.76.27"></a><var>76.27</var>    (b) Registered housing with services establishments shall inform all prospective <br/>
<a id="pl.76.28"></a><var>76.28</var>residents or the prospective resident's designated or legal representative of the availability <br/>
<a id="pl.76.29"></a><var>76.29</var>of long-term care consultation and the need to receive and verify the consultation prior <br/>
<a id="pl.76.30"></a><var>76.30</var>to signing a lease or contract requirement for long-term care options counseling and the <br/>
<a id="pl.76.31"></a><var>76.31</var>opportunity to decline long-term care options counseling. Prospective residents declining <br/>
<a id="pl.76.32"></a><var>76.32</var>long-term care options counseling are required to sign a waiver form designated by the <br/>
<a id="pl.76.33"></a><var>76.33</var>commissioner and supplied by the provider. The housing with services establishment shall <br/>
<a id="pl.76.34"></a><var>76.34</var>maintain copies of signed waiver forms or verification that the consultation was conducted <br/>
<a id="pl.76.35"></a><var>76.35</var>for audit for a period of three years. Long-term care consultation for registered housing <br/>
<a id="pl.77.1"></a><var>77.1</var>with services is provided as determined by the commissioner of human services. The <br/>
<a id="pl.77.2"></a><var>77.2</var>service is delivered under a partnership between lead agencies as defined in subdivision 1a, <br/>
<a id="pl.77.3"></a><var>77.3</var>paragraph (d), and the Area Agencies on Aging, and is a point of entry to a combination <br/>
<a id="pl.77.4"></a><var>77.4</var>of telephone-based long-term care options counseling provided by Senior LinkAge Line <br/>
<a id="pl.77.5"></a><var>77.5</var>and in-person long-term care consultation provided by lead agencies. The point of entry <br/>
<a id="pl.77.6"></a><var>77.6</var>service must be provided within five working days of the request of the prospective <br/>
<a id="pl.77.7"></a><var>77.7</var>resident as follows:<br/>
<a id="pl.77.8"></a><var>77.8</var>    (1) the consultation shall be conducted with the prospective resident, or in the <br/>
<a id="pl.77.9"></a><var>77.9</var>alternative, the resident's designated or legal representative, if:<br/>
<a id="pl.77.10"></a><var>77.10</var>(i) the resident verbally requests; or<br/>
<a id="pl.77.11"></a><var>77.11</var>(ii) the registered housing with services provider has documentation of the <br/>
<a id="pl.77.12"></a><var>77.12</var>designated or legal representative's authority to enter into a lease or contract on behalf of <br/>
<a id="pl.77.13"></a><var>77.13</var>the prospective resident and accepts the documentation in good faith;<br/>
<a id="pl.77.14"></a><var>77.14</var>(2) the consultation shall be performed in a manner that provides objective and <br/>
<a id="pl.77.15"></a><var>77.15</var>complete information;<br/>
<a id="pl.77.16"></a><var>77.16</var>    (2) (3)  the consultation must include a review of the prospective resident's reasons <br/>
<a id="pl.77.17"></a><var>77.17</var>for considering housing with services, the prospective resident's personal goals, a <br/>
<a id="pl.77.18"></a><var>77.18</var>discussion of the prospective resident's immediate and projected long-term care needs, <br/>
<a id="pl.77.19"></a><var>77.19</var>and alternative community services or housing with services settings that may meet the <br/>
<a id="pl.77.20"></a><var>77.20</var>prospective resident's needs;<br/>
<a id="pl.77.21"></a><var>77.21</var>    (3) (4)  the prospective resident shall be informed of the availability of a face-to-face <br/>
<a id="pl.77.22"></a><var>77.22</var>visit at no charge to the prospective resident to assist the prospective resident in assessment <br/>
<a id="pl.77.23"></a><var>77.23</var>and planning to meet the prospective resident's long-term care needs; and<br/>
<a id="pl.77.24"></a><var>77.24</var>(4) (5)  verification of counseling shall be generated and provided to the prospective <br/>
<a id="pl.77.25"></a><var>77.25</var>resident by Senior LinkAge Line upon completion of the telephone-based counseling.<br/>
<a id="pl.77.26"></a><var>77.26</var>(c) Housing with services establishments registered under chapter 144D shall:<br/>
<a id="pl.77.27"></a><var>77.27</var>(1) inform all prospective residents or the prospective resident's designated or legal <br/>
<a id="pl.77.28"></a><var>77.28</var>representative of the availability of and contact information for consultation services <br/>
<a id="pl.77.29"></a><var>77.29</var>under this subdivision;<br/>
<a id="pl.77.30"></a><var>77.30</var>(2) except for individuals seeking lease-only arrangements in subsidized housing <br/>
<a id="pl.77.31"></a><var>77.31</var>settings, receive a copy of the verification of counseling prior to executing a lease or <br/>
<a id="pl.77.32"></a><var>77.32</var>service contract with the prospective resident, and prior to executing a service contract <br/>
<a id="pl.77.33"></a><var>77.33</var>with individuals who have previously entered into lease-only arrangements; and<br/>
<a id="pl.77.34"></a><var>77.34</var>(3) retain a copy of the verification of counseling as part of the resident's file.<br/>
<a id="pl.77.35"></a><var>77.35</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2013.<br/>
<br/>
<a id="bill.4.21.0"></a><a id="pl.78.1"></a><var>78.1</var>    Sec. 21. Minnesota Statutes 2010, section 256B.0911, is amended by adding a <br/>
<a id="pl.78.2"></a><var>78.2</var>subdivision to read:<br/>
<a id="pl.78.3"></a><var>78.3</var>    Subd. 3d. <b>Exemptions.</b> Individuals shall be exempt from the requirements outlined <br/>
<a id="pl.78.4"></a><var>78.4</var>in subdivision 3c in the following circumstances:<br/>
<a id="pl.78.5"></a><var>78.5</var>(1) the individual is seeking a lease-only arrangement in a subsidized housing <br/>
<a id="pl.78.6"></a><var>78.6</var>setting; or<br/>
<a id="pl.78.7"></a><var>78.7</var>(2) the individual has previously received a long-term care consultation assessment <br/>
<a id="pl.78.8"></a><var>78.8</var>under this section. In this instance, the assessor who completes the long-term care <br/>
<a id="pl.78.9"></a><var>78.9</var>consultation will issue a verification code and provide it to the individual.<br/>
<a id="pl.78.10"></a><var>78.10</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2013.<br/>
<br/>
<a id="bill.4.22.0"></a><a id="pl.78.11"></a><var>78.11</var>    Sec. 22. Minnesota Statutes 2011 Supplement, section 256B.0915, subdivision 3e, <br/>
<a id="pl.78.12"></a><var>78.12</var>is amended to read:<br/>
<a id="pl.78.13"></a><var>78.13</var>    Subd. 3e. <b>Customized living service rate.</b> (a) Payment for customized living <br/>
<a id="pl.78.14"></a><var>78.14</var>services shall be a monthly rate authorized by the lead agency within the parameters <br/>
<a id="pl.78.15"></a><var>78.15</var>established by the commissioner. The payment agreement must delineate the amount of <br/>
<a id="pl.78.16"></a><var>78.16</var>each component service included in the recipient's customized living service plan. The <br/>
<a id="pl.78.17"></a><var>78.17</var>lead agency, with input from the provider of customized living services,  shall ensure that <br/>
<a id="pl.78.18"></a><var>78.18</var>there is a documented need within the parameters established by the commissioner for all <br/>
<a id="pl.78.19"></a><var>78.19</var>component customized living services authorized.<br/>
<a id="pl.78.20"></a><var>78.20</var>(b) The payment rate must be based on the amount of component services to be <br/>
<a id="pl.78.21"></a><var>78.21</var>provided utilizing component rates established by the commissioner. Counties and tribes <br/>
<a id="pl.78.22"></a><var>78.22</var>shall use tools issued by the commissioner to develop and document customized living <br/>
<a id="pl.78.23"></a><var>78.23</var>service plans and rates.<br/>
<a id="pl.78.24"></a><var>78.24</var>(c) Component service rates must not exceed payment rates for comparable elderly <br/>
<a id="pl.78.25"></a><var>78.25</var>waiver or medical assistance services and must reflect economies of scale. Customized <br/>
<a id="pl.78.26"></a><var>78.26</var>living services must not include rent or raw food costs.<br/>
<a id="pl.78.27"></a><var>78.27</var>    (d) With the exception of individuals described in subdivision 3a, paragraph (b), the <br/>
<a id="pl.78.28"></a><var>78.28</var>individualized monthly authorized payment for the customized living service plan shall <br/>
<a id="pl.78.29"></a><var>78.29</var>not exceed 50 percent of the greater of either the statewide or any of the geographic <br/>
<a id="pl.78.30"></a><var>78.30</var>groups' weighted average monthly nursing facility rate of the case mix resident class <br/>
<a id="pl.78.31"></a><var>78.31</var>to which the elderly waiver eligible client would be assigned under Minnesota Rules, <br/>
<a id="pl.78.32"></a><var>78.32</var>parts 9549.0050 to 9549.0059, less the maintenance needs allowance as described <br/>
<a id="pl.78.33"></a><var>78.33</var>in subdivision 1d, paragraph (a), until the July 1 of the state fiscal year in which the <br/>
<a id="pl.78.34"></a><var>78.34</var>resident assessment system as described in section 
         <statute_ref>256B.438 </statute_ref>for nursing home rate <br/>
<a id="pl.78.35"></a><var>78.35</var>determination is implemented. Effective on July 1 of the state fiscal year in which <br/>
<a id="pl.79.1"></a><var>79.1</var>the resident assessment system as described in section 
         <statute_ref>256B.438 </statute_ref>for nursing home <br/>
<a id="pl.79.2"></a><var>79.2</var>rate determination is implemented and July 1 of each subsequent state fiscal year, the <br/>
<a id="pl.79.3"></a><var>79.3</var>individualized monthly authorized payment for the services described in this clause shall <br/>
<a id="pl.79.4"></a><var>79.4</var>not exceed the limit which was in effect on June 30 of the previous state fiscal year <br/>
<a id="pl.79.5"></a><var>79.5</var>updated annually based on legislatively adopted changes to all service rate maximums for <br/>
<a id="pl.79.6"></a><var>79.6</var>home and community-based service providers.<br/>
<a id="pl.79.7"></a><var>79.7</var>(e) Effective July 1, 2011, the individualized monthly payment for the customized <br/>
<a id="pl.79.8"></a><var>79.8</var>living service plan for individuals described in subdivision 3a, paragraph (b), must be the <br/>
<a id="pl.79.9"></a><var>79.9</var>monthly authorized payment limit for customized living for individuals classified as case <br/>
<a id="pl.79.10"></a><var>79.10</var>mix A, reduced by 25 percent. This rate limit must be applied to all new participants <br/>
<a id="pl.79.11"></a><var>79.11</var>enrolled in the program on or after July 1, 2011, who meet the criteria described in <br/>
<a id="pl.79.12"></a><var>79.12</var>subdivision 3a, paragraph (b). This monthly limit also applies to all other participants who <br/>
<a id="pl.79.13"></a><var>79.13</var>meet the criteria described in subdivision 3a, paragraph (b), at reassessment.<br/>
<a id="pl.79.14"></a><var>79.14</var>    (f) Customized living services are delivered by a provider licensed by the <br/>
<a id="pl.79.15"></a><var>79.15</var>Department of Health as a class A or class F home care provider and provided in a <br/>
<a id="pl.79.16"></a><var>79.16</var>building that is registered as a housing with services establishment under chapter 144D. <br/>
<a id="pl.79.17"></a><var>79.17</var>Licensed home care providers are subject to section 
         <statute_ref>256B.0651, subdivision 14</statute_ref>.<br/>
<a id="pl.79.18"></a><var>79.18</var>(g) A provider may not bill or otherwise charge an elderly waiver participant or their <br/>
<a id="pl.79.19"></a><var>79.19</var>family for additional units of any allowable component service beyond those available <br/>
<a id="pl.79.20"></a><var>79.20</var>under the service rate limits described in paragraph (d), nor for additional units of any <br/>
<a id="pl.79.21"></a><var>79.21</var>allowable component service beyond those approved in the service plan by the lead agency.<br/>
<br/>
<a id="bill.4.23.0"></a><a id="pl.79.22"></a><var>79.22</var>    Sec. 23. Minnesota Statutes 2011 Supplement, section 256B.0915, subdivision 3h, <br/>
<a id="pl.79.23"></a><var>79.23</var>is amended to read:<br/>
<a id="pl.79.24"></a><var>79.24</var>    Subd. 3h. <b>Service rate limits; 24-hour customized living services.</b> (a) The <br/>
<a id="pl.79.25"></a><var>79.25</var>payment rate for 24-hour customized living services is a monthly rate authorized by the <br/>
<a id="pl.79.26"></a><var>79.26</var>lead agency within the parameters established by the commissioner of human services. <br/>
<a id="pl.79.27"></a><var>79.27</var>The payment agreement must delineate the amount of each component service included <br/>
<a id="pl.79.28"></a><var>79.28</var>in each recipient's customized living service plan. The lead agency, with input from <br/>
<a id="pl.79.29"></a><var>79.29</var>the provider of customized living services,  shall ensure that there is a documented need <br/>
<a id="pl.79.30"></a><var>79.30</var>within the parameters established by the commissioner for all component customized <br/>
<a id="pl.79.31"></a><var>79.31</var>living services authorized. The lead agency shall not authorize 24-hour customized living <br/>
<a id="pl.79.32"></a><var>79.32</var>services unless there is a documented need for 24-hour supervision.<br/>
<a id="pl.79.33"></a><var>79.33</var>(b) For purposes of this section, "24-hour supervision" means that the recipient <br/>
<a id="pl.79.34"></a><var>79.34</var>requires assistance due to needs related to one or more of the following:<br/>
<a id="pl.79.35"></a><var>79.35</var>    (1) intermittent assistance with toileting, positioning, or transferring;<br/>
<a id="pl.80.1"></a><var>80.1</var>    (2) cognitive or behavioral issues;<br/>
<a id="pl.80.2"></a><var>80.2</var>    (3) a medical condition that requires clinical monitoring; or<br/>
<a id="pl.80.3"></a><var>80.3</var>    (4) for all new participants enrolled in the program on or after July 1, 2011, and <br/>
<a id="pl.80.4"></a><var>80.4</var>all other participants at their first reassessment after July 1, 2011, dependency in at <br/>
<a id="pl.80.5"></a><var>80.5</var>least three of the following activities of daily living as determined by assessment under <br/>
<a id="pl.80.6"></a><var>80.6</var>section 
         <statute_ref>256B.0911</statute_ref>: bathing; dressing; grooming; walking; or eating when the dependency <br/>
<a id="pl.80.7"></a><var>80.7</var>score in eating is three or greater; and needs medication management and at least 50 <br/>
<a id="pl.80.8"></a><var>80.8</var>hours of service per month. The lead agency shall ensure that the frequency and mode <br/>
<a id="pl.80.9"></a><var>80.9</var>of supervision of the recipient and the qualifications of staff providing supervision are <br/>
<a id="pl.80.10"></a><var>80.10</var>described and meet the needs of the recipient.<br/>
<a id="pl.80.11"></a><var>80.11</var>(c) The payment rate for 24-hour customized living services must be based on the <br/>
<a id="pl.80.12"></a><var>80.12</var>amount of component services to be provided utilizing component rates established by the <br/>
<a id="pl.80.13"></a><var>80.13</var>commissioner. Counties and tribes will use tools issued by the commissioner to develop <br/>
<a id="pl.80.14"></a><var>80.14</var>and document customized living plans and authorize rates.<br/>
<a id="pl.80.15"></a><var>80.15</var>(d) Component service rates must not exceed payment rates for comparable elderly <br/>
<a id="pl.80.16"></a><var>80.16</var>waiver or medical assistance services and must reflect economies of scale.<br/>
<a id="pl.80.17"></a><var>80.17</var>(e) The individually authorized 24-hour customized living payments, in combination <br/>
<a id="pl.80.18"></a><var>80.18</var>with the payment for other elderly waiver services, including case management, must not <br/>
<a id="pl.80.19"></a><var>80.19</var>exceed the recipient's community budget cap specified in subdivision 3a. Customized <br/>
<a id="pl.80.20"></a><var>80.20</var>living services must not include rent or raw food costs.<br/>
<a id="pl.80.21"></a><var>80.21</var>(f) The individually authorized 24-hour customized living payment rates shall not <br/>
<a id="pl.80.22"></a><var>80.22</var>exceed the 95 percentile of statewide monthly authorizations for 24-hour customized <br/>
<a id="pl.80.23"></a><var>80.23</var>living services in effect and in the Medicaid management information systems on March <br/>
<a id="pl.80.24"></a><var>80.24</var>31, 2009, for each case mix resident class under Minnesota Rules, parts 9549.0050 <br/>
<a id="pl.80.25"></a><var>80.25</var>to 9549.0059, to which elderly waiver service clients are assigned. When there are <br/>
<a id="pl.80.26"></a><var>80.26</var>fewer than 50 authorizations in effect in the case mix resident class, the commissioner <br/>
<a id="pl.80.27"></a><var>80.27</var>shall multiply the calculated service payment rate maximum for the A classification by <br/>
<a id="pl.80.28"></a><var>80.28</var>the standard weight for that classification under Minnesota Rules, parts 9549.0050 to <br/>
<a id="pl.80.29"></a><var>80.29</var>9549.0059, to determine the applicable payment rate maximum. Service payment rate <br/>
<a id="pl.80.30"></a><var>80.30</var>maximums shall be updated annually based on legislatively adopted changes to all service <br/>
<a id="pl.80.31"></a><var>80.31</var>rates for home and community-based service providers.<br/>
<a id="pl.80.32"></a><var>80.32</var>    (g) Notwithstanding the requirements of paragraphs (d) and (f), the commissioner <br/>
<a id="pl.80.33"></a><var>80.33</var>may establish alternative payment rate systems for 24-hour customized living services in <br/>
<a id="pl.80.34"></a><var>80.34</var>housing with services establishments which are freestanding buildings with a capacity of <br/>
<a id="pl.80.35"></a><var>80.35</var>16 or fewer, by applying a single hourly rate for covered component services provided <br/>
<a id="pl.80.36"></a><var>80.36</var>in either:<br/>
<a id="pl.81.1"></a><var>81.1</var>    (1) licensed corporate adult foster homes; or<br/>
<a id="pl.81.2"></a><var>81.2</var>    (2) specialized dementia care units which meet the requirements of section 
         <statute_ref>144D.065 <br/>
</statute_ref><a id="pl.81.3"></a><var>81.3</var>and in which:<br/>
<a id="pl.81.4"></a><var>81.4</var>    (i) each resident is offered the option of having their own apartment; or<br/>
<a id="pl.81.5"></a><var>81.5</var>    (ii) the units are licensed as board and lodge establishments with maximum capacity <br/>
<a id="pl.81.6"></a><var>81.6</var>of eight residents, and which meet the requirements of Minnesota Rules, part 9555.6205, <br/>
<a id="pl.81.7"></a><var>81.7</var>subparts 1, 2, 3, and 4, item A.<br/>
<a id="pl.81.8"></a><var>81.8</var>(h) A provider may not bill or otherwise charge an elderly waiver participant or their <br/>
<a id="pl.81.9"></a><var>81.9</var>family for additional units of any allowable component service beyond those available <br/>
<a id="pl.81.10"></a><var>81.10</var>under the service rate limits described in paragraph (e), nor for additional units of any <br/>
<a id="pl.81.11"></a><var>81.11</var>allowable component service beyond those approved in the service plan by the lead agency.<br/>
<br/>
<a id="bill.4.24.0"></a><a id="pl.81.12"></a><var>81.12</var>    Sec. 24. Minnesota Statutes 2010, section 256B.092, subdivision 1b, is amended to <br/>
<a id="pl.81.13"></a><var>81.13</var>read:<br/>
<a id="pl.81.14"></a><var>81.14</var>    Subd. 1b. <b>Individual service plan.</b> (a) The individual service plan must:<br/>
<a id="pl.81.15"></a><var>81.15</var>(1) include the results of the assessment information on the person's need for service, <br/>
<a id="pl.81.16"></a><var>81.16</var>including identification of service needs that will be or that are met by the person's <br/>
<a id="pl.81.17"></a><var>81.17</var>relatives, friends, and others, as well as community services used by the general public;<br/>
<a id="pl.81.18"></a><var>81.18</var>(2) identify the person's preferences for services as stated by the person, the person's <br/>
<a id="pl.81.19"></a><var>81.19</var>legal guardian or conservator, or the parent if the person is a minor;<br/>
<a id="pl.81.20"></a><var>81.20</var>(3) identify long- and short-range goals for the person;<br/>
<a id="pl.81.21"></a><var>81.21</var>(4) identify specific services and the amount and frequency of the services to be <br/>
<a id="pl.81.22"></a><var>81.22</var>provided to the person based on assessed needs, preferences, and available resources. <br/>
<a id="pl.81.23"></a><var>81.23</var>The individual service plan shall also specify other services the person needs that are <br/>
<a id="pl.81.24"></a><var>81.24</var>not available;<br/>
<a id="pl.81.25"></a><var>81.25</var>(5) identify the need for an individual program plan to be developed by the provider <br/>
<a id="pl.81.26"></a><var>81.26</var>according to the respective state and federal licensing and certification standards, and <br/>
<a id="pl.81.27"></a><var>81.27</var>additional assessments to be completed or arranged by the provider after service initiation;<br/>
<a id="pl.81.28"></a><var>81.28</var>(6) identify provider responsibilities to implement and make recommendations for <br/>
<a id="pl.81.29"></a><var>81.29</var>modification to the individual service plan;<br/>
<a id="pl.81.30"></a><var>81.30</var>(7) include notice of the right to request a conciliation conference or a hearing <br/>
<a id="pl.81.31"></a><var>81.31</var>under section 
         <statute_ref>256.045</statute_ref>;<br/>
<a id="pl.81.32"></a><var>81.32</var>(8) be agreed upon and signed by the person, the person's legal guardian <br/>
<a id="pl.81.33"></a><var>81.33</var>or conservator, or the parent if the person is a minor, and the authorized county <br/>
<a id="pl.81.34"></a><var>81.34</var>representative; and<br/>
<a id="pl.82.1"></a><var>82.1</var>(9) be reviewed by a health professional if the person has overriding medical needs <br/>
<a id="pl.82.2"></a><var>82.2</var>that impact the delivery of services.<br/>
<a id="pl.82.3"></a><var>82.3</var>(b) Service planning formats developed for interagency planning such as transition, <br/>
<a id="pl.82.4"></a><var>82.4</var>vocational, and individual family service plans may be substituted for service planning <br/>
<a id="pl.82.5"></a><var>82.5</var>formats developed by county agencies.<br/>
<a id="pl.82.6"></a><var>82.6</var>(c) Approved, written, and signed changes to a consumer's services that meet the <br/>
<a id="pl.82.7"></a><var>82.7</var>criteria in this subdivision shall be an addendum to that consumer's individual service plan.<br/>
<br/>
<a id="bill.4.25.0"></a><a id="pl.82.8"></a><var>82.8</var>    Sec. 25. Minnesota Statutes 2011 Supplement, section 256B.097, subdivision 3, <br/>
<a id="pl.82.9"></a><var>82.9</var>is amended to read:<br/>
<a id="pl.82.10"></a><var>82.10</var>    Subd. 3. <b>State Quality Council.</b> (a) There is hereby created a State Quality <br/>
<a id="pl.82.11"></a><var>82.11</var>Council which must define regional quality councils, and carry out a community-based, <br/>
<a id="pl.82.12"></a><var>82.12</var>person-directed quality review component, and a comprehensive system for effective <br/>
<a id="pl.82.13"></a><var>82.13</var>incident reporting, investigation, analysis, and follow-up.<br/>
<a id="pl.82.14"></a><var>82.14</var>    (b) By August 1, 2011, the commissioner of human services shall appoint the <br/>
<a id="pl.82.15"></a><var>82.15</var>members of the initial State Quality Council. Members shall include representatives <br/>
<a id="pl.82.16"></a><var>82.16</var>from the following groups:<br/>
<a id="pl.82.17"></a><var>82.17</var>    (1) disability service recipients and their family members;<br/>
<a id="pl.82.18"></a><var>82.18</var>    (2) during the first two years of the State Quality Council, there must be at least three <br/>
<a id="pl.82.19"></a><var>82.19</var>members from the Region 10 stakeholders. As regional quality councils are formed under <br/>
<a id="pl.82.20"></a><var>82.20</var>subdivision 4, each regional quality council shall appoint one member;<br/>
<a id="pl.82.21"></a><var>82.21</var>    (3) disability service providers;<br/>
<a id="pl.82.22"></a><var>82.22</var>    (4) disability advocacy groups; and<br/>
<a id="pl.82.23"></a><var>82.23</var>    (5) county human services agencies and staff from the Department of Human <br/>
<a id="pl.82.24"></a><var>82.24</var>Services and Ombudsman for Mental Health and Developmental Disabilities.<br/>
<a id="pl.82.25"></a><var>82.25</var>    (c) Members of the council who do not receive a salary or wages from an employer <br/>
<a id="pl.82.26"></a><var>82.26</var>for time spent on council duties may receive a per diem payment when performing council <br/>
<a id="pl.82.27"></a><var>82.27</var>duties and functions.<br/>
<a id="pl.82.28"></a><var>82.28</var>    (d) The State Quality Council shall:<br/>
<a id="pl.82.29"></a><var>82.29</var>    (1) assist the Department of Human Services in fulfilling federally mandated <br/>
<a id="pl.82.30"></a><var>82.30</var>obligations by monitoring disability service quality and quality assurance and <br/>
<a id="pl.82.31"></a><var>82.31</var>improvement practices in Minnesota; and<br/>
<a id="pl.82.32"></a><var>82.32</var>    (2) establish state quality improvement priorities with methods for achieving results <br/>
<a id="pl.82.33"></a><var>82.33</var>and provide an annual report to the legislative committees with jurisdiction over policy <br/>
<a id="pl.82.34"></a><var>82.34</var>and funding of disability services on the outcomes, improvement priorities, and activities <br/>
<a id="pl.82.35"></a><var>82.35</var>undertaken by the commission during the previous state fiscal year;<br/>
<a id="pl.83.1"></a><var>83.1</var>(3) identify issues pertaining to financial and personal risk that impede Minnesotans <br/>
<a id="pl.83.2"></a><var>83.2</var>with disabilities from optimizing choice of community-based services; and<br/>
<a id="pl.83.3"></a><var>83.3</var>(4) recommend to the chairs and ranking minority members of the legislative <br/>
<a id="pl.83.4"></a><var>83.4</var>committees with jurisdiction over human services and civil law by January 15, 2013, <br/>
<a id="pl.83.5"></a><var>83.5</var>statutory and rule changes related to the findings under clause (3) that promote <br/>
<a id="pl.83.6"></a><var>83.6</var>individualized service and housing choices balanced with appropriate individualized <br/>
<a id="pl.83.7"></a><var>83.7</var>protection.<br/>
<a id="pl.83.8"></a><var>83.8</var>    (e) The State Quality Council, in partnership with the commissioner, shall:<br/>
<a id="pl.83.9"></a><var>83.9</var>    (1) approve and direct implementation of the community-based, person-directed <br/>
<a id="pl.83.10"></a><var>83.10</var>system established in this section;<br/>
<a id="pl.83.11"></a><var>83.11</var>    (2) recommend an appropriate method of funding this system, and determine the <br/>
<a id="pl.83.12"></a><var>83.12</var>feasibility of the use of Medicaid, licensing fees, as well as other possible funding options;<br/>
<a id="pl.83.13"></a><var>83.13</var>    (3) approve measurable outcomes in the areas of health and safety, consumer <br/>
<a id="pl.83.14"></a><var>83.14</var>evaluation, education and training, providers, and systems;<br/>
<a id="pl.83.15"></a><var>83.15</var>    (4) establish variable licensure periods not to exceed three years based on outcomes <br/>
<a id="pl.83.16"></a><var>83.16</var>achieved; and<br/>
<a id="pl.83.17"></a><var>83.17</var>    (5) in cooperation with the Quality Assurance Commission, design a transition plan <br/>
<a id="pl.83.18"></a><var>83.18</var>for licensed providers from Region 10 into the alternative licensing system by July 1, 2013.<br/>
<a id="pl.83.19"></a><var>83.19</var>    (f) The State Quality Council shall notify the commissioner of human services that a <br/>
<a id="pl.83.20"></a><var>83.20</var>facility, program, or service has been reviewed by quality assurance team members under <br/>
<a id="pl.83.21"></a><var>83.21</var>subdivision 4, paragraph (b), clause (13), and qualifies for a license.<br/>
<a id="pl.83.22"></a><var>83.22</var>    (g) The State Quality Council, in partnership with the commissioner, shall establish <br/>
<a id="pl.83.23"></a><var>83.23</var>an ongoing review process for the system. The review shall take into account the <br/>
<a id="pl.83.24"></a><var>83.24</var>comprehensive nature of the system which is designed to evaluate the broad spectrum of <br/>
<a id="pl.83.25"></a><var>83.25</var>licensed and unlicensed entities that provide services to persons with disabilities. The <br/>
<a id="pl.83.26"></a><var>83.26</var>review shall address efficiencies and effectiveness of the system.<br/>
<a id="pl.83.27"></a><var>83.27</var>    (h) The State Quality Council may recommend to the commissioner certain <br/>
<a id="pl.83.28"></a><var>83.28</var>variances from the standards governing licensure of programs for persons with disabilities <br/>
<a id="pl.83.29"></a><var>83.29</var>in order to improve the quality of services so long as the recommended variances do <br/>
<a id="pl.83.30"></a><var>83.30</var>not adversely affect the health or safety of persons being served or compromise the <br/>
<a id="pl.83.31"></a><var>83.31</var>qualifications of staff to provide services.<br/>
<a id="pl.83.32"></a><var>83.32</var>    (i) The safety standards, rights, or procedural protections referenced under <br/>
<a id="pl.83.33"></a><var>83.33</var>subdivision 2, paragraph (c), shall not be varied. The State Quality Council may make <br/>
<a id="pl.83.34"></a><var>83.34</var>recommendations to the commissioner or to the legislature in the report required under <br/>
<a id="pl.83.35"></a><var>83.35</var>paragraph (c) regarding alternatives or modifications to the safety standards, rights, or <br/>
<a id="pl.83.36"></a><var>83.36</var>procedural protections referenced under subdivision 2, paragraph (c).<br/>
<a id="pl.84.1"></a><var>84.1</var>    (j) The State Quality Council may hire staff to perform the duties assigned in this <br/>
<a id="pl.84.2"></a><var>84.2</var>subdivision.<br/>
<br/>
<a id="bill.4.26.0"></a><a id="pl.84.3"></a><var>84.3</var>    Sec. 26. Minnesota Statutes 2010, section 256B.431, subdivision 17e, is amended to <br/>
<a id="pl.84.4"></a><var>84.4</var>read:<br/>
<a id="pl.84.5"></a><var>84.5</var>    Subd. 17e. <b>Replacement-costs-new per bed limit effective October 1, 2007.</b><br/>
<a id="pl.84.6"></a><var>84.6</var>    Notwithstanding Minnesota Rules, part 9549.0060, subpart 11, item C, subitem (2), <br/>
<a id="pl.84.7"></a><var>84.7</var>for a total replacement, as defined in subdivision 17d, authorized under section <br/>
<statute_ref><a id="pl.84.8"></a><var>84.8</var>144A.071
         </statute_ref> or 
         <statute_ref>144A.073</statute_ref> after July 1, 1999, any building project that is a relocation, <br/>
<a id="pl.84.9"></a><var>84.9</var>renovation, upgrading, or conversion completed on or after July 1, 2001, or any <br/>
<a id="pl.84.10"></a><var>84.10</var>building project eligible for reimbursement under section 
         <statute_ref>256B.434, subdivision 4f</statute_ref>, the <br/>
<a id="pl.84.11"></a><var>84.11</var>replacement-costs-new per bed limit shall be $74,280 per licensed bed in multiple-bed <br/>
<a id="pl.84.12"></a><var>84.12</var>rooms, $92,850 per licensed bed in semiprivate rooms with a fixed partition separating <br/>
<a id="pl.84.13"></a><var>84.13</var>the resident beds, and $111,420 per licensed bed in single rooms. Minnesota Rules, part <br/>
<a id="pl.84.14"></a><var>84.14</var>9549.0060, subpart 11, item C, subitem (2), does not apply. These amounts must be <br/>
<a id="pl.84.15"></a><var>84.15</var>adjusted annually as specified in subdivision 3f, paragraph (a), beginning January 1, <br/>
<a id="pl.84.16"></a><var>84.16</var>2000. These amounts must be increased annually as specified in subdivision 3f, paragraph <br/>
<a id="pl.84.17"></a><var>84.17</var>(a), beginning October 1, 2012.<br/>
<br/>
<a id="bill.4.27.0"></a><a id="pl.84.18"></a><var>84.18</var>    Sec. 27. Minnesota Statutes 2010, section 256B.431, is amended by adding a <br/>
<a id="pl.84.19"></a><var>84.19</var>subdivision to read:<br/>
<a id="pl.84.20"></a><var>84.20</var>    Subd. 45. <b>Rate adjustments for some moratorium exception projects.</b><br/>
<a id="pl.84.21"></a><var>84.21</var>Notwithstanding any other law to the contrary, money available for moratorium exception <br/>
<a id="pl.84.22"></a><var>84.22</var>projects under section 144A.073, subdivisions 2 and 11, shall be used to fund the <br/>
<a id="pl.84.23"></a><var>84.23</var>incremental rate increases resulting from this section for any nursing facility with a <br/>
<a id="pl.84.24"></a><var>84.24</var>moratorium exception project approved under section 144A.073, and completed after <br/>
<a id="pl.84.25"></a><var>84.25</var>August 30, 2010, where the replacement-costs-new limits under subdivision 17e were <br/>
<a id="pl.84.26"></a><var>84.26</var>higher at any time after project approval than at the time of project completion. The <br/>
<a id="pl.84.27"></a><var>84.27</var>commissioner shall calculate the property rate increase for these facilities using the highest <br/>
<a id="pl.84.28"></a><var>84.28</var>set of limits; however, any rate increase under this section shall not be effective until on <br/>
<a id="pl.84.29"></a><var>84.29</var>or after the effective date of this section, contingent upon federal approval. No property <br/>
<a id="pl.84.30"></a><var>84.30</var>rate decrease shall result from this section.<br/>
<a id="pl.84.31"></a><var>84.31</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval.<br/>
<br/>
<a id="bill.4.28.0"></a><a id="pl.84.32"></a><var>84.32</var>    Sec. 28. Minnesota Statutes 2010, section 256B.434, subdivision 10, is amended to <br/>
<a id="pl.84.33"></a><var>84.33</var>read:<br/>
<a id="pl.85.1"></a><var>85.1</var>    Subd. 10. <b>Exemptions.</b> (a) To the extent permitted by federal law, (1) a facility that <br/>
<a id="pl.85.2"></a><var>85.2</var>has entered into a contract under this section is not required to file a cost report, as defined <br/>
<a id="pl.85.3"></a><var>85.3</var>in Minnesota Rules, part 9549.0020, subpart 13, for any year after the base year that is the <br/>
<a id="pl.85.4"></a><var>85.4</var>basis for the calculation of the contract payment rate for the first rate year of the alternative <br/>
<a id="pl.85.5"></a><var>85.5</var>payment demonstration project contract; and (2) a facility under contract is not subject <br/>
<a id="pl.85.6"></a><var>85.6</var>to audits of historical costs or revenues, or paybacks or retroactive adjustments based on <br/>
<a id="pl.85.7"></a><var>85.7</var>these costs or revenues, except audits, paybacks, or adjustments relating to the cost report <br/>
<a id="pl.85.8"></a><var>85.8</var>that is the basis for calculation of the first rate year under the contract.<br/>
<a id="pl.85.9"></a><var>85.9</var>(b) A facility that is under contract with the commissioner under this section is <br/>
<a id="pl.85.10"></a><var>85.10</var>not subject to the moratorium on licensure or certification of new nursing home beds in <br/>
<a id="pl.85.11"></a><var>85.11</var>section 
         <statute_ref>144A.071</statute_ref>, unless the project results in a net increase in bed capacity or involves <br/>
<a id="pl.85.12"></a><var>85.12</var>relocation of beds from one site to another. Contract payment rates must not be adjusted <br/>
<a id="pl.85.13"></a><var>85.13</var>to reflect any additional costs that a nursing facility incurs as a result of a construction <br/>
<a id="pl.85.14"></a><var>85.14</var>project undertaken under this paragraph. In addition, as a condition of entering into a <br/>
<a id="pl.85.15"></a><var>85.15</var>contract under this section, a nursing facility must agree that any future medical assistance <br/>
<a id="pl.85.16"></a><var>85.16</var>payments for nursing facility services will not reflect any additional costs attributable to <br/>
<a id="pl.85.17"></a><var>85.17</var>the sale of a nursing facility under this section and to construction undertaken under <br/>
<a id="pl.85.18"></a><var>85.18</var>this paragraph that otherwise would not be authorized under the moratorium in section <br/>
<statute_ref><a id="pl.85.19"></a><var>85.19</var>144A.073
         </statute_ref>. Nothing in this section prevents a nursing facility participating in the <br/>
<a id="pl.85.20"></a><var>85.20</var>alternative payment demonstration project under this section from seeking approval of <br/>
<a id="pl.85.21"></a><var>85.21</var>an exception to the moratorium through the process established in section 
         <statute_ref>144A.073</statute_ref>, <br/>
<a id="pl.85.22"></a><var>85.22</var>and if approved the facility's rates shall be adjusted to reflect the cost of the project. <br/>
<a id="pl.85.23"></a><var>85.23</var>Nothing in this section prevents a nursing facility participating in the alternative payment <br/>
<a id="pl.85.24"></a><var>85.24</var>demonstration project from seeking legislative approval of an exception to the moratorium <br/>
<a id="pl.85.25"></a><var>85.25</var>under section 
         <statute_ref>144A.071</statute_ref>, and, if enacted, the facility's rates shall be adjusted to reflect the <br/>
<a id="pl.85.26"></a><var>85.26</var>cost of the project.<br/>
<a id="pl.85.27"></a><var>85.27</var>(c) Notwithstanding section 
<statute_ref>256B.48, subdivision 6</statute_ref>, paragraphs (c), (d), and (e), <br/>
<a id="pl.85.28"></a><var>85.28</var>and pursuant to any terms and conditions contained in the facility's contract, a nursing <br/>
<a id="pl.85.29"></a><var>85.29</var>facility that is under contract with the commissioner under this section is in compliance <br/>
<a id="pl.85.30"></a><var>85.30</var>with section 
<statute_ref>256B.48, subdivision 6</statute_ref>, paragraph (b), if the facility is Medicare certified.<br/>
<a id="pl.85.31"></a><var>85.31</var>(d)  (c) Notwithstanding paragraph (a), if by April 1, 1996, the health care financing <br/>
<a id="pl.85.32"></a><var>85.32</var>administration has not approved a required waiver, or the Centers for Medicare and <br/>
<a id="pl.85.33"></a><var>85.33</var>Medicaid Services otherwise requires cost reports to be filed prior to the waiver's approval, <br/>
<a id="pl.85.34"></a><var>85.34</var>the commissioner shall require a cost report for the rate year.<br/>
<a id="pl.85.35"></a><var>85.35</var>(e) (d) A facility that is under contract with the commissioner under this section <br/>
<a id="pl.85.36"></a><var>85.36</var>shall be allowed to change therapy arrangements from an unrelated vendor to a related <br/>
<a id="pl.86.1"></a><var>86.1</var>vendor during the term of the contract. The commissioner may develop reasonable <br/>
<a id="pl.86.2"></a><var>86.2</var>requirements designed to prevent an increase in therapy utilization for residents enrolled <br/>
<a id="pl.86.3"></a><var>86.3</var>in the medical assistance program.<br/>
<a id="pl.86.4"></a><var>86.4</var>(f) (e) Nursing facilities participating in the alternative payment system <br/>
<a id="pl.86.5"></a><var>86.5</var>demonstration project must either participate in the alternative payment system quality <br/>
<a id="pl.86.6"></a><var>86.6</var>improvement program established by the commissioner or submit information on their <br/>
<a id="pl.86.7"></a><var>86.7</var>own quality improvement process to the commissioner for approval. Nursing facilities <br/>
<a id="pl.86.8"></a><var>86.8</var>that have had their own quality improvement process approved by the commissioner <br/>
<a id="pl.86.9"></a><var>86.9</var>must report results for at least one key area of quality improvement annually to the <br/>
<a id="pl.86.10"></a><var>86.10</var>commissioner.<br/>
<br/>
<a id="bill.4.29.0"></a><a id="pl.86.11"></a><var>86.11</var>    Sec. 29. Minnesota Statutes 2010, section 256B.441, is amended by adding a <br/>
<a id="pl.86.12"></a><var>86.12</var>subdivision to read:<br/>
<a id="pl.86.13"></a><var>86.13</var>    Subd. 63. <b>Critical access nursing facilities.</b> (a) The commissioner, in consultation <br/>
<a id="pl.86.14"></a><var>86.14</var>with the commissioner of health, may designate certain nursing facilities as critical access <br/>
<a id="pl.86.15"></a><var>86.15</var>nursing facilities. The designation shall be granted on a competitive basis, within the <br/>
<a id="pl.86.16"></a><var>86.16</var>limits of funds appropriated for this purpose.<br/>
<a id="pl.86.17"></a><var>86.17</var>(b) The commissioner shall request proposals from nursing facilities every two years. <br/>
<a id="pl.86.18"></a><var>86.18</var>Proposals must be submitted in the form and according to the timelines established by <br/>
<a id="pl.86.19"></a><var>86.19</var>the commissioner. In selecting applicants to designate, the commissioner, in consultation <br/>
<a id="pl.86.20"></a><var>86.20</var>with the commissioner of health, and with input from stakeholders, shall develop criteria <br/>
<a id="pl.86.21"></a><var>86.21</var>designed to preserve access to nursing facility services in isolated areas, rebalance <br/>
<a id="pl.86.22"></a><var>86.22</var>long-term care, and improve quality.<br/>
<a id="pl.86.23"></a><var>86.23</var>(c) The commissioner shall allow the benefits in clauses (1) to (5) for nursing <br/>
<a id="pl.86.24"></a><var>86.24</var>facilities designated as critical access nursing facilities:<br/>
<a id="pl.86.25"></a><var>86.25</var>(1) partial rebasing, with operating payment rates being the sum of 60 percent of the <br/>
<a id="pl.86.26"></a><var>86.26</var>operating payment rate determined in accordance with subdivision 54 and 40 percent of the <br/>
<a id="pl.86.27"></a><var>86.27</var>operating payment rate that would have been allowed had the facility not been designated;<br/>
<a id="pl.86.28"></a><var>86.28</var>(2) enhanced payments for leave days. Notwithstanding section 256B.431, <br/>
<a id="pl.86.29"></a><var>86.29</var>subdivision 2r, upon designation as a critical access nursing facility, the commissioner <br/>
<a id="pl.86.30"></a><var>86.30</var>shall limit payment for leave days to 60 percent of that nursing facility's total payment rate <br/>
<a id="pl.86.31"></a><var>86.31</var>for the involved resident, and shall allow this payment only when the occupancy of the <br/>
<a id="pl.86.32"></a><var>86.32</var>nursing facility, inclusive of bed hold days, is equal to or greater than 90 percent;<br/>
<a id="pl.86.33"></a><var>86.33</var>(3) two designated critical access nursing facilities, with up to 100 beds in active <br/>
<a id="pl.86.34"></a><var>86.34</var>service, may jointly apply to the commissioner of health for a waiver of Minnesota <br/>
<a id="pl.86.35"></a><var>86.35</var>Rules, part 4658.0500, subpart 2, in order to jointly employ a director of nursing. The <br/>
<a id="pl.87.1"></a><var>87.1</var>commissioner of health will consider each waiver request independently based on the <br/>
<a id="pl.87.2"></a><var>87.2</var>criteria under Minnesota Rules, part 4658.0040;<br/>
<a id="pl.87.3"></a><var>87.3</var>(4) the minimum threshold under section 256B.431, subdivisions 3f, paragraph (a), <br/>
<a id="pl.87.4"></a><var>87.4</var>and 17e, shall be 40 percent of the amount that would otherwise apply; and<br/>
<a id="pl.87.5"></a><var>87.5</var>(5) notwithstanding subdivision 58, beginning October 1, 2014, the quality-based <br/>
<a id="pl.87.6"></a><var>87.6</var>rate limits under subdivision 50 shall apply to designated critical access nursing facilities.<br/>
<a id="pl.87.7"></a><var>87.7</var>(d) Designation of a critical access nursing facility shall be for a period of two <br/>
<a id="pl.87.8"></a><var>87.8</var>years, after which the benefits allowed under paragraph (c) shall be removed. Designated <br/>
<a id="pl.87.9"></a><var>87.9</var>facilities may apply for continued designation.<br/>
<a id="pl.87.10"></a><var>87.10</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.4.30.0"></a><a id="pl.87.11"></a><var>87.11</var>    Sec. 30. Minnesota Statutes 2010, section 256B.48, is amended by adding a <br/>
<a id="pl.87.12"></a><var>87.12</var>subdivision to read:<br/>
<a id="pl.87.13"></a><var>87.13</var>    Subd. 6a. <b>Referrals to Medicare providers required.</b> Notwithstanding subdivision <br/>
<a id="pl.87.14"></a><var>87.14</var>1, nursing facility providers that do not participate in or accept Medicare assignment <br/>
<a id="pl.87.15"></a><var>87.15</var>must refer and document the referral of dual eligible recipients for whom placement is <br/>
<a id="pl.87.16"></a><var>87.16</var>requested and for whom the resident would be qualified for a Medicare-covered stay to <br/>
<a id="pl.87.17"></a><var>87.17</var>Medicare providers. The commissioner shall audit nursing facilities that do not accept <br/>
<a id="pl.87.18"></a><var>87.18</var>Medicare and determine if dual eligible individuals with Medicare qualifying stays have <br/>
<a id="pl.87.19"></a><var>87.19</var>been admitted. If such a determination is made, the commissioner shall deny Medicaid <br/>
<a id="pl.87.20"></a><var>87.20</var>payment for the first 20 days of that resident's stay.<br/>
<br/>
<a id="bill.4.31.0"></a><a id="pl.87.21"></a><var>87.21</var>    Sec. 31. Minnesota Statutes 2011 Supplement, section 256B.49, subdivision 15, <br/>
<a id="pl.87.22"></a><var>87.22</var>is amended to read:<br/>
<a id="pl.87.23"></a><var>87.23</var>    Subd. 15. <b>Individualized service plan; comprehensive transitional service plan; </b><br/>
<a id="pl.87.24"></a><var>87.24</var><b>maintenance service plan.</b> (a) Each recipient of home and community-based waivered <br/>
<a id="pl.87.25"></a><var>87.25</var>services shall be provided a copy of the written service plan which:<br/>
<a id="pl.87.26"></a><var>87.26</var>(1) is developed and signed by the recipient within ten working days of the <br/>
<a id="pl.87.27"></a><var>87.27</var>completion of the assessment;<br/>
<a id="pl.87.28"></a><var>87.28</var>(2) meets the assessed needs of the recipient;<br/>
<a id="pl.87.29"></a><var>87.29</var>(3) reasonably ensures the health and safety of the recipient;<br/>
<a id="pl.87.30"></a><var>87.30</var>(4) promotes independence;<br/>
<a id="pl.87.31"></a><var>87.31</var>(5) allows for services to be provided in the most integrated settings; and<br/>
<a id="pl.87.32"></a><var>87.32</var>(6) provides for an informed choice, as defined in section 
         <statute_ref>256B.77, subdivision 2</statute_ref>, <br/>
<a id="pl.87.33"></a><var>87.33</var>paragraph (p), of service and support providers.<br/>
<a id="pl.88.1"></a><var>88.1</var>(b) In developing the comprehensive transitional service plan, the individual <br/>
<a id="pl.88.2"></a><var>88.2</var>receiving services, the case manager, and the guardian, if applicable, will identify <br/>
<a id="pl.88.3"></a><var>88.3</var>the transitional service plan fundamental service outcome and anticipated timeline to <br/>
<a id="pl.88.4"></a><var>88.4</var>achieve this outcome. Within the first 20 days following a recipient's request for an <br/>
<a id="pl.88.5"></a><var>88.5</var>assessment or reassessment, the transitional service planning team must be identified. A <br/>
<a id="pl.88.6"></a><var>88.6</var>team leader must be identified who will be responsible for assigning responsibility and <br/>
<a id="pl.88.7"></a><var>88.7</var>communicating with team members to ensure implementation of the transition plan and <br/>
<a id="pl.88.8"></a><var>88.8</var>ongoing assessment and communication process. The team leader should be an individual, <br/>
<a id="pl.88.9"></a><var>88.9</var>such as the case manager or guardian, who has the opportunity to follow the recipient to <br/>
<a id="pl.88.10"></a><var>88.10</var>the next level of service.<br/>
<a id="pl.88.11"></a><var>88.11</var>Within ten days following an assessment, a comprehensive transitional service plan <br/>
<a id="pl.88.12"></a><var>88.12</var>must be developed incorporating elements of a comprehensive functional assessment and <br/>
<a id="pl.88.13"></a><var>88.13</var>including short-term measurable outcomes and timelines for achievement of and reporting <br/>
<a id="pl.88.14"></a><var>88.14</var>on these outcomes. Functional milestones must also be identified and reported according <br/>
<a id="pl.88.15"></a><var>88.15</var>to the timelines agreed upon by the transitional service planning team. In addition, the <br/>
<a id="pl.88.16"></a><var>88.16</var>comprehensive transitional service plan must identify additional supports that may assist <br/>
<a id="pl.88.17"></a><var>88.17</var>in the achievement of the fundamental service outcome such as the development of greater <br/>
<a id="pl.88.18"></a><var>88.18</var>natural community support, increased collaboration among agencies, and technological <br/>
<a id="pl.88.19"></a><var>88.19</var>supports.<br/>
<a id="pl.88.20"></a><var>88.20</var>The timelines for reporting on functional milestones will prompt a reassessment of <br/>
<a id="pl.88.21"></a><var>88.21</var>services provided, the units of services, rates, and appropriate service providers. It is <br/>
<a id="pl.88.22"></a><var>88.22</var>the responsibility of the transitional service planning team leader to review functional <br/>
<a id="pl.88.23"></a><var>88.23</var>milestone reporting to determine if the milestones are consistent with observable skills <br/>
<a id="pl.88.24"></a><var>88.24</var>and that milestone achievement prompts any needed changes to the comprehensive <br/>
<a id="pl.88.25"></a><var>88.25</var>transitional service plan.<br/>
<a id="pl.88.26"></a><var>88.26</var>For those whose fundamental transitional service outcome involves the need to <br/>
<a id="pl.88.27"></a><var>88.27</var>procure housing, a plan for the recipient to seek the resources necessary to secure the least <br/>
<a id="pl.88.28"></a><var>88.28</var>restrictive housing possible should be incorporated into the plan, including employment <br/>
<a id="pl.88.29"></a><var>88.29</var>and public supports such as housing access and shelter needy funding.<br/>
<a id="pl.88.30"></a><var>88.30</var>(c) Counties and other agencies responsible for funding community placement and <br/>
<a id="pl.88.31"></a><var>88.31</var>ongoing community supportive services are responsible for the implementation of the <br/>
<a id="pl.88.32"></a><var>88.32</var>comprehensive transitional service plans. Oversight responsibilities include both ensuring <br/>
<a id="pl.88.33"></a><var>88.33</var>effective transitional service delivery and efficient utilization of funding resources.<br/>
<a id="pl.88.34"></a><var>88.34</var>(d) Following one year of transitional services, the transitional services planning <br/>
<a id="pl.88.35"></a><var>88.35</var>team will make a determination as to whether or not the individual receiving services <br/>
<a id="pl.88.36"></a><var>88.36</var>requires the current level of continuous and consistent support in order to maintain the <br/>
<a id="pl.89.1"></a><var>89.1</var>recipient's current level of functioning. Recipients who are determined to have not had <br/>
<a id="pl.89.2"></a><var>89.2</var>a significant change in functioning for 12 months must move from a transitional to a <br/>
<a id="pl.89.3"></a><var>89.3</var>maintenance service plan. Recipients on a maintenance service plan must be reassessed <br/>
<a id="pl.89.4"></a><var>89.4</var>to determine if the recipient would benefit from a transitional service plan at least every <br/>
<a id="pl.89.5"></a><var>89.5</var>12 months and at other times when there has been a significant change in the recipient's <br/>
<a id="pl.89.6"></a><var>89.6</var>functioning. This assessment should consider any changes to technological or natural <br/>
<a id="pl.89.7"></a><var>89.7</var>community supports.<br/>
<a id="pl.89.8"></a><var>89.8</var>(e) When a county is evaluating denials, reductions, or terminations of home and <br/>
<a id="pl.89.9"></a><var>89.9</var>community-based services under section 
         <statute_ref>256B.49</statute_ref> for an individual, the case manager <br/>
<a id="pl.89.10"></a><var>89.10</var>shall offer to meet with the individual or the individual's guardian in order to discuss the <br/>
<a id="pl.89.11"></a><var>89.11</var>prioritization of service needs within the individualized service plan, comprehensive <br/>
<a id="pl.89.12"></a><var>89.12</var>transitional service plan, or maintenance service plan. The reduction in the authorized <br/>
<a id="pl.89.13"></a><var>89.13</var>services for an individual due to changes in funding for waivered services may not exceed <br/>
<a id="pl.89.14"></a><var>89.14</var>the amount needed to ensure medically necessary services to meet the individual's health, <br/>
<a id="pl.89.15"></a><var>89.15</var>safety, and welfare.<br/>
<a id="pl.89.16"></a><var>89.16</var>(f) At the time of reassessment, local agency case managers shall assess each <br/>
<a id="pl.89.17"></a><var>89.17</var>recipient of community alternatives for disabled individuals or traumatic brain injury <br/>
<a id="pl.89.18"></a><var>89.18</var>waivered services currently residing in a licensed adult foster home that is not the primary <br/>
<a id="pl.89.19"></a><var>89.19</var>residence of the license holder, or in which the license holder is not the primary caregiver, <br/>
<a id="pl.89.20"></a><var>89.20</var>to determine if that recipient could appropriately be served in a community-living setting. <br/>
<a id="pl.89.21"></a><var>89.21</var>If appropriate for the recipient, the case manager shall offer the recipient, through a <br/>
<a id="pl.89.22"></a><var>89.22</var>person-centered planning process, the option to receive alternative housing and service <br/>
<a id="pl.89.23"></a><var>89.23</var>options. In the event that the recipient chooses to transfer from the adult foster home, <br/>
<a id="pl.89.24"></a><var>89.24</var>the vacated bed shall not be filled with another recipient of waiver services and group <br/>
<a id="pl.89.25"></a><var>89.25</var>residential housing, unless  and the licensed capacity shall be reduced accordingly, unless <br/>
<a id="pl.89.26"></a><var>89.26</var>the savings required by the 2011 licensed bed closure reductions for foster care settings <br/>
<a id="pl.89.27"></a><var>89.27</var>where the physical location is not the primary residence of the license holder are met <br/>
<a id="pl.89.28"></a><var>89.28</var>through voluntary changes described in section 245A.03, subdivision 7, paragraph (g), <br/>
<a id="pl.89.29"></a><var>89.29</var>or as provided under section 
<statute_ref>245A.03, subdivision 7</statute_ref>, paragraph (a), clauses (3) and (4), <br/>
<a id="pl.89.30"></a><var>89.30</var>and the licensed capacity shall be reduced accordingly. If the adult foster home becomes <br/>
<a id="pl.89.31"></a><var>89.31</var>no longer viable due to these transfers, the county agency, with the assistance of the <br/>
<a id="pl.89.32"></a><var>89.32</var>department, shall facilitate a consolidation of settings or closure. This reassessment <br/>
<a id="pl.89.33"></a><var>89.33</var>process shall be completed by June 30, 2012 July 1, 2013.<br/>
<br/>
<a id="bill.4.32.0"></a><a id="pl.89.34"></a><var>89.34</var>    Sec. 32. Minnesota Statutes 2011 Supplement, section 256B.49, subdivision 23, <br/>
<a id="pl.89.35"></a><var>89.35</var>is amended to read:<br/>
<a id="pl.90.1"></a><var>90.1</var>    Subd. 23. <b>Community-living settings.</b> "Community-living settings" means a <br/>
<a id="pl.90.2"></a><var>90.2</var>single-family home or apartment where the service recipient or their family owns or rents, <br/>
<a id="pl.90.3"></a><var>90.3</var>as demonstrated by a lease agreement, and maintains control over the individual unit as <br/>
<a id="pl.90.4"></a><var>90.4</var>demonstrated by the lease agreement, or has a plan for transition of a lease from a service <br/>
<a id="pl.90.5"></a><var>90.5</var>provider to the individual. Within two years of signing the initial lease, the service provider <br/>
<a id="pl.90.6"></a><var>90.6</var>shall transfer the lease to the individual. In the event the landlord denies the transfer, the <br/>
<a id="pl.90.7"></a><var>90.7</var>commissioner may approve an exception within sufficient time to ensure the continued <br/>
<a id="pl.90.8"></a><var>90.8</var>occupancy by the individual. Community-living settings are subject to the following:<br/>
<a id="pl.90.9"></a><var>90.9</var>(1) individuals are not required to receive services;<br/>
<a id="pl.90.10"></a><var>90.10</var>(2) individuals are not required to have a disability or specific diagnosis to live in the <br/>
<a id="pl.90.11"></a><var>90.11</var>community-living setting, unless state or federal funding requires it;<br/>
<a id="pl.90.12"></a><var>90.12</var>(3) individuals may hire service providers of their choice;<br/>
<a id="pl.90.13"></a><var>90.13</var>(4) individuals may choose whether to share their household and with whom;<br/>
<a id="pl.90.14"></a><var>90.14</var>(5) the home or apartment must include living, sleeping, bathing, and cooking areas;<br/>
<a id="pl.90.15"></a><var>90.15</var>(6) individuals must have lockable access and egress;<br/>
<a id="pl.90.16"></a><var>90.16</var>(7) individuals must be free to receive visitors and leave the settings at times and for <br/>
<a id="pl.90.17"></a><var>90.17</var>durations of their own choosing;<br/>
<a id="pl.90.18"></a><var>90.18</var>(8) leases must not reserve the right to assign units or change unit assignments; and<br/>
<a id="pl.90.19"></a><var>90.19</var>(9) access to the greater community must be easily facilitated based on the <br/>
<a id="pl.90.20"></a><var>90.20</var>individual's needs and preferences.<br/>
<br/>
<a id="bill.4.33.0"></a><a id="pl.90.21"></a><var>90.21</var>    Sec. 33. <b>[256B.492] ADULT FOSTER CARE VOLUNTARY CLOSURE.</b><br/>
<a id="pl.90.22"></a><var>90.22</var>    Subdivision 1. <b>Commissioner's duties; report.</b>  The commissioner of human <br/>
<a id="pl.90.23"></a><var>90.23</var>services shall ask providers of adult foster care services to present proposals for the <br/>
<a id="pl.90.24"></a><var>90.24</var>conversion of services provided for persons with developmental disabilities in settings <br/>
<a id="pl.90.25"></a><var>90.25</var>licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, to services to other <br/>
<a id="pl.90.26"></a><var>90.26</var>community settings in conjunction with the cessation of operations and closure of <br/>
<a id="pl.90.27"></a><var>90.27</var>identified facilities.<br/>
<a id="pl.90.28"></a><var>90.28</var>    Subd. 2. <b>Inventory of foster care capacity.</b>  The commissioner of human services <br/>
<a id="pl.90.29"></a><var>90.29</var>shall submit to the legislature by February 15, 2013, a report that includes:<br/>
<a id="pl.90.30"></a><var>90.30</var>(1) an inventory of the assessed needs of all individuals with disabilities receiving <br/>
<a id="pl.90.31"></a><var>90.31</var>foster care services under section 256B.092;<br/>
<a id="pl.90.32"></a><var>90.32</var>(2) an inventory of total licensed foster care capacity for adults and children <br/>
<a id="pl.90.33"></a><var>90.33</var>available in Minnesota as of January 1, 2013; and<br/>
<a id="pl.90.34"></a><var>90.34</var>(3) a comparison of the needs of individuals receiving services in foster care settings <br/>
<a id="pl.90.35"></a><var>90.35</var>and nonfoster care settings.<br/>
<a id="pl.91.1"></a><var>91.1</var>The report will also contain recommendations on developing a profile of individuals <br/>
<a id="pl.91.2"></a><var>91.2</var>requiring foster care services and the projected level of foster care capacity needed <br/>
<a id="pl.91.3"></a><var>91.3</var>to serve that population.<br/>
<a id="pl.91.4"></a><var>91.4</var>    Subd. 3. <b>Voluntary closure process need determination.</b> If the report required in <br/>
<a id="pl.91.5"></a><var>91.5</var>subdivision 2 determines the existing supply of foster care capacity is higher than needed <br/>
<a id="pl.91.6"></a><var>91.6</var>to meet the needs of individuals requiring that level of care, the commissioner shall, <br/>
<a id="pl.91.7"></a><var>91.7</var>within the limits of available appropriations, announce and implement a program for <br/>
<a id="pl.91.8"></a><var>91.8</var>closure of adult foster care homes.<br/>
<a id="pl.91.9"></a><var>91.9</var>    Subd. 4. <b>Application process.</b> (a) The commissioner shall establish a process of <br/>
<a id="pl.91.10"></a><var>91.10</var>application, review, and approval for licensees to submit proposals for the closure of <br/>
<a id="pl.91.11"></a><var>91.11</var>facilities.<br/>
<a id="pl.91.12"></a><var>91.12</var>(b) A licensee shall notify the following parties in writing when an application for a <br/>
<a id="pl.91.13"></a><var>91.13</var>planned closure adjustment is submitted:<br/>
<a id="pl.91.14"></a><var>91.14</var>(1) the county social services agency; and<br/>
<a id="pl.91.15"></a><var>91.15</var>(2) current and prospective residents and their families.<br/>
<a id="pl.91.16"></a><var>91.16</var>(c) After providing written notice, and prior to admission, the licensee must fully <br/>
<a id="pl.91.17"></a><var>91.17</var>inform prospective residents and their families of the intent to close operations and of <br/>
<a id="pl.91.18"></a><var>91.18</var>the relocation plan.<br/>
<a id="pl.91.19"></a><var>91.19</var>    Subd. 5. <b>Review and approval process.</b> (a) To be considered for approval, an <br/>
<a id="pl.91.20"></a><var>91.20</var>application must include:<br/>
<a id="pl.91.21"></a><var>91.21</var>(1) a description of the proposed closure plan, which must include identification of <br/>
<a id="pl.91.22"></a><var>91.22</var>the home or homes to receive a planned closure rate adjustment; <br/>
<a id="pl.91.23"></a><var>91.23</var>(2) the proposed timetable for any proposed closure, including the proposed dates for <br/>
<a id="pl.91.24"></a><var>91.24</var>announcement to residents and the affected county social service agency, commencement <br/>
<a id="pl.91.25"></a><var>91.25</var>of closure, and completion of closure;<br/>
<a id="pl.91.26"></a><var>91.26</var>(3) the proposed relocation plan jointly developed by the county of financial <br/>
<a id="pl.91.27"></a><var>91.27</var>responsibility and the providers for current residents of any facility designated for closure; <br/>
<a id="pl.91.28"></a><var>91.28</var>and<br/>
<a id="pl.91.29"></a><var>91.29</var>(4) documentation in a format approved by the commissioner that all the adult foster <br/>
<a id="pl.91.30"></a><var>91.30</var>care homes receiving a planned closure rate adjustment under the plan have accepted joint <br/>
<a id="pl.91.31"></a><var>91.31</var>and several liability for recovery of overpayments under section 256B.0641, subdivision <br/>
<a id="pl.91.32"></a><var>91.32</var>2, for the facilities designated for closure under the plan.<br/>
<a id="pl.91.33"></a><var>91.33</var>(c) In reviewing and approving closure proposals, the commissioner shall give first <br/>
<a id="pl.91.34"></a><var>91.34</var>priority to proposals that:<br/>
<a id="pl.91.35"></a><var>91.35</var>(1) result in the closing of a facility;<br/>
<a id="pl.91.36"></a><var>91.36</var>(2) demonstrate savings of medical assistance expenditures; and<br/>
<a id="pl.92.1"></a><var>92.1</var>(3) demonstrate that alternative placements will be developed based on individual <br/>
<a id="pl.92.2"></a><var>92.2</var>resident needs and applicable federal and state rules.<br/>
<a id="pl.92.3"></a><var>92.3</var>The commissioner shall also consider any information provided by residents, their <br/>
<a id="pl.92.4"></a><var>92.4</var>family, or the county social services agency on the impact of the planned closure on <br/>
<a id="pl.92.5"></a><var>92.5</var>the services they receive.<br/>
<a id="pl.92.6"></a><var>92.6</var>(d) The commissioner shall select proposals that best meet the criteria established <br/>
<a id="pl.92.7"></a><var>92.7</var>in this subdivision within the appropriation made available for planned closure of adult <br/>
<a id="pl.92.8"></a><var>92.8</var>foster care facilities. The commissioner shall notify licensees of the selections made and <br/>
<a id="pl.92.9"></a><var>92.9</var>approved by the commissioner.<br/>
<a id="pl.92.10"></a><var>92.10</var>(e) For each proposal approved by the commissioner, a contract must be established <br/>
<a id="pl.92.11"></a><var>92.11</var>between the commissioner, the county of financial responsibility, and the participating <br/>
<a id="pl.92.12"></a><var>92.12</var>licensee.<br/>
<a id="pl.92.13"></a><var>92.13</var>    Subd. 6. <b>Adjustment to rates.</b> (a) For purposes of this section, the commissioner <br/>
<a id="pl.92.14"></a><var>92.14</var>shall establish an enhanced payment rate under section 256B.0913 to facilitate an orderly <br/>
<a id="pl.92.15"></a><var>92.15</var>transition for persons with developmental disabilities from adult foster care to other <br/>
<a id="pl.92.16"></a><var>92.16</var>community-based settings.<br/>
<a id="pl.92.17"></a><var>92.17</var>(b) The maximum length the commissioner may establish an enhanced rate is six <br/>
<a id="pl.92.18"></a><var>92.18</var>months.<br/>
<a id="pl.92.19"></a><var>92.19</var>(c) The commissioner shall allocate funds, up to a total of $450 in state and federal <br/>
<a id="pl.92.20"></a><var>92.20</var>funds per adult foster care home bed that is closing, to be used for relocation costs incurred <br/>
<a id="pl.92.21"></a><var>92.21</var>by counties under this process<br/>
<a id="pl.92.22"></a><var>92.22</var>(d) The commissioner shall analyze the fiscal impact of the closure of each facility <br/>
<a id="pl.92.23"></a><var>92.23</var>on medical assistance expenditures. Any savings is allocated to the medical assistance <br/>
<a id="pl.92.24"></a><var>92.24</var>program.<br/>
<br/>
<a id="bill.4.34.0"></a><a id="pl.92.25"></a><var>92.25</var>    Sec. 34. Minnesota Statutes 2010, section 256D.44, subdivision 5, is amended to read:<br/>
<a id="pl.92.26"></a><var>92.26</var>    Subd. 5. <b>Special needs.</b> In addition to the state standards of assistance established in <br/>
<a id="pl.92.27"></a><var>92.27</var>subdivisions 1 to 4, payments are allowed for the following special needs of recipients of <br/>
<a id="pl.92.28"></a><var>92.28</var>Minnesota supplemental aid who are not residents of a nursing home, a regional treatment <br/>
<a id="pl.92.29"></a><var>92.29</var>center, or a group residential housing facility.<br/>
<a id="pl.92.30"></a><var>92.30</var>    (a) The county agency shall pay a monthly allowance for medically prescribed <br/>
<a id="pl.92.31"></a><var>92.31</var>diets if the cost of those additional dietary needs cannot be met through some other <br/>
<a id="pl.92.32"></a><var>92.32</var>maintenance benefit. The need for special diets or dietary items must be prescribed by <br/>
<a id="pl.92.33"></a><var>92.33</var>a licensed physician. Costs for special diets shall be determined as percentages of the <br/>
<a id="pl.92.34"></a><var>92.34</var>allotment for a one-person household under the thrifty food plan as defined by the United <br/>
<a id="pl.93.1"></a><var>93.1</var>States Department of Agriculture. The types of diets and the percentages of the thrifty <br/>
<a id="pl.93.2"></a><var>93.2</var>food plan that are covered are as follows:<br/>
<a id="pl.93.3"></a><var>93.3</var>    (1) high protein diet, at least 80 grams daily, 25 percent of thrifty food plan;<br/>
<a id="pl.93.4"></a><var>93.4</var>    (2) controlled protein diet, 40 to 60 grams and requires special products, 100 percent <br/>
<a id="pl.93.5"></a><var>93.5</var>of thrifty food plan;<br/>
<a id="pl.93.6"></a><var>93.6</var>    (3) controlled protein diet, less than 40 grams and requires special products, 125 <br/>
<a id="pl.93.7"></a><var>93.7</var>percent of thrifty food plan;<br/>
<a id="pl.93.8"></a><var>93.8</var>    (4) low cholesterol diet, 25 percent of thrifty food plan;<br/>
<a id="pl.93.9"></a><var>93.9</var>    (5) high residue diet, 20 percent of thrifty food plan;<br/>
<a id="pl.93.10"></a><var>93.10</var>    (6) pregnancy and lactation diet, 35 percent of thrifty food plan;<br/>
<a id="pl.93.11"></a><var>93.11</var>    (7) gluten-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.93.12"></a><var>93.12</var>    (8) lactose-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.93.13"></a><var>93.13</var>    (9) antidumping diet, 15 percent of thrifty food plan;<br/>
<a id="pl.93.14"></a><var>93.14</var>    (10) hypoglycemic diet, 15 percent of thrifty food plan; or<br/>
<a id="pl.93.15"></a><var>93.15</var>    (11) ketogenic diet, 25 percent of thrifty food plan.<br/>
<a id="pl.93.16"></a><var>93.16</var>    (b) Payment for nonrecurring special needs must be allowed for necessary home <br/>
<a id="pl.93.17"></a><var>93.17</var>repairs or necessary repairs or replacement of household furniture and appliances using <br/>
<a id="pl.93.18"></a><var>93.18</var>the payment standard of the AFDC program in effect on July 16, 1996, for these expenses, <br/>
<a id="pl.93.19"></a><var>93.19</var>as long as other funding sources are not available.<br/>
<a id="pl.93.20"></a><var>93.20</var>    (c) A fee for guardian or conservator service is allowed at a reasonable rate <br/>
<a id="pl.93.21"></a><var>93.21</var>negotiated by the county or approved by the court. This rate shall not exceed five percent <br/>
<a id="pl.93.22"></a><var>93.22</var>of the assistance unit's gross monthly income up to a maximum of $100 per month. If the <br/>
<a id="pl.93.23"></a><var>93.23</var>guardian or conservator is a member of the county agency staff, no fee is allowed.<br/>
<a id="pl.93.24"></a><var>93.24</var>    (d) The county agency shall continue to pay a monthly allowance of $68 for <br/>
<a id="pl.93.25"></a><var>93.25</var>restaurant meals for a person who was receiving a restaurant meal allowance on June 1, <br/>
<a id="pl.93.26"></a><var>93.26</var>1990, and who eats two or more meals in a restaurant daily. The allowance must continue <br/>
<a id="pl.93.27"></a><var>93.27</var>until the person has not received Minnesota supplemental aid for one full calendar month <br/>
<a id="pl.93.28"></a><var>93.28</var>or until the person's living arrangement changes and the person no longer meets the criteria <br/>
<a id="pl.93.29"></a><var>93.29</var>for the restaurant meal allowance, whichever occurs first.<br/>
<a id="pl.93.30"></a><var>93.30</var>    (e) A fee of ten percent of the recipient's gross income or $25, whichever is less, <br/>
<a id="pl.93.31"></a><var>93.31</var>is allowed for representative payee services provided by an agency that meets the <br/>
<a id="pl.93.32"></a><var>93.32</var>requirements under SSI regulations to charge a fee for representative payee services. This <br/>
<a id="pl.93.33"></a><var>93.33</var>special need is available to all recipients of Minnesota supplemental aid regardless of <br/>
<a id="pl.93.34"></a><var>93.34</var>their living arrangement.<br/>
<a id="pl.93.35"></a><var>93.35</var>    (f)(1) Notwithstanding the language in this subdivision, an amount equal to the <br/>
<a id="pl.93.36"></a><var>93.36</var>maximum allotment authorized by the federal Food Stamp Program for a single individual <br/>
<a id="pl.94.1"></a><var>94.1</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.94.2"></a><var>94.2</var>assistance established in subdivisions 1 to 4 for adults under the age of 65 who qualify <br/>
<a id="pl.94.3"></a><var>94.3</var>as shelter needy and are: (i) relocating from an institution, or an adult mental health <br/>
<a id="pl.94.4"></a><var>94.4</var>residential treatment program under section 
         <statute_ref>256B.0622</statute_ref>; (ii) eligible for the self-directed <br/>
<a id="pl.94.5"></a><var>94.5</var>supports option as defined under section 
         <statute_ref>256B.0657, subdivision 2</statute_ref>; or (iii) home and <br/>
<a id="pl.94.6"></a><var>94.6</var>community-based waiver recipients living in their own home or rented or leased apartment <br/>
<a id="pl.94.7"></a><var>94.7</var>which is not owned, operated, or controlled by a provider of service not related by blood <br/>
<a id="pl.94.8"></a><var>94.8</var>or marriage, unless allowed under paragraph (g).<br/>
<a id="pl.94.9"></a><var>94.9</var>    (2) Notwithstanding subdivision 3, paragraph (c), an individual eligible for the <br/>
<a id="pl.94.10"></a><var>94.10</var>shelter needy benefit under this paragraph is considered a household of one. An eligible <br/>
<a id="pl.94.11"></a><var>94.11</var>individual who receives this benefit prior to age 65 may continue to receive the benefit <br/>
<a id="pl.94.12"></a><var>94.12</var>after the age of 65.<br/>
<a id="pl.94.13"></a><var>94.13</var>    (3) "Shelter needy" means that the assistance unit incurs monthly shelter costs that <br/>
<a id="pl.94.14"></a><var>94.14</var>exceed 40 percent of the assistance unit's gross income before the application of this <br/>
<a id="pl.94.15"></a><var>94.15</var>special needs standard. "Gross income" for the purposes of this section is the applicant's or <br/>
<a id="pl.94.16"></a><var>94.16</var>recipient's income as defined in section 
         <statute_ref>256D.35, subdivision 10</statute_ref>, or the standard specified <br/>
<a id="pl.94.17"></a><var>94.17</var>in subdivision 3, paragraph (a) or (b), whichever is greater. A recipient of a federal or <br/>
<a id="pl.94.18"></a><var>94.18</var>state housing subsidy, that limits shelter costs to a percentage of gross income, shall not be <br/>
<a id="pl.94.19"></a><var>94.19</var>considered shelter needy for purposes of this paragraph.<br/>
<a id="pl.94.20"></a><var>94.20</var>(g) Notwithstanding this subdivision, to access housing and services as provided <br/>
<a id="pl.94.21"></a><var>94.21</var>in paragraph (f), the recipient may choose housing that may be owned, operated, or <br/>
<a id="pl.94.22"></a><var>94.22</var>controlled by the recipient's service provider. In a multifamily building of four or more <br/>
<a id="pl.94.23"></a><var>94.23</var>units, the maximum number of apartments that may be used by recipients of this program <br/>
<a id="pl.94.24"></a><var>94.24</var>shall be 50 percent of the units in a building. This paragraph expires on June 30, 2012. of <br/>
<a id="pl.94.25"></a><var>94.25</var>more than four units, the maximum number of units that may be used by recipients of this <br/>
<a id="pl.94.26"></a><var>94.26</var>program shall be the greater of four units of 25 percent of the units in the building. In <br/>
<a id="pl.94.27"></a><var>94.27</var>multifamily buildings of four or fewer units, all of the units may be used by recipients <br/>
<a id="pl.94.28"></a><var>94.28</var>of this program. When housing is controlled by the service provider, the individual may <br/>
<a id="pl.94.29"></a><var>94.29</var>choose their own service provider as provided in section 256B.49, subdivision 23, clause <br/>
<a id="pl.94.30"></a><var>94.30</var>(3). When the housing is controlled by the service provider, the service provider shall <br/>
<a id="pl.94.31"></a><var>94.31</var>implement a plan with the recipient to transition the lease to the recipient's name. Within <br/>
<a id="pl.94.32"></a><var>94.32</var>two years of signing the initial lease, the service provider shall transfer the lease entered <br/>
<a id="pl.94.33"></a><var>94.33</var>into under this subdivision to the recipient. In the event the landlord denies this transfer, <br/>
<a id="pl.94.34"></a><var>94.34</var>the commissioner may approve an exception within sufficient time to ensure the continued <br/>
<a id="pl.94.35"></a><var>94.35</var>occupancy by the recipient. This paragraph expires June 30, 2016.<br/>
<br/>
<a id="bill.4.35.0"></a><a id="pl.95.1"></a><var>95.1</var>    Sec. 35. Laws 2011, First Special Session chapter 9, article 7, section 52, is amended to <br/>
<a id="pl.95.2"></a><var>95.2</var>read:<br/>
<a id="pl.95.3"></a><var>95.3</var>    Sec. 52. <b>IMPLEMENT NURSING HOME LEVEL OF CARE CRITERIA.</b><br/>
<a id="pl.95.4"></a><var>95.4</var>The commissioner shall seek any necessary federal approval in order to implement <br/>
<a id="pl.95.5"></a><var>95.5</var>the changes to the level of care criteria in Minnesota Statutes, section 
         <statute_ref>144.0724, <br/>
<a id="pl.95.6"></a><var>95.6</var>subdivision 11
         </statute_ref>, on or after July 1, 2012, for adults and children.<br/>
<a id="pl.95.7"></a><var>95.7</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.4.36.0"></a><a id="pl.95.8"></a><var>95.8</var>    Sec. 36. Laws 2011, First Special Session chapter 9, article 10, section 3, subdivision <br/>
<a id="pl.95.9"></a><var>95.9</var>3, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.95.10"></a><var>95.10</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.95.11"></a><var>95.11</var>The amounts that may be spent from this <br/>
<a id="pl.95.12"></a><var>95.12</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.95.13"></a><var>95.13</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.95.14"></a><var>95.14</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.95.15"></a><var>95.15</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">84,680,000<br/>
</td>
<td align="right">91,978,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.95.16"></a><var>95.16</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.95.17"></a><var>95.17</var><br/>
</td>
<td colspan="3">(b) <b>MFIP Child Care Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">55,456,000<br/>
</td>
<td align="center"></td>
<td align="right">30,923,000<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.95.18"></a><var>95.18</var><br/>
</td>
<td colspan="3">(c) <b>General Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">49,192,000<br/>
</td>
<td align="center"></td>
<td align="right">46,938,000<br/>
</td>
</tr>
</table><a id="pl.95.19"></a><var>95.19</var><b>General Assistance Standard. </b>The <br/>
<a id="pl.95.20"></a><var>95.20</var>commissioner shall set the monthly standard <br/>
<a id="pl.95.21"></a><var>95.21</var>of assistance for general assistance units <br/>
<a id="pl.95.22"></a><var>95.22</var>consisting of an adult recipient who is <br/>
<a id="pl.95.23"></a><var>95.23</var>childless and unmarried or living apart <br/>
<a id="pl.95.24"></a><var>95.24</var>from parents or a legal guardian at $203. <br/>
<a id="pl.95.25"></a><var>95.25</var>The commissioner may reduce this amount <br/>
<a id="pl.95.26"></a><var>95.26</var>according to Laws 1997, chapter 85, article <br/>
<a id="pl.95.27"></a><var>95.27</var>3, section 54.<br/>
<a id="pl.95.28"></a><var>95.28</var><b>Emergency General Assistance. </b>The <br/>
<a id="pl.95.29"></a><var>95.29</var>amount appropriated for emergency general <br/>
<a id="pl.95.30"></a><var>95.30</var>assistance funds is limited to no more <br/>
<a id="pl.95.31"></a><var>95.31</var>than $6,689,812 in fiscal year 2012 and <br/>
<a id="pl.95.32"></a><var>95.32</var>$6,729,812 in fiscal year 2013. Funds <br/>
<a id="pl.95.33"></a><var>95.33</var>to counties shall be allocated by the <br/>
<a id="pl.96.1"></a><var>96.1</var>commissioner using the allocation method <br/>
<a id="pl.96.2"></a><var>96.2</var>specified in Minnesota Statutes, section <br/>
<statute_ref><a id="pl.96.3"></a><var>96.3</var>256D.06
         </statute_ref>.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.96.4"></a><var>96.4</var><br/>
</td>
<td colspan="3">(d) <b>Minnesota Supplemental Aid Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">38,095,000<br/>
</td>
<td align="center"></td>
<td align="right">39,120,000<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.96.5"></a><var>96.5</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.96.6"></a><var>96.6</var><br/>
</td>
<td colspan="3">(f) <b>MinnesotaCare Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">295,046,000<br/>
</td>
<td align="center"></td>
<td align="right">317,272,000<br/>
</td>
</tr>
</table><a id="pl.96.7"></a><var>96.7</var>This appropriation is from the health care <br/>
<a id="pl.96.8"></a><var>96.8</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.96.9"></a><var>96.9</var><br/>
</td>
<td colspan="3">(g) <b>Medical Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">4,501,582,000<br/>
</td>
<td align="center"></td>
<td align="right">4,437,282,000<br/>
</td>
</tr>
</table><a id="pl.96.10"></a><var>96.10</var><b>Managed Care Incentive Payments. </b>The <br/>
<a id="pl.96.11"></a><var>96.11</var>commissioner shall not make managed care <br/>
<a id="pl.96.12"></a><var>96.12</var>incentive payments for expanding preventive <br/>
<a id="pl.96.13"></a><var>96.13</var>services during fiscal years beginning July 1, <br/>
<a id="pl.96.14"></a><var>96.14</var>2011, and July 1, 2012.<br/>
<a id="pl.96.15"></a><var>96.15</var><b>Reduction of Rates for Congregate </b><br/>
<a id="pl.96.16"></a><var>96.16</var><b>Living for Individuals with Lower Needs. </b><br/>
<a id="pl.96.17"></a><var>96.17</var>Beginning October 1, 2011, lead agencies <br/>
<a id="pl.96.18"></a><var>96.18</var>must reduce rates in effect on January 1, <br/>
<a id="pl.96.19"></a><var>96.19</var>2011, by ten percent for individuals with <br/>
<a id="pl.96.20"></a><var>96.20</var>lower needs living in foster care settings <br/>
<a id="pl.96.21"></a><var>96.21</var>where the license holder does not share the <br/>
<a id="pl.96.22"></a><var>96.22</var>residence with recipients on the CADI and <br/>
<a id="pl.96.23"></a><var>96.23</var>DD waivers and customized living settings <br/>
<a id="pl.96.24"></a><var>96.24</var>for CADI.  Lead agencies shall consult <br/>
<a id="pl.96.25"></a><var>96.25</var>with providers to review individual service <br/>
<a id="pl.96.26"></a><var>96.26</var>plans and identify changes or modifications <br/>
<a id="pl.96.27"></a><var>96.27</var>to reduce the utilization of services while <br/>
<a id="pl.96.28"></a><var>96.28</var>maintaining the health and safety of the <br/>
<a id="pl.96.29"></a><var>96.29</var>individual receiving services. Lead agencies <br/>
<a id="pl.96.30"></a><var>96.30</var>must adjust contracts within 60 days of the <br/>
<a id="pl.96.31"></a><var>96.31</var>effective date.<br/>
<a id="pl.96.32"></a><var>96.32</var><b>Reduction of Lead Agency Waiver </b><br/>
<a id="pl.96.33"></a><var>96.33</var><b>Allocations to Implement Rate Reductions </b><br/>
<a id="pl.96.34"></a><var>96.34</var><b>for Congregate Living for Individuals </b><br/>
<a id="pl.97.1"></a><var>97.1</var><b>with Lower Needs. </b>Beginning October 1, <br/>
<a id="pl.97.2"></a><var>97.2</var>2011, the commissioner shall reduce lead <br/>
<a id="pl.97.3"></a><var>97.3</var>agency waiver allocations to implement the <br/>
<a id="pl.97.4"></a><var>97.4</var>reduction of rates for individuals with lower <br/>
<a id="pl.97.5"></a><var>97.5</var>needs living in foster care settings where the <br/>
<a id="pl.97.6"></a><var>97.6</var>license holder does not share the residence <br/>
<a id="pl.97.7"></a><var>97.7</var>with recipients on the CADI and DD waivers <br/>
<a id="pl.97.8"></a><var>97.8</var>and customized living settings for CADI.<br/>
<a id="pl.97.9"></a><var>97.9</var><b>Reduce customized living and 24-hour </b><br/>
<a id="pl.97.10"></a><var>97.10</var><b>customized living component rates.</b> <br/>
<a id="pl.97.11"></a><var>97.11</var>Effective July 1, 2011, the commissioner <br/>
<a id="pl.97.12"></a><var>97.12</var>shall reduce elderly waiver customized living <br/>
<a id="pl.97.13"></a><var>97.13</var>and 24-hour customized living component <br/>
<a id="pl.97.14"></a><var>97.14</var>service spending by five percent through <br/>
<a id="pl.97.15"></a><var>97.15</var>reductions in component rates and service <br/>
<a id="pl.97.16"></a><var>97.16</var>rate limits. The commissioner shall adjust <br/>
<a id="pl.97.17"></a><var>97.17</var>the elderly waiver capitation payment <br/>
<a id="pl.97.18"></a><var>97.18</var>rates for managed care organizations paid <br/>
<a id="pl.97.19"></a><var>97.19</var>under Minnesota Statutes, section 
         <statute_ref>256B.69, <br/>
<a id="pl.97.20"></a><var>97.20</var>subdivisions 6a
         </statute_ref> and 23, to reflect reductions <br/>
<a id="pl.97.21"></a><var>97.21</var>in component spending for customized living <br/>
<a id="pl.97.22"></a><var>97.22</var>services and 24-hour customized living <br/>
<a id="pl.97.23"></a><var>97.23</var>services under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.97.24"></a><var>97.24</var>256B.0915, subdivisions 3e
         </statute_ref> and 3h, for the <br/>
<a id="pl.97.25"></a><var>97.25</var>contract period beginning January 1, 2012. <br/>
<a id="pl.97.26"></a><var>97.26</var>To implement the reduction specified in <br/>
<a id="pl.97.27"></a><var>97.27</var>this provision, capitation rates paid by the <br/>
<a id="pl.97.28"></a><var>97.28</var>commissioner to managed care organizations <br/>
<a id="pl.97.29"></a><var>97.29</var>under Minnesota Statutes, section 
         <statute_ref>256B.69</statute_ref>, <br/>
<a id="pl.97.30"></a><var>97.30</var>shall reflect a ten percent reduction for the <br/>
<a id="pl.97.31"></a><var>97.31</var>specified services for the period January 1, <br/>
<a id="pl.97.32"></a><var>97.32</var>2012, to June 30, 2012, and a five percent <br/>
<a id="pl.97.33"></a><var>97.33</var>reduction for those services on or after July <br/>
<a id="pl.97.34"></a><var>97.34</var>1, 2012.<br/>
<a id="pl.97.35"></a><var>97.35</var><b>Limit Growth in the Developmental </b><br/>
<a id="pl.97.36"></a><var>97.36</var><b>Disability Waiver. </b>The commissioner <br/>
<a id="pl.98.1"></a><var>98.1</var>shall limit growth in the developmental <br/>
<a id="pl.98.2"></a><var>98.2</var>disability waiver to six diversion allocations <br/>
<a id="pl.98.3"></a><var>98.3</var>per month beginning July 1, 2011, through <br/>
<a id="pl.98.4"></a><var>98.4</var>June 30, 2013, and 15 diversion allocations <br/>
<a id="pl.98.5"></a><var>98.5</var>per month beginning July 1, 2013, through <br/>
<a id="pl.98.6"></a><var>98.6</var>June 30, 2015. Waiver allocations shall <br/>
<a id="pl.98.7"></a><var>98.7</var>be targeted to individuals who meet the <br/>
<a id="pl.98.8"></a><var>98.8</var>priorities for accessing waiver services <br/>
<a id="pl.98.9"></a><var>98.9</var>identified in Minnesota Statutes, 
         <statute_ref>256B.092, <br/>
<a id="pl.98.10"></a><var>98.10</var>subdivision 12
         </statute_ref>. The limits do not include <br/>
<a id="pl.98.11"></a><var>98.11</var>conversions from intermediate care facilities <br/>
<a id="pl.98.12"></a><var>98.12</var>for persons with developmental disabilities. <br/>
<a id="pl.98.13"></a><var>98.13</var>Notwithstanding any contrary provisions in <br/>
<a id="pl.98.14"></a><var>98.14</var>this article, this paragraph expires June 30, <br/>
<a id="pl.98.15"></a><var>98.15</var>2015.<br/>
<a id="pl.98.16"></a><var>98.16</var><b>Limit Growth in the Community </b><br/>
<a id="pl.98.17"></a><var>98.17</var><b>Alternatives for Disabled Individuals </b><br/>
<a id="pl.98.18"></a><var>98.18</var><b>Waiver. </b>The commissioner shall limit <br/>
<a id="pl.98.19"></a><var>98.19</var>growth in the community alternatives for <br/>
<a id="pl.98.20"></a><var>98.20</var>disabled individuals waiver to 60 allocations <br/>
<a id="pl.98.21"></a><var>98.21</var>per month beginning July 1, 2011, through <br/>
<a id="pl.98.22"></a><var>98.22</var>June 30, 2013, and 85 allocations per <br/>
<a id="pl.98.23"></a><var>98.23</var>month beginning July 1, 2013, through <br/>
<a id="pl.98.24"></a><var>98.24</var>June 30, 2015. Waiver allocations must <br/>
<a id="pl.98.25"></a><var>98.25</var>be targeted to individuals who meet the <br/>
<a id="pl.98.26"></a><var>98.26</var>priorities for accessing waiver services <br/>
<a id="pl.98.27"></a><var>98.27</var>identified in Minnesota Statutes, section <br/>
<statute_ref><a id="pl.98.28"></a><var>98.28</var>256B.49, subdivision 11a
         </statute_ref>. The limits include <br/>
<a id="pl.98.29"></a><var>98.29</var>conversions and diversions, unless the <br/>
<a id="pl.98.30"></a><var>98.30</var>commissioner has approved a plan to convert <br/>
<a id="pl.98.31"></a><var>98.31</var>funding due to the closure or downsizing <br/>
<a id="pl.98.32"></a><var>98.32</var>of a residential facility or nursing facility <br/>
<a id="pl.98.33"></a><var>98.33</var>to serve directly affected individuals on <br/>
<a id="pl.98.34"></a><var>98.34</var>the community alternatives for disabled <br/>
<a id="pl.98.35"></a><var>98.35</var>individuals waiver. Notwithstanding any <br/>
<a id="pl.99.1"></a><var>99.1</var>contrary provisions in this article, this <br/>
<a id="pl.99.2"></a><var>99.2</var>paragraph expires June 30, 2015.<br/>
<a id="pl.99.3"></a><var>99.3</var><b>Personal Care Assistance Relative </b><br/>
<a id="pl.99.4"></a><var>99.4</var><b>Care.</b> The commissioner shall adjust the <br/>
<a id="pl.99.5"></a><var>99.5</var>capitation payment rates for managed care <br/>
<a id="pl.99.6"></a><var>99.6</var>organizations paid under Minnesota Statutes, <br/>
<a id="pl.99.7"></a><var>99.7</var>section 
         <statute_ref>256B.69</statute_ref>, to reflect the rate reductions <br/>
<a id="pl.99.8"></a><var>99.8</var>for personal care assistance provided by <br/>
<a id="pl.99.9"></a><var>99.9</var>a relative pursuant to Minnesota Statutes, <br/>
<a id="pl.99.10"></a><var>99.10</var>section 
         <statute_ref>256B.0659, subdivision 11</statute_ref>.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.99.11"></a><var>99.11</var><br/>
</td>
<td colspan="3">(h) <b>Alternative Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">46,421,000<br/>
</td>
<td align="center"></td>
<td align="right">46,035,000<br/>
</td>
</tr>
</table><a id="pl.99.12"></a><var>99.12</var><b>Alternative Care Transfer. </b>Any money <br/>
<a id="pl.99.13"></a><var>99.13</var>allocated to the alternative care program that <br/>
<a id="pl.99.14"></a><var>99.14</var>is not spent for the purposes indicated does <br/>
<a id="pl.99.15"></a><var>99.15</var>not cancel but shall be transferred to the <br/>
<a id="pl.99.16"></a><var>99.16</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.99.17"></a><var>99.17</var><br/>
</td>
<td colspan="3">(i) <b>Chemical Dependency Entitlement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">94,675,000<br/>
</td>
<td align="center"></td>
<td align="right">93,298,000<br/>
</td>
</tr>
</table><br/>
<a id="bill.4.37.0"></a><a id="pl.99.18"></a><var>99.18</var>    Sec. 37. Laws 2011, First Special Session chapter 9, article 10, section 3, subdivision <br/>
<a id="pl.99.19"></a><var>99.19</var>4, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.99.20"></a><var>99.20</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.99.21"></a><var>99.21</var>The amounts that may be spent from this <br/>
<a id="pl.99.22"></a><var>99.22</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.99.23"></a><var>99.23</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.99.24"></a><var>99.24</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.99.25"></a><var>99.25</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.99.26"></a><var>99.26</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.99.27"></a><var>99.27</var><b>MFIP Consolidated Fund Grants. </b>The <br/>
<a id="pl.99.28"></a><var>99.28</var>TANF fund base is reduced by $10,000,000 <br/>
<a id="pl.99.29"></a><var>99.29</var>each year beginning in fiscal year 2012.<br/>
<a id="pl.99.30"></a><var>99.30</var><b>Subsidized Employment Funding Through </b><br/>
<a id="pl.99.31"></a><var>99.31</var><b>ARRA. </b>The commissioner is authorized to <br/>
<a id="pl.99.32"></a><var>99.32</var>apply for TANF emergency fund grants for <br/>
<a id="pl.99.33"></a><var>99.33</var>subsidized employment activities. Growth <br/>
<a id="pl.100.1"></a><var>100.1</var>in expenditures for subsidized employment <br/>
<a id="pl.100.2"></a><var>100.2</var>within the supported work program and the <br/>
<a id="pl.100.3"></a><var>100.3</var>MFIP consolidated fund over the amount <br/>
<a id="pl.100.4"></a><var>100.4</var>expended in the calendar year quarters in <br/>
<a id="pl.100.5"></a><var>100.5</var>the TANF emergency fund base year shall <br/>
<a id="pl.100.6"></a><var>100.6</var>be used to leverage the TANF emergency <br/>
<a id="pl.100.7"></a><var>100.7</var>fund grants for subsidized employment and <br/>
<a id="pl.100.8"></a><var>100.8</var>to fund supported work. The commissioner <br/>
<a id="pl.100.9"></a><var>100.9</var>shall develop procedures to maximize <br/>
<a id="pl.100.10"></a><var>100.10</var>reimbursement of these expenditures over the <br/>
<a id="pl.100.11"></a><var>100.11</var>TANF emergency fund base year quarters, <br/>
<a id="pl.100.12"></a><var>100.12</var>and may contract directly with employers <br/>
<a id="pl.100.13"></a><var>100.13</var>and providers to maximize these TANF <br/>
<a id="pl.100.14"></a><var>100.14</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.100.15"></a><var>100.15</var><br/>
<a id="pl.100.16"></a><var>100.16</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">37,144,000<br/>
</td>
<td align="center"></td>
<td align="right">38,678,000<br/>
</td>
</tr>
</table><a id="pl.100.17"></a><var>100.17</var><b>Base Adjustment. </b>The general fund base is <br/>
<a id="pl.100.18"></a><var>100.18</var>decreased by $990,000 in fiscal year 2014 <br/>
<a id="pl.100.19"></a><var>100.19</var>and $979,000 in fiscal year 2015.<br/>
<a id="pl.100.20"></a><var>100.20</var><b>Child Care and Development Fund </b><br/>
<a id="pl.100.21"></a><var>100.21</var><b>Unexpended Balance. </b>In addition to <br/>
<a id="pl.100.22"></a><var>100.22</var>the amount provided in this section, the <br/>
<a id="pl.100.23"></a><var>100.23</var>commissioner shall expend $5,000,000 <br/>
<a id="pl.100.24"></a><var>100.24</var>in fiscal year 2012 from the federal child <br/>
<a id="pl.100.25"></a><var>100.25</var>care and development fund unexpended <br/>
<a id="pl.100.26"></a><var>100.26</var>balance for basic sliding fee child care under <br/>
<a id="pl.100.27"></a><var>100.27</var>Minnesota Statutes, section 
         <statute_ref>119B.03</statute_ref>. The <br/>
<a id="pl.100.28"></a><var>100.28</var>commissioner shall ensure that all child <br/>
<a id="pl.100.29"></a><var>100.29</var>care and development funds are expended <br/>
<a id="pl.100.30"></a><var>100.30</var>according to the federal child care and <br/>
<a id="pl.100.31"></a><var>100.31</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.100.32"></a><var>100.32</var><br/>
</td>
<td colspan="3">(c) <b>Child Care Development Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">774,000<br/>
</td>
<td align="center"></td>
<td align="right">774,000<br/>
</td>
</tr>
</table><a id="pl.100.33"></a><var>100.33</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.100.34"></a><var>100.34</var>increased by $713,000 in fiscal years 2014 <br/>
<a id="pl.100.35"></a><var>100.35</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.101.1"></a><var>101.1</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.101.2"></a><var>101.2</var><b>Federal Child Support Demonstration </b><br/>
<a id="pl.101.3"></a><var>101.3</var><b>Grants. </b>Federal administrative <br/>
<a id="pl.101.4"></a><var>101.4</var>reimbursement resulting from the federal <br/>
<a id="pl.101.5"></a><var>101.5</var>child support grant expenditures authorized <br/>
<a id="pl.101.6"></a><var>101.6</var>under section 1115a of the Social Security <br/>
<a id="pl.101.7"></a><var>101.7</var>Act is appropriated to the commissioner for <br/>
<a id="pl.101.8"></a><var>101.8</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.101.9"></a><var>101.9</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.101.10"></a><var>101.10</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.101.11"></a><var>101.11</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">47,949,000<br/>
</td>
<td align="right">48,507,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.101.12"></a><var>101.12</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.101.13"></a><var>101.13</var><b>Adoption Assistance and Relative Custody </b><br/>
<a id="pl.101.14"></a><var>101.14</var><b>Assistance Transfer.</b> The commissioner <br/>
<a id="pl.101.15"></a><var>101.15</var>may transfer unencumbered appropriation <br/>
<a id="pl.101.16"></a><var>101.16</var>balances for adoption assistance and relative <br/>
<a id="pl.101.17"></a><var>101.17</var>custody assistance between fiscal years and <br/>
<a id="pl.101.18"></a><var>101.18</var>between programs.<br/>
<a id="pl.101.19"></a><var>101.19</var><b>Privatized Adoption Grants. </b>Federal <br/>
<a id="pl.101.20"></a><var>101.20</var>reimbursement for privatized adoption grant <br/>
<a id="pl.101.21"></a><var>101.21</var>and foster care recruitment grant expenditures <br/>
<a id="pl.101.22"></a><var>101.22</var>is appropriated to the commissioner for <br/>
<a id="pl.101.23"></a><var>101.23</var>adoption grants and foster care and adoption <br/>
<a id="pl.101.24"></a><var>101.24</var>administrative purposes.<br/>
<a id="pl.101.25"></a><var>101.25</var><b>Adoption Assistance Incentive Grants.</b> <br/>
<a id="pl.101.26"></a><var>101.26</var>Federal funds available during fiscal year <br/>
<a id="pl.101.27"></a><var>101.27</var>2012 and fiscal year 2013 for adoption <br/>
<a id="pl.101.28"></a><var>101.28</var>incentive grants are appropriated to the <br/>
<a id="pl.101.29"></a><var>101.29</var>commissioner for these purposes.<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.101.30"></a><var>101.30</var><br/>
</td>
<td colspan="3">(f) <b>Children and Community Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">53,301,000<br/>
</td>
<td align="center"></td>
<td align="right">53,301,000<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.101.31"></a><var>101.31</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.101.32"></a><var>101.32</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.101.33"></a><var>101.33</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">16,103,000<br/>
</td>
<td align="right">16,180,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.101.34"></a><var>101.34</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.102.1"></a><var>102.1</var><b>Long-Term Homeless Services.</b> $700,000 <br/>
<a id="pl.102.2"></a><var>102.2</var>is appropriated from the federal TANF <br/>
<a id="pl.102.3"></a><var>102.3</var>fund for the biennium beginning July <br/>
<a id="pl.102.4"></a><var>102.4</var>1, 2011, to the commissioner of human <br/>
<a id="pl.102.5"></a><var>102.5</var>services for long-term homeless services <br/>
<a id="pl.102.6"></a><var>102.6</var>for low-income homeless families under <br/>
<a id="pl.102.7"></a><var>102.7</var>Minnesota Statutes, section 
         <statute_ref>256K.26</statute_ref>. This <br/>
<a id="pl.102.8"></a><var>102.8</var>is a onetime appropriation and is not added <br/>
<a id="pl.102.9"></a><var>102.9</var>to the base.<br/>
<a id="pl.102.10"></a><var>102.10</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.102.11"></a><var>102.11</var>increased by $42,000 in fiscal year 2014 and <br/>
<a id="pl.102.12"></a><var>102.12</var>$43,000 in fiscal year 2015.<br/>
<a id="pl.102.13"></a><var>102.13</var><b>Minnesota Food Assistance Program. </b><br/>
<a id="pl.102.14"></a><var>102.14</var>$333,000 in fiscal year 2012 and $408,000 in <br/>
<a id="pl.102.15"></a><var>102.15</var>fiscal year 2013 are to increase the general <br/>
<a id="pl.102.16"></a><var>102.16</var>fund base for the Minnesota food assistance <br/>
<a id="pl.102.17"></a><var>102.17</var>program. Unexpended funds for fiscal year <br/>
<a id="pl.102.18"></a><var>102.18</var>2012 do not cancel but are available to the <br/>
<a id="pl.102.19"></a><var>102.19</var>commissioner for this purpose in fiscal year <br/>
<a id="pl.102.20"></a><var>102.20</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.102.21"></a><var>102.21</var><br/>
</td>
<td colspan="3">(h) <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="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.102.22"></a><var>102.22</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.102.23"></a><var>102.23</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">26,000<br/>
</td>
<td align="right">66,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.102.24"></a><var>102.24</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">190,000<br/>
</td>
<td align="right">190,000<br/>
</td>
</tr>
</table><a id="pl.102.25"></a><var>102.25</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.102.26"></a><var>102.26</var>increased by $24,000 in each of fiscal years <br/>
<a id="pl.102.27"></a><var>102.27</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.102.28"></a><var>102.28</var><br/>
</td>
<td colspan="3">(i) <b>Aging and Adult Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">12,154,000<br/>
</td>
<td align="center"></td>
<td align="right">11,456,000<br/>
</td>
</tr>
</table><a id="pl.102.29"></a><var>102.29</var><b>Aging Grants Reduction. </b>Effective July <br/>
<a id="pl.102.30"></a><var>102.30</var>1, 2011, funding for grants made under <br/>
<a id="pl.102.31"></a><var>102.31</var>Minnesota Statutes, sections 
         <statute_ref>256.9754</statute_ref> and <br/>
<statute_ref><a id="pl.102.32"></a><var>102.32</var>256B.0917, subdivision 13
         </statute_ref>, is reduced by <br/>
<a id="pl.102.33"></a><var>102.33</var>$3,600,000 for each year of the biennium. <br/>
<a id="pl.102.34"></a><var>102.34</var>These reductions are onetime and do <br/>
<a id="pl.102.35"></a><var>102.35</var>not affect base funding for the 2014-2015 <br/>
<a id="pl.103.1"></a><var>103.1</var>biennium. Grants made during the 2012-2013 <br/>
<a id="pl.103.2"></a><var>103.2</var>biennium under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.103.3"></a><var>103.3</var>256B.9754
         </statute_ref>, must not be used for new <br/>
<a id="pl.103.4"></a><var>103.4</var>construction or building renovation.<br/>
<a id="pl.103.5"></a><var>103.5</var><b>Essential Community Support Grant </b><br/>
<a id="pl.103.6"></a><var>103.6</var><b>Delay. </b>Upon federal approval to implement <br/>
<a id="pl.103.7"></a><var>103.7</var>the nursing facility level of care on July <br/>
<a id="pl.103.8"></a><var>103.8</var>1, 2013, essential community supports <br/>
<a id="pl.103.9"></a><var>103.9</var>grants under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.103.10"></a><var>103.10</var>256B.0917, subdivision 14
         </statute_ref>, are reduced by <br/>
<a id="pl.103.11"></a><var>103.11</var>$6,410,000 in fiscal year 2013. Base level <br/>
<a id="pl.103.12"></a><var>103.12</var>funding is increased by $5,541,000 in fiscal <br/>
<a id="pl.103.13"></a><var>103.13</var>year 2014 and $6,410,000 in fiscal year 2015.<br/>
<a id="pl.103.14"></a><var>103.14</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.103.15"></a><var>103.15</var>base is increased by $10,035,000 in fiscal <br/>
<a id="pl.103.16"></a><var>103.16</var>year 2014 and increased by $10,901,000 in <br/>
<a id="pl.103.17"></a><var>103.17</var>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.103.18"></a><var>103.18</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.103.19"></a><var>103.19</var><br/>
</td>
<td colspan="3">(k) <b>Disabilities Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">15,945,000<br/>
</td>
<td align="center"></td>
<td align="right">18,284,000<br/>
</td>
</tr>
</table><a id="pl.103.20"></a><var>103.20</var><b>Grants for Housing Access Services.</b> In <br/>
<a id="pl.103.21"></a><var>103.21</var>fiscal year 2012, the commissioner shall <br/>
<a id="pl.103.22"></a><var>103.22</var>make available a total of $161,000 in housing <br/>
<a id="pl.103.23"></a><var>103.23</var>access services grants to individuals who <br/>
<a id="pl.103.24"></a><var>103.24</var>relocate from an adult foster care home to <br/>
<a id="pl.103.25"></a><var>103.25</var>a community living setting for assistance <br/>
<a id="pl.103.26"></a><var>103.26</var>with completion of rental applications or <br/>
<a id="pl.103.27"></a><var>103.27</var>lease agreements; assistance with publicly <br/>
<a id="pl.103.28"></a><var>103.28</var>financed housing options; development of <br/>
<a id="pl.103.29"></a><var>103.29</var>household budgets; and assistance with <br/>
<a id="pl.103.30"></a><var>103.30</var>funding affordable furnishings and related <br/>
<a id="pl.103.31"></a><var>103.31</var>household matters.<br/>
<a id="pl.103.32"></a><var>103.32</var><b>HIV Grants. </b>The general fund appropriation <br/>
<a id="pl.103.33"></a><var>103.33</var>for the HIV drug and insurance grant <br/>
<a id="pl.103.34"></a><var>103.34</var>program shall be reduced by $2,425,000 in <br/>
<a id="pl.103.35"></a><var>103.35</var>fiscal year 2012 and increased by $2,425,000 <br/>
<a id="pl.104.1"></a><var>104.1</var>in fiscal year 2014. These adjustments are <br/>
<a id="pl.104.2"></a><var>104.2</var>onetime and shall not be applied to the base. <br/>
<a id="pl.104.3"></a><var>104.3</var>Notwithstanding any contrary provision, this <br/>
<a id="pl.104.4"></a><var>104.4</var>provision expires June 30, 2014.<br/>
<a id="pl.104.5"></a><var>104.5</var><b>Region 10.</b> Of this appropriation, $100,000 <br/>
<a id="pl.104.6"></a><var>104.6</var>each year is for a grant provided under <br/>
<a id="pl.104.7"></a><var>104.7</var>Minnesota Statutes, section 
         <statute_ref>256B.097</statute_ref>.<br/>
<a id="pl.104.8"></a><var>104.8</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.104.9"></a><var>104.9</var>base is increased by $2,944,000 in fiscal year <br/>
<a id="pl.104.10"></a><var>104.10</var>2014 and $653,000 in fiscal year 2015.<br/>
<a id="pl.104.11"></a><var>104.11</var><b>Local Planning Grants for Creating </b><br/>
<a id="pl.104.12"></a><var>104.12</var><b>Alternatives to Congregate Living for </b><br/>
<a id="pl.104.13"></a><var>104.13</var><b>Individuals with Lower Needs. </b> (1) The <br/>
<a id="pl.104.14"></a><var>104.14</var>commissioner shall make available a total <br/>
<a id="pl.104.15"></a><var>104.15</var>of $250,000 per year in local planning <br/>
<a id="pl.104.16"></a><var>104.16</var>grants, beginning July 1, 2011, to assist <br/>
<a id="pl.104.17"></a><var>104.17</var>lead agencies and provider organizations in <br/>
<a id="pl.104.18"></a><var>104.18</var>developing alternatives to congregate living <br/>
<a id="pl.104.19"></a><var>104.19</var>within the available level of resources for the <br/>
<a id="pl.104.20"></a><var>104.20</var>home and community-based services waivers <br/>
<a id="pl.104.21"></a><var>104.21</var>for persons with disabilities.<br/>
<a id="pl.104.22"></a><var>104.22</var>(2) Notwithstanding clause (1), for fiscal <br/>
<a id="pl.104.23"></a><var>104.23</var>years 2012 and 2013 only, the appropriation <br/>
<a id="pl.104.24"></a><var>104.24</var>of $250,000 for fiscal year 2012 carries <br/>
<a id="pl.104.25"></a><var>104.25</var>forward to fiscal year 2013, effective the day <br/>
<a id="pl.104.26"></a><var>104.26</var>following final enactment.<br/>
<a id="pl.104.27"></a><var>104.27</var>Of the appropriations available for fiscal <br/>
<a id="pl.104.28"></a><var>104.28</var>year 2013, $100,000 is for administrative <br/>
<a id="pl.104.29"></a><var>104.29</var>functions related to the planning process <br/>
<a id="pl.104.30"></a><var>104.30</var>required under Minnesota Statutes, sections <br/>
<a id="pl.104.31"></a><var>104.31</var>144A.351 and 245A.03, subdivision 7, <br/>
<a id="pl.104.32"></a><var>104.32</var>paragraphs (e) and (g), and $400,000 is for <br/>
<a id="pl.104.33"></a><var>104.33</var>grants required to accomplish that planning <br/>
<a id="pl.104.34"></a><var>104.34</var>process.<br/>
<a id="pl.105.1"></a><var>105.1</var>(3) Base funding for the grants under clause <br/>
<a id="pl.105.2"></a><var>105.2</var>(1) is not affected by the appropriations <br/>
<a id="pl.105.3"></a><var>105.3</var>under clause (2).<br/>
<a id="pl.105.4"></a><var>105.4</var><b>Disability Linkage Line. </b>Of this <br/>
<a id="pl.105.5"></a><var>105.5</var>appropriation, $125,000 in fiscal year 2012 <br/>
<a id="pl.105.6"></a><var>105.6</var>and $300,000 in fiscal year 2013 are for <br/>
<a id="pl.105.7"></a><var>105.7</var>assistance to people with disabilities who are <br/>
<a id="pl.105.8"></a><var>105.8</var>considering enrolling in managed care.<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.105.9"></a><var>105.9</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.105.10"></a><var>105.10</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.11"></a><var>105.11</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">70,570,000<br/>
</td>
<td align="right">70,570,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.12"></a><var>105.12</var><br/>
</td>
<td>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.105.13"></a><var>105.13</var><br/>
</td>
<td>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.105.14"></a><var>105.14</var><b>Funding Usage. </b>Up to 75 percent of a fiscal <br/>
<a id="pl.105.15"></a><var>105.15</var>year's appropriation for adult mental health <br/>
<a id="pl.105.16"></a><var>105.16</var>grants may be used to fund allocations in that <br/>
<a id="pl.105.17"></a><var>105.17</var>portion of the fiscal year ending December <br/>
<a id="pl.105.18"></a><var>105.18</var>31.<br/>
<a id="pl.105.19"></a><var>105.19</var><b>Base Adjustment. </b>The general fund base is <br/>
<a id="pl.105.20"></a><var>105.20</var>increased by $200,000 in fiscal years 2014 <br/>
<a id="pl.105.21"></a><var>105.21</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.105.22"></a><var>105.22</var><br/>
</td>
<td colspan="3">(m) <b>Children's Mental Health Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">16,457,000<br/>
</td>
<td align="center"></td>
<td align="right">16,457,000<br/>
</td>
</tr>
</table><a id="pl.105.23"></a><var>105.23</var><b>Funding Usage. </b>Up to 75 percent of a fiscal <br/>
<a id="pl.105.24"></a><var>105.24</var>year's appropriation for children's mental <br/>
<a id="pl.105.25"></a><var>105.25</var>health grants may be used to fund allocations <br/>
<a id="pl.105.26"></a><var>105.26</var>in that portion of the fiscal year ending <br/>
<a id="pl.105.27"></a><var>105.27</var>December 31.<br/>
<a id="pl.105.28"></a><var>105.28</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.105.29"></a><var>105.29</var>increased by $225,000 in fiscal years 2014 <br/>
<a id="pl.105.30"></a><var>105.30</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.105.31"></a><var>105.31</var><br/>
<a id="pl.105.32"></a><var>105.32</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><br/>
<a id="bill.4.38.0"></a><a id="pl.105.33"></a><var>105.33</var>    Sec. 38. <b>COMMISSIONER AUTHORITY TO REDUCE 2011 CONGREGATE </b><br/>
<a id="pl.105.34"></a><var>105.34</var><b>CARE LOW NEED RATE CUT.</b><br/>
<a id="pl.106.1"></a><var>106.1</var>During fiscal years 2013 and 2014, the commissioner shall reduce the 2011 reduction <br/>
<a id="pl.106.2"></a><var>106.2</var>of rates for congregate living for individuals with lower needs to the extent the actions <br/>
<a id="pl.106.3"></a><var>106.3</var>taken under Minnesota Statutes, section 245A.03, subdivision 7, paragraph (g), produce <br/>
<a id="pl.106.4"></a><var>106.4</var>savings beyond the amount needed to meet the licensed bed closure savings requirements <br/>
<a id="pl.106.5"></a><var>106.5</var>of Minnesota Statutes, section 245A.03, subdivision 7, paragraph (e). Each February 1, <br/>
<a id="pl.106.6"></a><var>106.6</var>the commissioner shall report to the chairs and ranking minority members of the health <br/>
<a id="pl.106.7"></a><var>106.7</var>and human services finance committees on any reductions provided under this section. <br/>
<a id="pl.106.8"></a><var>106.8</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2012, and expires June 30, <br/>
<a id="pl.106.9"></a><var>106.9</var>2014.<br/>
<br/>
<a id="bill.4.39.0"></a><a id="pl.106.10"></a><var>106.10</var>    Sec. 39. <b>HOME AND COMMUNITY-BASED SETTINGS FOR PEOPLE WITH </b><br/>
<a id="pl.106.11"></a><var>106.11</var><b>DISABILITIES.</b><br/>
<a id="pl.106.12"></a><var>106.12</var>(a) Individuals receiving services under a home and community-based waiver under <br/>
<a id="pl.106.13"></a><var>106.13</var>Minnesota Statutes, section 256B.092 or 256B.49, may receive services in the following <br/>
<a id="pl.106.14"></a><var>106.14</var>settings:<br/>
<a id="pl.106.15"></a><var>106.15</var>(1) an individual's own home or family home;<br/>
<a id="pl.106.16"></a><var>106.16</var>(2) a licensed adult foster care setting of up to five people; and <br/>
<a id="pl.106.17"></a><var>106.17</var>(3) community living settings as defined in Minnesota Statutes, section 256B.49, <br/>
<a id="pl.106.18"></a><var>106.18</var>subdivision 23, where individuals with disabilities may reside in all of the units in a <br/>
<a id="pl.106.19"></a><var>106.19</var>building of four or fewer units no more than the greater of four or 25 percent of the units <br/>
<a id="pl.106.20"></a><var>106.20</var>in a multifamily building of more than four units.<br/>
<a id="pl.106.21"></a><var>106.21</var>The above settings must not:<br/>
<a id="pl.106.22"></a><var>106.22</var>(1) be located in a building that is a publicly or privately operated facility that <br/>
<a id="pl.106.23"></a><var>106.23</var>provides institutional treatment or custodial care;<br/>
<a id="pl.106.24"></a><var>106.24</var>(2) be located in a building on the grounds of or adjacent to a public institution;<br/>
<a id="pl.106.25"></a><var>106.25</var>(3) be a housing complex designed expressly around an individual's diagnosis or <br/>
<a id="pl.106.26"></a><var>106.26</var>disability unless state or federal funding for housing requires it;<br/>
<a id="pl.106.27"></a><var>106.27</var>(4) be segregated based on a disability, either physically or because of setting <br/>
<a id="pl.106.28"></a><var>106.28</var>characteristics, from the larger community; and<br/>
<a id="pl.106.29"></a><var>106.29</var>(5) have the qualities of an institution, unless specifically required in the individual's <br/>
<a id="pl.106.30"></a><var>106.30</var>plan developed with the lead agency case manager and legal guardian. The qualities of an <br/>
<a id="pl.106.31"></a><var>106.31</var>institution include, but are not limited to:<br/>
<a id="pl.106.32"></a><var>106.32</var>(i) regimented meal and sleep times;<br/>
<a id="pl.106.33"></a><var>106.33</var>(ii) limitations on visitors; and<br/>
<a id="pl.106.34"></a><var>106.34</var>(iii) lack of privacy.<br/>
<a id="pl.107.1"></a><var>107.1</var>(b) The provisions of paragraph (a) do not apply to any setting in which residents <br/>
<a id="pl.107.2"></a><var>107.2</var>receive services under a home and community-based waiver as of June 30, 2013, and <br/>
<a id="pl.107.3"></a><var>107.3</var>which has been delivering those services for at least one year.<br/>
<a id="pl.107.4"></a><var>107.4</var>(c) Notwithstanding paragraph (b), a program in Hennepin County established as <br/>
<a id="pl.107.5"></a><var>107.5</var>part of a Hennepin County demonstration project is qualified for the exception allowed <br/>
<a id="pl.107.6"></a><var>107.6</var>under paragraph (b).<br/>
<a id="pl.107.7"></a><var>107.7</var>(d) The commissioner shall submit an amendment to the waiver plan no later than <br/>
<a id="pl.107.8"></a><var>107.8</var>December 31, 2012.<br/>
<br/>
<a id="bill.4.40.0"></a><a id="pl.107.9"></a><var>107.9</var>    Sec. 40. <b>INDEPENDENT LIVING SERVICES BILLING.</b><br/>
<a id="pl.107.10"></a><var>107.10</var>The commissioner shall allow for daily rate and 15-minute increment billing for <br/>
<a id="pl.107.11"></a><var>107.11</var>independent living services under the brain injury (BI) and CADI waivers. If necessary to <br/>
<a id="pl.107.12"></a><var>107.12</var>comply with this requirement, the commissioner shall submit a waiver amendment to the <br/>
<a id="pl.107.13"></a><var>107.13</var>state plan no later than December 31, 2012.<br/>
<br/>
<a id="bill.4.41.0"></a><a id="pl.107.14"></a><var>107.14</var>    Sec. 41. <b> REPEALER.</b><br/>
<a id="pl.107.15"></a><var>107.15</var>(a) Minnesota Statutes 2010, sections 144A.073, subdivision 9; and 256B.48, <br/>
<a id="pl.107.16"></a><var>107.16</var>subdivision 6, and Laws 2011, First Special Session chapter 9, article 7, section 54,  are <br/>
<a id="pl.107.17"></a><var>107.17</var>repealed.<br/>
<a id="pl.107.18"></a><var>107.18</var>(b) Minnesota Statutes 2011 Supplement, section 256B.5012, subdivision 13, is <br/>
<a id="pl.107.19"></a><var>107.19</var>repealed.<br/>
<br/>
<a id="bill.5.0.0"></a>

<a id="bill.5.1.0"></a><a id="pl.107.22"></a><var>107.22</var>    Section 1. Minnesota Statutes 2010, section 43A.316, subdivision 5, is amended to <br/>
<a id="pl.107.23"></a><var>107.23</var>read:<br/>
<a id="pl.107.24"></a><var>107.24</var>    Subd. 5. <b>Public employee participation.</b> (a) Participation in the program is subject <br/>
<a id="pl.107.25"></a><var>107.25</var>to the conditions in this subdivision.<br/>
<a id="pl.107.26"></a><var>107.26</var>(b) Each exclusive representative for an eligible employer determines whether the <br/>
<a id="pl.107.27"></a><var>107.27</var>employees it represents will participate in the program. The exclusive representative shall <br/>
<a id="pl.107.28"></a><var>107.28</var>give the employer notice of intent to participate at least 30 days before the expiration date <br/>
<a id="pl.107.29"></a><var>107.29</var>of the collective bargaining agreement preceding the collective bargaining agreement that <br/>
<a id="pl.107.30"></a><var>107.30</var>covers the date of entry into the program. The exclusive representative and the eligible <br/>
<a id="pl.107.31"></a><var>107.31</var>employer shall give notice to the commissioner of the determination to participate in the <br/>
<a id="pl.107.32"></a><var>107.32</var>program at least 30 days before entry into the program. Entry into the program is governed <br/>
<a id="pl.107.33"></a><var>107.33</var>by a schedule established by the commissioner. Employees of an eligible employer that is <br/>
<a id="pl.108.1"></a><var>108.1</var>not participating in the program as of the date of enactment shall not be allowed to enter <br/>
<a id="pl.108.2"></a><var>108.2</var>the program until January 1, 2015, except that a city that has received a formal written bid <br/>
<a id="pl.108.3"></a><var>108.3</var>from the program as of the date of enactment shall be allowed to enter the program based <br/>
<a id="pl.108.4"></a><var>108.4</var>on the bid if the city so chooses.<br/>
<a id="pl.108.5"></a><var>108.5</var>(c) Employees not represented by exclusive representatives may become members of <br/>
<a id="pl.108.6"></a><var>108.6</var>the program upon a determination of an eligible employer to include these employees in the <br/>
<a id="pl.108.7"></a><var>108.7</var>program. Either all or none of the employer's unrepresented employees must participate. <br/>
<a id="pl.108.8"></a><var>108.8</var>The eligible employer shall give at least 30 days' notice to the commissioner before <br/>
<a id="pl.108.9"></a><var>108.9</var>entering the program. Entry into the program is governed by a schedule established by the <br/>
<a id="pl.108.10"></a><var>108.10</var>commissioner.  Employees of an eligible employer that is not participating in the program <br/>
<a id="pl.108.11"></a><var>108.11</var>as of the date of enactment shall not be allowed to enter the program until January 1, 2015, <br/>
<a id="pl.108.12"></a><var>108.12</var>except that a city that has received a formal written bid from the program as of the date of <br/>
<a id="pl.108.13"></a><var>108.13</var>enactment shall be allowed to enter the program based on the bid if the city so chooses.<br/>
<a id="pl.108.14"></a><var>108.14</var>(d) Participation in the program is for a two-year term. Participation is automatically <br/>
<a id="pl.108.15"></a><var>108.15</var>renewed for an additional two-year term unless the exclusive representative, or the <br/>
<a id="pl.108.16"></a><var>108.16</var>employer for unrepresented employees, gives the commissioner notice of withdrawal <br/>
<a id="pl.108.17"></a><var>108.17</var>at least 30 days before expiration of the participation period. A group that withdraws <br/>
<a id="pl.108.18"></a><var>108.18</var>must wait two years before rejoining. An exclusive representative, or employer for <br/>
<a id="pl.108.19"></a><var>108.19</var>unrepresented employees, may also withdraw if premiums increase 50 percent or more <br/>
<a id="pl.108.20"></a><var>108.20</var>from one insurance year to the next.<br/>
<a id="pl.108.21"></a><var>108.21</var>(e) The exclusive representative shall give the employer notice of intent to withdraw <br/>
<a id="pl.108.22"></a><var>108.22</var>to the commissioner at least 30 days before the expiration date of a collective bargaining <br/>
<a id="pl.108.23"></a><var>108.23</var>agreement that includes the date on which the term of participation expires.<br/>
<a id="pl.108.24"></a><var>108.24</var>(f) Each participating eligible employer shall notify the commissioner of names of <br/>
<a id="pl.108.25"></a><var>108.25</var>individuals who will be participating within two weeks of the commissioner receiving <br/>
<a id="pl.108.26"></a><var>108.26</var>notice of the parties' intent to participate. The employer shall also submit other information <br/>
<a id="pl.108.27"></a><var>108.27</var>as required by the commissioner for administration of the program.<br/>
<a id="pl.108.28"></a><var>108.28</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.5.2.0"></a><a id="pl.108.29"></a><var>108.29</var>    Sec. 2. Minnesota Statutes 2010, section 62A.047, is amended to read:<br/>
<a id="pl.108.30"></a><var>108.30</var><b>62A.047 CHILDREN'S HEALTH SUPERVISION SERVICES AND </b><br/>
<a id="pl.108.31"></a><var>108.31</var><b>PRENATAL CARE SERVICES.</b><br/>
<a id="pl.108.32"></a><var>108.32</var>A policy of individual or group health and accident insurance regulated under this <br/>
<a id="pl.108.33"></a><var>108.33</var>chapter, or individual or group subscriber contract regulated under chapter 62C, health <br/>
<a id="pl.108.34"></a><var>108.34</var>maintenance contract regulated under chapter 62D, or health benefit certificate regulated <br/>
<a id="pl.109.1"></a><var>109.1</var>under chapter 64B, issued, renewed, or continued to provide coverage to a Minnesota <br/>
<a id="pl.109.2"></a><var>109.2</var>resident, must provide coverage for child health supervision services and prenatal care <br/>
<a id="pl.109.3"></a><var>109.3</var>services. The policy, contract, or certificate must specifically exempt reasonable and <br/>
<a id="pl.109.4"></a><var>109.4</var>customary charges for child health supervision services and prenatal care services from a <br/>
<a id="pl.109.5"></a><var>109.5</var>deductible, co-payment, or other coinsurance or dollar limitation requirement. Nothing <br/>
<a id="pl.109.6"></a><var>109.6</var>in this section prohibits a health plan company that has a network of providers from <br/>
<a id="pl.109.7"></a><var>109.7</var>imposing a deductible, co-payment, or other coinsurance or dollar limitation requirement <br/>
<a id="pl.109.8"></a><var>109.8</var>for child health supervision services and prenatal care services that are delivered by an <br/>
<a id="pl.109.9"></a><var>109.9</var>out-of-network provider. This section does not prohibit the use of policy waiting periods <br/>
<a id="pl.109.10"></a><var>109.10</var>or preexisting condition limitations for these services. Minimum benefits may be limited <br/>
<a id="pl.109.11"></a><var>109.11</var>to one visit payable to one provider for all of the services provided at each visit cited in <br/>
<a id="pl.109.12"></a><var>109.12</var>this section subject to the schedule set forth in this section. Nothing in this section applies <br/>
<a id="pl.109.13"></a><var>109.13</var>to a commercial health insurance policy issued as a companion to a health maintenance <br/>
<a id="pl.109.14"></a><var>109.14</var>organization contract, a policy designed primarily to provide coverage payable on a per <br/>
<a id="pl.109.15"></a><var>109.15</var>diem, fixed indemnity, or nonexpense incurred basis, or a policy that provides only <br/>
<a id="pl.109.16"></a><var>109.16</var>accident coverage Nothing in this section applies to a policy designed primarily to provide <br/>
<a id="pl.109.17"></a><var>109.17</var>coverage payable on a per diem, fixed indemnity, or non-expense-incurred basis, or a <br/>
<a id="pl.109.18"></a><var>109.18</var>policy that provides only accident coverage. Nothing in this section prevents a health <br/>
<a id="pl.109.19"></a><var>109.19</var>plan company from using reasonable medical management techniques to determine the <br/>
<a id="pl.109.20"></a><var>109.20</var>frequency, method, treatment, or setting for child health supervision services and prenatal <br/>
<a id="pl.109.21"></a><var>109.21</var>care services.<br/>
<a id="pl.109.22"></a><var>109.22</var>"Child health supervision services" means pediatric preventive services, appropriate <br/>
<a id="pl.109.23"></a><var>109.23</var>immunizations, developmental assessments, and laboratory services appropriate to the age <br/>
<a id="pl.109.24"></a><var>109.24</var>of a child from birth to age six, and appropriate immunizations from ages six to 18, as <br/>
<a id="pl.109.25"></a><var>109.25</var>defined by Standards of Child Health Care issued by the American Academy of Pediatrics. <br/>
<a id="pl.109.26"></a><var>109.26</var>Reimbursement must be made for at least five child health supervision visits from birth <br/>
<a id="pl.109.27"></a><var>109.27</var>to 12 months, three child health supervision visits from 12 months to 24 months, once a <br/>
<a id="pl.109.28"></a><var>109.28</var>year from 24 months to 72 months.<br/>
<a id="pl.109.29"></a><var>109.29</var>"Prenatal care services" means the comprehensive package of medical and <br/>
<a id="pl.109.30"></a><var>109.30</var>psychosocial support provided throughout the pregnancy, including risk assessment, <br/>
<a id="pl.109.31"></a><var>109.31</var>serial surveillance, prenatal education, and use of specialized skills and technology, <br/>
<a id="pl.109.32"></a><var>109.32</var>when needed, as defined by Standards for Obstetric-Gynecologic Services issued by the <br/>
<a id="pl.109.33"></a><var>109.33</var>American College of Obstetricians and Gynecologists.<br/>
<a id="pl.109.34"></a><var>109.34</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2012.<br/>
<br/>
<a id="bill.5.3.0"></a><a id="pl.109.35"></a><var>109.35</var>    Sec. 3. Minnesota Statutes 2010, section 62A.21, subdivision 2a, is amended to read:<br/>
<a id="pl.110.1"></a><var>110.1</var>    Subd. 2a. <b>Continuation privilege.</b> Every policy described in subdivision 1 shall <br/>
<a id="pl.110.2"></a><var>110.2</var>contain a provision which permits continuation of coverage under the policy for the <br/>
<a id="pl.110.3"></a><var>110.3</var>insured's former spouse and dependent children upon entry of a valid decree of dissolution <br/>
<a id="pl.110.4"></a><var>110.4</var>of marriage. The coverage shall be continued until the earlier of the following dates:<br/>
<a id="pl.110.5"></a><var>110.5</var>    (a) the date the insured's former spouse becomes covered under any other group <br/>
<a id="pl.110.6"></a><var>110.6</var>health plan; or<br/>
<a id="pl.110.7"></a><var>110.7</var>    (b) the date coverage would otherwise terminate under the policy.<br/>
<a id="pl.110.8"></a><var>110.8</var>    If the coverage is provided under a group policy, any required premium contributions <br/>
<a id="pl.110.9"></a><var>110.9</var>for the coverage shall be paid by the insured on a monthly basis to the group policyholder <br/>
<a id="pl.110.10"></a><var>110.10</var>for remittance to the insurer. The policy must require the group policyholder to, upon <br/>
<a id="pl.110.11"></a><var>110.11</var>request, provide the insured with written verification from the insurer of the cost of this <br/>
<a id="pl.110.12"></a><var>110.12</var>coverage promptly at the time of eligibility for this coverage and at any time during <br/>
<a id="pl.110.13"></a><var>110.13</var>the continuation period. In no event shall the amount of premium charged exceed 102 <br/>
<a id="pl.110.14"></a><var>110.14</var>percent of the cost to the plan for such period of coverage for other similarly situated <br/>
<a id="pl.110.15"></a><var>110.15</var>spouses and dependent children with respect to whom the marital relationship has not <br/>
<a id="pl.110.16"></a><var>110.16</var>dissolved, without regard to whether such cost is paid by the employer or employee The <br/>
<a id="pl.110.17"></a><var>110.17</var>required premium amount for continuation of the coverage shall be calculated in the same <br/>
<a id="pl.110.18"></a><var>110.18</var>manner as provided under section 4980B of the Internal Revenue Code, its implementing <br/>
<a id="pl.110.19"></a><var>110.19</var>regulations and Internal Revenue Service rulings on section 4980B.<br/>
<a id="pl.110.20"></a><var>110.20</var>    Upon request by the insured's former spouse or dependent child, a health carrier <br/>
<a id="pl.110.21"></a><var>110.21</var>must provide the instructions necessary to enable the child or former spouse to elect <br/>
<a id="pl.110.22"></a><var>110.22</var>continuation of coverage.<br/>
<a id="pl.110.23"></a><var>110.23</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2012.<br/>
<br/>
<a id="bill.5.4.0"></a><a id="pl.110.24"></a><var>110.24</var>    Sec. 4. Minnesota Statutes 2010, section 62D.101, subdivision 2a, is amended to read:<br/>
<a id="pl.110.25"></a><var>110.25</var>    Subd. 2a. <b>Continuation privilege.</b> Every health maintenance contract as described <br/>
<a id="pl.110.26"></a><var>110.26</var>in subdivision 1 shall contain a provision which permits continuation of coverage under <br/>
<a id="pl.110.27"></a><var>110.27</var>the contract for the enrollee's former spouse and children upon entry of a valid decree of <br/>
<a id="pl.110.28"></a><var>110.28</var>dissolution of marriage. The coverage shall be continued until the earlier of the following <br/>
<a id="pl.110.29"></a><var>110.29</var>dates:<br/>
<a id="pl.110.30"></a><var>110.30</var>    (a) the date the enrollee's former spouse becomes covered under another group <br/>
<a id="pl.110.31"></a><var>110.31</var>plan or Medicare; or<br/>
<a id="pl.110.32"></a><var>110.32</var>    (b) the date coverage would otherwise terminate under the health maintenance <br/>
<a id="pl.110.33"></a><var>110.33</var>contract.<br/>
<a id="pl.110.34"></a><var>110.34</var>    If coverage is provided under a group policy, any required premium contributions <br/>
<a id="pl.110.35"></a><var>110.35</var>for the coverage shall be paid by the enrollee on a monthly basis to the group contract <br/>
<a id="pl.111.1"></a><var>111.1</var>holder to be paid to the health maintenance organization. The contract must require the <br/>
<a id="pl.111.2"></a><var>111.2</var>group contract holder to, upon request, provide the enrollee with written verification from <br/>
<a id="pl.111.3"></a><var>111.3</var>the insurer of the cost of this coverage promptly at the time of eligibility for this coverage <br/>
<a id="pl.111.4"></a><var>111.4</var>and at any time during the continuation period. In no event shall the fee charged exceed <br/>
<a id="pl.111.5"></a><var>111.5</var>102 percent of the cost to the plan for the period of coverage for other similarly situated <br/>
<a id="pl.111.6"></a><var>111.6</var>spouses and dependent children when the marital relationship has not dissolved, regardless <br/>
<a id="pl.111.7"></a><var>111.7</var>of whether the cost is paid by the employer or employee The required premium amount <br/>
<a id="pl.111.8"></a><var>111.8</var>for continuation of the coverage shall be calculated in the same manner as provided under <br/>
<a id="pl.111.9"></a><var>111.9</var>section 4980B in the Internal Revenue Code, its implementing regulations and Internal <br/>
<a id="pl.111.10"></a><var>111.10</var>Revenue Service rulings on section 4980B.<br/>
<a id="pl.111.11"></a><var>111.11</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2012.<br/>
<br/>
<a id="bill.5.5.0"></a><a id="pl.111.12"></a><var>111.12</var>    Sec. 5. Minnesota Statutes 2010, section 62J.26, subdivision 3, is amended to read:<br/>
<a id="pl.111.13"></a><var>111.13</var>    Subd. 3. <b>Requests for evaluation.</b> (a) Whenever a legislative measure containing <br/>
<a id="pl.111.14"></a><var>111.14</var>a mandated health benefit proposal is introduced as a bill or offered as an amendment <br/>
<a id="pl.111.15"></a><var>111.15</var>to a bill, or is likely to be introduced as a bill or offered as an amendment, a the chair <br/>
<a id="pl.111.16"></a><var>111.16</var>of any standing the legislative committee that has jurisdiction over the subject matter <br/>
<a id="pl.111.17"></a><var>111.17</var>of the proposal may must request that the commissioner complete an evaluation of the <br/>
<a id="pl.111.18"></a><var>111.18</var>proposal under this section, to inform any committee of floor action by either house of <br/>
<a id="pl.111.19"></a><var>111.19</var>the legislature.<br/>
<a id="pl.111.20"></a><var>111.20</var>(b) The commissioner must conduct an evaluation described in subdivision 2 of each <br/>
<a id="pl.111.21"></a><var>111.21</var>mandated health benefit proposal for which an evaluation is requested under paragraph (a), <br/>
<a id="pl.111.22"></a><var>111.22</var>unless the commissioner determines under paragraph (c) or subdivision 4 that priorities <br/>
<a id="pl.111.23"></a><var>111.23</var>and resources do not permit its evaluation introduced as a bill or offered as an amendment <br/>
<a id="pl.111.24"></a><var>111.24</var>to a bill as requested under paragraph (a).<br/>
<a id="pl.111.25"></a><var>111.25</var>(c) If requests for evaluation of multiple proposals are received, the commissioner <br/>
<a id="pl.111.26"></a><var>111.26</var>must consult with the chairs of the standing legislative committees having jurisdiction <br/>
<a id="pl.111.27"></a><var>111.27</var>over the subject matter of the mandated health benefit proposals to prioritize the requests <br/>
<a id="pl.111.28"></a><var>111.28</var>and establish a reporting date for each proposal to be evaluated. The commissioner <br/>
<a id="pl.111.29"></a><var>111.29</var>is not required to direct an unreasonable quantity of the commissioner's resources to <br/>
<a id="pl.111.30"></a><var>111.30</var>these evaluations.<br/>
<br/>
<a id="bill.5.6.0"></a><a id="pl.111.31"></a><var>111.31</var>    Sec. 6. Minnesota Statutes 2010, section 62J.26, subdivision 5, is amended to read:<br/>
<a id="pl.111.32"></a><var>111.32</var>    Subd. 5. <b>Report to legislature.</b> The commissioner must submit a written report on <br/>
<a id="pl.111.33"></a><var>111.33</var>the evaluation to the legislature no later than 180 30 days after the request. The report <br/>
<a id="pl.111.34"></a><var>111.34</var>must be submitted in compliance with sections 
         <statute_ref>3.195</statute_ref> and 
         <statute_ref>3.197</statute_ref>.<br/>
<br/>
<a id="bill.5.7.0"></a><a id="pl.112.1"></a><var>112.1</var>    Sec. 7. Minnesota Statutes 2010, section 62J.26, is amended by adding a subdivision to <br/>
<a id="pl.112.2"></a><var>112.2</var>read:<br/>
<a id="pl.112.3"></a><var>112.3</var>    Subd. 6. <b>Evaluation of mandated health benefits.</b> (a) The commissioner of <br/>
<a id="pl.112.4"></a><var>112.4</var>commerce, in consultation with the commissioners of health and management and budget, <br/>
<a id="pl.112.5"></a><var>112.5</var>shall evaluate each mandated health benefit currently required in Minnesota Statutes or <br/>
<a id="pl.112.6"></a><var>112.6</var>Rules in accordance with the evaluation process described in subdivision 2.<br/>
<a id="pl.112.7"></a><var>112.7</var>(b) For purposes of this subdivision, a "mandated health benefit" means a statutory <br/>
<a id="pl.112.8"></a><var>112.8</var>or administrative requirement that a health plan do the following:<br/>
<a id="pl.112.9"></a><var>112.9</var>(1) provide coverage or increase the amount of coverage for the treatment of a <br/>
<a id="pl.112.10"></a><var>112.10</var>particular disease, condition, or other health care need;<br/>
<a id="pl.112.11"></a><var>112.11</var>(2) provide coverage or increase the amount of coverage of a particular type of <br/>
<a id="pl.112.12"></a><var>112.12</var>health care treatment or service, or of equipment, supplies, or drugs used in connection <br/>
<a id="pl.112.13"></a><var>112.13</var>with a health care treatment or service; or<br/>
<a id="pl.112.14"></a><var>112.14</var>(3) provide coverage for care delivered by a specific type of provider.<br/>
<a id="pl.112.15"></a><var>112.15</var>(c) The commissioner must submit a written report on the evaluation of existing state <br/>
<a id="pl.112.16"></a><var>112.16</var>mandated health benefits to the legislature by December 31, 2015.<br/>
<a id="pl.112.17"></a><var>112.17</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2013.<br/>
<br/>
<a id="bill.5.8.0"></a><a id="pl.112.18"></a><var>112.18</var>    Sec. 8. <b>[62Q.026] CERTAIN FEDERALLY NONQUALIFIED HEALTH PLANS; </b><br/>
<a id="pl.112.19"></a><var>112.19</var><b>SALE PERMITTED.</b><br/>
<a id="pl.112.20"></a><var>112.20</var>    Subdivision 1. <b>Definitions.</b> (a) For purposes of this section, the terms defined <br/>
<a id="pl.112.21"></a><var>112.21</var>in this section have the meanings given.<br/>
<a id="pl.112.22"></a><var>112.22</var>(b) "Commissioner" means the commissioner of commerce.<br/>
<a id="pl.112.23"></a><var>112.23</var>(c) "Health plan" has the meaning given in section 62Q.01, subdivision 3.<br/>
<a id="pl.112.24"></a><var>112.24</var>(d) "Health plan company" has the meaning given in section 62Q.01, subdivision 4.<br/>
<a id="pl.112.25"></a><var>112.25</var>(e) "Nonqualified health plan" means any health plan not certified by the federal <br/>
<a id="pl.112.26"></a><var>112.26</var>Secretary of Health and Human Services in accordance with the Patient Protection and <br/>
<a id="pl.112.27"></a><var>112.27</var>Affordable Care Act of 2010, as amended.<br/>
<a id="pl.112.28"></a><var>112.28</var>(f) "Qualified health plan" means a health plan certified by the federal Secretary of <br/>
<a id="pl.112.29"></a><var>112.29</var>Health and Human Services for eligibility to be sold inside health benefit exchanges in <br/>
<a id="pl.112.30"></a><var>112.30</var>accordance with the Patient Protection and Affordable Care Act of 2010, as amended.<br/>
<a id="pl.112.31"></a><var>112.31</var>    Subd. 2. <b>Sale of nonqualified health plan permitted.</b> A health plan company <br/>
<a id="pl.112.32"></a><var>112.32</var>authorized under Minnesota law to offer, issue, sell, or renew a health plan in Minnesota <br/>
<a id="pl.112.33"></a><var>112.33</var>may do so regardless of whether the health plan is a qualified or nonqualified health plan <br/>
<a id="pl.112.34"></a><var>112.34</var>under the federal Patient Protection and Affordable Care Act of 2010, as amended. No <br/>
<a id="pl.112.35"></a><var>112.35</var>statute or rule of this state shall be interpreted as providing to the contrary.<br/>
<a id="pl.113.1"></a><var>113.1</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.5.9.0"></a><a id="pl.113.2"></a><var>113.2</var>    Sec. 9. <b>[148.2855] NURSE LICENSURE COMPACT.</b><br/>
<a id="pl.113.3"></a><var>113.3</var>The Nurse Licensure Compact is enacted into law and entered into with all other <br/>
<a id="pl.113.4"></a><var>113.4</var>jurisdictions legally joining in it, in the form substantially as follows:<br/>

<a id="pl.113.8"></a><var>113.8</var>(a) "Adverse action" means a home or remote state action.<br/>
<a id="pl.113.9"></a><var>113.9</var>(b) "Alternative program" means a voluntary, nondisciplinary monitoring program <br/>
<a id="pl.113.10"></a><var>113.10</var>approved by a nurse licensing board.<br/>
<a id="pl.113.11"></a><var>113.11</var>(c) "Coordinated licensure information system" means an integrated process for <br/>
<a id="pl.113.12"></a><var>113.12</var>collecting, storing, and sharing information on nurse licensure and enforcement activities <br/>
<a id="pl.113.13"></a><var>113.13</var>related to nurse licensure laws, which is administered by a nonprofit organization <br/>
<a id="pl.113.14"></a><var>113.14</var>composed of and controlled by state nurse licensing boards.<br/>
<a id="pl.113.15"></a><var>113.15</var>(d) "Current significant investigative information" means:<br/>
<a id="pl.113.16"></a><var>113.16</var>(1) investigative information that a licensing board, after a preliminary inquiry that <br/>
<a id="pl.113.17"></a><var>113.17</var>includes notification and an opportunity for the nurse to respond if required by state law, <br/>
<a id="pl.113.18"></a><var>113.18</var>has reason to believe is not groundless and, if proved true, would indicate more than a <br/>
<a id="pl.113.19"></a><var>113.19</var>minor infraction; or<br/>
<a id="pl.113.20"></a><var>113.20</var>(2) investigative information that indicates that the nurse represents an immediate <br/>
<a id="pl.113.21"></a><var>113.21</var>threat to public health and safety regardless of whether the nurse has been notified and <br/>
<a id="pl.113.22"></a><var>113.22</var>had an opportunity to respond.<br/>
<a id="pl.113.23"></a><var>113.23</var>(e) "Home state" means the party state which is the nurse's primary state of residence.<br/>
<a id="pl.113.24"></a><var>113.24</var>(f) "Home state action" means any administrative, civil, equitable, or criminal <br/>
<a id="pl.113.25"></a><var>113.25</var>action permitted by the home state's laws which are imposed on a nurse by the home <br/>
<a id="pl.113.26"></a><var>113.26</var>state's licensing board or other authority including actions against an individual's license <br/>
<a id="pl.113.27"></a><var>113.27</var>such as revocation, suspension, probation, or any other action which affects a nurse's <br/>
<a id="pl.113.28"></a><var>113.28</var>authorization to practice.<br/>
<a id="pl.113.29"></a><var>113.29</var>(g) "Licensing board" means a party state's regulatory body responsible for issuing <br/>
<a id="pl.113.30"></a><var>113.30</var>nurse licenses.<br/>
<a id="pl.113.31"></a><var>113.31</var>(h) "Multistate licensure privilege" means current, official authority from a <br/>
<a id="pl.113.32"></a><var>113.32</var>remote state permitting the practice of nursing as either a registered nurse or a licensed <br/>
<a id="pl.113.33"></a><var>113.33</var>practical/vocational nurse in the party state. All party states have the authority, according <br/>
<a id="pl.113.34"></a><var>113.34</var>to existing state due process law, to take actions against the nurse's privilege such as <br/>
<a id="pl.114.1"></a><var>114.1</var>revocation, suspension, probation, or any other action which affects a nurse's authorization <br/>
<a id="pl.114.2"></a><var>114.2</var>to practice.<br/>
<a id="pl.114.3"></a><var>114.3</var>(i) "Nurse" means a registered nurse or licensed practical/vocational nurse as those <br/>
<a id="pl.114.4"></a><var>114.4</var>terms are defined by each party state's practice laws.<br/>
<a id="pl.114.5"></a><var>114.5</var>(j) "Party state" means any state that has adopted this compact.<br/>
<a id="pl.114.6"></a><var>114.6</var>(k) "Remote state" means a party state other than the home state:<br/>
<a id="pl.114.7"></a><var>114.7</var>(1) where the patient is located at the time nursing care is provided; or<br/>
<a id="pl.114.8"></a><var>114.8</var>(2) in the case of the practice of nursing not involving a patient, in the party state <br/>
<a id="pl.114.9"></a><var>114.9</var>where the recipient of nursing practice is located.<br/>
<a id="pl.114.10"></a><var>114.10</var>(l) "Remote state action" means:<br/>
<a id="pl.114.11"></a><var>114.11</var>(1) any administrative, civil, equitable, or criminal action permitted by a remote <br/>
<a id="pl.114.12"></a><var>114.12</var>state's laws which are imposed on a nurse by the remote state's licensing board or other <br/>
<a id="pl.114.13"></a><var>114.13</var>authority including actions against an individual's multistate licensure privilege to practice <br/>
<a id="pl.114.14"></a><var>114.14</var>in the remote state; and<br/>
<a id="pl.114.15"></a><var>114.15</var>(2) cease and desist and other injunctive or equitable orders issued by remote states <br/>
<a id="pl.114.16"></a><var>114.16</var>or the licensing boards of those states.<br/>
<a id="pl.114.17"></a><var>114.17</var>(m) "State" means a state, territory, or possession of the United States, the District of <br/>
<a id="pl.114.18"></a><var>114.18</var>Columbia, or the Commonwealth of Puerto Rico.<br/>
<a id="pl.114.19"></a><var>114.19</var>(n) "State practice laws" means individual party state laws and regulations that <br/>
<a id="pl.114.20"></a><var>114.20</var>govern the practice of nursing, define the scope of nursing practice, and create the <br/>
<a id="pl.114.21"></a><var>114.21</var>methods and grounds for imposing discipline. State practice laws does not include the <br/>
<a id="pl.114.22"></a><var>114.22</var>initial qualifications for licensure or requirements necessary to obtain and retain a license, <br/>
<a id="pl.114.23"></a><var>114.23</var>except for qualifications or requirements of the home state.<br/>

<a id="pl.114.27"></a><var>114.27</var>that state will be recognized by each party state as authorizing a multistate licensure <br/>
<a id="pl.114.28"></a><var>114.28</var>privilege to practice as a registered nurse in the party state. A license to practice licensed <br/>
<a id="pl.114.29"></a><var>114.29</var>practical/vocational nursing issued by a home state to a resident in that state will be <br/>
<a id="pl.114.30"></a><var>114.30</var>recognized by each party state as authorizing a multistate licensure privilege to practice <br/>
<a id="pl.114.31"></a><var>114.31</var>as a licensed practical/vocational nurse in the party state. In order to obtain or retain a <br/>
<a id="pl.114.32"></a><var>114.32</var>license, an applicant must meet the home state's qualifications for licensure and license <br/>
<a id="pl.114.33"></a><var>114.33</var>renewal as well as all other applicable state laws.<br/>
<a id="pl.114.34"></a><var>114.34</var>(b) Party states may, according to state due process laws, limit or revoke the <br/>
<a id="pl.114.35"></a><var>114.35</var>multistate licensure privilege of any nurse to practice in their state and may take any other <br/>
<a id="pl.114.36"></a><var>114.36</var>actions under their applicable state laws necessary to protect the health and safety of <br/>
<a id="pl.115.1"></a><var>115.1</var>their citizens. If a party state takes such action, it shall promptly notify the administrator <br/>
<a id="pl.115.2"></a><var>115.2</var>of the coordinated licensure information system. The administrator of the coordinated <br/>
<a id="pl.115.3"></a><var>115.3</var>licensure information system shall promptly notify the home state of any such actions by <br/>
<a id="pl.115.4"></a><var>115.4</var>remote states.<br/>
<a id="pl.115.5"></a><var>115.5</var>(c) Every nurse practicing in a party state must comply with the state practice laws of <br/>
<a id="pl.115.6"></a><var>115.6</var>the state in which the patient is located at the time care is rendered. In addition, the practice <br/>
<a id="pl.115.7"></a><var>115.7</var>of nursing is not limited to patient care, but shall include all nursing practice as defined by <br/>
<a id="pl.115.8"></a><var>115.8</var>the state practice laws of the party state. The practice of nursing will subject a nurse to the <br/>
<a id="pl.115.9"></a><var>115.9</var>jurisdiction of the nurse licensing board, the courts, and the laws in the party state.<br/>
<a id="pl.115.10"></a><var>115.10</var>(d) This compact does not affect additional requirements imposed by states for <br/>
<a id="pl.115.11"></a><var>115.11</var>advanced practice registered nursing. However, a multistate licensure privilege to practice <br/>
<a id="pl.115.12"></a><var>115.12</var>registered nursing granted by a party state shall be recognized by other party states as a <br/>
<a id="pl.115.13"></a><var>115.13</var>license to practice registered nursing if one is required by state law as a precondition for <br/>
<a id="pl.115.14"></a><var>115.14</var>qualifying for advanced practice registered nurse authorization.<br/>
<a id="pl.115.15"></a><var>115.15</var>(e) Individuals not residing in a party state shall continue to be able to apply for <br/>
<a id="pl.115.16"></a><var>115.16</var>nurse licensure as provided for under the laws of each party state. However, the license <br/>
<a id="pl.115.17"></a><var>115.17</var>granted to these individuals will not be recognized as granting the privilege to practice <br/>
<a id="pl.115.18"></a><var>115.18</var>nursing in any other party state unless explicitly agreed to by that party state.<br/>

<a id="pl.115.22"></a><var>115.22</var>through the coordinated licensure information system, whether the applicant has ever held <br/>
<a id="pl.115.23"></a><var>115.23</var>or is the holder of a license issued by any other state, whether there are any restrictions <br/>
<a id="pl.115.24"></a><var>115.24</var>on the multistate licensure privilege, and whether any other adverse action by a state <br/>
<a id="pl.115.25"></a><var>115.25</var>has been taken against the license.<br/>
<a id="pl.115.26"></a><var>115.26</var>(b) A nurse in a party state shall hold licensure in only one party state at a time, <br/>
<a id="pl.115.27"></a><var>115.27</var>issued by the home state.<br/>
<a id="pl.115.28"></a><var>115.28</var>(c) A nurse who intends to change primary state of residence may apply for licensure <br/>
<a id="pl.115.29"></a><var>115.29</var>in the new home state in advance of the change. However, new licenses will not be <br/>
<a id="pl.115.30"></a><var>115.30</var>issued by a party state until after a nurse provides evidence of change in primary state of <br/>
<a id="pl.115.31"></a><var>115.31</var>residence satisfactory to the new home state's licensing board.<br/>
<a id="pl.115.32"></a><var>115.32</var>(d) When a nurse changes primary state of residence by:<br/>
<a id="pl.115.33"></a><var>115.33</var>(1) moving between two party states, and obtains a license from the new home state, <br/>
<a id="pl.115.34"></a><var>115.34</var>the license from the former home state is no longer valid;<br/>
<a id="pl.116.1"></a><var>116.1</var>(2) moving from a nonparty state to a party state, and obtains a license from the new <br/>
<a id="pl.116.2"></a><var>116.2</var>home state, the individual state license issued by the nonparty state is not affected and will <br/>
<a id="pl.116.3"></a><var>116.3</var>remain in full force if so provided by the laws of the nonparty state; or<br/>
<a id="pl.116.4"></a><var>116.4</var>(3) moving from a party state to a nonparty state, the license issued by the prior <br/>
<a id="pl.116.5"></a><var>116.5</var>home state converts to an individual state license, valid only in the former home state, <br/>
<a id="pl.116.6"></a><var>116.6</var>without the multistate licensure privilege to practice in other party states.<br/>

<a id="pl.116.10"></a><var>116.10</var>article apply.<br/>
<a id="pl.116.11"></a><var>116.11</var>(a) The licensing board of a remote state shall promptly report to the administrator <br/>
<a id="pl.116.12"></a><var>116.12</var>of the coordinated licensure information system any remote state actions including the <br/>
<a id="pl.116.13"></a><var>116.13</var>factual and legal basis for the action, if known. The licensing board of a remote state shall <br/>
<a id="pl.116.14"></a><var>116.14</var>also promptly report any significant current investigative information yet to result in a <br/>
<a id="pl.116.15"></a><var>116.15</var>remote state action. The administrator of the coordinated licensure information system <br/>
<a id="pl.116.16"></a><var>116.16</var>shall promptly notify the home state of any reports.<br/>
<a id="pl.116.17"></a><var>116.17</var>(b) The licensing board of a party state shall have the authority to complete any <br/>
<a id="pl.116.18"></a><var>116.18</var>pending investigation for a nurse who changes primary state of residence during the <br/>
<a id="pl.116.19"></a><var>116.19</var>course of the investigation. The board shall also have the authority to take appropriate <br/>
<a id="pl.116.20"></a><var>116.20</var>action, and shall promptly report the conclusion of the investigation to the administrator <br/>
<a id="pl.116.21"></a><var>116.21</var>of the coordinated licensure information system. The administrator of the coordinated <br/>
<a id="pl.116.22"></a><var>116.22</var>licensure information system shall promptly notify the new home state of any action.<br/>
<a id="pl.116.23"></a><var>116.23</var>(c) A remote state may take adverse action affecting the multistate licensure <br/>
<a id="pl.116.24"></a><var>116.24</var>privilege to practice within that party state. However, only the home state shall have the <br/>
<a id="pl.116.25"></a><var>116.25</var>power to impose adverse action against the license issued by the home state.<br/>
<a id="pl.116.26"></a><var>116.26</var>(d) For purposes of imposing adverse actions, the licensing board of the home state <br/>
<a id="pl.116.27"></a><var>116.27</var>shall give the same priority and effect to reported conduct received from a remote state as <br/>
<a id="pl.116.28"></a><var>116.28</var>it would if the conduct had occurred within the home state. In so doing, it shall apply its <br/>
<a id="pl.116.29"></a><var>116.29</var>own state laws to determine appropriate action.<br/>
<a id="pl.116.30"></a><var>116.30</var>(e) The home state may take adverse action based on the factual findings of the <br/>
<a id="pl.116.31"></a><var>116.31</var>remote state, provided each state follows its own procedures for imposing the adverse <br/>
<a id="pl.116.32"></a><var>116.32</var>action.<br/>
<a id="pl.116.33"></a><var>116.33</var>(f) Nothing in this compact shall override a party state's decision that participation <br/>
<a id="pl.116.34"></a><var>116.34</var>in an alternative program may be used in lieu of licensure action and that participation <br/>
<a id="pl.116.35"></a><var>116.35</var>shall remain nonpublic if required by the party state's laws.<br/>
<a id="pl.117.1"></a><var>117.1</var>Party states must require nurses who enter any alternative programs to agree not to <br/>
<a id="pl.117.2"></a><var>117.2</var>practice in any other party state during the term of the alternative program without prior <br/>
<a id="pl.117.3"></a><var>117.3</var>authorization from the other party state.<br/>

<a id="pl.117.8"></a><var>117.8</var>authority to:<br/>
<a id="pl.117.9"></a><var>117.9</var>(1) if otherwise permitted by state law, recover from the affected nurse the costs of <br/>
<a id="pl.117.10"></a><var>117.10</var>investigation and disposition of cases resulting from any adverse action taken against <br/>
<a id="pl.117.11"></a><var>117.11</var>that nurse;<br/>
<a id="pl.117.12"></a><var>117.12</var>(2) issue subpoenas for both hearings and investigations which require the attendance <br/>
<a id="pl.117.13"></a><var>117.13</var>and testimony of witnesses, and the production of evidence. Subpoenas issued by a nurse <br/>
<a id="pl.117.14"></a><var>117.14</var>licensing board in a party state for the attendance and testimony of witnesses, and the <br/>
<a id="pl.117.15"></a><var>117.15</var>production of evidence from another party state, shall be enforced in the latter state by <br/>
<a id="pl.117.16"></a><var>117.16</var>any court of competent jurisdiction according to the practice and procedure of that court <br/>
<a id="pl.117.17"></a><var>117.17</var>applicable to subpoenas issued in proceedings pending before it. The issuing authority <br/>
<a id="pl.117.18"></a><var>117.18</var>shall pay any witness fees, travel expenses, mileage, and other fees required by the service <br/>
<a id="pl.117.19"></a><var>117.19</var>statutes of the state where the witnesses and evidence are located;<br/>
<a id="pl.117.20"></a><var>117.20</var>(3) issue cease and desist orders to limit or revoke a nurse's authority to practice <br/>
<a id="pl.117.21"></a><var>117.21</var>in the nurse's state; and<br/>
<a id="pl.117.22"></a><var>117.22</var>(4) adopt uniform rules and regulations as provided for in article 7, paragraph (c).<br/>

<a id="pl.117.26"></a><var>117.26</var>database of all licensed registered nurses and licensed practical/vocational nurses. This <br/>
<a id="pl.117.27"></a><var>117.27</var>system shall include information on the licensure and disciplinary history of each <br/>
<a id="pl.117.28"></a><var>117.28</var>nurse, as contributed by party states, to assist in the coordination of nurse licensure and <br/>
<a id="pl.117.29"></a><var>117.29</var>enforcement efforts.<br/>
<a id="pl.117.30"></a><var>117.30</var>(b) Notwithstanding any other provision of law, all party states' licensing boards shall <br/>
<a id="pl.117.31"></a><var>117.31</var>promptly report adverse actions, actions against multistate licensure privileges, any current <br/>
<a id="pl.117.32"></a><var>117.32</var>significant investigative information yet to result in adverse action, denials of applications, <br/>
<a id="pl.117.33"></a><var>117.33</var>and the reasons for the denials to the coordinated licensure information system.<br/>
<a id="pl.117.34"></a><var>117.34</var>(c) Current significant investigative information shall be transmitted through the <br/>
<a id="pl.117.35"></a><var>117.35</var>coordinated licensure information system only to party state licensing boards.<br/>
<a id="pl.118.1"></a><var>118.1</var>(d) Notwithstanding any other provision of law, all party states' licensing boards <br/>
<a id="pl.118.2"></a><var>118.2</var>contributing information to the coordinated licensure information system may designate <br/>
<a id="pl.118.3"></a><var>118.3</var>information that may not be shared with nonparty states or disclosed to other entities or <br/>
<a id="pl.118.4"></a><var>118.4</var>individuals without the express permission of the contributing state.<br/>
<a id="pl.118.5"></a><var>118.5</var>(e) Any personally identifiable information obtained by a party state's licensing <br/>
<a id="pl.118.6"></a><var>118.6</var>board from the coordinated licensure information system may not be shared with nonparty <br/>
<a id="pl.118.7"></a><var>118.7</var>states or disclosed to other entities or individuals except to the extent permitted by the <br/>
<a id="pl.118.8"></a><var>118.8</var>laws of the party state contributing the information.<br/>
<a id="pl.118.9"></a><var>118.9</var>(f) Any information contributed to the coordinated licensure information system that <br/>
<a id="pl.118.10"></a><var>118.10</var>is subsequently required to be expunged by the laws of the party state contributing that <br/>
<a id="pl.118.11"></a><var>118.11</var>information shall also be expunged from the coordinated licensure information system.<br/>
<a id="pl.118.12"></a><var>118.12</var>(g) The compact administrators, acting jointly with each other and in consultation <br/>
<a id="pl.118.13"></a><var>118.13</var>with the administrator of the coordinated licensure information system, shall formulate <br/>
<a id="pl.118.14"></a><var>118.14</var>necessary and proper procedures for the identification, collection, and exchange of <br/>
<a id="pl.118.15"></a><var>118.15</var>information under this compact.<br/>

<a id="pl.118.20"></a><var>118.20</var>administrator of this compact for that state.<br/>
<a id="pl.118.21"></a><var>118.21</var>(b) The compact administrator of each party state shall furnish to the compact <br/>
<a id="pl.118.22"></a><var>118.22</var>administrator of each other party state any information and documents including, but not <br/>
<a id="pl.118.23"></a><var>118.23</var>limited to, a uniform data set of investigations, identifying information, licensure data, and <br/>
<a id="pl.118.24"></a><var>118.24</var>disclosable alternative program participation information to facilitate the administration of <br/>
<a id="pl.118.25"></a><var>118.25</var>this compact.<br/>
<a id="pl.118.26"></a><var>118.26</var>(c) Compact administrators shall have the authority to develop uniform rules to <br/>
<a id="pl.118.27"></a><var>118.27</var>facilitate and coordinate implementation of this compact. These uniform rules shall be <br/>
<a id="pl.118.28"></a><var>118.28</var>adopted by party states under the authority in article 5, clause (4).<br/>

<a id="pl.118.32"></a><var>118.32</var>board who acts in good faith according to the provisions of this compact shall not be <br/>
<a id="pl.118.33"></a><var>118.33</var>liable for any act or omission while engaged in the performance of their duties under <br/>
<a id="pl.118.34"></a><var>118.34</var>this compact. Good faith shall not include willful misconduct, gross negligence, or <br/>
<a id="pl.118.35"></a><var>118.35</var>recklessness.<br/>

<a id="pl.119.3"></a><var>119.3</var>that state. Any party state may withdraw from this compact by repealing the nurse licensure <br/>
<a id="pl.119.4"></a><var>119.4</var>compact, but no withdrawal shall take effect until six months after the withdrawing state <br/>
<a id="pl.119.5"></a><var>119.5</var>has given notice of the withdrawal to the executive heads of all other party states.<br/>
<a id="pl.119.6"></a><var>119.6</var>(b) No withdrawal shall affect the validity or applicability by the licensing boards <br/>
<a id="pl.119.7"></a><var>119.7</var>of states remaining party to the compact of any report of adverse action occurring prior <br/>
<a id="pl.119.8"></a><var>119.8</var>to the withdrawal.<br/>
<a id="pl.119.9"></a><var>119.9</var>(c) Nothing contained in this compact shall be construed to invalidate or prevent any <br/>
<a id="pl.119.10"></a><var>119.10</var>nurse licensure agreement or other cooperative arrangement between a party state and a <br/>
<a id="pl.119.11"></a><var>119.11</var>nonparty state that is made according to the other provisions of this compact.<br/>
<a id="pl.119.12"></a><var>119.12</var>(d) This compact may be amended by the party states. No amendment to this <br/>
<a id="pl.119.13"></a><var>119.13</var>compact shall become effective and binding upon the party states until it is enacted into <br/>
<a id="pl.119.14"></a><var>119.14</var>the laws of all party states.<br/>

<a id="pl.119.18"></a><var>119.18</var>compact. The provisions of this compact shall be severable and if any phrase, clause, <br/>
<a id="pl.119.19"></a><var>119.19</var>sentence, or provision of this compact is declared to be contrary to the constitution of any <br/>
<a id="pl.119.20"></a><var>119.20</var>party state or of the United States or the applicability thereof to any government, agency, <br/>
<a id="pl.119.21"></a><var>119.21</var>person, or circumstance is held invalid, the validity of the remainder of this compact and <br/>
<a id="pl.119.22"></a><var>119.22</var>the applicability of it to any government, agency, person, or circumstance shall not be <br/>
<a id="pl.119.23"></a><var>119.23</var>affected by it. If this compact is held contrary to the constitution of any party state, the <br/>
<a id="pl.119.24"></a><var>119.24</var>compact shall remain in full force and effect for the remaining party states and in full force <br/>
<a id="pl.119.25"></a><var>119.25</var>and effect for the party state affected as to all severable matters.<br/>
<a id="pl.119.26"></a><var>119.26</var>(b) In the event party states find a need for settling disputes arising under this <br/>
<a id="pl.119.27"></a><var>119.27</var>compact:<br/>
<a id="pl.119.28"></a><var>119.28</var>(1) the party states may submit the issues in dispute to an arbitration panel which <br/>
<a id="pl.119.29"></a><var>119.29</var>shall be comprised of an individual appointed by the compact administrator in the home <br/>
<a id="pl.119.30"></a><var>119.30</var>state, an individual appointed by the compact administrator in the remote states involved, <br/>
<a id="pl.119.31"></a><var>119.31</var>and an individual mutually agreed upon by the compact administrators of the party states <br/>
<a id="pl.119.32"></a><var>119.32</var>involved in the dispute; and<br/>
<a id="pl.119.33"></a><var>119.33</var>(2) the decision of a majority of the arbitrators shall be final and binding.<br/>
<a id="pl.119.34"></a><var>119.34</var><b>EFFECTIVE DATE.</b>This section is effective upon implementation of the <br/>
<a id="pl.119.35"></a><var>119.35</var>coordinated licensure information system defined in section 148.2855, but no sooner <br/>
<a id="pl.119.36"></a><var>119.36</var>than July 1, 2013.<br/>
<br/>
<a id="bill.5.10.0"></a><a id="pl.120.1"></a><var>120.1</var>    Sec. 10. <b>[148.2856] APPLICATION OF NURSE LICENSURE COMPACT TO </b><br/>
<a id="pl.120.2"></a><var>120.2</var><b>EXISTING LAWS.</b><br/>
<a id="pl.120.3"></a><var>120.3</var>(a) A nurse practicing professional or practical nursing in Minnesota under the <br/>
<a id="pl.120.4"></a><var>120.4</var>authority of section 148.2855 shall have the same obligations, privileges, and rights as if <br/>
<a id="pl.120.5"></a><var>120.5</var>the nurse was licensed in Minnesota. Notwithstanding any contrary provisions in section <br/>
<a id="pl.120.6"></a><var>120.6</var>148.2855, the Board of Nursing shall comply with and follow all laws and rules with <br/>
<a id="pl.120.7"></a><var>120.7</var>respect to registered and licensed practical nurses practicing professional or practical <br/>
<a id="pl.120.8"></a><var>120.8</var>nursing in Minnesota under the authority of section 148.2855, and all such individuals <br/>
<a id="pl.120.9"></a><var>120.9</var>shall be governed and regulated as if they were licensed by the board.<br/>
<a id="pl.120.10"></a><var>120.10</var>(b) Section 148.2855 does not relieve employers of nurses from complying with <br/>
<a id="pl.120.11"></a><var>120.11</var>statutorily imposed obligations.<br/>
<a id="pl.120.12"></a><var>120.12</var>(c) Section 148.2855 does not supersede existing state labor laws.<br/>
<a id="pl.120.13"></a><var>120.13</var>(d) For purposes of the Minnesota Government Data Practices Act, chapter 13, <br/>
<a id="pl.120.14"></a><var>120.14</var>an individual not licensed as a nurse under sections 148.171 to 148.285 who practices <br/>
<a id="pl.120.15"></a><var>120.15</var>professional or practical nursing in Minnesota under the authority of section 148.2855 is <br/>
<a id="pl.120.16"></a><var>120.16</var>considered to be a licensee of the board.<br/>
<a id="pl.120.17"></a><var>120.17</var>(e) Uniform rules developed by the compact administrators shall not be subject <br/>
<a id="pl.120.18"></a><var>120.18</var>to the provisions of sections 14.05 to 14.389, except for sections 14.07, 14.08, 14.101, <br/>
<a id="pl.120.19"></a><var>120.19</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.120.20"></a><var>120.20</var>(f) Proceedings brought against an individual's multistate privilege shall be <br/>
<a id="pl.120.21"></a><var>120.21</var>adjudicated following the procedures listed in sections 14.50 to 14.62 and shall be subject <br/>
<a id="pl.120.22"></a><var>120.22</var>to judicial review as provided for in sections 14.63 to 14.69.<br/>
<a id="pl.120.23"></a><var>120.23</var>(g) For purposes of sections 62M.09, subdivision 2; 121A.22, subdivision 4; <br/>
<a id="pl.120.24"></a><var>120.24</var>144.051; 144.052; 145A.02, subdivision 18; 148.975; 151.37; 152.12; 154.04; 256B.0917, <br/>
<a id="pl.120.25"></a><var>120.25</var>subdivision 8; 595.02, subdivision 1, paragraph (g); 604.20, subdivision 5; and 631.40, <br/>
<a id="pl.120.26"></a><var>120.26</var>subdivision 2; and chapters 319B and 364, holders of a multistate privilege who are <br/>
<a id="pl.120.27"></a><var>120.27</var>licensed as registered or licensed practical nurses in the home state shall be considered <br/>
<a id="pl.120.28"></a><var>120.28</var>to be licensees in Minnesota. If any of the statutes listed in this paragraph are limited to <br/>
<a id="pl.120.29"></a><var>120.29</var>registered nurses or the practice of professional nursing, then only holders of a multistate <br/>
<a id="pl.120.30"></a><var>120.30</var>privilege who are licensed as registered nurses in the home state shall be considered <br/>
<a id="pl.120.31"></a><var>120.31</var>licensees.<br/>
<a id="pl.120.32"></a><var>120.32</var>(h) The reporting requirements of sections 144.4175, 148.263, 626.52, and 626.557 <br/>
<a id="pl.120.33"></a><var>120.33</var>apply to individuals not licensed as registered or licensed practical nurses under sections <br/>
<a id="pl.120.34"></a><var>120.34</var>148.171 to 148.285 who practice professional or practical nursing in Minnesota under <br/>
<a id="pl.120.35"></a><var>120.35</var>the authority of section 148.2855.<br/>
<a id="pl.121.1"></a><var>121.1</var>(i) The board may take action against an individual's multistate privilege based on <br/>
<a id="pl.121.2"></a><var>121.2</var>the grounds listed in section 148.261, subdivision 1, and any other statute authorizing or <br/>
<a id="pl.121.3"></a><var>121.3</var>requiring the board to take corrective or disciplinary action.<br/>
<a id="pl.121.4"></a><var>121.4</var>(j) The board may take all forms of disciplinary action provided for in section <br/>
<a id="pl.121.5"></a><var>121.5</var>148.262, subdivision 1, and corrective action provided for in section 214.103, subdivision <br/>
<a id="pl.121.6"></a><var>121.6</var>6, against an individual's multistate privilege.<br/>
<a id="pl.121.7"></a><var>121.7</var>(k) The immunity provisions of section 148.264, subdivision 1, apply to individuals <br/>
<a id="pl.121.8"></a><var>121.8</var>who practice professional or practical nursing in Minnesota under the authority of section <br/>
<a id="pl.121.9"></a><var>121.9</var>148.2855.<br/>
<a id="pl.121.10"></a><var>121.10</var>(l) The cooperation requirements of section 148.265 apply to individuals who <br/>
<a id="pl.121.11"></a><var>121.11</var>practice professional or practical nursing in Minnesota under the authority of section <br/>
<a id="pl.121.12"></a><var>121.12</var>148.2855.<br/>
<a id="pl.121.13"></a><var>121.13</var>(m) The provisions of section 148.283 shall not apply to individuals who practice <br/>
<a id="pl.121.14"></a><var>121.14</var>professional or practical nursing in Minnesota under the authority of section 148.2855.<br/>
<a id="pl.121.15"></a><var>121.15</var>(n) Complaints against individuals who practice professional or practical nursing <br/>
<a id="pl.121.16"></a><var>121.16</var>in Minnesota under the authority of section 148.2855 shall be handled as provided in <br/>
<a id="pl.121.17"></a><var>121.17</var>sections 214.10 and 214.103.<br/>
<a id="pl.121.18"></a><var>121.18</var>(o) All provisions of section 148.2855 authorizing or requiring the board to provide <br/>
<a id="pl.121.19"></a><var>121.19</var>data to party states are authorized by section 214.10, subdivision 8, paragraph (d).<br/>
<a id="pl.121.20"></a><var>121.20</var>(p) Except as provided in section 13.41, subdivision 6, the board shall not report to a <br/>
<a id="pl.121.21"></a><var>121.21</var>remote state any active investigative data regarding a complaint investigation against a <br/>
<a id="pl.121.22"></a><var>121.22</var>nurse licensed under sections 148.171 to 148.285, unless the board obtains reasonable <br/>
<a id="pl.121.23"></a><var>121.23</var>assurances from the remote state that the data will be maintained with the same protections <br/>
<a id="pl.121.24"></a><var>121.24</var>as provided in Minnesota law.<br/>
<a id="pl.121.25"></a><var>121.25</var>(q) The provisions of sections 214.17 to 214.25 apply to individuals who practice <br/>
<a id="pl.121.26"></a><var>121.26</var>professional or practical nursing in Minnesota under the authority of section 148.2855 <br/>
<a id="pl.121.27"></a><var>121.27</var>when the practice involves direct physical contact between the nurse and a patient.<br/>
<a id="pl.121.28"></a><var>121.28</var>(r) A nurse practicing professional or practical nursing in Minnesota under the <br/>
<a id="pl.121.29"></a><var>121.29</var>authority of section 148.2855 must comply with any criminal background check required <br/>
<a id="pl.121.30"></a><var>121.30</var>under Minnesota law.<br/>
<a id="pl.121.31"></a><var>121.31</var><b>EFFECTIVE DATE.</b>This section is effective upon implementation of the <br/>
<a id="pl.121.32"></a><var>121.32</var>coordinated licensure information system defined in section 148.2855, but no sooner <br/>
<a id="pl.121.33"></a><var>121.33</var>than July 1, 2013.<br/>
<br/>
<a id="bill.5.11.0"></a><a id="pl.121.34"></a><var>121.34</var>    Sec. 11. <b>[148.2857] WITHDRAWAL FROM COMPACT.</b><br/>
<a id="pl.122.1"></a><var>122.1</var>The governor may withdraw the state from the compact in section 148.2855 if <br/>
<a id="pl.122.2"></a><var>122.2</var>the Board of Nursing notifies the governor that a party state to the compact changed <br/>
<a id="pl.122.3"></a><var>122.3</var>the party state's requirements for nurse licensure after July 1, 2012, and that the party <br/>
<a id="pl.122.4"></a><var>122.4</var>state's requirements, as changed, are substantially lower than the requirements for nurse <br/>
<a id="pl.122.5"></a><var>122.5</var>licensure in this state.<br/>
<a id="pl.122.6"></a><var>122.6</var><b>EFFECTIVE DATE.</b>This section is effective upon implementation of the <br/>
<a id="pl.122.7"></a><var>122.7</var>coordinated licensure information system defined in section 148.2855, but no sooner <br/>
<a id="pl.122.8"></a><var>122.8</var>than July 1, 2013.<br/>
<br/>
<a id="bill.5.12.0"></a><a id="pl.122.9"></a><var>122.9</var>    Sec. 12. <b>[148.2858] MISCELLANEOUS PROVISIONS.</b><br/>
<a id="pl.122.10"></a><var>122.10</var>(a) For the purposes of section 148.2855, "head of the Nurse Licensing Board" <br/>
<a id="pl.122.11"></a><var>122.11</var>means the executive director of the board.<br/>
<a id="pl.122.12"></a><var>122.12</var>(b) The Board of Nursing shall have the authority to recover from a nurse practicing <br/>
<a id="pl.122.13"></a><var>122.13</var>professional or practical nursing in Minnesota under the authority of section 148.2855 <br/>
<a id="pl.122.14"></a><var>122.14</var>the costs of investigation and disposition of cases resulting from any adverse action <br/>
<a id="pl.122.15"></a><var>122.15</var>taken against the nurse.<br/>
<a id="pl.122.16"></a><var>122.16</var>(c) The board may implement a system of identifying individuals who practice <br/>
<a id="pl.122.17"></a><var>122.17</var>professional or practical nursing in Minnesota under the authority of section 148.2855.<br/>
<a id="pl.122.18"></a><var>122.18</var><b>EFFECTIVE DATE.</b>This section is effective upon implementation of the <br/>
<a id="pl.122.19"></a><var>122.19</var>coordinated licensure information system defined in section 148.2855, but no sooner <br/>
<a id="pl.122.20"></a><var>122.20</var>than July 1, 2013.<br/>
<br/>
<a id="bill.5.13.0"></a><a id="pl.122.21"></a><var>122.21</var>    Sec. 13. <b>[148.2859] NURSE LICENSURE COMPACT ADVISORY </b><br/>
<a id="pl.122.22"></a><var>122.22</var><b>COMMITTEE.</b><br/>
<a id="pl.122.23"></a><var>122.23</var>    Subdivision 1. <b>Establishment; membership.</b> A Nurse Licensure Compact Advisory <br/>
<a id="pl.122.24"></a><var>122.24</var>Committee is established to advise the compact administrator in the implementation of <br/>
<a id="pl.122.25"></a><var>122.25</var>section 148.2855. Members of the advisory committee shall be appointed by the board <br/>
<a id="pl.122.26"></a><var>122.26</var>and shall be composed of representatives of Minnesota nursing organizations, Minnesota <br/>
<a id="pl.122.27"></a><var>122.27</var>licensed nurses who practice in nursing facilities or hospitals, Minnesota licensed nurses <br/>
<a id="pl.122.28"></a><var>122.28</var>who provide home care, Minnesota licensed advanced practice registered nurses, and <br/>
<a id="pl.122.29"></a><var>122.29</var>public members as defined in section 214.02.<br/>
<a id="pl.122.30"></a><var>122.30</var>    Subd. 2. <b>Duties.</b> The advisory committee shall advise the compact administrator in <br/>
<a id="pl.122.31"></a><var>122.31</var>the implementation of section 148.2855.<br/>
<a id="pl.122.32"></a><var>122.32</var>    Subd. 3. <b>Organization.</b> The advisory committee shall be organized and <br/>
<a id="pl.122.33"></a><var>122.33</var>administered under section 15.059.<br/>
<a id="pl.123.1"></a><var>123.1</var><b>EFFECTIVE DATE.</b>This section is effective upon implementation of the <br/>
<a id="pl.123.2"></a><var>123.2</var>coordinated licensure information system defined in section 148.2855, but no sooner <br/>
<a id="pl.123.3"></a><var>123.3</var>than July 1, 2013.<br/>
<br/>
<a id="bill.5.14.0"></a><a id="pl.123.4"></a><var>123.4</var>    Sec. 14. Minnesota Statutes 2010, section 256B.0943, subdivision 9, 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. 9. <b>Service delivery criteria.</b> (a) In delivering services under this section, a <br/>
<a id="pl.123.7"></a><var>123.7</var>certified provider entity must ensure that:<br/>
<a id="pl.123.8"></a><var>123.8</var>    (1) each individual provider's caseload size permits the provider to deliver services <br/>
<a id="pl.123.9"></a><var>123.9</var>to both clients with severe, complex needs and clients with less intensive needs. The <br/>
<a id="pl.123.10"></a><var>123.10</var>provider's caseload size should reasonably enable the provider to play an active role in <br/>
<a id="pl.123.11"></a><var>123.11</var>service planning, monitoring, and delivering services to meet the client's and client's <br/>
<a id="pl.123.12"></a><var>123.12</var>family's needs, as specified in each client's individual treatment plan;<br/>
<a id="pl.123.13"></a><var>123.13</var>    (2) site-based programs, including day treatment and preschool programs, provide <br/>
<a id="pl.123.14"></a><var>123.14</var>staffing and facilities to ensure the client's health, safety, and protection of rights, and that <br/>
<a id="pl.123.15"></a><var>123.15</var>the programs are able to implement each client's individual treatment plan;<br/>
<a id="pl.123.16"></a><var>123.16</var>    (3) a day treatment program is provided to a group of clients by a multidisciplinary <br/>
<a id="pl.123.17"></a><var>123.17</var>team under the clinical supervision of a mental health professional. The day treatment <br/>
<a id="pl.123.18"></a><var>123.18</var>program must be provided in and by: (i) an outpatient hospital accredited by the Joint <br/>
<a id="pl.123.19"></a><var>123.19</var>Commission on Accreditation of Health Organizations and licensed under sections 
         <statute_ref>144.50 <br/>
</statute_ref><a id="pl.123.20"></a><var>123.20</var>to 
         <statute_ref>144.55</statute_ref>; (ii) a community mental health center under section 
         <statute_ref>245.62</statute_ref>; or (iii) an entity <br/>
<a id="pl.123.21"></a><var>123.21</var>that is under contract with the county board certified under subdivision 4 to operate a <br/>
<a id="pl.123.22"></a><var>123.22</var>program that meets the requirements of section 
         <statute_ref>245.4712, subdivision 2</statute_ref>, or
<statute_ref>245.4884, <br/>
<a id="pl.123.23"></a><var>123.23</var>subdivision 2
         </statute_ref>, and Minnesota Rules, parts 9505.0170 to 9505.0475. The day treatment <br/>
<a id="pl.123.24"></a><var>123.24</var>program must stabilize the client's mental health status while developing and improving <br/>
<a id="pl.123.25"></a><var>123.25</var>the client's independent living and socialization skills. The goal of the day treatment <br/>
<a id="pl.123.26"></a><var>123.26</var>program must be to reduce or relieve the effects of mental illness and provide training to <br/>
<a id="pl.123.27"></a><var>123.27</var>enable the client to live in the community. The program must be available at least one day <br/>
<a id="pl.123.28"></a><var>123.28</var>a week for a two-hour time block. The two-hour time block must include at least one hour <br/>
<a id="pl.123.29"></a><var>123.29</var>of individual or group psychotherapy. The remainder of the structured treatment program <br/>
<a id="pl.123.30"></a><var>123.30</var>may include individual or group psychotherapy, and individual or group skills training, if <br/>
<a id="pl.123.31"></a><var>123.31</var>included in the client's individual treatment plan. Day treatment programs are not part of <br/>
<a id="pl.123.32"></a><var>123.32</var>inpatient or residential treatment services. A day treatment program may provide fewer <br/>
<a id="pl.123.33"></a><var>123.33</var>than the minimally required hours for a particular child during a billing period in which <br/>
<a id="pl.123.34"></a><var>123.34</var>the child is transitioning into, or out of, the program; and<br/>
<a id="pl.124.1"></a><var>124.1</var>    (4) a therapeutic preschool program is a structured treatment program offered <br/>
<a id="pl.124.2"></a><var>124.2</var>to a child who is at least 33 months old, but who has not yet reached the first day of <br/>
<a id="pl.124.3"></a><var>124.3</var>kindergarten, by a preschool multidisciplinary team in a day program licensed under <br/>
<a id="pl.124.4"></a><var>124.4</var>Minnesota Rules, parts 9503.0005 to 9503.0175. The program must be available two <br/>
<a id="pl.124.5"></a><var>124.5</var>hours per day, five days per week, and 12 months of each calendar year. The structured <br/>
<a id="pl.124.6"></a><var>124.6</var>treatment program may include individual or group psychotherapy and individual or <br/>
<a id="pl.124.7"></a><var>124.7</var>group skills training, if included in the client's individual treatment plan. A therapeutic <br/>
<a id="pl.124.8"></a><var>124.8</var>preschool program may provide fewer than the minimally required hours for a particular <br/>
<a id="pl.124.9"></a><var>124.9</var>child during a billing period in which the child is transitioning into, or out of, the program.<br/>
<a id="pl.124.10"></a><var>124.10</var>    (b) A provider entity must deliver the service components of children's therapeutic <br/>
<a id="pl.124.11"></a><var>124.11</var>services and supports in compliance with the following requirements:<br/>
<a id="pl.124.12"></a><var>124.12</var>    (1) individual, family, and group psychotherapy must be delivered as specified in <br/>
<a id="pl.124.13"></a><var>124.13</var>Minnesota Rules, part 9505.0323;<br/>
<a id="pl.124.14"></a><var>124.14</var>    (2) individual, family, or group skills training must be provided by a mental health <br/>
<a id="pl.124.15"></a><var>124.15</var>professional or a mental health practitioner who has a consulting relationship with a <br/>
<a id="pl.124.16"></a><var>124.16</var>mental health professional who accepts full professional responsibility for the training;<br/>
<a id="pl.124.17"></a><var>124.17</var>    (3) crisis assistance must be time-limited and designed to resolve or stabilize crisis <br/>
<a id="pl.124.18"></a><var>124.18</var>through arrangements for direct intervention and support services to the child and the <br/>
<a id="pl.124.19"></a><var>124.19</var>child's family. Crisis assistance must utilize resources designed to address abrupt or <br/>
<a id="pl.124.20"></a><var>124.20</var>substantial changes in the functioning of the child or the child's family as evidenced by <br/>
<a id="pl.124.21"></a><var>124.21</var>a sudden change in behavior with negative consequences for well being, a loss of usual <br/>
<a id="pl.124.22"></a><var>124.22</var>coping mechanisms, or the presentation of danger to self or others;<br/>
<a id="pl.124.23"></a><var>124.23</var>    (4) mental health behavioral aide services must be medically necessary treatment <br/>
<a id="pl.124.24"></a><var>124.24</var>services, identified in the child's individual treatment plan and individual behavior plan, <br/>
<a id="pl.124.25"></a><var>124.25</var>which are performed minimally by a paraprofessional qualified according to subdivision <br/>
<a id="pl.124.26"></a><var>124.26</var>7, paragraph (b), clause (3), and which are designed to improve the functioning of the <br/>
<a id="pl.124.27"></a><var>124.27</var>child in the progressive use of developmentally appropriate psychosocial skills. Activities <br/>
<a id="pl.124.28"></a><var>124.28</var>involve working directly with the child, child-peer groupings, or child-family groupings <br/>
<a id="pl.124.29"></a><var>124.29</var>to practice, repeat, reintroduce, and master the skills defined in subdivision 1, paragraph <br/>
<a id="pl.124.30"></a><var>124.30</var>(p), as previously taught by a mental health professional or mental health practitioner <br/>
<a id="pl.124.31"></a><var>124.31</var>including:<br/>
<a id="pl.124.32"></a><var>124.32</var>(i) providing cues or prompts in skill-building peer-to-peer or parent-child <br/>
<a id="pl.124.33"></a><var>124.33</var>interactions so that the child progressively recognizes and responds to the cues <br/>
<a id="pl.124.34"></a><var>124.34</var>independently;<br/>
<a id="pl.124.35"></a><var>124.35</var>(ii) performing as a practice partner or role-play partner;<br/>
<a id="pl.124.36"></a><var>124.36</var>(iii) reinforcing the child's accomplishments;<br/>
<a id="pl.125.1"></a><var>125.1</var>(iv) generalizing skill-building activities in the child's multiple natural settings;<br/>
<a id="pl.125.2"></a><var>125.2</var>(v) assigning further practice activities; and<br/>
<a id="pl.125.3"></a><var>125.3</var>(vi) intervening as necessary to redirect the child's target behavior and to de-escalate <br/>
<a id="pl.125.4"></a><var>125.4</var>behavior that puts the child or other person at risk of injury.<br/>
<a id="pl.125.5"></a><var>125.5</var>A mental health behavioral aide must document the delivery of services in written <br/>
<a id="pl.125.6"></a><var>125.6</var>progress notes. The mental health behavioral aide must implement treatment strategies <br/>
<a id="pl.125.7"></a><var>125.7</var>in the individual treatment plan and the individual behavior plan. The mental health <br/>
<a id="pl.125.8"></a><var>125.8</var>behavioral aide must document the delivery of services in written progress notes. Progress <br/>
<a id="pl.125.9"></a><var>125.9</var>notes must reflect implementation of the treatment strategies, as performed by the mental <br/>
<a id="pl.125.10"></a><var>125.10</var>health behavioral aide and the child's responses to the treatment strategies; and<br/>
<a id="pl.125.11"></a><var>125.11</var>    (5) direction of a mental health behavioral aide must include the following:<br/>
<a id="pl.125.12"></a><var>125.12</var>    (i) a clinical supervision plan approved by the responsible mental health professional;<br/>
<a id="pl.125.13"></a><var>125.13</var>    (ii) ongoing on-site observation by a mental health professional or mental health <br/>
<a id="pl.125.14"></a><var>125.14</var>practitioner for at least a total of one hour during every 40 hours of service provided <br/>
<a id="pl.125.15"></a><var>125.15</var>to a child; and<br/>
<a id="pl.125.16"></a><var>125.16</var>    (iii) immediate accessibility of the mental health professional or mental health <br/>
<a id="pl.125.17"></a><var>125.17</var>practitioner to the mental health behavioral aide during service provision.<br/>
<br/>
<a id="bill.5.15.0"></a><a id="pl.125.18"></a><var>125.18</var>    Sec. 15. Laws 2011, First Special Session chapter 9, article 10, section 8, subdivision <br/>
<a id="pl.125.19"></a><var>125.19</var>8, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.125.20"></a><var>125.20</var><br/>
<a id="pl.125.21"></a><var>125.21</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.125.22"></a><var>125.22</var><b>Rulemaking.</b> Of this appropriation, $44,000 <br/>
<a id="pl.125.23"></a><var>125.23</var>in fiscal year 2012 is for rulemaking. This is <br/>
<a id="pl.125.24"></a><var>125.24</var>a onetime appropriation.<br/>
<a id="pl.125.25"></a><var>125.25</var><b>Electronic Licensing System Adaptors.</b> <br/>
<a id="pl.125.26"></a><var>125.26</var>Of this appropriation, $761,000 in fiscal <br/>
<a id="pl.125.27"></a><var>125.27</var>year 2013 from the state government special <br/>
<a id="pl.125.28"></a><var>125.28</var>revenue fund is to the administrative services <br/>
<a id="pl.125.29"></a><var>125.29</var>unit to cover the costs to connect to the <br/>
<a id="pl.125.30"></a><var>125.30</var>e-licensing system. Minnesota Statutes, <br/>
<a id="pl.125.31"></a><var>125.31</var>section 
         <statute_ref>16E.22</statute_ref>. Base level funding for this <br/>
<a id="pl.125.32"></a><var>125.32</var>activity in fiscal year 2014 shall be $100,000. <br/>
<a id="pl.125.33"></a><var>125.33</var>Base level funding for this activity in fiscal <br/>
<a id="pl.125.34"></a><var>125.34</var>year 2015 shall be $50,000.<br/>
<a id="pl.126.1"></a><var>126.1</var><b>Development and Implementation of a </b><br/>
<a id="pl.126.2"></a><var>126.2</var><b>Disciplinary, Regulatory, Licensing and </b><br/>
<a id="pl.126.3"></a><var>126.3</var><b>Information Management System.</b> Of this <br/>
<a id="pl.126.4"></a><var>126.4</var>appropriation, $800,000 in fiscal year 2012 <br/>
<a id="pl.126.5"></a><var>126.5</var>and $300,000 in fiscal year 2013 are for the <br/>
<a id="pl.126.6"></a><var>126.6</var>development of a shared system. Base level <br/>
<a id="pl.126.7"></a><var>126.7</var>funding for this activity in fiscal year 2014 <br/>
<a id="pl.126.8"></a><var>126.8</var>shall be $50,000.<br/>
<a id="pl.126.9"></a><var>126.9</var><b>Administrative Services Unit - Operating </b><br/>
<a id="pl.126.10"></a><var>126.10</var><b>Costs.</b> Of this appropriation, $526,000 <br/>
<a id="pl.126.11"></a><var>126.11</var>in fiscal year 2012 and $526,000 in <br/>
<a id="pl.126.12"></a><var>126.12</var>fiscal year 2013 are for operating costs <br/>
<a id="pl.126.13"></a><var>126.13</var>of the administrative services unit. The <br/>
<a id="pl.126.14"></a><var>126.14</var>administrative services unit may receive <br/>
<a id="pl.126.15"></a><var>126.15</var>and expend reimbursements for services <br/>
<a id="pl.126.16"></a><var>126.16</var>performed by other agencies.<br/>
<a id="pl.126.17"></a><var>126.17</var><b>Administrative Services Unit - Retirement </b><br/>
<a id="pl.126.18"></a><var>126.18</var><b>Costs.</b> Of this appropriation in fiscal year <br/>
<a id="pl.126.19"></a><var>126.19</var>2012, $225,000 is for onetime retirement <br/>
<a id="pl.126.20"></a><var>126.20</var>costs in the health-related boards. This <br/>
<a id="pl.126.21"></a><var>126.21</var>funding may be transferred to the health <br/>
<a id="pl.126.22"></a><var>126.22</var>boards incurring those costs for their <br/>
<a id="pl.126.23"></a><var>126.23</var>payment. These funds are available either <br/>
<a id="pl.126.24"></a><var>126.24</var>year of the biennium.<br/>
<a id="pl.126.25"></a><var>126.25</var><b>Administrative Services Unit - Volunteer </b><br/>
<a id="pl.126.26"></a><var>126.26</var><b>Health Care Provider Program.</b> Of this <br/>
<a id="pl.126.27"></a><var>126.27</var>appropriation, $150,000 in fiscal year 2012 <br/>
<a id="pl.126.28"></a><var>126.28</var>and $150,000 in fiscal year 2013 are to pay <br/>
<a id="pl.126.29"></a><var>126.29</var>for medical professional liability coverage <br/>
<a id="pl.126.30"></a><var>126.30</var>required under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.126.31"></a><var>126.31</var>214.40
         </statute_ref>.<br/>
<a id="pl.126.32"></a><var>126.32</var><b>Administrative Services Unit - Contested </b><br/>
<a id="pl.126.33"></a><var>126.33</var><b>Cases and Other Legal Proceedings.</b> Of <br/>
<a id="pl.126.34"></a><var>126.34</var>this appropriation, $200,000 in fiscal year <br/>
<a id="pl.126.35"></a><var>126.35</var>2012 and $200,000 in fiscal year 2013 are <br/>
<a id="pl.127.1"></a><var>127.1</var>for costs of contested case hearings and other <br/>
<a id="pl.127.2"></a><var>127.2</var>unanticipated costs of legal proceedings <br/>
<a id="pl.127.3"></a><var>127.3</var>involving health-related boards funded <br/>
<a id="pl.127.4"></a><var>127.4</var>under this section. Upon certification of a <br/>
<a id="pl.127.5"></a><var>127.5</var>health-related board to the administrative <br/>
<a id="pl.127.6"></a><var>127.6</var>services unit that the costs will be incurred <br/>
<a id="pl.127.7"></a><var>127.7</var>and that there is insufficient money available <br/>
<a id="pl.127.8"></a><var>127.8</var>to pay for the costs out of money currently <br/>
<a id="pl.127.9"></a><var>127.9</var>available to that board, the administrative <br/>
<a id="pl.127.10"></a><var>127.10</var>services unit is authorized to transfer money <br/>
<a id="pl.127.11"></a><var>127.11</var>from this appropriation to the board for <br/>
<a id="pl.127.12"></a><var>127.12</var>payment of those costs with the approval <br/>
<a id="pl.127.13"></a><var>127.13</var>of the commissioner of management and <br/>
<a id="pl.127.14"></a><var>127.14</var>budget. This appropriation does not cancel. <br/>
<a id="pl.127.15"></a><var>127.15</var>Any unencumbered and unspent balances <br/>
<a id="pl.127.16"></a><var>127.16</var>remain available for these expenditures in <br/>
<a id="pl.127.17"></a><var>127.17</var>subsequent fiscal years.<br/>
<a id="pl.127.18"></a><var>127.18</var><b>Base Adjustment.</b> The State Government <br/>
<a id="pl.127.19"></a><var>127.19</var>Special Revenue Fund base is decreased by <br/>
<a id="pl.127.20"></a><var>127.20</var>$911,000 in fiscal year 2014 and $1,011,000 <br/>
<a id="pl.127.21"></a><var>127.21</var>$961,000 in fiscal year 2015.<br/>
<br/>
<a id="bill.5.16.0"></a><a id="pl.127.22"></a><var>127.22</var>    Sec. 16. <b>BIENNIAL BUDGET REQUEST; UNIVERSITY OF MINNESOTA.</b><br/>
<a id="pl.127.23"></a><var>127.23</var>Beginning in 2013, as part of the biennial budget request submitted to the <br/>
<a id="pl.127.24"></a><var>127.24</var>Department of Management and Budget, and the legislature, the Board of Regents of the <br/>
<a id="pl.127.25"></a><var>127.25</var>University of Minnesota is encouraged to include a request for funding for rural primary <br/>
<a id="pl.127.26"></a><var>127.26</var>care training by family practice residence programs to prepare doctors for the practice <br/>
<a id="pl.127.27"></a><var>127.27</var>of primary care medicine in rural areas of the state. The funding request should provide <br/>
<a id="pl.127.28"></a><var>127.28</var>for ongoing support of rural primary care training through the University of Minnesota's <br/>
<a id="pl.127.29"></a><var>127.29</var>general operation and maintenance funding or through dedicated health science funding.<br/>
<br/>
<a id="bill.6.0.0"></a>

<a id="bill.6.1.0"></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.127.32"></a><var>127.32</var><br/>
</td>
<td colspan="7">Section 1. <b>HEALTH AND HUMAN SERVICES APPROPRIATIONS.</b><b> </b><br/>
</td>
</tr>
</table><a id="pl.127.33"></a><var>127.33</var>The sums shown in the columns marked "Appropriations" are added to or, if shown <br/>
<a id="pl.127.34"></a><var>127.34</var>in parentheses, subtracted from the appropriations in Laws 2011, First Special Session <br/>
<a id="pl.128.1"></a><var>128.1</var>chapter 9, article 10, to the agencies and for the purposes specified in this article. The <br/>
<a id="pl.128.2"></a><var>128.2</var>appropriations are from the general fund or other named fund and are available for the <br/>
<a id="pl.128.3"></a><var>128.3</var>fiscal years indicated for each purpose. The figures "2012" and "2013" used in this <br/>
<a id="pl.128.4"></a><var>128.4</var>article mean that the addition to or subtraction from the appropriation listed under them <br/>
<a id="pl.128.5"></a><var>128.5</var>is available for the fiscal year ending June 30, 2012, or June 30, 2013, respectively. <br/>
<a id="pl.128.6"></a><var>128.6</var>Supplemental appropriations and reductions to appropriations for the fiscal year ending <br/>
<a id="pl.128.7"></a><var>128.7</var>June 30, 2012, are effective the day following final enactment unless a different effective <br/>
<a id="pl.128.8"></a><var>128.8</var>date is explicit.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.128.9"></a><var>128.9</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.128.10"></a><var>128.10</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.128.11"></a><var>128.11</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.128.12"></a><var>128.12</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.6.2.0"></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.128.13"></a><var>128.13</var><br/>
<a id="pl.128.14"></a><var>128.14</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.128.15"></a><var>128.15</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>69,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b> 5,163,000</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="124px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.128.16"></a><var>128.16</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.128.17"></a><var>128.17</var><br/>
</td>
<td></td>
<td align="center">2012<br/>
</td>
<td align="center">2013<br/>
</td>
</tr>
<tr>
<td><a id="pl.128.18"></a><var>128.18</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">(668,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.128.19"></a><var>128.19</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right"> 1,176,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.128.20"></a><var>128.20</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">82,000<br/>
</td>
<td align="right"> 4,655,000<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.128.21"></a><var>128.21</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>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.128.22"></a><var>128.22</var><br/>
</td>
<td colspan="3">(a) <b>Operations</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">502,000<br/>
</td>
</tr>
</table><a id="pl.128.23"></a><var>128.23</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.128.24"></a><var>128.24</var>base is decreased by $104,000 in fiscal year <br/>
<a id="pl.128.25"></a><var>128.25</var>2014 and $107,000 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.128.26"></a><var>128.26</var><br/>
</td>
<td colspan="3">(b) <b>Health Care</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">473,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.128.27"></a><var>128.27</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.128.28"></a><var>128.28</var><br/>
</td>
<td></td>
<td align="right">2012<br/>
</td>
<td align="right">2013<br/>
</td>
</tr>
<tr>
<td><a id="pl.128.29"></a><var>128.29</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">473,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.128.30"></a><var>128.30</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">1,153,000<br/>
</td>
</tr>
</table><a id="pl.128.31"></a><var>128.31</var>The general fund appropriation is a onetime <br/>
<a id="pl.128.32"></a><var>128.32</var>appropriation.<br/>
<a id="pl.128.33"></a><var>128.33</var>In fiscal year 2013, the commissioner <br/>
<a id="pl.128.34"></a><var>128.34</var>shall transfer from the health care access <br/>
<a id="pl.128.35"></a><var>128.35</var>fund $870,000 to the legislative auditor <br/>
<a id="pl.129.1"></a><var>129.1</var>for managed care audit activities under <br/>
<a id="pl.129.2"></a><var>129.2</var>Minnesota Statutes, section 256B.69, <br/>
<a id="pl.129.3"></a><var>129.3</var>subdivision 9c. This is an ongoing transfer. <br/>
<a id="pl.129.4"></a><var>129.4</var>Beginning in fiscal year 2014, the base <br/>
<a id="pl.129.5"></a><var>129.5</var>amount for this transfer is $1,740,000.<br/>
<a id="pl.129.6"></a><var>129.6</var><b>Base Adjustment.</b> The health care access <br/>
<a id="pl.129.7"></a><var>129.7</var>fund base is increased by $689,000 in fiscal <br/>
<a id="pl.129.8"></a><var>129.8</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.129.9"></a><var>129.9</var><br/>
</td>
<td colspan="3">(c) <b>Continuing Care</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right"> 375,000<br/>
</td>
</tr>
</table><a id="pl.129.10"></a><var>129.10</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.129.11"></a><var>129.11</var>base is decreased by $249,000 in fiscal year <br/>
<a id="pl.129.12"></a><var>129.12</var>2014 and $269,000 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.129.13"></a><var>129.13</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>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.14"></a><var>129.14</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.129.15"></a><var>129.15</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.129.16"></a><var>129.16</var><br/>
</td>
<td></td>
<td align="right">2012<br/>
</td>
<td align="right">2013<br/>
</td>
</tr>
<tr>
<td><a id="pl.129.17"></a><var>129.17</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">(82,000)<br/>
</td>
<td align="right">(4,660,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.129.18"></a><var>129.18</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">82,000<br/>
</td>
<td align="right"> 4,655,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.19"></a><var>129.19</var><br/>
</td>
<td colspan="3">(b) <b>MFIP Child Care Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">2,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.20"></a><var>129.20</var><br/>
</td>
<td colspan="3">(c) <b>General Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(41,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.21"></a><var>129.21</var><br/>
</td>
<td colspan="3">(d) <b>Minnesota Supplemental Aid Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">154,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.22"></a><var>129.22</var><br/>
</td>
<td colspan="3">(e) <b>Group Residential Housing Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(199,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.23"></a><var>129.23</var><br/>
</td>
<td colspan="3">(f) <b>MinnesotaCare Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">23,000<br/>
</td>
</tr>
</table><a id="pl.129.24"></a><var>129.24</var>This appropriation is from the health care <br/>
<a id="pl.129.25"></a><var>129.25</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.129.26"></a><var>129.26</var><br/>
</td>
<td colspan="3">(g) <b>Medical Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">82,000<br/>
</td>
<td align="center"></td>
<td align="right">2,725,000<br/>
</td>
</tr>
</table><a id="pl.129.27"></a><var>129.27</var><b>Continuing Care Provider Fiscal Year </b><br/>
<a id="pl.129.28"></a><var>129.28</var><b>2013 Payment Delay. </b>The commissioner <br/>
<a id="pl.129.29"></a><var>129.29</var>of human services shall delay the last <br/>
<a id="pl.129.30"></a><var>129.30</var>payment or payments in fiscal year 2013 by <br/>
<a id="pl.129.31"></a><var>129.31</var>up to $22,854,000 to the following service <br/>
<a id="pl.129.32"></a><var>129.32</var>providers:<br/>
<a id="pl.130.1"></a><var>130.1</var>(1) home and community-based waivered <br/>
<a id="pl.130.2"></a><var>130.2</var>services for persons with developmental <br/>
<a id="pl.130.3"></a><var>130.3</var>disabilities or related conditions, including <br/>
<a id="pl.130.4"></a><var>130.4</var>consumer-directed community supports, <br/>
<a id="pl.130.5"></a><var>130.5</var>under Minnesota Statutes, section 256B.501;<br/>
<a id="pl.130.6"></a><var>130.6</var>(2) home and community-based waivered <br/>
<a id="pl.130.7"></a><var>130.7</var>services for the elderly, including <br/>
<a id="pl.130.8"></a><var>130.8</var>consumer-directed community supports, <br/>
<a id="pl.130.9"></a><var>130.9</var>under Minnesota Statutes, section <br/>
<a id="pl.130.10"></a><var>130.10</var>256B.0915;<br/>
<a id="pl.130.11"></a><var>130.11</var>(3) waivered services under community <br/>
<a id="pl.130.12"></a><var>130.12</var>alternatives for disabled individuals, <br/>
<a id="pl.130.13"></a><var>130.13</var>including consumer-directed community <br/>
<a id="pl.130.14"></a><var>130.14</var>supports, under Minnesota Statutes, section <br/>
<a id="pl.130.15"></a><var>130.15</var>256B.49;<br/>
<a id="pl.130.16"></a><var>130.16</var>(4) community alternative care waivered <br/>
<a id="pl.130.17"></a><var>130.17</var>services, including consumer-directed <br/>
<a id="pl.130.18"></a><var>130.18</var>community supports, under Minnesota <br/>
<a id="pl.130.19"></a><var>130.19</var>Statutes, section 256B.49;<br/>
<a id="pl.130.20"></a><var>130.20</var>(5) traumatic brain injury waivered services, <br/>
<a id="pl.130.21"></a><var>130.21</var>including consumer-directed community <br/>
<a id="pl.130.22"></a><var>130.22</var>supports, under Minnesota Statutes, section <br/>
<a id="pl.130.23"></a><var>130.23</var>256B.49;<br/>
<a id="pl.130.24"></a><var>130.24</var>(6) nursing services and home health <br/>
<a id="pl.130.25"></a><var>130.25</var>services under Minnesota Statutes, section <br/>
<a id="pl.130.26"></a><var>130.26</var>256B.0625, subdivision 6a;<br/>
<a id="pl.130.27"></a><var>130.27</var>(7) personal care services and qualified <br/>
<a id="pl.130.28"></a><var>130.28</var>professional supervision of personal care <br/>
<a id="pl.130.29"></a><var>130.29</var>services under Minnesota Statutes, section <br/>
<a id="pl.130.30"></a><var>130.30</var>256B.0625, subdivisions 6a and 19a;<br/>
<a id="pl.130.31"></a><var>130.31</var>(8) private duty nursing services under <br/>
<a id="pl.130.32"></a><var>130.32</var>Minnesota Statutes, section 256B.0625, <br/>
<a id="pl.130.33"></a><var>130.33</var>subdivision 7;<br/>
<a id="pl.131.1"></a><var>131.1</var>(9) day training and habilitation services for <br/>
<a id="pl.131.2"></a><var>131.2</var>adults with developmental disabilities or <br/>
<a id="pl.131.3"></a><var>131.3</var>related conditions under Minnesota Statutes, <br/>
<a id="pl.131.4"></a><var>131.4</var>sections 252.40 to 252.46, including the <br/>
<a id="pl.131.5"></a><var>131.5</var>additional cost of rate adjustments on day <br/>
<a id="pl.131.6"></a><var>131.6</var>training and habilitation services, provided <br/>
<a id="pl.131.7"></a><var>131.7</var>as a social service under Minnesota Statutes, <br/>
<a id="pl.131.8"></a><var>131.8</var>section 256M.60;<br/>
<a id="pl.131.9"></a><var>131.9</var>(10) alternative care services under <br/>
<a id="pl.131.10"></a><var>131.10</var>Minnesota Statutes, section 256B.0913;<br/>
<a id="pl.131.11"></a><var>131.11</var>(11) managed care organizations under <br/>
<a id="pl.131.12"></a><var>131.12</var>Minnesota Statutes, section 256B.69, <br/>
<a id="pl.131.13"></a><var>131.13</var>receiving state payments for services in <br/>
<a id="pl.131.14"></a><var>131.14</var>clauses (1) to (10); and<br/>
<a id="pl.131.15"></a><var>131.15</var>(12) intermediate care facilities for persons <br/>
<a id="pl.131.16"></a><var>131.16</var>with developmental disabilities under <br/>
<a id="pl.131.17"></a><var>131.17</var>Minnesota Statutes, section 256B.5012, <br/>
<a id="pl.131.18"></a><var>131.18</var>subdivision 13.<br/>
<a id="pl.131.19"></a><var>131.19</var>In calculating the actual payment amounts to <br/>
<a id="pl.131.20"></a><var>131.20</var>be delayed, the commissioner must reduce <br/>
<a id="pl.131.21"></a><var>131.21</var>the $22,854,000 amount by any cash basis <br/>
<a id="pl.131.22"></a><var>131.22</var>state share savings to be realized in fiscal <br/>
<a id="pl.131.23"></a><var>131.23</var>year 2013 from implementing the long-term <br/>
<a id="pl.131.24"></a><var>131.24</var>care realignment waiver before July 1, 2013. <br/>
<a id="pl.131.25"></a><var>131.25</var>The commissioner shall make the delayed <br/>
<a id="pl.131.26"></a><var>131.26</var>payments in July 2013. Notwithstanding <br/>
<a id="pl.131.27"></a><var>131.27</var>any contrary provisions in this article, this <br/>
<a id="pl.131.28"></a><var>131.28</var>provision expires on August 1, 2013.<br/>
<a id="pl.131.29"></a><var>131.29</var><b>Critical Access Nursing Facilities </b><br/>
<a id="pl.131.30"></a><var>131.30</var><b>Designation.</b> $1,000,000 is appropriated in <br/>
<a id="pl.131.31"></a><var>131.31</var>fiscal year 2013 from the general fund to <br/>
<a id="pl.131.32"></a><var>131.32</var>the commissioner of human services for the <br/>
<a id="pl.131.33"></a><var>131.33</var>purposes of critical access nursing facilities <br/>
<a id="pl.131.34"></a><var>131.34</var>under Minnesota Statutes, section 256B.441, <br/>
<a id="pl.132.1"></a><var>132.1</var>subdivision 63. This appropriation is <br/>
<a id="pl.132.2"></a><var>132.2</var>ongoing and is added to the base.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.132.3"></a><var>132.3</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>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.132.4"></a><var>132.4</var><br/>
</td>
<td colspan="3">(a) <b>Basic Sliding Fee Child Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">1,000<br/>
</td>
</tr>
</table><a id="pl.132.5"></a><var>132.5</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.132.6"></a><var>132.6</var>base is increased by $5,000 in fiscal years <br/>
<a id="pl.132.7"></a><var>132.7</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.132.8"></a><var>132.8</var><br/>
</td>
<td colspan="3">(b) <b>Disabilities Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
</tr>
</table><a id="pl.132.9"></a><var>132.9</var>This appropriation includes $65,000 for <br/>
<a id="pl.132.10"></a><var>132.10</var>living skills training programs for persons <br/>
<a id="pl.132.11"></a><var>132.11</var>with intractable epilepsy who need  assistance <br/>
<a id="pl.132.12"></a><var>132.12</var>in the transition to independent living under <br/>
<a id="pl.132.13"></a><var>132.13</var>Laws 1988, chapter 689, article 2, section <br/>
<a id="pl.132.14"></a><var>132.14</var>251. This appropriation is ongoing and <br/>
<a id="pl.132.15"></a><var>132.15</var>added to the general fund base.<br/>
<a id="pl.132.16"></a><var>132.16</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.132.17"></a><var>132.17</var>base is increased by $476,000 in fiscal year <br/>
<a id="pl.132.18"></a><var>132.18</var>2014 and $65,000 in fiscal year 2015.<br/>
<br/>
<a id="bill.6.3.0"></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.132.19"></a><var>132.19</var><br/>
</td>
<td colspan="3">Sec. 3. <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.132.20"></a><var>132.20</var><br/>
</td>
<td colspan="3"><b>Policy Quality and Compliance</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(1,185,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.132.21"></a><var>132.21</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.132.22"></a><var>132.22</var><br/>
</td>
<td></td>
<td align="right">2012<br/>
</td>
<td align="right">2013<br/>
</td>
</tr>
<tr>
<td><a id="pl.132.23"></a><var>132.23</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">127,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.132.24"></a><var>132.24</var><br/>
<a id="pl.132.25"></a><var>132.25</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">(1,449,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.132.26"></a><var>132.26</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">137,000<br/>
</td>
</tr>
</table><a id="pl.132.27"></a><var>132.27</var>In fiscal year 2013, $137,000 from the health <br/>
<a id="pl.132.28"></a><var>132.28</var>care access fund is for a study of radiation <br/>
<a id="pl.132.29"></a><var>132.29</var>therapy facilities capacity. This is a onetime <br/>
<a id="pl.132.30"></a><var>132.30</var>appropriation.<br/>
<a id="pl.132.31"></a><var>132.31</var>In fiscal year 2015, the commissioner shall <br/>
<a id="pl.132.32"></a><var>132.32</var>transfer from the general fund $59,000, <br/>
<a id="pl.132.33"></a><var>132.33</var>including $40,000 for SEGIP activities to the <br/>
<a id="pl.132.34"></a><var>132.34</var>commissioner of management and budget for <br/>
<a id="pl.133.1"></a><var>133.1</var>actuarial and consulting services to support <br/>
<a id="pl.133.2"></a><var>133.2</var>the Department of Commerce evaluation of <br/>
<a id="pl.133.3"></a><var>133.3</var>mandated health benefits under Minnesota <br/>
<a id="pl.133.4"></a><var>133.4</var>Statutes, section 62J.26, subdivision 6. <br/>
<a id="pl.133.5"></a><var>133.5</var>This is a onetime transfer. Notwithstanding <br/>
<a id="pl.133.6"></a><var>133.6</var>section 7, this paragraph expires on June 30, <br/>
<a id="pl.133.7"></a><var>133.7</var>2015.<br/>
<a id="pl.133.8"></a><var>133.8</var>The general fund base is decreased by <br/>
<a id="pl.133.9"></a><var>133.9</var>$105,000 in fiscal year 2014 and $46,000 in <br/>
<a id="pl.133.10"></a><var>133.10</var>fiscal year 2015.<br/>
<br/>
<a id="bill.6.4.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.133.11"></a><var>133.11</var><br/>
</td>
<td colspan="3">Sec. 4. <b>BOARD OF NURSING</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>149,000</b><br/>
</td>
</tr>
</table><a id="pl.133.12"></a><var>133.12</var>This appropriation is from the state <br/>
<a id="pl.133.13"></a><var>133.13</var>government special revenue fund for the <br/>
<a id="pl.133.14"></a><var>133.14</var>nurse licensure compact.<br/>
<a id="pl.133.15"></a><var>133.15</var><b>Base Level Adjustment.</b> The state <br/>
<a id="pl.133.16"></a><var>133.16</var>government special revenue fund base is <br/>
<a id="pl.133.17"></a><var>133.17</var>decreased by $143,000 in fiscal years 2014 <br/>
<a id="pl.133.18"></a><var>133.18</var>and 2015.<br/>
<br/>
<a id="bill.6.5.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.133.19"></a><var>133.19</var><br/>
</td>
<td colspan="3">Sec. 5. <b>COMMISSIONER OF COMMERCE</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.133.20"></a><var>133.20</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>1,727,000</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="124px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.133.21"></a><var>133.21</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.133.22"></a><var>133.22</var><br/>
</td>
<td></td>
<td align="center">2012<br/>
</td>
<td align="center">2013<br/>
</td>
</tr>
<tr>
<td><a id="pl.133.23"></a><var>133.23</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">60,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.133.24"></a><var>133.24</var><br/>
<a id="pl.133.25"></a><var>133.25</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">1,449,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.133.26"></a><var>133.26</var><br/>
</td>
<td>Special Revenue<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">218,000<br/>
</td>
</tr>
</table><a id="pl.133.27"></a><var>133.27</var>In fiscal year 2013, $8,000 from the general <br/>
<a id="pl.133.28"></a><var>133.28</var>fund is for additional form review filings <br/>
<a id="pl.133.29"></a><var>133.29</var>under Minnesota Statutes, section 62A.047. <br/>
<a id="pl.133.30"></a><var>133.30</var>This is a onetime appropriation.<br/>
<a id="pl.133.31"></a><var>133.31</var>In fiscal year 2013, $22,000 from the general <br/>
<a id="pl.133.32"></a><var>133.32</var>fund is for relocation costs related to the <br/>
<a id="pl.133.33"></a><var>133.33</var>transfer of health maintenance organization <br/>
<a id="pl.134.1"></a><var>134.1</var>regulatory activities. This is a onetime <br/>
<a id="pl.134.2"></a><var>134.2</var>appropriation.<br/>
<a id="pl.134.3"></a><var>134.3</var>In fiscal year 2013, $30,000 from the <br/>
<a id="pl.134.4"></a><var>134.4</var>general fund is for ongoing information <br/>
<a id="pl.134.5"></a><var>134.5</var>technology expenses related to the transfer of <br/>
<a id="pl.134.6"></a><var>134.6</var>health maintenance organization regulatory <br/>
<a id="pl.134.7"></a><var>134.7</var>activities.<br/>
<a id="pl.134.8"></a><var>134.8</var>$1,449,000 from the state government special <br/>
<a id="pl.134.9"></a><var>134.9</var>revenue fund is for health maintenance <br/>
<a id="pl.134.10"></a><var>134.10</var>organization regulatory activities transferred <br/>
<a id="pl.134.11"></a><var>134.11</var>from the Department of Health. This is an <br/>
<a id="pl.134.12"></a><var>134.12</var>ongoing appropriation.<br/>
<a id="pl.134.13"></a><var>134.13</var>$218,000 from the special revenue fund is <br/>
<a id="pl.134.14"></a><var>134.14</var>for expenses related to health maintenance <br/>
<a id="pl.134.15"></a><var>134.15</var>organization regulatory activities for the <br/>
<a id="pl.134.16"></a><var>134.16</var>interagency agreement with the Department <br/>
<a id="pl.134.17"></a><var>134.17</var>of Human Services.<br/>
<a id="pl.134.18"></a><var>134.18</var>The general fund base is increased by <br/>
<a id="pl.134.19"></a><var>134.19</var>$960,000 in fiscal years 2014 and 2015 for <br/>
<a id="pl.134.20"></a><var>134.20</var>the evaluation of mandated health benefits <br/>
<a id="pl.134.21"></a><var>134.21</var>under Minnesota Statutes, section 62J.26, <br/>
<a id="pl.134.22"></a><var>134.22</var>subdivision 6. The base for this purpose <br/>
<a id="pl.134.23"></a><var>134.23</var>beginning in fiscal year 2016 is $330,000.<br/>
<br/>
<a id="bill.6.6.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.134.24"></a><var>134.24</var><br/>
<a id="pl.134.25"></a><var>134.25</var><br/>
</td>
<td colspan="3">Sec. 6. <b>EMERGENCY MEDICAL SERVICES </b><br/>
<b>REGULATORY BOARD</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>10,000</b><br/>
</td>
</tr>
</table><a id="pl.134.26"></a><var>134.26</var>This appropriation is to provide a grant to <br/>
<a id="pl.134.27"></a><var>134.27</var>the Minnesota Ambulance Association to <br/>
<a id="pl.134.28"></a><var>134.28</var>coordinate and prepare an assessment of <br/>
<a id="pl.134.29"></a><var>134.29</var>the extent and costs of uncompensated care <br/>
<a id="pl.134.30"></a><var>134.30</var>as a direct result of emergency responses <br/>
<a id="pl.134.31"></a><var>134.31</var>on interstate highways in Minnesota. <br/>
<a id="pl.134.32"></a><var>134.32</var>The study will collect appropriate <br/>
<a id="pl.134.33"></a><var>134.33</var>information from medical response units <br/>
<a id="pl.134.34"></a><var>134.34</var>and ambulance services regulated under <br/>
<a id="pl.134.35"></a><var>134.35</var>Minnesota Statutes, chapter 144E, and to <br/>
<a id="pl.135.1"></a><var>135.1</var>the extent possible, firefighting agencies. <br/>
<a id="pl.135.2"></a><var>135.2</var>In preparing the assessment, the Minnesota <br/>
<a id="pl.135.3"></a><var>135.3</var>Ambulance Association shall consult with <br/>
<a id="pl.135.4"></a><var>135.4</var>its membership, the Minnesota Fire Chiefs <br/>
<a id="pl.135.5"></a><var>135.5</var>Association, the Office of the State Fire <br/>
<a id="pl.135.6"></a><var>135.6</var>Marshal, and the Emergency Medical <br/>
<a id="pl.135.7"></a><var>135.7</var>Services Regulatory Board. The findings <br/>
<a id="pl.135.8"></a><var>135.8</var>of the assessment will be reported to the <br/>
<a id="pl.135.9"></a><var>135.9</var>chairs and ranking minority members of the <br/>
<a id="pl.135.10"></a><var>135.10</var>legislative committees with jurisdiction over <br/>
<a id="pl.135.11"></a><var>135.11</var>health and public safety by January 1, 2013.<br/>
<br/>
<a id="bill.6.7.0"></a><a id="pl.135.12"></a><var>135.12</var>    Sec. 7. <b>EXPIRATION OF UNCODIFIED LANGUAGE.</b><br/>
<a id="pl.135.13"></a><var>135.13</var>All uncodified language contained in this article expires on June 30, 2013, unless a <br/>
<a id="pl.135.14"></a><var>135.14</var>different expiration date is explicit.<br/>
<br/>
<a id="bill.6.8.0"></a><a id="pl.135.15"></a><var>135.15</var>    Sec. 8. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.135.16"></a><var>135.16</var>The provisions in this article are effective July 1, 2012, unless a different effective <br/>
<a id="pl.135.17"></a><var>135.17</var>date is explicit.<br/>
<br/>
<a id="bill.7.0.0"></a>

<a id="bill.7.1.0"></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.135.20"></a><var>135.20</var><br/>
</td>
<td colspan="7">Section 1. <b>APPROPRIATIONS.</b><b> </b><br/>
</td>
</tr>
</table><a id="pl.135.21"></a><var>135.21</var>The sums shown in the columns marked "Appropriations" are added to or, if shown <br/>
<a id="pl.135.22"></a><var>135.22</var>in parentheses, subtracted from the appropriations in Laws 2011, First Special Session <br/>
<a id="pl.135.23"></a><var>135.23</var>chapter 9, article 10, to the agencies and for the purposes specified in this article. The <br/>
<a id="pl.135.24"></a><var>135.24</var>appropriations are from the general fund or other named fund and are available for the <br/>
<a id="pl.135.25"></a><var>135.25</var>fiscal years indicated for each purpose. The figures "2012" and "2013" used in this <br/>
<a id="pl.135.26"></a><var>135.26</var>article mean that the addition to or subtraction from the appropriation listed under them <br/>
<a id="pl.135.27"></a><var>135.27</var>is available for the fiscal year ending June 30, 2012, or June 30, 2013, respectively. <br/>
<a id="pl.135.28"></a><var>135.28</var>Supplemental appropriations and reductions to appropriations for the fiscal year ending <br/>
<a id="pl.135.29"></a><var>135.29</var>June 30, 2012, are effective the day following final enactment unless a different effective <br/>
<a id="pl.135.30"></a><var>135.30</var>date is explicit.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.135.31"></a><var>135.31</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="center" colspan="4"><b>APPROPRIATIONS</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.135.32"></a><var>135.32</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="center" colspan="4"><b>Available for the Year</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.136.1"></a><var>136.1</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.136.2"></a><var>136.2</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.7.2.0"></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.136.3"></a><var>136.3</var><br/>
<a id="pl.136.4"></a><var>136.4</var><br/>
</td>
<td colspan="3">Sec. 2. <b>COMMISSIONER OF HUMAN </b><br/>
<b>SERVICES</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>721,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>21,153,000</b><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.136.5"></a><var>136.5</var><br/>
</td>
<td colspan="3">(a) <b>Operations</b><br/>
</td>
<td align="center"></td>
<td align="right">118,000<br/>
</td>
<td align="center"></td>
<td align="right">11,000<br/>
</td>
</tr>
</table><a id="pl.136.6"></a><var>136.6</var>In fiscal years 2012 and 2013 only, the <br/>
<a id="pl.136.7"></a><var>136.7</var>commissioner shall transfer $11,000 to the <br/>
<a id="pl.136.8"></a><var>136.8</var>commissioner of education for activities <br/>
<a id="pl.136.9"></a><var>136.9</var>related to developing a plan for a residential <br/>
<a id="pl.136.10"></a><var>136.10</var>campus for individuals with autism.<br/>
<a id="pl.136.11"></a><var>136.11</var><b>Base Adjustment.</b> The general fund base <br/>
<a id="pl.136.12"></a><var>136.12</var>is reduced by $11,000 in fiscal years 2014 <br/>
<a id="pl.136.13"></a><var>136.13</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.136.14"></a><var>136.14</var><br/>
</td>
<td colspan="3">(b) <b>Health Care</b><br/>
</td>
<td align="center"></td>
<td align="right">24,000<br/>
</td>
<td align="center"></td>
<td align="right">(110,000)<br/>
</td>
</tr>
</table><a id="pl.136.15"></a><var>136.15</var><b>Base Adjustment. </b> The general fund base is <br/>
<a id="pl.136.16"></a><var>136.16</var>increased by $110,000 in fiscal years 2014 <br/>
<a id="pl.136.17"></a><var>136.17</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.136.18"></a><var>136.18</var><br/>
</td>
<td colspan="3">(c) <b>Continuing Care</b><br/>
</td>
<td align="center"></td>
<td align="right">19,000<br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
</tr>
</table><a id="pl.136.19"></a><var>136.19</var>This is 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.136.20"></a><var>136.20</var><br/>
</td>
<td colspan="3">(d) <b>Chemical and Mental Health</b><br/>
</td>
<td align="center"></td>
<td align="right">19,000<br/>
</td>
<td align="center"></td>
<td align="right">68,000<br/>
</td>
</tr>
</table><a id="pl.136.21"></a><var>136.21</var><b>Base Adjustment.</b> The general fund base <br/>
<a id="pl.136.22"></a><var>136.22</var>is decreased by $68,000 in fiscal years 2014 <br/>
<a id="pl.136.23"></a><var>136.23</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.136.24"></a><var>136.24</var><br/>
</td>
<td colspan="3">(e) <b>Medical Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">541,000<br/>
</td>
<td align="center"></td>
<td align="right">19,935,000<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.136.25"></a><var>136.25</var><br/>
</td>
<td colspan="3">(f) <b>Aging and Adult Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">999,000<br/>
</td>
</tr>
</table><a id="pl.136.26"></a><var>136.26</var>In fiscal year 2013, upon federal approval <br/>
<a id="pl.136.27"></a><var>136.27</var>to implement the nursing facility level <br/>
<a id="pl.136.28"></a><var>136.28</var>of care under Minnesota Statutes, section <br/>
<a id="pl.136.29"></a><var>136.29</var>144.0724, subdivision 11, $999,000 is for <br/>
<a id="pl.136.30"></a><var>136.30</var>essential community supports grants. This is <br/>
<a id="pl.136.31"></a><var>136.31</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.136.32"></a><var>136.32</var><br/>
</td>
<td colspan="3">(g) <b>Disabilities Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">250,000<br/>
</td>
</tr>
</table><a id="pl.137.1"></a><var>137.1</var>This is a onetime appropriation.<br/>
<br/>
<a id="bill.7.3.0"></a><a id="pl.137.2"></a><var>137.2</var>    Sec. 3. Minnesota Statutes 2011 Supplement, section 245A.03, subdivision 7, is <br/>
<a id="pl.137.3"></a><var>137.3</var>amended to read:<br/>
<a id="pl.137.4"></a><var>137.4</var>    Subd. 7. <b>Licensing moratorium.</b> (a) The commissioner shall not issue an <br/>
<a id="pl.137.5"></a><var>137.5</var>initial license for child foster care licensed under Minnesota Rules, parts 2960.3000 to <br/>
<a id="pl.137.6"></a><var>137.6</var>2960.3340, or adult foster care licensed under Minnesota Rules, parts 9555.5105 to <br/>
<a id="pl.137.7"></a><var>137.7</var>9555.6265, under this chapter for a physical location that will not be the primary residence <br/>
<a id="pl.137.8"></a><var>137.8</var>of the license holder for the entire period of licensure. If a license is issued during this <br/>
<a id="pl.137.9"></a><var>137.9</var>moratorium, and the license holder changes the license holder's primary residence away <br/>
<a id="pl.137.10"></a><var>137.10</var>from the physical location of the foster care license, the commissioner shall revoke the <br/>
<a id="pl.137.11"></a><var>137.11</var>license according to section 
         <statute_ref>245A.07</statute_ref>. Exceptions to the moratorium include:<br/>
<a id="pl.137.12"></a><var>137.12</var>(1) foster care settings that are required to be registered under chapter 144D;<br/>
<a id="pl.137.13"></a><var>137.13</var>(2) foster care licenses replacing foster care licenses in existence on May 15, 2009, <br/>
<a id="pl.137.14"></a><var>137.14</var>and determined to be needed by the commissioner under paragraph (b);<br/>
<a id="pl.137.15"></a><var>137.15</var>(3) new foster care licenses determined to be needed by the commissioner under <br/>
<a id="pl.137.16"></a><var>137.16</var>paragraph (b) for the closure of a nursing facility, ICF/MR, or regional treatment center, or <br/>
<a id="pl.137.17"></a><var>137.17</var>restructuring of state-operated services that limits the capacity of state-operated facilities;<br/>
<a id="pl.137.18"></a><var>137.18</var>(4) new foster care licenses determined to be needed by the commissioner under <br/>
<a id="pl.137.19"></a><var>137.19</var>paragraph (b) for persons requiring hospital level care; or<br/>
<a id="pl.137.20"></a><var>137.20</var>(5) new foster care licenses determined to be needed by the commissioner for the <br/>
<a id="pl.137.21"></a><var>137.21</var>transition of people from personal care assistance to the home and community-based <br/>
<a id="pl.137.22"></a><var>137.22</var>services.<br/>
<a id="pl.137.23"></a><var>137.23</var>(b) The commissioner shall determine the need for newly licensed foster care homes <br/>
<a id="pl.137.24"></a><var>137.24</var>as defined under this subdivision. As part of the determination, the commissioner shall <br/>
<a id="pl.137.25"></a><var>137.25</var>consider the availability of foster care capacity in the area in which the licensee seeks to <br/>
<a id="pl.137.26"></a><var>137.26</var>operate, and the recommendation of the local county board. The determination by the <br/>
<a id="pl.137.27"></a><var>137.27</var>commissioner must be final. A determination of need is not required for a change in <br/>
<a id="pl.137.28"></a><var>137.28</var>ownership at the same address.<br/>
<a id="pl.137.29"></a><var>137.29</var>    (c) Residential settings that would otherwise be subject to the moratorium established <br/>
<a id="pl.137.30"></a><var>137.30</var>in paragraph (a), that are in the process of receiving an adult or child foster care license as <br/>
<a id="pl.137.31"></a><var>137.31</var>of July 1, 2009, shall be allowed to continue to complete the process of receiving an adult <br/>
<a id="pl.137.32"></a><var>137.32</var>or child foster care license. For this paragraph, all of the following conditions must be met <br/>
<a id="pl.137.33"></a><var>137.33</var>to be considered in the process of receiving an adult or child foster care license:<br/>
<a id="pl.137.34"></a><var>137.34</var>    (1) participants have made decisions to move into the residential setting, including <br/>
<a id="pl.137.35"></a><var>137.35</var>documentation in each participant's care plan;<br/>
<a id="pl.138.1"></a><var>138.1</var>    (2) the provider has purchased housing or has made a financial investment in the <br/>
<a id="pl.138.2"></a><var>138.2</var>property;<br/>
<a id="pl.138.3"></a><var>138.3</var>    (3) the lead agency has approved the plans, including costs for the residential setting <br/>
<a id="pl.138.4"></a><var>138.4</var>for each individual;<br/>
<a id="pl.138.5"></a><var>138.5</var>    (4) the completion of the licensing process, including all necessary inspections, is <br/>
<a id="pl.138.6"></a><var>138.6</var>the only remaining component prior to being able to provide services; and<br/>
<a id="pl.138.7"></a><var>138.7</var>    (5) the needs of the individuals cannot be met within the existing capacity in that <br/>
<a id="pl.138.8"></a><var>138.8</var>county.<br/>
<a id="pl.138.9"></a><var>138.9</var>To qualify for the process under this paragraph, the lead agency must submit <br/>
<a id="pl.138.10"></a><var>138.10</var>documentation to the commissioner by August 1, 2009, that all of the above criteria are <br/>
<a id="pl.138.11"></a><var>138.11</var>met.<br/>
<a id="pl.138.12"></a><var>138.12</var>(d) The commissioner shall study the effects of the license moratorium under this <br/>
<a id="pl.138.13"></a><var>138.13</var>subdivision and shall report back to the legislature by January 15, 2011. This study shall <br/>
<a id="pl.138.14"></a><var>138.14</var>include, but is not limited to the following:<br/>
<a id="pl.138.15"></a><var>138.15</var>(1) the overall capacity and utilization of foster care beds where the physical location <br/>
<a id="pl.138.16"></a><var>138.16</var>is not the primary residence of the license holder prior to and after implementation <br/>
<a id="pl.138.17"></a><var>138.17</var>of the moratorium;<br/>
<a id="pl.138.18"></a><var>138.18</var>(2) the overall capacity and utilization of foster care beds where the physical <br/>
<a id="pl.138.19"></a><var>138.19</var>location is the primary residence of the license holder prior to and after implementation <br/>
<a id="pl.138.20"></a><var>138.20</var>of the moratorium; and<br/>
<a id="pl.138.21"></a><var>138.21</var>(3) the number of licensed and occupied ICF/MR beds prior to and after <br/>
<a id="pl.138.22"></a><var>138.22</var>implementation of the moratorium.<br/>
<a id="pl.138.23"></a><var>138.23</var>(e) When a foster care recipient moves out of a foster home that is not the primary <br/>
<a id="pl.138.24"></a><var>138.24</var>residence of the license holder according to section 
         <statute_ref>256B.49, subdivision 15</statute_ref>, paragraph <br/>
<a id="pl.138.25"></a><var>138.25</var>(f), the county shall immediately inform the Department of Human Services Licensing <br/>
<a id="pl.138.26"></a><var>138.26</var>Division, and the department shall immediately decrease the statewide licensed capacity <br/>
<a id="pl.138.27"></a><var>138.27</var>for the home foster care settings where the physical location is not the primary residence <br/>
<a id="pl.138.28"></a><var>138.28</var>of the license holder. A decreased licensed capacity according to this paragraph is not <br/>
<a id="pl.138.29"></a><var>138.29</var>subject to appeal under this chapter. A needs determination process, managed at the state <br/>
<a id="pl.138.30"></a><var>138.30</var>level, with county input, will determine where the reduced capacity will occur.<br/>
<br/>
<a id="bill.7.4.0"></a><a id="pl.138.31"></a><var>138.31</var>    Sec. 4. Minnesota Statutes 2011 Supplement, section 256B.0659, subdivision 11, <br/>
<a id="pl.138.32"></a><var>138.32</var>is amended to read:<br/>
<a id="pl.138.33"></a><var>138.33</var>    Subd. 11. <b>Personal care assistant; requirements.</b> (a) A personal care assistant <br/>
<a id="pl.138.34"></a><var>138.34</var>must meet the following requirements:<br/>
<a id="pl.139.1"></a><var>139.1</var>    (1) be at least 18 years of age with the exception of persons who are 16 or 17 years <br/>
<a id="pl.139.2"></a><var>139.2</var>of age with these additional requirements:<br/>
<a id="pl.139.3"></a><var>139.3</var>    (i) supervision by a qualified professional every 60 days; and<br/>
<a id="pl.139.4"></a><var>139.4</var>    (ii) employment by only one personal care assistance provider agency responsible <br/>
<a id="pl.139.5"></a><var>139.5</var>for compliance with current labor laws;<br/>
<a id="pl.139.6"></a><var>139.6</var>    (2) be employed by a personal care assistance provider agency;<br/>
<a id="pl.139.7"></a><var>139.7</var>    (3) enroll with the department as a personal care assistant after clearing a background <br/>
<a id="pl.139.8"></a><var>139.8</var>study. Except as provided in subdivision 11a, before a personal care assistant provides <br/>
<a id="pl.139.9"></a><var>139.9</var>services, the personal care assistance provider agency must initiate a background study on <br/>
<a id="pl.139.10"></a><var>139.10</var>the personal care assistant under chapter 245C, and the personal care assistance provider <br/>
<a id="pl.139.11"></a><var>139.11</var>agency must have received a notice from the commissioner that the personal care assistant <br/>
<a id="pl.139.12"></a><var>139.12</var>is:<br/>
<a id="pl.139.13"></a><var>139.13</var>    (i) not disqualified under section 
         <statute_ref>245C.14</statute_ref>; or<br/>
<a id="pl.139.14"></a><var>139.14</var>    (ii) is disqualified, but the personal care assistant has received a set aside of the <br/>
<a id="pl.139.15"></a><var>139.15</var>disqualification under section 
         <statute_ref>245C.22</statute_ref>;<br/>
<a id="pl.139.16"></a><var>139.16</var>    (4) be able to effectively communicate with the recipient and personal care <br/>
<a id="pl.139.17"></a><var>139.17</var>assistance provider agency;<br/>
<a id="pl.139.18"></a><var>139.18</var>    (5) be able to provide covered personal care assistance services according to the <br/>
<a id="pl.139.19"></a><var>139.19</var>recipient's personal care assistance care plan, respond appropriately to recipient needs, <br/>
<a id="pl.139.20"></a><var>139.20</var>and report changes in the recipient's condition to the supervising qualified professional <br/>
<a id="pl.139.21"></a><var>139.21</var>or physician;<br/>
<a id="pl.139.22"></a><var>139.22</var>    (6) not be a consumer of personal care assistance services;<br/>
<a id="pl.139.23"></a><var>139.23</var>    (7) maintain daily written records including, but not limited to, time sheets under <br/>
<a id="pl.139.24"></a><var>139.24</var>subdivision 12;<br/>
<a id="pl.139.25"></a><var>139.25</var>    (8) effective January 1, 2010, complete standardized training as determined <br/>
<a id="pl.139.26"></a><var>139.26</var>by the commissioner before completing enrollment. The training must be available <br/>
<a id="pl.139.27"></a><var>139.27</var>in languages other than English and to those who need accommodations due to <br/>
<a id="pl.139.28"></a><var>139.28</var>disabilities. Personal care assistant training must include successful completion of the <br/>
<a id="pl.139.29"></a><var>139.29</var>following training components: basic first aid, vulnerable adult, child maltreatment, <br/>
<a id="pl.139.30"></a><var>139.30</var>OSHA universal precautions, basic roles and responsibilities of personal care assistants <br/>
<a id="pl.139.31"></a><var>139.31</var>including information about assistance with lifting and transfers for recipients, emergency <br/>
<a id="pl.139.32"></a><var>139.32</var>preparedness, orientation to positive behavioral practices, fraud issues, and completion of <br/>
<a id="pl.139.33"></a><var>139.33</var>time sheets. Upon completion of the training components, the personal care assistant must <br/>
<a id="pl.139.34"></a><var>139.34</var>demonstrate the competency to provide assistance to recipients;<br/>
<a id="pl.139.35"></a><var>139.35</var>    (9) complete training and orientation on the needs of the recipient within the first <br/>
<a id="pl.139.36"></a><var>139.36</var>seven days after the services begin; and<br/>
<a id="pl.140.1"></a><var>140.1</var>    (10) be limited to providing and being paid for up to 275 hours per month, except <br/>
<a id="pl.140.2"></a><var>140.2</var>that this limit shall be 275 hours per month for the period July 1, 2009, through June 30, <br/>
<a id="pl.140.3"></a><var>140.3</var>2011, of personal care assistance services regardless of the number of recipients being <br/>
<a id="pl.140.4"></a><var>140.4</var>served or the number of personal care assistance provider agencies enrolled with. The <br/>
<a id="pl.140.5"></a><var>140.5</var>number of hours worked per day shall not be disallowed by the department unless in <br/>
<a id="pl.140.6"></a><var>140.6</var>violation of the law.<br/>
<a id="pl.140.7"></a><var>140.7</var>    (b) A legal guardian may be a personal care assistant if the guardian is not being paid <br/>
<a id="pl.140.8"></a><var>140.8</var>for the guardian services and meets the criteria for personal care assistants in paragraph (a).<br/>
<a id="pl.140.9"></a><var>140.9</var>    (c) Persons who do not qualify as a personal care assistant include parents and <br/>
<a id="pl.140.10"></a><var>140.10</var>stepparents of minors, spouses, paid legal guardians, family foster care providers, except <br/>
<a id="pl.140.11"></a><var>140.11</var>as otherwise allowed in section 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>, or staff of a residential <br/>
<a id="pl.140.12"></a><var>140.12</var>setting. When the personal care assistant is a relative of the recipient, the commissioner <br/>
<a id="pl.140.13"></a><var>140.13</var>shall pay 80 percent of the provider rate. This rate reduction is effective July 1, 2013. For <br/>
<a id="pl.140.14"></a><var>140.14</var>purposes of this section, relative means the parent or adoptive parent of an adult child, a <br/>
<a id="pl.140.15"></a><var>140.15</var>sibling aged 16 years or older, an adult child, a grandparent, or a grandchild.<br/>
<br/>
<a id="bill.7.5.0"></a><a id="pl.140.16"></a><var>140.16</var>    Sec. 5. Minnesota Statutes 2011 Supplement, section 256B.49, subdivision 15, is <br/>
<a id="pl.140.17"></a><var>140.17</var>amended to read:<br/>
<a id="pl.140.18"></a><var>140.18</var>    Subd. 15. <b>Individualized service plan; comprehensive transitional service plan; </b><br/>
<a id="pl.140.19"></a><var>140.19</var><b>maintenance service plan.</b> (a) Each recipient of home and community-based waivered <br/>
<a id="pl.140.20"></a><var>140.20</var>services shall be provided a copy of the written service plan which:<br/>
<a id="pl.140.21"></a><var>140.21</var>(1) is developed and signed by the recipient within ten working days of the <br/>
<a id="pl.140.22"></a><var>140.22</var>completion of the assessment;<br/>
<a id="pl.140.23"></a><var>140.23</var>(2) meets the assessed needs of the recipient;<br/>
<a id="pl.140.24"></a><var>140.24</var>(3) reasonably ensures the health and safety of the recipient;<br/>
<a id="pl.140.25"></a><var>140.25</var>(4) promotes independence;<br/>
<a id="pl.140.26"></a><var>140.26</var>(5) allows for services to be provided in the most integrated settings; and<br/>
<a id="pl.140.27"></a><var>140.27</var>(6) provides for an informed choice, as defined in section 
         <statute_ref>256B.77, subdivision 2</statute_ref>, <br/>
<a id="pl.140.28"></a><var>140.28</var>paragraph (p), of service and support providers.<br/>
<a id="pl.140.29"></a><var>140.29</var>(b) In developing the comprehensive transitional service plan, the individual <br/>
<a id="pl.140.30"></a><var>140.30</var>receiving services, the case manager, and the guardian, if applicable, will identify <br/>
<a id="pl.140.31"></a><var>140.31</var>the transitional service plan fundamental service outcome and anticipated timeline to <br/>
<a id="pl.140.32"></a><var>140.32</var>achieve this outcome. Within the first 20 days following a recipient's request for an <br/>
<a id="pl.140.33"></a><var>140.33</var>assessment or reassessment, the transitional service planning team must be identified. A <br/>
<a id="pl.140.34"></a><var>140.34</var>team leader must be identified who will be responsible for assigning responsibility and <br/>
<a id="pl.140.35"></a><var>140.35</var>communicating with team members to ensure implementation of the transition plan and <br/>
<a id="pl.141.1"></a><var>141.1</var>ongoing assessment and communication process. The team leader should be an individual, <br/>
<a id="pl.141.2"></a><var>141.2</var>such as the case manager or guardian, who has the opportunity to follow the recipient to <br/>
<a id="pl.141.3"></a><var>141.3</var>the next level of service.<br/>
<a id="pl.141.4"></a><var>141.4</var>Within ten days following an assessment, a comprehensive transitional service plan <br/>
<a id="pl.141.5"></a><var>141.5</var>must be developed incorporating elements of a comprehensive functional assessment and <br/>
<a id="pl.141.6"></a><var>141.6</var>including short-term measurable outcomes and timelines for achievement of and reporting <br/>
<a id="pl.141.7"></a><var>141.7</var>on these outcomes. Functional milestones must also be identified and reported according <br/>
<a id="pl.141.8"></a><var>141.8</var>to the timelines agreed upon by the transitional service planning team. In addition, the <br/>
<a id="pl.141.9"></a><var>141.9</var>comprehensive transitional service plan must identify additional supports that may assist <br/>
<a id="pl.141.10"></a><var>141.10</var>in the achievement of the fundamental service outcome such as the development of greater <br/>
<a id="pl.141.11"></a><var>141.11</var>natural community support, increased collaboration among agencies, and technological <br/>
<a id="pl.141.12"></a><var>141.12</var>supports.<br/>
<a id="pl.141.13"></a><var>141.13</var>The timelines for reporting on functional milestones will prompt a reassessment of <br/>
<a id="pl.141.14"></a><var>141.14</var>services provided, the units of services, rates, and appropriate service providers. It is <br/>
<a id="pl.141.15"></a><var>141.15</var>the responsibility of the transitional service planning team leader to review functional <br/>
<a id="pl.141.16"></a><var>141.16</var>milestone reporting to determine if the milestones are consistent with observable skills <br/>
<a id="pl.141.17"></a><var>141.17</var>and that milestone achievement prompts any needed changes to the comprehensive <br/>
<a id="pl.141.18"></a><var>141.18</var>transitional service plan.<br/>
<a id="pl.141.19"></a><var>141.19</var>For those whose fundamental transitional service outcome involves the need to <br/>
<a id="pl.141.20"></a><var>141.20</var>procure housing, a plan for the recipient to seek the resources necessary to secure the least <br/>
<a id="pl.141.21"></a><var>141.21</var>restrictive housing possible should be incorporated into the plan, including employment <br/>
<a id="pl.141.22"></a><var>141.22</var>and public supports such as housing access and shelter needy funding.<br/>
<a id="pl.141.23"></a><var>141.23</var>(c) Counties and other agencies responsible for funding community placement and <br/>
<a id="pl.141.24"></a><var>141.24</var>ongoing community supportive services are responsible for the implementation of the <br/>
<a id="pl.141.25"></a><var>141.25</var>comprehensive transitional service plans. Oversight responsibilities include both ensuring <br/>
<a id="pl.141.26"></a><var>141.26</var>effective transitional service delivery and efficient utilization of funding resources.<br/>
<a id="pl.141.27"></a><var>141.27</var>(d) Following one year of transitional services, the transitional services planning <br/>
<a id="pl.141.28"></a><var>141.28</var>team will make a determination as to whether or not the individual receiving services <br/>
<a id="pl.141.29"></a><var>141.29</var>requires the current level of continuous and consistent support in order to maintain the <br/>
<a id="pl.141.30"></a><var>141.30</var>recipient's current level of functioning. Recipients who are determined to have not had <br/>
<a id="pl.141.31"></a><var>141.31</var>a significant change in functioning for 12 months must move from a transitional to a <br/>
<a id="pl.141.32"></a><var>141.32</var>maintenance service plan. Recipients on a maintenance service plan must be reassessed <br/>
<a id="pl.141.33"></a><var>141.33</var>to determine if the recipient would benefit from a transitional service plan at least every <br/>
<a id="pl.141.34"></a><var>141.34</var>12 months and at other times when there has been a significant change in the recipient's <br/>
<a id="pl.141.35"></a><var>141.35</var>functioning. This assessment should consider any changes to technological or natural <br/>
<a id="pl.141.36"></a><var>141.36</var>community supports.<br/>
<a id="pl.142.1"></a><var>142.1</var>(e) When a county is evaluating denials, reductions, or terminations of home and <br/>
<a id="pl.142.2"></a><var>142.2</var>community-based services under section 
         <statute_ref>256B.49</statute_ref> for an individual, the case manager <br/>
<a id="pl.142.3"></a><var>142.3</var>shall offer to meet with the individual or the individual's guardian in order to discuss the <br/>
<a id="pl.142.4"></a><var>142.4</var>prioritization of service needs within the individualized service plan, comprehensive <br/>
<a id="pl.142.5"></a><var>142.5</var>transitional service plan, or maintenance service plan. The reduction in the authorized <br/>
<a id="pl.142.6"></a><var>142.6</var>services for an individual due to changes in funding for waivered services may not exceed <br/>
<a id="pl.142.7"></a><var>142.7</var>the amount needed to ensure medically necessary services to meet the individual's health, <br/>
<a id="pl.142.8"></a><var>142.8</var>safety, and welfare.<br/>
<a id="pl.142.9"></a><var>142.9</var>(f) At the time of reassessment, local agency case managers shall assess each <br/>
<a id="pl.142.10"></a><var>142.10</var>recipient of community alternatives for disabled individuals or traumatic brain injury <br/>
<a id="pl.142.11"></a><var>142.11</var>waivered services currently residing in a licensed adult foster home that is not the primary <br/>
<a id="pl.142.12"></a><var>142.12</var>residence of the license holder, or in which the license holder is not the primary caregiver, <br/>
<a id="pl.142.13"></a><var>142.13</var>to determine if that recipient could appropriately be served in a community-living setting. <br/>
<a id="pl.142.14"></a><var>142.14</var>If appropriate for the recipient, the case manager shall offer the recipient, through a <br/>
<a id="pl.142.15"></a><var>142.15</var>person-centered planning process, the option to receive alternative housing and service <br/>
<a id="pl.142.16"></a><var>142.16</var>options. In the event that the recipient chooses to transfer from the adult foster home, <br/>
<a id="pl.142.17"></a><var>142.17</var>the vacated bed shall not be filled with another recipient of waiver services and group <br/>
<a id="pl.142.18"></a><var>142.18</var>residential housing, unless provided under section 
         <statute_ref>245A.03, subdivision 7</statute_ref>, paragraph (a), <br/>
<a id="pl.142.19"></a><var>142.19</var>clauses (3) and (4), and the statewide licensed capacity shall be reduced accordingly. If <br/>
<a id="pl.142.20"></a><var>142.20</var>the adult foster home becomes no longer viable due to these transfers, the county agency, <br/>
<a id="pl.142.21"></a><var>142.21</var>with the assistance of the department, shall facilitate a consolidation of settings or closure. <br/>
<a id="pl.142.22"></a><var>142.22</var>This reassessment process shall be completed by June 30, 2012 2013. The results of the <br/>
<a id="pl.142.23"></a><var>142.23</var>assessments shall be used in the statewide needs determination process. Implementation <br/>
<a id="pl.142.24"></a><var>142.24</var>of the statewide licensed capacity reduction shall begin on July 1, 2013.<br/>
<br/>
<a id="bill.7.6.0"></a><a id="pl.142.25"></a><var>142.25</var>    Sec. 6. Minnesota Statutes 2011 Supplement, section 256B.76, subdivision 1, is <br/>
<a id="pl.142.26"></a><var>142.26</var>amended to read:<br/>
<a id="pl.142.27"></a><var>142.27</var>    Subdivision 1. <b>Physician reimbursement. </b> (a) Effective for services rendered on <br/>
<a id="pl.142.28"></a><var>142.28</var>or after October 1, 1992, the commissioner shall make payments for physician services <br/>
<a id="pl.142.29"></a><var>142.29</var>as follows:<br/>
<a id="pl.142.30"></a><var>142.30</var>    (1) payment for level one Centers for Medicare and Medicaid Services' common <br/>
<a id="pl.142.31"></a><var>142.31</var>procedural coding system codes titled "office and other outpatient services," "preventive <br/>
<a id="pl.142.32"></a><var>142.32</var>medicine new and established patient," "delivery, antepartum, and postpartum care," <br/>
<a id="pl.142.33"></a><var>142.33</var>"critical care," cesarean delivery and pharmacologic management provided to psychiatric <br/>
<a id="pl.142.34"></a><var>142.34</var>patients, and level three codes for enhanced services for prenatal high risk, shall be paid <br/>
<a id="pl.142.35"></a><var>142.35</var>at the lower of (i) submitted charges, or (ii) 25 percent above the rate in effect on June <br/>
<a id="pl.143.1"></a><var>143.1</var>30, 1992. If the rate on any procedure code within these categories is different than the <br/>
<a id="pl.143.2"></a><var>143.2</var>rate that would have been paid under the methodology in section 
         <statute_ref>256B.74, subdivision 2</statute_ref>, <br/>
<a id="pl.143.3"></a><var>143.3</var>then the larger rate shall be paid;<br/>
<a id="pl.143.4"></a><var>143.4</var>    (2) payments for all other services shall be paid at the lower of (i) submitted charges, <br/>
<a id="pl.143.5"></a><var>143.5</var>or (ii) 15.4 percent above the rate in effect on June 30, 1992; and<br/>
<a id="pl.143.6"></a><var>143.6</var>    (3) all physician rates shall be converted from the 50th percentile of 1982 to the 50th <br/>
<a id="pl.143.7"></a><var>143.7</var>percentile of 1989, less the percent in aggregate necessary to equal the above increases <br/>
<a id="pl.143.8"></a><var>143.8</var>except that payment rates for home health agency services shall be the rates in effect <br/>
<a id="pl.143.9"></a><var>143.9</var>on September 30, 1992.<br/>
<a id="pl.143.10"></a><var>143.10</var>    (b) Effective for services rendered on or after January 1, 2000, payment rates for <br/>
<a id="pl.143.11"></a><var>143.11</var>physician and professional services shall be increased by three percent over the rates <br/>
<a id="pl.143.12"></a><var>143.12</var>in effect on December 31, 1999, except for home health agency and family planning <br/>
<a id="pl.143.13"></a><var>143.13</var>agency services. The increases in this paragraph shall be implemented January 1, 2000, <br/>
<a id="pl.143.14"></a><var>143.14</var>for managed care.<br/>
<a id="pl.143.15"></a><var>143.15</var>(c) Effective for services rendered on or after July 1, 2009, payment rates for <br/>
<a id="pl.143.16"></a><var>143.16</var>physician and professional services shall be reduced by five percent, except that for the <br/>
<a id="pl.143.17"></a><var>143.17</var>period July 1, 2009, through June 30, 2010, payment rates shall be reduced by 6.5 percent <br/>
<a id="pl.143.18"></a><var>143.18</var>for the medical assistance and general assistance medical care programs, over the rates in <br/>
<a id="pl.143.19"></a><var>143.19</var>effect on June 30, 2009. This reduction and the reductions in paragraph (d) do not apply <br/>
<a id="pl.143.20"></a><var>143.20</var>to office or other outpatient visits, preventive medicine visits and family planning visits <br/>
<a id="pl.143.21"></a><var>143.21</var>billed by physicians, advanced practice nurses, or physician assistants in a family planning <br/>
<a id="pl.143.22"></a><var>143.22</var>agency or in one of the following primary care practices: general practice, general internal <br/>
<a id="pl.143.23"></a><var>143.23</var>medicine, general pediatrics, general geriatrics, and family medicine. This reduction <br/>
<a id="pl.143.24"></a><var>143.24</var>and the reductions in paragraph (d) do not apply to federally qualified health centers, <br/>
<a id="pl.143.25"></a><var>143.25</var>rural health centers, and Indian health services. Effective October 1, 2009, payments <br/>
<a id="pl.143.26"></a><var>143.26</var>made to managed care plans and county-based purchasing plans under sections 
         <statute_ref>256B.69</statute_ref>, <br/>
<statute_ref><a id="pl.143.27"></a><var>143.27</var>256B.692
         </statute_ref>, and 
         <statute_ref>256L.12</statute_ref> shall reflect the payment reduction described in this paragraph.<br/>
<a id="pl.143.28"></a><var>143.28</var>(d) Effective for services rendered on or after July 1, 2010, payment rates for <br/>
<a id="pl.143.29"></a><var>143.29</var>physician and professional services shall be reduced an additional seven percent over <br/>
<a id="pl.143.30"></a><var>143.30</var>the five percent reduction in rates described in paragraph (c). This additional reduction <br/>
<a id="pl.143.31"></a><var>143.31</var>does not apply to physical therapy services, occupational therapy services, and speech <br/>
<a id="pl.143.32"></a><var>143.32</var>pathology and related services provided on or after July 1, 2010. This additional reduction <br/>
<a id="pl.143.33"></a><var>143.33</var>does not apply to physician services billed by a psychiatrist or an advanced practice nurse <br/>
<a id="pl.143.34"></a><var>143.34</var>with a specialty in mental health. Effective October 1, 2010, payments made to managed <br/>
<a id="pl.143.35"></a><var>143.35</var>care plans and county-based purchasing plans under sections 
         <statute_ref>256B.69</statute_ref>, 
         <statute_ref>256B.692</statute_ref>, and <br/>
<statute_ref><a id="pl.143.36"></a><var>143.36</var>256L.12
         </statute_ref> shall reflect the payment reduction described in this paragraph.<br/>
<a id="pl.144.1"></a><var>144.1</var>(e) Effective for services rendered on or after September 1, 2011, through June <br/>
<a id="pl.144.2"></a><var>144.2</var>30, 2013 2012, payment rates for physician and professional services shall be reduced <br/>
<a id="pl.144.3"></a><var>144.3</var>three percent from the rates in effect on August 31, 2011. This reduction does not apply <br/>
<a id="pl.144.4"></a><var>144.4</var>to physical therapy services, occupational therapy services, and speech pathology and <br/>
<a id="pl.144.5"></a><var>144.5</var>related services.<br/>
<br/>
<a id="bill.7.7.0"></a><a id="pl.144.6"></a><var>144.6</var>    Sec. 7. Minnesota Statutes 2011 Supplement, section 256B.76, subdivision 2, is <br/>
<a id="pl.144.7"></a><var>144.7</var>amended to read:<br/>
<a id="pl.144.8"></a><var>144.8</var>    Subd. 2. <b>Dental reimbursement. </b> (a) Effective for services rendered on or after <br/>
<a id="pl.144.9"></a><var>144.9</var>October 1, 1992, the commissioner shall make payments for dental services as follows:<br/>
<a id="pl.144.10"></a><var>144.10</var>    (1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25 <br/>
<a id="pl.144.11"></a><var>144.11</var>percent above the rate in effect on June 30, 1992; and<br/>
<a id="pl.144.12"></a><var>144.12</var>    (2) dental rates shall be converted from the 50th percentile of 1982 to the 50th <br/>
<a id="pl.144.13"></a><var>144.13</var>percentile of 1989, less the percent in aggregate necessary to equal the above increases.<br/>
<a id="pl.144.14"></a><var>144.14</var>    (b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments <br/>
<a id="pl.144.15"></a><var>144.15</var>shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.<br/>
<a id="pl.144.16"></a><var>144.16</var>    (c) Effective for services rendered on or after January 1, 2000, payment rates for <br/>
<a id="pl.144.17"></a><var>144.17</var>dental services shall be increased by three percent over the rates in effect on December <br/>
<a id="pl.144.18"></a><var>144.18</var>31, 1999.<br/>
<a id="pl.144.19"></a><var>144.19</var>    (d) Effective for services provided on or after January 1, 2002, payment for <br/>
<a id="pl.144.20"></a><var>144.20</var>diagnostic examinations and dental x-rays provided to children under age 21 shall be the <br/>
<a id="pl.144.21"></a><var>144.21</var>lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.<br/>
<a id="pl.144.22"></a><var>144.22</var>    (e) The increases listed in paragraphs (b) and (c) shall be implemented January 1, <br/>
<a id="pl.144.23"></a><var>144.23</var>2000, for managed care.<br/>
<a id="pl.144.24"></a><var>144.24</var>(f) Effective for dental services rendered on or after October 1, 2010, by a <br/>
<a id="pl.144.25"></a><var>144.25</var>state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based <br/>
<a id="pl.144.26"></a><var>144.26</var>on the Medicare principles of reimbursement. This payment shall be effective for services <br/>
<a id="pl.144.27"></a><var>144.27</var>rendered on or after January 1, 2011, to recipients enrolled in managed care plans or <br/>
<a id="pl.144.28"></a><var>144.28</var>county-based purchasing plans.<br/>
<a id="pl.144.29"></a><var>144.29</var>(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics <br/>
<a id="pl.144.30"></a><var>144.30</var>in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal <br/>
<a id="pl.144.31"></a><var>144.31</var>year, a supplemental state payment equal to the difference between the total payments <br/>
<a id="pl.144.32"></a><var>144.32</var>in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated <br/>
<a id="pl.144.33"></a><var>144.33</var>services for the operation of the dental clinics.<br/>
<a id="pl.144.34"></a><var>144.34</var>(h) If the cost-based payment system for state-operated dental clinics described in <br/>
<a id="pl.144.35"></a><var>144.35</var>paragraph (f) does not receive federal approval, then state-operated dental clinics shall be <br/>
<a id="pl.145.1"></a><var>145.1</var>designated as critical access dental providers under subdivision 4, paragraph (b), and shall <br/>
<a id="pl.145.2"></a><var>145.2</var>receive the critical access dental reimbursement rate as described under subdivision 4, <br/>
<a id="pl.145.3"></a><var>145.3</var>paragraph (a).<br/>
<a id="pl.145.4"></a><var>145.4</var>(i) Effective for services rendered on or after September 1, 2011, through June 30, <br/>
<a id="pl.145.5"></a><var>145.5</var>2013 2012, payment rates for dental services shall be reduced by three percent. This <br/>
<a id="pl.145.6"></a><var>145.6</var>reduction does not apply to state-operated dental clinics in paragraph (f).<br/>
<br/>
<a id="bill.7.8.0"></a><a id="pl.145.7"></a><var>145.7</var>    Sec. 8. Minnesota Statutes 2011 Supplement, section 256B.766, is amended to read:<br/>
<a id="pl.145.8"></a><var>145.8</var><b>256B.766 REIMBURSEMENT FOR BASIC CARE SERVICES.</b><br/>
<a id="pl.145.9"></a><var>145.9</var>(a) Effective for services provided on or after July 1, 2009, total payments for basic <br/>
<a id="pl.145.10"></a><var>145.10</var>care services, shall be reduced by three percent, except that for the period July 1, 2009, <br/>
<a id="pl.145.11"></a><var>145.11</var>through June 30, 2011, total payments shall be reduced by 4.5 percent for the medical <br/>
<a id="pl.145.12"></a><var>145.12</var>assistance and general assistance medical care programs, prior to third-party liability and <br/>
<a id="pl.145.13"></a><var>145.13</var>spenddown calculation. Effective July 1, 2010, the commissioner shall classify physical <br/>
<a id="pl.145.14"></a><var>145.14</var>therapy services, occupational therapy services, and speech-language pathology and <br/>
<a id="pl.145.15"></a><var>145.15</var>related services as basic care services. The reduction in this paragraph shall apply to <br/>
<a id="pl.145.16"></a><var>145.16</var>physical therapy services, occupational therapy services, and speech-language pathology <br/>
<a id="pl.145.17"></a><var>145.17</var>and related services provided on or after July 1, 2010.<br/>
<a id="pl.145.18"></a><var>145.18</var>(b) Payments made to managed care plans and county-based purchasing plans shall <br/>
<a id="pl.145.19"></a><var>145.19</var>be reduced for services provided on or after October 1, 2009, to reflect the reduction <br/>
<a id="pl.145.20"></a><var>145.20</var>effective July 1, 2009, and payments made to the plans shall be reduced effective October <br/>
<a id="pl.145.21"></a><var>145.21</var>1, 2010, to reflect the reduction effective July 1, 2010.<br/>
<a id="pl.145.22"></a><var>145.22</var>(c) Effective for services provided on or after September 1, 2011, through June 30, <br/>
<a id="pl.145.23"></a><var>145.23</var>2013 2012, total payments for outpatient hospital facility fees shall be reduced by five <br/>
<a id="pl.145.24"></a><var>145.24</var>percent from the rates in effect on August 31, 2011.<br/>
<a id="pl.145.25"></a><var>145.25</var>(d) Effective for services provided on or after September 1, 2011, through June 30, <br/>
<a id="pl.145.26"></a><var>145.26</var>2013 2012, total payments for ambulatory surgery centers facility fees, medical supplies <br/>
<a id="pl.145.27"></a><var>145.27</var>and durable medical equipment not subject to a volume purchase contract, prosthetics <br/>
<a id="pl.145.28"></a><var>145.28</var>and orthotics, renal dialysis services, laboratory services, public health nursing services, <br/>
<a id="pl.145.29"></a><var>145.29</var>physical therapy services, occupational therapy services, speech therapy services, <br/>
<a id="pl.145.30"></a><var>145.30</var>eyeglasses not subject to a volume purchase contract, hearing aids not subject to a volume <br/>
<a id="pl.145.31"></a><var>145.31</var>purchase contract, anesthesia services, and hospice services shall be reduced by three <br/>
<a id="pl.145.32"></a><var>145.32</var>percent from the rates in effect on August 31, 2011.<br/>
<a id="pl.145.33"></a><var>145.33</var>(e) This section does not apply to physician and professional services, inpatient <br/>
<a id="pl.145.34"></a><var>145.34</var>hospital services, family planning services, mental health services, dental services, <br/>
<a id="pl.146.1"></a><var>146.1</var>prescription drugs, medical transportation, federally qualified health centers, rural health <br/>
<a id="pl.146.2"></a><var>146.2</var>centers, Indian health services, and Medicare cost-sharing.<br/>
<br/>
<a id="bill.7.9.0"></a><a id="pl.146.3"></a><var>146.3</var>    Sec. 9. Laws 2011, First Special Session chapter 9, article 10, section 3, subdivision 3, <br/>
<a id="pl.146.4"></a><var>146.4</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.146.5"></a><var>146.5</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.146.6"></a><var>146.6</var>The amounts that may be spent from this <br/>
<a id="pl.146.7"></a><var>146.7</var>appropriation for each purpose are as follows:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.146.8"></a><var>146.8</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.146.9"></a><var>146.9</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.10"></a><var>146.10</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">84,680,000<br/>
</td>
<td align="right">91,978,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.11"></a><var>146.11</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.146.12"></a><var>146.12</var><br/>
</td>
<td colspan="3">(b) <b>MFIP Child Care Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">55,456,000<br/>
</td>
<td align="center"></td>
<td align="right">30,923,000<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.146.13"></a><var>146.13</var><br/>
</td>
<td colspan="3">(c) <b>General Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">49,192,000<br/>
</td>
<td align="center"></td>
<td align="right">46,938,000<br/>
</td>
</tr>
</table><a id="pl.146.14"></a><var>146.14</var><b>General Assistance Standard. </b>The <br/>
<a id="pl.146.15"></a><var>146.15</var>commissioner shall set the monthly standard <br/>
<a id="pl.146.16"></a><var>146.16</var>of assistance for general assistance units <br/>
<a id="pl.146.17"></a><var>146.17</var>consisting of an adult recipient who is <br/>
<a id="pl.146.18"></a><var>146.18</var>childless and unmarried or living apart <br/>
<a id="pl.146.19"></a><var>146.19</var>from parents or a legal guardian at $203. <br/>
<a id="pl.146.20"></a><var>146.20</var>The commissioner may reduce this amount <br/>
<a id="pl.146.21"></a><var>146.21</var>according to Laws 1997, chapter 85, article <br/>
<a id="pl.146.22"></a><var>146.22</var>3, section 54.<br/>
<a id="pl.146.23"></a><var>146.23</var><b>Emergency General Assistance. </b>The <br/>
<a id="pl.146.24"></a><var>146.24</var>amount appropriated for emergency general <br/>
<a id="pl.146.25"></a><var>146.25</var>assistance funds is limited to no more <br/>
<a id="pl.146.26"></a><var>146.26</var>than $6,689,812 in fiscal year 2012 and <br/>
<a id="pl.146.27"></a><var>146.27</var>$6,729,812 in fiscal year 2013. Funds <br/>
<a id="pl.146.28"></a><var>146.28</var>to counties shall be allocated by the <br/>
<a id="pl.146.29"></a><var>146.29</var>commissioner using the allocation method <br/>
<a id="pl.146.30"></a><var>146.30</var>specified in Minnesota Statutes, section <br/>
<statute_ref><a id="pl.146.31"></a><var>146.31</var>256D.06
         </statute_ref>.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.146.32"></a><var>146.32</var><br/>
</td>
<td colspan="3">(d) <b>Minnesota Supplemental Aid Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">38,095,000<br/>
</td>
<td align="center"></td>
<td align="right">39,120,000<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.146.33"></a><var>146.33</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.147.1"></a><var>147.1</var><br/>
</td>
<td colspan="3">(f) <b>MinnesotaCare Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">295,046,000<br/>
</td>
<td align="center"></td>
<td align="right">317,272,000<br/>
</td>
</tr>
</table><a id="pl.147.2"></a><var>147.2</var>This appropriation is from the health care <br/>
<a id="pl.147.3"></a><var>147.3</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.147.4"></a><var>147.4</var><br/>
</td>
<td colspan="3">(g) <b>Medical Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">4,501,582,000<br/>
</td>
<td align="center"></td>
<td align="right">4,437,282,000<br/>
</td>
</tr>
</table><a id="pl.147.5"></a><var>147.5</var><b>Managed Care Incentive Payments. </b>The <br/>
<a id="pl.147.6"></a><var>147.6</var>commissioner shall not make managed care <br/>
<a id="pl.147.7"></a><var>147.7</var>incentive payments for expanding preventive <br/>
<a id="pl.147.8"></a><var>147.8</var>services during fiscal years beginning July 1, <br/>
<a id="pl.147.9"></a><var>147.9</var>2011, and July 1, 2012.<br/>
<a id="pl.147.10"></a><var>147.10</var><b>Reduction of Rates for Congregate </b><br/>
<a id="pl.147.11"></a><var>147.11</var><b>Living for Individuals with Lower Needs. </b><br/>
<a id="pl.147.12"></a><var>147.12</var>Beginning October 1, 2011, lead agencies <br/>
<a id="pl.147.13"></a><var>147.13</var>must reduce rates in effect on January 1, <br/>
<a id="pl.147.14"></a><var>147.14</var>2011, by ten up to five  percent for individuals <br/>
<a id="pl.147.15"></a><var>147.15</var>with lower needs living in foster care settings <br/>
<a id="pl.147.16"></a><var>147.16</var>where the license holder does not share <br/>
<a id="pl.147.17"></a><var>147.17</var>the residence with recipients on the CADI <br/>
<a id="pl.147.18"></a><var>147.18</var>and DD waivers and customized living <br/>
<a id="pl.147.19"></a><var>147.19</var>settings for CADI. Lead agencies must adjust <br/>
<a id="pl.147.20"></a><var>147.20</var>contracts within 60 days of the effective date.<br/>
<a id="pl.147.21"></a><var>147.21</var><b>Reduction of Lead Agency Waiver </b><br/>
<a id="pl.147.22"></a><var>147.22</var><b>Allocations to Implement Rate Reductions </b><br/>
<a id="pl.147.23"></a><var>147.23</var><b>for Congregate Living for Individuals </b><br/>
<a id="pl.147.24"></a><var>147.24</var><b>with Lower Needs. </b>Beginning October 1, <br/>
<a id="pl.147.25"></a><var>147.25</var>2011, the commissioner shall reduce lead <br/>
<a id="pl.147.26"></a><var>147.26</var>agency waiver allocations to implement the <br/>
<a id="pl.147.27"></a><var>147.27</var>reduction of rates for individuals with lower <br/>
<a id="pl.147.28"></a><var>147.28</var>needs living in foster care settings where the <br/>
<a id="pl.147.29"></a><var>147.29</var>license holder does not share the residence <br/>
<a id="pl.147.30"></a><var>147.30</var>with recipients on the CADI and DD waivers <br/>
<a id="pl.147.31"></a><var>147.31</var>and customized living settings for CADI.<br/>
<a id="pl.147.32"></a><var>147.32</var><b>Reduce customized living and 24-hour </b><br/>
<a id="pl.147.33"></a><var>147.33</var><b>customized living component rates.</b> <br/>
<a id="pl.147.34"></a><var>147.34</var>Effective July 1, 2011, the commissioner <br/>
<a id="pl.148.1"></a><var>148.1</var>shall reduce elderly waiver customized living <br/>
<a id="pl.148.2"></a><var>148.2</var>and 24-hour customized living component <br/>
<a id="pl.148.3"></a><var>148.3</var>service spending by five percent through <br/>
<a id="pl.148.4"></a><var>148.4</var>reductions in component rates and service <br/>
<a id="pl.148.5"></a><var>148.5</var>rate limits. The commissioner shall adjust <br/>
<a id="pl.148.6"></a><var>148.6</var>the elderly waiver capitation payment <br/>
<a id="pl.148.7"></a><var>148.7</var>rates for managed care organizations paid <br/>
<a id="pl.148.8"></a><var>148.8</var>under Minnesota Statutes, section 
         <statute_ref>256B.69, <br/>
<a id="pl.148.9"></a><var>148.9</var>subdivisions 6a
         </statute_ref> and 23, to reflect reductions <br/>
<a id="pl.148.10"></a><var>148.10</var>in component spending for customized living <br/>
<a id="pl.148.11"></a><var>148.11</var>services and 24-hour customized living <br/>
<a id="pl.148.12"></a><var>148.12</var>services under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.148.13"></a><var>148.13</var>256B.0915, subdivisions 3e
         </statute_ref> and 3h, for the <br/>
<a id="pl.148.14"></a><var>148.14</var>contract period beginning January 1, 2012. <br/>
<a id="pl.148.15"></a><var>148.15</var>To implement the reduction specified in <br/>
<a id="pl.148.16"></a><var>148.16</var>this provision, capitation rates paid by the <br/>
<a id="pl.148.17"></a><var>148.17</var>commissioner to managed care organizations <br/>
<a id="pl.148.18"></a><var>148.18</var>under Minnesota Statutes, section 
         <statute_ref>256B.69</statute_ref>, <br/>
<a id="pl.148.19"></a><var>148.19</var>shall reflect a ten percent reduction for the <br/>
<a id="pl.148.20"></a><var>148.20</var>specified services for the period January 1, <br/>
<a id="pl.148.21"></a><var>148.21</var>2012, to June 30, 2012, and a five percent <br/>
<a id="pl.148.22"></a><var>148.22</var>reduction for those services on or after July <br/>
<a id="pl.148.23"></a><var>148.23</var>1, 2012.<br/>
<a id="pl.148.24"></a><var>148.24</var><b>Limit Growth in the Developmental </b><br/>
<a id="pl.148.25"></a><var>148.25</var><b>Disability Waiver. </b>The commissioner <br/>
<a id="pl.148.26"></a><var>148.26</var>shall limit growth in the developmental <br/>
<a id="pl.148.27"></a><var>148.27</var>disability waiver to six diversion allocations <br/>
<a id="pl.148.28"></a><var>148.28</var>per month beginning July 1, 2011, through <br/>
<a id="pl.148.29"></a><var>148.29</var>June 30, 2013, and 15 diversion allocations <br/>
<a id="pl.148.30"></a><var>148.30</var>per month beginning July 1, 2013, through <br/>
<a id="pl.148.31"></a><var>148.31</var>June 30, 2015. Waiver allocations shall <br/>
<a id="pl.148.32"></a><var>148.32</var>be targeted to individuals who meet the <br/>
<a id="pl.148.33"></a><var>148.33</var>priorities for accessing waiver services <br/>
<a id="pl.148.34"></a><var>148.34</var>identified in Minnesota Statutes, 
         <statute_ref>256B.092, <br/>
<a id="pl.148.35"></a><var>148.35</var>subdivision 12
         </statute_ref>. The limits do not include <br/>
<a id="pl.148.36"></a><var>148.36</var>conversions from intermediate care facilities <br/>
<a id="pl.149.1"></a><var>149.1</var>for persons with developmental disabilities. <br/>
<a id="pl.149.2"></a><var>149.2</var>Notwithstanding any contrary provisions in <br/>
<a id="pl.149.3"></a><var>149.3</var>this article, this paragraph expires June 30, <br/>
<a id="pl.149.4"></a><var>149.4</var>2015.<br/>
<a id="pl.149.5"></a><var>149.5</var><b>Limit Growth in the Community </b><br/>
<a id="pl.149.6"></a><var>149.6</var><b>Alternatives for Disabled Individuals </b><br/>
<a id="pl.149.7"></a><var>149.7</var><b>Waiver. </b>The commissioner shall limit <br/>
<a id="pl.149.8"></a><var>149.8</var>growth in the community alternatives for <br/>
<a id="pl.149.9"></a><var>149.9</var>disabled individuals waiver to 60 allocations <br/>
<a id="pl.149.10"></a><var>149.10</var>per month beginning July 1, 2011, through <br/>
<a id="pl.149.11"></a><var>149.11</var>June 30, 2013, and 85 allocations per <br/>
<a id="pl.149.12"></a><var>149.12</var>month beginning July 1, 2013, through <br/>
<a id="pl.149.13"></a><var>149.13</var>June 30, 2015. Waiver allocations must <br/>
<a id="pl.149.14"></a><var>149.14</var>be targeted to individuals who meet the <br/>
<a id="pl.149.15"></a><var>149.15</var>priorities for accessing waiver services <br/>
<a id="pl.149.16"></a><var>149.16</var>identified in Minnesota Statutes, section <br/>
<statute_ref><a id="pl.149.17"></a><var>149.17</var>256B.49, subdivision 11a
         </statute_ref>. The limits include <br/>
<a id="pl.149.18"></a><var>149.18</var>conversions and diversions, unless the <br/>
<a id="pl.149.19"></a><var>149.19</var>commissioner has approved a plan to convert <br/>
<a id="pl.149.20"></a><var>149.20</var>funding due to the closure or downsizing <br/>
<a id="pl.149.21"></a><var>149.21</var>of a residential facility or nursing facility <br/>
<a id="pl.149.22"></a><var>149.22</var>to serve directly affected individuals on <br/>
<a id="pl.149.23"></a><var>149.23</var>the community alternatives for disabled <br/>
<a id="pl.149.24"></a><var>149.24</var>individuals waiver. Notwithstanding any <br/>
<a id="pl.149.25"></a><var>149.25</var>contrary provisions in this article, this <br/>
<a id="pl.149.26"></a><var>149.26</var>paragraph expires June 30, 2015.<br/>
<a id="pl.149.27"></a><var>149.27</var><b>Personal Care Assistance Relative </b><br/>
<a id="pl.149.28"></a><var>149.28</var><b>Care.</b> The commissioner shall adjust the <br/>
<a id="pl.149.29"></a><var>149.29</var>capitation payment rates for managed care <br/>
<a id="pl.149.30"></a><var>149.30</var>organizations paid under Minnesota Statutes, <br/>
<a id="pl.149.31"></a><var>149.31</var>section 
         <statute_ref>256B.69</statute_ref>, to reflect the rate reductions <br/>
<a id="pl.149.32"></a><var>149.32</var>for personal care assistance provided by <br/>
<a id="pl.149.33"></a><var>149.33</var>a relative pursuant to Minnesota Statutes, <br/>
<a id="pl.149.34"></a><var>149.34</var>section 
         <statute_ref>256B.0659, subdivision 11</statute_ref>. This rate <br/>
<a id="pl.149.35"></a><var>149.35</var>reduction is effective July 1, 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.150.1"></a><var>150.1</var><br/>
</td>
<td colspan="3">(h) <b>Alternative Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">46,421,000<br/>
</td>
<td align="center"></td>
<td align="right">46,035,000<br/>
</td>
</tr>
</table><a id="pl.150.2"></a><var>150.2</var><b>Alternative Care Transfer. </b>Any money <br/>
<a id="pl.150.3"></a><var>150.3</var>allocated to the alternative care program that <br/>
<a id="pl.150.4"></a><var>150.4</var>is not spent for the purposes indicated does <br/>
<a id="pl.150.5"></a><var>150.5</var>not cancel but shall be transferred to the <br/>
<a id="pl.150.6"></a><var>150.6</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.150.7"></a><var>150.7</var><br/>
</td>
<td colspan="3">(i) <b>Chemical Dependency Entitlement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">94,675,000<br/>
</td>
<td align="center"></td>
<td align="right">93,298,000<br/>
</td>
</tr>
</table><br/>
<a id="bill.7.10.0"></a><a id="pl.150.8"></a><var>150.8</var>    Sec. 10. <b>EMERGENCY MEDICAL ASSISTANCE STUDY.</b><br/>
<a id="pl.150.9"></a><var>150.9</var>(a) The commissioner of human services shall develop a plan to provide coordinated <br/>
<a id="pl.150.10"></a><var>150.10</var>and cost-effective health care and coverage for individuals who meet eligibility standards <br/>
<a id="pl.150.11"></a><var>150.11</var>for emergency medical assistance and who are ineligible for other state public programs. <br/>
<a id="pl.150.12"></a><var>150.12</var>The commissioner shall consult with relevant stakeholders in the development of the plan. <br/>
<a id="pl.150.13"></a><var>150.13</var>The commissioner shall consider the following elements:<br/>
<a id="pl.150.14"></a><var>150.14</var>(1) strategies to provide individuals with the most appropriate care in the appropriate <br/>
<a id="pl.150.15"></a><var>150.15</var>setting, utilizing higher quality and lower cost providers;<br/>
<a id="pl.150.16"></a><var>150.16</var>(2) payment mechanisms to encourage providers to manage the care of these <br/>
<a id="pl.150.17"></a><var>150.17</var>populations, and to produce lower cost of care and better patient outcomes;<br/>
<a id="pl.150.18"></a><var>150.18</var>(3) ensure coverage and payment options that address the unique needs of those <br/>
<a id="pl.150.19"></a><var>150.19</var>needing episodic care, chronic care, and long-term care services;<br/>
<a id="pl.150.20"></a><var>150.20</var>(4) strategies for coordinating health care and nonhealth care services, and <br/>
<a id="pl.150.21"></a><var>150.21</var>integrating with existing coverage; and<br/>
<a id="pl.150.22"></a><var>150.22</var>(5) other issues and strategies to ensure cost-effective and coordinated delivery <br/>
<a id="pl.150.23"></a><var>150.23</var>of coverage and services.<br/>
<a id="pl.150.24"></a><var>150.24</var>(b) The commissioner shall submit the plan to the chairs and ranking minority <br/>
<a id="pl.150.25"></a><var>150.25</var>members of the legislative committees with jurisdiction over health and human services <br/>
<a id="pl.150.26"></a><var>150.26</var>policy and financing by January 15, 2013.<br/>
<br/>
<a id="bill.7.11.0"></a><a id="pl.150.27"></a><var>150.27</var>    Sec. 11. <b>EMERGENCY MEDICAL CONDITION CANCER TREATMENT </b><br/>
<a id="pl.150.28"></a><var>150.28</var><b>COVERAGE EXCEPTION.</b><br/>
<a id="pl.150.29"></a><var>150.29</var>(a) Notwithstanding Minnesota Statutes, section 256B.06, subdivision 4, paragraph <br/>
<a id="pl.150.30"></a><var>150.30</var>(h), clause (2), surgery and the administration of chemotherapy, radiation, and related <br/>
<a id="pl.150.31"></a><var>150.31</var>services necessary to treat cancer shall be covered as an emergency medical condition <br/>
<a id="pl.150.32"></a><var>150.32</var>under Minnesota Statutes, section 256B.06, paragraph (f), if the recipient has a cancer <br/>
<a id="pl.151.1"></a><var>151.1</var>diagnosis that is not in remission and requires surgery, chemotherapy, or radiation <br/>
<a id="pl.151.2"></a><var>151.2</var>treatment.<br/>
<a id="pl.151.3"></a><var>151.3</var>(b) Coverage under paragraph (a) is effective May 1, 2012, until June 30, 2013.<br/>
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<a id="bill.7.12.0"></a><a id="pl.151.4"></a><var>151.4</var>    Sec. 12. <b>INSTRUCTIONS TO THE COMMISSIONERS TO DEVELOP A PLAN </b><br/>
<a id="pl.151.5"></a><var>151.5</var><b>FOR AN AUTISM RESIDENTIAL CAMPUS.</b><br/>
<a id="pl.151.6"></a><var>151.6</var>(a) The commissioner of human services, in consultation with the commissioners <br/>
<a id="pl.151.7"></a><var>151.7</var>of education and employment and economic development, shall develop a plan to create <br/>
<a id="pl.151.8"></a><var>151.8</var>a residential campus providing 24-hour supervision for individuals with a diagnosis of <br/>
<a id="pl.151.9"></a><var>151.9</var>autistic disorder as defined by diagnostic code 299.0 in the Diagnostic and Statistical <br/>
<a id="pl.151.10"></a><var>151.10</var>Manual of Mental Disorders (DSM-IV). This plan must identify how the costs and <br/>
<a id="pl.151.11"></a><var>151.11</var>programming will be shared between the agencies so that the social, educational, sensory, <br/>
<a id="pl.151.12"></a><var>151.12</var>and vocational needs of the individuals served by the program will be met.<br/>
<a id="pl.151.13"></a><var>151.13</var>(b) The plan must be developed no later than August 31, 2012.<br/>
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<a id="bill.7.13.0"></a><a id="pl.151.14"></a><var>151.14</var>    Sec. 13. <b>INSTRUCTIONS TO THE COMMISSIONER TO REQUEST A </b><br/>
<a id="pl.151.15"></a><var>151.15</var><b>WAIVER AND CREATE AND FUND AN AUTISM RESIDENTIAL CAMPUS.</b><br/>
<a id="pl.151.16"></a><var>151.16</var>(a) The commissioner of human services shall develop a proposal to the United <br/>
<a id="pl.151.17"></a><var>151.17</var>States Department of Health and Human Services which shall include any necessary <br/>
<a id="pl.151.18"></a><var>151.18</var>waivers, state plan amendments, and any other federal authority that may be necessary to <br/>
<a id="pl.151.19"></a><var>151.19</var>create and fund the program in paragraph (b).<br/>
<a id="pl.151.20"></a><var>151.20</var>(b) The commissioner shall request authority to create and fund a residential campus <br/>
<a id="pl.151.21"></a><var>151.21</var>program to serve individuals to age 21 who are diagnosed with autistic disorder as defined <br/>
<a id="pl.151.22"></a><var>151.22</var>by diagnostic code 299.0 in the Diagnostic and Statistical Manual of Mental Disorders <br/>
<a id="pl.151.23"></a><var>151.23</var>(DSM-IV), and who are able to live in a supported housing environment that provides <br/>
<a id="pl.151.24"></a><var>151.24</var>24-hour supervision. The program must:<br/>
<a id="pl.151.25"></a><var>151.25</var>(1) provide continuous on-site supervision;<br/>
<a id="pl.151.26"></a><var>151.26</var>(2) provide sensory or other therapeutic programming as appropriate for each <br/>
<a id="pl.151.27"></a><var>151.27</var>resident; and<br/>
<a id="pl.151.28"></a><var>151.28</var>(3) incorporate independent living skills, socialization skills, and vocational skills, <br/>
<a id="pl.151.29"></a><var>151.29</var>as appropriate for each resident.<br/>
<a id="pl.151.30"></a><var>151.30</var>(c) The commissioner shall submit the proposal no later than January 1, 2013.<br/>
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<a id="bill.7.14.0"></a><a id="pl.151.31"></a><var>151.31</var>    Sec. 14. <b>STUDY OF PERSONAL CARE ASSISTANCE AND OTHER </b><br/>
<a id="pl.151.32"></a><var>151.32</var><b>UNLICENSED ATTENDANT SERVICES PROCEDURES.</b><br/>
<a id="pl.152.1"></a><var>152.1</var>The commissioner of human services shall assign the department's office of <br/>
<a id="pl.152.2"></a><var>152.2</var>inspector general to evaluate and make recommendations regarding state policies and <br/>
<a id="pl.152.3"></a><var>152.3</var>statutory directives to control improper billing and fraud in personal care attendant and <br/>
<a id="pl.152.4"></a><var>152.4</var>other unlicensed attendant services reimbursed through the department. The evaluation <br/>
<a id="pl.152.5"></a><var>152.5</var>must review:<br/>
<a id="pl.152.6"></a><var>152.6</var>(1) the care provided by personal care attendants, behavioral aides, and other <br/>
<a id="pl.152.7"></a><var>152.7</var>unlicensed attendant care services reimbursed through the department;<br/>
<a id="pl.152.8"></a><var>152.8</var>(2) investigations completed in recent years by the department's surveillance and <br/>
<a id="pl.152.9"></a><var>152.9</var>integrity review division and the attorney general's office Medicaid fraud control unit to <br/>
<a id="pl.152.10"></a><var>152.10</var>determine patterns of improper billing and fraud;<br/>
<a id="pl.152.11"></a><var>152.11</var>(3) whether there are appropriate standards for an objective assessment or for <br/>
<a id="pl.152.12"></a><var>152.12</var>determining a medical basis for client service eligibility; and<br/>
<a id="pl.152.13"></a><var>152.13</var>(4) current policies and other requirements related to supervision and verification of <br/>
<a id="pl.152.14"></a><var>152.14</var>services to clients.<br/>
<a id="pl.152.15"></a><var>152.15</var>The study may involve unannounced site visits to enrolled providers and recipients <br/>
<a id="pl.152.16"></a><var>152.16</var>of services in this study. The commissioner shall report to the chairs and ranking minority <br/>
<a id="pl.152.17"></a><var>152.17</var>members of the legislative committees with jurisdiction over these issues with draft <br/>
<a id="pl.152.18"></a><var>152.18</var>legislation to implement these recommendations by February 15, 2013.<br/>
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<a id="bill.7.15.0"></a><a id="pl.152.19"></a><var>152.19</var>    Sec. 15. <b>STUDY OF PERSONAL CARE ASSISTANCE SERVICE MODEL.</b><br/>
<a id="pl.152.20"></a><var>152.20</var>The commissioner of human services shall study the current service model of <br/>
<a id="pl.152.21"></a><var>152.21</var>personal care assistance services and any current gaps that exist in the program. The <br/>
<a id="pl.152.22"></a><var>152.22</var>report shall include an analysis of the utilization of additional services by personal care <br/>
<a id="pl.152.23"></a><var>152.23</var>assistance recipients, the effects of access to care coordination services, eligibility criteria, <br/>
<a id="pl.152.24"></a><var>152.24</var>and the results of reductions in personal care assistance services. The results of this study <br/>
<a id="pl.152.25"></a><var>152.25</var>will become part of medical assistance reform work under Minnesota Statutes, section <br/>
<a id="pl.152.26"></a><var>152.26</var>256B.021. The commissioner shall report the findings of this study to the chairs and <br/>
<a id="pl.152.27"></a><var>152.27</var>ranking minority members of the legislative committees with jurisdiction over these <br/>
<a id="pl.152.28"></a><var>152.28</var>issues by February 15, 2013.<br/>
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<a id="bill.7.16.0"></a><a id="pl.152.29"></a><var>152.29</var>    Sec. 16. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.152.30"></a><var>152.30</var>This article is effective upon receipt by the commissioner of money from managed <br/>
<a id="pl.152.31"></a><var>152.31</var>care organizations pursuant to contract agreements to return any surplus in excess of one <br/>
<a id="pl.152.32"></a><var>152.32</var>percent. If the money is received after June 30, 2012, amounts appropriated in fiscal <br/>
<a id="pl.152.33"></a><var>152.33</var>year 2012 are available in fiscal year 2013.<br/>