<a id="pl.1.3"></a><var>1.3</var>policy provisions; modifying provisions related to children and family <br/>
<a id="pl.1.4"></a><var>1.4</var>services, child support, child care, continuing care, disability services, the <br/>
<a id="pl.1.5"></a><var>1.5</var>telephone equipment program, chemical and mental health, health care, <br/>
<a id="pl.1.6"></a><var>1.6</var>human services licensing, licensing data, and the Office of Inspector General; <br/>
<a id="pl.1.7"></a><var>1.7</var>providing for child safety and permanency reform including adoptions under <br/>
<a id="pl.1.8"></a><var>1.8</var>guardianship of the commissioner; reforming comprehensive assessment and <br/>
<a id="pl.1.9"></a><var>1.9</var>case management services; amending the Human Services Background Study <br/>
<a id="pl.1.10"></a><var>1.10</var>Act; establishing home and community-based services standards; developing <br/>
<a id="pl.1.11"></a><var>1.11</var>payment methodologies; modifying municipal license provisions; requiring <br/>
<a id="pl.1.12"></a><var>1.12</var>data sharing with the Department of Human Services; requiring eligibility <br/>
<a id="pl.1.13"></a><var>1.13</var>determinations; modifying fees; providing criminal penalties; making technical <br/>
<a id="pl.1.14"></a><var>1.14</var>changes; requiring reports;amending Minnesota Statutes 2010, sections 13.46, <br/>
<a id="pl.1.15"></a><var>1.15</var>subdivisions 2, 3, 4; 13.461, subdivision 17; 13.465, by adding a subdivision; <br/>
<a id="pl.1.16"></a><var>1.16</var>13.82, subdivision 1; 119B.09, subdivision 7; 119B.12, subdivisions 1, 2; <br/>
<a id="pl.1.17"></a><var>1.17</var>119B.125, subdivisions 1a, 2, 6; 119B.13, subdivision 6; 144A.071, subdivision <br/>
<a id="pl.1.18"></a><var>1.18</var>5a; 145.902; 237.50; 237.51; 237.52; 237.53; 237.54; 237.55; 237.56; 245.461, <br/>
<a id="pl.1.19"></a><var>1.19</var>by adding a subdivision; 245.462, subdivision 20; 245.487, by adding a <br/>
<a id="pl.1.20"></a><var>1.20</var>subdivision; 245.4871, subdivision 15; 245.4932, subdivision 1; 245A.03, <br/>
<a id="pl.1.21"></a><var>1.21</var>subdivision 2, by adding a subdivision; 245A.04, subdivisions 1, 7, 11, by <br/>
<a id="pl.1.22"></a><var>1.22</var>adding subdivisions; 245A.041, by adding subdivisions; 245A.05; 245A.07, <br/>
<a id="pl.1.23"></a><var>1.23</var>subdivision 3; 245A.085; 245A.11, subdivisions 2a, 8; 245A.14, subdivision 11, <br/>
<a id="pl.1.24"></a><var>1.24</var>by adding a subdivision; 245A.146, subdivisions 2, 3; 245A.18, subdivision 1; <br/>
<a id="pl.1.25"></a><var>1.25</var>245A.22, subdivision 2; 245A.66, subdivisions 2, 3; 245B.02, subdivision 10, <br/>
<a id="pl.1.26"></a><var>1.26</var>by adding a subdivision; 245B.04, subdivisions 1, 2, 3; 245B.05, subdivision 1; <br/>
<a id="pl.1.27"></a><var>1.27</var>245B.07, subdivisions 5, 9, 10, by adding a subdivision; 245C.03, subdivision 1; <br/>
<a id="pl.1.28"></a><var>1.28</var>245C.04, subdivision 1; 245C.05, subdivisions 2, 4, 7, by adding a subdivision; <br/>
<a id="pl.1.29"></a><var>1.29</var>245C.07; 245C.08, subdivision 1; 245C.14, subdivision 2; 245C.16, subdivision <br/>
<a id="pl.1.30"></a><var>1.30</var>1; 245C.17, subdivision 2; 245C.22, subdivision 5; 245C.23, subdivision 2; <br/>
<a id="pl.1.31"></a><var>1.31</var>246.53, by adding a subdivision; 252.32, subdivision 1a; 252A.21, subdivision <br/>
<a id="pl.1.32"></a><var>1.32</var>2; 256.476, subdivision 11; 256.9657, subdivision 1; 256.998, subdivisions 1, <br/>
<a id="pl.1.33"></a><var>1.33</var>5; 256B.04, subdivision 14; 256B.056, subdivision 3c; 256B.0595, subdivision <br/>
<a id="pl.1.34"></a><var>1.34</var>2; 256B.0625, subdivisions 13, 13d, 19c, 42; 256B.0659, subdivisions 1, 2, <br/>
<a id="pl.1.35"></a><var>1.35</var>3, 3a, 4, 9, 13, 14, 19, 21, 30; 256B.0911, subdivisions 1, 2b, 2c, 3, 3b, 4c, 6; <br/>
<a id="pl.1.36"></a><var>1.36</var>256B.0913, subdivisions 7, 8; 256B.0915, subdivisions 1a, 1b, 3c, 6; 256B.0916, <br/>
<a id="pl.1.37"></a><var>1.37</var>subdivision 7; 256B.092, subdivisions 1, 1a, 1b, 1e, 1g, 2, 3, 5, 7, 8, 8a, 9, 11; <br/>
<a id="pl.1.38"></a><var>1.38</var>256B.096, subdivision 5; 256B.15, subdivisions 1c, 1f; 256B.19, subdivision 1c; <br/>
<a id="pl.1.39"></a><var>1.39</var>256B.441, subdivisions 13, 31, 53; 256B.49, subdivisions 13, 21; 256B.4912; <br/>
<a id="pl.2.1"></a><var>2.1</var>256B.69, subdivision 5; 256F.13, subdivision 1; 256G.02, subdivision 6; 256J.08, <br/>
<a id="pl.2.2"></a><var>2.2</var>subdivision 11; 256J.24, subdivisions 2, 5; 256J.32, subdivision 6; 256J.575, <br/>
<a id="pl.2.3"></a><var>2.3</var>subdivisions 1, 2, 5, 6, 8; 256J.621; 256J.68, subdivision 7; 256J.95, subdivision <br/>
<a id="pl.2.4"></a><var>2.4</var>3; 256L.05, subdivision 3; 257.01; 257.75, subdivision 7; 259.22, subdivision 2; <br/>
<a id="pl.2.5"></a><var>2.5</var>259.23, subdivision 1; 259.24, subdivisions 1, 3, 5, 6a, 7; 259.29, subdivision <br/>
<a id="pl.2.6"></a><var>2.6</var>2; 259.69; 259.73; 260.012; 260C.001; 260C.007, subdivision 4, by adding <br/>
<a id="pl.2.7"></a><var>2.7</var>subdivisions; 260C.101, subdivision 2; 260C.157, subdivision 1; 260C.163, <br/>
<a id="pl.2.8"></a><var>2.8</var>subdivisions 1, 4; 260C.178, subdivisions 1, 7; 260C.193, subdivisions 3, <br/>
<a id="pl.2.9"></a><var>2.9</var>6; 260C.201, subdivisions 2, 10, 11a; 260C.212, subdivisions 1, 2, 5, 7; <br/>
<a id="pl.2.10"></a><var>2.10</var>260C.215, subdivisions 4, 6; 260C.217; 260C.301, subdivisions 1, 8; 260C.317, <br/>
<a id="pl.2.11"></a><var>2.11</var>subdivisions 3, 4; 260C.325, subdivisions 1, 3, 4; 260C.328; 260C.451; 260D.08; <br/>
<a id="pl.2.12"></a><var>2.12</var>471.709; 514.982, subdivision 1; 518A.40, subdivision 4; 518C.205; 541.04; <br/>
<a id="pl.2.13"></a><var>2.13</var>548.09, subdivision 1; 609.3785; 626.556, subdivisions 2, 10, 10e, 10f, 10i, <br/>
<a id="pl.2.14"></a><var>2.14</var>10k, 11; Minnesota Statutes 2011 Supplement, sections 119B.13, subdivision 1; <br/>
<a id="pl.2.15"></a><var>2.15</var>125A.21, subdivision 7; 144A.071, subdivisions 3, 4a; 245A.03, subdivision 7; <br/>
<a id="pl.2.16"></a><var>2.16</var>254B.04, subdivision 2a; 256.01, subdivision 14b; 256B.04, subdivision 21; <br/>
<a id="pl.2.17"></a><var>2.17</var>256B.056, subdivision 3; 256B.057, subdivision 9; 256B.0625, subdivisions <br/>
<a id="pl.2.18"></a><var>2.18</var>13e, 13h, 14, 56; 256B.0631, subdivisions 1, 2; 256B.0659, subdivision 11; <br/>
<a id="pl.2.19"></a><var>2.19</var>256B.0911, subdivisions 1a, 3a, 4a; 256B.0915, subdivision 10; 256B.49, <br/>
<a id="pl.2.20"></a><var>2.20</var>subdivisions 14, 15; 256B.69, subdivisions 5a, 28; 256L.12, subdivision 9; <br/>
<a id="pl.2.21"></a><var>2.21</var>256L.15, subdivision 1; 626.557, subdivision 9; 626.5572, subdivision 13; <br/>
<a id="pl.2.22"></a><var>2.22</var>Laws 2009, chapter 79, article 8, section 81, as amended; proposing coding <br/>
<a id="pl.2.23"></a><var>2.23</var>for new law in Minnesota Statutes, chapters 245A; 252; 256B; 260C; 611; <br/>
<a id="pl.2.24"></a><var>2.24</var>proposing coding for new law as Minnesota Statutes, chapters 245D; 259A; <br/>
<a id="pl.2.25"></a><var>2.25</var>repealing Minnesota Statutes 2010, sections 256.01, subdivision 18b; 256.022; <br/>
<a id="pl.2.26"></a><var>2.26</var>256B.431, subdivisions 2c, 2g, 2i, 2j, 2k, 2l, 2o, 3c, 11, 14, 17b, 17f, 19, 20, <br/>
<a id="pl.2.27"></a><var>2.27</var>25, 27, 29; 256B.434, subdivisions 4a, 4b, 4c, 4d, 4e, 4g, 4h, 7, 8; 256B.435; <br/>
<a id="pl.2.28"></a><var>2.28</var>256B.436; 259.67; 259.71; 260C.201, subdivision 11; 260C.215, subdivision 2; <br/>
<a id="pl.2.29"></a><var>2.29</var>260C.456; Minnesota Statutes 2011 Supplement, section 256B.431, subdivision <br/>
<a id="pl.2.30"></a><var>2.30</var>26; Minnesota Rules, parts 9555.7700; 9560.0071; 9560.0082; 9560.0083; <br/>
<a id="pl.2.31"></a><var>2.31</var>9560.0091; 9560.0093, subparts 1, 3, 4; 9560.0101; 9560.0102.<br/>
<a id="pl.2.32"></a><var>2.32</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.2.35"></a><var>2.35</var>    Section 1. Minnesota Statutes 2010, section 13.461, subdivision 17, is amended to read:<br/>
<a id="pl.2.36"></a><var>2.36</var>    Subd. 17. <b>Maltreatment review panels.</b> Data of the vulnerable adult maltreatment <br/>
<a id="pl.2.37"></a><var>2.37</var>review panel or the child maltreatment review panel are classified under section 
         <statute_ref>256.021</statute_ref> <br/>
<a id="pl.2.38"></a><var>2.38</var>or 
<statute_ref>256.022</statute_ref>.<br/>
<br/>
<a id="bill.1.2.0"></a><a id="pl.2.39"></a><var>2.39</var>    Sec. 2. Minnesota Statutes 2010, section 13.465, is amended by adding a subdivision <br/>
<a id="pl.2.40"></a><var>2.40</var>to read:<br/>
<a id="pl.2.41"></a><var>2.41</var>    Subd. 5a. <b>Adoptive parent.</b> Certain data that may be disclosed to a prospective <br/>
<a id="pl.2.42"></a><var>2.42</var>adoptive parent is governed by section 260C.613, subdivision 2.<br/>
<br/>
<a id="bill.1.3.0"></a><a id="pl.2.43"></a><var>2.43</var>    Sec. 3. Minnesota Statutes 2010, section 256.998, subdivision 1, is amended to read:<br/>
<a id="pl.3.1"></a><var>3.1</var>    Subdivision 1. <b>Definitions.</b> (a) The definitions in this subdivision apply to this <br/>
<a id="pl.3.2"></a><var>3.2</var>section.<br/>
<a id="pl.3.3"></a><var>3.3</var>(b) "Date of hiring" means the earlier of: (1) the first day for which an employee is <br/>
<a id="pl.3.4"></a><var>3.4</var>owed compensation by an employer; or (2) the first day that an employee reports to work <br/>
<a id="pl.3.5"></a><var>3.5</var>or performs labor or services for an employer.<br/>
<a id="pl.3.6"></a><var>3.6</var>(c) "Earnings" means payment owed by an employer for labor or services rendered <br/>
<a id="pl.3.7"></a><var>3.7</var>by an employee.<br/>
<a id="pl.3.8"></a><var>3.8</var>(d) "Employee" means a person who resides or works in Minnesota, performs <br/>
<a id="pl.3.9"></a><var>3.9</var>services for compensation, in whatever form, for an employer and satisfies the criteria of <br/>
<a id="pl.3.10"></a><var>3.10</var>an employee under chapter 24 of the Internal Revenue Code. Employee does not include:<br/>
<a id="pl.3.11"></a><var>3.11</var>(1) persons hired for domestic service in the private home of the employer, as <br/>
<a id="pl.3.12"></a><var>3.12</var>defined in the Federal Tax Code; or<br/>
<a id="pl.3.13"></a><var>3.13</var>(2) an employee of the federal or state agency performing intelligence or <br/>
<a id="pl.3.14"></a><var>3.14</var>counterintelligence functions, if the head of such agency has determined that reporting <br/>
<a id="pl.3.15"></a><var>3.15</var>according to this law would endanger the safety of the employee or compromise an <br/>
<a id="pl.3.16"></a><var>3.16</var>ongoing investigation or intelligence mission.<br/>
<a id="pl.3.17"></a><var>3.17</var>(e) "Employer" means a person or entity located or doing business in this state that <br/>
<a id="pl.3.18"></a><var>3.18</var>employs one or more employees for payment, and satisfies the criteria of an employer <br/>
<a id="pl.3.19"></a><var>3.19</var>under chapter 24 of the Internal Revenue Code. Employer includes a labor organization as <br/>
<a id="pl.3.20"></a><var>3.20</var>defined in paragraph (g). Employer also includes the state, political or other governmental <br/>
<a id="pl.3.21"></a><var>3.21</var>subdivisions of the state, and the federal government.<br/>
<a id="pl.3.22"></a><var>3.22</var>(f) "Hiring" means engaging a person to perform services for compensation and <br/>
<a id="pl.3.23"></a><var>3.23</var>includes the reemploying or return to work of any previous employee who was laid off, <br/>
<a id="pl.3.24"></a><var>3.24</var>furloughed, separated, granted a leave without pay, or terminated from employment when <br/>
<a id="pl.3.25"></a><var>3.25</var>a period of 90 60 days elapses from the date of layoff, furlough, separation, leave, or <br/>
<a id="pl.3.26"></a><var>3.26</var>termination to the date of the person's return to work.<br/>
<a id="pl.3.27"></a><var>3.27</var>(g) "Labor organization" means entities located or doing business in this state that <br/>
<a id="pl.3.28"></a><var>3.28</var>meet the criteria of labor organization under section 2(5) of the National Labor Relations <br/>
<a id="pl.3.29"></a><var>3.29</var>Act. This includes any entity, that may also be known as a hiring hall, used to carry out <br/>
<a id="pl.3.30"></a><var>3.30</var>requirements described in chapter 7 of the National Labor Relations Act.<br/>
<a id="pl.3.31"></a><var>3.31</var>(h) "Payor" means a person or entity located or doing business in Minnesota who <br/>
<a id="pl.3.32"></a><var>3.32</var>pays money to an independent contractor according to an agreement for the performance <br/>
<a id="pl.3.33"></a><var>3.33</var>of services.<br/>
<br/>
<a id="bill.1.4.0"></a><a id="pl.3.34"></a><var>3.34</var>    Sec. 4. Minnesota Statutes 2010, section 256.998, subdivision 5, is amended to read:<br/>
<a id="pl.4.1"></a><var>4.1</var>    Subd. 5. <b>Report contents.</b> Reports required under this section must contain: all <br/>
<a id="pl.4.2"></a><var>4.2</var>the information required by federal law.<br/>
<a id="pl.4.3"></a><var>4.3</var>(1) the employee's name, address, Social Security number, and date of birth when <br/>
<a id="pl.4.4"></a><var>4.4</var>available, which can be handwritten or otherwise added to the W-4 form, W-9 form, or <br/>
<a id="pl.4.5"></a><var>4.5</var>other document submitted; and<br/>
<a id="pl.4.6"></a><var>4.6</var>(2) the employer's name, address, and federal identification number.<br/>
<br/>
<a id="bill.1.5.0"></a><a id="pl.4.7"></a><var>4.7</var>    Sec. 5. Minnesota Statutes 2010, section 256J.24, subdivision 5, is amended to read:<br/>
<a id="pl.4.8"></a><var>4.8</var>    Subd. 5. <b>MFIP transitional standard.</b> The MFIP transitional standard is based <br/>
<a id="pl.4.9"></a><var>4.9</var>on the number of persons in the assistance unit eligible for both food and cash assistance <br/>
<a id="pl.4.10"></a><var>4.10</var>unless the restrictions in subdivision 6 on the birth of a child apply. The following table <br/>
<a id="pl.4.11"></a><var>4.11</var>represents the transitional standards including a breakdown of the cash and food portions <br/>
<a id="pl.4.12"></a><var>4.12</var>effective October 1, 2009.<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="17.5"/>
<col width="17.5"/>
<col width="10"/>
<tr>
<td><a id="pl.4.13"></a><var>4.13</var><br/>
</td>
<td align="center">Number of Eligible People<br/>
</td>
<td align="center">Transitional Standard<br/>
</td>
<td align="center">Cash Portion<br/>
</td>
<td align="center">Food Portion<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="10"/>
<col width="22.5"/>
<col width="17"/>
<col width="12.5"/>
<col width="3"/>
<tr>
<td><a id="pl.4.14"></a><var>4.14</var><br/>
</td>
<td align="right">1<br/>
</td>
<td align="right">$428:<br/>
</td>
<td align="right">$250<br/>
</td>
<td align="right">$178<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.15"></a><var>4.15</var><br/>
</td>
<td align="right">2<br/>
</td>
<td align="right">$764:<br/>
</td>
<td align="right">$437<br/>
</td>
<td align="right">$327<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.16"></a><var>4.16</var><br/>
</td>
<td align="right">3<br/>
</td>
<td align="right">$1,005:<br/>
</td>
<td align="right">$532<br/>
</td>
<td align="right">$473<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.17"></a><var>4.17</var><br/>
</td>
<td align="right">4<br/>
</td>
<td align="right"> $1,222:<br/>
</td>
<td align="right">$621<br/>
</td>
<td align="right"> $601<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.18"></a><var>4.18</var><br/>
</td>
<td align="right">5<br/>
</td>
<td align="right"> $1,399:<br/>
</td>
<td align="right">$697<br/>
</td>
<td align="right"> $702<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.19"></a><var>4.19</var><br/>
</td>
<td align="right">6<br/>
</td>
<td align="right"> $1,608:<br/>
</td>
<td align="right">$773<br/>
</td>
<td align="right"> $835<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.20"></a><var>4.20</var><br/>
</td>
<td align="right">7<br/>
</td>
<td align="right"> $1,754:<br/>
</td>
<td align="right">$850<br/>
</td>
<td align="right"> $904<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.21"></a><var>4.21</var><br/>
</td>
<td align="right">8<br/>
</td>
<td align="right"> $1,940:<br/>
</td>
<td align="right">$916<br/>
</td>
<td align="right"> $1,024<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.22"></a><var>4.22</var><br/>
</td>
<td align="right">9<br/>
</td>
<td align="right"> $2,125:<br/>
</td>
<td align="right">$980<br/>
</td>
<td align="right"> $1,145<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.23"></a><var>4.23</var><br/>
</td>
<td align="right">10<br/>
</td>
<td align="right"> $2,304:<br/>
</td>
<td align="right">$1,035<br/>
</td>
<td align="right"> $1,269<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.24"></a><var>4.24</var><br/>
</td>
<td align="right">over 10<br/>
</td>
<td align="right">add  $178:<br/>
</td>
<td align="right">$53<br/>
</td>
<td align="right">$125<br/>
</td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.4.25"></a><var>4.25</var><br/>
</td>
<td align="left" colspan="2">per additional member.<br/>
</td>
<td align="right"></td>
<td align="right"></td>
<td align="right"></td>
</tr>
</table><a id="pl.4.26"></a><var>4.26</var>The amount of the transitional standard is published annually by the Department of <br/>
<a id="pl.4.27"></a><var>4.27</var>Human Services.<br/>
<br/>
<a id="bill.1.6.0"></a><a id="pl.4.28"></a><var>4.28</var>    Sec. 6. Minnesota Statutes 2010, section 259.22, subdivision 2, is amended to read:<br/>
<a id="pl.4.29"></a><var>4.29</var>    Subd. 2. <b>Persons who may be adopted.</b> No petition for adoption shall be filed <br/>
<a id="pl.4.30"></a><var>4.30</var>unless the person sought to be adopted has been placed by the commissioner of human <br/>
<a id="pl.4.31"></a><var>4.31</var>services, the commissioner's agent, or a licensed child-placing agency. The provisions of <br/>
<a id="pl.4.32"></a><var>4.32</var>this subdivision shall not apply if:<br/>
<a id="pl.4.33"></a><var>4.33</var>    (1) the person to be adopted is over 14 years of age;<br/>
<a id="pl.4.34"></a><var>4.34</var>    (2) the child is sought to be adopted by an individual who is related to the child, as <br/>
<a id="pl.4.35"></a><var>4.35</var>defined by section 
         <statute_ref>245A.02, subdivision 13</statute_ref>;<br/>
<a id="pl.5.1"></a><var>5.1</var>    (3) the child has been lawfully placed under the laws of another state while the child <br/>
<a id="pl.5.2"></a><var>5.2</var>and petitioner resided in that other state;<br/>
<a id="pl.5.3"></a><var>5.3</var>    (4) the court waives the requirement of this subdivision in the best interests of the <br/>
<a id="pl.5.4"></a><var>5.4</var>child or petitioners, provided that the adoption does not involve a placement as defined in <br/>
<a id="pl.5.5"></a><var>5.5</var>section 
         <statute_ref>259.21, subdivision 8</statute_ref>; or<br/>
<a id="pl.5.6"></a><var>5.6</var>    (5) the child has been lawfully placed under section 
         <statute_ref>259.47</statute_ref>.<br/>
<br/>
<a id="bill.1.7.0"></a><a id="pl.5.7"></a><var>5.7</var>    Sec. 7. Minnesota Statutes 2010, section 259.23, subdivision 1, is amended to read:<br/>
<a id="pl.5.8"></a><var>5.8</var>    Subdivision 1. <b>Venue.</b> (a) Except as provided in section 
<statute_ref>260C.101, subdivision 2</statute_ref>, <br/>
<a id="pl.5.9"></a><var>5.9</var>The juvenile court shall have original jurisdiction in all adoption proceedings. The proper <br/>
<a id="pl.5.10"></a><var>5.10</var>venue for an adoption proceeding shall be the county of the petitioner's residence, except <br/>
<a id="pl.5.11"></a><var>5.11</var>as provided in paragraph (b) section 260C.621, subdivision 2, for the adoption of children <br/>
<a id="pl.5.12"></a><var>5.12</var>under the guardianship of the commissioner.<br/>
<a id="pl.5.13"></a><var>5.13</var>(b) Venue for the adoption of a child committed to the guardianship of the <br/>
<a id="pl.5.14"></a><var>5.14</var>commissioner of human services shall be the county with jurisdiction in the matter <br/>
<a id="pl.5.15"></a><var>5.15</var>according to section 
<statute_ref>260C.317, subdivision 3</statute_ref>.<br/>
<a id="pl.5.16"></a><var>5.16</var>(c) Upon request of the petitioner, the court having jurisdiction over the matter under <br/>
<a id="pl.5.17"></a><var>5.17</var>section 
<statute_ref>260C.317, subdivision 3</statute_ref>, may transfer venue of an adoption proceeding involving <br/>
<a id="pl.5.18"></a><var>5.18</var>a child under the guardianship of the commissioner to the county of the petitioner's <br/>
<a id="pl.5.19"></a><var>5.19</var>residence upon determining that:<br/>
<a id="pl.5.20"></a><var>5.20</var>(1) the commissioner has given consent to the petitioner's adoption of the child <br/>
<a id="pl.5.21"></a><var>5.21</var>or that consent is unreasonably withheld;<br/>
<a id="pl.5.22"></a><var>5.22</var>(2) there is no other adoption petition for the child that has been filed or is reasonably <br/>
<a id="pl.5.23"></a><var>5.23</var>anticipated by the commissioner or the commissioner's delegate to be filed; and<br/>
<a id="pl.5.24"></a><var>5.24</var>(3) transfer of venue is in the best interests of the child.<br/>
<a id="pl.5.25"></a><var>5.25</var>Transfer of venue under this paragraph shall be according to the rules of adoption court <br/>
<a id="pl.5.26"></a><var>5.26</var>procedure.<br/>
<a id="pl.5.27"></a><var>5.27</var>(d) (b) In all other adoptions under this chapter, if the petitioner has acquired a new <br/>
<a id="pl.5.28"></a><var>5.28</var>residence in another county and requests a transfer of the adoption proceeding, the court in <br/>
<a id="pl.5.29"></a><var>5.29</var>which an adoption is initiated may transfer the proceeding to the appropriate court in the <br/>
<a id="pl.5.30"></a><var>5.30</var>new county of residence if the transfer is in the best interests of the person to be adopted. <br/>
<a id="pl.5.31"></a><var>5.31</var>The court transfers the proceeding by ordering a continuance and by forwarding to the <br/>
<a id="pl.5.32"></a><var>5.32</var>court administrator of the appropriate court a certified copy of all papers filed, together <br/>
<a id="pl.5.33"></a><var>5.33</var>with an order of transfer. The transferring court also shall forward copies of the order <br/>
<a id="pl.5.34"></a><var>5.34</var>of transfer to the commissioner of human services and any agency participating in the <br/>
<a id="pl.5.35"></a><var>5.35</var>proceedings. The judge of the receiving court shall accept the order of the transfer and any <br/>
<a id="pl.6.1"></a><var>6.1</var>other documents transmitted and hear the case; provided, however, the receiving court <br/>
<a id="pl.6.2"></a><var>6.2</var>may in its discretion require the filing of a new petition prior to the hearing.<br/>
<br/>
<a id="bill.1.8.0"></a><a id="pl.6.3"></a><var>6.3</var>    Sec. 8. Minnesota Statutes 2010, section 259.24, subdivision 1, is amended to read:<br/>
<a id="pl.6.4"></a><var>6.4</var>    Subdivision 1. <b>Exceptions.</b> (a) No child shall be adopted without the consent of the <br/>
<a id="pl.6.5"></a><var>6.5</var>child's parents and the child's guardian, if there be one, except in the following instances <br/>
<a id="pl.6.6"></a><var>6.6</var>consent is not required of a parent:<br/>
<a id="pl.6.7"></a><var>6.7</var>(a) Consent shall not be required of a parent (1) who is not entitled to notice of the <br/>
<a id="pl.6.8"></a><var>6.8</var>proceedings.;<br/>
<a id="pl.6.9"></a><var>6.9</var>(b) Consent shall not be required of a parent (2) who has abandoned the child, or <br/>
<a id="pl.6.10"></a><var>6.10</var>of a parent who has lost custody of the child through a divorce decree or a decree of <br/>
<a id="pl.6.11"></a><var>6.11</var>dissolution, and upon whom notice has been served as required by section 
         <statute_ref>259.49</statute_ref>.; or<br/>
<a id="pl.6.12"></a><var>6.12</var>(c) Consent shall not be required of a parent (3) whose parental rights to the child <br/>
<a id="pl.6.13"></a><var>6.13</var>have been terminated by a juvenile court or who has lost custody of a child through a final <br/>
<a id="pl.6.14"></a><var>6.14</var>commitment of the juvenile court or through a decree in a prior adoption proceeding.<br/>
<a id="pl.6.15"></a><var>6.15</var>(d) If there be no parent or guardian qualified to consent to the adoption, the <br/>
<a id="pl.6.16"></a><var>6.16</var>consent shall be given by the commissioner. After the court accepts a parent's consent <br/>
<a id="pl.6.17"></a><var>6.17</var>to the adoption under section 
<statute_ref>260C.201, subdivision 11</statute_ref>, consent by the commissioner <br/>
<a id="pl.6.18"></a><var>6.18</var>or commissioner's delegate is also necessary. Agreement to the identified prospective <br/>
<a id="pl.6.19"></a><var>6.19</var>adoptive parent by the responsible social services agency under section 
<statute_ref>260C.201, <br/>
<a id="pl.6.20"></a><var>6.20</var>subdivision 11
</statute_ref>, does not constitute the required consent.<br/>
<a id="pl.6.21"></a><var>6.21</var>(e) (b) If there is no parent or guardian qualified to consent to the adoption, the <br/>
<a id="pl.6.22"></a><var>6.22</var>commissioner or agency having authority to place a child for adoption pursuant to section <br/>
<statute_ref><a id="pl.6.23"></a><var>6.23</var>259.25, subdivision 1
         </statute_ref>, shall have the exclusive right to consent to the adoption of such the <br/>
<a id="pl.6.24"></a><var>6.24</var>child. The commissioner or agency shall make every effort to place siblings together for <br/>
<a id="pl.6.25"></a><var>6.25</var>adoption. Notwithstanding any rule to the contrary, the commissioner may delegate the <br/>
<a id="pl.6.26"></a><var>6.26</var>right to consent to the adoption or separation of siblings, if it is in the child's best interest, <br/>
<a id="pl.6.27"></a><var>6.27</var>to a local social services agency.<br/>
<br/>
<a id="bill.1.9.0"></a><a id="pl.6.28"></a><var>6.28</var>    Sec. 9. Minnesota Statutes 2010, section 259.24, subdivision 3, is amended to read:<br/>
<a id="pl.6.29"></a><var>6.29</var>    Subd. 3. <b>Child.</b> When the child to be adopted is over 14 years of age, the child's <br/>
<a id="pl.6.30"></a><var>6.30</var>written consent to adoption by a particular person is also necessary. A child of any age <br/>
<a id="pl.6.31"></a><var>6.31</var>who is under the guardianship of the commissioner and is legally available for adoption <br/>
<a id="pl.6.32"></a><var>6.32</var>may not refuse or waive the commissioner's agent's exhaustive efforts to recruit, identify, <br/>
<a id="pl.6.33"></a><var>6.33</var>and place the child in an adoptive home required under section 
<statute_ref>260C.317</statute_ref>, subdivision <br/>
<a id="pl.7.1"></a><var>7.1</var>3, paragraph (b), or sign a document relieving county social services agencies of all <br/>
<a id="pl.7.2"></a><var>7.2</var>recruitment efforts on the child's behalf.<br/>
<br/>
<a id="bill.1.10.0"></a><a id="pl.7.3"></a><var>7.3</var>    Sec. 10. Minnesota Statutes 2010, section 259.24, subdivision 5, is amended to read:<br/>
<a id="pl.7.4"></a><var>7.4</var>    Subd. 5. <b>Execution.</b> All consents to an adoption shall be in writing, executed <br/>
<a id="pl.7.5"></a><var>7.5</var>before two competent witnesses, and acknowledged by the consenting party. In addition, <br/>
<a id="pl.7.6"></a><var>7.6</var>all consents to an adoption, except those by the commissioner, the commissioner's agent, <br/>
<a id="pl.7.7"></a><var>7.7</var>a licensed child-placing agency, an adult adoptee, or the child's parent in a petition for <br/>
<a id="pl.7.8"></a><var>7.8</var>adoption by a stepparent, shall be executed before a representative of the commissioner, <br/>
<a id="pl.7.9"></a><var>7.9</var>the commissioner's agent, or a licensed child-placing agency. All consents by a parent <br/>
<a id="pl.7.10"></a><var>7.10</var>to adoption under this chapter:<br/>
<a id="pl.7.11"></a><var>7.11</var>(1) shall contain notice to the parent of the substance of subdivision 6a, providing <br/>
<a id="pl.7.12"></a><var>7.12</var>for the right to withdraw consent unless the parent will not have the right to withdraw <br/>
<a id="pl.7.13"></a><var>7.13</var>consent because consent was executed under section 
<statute_ref>260C.201, subdivision 11</statute_ref>, following <br/>
<a id="pl.7.14"></a><var>7.14</var>proper notice that consent given under that provision is irrevocable upon acceptance by <br/>
<a id="pl.7.15"></a><var>7.15</var>the court as provided in subdivision 6a; and<br/>
<a id="pl.7.16"></a><var>7.16</var>(2) shall contain the following written notice in all capital letters at least one-eighth <br/>
<a id="pl.7.17"></a><var>7.17</var>inch high:<br/>
<a id="pl.7.18"></a><var>7.18</var>"This The agency responsible for supervising the adoptive placement of the child <br/>
<a id="pl.7.19"></a><var>7.19</var>will submit your consent to adoption to the court. If you are consenting to adoption by <br/>
<a id="pl.7.20"></a><var>7.20</var>the child's stepparent, the consent will be submitted to the court by the petitioner in your <br/>
<a id="pl.7.21"></a><var>7.21</var>child's adoption. The consent itself does not terminate your parental rights. Parental rights <br/>
<a id="pl.7.22"></a><var>7.22</var>to a child may be terminated only by an adoption decree or by a court order terminating <br/>
<a id="pl.7.23"></a><var>7.23</var>parental rights. Unless the child is adopted or your parental rights are terminated, you <br/>
<a id="pl.7.24"></a><var>7.24</var>may be asked to support the child."<br/>
<a id="pl.7.25"></a><var>7.25</var>Consents shall be filed in the adoption proceedings at any time before the matter <br/>
<a id="pl.7.26"></a><var>7.26</var>is heard provided, however, that a consent executed and acknowledged outside of this <br/>
<a id="pl.7.27"></a><var>7.27</var>state, either in accordance with the law of this state or in accordance with the law of the <br/>
<a id="pl.7.28"></a><var>7.28</var>place where executed, is valid.<br/>
<br/>
<a id="bill.1.11.0"></a><a id="pl.7.29"></a><var>7.29</var>    Sec. 11. Minnesota Statutes 2010, section 259.24, subdivision 6a, is amended to read:<br/>
<a id="pl.7.30"></a><var>7.30</var>    Subd. 6a. <b>Withdrawal of consent.</b> Except for consents executed under section <br/>
<a id="pl.7.31"></a><var>7.31</var><statute_ref>260C.201, subdivision 11</statute_ref>, A parent's consent to adoption under this chapter may be <br/>
<a id="pl.7.32"></a><var>7.32</var>withdrawn for any reason within ten working days after the consent is executed and <br/>
<a id="pl.7.33"></a><var>7.33</var>acknowledged. No later than the tenth working day after the consent is executed and <br/>
<a id="pl.7.34"></a><var>7.34</var>acknowledged, written notification of withdrawal of consent must be received by: (1) <br/>
<a id="pl.8.1"></a><var>8.1</var>the agency to which the child was surrendered no later than the tenth working day after <br/>
<a id="pl.8.2"></a><var>8.2</var>the consent is executed and acknowledged; (2) the agency supervising the adoptive <br/>
<a id="pl.8.3"></a><var>8.3</var>placement of the child; or (3) in the case of adoption by the step parent or any adoption <br/>
<a id="pl.8.4"></a><var>8.4</var>not involving agency placement or supervision, by the district court where the adopting <br/>
<a id="pl.8.5"></a><var>8.5</var>stepparent or parent resides. On the day following the tenth working day after execution <br/>
<a id="pl.8.6"></a><var>8.6</var>and acknowledgment, the consent shall become irrevocable, except upon order of a court <br/>
<a id="pl.8.7"></a><var>8.7</var>of competent jurisdiction after written findings that consent was obtained by fraud. A <br/>
<a id="pl.8.8"></a><var>8.8</var>consent to adopt executed under section 
<statute_ref>260C.201, subdivision 11</statute_ref>, is irrevocable upon <br/>
<a id="pl.8.9"></a><var>8.9</var>proper notice to both parents of the effect of a consent to adopt and acceptance by the <br/>
<a id="pl.8.10"></a><var>8.10</var>court, except upon order of the same court after written findings that the consent was <br/>
<a id="pl.8.11"></a><var>8.11</var>obtained by fraud. In proceedings to determine the existence of fraud, the adoptive parents <br/>
<a id="pl.8.12"></a><var>8.12</var>and the child shall be made parties. The proceedings shall be conducted to preserve the <br/>
<a id="pl.8.13"></a><var>8.13</var>confidentiality of the adoption process. There shall be no presumption in the proceedings <br/>
<a id="pl.8.14"></a><var>8.14</var>favoring the birth parents over the adoptive parents.<br/>
<br/>
<a id="bill.1.12.0"></a><a id="pl.8.15"></a><var>8.15</var>    Sec. 12. Minnesota Statutes 2010, section 259.24, subdivision 7, is amended to read:<br/>
<a id="pl.8.16"></a><var>8.16</var>    Subd. 7. <b>Withholding consent; reason.</b> Consent to an adoption shall not be <br/>
<a id="pl.8.17"></a><var>8.17</var>unreasonably withheld by a guardian, who is not a parent of the child, by the commissioner <br/>
<a id="pl.8.18"></a><var>8.18</var>or by an agency.<br/>
<br/>
<a id="bill.1.13.0"></a><a id="pl.8.19"></a><var>8.19</var>    Sec. 13. Minnesota Statutes 2010, section 259.29, subdivision 2, is amended to read:<br/>
<a id="pl.8.20"></a><var>8.20</var>    Subd. 2. <b>Placement with relative or friend.</b> The authorized child-placing agency <br/>
<a id="pl.8.21"></a><var>8.21</var>shall consider placement, consistent with the child's best interests and in the following <br/>
<a id="pl.8.22"></a><var>8.22</var>order, with (1) a relative or relatives of the child, or (2) an important friend with whom the <br/>
<a id="pl.8.23"></a><var>8.23</var>child has resided or had significant contact. In implementing this section, an authorized <br/>
<a id="pl.8.24"></a><var>8.24</var>child-placing agency may disclose private or confidential data, as defined in section 
         <statute_ref>13.02</statute_ref>, <br/>
<a id="pl.8.25"></a><var>8.25</var>to relatives of the child for the purpose of locating a suitable adoptive home. The agency <br/>
<a id="pl.8.26"></a><var>8.26</var>shall disclose only data that is necessary to facilitate implementing the preference.<br/>
<a id="pl.8.27"></a><var>8.27</var>If the child's birth parent or parents explicitly request that placement with relatives a <br/>
<a id="pl.8.28"></a><var>8.28</var>specific relative or important friends friend not be considered, the authorized child-placing <br/>
<a id="pl.8.29"></a><var>8.29</var>agency shall honor that request if it is consistent with the best interests of the child and <br/>
<a id="pl.8.30"></a><var>8.30</var>consistent with the requirements of sections 260C.212, subdivision 2, and 260C.221.<br/>
<a id="pl.8.31"></a><var>8.31</var>If the child's birth parent or parents express a preference for placing the child in an <br/>
<a id="pl.8.32"></a><var>8.32</var>adoptive home of the same or a similar religious background to that of the birth parent <br/>
<a id="pl.8.33"></a><var>8.33</var>or parents, the agency shall place the child with a family that meets the birth parent's <br/>
<a id="pl.8.34"></a><var>8.34</var>religious preference.<br/>
<a id="pl.9.1"></a><var>9.1</var>This subdivision does not affect the Indian Child Welfare Act, United States <br/>
<a id="pl.9.2"></a><var>9.2</var>Code, title 25, sections 1901 to 1923, and the Minnesota Indian Family Preservation <br/>
<a id="pl.9.3"></a><var>9.3</var>Act, sections 
         <statute_ref>260.751</statute_ref> to 
         <statute_ref>260.835</statute_ref>.<br/>
<br/>
<a id="bill.1.14.0"></a><a id="pl.9.4"></a><var>9.4</var>    Sec. 14. Minnesota Statutes 2010, section 260C.193, subdivision 3, is amended to read:<br/>
<a id="pl.9.5"></a><var>9.5</var>    Subd. 3. <b>Best interest of the child in foster care </b><b>or residential care</b><b>.</b> (a) The <br/>
<a id="pl.9.6"></a><var>9.6</var>policy of the state is to ensure that the best interests of children in foster or residential care <br/>
<a id="pl.9.7"></a><var>9.7</var>are met by requiring individualized determinations under section 
         <statute_ref>260C.212, subdivision 2</statute_ref>, <br/>
<a id="pl.9.8"></a><var>9.8</var>paragraph (b), of the needs of the child and of how the selected placement will serve the <br/>
<a id="pl.9.9"></a><var>9.9</var>needs of the child in foster care placements.<br/>
<a id="pl.9.10"></a><var>9.10</var>(b) The court shall review whether the responsible social services agency made <br/>
<a id="pl.9.11"></a><var>9.11</var>efforts as required under section 
         <statute_ref>260C.212, subdivision 5</statute_ref> 260C.221, and made an <br/>
<a id="pl.9.12"></a><var>9.12</var>individualized determination as required under section 
         <statute_ref>260C.212, subdivision 2</statute_ref>. If <br/>
<a id="pl.9.13"></a><var>9.13</var>the court finds the agency has not made efforts as required under section 
         <statute_ref>260C.212, <br/>
<a id="pl.9.14"></a><var>9.14</var>subdivision 5
</statute_ref> 260C.221, and there is a relative who qualifies to be licensed to provide <br/>
<a id="pl.9.15"></a><var>9.15</var>family foster care under chapter 245A, the court may order the child placed with the <br/>
<a id="pl.9.16"></a><var>9.16</var>relative consistent with the child's best interests.<br/>
<a id="pl.9.17"></a><var>9.17</var>(c) If the child's birth parent or parents explicitly request that a relative or important <br/>
<a id="pl.9.18"></a><var>9.18</var>friend not be considered, the court shall honor that request if it is consistent with the <br/>
<a id="pl.9.19"></a><var>9.19</var>best interests of the child and consistent with the requirements of section 260C.221. If <br/>
<a id="pl.9.20"></a><var>9.20</var>the child's birth parent or parents express a preference for placing the child in a foster or <br/>
<a id="pl.9.21"></a><var>9.21</var>adoptive home of the same or a similar religious background to that of the birth parent <br/>
<a id="pl.9.22"></a><var>9.22</var>or parents, the court shall order placement of the child with an individual who meets the <br/>
<a id="pl.9.23"></a><var>9.23</var>birth parent's religious preference.<br/>
<a id="pl.9.24"></a><var>9.24</var>(d) Placement of a child cannot be delayed or denied based on race, color, or national <br/>
<a id="pl.9.25"></a><var>9.25</var>origin of the foster parent or the child.<br/>
<a id="pl.9.26"></a><var>9.26</var>(e) Whenever possible, siblings requiring foster care placement should be placed <br/>
<a id="pl.9.27"></a><var>9.27</var>together unless it is determined not to be in the best interests of a sibling after weighing <br/>
<a id="pl.9.28"></a><var>9.28</var>the benefits of separate placement against the benefits of sibling connections for each <br/>
<a id="pl.9.29"></a><var>9.29</var>sibling. If siblings are not placed together according to section 
         <statute_ref>260C.212, subdivision 2</statute_ref>, <br/>
<a id="pl.9.30"></a><var>9.30</var>paragraph (d), the responsible social services agency shall report to the court the efforts <br/>
<a id="pl.9.31"></a><var>9.31</var>made to place the siblings together and why the efforts were not successful. If the court is <br/>
<a id="pl.9.32"></a><var>9.32</var>not satisfied with the agency's efforts to place siblings together, the court may order the <br/>
<a id="pl.9.33"></a><var>9.33</var>agency to make further efforts. If siblings are not placed together the court shall review <br/>
<a id="pl.9.34"></a><var>9.34</var>the responsible social services agency's plan for visitation among siblings required as part <br/>
<a id="pl.9.35"></a><var>9.35</var>of the out-of-home placement plan under section 
         <statute_ref>260C.212</statute_ref>.<br/>
<a id="pl.10.1"></a><var>10.1</var>(f) This subdivision does not affect the Indian Child Welfare Act, United States <br/>
<a id="pl.10.2"></a><var>10.2</var>Code, title 25, sections 1901 to 1923, and the Minnesota Indian Family Preservation <br/>
<a id="pl.10.3"></a><var>10.3</var>Act, sections 
         <statute_ref>260.751</statute_ref> to 
         <statute_ref>260.835</statute_ref>.<br/>
<br/>
<a id="bill.1.15.0"></a><a id="pl.10.4"></a><var>10.4</var>    Sec. 15. Minnesota Statutes 2010, section 260C.201, subdivision 11a, is amended to <br/>
<a id="pl.10.5"></a><var>10.5</var>read:<br/>
<a id="pl.10.6"></a><var>10.6</var>    Subd. 11a. <b>Permanency </b><b>progress </b><b>review for children </b><b>under eight</b><b> in foster care </b><br/>
<a id="pl.10.7"></a><var>10.7</var><b>for six months</b><b>.</b> (a) If the child was under eight years of age at the time the petition <br/>
<a id="pl.10.8"></a><var>10.8</var>was filed alleging the child was in need of protection or services, and the When a child <br/>
<a id="pl.10.9"></a><var>10.9</var>continues in placement out of the home of the parent or guardian from whom the child <br/>
<a id="pl.10.10"></a><var>10.10</var>was removed, no later than six months after the child's placement the court shall conduct a <br/>
<a id="pl.10.11"></a><var>10.11</var>permanency progress hearing to review:<br/>
<a id="pl.10.12"></a><var>10.12</var>(1) the progress of the case, the parent's progress on the case plan or out-of-home <br/>
<a id="pl.10.13"></a><var>10.13</var>placement plan, and whichever is applicable;<br/>
<a id="pl.10.14"></a><var>10.14</var>(2) the agency's reasonable, or in the case of an Indian child, active efforts for <br/>
<a id="pl.10.15"></a><var>10.15</var>reunification and its provision of services.; <br/>
<a id="pl.10.16"></a><var>10.16</var>(3) the agency's reasonable efforts to finalize the permanent plan for the child <br/>
<a id="pl.10.17"></a><var>10.17</var>under section 260.012, paragraph (e), and to make a placement as required under section <br/>
<a id="pl.10.18"></a><var>10.18</var>260C.212, subdivision 2, in a home that will commit to being the legally permanent <br/>
<a id="pl.10.19"></a><var>10.19</var>family for the child in the event the child cannot return home according to the timelines <br/>
<a id="pl.10.20"></a><var>10.20</var>in this section; and<br/>
<a id="pl.10.21"></a><var>10.21</var>(4) in the case of an Indian child, active efforts to prevent the breakup of the Indian <br/>
<a id="pl.10.22"></a><var>10.22</var>family and to make a placement according to the placement preferences under United <br/>
<a id="pl.10.23"></a><var>10.23</var>States Code, title 25, chapter 21, section 1915.<br/>
<a id="pl.10.24"></a><var>10.24</var>(b) Based on its assessment of the parent's or guardian's progress on the out-of-home <br/>
<a id="pl.10.25"></a><var>10.25</var>placement plan, the responsible social services agency must ask the county attorney to file <br/>
<a id="pl.10.26"></a><var>10.26</var>a petition for termination of parental rights, a petition for transfer of permanent legal and <br/>
<a id="pl.10.27"></a><var>10.27</var>physical custody to a relative, or the report required under juvenile court rules.<br/>
<a id="pl.10.28"></a><var>10.28</var>(b) The court shall ensure that notice of the hearing is sent to any relative who:<br/>
<a id="pl.10.29"></a><var>10.29</var>(1) responded to the agency's notice provided under section 260C.221, indicating an <br/>
<a id="pl.10.30"></a><var>10.30</var>interest in participating in planning for the child or being a permanency resource for the <br/>
<a id="pl.10.31"></a><var>10.31</var>child and who has kept the court apprised of the relative's address; or <br/>
<a id="pl.10.32"></a><var>10.32</var>(2) asked to be notified of court proceedings regarding the child as is permitted in <br/>
<a id="pl.10.33"></a><var>10.33</var>section 260C.152, subdivision 5.<br/>
<a id="pl.11.1"></a><var>11.1</var>(c)(1) If the parent or guardian has maintained contact with the child and is <br/>
<a id="pl.11.2"></a><var>11.2</var>complying with the court-ordered out-of-home placement plan, and if the child would <br/>
<a id="pl.11.3"></a><var>11.3</var>benefit from reunification with the parent, the court may either:<br/>
<a id="pl.11.4"></a><var>11.4</var>(i) return the child home, if the conditions which led to the out-of-home placement <br/>
<a id="pl.11.5"></a><var>11.5</var>have been sufficiently mitigated that it is safe and in the child's best interests to return <br/>
<a id="pl.11.6"></a><var>11.6</var>home; or<br/>
<a id="pl.11.7"></a><var>11.7</var>(ii) continue the matter up to a total of six additional months. If the child has not <br/>
<a id="pl.11.8"></a><var>11.8</var>returned home by the end of the additional six months, the court must conduct a hearing <br/>
<a id="pl.11.9"></a><var>11.9</var>according to subdivision 11.<br/>
<a id="pl.11.10"></a><var>11.10</var>(2) If the court determines that the parent or guardian is not complying with the <br/>
<a id="pl.11.11"></a><var>11.11</var>out-of-home placement plan or is not maintaining regular contact with the child as outlined <br/>
<a id="pl.11.12"></a><var>11.12</var>in the visitation plan required as part of the out-of-home placement plan under section <br/>
<statute_ref><a id="pl.11.13"></a><var>11.13</var>260C.212
         </statute_ref>, the court may order the responsible social services agency:<br/>
<a id="pl.11.14"></a><var>11.14</var>(i) to develop a plan for legally permanent placement of the child away from the <br/>
<a id="pl.11.15"></a><var>11.15</var>parent and;<br/>
<a id="pl.11.16"></a><var>11.16</var>(ii) to consider, identify, recruit, and support one or more permanency resources <br/>
<a id="pl.11.17"></a><var>11.17</var>from the child's relatives and foster parent to be the legally permanent home in the event <br/>
<a id="pl.11.18"></a><var>11.18</var>the child cannot be returned to the parent. Any relative or the child's foster parent may <br/>
<a id="pl.11.19"></a><var>11.19</var>ask the court to order the agency to consider them for permanent placement of the child <br/>
<a id="pl.11.20"></a><var>11.20</var>in the event the child cannot be returned to the parent. A relative or foster parent who <br/>
<a id="pl.11.21"></a><var>11.21</var>wants to be considered under this item shall cooperate with the background study required <br/>
<a id="pl.11.22"></a><var>11.22</var>under section 245C.08, if the individual has not already done so, and with the home study <br/>
<a id="pl.11.23"></a><var>11.23</var>process required under chapter 245A for providing child foster care and for adoption <br/>
<a id="pl.11.24"></a><var>11.24</var>under section 259.41. The home study referred to in this item shall be a single-home study <br/>
<a id="pl.11.25"></a><var>11.25</var>in the form required by the commissioner of human services or similar study required <br/>
<a id="pl.11.26"></a><var>11.26</var>by the individual's state of residence when the subject of the study is not a resident of <br/>
<a id="pl.11.27"></a><var>11.27</var>Minnesota. The court may order the responsible social services agency to make a referral <br/>
<a id="pl.11.28"></a><var>11.28</var>under the Interstate Compact on the Placement of Children when necessary to obtain a <br/>
<a id="pl.11.29"></a><var>11.29</var>home study for an individual who wants to be considered for transfer of permanent legal <br/>
<a id="pl.11.30"></a><var>11.30</var>and physical custody or adoption of the child; and<br/>
<a id="pl.11.31"></a><var>11.31</var>(iii) to file a petition to support an order for the legally permanent placement plan.<br/>
<a id="pl.11.32"></a><var>11.32</var>(d) Following the review under paragraphs (b) and (c) this subdivision:<br/>
<a id="pl.11.33"></a><var>11.33</var>(1) if the court has either returned the child home or continued the matter up to a <br/>
<a id="pl.11.34"></a><var>11.34</var>total of six additional months, the agency shall continue to provide services to support the <br/>
<a id="pl.11.35"></a><var>11.35</var>child's return home or to make reasonable efforts to achieve reunification of the child and <br/>
<a id="pl.11.36"></a><var>11.36</var>the parent as ordered by the court under an approved case plan;<br/>
<a id="pl.12.1"></a><var>12.1</var>(2) if the court orders the agency to develop a plan for the transfer of permanent <br/>
<a id="pl.12.2"></a><var>12.2</var>legal and physical custody of the child to a relative, a petition supporting the plan shall be <br/>
<a id="pl.12.3"></a><var>12.3</var>filed in juvenile court within 30 days of the hearing required under this subdivision and a <br/>
<a id="pl.12.4"></a><var>12.4</var>trial on the petition held within 30 60 days of the filing of the pleadings; or<br/>
<a id="pl.12.5"></a><var>12.5</var>(3) if the court orders the agency to file a termination of parental rights, unless the <br/>
<a id="pl.12.6"></a><var>12.6</var>county attorney can show cause why a termination of parental rights petition should not be <br/>
<a id="pl.12.7"></a><var>12.7</var>filed, a petition for termination of parental rights shall be filed in juvenile court within <br/>
<a id="pl.12.8"></a><var>12.8</var>30 days of the hearing required under this subdivision and a trial on the petition held <br/>
<a id="pl.12.9"></a><var>12.9</var>within 90 60 days of the filing of the petition.<br/>
<br/>
<a id="bill.1.16.0"></a><a id="pl.12.10"></a><var>12.10</var>    Sec. 16. Minnesota Statutes 2010, section 260C.212, subdivision 1, is amended to read:<br/>
<a id="pl.12.11"></a><var>12.11</var>    Subdivision 1. <b>Out-of-home placement; plan.</b> (a) An out-of-home placement plan <br/>
<a id="pl.12.12"></a><var>12.12</var>shall be prepared within 30 days after any child is placed in foster care by court order or a <br/>
<a id="pl.12.13"></a><var>12.13</var>voluntary placement agreement between the responsible social services agency and the <br/>
<a id="pl.12.14"></a><var>12.14</var>child's parent pursuant to subdivision 8 or chapter 260D.<br/>
<a id="pl.12.15"></a><var>12.15</var>    (b) An out-of-home placement plan means a written document which is prepared by <br/>
<a id="pl.12.16"></a><var>12.16</var>the responsible social services agency jointly with the parent or parents or guardian of the <br/>
<a id="pl.12.17"></a><var>12.17</var>child and in consultation with the child's guardian ad litem, the child's tribe, if the child <br/>
<a id="pl.12.18"></a><var>12.18</var>is an Indian child, the child's foster parent or representative of the residential foster care <br/>
<a id="pl.12.19"></a><var>12.19</var>facility, and, where appropriate, the child. For a child in voluntary foster care for treatment <br/>
<a id="pl.12.20"></a><var>12.20</var>under chapter 260D, preparation of the out-of-home placement plan shall additionally <br/>
<a id="pl.12.21"></a><var>12.21</var>include the child's mental health treatment provider. As appropriate, the plan shall be:<br/>
<a id="pl.12.22"></a><var>12.22</var>    (1) submitted to the court for approval under section 
         <statute_ref>260C.178</statute_ref>, subdivision 7;<br/>
<a id="pl.12.23"></a><var>12.23</var>    (2) ordered by the court, either as presented or modified after hearing, under section <br/>
<statute_ref><a id="pl.12.24"></a><var>12.24</var>260C.178
         </statute_ref>, subdivision 7, or 
         <statute_ref>260C.201</statute_ref>, subdivision 6; and<br/>
<a id="pl.12.25"></a><var>12.25</var>    (3) signed by the parent or parents or guardian of the child, the child's guardian ad <br/>
<a id="pl.12.26"></a><var>12.26</var>litem, a representative of the child's tribe, the responsible social services agency, and, if <br/>
<a id="pl.12.27"></a><var>12.27</var>possible, the child.<br/>
<a id="pl.12.28"></a><var>12.28</var>    (c) The out-of-home placement plan shall be explained to all persons involved in its <br/>
<a id="pl.12.29"></a><var>12.29</var>implementation, including the child who has signed the plan, and shall set forth:<br/>
<a id="pl.12.30"></a><var>12.30</var>    (1) a description of the residential facility foster care home or facility selected <br/>
<a id="pl.12.31"></a><var>12.31</var>including how the out-of-home placement plan is designed to achieve a safe placement <br/>
<a id="pl.12.32"></a><var>12.32</var>for the child in the least restrictive, most family-like, setting available which is in close <br/>
<a id="pl.12.33"></a><var>12.33</var>proximity to the home of the parent or parents or guardian of the child when the case plan <br/>
<a id="pl.12.34"></a><var>12.34</var>goal is reunification, and how the placement is consistent with the best interests and <br/>
<a id="pl.12.35"></a><var>12.35</var>special needs of the child according to the factors under subdivision 2, paragraph (b);<br/>
<a id="pl.13.1"></a><var>13.1</var>    (2) the specific reasons for the placement of the child in a residential facility foster <br/>
<a id="pl.13.2"></a><var>13.2</var>care, and when reunification is the plan, a description of the problems or conditions in the <br/>
<a id="pl.13.3"></a><var>13.3</var>home of the parent or parents which necessitated removal of the child from home and the <br/>
<a id="pl.13.4"></a><var>13.4</var>changes the parent or parents must make in order for the child to safely return home;<br/>
<a id="pl.13.5"></a><var>13.5</var>    (3) a description of the services offered and provided to prevent removal of the child <br/>
<a id="pl.13.6"></a><var>13.6</var>from the home and to reunify the family including:<br/>
<a id="pl.13.7"></a><var>13.7</var>    (i) the specific actions to be taken by the parent or parents of the child to eliminate <br/>
<a id="pl.13.8"></a><var>13.8</var>or correct the problems or conditions identified in clause (2), and the time period during <br/>
<a id="pl.13.9"></a><var>13.9</var>which the actions are to be taken; and<br/>
<a id="pl.13.10"></a><var>13.10</var>    (ii) the reasonable efforts, or in the case of an Indian child, active efforts to be made <br/>
<a id="pl.13.11"></a><var>13.11</var>to achieve a safe and stable home for the child including social and other supportive <br/>
<a id="pl.13.12"></a><var>13.12</var>services to be provided or offered to the parent or parents or guardian of the child, the <br/>
<a id="pl.13.13"></a><var>13.13</var>child, and the residential facility during the period the child is in the residential facility;<br/>
<a id="pl.13.14"></a><var>13.14</var>    (4) a description of any services or resources that were requested by the child or the <br/>
<a id="pl.13.15"></a><var>13.15</var>child's parent, guardian, foster parent, or custodian since the date of the child's placement <br/>
<a id="pl.13.16"></a><var>13.16</var>in the residential facility, and whether those services or resources were provided and if <br/>
<a id="pl.13.17"></a><var>13.17</var>not, the basis for the denial of the services or resources;<br/>
<a id="pl.13.18"></a><var>13.18</var>    (5) the visitation plan for the parent or parents or guardian, other relatives as defined <br/>
<a id="pl.13.19"></a><var>13.19</var>in section 
         <statute_ref>260C.007</statute_ref>, subdivision 27, and siblings of the child if the siblings are not placed <br/>
<a id="pl.13.20"></a><var>13.20</var>together in foster care, and whether visitation is consistent with the best interest of the <br/>
<a id="pl.13.21"></a><var>13.21</var>child, during the period the child is in foster care;<br/>
<a id="pl.13.22"></a><var>13.22</var>    (6) documentation of steps to finalize the adoption or legal guardianship of the child <br/>
<a id="pl.13.23"></a><var>13.23</var>if the court has issued an order terminating the rights of both parents of the child or of the <br/>
<a id="pl.13.24"></a><var>13.24</var>only known, living parent of the child. At a minimum, the documentation must include <br/>
<a id="pl.13.25"></a><var>13.25</var>child-specific recruitment efforts such as relative search and the use of state, regional, and <br/>
<a id="pl.13.26"></a><var>13.26</var>national adoption exchanges to facilitate orderly and timely placements in and outside <br/>
<a id="pl.13.27"></a><var>13.27</var>of the state. A copy of this documentation shall be provided to the court in the review <br/>
<a id="pl.13.28"></a><var>13.28</var>required under section 
         <statute_ref>260C.317</statute_ref>, subdivision 3, paragraph (b);<br/>
<a id="pl.13.29"></a><var>13.29</var>    (7) efforts to ensure the child's educational stability while in foster care, including:<br/>
<a id="pl.13.30"></a><var>13.30</var>(i) efforts to ensure that the child in placement remains in the same school in which <br/>
<a id="pl.13.31"></a><var>13.31</var>the child was enrolled prior to placement or upon the child's move from one placement <br/>
<a id="pl.13.32"></a><var>13.32</var>to another, including efforts to work with the local education authorities to ensure the <br/>
<a id="pl.13.33"></a><var>13.33</var>child's educational stability; or<br/>
<a id="pl.13.34"></a><var>13.34</var>(ii) if it is not in the child's best interest to remain in the same school that the child <br/>
<a id="pl.13.35"></a><var>13.35</var>was enrolled in prior to placement or move from one placement to another, efforts to <br/>
<a id="pl.13.36"></a><var>13.36</var>ensure immediate and appropriate enrollment for the child in a new school;<br/>
<a id="pl.14.1"></a><var>14.1</var>(8) the educational records of the child including the most recent information <br/>
<a id="pl.14.2"></a><var>14.2</var>available regarding:<br/>
<a id="pl.14.3"></a><var>14.3</var>    (i) the names and addresses of the child's educational providers;<br/>
<a id="pl.14.4"></a><var>14.4</var>    (ii) the child's grade level performance;<br/>
<a id="pl.14.5"></a><var>14.5</var>    (iii) the child's school record;<br/>
<a id="pl.14.6"></a><var>14.6</var>    (iv) a statement about how the child's placement in foster care takes into account <br/>
<a id="pl.14.7"></a><var>14.7</var>proximity to the school in which the child is enrolled at the time of placement; and<br/>
<a id="pl.14.8"></a><var>14.8</var>(v) any other relevant educational information;<br/>
<a id="pl.14.9"></a><var>14.9</var>    (9) the efforts by the local agency to ensure the oversight and continuity of health <br/>
<a id="pl.14.10"></a><var>14.10</var>care services for the foster child, including:<br/>
<a id="pl.14.11"></a><var>14.11</var>(i) the plan to schedule the child's initial health screens;<br/>
<a id="pl.14.12"></a><var>14.12</var>(ii) how the child's known medical problems and identified needs from the screens, <br/>
<a id="pl.14.13"></a><var>14.13</var>including any known communicable diseases, as defined in section 
         <statute_ref>144.4172</statute_ref>, subdivision <br/>
<a id="pl.14.14"></a><var>14.14</var>2, will be monitored and treated while the child is in foster care;<br/>
<a id="pl.14.15"></a><var>14.15</var>(iii) how the child's medical information will be updated and shared, including <br/>
<a id="pl.14.16"></a><var>14.16</var>the child's immunizations;<br/>
<a id="pl.14.17"></a><var>14.17</var>(iv) who is responsible to coordinate and respond to the child's health care needs, <br/>
<a id="pl.14.18"></a><var>14.18</var>including the role of the parent, the agency, and the foster parent;<br/>
<a id="pl.14.19"></a><var>14.19</var>(v) who is responsible for oversight of the child's prescription medications;<br/>
<a id="pl.14.20"></a><var>14.20</var>(vi) how physicians or other appropriate medical and nonmedical professionals <br/>
<a id="pl.14.21"></a><var>14.21</var>will be consulted and involved in assessing the health and well-being of the child and <br/>
<a id="pl.14.22"></a><var>14.22</var>determine the appropriate medical treatment for the child; and<br/>
<a id="pl.14.23"></a><var>14.23</var>(vii) the responsibility to ensure that the child has access to medical care through <br/>
<a id="pl.14.24"></a><var>14.24</var>either medical insurance or medical assistance;<br/>
<a id="pl.14.25"></a><var>14.25</var>(10) the health records of the child including information available regarding:<br/>
<a id="pl.14.26"></a><var>14.26</var>(i) the names and addresses of the child's health care and dental care providers;<br/>
<a id="pl.14.27"></a><var>14.27</var>(ii) a record of the child's immunizations;<br/>
<a id="pl.14.28"></a><var>14.28</var>(iii) the child's known medical problems, including any known communicable <br/>
<a id="pl.14.29"></a><var>14.29</var>diseases as defined in section 
         <statute_ref>144.4172</statute_ref>, subdivision 2;<br/>
<a id="pl.14.30"></a><var>14.30</var>(iv) the child's medications; and<br/>
<a id="pl.14.31"></a><var>14.31</var>(v) any other relevant health care information such as the child's eligibility for <br/>
<a id="pl.14.32"></a><var>14.32</var>medical insurance or medical assistance;<br/>
<a id="pl.14.33"></a><var>14.33</var>(11) an independent living plan for a child age 16 or older who is in placement as <br/>
<a id="pl.14.34"></a><var>14.34</var>a result of a permanency disposition. The plan should include, but not be limited to, <br/>
<a id="pl.14.35"></a><var>14.35</var>the following objectives:<br/>
<a id="pl.14.36"></a><var>14.36</var>    (i) educational, vocational, or employment planning;<br/>
<a id="pl.15.1"></a><var>15.1</var>    (ii) health care planning and medical coverage;<br/>
<a id="pl.15.2"></a><var>15.2</var>    (iii) transportation including, where appropriate, assisting the child in obtaining a <br/>
<a id="pl.15.3"></a><var>15.3</var>driver's license;<br/>
<a id="pl.15.4"></a><var>15.4</var>    (iv) money management, including the responsibility of the agency to ensure that <br/>
<a id="pl.15.5"></a><var>15.5</var>the youth annually receives, at no cost to the youth, a consumer report as defined under <br/>
<a id="pl.15.6"></a><var>15.6</var>section 13C.001 and assistance in interpreting and resolving any inaccuracies in the report;<br/>
<a id="pl.15.7"></a><var>15.7</var>    (v) planning for housing;<br/>
<a id="pl.15.8"></a><var>15.8</var>    (vi) social and recreational skills; and<br/>
<a id="pl.15.9"></a><var>15.9</var>    (vii) establishing and maintaining connections with the child's family and <br/>
<a id="pl.15.10"></a><var>15.10</var>community; and<br/>
<a id="pl.15.11"></a><var>15.11</var>    (12) for a child in voluntary foster care for treatment under chapter 260D, diagnostic <br/>
<a id="pl.15.12"></a><var>15.12</var>and assessment information, specific services relating to meeting the mental health care <br/>
<a id="pl.15.13"></a><var>15.13</var>needs of the child, and treatment outcomes.<br/>
<a id="pl.15.14"></a><var>15.14</var>    (d) The parent or parents or guardian and the child each shall have the right to legal <br/>
<a id="pl.15.15"></a><var>15.15</var>counsel in the preparation of the case plan and shall be informed of the right at the time <br/>
<a id="pl.15.16"></a><var>15.16</var>of placement of the child. The child shall also have the right to a guardian ad litem. <br/>
<a id="pl.15.17"></a><var>15.17</var>If unable to employ counsel from their own resources, the court shall appoint counsel <br/>
<a id="pl.15.18"></a><var>15.18</var>upon the request of the parent or parents or the child or the child's legal guardian. The <br/>
<a id="pl.15.19"></a><var>15.19</var>parent or parents may also receive assistance from any person or social services agency <br/>
<a id="pl.15.20"></a><var>15.20</var>in preparation of the case plan.<br/>
<a id="pl.15.21"></a><var>15.21</var>    After the plan has been agreed upon by the parties involved or approved or ordered <br/>
<a id="pl.15.22"></a><var>15.22</var>by the court, the foster parents shall be fully informed of the provisions of the case plan <br/>
<a id="pl.15.23"></a><var>15.23</var>and shall be provided a copy of the plan.<br/>
<a id="pl.15.24"></a><var>15.24</var>    Upon discharge from foster care, the parent, adoptive parent, or permanent legal and <br/>
<a id="pl.15.25"></a><var>15.25</var>physical custodian, as appropriate, and the child, if appropriate, must be provided with <br/>
<a id="pl.15.26"></a><var>15.26</var>a current copy of the child's health and education record.<br/>
<br/>
<a id="bill.1.17.0"></a><a id="pl.15.27"></a><var>15.27</var>    Sec. 17. Minnesota Statutes 2010, section 260C.212, subdivision 2, is amended to read:<br/>
<a id="pl.15.28"></a><var>15.28</var>    Subd. 2. <b>Placement decisions based on best interest of the child.</b> (a) The policy <br/>
<a id="pl.15.29"></a><var>15.29</var>of the state of Minnesota is to ensure that the child's best interests are met by requiring an <br/>
<a id="pl.15.30"></a><var>15.30</var>individualized determination of the needs of the child and of how the selected placement <br/>
<a id="pl.15.31"></a><var>15.31</var>will serve the needs of the child being placed. The authorized child-placing agency shall <br/>
<a id="pl.15.32"></a><var>15.32</var>place a child, released by court order or by voluntary release by the parent or parents, in <br/>
<a id="pl.15.33"></a><var>15.33</var>a family foster home selected by considering placement with relatives and important <br/>
<a id="pl.15.34"></a><var>15.34</var>friends in the following order:<br/>
<a id="pl.15.35"></a><var>15.35</var>    (1) with an individual who is related to the child by blood, marriage, or adoption; or<br/>
<a id="pl.16.1"></a><var>16.1</var>    (2) with an individual who is an important friend with whom the child has resided or <br/>
<a id="pl.16.2"></a><var>16.2</var>had significant contact.<br/>
<a id="pl.16.3"></a><var>16.3</var>    (b) Among the factors the agency shall consider in determining the needs of the <br/>
<a id="pl.16.4"></a><var>16.4</var>child are the following:<br/>
<a id="pl.16.5"></a><var>16.5</var>    (1) the child's current functioning and behaviors;<br/>
<a id="pl.16.6"></a><var>16.6</var>    (2) the medical, needs of the child;<br/>
<a id="pl.16.7"></a><var>16.7</var>(3) the educational, and needs of the child;<br/>
<a id="pl.16.8"></a><var>16.8</var>(4) the developmental needs of the child;<br/>
<a id="pl.16.9"></a><var>16.9</var>    (3) (5) the child's history and past experience;<br/>
<a id="pl.16.10"></a><var>16.10</var>    (4) (6) the child's religious and cultural needs;<br/>
<a id="pl.16.11"></a><var>16.11</var>    (5) (7) the child's connection with a community, school, and faith community;<br/>
<a id="pl.16.12"></a><var>16.12</var>    (6) (8) the child's interests and talents;<br/>
<a id="pl.16.13"></a><var>16.13</var>    (7) (9) the child's relationship to current caretakers, parents, siblings, and relatives; <br/>
<a id="pl.16.14"></a><var>16.14</var>and<br/>
<a id="pl.16.15"></a><var>16.15</var>    (8) (10) the reasonable preference of the child, if the court, or the child-placing <br/>
<a id="pl.16.16"></a><var>16.16</var>agency in the case of a voluntary placement, deems the child to be of sufficient age to <br/>
<a id="pl.16.17"></a><var>16.17</var>express preferences.<br/>
<a id="pl.16.18"></a><var>16.18</var>    (c) Placement of a child cannot be delayed or denied based on race, color, or national <br/>
<a id="pl.16.19"></a><var>16.19</var>origin of the foster parent or the child.<br/>
<a id="pl.16.20"></a><var>16.20</var>    (d) Siblings should be placed together for foster care and adoption at the earliest <br/>
<a id="pl.16.21"></a><var>16.21</var>possible time unless it is documented that a joint placement would be contrary to the <br/>
<a id="pl.16.22"></a><var>16.22</var>safety or well-being of any of the siblings or unless it is not possible after reasonable <br/>
<a id="pl.16.23"></a><var>16.23</var>efforts by the responsible social services agency. In cases where siblings cannot be placed <br/>
<a id="pl.16.24"></a><var>16.24</var>together, the agency is required to provide frequent visitation or other ongoing interaction <br/>
<a id="pl.16.25"></a><var>16.25</var>between siblings unless the agency documents that the interaction would be contrary to <br/>
<a id="pl.16.26"></a><var>16.26</var>the safety or well-being of any of the siblings.<br/>
<a id="pl.16.27"></a><var>16.27</var>    (e) Except for emergency placement as provided for in section 
         <statute_ref>245A.035</statute_ref>, a <br/>
<a id="pl.16.28"></a><var>16.28</var>completed background study is required under section 
         <statute_ref>245C.08</statute_ref> before the approval of a <br/>
<a id="pl.16.29"></a><var>16.29</var>foster placement in a related or unrelated home.<br/>
<br/>
<a id="bill.1.18.0"></a><a id="pl.16.30"></a><var>16.30</var>    Sec. 18. Minnesota Statutes 2010, section 260C.212, subdivision 5, is amended to read:<br/>
<a id="pl.16.31"></a><var>16.31</var>    Subd. 5. <b>Relative search.</b> (a) The responsible social services agency shall exercise <br/>
<a id="pl.16.32"></a><var>16.32</var>due diligence to identify and notify adult relatives prior to placement or within 30 days <br/>
<a id="pl.16.33"></a><var>16.33</var>after the child's removal from the parent. The county agency shall consider placement <br/>
<a id="pl.16.34"></a><var>16.34</var>with a relative under subdivision 2 section 260C.221 without delay. The relative search <br/>
<a id="pl.16.35"></a><var>16.35</var>required by this section shall be reasonable and comprehensive in scope and may last up <br/>
<a id="pl.17.1"></a><var>17.1</var>to six months or until a fit and willing relative is identified. The relative search required by <br/>
<a id="pl.17.2"></a><var>17.2</var>this section shall include both maternal relatives of the child and paternal relatives of the <br/>
<a id="pl.17.3"></a><var>17.3</var>child, if paternity is adjudicated. The relatives must be notified:<br/>
<a id="pl.17.4"></a><var>17.4</var>(1) of the need for a foster home for the child, the option to become a placement <br/>
<a id="pl.17.5"></a><var>17.5</var>resource for the child, and the possibility of the need for a permanent placement for the <br/>
<a id="pl.17.6"></a><var>17.6</var>child;<br/>
<a id="pl.17.7"></a><var>17.7</var>(2) of their responsibility to keep the responsible social services agency and the court <br/>
<a id="pl.17.8"></a><var>17.8</var>informed of their current address in order to receive notice in the event that a permanent <br/>
<a id="pl.17.9"></a><var>17.9</var>placement is sought for the child and to receive notice of the permanency progress review <br/>
<a id="pl.17.10"></a><var>17.10</var>hearing under section 260C.204. A relative who fails to provide a current address to the <br/>
<a id="pl.17.11"></a><var>17.11</var>responsible social services agency and the court forfeits the right to receive notice of <br/>
<a id="pl.17.12"></a><var>17.12</var>the possibility of permanent placement and of the permanency progress review hearing <br/>
<a id="pl.17.13"></a><var>17.13</var>under section 260C.204. A decision by a relative not to be a placement resource at the <br/>
<a id="pl.17.14"></a><var>17.14</var>beginning of the case shall not affect whether the relative is considered for placement of <br/>
<a id="pl.17.15"></a><var>17.15</var>the child with that relative later;<br/>
<a id="pl.17.16"></a><var>17.16</var>(3) that the relative may participate in the care and planning for the child, including <br/>
<a id="pl.17.17"></a><var>17.17</var>that the opportunity for such participation may be lost by failing to respond to the notice <br/>
<a id="pl.17.18"></a><var>17.18</var>sent under this subdivision; and<br/>
<a id="pl.17.19"></a><var>17.19</var>(4) of the family foster care licensing requirements, including how to complete an <br/>
<a id="pl.17.20"></a><var>17.20</var>application and how to request a variance from licensing standards that do not present a <br/>
<a id="pl.17.21"></a><var>17.21</var>safety or health risk to the child in the home under section 
         <statute_ref>245A.04</statute_ref> and supports that are <br/>
<a id="pl.17.22"></a><var>17.22</var>available for relatives and children who reside in a family foster home.<br/>
<a id="pl.17.23"></a><var>17.23</var>(b) A responsible social services agency may disclose private or confidential data, <br/>
<a id="pl.17.24"></a><var>17.24</var>as defined in section 
         <statute_ref>13.02</statute_ref>, to relatives of the child for the purpose of locating a suitable <br/>
<a id="pl.17.25"></a><var>17.25</var>placement. The agency shall disclose only data that is necessary to facilitate possible <br/>
<a id="pl.17.26"></a><var>17.26</var>placement with relatives. If the child's parent refuses to give the responsible social <br/>
<a id="pl.17.27"></a><var>17.27</var>services agency information sufficient to identify the maternal and paternal relatives of the <br/>
<a id="pl.17.28"></a><var>17.28</var>child, the agency shall ask the juvenile court to order the parent to provide the necessary <br/>
<a id="pl.17.29"></a><var>17.29</var>information. If a parent makes an explicit request that relatives or a specific relative not <br/>
<a id="pl.17.30"></a><var>17.30</var>be contacted or considered for placement due to safety reasons including past family or <br/>
<a id="pl.17.31"></a><var>17.31</var>domestic violence, the agency shall bring the parent's request to the attention of the court <br/>
<a id="pl.17.32"></a><var>17.32</var>to determine whether the parent's request is consistent with the best interests of the child <br/>
<a id="pl.17.33"></a><var>17.33</var>and the agency shall not contact relatives or a the specific relative unless authorized to do <br/>
<a id="pl.17.34"></a><var>17.34</var>so by when the juvenile court finds that contacting the specific relative would endanger <br/>
<a id="pl.17.35"></a><var>17.35</var>the parent, guardian, child, sibling, or any family member.<br/>
<a id="pl.18.1"></a><var>18.1</var>(c) When the placing agency determines that a permanent placement hearing is <br/>
<a id="pl.18.2"></a><var>18.2</var>necessary because there is a likelihood that the child will not return to a parent's care, the <br/>
<a id="pl.18.3"></a><var>18.3</var>agency may send the notice provided in paragraph (d), may ask the court to modify the <br/>
<a id="pl.18.4"></a><var>18.4</var>requirements of the agency under this paragraph, or may ask the court to completely <br/>
<a id="pl.18.5"></a><var>18.5</var>relieve the agency of the requirements of this paragraph (d). The relative notification <br/>
<a id="pl.18.6"></a><var>18.6</var>requirements of this paragraph do not apply when the child is placed with an appropriate <br/>
<a id="pl.18.7"></a><var>18.7</var>relative or a foster home that has committed to being the permanent legal placement for <br/>
<a id="pl.18.8"></a><var>18.8</var>the child and the agency approves of that foster home for permanent placement of the <br/>
<a id="pl.18.9"></a><var>18.9</var>child. The actions ordered by the court under this section must be consistent with the best <br/>
<a id="pl.18.10"></a><var>18.10</var>interests, safety, and welfare of the child.<br/>
<a id="pl.18.11"></a><var>18.11</var>(d) Unless required under the Indian Child Welfare Act or relieved of this duty by the <br/>
<a id="pl.18.12"></a><var>18.12</var>court under paragraph (c), when the agency determines that it is necessary to prepare for <br/>
<a id="pl.18.13"></a><var>18.13</var>the permanent placement determination hearing, or in anticipation of filing a termination <br/>
<a id="pl.18.14"></a><var>18.14</var>of parental rights petition, the agency shall send notice to the relatives, any adult with <br/>
<a id="pl.18.15"></a><var>18.15</var>whom the child is currently residing, any adult with whom the child has resided for one <br/>
<a id="pl.18.16"></a><var>18.16</var>year or longer in the past, and any adults who have maintained a relationship or exercised <br/>
<a id="pl.18.17"></a><var>18.17</var>visitation with the child as identified in the agency case plan. The notice must state that a <br/>
<a id="pl.18.18"></a><var>18.18</var>permanent home is sought for the child and that the individuals receiving the notice may <br/>
<a id="pl.18.19"></a><var>18.19</var>indicate to the agency their interest in providing a permanent home. The notice must state <br/>
<a id="pl.18.20"></a><var>18.20</var>that within 30 days of receipt of the notice an individual receiving the notice must indicate <br/>
<a id="pl.18.21"></a><var>18.21</var>to the agency the individual's interest in providing a permanent home for the child or that <br/>
<a id="pl.18.22"></a><var>18.22</var>the individual may lose the opportunity to be considered for a permanent placement.<br/>
<a id="pl.18.23"></a><var>18.23</var>(e) The Department of Human Services shall develop a best practices guide and <br/>
<a id="pl.18.24"></a><var>18.24</var>specialized staff training to assist the responsible social services agency in performing and <br/>
<a id="pl.18.25"></a><var>18.25</var>complying with the relative search requirements under this subdivision.<br/>
<br/>
<a id="bill.1.19.0"></a><a id="pl.18.26"></a><var>18.26</var>    Sec. 19. Minnesota Statutes 2010, section 260C.212, subdivision 7, is amended to read:<br/>
<a id="pl.18.27"></a><var>18.27</var>    Subd. 7. <b>Administrative or court review of placements.</b> (a) There shall be an <br/>
<a id="pl.18.28"></a><var>18.28</var>administrative review of the out-of-home placement plan of each child placed in foster <br/>
<a id="pl.18.29"></a><var>18.29</var>care no later than 180 days after the initial placement of the child in foster care and at least <br/>
<a id="pl.18.30"></a><var>18.30</var>every six months thereafter if the child is not returned to the home of the parent or parents <br/>
<a id="pl.18.31"></a><var>18.31</var>within that time. The out-of-home placement plan must be monitored and updated at each <br/>
<a id="pl.18.32"></a><var>18.32</var>administrative review. The administrative review shall be conducted by the responsible <br/>
<a id="pl.18.33"></a><var>18.33</var>social services agency using a panel of appropriate persons at least one of whom is not <br/>
<a id="pl.18.34"></a><var>18.34</var>responsible for the case management of, or the delivery of services to, either the child or <br/>
<a id="pl.19.1"></a><var>19.1</var>the parents who are the subject of the review. The administrative review shall be open to <br/>
<a id="pl.19.2"></a><var>19.2</var>participation by the parent or guardian of the child and the child, as appropriate.<br/>
<a id="pl.19.3"></a><var>19.3</var>    (b) As an alternative to the administrative review required in paragraph (a), the court <br/>
<a id="pl.19.4"></a><var>19.4</var>may, as part of any hearing required under the Minnesota Rules of Juvenile Protection <br/>
<a id="pl.19.5"></a><var>19.5</var>Procedure, conduct a hearing to monitor and update the out-of-home placement plan <br/>
<a id="pl.19.6"></a><var>19.6</var>pursuant to the procedure and standard in section 
         <statute_ref>260C.201</statute_ref>, subdivision 6, paragraph (d). <br/>
<a id="pl.19.7"></a><var>19.7</var>The party requesting review of the out-of-home placement plan shall give parties to the <br/>
<a id="pl.19.8"></a><var>19.8</var>proceeding notice of the request to review and update the out-of-home placement plan. <br/>
<a id="pl.19.9"></a><var>19.9</var>A court review conducted pursuant to section 
         <statute_ref>260C.193</statute_ref>; 
         <statute_ref>260C.201</statute_ref>, subdivision 1 or 11; <br/>
<statute_ref><a id="pl.19.10"></a><var>19.10</var>260C.141
         </statute_ref>, subdivision 2; 
         <statute_ref>260C.317</statute_ref>; or 
         <statute_ref>260D.06</statute_ref> shall satisfy the requirement for the <br/>
<a id="pl.19.11"></a><var>19.11</var>review so long as the other requirements of this section are met.<br/>
<a id="pl.19.12"></a><var>19.12</var>    (c) As appropriate to the stage of the proceedings and relevant court orders, the <br/>
<a id="pl.19.13"></a><var>19.13</var>responsible social services agency or the court shall review:<br/>
<a id="pl.19.14"></a><var>19.14</var>    (1) the safety, permanency needs, and well-being of the child;<br/>
<a id="pl.19.15"></a><var>19.15</var>    (2) the continuing necessity for and appropriateness of the placement;<br/>
<a id="pl.19.16"></a><var>19.16</var>    (3) the extent of compliance with the out-of-home placement plan;<br/>
<a id="pl.19.17"></a><var>19.17</var>    (4) the extent of progress which has been made toward alleviating or mitigating the <br/>
<a id="pl.19.18"></a><var>19.18</var>causes necessitating placement in foster care;<br/>
<a id="pl.19.19"></a><var>19.19</var>    (5) the projected date by which the child may be returned to and safely maintained in <br/>
<a id="pl.19.20"></a><var>19.20</var>the home or placed permanently away from the care of the parent or parents or guardian; <br/>
<a id="pl.19.21"></a><var>19.21</var>and<br/>
<a id="pl.19.22"></a><var>19.22</var>    (6) the appropriateness of the services provided to the child.<br/>
<a id="pl.19.23"></a><var>19.23</var>    (d) When a child is age 16 or older, in addition to any administrative review <br/>
<a id="pl.19.24"></a><var>19.24</var>conducted by the agency, at the in-court review required under section 
         <statute_ref>260C.201</statute_ref>, <br/>
<a id="pl.19.25"></a><var>19.25</var>subdivision 11, or 
         <statute_ref>260C.317</statute_ref>, subdivision 3, clause (3), the court shall review the <br/>
<a id="pl.19.26"></a><var>19.26</var>independent living plan required under subdivision 1, paragraph (c), clause (11), and the <br/>
<a id="pl.19.27"></a><var>19.27</var>provision of services to the child related to the well-being of the child as the child prepares <br/>
<a id="pl.19.28"></a><var>19.28</var>to leave foster care. The review shall include the actual plans related to each item in the <br/>
<a id="pl.19.29"></a><var>19.29</var>plan necessary to the child's future safety and well-being when the child is no longer <br/>
<a id="pl.19.30"></a><var>19.30</var>in foster care.<br/>
<a id="pl.19.31"></a><var>19.31</var>    (1) At the court review, the responsible social services agency shall establish that it <br/>
<a id="pl.19.32"></a><var>19.32</var>has given the notice required under section 
         <statute_ref>260C.456</statute_ref> or Minnesota Rules, part 9560.0660, <br/>
<a id="pl.19.33"></a><var>19.33</var>regarding the right to continued access to services for certain children in foster care past <br/>
<a id="pl.19.34"></a><var>19.34</var>age 18 and of the right to appeal a denial of social services under section 
         <statute_ref>256.045</statute_ref>. If the <br/>
<a id="pl.19.35"></a><var>19.35</var>agency is unable to establish that the notice, including the right to appeal a denial of social <br/>
<a id="pl.19.36"></a><var>19.36</var>services, has been given, the court shall require the agency to give it.<br/>
<a id="pl.20.1"></a><var>20.1</var>    (2) Consistent with the requirements of the independent living plan, the court shall <br/>
<a id="pl.20.2"></a><var>20.2</var>review progress toward or accomplishment of the following goals:<br/>
<a id="pl.20.3"></a><var>20.3</var>    (i) the child has obtained a high school diploma or its equivalent;<br/>
<a id="pl.20.4"></a><var>20.4</var>    (ii) the child has completed a driver's education course or has demonstrated the <br/>
<a id="pl.20.5"></a><var>20.5</var>ability to use public transportation in the child's community;<br/>
<a id="pl.20.6"></a><var>20.6</var>    (iii) the child is employed or enrolled in postsecondary education;<br/>
<a id="pl.20.7"></a><var>20.7</var>    (iv) the child has applied for and obtained postsecondary education financial aid for <br/>
<a id="pl.20.8"></a><var>20.8</var>which the child is eligible;<br/>
<a id="pl.20.9"></a><var>20.9</var>    (v) the child has health care coverage and health care providers to meet the child's <br/>
<a id="pl.20.10"></a><var>20.10</var>physical and mental health needs;<br/>
<a id="pl.20.11"></a><var>20.11</var>    (vi) the child has applied for and obtained disability income assistance for which <br/>
<a id="pl.20.12"></a><var>20.12</var>the child is eligible;<br/>
<a id="pl.20.13"></a><var>20.13</var>    (vii) the child has obtained affordable housing with necessary supports, which does <br/>
<a id="pl.20.14"></a><var>20.14</var>not include a homeless shelter;<br/>
<a id="pl.20.15"></a><var>20.15</var>    (viii) the child has saved sufficient funds to pay for the first month's rent and a <br/>
<a id="pl.20.16"></a><var>20.16</var>damage deposit;<br/>
<a id="pl.20.17"></a><var>20.17</var>    (ix) the child has an alternative affordable housing plan, which does not include a <br/>
<a id="pl.20.18"></a><var>20.18</var>homeless shelter, if the original housing plan is unworkable;<br/>
<a id="pl.20.19"></a><var>20.19</var>    (x) the child, if male, has registered for the Selective Service; and<br/>
<a id="pl.20.20"></a><var>20.20</var>    (xi) the child has a permanent connection to a caring adult.<br/>
<a id="pl.20.21"></a><var>20.21</var>    (3) The court shall ensure that the responsible agency in conjunction with the <br/>
<a id="pl.20.22"></a><var>20.22</var>placement provider assists the child in obtaining the following documents prior to the <br/>
<a id="pl.20.23"></a><var>20.23</var>child's leaving foster care: a Social Security card; the child's birth certificate; a state <br/>
<a id="pl.20.24"></a><var>20.24</var>identification card or driver's license, green card, or school visa; the child's school, <br/>
<a id="pl.20.25"></a><var>20.25</var>medical, and dental records; a contact list of the child's medical, dental, and mental health <br/>
<a id="pl.20.26"></a><var>20.26</var>providers; and contact information for the child's siblings, if the siblings are in foster care.<br/>
<a id="pl.20.27"></a><var>20.27</var>    (e) When a child is age 17 or older, during the 90-day period immediately prior to <br/>
<a id="pl.20.28"></a><var>20.28</var>the date the child is expected to be discharged from foster care, the responsible social <br/>
<a id="pl.20.29"></a><var>20.29</var>services agency is required to provide the child with assistance and support in developing <br/>
<a id="pl.20.30"></a><var>20.30</var>a transition plan that is personalized at the direction of the child. The transition plan <br/>
<a id="pl.20.31"></a><var>20.31</var>must be as detailed as the child may elect and include specific options on housing, health <br/>
<a id="pl.20.32"></a><var>20.32</var>insurance, education, local opportunities for mentors and continuing support services, and <br/>
<a id="pl.20.33"></a><var>20.33</var>work force supports and employment services. The agency shall ensure that the youth <br/>
<a id="pl.20.34"></a><var>20.34</var>receives, at no cost to the youth, a copy of the youth's consumer credit report as defined <br/>
<a id="pl.20.35"></a><var>20.35</var>in section 13C.001 and assistance in interpreting and resolving any inaccuracies in the <br/>
<a id="pl.20.36"></a><var>20.36</var>report. The county agency shall also provide the individual youth with appropriate contact <br/>
<a id="pl.21.1"></a><var>21.1</var>information if the individual youth needs more information or needs help dealing with a <br/>
<a id="pl.21.2"></a><var>21.2</var>crisis situation through age 21.<br/>
<br/>
<a id="bill.1.20.0"></a><a id="pl.21.3"></a><var>21.3</var>    Sec. 20. Minnesota Statutes 2010, section 260C.317, subdivision 3, is amended to read:<br/>
<a id="pl.21.4"></a><var>21.4</var>    Subd. 3. <b>Order; retention of jurisdiction.</b> (a) A certified copy of the findings and <br/>
<a id="pl.21.5"></a><var>21.5</var>the order terminating parental rights, and a summary of the court's information concerning <br/>
<a id="pl.21.6"></a><var>21.6</var>the child shall be furnished by the court to the commissioner or the agency to which <br/>
<a id="pl.21.7"></a><var>21.7</var>guardianship is transferred.<br/>
<a id="pl.21.8"></a><var>21.8</var>(b) The orders shall be on a document separate from the findings. The court shall <br/>
<a id="pl.21.9"></a><var>21.9</var>furnish the individual to whom guardianship is transferred guardian a copy of the order <br/>
<a id="pl.21.10"></a><var>21.10</var>terminating parental rights.<br/>
<a id="pl.21.11"></a><var>21.11</var>    (b) (c) When the court orders guardianship pursuant to this section,  the court <br/>
<a id="pl.21.12"></a><var>21.12</var>shall retain jurisdiction in a case where adoption is the intended permanent placement <br/>
<a id="pl.21.13"></a><var>21.13</var>disposition until the child's adoption is finalized, the child is 18 years of age, or, for <br/>
<a id="pl.21.14"></a><var>21.14</var>children in foster care beyond age 18 pursuant to section 
<statute_ref>260C.451</statute_ref>, until the individual <br/>
<a id="pl.21.15"></a><var>21.15</var>becomes 21 years of age according to the provisions set forth in sections 
<statute_ref>260C.193</statute_ref>, <br/>
<a id="pl.21.16"></a><var>21.16</var>subdivision 6, and 
<statute_ref>260C.451</statute_ref>. The guardian ad litem and counsel for the child shall <br/>
<a id="pl.21.17"></a><var>21.17</var>continue on the case until an adoption decree is entered. An in-court appearance hearing <br/>
<a id="pl.21.18"></a><var>21.18</var>must be held every 90 days following termination of parental rights for the court to review <br/>
<a id="pl.21.19"></a><var>21.19</var>progress toward an adoptive placement and the specific recruitment efforts the agency <br/>
<a id="pl.21.20"></a><var>21.20</var>has taken to find an adoptive family or other placement living arrangement for the child <br/>
<a id="pl.21.21"></a><var>21.21</var>and to finalize the adoption or other permanency plan. Review of the progress toward <br/>
<a id="pl.21.22"></a><var>21.22</var>adoption of a child under guardianship of the commissioner of human services shall be <br/>
<a id="pl.21.23"></a><var>21.23</var>conducted according to section 260C.607.<br/>
<a id="pl.21.24"></a><var>21.24</var>    (c) The responsible social services agency may make a determination of compelling <br/>
<a id="pl.21.25"></a><var>21.25</var>reasons for a child to be in long-term foster care when the agency has made exhaustive <br/>
<a id="pl.21.26"></a><var>21.26</var>efforts to recruit, identify, and place the child in an adoptive home, and the child continues <br/>
<a id="pl.21.27"></a><var>21.27</var>in foster care for at least 24 months after the court has issued the order terminating <br/>
<a id="pl.21.28"></a><var>21.28</var>parental rights. A child of any age who is under the guardianship of the commissioner of <br/>
<a id="pl.21.29"></a><var>21.29</var>the Department of Human Services and is legally available for adoption may not refuse <br/>
<a id="pl.21.30"></a><var>21.30</var>or waive the commissioner's agent's exhaustive efforts to recruit, identify, and place the <br/>
<a id="pl.21.31"></a><var>21.31</var>child in an adoptive home required under paragraph (b) or sign a document relieving <br/>
<a id="pl.21.32"></a><var>21.32</var>county social services agencies of all recruitment efforts on the child's behalf. Upon <br/>
<a id="pl.21.33"></a><var>21.33</var>approving the agency's determination of compelling reasons, the court may order the child <br/>
<a id="pl.21.34"></a><var>21.34</var>placed in long-term foster care. At least every 12 months thereafter as long as the child <br/>
<a id="pl.21.35"></a><var>21.35</var>continues in out-of-home placement, the court shall conduct an in-court permanency <br/>
<a id="pl.22.1"></a><var>22.1</var>review hearing to determine the future status of the child using the review requirements of <br/>
<a id="pl.22.2"></a><var>22.2</var>section 
<statute_ref>260C.201, subdivision 11</statute_ref>, paragraph (g).<br/>
<a id="pl.22.3"></a><var>22.3</var>    (d) Upon terminating parental rights or upon a parent's consent to adoption <br/>
<a id="pl.22.4"></a><var>22.4</var>under section 260C.201, subdivision 11, resulting in an order for guardianship to the <br/>
<a id="pl.22.5"></a><var>22.5</var>commissioner of human services, the court shall retain jurisdiction: <br/>
<a id="pl.22.6"></a><var>22.6</var>(1) until the child is adopted;<br/>
<a id="pl.22.7"></a><var>22.7</var>(2) through the child's minority in a case where long-term; or<br/>
<a id="pl.22.8"></a><var>22.8</var>(3) as long as the child continues in or reenters foster care is the permanent <br/>
<a id="pl.22.9"></a><var>22.9</var>disposition whether under paragraph (c) or section 
<statute_ref>260C.201, subdivision 11</statute_ref>, or, for <br/>
<a id="pl.22.10"></a><var>22.10</var>children in foster care age 18 or older under section 
<statute_ref>260C.451</statute_ref>, until the individual <br/>
<a id="pl.22.11"></a><var>22.11</var>becomes 21 years of age according to the provisions in sections 
         <statute_ref>260C.193, subdivision 6</statute_ref>, <br/>
<a id="pl.22.12"></a><var>22.12</var>and 
         <statute_ref>260C.451</statute_ref>.<br/>
<br/>
<a id="bill.1.21.0"></a><a id="pl.22.13"></a><var>22.13</var>    Sec. 21. Minnesota Statutes 2010, section 260C.317, subdivision 4, is amended to read:<br/>
<a id="pl.22.14"></a><var>22.14</var>    Subd. 4. <b>Rights of terminated parent.</b> (a) Upon entry of an order terminating the <br/>
<a id="pl.22.15"></a><var>22.15</var>parental rights of any person who is identified as a parent on the original birth record of <br/>
<a id="pl.22.16"></a><var>22.16</var>the child as to whom the parental rights are terminated, the court shall cause written <br/>
<a id="pl.22.17"></a><var>22.17</var>notice to be made to that person setting forth:<br/>
<a id="pl.22.18"></a><var>22.18</var>(1) the right of the person to file at any time with the state registrar of vital statistics <br/>
<a id="pl.22.19"></a><var>22.19</var>a consent to disclosure, as defined in section 
         <statute_ref>144.212, subdivision 11</statute_ref>;<br/>
<a id="pl.22.20"></a><var>22.20</var>(2) the right of the person to file at any time with the state registrar of vital statistics <br/>
<a id="pl.22.21"></a><var>22.21</var>an affidavit stating that the information on the original birth record shall not be disclosed <br/>
<a id="pl.22.22"></a><var>22.22</var>as provided in section 
         <statute_ref>144.2252</statute_ref>; and<br/>
<a id="pl.22.23"></a><var>22.23</var>(3) the effect of a failure to file either a consent to disclosure, as defined in section <br/>
<statute_ref><a id="pl.22.24"></a><var>22.24</var>144.212, subdivision 11
         </statute_ref>, or an affidavit stating that the information on the original birth <br/>
<a id="pl.22.25"></a><var>22.25</var>record shall not be disclosed.<br/>
<a id="pl.22.26"></a><var>22.26</var>(b) A parent whose rights are terminated under this section shall retain the ability to <br/>
<a id="pl.22.27"></a><var>22.27</var>enter into a contact or communication agreement under section 260C.619 if an agreement <br/>
<a id="pl.22.28"></a><var>22.28</var>is determined by the court to be in the best interests of the child. The agreement shall be <br/>
<a id="pl.22.29"></a><var>22.29</var>filed with the court at or prior to the time the child is adopted. An order for termination of <br/>
<a id="pl.22.30"></a><var>22.30</var>parental rights shall not be conditioned on an agreement under section 260C.619.<br/>
<br/>
<a id="bill.1.22.0"></a><a id="pl.22.31"></a><var>22.31</var>    Sec. 22. Minnesota Statutes 2010, section 260C.325, subdivision 1, is amended to read:<br/>
<a id="pl.22.32"></a><var>22.32</var>    Subdivision 1. <b>Transfer of custody</b><b> Guardianship</b><b>.</b> (a) If When the court terminates <br/>
<a id="pl.22.33"></a><var>22.33</var>parental rights of both parents or of the only known living legal parent, the court shall <br/>
<a id="pl.22.34"></a><var>22.34</var>order the guardianship and the legal custody of the child transferred to:<br/>
<a id="pl.23.1"></a><var>23.1</var>    (1) the commissioner of human services;<br/>
<a id="pl.23.2"></a><var>23.2</var>    (2) a licensed child-placing agency; or<br/>
<a id="pl.23.3"></a><var>23.3</var>    (3) an individual who is willing and capable of assuming the appropriate duties <br/>
<a id="pl.23.4"></a><var>23.4</var>and responsibilities to the child.<br/>
<a id="pl.23.5"></a><var>23.5</var>    (b) The court shall order transfer of guardianship and legal custody of a child to <br/>
<a id="pl.23.6"></a><var>23.6</var>the commissioner of human services only when the responsible county social services <br/>
<a id="pl.23.7"></a><var>23.7</var>agency had legal responsibility for planning for the permanent placement of the child and <br/>
<a id="pl.23.8"></a><var>23.8</var>the child was in foster care under the legal responsibility of the responsible county social <br/>
<a id="pl.23.9"></a><var>23.9</var>services agency at the time the court orders guardianship and legal custody transferred to <br/>
<a id="pl.23.10"></a><var>23.10</var>the commissioner. The court shall not order guardianship to the commissioner under any <br/>
<a id="pl.23.11"></a><var>23.11</var>other circumstances, except as provided in subdivision 3.<br/>
<br/>
<a id="bill.1.23.0"></a><a id="pl.23.12"></a><var>23.12</var>    Sec. 23. Minnesota Statutes 2010, section 260C.325, subdivision 3, is amended to read:<br/>
<a id="pl.23.13"></a><var>23.13</var>    Subd. 3. <b>Both parents deceased.</b> (a) If upon petition to the juvenile court for <br/>
<a id="pl.23.14"></a><var>23.14</var>guardianship by a reputable person, including but not limited to an the responsible social <br/>
<a id="pl.23.15"></a><var>23.15</var>services agency as agent of the commissioner of human services, and upon hearing in <br/>
<a id="pl.23.16"></a><var>23.16</var>the manner provided in section 
         <statute_ref>260C.163</statute_ref>, the court finds that both parents or the only <br/>
<a id="pl.23.17"></a><var>23.17</var>known legal parent are or is deceased and no appointment has been made or petition for <br/>
<a id="pl.23.18"></a><var>23.18</var>appointment filed pursuant to sections 
         <statute_ref>524.5-201</statute_ref> to 
         <statute_ref>524.5-317</statute_ref>, the court shall order the <br/>
<a id="pl.23.19"></a><var>23.19</var>guardianship and legal custody of the child transferred to:<br/>
<a id="pl.23.20"></a><var>23.20</var>    (1) the commissioner of human services; or<br/>
<a id="pl.23.21"></a><var>23.21</var>    (2) a licensed child-placing agency; or<br/>
<a id="pl.23.22"></a><var>23.22</var>    (3) (2) an individual who is willing and capable of assuming the appropriate duties <br/>
<a id="pl.23.23"></a><var>23.23</var>and responsibilities to the child.<br/>
<a id="pl.23.24"></a><var>23.24</var>    (b) The court shall order transfer of guardianship and legal custody of a child to the <br/>
<a id="pl.23.25"></a><var>23.25</var>commissioner of human services only if there is no individual who is willing and capable <br/>
<a id="pl.23.26"></a><var>23.26</var>of assuming the appropriate duties and responsibilities to the child.<br/>
<br/>
<a id="bill.1.24.0"></a><a id="pl.23.27"></a><var>23.27</var>    Sec. 24. Minnesota Statutes 2010, section 260C.325, subdivision 4, is amended to read:<br/>
<a id="pl.23.28"></a><var>23.28</var>    Subd. 4. <b>Guardian's responsibilities.</b> (a) A guardian appointed under the <br/>
<a id="pl.23.29"></a><var>23.29</var>provisions of this section has legal custody of a ward unless the court which appoints <br/>
<a id="pl.23.30"></a><var>23.30</var>the guardian gives legal custody to some other person. If the court awards custody to a <br/>
<a id="pl.23.31"></a><var>23.31</var>person other than the guardian, the guardian nonetheless has the right and responsibility of <br/>
<a id="pl.23.32"></a><var>23.32</var>reasonable visitation, except as limited by court order. the child and the right to visit the <br/>
<a id="pl.23.33"></a><var>23.33</var>child in foster care, the adoptive placement, or any other suitable setting at any time prior <br/>
<a id="pl.23.34"></a><var>23.34</var>to finalization of the adoption of the child. When the child is under the guardianship of the <br/>
<a id="pl.24.1"></a><var>24.1</var>commissioner, the responsible social services agency, as agent of the commissioner, has <br/>
<a id="pl.24.2"></a><var>24.2</var>the right to visit the child.<br/>
<a id="pl.24.3"></a><var>24.3</var>(b) When the guardian is a licensed child-placing agency, the guardian may shall <br/>
<a id="pl.24.4"></a><var>24.4</var>make all major decisions affecting the person of the ward child, including, but not limited <br/>
<a id="pl.24.5"></a><var>24.5</var>to, giving consent, (when consent is legally required), to the marriage, enlistment in <br/>
<a id="pl.24.6"></a><var>24.6</var>the armed forces, medical, surgical, or psychiatric treatment, or adoption of the ward <br/>
<a id="pl.24.7"></a><var>24.7</var>child. When, pursuant to this section, the commissioner of human services is appointed <br/>
<a id="pl.24.8"></a><var>24.8</var>guardian, the commissioner may delegate to the responsible social services agency of <br/>
<a id="pl.24.9"></a><var>24.9</var>the county in which, after the appointment, the ward resides, the authority to act for the <br/>
<a id="pl.24.10"></a><var>24.10</var>commissioner in decisions affecting the person of the ward, including but not limited <br/>
<a id="pl.24.11"></a><var>24.11</var>to giving consent to the marriage, enlistment in the armed forces, medical, surgical, or <br/>
<a id="pl.24.12"></a><var>24.12</var>psychiatric treatment of the ward.<br/>
<a id="pl.24.13"></a><var>24.13</var>(c) When the commissioner is appointed guardian, the duties of the commissioner of <br/>
<a id="pl.24.14"></a><var>24.14</var>human services are established under sections 260C.601 to 260C.635.<br/>
<a id="pl.24.15"></a><var>24.15</var>(c) (d) A guardianship created under the provisions of this section shall not of itself <br/>
<a id="pl.24.16"></a><var>24.16</var>include the guardianship of the estate of the ward child.<br/>
<a id="pl.24.17"></a><var>24.17</var>(e) The commissioner of human services, through the responsible social services <br/>
<a id="pl.24.18"></a><var>24.18</var>agency, or a licensed child-placing agency who is a guardian or who has authority and <br/>
<a id="pl.24.19"></a><var>24.19</var>responsibility for planning for the adoption of the child under section 259.25 or 259.47, <br/>
<a id="pl.24.20"></a><var>24.20</var>has the duty to make reasonable efforts to finalize the adoption of the child.<br/>
<br/>
<a id="bill.1.25.0"></a><a id="pl.24.21"></a><var>24.21</var>    Sec. 25. Minnesota Statutes 2010, section 260C.328, is amended to read:<br/>
<a id="pl.24.22"></a><var>24.22</var><b>260C.328 CHANGE OF GUARDIAN; TERMINATION OF GUARDIANSHIP.</b><br/>
<a id="pl.24.23"></a><var>24.23</var>(a) Upon its own motion or upon petition of an interested party, the juvenile court <br/>
<a id="pl.24.24"></a><var>24.24</var>having jurisdiction of the child may, after notice to the parties and a hearing, remove <br/>
<a id="pl.24.25"></a><var>24.25</var>the guardian appointed by the juvenile court and appoint a new guardian in accordance <br/>
<a id="pl.24.26"></a><var>24.26</var>with the provisions of section 
         <statute_ref>260C.325, subdivision 1</statute_ref>., clause (a), (b), or (c). Upon a <br/>
<a id="pl.24.27"></a><var>24.27</var>showing that the child is emancipated, the court may discharge the guardianship. Any <br/>
<a id="pl.24.28"></a><var>24.28</var>child 14 years of age or older who is not adopted but who is placed in a satisfactory foster <br/>
<a id="pl.24.29"></a><var>24.29</var>home, may, with the consent of the foster parents, join with the guardian appointed by the <br/>
<a id="pl.24.30"></a><var>24.30</var>juvenile court in a petition to the court having jurisdiction of the child to discharge the <br/>
<a id="pl.24.31"></a><var>24.31</var>existing guardian and appoint the foster parents as guardians of the child.<br/>
<a id="pl.24.32"></a><var>24.32</var>(b) The authority of a guardian appointed by the juvenile court terminates when the <br/>
<a id="pl.24.33"></a><var>24.33</var>individual under guardianship is no longer a minor or when guardianship is otherwise <br/>
<a id="pl.24.34"></a><var>24.34</var>discharged. becomes age 18. However, an individual who has been under the guardianship <br/>
<a id="pl.24.35"></a><var>24.35</var>of the commissioner and who has not been adopted may continue in foster care or reenter <br/>
<a id="pl.25.1"></a><var>25.1</var>foster care pursuant to section 260C.451 and the responsible social services agency has <br/>
<a id="pl.25.2"></a><var>25.2</var>continuing legal responsibility for the placement of the individual.<br/>
<br/>
<a id="bill.1.26.0"></a><a id="pl.25.3"></a><var>25.3</var>    Sec. 26. <b>[260C.601] ADOPTION OF CHILDREN UNDER GUARDIANSHIP </b><br/>
<a id="pl.25.4"></a><var>25.4</var><b>OF COMMISSIONER.</b><br/>
<a id="pl.25.5"></a><var>25.5</var>    Subdivision 1. <b>Review and finalization requirements; adoption procedures.</b> (a) <br/>
<a id="pl.25.6"></a><var>25.6</var>Sections 260C.601 to 260C.635 establish:<br/>
<a id="pl.25.7"></a><var>25.7</var>(1) the requirements for court review of children under the guardianship of the <br/>
<a id="pl.25.8"></a><var>25.8</var>commissioner; and<br/>
<a id="pl.25.9"></a><var>25.9</var>(2) procedures for timely finalizing adoptions in the best interests of children under <br/>
<a id="pl.25.10"></a><var>25.10</var>the guardianship of the commissioner.<br/>
<a id="pl.25.11"></a><var>25.11</var>(b) Adoption proceedings for children not under the guardianship of the <br/>
<a id="pl.25.12"></a><var>25.12</var>commissioner are governed by chapter 259.<br/>
<a id="pl.25.13"></a><var>25.13</var>    Subd. 2. <b>Duty of responsible agency.</b> The responsible social services agency has <br/>
<a id="pl.25.14"></a><var>25.14</var>the duty to act as the commissioner's agent in making reasonable efforts to finalize the <br/>
<a id="pl.25.15"></a><var>25.15</var>adoption of all children under the guardianship of the commissioner pursuant to section <br/>
<a id="pl.25.16"></a><var>25.16</var>260C.325. In implementing these duties, the agency shall ensure that:<br/>
<a id="pl.25.17"></a><var>25.17</var>(1) the best interests of the child are met in the planning and granting of adoptions;<br/>
<a id="pl.25.18"></a><var>25.18</var>(2) a child under the guardianship of the commissioner is appropriately involved <br/>
<a id="pl.25.19"></a><var>25.19</var>in planning for adoption;<br/>
<a id="pl.25.20"></a><var>25.20</var>(3) the diversity of Minnesota's population and diverse needs including culture, <br/>
<a id="pl.25.21"></a><var>25.21</var>religion, and language of persons affected by adoption are recognized and respected; and<br/>
<a id="pl.25.22"></a><var>25.22</var>(4) the court has the timely information it needs to make a decision that is in the best <br/>
<a id="pl.25.23"></a><var>25.23</var>interests of the child in reviewing the agency's planning for adoption and when ordering <br/>
<a id="pl.25.24"></a><var>25.24</var>the adoption of the child.<br/>
<a id="pl.25.25"></a><var>25.25</var>    Subd. 3. <b>Background study.</b> Consistent with section 245C.33 and United States <br/>
<a id="pl.25.26"></a><var>25.26</var>Code, title 42, section 671, a completed background study is required before the adoptive <br/>
<a id="pl.25.27"></a><var>25.27</var>placement of the child in a related or an unrelated home.<br/>
<br/>
<a id="bill.1.27.0"></a><a id="pl.25.28"></a><var>25.28</var>    Sec. 27. <b>[260C.603] DEFINITIONS.</b><br/>
<a id="pl.25.29"></a><var>25.29</var>    Subdivision 1. <b>Scope.</b> For the purposes of sections 260C.601 to 260C.635, the terms <br/>
<a id="pl.25.30"></a><var>25.30</var>defined in this section have the meanings given them.<br/>
<a id="pl.25.31"></a><var>25.31</var>    Subd. 2. <b>Adopting parent.</b> "Adopting parent" means an adult who has signed <br/>
<a id="pl.25.32"></a><var>25.32</var>an adoption placement agreement regarding the child and has the same meaning as <br/>
<a id="pl.25.33"></a><var>25.33</var>preadoptive parent under section 259A.01, subdivision 23.<br/>
<a id="pl.26.1"></a><var>26.1</var>    Subd. 3. <b>Adoption placement agreement.</b> "Adoption placement agreement" means <br/>
<a id="pl.26.2"></a><var>26.2</var>the written agreement between the responsible social services agency, the commissioner, <br/>
<a id="pl.26.3"></a><var>26.3</var>and the adopting parent which reflects the intent of all the signatories to the agreement that <br/>
<a id="pl.26.4"></a><var>26.4</var>the adopting parent establish a parent and child relationship by adoption with the child <br/>
<a id="pl.26.5"></a><var>26.5</var>who is under the guardianship of the commissioner. The adoptive placement agreement <br/>
<a id="pl.26.6"></a><var>26.6</var>must be in the commissioner's designated format.<br/>
<a id="pl.26.7"></a><var>26.7</var>    Subd. 4. <b>Adoptive parent.</b> "Adoptive parent" has the meaning given in section <br/>
<a id="pl.26.8"></a><var>26.8</var>259A.01, subdivision 3.<br/>
<a id="pl.26.9"></a><var>26.9</var>    Subd. 5. <b>Adoptive placement.</b> "Adoptive placement" means a placement made by <br/>
<a id="pl.26.10"></a><var>26.10</var>the responsible social services agency upon a fully executed adoption placement agreement <br/>
<a id="pl.26.11"></a><var>26.11</var>including the signatures of the adopting parent, the responsible social services agency, and <br/>
<a id="pl.26.12"></a><var>26.12</var>the commissioner of human services according to section 260C.613, subdivision 1.<br/>
<a id="pl.26.13"></a><var>26.13</var>    Subd. 6. <b>Commissioner.</b> "Commissioner" means the commissioner of human <br/>
<a id="pl.26.14"></a><var>26.14</var>services or any employee of the Department of Human Services to whom the commissioner <br/>
<a id="pl.26.15"></a><var>26.15</var>has delegated authority regarding children under the commissioner's guardianship.<br/>
<a id="pl.26.16"></a><var>26.16</var>    Subd. 7. <b>Guardianship.</b> "Guardianship" has the meaning given in section 259A.01, <br/>
<a id="pl.26.17"></a><var>26.17</var>subdivision 17; 260C.325; or 260C.515, subdivision 3.<br/>
<a id="pl.26.18"></a><var>26.18</var>    Subd. 8. <b>Prospective adoptive parent.</b> "Prospective adoptive parent" means an <br/>
<a id="pl.26.19"></a><var>26.19</var>individual who may become an adopting parent regardless of whether the individual <br/>
<a id="pl.26.20"></a><var>26.20</var>has an adoption study approving the individual for adoption, but who has not signed an <br/>
<a id="pl.26.21"></a><var>26.21</var>adoption placement agreement.<br/>
<br/>
<a id="bill.1.28.0"></a><a id="pl.26.22"></a><var>26.22</var>    Sec. 28. <b>[260C.605] REASONABLE EFFORTS TO FINALIZE AN ADOPTION.</b><br/>
<a id="pl.26.23"></a><var>26.23</var>    Subdivision 1. <b>Requirements.</b> (a) Reasonable efforts to finalize the adoption of a <br/>
<a id="pl.26.24"></a><var>26.24</var>child under the guardianship of the commissioner shall be made by the responsible social <br/>
<a id="pl.26.25"></a><var>26.25</var>services agency responsible for permanency planning for the child.<br/>
<a id="pl.26.26"></a><var>26.26</var>(b) Reasonable efforts to make a placement in a home according to the placement <br/>
<a id="pl.26.27"></a><var>26.27</var>considerations under section 260C.212, subdivision 2, with a relative or foster parent <br/>
<a id="pl.26.28"></a><var>26.28</var>who will commit to being the permanent resource for the child in the event the child <br/>
<a id="pl.26.29"></a><var>26.29</var>cannot be reunified with a parent are required under section 260.012 and may be made <br/>
<a id="pl.26.30"></a><var>26.30</var>concurrently with reasonable, or if the child is an Indian child, active efforts to reunify <br/>
<a id="pl.26.31"></a><var>26.31</var>the child with the parent.<br/>
<a id="pl.26.32"></a><var>26.32</var>(c) Reasonable efforts under paragraph (b) must begin as soon as possible when the <br/>
<a id="pl.26.33"></a><var>26.33</var>child is in foster care under this chapter, but not later than the hearing required under <br/>
<a id="pl.26.34"></a><var>26.34</var>section 260C.204.<br/>
<a id="pl.26.35"></a><var>26.35</var>(d) Reasonable efforts to finalize the adoption of the child include:<br/>
<a id="pl.27.1"></a><var>27.1</var>(1) using age-appropriate engagement strategies to plan for adoption with the child;<br/>
<a id="pl.27.2"></a><var>27.2</var>(2) identifying an appropriate prospective adoptive parent for the child by updating <br/>
<a id="pl.27.3"></a><var>27.3</var>the child's identified needs using the factors in section 260C.212, subdivision 2;<br/>
<a id="pl.27.4"></a><var>27.4</var>(3) making an adoptive placement that meets the child's needs by:<br/>
<a id="pl.27.5"></a><var>27.5</var>(i) completing or updating the relative search required under section 260C.221 and <br/>
<a id="pl.27.6"></a><var>27.6</var>giving notice of the need for an adoptive home for the child to:<br/>
<a id="pl.27.7"></a><var>27.7</var>(A) relatives who have kept the agency or the court apprised of their whereabouts <br/>
<a id="pl.27.8"></a><var>27.8</var>and who have indicated an interest in adopting the child; or<br/>
<a id="pl.27.9"></a><var>27.9</var>(B) relatives of the child who are located in an updated search;<br/>
<a id="pl.27.10"></a><var>27.10</var>(ii) an updated search is required whenever:<br/>
<a id="pl.27.11"></a><var>27.11</var>(A) there is no identified prospective adoptive placement for the child <br/>
<a id="pl.27.12"></a><var>27.12</var>notwithstanding a finding by the court that the agency made diligent efforts under section <br/>
<a id="pl.27.13"></a><var>27.13</var>260C.221, in a hearing required under section 260C.202;<br/>
<a id="pl.27.14"></a><var>27.14</var>(B) the child is removed from the home of an adopting parent; or<br/>
<a id="pl.27.15"></a><var>27.15</var>(C) the court determines a relative search by the agency is in the best interests of <br/>
<a id="pl.27.16"></a><var>27.16</var>the child;<br/>
<a id="pl.27.17"></a><var>27.17</var>(iii) engaging child's foster parent and the child's relatives identified as an adoptive <br/>
<a id="pl.27.18"></a><var>27.18</var>resource during the search conducted under section 260C.221, to commit to being the <br/>
<a id="pl.27.19"></a><var>27.19</var>prospective adoptive parent of the child; or<br/>
<a id="pl.27.20"></a><var>27.20</var>(iv) when there is no identified prospective adoptive parent:<br/>
<a id="pl.27.21"></a><var>27.21</var>(A) registering the child on the state adoption exchange as required in section 259.75 <br/>
<a id="pl.27.22"></a><var>27.22</var>unless the agency documents to the court an exception to placing the child on the state <br/>
<a id="pl.27.23"></a><var>27.23</var>adoption exchange reported to the commissioner;<br/>
<a id="pl.27.24"></a><var>27.24</var>(B) reviewing all families with approved adoption home studies associated with the <br/>
<a id="pl.27.25"></a><var>27.25</var>responsible social services agency;<br/>
<a id="pl.27.26"></a><var>27.26</var>(C) presenting the child to adoption agencies and adoption personnel who may assist <br/>
<a id="pl.27.27"></a><var>27.27</var>with finding an adoptive home for the child;<br/>
<a id="pl.27.28"></a><var>27.28</var>(D) using newspapers and other media to promote the particular child;<br/>
<a id="pl.27.29"></a><var>27.29</var>(E) using a private agency under grant contract with the commissioner to provide <br/>
<a id="pl.27.30"></a><var>27.30</var>adoption services for intensive child-specific recruitment efforts; and<br/>
<a id="pl.27.31"></a><var>27.31</var>(F) making any other efforts or using any other resources reasonably calculated to <br/>
<a id="pl.27.32"></a><var>27.32</var>identify a prospective adoption parent for the child;<br/>
<a id="pl.27.33"></a><var>27.33</var>(4) updating and completing the social and medical history required under sections <br/>
<a id="pl.27.34"></a><var>27.34</var>259.43 and 260C.609;<br/>
<a id="pl.27.35"></a><var>27.35</var>(5) making, and keeping updated, appropriate referrals required by section 260.851, <br/>
<a id="pl.27.36"></a><var>27.36</var>the Interstate Compact on the Placement of Children;<br/>
<a id="pl.28.1"></a><var>28.1</var>(6) giving notice regarding the responsibilities of an adoptive parent to any <br/>
<a id="pl.28.2"></a><var>28.2</var>prospective adoptive parent as required under section 259.35;<br/>
<a id="pl.28.3"></a><var>28.3</var>(7) offering the adopting parent the opportunity to apply for or decline adoption <br/>
<a id="pl.28.4"></a><var>28.4</var>assistance under chapter 259A;<br/>
<a id="pl.28.5"></a><var>28.5</var>(8) certifying the child for adoption assistance, assessing the amount of adoption <br/>
<a id="pl.28.6"></a><var>28.6</var>assistance, and ascertaining the status of the commissioner's decision on the level of <br/>
<a id="pl.28.7"></a><var>28.7</var>payment if the adopting parent has applied for adoption assistance;<br/>
<a id="pl.28.8"></a><var>28.8</var>(9) placing the child with siblings. If the child is not placed with siblings, the agency <br/>
<a id="pl.28.9"></a><var>28.9</var>must document reasonable efforts to place the siblings together, as well as the reason for <br/>
<a id="pl.28.10"></a><var>28.10</var>separation. The agency may not cease reasonable efforts to place siblings together for final <br/>
<a id="pl.28.11"></a><var>28.11</var>adoption until the court finds further reasonable efforts would be futile or that placement <br/>
<a id="pl.28.12"></a><var>28.12</var>together for purposes of adoption is not in the best interests of one of the siblings; and<br/>
<a id="pl.28.13"></a><var>28.13</var>(10) working with the adopting parent to file a petition to adopt the child and with <br/>
<a id="pl.28.14"></a><var>28.14</var>the court administrator to obtain a timely hearing to finalize the adoption.<br/>
<a id="pl.28.15"></a><var>28.15</var>    Subd. 2. <b>No waiver.</b> (a) The responsible social services agency shall make <br/>
<a id="pl.28.16"></a><var>28.16</var>reasonable efforts to recruit, assess, and match an adoptive home for any child under <br/>
<a id="pl.28.17"></a><var>28.17</var>the guardianship of the commissioner and reasonable efforts shall continue until an <br/>
<a id="pl.28.18"></a><var>28.18</var>adoptive placement is made and adoption finalized or until the child is no longer under the <br/>
<a id="pl.28.19"></a><var>28.19</var>guardianship of the commissioner.<br/>
<a id="pl.28.20"></a><var>28.20</var>(b) A child of any age who is under the guardianship of the commissioner and is <br/>
<a id="pl.28.21"></a><var>28.21</var>legally available for adoption may not refuse or waive the responsible social services <br/>
<a id="pl.28.22"></a><var>28.22</var>agency's reasonable efforts to recruit, identify, and place the child in an adoptive home <br/>
<a id="pl.28.23"></a><var>28.23</var>required under this section. The agency has an ongoing responsibility to work with the <br/>
<a id="pl.28.24"></a><var>28.24</var>child to explore the child's opportunities for adoption, and what adoption means for the <br/>
<a id="pl.28.25"></a><var>28.25</var>child, and may not accept a child's refusal to consider adoption as an option.<br/>
<a id="pl.28.26"></a><var>28.26</var>(c) The court may not relieve or otherwise order the responsible social services <br/>
<a id="pl.28.27"></a><var>28.27</var>agency to cease fulfilling the responsible social services agency's duty regarding <br/>
<a id="pl.28.28"></a><var>28.28</var>reasonable efforts to recruit, identify, and place the child in an adoptive home.<br/>
<br/>
<a id="bill.1.29.0"></a><a id="pl.28.29"></a><var>28.29</var>    Sec. 29. <b>[260C.607] REVIEW OF PROGRESS TOWARD ADOPTION.</b><br/>
<a id="pl.28.30"></a><var>28.30</var>    Subdivision 1. <b>Review hearings.</b> (a) The court shall conduct a review of the <br/>
<a id="pl.28.31"></a><var>28.31</var>responsible social services agency's reasonable efforts to finalize adoption for any child <br/>
<a id="pl.28.32"></a><var>28.32</var>under the guardianship of the commissioner and of the progress of the case toward <br/>
<a id="pl.28.33"></a><var>28.33</var>adoption at least every 90 days after the court issues an order that the commissioner is <br/>
<a id="pl.28.34"></a><var>28.34</var>the guardian of the child.<br/>
<a id="pl.29.1"></a><var>29.1</var>(b) The review of progress toward adoption shall continue notwithstanding that an <br/>
<a id="pl.29.2"></a><var>29.2</var>appeal is made of the order for guardianship.<br/>
<a id="pl.29.3"></a><var>29.3</var>(c) The agency's reasonable efforts to finalize the adoption must continue during the <br/>
<a id="pl.29.4"></a><var>29.4</var>pendency of the appeal and all progress toward adoption shall continue except that the <br/>
<a id="pl.29.5"></a><var>29.5</var>court may not finalize an adoption while the appeal is pending.<br/>
<a id="pl.29.6"></a><var>29.6</var>    Subd. 2. <b>Notice.</b> Notice of review hearings shall be given by the court to:<br/>
<a id="pl.29.7"></a><var>29.7</var>(1) the responsible social services agency;<br/>
<a id="pl.29.8"></a><var>29.8</var>(2) the child, if the child is age ten and older;<br/>
<a id="pl.29.9"></a><var>29.9</var>(3) the child's guardian ad litem;<br/>
<a id="pl.29.10"></a><var>29.10</var>(4) relatives of the child who have kept the court informed of their whereabouts <br/>
<a id="pl.29.11"></a><var>29.11</var>as required in section 260C.221 and who have responded to the agency's notice under <br/>
<a id="pl.29.12"></a><var>29.12</var>section 260C.221, indicating a willingness to provide an adoptive home for the child <br/>
<a id="pl.29.13"></a><var>29.13</var>unless the relative has been previously ruled out by the court as a suitable foster parent or <br/>
<a id="pl.29.14"></a><var>29.14</var>permanency resource for the child;<br/>
<a id="pl.29.15"></a><var>29.15</var>(5) the current foster or adopting parent of the child;<br/>
<a id="pl.29.16"></a><var>29.16</var>(6) any foster or adopting parents of siblings of the child; and<br/>
<a id="pl.29.17"></a><var>29.17</var>(7) the Indian child's tribe.<br/>
<a id="pl.29.18"></a><var>29.18</var>    Subd. 3. <b>Right to participate.</b> Any individual or entity listed in subdivision 2 may <br/>
<a id="pl.29.19"></a><var>29.19</var>participate in the continuing reviews conducted under this section. No other individual <br/>
<a id="pl.29.20"></a><var>29.20</var>or entity is required to be given notice or to participate in the reviews unless the court <br/>
<a id="pl.29.21"></a><var>29.21</var>specifically orders that notice be given or participation in the reviews be required.<br/>
<a id="pl.29.22"></a><var>29.22</var>    Subd. 4. <b>Content of review.</b> (a) The court shall review:<br/>
<a id="pl.29.23"></a><var>29.23</var>(1) the agency's reasonable efforts under section 260C.605 to finalize an adoption <br/>
<a id="pl.29.24"></a><var>29.24</var>for the child as appropriate to the stage of the case; and<br/>
<a id="pl.29.25"></a><var>29.25</var>(2) the child's current out-of-home placement plan required under section 260C.212, <br/>
<a id="pl.29.26"></a><var>29.26</var>subdivision 1, to ensure the child is receiving all services and supports required to meet <br/>
<a id="pl.29.27"></a><var>29.27</var>the child's needs as they relate to the child's:<br/>
<a id="pl.29.28"></a><var>29.28</var>(i) placement;<br/>
<a id="pl.29.29"></a><var>29.29</var>(ii) visitation and contact with siblings;<br/>
<a id="pl.29.30"></a><var>29.30</var>(iii) visitation and contact with relatives;<br/>
<a id="pl.29.31"></a><var>29.31</var>(iv) medical, mental, and dental health; and<br/>
<a id="pl.29.32"></a><var>29.32</var>(v) education.<br/>
<a id="pl.29.33"></a><var>29.33</var>(b) When the child is age 16 and older, and as long as the child continues in foster <br/>
<a id="pl.29.34"></a><var>29.34</var>care, the court shall also review the agency's planning for the child's independent living <br/>
<a id="pl.29.35"></a><var>29.35</var>after leaving foster care including how the agency is meeting the requirements of section <br/>
<a id="pl.30.1"></a><var>30.1</var>260C.212, subdivision 1, paragraph (c), clause (11). The court shall use the review <br/>
<a id="pl.30.2"></a><var>30.2</var>requirements of section 260C.203, in any review conducted under this paragraph.<br/>
<a id="pl.30.3"></a><var>30.3</var>    Subd. 5. <b>Required placement by responsible social services agency.</b> (a) No <br/>
<a id="pl.30.4"></a><var>30.4</var>petition for adoption shall be filed for a child under the guardianship of the commissioner <br/>
<a id="pl.30.5"></a><var>30.5</var>unless the child sought to be adopted has been placed for adoption with the adopting <br/>
<a id="pl.30.6"></a><var>30.6</var>parent by the responsible social services agency. The court may order the agency to make <br/>
<a id="pl.30.7"></a><var>30.7</var>an adoptive placement using standards and procedures under subdivision 6.<br/>
<a id="pl.30.8"></a><var>30.8</var>(b) Any relative or the child's foster parent who believes the responsible agency <br/>
<a id="pl.30.9"></a><var>30.9</var>has not reasonably considered their request to be considered for adoptive placement as <br/>
<a id="pl.30.10"></a><var>30.10</var>required under section 260C.212, subdivision 2, and who wants to be considered for <br/>
<a id="pl.30.11"></a><var>30.11</var>adoptive placement of the child shall bring their request for consideration to the attention <br/>
<a id="pl.30.12"></a><var>30.12</var>of the court during a review required under this section. The child's guardian ad litem and <br/>
<a id="pl.30.13"></a><var>30.13</var>the child may also bring a request for a relative or the child's foster parent to be considered <br/>
<a id="pl.30.14"></a><var>30.14</var>for adoptive placement. After hearing from the agency, the court may order the agency to <br/>
<a id="pl.30.15"></a><var>30.15</var>take appropriate action regarding the relative's or foster parent's request for consideration <br/>
<a id="pl.30.16"></a><var>30.16</var>under section 260C.212, subdivision 2, paragraph (b).<br/>
<a id="pl.30.17"></a><var>30.17</var>    Subd. 6. <b>Motion and hearing to order adoptive placement.</b> (a) At any time after <br/>
<a id="pl.30.18"></a><var>30.18</var>the district court orders the child under the guardianship of the commissioner of human <br/>
<a id="pl.30.19"></a><var>30.19</var>services, but not later than 30 days after receiving notice required under section 260C.613, <br/>
<a id="pl.30.20"></a><var>30.20</var>subdivision 1, paragraph (c), that the agency has made an adoptive placement, a relative <br/>
<a id="pl.30.21"></a><var>30.21</var>or the child's foster parent may file a motion for an order for adoptive placement of a <br/>
<a id="pl.30.22"></a><var>30.22</var>child who is under the guardianship of the commissioner if the relative or the child's <br/>
<a id="pl.30.23"></a><var>30.23</var>foster parent:<br/>
<a id="pl.30.24"></a><var>30.24</var>(1) has an adoption home study under section 259.41 approving the relative or foster <br/>
<a id="pl.30.25"></a><var>30.25</var>parent for adoption and has been a resident of Minnesota for at least six months before <br/>
<a id="pl.30.26"></a><var>30.26</var>filing the motion; the court may waive the residency requirement for the moving party <br/>
<a id="pl.30.27"></a><var>30.27</var>if there is a reasonable basis to do so; or<br/>
<a id="pl.30.28"></a><var>30.28</var>(2) is not a resident of Minnesota, but has an approved adoption home study by <br/>
<a id="pl.30.29"></a><var>30.29</var>an agency licensed or approved to complete an adoption home study in the state of the <br/>
<a id="pl.30.30"></a><var>30.30</var>individual's residence and the study is filed with the motion for adoptive placement.<br/>
<a id="pl.30.31"></a><var>30.31</var>(b) The motion shall be filed with the court conducting reviews of the child's <br/>
<a id="pl.30.32"></a><var>30.32</var>progress toward adoption under this section. The motion and supporting documents must <br/>
<a id="pl.30.33"></a><var>30.33</var>make a prima facie showing that the agency has been unreasonable in failing to make the <br/>
<a id="pl.30.34"></a><var>30.34</var>requested adoptive placement. The motion must be served according to the requirements <br/>
<a id="pl.30.35"></a><var>30.35</var>for motions under the Minnesota Rules of Juvenile Protection Procedure and shall be <br/>
<a id="pl.30.36"></a><var>30.36</var>made on all individuals and entities listed in subdivision 2.<br/>
<a id="pl.31.1"></a><var>31.1</var>(c) If the motion and supporting documents do not make a prima facie showing for <br/>
<a id="pl.31.2"></a><var>31.2</var>the court to determine whether the agency has been unreasonable in failing to make the <br/>
<a id="pl.31.3"></a><var>31.3</var>requested adoptive placement, the court shall dismiss the motion. If the court determines a <br/>
<a id="pl.31.4"></a><var>31.4</var>prima facie basis is made, the court shall set the matter for evidentiary hearing.<br/>
<a id="pl.31.5"></a><var>31.5</var>(d) At the evidentiary hearing the responsible social services agency shall proceed <br/>
<a id="pl.31.6"></a><var>31.6</var>first with evidence about the reason for not making the adoptive placement proposed by the <br/>
<a id="pl.31.7"></a><var>31.7</var>moving party. The moving party then has the burden of proving by a preponderance of the <br/>
<a id="pl.31.8"></a><var>31.8</var>evidence that the agency has been unreasonable in failing to make the adoptive placement.<br/>
<a id="pl.31.9"></a><var>31.9</var>(e) At the conclusion of the evidentiary hearing, if the court finds that the agency <br/>
<a id="pl.31.10"></a><var>31.10</var>has been unreasonable in failing to make the adoptive placement and that the relative or <br/>
<a id="pl.31.11"></a><var>31.11</var>the child's foster parent is the most suitable adoptive home to meet the child's needs <br/>
<a id="pl.31.12"></a><var>31.12</var>using the factors in section 260C.212, subdivision 2, paragraph (b), the court may order <br/>
<a id="pl.31.13"></a><var>31.13</var>the responsible social services agency to make an adoptive placement in the home of the <br/>
<a id="pl.31.14"></a><var>31.14</var>relative or the child's foster parent.<br/>
<a id="pl.31.15"></a><var>31.15</var>    (f) If, in order to ensure that a timely adoption may occur, the court orders the <br/>
<a id="pl.31.16"></a><var>31.16</var>responsible social services agency to make an adoptive placement under this subdivision, <br/>
<a id="pl.31.17"></a><var>31.17</var>the agency shall:<br/>
<a id="pl.31.18"></a><var>31.18</var>    (1) make reasonable efforts to obtain a fully executed adoption placement agreement;<br/>
<a id="pl.31.19"></a><var>31.19</var>    (2) work with the moving party regarding eligibility for adoption assistance as <br/>
<a id="pl.31.20"></a><var>31.20</var>required under chapter 259A; and<br/>
<a id="pl.31.21"></a><var>31.21</var>    (3) if the moving party is not a resident of Minnesota, timely refer the matter for <br/>
<a id="pl.31.22"></a><var>31.22</var>approval of the adoptive placement through the Interstate Compact on the Placement of <br/>
<a id="pl.31.23"></a><var>31.23</var>Children.<br/>
<a id="pl.31.24"></a><var>31.24</var>(g) Denial or granting of a motion for an order for adoptive placement after an <br/>
<a id="pl.31.25"></a><var>31.25</var>evidentiary hearing is an order which may be appealed by the responsible social services <br/>
<a id="pl.31.26"></a><var>31.26</var>agency, the moving party, the child, when age ten or over, the child's guardian ad litem, <br/>
<a id="pl.31.27"></a><var>31.27</var>and any individual who had a fully executed adoption placement agreement regarding <br/>
<a id="pl.31.28"></a><var>31.28</var>the child at the time the motion was filed if the court's order has the effect of terminating <br/>
<a id="pl.31.29"></a><var>31.29</var>the adoption placement agreement. An appeal shall be conducted according to the <br/>
<a id="pl.31.30"></a><var>31.30</var>requirements of the Rules of Juvenile Protection Procedure.<br/>
<a id="pl.31.31"></a><var>31.31</var>    Subd. 7. <b>Changing adoptive plan when parent has consented to adoption.</b><br/>
<a id="pl.31.32"></a><var>31.32</var>When the child's parent has consented to adoption under section 260C.515, subdivision 3, <br/>
<a id="pl.31.33"></a><var>31.33</var>only the person identified by the parent and agreed to by the agency as the prospective <br/>
<a id="pl.31.34"></a><var>31.34</var>adoptive parent qualifies for adoptive placement of the child until the responsible social <br/>
<a id="pl.31.35"></a><var>31.35</var>services agency has reported to the court and the court has found in a hearing under this <br/>
<a id="pl.31.36"></a><var>31.36</var>section that it is not possible to finalize an adoption by the identified prospective adoptive <br/>
<a id="pl.32.1"></a><var>32.1</var>parent within 12 months of the execution of the consent to adopt under section 260C.515, <br/>
<a id="pl.32.2"></a><var>32.2</var>subdivision 3, unless the responsible social services agency certifies that the failure to <br/>
<a id="pl.32.3"></a><var>32.3</var>finalize is not due to either an action or a failure to act by the prospective adoptive parent.<br/>
<a id="pl.32.4"></a><var>32.4</var>    Subd. 8. <b>Timing modified.</b> (a) The court may review the responsible social services <br/>
<a id="pl.32.5"></a><var>32.5</var>agency's reasonable efforts to finalize an adoption more frequently than every 90 days <br/>
<a id="pl.32.6"></a><var>32.6</var>whenever a more frequent review would assist in finalizing the adoption.<br/>
<a id="pl.32.7"></a><var>32.7</var>(b) In appropriate cases, the court may review the responsible social services <br/>
<a id="pl.32.8"></a><var>32.8</var>agency's reasonable efforts to finalize an adoption less frequently than every 90 days. The <br/>
<a id="pl.32.9"></a><var>32.9</var>court shall not find it appropriate to review progress toward adoption less frequently <br/>
<a id="pl.32.10"></a><var>32.10</var>than every 90 days except when:<br/>
<a id="pl.32.11"></a><var>32.11</var>(1) the court has approved the agency's reasonable efforts to recruit, identify, and <br/>
<a id="pl.32.12"></a><var>32.12</var>place the child in an adoptive home on a continuing basis for at least 24 months after the <br/>
<a id="pl.32.13"></a><var>32.13</var>court has issued the order for guardianship;<br/>
<a id="pl.32.14"></a><var>32.14</var>(2) the child is at least 16 years old; and<br/>
<a id="pl.32.15"></a><var>32.15</var>(3) the child's guardian ad litem agrees that review less frequently than every 90 <br/>
<a id="pl.32.16"></a><var>32.16</var>days is in the child's best interests.<br/>
<a id="pl.32.17"></a><var>32.17</var>(c) In no event shall the court's review be less frequent than every six months.<br/>
<br/>
<a id="bill.1.30.0"></a><a id="pl.32.18"></a><var>32.18</var>    Sec. 30. <b>[260C.609] SOCIAL AND MEDICAL HISTORY.</b><br/>
<a id="pl.32.19"></a><var>32.19</var>(a) The responsible social services agency shall work with the birth family of the <br/>
<a id="pl.32.20"></a><var>32.20</var>child, foster family, medical and treatment providers, and the child's school to ensure there <br/>
<a id="pl.32.21"></a><var>32.21</var>is a detailed, thorough, and currently up-to-date social and medical history of the child as <br/>
<a id="pl.32.22"></a><var>32.22</var>required under section 259.43 on the forms required by the commissioner.<br/>
<a id="pl.32.23"></a><var>32.23</var>(b) When the child continues in foster care, the agency's reasonable efforts to <br/>
<a id="pl.32.24"></a><var>32.24</var>complete the history shall begin no later than the permanency progress review hearing <br/>
<a id="pl.32.25"></a><var>32.25</var>required under section 260C.204 or six months after the child's placement in foster care.<br/>
<a id="pl.32.26"></a><var>32.26</var>(c) The agency shall thoroughly discuss the child's history with the adopting parent <br/>
<a id="pl.32.27"></a><var>32.27</var>of the child and shall give a copy of the report of the child's social and medical history <br/>
<a id="pl.32.28"></a><var>32.28</var>to the adopting parent. A copy of the child's social and medical history may also be <br/>
<a id="pl.32.29"></a><var>32.29</var>given to the child as appropriate.<br/>
<a id="pl.32.30"></a><var>32.30</var>(d) The report shall not include information that identifies birth relatives. Redacted <br/>
<a id="pl.32.31"></a><var>32.31</var>copies of all the child's relevant evaluations, assessments, and records must be attached <br/>
<a id="pl.32.32"></a><var>32.32</var>to the social and medical history.<br/>
<br/>
<a id="bill.1.31.0"></a><a id="pl.32.33"></a><var>32.33</var>    Sec. 31. <b>[260C.611] ADOPTION STUDY REQUIRED.</b><br/>
<a id="pl.33.1"></a><var>33.1</var>An adoption study under section 259.41 approving placement of the child in the <br/>
<a id="pl.33.2"></a><var>33.2</var>home of the prospective adoptive parent shall be completed before placing any child <br/>
<a id="pl.33.3"></a><var>33.3</var>under the guardianship of the commissioner in a home for adoption. If a prospective <br/>
<a id="pl.33.4"></a><var>33.4</var>adoptive parent has previously held a foster care license or adoptive home study, any <br/>
<a id="pl.33.5"></a><var>33.5</var>update necessary to the foster care license, or updated or new adoptive home study, if not <br/>
<a id="pl.33.6"></a><var>33.6</var>completed by the licensing authority responsible for the previous license or home study, <br/>
<a id="pl.33.7"></a><var>33.7</var>shall include collateral information from the previous licensing or approving agency, if <br/>
<a id="pl.33.8"></a><var>33.8</var>available.<br/>
<br/>
<a id="bill.1.32.0"></a><a id="pl.33.9"></a><var>33.9</var>    Sec. 32. <b>[260C.613] SOCIAL SERVICES AGENCY AS COMMISSIONER'S </b><br/>
<a id="pl.33.10"></a><var>33.10</var><b>AGENT.</b><br/>
<a id="pl.33.11"></a><var>33.11</var>    Subdivision 1. <b>Adoptive placement decisions.</b> (a) The responsible social services <br/>
<a id="pl.33.12"></a><var>33.12</var>agency has exclusive authority to make an adoptive placement of a child under the <br/>
<a id="pl.33.13"></a><var>33.13</var>guardianship of the commissioner. The child shall be considered placed for adoption when <br/>
<a id="pl.33.14"></a><var>33.14</var>the adopting parent, the agency, and the commissioner have fully executed an adoption <br/>
<a id="pl.33.15"></a><var>33.15</var>placement agreement on the form prescribed by the commissioner.<br/>
<a id="pl.33.16"></a><var>33.16</var>(b) The responsible social services agency shall use an individualized determination <br/>
<a id="pl.33.17"></a><var>33.17</var>of the child's current needs pursuant to section 260C.212, subdivision 2, paragraph (b), to <br/>
<a id="pl.33.18"></a><var>33.18</var>determine the most suitable adopting parent for the child in the child's best interests.<br/>
<a id="pl.33.19"></a><var>33.19</var>(c) The responsible social services agency shall notify the court and parties entitled <br/>
<a id="pl.33.20"></a><var>33.20</var>to notice under section 260C.607, subdivision 2, when there is a fully executed adoption <br/>
<a id="pl.33.21"></a><var>33.21</var>placement agreement for the child.<br/>
<a id="pl.33.22"></a><var>33.22</var>(d) In the event an adoption placement agreement terminates, the responsible <br/>
<a id="pl.33.23"></a><var>33.23</var>social services agency shall notify the court, the parties entitled to notice under section <br/>
<a id="pl.33.24"></a><var>33.24</var>260C.607, subdivision 2, and the commissioner that the agreement and the adoptive <br/>
<a id="pl.33.25"></a><var>33.25</var>placement have terminated.<br/>
<a id="pl.33.26"></a><var>33.26</var>    Subd. 2. <b>Disclosure of data permitted to identify adoptive parent.</b> The <br/>
<a id="pl.33.27"></a><var>33.27</var>responsible social services agency may disclose private data, as defined in section 13.02, to <br/>
<a id="pl.33.28"></a><var>33.28</var>prospective adoptive parents for the purpose of identifying an adoptive parent willing and <br/>
<a id="pl.33.29"></a><var>33.29</var>able to meet the child's needs as outlined in section 260C.212, subdivision 2, paragraph (b).<br/>
<a id="pl.33.30"></a><var>33.30</var>    Subd. 3. <b>Siblings placed together.</b> The responsible social services agency shall <br/>
<a id="pl.33.31"></a><var>33.31</var>place siblings together for adoption according to section 260.012, paragraph (e), clause <br/>
<a id="pl.33.32"></a><var>33.32</var>(4), unless:<br/>
<a id="pl.33.33"></a><var>33.33</var>(1) the court makes findings required under section 260C.617; and<br/>
<a id="pl.34.1"></a><var>34.1</var>(2) the court orders that the adoption or progress toward adoption of the child under <br/>
<a id="pl.34.2"></a><var>34.2</var>the court's jurisdiction may proceed notwithstanding that the adoption will result in <br/>
<a id="pl.34.3"></a><var>34.3</var>siblings being separated.<br/>
<a id="pl.34.4"></a><var>34.4</var>    Subd. 4. <b>Other considerations.</b> Placement of a child cannot be delayed or denied <br/>
<a id="pl.34.5"></a><var>34.5</var>based on the race, color, or national origin of the prospective parent or the child.<br/>
<a id="pl.34.6"></a><var>34.6</var>    Subd. 5. <b>Required record keeping.</b> The responsible social services agency <br/>
<a id="pl.34.7"></a><var>34.7</var>shall document, in the records required to be kept under section 259.79, the reasons <br/>
<a id="pl.34.8"></a><var>34.8</var>for the adoptive placement decision regarding the child, including the individualized <br/>
<a id="pl.34.9"></a><var>34.9</var>determination of the child's needs based on the factors in section 260C.212, subdivision <br/>
<a id="pl.34.10"></a><var>34.10</var>2, paragraph (b), and the assessment of how the selected adoptive placement meets the <br/>
<a id="pl.34.11"></a><var>34.11</var>identified needs of the child. The responsible social services agency shall retain in the <br/>
<a id="pl.34.12"></a><var>34.12</var>records required to be kept under section 259.79, copies of all out-of-home placement <br/>
<a id="pl.34.13"></a><var>34.13</var>plans made since the child was ordered under guardianship of the commissioner and all <br/>
<a id="pl.34.14"></a><var>34.14</var>court orders from reviews conducted pursuant to section 260C.607.<br/>
<a id="pl.34.15"></a><var>34.15</var>    Subd. 6. <b>Death notification.</b> (a) The agency shall inform the adoptive parents <br/>
<a id="pl.34.16"></a><var>34.16</var>that the adoptive parents of an adopted child under age 19 or an adopted person age 19 <br/>
<a id="pl.34.17"></a><var>34.17</var>or older may maintain a current address on file with the agency and indicate a desire to <br/>
<a id="pl.34.18"></a><var>34.18</var>be notified if the agency receives information of the death of a birth parent. The agency <br/>
<a id="pl.34.19"></a><var>34.19</var>shall notify birth parents of the child's death and the cause of death, if known, provided <br/>
<a id="pl.34.20"></a><var>34.20</var>that the birth parents desire notice and maintain current addresses on file with the agency. <br/>
<a id="pl.34.21"></a><var>34.21</var>The agency shall inform birth parents entitled to notice under section 259.27, that they <br/>
<a id="pl.34.22"></a><var>34.22</var>may designate individuals to notify the agency if a birth parent dies and that the agency <br/>
<a id="pl.34.23"></a><var>34.23</var>receiving information of the birth parent's death will share the information with adoptive <br/>
<a id="pl.34.24"></a><var>34.24</var>parents, if the adopted person is under age 19, or an adopted person age 19 or older who <br/>
<a id="pl.34.25"></a><var>34.25</var>has indicated a desire to be notified of the death of a birth parent and who maintains <br/>
<a id="pl.34.26"></a><var>34.26</var>a current address on file with the agency.<br/>
<a id="pl.34.27"></a><var>34.27</var>(b) Notice to a birth parent that a child has died or to the adoptive parents or an <br/>
<a id="pl.34.28"></a><var>34.28</var>adopted person age 19 or older that a birth parent has died shall be provided by an <br/>
<a id="pl.34.29"></a><var>34.29</var>employee of the agency through personal and confidential contact, but not by mail.<br/>
<a id="pl.34.30"></a><var>34.30</var>    Subd. 7. <b>Terminal illness notification.</b> If a birth parent or the child is terminally ill, <br/>
<a id="pl.34.31"></a><var>34.31</var>the responsible social services agency shall inform the adoptive parents and birth parents <br/>
<a id="pl.34.32"></a><var>34.32</var>of a child who is adopted that the birth parents, the adoptive parents of an adopted person <br/>
<a id="pl.34.33"></a><var>34.33</var>under age 19, or an adopted person age 19 or older may request to be notified of the <br/>
<a id="pl.34.34"></a><var>34.34</var>terminal illness. The agency shall notify the other parties if a request is received under <br/>
<a id="pl.34.35"></a><var>34.35</var>this subdivision and upon a party's request the agency shall share information regarding a <br/>
<a id="pl.34.36"></a><var>34.36</var>terminal illness with the adoptive or birth parents or an adopted person age 19 or older.<br/>
<a id="pl.35.1"></a><var>35.1</var>    Subd. 8. <b>Postadoption search services.</b> The responsible social services agency <br/>
<a id="pl.35.2"></a><var>35.2</var>shall respond to requests from adopted persons age 19 years and over, adoptive parents <br/>
<a id="pl.35.3"></a><var>35.3</var>of a minor child, and birth parents for social and medical history and genetic health <br/>
<a id="pl.35.4"></a><var>35.4</var>conditions of the adopted person's birth family and genetic sibling information according <br/>
<a id="pl.35.5"></a><var>35.5</var>to section 259.83.<br/>
<br/>
<a id="bill.1.33.0"></a><a id="pl.35.6"></a><var>35.6</var>    Sec. 33. <b>[260C.615] DUTIES OF COMMISSIONER.</b><br/>
<a id="pl.35.7"></a><var>35.7</var>    Subdivision 1. <b>Duties.</b> (a) For any child who is under the guardianship of the <br/>
<a id="pl.35.8"></a><var>35.8</var>commissioner, the commissioner has the exclusive rights to consent to:<br/>
<a id="pl.35.9"></a><var>35.9</var>(1) the medical care plan for the treatment of a child who is at imminent risk of death <br/>
<a id="pl.35.10"></a><var>35.10</var>or who has a chronic disease that, in a physician's judgment, will result in the child's death <br/>
<a id="pl.35.11"></a><var>35.11</var>in the near future including a physician's order not to resuscitate or intubate the child; and<br/>
<a id="pl.35.12"></a><var>35.12</var>(2) the child donating a part of the child's body to another person while the child is <br/>
<a id="pl.35.13"></a><var>35.13</var>living; the decision to donate a body part under this clause shall take into consideration <br/>
<a id="pl.35.14"></a><var>35.14</var>the child's wishes and the child's culture.<br/>
<a id="pl.35.15"></a><var>35.15</var>(b) In addition to the exclusive rights under paragraph (a), the commissioner has <br/>
<a id="pl.35.16"></a><var>35.16</var>a duty to:<br/>
<a id="pl.35.17"></a><var>35.17</var>(1) process any complete and accurate request for home study and placement <br/>
<a id="pl.35.18"></a><var>35.18</var>through the Interstate Compact on the Placement of Children under section 260.851;<br/>
<a id="pl.35.19"></a><var>35.19</var>(2) process any complete and accurate application for adoption assistance forwarded <br/>
<a id="pl.35.20"></a><var>35.20</var>by the responsible social services agency according to chapter 259A;<br/>
<a id="pl.35.21"></a><var>35.21</var>(3) complete the execution of an adoption placement agreement forwarded to the <br/>
<a id="pl.35.22"></a><var>35.22</var>commissioner by the responsible social services agency and return it to the agency in a <br/>
<a id="pl.35.23"></a><var>35.23</var>timely fashion; and<br/>
<a id="pl.35.24"></a><var>35.24</var>(4) maintain records as required in chapter 259.<br/>
<a id="pl.35.25"></a><var>35.25</var>    Subd. 2. <b>Duties not reserved.</b> All duties, obligations, and consents not specifically <br/>
<a id="pl.35.26"></a><var>35.26</var>reserved to the commissioner in this section are delegated to the responsible social <br/>
<a id="pl.35.27"></a><var>35.27</var>services agency.<br/>
<br/>
<a id="bill.1.34.0"></a><a id="pl.35.28"></a><var>35.28</var>    Sec. 34. <b>[260C.617] SIBLING PLACEMENT.</b><br/>
<a id="pl.35.29"></a><var>35.29</var>(a) The responsible social services agency shall make every effort to place siblings <br/>
<a id="pl.35.30"></a><var>35.30</var>together for adoption.<br/>
<a id="pl.35.31"></a><var>35.31</var>(b) The court shall review any proposal by the responsible social services agency to <br/>
<a id="pl.35.32"></a><var>35.32</var>separate siblings for purposes of adoption.<br/>
<a id="pl.35.33"></a><var>35.33</var>(c) If there is venue in more than one county for matters regarding siblings who are <br/>
<a id="pl.35.34"></a><var>35.34</var>under the guardianship of the commissioner, the judges conducting reviews regarding <br/>
<a id="pl.36.1"></a><var>36.1</var>the siblings shall communicate with each other about the siblings' needs and, where <br/>
<a id="pl.36.2"></a><var>36.2</var>appropriate, shall conduct review hearings in a manner that ensures coordinated planning <br/>
<a id="pl.36.3"></a><var>36.3</var>by agencies involved in decision making for the siblings.<br/>
<a id="pl.36.4"></a><var>36.4</var>(d) After notice to the individuals and entities listed in section 260C.627, the foster <br/>
<a id="pl.36.5"></a><var>36.5</var>or prospective adoptive parent of the child, and any foster, adopting, or adoptive parents <br/>
<a id="pl.36.6"></a><var>36.6</var>of the child's siblings, or relatives with permanent legal and physical custody of the <br/>
<a id="pl.36.7"></a><var>36.7</var>child's sibling, and upon hearing, the court may determine that a child under the court's <br/>
<a id="pl.36.8"></a><var>36.8</var>jurisdiction may be separated from the child's sibling for adoption when:<br/>
<a id="pl.36.9"></a><var>36.9</var>(1) the responsible social services agency has made reasonable efforts to place the <br/>
<a id="pl.36.10"></a><var>36.10</var>siblings together, and after finding reasonable efforts have been made, the court finds <br/>
<a id="pl.36.11"></a><var>36.11</var>further efforts would significantly delay the adoption of one or more of the siblings and <br/>
<a id="pl.36.12"></a><var>36.12</var>are therefore not in the best interests of one or more of the siblings; or<br/>
<a id="pl.36.13"></a><var>36.13</var>(2) the court determines it is not in the best interests of one or more of the siblings to <br/>
<a id="pl.36.14"></a><var>36.14</var>be placed together after reasonable efforts by the responsible social services agency to <br/>
<a id="pl.36.15"></a><var>36.15</var>place the siblings together.<br/>
<br/>
<a id="bill.1.35.0"></a><a id="pl.36.16"></a><var>36.16</var>    Sec. 35. <b>[260C.619] COMMUNICATION AND CONTACT AGREEMENTS.</b><br/>
<a id="pl.36.17"></a><var>36.17</var>(a) An adopting parent and a relative or foster parent of the child may enter into an <br/>
<a id="pl.36.18"></a><var>36.18</var>agreement regarding communication with or contact between the adopted child, adopting <br/>
<a id="pl.36.19"></a><var>36.19</var>parent, and the relative or foster parent. An agreement may be entered between:<br/>
<a id="pl.36.20"></a><var>36.20</var>(1) an adopting parent and a birth parent;<br/>
<a id="pl.36.21"></a><var>36.21</var>(2) an adopting parent and any relative or foster parent with whom the child resided <br/>
<a id="pl.36.22"></a><var>36.22</var>before being adopted; and<br/>
<a id="pl.36.23"></a><var>36.23</var>(3) an adopting parent and the parent or legal custodian of a sibling of the child, if <br/>
<a id="pl.36.24"></a><var>36.24</var>the sibling is a minor, or any adult sibling of the child.<br/>
<a id="pl.36.25"></a><var>36.25</var>(b) An agreement regarding communication with or contact between the child, <br/>
<a id="pl.36.26"></a><var>36.26</var>adoptive parents, and a relative or foster parent, is enforceable when the terms of the <br/>
<a id="pl.36.27"></a><var>36.27</var>agreement are contained in a written court order. The order must be issued before or at the <br/>
<a id="pl.36.28"></a><var>36.28</var>time of the granting of the decree of adoption. The order granting the communication, <br/>
<a id="pl.36.29"></a><var>36.29</var>contact, or visitation shall be filed in the adoption file.<br/>
<a id="pl.36.30"></a><var>36.30</var>(c) The court shall mail a certified copy of the order to the parties to the agreement or <br/>
<a id="pl.36.31"></a><var>36.31</var>their representatives at the addresses provided by the parties to the agreement. Service shall <br/>
<a id="pl.36.32"></a><var>36.32</var>be completed in a manner that maintains the confidentiality of confidential information.<br/>
<a id="pl.36.33"></a><var>36.33</var>(d) The court shall not enter a proposed order unless the terms of the order have been <br/>
<a id="pl.36.34"></a><var>36.34</var>approved in writing by the prospective adoptive parents, the birth relative, the foster <br/>
<a id="pl.37.1"></a><var>37.1</var>parent, or the birth parent or legal custodian of the child's sibling who desires to be a party <br/>
<a id="pl.37.2"></a><var>37.2</var>to the agreement, and the responsible social services agency.<br/>
<a id="pl.37.3"></a><var>37.3</var>(e) An agreement under this section need not disclose the identity of the parties to be <br/>
<a id="pl.37.4"></a><var>37.4</var>legally enforceable and when the identity of the parties to the agreement is not disclosed, <br/>
<a id="pl.37.5"></a><var>37.5</var>data about the identities in the adoption file shall remain confidential.<br/>
<a id="pl.37.6"></a><var>37.6</var>(f) The court shall not enter a proposed order unless the court finds that the <br/>
<a id="pl.37.7"></a><var>37.7</var>communication or contact between the minor adoptee, the adoptive parents, and the <br/>
<a id="pl.37.8"></a><var>37.8</var>relative, foster parents, or siblings as agreed upon and contained in the proposed order, <br/>
<a id="pl.37.9"></a><var>37.9</var>would be in the child's best interests.<br/>
<a id="pl.37.10"></a><var>37.10</var>(g) Failure to comply with the terms of an order regarding communication or contact <br/>
<a id="pl.37.11"></a><var>37.11</var>that has been entered by the court under this section is not grounds for:<br/>
<a id="pl.37.12"></a><var>37.12</var>(1) setting aside an adoption decree; or<br/>
<a id="pl.37.13"></a><var>37.13</var>(2) revocation of a written consent to an adoption after that consent has become <br/>
<a id="pl.37.14"></a><var>37.14</var>irrevocable.<br/>
<a id="pl.37.15"></a><var>37.15</var>(h) An order regarding communication or contact entered under this section may be <br/>
<a id="pl.37.16"></a><var>37.16</var>enforced by filing a motion in the existing adoption file with the court that entered the <br/>
<a id="pl.37.17"></a><var>37.17</var>contact agreement. Any party to the communication or contact order or the child who is <br/>
<a id="pl.37.18"></a><var>37.18</var>the subject of the order has standing to file the motion to enforce the order. The prevailing <br/>
<a id="pl.37.19"></a><var>37.19</var>party may be awarded reasonable attorney fees and costs.<br/>
<a id="pl.37.20"></a><var>37.20</var>(i) The court shall not modify an order under this section unless it finds that the <br/>
<a id="pl.37.21"></a><var>37.21</var>modification is necessary to serve the best interests of the child, and:<br/>
<a id="pl.37.22"></a><var>37.22</var>(1) the modification is agreed to by the parties to the agreement; or<br/>
<a id="pl.37.23"></a><var>37.23</var>(2) exceptional circumstances have arisen since the order was entered that justified <br/>
<a id="pl.37.24"></a><var>37.24</var>modification of the order.<br/>
<br/>
<a id="bill.1.36.0"></a><a id="pl.37.25"></a><var>37.25</var>    Sec. 36. <b>[260C.621] JURISDICTION AND VENUE.</b><br/>
<a id="pl.37.26"></a><var>37.26</var>    Subdivision 1. <b>Jurisdiction.</b> (a) The juvenile court has original jurisdiction for all <br/>
<a id="pl.37.27"></a><var>37.27</var>adoption proceedings involving the adoption of a child under the guardianship of the <br/>
<a id="pl.37.28"></a><var>37.28</var>commissioner, including when the commissioner approves the placement of the child <br/>
<a id="pl.37.29"></a><var>37.29</var>through the Interstate Compact on the Placement of Children under section 260.851 for <br/>
<a id="pl.37.30"></a><var>37.30</var>adoption outside the state of Minnesota and an adoption petition is filed in Minnesota.<br/>
<a id="pl.37.31"></a><var>37.31</var>(b) The receiving state also has jurisdiction to conduct an adoption proceeding for a <br/>
<a id="pl.37.32"></a><var>37.32</var>child under the guardianship of the commissioner when the adopting home was approved <br/>
<a id="pl.37.33"></a><var>37.33</var>by the receiving state through the interstate compact.<br/>
<a id="pl.38.1"></a><var>38.1</var>    Subd. 2. <b>Venue.</b> (a) Venue for the adoption of a child committed to the guardianship <br/>
<a id="pl.38.2"></a><var>38.2</var>of the commissioner of human services shall be the court conducting reviews in the matter <br/>
<a id="pl.38.3"></a><var>38.3</var>according to section 260C.607.<br/>
<a id="pl.38.4"></a><var>38.4</var>(b) Upon request of the responsible social services agency, the court conducting <br/>
<a id="pl.38.5"></a><var>38.5</var>reviews under section 260C.607 may order that filing an adoption petition involving a <br/>
<a id="pl.38.6"></a><var>38.6</var>child under the guardianship of the commissioner be permitted in the county where the <br/>
<a id="pl.38.7"></a><var>38.7</var>adopting parent resides upon determining that:<br/>
<a id="pl.38.8"></a><var>38.8</var>(1) there is no motion for an order for adoptive placement of the child that has been <br/>
<a id="pl.38.9"></a><var>38.9</var>filed or is reasonably anticipated by the responsible social services agency to be filed; and<br/>
<a id="pl.38.10"></a><var>38.10</var>(2) filing the petition in the adopting parent's county of residence will expedite the <br/>
<a id="pl.38.11"></a><var>38.11</var>proceedings and serve the best interests of the child.<br/>
<a id="pl.38.12"></a><var>38.12</var>(c) When the court issues an order under paragraph (b), a copy of the court order <br/>
<a id="pl.38.13"></a><var>38.13</var>shall be filed together with the adoption petition in the court of the adopting parent's <br/>
<a id="pl.38.14"></a><var>38.14</var>county of residence.<br/>
<a id="pl.38.15"></a><var>38.15</var>(d) The court shall notify the court conducting reviews under section 260C.607 when <br/>
<a id="pl.38.16"></a><var>38.16</var>the adoption is finalized so that the court conducting reviews under section 260C.607 may <br/>
<a id="pl.38.17"></a><var>38.17</var>close its jurisdiction and the court record, including the court's electronic case record, in <br/>
<a id="pl.38.18"></a><var>38.18</var>the county conducting the reviews, shall reflect that adoption of the child was finalized.<br/>
<br/>
<a id="bill.1.37.0"></a><a id="pl.38.19"></a><var>38.19</var>    Sec. 37. <b>[260C.623] ADOPTION PETITION.</b><br/>
<a id="pl.38.20"></a><var>38.20</var>    Subdivision 1. <b>Who may petition.</b> (a) The responsible social services agency may <br/>
<a id="pl.38.21"></a><var>38.21</var>petition for the adopting parent to adopt a child who is under the guardianship of the <br/>
<a id="pl.38.22"></a><var>38.22</var>commissioner. The petition shall contain or have attached a statement certified by the <br/>
<a id="pl.38.23"></a><var>38.23</var>adopting parent that the adopting parent desires that the relationship of parent and child <br/>
<a id="pl.38.24"></a><var>38.24</var>be established between the adopting parent and the child and that adoption is in the best <br/>
<a id="pl.38.25"></a><var>38.25</var>interests of the child.<br/>
<a id="pl.38.26"></a><var>38.26</var>(b) The adopting parent may petition the court for adoption of the child.<br/>
<a id="pl.38.27"></a><var>38.27</var>(c) An adopting parent must be at least 21 years of age at the time the adoption <br/>
<a id="pl.38.28"></a><var>38.28</var>petition is filed unless the adopting parent is an individual related to the child, as defined <br/>
<a id="pl.38.29"></a><var>38.29</var>by section 245A.02, subdivision 13.<br/>
<a id="pl.38.30"></a><var>38.30</var>(d) The petition may be filed in Minnesota by an adopting parent who resides within <br/>
<a id="pl.38.31"></a><var>38.31</var>or outside the state.<br/>
<a id="pl.38.32"></a><var>38.32</var>    Subd. 2. <b>Time for filing petition.</b> (a) An adoption petition shall be filed not later <br/>
<a id="pl.38.33"></a><var>38.33</var>than nine months after the date of the fully executed adoption placement agreement unless <br/>
<a id="pl.38.34"></a><var>38.34</var>the court finds that:<br/>
<a id="pl.39.1"></a><var>39.1</var>(1) the time for filing a petition be extended because of the child's special needs <br/>
<a id="pl.39.2"></a><var>39.2</var>as defined under title IV-E of the federal Social Security Act, United States Code, title <br/>
<a id="pl.39.3"></a><var>39.3</var>42, section 672; or<br/>
<a id="pl.39.4"></a><var>39.4</var>(2) based on a written plan for completing filing of the petition, including a specific <br/>
<a id="pl.39.5"></a><var>39.5</var>timeline, to which the adopting parent has agreed, the time for filing a petition be extended <br/>
<a id="pl.39.6"></a><var>39.6</var>long enough to complete the plan because an extension is in the best interests of the child <br/>
<a id="pl.39.7"></a><var>39.7</var>and additional time is needed for the child to adjust to the adoptive home.<br/>
<a id="pl.39.8"></a><var>39.8</var>(b) If an adoption petition is not filed within nine months of the execution of the <br/>
<a id="pl.39.9"></a><var>39.9</var>adoption placement agreement as required under section 260C.613, subdivision 1, and <br/>
<a id="pl.39.10"></a><var>39.10</var>after giving the adopting parent written notice of its request together with the date and <br/>
<a id="pl.39.11"></a><var>39.11</var>time of the hearing set to consider its report, the responsible social services agency shall <br/>
<a id="pl.39.12"></a><var>39.12</var>file a report requesting an order for one of the following:<br/>
<a id="pl.39.13"></a><var>39.13</var>(1) that the time for filing a petition be extended because of the child's special needs <br/>
<a id="pl.39.14"></a><var>39.14</var>as defined under title IV-E of the federal Social Security Act, United States Code, title <br/>
<a id="pl.39.15"></a><var>39.15</var>42, section 673;<br/>
<a id="pl.39.16"></a><var>39.16</var>(2) that, based on a written plan for completing filing of the petition, including a <br/>
<a id="pl.39.17"></a><var>39.17</var>specific timeline, to which the adopting parent has agreed, the time for filing a petition can <br/>
<a id="pl.39.18"></a><var>39.18</var>be extended long enough to complete the plan because an extension is in the best interests <br/>
<a id="pl.39.19"></a><var>39.19</var>of the child and additional time is needed for the child to adjust to the adoptive home; or<br/>
<a id="pl.39.20"></a><var>39.20</var>(3) that the child can be removed from the adopting home.<br/>
<a id="pl.39.21"></a><var>39.21</var>(c) At the conclusion of the review, the court shall issue findings, appropriate orders <br/>
<a id="pl.39.22"></a><var>39.22</var>for the parties to take action or steps required to advance the case toward a finalized <br/>
<a id="pl.39.23"></a><var>39.23</var>adoption, and set the date and time for the next review hearing.<br/>
<a id="pl.39.24"></a><var>39.24</var>    Subd. 3. <b>Requirements of petition.</b> (a) The petition shall be captioned in the legal <br/>
<a id="pl.39.25"></a><var>39.25</var>name of the child as that name is reflected on the child's birth record prior to adoption and <br/>
<a id="pl.39.26"></a><var>39.26</var>shall be entitled "Petition to Adopt Child under the Guardianship of the Commissioner <br/>
<a id="pl.39.27"></a><var>39.27</var>of Human Services." The actual name of the child shall be supplied to the court by the <br/>
<a id="pl.39.28"></a><var>39.28</var>responsible social services agency if unknown to the individual with whom the agency <br/>
<a id="pl.39.29"></a><var>39.29</var>has made the adoptive placement.<br/>
<a id="pl.39.30"></a><var>39.30</var>(b) The adoption petition shall be verified as required in section 260C.141, <br/>
<a id="pl.39.31"></a><var>39.31</var>subdivision 4, and, if filed by the responsible social services agency, signed and approved <br/>
<a id="pl.39.32"></a><var>39.32</var>by the county attorney.<br/>
<a id="pl.39.33"></a><var>39.33</var>(c) The petition shall state:<br/>
<a id="pl.39.34"></a><var>39.34</var>(1) the full name, age, and place of residence of the adopting parent;<br/>
<a id="pl.39.35"></a><var>39.35</var>(2) if the adopting parents are married, the date and place of marriage;<br/>
<a id="pl.39.36"></a><var>39.36</var>(3) the date the adopting parent acquired physical custody of the child;<br/>
<a id="pl.40.1"></a><var>40.1</var>(4) the date of the adoptive placement by the responsible social services agency;<br/>
<a id="pl.40.2"></a><var>40.2</var>(5) the date of the birth of the child, if known, and the county, state, and country <br/>
<a id="pl.40.3"></a><var>40.3</var>where born;<br/>
<a id="pl.40.4"></a><var>40.4</var>(6) the name to be given the child, if a change of name is desired;<br/>
<a id="pl.40.5"></a><var>40.5</var>(7) the description and value of any real or personal property owned by the child;<br/>
<a id="pl.40.6"></a><var>40.6</var>(8) the relationship of the adopting parent to the child prior to adoptive placement, if <br/>
<a id="pl.40.7"></a><var>40.7</var>any;<br/>
<a id="pl.40.8"></a><var>40.8</var>(9) whether the Indian Child Welfare Act does or does not apply; and<br/>
<a id="pl.40.9"></a><var>40.9</var>(10) the name and address of:<br/>
<a id="pl.40.10"></a><var>40.10</var>(i) the child's guardian ad litem;<br/>
<a id="pl.40.11"></a><var>40.11</var>(ii) the adoptee, if age ten or older;<br/>
<a id="pl.40.12"></a><var>40.12</var>(iii) the child's Indian tribe, if the child is an Indian child; and<br/>
<a id="pl.40.13"></a><var>40.13</var>(iv) the responsible social services agency.<br/>
<a id="pl.40.14"></a><var>40.14</var>(d) A petition may ask for the adoption of two or more children.<br/>
<a id="pl.40.15"></a><var>40.15</var>(e) If a petition is for adoption by a married person, both spouses must sign the <br/>
<a id="pl.40.16"></a><var>40.16</var>petition indicating willingness to adopt the child and the petition must ask for adoption by <br/>
<a id="pl.40.17"></a><var>40.17</var>both spouses unless the court approves adoption by only one spouse when spouses do not <br/>
<a id="pl.40.18"></a><var>40.18</var>reside together or for other good cause shown.<br/>
<a id="pl.40.19"></a><var>40.19</var>(f) If the petition is for adoption by a person residing outside the state, the adoptive <br/>
<a id="pl.40.20"></a><var>40.20</var>placement must have been approved by the state where the person is a resident through the <br/>
<a id="pl.40.21"></a><var>40.21</var>Interstate Compact on the Placement of Children, sections 260.851 to 260.92.<br/>
<a id="pl.40.22"></a><var>40.22</var>    Subd. 4. <b>Attachments to the petition.</b> The following must be filed with the petition:<br/>
<a id="pl.40.23"></a><var>40.23</var>(1) the adoption study report required under section 259.41;<br/>
<a id="pl.40.24"></a><var>40.24</var>(2) the social and medical history required under sections 259.43 and 260C.609; and<br/>
<a id="pl.40.25"></a><var>40.25</var>(3) a document prepared by the petitioner that establishes who must be given notice <br/>
<a id="pl.40.26"></a><var>40.26</var>under section 260C.627, subdivision 1, that includes the names and mailing addresses of <br/>
<a id="pl.40.27"></a><var>40.27</var>those to be served by the court administrator.<br/>
<br/>
<a id="bill.1.38.0"></a><a id="pl.40.28"></a><var>40.28</var>    Sec. 38. <b>[260C.625] DOCUMENTS FILED BY SOCIAL SERVICES AGENCY.</b><br/>
<a id="pl.40.29"></a><var>40.29</var>(a) The following shall be filed by the responsible social services agency prior to <br/>
<a id="pl.40.30"></a><var>40.30</var>finalization of the adoption:<br/>
<a id="pl.40.31"></a><var>40.31</var>(1) a certified copy of the child's birth record;<br/>
<a id="pl.40.32"></a><var>40.32</var>(2) a certified copy of the findings and order terminating parental rights or order <br/>
<a id="pl.40.33"></a><var>40.33</var>accepting the parent's consent to adoption under section 260C.515, subdivision 3, and for <br/>
<a id="pl.40.34"></a><var>40.34</var>guardianship to the commissioner;<br/>
<a id="pl.40.35"></a><var>40.35</var>(3) a copy of any communication or contact agreement under section 260C.619;<br/>
<a id="pl.41.1"></a><var>41.1</var>(4) certification that the Minnesota Fathers' Adoption Registry has been searched <br/>
<a id="pl.41.2"></a><var>41.2</var>which requirement may be met according to the requirements of the Minnesota Rules of <br/>
<a id="pl.41.3"></a><var>41.3</var>Adoption Procedure, Rule 32.01, subdivision 2;<br/>
<a id="pl.41.4"></a><var>41.4</var>(5) the original of each consent to adoption required, if any, unless the original was <br/>
<a id="pl.41.5"></a><var>41.5</var>filed in the permanency proceeding conducted under section 260C.515, subdivision 3, and <br/>
<a id="pl.41.6"></a><var>41.6</var>the order filed under clause (2) has a copy of the consent attached; and<br/>
<a id="pl.41.7"></a><var>41.7</var>(6) the postplacement assessment report required under section 259.53, subdivision <br/>
<a id="pl.41.8"></a><var>41.8</var>2.<br/>
<a id="pl.41.9"></a><var>41.9</var>(b) The responsible social services agency shall provide any known aliases of the <br/>
<a id="pl.41.10"></a><var>41.10</var>child to the court.<br/>
<br/>
<a id="bill.1.39.0"></a><a id="pl.41.11"></a><var>41.11</var>    Sec. 39. <b>[260C.627] NOTICE OF ADOPTION PROCEEDINGS.</b><br/>
<a id="pl.41.12"></a><var>41.12</var>    Subdivision 1. <b>To whom given.</b> (a) Notice of the adoption proceedings shall not <br/>
<a id="pl.41.13"></a><var>41.13</var>be given to any parent whose rights have been terminated or who has consented to the <br/>
<a id="pl.41.14"></a><var>41.14</var>adoption of the child under this chapter.<br/>
<a id="pl.41.15"></a><var>41.15</var>(b) Notice of the adoption proceedings shall be given to the following:<br/>
<a id="pl.41.16"></a><var>41.16</var>(1) the child's tribe if the child is an Indian child;<br/>
<a id="pl.41.17"></a><var>41.17</var>(2) the responsible social services agency;<br/>
<a id="pl.41.18"></a><var>41.18</var>(3) the child's guardian ad litem;<br/>
<a id="pl.41.19"></a><var>41.19</var>(4) the child, if the child is age ten or over;<br/>
<a id="pl.41.20"></a><var>41.20</var>(5) the child's attorney; and<br/>
<a id="pl.41.21"></a><var>41.21</var>(6) the adopting parent.<br/>
<a id="pl.41.22"></a><var>41.22</var>(c) Notice of a hearing regarding the adoption petition shall have a copy of the <br/>
<a id="pl.41.23"></a><var>41.23</var>petition attached unless service of the petition has already been accomplished.<br/>
<a id="pl.41.24"></a><var>41.24</var>    Subd. 2. <b>Method of service.</b> Notice of adoption proceedings for a child under the <br/>
<a id="pl.41.25"></a><var>41.25</var>guardianship of the commissioner may be served by United States mail or any other <br/>
<a id="pl.41.26"></a><var>41.26</var>method approved by the Minnesota Rules of Adoption Procedure.<br/>
<br/>
<a id="bill.1.40.0"></a><a id="pl.41.27"></a><var>41.27</var>    Sec. 40. <b>[260C.629] FINALIZATION HEARING.</b><br/>
<a id="pl.41.28"></a><var>41.28</var>    Subdivision 1. <b>Consent.</b> (a) A parent whose rights to the child have not been <br/>
<a id="pl.41.29"></a><var>41.29</var>terminated must consent to the adoption of the child. A parent may consent to the adoption <br/>
<a id="pl.41.30"></a><var>41.30</var>of the child under section 260C.515, subdivision 3, and that consent shall be irrevocable <br/>
<a id="pl.41.31"></a><var>41.31</var>upon acceptance by the court except as otherwise provided in section 260C.515, <br/>
<a id="pl.41.32"></a><var>41.32</var>subdivision 3, clause (2)(i). A parent of an Indian child may consent to the adoption of <br/>
<a id="pl.41.33"></a><var>41.33</var>the child according to United States Code, title 25, section 1913, and that consent may be <br/>
<a id="pl.41.34"></a><var>41.34</var>withdrawn for any reason at any time before the entry of a final decree of adoption.<br/>
<a id="pl.42.1"></a><var>42.1</var>(b) When the child to be adopted is age 14 years or older, the child's written consent <br/>
<a id="pl.42.2"></a><var>42.2</var>to adoption by the adopting parent is required.<br/>
<a id="pl.42.3"></a><var>42.3</var>(c) Consent by the responsible social services agency or the commissioner is not <br/>
<a id="pl.42.4"></a><var>42.4</var>required because the adoptive placement has been made by the responsible social services <br/>
<a id="pl.42.5"></a><var>42.5</var>agency.<br/>
<a id="pl.42.6"></a><var>42.6</var>    Subd. 2. <b>Required documents.</b> In order to issue a decree for adoption and enter <br/>
<a id="pl.42.7"></a><var>42.7</var>judgment accordingly, the court must have the following documents in the record:<br/>
<a id="pl.42.8"></a><var>42.8</var>(1) original birth record of the child;<br/>
<a id="pl.42.9"></a><var>42.9</var>(2) adoption study report including a background study required under section <br/>
<a id="pl.42.10"></a><var>42.10</var>259.41;<br/>
<a id="pl.42.11"></a><var>42.11</var>(3) a certified copy of the findings and order terminating parental rights or order <br/>
<a id="pl.42.12"></a><var>42.12</var>accepting the parent's consent to adoption under section 260C.515, subdivision 3, and for <br/>
<a id="pl.42.13"></a><var>42.13</var>guardianship to the commissioner;<br/>
<a id="pl.42.14"></a><var>42.14</var>(4) any consents required under subdivision 1;<br/>
<a id="pl.42.15"></a><var>42.15</var>(5) child's social and medical history under section 260C.609;<br/>
<a id="pl.42.16"></a><var>42.16</var>(6) postplacement assessment report required under section 259.53, subdivision 2, <br/>
<a id="pl.42.17"></a><var>42.17</var>unless waived by the court on the record at a hearing under section 260C.607; and<br/>
<a id="pl.42.18"></a><var>42.18</var>(7) report from the child's guardian ad litem.<br/>
<br/>
<a id="bill.1.41.0"></a><a id="pl.42.19"></a><var>42.19</var>    Sec. 41. <b>[260C.631] JUDGMENT AND DECREE.</b><br/>
<a id="pl.42.20"></a><var>42.20</var>(a) After taking testimony from the responsible social services agency, which may <br/>
<a id="pl.42.21"></a><var>42.21</var>be by telephone or affidavit if the court has transferred venue of the matter to a county <br/>
<a id="pl.42.22"></a><var>42.22</var>not conducting the posttermination of parental rights reviews under section 260C.607, <br/>
<a id="pl.42.23"></a><var>42.23</var>and the adopting parent, if the court finds that it is in the best interests of the child that <br/>
<a id="pl.42.24"></a><var>42.24</var>the petition be granted, a decree of adoption shall be issued ordering that the child to be <br/>
<a id="pl.42.25"></a><var>42.25</var>adopted shall be the child of the adopting parent. In the decree, the court may change the <br/>
<a id="pl.42.26"></a><var>42.26</var>name of the adopted child, if a name change is requested.<br/>
<a id="pl.42.27"></a><var>42.27</var>(b) After the decree is granted, the court administrator shall mail a copy of the decree <br/>
<a id="pl.42.28"></a><var>42.28</var>to the commissioner of human services.<br/>
<br/>
<a id="bill.1.42.0"></a><a id="pl.42.29"></a><var>42.29</var>    Sec. 42. <b>[260C.633] ADOPTION DENIED.</b><br/>
<a id="pl.42.30"></a><var>42.30</var>(a) If the court is not satisfied that the proposed adoption is in the best interests of <br/>
<a id="pl.42.31"></a><var>42.31</var>the child to be adopted, the court shall deny the petition, and order the responsible social <br/>
<a id="pl.42.32"></a><var>42.32</var>services agency to take appropriate action for the protection and safety of the child. If <br/>
<a id="pl.42.33"></a><var>42.33</var>venue has been transferred under section 260C.621, subdivision 2, the court denying <br/>
<a id="pl.43.1"></a><var>43.1</var>the petition shall notify the court originally conducting the guardianship reviews under <br/>
<a id="pl.43.2"></a><var>43.2</var>section 260C.607.<br/>
<a id="pl.43.3"></a><var>43.3</var>    (b) The court responsible for conducting reviews under section 260C.607 shall set a <br/>
<a id="pl.43.4"></a><var>43.4</var>hearing within 30 days of receiving notice of denial of the petition.<br/>
<a id="pl.43.5"></a><var>43.5</var>    (c) Any appeal of the denial of an adoption petition under this section shall be made <br/>
<a id="pl.43.6"></a><var>43.6</var>according to the requirements of the Minnesota Rules of Adoption Procedure.<br/>
<br/>
<a id="bill.1.43.0"></a><a id="pl.43.7"></a><var>43.7</var>    Sec. 43. <b>[260C.635] EFFECT OF ADOPTION.</b><br/>
<a id="pl.43.8"></a><var>43.8</var>    Subdivision 1. <b>Legal effect.</b> (a) Upon adoption, the adopted child becomes the legal <br/>
<a id="pl.43.9"></a><var>43.9</var>child of the adopting parent and the adopting parent becomes the legal parent of the child <br/>
<a id="pl.43.10"></a><var>43.10</var>with all the rights and duties between them of a birth parent and child.<br/>
<a id="pl.43.11"></a><var>43.11</var>(b) The child shall inherit from the adoptive parent and the adoptive parent's <br/>
<a id="pl.43.12"></a><var>43.12</var>relatives the same as though the child were the birth child of the parent, and in case of the <br/>
<a id="pl.43.13"></a><var>43.13</var>child's death intestate, the adoptive parent and the adoptive parent's relatives shall inherit <br/>
<a id="pl.43.14"></a><var>43.14</var>the child's estate as if the child had been the adoptive parent's birth child.<br/>
<a id="pl.43.15"></a><var>43.15</var>(c) After a decree of adoption is entered, the birth parents or previous legal parents <br/>
<a id="pl.43.16"></a><var>43.16</var>of the child shall be relieved of all parental responsibilities for the child except child <br/>
<a id="pl.43.17"></a><var>43.17</var>support that has accrued to the date of the order for guardianship to the commissioner <br/>
<a id="pl.43.18"></a><var>43.18</var>which continues to be due and owing. The child's birth or previous legal parent shall not <br/>
<a id="pl.43.19"></a><var>43.19</var>exercise or have any rights over the adopted child or the adopted child's property, person, <br/>
<a id="pl.43.20"></a><var>43.20</var>privacy, or reputation.<br/>
<a id="pl.43.21"></a><var>43.21</var>(d) The adopted child shall not owe the birth parents or the birth parent's relatives <br/>
<a id="pl.43.22"></a><var>43.22</var>any legal duty nor shall the adopted child inherit from the birth parents or kindred unless <br/>
<a id="pl.43.23"></a><var>43.23</var>otherwise provided for in a will of the birth parent or kindred.<br/>
<a id="pl.43.24"></a><var>43.24</var>    (e) Upon adoption, the court shall complete a certificate of adoption form and mail <br/>
<a id="pl.43.25"></a><var>43.25</var>the form to the Office of the State Registrar at the Minnesota Department of Health. Upon <br/>
<a id="pl.43.26"></a><var>43.26</var>receiving the certificate of adoption, the state registrar shall register a replacement vital <br/>
<a id="pl.43.27"></a><var>43.27</var>record in the new name of the adopted child as required under section 144.218.<br/>
<a id="pl.43.28"></a><var>43.28</var>    Subd. 2. <b>Enrollment in American Indian tribe.</b> Notwithstanding the provisions <br/>
<a id="pl.43.29"></a><var>43.29</var>of subdivision 1, the adoption of a child whose birth parent or parents are enrolled in an <br/>
<a id="pl.43.30"></a><var>43.30</var>American Indian tribe shall not change the child's enrollment in that tribe.<br/>
<a id="pl.43.31"></a><var>43.31</var>    Subd. 3. <b>Communication or contact agreements.</b> This section does not prohibit <br/>
<a id="pl.43.32"></a><var>43.32</var>birth parents, relatives, birth or legal siblings, and adoptive parents from entering a <br/>
<a id="pl.43.33"></a><var>43.33</var>communication or contact agreement under section 260C.619.<br/>
<br/>
<a id="bill.1.44.0"></a><a id="pl.44.1"></a><var>44.1</var>    Sec. 44. <b>[260C.637] ACCESS TO ORIGINAL BIRTH RECORD </b><br/>
<a id="pl.44.2"></a><var>44.2</var><b>INFORMATION.</b><br/>
<a id="pl.44.3"></a><var>44.3</var>    An adopted person may ask the commissioner of health to disclose the information <br/>
<a id="pl.44.4"></a><var>44.4</var>on the adopted person's original birth record according to section 259.89.<br/>
<br/>
<a id="bill.1.45.0"></a><a id="pl.44.5"></a><var>44.5</var>    Sec. 45. Minnesota Statutes 2010, section 541.04, is amended to read:<br/>
<a id="pl.44.6"></a><var>44.6</var><b>541.04 JUDGMENTS, TEN </b><b>OR 20</b><b> YEARS.</b><br/>
<a id="pl.44.7"></a><var>44.7</var>No action shall be maintained upon a judgment or decree of a court of the United <br/>
<a id="pl.44.8"></a><var>44.8</var>States, or of any state or territory thereof, unless begun within ten years after the entry of <br/>
<a id="pl.44.9"></a><var>44.9</var>such judgment or, in the case of a judgment for child support, including a judgment by <br/>
<a id="pl.44.10"></a><var>44.10</var>operation of law, unless begun within 20 years after entry of the judgment.<br/>
<a id="pl.44.11"></a><var>44.11</var><b>EFFECTIVE DATE.</b>The amendments to this section are effective retroactively <br/>
<a id="pl.44.12"></a><var>44.12</var>from April 15, 2010, the date the language stricken in this section was finally enacted.<br/>
<br/>
<a id="bill.1.46.0"></a><a id="pl.44.13"></a><var>44.13</var>    Sec. 46. Minnesota Statutes 2010, section 548.09, subdivision 1, is amended to read:<br/>
<a id="pl.44.14"></a><var>44.14</var>    Subdivision 1. <b>Entry and docketing; survival of judgment.</b> Except as provided <br/>
<a id="pl.44.15"></a><var>44.15</var>in section 
         <statute_ref>548.091</statute_ref>, every judgment requiring the payment of money shall be entered <br/>
<a id="pl.44.16"></a><var>44.16</var>by the court administrator when ordered by the court and will be docketed by the court <br/>
<a id="pl.44.17"></a><var>44.17</var>administrator upon the filing of an affidavit as provided in subdivision 2. Upon a transcript <br/>
<a id="pl.44.18"></a><var>44.18</var>of the docket being filed with the court administrator in any other county, the court <br/>
<a id="pl.44.19"></a><var>44.19</var>administrator shall also docket it. From the time of docketing the judgment is a lien, in <br/>
<a id="pl.44.20"></a><var>44.20</var>the amount unpaid, upon all real property in the county then or thereafter owned by the <br/>
<a id="pl.44.21"></a><var>44.21</var>judgment debtor, but it is not a lien upon registered land unless it is also recorded pursuant <br/>
<a id="pl.44.22"></a><var>44.22</var>to sections 
         <statute_ref>508.63</statute_ref> and 
         <statute_ref>508A.63</statute_ref>. The judgment survives, and the lien continues, for ten <br/>
<a id="pl.44.23"></a><var>44.23</var>years after its entry or, in the case of a judgment for child support, including a judgment <br/>
<a id="pl.44.24"></a><var>44.24</var>by operation of law, for 20 years after its entry. Child support judgments may be renewed <br/>
<a id="pl.44.25"></a><var>44.25</var>pursuant to section 
         <statute_ref>548.091</statute_ref>.<br/>
<a id="pl.44.26"></a><var>44.26</var><b>EFFECTIVE DATE.</b>The amendments to this section are effective retroactively <br/>
<a id="pl.44.27"></a><var>44.27</var>from April 15, 2010, the date the language stricken in this section was finally enacted.<br/>
<br/>
<a id="bill.1.47.0"></a><a id="pl.44.28"></a><var>44.28</var>    Sec. 47. Minnesota Statutes 2010, section 626.556, subdivision 2, is amended to read:<br/>
<a id="pl.44.29"></a><var>44.29</var>    Subd. 2. <b>Definitions.</b> As used in this section, the following terms have the meanings <br/>
<a id="pl.44.30"></a><var>44.30</var>given them unless the specific content indicates otherwise:<br/>
<a id="pl.44.31"></a><var>44.31</var>    (a) "Family assessment" means a comprehensive assessment of child safety, risk <br/>
<a id="pl.44.32"></a><var>44.32</var>of subsequent child maltreatment, and family strengths and needs that is applied to a <br/>
<a id="pl.45.1"></a><var>45.1</var>child maltreatment report that does not allege substantial child endangerment. Family <br/>
<a id="pl.45.2"></a><var>45.2</var>assessment does not include a determination as to whether child maltreatment occurred <br/>
<a id="pl.45.3"></a><var>45.3</var>but does determine the need for services to address the safety of family members and the <br/>
<a id="pl.45.4"></a><var>45.4</var>risk of subsequent maltreatment.<br/>
<a id="pl.45.5"></a><var>45.5</var>    (b) "Investigation" means fact gathering related to the current safety of a child <br/>
<a id="pl.45.6"></a><var>45.6</var>and the risk of subsequent maltreatment that determines whether child maltreatment <br/>
<a id="pl.45.7"></a><var>45.7</var>occurred and whether child protective services are needed. An investigation must be used <br/>
<a id="pl.45.8"></a><var>45.8</var>when reports involve substantial child endangerment, and for reports of maltreatment in <br/>
<a id="pl.45.9"></a><var>45.9</var>facilities required to be licensed under chapter 245A or 245B; under sections 
         <statute_ref>144.50</statute_ref> to <br/>
<statute_ref><a id="pl.45.10"></a><var>45.10</var>144.58
         </statute_ref> and 
         <statute_ref>241.021</statute_ref>; in a school as defined in sections 
         <statute_ref>120A.05, subdivisions 9</statute_ref>, 11, and <br/>
<a id="pl.45.11"></a><var>45.11</var>13, and 
         <statute_ref>124D.10</statute_ref>; or in a nonlicensed personal care provider association as defined in <br/>
<a id="pl.45.12"></a><var>45.12</var>sections 
         <statute_ref>256B.04, subdivision 16</statute_ref>, and 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>.<br/>
<a id="pl.45.13"></a><var>45.13</var>    (c) "Substantial child endangerment" means a person responsible for a child's care, <br/>
<a id="pl.45.14"></a><var>45.14</var>and in the case of sexual abuse includes a person who has a significant relationship to the <br/>
<a id="pl.45.15"></a><var>45.15</var>child as defined in section 
         <statute_ref>609.341</statute_ref>, or a person in a position of authority as defined in <br/>
<a id="pl.45.16"></a><var>45.16</var>section 
         <statute_ref>609.341</statute_ref>, who by act or omission commits or attempts to commit an act against a <br/>
<a id="pl.45.17"></a><var>45.17</var>child under their care that constitutes any of the following:<br/>
<a id="pl.45.18"></a><var>45.18</var>    (1) egregious harm as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>;<br/>
<a id="pl.45.19"></a><var>45.19</var>    (2) sexual abuse as defined in paragraph (d);<br/>
<a id="pl.45.20"></a><var>45.20</var>    (3) abandonment under section 
         <statute_ref>260C.301, subdivision 2</statute_ref>;<br/>
<a id="pl.45.21"></a><var>45.21</var>    (4) neglect as defined in paragraph (f), clause (2), that substantially endangers the <br/>
<a id="pl.45.22"></a><var>45.22</var>child's physical or mental health, including a growth delay, which may be referred to as <br/>
<a id="pl.45.23"></a><var>45.23</var>failure to thrive, that has been diagnosed by a physician and is due to parental neglect;<br/>
<a id="pl.45.24"></a><var>45.24</var>    (5) murder in the first, second, or third degree under section 
         <statute_ref>609.185</statute_ref>, 
         <statute_ref>609.19</statute_ref>, or <br/>
<statute_ref><a id="pl.45.25"></a><var>45.25</var>609.195
         </statute_ref>;<br/>
<a id="pl.45.26"></a><var>45.26</var>    (6) manslaughter in the first or second degree under section 
         <statute_ref>609.20</statute_ref> or 
         <statute_ref>609.205</statute_ref>;<br/>
<a id="pl.45.27"></a><var>45.27</var>    (7) assault in the first, second, or third degree under section 
         <statute_ref>609.221</statute_ref>, 
         <statute_ref>609.222</statute_ref>, or <br/>
<statute_ref><a id="pl.45.28"></a><var>45.28</var>609.223
         </statute_ref>;<br/>
<a id="pl.45.29"></a><var>45.29</var>    (8) solicitation, inducement, and promotion of prostitution under section 
         <statute_ref>609.322</statute_ref>;<br/>
<a id="pl.45.30"></a><var>45.30</var>    (9) criminal sexual conduct under sections 
         <statute_ref>609.342</statute_ref> to 
         <statute_ref>609.3451</statute_ref>;<br/>
<a id="pl.45.31"></a><var>45.31</var>    (10) solicitation of children to engage in sexual conduct under section 
         <statute_ref>609.352</statute_ref>;<br/>
<a id="pl.45.32"></a><var>45.32</var>    (11) malicious punishment or neglect or endangerment of a child under section <br/>
<statute_ref><a id="pl.45.33"></a><var>45.33</var>609.377
         </statute_ref> or 
         <statute_ref>609.378</statute_ref>;<br/>
<a id="pl.45.34"></a><var>45.34</var>    (12) use of a minor in sexual performance under section 
         <statute_ref>617.246</statute_ref>; or<br/>
<a id="pl.46.1"></a><var>46.1</var>    (13) parental behavior, status, or condition which mandates that the county attorney <br/>
<a id="pl.46.2"></a><var>46.2</var>file a termination of parental rights petition under section 
         <statute_ref>260C.301, subdivision 3</statute_ref>, <br/>
<a id="pl.46.3"></a><var>46.3</var>paragraph (a).<br/>
<a id="pl.46.4"></a><var>46.4</var>    (d) "Sexual abuse" means the subjection of a child by a person responsible for the <br/>
<a id="pl.46.5"></a><var>46.5</var>child's care, by a person who has a significant relationship to the child, as defined in <br/>
<a id="pl.46.6"></a><var>46.6</var>section 
         <statute_ref>609.341</statute_ref>, or by a person in a position of authority, as defined in section 
         <statute_ref>609.341</statute_ref>, <br/>
<a id="pl.46.7"></a><var>46.7</var>subdivision 10, to any act which constitutes a violation of section 
         <statute_ref>609.342</statute_ref> (criminal sexual <br/>
<a id="pl.46.8"></a><var>46.8</var>conduct in the first degree), 
         <statute_ref>609.343</statute_ref> (criminal sexual conduct in the second degree), <br/>
<statute_ref><a id="pl.46.9"></a><var>46.9</var>609.344
         </statute_ref> (criminal sexual conduct in the third degree), 
         <statute_ref>609.345</statute_ref> (criminal sexual conduct <br/>
<a id="pl.46.10"></a><var>46.10</var>in the fourth degree), or 
         <statute_ref>609.3451</statute_ref> (criminal sexual conduct in the fifth degree). Sexual <br/>
<a id="pl.46.11"></a><var>46.11</var>abuse also includes any act which involves a minor which constitutes a violation of <br/>
<a id="pl.46.12"></a><var>46.12</var>prostitution offenses under sections 
         <statute_ref>609.321</statute_ref> to 
         <statute_ref>609.324</statute_ref> or 
         <statute_ref>617.246</statute_ref>. Sexual abuse includes <br/>
<a id="pl.46.13"></a><var>46.13</var>threatened sexual abuse.<br/>
<a id="pl.46.14"></a><var>46.14</var>    (e) "Person responsible for the child's care" means (1) an individual functioning <br/>
<a id="pl.46.15"></a><var>46.15</var>within the family unit and having responsibilities for the care of the child such as a <br/>
<a id="pl.46.16"></a><var>46.16</var>parent, guardian, or other person having similar care responsibilities, or (2) an individual <br/>
<a id="pl.46.17"></a><var>46.17</var>functioning outside the family unit and having responsibilities for the care of the child <br/>
<a id="pl.46.18"></a><var>46.18</var>such as a teacher, school administrator, other school employees or agents, or other lawful <br/>
<a id="pl.46.19"></a><var>46.19</var>custodian of a child having either full-time or short-term care responsibilities including, <br/>
<a id="pl.46.20"></a><var>46.20</var>but not limited to, day care, babysitting whether paid or unpaid, counseling, teaching, <br/>
<a id="pl.46.21"></a><var>46.21</var>and coaching.<br/>
<a id="pl.46.22"></a><var>46.22</var>    (f) "Neglect" means the commission or omission of any of the acts specified under <br/>
<a id="pl.46.23"></a><var>46.23</var>clauses (1) to (9), other than by accidental means:<br/>
<a id="pl.46.24"></a><var>46.24</var>    (1) failure by a person responsible for a child's care to supply a child with necessary <br/>
<a id="pl.46.25"></a><var>46.25</var>food, clothing, shelter, health, medical, or other care required for the child's physical or <br/>
<a id="pl.46.26"></a><var>46.26</var>mental health when reasonably able to do so;<br/>
<a id="pl.46.27"></a><var>46.27</var>    (2) failure to protect a child from conditions or actions that seriously endanger the <br/>
<a id="pl.46.28"></a><var>46.28</var>child's physical or mental health when reasonably able to do so, including a growth delay, <br/>
<a id="pl.46.29"></a><var>46.29</var>which may be referred to as a failure to thrive, that has been diagnosed by a physician and <br/>
<a id="pl.46.30"></a><var>46.30</var>is due to parental neglect;<br/>
<a id="pl.46.31"></a><var>46.31</var>    (3) failure to provide for necessary supervision or child care arrangements <br/>
<a id="pl.46.32"></a><var>46.32</var>appropriate for a child after considering factors as the child's age, mental ability, physical <br/>
<a id="pl.46.33"></a><var>46.33</var>condition, length of absence, or environment, when the child is unable to care for the <br/>
<a id="pl.46.34"></a><var>46.34</var>child's own basic needs or safety, or the basic needs or safety of another child in their care;<br/>
<a id="pl.47.1"></a><var>47.1</var>    (4) failure to ensure that the child is educated as defined in sections 
         <statute_ref>120A.22</statute_ref> and <br/>
<statute_ref><a id="pl.47.2"></a><var>47.2</var>260C.163, subdivision 11
         </statute_ref>, which does not include a parent's refusal to provide the parent's <br/>
<a id="pl.47.3"></a><var>47.3</var>child with sympathomimetic medications, consistent with section 
         <statute_ref>125A.091, subdivision 5</statute_ref>;<br/>
<a id="pl.47.4"></a><var>47.4</var>    (5) nothing in this section shall be construed to mean that a child is neglected solely <br/>
<a id="pl.47.5"></a><var>47.5</var>because the child's parent, guardian, or other person responsible for the child's care in <br/>
<a id="pl.47.6"></a><var>47.6</var>good faith selects and depends upon spiritual means or prayer for treatment or care of <br/>
<a id="pl.47.7"></a><var>47.7</var>disease or remedial care of the child in lieu of medical care; except that a parent, guardian, <br/>
<a id="pl.47.8"></a><var>47.8</var>or caretaker, or a person mandated to report pursuant to subdivision 3, has a duty to report <br/>
<a id="pl.47.9"></a><var>47.9</var>if a lack of medical care may cause serious danger to the child's health. This section does <br/>
<a id="pl.47.10"></a><var>47.10</var>not impose upon persons, not otherwise legally responsible for providing a child with <br/>
<a id="pl.47.11"></a><var>47.11</var>necessary food, clothing, shelter, education, or medical care, a duty to provide that care;<br/>
<a id="pl.47.12"></a><var>47.12</var>    (6) prenatal exposure to a controlled substance, as defined in section 
         <statute_ref>253B.02</statute_ref>, <br/>
<a id="pl.47.13"></a><var>47.13</var>subdivision 2, used by the mother for a nonmedical purpose, as evidenced by withdrawal <br/>
<a id="pl.47.14"></a><var>47.14</var>symptoms in the child at birth, results of a toxicology test performed on the mother at <br/>
<a id="pl.47.15"></a><var>47.15</var>delivery or the child at birth, or medical effects or developmental delays during the child's <br/>
<a id="pl.47.16"></a><var>47.16</var>first year of life that medically indicate prenatal exposure to a controlled substance;<br/>
<a id="pl.47.17"></a><var>47.17</var>    (7) "medical neglect" as defined in section 
         <statute_ref>260C.007, subdivision 6</statute_ref>, clause (5);<br/>
<a id="pl.47.18"></a><var>47.18</var>    (8) chronic and severe use of alcohol or a controlled substance by a parent or <br/>
<a id="pl.47.19"></a><var>47.19</var>person responsible for the care of the child that adversely affects the child's basic needs <br/>
<a id="pl.47.20"></a><var>47.20</var>and safety; or<br/>
<a id="pl.47.21"></a><var>47.21</var>    (9) emotional harm from a pattern of behavior which contributes to impaired <br/>
<a id="pl.47.22"></a><var>47.22</var>emotional functioning of the child which may be demonstrated by a substantial and <br/>
<a id="pl.47.23"></a><var>47.23</var>observable effect in the child's behavior, emotional response, or cognition that is not <br/>
<a id="pl.47.24"></a><var>47.24</var>within the normal range for the child's age and stage of development, with due regard to <br/>
<a id="pl.47.25"></a><var>47.25</var>the child's culture.<br/>
<a id="pl.47.26"></a><var>47.26</var>    (g) "Physical abuse" means any physical injury, mental injury, or threatened injury, <br/>
<a id="pl.47.27"></a><var>47.27</var>inflicted by a person responsible for the child's care on a child other than by accidental <br/>
<a id="pl.47.28"></a><var>47.28</var>means, or any physical or mental injury that cannot reasonably be explained by the child's <br/>
<a id="pl.47.29"></a><var>47.29</var>history of injuries, or any aversive or deprivation procedures, or regulated interventions, <br/>
<a id="pl.47.30"></a><var>47.30</var>that have not been authorized under section 
         <statute_ref>121A.67</statute_ref> or 
         <statute_ref>245.825</statute_ref>.<br/>
<a id="pl.47.31"></a><var>47.31</var>    Abuse does not include reasonable and moderate physical discipline of a child <br/>
<a id="pl.47.32"></a><var>47.32</var>administered by a parent or legal guardian which does not result in an injury. Abuse does <br/>
<a id="pl.47.33"></a><var>47.33</var>not include the use of reasonable force by a teacher, principal, or school employee as <br/>
<a id="pl.47.34"></a><var>47.34</var>allowed by section 
         <statute_ref>121A.582</statute_ref>. Actions which are not reasonable and moderate include, <br/>
<a id="pl.47.35"></a><var>47.35</var>but are not limited to, any of the following that are done in anger or without regard to the <br/>
<a id="pl.47.36"></a><var>47.36</var>safety of the child:<br/>
<a id="pl.48.1"></a><var>48.1</var>    (1) throwing, kicking, burning, biting, or cutting a child;<br/>
<a id="pl.48.2"></a><var>48.2</var>    (2) striking a child with a closed fist;<br/>
<a id="pl.48.3"></a><var>48.3</var>    (3) shaking a child under age three;<br/>
<a id="pl.48.4"></a><var>48.4</var>    (4) striking or other actions which result in any nonaccidental injury to a child <br/>
<a id="pl.48.5"></a><var>48.5</var>under 18 months of age;<br/>
<a id="pl.48.6"></a><var>48.6</var>    (5) unreasonable interference with a child's breathing;<br/>
<a id="pl.48.7"></a><var>48.7</var>    (6) threatening a child with a weapon, as defined in section 
         <statute_ref>609.02, subdivision 6</statute_ref>;<br/>
<a id="pl.48.8"></a><var>48.8</var>    (7) striking a child under age one on the face or head;<br/>
<a id="pl.48.9"></a><var>48.9</var>    (8) purposely giving a child poison, alcohol, or dangerous, harmful, or controlled <br/>
<a id="pl.48.10"></a><var>48.10</var>substances which were not prescribed for the child by a practitioner, in order to control or <br/>
<a id="pl.48.11"></a><var>48.11</var>punish the child; or other substances that substantially affect the child's behavior, motor <br/>
<a id="pl.48.12"></a><var>48.12</var>coordination, or judgment or that results in sickness or internal injury, or subjects the <br/>
<a id="pl.48.13"></a><var>48.13</var>child to medical procedures that would be unnecessary if the child were not exposed <br/>
<a id="pl.48.14"></a><var>48.14</var>to the substances;<br/>
<a id="pl.48.15"></a><var>48.15</var>    (9) unreasonable physical confinement or restraint not permitted under section <br/>
<statute_ref><a id="pl.48.16"></a><var>48.16</var>609.379
         </statute_ref>, including but not limited to tying, caging, or chaining; or<br/>
<a id="pl.48.17"></a><var>48.17</var>    (10) in a school facility or school zone, an act by a person responsible for the child's <br/>
<a id="pl.48.18"></a><var>48.18</var>care that is a violation under section 
         <statute_ref>121A.58</statute_ref>.<br/>
<a id="pl.48.19"></a><var>48.19</var>    (h) "Report" means any report received by the local welfare agency, police <br/>
<a id="pl.48.20"></a><var>48.20</var>department, county sheriff, or agency responsible for assessing or investigating <br/>
<a id="pl.48.21"></a><var>48.21</var>maltreatment pursuant to this section.<br/>
<a id="pl.48.22"></a><var>48.22</var>    (i) "Facility" means:<br/>
<a id="pl.48.23"></a><var>48.23</var>    (1) a licensed or unlicensed day care facility, residential facility, agency, hospital, <br/>
<a id="pl.48.24"></a><var>48.24</var>sanitarium, or other facility or institution required to be licensed under sections 
         <statute_ref>144.50</statute_ref> to <br/>
<statute_ref><a id="pl.48.25"></a><var>48.25</var>144.58
         </statute_ref>, 
         <statute_ref>241.021</statute_ref>, or 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>, or chapter 245B;<br/>
<a id="pl.48.26"></a><var>48.26</var>    (2) a school as defined in sections 
         <statute_ref>120A.05, subdivisions 9</statute_ref>, 11, and 13; and <br/>
<statute_ref><a id="pl.48.27"></a><var>48.27</var>124D.10
         </statute_ref>; or<br/>
<a id="pl.48.28"></a><var>48.28</var>    (3) a nonlicensed personal care provider organization as defined in sections 
         <statute_ref>256B.04</statute_ref>, <br/>
<a id="pl.48.29"></a><var>48.29</var>subdivision 16, and 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>.<br/>
<a id="pl.48.30"></a><var>48.30</var>    (j) "Operator" means an operator or agency as defined in section 
         <statute_ref>245A.02</statute_ref>.<br/>
<a id="pl.48.31"></a><var>48.31</var>    (k) "Commissioner" means the commissioner of human services.<br/>
<a id="pl.48.32"></a><var>48.32</var>    (l) "Practice of social services," for the purposes of subdivision 3, includes but is <br/>
<a id="pl.48.33"></a><var>48.33</var>not limited to employee assistance counseling and the provision of guardian ad litem and <br/>
<a id="pl.48.34"></a><var>48.34</var>parenting time expeditor services.<br/>
<a id="pl.48.35"></a><var>48.35</var>    (m) "Mental injury" means an injury to the psychological capacity or emotional <br/>
<a id="pl.48.36"></a><var>48.36</var>stability of a child as evidenced by an observable or substantial impairment in the child's <br/>
<a id="pl.49.1"></a><var>49.1</var>ability to function within a normal range of performance and behavior with due regard to <br/>
<a id="pl.49.2"></a><var>49.2</var>the child's culture.<br/>
<a id="pl.49.3"></a><var>49.3</var>    (n) "Threatened injury" means a statement, overt act, condition, or status that <br/>
<a id="pl.49.4"></a><var>49.4</var>represents a substantial risk of physical or sexual abuse or mental injury. Threatened <br/>
<a id="pl.49.5"></a><var>49.5</var>injury includes, but is not limited to, exposing a child to a person responsible for the <br/>
<a id="pl.49.6"></a><var>49.6</var>child's care, as defined in paragraph (e), clause (1), who has:<br/>
<a id="pl.49.7"></a><var>49.7</var>    (1) subjected a child to, or failed to protect a child from, an overt act or condition <br/>
<a id="pl.49.8"></a><var>49.8</var>that constitutes egregious harm, as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>, or a <br/>
<a id="pl.49.9"></a><var>49.9</var>similar law of another jurisdiction;<br/>
<a id="pl.49.10"></a><var>49.10</var>    (2) been found to be palpably unfit under section 
         <statute_ref>260C.301</statute_ref>, paragraph (b), clause <br/>
<a id="pl.49.11"></a><var>49.11</var>(4), or a similar law of another jurisdiction;<br/>
<a id="pl.49.12"></a><var>49.12</var>    (3) committed an act that has resulted in an involuntary termination of parental rights <br/>
<a id="pl.49.13"></a><var>49.13</var>under section 
         <statute_ref>260C.301</statute_ref>, or a similar law of another jurisdiction; or<br/>
<a id="pl.49.14"></a><var>49.14</var>    (4) committed an act that has resulted in the involuntary transfer of permanent legal <br/>
<a id="pl.49.15"></a><var>49.15</var>and physical custody of a child to a relative under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, <br/>
<a id="pl.49.16"></a><var>49.16</var>paragraph (d), clause (1), or a similar law of another jurisdiction.<br/>
<a id="pl.49.17"></a><var>49.17</var>A child is the subject of a report of threatened injury when the responsible social <br/>
<a id="pl.49.18"></a><var>49.18</var>services agency receives birth match data under paragraph (o) from the Department of <br/>
<a id="pl.49.19"></a><var>49.19</var>Human Services.<br/>
<a id="pl.49.20"></a><var>49.20</var>(o) Upon receiving data under section 144.225, subdivision 2b, contained in a <br/>
<a id="pl.49.21"></a><var>49.21</var>birth record or recognition of parentage identifying a child who is subject to threatened <br/>
<a id="pl.49.22"></a><var>49.22</var>injury under paragraph (n), the Department of Human Services shall send the data to the <br/>
<a id="pl.49.23"></a><var>49.23</var>responsible social services agency. The data is known as "birth match" data. Unless the <br/>
<a id="pl.49.24"></a><var>49.24</var>responsible social services agency has already begun an investigation or assessment of the <br/>
<a id="pl.49.25"></a><var>49.25</var>report due to the birth of the child or execution of the recognition of parentage and the <br/>
<a id="pl.49.26"></a><var>49.26</var>parent's previous history with child protection, the agency shall accept the birth match <br/>
<a id="pl.49.27"></a><var>49.27</var>data as a report under this section. The agency may use either a family assessment or <br/>
<a id="pl.49.28"></a><var>49.28</var>investigation to determine whether the child is safe. All of the provisions of this section <br/>
<a id="pl.49.29"></a><var>49.29</var>apply. If the child is determined to be safe, the agency shall consult with the county <br/>
<a id="pl.49.30"></a><var>49.30</var>attorney to determine the appropriateness of filing a petition alleging the child is in need <br/>
<a id="pl.49.31"></a><var>49.31</var>of protection or services under section 260C.007, subdivision 6, clause (16), in order to <br/>
<a id="pl.49.32"></a><var>49.32</var>deliver needed services. If the child is determined not to be safe, the agency and the county <br/>
<a id="pl.49.33"></a><var>49.33</var>attorney shall take appropriate action as required under section 260C.301, subdivision 3.<br/>
<a id="pl.49.34"></a><var>49.34</var>    (o) (p) Persons who conduct assessments or investigations under this section <br/>
<a id="pl.49.35"></a><var>49.35</var>shall take into account accepted child-rearing practices of the culture in which a child <br/>
<a id="pl.50.1"></a><var>50.1</var>participates and accepted teacher discipline practices, which are not injurious to the child's <br/>
<a id="pl.50.2"></a><var>50.2</var>health, welfare, and safety.<br/>
<a id="pl.50.3"></a><var>50.3</var>    (p) (q) "Accidental" means a sudden, not reasonably foreseeable, and unexpected <br/>
<a id="pl.50.4"></a><var>50.4</var>occurrence or event which:<br/>
<a id="pl.50.5"></a><var>50.5</var>    (1) is not likely to occur and could not have been prevented by exercise of due <br/>
<a id="pl.50.6"></a><var>50.6</var>care; and<br/>
<a id="pl.50.7"></a><var>50.7</var>    (2) if occurring while a child is receiving services from a facility, happens when the <br/>
<a id="pl.50.8"></a><var>50.8</var>facility and the employee or person providing services in the facility are in compliance <br/>
<a id="pl.50.9"></a><var>50.9</var>with the laws and rules relevant to the occurrence or event.<br/>
<a id="pl.50.10"></a><var>50.10</var>(q) (r) "Nonmaltreatment mistake" means:<br/>
<a id="pl.50.11"></a><var>50.11</var>(1) at the time of the incident, the individual was performing duties identified in the <br/>
<a id="pl.50.12"></a><var>50.12</var>center's child care program plan required under Minnesota Rules, part 9503.0045;<br/>
<a id="pl.50.13"></a><var>50.13</var>(2) the individual has not been determined responsible for a similar incident that <br/>
<a id="pl.50.14"></a><var>50.14</var>resulted in a finding of maltreatment for at least seven years;<br/>
<a id="pl.50.15"></a><var>50.15</var>(3) the individual has not been determined to have committed a similar <br/>
<a id="pl.50.16"></a><var>50.16</var>nonmaltreatment mistake under this paragraph for at least four years;<br/>
<a id="pl.50.17"></a><var>50.17</var>(4) any injury to a child resulting from the incident, if treated, is treated only with <br/>
<a id="pl.50.18"></a><var>50.18</var>remedies that are available over the counter, whether ordered by a medical professional or <br/>
<a id="pl.50.19"></a><var>50.19</var>not; and<br/>
<a id="pl.50.20"></a><var>50.20</var>(5) except for the period when the incident occurred, the facility and the individual <br/>
<a id="pl.50.21"></a><var>50.21</var>providing services were both in compliance with all licensing requirements relevant to the <br/>
<a id="pl.50.22"></a><var>50.22</var>incident.<br/>
<a id="pl.50.23"></a><var>50.23</var>This definition only applies to child care centers licensed under Minnesota <br/>
<a id="pl.50.24"></a><var>50.24</var>Rules, chapter 9503. If clauses (1) to (5) apply, rather than making a determination of <br/>
<a id="pl.50.25"></a><var>50.25</var>substantiated maltreatment by the individual, the commissioner of human services shall <br/>
<a id="pl.50.26"></a><var>50.26</var>determine that a nonmaltreatment mistake was made by the individual.<br/>
<br/>
<a id="bill.1.48.0"></a><a id="pl.50.27"></a><var>50.27</var>    Sec. 48. Minnesota Statutes 2010, section 626.556, subdivision 10f, is amended to read:<br/>
<a id="pl.50.28"></a><var>50.28</var>    Subd. 10f. <b>Notice of determinations.</b> Within ten working days of the conclusion <br/>
<a id="pl.50.29"></a><var>50.29</var>of a family assessment, the local welfare agency shall notify the parent or guardian <br/>
<a id="pl.50.30"></a><var>50.30</var>of the child of the need for services to address child safety concerns or significant risk <br/>
<a id="pl.50.31"></a><var>50.31</var>of subsequent child maltreatment. The local welfare agency and the family may also <br/>
<a id="pl.50.32"></a><var>50.32</var>jointly agree that family support and family preservation services are needed. Within ten <br/>
<a id="pl.50.33"></a><var>50.33</var>working days of the conclusion of an investigation, the local welfare agency or agency <br/>
<a id="pl.50.34"></a><var>50.34</var>responsible for assessing or investigating the report shall notify the parent or guardian <br/>
<a id="pl.50.35"></a><var>50.35</var>of the child, the person determined to be maltreating the child, and if applicable, the <br/>
<a id="pl.51.1"></a><var>51.1</var>director of the facility, of the determination and a summary of the specific reasons for <br/>
<a id="pl.51.2"></a><var>51.2</var>the determination. When the investigation involves a child foster care setting that is <br/>
<a id="pl.51.3"></a><var>51.3</var>monitored by a private licensing agency under section 
         <statute_ref>245A.16</statute_ref>, the local welfare agency <br/>
<a id="pl.51.4"></a><var>51.4</var>responsible for assessing or investigating the report shall notify the private licensing <br/>
<a id="pl.51.5"></a><var>51.5</var>agency of the determination and shall provide a summary of the specific reasons for <br/>
<a id="pl.51.6"></a><var>51.6</var>the determination. The notice to the private licensing agency must include identifying <br/>
<a id="pl.51.7"></a><var>51.7</var>private data, but not the identity of the reporter of maltreatment. The notice must also <br/>
<a id="pl.51.8"></a><var>51.8</var>include a certification that the information collection procedures under subdivision 10, <br/>
<a id="pl.51.9"></a><var>51.9</var>paragraphs (h), (i), and (j), were followed and a notice of the right of a data subject to <br/>
<a id="pl.51.10"></a><var>51.10</var>obtain access to other private data on the subject collected, created, or maintained under <br/>
<a id="pl.51.11"></a><var>51.11</var>this section. In addition, the notice shall include the length of time that the records will be <br/>
<a id="pl.51.12"></a><var>51.12</var>kept under subdivision 11c. The investigating agency shall notify the parent or guardian <br/>
<a id="pl.51.13"></a><var>51.13</var>of the child who is the subject of the report, and any person or facility determined to <br/>
<a id="pl.51.14"></a><var>51.14</var>have maltreated a child, of their appeal or review rights under this section or section <br/>
<a id="pl.51.15"></a><var>51.15</var><statute_ref>256.022</statute_ref>. The notice must also state that a finding of maltreatment may result in denial of a <br/>
<a id="pl.51.16"></a><var>51.16</var>license application or background study disqualification under chapter 245C related to <br/>
<a id="pl.51.17"></a><var>51.17</var>employment or services that are licensed by the Department of Human Services under <br/>
<a id="pl.51.18"></a><var>51.18</var>chapter 245A, the Department of Health under chapter 144 or 144A, the Department of <br/>
<a id="pl.51.19"></a><var>51.19</var>Corrections under section 
         <statute_ref>241.021</statute_ref>, and from providing services related to an unlicensed <br/>
<a id="pl.51.20"></a><var>51.20</var>personal care provider organization under chapter 256B.<br/>
<br/>
<a id="bill.1.49.0"></a><a id="pl.51.21"></a><var>51.21</var>    Sec. 49. Minnesota Statutes 2010, section 626.556, subdivision 10i, is amended to read:<br/>
<a id="pl.51.22"></a><var>51.22</var>    Subd. 10i. <b>Administrative reconsideration; review panel.</b> (a) Administrative <br/>
<a id="pl.51.23"></a><var>51.23</var>reconsideration is not applicable in family assessments since no determination concerning <br/>
<a id="pl.51.24"></a><var>51.24</var>maltreatment is made. For investigations, except as provided under paragraph (e), an <br/>
<a id="pl.51.25"></a><var>51.25</var>individual or facility that the commissioner of human services, a local social service <br/>
<a id="pl.51.26"></a><var>51.26</var>agency, or the commissioner of education determines has maltreated a child, an interested <br/>
<a id="pl.51.27"></a><var>51.27</var>person acting on behalf of the child, regardless of the determination, who contests <br/>
<a id="pl.51.28"></a><var>51.28</var>the investigating agency's final determination regarding maltreatment, may request the <br/>
<a id="pl.51.29"></a><var>51.29</var>investigating agency to reconsider its final determination regarding maltreatment. The <br/>
<a id="pl.51.30"></a><var>51.30</var>request for reconsideration must be submitted in writing to the investigating agency within <br/>
<a id="pl.51.31"></a><var>51.31</var>15 calendar days after receipt of notice of the final determination regarding maltreatment <br/>
<a id="pl.51.32"></a><var>51.32</var>or, if the request is made by an interested person who is not entitled to notice, within <br/>
<a id="pl.51.33"></a><var>51.33</var>15 days after receipt of the notice by the parent or guardian of the child. If mailed, the <br/>
<a id="pl.51.34"></a><var>51.34</var>request for reconsideration must be postmarked and sent to the investigating agency <br/>
<a id="pl.51.35"></a><var>51.35</var>within 15 calendar days of the individual's or facility's receipt of the final determination. If <br/>
<a id="pl.52.1"></a><var>52.1</var>the request for reconsideration is made by personal service, it must be received by the <br/>
<a id="pl.52.2"></a><var>52.2</var>investigating agency within 15 calendar days after the individual's or facility's receipt of the <br/>
<a id="pl.52.3"></a><var>52.3</var>final determination. Effective January 1, 2002, an individual who was determined to have <br/>
<a id="pl.52.4"></a><var>52.4</var>maltreated a child under this section and who was disqualified on the basis of serious or <br/>
<a id="pl.52.5"></a><var>52.5</var>recurring maltreatment under sections 
         <statute_ref>245C.14</statute_ref> and 
         <statute_ref>245C.15</statute_ref>, may request reconsideration <br/>
<a id="pl.52.6"></a><var>52.6</var>of the maltreatment determination and the disqualification. The request for reconsideration <br/>
<a id="pl.52.7"></a><var>52.7</var>of the maltreatment determination and the disqualification must be submitted within 30 <br/>
<a id="pl.52.8"></a><var>52.8</var>calendar days of the individual's receipt of the notice of disqualification under sections <br/>
<statute_ref><a id="pl.52.9"></a><var>52.9</var>245C.16
         </statute_ref> and 
         <statute_ref>245C.17</statute_ref>. If mailed, the request for reconsideration of the maltreatment <br/>
<a id="pl.52.10"></a><var>52.10</var>determination and the disqualification must be postmarked and sent to the investigating <br/>
<a id="pl.52.11"></a><var>52.11</var>agency within 30 calendar days of the individual's receipt of the maltreatment <br/>
<a id="pl.52.12"></a><var>52.12</var>determination and notice of disqualification. If the request for reconsideration is made by <br/>
<a id="pl.52.13"></a><var>52.13</var>personal service, it must be received by the investigating agency within 30 calendar days <br/>
<a id="pl.52.14"></a><var>52.14</var>after the individual's receipt of the notice of disqualification.<br/>
<a id="pl.52.15"></a><var>52.15</var>    (b) Except as provided under paragraphs (e) and (f), if the investigating agency <br/>
<a id="pl.52.16"></a><var>52.16</var>denies the request or fails to act upon the request within 15 working days after receiving <br/>
<a id="pl.52.17"></a><var>52.17</var>the request for reconsideration, the person or facility entitled to a fair hearing under section <br/>
<statute_ref><a id="pl.52.18"></a><var>52.18</var>256.045
         </statute_ref> may submit to the commissioner of human services or the commissioner of <br/>
<a id="pl.52.19"></a><var>52.19</var>education a written request for a hearing under that section. Section 
         <statute_ref>256.045</statute_ref> also governs <br/>
<a id="pl.52.20"></a><var>52.20</var>hearings requested to contest a final determination of the commissioner of education. For <br/>
<a id="pl.52.21"></a><var>52.21</var>reports involving maltreatment of a child in a facility, an interested person acting on behalf <br/>
<a id="pl.52.22"></a><var>52.22</var>of the child may request a review by the Child Maltreatment Review Panel under section <br/>
<a id="pl.52.23"></a><var>52.23</var><statute_ref>256.022</statute_ref> if the investigating agency denies the request or fails to act upon the request or <br/>
<a id="pl.52.24"></a><var>52.24</var>if the interested person contests a reconsidered determination. The investigating agency <br/>
<a id="pl.52.25"></a><var>52.25</var>shall notify persons who request reconsideration of their rights under this paragraph. <br/>
<a id="pl.52.26"></a><var>52.26</var>The request must be submitted in writing to the review panel and a copy sent to the <br/>
<a id="pl.52.27"></a><var>52.27</var>investigating agency within 30 calendar days of receipt of notice of a denial of a request <br/>
<a id="pl.52.28"></a><var>52.28</var>for reconsideration or of a reconsidered determination. The request must specifically <br/>
<a id="pl.52.29"></a><var>52.29</var>identify the aspects of the agency determination with which the person is dissatisfied.<br/>
<a id="pl.52.30"></a><var>52.30</var>    (c) If, as a result of a reconsideration or review, the investigating agency changes <br/>
<a id="pl.52.31"></a><var>52.31</var>the final determination of maltreatment, that agency shall notify the parties specified in <br/>
<a id="pl.52.32"></a><var>52.32</var>subdivisions 10b, 10d, and 10f.<br/>
<a id="pl.52.33"></a><var>52.33</var>    (d) Except as provided under paragraph (f), if an individual or facility contests the <br/>
<a id="pl.52.34"></a><var>52.34</var>investigating agency's final determination regarding maltreatment by requesting a fair <br/>
<a id="pl.52.35"></a><var>52.35</var>hearing under section 
         <statute_ref>256.045</statute_ref>, the commissioner of human services shall assure that the <br/>
<a id="pl.52.36"></a><var>52.36</var>hearing is conducted and a decision is reached within 90 days of receipt of the request for <br/>
<a id="pl.53.1"></a><var>53.1</var>a hearing. The time for action on the decision may be extended for as many days as the <br/>
<a id="pl.53.2"></a><var>53.2</var>hearing is postponed or the record is held open for the benefit of either party.<br/>
<a id="pl.53.3"></a><var>53.3</var>    (e) If an individual was disqualified under sections 
         <statute_ref>245C.14</statute_ref> and 
         <statute_ref>245C.15</statute_ref>, on <br/>
<a id="pl.53.4"></a><var>53.4</var>the basis of a determination of maltreatment, which was serious or recurring, and <br/>
<a id="pl.53.5"></a><var>53.5</var>the individual has requested reconsideration of the maltreatment determination under <br/>
<a id="pl.53.6"></a><var>53.6</var>paragraph (a) and requested reconsideration of the disqualification under sections 
         <statute_ref>245C.21</statute_ref> <br/>
<a id="pl.53.7"></a><var>53.7</var>to 
         <statute_ref>245C.27</statute_ref>, reconsideration of the maltreatment determination and reconsideration of the <br/>
<a id="pl.53.8"></a><var>53.8</var>disqualification shall be consolidated into a single reconsideration. If reconsideration <br/>
<a id="pl.53.9"></a><var>53.9</var>of the maltreatment determination is denied and the individual remains disqualified <br/>
<a id="pl.53.10"></a><var>53.10</var>following a reconsideration decision, the individual may request a fair hearing under <br/>
<a id="pl.53.11"></a><var>53.11</var>section 
         <statute_ref>256.045</statute_ref>. If an individual requests a fair hearing on the maltreatment determination <br/>
<a id="pl.53.12"></a><var>53.12</var>and the disqualification, the scope of the fair hearing shall include both the maltreatment <br/>
<a id="pl.53.13"></a><var>53.13</var>determination and the disqualification.<br/>
<a id="pl.53.14"></a><var>53.14</var>    (f) If a maltreatment determination or a disqualification based on serious or recurring <br/>
<a id="pl.53.15"></a><var>53.15</var>maltreatment is the basis for a denial of a license under section 
         <statute_ref>245A.05</statute_ref> or a licensing <br/>
<a id="pl.53.16"></a><var>53.16</var>sanction under section 
         <statute_ref>245A.07</statute_ref>, the license holder has the right to a contested case hearing <br/>
<a id="pl.53.17"></a><var>53.17</var>under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. As provided for <br/>
<a id="pl.53.18"></a><var>53.18</var>under section 
         <statute_ref>245A.08, subdivision 2a</statute_ref>, the scope of the contested case hearing shall <br/>
<a id="pl.53.19"></a><var>53.19</var>include the maltreatment determination, disqualification, and licensing sanction or denial <br/>
<a id="pl.53.20"></a><var>53.20</var>of a license. In such cases, a fair hearing regarding the maltreatment determination and <br/>
<a id="pl.53.21"></a><var>53.21</var>disqualification shall not be conducted under section 
         <statute_ref>256.045</statute_ref>. Except for family child <br/>
<a id="pl.53.22"></a><var>53.22</var>care and child foster care, reconsideration of a maltreatment determination as provided <br/>
<a id="pl.53.23"></a><var>53.23</var>under this subdivision, and reconsideration of a disqualification as provided under section <br/>
<statute_ref><a id="pl.53.24"></a><var>53.24</var>245C.22
         </statute_ref>, shall also not be conducted when:<br/>
<a id="pl.53.25"></a><var>53.25</var>    (1) a denial of a license under section 
         <statute_ref>245A.05</statute_ref> or a licensing sanction under section <br/>
<statute_ref><a id="pl.53.26"></a><var>53.26</var>245A.07
         </statute_ref>, is based on a determination that the license holder is responsible for maltreatment <br/>
<a id="pl.53.27"></a><var>53.27</var>or the disqualification of a license holder based on serious or recurring maltreatment;<br/>
<a id="pl.53.28"></a><var>53.28</var>    (2) the denial of a license or licensing sanction is issued at the same time as the <br/>
<a id="pl.53.29"></a><var>53.29</var>maltreatment determination or disqualification; and<br/>
<a id="pl.53.30"></a><var>53.30</var>    (3) the license holder appeals the maltreatment determination or disqualification, and <br/>
<a id="pl.53.31"></a><var>53.31</var>denial of a license or licensing sanction.<br/>
<a id="pl.53.32"></a><var>53.32</var>    Notwithstanding clauses (1) to (3), if the license holder appeals the maltreatment <br/>
<a id="pl.53.33"></a><var>53.33</var>determination or disqualification, but does not appeal the denial of a license or a licensing <br/>
<a id="pl.53.34"></a><var>53.34</var>sanction, reconsideration of the maltreatment determination shall be conducted under <br/>
<a id="pl.53.35"></a><var>53.35</var>sections 
         <statute_ref>626.556, subdivision 10i</statute_ref>, and 
         <statute_ref>626.557, subdivision 9d</statute_ref>, and reconsideration of the <br/>
<a id="pl.53.36"></a><var>53.36</var>disqualification shall be conducted under section 
         <statute_ref>245C.22</statute_ref>. In such cases, a fair hearing <br/>
<a id="pl.54.1"></a><var>54.1</var>shall also be conducted as provided under sections 
         <statute_ref>245C.27</statute_ref>, 
         <statute_ref>626.556, subdivision </statute_ref>10i, and <br/>
<statute_ref><a id="pl.54.2"></a><var>54.2</var>626.557, subdivision 9d
         </statute_ref>.<br/>
<a id="pl.54.3"></a><var>54.3</var>    If the disqualified subject is an individual other than the license holder and upon <br/>
<a id="pl.54.4"></a><var>54.4</var>whom a background study must be conducted under chapter 245C, the hearings of all <br/>
<a id="pl.54.5"></a><var>54.5</var>parties may be consolidated into a single contested case hearing upon consent of all parties <br/>
<a id="pl.54.6"></a><var>54.6</var>and the administrative law judge.<br/>
<a id="pl.54.7"></a><var>54.7</var>    (g) For purposes of this subdivision, "interested person acting on behalf of the <br/>
<a id="pl.54.8"></a><var>54.8</var>child" means a parent or legal guardian; stepparent; grandparent; guardian ad litem; adult <br/>
<a id="pl.54.9"></a><var>54.9</var>stepbrother, stepsister, or sibling; or adult aunt or uncle; unless the person has been <br/>
<a id="pl.54.10"></a><var>54.10</var>determined to be the perpetrator of the maltreatment.<br/>
<br/>
<a id="bill.1.50.0"></a><a id="pl.54.11"></a><var>54.11</var>    Sec. 50. Minnesota Statutes 2010, section 626.556, subdivision 11, is amended to read:<br/>
<a id="pl.54.12"></a><var>54.12</var>    Subd. 11. <b>Records.</b> (a) Except as provided in paragraph (b) or (d) and subdivisions <br/>
<a id="pl.54.13"></a><var>54.13</var>10b, 10d, 10g, and 11b, all records concerning individuals maintained by a local welfare <br/>
<a id="pl.54.14"></a><var>54.14</var>agency or agency responsible for assessing or investigating the report under this <br/>
<a id="pl.54.15"></a><var>54.15</var>section, including any written reports filed under subdivision 7, shall be private data on <br/>
<a id="pl.54.16"></a><var>54.16</var>individuals, except insofar as copies of reports are required by subdivision 7 to be sent to <br/>
<a id="pl.54.17"></a><var>54.17</var>the local police department or the county sheriff. All records concerning determinations <br/>
<a id="pl.54.18"></a><var>54.18</var>of maltreatment by a facility are nonpublic data as maintained by the Department of <br/>
<a id="pl.54.19"></a><var>54.19</var>Education, except insofar as copies of reports are required by subdivision 7 to be sent <br/>
<a id="pl.54.20"></a><var>54.20</var>to the local police department or the county sheriff. Reports maintained by any police <br/>
<a id="pl.54.21"></a><var>54.21</var>department or the county sheriff shall be private data on individuals except the reports <br/>
<a id="pl.54.22"></a><var>54.22</var>shall be made available to the investigating, petitioning, or prosecuting authority, including <br/>
<a id="pl.54.23"></a><var>54.23</var>county medical examiners or county coroners. Section 
         <statute_ref>13.82, subdivisions 8, 9, and 14</statute_ref>, <br/>
<a id="pl.54.24"></a><var>54.24</var>apply to law enforcement data other than the reports. The local social services agency or <br/>
<a id="pl.54.25"></a><var>54.25</var>agency responsible for assessing or investigating the report shall make available to the <br/>
<a id="pl.54.26"></a><var>54.26</var>investigating, petitioning, or prosecuting authority, including county medical examiners or <br/>
<a id="pl.54.27"></a><var>54.27</var>county coroners or their professional delegates, any records which contain information <br/>
<a id="pl.54.28"></a><var>54.28</var>relating to a specific incident of neglect or abuse which is under investigation, petition, or <br/>
<a id="pl.54.29"></a><var>54.29</var>prosecution and information relating to any prior incidents of neglect or abuse involving <br/>
<a id="pl.54.30"></a><var>54.30</var>any of the same persons. The records shall be collected and maintained in accordance with <br/>
<a id="pl.54.31"></a><var>54.31</var>the provisions of chapter 13. In conducting investigations and assessments pursuant to <br/>
<a id="pl.54.32"></a><var>54.32</var>this section, the notice required by section 
         <statute_ref>13.04, subdivision 2</statute_ref>, need not be provided to a <br/>
<a id="pl.54.33"></a><var>54.33</var>minor under the age of ten who is the alleged victim of abuse or neglect. An individual <br/>
<a id="pl.54.34"></a><var>54.34</var>subject of a record shall have access to the record in accordance with those sections, <br/>
<a id="pl.54.35"></a><var>54.35</var>except that the name of the reporter shall be confidential while the report is under <br/>
<a id="pl.55.1"></a><var>55.1</var>assessment or investigation except as otherwise permitted by this subdivision. Any person <br/>
<a id="pl.55.2"></a><var>55.2</var>conducting an investigation or assessment under this section who intentionally discloses <br/>
<a id="pl.55.3"></a><var>55.3</var>the identity of a reporter prior to the completion of the investigation or assessment is <br/>
<a id="pl.55.4"></a><var>55.4</var>guilty of a misdemeanor. After the assessment or investigation is completed, the name of <br/>
<a id="pl.55.5"></a><var>55.5</var>the reporter shall be confidential. The subject of the report may compel disclosure of the <br/>
<a id="pl.55.6"></a><var>55.6</var>name of the reporter only with the consent of the reporter or upon a written finding by <br/>
<a id="pl.55.7"></a><var>55.7</var>the court that the report was false and that there is evidence that the report was made in <br/>
<a id="pl.55.8"></a><var>55.8</var>bad faith. This subdivision does not alter disclosure responsibilities or obligations under <br/>
<a id="pl.55.9"></a><var>55.9</var>the Rules of Criminal Procedure.<br/>
<a id="pl.55.10"></a><var>55.10</var>(b) Upon request of the legislative auditor, data on individuals maintained under <br/>
<a id="pl.55.11"></a><var>55.11</var>this section must be released to the legislative auditor in order for the auditor to fulfill the <br/>
<a id="pl.55.12"></a><var>55.12</var>auditor's duties under section 
         <statute_ref>3.971</statute_ref>. The auditor shall maintain the data in accordance <br/>
<a id="pl.55.13"></a><var>55.13</var>with chapter 13.<br/>
<a id="pl.55.14"></a><var>55.14</var>(c) The commissioner of education must be provided with all requested data that are <br/>
<a id="pl.55.15"></a><var>55.15</var>relevant to a report of maltreatment and are in possession of a school facility as defined <br/>
<a id="pl.55.16"></a><var>55.16</var>in subdivision 2, paragraph (i), when the data is requested pursuant to an assessment or <br/>
<a id="pl.55.17"></a><var>55.17</var>investigation of a maltreatment report of a student in a school. If the commissioner of <br/>
<a id="pl.55.18"></a><var>55.18</var>education makes a determination of maltreatment involving an individual performing <br/>
<a id="pl.55.19"></a><var>55.19</var>work within a school facility who is licensed by a board or other agency, the commissioner <br/>
<a id="pl.55.20"></a><var>55.20</var>shall provide necessary and relevant information to the licensing entity to enable the <br/>
<a id="pl.55.21"></a><var>55.21</var>entity to fulfill its statutory duties. Notwithstanding section 
         <statute_ref>13.03, subdivision 4</statute_ref>, data <br/>
<a id="pl.55.22"></a><var>55.22</var>received by a licensing entity under this paragraph are governed by section 
         <statute_ref>13.41</statute_ref> or other <br/>
<a id="pl.55.23"></a><var>55.23</var>applicable law governing data of the receiving entity, except that this section applies to the <br/>
<a id="pl.55.24"></a><var>55.24</var>classification of and access to data on the reporter of the maltreatment.<br/>
<a id="pl.55.25"></a><var>55.25</var>(d) The investigating agency shall exchange not public data with the Child <br/>
<a id="pl.55.26"></a><var>55.26</var>Maltreatment Review Panel under section 
<statute_ref>256.022</statute_ref> if the data are pertinent and necessary <br/>
<a id="pl.55.27"></a><var>55.27</var>for a review requested under section 
<statute_ref>256.022</statute_ref>. Upon completion of the review, the not <br/>
<a id="pl.55.28"></a><var>55.28</var>public data received by the review panel must be returned to the investigating agency.<br/>
<br/>
<a id="bill.1.51.0"></a><a id="pl.55.29"></a><var>55.29</var>    Sec. 51. <b> REPEALER.</b><br/>
<a id="pl.55.30"></a><var>55.30</var>Minnesota Statutes 2010, section 256.022, is repealed.<br/>
<br/>
<a id="bill.1.52.0"></a><a id="pl.55.31"></a><var>55.31</var>    Sec. 52. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.55.32"></a><var>55.32</var>This article is effective August 2, 2012.<br/>
<br/>
<a id="bill.2.0.0"></a>

<a id="bill.2.1.0"></a><a id="pl.56.3"></a><var>56.3</var>    Section 1. Minnesota Statutes 2010, section 145.902, is amended to read:<br/>
<a id="pl.56.4"></a><var>56.4</var><b>145.902 </b><b>GIVE LIFE A CHANCE; </b><b>SAFE PLACE FOR NEWBORNS</b><b>; </b><br/>
<a id="pl.56.5"></a><var>56.5</var><b>HOSPITAL</b><b> DUTIES; IMMUNITY.</b><br/>
<a id="pl.56.6"></a><var>56.6</var>    Subdivision 1. <b>General.</b> (a) For purposes of this section, a "safe place" means a <br/>
<a id="pl.56.7"></a><var>56.7</var>hospital licensed under sections 144.50 to 144.56, a health care provider who provides <br/>
<a id="pl.56.8"></a><var>56.8</var>24-hour urgent care medical services, or an ambulance service licensed under chapter <br/>
<a id="pl.56.9"></a><var>56.9</var>144E dispatched in response to a 911 call from a mother or a person with the mother's <br/>
<a id="pl.56.10"></a><var>56.10</var>permission to relinquish a newborn infant.<br/>
<a id="pl.56.11"></a><var>56.11</var>(b) A hospital licensed under sections 
<statute_ref>144.50</statute_ref> to 
<statute_ref>144.56</statute_ref> safe place shall receive a <br/>
<a id="pl.56.12"></a><var>56.12</var>newborn left with a hospital an employee on the hospital premises of the safe place during <br/>
<a id="pl.56.13"></a><var>56.13</var>its hours of operation, provided that:<br/>
<a id="pl.56.14"></a><var>56.14</var>(1) the newborn was born within 72 hours seven days of being left at the hospital <br/>
<a id="pl.56.15"></a><var>56.15</var>safe place, as determined within a reasonable degree of medical certainty; and<br/>
<a id="pl.56.16"></a><var>56.16</var>(2) the newborn is left in an unharmed condition.<br/>
<a id="pl.56.17"></a><var>56.17</var>(b) (c) The hospital safe place must not inquire as to the identity of the mother or the <br/>
<a id="pl.56.18"></a><var>56.18</var>person leaving the newborn or call the police, provided the newborn is unharmed when <br/>
<a id="pl.56.19"></a><var>56.19</var>presented to the hospital. The hospital safe place may ask the mother or the person leaving <br/>
<a id="pl.56.20"></a><var>56.20</var>the newborn about the medical history of the mother or newborn but the mother or the <br/>
<a id="pl.56.21"></a><var>56.21</var>person leaving the newborn is not required to provide any information. The hospital safe <br/>
<a id="pl.56.22"></a><var>56.22</var>place may provide the mother or the person leaving the newborn with information about <br/>
<a id="pl.56.23"></a><var>56.23</var>how to contact relevant social service agencies.<br/>
<a id="pl.56.24"></a><var>56.24</var>(d) A safe place that is a health care provider who provides 24-hour urgent care <br/>
<a id="pl.56.25"></a><var>56.25</var>medical services shall dial 911, advise the dispatcher that the call is being made from <br/>
<a id="pl.56.26"></a><var>56.26</var>a safe place for newborns, and ask the dispatcher to send an ambulance or take other <br/>
<a id="pl.56.27"></a><var>56.27</var>appropriate action to transport the newborn to a hospital. An ambulance with whom a <br/>
<a id="pl.56.28"></a><var>56.28</var>newborn is left shall transport the newborn to a hospital for care. Hospitals must receive a <br/>
<a id="pl.56.29"></a><var>56.29</var>newborn left with a safe place and make the report as required in subdivision 2.<br/>
<a id="pl.56.30"></a><var>56.30</var>    Subd. 2. <b>Reporting.</b> Within 24 hours of receiving a newborn under this section, <br/>
<a id="pl.56.31"></a><var>56.31</var>the hospital must inform the local welfare agency responsible social service agency that <br/>
<a id="pl.56.32"></a><var>56.32</var>a newborn has been left at the hospital, but must not do so before in the presence of <br/>
<a id="pl.56.33"></a><var>56.33</var>the mother or the person leaving the newborn leaves the hospital. The hospital must <br/>
<a id="pl.56.34"></a><var>56.34</var>provide necessary care to the newborn pending assumption of legal responsibility by the <br/>
<a id="pl.56.35"></a><var>56.35</var>responsible social services agency pursuant to section 260C.217, subdivision 4. <br/>
<a id="pl.57.1"></a><var>57.1</var>    Subd. 3. <b>Immunity.</b> (a) A hospital safe place with responsibility for performing <br/>
<a id="pl.57.2"></a><var>57.2</var>duties under this section, and any employee, doctor, ambulance personnel, or other <br/>
<a id="pl.57.3"></a><var>57.3</var>medical professional working at the hospital safe place, are immune from any criminal <br/>
<a id="pl.57.4"></a><var>57.4</var>liability that otherwise might result from their actions, if they are acting in good faith in <br/>
<a id="pl.57.5"></a><var>57.5</var>receiving a newborn, and are immune from any civil liability that otherwise might result <br/>
<a id="pl.57.6"></a><var>57.6</var>from merely receiving a newborn.<br/>
<a id="pl.57.7"></a><var>57.7</var>(b) A hospital safe place performing duties under this section, or an employee, <br/>
<a id="pl.57.8"></a><var>57.8</var>doctor, ambulance personnel, or other medical professional working at the hospital safe <br/>
<a id="pl.57.9"></a><var>57.9</var>place who is a mandated reporter under section 
         <statute_ref>626.556</statute_ref>, is immune from any criminal <br/>
<a id="pl.57.10"></a><var>57.10</var>or civil liability that otherwise might result from the failure to make a report under that <br/>
<a id="pl.57.11"></a><var>57.11</var>section if the person is acting in good faith in complying with this section.<br/>
<br/>
<a id="bill.2.2.0"></a><a id="pl.57.12"></a><var>57.12</var>    Sec. 2. Minnesota Statutes 2010, section 260C.217, is amended to read:<br/>
<a id="pl.57.13"></a><var>57.13</var><b>260C.217 </b><b>GIVE LIFE A CHANCE; </b><b>SAFE PLACE FOR NEWBORNS.</b><br/>
<a id="pl.57.14"></a><var>57.14</var>    Subdivision 1. <b>Duty to attempt reunification, duty to search for relatives, and </b><br/>
<a id="pl.57.15"></a><var>57.15</var><b>preferences not applicable.</b> A local responsible social service agency taking custody of <br/>
<a id="pl.57.16"></a><var>57.16</var>with responsibility for a child after discharge from a hospital that received a child under <br/>
<a id="pl.57.17"></a><var>57.17</var>section 
<statute_ref>145.902</statute_ref> pursuant to subdivision 4, is not required to attempt to reunify the child <br/>
<a id="pl.57.18"></a><var>57.18</var>with the child's parents. Additionally, the agency is not required to search for relatives <br/>
<a id="pl.57.19"></a><var>57.19</var>of the child as a placement or permanency option under section 
         <statute_ref>260C.212, subdivision <br/>
<a id="pl.57.20"></a><var>57.20</var>5
         </statute_ref>, or to implement other placement requirements that give a preference to relatives if <br/>
<a id="pl.57.21"></a><var>57.21</var>the agency does not have information as to the identity of the child, the child's mother, <br/>
<a id="pl.57.22"></a><var>57.22</var>or the child's father.<br/>
<a id="pl.57.23"></a><var>57.23</var>    Subd. 1a. <b>Definitions.</b> For purposes of this section, "safe place" has the meaning <br/>
<a id="pl.57.24"></a><var>57.24</var>given in section 145.902.<br/>
<a id="pl.57.25"></a><var>57.25</var>    Subd. 2. <b>Status of child.</b> For purposes of proceedings under this chapter and <br/>
<a id="pl.57.26"></a><var>57.26</var>adoption proceedings, a newborn left at a hospital under safe place, pursuant to subdivision <br/>
<a id="pl.57.27"></a><var>57.27</var>3 and  section 
         <statute_ref>145.902</statute_ref>, is considered an abandoned child under section 626.556, <br/>
<a id="pl.57.28"></a><var>57.28</var>subdivision 2, paragraph (c), clause (3). The child is abandoned under sections 260C.007, <br/>
<a id="pl.57.29"></a><var>57.29</var>subdivision 6, clause (1), and 260C.301, subdivision 1, paragraph (b), clause (1).<br/>
<a id="pl.57.30"></a><var>57.30</var>    Subd. 3. <b>Relinquishment of a newborn.</b> A mother or any person, with the mother's <br/>
<a id="pl.57.31"></a><var>57.31</var>permission, may bring a newborn infant to a safe place during its hours of operation and <br/>
<a id="pl.57.32"></a><var>57.32</var>leave the infant in the care of an employee of the safe place. The mother or a person <br/>
<a id="pl.57.33"></a><var>57.33</var>with the mother's permission may call 911 to request to have an ambulance dispatched <br/>
<a id="pl.57.34"></a><var>57.34</var>to an agreed-upon location to relinquish a newborn infant into the custody of ambulance <br/>
<a id="pl.57.35"></a><var>57.35</var>personnel.<br/>
<a id="pl.58.1"></a><var>58.1</var>    Subd. 4. <b>Placement of the newborn.</b> The agency contacted by a safe place pursuant <br/>
<a id="pl.58.2"></a><var>58.2</var>to section 145.902, subdivision 2, shall have legal responsibility for the placement of <br/>
<a id="pl.58.3"></a><var>58.3</var>the newborn infant in foster care for 72 hours during which time the agency shall file a <br/>
<a id="pl.58.4"></a><var>58.4</var>petition under section 260C.141 and ask the court to order continued placement of the <br/>
<a id="pl.58.5"></a><var>58.5</var>child in foster care. The agency shall immediately begin planning for adoptive placement <br/>
<a id="pl.58.6"></a><var>58.6</var>of the newborn.<br/>
<br/>
<a id="bill.2.3.0"></a><a id="pl.58.7"></a><var>58.7</var>    Sec. 3. Minnesota Statutes 2010, section 609.3785, is amended to read:<br/>
<a id="pl.58.8"></a><var>58.8</var><b>609.3785 UNHARMED NEWBORNS LEFT AT </b><b>HOSPITALS</b><b> A SAFE </b><br/>
<a id="pl.58.9"></a><var>58.9</var><b>PLACE</b><b>; AVOIDANCE OF PROSECUTION.</b><br/>
<a id="pl.58.10"></a><var>58.10</var>A person may leave a newborn with a hospital an employee at a hospital safe place, <br/>
<a id="pl.58.11"></a><var>58.11</var>as defined in section 145.902, in this state, pursuant to section 260C.217, subdivision 3, <br/>
<a id="pl.58.12"></a><var>58.12</var>without being subjected to prosecution for that act, provided that:<br/>
<a id="pl.58.13"></a><var>58.13</var>(1) the newborn was born within 72 hours seven days of being left at the hospital <br/>
<a id="pl.58.14"></a><var>58.14</var>safe place, as determined within a reasonable degree of medical certainty;<br/>
<a id="pl.58.15"></a><var>58.15</var>(2) the newborn is left in an unharmed condition; and<br/>
<a id="pl.58.16"></a><var>58.16</var>(3) in cases where the person leaving the newborn is not the newborn's mother, the <br/>
<a id="pl.58.17"></a><var>58.17</var>person has the mother's approval to do so.<br/>
<br/>
<a id="bill.3.0.0"></a>

<a id="bill.3.1.0"></a><a id="pl.58.20"></a><var>58.20</var>    Section 1. <b>[259A.01] DEFINITIONS.</b><br/>
<a id="pl.58.21"></a><var>58.21</var>    Subdivision 1. <b>Scope.</b> For the purposes of this chapter, the terms defined in this <br/>
<a id="pl.58.22"></a><var>58.22</var>section have the meanings given them except as otherwise indicated by the context.<br/>
<a id="pl.58.23"></a><var>58.23</var>    Subd. 2. <b>Adoption assistance.</b> "Adoption assistance" means medical coverage and <br/>
<a id="pl.58.24"></a><var>58.24</var>reimbursement of nonrecurring adoption expenses, and may also include financial support <br/>
<a id="pl.58.25"></a><var>58.25</var>and reimbursement for specific nonmedical expenses provided under agreement with the <br/>
<a id="pl.58.26"></a><var>58.26</var>parent of an adoptive child who would otherwise remain in foster care and whose special <br/>
<a id="pl.58.27"></a><var>58.27</var>needs would otherwise make it difficult to place the child for adoption. Financial support <br/>
<a id="pl.58.28"></a><var>58.28</var>may include a basic maintenance payment and a supplemental needs payment.<br/>
<a id="pl.58.29"></a><var>58.29</var>    Subd. 3. <b>Adoptive parent.</b> "Adoptive parent" means the adult who has been <br/>
<a id="pl.58.30"></a><var>58.30</var>made the legal parent of a child through a court-ordered adoption decree or a customary <br/>
<a id="pl.58.31"></a><var>58.31</var>adoption through tribal court.<br/>
<a id="pl.58.32"></a><var>58.32</var>    Subd. 4. <b>AFDC.</b> "AFDC" means the aid to families with dependent children <br/>
<a id="pl.58.33"></a><var>58.33</var>program under sections 256.741, 256.82, and 256.87.<br/>
<a id="pl.59.1"></a><var>59.1</var>    Subd. 5. <b>Assessment.</b> "Assessment" means the process by which the child-placing <br/>
<a id="pl.59.2"></a><var>59.2</var>agency determines the benefits an eligible child may receive under this chapter.<br/>
<a id="pl.59.3"></a><var>59.3</var>    Subd. 6. <b>At-risk child.</b> "At-risk child" means a child who does not have a <br/>
<a id="pl.59.4"></a><var>59.4</var>documented disability but who is at risk of developing a physical, mental, emotional, or <br/>
<a id="pl.59.5"></a><var>59.5</var>behavioral disability based on being related within the first or second degree to persons <br/>
<a id="pl.59.6"></a><var>59.6</var>who have an inheritable physical, mental, emotional, or behavioral disabling condition, or <br/>
<a id="pl.59.7"></a><var>59.7</var>from a background that has the potential to cause the child to develop a physical, mental, <br/>
<a id="pl.59.8"></a><var>59.8</var>emotional, or behavioral disability that the child is at risk of developing. The disability <br/>
<a id="pl.59.9"></a><var>59.9</var>must manifest during childhood.<br/>
<a id="pl.59.10"></a><var>59.10</var>    Subd. 7. <b>Basic maintenance payment.</b> "Basic maintenance payment" means <br/>
<a id="pl.59.11"></a><var>59.11</var>the maintenance payment made on behalf of a child to support the costs an adoptive <br/>
<a id="pl.59.12"></a><var>59.12</var>parent incurs to meet a child's needs consistent with the care parents customarily provide, <br/>
<a id="pl.59.13"></a><var>59.13</var>including: food, clothing, shelter, daily supervision, school supplies, and a child's personal <br/>
<a id="pl.59.14"></a><var>59.14</var>incidentals. It also supports reasonable travel to participate in face-to-face visitation <br/>
<a id="pl.59.15"></a><var>59.15</var>between child and birth relatives, including siblings.<br/>
<a id="pl.59.16"></a><var>59.16</var>    Subd. 8. <b>Child.</b> "Child" means an individual under 18 years of age. For purposes <br/>
<a id="pl.59.17"></a><var>59.17</var>of this chapter, child also includes individuals up to age 21 who have approved adoption <br/>
<a id="pl.59.18"></a><var>59.18</var>assistance agreement extensions under section 259A.45, subdivision 1.<br/>
<a id="pl.59.19"></a><var>59.19</var>    Subd. 9. <b>Child-placing agency.</b> "Child-placing agency" means a business, <br/>
<a id="pl.59.20"></a><var>59.20</var>organization, or department of government, including the responsible social services <br/>
<a id="pl.59.21"></a><var>59.21</var>agency or a federally recognized Minnesota tribe, designated or authorized by law <br/>
<a id="pl.59.22"></a><var>59.22</var>to place children for adoption and assigned legal responsibility for placement, care, <br/>
<a id="pl.59.23"></a><var>59.23</var>and supervision of the child through a court order, voluntary placement agreement, or <br/>
<a id="pl.59.24"></a><var>59.24</var>voluntary relinquishment.<br/>
<a id="pl.59.25"></a><var>59.25</var>    Subd. 10. <b>Child under guardianship of the commissioner of human services.</b><br/>
<a id="pl.59.26"></a><var>59.26</var>"Child under guardianship of the commissioner of human services" means a child the <br/>
<a id="pl.59.27"></a><var>59.27</var>court has ordered under the guardianship of the commissioner of human services pursuant <br/>
<a id="pl.59.28"></a><var>59.28</var>to section 260C.325.<br/>
<a id="pl.59.29"></a><var>59.29</var>    Subd. 11. <b>Commissioner.</b> "Commissioner" means the commissioner of human <br/>
<a id="pl.59.30"></a><var>59.30</var>services or any employee of the Department of Human Services to whom the commissioner <br/>
<a id="pl.59.31"></a><var>59.31</var>has delegated authority regarding children under the commissioner's guardianship.<br/>
<a id="pl.59.32"></a><var>59.32</var>    Subd. 12. <b>Consent of parent to adoption under chapter 260C.</b> "Consent of <br/>
<a id="pl.59.33"></a><var>59.33</var>parent to adoption under chapter 260C" means the consent executed pursuant to section <br/>
<a id="pl.59.34"></a><var>59.34</var>260C.515, subdivision 3. <br/>
<a id="pl.59.35"></a><var>59.35</var>    Subd. 13. <b>Department.</b> "Department" means the Minnesota Department of Human <br/>
<a id="pl.59.36"></a><var>59.36</var>Services.<br/>
<a id="pl.60.1"></a><var>60.1</var>    Subd. 14. <b>Disability.</b> "Disability" means a physical, mental, emotional, or <br/>
<a id="pl.60.2"></a><var>60.2</var>behavioral impairment that substantially limits one or more major life activities. Major <br/>
<a id="pl.60.3"></a><var>60.3</var>life activities include, but are not limited to: thinking, walking, hearing, breathing, <br/>
<a id="pl.60.4"></a><var>60.4</var>working, seeing, speaking, communicating, learning, developing and maintaining healthy <br/>
<a id="pl.60.5"></a><var>60.5</var>relationships, safely caring for oneself, and performing manual tasks. The nature, duration, <br/>
<a id="pl.60.6"></a><var>60.6</var>and severity of the impairment shall be used in determining if the limitation is substantial.<br/>
<a id="pl.60.7"></a><var>60.7</var>    Subd. 15. <b>Foster care.</b> "Foster care" has the meaning given in section 260C.007, <br/>
<a id="pl.60.8"></a><var>60.8</var>subdivision 18.<br/>
<a id="pl.60.9"></a><var>60.9</var>    Subd. 16. <b>Guardian.</b> "Guardian" means an adult who is appointed pursuant to <br/>
<a id="pl.60.10"></a><var>60.10</var>section 260C.325. For a child under guardianship of the commissioner, the child's <br/>
<a id="pl.60.11"></a><var>60.11</var>guardian is the commissioner of human services.<br/>
<a id="pl.60.12"></a><var>60.12</var>    Subd. 17. <b>Guardianship.</b> "Guardianship" means the court-ordered rights and <br/>
<a id="pl.60.13"></a><var>60.13</var>responsibilities of the guardian of a child and includes legal custody of the child.<br/>
<a id="pl.60.14"></a><var>60.14</var>    Subd. 18. <b>Indian child.</b> "Indian child" has the meaning given in section 260.755, <br/>
<a id="pl.60.15"></a><var>60.15</var>subdivision 8.<br/>
<a id="pl.60.16"></a><var>60.16</var>    Subd. 19. <b>Legal custodian.</b> "Legal custodian" means a person to whom permanent <br/>
<a id="pl.60.17"></a><var>60.17</var>legal and physical custody of a child has been transferred under chapter 260C, or for <br/>
<a id="pl.60.18"></a><var>60.18</var>children under tribal court jurisdiction, a similar provision under tribal code which means <br/>
<a id="pl.60.19"></a><var>60.19</var>that the individual responsible for the child has responsibility for the protection, education, <br/>
<a id="pl.60.20"></a><var>60.20</var>care, and control of the child and decision making on behalf of the child.<br/>
<a id="pl.60.21"></a><var>60.21</var>    Subd. 20. <b>Medical assistance.</b> "Medical assistance" means Minnesota's <br/>
<a id="pl.60.22"></a><var>60.22</var>implementation of the federal Medicaid program.<br/>
<a id="pl.60.23"></a><var>60.23</var>    Subd. 21. <b>Parent.</b> "Parent" has the meaning given in section 257.52. Parent does <br/>
<a id="pl.60.24"></a><var>60.24</var>not mean a putative father of a child unless the putative father also meets the requirements <br/>
<a id="pl.60.25"></a><var>60.25</var>of section 257.55 or unless the putative father is entitled to notice under section 259.49, <br/>
<a id="pl.60.26"></a><var>60.26</var>subdivision 1. For matters governed by the Indian Child Welfare Act, parent includes any <br/>
<a id="pl.60.27"></a><var>60.27</var>Indian person who has adopted a child by tribal law or custom, as provided in section <br/>
<a id="pl.60.28"></a><var>60.28</var>260.755, subdivision 14, and does not include the unwed father where paternity has not <br/>
<a id="pl.60.29"></a><var>60.29</var>been acknowledged or established.<br/>
<a id="pl.60.30"></a><var>60.30</var>    Subd. 22. <b>Permanent legal and physical custody.</b> "Permanent legal and physical <br/>
<a id="pl.60.31"></a><var>60.31</var>custody" means permanent legal and physical custody ordered by a Minnesota court under <br/>
<a id="pl.60.32"></a><var>60.32</var>section 260C.515, subdivision 4, or for children under tribal court jurisdiction, a similar <br/>
<a id="pl.60.33"></a><var>60.33</var>provision under tribal code which means that the individual with permanent legal and <br/>
<a id="pl.60.34"></a><var>60.34</var>physical custody of the child has responsibility for the protection, education, care, and <br/>
<a id="pl.60.35"></a><var>60.35</var>control of the child and decision making on behalf of the child.<br/>
<a id="pl.61.1"></a><var>61.1</var>    Subd. 23. <b>Preadoptive parent.</b> "Preadoptive parent" means an adult who is caring <br/>
<a id="pl.61.2"></a><var>61.2</var>for a child in an adoptive placement, but where the court has not yet ordered a final decree <br/>
<a id="pl.61.3"></a><var>61.3</var>of adoption making the adult the legal parent of the child.<br/>
<a id="pl.61.4"></a><var>61.4</var>    Subd. 24. <b>Reassessment.</b> "Reassessment" means an update of a previous assessment <br/>
<a id="pl.61.5"></a><var>61.5</var>through the process under this chapter completed for a child who has been continuously <br/>
<a id="pl.61.6"></a><var>61.6</var>eligible for this benefit.<br/>
<a id="pl.61.7"></a><var>61.7</var>    Subd. 25. <b>Relative.</b> "Relative" means a person related to the child by blood, <br/>
<a id="pl.61.8"></a><var>61.8</var>marriage, or adoption, or an individual who is an important friend with whom the child has <br/>
<a id="pl.61.9"></a><var>61.9</var>resided or had significant contact. For an Indian child, relative includes members of the <br/>
<a id="pl.61.10"></a><var>61.10</var>extended family as defined by law or custom of the Indian child's tribe, or, in the absence <br/>
<a id="pl.61.11"></a><var>61.11</var>of law or custom, shall be a person who has reached the age of 18 and who is the Indian <br/>
<a id="pl.61.12"></a><var>61.12</var>child's grandparent, aunt or uncle, brother or sister, brother-in-law or sister-in-law, niece <br/>
<a id="pl.61.13"></a><var>61.13</var>or nephew, first or second cousin, or stepparent, as provided in the Indian Child Welfare <br/>
<a id="pl.61.14"></a><var>61.14</var>Act of 1978, United States Code, title 25, section 1903.<br/>
<a id="pl.61.15"></a><var>61.15</var>    Subd. 26. <b>Relative search.</b> "Relative search" means the search that is required <br/>
<a id="pl.61.16"></a><var>61.16</var>under section 260C.212, subdivision 5.<br/>
<a id="pl.61.17"></a><var>61.17</var>    Subd. 27. <b>Sibling.</b> "Sibling" has the meaning given in section 260C.007, <br/>
<a id="pl.61.18"></a><var>61.18</var>subdivision 32.<br/>
<a id="pl.61.19"></a><var>61.19</var>    Subd. 28. <b>Social and medical history.</b> "Social and medical history" means the <br/>
<a id="pl.61.20"></a><var>61.20</var>document, on a form or forms prescribed by the commissioner, that contains a child's <br/>
<a id="pl.61.21"></a><var>61.21</var>genetic, medical, and family background as well as the history and current status of a <br/>
<a id="pl.61.22"></a><var>61.22</var>child's physical and mental health, behavior, demeanor, foster care placements, education, <br/>
<a id="pl.61.23"></a><var>61.23</var>and family relationships and has the same meaning as the history required under sections <br/>
<a id="pl.61.24"></a><var>61.24</var>259.43 and 260C.609.<br/>
<a id="pl.61.25"></a><var>61.25</var>    Subd. 29. <b>Supplemental needs payment.</b> "Supplemental needs payment" <br/>
<a id="pl.61.26"></a><var>61.26</var>means the payment which is negotiated with the adoptive parent for a child who has a <br/>
<a id="pl.61.27"></a><var>61.27</var>documented physical, mental, emotional, or behavioral disability. The payment is made <br/>
<a id="pl.61.28"></a><var>61.28</var>based on the requirements associated with parenting duties to nurture the child, preserve <br/>
<a id="pl.61.29"></a><var>61.29</var>the child's connections, and support the child's functioning in the home.<br/>
<a id="pl.61.30"></a><var>61.30</var>    Subd. 30. <b>Termination of parental rights.</b> "Termination of parental rights" means <br/>
<a id="pl.61.31"></a><var>61.31</var>a court order that severs all rights, powers, privileges, immunities, duties, and obligations, <br/>
<a id="pl.61.32"></a><var>61.32</var>including any rights to custody, control, visitation, or support, existing between a parent <br/>
<a id="pl.61.33"></a><var>61.33</var>and child. For an Indian child who is a ward of tribal court, termination of parental rights <br/>
<a id="pl.61.34"></a><var>61.34</var>means any action resulting in the termination or suspension of the parent-child relationship <br/>
<a id="pl.61.35"></a><var>61.35</var>when the tribe has made a judicial determination that the child cannot or should not be <br/>
<a id="pl.61.36"></a><var>61.36</var>returned to the home of the child's parent or parents.<br/>
<br/>
<a id="bill.3.2.0"></a><a id="pl.62.1"></a><var>62.1</var>    Sec. 2. <b>[259A.05] PROGRAM ADMINISTRATION.</b><br/>
<a id="pl.62.2"></a><var>62.2</var>    Subdivision 1. <b>Administration of title IV-E programs.</b> The title IV-E Adoption <br/>
<a id="pl.62.3"></a><var>62.3</var>Assistance Program shall operate according to the requirements of United States Code, <br/>
<a id="pl.62.4"></a><var>62.4</var>title 42, sections 671 and 673, and Code of Federal Regulations, parts 1355 and 1356.<br/>
<a id="pl.62.5"></a><var>62.5</var>    Subd. 2. <b>Administration responsibilities.</b> (a) AFDC relatedness is one eligibility <br/>
<a id="pl.62.6"></a><var>62.6</var>component of title IV-E adoption assistance. The AFDC relatedness determination shall be <br/>
<a id="pl.62.7"></a><var>62.7</var>made by an agency according to policies and procedures prescribed by the commissioner.<br/>
<a id="pl.62.8"></a><var>62.8</var>(b) Subject to commissioner approval, the child-placing agency shall certify a child's <br/>
<a id="pl.62.9"></a><var>62.9</var>eligibility for adoption assistance in writing on the forms prescribed by the commissioner <br/>
<a id="pl.62.10"></a><var>62.10</var>according to section 259A.15.<br/>
<a id="pl.62.11"></a><var>62.11</var>(c) Children who meet all eligibility criteria except those specific to title IV-E, shall <br/>
<a id="pl.62.12"></a><var>62.12</var>receive adoption assistance paid through state funds.<br/>
<a id="pl.62.13"></a><var>62.13</var>(d) The child-placing agency is responsible for assisting the commissioner with <br/>
<a id="pl.62.14"></a><var>62.14</var>the administration of the adoption assistance program by conducting assessments, <br/>
<a id="pl.62.15"></a><var>62.15</var>reassessments, negotiations, and other activities as specified by the requirements and <br/>
<a id="pl.62.16"></a><var>62.16</var>procedures prescribed by the commissioner.<br/>
<a id="pl.62.17"></a><var>62.17</var>(e) The child-placing agency shall notify an adoptive parent of a child's eligibility for <br/>
<a id="pl.62.18"></a><var>62.18</var>Medicaid in the state of residence. In Minnesota, the child-placing agency shall refer the <br/>
<a id="pl.62.19"></a><var>62.19</var>adoptive parent to the appropriate social service agency in the parent's county of residence <br/>
<a id="pl.62.20"></a><var>62.20</var>that administers medical assistance. The child-placing agency shall inform the adoptive <br/>
<a id="pl.62.21"></a><var>62.21</var>parent of the requirement to comply with the rules of the applicable Medicaid program.<br/>
<a id="pl.62.22"></a><var>62.22</var>    Subd. 3. <b>Procedures, requirements, and deadlines.</b> The commissioner shall <br/>
<a id="pl.62.23"></a><var>62.23</var>specify procedures, requirements, and deadlines for the administration of adoption <br/>
<a id="pl.62.24"></a><var>62.24</var>assistance in accordance with this section.<br/>
<a id="pl.62.25"></a><var>62.25</var>    Subd. 4. <b>Promotion of programs.</b> (a) Parents who adopt children with special <br/>
<a id="pl.62.26"></a><var>62.26</var>needs must be informed of the adoption tax credit.<br/>
<a id="pl.62.27"></a><var>62.27</var>(b) The commissioner shall actively seek ways to promote the adoption assistance <br/>
<a id="pl.62.28"></a><var>62.28</var>program, including informing prospective adoptive parents of eligible children under <br/>
<a id="pl.62.29"></a><var>62.29</var>guardianship of the commissioner and the availability of adoption assistance.<br/>
<br/>
<a id="bill.3.3.0"></a><a id="pl.62.30"></a><var>62.30</var>    Sec. 3. <b>[259A.10] ELIGIBILITY REQUIREMENTS.</b><br/>
<a id="pl.62.31"></a><var>62.31</var>    Subdivision 1. <b>General eligibility requirements.</b> (a) To be eligible for adoption <br/>
<a id="pl.62.32"></a><var>62.32</var>assistance, a child must:<br/>
<a id="pl.62.33"></a><var>62.33</var>(1) be determined to be a child with special needs, according to subdivision 2;<br/>
<a id="pl.62.34"></a><var>62.34</var>(2) meet the applicable citizenship and immigration requirements in subdivision <br/>
<a id="pl.62.35"></a><var>62.35</var>3; and<br/>
<a id="pl.63.1"></a><var>63.1</var>(3)(i) meet the criteria outlined in section 473 of the Social Security Act; or<br/>
<a id="pl.63.2"></a><var>63.2</var>(ii) have had foster care payments paid on the child's behalf while in out-of-home <br/>
<a id="pl.63.3"></a><var>63.3</var>placement through the county or tribal social service agency and be a child under the <br/>
<a id="pl.63.4"></a><var>63.4</var>guardianship of the commissioner or a ward of tribal court.<br/>
<a id="pl.63.5"></a><var>63.5</var>(b) In addition to the requirements in paragraph (a), the child's adoptive parents must <br/>
<a id="pl.63.6"></a><var>63.6</var>meet the applicable background study requirements outlined in subdivision 4.<br/>
<a id="pl.63.7"></a><var>63.7</var>    Subd. 2. <b>Special needs determination.</b> (a) A child is considered a child with <br/>
<a id="pl.63.8"></a><var>63.8</var>special needs under this section if all of the requirements in paragraphs (b) to (g) are met.<br/>
<a id="pl.63.9"></a><var>63.9</var>(b) There has been a determination that the child cannot or should not be returned to <br/>
<a id="pl.63.10"></a><var>63.10</var>the home of the child's parents as evidenced by:<br/>
<a id="pl.63.11"></a><var>63.11</var>(1) court-ordered termination of parental rights;<br/>
<a id="pl.63.12"></a><var>63.12</var>(2) petition to terminate parental rights;<br/>
<a id="pl.63.13"></a><var>63.13</var>(3) consent of parent to adoption accepted by the court under chapter 260C;<br/>
<a id="pl.63.14"></a><var>63.14</var>(4) in circumstances where tribal law permits the child to be adopted without a <br/>
<a id="pl.63.15"></a><var>63.15</var>termination of parental rights, a judicial determination by tribal court indicating the valid <br/>
<a id="pl.63.16"></a><var>63.16</var>reason why the child cannot or should not return home;<br/>
<a id="pl.63.17"></a><var>63.17</var>(5) voluntary relinquishment under section 259.25 or 259.47 or, if relinquishment <br/>
<a id="pl.63.18"></a><var>63.18</var>occurred in another state, the applicable laws in that state; or<br/>
<a id="pl.63.19"></a><var>63.19</var>(6) death of the legal parent, or parents if the child has two legal parents.<br/>
<a id="pl.63.20"></a><var>63.20</var>(c) There exists a specific factor or condition because of which it is reasonable to <br/>
<a id="pl.63.21"></a><var>63.21</var>conclude that the child cannot be placed with adoptive parents without providing adoption <br/>
<a id="pl.63.22"></a><var>63.22</var>assistance as evidenced by:<br/>
<a id="pl.63.23"></a><var>63.23</var>(1) determination by the Social Security Administration that the child meets all <br/>
<a id="pl.63.24"></a><var>63.24</var>medical or disability requirements of title XVI of the Social Security Act with respect to <br/>
<a id="pl.63.25"></a><var>63.25</var>eligibility for Supplemental Security Income benefits;<br/>
<a id="pl.63.26"></a><var>63.26</var>(2) documented physical, mental, emotional, or behavioral disability not covered <br/>
<a id="pl.63.27"></a><var>63.27</var>under clause (1);<br/>
<a id="pl.63.28"></a><var>63.28</var>(3) a member in a sibling group being adopted at the same time by the same parent;<br/>
<a id="pl.63.29"></a><var>63.29</var>(4) adoptive placement in the home of a parent who previously adopted a sibling for <br/>
<a id="pl.63.30"></a><var>63.30</var>whom they receive adoption assistance; or<br/>
<a id="pl.63.31"></a><var>63.31</var>(5) documentation that the child is an at-risk child.<br/>
<a id="pl.63.32"></a><var>63.32</var>(d) A reasonable but unsuccessful effort was made to place the child with adoptive <br/>
<a id="pl.63.33"></a><var>63.33</var>parents without providing adoption assistance as evidenced by:<br/>
<a id="pl.63.34"></a><var>63.34</var>(1) a documented search for an appropriate adoptive placement; or<br/>
<a id="pl.63.35"></a><var>63.35</var>(2) determination by the commissioner that a search under clause (1) is not in the <br/>
<a id="pl.63.36"></a><var>63.36</var>best interests of the child.<br/>
<a id="pl.64.1"></a><var>64.1</var>(e) The requirement for a documented search for an appropriate adoptive placement <br/>
<a id="pl.64.2"></a><var>64.2</var>under paragraph (d), including the registration of the child with the State Adoption <br/>
<a id="pl.64.3"></a><var>64.3</var>Exchange and other recruitment methods under paragraph (f), must be waived if:<br/>
<a id="pl.64.4"></a><var>64.4</var>(1) the child is being adopted by a relative and it is determined by the child-placing <br/>
<a id="pl.64.5"></a><var>64.5</var>agency that adoption by the relative is in the best interests of the child;<br/>
<a id="pl.64.6"></a><var>64.6</var>(2) the child is being adopted by a foster parent with whom the child has developed <br/>
<a id="pl.64.7"></a><var>64.7</var>significant emotional ties while in their care as a foster child and it is determined by <br/>
<a id="pl.64.8"></a><var>64.8</var>the child-placing agency that adoption by the foster parent is in the best interests of the <br/>
<a id="pl.64.9"></a><var>64.9</var>child; or<br/>
<a id="pl.64.10"></a><var>64.10</var>(3) the child is being adopted by a parent that previously adopted a sibling of the <br/>
<a id="pl.64.11"></a><var>64.11</var>child, and it is determined by the child-placing agency that adoption by this parent is <br/>
<a id="pl.64.12"></a><var>64.12</var>in the best interests of the child.<br/>
<a id="pl.64.13"></a><var>64.13</var>When the Indian Child Welfare Act applies, a waiver must not be granted unless the <br/>
<a id="pl.64.14"></a><var>64.14</var>child-placing agency has complied with the placement preferences required by the Indian <br/>
<a id="pl.64.15"></a><var>64.15</var>Child Welfare Act according to United States Code, title 25, section 1915(a).<br/>
<a id="pl.64.16"></a><var>64.16</var>(f) To meet the requirement of a documented search for an appropriate adoptive <br/>
<a id="pl.64.17"></a><var>64.17</var>placement under paragraph (d), clause (1), the child-placing agency minimally must:<br/>
<a id="pl.64.18"></a><var>64.18</var>(1) conduct a relative search as required by section 260C.212, subdivision 5, and give <br/>
<a id="pl.64.19"></a><var>64.19</var>consideration to placement with a relative as required by section 260C.212, subdivision 2;<br/>
<a id="pl.64.20"></a><var>64.20</var>(2) comply with the adoptive placement preferences required under the Indian Child <br/>
<a id="pl.64.21"></a><var>64.21</var>Welfare Act when the Indian Child Welfare Act, United States Code, title 25, section <br/>
<a id="pl.64.22"></a><var>64.22</var>1915(a), applies;<br/>
<a id="pl.64.23"></a><var>64.23</var>(3) locate prospective adoptive families by registering the child on the State <br/>
<a id="pl.64.24"></a><var>64.24</var>Adoption Exchange, as required under section 259.75; and<br/>
<a id="pl.64.25"></a><var>64.25</var>(4) if registration with the State Adoption Exchange does not result in the <br/>
<a id="pl.64.26"></a><var>64.26</var>identification of an appropriate adoptive placement, the agency must employ additional <br/>
<a id="pl.64.27"></a><var>64.27</var>recruitment methods, as outlined in requirements and procedures prescribed by the <br/>
<a id="pl.64.28"></a><var>64.28</var>commissioner.<br/>
<a id="pl.64.29"></a><var>64.29</var>(g) Once the child-placing agency has determined that placement with an identified <br/>
<a id="pl.64.30"></a><var>64.30</var>parent is in the child's best interest and has made full written disclosure about the child's <br/>
<a id="pl.64.31"></a><var>64.31</var>social and medical history, the agency must ask the prospective adoptive parent if they are <br/>
<a id="pl.64.32"></a><var>64.32</var>willing to adopt the child without adoption assistance. If the identified parent is either <br/>
<a id="pl.64.33"></a><var>64.33</var>unwilling or unable to adopt the child without adoption assistance, the child-placing <br/>
<a id="pl.64.34"></a><var>64.34</var>agency must provide documentation as prescribed by the commissioner to fulfill the <br/>
<a id="pl.64.35"></a><var>64.35</var>requirement to make a reasonable effort to place the child without adoption assistance. If <br/>
<a id="pl.64.36"></a><var>64.36</var>the identified parent desires to adopt the child without adoption assistance, the parent must <br/>
<a id="pl.65.1"></a><var>65.1</var>provide a written statement to this effect to the child-placing agency and the statement must <br/>
<a id="pl.65.2"></a><var>65.2</var>be maintained in the permanent adoption record of the child-placing agency. For children <br/>
<a id="pl.65.3"></a><var>65.3</var>under guardianship of the commissioner, the child-placing agency shall submit a copy of <br/>
<a id="pl.65.4"></a><var>65.4</var>this statement to the commissioner to be maintained in the permanent adoption record.<br/>
<a id="pl.65.5"></a><var>65.5</var>    Subd. 3. <b>Citizenship and immigration status.</b> (a) A child must be a citizen of the <br/>
<a id="pl.65.6"></a><var>65.6</var>United States or otherwise eligible for federal public benefits according to the Personal <br/>
<a id="pl.65.7"></a><var>65.7</var>Responsibility and Work Opportunity Reconciliation Act of 1996, as amended, in order to <br/>
<a id="pl.65.8"></a><var>65.8</var>be eligible for the title IV-E Adoption Assistance Program.<br/>
<a id="pl.65.9"></a><var>65.9</var>(b) A child must be a citizen of the United States or meet the qualified alien <br/>
<a id="pl.65.10"></a><var>65.10</var>requirements as defined in the Personal Responsibility and Work Opportunity <br/>
<a id="pl.65.11"></a><var>65.11</var>Reconciliation Act of 1996, as amended, in order to be eligible for state-funded adoption <br/>
<a id="pl.65.12"></a><var>65.12</var>assistance.<br/>
<a id="pl.65.13"></a><var>65.13</var>    Subd. 4. <b>Background study.</b> (a) A background study under section 259.41 must be <br/>
<a id="pl.65.14"></a><var>65.14</var>completed on each prospective adoptive parent. An adoptive parent is prohibited from <br/>
<a id="pl.65.15"></a><var>65.15</var>receiving adoption assistance on behalf of an otherwise eligible child if the background <br/>
<a id="pl.65.16"></a><var>65.16</var>study reveals:<br/>
<a id="pl.65.17"></a><var>65.17</var>(1) a felony conviction at any time for:<br/>
<a id="pl.65.18"></a><var>65.18</var>(i) child abuse or neglect;<br/>
<a id="pl.65.19"></a><var>65.19</var>(ii) spousal abuse;<br/>
<a id="pl.65.20"></a><var>65.20</var>(iii) a crime against children, including child pornography; or<br/>
<a id="pl.65.21"></a><var>65.21</var>(iv) a crime involving violence, including rape, sexual assault, or homicide, but not <br/>
<a id="pl.65.22"></a><var>65.22</var>including other physical assault or battery; or<br/>
<a id="pl.65.23"></a><var>65.23</var>(2) a felony conviction within the past five years for:<br/>
<a id="pl.65.24"></a><var>65.24</var>(i) physical assault;<br/>
<a id="pl.65.25"></a><var>65.25</var>(ii) battery; or<br/>
<a id="pl.65.26"></a><var>65.26</var>(iii) a drug-related offense.<br/>
<a id="pl.65.27"></a><var>65.27</var>    Subd. 5. <b>Responsibility for determining adoption assistance eligibility.</b> The <br/>
<a id="pl.65.28"></a><var>65.28</var>state will determine eligibility for:<br/>
<a id="pl.65.29"></a><var>65.29</var>(1) a Minnesota child under the guardianship of the commissioner who would <br/>
<a id="pl.65.30"></a><var>65.30</var>otherwise remain in foster care;<br/>
<a id="pl.65.31"></a><var>65.31</var>(2) a child who is not under the guardianship of the commissioner who meets title <br/>
<a id="pl.65.32"></a><var>65.32</var>IV-E eligibility defined in section 473 of the Social Security Act and no state agency has <br/>
<a id="pl.65.33"></a><var>65.33</var>legal responsibility for placement and care of the child;<br/>
<a id="pl.65.34"></a><var>65.34</var>(3) a Minnesota child under tribal jurisdiction who would otherwise remain in foster <br/>
<a id="pl.65.35"></a><var>65.35</var>care; and<br/>
<a id="pl.66.1"></a><var>66.1</var>(4) an Indian child being placed in Minnesota who meets title IV-E eligibility defined <br/>
<a id="pl.66.2"></a><var>66.2</var>in section 473 of the Social Security Act. The agency or entity assuming responsibility for <br/>
<a id="pl.66.3"></a><var>66.3</var>the child is responsible for the nonfederal share of the adoption assistance payment.<br/>
<a id="pl.66.4"></a><var>66.4</var>    Subd. 6. <b>Exclusions.</b> The commissioner shall not enter into an adoption assistance <br/>
<a id="pl.66.5"></a><var>66.5</var>agreement with:<br/>
<a id="pl.66.6"></a><var>66.6</var>(1) a child's biological parent or stepparent;<br/>
<a id="pl.66.7"></a><var>66.7</var>(2) a child's relative, according to section 260C.007, subdivision 27, with whom the <br/>
<a id="pl.66.8"></a><var>66.8</var>child resided immediately prior to child welfare involvement unless:<br/>
<a id="pl.66.9"></a><var>66.9</var>    (i) the child was in the custody of a Minnesota county or tribal agency pursuant to <br/>
<a id="pl.66.10"></a><var>66.10</var>an order under chapter 260C or equivalent provisions of tribal code and the agency had <br/>
<a id="pl.66.11"></a><var>66.11</var>placement and care responsibility for permanency planning for the child; and<br/>
<a id="pl.66.12"></a><var>66.12</var>    (ii) the child is under guardianship of the commissioner of human services according <br/>
<a id="pl.66.13"></a><var>66.13</var>to the requirements of section 260C.325, subdivision 1, paragraphs (a) and (b), or <br/>
<a id="pl.66.14"></a><var>66.14</var>subdivision 3, paragraphs (a) and (b), or is a ward of a Minnesota tribal court after <br/>
<a id="pl.66.15"></a><var>66.15</var>termination of parental rights, suspension of parental rights, or a finding by the tribal court <br/>
<a id="pl.66.16"></a><var>66.16</var>that the child cannot safely return to the care of the parent;<br/>
<a id="pl.66.17"></a><var>66.17</var>(3) a child's legal custodian or guardian who is now adopting the child;<br/>
<a id="pl.66.18"></a><var>66.18</var>(4) an individual adopting a child who is the subject of a direct adoptive placement <br/>
<a id="pl.66.19"></a><var>66.19</var>under section 259.47 or the equivalent in tribal code; or<br/>
<a id="pl.66.20"></a><var>66.20</var>(5) an individual who is adopting a child who is not a citizen or resident of the <br/>
<a id="pl.66.21"></a><var>66.21</var>United States and was either adopted in another country or brought to this country for <br/>
<a id="pl.66.22"></a><var>66.22</var>the purposes of adoption.<br/>
<br/>
<a id="bill.3.4.0"></a><a id="pl.66.23"></a><var>66.23</var>    Sec. 4. <b>[259A.15] ESTABLISHMENT OF ADOPTION ASSISTANCE </b><br/>
<a id="pl.66.24"></a><var>66.24</var><b>ELIGIBILITY.</b><br/>
<a id="pl.66.25"></a><var>66.25</var>    Subdivision 1. <b>Adoption assistance certification.</b> (a) The child-placing agency <br/>
<a id="pl.66.26"></a><var>66.26</var>shall certify a child as eligible for adoption assistance according to requirements and <br/>
<a id="pl.66.27"></a><var>66.27</var>procedures, and on forms prescribed by the commissioner. Documentation from a <br/>
<a id="pl.66.28"></a><var>66.28</var>qualified expert must be provided to verify that a child meets the special needs criteria in <br/>
<a id="pl.66.29"></a><var>66.29</var>section 259A.10, subdivision 2.<br/>
<a id="pl.66.30"></a><var>66.30</var>(b) Expert documentation of a disability is limited to evidence deemed appropriate <br/>
<a id="pl.66.31"></a><var>66.31</var>by the commissioner and must be submitted with the certification. Examples of appropriate <br/>
<a id="pl.66.32"></a><var>66.32</var>documentation include, but are not limited to, medical records, psychological assessments, <br/>
<a id="pl.66.33"></a><var>66.33</var>educational or early childhood evaluations, court findings, and social and medical history.<br/>
<a id="pl.66.34"></a><var>66.34</var>(c) Documentation that the child is an at-risk child must be submitted according to <br/>
<a id="pl.66.35"></a><var>66.35</var>requirements and procedures prescribed by the commissioner.<br/>
<a id="pl.67.1"></a><var>67.1</var>    Subd. 2. <b>Adoption assistance agreement.</b> (a) An adoption assistance agreement <br/>
<a id="pl.67.2"></a><var>67.2</var>is a binding contract between the adopting parent, the child-placing agency, and the <br/>
<a id="pl.67.3"></a><var>67.3</var>commissioner. The agreement outlines the benefits to be provided on behalf of an eligible <br/>
<a id="pl.67.4"></a><var>67.4</var>child.<br/>
<a id="pl.67.5"></a><var>67.5</var>(b) In order to receive adoption assistance benefits, a written agreement on a form <br/>
<a id="pl.67.6"></a><var>67.6</var>prescribed by the commissioner must be signed by the parent, an approved representative <br/>
<a id="pl.67.7"></a><var>67.7</var>from the child-placing agency, and the commissioner prior to the effective date of the <br/>
<a id="pl.67.8"></a><var>67.8</var>adoption decree. No later than 30 days after the parent is approved for the adoptive <br/>
<a id="pl.67.9"></a><var>67.9</var>placement, the agreement must be negotiated with the parent as required in section <br/>
<a id="pl.67.10"></a><var>67.10</var>259A.25, subdivision 1. Adoption assistance must be approved or denied by the <br/>
<a id="pl.67.11"></a><var>67.11</var>commissioner no later than 15 business days after the receipt of a complete adoption <br/>
<a id="pl.67.12"></a><var>67.12</var>assistance application prescribed by the commissioner. A fully executed copy of the <br/>
<a id="pl.67.13"></a><var>67.13</var>signed agreement must be given to each party. Termination or disruption of the adoptive <br/>
<a id="pl.67.14"></a><var>67.14</var>placement preceding adoption finalization makes the agreement with that parent void.<br/>
<a id="pl.67.15"></a><var>67.15</var>(c) The agreement must specify the following:<br/>
<a id="pl.67.16"></a><var>67.16</var>(1) duration of the agreement;<br/>
<a id="pl.67.17"></a><var>67.17</var>(2) the nature and amount of any payment, services, and assistance to be provided <br/>
<a id="pl.67.18"></a><var>67.18</var>under the agreement;<br/>
<a id="pl.67.19"></a><var>67.19</var>(3) the child's eligibility for Medicaid services;<br/>
<a id="pl.67.20"></a><var>67.20</var>(4) the terms of the payment;<br/>
<a id="pl.67.21"></a><var>67.21</var>(5) eligibility for reimbursement of nonrecurring expenses associated with adopting <br/>
<a id="pl.67.22"></a><var>67.22</var>the child, to the extent that the total cost does not exceed $2,000 per child;<br/>
<a id="pl.67.23"></a><var>67.23</var>(6) that the agreement will remain in effect regardless of the state in which the <br/>
<a id="pl.67.24"></a><var>67.24</var>adoptive parent resides at any given time;<br/>
<a id="pl.67.25"></a><var>67.25</var>(7) provisions for modification of the terms of the agreement; and<br/>
<a id="pl.67.26"></a><var>67.26</var>(8) the effective date of the agreement.<br/>
<a id="pl.67.27"></a><var>67.27</var>(d) The agreement is effective on the date of the adoption decree.<br/>
<a id="pl.67.28"></a><var>67.28</var>    Subd. 3. <b>Assessment tool.</b> An assessment tool prescribed by the commissioner <br/>
<a id="pl.67.29"></a><var>67.29</var>must be completed for any child who has a documented disability that necessitates care, <br/>
<a id="pl.67.30"></a><var>67.30</var>supervision, and structure beyond that ordinarily provided in a family setting to children <br/>
<a id="pl.67.31"></a><var>67.31</var>of the same age. This assessment tool must be submitted with the adoption assistance <br/>
<a id="pl.67.32"></a><var>67.32</var>certification and establishes eligibility for the amount of assistance requested.<br/>
<br/>
<a id="bill.3.5.0"></a><a id="pl.67.33"></a><var>67.33</var>    Sec. 5. <b>[259A.20] BENEFITS AND PAYMENTS.</b><br/>
<a id="pl.67.34"></a><var>67.34</var>    Subdivision 1. <b>General information.</b> (a) Payments to parents under adoption <br/>
<a id="pl.67.35"></a><var>67.35</var>assistance must be made monthly.<br/>
<a id="pl.68.1"></a><var>68.1</var>(b) Payments must commence when the commissioner receives the adoption decree <br/>
<a id="pl.68.2"></a><var>68.2</var>from the court, the child-placing agency, or the parent. Payments must be made according <br/>
<a id="pl.68.3"></a><var>68.3</var>to requirements and procedures prescribed by the commissioner.<br/>
<a id="pl.68.4"></a><var>68.4</var>(c) Payments shall only be made to the adoptive parent specified on the agreement. <br/>
<a id="pl.68.5"></a><var>68.5</var>If there is more than one adoptive parent, both parties must be listed as the payee unless <br/>
<a id="pl.68.6"></a><var>68.6</var>otherwise specified in writing according to requirements and procedures prescribed by <br/>
<a id="pl.68.7"></a><var>68.7</var>the commissioner.<br/>
<a id="pl.68.8"></a><var>68.8</var>(d) Payment must be considered income and resource attributable to the child. <br/>
<a id="pl.68.9"></a><var>68.9</var>Payment must not be assigned or transferred to another party. Payment is exempt from <br/>
<a id="pl.68.10"></a><var>68.10</var>garnishment, except as permissible under the laws of the state where the child resides.<br/>
<a id="pl.68.11"></a><var>68.11</var>    Subd. 2. <b>Medical assistance eligibility.</b> Eligibility for medical assistance for <br/>
<a id="pl.68.12"></a><var>68.12</var>children receiving adoption assistance is as specified in section 256B.055.<br/>
<a id="pl.68.13"></a><var>68.13</var>    Subd. 3. <b>Payments.</b> (a) The basic maintenance payments must be made according <br/>
<a id="pl.68.14"></a><var>68.14</var>to the following schedule for all children except those eligible for adoption assistance <br/>
<a id="pl.68.15"></a><var>68.15</var>based on being an at-risk child:<br/>
<table>
<col width="50px"/>
<col width="25"/>
<col width="25"/>
<tr>
<td><a id="pl.68.16"></a><var>68.16</var><br/>
</td>
<td>Birth through age five<br/>
</td>
<td>up to $247 per month<br/>
</td>
</tr>
<tr>
<td><a id="pl.68.17"></a><var>68.17</var><br/>
</td>
<td>Age six through age 11<br/>
</td>
<td>up to $277 per month<br/>
</td>
</tr>
<tr>
<td><a id="pl.68.18"></a><var>68.18</var><br/>
</td>
<td>Age 12 through age 14<br/>
</td>
<td>up to $307 per month<br/>
</td>
</tr>
<tr>
<td><a id="pl.68.19"></a><var>68.19</var><br/>
</td>
<td>Age 15 and older<br/>
</td>
<td>up to $337 per month<br/>
</td>
</tr>
</table><a id="pl.68.20"></a><var>68.20</var>A child must receive the maximum payment amount for the child's age, unless a <br/>
<a id="pl.68.21"></a><var>68.21</var>lesser amount is negotiated with and agreed to by the prospective adoptive parent.<br/>
<a id="pl.68.22"></a><var>68.22</var>(b) Supplemental needs payments, in addition to basic maintenance payments, are <br/>
<a id="pl.68.23"></a><var>68.23</var>available based on the severity of a child's disability and the level of parenting required to <br/>
<a id="pl.68.24"></a><var>68.24</var>care for the child, and must be made according to the following amounts:<br/>
<table>
<col width="50px"/>
<col width="25"/>
<col width="25"/>
<tr>
<td><a id="pl.68.25"></a><var>68.25</var><br/>
</td>
<td>Level I<br/>
</td>
<td>up to $150 per month<br/>
</td>
</tr>
<tr>
<td><a id="pl.68.26"></a><var>68.26</var><br/>
</td>
<td>Level II<br/>
</td>
<td>up to $275 per month<br/>
</td>
</tr>
<tr>
<td><a id="pl.68.27"></a><var>68.27</var><br/>
</td>
<td>Level III<br/>
</td>
<td>up to $400 per month<br/>
</td>
</tr>
<tr>
<td><a id="pl.68.28"></a><var>68.28</var><br/>
</td>
<td>Level IV<br/>
</td>
<td>up to $500 per month<br/>
</td>
</tr>
</table><a id="pl.68.29"></a><var>68.29</var>A child's level shall be assessed on an assessment tool prescribed by the <br/>
<a id="pl.68.30"></a><var>68.30</var>commissioner. A child must receive the maximum payment for the child's assessed level, <br/>
<a id="pl.68.31"></a><var>68.31</var>unless a lesser amount is negotiated with and agreed to by the prospective adoptive parent.<br/>
<a id="pl.68.32"></a><var>68.32</var>    Subd. 4. <b>Reimbursement for special nonmedical expenses.</b> (a) Reimbursement <br/>
<a id="pl.68.33"></a><var>68.33</var>for special nonmedical expenses is available to children, except those eligible for adoption <br/>
<a id="pl.68.34"></a><var>68.34</var>assistance based on being an at-risk child.<br/>
<a id="pl.68.35"></a><var>68.35</var>(b) Reimbursements under this paragraph shall be made only after the adoptive <br/>
<a id="pl.68.36"></a><var>68.36</var>parent documents that the requested service was denied by the local social service agency, <br/>
<a id="pl.68.37"></a><var>68.37</var>community agencies, local school district, local public health department, the parent's <br/>
<a id="pl.69.1"></a><var>69.1</var>insurance provider, or the child's program. The denial must be for an eligible service or <br/>
<a id="pl.69.2"></a><var>69.2</var>qualified item under the program requirements of the applicable agency or organization.<br/>
<a id="pl.69.3"></a><var>69.3</var>(c) Reimbursements must be previously authorized, adhere to the requirements and <br/>
<a id="pl.69.4"></a><var>69.4</var>procedures prescribed by the commissioner, and be limited to:<br/>
<a id="pl.69.5"></a><var>69.5</var>(1) child care for a child age 12 and younger, or for a child age 13 or 14 who has <br/>
<a id="pl.69.6"></a><var>69.6</var>a documented disability that requires special instruction for and services by the child <br/>
<a id="pl.69.7"></a><var>69.7</var>care provider. Child care reimbursements may be made if all available adult caregivers <br/>
<a id="pl.69.8"></a><var>69.8</var>are employed or attending educational or vocational training programs. If a parent is <br/>
<a id="pl.69.9"></a><var>69.9</var>attending an educational or vocational training program, child care reimbursement is <br/>
<a id="pl.69.10"></a><var>69.10</var>limited to no more than the time necessary to complete the credit requirements for an <br/>
<a id="pl.69.11"></a><var>69.11</var>associate or baccalaureate degree as determined by the educational institution. Child <br/>
<a id="pl.69.12"></a><var>69.12</var>care reimbursement is not limited for an adoptive parent completing basic or remedial <br/>
<a id="pl.69.13"></a><var>69.13</var>education programs needed to prepare for postsecondary education or employment;<br/>
<a id="pl.69.14"></a><var>69.14</var>(2) respite care provided for the relief of the child's parent up to 504 hours of respite <br/>
<a id="pl.69.15"></a><var>69.15</var>care annually;<br/>
<a id="pl.69.16"></a><var>69.16</var>(3) camping up to 14 days per state fiscal year for a child to attend a special needs <br/>
<a id="pl.69.17"></a><var>69.17</var>camp. The camp must be accredited by the American Camp Association as a special needs <br/>
<a id="pl.69.18"></a><var>69.18</var>camp in order to be eligible for camp reimbursement;<br/>
<a id="pl.69.19"></a><var>69.19</var>(4) postadoption counseling to promote the child's integration into the adoptive <br/>
<a id="pl.69.20"></a><var>69.20</var>family that is provided by the placing agency during the first year following the date of the <br/>
<a id="pl.69.21"></a><var>69.21</var>adoption decree. Reimbursement is limited to 12 sessions of postadoption counseling;<br/>
<a id="pl.69.22"></a><var>69.22</var>(5) family counseling that is required to meet the child's special needs. <br/>
<a id="pl.69.23"></a><var>69.23</var>Reimbursement is limited to the prorated portion of the counseling fees allotted to the <br/>
<a id="pl.69.24"></a><var>69.24</var>family when the adoptive parent's health insurance or Medicaid pays for the child's <br/>
<a id="pl.69.25"></a><var>69.25</var>counseling but does not cover counseling for the rest of the family members;<br/>
<a id="pl.69.26"></a><var>69.26</var>(6) home modifications to accommodate the child's special needs upon which <br/>
<a id="pl.69.27"></a><var>69.27</var>eligibility for adoption assistance was approved. Reimbursement is limited to once every <br/>
<a id="pl.69.28"></a><var>69.28</var>five years per child;<br/>
<a id="pl.69.29"></a><var>69.29</var>(7) vehicle modifications to accommodate the child's special needs upon which <br/>
<a id="pl.69.30"></a><var>69.30</var>eligibility for adoption assistance was approved. Reimbursement is limited to once every <br/>
<a id="pl.69.31"></a><var>69.31</var>five years per family; and<br/>
<a id="pl.69.32"></a><var>69.32</var>(8) burial expenses up to $1,000, if the special needs, upon which eligibility for <br/>
<a id="pl.69.33"></a><var>69.33</var>adoption assistance was approved, resulted in the death of the child.<br/>
<a id="pl.69.34"></a><var>69.34</var>(d) The adoptive parent shall submit statements for expenses incurred between July <br/>
<a id="pl.69.35"></a><var>69.35</var>1 and June 30 of a given fiscal year to the state adoption assistance unit within 60 days <br/>
<a id="pl.69.36"></a><var>69.36</var>after the end of the fiscal year in order for reimbursement to occur.<br/>
<br/>
<a id="bill.3.6.0"></a><a id="pl.70.1"></a><var>70.1</var>    Sec. 6. <b>[259A.25] DETERMINATION OF ADOPTION ASSISTANCE BENEFITS </b><br/>
<a id="pl.70.2"></a><var>70.2</var><b>AND PAYMENT.</b><br/>
<a id="pl.70.3"></a><var>70.3</var>    Subdivision 1. <b>Negotiation of adoption assistance agreement.</b> (a) A monthly <br/>
<a id="pl.70.4"></a><var>70.4</var>payment is provided as part of the adoption assistance agreement to support the care of <br/>
<a id="pl.70.5"></a><var>70.5</var>a child who has manifested special needs. The amount of the payment made on behalf <br/>
<a id="pl.70.6"></a><var>70.6</var>of a child eligible for adoption assistance is determined through negotiation between <br/>
<a id="pl.70.7"></a><var>70.7</var>the adoptive parent and the child-placing agency on behalf of the commissioner. The <br/>
<a id="pl.70.8"></a><var>70.8</var>negotiation shall take into consideration the circumstances of the adopting parent and the <br/>
<a id="pl.70.9"></a><var>70.9</var>needs of the child being adopted. The income of the adoptive parent must not be taken <br/>
<a id="pl.70.10"></a><var>70.10</var>into consideration when determining eligibility for adoption assistance or the amount of <br/>
<a id="pl.70.11"></a><var>70.11</var>the payments under section 259A.20. At the written request of the adoptive parent, the <br/>
<a id="pl.70.12"></a><var>70.12</var>amount of the payment in the agreement may be renegotiated when there is a change in <br/>
<a id="pl.70.13"></a><var>70.13</var>the child's needs or the family's circumstances.<br/>
<a id="pl.70.14"></a><var>70.14</var>(b) The adoption assistance agreement of a child who is identified as an at-risk child <br/>
<a id="pl.70.15"></a><var>70.15</var>must not include a monthly payment unless and until the potential disability upon which <br/>
<a id="pl.70.16"></a><var>70.16</var>the eligibility for the agreement was based has manifested during childhood.<br/>
<a id="pl.70.17"></a><var>70.17</var>    Subd. 2. <b>Renegotiation of adoption assistance agreement.</b> (a) An adoptive <br/>
<a id="pl.70.18"></a><var>70.18</var>parent of a child with an adoption assistance agreement may request renegotiation of the <br/>
<a id="pl.70.19"></a><var>70.19</var>agreement when there is a change in the needs of the child or in the family's circumstances. <br/>
<a id="pl.70.20"></a><var>70.20</var>When an adoptive parent requests renegotiation of the agreement, a reassessment of the <br/>
<a id="pl.70.21"></a><var>70.21</var>child must be completed by: (1) the responsible social services agency in the child's county <br/>
<a id="pl.70.22"></a><var>70.22</var>of residence; or (2) the child-placing agency that facilitated the adoption when the child's <br/>
<a id="pl.70.23"></a><var>70.23</var>residence is out of state. If the reassessment indicates that the child's needs have changed, <br/>
<a id="pl.70.24"></a><var>70.24</var>the child-placing agency, on behalf of the commissioner and the parent, shall renegotiate <br/>
<a id="pl.70.25"></a><var>70.25</var>the agreement to include a payment of the level determined appropriate through the <br/>
<a id="pl.70.26"></a><var>70.26</var>reassessment process using the assessment tool prescribed by the commissioner according <br/>
<a id="pl.70.27"></a><var>70.27</var>to section 259A.15, subdivision 3. The agreement must not be renegotiated unless the <br/>
<a id="pl.70.28"></a><var>70.28</var>commissioner and the parent mutually agree to the changes. The effective date of any <br/>
<a id="pl.70.29"></a><var>70.29</var>renegotiated agreement must be determined according to requirements and procedures <br/>
<a id="pl.70.30"></a><var>70.30</var>prescribed by the commissioner.<br/>
<a id="pl.70.31"></a><var>70.31</var>(b) An adoptive parent of a child with an adoption assistance agreement based on <br/>
<a id="pl.70.32"></a><var>70.32</var>the child being an at-risk child may request renegotiation of the agreement to include a <br/>
<a id="pl.70.33"></a><var>70.33</var>monthly payment. The parent must have written documentation from a qualified expert <br/>
<a id="pl.70.34"></a><var>70.34</var>that the potential disability upon which eligibility for adoption assistance was approved <br/>
<a id="pl.70.35"></a><var>70.35</var>has manifested. Documentation of the disability must be limited to evidence deemed <br/>
<a id="pl.70.36"></a><var>70.36</var>appropriate by the commissioner. Prior to renegotiating the agreement, a reassessment of <br/>
<a id="pl.71.1"></a><var>71.1</var>the child must be conducted using an assessment tool prescribed by the commissioner <br/>
<a id="pl.71.2"></a><var>71.2</var>according to section 259A.15, subdivision 3. The reassessment must be used to renegotiate <br/>
<a id="pl.71.3"></a><var>71.3</var>the agreement to include an appropriate monthly payment. The agreement must not be <br/>
<a id="pl.71.4"></a><var>71.4</var>renegotiated unless the commissioner and the adoptive parent mutually agree to the <br/>
<a id="pl.71.5"></a><var>71.5</var>changes. The effective date of any renegotiated agreement must be determined according <br/>
<a id="pl.71.6"></a><var>71.6</var>to requirements and procedures prescribed by the commissioner.<br/>
<a id="pl.71.7"></a><var>71.7</var>    Subd. 3. <b>Child income or income attributable to the child.</b> No income received <br/>
<a id="pl.71.8"></a><var>71.8</var>by a child will be considered in determining a child's adoption assistance payment <br/>
<a id="pl.71.9"></a><var>71.9</var>amount. If a child for whom a parent is receiving adoption assistance is also receiving <br/>
<a id="pl.71.10"></a><var>71.10</var>Supplemental Security Income (SSI) or Retirement, Survivors, Disability Insurance <br/>
<a id="pl.71.11"></a><var>71.11</var>(RSDI), the certifying agency shall inform the adoptive parent that the child's adoption <br/>
<a id="pl.71.12"></a><var>71.12</var>assistance must be reported to the Social Security Administration.<br/>
<br/>
<a id="bill.3.7.0"></a><a id="pl.71.13"></a><var>71.13</var>    Sec. 7. <b>[259A.30] REPORTING RESPONSIBILITIES.</b><br/>
<a id="pl.71.14"></a><var>71.14</var>    Subdivision 1. <b>Notification of change.</b> (a) An adoptive parent who has an adoption <br/>
<a id="pl.71.15"></a><var>71.15</var>assistance agreement shall keep the agency administering the program informed of <br/>
<a id="pl.71.16"></a><var>71.16</var>changes in status or circumstances that would make the child ineligible for the payments <br/>
<a id="pl.71.17"></a><var>71.17</var>or eligible for payments in a different amount.<br/>
<a id="pl.71.18"></a><var>71.18</var>(b) As long as the agreement is in effect, the adoptive parent agrees to notify the <br/>
<a id="pl.71.19"></a><var>71.19</var>agency administering the program in writing within 30 days of any of the following <br/>
<a id="pl.71.20"></a><var>71.20</var>changes:<br/>
<a id="pl.71.21"></a><var>71.21</var>(1) the child's or adoptive parent's legal name;<br/>
<a id="pl.71.22"></a><var>71.22</var>(2) the family's address;<br/>
<a id="pl.71.23"></a><var>71.23</var>(3) the child's legal custody status;<br/>
<a id="pl.71.24"></a><var>71.24</var>(4) the child's completion of high school, if this occurs after the child attains age 18;<br/>
<a id="pl.71.25"></a><var>71.25</var>(5) the end of an adoptive parent's legal responsibility to support the child based on: <br/>
<a id="pl.71.26"></a><var>71.26</var>termination of parental rights of the adoptive parent, transfer of guardianship to another <br/>
<a id="pl.71.27"></a><var>71.27</var>person, or transfer of permanent legal and physical custody to another person;<br/>
<a id="pl.71.28"></a><var>71.28</var>(6) the end of an adoptive parent's financial support of the child;<br/>
<a id="pl.71.29"></a><var>71.29</var>(7) the death of the child;<br/>
<a id="pl.71.30"></a><var>71.30</var>(8) the death of the adoptive parent;<br/>
<a id="pl.71.31"></a><var>71.31</var>(9) the child enlists in the military;<br/>
<a id="pl.71.32"></a><var>71.32</var>(10) the child gets married;<br/>
<a id="pl.71.33"></a><var>71.33</var>(11) the child becomes an emancipated minor through legal action;<br/>
<a id="pl.71.34"></a><var>71.34</var>(12) the adoptive parents separate or divorce;<br/>
<a id="pl.72.1"></a><var>72.1</var>(13) the child is residing outside the adoptive home for a period of more than 30 <br/>
<a id="pl.72.2"></a><var>72.2</var>consecutive days; and<br/>
<a id="pl.72.3"></a><var>72.3</var>(14) the child's status upon which eligibility for extension under section 259A.45, <br/>
<a id="pl.72.4"></a><var>72.4</var>subdivision 2 or 3, was based.<br/>
<a id="pl.72.5"></a><var>72.5</var>    Subd. 2. <b>Correct and true information.</b> If the adoptive parent reports information <br/>
<a id="pl.72.6"></a><var>72.6</var>the adoptive parent knows is untrue, the adoptive parent fails to notify the commissioner <br/>
<a id="pl.72.7"></a><var>72.7</var>of changes that may affect eligibility, or the agency administering the program receives <br/>
<a id="pl.72.8"></a><var>72.8</var>information the adoptive parent did not report, the adoptive parent may be investigated for <br/>
<a id="pl.72.9"></a><var>72.9</var>theft and, if charged and convicted, shall be sentenced under section 609.52, subdivision <br/>
<a id="pl.72.10"></a><var>72.10</var>3, clauses (1) to (5).<br/>
<br/>
<a id="bill.3.8.0"></a><a id="pl.72.11"></a><var>72.11</var>    Sec. 8. <b>[259A.35] TERMINATION OF AGREEMENT.</b><br/>
<a id="pl.72.12"></a><var>72.12</var>    Subdivision 1. <b>Reasons for termination.</b> (a) An adoption assistance agreement <br/>
<a id="pl.72.13"></a><var>72.13</var>shall terminate in any of the following circumstances:<br/>
<a id="pl.72.14"></a><var>72.14</var>(1) the child has attained the age of 18, or up to age 21, when the child meets a <br/>
<a id="pl.72.15"></a><var>72.15</var>condition for extension as outlined in section 259A.45, subdivision 1;<br/>
<a id="pl.72.16"></a><var>72.16</var>(2) the child has not attained the age of 18, but the commissioner determines the <br/>
<a id="pl.72.17"></a><var>72.17</var>adoptive parent is no longer legally responsible for support of the child;<br/>
<a id="pl.72.18"></a><var>72.18</var>(3) the commissioner determines the adoptive parent is no longer providing financial <br/>
<a id="pl.72.19"></a><var>72.19</var>support to the child up to age 21;<br/>
<a id="pl.72.20"></a><var>72.20</var>(4) the death of the child; or<br/>
<a id="pl.72.21"></a><var>72.21</var>(5) the adoptive parent requests in writing termination of the adoption assistance <br/>
<a id="pl.72.22"></a><var>72.22</var>agreement.<br/>
<a id="pl.72.23"></a><var>72.23</var>(b) An adoptive parent is considered no longer legally responsible for support of the <br/>
<a id="pl.72.24"></a><var>72.24</var>child in any of the following circumstances:<br/>
<a id="pl.72.25"></a><var>72.25</var>(1) parental rights to the child are legally terminated or a court accepted the parent's <br/>
<a id="pl.72.26"></a><var>72.26</var>consent to adoption under chapter 260C;<br/>
<a id="pl.72.27"></a><var>72.27</var>(2) permanent legal and physical custody or guardianship of the child is transferred <br/>
<a id="pl.72.28"></a><var>72.28</var>to another individual;<br/>
<a id="pl.72.29"></a><var>72.29</var>(3) death of adoptive parent;<br/>
<a id="pl.72.30"></a><var>72.30</var>(4) child enlists in the military;<br/>
<a id="pl.72.31"></a><var>72.31</var>(5) child gets married; or<br/>
<a id="pl.72.32"></a><var>72.32</var>(6) child is determined an emancipated minor through legal action.<br/>
<a id="pl.72.33"></a><var>72.33</var>    Subd. 2. <b>Death of adoptive parent or adoption dissolution.</b> The adoption <br/>
<a id="pl.72.34"></a><var>72.34</var>assistance agreement ends upon death or termination of parental rights of both adoptive <br/>
<a id="pl.72.35"></a><var>72.35</var>parents in the case of a two-parent adoption, or the sole adoptive parent in the case of <br/>
<a id="pl.73.1"></a><var>73.1</var>a single-parent adoption. The child's adoption assistance eligibility may be continued <br/>
<a id="pl.73.2"></a><var>73.2</var>according to section 259A.40.<br/>
<a id="pl.73.3"></a><var>73.3</var>    Subd. 3. <b>Termination notice for parent.</b> The commissioner shall provide the <br/>
<a id="pl.73.4"></a><var>73.4</var>child's parent written notice of termination of payment. Termination notices must be sent <br/>
<a id="pl.73.5"></a><var>73.5</var>according to the requirements and procedures prescribed by the commissioner.<br/>
<br/>
<a id="bill.3.9.0"></a><a id="pl.73.6"></a><var>73.6</var>    Sec. 9. <b>[259A.40] ASSIGNMENT OF ADOPTION ASSISTANCE AGREEMENT.</b><br/>
<a id="pl.73.7"></a><var>73.7</var>    Subdivision 1. <b>Continuing child's eligibility for title IV-E adoption assistance </b><br/>
<a id="pl.73.8"></a><var>73.8</var><b>in a subsequent adoption.</b> (a) The child maintains eligibility for title IV-E adoption <br/>
<a id="pl.73.9"></a><var>73.9</var>assistance in a subsequent adoption if the following criteria are met:<br/>
<a id="pl.73.10"></a><var>73.10</var>(1) the child is determined to be a child with special needs as outlined in section <br/>
<a id="pl.73.11"></a><var>73.11</var>259A.10, subdivision 2; and<br/>
<a id="pl.73.12"></a><var>73.12</var>(2) the subsequent adoptive parent resides in Minnesota.<br/>
<a id="pl.73.13"></a><var>73.13</var>(b) If the child had a title IV-E adoption assistance agreement prior to the death of <br/>
<a id="pl.73.14"></a><var>73.14</var>the adoptive parent or dissolution of the adoption, and the subsequent adoptive parent <br/>
<a id="pl.73.15"></a><var>73.15</var>resides outside of Minnesota, the state is not responsible for determining whether the child <br/>
<a id="pl.73.16"></a><var>73.16</var>meets the definition of special needs, entering into the adoption assistance agreement, and <br/>
<a id="pl.73.17"></a><var>73.17</var>making any adoption assistance payments outlined in the new agreement unless a state <br/>
<a id="pl.73.18"></a><var>73.18</var>agency in Minnesota has responsibility for placement and care of the child at the time of <br/>
<a id="pl.73.19"></a><var>73.19</var>the subsequent adoption. If there is no state agency in Minnesota that has responsibility <br/>
<a id="pl.73.20"></a><var>73.20</var>for placement and care of the child at the time of the subsequent adoption, it is the public <br/>
<a id="pl.73.21"></a><var>73.21</var>child welfare agency in the subsequent adoptive parent's residence that is responsible for <br/>
<a id="pl.73.22"></a><var>73.22</var>determining whether the child meets the definition of special needs and entering into the <br/>
<a id="pl.73.23"></a><var>73.23</var>adoption assistance agreement.<br/>
<a id="pl.73.24"></a><var>73.24</var>    Subd. 2. <b>Assigning a child's adoption assistance to a court-appointed guardian.</b><br/>
<a id="pl.73.25"></a><var>73.25</var>(a) State-funded adoption assistance may be continued with the written consent of the <br/>
<a id="pl.73.26"></a><var>73.26</var>commissioner to an individual who is a guardian appointed by a court for the child upon <br/>
<a id="pl.73.27"></a><var>73.27</var>the death of both the adoptive parents in the case of a two-parent adoption, or the sole <br/>
<a id="pl.73.28"></a><var>73.28</var>adoptive parent in the case of a single-parent adoption, unless the child is under the <br/>
<a id="pl.73.29"></a><var>73.29</var>custody of a child-placing agency.<br/>
<a id="pl.73.30"></a><var>73.30</var>(b) Temporary assignment of adoption assistance may be approved by the <br/>
<a id="pl.73.31"></a><var>73.31</var>commissioner for a maximum of six consecutive months from the death of the parent <br/>
<a id="pl.73.32"></a><var>73.32</var>or parents and must adhere to the requirements and procedures prescribed by the <br/>
<a id="pl.73.33"></a><var>73.33</var>commissioner. If, within six months, the child has not been adopted by a person agreed <br/>
<a id="pl.73.34"></a><var>73.34</var>upon by the commissioner, or if a court has not appointed a legal guardian under either <br/>
<a id="pl.73.35"></a><var>73.35</var>section 260C.325 or 524.5-313, or similar law of another jurisdiction, the adoption <br/>
<a id="pl.74.1"></a><var>74.1</var>assistance shall terminate. Upon assignment of payments pursuant to this subdivision, <br/>
<a id="pl.74.2"></a><var>74.2</var>funding shall be from state funds only.<br/>
<br/>
<a id="bill.3.10.0"></a><a id="pl.74.3"></a><var>74.3</var>    Sec. 10. <b>[259A.45] EXTENSION OF ADOPTION ASSISTANCE AGREEMENT.</b><br/>
<a id="pl.74.4"></a><var>74.4</var>    Subdivision 1. <b>General requirements.</b> (a) Under certain limited circumstances a <br/>
<a id="pl.74.5"></a><var>74.5</var>child may qualify for extension of the adoption assistance agreement beyond the date the <br/>
<a id="pl.74.6"></a><var>74.6</var>child attains age 18, up to the date the child attains the age of 21.<br/>
<a id="pl.74.7"></a><var>74.7</var>(b) A request for extension of the adoption assistance agreement must be completed <br/>
<a id="pl.74.8"></a><var>74.8</var>in writing and submitted, including all supporting documentation, by the adoptive parent <br/>
<a id="pl.74.9"></a><var>74.9</var>at least 60 calendar days prior to the date that the current agreement will terminate.<br/>
<a id="pl.74.10"></a><var>74.10</var>(c) A signed amendment to the current adoption assistance agreement must be <br/>
<a id="pl.74.11"></a><var>74.11</var>fully executed between the adoptive parent and the commissioner at least ten business <br/>
<a id="pl.74.12"></a><var>74.12</var>days prior to the termination of the current agreement. The request for extension and the <br/>
<a id="pl.74.13"></a><var>74.13</var>fully executed amendment must be made according to the requirements and procedures <br/>
<a id="pl.74.14"></a><var>74.14</var>prescribed by the commissioner, including documentation of eligibility, and on forms <br/>
<a id="pl.74.15"></a><var>74.15</var>prescribed by the commissioner.<br/>
<a id="pl.74.16"></a><var>74.16</var>(d) If a child-placing agency is certifying a child for adoption assistance and <br/>
<a id="pl.74.17"></a><var>74.17</var>the child will attain the age of 18 within 60 calendar days of submission, the request <br/>
<a id="pl.74.18"></a><var>74.18</var>for extension must be completed in writing and submitted, including all supporting <br/>
<a id="pl.74.19"></a><var>74.19</var>documentation, with the adoption assistance application.<br/>
<a id="pl.74.20"></a><var>74.20</var>    Subd. 2. <b>Extension past age 18 for child adopted after 16th birthday.</b> A child <br/>
<a id="pl.74.21"></a><var>74.21</var>who has attained the age of 16 prior to finalization of the child's adoption is eligible for <br/>
<a id="pl.74.22"></a><var>74.22</var>extension of the adoption assistance agreement up to the date the child attains age 21 <br/>
<a id="pl.74.23"></a><var>74.23</var>if the child is:<br/>
<a id="pl.74.24"></a><var>74.24</var>(1) dependent on the adoptive parent for care and financial support; and<br/>
<a id="pl.74.25"></a><var>74.25</var>(2)(i) completing a secondary education program or a program leading to an <br/>
<a id="pl.74.26"></a><var>74.26</var>equivalent credential;<br/>
<a id="pl.74.27"></a><var>74.27</var>(ii) enrolled in an institution that provides postsecondary or vocational education;<br/>
<a id="pl.74.28"></a><var>74.28</var>(iii) participating in a program or activity designed to promote or remove barriers to <br/>
<a id="pl.74.29"></a><var>74.29</var>employment;<br/>
<a id="pl.74.30"></a><var>74.30</var>(iv) employed for at least 80 hours per month; or<br/>
<a id="pl.74.31"></a><var>74.31</var>(v) incapable of doing any of the activities described in clauses (i) to (iv) due to <br/>
<a id="pl.74.32"></a><var>74.32</var>a medical condition where incapability is supported by documentation from an expert <br/>
<a id="pl.74.33"></a><var>74.33</var>according to the requirements and procedures prescribed by the commissioner.<br/>
<a id="pl.74.34"></a><var>74.34</var>    Subd. 3. <b>Extension past age 18 for child adopted prior to 16th birthday.</b> A child <br/>
<a id="pl.74.35"></a><var>74.35</var>who has not attained the age of 16 prior to finalization of the child's adoption is eligible <br/>
<a id="pl.75.1"></a><var>75.1</var>for extension of the adoption assistance agreement up to the date the child attains the <br/>
<a id="pl.75.2"></a><var>75.2</var>age of 21 if the child is:<br/>
<a id="pl.75.3"></a><var>75.3</var>(1) dependent on the adoptive parent for care and financial support; and<br/>
<a id="pl.75.4"></a><var>75.4</var>(2)(i) enrolled in a secondary education program or a program leading to the <br/>
<a id="pl.75.5"></a><var>75.5</var>equivalent; or<br/>
<a id="pl.75.6"></a><var>75.6</var>(ii) incapable of sustaining employment because of the continuation of a physical or <br/>
<a id="pl.75.7"></a><var>75.7</var>mental disability, upon which eligibility for adoption assistance was approved.<br/>
<br/>
<a id="bill.3.11.0"></a><a id="pl.75.8"></a><var>75.8</var>    Sec. 11. <b>[259A.50] OVERPAYMENTS OF ADOPTION ASSISTANCE.</b><br/>
<a id="pl.75.9"></a><var>75.9</var>An amount of adoption assistance paid to an adoptive parent in excess of the <br/>
<a id="pl.75.10"></a><var>75.10</var>payment that was actually due is recoverable by the commissioner, even when the <br/>
<a id="pl.75.11"></a><var>75.11</var>overpayment was caused by agency error or circumstances outside the responsibility and <br/>
<a id="pl.75.12"></a><var>75.12</var>control of the parent or provider. Adoption assistance amounts covered by this section <br/>
<a id="pl.75.13"></a><var>75.13</var>include basic maintenance needs payments, monthly supplemental maintenance needs <br/>
<a id="pl.75.14"></a><var>75.14</var>payments, reimbursement of nonrecurring adoption expenses, reimbursement of special <br/>
<a id="pl.75.15"></a><var>75.15</var>nonmedical costs, and reimbursement of medical costs.<br/>
<br/>
<a id="bill.3.12.0"></a><a id="pl.75.16"></a><var>75.16</var>    Sec. 12. <b>[259A.55] APPEALS AND FAIR HEARINGS.</b><br/>
<a id="pl.75.17"></a><var>75.17</var>    Subdivision 1. <b>Appeals for denials, modifications, or terminations.</b> An adoptive <br/>
<a id="pl.75.18"></a><var>75.18</var>parent or a prospective adoptive parent has the right to appeal to the commissioner under <br/>
<a id="pl.75.19"></a><var>75.19</var>section 256.045, for reasons including, but not limited to: when eligibility for adoption <br/>
<a id="pl.75.20"></a><var>75.20</var>assistance is denied, when a specific payment or reimbursement is modified or denied, <br/>
<a id="pl.75.21"></a><var>75.21</var>and when the agreement for an eligible child is terminated. A prospective adoptive parent <br/>
<a id="pl.75.22"></a><var>75.22</var>who disagrees with a decision by the commissioner prior to finalization of the adoption <br/>
<a id="pl.75.23"></a><var>75.23</var>may request review of the decision by the commissioner, or may appeal the decision <br/>
<a id="pl.75.24"></a><var>75.24</var>under section 256.045.<br/>
<a id="pl.75.25"></a><var>75.25</var>    Subd. 2. <b>Extenuating circumstances.</b> (a) An adoption assistance agreement must <br/>
<a id="pl.75.26"></a><var>75.26</var>be signed and fully executed prior to the court order that finalizes the adoption. An <br/>
<a id="pl.75.27"></a><var>75.27</var>adoptive parent who believes that extenuating circumstances exist, as to why the adoption <br/>
<a id="pl.75.28"></a><var>75.28</var>was finalized prior to fully executing an adoption assistance agreement, may request <br/>
<a id="pl.75.29"></a><var>75.29</var>a fair hearing. The parent has the responsibility to prove the existence of extenuating <br/>
<a id="pl.75.30"></a><var>75.30</var>circumstances, such as:<br/>
<a id="pl.75.31"></a><var>75.31</var>(1) relevant facts regarding the child were known by the child-placing agency and <br/>
<a id="pl.75.32"></a><var>75.32</var>not presented to the parent prior to finalization of the adoption; or<br/>
<a id="pl.75.33"></a><var>75.33</var>(2) the child-placing agency failed to advise a potential parent about the availability <br/>
<a id="pl.75.34"></a><var>75.34</var>of adoption assistance for a child in the county-paid foster care system.<br/>
<a id="pl.76.1"></a><var>76.1</var>(b) If an appeals judge finds through the fair hearing process that extenuating <br/>
<a id="pl.76.2"></a><var>76.2</var>circumstances existed and that the child met all eligibility criteria at the time the adoption <br/>
<a id="pl.76.3"></a><var>76.3</var>was finalized, the effective date and any associated federal financial participation shall <br/>
<a id="pl.76.4"></a><var>76.4</var>be retroactive to the date of the request for a fair hearing.<br/>
<br/>
<a id="bill.3.13.0"></a><a id="pl.76.5"></a><var>76.5</var>    Sec. 13. <b>[259A.65] INTERSTATE COMPACT ON ADOPTION AND MEDICAL </b><br/>
<a id="pl.76.6"></a><var>76.6</var><b>ASSISTANCE.</b><br/>
<a id="pl.76.7"></a><var>76.7</var>    Subdivision 1. <b>Purpose.</b> It is the purpose and policy of the state of Minnesota to:<br/>
<a id="pl.76.8"></a><var>76.8</var>(1) enter into interstate agreements with agencies of other states to safeguard and <br/>
<a id="pl.76.9"></a><var>76.9</var>protect the interests of children covered by an adoption assistance agreement when they <br/>
<a id="pl.76.10"></a><var>76.10</var>are adopted across state lines or move to another state after adoption finalization; and<br/>
<a id="pl.76.11"></a><var>76.11</var>(2) provide a framework for uniformity and consistency in administrative procedures <br/>
<a id="pl.76.12"></a><var>76.12</var>when a child with special needs is adopted by a family in another state and for children <br/>
<a id="pl.76.13"></a><var>76.13</var>adopted in Minnesota who move to another state.<br/>
<a id="pl.76.14"></a><var>76.14</var>    Subd. 2. <b>Definitions.</b> For the purposes of this section, the terms defined in this <br/>
<a id="pl.76.15"></a><var>76.15</var>subdivision have the meanings given them, unless the context clearly indicates otherwise.<br/>
<a id="pl.76.16"></a><var>76.16</var>(a) "Adoption assistance state" means the state that certifies eligibility for Medicaid <br/>
<a id="pl.76.17"></a><var>76.17</var>in an adoption assistance agreement.<br/>
<a id="pl.76.18"></a><var>76.18</var>(b) "Resident state" means the state where the adopted child is a resident.<br/>
<a id="pl.76.19"></a><var>76.19</var>(c) "State" means a state of the United States, the District of Columbia, <br/>
<a id="pl.76.20"></a><var>76.20</var>the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, the <br/>
<a id="pl.76.21"></a><var>76.21</var>Commonwealth of the Northern Mariana Islands, or a territory or possession of the <br/>
<a id="pl.76.22"></a><var>76.22</var>United States.<br/>
<a id="pl.76.23"></a><var>76.23</var>    Subd. 3. <b>Compacts authorized.</b> The commissioner is authorized to develop, <br/>
<a id="pl.76.24"></a><var>76.24</var>negotiate, and enter into one or more interstate compacts on behalf of this state with other <br/>
<a id="pl.76.25"></a><var>76.25</var>states to implement Medicaid for children with adoption assistance agreements.<br/>
<a id="pl.76.26"></a><var>76.26</var>    Subd. 4. <b>Contents of compacts.</b> (a) A compact must include:<br/>
<a id="pl.76.27"></a><var>76.27</var>(1) a provision allowing all states to join the compact;<br/>
<a id="pl.76.28"></a><var>76.28</var>(2) a provision for withdrawal from the compact upon written notice to the parties, <br/>
<a id="pl.76.29"></a><var>76.29</var>effective one year after the notice is provided;<br/>
<a id="pl.76.30"></a><var>76.30</var>(3) a requirement that the protections afforded under the compact continue in force <br/>
<a id="pl.76.31"></a><var>76.31</var>for the duration of the adoption assistance from a party state other than the one in which <br/>
<a id="pl.76.32"></a><var>76.32</var>the adopted child is a resident;<br/>
<a id="pl.76.33"></a><var>76.33</var>(4) a requirement that each instance of adoption assistance to which the compact <br/>
<a id="pl.76.34"></a><var>76.34</var>applies be covered by an adoption assistance agreement in writing between the adoptive <br/>
<a id="pl.76.35"></a><var>76.35</var>parent and the state child welfare agency of the state that provides the adoption assistance, <br/>
<a id="pl.77.1"></a><var>77.1</var>and that the agreement be expressly for the benefit of the adopted child and enforceable by <br/>
<a id="pl.77.2"></a><var>77.2</var>the adoptive parent and the state agency providing the adoption assistance; and<br/>
<a id="pl.77.3"></a><var>77.3</var>(5) other provisions necessary and appropriate for the proper administration of the <br/>
<a id="pl.77.4"></a><var>77.4</var>compact.<br/>
<a id="pl.77.5"></a><var>77.5</var>(b) A compact may contain provisions establishing requirements and entitlements to <br/>
<a id="pl.77.6"></a><var>77.6</var>medical, developmental, child care, or other social services for the child under state law, <br/>
<a id="pl.77.7"></a><var>77.7</var>even though the child and the adoptive parent are in a state other than the one responsible <br/>
<a id="pl.77.8"></a><var>77.8</var>for or providing the services or funds to pay part or all of the costs.<br/>
<a id="pl.77.9"></a><var>77.9</var>    Subd. 5. <b>Duties of commissioner of human services regarding medical </b><br/>
<a id="pl.77.10"></a><var>77.10</var><b>assistance.</b> (a) The commissioner of human services shall:<br/>
<a id="pl.77.11"></a><var>77.11</var>(1) provide Minnesota medical assistance for an adopted child who is title IV-E <br/>
<a id="pl.77.12"></a><var>77.12</var>eligible;<br/>
<a id="pl.77.13"></a><var>77.13</var>(2) provide Minnesota medical assistance for an adopted child who is not title IV-E <br/>
<a id="pl.77.14"></a><var>77.14</var>eligible who:<br/>
<a id="pl.77.15"></a><var>77.15</var>(i) was determined to have a special need for medical or rehabilitative care;<br/>
<a id="pl.77.16"></a><var>77.16</var>(ii) is living in another state; and <br/>
<a id="pl.77.17"></a><var>77.17</var>(iii) is covered by an adoption assistance agreement made by the commissioner for <br/>
<a id="pl.77.18"></a><var>77.18</var>medical coverage or benefits when the child is not eligible for Medicaid in the child's <br/>
<a id="pl.77.19"></a><var>77.19</var>residence state;<br/>
<a id="pl.77.20"></a><var>77.20</var>(3) consider the holder of a medical assistance identification card under this <br/>
<a id="pl.77.21"></a><var>77.21</var>subdivision as any other recipient of medical assistance under chapter 256B; and<br/>
<a id="pl.77.22"></a><var>77.22</var>(4) process and make payments on claims for the recipient in the same manner as <br/>
<a id="pl.77.23"></a><var>77.23</var>for other recipients of medical assistance.<br/>
<a id="pl.77.24"></a><var>77.24</var>(b) Coverage must be limited to providers authorized by Minnesota's medical <br/>
<a id="pl.77.25"></a><var>77.25</var>assistance program, and according to Minnesota's program requirements.<br/>
<a id="pl.77.26"></a><var>77.26</var>    Subd. 6. <b>Cooperation with Medicaid.</b> The adoptive parent shall cooperate with <br/>
<a id="pl.77.27"></a><var>77.27</var>and abide by the Medicaid program requirements and procedures of the state which <br/>
<a id="pl.77.28"></a><var>77.28</var>provides medical coverage.<br/>
<a id="pl.77.29"></a><var>77.29</var>    Subd. 7. <b>Federal participation.</b> The commissioner shall apply for and administer <br/>
<a id="pl.77.30"></a><var>77.30</var>all relevant aid in accordance with state and federal law.<br/>
<br/>
<a id="bill.3.14.0"></a><a id="pl.77.31"></a><var>77.31</var>    Sec. 14. <b>[259A.70] REIMBURSEMENT OF NONRECURRING ADOPTION </b><br/>
<a id="pl.77.32"></a><var>77.32</var><b>EXPENSES.</b><br/>
<a id="pl.77.33"></a><var>77.33</var>(a) The commissioner of human services shall provide reimbursement to an adoptive <br/>
<a id="pl.77.34"></a><var>77.34</var>parent for costs incurred in an adoption of a child with special needs according to section <br/>
<a id="pl.77.35"></a><var>77.35</var>259A.10, subdivision 2. Reimbursement shall be made for expenses that are reasonable <br/>
<a id="pl.78.1"></a><var>78.1</var>and necessary for the adoption to occur, subject to a maximum of $2,000. The expenses <br/>
<a id="pl.78.2"></a><var>78.2</var>must directly relate to the legal adoption of the child, not be incurred in violation of state <br/>
<a id="pl.78.3"></a><var>78.3</var>or federal law, and must not have been reimbursed from other sources or funds.<br/>
<a id="pl.78.4"></a><var>78.4</var>(b) Children who have special needs but are not citizens or residents of the United <br/>
<a id="pl.78.5"></a><var>78.5</var>States and were either adopted in another country or brought to this country for the <br/>
<a id="pl.78.6"></a><var>78.6</var>purposes of adoption are categorically ineligible for this reimbursement program, except if <br/>
<a id="pl.78.7"></a><var>78.7</var>the child meets the eligibility criteria after the dissolution of the international adoption.<br/>
<a id="pl.78.8"></a><var>78.8</var>(c) An adoptive parent, in consultation with the responsible child-placing agency, <br/>
<a id="pl.78.9"></a><var>78.9</var>may request reimbursement of nonrecurring adoption expenses by submitting a complete <br/>
<a id="pl.78.10"></a><var>78.10</var>application, according to the requirements and procedures and on forms prescribed by <br/>
<a id="pl.78.11"></a><var>78.11</var>the commissioner.<br/>
<a id="pl.78.12"></a><var>78.12</var>(d) The commissioner shall determine the child's eligibility for adoption expense <br/>
<a id="pl.78.13"></a><var>78.13</var>reimbursement under title IV-E of the Social Security Act, United States Code, title 42, <br/>
<a id="pl.78.14"></a><var>78.14</var>sections 670 to 676. If determined eligible, the commissioner of human services shall <br/>
<a id="pl.78.15"></a><var>78.15</var>sign the agreement for nonrecurring adoption expense reimbursement, making this a <br/>
<a id="pl.78.16"></a><var>78.16</var>fully executed agreement. To be eligible, the agreement must be fully executed prior to <br/>
<a id="pl.78.17"></a><var>78.17</var>the child's adoption finalization.<br/>
<a id="pl.78.18"></a><var>78.18</var>(e) An adoptive parent who has an adoption assistance agreement under section <br/>
<a id="pl.78.19"></a><var>78.19</var>259A.15, subdivision 2, is not required to make a separate application for reimbursement <br/>
<a id="pl.78.20"></a><var>78.20</var>of nonrecurring adoption expenses for the child who is the subject of that agreement.<br/>
<a id="pl.78.21"></a><var>78.21</var>(f) If determined eligible, the adoptive parent shall submit reimbursement requests <br/>
<a id="pl.78.22"></a><var>78.22</var>within 21 months of the date of the child's adoption decree, and according to requirements <br/>
<a id="pl.78.23"></a><var>78.23</var>and procedures prescribed by the commissioner.<br/>
<br/>
<a id="bill.3.15.0"></a><a id="pl.78.24"></a><var>78.24</var>    Sec. 15. <b>[259A.75] REIMBURSEMENT OF CERTAIN AGENCY COSTS; </b><br/>
<a id="pl.78.25"></a><var>78.25</var><b>PURCHASE OF SERVICE CONTRACTS.</b><br/>
<a id="pl.78.26"></a><var>78.26</var>    Subdivision 1. <b>General information.</b> (a) Subject to the procedures required by <br/>
<a id="pl.78.27"></a><var>78.27</var>the commissioner and the provisions of this section, a Minnesota county or tribal social <br/>
<a id="pl.78.28"></a><var>78.28</var>services agency shall receive a reimbursement from the commissioner equal to 100 <br/>
<a id="pl.78.29"></a><var>78.29</var>percent of the reasonable and appropriate cost for contracted adoption placement services <br/>
<a id="pl.78.30"></a><var>78.30</var>identified for a specific child that are not reimbursed under other federal or state funding <br/>
<a id="pl.78.31"></a><var>78.31</var>sources.<br/>
<a id="pl.78.32"></a><var>78.32</var>(b) The commissioner may spend up to $16,000 for each purchase of service <br/>
<a id="pl.78.33"></a><var>78.33</var>contract. Only one contract per child per adoptive placement is permitted. Funds <br/>
<a id="pl.78.34"></a><var>78.34</var>encumbered and obligated under the contract for the child remain available until the terms <br/>
<a id="pl.78.35"></a><var>78.35</var>of the contract are fulfilled or the contract is terminated.<br/>
<a id="pl.79.1"></a><var>79.1</var>(c) The commissioner shall set aside an amount not to exceed five percent of the <br/>
<a id="pl.79.2"></a><var>79.2</var>total amount of the fiscal year appropriation from the state for the adoption assistance <br/>
<a id="pl.79.3"></a><var>79.3</var>program to reimburse placing agencies for child-specific adoption placement services. <br/>
<a id="pl.79.4"></a><var>79.4</var>When adoption assistance payments for children's needs exceed 95 percent of the total <br/>
<a id="pl.79.5"></a><var>79.5</var>amount of the fiscal year appropriation from the state for the adoption assistance program, <br/>
<a id="pl.79.6"></a><var>79.6</var>the amount of reimbursement available to placing agencies for adoption services is <br/>
<a id="pl.79.7"></a><var>79.7</var>reduced correspondingly.<br/>
<a id="pl.79.8"></a><var>79.8</var>    Subd. 2. <b>Child eligibility criteria.</b> (a) A child who is the subject of a purchase <br/>
<a id="pl.79.9"></a><var>79.9</var>of service contract must:<br/>
<a id="pl.79.10"></a><var>79.10</var>(1) have the goal of adoption, which may include an adoption in accordance with <br/>
<a id="pl.79.11"></a><var>79.11</var>tribal law;<br/>
<a id="pl.79.12"></a><var>79.12</var>(2) be under the guardianship of the commissioner of human services or be a ward of <br/>
<a id="pl.79.13"></a><var>79.13</var>tribal court pursuant to section 260.755, subdivision 20; and<br/>
<a id="pl.79.14"></a><var>79.14</var>(3) meet all of the special needs criteria according to section 259A.10, subdivision 2.<br/>
<a id="pl.79.15"></a><var>79.15</var>(b) A child under the guardianship of the commissioner must have an identified <br/>
<a id="pl.79.16"></a><var>79.16</var>adoptive parent and a fully executed adoption placement agreement according to section <br/>
<a id="pl.79.17"></a><var>79.17</var>260C.613, subdivision 1, paragraph (a).<br/>
<a id="pl.79.18"></a><var>79.18</var>    Subd. 3. <b>Agency eligibility criteria.</b> (a) A Minnesota county or tribal social <br/>
<a id="pl.79.19"></a><var>79.19</var>services agency shall receive reimbursement for child-specific adoption placement <br/>
<a id="pl.79.20"></a><var>79.20</var>services for an eligible child that it purchases from a private adoption agency licensed in <br/>
<a id="pl.79.21"></a><var>79.21</var>Minnesota or any other state or tribal social services agency.<br/>
<a id="pl.79.22"></a><var>79.22</var>(b) Reimbursement for adoption services is available only for services provided <br/>
<a id="pl.79.23"></a><var>79.23</var>prior to the date of the adoption decree.<br/>
<a id="pl.79.24"></a><var>79.24</var>    Subd. 4. <b>Application and eligibility determination.</b> (a) A county or tribal social <br/>
<a id="pl.79.25"></a><var>79.25</var>services agency may request reimbursement of costs for adoption placement services by <br/>
<a id="pl.79.26"></a><var>79.26</var>submitting a complete purchase of service application, according to the requirements and <br/>
<a id="pl.79.27"></a><var>79.27</var>procedures and on forms prescribed by the commissioner.<br/>
<a id="pl.79.28"></a><var>79.28</var>(b) The commissioner shall determine eligibility for reimbursement of adoption <br/>
<a id="pl.79.29"></a><var>79.29</var>placement services. If determined eligible, the commissioner of human services shall <br/>
<a id="pl.79.30"></a><var>79.30</var>sign the purchase of service agreement, making this a fully executed contract. No <br/>
<a id="pl.79.31"></a><var>79.31</var>reimbursement under this section shall be made to an agency for services provided prior to <br/>
<a id="pl.79.32"></a><var>79.32</var>the fully executed contract.<br/>
<a id="pl.79.33"></a><var>79.33</var>(c) Separate purchase of service agreements shall be made, and separate records <br/>
<a id="pl.79.34"></a><var>79.34</var>maintained, on each child. Only one agreement per child per adoptive placement is <br/>
<a id="pl.79.35"></a><var>79.35</var>permitted. For siblings who are placed together, services shall be planned and provided to <br/>
<a id="pl.79.36"></a><var>79.36</var>best maximize efficiency of the contracted hours.<br/>
<a id="pl.80.1"></a><var>80.1</var>    Subd. 5. <b>Reimbursement process.</b> (a) The agency providing adoption services is <br/>
<a id="pl.80.2"></a><var>80.2</var>responsible to track and record all service activity, including billable hours, on a form <br/>
<a id="pl.80.3"></a><var>80.3</var>prescribed by the commissioner. The agency shall submit this form to the state for <br/>
<a id="pl.80.4"></a><var>80.4</var>reimbursement after services have been completed.<br/>
<a id="pl.80.5"></a><var>80.5</var>(b) The commissioner shall make the final determination whether or not the <br/>
<a id="pl.80.6"></a><var>80.6</var>requested reimbursement costs are reasonable and appropriate and if the services have <br/>
<a id="pl.80.7"></a><var>80.7</var>been completed according to the terms of the purchase of service agreement.<br/>
<a id="pl.80.8"></a><var>80.8</var>    Subd. 6. <b>Retention of purchase of service records.</b> Agencies entering into <br/>
<a id="pl.80.9"></a><var>80.9</var>purchase of service contracts shall keep a copy of the agreements, service records, and all <br/>
<a id="pl.80.10"></a><var>80.10</var>applicable billing and invoicing according to the department's record retention schedule. <br/>
<a id="pl.80.11"></a><var>80.11</var>Agency records shall be provided upon request by the commissioner.<br/>
<br/>
<a id="bill.3.16.0"></a><a id="pl.80.12"></a><var>80.12</var>    Sec. 16. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.80.13"></a><var>80.13</var>This article is effective August 1, 2012.<br/>
<br/>
<a id="bill.4.0.0"></a>

<a id="bill.4.1.0"></a><a id="pl.80.16"></a><var>80.16</var>    Section 1. Minnesota Statutes 2010, section 260.012, is amended to read:<br/>
<a id="pl.80.17"></a><var>80.17</var><b>260.012 DUTY TO ENSURE PLACEMENT PREVENTION AND FAMILY </b><br/>
<a id="pl.80.18"></a><var>80.18</var><b>REUNIFICATION; REASONABLE EFFORTS.</b><br/>
<a id="pl.80.19"></a><var>80.19</var>    (a) Once a child alleged to be in need of protection or services is under the court's <br/>
<a id="pl.80.20"></a><var>80.20</var>jurisdiction, the court shall ensure that reasonable efforts, including culturally appropriate <br/>
<a id="pl.80.21"></a><var>80.21</var>services, by the social services agency are made to prevent placement or to eliminate the <br/>
<a id="pl.80.22"></a><var>80.22</var>need for removal and to reunite the child with the child's family at the earliest possible <br/>
<a id="pl.80.23"></a><var>80.23</var>time, and the court must ensure that the responsible social services agency makes <br/>
<a id="pl.80.24"></a><var>80.24</var>reasonable efforts to finalize an alternative permanent plan for the child as provided in <br/>
<a id="pl.80.25"></a><var>80.25</var>paragraph (e). In determining reasonable efforts to be made with respect to a child and in <br/>
<a id="pl.80.26"></a><var>80.26</var>making those reasonable efforts, the child's best interests, health, and safety must be of <br/>
<a id="pl.80.27"></a><var>80.27</var>paramount concern. Reasonable efforts to prevent placement and for rehabilitation and <br/>
<a id="pl.80.28"></a><var>80.28</var>reunification are always required except upon a determination by the court that a petition <br/>
<a id="pl.80.29"></a><var>80.29</var>has been filed stating a prima facie case that:<br/>
<a id="pl.80.30"></a><var>80.30</var>    (1) the parent has subjected a child to egregious harm as defined in section <br/>
<statute_ref><a id="pl.80.31"></a><var>80.31</var>260C.007, subdivision 14
         </statute_ref>;<br/>
<a id="pl.80.32"></a><var>80.32</var>    (2) the parental rights of the parent to another child have been terminated <br/>
<a id="pl.80.33"></a><var>80.33</var>involuntarily;<br/>
<a id="pl.81.1"></a><var>81.1</var>    (3) the child is an abandoned infant under section 
         <statute_ref>260C.301, subdivision 2</statute_ref>, <br/>
<a id="pl.81.2"></a><var>81.2</var>paragraph (a), clause (2);<br/>
<a id="pl.81.3"></a><var>81.3</var>    (4) the parent's custodial rights to another child have been involuntarily transferred <br/>
<a id="pl.81.4"></a><var>81.4</var>to a relative under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, paragraph (d), clause (1), or a similar <br/>
<a id="pl.81.5"></a><var>81.5</var>law of another jurisdiction; or<br/>
<a id="pl.81.6"></a><var>81.6</var>(5) the parent has committed sexual abuse as defined in section 626.556, subdivision <br/>
<a id="pl.81.7"></a><var>81.7</var>2, against the child or another child of the parent;<br/>
<a id="pl.81.8"></a><var>81.8</var>(6) the parent has committed an offense that requires registration as a predatory <br/>
<a id="pl.81.9"></a><var>81.9</var>offender under section 243.166, subdivision 1b, paragraph (a) or (b); or<br/>
<a id="pl.81.10"></a><var>81.10</var>    (5) (7) the provision of services or further services for the purpose of reunification is <br/>
<a id="pl.81.11"></a><var>81.11</var>futile and therefore unreasonable under the circumstances.<br/>
<a id="pl.81.12"></a><var>81.12</var>    (b) When the court makes one of the prima facie determinations under paragraph (a), <br/>
<a id="pl.81.13"></a><var>81.13</var>either permanency pleadings under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, or a termination <br/>
<a id="pl.81.14"></a><var>81.14</var>of parental rights petition under sections 
         <statute_ref>260C.141</statute_ref> and 
         <statute_ref>260C.301</statute_ref> must be filed. A <br/>
<a id="pl.81.15"></a><var>81.15</var>permanency hearing under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, must be held within 30 <br/>
<a id="pl.81.16"></a><var>81.16</var>days of this determination.<br/>
<a id="pl.81.17"></a><var>81.17</var>    (c) In the case of an Indian child, in proceedings under sections 
         <statute_ref>260B.178</statute_ref> or <br/>
<statute_ref><a id="pl.81.18"></a><var>81.18</var>260C.178
         </statute_ref>, 
         <statute_ref>260C.201</statute_ref>, and 
         <statute_ref>260C.301</statute_ref> the juvenile court must make findings and conclusions <br/>
<a id="pl.81.19"></a><var>81.19</var>consistent with the Indian Child Welfare Act of 1978, United States Code, title 25, section <br/>
<a id="pl.81.20"></a><var>81.20</var>1901 et seq., as to the provision of active efforts. In cases governed by the Indian Child <br/>
<a id="pl.81.21"></a><var>81.21</var>Welfare Act of 1978, United States Code, title 25, section 1901, the responsible social <br/>
<a id="pl.81.22"></a><var>81.22</var>services agency must provide active efforts as required under United States Code, title <br/>
<a id="pl.81.23"></a><var>81.23</var>25, section 1911(d).<br/>
<a id="pl.81.24"></a><var>81.24</var>    (d) "Reasonable efforts to prevent placement" means:<br/>
<a id="pl.81.25"></a><var>81.25</var>    (1) the agency has made reasonable efforts to prevent the placement of the child in <br/>
<a id="pl.81.26"></a><var>81.26</var>foster care by working with the family to develop and implement a safety plan; or<br/>
<a id="pl.81.27"></a><var>81.27</var>    (2) given the particular circumstances of the child and family at the time of the <br/>
<a id="pl.81.28"></a><var>81.28</var>child's removal, there are no services or efforts available which could allow the child to <br/>
<a id="pl.81.29"></a><var>81.29</var>safely remain in the home.<br/>
<a id="pl.81.30"></a><var>81.30</var>    (e) "Reasonable efforts to finalize a permanent plan for the child" means due <br/>
<a id="pl.81.31"></a><var>81.31</var>diligence by the responsible social services agency to:<br/>
<a id="pl.81.32"></a><var>81.32</var>    (1) reunify the child with the parent or guardian from whom the child was removed;<br/>
<a id="pl.81.33"></a><var>81.33</var>    (2) assess a noncustodial parent's ability to provide day-to-day care for the child and, <br/>
<a id="pl.81.34"></a><var>81.34</var>where appropriate, provide services necessary to enable the noncustodial parent to safely <br/>
<a id="pl.81.35"></a><var>81.35</var>provide the care, as required by section 
         <statute_ref>260C.212, subdivision 4</statute_ref>;<br/>
<a id="pl.82.1"></a><var>82.1</var>    (3) conduct a relative search to identify and provide notice to adult relatives as <br/>
<a id="pl.82.2"></a><var>82.2</var>required under section 
         <statute_ref>260C.212, subdivision 5</statute_ref>;<br/>
<a id="pl.82.3"></a><var>82.3</var>(4) place siblings removed from their home in the same home for foster care or <br/>
<a id="pl.82.4"></a><var>82.4</var>adoption, or transfer permanent legal and physical custody to a relative. Visitation <br/>
<a id="pl.82.5"></a><var>82.5</var>between siblings who are not in the same foster care, adoption, or custodial placement or <br/>
<a id="pl.82.6"></a><var>82.6</var>facility shall be consistent with section 
         <statute_ref>260C.212, subdivision 2</statute_ref>; and<br/>
<a id="pl.82.7"></a><var>82.7</var>    (5) when the child cannot return to the parent or guardian from whom the child was <br/>
<a id="pl.82.8"></a><var>82.8</var>removed, to plan for and finalize a safe and legally permanent alternative home for the <br/>
<a id="pl.82.9"></a><var>82.9</var>child, and considers permanent alternative homes for the child inside or outside of the <br/>
<a id="pl.82.10"></a><var>82.10</var>state, preferably through adoption or transfer of permanent legal and physical custody of <br/>
<a id="pl.82.11"></a><var>82.11</var>the child.<br/>
<a id="pl.82.12"></a><var>82.12</var>    (f) Reasonable efforts are made upon the exercise of due diligence by the responsible <br/>
<a id="pl.82.13"></a><var>82.13</var>social services agency to use culturally appropriate and available services to meet the <br/>
<a id="pl.82.14"></a><var>82.14</var>needs of the child and the child's family. Services may include those provided by the <br/>
<a id="pl.82.15"></a><var>82.15</var>responsible social services agency and other culturally appropriate services available in <br/>
<a id="pl.82.16"></a><var>82.16</var>the community. At each stage of the proceedings where the court is required to review <br/>
<a id="pl.82.17"></a><var>82.17</var>the appropriateness of the responsible social services agency's reasonable efforts as <br/>
<a id="pl.82.18"></a><var>82.18</var>described in paragraphs (a), (d), and (e), the social services agency has the burden of <br/>
<a id="pl.82.19"></a><var>82.19</var>demonstrating that:<br/>
<a id="pl.82.20"></a><var>82.20</var>    (1) it has made reasonable efforts to prevent placement of the child in foster care;<br/>
<a id="pl.82.21"></a><var>82.21</var>    (2) it has made reasonable efforts to eliminate the need for removal of the child from <br/>
<a id="pl.82.22"></a><var>82.22</var>the child's home and to reunify the child with the child's family at the earliest possible time;<br/>
<a id="pl.82.23"></a><var>82.23</var>    (3) it has made reasonable efforts to finalize an alternative permanent home for <br/>
<a id="pl.82.24"></a><var>82.24</var>the child, and considers permanent alternative homes for the child inside or outside of <br/>
<a id="pl.82.25"></a><var>82.25</var>the state; or<br/>
<a id="pl.82.26"></a><var>82.26</var>    (4) reasonable efforts to prevent placement and to reunify the child with the parent <br/>
<a id="pl.82.27"></a><var>82.27</var>or guardian are not required. The agency may meet this burden by stating facts in a sworn <br/>
<a id="pl.82.28"></a><var>82.28</var>petition filed under section 
         <statute_ref>260C.141</statute_ref>, by filing an affidavit summarizing the agency's <br/>
<a id="pl.82.29"></a><var>82.29</var>reasonable efforts or facts the agency believes demonstrate there is no need for reasonable <br/>
<a id="pl.82.30"></a><var>82.30</var>efforts to reunify the parent and child, or through testimony or a certified report required <br/>
<a id="pl.82.31"></a><var>82.31</var>under juvenile court rules.<br/>
<a id="pl.82.32"></a><var>82.32</var>    (g) Once the court determines that reasonable efforts for reunification are not <br/>
<a id="pl.82.33"></a><var>82.33</var>required because the court has made one of the prima facie determinations under paragraph <br/>
<a id="pl.82.34"></a><var>82.34</var>(a), the court may only require reasonable efforts for reunification after a hearing according <br/>
<a id="pl.82.35"></a><var>82.35</var>to section 
         <statute_ref>260C.163</statute_ref>, where the court finds there is not clear and convincing evidence of <br/>
<a id="pl.82.36"></a><var>82.36</var>the facts upon which the court based its prima facie determination. In this case when there <br/>
<a id="pl.83.1"></a><var>83.1</var>is clear and convincing evidence that the child is in need of protection or services, the <br/>
<a id="pl.83.2"></a><var>83.2</var>court may find the child in need of protection or services and order any of the dispositions <br/>
<a id="pl.83.3"></a><var>83.3</var>available under section 
         <statute_ref>260C.201, subdivision 1</statute_ref>. Reunification of a surviving child with a <br/>
<a id="pl.83.4"></a><var>83.4</var>parent is not required if the parent has been convicted of:<br/>
<a id="pl.83.5"></a><var>83.5</var>    (1) a violation of, or an attempt or conspiracy to commit a violation of, sections <br/>
<statute_ref><a id="pl.83.6"></a><var>83.6</var>609.185
         </statute_ref> to 
         <statute_ref>609.20</statute_ref>; 
         <statute_ref>609.222, subdivision 2</statute_ref>; or 
         <statute_ref>609.223</statute_ref> in regard to another child of the <br/>
<a id="pl.83.7"></a><var>83.7</var>parent;<br/>
<a id="pl.83.8"></a><var>83.8</var>    (2) a violation of section 
         <statute_ref>609.222, subdivision 2</statute_ref>; or 
         <statute_ref>609.223</statute_ref>, in regard to the <br/>
<a id="pl.83.9"></a><var>83.9</var>surviving child; or<br/>
<a id="pl.83.10"></a><var>83.10</var>    (3) a violation of, or an attempt or conspiracy to commit a violation of, United States <br/>
<a id="pl.83.11"></a><var>83.11</var>Code, title 18, section 1111(a) or 1112(a), in regard to another child of the parent.;<br/>
<a id="pl.83.12"></a><var>83.12</var>(4) committing sexual abuse as defined in section 626.556, subdivision 2, against <br/>
<a id="pl.83.13"></a><var>83.13</var>the child or another child of the parent; or<br/>
<a id="pl.83.14"></a><var>83.14</var>(5) an offense that requires registration as a predatory offender under section <br/>
<a id="pl.83.15"></a><var>83.15</var>243.166, subdivision 1b, paragraph (a) or (b).<br/>
<a id="pl.83.16"></a><var>83.16</var>    (h) The juvenile court, in proceedings under sections 
         <statute_ref>260B.178</statute_ref> or 
         <statute_ref>260C.178</statute_ref>, <br/>
<statute_ref><a id="pl.83.17"></a><var>83.17</var>260C.201
         </statute_ref>, and 
         <statute_ref>260C.301</statute_ref> shall make findings and conclusions as to the provision of <br/>
<a id="pl.83.18"></a><var>83.18</var>reasonable efforts. When determining whether reasonable efforts have been made, the <br/>
<a id="pl.83.19"></a><var>83.19</var>court shall consider whether services to the child and family were:<br/>
<a id="pl.83.20"></a><var>83.20</var>    (1) relevant to the safety and protection of the child;<br/>
<a id="pl.83.21"></a><var>83.21</var>    (2) adequate to meet the needs of the child and family;<br/>
<a id="pl.83.22"></a><var>83.22</var>    (3) culturally appropriate;<br/>
<a id="pl.83.23"></a><var>83.23</var>    (4) available and accessible;<br/>
<a id="pl.83.24"></a><var>83.24</var>    (5) consistent and timely; and<br/>
<a id="pl.83.25"></a><var>83.25</var>    (6) realistic under the circumstances.<br/>
<a id="pl.83.26"></a><var>83.26</var>    In the alternative, the court may determine that provision of services or further <br/>
<a id="pl.83.27"></a><var>83.27</var>services for the purpose of rehabilitation is futile and therefore unreasonable under the <br/>
<a id="pl.83.28"></a><var>83.28</var>circumstances or that reasonable efforts are not required as provided in paragraph (a).<br/>
<a id="pl.83.29"></a><var>83.29</var>    (i) This section does not prevent out-of-home placement for treatment of a child with <br/>
<a id="pl.83.30"></a><var>83.30</var>a mental disability when it is determined to be medically necessary as a result of the child's <br/>
<a id="pl.83.31"></a><var>83.31</var>diagnostic assessment or individual treatment plan indicates that appropriate and necessary <br/>
<a id="pl.83.32"></a><var>83.32</var>treatment cannot be effectively provided outside of a residential or inpatient treatment <br/>
<a id="pl.83.33"></a><var>83.33</var>program and the level or intensity of supervision and treatment cannot be effectively and <br/>
<a id="pl.83.34"></a><var>83.34</var>safely provided in the child's home or community and it is determined that a residential <br/>
<a id="pl.83.35"></a><var>83.35</var>treatment setting is the least restrictive setting that is appropriate to the needs of the child.<br/>
<a id="pl.84.1"></a><var>84.1</var>    (j) If continuation of reasonable efforts to prevent placement or reunify the child <br/>
<a id="pl.84.2"></a><var>84.2</var>with the parent or guardian from whom the child was removed is determined by the court <br/>
<a id="pl.84.3"></a><var>84.3</var>to be inconsistent with the permanent plan for the child or upon the court making one of <br/>
<a id="pl.84.4"></a><var>84.4</var>the prima facie determinations under paragraph (a), reasonable efforts must be made to <br/>
<a id="pl.84.5"></a><var>84.5</var>place the child in a timely manner in a safe and permanent home and to complete whatever <br/>
<a id="pl.84.6"></a><var>84.6</var>steps are necessary to legally finalize the permanent placement of the child.<br/>
<a id="pl.84.7"></a><var>84.7</var>    (k) Reasonable efforts to place a child for adoption or in another permanent <br/>
<a id="pl.84.8"></a><var>84.8</var>placement may be made concurrently with reasonable efforts to prevent placement or to <br/>
<a id="pl.84.9"></a><var>84.9</var>reunify the child with the parent or guardian from whom the child was removed. When <br/>
<a id="pl.84.10"></a><var>84.10</var>the responsible social services agency decides to concurrently make reasonable efforts for <br/>
<a id="pl.84.11"></a><var>84.11</var>both reunification and permanent placement away from the parent under paragraph (a), the <br/>
<a id="pl.84.12"></a><var>84.12</var>agency shall disclose its decision and both plans for concurrent reasonable efforts to all <br/>
<a id="pl.84.13"></a><var>84.13</var>parties and the court. When the agency discloses its decision to proceed on both plans for <br/>
<a id="pl.84.14"></a><var>84.14</var>reunification and permanent placement away from the parent, the court's review of the <br/>
<a id="pl.84.15"></a><var>84.15</var>agency's reasonable efforts shall include the agency's efforts under both plans.<br/>
<br/>
<a id="bill.4.2.0"></a><a id="pl.84.16"></a><var>84.16</var>    Sec. 2. Minnesota Statutes 2010, section 260C.001, is amended to read:<br/>
<a id="pl.84.17"></a><var>84.17</var><b>260C.001 TITLE, INTENT, AND CONSTRUCTION.</b><br/>
<a id="pl.84.18"></a><var>84.18</var>    Subdivision 1. <b>Citation</b><b>; scope</b><b>.</b> (a) Sections 
         <statute_ref>260C.001</statute_ref> to 
         <statute_ref>260C.451</statute_ref> 260C.521 may <br/>
<a id="pl.84.19"></a><var>84.19</var>be cited as the child juvenile protection provisions of the Juvenile Court Act. <br/>
<a id="pl.84.20"></a><var>84.20</var>(b) Juvenile protection proceedings include:<br/>
<a id="pl.84.21"></a><var>84.21</var>(1) a child in need of protection or services matters;<br/>
<a id="pl.84.22"></a><var>84.22</var>(2) permanency matters, including termination of parental rights;<br/>
<a id="pl.84.23"></a><var>84.23</var>(3) postpermanency reviews under sections 260C.317 and 260C.521; and<br/>
<a id="pl.84.24"></a><var>84.24</var>(4) adoption matters including posttermination of parental rights proceedings that <br/>
<a id="pl.84.25"></a><var>84.25</var>review the responsible social services agency's reasonable efforts to finalize adoption.<br/>
<a id="pl.84.26"></a><var>84.26</var>    Subd. 2. <b>Child in need of</b><b> Juvenile</b><b> protection </b><b>services</b><b> proceedings</b><b>.</b> (a) The <br/>
<a id="pl.84.27"></a><var>84.27</var>paramount consideration in all juvenile protection proceedings concerning a child alleged <br/>
<a id="pl.84.28"></a><var>84.28</var>or found to be in need of protection or services is the health, safety, and best interests <br/>
<a id="pl.84.29"></a><var>84.29</var>of the child. In proceedings involving an American Indian child, as defined in section <br/>
<statute_ref><a id="pl.84.30"></a><var>84.30</var>260.755, subdivision 8
         </statute_ref>, the best interests of the child must be determined consistent with <br/>
<a id="pl.84.31"></a><var>84.31</var>sections 
         <statute_ref>260.751</statute_ref> to 
         <statute_ref>260.835</statute_ref> and the Indian Child Welfare Act, United States Code, title <br/>
<a id="pl.84.32"></a><var>84.32</var>25, sections 1901 to 1923.<br/>
<a id="pl.84.33"></a><var>84.33</var>    (b) The purpose of the laws relating to juvenile courts protection proceedings is:<br/>
<a id="pl.85.1"></a><var>85.1</var>    (1) to secure for each child alleged or adjudicated in need of protection or services <br/>
<a id="pl.85.2"></a><var>85.2</var>and under the jurisdiction of the court, the care and guidance, preferably in the child's own <br/>
<a id="pl.85.3"></a><var>85.3</var>home, as will best serve the spiritual, emotional, mental, and physical welfare of the child;<br/>
<a id="pl.85.4"></a><var>85.4</var>    (2) to provide judicial procedures which that protect the welfare of the child;<br/>
<a id="pl.85.5"></a><var>85.5</var>    (3) to preserve and strengthen the child's family ties whenever possible and in the <br/>
<a id="pl.85.6"></a><var>85.6</var>child's best interests, removing the child from the custody of parents only when the child's <br/>
<a id="pl.85.7"></a><var>85.7</var>welfare or safety cannot be adequately safeguarded without removal;<br/>
<a id="pl.85.8"></a><var>85.8</var>    (4) to ensure that when removal from the child's own family is necessary and in the <br/>
<a id="pl.85.9"></a><var>85.9</var>child's best interests, the responsible social services agency has legal responsibility for <br/>
<a id="pl.85.10"></a><var>85.10</var>the child removal either:<br/>
<a id="pl.85.11"></a><var>85.11</var>    (i) pursuant to a voluntary placement agreement between the child's parent or <br/>
<a id="pl.85.12"></a><var>85.12</var>guardian or the child, when the child is over age 18, and the responsible social services <br/>
<a id="pl.85.13"></a><var>85.13</var>agency; or<br/>
<a id="pl.85.14"></a><var>85.14</var>    (ii) by court order pursuant to section 
         <statute_ref>260C.151, subdivision 6</statute_ref>; 
         <statute_ref>206C.178</statute_ref>; or <br/>
<a id="pl.85.15"></a><var>85.15</var>260C.178; 
<statute_ref>260C.201</statute_ref>; 260C.325; or 260C.515;<br/>
<a id="pl.85.16"></a><var>85.16</var>    (5) to ensure that, when placement is pursuant to court order, the court order <br/>
<a id="pl.85.17"></a><var>85.17</var>removing the child or continuing the child in foster care contains an individualized <br/>
<a id="pl.85.18"></a><var>85.18</var>determination that placement is in the best interests of the child that coincides with the <br/>
<a id="pl.85.19"></a><var>85.19</var>actual removal of the child; and<br/>
<a id="pl.85.20"></a><var>85.20</var>    (6) to ensure that when the child is removed, the child's care and discipline is, as <br/>
<a id="pl.85.21"></a><var>85.21</var>nearly as possible, equivalent to that which should have been given by the parents and is <br/>
<a id="pl.85.22"></a><var>85.22</var>either in:<br/>
<a id="pl.85.23"></a><var>85.23</var>    (i) the home of a noncustodial parent pursuant to section 
         <statute_ref>260C.178</statute_ref> or 
         <statute_ref>260C.201</statute_ref>, <br/>
<a id="pl.85.24"></a><var>85.24</var>subdivision 1, paragraph (a), clause (1);<br/>
<a id="pl.85.25"></a><var>85.25</var>    (ii) the home of a relative pursuant to emergency placement by the responsible social <br/>
<a id="pl.85.26"></a><var>85.26</var>services agency under chapter 245A; or<br/>
<a id="pl.85.27"></a><var>85.27</var>    (iii) a foster home care licensed under chapter 245A.; and<br/>
<a id="pl.85.28"></a><var>85.28</var>(7) to ensure appropriate permanency planning for children in foster care including:<br/>
<a id="pl.85.29"></a><var>85.29</var>(i) unless reunification is not required under section 260.012, developing a <br/>
<a id="pl.85.30"></a><var>85.30</var>permanency plan for the child that includes a primary plan for reunification with the <br/>
<a id="pl.85.31"></a><var>85.31</var>child's parent or guardian and a secondary plan for an alternative, legally permanent home <br/>
<a id="pl.85.32"></a><var>85.32</var>for the child in the event reunification cannot be achieved in a timely manner;<br/>
<a id="pl.85.33"></a><var>85.33</var>(ii) identifying, locating, and assessing both parents of the child as soon as possible <br/>
<a id="pl.85.34"></a><var>85.34</var>and offering reunification services to both parents of the child as required under section <br/>
<a id="pl.85.35"></a><var>85.35</var>260.012 and 260C.219;<br/>
<a id="pl.86.1"></a><var>86.1</var>(iii) identifying, locating, and notifying relatives of both parents of the child <br/>
<a id="pl.86.2"></a><var>86.2</var>according to section 260C.221;<br/>
<a id="pl.86.3"></a><var>86.3</var>(iv) making a placement with a family that will commit to being the legally <br/>
<a id="pl.86.4"></a><var>86.4</var>permanent home for the child in the event reunification cannot occur at the earliest <br/>
<a id="pl.86.5"></a><var>86.5</var>possible time while at the same time actively supporting the reunification plan; and<br/>
<a id="pl.86.6"></a><var>86.6</var>(v) returning the child home with supports and services, as soon as return is safe <br/>
<a id="pl.86.7"></a><var>86.7</var>for the child, or when safe return cannot be timely achieved, moving to finalize another <br/>
<a id="pl.86.8"></a><var>86.8</var>legally permanent home for the child.<br/>
<a id="pl.86.9"></a><var>86.9</var>    Subd. 3. <b>Permanency </b><b>and</b><b>,</b><b> termination of parental rights</b><b>, and adoption</b><b>.</b> The <br/>
<a id="pl.86.10"></a><var>86.10</var>purpose of the laws relating to permanency and, termination of parental rights, and children <br/>
<a id="pl.86.11"></a><var>86.11</var>who come under the guardianship of the commissioner of human services is to ensure that:<br/>
<a id="pl.86.12"></a><var>86.12</var>(1) when required and appropriate, reasonable efforts have been made by the social <br/>
<a id="pl.86.13"></a><var>86.13</var>services agency to reunite the child with the child's parents in a home that is safe and <br/>
<a id="pl.86.14"></a><var>86.14</var>permanent; and<br/>
<a id="pl.86.15"></a><var>86.15</var>(2) if placement with the parents is not reasonably foreseeable, to secure for the <br/>
<a id="pl.86.16"></a><var>86.16</var>child a safe and permanent placement according to the requirements of section 260C.212, <br/>
<a id="pl.86.17"></a><var>86.17</var>subdivision 2, preferably with adoptive parents or, if that is not possible or in the best <br/>
<a id="pl.86.18"></a><var>86.18</var>interests of the child, a fit and willing relative through transfer of permanent legal and <br/>
<a id="pl.86.19"></a><var>86.19</var>physical custody to that relative; and<br/>
<a id="pl.86.20"></a><var>86.20</var>(3) when a child is under the guardianship of the commissioner of human services, <br/>
<a id="pl.86.21"></a><var>86.21</var>reasonable efforts are made to finalize an adoptive home for the child in a timely manner.<br/>
<a id="pl.86.22"></a><var>86.22</var>Nothing in this section requires reasonable efforts to prevent placement or to reunify <br/>
<a id="pl.86.23"></a><var>86.23</var>the child with the parent or guardian to be made in circumstances where the court has <br/>
<a id="pl.86.24"></a><var>86.24</var>determined that the child has been subjected to egregious harm, when the child is an <br/>
<a id="pl.86.25"></a><var>86.25</var>abandoned infant, the parent has involuntarily lost custody of another child through a <br/>
<a id="pl.86.26"></a><var>86.26</var>proceeding under section 
         <statute_ref>260C.201, subdivision 11</statute_ref> 260C.515, subdivision 4, or similar <br/>
<a id="pl.86.27"></a><var>86.27</var>law of another state, the parental rights of the parent to a sibling have been involuntarily <br/>
<a id="pl.86.28"></a><var>86.28</var>terminated, or the court has determined that reasonable efforts or further reasonable efforts <br/>
<a id="pl.86.29"></a><var>86.29</var>to reunify the child with the parent or guardian would be futile.<br/>
<a id="pl.86.30"></a><var>86.30</var>The paramount consideration in all proceedings for permanent placement of the <br/>
<a id="pl.86.31"></a><var>86.31</var>child under section 
<statute_ref>260C.201, subdivision 11</statute_ref> sections 260C.503 to 260C.521, or the <br/>
<a id="pl.86.32"></a><var>86.32</var>termination of parental rights is the best interests of the child. In proceedings involving an <br/>
<a id="pl.86.33"></a><var>86.33</var>American Indian child, as defined in section 
         <statute_ref>260.755, subdivision 8</statute_ref>, the best interests of <br/>
<a id="pl.86.34"></a><var>86.34</var>the child must be determined consistent with the Indian Child Welfare Act of 1978, United <br/>
<a id="pl.86.35"></a><var>86.35</var>States Code, title 25, section 1901, et seq.<br/>
<a id="pl.87.1"></a><var>87.1</var>    Subd. 4. <b>Construction.</b> The laws relating to the child protection provisions of <br/>
<a id="pl.87.2"></a><var>87.2</var>the juvenile courts protection proceedings shall be liberally construed to carry out these <br/>
<a id="pl.87.3"></a><var>87.3</var>purposes.<br/>
<br/>
<a id="bill.4.3.0"></a><a id="pl.87.4"></a><var>87.4</var>    Sec. 3. Minnesota Statutes 2010, section 260C.007, subdivision 4, is amended to read:<br/>
<a id="pl.87.5"></a><var>87.5</var>    Subd. 4. <b>Child.</b> "Child" means an individual under 18 years of age. For purposes of <br/>
<a id="pl.87.6"></a><var>87.6</var>this chapter and chapter 260D, child also includes individuals under age 21 who are in <br/>
<a id="pl.87.7"></a><var>87.7</var>foster care pursuant to section 
         <statute_ref>260C.451</statute_ref>.<br/>
<br/>
<a id="bill.4.4.0"></a><a id="pl.87.8"></a><var>87.8</var>    Sec. 4. Minnesota Statutes 2010, section 260C.007, is amended by adding a <br/>
<a id="pl.87.9"></a><var>87.9</var>subdivision to read:<br/>
<a id="pl.87.10"></a><var>87.10</var>    Subd. 26a. <b>Putative father.</b> "Putative father" has the meaning given in section <br/>
<a id="pl.87.11"></a><var>87.11</var>259.21, subdivision 12.<br/>
<br/>
<a id="bill.4.5.0"></a><a id="pl.87.12"></a><var>87.12</var>    Sec. 5. Minnesota Statutes 2010, section 260C.007, is amended by adding a <br/>
<a id="pl.87.13"></a><var>87.13</var>subdivision to read:<br/>
<a id="pl.87.14"></a><var>87.14</var>    Subd. 27a. <b>Responsible social services agency.</b> "Responsible social services <br/>
<a id="pl.87.15"></a><var>87.15</var>agency" means the county social services agency that has responsibility for public child <br/>
<a id="pl.87.16"></a><var>87.16</var>welfare and child protection services and includes the provision of adoption services as an <br/>
<a id="pl.87.17"></a><var>87.17</var>agent of the commissioner of human services.<br/>
<br/>
<a id="bill.4.6.0"></a><a id="pl.87.18"></a><var>87.18</var>    Sec. 6. Minnesota Statutes 2010, section 260C.007, is amended by adding a <br/>
<a id="pl.87.19"></a><var>87.19</var>subdivision to read:<br/>
<a id="pl.87.20"></a><var>87.20</var>    Subd. 32. <b>Sibling.</b> "Sibling" means one of two or more individuals who have one <br/>
<a id="pl.87.21"></a><var>87.21</var>or both parents in common through blood, marriage, or adoption, including siblings as <br/>
<a id="pl.87.22"></a><var>87.22</var>defined by the child's tribal code or custom.<br/>
<br/>
<a id="bill.4.7.0"></a><a id="pl.87.23"></a><var>87.23</var>    Sec. 7. Minnesota Statutes 2010, section 260C.101, subdivision 2, is amended to read:<br/>
<a id="pl.87.24"></a><var>87.24</var>    Subd. 2. <b>Other matters relating to children.</b> Except as provided in clause (4), The <br/>
<a id="pl.87.25"></a><var>87.25</var>juvenile court has original and exclusive jurisdiction in proceedings concerning:<br/>
<a id="pl.87.26"></a><var>87.26</var>    (1) the termination of parental rights to a child in accordance with the provisions of <br/>
<a id="pl.87.27"></a><var>87.27</var>sections 
         <statute_ref>260C.301</statute_ref> to 
         <statute_ref>260C.328</statute_ref>;<br/>
<a id="pl.87.28"></a><var>87.28</var>    (2) permanency matters under sections 260C.503 to 260C.521;<br/>
<a id="pl.87.29"></a><var>87.29</var>(3) the appointment and removal of a juvenile court guardian for a child, where <br/>
<a id="pl.87.30"></a><var>87.30</var>parental rights have been terminated under the provisions of sections 
         <statute_ref>260C.301</statute_ref> to <br/>
<statute_ref><a id="pl.87.31"></a><var>87.31</var>260C.328
         </statute_ref>;<br/>
<a id="pl.88.1"></a><var>88.1</var>    (3) (4) judicial consent to the marriage of a child when required by law;<br/>
<a id="pl.88.2"></a><var>88.2</var>    (4) the juvenile court in those counties in which the judge of the probate-juvenile <br/>
<a id="pl.88.3"></a><var>88.3</var>court has been admitted to the practice of law in this state shall proceed under the laws <br/>
<a id="pl.88.4"></a><var>88.4</var>relating to adoptions in all adoption matters. In those counties in which the judge of the <br/>
<a id="pl.88.5"></a><var>88.5</var>probate-juvenile court has not been admitted to the practice of law in this state the district <br/>
<a id="pl.88.6"></a><var>88.6</var>court shall proceed under the laws relating to adoptions in<br/>
<a id="pl.88.7"></a><var>88.7</var>(5) all adoption matters and review of the efforts to finalize the adoption of the child <br/>
<a id="pl.88.8"></a><var>88.8</var>under section 260C.317;<br/>
<a id="pl.88.9"></a><var>88.9</var>    (5) (6) the review of the placement of a child who is in foster care pursuant to a <br/>
<a id="pl.88.10"></a><var>88.10</var>voluntary placement agreement between the child's parent or parents and the responsible <br/>
<a id="pl.88.11"></a><var>88.11</var>social services agency under section 
         <statute_ref>260C.212, subdivision 8</statute_ref> 260C.227; or between the <br/>
<a id="pl.88.12"></a><var>88.12</var>child, when the child is over age 18, and the agency under section 260C.229; and<br/>
<a id="pl.88.13"></a><var>88.13</var>    (6) (7) the review of voluntary foster care placement of a child for treatment under <br/>
<a id="pl.88.14"></a><var>88.14</var>chapter 260D according to the review requirements of that chapter.<br/>
<br/>
<a id="bill.4.8.0"></a><a id="pl.88.15"></a><var>88.15</var>    Sec. 8. Minnesota Statutes 2010, section 260C.157, subdivision 1, is amended to read:<br/>
<a id="pl.88.16"></a><var>88.16</var>    Subdivision 1. <b>Investigation.</b> Upon request of the court the responsible social <br/>
<a id="pl.88.17"></a><var>88.17</var>services agency or probation officer shall investigate the personal and family history <br/>
<a id="pl.88.18"></a><var>88.18</var>and environment of any minor coming within the jurisdiction of the court under section <br/>
<statute_ref><a id="pl.88.19"></a><var>88.19</var>260C.101
         </statute_ref> and shall report its findings to the court. The court may order any minor coming <br/>
<a id="pl.88.20"></a><var>88.20</var>within its jurisdiction to be examined by a duly qualified physician, psychiatrist, or <br/>
<a id="pl.88.21"></a><var>88.21</var>psychologist appointed by the court. <br/>
<a id="pl.88.22"></a><var>88.22</var>Adoption investigations shall be conducted in accordance with the laws relating to <br/>
<a id="pl.88.23"></a><var>88.23</var>adoptions in chapter 259. Any funds received under the provisions of this subdivision <br/>
<a id="pl.88.24"></a><var>88.24</var>shall not cancel until the end of the fiscal year immediately following the fiscal year in <br/>
<a id="pl.88.25"></a><var>88.25</var>which the funds were received. The funds are available for use by the commissioner of <br/>
<a id="pl.88.26"></a><var>88.26</var>corrections during that period and are hereby appropriated annually to the commissioner of <br/>
<a id="pl.88.27"></a><var>88.27</var>corrections as reimbursement of the costs of providing these services to the juvenile courts.<br/>
<br/>
<a id="bill.4.9.0"></a><a id="pl.88.28"></a><var>88.28</var>    Sec. 9. Minnesota Statutes 2010, section 260C.163, subdivision 1, is amended to read:<br/>
<a id="pl.88.29"></a><var>88.29</var>    Subdivision 1. <b>General.</b> (a) Except for hearings arising under section 
         <statute_ref>260C.425</statute_ref>, <br/>
<a id="pl.88.30"></a><var>88.30</var>hearings on any matter shall be without a jury and may be conducted in an informal <br/>
<a id="pl.88.31"></a><var>88.31</var>manner. In all adjudicatory proceedings involving a child alleged to be in need of <br/>
<a id="pl.88.32"></a><var>88.32</var>protection or services regarding juvenile protection matters under this chapter, the court <br/>
<a id="pl.88.33"></a><var>88.33</var>shall admit only evidence that would be admissible in a civil trial. To be proved at trial, <br/>
<a id="pl.89.1"></a><var>89.1</var>allegations of a petition alleging a child to be in need of protection or services must be <br/>
<a id="pl.89.2"></a><var>89.2</var>proved by clear and convincing evidence.<br/>
<a id="pl.89.3"></a><var>89.3</var>    (b) Except for proceedings involving a child alleged to be in need of protection or <br/>
<a id="pl.89.4"></a><var>89.4</var>services and petitions for the termination of parental rights, hearings may be continued or <br/>
<a id="pl.89.5"></a><var>89.5</var>adjourned from time to time. In proceedings involving a child alleged to be in need of <br/>
<a id="pl.89.6"></a><var>89.6</var>protection or services and petitions for the termination of parental rights, hearings may not <br/>
<a id="pl.89.7"></a><var>89.7</var>be continued or adjourned for more than one week unless the court makes specific findings <br/>
<a id="pl.89.8"></a><var>89.8</var>that the continuance or adjournment is in the best interests of the child. If a hearing is held <br/>
<a id="pl.89.9"></a><var>89.9</var>on a petition involving physical or sexual abuse of a child who is alleged to be in need of <br/>
<a id="pl.89.10"></a><var>89.10</var>protection or services or neglected and in foster care, the court shall file the decision with <br/>
<a id="pl.89.11"></a><var>89.11</var>the court administrator as soon as possible but no later than 15 days after the matter is <br/>
<a id="pl.89.12"></a><var>89.12</var>submitted to the court. When a continuance or adjournment is ordered in any proceeding, <br/>
<a id="pl.89.13"></a><var>89.13</var>the court may make any interim orders as it deems in the best interests of the minor in <br/>
<a id="pl.89.14"></a><var>89.14</var>accordance with the provisions of sections 
<statute_ref>260C.001</statute_ref> to 
<statute_ref>260C.421</statute_ref> this chapter.<br/>
<a id="pl.89.15"></a><var>89.15</var>    (c) Absent exceptional circumstances, hearings under this chapter, except hearings <br/>
<a id="pl.89.16"></a><var>89.16</var>in adoption proceedings, are presumed to be accessible to the public, however the court <br/>
<a id="pl.89.17"></a><var>89.17</var>may close any hearing and the records related to any matter as provided in the Minnesota <br/>
<a id="pl.89.18"></a><var>89.18</var>Rules of Juvenile Protection Procedure.<br/>
<a id="pl.89.19"></a><var>89.19</var>    (d) Adoption hearings shall be conducted in accordance with the provisions of laws <br/>
<a id="pl.89.20"></a><var>89.20</var>relating to adoptions are closed to the public and all records related to an adoption are <br/>
<a id="pl.89.21"></a><var>89.21</var>inaccessible except as provided in the Minnesota Rules of Adoption Procedure.<br/>
<a id="pl.89.22"></a><var>89.22</var>    (e) In any permanency hearing, including the transition of a child from foster care <br/>
<a id="pl.89.23"></a><var>89.23</var>to independent living, the court shall ensure that its consult with the child during the <br/>
<a id="pl.89.24"></a><var>89.24</var>hearing is in an age-appropriate manner.<br/>
<br/>
<a id="bill.4.10.0"></a><a id="pl.89.25"></a><var>89.25</var>    Sec. 10. Minnesota Statutes 2010, section 260C.163, subdivision 4, is amended to read:<br/>
<a id="pl.89.26"></a><var>89.26</var>    Subd. 4. <b>County attorney.</b> Except in adoption proceedings, the county attorney <br/>
<a id="pl.89.27"></a><var>89.27</var>shall present the evidence upon request of the court. In representing the responsible social <br/>
<a id="pl.89.28"></a><var>89.28</var>services agency, the county attorney shall also have the responsibility for advancing the <br/>
<a id="pl.89.29"></a><var>89.29</var>public interest in the welfare of the child.<br/>
<br/>
<a id="bill.4.11.0"></a><a id="pl.89.30"></a><var>89.30</var>    Sec. 11. Minnesota Statutes 2010, section 260C.178, subdivision 1, is amended to read:<br/>
<a id="pl.89.31"></a><var>89.31</var>    Subdivision 1. <b>Hearing and release requirements.</b> (a) If a child was taken into <br/>
<a id="pl.89.32"></a><var>89.32</var>custody under section 
         <statute_ref>260C.175, subdivision 1</statute_ref>, clause (1) or (2), item (ii), the court shall <br/>
<a id="pl.89.33"></a><var>89.33</var>hold a hearing within 72 hours of the time the child was taken into custody, excluding <br/>
<a id="pl.90.1"></a><var>90.1</var>Saturdays, Sundays, and holidays, to determine whether the child should continue in <br/>
<a id="pl.90.2"></a><var>90.2</var>custody.<br/>
<a id="pl.90.3"></a><var>90.3</var>    (b) Unless there is reason to believe that the child would endanger self or others or <br/>
<a id="pl.90.4"></a><var>90.4</var>not return for a court hearing, or that the child's health or welfare would be immediately <br/>
<a id="pl.90.5"></a><var>90.5</var>endangered, the child shall be released to the custody of a parent, guardian, custodian, <br/>
<a id="pl.90.6"></a><var>90.6</var>or other suitable person, subject to reasonable conditions of release including, but not <br/>
<a id="pl.90.7"></a><var>90.7</var>limited to, a requirement that the child undergo a chemical use assessment as provided in <br/>
<a id="pl.90.8"></a><var>90.8</var>section 
         <statute_ref>260C.157, subdivision 1</statute_ref>.<br/>
<a id="pl.90.9"></a><var>90.9</var>    (c) If the court determines there is reason to believe that the child would endanger <br/>
<a id="pl.90.10"></a><var>90.10</var>self or others or not return for a court hearing, or that the child's health or welfare would <br/>
<a id="pl.90.11"></a><var>90.11</var>be immediately endangered if returned to the care of the parent or guardian who has <br/>
<a id="pl.90.12"></a><var>90.12</var>custody and from whom the child was removed, the court shall order the child into <br/>
<a id="pl.90.13"></a><var>90.13</var>foster care under the legal responsibility of the responsible social services agency or <br/>
<a id="pl.90.14"></a><var>90.14</var>responsible probation or corrections agency for the purposes of protective care as that term <br/>
<a id="pl.90.15"></a><var>90.15</var>is used in the juvenile court rules or into the home of a noncustodial parent and order the <br/>
<a id="pl.90.16"></a><var>90.16</var>noncustodial parent to comply with any conditions the court determines to be appropriate <br/>
<a id="pl.90.17"></a><var>90.17</var>to the safety and care of the child, including cooperating with paternity establishment <br/>
<a id="pl.90.18"></a><var>90.18</var>proceedings in the case of a man who has not been adjudicated the child's father. The <br/>
<a id="pl.90.19"></a><var>90.19</var>court shall not give the responsible social services legal custody and order a trial home <br/>
<a id="pl.90.20"></a><var>90.20</var>visit at any time prior to adjudication and disposition under section 
         <statute_ref>260C.201, subdivision <br/>
<a id="pl.90.21"></a><var>90.21</var>1
         </statute_ref>, paragraph (a), clause (3), but may order the child returned to the care of the parent or <br/>
<a id="pl.90.22"></a><var>90.22</var>guardian who has custody and from whom the child was removed and order the parent or <br/>
<a id="pl.90.23"></a><var>90.23</var>guardian to comply with any conditions the court determines to be appropriate to meet <br/>
<a id="pl.90.24"></a><var>90.24</var>the safety, health, and welfare of the child.<br/>
<a id="pl.90.25"></a><var>90.25</var>    (d) In determining whether the child's health or welfare would be immediately <br/>
<a id="pl.90.26"></a><var>90.26</var>endangered, the court shall consider whether the child would reside with a perpetrator <br/>
<a id="pl.90.27"></a><var>90.27</var>of domestic child abuse.<br/>
<a id="pl.90.28"></a><var>90.28</var>    (e) The court, before determining whether a child should be placed in or continue <br/>
<a id="pl.90.29"></a><var>90.29</var>in foster care under the protective care of the responsible agency, shall also make a <br/>
<a id="pl.90.30"></a><var>90.30</var>determination, consistent with section 
         <statute_ref>260.012</statute_ref> as to whether reasonable efforts were made <br/>
<a id="pl.90.31"></a><var>90.31</var>to prevent placement or whether reasonable efforts to prevent placement are not required. <br/>
<a id="pl.90.32"></a><var>90.32</var>In the case of an Indian child, the court shall determine whether active efforts, according <br/>
<a id="pl.90.33"></a><var>90.33</var>to the Indian Child Welfare Act of 1978, United States Code, title 25, section 1912(d), <br/>
<a id="pl.90.34"></a><var>90.34</var>were made to prevent placement. The court shall enter a finding that the responsible <br/>
<a id="pl.90.35"></a><var>90.35</var>social services agency has made reasonable efforts to prevent placement when the agency <br/>
<a id="pl.90.36"></a><var>90.36</var>establishes either:<br/>
<a id="pl.91.1"></a><var>91.1</var>    (1) that it has actually provided services or made efforts in an attempt to prevent <br/>
<a id="pl.91.2"></a><var>91.2</var>the child's removal but that such services or efforts have not proven sufficient to permit <br/>
<a id="pl.91.3"></a><var>91.3</var>the child to safely remain in the home; or<br/>
<a id="pl.91.4"></a><var>91.4</var>    (2) that there are no services or other efforts that could be made at the time of the <br/>
<a id="pl.91.5"></a><var>91.5</var>hearing that could safely permit the child to remain home or to return home. When <br/>
<a id="pl.91.6"></a><var>91.6</var>reasonable efforts to prevent placement are required and there are services or other efforts <br/>
<a id="pl.91.7"></a><var>91.7</var>that could be ordered which would permit the child to safely return home, the court shall <br/>
<a id="pl.91.8"></a><var>91.8</var>order the child returned to the care of the parent or guardian and the services or efforts put <br/>
<a id="pl.91.9"></a><var>91.9</var>in place to ensure the child's safety. When the court makes a prima facie determination <br/>
<a id="pl.91.10"></a><var>91.10</var>that one of the circumstances under paragraph (g) exists, the court shall determine that <br/>
<a id="pl.91.11"></a><var>91.11</var>reasonable efforts to prevent placement and to return the child to the care of the parent or <br/>
<a id="pl.91.12"></a><var>91.12</var>guardian are not required.<br/>
<a id="pl.91.13"></a><var>91.13</var>    If the court finds the social services agency's preventive or reunification efforts <br/>
<a id="pl.91.14"></a><var>91.14</var>have not been reasonable but further preventive or reunification efforts could not permit <br/>
<a id="pl.91.15"></a><var>91.15</var>the child to safely remain at home, the court may nevertheless authorize or continue <br/>
<a id="pl.91.16"></a><var>91.16</var>the removal of the child.<br/>
<a id="pl.91.17"></a><var>91.17</var>    (f) The court may not order or continue the foster care placement of the child unless <br/>
<a id="pl.91.18"></a><var>91.18</var>the court makes explicit, individualized findings that continued custody of the child by <br/>
<a id="pl.91.19"></a><var>91.19</var>the parent or guardian would be contrary to the welfare of the child and that placement is <br/>
<a id="pl.91.20"></a><var>91.20</var>in the best interest of the child.<br/>
<a id="pl.91.21"></a><var>91.21</var>    (g) At the emergency removal hearing, or at any time during the course of the <br/>
<a id="pl.91.22"></a><var>91.22</var>proceeding, and upon notice and request of the county attorney, the court shall determine <br/>
<a id="pl.91.23"></a><var>91.23</var>whether a petition has been filed stating a prima facie case that:<br/>
<a id="pl.91.24"></a><var>91.24</var>    (1) the parent has subjected a child to egregious harm as defined in section <br/>
<statute_ref><a id="pl.91.25"></a><var>91.25</var>260C.007, subdivision 14
         </statute_ref>;<br/>
<a id="pl.91.26"></a><var>91.26</var>    (2) the parental rights of the parent to another child have been involuntarily <br/>
<a id="pl.91.27"></a><var>91.27</var>terminated;<br/>
<a id="pl.91.28"></a><var>91.28</var>    (3) the child is an abandoned infant under section 
         <statute_ref>260C.301, subdivision 2</statute_ref>, <br/>
<a id="pl.91.29"></a><var>91.29</var>paragraph (a), clause (2);<br/>
<a id="pl.91.30"></a><var>91.30</var>    (4) the parents' custodial rights to another child have been involuntarily transferred <br/>
<a id="pl.91.31"></a><var>91.31</var>to a relative under Minnesota Statutes 2010, section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, paragraph <br/>
<a id="pl.91.32"></a><var>91.32</var>(e), clause (1); section 260C.515, subdivision 4, or a similar law of another jurisdiction; or<br/>
<a id="pl.91.33"></a><var>91.33</var>    (5) the parent has committed sexual abuse as defined in section 626.556, subdivision <br/>
<a id="pl.91.34"></a><var>91.34</var>2, against the child or another child of the parent;<br/>
<a id="pl.91.35"></a><var>91.35</var>(6) the parent has committed an offense that requires registration as a predatory <br/>
<a id="pl.91.36"></a><var>91.36</var>offender under section 243.166, subdivision 1b, paragraph (a) or (b); or<br/>
<a id="pl.92.1"></a><var>92.1</var>(7) the provision of services or further services for the purpose of reunification is <br/>
<a id="pl.92.2"></a><var>92.2</var>futile and therefore unreasonable.<br/>
<a id="pl.92.3"></a><var>92.3</var>    (h) When a petition to terminate parental rights is required under section 
         <statute_ref>260C.301, <br/>
<a id="pl.92.4"></a><var>92.4</var>subdivision 3
         </statute_ref> or 4, but the county attorney has determined not to proceed with a <br/>
<a id="pl.92.5"></a><var>92.5</var>termination of parental rights petition, and has instead filed a petition to transfer permanent <br/>
<a id="pl.92.6"></a><var>92.6</var>legal and physical custody to a relative under section 
         <statute_ref>260C.201, subdivision 11</statute_ref> 260C.507, <br/>
<a id="pl.92.7"></a><var>92.7</var>the court shall schedule a permanency hearing within 30 days of the filing of the petition.<br/>
<a id="pl.92.8"></a><var>92.8</var>    (i) If the county attorney has filed a petition under section 
         <statute_ref>260C.307</statute_ref>, the court shall <br/>
<a id="pl.92.9"></a><var>92.9</var>schedule a trial under section 
         <statute_ref>260C.163</statute_ref> within 90 days of the filing of the petition except <br/>
<a id="pl.92.10"></a><var>92.10</var>when the county attorney determines that the criminal case shall proceed to trial first under <br/>
<a id="pl.92.11"></a><var>92.11</var>section 
         <statute_ref>260C.201, subdivision 3</statute_ref> 260C.503, subdivision 2, paragraph (c).<br/>
<a id="pl.92.12"></a><var>92.12</var>    (j) If the court determines the child should be ordered into foster care and the child's <br/>
<a id="pl.92.13"></a><var>92.13</var>parent refuses to give information to the responsible social services agency regarding the <br/>
<a id="pl.92.14"></a><var>92.14</var>child's father or relatives of the child, the court may order the parent to disclose the names, <br/>
<a id="pl.92.15"></a><var>92.15</var>addresses, telephone numbers, and other identifying information to the responsible social <br/>
<a id="pl.92.16"></a><var>92.16</var>services agency for the purpose of complying with the requirements of sections 
         <statute_ref>260C.151</statute_ref>, <br/>
<statute_ref><a id="pl.92.17"></a><var>92.17</var>260C.212
         </statute_ref>, and 
         <statute_ref>260C.215</statute_ref>.<br/>
<a id="pl.92.18"></a><var>92.18</var>    (k) If a child ordered into foster care has siblings, whether full, half, or step, who <br/>
<a id="pl.92.19"></a><var>92.19</var>are also ordered into foster care, the court shall inquire of the responsible social services <br/>
<a id="pl.92.20"></a><var>92.20</var>agency of the efforts to place the children together as required by section 
         <statute_ref>260C.212, <br/>
<a id="pl.92.21"></a><var>92.21</var>subdivision 2
         </statute_ref>, paragraph (d), if placement together is in each child's best interests, unless <br/>
<a id="pl.92.22"></a><var>92.22</var>a child is in placement for treatment or a child is placed with a previously noncustodial <br/>
<a id="pl.92.23"></a><var>92.23</var>parent who is not a parent to all siblings. If the children are not placed together at the time <br/>
<a id="pl.92.24"></a><var>92.24</var>of the hearing, the court shall inquire at each subsequent hearing of the agency's reasonable <br/>
<a id="pl.92.25"></a><var>92.25</var>efforts to place the siblings together, as required under section 
         <statute_ref>260.012</statute_ref>. If any sibling is <br/>
<a id="pl.92.26"></a><var>92.26</var>not placed with another sibling or siblings, the agency must develop a plan to facilitate <br/>
<a id="pl.92.27"></a><var>92.27</var>visitation or ongoing contact among the siblings as required under section 
         <statute_ref>260C.212, <br/>
<a id="pl.92.28"></a><var>92.28</var>subdivision 1
         </statute_ref>, unless it is contrary to the safety or well-being of any of the siblings to do so.<br/>
<a id="pl.92.29"></a><var>92.29</var>(l) When the court has ordered the child into foster care or into the home of a <br/>
<a id="pl.92.30"></a><var>92.30</var>noncustodial parent, the court may order a chemical dependency evaluation, mental health <br/>
<a id="pl.92.31"></a><var>92.31</var>evaluation, medical examination, and parenting assessment for the parent as necessary <br/>
<a id="pl.92.32"></a><var>92.32</var>to support the development of a plan for reunification required under subdivision 7 and <br/>
<a id="pl.92.33"></a><var>92.33</var>section 260C.212, subdivision 1, or the child protective services plan under section <br/>
<a id="pl.92.34"></a><var>92.34</var>626.556, subdivision 10, and Minnesota Rules, part 9560.0228.<br/>
<br/>
<a id="bill.4.12.0"></a><a id="pl.92.35"></a><var>92.35</var>    Sec. 12. Minnesota Statutes 2010, section 260C.178, subdivision 7, is amended to read:<br/>
<a id="pl.93.1"></a><var>93.1</var>    Subd. 7. <b>Out-of-home placement plan.</b> (a) An out-of-home placement plan <br/>
<a id="pl.93.2"></a><var>93.2</var>required under section 
         <statute_ref>260C.212</statute_ref> shall be filed with the court within 30 days of the filing <br/>
<a id="pl.93.3"></a><var>93.3</var>of a juvenile protection petition alleging the child to be in need of protection or services <br/>
<a id="pl.93.4"></a><var>93.4</var>under section 
         <statute_ref>260C.141, subdivision 1</statute_ref>, when the court orders emergency removal of the <br/>
<a id="pl.93.5"></a><var>93.5</var>child under this section, or filed with the petition if the petition is a review of a voluntary <br/>
<a id="pl.93.6"></a><var>93.6</var>placement under section 
         <statute_ref>260C.141, subdivision 2</statute_ref>.<br/>
<a id="pl.93.7"></a><var>93.7</var>(b) Upon the filing of the out-of-home placement plan which has been developed <br/>
<a id="pl.93.8"></a><var>93.8</var>jointly with the parent and in consultation with others as required under section 
         <statute_ref>260C.212, <br/>
<a id="pl.93.9"></a><var>93.9</var>subdivision 1
         </statute_ref>, the court may approve implementation of the plan by the responsible social <br/>
<a id="pl.93.10"></a><var>93.10</var>services agency based on the allegations contained in the petition and any evaluations, <br/>
<a id="pl.93.11"></a><var>93.11</var>examinations, or assessments conducted under subdivision 1, paragraph (l). The court <br/>
<a id="pl.93.12"></a><var>93.12</var>shall send written notice of the approval of the out-of-home placement plan to all parties <br/>
<a id="pl.93.13"></a><var>93.13</var>and the county attorney or may state such approval on the record at a hearing. A parent <br/>
<a id="pl.93.14"></a><var>93.14</var>may agree to comply with the terms of the plan filed with the court.<br/>
<a id="pl.93.15"></a><var>93.15</var>(c) The responsible social services agency shall make reasonable attempts efforts <br/>
<a id="pl.93.16"></a><var>93.16</var>to engage a parent both parents of the child in case planning. If the parent refuses to <br/>
<a id="pl.93.17"></a><var>93.17</var>cooperate in the development of the out-of-home placement plan or disagrees with the <br/>
<a id="pl.93.18"></a><var>93.18</var>services recommended by The responsible social service agency, the agency shall note <br/>
<a id="pl.93.19"></a><var>93.19</var>such refusal or disagreement for the court report the results of its efforts to engage the <br/>
<a id="pl.93.20"></a><var>93.20</var>child's parents in the out-of-home placement plan filed with the court. The agency shall <br/>
<a id="pl.93.21"></a><var>93.21</var>notify the court of the services it will provide or efforts it will attempt under the plan <br/>
<a id="pl.93.22"></a><var>93.22</var>notwithstanding the parent's refusal to cooperate or disagreement with the services. The <br/>
<a id="pl.93.23"></a><var>93.23</var>parent may ask the court to modify the plan to require different or additional services <br/>
<a id="pl.93.24"></a><var>93.24</var>requested by the parent, but which the agency refused to provide. The court may approve <br/>
<a id="pl.93.25"></a><var>93.25</var>the plan as presented by the agency or may modify the plan to require services requested <br/>
<a id="pl.93.26"></a><var>93.26</var>by the parent. The court's approval shall be based on the content of the petition.<br/>
<a id="pl.93.27"></a><var>93.27</var>(d) Unless the parent agrees to comply with the terms of the out-of-home placement <br/>
<a id="pl.93.28"></a><var>93.28</var>plan, the court may not order a parent to comply with the provisions of the plan until the <br/>
<a id="pl.93.29"></a><var>93.29</var>court finds the child is in need of protection or services and orders disposition under <br/>
<a id="pl.93.30"></a><var>93.30</var>section 
         <statute_ref>260C.201, subdivision 1</statute_ref>. However, the court may find that the responsible social <br/>
<a id="pl.93.31"></a><var>93.31</var>services agency has made reasonable efforts for reunification if the agency makes efforts <br/>
<a id="pl.93.32"></a><var>93.32</var>to implement the terms of an out-of-home placement plan approved under this section.<br/>
<br/>
<a id="bill.4.13.0"></a><a id="pl.93.33"></a><var>93.33</var>    Sec. 13. Minnesota Statutes 2010, section 260C.193, subdivision 3, is amended to read:<br/>
<a id="pl.93.34"></a><var>93.34</var>    Subd. 3. <b>Best interest of the child </b><b>in foster care or residential care</b><b>.</b> (a) The <br/>
<a id="pl.93.35"></a><var>93.35</var>policy of the state is to ensure that the best interests of children in foster or residential <br/>
<a id="pl.94.1"></a><var>94.1</var>care, who experience transfer of permanent legal and physical custody to a relative under <br/>
<a id="pl.94.2"></a><var>94.2</var>section 260C.515, subdivision 4, or adoption under chapter 259 are met by requiring <br/>
<a id="pl.94.3"></a><var>94.3</var>individualized determinations under section 
         <statute_ref>260C.212, subdivision 2</statute_ref>, paragraph (b), of <br/>
<a id="pl.94.4"></a><var>94.4</var>the needs of the child and of how the selected placement home will serve the needs of the <br/>
<a id="pl.94.5"></a><var>94.5</var>child in foster care placements. <br/>
<a id="pl.94.6"></a><var>94.6</var>(b) No later than three months after a child is ordered removed from the care of a <br/>
<a id="pl.94.7"></a><var>94.7</var>parent in the hearing required under section 260C.202, the court shall review and enter <br/>
<a id="pl.94.8"></a><var>94.8</var>findings regarding whether the responsible social services agency made:<br/>
<a id="pl.94.9"></a><var>94.9</var>(1) diligent efforts to identify and search for relatives as required under section <br/>
<statute_ref><a id="pl.94.10"></a><var>94.10</var>260C.212, subdivision 5
</statute_ref>, 260C.221; and made<br/>
<a id="pl.94.11"></a><var>94.11</var>(2) an individualized determination as required under section 
         <statute_ref>260C.212, subdivision <br/>
<a id="pl.94.12"></a><var>94.12</var>2, to select a home that meets the needs of the child
</statute_ref>. <br/>
<a id="pl.94.13"></a><var>94.13</var>(c) If the court finds the agency has not made efforts as required under section <br/>
<statute_ref><a id="pl.94.14"></a><var>94.14</var>260C.212, subdivision 5
</statute_ref> 260C.221, and there is a relative who qualifies to be licensed <br/>
<a id="pl.94.15"></a><var>94.15</var>to provide family foster care under chapter 245A, the court may order the child placed <br/>
<a id="pl.94.16"></a><var>94.16</var>with the relative consistent with the child's best interests. <br/>
<a id="pl.94.17"></a><var>94.17</var>    (d) If the agency's efforts under section 260C.221 are found to be sufficient, the <br/>
<a id="pl.94.18"></a><var>94.18</var>court shall order the agency to continue to appropriately engage relatives who responded <br/>
<a id="pl.94.19"></a><var>94.19</var>to the notice under section 260C.221 in placement and case planning decisions and to <br/>
<a id="pl.94.20"></a><var>94.20</var>appropriately engage relatives who subsequently come to the agency's attention.<br/>
<a id="pl.94.21"></a><var>94.21</var>(c) (e) If the child's birth parent or parents explicitly request that a relative or <br/>
<a id="pl.94.22"></a><var>94.22</var>important friend not be considered, the court shall honor that request if it is consistent with <br/>
<a id="pl.94.23"></a><var>94.23</var>the best interests of the child. If the child's birth parent or parents express a preference <br/>
<a id="pl.94.24"></a><var>94.24</var>for placing the child in a foster or adoptive home of the same or a similar religious <br/>
<a id="pl.94.25"></a><var>94.25</var>background to that of the birth parent or parents, the court shall order placement of the <br/>
<a id="pl.94.26"></a><var>94.26</var>child with an individual who meets the birth parent's religious preference.<br/>
<a id="pl.94.27"></a><var>94.27</var>(d) (f) Placement of a child cannot be delayed or denied based on race, color, or <br/>
<a id="pl.94.28"></a><var>94.28</var>national origin of the foster parent or the child.<br/>
<a id="pl.94.29"></a><var>94.29</var>(e) (g) Whenever possible, siblings should be placed together unless it is determined <br/>
<a id="pl.94.30"></a><var>94.30</var>not to be in the best interests of a sibling siblings. If siblings are were not placed together <br/>
<a id="pl.94.31"></a><var>94.31</var>according to section 
         <statute_ref>260C.212, subdivision 2</statute_ref>, paragraph (d), the responsible social <br/>
<a id="pl.94.32"></a><var>94.32</var>services agency shall report to the court the efforts made to place the siblings together <br/>
<a id="pl.94.33"></a><var>94.33</var>and why the efforts were not successful. If the court is not satisfied with that the agency's <br/>
<a id="pl.94.34"></a><var>94.34</var>agency has made reasonable efforts to place siblings together, the court may must order <br/>
<a id="pl.94.35"></a><var>94.35</var>the agency to make further reasonable efforts. If siblings are not placed together the court <br/>
<a id="pl.94.36"></a><var>94.36</var>shall review order the responsible social services agency's agency to implement the plan <br/>
<a id="pl.95.1"></a><var>95.1</var>for visitation among siblings required as part of the out-of-home placement plan under <br/>
<a id="pl.95.2"></a><var>95.2</var>section 
         <statute_ref>260C.212</statute_ref>. <br/>
<a id="pl.95.3"></a><var>95.3</var>(f) (h) This subdivision does not affect the Indian Child Welfare Act, United States <br/>
<a id="pl.95.4"></a><var>95.4</var>Code, title 25, sections 1901 to 1923, and the Minnesota Indian Family Preservation <br/>
<a id="pl.95.5"></a><var>95.5</var>Act, sections 
         <statute_ref>260.751</statute_ref> to 
         <statute_ref>260.835</statute_ref>. <br/>
<br/>
<a id="bill.4.14.0"></a><a id="pl.95.6"></a><var>95.6</var>    Sec. 14. Minnesota Statutes 2010, section 260C.193, subdivision 6, is amended to read:<br/>
<a id="pl.95.7"></a><var>95.7</var>    Subd. 6. <b>Jurisdiction to review foster care to age 21, termination of jurisdiction, </b><br/>
<a id="pl.95.8"></a><var>95.8</var><b>jurisdiction to age 18.</b> (a) Jurisdiction over a child in foster care pursuant to section <br/>
<statute_ref><a id="pl.95.9"></a><var>95.9</var>260C.451
         </statute_ref> may shall continue to age 21 for the purpose of conducting the reviews required <br/>
<a id="pl.95.10"></a><var>95.10</var>under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, paragraph (d), 
<statute_ref>260C.212, subdivision 7</statute_ref>, or <br/>
<statute_ref><a id="pl.95.11"></a><var>95.11</var>260C.317
         </statute_ref>, subdivision 3, 260C.203, or 260C.515, subdivision 5 or 6. Jurisdiction over a <br/>
<a id="pl.95.12"></a><var>95.12</var>child in foster care pursuant to section 
         <statute_ref>260C.451</statute_ref> shall not be terminated without giving <br/>
<a id="pl.95.13"></a><var>95.13</var>the child notice of any motion or proposed order to dismiss jurisdiction and an opportunity <br/>
<a id="pl.95.14"></a><var>95.14</var>to be heard on the appropriateness of the dismissal. When a child in foster care pursuant to <br/>
<a id="pl.95.15"></a><var>95.15</var>section 
         <statute_ref>260C.451</statute_ref> asks to leave foster care or actually leaves foster care, the court may <br/>
<a id="pl.95.16"></a><var>95.16</var>terminate its jurisdiction.<br/>
<a id="pl.95.17"></a><var>95.17</var>(b) Except when a court order is necessary for a child to be in foster care or when <br/>
<a id="pl.95.18"></a><var>95.18</var>continued review under (1) section 
<statute_ref>260C.212, subdivision 7</statute_ref>, paragraph (d), or 
<statute_ref>260C.201, <br/>
<a id="pl.95.19"></a><var>95.19</var>subdivision 11
</statute_ref>, paragraph (d), and (2) section 
<statute_ref>260C.317, subdivision 3</statute_ref>, is required for a <br/>
<a id="pl.95.20"></a><var>95.20</var>child in foster care under section 
<statute_ref>260C.451</statute_ref>, The court may terminate jurisdiction on its <br/>
<a id="pl.95.21"></a><var>95.21</var>own motion or the motion of any interested party upon a determination that jurisdiction is <br/>
<a id="pl.95.22"></a><var>95.22</var>no longer necessary to protect the child's best interests except when:<br/>
<a id="pl.95.23"></a><var>95.23</var>(1) a court order is necessary for a child to be in foster care; or<br/>
<a id="pl.95.24"></a><var>95.24</var>(2) continued review under section 260C.203, 260C.515, subdivision 5 or 6, or <br/>
<a id="pl.95.25"></a><var>95.25</var>260C.317, subdivision 3, is required for a child in foster care under section 260C.451.<br/>
<a id="pl.95.26"></a><var>95.26</var>(c) Unless terminated by the court, and except as otherwise provided in this <br/>
<a id="pl.95.27"></a><var>95.27</var>subdivision, the jurisdiction of the court shall continue until the child becomes 18 years <br/>
<a id="pl.95.28"></a><var>95.28</var>of age. The court may continue jurisdiction over an individual and all other parties to <br/>
<a id="pl.95.29"></a><var>95.29</var>the proceeding to the individual's 19th birthday when continuing jurisdiction is in the <br/>
<a id="pl.95.30"></a><var>95.30</var>individual's best interest in order to:<br/>
<a id="pl.95.31"></a><var>95.31</var>(1) protect the safety or health of the individual;<br/>
<a id="pl.95.32"></a><var>95.32</var>(2) accomplish additional planning for independent living or for the transition out of <br/>
<a id="pl.95.33"></a><var>95.33</var>foster care; or<br/>
<a id="pl.95.34"></a><var>95.34</var>(3) support the individual's completion of high school or a high school equivalency <br/>
<a id="pl.95.35"></a><var>95.35</var>program.<br/>
<br/>
<a id="bill.4.15.0"></a><a id="pl.96.1"></a><var>96.1</var>    Sec. 15. Minnesota Statutes 2010, section 260C.201, subdivision 2, is amended to read:<br/>
<a id="pl.96.2"></a><var>96.2</var>    Subd. 2. <b>Written findings.</b> (a) Any order for a disposition authorized under this <br/>
<a id="pl.96.3"></a><var>96.3</var>section shall contain written findings of fact to support the disposition and case plan <br/>
<a id="pl.96.4"></a><var>96.4</var>ordered and shall also set forth in writing the following information:<br/>
<a id="pl.96.5"></a><var>96.5</var>(1) why the best interests and safety of the child are served by the disposition and <br/>
<a id="pl.96.6"></a><var>96.6</var>case plan ordered;<br/>
<a id="pl.96.7"></a><var>96.7</var>(2) what alternative dispositions or services under the case plan were considered by <br/>
<a id="pl.96.8"></a><var>96.8</var>the court and why such dispositions or services were not appropriate in the instant case;<br/>
<a id="pl.96.9"></a><var>96.9</var>(3) when legal custody of the child is transferred, the appropriateness of the <br/>
<a id="pl.96.10"></a><var>96.10</var>particular placement made or to be made by the placing agency using the factors in section <br/>
<statute_ref><a id="pl.96.11"></a><var>96.11</var>260C.212, subdivision 2, paragraph (b)
         </statute_ref>;<br/>
<a id="pl.96.12"></a><var>96.12</var>(4) whether reasonable efforts to finalize the permanent plan for the child consistent <br/>
<a id="pl.96.13"></a><var>96.13</var>with section 
         <statute_ref>260.012</statute_ref> were made including reasonable efforts: <br/>
<a id="pl.96.14"></a><var>96.14</var>(i) to prevent or eliminate the necessity of the child's removal placement and to <br/>
<a id="pl.96.15"></a><var>96.15</var>reunify the family after removal child with the parent or guardian from whom the child was <br/>
<a id="pl.96.16"></a><var>96.16</var>removed at the earliest time consistent with the child's safety. The court's findings must <br/>
<a id="pl.96.17"></a><var>96.17</var>include a brief description of what preventive and reunification efforts were made and <br/>
<a id="pl.96.18"></a><var>96.18</var>why further efforts could not have prevented or eliminated the necessity of removal or that <br/>
<a id="pl.96.19"></a><var>96.19</var>reasonable efforts were not required under section 
         <statute_ref>260.012</statute_ref> or 
         <statute_ref>260C.178, subdivision 1</statute_ref>; <br/>
<a id="pl.96.20"></a><var>96.20</var>(ii) to identify and locate any noncustodial or nonresident parent of the child and to <br/>
<a id="pl.96.21"></a><var>96.21</var>assess such parent's ability to provide day-to-day care of the child, and, where appropriate, <br/>
<a id="pl.96.22"></a><var>96.22</var>provide services necessary to enable the noncustodial or nonresident parent to safely <br/>
<a id="pl.96.23"></a><var>96.23</var>provide day-to-day care of the child as required under section 260C.219, unless such <br/>
<a id="pl.96.24"></a><var>96.24</var>services are not required under section 260.012 or 260C.178, subdivision 1;<br/>
<a id="pl.96.25"></a><var>96.25</var>(iii) to make the diligent search for relatives and provide the notices required under <br/>
<a id="pl.96.26"></a><var>96.26</var>section 260C.221; a finding made pursuant to a hearing under section 260C.202 that <br/>
<a id="pl.96.27"></a><var>96.27</var>the agency has made diligent efforts to conduct a relative search and has appropriately <br/>
<a id="pl.96.28"></a><var>96.28</var>engaged relatives who responded to the notice under section 260C.221 and other relatives, <br/>
<a id="pl.96.29"></a><var>96.29</var>who came to the attention of the agency after notice under section 260C.221 was sent, in <br/>
<a id="pl.96.30"></a><var>96.30</var>placement and case planning decisions fulfills the requirement of this item;<br/>
<a id="pl.96.31"></a><var>96.31</var>(iv) to identify and make a foster care placement in the home of an unlicensed <br/>
<a id="pl.96.32"></a><var>96.32</var>relative, according to the requirements of section 245A.035, a licensed relative, or other <br/>
<a id="pl.96.33"></a><var>96.33</var>licensed foster care provider who will commit to being the permanent legal parent or <br/>
<a id="pl.96.34"></a><var>96.34</var>custodian for the child in the event reunification cannot occur, but who will actively <br/>
<a id="pl.96.35"></a><var>96.35</var>support the reunification plan for the child; and<br/>
<a id="pl.97.1"></a><var>97.1</var>(v) to place siblings together in the same home or to ensure visitation is occurring <br/>
<a id="pl.97.2"></a><var>97.2</var>when siblings are separated in foster care placement and visitation is in the siblings' best <br/>
<a id="pl.97.3"></a><var>97.3</var>interests under section 260C.212, subdivision 2, paragraph (d); and<br/>
<a id="pl.97.4"></a><var>97.4</var>(5) if the child has been adjudicated as a child in need of protection or services <br/>
<a id="pl.97.5"></a><var>97.5</var>because the child is in need of special services or care to treat or ameliorate a mental <br/>
<a id="pl.97.6"></a><var>97.6</var>disability or emotional disturbance as defined in section 
         <statute_ref>245.4871, subdivision 15</statute_ref>, the <br/>
<a id="pl.97.7"></a><var>97.7</var>written findings shall also set forth:<br/>
<a id="pl.97.8"></a><var>97.8</var>(i) whether the child has mental health needs that must be addressed by the case plan;<br/>
<a id="pl.97.9"></a><var>97.9</var>(ii) what consideration was given to the diagnostic and functional assessments <br/>
<a id="pl.97.10"></a><var>97.10</var>performed by the child's mental health professional and to health and mental health care <br/>
<a id="pl.97.11"></a><var>97.11</var>professionals' treatment recommendations;<br/>
<a id="pl.97.12"></a><var>97.12</var>(iii) what consideration was given to the requests or preferences of the child's parent <br/>
<a id="pl.97.13"></a><var>97.13</var>or guardian with regard to the child's interventions, services, or treatment; and<br/>
<a id="pl.97.14"></a><var>97.14</var>(iv) what consideration was given to the cultural appropriateness of the child's <br/>
<a id="pl.97.15"></a><var>97.15</var>treatment or services.<br/>
<a id="pl.97.16"></a><var>97.16</var>(b) If the court finds that the social services agency's preventive or reunification <br/>
<a id="pl.97.17"></a><var>97.17</var>efforts have not been reasonable but that further preventive or reunification efforts could <br/>
<a id="pl.97.18"></a><var>97.18</var>not permit the child to safely remain at home, the court may nevertheless authorize or <br/>
<a id="pl.97.19"></a><var>97.19</var>continue the removal of the child.<br/>
<a id="pl.97.20"></a><var>97.20</var>(c) If the child has been identified by the responsible social services agency as the <br/>
<a id="pl.97.21"></a><var>97.21</var>subject of concurrent permanency planning, the court shall review the reasonable efforts <br/>
<a id="pl.97.22"></a><var>97.22</var>of the agency to recruit, identify, and make a placement in a home where the foster parent <br/>
<a id="pl.97.23"></a><var>97.23</var>or relative that has committed to being the legally permanent home for the child in the <br/>
<a id="pl.97.24"></a><var>97.24</var>event reunification efforts are not successful develop a permanency plan for the child that <br/>
<a id="pl.97.25"></a><var>97.25</var>includes a primary plan which is for reunification with the child's parent or guardian and a <br/>
<a id="pl.97.26"></a><var>97.26</var>secondary plan which is for an alternative, legally permanent home for the child in the <br/>
<a id="pl.97.27"></a><var>97.27</var>event reunification cannot be achieved in a timely manner.<br/>
<br/>
<a id="bill.4.16.0"></a><a id="pl.97.28"></a><var>97.28</var>    Sec. 16. Minnesota Statutes 2010, section 260C.201, subdivision 10, is amended to <br/>
<a id="pl.97.29"></a><var>97.29</var>read:<br/>
<a id="pl.97.30"></a><var>97.30</var>    Subd. 10. <b>Court review of foster care.</b> (a) If the court orders a child placed <br/>
<a id="pl.97.31"></a><var>97.31</var>in foster care, the court shall review the out-of-home placement plan and the child's <br/>
<a id="pl.97.32"></a><var>97.32</var>placement at least every 90 days as required in juvenile court rules to determine whether <br/>
<a id="pl.97.33"></a><var>97.33</var>continued out-of-home placement is necessary and appropriate or whether the child should <br/>
<a id="pl.97.34"></a><var>97.34</var>be returned home. This review is not required if the court has returned the child home, <br/>
<a id="pl.97.35"></a><var>97.35</var>ordered the child permanently placed away from the parent under subdivision 11, or <br/>
<a id="pl.98.1"></a><var>98.1</var>terminated rights under section 
         <statute_ref>260C.301</statute_ref>. Court review for a child permanently placed <br/>
<a id="pl.98.2"></a><var>98.2</var>away from a parent, including where the child is under guardianship and legal custody of <br/>
<a id="pl.98.3"></a><var>98.3</var>the commissioner, shall be governed by subdivision 11 or section 
         <statute_ref>260C.317, subdivision <br/>
<a id="pl.98.4"></a><var>98.4</var>3
</statute_ref>, whichever is applicable 260C.607.<br/>
<a id="pl.98.5"></a><var>98.5</var>    (b) No later than six three months after the child's placement in foster care, the court <br/>
<a id="pl.98.6"></a><var>98.6</var>shall review agency efforts pursuant to section 
         <statute_ref>260C.212, subdivision 2</statute_ref> 260C.221, and <br/>
<a id="pl.98.7"></a><var>98.7</var>order that the efforts continue if the agency has failed to perform the duties under that <br/>
<a id="pl.98.8"></a><var>98.8</var>section. The court must order the agency to continue to appropriately engage relatives <br/>
<a id="pl.98.9"></a><var>98.9</var>who responded to the notice under section 260C.221 in placement and case planning <br/>
<a id="pl.98.10"></a><var>98.10</var>decisions and to engage other relatives who came to the agency's attention after notice <br/>
<a id="pl.98.11"></a><var>98.11</var>under section 260C.221 was sent.<br/>
<a id="pl.98.12"></a><var>98.12</var>    (c) The court shall review the out-of-home placement plan and may modify the plan <br/>
<a id="pl.98.13"></a><var>98.13</var>as provided under subdivisions 6 and 7.<br/>
<a id="pl.98.14"></a><var>98.14</var>    (d) When the court orders transfer of custody to a responsible social services <br/>
<a id="pl.98.15"></a><var>98.15</var>agency resulting in foster care or protective supervision with a noncustodial parent under <br/>
<a id="pl.98.16"></a><var>98.16</var>subdivision 1, the court shall notify the parents of the provisions of subdivisions 11 and <br/>
<a id="pl.98.17"></a><var>98.17</var>subdivision 11a and sections 260C.503 to 260C.521, as required under juvenile court rules.<br/>
<a id="pl.98.18"></a><var>98.18</var>    (e) When a child remains in or returns to foster care pursuant to section 
         <statute_ref>260C.451</statute_ref> and <br/>
<a id="pl.98.19"></a><var>98.19</var>the court has jurisdiction pursuant to section 
         <statute_ref>260C.193, subdivision 6</statute_ref>, paragraph (c), the <br/>
<a id="pl.98.20"></a><var>98.20</var>court shall at least annually conduct the review required under subdivision 11, paragraph <br/>
<a id="pl.98.21"></a><var>98.21</var>(d), or sections 
<statute_ref>260C.212, subdivision 7</statute_ref>, and 
<statute_ref>260C.317, subdivision 3</statute_ref> section 260C.203.<br/>
<br/>
<a id="bill.4.17.0"></a><a id="pl.98.22"></a><var>98.22</var>    Sec. 17. Minnesota Statutes 2010, section 260C.212, subdivision 5, is amended to read:<br/>
<a id="pl.98.23"></a><var>98.23</var>    Subd. 5. <b>Relative search.</b> (a) The responsible social services agency shall exercise <br/>
<a id="pl.98.24"></a><var>98.24</var>due diligence to identify and notify adult relatives prior to placement or within 30 days <br/>
<a id="pl.98.25"></a><var>98.25</var>after the child's removal from the parent. The county agency shall consider placement with <br/>
<a id="pl.98.26"></a><var>98.26</var>a relative under subdivision 2 without delay and whenever the child must move from or be <br/>
<a id="pl.98.27"></a><var>98.27</var>returned to foster care. The relative search required by this section shall be reasonable and <br/>
<a id="pl.98.28"></a><var>98.28</var>comprehensive in scope and may last up to six months or until a fit and willing relative <br/>
<a id="pl.98.29"></a><var>98.29</var>is identified. After a finding that the agency has made reasonable efforts to conduct the <br/>
<a id="pl.98.30"></a><var>98.30</var>relative search under this paragraph, the agency has the continuing responsibility to <br/>
<a id="pl.98.31"></a><var>98.31</var>appropriately involve relatives, who have responded to the notice required under this <br/>
<a id="pl.98.32"></a><var>98.32</var>paragraph, in planning for the child and to continue to consider relatives according to <br/>
<a id="pl.98.33"></a><var>98.33</var>the requirements of section 260C.212, subdivision 2. At any time during the course of <br/>
<a id="pl.98.34"></a><var>98.34</var>juvenile protection proceedings, the court may order the agency to reopen its search for <br/>
<a id="pl.98.35"></a><var>98.35</var>relatives when it is in the child's best interest to do so. The relative search required by this <br/>
<a id="pl.99.1"></a><var>99.1</var>section shall include both maternal relatives of the child and paternal relatives of the child, <br/>
<a id="pl.99.2"></a><var>99.2</var>if paternity is adjudicated. The search shall also include getting information from the child <br/>
<a id="pl.99.3"></a><var>99.3</var>in an age-appropriate manner about who the child considers to be family members and <br/>
<a id="pl.99.4"></a><var>99.4</var>important friends with whom the child has resided or had significant contact. The relative <br/>
<a id="pl.99.5"></a><var>99.5</var>search required under this section must fulfill the agency's duties under the Indian Child <br/>
<a id="pl.99.6"></a><var>99.6</var>Welfare Act regarding active efforts to prevent the breakup of the Indian family under <br/>
<a id="pl.99.7"></a><var>99.7</var>United States Code, title 25, section 1912(d), and to meet placement preferences under <br/>
<a id="pl.99.8"></a><var>99.8</var>United States Code, title 25, section 1915. The relatives must be notified:<br/>
<a id="pl.99.9"></a><var>99.9</var>(1) of the need for a foster home for the child, the option to become a placement <br/>
<a id="pl.99.10"></a><var>99.10</var>resource for the child, and the possibility of the need for a permanent placement for the <br/>
<a id="pl.99.11"></a><var>99.11</var>child;<br/>
<a id="pl.99.12"></a><var>99.12</var>(2) of their responsibility to keep the responsible social services agency informed of <br/>
<a id="pl.99.13"></a><var>99.13</var>their current address in order to receive notice in the event that a permanent placement is <br/>
<a id="pl.99.14"></a><var>99.14</var>sought for the child. A relative who fails to provide a current address to the responsible <br/>
<a id="pl.99.15"></a><var>99.15</var>social services agency forfeits the right to notice of the possibility of permanent placement. <br/>
<a id="pl.99.16"></a><var>99.16</var>A decision by a relative not to be identified as a potential permanent placement resource <br/>
<a id="pl.99.17"></a><var>99.17</var>or participate in planning for the child at the beginning of the case shall not affect whether <br/>
<a id="pl.99.18"></a><var>99.18</var>the relative is considered for placement of the child with that relative later;<br/>
<a id="pl.99.19"></a><var>99.19</var>(3) that the relative may participate in the care and planning for the child, including <br/>
<a id="pl.99.20"></a><var>99.20</var>that the opportunity for such participation may be lost by failing to respond to the notice. <br/>
<a id="pl.99.21"></a><var>99.21</var>"Participate in the care and planning" includes, but is not limited to, participation in case <br/>
<a id="pl.99.22"></a><var>99.22</var>planning for the parent and child, identifying the strengths and needs of the parent and <br/>
<a id="pl.99.23"></a><var>99.23</var>child, supervising visits, providing respite and vacation visits for the child, providing <br/>
<a id="pl.99.24"></a><var>99.24</var>transportation to appointments, suggesting other relatives who might be able to help <br/>
<a id="pl.99.25"></a><var>99.25</var>support the case plan, and to the extent possible, helping to maintain the child's familiar <br/>
<a id="pl.99.26"></a><var>99.26</var>and regular activities and contact with friends and relatives; and<br/>
<a id="pl.99.27"></a><var>99.27</var>(4) of the family foster care licensing requirements, including how to complete an <br/>
<a id="pl.99.28"></a><var>99.28</var>application and how to request a variance from licensing standards that do not present a <br/>
<a id="pl.99.29"></a><var>99.29</var>safety or health risk to the child in the home under section 
         <statute_ref>245A.04</statute_ref> and supports that are <br/>
<a id="pl.99.30"></a><var>99.30</var>available for relatives and children who reside in a family foster home.; and<br/>
<a id="pl.99.31"></a><var>99.31</var>    (5) of the relatives' right to ask to be notified of any court proceedings regarding <br/>
<a id="pl.99.32"></a><var>99.32</var>the child, to attend the hearings, and of a relative's right or opportunity to be heard by the <br/>
<a id="pl.99.33"></a><var>99.33</var>court as required under section 260C.152, subdivision 5.<br/>
<a id="pl.99.34"></a><var>99.34</var>(b) A responsible social services agency may disclose private or confidential data, <br/>
<a id="pl.99.35"></a><var>99.35</var>as defined in section sections
<statute_ref>13.02</statute_ref> and 626.556, to relatives of the child for the purpose <br/>
<a id="pl.99.36"></a><var>99.36</var>of locating and assessing a suitable placement and may use any reasonable means of <br/>
<a id="pl.100.1"></a><var>100.1</var>identifying and locating relatives including the Internet or other electronic means of <br/>
<a id="pl.100.2"></a><var>100.2</var>conducting a search. The agency shall disclose only data that is necessary to facilitate <br/>
<a id="pl.100.3"></a><var>100.3</var>possible placement with relatives and to ensure that the relative is informed of the needs <br/>
<a id="pl.100.4"></a><var>100.4</var>of the child so the relative can participate in planning for the child and be supportive of <br/>
<a id="pl.100.5"></a><var>100.5</var>services to the child and family. If the child's parent refuses to give the responsible social <br/>
<a id="pl.100.6"></a><var>100.6</var>services agency information sufficient to identify the maternal and paternal relatives of the <br/>
<a id="pl.100.7"></a><var>100.7</var>child, the agency shall ask the juvenile court to order the parent to provide the necessary <br/>
<a id="pl.100.8"></a><var>100.8</var>information. If a parent makes an explicit request that relatives or a specific relative not be <br/>
<a id="pl.100.9"></a><var>100.9</var>contacted or considered for placement, the agency shall bring the parent's request to the <br/>
<a id="pl.100.10"></a><var>100.10</var>attention of the court to determine whether the parent's request is consistent with the best <br/>
<a id="pl.100.11"></a><var>100.11</var>interests of the child and the agency shall not contact relatives or a specific relative unless <br/>
<a id="pl.100.12"></a><var>100.12</var>authorized to do so by the juvenile court.<br/>
<a id="pl.100.13"></a><var>100.13</var>(c) At a regularly scheduled hearing not later than three months after the child's <br/>
<a id="pl.100.14"></a><var>100.14</var>placement in foster care and as required in section 260C.202, the agency shall report to <br/>
<a id="pl.100.15"></a><var>100.15</var>the court:<br/>
<a id="pl.100.16"></a><var>100.16</var>(1) its efforts to identify maternal and paternal relatives of the child, to engage the <br/>
<a id="pl.100.17"></a><var>100.17</var>relatives in providing support for the child and family, and document that the relatives <br/>
<a id="pl.100.18"></a><var>100.18</var>have been provided the notice required under paragraph (a); and<br/>
<a id="pl.100.19"></a><var>100.19</var>(2) its decision regarding placing the child with a relative as required under section <br/>
<a id="pl.100.20"></a><var>100.20</var>260C.212, subdivision 2, and to ask relatives to visit or maintain contact with the child in <br/>
<a id="pl.100.21"></a><var>100.21</var>order to support family connections for the child, when placement with a relative is not <br/>
<a id="pl.100.22"></a><var>100.22</var>possible or appropriate.<br/>
<a id="pl.100.23"></a><var>100.23</var>(d) Notwithstanding chapter 13, the agency shall disclose data about particular <br/>
<a id="pl.100.24"></a><var>100.24</var>relatives identified, searched for, and contacted for the purposes of the court's review of <br/>
<a id="pl.100.25"></a><var>100.25</var>the agency's due diligence.<br/>
<a id="pl.100.26"></a><var>100.26</var>(e) When the court is satisfied that the agency has exercised due diligence to <br/>
<a id="pl.100.27"></a><var>100.27</var>identify relatives and provide the notice required in paragraph (a), the court may find that <br/>
<a id="pl.100.28"></a><var>100.28</var>reasonable efforts have been made to conduct a relative search to identify and provide <br/>
<a id="pl.100.29"></a><var>100.29</var>notice to adult relatives as required under section 260.012, paragraph (e), clause (3). If the <br/>
<a id="pl.100.30"></a><var>100.30</var>court is not satisfied that the agency has exercised due diligence to identify relatives and <br/>
<a id="pl.100.31"></a><var>100.31</var>provide the notice required in paragraph (a), the court may order the agency to continue its <br/>
<a id="pl.100.32"></a><var>100.32</var>search and notice efforts and to report back to the court.<br/>
<a id="pl.100.33"></a><var>100.33</var>(f) When the placing agency determines that a permanent placement hearing is <br/>
<a id="pl.100.34"></a><var>100.34</var>proceedings are necessary because there is a likelihood that the child will not return to a <br/>
<a id="pl.100.35"></a><var>100.35</var>parent's care, the agency may must send the notice provided in paragraph (d) (g), may ask <br/>
<a id="pl.100.36"></a><var>100.36</var>the court to modify the requirements duty of the agency under this paragraph to send the <br/>
<a id="pl.101.1"></a><var>101.1</var>notice required in paragraph (g), or may ask the court to completely relieve the agency <br/>
<a id="pl.101.2"></a><var>101.2</var>of the requirements of this paragraph (g). The relative notification requirements of this <br/>
<a id="pl.101.3"></a><var>101.3</var>paragraph (g) do not apply when the child is placed with an appropriate relative or a <br/>
<a id="pl.101.4"></a><var>101.4</var>foster home that has committed to being the adopting the child or taking permanent legal <br/>
<a id="pl.101.5"></a><var>101.5</var>placement for and physical custody of the child and the agency approves of that foster <br/>
<a id="pl.101.6"></a><var>101.6</var>home for permanent placement of the child. The actions ordered by the court under this <br/>
<a id="pl.101.7"></a><var>101.7</var>section must be consistent with the best interests, safety, permanency, and welfare of <br/>
<a id="pl.101.8"></a><var>101.8</var>the child.<br/>
<a id="pl.101.9"></a><var>101.9</var>(d) (g) Unless required under the Indian Child Welfare Act or relieved of this duty <br/>
<a id="pl.101.10"></a><var>101.10</var>by the court under paragraph (c) (e), when the agency determines that it is necessary to <br/>
<a id="pl.101.11"></a><var>101.11</var>prepare for the permanent placement determination hearing proceedings, or in anticipation <br/>
<a id="pl.101.12"></a><var>101.12</var>of filing a termination of parental rights petition, the agency shall send notice to the <br/>
<a id="pl.101.13"></a><var>101.13</var>relatives, any adult with whom the child is currently residing, any adult with whom the <br/>
<a id="pl.101.14"></a><var>101.14</var>child has resided for one year or longer in the past, and any adults who have maintained a <br/>
<a id="pl.101.15"></a><var>101.15</var>relationship or exercised visitation with the child as identified in the agency case plan. The <br/>
<a id="pl.101.16"></a><var>101.16</var>notice must state that a permanent home is sought for the child and that the individuals <br/>
<a id="pl.101.17"></a><var>101.17</var>receiving the notice may indicate to the agency their interest in providing a permanent <br/>
<a id="pl.101.18"></a><var>101.18</var>home. The notice must state that within 30 days of receipt of the notice an individual <br/>
<a id="pl.101.19"></a><var>101.19</var>receiving the notice must indicate to the agency the individual's interest in providing <br/>
<a id="pl.101.20"></a><var>101.20</var>a permanent home for the child or that the individual may lose the opportunity to be <br/>
<a id="pl.101.21"></a><var>101.21</var>considered for a permanent placement.<br/>
<a id="pl.101.22"></a><var>101.22</var>(e) The Department of Human Services shall develop a best practices guide and <br/>
<a id="pl.101.23"></a><var>101.23</var>specialized staff training to assist the responsible social services agency in performing and <br/>
<a id="pl.101.24"></a><var>101.24</var>complying with the relative search requirements under this subdivision.<br/>
<br/>
<a id="bill.4.18.0"></a><a id="pl.101.25"></a><var>101.25</var>    Sec. 18. Minnesota Statutes 2010, section 260C.212, subdivision 7, is amended to read:<br/>
<a id="pl.101.26"></a><var>101.26</var>    Subd. 7. <b>Administrative or court review of placements.</b> (a) Unless the court is <br/>
<a id="pl.101.27"></a><var>101.27</var>conducting the reviews required under section 260C.202, there shall be an administrative <br/>
<a id="pl.101.28"></a><var>101.28</var>review of the out-of-home placement plan of each child placed in foster care no later than <br/>
<a id="pl.101.29"></a><var>101.29</var>180 days after the initial placement of the child in foster care and at least every six months <br/>
<a id="pl.101.30"></a><var>101.30</var>thereafter if the child is not returned to the home of the parent or parents within that time. <br/>
<a id="pl.101.31"></a><var>101.31</var>The out-of-home placement plan must be monitored and updated at each administrative <br/>
<a id="pl.101.32"></a><var>101.32</var>review. The administrative review shall be conducted by the responsible social services <br/>
<a id="pl.101.33"></a><var>101.33</var>agency using a panel of appropriate persons at least one of whom is not responsible for the <br/>
<a id="pl.101.34"></a><var>101.34</var>case management of, or the delivery of services to, either the child or the parents who are <br/>
<a id="pl.102.1"></a><var>102.1</var>the subject of the review. The administrative review shall be open to participation by the <br/>
<a id="pl.102.2"></a><var>102.2</var>parent or guardian of the child and the child, as appropriate.<br/>
<a id="pl.102.3"></a><var>102.3</var>    (b) As an alternative to the administrative review required in paragraph (a), the court <br/>
<a id="pl.102.4"></a><var>102.4</var>may, as part of any hearing required under the Minnesota Rules of Juvenile Protection <br/>
<a id="pl.102.5"></a><var>102.5</var>Procedure, conduct a hearing to monitor and update the out-of-home placement plan <br/>
<a id="pl.102.6"></a><var>102.6</var>pursuant to the procedure and standard in section 
         <statute_ref>260C.201</statute_ref>, subdivision 6, paragraph <br/>
<a id="pl.102.7"></a><var>102.7</var>(d). The party requesting review of the out-of-home placement plan shall give parties to <br/>
<a id="pl.102.8"></a><var>102.8</var>the proceeding notice of the request to review and update the out-of-home placement <br/>
<a id="pl.102.9"></a><var>102.9</var>plan. A court review conducted pursuant to section 260C.141, subdivision 2;
<statute_ref>260C.193</statute_ref>; <br/>
<statute_ref><a id="pl.102.10"></a><var>102.10</var>260C.201
         </statute_ref>, subdivision 1 or 11; 
         <statute_ref>260C.141</statute_ref>, subdivision 2; 
<statute_ref>260C.317</statute_ref> 260C.202; 260C.204; <br/>
<a id="pl.102.11"></a><var>102.11</var>260C.317; or 
         <statute_ref>260D.06</statute_ref> shall satisfy the requirement for the review so long as the other <br/>
<a id="pl.102.12"></a><var>102.12</var>requirements of this section are met.<br/>
<a id="pl.102.13"></a><var>102.13</var>    (c) As appropriate to the stage of the proceedings and relevant court orders, the <br/>
<a id="pl.102.14"></a><var>102.14</var>responsible social services agency or the court shall review:<br/>
<a id="pl.102.15"></a><var>102.15</var>    (1) the safety, permanency needs, and well-being of the child;<br/>
<a id="pl.102.16"></a><var>102.16</var>    (2) the continuing necessity for and appropriateness of the placement;<br/>
<a id="pl.102.17"></a><var>102.17</var>    (3) the extent of compliance with the out-of-home placement plan;<br/>
<a id="pl.102.18"></a><var>102.18</var>    (4) the extent of progress which that has been made toward alleviating or mitigating <br/>
<a id="pl.102.19"></a><var>102.19</var>the causes necessitating placement in foster care;<br/>
<a id="pl.102.20"></a><var>102.20</var>    (5) the projected date by which the child may be returned to and safely maintained in <br/>
<a id="pl.102.21"></a><var>102.21</var>the home or placed permanently away from the care of the parent or parents or guardian; <br/>
<a id="pl.102.22"></a><var>102.22</var>and<br/>
<a id="pl.102.23"></a><var>102.23</var>    (6) the appropriateness of the services provided to the child.<br/>
<a id="pl.102.24"></a><var>102.24</var>    (d) When a child is age 16 or older, in addition to any administrative review <br/>
<a id="pl.102.25"></a><var>102.25</var>conducted by the agency, at the in-court review required under section 
         <statute_ref>260C.201</statute_ref>, <br/>
<a id="pl.102.26"></a><var>102.26</var>subdivision 11, or
<statute_ref>260C.317</statute_ref>, subdivision 3, clause (3), or 260C.515, subdivision 5 or <br/>
<a id="pl.102.27"></a><var>102.27</var>6, the court shall review the independent living plan required under section 260C.201, <br/>
<a id="pl.102.28"></a><var>102.28</var>subdivision 1, paragraph (c), clause (11), and the provision of services to the child related <br/>
<a id="pl.102.29"></a><var>102.29</var>to the well-being of the child as the child prepares to leave foster care. The review shall <br/>
<a id="pl.102.30"></a><var>102.30</var>include the actual plans related to each item in the plan necessary to the child's future <br/>
<a id="pl.102.31"></a><var>102.31</var>safety and well-being when the child is no longer in foster care.<br/>
<a id="pl.102.32"></a><var>102.32</var>    (1) (e) At the court review required under paragraph (d) for a child age 16 or older <br/>
<a id="pl.102.33"></a><var>102.33</var>the following procedures apply:<br/>
<a id="pl.102.34"></a><var>102.34</var>(1) six months before the child is expected to be discharged from foster care, the <br/>
<a id="pl.102.35"></a><var>102.35</var>responsible social services agency shall establish that it has given give the written <br/>
<a id="pl.102.36"></a><var>102.36</var>notice required under section 
         <statute_ref>260C.456</statute_ref> or Minnesota Rules, part 9560.0660 260C.451, <br/>
<a id="pl.103.1"></a><var>103.1</var>subdivision 1, regarding the right to continued access to services for certain children in <br/>
<a id="pl.103.2"></a><var>103.2</var>foster care past age 18 and of the right to appeal a denial of social services under section <br/>
<statute_ref><a id="pl.103.3"></a><var>103.3</var>256.045
         </statute_ref>. If The agency is unable to establish that shall file a copy of the notice, including <br/>
<a id="pl.103.4"></a><var>103.4</var>the right to appeal a denial of social services, has been given, with the court. If the agency <br/>
<a id="pl.103.5"></a><var>103.5</var>does not file the notice by the time the child is age 17-1/2, the court shall require the <br/>
<a id="pl.103.6"></a><var>103.6</var>agency to give it.;<br/>
<a id="pl.103.7"></a><var>103.7</var>    (2) consistent with the requirements of the independent living plan, the court shall <br/>
<a id="pl.103.8"></a><var>103.8</var>review progress toward or accomplishment of the following goals:<br/>
<a id="pl.103.9"></a><var>103.9</var>    (i) the child has obtained a high school diploma or its equivalent;<br/>
<a id="pl.103.10"></a><var>103.10</var>    (ii) the child has completed a driver's education course or has demonstrated the <br/>
<a id="pl.103.11"></a><var>103.11</var>ability to use public transportation in the child's community;<br/>
<a id="pl.103.12"></a><var>103.12</var>    (iii) the child is employed or enrolled in postsecondary education;<br/>
<a id="pl.103.13"></a><var>103.13</var>    (iv) the child has applied for and obtained postsecondary education financial aid for <br/>
<a id="pl.103.14"></a><var>103.14</var>which the child is eligible;<br/>
<a id="pl.103.15"></a><var>103.15</var>    (v) the child has health care coverage and health care providers to meet the child's <br/>
<a id="pl.103.16"></a><var>103.16</var>physical and mental health needs;<br/>
<a id="pl.103.17"></a><var>103.17</var>    (vi) the child has applied for and obtained disability income assistance for which <br/>
<a id="pl.103.18"></a><var>103.18</var>the child is eligible;<br/>
<a id="pl.103.19"></a><var>103.19</var>    (vii) the child has obtained affordable housing with necessary supports, which does <br/>
<a id="pl.103.20"></a><var>103.20</var>not include a homeless shelter;<br/>
<a id="pl.103.21"></a><var>103.21</var>    (viii) the child has saved sufficient funds to pay for the first month's rent and a <br/>
<a id="pl.103.22"></a><var>103.22</var>damage deposit;<br/>
<a id="pl.103.23"></a><var>103.23</var>    (ix) the child has an alternative affordable housing plan, which does not include a <br/>
<a id="pl.103.24"></a><var>103.24</var>homeless shelter, if the original housing plan is unworkable;<br/>
<a id="pl.103.25"></a><var>103.25</var>    (x) the child, if male, has registered for the Selective Service; and<br/>
<a id="pl.103.26"></a><var>103.26</var>    (xi) the child has a permanent connection to a caring adult.; and<br/>
<a id="pl.103.27"></a><var>103.27</var>    (3) the court shall ensure that the responsible agency in conjunction with the <br/>
<a id="pl.103.28"></a><var>103.28</var>placement provider assists the child in obtaining the following documents prior to the <br/>
<a id="pl.103.29"></a><var>103.29</var>child's leaving foster care: a Social Security card; the child's birth certificate; a state <br/>
<a id="pl.103.30"></a><var>103.30</var>identification card or driver's license, green card, or school visa; the child's school, <br/>
<a id="pl.103.31"></a><var>103.31</var>medical, and dental records; a contact list of the child's medical, dental, and mental health <br/>
<a id="pl.103.32"></a><var>103.32</var>providers; and contact information for the child's siblings, if the siblings are in foster care.<br/>
<a id="pl.103.33"></a><var>103.33</var>    (e) When a child is age 17 or older, during the 90-day period immediately prior to <br/>
<a id="pl.103.34"></a><var>103.34</var>the date the child is expected to be discharged from foster care, the responsible social <br/>
<a id="pl.103.35"></a><var>103.35</var>services agency is required to provide the child with assistance and support in developing <br/>
<a id="pl.103.36"></a><var>103.36</var>a transition plan that is personalized at the direction of the child. (f) For a child who <br/>
<a id="pl.104.1"></a><var>104.1</var>will be discharged from foster care at age 18 or older, the responsible social services <br/>
<a id="pl.104.2"></a><var>104.2</var>agency is required to develop a personalized transition plan as directed by the youth. The <br/>
<a id="pl.104.3"></a><var>104.3</var>transition plan must be developed during the 90-day period immediately prior to the <br/>
<a id="pl.104.4"></a><var>104.4</var>expected date of discharge. The transition plan must be as detailed as the child may elect <br/>
<a id="pl.104.5"></a><var>104.5</var>and include specific options on housing, health insurance, education, local opportunities <br/>
<a id="pl.104.6"></a><var>104.6</var>for mentors and continuing support services, and work force supports and employment <br/>
<a id="pl.104.7"></a><var>104.7</var>services. The plan must include information on the importance of designating another <br/>
<a id="pl.104.8"></a><var>104.8</var>individual to make health care treatment decisions on behalf of the child if the child <br/>
<a id="pl.104.9"></a><var>104.9</var>becomes unable to participate in these decisions and the child does not have, or does not <br/>
<a id="pl.104.10"></a><var>104.10</var>want, a relative who would otherwise be authorized to make these decisions. The plan <br/>
<a id="pl.104.11"></a><var>104.11</var>must provide the child with the option to execute a health care directive as provided <br/>
<a id="pl.104.12"></a><var>104.12</var>under chapter 145C. The county shall also provide the individual with appropriate contact <br/>
<a id="pl.104.13"></a><var>104.13</var>information if the individual needs more information or needs help dealing with a crisis <br/>
<a id="pl.104.14"></a><var>104.14</var>situation through age 21.<br/>
<br/>
<a id="bill.4.19.0"></a><a id="pl.104.15"></a><var>104.15</var>    Sec. 19. Minnesota Statutes 2010, section 260C.215, subdivision 4, is amended to read:<br/>
<a id="pl.104.16"></a><var>104.16</var>    Subd. 4. <b>Consultation with representatives</b><b> Duties of commissioner</b><b>.</b><br/>
<a id="pl.104.17"></a><var>104.17</var>The commissioner of human services, after seeking and considering advice from <br/>
<a id="pl.104.18"></a><var>104.18</var>representatives reflecting diverse populations from the councils established under sections <br/>
<a id="pl.104.19"></a><var>104.19</var><statute_ref>3.922</statute_ref>, 
<statute_ref>3.9223</statute_ref>, 
<statute_ref>3.9225</statute_ref>, and 
<statute_ref>3.9226</statute_ref>, and other state, local, and community organizations <br/>
<a id="pl.104.20"></a><var>104.20</var>shall: <br/>
<a id="pl.104.21"></a><var>104.21</var>(1) review and, where necessary, revise the Department of Human Services Social <br/>
<a id="pl.104.22"></a><var>104.22</var>Service Manual and Practice Guide provide practice guidance to responsible social <br/>
<a id="pl.104.23"></a><var>104.23</var>services agencies and child-placing agencies that reflect federal and state laws and policy <br/>
<a id="pl.104.24"></a><var>104.24</var>direction on placement of children;<br/>
<a id="pl.104.25"></a><var>104.25</var>(2) develop criteria for determining whether a prospective adoptive or foster family <br/>
<a id="pl.104.26"></a><var>104.26</var>has the ability to understand and validate the child's cultural background;<br/>
<a id="pl.104.27"></a><var>104.27</var>(3) develop provide a standardized training curriculum for adoption and foster care <br/>
<a id="pl.104.28"></a><var>104.28</var>workers, family-based providers, and administrators who work with children. Training <br/>
<a id="pl.104.29"></a><var>104.29</var>must address the following objectives:<br/>
<a id="pl.104.30"></a><var>104.30</var>(a) (i) developing and maintaining sensitivity to all cultures;<br/>
<a id="pl.104.31"></a><var>104.31</var>(b) (ii) assessing values and their cultural implications; and<br/>
<a id="pl.104.32"></a><var>104.32</var>(c) (iii) making individualized placement decisions that advance the best interests of <br/>
<a id="pl.104.33"></a><var>104.33</var>a particular child under section 
         <statute_ref>260C.212, subdivision 2</statute_ref>; and <br/>
<a id="pl.104.34"></a><var>104.34</var>(iv) issues related to cross-cultural placement;<br/>
<a id="pl.105.1"></a><var>105.1</var>(4) develop provide a training curriculum for family and extended family members <br/>
<a id="pl.105.2"></a><var>105.2</var>all prospective adoptive and foster families that prepares them to care for the needs of <br/>
<a id="pl.105.3"></a><var>105.3</var>adoptive and foster children. The curriculum must address issues relating to cross-cultural <br/>
<a id="pl.105.4"></a><var>105.4</var>placements as well as issues that arise after a foster or adoptive placement is made taking <br/>
<a id="pl.105.5"></a><var>105.5</var>into consideration the needs of children outlined in section 260C.212, subdivision 2, <br/>
<a id="pl.105.6"></a><var>105.6</var>paragraph (b); and<br/>
<a id="pl.105.7"></a><var>105.7</var>(5) develop and provide to agencies an assessment tool to be used in combination <br/>
<a id="pl.105.8"></a><var>105.8</var>with group interviews and other preplacement activities a home study format to evaluate <br/>
<a id="pl.105.9"></a><var>105.9</var>assess the capacities and needs of prospective adoptive and foster families. The tool <br/>
<a id="pl.105.10"></a><var>105.10</var>format must assess address problem-solving skills; identify parenting skills; and evaluate <br/>
<a id="pl.105.11"></a><var>105.11</var>the degree to which the prospective family has the ability to understand and validate the <br/>
<a id="pl.105.12"></a><var>105.12</var>child's cultural background, and other issues needed to provide sufficient information for <br/>
<a id="pl.105.13"></a><var>105.13</var>agencies to make an individualized placement decision consistent with section 260C.212, <br/>
<a id="pl.105.14"></a><var>105.14</var>subdivision 2. If a prospective adoptive parent has also been a foster parent, any update <br/>
<a id="pl.105.15"></a><var>105.15</var>necessary to a home study for the purpose of adoption may be completed by the licensing <br/>
<a id="pl.105.16"></a><var>105.16</var>authority responsible for the foster parent's license. If a prospective adoptive parent with an <br/>
<a id="pl.105.17"></a><var>105.17</var>approved adoptive home study also applies for a foster care license, the license application <br/>
<a id="pl.105.18"></a><var>105.18</var>may be made with the same agency which provided the adoptive home study; and<br/>
<a id="pl.105.19"></a><var>105.19</var>(6) shall consult with representatives reflecting diverse populations from the councils <br/>
<a id="pl.105.20"></a><var>105.20</var>established under sections 3.922, 3.9223, 3.9225, and 3.9226, and other state, local, and <br/>
<a id="pl.105.21"></a><var>105.21</var>community organizations.<br/>
<br/>
<a id="bill.4.20.0"></a><a id="pl.105.22"></a><var>105.22</var>    Sec. 20. Minnesota Statutes 2010, section 260C.215, subdivision 6, is amended to read:<br/>
<a id="pl.105.23"></a><var>105.23</var>    Subd. 6. <b>Duties of child-placing agencies.</b> (a) Each authorized child-placing <br/>
<a id="pl.105.24"></a><var>105.24</var>agency must:<br/>
<a id="pl.105.25"></a><var>105.25</var>(1) develop and follow procedures for implementing the requirements of section <br/>
<statute_ref><a id="pl.105.26"></a><var>105.26</var>260C.193, subdivision 3
</statute_ref> 260C.212, subdivision 2, and the Indian Child Welfare Act, <br/>
<a id="pl.105.27"></a><var>105.27</var>United States Code, title 25, sections 1901 to 1923; <br/>
<a id="pl.105.28"></a><var>105.28</var>(2) have a written plan for recruiting adoptive and foster families that reflect the <br/>
<a id="pl.105.29"></a><var>105.29</var>ethnic and racial diversity of children who are in need of foster and adoptive homes. <br/>
<a id="pl.105.30"></a><var>105.30</var>The plan must include: <br/>
<a id="pl.105.31"></a><var>105.31</var>(i) strategies for using existing resources in diverse communities,; <br/>
<a id="pl.105.32"></a><var>105.32</var>(ii) use of diverse outreach staff wherever possible,;<br/>
<a id="pl.105.33"></a><var>105.33</var>(iii) use of diverse foster homes for placements after birth and before adoption,; and<br/>
<a id="pl.105.34"></a><var>105.34</var>(iv) other techniques as appropriate;<br/>
<a id="pl.105.35"></a><var>105.35</var>(3) have a written plan for training adoptive and foster families;<br/>
<a id="pl.106.1"></a><var>106.1</var>(4) have a written plan for employing staff in adoption and foster care who have <br/>
<a id="pl.106.2"></a><var>106.2</var>the capacity to assess the foster and adoptive parents' ability to understand and validate a <br/>
<a id="pl.106.3"></a><var>106.3</var>child's cultural and meet the child's individual needs, and to advance the best interests of <br/>
<a id="pl.106.4"></a><var>106.4</var>the child, as required in section 260C.212, subdivision 2. The plan must include staffing <br/>
<a id="pl.106.5"></a><var>106.5</var>goals and objectives;<br/>
<a id="pl.106.6"></a><var>106.6</var>(5) ensure that adoption and foster care workers attend training offered or approved <br/>
<a id="pl.106.7"></a><var>106.7</var>by the Department of Human Services regarding cultural diversity and the needs of special <br/>
<a id="pl.106.8"></a><var>106.8</var>needs children; and<br/>
<a id="pl.106.9"></a><var>106.9</var>(6) develop and implement procedures for implementing the requirements of the <br/>
<a id="pl.106.10"></a><var>106.10</var>Indian Child Welfare Act and the Minnesota Indian Family Preservation Act.<br/>
<a id="pl.106.11"></a><var>106.11</var>(b) In determining the suitability of a proposed placement of an Indian child, the <br/>
<a id="pl.106.12"></a><var>106.12</var>standards to be applied must be the prevailing social and cultural standards of the Indian <br/>
<a id="pl.106.13"></a><var>106.13</var>child's community, and the agency shall defer to tribal judgment as to suitability of a <br/>
<a id="pl.106.14"></a><var>106.14</var>particular home when the tribe has intervened pursuant to the Indian Child Welfare Act.<br/>
<br/>
<a id="bill.4.21.0"></a><a id="pl.106.15"></a><var>106.15</var>    Sec. 21. <b>[260C.229] VOLUNTARY FOSTER CARE FOR CHILDREN OVER </b><br/>
<a id="pl.106.16"></a><var>106.16</var><b>AGE 18; REQUIRED COURT REVIEW.</b><br/>
<a id="pl.106.17"></a><var>106.17</var>(a) When a child asks to continue or to reenter foster care after age 18 under section <br/>
<a id="pl.106.18"></a><var>106.18</var>260C.451, the child and the responsible social services agency may enter into a voluntary <br/>
<a id="pl.106.19"></a><var>106.19</var>agreement for the child to be in foster care under the terms of section 260C.451. The <br/>
<a id="pl.106.20"></a><var>106.20</var>voluntary agreement must be in writing and on a form prescribed by the commissioner.<br/>
<a id="pl.106.21"></a><var>106.21</var>(b) When the child is in foster care pursuant to a voluntary foster care agreement <br/>
<a id="pl.106.22"></a><var>106.22</var>between the agency and child and the child is not already under court jurisdiction pursuant <br/>
<a id="pl.106.23"></a><var>106.23</var>to section 260C.193, subdivision 6, the agency responsible for the child's placement <br/>
<a id="pl.106.24"></a><var>106.24</var>in foster care shall:<br/>
<a id="pl.106.25"></a><var>106.25</var>(1) file a motion to reopen the juvenile protection matter where the court previously <br/>
<a id="pl.106.26"></a><var>106.26</var>had jurisdiction over the child within 30 days of the child and the agency executing the <br/>
<a id="pl.106.27"></a><var>106.27</var>voluntary placement agreement under paragraph (a) and ask the court to review the child's <br/>
<a id="pl.106.28"></a><var>106.28</var>placement in foster care and find that the placement is in the best interests of the child; and<br/>
<a id="pl.106.29"></a><var>106.29</var>(2) file the out-of-home placement plan required under subdivision 1 with the <br/>
<a id="pl.106.30"></a><var>106.30</var>motion to reopen jurisdiction.<br/>
<a id="pl.106.31"></a><var>106.31</var>(c) The court shall conduct a hearing on the matter within 30 days of the agency's <br/>
<a id="pl.106.32"></a><var>106.32</var>motion to reopen the matter and, if the court finds that placement is in the best interest of <br/>
<a id="pl.106.33"></a><var>106.33</var>the child, shall conduct the review for the purpose and with the content required under <br/>
<a id="pl.106.34"></a><var>106.34</var>section 260C.203, at least every 12 months as long as the child continues in foster care.<br/>
<br/>
<a id="bill.4.22.0"></a><a id="pl.107.1"></a><var>107.1</var>    Sec. 22. Minnesota Statutes 2010, section 260C.301, subdivision 8, is amended to read:<br/>
<a id="pl.107.2"></a><var>107.2</var>    Subd. 8. <b>Findings regarding reasonable efforts.</b> In any proceeding under this <br/>
<a id="pl.107.3"></a><var>107.3</var>section, the court shall make specific findings:<br/>
<a id="pl.107.4"></a><var>107.4</var>(1) that reasonable efforts to prevent the placement and finalize the permanency <br/>
<a id="pl.107.5"></a><var>107.5</var>plan to reunify the child and the parent were made including individualized and explicit <br/>
<a id="pl.107.6"></a><var>107.6</var>findings regarding the nature and extent of efforts made by the social services agency to <br/>
<a id="pl.107.7"></a><var>107.7</var>rehabilitate the parent and reunite the family; or<br/>
<a id="pl.107.8"></a><var>107.8</var>(2) that reasonable efforts at for reunification are not required as provided under <br/>
<a id="pl.107.9"></a><var>107.9</var>section 
         <statute_ref>260.012</statute_ref>. <br/>
<br/>
<a id="bill.4.23.0"></a><a id="pl.107.10"></a><var>107.10</var>    Sec. 23. Minnesota Statutes 2010, section 260C.328, is amended to read:<br/>
<a id="pl.107.11"></a><var>107.11</var><b>260C.328 CHANGE OF GUARDIAN; TERMINATION OF GUARDIANSHIP.</b><br/>
<a id="pl.107.12"></a><var>107.12</var>(a) Upon its own motion or upon petition of an interested party, the juvenile court <br/>
<a id="pl.107.13"></a><var>107.13</var>having jurisdiction of the child may, after notice to the parties and a hearing, remove <br/>
<a id="pl.107.14"></a><var>107.14</var>the guardian appointed by the juvenile court and appoint a new guardian in accordance <br/>
<a id="pl.107.15"></a><var>107.15</var>with the provisions of section 
         <statute_ref>260C.325, subdivision 1</statute_ref>, clause (a), (b), or (c). Upon a <br/>
<a id="pl.107.16"></a><var>107.16</var>showing that the child is emancipated, the court may discharge the guardianship. Any <br/>
<a id="pl.107.17"></a><var>107.17</var>child 14 years of age or older who is not adopted but who is placed in a satisfactory foster <br/>
<a id="pl.107.18"></a><var>107.18</var>home, may, with the consent of the foster parents, join with the guardian appointed by the <br/>
<a id="pl.107.19"></a><var>107.19</var>juvenile court in a petition to the court having jurisdiction of the child to discharge the <br/>
<a id="pl.107.20"></a><var>107.20</var>existing guardian and appoint the foster parents as guardians of the child. <br/>
<a id="pl.107.21"></a><var>107.21</var>(b) The authority of a guardian appointed by the juvenile court terminates when the <br/>
<a id="pl.107.22"></a><var>107.22</var>individual under guardianship is no longer a minor or when guardianship is otherwise <br/>
<a id="pl.107.23"></a><var>107.23</var>discharged becomes age 18. However, an individual who has been under the guardianship <br/>
<a id="pl.107.24"></a><var>107.24</var>of the commissioner and who has not been adopted may continue in foster care or reenter <br/>
<a id="pl.107.25"></a><var>107.25</var>foster care pursuant to section 260C.451 and the responsible social services agency has <br/>
<a id="pl.107.26"></a><var>107.26</var>continuing legal responsibility for the placement of the individual. <br/>
<br/>
<a id="bill.4.24.0"></a><a id="pl.107.27"></a><var>107.27</var>    Sec. 24. Minnesota Statutes 2010, section 260C.451, is amended to read:<br/>
<a id="pl.107.28"></a><var>107.28</var><b>260C.451 FOSTER CARE BENEFITS </b><b>TO AGE 21</b><b> PAST AGE 18</b><b>.</b><br/>
<a id="pl.107.29"></a><var>107.29</var>    Subdivision 1. <b>Notification </b><b>of benefits</b><b>.</b> Within the Six months prior to the child's <br/>
<a id="pl.107.30"></a><var>107.30</var>18th birthday, the local responsible social services agency shall advise provide written <br/>
<a id="pl.107.31"></a><var>107.31</var>notice on a form prescribed by the commissioner of human services to any child in foster <br/>
<a id="pl.107.32"></a><var>107.32</var>care under this chapter who cannot reasonably be expected to return home or have another <br/>
<a id="pl.107.33"></a><var>107.33</var>legally permanent family by the age of 18, the child's parents or legal guardian, if any, and <br/>
<a id="pl.108.1"></a><var>108.1</var>the child's guardian ad litem, and the child's foster parents of the availability of benefits of <br/>
<a id="pl.108.2"></a><var>108.2</var>the foster care program up to age 21, when the child is eligible under subdivisions 3 and 3a.<br/>
<a id="pl.108.3"></a><var>108.3</var>    Subd. 2. <b>Independent living plan.</b> Upon the request of any child receiving in foster <br/>
<a id="pl.108.4"></a><var>108.4</var>care benefits immediately prior to the child's 18th birthday and who is in foster care at <br/>
<a id="pl.108.5"></a><var>108.5</var>the time of the request, the local responsible social services agency shall, in conjunction <br/>
<a id="pl.108.6"></a><var>108.6</var>with the child and other appropriate parties, update the independent living plan required <br/>
<a id="pl.108.7"></a><var>108.7</var>under section 
         <statute_ref>260C.212</statute_ref>, subdivision 1, paragraph (c), clause (11), related to the child's <br/>
<a id="pl.108.8"></a><var>108.8</var>employment, vocational, educational, social, or maturational needs. The agency shall <br/>
<a id="pl.108.9"></a><var>108.9</var>provide continued services and foster care for the child including those services that are <br/>
<a id="pl.108.10"></a><var>108.10</var>necessary to implement the independent living plan.<br/>
<a id="pl.108.11"></a><var>108.11</var>    Subd. 3. <b>Eligibility</b><b> to continue in foster care</b><b>.</b> A child already in foster care <br/>
<a id="pl.108.12"></a><var>108.12</var>immediately prior to the child's 18th birthday may continue in foster care past age 18 <br/>
<a id="pl.108.13"></a><var>108.13</var>unless:<br/>
<a id="pl.108.14"></a><var>108.14</var>(1) the child can safely return home;<br/>
<a id="pl.108.15"></a><var>108.15</var>(2) the child is in placement pursuant to the agency's duties under section 256B.092 <br/>
<a id="pl.108.16"></a><var>108.16</var>and Minnesota Rules, parts 9525.0004 to 9525.0016, to meet the child's needs due to <br/>
<a id="pl.108.17"></a><var>108.17</var>developmental disability or related condition, and the child will be served as an adult <br/>
<a id="pl.108.18"></a><var>108.18</var>under section 256B.092 and Minnesota Rules, parts 9525.0004 to 9525.0016; or<br/>
<a id="pl.108.19"></a><var>108.19</var>(3) the child can be adopted or have permanent legal and physical custody <br/>
<a id="pl.108.20"></a><var>108.20</var>transferred to a relative prior to the child's 18th birthday. <br/>
<a id="pl.108.21"></a><var>108.21</var>    Subd. 3a. <b>Eligibility criteria.</b> The child must meet at least one of the following <br/>
<a id="pl.108.22"></a><var>108.22</var>conditions to be considered eligible to continue in or return to foster care and remain there <br/>
<a id="pl.108.23"></a><var>108.23</var>to age 21. The child must be:<br/>
<a id="pl.108.24"></a><var>108.24</var>    (1) completing secondary education or a program leading to an equivalent credential;<br/>
<a id="pl.108.25"></a><var>108.25</var>    (2) enrolled in an institution which that provides postsecondary or vocational <br/>
<a id="pl.108.26"></a><var>108.26</var>education;<br/>
<a id="pl.108.27"></a><var>108.27</var>    (3) participating in a program or activity designed to promote or remove barriers to <br/>
<a id="pl.108.28"></a><var>108.28</var>employment;<br/>
<a id="pl.108.29"></a><var>108.29</var>    (4) employed for at least 80 hours per month; or<br/>
<a id="pl.108.30"></a><var>108.30</var>    (5) incapable of doing any of the activities described in clauses (1) to (4) due to a <br/>
<a id="pl.108.31"></a><var>108.31</var>medical condition.<br/>
<a id="pl.108.32"></a><var>108.32</var>    Subd. 4. <b>Foster care benefits.</b> For children between the ages of 18 and 21, "foster <br/>
<a id="pl.108.33"></a><var>108.33</var>care benefits" means payment for those foster care settings defined in section 
         <statute_ref>260C.007</statute_ref>, <br/>
<a id="pl.108.34"></a><var>108.34</var>subdivision 18. Additionally, foster care benefits means payment for a supervised <br/>
<a id="pl.108.35"></a><var>108.35</var>setting, approved by the responsible social services agency, in which a child may live <br/>
<a id="pl.108.36"></a><var>108.36</var>independently.<br/>
<a id="pl.109.1"></a><var>109.1</var>    Subd. 5. <b>Permanent decision</b><b> Foster care setting</b><b>.</b> The particular foster care <br/>
<a id="pl.109.2"></a><var>109.2</var>setting, including supervised settings, shall be selected by the agency and the child <br/>
<a id="pl.109.3"></a><var>109.3</var>based on the best interest of the child consistent with section 
         <statute_ref>260C.212, subdivision 2</statute_ref>. <br/>
<a id="pl.109.4"></a><var>109.4</var>Supervision in approved settings must be determined by an individual determination of <br/>
<a id="pl.109.5"></a><var>109.5</var>the child's needs by the responsible social services agency and consistent with section <br/>
<statute_ref><a id="pl.109.6"></a><var>109.6</var>260C.212, subdivision 4a
         </statute_ref>.<br/>
<a id="pl.109.7"></a><var>109.7</var>    Subd. 6. <b>Individual plan to age 21</b><b> Reentering foster care and accessing services </b><br/>
<a id="pl.109.8"></a><var>109.8</var><b>after age 18</b><b>.</b> (a) Upon request of an individual between the ages of 18 and 21 who, <br/>
<a id="pl.109.9"></a><var>109.9</var>within six months of the individual's 18th birthday, had been under the guardianship of the <br/>
<a id="pl.109.10"></a><var>109.10</var>commissioner and who has left foster care without being adopted, the responsible social <br/>
<a id="pl.109.11"></a><var>109.11</var>services agency which had been the commissioner's agent for purposes of the guardianship <br/>
<a id="pl.109.12"></a><var>109.12</var>shall develop with the individual a plan related to the individual's vocational, educational, <br/>
<a id="pl.109.13"></a><var>109.13</var>social, or maturational needs to increase the individual's ability to live safely and <br/>
<a id="pl.109.14"></a><var>109.14</var>independently using the plan requirements of section 260C.212, subdivision 1, paragraph <br/>
<a id="pl.109.15"></a><var>109.15</var>(b), clause (11), and to assist the individual to meet one or more of the eligibility criteria in <br/>
<a id="pl.109.16"></a><var>109.16</var>subdivision 4 if the individual wants to reenter foster care. The agency shall provide foster <br/>
<a id="pl.109.17"></a><var>109.17</var>care with maintenance and counseling benefits as required to implement the plan. The <br/>
<a id="pl.109.18"></a><var>109.18</var>agency shall enter into a voluntary placement agreement under section 260C.229 with the <br/>
<a id="pl.109.19"></a><var>109.19</var>individual if the plan includes foster care.<br/>
<a id="pl.109.20"></a><var>109.20</var>(b) Individuals who had not been under the guardianship of the commissioner of <br/>
<a id="pl.109.21"></a><var>109.21</var>human services prior to age 18 and are between the ages of 18 and 21 may ask to reenter <br/>
<a id="pl.109.22"></a><var>109.22</var>foster care after age 18 and, to the extent funds are available, the responsible social <br/>
<a id="pl.109.23"></a><var>109.23</var>services agency that had responsibility for planning for the individual before discharge <br/>
<a id="pl.109.24"></a><var>109.24</var>from foster care may provide foster care or other services to the individual for the purpose <br/>
<a id="pl.109.25"></a><var>109.25</var>of increasing the individual's ability to live safely and independently and to meet the <br/>
<a id="pl.109.26"></a><var>109.26</var>eligibility criteria in subdivision 3a, if the individual:<br/>
<a id="pl.109.27"></a><var>109.27</var>(1) was in foster care for the six consecutive months prior to the person's 18th <br/>
<a id="pl.109.28"></a><var>109.28</var>birthday and was not discharged home, adopted, or received into a relative's home under a <br/>
<a id="pl.109.29"></a><var>109.29</var>transfer of permanent legal and physical custody under section 260C.515, subdivision 4; or<br/>
<a id="pl.109.30"></a><var>109.30</var>(2) was discharged from foster care while on runaway status after age 15.<br/>
<a id="pl.109.31"></a><var>109.31</var>(c) In conjunction with a qualifying and eligible individual under paragraph (b) and <br/>
<a id="pl.109.32"></a><var>109.32</var>other appropriate persons, the responsible social services agency shall develop a specific <br/>
<a id="pl.109.33"></a><var>109.33</var>plan related to that individual's vocational, educational, social, or maturational needs <br/>
<a id="pl.109.34"></a><var>109.34</var>and, to the extent funds are available, provide foster care as required to implement the <br/>
<a id="pl.109.35"></a><var>109.35</var>plan. The agency shall enter into a voluntary placement agreement with the individual <br/>
<a id="pl.109.36"></a><var>109.36</var>if the plan includes foster care.<br/>
<a id="pl.110.1"></a><var>110.1</var>(d) Youth who left foster care while under guardianship of the commissioner of <br/>
<a id="pl.110.2"></a><var>110.2</var>human services retain eligibility for foster care for placement at any time between the <br/>
<a id="pl.110.3"></a><var>110.3</var>ages of 18 and 21.<br/>
<a id="pl.110.4"></a><var>110.4</var>    Subd. 7. <b>Jurisdiction.</b> Notwithstanding that the court retains jurisdiction pursuant <br/>
<a id="pl.110.5"></a><var>110.5</var>to this section, Individuals in foster care pursuant to this section are adults for all purposes <br/>
<a id="pl.110.6"></a><var>110.6</var>except the continued provision of foster care. Any order establishing guardianship under <br/>
<a id="pl.110.7"></a><var>110.7</var>section 
         <statute_ref>260C.325</statute_ref>, any legal custody order under section 
         <statute_ref>260C.201, subdivision 1</statute_ref>, and <br/>
<a id="pl.110.8"></a><var>110.8</var>any order for legal custody associated with an order for long-term foster care permanent <br/>
<a id="pl.110.9"></a><var>110.9</var>custody under section 
         <statute_ref>260C.201, subdivision 11</statute_ref> 260C.515, subdivision 5, terminates on <br/>
<a id="pl.110.10"></a><var>110.10</var>the child's 18th birthday. The responsible social services agency has legal responsibility <br/>
<a id="pl.110.11"></a><var>110.11</var>for the individual's placement and care when the matter continues under court jurisdiction <br/>
<a id="pl.110.12"></a><var>110.12</var>pursuant to section 260C.193 or when the individual and the responsible agency execute a <br/>
<a id="pl.110.13"></a><var>110.13</var>voluntary placement agreement pursuant to section 260C.229.<br/>
<a id="pl.110.14"></a><var>110.14</var>    Subd. 8. <b>Notice of termination of foster care.</b> When a child in foster care between <br/>
<a id="pl.110.15"></a><var>110.15</var>the ages of 18 and 21 ceases to meet one of the eligibility criteria of subdivision 3a, the <br/>
<a id="pl.110.16"></a><var>110.16</var>responsible social services agency shall give the child written notice that foster care will <br/>
<a id="pl.110.17"></a><var>110.17</var>terminate 30 days from the date the notice is sent. The child or the child's guardian ad <br/>
<a id="pl.110.18"></a><var>110.18</var>litem may file a motion asking the court to review the agency's determination within 15 <br/>
<a id="pl.110.19"></a><var>110.19</var>days of receiving the notice. The child shall not be discharged from foster care until the <br/>
<a id="pl.110.20"></a><var>110.20</var>motion is heard. The agency shall work with the child to transition out of foster care as <br/>
<a id="pl.110.21"></a><var>110.21</var>required under section 260C.203, paragraph (e). The written notice of termination of <br/>
<a id="pl.110.22"></a><var>110.22</var>benefits shall be on a form prescribed by the commissioner and shall also give notice of <br/>
<a id="pl.110.23"></a><var>110.23</var>the right to have the agency's determination reviewed by the court in the proceeding where <br/>
<a id="pl.110.24"></a><var>110.24</var>the court conducts the reviews required under section 260C.203, 260C.317, or 260C.515, <br/>
<a id="pl.110.25"></a><var>110.25</var>subdivision 5 or 6. A copy of the termination notice shall be sent to the child and the <br/>
<a id="pl.110.26"></a><var>110.26</var>child's attorney, if any, the foster care provider, the child's guardian ad litem, and the <br/>
<a id="pl.110.27"></a><var>110.27</var>court. The agency is not responsible for paying foster care benefits for any period of time <br/>
<a id="pl.110.28"></a><var>110.28</var>after the child actually leaves foster care.<br/>
<br/>
<a id="bill.4.25.0"></a><a id="pl.110.29"></a><var>110.29</var>    Sec. 25. <b>[260C.503] PERMANENCY PROCEEDINGS.</b><br/>
<a id="pl.110.30"></a><var>110.30</var>    Subdivision 1. <b>Required permanency proceedings.</b>  Except for children in foster <br/>
<a id="pl.110.31"></a><var>110.31</var>care pursuant to chapter 260D, where the child is in foster care or in the care of a <br/>
<a id="pl.110.32"></a><var>110.32</var>noncustodial or nonresident parent, the court shall commence proceedings to determine <br/>
<a id="pl.110.33"></a><var>110.33</var>the permanent status of a child by holding the admit-deny hearing required under section <br/>
<a id="pl.110.34"></a><var>110.34</var>260C.507 not later than 12 months after the child is placed in foster care or in the care of a <br/>
<a id="pl.111.1"></a><var>111.1</var>noncustodial or nonresident parent. Permanency proceedings for children in foster care <br/>
<a id="pl.111.2"></a><var>111.2</var>pursuant to chapter 260D shall be according to section 260D.07.<br/>
<a id="pl.111.3"></a><var>111.3</var>    Subd. 2. <b>Termination of parental rights.</b> (a) The responsible social services <br/>
<a id="pl.111.4"></a><var>111.4</var>agency must ask the county attorney to immediately file a termination of parental rights <br/>
<a id="pl.111.5"></a><var>111.5</var>petition when:<br/>
<a id="pl.111.6"></a><var>111.6</var>(1) the child has been subjected to egregious harm as defined in section 260C.007, <br/>
<a id="pl.111.7"></a><var>111.7</var>subdivision 14;<br/>
<a id="pl.111.8"></a><var>111.8</var>(2) the child is determined to be the sibling of a child who was subjected to <br/>
<a id="pl.111.9"></a><var>111.9</var>egregious harm;<br/>
<a id="pl.111.10"></a><var>111.10</var>(3) the child is an abandoned infant as defined in section 260C.301, subdivision 3, <br/>
<a id="pl.111.11"></a><var>111.11</var>paragraph (b), clause (2);<br/>
<a id="pl.111.12"></a><var>111.12</var>(4) the child's parent has lost parental rights to another child through an order <br/>
<a id="pl.111.13"></a><var>111.13</var>involuntarily terminating the parent's rights;<br/>
<a id="pl.111.14"></a><var>111.14</var>(5) the parent has committed sexual abuse as defined in section 626.556, subdivision <br/>
<a id="pl.111.15"></a><var>111.15</var>2, against the child or another child of the parent;<br/>
<a id="pl.111.16"></a><var>111.16</var>    (6) the parent has committed an offense that requires registration as a predatory <br/>
<a id="pl.111.17"></a><var>111.17</var>offender under section 243.166, subdivision 1b, paragraph (a) or (b); or<br/>
<a id="pl.111.18"></a><var>111.18</var>(7) another child of the parent is the subject of an order involuntarily transferring <br/>
<a id="pl.111.19"></a><var>111.19</var>permanent legal and physical custody of the child to a relative under this chapter or a <br/>
<a id="pl.111.20"></a><var>111.20</var>similar law of another jurisdiction; <br/>
<a id="pl.111.21"></a><var>111.21</var>The county attorney shall file a termination of parental rights petition unless the conditions <br/>
<a id="pl.111.22"></a><var>111.22</var>of paragraph (d) are met.<br/>
<a id="pl.111.23"></a><var>111.23</var>(b) When the termination of parental rights petition is filed under this subdivision, <br/>
<a id="pl.111.24"></a><var>111.24</var>the responsible social services agency shall identify, recruit, and approve an adoptive <br/>
<a id="pl.111.25"></a><var>111.25</var>family for the child. If a termination of parental rights petition has been filed by another <br/>
<a id="pl.111.26"></a><var>111.26</var>party, the responsible social services agency shall be joined as a party to the petition.<br/>
<a id="pl.111.27"></a><var>111.27</var>(c) If criminal charges have been filed against a parent arising out of the conduct <br/>
<a id="pl.111.28"></a><var>111.28</var>alleged to constitute egregious harm, the county attorney shall determine which matter <br/>
<a id="pl.111.29"></a><var>111.29</var>should proceed to trial first, consistent with the best interests of the child and subject <br/>
<a id="pl.111.30"></a><var>111.30</var>to the defendant's right to a speedy trial.<br/>
<a id="pl.111.31"></a><var>111.31</var>(d) The requirement of paragraph (a) does not apply if the responsible social services <br/>
<a id="pl.111.32"></a><var>111.32</var>agency and the county attorney determine and file with the court:<br/>
<a id="pl.111.33"></a><var>111.33</var>(1) a petition for transfer of permanent legal and physical custody to a relative under <br/>
<a id="pl.111.34"></a><var>111.34</var>sections 260C.505 and 260C.515, subdivision 3, including a determination that adoption <br/>
<a id="pl.111.35"></a><var>111.35</var>is not in the child's best interests and that transfer of permanent legal and physical custody <br/>
<a id="pl.111.36"></a><var>111.36</var>is in the child's best interests; or<br/>
<a id="pl.112.1"></a><var>112.1</var>(2) a petition under section 260C.141 alleging the child, and where appropriate, <br/>
<a id="pl.112.2"></a><var>112.2</var>the child's siblings, to be in need of protection or services accompanied by a case plan <br/>
<a id="pl.112.3"></a><var>112.3</var>prepared by the responsible social services agency documenting a compelling reason why <br/>
<a id="pl.112.4"></a><var>112.4</var>filing a termination of parental rights petition would not be in the best interests of the child.<br/>
<a id="pl.112.5"></a><var>112.5</var>    Subd. 3. <b>Calculating time to required permanency proceedings.</b> (a) For <br/>
<a id="pl.112.6"></a><var>112.6</var>purposes of this section, the date of the child's placement in foster care is the earlier of <br/>
<a id="pl.112.7"></a><var>112.7</var>the first court-ordered placement or 60 days after the date on which the child has been <br/>
<a id="pl.112.8"></a><var>112.8</var>voluntarily placed in foster care by the child's parent or guardian. For purposes of this <br/>
<a id="pl.112.9"></a><var>112.9</var>section, time spent by a child in the home of the noncustodial parent pursuant to court <br/>
<a id="pl.112.10"></a><var>112.10</var>order under section 260C.178 or under the protective supervision of the responsible <br/>
<a id="pl.112.11"></a><var>112.11</var>social services agency in the home of the noncustodial parent pursuant to an order under <br/>
<a id="pl.112.12"></a><var>112.12</var>section 260C.201, subdivision 1, counts towards the requirement of a permanency hearing <br/>
<a id="pl.112.13"></a><var>112.13</var>under this section. Time spent on a trial home visit counts towards the requirement of a <br/>
<a id="pl.112.14"></a><var>112.14</var>permanency hearing under this section and the permanency progress review required <br/>
<a id="pl.112.15"></a><var>112.15</var>under section 260C.204.<br/>
<a id="pl.112.16"></a><var>112.16</var>(b) For the purposes of this section, 12 months is calculated as follows:<br/>
<a id="pl.112.17"></a><var>112.17</var>(1) during the pendency of a petition alleging that a child is in need of protection <br/>
<a id="pl.112.18"></a><var>112.18</var>or services, all time periods when a child is placed in foster care or in the home of a <br/>
<a id="pl.112.19"></a><var>112.19</var>noncustodial parent are cumulated;<br/>
<a id="pl.112.20"></a><var>112.20</var>(2) if a child has been placed in foster care within the previous five years under one <br/>
<a id="pl.112.21"></a><var>112.21</var>or more previous petitions, the lengths of all prior time periods when the child was placed <br/>
<a id="pl.112.22"></a><var>112.22</var>in foster care within the previous five years are cumulated. If a child under this clause <br/>
<a id="pl.112.23"></a><var>112.23</var>has been in foster care for 12 months or more, the court, if it is in the best interests of the <br/>
<a id="pl.112.24"></a><var>112.24</var>child and for compelling reasons, may extend the total time the child may continue out <br/>
<a id="pl.112.25"></a><var>112.25</var>of the home under the current petition up to an additional six months before making a <br/>
<a id="pl.112.26"></a><var>112.26</var>permanency determination.<br/>
<a id="pl.112.27"></a><var>112.27</var>(c) If the child is on a trial home visit 12 months after the child was placed in foster <br/>
<a id="pl.112.28"></a><var>112.28</var>care or in the care of a noncustodial parent, the responsible social services agency may file <br/>
<a id="pl.112.29"></a><var>112.29</var>a report with the court regarding the child's and parent's progress on the trial home visit and <br/>
<a id="pl.112.30"></a><var>112.30</var>the agency's reasonable efforts to finalize the child's safe and permanent return to the care <br/>
<a id="pl.112.31"></a><var>112.31</var>of the parent in lieu of filing the petition required under section 260C.505. The court shall <br/>
<a id="pl.112.32"></a><var>112.32</var>make findings regarding the reasonable efforts of the agency to finalize the child's return <br/>
<a id="pl.112.33"></a><var>112.33</var>home as the permanency disposition order in the best interests of the child. The court may <br/>
<a id="pl.112.34"></a><var>112.34</var>continue the trial home visit to a total time not to exceed six months as provided in section <br/>
<a id="pl.112.35"></a><var>112.35</var>260C.201, subdivision 1, paragraph (a), clause (3). If the court finds the agency has not <br/>
<a id="pl.112.36"></a><var>112.36</var>made reasonable efforts to finalize the child's return home as the permanency disposition <br/>
<a id="pl.113.1"></a><var>113.1</var>order in the child's best interests, the court may order other or additional efforts to support <br/>
<a id="pl.113.2"></a><var>113.2</var>the child remaining in the care of the parent. If a trial home visit ordered or continued at <br/>
<a id="pl.113.3"></a><var>113.3</var>permanency proceedings under sections 260C.503 to 260C.521 terminates, the court shall <br/>
<a id="pl.113.4"></a><var>113.4</var>commence or recommence permanency proceedings under this chapter no later than 30 <br/>
<a id="pl.113.5"></a><var>113.5</var>days after the child is returned to foster care or to the care of a noncustodial parent.<br/>
<br/>
<a id="bill.4.26.0"></a><a id="pl.113.6"></a><var>113.6</var>    Sec. 26. <b>[260C.505] PETITION.</b><br/>
<a id="pl.113.7"></a><var>113.7</var>(a) A permanency or termination of parental rights petition must be filed at or <br/>
<a id="pl.113.8"></a><var>113.8</var>prior to the time the child has been in foster care or in the care of a noncustodial or <br/>
<a id="pl.113.9"></a><var>113.9</var>nonresident parent for 11 months or in the expedited manner required in section 260C.503, <br/>
<a id="pl.113.10"></a><var>113.10</var>subdivision 2, paragraph (a). The court administrator shall serve the petition as required <br/>
<a id="pl.113.11"></a><var>113.11</var>in the Minnesota Rules of Juvenile Protection Procedure and section 260C.152 for the <br/>
<a id="pl.113.12"></a><var>113.12</var>admit-deny hearing on the petition required in section 260C.507.<br/>
<a id="pl.113.13"></a><var>113.13</var>(b) A petition under this section is not required if the responsible social services <br/>
<a id="pl.113.14"></a><var>113.14</var>agency intends to recommend that the child return to the care of the parent from whom <br/>
<a id="pl.113.15"></a><var>113.15</var>the child was removed at or prior to the time the court is required to hold the admit-deny <br/>
<a id="pl.113.16"></a><var>113.16</var>hearing required under section 260C.507.<br/>
<br/>
<a id="bill.4.27.0"></a><a id="pl.113.17"></a><var>113.17</var>    Sec. 27. <b>[260C.507] ADMIT-DENY HEARING.</b><br/>
<a id="pl.113.18"></a><var>113.18</var>(a) An admit-deny hearing on the permanency or termination of parental rights <br/>
<a id="pl.113.19"></a><var>113.19</var>petition shall be held not later than 12 months from the child's placement in foster care or <br/>
<a id="pl.113.20"></a><var>113.20</var>an order for the child to be in the care of a noncustodial or nonresident parent.<br/>
<a id="pl.113.21"></a><var>113.21</var>(b) An admit-deny hearing on the termination of parental rights or transfer of <br/>
<a id="pl.113.22"></a><var>113.22</var>permanent legal and physical custody petition required to be immediately filed under <br/>
<a id="pl.113.23"></a><var>113.23</var>section 260C.503, subdivision 2, paragraph (a), shall be within ten days of the filing <br/>
<a id="pl.113.24"></a><var>113.24</var>of the petition.<br/>
<a id="pl.113.25"></a><var>113.25</var>(c) At the admit-deny hearing, the court shall determine whether there is a prima <br/>
<a id="pl.113.26"></a><var>113.26</var>facie basis for finding that the agency made reasonable efforts, or in the case of an Indian <br/>
<a id="pl.113.27"></a><var>113.27</var>child active efforts, for reunification as required or that reasonable efforts for reunification <br/>
<a id="pl.113.28"></a><var>113.28</var>are not required under section 260.012 and proceed according to the Minnesota Rules of <br/>
<a id="pl.113.29"></a><var>113.29</var>Juvenile Protection Procedure.<br/>
<br/>
<a id="bill.4.28.0"></a><a id="pl.113.30"></a><var>113.30</var>    Sec. 28. <b>[260C.509] TRIAL.</b><br/>
<a id="pl.113.31"></a><var>113.31</var>The permanency proceedings shall be conducted in a timely fashion including <br/>
<a id="pl.113.32"></a><var>113.32</var>that any trial required under section 260C.163 shall be commenced within 60 days of <br/>
<a id="pl.114.1"></a><var>114.1</var>the admit-deny hearing required under section 260C.507. At the conclusion of the <br/>
<a id="pl.114.2"></a><var>114.2</var>permanency proceedings, the court shall:<br/>
<a id="pl.114.3"></a><var>114.3</var>(1) order the child returned to the care of the parent or guardian from whom the <br/>
<a id="pl.114.4"></a><var>114.4</var>child was removed; or<br/>
<a id="pl.114.5"></a><var>114.5</var>(2) order a permanency disposition under section 260C.515 or termination of <br/>
<a id="pl.114.6"></a><var>114.6</var>parental rights under sections 260C.301 to 260C.328 if a permanency disposition order or <br/>
<a id="pl.114.7"></a><var>114.7</var>termination of parental rights is in the child's best interests.<br/>
<br/>
<a id="bill.4.29.0"></a><a id="pl.114.8"></a><var>114.8</var>    Sec. 29. <b>[260C.511] BEST INTERESTS OF THE CHILD.</b><br/>
<a id="pl.114.9"></a><var>114.9</var>(a) The "best interests of the child" means all relevant factors to be considered <br/>
<a id="pl.114.10"></a><var>114.10</var>and evaluated.<br/>
<a id="pl.114.11"></a><var>114.11</var>(b) In making a permanency disposition order or termination of parental rights, <br/>
<a id="pl.114.12"></a><var>114.12</var>the court must be governed by the best interests of the child, including a review of the <br/>
<a id="pl.114.13"></a><var>114.13</var>relationship between the child and relatives and the child and other important persons with <br/>
<a id="pl.114.14"></a><var>114.14</var>whom the child has resided or had significant contact.<br/>
<br/>
<a id="bill.4.30.0"></a><a id="pl.114.15"></a><var>114.15</var>    Sec. 30. <b>[260C.513] PERMANENCY DISPOSITIONS WHEN CHILD CANNOT </b><br/>
<a id="pl.114.16"></a><var>114.16</var><b>RETURN HOME.</b><br/>
<a id="pl.114.17"></a><var>114.17</var>(a) Termination of parental rights and adoption, or guardianship to the commissioner <br/>
<a id="pl.114.18"></a><var>114.18</var>of human services through a consent to adopt are preferred permanency options for a <br/>
<a id="pl.114.19"></a><var>114.19</var>child who cannot return home. If the court finds that termination of parental rights and <br/>
<a id="pl.114.20"></a><var>114.20</var>guardianship to the commissioner is not in the child's best interests, the court may transfer <br/>
<a id="pl.114.21"></a><var>114.21</var>permanent legal and physical custody of the child to a relative when that order is in the <br/>
<a id="pl.114.22"></a><var>114.22</var>child's best interests.<br/>
<a id="pl.114.23"></a><var>114.23</var>(b) When the court has determined that permanent placement of the child away from <br/>
<a id="pl.114.24"></a><var>114.24</var>the parent is necessary, the court shall consider permanent alternative homes that are <br/>
<a id="pl.114.25"></a><var>114.25</var>available both inside and outside the state.<br/>
<br/>
<a id="bill.4.31.0"></a><a id="pl.114.26"></a><var>114.26</var>    Sec. 31. <b>[260C.515] PERMANENCY DISPOSITION ORDERS.</b><br/>
<a id="pl.114.27"></a><var>114.27</var>    Subdivision 1. <b>Court order required.</b> If the child is not returned to the home at or <br/>
<a id="pl.114.28"></a><var>114.28</var>before the conclusion of permanency proceedings under sections 260C.503 to 260C.521, <br/>
<a id="pl.114.29"></a><var>114.29</var>the court must order one of the permanency dispositions in this section.<br/>
<a id="pl.114.30"></a><var>114.30</var>    Subd. 2. <b>Termination of parental rights.</b> The court may order:<br/>
<a id="pl.114.31"></a><var>114.31</var>(1) termination of parental rights when the requirements of sections 260C.301 to <br/>
<a id="pl.114.32"></a><var>114.32</var>260C.328 are met; or<br/>
<a id="pl.115.1"></a><var>115.1</var>(2) the responsible social services agency to file a petition for termination of <br/>
<a id="pl.115.2"></a><var>115.2</var>parental rights in which case all the requirements of sections 260C.301 to 260C.328 <br/>
<a id="pl.115.3"></a><var>115.3</var>remain applicable.<br/>
<a id="pl.115.4"></a><var>115.4</var>    Subd. 3. <b>Guardianship; commissioner.</b> The court may order guardianship to the <br/>
<a id="pl.115.5"></a><var>115.5</var>commissioner of human services under the following procedures and conditions:<br/>
<a id="pl.115.6"></a><var>115.6</var>(1) there is an identified prospective adoptive parent agreed to by the responsible <br/>
<a id="pl.115.7"></a><var>115.7</var>social services agency having legal custody of the child pursuant to court order under this <br/>
<a id="pl.115.8"></a><var>115.8</var>chapter and that prospective adoptive parent has agreed to adopt the child;<br/>
<a id="pl.115.9"></a><var>115.9</var>(2) the court accepts the parent's voluntary consent to adopt in writing on a form <br/>
<a id="pl.115.10"></a><var>115.10</var>prescribed by the commissioner, executed before two competent witnesses and confirmed <br/>
<a id="pl.115.11"></a><var>115.11</var>by the consenting parent before the court or executed before court. The consent shall <br/>
<a id="pl.115.12"></a><var>115.12</var>contain notice that consent given under this chapter:<br/>
<a id="pl.115.13"></a><var>115.13</var>(i) is irrevocable upon acceptance by the court unless fraud is established and an <br/>
<a id="pl.115.14"></a><var>115.14</var>order issues permitting revocation as stated in clause (9) unless the matter is governed by <br/>
<a id="pl.115.15"></a><var>115.15</var>the Indian Child Welfare Act, United States Code, title 25, section 1913(c); and<br/>
<a id="pl.115.16"></a><var>115.16</var>(ii) will result in an order that the child is under the guardianship of the commissioner <br/>
<a id="pl.115.17"></a><var>115.17</var>of human services;<br/>
<a id="pl.115.18"></a><var>115.18</var>(3) a consent executed and acknowledged outside of this state, either in accordance <br/>
<a id="pl.115.19"></a><var>115.19</var>with the law of this state or in accordance with the law of the place where executed, is <br/>
<a id="pl.115.20"></a><var>115.20</var>valid;<br/>
<a id="pl.115.21"></a><var>115.21</var>(4) the court must review the matter at least every 90 days under section 260C.317;<br/>
<a id="pl.115.22"></a><var>115.22</var>(5) a consent to adopt under this subdivision vests guardianship of the child with <br/>
<a id="pl.115.23"></a><var>115.23</var>the commissioner of human services and makes the child a ward of the commissioner of <br/>
<a id="pl.115.24"></a><var>115.24</var>human services under section 260C.325;<br/>
<a id="pl.115.25"></a><var>115.25</var>(6) the court must forward to the commissioner a copy of the consent to adopt, <br/>
<a id="pl.115.26"></a><var>115.26</var>together with a certified copy of the order transferring guardianship to the commissioner;<br/>
<a id="pl.115.27"></a><var>115.27</var>(7) if an adoption is not finalized by the identified prospective adoptive parent within <br/>
<a id="pl.115.28"></a><var>115.28</var>six months of the execution of the consent to adopt under this clause, the responsible <br/>
<a id="pl.115.29"></a><var>115.29</var>social services agency shall pursue adoptive placement in another home unless the court <br/>
<a id="pl.115.30"></a><var>115.30</var>finds in a hearing under section 260C.317 that the failure to finalize is not due to either an <br/>
<a id="pl.115.31"></a><var>115.31</var>action or a failure to act by the prospective adoptive parent;<br/>
<a id="pl.115.32"></a><var>115.32</var>(8) notwithstanding clause (7), the responsible social services agency must pursue <br/>
<a id="pl.115.33"></a><var>115.33</var>adoptive placement in another home as soon as the agency determines that finalization <br/>
<a id="pl.115.34"></a><var>115.34</var>of the adoption with the identified prospective adoptive parent is not possible, that the <br/>
<a id="pl.115.35"></a><var>115.35</var>identified prospective adoptive parent is not willing to adopt the child, or that the identified <br/>
<a id="pl.116.1"></a><var>116.1</var>prospective adoptive parent is not cooperative in completing the steps necessary to finalize <br/>
<a id="pl.116.2"></a><var>116.2</var>the adoption;<br/>
<a id="pl.116.3"></a><var>116.3</var>(9) unless otherwise required by the Indian Child Welfare Act, United States Code, <br/>
<a id="pl.116.4"></a><var>116.4</var>title 25, section 1913(c), a consent to adopt executed under this section shall be irrevocable <br/>
<a id="pl.116.5"></a><var>116.5</var>upon acceptance by the court except upon order permitting revocation issued by the same <br/>
<a id="pl.116.6"></a><var>116.6</var>court after written findings that consent was obtained by fraud.<br/>
<a id="pl.116.7"></a><var>116.7</var>    Subd. 4. <b>Custody to relative.</b> The court may order permanent legal and physical <br/>
<a id="pl.116.8"></a><var>116.8</var>custody to a relative in the best interests of the child according to the following conditions:<br/>
<a id="pl.116.9"></a><var>116.9</var>(1) an order for transfer of permanent legal and physical custody to a relative shall <br/>
<a id="pl.116.10"></a><var>116.10</var>only be made after the court has reviewed the suitability of the prospective legal and <br/>
<a id="pl.116.11"></a><var>116.11</var>physical custodian;<br/>
<a id="pl.116.12"></a><var>116.12</var>(2) in transferring permanent legal and physical custody to a relative, the juvenile <br/>
<a id="pl.116.13"></a><var>116.13</var>court shall follow the standards applicable under this chapter and chapter 260, and the <br/>
<a id="pl.116.14"></a><var>116.14</var>procedures in the Minnesota Rules of Juvenile Protection Procedure;<br/>
<a id="pl.116.15"></a><var>116.15</var>(3) a transfer of legal and physical custody includes responsibility for the protection, <br/>
<a id="pl.116.16"></a><var>116.16</var>education, care, and control of the child and decision making on behalf of the child;<br/>
<a id="pl.116.17"></a><var>116.17</var>(4) a permanent legal and physical custodian may not return a child to the permanent <br/>
<a id="pl.116.18"></a><var>116.18</var>care of a parent from whom the court removed custody without the court's approval and <br/>
<a id="pl.116.19"></a><var>116.19</var>without notice to the responsible social services agency;<br/>
<a id="pl.116.20"></a><var>116.20</var>(5) the social services agency may file a petition naming a fit and willing relative as <br/>
<a id="pl.116.21"></a><var>116.21</var>a proposed permanent legal and physical custodian;<br/>
<a id="pl.116.22"></a><var>116.22</var>(6) another party to the permanency proceeding regarding the child may file a <br/>
<a id="pl.116.23"></a><var>116.23</var>petition to transfer permanent legal and physical custody to a relative, but the petition must <br/>
<a id="pl.116.24"></a><var>116.24</var>be filed not later than the date for the required admit/deny hearing under section 260C.507; <br/>
<a id="pl.116.25"></a><var>116.25</var>or if the agency's petition is filed under section 260C.503, subdivision 2, the petition must <br/>
<a id="pl.116.26"></a><var>116.26</var>be filed not later than 30 days prior to the trial required under section 260C.509; and <br/>
<a id="pl.116.27"></a><var>116.27</var>(7) the juvenile court may maintain jurisdiction over the responsible social services <br/>
<a id="pl.116.28"></a><var>116.28</var>agency, the parents or guardian of the child, the child, and the permanent legal and <br/>
<a id="pl.116.29"></a><var>116.29</var>physical custodian for purposes of ensuring appropriate services are delivered to the child <br/>
<a id="pl.116.30"></a><var>116.30</var>and permanent legal custodian for the purpose of ensuring conditions ordered by the court <br/>
<a id="pl.116.31"></a><var>116.31</var>related to the care and custody of the child are met.<br/>
<a id="pl.116.32"></a><var>116.32</var>    Subd. 5. <b>Permanent custody to agency.</b> The court may order permanent custody to <br/>
<a id="pl.116.33"></a><var>116.33</var>the responsible social services agency for continued placement of the child in foster care <br/>
<a id="pl.116.34"></a><var>116.34</var>but only if it approves the responsible social services agency's compelling reasons that no <br/>
<a id="pl.116.35"></a><var>116.35</var>other permanency disposition order is in the child's best interests, and:<br/>
<a id="pl.116.36"></a><var>116.36</var>(1) the child has reached age 12;<br/>
<a id="pl.117.1"></a><var>117.1</var>(2) the child is a sibling of a child described in clause (1) and the siblings have a <br/>
<a id="pl.117.2"></a><var>117.2</var>significant positive relationship and are ordered into the same foster home;<br/>
<a id="pl.117.3"></a><var>117.3</var>(3) the responsible social services agency has made reasonable efforts to locate and <br/>
<a id="pl.117.4"></a><var>117.4</var>place the child with an adoptive family or a fit and willing relative who would either agree <br/>
<a id="pl.117.5"></a><var>117.5</var>to adopt the child or to a transfer of permanent legal and physical custody of the child, but <br/>
<a id="pl.117.6"></a><var>117.6</var>these efforts have not proven successful; and<br/>
<a id="pl.117.7"></a><var>117.7</var>(4) the parent will continue to have visitation or contact with the child and will <br/>
<a id="pl.117.8"></a><var>117.8</var>remain involved in planning for the child.<br/>
<a id="pl.117.9"></a><var>117.9</var>    Subd. 6. <b>Temporary legal custody to agency.</b> The court may order temporary legal <br/>
<a id="pl.117.10"></a><var>117.10</var>custody to the responsible social services agency for continued placement of the child in <br/>
<a id="pl.117.11"></a><var>117.11</var>foster care for a specified period of time according to the following conditions:<br/>
<a id="pl.117.12"></a><var>117.12</var>(1) the sole basis for an adjudication that the child is in need of protection or services <br/>
<a id="pl.117.13"></a><var>117.13</var>is the child's behavior;<br/>
<a id="pl.117.14"></a><var>117.14</var>(2) the court finds that foster care for a specified period of time is in the best interests <br/>
<a id="pl.117.15"></a><var>117.15</var>of the child;<br/>
<a id="pl.117.16"></a><var>117.16</var>(3) the court approves the responsible social services agency's compelling reasons <br/>
<a id="pl.117.17"></a><var>117.17</var>that neither an award of permanent legal and physical custody to a relative, nor termination <br/>
<a id="pl.117.18"></a><var>117.18</var>of parental rights is in the child's best interests; and<br/>
<a id="pl.117.19"></a><var>117.19</var>(4) the order specifies that the child continue in foster care no longer than one year.<br/>
<br/>
<a id="bill.4.32.0"></a><a id="pl.117.20"></a><var>117.20</var>    Sec. 32. <b>[260C.517] FINDINGS AND CONTENT OF ORDER FOR </b><br/>
<a id="pl.117.21"></a><var>117.21</var><b>PERMANENCY DISPOSITION.</b><br/>
<a id="pl.117.22"></a><var>117.22</var>(a) Except for an order terminating parental rights, an order permanently placing <br/>
<a id="pl.117.23"></a><var>117.23</var>a child out of the home of the parent or guardian must include the following detailed <br/>
<a id="pl.117.24"></a><var>117.24</var>findings:<br/>
<a id="pl.117.25"></a><var>117.25</var>(1) how the child's best interests are served by the order;<br/>
<a id="pl.117.26"></a><var>117.26</var>(2) the nature and extent of the responsible social services agency's reasonable <br/>
<a id="pl.117.27"></a><var>117.27</var>efforts, or, in the case of an Indian child, active efforts to reunify the child with the parent <br/>
<a id="pl.117.28"></a><var>117.28</var>or guardian where reasonable efforts are required;<br/>
<a id="pl.117.29"></a><var>117.29</var>(3) the parent's or parents' efforts and ability to use services to correct the conditions <br/>
<a id="pl.117.30"></a><var>117.30</var>which led to the out-of-home placement; and<br/>
<a id="pl.117.31"></a><var>117.31</var>(4) that the conditions which led to the out-of-home placement have not been <br/>
<a id="pl.117.32"></a><var>117.32</var>corrected so that the child can safely return home.<br/>
<a id="pl.117.33"></a><var>117.33</var>(b) The court shall issue an order required under section 260C.515 and this section <br/>
<a id="pl.117.34"></a><var>117.34</var>within 15 days of the close of the proceedings. The court may extend issuing the order <br/>
<a id="pl.118.1"></a><var>118.1</var>an additional 15 days when necessary in the interests of justice and the best interests of <br/>
<a id="pl.118.2"></a><var>118.2</var>the child.<br/>
<br/>
<a id="bill.4.33.0"></a><a id="pl.118.3"></a><var>118.3</var>    Sec. 33. <b>[260C.519] FURTHER COURT HEARINGS.</b><br/>
<a id="pl.118.4"></a><var>118.4</var>Once a permanency disposition order has been made, further court hearings are <br/>
<a id="pl.118.5"></a><var>118.5</var>necessary if:<br/>
<a id="pl.118.6"></a><var>118.6</var>(1) the child is ordered on a trial home visit or under the protective supervision <br/>
<a id="pl.118.7"></a><var>118.7</var>of the responsible social services agency;<br/>
<a id="pl.118.8"></a><var>118.8</var>(2) the child continues in foster care;<br/>
<a id="pl.118.9"></a><var>118.9</var>(3) the court orders further hearings in a transfer of permanent legal and physical <br/>
<a id="pl.118.10"></a><var>118.10</var>custody matter including if a party seeks to modify an order under section 260C.521, <br/>
<a id="pl.118.11"></a><var>118.11</var>subdivision 2;<br/>
<a id="pl.118.12"></a><var>118.12</var>(4) an adoption has not yet been finalized; or<br/>
<a id="pl.118.13"></a><var>118.13</var>(5) the child returns to foster care after the court has entered an order for a <br/>
<a id="pl.118.14"></a><var>118.14</var>permanency disposition under this section.<br/>
<br/>
<a id="bill.4.34.0"></a><a id="pl.118.15"></a><var>118.15</var>    Sec. 34. <b>[260C.521] COURT REVIEWS AFTER PERMANENCY DISPOSITION </b><br/>
<a id="pl.118.16"></a><var>118.16</var><b>ORDER.</b><br/>
<a id="pl.118.17"></a><var>118.17</var>    Subdivision 1. <b>Child in permanent custody of responsible social services agency.</b><br/>
<a id="pl.118.18"></a><var>118.18</var>(a) Court reviews of an order for permanent custody to the responsible social services <br/>
<a id="pl.118.19"></a><var>118.19</var>agency for placement of the child in foster care must be conducted at least yearly at an <br/>
<a id="pl.118.20"></a><var>118.20</var>in-court appearance hearing.<br/>
<a id="pl.118.21"></a><var>118.21</var>(b) The purpose of the review hearing is to ensure:<br/>
<a id="pl.118.22"></a><var>118.22</var>(1) the order for permanent custody to the responsible social services agency for <br/>
<a id="pl.118.23"></a><var>118.23</var>placement of the child in foster care continues to be in the best interests of the child and <br/>
<a id="pl.118.24"></a><var>118.24</var>that no other permanency disposition order is in the best interests of the child;<br/>
<a id="pl.118.25"></a><var>118.25</var>(2) that the agency is assisting the child to build connections to the child's family <br/>
<a id="pl.118.26"></a><var>118.26</var>and community; and<br/>
<a id="pl.118.27"></a><var>118.27</var>(3) that the agency is appropriately planning with the child for development of <br/>
<a id="pl.118.28"></a><var>118.28</var>independent living skills for the child, and as appropriate, for the orderly and successful <br/>
<a id="pl.118.29"></a><var>118.29</var>transition to independent living that may occur if the child continues in foster care without <br/>
<a id="pl.118.30"></a><var>118.30</var>another permanency disposition order.<br/>
<a id="pl.118.31"></a><var>118.31</var>(c) The court must review the child's out-of-home placement plan and the reasonable <br/>
<a id="pl.118.32"></a><var>118.32</var>efforts of the agency to finalize an alternative permanent plan for the child including the <br/>
<a id="pl.118.33"></a><var>118.33</var>agency's efforts to:<br/>
<a id="pl.119.1"></a><var>119.1</var>(1) ensure that permanent custody to the agency with placement of the child in <br/>
<a id="pl.119.2"></a><var>119.2</var>foster care continues to be the most appropriate legal arrangement for meeting the child's <br/>
<a id="pl.119.3"></a><var>119.3</var>need for permanency and stability or, if not, to identify and attempt to finalize another <br/>
<a id="pl.119.4"></a><var>119.4</var>permanency disposition order under this chapter that would better serve the child's needs <br/>
<a id="pl.119.5"></a><var>119.5</var>and best interests;<br/>
<a id="pl.119.6"></a><var>119.6</var>(2) identify a specific foster home for the child, if one has not already been identified;<br/>
<a id="pl.119.7"></a><var>119.7</var>(3) support continued placement of the child in the identified home, if one has been <br/>
<a id="pl.119.8"></a><var>119.8</var>identified;<br/>
<a id="pl.119.9"></a><var>119.9</var>(4) ensure appropriate services are provided to address the physical health, mental <br/>
<a id="pl.119.10"></a><var>119.10</var>health, and educational needs of the child during the period of foster care and also ensure <br/>
<a id="pl.119.11"></a><var>119.11</var>appropriate services or assistance to maintain relationships with appropriate family <br/>
<a id="pl.119.12"></a><var>119.12</var>members and the child's community; and<br/>
<a id="pl.119.13"></a><var>119.13</var>(5) plan for the child's independence upon the child's leaving foster care living as <br/>
<a id="pl.119.14"></a><var>119.14</var>required under section 260C.212, subdivision 1.<br/>
<a id="pl.119.15"></a><var>119.15</var>(d) The court may find that the agency has made reasonable efforts to finalize the <br/>
<a id="pl.119.16"></a><var>119.16</var>permanent plan for the child when:<br/>
<a id="pl.119.17"></a><var>119.17</var>(1) the agency has made reasonable efforts to identify a more legally permanent <br/>
<a id="pl.119.18"></a><var>119.18</var>home for the child than is provided by an order for permanent custody to the agency <br/>
<a id="pl.119.19"></a><var>119.19</var>for placement in foster care; and<br/>
<a id="pl.119.20"></a><var>119.20</var>(2) the agency's engagement of the child in planning for independent living is <br/>
<a id="pl.119.21"></a><var>119.21</var>reasonable and appropriate.<br/>
<a id="pl.119.22"></a><var>119.22</var>    Subd. 2. <b>Modifying an order for permanent legal and physical custody to a </b><br/>
<a id="pl.119.23"></a><var>119.23</var><b>relative.</b> An order for a relative to have permanent legal and physical custody of a child <br/>
<a id="pl.119.24"></a><var>119.24</var>may be modified using standards under sections 518.18 and 518.185. The social services <br/>
<a id="pl.119.25"></a><var>119.25</var>agency is a party to the proceeding and must receive notice.<br/>
<a id="pl.119.26"></a><var>119.26</var>    Subd. 3. <b>Modifying order for permanent custody to agency for placement in </b><br/>
<a id="pl.119.27"></a><var>119.27</var><b>foster care.</b> (a) A parent may seek modification of an order for permanent custody of the <br/>
<a id="pl.119.28"></a><var>119.28</var>child to the responsible social services agency for placement in foster care upon motion <br/>
<a id="pl.119.29"></a><var>119.29</var>and a showing by the parent of a substantial change in the parent's circumstances such <br/>
<a id="pl.119.30"></a><var>119.30</var>that the parent could provide appropriate care for the child and that removal of the child <br/>
<a id="pl.119.31"></a><var>119.31</var>from the permanent custody of the agency and the return to the parent's care would be <br/>
<a id="pl.119.32"></a><var>119.32</var>in the best interests of the child.<br/>
<a id="pl.119.33"></a><var>119.33</var>(b) The responsible social services agency may ask the court to vacate an order for <br/>
<a id="pl.119.34"></a><var>119.34</var>permanent custody to the agency upon a petition and hearing pursuant to section 260C.163 <br/>
<a id="pl.119.35"></a><var>119.35</var>establishing the basis for the court to order another permanency disposition under this <br/>
<a id="pl.119.36"></a><var>119.36</var>chapter, including termination of parental rights based on abandonment if the parent <br/>
<a id="pl.120.1"></a><var>120.1</var>has not visited the child, maintained contact with the child, or participated in planning <br/>
<a id="pl.120.2"></a><var>120.2</var>for the child as required under section 260C.515, subdivision 5. The responsible social <br/>
<a id="pl.120.3"></a><var>120.3</var>services agency must establish that the proposed permanency disposition order is in the <br/>
<a id="pl.120.4"></a><var>120.4</var>child's best interests. Upon a hearing where the court determines the petition is proved, <br/>
<a id="pl.120.5"></a><var>120.5</var>the court may vacate the order for permanent custody and enter a different order for a <br/>
<a id="pl.120.6"></a><var>120.6</var>permanent disposition that is in the child's best interests. The court shall not require further <br/>
<a id="pl.120.7"></a><var>120.7</var>reasonable efforts to reunify the child with the parent or guardian as a basis for vacating <br/>
<a id="pl.120.8"></a><var>120.8</var>the order for permanent custody to the agency and ordering a different permanency <br/>
<a id="pl.120.9"></a><var>120.9</var>disposition in the child's best interests. The county attorney must file the petition and give <br/>
<a id="pl.120.10"></a><var>120.10</var>notice as required under the Minnesota Rules of Juvenile Protection Procedure in order to <br/>
<a id="pl.120.11"></a><var>120.11</var>modify an order for permanent custody under this subdivision.<br/>
<br/>
<a id="bill.4.35.0"></a><a id="pl.120.12"></a><var>120.12</var>    Sec. 35. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.120.13"></a><var>120.13</var>This article is effective August 1, 2012.<br/>
<br/>
<a id="bill.5.0.0"></a>

<a id="bill.5.1.0"></a><a id="pl.120.16"></a><var>120.16</var>    Section 1. Minnesota Statutes 2011 Supplement, section 256.01, subdivision 14b, <br/>
<a id="pl.120.17"></a><var>120.17</var>is amended to read:<br/>
<a id="pl.120.18"></a><var>120.18</var>    Subd. 14b. <b>American Indian child welfare projects.</b> (a) The commissioner of <br/>
<a id="pl.120.19"></a><var>120.19</var>human services may authorize projects to test tribal delivery of child welfare services to <br/>
<a id="pl.120.20"></a><var>120.20</var>American Indian children and their parents and custodians living on the reservation. <br/>
<a id="pl.120.21"></a><var>120.21</var>The commissioner has authority to solicit and determine which tribes may participate <br/>
<a id="pl.120.22"></a><var>120.22</var>in a project. Grants may be issued to Minnesota Indian tribes to support the projects. <br/>
<a id="pl.120.23"></a><var>120.23</var>The commissioner may waive existing state rules as needed to accomplish the projects. <br/>
<a id="pl.120.24"></a><var>120.24</var>Notwithstanding section 
         <statute_ref>626.556</statute_ref>, the commissioner may authorize projects to use <br/>
<a id="pl.120.25"></a><var>120.25</var>alternative methods of investigating and assessing reports of child maltreatment, provided <br/>
<a id="pl.120.26"></a><var>120.26</var>that the projects comply with the provisions of section 
         <statute_ref>626.556</statute_ref> dealing with the rights <br/>
<a id="pl.120.27"></a><var>120.27</var>of individuals who are subjects of reports or investigations, including notice and appeal <br/>
<a id="pl.120.28"></a><var>120.28</var>rights and data practices requirements. The commissioner may seek any federal approvals <br/>
<a id="pl.120.29"></a><var>120.29</var>necessary to carry out the projects as well as seek and use any funds available to the <br/>
<a id="pl.120.30"></a><var>120.30</var>commissioner, including use of federal funds, foundation funds, existing grant funds, <br/>
<a id="pl.120.31"></a><var>120.31</var>and other funds. The commissioner is authorized to advance state funds as necessary to <br/>
<a id="pl.120.32"></a><var>120.32</var>operate the projects. Federal reimbursement applicable to the projects is appropriated <br/>
<a id="pl.120.33"></a><var>120.33</var>to the commissioner for the purposes of the projects. The projects must be required to <br/>
<a id="pl.120.34"></a><var>120.34</var>address responsibility for safety, permanency, and well-being of children.<br/>
<a id="pl.121.1"></a><var>121.1</var>(b) For the purposes of this section, "American Indian child" means a person under <br/>
<a id="pl.121.2"></a><var>121.2</var>18 years of age 21 years old and who is a tribal member or eligible for membership in <br/>
<a id="pl.121.3"></a><var>121.3</var>one of the tribes chosen for a project under this subdivision and who is residing on the <br/>
<a id="pl.121.4"></a><var>121.4</var>reservation of that tribe.<br/>
<a id="pl.121.5"></a><var>121.5</var>(c) In order to qualify for an American Indian child welfare project, a tribe must:<br/>
<a id="pl.121.6"></a><var>121.6</var>(1) be one of the existing tribes with reservation land in Minnesota;<br/>
<a id="pl.121.7"></a><var>121.7</var>(2) have a tribal court with jurisdiction over child custody proceedings;<br/>
<a id="pl.121.8"></a><var>121.8</var>(3) have a substantial number of children for whom determinations of maltreatment <br/>
<a id="pl.121.9"></a><var>121.9</var>have occurred;<br/>
<a id="pl.121.10"></a><var>121.10</var>(4) have capacity to respond to reports of abuse and neglect under section 
         <statute_ref>626.556</statute_ref>;<br/>
<a id="pl.121.11"></a><var>121.11</var>(5) provide a wide range of services to families in need of child welfare services; and<br/>
<a id="pl.121.12"></a><var>121.12</var>(6) have a tribal-state title IV-E agreement in effect.<br/>
<a id="pl.121.13"></a><var>121.13</var>(d) Grants awarded under this section may be used for the nonfederal costs of <br/>
<a id="pl.121.14"></a><var>121.14</var>providing child welfare services to American Indian children on the tribe's reservation, <br/>
<a id="pl.121.15"></a><var>121.15</var>including costs associated with:<br/>
<a id="pl.121.16"></a><var>121.16</var>(1) assessment and prevention of child abuse and neglect;<br/>
<a id="pl.121.17"></a><var>121.17</var>(2) family preservation;<br/>
<a id="pl.121.18"></a><var>121.18</var>(3) facilitative, supportive, and reunification services;<br/>
<a id="pl.121.19"></a><var>121.19</var>(4) out-of-home placement for children removed from the home for child protective <br/>
<a id="pl.121.20"></a><var>121.20</var>purposes; and<br/>
<a id="pl.121.21"></a><var>121.21</var>(5) other activities and services approved by the commissioner that further the goals <br/>
<a id="pl.121.22"></a><var>121.22</var>of providing safety, permanency, and well-being of American Indian children.<br/>
<a id="pl.121.23"></a><var>121.23</var>(e) When a tribe has initiated a project and has been approved by the commissioner <br/>
<a id="pl.121.24"></a><var>121.24</var>to assume child welfare responsibilities for American Indian children of that tribe under <br/>
<a id="pl.121.25"></a><var>121.25</var>this section, the affected county social service agency is relieved of responsibility for <br/>
<a id="pl.121.26"></a><var>121.26</var>responding to reports of abuse and neglect under section 
         <statute_ref>626.556</statute_ref> for those children <br/>
<a id="pl.121.27"></a><var>121.27</var>during the time within which the tribal project is in effect and funded. The commissioner <br/>
<a id="pl.121.28"></a><var>121.28</var>shall work with tribes and affected counties to develop procedures for data collection, <br/>
<a id="pl.121.29"></a><var>121.29</var>evaluation, and clarification of ongoing role and financial responsibilities of the county <br/>
<a id="pl.121.30"></a><var>121.30</var>and tribe for child welfare services prior to initiation of the project. Children who have not <br/>
<a id="pl.121.31"></a><var>121.31</var>been identified by the tribe as participating in the project shall remain the responsibility <br/>
<a id="pl.121.32"></a><var>121.32</var>of the county. Nothing in this section shall alter responsibilities of the county for law <br/>
<a id="pl.121.33"></a><var>121.33</var>enforcement or court services.<br/>
<a id="pl.121.34"></a><var>121.34</var>(f) Participating tribes may conduct children's mental health screenings under section <br/>
<statute_ref><a id="pl.121.35"></a><var>121.35</var>245.4874, subdivision 1
         </statute_ref>, paragraph (a), clause (14), for children who are eligible for the <br/>
<a id="pl.121.36"></a><var>121.36</var>initiative and living on the reservation and who meet one of the following criteria:<br/>
<a id="pl.122.1"></a><var>122.1</var>(1) the child must be receiving child protective services;<br/>
<a id="pl.122.2"></a><var>122.2</var>(2) the child must be in foster care; or<br/>
<a id="pl.122.3"></a><var>122.3</var>(3) the child's parents must have had parental rights suspended or terminated.<br/>
<a id="pl.122.4"></a><var>122.4</var>Tribes may access reimbursement from available state funds for conducting the screenings. <br/>
<a id="pl.122.5"></a><var>122.5</var>Nothing in this section shall alter responsibilities of the county for providing services <br/>
<a id="pl.122.6"></a><var>122.6</var>under section 
         <statute_ref>245.487</statute_ref>.<br/>
<a id="pl.122.7"></a><var>122.7</var>(g) Participating tribes may establish a local child mortality review panel. In <br/>
<a id="pl.122.8"></a><var>122.8</var>establishing a local child mortality review panel, the tribe agrees to conduct local child <br/>
<a id="pl.122.9"></a><var>122.9</var>mortality reviews for child deaths or near-fatalities occurring on the reservation under <br/>
<a id="pl.122.10"></a><var>122.10</var>subdivision 12. Tribes with established child mortality review panels shall have access <br/>
<a id="pl.122.11"></a><var>122.11</var>to nonpublic data and shall protect nonpublic data under subdivision 12, paragraphs (c) <br/>
<a id="pl.122.12"></a><var>122.12</var>to (e). The tribe shall provide written notice to the commissioner and affected counties <br/>
<a id="pl.122.13"></a><var>122.13</var>when a local child mortality review panel has been established and shall provide data upon <br/>
<a id="pl.122.14"></a><var>122.14</var>request of the commissioner for purposes of sharing nonpublic data with members of the <br/>
<a id="pl.122.15"></a><var>122.15</var>state child mortality review panel in connection to an individual case.<br/>
<a id="pl.122.16"></a><var>122.16</var>(h) The commissioner shall collect information on outcomes relating to child safety, <br/>
<a id="pl.122.17"></a><var>122.17</var>permanency, and well-being of American Indian children who are served in the projects. <br/>
<a id="pl.122.18"></a><var>122.18</var>Participating tribes must provide information to the state in a format and completeness <br/>
<a id="pl.122.19"></a><var>122.19</var>deemed acceptable by the state to meet state and federal reporting requirements.<br/>
<a id="pl.122.20"></a><var>122.20</var>    (i) In consultation with the White Earth Band, the commissioner shall develop <br/>
<a id="pl.122.21"></a><var>122.21</var>and submit to the chairs and ranking minority members of the legislative committees <br/>
<a id="pl.122.22"></a><var>122.22</var>with jurisdiction over health and human services a plan to transfer legal responsibility <br/>
<a id="pl.122.23"></a><var>122.23</var>for providing child protective services to White Earth Band member children residing in <br/>
<a id="pl.122.24"></a><var>122.24</var>Hennepin County to the White Earth Band. The plan shall include a financing proposal, <br/>
<a id="pl.122.25"></a><var>122.25</var>definitions of key terms, statutory amendments required, and other provisions required to <br/>
<a id="pl.122.26"></a><var>122.26</var>implement the plan. The commissioner shall submit the plan by January 15, 2012.<br/>
<br/>
<a id="bill.5.2.0"></a><a id="pl.122.27"></a><var>122.27</var>    Sec. 2. Minnesota Statutes 2010, section 257.75, subdivision 7, is amended to read:<br/>
<a id="pl.122.28"></a><var>122.28</var>    Subd. 7. <b>Hospital and Department of Health </b><b>distribution of educational </b><br/>
<a id="pl.122.29"></a><var>122.29</var><b>materials</b><b>; recognition form.</b> Hospitals that provide obstetric services and the state <br/>
<a id="pl.122.30"></a><var>122.30</var>registrar of vital statistics shall distribute the educational materials and recognition <br/>
<a id="pl.122.31"></a><var>122.31</var>of parentage forms prepared by the commissioner of human services to new parents; <br/>
<a id="pl.122.32"></a><var>122.32</var>and shall assist parents in understanding the recognition of parentage form, including <br/>
<a id="pl.122.33"></a><var>122.33</var>following the provisions for notice under subdivision 5; shall aid new parents in properly <br/>
<a id="pl.122.34"></a><var>122.34</var>completing the recognition of parentage form, including providing notary services; and <br/>
<a id="pl.122.35"></a><var>122.35</var>shall timely file the completed recognition of parentage form with the Office of the State <br/>
<a id="pl.123.1"></a><var>123.1</var>Registrar of Vital Statistics. On and after January 1, 1994, hospitals may not distribute the <br/>
<a id="pl.123.2"></a><var>123.2</var>declaration of parentage forms.<br/>
<br/>
<a id="bill.5.3.0"></a><a id="pl.123.3"></a><var>123.3</var>    Sec. 3. Minnesota Statutes 2010, section 518A.40, subdivision 4, is amended to read:<br/>
<a id="pl.123.4"></a><var>123.4</var>    Subd. 4. <b>Change in child care.</b> (a) When a court order provides for child care <br/>
<a id="pl.123.5"></a><var>123.5</var>expenses, and child care support is not assigned under section 
         <statute_ref>256.741</statute_ref>, the public <br/>
<a id="pl.123.6"></a><var>123.6</var>authority, if the public authority provides child support enforcement services, must may <br/>
<a id="pl.123.7"></a><var>123.7</var>suspend collecting the amount allocated for child care expenses when:<br/>
<a id="pl.123.8"></a><var>123.8</var>    (1) either party informs the public authority that no child care costs are being <br/>
<a id="pl.123.9"></a><var>123.9</var>incurred; and:<br/>
<a id="pl.123.10"></a><var>123.10</var>    (2) (1) the public authority verifies the accuracy of the information with the obligee.; <br/>
<a id="pl.123.11"></a><var>123.11</var>or<br/>
<a id="pl.123.12"></a><var>123.12</var>(2) the obligee fails to respond within 30 days of the date of a written request <br/>
<a id="pl.123.13"></a><var>123.13</var>from the public authority for information regarding child care costs. A written or oral <br/>
<a id="pl.123.14"></a><var>123.14</var>response from the obligee that child care costs are being incurred is sufficient for the <br/>
<a id="pl.123.15"></a><var>123.15</var>public authority to continue collecting child care expenses.<br/>
<a id="pl.123.16"></a><var>123.16</var>The suspension is effective as of the first day of the month following the date that the <br/>
<a id="pl.123.17"></a><var>123.17</var>public authority received the verification either verified the information with the obligee <br/>
<a id="pl.123.18"></a><var>123.18</var>or the obligee failed to respond. The public authority will resume collecting child care <br/>
<a id="pl.123.19"></a><var>123.19</var>expenses when either party provides information that child care costs have resumed are <br/>
<a id="pl.123.20"></a><var>123.20</var>incurred, or when a child care support assignment takes effect under section 
         <statute_ref>256.741</statute_ref>, <br/>
<a id="pl.123.21"></a><var>123.21</var>subdivision 4. The resumption is effective as of the first day of the month after the date <br/>
<a id="pl.123.22"></a><var>123.22</var>that the public authority received the information.<br/>
<a id="pl.123.23"></a><var>123.23</var>    (b) If the parties provide conflicting information to the public authority regarding <br/>
<a id="pl.123.24"></a><var>123.24</var>whether child care expenses are being incurred, or if the public authority is unable to <br/>
<a id="pl.123.25"></a><var>123.25</var>verify with the obligee that no child care costs are being incurred, the public authority will <br/>
<a id="pl.123.26"></a><var>123.26</var>continue or resume collecting child care expenses. Either party, by motion to the court, <br/>
<a id="pl.123.27"></a><var>123.27</var>may challenge the suspension, continuation, or resumption of the collection of child care <br/>
<a id="pl.123.28"></a><var>123.28</var>expenses under this subdivision. If the public authority suspends collection activities <br/>
<a id="pl.123.29"></a><var>123.29</var>for the amount allocated for child care expenses, all other provisions of the court order <br/>
<a id="pl.123.30"></a><var>123.30</var>remain in effect.<br/>
<a id="pl.123.31"></a><var>123.31</var>    (c) In cases where there is a substantial increase or decrease in child care expenses, <br/>
<a id="pl.123.32"></a><var>123.32</var>the parties may modify the order under section 
         <statute_ref>518A.39</statute_ref>.<br/>
<br/>
<a id="bill.5.4.0"></a><a id="pl.123.33"></a><var>123.33</var>    Sec. 4. Minnesota Statutes 2010, section 518C.205, is amended to read:<br/>
<a id="pl.123.34"></a><var>123.34</var><b>518C.205 CONTINUING, EXCLUSIVE JURISDICTION.</b><br/>
<a id="pl.124.1"></a><var>124.1</var>    (a) A tribunal of this state issuing a support order consistent with the law of this state <br/>
<a id="pl.124.2"></a><var>124.2</var>has continuing, exclusive jurisdiction over a child support order unless:<br/>
<a id="pl.124.3"></a><var>124.3</var>    (1) as long as this state remains is no longer  the residence of the obligor, the <br/>
<a id="pl.124.4"></a><var>124.4</var>individual obligee, or and the child for whose benefit the support order is issued; or<br/>
<a id="pl.124.5"></a><var>124.5</var>    (2) until all of the parties who are individuals have filed written consents with <br/>
<a id="pl.124.6"></a><var>124.6</var>the tribunal of this state for a tribunal of another state to modify the order and assume <br/>
<a id="pl.124.7"></a><var>124.7</var>continuing, exclusive jurisdiction.<br/>
<a id="pl.124.8"></a><var>124.8</var>    (b) A tribunal of this state issuing a child support order consistent with the law of <br/>
<a id="pl.124.9"></a><var>124.9</var>this state may not exercise its continuing jurisdiction to modify the order if the order has <br/>
<a id="pl.124.10"></a><var>124.10</var>been modified by a tribunal of another state pursuant to this chapter or a law substantially <br/>
<a id="pl.124.11"></a><var>124.11</var>similar to this chapter.<br/>
<a id="pl.124.12"></a><var>124.12</var>    (c) If a child support order of this state is modified by a tribunal of another state <br/>
<a id="pl.124.13"></a><var>124.13</var>pursuant to this chapter or a law substantially similar to this chapter, a tribunal of this state <br/>
<a id="pl.124.14"></a><var>124.14</var>loses its continuing, exclusive jurisdiction with regard to prospective enforcement of the <br/>
<a id="pl.124.15"></a><var>124.15</var>order issued in this state, and may only:<br/>
<a id="pl.124.16"></a><var>124.16</var>    (1) enforce the order that was modified as to amounts accruing before the <br/>
<a id="pl.124.17"></a><var>124.17</var>modification;<br/>
<a id="pl.124.18"></a><var>124.18</var>    (2) enforce nonmodifiable aspects of that order; and<br/>
<a id="pl.124.19"></a><var>124.19</var>    (3) provide other appropriate relief for violations of that order which occurred before <br/>
<a id="pl.124.20"></a><var>124.20</var>the effective date of the modification.<br/>
<a id="pl.124.21"></a><var>124.21</var>    (d) A tribunal of this state shall recognize the continuing, exclusive jurisdiction of a <br/>
<a id="pl.124.22"></a><var>124.22</var>tribunal of another state which has issued a child support order pursuant to this chapter or <br/>
<a id="pl.124.23"></a><var>124.23</var>a law substantially similar to this chapter.<br/>
<a id="pl.124.24"></a><var>124.24</var>    (e) A temporary support order issued ex parte or pending resolution of a jurisdictional <br/>
<a id="pl.124.25"></a><var>124.25</var>conflict does not create continuing, exclusive jurisdiction in the issuing tribunal.<br/>
<a id="pl.124.26"></a><var>124.26</var>    (f) A tribunal of this state issuing a support order consistent with the law of this <br/>
<a id="pl.124.27"></a><var>124.27</var>state has continuing, exclusive jurisdiction over a spousal support order throughout the <br/>
<a id="pl.124.28"></a><var>124.28</var>existence of the support obligation. A tribunal of this state may not modify a spousal <br/>
<a id="pl.124.29"></a><var>124.29</var>support order issued by a tribunal of another state having continuing, exclusive jurisdiction <br/>
<a id="pl.124.30"></a><var>124.30</var>over that order under the law of that state.<br/>
<br/>
<a id="bill.5.5.0"></a><a id="pl.124.31"></a><var>124.31</var>    Sec. 5. <b>RECIPROCAL AGREEMENT; CHILD SUPPORT ENFORCEMENT.</b><br/>
<a id="pl.124.32"></a><var>124.32</var>The commissioner of human services shall initiate procedures no later than October <br/>
<a id="pl.124.33"></a><var>124.33</var>1, 2012, to enter into a reciprocal agreement with Bermuda for the establishment and <br/>
<a id="pl.124.34"></a><var>124.34</var>enforcement of child support obligations pursuant to United States Code, title 42, section <br/>
<a id="pl.124.35"></a><var>124.35</var>659a(d).<br/>
<a id="pl.125.1"></a><var>125.1</var><b>EFFECTIVE DATE.</b>This section is effective upon Bermuda's written acceptance <br/>
<a id="pl.125.2"></a><var>125.2</var>and agreement to enforce Minnesota child support orders. If Bermuda does not accept and <br/>
<a id="pl.125.3"></a><var>125.3</var>declines to enforce Minnesota orders, this section expires October 1, 2013.<br/>
<br/>
<a id="bill.5.6.0"></a><a id="pl.125.4"></a><var>125.4</var>    Sec. 6. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.125.5"></a><var>125.5</var>This article is effective August 1, 2012.<br/>
<br/>
<a id="bill.6.0.0"></a>

<a id="bill.6.1.0"></a><a id="pl.125.8"></a><var>125.8</var>    Section 1. Minnesota Statutes 2010, section 257.01, is amended to read:<br/>
<a id="pl.125.9"></a><var>125.9</var><b>257.01 RECORDS REQUIRED.</b><br/>
<a id="pl.125.10"></a><var>125.10</var>Each person or authorized child-placing agency permitted by law to receive children, <br/>
<a id="pl.125.11"></a><var>125.11</var>secure homes for children, or care for children, shall keep a record containing the name, <br/>
<a id="pl.125.12"></a><var>125.12</var>age, former residence, legal status, health records, sex, race, and accumulated length of <br/>
<a id="pl.125.13"></a><var>125.13</var>time in foster care, if applicable, of each child received; the name, former residence, <br/>
<a id="pl.125.14"></a><var>125.14</var>occupation, health history, and character, of each birth parent; the date of reception, <br/>
<a id="pl.125.15"></a><var>125.15</var>placing out, and adoption of each child, and the name, race, occupation, and residence of <br/>
<a id="pl.125.16"></a><var>125.16</var>the person with whom a child is placed; the date of the removal of any child to another <br/>
<a id="pl.125.17"></a><var>125.17</var>home and the reason for removal; the date of termination of the guardianship; the history <br/>
<a id="pl.125.18"></a><var>125.18</var>of each child until the child reaches the age of 18 21 years, is legally adopted, or is <br/>
<a id="pl.125.19"></a><var>125.19</var>discharged according to law; and further demographic and other information as is required <br/>
<a id="pl.125.20"></a><var>125.20</var>by the commissioner of human services.<br/>
<br/>
<a id="bill.6.2.0"></a><a id="pl.125.21"></a><var>125.21</var>    Sec. 2. Minnesota Statutes 2010, section 259.69, is amended to read:<br/>
<a id="pl.125.22"></a><var>125.22</var><b>259.69 TRANSFER OF FUNDS.</b><br/>
<a id="pl.125.23"></a><var>125.23</var>The commissioner of human services may transfer funds into the subsidized adoption <br/>
<a id="pl.125.24"></a><var>125.24</var>assistance account when a deficit in the subsidized adoption assistance program occurs.<br/>
<br/>
<a id="bill.6.3.0"></a><a id="pl.125.25"></a><var>125.25</var>    Sec. 3. Minnesota Statutes 2010, section 259.73, is amended to read:<br/>
<a id="pl.125.26"></a><var>125.26</var><b>259.73 REIMBURSEMENT OF NONRECURRING ADOPTION EXPENSES.</b><br/>
<a id="pl.125.27"></a><var>125.27</var>The commissioner of human services shall provide reimbursement of up to $2,000 <br/>
<a id="pl.125.28"></a><var>125.28</var>to the adoptive parent or parents for costs incurred in adopting a child with special <br/>
<a id="pl.125.29"></a><var>125.29</var>needs. The commissioner shall determine the child's eligibility for adoption expense <br/>
<a id="pl.125.30"></a><var>125.30</var>reimbursement under title IV-E of the Social Security Act, United States Code, title 42, <br/>
<a id="pl.125.31"></a><var>125.31</var>sections 670 to 676. To be reimbursed, costs must be reasonable, necessary, and directly <br/>
<a id="pl.126.1"></a><var>126.1</var>related to the legal adoption of the child. An individual may apply for reimbursement for <br/>
<a id="pl.126.2"></a><var>126.2</var>costs incurred in an adoption of a child with special needs under section 259A.70.<br/>
<br/>
<a id="bill.6.4.0"></a><a id="pl.126.3"></a><var>126.3</var>    Sec. 4. Minnesota Statutes 2010, section 260C.301, subdivision 1, is amended to read:<br/>
<a id="pl.126.4"></a><var>126.4</var>    Subdivision 1. <b>Voluntary and involuntary.</b> The juvenile court may upon petition, <br/>
<a id="pl.126.5"></a><var>126.5</var>terminate all rights of a parent to a child:<br/>
<a id="pl.126.6"></a><var>126.6</var>(a) with the written consent of a parent who for good cause desires to terminate <br/>
<a id="pl.126.7"></a><var>126.7</var>parental rights; or<br/>
<a id="pl.126.8"></a><var>126.8</var>(b) if it finds that one or more of the following conditions exist:<br/>
<a id="pl.126.9"></a><var>126.9</var>(1) that the parent has abandoned the child;<br/>
<a id="pl.126.10"></a><var>126.10</var>(2) that the parent has substantially, continuously, or repeatedly refused or neglected <br/>
<a id="pl.126.11"></a><var>126.11</var>to comply with the duties imposed upon that parent by the parent and child relationship, <br/>
<a id="pl.126.12"></a><var>126.12</var>including but not limited to providing the child with necessary food, clothing, shelter, <br/>
<a id="pl.126.13"></a><var>126.13</var>education, and other care and control necessary for the child's physical, mental, or <br/>
<a id="pl.126.14"></a><var>126.14</var>emotional health and development, if the parent is physically and financially able, and <br/>
<a id="pl.126.15"></a><var>126.15</var>either reasonable efforts by the social services agency have failed to correct the conditions <br/>
<a id="pl.126.16"></a><var>126.16</var>that formed the basis of the petition or reasonable efforts would be futile and therefore <br/>
<a id="pl.126.17"></a><var>126.17</var>unreasonable;<br/>
<a id="pl.126.18"></a><var>126.18</var>(3) that a parent has been ordered to contribute to the support of the child or <br/>
<a id="pl.126.19"></a><var>126.19</var>financially aid in the child's birth and has continuously failed to do so without good cause. <br/>
<a id="pl.126.20"></a><var>126.20</var>This clause shall not be construed to state a grounds for termination of parental rights of a <br/>
<a id="pl.126.21"></a><var>126.21</var>noncustodial parent if that parent has not been ordered to or cannot financially contribute <br/>
<a id="pl.126.22"></a><var>126.22</var>to the support of the child or aid in the child's birth;<br/>
<a id="pl.126.23"></a><var>126.23</var>(4) that a parent is palpably unfit to be a party to the parent and child relationship <br/>
<a id="pl.126.24"></a><var>126.24</var>because of a consistent pattern of specific conduct before the child or of specific conditions <br/>
<a id="pl.126.25"></a><var>126.25</var>directly relating to the parent and child relationship either of which are determined by <br/>
<a id="pl.126.26"></a><var>126.26</var>the court to be of a duration or nature that renders the parent unable, for the reasonably <br/>
<a id="pl.126.27"></a><var>126.27</var>foreseeable future, to care appropriately for the ongoing physical, mental, or emotional <br/>
<a id="pl.126.28"></a><var>126.28</var>needs of the child. It is presumed that a parent is palpably unfit to be a party to the parent <br/>
<a id="pl.126.29"></a><var>126.29</var>and child relationship upon a showing that the parent's parental rights to one or more other <br/>
<a id="pl.126.30"></a><var>126.30</var>children were involuntarily terminated or that the parent's custodial rights to another child <br/>
<a id="pl.126.31"></a><var>126.31</var>have been involuntarily transferred to a relative under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, <br/>
<a id="pl.126.32"></a><var>126.32</var>paragraph (e), clause (1), or a similar law of another jurisdiction;<br/>
<a id="pl.126.33"></a><var>126.33</var>(5) that following the child's placement out of the home, reasonable efforts, under the <br/>
<a id="pl.126.34"></a><var>126.34</var>direction of the court, have failed to correct the conditions leading to the child's placement. <br/>
<a id="pl.126.35"></a><var>126.35</var>It is presumed that reasonable efforts under this clause have failed upon a showing that:<br/>
<a id="pl.127.1"></a><var>127.1</var>(i) a child has resided out of the parental home under court order for a cumulative <br/>
<a id="pl.127.2"></a><var>127.2</var>period of 12 months within the preceding 22 months. In the case of a child under age eight <br/>
<a id="pl.127.3"></a><var>127.3</var>at the time the petition was filed alleging the child to be in need of protection or services, <br/>
<a id="pl.127.4"></a><var>127.4</var>the presumption arises when the child has resided out of the parental home under court <br/>
<a id="pl.127.5"></a><var>127.5</var>order for six months unless the parent has maintained regular contact with the child and <br/>
<a id="pl.127.6"></a><var>127.6</var>the parent is complying with the out-of-home placement plan;<br/>
<a id="pl.127.7"></a><var>127.7</var>(ii) the court has approved the out-of-home placement plan required under section <br/>
<statute_ref><a id="pl.127.8"></a><var>127.8</var>260C.212
         </statute_ref> and filed with the court under section 
         <statute_ref>260C.178</statute_ref>;<br/>
<a id="pl.127.9"></a><var>127.9</var>(iii) conditions leading to the out-of-home placement have not been corrected. It <br/>
<a id="pl.127.10"></a><var>127.10</var>is presumed that conditions leading to a child's out-of-home placement have not been <br/>
<a id="pl.127.11"></a><var>127.11</var>corrected upon a showing that the parent or parents have not substantially complied with <br/>
<a id="pl.127.12"></a><var>127.12</var>the court's orders and a reasonable case plan; and<br/>
<a id="pl.127.13"></a><var>127.13</var>(iv) reasonable efforts have been made by the social services agency to rehabilitate <br/>
<a id="pl.127.14"></a><var>127.14</var>the parent and reunite the family.<br/>
<a id="pl.127.15"></a><var>127.15</var>This clause does not prohibit the termination of parental rights prior to one year, or <br/>
<a id="pl.127.16"></a><var>127.16</var>in the case of a child under age eight, prior to six months after a child has been placed <br/>
<a id="pl.127.17"></a><var>127.17</var>out of the home.<br/>
<a id="pl.127.18"></a><var>127.18</var>It is also presumed that reasonable efforts have failed under this clause upon a <br/>
<a id="pl.127.19"></a><var>127.19</var>showing that:<br/>
<a id="pl.127.20"></a><var>127.20</var>(A) the parent has been diagnosed as chemically dependent by a professional <br/>
<a id="pl.127.21"></a><var>127.21</var>certified to make the diagnosis;<br/>
<a id="pl.127.22"></a><var>127.22</var>(B) the parent has been required by a case plan to participate in a chemical <br/>
<a id="pl.127.23"></a><var>127.23</var>dependency treatment program;<br/>
<a id="pl.127.24"></a><var>127.24</var>(C) the treatment programs offered to the parent were culturally, linguistically, <br/>
<a id="pl.127.25"></a><var>127.25</var>and clinically appropriate;<br/>
<a id="pl.127.26"></a><var>127.26</var>(D) the parent has either failed two or more times to successfully complete a <br/>
<a id="pl.127.27"></a><var>127.27</var>treatment program or has refused at two or more separate meetings with a caseworker <br/>
<a id="pl.127.28"></a><var>127.28</var>to participate in a treatment program; and<br/>
<a id="pl.127.29"></a><var>127.29</var>(E) the parent continues to abuse chemicals.<br/>
<a id="pl.127.30"></a><var>127.30</var>(6) that a child has experienced egregious harm in the parent's care which is of a <br/>
<a id="pl.127.31"></a><var>127.31</var>nature, duration, or chronicity that indicates a lack of regard for the child's well-being, <br/>
<a id="pl.127.32"></a><var>127.32</var>such that a reasonable person would believe it contrary to the best interest of the child <br/>
<a id="pl.127.33"></a><var>127.33</var>or of any child to be in the parent's care;<br/>
<a id="pl.127.34"></a><var>127.34</var>(7) that in the case of a child born to a mother who was not married to the child's <br/>
<a id="pl.127.35"></a><var>127.35</var>father when the child was conceived nor when the child was born the person is not entitled <br/>
<a id="pl.128.1"></a><var>128.1</var>to notice of an adoption hearing under section 
         <statute_ref>259.49</statute_ref> and the person has not registered <br/>
<a id="pl.128.2"></a><var>128.2</var>with the fathers' adoption registry under section 
         <statute_ref>259.52</statute_ref>;<br/>
<a id="pl.128.3"></a><var>128.3</var>(8) that the child is neglected and in foster care; or<br/>
<a id="pl.128.4"></a><var>128.4</var>(9) that the parent has been convicted of a crime listed in section 
         <statute_ref>260.012, paragraph <br/>
<a id="pl.128.5"></a><var>128.5</var>(g)
         </statute_ref>, clauses (1) to (3) (5).<br/>
<a id="pl.128.6"></a><var>128.6</var>In an action involving an American Indian child, sections 
         <statute_ref>260.751</statute_ref> to 
         <statute_ref>260.835</statute_ref> and <br/>
<a id="pl.128.7"></a><var>128.7</var>the Indian Child Welfare Act, United States Code, title 25, sections 1901 to 1923, control <br/>
<a id="pl.128.8"></a><var>128.8</var>to the extent that the provisions of this section are inconsistent with those laws.<br/>
<br/>
<a id="bill.6.5.0"></a><a id="pl.128.9"></a><var>128.9</var>    Sec. 5. Minnesota Statutes 2010, section 260D.08, is amended to read:<br/>
<a id="pl.128.10"></a><var>128.10</var><b>260D.08 ANNUAL REVIEW.</b><br/>
<a id="pl.128.11"></a><var>128.11</var>    (a) After the court conducts a permanency review hearing under section 
         <statute_ref>260D.07</statute_ref>, <br/>
<a id="pl.128.12"></a><var>128.12</var>the matter must be returned to the court for further review of the responsible social <br/>
<a id="pl.128.13"></a><var>128.13</var>services reasonable efforts to finalize the permanent plan for the child and the child's foster <br/>
<a id="pl.128.14"></a><var>128.14</var>care placement at least every 12 months while the child is in foster care. The court shall <br/>
<a id="pl.128.15"></a><var>128.15</var>give notice to the parent and child, age 12 or older, and the foster parents of the continued <br/>
<a id="pl.128.16"></a><var>128.16</var>review requirements under this section at the permanency review hearing.<br/>
<a id="pl.128.17"></a><var>128.17</var>    (b) Every 12 months, the court shall determine whether the agency made reasonable <br/>
<a id="pl.128.18"></a><var>128.18</var>efforts to finalize the permanency plan for the child, which means the exercise of due <br/>
<a id="pl.128.19"></a><var>128.19</var>diligence by the agency to:<br/>
<a id="pl.128.20"></a><var>128.20</var>    (1) ensure that the agreement for voluntary foster care is the most appropriate legal <br/>
<a id="pl.128.21"></a><var>128.21</var>arrangement to meet the child's safety, health, and best interests and to conduct a genuine <br/>
<a id="pl.128.22"></a><var>128.22</var>examination of whether there is another permanency disposition order under chapter <br/>
<a id="pl.128.23"></a><var>128.23</var>260C, including returning the child home, that would better serve the child's need for a <br/>
<a id="pl.128.24"></a><var>128.24</var>stable and permanent home;<br/>
<a id="pl.128.25"></a><var>128.25</var>    (2) engage and support the parent in continued involvement in planning and decision <br/>
<a id="pl.128.26"></a><var>128.26</var>making for the needs of the child;<br/>
<a id="pl.128.27"></a><var>128.27</var>    (3) strengthen the child's ties to the parent, relatives, and community;<br/>
<a id="pl.128.28"></a><var>128.28</var>    (4) implement the out-of-home placement plan required under section 
         <statute_ref>260C.212</statute_ref>, <br/>
<a id="pl.128.29"></a><var>128.29</var>subdivision 1, and ensure that the plan requires the provision of appropriate services to <br/>
<a id="pl.128.30"></a><var>128.30</var>address the physical health, mental health, and educational needs of the child; and<br/>
<a id="pl.128.31"></a><var>128.31</var>    (5) ensure appropriate planning for the child's safe, permanent, and independent <br/>
<a id="pl.128.32"></a><var>128.32</var>living arrangement after the child's 18th birthday.<br/>
<br/>
<a id="bill.6.6.0"></a><a id="pl.128.33"></a><var>128.33</var>    Sec. 6. <b>[611.012] DISPOSITION OF CHILD OF PARENT ARRESTED.</b><br/>
<a id="pl.129.1"></a><var>129.1</var>A peace officer who arrests a person accompanied by a child of the person may <br/>
<a id="pl.129.2"></a><var>129.2</var>release the child to any person designated by the parent unless it is necessary to remove <br/>
<a id="pl.129.3"></a><var>129.3</var>the child under section 260C.175 because the child is found in surroundings or conditions <br/>
<a id="pl.129.4"></a><var>129.4</var>which endanger the child's health or welfare or which the peace officer reasonably believes <br/>
<a id="pl.129.5"></a><var>129.5</var>will endanger the child's health or welfare. An officer releasing a child under this section <br/>
<a id="pl.129.6"></a><var>129.6</var>to a person designated by the parent has no civil or criminal liability for the child's release.<br/>
<br/>
<a id="bill.6.7.0"></a><a id="pl.129.7"></a><var>129.7</var>    Sec. 7. Minnesota Statutes 2010, section 626.556, subdivision 2, is amended to read:<br/>
<a id="pl.129.8"></a><var>129.8</var>    Subd. 2. <b>Definitions.</b> As used in this section, the following terms have the meanings <br/>
<a id="pl.129.9"></a><var>129.9</var>given them unless the specific content indicates otherwise:<br/>
<a id="pl.129.10"></a><var>129.10</var>    (a) "Family assessment" means a comprehensive assessment of child safety, risk <br/>
<a id="pl.129.11"></a><var>129.11</var>of subsequent child maltreatment, and family strengths and needs that is applied to a <br/>
<a id="pl.129.12"></a><var>129.12</var>child maltreatment report that does not allege substantial child endangerment. Family <br/>
<a id="pl.129.13"></a><var>129.13</var>assessment does not include a determination as to whether child maltreatment occurred <br/>
<a id="pl.129.14"></a><var>129.14</var>but does determine the need for services to address the safety of family members and the <br/>
<a id="pl.129.15"></a><var>129.15</var>risk of subsequent maltreatment.<br/>
<a id="pl.129.16"></a><var>129.16</var>    (b) "Investigation" means fact gathering related to the current safety of a child <br/>
<a id="pl.129.17"></a><var>129.17</var>and the risk of subsequent maltreatment that determines whether child maltreatment <br/>
<a id="pl.129.18"></a><var>129.18</var>occurred and whether child protective services are needed. An investigation must be used <br/>
<a id="pl.129.19"></a><var>129.19</var>when reports involve substantial child endangerment, and for reports of maltreatment in <br/>
<a id="pl.129.20"></a><var>129.20</var>facilities required to be licensed under chapter 245A or 245B; under sections 
         <statute_ref>144.50</statute_ref> to <br/>
<statute_ref><a id="pl.129.21"></a><var>129.21</var>144.58
         </statute_ref> and 
         <statute_ref>241.021</statute_ref>; in a school as defined in sections 
         <statute_ref>120A.05, subdivisions 9</statute_ref>, 11, and <br/>
<a id="pl.129.22"></a><var>129.22</var>13, and 
         <statute_ref>124D.10</statute_ref>; or in a nonlicensed personal care provider association as defined in <br/>
<a id="pl.129.23"></a><var>129.23</var>sections 
         <statute_ref>256B.04, subdivision 16</statute_ref>, and 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>.<br/>
<a id="pl.129.24"></a><var>129.24</var>    (c) "Substantial child endangerment" means a person responsible for a child's care, <br/>
<a id="pl.129.25"></a><var>129.25</var>and in the case of sexual abuse includes a person who has a significant relationship to the <br/>
<a id="pl.129.26"></a><var>129.26</var>child as defined in section 
         <statute_ref>609.341</statute_ref>, or a person in a position of authority as defined in <br/>
<a id="pl.129.27"></a><var>129.27</var>section 
         <statute_ref>609.341</statute_ref>, who by act or omission commits or attempts to commit an act against a <br/>
<a id="pl.129.28"></a><var>129.28</var>child under their care that constitutes any of the following:<br/>
<a id="pl.129.29"></a><var>129.29</var>    (1) egregious harm as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>;<br/>
<a id="pl.129.30"></a><var>129.30</var>    (2) sexual abuse as defined in paragraph (d);<br/>
<a id="pl.129.31"></a><var>129.31</var>    (3) abandonment under section 
         <statute_ref>260C.301, subdivision 2</statute_ref>;<br/>
<a id="pl.129.32"></a><var>129.32</var>    (4) neglect as defined in paragraph (f), clause (2), that substantially endangers the <br/>
<a id="pl.129.33"></a><var>129.33</var>child's physical or mental health, including a growth delay, which may be referred to as <br/>
<a id="pl.129.34"></a><var>129.34</var>failure to thrive, that has been diagnosed by a physician and is due to parental neglect;<br/>
<a id="pl.130.1"></a><var>130.1</var>    (5) murder in the first, second, or third degree under section 
         <statute_ref>609.185</statute_ref>, 
         <statute_ref>609.19</statute_ref>, or <br/>
<statute_ref><a id="pl.130.2"></a><var>130.2</var>609.195
         </statute_ref>;<br/>
<a id="pl.130.3"></a><var>130.3</var>    (6) manslaughter in the first or second degree under section 
         <statute_ref>609.20</statute_ref> or 
         <statute_ref>609.205</statute_ref>;<br/>
<a id="pl.130.4"></a><var>130.4</var>    (7) assault in the first, second, or third degree under section 
         <statute_ref>609.221</statute_ref>, 
         <statute_ref>609.222</statute_ref>, or <br/>
<statute_ref><a id="pl.130.5"></a><var>130.5</var>609.223
         </statute_ref>;<br/>
<a id="pl.130.6"></a><var>130.6</var>    (8) solicitation, inducement, and promotion of prostitution under section 
         <statute_ref>609.322</statute_ref>;<br/>
<a id="pl.130.7"></a><var>130.7</var>    (9) criminal sexual conduct under sections 
         <statute_ref>609.342</statute_ref> to 
         <statute_ref>609.3451</statute_ref>;<br/>
<a id="pl.130.8"></a><var>130.8</var>    (10) solicitation of children to engage in sexual conduct under section 
         <statute_ref>609.352</statute_ref>;<br/>
<a id="pl.130.9"></a><var>130.9</var>    (11) malicious punishment or neglect or endangerment of a child under section <br/>
<statute_ref><a id="pl.130.10"></a><var>130.10</var>609.377
         </statute_ref> or 
         <statute_ref>609.378</statute_ref>;<br/>
<a id="pl.130.11"></a><var>130.11</var>    (12) use of a minor in sexual performance under section 
         <statute_ref>617.246</statute_ref>; or<br/>
<a id="pl.130.12"></a><var>130.12</var>    (13) parental behavior, status, or condition which mandates that the county attorney <br/>
<a id="pl.130.13"></a><var>130.13</var>file a termination of parental rights petition under section 
         <statute_ref>260C.301, subdivision 3</statute_ref>, <br/>
<a id="pl.130.14"></a><var>130.14</var>paragraph (a).<br/>
<a id="pl.130.15"></a><var>130.15</var>    (d) "Sexual abuse" means the subjection of a child by a person responsible for the <br/>
<a id="pl.130.16"></a><var>130.16</var>child's care, by a person who has a significant relationship to the child, as defined in <br/>
<a id="pl.130.17"></a><var>130.17</var>section 
         <statute_ref>609.341</statute_ref>, or by a person in a position of authority, as defined in section 
         <statute_ref>609.341</statute_ref>, <br/>
<a id="pl.130.18"></a><var>130.18</var>subdivision 10, to any act which constitutes a violation of section 
         <statute_ref>609.342</statute_ref> (criminal sexual <br/>
<a id="pl.130.19"></a><var>130.19</var>conduct in the first degree), 
         <statute_ref>609.343</statute_ref> (criminal sexual conduct in the second degree), <br/>
<statute_ref><a id="pl.130.20"></a><var>130.20</var>609.344
         </statute_ref> (criminal sexual conduct in the third degree), 
         <statute_ref>609.345</statute_ref> (criminal sexual conduct <br/>
<a id="pl.130.21"></a><var>130.21</var>in the fourth degree), or 
         <statute_ref>609.3451</statute_ref> (criminal sexual conduct in the fifth degree). Sexual <br/>
<a id="pl.130.22"></a><var>130.22</var>abuse also includes any act which involves a minor which constitutes a violation of <br/>
<a id="pl.130.23"></a><var>130.23</var>prostitution offenses under sections 
         <statute_ref>609.321</statute_ref> to 
         <statute_ref>609.324</statute_ref> or 
         <statute_ref>617.246</statute_ref>. Sexual abuse includes <br/>
<a id="pl.130.24"></a><var>130.24</var>threatened sexual abuse which includes the status of a parent or household member <br/>
<a id="pl.130.25"></a><var>130.25</var>who has committed a violation which requires registration as an offender under section <br/>
<a id="pl.130.26"></a><var>130.26</var>243.166, subdivision 1b, paragraph (a) or (b), or required registration under section <br/>
<a id="pl.130.27"></a><var>130.27</var>243.166, subdivision 1b, paragraph (a) or (b).<br/>
<a id="pl.130.28"></a><var>130.28</var>    (e) "Person responsible for the child's care" means (1) an individual functioning <br/>
<a id="pl.130.29"></a><var>130.29</var>within the family unit and having responsibilities for the care of the child such as a <br/>
<a id="pl.130.30"></a><var>130.30</var>parent, guardian, or other person having similar care responsibilities, or (2) an individual <br/>
<a id="pl.130.31"></a><var>130.31</var>functioning outside the family unit and having responsibilities for the care of the child <br/>
<a id="pl.130.32"></a><var>130.32</var>such as a teacher, school administrator, other school employees or agents, or other lawful <br/>
<a id="pl.130.33"></a><var>130.33</var>custodian of a child having either full-time or short-term care responsibilities including, <br/>
<a id="pl.130.34"></a><var>130.34</var>but not limited to, day care, babysitting whether paid or unpaid, counseling, teaching, <br/>
<a id="pl.130.35"></a><var>130.35</var>and coaching.<br/>
<a id="pl.131.1"></a><var>131.1</var>    (f) "Neglect" means the commission or omission of any of the acts specified under <br/>
<a id="pl.131.2"></a><var>131.2</var>clauses (1) to (9), other than by accidental means:<br/>
<a id="pl.131.3"></a><var>131.3</var>    (1) failure by a person responsible for a child's care to supply a child with necessary <br/>
<a id="pl.131.4"></a><var>131.4</var>food, clothing, shelter, health, medical, or other care required for the child's physical or <br/>
<a id="pl.131.5"></a><var>131.5</var>mental health when reasonably able to do so;<br/>
<a id="pl.131.6"></a><var>131.6</var>    (2) failure to protect a child from conditions or actions that seriously endanger the <br/>
<a id="pl.131.7"></a><var>131.7</var>child's physical or mental health when reasonably able to do so, including a growth delay, <br/>
<a id="pl.131.8"></a><var>131.8</var>which may be referred to as a failure to thrive, that has been diagnosed by a physician and <br/>
<a id="pl.131.9"></a><var>131.9</var>is due to parental neglect;<br/>
<a id="pl.131.10"></a><var>131.10</var>    (3) failure to provide for necessary supervision or child care arrangements <br/>
<a id="pl.131.11"></a><var>131.11</var>appropriate for a child after considering factors as the child's age, mental ability, physical <br/>
<a id="pl.131.12"></a><var>131.12</var>condition, length of absence, or environment, when the child is unable to care for the <br/>
<a id="pl.131.13"></a><var>131.13</var>child's own basic needs or safety, or the basic needs or safety of another child in their care;<br/>
<a id="pl.131.14"></a><var>131.14</var>    (4) failure to ensure that the child is educated as defined in sections 
         <statute_ref>120A.22</statute_ref> and <br/>
<statute_ref><a id="pl.131.15"></a><var>131.15</var>260C.163, subdivision 11
         </statute_ref>, which does not include a parent's refusal to provide the parent's <br/>
<a id="pl.131.16"></a><var>131.16</var>child with sympathomimetic medications, consistent with section 
         <statute_ref>125A.091, subdivision 5</statute_ref>;<br/>
<a id="pl.131.17"></a><var>131.17</var>    (5) nothing in this section shall be construed to mean that a child is neglected solely <br/>
<a id="pl.131.18"></a><var>131.18</var>because the child's parent, guardian, or other person responsible for the child's care in <br/>
<a id="pl.131.19"></a><var>131.19</var>good faith selects and depends upon spiritual means or prayer for treatment or care of <br/>
<a id="pl.131.20"></a><var>131.20</var>disease or remedial care of the child in lieu of medical care; except that a parent, guardian, <br/>
<a id="pl.131.21"></a><var>131.21</var>or caretaker, or a person mandated to report pursuant to subdivision 3, has a duty to report <br/>
<a id="pl.131.22"></a><var>131.22</var>if a lack of medical care may cause serious danger to the child's health. This section does <br/>
<a id="pl.131.23"></a><var>131.23</var>not impose upon persons, not otherwise legally responsible for providing a child with <br/>
<a id="pl.131.24"></a><var>131.24</var>necessary food, clothing, shelter, education, or medical care, a duty to provide that care;<br/>
<a id="pl.131.25"></a><var>131.25</var>    (6) prenatal exposure to a controlled substance, as defined in section 
         <statute_ref>253B.02</statute_ref>, <br/>
<a id="pl.131.26"></a><var>131.26</var>subdivision 2, used by the mother for a nonmedical purpose, as evidenced by withdrawal <br/>
<a id="pl.131.27"></a><var>131.27</var>symptoms in the child at birth, results of a toxicology test performed on the mother at <br/>
<a id="pl.131.28"></a><var>131.28</var>delivery or the child at birth, or medical effects or developmental delays during the child's <br/>
<a id="pl.131.29"></a><var>131.29</var>first year of life that medically indicate prenatal exposure to a controlled substance, or the <br/>
<a id="pl.131.30"></a><var>131.30</var>presence of a fetal alcohol spectrum disorder;<br/>
<a id="pl.131.31"></a><var>131.31</var>    (7) "medical neglect" as defined in section 
         <statute_ref>260C.007, subdivision 6</statute_ref>, clause (5);<br/>
<a id="pl.131.32"></a><var>131.32</var>    (8) chronic and severe use of alcohol or a controlled substance by a parent or <br/>
<a id="pl.131.33"></a><var>131.33</var>person responsible for the care of the child that adversely affects the child's basic needs <br/>
<a id="pl.131.34"></a><var>131.34</var>and safety; or<br/>
<a id="pl.131.35"></a><var>131.35</var>    (9) emotional harm from a pattern of behavior which contributes to impaired <br/>
<a id="pl.131.36"></a><var>131.36</var>emotional functioning of the child which may be demonstrated by a substantial and <br/>
<a id="pl.132.1"></a><var>132.1</var>observable effect in the child's behavior, emotional response, or cognition that is not <br/>
<a id="pl.132.2"></a><var>132.2</var>within the normal range for the child's age and stage of development, with due regard to <br/>
<a id="pl.132.3"></a><var>132.3</var>the child's culture.<br/>
<a id="pl.132.4"></a><var>132.4</var>    (g) "Physical abuse" means any physical injury, mental injury, or threatened injury, <br/>
<a id="pl.132.5"></a><var>132.5</var>inflicted by a person responsible for the child's care on a child other than by accidental <br/>
<a id="pl.132.6"></a><var>132.6</var>means, or any physical or mental injury that cannot reasonably be explained by the child's <br/>
<a id="pl.132.7"></a><var>132.7</var>history of injuries, or any aversive or deprivation procedures, or regulated interventions, <br/>
<a id="pl.132.8"></a><var>132.8</var>that have not been authorized under section 
         <statute_ref>121A.67</statute_ref> or 
         <statute_ref>245.825</statute_ref>.<br/>
<a id="pl.132.9"></a><var>132.9</var>    Abuse does not include reasonable and moderate physical discipline of a child <br/>
<a id="pl.132.10"></a><var>132.10</var>administered by a parent or legal guardian which does not result in an injury. Abuse does <br/>
<a id="pl.132.11"></a><var>132.11</var>not include the use of reasonable force by a teacher, principal, or school employee as <br/>
<a id="pl.132.12"></a><var>132.12</var>allowed by section 
         <statute_ref>121A.582</statute_ref>. Actions which are not reasonable and moderate include, <br/>
<a id="pl.132.13"></a><var>132.13</var>but are not limited to, any of the following that are done in anger or without regard to the <br/>
<a id="pl.132.14"></a><var>132.14</var>safety of the child:<br/>
<a id="pl.132.15"></a><var>132.15</var>    (1) throwing, kicking, burning, biting, or cutting a child;<br/>
<a id="pl.132.16"></a><var>132.16</var>    (2) striking a child with a closed fist;<br/>
<a id="pl.132.17"></a><var>132.17</var>    (3) shaking a child under age three;<br/>
<a id="pl.132.18"></a><var>132.18</var>    (4) striking or other actions which result in any nonaccidental injury to a child <br/>
<a id="pl.132.19"></a><var>132.19</var>under 18 months of age;<br/>
<a id="pl.132.20"></a><var>132.20</var>    (5) unreasonable interference with a child's breathing;<br/>
<a id="pl.132.21"></a><var>132.21</var>    (6) threatening a child with a weapon, as defined in section 
         <statute_ref>609.02, subdivision 6</statute_ref>;<br/>
<a id="pl.132.22"></a><var>132.22</var>    (7) striking a child under age one on the face or head;<br/>
<a id="pl.132.23"></a><var>132.23</var>    (8) purposely giving a child poison, alcohol, or dangerous, harmful, or controlled <br/>
<a id="pl.132.24"></a><var>132.24</var>substances which were not prescribed for the child by a practitioner, in order to control or <br/>
<a id="pl.132.25"></a><var>132.25</var>punish the child; or other substances that substantially affect the child's behavior, motor <br/>
<a id="pl.132.26"></a><var>132.26</var>coordination, or judgment or that results in sickness or internal injury, or subjects the <br/>
<a id="pl.132.27"></a><var>132.27</var>child to medical procedures that would be unnecessary if the child were not exposed <br/>
<a id="pl.132.28"></a><var>132.28</var>to the substances;<br/>
<a id="pl.132.29"></a><var>132.29</var>    (9) unreasonable physical confinement or restraint not permitted under section <br/>
<statute_ref><a id="pl.132.30"></a><var>132.30</var>609.379
         </statute_ref>, including but not limited to tying, caging, or chaining; or<br/>
<a id="pl.132.31"></a><var>132.31</var>    (10) in a school facility or school zone, an act by a person responsible for the child's <br/>
<a id="pl.132.32"></a><var>132.32</var>care that is a violation under section 
         <statute_ref>121A.58</statute_ref>.<br/>
<a id="pl.132.33"></a><var>132.33</var>    (h) "Report" means any report received by the local welfare agency, police <br/>
<a id="pl.132.34"></a><var>132.34</var>department, county sheriff, or agency responsible for assessing or investigating <br/>
<a id="pl.132.35"></a><var>132.35</var>maltreatment pursuant to this section.<br/>
<a id="pl.132.36"></a><var>132.36</var>    (i) "Facility" means:<br/>
<a id="pl.133.1"></a><var>133.1</var>    (1) a licensed or unlicensed day care facility, residential facility, agency, hospital, <br/>
<a id="pl.133.2"></a><var>133.2</var>sanitarium, or other facility or institution required to be licensed under sections 
         <statute_ref>144.50</statute_ref> to <br/>
<statute_ref><a id="pl.133.3"></a><var>133.3</var>144.58
         </statute_ref>, 
         <statute_ref>241.021</statute_ref>, or 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>, or chapter 245B;<br/>
<a id="pl.133.4"></a><var>133.4</var>    (2) a school as defined in sections 
         <statute_ref>120A.05, subdivisions 9</statute_ref>, 11, and 13; and <br/>
<statute_ref><a id="pl.133.5"></a><var>133.5</var>124D.10
         </statute_ref>; or<br/>
<a id="pl.133.6"></a><var>133.6</var>    (3) a nonlicensed personal care provider organization as defined in sections 
         <statute_ref>256B.04</statute_ref>, <br/>
<a id="pl.133.7"></a><var>133.7</var>subdivision 16, and 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>.<br/>
<a id="pl.133.8"></a><var>133.8</var>    (j) "Operator" means an operator or agency as defined in section 
         <statute_ref>245A.02</statute_ref>.<br/>
<a id="pl.133.9"></a><var>133.9</var>    (k) "Commissioner" means the commissioner of human services.<br/>
<a id="pl.133.10"></a><var>133.10</var>    (l) "Practice of social services," for the purposes of subdivision 3, includes but is <br/>
<a id="pl.133.11"></a><var>133.11</var>not limited to employee assistance counseling and the provision of guardian ad litem and <br/>
<a id="pl.133.12"></a><var>133.12</var>parenting time expeditor services.<br/>
<a id="pl.133.13"></a><var>133.13</var>    (m) "Mental injury" means an injury to the psychological capacity or emotional <br/>
<a id="pl.133.14"></a><var>133.14</var>stability of a child as evidenced by an observable or substantial impairment in the child's <br/>
<a id="pl.133.15"></a><var>133.15</var>ability to function within a normal range of performance and behavior with due regard to <br/>
<a id="pl.133.16"></a><var>133.16</var>the child's culture.<br/>
<a id="pl.133.17"></a><var>133.17</var>    (n) "Threatened injury" means a statement, overt act, condition, or status that <br/>
<a id="pl.133.18"></a><var>133.18</var>represents a substantial risk of physical or sexual abuse or mental injury. Threatened <br/>
<a id="pl.133.19"></a><var>133.19</var>injury includes, but is not limited to, exposing a child to a person responsible for the <br/>
<a id="pl.133.20"></a><var>133.20</var>child's care, as defined in paragraph (e), clause (1), who has:<br/>
<a id="pl.133.21"></a><var>133.21</var>    (1) subjected a child to, or failed to protect a child from, an overt act or condition <br/>
<a id="pl.133.22"></a><var>133.22</var>that constitutes egregious harm, as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>, or a <br/>
<a id="pl.133.23"></a><var>133.23</var>similar law of another jurisdiction;<br/>
<a id="pl.133.24"></a><var>133.24</var>    (2) been found to be palpably unfit under section 
         <statute_ref>260C.301</statute_ref>, paragraph (b), clause <br/>
<a id="pl.133.25"></a><var>133.25</var>(4), or a similar law of another jurisdiction;<br/>
<a id="pl.133.26"></a><var>133.26</var>    (3) committed an act that has resulted in an involuntary termination of parental rights <br/>
<a id="pl.133.27"></a><var>133.27</var>under section 
         <statute_ref>260C.301</statute_ref>, or a similar law of another jurisdiction; or<br/>
<a id="pl.133.28"></a><var>133.28</var>    (4) committed an act that has resulted in the involuntary transfer of permanent legal <br/>
<a id="pl.133.29"></a><var>133.29</var>and physical custody of a child to a relative under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, <br/>
<a id="pl.133.30"></a><var>133.30</var>paragraph (d), clause (1), or a similar law of another jurisdiction.<br/>
<a id="pl.133.31"></a><var>133.31</var>    (o) Persons who conduct assessments or investigations under this section shall take <br/>
<a id="pl.133.32"></a><var>133.32</var>into account accepted child-rearing practices of the culture in which a child participates <br/>
<a id="pl.133.33"></a><var>133.33</var>and accepted teacher discipline practices, which are not injurious to the child's health, <br/>
<a id="pl.133.34"></a><var>133.34</var>welfare, and safety.<br/>
<a id="pl.133.35"></a><var>133.35</var>    (p) "Accidental" means a sudden, not reasonably foreseeable, and unexpected <br/>
<a id="pl.133.36"></a><var>133.36</var>occurrence or event which:<br/>
<a id="pl.134.1"></a><var>134.1</var>    (1) is not likely to occur and could not have been prevented by exercise of due <br/>
<a id="pl.134.2"></a><var>134.2</var>care; and<br/>
<a id="pl.134.3"></a><var>134.3</var>    (2) if occurring while a child is receiving services from a facility, happens when the <br/>
<a id="pl.134.4"></a><var>134.4</var>facility and the employee or person providing services in the facility are in compliance <br/>
<a id="pl.134.5"></a><var>134.5</var>with the laws and rules relevant to the occurrence or event.<br/>
<a id="pl.134.6"></a><var>134.6</var>(q) "Nonmaltreatment mistake" means:<br/>
<a id="pl.134.7"></a><var>134.7</var>(1) at the time of the incident, the individual was performing duties identified in the <br/>
<a id="pl.134.8"></a><var>134.8</var>center's child care program plan required under Minnesota Rules, part 9503.0045;<br/>
<a id="pl.134.9"></a><var>134.9</var>(2) the individual has not been determined responsible for a similar incident that <br/>
<a id="pl.134.10"></a><var>134.10</var>resulted in a finding of maltreatment for at least seven years;<br/>
<a id="pl.134.11"></a><var>134.11</var>(3) the individual has not been determined to have committed a similar <br/>
<a id="pl.134.12"></a><var>134.12</var>nonmaltreatment mistake under this paragraph for at least four years;<br/>
<a id="pl.134.13"></a><var>134.13</var>(4) any injury to a child resulting from the incident, if treated, is treated only with <br/>
<a id="pl.134.14"></a><var>134.14</var>remedies that are available over the counter, whether ordered by a medical professional or <br/>
<a id="pl.134.15"></a><var>134.15</var>not; and<br/>
<a id="pl.134.16"></a><var>134.16</var>(5) except for the period when the incident occurred, the facility and the individual <br/>
<a id="pl.134.17"></a><var>134.17</var>providing services were both in compliance with all licensing requirements relevant to the <br/>
<a id="pl.134.18"></a><var>134.18</var>incident.<br/>
<a id="pl.134.19"></a><var>134.19</var>This definition only applies to child care centers licensed under Minnesota <br/>
<a id="pl.134.20"></a><var>134.20</var>Rules, chapter 9503. If clauses (1) to (5) apply, rather than making a determination of <br/>
<a id="pl.134.21"></a><var>134.21</var>substantiated maltreatment by the individual, the commissioner of human services shall <br/>
<a id="pl.134.22"></a><var>134.22</var>determine that a nonmaltreatment mistake was made by the individual.<br/>
<br/>
<a id="bill.6.8.0"></a><a id="pl.134.23"></a><var>134.23</var>    Sec. 8. Minnesota Statutes 2010, section 626.556, subdivision 10, is amended to read:<br/>
<a id="pl.134.24"></a><var>134.24</var>    Subd. 10. <b>Duties of local welfare agency and local law enforcement agency upon </b><br/>
<a id="pl.134.25"></a><var>134.25</var><b>receipt of report.</b> (a) Upon receipt of a report, the local welfare agency shall determine <br/>
<a id="pl.134.26"></a><var>134.26</var>whether to conduct a family assessment or an investigation as appropriate to prevent or <br/>
<a id="pl.134.27"></a><var>134.27</var>provide a remedy for child maltreatment. The local welfare agency:<br/>
<a id="pl.134.28"></a><var>134.28</var>    (1) shall conduct an investigation on reports involving substantial child <br/>
<a id="pl.134.29"></a><var>134.29</var>endangerment;<br/>
<a id="pl.134.30"></a><var>134.30</var>    (2) shall begin an immediate investigation if, at any time when it is using a family <br/>
<a id="pl.134.31"></a><var>134.31</var>assessment response, it determines that there is reason to believe that substantial child <br/>
<a id="pl.134.32"></a><var>134.32</var>endangerment or a serious threat to the child's safety exists;<br/>
<a id="pl.134.33"></a><var>134.33</var>    (3) may conduct a family assessment for reports that do not allege substantial child <br/>
<a id="pl.134.34"></a><var>134.34</var>endangerment. In determining that a family assessment is appropriate, the local welfare <br/>
<a id="pl.135.1"></a><var>135.1</var>agency may consider issues of child safety, parental cooperation, and the need for an <br/>
<a id="pl.135.2"></a><var>135.2</var>immediate response; and<br/>
<a id="pl.135.3"></a><var>135.3</var>    (4) may conduct a family assessment on a report that was initially screened and <br/>
<a id="pl.135.4"></a><var>135.4</var>assigned for an investigation. In determining that a complete investigation is not required, <br/>
<a id="pl.135.5"></a><var>135.5</var>the local welfare agency must document the reason for terminating the investigation and <br/>
<a id="pl.135.6"></a><var>135.6</var>notify the local law enforcement agency if the local law enforcement agency is conducting <br/>
<a id="pl.135.7"></a><var>135.7</var>a joint investigation.<br/>
<a id="pl.135.8"></a><var>135.8</var>    If the report alleges neglect, physical abuse, or sexual abuse by a parent, guardian, <br/>
<a id="pl.135.9"></a><var>135.9</var>or individual functioning within the family unit as a person responsible for the child's <br/>
<a id="pl.135.10"></a><var>135.10</var>care, or sexual abuse by a person with a significant relationship to the child when that <br/>
<a id="pl.135.11"></a><var>135.11</var>person resides in the child's household or by a sibling, the local welfare agency shall <br/>
<a id="pl.135.12"></a><var>135.12</var>immediately conduct a family assessment or investigation as identified in clauses (1) to <br/>
<a id="pl.135.13"></a><var>135.13</var>(4). In conducting a family assessment or investigation, the local welfare agency shall <br/>
<a id="pl.135.14"></a><var>135.14</var>gather information on the existence of substance abuse and domestic violence and offer <br/>
<a id="pl.135.15"></a><var>135.15</var>services for purposes of preventing future child maltreatment, safeguarding and enhancing <br/>
<a id="pl.135.16"></a><var>135.16</var>the welfare of the abused or neglected minor, and supporting and preserving family <br/>
<a id="pl.135.17"></a><var>135.17</var>life whenever possible. If the report alleges a violation of a criminal statute involving <br/>
<a id="pl.135.18"></a><var>135.18</var>sexual abuse, physical abuse, or neglect or endangerment, under section 
         <statute_ref>609.378</statute_ref>, the <br/>
<a id="pl.135.19"></a><var>135.19</var>local law enforcement agency and local welfare agency shall coordinate the planning and <br/>
<a id="pl.135.20"></a><var>135.20</var>execution of their respective investigation and assessment efforts to avoid a duplication of <br/>
<a id="pl.135.21"></a><var>135.21</var>fact-finding efforts and multiple interviews. Each agency shall prepare a separate report of <br/>
<a id="pl.135.22"></a><var>135.22</var>the results of its investigation. In cases of alleged child maltreatment resulting in death, <br/>
<a id="pl.135.23"></a><var>135.23</var>the local agency may rely on the fact-finding efforts of a law enforcement investigation <br/>
<a id="pl.135.24"></a><var>135.24</var>to make a determination of whether or not maltreatment occurred. When necessary the <br/>
<a id="pl.135.25"></a><var>135.25</var>local welfare agency shall seek authority to remove the child from the custody of a parent, <br/>
<a id="pl.135.26"></a><var>135.26</var>guardian, or adult with whom the child is living. In performing any of these duties, the <br/>
<a id="pl.135.27"></a><var>135.27</var>local welfare agency shall maintain appropriate records.<br/>
<a id="pl.135.28"></a><var>135.28</var>    If the family assessment or investigation indicates there is a potential for abuse of <br/>
<a id="pl.135.29"></a><var>135.29</var>alcohol or other drugs by the parent, guardian, or person responsible for the child's care, <br/>
<a id="pl.135.30"></a><var>135.30</var>the local welfare agency shall conduct a chemical use assessment pursuant to Minnesota <br/>
<a id="pl.135.31"></a><var>135.31</var>Rules, part 9530.6615.<br/>
<a id="pl.135.32"></a><var>135.32</var>    (b) When a local agency receives a report or otherwise has information indicating <br/>
<a id="pl.135.33"></a><var>135.33</var>that a child who is a client, as defined in section 
         <statute_ref>245.91</statute_ref>, has been the subject of physical <br/>
<a id="pl.135.34"></a><var>135.34</var>abuse, sexual abuse, or neglect at an agency, facility, or program as defined in section <br/>
<statute_ref><a id="pl.135.35"></a><var>135.35</var>245.91
         </statute_ref>, it shall, in addition to its other duties under this section, immediately inform the <br/>
<a id="pl.135.36"></a><var>135.36</var>ombudsman established under sections 
         <statute_ref>245.91</statute_ref> to 
         <statute_ref>245.97</statute_ref>. The commissioner of education <br/>
<a id="pl.136.1"></a><var>136.1</var>shall inform the ombudsman established under sections 
         <statute_ref>245.91</statute_ref> to 
         <statute_ref>245.97</statute_ref> of reports <br/>
<a id="pl.136.2"></a><var>136.2</var>regarding a child defined as a client in section 
         <statute_ref>245.91</statute_ref> that maltreatment occurred at a <br/>
<a id="pl.136.3"></a><var>136.3</var>school as defined in sections 
         <statute_ref>120A.05, subdivisions 9, 11, and 13</statute_ref>, and 
         <statute_ref>124D.10</statute_ref>.<br/>
<a id="pl.136.4"></a><var>136.4</var>    (c) Authority of the local welfare agency responsible for assessing or investigating <br/>
<a id="pl.136.5"></a><var>136.5</var>the child abuse or neglect report, the agency responsible for assessing or investigating <br/>
<a id="pl.136.6"></a><var>136.6</var>the report, and of the local law enforcement agency for investigating the alleged abuse or <br/>
<a id="pl.136.7"></a><var>136.7</var>neglect includes, but is not limited to, authority to interview, without parental consent, <br/>
<a id="pl.136.8"></a><var>136.8</var>the alleged victim and any other minors who currently reside with or who have resided <br/>
<a id="pl.136.9"></a><var>136.9</var>with the alleged offender. The interview may take place at school or at any facility or <br/>
<a id="pl.136.10"></a><var>136.10</var>other place where the alleged victim or other minors might be found or the child may be <br/>
<a id="pl.136.11"></a><var>136.11</var>transported to, and the interview conducted at, a place appropriate for the interview of a <br/>
<a id="pl.136.12"></a><var>136.12</var>child designated by the local welfare agency or law enforcement agency. The interview <br/>
<a id="pl.136.13"></a><var>136.13</var>may take place outside the presence of the alleged offender or parent, legal custodian, <br/>
<a id="pl.136.14"></a><var>136.14</var>guardian, or school official. For family assessments, it is the preferred practice to request <br/>
<a id="pl.136.15"></a><var>136.15</var>a parent or guardian's permission to interview the child prior to conducting the child <br/>
<a id="pl.136.16"></a><var>136.16</var>interview, unless doing so would compromise the safety assessment. Except as provided in <br/>
<a id="pl.136.17"></a><var>136.17</var>this paragraph, the parent, legal custodian, or guardian shall be notified by the responsible <br/>
<a id="pl.136.18"></a><var>136.18</var>local welfare or law enforcement agency no later than the conclusion of the investigation <br/>
<a id="pl.136.19"></a><var>136.19</var>or assessment that this interview has occurred. Notwithstanding rule 32 of the Minnesota <br/>
<a id="pl.136.20"></a><var>136.20</var>Rules of Procedure for Juvenile Courts, the juvenile court may, after hearing on an ex parte <br/>
<a id="pl.136.21"></a><var>136.21</var>motion by the local welfare agency, order that, where reasonable cause exists, the agency <br/>
<a id="pl.136.22"></a><var>136.22</var>withhold notification of this interview from the parent, legal custodian, or guardian. If the <br/>
<a id="pl.136.23"></a><var>136.23</var>interview took place or is to take place on school property, the order shall specify that <br/>
<a id="pl.136.24"></a><var>136.24</var>school officials may not disclose to the parent, legal custodian, or guardian the contents <br/>
<a id="pl.136.25"></a><var>136.25</var>of the notification of intent to interview the child on school property, as provided under <br/>
<a id="pl.136.26"></a><var>136.26</var>this paragraph, and any other related information regarding the interview that may be a <br/>
<a id="pl.136.27"></a><var>136.27</var>part of the child's school record. A copy of the order shall be sent by the local welfare or <br/>
<a id="pl.136.28"></a><var>136.28</var>law enforcement agency to the appropriate school official.<br/>
<a id="pl.136.29"></a><var>136.29</var>    (d) When the local welfare, local law enforcement agency, or the agency responsible <br/>
<a id="pl.136.30"></a><var>136.30</var>for assessing or investigating a report of maltreatment determines that an interview should <br/>
<a id="pl.136.31"></a><var>136.31</var>take place on school property, written notification of intent to interview the child on school <br/>
<a id="pl.136.32"></a><var>136.32</var>property must be received by school officials prior to the interview. The notification <br/>
<a id="pl.136.33"></a><var>136.33</var>shall include the name of the child to be interviewed, the purpose of the interview, and <br/>
<a id="pl.136.34"></a><var>136.34</var>a reference to the statutory authority to conduct an interview on school property. For <br/>
<a id="pl.136.35"></a><var>136.35</var>interviews conducted by the local welfare agency, the notification shall be signed by the <br/>
<a id="pl.136.36"></a><var>136.36</var>chair of the local social services agency or the chair's designee. The notification shall be <br/>
<a id="pl.137.1"></a><var>137.1</var>private data on individuals subject to the provisions of this paragraph. School officials <br/>
<a id="pl.137.2"></a><var>137.2</var>may not disclose to the parent, legal custodian, or guardian the contents of the notification <br/>
<a id="pl.137.3"></a><var>137.3</var>or any other related information regarding the interview until notified in writing by the <br/>
<a id="pl.137.4"></a><var>137.4</var>local welfare or law enforcement agency that the investigation or assessment has been <br/>
<a id="pl.137.5"></a><var>137.5</var>concluded, unless a school employee or agent is alleged to have maltreated the child. <br/>
<a id="pl.137.6"></a><var>137.6</var>Until that time, the local welfare or law enforcement agency or the agency responsible <br/>
<a id="pl.137.7"></a><var>137.7</var>for assessing or investigating a report of maltreatment shall be solely responsible for any <br/>
<a id="pl.137.8"></a><var>137.8</var>disclosures regarding the nature of the assessment or investigation.<br/>
<a id="pl.137.9"></a><var>137.9</var>    Except where the alleged offender is believed to be a school official or employee, <br/>
<a id="pl.137.10"></a><var>137.10</var>the time and place, and manner of the interview on school premises shall be within the <br/>
<a id="pl.137.11"></a><var>137.11</var>discretion of school officials, but the local welfare or law enforcement agency shall have <br/>
<a id="pl.137.12"></a><var>137.12</var>the exclusive authority to determine who may attend the interview. The conditions as to <br/>
<a id="pl.137.13"></a><var>137.13</var>time, place, and manner of the interview set by the school officials shall be reasonable and <br/>
<a id="pl.137.14"></a><var>137.14</var>the interview shall be conducted not more than 24 hours after the receipt of the notification <br/>
<a id="pl.137.15"></a><var>137.15</var>unless another time is considered necessary by agreement between the school officials and <br/>
<a id="pl.137.16"></a><var>137.16</var>the local welfare or law enforcement agency. Where the school fails to comply with the <br/>
<a id="pl.137.17"></a><var>137.17</var>provisions of this paragraph, the juvenile court may order the school to comply. Every <br/>
<a id="pl.137.18"></a><var>137.18</var>effort must be made to reduce the disruption of the educational program of the child, other <br/>
<a id="pl.137.19"></a><var>137.19</var>students, or school staff when an interview is conducted on school premises.<br/>
<a id="pl.137.20"></a><var>137.20</var>    (e) Where the alleged offender or a person responsible for the care of the alleged <br/>
<a id="pl.137.21"></a><var>137.21</var>victim or other minor prevents access to the victim or other minor by the local welfare <br/>
<a id="pl.137.22"></a><var>137.22</var>agency, the juvenile court may order the parents, legal custodian, or guardian to produce <br/>
<a id="pl.137.23"></a><var>137.23</var>the alleged victim or other minor for questioning by the local welfare agency or the local <br/>
<a id="pl.137.24"></a><var>137.24</var>law enforcement agency outside the presence of the alleged offender or any person <br/>
<a id="pl.137.25"></a><var>137.25</var>responsible for the child's care at reasonable places and times as specified by court order.<br/>
<a id="pl.137.26"></a><var>137.26</var>    (f) Before making an order under paragraph (e), the court shall issue an order to <br/>
<a id="pl.137.27"></a><var>137.27</var>show cause, either upon its own motion or upon a verified petition, specifying the basis for <br/>
<a id="pl.137.28"></a><var>137.28</var>the requested interviews and fixing the time and place of the hearing. The order to show <br/>
<a id="pl.137.29"></a><var>137.29</var>cause shall be served personally and shall be heard in the same manner as provided in <br/>
<a id="pl.137.30"></a><var>137.30</var>other cases in the juvenile court. The court shall consider the need for appointment of a <br/>
<a id="pl.137.31"></a><var>137.31</var>guardian ad litem to protect the best interests of the child. If appointed, the guardian ad <br/>
<a id="pl.137.32"></a><var>137.32</var>litem shall be present at the hearing on the order to show cause.<br/>
<a id="pl.137.33"></a><var>137.33</var>    (g) The commissioner of human services, the ombudsman for mental health and <br/>
<a id="pl.137.34"></a><var>137.34</var>developmental disabilities, the local welfare agencies responsible for investigating reports, <br/>
<a id="pl.137.35"></a><var>137.35</var>the commissioner of education, and the local law enforcement agencies have the right to <br/>
<a id="pl.137.36"></a><var>137.36</var>enter facilities as defined in subdivision 2 and to inspect and copy the facility's records, <br/>
<a id="pl.138.1"></a><var>138.1</var>including medical records, as part of the investigation. Notwithstanding the provisions of <br/>
<a id="pl.138.2"></a><var>138.2</var>chapter 13, they also have the right to inform the facility under investigation that they are <br/>
<a id="pl.138.3"></a><var>138.3</var>conducting an investigation, to disclose to the facility the names of the individuals under <br/>
<a id="pl.138.4"></a><var>138.4</var>investigation for abusing or neglecting a child, and to provide the facility with a copy of <br/>
<a id="pl.138.5"></a><var>138.5</var>the report and the investigative findings.<br/>
<a id="pl.138.6"></a><var>138.6</var>    (h) The local welfare agency responsible for conducting a family assessment or <br/>
<a id="pl.138.7"></a><var>138.7</var>investigation shall collect available and relevant information to determine child safety, <br/>
<a id="pl.138.8"></a><var>138.8</var>risk of subsequent child maltreatment, and family strengths and needs and share not public <br/>
<a id="pl.138.9"></a><var>138.9</var>information with an Indian's tribal social services agency without violating any law of the <br/>
<a id="pl.138.10"></a><var>138.10</var>state that may otherwise impose duties of confidentiality on the local welfare agency in <br/>
<a id="pl.138.11"></a><var>138.11</var>order to implement the tribal state agreement. The local welfare agency or the agency <br/>
<a id="pl.138.12"></a><var>138.12</var>responsible for investigating the report shall collect available and relevant information <br/>
<a id="pl.138.13"></a><var>138.13</var>to ascertain whether maltreatment occurred and whether protective services are needed. <br/>
<a id="pl.138.14"></a><var>138.14</var>Information collected includes, when relevant, information with regard to the person <br/>
<a id="pl.138.15"></a><var>138.15</var>reporting the alleged maltreatment, including the nature of the reporter's relationship to the <br/>
<a id="pl.138.16"></a><var>138.16</var>child and to the alleged offender, and the basis of the reporter's knowledge for the report; <br/>
<a id="pl.138.17"></a><var>138.17</var>the child allegedly being maltreated; the alleged offender; the child's caretaker; and other <br/>
<a id="pl.138.18"></a><var>138.18</var>collateral sources having relevant information related to the alleged maltreatment. The <br/>
<a id="pl.138.19"></a><var>138.19</var>local welfare agency or the agency responsible for assessing or investigating the report <br/>
<a id="pl.138.20"></a><var>138.20</var>may make a determination of no maltreatment early in an assessment investigation, and <br/>
<a id="pl.138.21"></a><var>138.21</var>close the case and retain immunity, if the collected information shows no basis for a <br/>
<a id="pl.138.22"></a><var>138.22</var>full assessment or investigation.<br/>
<a id="pl.138.23"></a><var>138.23</var>    Information relevant to the assessment or investigation must be asked for, and <br/>
<a id="pl.138.24"></a><var>138.24</var>may include:<br/>
<a id="pl.138.25"></a><var>138.25</var>    (1) the child's sex and age, prior reports of maltreatment, information relating <br/>
<a id="pl.138.26"></a><var>138.26</var>to developmental functioning, credibility of the child's statement, and whether the <br/>
<a id="pl.138.27"></a><var>138.27</var>information provided under this clause is consistent with other information collected <br/>
<a id="pl.138.28"></a><var>138.28</var>during the course of the assessment or investigation;<br/>
<a id="pl.138.29"></a><var>138.29</var>    (2) the alleged offender's age, a record check for prior reports of maltreatment, and <br/>
<a id="pl.138.30"></a><var>138.30</var>criminal charges and convictions. The local welfare agency or the agency responsible for <br/>
<a id="pl.138.31"></a><var>138.31</var>assessing or investigating the report must provide the alleged offender with an opportunity <br/>
<a id="pl.138.32"></a><var>138.32</var>to make a statement. The alleged offender may submit supporting documentation relevant <br/>
<a id="pl.138.33"></a><var>138.33</var>to the assessment or investigation;<br/>
<a id="pl.138.34"></a><var>138.34</var>    (3) collateral source information regarding the alleged maltreatment and care of the <br/>
<a id="pl.138.35"></a><var>138.35</var>child. Collateral information includes, when relevant: (i) a medical examination of the <br/>
<a id="pl.138.36"></a><var>138.36</var>child; (ii) prior medical records relating to the alleged maltreatment or the care of the <br/>
<a id="pl.139.1"></a><var>139.1</var>child maintained by any facility, clinic, or health care professional and an interview with <br/>
<a id="pl.139.2"></a><var>139.2</var>the treating professionals; and (iii) interviews with the child's caretakers, including the <br/>
<a id="pl.139.3"></a><var>139.3</var>child's parent, guardian, foster parent, child care provider, teachers, counselors, family <br/>
<a id="pl.139.4"></a><var>139.4</var>members, relatives, and other persons who may have knowledge regarding the alleged <br/>
<a id="pl.139.5"></a><var>139.5</var>maltreatment and the care of the child; and<br/>
<a id="pl.139.6"></a><var>139.6</var>    (4) information on the existence of domestic abuse and violence in the home of <br/>
<a id="pl.139.7"></a><var>139.7</var>the child, and substance abuse.<br/>
<a id="pl.139.8"></a><var>139.8</var>    Nothing in this paragraph precludes the local welfare agency, the local law <br/>
<a id="pl.139.9"></a><var>139.9</var>enforcement agency, or the agency responsible for assessing or investigating the report <br/>
<a id="pl.139.10"></a><var>139.10</var>from collecting other relevant information necessary to conduct the assessment or <br/>
<a id="pl.139.11"></a><var>139.11</var>investigation. Notwithstanding sections 
         <statute_ref>13.384</statute_ref> or 
         <statute_ref>144.291</statute_ref> to 144.298, the local welfare <br/>
<a id="pl.139.12"></a><var>139.12</var>agency has access to medical data and records for purposes of clause (3). Notwithstanding <br/>
<a id="pl.139.13"></a><var>139.13</var>the data's classification in the possession of any other agency, data acquired by the <br/>
<a id="pl.139.14"></a><var>139.14</var>local welfare agency or the agency responsible for assessing or investigating the report <br/>
<a id="pl.139.15"></a><var>139.15</var>during the course of the assessment or investigation are private data on individuals and <br/>
<a id="pl.139.16"></a><var>139.16</var>must be maintained in accordance with subdivision 11. Data of the commissioner of <br/>
<a id="pl.139.17"></a><var>139.17</var>education collected or maintained during and for the purpose of an investigation of <br/>
<a id="pl.139.18"></a><var>139.18</var>alleged maltreatment in a school are governed by this section, notwithstanding the data's <br/>
<a id="pl.139.19"></a><var>139.19</var>classification as educational, licensing, or personnel data under chapter 13.<br/>
<a id="pl.139.20"></a><var>139.20</var>    In conducting an assessment or investigation involving a school facility as defined <br/>
<a id="pl.139.21"></a><var>139.21</var>in subdivision 2, paragraph (i), the commissioner of education shall collect investigative <br/>
<a id="pl.139.22"></a><var>139.22</var>reports and data that are relevant to a report of maltreatment and are from local law <br/>
<a id="pl.139.23"></a><var>139.23</var>enforcement and the school facility.<br/>
<a id="pl.139.24"></a><var>139.24</var>    (i) Upon receipt of a report, the local welfare agency shall conduct a face-to-face <br/>
<a id="pl.139.25"></a><var>139.25</var>contact with the child reported to be maltreated and with the child's primary caregiver <br/>
<a id="pl.139.26"></a><var>139.26</var>sufficient to complete a safety assessment and ensure the immediate safety of the child. <br/>
<a id="pl.139.27"></a><var>139.27</var>The face-to-face contact with the child and primary caregiver shall occur immediately <br/>
<a id="pl.139.28"></a><var>139.28</var>if substantial child endangerment is alleged and within five calendar days for all other <br/>
<a id="pl.139.29"></a><var>139.29</var>reports. If the alleged offender was not already interviewed as the primary caregiver, the <br/>
<a id="pl.139.30"></a><var>139.30</var>local welfare agency shall also conduct a face-to-face interview with the alleged offender <br/>
<a id="pl.139.31"></a><var>139.31</var>in the early stages of the assessment or investigation. At the initial contact, the local child <br/>
<a id="pl.139.32"></a><var>139.32</var>welfare agency or the agency responsible for assessing or investigating the report must <br/>
<a id="pl.139.33"></a><var>139.33</var>inform the alleged offender of the complaints or allegations made against the individual in <br/>
<a id="pl.139.34"></a><var>139.34</var>a manner consistent with laws protecting the rights of the person who made the report. <br/>
<a id="pl.139.35"></a><var>139.35</var>The interview with the alleged offender may be postponed if it would jeopardize an active <br/>
<a id="pl.139.36"></a><var>139.36</var>law enforcement investigation.<br/>
<a id="pl.140.1"></a><var>140.1</var>    (j) When conducting an investigation, the local welfare agency shall use a question <br/>
<a id="pl.140.2"></a><var>140.2</var>and answer interviewing format with questioning as nondirective as possible to elicit <br/>
<a id="pl.140.3"></a><var>140.3</var>spontaneous responses. For investigations only, the following interviewing methods and <br/>
<a id="pl.140.4"></a><var>140.4</var>procedures must be used whenever possible when collecting information:<br/>
<a id="pl.140.5"></a><var>140.5</var>    (1) audio recordings of all interviews with witnesses and collateral sources; and<br/>
<a id="pl.140.6"></a><var>140.6</var>    (2) in cases of alleged sexual abuse, audio-video recordings of each interview with <br/>
<a id="pl.140.7"></a><var>140.7</var>the alleged victim and child witnesses.<br/>
<a id="pl.140.8"></a><var>140.8</var>    (k) In conducting an assessment or investigation involving a school facility as <br/>
<a id="pl.140.9"></a><var>140.9</var>defined in subdivision 2, paragraph (i), the commissioner of education shall collect <br/>
<a id="pl.140.10"></a><var>140.10</var>available and relevant information and use the procedures in paragraphs (i), (k), and <br/>
<a id="pl.140.11"></a><var>140.11</var>subdivision 3d, except that the requirement for face-to-face observation of the child <br/>
<a id="pl.140.12"></a><var>140.12</var>and face-to-face interview of the alleged offender is to occur in the initial stages of the <br/>
<a id="pl.140.13"></a><var>140.13</var>assessment or investigation provided that the commissioner may also base the assessment <br/>
<a id="pl.140.14"></a><var>140.14</var>or investigation on investigative reports and data received from the school facility and <br/>
<a id="pl.140.15"></a><var>140.15</var>local law enforcement, to the extent those investigations satisfy the requirements of <br/>
<a id="pl.140.16"></a><var>140.16</var>paragraphs (i) and (k), and subdivision 3d.<br/>
<br/>
<a id="bill.6.9.0"></a><a id="pl.140.17"></a><var>140.17</var>    Sec. 9. Minnesota Statutes 2010, section 626.556, subdivision 10e, is amended to read:<br/>
<a id="pl.140.18"></a><var>140.18</var>    Subd. 10e. <b>Determinations.</b> (a) The local welfare agency shall conclude the family <br/>
<a id="pl.140.19"></a><var>140.19</var>assessment or the investigation within 45 days of the receipt of a report. The conclusion of <br/>
<a id="pl.140.20"></a><var>140.20</var>the assessment or investigation may be extended to permit the completion of a criminal <br/>
<a id="pl.140.21"></a><var>140.21</var>investigation or the receipt of expert information requested within 45 days of the receipt <br/>
<a id="pl.140.22"></a><var>140.22</var>of the report.<br/>
<a id="pl.140.23"></a><var>140.23</var>    (b) After conducting a family assessment, the local welfare agency shall determine <br/>
<a id="pl.140.24"></a><var>140.24</var>whether services are needed to address the safety of the child and other family members <br/>
<a id="pl.140.25"></a><var>140.25</var>and the risk of subsequent maltreatment.<br/>
<a id="pl.140.26"></a><var>140.26</var>    (c) After conducting an investigation, the local welfare agency shall make two <br/>
<a id="pl.140.27"></a><var>140.27</var>determinations: first, whether maltreatment has occurred; and, second, whether child <br/>
<a id="pl.140.28"></a><var>140.28</var>protective services are needed. No determination of maltreatment shall be made when the <br/>
<a id="pl.140.29"></a><var>140.29</var>alleged perpetrator is a child under the age of ten.<br/>
<a id="pl.140.30"></a><var>140.30</var>    (d) If the commissioner of education conducts an assessment or investigation, <br/>
<a id="pl.140.31"></a><var>140.31</var>the commissioner shall determine whether maltreatment occurred and what corrective <br/>
<a id="pl.140.32"></a><var>140.32</var>or protective action was taken by the school facility. If a determination is made that <br/>
<a id="pl.140.33"></a><var>140.33</var>maltreatment has occurred, the commissioner shall report to the employer, the school <br/>
<a id="pl.140.34"></a><var>140.34</var>board, and any appropriate licensing entity the determination that maltreatment occurred <br/>
<a id="pl.140.35"></a><var>140.35</var>and what corrective or protective action was taken by the school facility. In all other cases, <br/>
<a id="pl.141.1"></a><var>141.1</var>the commissioner shall inform the school board or employer that a report was received, <br/>
<a id="pl.141.2"></a><var>141.2</var>the subject of the report, the date of the initial report, the category of maltreatment alleged <br/>
<a id="pl.141.3"></a><var>141.3</var>as defined in paragraph (f), the fact that maltreatment was not determined, and a summary <br/>
<a id="pl.141.4"></a><var>141.4</var>of the specific reasons for the determination.<br/>
<a id="pl.141.5"></a><var>141.5</var>    (e) When maltreatment is determined in an investigation involving a facility, <br/>
<a id="pl.141.6"></a><var>141.6</var>the investigating agency shall also determine whether the facility or individual was <br/>
<a id="pl.141.7"></a><var>141.7</var>responsible, or whether both the facility and the individual were responsible for the <br/>
<a id="pl.141.8"></a><var>141.8</var>maltreatment using the mitigating factors in paragraph (i). Determinations under this <br/>
<a id="pl.141.9"></a><var>141.9</var>subdivision must be made based on a preponderance of the evidence and are private data <br/>
<a id="pl.141.10"></a><var>141.10</var>on individuals or nonpublic data as maintained by the commissioner of education.<br/>
<a id="pl.141.11"></a><var>141.11</var>    (f) For the purposes of this subdivision, "maltreatment" means any of the following <br/>
<a id="pl.141.12"></a><var>141.12</var>acts or omissions:<br/>
<a id="pl.141.13"></a><var>141.13</var>    (1) physical abuse as defined in subdivision 2, paragraph (g);<br/>
<a id="pl.141.14"></a><var>141.14</var>    (2) neglect as defined in subdivision 2, paragraph (f);<br/>
<a id="pl.141.15"></a><var>141.15</var>    (3) sexual abuse as defined in subdivision 2, paragraph (d);<br/>
<a id="pl.141.16"></a><var>141.16</var>    (4) mental injury as defined in subdivision 2, paragraph (m); or<br/>
<a id="pl.141.17"></a><var>141.17</var>    (5) maltreatment of a child in a facility as defined in subdivision 2, paragraph (i).<br/>
<a id="pl.141.18"></a><var>141.18</var>    (g) For the purposes of this subdivision, a determination that child protective <br/>
<a id="pl.141.19"></a><var>141.19</var>services are needed means that the local welfare agency has documented conditions <br/>
<a id="pl.141.20"></a><var>141.20</var>during the assessment or investigation sufficient to cause a child protection worker, as <br/>
<a id="pl.141.21"></a><var>141.21</var>defined in section 
         <statute_ref>626.559, subdivision 1</statute_ref>, to conclude that a child is at significant risk of <br/>
<a id="pl.141.22"></a><var>141.22</var>maltreatment if protective intervention is not provided and that the individuals responsible <br/>
<a id="pl.141.23"></a><var>141.23</var>for the child's care have not taken or are not likely to take actions to protect the child <br/>
<a id="pl.141.24"></a><var>141.24</var>from maltreatment or risk of maltreatment.<br/>
<a id="pl.141.25"></a><var>141.25</var>    (h) This subdivision does not mean that maltreatment has occurred solely because <br/>
<a id="pl.141.26"></a><var>141.26</var>the child's parent, guardian, or other person responsible for the child's care in good faith <br/>
<a id="pl.141.27"></a><var>141.27</var>selects and depends upon spiritual means or prayer for treatment or care of disease <br/>
<a id="pl.141.28"></a><var>141.28</var>or remedial care of the child, in lieu of medical care. However, if lack of medical care <br/>
<a id="pl.141.29"></a><var>141.29</var>may result in serious danger to the child's health, the local welfare agency may ensure <br/>
<a id="pl.141.30"></a><var>141.30</var>that necessary medical services are provided to the child.<br/>
<a id="pl.141.31"></a><var>141.31</var>    (i) When determining whether the facility or individual is the responsible party, or <br/>
<a id="pl.141.32"></a><var>141.32</var>whether both the facility and the individual are responsible for determined maltreatment in <br/>
<a id="pl.141.33"></a><var>141.33</var>a facility, the investigating agency shall consider at least the following mitigating factors:<br/>
<a id="pl.141.34"></a><var>141.34</var>    (1) whether the actions of the facility or the individual caregivers were according to, <br/>
<a id="pl.141.35"></a><var>141.35</var>and followed the terms of, an erroneous physician order, prescription, individual care plan, <br/>
<a id="pl.141.36"></a><var>141.36</var>or directive; however, this is not a mitigating factor when the facility or caregiver was <br/>
<a id="pl.142.1"></a><var>142.1</var>responsible for the issuance of the erroneous order, prescription, individual care plan, or <br/>
<a id="pl.142.2"></a><var>142.2</var>directive or knew or should have known of the errors and took no reasonable measures to <br/>
<a id="pl.142.3"></a><var>142.3</var>correct the defect before administering care;<br/>
<a id="pl.142.4"></a><var>142.4</var>    (2) comparative responsibility between the facility, other caregivers, and <br/>
<a id="pl.142.5"></a><var>142.5</var>requirements placed upon an employee, including the facility's compliance with related <br/>
<a id="pl.142.6"></a><var>142.6</var>regulatory standards and the adequacy of facility policies and procedures, facility training, <br/>
<a id="pl.142.7"></a><var>142.7</var>an individual's participation in the training, the caregiver's supervision, and facility staffing <br/>
<a id="pl.142.8"></a><var>142.8</var>levels and the scope of the individual employee's authority and discretion; and<br/>
<a id="pl.142.9"></a><var>142.9</var>    (3) whether the facility or individual followed professional standards in exercising <br/>
<a id="pl.142.10"></a><var>142.10</var>professional judgment.<br/>
<a id="pl.142.11"></a><var>142.11</var>The evaluation of the facility's responsibility under clause (2) must not be based on the <br/>
<a id="pl.142.12"></a><var>142.12</var>completeness of the risk assessment or risk reduction plan required under section 
         <statute_ref>245A.66</statute_ref>, <br/>
<a id="pl.142.13"></a><var>142.13</var>but must be based on the facility's compliance with the regulatory standards for policies <br/>
<a id="pl.142.14"></a><var>142.14</var>and procedures, training, and supervision as cited in Minnesota Statutes and Minnesota <br/>
<a id="pl.142.15"></a><var>142.15</var>Rules.<br/>
<a id="pl.142.16"></a><var>142.16</var>    (j) Notwithstanding paragraph (i), when maltreatment is determined to have been <br/>
<a id="pl.142.17"></a><var>142.17</var>committed by an individual who is also the facility license holder, both the individual and <br/>
<a id="pl.142.18"></a><var>142.18</var>the facility must be determined responsible for the maltreatment, and both the background <br/>
<a id="pl.142.19"></a><var>142.19</var>study disqualification standards under section 
         <statute_ref>245C.15, subdivision 4</statute_ref>, and the licensing <br/>
<a id="pl.142.20"></a><var>142.20</var>actions under sections 
         <statute_ref>245A.06</statute_ref> or 
         <statute_ref>245A.07</statute_ref> apply.<br/>
<a id="pl.142.21"></a><var>142.21</var>(k) Individual counties may implement more detailed definitions or criteria that <br/>
<a id="pl.142.22"></a><var>142.22</var>indicate which allegations to investigate, as long as a county's policies are consistent <br/>
<a id="pl.142.23"></a><var>142.23</var>with the definitions in the statutes and rules and are approved by the county board. Each <br/>
<a id="pl.142.24"></a><var>142.24</var>local welfare agency shall periodically inform mandated reporters under subdivision 3 <br/>
<a id="pl.142.25"></a><var>142.25</var>who work in the county of the definitions of maltreatment in the statutes and rules and any <br/>
<a id="pl.142.26"></a><var>142.26</var>additional definitions or criteria that have been approved by the county board.<br/>
<br/>
<a id="bill.6.10.0"></a><a id="pl.142.27"></a><var>142.27</var>    Sec. 10. Minnesota Statutes 2010, section 626.556, subdivision 10f, is amended to read:<br/>
<a id="pl.142.28"></a><var>142.28</var>    Subd. 10f. <b>Notice of determinations.</b> Within ten working days of the conclusion <br/>
<a id="pl.142.29"></a><var>142.29</var>of a family assessment, the local welfare agency shall notify the parent or guardian <br/>
<a id="pl.142.30"></a><var>142.30</var>of the child of the need for services to address child safety concerns or significant risk <br/>
<a id="pl.142.31"></a><var>142.31</var>of subsequent child maltreatment. The local welfare agency and the family may also <br/>
<a id="pl.142.32"></a><var>142.32</var>jointly agree that family support and family preservation services are needed. Within ten <br/>
<a id="pl.142.33"></a><var>142.33</var>working days of the conclusion of an investigation, the local welfare agency or agency <br/>
<a id="pl.142.34"></a><var>142.34</var>responsible for assessing or investigating the report shall notify the parent or guardian <br/>
<a id="pl.142.35"></a><var>142.35</var>of the child, the person determined to be maltreating the child, and if applicable, the <br/>
<a id="pl.143.1"></a><var>143.1</var>director of the facility, of the determination and a summary of the specific reasons for <br/>
<a id="pl.143.2"></a><var>143.2</var>the determination. When the investigation involves a child foster care setting that is <br/>
<a id="pl.143.3"></a><var>143.3</var>monitored by a private licensing agency under section 
         <statute_ref>245A.16</statute_ref>, the local welfare agency <br/>
<a id="pl.143.4"></a><var>143.4</var>responsible for assessing or investigating the report shall notify the private licensing <br/>
<a id="pl.143.5"></a><var>143.5</var>agency of the determination and shall provide a summary of the specific reasons for <br/>
<a id="pl.143.6"></a><var>143.6</var>the determination. The notice to the private licensing agency must include identifying <br/>
<a id="pl.143.7"></a><var>143.7</var>private data, but not the identity of the reporter of maltreatment. The notice must also <br/>
<a id="pl.143.8"></a><var>143.8</var>include a certification that the information collection procedures under subdivision 10, <br/>
<a id="pl.143.9"></a><var>143.9</var>paragraphs (h), (i), and (j), were followed and a notice of the right of a data subject to <br/>
<a id="pl.143.10"></a><var>143.10</var>obtain access to other private data on the subject collected, created, or maintained under <br/>
<a id="pl.143.11"></a><var>143.11</var>this section. In addition, the notice shall include the length of time that the records will be <br/>
<a id="pl.143.12"></a><var>143.12</var>kept under subdivision 11c. The investigating agency shall notify the parent or guardian <br/>
<a id="pl.143.13"></a><var>143.13</var>of the child who is the subject of the report, and any person or facility determined to <br/>
<a id="pl.143.14"></a><var>143.14</var>have maltreated a child, of their appeal or review rights under this section or section <br/>
<statute_ref><a id="pl.143.15"></a><var>143.15</var>256.022
         </statute_ref>. The notice must also state that a finding of maltreatment may result in denial of a <br/>
<a id="pl.143.16"></a><var>143.16</var>license application or background study disqualification under chapter 245C related to <br/>
<a id="pl.143.17"></a><var>143.17</var>employment or services that are licensed by the Department of Human Services under <br/>
<a id="pl.143.18"></a><var>143.18</var>chapter 245A, the Department of Health under chapter 144 or 144A, the Department of <br/>
<a id="pl.143.19"></a><var>143.19</var>Corrections under section 
         <statute_ref>241.021</statute_ref>, and from providing services related to an unlicensed <br/>
<a id="pl.143.20"></a><var>143.20</var>personal care provider organization under chapter 256B.<br/>
<br/>
<a id="bill.6.11.0"></a><a id="pl.143.21"></a><var>143.21</var>    Sec. 11. Minnesota Statutes 2010, section 626.556, subdivision 10i, is amended to read:<br/>
<a id="pl.143.22"></a><var>143.22</var>    Subd. 10i. <b>Administrative reconsideration; review panel.</b> (a) Administrative <br/>
<a id="pl.143.23"></a><var>143.23</var>reconsideration is not applicable in family assessments since no determination concerning <br/>
<a id="pl.143.24"></a><var>143.24</var>maltreatment is made. For investigations, except as provided under paragraph (e), an <br/>
<a id="pl.143.25"></a><var>143.25</var>individual or facility that the commissioner of human services, a local social service <br/>
<a id="pl.143.26"></a><var>143.26</var>agency, or the commissioner of education determines has maltreated a child, an interested <br/>
<a id="pl.143.27"></a><var>143.27</var>person acting on behalf of the child, regardless of the determination, who contests <br/>
<a id="pl.143.28"></a><var>143.28</var>the investigating agency's final determination regarding maltreatment, may request the <br/>
<a id="pl.143.29"></a><var>143.29</var>investigating agency to reconsider its final determination regarding maltreatment. The <br/>
<a id="pl.143.30"></a><var>143.30</var>request for reconsideration must be submitted in writing to the investigating agency within <br/>
<a id="pl.143.31"></a><var>143.31</var>15 calendar days after receipt of notice of the final determination regarding maltreatment <br/>
<a id="pl.143.32"></a><var>143.32</var>or, if the request is made by an interested person who is not entitled to notice, within <br/>
<a id="pl.143.33"></a><var>143.33</var>15 days after receipt of the notice by the parent or guardian of the child. If mailed, the <br/>
<a id="pl.143.34"></a><var>143.34</var>request for reconsideration must be postmarked and sent to the investigating agency <br/>
<a id="pl.143.35"></a><var>143.35</var>within 15 calendar days of the individual's or facility's receipt of the final determination. If <br/>
<a id="pl.144.1"></a><var>144.1</var>the request for reconsideration is made by personal service, it must be received by the <br/>
<a id="pl.144.2"></a><var>144.2</var>investigating agency within 15 calendar days after the individual's or facility's receipt of the <br/>
<a id="pl.144.3"></a><var>144.3</var>final determination. Effective January 1, 2002, an individual who was determined to have <br/>
<a id="pl.144.4"></a><var>144.4</var>maltreated a child under this section and who was disqualified on the basis of serious or <br/>
<a id="pl.144.5"></a><var>144.5</var>recurring maltreatment under sections 
         <statute_ref>245C.14</statute_ref> and 
         <statute_ref>245C.15</statute_ref>, may request reconsideration <br/>
<a id="pl.144.6"></a><var>144.6</var>of the maltreatment determination and the disqualification. The request for reconsideration <br/>
<a id="pl.144.7"></a><var>144.7</var>of the maltreatment determination and the disqualification must be submitted within 30 <br/>
<a id="pl.144.8"></a><var>144.8</var>calendar days of the individual's receipt of the notice of disqualification under sections <br/>
<statute_ref><a id="pl.144.9"></a><var>144.9</var>245C.16
         </statute_ref> and 
         <statute_ref>245C.17</statute_ref>. If mailed, the request for reconsideration of the maltreatment <br/>
<a id="pl.144.10"></a><var>144.10</var>determination and the disqualification must be postmarked and sent to the investigating <br/>
<a id="pl.144.11"></a><var>144.11</var>agency within 30 calendar days of the individual's receipt of the maltreatment <br/>
<a id="pl.144.12"></a><var>144.12</var>determination and notice of disqualification. If the request for reconsideration is made by <br/>
<a id="pl.144.13"></a><var>144.13</var>personal service, it must be received by the investigating agency within 30 calendar days <br/>
<a id="pl.144.14"></a><var>144.14</var>after the individual's receipt of the notice of disqualification.<br/>
<a id="pl.144.15"></a><var>144.15</var>    (b) Except as provided under paragraphs (e) and (f), if the investigating agency <br/>
<a id="pl.144.16"></a><var>144.16</var>denies the request or fails to act upon the request within 15 working days after receiving <br/>
<a id="pl.144.17"></a><var>144.17</var>the request for reconsideration, the person or facility entitled to a fair hearing under <br/>
<a id="pl.144.18"></a><var>144.18</var>section 
         <statute_ref>256.045</statute_ref> may submit to the commissioner of human services or the commissioner <br/>
<a id="pl.144.19"></a><var>144.19</var>of education a written request for a hearing under that section. Section 
         <statute_ref>256.045</statute_ref> also <br/>
<a id="pl.144.20"></a><var>144.20</var>governs hearings requested to contest a final determination of the commissioner of <br/>
<a id="pl.144.21"></a><var>144.21</var>education. For reports involving maltreatment of a child in a facility, an interested person <br/>
<a id="pl.144.22"></a><var>144.22</var>acting on behalf of the child may request a review by the Child Maltreatment Review <br/>
<a id="pl.144.23"></a><var>144.23</var>Panel under section 
<statute_ref>256.022</statute_ref> if the investigating agency denies the request or fails to act <br/>
<a id="pl.144.24"></a><var>144.24</var>upon the request or if the interested person contests a reconsidered determination. The <br/>
<a id="pl.144.25"></a><var>144.25</var>investigating agency shall notify persons who request reconsideration of their rights under <br/>
<a id="pl.144.26"></a><var>144.26</var>this paragraph. The request must be submitted in writing to the review panel and a copy <br/>
<a id="pl.144.27"></a><var>144.27</var>sent to the investigating agency within 30 calendar days of receipt of notice of a denial <br/>
<a id="pl.144.28"></a><var>144.28</var>of a request for reconsideration or of a reconsidered determination. The request must <br/>
<a id="pl.144.29"></a><var>144.29</var>specifically identify the aspects of the agency determination with which the person is <br/>
<a id="pl.144.30"></a><var>144.30</var>dissatisfied. The hearings specified under this section are the only administrative appeal of <br/>
<a id="pl.144.31"></a><var>144.31</var>a decision issued under paragraph (a). Determinations under this section are not subject to <br/>
<a id="pl.144.32"></a><var>144.32</var>accuracy and completeness challenges under section 13.04.<br/>
<a id="pl.144.33"></a><var>144.33</var>    (c) If, as a result of a reconsideration or review, the investigating agency changes <br/>
<a id="pl.144.34"></a><var>144.34</var>the final determination of maltreatment, that agency shall notify the parties specified in <br/>
<a id="pl.144.35"></a><var>144.35</var>subdivisions 10b, 10d, and 10f.<br/>
<a id="pl.145.1"></a><var>145.1</var>    (d) Except as provided under paragraph (f), if an individual or facility contests the <br/>
<a id="pl.145.2"></a><var>145.2</var>investigating agency's final determination regarding maltreatment by requesting a fair <br/>
<a id="pl.145.3"></a><var>145.3</var>hearing under section 
         <statute_ref>256.045</statute_ref>, the commissioner of human services shall assure that the <br/>
<a id="pl.145.4"></a><var>145.4</var>hearing is conducted and a decision is reached within 90 days of receipt of the request for <br/>
<a id="pl.145.5"></a><var>145.5</var>a hearing. The time for action on the decision may be extended for as many days as the <br/>
<a id="pl.145.6"></a><var>145.6</var>hearing is postponed or the record is held open for the benefit of either party.<br/>
<a id="pl.145.7"></a><var>145.7</var>    (e) If an individual was disqualified under sections 
         <statute_ref>245C.14</statute_ref> and 
         <statute_ref>245C.15</statute_ref>, on <br/>
<a id="pl.145.8"></a><var>145.8</var>the basis of a determination of maltreatment, which was serious or recurring, and <br/>
<a id="pl.145.9"></a><var>145.9</var>the individual has requested reconsideration of the maltreatment determination under <br/>
<a id="pl.145.10"></a><var>145.10</var>paragraph (a) and requested reconsideration of the disqualification under sections 
         <statute_ref>245C.21</statute_ref> <br/>
<a id="pl.145.11"></a><var>145.11</var>to 
         <statute_ref>245C.27</statute_ref>, reconsideration of the maltreatment determination and reconsideration of the <br/>
<a id="pl.145.12"></a><var>145.12</var>disqualification shall be consolidated into a single reconsideration. If reconsideration <br/>
<a id="pl.145.13"></a><var>145.13</var>of the maltreatment determination is denied and the individual remains disqualified <br/>
<a id="pl.145.14"></a><var>145.14</var>following a reconsideration decision, the individual may request a fair hearing under <br/>
<a id="pl.145.15"></a><var>145.15</var>section 
         <statute_ref>256.045</statute_ref>. If an individual requests a fair hearing on the maltreatment determination <br/>
<a id="pl.145.16"></a><var>145.16</var>and the disqualification, the scope of the fair hearing shall include both the maltreatment <br/>
<a id="pl.145.17"></a><var>145.17</var>determination and the disqualification.<br/>
<a id="pl.145.18"></a><var>145.18</var>    (f) If a maltreatment determination or a disqualification based on serious or recurring <br/>
<a id="pl.145.19"></a><var>145.19</var>maltreatment is the basis for a denial of a license under section 
         <statute_ref>245A.05</statute_ref> or a licensing <br/>
<a id="pl.145.20"></a><var>145.20</var>sanction under section 
         <statute_ref>245A.07</statute_ref>, the license holder has the right to a contested case hearing <br/>
<a id="pl.145.21"></a><var>145.21</var>under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. As provided for <br/>
<a id="pl.145.22"></a><var>145.22</var>under section 
         <statute_ref>245A.08, subdivision 2a</statute_ref>, the scope of the contested case hearing shall <br/>
<a id="pl.145.23"></a><var>145.23</var>include the maltreatment determination, disqualification, and licensing sanction or denial <br/>
<a id="pl.145.24"></a><var>145.24</var>of a license. In such cases, a fair hearing regarding the maltreatment determination and <br/>
<a id="pl.145.25"></a><var>145.25</var>disqualification shall not be conducted under section 
         <statute_ref>256.045</statute_ref>. Except for family child <br/>
<a id="pl.145.26"></a><var>145.26</var>care and child foster care, reconsideration of a maltreatment determination as provided <br/>
<a id="pl.145.27"></a><var>145.27</var>under this subdivision, and reconsideration of a disqualification as provided under section <br/>
<statute_ref><a id="pl.145.28"></a><var>145.28</var>245C.22
         </statute_ref>, shall also not be conducted when:<br/>
<a id="pl.145.29"></a><var>145.29</var>    (1) a denial of a license under section 
         <statute_ref>245A.05</statute_ref> or a licensing sanction under section <br/>
<statute_ref><a id="pl.145.30"></a><var>145.30</var>245A.07
         </statute_ref>, is based on a determination that the license holder is responsible for maltreatment <br/>
<a id="pl.145.31"></a><var>145.31</var>or the disqualification of a license holder based on serious or recurring maltreatment;<br/>
<a id="pl.145.32"></a><var>145.32</var>    (2) the denial of a license or licensing sanction is issued at the same time as the <br/>
<a id="pl.145.33"></a><var>145.33</var>maltreatment determination or disqualification; and<br/>
<a id="pl.145.34"></a><var>145.34</var>    (3) the license holder appeals the maltreatment determination or disqualification, and <br/>
<a id="pl.145.35"></a><var>145.35</var>denial of a license or licensing sanction.<br/>
<a id="pl.146.1"></a><var>146.1</var>    Notwithstanding clauses (1) to (3), if the license holder appeals the maltreatment <br/>
<a id="pl.146.2"></a><var>146.2</var>determination or disqualification, but does not appeal the denial of a license or a licensing <br/>
<a id="pl.146.3"></a><var>146.3</var>sanction, reconsideration of the maltreatment determination shall be conducted under <br/>
<a id="pl.146.4"></a><var>146.4</var>sections 
         <statute_ref>626.556, subdivision 10i</statute_ref>, and 
         <statute_ref>626.557, subdivision 9d</statute_ref>, and reconsideration of the <br/>
<a id="pl.146.5"></a><var>146.5</var>disqualification shall be conducted under section 
         <statute_ref>245C.22</statute_ref>. In such cases, a fair hearing <br/>
<a id="pl.146.6"></a><var>146.6</var>shall also be conducted as provided under sections 
         <statute_ref>245C.27</statute_ref>, 
         <statute_ref>626.556</statute_ref>, subdivision 10i, and <br/>
<statute_ref><a id="pl.146.7"></a><var>146.7</var>626.557, subdivision 9d
         </statute_ref>.<br/>
<a id="pl.146.8"></a><var>146.8</var>    If the disqualified subject is an individual other than the license holder and upon <br/>
<a id="pl.146.9"></a><var>146.9</var>whom a background study must be conducted under chapter 245C, the hearings of all <br/>
<a id="pl.146.10"></a><var>146.10</var>parties may be consolidated into a single contested case hearing upon consent of all parties <br/>
<a id="pl.146.11"></a><var>146.11</var>and the administrative law judge.<br/>
<a id="pl.146.12"></a><var>146.12</var>    (g) For purposes of this subdivision, "interested person acting on behalf of the <br/>
<a id="pl.146.13"></a><var>146.13</var>child" means a parent or legal guardian; stepparent; grandparent; guardian ad litem; adult <br/>
<a id="pl.146.14"></a><var>146.14</var>stepbrother, stepsister, or sibling; or adult aunt or uncle; unless the person has been <br/>
<a id="pl.146.15"></a><var>146.15</var>determined to be the perpetrator of the maltreatment.<br/>
<br/>
<a id="bill.6.12.0"></a><a id="pl.146.16"></a><var>146.16</var>    Sec. 12. Minnesota Statutes 2010, section 626.556, subdivision 10k, is amended to <br/>
<a id="pl.146.17"></a><var>146.17</var>read:<br/>
<a id="pl.146.18"></a><var>146.18</var>    Subd. 10k. <b>Release of certain</b><b> assessment or</b><b> investigative records to other </b><br/>
<a id="pl.146.19"></a><var>146.19</var><b>counties.</b> Records maintained under subdivision 11c, paragraph (a), may be shared with <br/>
<a id="pl.146.20"></a><var>146.20</var>another local welfare agency that requests the information because it is conducting an <br/>
<a id="pl.146.21"></a><var>146.21</var>assessment or investigation under this section of the subject of the records.<br/>
<br/>
<a id="bill.6.13.0"></a><a id="pl.146.22"></a><var>146.22</var>    Sec. 13. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.146.23"></a><var>146.23</var>(a) The revisor of statutes shall renumber each section of Minnesota Statutes listed <br/>
<a id="pl.146.24"></a><var>146.24</var>in column A with the number listed in column B.<br/>
<table>
<col width="50px"/>
<col width="10"/>
<col width="27.5"/>
<col width="27.5"/>
<tr>
<td><a id="pl.146.25"></a><var>146.25</var><br/>
</td>
<td></td>
<td>Column A<br/>
</td>
<td>Column B<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.26"></a><var>146.26</var><br/>
</td>
<td></td>
<td>259.69<br/>
</td>
<td>259A.05, subd. 5<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.27"></a><var>146.27</var><br/>
</td>
<td></td>
<td>260C.217<br/>
</td>
<td>260C.139<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.28"></a><var>146.28</var><br/>
</td>
<td></td>
<td>260C.501<br/>
</td>
<td>260C.177<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.29"></a><var>146.29</var><br/>
</td>
<td></td>
<td>260C.201, subd. 10<br/>
</td>
<td>260C.202<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.30"></a><var>146.30</var><br/>
</td>
<td></td>
<td>260C.212, subd. 7<br/>
</td>
<td>260C.203<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.31"></a><var>146.31</var><br/>
</td>
<td></td>
<td>260C.201, subd. 11a<br/>
</td>
<td>260C.204<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.32"></a><var>146.32</var><br/>
</td>
<td></td>
<td>260C.212, subd. 4<br/>
</td>
<td>260C.219<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.33"></a><var>146.33</var><br/>
</td>
<td></td>
<td>260C.212, subd. 5<br/>
</td>
<td>260C.221<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.34"></a><var>146.34</var><br/>
</td>
<td></td>
<td>260C.213<br/>
</td>
<td>260C.223<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.35"></a><var>146.35</var><br/>
</td>
<td></td>
<td>260C.206<br/>
</td>
<td>260C.225<br/>
</td>
</tr>
<tr>
<td><a id="pl.146.36"></a><var>146.36</var><br/>
</td>
<td></td>
<td>260C.212, subd. 8<br/>
</td>
<td>260C.227<br/>
</td>
</tr>
<tr>
<td><a id="pl.147.1"></a><var>147.1</var><br/>
</td>
<td></td>
<td>260C.212, subd. 6<br/>
</td>
<td>260C.521, subd. 4<br/>
</td>
</tr>
<tr>
<td><a id="pl.147.2"></a><var>147.2</var><br/>
</td>
<td></td>
<td>260C.205<br/>
</td>
<td>260D.11<br/>
</td>
</tr>
</table><a id="pl.147.3"></a><var>147.3</var>(b) The revisor of statutes shall make necessary cross-reference changes in <br/>
<a id="pl.147.4"></a><var>147.4</var>Minnesota Statutes and Minnesota Rules consistent with the numbering in articles 1 and <br/>
<a id="pl.147.5"></a><var>147.5</var>2 and the renumbering in paragraph (a).<br/>
<br/>
<a id="bill.6.14.0"></a><a id="pl.147.6"></a><var>147.6</var>    Sec. 14. <b> REPEALER.</b><br/>
<a id="pl.147.7"></a><var>147.7</var>(a) Minnesota Statutes 2010, sections 256.022; 259.67; 259.71; 260C.201, <br/>
<a id="pl.147.8"></a><var>147.8</var>subdivision 11; 260C.215, subdivision 2; and 260C.456, are repealed.<br/>
<a id="pl.147.9"></a><var>147.9</var>(b) Minnesota Rules, parts 9560.0071; 9560.0082; 9560.0083; 9560.0091; <br/>
<a id="pl.147.10"></a><var>147.10</var>9560.0093, subparts 1, 3, and 4; 9560.0101; and 9560.0102, are repealed.<br/>
<br/>
<a id="bill.6.15.0"></a><a id="pl.147.11"></a><var>147.11</var>    Sec. 15. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.147.12"></a><var>147.12</var>This article is effective August 1, 2012.<br/>
<br/>
<a id="bill.7.0.0"></a>

<a id="bill.7.1.0"></a><a id="pl.147.15"></a><var>147.15</var>    Section 1. Minnesota Statutes 2010, section 119B.09, subdivision 7, is amended to read:<br/>
<a id="pl.147.16"></a><var>147.16</var>    Subd. 7. <b>Date of eligibility for assistance.</b> (a) The date of eligibility for child care <br/>
<a id="pl.147.17"></a><var>147.17</var>assistance under this chapter is the later of the date the application was signed received by <br/>
<a id="pl.147.18"></a><var>147.18</var>the county; the beginning date of employment, education, or training; the date the infant is <br/>
<a id="pl.147.19"></a><var>147.19</var>born for applicants to the at-home infant care program; or the date a determination has <br/>
<a id="pl.147.20"></a><var>147.20</var>been made that the applicant is a participant in employment and training services under <br/>
<a id="pl.147.21"></a><var>147.21</var>Minnesota Rules, part 3400.0080, or chapter 256J.<br/>
<a id="pl.147.22"></a><var>147.22</var>    (b) Payment ceases for a family under the at-home infant child care program when a <br/>
<a id="pl.147.23"></a><var>147.23</var>family has used a total of 12 months of assistance as specified under section 
         <statute_ref>119B.035</statute_ref>. <br/>
<a id="pl.147.24"></a><var>147.24</var>Payment of child care assistance for employed persons on MFIP is effective the date of <br/>
<a id="pl.147.25"></a><var>147.25</var>employment or the date of MFIP eligibility, whichever is later. Payment of child care <br/>
<a id="pl.147.26"></a><var>147.26</var>assistance for MFIP or DWP participants in employment and training services is effective <br/>
<a id="pl.147.27"></a><var>147.27</var>the date of commencement of the services or the date of MFIP or DWP eligibility, <br/>
<a id="pl.147.28"></a><var>147.28</var>whichever is later. Payment of child care assistance for transition year child care must be <br/>
<a id="pl.147.29"></a><var>147.29</var>made retroactive to the date of eligibility for transition year child care.<br/>
<a id="pl.147.30"></a><var>147.30</var>(c) Notwithstanding paragraph (b), payment of child care assistance for participants <br/>
<a id="pl.147.31"></a><var>147.31</var>eligible under section 
         <statute_ref>119B.05</statute_ref> may only be made retroactive for a maximum of six <br/>
<a id="pl.147.32"></a><var>147.32</var>months from the date of application for child care assistance.<br/>
<br/>
<a id="bill.7.2.0"></a><a id="pl.148.1"></a><var>148.1</var>    Sec. 2. Minnesota Statutes 2010, section 119B.12, subdivision 1, is amended to read:<br/>
<a id="pl.148.2"></a><var>148.2</var>    Subdivision 1. <b>Fee schedule.</b> All changes to parent fees must be implemented on <br/>
<a id="pl.148.3"></a><var>148.3</var>the first Monday of the service period following the effective date of the change.<br/>
<a id="pl.148.4"></a><var>148.4</var>    PARENT FEE SCHEDULE. The parent fee schedule is as follows, except as noted <br/>
<a id="pl.148.5"></a><var>148.5</var>in subdivision 2:<br/>
<table>
<col width="50px"/>
<col width=""/>
<col width=""/>
<tr>
<td><a id="pl.148.6"></a><var>148.6</var><br/>
<a id="pl.148.7"></a><var>148.7</var><br/>
<a id="pl.148.8"></a><var>148.8</var><br/>
</td>
<td>Income Range (as a percent of the state <br/>
                  		median income, except at the start of the <br/>
                  		first tier)<br/>
</td>
<td valign="top">Co-payment (as a percentage of adjusted <br/>
                  		gross income)<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.9"></a><var>148.9</var><br/>
</td>
<td>0-74.99% of federal poverty guidelines<br/>
</td>
<td>$0/month biweekly<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.10"></a><var>148.10</var><br/>
</td>
<td>75.00-99.99% of federal poverty guidelines<br/>
</td>
<td>$5/month $2/biweekly<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.11"></a><var>148.11</var><br/>
<a id="pl.148.12"></a><var>148.12</var><br/>
</td>
<td>100.00% of federal poverty <br/>
                  		guidelines-27.72%<br/>
</td>
<td>2.61%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.13"></a><var>148.13</var><br/>
</td>
<td>27.73-29.04%<br/>
</td>
<td>2.61%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.14"></a><var>148.14</var><br/>
</td>
<td>29.05-30.36%<br/>
</td>
<td>2.61%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.15"></a><var>148.15</var><br/>
</td>
<td>30.37-31.68%<br/>
</td>
<td>2.61%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.16"></a><var>148.16</var><br/>
</td>
<td>31.69-33.00%<br/>
</td>
<td>2.91%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.17"></a><var>148.17</var><br/>
</td>
<td>33.01-34.32%<br/>
</td>
<td>2.91%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.18"></a><var>148.18</var><br/>
</td>
<td>34.33-35.65%<br/>
</td>
<td>2.91%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.19"></a><var>148.19</var><br/>
</td>
<td>35.66-36.96%<br/>
</td>
<td>2.91%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.20"></a><var>148.20</var><br/>
</td>
<td>36.97-38.29%<br/>
</td>
<td>3.21%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.21"></a><var>148.21</var><br/>
</td>
<td>38.30-39.61%<br/>
</td>
<td>3.21%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.22"></a><var>148.22</var><br/>
</td>
<td>39.62-40.93%<br/>
</td>
<td>3.21%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.23"></a><var>148.23</var><br/>
</td>
<td>40.94-42.25%<br/>
</td>
<td>3.84%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.24"></a><var>148.24</var><br/>
</td>
<td>42.26-43.57%<br/>
</td>
<td>3.84%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.25"></a><var>148.25</var><br/>
</td>
<td>43.58-44.89%<br/>
</td>
<td>4.46%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.26"></a><var>148.26</var><br/>
</td>
<td>44.90-46.21%<br/>
</td>
<td>4.76%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.27"></a><var>148.27</var><br/>
</td>
<td>46.22-47.53%<br/>
</td>
<td>5.05%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.28"></a><var>148.28</var><br/>
</td>
<td>47.54-48.85%<br/>
</td>
<td>5.65%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.29"></a><var>148.29</var><br/>
</td>
<td>48.86-50.17%<br/>
</td>
<td>5.95%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.30"></a><var>148.30</var><br/>
</td>
<td>50.18-51.49%<br/>
</td>
<td>6.24%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.31"></a><var>148.31</var><br/>
</td>
<td>51.50-52.81%<br/>
</td>
<td>6.84%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.32"></a><var>148.32</var><br/>
</td>
<td>52.82-54.13%<br/>
</td>
<td>7.58%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.33"></a><var>148.33</var><br/>
</td>
<td>54.14-55.45%<br/>
</td>
<td>8.33%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.34"></a><var>148.34</var><br/>
</td>
<td>55.46-56.77%<br/>
</td>
<td>9.20%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.35"></a><var>148.35</var><br/>
</td>
<td>56.78-58.09%<br/>
</td>
<td>10.07%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.36"></a><var>148.36</var><br/>
</td>
<td>58.10-59.41%<br/>
</td>
<td>10.94%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.37"></a><var>148.37</var><br/>
</td>
<td>59.42-60.73%<br/>
</td>
<td>11.55%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.38"></a><var>148.38</var><br/>
</td>
<td>60.74-62.06%<br/>
</td>
<td>12.16%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.39"></a><var>148.39</var><br/>
</td>
<td>62.07-63.38%<br/>
</td>
<td>12.77%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.40"></a><var>148.40</var><br/>
</td>
<td>63.39-64.70%<br/>
</td>
<td>13.38%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.41"></a><var>148.41</var><br/>
</td>
<td>64.71-66.99 67.00%<br/>
</td>
<td>14.00%<br/>
</td>
</tr>
<tr>
<td><a id="pl.148.42"></a><var>148.42</var><br/>
</td>
<td>Greater than 67.00%<br/>
</td>
<td>ineligible<br/>
</td>
</tr>
</table><a id="pl.149.1"></a><var>149.1</var>    A family's monthly biweekly co-payment fee is the fixed percentage established for <br/>
<a id="pl.149.2"></a><var>149.2</var>the income range multiplied by the highest possible income within that income range.<br/>
<br/>
<a id="bill.7.3.0"></a><a id="pl.149.3"></a><var>149.3</var>    Sec. 3. Minnesota Statutes 2010, section 119B.12, subdivision 2, is amended to read:<br/>
<a id="pl.149.4"></a><var>149.4</var>    Subd. 2. <b>Parent fee.</b> A family must be assessed a parent fee for each service period. <br/>
<a id="pl.149.5"></a><var>149.5</var>A family's parent fee must be a fixed percentage of its annual gross income. Parent fees <br/>
<a id="pl.149.6"></a><var>149.6</var>must apply to families eligible for child care assistance under sections 
         <statute_ref>119B.03</statute_ref> and <br/>
<statute_ref><a id="pl.149.7"></a><var>149.7</var>119B.05
         </statute_ref>. Income must be as defined in section 
         <statute_ref>119B.011, subdivision 15</statute_ref>. The fixed <br/>
<a id="pl.149.8"></a><var>149.8</var>percent is based on the relationship of the family's annual gross income to 100 percent <br/>
<a id="pl.149.9"></a><var>149.9</var>of the annual state median income. Parent fees must begin at 75 percent of the poverty <br/>
<a id="pl.149.10"></a><var>149.10</var>level. The minimum parent fees for families between 75 percent and 100 percent of <br/>
<a id="pl.149.11"></a><var>149.11</var>poverty level must be $5 per month $2 per biweekly period. Parent fees must provide <br/>
<a id="pl.149.12"></a><var>149.12</var>for graduated movement to full payment. Payment of part or all of a family's parent <br/>
<a id="pl.149.13"></a><var>149.13</var>fee directly to the family's child care provider on behalf of the family by a source other <br/>
<a id="pl.149.14"></a><var>149.14</var>than the family shall not affect the family's eligibility for child care assistance, and the <br/>
<a id="pl.149.15"></a><var>149.15</var>amount paid shall be excluded from the family's income. Child care providers who accept <br/>
<a id="pl.149.16"></a><var>149.16</var>third-party payments must maintain family specific documentation of payment source, <br/>
<a id="pl.149.17"></a><var>149.17</var>amount, and time period covered by the payment.<br/>
<br/>
<a id="bill.7.4.0"></a><a id="pl.149.18"></a><var>149.18</var>    Sec. 4. Minnesota Statutes 2010, section 119B.125, subdivision 1a, is amended to read:<br/>
<a id="pl.149.19"></a><var>149.19</var>    Subd. 1a. <b>Background study required.</b> This subdivision only applies to legal, <br/>
<a id="pl.149.20"></a><var>149.20</var>nonlicensed family child care providers. Prior to authorization, and as part of each <br/>
<a id="pl.149.21"></a><var>149.21</var>reauthorization required in subdivision 1, the county shall perform a background study on <br/>
<a id="pl.149.22"></a><var>149.22</var>every member of the provider's household who is age 13 and older. The background study <br/>
<a id="pl.149.23"></a><var>149.23</var>shall be conducted according to the procedures under subdivision 2. The county shall also <br/>
<a id="pl.149.24"></a><var>149.24</var>perform a background study on an individual who has reached age ten but is not yet age <br/>
<a id="pl.149.25"></a><var>149.25</var>13 and is living in the household where the nonlicensed child care will be provided when <br/>
<a id="pl.149.26"></a><var>149.26</var>the county has reasonable cause as defined under section 245C.02, subdivision 15.<br/>
<br/>
<a id="bill.7.5.0"></a><a id="pl.149.27"></a><var>149.27</var>    Sec. 5. Minnesota Statutes 2010, section 119B.125, subdivision 2, is amended to read:<br/>
<a id="pl.149.28"></a><var>149.28</var>    Subd. 2. <b>Persons who cannot be authorized.</b> (a) When any member of the <br/>
<a id="pl.149.29"></a><var>149.29</var>legal, nonlicensed family child care provider's household meets any of the conditions <br/>
<a id="pl.149.30"></a><var>149.30</var>under paragraphs (b) to (n), the provider must not be authorized as a legal nonlicensed <br/>
<a id="pl.149.31"></a><var>149.31</var>family child care provider. To determine whether any of the listed conditions exist, the <br/>
<a id="pl.149.32"></a><var>149.32</var>county must request information about the provider and other household members for <br/>
<a id="pl.149.33"></a><var>149.33</var>whom a background study is required under subdivision 1a from the Bureau of Criminal <br/>
<a id="pl.150.1"></a><var>150.1</var>Apprehension, the juvenile courts, and social service agencies. When one of the listed <br/>
<a id="pl.150.2"></a><var>150.2</var>entities does not maintain information on a statewide basis, the county must contact <br/>
<a id="pl.150.3"></a><var>150.3</var>the entity in the county where the provider resides and any other county in which the <br/>
<a id="pl.150.4"></a><var>150.4</var>provider or any household member previously resided in the past year. For purposes of <br/>
<a id="pl.150.5"></a><var>150.5</var>this subdivision, a finding that a delinquency petition is proven in juvenile court must be <br/>
<a id="pl.150.6"></a><var>150.6</var>considered a conviction in state district court. The provider seeking authorization under <br/>
<a id="pl.150.7"></a><var>150.7</var>this section shall collect the information required under section 245C.05, subdivision 1, <br/>
<a id="pl.150.8"></a><var>150.8</var>and forward the information to the county agency. The background study must include <br/>
<a id="pl.150.9"></a><var>150.9</var>a review of the information required under section 245C.08, subdivisions 2, 3, and 4, <br/>
<a id="pl.150.10"></a><var>150.10</var>paragraph (b). A nonlicensed family child care provider is not authorized under this <br/>
<a id="pl.150.11"></a><var>150.11</var>section if any household member who is the subject of a background study is determined <br/>
<a id="pl.150.12"></a><var>150.12</var>to have a disqualifying characteristic under paragraphs (b) to (e) or under section 245C.14 <br/>
<a id="pl.150.13"></a><var>150.13</var>or 245C.15. If a county has determined that a provider is able to be authorized in that <br/>
<a id="pl.150.14"></a><var>150.14</var>county, and a family in another county later selects that provider, the provider is able to <br/>
<a id="pl.150.15"></a><var>150.15</var>be authorized in the second county without undergoing a new background investigation <br/>
<a id="pl.150.16"></a><var>150.16</var>unless one of the following conditions exists:<br/>
<a id="pl.150.17"></a><var>150.17</var>    (1) two years have passed since the first authorization;<br/>
<a id="pl.150.18"></a><var>150.18</var>    (2) another person age 13 or older has joined the provider's household since the <br/>
<a id="pl.150.19"></a><var>150.19</var>last authorization;<br/>
<a id="pl.150.20"></a><var>150.20</var>    (3) a current household member has turned 13 since the last authorization; or<br/>
<a id="pl.150.21"></a><var>150.21</var>    (4) there is reason to believe that a household member has a factor that prevents <br/>
<a id="pl.150.22"></a><var>150.22</var>authorization.<br/>
<a id="pl.150.23"></a><var>150.23</var>    (b) The person has been convicted of one of the following offenses or has admitted to <br/>
<a id="pl.150.24"></a><var>150.24</var>committing or a preponderance of the evidence indicates that the person has committed an <br/>
<a id="pl.150.25"></a><var>150.25</var>act that meets the definition of one of the following offenses: sections 
<statute_ref>609.185</statute_ref> to 
<statute_ref>609.195</statute_ref>, <br/>
<a id="pl.150.26"></a><var>150.26</var>murder in the first, second, or third degree; 
<statute_ref>609.2661</statute_ref> to 
<statute_ref>609.2663</statute_ref>, murder of an unborn <br/>
<a id="pl.150.27"></a><var>150.27</var>child in the first, second, or third degree; 
<statute_ref>609.322</statute_ref>, solicitation, inducement, promotion <br/>
<a id="pl.150.28"></a><var>150.28</var>of prostitution, or receiving profit from prostitution; 
<statute_ref>609.342</statute_ref> to 
<statute_ref>609.345</statute_ref>, criminal sexual <br/>
<a id="pl.150.29"></a><var>150.29</var>conduct in the first, second, third, or fourth degree; 
<statute_ref>609.352</statute_ref>, solicitation of children to <br/>
<a id="pl.150.30"></a><var>150.30</var>engage in sexual conduct; 
<statute_ref>609.365</statute_ref>, incest; 
<statute_ref>609.377</statute_ref>, felony malicious punishment of a <br/>
<a id="pl.150.31"></a><var>150.31</var>child; 
<statute_ref>617.246</statute_ref>, use of minors in sexual performance; 
<statute_ref>617.247</statute_ref>, possession of pictorial <br/>
<a id="pl.150.32"></a><var>150.32</var>representation of a minor; 
<statute_ref>609.2242</statute_ref> to 
<statute_ref>609.2243</statute_ref>, felony domestic assault; a felony offense <br/>
<a id="pl.150.33"></a><var>150.33</var>of spousal abuse; a felony offense of child abuse or neglect; a felony offense of a crime <br/>
<a id="pl.150.34"></a><var>150.34</var>against children; or an attempt or conspiracy to commit any of these offenses as defined in <br/>
<a id="pl.150.35"></a><var>150.35</var>Minnesota Statutes; or an offense in any other state or country where the elements are <br/>
<a id="pl.150.36"></a><var>150.36</var>substantially similar to any of the offenses listed in this paragraph.<br/>
<a id="pl.151.1"></a><var>151.1</var>    (c) Less than 15 years have passed since the discharge of the sentence imposed for <br/>
<a id="pl.151.2"></a><var>151.2</var>the offense and the person has received a felony conviction for one of the following <br/>
<a id="pl.151.3"></a><var>151.3</var>offenses, or the person has admitted to committing or a preponderance of the evidence <br/>
<a id="pl.151.4"></a><var>151.4</var>indicates that the person has committed an act that meets the definition of a felony <br/>
<a id="pl.151.5"></a><var>151.5</var>conviction for one of the following offenses: sections 
<statute_ref>609.20</statute_ref> to 
<statute_ref>609.205</statute_ref>, manslaughter <br/>
<a id="pl.151.6"></a><var>151.6</var>in the first or second degree; 
<statute_ref>609.21</statute_ref>, criminal vehicular homicide; 
<statute_ref>609.215</statute_ref>, aiding <br/>
<a id="pl.151.7"></a><var>151.7</var>suicide or aiding attempted suicide; 
<statute_ref>609.221</statute_ref> to 
<statute_ref>609.2231</statute_ref>, assault in the first, second, <br/>
<a id="pl.151.8"></a><var>151.8</var>third, or fourth degree; 
<statute_ref>609.224</statute_ref>, repeat offenses of fifth-degree assault; 
<statute_ref>609.228</statute_ref>, great <br/>
<a id="pl.151.9"></a><var>151.9</var>bodily harm caused by distribution of drugs; 
<statute_ref>609.2325</statute_ref>, criminal abuse of a vulnerable <br/>
<a id="pl.151.10"></a><var>151.10</var>adult; 
<statute_ref>609.2335</statute_ref>, financial exploitation of a vulnerable adult; 
<statute_ref>609.235</statute_ref>, use of drugs to <br/>
<a id="pl.151.11"></a><var>151.11</var>injure or facilitate a crime; 
<statute_ref>609.24</statute_ref>, simple robbery; 
<statute_ref>617.241</statute_ref>, repeat offenses of obscene <br/>
<a id="pl.151.12"></a><var>151.12</var>materials and performances; 
<statute_ref>609.245</statute_ref>, aggravated robbery; 
<statute_ref>609.25</statute_ref>, kidnapping; 
<statute_ref>609.255</statute_ref>, <br/>
<a id="pl.151.13"></a><var>151.13</var>false imprisonment; 
<statute_ref>609.2664</statute_ref> to 
<statute_ref>609.2665</statute_ref>, manslaughter of an unborn child in the first or <br/>
<a id="pl.151.14"></a><var>151.14</var>second degree; 
<statute_ref>609.267</statute_ref> to 
<statute_ref>609.2672</statute_ref>, assault of an unborn child in the first, second, or third <br/>
<a id="pl.151.15"></a><var>151.15</var>degree; 
<statute_ref>609.268</statute_ref>, injury or death of an unborn child in the commission of a crime; 
<statute_ref>609.27</statute_ref>, <br/>
<a id="pl.151.16"></a><var>151.16</var>coercion; 
<statute_ref>609.275</statute_ref>, attempt to coerce; 
<statute_ref>609.324, subdivision 1</statute_ref>, other prohibited acts, minor <br/>
<a id="pl.151.17"></a><var>151.17</var>engaged in prostitution; 
<statute_ref>609.3451</statute_ref>, repeat offenses of criminal sexual conduct in the fifth <br/>
<a id="pl.151.18"></a><var>151.18</var>degree; 
<statute_ref>609.378</statute_ref>, neglect or endangerment of a child; 
<statute_ref>609.52</statute_ref>, theft; 
<statute_ref>609.521</statute_ref>, possession of <br/>
<a id="pl.151.19"></a><var>151.19</var>shoplifting gear; 
<statute_ref>609.561</statute_ref> to 
<statute_ref>609.563</statute_ref>, arson in the first, second, or third degree; 
<statute_ref>609.582</statute_ref>, <br/>
<a id="pl.151.20"></a><var>151.20</var>burglary in the first, second, third, or fourth degree; 
<statute_ref>609.625</statute_ref>, aggravated forgery; 
<statute_ref>609.63</statute_ref>, <br/>
<a id="pl.151.21"></a><var>151.21</var>forgery; 
<statute_ref>609.631</statute_ref>, check forgery, offering a forged check; 
<statute_ref>609.635</statute_ref>, obtaining signature <br/>
<a id="pl.151.22"></a><var>151.22</var>by false pretenses; 
<statute_ref>609.66</statute_ref>, dangerous weapon; 
<statute_ref>609.665</statute_ref>, setting a spring gun; 
<statute_ref>609.67</statute_ref>, <br/>
<a id="pl.151.23"></a><var>151.23</var>unlawfully owning, possessing, or operating a machine gun; 
<statute_ref>609.687</statute_ref>, adulteration; 
<statute_ref>609.71</statute_ref>, <br/>
<a id="pl.151.24"></a><var>151.24</var>riot; 
<statute_ref>609.713</statute_ref>, terrorist threats; 
<statute_ref>609.749</statute_ref>, stalking; 
<statute_ref>260C.301</statute_ref>, termination of parental rights; <br/>
<a id="pl.151.25"></a><var>151.25</var><statute_ref>152.021</statute_ref> to 
<statute_ref>152.022</statute_ref> and 
<statute_ref>152.0262</statute_ref>, controlled substance crime in the first or second degree; <br/>
<a id="pl.151.26"></a><var>151.26</var><statute_ref>152.023, subdivision 1</statute_ref>, clause (3) or (4), or 
<statute_ref>152.023, subdivision 2</statute_ref>, clause (4), controlled <br/>
<a id="pl.151.27"></a><var>151.27</var>substance crime in third degree; 
<statute_ref>152.024, subdivision 1</statute_ref>, clause (2), (3), or (4), controlled <br/>
<a id="pl.151.28"></a><var>151.28</var>substance crime in fourth degree; 
<statute_ref>617.23</statute_ref>, repeat offenses of indecent exposure; an attempt <br/>
<a id="pl.151.29"></a><var>151.29</var>or conspiracy to commit any of these offenses as defined in Minnesota Statutes; or an <br/>
<a id="pl.151.30"></a><var>151.30</var>offense in any other state or country where the elements are substantially similar to any of <br/>
<a id="pl.151.31"></a><var>151.31</var>the offenses listed in this paragraph.<br/>
<a id="pl.151.32"></a><var>151.32</var>    (d) Less than ten years have passed since the discharge of the sentence imposed for <br/>
<a id="pl.151.33"></a><var>151.33</var>the offense and the person has received a gross misdemeanor conviction for one of the <br/>
<a id="pl.151.34"></a><var>151.34</var>following offenses or the person has admitted to committing or a preponderance of the <br/>
<a id="pl.151.35"></a><var>151.35</var>evidence indicates that the person has committed an act that meets the definition of a gross <br/>
<a id="pl.151.36"></a><var>151.36</var>misdemeanor conviction for one of the following offenses: sections 
<statute_ref>609.224</statute_ref>, fifth-degree <br/>
<a id="pl.152.1"></a><var>152.1</var>assault; 
<statute_ref>609.2242</statute_ref> to 
<statute_ref>609.2243</statute_ref>, domestic assault; 
<statute_ref>518B.01, subdivision 14</statute_ref>, violation of <br/>
<a id="pl.152.2"></a><var>152.2</var>an order for protection; 
<statute_ref>609.3451</statute_ref>, fifth-degree criminal sexual conduct; 
<statute_ref>609.746</statute_ref>, repeat <br/>
<a id="pl.152.3"></a><var>152.3</var>offenses of interference with privacy; 
<statute_ref>617.23</statute_ref>, repeat offenses of indecent exposure; <br/>
<a id="pl.152.4"></a><var>152.4</var><statute_ref>617.241</statute_ref>, obscene materials and performances; 
<statute_ref>617.243</statute_ref>, indecent literature, distribution; <br/>
<a id="pl.152.5"></a><var>152.5</var><statute_ref>617.293</statute_ref>, disseminating or displaying harmful material to minors; 
<statute_ref>609.71</statute_ref>, riot; 
<statute_ref>609.66</statute_ref>, <br/>
<a id="pl.152.6"></a><var>152.6</var>dangerous weapons; 
<statute_ref>609.749</statute_ref>, stalking; 
<statute_ref>609.224, subdivision 2</statute_ref>, paragraph (c), fifth-degree <br/>
<a id="pl.152.7"></a><var>152.7</var>assault against a vulnerable adult by a caregiver; 
<statute_ref>609.23</statute_ref>, mistreatment of persons <br/>
<a id="pl.152.8"></a><var>152.8</var>confined; 
<statute_ref>609.231</statute_ref>, mistreatment of residents or patients; 
<statute_ref>609.2325</statute_ref>, criminal abuse of a <br/>
<a id="pl.152.9"></a><var>152.9</var>vulnerable adult; 
<statute_ref>609.2335</statute_ref>, financial exploitation of a vulnerable adult; 
<statute_ref>609.233</statute_ref>, criminal <br/>
<a id="pl.152.10"></a><var>152.10</var>neglect of a vulnerable adult; 
<statute_ref>609.234</statute_ref>, failure to report maltreatment of a vulnerable adult; <br/>
<a id="pl.152.11"></a><var>152.11</var><statute_ref>609.72, subdivision 3</statute_ref>, disorderly conduct against a vulnerable adult; 
<statute_ref>609.265</statute_ref>, abduction; <br/>
<a id="pl.152.12"></a><var>152.12</var><statute_ref>609.378</statute_ref>, neglect or endangerment of a child; 
<statute_ref>609.377</statute_ref>, malicious punishment of a child; <br/>
<a id="pl.152.13"></a><var>152.13</var><statute_ref>609.324, subdivision 1a</statute_ref>, other prohibited acts, minor engaged in prostitution; 
<statute_ref>609.33</statute_ref>, <br/>
<a id="pl.152.14"></a><var>152.14</var>disorderly house; 
<statute_ref>609.52</statute_ref>, theft; 
<statute_ref>609.582</statute_ref>, burglary in the first, second, third, or fourth <br/>
<a id="pl.152.15"></a><var>152.15</var>degree; 
<statute_ref>609.631</statute_ref>, check forgery, offering a forged check; 
<statute_ref>609.275</statute_ref>, attempt to coerce; an <br/>
<a id="pl.152.16"></a><var>152.16</var>attempt or conspiracy to commit any of these offenses as defined in Minnesota Statutes; or <br/>
<a id="pl.152.17"></a><var>152.17</var>an offense in any other state or country where the elements are substantially similar to <br/>
<a id="pl.152.18"></a><var>152.18</var>any of the offenses listed in this paragraph.<br/>
<a id="pl.152.19"></a><var>152.19</var>    (e) Less than seven years have passed since the discharge of the sentence imposed <br/>
<a id="pl.152.20"></a><var>152.20</var>for the offense and the person has received a misdemeanor conviction for one of the <br/>
<a id="pl.152.21"></a><var>152.21</var>following offenses or the person has admitted to committing or a preponderance of the <br/>
<a id="pl.152.22"></a><var>152.22</var>evidence indicates that the person has committed an act that meets the definition of a <br/>
<a id="pl.152.23"></a><var>152.23</var>misdemeanor conviction for one of the following offenses: sections 
<statute_ref>609.224</statute_ref>, fifth-degree <br/>
<a id="pl.152.24"></a><var>152.24</var>assault; 
<statute_ref>609.2242</statute_ref>, domestic assault; 
<statute_ref>518B.01</statute_ref>, violation of an order for protection; <br/>
<a id="pl.152.25"></a><var>152.25</var><statute_ref>609.3232</statute_ref>, violation of an order for protection; 
<statute_ref>609.746</statute_ref>, interference with privacy; 
<statute_ref>609.79</statute_ref>, <br/>
<a id="pl.152.26"></a><var>152.26</var>obscene or harassing telephone calls; 
<statute_ref>609.795</statute_ref>, letter, telegram, or package opening, <br/>
<a id="pl.152.27"></a><var>152.27</var>harassment; 
<statute_ref>617.23</statute_ref>, indecent exposure; 
<statute_ref>609.2672</statute_ref>, assault of an unborn child, third degree; <br/>
<a id="pl.152.28"></a><var>152.28</var><statute_ref>617.293</statute_ref>, dissemination and display of harmful materials to minors; 
<statute_ref>609.66</statute_ref>, dangerous <br/>
<a id="pl.152.29"></a><var>152.29</var>weapons; 
<statute_ref>609.665</statute_ref>, spring guns; an attempt or conspiracy to commit any of these offenses <br/>
<a id="pl.152.30"></a><var>152.30</var>as defined in Minnesota Statutes; or an offense in any other state or country where the <br/>
<a id="pl.152.31"></a><var>152.31</var>elements are substantially similar to any of the offenses listed in this paragraph.<br/>
<a id="pl.152.32"></a><var>152.32</var>    (f) The person has been identified by the child protection agency in the county where <br/>
<a id="pl.152.33"></a><var>152.33</var>the provider resides or a county where the provider has resided or by the statewide child <br/>
<a id="pl.152.34"></a><var>152.34</var>protection database as a person found by a preponderance of evidence under section <br/>
<a id="pl.152.35"></a><var>152.35</var><statute_ref>626.556</statute_ref> to be responsible for physical or sexual abuse of a child within the last seven years.<br/>
<a id="pl.153.1"></a><var>153.1</var>    (g) The person has been identified by the adult protection agency in the county <br/>
<a id="pl.153.2"></a><var>153.2</var>where the provider resides or a county where the provider has resided or by the statewide <br/>
<a id="pl.153.3"></a><var>153.3</var>adult protection database as the person responsible for abuse or neglect of a vulnerable <br/>
<a id="pl.153.4"></a><var>153.4</var>adult within the last seven years.<br/>
<a id="pl.153.5"></a><var>153.5</var>    (h) (b) The person has refused to give written consent for disclosure of criminal <br/>
<a id="pl.153.6"></a><var>153.6</var>history records.<br/>
<a id="pl.153.7"></a><var>153.7</var>    (i) (c) The person has been denied a family child care license or has received a fine <br/>
<a id="pl.153.8"></a><var>153.8</var>or a sanction as a licensed child care provider that has not been reversed on appeal.<br/>
<a id="pl.153.9"></a><var>153.9</var>    (j) (d) The person has a family child care licensing disqualification that has not <br/>
<a id="pl.153.10"></a><var>153.10</var>been set aside.<br/>
<a id="pl.153.11"></a><var>153.11</var>    (k) (e) The person has admitted or a county has found that there is a preponderance <br/>
<a id="pl.153.12"></a><var>153.12</var>of evidence that fraudulent information was given to the county for child care assistance <br/>
<a id="pl.153.13"></a><var>153.13</var>application purposes or was used in submitting child care assistance bills for payment.<br/>
<a id="pl.153.14"></a><var>153.14</var>    (l) The person has been convicted of the crime of theft by wrongfully obtaining <br/>
<a id="pl.153.15"></a><var>153.15</var>public assistance or has been found guilty of wrongfully obtaining public assistance by a <br/>
<a id="pl.153.16"></a><var>153.16</var>federal court, state court, or an administrative hearing determination or waiver, through a <br/>
<a id="pl.153.17"></a><var>153.17</var>disqualification consent agreement, as part of an approved diversion plan under section <br/>
<a id="pl.153.18"></a><var>153.18</var><statute_ref>401.065</statute_ref>, or a court-ordered stay with probationary or other conditions.<br/>
<a id="pl.153.19"></a><var>153.19</var>    (m) The person has a household member age 13 or older who has access to children <br/>
<a id="pl.153.20"></a><var>153.20</var>during the hours that care is provided and who meets one of the conditions listed in <br/>
<a id="pl.153.21"></a><var>153.21</var>paragraphs (b) to (l).<br/>
<a id="pl.153.22"></a><var>153.22</var>    (n) The person has a household member ages ten to 12 who has access to children <br/>
<a id="pl.153.23"></a><var>153.23</var>during the hours that care is provided; information or circumstances exist which provide <br/>
<a id="pl.153.24"></a><var>153.24</var>the county with articulable suspicion that further pertinent information may exist showing <br/>
<a id="pl.153.25"></a><var>153.25</var>the household member meets one of the conditions listed in paragraphs (b) to (l); and the <br/>
<a id="pl.153.26"></a><var>153.26</var>household member actually meets one of the conditions listed in paragraphs (b) to (l).<br/>
<br/>
<a id="bill.7.6.0"></a><a id="pl.153.27"></a><var>153.27</var>    Sec. 6. Minnesota Statutes 2010, section 119B.125, subdivision 6, is amended to read:<br/>
<a id="pl.153.28"></a><var>153.28</var>    Subd. 6. <b>Record-keeping requirement.</b> All providers receiving child care <br/>
<a id="pl.153.29"></a><var>153.29</var>assistance payments must keep daily attendance records for children receiving child care <br/>
<a id="pl.153.30"></a><var>153.30</var>assistance and must make those records available immediately to the county upon request. <br/>
<a id="pl.153.31"></a><var>153.31</var>The attendance records must be completed daily and include the date, the first and last <br/>
<a id="pl.153.32"></a><var>153.32</var>name of each child in attendance, and the times when each child is dropped off and picked <br/>
<a id="pl.153.33"></a><var>153.33</var>up. To the extent possible, the times that the child was dropped off to and picked up from <br/>
<a id="pl.153.34"></a><var>153.34</var>the child care provider must be entered by the person dropping off or picking up the child. <br/>
<a id="pl.153.35"></a><var>153.35</var>The daily attendance records must be retained for six years after the date of service. <br/>
<a id="pl.154.1"></a><var>154.1</var>A county may deny authorization as a child care provider to any applicant or rescind <br/>
<a id="pl.154.2"></a><var>154.2</var>authorization of any provider when the county knows or has reason to believe that the <br/>
<a id="pl.154.3"></a><var>154.3</var>provider has not complied with the record-keeping requirement in this subdivision.<br/>
<br/>
<a id="bill.7.7.0"></a><a id="pl.154.4"></a><var>154.4</var>    Sec. 7. Minnesota Statutes 2011 Supplement, section 119B.13, subdivision 1, is <br/>
<a id="pl.154.5"></a><var>154.5</var>amended to read:<br/>
<a id="pl.154.6"></a><var>154.6</var>    Subdivision 1. <b>Subsidy restrictions.</b> (a) Beginning October 31, 2011, the maximum <br/>
<a id="pl.154.7"></a><var>154.7</var>rate paid for child care assistance in any county or multicounty region under the child care <br/>
<a id="pl.154.8"></a><var>154.8</var>fund shall be the rate for like-care arrangements in the county effective July 1, 2006, <br/>
<a id="pl.154.9"></a><var>154.9</var>decreased by 2.5 percent.<br/>
<a id="pl.154.10"></a><var>154.10</var>    (b) Every year Biennially beginning in 2012, the commissioner shall survey rates <br/>
<a id="pl.154.11"></a><var>154.11</var>charged by child care providers in Minnesota to determine the 75th percentile for <br/>
<a id="pl.154.12"></a><var>154.12</var>like-care arrangements in counties. When the commissioner determines that, using the <br/>
<a id="pl.154.13"></a><var>154.13</var>commissioner's established protocol, the number of providers responding to the survey is <br/>
<a id="pl.154.14"></a><var>154.14</var>too small to determine the 75th percentile rate for like-care arrangements in a county or <br/>
<a id="pl.154.15"></a><var>154.15</var>multicounty region, the commissioner may establish the 75th percentile maximum rate <br/>
<a id="pl.154.16"></a><var>154.16</var>based on like-care arrangements in a county, region, or category that the commissioner <br/>
<a id="pl.154.17"></a><var>154.17</var>deems to be similar.<br/>
<a id="pl.154.18"></a><var>154.18</var>    (c) A rate which includes a special needs rate paid under subdivision 3 or under a <br/>
<a id="pl.154.19"></a><var>154.19</var>school readiness service agreement paid under section 119B.231, may be in excess of the <br/>
<a id="pl.154.20"></a><var>154.20</var>maximum rate allowed under this subdivision.<br/>
<a id="pl.154.21"></a><var>154.21</var>    (d) The department shall monitor the effect of this paragraph on provider rates. The <br/>
<a id="pl.154.22"></a><var>154.22</var>county shall pay the provider's full charges for every child in care up to the maximum <br/>
<a id="pl.154.23"></a><var>154.23</var>established. The commissioner shall determine the maximum rate for each type of care <br/>
<a id="pl.154.24"></a><var>154.24</var>on an hourly, full-day, and weekly basis, including special needs and disability care. The <br/>
<a id="pl.154.25"></a><var>154.25</var>maximum payment to a provider for one day of care must not exceed the daily rate. The <br/>
<a id="pl.154.26"></a><var>154.26</var>maximum payment to a provider for one week of care must not exceed the weekly rate.<br/>
<a id="pl.154.27"></a><var>154.27</var>(e) Child care providers receiving reimbursement under this chapter must not be <br/>
<a id="pl.154.28"></a><var>154.28</var>paid activity fees or an additional amount above the maximum rates for care provided <br/>
<a id="pl.154.29"></a><var>154.29</var>during nonstandard hours for families receiving assistance.<br/>
<a id="pl.154.30"></a><var>154.30</var>    (f) When the provider charge is greater than the maximum provider rate allowed, <br/>
<a id="pl.154.31"></a><var>154.31</var>the parent is responsible for payment of the difference in the rates in addition to any <br/>
<a id="pl.154.32"></a><var>154.32</var>family co-payment fee.<br/>
<a id="pl.154.33"></a><var>154.33</var>    (g) All maximum provider rates changes shall be implemented on the Monday <br/>
<a id="pl.154.34"></a><var>154.34</var>following the effective date of the maximum provider rate.<br/>
<br/>
<a id="bill.7.8.0"></a><a id="pl.155.1"></a><var>155.1</var>    Sec. 8. Minnesota Statutes 2010, section 119B.13, subdivision 6, is amended to read:<br/>
<a id="pl.155.2"></a><var>155.2</var>    Subd. 6. <b>Provider payments.</b> (a) The provider shall bill for services provided <br/>
<a id="pl.155.3"></a><var>155.3</var>within ten days of the end of the service period. If bills are submitted within ten days of <br/>
<a id="pl.155.4"></a><var>155.4</var>the end of the service period, payments under the child care fund shall be made within 30 <br/>
<a id="pl.155.5"></a><var>155.5</var>days of receiving a bill from the provider. Counties or the state may establish policies that <br/>
<a id="pl.155.6"></a><var>155.6</var>make payments on a more frequent basis.<br/>
<a id="pl.155.7"></a><var>155.7</var>(b) If a provider has received an authorization of care and been issued a billing form <br/>
<a id="pl.155.8"></a><var>155.8</var>for an eligible family, the bill must be submitted within 60 days of the last date of service <br/>
<a id="pl.155.9"></a><var>155.9</var>on the bill. A bill submitted more than 60 days after the last date of service must be <br/>
<a id="pl.155.10"></a><var>155.10</var>paid if the county determines that the provider has shown good cause why the bill was <br/>
<a id="pl.155.11"></a><var>155.11</var>not submitted within 60 days. Good cause must be defined in the county's child care <br/>
<a id="pl.155.12"></a><var>155.12</var>fund plan under section 
         <statute_ref>119B.08, subdivision 3</statute_ref>, and the definition of good cause must <br/>
<a id="pl.155.13"></a><var>155.13</var>include county error. Any bill submitted more than a year after the last date of service on <br/>
<a id="pl.155.14"></a><var>155.14</var>the bill must not be paid.<br/>
<a id="pl.155.15"></a><var>155.15</var>(c) If a provider provided care for a time period without receiving an authorization <br/>
<a id="pl.155.16"></a><var>155.16</var>of care and a billing form for an eligible family, payment of child care assistance may only <br/>
<a id="pl.155.17"></a><var>155.17</var>be made retroactively for a maximum of six months from the date the provider is issued <br/>
<a id="pl.155.18"></a><var>155.18</var>an authorization of care and billing form.<br/>
<a id="pl.155.19"></a><var>155.19</var>(d) A county may refuse to issue a child care authorization to a licensed or legal <br/>
<a id="pl.155.20"></a><var>155.20</var>nonlicensed provider, revoke an existing child care authorization to a licensed or legal <br/>
<a id="pl.155.21"></a><var>155.21</var>nonlicensed provider, stop payment issued to a licensed or legal nonlicensed provider, or <br/>
<a id="pl.155.22"></a><var>155.22</var>may refuse to pay a bill submitted by a licensed or legal nonlicensed provider if:<br/>
<a id="pl.155.23"></a><var>155.23</var>(1) the provider admits to intentionally giving the county materially false information <br/>
<a id="pl.155.24"></a><var>155.24</var>on the provider's billing forms; or<br/>
<a id="pl.155.25"></a><var>155.25</var>(2) a county finds by a preponderance of the evidence that the provider intentionally <br/>
<a id="pl.155.26"></a><var>155.26</var>gave the county materially false information on the provider's billing forms.;<br/>
<a id="pl.155.27"></a><var>155.27</var>(3) the provider is in violation of licensing or child care assistance program rules and <br/>
<a id="pl.155.28"></a><var>155.28</var>the provider has not corrected the violation;<br/>
<a id="pl.155.29"></a><var>155.29</var>(4) the provider submits false attendance reports or refuses to provide documentation <br/>
<a id="pl.155.30"></a><var>155.30</var>of the child's attendance upon request; or<br/>
<a id="pl.155.31"></a><var>155.31</var>(5) the provider gives false child care price information.<br/>
<a id="pl.155.32"></a><var>155.32</var>(e) A county's payment policies must be included in the county's child care plan <br/>
<a id="pl.155.33"></a><var>155.33</var>under section 
         <statute_ref>119B.08, subdivision 3</statute_ref>. If payments are made by the state, in addition to <br/>
<a id="pl.155.34"></a><var>155.34</var>being in compliance with this subdivision, the payments must be made in compliance <br/>
<a id="pl.155.35"></a><var>155.35</var>with section 
         <statute_ref>16A.124</statute_ref>.<br/>
<br/>
<a id="bill.7.9.0"></a><a id="pl.156.1"></a><var>156.1</var>    Sec. 9. <b>CHILD CARE ASSISTANCE PROGRAM RULE CHANGE.</b><br/>
<a id="pl.156.2"></a><var>156.2</var>The commissioner shall amend Minnesota Rules, part 3400.0035, subpart 2, to <br/>
<a id="pl.156.3"></a><var>156.3</var>remove the requirement that applications must be submitted by mail or delivered to the <br/>
<a id="pl.156.4"></a><var>156.4</var>agency within 15 calendar days after the date of signature. The commissioner shall <br/>
<a id="pl.156.5"></a><var>156.5</var>comply with Minnesota Statutes, section 14.389, in adopting the amendment.<br/>
<br/>
<a id="bill.8.0.0"></a>

<a id="bill.8.1.0"></a><a id="pl.156.8"></a><var>156.8</var>    Section 1. Minnesota Statutes 2010, section 256J.08, subdivision 11, is amended to <br/>
<a id="pl.156.9"></a><var>156.9</var>read:<br/>
<a id="pl.156.10"></a><var>156.10</var>    Subd. 11. <b>Caregiver.</b> "Caregiver" means a minor child's natural birth or adoptive <br/>
<a id="pl.156.11"></a><var>156.11</var>parent or parents and stepparent who live in the home with the minor child. For purposes <br/>
<a id="pl.156.12"></a><var>156.12</var>of determining eligibility for this program, caregiver also means any of the following <br/>
<a id="pl.156.13"></a><var>156.13</var>individuals, if adults, who live with and provide care and support to a minor child when <br/>
<a id="pl.156.14"></a><var>156.14</var>the minor child's natural birth or adoptive parent or parents or stepparents do not reside <br/>
<a id="pl.156.15"></a><var>156.15</var>in the same home: legal custodian or guardian, grandfather, grandmother, brother, sister, <br/>
<a id="pl.156.16"></a><var>156.16</var>half brother, half sister, stepbrother, stepsister, uncle, aunt, first cousin or first cousin once <br/>
<a id="pl.156.17"></a><var>156.17</var>removed, nephew, niece, person of preceding generation as denoted by prefixes of "great," <br/>
<a id="pl.156.18"></a><var>156.18</var>"great-great," or "great-great-great," or a spouse of any person named in the above groups <br/>
<a id="pl.156.19"></a><var>156.19</var>even after the marriage ends by death or divorce.<br/>
<br/>
<a id="bill.8.2.0"></a><a id="pl.156.20"></a><var>156.20</var>    Sec. 2. Minnesota Statutes 2010, section 256J.24, subdivision 2, is amended to read:<br/>
<a id="pl.156.21"></a><var>156.21</var>    Subd. 2. <b>Mandatory assistance unit composition.</b> Except for minor caregivers <br/>
<a id="pl.156.22"></a><var>156.22</var>and their children who must be in a separate assistance unit from the other persons in <br/>
<a id="pl.156.23"></a><var>156.23</var>the household, when the following individuals live together, they must be included in <br/>
<a id="pl.156.24"></a><var>156.24</var>the assistance unit:<br/>
<a id="pl.156.25"></a><var>156.25</var>(1) a minor child, including a pregnant minor;<br/>
<a id="pl.156.26"></a><var>156.26</var>(2) the minor child's minor siblings, minor half siblings, and minor stepsiblings;<br/>
<a id="pl.156.27"></a><var>156.27</var>(3) the minor child's natural birth parents, adoptive parents, and stepparents; and<br/>
<a id="pl.156.28"></a><var>156.28</var>(4) the spouse of a pregnant woman.<br/>
<a id="pl.156.29"></a><var>156.29</var>A minor child must have a caregiver for the child to be included in the assistance unit.<br/>
<br/>
<a id="bill.8.3.0"></a><a id="pl.156.30"></a><var>156.30</var>    Sec. 3. Minnesota Statutes 2010, section 256J.32, subdivision 6, is amended to read:<br/>
<a id="pl.156.31"></a><var>156.31</var>    Subd. 6. <b>Recertification.</b> (a) The county agency shall recertify eligibility in an <br/>
<a id="pl.156.32"></a><var>156.32</var>annual face-to-face interview with the participant and. The county agency may waive the <br/>
<a id="pl.157.1"></a><var>157.1</var>face-to-face interview and conduct a phone interview for participants who qualify under <br/>
<a id="pl.157.2"></a><var>157.2</var>paragraph (b). During the interview the county agency shall verify the following:<br/>
<a id="pl.157.3"></a><var>157.3</var>    (1) presence of the minor child in the home, if questionable;<br/>
<a id="pl.157.4"></a><var>157.4</var>    (2) income, unless excluded, including self-employment expenses used as a <br/>
<a id="pl.157.5"></a><var>157.5</var>deduction or deposits or withdrawals from business accounts;<br/>
<a id="pl.157.6"></a><var>157.6</var>    (3) assets when the value is within $200 of the asset limit;<br/>
<a id="pl.157.7"></a><var>157.7</var>    (4) information to establish an exception under section 
         <statute_ref>256J.24, subdivision 9</statute_ref>, if <br/>
<a id="pl.157.8"></a><var>157.8</var>questionable;<br/>
<a id="pl.157.9"></a><var>157.9</var>    (5) inconsistent information, if related to eligibility; and<br/>
<a id="pl.157.10"></a><var>157.10</var>    (6) whether a single caregiver household meets requirements in section 
         <statute_ref>256J.575</statute_ref>, <br/>
<a id="pl.157.11"></a><var>157.11</var>subdivision 3.<br/>
<a id="pl.157.12"></a><var>157.12</var>(b) A participant who is employed any number of hours must be given the option of <br/>
<a id="pl.157.13"></a><var>157.13</var>conducting a face-to-face or phone interview to recertify eligibility. The participant must <br/>
<a id="pl.157.14"></a><var>157.14</var>be employed at the time the interview is scheduled. If the participant loses the participant's <br/>
<a id="pl.157.15"></a><var>157.15</var>job between the time the interview is scheduled and when it is to be conducted, the phone <br/>
<a id="pl.157.16"></a><var>157.16</var>interview may still be conducted.<br/>
<a id="pl.157.17"></a><var>157.17</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.8.4.0"></a><a id="pl.157.18"></a><var>157.18</var>    Sec. 4. Minnesota Statutes 2010, section 256J.575, subdivision 1, is amended to read:<br/>
<a id="pl.157.19"></a><var>157.19</var>    Subdivision 1. <b>Purpose.</b> (a) The Family stabilization services serve families who <br/>
<a id="pl.157.20"></a><var>157.20</var>are not making significant progress within the regular employment and training services <br/>
<a id="pl.157.21"></a><var>157.21</var>track of the Minnesota family investment program (MFIP) due to a variety of barriers to <br/>
<a id="pl.157.22"></a><var>157.22</var>employment.<br/>
<a id="pl.157.23"></a><var>157.23</var>    (b) The goal of the services is to stabilize and improve the lives of families at risk <br/>
<a id="pl.157.24"></a><var>157.24</var>of long-term welfare dependency or family instability due to employment barriers such <br/>
<a id="pl.157.25"></a><var>157.25</var>as physical disability, mental disability, age, or providing care for a disabled household <br/>
<a id="pl.157.26"></a><var>157.26</var>member. These services promote and support families to achieve the greatest possible <br/>
<a id="pl.157.27"></a><var>157.27</var>degree of self-sufficiency.<br/>
<br/>
<a id="bill.8.5.0"></a><a id="pl.157.28"></a><var>157.28</var>    Sec. 5. Minnesota Statutes 2010, section 256J.575, subdivision 2, is amended to read:<br/>
<a id="pl.157.29"></a><var>157.29</var>    Subd. 2. <b>Definitions.</b> The terms used in this section have the meanings given them <br/>
<a id="pl.157.30"></a><var>157.30</var>in paragraphs (a) to (d) and (b).<br/>
<a id="pl.157.31"></a><var>157.31</var>    (a) "Case manager" means the county-designated staff person or employment <br/>
<a id="pl.157.32"></a><var>157.32</var>services counselor.<br/>
<a id="pl.157.33"></a><var>157.33</var>    (b) "Case management" "Family stabilization services" means the services <br/>
<a id="pl.157.34"></a><var>157.34</var>programs, activities, and services provided by or through the county agency or through the <br/>
<a id="pl.158.1"></a><var>158.1</var>employment services agency to participating families, including. Services include, but <br/>
<a id="pl.158.2"></a><var>158.2</var>are not limited to, assessment as defined in section 256J.521, subdivision 1, information, <br/>
<a id="pl.158.3"></a><var>158.3</var>referrals, and assistance in the preparation and implementation of a family stabilization <br/>
<a id="pl.158.4"></a><var>158.4</var>plan under subdivision 5.<br/>
<a id="pl.158.5"></a><var>158.5</var>    (c) (b) "Family stabilization plan" means a plan developed by a case manager <br/>
<a id="pl.158.6"></a><var>158.6</var>and with the participant, which identifies the participant's most appropriate path to <br/>
<a id="pl.158.7"></a><var>158.7</var>unsubsidized employment, family stability, and barrier reduction, taking into account the <br/>
<a id="pl.158.8"></a><var>158.8</var>family's circumstances.<br/>
<a id="pl.158.9"></a><var>158.9</var>    (d) "Family stabilization services" means programs, activities, and services in this <br/>
<a id="pl.158.10"></a><var>158.10</var>section that provide participants and their family members with assistance regarding, <br/>
<a id="pl.158.11"></a><var>158.11</var>but not limited to:<br/>
<a id="pl.158.12"></a><var>158.12</var>    (1) obtaining and retaining unsubsidized employment;<br/>
<a id="pl.158.13"></a><var>158.13</var>    (2) family stability;<br/>
<a id="pl.158.14"></a><var>158.14</var>    (3) economic stability; and<br/>
<a id="pl.158.15"></a><var>158.15</var>    (4) barrier reduction.<br/>
<a id="pl.158.16"></a><var>158.16</var>    The goal of the services is to achieve the greatest degree of economic self-sufficiency <br/>
<a id="pl.158.17"></a><var>158.17</var>and family well-being possible for the family under the circumstances.<br/>
<br/>
<a id="bill.8.6.0"></a><a id="pl.158.18"></a><var>158.18</var>    Sec. 6. Minnesota Statutes 2010, section 256J.575, subdivision 5, is amended to read:<br/>
<a id="pl.158.19"></a><var>158.19</var>    Subd. 5. <b>Case management;</b><b> Family stabilization plans; </b><b>coordinated</b><b> services.</b><br/>
<a id="pl.158.20"></a><var>158.20</var>    (a) The county agency or employment services provider shall provide family stabilization <br/>
<a id="pl.158.21"></a><var>158.21</var>services to families through a case management model. A case manager shall be assigned <br/>
<a id="pl.158.22"></a><var>158.22</var>to each participating family within 30 days after the family is determined to be eligible <br/>
<a id="pl.158.23"></a><var>158.23</var>for family stabilization services. The case manager, with the full involvement of the <br/>
<a id="pl.158.24"></a><var>158.24</var>participant, shall recommend, and the county agency shall establish and modify as <br/>
<a id="pl.158.25"></a><var>158.25</var>necessary, a family stabilization plan for each participating family. Once a participant <br/>
<a id="pl.158.26"></a><var>158.26</var>has been determined eligible for family stabilization services, the county agency or <br/>
<a id="pl.158.27"></a><var>158.27</var>employment services provider must attempt to meet with the participant to develop a <br/>
<a id="pl.158.28"></a><var>158.28</var>plan within 30 days.<br/>
<a id="pl.158.29"></a><var>158.29</var>(b) If a participant is already assigned to a county case manager or a <br/>
<a id="pl.158.30"></a><var>158.30</var>county-designated case manager in social services, disability services, or housing services <br/>
<a id="pl.158.31"></a><var>158.31</var>that case manager already assigned may be the case manager for purposes of these services.<br/>
<a id="pl.158.32"></a><var>158.32</var>    (b) The family stabilization plan must include:<br/>
<a id="pl.158.33"></a><var>158.33</var>    (1) each participant's plan for long-term self-sufficiency, including an employment <br/>
<a id="pl.158.34"></a><var>158.34</var>goal where applicable;<br/>
<a id="pl.159.1"></a><var>159.1</var>    (2) an assessment of each participant's strengths and barriers, and any special <br/>
<a id="pl.159.2"></a><var>159.2</var>circumstances of the participant's family that impact, or are likely to impact, the <br/>
<a id="pl.159.3"></a><var>159.3</var>participant's progress towards the goals in the plan; and<br/>
<a id="pl.159.4"></a><var>159.4</var>    (3) an identification of the services, supports, education, training, and <br/>
<a id="pl.159.5"></a><var>159.5</var>accommodations needed to reduce or overcome any barriers to enable the family to <br/>
<a id="pl.159.6"></a><var>159.6</var>achieve self-sufficiency and to fulfill each caregiver's personal and family responsibilities.<br/>
<a id="pl.159.7"></a><var>159.7</var>    (c) The case manager and the participant shall meet within 30 days of the family's <br/>
<a id="pl.159.8"></a><var>159.8</var>referral to the case manager. The initial family stabilization plan must be completed within <br/>
<a id="pl.159.9"></a><var>159.9</var>30 days of the first meeting with the case manager. The case manager shall establish a <br/>
<a id="pl.159.10"></a><var>159.10</var>schedule for periodic review of the family stabilization plan that includes personal contact <br/>
<a id="pl.159.11"></a><var>159.11</var>with the participant at least once per month. In addition, the case manager shall review <br/>
<a id="pl.159.12"></a><var>159.12</var>and, if necessary, modify the plan under the following circumstances:<br/>
<a id="pl.159.13"></a><var>159.13</var>    (1) there is a lack of satisfactory progress in achieving the goals of the plan;<br/>
<a id="pl.159.14"></a><var>159.14</var>    (2) the participant has lost unsubsidized or subsidized employment;<br/>
<a id="pl.159.15"></a><var>159.15</var>    (3) a family member has failed or is unable to comply with a family stabilization <br/>
<a id="pl.159.16"></a><var>159.16</var>plan requirement;<br/>
<a id="pl.159.17"></a><var>159.17</var>    (4) services, supports, or other activities required by the plan are unavailable;<br/>
<a id="pl.159.18"></a><var>159.18</var>    (5) changes to the plan are needed to promote the well-being of the children; or<br/>
<a id="pl.159.19"></a><var>159.19</var>    (6) the participant and case manager determine that the plan is no longer appropriate <br/>
<a id="pl.159.20"></a><var>159.20</var>for any other reason. Participants determined eligible for family stabilization services must <br/>
<a id="pl.159.21"></a><var>159.21</var>have access to employment and training services under sections 256J.515 to 256J.575, to <br/>
<a id="pl.159.22"></a><var>159.22</var>the extent these services are available to other MFIP participants.<br/>
<br/>
<a id="bill.8.7.0"></a><a id="pl.159.23"></a><var>159.23</var>    Sec. 7. Minnesota Statutes 2010, section 256J.575, subdivision 6, is amended to read:<br/>
<a id="pl.159.24"></a><var>159.24</var>    Subd. 6. <b>Cooperation with services requirements.</b> (a) A participant who is eligible <br/>
<a id="pl.159.25"></a><var>159.25</var>for family stabilization services under this section shall comply with paragraphs (b) to (d).<br/>
<a id="pl.159.26"></a><var>159.26</var>    (b) Participants shall engage in family stabilization plan services for the appropriate <br/>
<a id="pl.159.27"></a><var>159.27</var>number of hours per week that the activities are scheduled and available, based on the <br/>
<a id="pl.159.28"></a><var>159.28</var>needs of the participant and the participant's family, unless good cause exists for not <br/>
<a id="pl.159.29"></a><var>159.29</var>doing so, as defined in section 
         <statute_ref>256J.57, subdivision 1</statute_ref>. The appropriate number of hours <br/>
<a id="pl.159.30"></a><var>159.30</var>must be based on the participant's plan.<br/>
<a id="pl.159.31"></a><var>159.31</var>    (c) The case manager county agency or employment services agency shall review <br/>
<a id="pl.159.32"></a><var>159.32</var>the participant's progress toward the goals in the family stabilization plan every six <br/>
<a id="pl.159.33"></a><var>159.33</var>months to determine whether conditions have changed, including whether revisions to <br/>
<a id="pl.159.34"></a><var>159.34</var>the plan are needed.<br/>
<a id="pl.160.1"></a><var>160.1</var>    (d) A participant's requirement to comply with any or all family stabilization plan <br/>
<a id="pl.160.2"></a><var>160.2</var>requirements under this subdivision is excused when the case management services, <br/>
<a id="pl.160.3"></a><var>160.3</var>training and educational services, or family support services identified in the participant's <br/>
<a id="pl.160.4"></a><var>160.4</var>family stabilization plan are unavailable for reasons beyond the control of the participant, <br/>
<a id="pl.160.5"></a><var>160.5</var>including when money appropriated is not sufficient to provide the services.<br/>
<br/>
<a id="bill.8.8.0"></a><a id="pl.160.6"></a><var>160.6</var>    Sec. 8. Minnesota Statutes 2010, section 256J.575, subdivision 8, is amended to read:<br/>
<a id="pl.160.7"></a><var>160.7</var>    Subd. 8. <b>Funding.</b> (a) The commissioner of human services shall treat MFIP <br/>
<a id="pl.160.8"></a><var>160.8</var>expenditures made to or on behalf of any minor child under this section, who is part of a <br/>
<a id="pl.160.9"></a><var>160.9</var>household that meets criteria in subdivision 3, as expenditures under a separately funded <br/>
<a id="pl.160.10"></a><var>160.10</var>state program. These expenditures shall not count toward the state's maintenance of effort <br/>
<a id="pl.160.11"></a><var>160.11</var>requirements under the federal TANF program.<br/>
<a id="pl.160.12"></a><var>160.12</var>    (b) A family is no longer part of a separately funded program under this section if <br/>
<a id="pl.160.13"></a><var>160.13</var>the caregiver no longer meets the criteria for family stabilization services in subdivision <br/>
<a id="pl.160.14"></a><var>160.14</var>3, or if it is determined at recertification that a caregiver with a child under the age of six <br/>
<a id="pl.160.15"></a><var>160.15</var>is working at least 87 hours per month in paid or unpaid employment, or a caregiver <br/>
<a id="pl.160.16"></a><var>160.16</var>without a child under the age of six is working at least 130 hours per month in paid or <br/>
<a id="pl.160.17"></a><var>160.17</var>unpaid employment, whichever occurs sooner.<br/>
<br/>
<a id="bill.8.9.0"></a><a id="pl.160.18"></a><var>160.18</var>    Sec. 9. Minnesota Statutes 2010, section 256J.621, is amended to read:<br/>
<a id="pl.160.19"></a><var>160.19</var><b>256J.621 WORK PARTICIPATION CASH BENEFITS.</b><br/>
<a id="pl.160.20"></a><var>160.20</var>    (a) Effective October 1, 2009, upon exiting the diversionary work program (DWP) <br/>
<a id="pl.160.21"></a><var>160.21</var>or upon terminating the Minnesota family investment program with earnings, a participant <br/>
<a id="pl.160.22"></a><var>160.22</var>who is employed may be eligible for work participation cash benefits of $25 per month <br/>
<a id="pl.160.23"></a><var>160.23</var>to assist in meeting the family's basic needs as the participant continues to move toward <br/>
<a id="pl.160.24"></a><var>160.24</var>self-sufficiency.<br/>
<a id="pl.160.25"></a><var>160.25</var>    (b) To be eligible for work participation cash benefits, the participant shall not <br/>
<a id="pl.160.26"></a><var>160.26</var>receive MFIP or diversionary work program assistance during the month and the <br/>
<a id="pl.160.27"></a><var>160.27</var>participant or participants must meet the following work requirements:<br/>
<a id="pl.160.28"></a><var>160.28</var>    (1) if the participant is a single caregiver and has a child under six years of age, the <br/>
<a id="pl.160.29"></a><var>160.29</var>participant must be employed at least 87 hours per month;<br/>
<a id="pl.160.30"></a><var>160.30</var>    (2) if the participant is a single caregiver and does not have a child under six years of <br/>
<a id="pl.160.31"></a><var>160.31</var>age, the participant must be employed at least 130 hours per month; or<br/>
<a id="pl.160.32"></a><var>160.32</var>    (3) if the household is a two-parent family, at least one of the parents must be <br/>
<a id="pl.160.33"></a><var>160.33</var>employed an average of at least 130 hours per month.<br/>
<a id="pl.161.1"></a><var>161.1</var>    Whenever a participant exits the diversionary work program or is terminated from <br/>
<a id="pl.161.2"></a><var>161.2</var>MFIP and meets the other criteria in this section, work participation cash benefits are <br/>
<a id="pl.161.3"></a><var>161.3</var>available for up to 24 consecutive months.<br/>
<a id="pl.161.4"></a><var>161.4</var>    (c) Expenditures on the program are maintenance of effort state funds under <br/>
<a id="pl.161.5"></a><var>161.5</var>a separate state program for participants under paragraph (b), clauses (1) and (2). <br/>
<a id="pl.161.6"></a><var>161.6</var>Expenditures for participants under paragraph (b), clause (3), are nonmaintenance of effort <br/>
<a id="pl.161.7"></a><var>161.7</var>funds. Months in which a participant receives work participation cash benefits under this <br/>
<a id="pl.161.8"></a><var>161.8</var>section do not count toward the participant's MFIP 60-month time limit.<br/>
<br/>
<a id="bill.8.10.0"></a><a id="pl.161.9"></a><var>161.9</var>    Sec. 10. Minnesota Statutes 2010, section 256J.68, subdivision 7, is amended to read:<br/>
<a id="pl.161.10"></a><var>161.10</var>    Subd. 7. <b>Exclusive procedure.</b> The procedure established by this section is <br/>
<a id="pl.161.11"></a><var>161.11</var>exclusive of all other legal, equitable, and statutory remedies against the state, its political <br/>
<a id="pl.161.12"></a><var>161.12</var>subdivisions, or employees of the state or its political subdivisions. The claimant shall <br/>
<a id="pl.161.13"></a><var>161.13</var>not be entitled to seek damages from any state, county, tribal, or reservation insurance <br/>
<a id="pl.161.14"></a><var>161.14</var>policy or self-insurance program. A provider who accepts or agrees to accept an injury <br/>
<a id="pl.161.15"></a><var>161.15</var>protection program payment for services provided to an individual must not require any <br/>
<a id="pl.161.16"></a><var>161.16</var>payment from the individual.<br/>
<br/>
<a id="bill.8.11.0"></a><a id="pl.161.17"></a><var>161.17</var>    Sec. 11. Minnesota Statutes 2010, section 256J.95, subdivision 3, is amended to read:<br/>
<a id="pl.161.18"></a><var>161.18</var>    Subd. 3. <b>Eligibility for diversionary work program.</b> (a) Except for the categories <br/>
<a id="pl.161.19"></a><var>161.19</var>of family units listed below in clauses (1) to (8), all family units who apply for cash <br/>
<a id="pl.161.20"></a><var>161.20</var>benefits and who meet MFIP eligibility as required in sections 
         <statute_ref>256J.11</statute_ref> to 
         <statute_ref>256J.15</statute_ref> are <br/>
<a id="pl.161.21"></a><var>161.21</var>eligible and must participate in the diversionary work program. Family units or individuals <br/>
<a id="pl.161.22"></a><var>161.22</var>that are not eligible for the diversionary work program include:<br/>
<a id="pl.161.23"></a><var>161.23</var>    (1) child only cases;<br/>
<a id="pl.161.24"></a><var>161.24</var>    (2) a single-parent family unit units that includes include a child under 12 months of <br/>
<a id="pl.161.25"></a><var>161.25</var>age. A parent is eligible for this exception once in a parent's lifetime;<br/>
<a id="pl.161.26"></a><var>161.26</var>    (3) family units with a minor parent without a high school diploma or its equivalent;<br/>
<a id="pl.161.27"></a><var>161.27</var>    (4) family units with an 18- or 19-year-old caregiver without a high school diploma <br/>
<a id="pl.161.28"></a><var>161.28</var>or its equivalent who chooses to have an employment plan with an education option;<br/>
<a id="pl.161.29"></a><var>161.29</var>    (5) a caregiver age 60 or over;<br/>
<a id="pl.161.30"></a><var>161.30</var>    (6) (5) family units with a caregiver who received DWP benefits in within the 12 <br/>
<a id="pl.161.31"></a><var>161.31</var>months prior to the month the family applied for DWP, except as provided in paragraph (c);<br/>
<a id="pl.161.32"></a><var>161.32</var>    (7) (6) family units with a caregiver who received MFIP within the 12 months prior <br/>
<a id="pl.161.33"></a><var>161.33</var>to the month the family unit applied for DWP;<br/>
<a id="pl.162.1"></a><var>162.1</var>    (8) a (7) family unit units with a caregiver who received 60 or more months of <br/>
<a id="pl.162.2"></a><var>162.2</var>TANF assistance; and<br/>
<a id="pl.162.3"></a><var>162.3</var>    (9) (8) family units with a caregiver who is disqualified from the work participation <br/>
<a id="pl.162.4"></a><var>162.4</var>cash benefit program, DWP, or MFIP due to fraud; and.<br/>
<a id="pl.162.5"></a><var>162.5</var>    (10) refugees and asylees as defined in Code of Federal Regulations, title 45, part <br/>
<a id="pl.162.6"></a><var>162.6</var>400, subpart d, section 
<statute_ref>400.43</statute_ref>, who arrived in the United States in the 12 months prior to <br/>
<a id="pl.162.7"></a><var>162.7</var>the date of application for family cash assistance.<br/>
<a id="pl.162.8"></a><var>162.8</var>    (b) A two-parent family must participate in DWP unless both caregivers meet the <br/>
<a id="pl.162.9"></a><var>162.9</var>criteria for an exception under paragraph (a), clauses (1) through (5), or the family unit <br/>
<a id="pl.162.10"></a><var>162.10</var>includes a parent who meets the criteria in paragraph (a), clause (6), (7), (8), (9), or (10).<br/>
<a id="pl.162.11"></a><var>162.11</var>    (c) Once DWP eligibility is determined, the four months run consecutively. If a <br/>
<a id="pl.162.12"></a><var>162.12</var>participant leaves the program for any reason and reapplies during the four-month period, <br/>
<a id="pl.162.13"></a><var>162.13</var>the county must redetermine eligibility for DWP.<br/>
<br/>
<a id="bill.9.0.0"></a>

<a id="bill.9.1.0"></a><a id="pl.162.16"></a><var>162.16</var>    Section 1. Minnesota Statutes 2011 Supplement, section 144A.071, subdivision 3, <br/>
<a id="pl.162.17"></a><var>162.17</var>is amended to read:<br/>
<a id="pl.162.18"></a><var>162.18</var>    Subd. 3. <b>Exceptions authorizing increase in beds; hardship areas.</b> (a) The <br/>
<a id="pl.162.19"></a><var>162.19</var>commissioner of health, in coordination with the commissioner of human services, may <br/>
<a id="pl.162.20"></a><var>162.20</var>approve the addition of new licensed and Medicare and Medicaid certified nursing home <br/>
<a id="pl.162.21"></a><var>162.21</var>beds, using the criteria and process set forth in this subdivision.<br/>
<a id="pl.162.22"></a><var>162.22</var>(b) The commissioner, in cooperation with the commissioner of human services, <br/>
<a id="pl.162.23"></a><var>162.23</var>shall consider the following criteria when determining that an area of the state is a <br/>
<a id="pl.162.24"></a><var>162.24</var>hardship area with regard to access to nursing facility services:<br/>
<a id="pl.162.25"></a><var>162.25</var>(1) a low number of beds per thousand in a specified area using as a standard the <br/>
<a id="pl.162.26"></a><var>162.26</var>beds per thousand people age 65 and older, in five year age groups, using data from the <br/>
<a id="pl.162.27"></a><var>162.27</var>most recent census and population projections, weighted by each group's most recent <br/>
<a id="pl.162.28"></a><var>162.28</var>nursing home utilization, of the county at the 20th percentile, as determined by the <br/>
<a id="pl.162.29"></a><var>162.29</var>commissioner of human services;<br/>
<a id="pl.162.30"></a><var>162.30</var>(2) a high level of out-migration for nursing facility services associated with a <br/>
<a id="pl.162.31"></a><var>162.31</var>described area from the county or counties of residence to other Minnesota counties, as <br/>
<a id="pl.162.32"></a><var>162.32</var>determined by the commissioner of human services, using as a standard an amount greater <br/>
<a id="pl.162.33"></a><var>162.33</var>than the out-migration of the county ranked at the 50th percentile;<br/>
<a id="pl.162.34"></a><var>162.34</var>(3) an adequate level of availability of noninstitutional long-term care services <br/>
<a id="pl.162.35"></a><var>162.35</var>measured as public spending for home and community-based long-term care services per <br/>
<a id="pl.163.1"></a><var>163.1</var>individual age 65 and older, in five year age groups, using data from the most recent <br/>
<a id="pl.163.2"></a><var>163.2</var>census and population projections, weighted by each group's most recent nursing home <br/>
<a id="pl.163.3"></a><var>163.3</var>utilization, as determined by the commissioner of human services using as a standard an <br/>
<a id="pl.163.4"></a><var>163.4</var>amount greater than the 50th percentile of counties;<br/>
<a id="pl.163.5"></a><var>163.5</var>(4) there must be a declaration of hardship resulting from insufficient access to <br/>
<a id="pl.163.6"></a><var>163.6</var>nursing home beds by local county agencies and area agencies on aging; and<br/>
<a id="pl.163.7"></a><var>163.7</var>(5) other factors that may demonstrate the need to add new nursing facility beds.<br/>
<a id="pl.163.8"></a><var>163.8</var>(c) On August 15 of odd-numbered years, the commissioner, in cooperation with <br/>
<a id="pl.163.9"></a><var>163.9</var>the commissioner of human services, may publish in the State Register a request for <br/>
<a id="pl.163.10"></a><var>163.10</var>information in which interested parties, using the data provided under section 
         <statute_ref>144A.351</statute_ref>, <br/>
<a id="pl.163.11"></a><var>163.11</var>along with any other relevant data, demonstrate that a specified area is a hardship area <br/>
<a id="pl.163.12"></a><var>163.12</var>with regard to access to nursing facility services. For a response to be considered, the <br/>
<a id="pl.163.13"></a><var>163.13</var>commissioner must receive it by November 15. The commissioner shall make responses <br/>
<a id="pl.163.14"></a><var>163.14</var>to the request for information available to the public and shall allow 30 days for comment. <br/>
<a id="pl.163.15"></a><var>163.15</var>The commissioner shall review responses and comments and determine if any areas of <br/>
<a id="pl.163.16"></a><var>163.16</var>the state are to be declared hardship areas.<br/>
<a id="pl.163.17"></a><var>163.17</var>(d) For each designated hardship area determined in paragraph (c), the commissioner <br/>
<a id="pl.163.18"></a><var>163.18</var>shall publish a request for proposals in accordance with section 
         <statute_ref>144A.073</statute_ref> and Minnesota <br/>
<a id="pl.163.19"></a><var>163.19</var>Rules, parts 4655.1070 to 4655.1098. The request for proposals must be published in the <br/>
<a id="pl.163.20"></a><var>163.20</var>State Register by March 15 following receipt of responses to the request for information. <br/>
<a id="pl.163.21"></a><var>163.21</var>The request for proposals must specify the number of new beds which may be added <br/>
<a id="pl.163.22"></a><var>163.22</var>in the designated hardship area, which must not exceed the number which, if added to <br/>
<a id="pl.163.23"></a><var>163.23</var>the existing number of beds in the area, including beds in layaway status, would have <br/>
<a id="pl.163.24"></a><var>163.24</var>prevented it from being determined to be a hardship area under paragraph (b), clause <br/>
<a id="pl.163.25"></a><var>163.25</var>(1). Beginning July 1, 2011, the number of new beds approved must not exceed 200 <br/>
<a id="pl.163.26"></a><var>163.26</var>beds statewide per biennium. After June 30, 2019, the number of new beds that may be <br/>
<a id="pl.163.27"></a><var>163.27</var>approved in a biennium must not exceed 300 statewide. For a proposal to be considered, <br/>
<a id="pl.163.28"></a><var>163.28</var>the commissioner must receive it within six months of the publication of the request for <br/>
<a id="pl.163.29"></a><var>163.29</var>proposals. The commissioner shall review responses to the request for proposals and <br/>
<a id="pl.163.30"></a><var>163.30</var>shall approve or disapprove each proposal by the following July 15, in accordance with <br/>
<a id="pl.163.31"></a><var>163.31</var>section 
         <statute_ref>144A.073</statute_ref> and Minnesota Rules, parts 4655.1070 to 4655.1098. The commissioner <br/>
<a id="pl.163.32"></a><var>163.32</var>shall base approvals or disapprovals on a comparison and ranking of proposals using <br/>
<a id="pl.163.33"></a><var>163.33</var>only the criteria in subdivision 4a. Approval of a proposal expires after 18 months <br/>
<a id="pl.163.34"></a><var>163.34</var>unless the facility has added the new beds using existing space, subject to approval <br/>
<a id="pl.163.35"></a><var>163.35</var>by the commissioner, or has commenced construction as defined in section 
         <statute_ref>144A.071</statute_ref>, <br/>
<a id="pl.163.36"></a><var>163.36</var>subdivision 1a, paragraph (d). Operating If, after the approved beds have been added, <br/>
<a id="pl.164.1"></a><var>164.1</var>fewer than 50 percent of the beds in a facility are newly licensed, the operating payment <br/>
<a id="pl.164.2"></a><var>164.2</var>rates previously in effect shall remain. If, after the approved beds have been added, 50 <br/>
<a id="pl.164.3"></a><var>164.3</var>percent or more of the beds in a facility are newly licensed, operating payment rates shall <br/>
<a id="pl.164.4"></a><var>164.4</var>be determined according to Minnesota Rules, part 9549.0057, using the limits under <br/>
<a id="pl.164.5"></a><var>164.5</var>section 
         <statute_ref>256B.441</statute_ref>. External fixed payment rates must be determined according to section <br/>
<statute_ref><a id="pl.164.6"></a><var>164.6</var>256B.441, subdivision 53
         </statute_ref>. Property payment rates for facilities with beds added under this <br/>
<a id="pl.164.7"></a><var>164.7</var>subdivision must be determined in the same manner as rate determinations resulting from <br/>
<a id="pl.164.8"></a><var>164.8</var>projects approved and completed under section 
         <statute_ref>144A.073</statute_ref>.<br/>
<a id="pl.164.9"></a><var>164.9</var>(e) The commissioner may:<br/>
<a id="pl.164.10"></a><var>164.10</var>(1) certify or license new beds in a new facility that is to be operated by the <br/>
<a id="pl.164.11"></a><var>164.11</var>commissioner of veterans affairs or when the costs of constructing and operating the new <br/>
<a id="pl.164.12"></a><var>164.12</var>beds are to be reimbursed by the commissioner of veterans affairs or the United States <br/>
<a id="pl.164.13"></a><var>164.13</var>Veterans Administration; and<br/>
<a id="pl.164.14"></a><var>164.14</var>(2) license or certify beds in a facility that has been involuntarily delicensed or <br/>
<a id="pl.164.15"></a><var>164.15</var>decertified for participation in the medical assistance program, provided that an application <br/>
<a id="pl.164.16"></a><var>164.16</var>for relicensure or recertification is submitted to the commissioner by an organization that <br/>
<a id="pl.164.17"></a><var>164.17</var>is not a related organization as defined in section 
         <statute_ref>256B.441, subdivision 34</statute_ref>, to the prior <br/>
<a id="pl.164.18"></a><var>164.18</var>licensee within 120 days after delicensure or decertification.<br/>
<br/>
<a id="bill.9.2.0"></a><a id="pl.164.19"></a><var>164.19</var>    Sec. 2. Minnesota Statutes 2011 Supplement, section 144A.071, subdivision 4a, <br/>
<a id="pl.164.20"></a><var>164.20</var>is amended to read:<br/>
<a id="pl.164.21"></a><var>164.21</var>    Subd. 4a. <b>Exceptions for replacement beds.</b>  It is in the best interest of the state <br/>
<a id="pl.164.22"></a><var>164.22</var>to ensure that nursing homes and boarding care homes continue to meet the physical <br/>
<a id="pl.164.23"></a><var>164.23</var>plant licensing and certification requirements by permitting certain construction projects. <br/>
<a id="pl.164.24"></a><var>164.24</var>Facilities should be maintained in condition to satisfy the physical and emotional needs <br/>
<a id="pl.164.25"></a><var>164.25</var>of residents while allowing the state to maintain control over nursing home expenditure <br/>
<a id="pl.164.26"></a><var>164.26</var>growth.<br/>
<a id="pl.164.27"></a><var>164.27</var>    The commissioner of health in coordination with the commissioner of human <br/>
<a id="pl.164.28"></a><var>164.28</var>services, may approve the renovation, replacement, upgrading, or relocation of a nursing <br/>
<a id="pl.164.29"></a><var>164.29</var>home or boarding care home, under the following conditions:<br/>
<a id="pl.164.30"></a><var>164.30</var>    (a) to license or certify beds in a new facility constructed to replace a facility or to <br/>
<a id="pl.164.31"></a><var>164.31</var>make repairs in an existing facility that was destroyed or damaged after June 30, 1987, by <br/>
<a id="pl.164.32"></a><var>164.32</var>fire, lightning, or other hazard provided:<br/>
<a id="pl.164.33"></a><var>164.33</var>    (i) destruction was not caused by the intentional act of or at the direction of a <br/>
<a id="pl.164.34"></a><var>164.34</var>controlling person of the facility;<br/>
<a id="pl.165.1"></a><var>165.1</var>    (ii) at the time the facility was destroyed or damaged the controlling persons of the <br/>
<a id="pl.165.2"></a><var>165.2</var>facility maintained insurance coverage for the type of hazard that occurred in an amount <br/>
<a id="pl.165.3"></a><var>165.3</var>that a reasonable person would conclude was adequate;<br/>
<a id="pl.165.4"></a><var>165.4</var>    (iii) the net proceeds from an insurance settlement for the damages caused by the <br/>
<a id="pl.165.5"></a><var>165.5</var>hazard are applied to the cost of the new facility or repairs;<br/>
<a id="pl.165.6"></a><var>165.6</var>    (iv) the number of licensed and certified beds in the new facility does not exceed the <br/>
<a id="pl.165.7"></a><var>165.7</var>number of licensed and certified beds in the destroyed facility; and<br/>
<a id="pl.165.8"></a><var>165.8</var>    (v) the commissioner determines that the replacement beds are needed to prevent an <br/>
<a id="pl.165.9"></a><var>165.9</var>inadequate supply of beds.<br/>
<a id="pl.165.10"></a><var>165.10</var>Project construction costs incurred for repairs authorized under this clause shall not be <br/>
<a id="pl.165.11"></a><var>165.11</var>considered in the dollar threshold amount defined in subdivision 2;<br/>
<a id="pl.165.12"></a><var>165.12</var>    (b) to license or certify beds that are moved from one location to another within a <br/>
<a id="pl.165.13"></a><var>165.13</var>nursing home facility, provided the total costs of remodeling performed in conjunction <br/>
<a id="pl.165.14"></a><var>165.14</var>with the relocation of beds does not exceed $1,000,000;<br/>
<a id="pl.165.15"></a><var>165.15</var>    (c) to license or certify beds in a project recommended for approval under section <br/>
<statute_ref><a id="pl.165.16"></a><var>165.16</var>144A.073
         </statute_ref>;<br/>
<a id="pl.165.17"></a><var>165.17</var>    (d) to license or certify beds that are moved from an existing state nursing home to <br/>
<a id="pl.165.18"></a><var>165.18</var>a different state facility, provided there is no net increase in the number of state nursing <br/>
<a id="pl.165.19"></a><var>165.19</var>home beds;<br/>
<a id="pl.165.20"></a><var>165.20</var>    (e) to certify and license as nursing home beds boarding care beds in a certified <br/>
<a id="pl.165.21"></a><var>165.21</var>boarding care facility if the beds meet the standards for nursing home licensure, or in a <br/>
<a id="pl.165.22"></a><var>165.22</var>facility that was granted an exception to the moratorium under section 
         <statute_ref>144A.073</statute_ref>, and if <br/>
<a id="pl.165.23"></a><var>165.23</var>the cost of any remodeling of the facility does not exceed $1,000,000. If boarding care <br/>
<a id="pl.165.24"></a><var>165.24</var>beds are licensed as nursing home beds, the number of boarding care beds in the facility <br/>
<a id="pl.165.25"></a><var>165.25</var>must not increase beyond the number remaining at the time of the upgrade in licensure. <br/>
<a id="pl.165.26"></a><var>165.26</var>The provisions contained in section 
         <statute_ref>144A.073</statute_ref> regarding the upgrading of the facilities <br/>
<a id="pl.165.27"></a><var>165.27</var>do not apply to facilities that satisfy these requirements;<br/>
<a id="pl.165.28"></a><var>165.28</var>    (f) to license and certify up to 40 beds transferred from an existing facility owned and <br/>
<a id="pl.165.29"></a><var>165.29</var>operated by the Amherst H. Wilder Foundation in the city of St. Paul to a new unit at the <br/>
<a id="pl.165.30"></a><var>165.30</var>same location as the existing facility that will serve persons with Alzheimer's disease and <br/>
<a id="pl.165.31"></a><var>165.31</var>other related disorders. The transfer of beds may occur gradually or in stages, provided <br/>
<a id="pl.165.32"></a><var>165.32</var>the total number of beds transferred does not exceed 40. At the time of licensure and <br/>
<a id="pl.165.33"></a><var>165.33</var>certification of a bed or beds in the new unit, the commissioner of health shall delicense <br/>
<a id="pl.165.34"></a><var>165.34</var>and decertify the same number of beds in the existing facility. As a condition of receiving <br/>
<a id="pl.165.35"></a><var>165.35</var>a license or certification under this clause, the facility must make a written commitment <br/>
<a id="pl.166.1"></a><var>166.1</var>to the commissioner of human services that it will not seek to receive an increase in its <br/>
<a id="pl.166.2"></a><var>166.2</var>property-related payment rate as a result of the transfers allowed under this paragraph;<br/>
<a id="pl.166.3"></a><var>166.3</var>    (g) to license and certify nursing home beds to replace currently licensed and certified <br/>
<a id="pl.166.4"></a><var>166.4</var>boarding care beds which may be located either in a remodeled or renovated boarding care <br/>
<a id="pl.166.5"></a><var>166.5</var>or nursing home facility or in a remodeled, renovated, newly constructed, or replacement <br/>
<a id="pl.166.6"></a><var>166.6</var>nursing home facility within the identifiable complex of health care facilities in which the <br/>
<a id="pl.166.7"></a><var>166.7</var>currently licensed boarding care beds are presently located, provided that the number of <br/>
<a id="pl.166.8"></a><var>166.8</var>boarding care beds in the facility or complex are decreased by the number to be licensed <br/>
<a id="pl.166.9"></a><var>166.9</var>as nursing home beds and further provided that, if the total costs of new construction, <br/>
<a id="pl.166.10"></a><var>166.10</var>replacement, remodeling, or renovation exceed ten percent of the appraised value of <br/>
<a id="pl.166.11"></a><var>166.11</var>the facility or $200,000, whichever is less, the facility makes a written commitment to <br/>
<a id="pl.166.12"></a><var>166.12</var>the commissioner of human services that it will not seek to receive an increase in its <br/>
<a id="pl.166.13"></a><var>166.13</var>property-related payment rate by reason of the new construction, replacement, remodeling, <br/>
<a id="pl.166.14"></a><var>166.14</var>or renovation. The provisions contained in section 
         <statute_ref>144A.073</statute_ref> regarding the upgrading of <br/>
<a id="pl.166.15"></a><var>166.15</var>facilities do not apply to facilities that satisfy these requirements;<br/>
<a id="pl.166.16"></a><var>166.16</var>    (h) to license as a nursing home and certify as a nursing facility a facility that is <br/>
<a id="pl.166.17"></a><var>166.17</var>licensed as a boarding care facility but not certified under the medical assistance program, <br/>
<a id="pl.166.18"></a><var>166.18</var>but only if the commissioner of human services certifies to the commissioner of health that <br/>
<a id="pl.166.19"></a><var>166.19</var>licensing the facility as a nursing home and certifying the facility as a nursing facility will <br/>
<a id="pl.166.20"></a><var>166.20</var>result in a net annual savings to the state general fund of $200,000 or more;<br/>
<a id="pl.166.21"></a><var>166.21</var>    (i) to certify, after September 30, 1992, and prior to July 1, 1993, existing nursing <br/>
<a id="pl.166.22"></a><var>166.22</var>home beds in a facility that was licensed and in operation prior to January 1, 1992;<br/>
<a id="pl.166.23"></a><var>166.23</var>    (j) to license and certify new nursing home beds to replace beds in a facility acquired <br/>
<a id="pl.166.24"></a><var>166.24</var>by the Minneapolis Community Development Agency as part of redevelopment activities <br/>
<a id="pl.166.25"></a><var>166.25</var>in a city of the first class, provided the new facility is located within three miles of the site <br/>
<a id="pl.166.26"></a><var>166.26</var>of the old facility. Operating and property costs for the new facility must be determined <br/>
<a id="pl.166.27"></a><var>166.27</var>and allowed under section 
         <statute_ref>256B.431</statute_ref> or 
         <statute_ref>256B.434</statute_ref>;<br/>
<a id="pl.166.28"></a><var>166.28</var>    (k) to license and certify up to 20 new nursing home beds in a community-operated <br/>
<a id="pl.166.29"></a><var>166.29</var>hospital and attached convalescent and nursing care facility with 40 beds on April 21, <br/>
<a id="pl.166.30"></a><var>166.30</var>1991, that suspended operation of the hospital in April 1986. The commissioner of human <br/>
<a id="pl.166.31"></a><var>166.31</var>services shall provide the facility with the same per diem property-related payment rate <br/>
<a id="pl.166.32"></a><var>166.32</var>for each additional licensed and certified bed as it will receive for its existing 40 beds;<br/>
<a id="pl.166.33"></a><var>166.33</var>    (l) to license or certify beds in renovation, replacement, or upgrading projects as <br/>
<a id="pl.166.34"></a><var>166.34</var>defined in section 
         <statute_ref>144A.073</statute_ref>, subdivision 1, so long as the cumulative total costs of the <br/>
<a id="pl.166.35"></a><var>166.35</var>facility's remodeling projects do not exceed $1,000,000;<br/>
<a id="pl.167.1"></a><var>167.1</var>    (m) to license and certify beds that are moved from one location to another for the <br/>
<a id="pl.167.2"></a><var>167.2</var>purposes of converting up to five four-bed wards to single or double occupancy rooms <br/>
<a id="pl.167.3"></a><var>167.3</var>in a nursing home that, as of January 1, 1993, was county-owned and had a licensed <br/>
<a id="pl.167.4"></a><var>167.4</var>capacity of 115 beds;<br/>
<a id="pl.167.5"></a><var>167.5</var>    (n) to allow a facility that on April 16, 1993, was a 106-bed licensed and certified <br/>
<a id="pl.167.6"></a><var>167.6</var>nursing facility located in Minneapolis to layaway all of its licensed and certified nursing <br/>
<a id="pl.167.7"></a><var>167.7</var>home beds. These beds may be relicensed and recertified in a newly constructed teaching <br/>
<a id="pl.167.8"></a><var>167.8</var>nursing home facility affiliated with a teaching hospital upon approval by the legislature. <br/>
<a id="pl.167.9"></a><var>167.9</var>The proposal must be developed in consultation with the interagency committee on <br/>
<a id="pl.167.10"></a><var>167.10</var>long-term care planning. The beds on layaway status shall have the same status as <br/>
<a id="pl.167.11"></a><var>167.11</var>voluntarily delicensed and decertified beds, except that beds on layaway status remain <br/>
<a id="pl.167.12"></a><var>167.12</var>subject to the surcharge in section 
         <statute_ref>256.9657</statute_ref>. This layaway provision expires July 1, 1998;<br/>
<a id="pl.167.13"></a><var>167.13</var>    (o) to allow a project which will be completed in conjunction with an approved <br/>
<a id="pl.167.14"></a><var>167.14</var>moratorium exception project for a nursing home in southern Cass County and which is <br/>
<a id="pl.167.15"></a><var>167.15</var>directly related to that portion of the facility that must be repaired, renovated, or replaced, <br/>
<a id="pl.167.16"></a><var>167.16</var>to correct an emergency plumbing problem for which a state correction order has been <br/>
<a id="pl.167.17"></a><var>167.17</var>issued and which must be corrected by August 31, 1993;<br/>
<a id="pl.167.18"></a><var>167.18</var>    (p) to allow a facility that on April 16, 1993, was a 368-bed licensed and certified <br/>
<a id="pl.167.19"></a><var>167.19</var>nursing facility located in Minneapolis to layaway, upon 30 days prior written notice to <br/>
<a id="pl.167.20"></a><var>167.20</var>the commissioner, up to 30 of the facility's licensed and certified beds by converting <br/>
<a id="pl.167.21"></a><var>167.21</var>three-bed wards to single or double occupancy. Beds on layaway status shall have the <br/>
<a id="pl.167.22"></a><var>167.22</var>same status as voluntarily delicensed and decertified beds except that beds on layaway <br/>
<a id="pl.167.23"></a><var>167.23</var>status remain subject to the surcharge in section 
         <statute_ref>256.9657</statute_ref>, remain subject to the license <br/>
<a id="pl.167.24"></a><var>167.24</var>application and renewal fees under section 
         <statute_ref>144A.07</statute_ref> and shall be subject to a $100 per bed <br/>
<a id="pl.167.25"></a><var>167.25</var>reactivation fee. In addition, at any time within three years of the effective date of the <br/>
<a id="pl.167.26"></a><var>167.26</var>layaway, the beds on layaway status may be:<br/>
<a id="pl.167.27"></a><var>167.27</var>    (1) relicensed and recertified upon relocation and reactivation of some or all of <br/>
<a id="pl.167.28"></a><var>167.28</var>the beds to an existing licensed and certified facility or facilities located in Pine River, <br/>
<a id="pl.167.29"></a><var>167.29</var>Brainerd, or International Falls; provided that the total project construction costs related to <br/>
<a id="pl.167.30"></a><var>167.30</var>the relocation of beds from layaway status for any facility receiving relocated beds may <br/>
<a id="pl.167.31"></a><var>167.31</var>not exceed the dollar threshold provided in subdivision 2 unless the construction project <br/>
<a id="pl.167.32"></a><var>167.32</var>has been approved through the moratorium exception process under section 
         <statute_ref>144A.073</statute_ref>;<br/>
<a id="pl.167.33"></a><var>167.33</var>    (2) relicensed and recertified, upon reactivation of some or all of the beds within the <br/>
<a id="pl.167.34"></a><var>167.34</var>facility which placed the beds in layaway status, if the commissioner has determined a <br/>
<a id="pl.167.35"></a><var>167.35</var>need for the reactivation of the beds on layaway status.<br/>
<a id="pl.168.1"></a><var>168.1</var>    The property-related payment rate of a facility placing beds on layaway status <br/>
<a id="pl.168.2"></a><var>168.2</var>must be adjusted by the incremental change in its rental per diem after recalculating the <br/>
<a id="pl.168.3"></a><var>168.3</var>rental per diem as provided in section 
         <statute_ref>256B.431</statute_ref>, subdivision 3a, paragraph (c). The <br/>
<a id="pl.168.4"></a><var>168.4</var>property-related payment rate for a facility relicensing and recertifying beds from layaway <br/>
<a id="pl.168.5"></a><var>168.5</var>status must be adjusted by the incremental change in its rental per diem after recalculating <br/>
<a id="pl.168.6"></a><var>168.6</var>its rental per diem using the number of beds after the relicensing to establish the facility's <br/>
<a id="pl.168.7"></a><var>168.7</var>capacity day divisor, which shall be effective the first day of the month following the <br/>
<a id="pl.168.8"></a><var>168.8</var>month in which the relicensing and recertification became effective. Any beds remaining <br/>
<a id="pl.168.9"></a><var>168.9</var>on layaway status more than three years after the date the layaway status became effective <br/>
<a id="pl.168.10"></a><var>168.10</var>must be removed from layaway status and immediately delicensed and decertified;<br/>
<a id="pl.168.11"></a><var>168.11</var>    (q) to license and certify beds in a renovation and remodeling project to convert 12 <br/>
<a id="pl.168.12"></a><var>168.12</var>four-bed wards into 24 two-bed rooms, expand space, and add improvements in a nursing <br/>
<a id="pl.168.13"></a><var>168.13</var>home that, as of January 1, 1994, met the following conditions: the nursing home was <br/>
<a id="pl.168.14"></a><var>168.14</var>located in Ramsey County; had a licensed capacity of 154 beds; and had been ranked <br/>
<a id="pl.168.15"></a><var>168.15</var>among the top 15 applicants by the 1993 moratorium exceptions advisory review panel. <br/>
<a id="pl.168.16"></a><var>168.16</var>The total project construction cost estimate for this project must not exceed the cost <br/>
<a id="pl.168.17"></a><var>168.17</var>estimate submitted in connection with the 1993 moratorium exception process;<br/>
<a id="pl.168.18"></a><var>168.18</var>    (r) to license and certify up to 117 beds that are relocated from a licensed and <br/>
<a id="pl.168.19"></a><var>168.19</var>certified 138-bed nursing facility located in St. Paul to a hospital with 130 licensed <br/>
<a id="pl.168.20"></a><var>168.20</var>hospital beds located in South St. Paul, provided that the nursing facility and hospital are <br/>
<a id="pl.168.21"></a><var>168.21</var>owned by the same or a related organization and that prior to the date the relocation is <br/>
<a id="pl.168.22"></a><var>168.22</var>completed the hospital ceases operation of its inpatient hospital services at that hospital. <br/>
<a id="pl.168.23"></a><var>168.23</var>After relocation, the nursing facility's status under section 
<statute_ref>256B.431</statute_ref>, subdivision 2j, shall <br/>
<a id="pl.168.24"></a><var>168.24</var>be the same as it was prior to relocation. The nursing facility's property-related payment <br/>
<a id="pl.168.25"></a><var>168.25</var>rate resulting from the project authorized in this paragraph shall become effective no <br/>
<a id="pl.168.26"></a><var>168.26</var>earlier than April 1, 1996. For purposes of calculating the incremental change in the <br/>
<a id="pl.168.27"></a><var>168.27</var>facility's rental per diem resulting from this project, the allowable appraised value of <br/>
<a id="pl.168.28"></a><var>168.28</var>the nursing facility portion of the existing health care facility physical plant prior to the <br/>
<a id="pl.168.29"></a><var>168.29</var>renovation and relocation may not exceed $2,490,000;<br/>
<a id="pl.168.30"></a><var>168.30</var>    (s) to license and certify two beds in a facility to replace beds that were voluntarily <br/>
<a id="pl.168.31"></a><var>168.31</var>delicensed and decertified on June 28, 1991;<br/>
<a id="pl.168.32"></a><var>168.32</var>    (t) to allow 16 licensed and certified beds located on July 1, 1994, in a 142-bed <br/>
<a id="pl.168.33"></a><var>168.33</var>nursing home and 21-bed boarding care home facility in Minneapolis, notwithstanding <br/>
<a id="pl.168.34"></a><var>168.34</var>the licensure and certification after July 1, 1995, of the Minneapolis facility as a 147-bed <br/>
<a id="pl.168.35"></a><var>168.35</var>nursing home facility after completion of a construction project approved in 1993 under <br/>
<a id="pl.168.36"></a><var>168.36</var>section 
         <statute_ref>144A.073</statute_ref>, to be laid away upon 30 days' prior written notice to the commissioner. <br/>
<a id="pl.169.1"></a><var>169.1</var>Beds on layaway status shall have the same status as voluntarily delicensed or decertified <br/>
<a id="pl.169.2"></a><var>169.2</var>beds except that they shall remain subject to the surcharge in section 
         <statute_ref>256.9657</statute_ref>. The <br/>
<a id="pl.169.3"></a><var>169.3</var>16 beds on layaway status may be relicensed as nursing home beds and recertified at <br/>
<a id="pl.169.4"></a><var>169.4</var>any time within five years of the effective date of the layaway upon relocation of some <br/>
<a id="pl.169.5"></a><var>169.5</var>or all of the beds to a licensed and certified facility located in Watertown, provided that <br/>
<a id="pl.169.6"></a><var>169.6</var>the total project construction costs related to the relocation of beds from layaway status <br/>
<a id="pl.169.7"></a><var>169.7</var>for the Watertown facility may not exceed the dollar threshold provided in subdivision <br/>
<a id="pl.169.8"></a><var>169.8</var>2 unless the construction project has been approved through the moratorium exception <br/>
<a id="pl.169.9"></a><var>169.9</var>process under section 
         <statute_ref>144A.073</statute_ref>.<br/>
<a id="pl.169.10"></a><var>169.10</var>    The property-related payment rate of the facility placing beds on layaway status <br/>
<a id="pl.169.11"></a><var>169.11</var>must be adjusted by the incremental change in its rental per diem after recalculating the <br/>
<a id="pl.169.12"></a><var>169.12</var>rental per diem as provided in section 
         <statute_ref>256B.431</statute_ref>, subdivision 3a, paragraph (c). The <br/>
<a id="pl.169.13"></a><var>169.13</var>property-related payment rate for the facility relicensing and recertifying beds from <br/>
<a id="pl.169.14"></a><var>169.14</var>layaway status must be adjusted by the incremental change in its rental per diem after <br/>
<a id="pl.169.15"></a><var>169.15</var>recalculating its rental per diem using the number of beds after the relicensing to establish <br/>
<a id="pl.169.16"></a><var>169.16</var>the facility's capacity day divisor, which shall be effective the first day of the month <br/>
<a id="pl.169.17"></a><var>169.17</var>following the month in which the relicensing and recertification became effective. Any <br/>
<a id="pl.169.18"></a><var>169.18</var>beds remaining on layaway status more than five years after the date the layaway status <br/>
<a id="pl.169.19"></a><var>169.19</var>became effective must be removed from layaway status and immediately delicensed <br/>
<a id="pl.169.20"></a><var>169.20</var>and decertified;<br/>
<a id="pl.169.21"></a><var>169.21</var>    (u) to license and certify beds that are moved within an existing area of a facility or <br/>
<a id="pl.169.22"></a><var>169.22</var>to a newly constructed addition which is built for the purpose of eliminating three- and <br/>
<a id="pl.169.23"></a><var>169.23</var>four-bed rooms and adding space for dining, lounge areas, bathing rooms, and ancillary <br/>
<a id="pl.169.24"></a><var>169.24</var>service areas in a nursing home that, as of January 1, 1995, was located in Fridley and had <br/>
<a id="pl.169.25"></a><var>169.25</var>a licensed capacity of 129 beds;<br/>
<a id="pl.169.26"></a><var>169.26</var>    (v) to relocate 36 beds in Crow Wing County and four beds from Hennepin County <br/>
<a id="pl.169.27"></a><var>169.27</var>to a 160-bed facility in Crow Wing County, provided all the affected beds are under <br/>
<a id="pl.169.28"></a><var>169.28</var>common ownership;<br/>
<a id="pl.169.29"></a><var>169.29</var>    (w) to license and certify a total replacement project of up to 49 beds located in <br/>
<a id="pl.169.30"></a><var>169.30</var>Norman County that are relocated from a nursing home destroyed by flood and whose <br/>
<a id="pl.169.31"></a><var>169.31</var>residents were relocated to other nursing homes. The operating cost payment rates for <br/>
<a id="pl.169.32"></a><var>169.32</var>the new nursing facility shall be determined based on the interim and settle-up payment <br/>
<a id="pl.169.33"></a><var>169.33</var>provisions of Minnesota Rules, part 9549.0057, and the reimbursement provisions of <br/>
<a id="pl.169.34"></a><var>169.34</var>section 
         <statute_ref>256B.431</statute_ref>, except that subdivision 26, paragraphs (a) and (b), shall not apply until <br/>
<a id="pl.169.35"></a><var>169.35</var>the second rate year after the settle-up cost report is filed. Property-related reimbursement <br/>
<a id="pl.170.1"></a><var>170.1</var>rates shall be determined under section 
         <statute_ref>256B.431</statute_ref>, taking into account any federal or state <br/>
<a id="pl.170.2"></a><var>170.2</var>flood-related loans or grants provided to the facility;<br/>
<a id="pl.170.3"></a><var>170.3</var>    (x) to license and certify a total replacement project of up to 129 beds located <br/>
<a id="pl.170.4"></a><var>170.4</var>in Polk County that are relocated from a nursing home destroyed by flood and whose <br/>
<a id="pl.170.5"></a><var>170.5</var>residents were relocated to other nursing homes. The operating cost payment rates for <br/>
<a id="pl.170.6"></a><var>170.6</var>the new nursing facility shall be determined based on the interim and settle-up payment <br/>
<a id="pl.170.7"></a><var>170.7</var>provisions of Minnesota Rules, part 9549.0057, and the reimbursement provisions of <br/>
<a id="pl.170.8"></a><var>170.8</var>section 
         <statute_ref>256B.431</statute_ref>, except that subdivision 26, paragraphs (a) and (b), shall not apply until <br/>
<a id="pl.170.9"></a><var>170.9</var>the second rate year after the settle-up cost report is filed. Property-related reimbursement <br/>
<a id="pl.170.10"></a><var>170.10</var>rates shall be determined under section 
         <statute_ref>256B.431</statute_ref>, taking into account any federal or state <br/>
<a id="pl.170.11"></a><var>170.11</var>flood-related loans or grants provided to the facility;<br/>
<a id="pl.170.12"></a><var>170.12</var>    (y) to license and certify beds in a renovation and remodeling project to convert 13 <br/>
<a id="pl.170.13"></a><var>170.13</var>three-bed wards into 13 two-bed rooms and 13 single-bed rooms, expand space, and <br/>
<a id="pl.170.14"></a><var>170.14</var>add improvements in a nursing home that, as of January 1, 1994, met the following <br/>
<a id="pl.170.15"></a><var>170.15</var>conditions: the nursing home was located in Ramsey County, was not owned by a hospital <br/>
<a id="pl.170.16"></a><var>170.16</var>corporation, had a licensed capacity of 64 beds, and had been ranked among the top 15 <br/>
<a id="pl.170.17"></a><var>170.17</var>applicants by the 1993 moratorium exceptions advisory review panel. The total project <br/>
<a id="pl.170.18"></a><var>170.18</var>construction cost estimate for this project must not exceed the cost estimate submitted in <br/>
<a id="pl.170.19"></a><var>170.19</var>connection with the 1993 moratorium exception process;<br/>
<a id="pl.170.20"></a><var>170.20</var>    (z) to license and certify up to 150 nursing home beds to replace an existing 285 <br/>
<a id="pl.170.21"></a><var>170.21</var>bed nursing facility located in St. Paul. The replacement project shall include both the <br/>
<a id="pl.170.22"></a><var>170.22</var>renovation of existing buildings and the construction of new facilities at the existing <br/>
<a id="pl.170.23"></a><var>170.23</var>site. The reduction in the licensed capacity of the existing facility shall occur during the <br/>
<a id="pl.170.24"></a><var>170.24</var>construction project as beds are taken out of service due to the construction process. Prior <br/>
<a id="pl.170.25"></a><var>170.25</var>to the start of the construction process, the facility shall provide written information to the <br/>
<a id="pl.170.26"></a><var>170.26</var>commissioner of health describing the process for bed reduction, plans for the relocation <br/>
<a id="pl.170.27"></a><var>170.27</var>of residents, and the estimated construction schedule. The relocation of residents shall be <br/>
<a id="pl.170.28"></a><var>170.28</var>in accordance with the provisions of law and rule;<br/>
<a id="pl.170.29"></a><var>170.29</var>    (aa) to allow the commissioner of human services to license an additional 36 beds <br/>
<a id="pl.170.30"></a><var>170.30</var>to provide residential services for the physically disabled under Minnesota Rules, parts <br/>
<a id="pl.170.31"></a><var>170.31</var>9570.2000 to 9570.3400, in a 198-bed nursing home located in Red Wing, provided that <br/>
<a id="pl.170.32"></a><var>170.32</var>the total number of licensed and certified beds at the facility does not increase;<br/>
<a id="pl.170.33"></a><var>170.33</var>    (bb) to license and certify a new facility in St. Louis County with 44 beds <br/>
<a id="pl.170.34"></a><var>170.34</var>constructed to replace an existing facility in St. Louis County with 31 beds, which has <br/>
<a id="pl.170.35"></a><var>170.35</var>resident rooms on two separate floors and an antiquated elevator that creates safety <br/>
<a id="pl.171.1"></a><var>171.1</var>concerns for residents and prevents nonambulatory residents from residing on the second <br/>
<a id="pl.171.2"></a><var>171.2</var>floor. The project shall include the elimination of three- and four-bed rooms;<br/>
<a id="pl.171.3"></a><var>171.3</var>    (cc) to license and certify four beds in a 16-bed certified boarding care home in <br/>
<a id="pl.171.4"></a><var>171.4</var>Minneapolis to replace beds that were voluntarily delicensed and decertified on or <br/>
<a id="pl.171.5"></a><var>171.5</var>before March 31, 1992. The licensure and certification is conditional upon the facility <br/>
<a id="pl.171.6"></a><var>171.6</var>periodically assessing and adjusting its resident mix and other factors which may <br/>
<a id="pl.171.7"></a><var>171.7</var>contribute to a potential institution for mental disease declaration. The commissioner of <br/>
<a id="pl.171.8"></a><var>171.8</var>human services shall retain the authority to audit the facility at any time and shall require <br/>
<a id="pl.171.9"></a><var>171.9</var>the facility to comply with any requirements necessary to prevent an institution for mental <br/>
<a id="pl.171.10"></a><var>171.10</var>disease declaration, including delicensure and decertification of beds, if necessary;<br/>
<a id="pl.171.11"></a><var>171.11</var>    (dd) to license and certify 72 beds in an existing facility in Mille Lacs County with <br/>
<a id="pl.171.12"></a><var>171.12</var>80 beds as part of a renovation project. The renovation must include construction of <br/>
<a id="pl.171.13"></a><var>171.13</var>an addition to accommodate ten residents with beginning and midstage dementia in a <br/>
<a id="pl.171.14"></a><var>171.14</var>self-contained living unit; creation of three resident households where dining, activities, <br/>
<a id="pl.171.15"></a><var>171.15</var>and support spaces are located near resident living quarters; designation of four beds <br/>
<a id="pl.171.16"></a><var>171.16</var>for rehabilitation in a self-contained area; designation of 30 private rooms; and other <br/>
<a id="pl.171.17"></a><var>171.17</var>improvements;<br/>
<a id="pl.171.18"></a><var>171.18</var>    (ee) to license and certify beds in a facility that has undergone replacement or <br/>
<a id="pl.171.19"></a><var>171.19</var>remodeling as part of a planned closure under section 
         <statute_ref>256B.437</statute_ref>;<br/>
<a id="pl.171.20"></a><var>171.20</var>    (ff) to license and certify a total replacement project of up to 124 beds located <br/>
<a id="pl.171.21"></a><var>171.21</var>in Wilkin County that are in need of relocation from a nursing home significantly <br/>
<a id="pl.171.22"></a><var>171.22</var>damaged by flood. The operating cost payment rates for the new nursing facility shall <br/>
<a id="pl.171.23"></a><var>171.23</var>be determined based on the interim and settle-up payment provisions of Minnesota <br/>
<a id="pl.171.24"></a><var>171.24</var>Rules, part 9549.0057, and the reimbursement provisions of section 
         <statute_ref>256B.431</statute_ref>, except <br/>
<a id="pl.171.25"></a><var>171.25</var>that section 
<statute_ref>256B.431</statute_ref>, subdivision 26, paragraphs (a) and (b), shall not apply until the <br/>
<a id="pl.171.26"></a><var>171.26</var>second rate year after the settle-up cost report is filed. Property-related reimbursement <br/>
<a id="pl.171.27"></a><var>171.27</var>rates shall be determined under section 
         <statute_ref>256B.431</statute_ref>, taking into account any federal or state <br/>
<a id="pl.171.28"></a><var>171.28</var>flood-related loans or grants provided to the facility;<br/>
<a id="pl.171.29"></a><var>171.29</var>    (gg) to allow the commissioner of human services to license an additional nine beds <br/>
<a id="pl.171.30"></a><var>171.30</var>to provide residential services for the physically disabled under Minnesota Rules, parts <br/>
<a id="pl.171.31"></a><var>171.31</var>9570.2000 to 9570.3400, in a 240-bed nursing home located in Duluth, provided that the <br/>
<a id="pl.171.32"></a><var>171.32</var>total number of licensed and certified beds at the facility does not increase;<br/>
<a id="pl.171.33"></a><var>171.33</var>    (hh) to license and certify up to 120 new nursing facility beds to replace beds in a <br/>
<a id="pl.171.34"></a><var>171.34</var>facility in Anoka County, which was licensed for 98 beds as of July 1, 2000, provided the <br/>
<a id="pl.171.35"></a><var>171.35</var>new facility is located within four miles of the existing facility and is in Anoka County. <br/>
<a id="pl.171.36"></a><var>171.36</var>Operating and property rates shall be determined and allowed under section 
         <statute_ref>256B.431</statute_ref> <br/>
<a id="pl.172.1"></a><var>172.1</var>and Minnesota Rules, parts 9549.0010 to 9549.0080, or section 
         <statute_ref>256B.434</statute_ref> or 
         <statute_ref>256B.435</statute_ref>. <br/>
<a id="pl.172.2"></a><var>172.2</var>The provisions of section 
<statute_ref>256B.431</statute_ref>, subdivision 26, paragraphs (a) and (b), do not apply <br/>
<a id="pl.172.3"></a><var>172.3</var>until the second rate year following settle-up 256B.441; or<br/>
<a id="pl.172.4"></a><var>172.4</var>    (ii) to transfer up to 98 beds of a 129-licensed bed facility located in Anoka County <br/>
<a id="pl.172.5"></a><var>172.5</var>that, as of March 25, 2001, is in the active process of closing, to a 122-licensed bed <br/>
<a id="pl.172.6"></a><var>172.6</var>nonprofit nursing facility located in the city of Columbia Heights or its affiliate. The <br/>
<a id="pl.172.7"></a><var>172.7</var>transfer is effective when the receiving facility notifies the commissioner in writing of the <br/>
<a id="pl.172.8"></a><var>172.8</var>number of beds accepted. The commissioner shall place all transferred beds on layaway <br/>
<a id="pl.172.9"></a><var>172.9</var>status held in the name of the receiving facility. The layaway adjustment provisions of <br/>
<a id="pl.172.10"></a><var>172.10</var>section 
         <statute_ref>256B.431</statute_ref>, subdivision 30, do not apply to this layaway. The receiving facility <br/>
<a id="pl.172.11"></a><var>172.11</var>may only remove the beds from layaway for recertification and relicensure at the receiving <br/>
<a id="pl.172.12"></a><var>172.12</var>facility's current site, or at a newly constructed facility located in Anoka County. The <br/>
<a id="pl.172.13"></a><var>172.13</var>receiving facility must receive statutory authorization before removing these beds from <br/>
<a id="pl.172.14"></a><var>172.14</var>layaway status, or may remove these beds from layaway status if removal from layaway <br/>
<a id="pl.172.15"></a><var>172.15</var>status is part of a moratorium exception project approved by the commissioner under <br/>
<a id="pl.172.16"></a><var>172.16</var>section 
         <statute_ref>144A.073</statute_ref>.<br/>
<br/>
<a id="bill.9.3.0"></a><a id="pl.172.17"></a><var>172.17</var>    Sec. 3. Minnesota Statutes 2011 Supplement, section 245A.03, subdivision 7, is <br/>
<a id="pl.172.18"></a><var>172.18</var>amended to read:<br/>
<a id="pl.172.19"></a><var>172.19</var>    Subd. 7. <b>Licensing moratorium.</b> (a) The commissioner shall not issue an <br/>
<a id="pl.172.20"></a><var>172.20</var>initial license for child foster care licensed under Minnesota Rules, parts 2960.3000 to <br/>
<a id="pl.172.21"></a><var>172.21</var>2960.3340, or adult foster care licensed under Minnesota Rules, parts 9555.5105 to <br/>
<a id="pl.172.22"></a><var>172.22</var>9555.6265, under this chapter for a physical location that will not be the primary residence <br/>
<a id="pl.172.23"></a><var>172.23</var>of the license holder for the entire period of licensure. If a license is issued during this <br/>
<a id="pl.172.24"></a><var>172.24</var>moratorium, and the license holder changes the license holder's primary residence away <br/>
<a id="pl.172.25"></a><var>172.25</var>from the physical location of the foster care license, the commissioner shall revoke the <br/>
<a id="pl.172.26"></a><var>172.26</var>license according to section 
         <statute_ref>245A.07</statute_ref>. Exceptions to the moratorium include:<br/>
<a id="pl.172.27"></a><var>172.27</var>    (1) foster care settings that are required to be registered under chapter 144D;<br/>
<a id="pl.172.28"></a><var>172.28</var>    (2) foster care licenses replacing foster care licenses in existence on May 15, 2009, <br/>
<a id="pl.172.29"></a><var>172.29</var>and determined to be needed by the commissioner under paragraph (b);<br/>
<a id="pl.172.30"></a><var>172.30</var>    (3) new foster care licenses determined to be needed by the commissioner under <br/>
<a id="pl.172.31"></a><var>172.31</var>paragraph (b) for the closure of a nursing facility, ICF/MR, or regional treatment center, or <br/>
<a id="pl.172.32"></a><var>172.32</var>restructuring of state-operated services that limits the capacity of state-operated facilities;<br/>
<a id="pl.172.33"></a><var>172.33</var>    (4) new foster care licenses determined to be needed by the commissioner under <br/>
<a id="pl.172.34"></a><var>172.34</var>paragraph (b) for persons requiring hospital level care; or<br/>
<a id="pl.173.1"></a><var>173.1</var>    (5) new foster care licenses determined to be needed by the commissioner for the <br/>
<a id="pl.173.2"></a><var>173.2</var>transition of people from personal care assistance to the home and community-based <br/>
<a id="pl.173.3"></a><var>173.3</var>services.<br/>
<a id="pl.173.4"></a><var>173.4</var>    (b) The commissioner shall determine the need for newly licensed foster care homes <br/>
<a id="pl.173.5"></a><var>173.5</var>as defined under this subdivision. As part of the determination, the commissioner shall <br/>
<a id="pl.173.6"></a><var>173.6</var>consider the availability of foster care capacity in the area in which the licensee seeks to <br/>
<a id="pl.173.7"></a><var>173.7</var>operate, and the recommendation of the local county board. The determination by the <br/>
<a id="pl.173.8"></a><var>173.8</var>commissioner must be final. A determination of need is not required for a change in <br/>
<a id="pl.173.9"></a><var>173.9</var>ownership at the same address.<br/>
<a id="pl.173.10"></a><var>173.10</var>    (c) Residential settings that would otherwise be subject to the moratorium established <br/>
<a id="pl.173.11"></a><var>173.11</var>in paragraph (a), that are in the process of receiving an adult or child foster care license as <br/>
<a id="pl.173.12"></a><var>173.12</var>of July 1, 2009, shall be allowed to continue to complete the process of receiving an adult <br/>
<a id="pl.173.13"></a><var>173.13</var>or child foster care license. For this paragraph, all of the following conditions must be met <br/>
<a id="pl.173.14"></a><var>173.14</var>to be considered in the process of receiving an adult or child foster care license:<br/>
<a id="pl.173.15"></a><var>173.15</var>    (1) participants have made decisions to move into the residential setting, including <br/>
<a id="pl.173.16"></a><var>173.16</var>documentation in each participant's care plan;<br/>
<a id="pl.173.17"></a><var>173.17</var>    (2) the provider has purchased housing or has made a financial investment in the <br/>
<a id="pl.173.18"></a><var>173.18</var>property;<br/>
<a id="pl.173.19"></a><var>173.19</var>    (3) the lead agency has approved the plans, including costs for the residential setting <br/>
<a id="pl.173.20"></a><var>173.20</var>for each individual;<br/>
<a id="pl.173.21"></a><var>173.21</var>    (4) the completion of the licensing process, including all necessary inspections, is <br/>
<a id="pl.173.22"></a><var>173.22</var>the only remaining component prior to being able to provide services; and<br/>
<a id="pl.173.23"></a><var>173.23</var>    (5) the needs of the individuals cannot be met within the existing capacity in that <br/>
<a id="pl.173.24"></a><var>173.24</var>county.<br/>
<a id="pl.173.25"></a><var>173.25</var>To qualify for the process under this paragraph, the lead agency must submit <br/>
<a id="pl.173.26"></a><var>173.26</var>documentation to the commissioner by August 1, 2009, that all of the above criteria are <br/>
<a id="pl.173.27"></a><var>173.27</var>met.<br/>
<a id="pl.173.28"></a><var>173.28</var>    (d) (c) The commissioner shall study the effects of the license moratorium under this <br/>
<a id="pl.173.29"></a><var>173.29</var>subdivision and shall report back to the legislature by January 15, 2011. This study shall <br/>
<a id="pl.173.30"></a><var>173.30</var>include, but is not limited to the following:<br/>
<a id="pl.173.31"></a><var>173.31</var>    (1) the overall capacity and utilization of foster care beds where the physical location <br/>
<a id="pl.173.32"></a><var>173.32</var>is not the primary residence of the license holder prior to and after implementation <br/>
<a id="pl.173.33"></a><var>173.33</var>of the moratorium;<br/>
<a id="pl.173.34"></a><var>173.34</var>    (2) the overall capacity and utilization of foster care beds where the physical <br/>
<a id="pl.173.35"></a><var>173.35</var>location is the primary residence of the license holder prior to and after implementation <br/>
<a id="pl.173.36"></a><var>173.36</var>of the moratorium; and<br/>
<a id="pl.174.1"></a><var>174.1</var>    (3) the number of licensed and occupied ICF/MR beds prior to and after <br/>
<a id="pl.174.2"></a><var>174.2</var>implementation of the moratorium.<br/>
<a id="pl.174.3"></a><var>174.3</var>    (e) (d) When a foster care recipient moves out of a foster home that is not the <br/>
<a id="pl.174.4"></a><var>174.4</var>primary residence of the license holder according to section 
         <statute_ref>256B.49, subdivision 15</statute_ref>, <br/>
<a id="pl.174.5"></a><var>174.5</var>paragraph (f), the county shall immediately inform the Department of Human Services <br/>
<a id="pl.174.6"></a><var>174.6</var>Licensing Division, and the department shall immediately decrease the licensed capacity <br/>
<a id="pl.174.7"></a><var>174.7</var>for the home. A decreased licensed capacity according to this paragraph is not subject to <br/>
<a id="pl.174.8"></a><var>174.8</var>appeal under this chapter.<br/>
<a id="pl.174.9"></a><var>174.9</var>    (e) At the time of application and reapplication for licensure, the applicant and the <br/>
<a id="pl.174.10"></a><var>174.10</var>license holder that are subject to the moratorium or an exclusion established in paragraph <br/>
<a id="pl.174.11"></a><var>174.11</var>(a) are required to inform the commissioner whether the physical location where the foster <br/>
<a id="pl.174.12"></a><var>174.12</var>care will be provided is or will be the primary residence of the license holder for the entire <br/>
<a id="pl.174.13"></a><var>174.13</var>period of licensure. If the primary residence of the applicant or license holder changes, the <br/>
<a id="pl.174.14"></a><var>174.14</var>applicant or license holder must notify the commissioner immediately. The commissioner <br/>
<a id="pl.174.15"></a><var>174.15</var>shall print on the foster care license certificate whether or not the physical location is the <br/>
<a id="pl.174.16"></a><var>174.16</var>primary residence of the license holder.<br/>
<a id="pl.174.17"></a><var>174.17</var>    (f) License holders of foster care homes identified under paragraph (e) that are not <br/>
<a id="pl.174.18"></a><var>174.18</var>the primary residence of the license holder and that also provide services in the foster care <br/>
<a id="pl.174.19"></a><var>174.19</var>home that are covered by a federally approved home and community-based services <br/>
<a id="pl.174.20"></a><var>174.20</var>waiver, as authorized under section 256B.0915, 256B.092, or 256B.49 must inform the <br/>
<a id="pl.174.21"></a><var>174.21</var>human services licensing division that the license holder provides or intends to provide <br/>
<a id="pl.174.22"></a><var>174.22</var>these waiver-funded services. These license holders must be considered registered under <br/>
<a id="pl.174.23"></a><var>174.23</var>section 256B.092, subdivision 11, paragraph (c), and this registration status must be <br/>
<a id="pl.174.24"></a><var>174.24</var>identified on their license certificates.<br/>
<br/>
<a id="bill.9.4.0"></a><a id="pl.174.25"></a><var>174.25</var>    Sec. 4. Minnesota Statutes 2010, section 245A.11, subdivision 2a, is amended to read:<br/>
<a id="pl.174.26"></a><var>174.26</var>    Subd. 2a. <b>Adult foster care license capacity.</b> (a) The commissioner shall issue <br/>
<a id="pl.174.27"></a><var>174.27</var>adult foster care licenses with a maximum licensed capacity of four beds, including <br/>
<a id="pl.174.28"></a><var>174.28</var>nonstaff roomers and boarders, except that the commissioner may issue a license with a <br/>
<a id="pl.174.29"></a><var>174.29</var>capacity of five beds, including roomers and boarders, according to paragraphs (b) to (f).<br/>
<a id="pl.174.30"></a><var>174.30</var>(b) An adult foster care license holder may have a maximum license capacity of five <br/>
<a id="pl.174.31"></a><var>174.31</var>if all persons in care are age 55 or over and do not have a serious and persistent mental <br/>
<a id="pl.174.32"></a><var>174.32</var>illness or a developmental disability.<br/>
<a id="pl.174.33"></a><var>174.33</var>(c) The commissioner may grant variances to paragraph (b) to allow a foster care <br/>
<a id="pl.174.34"></a><var>174.34</var>provider with a licensed capacity of five persons to admit an individual under the age of 55 <br/>
<a id="pl.175.1"></a><var>175.1</var>if the variance complies with section 
         <statute_ref>245A.04, subdivision 9</statute_ref>, and approval of the variance <br/>
<a id="pl.175.2"></a><var>175.2</var>is recommended by the county in which the licensed foster care provider is located.<br/>
<a id="pl.175.3"></a><var>175.3</var>(d) The commissioner may grant variances to paragraph (b) to allow the use of a fifth <br/>
<a id="pl.175.4"></a><var>175.4</var>bed for emergency crisis services for a person with serious and persistent mental illness <br/>
<a id="pl.175.5"></a><var>175.5</var>or a developmental disability, regardless of age, if the variance complies with section <br/>
<statute_ref><a id="pl.175.6"></a><var>175.6</var>245A.04, subdivision 9
         </statute_ref>, and approval of the variance is recommended by the county in <br/>
<a id="pl.175.7"></a><var>175.7</var>which the licensed foster care provider is located.<br/>
<a id="pl.175.8"></a><var>175.8</var>(e) If the 2009 legislature adopts a rate reduction that impacts providers of adult <br/>
<a id="pl.175.9"></a><var>175.9</var>foster care services, the commissioner may issue an adult foster care license with a <br/>
<a id="pl.175.10"></a><var>175.10</var>capacity of five adults if the fifth bed does not increase the overall statewide capacity of <br/>
<a id="pl.175.11"></a><var>175.11</var>licensed adult foster care beds in homes that are not the primary residence of the license <br/>
<a id="pl.175.12"></a><var>175.12</var>holder, over the licensed capacity in such homes on July 1, 2009, as identified in a plan <br/>
<a id="pl.175.13"></a><var>175.13</var>submitted to the commissioner by the county, when the capacity is recommended by <br/>
<a id="pl.175.14"></a><var>175.14</var>the county licensing agency of the county in which the facility is located and if the <br/>
<a id="pl.175.15"></a><var>175.15</var>recommendation verifies that:<br/>
<a id="pl.175.16"></a><var>175.16</var>(1) the facility meets the physical environment requirements in the adult foster <br/>
<a id="pl.175.17"></a><var>175.17</var>care licensing rule;<br/>
<a id="pl.175.18"></a><var>175.18</var>(2) the five-bed living arrangement is specified for each resident in the resident's:<br/>
<a id="pl.175.19"></a><var>175.19</var>(i) individualized plan of care;<br/>
<a id="pl.175.20"></a><var>175.20</var>(ii) individual service plan under section 
         <statute_ref>256B.092, subdivision 1b</statute_ref>, if required; or<br/>
<a id="pl.175.21"></a><var>175.21</var>(iii) individual resident placement agreement under Minnesota Rules, part <br/>
<a id="pl.175.22"></a><var>175.22</var>9555.5105, subpart 19, if required;<br/>
<a id="pl.175.23"></a><var>175.23</var>(3) the license holder obtains written and signed informed consent from each <br/>
<a id="pl.175.24"></a><var>175.24</var>resident or resident's legal representative documenting the resident's informed choice to <br/>
<a id="pl.175.25"></a><var>175.25</var>living in the home and that the resident's refusal to consent would not have resulted in <br/>
<a id="pl.175.26"></a><var>175.26</var>service termination; and<br/>
<a id="pl.175.27"></a><var>175.27</var>(4) the facility was licensed for adult foster care before March 1, 2009.<br/>
<a id="pl.175.28"></a><var>175.28</var>(f) The commissioner shall not issue a new adult foster care license under paragraph <br/>
<a id="pl.175.29"></a><var>175.29</var>(e) after June 30, 2011 2014. The commissioner shall allow a facility with an adult foster <br/>
<a id="pl.175.30"></a><var>175.30</var>care license issued under paragraph (e) before June 30, 2011 2016, to continue with a <br/>
<a id="pl.175.31"></a><var>175.31</var>capacity of five adults if the license holder continues to comply with the requirements in <br/>
<a id="pl.175.32"></a><var>175.32</var>paragraph (e).<br/>
<br/>
<a id="bill.9.5.0"></a><a id="pl.175.33"></a><var>175.33</var>    Sec. 5. Minnesota Statutes 2010, section 245A.11, subdivision 8, is amended to read:<br/>
<a id="pl.175.34"></a><var>175.34</var>    Subd. 8. <b>Community residential setting license.</b> (a) The commissioner shall <br/>
<a id="pl.175.35"></a><var>175.35</var>establish provider standards for residential support services that integrate service standards <br/>
<a id="pl.176.1"></a><var>176.1</var>and the residential setting under one license. The commissioner shall propose statutory <br/>
<a id="pl.176.2"></a><var>176.2</var>language and an implementation plan for licensing requirements for residential support <br/>
<a id="pl.176.3"></a><var>176.3</var>services to the legislature by January 15, 2011 2012, as a component of the quality outcome <br/>
<a id="pl.176.4"></a><var>176.4</var>standards recommendations required by Laws 2010, chapter 352, article 1, section 24.<br/>
<a id="pl.176.5"></a><var>176.5</var>(b) Providers licensed under chapter 245B, and providing, contracting, or arranging <br/>
<a id="pl.176.6"></a><var>176.6</var>for services in settings licensed as adult foster care under Minnesota Rules, parts <br/>
<a id="pl.176.7"></a><var>176.7</var>9555.5105 to 9555.6265, or child foster care under Minnesota Rules, parts 2960.3000 to <br/>
<a id="pl.176.8"></a><var>176.8</var>2960.3340; and meeting the provisions of section 
         <statute_ref>256B.092, subdivision 11</statute_ref>, paragraph <br/>
<a id="pl.176.9"></a><var>176.9</var>(b), must be required to obtain a community residential setting license.<br/>
<br/>
<a id="bill.9.6.0"></a><a id="pl.176.10"></a><var>176.10</var>    Sec. 6. Minnesota Statutes 2010, section 252.32, subdivision 1a, is amended to read:<br/>
<a id="pl.176.11"></a><var>176.11</var>    Subd. 1a. <b>Support grants.</b> (a) Provision of support grants must be limited to <br/>
<a id="pl.176.12"></a><var>176.12</var>families who require support and whose dependents are under the age of 21 and who <br/>
<a id="pl.176.13"></a><var>176.13</var>have been certified disabled under section 
         <statute_ref>256B.055, subdivision 12</statute_ref>, paragraphs (a), <br/>
<a id="pl.176.14"></a><var>176.14</var>(b), (c), (d), and (e). Families who are receiving: home and community-based waivered <br/>
<a id="pl.176.15"></a><var>176.15</var>services for persons with developmental disabilities authorized under section 256B.092 or <br/>
<a id="pl.176.16"></a><var>176.16</var>256B.49; personal care assistance under section 256B.0652; or a consumer support grant <br/>
<a id="pl.176.17"></a><var>176.17</var>under section 256.476 are not eligible for support grants.<br/>
<a id="pl.176.18"></a><var>176.18</var>    Families whose annual adjusted gross income is $60,000 or more are not eligible for <br/>
<a id="pl.176.19"></a><var>176.19</var>support grants except in cases where extreme hardship is demonstrated. Beginning in state <br/>
<a id="pl.176.20"></a><var>176.20</var>fiscal year 1994, the commissioner shall adjust the income ceiling annually to reflect the <br/>
<a id="pl.176.21"></a><var>176.21</var>projected change in the average value in the United States Department of Labor Bureau of <br/>
<a id="pl.176.22"></a><var>176.22</var>Labor Statistics Consumer Price Index (all urban) for that year.<br/>
<a id="pl.176.23"></a><var>176.23</var>    (b) Support grants may be made available as monthly subsidy grants and lump-sum <br/>
<a id="pl.176.24"></a><var>176.24</var>grants.<br/>
<a id="pl.176.25"></a><var>176.25</var>    (c) Support grants may be issued in the form of cash, voucher, and direct county <br/>
<a id="pl.176.26"></a><var>176.26</var>payment to a vendor.<br/>
<a id="pl.176.27"></a><var>176.27</var>    (d) Applications for the support grant shall be made by the legal guardian to the <br/>
<a id="pl.176.28"></a><var>176.28</var>county social service agency. The application shall specify the needs of the families, the <br/>
<a id="pl.176.29"></a><var>176.29</var>form of the grant requested by the families, and the items and services to be reimbursed.<br/>
<br/>
<a id="bill.9.7.0"></a><a id="pl.176.30"></a><var>176.30</var>    Sec. 7. <b>[252.34] REPORT BY COMMISSIONER OF HUMAN SERVICES.</b><br/>
<a id="pl.176.31"></a><var>176.31</var>    Beginning January 1, 2013, the commissioner of human services shall provide a <br/>
<a id="pl.176.32"></a><var>176.32</var>biennial report to the chairs of the legislative committees with jurisdiction over health and <br/>
<a id="pl.176.33"></a><var>176.33</var>human services policy and funding. The report must provide a summary of overarching <br/>
<a id="pl.176.34"></a><var>176.34</var>goals and priorities for persons with disabilities, including the status of how each of the <br/>
<a id="pl.177.1"></a><var>177.1</var>following programs administered by the commissioner is supporting the overarching <br/>
<a id="pl.177.2"></a><var>177.2</var>goals and priorities:<br/>
<a id="pl.177.3"></a><var>177.3</var>    (1) home and community-based services waivers for persons with disabilities under <br/>
<a id="pl.177.4"></a><var>177.4</var>sections 256B.092 and 256B.49;<br/>
<a id="pl.177.5"></a><var>177.5</var>    (2) home care services under section 256B.0652; and<br/>
<a id="pl.177.6"></a><var>177.6</var>    (3) other relevant programs and services as determined by the commissioner.<br/>
<br/>
<a id="bill.9.8.0"></a><a id="pl.177.7"></a><var>177.7</var>    Sec. 8. Minnesota Statutes 2010, section 252A.21, subdivision 2, is amended to read:<br/>
<a id="pl.177.8"></a><var>177.8</var>    Subd. 2. <b>Rules.</b> The commissioner shall adopt rules to implement this chapter. <br/>
<a id="pl.177.9"></a><var>177.9</var>The rules must include standards for performance of guardianship or conservatorship <br/>
<a id="pl.177.10"></a><var>177.10</var>duties including, but not limited to: twice a year visits with the ward; quarterly reviews <br/>
<a id="pl.177.11"></a><var>177.11</var>of records from day, residential, and support services; a requirement that the duties of <br/>
<a id="pl.177.12"></a><var>177.12</var>guardianship or conservatorship and case management not be performed by the same <br/>
<a id="pl.177.13"></a><var>177.13</var>person; specific standards for action on "do not resuscitate" orders, sterilization requests, <br/>
<a id="pl.177.14"></a><var>177.14</var>and the use of psychotropic medication and aversive procedures.<br/>
<br/>
<a id="bill.9.9.0"></a><a id="pl.177.15"></a><var>177.15</var>    Sec. 9. Minnesota Statutes 2010, section 256.476, subdivision 11, is amended to read:<br/>
<a id="pl.177.16"></a><var>177.16</var>    Subd. 11. <b>Consumer support grant program after July 1, 2001.</b>  Effective <br/>
<a id="pl.177.17"></a><var>177.17</var>July 1, 2001, the commissioner shall allocate consumer support grant resources to <br/>
<a id="pl.177.18"></a><var>177.18</var>serve additional individuals based on a review of Medicaid authorization and payment <br/>
<a id="pl.177.19"></a><var>177.19</var>information of persons eligible for a consumer support grant from the most recent fiscal <br/>
<a id="pl.177.20"></a><var>177.20</var>year. The commissioner shall use the following methodology to calculate maximum <br/>
<a id="pl.177.21"></a><var>177.21</var>allowable monthly consumer support grant levels:<br/>
<a id="pl.177.22"></a><var>177.22</var>    (1) For individuals whose program of origination is medical assistance home care <br/>
<a id="pl.177.23"></a><var>177.23</var>under sections 
         <statute_ref>256B.0651</statute_ref> and 
         <statute_ref>256B.0653</statute_ref> to 
         <statute_ref>256B.0656</statute_ref>, the maximum allowable monthly <br/>
<a id="pl.177.24"></a><var>177.24</var>grant levels are calculated by:<br/>
<a id="pl.177.25"></a><var>177.25</var>    (i) determining 50 percent of the average the service authorization for each <br/>
<a id="pl.177.26"></a><var>177.26</var>individual based on the individual's home care rating assessment;<br/>
<a id="pl.177.27"></a><var>177.27</var>    (ii) calculating the overall ratio of actual payments to service authorizations by <br/>
<a id="pl.177.28"></a><var>177.28</var>program;<br/>
<a id="pl.177.29"></a><var>177.29</var>    (iii) applying the overall ratio to the average 50 percent of the service authorization <br/>
<a id="pl.177.30"></a><var>177.30</var>level of each home care rating; and<br/>
<a id="pl.177.31"></a><var>177.31</var>    (iv) adjusting the result for any authorized rate increases changes provided by the <br/>
<a id="pl.177.32"></a><var>177.32</var>legislature; and.<br/>
<a id="pl.177.33"></a><var>177.33</var>    (v) adjusting the result for the average monthly utilization per recipient.<br/>
<a id="pl.178.1"></a><var>178.1</var>    (2) The commissioner may review and evaluate shall ensure the methodology to <br/>
<a id="pl.178.2"></a><var>178.2</var>reflect changes in is consistent with the home care programs.<br/>
<br/>
<a id="bill.9.10.0"></a><a id="pl.178.3"></a><var>178.3</var>    Sec. 10. Minnesota Statutes 2010, section 256.9657, subdivision 1, is amended to read:<br/>
<a id="pl.178.4"></a><var>178.4</var>    Subdivision 1. <b>Nursing home license surcharge.</b> (a) Effective July 1, 1993, <br/>
<a id="pl.178.5"></a><var>178.5</var>each non-state-operated nursing home licensed under chapter 144A shall pay to the <br/>
<a id="pl.178.6"></a><var>178.6</var>commissioner an annual surcharge according to the schedule in subdivision 4. The <br/>
<a id="pl.178.7"></a><var>178.7</var>surcharge shall be calculated as $620 per licensed bed. If the number of licensed beds <br/>
<a id="pl.178.8"></a><var>178.8</var>is reduced, the surcharge shall be based on the number of remaining licensed beds the <br/>
<a id="pl.178.9"></a><var>178.9</var>second month following the receipt of timely notice by the commissioner of human <br/>
<a id="pl.178.10"></a><var>178.10</var>services that beds have been delicensed. The nursing home must notify the commissioner <br/>
<a id="pl.178.11"></a><var>178.11</var>of health in writing when beds are delicensed. The commissioner of health must notify <br/>
<a id="pl.178.12"></a><var>178.12</var>the commissioner of human services within ten working days after receiving written <br/>
<a id="pl.178.13"></a><var>178.13</var>notification. If the notification is received by the commissioner of human services by <br/>
<a id="pl.178.14"></a><var>178.14</var>the 15th of the month, the invoice for the second following month must be reduced <br/>
<a id="pl.178.15"></a><var>178.15</var>to recognize the delicensing of beds. Beds on layaway status continue to be subject to <br/>
<a id="pl.178.16"></a><var>178.16</var>the surcharge. The commissioner of human services must acknowledge a medical care <br/>
<a id="pl.178.17"></a><var>178.17</var>surcharge appeal within 30 days of receipt of the written appeal from the provider.<br/>
<a id="pl.178.18"></a><var>178.18</var>(b) Effective July 1, 1994, the surcharge in paragraph (a) shall be increased to $625.<br/>
<a id="pl.178.19"></a><var>178.19</var>(c) Effective August 15, 2002, the surcharge under paragraph (b) shall be increased <br/>
<a id="pl.178.20"></a><var>178.20</var>to $990.<br/>
<a id="pl.178.21"></a><var>178.21</var>(d) Effective July 15, 2003, the surcharge under paragraph (c) shall be increased <br/>
<a id="pl.178.22"></a><var>178.22</var>to $2,815.<br/>
<a id="pl.178.23"></a><var>178.23</var>(e) The commissioner may reduce, and may subsequently restore, the surcharge <br/>
<a id="pl.178.24"></a><var>178.24</var>under paragraph (d) based on the commissioner's determination of a permissible surcharge.<br/>
<a id="pl.178.25"></a><var>178.25</var>(f) Between April 1, 2002, and August 15, 2004, a facility governed by this <br/>
<a id="pl.178.26"></a><var>178.26</var>subdivision may elect to assume full participation in the medical assistance program <br/>
<a id="pl.178.27"></a><var>178.27</var>by agreeing to comply with all of the requirements of the medical assistance program, <br/>
<a id="pl.178.28"></a><var>178.28</var>including the rate equalization law in section 
         <statute_ref>256B.48, subdivision 1</statute_ref>, paragraph (a), and <br/>
<a id="pl.178.29"></a><var>178.29</var>all other requirements established in law or rule, and to begin intake of new medical <br/>
<a id="pl.178.30"></a><var>178.30</var>assistance recipients. Rates will be determined under Minnesota Rules, parts 9549.0010 <br/>
<a id="pl.178.31"></a><var>178.31</var>to 9549.0080. Notwithstanding section 
<statute_ref>256B.431, subdivision 27</statute_ref>, paragraph (i), Rate <br/>
<a id="pl.178.32"></a><var>178.32</var>calculations will be subject to limits as prescribed in rule and law. Other than the <br/>
<a id="pl.178.33"></a><var>178.33</var>adjustments in sections 
         <statute_ref>256B.431</statute_ref>, subdivisions 30 and 32; 
         <statute_ref>256B.437, subdivision 3</statute_ref>, <br/>
<a id="pl.178.34"></a><var>178.34</var>paragraph (b), Minnesota Rules, part 9549.0057, and any other applicable legislation <br/>
<a id="pl.178.35"></a><var>178.35</var>enacted prior to the finalization of rates, facilities assuming full participation in medical <br/>
<a id="pl.179.1"></a><var>179.1</var>assistance under this paragraph are not eligible for any rate adjustments until the July 1 <br/>
<a id="pl.179.2"></a><var>179.2</var>following their settle-up period.<br/>
<br/>
<a id="bill.9.11.0"></a><a id="pl.179.3"></a><var>179.3</var>    Sec. 11. Minnesota Statutes 2010, section 256B.0625, subdivision 19c, is amended to <br/>
<a id="pl.179.4"></a><var>179.4</var>read:<br/>
<a id="pl.179.5"></a><var>179.5</var>    Subd. 19c. <b>Personal care.</b> Medical assistance covers personal care assistance <br/>
<a id="pl.179.6"></a><var>179.6</var>services provided by an individual who is qualified to provide the services according to <br/>
<a id="pl.179.7"></a><var>179.7</var>subdivision 19a and sections 
         <statute_ref>256B.0651</statute_ref> to 
         <statute_ref>256B.0656</statute_ref>, provided in accordance with a <br/>
<a id="pl.179.8"></a><var>179.8</var>plan, and supervised by a qualified professional.<br/>
<a id="pl.179.9"></a><var>179.9</var>    "Qualified professional" means a mental health professional as defined in section <br/>
<statute_ref><a id="pl.179.10"></a><var>179.10</var>245.462, subdivision 18
         </statute_ref>, clauses (1) to (6), or 
         <statute_ref>245.4871, subdivision 27</statute_ref>, clauses (1) to (6); <br/>
<a id="pl.179.11"></a><var>179.11</var>or a registered nurse as defined in sections 
         <statute_ref>148.171</statute_ref> to 
         <statute_ref>148.285</statute_ref>, a licensed social worker <br/>
<a id="pl.179.12"></a><var>179.12</var>as defined in sections 
         <statute_ref>148D.010</statute_ref> and 
         <statute_ref>148D.055</statute_ref>, or a qualified developmental disabilities <br/>
<a id="pl.179.13"></a><var>179.13</var>specialist under section 
         <statute_ref>245B.07, subdivision 4</statute_ref>. The qualified professional shall perform <br/>
<a id="pl.179.14"></a><var>179.14</var>the duties required in section 
         <statute_ref>256B.0659</statute_ref>.<br/>
<br/>
<a id="bill.9.12.0"></a><a id="pl.179.15"></a><var>179.15</var>    Sec. 12. Minnesota Statutes 2010, section 256B.0659, subdivision 1, is amended to <br/>
<a id="pl.179.16"></a><var>179.16</var>read:<br/>
<a id="pl.179.17"></a><var>179.17</var>    Subdivision 1. <b>Definitions.</b> (a) For the purposes of this section, the terms defined in <br/>
<a id="pl.179.18"></a><var>179.18</var>paragraphs (b) to (r) have the meanings given unless otherwise provided in text.<br/>
<a id="pl.179.19"></a><var>179.19</var>    (b) "Activities of daily living" means grooming, dressing, bathing, transferring, <br/>
<a id="pl.179.20"></a><var>179.20</var>mobility, positioning, eating, and toileting.<br/>
<a id="pl.179.21"></a><var>179.21</var>    (c) "Behavior," effective January 1, 2010, means a category to determine the home <br/>
<a id="pl.179.22"></a><var>179.22</var>care rating and is based on the criteria found in this section. "Level I behavior" means <br/>
<a id="pl.179.23"></a><var>179.23</var>physical aggression towards self, others, or destruction of property that requires the <br/>
<a id="pl.179.24"></a><var>179.24</var>immediate response of another person.<br/>
<a id="pl.179.25"></a><var>179.25</var>    (d) "Complex health-related needs," effective January 1, 2010, means a category to <br/>
<a id="pl.179.26"></a><var>179.26</var>determine the home care rating and is based on the criteria found in this section.<br/>
<a id="pl.179.27"></a><var>179.27</var>    (e) "Critical activities of daily living," effective January 1, 2010, means transferring, <br/>
<a id="pl.179.28"></a><var>179.28</var>mobility, eating, and toileting.<br/>
<a id="pl.179.29"></a><var>179.29</var>    (f) "Dependency in activities of daily living" means a person requires assistance to <br/>
<a id="pl.179.30"></a><var>179.30</var>begin and complete one or more of the activities of daily living.<br/>
<a id="pl.179.31"></a><var>179.31</var>    (g) "Extended personal care assistance service" means personal care assistance <br/>
<a id="pl.179.32"></a><var>179.32</var>services included in a service plan under one of the home and community-based services <br/>
<a id="pl.179.33"></a><var>179.33</var>waivers authorized under sections 
         <statute_ref>256B.0915</statute_ref>, 
         <statute_ref>256B.092, subdivision 5</statute_ref>, and 
         <statute_ref>256B.49</statute_ref>, <br/>
<a id="pl.180.1"></a><var>180.1</var>which exceed the amount, duration, and frequency of the state plan personal care <br/>
<a id="pl.180.2"></a><var>180.2</var>assistance services for participants who:<br/>
<a id="pl.180.3"></a><var>180.3</var>    (1) need assistance provided periodically during a week, but less than daily will not <br/>
<a id="pl.180.4"></a><var>180.4</var>be able to remain in their homes without the assistance, and other replacement services <br/>
<a id="pl.180.5"></a><var>180.5</var>are more expensive or are not available when personal care assistance services are to <br/>
<a id="pl.180.6"></a><var>180.6</var>be terminated reduced; or<br/>
<a id="pl.180.7"></a><var>180.7</var>    (2) need additional personal care assistance services beyond the amount authorized <br/>
<a id="pl.180.8"></a><var>180.8</var>by the state plan personal care assistance assessment in order to ensure that their safety, <br/>
<a id="pl.180.9"></a><var>180.9</var>health, and welfare are provided for in their homes.<br/>
<a id="pl.180.10"></a><var>180.10</var>    (h) "Health-related procedures and tasks" means procedures and tasks that can <br/>
<a id="pl.180.11"></a><var>180.11</var>be delegated or assigned by a licensed health care professional under state law to be <br/>
<a id="pl.180.12"></a><var>180.12</var>performed by a personal care assistant.<br/>
<a id="pl.180.13"></a><var>180.13</var>    (i) "Instrumental activities of daily living" means activities to include meal planning <br/>
<a id="pl.180.14"></a><var>180.14</var>and preparation; basic assistance with paying bills; shopping for food, clothing, and other <br/>
<a id="pl.180.15"></a><var>180.15</var>essential items; performing household tasks integral to the personal care assistance <br/>
<a id="pl.180.16"></a><var>180.16</var>services; communication by telephone and other media; and traveling, including to <br/>
<a id="pl.180.17"></a><var>180.17</var>medical appointments and to participate in the community.<br/>
<a id="pl.180.18"></a><var>180.18</var>    (j) "Managing employee" has the same definition as Code of Federal Regulations, <br/>
<a id="pl.180.19"></a><var>180.19</var>title 42, section 455.<br/>
<a id="pl.180.20"></a><var>180.20</var>    (k) "Qualified professional" means a professional providing supervision of personal <br/>
<a id="pl.180.21"></a><var>180.21</var>care assistance services and staff as defined in section 
         <statute_ref>256B.0625, subdivision 19c</statute_ref>.<br/>
<a id="pl.180.22"></a><var>180.22</var>    (l) "Personal care assistance provider agency" means a medical assistance enrolled <br/>
<a id="pl.180.23"></a><var>180.23</var>provider that provides or assists with providing personal care assistance services and <br/>
<a id="pl.180.24"></a><var>180.24</var>includes a personal care assistance provider organization, personal care assistance choice <br/>
<a id="pl.180.25"></a><var>180.25</var>agency, class A licensed nursing agency, and Medicare-certified home health agency.<br/>
<a id="pl.180.26"></a><var>180.26</var>    (m) "Personal care assistant" or "PCA" means an individual employed by a personal <br/>
<a id="pl.180.27"></a><var>180.27</var>care assistance agency who provides personal care assistance services.<br/>
<a id="pl.180.28"></a><var>180.28</var>    (n) "Personal care assistance care plan" means a written description of personal <br/>
<a id="pl.180.29"></a><var>180.29</var>care assistance services developed by the personal care assistance provider according <br/>
<a id="pl.180.30"></a><var>180.30</var>to the service plan.<br/>
<a id="pl.180.31"></a><var>180.31</var>    (o) "Responsible party" means an individual who is capable of providing the support <br/>
<a id="pl.180.32"></a><var>180.32</var>necessary to assist the recipient to live in the community.<br/>
<a id="pl.180.33"></a><var>180.33</var>    (p) "Self-administered medication" means medication taken orally, by injection or <br/>
<a id="pl.180.34"></a><var>180.34</var>insertion, or applied topically without the need for assistance.<br/>
<a id="pl.180.35"></a><var>180.35</var>    (q) "Service plan" means a written summary of the assessment and description of the <br/>
<a id="pl.180.36"></a><var>180.36</var>services needed by the recipient.<br/>
<a id="pl.181.1"></a><var>181.1</var>    (r) "Wages and benefits" means wages and salaries, the employer's share of FICA <br/>
<a id="pl.181.2"></a><var>181.2</var>taxes, Medicare taxes, state and federal unemployment taxes, workers' compensation, <br/>
<a id="pl.181.3"></a><var>181.3</var>mileage reimbursement, health and dental insurance, life insurance, disability insurance, <br/>
<a id="pl.181.4"></a><var>181.4</var>long-term care insurance, uniform allowance, and contributions to employee retirement <br/>
<a id="pl.181.5"></a><var>181.5</var>accounts.<br/>
<br/>
<a id="bill.9.13.0"></a><a id="pl.181.6"></a><var>181.6</var>    Sec. 13. Minnesota Statutes 2010, section 256B.0659, subdivision 3, is amended to <br/>
<a id="pl.181.7"></a><var>181.7</var>read:<br/>
<a id="pl.181.8"></a><var>181.8</var>    Subd. 3. <b>Noncovered personal care assistance services.</b> (a) Personal care <br/>
<a id="pl.181.9"></a><var>181.9</var>assistance services are not eligible for medical assistance payment under this section <br/>
<a id="pl.181.10"></a><var>181.10</var>when provided:<br/>
<a id="pl.181.11"></a><var>181.11</var>    (1) by the recipient's spouse, parent of a recipient under the age of 18, paid legal <br/>
<a id="pl.181.12"></a><var>181.12</var>guardian, licensed foster provider, except as allowed under section 
         <statute_ref>256B.0652, subdivision <br/>
<a id="pl.181.13"></a><var>181.13</var>10
         </statute_ref>, or responsible party;<br/>
<a id="pl.181.14"></a><var>181.14</var>    (2) in lieu of other staffing options order to meet staffing or license requirements in a <br/>
<a id="pl.181.15"></a><var>181.15</var>residential or child care setting;<br/>
<a id="pl.181.16"></a><var>181.16</var>    (3) solely as a child care or babysitting service; or<br/>
<a id="pl.181.17"></a><var>181.17</var>    (4) without authorization by the commissioner or the commissioner's designee.<br/>
<a id="pl.181.18"></a><var>181.18</var>    (b) The following personal care services are not eligible for medical assistance <br/>
<a id="pl.181.19"></a><var>181.19</var>payment under this section when provided in residential settings:<br/>
<a id="pl.181.20"></a><var>181.20</var>    (1) effective January 1, 2010, when the provider of home care services who is not <br/>
<a id="pl.181.21"></a><var>181.21</var>related by blood, marriage, or adoption owns or otherwise controls the living arrangement, <br/>
<a id="pl.181.22"></a><var>181.22</var>including licensed or unlicensed services; or<br/>
<a id="pl.181.23"></a><var>181.23</var>    (2) when personal care assistance services are the responsibility of a residential or <br/>
<a id="pl.181.24"></a><var>181.24</var>program license holder under the terms of a service agreement and administrative rules.<br/>
<a id="pl.181.25"></a><var>181.25</var>    (c) Other specific tasks not covered under paragraph (a) or (b) that are not eligible <br/>
<a id="pl.181.26"></a><var>181.26</var>for medical assistance reimbursement for personal care assistance services under this <br/>
<a id="pl.181.27"></a><var>181.27</var>section include:<br/>
<a id="pl.181.28"></a><var>181.28</var>    (1) sterile procedures;<br/>
<a id="pl.181.29"></a><var>181.29</var>    (2) injections of fluids and medications into veins, muscles, or skin;<br/>
<a id="pl.181.30"></a><var>181.30</var>    (3) home maintenance or chore services;<br/>
<a id="pl.181.31"></a><var>181.31</var>    (4) homemaker services not an integral part of assessed personal care assistance <br/>
<a id="pl.181.32"></a><var>181.32</var>services needed by a recipient;<br/>
<a id="pl.181.33"></a><var>181.33</var>    (5) application of restraints or implementation of procedures under section 
         <statute_ref>245.825</statute_ref>;<br/>
<a id="pl.182.1"></a><var>182.1</var>    (6) instrumental activities of daily living for children under the age of 18, except <br/>
<a id="pl.182.2"></a><var>182.2</var>when immediate attention is needed for health or hygiene reasons integral to the personal <br/>
<a id="pl.182.3"></a><var>182.3</var>care services and the need is listed in the service plan by the assessor; and<br/>
<a id="pl.182.4"></a><var>182.4</var>    (7) assessments for personal care assistance services by personal care assistance <br/>
<a id="pl.182.5"></a><var>182.5</var>provider agencies or by independently enrolled registered nurses.<br/>
<br/>
<a id="bill.9.14.0"></a><a id="pl.182.6"></a><var>182.6</var>    Sec. 14. Minnesota Statutes 2010, section 256B.0659, subdivision 9, is amended to <br/>
<a id="pl.182.7"></a><var>182.7</var>read:<br/>
<a id="pl.182.8"></a><var>182.8</var>    Subd. 9. <b>Responsible party; generally.</b> (a) "Responsible party" means an <br/>
<a id="pl.182.9"></a><var>182.9</var>individual who is capable of providing the support necessary to assist the recipient to live <br/>
<a id="pl.182.10"></a><var>182.10</var>in the community.<br/>
<a id="pl.182.11"></a><var>182.11</var>    (b) A responsible party must be 18 years of age, actively participate in planning and <br/>
<a id="pl.182.12"></a><var>182.12</var>directing of personal care assistance services, and attend all assessments for the recipient.<br/>
<a id="pl.182.13"></a><var>182.13</var>    (c) A responsible party must not be the:<br/>
<a id="pl.182.14"></a><var>182.14</var>    (1) personal care assistant;<br/>
<a id="pl.182.15"></a><var>182.15</var>    (2) qualified professional;<br/>
<a id="pl.182.16"></a><var>182.16</var>    (3) home care provider agency owner or staff manager; or<br/>
<a id="pl.182.17"></a><var>182.17</var>    (4) home care provider agency staff unless staff who are not listed in clauses (1) to <br/>
<a id="pl.182.18"></a><var>182.18</var>(3) are related to the recipient by blood, marriage, or adoption; or<br/>
<a id="pl.182.19"></a><var>182.19</var>    (3) (5) county staff acting as part of employment.<br/>
<a id="pl.182.20"></a><var>182.20</var>    (d) A licensed family foster parent who lives with the recipient may be the <br/>
<a id="pl.182.21"></a><var>182.21</var>responsible party as long as the family foster parent meets the other responsible party <br/>
<a id="pl.182.22"></a><var>182.22</var>requirements.<br/>
<a id="pl.182.23"></a><var>182.23</var>    (e) A responsible party is required when:<br/>
<a id="pl.182.24"></a><var>182.24</var>    (1) the person is a minor according to section 
         <statute_ref>524.5-102, subdivision 10</statute_ref>;<br/>
<a id="pl.182.25"></a><var>182.25</var>    (2) the person is an incapacitated adult according to section 
         <statute_ref>524.5-102, subdivision <br/>
<a id="pl.182.26"></a><var>182.26</var>6
         </statute_ref>, resulting in a court-appointed guardian; or<br/>
<a id="pl.182.27"></a><var>182.27</var>    (3) the assessment according to subdivision 3a determines that the recipient is in <br/>
<a id="pl.182.28"></a><var>182.28</var>need of a responsible party to direct the recipient's care.<br/>
<a id="pl.182.29"></a><var>182.29</var>    (f) There may be two persons designated as the responsible party for reasons such <br/>
<a id="pl.182.30"></a><var>182.30</var>as divided households and court-ordered custodies. Each person named as responsible <br/>
<a id="pl.182.31"></a><var>182.31</var>party must meet the program criteria and responsibilities.<br/>
<a id="pl.182.32"></a><var>182.32</var>    (g) The recipient or the recipient's legal representative shall appoint a responsible <br/>
<a id="pl.182.33"></a><var>182.33</var>party if necessary to direct and supervise the care provided to the recipient. The <br/>
<a id="pl.182.34"></a><var>182.34</var>responsible party must be identified at the time of assessment and listed on the recipient's <br/>
<a id="pl.182.35"></a><var>182.35</var>service agreement and personal care assistance care plan.<br/>
<br/>
<a id="bill.9.15.0"></a><a id="pl.183.1"></a><var>183.1</var>    Sec. 15. Minnesota Statutes 2011 Supplement, section 256B.0659, subdivision 11, <br/>
<a id="pl.183.2"></a><var>183.2</var>is amended to read:<br/>
<a id="pl.183.3"></a><var>183.3</var>    Subd. 11. <b>Personal care assistant; requirements.</b> (a) A personal care assistant <br/>
<a id="pl.183.4"></a><var>183.4</var>must meet the following requirements:<br/>
<a id="pl.183.5"></a><var>183.5</var>    (1) be at least 18 years of age with the exception of persons who are 16 or 17 years <br/>
<a id="pl.183.6"></a><var>183.6</var>of age with these additional requirements:<br/>
<a id="pl.183.7"></a><var>183.7</var>    (i) supervision by a qualified professional every 60 days; and<br/>
<a id="pl.183.8"></a><var>183.8</var>    (ii) employment by only one personal care assistance provider agency responsible <br/>
<a id="pl.183.9"></a><var>183.9</var>for compliance with current labor laws;<br/>
<a id="pl.183.10"></a><var>183.10</var>    (2) be employed by a personal care assistance provider agency;<br/>
<a id="pl.183.11"></a><var>183.11</var>    (3) enroll with the department as a personal care assistant after clearing a background <br/>
<a id="pl.183.12"></a><var>183.12</var>study. Except as provided in subdivision 11a, before a personal care assistant provides <br/>
<a id="pl.183.13"></a><var>183.13</var>services, the personal care assistance provider agency must initiate a background study on <br/>
<a id="pl.183.14"></a><var>183.14</var>the personal care assistant under chapter 245C, and the personal care assistance provider <br/>
<a id="pl.183.15"></a><var>183.15</var>agency must have received a notice from the commissioner that the personal care assistant <br/>
<a id="pl.183.16"></a><var>183.16</var>is:<br/>
<a id="pl.183.17"></a><var>183.17</var>    (i) not disqualified under section 
         <statute_ref>245C.14</statute_ref>; or<br/>
<a id="pl.183.18"></a><var>183.18</var>    (ii) is disqualified, but the personal care assistant has received a set aside of the <br/>
<a id="pl.183.19"></a><var>183.19</var>disqualification under section 
         <statute_ref>245C.22</statute_ref>;<br/>
<a id="pl.183.20"></a><var>183.20</var>    (4) be able to effectively communicate with the recipient and personal care <br/>
<a id="pl.183.21"></a><var>183.21</var>assistance provider agency;<br/>
<a id="pl.183.22"></a><var>183.22</var>    (5) be able to provide covered personal care assistance services according to the <br/>
<a id="pl.183.23"></a><var>183.23</var>recipient's personal care assistance care plan, respond appropriately to recipient needs, <br/>
<a id="pl.183.24"></a><var>183.24</var>and report changes in the recipient's condition to the supervising qualified professional <br/>
<a id="pl.183.25"></a><var>183.25</var>or physician;<br/>
<a id="pl.183.26"></a><var>183.26</var>    (6) not be a consumer of personal care assistance services;<br/>
<a id="pl.183.27"></a><var>183.27</var>    (7) maintain daily written records including, but not limited to, time sheets under <br/>
<a id="pl.183.28"></a><var>183.28</var>subdivision 12;<br/>
<a id="pl.183.29"></a><var>183.29</var>    (8) effective January 1, 2010, complete standardized training as determined <br/>
<a id="pl.183.30"></a><var>183.30</var>by the commissioner before completing enrollment. The training must be available <br/>
<a id="pl.183.31"></a><var>183.31</var>in languages other than English and to those who need accommodations due to <br/>
<a id="pl.183.32"></a><var>183.32</var>disabilities. Personal care assistant training must include successful completion of the <br/>
<a id="pl.183.33"></a><var>183.33</var>following training components: basic first aid, vulnerable adult, child maltreatment, <br/>
<a id="pl.183.34"></a><var>183.34</var>OSHA universal precautions, basic roles and responsibilities of personal care assistants <br/>
<a id="pl.183.35"></a><var>183.35</var>including information about assistance with lifting and transfers for recipients, emergency <br/>
<a id="pl.183.36"></a><var>183.36</var>preparedness, orientation to positive behavioral practices, fraud issues, and completion of <br/>
<a id="pl.184.1"></a><var>184.1</var>time sheets. Upon completion of the training components, the personal care assistant must <br/>
<a id="pl.184.2"></a><var>184.2</var>demonstrate the competency to provide assistance to recipients;<br/>
<a id="pl.184.3"></a><var>184.3</var>    (9) complete training and orientation on the needs of the recipient within the first <br/>
<a id="pl.184.4"></a><var>184.4</var>seven days after the services begin; and<br/>
<a id="pl.184.5"></a><var>184.5</var>    (10) be limited to providing and being paid for up to 275 hours per month, except <br/>
<a id="pl.184.6"></a><var>184.6</var>that this limit shall be 275 hours per month for the period July 1, 2009, through June 30, <br/>
<a id="pl.184.7"></a><var>184.7</var>2011, of personal care assistance services regardless of the number of recipients being <br/>
<a id="pl.184.8"></a><var>184.8</var>served or the number of personal care assistance provider agencies enrolled with. The <br/>
<a id="pl.184.9"></a><var>184.9</var>number of hours worked per day shall not be disallowed by the department unless in <br/>
<a id="pl.184.10"></a><var>184.10</var>violation of the law.<br/>
<a id="pl.184.11"></a><var>184.11</var>    (b) A legal guardian may be a personal care assistant if the guardian is not being paid <br/>
<a id="pl.184.12"></a><var>184.12</var>for the guardian services and meets the criteria for personal care assistants in paragraph (a).<br/>
<a id="pl.184.13"></a><var>184.13</var>    (c) Persons who do not qualify as a personal care assistant include parents and, <br/>
<a id="pl.184.14"></a><var>184.14</var>stepparents, and legal guardians of minors,; spouses,; paid legal guardians, of adults; <br/>
<a id="pl.184.15"></a><var>184.15</var>family foster care providers, except as otherwise allowed in section 
         <statute_ref>256B.0625, <br/>
<a id="pl.184.16"></a><var>184.16</var>subdivision 19a
         </statute_ref>, or; and staff of a residential setting. When the personal care assistant is a <br/>
<a id="pl.184.17"></a><var>184.17</var>relative of the recipient, the commissioner shall pay 80 percent of the provider rate. For <br/>
<a id="pl.184.18"></a><var>184.18</var>purposes of this section, relative means the parent or adoptive parent of an adult child, a <br/>
<a id="pl.184.19"></a><var>184.19</var>sibling aged 16 years or older, an adult child, a grandparent, or a grandchild.<br/>
<br/>
<a id="bill.9.16.0"></a><a id="pl.184.20"></a><var>184.20</var>    Sec. 16. Minnesota Statutes 2010, section 256B.0659, subdivision 13, is amended to <br/>
<a id="pl.184.21"></a><var>184.21</var>read:<br/>
<a id="pl.184.22"></a><var>184.22</var>    Subd. 13. <b>Qualified professional; qualifications.</b> (a) The qualified professional <br/>
<a id="pl.184.23"></a><var>184.23</var>must work for a personal care assistance provider agency and meet the definition under <br/>
<a id="pl.184.24"></a><var>184.24</var>section 
         <statute_ref>256B.0625, subdivision 19c</statute_ref>. Before a qualified professional provides services, the <br/>
<a id="pl.184.25"></a><var>184.25</var>personal care assistance provider agency must initiate a background study on the qualified <br/>
<a id="pl.184.26"></a><var>184.26</var>professional under chapter 245C, and the personal care assistance provider agency must <br/>
<a id="pl.184.27"></a><var>184.27</var>have received a notice from the commissioner that the qualified professional:<br/>
<a id="pl.184.28"></a><var>184.28</var>    (1) is not disqualified under section 
         <statute_ref>245C.14</statute_ref>; or<br/>
<a id="pl.184.29"></a><var>184.29</var>    (2) is disqualified, but the qualified professional has received a set aside of the <br/>
<a id="pl.184.30"></a><var>184.30</var>disqualification under section 
         <statute_ref>245C.22</statute_ref>.<br/>
<a id="pl.184.31"></a><var>184.31</var>    (b) The qualified professional shall perform the duties of training, supervision, and <br/>
<a id="pl.184.32"></a><var>184.32</var>evaluation of the personal care assistance staff and evaluation of the effectiveness of <br/>
<a id="pl.184.33"></a><var>184.33</var>personal care assistance services. The qualified professional shall:<br/>
<a id="pl.184.34"></a><var>184.34</var>    (1) develop and monitor with the recipient a personal care assistance care plan based <br/>
<a id="pl.184.35"></a><var>184.35</var>on the service plan and individualized needs of the recipient;<br/>
<a id="pl.185.1"></a><var>185.1</var>    (2) develop and monitor with the recipient a monthly plan for the use of personal <br/>
<a id="pl.185.2"></a><var>185.2</var>care assistance services;<br/>
<a id="pl.185.3"></a><var>185.3</var>    (3) review documentation of personal care assistance services provided;<br/>
<a id="pl.185.4"></a><var>185.4</var>    (4) provide training and ensure competency for the personal care assistant in the <br/>
<a id="pl.185.5"></a><var>185.5</var>individual needs of the recipient; and<br/>
<a id="pl.185.6"></a><var>185.6</var>    (5) document all training, communication, evaluations, and needed actions to <br/>
<a id="pl.185.7"></a><var>185.7</var>improve performance of the personal care assistants.<br/>
<a id="pl.185.8"></a><var>185.8</var>    (c) Effective July 1, 2010 2011, the qualified professional shall complete the provider <br/>
<a id="pl.185.9"></a><var>185.9</var>training with basic information about the personal care assistance program approved by <br/>
<a id="pl.185.10"></a><var>185.10</var>the commissioner. Newly hired qualified professionals must complete the training within <br/>
<a id="pl.185.11"></a><var>185.11</var>six months of the date hired by a personal care assistance provider agency. Qualified <br/>
<a id="pl.185.12"></a><var>185.12</var>professionals who have completed the required training as a worker from a personal care <br/>
<a id="pl.185.13"></a><var>185.13</var>assistance provider agency do not need to repeat the required training if they are hired <br/>
<a id="pl.185.14"></a><var>185.14</var>by another agency, if they have completed the training within the last three years. The <br/>
<a id="pl.185.15"></a><var>185.15</var>required training shall must be available in languages other than English and to those who <br/>
<a id="pl.185.16"></a><var>185.16</var>need accommodations due to disabilities, with meaningful access according to title VI of <br/>
<a id="pl.185.17"></a><var>185.17</var>the Civil Rights Act and federal regulations adopted under that law or any guidance from <br/>
<a id="pl.185.18"></a><var>185.18</var>the United States Health and Human Services Department. The required training must <br/>
<a id="pl.185.19"></a><var>185.19</var>be available online, or by electronic remote connection, and. The required training must <br/>
<a id="pl.185.20"></a><var>185.20</var>provide for competency testing to demonstrate an understanding of the content without <br/>
<a id="pl.185.21"></a><var>185.21</var>attending in-person training. A qualified professional is allowed to be employed and is not <br/>
<a id="pl.185.22"></a><var>185.22</var>subject to the training requirement until the training is offered online or through remote <br/>
<a id="pl.185.23"></a><var>185.23</var>electronic connection. A qualified professional employed by a personal care assistance <br/>
<a id="pl.185.24"></a><var>185.24</var>provider agency certified for participation in Medicare as a home health agency is exempt <br/>
<a id="pl.185.25"></a><var>185.25</var>from the training required in this subdivision. When available, the qualified professional <br/>
<a id="pl.185.26"></a><var>185.26</var>working for a Medicare-certified home health agency must successfully complete the <br/>
<a id="pl.185.27"></a><var>185.27</var>competency test. The commissioner shall ensure there is a mechanism in place to verify <br/>
<a id="pl.185.28"></a><var>185.28</var>the identity of persons completing the competency testing electronically.<br/>
<a id="pl.185.29"></a><var>185.29</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from July 1, 2011.<br/>
<br/>
<a id="bill.9.17.0"></a><a id="pl.185.30"></a><var>185.30</var>    Sec. 17. Minnesota Statutes 2010, section 256B.0659, subdivision 14, is amended to <br/>
<a id="pl.185.31"></a><var>185.31</var>read:<br/>
<a id="pl.185.32"></a><var>185.32</var>    Subd. 14. <b>Qualified professional; duties.</b> (a) Effective January 1, 2010, all personal <br/>
<a id="pl.185.33"></a><var>185.33</var>care assistants must be supervised by a qualified professional.<br/>
<a id="pl.186.1"></a><var>186.1</var>    (b) Through direct training, observation, return demonstrations, and consultation <br/>
<a id="pl.186.2"></a><var>186.2</var>with the staff and the recipient, the qualified professional must ensure and document <br/>
<a id="pl.186.3"></a><var>186.3</var>that the personal care assistant is:<br/>
<a id="pl.186.4"></a><var>186.4</var>    (1) capable of providing the required personal care assistance services;<br/>
<a id="pl.186.5"></a><var>186.5</var>    (2) knowledgeable about the plan of personal care assistance services before services <br/>
<a id="pl.186.6"></a><var>186.6</var>are performed; and<br/>
<a id="pl.186.7"></a><var>186.7</var>    (3) able to identify conditions that should be immediately brought to the attention of <br/>
<a id="pl.186.8"></a><var>186.8</var>the qualified professional.<br/>
<a id="pl.186.9"></a><var>186.9</var>    (c) The qualified professional shall evaluate the personal care assistant within the <br/>
<a id="pl.186.10"></a><var>186.10</var>first 14 days of starting to provide regularly scheduled services for a recipient, or sooner as <br/>
<a id="pl.186.11"></a><var>186.11</var>determined by the qualified professional, except for the personal care assistance choice <br/>
<a id="pl.186.12"></a><var>186.12</var>option under subdivision 19, paragraph (a), clause (4). For the initial evaluation, the <br/>
<a id="pl.186.13"></a><var>186.13</var>qualified professional shall evaluate the personal care assistance services for a recipient <br/>
<a id="pl.186.14"></a><var>186.14</var>through direct observation of a personal care assistant's work. The qualified professional <br/>
<a id="pl.186.15"></a><var>186.15</var>may conduct additional training and evaluation visits, based upon the needs of the <br/>
<a id="pl.186.16"></a><var>186.16</var>recipient and the personal care assistant's ability to meet those needs. Subsequent visits to <br/>
<a id="pl.186.17"></a><var>186.17</var>evaluate the personal care assistance services provided to a recipient do not require direct <br/>
<a id="pl.186.18"></a><var>186.18</var>observation of each personal care assistant's work and shall occur:<br/>
<a id="pl.186.19"></a><var>186.19</var>    (1) at least every 90 days thereafter for the first year of a recipient's services;<br/>
<a id="pl.186.20"></a><var>186.20</var>    (2) every 120 days after the first year of a recipient's service or whenever needed for <br/>
<a id="pl.186.21"></a><var>186.21</var>response to a recipient's request for increased supervision of the personal care assistance <br/>
<a id="pl.186.22"></a><var>186.22</var>staff; and<br/>
<a id="pl.186.23"></a><var>186.23</var>    (3) after the first 180 days of a recipient's service, supervisory visits may alternate <br/>
<a id="pl.186.24"></a><var>186.24</var>between unscheduled phone or Internet technology and in-person visits, unless the <br/>
<a id="pl.186.25"></a><var>186.25</var>in-person visits are needed according to the care plan.<br/>
<a id="pl.186.26"></a><var>186.26</var>    (d) Communication with the recipient is a part of the evaluation process of the <br/>
<a id="pl.186.27"></a><var>186.27</var>personal care assistance staff.<br/>
<a id="pl.186.28"></a><var>186.28</var>    (e) At each supervisory visit, the qualified professional shall evaluate personal care <br/>
<a id="pl.186.29"></a><var>186.29</var>assistance services including the following information:<br/>
<a id="pl.186.30"></a><var>186.30</var>    (1) satisfaction level of the recipient with personal care assistance services;<br/>
<a id="pl.186.31"></a><var>186.31</var>    (2) review of the month-to-month plan for use of personal care assistance services;<br/>
<a id="pl.186.32"></a><var>186.32</var>    (3) review of documentation of personal care assistance services provided;<br/>
<a id="pl.186.33"></a><var>186.33</var>    (4) whether the personal care assistance services are meeting the goals of the service <br/>
<a id="pl.186.34"></a><var>186.34</var>as stated in the personal care assistance care plan and service plan;<br/>
<a id="pl.186.35"></a><var>186.35</var>    (5) a written record of the results of the evaluation and actions taken to correct any <br/>
<a id="pl.186.36"></a><var>186.36</var>deficiencies in the work of a personal care assistant; and<br/>
<a id="pl.187.1"></a><var>187.1</var>    (6) revision of the personal care assistance care plan as necessary in consultation <br/>
<a id="pl.187.2"></a><var>187.2</var>with the recipient or responsible party, to meet the needs of the recipient.<br/>
<a id="pl.187.3"></a><var>187.3</var>    (f) The qualified professional shall complete the required documentation in the <br/>
<a id="pl.187.4"></a><var>187.4</var>agency recipient and employee files and the recipient's home, including the following <br/>
<a id="pl.187.5"></a><var>187.5</var>documentation:<br/>
<a id="pl.187.6"></a><var>187.6</var>    (1) the personal care assistance care plan based on the service plan and individualized <br/>
<a id="pl.187.7"></a><var>187.7</var>needs of the recipient;<br/>
<a id="pl.187.8"></a><var>187.8</var>    (2) a month-to-month plan for use of personal care assistance services;<br/>
<a id="pl.187.9"></a><var>187.9</var>    (3) changes in need of the recipient requiring a change to the level of service and the <br/>
<a id="pl.187.10"></a><var>187.10</var>personal care assistance care plan;<br/>
<a id="pl.187.11"></a><var>187.11</var>    (4) evaluation results of supervision visits and identified issues with personal care <br/>
<a id="pl.187.12"></a><var>187.12</var>assistance staff with actions taken;<br/>
<a id="pl.187.13"></a><var>187.13</var>    (5) all communication with the recipient and personal care assistance staff; and<br/>
<a id="pl.187.14"></a><var>187.14</var>    (6) hands-on training or individualized training for the care of the recipient.<br/>
<a id="pl.187.15"></a><var>187.15</var>    (g) The documentation in paragraph (f) must be done on agency forms templates.<br/>
<a id="pl.187.16"></a><var>187.16</var>    (h) The services that are not eligible for payment as qualified professional services <br/>
<a id="pl.187.17"></a><var>187.17</var>include:<br/>
<a id="pl.187.18"></a><var>187.18</var>    (1) direct professional nursing tasks that could be assessed and authorized as skilled <br/>
<a id="pl.187.19"></a><var>187.19</var>nursing tasks;<br/>
<a id="pl.187.20"></a><var>187.20</var>    (2) supervision of personal care assistance completed by telephone;<br/>
<a id="pl.187.21"></a><var>187.21</var>    (3) (2) agency administrative activities;<br/>
<a id="pl.187.22"></a><var>187.22</var>    (4) (3) training other than the individualized training required to provide care for a <br/>
<a id="pl.187.23"></a><var>187.23</var>recipient; and<br/>
<a id="pl.187.24"></a><var>187.24</var>    (5) (4) any other activity that is not described in this section.<br/>
<br/>
<a id="bill.9.18.0"></a><a id="pl.187.25"></a><var>187.25</var>    Sec. 18. Minnesota Statutes 2010, section 256B.0659, subdivision 19, is amended to <br/>
<a id="pl.187.26"></a><var>187.26</var>read:<br/>
<a id="pl.187.27"></a><var>187.27</var>    Subd. 19. <b>Personal care assistance choice option; qualifications; duties.</b> (a) <br/>
<a id="pl.187.28"></a><var>187.28</var>Under personal care assistance choice, the recipient or responsible party shall:<br/>
<a id="pl.187.29"></a><var>187.29</var>    (1) recruit, hire, schedule, and terminate personal care assistants according to the <br/>
<a id="pl.187.30"></a><var>187.30</var>terms of the written agreement required under subdivision 20, paragraph (a);<br/>
<a id="pl.187.31"></a><var>187.31</var>    (2) develop a personal care assistance care plan based on the assessed needs <br/>
<a id="pl.187.32"></a><var>187.32</var>and addressing the health and safety of the recipient with the assistance of a qualified <br/>
<a id="pl.187.33"></a><var>187.33</var>professional as needed;<br/>
<a id="pl.187.34"></a><var>187.34</var>    (3) orient and train the personal care assistant with assistance as needed from the <br/>
<a id="pl.187.35"></a><var>187.35</var>qualified professional;<br/>
<a id="pl.188.1"></a><var>188.1</var>    (4) effective January 1, 2010, supervise and evaluate the personal care assistant with <br/>
<a id="pl.188.2"></a><var>188.2</var>the qualified professional, who is required to visit the recipient at least every 180 days;<br/>
<a id="pl.188.3"></a><var>188.3</var>    (5) monitor and verify in writing and report to the personal care assistance choice <br/>
<a id="pl.188.4"></a><var>188.4</var>agency the number of hours worked by the personal care assistant and the qualified <br/>
<a id="pl.188.5"></a><var>188.5</var>professional;<br/>
<a id="pl.188.6"></a><var>188.6</var>    (6) engage in an annual face-to-face reassessment to determine continuing eligibility <br/>
<a id="pl.188.7"></a><var>188.7</var>and service authorization; and<br/>
<a id="pl.188.8"></a><var>188.8</var>    (7) use the same personal care assistance choice provider agency if shared personal <br/>
<a id="pl.188.9"></a><var>188.9</var>assistance care is being used.<br/>
<a id="pl.188.10"></a><var>188.10</var>    (b) The personal care assistance choice provider agency shall:<br/>
<a id="pl.188.11"></a><var>188.11</var>    (1) meet all personal care assistance provider agency standards;<br/>
<a id="pl.188.12"></a><var>188.12</var>    (2) enter into a written agreement with the recipient, responsible party, and personal <br/>
<a id="pl.188.13"></a><var>188.13</var>care assistants;<br/>
<a id="pl.188.14"></a><var>188.14</var>    (3) not be related as a parent, child, sibling, or spouse to the recipient, qualified <br/>
<a id="pl.188.15"></a><var>188.15</var>professional, or the personal care assistant; and<br/>
<a id="pl.188.16"></a><var>188.16</var>    (4) ensure arm's-length transactions without undue influence or coercion with the <br/>
<a id="pl.188.17"></a><var>188.17</var>recipient and personal care assistant.<br/>
<a id="pl.188.18"></a><var>188.18</var>    (c) The duties of the personal care assistance choice provider agency are to:<br/>
<a id="pl.188.19"></a><var>188.19</var>    (1) be the employer of the personal care assistant and the qualified professional for <br/>
<a id="pl.188.20"></a><var>188.20</var>employment law and related regulations including, but not limited to, purchasing and <br/>
<a id="pl.188.21"></a><var>188.21</var>maintaining workers' compensation, unemployment insurance, surety and fidelity bonds, <br/>
<a id="pl.188.22"></a><var>188.22</var>and liability insurance, and submit any or all necessary documentation including, but not <br/>
<a id="pl.188.23"></a><var>188.23</var>limited to, workers' compensation and unemployment insurance;<br/>
<a id="pl.188.24"></a><var>188.24</var>    (2) bill the medical assistance program for personal care assistance services and <br/>
<a id="pl.188.25"></a><var>188.25</var>qualified professional services;<br/>
<a id="pl.188.26"></a><var>188.26</var>    (3) request and complete background studies that comply with the requirements for <br/>
<a id="pl.188.27"></a><var>188.27</var>personal care assistants and qualified professionals;<br/>
<a id="pl.188.28"></a><var>188.28</var>    (4) pay the personal care assistant and qualified professional based on actual hours <br/>
<a id="pl.188.29"></a><var>188.29</var>of services provided;<br/>
<a id="pl.188.30"></a><var>188.30</var>    (5) withhold and pay all applicable federal and state taxes;<br/>
<a id="pl.188.31"></a><var>188.31</var>    (6) verify and keep records of hours worked by the personal care assistant and <br/>
<a id="pl.188.32"></a><var>188.32</var>qualified professional;<br/>
<a id="pl.188.33"></a><var>188.33</var>    (7) make the arrangements and pay taxes and other benefits, if any, and comply with <br/>
<a id="pl.188.34"></a><var>188.34</var>any legal requirements for a Minnesota employer;<br/>
<a id="pl.188.35"></a><var>188.35</var>    (8) enroll in the medical assistance program as a personal care assistance choice <br/>
<a id="pl.188.36"></a><var>188.36</var>agency; and<br/>
<a id="pl.189.1"></a><var>189.1</var>    (9) enter into a written agreement as specified in subdivision 20 before services <br/>
<a id="pl.189.2"></a><var>189.2</var>are provided.<br/>
<br/>
<a id="bill.9.19.0"></a><a id="pl.189.3"></a><var>189.3</var>    Sec. 19. Minnesota Statutes 2010, section 256B.0659, subdivision 21, is amended to <br/>
<a id="pl.189.4"></a><var>189.4</var>read:<br/>
<a id="pl.189.5"></a><var>189.5</var>    Subd. 21. <b>Requirements for initial enrollment of personal care assistance </b><br/>
<a id="pl.189.6"></a><var>189.6</var><b>provider agencies.</b> (a) All personal care assistance provider agencies must provide, at the <br/>
<a id="pl.189.7"></a><var>189.7</var>time of enrollment as a personal care assistance provider agency in a format determined <br/>
<a id="pl.189.8"></a><var>189.8</var>by the commissioner, information and documentation that includes, but is not limited to, <br/>
<a id="pl.189.9"></a><var>189.9</var>the following:<br/>
<a id="pl.189.10"></a><var>189.10</var>    (1) the personal care assistance provider agency's current contact information <br/>
<a id="pl.189.11"></a><var>189.11</var>including address, telephone number, and e-mail address;<br/>
<a id="pl.189.12"></a><var>189.12</var>    (2) proof of surety bond coverage in the amount of $50,000 or ten percent of the <br/>
<a id="pl.189.13"></a><var>189.13</var>provider's payments from Medicaid in the previous year, whichever is less;<br/>
<a id="pl.189.14"></a><var>189.14</var>    (3) proof of fidelity bond coverage in the amount of $20,000;<br/>
<a id="pl.189.15"></a><var>189.15</var>    (4) proof of workers' compensation insurance coverage;<br/>
<a id="pl.189.16"></a><var>189.16</var>    (5) proof of liability insurance;<br/>
<a id="pl.189.17"></a><var>189.17</var>    (6) a description of the personal care assistance provider agency's organization <br/>
<a id="pl.189.18"></a><var>189.18</var>identifying the names of all owners, managing employees, staff, board of directors, and <br/>
<a id="pl.189.19"></a><var>189.19</var>the affiliations of the directors, owners, or staff to other service providers;<br/>
<a id="pl.189.20"></a><var>189.20</var>    (7) a copy of the personal care assistance provider agency's written policies and <br/>
<a id="pl.189.21"></a><var>189.21</var>procedures including: hiring of employees; training requirements; service delivery; <br/>
<a id="pl.189.22"></a><var>189.22</var>and employee and consumer safety including process for notification and resolution <br/>
<a id="pl.189.23"></a><var>189.23</var>of consumer grievances, identification and prevention of communicable diseases, and <br/>
<a id="pl.189.24"></a><var>189.24</var>employee misconduct;<br/>
<a id="pl.189.25"></a><var>189.25</var>    (8) copies of all other forms the personal care assistance provider agency uses in <br/>
<a id="pl.189.26"></a><var>189.26</var>the course of daily business including, but not limited to:<br/>
<a id="pl.189.27"></a><var>189.27</var>    (i) a copy of the personal care assistance provider agency's time sheet if the time <br/>
<a id="pl.189.28"></a><var>189.28</var>sheet varies from the standard time sheet for personal care assistance services approved <br/>
<a id="pl.189.29"></a><var>189.29</var>by the commissioner, and a letter requesting approval of the personal care assistance <br/>
<a id="pl.189.30"></a><var>189.30</var>provider agency's nonstandard time sheet;<br/>
<a id="pl.189.31"></a><var>189.31</var>    (ii) the personal care assistance provider agency's template for the personal care <br/>
<a id="pl.189.32"></a><var>189.32</var>assistance care plan; and<br/>
<a id="pl.189.33"></a><var>189.33</var>    (iii) the personal care assistance provider agency's template for the written <br/>
<a id="pl.189.34"></a><var>189.34</var>agreement in subdivision 20 for recipients using the personal care assistance choice <br/>
<a id="pl.189.35"></a><var>189.35</var>option, if applicable;<br/>
<a id="pl.190.1"></a><var>190.1</var>    (9) a list of all training and classes that the personal care assistance provider agency <br/>
<a id="pl.190.2"></a><var>190.2</var>requires of its staff providing personal care assistance services;<br/>
<a id="pl.190.3"></a><var>190.3</var>    (10) documentation that the personal care assistance provider agency and staff have <br/>
<a id="pl.190.4"></a><var>190.4</var>successfully completed all the training required by this section;<br/>
<a id="pl.190.5"></a><var>190.5</var>    (11) documentation of the agency's marketing practices;<br/>
<a id="pl.190.6"></a><var>190.6</var>    (12) disclosure of ownership, leasing, or management of all residential properties <br/>
<a id="pl.190.7"></a><var>190.7</var>that is used or could be used for providing home care services;<br/>
<a id="pl.190.8"></a><var>190.8</var>    (13) documentation that the agency will use the following percentages of revenue <br/>
<a id="pl.190.9"></a><var>190.9</var>generated from the medical assistance rate paid for personal care assistance services <br/>
<a id="pl.190.10"></a><var>190.10</var>for employee personal care assistant wages and benefits: 72.5 percent of revenue in the <br/>
<a id="pl.190.11"></a><var>190.11</var>personal care assistance choice option and 72.5 percent of revenue from other personal <br/>
<a id="pl.190.12"></a><var>190.12</var>care assistance providers; and<br/>
<a id="pl.190.13"></a><var>190.13</var>    (14) effective May 15, 2010, documentation that the agency does not burden <br/>
<a id="pl.190.14"></a><var>190.14</var>recipients' free exercise of their right to choose service providers by requiring personal <br/>
<a id="pl.190.15"></a><var>190.15</var>care assistants to sign an agreement not to work with any particular personal care <br/>
<a id="pl.190.16"></a><var>190.16</var>assistance recipient or for another personal care assistance provider agency after leaving <br/>
<a id="pl.190.17"></a><var>190.17</var>the agency and that the agency is not taking action on any such agreements or requirements <br/>
<a id="pl.190.18"></a><var>190.18</var>regardless of the date signed.<br/>
<a id="pl.190.19"></a><var>190.19</var>    (b) Personal care assistance provider agencies shall provide the information specified <br/>
<a id="pl.190.20"></a><var>190.20</var>in paragraph (a) to the commissioner at the time the personal care assistance provider <br/>
<a id="pl.190.21"></a><var>190.21</var>agency enrolls as a vendor or upon request from the commissioner. The commissioner <br/>
<a id="pl.190.22"></a><var>190.22</var>shall collect the information specified in paragraph (a) from all personal care assistance <br/>
<a id="pl.190.23"></a><var>190.23</var>providers beginning July 1, 2009.<br/>
<a id="pl.190.24"></a><var>190.24</var>    (c) All personal care assistance provider agencies shall require all employees in <br/>
<a id="pl.190.25"></a><var>190.25</var>management and supervisory positions and owners of the agency who are active in the <br/>
<a id="pl.190.26"></a><var>190.26</var>day-to-day management and operations of the agency to complete mandatory training <br/>
<a id="pl.190.27"></a><var>190.27</var>as determined by the commissioner before enrollment of the agency as a provider. <br/>
<a id="pl.190.28"></a><var>190.28</var>Employees in management and supervisory positions and owners who are active in <br/>
<a id="pl.190.29"></a><var>190.29</var>the day-to-day operations of an agency who have completed the required training as <br/>
<a id="pl.190.30"></a><var>190.30</var>an employee with a personal care assistance provider agency do not need to repeat <br/>
<a id="pl.190.31"></a><var>190.31</var>the required training if they are hired by another agency, if they have completed the <br/>
<a id="pl.190.32"></a><var>190.32</var>training within the past three years. By September 1, 2010, the required training must be <br/>
<a id="pl.190.33"></a><var>190.33</var>available in languages other than English and to those who need accommodations due <br/>
<a id="pl.190.34"></a><var>190.34</var>to disabilities, with meaningful access according to title VI of the Civil Rights Act and <br/>
<a id="pl.190.35"></a><var>190.35</var>federal regulations adopted under that law or any guidance from the United States Health <br/>
<a id="pl.190.36"></a><var>190.36</var>and Human Services Department. The required training must be available online, or by <br/>
<a id="pl.191.1"></a><var>191.1</var>electronic remote connection, and. The required training must provide for competency <br/>
<a id="pl.191.2"></a><var>191.2</var>testing. Personal care assistance provider agency billing staff shall complete training about <br/>
<a id="pl.191.3"></a><var>191.3</var>personal care assistance program financial management. This training is effective July 1, <br/>
<a id="pl.191.4"></a><var>191.4</var>2009. Any personal care assistance provider agency enrolled before that date shall, if it <br/>
<a id="pl.191.5"></a><var>191.5</var>has not already, complete the provider training within 18 months of July 1, 2009. Any new <br/>
<a id="pl.191.6"></a><var>191.6</var>owners or employees in management and supervisory positions involved in the day-to-day <br/>
<a id="pl.191.7"></a><var>191.7</var>operations are required to complete mandatory training as a requisite of working for the <br/>
<a id="pl.191.8"></a><var>191.8</var>agency. Personal care assistance provider agencies certified for participation in Medicare <br/>
<a id="pl.191.9"></a><var>191.9</var>as home health agencies are exempt from the training required in this subdivision. When <br/>
<a id="pl.191.10"></a><var>191.10</var>available, Medicare-certified home health agency owners, supervisors, or managers must <br/>
<a id="pl.191.11"></a><var>191.11</var>successfully complete the competency test.<br/>
<br/>
<a id="bill.9.20.0"></a><a id="pl.191.12"></a><var>191.12</var>    Sec. 20. Minnesota Statutes 2010, section 256B.0659, subdivision 30, is amended to <br/>
<a id="pl.191.13"></a><var>191.13</var>read:<br/>
<a id="pl.191.14"></a><var>191.14</var>    Subd. 30. <b>Notice of service changes to recipients.</b> The commissioner must provide:<br/>
<a id="pl.191.15"></a><var>191.15</var>    (1) by October 31, 2009, information to recipients likely to be affected that (i) <br/>
<a id="pl.191.16"></a><var>191.16</var>describes the changes to the personal care assistance program that may result in the <br/>
<a id="pl.191.17"></a><var>191.17</var>loss of access to personal care assistance services, and (ii) includes resources to obtain <br/>
<a id="pl.191.18"></a><var>191.18</var>further information; and<br/>
<a id="pl.191.19"></a><var>191.19</var>    (2) notice of changes in medical assistance personal care assistance services to each <br/>
<a id="pl.191.20"></a><var>191.20</var>affected recipient at least 30 days before the effective date of the change.<br/>
<a id="pl.191.21"></a><var>191.21</var>The notice shall include how to get further information on the changes, how to get help to <br/>
<a id="pl.191.22"></a><var>191.22</var>obtain other services, a list of community resources, and appeal rights. Notwithstanding <br/>
<a id="pl.191.23"></a><var>191.23</var>section 
<statute_ref>256.045</statute_ref>, a recipient may request continued services pending appeal within the <br/>
<a id="pl.191.24"></a><var>191.24</var>time period allowed to request an appeal; and<br/>
<a id="pl.191.25"></a><var>191.25</var>    (3) (2) a service agreement authorizing personal care assistance hours of service at <br/>
<a id="pl.191.26"></a><var>191.26</var>the previously authorized level, throughout the appeal process period, when a recipient <br/>
<a id="pl.191.27"></a><var>191.27</var>requests services pending an appeal.<br/>
<a id="pl.191.28"></a><var>191.28</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2012.<br/>
<br/>
<a id="bill.9.21.0"></a><a id="pl.191.29"></a><var>191.29</var>    Sec. 21. Minnesota Statutes 2010, section 256B.0916, subdivision 7, is amended to <br/>
<a id="pl.191.30"></a><var>191.30</var>read:<br/>
<a id="pl.191.31"></a><var>191.31</var>    Subd. 7. <b>Annual report by commissioner.</b> (a) Beginning November 1, 2001, and <br/>
<a id="pl.191.32"></a><var>191.32</var>each November 1 thereafter, the commissioner shall issue an annual report on county and <br/>
<a id="pl.192.1"></a><var>192.1</var>state use of available resources for the home and community-based waiver for persons with <br/>
<a id="pl.192.2"></a><var>192.2</var>developmental disabilities. For each county or county partnership, the report shall include:<br/>
<a id="pl.192.3"></a><var>192.3</var>    (1) the amount of funds allocated but not used;<br/>
<a id="pl.192.4"></a><var>192.4</var>    (2) the county specific allowed reserve amount approved and used;<br/>
<a id="pl.192.5"></a><var>192.5</var>    (3) the number, ages, and living situations of individuals screened and waiting for <br/>
<a id="pl.192.6"></a><var>192.6</var>services;<br/>
<a id="pl.192.7"></a><var>192.7</var>    (4) the urgency of need for services to begin within one, two, or more than two <br/>
<a id="pl.192.8"></a><var>192.8</var>years for each individual;<br/>
<a id="pl.192.9"></a><var>192.9</var>    (5) the services needed;<br/>
<a id="pl.192.10"></a><var>192.10</var>    (6) the number of additional persons served by approval of increased capacity within <br/>
<a id="pl.192.11"></a><var>192.11</var>existing allocations;<br/>
<a id="pl.192.12"></a><var>192.12</var>    (7) results of action by the commissioner to streamline administrative requirements <br/>
<a id="pl.192.13"></a><var>192.13</var>and improve county resource management; and<br/>
<a id="pl.192.14"></a><var>192.14</var>    (8) additional action that would decrease the number of those eligible and waiting <br/>
<a id="pl.192.15"></a><var>192.15</var>for waivered services.<br/>
<a id="pl.192.16"></a><var>192.16</var>The commissioner shall specify intended outcomes for the program and the degree to <br/>
<a id="pl.192.17"></a><var>192.17</var>which these specified outcomes are attained.<br/>
<a id="pl.192.18"></a><var>192.18</var>    (b) This subdivision expires January 1, 2013.<br/>
<br/>
<a id="bill.9.22.0"></a><a id="pl.192.19"></a><var>192.19</var>    Sec. 22. Minnesota Statutes 2010, section 256B.092, subdivision 11, is amended to <br/>
<a id="pl.192.20"></a><var>192.20</var>read:<br/>
<a id="pl.192.21"></a><var>192.21</var>    Subd. 11. <b>Residential support services.</b> (a) Upon federal approval, there is <br/>
<a id="pl.192.22"></a><var>192.22</var>established a new service called residential support that is available on the community <br/>
<a id="pl.192.23"></a><var>192.23</var>alternative care, community alternatives for disabled individuals, developmental <br/>
<a id="pl.192.24"></a><var>192.24</var>disabilities, and traumatic brain injury waivers. Existing waiver service descriptions <br/>
<a id="pl.192.25"></a><var>192.25</var>must be modified to the extent necessary to ensure there is no duplication between <br/>
<a id="pl.192.26"></a><var>192.26</var>other services. Residential support services must be provided by vendors licensed as a <br/>
<a id="pl.192.27"></a><var>192.27</var>community residential setting as defined in section 
         <statute_ref>245A.11, subdivision 8</statute_ref>.<br/>
<a id="pl.192.28"></a><var>192.28</var>    (b) Residential support services must meet the following criteria:<br/>
<a id="pl.192.29"></a><var>192.29</var>    (1) providers of residential support services must own or control the residential site;<br/>
<a id="pl.192.30"></a><var>192.30</var>    (2) the residential site must not be the primary residence of the license holder;<br/>
<a id="pl.192.31"></a><var>192.31</var>    (3) the residential site must have a designated program supervisor responsible for <br/>
<a id="pl.192.32"></a><var>192.32</var>program oversight, development, and implementation of policies and procedures;<br/>
<a id="pl.192.33"></a><var>192.33</var>    (4) the provider of residential support services must provide supervision, training, <br/>
<a id="pl.192.34"></a><var>192.34</var>and assistance as described in the person's community support plan; and<br/>
<a id="pl.193.1"></a><var>193.1</var>    (5) the provider of residential support services must meet the requirements of <br/>
<a id="pl.193.2"></a><var>193.2</var>licensure and additional requirements of the person's community support plan.<br/>
<a id="pl.193.3"></a><var>193.3</var>    (c) Providers of residential support services that meet the definition in paragraph <br/>
<a id="pl.193.4"></a><var>193.4</var>(a) must be registered using a process determined by the commissioner beginning July <br/>
<a id="pl.193.5"></a><var>193.5</var>1, 2009. Providers licensed to provide child foster care under Minnesota Rules, parts <br/>
<a id="pl.193.6"></a><var>193.6</var>2960.3000 to 2960.3340, or adult foster care licensed under Minnesota Rules, parts <br/>
<a id="pl.193.7"></a><var>193.7</var>9555.5105 to 9555.6265, and that meet the requirements in section 245A.03, subdivision <br/>
<a id="pl.193.8"></a><var>193.8</var>7, paragraph (e), are considered registered under this section.<br/>
<br/>
<a id="bill.9.23.0"></a><a id="pl.193.9"></a><var>193.9</var>    Sec. 23. Minnesota Statutes 2010, section 256B.096, subdivision 5, is amended to read:<br/>
<a id="pl.193.10"></a><var>193.10</var>    Subd. 5. <b>Biennial report.</b> (a) The commissioner shall provide a biennial report to <br/>
<a id="pl.193.11"></a><var>193.11</var>the chairs of the legislative committees with jurisdiction over health and human services <br/>
<a id="pl.193.12"></a><var>193.12</var>policy and funding beginning January 15, 2009, on the development and activities of the <br/>
<a id="pl.193.13"></a><var>193.13</var>quality management, assurance, and improvement system designed to meet the federal <br/>
<a id="pl.193.14"></a><var>193.14</var>requirements under the home and community-based services waiver programs for persons <br/>
<a id="pl.193.15"></a><var>193.15</var>with disabilities. By January 15, 2008, the commissioner shall provide a preliminary <br/>
<a id="pl.193.16"></a><var>193.16</var>report on priorities for meeting the federal requirements, progress on development and <br/>
<a id="pl.193.17"></a><var>193.17</var>field testing of the annual survey, appropriations necessary to implement an annual survey <br/>
<a id="pl.193.18"></a><var>193.18</var>of service recipients once field testing is completed, recommendations for improvements <br/>
<a id="pl.193.19"></a><var>193.19</var>in the incident reporting system, and a plan for incorporating quality assurance efforts <br/>
<a id="pl.193.20"></a><var>193.20</var>under section 
         <statute_ref>256B.095</statute_ref> and other regional efforts into the statewide system.<br/>
<a id="pl.193.21"></a><var>193.21</var>    (b) This subdivision expires January 1, 2013.<br/>
<br/>
<a id="bill.9.24.0"></a><a id="pl.193.22"></a><var>193.22</var>    Sec. 24. Minnesota Statutes 2010, section 256B.441, subdivision 13, is amended to <br/>
<a id="pl.193.23"></a><var>193.23</var>read:<br/>
<a id="pl.193.24"></a><var>193.24</var>    Subd. 13. <b>External fixed costs.</b> "External fixed costs" means costs related to the <br/>
<a id="pl.193.25"></a><var>193.25</var>nursing home surcharge under section 
         <statute_ref>256.9657, subdivision 1</statute_ref>; licensure fees under <br/>
<a id="pl.193.26"></a><var>193.26</var>section 
         <statute_ref>144.122</statute_ref>; long-term care consultation fees under section 
         <statute_ref>256B.0911, subdivision 6</statute_ref>; <br/>
<a id="pl.193.27"></a><var>193.27</var>family advisory council fee under section 
         <statute_ref>144A.33</statute_ref>; scholarships under section 
         <statute_ref>256B.431, <br/>
<a id="pl.193.28"></a><var>193.28</var>subdivision 36
         </statute_ref>; planned closure rate adjustments under section 
         <statute_ref>256B.436</statute_ref> or
<statute_ref>256B.437</statute_ref>; or <br/>
<a id="pl.193.29"></a><var>193.29</var>single bed room incentives under section 
         <statute_ref>256B.431, subdivision 42</statute_ref>; property taxes and <br/>
<a id="pl.193.30"></a><var>193.30</var>property insurance; and PERA.<br/>
<br/>
<a id="bill.9.25.0"></a><a id="pl.193.31"></a><var>193.31</var>    Sec. 25. Minnesota Statutes 2010, section 256B.441, subdivision 31, is amended to <br/>
<a id="pl.193.32"></a><var>193.32</var>read:<br/>
<a id="pl.194.1"></a><var>194.1</var>    Subd. 31. <b>Prior system operating cost payment rate.</b> "Prior system operating <br/>
<a id="pl.194.2"></a><var>194.2</var>cost payment rate" means the operating cost payment rate in effect on September 30, <br/>
<a id="pl.194.3"></a><var>194.3</var>2008, under Minnesota Rules and Minnesota Statutes, not including planned closure rate <br/>
<a id="pl.194.4"></a><var>194.4</var>adjustments under section 
         <statute_ref>256B.436</statute_ref> or
<statute_ref>256B.437</statute_ref>, or single bed room incentives under <br/>
<a id="pl.194.5"></a><var>194.5</var>section 
         <statute_ref>256B.431, subdivision 42</statute_ref>.<br/>
<br/>
<a id="bill.9.26.0"></a><a id="pl.194.6"></a><var>194.6</var>    Sec. 26. Minnesota Statutes 2010, section 256B.441, subdivision 53, is amended to <br/>
<a id="pl.194.7"></a><var>194.7</var>read:<br/>
<a id="pl.194.8"></a><var>194.8</var>    Subd. 53. <b>Calculation of payment rate for external fixed costs.</b> The commissioner <br/>
<a id="pl.194.9"></a><var>194.9</var>shall calculate a payment rate for external fixed costs.<br/>
<a id="pl.194.10"></a><var>194.10</var>    (a) For a facility licensed as a nursing home, the portion related to section 
         <statute_ref>256.9657</statute_ref> <br/>
<a id="pl.194.11"></a><var>194.11</var>shall be equal to $8.86. For a facility licensed as both a nursing home and a boarding care <br/>
<a id="pl.194.12"></a><var>194.12</var>home, the portion related to section 
         <statute_ref>256.9657</statute_ref> shall be equal to $8.86 multiplied by the <br/>
<a id="pl.194.13"></a><var>194.13</var>result of its number of nursing home beds divided by its total number of licensed beds.<br/>
<a id="pl.194.14"></a><var>194.14</var>    (b) The portion related to the licensure fee under section 
         <statute_ref>144.122</statute_ref>, paragraph (d), <br/>
<a id="pl.194.15"></a><var>194.15</var>shall be the amount of the fee divided by actual resident days.<br/>
<a id="pl.194.16"></a><var>194.16</var>    (c) The portion related to scholarships shall be determined under section 
         <statute_ref>256B.431</statute_ref>, <br/>
<a id="pl.194.17"></a><var>194.17</var>subdivision 36.<br/>
<a id="pl.194.18"></a><var>194.18</var>    (d) The portion related to long-term care consultation shall be determined according <br/>
<a id="pl.194.19"></a><var>194.19</var>to section 
         <statute_ref>256B.0911, subdivision 6</statute_ref>.<br/>
<a id="pl.194.20"></a><var>194.20</var>    (e) The portion related to development and education of resident and family advisory <br/>
<a id="pl.194.21"></a><var>194.21</var>councils under section 
         <statute_ref>144A.33</statute_ref> shall be $5 divided by 365.<br/>
<a id="pl.194.22"></a><var>194.22</var>    (f) The portion related to planned closure rate adjustments shall be as determined <br/>
<a id="pl.194.23"></a><var>194.23</var>under sections 
<statute_ref>256B.436</statute_ref> and section
<statute_ref>256B.437, subdivision 6</statute_ref>, and Minnesota Statutes <br/>
<a id="pl.194.24"></a><var>194.24</var>2010, section 256B.436. Planned closure rate adjustments that take effect before October <br/>
<a id="pl.194.25"></a><var>194.25</var>1, 2014, shall no longer be included in the payment rate for external fixed costs beginning <br/>
<a id="pl.194.26"></a><var>194.26</var>October 1, 2016. Planned closure rate adjustments that take effect on or after October 1, <br/>
<a id="pl.194.27"></a><var>194.27</var>2014, shall no longer be included in the payment rate for external fixed costs beginning on <br/>
<a id="pl.194.28"></a><var>194.28</var>October 1 of the first year not less than two years after their effective date.<br/>
<a id="pl.194.29"></a><var>194.29</var>    (g) The portions related to property insurance, real estate taxes, special assessments, <br/>
<a id="pl.194.30"></a><var>194.30</var>and payments made in lieu of real estate taxes directly identified or allocated to the nursing <br/>
<a id="pl.194.31"></a><var>194.31</var>facility shall be the actual amounts divided by actual resident days.<br/>
<a id="pl.194.32"></a><var>194.32</var>    (h) The portion related to the Public Employees Retirement Association shall be <br/>
<a id="pl.194.33"></a><var>194.33</var>actual costs divided by resident days.<br/>
<a id="pl.194.34"></a><var>194.34</var>    (i) The single bed room incentives shall be as determined under section 
         <statute_ref>256B.431</statute_ref>, <br/>
<a id="pl.194.35"></a><var>194.35</var>subdivision 42. Single bed room incentives that take effect before October 1, 2014, shall <br/>
<a id="pl.195.1"></a><var>195.1</var>no longer be included in the payment rate for external fixed costs beginning October 1, <br/>
<a id="pl.195.2"></a><var>195.2</var>2016. Single bed room incentives that take effect on or after October 1, 2014, shall no <br/>
<a id="pl.195.3"></a><var>195.3</var>longer be included in the payment rate for external fixed costs beginning on October 1 of <br/>
<a id="pl.195.4"></a><var>195.4</var>the first year not less than two years after their effective date.<br/>
<a id="pl.195.5"></a><var>195.5</var>    (j) The payment rate for external fixed costs shall be the sum of the amounts in <br/>
<a id="pl.195.6"></a><var>195.6</var>paragraphs (a) to (i).<br/>
<br/>
<a id="bill.9.27.0"></a><a id="pl.195.7"></a><var>195.7</var>    Sec. 27. Minnesota Statutes 2010, section 256B.49, subdivision 21, is amended to read:<br/>
<a id="pl.195.8"></a><var>195.8</var>    Subd. 21. <b>Report.</b> (a) The commissioner shall expand on the annual report required <br/>
<a id="pl.195.9"></a><var>195.9</var>under section 
         <statute_ref>256B.0916, subdivision 7</statute_ref>, to include information on the county of residence <br/>
<a id="pl.195.10"></a><var>195.10</var>and financial responsibility, age, and major diagnoses for persons eligible for the home <br/>
<a id="pl.195.11"></a><var>195.11</var>and community-based waivers authorized under subdivision 11 who are:<br/>
<a id="pl.195.12"></a><var>195.12</var>    (1) receiving those services;<br/>
<a id="pl.195.13"></a><var>195.13</var>    (2) screened and waiting for waiver services; and<br/>
<a id="pl.195.14"></a><var>195.14</var>    (3) residing in nursing facilities and are under age 65.<br/>
<a id="pl.195.15"></a><var>195.15</var>    (b) This subdivision expires January 1, 2013.<br/>
<br/>
<a id="bill.9.28.0"></a><a id="pl.195.16"></a><var>195.16</var>    Sec. 28. Minnesota Statutes 2011 Supplement, section 626.557, subdivision 9, is <br/>
<a id="pl.195.17"></a><var>195.17</var>amended to read:<br/>
<a id="pl.195.18"></a><var>195.18</var>    Subd. 9. <b>Common entry point designation.</b> (a) Each county board shall designate <br/>
<a id="pl.195.19"></a><var>195.19</var>a common entry point for reports of suspected maltreatment. Two or more county boards <br/>
<a id="pl.195.20"></a><var>195.20</var>may jointly designate a single common entry point. The common entry point is the unit <br/>
<a id="pl.195.21"></a><var>195.21</var>responsible for receiving the report of suspected maltreatment under this section.<br/>
<a id="pl.195.22"></a><var>195.22</var>(b) The common entry point must be available 24 hours per day to take calls from <br/>
<a id="pl.195.23"></a><var>195.23</var>reporters of suspected maltreatment. The common entry point shall use a standard intake <br/>
<a id="pl.195.24"></a><var>195.24</var>form that includes:<br/>
<a id="pl.195.25"></a><var>195.25</var>(1) the time and date of the report;<br/>
<a id="pl.195.26"></a><var>195.26</var>(2) the name, address, and telephone number of the person reporting;<br/>
<a id="pl.195.27"></a><var>195.27</var>(3) the time, date, and location of the incident;<br/>
<a id="pl.195.28"></a><var>195.28</var>(4) the names of the persons involved, including but not limited to, perpetrators, <br/>
<a id="pl.195.29"></a><var>195.29</var>alleged victims, and witnesses;<br/>
<a id="pl.195.30"></a><var>195.30</var>(5) whether there was a risk of imminent danger to the alleged victim;<br/>
<a id="pl.195.31"></a><var>195.31</var>(6) a description of the suspected maltreatment;<br/>
<a id="pl.195.32"></a><var>195.32</var>(7) the disability, if any, of the alleged victim;<br/>
<a id="pl.195.33"></a><var>195.33</var>(8) the relationship of the alleged perpetrator to the alleged victim;<br/>
<a id="pl.195.34"></a><var>195.34</var>(9) whether a facility was involved and, if so, which agency licenses the facility;<br/>
<a id="pl.196.1"></a><var>196.1</var>(10) any action taken by the common entry point;<br/>
<a id="pl.196.2"></a><var>196.2</var>(11) whether law enforcement has been notified;<br/>
<a id="pl.196.3"></a><var>196.3</var>(12) whether the reporter wishes to receive notification of the initial and final <br/>
<a id="pl.196.4"></a><var>196.4</var>reports; and<br/>
<a id="pl.196.5"></a><var>196.5</var>(13) if the report is from a facility with an internal reporting procedure, the name, <br/>
<a id="pl.196.6"></a><var>196.6</var>mailing address, and telephone number of the person who initiated the report internally.<br/>
<a id="pl.196.7"></a><var>196.7</var>(c) The common entry point is not required to complete each item on the form prior <br/>
<a id="pl.196.8"></a><var>196.8</var>to dispatching the report to the appropriate lead investigative agency.<br/>
<a id="pl.196.9"></a><var>196.9</var>(d) The common entry point shall immediately report to a law enforcement agency <br/>
<a id="pl.196.10"></a><var>196.10</var>any incident in which there is reason to believe a crime has been committed.<br/>
<a id="pl.196.11"></a><var>196.11</var>(e) If a report is initially made to a law enforcement agency or a lead investigative <br/>
<a id="pl.196.12"></a><var>196.12</var>agency, those agencies shall take the report on the appropriate common entry point intake <br/>
<a id="pl.196.13"></a><var>196.13</var>forms and immediately forward a copy to the common entry point.<br/>
<a id="pl.196.14"></a><var>196.14</var>(f) The common entry point staff must receive training on how to screen and <br/>
<a id="pl.196.15"></a><var>196.15</var>dispatch reports efficiently and in accordance with this section.<br/>
<a id="pl.196.16"></a><var>196.16</var>(g) When a centralized database is available, the common entry point has access to <br/>
<a id="pl.196.17"></a><var>196.17</var>the centralized database and must log the reports into the database. The commissioner of <br/>
<a id="pl.196.18"></a><var>196.18</var>human services shall maintain a centralized database for the collection of common entry <br/>
<a id="pl.196.19"></a><var>196.19</var>point data, lead investigative agency data including maltreatment report disposition, and <br/>
<a id="pl.196.20"></a><var>196.20</var>appeals data.<br/>
<br/>
<a id="bill.9.29.0"></a><a id="pl.196.21"></a><var>196.21</var>    Sec. 29. Minnesota Statutes 2011 Supplement, section 626.5572, subdivision 13, <br/>
<a id="pl.196.22"></a><var>196.22</var>is amended to read:<br/>
<a id="pl.196.23"></a><var>196.23</var>    Subd. 13. <b>Lead investigative agency.</b> "Lead investigative agency" is the primary <br/>
<a id="pl.196.24"></a><var>196.24</var>administrative agency responsible for investigating reports made under section 
         <statute_ref>626.557</statute_ref>.<br/>
<a id="pl.196.25"></a><var>196.25</var>(a) The Department of Health is the lead investigative agency for facilities or <br/>
<a id="pl.196.26"></a><var>196.26</var>services licensed or required to be licensed as hospitals, home care providers, nursing <br/>
<a id="pl.196.27"></a><var>196.27</var>homes, boarding care homes, hospice providers, residential facilities that are also federally <br/>
<a id="pl.196.28"></a><var>196.28</var>certified as intermediate care facilities that serve people with developmental disabilities, <br/>
<a id="pl.196.29"></a><var>196.29</var>or any other facility or service not listed in this subdivision that is licensed or required to <br/>
<a id="pl.196.30"></a><var>196.30</var>be licensed by the Department of Health for the care of vulnerable adults. "Home care <br/>
<a id="pl.196.31"></a><var>196.31</var>provider" has the meaning provided in section 
         <statute_ref>144A.43, subdivision 4</statute_ref>, and applies when <br/>
<a id="pl.196.32"></a><var>196.32</var>care or services are delivered in the vulnerable adult's home, whether a private home or a <br/>
<a id="pl.196.33"></a><var>196.33</var>housing with services establishment registered under chapter 144D, including those that <br/>
<a id="pl.196.34"></a><var>196.34</var>offer assisted living services under chapter 144G.<br/>
<a id="pl.197.1"></a><var>197.1</var>(b) Except as provided under paragraph (c), for services licensed according to <br/>
<a id="pl.197.2"></a><var>197.2</var>chapter 245D, the Department of Human Services is the lead investigative agency for <br/>
<a id="pl.197.3"></a><var>197.3</var>facilities or services licensed or required to be licensed as adult day care, adult foster care, <br/>
<a id="pl.197.4"></a><var>197.4</var>programs for people with developmental disabilities, family adult day services, mental <br/>
<a id="pl.197.5"></a><var>197.5</var>health programs, mental health clinics, chemical dependency programs, the Minnesota <br/>
<a id="pl.197.6"></a><var>197.6</var>sex offender program, or any other facility or service not listed in this subdivision that is <br/>
<a id="pl.197.7"></a><var>197.7</var>licensed or required to be licensed by the Department of Human Services.<br/>
<a id="pl.197.8"></a><var>197.8</var>(c) The county social service agency or its designee is the lead investigative agency <br/>
<a id="pl.197.9"></a><var>197.9</var>for all other reports, including, but not limited to, reports involving vulnerable adults <br/>
<a id="pl.197.10"></a><var>197.10</var>receiving services from a personal care provider organization under section 
         <statute_ref>256B.0659</statute_ref>, <br/>
<a id="pl.197.11"></a><var>197.11</var>or receiving home and community-based services licensed by the Department of Human <br/>
<a id="pl.197.12"></a><var>197.12</var>Services and subject to chapter 245D.<br/>
<br/>
<a id="bill.9.30.0"></a><a id="pl.197.13"></a><var>197.13</var>    Sec. 30. Laws 2009, chapter 79, article 8, section 81, as amended by Laws 2010, <br/>
<a id="pl.197.14"></a><var>197.14</var>chapter 352, article 1, section 24, is amended to read:<br/>
<a id="pl.197.15"></a><var>197.15</var>    Sec. 81. <b>ESTABLISHING A SINGLE SET OF STANDARDS.</b><br/>
<a id="pl.197.16"></a><var>197.16</var>(a) The commissioner of human services shall consult with disability service <br/>
<a id="pl.197.17"></a><var>197.17</var>providers, advocates, counties, and consumer families to develop a single set of standards, <br/>
<a id="pl.197.18"></a><var>197.18</var>to be referred to as "quality outcome standards," governing services for people with <br/>
<a id="pl.197.19"></a><var>197.19</var>disabilities receiving services under the home and community-based waiver services <br/>
<a id="pl.197.20"></a><var>197.20</var>program, with the exception of customized living services because the service license <br/>
<a id="pl.197.21"></a><var>197.21</var>is under the jurisdiction of the Department of Health, to replace all or portions of <br/>
<a id="pl.197.22"></a><var>197.22</var>existing laws and rules including, but not limited to, data practices, licensure of facilities <br/>
<a id="pl.197.23"></a><var>197.23</var>and providers, background studies, reporting of maltreatment of minors, reporting of <br/>
<a id="pl.197.24"></a><var>197.24</var>maltreatment of vulnerable adults, and the psychotropic medication checklist. The <br/>
<a id="pl.197.25"></a><var>197.25</var>standards must:<br/>
<a id="pl.197.26"></a><var>197.26</var>(1) enable optimum consumer choice;<br/>
<a id="pl.197.27"></a><var>197.27</var>(2) be consumer driven;<br/>
<a id="pl.197.28"></a><var>197.28</var>(3) link services to individual needs and life goals;<br/>
<a id="pl.197.29"></a><var>197.29</var>(4) be based on quality assurance and individual outcomes; <br/>
<a id="pl.197.30"></a><var>197.30</var>(5) utilize the people closest to the recipient, who may include family, friends, and <br/>
<a id="pl.197.31"></a><var>197.31</var>health and service providers, in conjunction with the recipient's risk management plan to <br/>
<a id="pl.197.32"></a><var>197.32</var>assist the recipient or the recipient's guardian in making decisions that meet the recipient's <br/>
<a id="pl.197.33"></a><var>197.33</var>needs in a cost-effective manner and assure the recipient's health and safety;<br/>
<a id="pl.197.34"></a><var>197.34</var>(6) utilize person-centered planning; and<br/>
<a id="pl.197.35"></a><var>197.35</var>(7) maximize federal financial participation.<br/>
<a id="pl.198.1"></a><var>198.1</var>(b) The commissioner may consult with existing stakeholder groups convened under <br/>
<a id="pl.198.2"></a><var>198.2</var>the commissioner's authority, including the home and community-based expert services <br/>
<a id="pl.198.3"></a><var>198.3</var>panel established by the commissioner in 2008, to meet all or some of the requirements <br/>
<a id="pl.198.4"></a><var>198.4</var>of this section.<br/>
<a id="pl.198.5"></a><var>198.5</var>(c) The commissioner shall provide the reports and plans required by this section to <br/>
<a id="pl.198.6"></a><var>198.6</var>the legislative committees and budget divisions with jurisdiction over health and human <br/>
<a id="pl.198.7"></a><var>198.7</var>services policy and finance by January 15, 2012.<br/>
<br/>
<a id="bill.9.31.0"></a><a id="pl.198.8"></a><var>198.8</var>    Sec. 31. <b>DISABILITY HOME AND COMMUNITY-BASED WAIVER </b><br/>
<a id="pl.198.9"></a><var>198.9</var><b>REQUEST.</b><br/>
<a id="pl.198.10"></a><var>198.10</var>By December 1, 2012, the commissioner shall request all federal approvals and <br/>
<a id="pl.198.11"></a><var>198.11</var>waiver amendments to the disability home and community-based waivers to allow properly <br/>
<a id="pl.198.12"></a><var>198.12</var>licensed adult foster care homes to provide residential services for up to five individuals.<br/>
<a id="pl.198.13"></a><var>198.13</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2012.<br/>
<br/>
<a id="bill.9.32.0"></a><a id="pl.198.14"></a><var>198.14</var>    Sec. 32. <b>HOURLY NURSING DETERMINATION MATRIX.</b><br/>
<a id="pl.198.15"></a><var>198.15</var>A service provider applying for medical assistance payments for private duty nursing <br/>
<a id="pl.198.16"></a><var>198.16</var>services under Minnesota Statutes, section 256B.0654, must complete and submit to the <br/>
<a id="pl.198.17"></a><var>198.17</var>commissioner of human services an hourly nursing determination matrix for each recipient <br/>
<a id="pl.198.18"></a><var>198.18</var>of private duty nursing services. The commissioner of human services will collect and <br/>
<a id="pl.198.19"></a><var>198.19</var>analyze data from the hourly nursing determination matrix.<br/>
<br/>
<a id="bill.9.33.0"></a><a id="pl.198.20"></a><var>198.20</var>    Sec. 33. <b> REPEALER.</b><br/>
<a id="pl.198.21"></a><var>198.21</var>(a) Minnesota Statutes 2010, sections 256B.431, subdivisions 2c, 2g, 2i, 2j, 2k, 2l, <br/>
<a id="pl.198.22"></a><var>198.22</var>2o, 3c, 11, 14, 17b, 17f, 19, 20, 25, 27, and 29; 256B.434, subdivisions 4a, 4b, 4c, 4d, 4e, <br/>
<a id="pl.198.23"></a><var>198.23</var>4g, 4h, 7, and 8; 256B.435; and 256B.436, are repealed.<br/>
<a id="pl.198.24"></a><var>198.24</var>(b) Minnesota Statutes 2011 Supplement, section 256B.431, subdivision 26, is <br/>
<a id="pl.198.25"></a><var>198.25</var>repealed.<br/>
<a id="pl.198.26"></a><var>198.26</var>(c) Minnesota Rules, part 9555.7700, is repealed.<br/>
<br/>
<a id="bill.10.0.0"></a>

<a id="bill.10.1.0"></a><a id="pl.198.29"></a><var>198.29</var>    Section 1. Minnesota Statutes 2010, section 237.50, is amended to read:<br/>
<a id="pl.198.30"></a><var>198.30</var><b>237.50 DEFINITIONS.</b><br/>
<a id="pl.199.1"></a><var>199.1</var>    Subdivision 1. <b>Scope.</b> The terms used in sections 
         <statute_ref>237.50</statute_ref> to 
         <statute_ref>237.56</statute_ref> have the <br/>
<a id="pl.199.2"></a><var>199.2</var>meanings given them in this section.<br/>
<a id="pl.199.3"></a><var>199.3</var>    Subd. 3. <b>Communication </b><b>impaired</b><b> disability</b><b>.</b> "Communication impaired <br/>
<a id="pl.199.4"></a><var>199.4</var>disability" means certified as deaf, severely hearing impaired, hard-of-hearing having <br/>
<a id="pl.199.5"></a><var>199.5</var>a hearing loss, speech impaired, deaf and blind disability, or mobility impaired if the <br/>
<a id="pl.199.6"></a><var>199.6</var>mobility impairment significantly impedes the ability physical disability that makes it <br/>
<a id="pl.199.7"></a><var>199.7</var>difficult or impossible to use standard customer premises telecommunications services <br/>
<a id="pl.199.8"></a><var>199.8</var>and equipment.<br/>
<a id="pl.199.9"></a><var>199.9</var>    Subd. 4. <b>Communication device.</b> "Communication device" means a device that <br/>
<a id="pl.199.10"></a><var>199.10</var>when connected to a telephone enables a communication-impaired person to communicate <br/>
<a id="pl.199.11"></a><var>199.11</var>with another person utilizing the telephone system. A "communication device" includes a <br/>
<a id="pl.199.12"></a><var>199.12</var>ring signaler, an amplification device, a telephone device for the deaf, a Brailling device <br/>
<a id="pl.199.13"></a><var>199.13</var>for use with a telephone, and any other device the Department of Human Services deems <br/>
<a id="pl.199.14"></a><var>199.14</var>necessary.<br/>
<a id="pl.199.15"></a><var>199.15</var>    Subd. 4a. <b>Deaf.</b> "Deaf" means a hearing impairment loss of such severity that the <br/>
<a id="pl.199.16"></a><var>199.16</var>individual must depend primarily upon visual communication such as writing, lip reading, <br/>
<a id="pl.199.17"></a><var>199.17</var>manual communication sign language, and gestures.<br/>
<a id="pl.199.18"></a><var>199.18</var>    Subd. 4b. <b>Deafblind.</b> "Deafblind" means any combination of vision and hearing <br/>
<a id="pl.199.19"></a><var>199.19</var>loss which interferes with acquiring information from the environment to the extent that <br/>
<a id="pl.199.20"></a><var>199.20</var>compensatory strategies and skills are necessary to access that or other information.<br/>
<a id="pl.199.21"></a><var>199.21</var>    Subd. 5. <b>Exchange.</b> "Exchange" means a unit area established and described by the <br/>
<a id="pl.199.22"></a><var>199.22</var>tariff of a telephone company for the administration of telephone service in a specified <br/>
<a id="pl.199.23"></a><var>199.23</var>geographical area, usually embracing a city, town, or village and its environs, and served <br/>
<a id="pl.199.24"></a><var>199.24</var>by one or more central offices, together with associated facilities used in providing <br/>
<a id="pl.199.25"></a><var>199.25</var>service within that area.<br/>
<a id="pl.199.26"></a><var>199.26</var>    Subd. 6. <b>Fund.</b> "Fund" means the telecommunications access Minnesota fund <br/>
<a id="pl.199.27"></a><var>199.27</var>established in section 
         <statute_ref>237.52</statute_ref>.<br/>
<a id="pl.199.28"></a><var>199.28</var>    Subd. 6a. <b>Hard-of-hearing.</b> "Hard-of-hearing" means a hearing impairment loss <br/>
<a id="pl.199.29"></a><var>199.29</var>resulting in a functional loss limitation, but not to the extent that the individual must <br/>
<a id="pl.199.30"></a><var>199.30</var>depend primarily upon visual communication.<br/>
<a id="pl.199.31"></a><var>199.31</var>    Subd. 7. <b>Interexchange service.</b> "Interexchange service" means telephone service <br/>
<a id="pl.199.32"></a><var>199.32</var>between points in two or more exchanges.<br/>
<a id="pl.199.33"></a><var>199.33</var>    Subd. 8. <b>Inter-LATA interexchange service.</b> "Inter-LATA interexchange service" <br/>
<a id="pl.199.34"></a><var>199.34</var>means interexchange service originating and terminating in different LATAs.<br/>
<a id="pl.199.35"></a><var>199.35</var>    Subd. 9. <b>Local access and transport area.</b> "Local access and transport area <br/>
<a id="pl.199.36"></a><var>199.36</var>(LATA)" means a geographical area designated by the Modification of Final Judgment <br/>
<a id="pl.200.1"></a><var>200.1</var>in U.S. v. Western Electric Co., Inc., 552 F. Supp. 131 (D.D.C. 1982), including <br/>
<a id="pl.200.2"></a><var>200.2</var>modifications in effect on the effective date of sections 
<statute_ref>237.51</statute_ref> to 
<statute_ref>237.54</statute_ref>.<br/>
<a id="pl.200.3"></a><var>200.3</var>    Subd. 10. <b>Local exchange service.</b> "Local exchange service" means telephone <br/>
<a id="pl.200.4"></a><var>200.4</var>service between points within an exchange.<br/>
<a id="pl.200.5"></a><var>200.5</var>    Subd. 10a. <b>Telecommunications device.</b> "Telecommunications device" means <br/>
<a id="pl.200.6"></a><var>200.6</var>a device that (1) allows a person with a communication disability to have access to <br/>
<a id="pl.200.7"></a><var>200.7</var>telecommunications services as defined in subdivision 13, and (2) is specifically <br/>
<a id="pl.200.8"></a><var>200.8</var>selected by the Department of Human Services for its capacity to allow persons with <br/>
<a id="pl.200.9"></a><var>200.9</var>communication disabilities to use telecommunications services in a manner that is <br/>
<a id="pl.200.10"></a><var>200.10</var>functionally equivalent to the ability of an individual who does not have a communication <br/>
<a id="pl.200.11"></a><var>200.11</var>disability. A telecommunications device may include a ring signaler, an amplified <br/>
<a id="pl.200.12"></a><var>200.12</var>telephone, a hands-free telephone, a text telephone, a captioned telephone, a wireless <br/>
<a id="pl.200.13"></a><var>200.13</var>device, a device that produces Braille output for use with a telephone, and any other <br/>
<a id="pl.200.14"></a><var>200.14</var>device the Department of Human Services deems appropriate.<br/>
<a id="pl.200.15"></a><var>200.15</var>    Subd. 11. <b>Telecommunication</b><b> Telecommunications</b><b> Relay </b><b>service</b><b> Services</b><b>.</b><br/>
<a id="pl.200.16"></a><var>200.16</var>"Telecommunication Telecommunications Relay service Services" or "TRS" means <br/>
<a id="pl.200.17"></a><var>200.17</var>a central statewide service through which a communication-impaired person, <br/>
<a id="pl.200.18"></a><var>200.18</var>using a communication device, may send and receive messages to and from a <br/>
<a id="pl.200.19"></a><var>200.19</var>non-communication-impaired person whose telephone is not equipped with a <br/>
<a id="pl.200.20"></a><var>200.20</var>communication device and through which a non-communication-impaired person <br/>
<a id="pl.200.21"></a><var>200.21</var>may, by using voice communication, send and receive messages to and from a <br/>
<a id="pl.200.22"></a><var>200.22</var>communication-impaired person the telecommunications transmission services required <br/>
<a id="pl.200.23"></a><var>200.23</var>under Federal Communications Commission (FCC) regulations at Code of Federal <br/>
<a id="pl.200.24"></a><var>200.24</var>Regulations, title 47, sections 64.604 to 64.606. TRS allows an individual who has <br/>
<a id="pl.200.25"></a><var>200.25</var>a communication disability to use telecommunications services in a manner that is <br/>
<a id="pl.200.26"></a><var>200.26</var>functionally equivalent to the ability of an individual who does not have a communication <br/>
<a id="pl.200.27"></a><var>200.27</var>disability.<br/>
<a id="pl.200.28"></a><var>200.28</var>    Subd. 12. <b>Telecommunications.</b> "Telecommunications" means the transmission, <br/>
<a id="pl.200.29"></a><var>200.29</var>between or among points specified by the user, of information of the user's choosing, <br/>
<a id="pl.200.30"></a><var>200.30</var>without change in the form or content of the information as sent and received.<br/>
<a id="pl.200.31"></a><var>200.31</var>    Subd. 13. <b>Telecommunications services.</b> "Telecommunications services" means <br/>
<a id="pl.200.32"></a><var>200.32</var>the offering of telecommunications for fee directly to the public, or to such classes of users <br/>
<a id="pl.200.33"></a><var>200.33</var>as to be effectively available to the public, regardless of the facilities used.<br/>
<br/>
<a id="bill.10.2.0"></a><a id="pl.201.1"></a><var>201.1</var>    Sec. 2. Minnesota Statutes 2010, section 237.51, is amended to read:<br/>
<a id="pl.201.2"></a><var>201.2</var><b>237.51 TELECOMMUNICATIONS ACCESS MINNESOTA PROGRAM </b><br/>
<a id="pl.201.3"></a><var>201.3</var><b>ADMINISTRATION.</b><br/>
<a id="pl.201.4"></a><var>201.4</var>    Subdivision 1. <b>Creation.</b> The commissioner of commerce shall:<br/>
<a id="pl.201.5"></a><var>201.5</var>(1) administer through interagency agreement with the commissioner of human <br/>
<a id="pl.201.6"></a><var>201.6</var>services a program to distribute communication telecommunications devices to eligible <br/>
<a id="pl.201.7"></a><var>201.7</var>communication-impaired persons who have communication disabilities; and<br/>
<a id="pl.201.8"></a><var>201.8</var>(2) contract with a one or more  qualified vendor vendors  that serves <br/>
<a id="pl.201.9"></a><var>201.9</var>communication-impaired serve persons who have communication disabilities to create <br/>
<a id="pl.201.10"></a><var>201.10</var>and maintain a telecommunication provide telecommunications relay service services.<br/>
<a id="pl.201.11"></a><var>201.11</var>For purposes of sections 
         <statute_ref>237.51</statute_ref> to 
         <statute_ref>237.56</statute_ref>, the Department of Commerce and any <br/>
<a id="pl.201.12"></a><var>201.12</var>organization with which it contracts pursuant to this section or section 
         <statute_ref>237.54, subdivision <br/>
<a id="pl.201.13"></a><var>201.13</var>2
         </statute_ref>, are not telephone companies or telecommunications carriers as defined in section <br/>
<statute_ref><a id="pl.201.14"></a><var>201.14</var>237.01
         </statute_ref>.<br/>
<a id="pl.201.15"></a><var>201.15</var>    Subd. 5. <b>Commissioner of commerce duties.</b> In addition to any duties specified <br/>
<a id="pl.201.16"></a><var>201.16</var>elsewhere in sections 
         <statute_ref>237.51</statute_ref> to 
         <statute_ref>237.56</statute_ref>, the commissioner of commerce shall:<br/>
<a id="pl.201.17"></a><var>201.17</var>(1) prepare the reports required by section 
         <statute_ref>237.55</statute_ref>;<br/>
<a id="pl.201.18"></a><var>201.18</var>(2) administer the fund created in section 
         <statute_ref>237.52</statute_ref>; and<br/>
<a id="pl.201.19"></a><var>201.19</var>(3) adopt rules under chapter 14 to implement the provisions of sections 
         <statute_ref>237.50</statute_ref> <br/>
<a id="pl.201.20"></a><var>201.20</var>to 
         <statute_ref>237.56</statute_ref>.<br/>
<a id="pl.201.21"></a><var>201.21</var>    Subd. 5a. <b>Department</b><b> Commissioner</b><b> of human services duties.</b> (a) In addition to <br/>
<a id="pl.201.22"></a><var>201.22</var>any duties specified elsewhere in sections 
         <statute_ref>237.51</statute_ref> to 
         <statute_ref>237.56</statute_ref>, the commissioner of human <br/>
<a id="pl.201.23"></a><var>201.23</var>services shall:<br/>
<a id="pl.201.24"></a><var>201.24</var>(1) define economic hardship, special needs, and household criteria so as to <br/>
<a id="pl.201.25"></a><var>201.25</var>determine the priority of eligible applicants for initial distribution of devices and to <br/>
<a id="pl.201.26"></a><var>201.26</var>determine circumstances necessitating provision of more than one communication <br/>
<a id="pl.201.27"></a><var>201.27</var>telecommunications device per household;<br/>
<a id="pl.201.28"></a><var>201.28</var>(2) establish a method to verify eligibility requirements;<br/>
<a id="pl.201.29"></a><var>201.29</var>(3) establish specifications for communication telecommunications devices to be <br/>
<a id="pl.201.30"></a><var>201.30</var>purchased provided under section 
         <statute_ref>237.53, subdivision 3</statute_ref>; and<br/>
<a id="pl.201.31"></a><var>201.31</var>(4) inform the public and specifically the community of communication-impaired <br/>
<a id="pl.201.32"></a><var>201.32</var>persons who have communication disabilities of the program.; and<br/>
<a id="pl.201.33"></a><var>201.33</var>(5) provide devices based on the assessed need of eligible applicants.<br/>
<a id="pl.201.34"></a><var>201.34</var>(b) The commissioner may establish an advisory board to advise the department <br/>
<a id="pl.201.35"></a><var>201.35</var>in carrying out the duties specified in this section and to advise the commissioner of <br/>
<a id="pl.202.1"></a><var>202.1</var>commerce in carrying out duties under section 
         <statute_ref>237.54</statute_ref>. If so established, the advisory <br/>
<a id="pl.202.2"></a><var>202.2</var>board must include, at a minimum, the following communication-impaired persons:<br/>
<a id="pl.202.3"></a><var>202.3</var>(1) at least one member who is deaf;<br/>
<a id="pl.202.4"></a><var>202.4</var>(2) at least one member who is has a speech impaired disability;<br/>
<a id="pl.202.5"></a><var>202.5</var>(3) at least one member who is mobility impaired has a physical disability that <br/>
<a id="pl.202.6"></a><var>202.6</var>makes it difficult or impossible for the person to access telecommunications services; and<br/>
<a id="pl.202.7"></a><var>202.7</var>(4) at least one member who is hard-of-hearing.<br/>
<a id="pl.202.8"></a><var>202.8</var>The membership terms, compensation, and removal of members and the filling of <br/>
<a id="pl.202.9"></a><var>202.9</var>membership vacancies are governed by section 
         <statute_ref>15.059</statute_ref>. Advisory board meetings shall be <br/>
<a id="pl.202.10"></a><var>202.10</var>held at the discretion of the commissioner.<br/>
<br/>
<a id="bill.10.3.0"></a><a id="pl.202.11"></a><var>202.11</var>    Sec. 3. Minnesota Statutes 2010, section 237.52, is amended to read:<br/>
<a id="pl.202.12"></a><var>202.12</var><b>237.52 TELECOMMUNICATIONS ACCESS MINNESOTA FUND.</b><br/>
<a id="pl.202.13"></a><var>202.13</var>    Subdivision 1. <b>Fund established.</b> A telecommunications access Minnesota fund is <br/>
<a id="pl.202.14"></a><var>202.14</var>established as an account in the state treasury. Earnings, such as interest, dividends, and <br/>
<a id="pl.202.15"></a><var>202.15</var>any other earnings arising from fund assets, must be credited to the fund.<br/>
<a id="pl.202.16"></a><var>202.16</var>    Subd. 2. <b>Assessment.</b> (a) The commissioner of commerce, the commissioner <br/>
<a id="pl.202.17"></a><var>202.17</var>of employment and economic development, and the commissioner of human services <br/>
<a id="pl.202.18"></a><var>202.18</var>shall annually recommend to the Public Utilities Commission (PUC) an adequate and <br/>
<a id="pl.202.19"></a><var>202.19</var>appropriate surcharge and budget to implement sections 
         <statute_ref>237.50</statute_ref> to 
         <statute_ref>237.56</statute_ref>, 
         <statute_ref>248.062</statute_ref>, <br/>
<a id="pl.202.20"></a><var>202.20</var>and 
         <statute_ref>256C.30</statute_ref>, respectively. The maximum annual budget for section 
         <statute_ref>248.062</statute_ref> must not <br/>
<a id="pl.202.21"></a><var>202.21</var>exceed $100,000 and for section 
         <statute_ref>256C.30</statute_ref> must not exceed $300,000. The Public Utilities <br/>
<a id="pl.202.22"></a><var>202.22</var>Commission shall review the budgets for reasonableness and may modify the budget <br/>
<a id="pl.202.23"></a><var>202.23</var>to the extent it is unreasonable. The commission shall annually determine the funding <br/>
<a id="pl.202.24"></a><var>202.24</var>mechanism to be used within 60 days of receipt of the recommendation of the departments <br/>
<a id="pl.202.25"></a><var>202.25</var>and shall order the imposition of surcharges effective on the earliest practicable date. The <br/>
<a id="pl.202.26"></a><var>202.26</var>commission shall establish a monthly charge no greater than 20 cents for each customer <br/>
<a id="pl.202.27"></a><var>202.27</var>access line, including trunk equivalents as designated by the commission pursuant to <br/>
<a id="pl.202.28"></a><var>202.28</var>section 
         <statute_ref>403.11, subdivision 1</statute_ref>.<br/>
<a id="pl.202.29"></a><var>202.29</var>(b) If the fund balance falls below a level capable of fully supporting all programs <br/>
<a id="pl.202.30"></a><var>202.30</var>eligible under subdivision 5 and sections 
         <statute_ref>248.062</statute_ref> and 
         <statute_ref>256C.30</statute_ref>, expenditures under <br/>
<a id="pl.202.31"></a><var>202.31</var>sections 
         <statute_ref>248.062</statute_ref> and 
         <statute_ref>256C.30</statute_ref> shall be reduced on a pro rata basis and expenditures under <br/>
<a id="pl.202.32"></a><var>202.32</var>sections 
         <statute_ref>237.53</statute_ref> and 
         <statute_ref>237.54</statute_ref> shall be fully funded. Expenditures under sections 
         <statute_ref>248.062</statute_ref> <br/>
<a id="pl.202.33"></a><var>202.33</var>and 
         <statute_ref>256C.30</statute_ref> shall resume at fully funded levels when the commissioner of commerce <br/>
<a id="pl.202.34"></a><var>202.34</var>determines there is a sufficient fund balance to fully fund those expenditures.<br/>
<a id="pl.203.1"></a><var>203.1</var>    Subd. 3. <b>Collection.</b> Every telephone company or communications carrier that <br/>
<a id="pl.203.2"></a><var>203.2</var>provides service provider of services capable of originating a telecommunications relay <br/>
<a id="pl.203.3"></a><var>203.3</var>TRS call, including cellular communications and other nonwire access services, in this <br/>
<a id="pl.203.4"></a><var>203.4</var>state shall collect the charges established by the commission under subdivision 2 and <br/>
<a id="pl.203.5"></a><var>203.5</var>transfer amounts collected to the commissioner of public safety in the same manner as <br/>
<a id="pl.203.6"></a><var>203.6</var>provided in section 
         <statute_ref>403.11, subdivision 1</statute_ref>, paragraph (d). The commissioner of public <br/>
<a id="pl.203.7"></a><var>203.7</var>safety must deposit the receipts in the fund established in subdivision 1.<br/>
<a id="pl.203.8"></a><var>203.8</var>    Subd. 4. <b>Appropriation.</b> Money in the fund is appropriated to the commissioner of <br/>
<a id="pl.203.9"></a><var>203.9</var>commerce to implement sections 
         <statute_ref>237.51</statute_ref> to 
         <statute_ref>237.56</statute_ref>, to the commissioner of employment <br/>
<a id="pl.203.10"></a><var>203.10</var>and economic development to implement section 
         <statute_ref>248.062</statute_ref>, and to the commissioner of <br/>
<a id="pl.203.11"></a><var>203.11</var>human services to implement section 
         <statute_ref>256C.30</statute_ref>.<br/>
<a id="pl.203.12"></a><var>203.12</var>    Subd. 5. <b>Expenditures.</b> (a) Money in the fund may only be used for:<br/>
<a id="pl.203.13"></a><var>203.13</var>(1) expenses of the Department of Commerce, including personnel cost, public <br/>
<a id="pl.203.14"></a><var>203.14</var>relations, advisory board members' expenses, preparation of reports, and other reasonable <br/>
<a id="pl.203.15"></a><var>203.15</var>expenses not to exceed ten percent of total program expenditures;<br/>
<a id="pl.203.16"></a><var>203.16</var>(2) reimbursing the commissioner of human services for purchases made or services <br/>
<a id="pl.203.17"></a><var>203.17</var>provided pursuant to section 
         <statute_ref>237.53</statute_ref>;<br/>
<a id="pl.203.18"></a><var>203.18</var>(3) reimbursing telephone companies for purchases made or services provided <br/>
<a id="pl.203.19"></a><var>203.19</var>under section 
         <statute_ref>237.53, subdivision 5</statute_ref>; and<br/>
<a id="pl.203.20"></a><var>203.20</var>(4) contracting for establishment and operation of the telecommunication relay <br/>
<a id="pl.203.21"></a><var>203.21</var>service the provision of TRS required by section 
         <statute_ref>237.54</statute_ref>.<br/>
<a id="pl.203.22"></a><var>203.22</var>(b) All costs directly associated with the establishment of the program, the purchase <br/>
<a id="pl.203.23"></a><var>203.23</var>and distribution of communication telecommunications devices, and the establishment <br/>
<a id="pl.203.24"></a><var>203.24</var>and operation of the telecommunication relay service provision of TRS are either <br/>
<a id="pl.203.25"></a><var>203.25</var>reimbursable or directly payable from the fund after authorization by the commissioner <br/>
<a id="pl.203.26"></a><var>203.26</var>of commerce. The commissioner of commerce shall contract with the message relay <br/>
<a id="pl.203.27"></a><var>203.27</var>service operator one or more TRS providers to indemnify the local exchange carriers of <br/>
<a id="pl.203.28"></a><var>203.28</var>the relay telecommunications service providers for any fines imposed by the Federal <br/>
<a id="pl.203.29"></a><var>203.29</var>Communications Commission related to the failure of the relay service to comply with <br/>
<a id="pl.203.30"></a><var>203.30</var>federal service standards. Notwithstanding section 
         <statute_ref>16A.41</statute_ref>, the commissioner may <br/>
<a id="pl.203.31"></a><var>203.31</var>advance money to the contractor of the telecommunication relay service TRS providers if <br/>
<a id="pl.203.32"></a><var>203.32</var>the contractor establishes providers establish to the commissioner's satisfaction that the <br/>
<a id="pl.203.33"></a><var>203.33</var>advance payment is necessary for the operation provision of the service. The advance <br/>
<a id="pl.203.34"></a><var>203.34</var>payment may be used only for working capital reserve for the operation of the service. <br/>
<a id="pl.203.35"></a><var>203.35</var>The advance payment must be offset or repaid by the end of the contract fiscal year <br/>
<a id="pl.203.36"></a><var>203.36</var>together with interest accrued from the date of payment.<br/>
<br/>
<a id="bill.10.4.0"></a><a id="pl.204.1"></a><var>204.1</var>    Sec. 4. Minnesota Statutes 2010, section 237.53, is amended to read:<br/>
<a id="pl.204.2"></a><var>204.2</var><b>237.53 </b><b>COMMUNICATION</b><b> TELECOMMUNICATIONS</b><b> DEVICE.</b><br/>
<a id="pl.204.3"></a><var>204.3</var>    Subdivision 1. <b>Application.</b> A person applying for a communication <br/>
<a id="pl.204.4"></a><var>204.4</var>telecommunications device under this section must apply to the program administrator on <br/>
<a id="pl.204.5"></a><var>204.5</var>a form prescribed by the Department of Human Services.<br/>
<a id="pl.204.6"></a><var>204.6</var>    Subd. 2. <b>Eligibility.</b> To be eligible to obtain a communication telecommunications <br/>
<a id="pl.204.7"></a><var>204.7</var>device under this section, a person must be:<br/>
<a id="pl.204.8"></a><var>204.8</var>(1) be able to benefit from and use the equipment for its intended purpose;<br/>
<a id="pl.204.9"></a><var>204.9</var>(2) have a communication impaired disability;<br/>
<a id="pl.204.10"></a><var>204.10</var>(3) be a resident of the state;<br/>
<a id="pl.204.11"></a><var>204.11</var>(4) be a resident in a household that has a median income at or below the applicable <br/>
<a id="pl.204.12"></a><var>204.12</var>median household income in the state, except a deaf and blind person who is deafblind <br/>
<a id="pl.204.13"></a><var>204.13</var>applying for a telebraille unit Braille device may reside in a household that has a median <br/>
<a id="pl.204.14"></a><var>204.14</var>income no more than 150 percent of the applicable median household income in the <br/>
<a id="pl.204.15"></a><var>204.15</var>state; and<br/>
<a id="pl.204.16"></a><var>204.16</var>(5) be a resident in a household that has telephone telecommunications service <br/>
<a id="pl.204.17"></a><var>204.17</var>or that has made application for service and has been assigned a telephone number; or <br/>
<a id="pl.204.18"></a><var>204.18</var>a resident in a residential care facility, such as a nursing home or group home where <br/>
<a id="pl.204.19"></a><var>204.19</var>telephone telecommunications service is not included as part of overall service provision.<br/>
<a id="pl.204.20"></a><var>204.20</var>    Subd. 3. <b>Distribution.</b> The commissioner of human services shall purchase and <br/>
<a id="pl.204.21"></a><var>204.21</var>distribute a sufficient number of communication telecommunications devices so that each <br/>
<a id="pl.204.22"></a><var>204.22</var>eligible household receives an appropriate device devices as determined under section <br/>
<a id="pl.204.23"></a><var>204.23</var>237.51, subdivision 5a. The commissioner of human services shall distribute the devices <br/>
<a id="pl.204.24"></a><var>204.24</var>to eligible households in each service area free of charge as determined under section <br/>
<a id="pl.204.25"></a><var>204.25</var><statute_ref>237.51, subdivision 5a</statute_ref>.<br/>
<a id="pl.204.26"></a><var>204.26</var>    Subd. 4. <b>Training; maintenance.</b> The commissioner of human services shall <br/>
<a id="pl.204.27"></a><var>204.27</var>maintain the communication telecommunications devices until the warranty period <br/>
<a id="pl.204.28"></a><var>204.28</var>expires, and provide training, without charge, to first-time users of the devices.<br/>
<a id="pl.204.29"></a><var>204.29</var>    Subd. 5. <b>Wiring installation.</b> If a communication-impaired person is not served by <br/>
<a id="pl.204.30"></a><var>204.30</var>telephone service and is subject to economic hardship as determined by the Department <br/>
<a id="pl.204.31"></a><var>204.31</var>of Human Services, the telephone company providing local service shall at the direction <br/>
<a id="pl.204.32"></a><var>204.32</var>of the administrator of the program install necessary outside wiring without charge to <br/>
<a id="pl.204.33"></a><var>204.33</var>the household.<br/>
<a id="pl.204.34"></a><var>204.34</var>    Subd. 6. <b>Ownership.</b> All communication Telecommunications devices purchased <br/>
<a id="pl.204.35"></a><var>204.35</var>pursuant to subdivision 3 will become are the property of the state of Minnesota. Policies <br/>
<a id="pl.204.36"></a><var>204.36</var>and procedures for the return of devices from individuals who withdraw from the program <br/>
<a id="pl.205.1"></a><var>205.1</var>or whose eligibility status changes shall be determined by the commissioner of human <br/>
<a id="pl.205.2"></a><var>205.2</var>services.<br/>
<a id="pl.205.3"></a><var>205.3</var>    Subd. 7. <b>Standards.</b> The communication telecommunications devices distributed <br/>
<a id="pl.205.4"></a><var>205.4</var>under this section must comply with the electronic industries association alliance standards <br/>
<a id="pl.205.5"></a><var>205.5</var>and be approved by the Federal Communications Commission. The commissioner of <br/>
<a id="pl.205.6"></a><var>205.6</var>human services must provide each eligible person a choice of several models of devices, <br/>
<a id="pl.205.7"></a><var>205.7</var>the retail value of which may not exceed $600 for a communication device for the deaf <br/>
<a id="pl.205.8"></a><var>205.8</var>text telephone, and a retail value of $7,000 for a telebraille Braille device, or an amount <br/>
<a id="pl.205.9"></a><var>205.9</var>authorized by the Department of Human Services for a telephone device for the deaf with <br/>
<a id="pl.205.10"></a><var>205.10</var>auxiliary equipment all other telecommunications devices and auxiliary equipment it <br/>
<a id="pl.205.11"></a><var>205.11</var>deems cost-effective and appropriate to distribute according to sections 237.51 to 237.56.<br/>
<br/>
<a id="bill.10.5.0"></a><a id="pl.205.12"></a><var>205.12</var>    Sec. 5. Minnesota Statutes 2010, section 237.54, is amended to read:<br/>
<a id="pl.205.13"></a><var>205.13</var><b>237.54 </b><b>TELECOMMUNICATION</b><b> TELECOMMUNICATIONS</b><b> RELAY </b><br/>
<a id="pl.205.14"></a><var>205.14</var><b>SERVICE</b><b> SERVICES (TRS)</b><b>.</b><br/>
<a id="pl.205.15"></a><var>205.15</var>    Subd. 2. <b>Operation.</b> (a) The commissioner of commerce shall contract with <br/>
<a id="pl.205.16"></a><var>205.16</var>a one or more  qualified vendor vendors for the operation and maintenance of the <br/>
<a id="pl.205.17"></a><var>205.17</var>telecommunication relay system provision of Telecommunications Relay Services (TRS).<br/>
<a id="pl.205.18"></a><var>205.18</var>(b) The telecommunication relay service provider TRS providers shall operate the <br/>
<a id="pl.205.19"></a><var>205.19</var>relay service within the state of Minnesota. The operator of the system TRS providers <br/>
<a id="pl.205.20"></a><var>205.20</var>shall keep all messages confidential, shall train personnel in the unique needs of <br/>
<a id="pl.205.21"></a><var>205.21</var>communication-impaired people, and shall inform communication-impaired persons <br/>
<a id="pl.205.22"></a><var>205.22</var>and the public of the availability and use of the system. Except in the case of a speech- <br/>
<a id="pl.205.23"></a><var>205.23</var>or mobility-impaired person, the operator shall not relay a message unless it originates <br/>
<a id="pl.205.24"></a><var>205.24</var>or terminates through a communication device for the deaf or a Brailling device for use <br/>
<a id="pl.205.25"></a><var>205.25</var>with a telephone comply with all current and subsequent FCC regulations at Code of <br/>
<a id="pl.205.26"></a><var>205.26</var>Federal Regulations, title 47, sections 64.601 to 64.606, and shall inform persons who <br/>
<a id="pl.205.27"></a><var>205.27</var>have communication disabilities and the public of the availability and use of TRS.<br/>
<br/>
<a id="bill.10.6.0"></a><a id="pl.205.28"></a><var>205.28</var>    Sec. 6. Minnesota Statutes 2010, section 237.55, is amended to read:<br/>
<a id="pl.205.29"></a><var>205.29</var><b>237.55 ANNUAL REPORT ON </b><b>COMMUNICATION</b><b> </b><br/>
<a id="pl.205.30"></a><var>205.30</var><b>TELECOMMUNICATIONS</b><b> ACCESS.</b><br/>
<a id="pl.205.31"></a><var>205.31</var>The commissioner of commerce must prepare a report for presentation to the Public <br/>
<a id="pl.205.32"></a><var>205.32</var>Utilities Commission by January 31 of each year. Each report must review the accessibility <br/>
<a id="pl.205.33"></a><var>205.33</var>of the telephone system to communication-impaired persons, review the ability of <br/>
<a id="pl.205.34"></a><var>205.34</var>non-communication-impaired persons to communicate with communication-impaired <br/>
<a id="pl.206.1"></a><var>206.1</var>persons via the telephone system telecommunications services to persons who have <br/>
<a id="pl.206.2"></a><var>206.2</var>communication disabilities, describe services provided, account for money received and <br/>
<a id="pl.206.3"></a><var>206.3</var>disbursed annually annual revenues and expenditures for each aspect of the program fund <br/>
<a id="pl.206.4"></a><var>206.4</var>to date, and include predicted program future operation.<br/>
<br/>
<a id="bill.10.7.0"></a><a id="pl.206.5"></a><var>206.5</var>    Sec. 7. Minnesota Statutes 2010, section 237.56, is amended to read:<br/>
<a id="pl.206.6"></a><var>206.6</var><b>237.56 ADEQUATE SERVICE ENFORCEMENT.</b><br/>
<a id="pl.206.7"></a><var>206.7</var>The services required to be provided under sections 
         <statute_ref>237.50</statute_ref> to 
         <statute_ref>237.55</statute_ref> may be <br/>
<a id="pl.206.8"></a><var>206.8</var>enforced under section 
         <statute_ref>237.081</statute_ref> upon a complaint of at least two communication-impaired <br/>
<a id="pl.206.9"></a><var>206.9</var>persons within the service area of any one telephone company telecommunications <br/>
<a id="pl.206.10"></a><var>206.10</var>service provider, provided that if only one person within the service area of a company <br/>
<a id="pl.206.11"></a><var>206.11</var>is receiving service under sections 
         <statute_ref>237.50</statute_ref> to 
         <statute_ref>237.55</statute_ref>, the commission Public Utilities <br/>
<a id="pl.206.12"></a><var>206.12</var>Commission may proceed upon a complaint from that person.<br/>
<br/>
<a id="bill.11.0.0"></a>

<a id="bill.11.1.0"></a><a id="pl.206.15"></a><var>206.15</var>    Section 1. Minnesota Statutes 2011 Supplement, section 256B.0625, subdivision 56, <br/>
<a id="pl.206.16"></a><var>206.16</var>is amended to read:<br/>
<a id="pl.206.17"></a><var>206.17</var>    Subd. 56. <b>Medical service coordination.</b> (a) Medical assistance covers in-reach <br/>
<a id="pl.206.18"></a><var>206.18</var>community-based service coordination that is performed in through a hospital emergency <br/>
<a id="pl.206.19"></a><var>206.19</var>department as an eligible procedure under a state healthcare program or private insurance <br/>
<a id="pl.206.20"></a><var>206.20</var>for a frequent user. A frequent user is defined as an individual who has frequented the <br/>
<a id="pl.206.21"></a><var>206.21</var>hospital emergency department for services three or more times in the previous four <br/>
<a id="pl.206.22"></a><var>206.22</var>consecutive months. In-reach community-based service coordination includes navigating <br/>
<a id="pl.206.23"></a><var>206.23</var>services to address a client's mental health, chemical health, social, economic, and housing <br/>
<a id="pl.206.24"></a><var>206.24</var>needs, or any other activity targeted at reducing the incidence of emergency room and <br/>
<a id="pl.206.25"></a><var>206.25</var>other nonmedically necessary health care utilization.<br/>
<a id="pl.206.26"></a><var>206.26</var>    (b) Reimbursement must be made in 15-minute increments under current Medicaid <br/>
<a id="pl.206.27"></a><var>206.27</var>mental health social work reimbursement methodology and allowed for up to 60 days <br/>
<a id="pl.206.28"></a><var>206.28</var>posthospital discharge based upon the specific identified emergency department visit or <br/>
<a id="pl.206.29"></a><var>206.29</var>inpatient admitting event. A frequent user who is participating in care coordination within <br/>
<a id="pl.206.30"></a><var>206.30</var>a health care home framework is ineligible for reimbursement under this subdivision. <br/>
<a id="pl.206.31"></a><var>206.31</var>In-reach community-based service coordination shall seek to connect frequent users with <br/>
<a id="pl.206.32"></a><var>206.32</var>existing covered services available to them, including, but not limited to, targeted case <br/>
<a id="pl.206.33"></a><var>206.33</var>management, waiver case management, or care coordination in a health care home. <br/>
<a id="pl.207.1"></a><var>207.1</var>Eligible in-reach service coordinators must hold a minimum of a bachelor's degree in <br/>
<a id="pl.207.2"></a><var>207.2</var>social work, public health, corrections, or a related field. The commissioner shall submit <br/>
<a id="pl.207.3"></a><var>207.3</var>any necessary application for waivers to the Centers for Medicare and Medicaid Services <br/>
<a id="pl.207.4"></a><var>207.4</var>to implement this subdivision.<br/>
<a id="pl.207.5"></a><var>207.5</var>    (c) For the purposes of this subdivision, "in-reach community-based service <br/>
<a id="pl.207.6"></a><var>207.6</var>coordination" means the practice of a community-based worker with training, knowledge, <br/>
<a id="pl.207.7"></a><var>207.7</var>skills, and ability to access a continuum of services, including housing, transportation, <br/>
<a id="pl.207.8"></a><var>207.8</var>chemical and mental health treatment, employment, and peer support services, by working <br/>
<a id="pl.207.9"></a><var>207.9</var>with an organization's staff to transition an individual back into the individual's living <br/>
<a id="pl.207.10"></a><var>207.10</var>environment. In-reach community-based service coordination includes working with the <br/>
<a id="pl.207.11"></a><var>207.11</var>individual during their discharge and for up to a defined amount of time in the individual's <br/>
<a id="pl.207.12"></a><var>207.12</var>living environment, reducing the individual's need for readmittance.<br/>
<br/>
<a id="bill.11.2.0"></a><a id="pl.207.13"></a><var>207.13</var>    Sec. 2. Minnesota Statutes 2010, section 256B.0659, subdivision 1, is amended to read:<br/>
<a id="pl.207.14"></a><var>207.14</var>    Subdivision 1. <b>Definitions.</b> (a) For the purposes of this section, the terms defined in <br/>
<a id="pl.207.15"></a><var>207.15</var>paragraphs (b) to (r) have the meanings given unless otherwise provided in text.<br/>
<a id="pl.207.16"></a><var>207.16</var>    (b) "Activities of daily living" means grooming, dressing, bathing, transferring, <br/>
<a id="pl.207.17"></a><var>207.17</var>mobility, positioning, eating, and toileting.<br/>
<a id="pl.207.18"></a><var>207.18</var>    (c) "Behavior," effective January 1, 2010, means a category to determine the home <br/>
<a id="pl.207.19"></a><var>207.19</var>care rating and is based on the criteria found in this section. "Level I behavior" means <br/>
<a id="pl.207.20"></a><var>207.20</var>physical aggression towards self, others, or destruction of property that requires the <br/>
<a id="pl.207.21"></a><var>207.21</var>immediate response of another person.<br/>
<a id="pl.207.22"></a><var>207.22</var>    (d) "Complex health-related needs," effective January 1, 2010, means a category to <br/>
<a id="pl.207.23"></a><var>207.23</var>determine the home care rating and is based on the criteria found in this section.<br/>
<a id="pl.207.24"></a><var>207.24</var>    (e) "Critical activities of daily living," effective January 1, 2010, means transferring, <br/>
<a id="pl.207.25"></a><var>207.25</var>mobility, eating, and toileting.<br/>
<a id="pl.207.26"></a><var>207.26</var>    (f) "Dependency in activities of daily living" means a person requires assistance to <br/>
<a id="pl.207.27"></a><var>207.27</var>begin and complete one or more of the activities of daily living.<br/>
<a id="pl.207.28"></a><var>207.28</var>    (g) "Extended personal care assistance service" means personal care assistance <br/>
<a id="pl.207.29"></a><var>207.29</var>services included in a service plan under one of the home and community-based services <br/>
<a id="pl.207.30"></a><var>207.30</var>waivers authorized under sections 
         <statute_ref>256B.0915</statute_ref>, 
         <statute_ref>256B.092, subdivision 5</statute_ref>, and 
         <statute_ref>256B.49</statute_ref>, <br/>
<a id="pl.207.31"></a><var>207.31</var>which exceed the amount, duration, and frequency of the state plan personal care <br/>
<a id="pl.207.32"></a><var>207.32</var>assistance services for participants who:<br/>
<a id="pl.207.33"></a><var>207.33</var>    (1) need assistance provided periodically during a week, but less than daily will not <br/>
<a id="pl.207.34"></a><var>207.34</var>be able to remain in their homes without the assistance, and other replacement services <br/>
<a id="pl.208.1"></a><var>208.1</var>are more expensive or are not available when personal care assistance services are to be <br/>
<a id="pl.208.2"></a><var>208.2</var>terminated; or<br/>
<a id="pl.208.3"></a><var>208.3</var>    (2) need additional personal care assistance services beyond the amount authorized <br/>
<a id="pl.208.4"></a><var>208.4</var>by the state plan personal care assistance assessment in order to ensure that their safety, <br/>
<a id="pl.208.5"></a><var>208.5</var>health, and welfare are provided for in their homes.<br/>
<a id="pl.208.6"></a><var>208.6</var>    (h) "Health-related procedures and tasks" means procedures and tasks that can <br/>
<a id="pl.208.7"></a><var>208.7</var>be delegated or assigned by a licensed health care professional under state law to be <br/>
<a id="pl.208.8"></a><var>208.8</var>performed by a personal care assistant.<br/>
<a id="pl.208.9"></a><var>208.9</var>    (i) "Instrumental activities of daily living" means activities to include meal planning <br/>
<a id="pl.208.10"></a><var>208.10</var>and preparation; basic assistance with paying bills; shopping for food, clothing, and other <br/>
<a id="pl.208.11"></a><var>208.11</var>essential items; performing household tasks integral to the personal care assistance <br/>
<a id="pl.208.12"></a><var>208.12</var>services; communication by telephone and other media; and traveling, including to <br/>
<a id="pl.208.13"></a><var>208.13</var>medical appointments and to participate in the community.<br/>
<a id="pl.208.14"></a><var>208.14</var>    (j) "Managing employee" has the same definition as Code of Federal Regulations, <br/>
<a id="pl.208.15"></a><var>208.15</var>title 42, section 455.<br/>
<a id="pl.208.16"></a><var>208.16</var>    (k) "Qualified professional" means a professional providing supervision of personal <br/>
<a id="pl.208.17"></a><var>208.17</var>care assistance services and staff as defined in section 
         <statute_ref>256B.0625, subdivision 19c</statute_ref>.<br/>
<a id="pl.208.18"></a><var>208.18</var>    (l) "Personal care assistance provider agency" means a medical assistance enrolled <br/>
<a id="pl.208.19"></a><var>208.19</var>provider that provides or assists with providing personal care assistance services and <br/>
<a id="pl.208.20"></a><var>208.20</var>includes a personal care assistance provider organization, personal care assistance choice <br/>
<a id="pl.208.21"></a><var>208.21</var>agency, class A licensed nursing agency, and Medicare-certified home health agency.<br/>
<a id="pl.208.22"></a><var>208.22</var>    (m) "Personal care assistant" or "PCA" means an individual employed by a personal <br/>
<a id="pl.208.23"></a><var>208.23</var>care assistance agency who provides personal care assistance services.<br/>
<a id="pl.208.24"></a><var>208.24</var>    (n) "Personal care assistance care plan" means a written description of personal <br/>
<a id="pl.208.25"></a><var>208.25</var>care assistance services developed by the personal care assistance provider according <br/>
<a id="pl.208.26"></a><var>208.26</var>to the service plan.<br/>
<a id="pl.208.27"></a><var>208.27</var>    (o) "Responsible party" means an individual who is capable of providing the support <br/>
<a id="pl.208.28"></a><var>208.28</var>necessary to assist the recipient to live in the community.<br/>
<a id="pl.208.29"></a><var>208.29</var>    (p) "Self-administered medication" means medication taken orally, by injection, <br/>
<a id="pl.208.30"></a><var>208.30</var>nebulizer, or insertion, or applied topically without the need for assistance.<br/>
<a id="pl.208.31"></a><var>208.31</var>    (q) "Service plan" means a written summary of the assessment and description of the <br/>
<a id="pl.208.32"></a><var>208.32</var>services needed by the recipient.<br/>
<a id="pl.208.33"></a><var>208.33</var>    (r) "Wages and benefits" means wages and salaries, the employer's share of FICA <br/>
<a id="pl.208.34"></a><var>208.34</var>taxes, Medicare taxes, state and federal unemployment taxes, workers' compensation, <br/>
<a id="pl.208.35"></a><var>208.35</var>mileage reimbursement, health and dental insurance, life insurance, disability insurance, <br/>
<a id="pl.209.1"></a><var>209.1</var>long-term care insurance, uniform allowance, and contributions to employee retirement <br/>
<a id="pl.209.2"></a><var>209.2</var>accounts.<br/>
<br/>
<a id="bill.11.3.0"></a><a id="pl.209.3"></a><var>209.3</var>    Sec. 3. Minnesota Statutes 2010, section 256B.0659, subdivision 2, is amended to read:<br/>
<a id="pl.209.4"></a><var>209.4</var>    Subd. 2. <b>Personal care assistance services; covered services.</b> (a) The personal <br/>
<a id="pl.209.5"></a><var>209.5</var>care assistance services eligible for payment include services and supports furnished <br/>
<a id="pl.209.6"></a><var>209.6</var>to an individual, as needed, to assist in:<br/>
<a id="pl.209.7"></a><var>209.7</var>(1) activities of daily living;<br/>
<a id="pl.209.8"></a><var>209.8</var>(2) health-related procedures and tasks;<br/>
<a id="pl.209.9"></a><var>209.9</var>(3) observation and redirection of behaviors; and<br/>
<a id="pl.209.10"></a><var>209.10</var>(4) instrumental activities of daily living.<br/>
<a id="pl.209.11"></a><var>209.11</var>(b) Activities of daily living include the following covered services:<br/>
<a id="pl.209.12"></a><var>209.12</var>(1) dressing, including assistance with choosing, application, and changing of <br/>
<a id="pl.209.13"></a><var>209.13</var>clothing and application of special appliances, wraps, or clothing;<br/>
<a id="pl.209.14"></a><var>209.14</var>(2) grooming, including assistance with basic hair care, oral care, shaving, applying <br/>
<a id="pl.209.15"></a><var>209.15</var>cosmetics and deodorant, and care of eyeglasses and hearing aids. Nail care is included, <br/>
<a id="pl.209.16"></a><var>209.16</var>except for recipients who are diabetic or have poor circulation;<br/>
<a id="pl.209.17"></a><var>209.17</var>(3) bathing, including assistance with basic personal hygiene and skin care;<br/>
<a id="pl.209.18"></a><var>209.18</var>(4) eating, including assistance with hand washing and application of orthotics <br/>
<a id="pl.209.19"></a><var>209.19</var>required for eating, transfers, and feeding;<br/>
<a id="pl.209.20"></a><var>209.20</var>(5) transfers, including assistance with transferring the recipient from one seating or <br/>
<a id="pl.209.21"></a><var>209.21</var>reclining area to another;<br/>
<a id="pl.209.22"></a><var>209.22</var>(6) mobility, including assistance with ambulation, including use of a wheelchair. <br/>
<a id="pl.209.23"></a><var>209.23</var>Mobility does not include providing transportation for a recipient;<br/>
<a id="pl.209.24"></a><var>209.24</var>(7) positioning, including assistance with positioning or turning a recipient for <br/>
<a id="pl.209.25"></a><var>209.25</var>necessary care and comfort; and<br/>
<a id="pl.209.26"></a><var>209.26</var>(8) toileting, including assistance with helping recipient with bowel or bladder <br/>
<a id="pl.209.27"></a><var>209.27</var>elimination and care including transfers, mobility, positioning, feminine hygiene, use of <br/>
<a id="pl.209.28"></a><var>209.28</var>toileting equipment or supplies, cleansing the perineal area, inspection of the skin, and <br/>
<a id="pl.209.29"></a><var>209.29</var>adjusting clothing.<br/>
<a id="pl.209.30"></a><var>209.30</var>(c) Health-related procedures and tasks include the following covered services:<br/>
<a id="pl.209.31"></a><var>209.31</var>(1) range of motion and passive exercise to maintain a recipient's strength and <br/>
<a id="pl.209.32"></a><var>209.32</var>muscle functioning;<br/>
<a id="pl.209.33"></a><var>209.33</var>(2) assistance with self-administered medication as defined by this section, including <br/>
<a id="pl.209.34"></a><var>209.34</var>reminders to take medication, bringing medication to the recipient, and assistance with <br/>
<a id="pl.210.1"></a><var>210.1</var>opening medication under the direction of the recipient or responsible party, including <br/>
<a id="pl.210.2"></a><var>210.2</var>medications given through a nebulizer;<br/>
<a id="pl.210.3"></a><var>210.3</var>(3) interventions for seizure disorders, including monitoring and observation; and<br/>
<a id="pl.210.4"></a><var>210.4</var>(4) other activities considered within the scope of the personal care service and <br/>
<a id="pl.210.5"></a><var>210.5</var>meeting the definition of health-related procedures and tasks under this section.<br/>
<a id="pl.210.6"></a><var>210.6</var>(d) A personal care assistant may provide health-related procedures and tasks <br/>
<a id="pl.210.7"></a><var>210.7</var>associated with the complex health-related needs of a recipient if the procedures and <br/>
<a id="pl.210.8"></a><var>210.8</var>tasks meet the definition of health-related procedures and tasks under this section and the <br/>
<a id="pl.210.9"></a><var>210.9</var>personal care assistant is trained by a qualified professional and demonstrates competency <br/>
<a id="pl.210.10"></a><var>210.10</var>to safely complete the procedures and tasks. Delegation of health-related procedures and <br/>
<a id="pl.210.11"></a><var>210.11</var>tasks and all training must be documented in the personal care assistance care plan and the <br/>
<a id="pl.210.12"></a><var>210.12</var>recipient's and personal care assistant's files. A personal care assistant must not determine <br/>
<a id="pl.210.13"></a><var>210.13</var>the medication dose or time for medication.<br/>
<a id="pl.210.14"></a><var>210.14</var>(e) Effective January 1, 2010, for a personal care assistant to provide the <br/>
<a id="pl.210.15"></a><var>210.15</var>health-related procedures and tasks of tracheostomy suctioning and services to recipients <br/>
<a id="pl.210.16"></a><var>210.16</var>on ventilator support there must be:<br/>
<a id="pl.210.17"></a><var>210.17</var>(1) delegation and training by a registered nurse, certified or licensed respiratory <br/>
<a id="pl.210.18"></a><var>210.18</var>therapist, or a physician;<br/>
<a id="pl.210.19"></a><var>210.19</var>(2) utilization of clean rather than sterile procedure;<br/>
<a id="pl.210.20"></a><var>210.20</var>(3) specialized training about the health-related procedures and tasks and equipment, <br/>
<a id="pl.210.21"></a><var>210.21</var>including ventilator operation and maintenance;<br/>
<a id="pl.210.22"></a><var>210.22</var>(4) individualized training regarding the needs of the recipient; and<br/>
<a id="pl.210.23"></a><var>210.23</var>(5) supervision by a qualified professional who is a registered nurse.<br/>
<a id="pl.210.24"></a><var>210.24</var>(f) Effective January 1, 2010, a personal care assistant may observe and redirect the <br/>
<a id="pl.210.25"></a><var>210.25</var>recipient for episodes where there is a need for redirection due to behaviors. Training of <br/>
<a id="pl.210.26"></a><var>210.26</var>the personal care assistant must occur based on the needs of the recipient, the personal <br/>
<a id="pl.210.27"></a><var>210.27</var>care assistance care plan, and any other support services provided.<br/>
<a id="pl.210.28"></a><var>210.28</var>(g) Instrumental activities of daily living under subdivision 1, paragraph (i).<br/>
<br/>
<a id="bill.11.4.0"></a><a id="pl.210.29"></a><var>210.29</var>    Sec. 4. Minnesota Statutes 2010, section 256B.0659, subdivision 3a, is amended to <br/>
<a id="pl.210.30"></a><var>210.30</var>read:<br/>
<a id="pl.210.31"></a><var>210.31</var>    Subd. 3a. <b>Assessment; defined.</b> (a) "Assessment" means a review and evaluation <br/>
<a id="pl.210.32"></a><var>210.32</var>of a recipient's need for home personal care assistance services conducted in person. <br/>
<a id="pl.210.33"></a><var>210.33</var>Assessments for personal care assistance services shall be conducted by the county public <br/>
<a id="pl.210.34"></a><var>210.34</var>health nurse or a certified public health nurse under contract with the county except when a <br/>
<a id="pl.210.35"></a><var>210.35</var>long-term care consultation assessment is being conducted for the purposes of determining <br/>
<a id="pl.211.1"></a><var>211.1</var>a person's eligibility for home and community-based waiver services including personal <br/>
<a id="pl.211.2"></a><var>211.2</var>care assistance services according to section 256B.0911. An in-person assessment <br/>
<a id="pl.211.3"></a><var>211.3</var>must include: documentation of health status, determination of need, evaluation of <br/>
<a id="pl.211.4"></a><var>211.4</var>service effectiveness, identification of appropriate services, service plan development <br/>
<a id="pl.211.5"></a><var>211.5</var>or modification, coordination of services, referrals and follow-up to appropriate payers <br/>
<a id="pl.211.6"></a><var>211.6</var>and community resources, completion of required reports, recommendation of service <br/>
<a id="pl.211.7"></a><var>211.7</var>authorization, and consumer education. Once the need for personal care assistance <br/>
<a id="pl.211.8"></a><var>211.8</var>services is determined under this section or sections 
<statute_ref>256B.0651</statute_ref>, 
<statute_ref>256B.0653</statute_ref>, 
<statute_ref>256B.0654</statute_ref>, <br/>
<a id="pl.211.9"></a><var>211.9</var>and 
<statute_ref>256B.0656</statute_ref>, the county public health nurse or certified public health nurse under <br/>
<a id="pl.211.10"></a><var>211.10</var>contract with the county is responsible for communicating this recommendation to the <br/>
<a id="pl.211.11"></a><var>211.11</var>commissioner and the recipient. An in-person assessment must occur at least annually or <br/>
<a id="pl.211.12"></a><var>211.12</var>when there is a significant change in the recipient's condition or when there is a change <br/>
<a id="pl.211.13"></a><var>211.13</var>in the need for personal care assistance services. A service update may substitute for <br/>
<a id="pl.211.14"></a><var>211.14</var>the annual face-to-face assessment when there is not a significant change in recipient <br/>
<a id="pl.211.15"></a><var>211.15</var>condition or a change in the need for personal care assistance service. A service update <br/>
<a id="pl.211.16"></a><var>211.16</var>may be completed by telephone, used when there is no need for an increase in personal <br/>
<a id="pl.211.17"></a><var>211.17</var>care assistance services, and used for two consecutive assessments if followed by a <br/>
<a id="pl.211.18"></a><var>211.18</var>face-to-face assessment. A service update must be completed on a form approved by the <br/>
<a id="pl.211.19"></a><var>211.19</var>commissioner. A service update or review for temporary increase includes a review of <br/>
<a id="pl.211.20"></a><var>211.20</var>initial baseline data, evaluation of service effectiveness, redetermination of service need, <br/>
<a id="pl.211.21"></a><var>211.21</var>modification of service plan and appropriate referrals, update of initial forms, obtaining <br/>
<a id="pl.211.22"></a><var>211.22</var>service authorization, and on going consumer education. Assessments or reassessments <br/>
<a id="pl.211.23"></a><var>211.23</var>must be completed on forms provided by the commissioner within 30 days of a request for <br/>
<a id="pl.211.24"></a><var>211.24</var>home care services by a recipient or responsible party or personal care provider agency.<br/>
<a id="pl.211.25"></a><var>211.25</var>(b) This subdivision expires when notification is given by the commissioner as <br/>
<a id="pl.211.26"></a><var>211.26</var>described in section 256B.0911, subdivision 3a.<br/>
<br/>
<a id="bill.11.5.0"></a><a id="pl.211.27"></a><var>211.27</var>    Sec. 5. Minnesota Statutes 2010, section 256B.0659, subdivision 4, is amended to read:<br/>
<a id="pl.211.28"></a><var>211.28</var>    Subd. 4. <b>Assessment for personal care assistance services; limitations.</b> (a) An <br/>
<a id="pl.211.29"></a><var>211.29</var>assessment as defined in subdivision 3a must be completed for personal care assistance <br/>
<a id="pl.211.30"></a><var>211.30</var>services.<br/>
<a id="pl.211.31"></a><var>211.31</var>    (b) The following limitations apply to the assessment:<br/>
<a id="pl.211.32"></a><var>211.32</var>    (1) a person must be assessed as dependent in an activity of daily living based on the <br/>
<a id="pl.211.33"></a><var>211.33</var>person's daily need or need on the days during the week the activity is completed for:<br/>
<a id="pl.211.34"></a><var>211.34</var>    (i) cuing and constant supervision to complete the task; or<br/>
<a id="pl.211.35"></a><var>211.35</var>    (ii) hands-on assistance to complete the task; and<br/>
<a id="pl.212.1"></a><var>212.1</var>    (2) a child may not be found to be dependent in an activity of daily living if because <br/>
<a id="pl.212.2"></a><var>212.2</var>of the child's age an adult would either perform the activity for the child or assist the child <br/>
<a id="pl.212.3"></a><var>212.3</var>with the activity. Assistance needed is the assistance appropriate for a typical child of <br/>
<a id="pl.212.4"></a><var>212.4</var>the same age.<br/>
<a id="pl.212.5"></a><var>212.5</var>    (c) Assessment for complex health-related needs must meet the criteria in this <br/>
<a id="pl.212.6"></a><var>212.6</var>paragraph. During the assessment process, A recipient qualifies as having complex <br/>
<a id="pl.212.7"></a><var>212.7</var>health-related needs if the recipient has one or more of the interventions that are ordered <br/>
<a id="pl.212.8"></a><var>212.8</var>by a physician, specified in a personal care assistance care plan or community support <br/>
<a id="pl.212.9"></a><var>212.9</var>plan developed under section 256B.0911, and found in the following:<br/>
<a id="pl.212.10"></a><var>212.10</var>    (1) tube feedings requiring:<br/>
<a id="pl.212.11"></a><var>212.11</var>    (i) a gastrojejunostomy tube; or<br/>
<a id="pl.212.12"></a><var>212.12</var>    (ii) continuous tube feeding lasting longer than 12 hours per day;<br/>
<a id="pl.212.13"></a><var>212.13</var>    (2) wounds described as:<br/>
<a id="pl.212.14"></a><var>212.14</var>    (i) stage III or stage IV;<br/>
<a id="pl.212.15"></a><var>212.15</var>    (ii) multiple wounds;<br/>
<a id="pl.212.16"></a><var>212.16</var>    (iii) requiring sterile or clean dressing changes or a wound vac; or<br/>
<a id="pl.212.17"></a><var>212.17</var>    (iv) open lesions such as burns, fistulas, tube sites, or ostomy sites that require <br/>
<a id="pl.212.18"></a><var>212.18</var>specialized care;<br/>
<a id="pl.212.19"></a><var>212.19</var>    (3) parenteral therapy described as:<br/>
<a id="pl.212.20"></a><var>212.20</var>    (i) IV therapy more than two times per week lasting longer than four hours for <br/>
<a id="pl.212.21"></a><var>212.21</var>each treatment; or<br/>
<a id="pl.212.22"></a><var>212.22</var>    (ii) total parenteral nutrition (TPN) daily;<br/>
<a id="pl.212.23"></a><var>212.23</var>    (4) respiratory interventions, including:<br/>
<a id="pl.212.24"></a><var>212.24</var>    (i) oxygen required more than eight hours per day;<br/>
<a id="pl.212.25"></a><var>212.25</var>    (ii) respiratory vest more than one time per day;<br/>
<a id="pl.212.26"></a><var>212.26</var>    (iii) bronchial drainage treatments more than two times per day;<br/>
<a id="pl.212.27"></a><var>212.27</var>    (iv) sterile or clean suctioning more than six times per day;<br/>
<a id="pl.212.28"></a><var>212.28</var>    (v) dependence on another to apply respiratory ventilation augmentation devices <br/>
<a id="pl.212.29"></a><var>212.29</var>such as BiPAP and CPAP; and<br/>
<a id="pl.212.30"></a><var>212.30</var>    (vi) ventilator dependence under section 
         <statute_ref>256B.0652</statute_ref>;<br/>
<a id="pl.212.31"></a><var>212.31</var>    (5) insertion and maintenance of catheter, including:<br/>
<a id="pl.212.32"></a><var>212.32</var>    (i) sterile catheter changes more than one time per month;<br/>
<a id="pl.212.33"></a><var>212.33</var>    (ii) clean intermittent catheterization, and including self-catheterization more than <br/>
<a id="pl.212.34"></a><var>212.34</var>six times per day; or<br/>
<a id="pl.212.35"></a><var>212.35</var>    (iii) bladder irrigations;<br/>
<a id="pl.213.1"></a><var>213.1</var>    (6) bowel program more than two times per week requiring more than 30 minutes to <br/>
<a id="pl.213.2"></a><var>213.2</var>perform each time;<br/>
<a id="pl.213.3"></a><var>213.3</var>    (7) neurological intervention, including:<br/>
<a id="pl.213.4"></a><var>213.4</var>    (i) seizures more than two times per week and requiring significant physical <br/>
<a id="pl.213.5"></a><var>213.5</var>assistance to maintain safety; or<br/>
<a id="pl.213.6"></a><var>213.6</var>    (ii) swallowing disorders diagnosed by a physician and requiring specialized <br/>
<a id="pl.213.7"></a><var>213.7</var>assistance from another on a daily basis; and<br/>
<a id="pl.213.8"></a><var>213.8</var>    (8) other congenital or acquired diseases creating a need for significantly increased <br/>
<a id="pl.213.9"></a><var>213.9</var>direct hands-on assistance and interventions in six to eight activities of daily living.<br/>
<a id="pl.213.10"></a><var>213.10</var>    (d) An assessment of behaviors must meet the criteria in this paragraph. A recipient <br/>
<a id="pl.213.11"></a><var>213.11</var>qualifies as having a need for assistance due to behaviors if the recipient's behavior requires <br/>
<a id="pl.213.12"></a><var>213.12</var>assistance at least four times per week and shows one or more of the following behaviors:<br/>
<a id="pl.213.13"></a><var>213.13</var>    (1) physical aggression towards self or others, or destruction of property that requires <br/>
<a id="pl.213.14"></a><var>213.14</var>the immediate response of another person;<br/>
<a id="pl.213.15"></a><var>213.15</var>    (2) increased vulnerability due to cognitive deficits or socially inappropriate <br/>
<a id="pl.213.16"></a><var>213.16</var>behavior; or<br/>
<a id="pl.213.17"></a><var>213.17</var>    (3) increased need for assistance for recipients who are verbally aggressive and or <br/>
<a id="pl.213.18"></a><var>213.18</var> resistive to care so that the time needed to perform activities of daily living is increased.<br/>
<br/>
<a id="bill.11.6.0"></a><a id="pl.213.19"></a><var>213.19</var>    Sec. 6. Minnesota Statutes 2010, section 256B.0911, subdivision 1, is amended to read:<br/>
<a id="pl.213.20"></a><var>213.20</var>    Subdivision 1. <b>Purpose and goal.</b> (a) The purpose of long-term care consultation <br/>
<a id="pl.213.21"></a><var>213.21</var>services is to assist persons with long-term or chronic care needs in making long-term care <br/>
<a id="pl.213.22"></a><var>213.22</var>decisions and selecting support and service options that meet their needs and reflect their <br/>
<a id="pl.213.23"></a><var>213.23</var>preferences. The availability of, and access to, information and other types of assistance, <br/>
<a id="pl.213.24"></a><var>213.24</var>including assessment and support planning, is also intended to prevent or delay certified <br/>
<a id="pl.213.25"></a><var>213.25</var>nursing facility institutional placements and to provide access to transition assistance <br/>
<a id="pl.213.26"></a><var>213.26</var>after admission. Further, the goal of these services is to contain costs associated with <br/>
<a id="pl.213.27"></a><var>213.27</var>unnecessary certified nursing facility institutional admissions. Long-term consultation <br/>
<a id="pl.213.28"></a><var>213.28</var>services must be available to any person regardless of public program eligibility. The <br/>
<a id="pl.213.29"></a><var>213.29</var>commissioner of human services shall seek to maximize use of available federal and state <br/>
<a id="pl.213.30"></a><var>213.30</var>funds and establish the broadest program possible within the funding available.<br/>
<a id="pl.213.31"></a><var>213.31</var>(b) These services must be coordinated with long-term care options counseling <br/>
<a id="pl.213.32"></a><var>213.32</var>provided under section 
         <statute_ref>256.975, subdivision 7</statute_ref>, and section 
         <statute_ref>256.01, subdivision 24</statute_ref>, for <br/>
<a id="pl.213.33"></a><var>213.33</var>telephone assistance and follow up and to offer a variety of cost-effective alternatives <br/>
<a id="pl.213.34"></a><var>213.34</var>to persons with disabilities and elderly persons. The county or tribal lead agency or <br/>
<a id="pl.213.35"></a><var>213.35</var>managed care plan providing long-term care consultation services shall encourage the use <br/>
<a id="pl.214.1"></a><var>214.1</var>of volunteers from families, religious organizations, social clubs, and similar civic and <br/>
<a id="pl.214.2"></a><var>214.2</var>service organizations to provide community-based services.<br/>
<br/>
<a id="bill.11.7.0"></a><a id="pl.214.3"></a><var>214.3</var>    Sec. 7. Minnesota Statutes 2011 Supplement, section 256B.0911, subdivision 1a, <br/>
<a id="pl.214.4"></a><var>214.4</var>is amended to read:<br/>
<a id="pl.214.5"></a><var>214.5</var>    Subd. 1a. <b>Definitions.</b> For purposes of this section, the following definitions apply:<br/>
<a id="pl.214.6"></a><var>214.6</var>    (a) Until additional requirements apply under paragraph (b), "long-term care <br/>
<a id="pl.214.7"></a><var>214.7</var>consultation services" means:<br/>
<a id="pl.214.8"></a><var>214.8</var>    (1) intake for and access to assistance in identifying services needed to maintain an <br/>
<a id="pl.214.9"></a><var>214.9</var>individual in the most inclusive environment;<br/>
<a id="pl.214.10"></a><var>214.10</var>    (2) providing recommendations on for and referrals to cost-effective community <br/>
<a id="pl.214.11"></a><var>214.11</var>services that are available to the individual;<br/>
<a id="pl.214.12"></a><var>214.12</var>    (3) development of an individual's person-centered community support plan;<br/>
<a id="pl.214.13"></a><var>214.13</var>    (4) providing information regarding eligibility for Minnesota health care programs;<br/>
<a id="pl.214.14"></a><var>214.14</var>    (5) face-to-face long-term care consultation assessments, which may be completed <br/>
<a id="pl.214.15"></a><var>214.15</var>in a hospital, nursing facility, intermediate care facility for persons with developmental <br/>
<a id="pl.214.16"></a><var>214.16</var>disabilities (ICF/DDs), regional treatment centers, or the person's current or planned <br/>
<a id="pl.214.17"></a><var>214.17</var>residence;<br/>
<a id="pl.214.18"></a><var>214.18</var>    (6) federally mandated preadmission screening to determine the need for an <br/>
<a id="pl.214.19"></a><var>214.19</var>institutional level of care under subdivision 4a activities described under subdivisions <br/>
<a id="pl.214.20"></a><var>214.20</var>4a and 4b;<br/>
<a id="pl.214.21"></a><var>214.21</var>    (7) determination of home and community-based waiver and other service eligibility <br/>
<a id="pl.214.22"></a><var>214.22</var>as required under sections 256B.0913, 256B.0915, and 256B.49, including level of <br/>
<a id="pl.214.23"></a><var>214.23</var>care determination for individuals who need an institutional level of care as determined <br/>
<a id="pl.214.24"></a><var>214.24</var>under section 
         <statute_ref>256B.0911</statute_ref>, subdivision 4a, paragraph (d), or 
<statute_ref>256B.092</statute_ref>, service eligibility <br/>
<a id="pl.214.25"></a><var>214.25</var>including state plan home care services identified in sections 
<statute_ref>256B.0625, subdivisions 6</statute_ref>, <br/>
<a id="pl.214.26"></a><var>214.26</var>7, and 19, paragraphs (a) and (c), and 
<statute_ref>256B.0657</statute_ref>, based on assessment and community <br/>
<a id="pl.214.27"></a><var>214.27</var>support plan development with, appropriate referrals to obtain necessary diagnostic <br/>
<a id="pl.214.28"></a><var>214.28</var>information, and including the option an eligibility determination for consumer-directed <br/>
<a id="pl.214.29"></a><var>214.29</var>community supports;<br/>
<a id="pl.214.30"></a><var>214.30</var>    (8) providing recommendations for nursing facility institutional placement when <br/>
<a id="pl.214.31"></a><var>214.31</var>there are no cost-effective community services available; and<br/>
<a id="pl.214.32"></a><var>214.32</var>    (9) providing access to assistance to transition people back to community settings <br/>
<a id="pl.214.33"></a><var>214.33</var>after facility institutional admission.; and<br/>
<a id="pl.214.34"></a><var>214.34</var>(10) providing information about competitive employment, with or without supports, <br/>
<a id="pl.214.35"></a><var>214.35</var>for school-age youth and working-age adults and referrals to the Disability Linkage <br/>
<a id="pl.215.1"></a><var>215.1</var>Line and Disability Benefits 101 to ensure that an informed choice about competitive <br/>
<a id="pl.215.2"></a><var>215.2</var>employment can be made. For the purposes of this subdivision, "competitive employment" <br/>
<a id="pl.215.3"></a><var>215.3</var>means work in the competitive labor market that is performed on a full-time or part-time <br/>
<a id="pl.215.4"></a><var>215.4</var>basis in an integrated setting, and for which an individual is compensated at or above the <br/>
<a id="pl.215.5"></a><var>215.5</var>minimum wage, but not less than the customary wage and level of benefits paid by the <br/>
<a id="pl.215.6"></a><var>215.6</var>employer for the same or similar work performed by individuals without disabilities.<br/>
<a id="pl.215.7"></a><var>215.7</var>(b) Upon statewide implementation of lead agency requirements in subdivisions 2b, <br/>
<a id="pl.215.8"></a><var>215.8</var>2c, and 3a, "long-term care consultation services" also means:<br/>
<a id="pl.215.9"></a><var>215.9</var>(1) service eligibility determination for state plan home care services identified in:<br/>
<a id="pl.215.10"></a><var>215.10</var>(i) section 256B.0625, subdivisions 7, 19a, and 19c;<br/>
<a id="pl.215.11"></a><var>215.11</var>(ii) section 256B.0657; or<br/>
<a id="pl.215.12"></a><var>215.12</var>(iii) consumer support grants under section 256.476;<br/>
<a id="pl.215.13"></a><var>215.13</var>(2) notwithstanding provisions in Minnesota Rules, parts 9525.0004 to 9525.0024, <br/>
<a id="pl.215.14"></a><var>215.14</var>determination of eligibility for case management services available under sections <br/>
<a id="pl.215.15"></a><var>215.15</var>256B.0621, subdivision 2, paragraph (4), and 256B.0924 and Minnesota Rules, part <br/>
<a id="pl.215.16"></a><var>215.16</var>9525.0016;<br/>
<a id="pl.215.17"></a><var>215.17</var>(3) determination of institutional level of care, home and community-based service <br/>
<a id="pl.215.18"></a><var>215.18</var>waiver, and other service eligibility as required under section 256B.092, determination <br/>
<a id="pl.215.19"></a><var>215.19</var>of eligibility for family support grants under section 252.32, semi-independent living <br/>
<a id="pl.215.20"></a><var>215.20</var>services under section 252.275, and day training and habilitation services under section <br/>
<a id="pl.215.21"></a><var>215.21</var>256B.092; and<br/>
<a id="pl.215.22"></a><var>215.22</var>(4) obtaining necessary diagnostic information to determine eligibility under clauses <br/>
<a id="pl.215.23"></a><var>215.23</var>(2) and (3).<br/>
<a id="pl.215.24"></a><var>215.24</var>    (b) (c) "Long-term care options counseling" means the services provided by the <br/>
<a id="pl.215.25"></a><var>215.25</var>linkage lines as mandated by sections 
         <statute_ref>256.01</statute_ref> and 
         <statute_ref>256.975, subdivision 7</statute_ref>, and also <br/>
<a id="pl.215.26"></a><var>215.26</var>includes telephone assistance and follow up once a long-term care consultation assessment <br/>
<a id="pl.215.27"></a><var>215.27</var>has been completed.<br/>
<a id="pl.215.28"></a><var>215.28</var>    (c) (d) "Minnesota health care programs" means the medical assistance program <br/>
<a id="pl.215.29"></a><var>215.29</var>under chapter 256B and the alternative care program under section 
         <statute_ref>256B.0913</statute_ref>.<br/>
<a id="pl.215.30"></a><var>215.30</var>    (d) (e) "Lead agencies" means counties administering or a collaboration of counties, <br/>
<a id="pl.215.31"></a><var>215.31</var>tribes, and health plans administering under contract with the commissioner to administer <br/>
<a id="pl.215.32"></a><var>215.32</var>long-term care consultation assessment and support planning services.<br/>
<br/>
<a id="bill.11.8.0"></a><a id="pl.215.33"></a><var>215.33</var>    Sec. 8. Minnesota Statutes 2010, section 256B.0911, subdivision 2b, is amended to <br/>
<a id="pl.215.34"></a><var>215.34</var>read:<br/>
<a id="pl.216.1"></a><var>216.1</var>    Subd. 2b. <b>Certified assessors.</b> (a) Beginning January 1, 2011, Each lead agency <br/>
<a id="pl.216.2"></a><var>216.2</var>shall use certified assessors who have completed training and the certification processes <br/>
<a id="pl.216.3"></a><var>216.3</var>determined by the commissioner in subdivision 2c. Certified assessors shall demonstrate <br/>
<a id="pl.216.4"></a><var>216.4</var>best practices in assessment and support planning including person-centered planning <br/>
<a id="pl.216.5"></a><var>216.5</var>principals and have a common set of skills that must ensure consistency and equitable <br/>
<a id="pl.216.6"></a><var>216.6</var>access to services statewide. Assessors must be part of a multidisciplinary team of <br/>
<a id="pl.216.7"></a><var>216.7</var>professionals that includes public health nurses, social workers, and other professionals <br/>
<a id="pl.216.8"></a><var>216.8</var>as defined in paragraph (b). For persons with complex health care needs, a public health <br/>
<a id="pl.216.9"></a><var>216.9</var>nurse or registered nurse from a multidisciplinary team must be consulted. A lead agency <br/>
<a id="pl.216.10"></a><var>216.10</var>may choose, according to departmental policies, to contract with a qualified, certified <br/>
<a id="pl.216.11"></a><var>216.11</var>assessor to conduct assessments and reassessments on behalf of the lead agency.<br/>
<a id="pl.216.12"></a><var>216.12</var>    (b) Certified assessors are persons with a minimum of a bachelor's degree in social <br/>
<a id="pl.216.13"></a><var>216.13</var>work, nursing with a public health nursing certificate, or other closely related field with at <br/>
<a id="pl.216.14"></a><var>216.14</var>least one year of home and community-based experience, or a two-year registered nursing <br/>
<a id="pl.216.15"></a><var>216.15</var>degree nurse without public health certification with at least three two years of home and <br/>
<a id="pl.216.16"></a><var>216.16</var>community-based experience that have has received training and certification specific to <br/>
<a id="pl.216.17"></a><var>216.17</var>assessment and consultation for long-term care services in the state.<br/>
<br/>
<a id="bill.11.9.0"></a><a id="pl.216.18"></a><var>216.18</var>    Sec. 9. Minnesota Statutes 2010, section 256B.0911, subdivision 2c, is amended to <br/>
<a id="pl.216.19"></a><var>216.19</var>read:<br/>
<a id="pl.216.20"></a><var>216.20</var>    Subd. 2c. <b>Assessor training and certification.</b> The commissioner shall develop <br/>
<a id="pl.216.21"></a><var>216.21</var>and implement a curriculum and an assessor certification process to begin no later than <br/>
<a id="pl.216.22"></a><var>216.22</var>January 1, 2010. All existing lead agency staff designated to provide the services defined <br/>
<a id="pl.216.23"></a><var>216.23</var>in subdivision 1a must be certified by December 30, 2010. within timelines specified by <br/>
<a id="pl.216.24"></a><var>216.24</var>the commissioner, but no sooner than six months after statewide availability of the training <br/>
<a id="pl.216.25"></a><var>216.25</var>and certification process. The commissioner must establish the timelines for training and <br/>
<a id="pl.216.26"></a><var>216.26</var>certification in a manner that allows lead agencies to most efficiently adopt the automated <br/>
<a id="pl.216.27"></a><var>216.27</var>process established in subdivision 5. Each lead agency is required to ensure that they have <br/>
<a id="pl.216.28"></a><var>216.28</var>sufficient numbers of certified assessors to provide long-term consultation assessment and <br/>
<a id="pl.216.29"></a><var>216.29</var>support planning within the timelines and parameters of the service by January 1, 2011. <br/>
<a id="pl.216.30"></a><var>216.30</var>Certified assessors are required to be recertified every three years.<br/>
<br/>
<a id="bill.11.10.0"></a><a id="pl.216.31"></a><var>216.31</var>    Sec. 10. Minnesota Statutes 2010, section 256B.0911, subdivision 3, is amended to <br/>
<a id="pl.216.32"></a><var>216.32</var>read:<br/>
<a id="pl.216.33"></a><var>216.33</var>    Subd. 3. <b>Long-term care consultation team.</b> (a) Until January 1, 2011, A long-term <br/>
<a id="pl.216.34"></a><var>216.34</var>care consultation team shall be established by the county board of commissioners. Each <br/>
<a id="pl.217.1"></a><var>217.1</var>local consultation team shall consist of at least one social worker and at least one public <br/>
<a id="pl.217.2"></a><var>217.2</var>health nurse from their respective county agencies. The board may designate public <br/>
<a id="pl.217.3"></a><var>217.3</var>health or social services as the lead agency for long-term care consultation services. If a <br/>
<a id="pl.217.4"></a><var>217.4</var>county does not have a public health nurse available, it may request approval from the <br/>
<a id="pl.217.5"></a><var>217.5</var>commissioner to assign a county registered nurse with at least one year experience in <br/>
<a id="pl.217.6"></a><var>217.6</var>home care to participate on the team. Two or more counties may collaborate to establish <br/>
<a id="pl.217.7"></a><var>217.7</var>a joint local consultation team or teams.<br/>
<a id="pl.217.8"></a><var>217.8</var>(b) Certified assessors must be part of a multidisciplinary long-term care consultation <br/>
<a id="pl.217.9"></a><var>217.9</var>team of professionals that includes public health nurses, social workers, and other <br/>
<a id="pl.217.10"></a><var>217.10</var>professionals as defined in subdivision 2b, paragraph (b). The team is responsible for <br/>
<a id="pl.217.11"></a><var>217.11</var>providing long-term care consultation services to all persons located in the county who <br/>
<a id="pl.217.12"></a><var>217.12</var>request the services, regardless of eligibility for Minnesota health care programs.<br/>
<a id="pl.217.13"></a><var>217.13</var>(c) The commissioner shall allow arrangements and make recommendations that <br/>
<a id="pl.217.14"></a><var>217.14</var>encourage counties and tribes to collaborate to establish joint local long-term care <br/>
<a id="pl.217.15"></a><var>217.15</var>consultation teams to ensure that long-term care consultations are done within the <br/>
<a id="pl.217.16"></a><var>217.16</var>timelines and parameters of the service. This includes integrated service models as <br/>
<a id="pl.217.17"></a><var>217.17</var>required in subdivision 1, paragraph (b).<br/>
<a id="pl.217.18"></a><var>217.18</var>(d) Tribes and health plans under contract with the commissioner must provide <br/>
<a id="pl.217.19"></a><var>217.19</var>long-term care consultation services as specified in the contract.<br/>
<a id="pl.217.20"></a><var>217.20</var>(e) The lead agency must provide the commissioner with an administrative contact <br/>
<a id="pl.217.21"></a><var>217.21</var>for communication purposes.<br/>
<br/>
<a id="bill.11.11.0"></a><a id="pl.217.22"></a><var>217.22</var>    Sec. 11. Minnesota Statutes 2011 Supplement, section 256B.0911, subdivision 3a, <br/>
<a id="pl.217.23"></a><var>217.23</var>is amended to read:<br/>
<a id="pl.217.24"></a><var>217.24</var>    Subd. 3a. <b>Assessment and support planning.</b> (a) Persons requesting assessment, <br/>
<a id="pl.217.25"></a><var>217.25</var>services planning, or other assistance intended to support community-based living, <br/>
<a id="pl.217.26"></a><var>217.26</var>including persons who need assessment in order to determine waiver or alternative care <br/>
<a id="pl.217.27"></a><var>217.27</var>program eligibility, must be visited by a long-term care consultation team within 15 20 <br/>
<a id="pl.217.28"></a><var>217.28</var>calendar days after the date on which an assessment was requested or recommended. <br/>
<a id="pl.217.29"></a><var>217.29</var>After January 1, 2011, these requirements also apply to Upon statewide implementation <br/>
<a id="pl.217.30"></a><var>217.30</var>of subdivisions 2b, 2c, and 5, this requirement also applies to an assessment of a person <br/>
<a id="pl.217.31"></a><var>217.31</var>requesting personal care assistance services, and private duty nursing, and home health <br/>
<a id="pl.217.32"></a><var>217.32</var>agency services, on timelines established in subdivision 5. The commissioner shall provide <br/>
<a id="pl.217.33"></a><var>217.33</var>at least a 90-day notice to lead agencies prior to the effective date of this requirement. <br/>
<a id="pl.217.34"></a><var>217.34</var>Face-to-face assessments must be conducted according to paragraphs (b) to (i).<br/>
<a id="pl.218.1"></a><var>218.1</var>    (b) The county lead agency may utilize a team of either the social worker or public <br/>
<a id="pl.218.2"></a><var>218.2</var>health nurse, or both. After January 1, 2011 Upon implementation of subdivisions 2b, 2c, <br/>
<a id="pl.218.3"></a><var>218.3</var>and 5, lead agencies shall use certified assessors to conduct the assessment in a face-to-face <br/>
<a id="pl.218.4"></a><var>218.4</var>interview assessment. The consultation team members must confer regarding the most <br/>
<a id="pl.218.5"></a><var>218.5</var>appropriate care for each individual screened or assessed. For a person with complex <br/>
<a id="pl.218.6"></a><var>218.6</var>health care needs, a public health or registered nurse from the team must be consulted.<br/>
<a id="pl.218.7"></a><var>218.7</var>    (c) The assessment must be comprehensive and include a person-centered assessment <br/>
<a id="pl.218.8"></a><var>218.8</var>of the health, psychological, functional, environmental, and social needs of referred <br/>
<a id="pl.218.9"></a><var>218.9</var>individuals and provide information necessary to develop a community support plan that <br/>
<a id="pl.218.10"></a><var>218.10</var>meets the consumers needs, using an assessment form provided by the commissioner.<br/>
<a id="pl.218.11"></a><var>218.11</var>    (d) The assessment must be conducted in a face-to-face interview with the person <br/>
<a id="pl.218.12"></a><var>218.12</var>being assessed and the person's legal representative, as required by legally executed <br/>
<a id="pl.218.13"></a><var>218.13</var>documents, and other individuals as requested by the person, who can provide information <br/>
<a id="pl.218.14"></a><var>218.14</var>on the needs, strengths, and preferences of the person necessary to develop a community <br/>
<a id="pl.218.15"></a><var>218.15</var>support plan that ensures the person's health and safety, but who is not a provider of <br/>
<a id="pl.218.16"></a><var>218.16</var>service or has any financial interest in the provision of services.<br/>
<a id="pl.218.17"></a><var>218.17</var>    (e) The person, or the person's legal representative, must be provided with written <br/>
<a id="pl.218.18"></a><var>218.18</var>recommendations for community-based services, including consumer-directed options, <br/>
<a id="pl.218.19"></a><var>218.19</var>or institutional care that include documentation that the most cost-effective alternatives <br/>
<a id="pl.218.20"></a><var>218.20</var>available were offered to the individual, and alternatives to residential settings, including, <br/>
<a id="pl.218.21"></a><var>218.21</var>but not limited to, foster care settings that are not the primary residence of the license <br/>
<a id="pl.218.22"></a><var>218.22</var>holder. For purposes of this requirement, "cost-effective alternatives" means community <br/>
<a id="pl.218.23"></a><var>218.23</var>services and living arrangements that cost the same as or less than institutional care.<br/>
<a id="pl.218.24"></a><var>218.24</var>    (f) (e) If the person chooses to use community-based services, the person or the <br/>
<a id="pl.218.25"></a><var>218.25</var>person's legal representative must be provided with a written community support plan <br/>
<a id="pl.218.26"></a><var>218.26</var>within 40 calendar days of the assessment visit, regardless of whether the individual <br/>
<a id="pl.218.27"></a><var>218.27</var>is eligible for Minnesota health care programs. The written community support plan <br/>
<a id="pl.218.28"></a><var>218.28</var>must include:<br/>
<a id="pl.218.29"></a><var>218.29</var>(1) a summary of assessed needs as defined in paragraphs (c) and (d);<br/>
<a id="pl.218.30"></a><var>218.30</var>(2) the individual's options and choices to meet identified needs, including all <br/>
<a id="pl.218.31"></a><var>218.31</var>available options for case management services and providers;<br/>
<a id="pl.218.32"></a><var>218.32</var>(3) identification of health and safety risks and how those risks will be addressed, <br/>
<a id="pl.218.33"></a><var>218.33</var>including personal risk management strategies;<br/>
<a id="pl.218.34"></a><var>218.34</var>(4) referral information; and<br/>
<a id="pl.218.35"></a><var>218.35</var>(5) informal caregiver supports, if applicable.<br/>
<a id="pl.219.1"></a><var>219.1</var>For a person determined eligible for state plan home care under subdivision 1a, <br/>
<a id="pl.219.2"></a><var>219.2</var>paragraph (b), clause (1), the person or person's representative must also receive a copy of <br/>
<a id="pl.219.3"></a><var>219.3</var>the home care service plan developed by the certified assessor.<br/>
<a id="pl.219.4"></a><var>219.4</var>(f) A person may request assistance in identifying community supports without <br/>
<a id="pl.219.5"></a><var>219.5</var>participating in a complete assessment. Upon a request for assistance identifying <br/>
<a id="pl.219.6"></a><var>219.6</var>community support, the person must be transferred or referred to the long-term care <br/>
<a id="pl.219.7"></a><var>219.7</var>options counseling services available under sections 
         <statute_ref>256.975, subdivision 7</statute_ref>, and 
         <statute_ref>256.01</statute_ref>, <br/>
<a id="pl.219.8"></a><var>219.8</var>subdivision 24, for telephone assistance and follow up.<br/>
<a id="pl.219.9"></a><var>219.9</var>    (g) The person has the right to make the final decision between institutional <br/>
<a id="pl.219.10"></a><var>219.10</var>placement and community placement after the recommendations have been provided, <br/>
<a id="pl.219.11"></a><var>219.11</var>except as provided in subdivision 4a, paragraph (c).<br/>
<a id="pl.219.12"></a><var>219.12</var>    (h) The team lead agency must give the person receiving assessment or support <br/>
<a id="pl.219.13"></a><var>219.13</var>planning, or the person's legal representative, materials, and forms supplied by the <br/>
<a id="pl.219.14"></a><var>219.14</var>commissioner containing the following information:<br/>
<a id="pl.219.15"></a><var>219.15</var>    (1) written recommendations for community-based services and consumer-directed <br/>
<a id="pl.219.16"></a><var>219.16</var>options;<br/>
<a id="pl.219.17"></a><var>219.17</var>(2) documentation that the most cost-effective alternatives available were offered to <br/>
<a id="pl.219.18"></a><var>219.18</var>the individual. For purposes of this clause, "cost-effective" means community services and <br/>
<a id="pl.219.19"></a><var>219.19</var>living arrangements that cost the same as or less than institutional care. For an individual <br/>
<a id="pl.219.20"></a><var>219.20</var>found to meet eligibility criteria for home and community-based service programs under <br/>
<a id="pl.219.21"></a><var>219.21</var>section 256B.0915 or 256B.49, "cost effectiveness" has the meaning found in the federally <br/>
<a id="pl.219.22"></a><var>219.22</var>approved waiver plan for each program;<br/>
<a id="pl.219.23"></a><var>219.23</var>(3) the need for and purpose of preadmission screening if the person selects nursing <br/>
<a id="pl.219.24"></a><var>219.24</var>facility placement;<br/>
<a id="pl.219.25"></a><var>219.25</var>    (2) (4) the role of the long-term care consultation assessment and support planning <br/>
<a id="pl.219.26"></a><var>219.26</var>in waiver and alternative care program eligibility determination for waiver and alternative <br/>
<a id="pl.219.27"></a><var>219.27</var>care programs, and state plan home care, case management, and other services as defined <br/>
<a id="pl.219.28"></a><var>219.28</var>in subdivision 1a, paragraphs (a), clause (7), and (b);<br/>
<a id="pl.219.29"></a><var>219.29</var>    (3) (5) information about Minnesota health care programs;<br/>
<a id="pl.219.30"></a><var>219.30</var>    (4) (6) the person's freedom to accept or reject the recommendations of the team;<br/>
<a id="pl.219.31"></a><var>219.31</var>    (5) (7) the person's right to confidentiality under the Minnesota Government Data <br/>
<a id="pl.219.32"></a><var>219.32</var>Practices Act, chapter 13;<br/>
<a id="pl.219.33"></a><var>219.33</var>    (6) (8) the long-term care consultant's certified assessor's decision regarding the <br/>
<a id="pl.219.34"></a><var>219.34</var>person's need for institutional level of care as determined under criteria established in <br/>
<a id="pl.219.35"></a><var>219.35</var>section 
         <statute_ref>144.0724, subdivision 11</statute_ref>, or 
<statute_ref>256B.092</statute_ref> 256B.0911, subdivision 4a, paragraph (d), <br/>
<a id="pl.220.1"></a><var>220.1</var>and the certified assessor's decision regarding eligibility for all services and programs as <br/>
<a id="pl.220.2"></a><var>220.2</var>defined in subdivision 1a, paragraphs (a), clause (7), and (b); and<br/>
<a id="pl.220.3"></a><var>220.3</var>    (7) (9) the person's right to appeal the certified assessor's decision regarding <br/>
<a id="pl.220.4"></a><var>220.4</var>eligibility for all services and programs as defined in subdivision 1a, paragraphs (a), <br/>
<a id="pl.220.5"></a><var>220.5</var>clause (7), and (b), and incorporating the decision regarding the need for nursing facility <br/>
<a id="pl.220.6"></a><var>220.6</var>institutional  level of care or the county's lead agency's final decisions regarding public <br/>
<a id="pl.220.7"></a><var>220.7</var>programs eligibility according to section 
         <statute_ref>256.045, subdivision 3</statute_ref>.<br/>
<a id="pl.220.8"></a><var>220.8</var>    (i) Face-to-face assessment completed as part of eligibility determination for <br/>
<a id="pl.220.9"></a><var>220.9</var>the alternative care, elderly waiver, community alternatives for disabled individuals, <br/>
<a id="pl.220.10"></a><var>220.10</var>community alternative care, and traumatic brain injury waiver programs under sections <br/>
<a id="pl.220.11"></a><var>220.11</var>256B.0913, 
<statute_ref>256B.0915</statute_ref>, 
         <statute_ref>256B.0917</statute_ref>, and 
         <statute_ref>256B.49</statute_ref> is valid to establish service eligibility <br/>
<a id="pl.220.12"></a><var>220.12</var>for no more than 60 calendar days after the date of assessment.<br/>
<a id="pl.220.13"></a><var>220.13</var>(j) The effective eligibility start date for these programs in paragraph (i) can never <br/>
<a id="pl.220.14"></a><var>220.14</var>be prior to the date of assessment. If an assessment was completed more than 60 days <br/>
<a id="pl.220.15"></a><var>220.15</var>before the effective waiver or alternative care program eligibility start date, assessment <br/>
<a id="pl.220.16"></a><var>220.16</var>and support plan information must be updated in a face-to-face visit and documented in <br/>
<a id="pl.220.17"></a><var>220.17</var>the department's Medicaid Management Information System (MMIS). Notwithstanding <br/>
<a id="pl.220.18"></a><var>220.18</var>retroactive medical assistance coverage of state plan services, the effective date of <br/>
<a id="pl.220.19"></a><var>220.19</var>program eligibility in this case for programs included in paragraph (i) cannot be prior to <br/>
<a id="pl.220.20"></a><var>220.20</var>the date the most recent updated assessment is completed.<br/>
<br/>
<a id="bill.11.12.0"></a><a id="pl.220.21"></a><var>220.21</var>    Sec. 12. Minnesota Statutes 2010, section 256B.0911, subdivision 3b, is amended to <br/>
<a id="pl.220.22"></a><var>220.22</var>read:<br/>
<a id="pl.220.23"></a><var>220.23</var>    Subd. 3b. <b>Transition assistance.</b> (a) A long-term care consultation team Lead <br/>
<a id="pl.220.24"></a><var>220.24</var>agency certified assessors shall provide assistance to persons residing in a nursing <br/>
<a id="pl.220.25"></a><var>220.25</var>facility, hospital, regional treatment center, or intermediate care facility for persons with <br/>
<a id="pl.220.26"></a><var>220.26</var>developmental disabilities who request or are referred for assistance. Transition assistance <br/>
<a id="pl.220.27"></a><var>220.27</var>must include assessment, community support plan development, referrals to long-term <br/>
<a id="pl.220.28"></a><var>220.28</var>care options counseling under section 
         <statute_ref>256B.975 256.975, subdivision 10 7</statute_ref>, for community <br/>
<a id="pl.220.29"></a><var>220.29</var>support plan implementation and to Minnesota health care programs, including home and <br/>
<a id="pl.220.30"></a><var>220.30</var>community-based waiver services and consumer-directed options through the waivers, <br/>
<a id="pl.220.31"></a><var>220.31</var>and referrals to programs that provide assistance with housing. Transition assistance <br/>
<a id="pl.220.32"></a><var>220.32</var>must also include information about the Centers for Independent Living and the Senior <br/>
<a id="pl.220.33"></a><var>220.33</var>LinkAge Line, Disability Linkage Line, and about other organizations that can provide <br/>
<a id="pl.220.34"></a><var>220.34</var>assistance with relocation efforts, and information about contacting these organizations to <br/>
<a id="pl.220.35"></a><var>220.35</var>obtain their assistance and support.<br/>
<a id="pl.221.1"></a><var>221.1</var>    (b) The county lead agency shall develop transition processes with institutional <br/>
<a id="pl.221.2"></a><var>221.2</var>social workers and discharge planners to ensure that:<br/>
<a id="pl.221.3"></a><var>221.3</var>    (1) referrals for in-person assessments are taken from long-term care options <br/>
<a id="pl.221.4"></a><var>221.4</var>counselors as provided for in section 256.975, subdivision 7, paragraph (b), clause (11);<br/>
<a id="pl.221.5"></a><var>221.5</var>(2) persons admitted to facilities assessed in institutions receive information about <br/>
<a id="pl.221.6"></a><var>221.6</var>transition assistance that is available;<br/>
<a id="pl.221.7"></a><var>221.7</var>    (2) (3) the assessment is completed for persons within ten working 20 calendar days <br/>
<a id="pl.221.8"></a><var>221.8</var>of the date of request or recommendation for assessment; and<br/>
<a id="pl.221.9"></a><var>221.9</var>    (3) (4) there is a plan for transition and follow-up for the individual's return to the <br/>
<a id="pl.221.10"></a><var>221.10</var>community. The plan must require, including notification of other local agencies when a <br/>
<a id="pl.221.11"></a><var>221.11</var>person who may require assistance is screened by one county for admission to a facility <br/>
<a id="pl.221.12"></a><var>221.12</var>from agencies located in another county.; and<br/>
<a id="pl.221.13"></a><var>221.13</var>(5) relocation targeted case management as defined in section 256B.0621, <br/>
<a id="pl.221.14"></a><var>221.14</var>subdivision 2, clause (4), is authorized for an eligible medical assistance recipient.<br/>
<a id="pl.221.15"></a><var>221.15</var>    (c) If a person who is eligible for a Minnesota health care program is admitted to a <br/>
<a id="pl.221.16"></a><var>221.16</var>nursing facility, the nursing facility must include a consultation team member or the case <br/>
<a id="pl.221.17"></a><var>221.17</var>manager in the discharge planning process.<br/>
<br/>
<a id="bill.11.13.0"></a><a id="pl.221.18"></a><var>221.18</var>    Sec. 13. Minnesota Statutes 2011 Supplement, section 256B.0911, subdivision 4a, <br/>
<a id="pl.221.19"></a><var>221.19</var>is amended to read:<br/>
<a id="pl.221.20"></a><var>221.20</var>    Subd. 4a. <b>Preadmission screening activities related to nursing facility </b><br/>
<a id="pl.221.21"></a><var>221.21</var><b>admissions.</b> (a) All applicants to Medicaid certified nursing facilities, including certified <br/>
<a id="pl.221.22"></a><var>221.22</var>boarding care facilities, must be screened prior to admission regardless of income, assets, <br/>
<a id="pl.221.23"></a><var>221.23</var>or funding sources for nursing facility care, except as described in subdivision 4b. The <br/>
<a id="pl.221.24"></a><var>221.24</var>purpose of the screening is to determine the need for nursing facility level of care as <br/>
<a id="pl.221.25"></a><var>221.25</var>described in paragraph (d) and to complete activities required under federal law related to <br/>
<a id="pl.221.26"></a><var>221.26</var>mental illness and developmental disability as outlined in paragraph (b).<br/>
<a id="pl.221.27"></a><var>221.27</var>(b) A person who has a diagnosis or possible diagnosis of mental illness or <br/>
<a id="pl.221.28"></a><var>221.28</var>developmental disability must receive a preadmission screening before admission <br/>
<a id="pl.221.29"></a><var>221.29</var>regardless of the exemptions outlined in subdivision 4b, paragraph (b), to identify the need <br/>
<a id="pl.221.30"></a><var>221.30</var>for further evaluation and specialized services, unless the admission prior to screening is <br/>
<a id="pl.221.31"></a><var>221.31</var>authorized by the local mental health authority or the local developmental disabilities case <br/>
<a id="pl.221.32"></a><var>221.32</var>manager, or unless authorized by the county agency according to Public Law 101-508.<br/>
<a id="pl.221.33"></a><var>221.33</var>The following criteria apply to the preadmission screening:<br/>
<a id="pl.222.1"></a><var>222.1</var>(1) the county lead agency must use forms and criteria developed by the <br/>
<a id="pl.222.2"></a><var>222.2</var>commissioner to identify persons who require referral for further evaluation and <br/>
<a id="pl.222.3"></a><var>222.3</var>determination of the need for specialized services; and<br/>
<a id="pl.222.4"></a><var>222.4</var>(2) the evaluation and determination of the need for specialized services must be <br/>
<a id="pl.222.5"></a><var>222.5</var>done by:<br/>
<a id="pl.222.6"></a><var>222.6</var>(i) a qualified independent mental health professional, for persons with a primary or <br/>
<a id="pl.222.7"></a><var>222.7</var>secondary diagnosis of a serious mental illness; or<br/>
<a id="pl.222.8"></a><var>222.8</var>(ii) a qualified developmental disability professional, for persons with a primary or <br/>
<a id="pl.222.9"></a><var>222.9</var>secondary diagnosis of developmental disability. For purposes of this requirement, a <br/>
<a id="pl.222.10"></a><var>222.10</var>qualified developmental disability professional must meet the standards for a qualified <br/>
<a id="pl.222.11"></a><var>222.11</var>developmental disability professional under Code of Federal Regulations, title 42, section <br/>
<a id="pl.222.12"></a><var>222.12</var>483.430.<br/>
<a id="pl.222.13"></a><var>222.13</var>(c) The local county mental health authority or the state developmental disability <br/>
<a id="pl.222.14"></a><var>222.14</var>authority under Public Law Numbers 100-203 and 101-508 may prohibit admission to a <br/>
<a id="pl.222.15"></a><var>222.15</var>nursing facility if the individual does not meet the nursing facility level of care criteria or <br/>
<a id="pl.222.16"></a><var>222.16</var>needs specialized services as defined in Public Law Numbers 100-203 and 101-508. For <br/>
<a id="pl.222.17"></a><var>222.17</var>purposes of this section, "specialized services" for a person with developmental disability <br/>
<a id="pl.222.18"></a><var>222.18</var>means active treatment as that term is defined under Code of Federal Regulations, title <br/>
<a id="pl.222.19"></a><var>222.19</var>42, section 483.440 (a)(1).<br/>
<a id="pl.222.20"></a><var>222.20</var>(d) The determination of the need for nursing facility level of care must be made <br/>
<a id="pl.222.21"></a><var>222.21</var>according to criteria developed by the commissioner, and in section 
         <statute_ref>256B.092</statute_ref>, using <br/>
<a id="pl.222.22"></a><var>222.22</var>forms developed by the commissioner. Effective no sooner than on or after July 1, 2012, <br/>
<a id="pl.222.23"></a><var>222.23</var>for individuals age 21 and older, and on or after October 1, 2019, for individuals under <br/>
<a id="pl.222.24"></a><var>222.24</var>age 21, the determination of need for nursing facility level of care shall be based on <br/>
<a id="pl.222.25"></a><var>222.25</var>criteria in section 
         <statute_ref>144.0724, subdivision 11</statute_ref>. In assessing a person's needs, consultation <br/>
<a id="pl.222.26"></a><var>222.26</var>team members shall have a physician available for consultation and shall consider the <br/>
<a id="pl.222.27"></a><var>222.27</var>assessment of the individual's attending physician, if any. The individual's physician must <br/>
<a id="pl.222.28"></a><var>222.28</var>be included if the physician chooses to participate. Other personnel may be included on <br/>
<a id="pl.222.29"></a><var>222.29</var>the team as deemed appropriate by the county lead agency.<br/>
<br/>
<a id="bill.11.14.0"></a><a id="pl.222.30"></a><var>222.30</var>    Sec. 14. Minnesota Statutes 2010, section 256B.0911, subdivision 4c, is amended to <br/>
<a id="pl.222.31"></a><var>222.31</var>read:<br/>
<a id="pl.222.32"></a><var>222.32</var>    Subd. 4c. <b>Screening requirements.</b> (a) A person may be screened for nursing <br/>
<a id="pl.222.33"></a><var>222.33</var>facility admission by telephone or in a face-to-face screening interview. Consultation team <br/>
<a id="pl.222.34"></a><var>222.34</var>members Certified assessors shall identify each individual's needs using the following <br/>
<a id="pl.222.35"></a><var>222.35</var>categories:<br/>
<a id="pl.223.1"></a><var>223.1</var>    (1) the person needs no face-to-face screening interview to determine the need <br/>
<a id="pl.223.2"></a><var>223.2</var>for nursing facility level of care based on information obtained from other health care <br/>
<a id="pl.223.3"></a><var>223.3</var>professionals;<br/>
<a id="pl.223.4"></a><var>223.4</var>    (2) the person needs an immediate face-to-face screening interview to determine the <br/>
<a id="pl.223.5"></a><var>223.5</var>need for nursing facility level of care and complete activities required under subdivision <br/>
<a id="pl.223.6"></a><var>223.6</var>4a; or<br/>
<a id="pl.223.7"></a><var>223.7</var>    (3) the person may be exempt from screening requirements as outlined in subdivision <br/>
<a id="pl.223.8"></a><var>223.8</var>4b, but will need transitional assistance after admission or in-person follow-along after <br/>
<a id="pl.223.9"></a><var>223.9</var>a return home.<br/>
<a id="pl.223.10"></a><var>223.10</var>    (b) Persons admitted on a nonemergency basis to a Medicaid-certified nursing <br/>
<a id="pl.223.11"></a><var>223.11</var>facility must be screened prior to admission.<br/>
<a id="pl.223.12"></a><var>223.12</var>    (c) The county lead agency screening or intake activity must include processes to <br/>
<a id="pl.223.13"></a><var>223.13</var>identify persons who may require transition assistance as described in subdivision 3b.<br/>
<br/>
<a id="bill.11.15.0"></a><a id="pl.223.14"></a><var>223.14</var>    Sec. 15. Minnesota Statutes 2010, section 256B.0911, subdivision 6, is amended to <br/>
<a id="pl.223.15"></a><var>223.15</var>read:<br/>
<a id="pl.223.16"></a><var>223.16</var>    Subd. 6. <b>Payment for long-term care consultation services.</b> (a) The total payment <br/>
<a id="pl.223.17"></a><var>223.17</var>for each county must be paid monthly by certified nursing facilities in the county. The <br/>
<a id="pl.223.18"></a><var>223.18</var>monthly amount to be paid by each nursing facility for each fiscal year must be determined <br/>
<a id="pl.223.19"></a><var>223.19</var>by dividing the county's annual allocation for long-term care consultation services by 12 <br/>
<a id="pl.223.20"></a><var>223.20</var>to determine the monthly payment and allocating the monthly payment to each nursing <br/>
<a id="pl.223.21"></a><var>223.21</var>facility based on the number of licensed beds in the nursing facility. Payments to counties <br/>
<a id="pl.223.22"></a><var>223.22</var>in which there is no certified nursing facility must be made by increasing the payment <br/>
<a id="pl.223.23"></a><var>223.23</var>rate of the two facilities located nearest to the county seat.<br/>
<a id="pl.223.24"></a><var>223.24</var>    (b) The commissioner shall include the total annual payment determined under <br/>
<a id="pl.223.25"></a><var>223.25</var>paragraph (a) for each nursing facility reimbursed under section 
         <statute_ref>256B.431</statute_ref> or,
<statute_ref>256B.434</statute_ref> <br/>
<a id="pl.223.26"></a><var>223.26</var>according to section 
<statute_ref>256B.431, subdivision 2b</statute_ref>, paragraph (g), or 256B.441.<br/>
<a id="pl.223.27"></a><var>223.27</var>    (c) In the event of the layaway, delicensure and decertification, or removal from <br/>
<a id="pl.223.28"></a><var>223.28</var>layaway of 25 percent or more of the beds in a facility, the commissioner may adjust <br/>
<a id="pl.223.29"></a><var>223.29</var>the per diem payment amount in paragraph (b) and may adjust the monthly payment <br/>
<a id="pl.223.30"></a><var>223.30</var>amount in paragraph (a). The effective date of an adjustment made under this paragraph <br/>
<a id="pl.223.31"></a><var>223.31</var>shall be on or after the first day of the month following the effective date of the layaway, <br/>
<a id="pl.223.32"></a><var>223.32</var>delicensure and decertification, or removal from layaway.<br/>
<a id="pl.223.33"></a><var>223.33</var>    (d) Payments for long-term care consultation services are available to the county <br/>
<a id="pl.223.34"></a><var>223.34</var>or counties to cover staff salaries and expenses to provide the services described in <br/>
<a id="pl.223.35"></a><var>223.35</var>subdivision 1a. The county shall employ, or contract with other agencies to employ, within <br/>
<a id="pl.224.1"></a><var>224.1</var>the limits of available funding, sufficient personnel to provide long-term care consultation <br/>
<a id="pl.224.2"></a><var>224.2</var>services while meeting the state's long-term care outcomes and objectives as defined in <br/>
<a id="pl.224.3"></a><var>224.3</var>section 
<statute_ref>256B.0917,</statute_ref> subdivision 1. The county shall be accountable for meeting local <br/>
<a id="pl.224.4"></a><var>224.4</var>objectives as approved by the commissioner in the biennial home and community-based <br/>
<a id="pl.224.5"></a><var>224.5</var>services quality assurance plan on a form provided by the commissioner.<br/>
<a id="pl.224.6"></a><var>224.6</var>    (e) Notwithstanding section 
         <statute_ref>256B.0641</statute_ref>, overpayments attributable to payment of the <br/>
<a id="pl.224.7"></a><var>224.7</var>screening costs under the medical assistance program may not be recovered from a facility.<br/>
<a id="pl.224.8"></a><var>224.8</var>    (f) The commissioner of human services shall amend the Minnesota medical <br/>
<a id="pl.224.9"></a><var>224.9</var>assistance plan to include reimbursement for the local consultation teams.<br/>
<a id="pl.224.10"></a><var>224.10</var>    (g) Until the alternative payment methodology in paragraph (h) is implemented, <br/>
<a id="pl.224.11"></a><var>224.11</var>the county may bill, as case management services, assessments, support planning, and <br/>
<a id="pl.224.12"></a><var>224.12</var>follow-along provided to persons determined to be eligible for case management under <br/>
<a id="pl.224.13"></a><var>224.13</var>Minnesota health care programs. No individual or family member shall be charged for an <br/>
<a id="pl.224.14"></a><var>224.14</var>initial assessment or initial support plan development provided under subdivision 3a or 3b.<br/>
<a id="pl.224.15"></a><var>224.15</var>(h) The commissioner shall develop an alternative payment methodology for <br/>
<a id="pl.224.16"></a><var>224.16</var>long-term care consultation services that includes the funding available under this <br/>
<a id="pl.224.17"></a><var>224.17</var>subdivision, and sections 
         <statute_ref>256B.092</statute_ref> and 
         <statute_ref>256B.0659</statute_ref>. In developing the new payment <br/>
<a id="pl.224.18"></a><var>224.18</var>methodology, the commissioner shall consider the maximization of other funding sources, <br/>
<a id="pl.224.19"></a><var>224.19</var>including federal funding, for this all long-term care consultation and preadmission <br/>
<a id="pl.224.20"></a><var>224.20</var>screening activity.<br/>
<br/>
<a id="bill.11.16.0"></a><a id="pl.224.21"></a><var>224.21</var>    Sec. 16. Minnesota Statutes 2010, section 256B.0913, subdivision 7, is amended to <br/>
<a id="pl.224.22"></a><var>224.22</var>read:<br/>
<a id="pl.224.23"></a><var>224.23</var>    Subd. 7. <b>Case management.</b> (a) The provision of case management under the <br/>
<a id="pl.224.24"></a><var>224.24</var>alternative care program is governed by requirements in section 256B.0915, subdivisions <br/>
<a id="pl.224.25"></a><var>224.25</var>1a and 1b.<br/>
<a id="pl.224.26"></a><var>224.26</var>(b) The case manager must not approve alternative care funding for a client in any <br/>
<a id="pl.224.27"></a><var>224.27</var>setting in which the case manager cannot reasonably ensure the client's health and safety.<br/>
<a id="pl.224.28"></a><var>224.28</var>(c) The case manager is responsible for the cost-effectiveness of the alternative care <br/>
<a id="pl.224.29"></a><var>224.29</var>individual care coordinated service and support plan and must not approve any care plan <br/>
<a id="pl.224.30"></a><var>224.30</var>in which the cost of services funded by alternative care and client contributions exceeds <br/>
<a id="pl.224.31"></a><var>224.31</var>the limit specified in section 
         <statute_ref>256B.0915, subdivision 3 3a</statute_ref>, paragraph (b).<br/>
<a id="pl.224.32"></a><var>224.32</var>(d) Case manager responsibilities include those in section 256B.0915, subdivision <br/>
<a id="pl.224.33"></a><var>224.33</var>1a, paragraph (g).<br/>
<br/>
<a id="bill.11.17.0"></a><a id="pl.225.1"></a><var>225.1</var>    Sec. 17. Minnesota Statutes 2010, section 256B.0913, subdivision 8, is amended to <br/>
<a id="pl.225.2"></a><var>225.2</var>read:<br/>
<a id="pl.225.3"></a><var>225.3</var>    Subd. 8. <b>Requirements for individual </b><b>care</b><b> coordinated service and support</b><b> </b><br/>
<a id="pl.225.4"></a><var>225.4</var><b>plan.</b> (a) The case manager shall implement the coordinated service and support plan of <br/>
<a id="pl.225.5"></a><var>225.5</var>care for each alternative care client and ensure that a client's service needs and eligibility <br/>
<a id="pl.225.6"></a><var>225.6</var>are reassessed at least every 12 months. The coordinated service and support plan must <br/>
<a id="pl.225.7"></a><var>225.7</var>meet the requirements in section 256B.0915, subdivision 6. The plan shall include any <br/>
<a id="pl.225.8"></a><var>225.8</var>services prescribed by the individual's attending physician as necessary to allow the <br/>
<a id="pl.225.9"></a><var>225.9</var>individual to remain in a community setting. In developing the individual's care plan, the <br/>
<a id="pl.225.10"></a><var>225.10</var>case manager should include the use of volunteers from families and neighbors, religious <br/>
<a id="pl.225.11"></a><var>225.11</var>organizations, social clubs, and civic and service organizations to support the formal home <br/>
<a id="pl.225.12"></a><var>225.12</var>care services. The lead agency shall be held harmless for damages or injuries sustained <br/>
<a id="pl.225.13"></a><var>225.13</var>through the use of volunteers under this subdivision including workers' compensation <br/>
<a id="pl.225.14"></a><var>225.14</var>liability. The case manager shall provide documentation in each individual's plan of care <br/>
<a id="pl.225.15"></a><var>225.15</var>and, if requested, to the commissioner that the most cost-effective alternatives available <br/>
<a id="pl.225.16"></a><var>225.16</var>have been offered to the individual and that the individual was free to choose among <br/>
<a id="pl.225.17"></a><var>225.17</var>available qualified providers, both public and private, including qualified case management <br/>
<a id="pl.225.18"></a><var>225.18</var>or service coordination providers other than those employed by any county; however, the <br/>
<a id="pl.225.19"></a><var>225.19</var>county or tribe maintains responsibility for prior authorizing services in accordance with <br/>
<a id="pl.225.20"></a><var>225.20</var>statutory and administrative requirements. The case manager must give the individual a <br/>
<a id="pl.225.21"></a><var>225.21</var>ten-day written notice of any denial, termination, or reduction of alternative care services.<br/>
<a id="pl.225.22"></a><var>225.22</var>    (b) The county of service or tribe must provide access to and arrange for case <br/>
<a id="pl.225.23"></a><var>225.23</var>management services, including assuring implementation of the coordinated service <br/>
<a id="pl.225.24"></a><var>225.24</var>and support plan. "County of service" has the meaning given it in Minnesota Rules, <br/>
<a id="pl.225.25"></a><var>225.25</var>part 9505.0015, subpart 11. The county of service must notify the county of financial <br/>
<a id="pl.225.26"></a><var>225.26</var>responsibility of the approved care plan and the amount of encumbered funds.<br/>
<br/>
<a id="bill.11.18.0"></a><a id="pl.225.27"></a><var>225.27</var>    Sec. 18. Minnesota Statutes 2010, section 256B.0915, subdivision 1a, is amended to <br/>
<a id="pl.225.28"></a><var>225.28</var>read:<br/>
<a id="pl.225.29"></a><var>225.29</var>    Subd. 1a. <b>Elderly waiver case management services.</b> (a) Elderly Except <br/>
<a id="pl.225.30"></a><var>225.30</var>as provided to individuals under prepaid medical assistance programs as described <br/>
<a id="pl.225.31"></a><var>225.31</var>in paragraph (h), case management services under the home and community-based <br/>
<a id="pl.225.32"></a><var>225.32</var>services waiver for elderly individuals are available from providers meeting qualification <br/>
<a id="pl.225.33"></a><var>225.33</var>requirements and the standards specified in subdivision 1b. Eligible recipients may choose <br/>
<a id="pl.225.34"></a><var>225.34</var>any qualified provider of elderly case management services.<br/>
<a id="pl.226.1"></a><var>226.1</var>    (b) Case management services assist individuals who receive waiver services in <br/>
<a id="pl.226.2"></a><var>226.2</var>gaining access to needed waiver and other state plan services, and assist individuals in <br/>
<a id="pl.226.3"></a><var>226.3</var>appeals under section 256.045, as well as needed medical, social, educational, and other <br/>
<a id="pl.226.4"></a><var>226.4</var>services regardless of the funding source for the services to which access is gained. Case <br/>
<a id="pl.226.5"></a><var>226.5</var>managers shall collaborate with consumers, families, legal representatives, and relevant <br/>
<a id="pl.226.6"></a><var>226.6</var>medical experts and service providers in the development and periodic review of the <br/>
<a id="pl.226.7"></a><var>226.7</var>coordinated service and support plan.<br/>
<a id="pl.226.8"></a><var>226.8</var>    (c) A case aide shall provide assistance to the case manager in carrying out <br/>
<a id="pl.226.9"></a><var>226.9</var>administrative activities of the case management function. The case aide may not assume <br/>
<a id="pl.226.10"></a><var>226.10</var>responsibilities that require professional judgment including assessments, reassessments, <br/>
<a id="pl.226.11"></a><var>226.11</var>and care plan development. The case manager is responsible for providing oversight of <br/>
<a id="pl.226.12"></a><var>226.12</var>the case aide.<br/>
<a id="pl.226.13"></a><var>226.13</var>    (d) Case managers shall be responsible for ongoing monitoring of the provision <br/>
<a id="pl.226.14"></a><var>226.14</var>of services included in the individual's plan of care. Case managers shall initiate and <br/>
<a id="pl.226.15"></a><var>226.15</var>oversee the process of assessment and reassessment of the individual's care coordinated <br/>
<a id="pl.226.16"></a><var>226.16</var>service and support plan and review the plan of care at intervals specified in the federally <br/>
<a id="pl.226.17"></a><var>226.17</var>approved waiver plan.<br/>
<a id="pl.226.18"></a><var>226.18</var>    (e) The county of service or tribe must provide access to and arrange for case <br/>
<a id="pl.226.19"></a><var>226.19</var>management services. County of service has the meaning given it in Minnesota Rules, <br/>
<a id="pl.226.20"></a><var>226.20</var>part 9505.0015, subpart 11.<br/>
<a id="pl.226.21"></a><var>226.21</var>(f) Except as described in paragraph (h), case management services must be provided <br/>
<a id="pl.226.22"></a><var>226.22</var>by a public or private agency that is enrolled as a medical assistance provider determined <br/>
<a id="pl.226.23"></a><var>226.23</var>by the commissioner to meet all of the requirements in subdivision 1b. Case management <br/>
<a id="pl.226.24"></a><var>226.24</var>services must not be provided to a recipient by a private agency that has a financial interest <br/>
<a id="pl.226.25"></a><var>226.25</var>in the provision of any other services included in the recipient's coordinated service and <br/>
<a id="pl.226.26"></a><var>226.26</var>support plan. For purposes of this section, "private agency" means any agency that is not <br/>
<a id="pl.226.27"></a><var>226.27</var>identified as a lead agency under section 256B.0911, subdivision 1a, paragraph (e).<br/>
<a id="pl.226.28"></a><var>226.28</var>(g) Case management service activities provided to or arranged for a person include:<br/>
<a id="pl.226.29"></a><var>226.29</var>(1) development of the coordinated service and support plan under subdivision 6;<br/>
<a id="pl.226.30"></a><var>226.30</var>(2) informing the individual or the individual's legal guardian or conservator of <br/>
<a id="pl.226.31"></a><var>226.31</var>service options, and options for case management services and providers;<br/>
<a id="pl.226.32"></a><var>226.32</var>(3) consulting with relevant medical experts or service providers;<br/>
<a id="pl.226.33"></a><var>226.33</var>(4) assisting the person in the identification of potential providers;<br/>
<a id="pl.226.34"></a><var>226.34</var>(5) assisting the person to access services;<br/>
<a id="pl.226.35"></a><var>226.35</var>(6) coordination of services; and<br/>
<a id="pl.227.1"></a><var>227.1</var>(7) evaluation and monitoring of the services identified in the plan, which must <br/>
<a id="pl.227.2"></a><var>227.2</var>incorporate at least one annual face-to-face visit by the case manager with each person.<br/>
<a id="pl.227.3"></a><var>227.3</var>(h) Notwithstanding any requirements in this section, for individuals enrolled in <br/>
<a id="pl.227.4"></a><var>227.4</var>prepaid medical assistance programs under section 256B.69, subdivisions 6b and 23, the <br/>
<a id="pl.227.5"></a><var>227.5</var>health plan shall provide or arrange to provide elderly waiver case management services in <br/>
<a id="pl.227.6"></a><var>227.6</var>paragraph (g), in accordance with contract requirements established by the commissioner.<br/>
<br/>
<a id="bill.11.19.0"></a><a id="pl.227.7"></a><var>227.7</var>    Sec. 19. Minnesota Statutes 2010, section 256B.0915, subdivision 1b, is amended to <br/>
<a id="pl.227.8"></a><var>227.8</var>read:<br/>
<a id="pl.227.9"></a><var>227.9</var>    Subd. 1b. <b>Provider qualifications and standards.</b> (a) The commissioner must <br/>
<a id="pl.227.10"></a><var>227.10</var>enroll qualified providers of elderly case management services under the home and <br/>
<a id="pl.227.11"></a><var>227.11</var>community-based waiver for the elderly under section 1915(c) of the Social Security <br/>
<a id="pl.227.12"></a><var>227.12</var>Act. The enrollment process shall ensure the provider's ability to meet the qualification <br/>
<a id="pl.227.13"></a><var>227.13</var>requirements and standards in this subdivision and other federal and state requirements <br/>
<a id="pl.227.14"></a><var>227.14</var>of this service. An elderly A case management provider is an enrolled medical <br/>
<a id="pl.227.15"></a><var>227.15</var>assistance provider who is determined by the commissioner to have all of the following <br/>
<a id="pl.227.16"></a><var>227.16</var>characteristics:<br/>
<a id="pl.227.17"></a><var>227.17</var>    (1) the demonstrated capacity and experience to provide the components of <br/>
<a id="pl.227.18"></a><var>227.18</var>case management to coordinate and link community resources needed by the eligible <br/>
<a id="pl.227.19"></a><var>227.19</var>population;<br/>
<a id="pl.227.20"></a><var>227.20</var>    (2) administrative capacity and experience in serving the target population for <br/>
<a id="pl.227.21"></a><var>227.21</var>whom it will provide services and in ensuring quality of services under state and federal <br/>
<a id="pl.227.22"></a><var>227.22</var>requirements;<br/>
<a id="pl.227.23"></a><var>227.23</var>    (3) a financial management system that provides accurate documentation of services <br/>
<a id="pl.227.24"></a><var>227.24</var>and costs under state and federal requirements;<br/>
<a id="pl.227.25"></a><var>227.25</var>    (4) the capacity to document and maintain individual case records under state and <br/>
<a id="pl.227.26"></a><var>227.26</var>federal requirements; and<br/>
<a id="pl.227.27"></a><var>227.27</var>    (5) the lead agency may allow a case manager employed by the lead agency to <br/>
<a id="pl.227.28"></a><var>227.28</var>delegate certain aspects of the case management activity to another individual employed <br/>
<a id="pl.227.29"></a><var>227.29</var>by the lead agency provided there is oversight of the individual by the case manager. <br/>
<a id="pl.227.30"></a><var>227.30</var>The case manager may not delegate those aspects which require professional judgment <br/>
<a id="pl.227.31"></a><var>227.31</var>including assessments, reassessments, and care coordinated service and support plan <br/>
<a id="pl.227.32"></a><var>227.32</var>development. Lead agencies include counties, health plans, and federally recognized <br/>
<a id="pl.227.33"></a><var>227.33</var>tribes who authorize services under this section.<br/>
<a id="pl.228.1"></a><var>228.1</var>(b) A health plan shall provide or arrange to provide elderly waiver case management <br/>
<a id="pl.228.2"></a><var>228.2</var>services in subdivision 1a, paragraph (g), in accordance with contract requirements <br/>
<a id="pl.228.3"></a><var>228.3</var>established by the commissioner related to provider standards and qualifications.<br/>
<br/>
<a id="bill.11.20.0"></a><a id="pl.228.4"></a><var>228.4</var>    Sec. 20. Minnesota Statutes 2010, section 256B.0915, subdivision 3c, is amended to <br/>
<a id="pl.228.5"></a><var>228.5</var>read:<br/>
<a id="pl.228.6"></a><var>228.6</var>    Subd. 3c. <b>Service approval and contracting provisions.</b> (a) Medical assistance <br/>
<a id="pl.228.7"></a><var>228.7</var>funding for skilled nursing services, private duty nursing, home health aide, and personal <br/>
<a id="pl.228.8"></a><var>228.8</var>care services for waiver recipients must be approved by the case manager and included in <br/>
<a id="pl.228.9"></a><var>228.9</var>the individual care coordinated service and support plan.<br/>
<a id="pl.228.10"></a><var>228.10</var>    (b) A lead agency is not required to contract with a provider of supplies and <br/>
<a id="pl.228.11"></a><var>228.11</var>equipment if the monthly cost of the supplies and equipment is less than $250.<br/>
<br/>
<a id="bill.11.21.0"></a><a id="pl.228.12"></a><var>228.12</var>    Sec. 21. Minnesota Statutes 2010, section 256B.0915, subdivision 6, is amended to <br/>
<a id="pl.228.13"></a><var>228.13</var>read:<br/>
<a id="pl.228.14"></a><var>228.14</var>    Subd. 6. <b>Implementation of </b><b>care</b><b> coordinated service and support</b><b> plan.</b> (a) Each <br/>
<a id="pl.228.15"></a><var>228.15</var>elderly waiver client shall be provided a copy of a written care coordinated service and <br/>
<a id="pl.228.16"></a><var>228.16</var>support plan that meets the requirements outlined in section 
<statute_ref>256B.0913, subdivision 8</statute_ref>. <br/>
<a id="pl.228.17"></a><var>228.17</var>The care plan must be implemented by the county of service when it is different than the <br/>
<a id="pl.228.18"></a><var>228.18</var>county of financial responsibility. The county of service administering waivered services <br/>
<a id="pl.228.19"></a><var>228.19</var>must notify the county of financial responsibility of the approved care plan. which:<br/>
<a id="pl.228.20"></a><var>228.20</var>(1) is developed and signed by the recipient within ten working days after the case <br/>
<a id="pl.228.21"></a><var>228.21</var>manager receives the assessment information and written community support plan as <br/>
<a id="pl.228.22"></a><var>228.22</var>described in section 256B.0911, subdivision 3a, from the certified assessor;<br/>
<a id="pl.228.23"></a><var>228.23</var>(2) includes the person's need for service and identification of service needs that will <br/>
<a id="pl.228.24"></a><var>228.24</var>be or that are met by the person's relatives, friends, and others, as well as community <br/>
<a id="pl.228.25"></a><var>228.25</var>services used by the general public;<br/>
<a id="pl.228.26"></a><var>228.26</var>(3) reasonably ensures the health and safety of the recipient;<br/>
<a id="pl.228.27"></a><var>228.27</var>(4) identifies the person's preferences for services as stated by the person or the <br/>
<a id="pl.228.28"></a><var>228.28</var>person's legal guardian or conservator;<br/>
<a id="pl.228.29"></a><var>228.29</var>(5) reflects the person's informed choice between institutional and community-based <br/>
<a id="pl.228.30"></a><var>228.30</var>services, as well as choice of services, supports, and providers, including available case <br/>
<a id="pl.228.31"></a><var>228.31</var>manager providers;<br/>
<a id="pl.228.32"></a><var>228.32</var>(6) identifies long and short-range goals for the person;<br/>
<a id="pl.229.1"></a><var>229.1</var>(7) identifies specific services and the amount, frequency, duration, and cost of the <br/>
<a id="pl.229.2"></a><var>229.2</var>services to be provided to the person based on assessed needs, preferences, and available <br/>
<a id="pl.229.3"></a><var>229.3</var>resources;<br/>
<a id="pl.229.4"></a><var>229.4</var>(8) includes information about the right to appeal decisions under section 256.045; <br/>
<a id="pl.229.5"></a><var>229.5</var>and<br/>
<a id="pl.229.6"></a><var>229.6</var>(9) includes the authorized annual and estimated monthly amounts for the services.<br/>
<a id="pl.229.7"></a><var>229.7</var>(b) In developing the coordinated service and support plan, the case manager should <br/>
<a id="pl.229.8"></a><var>229.8</var>also include the use of volunteers, religious organizations, social clubs, and civic and <br/>
<a id="pl.229.9"></a><var>229.9</var>service organizations to support the individual in the community. The lead agency must be <br/>
<a id="pl.229.10"></a><var>229.10</var>held harmless for damages or injuries sustained through the use of volunteers and agencies <br/>
<a id="pl.229.11"></a><var>229.11</var>under this paragraph, including workers' compensation liability.<br/>
<br/>
<a id="bill.11.22.0"></a><a id="pl.229.12"></a><var>229.12</var>    Sec. 22. Minnesota Statutes 2011 Supplement, section 256B.0915, subdivision 10, <br/>
<a id="pl.229.13"></a><var>229.13</var>is amended to read:<br/>
<a id="pl.229.14"></a><var>229.14</var>    Subd. 10. <b>Waiver payment rates; managed care organizations.</b> The <br/>
<a id="pl.229.15"></a><var>229.15</var>commissioner shall adjust the elderly waiver capitation payment rates for managed <br/>
<a id="pl.229.16"></a><var>229.16</var>care organizations paid under section 
         <statute_ref>256B.69, subdivisions 6a</statute_ref> 6b and 23, to reflect the <br/>
<a id="pl.229.17"></a><var>229.17</var>maximum service rate limits for customized living services and 24-hour customized <br/>
<a id="pl.229.18"></a><var>229.18</var>living services under subdivisions 3e and 3h. Medical assistance rates paid to customized <br/>
<a id="pl.229.19"></a><var>229.19</var>living providers by managed care organizations under this section shall not exceed the <br/>
<a id="pl.229.20"></a><var>229.20</var>maximum service rate limits and component rates as determined by the commissioner <br/>
<a id="pl.229.21"></a><var>229.21</var>under subdivisions 3e and 3h.<br/>
<br/>
<a id="bill.11.23.0"></a><a id="pl.229.22"></a><var>229.22</var>    Sec. 23. Minnesota Statutes 2010, section 256B.092, subdivision 1, is amended to read:<br/>
<a id="pl.229.23"></a><var>229.23</var>    Subdivision 1. <b>County of financial responsibility; duties.</b> Before any services <br/>
<a id="pl.229.24"></a><var>229.24</var>shall be rendered to persons with developmental disabilities who are in need of social <br/>
<a id="pl.229.25"></a><var>229.25</var>service and medical assistance, the county of financial responsibility shall conduct or <br/>
<a id="pl.229.26"></a><var>229.26</var>arrange for a diagnostic evaluation in order to determine whether the person has or may <br/>
<a id="pl.229.27"></a><var>229.27</var>have a developmental disability or has or may have a related condition. If the county <br/>
<a id="pl.229.28"></a><var>229.28</var>of financial responsibility determines that the person has a developmental disability, <br/>
<a id="pl.229.29"></a><var>229.29</var>the county shall inform the person of case management services available under this <br/>
<a id="pl.229.30"></a><var>229.30</var>section. Except as provided in subdivision 1g or 4b, if a person is diagnosed as having a <br/>
<a id="pl.229.31"></a><var>229.31</var>developmental disability, the county of financial responsibility shall conduct or arrange for <br/>
<a id="pl.229.32"></a><var>229.32</var>a needs assessment by a certified assessor, and develop or arrange for an individual service <br/>
<a id="pl.229.33"></a><var>229.33</var>a community support plan according to section 256B.0911, provide or arrange for ongoing <br/>
<a id="pl.229.34"></a><var>229.34</var>case management services at the level identified in the individual service plan, provide <br/>
<a id="pl.230.1"></a><var>230.1</var>or arrange for case management administration, and authorize services identified in the <br/>
<a id="pl.230.2"></a><var>230.2</var>person's individual service coordinated service and support plan developed according to <br/>
<a id="pl.230.3"></a><var>230.3</var>subdivision 1b. Diagnostic information, obtained by other providers or agencies, may be <br/>
<a id="pl.230.4"></a><var>230.4</var>used by the county agency in determining eligibility for case management. Nothing in this <br/>
<a id="pl.230.5"></a><var>230.5</var>section shall be construed as requiring: (1) assessment in areas agreed to as unnecessary <br/>
<a id="pl.230.6"></a><var>230.6</var>by the case manager a certified assessor and the person, or the person's legal guardian or <br/>
<a id="pl.230.7"></a><var>230.7</var>conservator, or the parent if the person is a minor, or (2) assessments in areas where there <br/>
<a id="pl.230.8"></a><var>230.8</var>has been a functional assessment completed in the previous 12 months for which the <br/>
<a id="pl.230.9"></a><var>230.9</var>case manager certified assessor and the person or person's guardian or conservator, or the <br/>
<a id="pl.230.10"></a><var>230.10</var>parent if the person is a minor, agree that further assessment is not necessary. For persons <br/>
<a id="pl.230.11"></a><var>230.11</var>under state guardianship, the case manager certified assessor shall seek authorization from <br/>
<a id="pl.230.12"></a><var>230.12</var>the public guardianship office for waiving any assessment requirements. Assessments <br/>
<a id="pl.230.13"></a><var>230.13</var>related to health, safety, and protection of the person for the purpose of identifying service <br/>
<a id="pl.230.14"></a><var>230.14</var>type, amount, and frequency or assessments required to authorize services may not be <br/>
<a id="pl.230.15"></a><var>230.15</var>waived. To the extent possible, for wards of the commissioner the county shall consider <br/>
<a id="pl.230.16"></a><var>230.16</var>the opinions of the parent of the person with a developmental disability when developing <br/>
<a id="pl.230.17"></a><var>230.17</var>the person's individual service community support plan and coordinated service and <br/>
<a id="pl.230.18"></a><var>230.18</var>support plan.<br/>
<br/>
<a id="bill.11.24.0"></a><a id="pl.230.19"></a><var>230.19</var>    Sec. 24. Minnesota Statutes 2010, section 256B.092, subdivision 1a, is amended to <br/>
<a id="pl.230.20"></a><var>230.20</var>read:<br/>
<a id="pl.230.21"></a><var>230.21</var>    Subd. 1a. <b>Case management </b><b>administration and</b><b> services.</b> (a) The administrative <br/>
<a id="pl.230.22"></a><var>230.22</var>functions of case management provided to or arranged for a person include: Each recipient <br/>
<a id="pl.230.23"></a><var>230.23</var>of a home and community-based waiver shall be provided case management services by <br/>
<a id="pl.230.24"></a><var>230.24</var>qualified vendors as described in the federally approved waiver application.<br/>
<a id="pl.230.25"></a><var>230.25</var>(1) review of eligibility for services;<br/>
<a id="pl.230.26"></a><var>230.26</var>(2) screening;<br/>
<a id="pl.230.27"></a><var>230.27</var>(3) intake;<br/>
<a id="pl.230.28"></a><var>230.28</var>(4) diagnosis;<br/>
<a id="pl.230.29"></a><var>230.29</var>(5) the review and authorization of services based upon an individualized service <br/>
<a id="pl.230.30"></a><var>230.30</var>plan; and<br/>
<a id="pl.230.31"></a><var>230.31</var>(6) responding to requests for conciliation conferences and appeals according to <br/>
<a id="pl.230.32"></a><var>230.32</var>section 
<statute_ref>256.045</statute_ref> made by the person, the person's legal guardian or conservator, or the <br/>
<a id="pl.230.33"></a><var>230.33</var>parent if the person is a minor.<br/>
<a id="pl.230.34"></a><var>230.34</var>(b) Case management service activities provided to or arranged for a person include:<br/>
<a id="pl.231.1"></a><var>231.1</var>(1) development of the individual service coordinated service and support plan <br/>
<a id="pl.231.2"></a><var>231.2</var>under subdivision 1b;<br/>
<a id="pl.231.3"></a><var>231.3</var>(2) informing the individual or the individual's legal guardian or conservator, or <br/>
<a id="pl.231.4"></a><var>231.4</var>parent if the person is a minor, of service options;<br/>
<a id="pl.231.5"></a><var>231.5</var>(3) consulting with relevant medical experts or service providers;<br/>
<a id="pl.231.6"></a><var>231.6</var>(4) assisting the person in the identification of potential providers;<br/>
<a id="pl.231.7"></a><var>231.7</var>(5) assisting the person to access services and assisting in appeals under section <br/>
<a id="pl.231.8"></a><var>231.8</var>256.045;<br/>
<a id="pl.231.9"></a><var>231.9</var>(6) coordination of services, if coordination is not provided by another service <br/>
<a id="pl.231.10"></a><var>231.10</var>provider;<br/>
<a id="pl.231.11"></a><var>231.11</var>(7) evaluation and monitoring of the services identified in the coordinated service <br/>
<a id="pl.231.12"></a><var>231.12</var>and support plan, which must incorporate at least one annual face-to-face visit by the case <br/>
<a id="pl.231.13"></a><var>231.13</var>manager with each person; and<br/>
<a id="pl.231.14"></a><var>231.14</var>(8) annual reviews of service plans and services provided reviewing coordinated <br/>
<a id="pl.231.15"></a><var>231.15</var>service and support plans and providing the lead agency with recommendations for service <br/>
<a id="pl.231.16"></a><var>231.16</var>authorization based upon the individual's needs identified in the coordinated service and <br/>
<a id="pl.231.17"></a><var>231.17</var>support plan.<br/>
<a id="pl.231.18"></a><var>231.18</var>(c) Case management administration and service activities that are provided to the <br/>
<a id="pl.231.19"></a><var>231.19</var>person with a developmental disability shall be provided directly by county agencies or <br/>
<a id="pl.231.20"></a><var>231.20</var>under contract. Case management services must be provided by a public or private agency <br/>
<a id="pl.231.21"></a><var>231.21</var>that is enrolled as a medical assistance provider determined by the commissioner to meet <br/>
<a id="pl.231.22"></a><var>231.22</var>all of the requirements in the approved federal waiver plans. Case management services <br/>
<a id="pl.231.23"></a><var>231.23</var>must not be provided to a recipient by a private agency that has a financial interest in the <br/>
<a id="pl.231.24"></a><var>231.24</var>provision of any other services included in the recipient's coordinated service and support <br/>
<a id="pl.231.25"></a><var>231.25</var>plan. For purposes of this section, "private agency" means any agency that is not identified <br/>
<a id="pl.231.26"></a><var>231.26</var>as a lead agency under section 256B.0911, subdivision 1a, paragraph (e).<br/>
<a id="pl.231.27"></a><var>231.27</var>(d) Case managers are responsible for the administrative duties and service <br/>
<a id="pl.231.28"></a><var>231.28</var>provisions listed in paragraphs (a) and (b). Case managers shall collaborate with <br/>
<a id="pl.231.29"></a><var>231.29</var>consumers, families, legal representatives, and relevant medical experts and service <br/>
<a id="pl.231.30"></a><var>231.30</var>providers in the development and annual review of the individualized service coordinated <br/>
<a id="pl.231.31"></a><var>231.31</var>service and support plan and habilitation plans plan.<br/>
<a id="pl.231.32"></a><var>231.32</var>(e) The Department of Human Services shall offer ongoing education in case <br/>
<a id="pl.231.33"></a><var>231.33</var>management to case managers. Case managers shall receive no less than ten hours of case <br/>
<a id="pl.231.34"></a><var>231.34</var>management education and disability-related training each year.<br/>
<br/>
<a id="bill.11.25.0"></a><a id="pl.232.1"></a><var>232.1</var>    Sec. 25. Minnesota Statutes 2010, section 256B.092, subdivision 1b, is amended to <br/>
<a id="pl.232.2"></a><var>232.2</var>read:<br/>
<a id="pl.232.3"></a><var>232.3</var>    Subd. 1b. <b>Individual</b><b> Coordinated</b><b> service</b><b> and support</b><b> plan.</b> The individual <br/>
<a id="pl.232.4"></a><var>232.4</var>service plan must (a) Each recipient of home and community-based waivered services <br/>
<a id="pl.232.5"></a><var>232.5</var>shall be provided a copy of the written coordinated service and support plan which:<br/>
<a id="pl.232.6"></a><var>232.6</var>(1) is developed and signed by the recipient within ten working days after the case <br/>
<a id="pl.232.7"></a><var>232.7</var>manager receives the assessment information and written community support plan as <br/>
<a id="pl.232.8"></a><var>232.8</var>described in section 256B.0911, subdivision 3a, from the certified assessor;<br/>
<a id="pl.232.9"></a><var>232.9</var>(1) include the results of the assessment information on (2) includes the person's <br/>
<a id="pl.232.10"></a><var>232.10</var>need for service, including identification of service needs that will be or that are met <br/>
<a id="pl.232.11"></a><var>232.11</var>by the person's relatives, friends, and others, as well as community services used by <br/>
<a id="pl.232.12"></a><var>232.12</var>the general public;<br/>
<a id="pl.232.13"></a><var>232.13</var>(3) reasonably ensures the health and safety of the recipient;<br/>
<a id="pl.232.14"></a><var>232.14</var>(2) identify (4) identifies the person's preferences for services as stated by the <br/>
<a id="pl.232.15"></a><var>232.15</var>person, the person's legal guardian or conservator, or the parent if the person is a minor, <br/>
<a id="pl.232.16"></a><var>232.16</var>including the person's choices made on self-directed options and on services and supports <br/>
<a id="pl.232.17"></a><var>232.17</var>to achieve employment goals;<br/>
<a id="pl.232.18"></a><var>232.18</var>(5) provides for an informed choice, as defined in section 256B.77, subdivision 2, <br/>
<a id="pl.232.19"></a><var>232.19</var>paragraph (o), of service and support providers, and identifies all available options for <br/>
<a id="pl.232.20"></a><var>232.20</var>case management services and providers;<br/>
<a id="pl.232.21"></a><var>232.21</var>(3) identify (6) identifies long- and short-range goals for the person;<br/>
<a id="pl.232.22"></a><var>232.22</var>(4) identify (7) identifies specific services and the amount and frequency of the <br/>
<a id="pl.232.23"></a><var>232.23</var>services to be provided to the person based on assessed needs, preferences, and available <br/>
<a id="pl.232.24"></a><var>232.24</var>resources. The individual service coordinated service and support plan shall also specify <br/>
<a id="pl.232.25"></a><var>232.25</var>other services the person needs that are not available;<br/>
<a id="pl.232.26"></a><var>232.26</var>(5) identify (8) identifies the need for an individual program plan to be developed <br/>
<a id="pl.232.27"></a><var>232.27</var>by the provider according to the respective state and federal licensing and certification <br/>
<a id="pl.232.28"></a><var>232.28</var>standards, and additional assessments to be completed or arranged by the provider after <br/>
<a id="pl.232.29"></a><var>232.29</var>service initiation;<br/>
<a id="pl.232.30"></a><var>232.30</var>(6) identify (9) identifies provider responsibilities to implement and make <br/>
<a id="pl.232.31"></a><var>232.31</var>recommendations for modification to the individual service coordinated service and <br/>
<a id="pl.232.32"></a><var>232.32</var>support plan;<br/>
<a id="pl.232.33"></a><var>232.33</var>(7) include (10) includes notice of the right to request a conciliation conference or a <br/>
<a id="pl.232.34"></a><var>232.34</var>hearing under section 
         <statute_ref>256.045</statute_ref>;<br/>
<a id="pl.233.1"></a><var>233.1</var>(8) be (11) is agreed upon and signed by the person, the person's legal guardian <br/>
<a id="pl.233.2"></a><var>233.2</var>or conservator, or the parent if the person is a minor, and the authorized county <br/>
<a id="pl.233.3"></a><var>233.3</var>representative; and<br/>
<a id="pl.233.4"></a><var>233.4</var>(9) be (12) is reviewed by a health professional if the person has overriding medical <br/>
<a id="pl.233.5"></a><var>233.5</var>needs that impact the delivery of services.; and<br/>
<a id="pl.233.6"></a><var>233.6</var>(13) includes the authorized annual and monthly amounts for the services.<br/>
<a id="pl.233.7"></a><var>233.7</var>Service planning formats developed for interagency planning such as transition, <br/>
<a id="pl.233.8"></a><var>233.8</var>vocational, and individual family service plans may be substituted for service planning <br/>
<a id="pl.233.9"></a><var>233.9</var>formats developed by county agencies.<br/>
<a id="pl.233.10"></a><var>233.10</var>(b) In developing the coordinated service and support plan, the case manager is <br/>
<a id="pl.233.11"></a><var>233.11</var>encouraged to include the use of volunteers, religious organizations, social clubs, and civic <br/>
<a id="pl.233.12"></a><var>233.12</var>and service organizations to support the individual in the community. The lead agency <br/>
<a id="pl.233.13"></a><var>233.13</var>must be held harmless for damages or injuries sustained through the use of volunteers and <br/>
<a id="pl.233.14"></a><var>233.14</var>agencies under this paragraph, including workers' compensation liability.<br/>
<br/>
<a id="bill.11.26.0"></a><a id="pl.233.15"></a><var>233.15</var>    Sec. 26. Minnesota Statutes 2010, section 256B.092, subdivision 1e, is amended to <br/>
<a id="pl.233.16"></a><var>233.16</var>read:<br/>
<a id="pl.233.17"></a><var>233.17</var>    Subd. 1e. <b>Coordination, evaluation, and monitoring of services.</b> (a) If the <br/>
<a id="pl.233.18"></a><var>233.18</var>individual service coordinated service and support plan identifies the need for individual <br/>
<a id="pl.233.19"></a><var>233.19</var>program plans for authorized services, the case manager shall assure that individual <br/>
<a id="pl.233.20"></a><var>233.20</var>program plans are developed by the providers according to clauses (2) to (5). The <br/>
<a id="pl.233.21"></a><var>233.21</var>providers shall assure that the individual program plans:<br/>
<a id="pl.233.22"></a><var>233.22</var>(1) are developed according to the respective state and federal licensing and <br/>
<a id="pl.233.23"></a><var>233.23</var>certification requirements;<br/>
<a id="pl.233.24"></a><var>233.24</var>(2) are designed to achieve the goals of the individual service coordinated service <br/>
<a id="pl.233.25"></a><var>233.25</var>and support plan;<br/>
<a id="pl.233.26"></a><var>233.26</var>(3) are consistent with other aspects of the individual service coordinated service <br/>
<a id="pl.233.27"></a><var>233.27</var>and support plan;<br/>
<a id="pl.233.28"></a><var>233.28</var>(4) assure the health and safety of the person; and<br/>
<a id="pl.233.29"></a><var>233.29</var>(5) are developed with consistent and coordinated approaches to services among the <br/>
<a id="pl.233.30"></a><var>233.30</var>various service providers.<br/>
<a id="pl.233.31"></a><var>233.31</var>(b) The case manager shall monitor the provision of services:<br/>
<a id="pl.233.32"></a><var>233.32</var>(1) to assure that the individual service coordinated service and support plan is <br/>
<a id="pl.233.33"></a><var>233.33</var>being followed according to paragraph (a);<br/>
<a id="pl.234.1"></a><var>234.1</var>(2) to identify any changes or modifications that might be needed in the individual <br/>
<a id="pl.234.2"></a><var>234.2</var>service coordinated service and support plan, including changes resulting from <br/>
<a id="pl.234.3"></a><var>234.3</var>recommendations of current service providers;<br/>
<a id="pl.234.4"></a><var>234.4</var>(3) to determine if the person's legal rights are protected, and if not, notify the <br/>
<a id="pl.234.5"></a><var>234.5</var>person's legal guardian or conservator, or the parent if the person is a minor, protection <br/>
<a id="pl.234.6"></a><var>234.6</var>services, or licensing agencies as appropriate; and<br/>
<a id="pl.234.7"></a><var>234.7</var>(4) to determine if the person, the person's legal guardian or conservator, or the <br/>
<a id="pl.234.8"></a><var>234.8</var>parent if the person is a minor, is satisfied with the services provided.<br/>
<a id="pl.234.9"></a><var>234.9</var>(c) If the provider fails to develop or carry out the individual program plan according <br/>
<a id="pl.234.10"></a><var>234.10</var>to paragraph (a), the case manager shall notify the person's legal guardian or conservator, <br/>
<a id="pl.234.11"></a><var>234.11</var>or the parent if the person is a minor, the provider, the respective licensing and certification <br/>
<a id="pl.234.12"></a><var>234.12</var>agencies, and the county board where the services are being provided. In addition, the <br/>
<a id="pl.234.13"></a><var>234.13</var>case manager shall identify other steps needed to assure the person receives the services <br/>
<a id="pl.234.14"></a><var>234.14</var>identified in the individual service coordinated service and support plan.<br/>
<br/>
<a id="bill.11.27.0"></a><a id="pl.234.15"></a><var>234.15</var>    Sec. 27. Minnesota Statutes 2010, section 256B.092, subdivision 1g, is amended to <br/>
<a id="pl.234.16"></a><var>234.16</var>read:<br/>
<a id="pl.234.17"></a><var>234.17</var>    Subd. 1g. <b>Conditions not requiring development of </b><b>individual service</b><b> </b><br/>
<a id="pl.234.18"></a><var>234.18</var><b>coordinated service and support</b><b> plan.</b> Unless otherwise required by federal law, the <br/>
<a id="pl.234.19"></a><var>234.19</var>county agency is not required to complete an individual service a coordinated service and <br/>
<a id="pl.234.20"></a><var>234.20</var>support plan as defined in subdivision 1b for:<br/>
<a id="pl.234.21"></a><var>234.21</var>(1) persons whose families are requesting respite care for their family member who <br/>
<a id="pl.234.22"></a><var>234.22</var>resides with them, or whose families are requesting a family support grant and are not <br/>
<a id="pl.234.23"></a><var>234.23</var>requesting purchase or arrangement of habilitative services; and<br/>
<a id="pl.234.24"></a><var>234.24</var>(2) persons with developmental disabilities, living independently without authorized <br/>
<a id="pl.234.25"></a><var>234.25</var>services or receiving funding for services at a rehabilitation facility as defined in section <br/>
<statute_ref><a id="pl.234.26"></a><var>234.26</var>268A.01, subdivision 6
         </statute_ref>, and not in need of or requesting additional services.<br/>
<br/>
<a id="bill.11.28.0"></a><a id="pl.234.27"></a><var>234.27</var>    Sec. 28. Minnesota Statutes 2010, section 256B.092, subdivision 2, is amended to read:<br/>
<a id="pl.234.28"></a><var>234.28</var>    Subd. 2. <b>Medical assistance.</b> To assure quality case management to those persons <br/>
<a id="pl.234.29"></a><var>234.29</var>who are eligible for medical assistance, the commissioner shall, upon request:<br/>
<a id="pl.234.30"></a><var>234.30</var>(1) provide consultation on the case management process;<br/>
<a id="pl.234.31"></a><var>234.31</var>(2) assist county agencies in the screening and annual reviews of clients review <br/>
<a id="pl.234.32"></a><var>234.32</var>process to assure that appropriate levels of service are provided to persons;<br/>
<a id="pl.234.33"></a><var>234.33</var>(3) provide consultation on service planning and development of services with <br/>
<a id="pl.234.34"></a><var>234.34</var>appropriate options;<br/>
<a id="pl.235.1"></a><var>235.1</var>(4) provide training and technical assistance to county case managers; and<br/>
<a id="pl.235.2"></a><var>235.2</var>(5) authorize payment for medical assistance services according to this chapter <br/>
<a id="pl.235.3"></a><var>235.3</var>and rules implementing it.<br/>
<br/>
<a id="bill.11.29.0"></a><a id="pl.235.4"></a><var>235.4</var>    Sec. 29. Minnesota Statutes 2010, section 256B.092, subdivision 3, is amended to read:<br/>
<a id="pl.235.5"></a><var>235.5</var>    Subd. 3. <b>Authorization and termination of services.</b> County agency case <br/>
<a id="pl.235.6"></a><var>235.6</var>managers, under rules of the commissioner, shall authorize and terminate services of <br/>
<a id="pl.235.7"></a><var>235.7</var>community and regional treatment center providers according to individual service <br/>
<a id="pl.235.8"></a><var>235.8</var>support plans. Services provided to persons with developmental disabilities may only be <br/>
<a id="pl.235.9"></a><var>235.9</var>authorized and terminated by case managers or certified assessors according to (1) rules of <br/>
<a id="pl.235.10"></a><var>235.10</var>the commissioner and (2) the individual service coordinated service and support plan as <br/>
<a id="pl.235.11"></a><var>235.11</var>defined in subdivision 1b. Medical assistance services not needed shall not be authorized <br/>
<a id="pl.235.12"></a><var>235.12</var>by county agencies or funded by the commissioner. When purchasing or arranging for <br/>
<a id="pl.235.13"></a><var>235.13</var>unlicensed respite care services for persons with overriding health needs, the county <br/>
<a id="pl.235.14"></a><var>235.14</var>agency shall seek the advice of a health care professional in assessing provider staff <br/>
<a id="pl.235.15"></a><var>235.15</var>training needs and skills necessary to meet the medical needs of the person.<br/>
<br/>
<a id="bill.11.30.0"></a><a id="pl.235.16"></a><var>235.16</var>    Sec. 30. Minnesota Statutes 2010, section 256B.092, subdivision 5, is amended to read:<br/>
<a id="pl.235.17"></a><var>235.17</var>    Subd. 5. <b>Federal waivers.</b> (a) The commissioner shall apply for any federal <br/>
<a id="pl.235.18"></a><var>235.18</var>waivers necessary to secure, to the extent allowed by law, federal financial participation <br/>
<a id="pl.235.19"></a><var>235.19</var>under United States Code, title 42, sections 1396 et seq., as amended, for the provision <br/>
<a id="pl.235.20"></a><var>235.20</var>of services to persons who, in the absence of the services, would need the level of care <br/>
<a id="pl.235.21"></a><var>235.21</var>provided in a regional treatment center or a community intermediate care facility for <br/>
<a id="pl.235.22"></a><var>235.22</var>persons with developmental disabilities. The commissioner may seek amendments to the <br/>
<a id="pl.235.23"></a><var>235.23</var>waivers or apply for additional waivers under United States Code, title 42, sections 1396 <br/>
<a id="pl.235.24"></a><var>235.24</var>et seq., as amended, to contain costs. The commissioner shall ensure that payment for <br/>
<a id="pl.235.25"></a><var>235.25</var>the cost of providing home and community-based alternative services under the federal <br/>
<a id="pl.235.26"></a><var>235.26</var>waiver plan shall not exceed the cost of intermediate care services including day training <br/>
<a id="pl.235.27"></a><var>235.27</var>and habilitation services that would have been provided without the waivered services.<br/>
<a id="pl.235.28"></a><var>235.28</var>The commissioner shall seek an amendment to the 1915c home and <br/>
<a id="pl.235.29"></a><var>235.29</var>community-based waiver to allow properly licensed adult foster care homes to provide <br/>
<a id="pl.235.30"></a><var>235.30</var>residential services to up to five individuals with developmental disabilities. If the <br/>
<a id="pl.235.31"></a><var>235.31</var>amendment to the waiver is approved, adult foster care providers that can accommodate <br/>
<a id="pl.235.32"></a><var>235.32</var>five individuals shall increase their capacity to five beds, provided the providers continue <br/>
<a id="pl.235.33"></a><var>235.33</var>to meet all applicable licensing requirements.<br/>
<a id="pl.236.1"></a><var>236.1</var>(b) The commissioner, in administering home and community-based waivers for <br/>
<a id="pl.236.2"></a><var>236.2</var>persons with developmental disabilities, shall ensure that day services for eligible persons <br/>
<a id="pl.236.3"></a><var>236.3</var>are not provided by the person's residential service provider, unless the person or the <br/>
<a id="pl.236.4"></a><var>236.4</var>person's legal representative is offered a choice of providers and agrees in writing to <br/>
<a id="pl.236.5"></a><var>236.5</var>provision of day services by the residential service provider. The individual service <br/>
<a id="pl.236.6"></a><var>236.6</var>coordinated service and support plan for individuals who choose to have their residential <br/>
<a id="pl.236.7"></a><var>236.7</var>service provider provide their day services must describe how health, safety, protection, <br/>
<a id="pl.236.8"></a><var>236.8</var>and habilitation needs will be met, including how frequent and regular contact with <br/>
<a id="pl.236.9"></a><var>236.9</var>persons other than the residential service provider will occur. The individualized service <br/>
<a id="pl.236.10"></a><var>236.10</var>coordinated service and support plan must address the provision of services during the <br/>
<a id="pl.236.11"></a><var>236.11</var>day outside the residence on weekdays.<br/>
<a id="pl.236.12"></a><var>236.12</var>(c) When a county lead agency is evaluating denials, reductions, or terminations <br/>
<a id="pl.236.13"></a><var>236.13</var>of home and community-based services under section 
         <statute_ref>256B.0916</statute_ref> for an individual, the <br/>
<a id="pl.236.14"></a><var>236.14</var>case manager lead agency shall offer to meet with the individual or the individual's <br/>
<a id="pl.236.15"></a><var>236.15</var>guardian in order to discuss the prioritization of service needs within the individualized <br/>
<a id="pl.236.16"></a><var>236.16</var>service coordinated service and support plan. The reduction in the authorized services <br/>
<a id="pl.236.17"></a><var>236.17</var>for an individual due to changes in funding for waivered services may not exceed the <br/>
<a id="pl.236.18"></a><var>236.18</var>amount needed to ensure medically necessary services to meet the individual's health, <br/>
<a id="pl.236.19"></a><var>236.19</var>safety, and welfare.<br/>
<br/>
<a id="bill.11.31.0"></a><a id="pl.236.20"></a><var>236.20</var>    Sec. 31. Minnesota Statutes 2010, section 256B.092, subdivision 7, is amended to read:<br/>
<a id="pl.236.21"></a><var>236.21</var>    Subd. 7. <b>Screening teams</b><b> Assessments</b><b>.</b> (a) Assessments and reassessments shall <br/>
<a id="pl.236.22"></a><var>236.22</var>be conducted by certified assessors according to section 256B.0911, and must incorporate <br/>
<a id="pl.236.23"></a><var>236.23</var>appropriate referrals to determine eligibility for case management under subdivision 1a.<br/>
<a id="pl.236.24"></a><var>236.24</var>(b) For persons with developmental disabilities, screening teams shall be established <br/>
<a id="pl.236.25"></a><var>236.25</var>which a certified assessor shall evaluate the need for the an institutional level of care. <br/>
<a id="pl.236.26"></a><var>236.26</var>provided by residential-based habilitation services, residential services, training and <br/>
<a id="pl.236.27"></a><var>236.27</var>habilitation services, and nursing facility services. The evaluation assessment shall <br/>
<a id="pl.236.28"></a><var>236.28</var>address whether home and community-based services are appropriate for persons who <br/>
<a id="pl.236.29"></a><var>236.29</var>are at risk of placement in an intermediate care facility for persons with developmental <br/>
<a id="pl.236.30"></a><var>236.30</var>disabilities, or for whom there is reasonable indication that they might require this level of <br/>
<a id="pl.236.31"></a><var>236.31</var>care. The screening team certified assessor shall make an evaluation of need within 60 <br/>
<a id="pl.236.32"></a><var>236.32</var>working days of a request for service by a person with a developmental disability, and <br/>
<a id="pl.236.33"></a><var>236.33</var>within five working days of an emergency admission of a person to an intermediate care <br/>
<a id="pl.236.34"></a><var>236.34</var>facility for persons with developmental disabilities. The screening team shall consist of <br/>
<a id="pl.236.35"></a><var>236.35</var>the case manager for persons with developmental disabilities, the person, the person's <br/>
<a id="pl.237.1"></a><var>237.1</var>legal guardian or conservator, or the parent if the person is a minor, and a qualified <br/>
<a id="pl.237.2"></a><var>237.2</var>developmental disability professional, as defined in the Code of Federal Regulations, <br/>
<a id="pl.237.3"></a><var>237.3</var>title 42, section 
<statute_ref>483.430</statute_ref>, as amended through June 3, 1988. The case manager may also <br/>
<a id="pl.237.4"></a><var>237.4</var>act as the qualified developmental disability professional if the case manager meets <br/>
<a id="pl.237.5"></a><var>237.5</var>the federal definition. County social service agencies may contract with a public or <br/>
<a id="pl.237.6"></a><var>237.6</var>private agency or individual who is not a service provider for the person for the public <br/>
<a id="pl.237.7"></a><var>237.7</var>guardianship representation required by the screening or individual service planning <br/>
<a id="pl.237.8"></a><var>237.8</var>process. The contract shall be limited to public guardianship representation for the <br/>
<a id="pl.237.9"></a><var>237.9</var>screening and individual service planning activities. The contract shall require compliance <br/>
<a id="pl.237.10"></a><var>237.10</var>with the commissioner's instructions and may be for paid or voluntary services. For <br/>
<a id="pl.237.11"></a><var>237.11</var>persons determined to have overriding health care needs and are seeking admission to a <br/>
<a id="pl.237.12"></a><var>237.12</var>nursing facility or an ICF/MR, or seeking access to home and community-based waivered <br/>
<a id="pl.237.13"></a><var>237.13</var>services, a registered nurse must be designated as either the case manager or the qualified <br/>
<a id="pl.237.14"></a><var>237.14</var>developmental disability professional. For persons under the jurisdiction of a correctional <br/>
<a id="pl.237.15"></a><var>237.15</var>agency, the case manager must consult with the corrections administrator regarding <br/>
<a id="pl.237.16"></a><var>237.16</var>additional health, safety, and supervision needs. The case manager, with the concurrence <br/>
<a id="pl.237.17"></a><var>237.17</var>of the person, the person's legal guardian or conservator, or the parent if the person is a <br/>
<a id="pl.237.18"></a><var>237.18</var>minor, may invite other individuals to attend meetings of the screening team. No member <br/>
<a id="pl.237.19"></a><var>237.19</var>of the screening team shall have any direct or indirect service provider interest in the case. <br/>
<a id="pl.237.20"></a><var>237.20</var>Nothing in this section shall be construed as requiring the screening team meeting to be <br/>
<a id="pl.237.21"></a><var>237.21</var>separate from the service planning meeting.<br/>
<br/>
<a id="bill.11.32.0"></a><a id="pl.237.22"></a><var>237.22</var>    Sec. 32. Minnesota Statutes 2010, section 256B.092, subdivision 8, is amended to read:<br/>
<a id="pl.237.23"></a><var>237.23</var>    Subd. 8. <b>Screening team</b><b> Additional certified assessor</b><b> duties.</b> In addition to the <br/>
<a id="pl.237.24"></a><var>237.24</var>responsibilities of certified assessors described in section 256B.0911, for persons with <br/>
<a id="pl.237.25"></a><var>237.25</var>developmental disabilities, the screening team certified assessor shall:<br/>
<a id="pl.237.26"></a><var>237.26</var>(1) review diagnostic data;<br/>
<a id="pl.237.27"></a><var>237.27</var>(2) review health, social, and developmental assessment data using a uniform <br/>
<a id="pl.237.28"></a><var>237.28</var>screening tool specified by the commissioner;<br/>
<a id="pl.237.29"></a><var>237.29</var>(3) identify the level of services appropriate to maintain the person in the most <br/>
<a id="pl.237.30"></a><var>237.30</var>normal and least restrictive setting that is consistent with the person's treatment needs;<br/>
<a id="pl.237.31"></a><var>237.31</var>(4) (1) identify other noninstitutional public assistance or social service that may <br/>
<a id="pl.237.32"></a><var>237.32</var>prevent or delay long-term residential placement;<br/>
<a id="pl.237.33"></a><var>237.33</var>(5) (2) assess whether a person is in need of long-term residential care;<br/>
<a id="pl.237.34"></a><var>237.34</var>(6) (3) make recommendations regarding placement and payment for:<br/>
<a id="pl.238.1"></a><var>238.1</var>(i) social service or public assistance support, or both, to maintain a person in the <br/>
<a id="pl.238.2"></a><var>238.2</var>person's own home or other place of residence;<br/>
<a id="pl.238.3"></a><var>238.3</var>(ii) training and habilitation service, vocational rehabilitation, and employment <br/>
<a id="pl.238.4"></a><var>238.4</var>training activities;<br/>
<a id="pl.238.5"></a><var>238.5</var>(iii) community residential service placement;<br/>
<a id="pl.238.6"></a><var>238.6</var>(iv) regional treatment center placement; or<br/>
<a id="pl.238.7"></a><var>238.7</var>(v) a home and community-based service alternative to community residential <br/>
<a id="pl.238.8"></a><var>238.8</var>placement service or regional treatment center placement including self-directed service <br/>
<a id="pl.238.9"></a><var>238.9</var>options;<br/>
<a id="pl.238.10"></a><var>238.10</var>(7) (4) evaluate the availability, location, and quality of the services listed in clause <br/>
<a id="pl.238.11"></a><var>238.11</var>(6) (3), including the impact of placement alternatives on the person's ability to maintain <br/>
<a id="pl.238.12"></a><var>238.12</var>or improve existing patterns of contact and involvement with parents and other family <br/>
<a id="pl.238.13"></a><var>238.13</var>members;<br/>
<a id="pl.238.14"></a><var>238.14</var>(8) (5) identify the cost implications of recommendations in clause (6) (3); and<br/>
<a id="pl.238.15"></a><var>238.15</var>(9) (6) make recommendations to a court as may be needed to assist the court in <br/>
<a id="pl.238.16"></a><var>238.16</var>making decisions regarding commitment of persons with developmental disabilities; and.<br/>
<a id="pl.238.17"></a><var>238.17</var>(10) inform the person and the person's legal guardian or conservator, or the parent if <br/>
<a id="pl.238.18"></a><var>238.18</var>the person is a minor, that appeal may be made to the commissioner pursuant to section <br/>
<a id="pl.238.19"></a><var>238.19</var><statute_ref>256.045</statute_ref>.<br/>
<br/>
<a id="bill.11.33.0"></a><a id="pl.238.20"></a><var>238.20</var>    Sec. 33. Minnesota Statutes 2010, section 256B.092, subdivision 8a, is amended to <br/>
<a id="pl.238.21"></a><var>238.21</var>read:<br/>
<a id="pl.238.22"></a><var>238.22</var>    Subd. 8a. <b>County </b><b>concurrence</b><b> notification</b><b>.</b> (a) If the county of financial <br/>
<a id="pl.238.23"></a><var>238.23</var>responsibility wishes to place a person in another county for services, the county of <br/>
<a id="pl.238.24"></a><var>238.24</var>financial responsibility shall seek concurrence from notify the proposed county of service <br/>
<a id="pl.238.25"></a><var>238.25</var>and the placement shall be made cooperatively between the two counties. Arrangements <br/>
<a id="pl.238.26"></a><var>238.26</var>shall be made between the two counties for ongoing social service, including annual <br/>
<a id="pl.238.27"></a><var>238.27</var>reviews of the person's individual service coordinated service and support plan. The county <br/>
<a id="pl.238.28"></a><var>238.28</var>where services are provided may not make changes in the person's service coordinated <br/>
<a id="pl.238.29"></a><var>238.29</var>service and support plan without approval by the county of financial responsibility.<br/>
<a id="pl.238.30"></a><var>238.30</var>(b) When a person has been screened and authorized for services in an intermediate <br/>
<a id="pl.238.31"></a><var>238.31</var>care facility for persons with developmental disabilities or for home and community-based <br/>
<a id="pl.238.32"></a><var>238.32</var>services for persons with developmental disabilities, the case manager shall assist that <br/>
<a id="pl.238.33"></a><var>238.33</var>person in identifying a service provider who is able to meet the needs of the person <br/>
<a id="pl.238.34"></a><var>238.34</var>according to the person's individual service plan. If the identified service is to be provided <br/>
<a id="pl.238.35"></a><var>238.35</var>in a county other than the county of financial responsibility, the county of financial <br/>
<a id="pl.239.1"></a><var>239.1</var>responsibility shall request concurrence of the county where the person is requesting to <br/>
<a id="pl.239.2"></a><var>239.2</var>receive the identified services. The county of service may refuse to concur shall notify <br/>
<a id="pl.239.3"></a><var>239.3</var>the county of financial responsibility if:<br/>
<a id="pl.239.4"></a><var>239.4</var>(1) it can demonstrate that the provider is unable to provide the services identified in <br/>
<a id="pl.239.5"></a><var>239.5</var>the person's individual service plan as services that are needed and are to be provided; or<br/>
<a id="pl.239.6"></a><var>239.6</var>(2), in the case of an intermediate care facility for persons with developmental <br/>
<a id="pl.239.7"></a><var>239.7</var>disabilities, there has been no authorization for admission by the admission review team <br/>
<a id="pl.239.8"></a><var>239.8</var>as required in section 
         <statute_ref>256B.0926</statute_ref>.<br/>
<a id="pl.239.9"></a><var>239.9</var>(c) The county of service shall notify the county of financial responsibility of <br/>
<a id="pl.239.10"></a><var>239.10</var>concurrence or refusal to concur any concerns about the chosen provider's capacity to <br/>
<a id="pl.239.11"></a><var>239.11</var>meet the needs of the person seeking to move to residential services in another county no <br/>
<a id="pl.239.12"></a><var>239.12</var>later than 20 working days following receipt of the written request notification. Unless <br/>
<a id="pl.239.13"></a><var>239.13</var>other mutually acceptable arrangements are made by the involved county agencies, the <br/>
<a id="pl.239.14"></a><var>239.14</var>county of financial responsibility is responsible for costs of social services and the costs <br/>
<a id="pl.239.15"></a><var>239.15</var>associated with the development and maintenance of the placement. The county of <br/>
<a id="pl.239.16"></a><var>239.16</var>service may request that the county of financial responsibility purchase case management <br/>
<a id="pl.239.17"></a><var>239.17</var>services from the county of service or from a contracted provider of case management <br/>
<a id="pl.239.18"></a><var>239.18</var>when the county of financial responsibility is not providing case management as defined <br/>
<a id="pl.239.19"></a><var>239.19</var>in this section and rules adopted under this section, unless other mutually acceptable <br/>
<a id="pl.239.20"></a><var>239.20</var>arrangements are made by the involved county agencies. Standards for payment limits <br/>
<a id="pl.239.21"></a><var>239.21</var>under this section may be established by the commissioner. Financial disputes between <br/>
<a id="pl.239.22"></a><var>239.22</var>counties shall be resolved as provided in section 
         <statute_ref>256G.09</statute_ref>. This subdivision also applies to <br/>
<a id="pl.239.23"></a><var>239.23</var>home and community-based waiver services provided under section 256B.49.<br/>
<br/>
<a id="bill.11.34.0"></a><a id="pl.239.24"></a><var>239.24</var>    Sec. 34. Minnesota Statutes 2010, section 256B.092, subdivision 9, is amended to read:<br/>
<a id="pl.239.25"></a><var>239.25</var>    Subd. 9. <b>Reimbursement.</b> Payment for services shall not be provided to a <br/>
<a id="pl.239.26"></a><var>239.26</var>service provider for any person placed in an intermediate care facility for persons with <br/>
<a id="pl.239.27"></a><var>239.27</var>developmental disabilities prior to the person being screened by the screening team <br/>
<a id="pl.239.28"></a><var>239.28</var>receiving an assessment by a certified assessor. The commissioner shall not deny <br/>
<a id="pl.239.29"></a><var>239.29</var>reimbursement for: (1) a person admitted to an intermediate care facility for persons <br/>
<a id="pl.239.30"></a><var>239.30</var>with developmental disabilities who is assessed to need long-term supportive services, <br/>
<a id="pl.239.31"></a><var>239.31</var>if long-term supportive services other than intermediate care are not available in that <br/>
<a id="pl.239.32"></a><var>239.32</var>community; (2) any person admitted to an intermediate care facility for persons with <br/>
<a id="pl.239.33"></a><var>239.33</var>developmental disabilities under emergency circumstances; (3) any eligible person placed <br/>
<a id="pl.239.34"></a><var>239.34</var>in the intermediate care facility for persons with developmental disabilities pending an <br/>
<a id="pl.239.35"></a><var>239.35</var>appeal of the screening team's certified assessor's decision; or (4) any medical assistance <br/>
<a id="pl.240.1"></a><var>240.1</var>recipient when, after full discussion of all appropriate alternatives including those that <br/>
<a id="pl.240.2"></a><var>240.2</var>are expected to be less costly than intermediate care for persons with developmental <br/>
<a id="pl.240.3"></a><var>240.3</var>disabilities, the person or the person's legal guardian or conservator, or the parent if the <br/>
<a id="pl.240.4"></a><var>240.4</var>person is a minor, insists on intermediate care placement. The screening team certified <br/>
<a id="pl.240.5"></a><var>240.5</var>assessor shall provide documentation that the most cost-effective alternatives available <br/>
<a id="pl.240.6"></a><var>240.6</var>were offered to this individual or the individual's legal guardian or conservator.<br/>
<br/>
<a id="bill.11.35.0"></a><a id="pl.240.7"></a><var>240.7</var>    Sec. 35. Minnesota Statutes 2010, section 256B.092, subdivision 11, is amended to <br/>
<a id="pl.240.8"></a><var>240.8</var>read:<br/>
<a id="pl.240.9"></a><var>240.9</var>    Subd. 11. <b>Residential support services.</b> (a) Upon federal approval, there is <br/>
<a id="pl.240.10"></a><var>240.10</var>established a new service called residential support that is available on the community <br/>
<a id="pl.240.11"></a><var>240.11</var>alternative care, community alternatives for disabled individuals, developmental <br/>
<a id="pl.240.12"></a><var>240.12</var>disabilities, and traumatic brain injury waivers. Existing waiver service descriptions <br/>
<a id="pl.240.13"></a><var>240.13</var>must be modified to the extent necessary to ensure there is no duplication between <br/>
<a id="pl.240.14"></a><var>240.14</var>other services. Residential support services must be provided by vendors licensed as a <br/>
<a id="pl.240.15"></a><var>240.15</var>community residential setting as defined in section 
         <statute_ref>245A.11, subdivision 8</statute_ref>.<br/>
<a id="pl.240.16"></a><var>240.16</var>(b) Residential support services must meet the following criteria:<br/>
<a id="pl.240.17"></a><var>240.17</var>(1) providers of residential support services must own or control the residential site;<br/>
<a id="pl.240.18"></a><var>240.18</var>(2) the residential site must not be the primary residence of the license holder;<br/>
<a id="pl.240.19"></a><var>240.19</var>(3) the residential site must have a designated program supervisor responsible for <br/>
<a id="pl.240.20"></a><var>240.20</var>program oversight, development, and implementation of policies and procedures;<br/>
<a id="pl.240.21"></a><var>240.21</var>(4) the provider of residential support services must provide supervision, training, <br/>
<a id="pl.240.22"></a><var>240.22</var>and assistance as described in the person's community coordinated service and support <br/>
<a id="pl.240.23"></a><var>240.23</var>plan; and<br/>
<a id="pl.240.24"></a><var>240.24</var>(5) the provider of residential support services must meet the requirements of <br/>
<a id="pl.240.25"></a><var>240.25</var>licensure and additional requirements of the person's community coordinated service and <br/>
<a id="pl.240.26"></a><var>240.26</var>support plan.<br/>
<a id="pl.240.27"></a><var>240.27</var>(c) Providers of residential support services that meet the definition in paragraph <br/>
<a id="pl.240.28"></a><var>240.28</var>(a) must be registered using a process determined by the commissioner beginning July <br/>
<a id="pl.240.29"></a><var>240.29</var>1, 2009.<br/>
<br/>
<a id="bill.11.36.0"></a><a id="pl.240.30"></a><var>240.30</var>    Sec. 36. Minnesota Statutes 2010, section 256B.15, subdivision 1c, is amended to read:<br/>
<a id="pl.240.31"></a><var>240.31</var>    Subd. 1c. <b>Notice of potential claim.</b> (a) A state agency with a claim or potential <br/>
<a id="pl.240.32"></a><var>240.32</var>claim under this section may file a notice of potential claim under this subdivision anytime <br/>
<a id="pl.240.33"></a><var>240.33</var>before or within one year after a medical assistance recipient dies. The claimant shall be <br/>
<a id="pl.240.34"></a><var>240.34</var>the state agency. A notice filed prior to the recipient's death shall not take effect and shall <br/>
<a id="pl.241.1"></a><var>241.1</var>not be effective as notice until the recipient dies. A notice filed after a recipient dies <br/>
<a id="pl.241.2"></a><var>241.2</var>shall be effective from the time of filing.<br/>
<a id="pl.241.3"></a><var>241.3</var>    (b) The notice of claim shall be filed or recorded in the real estate records in the <br/>
<a id="pl.241.4"></a><var>241.4</var>office of the county recorder or registrar of titles for each county in which any part of <br/>
<a id="pl.241.5"></a><var>241.5</var>the property is located. The recorder shall accept the notice for recording or filing. The <br/>
<a id="pl.241.6"></a><var>241.6</var>registrar of titles shall accept the notice for filing if the recipient has a recorded interest in <br/>
<a id="pl.241.7"></a><var>241.7</var>the property. The registrar of titles shall not carry forward to a new certificate of title any <br/>
<a id="pl.241.8"></a><var>241.8</var>notice filed more than one year from the date of the recipient's death.<br/>
<a id="pl.241.9"></a><var>241.9</var>    (c) The notice must be dated, state the name of the claimant, the medical assistance <br/>
<a id="pl.241.10"></a><var>241.10</var>recipient's name and last four digits of the Social Security number if filed before their <br/>
<a id="pl.241.11"></a><var>241.11</var>death and their date of death if filed after they die, the name and date of death of any <br/>
<a id="pl.241.12"></a><var>241.12</var>predeceased spouse of the medical assistance recipient for whom a claim may exist, a <br/>
<a id="pl.241.13"></a><var>241.13</var>statement that the claimant may have a claim arising under this section, generally identify <br/>
<a id="pl.241.14"></a><var>241.14</var>the recipient's interest in the property, contain a legal description for the property and <br/>
<a id="pl.241.15"></a><var>241.15</var>whether it is abstract or registered property, a statement of when the notice becomes <br/>
<a id="pl.241.16"></a><var>241.16</var>effective and the effect of the notice, be signed by an authorized representative of the state <br/>
<a id="pl.241.17"></a><var>241.17</var>agency, and may include such other contents as the state agency may deem appropriate.<br/>
<br/>
<a id="bill.11.37.0"></a><a id="pl.241.18"></a><var>241.18</var>    Sec. 37. Minnesota Statutes 2010, section 256B.15, subdivision 1f, is amended to read:<br/>
<a id="pl.241.19"></a><var>241.19</var>    Subd. 1f. <b>Agency lien.</b> (a) The notice shall constitute a lien in favor of the <br/>
<a id="pl.241.20"></a><var>241.20</var>Department of Human Services against the recipient's interests in the real estate it <br/>
<a id="pl.241.21"></a><var>241.21</var>describes for a period of 20 years from the date of filing or the date of the recipient's death, <br/>
<a id="pl.241.22"></a><var>241.22</var>whichever is later. Notwithstanding any law or rule to the contrary, a recipient's life estate <br/>
<a id="pl.241.23"></a><var>241.23</var>and joint tenancy interests shall not end upon the recipient's death but shall continue <br/>
<a id="pl.241.24"></a><var>241.24</var>according to subdivisions 1h, 1i, and 1j. The amount of the lien shall be equal to the total <br/>
<a id="pl.241.25"></a><var>241.25</var>amount of the claims that could be presented in the recipient's estate under this section.<br/>
<a id="pl.241.26"></a><var>241.26</var>    (b) If no estate has been opened for the deceased recipient, any holder of an interest <br/>
<a id="pl.241.27"></a><var>241.27</var>in the property may apply to the lienholder for a statement of the amount of the lien or <br/>
<a id="pl.241.28"></a><var>241.28</var>for a full or partial release of the lien. The application shall include the applicant's name, <br/>
<a id="pl.241.29"></a><var>241.29</var>current mailing address, current home and work telephone numbers, and a description of <br/>
<a id="pl.241.30"></a><var>241.30</var>their interest in the property, a legal description of the recipient's interest in the property, <br/>
<a id="pl.241.31"></a><var>241.31</var>and the deceased recipient's name, date of birth, and last four digits of the Social Security <br/>
<a id="pl.241.32"></a><var>241.32</var>number. The lienholder shall send the applicant by certified mail, return receipt requested, <br/>
<a id="pl.241.33"></a><var>241.33</var>a written statement showing the amount of the lien, whether the lienholder is willing to <br/>
<a id="pl.241.34"></a><var>241.34</var>release the lien and under what conditions, and inform them of the right to a hearing under <br/>
<a id="pl.242.1"></a><var>242.1</var>section 
         <statute_ref>256.045</statute_ref>. The lienholder shall have the discretion to compromise and settle the lien <br/>
<a id="pl.242.2"></a><var>242.2</var>upon any terms and conditions the lienholder deems appropriate.<br/>
<a id="pl.242.3"></a><var>242.3</var>    (c) Any holder of an interest in property subject to the lien has a right to request <br/>
<a id="pl.242.4"></a><var>242.4</var>a hearing under section 
         <statute_ref>256.045</statute_ref> to determine the validity, extent, or amount of the lien. <br/>
<a id="pl.242.5"></a><var>242.5</var>The request must be in writing, and must include the names, current addresses, and home <br/>
<a id="pl.242.6"></a><var>242.6</var>and business telephone numbers for all other parties holding an interest in the property. A <br/>
<a id="pl.242.7"></a><var>242.7</var>request for a hearing by any holder of an interest in the property shall be deemed to be a <br/>
<a id="pl.242.8"></a><var>242.8</var>request for a hearing by all parties owning interests in the property. Notice of the hearing <br/>
<a id="pl.242.9"></a><var>242.9</var>shall be given to the lienholder, the party filing the appeal, and all of the other holders of <br/>
<a id="pl.242.10"></a><var>242.10</var>interests in the property at the addresses listed in the appeal by certified mail, return receipt <br/>
<a id="pl.242.11"></a><var>242.11</var>requested, or by ordinary mail. Any owner of an interest in the property to whom notice of <br/>
<a id="pl.242.12"></a><var>242.12</var>the hearing is mailed shall be deemed to have waived any and all claims or defenses in <br/>
<a id="pl.242.13"></a><var>242.13</var>respect to the lien unless they appear and assert any claims or defenses at the hearing.<br/>
<a id="pl.242.14"></a><var>242.14</var>    (d) If the claim the lien secures could be filed under subdivision 1h, the lienholder <br/>
<a id="pl.242.15"></a><var>242.15</var>may collect, compromise, settle, or release the lien upon any terms and conditions it deems <br/>
<a id="pl.242.16"></a><var>242.16</var>appropriate. If the claim the lien secures could be filed under subdivision 1i or 1j, the lien <br/>
<a id="pl.242.17"></a><var>242.17</var>may be adjusted or enforced to the same extent had it been filed under subdivisions 1i <br/>
<a id="pl.242.18"></a><var>242.18</var>and 1j, and the provisions of subdivisions 1i, clause (f), and 1j, clause (d), shall apply to <br/>
<a id="pl.242.19"></a><var>242.19</var>voluntary payment, settlement, or satisfaction of the lien.<br/>
<a id="pl.242.20"></a><var>242.20</var>    (e) If no probate proceedings have been commenced for the recipient as of the date <br/>
<a id="pl.242.21"></a><var>242.21</var>the lien holder executes a release of the lien on a recipient's life estate or joint tenancy <br/>
<a id="pl.242.22"></a><var>242.22</var>interest, created for purposes of this section, the release shall terminate the life estate or <br/>
<a id="pl.242.23"></a><var>242.23</var>joint tenancy interest created under this section as of the date it is recorded or filed to the <br/>
<a id="pl.242.24"></a><var>242.24</var>extent of the release. If the claimant executes a release for purposes of extinguishing a <br/>
<a id="pl.242.25"></a><var>242.25</var>life estate or a joint tenancy interest created under this section to remove a cloud on title <br/>
<a id="pl.242.26"></a><var>242.26</var>to real property, the release shall have the effect of extinguishing any life estate or joint <br/>
<a id="pl.242.27"></a><var>242.27</var>tenancy interests in the property it describes which may have been continued by reason <br/>
<a id="pl.242.28"></a><var>242.28</var>of this section retroactive to the date of death of the deceased life tenant or joint tenant <br/>
<a id="pl.242.29"></a><var>242.29</var>except as provided for in section 
         <statute_ref>514.981, subdivision 6</statute_ref>.<br/>
<a id="pl.242.30"></a><var>242.30</var>    (f) If the deceased recipient's estate is probated, a claim shall be filed under this <br/>
<a id="pl.242.31"></a><var>242.31</var>section. The amount of the lien shall be limited to the amount of the claim as finally <br/>
<a id="pl.242.32"></a><var>242.32</var>allowed. If the claim the lien secures is filed under subdivision 1h, the lien may be released <br/>
<a id="pl.242.33"></a><var>242.33</var>in full after any allowance of the claim becomes final or according to any agreement to <br/>
<a id="pl.242.34"></a><var>242.34</var>settle and satisfy the claim. The release shall release the lien but shall not extinguish <br/>
<a id="pl.242.35"></a><var>242.35</var>or terminate the interest being released. If the claim the lien secures is filed under <br/>
<a id="pl.242.36"></a><var>242.36</var>subdivision 1i or 1j, the lien shall be released after the lien under subdivision 1i or 1j is <br/>
<a id="pl.243.1"></a><var>243.1</var>filed or recorded, or settled according to any agreement to settle and satisfy the claim. The <br/>
<a id="pl.243.2"></a><var>243.2</var>release shall not extinguish or terminate the interest being released. If the claim is finally <br/>
<a id="pl.243.3"></a><var>243.3</var>disallowed in full, the claimant shall release the claimant's lien at the claimant's expense.<br/>
<br/>
<a id="bill.11.38.0"></a><a id="pl.243.4"></a><var>243.4</var>    Sec. 38. Minnesota Statutes 2010, section 256B.49, subdivision 13, is amended to read:<br/>
<a id="pl.243.5"></a><var>243.5</var>    Subd. 13. <b>Case management.</b> (a) Each recipient of a home and community-based <br/>
<a id="pl.243.6"></a><var>243.6</var>waiver shall be provided case management services by qualified vendors as described <br/>
<a id="pl.243.7"></a><var>243.7</var>in the federally approved waiver application. The case management service activities <br/>
<a id="pl.243.8"></a><var>243.8</var>provided will must include:<br/>
<a id="pl.243.9"></a><var>243.9</var>    (1) assessing the needs of the individual within 20 working days of a recipient's <br/>
<a id="pl.243.10"></a><var>243.10</var>request;<br/>
<a id="pl.243.11"></a><var>243.11</var>    (2) developing (1) finalizing the written individual service coordinated service and <br/>
<a id="pl.243.12"></a><var>243.12</var>support plan within ten working days after the assessment is completed case manager <br/>
<a id="pl.243.13"></a><var>243.13</var>receives the plan from the certified assessor;<br/>
<a id="pl.243.14"></a><var>243.14</var>    (3) (2) informing the recipient or the recipient's legal guardian or conservator <br/>
<a id="pl.243.15"></a><var>243.15</var>of service options;<br/>
<a id="pl.243.16"></a><var>243.16</var>    (4) (3) assisting the recipient in the identification of potential service providers and <br/>
<a id="pl.243.17"></a><var>243.17</var>available options for case management service and providers;<br/>
<a id="pl.243.18"></a><var>243.18</var>    (5) (4) assisting the recipient to access services and assisting with appeals under <br/>
<a id="pl.243.19"></a><var>243.19</var>section 256.045; and<br/>
<a id="pl.243.20"></a><var>243.20</var>    (6) (5) coordinating, evaluating, and monitoring of the services identified in the <br/>
<a id="pl.243.21"></a><var>243.21</var>service plan;.<br/>
<a id="pl.243.22"></a><var>243.22</var>    (7) completing the annual reviews of the service plan; and<br/>
<a id="pl.243.23"></a><var>243.23</var>    (8) informing the recipient or legal representative of the right to have assessments <br/>
<a id="pl.243.24"></a><var>243.24</var>completed and service plans developed within specified time periods, and to appeal county <br/>
<a id="pl.243.25"></a><var>243.25</var>action or inaction under section 
<statute_ref>256.045, subdivision 3</statute_ref>, including the determination of <br/>
<a id="pl.243.26"></a><var>243.26</var>nursing facility level of care.<br/>
<a id="pl.243.27"></a><var>243.27</var>    (b) The case manager may delegate certain aspects of the case management service <br/>
<a id="pl.243.28"></a><var>243.28</var>activities to another individual provided there is oversight by the case manager. The case <br/>
<a id="pl.243.29"></a><var>243.29</var>manager may not delegate those aspects which require professional judgment including <br/>
<a id="pl.243.30"></a><var>243.30</var>assessments, reassessments, and care plan development.:<br/>
<a id="pl.243.31"></a><var>243.31</var>(1) finalizing the coordinated service and support plan;<br/>
<a id="pl.243.32"></a><var>243.32</var>(2) ongoing assessment and monitoring of the person's needs and adequacy of the <br/>
<a id="pl.243.33"></a><var>243.33</var>approved coordinated service and support plan; and<br/>
<a id="pl.243.34"></a><var>243.34</var>(3) adjustments to the coordinated service and support plan.<br/>
<a id="pl.244.1"></a><var>244.1</var>(c) Case management services must be provided by a public or private agency that is <br/>
<a id="pl.244.2"></a><var>244.2</var>enrolled as a medical assistance provider determined by the commissioner to meet all of <br/>
<a id="pl.244.3"></a><var>244.3</var>the requirements in the approved federal waiver plans. Case management services must <br/>
<a id="pl.244.4"></a><var>244.4</var>not be provided to a recipient by a private agency that has any financial interest in the <br/>
<a id="pl.244.5"></a><var>244.5</var>provision of any other services included in the recipient's coordinated service and support <br/>
<a id="pl.244.6"></a><var>244.6</var>plan. For purposes of this section, "private agency" means any agency that is not identified <br/>
<a id="pl.244.7"></a><var>244.7</var>as a lead agency under section 256B.0911, subdivision 1a, paragraph (e).<br/>
<br/>
<a id="bill.11.39.0"></a><a id="pl.244.8"></a><var>244.8</var>    Sec. 39. Minnesota Statutes 2011 Supplement, section 256B.49, subdivision 14, <br/>
<a id="pl.244.9"></a><var>244.9</var>is amended to read:<br/>
<a id="pl.244.10"></a><var>244.10</var>    Subd. 14. <b>Assessment and reassessment.</b> (a) Assessments of each recipient's <br/>
<a id="pl.244.11"></a><var>244.11</var>strengths, informal support systems, and need for services shall be completed within 20 <br/>
<a id="pl.244.12"></a><var>244.12</var>working days of the recipient's request as provided in section 
<statute_ref>256B.0911</statute_ref>. Reassessment <br/>
<a id="pl.244.13"></a><var>244.13</var>of each recipient's strengths, support systems, and need for services shall be conducted <br/>
<a id="pl.244.14"></a><var>244.14</var>at least every 12 months and at other times when there has been a significant change in <br/>
<a id="pl.244.15"></a><var>244.15</var>the recipient's functioning and reassessments shall be conducted by certified assessors <br/>
<a id="pl.244.16"></a><var>244.16</var>according to section 256B.0911, subdivision 2b.<br/>
<a id="pl.244.17"></a><var>244.17</var>(b) There must be a determination that the client requires a hospital level of care or a <br/>
<a id="pl.244.18"></a><var>244.18</var>nursing facility level of care as defined in section 
         <statute_ref>256B.0911</statute_ref>, subdivision 4a, paragraph <br/>
<a id="pl.244.19"></a><var>244.19</var>(d), at initial and subsequent assessments to initiate and maintain participation in the <br/>
<a id="pl.244.20"></a><var>244.20</var>waiver program.<br/>
<a id="pl.244.21"></a><var>244.21</var>(c) Regardless of other assessments identified in section 
         <statute_ref>144.0724, subdivision 4</statute_ref>, as <br/>
<a id="pl.244.22"></a><var>244.22</var>appropriate to determine nursing facility level of care for purposes of medical assistance <br/>
<a id="pl.244.23"></a><var>244.23</var>payment for nursing facility services, only face-to-face assessments conducted according <br/>
<a id="pl.244.24"></a><var>244.24</var>to section 
         <statute_ref>256B.0911, subdivisions 3a</statute_ref>, 3b, and 4d, that result in a hospital level of care <br/>
<a id="pl.244.25"></a><var>244.25</var>determination or a nursing facility level of care determination must be accepted for <br/>
<a id="pl.244.26"></a><var>244.26</var>purposes of initial and ongoing access to waiver services payment.<br/>
<a id="pl.244.27"></a><var>244.27</var>(d) Persons with developmental disabilities who apply for services under the nursing <br/>
<a id="pl.244.28"></a><var>244.28</var>facility level waiver programs shall be screened for the appropriate level of care according <br/>
<a id="pl.244.29"></a><var>244.29</var>to section 
<statute_ref>256B.092</statute_ref>.<br/>
<a id="pl.244.30"></a><var>244.30</var>(e) (d) Recipients who are found eligible for home and community-based services <br/>
<a id="pl.244.31"></a><var>244.31</var>under this section before their 65th birthday may remain eligible for these services after <br/>
<a id="pl.244.32"></a><var>244.32</var>their 65th birthday if they continue to meet all other eligibility factors.<br/>
<a id="pl.244.33"></a><var>244.33</var>(f) (e) The commissioner shall develop criteria to identify recipients whose level of <br/>
<a id="pl.244.34"></a><var>244.34</var>functioning is reasonably expected to improve and reassess these recipients to establish <br/>
<a id="pl.244.35"></a><var>244.35</var>a baseline assessment. Recipients who meet these criteria must have a comprehensive <br/>
<a id="pl.245.1"></a><var>245.1</var>transitional service plan developed under subdivision 15, paragraphs (b) and (c), and be <br/>
<a id="pl.245.2"></a><var>245.2</var>reassessed every six months until there has been no significant change in the recipient's <br/>
<a id="pl.245.3"></a><var>245.3</var>functioning for at least 12 months. After there has been no significant change in the <br/>
<a id="pl.245.4"></a><var>245.4</var>recipient's functioning for at least 12 months, reassessments of the recipient's strengths, <br/>
<a id="pl.245.5"></a><var>245.5</var>informal support systems, and need for services shall be conducted at least every 12 <br/>
<a id="pl.245.6"></a><var>245.6</var>months and at other times when there has been a significant change in the recipient's <br/>
<a id="pl.245.7"></a><var>245.7</var>functioning. Counties, case managers, and service providers are responsible for <br/>
<a id="pl.245.8"></a><var>245.8</var>conducting these reassessments and shall complete the reassessments out of existing funds.<br/>
<br/>
<a id="bill.11.40.0"></a><a id="pl.245.9"></a><var>245.9</var>    Sec. 40. Minnesota Statutes 2011 Supplement, section 256B.49, subdivision 15, <br/>
<a id="pl.245.10"></a><var>245.10</var>is amended to read:<br/>
<a id="pl.245.11"></a><var>245.11</var>    Subd. 15. <b>Individualized service</b><b> Coordinated service and support</b><b> plan; </b><br/>
<a id="pl.245.12"></a><var>245.12</var><b>comprehensive transitional service plan; maintenance service plan.</b> (a) Each recipient <br/>
<a id="pl.245.13"></a><var>245.13</var>of home and community-based waivered services shall be provided a copy of the written <br/>
<a id="pl.245.14"></a><var>245.14</var>coordinated service and support plan which: meets the requirements in section 256B.092, <br/>
<a id="pl.245.15"></a><var>245.15</var>subdivision 1b.<br/>
<a id="pl.245.16"></a><var>245.16</var>(1) is developed and signed by the recipient within ten working days of the <br/>
<a id="pl.245.17"></a><var>245.17</var>completion of the assessment;<br/>
<a id="pl.245.18"></a><var>245.18</var>(2) meets the assessed needs of the recipient;<br/>
<a id="pl.245.19"></a><var>245.19</var>(3) reasonably ensures the health and safety of the recipient;<br/>
<a id="pl.245.20"></a><var>245.20</var>(4) promotes independence;<br/>
<a id="pl.245.21"></a><var>245.21</var>(5) allows for services to be provided in the most integrated settings; and<br/>
<a id="pl.245.22"></a><var>245.22</var>(6) provides for an informed choice, as defined in section 
<statute_ref>256B.77, subdivision 2</statute_ref>, <br/>
<a id="pl.245.23"></a><var>245.23</var>paragraph (p), of service and support providers.<br/>
<a id="pl.245.24"></a><var>245.24</var>(b) In developing the comprehensive transitional service plan, the individual <br/>
<a id="pl.245.25"></a><var>245.25</var>receiving services, the case manager, and the guardian, if applicable, will identify <br/>
<a id="pl.245.26"></a><var>245.26</var>the transitional service plan fundamental service outcome and anticipated timeline to <br/>
<a id="pl.245.27"></a><var>245.27</var>achieve this outcome. Within the first 20 days following a recipient's request for an <br/>
<a id="pl.245.28"></a><var>245.28</var>assessment or reassessment, the transitional service planning team must be identified. A <br/>
<a id="pl.245.29"></a><var>245.29</var>team leader must be identified who will be responsible for assigning responsibility and <br/>
<a id="pl.245.30"></a><var>245.30</var>communicating with team members to ensure implementation of the transition plan and <br/>
<a id="pl.245.31"></a><var>245.31</var>ongoing assessment and communication process. The team leader should be an individual, <br/>
<a id="pl.245.32"></a><var>245.32</var>such as the case manager or guardian, who has the opportunity to follow the recipient to <br/>
<a id="pl.245.33"></a><var>245.33</var>the next level of service.<br/>
<a id="pl.245.34"></a><var>245.34</var>Within ten days following an assessment, a comprehensive transitional service plan <br/>
<a id="pl.245.35"></a><var>245.35</var>must be developed incorporating elements of a comprehensive functional assessment and <br/>
<a id="pl.246.1"></a><var>246.1</var>including short-term measurable outcomes and timelines for achievement of and reporting <br/>
<a id="pl.246.2"></a><var>246.2</var>on these outcomes. Functional milestones must also be identified and reported according <br/>
<a id="pl.246.3"></a><var>246.3</var>to the timelines agreed upon by the transitional service planning team. In addition, the <br/>
<a id="pl.246.4"></a><var>246.4</var>comprehensive transitional service plan must identify additional supports that may assist <br/>
<a id="pl.246.5"></a><var>246.5</var>in the achievement of the fundamental service outcome such as the development of greater <br/>
<a id="pl.246.6"></a><var>246.6</var>natural community support, increased collaboration among agencies, and technological <br/>
<a id="pl.246.7"></a><var>246.7</var>supports.<br/>
<a id="pl.246.8"></a><var>246.8</var>The timelines for reporting on functional milestones will prompt a reassessment of <br/>
<a id="pl.246.9"></a><var>246.9</var>services provided, the units of services, rates, and appropriate service providers. It is <br/>
<a id="pl.246.10"></a><var>246.10</var>the responsibility of the transitional service planning team leader to review functional <br/>
<a id="pl.246.11"></a><var>246.11</var>milestone reporting to determine if the milestones are consistent with observable skills <br/>
<a id="pl.246.12"></a><var>246.12</var>and that milestone achievement prompts any needed changes to the comprehensive <br/>
<a id="pl.246.13"></a><var>246.13</var>transitional service plan.<br/>
<a id="pl.246.14"></a><var>246.14</var>For those whose fundamental transitional service outcome involves the need to <br/>
<a id="pl.246.15"></a><var>246.15</var>procure housing, a plan for the recipient to seek the resources necessary to secure the least <br/>
<a id="pl.246.16"></a><var>246.16</var>restrictive housing possible should be incorporated into the plan, including employment <br/>
<a id="pl.246.17"></a><var>246.17</var>and public supports such as housing access and shelter needy funding.<br/>
<a id="pl.246.18"></a><var>246.18</var>(c) Counties and other agencies responsible for funding community placement and <br/>
<a id="pl.246.19"></a><var>246.19</var>ongoing community supportive services are responsible for the implementation of the <br/>
<a id="pl.246.20"></a><var>246.20</var>comprehensive transitional service plans. Oversight responsibilities include both ensuring <br/>
<a id="pl.246.21"></a><var>246.21</var>effective transitional service delivery and efficient utilization of funding resources.<br/>
<a id="pl.246.22"></a><var>246.22</var>(d) Following one year of transitional services, the transitional services planning <br/>
<a id="pl.246.23"></a><var>246.23</var>team will make a determination as to whether or not the individual receiving services <br/>
<a id="pl.246.24"></a><var>246.24</var>requires the current level of continuous and consistent support in order to maintain the <br/>
<a id="pl.246.25"></a><var>246.25</var>recipient's current level of functioning. Recipients who are determined to have not had <br/>
<a id="pl.246.26"></a><var>246.26</var>a significant change in functioning for 12 months must move from a transitional to a <br/>
<a id="pl.246.27"></a><var>246.27</var>maintenance service plan. Recipients on a maintenance service plan must be reassessed <br/>
<a id="pl.246.28"></a><var>246.28</var>to determine if the recipient would benefit from a transitional service plan at least every <br/>
<a id="pl.246.29"></a><var>246.29</var>12 months and at other times when there has been a significant change in the recipient's <br/>
<a id="pl.246.30"></a><var>246.30</var>functioning. This assessment should consider any changes to technological or natural <br/>
<a id="pl.246.31"></a><var>246.31</var>community supports.<br/>
<a id="pl.246.32"></a><var>246.32</var>(e) When a county is evaluating denials, reductions, or terminations of home and <br/>
<a id="pl.246.33"></a><var>246.33</var>community-based services under section 
         <statute_ref>256B.49</statute_ref> for an individual, the case manager <br/>
<a id="pl.246.34"></a><var>246.34</var>shall offer to meet with the individual or the individual's guardian in order to discuss the <br/>
<a id="pl.246.35"></a><var>246.35</var>prioritization of service needs within the individualized coordinated service and support <br/>
<a id="pl.246.36"></a><var>246.36</var>plan, comprehensive transitional service plan, or maintenance service plan. The reduction <br/>
<a id="pl.247.1"></a><var>247.1</var>in the authorized services for an individual due to changes in funding for waivered <br/>
<a id="pl.247.2"></a><var>247.2</var>services may not exceed the amount needed to ensure medically necessary services to <br/>
<a id="pl.247.3"></a><var>247.3</var>meet the individual's health, safety, and welfare.<br/>
<a id="pl.247.4"></a><var>247.4</var>(f) At the time of reassessment, local agency case managers shall assess each <br/>
<a id="pl.247.5"></a><var>247.5</var>recipient of community alternatives for disabled individuals or traumatic brain injury <br/>
<a id="pl.247.6"></a><var>247.6</var>waivered services currently residing in a licensed adult foster home that is not the primary <br/>
<a id="pl.247.7"></a><var>247.7</var>residence of the license holder, or in which the license holder is not the primary caregiver, <br/>
<a id="pl.247.8"></a><var>247.8</var>to determine if that recipient could appropriately be served in a community-living setting. <br/>
<a id="pl.247.9"></a><var>247.9</var>If appropriate for the recipient, the case manager shall offer the recipient, through a <br/>
<a id="pl.247.10"></a><var>247.10</var>person-centered planning process, the option to receive alternative housing and service <br/>
<a id="pl.247.11"></a><var>247.11</var>options. In the event that the recipient chooses to transfer from the adult foster home, <br/>
<a id="pl.247.12"></a><var>247.12</var>the vacated bed shall not be filled with another recipient of waiver services and group <br/>
<a id="pl.247.13"></a><var>247.13</var>residential housing, unless provided under section 
         <statute_ref>245A.03, subdivision 7</statute_ref>, paragraph (a), <br/>
<a id="pl.247.14"></a><var>247.14</var>clauses (3) and (4), and the licensed capacity shall be reduced accordingly. If the adult <br/>
<a id="pl.247.15"></a><var>247.15</var>foster home becomes no longer viable due to these transfers, the county agency, with the <br/>
<a id="pl.247.16"></a><var>247.16</var>assistance of the department, shall facilitate a consolidation of settings or closure. This <br/>
<a id="pl.247.17"></a><var>247.17</var>reassessment process shall be completed by June 30, 2012.<br/>
<br/>
<a id="bill.11.41.0"></a><a id="pl.247.18"></a><var>247.18</var>    Sec. 41. Minnesota Statutes 2010, section 256G.02, subdivision 6, is amended to read:<br/>
<a id="pl.247.19"></a><var>247.19</var>    Subd. 6. <b>Excluded time.</b> "Excluded time" means:<br/>
<a id="pl.247.20"></a><var>247.20</var>(a) (1) any period an applicant spends in a hospital, sanitarium, nursing home, <br/>
<a id="pl.247.21"></a><var>247.21</var>shelter other than an emergency shelter, halfway house, foster home, semi-independent <br/>
<a id="pl.247.22"></a><var>247.22</var>living domicile or services program, residential facility offering care, board and lodging <br/>
<a id="pl.247.23"></a><var>247.23</var>facility or other institution for the hospitalization or care of human beings, as defined in <br/>
<a id="pl.247.24"></a><var>247.24</var>section 
         <statute_ref>144.50</statute_ref>, 
         <statute_ref>144A.01</statute_ref>, or 
         <statute_ref>245A.02, subdivision 14</statute_ref>; maternity home, battered women's <br/>
<a id="pl.247.25"></a><var>247.25</var>shelter, or correctional facility; or any facility based on an emergency hold under sections <br/>
<statute_ref><a id="pl.247.26"></a><var>247.26</var>253B.05, subdivisions 1 and 2
         </statute_ref>, and 
         <statute_ref>253B.07, subdivision 6</statute_ref>;<br/>
<a id="pl.247.27"></a><var>247.27</var>(b) (2) any period an applicant spends on a placement basis in a training and <br/>
<a id="pl.247.28"></a><var>247.28</var>habilitation program, including: a rehabilitation facility or work or employment program <br/>
<a id="pl.247.29"></a><var>247.29</var>as defined in section 
         <statute_ref>268A.01</statute_ref>; or receiving personal care assistance services pursuant to <br/>
<a id="pl.247.30"></a><var>247.30</var>section 
<statute_ref>256B.0659</statute_ref>; semi-independent living services provided under section 
         <statute_ref>252.275</statute_ref>, and <br/>
<a id="pl.247.31"></a><var>247.31</var>Minnesota Rules, parts 9525.0500 to 9525.0660; or day training and habilitation programs <br/>
<a id="pl.247.32"></a><var>247.32</var>and assisted living services; and<br/>
<a id="pl.247.33"></a><var>247.33</var>(c) (3) any placement for a person with an indeterminate commitment, including <br/>
<a id="pl.247.34"></a><var>247.34</var>independent living.<br/>
<br/>
<a id="bill.11.42.0"></a><a id="pl.248.1"></a><var>248.1</var>    Sec. 42. <b>RECOMMENDATIONS FOR FURTHER CASE MANAGEMENT </b><br/>
<a id="pl.248.2"></a><var>248.2</var><b>REDESIGN AND STUDY OF COUNTY AND TRIBAL ADMINISTRATIVE </b><br/>
<a id="pl.248.3"></a><var>248.3</var><b>FUNCTIONS.</b><br/>
<a id="pl.248.4"></a><var>248.4</var>(a) By February 1, 2013, the commissioner of human services shall develop a <br/>
<a id="pl.248.5"></a><var>248.5</var>legislative report with specific recommendations and language for proposed legislation <br/>
<a id="pl.248.6"></a><var>248.6</var>for the following:<br/>
<a id="pl.248.7"></a><var>248.7</var>(1) definitions of service and consolidation of standards and rates to the extent <br/>
<a id="pl.248.8"></a><var>248.8</var>appropriate for all types of medical assistance case management service services, including <br/>
<a id="pl.248.9"></a><var>248.9</var>targeted case management under Minnesota Statutes, sections 256B.0621, 256B.0924, and <br/>
<a id="pl.248.10"></a><var>248.10</var>256B.094, and all types of home and community-based waiver case management and case <br/>
<a id="pl.248.11"></a><var>248.11</var>management under Minnesota Rules, parts 9525.0004 to 9525.0036. This work must be <br/>
<a id="pl.248.12"></a><var>248.12</var>completed in collaboration with efforts under Minnesota Statutes, section 256B.4912;<br/>
<a id="pl.248.13"></a><var>248.13</var>(2) recommendations on county of financial responsibility requirements and quality <br/>
<a id="pl.248.14"></a><var>248.14</var>assurance measures for case management; and<br/>
<a id="pl.248.15"></a><var>248.15</var>(3) identification of county administrative functions that may remain entwined in <br/>
<a id="pl.248.16"></a><var>248.16</var>case management service delivery models.<br/>
<a id="pl.248.17"></a><var>248.17</var>    (b) The commissioner of human services shall evaluate county and tribal <br/>
<a id="pl.248.18"></a><var>248.18</var>administrative functions, processes, and reimbursement methodologies for the purposes <br/>
<a id="pl.248.19"></a><var>248.19</var>of administration of home and community-based services, and compliance and <br/>
<a id="pl.248.20"></a><var>248.20</var>oversight functions.  The commissioner shall work with county, tribal, and stakeholder <br/>
<a id="pl.248.21"></a><var>248.21</var>representatives in the evaluation process and develop a plan for the delegation of <br/>
<a id="pl.248.22"></a><var>248.22</var>commissioner duties to county and tribal entities after the elimination of county contracts <br/>
<a id="pl.248.23"></a><var>248.23</var>under Minnesota Statutes, section 256B.4912, for waiver service provision and the <br/>
<a id="pl.248.24"></a><var>248.24</var>creation of quality outcome standards under Laws 2009, chapter 79, article 8, section <br/>
<a id="pl.248.25"></a><var>248.25</var>81, and residential support services under Minnesota Statutes, sections 256B.092, <br/>
<a id="pl.248.26"></a><var>248.26</var>subdivision 11, and 245A.11, subdivision 8.  The commissioner shall present findings <br/>
<a id="pl.248.27"></a><var>248.27</var>and recommendations to the chairs and ranking minority members of the legislative <br/>
<a id="pl.248.28"></a><var>248.28</var>committees with jurisdiction over health and human services finance and policy by <br/>
<a id="pl.248.29"></a><var>248.29</var>February 1, 2013, with any specific recommendations and language for proposed <br/>
<a id="pl.248.30"></a><var>248.30</var>legislation to be effective July 1, 2013.<br/>
<br/>
<a id="bill.12.0.0"></a>

<a id="bill.12.1.0"></a><a id="pl.248.33"></a><var>248.33</var>    Section 1. Minnesota Statutes 2010, section 245.461, is amended by adding a <br/>
<a id="pl.248.34"></a><var>248.34</var>subdivision to read:<br/>
<a id="pl.249.1"></a><var>249.1</var>    Subd. 6. <b>Diagnostic codes list.</b> By July 1, 2013, the commissioner of human <br/>
<a id="pl.249.2"></a><var>249.2</var>services shall develop a list of diagnostic codes to define the range of child and adult <br/>
<a id="pl.249.3"></a><var>249.3</var>mental illnesses for the statewide mental health system. The commissioner may use the <br/>
<a id="pl.249.4"></a><var>249.4</var>International Classification of Diseases (ICD); the American Psychiatric Association's <br/>
<a id="pl.249.5"></a><var>249.5</var>Diagnostic and Statistical Manual (DSM); or a combination of both to develop the list. <br/>
<a id="pl.249.6"></a><var>249.6</var>The commissioner shall establish an advisory committee, comprising mental health <br/>
<a id="pl.249.7"></a><var>249.7</var>professional associations, counties, tribes, managed care organizations, state agencies, <br/>
<a id="pl.249.8"></a><var>249.8</var>and consumer organizations that shall advise the commissioner regarding development of <br/>
<a id="pl.249.9"></a><var>249.9</var>the diagnostic codes list. The commissioner shall annually notify providers of changes <br/>
<a id="pl.249.10"></a><var>249.10</var>to the list.<br/>
<br/>
<a id="bill.12.2.0"></a><a id="pl.249.11"></a><var>249.11</var>    Sec. 2. Minnesota Statutes 2010, section 245.462, subdivision 20, is amended to read:<br/>
<a id="pl.249.12"></a><var>249.12</var>    Subd. 20. <b>Mental illness.</b> (a) "Mental illness" means an organic disorder of the <br/>
<a id="pl.249.13"></a><var>249.13</var>brain or a clinically significant disorder of thought, mood, perception, orientation, <br/>
<a id="pl.249.14"></a><var>249.14</var>memory, or behavior that is listed in the clinical manual of the International Classification <br/>
<a id="pl.249.15"></a><var>249.15</var>of Diseases (ICD-9-CM), current edition, code range 290.0 to 302.99 or 306.0 to 316.0 <br/>
<a id="pl.249.16"></a><var>249.16</var>or the corresponding code in the American Psychiatric Association's Diagnostic and <br/>
<a id="pl.249.17"></a><var>249.17</var>Statistical Manual of Mental Disorders (DSM-MD), current edition, Axes I, II, or III <br/>
<a id="pl.249.18"></a><var>249.18</var>detailed in a diagnostic codes list published by the commissioner, and that seriously limits <br/>
<a id="pl.249.19"></a><var>249.19</var>a person's capacity to function in primary aspects of daily living such as personal relations, <br/>
<a id="pl.249.20"></a><var>249.20</var>living arrangements, work, and recreation.<br/>
<a id="pl.249.21"></a><var>249.21</var>    (b) An "adult with acute mental illness" means an adult who has a mental illness that <br/>
<a id="pl.249.22"></a><var>249.22</var>is serious enough to require prompt intervention.<br/>
<a id="pl.249.23"></a><var>249.23</var>    (c) For purposes of case management and community support services, a "person <br/>
<a id="pl.249.24"></a><var>249.24</var>with serious and persistent mental illness" means an adult who has a mental illness and <br/>
<a id="pl.249.25"></a><var>249.25</var>meets at least one of the following criteria:<br/>
<a id="pl.249.26"></a><var>249.26</var>    (1) the adult has undergone two or more episodes of inpatient care for a mental <br/>
<a id="pl.249.27"></a><var>249.27</var>illness within the preceding 24 months;<br/>
<a id="pl.249.28"></a><var>249.28</var>    (2) the adult has experienced a continuous psychiatric hospitalization or residential <br/>
<a id="pl.249.29"></a><var>249.29</var>treatment exceeding six months' duration within the preceding 12 months;<br/>
<a id="pl.249.30"></a><var>249.30</var>    (3) the adult has been treated by a crisis team two or more times within the preceding <br/>
<a id="pl.249.31"></a><var>249.31</var>24 months;<br/>
<a id="pl.249.32"></a><var>249.32</var>    (4) the adult:<br/>
<a id="pl.249.33"></a><var>249.33</var>    (i) has a diagnosis of schizophrenia, bipolar disorder, major depression, or borderline <br/>
<a id="pl.249.34"></a><var>249.34</var>personality disorder;<br/>
<a id="pl.249.35"></a><var>249.35</var>    (ii) indicates a significant impairment in functioning; and<br/>
<a id="pl.250.1"></a><var>250.1</var>    (iii) has a written opinion from a mental health professional, in the last three years, <br/>
<a id="pl.250.2"></a><var>250.2</var>stating that the adult is reasonably likely to have future episodes requiring inpatient or <br/>
<a id="pl.250.3"></a><var>250.3</var>residential treatment, of a frequency described in clause (1) or (2), unless ongoing case <br/>
<a id="pl.250.4"></a><var>250.4</var>management or community support services are provided;<br/>
<a id="pl.250.5"></a><var>250.5</var>    (5) the adult has, in the last three years, been committed by a court as a person <br/>
<a id="pl.250.6"></a><var>250.6</var>who is mentally ill under chapter 253B, or the adult's commitment has been stayed or <br/>
<a id="pl.250.7"></a><var>250.7</var>continued; or<br/>
<a id="pl.250.8"></a><var>250.8</var>    (6) the adult (i) was eligible under clauses (1) to (5), but the specified time period <br/>
<a id="pl.250.9"></a><var>250.9</var>has expired or the adult was eligible as a child under section 
         <statute_ref>245.4871, subdivision 6</statute_ref>; and <br/>
<a id="pl.250.10"></a><var>250.10</var>(ii) has a written opinion from a mental health professional, in the last three years, stating <br/>
<a id="pl.250.11"></a><var>250.11</var>that the adult is reasonably likely to have future episodes requiring inpatient or residential <br/>
<a id="pl.250.12"></a><var>250.12</var>treatment, of a frequency described in clause (1) or (2), unless ongoing case management <br/>
<a id="pl.250.13"></a><var>250.13</var>or community support services are provided.<br/>
<br/>
<a id="bill.12.3.0"></a><a id="pl.250.14"></a><var>250.14</var>    Sec. 3. Minnesota Statutes 2010, section 245.487, is amended by adding a subdivision <br/>
<a id="pl.250.15"></a><var>250.15</var>to read:<br/>
<a id="pl.250.16"></a><var>250.16</var>    Subd. 7. <b>Diagnostic codes list.</b> By July 1, 2013, the commissioner of human <br/>
<a id="pl.250.17"></a><var>250.17</var>services shall develop a list of diagnostic codes to define the range of child and adult <br/>
<a id="pl.250.18"></a><var>250.18</var>mental illnesses for the statewide mental health system. The commissioner may use the <br/>
<a id="pl.250.19"></a><var>250.19</var>International Classification of Diseases (ICD); the American Psychiatric Association's <br/>
<a id="pl.250.20"></a><var>250.20</var>Diagnostic and Statistical Manual (DSM); or a combination of both to develop the list. <br/>
<a id="pl.250.21"></a><var>250.21</var>The commissioner shall establish an advisory committee, comprising mental health <br/>
<a id="pl.250.22"></a><var>250.22</var>professional associations, counties, tribes, managed care organizations, state agencies, <br/>
<a id="pl.250.23"></a><var>250.23</var>and consumer organizations that shall advise the commissioner regarding development of <br/>
<a id="pl.250.24"></a><var>250.24</var>the diagnostic codes list. The commissioner shall annually notify providers of changes <br/>
<a id="pl.250.25"></a><var>250.25</var>to the list.<br/>
<br/>
<a id="bill.12.4.0"></a><a id="pl.250.26"></a><var>250.26</var>    Sec. 4. Minnesota Statutes 2010, section 245.4871, subdivision 15, is amended to read:<br/>
<a id="pl.250.27"></a><var>250.27</var>    Subd. 15. <b>Emotional disturbance.</b> "Emotional disturbance" means an organic <br/>
<a id="pl.250.28"></a><var>250.28</var>disorder of the brain or a clinically significant disorder of thought, mood, perception, <br/>
<a id="pl.250.29"></a><var>250.29</var>orientation, memory, or behavior that:<br/>
<a id="pl.250.30"></a><var>250.30</var>(1) is listed in the clinical manual of the International Classification of Diseases <br/>
<a id="pl.250.31"></a><var>250.31</var>(ICD-9-CM), current edition, code range 290.0 to 
<statute_ref>302.99</statute_ref> or 306.0 to 316.0 or the <br/>
<a id="pl.250.32"></a><var>250.32</var>corresponding code in the American Psychiatric Association's Diagnostic and Statistical <br/>
<a id="pl.250.33"></a><var>250.33</var>Manual of Mental Disorders (DSM-MD), current edition, Axes I, II, or III detailed in a <br/>
<a id="pl.250.34"></a><var>250.34</var>diagnostic codes list published by the commissioner; and<br/>
<a id="pl.251.1"></a><var>251.1</var>(2) seriously limits a child's capacity to function in primary aspects of daily living <br/>
<a id="pl.251.2"></a><var>251.2</var>such as personal relations, living arrangements, work, school, and recreation.<br/>
<a id="pl.251.3"></a><var>251.3</var>"Emotional disturbance" is a generic term and is intended to reflect all categories <br/>
<a id="pl.251.4"></a><var>251.4</var>of disorder described in DSM-MD, current edition the clinical code list published by the <br/>
<a id="pl.251.5"></a><var>251.5</var>commissioner as "usually first evident in childhood or adolescence."<br/>
<br/>
<a id="bill.12.5.0"></a><a id="pl.251.6"></a><var>251.6</var>    Sec. 5. Minnesota Statutes 2010, section 245.4932, subdivision 1, is amended to read:<br/>
<a id="pl.251.7"></a><var>251.7</var>    Subdivision 1. <b>Collaborative responsibilities.</b> The children's mental health <br/>
<a id="pl.251.8"></a><var>251.8</var>collaborative shall have the following authority and responsibilities regarding federal <br/>
<a id="pl.251.9"></a><var>251.9</var>revenue enhancement:<br/>
<a id="pl.251.10"></a><var>251.10</var>(1) the collaborative must establish an integrated fund;<br/>
<a id="pl.251.11"></a><var>251.11</var>(2) the collaborative shall designate a lead county or other qualified entity as the <br/>
<a id="pl.251.12"></a><var>251.12</var>fiscal agency for reporting, claiming, and receiving payments;<br/>
<a id="pl.251.13"></a><var>251.13</var>(3) the collaborative or lead county may enter into subcontracts with other counties, <br/>
<a id="pl.251.14"></a><var>251.14</var>school districts, special education cooperatives, municipalities, and other public and <br/>
<a id="pl.251.15"></a><var>251.15</var>nonprofit entities for purposes of identifying and claiming eligible expenditures to enhance <br/>
<a id="pl.251.16"></a><var>251.16</var>federal reimbursement;<br/>
<a id="pl.251.17"></a><var>251.17</var>(4) the collaborative shall use any enhanced revenue attributable to the activities of <br/>
<a id="pl.251.18"></a><var>251.18</var>the collaborative, including administrative and service revenue, solely to provide mental <br/>
<a id="pl.251.19"></a><var>251.19</var>health services or to expand the operational target population. The lead county or other <br/>
<a id="pl.251.20"></a><var>251.20</var>qualified entity may not use enhanced federal revenue for any other purpose;<br/>
<a id="pl.251.21"></a><var>251.21</var>(5) the members of the collaborative must continue the base level of expenditures, <br/>
<a id="pl.251.22"></a><var>251.22</var>as defined in section 
<statute_ref>245.492, subdivision 2</statute_ref>, for services for children with emotional or <br/>
<a id="pl.251.23"></a><var>251.23</var>behavioral disturbances and their families from any state, county, federal, or other public <br/>
<a id="pl.251.24"></a><var>251.24</var>or private funding source which, in the absence of the new federal reimbursement earned <br/>
<a id="pl.251.25"></a><var>251.25</var>under sections 
<statute_ref>245.491</statute_ref> to 
<statute_ref>245.495</statute_ref>, would have been available for those services. The <br/>
<a id="pl.251.26"></a><var>251.26</var>base year for purposes of this subdivision shall be the accounting period closest to state <br/>
<a id="pl.251.27"></a><var>251.27</var>fiscal year 1993;<br/>
<a id="pl.251.28"></a><var>251.28</var>(6) (5) the collaborative or lead county must develop and maintain an accounting and <br/>
<a id="pl.251.29"></a><var>251.29</var>financial management system adequate to support all claims for federal reimbursement, <br/>
<a id="pl.251.30"></a><var>251.30</var>including a clear audit trail and any provisions specified in the contract with the <br/>
<a id="pl.251.31"></a><var>251.31</var>commissioner of human services;<br/>
<a id="pl.251.32"></a><var>251.32</var>(7) (6) the collaborative or its members may elect to pay the nonfederal share of the <br/>
<a id="pl.251.33"></a><var>251.33</var>medical assistance costs for services designated by the collaborative; and<br/>
<a id="pl.252.1"></a><var>252.1</var>(8) (7) the lead county or other qualified entity may not use federal funds or local <br/>
<a id="pl.252.2"></a><var>252.2</var>funds designated as matching for other federal funds to provide the nonfederal share of <br/>
<a id="pl.252.3"></a><var>252.3</var>medical assistance.<br/>
<br/>
<a id="bill.12.6.0"></a><a id="pl.252.4"></a><var>252.4</var>    Sec. 6. Minnesota Statutes 2010, section 246.53, is amended by adding a subdivision <br/>
<a id="pl.252.5"></a><var>252.5</var>to read:<br/>
<a id="pl.252.6"></a><var>252.6</var>    Subd. 4. <b>Exception from statute of limitations.</b> Any statute of limitations that <br/>
<a id="pl.252.7"></a><var>252.7</var>limits the commissioner in recovering the cost of care obligation incurred by a client or <br/>
<a id="pl.252.8"></a><var>252.8</var>former client shall not apply to any claim against an estate made under this section to <br/>
<a id="pl.252.9"></a><var>252.9</var>recover the cost of care.<br/>
<br/>
<a id="bill.12.7.0"></a><a id="pl.252.10"></a><var>252.10</var>    Sec. 7. Minnesota Statutes 2011 Supplement, section 254B.04, subdivision 2a, is <br/>
<a id="pl.252.11"></a><var>252.11</var>amended to read:<br/>
<a id="pl.252.12"></a><var>252.12</var>    Subd. 2a. <b>Eligibility for treatment in residential settings.</b> Notwithstanding <br/>
<a id="pl.252.13"></a><var>252.13</var>provisions of Minnesota Rules, part 9530.6622, subparts 5 and 6, related to an assessor's <br/>
<a id="pl.252.14"></a><var>252.14</var>discretion in making placements to residential treatment settings, a person eligible for <br/>
<a id="pl.252.15"></a><var>252.15</var>services under this section must score at level 4 on assessment dimensions related to <br/>
<a id="pl.252.16"></a><var>252.16</var>relapse, continued use, and or recovery environment in order to be assigned to services <br/>
<a id="pl.252.17"></a><var>252.17</var>with a room and board component reimbursed under this section.<br/>
<br/>
<a id="bill.12.8.0"></a><a id="pl.252.18"></a><var>252.18</var>    Sec. 8. Minnesota Statutes 2010, section 256B.0625, subdivision 42, is amended to <br/>
<a id="pl.252.19"></a><var>252.19</var>read:<br/>
<a id="pl.252.20"></a><var>252.20</var>    Subd. 42. <b>Mental health professional.</b> Notwithstanding Minnesota Rules, part <br/>
<a id="pl.252.21"></a><var>252.21</var>9505.0175, subpart 28, the definition of a mental health professional shall include a person <br/>
<a id="pl.252.22"></a><var>252.22</var>who is qualified as specified in section 
         <statute_ref>245.462, subdivision 18</statute_ref>, clauses (5) and (1) to (6); <br/>
<a id="pl.252.23"></a><var>252.23</var>or 
         <statute_ref>245.4871, subdivision 27</statute_ref>, clauses (5) and (1) to (6), for the purpose of this section and <br/>
<a id="pl.252.24"></a><var>252.24</var>Minnesota Rules, parts 9505.0170 to 9505.0475.<br/>
<br/>
<a id="bill.12.9.0"></a><a id="pl.252.25"></a><var>252.25</var>    Sec. 9. Minnesota Statutes 2010, section 256F.13, subdivision 1, is amended to read:<br/>
<a id="pl.252.26"></a><var>252.26</var>    Subdivision 1. <b>Federal revenue enhancement.</b> (a) The commissioner of human <br/>
<a id="pl.252.27"></a><var>252.27</var>services may enter into an agreement with one or more family services collaboratives <br/>
<a id="pl.252.28"></a><var>252.28</var>to enhance federal reimbursement under title IV-E of the Social Security Act and <br/>
<a id="pl.252.29"></a><var>252.29</var>federal administrative reimbursement under title XIX of the Social Security Act. The <br/>
<a id="pl.252.30"></a><var>252.30</var>commissioner may contract with the Department of Education for purposes of transferring <br/>
<a id="pl.252.31"></a><var>252.31</var>the federal reimbursement to the commissioner of education to be distributed to the <br/>
<a id="pl.253.1"></a><var>253.1</var>collaboratives according to clause (2). The commissioner shall have the following <br/>
<a id="pl.253.2"></a><var>253.2</var>authority and responsibilities regarding family services collaboratives:<br/>
<a id="pl.253.3"></a><var>253.3</var>(1) the commissioner shall submit amendments to state plans and seek waivers as <br/>
<a id="pl.253.4"></a><var>253.4</var>necessary to implement the provisions of this section;<br/>
<a id="pl.253.5"></a><var>253.5</var>(2) the commissioner shall pay the federal reimbursement earned under this <br/>
<a id="pl.253.6"></a><var>253.6</var>subdivision to each collaborative based on their earnings. Payments to collaboratives for <br/>
<a id="pl.253.7"></a><var>253.7</var>expenditures under this subdivision will only be made of federal earnings from services <br/>
<a id="pl.253.8"></a><var>253.8</var>provided by the collaborative;<br/>
<a id="pl.253.9"></a><var>253.9</var>(3) the commissioner shall review expenditures of family services collaboratives <br/>
<a id="pl.253.10"></a><var>253.10</var>using reports specified in the agreement with the collaborative to ensure that the base level <br/>
<a id="pl.253.11"></a><var>253.11</var>of expenditures is continued and new federal reimbursement is used to expand education, <br/>
<a id="pl.253.12"></a><var>253.12</var>social, health, or health-related services to young children and their families;<br/>
<a id="pl.253.13"></a><var>253.13</var>(4) the commissioner may reduce, suspend, or eliminate a family services <br/>
<a id="pl.253.14"></a><var>253.14</var>collaborative's obligations to continue the base level of expenditures or expansion of <br/>
<a id="pl.253.15"></a><var>253.15</var>services if the commissioner determines that one or more of the following conditions <br/>
<a id="pl.253.16"></a><var>253.16</var>apply:<br/>
<a id="pl.253.17"></a><var>253.17</var>(i) imposition of levy limits that significantly reduce available funds for social, <br/>
<a id="pl.253.18"></a><var>253.18</var>health, or health-related services to families and children;<br/>
<a id="pl.253.19"></a><var>253.19</var>(ii) reduction in the net tax capacity of the taxable property eligible to be taxed by <br/>
<a id="pl.253.20"></a><var>253.20</var>the lead county or subcontractor that significantly reduces available funds for education, <br/>
<a id="pl.253.21"></a><var>253.21</var>social, health, or health-related services to families and children;<br/>
<a id="pl.253.22"></a><var>253.22</var>(iii) reduction in the number of children under age 19 in the county, collaborative <br/>
<a id="pl.253.23"></a><var>253.23</var>service delivery area, subcontractor's district, or catchment area when compared to the <br/>
<a id="pl.253.24"></a><var>253.24</var>number in the base year using the most recent data provided by the State Demographer's <br/>
<a id="pl.253.25"></a><var>253.25</var>Office; or<br/>
<a id="pl.253.26"></a><var>253.26</var>(iv) termination of the federal revenue earned under the family services collaborative <br/>
<a id="pl.253.27"></a><var>253.27</var>agreement;<br/>
<a id="pl.253.28"></a><var>253.28</var>(5) (4) the commissioner shall not use the federal reimbursement earned under this <br/>
<a id="pl.253.29"></a><var>253.29</var>subdivision in determining the allocation or distribution of other funds to counties or <br/>
<a id="pl.253.30"></a><var>253.30</var>collaboratives;<br/>
<a id="pl.253.31"></a><var>253.31</var>(6) (5) the commissioner may suspend, reduce, or terminate the federal <br/>
<a id="pl.253.32"></a><var>253.32</var>reimbursement to a provider that does not meet the reporting or other requirements <br/>
<a id="pl.253.33"></a><var>253.33</var>of this subdivision;<br/>
<a id="pl.253.34"></a><var>253.34</var>(7) (6) the commissioner shall recover from the family services collaborative any <br/>
<a id="pl.253.35"></a><var>253.35</var>federal fiscal disallowances or sanctions for audit exceptions directly attributable to the <br/>
<a id="pl.254.1"></a><var>254.1</var>family services collaborative's actions in the integrated fund, or the proportional share if <br/>
<a id="pl.254.2"></a><var>254.2</var>federal fiscal disallowances or sanctions are based on a statewide random sample; and<br/>
<a id="pl.254.3"></a><var>254.3</var>(8) (7) the commissioner shall establish criteria for the family services collaborative <br/>
<a id="pl.254.4"></a><var>254.4</var>for the accounting and financial management system that will support claims for federal <br/>
<a id="pl.254.5"></a><var>254.5</var>reimbursement.<br/>
<a id="pl.254.6"></a><var>254.6</var>(b) The family services collaborative shall have the following authority and <br/>
<a id="pl.254.7"></a><var>254.7</var>responsibilities regarding federal revenue enhancement:<br/>
<a id="pl.254.8"></a><var>254.8</var>(1) the family services collaborative shall be the party with which the commissioner <br/>
<a id="pl.254.9"></a><var>254.9</var>contracts. A lead county shall be designated as the fiscal agency for reporting, claiming, <br/>
<a id="pl.254.10"></a><var>254.10</var>and receiving payments;<br/>
<a id="pl.254.11"></a><var>254.11</var>(2) the family services collaboratives may enter into subcontracts with other <br/>
<a id="pl.254.12"></a><var>254.12</var>counties, school districts, special education cooperatives, municipalities, and other public <br/>
<a id="pl.254.13"></a><var>254.13</var>and nonprofit entities for purposes of identifying and claiming eligible expenditures to <br/>
<a id="pl.254.14"></a><var>254.14</var>enhance federal reimbursement, or to expand education, social, health, or health-related <br/>
<a id="pl.254.15"></a><var>254.15</var>services to families and children;<br/>
<a id="pl.254.16"></a><var>254.16</var>(3) the family services collaborative must use all new federal reimbursement <br/>
<a id="pl.254.17"></a><var>254.17</var>resulting from federal revenue enhancement to expand expenditures for education, social, <br/>
<a id="pl.254.18"></a><var>254.18</var>health, or health-related services to families and children beyond the base level, except <br/>
<a id="pl.254.19"></a><var>254.19</var>as provided in paragraph (a), clause (4);<br/>
<a id="pl.254.20"></a><var>254.20</var>(4) the family services collaborative must ensure that expenditures submitted for <br/>
<a id="pl.254.21"></a><var>254.21</var>federal reimbursement are not made from federal funds or funds used to match other <br/>
<a id="pl.254.22"></a><var>254.22</var>federal funds. Notwithstanding section 
         <statute_ref>256B.19, subdivision 1</statute_ref>, for the purposes of family <br/>
<a id="pl.254.23"></a><var>254.23</var>services collaborative expenditures under agreement with the department, the nonfederal <br/>
<a id="pl.254.24"></a><var>254.24</var>share of costs shall be provided by the family services collaborative from sources other <br/>
<a id="pl.254.25"></a><var>254.25</var>than federal funds or funds used to match other federal funds;<br/>
<a id="pl.254.26"></a><var>254.26</var>(5) the family services collaborative must develop and maintain an accounting and <br/>
<a id="pl.254.27"></a><var>254.27</var>financial management system adequate to support all claims for federal reimbursement, <br/>
<a id="pl.254.28"></a><var>254.28</var>including a clear audit trail and any provisions specified in the agreement; and<br/>
<a id="pl.254.29"></a><var>254.29</var>(6) the family services collaborative shall submit an annual report to the <br/>
<a id="pl.254.30"></a><var>254.30</var>commissioner as specified in the agreement.<br/>
<br/>
<a id="bill.12.10.0"></a><a id="pl.254.31"></a><var>254.31</var>    Sec. 10. <b>TERMINOLOGY AUDIT.</b><br/>
<a id="pl.254.32"></a><var>254.32</var>The commissioner of human services shall collaborate with individuals with <br/>
<a id="pl.254.33"></a><var>254.33</var>disabilities, families, advocates, and other governmental agencies to solicit feedback and <br/>
<a id="pl.254.34"></a><var>254.34</var>identify inappropriate and insensitive terminology relating to individuals with disabilities, <br/>
<a id="pl.254.35"></a><var>254.35</var>conduct a comprehensive audit of the placement of this terminology in Minnesota Statutes <br/>
<a id="pl.255.1"></a><var>255.1</var>and Minnesota Rules, and make recommendations for changes to the 2013 legislature <br/>
<a id="pl.255.2"></a><var>255.2</var>on the repeal and replacement of this terminology with more appropriate and sensitive <br/>
<a id="pl.255.3"></a><var>255.3</var>terminology.<br/>
<br/>
<a id="bill.13.0.0"></a>

<a id="bill.13.1.0"></a><a id="pl.255.6"></a><var>255.6</var>    Section 1. Minnesota Statutes 2011 Supplement, section 125A.21, subdivision 7, <br/>
<a id="pl.255.7"></a><var>255.7</var>is amended to read:<br/>
<a id="pl.255.8"></a><var>255.8</var>    Subd. 7. <b>District disclosure of information.</b> A school district may disclose <br/>
<a id="pl.255.9"></a><var>255.9</var>information contained in a student's individualized education program, consistent with <br/>
<a id="pl.255.10"></a><var>255.10</var>section 
         <statute_ref>13.32, subdivision 3</statute_ref>, paragraph (a), and Code of Federal Regulations, title 34, <br/>
<a id="pl.255.11"></a><var>255.11</var>parts 99 and 300; including records of the student's diagnosis and treatment, to a health <br/>
<a id="pl.255.12"></a><var>255.12</var>plan company only with the signed and dated consent of the student's parent, or other <br/>
<a id="pl.255.13"></a><var>255.13</var>legally authorized individual, including consent that the parent or legal representative gave <br/>
<a id="pl.255.14"></a><var>255.14</var>as part of the application process for MinnesotaCare or medical assistance under section <br/>
<a id="pl.255.15"></a><var>255.15</var><statute_ref>256B.08, subdivision 1</statute_ref>. The school district shall disclose only that information necessary <br/>
<a id="pl.255.16"></a><var>255.16</var>for the health plan company to decide matters of coverage and payment. A health plan <br/>
<a id="pl.255.17"></a><var>255.17</var>company may use the information only for making decisions regarding coverage and <br/>
<a id="pl.255.18"></a><var>255.18</var>payment, and for any other use permitted by law.<br/>
<br/>
<a id="bill.13.2.0"></a><a id="pl.255.19"></a><var>255.19</var>    Sec. 2. Minnesota Statutes 2010, section 256B.04, subdivision 14, is amended to read:<br/>
<a id="pl.255.20"></a><var>255.20</var>    Subd. 14. <b>Competitive bidding.</b> (a) When determined to be effective, economical, <br/>
<a id="pl.255.21"></a><var>255.21</var>and feasible, the commissioner may utilize volume purchase through competitive bidding <br/>
<a id="pl.255.22"></a><var>255.22</var>and negotiation under the provisions of chapter 16C, to provide items under the medical <br/>
<a id="pl.255.23"></a><var>255.23</var>assistance program including but not limited to the following:<br/>
<a id="pl.255.24"></a><var>255.24</var>    (1) eyeglasses;<br/>
<a id="pl.255.25"></a><var>255.25</var>    (2) oxygen. The commissioner shall provide for oxygen needed in an emergency <br/>
<a id="pl.255.26"></a><var>255.26</var>situation on a short-term basis, until the vendor can obtain the necessary supply from <br/>
<a id="pl.255.27"></a><var>255.27</var>the contract dealer;<br/>
<a id="pl.255.28"></a><var>255.28</var>    (3) hearing aids and supplies; and<br/>
<a id="pl.255.29"></a><var>255.29</var>    (4) durable medical equipment, including but not limited to:<br/>
<a id="pl.255.30"></a><var>255.30</var>    (i) hospital beds;<br/>
<a id="pl.255.31"></a><var>255.31</var>    (ii) commodes;<br/>
<a id="pl.255.32"></a><var>255.32</var>    (iii) glide-about chairs;<br/>
<a id="pl.255.33"></a><var>255.33</var>    (iv) patient lift apparatus;<br/>
<a id="pl.255.34"></a><var>255.34</var>    (v) wheelchairs and accessories;<br/>
<a id="pl.256.1"></a><var>256.1</var>    (vi) oxygen administration equipment;<br/>
<a id="pl.256.2"></a><var>256.2</var>    (vii) respiratory therapy equipment;<br/>
<a id="pl.256.3"></a><var>256.3</var>    (viii) electronic diagnostic, therapeutic and life-support systems;<br/>
<a id="pl.256.4"></a><var>256.4</var>    (5) nonemergency medical transportation level of need determinations, disbursement <br/>
<a id="pl.256.5"></a><var>256.5</var>of public transportation passes and tokens, and volunteer and recipient mileage and <br/>
<a id="pl.256.6"></a><var>256.6</var>parking reimbursements; and<br/>
<a id="pl.256.7"></a><var>256.7</var>    (6) drugs.<br/>
<a id="pl.256.8"></a><var>256.8</var>    (b) Rate changes and recipient cost-sharing under this chapter and chapters 256D and <br/>
<a id="pl.256.9"></a><var>256.9</var>256L do not affect contract payments under this subdivision unless specifically identified.<br/>
<a id="pl.256.10"></a><var>256.10</var>    (c) The commissioner may not utilize volume purchase through competitive bidding <br/>
<a id="pl.256.11"></a><var>256.11</var>and negotiation for special transportation services under the provisions of chapter 16C.<br/>
<br/>
<a id="bill.13.3.0"></a><a id="pl.256.12"></a><var>256.12</var>    Sec. 3. Minnesota Statutes 2011 Supplement, section 256B.056, subdivision 3, is <br/>
<a id="pl.256.13"></a><var>256.13</var>amended to read:<br/>
<a id="pl.256.14"></a><var>256.14</var>    Subd. 3. <b>Asset limitations for individuals and families.</b> (a) To be eligible for <br/>
<a id="pl.256.15"></a><var>256.15</var>medical assistance, a person must not individually own more than $3,000 in assets, or if a <br/>
<a id="pl.256.16"></a><var>256.16</var>member of a household with two family members, husband and wife, or parent and child, <br/>
<a id="pl.256.17"></a><var>256.17</var>the household must not own more than $6,000 in assets, plus $200 for each additional <br/>
<a id="pl.256.18"></a><var>256.18</var>legal dependent. In addition to these maximum amounts, an eligible individual or family <br/>
<a id="pl.256.19"></a><var>256.19</var>may accrue interest on these amounts, but they must be reduced to the maximum at the <br/>
<a id="pl.256.20"></a><var>256.20</var>time of an eligibility redetermination. The accumulation of the clothing and personal <br/>
<a id="pl.256.21"></a><var>256.21</var>needs allowance according to section 
         <statute_ref>256B.35</statute_ref> must also be reduced to the maximum at <br/>
<a id="pl.256.22"></a><var>256.22</var>the time of the eligibility redetermination. The value of assets that are not considered in <br/>
<a id="pl.256.23"></a><var>256.23</var>determining eligibility for medical assistance is the value of those assets excluded under <br/>
<a id="pl.256.24"></a><var>256.24</var>the supplemental security income program for aged, blind, and disabled persons, with <br/>
<a id="pl.256.25"></a><var>256.25</var>the following exceptions:<br/>
<a id="pl.256.26"></a><var>256.26</var>(1) household goods and personal effects are not considered;<br/>
<a id="pl.256.27"></a><var>256.27</var>(2) capital and operating assets of a trade or business that the local agency determines <br/>
<a id="pl.256.28"></a><var>256.28</var>are necessary to the person's ability to earn an income are not considered;<br/>
<a id="pl.256.29"></a><var>256.29</var>(3) motor vehicles are excluded to the same extent excluded by the supplemental <br/>
<a id="pl.256.30"></a><var>256.30</var>security income program;<br/>
<a id="pl.256.31"></a><var>256.31</var>(4) assets designated as burial expenses are excluded to the same extent excluded by <br/>
<a id="pl.256.32"></a><var>256.32</var>the supplemental security income program. Burial expenses funded by annuity contracts <br/>
<a id="pl.256.33"></a><var>256.33</var>or life insurance policies must irrevocably designate the individual's estate as contingent <br/>
<a id="pl.256.34"></a><var>256.34</var>beneficiary to the extent proceeds are not used for payment of selected burial expenses; and<br/>
<a id="pl.257.1"></a><var>257.1</var>(5) for a person who no longer qualifies as an employed person with a disability due <br/>
<a id="pl.257.2"></a><var>257.2</var>to loss of earnings, assets allowed while eligible for medical assistance under section <br/>
<statute_ref><a id="pl.257.3"></a><var>257.3</var>256B.057, subdivision 9
         </statute_ref>, are not considered for 12 months, beginning with the first month <br/>
<a id="pl.257.4"></a><var>257.4</var>of ineligibility as an employed person with a disability, to the extent that the person's total <br/>
<a id="pl.257.5"></a><var>257.5</var>assets remain within the allowed limits of section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, paragraph <br/>
<a id="pl.257.6"></a><var>257.6</var>(d).; and<br/>
<a id="pl.257.7"></a><var>257.7</var>(6) effective July 1, 2009, certain assets owned by American Indians are excluded as <br/>
<a id="pl.257.8"></a><var>257.8</var>required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public <br/>
<a id="pl.257.9"></a><var>257.9</var>Law 111-5. For purposes of this clause, an American Indian is any person who meets the <br/>
<a id="pl.257.10"></a><var>257.10</var>definition of Indian according to Code of Federal Regulations, title 42, section 447.50.<br/>
<a id="pl.257.11"></a><var>257.11</var>(b) No asset limit shall apply to persons eligible under section 
         <statute_ref>256B.055</statute_ref>, subdivision <br/>
<a id="pl.257.12"></a><var>257.12</var>15.<br/>
<a id="pl.257.13"></a><var>257.13</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from July 1, 2009.<br/>
<br/>
<a id="bill.13.4.0"></a><a id="pl.257.14"></a><var>257.14</var>    Sec. 4. Minnesota Statutes 2010, section 256B.056, subdivision 3c, is amended to read:<br/>
<a id="pl.257.15"></a><var>257.15</var>    Subd. 3c. <b>Asset limitations for families and children.</b> A household of two or more <br/>
<a id="pl.257.16"></a><var>257.16</var>persons must not own more than $20,000 in total net assets, and a household of one <br/>
<a id="pl.257.17"></a><var>257.17</var>person must not own more than $10,000 in total net assets. In addition to these maximum <br/>
<a id="pl.257.18"></a><var>257.18</var>amounts, an eligible individual or family may accrue interest on these amounts, but they <br/>
<a id="pl.257.19"></a><var>257.19</var>must be reduced to the maximum at the time of an eligibility redetermination. The value of <br/>
<a id="pl.257.20"></a><var>257.20</var>assets that are not considered in determining eligibility for medical assistance for families <br/>
<a id="pl.257.21"></a><var>257.21</var>and children is the value of those assets excluded under the AFDC state plan as of July 16, <br/>
<a id="pl.257.22"></a><var>257.22</var>1996, as required by the Personal Responsibility and Work Opportunity Reconciliation <br/>
<a id="pl.257.23"></a><var>257.23</var>Act of 1996 (PRWORA), Public Law 104-193, with the following exceptions:<br/>
<a id="pl.257.24"></a><var>257.24</var>(1) household goods and personal effects are not considered;<br/>
<a id="pl.257.25"></a><var>257.25</var>(2) capital and operating assets of a trade or business up to $200,000 are not <br/>
<a id="pl.257.26"></a><var>257.26</var>considered, except that a bank account that contains personal income or assets, or is used to <br/>
<a id="pl.257.27"></a><var>257.27</var>pay personal expenses, is not considered a capital or operating asset of a trade or business;<br/>
<a id="pl.257.28"></a><var>257.28</var>(3) one motor vehicle is excluded for each person of legal driving age who is <br/>
<a id="pl.257.29"></a><var>257.29</var>employed or seeking employment;<br/>
<a id="pl.257.30"></a><var>257.30</var>(4) assets designated as burial expenses are excluded to the same extent they are <br/>
<a id="pl.257.31"></a><var>257.31</var>excluded by the Supplemental Security Income program;<br/>
<a id="pl.257.32"></a><var>257.32</var>(5) court-ordered settlements up to $10,000 are not considered;<br/>
<a id="pl.257.33"></a><var>257.33</var>(6) individual retirement accounts and funds are not considered; and<br/>
<a id="pl.257.34"></a><var>257.34</var>(7) assets owned by children are not considered.; and<br/>
<a id="pl.258.1"></a><var>258.1</var>(8) effective July 1, 2009, certain assets owned by American Indians are excluded, as <br/>
<a id="pl.258.2"></a><var>258.2</var>required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public <br/>
<a id="pl.258.3"></a><var>258.3</var>Law 111-5. For purposes of this clause, an American Indian is any person who meets the <br/>
<a id="pl.258.4"></a><var>258.4</var>definition of Indian according to Code of Federal Regulations, title 42, section 447.50.<br/>
<a id="pl.258.5"></a><var>258.5</var>The assets specified in clause (2) must be disclosed to the local agency at the time of <br/>
<a id="pl.258.6"></a><var>258.6</var>application and at the time of an eligibility redetermination, and must be verified upon <br/>
<a id="pl.258.7"></a><var>258.7</var>request of the local agency.<br/>
<a id="pl.258.8"></a><var>258.8</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from July 1, 2009.<br/>
<br/>
<a id="bill.13.5.0"></a><a id="pl.258.9"></a><var>258.9</var>    Sec. 5. Minnesota Statutes 2011 Supplement, section 256B.057, subdivision 9, is <br/>
<a id="pl.258.10"></a><var>258.10</var>amended to read:<br/>
<a id="pl.258.11"></a><var>258.11</var>    Subd. 9. <b>Employed persons with disabilities.</b> (a) Medical assistance may be paid <br/>
<a id="pl.258.12"></a><var>258.12</var>for a person who is employed and who:<br/>
<a id="pl.258.13"></a><var>258.13</var>(1) but for excess earnings or assets, meets the definition of disabled under the <br/>
<a id="pl.258.14"></a><var>258.14</var>Supplemental Security Income program;<br/>
<a id="pl.258.15"></a><var>258.15</var>(2) is at least 16 but less than 65 years of age;<br/>
<a id="pl.258.16"></a><var>258.16</var>(3) meets the asset limits in paragraph (d); and<br/>
<a id="pl.258.17"></a><var>258.17</var>(4) pays a premium and other obligations under paragraph (e).<br/>
<a id="pl.258.18"></a><var>258.18</var>    (b) For purposes of eligibility, there is a $65 earned income disregard. To be eligible <br/>
<a id="pl.258.19"></a><var>258.19</var>for medical assistance under this subdivision, a person must have more than $65 of earned <br/>
<a id="pl.258.20"></a><var>258.20</var>income. Earned income must have Medicare, Social Security, and applicable state and <br/>
<a id="pl.258.21"></a><var>258.21</var>federal taxes withheld. The person must document earned income tax withholding. Any <br/>
<a id="pl.258.22"></a><var>258.22</var>spousal income or assets shall be disregarded for purposes of eligibility and premium <br/>
<a id="pl.258.23"></a><var>258.23</var>determinations.<br/>
<a id="pl.258.24"></a><var>258.24</var>(c) After the month of enrollment, a person enrolled in medical assistance under <br/>
<a id="pl.258.25"></a><var>258.25</var>this subdivision who:<br/>
<a id="pl.258.26"></a><var>258.26</var>(1) is temporarily unable to work and without receipt of earned income due to a <br/>
<a id="pl.258.27"></a><var>258.27</var>medical condition, as verified by a physician; or<br/>
<a id="pl.258.28"></a><var>258.28</var>(2) loses employment for reasons not attributable to the enrollee, and is without <br/>
<a id="pl.258.29"></a><var>258.29</var>receipt of earned income may retain eligibility for up to four consecutive months after the <br/>
<a id="pl.258.30"></a><var>258.30</var>month of job loss. To receive a four-month extension, enrollees must verify the medical <br/>
<a id="pl.258.31"></a><var>258.31</var>condition or provide notification of job loss. All other eligibility requirements must be met <br/>
<a id="pl.258.32"></a><var>258.32</var>and the enrollee must pay all calculated premium costs for continued eligibility.<br/>
<a id="pl.258.33"></a><var>258.33</var>(d) For purposes of determining eligibility under this subdivision, a person's assets <br/>
<a id="pl.258.34"></a><var>258.34</var>must not exceed $20,000, excluding:<br/>
<a id="pl.259.1"></a><var>259.1</var>(1) all assets excluded under section 
         <statute_ref>256B.056</statute_ref>;<br/>
<a id="pl.259.2"></a><var>259.2</var>(2) retirement accounts, including individual accounts, 401(k) plans, 403(b) plans, <br/>
<a id="pl.259.3"></a><var>259.3</var>Keogh plans, and pension plans;<br/>
<a id="pl.259.4"></a><var>259.4</var>(3) medical expense accounts set up through the person's employer; and<br/>
<a id="pl.259.5"></a><var>259.5</var>(4) spousal assets, including spouse's share of jointly held assets.<br/>
<a id="pl.259.6"></a><var>259.6</var>(e) All enrollees must pay a premium to be eligible for medical assistance under this <br/>
<a id="pl.259.7"></a><var>259.7</var>subdivision, except as provided under section 
<statute_ref>256.01, subdivision 18b</statute_ref> clause (5).<br/>
<a id="pl.259.8"></a><var>259.8</var>(1) An enrollee must pay the greater of a $65 premium or the premium calculated <br/>
<a id="pl.259.9"></a><var>259.9</var>based on the person's gross earned and unearned income and the applicable family size <br/>
<a id="pl.259.10"></a><var>259.10</var>using a sliding fee scale established by the commissioner, which begins at one percent of <br/>
<a id="pl.259.11"></a><var>259.11</var>income at 100 percent of the federal poverty guidelines and increases to 7.5 percent of <br/>
<a id="pl.259.12"></a><var>259.12</var>income for those with incomes at or above 300 percent of the federal poverty guidelines.<br/>
<a id="pl.259.13"></a><var>259.13</var>(2) Annual adjustments in the premium schedule based upon changes in the federal <br/>
<a id="pl.259.14"></a><var>259.14</var>poverty guidelines shall be effective for premiums due in July of each year.<br/>
<a id="pl.259.15"></a><var>259.15</var>(3) All enrollees who receive unearned income must pay five percent of unearned <br/>
<a id="pl.259.16"></a><var>259.16</var>income in addition to the premium amount, except as provided under section 
<statute_ref>256.01, <br/>
<a id="pl.259.17"></a><var>259.17</var>subdivision 18b
</statute_ref> clause (5).<br/>
<a id="pl.259.18"></a><var>259.18</var>(4) Increases in benefits under title II of the Social Security Act shall not be counted <br/>
<a id="pl.259.19"></a><var>259.19</var>as income for purposes of this subdivision until July 1 of each year.<br/>
<a id="pl.259.20"></a><var>259.20</var>(5) Effective July 1, 2009, American Indians are exempt from paying premiums as <br/>
<a id="pl.259.21"></a><var>259.21</var>required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public <br/>
<a id="pl.259.22"></a><var>259.22</var>Law 111-5. For purposes of this clause, an American Indian is any person who meets the <br/>
<a id="pl.259.23"></a><var>259.23</var>definition of Indian according to Code of Federal Regulations, title 42, section 447.50.<br/>
<a id="pl.259.24"></a><var>259.24</var>(f) A person's eligibility and premium shall be determined by the local county <br/>
<a id="pl.259.25"></a><var>259.25</var>agency. Premiums must be paid to the commissioner. All premiums are dedicated to <br/>
<a id="pl.259.26"></a><var>259.26</var>the commissioner.<br/>
<a id="pl.259.27"></a><var>259.27</var>(g) Any required premium shall be determined at application and redetermined at <br/>
<a id="pl.259.28"></a><var>259.28</var>the enrollee's six-month income review or when a change in income or household size is <br/>
<a id="pl.259.29"></a><var>259.29</var>reported. Enrollees must report any change in income or household size within ten days <br/>
<a id="pl.259.30"></a><var>259.30</var>of when the change occurs. A decreased premium resulting from a reported change in <br/>
<a id="pl.259.31"></a><var>259.31</var>income or household size shall be effective the first day of the next available billing month <br/>
<a id="pl.259.32"></a><var>259.32</var>after the change is reported. Except for changes occurring from annual cost-of-living <br/>
<a id="pl.259.33"></a><var>259.33</var>increases, a change resulting in an increased premium shall not affect the premium amount <br/>
<a id="pl.259.34"></a><var>259.34</var>until the next six-month review.<br/>
<a id="pl.260.1"></a><var>260.1</var>(h) Premium payment is due upon notification from the commissioner of the <br/>
<a id="pl.260.2"></a><var>260.2</var>premium amount required. Premiums may be paid in installments at the discretion of <br/>
<a id="pl.260.3"></a><var>260.3</var>the commissioner.<br/>
<a id="pl.260.4"></a><var>260.4</var>(i) Nonpayment of the premium shall result in denial or termination of medical <br/>
<a id="pl.260.5"></a><var>260.5</var>assistance unless the person demonstrates good cause for nonpayment. Good cause exists <br/>
<a id="pl.260.6"></a><var>260.6</var>if the requirements specified in Minnesota Rules, part 9506.0040, subpart 7, items B to <br/>
<a id="pl.260.7"></a><var>260.7</var>D, are met. Except when an installment agreement is accepted by the commissioner, <br/>
<a id="pl.260.8"></a><var>260.8</var>all persons disenrolled for nonpayment of a premium must pay any past due premiums <br/>
<a id="pl.260.9"></a><var>260.9</var>as well as current premiums due prior to being reenrolled. Nonpayment shall include <br/>
<a id="pl.260.10"></a><var>260.10</var>payment with a returned, refused, or dishonored instrument. The commissioner may <br/>
<a id="pl.260.11"></a><var>260.11</var>require a guaranteed form of payment as the only means to replace a returned, refused, <br/>
<a id="pl.260.12"></a><var>260.12</var>or dishonored instrument.<br/>
<a id="pl.260.13"></a><var>260.13</var>(j) The commissioner shall notify enrollees annually beginning at least 24 months <br/>
<a id="pl.260.14"></a><var>260.14</var>before the person's 65th birthday of the medical assistance eligibility rules affecting <br/>
<a id="pl.260.15"></a><var>260.15</var>income, assets, and treatment of a spouse's income and assets that will be applied upon <br/>
<a id="pl.260.16"></a><var>260.16</var>reaching age 65.<br/>
<a id="pl.260.17"></a><var>260.17</var>(k) For enrollees whose income does not exceed 200 percent of the federal poverty <br/>
<a id="pl.260.18"></a><var>260.18</var>guidelines and who are also enrolled in Medicare, the commissioner shall reimburse <br/>
<a id="pl.260.19"></a><var>260.19</var>the enrollee for Medicare part B premiums under section 
         <statute_ref>256B.0625, subdivision 15</statute_ref>, <br/>
<a id="pl.260.20"></a><var>260.20</var>paragraph (a).<br/>
<a id="pl.260.21"></a><var>260.21</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from July 1, 2009.<br/>
<br/>
<a id="bill.13.6.0"></a><a id="pl.260.22"></a><var>260.22</var>    Sec. 6. Minnesota Statutes 2010, section 256B.0595, subdivision 2, is amended to read:<br/>
<a id="pl.260.23"></a><var>260.23</var>    Subd. 2. <b>Period of ineligibility for long-term care services.</b> (a) For any <br/>
<a id="pl.260.24"></a><var>260.24</var>uncompensated transfer occurring on or before August 10, 1993, the number of months <br/>
<a id="pl.260.25"></a><var>260.25</var>of ineligibility for long-term care services shall be the lesser of 30 months, or the <br/>
<a id="pl.260.26"></a><var>260.26</var>uncompensated transfer amount divided by the average medical assistance rate for nursing <br/>
<a id="pl.260.27"></a><var>260.27</var>facility services in the state in effect on the date of application. The amount used to <br/>
<a id="pl.260.28"></a><var>260.28</var>calculate the average medical assistance payment rate shall be adjusted each July 1 to <br/>
<a id="pl.260.29"></a><var>260.29</var>reflect payment rates for the previous calendar year. The period of ineligibility begins <br/>
<a id="pl.260.30"></a><var>260.30</var>with the month in which the assets were transferred. If the transfer was not reported to <br/>
<a id="pl.260.31"></a><var>260.31</var>the local agency at the time of application, and the applicant received long-term care <br/>
<a id="pl.260.32"></a><var>260.32</var>services during what would have been the period of ineligibility if the transfer had been <br/>
<a id="pl.260.33"></a><var>260.33</var>reported, a cause of action exists against the transferee for the cost of long-term care <br/>
<a id="pl.260.34"></a><var>260.34</var>services provided during the period of ineligibility, or for the uncompensated amount of <br/>
<a id="pl.260.35"></a><var>260.35</var>the transfer, whichever is less. The uncompensated transfer amount is the fair market <br/>
<a id="pl.261.1"></a><var>261.1</var>value of the asset at the time it was given away, sold, or disposed of, less the amount of <br/>
<a id="pl.261.2"></a><var>261.2</var>compensation received.<br/>
<a id="pl.261.3"></a><var>261.3</var>    (b) For uncompensated transfers made after August 10, 1993, the number of months <br/>
<a id="pl.261.4"></a><var>261.4</var>of ineligibility for long-term care services shall be the total uncompensated value of the <br/>
<a id="pl.261.5"></a><var>261.5</var>resources transferred divided by the average medical assistance rate for nursing facility <br/>
<a id="pl.261.6"></a><var>261.6</var>services in the state in effect on the date of application. The amount used to calculate <br/>
<a id="pl.261.7"></a><var>261.7</var>the average medical assistance payment rate shall be adjusted each July 1 to reflect <br/>
<a id="pl.261.8"></a><var>261.8</var>payment rates for the previous calendar year. The period of ineligibility begins with the <br/>
<a id="pl.261.9"></a><var>261.9</var>first day of the month after the month in which the assets were transferred except that <br/>
<a id="pl.261.10"></a><var>261.10</var>if one or more uncompensated transfers are made during a period of ineligibility, the <br/>
<a id="pl.261.11"></a><var>261.11</var>total assets transferred during the ineligibility period shall be combined and a penalty <br/>
<a id="pl.261.12"></a><var>261.12</var>period calculated to begin on the first day of the month after the month in which the first <br/>
<a id="pl.261.13"></a><var>261.13</var>uncompensated transfer was made. If the transfer was reported to the local agency after <br/>
<a id="pl.261.14"></a><var>261.14</var>the date that advance notice of a period of ineligibility that affects the next month could <br/>
<a id="pl.261.15"></a><var>261.15</var>be provided to the recipient and the recipient received medical assistance services or the <br/>
<a id="pl.261.16"></a><var>261.16</var>transfer was not reported to the local agency, and the applicant or recipient received <br/>
<a id="pl.261.17"></a><var>261.17</var>medical assistance services during what would have been the period of ineligibility if <br/>
<a id="pl.261.18"></a><var>261.18</var>the transfer had been reported, a cause of action exists against the transferee for that <br/>
<a id="pl.261.19"></a><var>261.19</var>portion of long-term care services provided during the period of ineligibility, or for the <br/>
<a id="pl.261.20"></a><var>261.20</var>uncompensated amount of the transfer, whichever is less. The uncompensated transfer <br/>
<a id="pl.261.21"></a><var>261.21</var>amount is the fair market value of the asset at the time it was given away, sold, or disposed <br/>
<a id="pl.261.22"></a><var>261.22</var>of, less the amount of compensation received. Effective for transfers made on or after <br/>
<a id="pl.261.23"></a><var>261.23</var>March 1, 1996, involving persons who apply for medical assistance on or after April 13, <br/>
<a id="pl.261.24"></a><var>261.24</var>1996, no cause of action exists for a transfer unless:<br/>
<a id="pl.261.25"></a><var>261.25</var>    (1) the transferee knew or should have known that the transfer was being made by a <br/>
<a id="pl.261.26"></a><var>261.26</var>person who was a resident of a long-term care facility or was receiving that level of care in <br/>
<a id="pl.261.27"></a><var>261.27</var>the community at the time of the transfer;<br/>
<a id="pl.261.28"></a><var>261.28</var>    (2) the transferee knew or should have known that the transfer was being made to <br/>
<a id="pl.261.29"></a><var>261.29</var>assist the person to qualify for or retain medical assistance eligibility; or<br/>
<a id="pl.261.30"></a><var>261.30</var>    (3) the transferee actively solicited the transfer with intent to assist the person to <br/>
<a id="pl.261.31"></a><var>261.31</var>qualify for or retain eligibility for medical assistance.<br/>
<a id="pl.261.32"></a><var>261.32</var>    (c) For uncompensated transfers made on or after February 8, 2006, the period <br/>
<a id="pl.261.33"></a><var>261.33</var>of ineligibility:<br/>
<a id="pl.261.34"></a><var>261.34</var>    (1) for uncompensated transfers by or on behalf of individuals receiving medical <br/>
<a id="pl.261.35"></a><var>261.35</var>assistance payment of long-term care services, begins the first day of the month following <br/>
<a id="pl.261.36"></a><var>261.36</var>advance notice of the period of ineligibility, but no later than the first day of the month <br/>
<a id="pl.262.1"></a><var>262.1</var>that follows three full calendar months from the date of the report or discovery of the <br/>
<a id="pl.262.2"></a><var>262.2</var>transfer; or<br/>
<a id="pl.262.3"></a><var>262.3</var>    (2) for uncompensated transfers by individuals requesting medical assistance <br/>
<a id="pl.262.4"></a><var>262.4</var>payment of long-term care services, begins the date on which the individual is eligible <br/>
<a id="pl.262.5"></a><var>262.5</var>for medical assistance under the Medicaid state plan and would otherwise be receiving <br/>
<a id="pl.262.6"></a><var>262.6</var>long-term care services based on an approved application for such care but for the period <br/>
<a id="pl.262.7"></a><var>262.7</var>of ineligibility resulting from the uncompensated transfer; and<br/>
<a id="pl.262.8"></a><var>262.8</var>    (3) cannot begin during any other period of ineligibility.<br/>
<a id="pl.262.9"></a><var>262.9</var>    (d) If a calculation of a period of ineligibility results in a partial month, payments for <br/>
<a id="pl.262.10"></a><var>262.10</var>long-term care services shall be reduced in an amount equal to the fraction.<br/>
<a id="pl.262.11"></a><var>262.11</var>    (e) In the case of multiple fractional transfers of assets in more than one month for <br/>
<a id="pl.262.12"></a><var>262.12</var>less than fair market value on or after February 8, 2006, the period of ineligibility is <br/>
<a id="pl.262.13"></a><var>262.13</var>calculated by treating the total, cumulative, uncompensated value of all assets transferred <br/>
<a id="pl.262.14"></a><var>262.14</var>during all months on or after February 8, 2006, as one transfer.<br/>
<a id="pl.262.15"></a><var>262.15</var>    (f) A period of ineligibility established under paragraph (c) may be eliminated if <br/>
<a id="pl.262.16"></a><var>262.16</var>all of the assets transferred for less than fair market value used to calculate the period of <br/>
<a id="pl.262.17"></a><var>262.17</var>ineligibility, or cash equal to the value of the assets at the time of the transfer, are returned <br/>
<a id="pl.262.18"></a><var>262.18</var>within 12 months after the date the period of ineligibility began. A period of ineligibility <br/>
<a id="pl.262.19"></a><var>262.19</var>must not be adjusted if less than the full amount of the transferred assets or the full cash <br/>
<a id="pl.262.20"></a><var>262.20</var>value of the transferred assets are returned.<br/>
<br/>
<a id="bill.13.7.0"></a><a id="pl.262.21"></a><var>262.21</var>    Sec. 7. Minnesota Statutes 2010, section 256B.0625, subdivision 13, is amended to <br/>
<a id="pl.262.22"></a><var>262.22</var>read:<br/>
<a id="pl.262.23"></a><var>262.23</var>    Subd. 13. <b>Drugs.</b> (a) Medical assistance covers drugs, except for fertility drugs <br/>
<a id="pl.262.24"></a><var>262.24</var>when specifically used to enhance fertility, if prescribed by a licensed practitioner and <br/>
<a id="pl.262.25"></a><var>262.25</var>dispensed by a licensed pharmacist, by a physician enrolled in the medical assistance <br/>
<a id="pl.262.26"></a><var>262.26</var>program as a dispensing physician, or by a physician, physician assistant, or a nurse <br/>
<a id="pl.262.27"></a><var>262.27</var>practitioner employed by or under contract with a community health board as defined in <br/>
<a id="pl.262.28"></a><var>262.28</var>section 
         <statute_ref>145A.02, subdivision 5</statute_ref>, for the purposes of communicable disease control.<br/>
<a id="pl.262.29"></a><var>262.29</var>(b) The dispensed quantity of a prescription drug must not exceed a 34-day supply, <br/>
<a id="pl.262.30"></a><var>262.30</var>unless authorized by the commissioner.<br/>
<a id="pl.262.31"></a><var>262.31</var>(c) For the purpose of this subdivision and subdivision 13d, an "active <br/>
<a id="pl.262.32"></a><var>262.32</var>pharmaceutical ingredient" is defined as a substance that is represented for use in a drug <br/>
<a id="pl.262.33"></a><var>262.33</var>and when used in the manufacturing, processing, or packaging of a drug, becomes an <br/>
<a id="pl.262.34"></a><var>262.34</var>active ingredient of the drug product. An "excipient" is defined as an inert substance <br/>
<a id="pl.262.35"></a><var>262.35</var>used as a diluent or vehicle for a drug. The commissioner shall establish a list of active <br/>
<a id="pl.263.1"></a><var>263.1</var>pharmaceutical ingredients and excipients which are included in the medical assistance <br/>
<a id="pl.263.2"></a><var>263.2</var>formulary. Medical assistance covers selected active pharmaceutical ingredients and <br/>
<a id="pl.263.3"></a><var>263.3</var>excipients used in compounded prescriptions when the compounded combination is <br/>
<a id="pl.263.4"></a><var>263.4</var>specifically approved by the commissioner or when a commercially available product:<br/>
<a id="pl.263.5"></a><var>263.5</var>(1) is not a therapeutic option for the patient;<br/>
<a id="pl.263.6"></a><var>263.6</var>(2) does not exist in the same combination of active ingredients in the same strengths <br/>
<a id="pl.263.7"></a><var>263.7</var>as the compounded prescription; and<br/>
<a id="pl.263.8"></a><var>263.8</var>(3) cannot be used in place of the active pharmaceutical ingredient in the <br/>
<a id="pl.263.9"></a><var>263.9</var>compounded prescription.<br/>
<a id="pl.263.10"></a><var>263.10</var>(c) (d) Medical assistance covers the following over-the-counter drugs when <br/>
<a id="pl.263.11"></a><var>263.11</var>prescribed by a licensed practitioner or by a licensed pharmacist who meets standards <br/>
<a id="pl.263.12"></a><var>263.12</var>established by the commissioner, in consultation with the board of pharmacy: antacids, <br/>
<a id="pl.263.13"></a><var>263.13</var>acetaminophen, family planning products, aspirin, insulin, products for the treatment of <br/>
<a id="pl.263.14"></a><var>263.14</var>lice, vitamins for adults with documented vitamin deficiencies, vitamins for children <br/>
<a id="pl.263.15"></a><var>263.15</var>under the age of seven and pregnant or nursing women, and any other over-the-counter <br/>
<a id="pl.263.16"></a><var>263.16</var>drug identified by the commissioner, in consultation with the formulary committee, as <br/>
<a id="pl.263.17"></a><var>263.17</var>necessary, appropriate, and cost-effective for the treatment of certain specified chronic <br/>
<a id="pl.263.18"></a><var>263.18</var>diseases, conditions, or disorders, and this determination shall not be subject to the <br/>
<a id="pl.263.19"></a><var>263.19</var>requirements of chapter 14. A pharmacist may prescribe over-the-counter medications as <br/>
<a id="pl.263.20"></a><var>263.20</var>provided under this paragraph for purposes of receiving reimbursement under Medicaid. <br/>
<a id="pl.263.21"></a><var>263.21</var>When prescribing over-the-counter drugs under this paragraph, licensed pharmacists must <br/>
<a id="pl.263.22"></a><var>263.22</var>consult with the recipient to determine necessity, provide drug counseling, review drug <br/>
<a id="pl.263.23"></a><var>263.23</var>therapy for potential adverse interactions, and make referrals as needed to other health care <br/>
<a id="pl.263.24"></a><var>263.24</var>professionals. Over-the-counter medications must be dispensed in a quantity that is the <br/>
<a id="pl.263.25"></a><var>263.25</var>lower of: (1) the number of dosage units contained in the manufacturer's original package; <br/>
<a id="pl.263.26"></a><var>263.26</var>and (2) the number of dosage units required to complete the patient's course of therapy.<br/>
<a id="pl.263.27"></a><var>263.27</var>(d) (e) Effective January 1, 2006, medical assistance shall not cover drugs that <br/>
<a id="pl.263.28"></a><var>263.28</var>are coverable under Medicare Part D as defined in the Medicare Prescription Drug, <br/>
<a id="pl.263.29"></a><var>263.29</var>Improvement, and Modernization Act of 2003, Public Law 108-173, section 1860D-2(e), <br/>
<a id="pl.263.30"></a><var>263.30</var>for individuals eligible for drug coverage as defined in the Medicare Prescription <br/>
<a id="pl.263.31"></a><var>263.31</var>Drug, Improvement, and Modernization Act of 2003, Public Law 108-173, section <br/>
<a id="pl.263.32"></a><var>263.32</var>1860D-1(a)(3)(A). For these individuals, medical assistance may cover drugs from the <br/>
<a id="pl.263.33"></a><var>263.33</var>drug classes listed in United States Code, title 42, section 1396r-8(d)(2), subject to this <br/>
<a id="pl.263.34"></a><var>263.34</var>subdivision and subdivisions 13a to 13g, except that drugs listed in United States Code, <br/>
<a id="pl.263.35"></a><var>263.35</var>title 42, section 1396r-8(d)(2)(E), shall not be covered.<br/>
<br/>
<a id="bill.13.8.0"></a><a id="pl.264.1"></a><var>264.1</var>    Sec. 8. Minnesota Statutes 2010, section 256B.0625, subdivision 13d, is amended to <br/>
<a id="pl.264.2"></a><var>264.2</var>read:<br/>
<a id="pl.264.3"></a><var>264.3</var>    Subd. 13d. <b>Drug formulary.</b> (a) The commissioner shall establish a drug <br/>
<a id="pl.264.4"></a><var>264.4</var>formulary. Its establishment and publication shall not be subject to the requirements of the <br/>
<a id="pl.264.5"></a><var>264.5</var>Administrative Procedure Act, but the Formulary Committee shall review and comment <br/>
<a id="pl.264.6"></a><var>264.6</var>on the formulary contents.<br/>
<a id="pl.264.7"></a><var>264.7</var>    (b) The formulary shall not include:<br/>
<a id="pl.264.8"></a><var>264.8</var>    (1) drugs, active pharmaceutical ingredients, or products for which there is no <br/>
<a id="pl.264.9"></a><var>264.9</var>federal funding;<br/>
<a id="pl.264.10"></a><var>264.10</var>    (2) over-the-counter drugs, except as provided in subdivision 13;<br/>
<a id="pl.264.11"></a><var>264.11</var>    (3) drugs or active pharmaceutical ingredients used for weight loss, except that <br/>
<a id="pl.264.12"></a><var>264.12</var>medically necessary lipase inhibitors may be covered for a recipient with type II diabetes;<br/>
<a id="pl.264.13"></a><var>264.13</var>    (4) drugs or active pharmaceutical ingredients when used for the treatment of <br/>
<a id="pl.264.14"></a><var>264.14</var>impotence or erectile dysfunction;<br/>
<a id="pl.264.15"></a><var>264.15</var>    (5) drugs or active pharmaceutical ingredients for which medical value has not <br/>
<a id="pl.264.16"></a><var>264.16</var>been established; and<br/>
<a id="pl.264.17"></a><var>264.17</var>    (6) drugs from manufacturers who have not signed a rebate agreement with the <br/>
<a id="pl.264.18"></a><var>264.18</var>Department of Health and Human Services pursuant to section 1927 of title XIX of the <br/>
<a id="pl.264.19"></a><var>264.19</var>Social Security Act.<br/>
<a id="pl.264.20"></a><var>264.20</var>    (c) If a single-source drug used by at least two percent of the fee-for-service <br/>
<a id="pl.264.21"></a><var>264.21</var>medical assistance recipients is removed from the formulary due to the failure of the <br/>
<a id="pl.264.22"></a><var>264.22</var>manufacturer to sign a rebate agreement with the Department of Health and Human <br/>
<a id="pl.264.23"></a><var>264.23</var>Services, the commissioner shall notify prescribing practitioners within 30 days of <br/>
<a id="pl.264.24"></a><var>264.24</var>receiving notification from the Centers for Medicare and Medicaid Services (CMS) that a <br/>
<a id="pl.264.25"></a><var>264.25</var>rebate agreement was not signed.<br/>
<br/>
<a id="bill.13.9.0"></a><a id="pl.264.26"></a><var>264.26</var>    Sec. 9. Minnesota Statutes 2011 Supplement, section 256B.0625, subdivision 13e, <br/>
<a id="pl.264.27"></a><var>264.27</var>is amended to read:<br/>
<a id="pl.264.28"></a><var>264.28</var>    Subd. 13e. <b>Payment rates.</b> (a) The basis for determining the amount of payment <br/>
<a id="pl.264.29"></a><var>264.29</var>shall be the lower of the actual acquisition costs of the drugs or the maximum allowable <br/>
<a id="pl.264.30"></a><var>264.30</var>cost by the commissioner plus the fixed dispensing fee; or the usual and customary price <br/>
<a id="pl.264.31"></a><var>264.31</var>charged to the public. The amount of payment basis must be reduced to reflect all discount <br/>
<a id="pl.264.32"></a><var>264.32</var>amounts applied to the charge by any provider/insurer agreement or contract for submitted <br/>
<a id="pl.264.33"></a><var>264.33</var>charges to medical assistance programs. The net submitted charge may not be greater <br/>
<a id="pl.264.34"></a><var>264.34</var>than the patient liability for the service. The pharmacy dispensing fee shall be $3.65, <br/>
<a id="pl.264.35"></a><var>264.35</var>except that the dispensing fee for intravenous solutions which must be compounded by the <br/>
<a id="pl.265.1"></a><var>265.1</var>pharmacist shall be $8 per bag, $14 per bag for cancer chemotherapy products, and $30 <br/>
<a id="pl.265.2"></a><var>265.2</var>per bag for total parenteral nutritional products dispensed in one liter quantities, or $44 per <br/>
<a id="pl.265.3"></a><var>265.3</var>bag for total parenteral nutritional products dispensed in quantities greater than one liter. <br/>
<a id="pl.265.4"></a><var>265.4</var>Actual acquisition cost includes quantity and other special discounts except time and cash <br/>
<a id="pl.265.5"></a><var>265.5</var>discounts. The actual acquisition cost of a drug shall be estimated by the commissioner at <br/>
<a id="pl.265.6"></a><var>265.6</var>wholesale acquisition cost plus four percent for independently owned pharmacies located <br/>
<a id="pl.265.7"></a><var>265.7</var>in a designated rural area within Minnesota, and at wholesale acquisition cost plus two <br/>
<a id="pl.265.8"></a><var>265.8</var>percent for all other pharmacies. A pharmacy is "independently owned" if it is one <br/>
<a id="pl.265.9"></a><var>265.9</var>of four or fewer pharmacies under the same ownership nationally. A "designated rural <br/>
<a id="pl.265.10"></a><var>265.10</var>area" means an area defined as a small rural area or isolated rural area according to the <br/>
<a id="pl.265.11"></a><var>265.11</var>four-category classification of the Rural Urban Commuting Area system developed for the <br/>
<a id="pl.265.12"></a><var>265.12</var>United States Health Resources and Services Administration. Wholesale acquisition cost <br/>
<a id="pl.265.13"></a><var>265.13</var>is defined as the manufacturer's list price for a drug or biological to wholesalers or direct <br/>
<a id="pl.265.14"></a><var>265.14</var>purchasers in the United States, not including prompt pay or other discounts, rebates, or <br/>
<a id="pl.265.15"></a><var>265.15</var>reductions in price, for the most recent month for which information is available, as <br/>
<a id="pl.265.16"></a><var>265.16</var>reported in wholesale price guides or other publications of drug or biological pricing data. <br/>
<a id="pl.265.17"></a><var>265.17</var>The maximum allowable cost of a multisource drug may be set by the commissioner and it <br/>
<a id="pl.265.18"></a><var>265.18</var>shall be comparable to, but no higher than, the maximum amount paid by other third-party <br/>
<a id="pl.265.19"></a><var>265.19</var>payors in this state who have maximum allowable cost programs. Establishment of the <br/>
<a id="pl.265.20"></a><var>265.20</var>amount of payment for drugs shall not be subject to the requirements of the Administrative <br/>
<a id="pl.265.21"></a><var>265.21</var>Procedure Act.<br/>
<a id="pl.265.22"></a><var>265.22</var>    (b) An additional dispensing fee of $.30 may be added to the dispensing fee paid <br/>
<a id="pl.265.23"></a><var>265.23</var>to pharmacists for legend drug prescriptions dispensed to residents of long-term care <br/>
<a id="pl.265.24"></a><var>265.24</var>facilities when a unit dose blister card system, approved by the department, is used. Under <br/>
<a id="pl.265.25"></a><var>265.25</var>this type of dispensing system, the pharmacist must dispense a 30-day supply of drug. <br/>
<a id="pl.265.26"></a><var>265.26</var>The National Drug Code (NDC) from the drug container used to fill the blister card must <br/>
<a id="pl.265.27"></a><var>265.27</var>be identified on the claim to the department. The unit dose blister card containing the <br/>
<a id="pl.265.28"></a><var>265.28</var>drug must meet the packaging standards set forth in Minnesota Rules, part 6800.2700, <br/>
<a id="pl.265.29"></a><var>265.29</var>that govern the return of unused drugs to the pharmacy for reuse. The pharmacy provider <br/>
<a id="pl.265.30"></a><var>265.30</var>will be required to credit the department for the actual acquisition cost of all unused <br/>
<a id="pl.265.31"></a><var>265.31</var>drugs that are eligible for reuse. Over-the-counter medications must be dispensed in the <br/>
<a id="pl.265.32"></a><var>265.32</var>manufacturer's unopened package. The commissioner may permit the drug clozapine to be <br/>
<a id="pl.265.33"></a><var>265.33</var>dispensed in a quantity that is less than a 30-day supply.<br/>
<a id="pl.265.34"></a><var>265.34</var>    (c) Whenever a maximum allowable cost has been set for a multisource drug, <br/>
<a id="pl.265.35"></a><var>265.35</var>payment shall be the lower of the usual and customary price charged to the public or the <br/>
<a id="pl.265.36"></a><var>265.36</var>maximum allowable cost established by the commissioner unless prior authorization <br/>
<a id="pl.266.1"></a><var>266.1</var>for the brand name product has been granted according to the criteria established by <br/>
<a id="pl.266.2"></a><var>266.2</var>the Drug Formulary Committee as required by subdivision 13f, paragraph (a), and the <br/>
<a id="pl.266.3"></a><var>266.3</var>prescriber has indicated "dispense as written" on the prescription in a manner consistent <br/>
<a id="pl.266.4"></a><var>266.4</var>with section 
         <statute_ref>151.21, subdivision 2</statute_ref>.<br/>
<a id="pl.266.5"></a><var>266.5</var>    (d) The basis for determining the amount of payment for drugs administered in an <br/>
<a id="pl.266.6"></a><var>266.6</var>outpatient setting shall be the lower of the usual and customary cost submitted by the <br/>
<a id="pl.266.7"></a><var>266.7</var>provider or 106 percent of the average sales price as determined by the United States <br/>
<a id="pl.266.8"></a><var>266.8</var>Department of Health and Human Services pursuant to title XVIII, section 1847a of the <br/>
<a id="pl.266.9"></a><var>266.9</var>federal Social Security Act. If average sales price is unavailable, the amount of payment <br/>
<a id="pl.266.10"></a><var>266.10</var>must be lower of the usual and customary cost submitted by the provider or the wholesale <br/>
<a id="pl.266.11"></a><var>266.11</var>acquisition cost.<br/>
<a id="pl.266.12"></a><var>266.12</var>    (e) The commissioner may negotiate lower reimbursement rates for specialty <br/>
<a id="pl.266.13"></a><var>266.13</var>pharmacy products than the rates specified in paragraph (a). The commissioner may <br/>
<a id="pl.266.14"></a><var>266.14</var>require individuals enrolled in the health care programs administered by the department <br/>
<a id="pl.266.15"></a><var>266.15</var>to obtain specialty pharmacy products from providers with whom the commissioner has <br/>
<a id="pl.266.16"></a><var>266.16</var>negotiated lower reimbursement rates. Specialty pharmacy products are defined as those <br/>
<a id="pl.266.17"></a><var>266.17</var>used by a small number of recipients or recipients with complex and chronic diseases <br/>
<a id="pl.266.18"></a><var>266.18</var>that require expensive and challenging drug regimens. Examples of these conditions <br/>
<a id="pl.266.19"></a><var>266.19</var>include, but are not limited to: multiple sclerosis, HIV/AIDS, transplantation, hepatitis <br/>
<a id="pl.266.20"></a><var>266.20</var>C, growth hormone deficiency, Crohn's Disease, rheumatoid arthritis, and certain forms <br/>
<a id="pl.266.21"></a><var>266.21</var>of cancer. Specialty pharmaceutical products include injectable and infusion therapies, <br/>
<a id="pl.266.22"></a><var>266.22</var>biotechnology drugs, antihemophilic factor products, high-cost therapies, and therapies <br/>
<a id="pl.266.23"></a><var>266.23</var>that require complex care. The commissioner shall consult with the formulary committee <br/>
<a id="pl.266.24"></a><var>266.24</var>to develop a list of specialty pharmacy products subject to this paragraph. In consulting <br/>
<a id="pl.266.25"></a><var>266.25</var>with the formulary committee in developing this list, the commissioner shall take into <br/>
<a id="pl.266.26"></a><var>266.26</var>consideration the population served by specialty pharmacy products, the current delivery <br/>
<a id="pl.266.27"></a><var>266.27</var>system and standard of care in the state, and access to care issues. The commissioner shall <br/>
<a id="pl.266.28"></a><var>266.28</var>have the discretion to adjust the reimbursement rate to prevent access to care issues.<br/>
<a id="pl.266.29"></a><var>266.29</var>(f) Home infusion therapy services provided by home infusion therapy pharmacies <br/>
<a id="pl.266.30"></a><var>266.30</var>must be paid at rates according to subdivision 8d.<br/>
<br/>
<a id="bill.13.10.0"></a><a id="pl.266.31"></a><var>266.31</var>    Sec. 10. Minnesota Statutes 2011 Supplement, section 256B.0625, subdivision 13h, <br/>
<a id="pl.266.32"></a><var>266.32</var>is amended to read:<br/>
<a id="pl.266.33"></a><var>266.33</var>    Subd. 13h. <b>Medication therapy management services.</b> (a) Medical assistance <br/>
<a id="pl.266.34"></a><var>266.34</var>and general assistance medical care cover medication therapy management services for <br/>
<a id="pl.266.35"></a><var>266.35</var>a recipient taking three or more prescriptions to treat or prevent one or more chronic <br/>
<a id="pl.267.1"></a><var>267.1</var>medical conditions; a recipient with a drug therapy problem that is identified by the <br/>
<a id="pl.267.2"></a><var>267.2</var>commissioner or identified by a pharmacist and approved by the commissioner; or prior <br/>
<a id="pl.267.3"></a><var>267.3</var>authorized by the commissioner that has resulted or is likely to result in significant <br/>
<a id="pl.267.4"></a><var>267.4</var>nondrug program costs. The commissioner may cover medical therapy management <br/>
<a id="pl.267.5"></a><var>267.5</var>services under MinnesotaCare if the commissioner determines this is cost-effective. For <br/>
<a id="pl.267.6"></a><var>267.6</var>purposes of this subdivision, "medication therapy management" means the provision <br/>
<a id="pl.267.7"></a><var>267.7</var>of the following pharmaceutical care services by a licensed pharmacist to optimize the <br/>
<a id="pl.267.8"></a><var>267.8</var>therapeutic outcomes of the patient's medications:<br/>
<a id="pl.267.9"></a><var>267.9</var>    (1) performing or obtaining necessary assessments of the patient's health status;<br/>
<a id="pl.267.10"></a><var>267.10</var>    (2) formulating a medication treatment plan;<br/>
<a id="pl.267.11"></a><var>267.11</var>    (3) monitoring and evaluating the patient's response to therapy, including safety <br/>
<a id="pl.267.12"></a><var>267.12</var>and effectiveness;<br/>
<a id="pl.267.13"></a><var>267.13</var>    (4) performing a comprehensive medication review to identify, resolve, and prevent <br/>
<a id="pl.267.14"></a><var>267.14</var>medication-related problems, including adverse drug events;<br/>
<a id="pl.267.15"></a><var>267.15</var>    (5) documenting the care delivered and communicating essential information to <br/>
<a id="pl.267.16"></a><var>267.16</var>the patient's other primary care providers;<br/>
<a id="pl.267.17"></a><var>267.17</var>    (6) providing verbal education and training designed to enhance patient <br/>
<a id="pl.267.18"></a><var>267.18</var>understanding and appropriate use of the patient's medications;<br/>
<a id="pl.267.19"></a><var>267.19</var>    (7) providing information, support services, and resources designed to enhance <br/>
<a id="pl.267.20"></a><var>267.20</var>patient adherence with the patient's therapeutic regimens; and<br/>
<a id="pl.267.21"></a><var>267.21</var>    (8) coordinating and integrating medication therapy management services within the <br/>
<a id="pl.267.22"></a><var>267.22</var>broader health care management services being provided to the patient.<br/>
<a id="pl.267.23"></a><var>267.23</var>Nothing in this subdivision shall be construed to expand or modify the scope of practice of <br/>
<a id="pl.267.24"></a><var>267.24</var>the pharmacist as defined in section 
         <statute_ref>151.01, subdivision 27</statute_ref>.<br/>
<a id="pl.267.25"></a><var>267.25</var>    (b) To be eligible for reimbursement for services under this subdivision, a pharmacist <br/>
<a id="pl.267.26"></a><var>267.26</var>must meet the following requirements:<br/>
<a id="pl.267.27"></a><var>267.27</var>    (1) have a valid license issued under chapter 151 by the Board of Pharmacy of the <br/>
<a id="pl.267.28"></a><var>267.28</var>state in which the medication therapy management service is being performed;<br/>
<a id="pl.267.29"></a><var>267.29</var>    (2) have graduated from an accredited college of pharmacy on or after May 1996, or <br/>
<a id="pl.267.30"></a><var>267.30</var>completed a structured and comprehensive education program approved by the Board of <br/>
<a id="pl.267.31"></a><var>267.31</var>Pharmacy and the American Council of Pharmaceutical Education for the provision and <br/>
<a id="pl.267.32"></a><var>267.32</var>documentation of pharmaceutical care management services that has both clinical and <br/>
<a id="pl.267.33"></a><var>267.33</var>didactic elements;<br/>
<a id="pl.267.34"></a><var>267.34</var>    (3) be practicing in an ambulatory care setting as part of a multidisciplinary team or <br/>
<a id="pl.267.35"></a><var>267.35</var>have developed a structured patient care process that is offered in a private or semiprivate <br/>
<a id="pl.267.36"></a><var>267.36</var>patient care area that is separate from the commercial business that also occurs in the <br/>
<a id="pl.268.1"></a><var>268.1</var>setting, or in home settings, including long-term care settings, group homes, and facilities <br/>
<a id="pl.268.2"></a><var>268.2</var>providing assisted living services, but excluding skilled nursing facilities; and<br/>
<a id="pl.268.3"></a><var>268.3</var>    (4) make use of an electronic patient record system that meets state standards.<br/>
<a id="pl.268.4"></a><var>268.4</var>    (c) For purposes of reimbursement for medication therapy management services, <br/>
<a id="pl.268.5"></a><var>268.5</var>the commissioner may enroll individual pharmacists as medical assistance and general <br/>
<a id="pl.268.6"></a><var>268.6</var>assistance medical care providers. The commissioner may also establish contact <br/>
<a id="pl.268.7"></a><var>268.7</var>requirements between the pharmacist and recipient, including limiting the number of <br/>
<a id="pl.268.8"></a><var>268.8</var>reimbursable consultations per recipient.<br/>
<a id="pl.268.9"></a><var>268.9</var>(d) If there are no pharmacists who meet the requirements of paragraph (b) practicing <br/>
<a id="pl.268.10"></a><var>268.10</var>within a reasonable geographic distance of the patient, a pharmacist who meets the <br/>
<a id="pl.268.11"></a><var>268.11</var>requirements may provide the services via two-way interactive video. Reimbursement <br/>
<a id="pl.268.12"></a><var>268.12</var>shall be at the same rates and under the same conditions that would otherwise apply to <br/>
<a id="pl.268.13"></a><var>268.13</var>the services provided. To qualify for reimbursement under this paragraph, the pharmacist <br/>
<a id="pl.268.14"></a><var>268.14</var>providing the services must meet the requirements of paragraph (b), and must be located <br/>
<a id="pl.268.15"></a><var>268.15</var>within an ambulatory care setting approved by the commissioner. The patient must also <br/>
<a id="pl.268.16"></a><var>268.16</var>be located within an ambulatory care setting approved by the commissioner. Services <br/>
<a id="pl.268.17"></a><var>268.17</var>provided under this paragraph may not be transmitted into the patient's residence.<br/>
<a id="pl.268.18"></a><var>268.18</var>(e) The commissioner shall establish a pilot project for an intensive medication <br/>
<a id="pl.268.19"></a><var>268.19</var>therapy management program for patients identified by the commissioner with multiple <br/>
<a id="pl.268.20"></a><var>268.20</var>chronic conditions and a high number of medications who are at high risk of preventable <br/>
<a id="pl.268.21"></a><var>268.21</var>hospitalizations, emergency room use, medication complications, and suboptimal <br/>
<a id="pl.268.22"></a><var>268.22</var>treatment outcomes due to medication-related problems. For purposes of the pilot <br/>
<a id="pl.268.23"></a><var>268.23</var>project, medication therapy management services may be provided in a patient's home <br/>
<a id="pl.268.24"></a><var>268.24</var>or community setting, in addition to other authorized settings. The commissioner may <br/>
<a id="pl.268.25"></a><var>268.25</var>waive existing payment policies and establish special payment rates for the pilot project. <br/>
<a id="pl.268.26"></a><var>268.26</var>The pilot project must be designed to produce a net savings to the state compared to the <br/>
<a id="pl.268.27"></a><var>268.27</var>estimated costs that would otherwise be incurred for similar patients without the program. <br/>
<a id="pl.268.28"></a><var>268.28</var>The pilot project must begin by January 1, 2010, and end June 30, 2012.<br/>
<br/>
<a id="bill.13.11.0"></a><a id="pl.268.29"></a><var>268.29</var>    Sec. 11. Minnesota Statutes 2011 Supplement, section 256B.0625, subdivision 14, <br/>
<a id="pl.268.30"></a><var>268.30</var>is amended to read:<br/>
<a id="pl.268.31"></a><var>268.31</var>    Subd. 14. <b>Diagnostic, screening, and preventive services.</b> (a) Medical assistance <br/>
<a id="pl.268.32"></a><var>268.32</var>covers diagnostic, screening, and preventive services.<br/>
<a id="pl.268.33"></a><var>268.33</var>(b) "Preventive services" include services related to pregnancy, including:<br/>
<a id="pl.268.34"></a><var>268.34</var>(1) services for those conditions which may complicate a pregnancy and which may <br/>
<a id="pl.268.35"></a><var>268.35</var>be available to a pregnant woman determined to be at risk of poor pregnancy outcome;<br/>
<a id="pl.269.1"></a><var>269.1</var>(2) prenatal HIV risk assessment, education, counseling, and testing; and<br/>
<a id="pl.269.2"></a><var>269.2</var>(3) alcohol abuse assessment, education, and counseling on the effects of alcohol <br/>
<a id="pl.269.3"></a><var>269.3</var>usage while pregnant. Preventive services available to a woman at risk of poor pregnancy <br/>
<a id="pl.269.4"></a><var>269.4</var>outcome may differ in an amount, duration, or scope from those available to other <br/>
<a id="pl.269.5"></a><var>269.5</var>individuals eligible for medical assistance.<br/>
<a id="pl.269.6"></a><var>269.6</var>(c) "Screening services" include, but are not limited to, blood lead tests.<br/>
<a id="pl.269.7"></a><var>269.7</var>(d) The commissioner shall encourage, at the time of the child and teen checkup or <br/>
<a id="pl.269.8"></a><var>269.8</var>at an episodic care visit, the primary care health care provider to perform primary caries <br/>
<a id="pl.269.9"></a><var>269.9</var>preventive services. Primary caries preventive services include, at a minimum:<br/>
<a id="pl.269.10"></a><var>269.10</var>(1) a general visual examination of the child's mouth without using probes or other <br/>
<a id="pl.269.11"></a><var>269.11</var>dental equipment or taking radiographs;<br/>
<a id="pl.269.12"></a><var>269.12</var>(2) a risk assessment using the factors established by the American Academies <br/>
<a id="pl.269.13"></a><var>269.13</var>of Pediatrics and Pediatric Dentistry; and<br/>
<a id="pl.269.14"></a><var>269.14</var>(3) the application of a fluoride varnish beginning at age one to those children <br/>
<a id="pl.269.15"></a><var>269.15</var>assessed by the provider as being high risk in accordance with best practices as defined by <br/>
<a id="pl.269.16"></a><var>269.16</var>the Department of Human Services. The provider must obtain parental or legal guardian <br/>
<a id="pl.269.17"></a><var>269.17</var>consent before a fluoride treatment varnish is applied to a minor child's teeth.<br/>
<a id="pl.269.18"></a><var>269.18</var>At each checkup, if primary caries preventive services are provided, the provider must <br/>
<a id="pl.269.19"></a><var>269.19</var>provide to the child's parent or legal guardian: information on caries etiology and <br/>
<a id="pl.269.20"></a><var>269.20</var>prevention; and information on the importance of finding a dental home for their child <br/>
<a id="pl.269.21"></a><var>269.21</var>by the age of one. The provider must also advise the parent or legal guardian to contact <br/>
<a id="pl.269.22"></a><var>269.22</var>the child's managed care plan or the Department of Human Services in order to secure a <br/>
<a id="pl.269.23"></a><var>269.23</var>dental appointment with a dentist. The provider must indicate in the child's medical record <br/>
<a id="pl.269.24"></a><var>269.24</var>that the parent or legal guardian was provided with this information and document any <br/>
<a id="pl.269.25"></a><var>269.25</var>primary caries prevention services provided to the child.<br/>
<br/>
<a id="bill.13.12.0"></a><a id="pl.269.26"></a><var>269.26</var>    Sec. 12. Minnesota Statutes 2011 Supplement, section 256B.0631, subdivision 1, <br/>
<a id="pl.269.27"></a><var>269.27</var>is amended to read:<br/>
<a id="pl.269.28"></a><var>269.28</var>    Subdivision 1. <b>Cost-sharing.</b> (a) Except as provided in subdivision 2, the medical <br/>
<a id="pl.269.29"></a><var>269.29</var>assistance benefit plan shall include the following cost-sharing for all recipients, effective <br/>
<a id="pl.269.30"></a><var>269.30</var>for services provided on or after September 1, 2011:<br/>
<a id="pl.269.31"></a><var>269.31</var>    (1) $3 per nonpreventive visit, except as provided in paragraph (b). For purposes <br/>
<a id="pl.269.32"></a><var>269.32</var>of this subdivision, a visit means an episode of service which is required because of <br/>
<a id="pl.269.33"></a><var>269.33</var>a recipient's symptoms, diagnosis, or established illness, and which is delivered in an <br/>
<a id="pl.269.34"></a><var>269.34</var>ambulatory setting by a physician or physician ancillary, chiropractor, podiatrist, nurse <br/>
<a id="pl.269.35"></a><var>269.35</var>midwife, advanced practice nurse, audiologist, optician, or optometrist;<br/>
<a id="pl.270.1"></a><var>270.1</var>    (2) $3 for eyeglasses;<br/>
<a id="pl.270.2"></a><var>270.2</var>    (3) (2) $3.50 for nonemergency visits to a hospital-based emergency room, except <br/>
<a id="pl.270.3"></a><var>270.3</var>that this co-payment shall be increased to $20 upon federal approval;<br/>
<a id="pl.270.4"></a><var>270.4</var>    (4) (3) $3 per brand-name drug prescription and $1 per generic drug prescription, <br/>
<a id="pl.270.5"></a><var>270.5</var>subject to a $12 per month maximum for prescription drug co-payments. No co-payments <br/>
<a id="pl.270.6"></a><var>270.6</var>shall apply to antipsychotic drugs when used for the treatment of mental illness;<br/>
<a id="pl.270.7"></a><var>270.7</var>(5) (4) effective January 1, 2012, a family deductible equal to the maximum amount <br/>
<a id="pl.270.8"></a><var>270.8</var>allowed under Code of Federal Regulations, title 42, part 
         <statute_ref>447.54</statute_ref>; and<br/>
<a id="pl.270.9"></a><var>270.9</var>    (6) (5) for individuals identified by the commissioner with income at or below 100 <br/>
<a id="pl.270.10"></a><var>270.10</var>percent of the federal poverty guidelines, total monthly cost-sharing must not exceed five <br/>
<a id="pl.270.11"></a><var>270.11</var>percent of family income. For purposes of this paragraph, family income is the total <br/>
<a id="pl.270.12"></a><var>270.12</var>earned and unearned income of the individual and the individual's spouse, if the spouse is <br/>
<a id="pl.270.13"></a><var>270.13</var>enrolled in medical assistance and also subject to the five percent limit on cost-sharing.<br/>
<a id="pl.270.14"></a><var>270.14</var>    (b) Recipients of medical assistance are responsible for all co-payments and <br/>
<a id="pl.270.15"></a><var>270.15</var>deductibles in this subdivision.<br/>
<br/>
<a id="bill.13.13.0"></a><a id="pl.270.16"></a><var>270.16</var>    Sec. 13. Minnesota Statutes 2011 Supplement, section 256B.0631, subdivision 2, <br/>
<a id="pl.270.17"></a><var>270.17</var>is amended to read:<br/>
<a id="pl.270.18"></a><var>270.18</var>    Subd. 2. <b>Exceptions.</b> Co-payments and deductibles shall be subject to the following <br/>
<a id="pl.270.19"></a><var>270.19</var>exceptions:<br/>
<a id="pl.270.20"></a><var>270.20</var>(1) children under the age of 21;<br/>
<a id="pl.270.21"></a><var>270.21</var>(2) pregnant women for services that relate to the pregnancy or any other medical <br/>
<a id="pl.270.22"></a><var>270.22</var>condition that may complicate the pregnancy;<br/>
<a id="pl.270.23"></a><var>270.23</var>(3) recipients expected to reside for at least 30 days in a hospital, nursing home, or <br/>
<a id="pl.270.24"></a><var>270.24</var>intermediate care facility for the developmentally disabled;<br/>
<a id="pl.270.25"></a><var>270.25</var>(4) recipients receiving hospice care;<br/>
<a id="pl.270.26"></a><var>270.26</var>(5) 100 percent federally funded services provided by an Indian health service;<br/>
<a id="pl.270.27"></a><var>270.27</var>(6) emergency services;<br/>
<a id="pl.270.28"></a><var>270.28</var>(7) family planning services;<br/>
<a id="pl.270.29"></a><var>270.29</var>(8) services that are paid by Medicare, resulting in the medical assistance program <br/>
<a id="pl.270.30"></a><var>270.30</var>paying for the coinsurance and deductible; and<br/>
<a id="pl.270.31"></a><var>270.31</var>(9) co-payments that exceed one per day per provider for nonpreventive visits, <br/>
<a id="pl.270.32"></a><var>270.32</var>eyeglasses, and nonemergency visits to a hospital-based emergency room.; and<br/>
<a id="pl.270.33"></a><var>270.33</var>(10) services, fee-for-service payments subject to volume purchase through <br/>
<a id="pl.270.34"></a><var>270.34</var>competitive bidding.<br/>
<br/>
<a id="bill.13.14.0"></a><a id="pl.271.1"></a><var>271.1</var>    Sec. 14. Minnesota Statutes 2010, section 256B.19, subdivision 1c, is amended to read:<br/>
<a id="pl.271.2"></a><var>271.2</var>    Subd. 1c. <b>Additional portion of nonfederal share.</b> (a) Hennepin County shall <br/>
<a id="pl.271.3"></a><var>271.3</var>be responsible for a monthly transfer payment of $1,500,000, due before noon on the <br/>
<a id="pl.271.4"></a><var>271.4</var>15th of each month and the University of Minnesota shall be responsible for a monthly <br/>
<a id="pl.271.5"></a><var>271.5</var>transfer payment of $500,000 due before noon on the 15th of each month, beginning July <br/>
<a id="pl.271.6"></a><var>271.6</var>15, 1995. These sums shall be part of the designated governmental unit's portion of the <br/>
<a id="pl.271.7"></a><var>271.7</var>nonfederal share of medical assistance costs.<br/>
<a id="pl.271.8"></a><var>271.8</var>(b) Beginning July 1, 2001, Hennepin County's payment under paragraph (a) shall <br/>
<a id="pl.271.9"></a><var>271.9</var>be $2,066,000 each month.<br/>
<a id="pl.271.10"></a><var>271.10</var>(c) Beginning July 1, 2001, the commissioner shall increase annual capitation <br/>
<a id="pl.271.11"></a><var>271.11</var>payments to the metropolitan health plan a demonstration provider serving eligible <br/>
<a id="pl.271.12"></a><var>271.12</var>individuals in Hennepin County under section 
         <statute_ref>256B.69</statute_ref> for the prepaid medical assistance <br/>
<a id="pl.271.13"></a><var>271.13</var>program by approximately $6,800,000 to recognize higher than average medical education <br/>
<a id="pl.271.14"></a><var>271.14</var>costs.<br/>
<a id="pl.271.15"></a><var>271.15</var>(d) Effective August 1, 2005, Hennepin County's payment under paragraphs (a) <br/>
<a id="pl.271.16"></a><var>271.16</var>and (b) shall be reduced to $566,000, and the University of Minnesota's payment under <br/>
<a id="pl.271.17"></a><var>271.17</var>paragraph (a) shall be reduced to zero. Effective October 1, 2008, to December 31, 2010, <br/>
<a id="pl.271.18"></a><var>271.18</var>Hennepin County's payment under paragraphs (a) and (b) shall be $434,688. Effective <br/>
<a id="pl.271.19"></a><var>271.19</var>January 1, 2011, Hennepin County's payment under paragraphs (a) and (b) shall be <br/>
<a id="pl.271.20"></a><var>271.20</var>$566,000.<br/>
<a id="pl.271.21"></a><var>271.21</var>(e) Notwithstanding paragraph (d), upon federal enactment of an extension to June <br/>
<a id="pl.271.22"></a><var>271.22</var>30, 2011, of the enhanced federal medical assistance percentage (FMAP) originally <br/>
<a id="pl.271.23"></a><var>271.23</var>provided under Public Law 111-5, for the six-month period from January 1, 2011, to June <br/>
<a id="pl.271.24"></a><var>271.24</var>30, 2011, Hennepin County's payment under paragraphs (a) and (b) shall be $434,688.<br/>
<br/>
<a id="bill.13.15.0"></a><a id="pl.271.25"></a><var>271.25</var>    Sec. 15. Minnesota Statutes 2010, section 256B.69, subdivision 5, is amended to read:<br/>
<a id="pl.271.26"></a><var>271.26</var>    Subd. 5. <b>Prospective per capita payment.</b> The commissioner shall establish the <br/>
<a id="pl.271.27"></a><var>271.27</var>method and amount of payments for services. The commissioner shall annually contract <br/>
<a id="pl.271.28"></a><var>271.28</var>with demonstration providers to provide services consistent with these established <br/>
<a id="pl.271.29"></a><var>271.29</var>methods and amounts for payment.<br/>
<a id="pl.271.30"></a><var>271.30</var>If allowed by the commissioner, a demonstration provider may contract with <br/>
<a id="pl.271.31"></a><var>271.31</var>an insurer, health care provider, nonprofit health service plan corporation, or the <br/>
<a id="pl.271.32"></a><var>271.32</var>commissioner, to provide insurance or similar protection against the cost of care provided <br/>
<a id="pl.271.33"></a><var>271.33</var>by the demonstration provider or to provide coverage against the risks incurred by <br/>
<a id="pl.271.34"></a><var>271.34</var>demonstration providers under this section. The recipients enrolled with a demonstration <br/>
<a id="pl.271.35"></a><var>271.35</var>provider are a permissible group under group insurance laws and chapter 62C, the <br/>
<a id="pl.272.1"></a><var>272.1</var>Nonprofit Health Service Plan Corporations Act. Under this type of contract, the insurer <br/>
<a id="pl.272.2"></a><var>272.2</var>or corporation may make benefit payments to a demonstration provider for services <br/>
<a id="pl.272.3"></a><var>272.3</var>rendered or to be rendered to a recipient. Any insurer or nonprofit health service plan <br/>
<a id="pl.272.4"></a><var>272.4</var>corporation licensed to do business in this state is authorized to provide this insurance or <br/>
<a id="pl.272.5"></a><var>272.5</var>similar protection.<br/>
<a id="pl.272.6"></a><var>272.6</var>Payments to providers participating in the project are exempt from the requirements <br/>
<a id="pl.272.7"></a><var>272.7</var>of sections 
         <statute_ref>256.966</statute_ref> and 
         <statute_ref>256B.03, subdivision 2</statute_ref>. The commissioner shall complete <br/>
<a id="pl.272.8"></a><var>272.8</var>development of capitation rates for payments before delivery of services under this section <br/>
<a id="pl.272.9"></a><var>272.9</var>is begun. For payments made during calendar year 1990 and later years, the commissioner <br/>
<a id="pl.272.10"></a><var>272.10</var>shall contract with an independent actuary to establish prepayment rates.<br/>
<a id="pl.272.11"></a><var>272.11</var>By January 15, 1996, the commissioner shall report to the legislature on the <br/>
<a id="pl.272.12"></a><var>272.12</var>methodology used to allocate to participating counties available administrative <br/>
<a id="pl.272.13"></a><var>272.13</var>reimbursement for advocacy and enrollment costs. The report shall reflect the <br/>
<a id="pl.272.14"></a><var>272.14</var>commissioner's judgment as to the adequacy of the funds made available and of the <br/>
<a id="pl.272.15"></a><var>272.15</var>methodology for equitable distribution of the funds. The commissioner must involve <br/>
<a id="pl.272.16"></a><var>272.16</var>participating counties in the development of the report.<br/>
<a id="pl.272.17"></a><var>272.17</var>Beginning July 1, 2004, the commissioner may include payments for elderly waiver <br/>
<a id="pl.272.18"></a><var>272.18</var>services and 180 days of nursing home care in capitation payments for the prepaid medical <br/>
<a id="pl.272.19"></a><var>272.19</var>assistance program for recipients age 65 and older. Payments for elderly waiver services <br/>
<a id="pl.272.20"></a><var>272.20</var>shall be made no earlier than the month following the month in which services were <br/>
<a id="pl.272.21"></a><var>272.21</var>received.<br/>
<br/>
<a id="bill.13.16.0"></a><a id="pl.272.22"></a><var>272.22</var>    Sec. 16. Minnesota Statutes 2011 Supplement, section 256B.69, subdivision 5a, <br/>
<a id="pl.272.23"></a><var>272.23</var>is amended to read:<br/>
<a id="pl.272.24"></a><var>272.24</var>    Subd. 5a. <b>Managed care contracts.</b> (a) Managed care contracts under this section <br/>
<a id="pl.272.25"></a><var>272.25</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.272.26"></a><var>272.26</var>January 1, 1996. Managed care contracts which were in effect on June 30, 1995, and set to <br/>
<a id="pl.272.27"></a><var>272.27</var>renew on July 1, 1995, shall be renewed for the period July 1, 1995 through December <br/>
<a id="pl.272.28"></a><var>272.28</var>31, 1995 at the same terms that were in effect on June 30, 1995. The commissioner may <br/>
<a id="pl.272.29"></a><var>272.29</var>issue separate contracts with requirements specific to services to medical assistance <br/>
<a id="pl.272.30"></a><var>272.30</var>recipients age 65 and older.<br/>
<a id="pl.272.31"></a><var>272.31</var>    (b) A prepaid health plan providing covered health services for eligible persons <br/>
<a id="pl.272.32"></a><var>272.32</var>pursuant to chapters 256B and 256L is responsible for complying with the terms of its <br/>
<a id="pl.272.33"></a><var>272.33</var>contract with the commissioner. Requirements applicable to managed care programs <br/>
<a id="pl.272.34"></a><var>272.34</var>under chapters 256B and 256L established after the effective date of a contract with the <br/>
<a id="pl.272.35"></a><var>272.35</var>commissioner take effect when the contract is next issued or renewed.<br/>
<a id="pl.273.1"></a><var>273.1</var>    (c) Effective for services rendered on or after January 1, 2003, the commissioner <br/>
<a id="pl.273.2"></a><var>273.2</var>shall withhold five percent of managed care plan payments under this section and <br/>
<a id="pl.273.3"></a><var>273.3</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the prepaid medical <br/>
<a id="pl.273.4"></a><var>273.4</var>assistance program pending completion of performance targets. Each performance target <br/>
<a id="pl.273.5"></a><var>273.5</var>must be quantifiable, objective, measurable, and reasonably attainable, except in the case <br/>
<a id="pl.273.6"></a><var>273.6</var>of a performance target based on a federal or state law or rule. Criteria for assessment <br/>
<a id="pl.273.7"></a><var>273.7</var>of each performance target must be outlined in writing prior to the contract effective <br/>
<a id="pl.273.8"></a><var>273.8</var>date. Clinical or utilization performance targets and their related criteria must consider <br/>
<a id="pl.273.9"></a><var>273.9</var>evidence-based research and reasonable interventions when available or applicable to <br/>
<a id="pl.273.10"></a><var>273.10</var>the population served, and must be developed with input from external clinical experts <br/>
<a id="pl.273.11"></a><var>273.11</var>and stakeholders, including managed care plans and providers. The managed care plan <br/>
<a id="pl.273.12"></a><var>273.12</var>must demonstrate, to the commissioner's satisfaction, that the data submitted regarding <br/>
<a id="pl.273.13"></a><var>273.13</var>attainment of the performance target is accurate. The commissioner shall periodically <br/>
<a id="pl.273.14"></a><var>273.14</var>change the administrative measures used as performance targets in order to improve plan <br/>
<a id="pl.273.15"></a><var>273.15</var>performance across a broader range of administrative services. The performance targets <br/>
<a id="pl.273.16"></a><var>273.16</var>must include measurement of plan efforts to contain spending on health care services and <br/>
<a id="pl.273.17"></a><var>273.17</var>administrative activities. The commissioner may adopt plan-specific performance targets <br/>
<a id="pl.273.18"></a><var>273.18</var>that take into account factors affecting only one plan, including characteristics of the <br/>
<a id="pl.273.19"></a><var>273.19</var>plan's enrollee population. The withheld funds must be returned no sooner than July of the <br/>
<a id="pl.273.20"></a><var>273.20</var>following year if performance targets in the contract are achieved. The commissioner may <br/>
<a id="pl.273.21"></a><var>273.21</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.273.22"></a><var>273.22</var>    (d) Effective for services rendered on or after January 1, 2009, through December <br/>
<a id="pl.273.23"></a><var>273.23</var>31, 2009, the commissioner shall withhold three percent of managed care plan payments <br/>
<a id="pl.273.24"></a><var>273.24</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.273.25"></a><var>273.25</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.273.26"></a><var>273.26</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.273.27"></a><var>273.27</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.273.28"></a><var>273.28</var>    (e) Effective for services provided on or after January 1, 2010, the commissioner <br/>
<a id="pl.273.29"></a><var>273.29</var>shall require that managed care plans use the assessment and authorization processes, <br/>
<a id="pl.273.30"></a><var>273.30</var>forms, timelines, standards, documentation, and data reporting requirements, protocols, <br/>
<a id="pl.273.31"></a><var>273.31</var>billing processes, and policies consistent with medical assistance fee-for-service or the <br/>
<a id="pl.273.32"></a><var>273.32</var>Department of Human Services contract requirements consistent with medical assistance <br/>
<a id="pl.273.33"></a><var>273.33</var>fee-for-service or the Department of Human Services contract requirements for all <br/>
<a id="pl.273.34"></a><var>273.34</var>personal care assistance services under section 
         <statute_ref>256B.0659</statute_ref>.<br/>
<a id="pl.273.35"></a><var>273.35</var>    (f) Effective for services rendered on or after January 1, 2010, through December <br/>
<a id="pl.273.36"></a><var>273.36</var>31, 2010, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.274.1"></a><var>274.1</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.274.2"></a><var>274.2</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.274.3"></a><var>274.3</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.274.4"></a><var>274.4</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.274.5"></a><var>274.5</var>    (g) Effective for services rendered on or after January 1, 2011, through December <br/>
<a id="pl.274.6"></a><var>274.6</var>31, 2011, the commissioner shall include as part of the performance targets described <br/>
<a id="pl.274.7"></a><var>274.7</var>in paragraph (c) a reduction in the health plan's emergency room utilization rate for <br/>
<a id="pl.274.8"></a><var>274.8</var>state health care program enrollees by a measurable rate of five percent from the plan's <br/>
<a id="pl.274.9"></a><var>274.9</var>utilization rate for state health care program enrollees for the previous calendar year. <br/>
<a id="pl.274.10"></a><var>274.10</var>Effective for services rendered on or after January 1, 2012, the commissioner shall include <br/>
<a id="pl.274.11"></a><var>274.11</var>as part of the performance targets described in paragraph (c) a reduction in the health plan's <br/>
<a id="pl.274.12"></a><var>274.12</var>emergency department utilization rate for medical assistance and MinnesotaCare enrollees, <br/>
<a id="pl.274.13"></a><var>274.13</var>as determined by the commissioner. For 2012, the reduction shall be based on the health <br/>
<a id="pl.274.14"></a><var>274.14</var>plan's utilization in 2009. To earn the return of the withhold each subsequent year, the <br/>
<a id="pl.274.15"></a><var>274.15</var>managed care plan or county-based purchasing plan must achieve a qualifying reduction <br/>
<a id="pl.274.16"></a><var>274.16</var>of no less than ten percent of the plan's emergency department utilization rate for medical <br/>
<a id="pl.274.17"></a><var>274.17</var>assistance and MinnesotaCare enrollees, excluding Medicare enrollees in programs <br/>
<a id="pl.274.18"></a><var>274.18</var>described in subdivisions 23 and 28, compared to the previous calendar measurement <br/>
<a id="pl.274.19"></a><var>274.19</var>year, until the final performance target is reached. When measuring performance, the <br/>
<a id="pl.274.20"></a><var>274.20</var>commissioner must consider the difference in health risk in a plan's membership in the <br/>
<a id="pl.274.21"></a><var>274.21</var>baseline year compared to the measurement year and work with the managed care or <br/>
<a id="pl.274.22"></a><var>274.22</var>county-based purchasing plan to account for differences that they agree are significant.<br/>
<a id="pl.274.23"></a><var>274.23</var>    The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.274.24"></a><var>274.24</var>of the following calendar year if the managed care plan or county-based purchasing plan <br/>
<a id="pl.274.25"></a><var>274.25</var>demonstrates to the satisfaction of the commissioner that a reduction in the utilization rate <br/>
<a id="pl.274.26"></a><var>274.26</var>was achieved. The commissioner shall structure the withhold so that the commissioner <br/>
<a id="pl.274.27"></a><var>274.27</var>returns a portion of the withheld funds in amounts commensurate with achieved reductions <br/>
<a id="pl.274.28"></a><var>274.28</var>in utilization less than the targeted amount.<br/>
<a id="pl.274.29"></a><var>274.29</var>    The withhold described in this paragraph shall continue for each consecutive <br/>
<a id="pl.274.30"></a><var>274.30</var>contract period until the plan's emergency room utilization rate for state health care <br/>
<a id="pl.274.31"></a><var>274.31</var>program enrollees is reduced by 25 percent of the plan's emergency room utilization <br/>
<a id="pl.274.32"></a><var>274.32</var>rate for medical assistance and MinnesotaCare enrollees for calendar year 2011 2009. <br/>
<a id="pl.274.33"></a><var>274.33</var>Hospitals shall cooperate with the health plans in meeting this performance target and <br/>
<a id="pl.274.34"></a><var>274.34</var>shall accept payment withholds that may be returned to the hospitals if the performance <br/>
<a id="pl.274.35"></a><var>274.35</var>target is achieved.<br/>
<a id="pl.275.1"></a><var>275.1</var>    (h) Effective for services rendered on or after January 1, 2012, the commissioner <br/>
<a id="pl.275.2"></a><var>275.2</var>shall include as part of the performance targets described in paragraph (c) a reduction <br/>
<a id="pl.275.3"></a><var>275.3</var>in the plan's hospitalization admission rate for medical assistance and MinnesotaCare <br/>
<a id="pl.275.4"></a><var>275.4</var>enrollees, as determined by the commissioner. To earn the return of the withhold each <br/>
<a id="pl.275.5"></a><var>275.5</var>year, the managed care plan or county-based purchasing plan must achieve a qualifying <br/>
<a id="pl.275.6"></a><var>275.6</var>reduction of no less than five percent of the plan's hospital admission rate for medical <br/>
<a id="pl.275.7"></a><var>275.7</var>assistance and MinnesotaCare enrollees, excluding Medicare enrollees in programs <br/>
<a id="pl.275.8"></a><var>275.8</var>described in subdivisions 23 and 28, compared to the previous calendar year until the final <br/>
<a id="pl.275.9"></a><var>275.9</var>performance target is reached. When measuring performance, the commissioner must <br/>
<a id="pl.275.10"></a><var>275.10</var>consider the difference in health risk in a plan's membership in the baseline year compared <br/>
<a id="pl.275.11"></a><var>275.11</var>to the measurement year, and work with the managed care or county-based purchasing <br/>
<a id="pl.275.12"></a><var>275.12</var>plan to account for differences that they agree are significant.<br/>
<a id="pl.275.13"></a><var>275.13</var>    The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.275.14"></a><var>275.14</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.275.15"></a><var>275.15</var>plan demonstrates to the satisfaction of the commissioner that this reduction in the <br/>
<a id="pl.275.16"></a><var>275.16</var>hospitalization rate was achieved. The commissioner shall structure the withhold so that <br/>
<a id="pl.275.17"></a><var>275.17</var>the commissioner returns a portion of the withheld funds in amounts commensurate with <br/>
<a id="pl.275.18"></a><var>275.18</var>achieved reductions in utilization less than the targeted amount.<br/>
<a id="pl.275.19"></a><var>275.19</var>    The withhold described in this paragraph shall continue until there is a 25 percent <br/>
<a id="pl.275.20"></a><var>275.20</var>reduction in the hospital admission rate compared to the hospital admission rates in <br/>
<a id="pl.275.21"></a><var>275.21</var>calendar year 2011, as determined by the commissioner. The hospital admissions in this <br/>
<a id="pl.275.22"></a><var>275.22</var>performance target do not include the admissions applicable to the subsequent hospital <br/>
<a id="pl.275.23"></a><var>275.23</var>admission performance target under paragraph (i). Hospitals shall cooperate with the <br/>
<a id="pl.275.24"></a><var>275.24</var>plans in meeting this performance target and shall accept payment withholds that may be <br/>
<a id="pl.275.25"></a><var>275.25</var>returned to the hospitals if the performance target is achieved.<br/>
<a id="pl.275.26"></a><var>275.26</var>    (i) Effective for services rendered on or after January 1, 2012, the commissioner <br/>
<a id="pl.275.27"></a><var>275.27</var>shall include as part of the performance targets described in paragraph (c) a reduction in <br/>
<a id="pl.275.28"></a><var>275.28</var>the plan's hospitalization admission rates for subsequent hospitalizations within 30 days <br/>
<a id="pl.275.29"></a><var>275.29</var>of a previous hospitalization of a patient regardless of the reason, for medical assistance <br/>
<a id="pl.275.30"></a><var>275.30</var>and MinnesotaCare enrollees, as determined by the commissioner. To earn the return of <br/>
<a id="pl.275.31"></a><var>275.31</var>the withhold each year, the managed care plan or county-based purchasing plan must <br/>
<a id="pl.275.32"></a><var>275.32</var>achieve a qualifying reduction of the subsequent hospitalization rate for medical assistance <br/>
<a id="pl.275.33"></a><var>275.33</var>and MinnesotaCare enrollees, excluding Medicare enrollees in programs described in <br/>
<a id="pl.275.34"></a><var>275.34</var>subdivisions 23 and 28, of no less than five percent compared to the previous calendar <br/>
<a id="pl.275.35"></a><var>275.35</var>year until the final performance target is reached.<br/>
<a id="pl.276.1"></a><var>276.1</var>    The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.276.2"></a><var>276.2</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.276.3"></a><var>276.3</var>plan demonstrates to the satisfaction of the commissioner that a qualifying reduction in <br/>
<a id="pl.276.4"></a><var>276.4</var>the subsequent hospitalization rate was achieved. The commissioner shall structure the <br/>
<a id="pl.276.5"></a><var>276.5</var>withhold so that the commissioner returns a portion of the withheld funds in amounts <br/>
<a id="pl.276.6"></a><var>276.6</var>commensurate with achieved reductions in utilization less than the targeted amount.<br/>
<a id="pl.276.7"></a><var>276.7</var>    The withhold described in this paragraph must continue for each consecutive <br/>
<a id="pl.276.8"></a><var>276.8</var>contract period until the plan's subsequent hospitalization rate for medical assistance <br/>
<a id="pl.276.9"></a><var>276.9</var>and MinnesotaCare enrollees, excluding Medicare enrollees in programs described in <br/>
<a id="pl.276.10"></a><var>276.10</var>subdivisions 23 and 28, is reduced by 25 percent of the plan's subsequent hospitalization <br/>
<a id="pl.276.11"></a><var>276.11</var>rate for calendar year 2011. Hospitals shall cooperate with the plans in meeting this <br/>
<a id="pl.276.12"></a><var>276.12</var>performance target and shall accept payment withholds that must be returned to the <br/>
<a id="pl.276.13"></a><var>276.13</var>hospitals if the performance target is achieved.<br/>
<a id="pl.276.14"></a><var>276.14</var>    (j) Effective for services rendered on or after January 1, 2011, through December 31, <br/>
<a id="pl.276.15"></a><var>276.15</var>2011, the commissioner shall withhold 4.5 percent of managed care plan payments under <br/>
<a id="pl.276.16"></a><var>276.16</var>this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the <br/>
<a id="pl.276.17"></a><var>276.17</var>prepaid medical assistance program. The withheld funds must be returned no sooner than <br/>
<a id="pl.276.18"></a><var>276.18</var>July 1 and no later than July 31 of the following year. The commissioner may exclude <br/>
<a id="pl.276.19"></a><var>276.19</var>special demonstration projects under subdivision 23.<br/>
<a id="pl.276.20"></a><var>276.20</var>    (k) Effective for services rendered on or after January 1, 2012, through December <br/>
<a id="pl.276.21"></a><var>276.21</var>31, 2012, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.276.22"></a><var>276.22</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.276.23"></a><var>276.23</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.276.24"></a><var>276.24</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.276.25"></a><var>276.25</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.276.26"></a><var>276.26</var>    (l) Effective for services rendered on or after January 1, 2013, through December 31, <br/>
<a id="pl.276.27"></a><var>276.27</var>2013, the commissioner shall withhold 4.5 percent of managed care plan payments under <br/>
<a id="pl.276.28"></a><var>276.28</var>this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the <br/>
<a id="pl.276.29"></a><var>276.29</var>prepaid medical assistance program. The withheld funds must be returned no sooner than <br/>
<a id="pl.276.30"></a><var>276.30</var>July 1 and no later than July 31 of the following year. The commissioner may exclude <br/>
<a id="pl.276.31"></a><var>276.31</var>special demonstration projects under subdivision 23.<br/>
<a id="pl.276.32"></a><var>276.32</var>    (m) Effective for services rendered on or after January 1, 2014, the commissioner <br/>
<a id="pl.276.33"></a><var>276.33</var>shall withhold three percent of managed care plan payments under this section and <br/>
<a id="pl.276.34"></a><var>276.34</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692</statute_ref> for the prepaid medical <br/>
<a id="pl.276.35"></a><var>276.35</var>assistance program. The withheld funds must be returned no sooner than July 1 and <br/>
<a id="pl.277.1"></a><var>277.1</var>no later than July 31 of the following year. The commissioner may exclude special <br/>
<a id="pl.277.2"></a><var>277.2</var>demonstration projects under subdivision 23.<br/>
<a id="pl.277.3"></a><var>277.3</var>    (n) A managed care plan or a county-based purchasing plan under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.277.4"></a><var>277.4</var>may include as admitted assets under section 
         <statute_ref>62D.044</statute_ref> any amount withheld under this <br/>
<a id="pl.277.5"></a><var>277.5</var>section that is reasonably expected to be returned.<br/>
<a id="pl.277.6"></a><var>277.6</var>    (o) Contracts between the commissioner and a prepaid health plan are exempt from <br/>
<a id="pl.277.7"></a><var>277.7</var>the set-aside and preference provisions of section 
         <statute_ref>16C.16, subdivisions 6</statute_ref>, paragraph <br/>
<a id="pl.277.8"></a><var>277.8</var>(a), and 7.<br/>
<a id="pl.277.9"></a><var>277.9</var>    (p) The return of the withhold under paragraphs (d), (f), and (j) to (m) is not subject <br/>
<a id="pl.277.10"></a><var>277.10</var>to the requirements of paragraph (c).<br/>
<br/>
<a id="bill.13.17.0"></a><a id="pl.277.11"></a><var>277.11</var>    Sec. 17. Minnesota Statutes 2011 Supplement, section 256B.69, subdivision 28, <br/>
<a id="pl.277.12"></a><var>277.12</var>is amended to read:<br/>
<a id="pl.277.13"></a><var>277.13</var>    Subd. 28. <b>Medicare special needs plans; medical assistance basic health </b><br/>
<a id="pl.277.14"></a><var>277.14</var><b>care.</b> (a) The commissioner may contract with demonstration providers and current or <br/>
<a id="pl.277.15"></a><var>277.15</var>former sponsors of qualified Medicare-approved special needs plans, to provide medical <br/>
<a id="pl.277.16"></a><var>277.16</var>assistance basic health care services to persons with disabilities, including those with <br/>
<a id="pl.277.17"></a><var>277.17</var>developmental disabilities. Basic health care services include:<br/>
<a id="pl.277.18"></a><var>277.18</var>    (1) those services covered by the medical assistance state plan except for ICF/MR <br/>
<a id="pl.277.19"></a><var>277.19</var>services, home and community-based waiver services, case management for persons with <br/>
<a id="pl.277.20"></a><var>277.20</var>developmental disabilities under section 
         <statute_ref>256B.0625</statute_ref>, subdivision 20a, and personal care <br/>
<a id="pl.277.21"></a><var>277.21</var>and certain home care services defined by the commissioner in consultation with the <br/>
<a id="pl.277.22"></a><var>277.22</var>stakeholder group established under paragraph (d); and<br/>
<a id="pl.277.23"></a><var>277.23</var>    (2) basic health care services may also include risk for up to 100 days of nursing <br/>
<a id="pl.277.24"></a><var>277.24</var>facility services for persons who reside in a noninstitutional setting and home health <br/>
<a id="pl.277.25"></a><var>277.25</var>services related to rehabilitation as defined by the commissioner after consultation with <br/>
<a id="pl.277.26"></a><var>277.26</var>the stakeholder group.<br/>
<a id="pl.277.27"></a><var>277.27</var>    The commissioner may exclude other medical assistance services from the basic <br/>
<a id="pl.277.28"></a><var>277.28</var>health care benefit set. Enrollees in these plans can access any excluded services on the <br/>
<a id="pl.277.29"></a><var>277.29</var>same basis as other medical assistance recipients who have not enrolled.<br/>
<a id="pl.277.30"></a><var>277.30</var>    (b) Beginning January 1, 2007, the commissioner may contract with demonstration <br/>
<a id="pl.277.31"></a><var>277.31</var>providers and current and former sponsors of qualified Medicare special needs plans, to <br/>
<a id="pl.277.32"></a><var>277.32</var>provide basic health care services under medical assistance to persons who are dually <br/>
<a id="pl.277.33"></a><var>277.33</var>eligible for both Medicare and Medicaid and those Social Security beneficiaries eligible <br/>
<a id="pl.277.34"></a><var>277.34</var>for Medicaid but in the waiting period for Medicare. The commissioner shall consult with <br/>
<a id="pl.277.35"></a><var>277.35</var>the stakeholder group under paragraph (d) in developing program specifications for these <br/>
<a id="pl.278.1"></a><var>278.1</var>services. The commissioner shall report to the chairs of the house of representatives and <br/>
<a id="pl.278.2"></a><var>278.2</var>senate committees with jurisdiction over health and human services policy and finance by <br/>
<a id="pl.278.3"></a><var>278.3</var>February 1, 2007, on implementation of these programs and the need for increased funding <br/>
<a id="pl.278.4"></a><var>278.4</var>for the ombudsman for managed care and other consumer assistance and protections <br/>
<a id="pl.278.5"></a><var>278.5</var>needed due to enrollment in managed care of persons with disabilities. Payment for <br/>
<a id="pl.278.6"></a><var>278.6</var>Medicaid services provided under this subdivision for the months of May and June will <br/>
<a id="pl.278.7"></a><var>278.7</var>be made no earlier than July 1 of the same calendar year.<br/>
<a id="pl.278.8"></a><var>278.8</var>    (c) Notwithstanding subdivision 4, beginning January 1, 2012, the commissioner <br/>
<a id="pl.278.9"></a><var>278.9</var>shall enroll persons with disabilities in managed care under this section, unless the <br/>
<a id="pl.278.10"></a><var>278.10</var>individual chooses to opt out of enrollment. The commissioner shall establish enrollment <br/>
<a id="pl.278.11"></a><var>278.11</var>and opt out procedures consistent with applicable enrollment procedures under this <br/>
<a id="pl.278.12"></a><var>278.12</var>subdivision section.<br/>
<a id="pl.278.13"></a><var>278.13</var>    (d) The commissioner shall establish a state-level stakeholder group to provide <br/>
<a id="pl.278.14"></a><var>278.14</var>advice on managed care programs for persons with disabilities, including both MnDHO <br/>
<a id="pl.278.15"></a><var>278.15</var>and contracts with special needs plans that provide basic health care services as described <br/>
<a id="pl.278.16"></a><var>278.16</var>in paragraphs (a) and (b). The stakeholder group shall provide advice on program <br/>
<a id="pl.278.17"></a><var>278.17</var>expansions under this subdivision and subdivision 23, including:<br/>
<a id="pl.278.18"></a><var>278.18</var>    (1) implementation efforts;<br/>
<a id="pl.278.19"></a><var>278.19</var>    (2) consumer protections; and<br/>
<a id="pl.278.20"></a><var>278.20</var>    (3) program specifications such as quality assurance measures, data collection and <br/>
<a id="pl.278.21"></a><var>278.21</var>reporting, and evaluation of costs, quality, and results.<br/>
<a id="pl.278.22"></a><var>278.22</var>    (e) Each plan under contract to provide medical assistance basic health care services <br/>
<a id="pl.278.23"></a><var>278.23</var>shall establish a local or regional stakeholder group, including representatives of the <br/>
<a id="pl.278.24"></a><var>278.24</var>counties covered by the plan, members, consumer advocates, and providers, for advice on <br/>
<a id="pl.278.25"></a><var>278.25</var>issues that arise in the local or regional area.<br/>
<a id="pl.278.26"></a><var>278.26</var>    (f) The commissioner is prohibited from providing the names of potential enrollees <br/>
<a id="pl.278.27"></a><var>278.27</var>to health plans for marketing purposes. The commissioner shall mail no more than <br/>
<a id="pl.278.28"></a><var>278.28</var>two sets of marketing materials per contract year to potential enrollees on behalf of <br/>
<a id="pl.278.29"></a><var>278.29</var>health plans, at the health plan's request. The marketing materials shall be mailed by the <br/>
<a id="pl.278.30"></a><var>278.30</var>commissioner within 30 days of receipt of these materials from the health plan. The health <br/>
<a id="pl.278.31"></a><var>278.31</var>plans shall cover any costs incurred by the commissioner for mailing marketing materials.<br/>
<br/>
<a id="bill.13.18.0"></a><a id="pl.278.32"></a><var>278.32</var>    Sec. 18. Minnesota Statutes 2010, section 256L.05, subdivision 3, is amended to read:<br/>
<a id="pl.278.33"></a><var>278.33</var>    Subd. 3. <b>Effective date of coverage.</b> (a) The effective date of coverage is the <br/>
<a id="pl.278.34"></a><var>278.34</var>first day of the month following the month in which eligibility is approved and the first <br/>
<a id="pl.278.35"></a><var>278.35</var>premium payment has been received. As provided in section 
         <statute_ref>256B.057</statute_ref>, coverage for <br/>
<a id="pl.279.1"></a><var>279.1</var>newborns is automatic from the date of birth and must be coordinated with other health <br/>
<a id="pl.279.2"></a><var>279.2</var>coverage. The effective date of coverage for eligible newly adoptive children added to a <br/>
<a id="pl.279.3"></a><var>279.3</var>family receiving covered health services is the month of placement. The effective date <br/>
<a id="pl.279.4"></a><var>279.4</var>of coverage for other new members added to the family is the first day of the month <br/>
<a id="pl.279.5"></a><var>279.5</var>following the month in which the change is reported. All eligibility criteria must be met <br/>
<a id="pl.279.6"></a><var>279.6</var>by the family at the time the new family member is added. The income of the new family <br/>
<a id="pl.279.7"></a><var>279.7</var>member is included with the family's gross income and the adjusted premium begins in <br/>
<a id="pl.279.8"></a><var>279.8</var>the month the new family member is added.<br/>
<a id="pl.279.9"></a><var>279.9</var>(b) The initial premium must be received by the last working day of the month for <br/>
<a id="pl.279.10"></a><var>279.10</var>coverage to begin the first day of the following month.<br/>
<a id="pl.279.11"></a><var>279.11</var>(c) Benefits are not available until the day following discharge if an enrollee is <br/>
<a id="pl.279.12"></a><var>279.12</var>hospitalized on the first day of coverage.<br/>
<a id="pl.279.13"></a><var>279.13</var>(d) Notwithstanding any other law to the contrary, benefits under sections 
         <statute_ref>256L.01</statute_ref> to <br/>
<statute_ref><a id="pl.279.14"></a><var>279.14</var>256L.18
         </statute_ref> are secondary to a plan of insurance or benefit program under which an eligible <br/>
<a id="pl.279.15"></a><var>279.15</var>person may have coverage and the commissioner shall use cost avoidance techniques to <br/>
<a id="pl.279.16"></a><var>279.16</var>ensure coordination of any other health coverage for eligible persons. The commissioner <br/>
<a id="pl.279.17"></a><var>279.17</var>shall identify eligible persons who may have coverage or benefits under other plans of <br/>
<a id="pl.279.18"></a><var>279.18</var>insurance or who become eligible for medical assistance.<br/>
<a id="pl.279.19"></a><var>279.19</var>(e) The effective date of coverage for individuals or families who are exempt from <br/>
<a id="pl.279.20"></a><var>279.20</var>paying premiums under section 256L.15, subdivision 1, paragraph (d), is the first day of <br/>
<a id="pl.279.21"></a><var>279.21</var>the month following the month in which verification of American Indian status is received <br/>
<a id="pl.279.22"></a><var>279.22</var>or eligibility is approved, whichever is later.<br/>
<br/>
<a id="bill.13.19.0"></a><a id="pl.279.23"></a><var>279.23</var>    Sec. 19. Minnesota Statutes 2011 Supplement, section 256L.12, subdivision 9, is <br/>
<a id="pl.279.24"></a><var>279.24</var>amended to read:<br/>
<a id="pl.279.25"></a><var>279.25</var>    Subd. 9. <b>Rate setting; performance withholds.</b> (a) Rates will be prospective, <br/>
<a id="pl.279.26"></a><var>279.26</var>per capita, where possible. The commissioner may allow health plans to arrange for <br/>
<a id="pl.279.27"></a><var>279.27</var>inpatient hospital services on a risk or nonrisk basis. The commissioner shall consult with <br/>
<a id="pl.279.28"></a><var>279.28</var>an independent actuary to determine appropriate rates.<br/>
<a id="pl.279.29"></a><var>279.29</var>    (b) For services rendered on or after January 1, 2004, the commissioner shall <br/>
<a id="pl.279.30"></a><var>279.30</var>withhold five percent of managed care plan payments and county-based purchasing <br/>
<a id="pl.279.31"></a><var>279.31</var>plan payments under this section pending completion of performance targets. Each <br/>
<a id="pl.279.32"></a><var>279.32</var>performance target must be quantifiable, objective, measurable, and reasonably attainable, <br/>
<a id="pl.279.33"></a><var>279.33</var>except in the case of a performance target based on a federal or state law or rule. Criteria <br/>
<a id="pl.279.34"></a><var>279.34</var>for assessment of each performance target must be outlined in writing prior to the contract <br/>
<a id="pl.279.35"></a><var>279.35</var>effective date. Clinical or utilization performance targets and their related criteria must <br/>
<a id="pl.280.1"></a><var>280.1</var>consider evidence-based research and reasonable interventions, when available or <br/>
<a id="pl.280.2"></a><var>280.2</var>applicable to the populations served, and must be developed with input from external <br/>
<a id="pl.280.3"></a><var>280.3</var>clinical experts and stakeholders, including managed care plans and providers. The <br/>
<a id="pl.280.4"></a><var>280.4</var>managed care plan must demonstrate, to the commissioner's satisfaction, that the data <br/>
<a id="pl.280.5"></a><var>280.5</var>submitted regarding attainment of the performance target is accurate. The commissioner <br/>
<a id="pl.280.6"></a><var>280.6</var>shall periodically change the administrative measures used as performance targets in <br/>
<a id="pl.280.7"></a><var>280.7</var>order to improve plan performance across a broader range of administrative services. <br/>
<a id="pl.280.8"></a><var>280.8</var>The performance targets must include measurement of plan efforts to contain spending <br/>
<a id="pl.280.9"></a><var>280.9</var>on health care services and administrative activities. The commissioner may adopt <br/>
<a id="pl.280.10"></a><var>280.10</var>plan-specific performance targets that take into account factors affecting only one plan, <br/>
<a id="pl.280.11"></a><var>280.11</var>such as characteristics of the plan's enrollee population. The withheld funds must be <br/>
<a id="pl.280.12"></a><var>280.12</var>returned no sooner than July 1 and no later than July 31 of the following calendar year if <br/>
<a id="pl.280.13"></a><var>280.13</var>performance targets in the contract are achieved.<br/>
<a id="pl.280.14"></a><var>280.14</var>    (c) For services rendered on or after January 1, 2011, the commissioner shall <br/>
<a id="pl.280.15"></a><var>280.15</var>withhold an additional three percent of managed care plan or county-based purchasing <br/>
<a id="pl.280.16"></a><var>280.16</var>plan payments under this section. The withheld funds must be returned no sooner than <br/>
<a id="pl.280.17"></a><var>280.17</var>July 1 and no later than July 31 of the following calendar year. The return of the withhold <br/>
<a id="pl.280.18"></a><var>280.18</var>under this paragraph is not subject to the requirements of paragraph (b).<br/>
<a id="pl.280.19"></a><var>280.19</var>    (d) Effective for services rendered on or after January 1, 2011, through December <br/>
<a id="pl.280.20"></a><var>280.20</var>31, 2011, the commissioner shall include as part of the performance targets described in <br/>
<a id="pl.280.21"></a><var>280.21</var>paragraph (b) a reduction in the plan's emergency room utilization rate for state health <br/>
<a id="pl.280.22"></a><var>280.22</var>care program enrollees by a measurable rate of five percent from the plan's utilization <br/>
<a id="pl.280.23"></a><var>280.23</var>rate for the previous calendar year. Effective for services rendered on or after January <br/>
<a id="pl.280.24"></a><var>280.24</var>1, 2012, the commissioner shall include as part of the performance targets described in <br/>
<a id="pl.280.25"></a><var>280.25</var>paragraph (b) a reduction in the health plan's emergency department utilization rate for <br/>
<a id="pl.280.26"></a><var>280.26</var>medical assistance and MinnesotaCare enrollees, as determined by the commissioner. <br/>
<a id="pl.280.27"></a><var>280.27</var>For 2012, the reduction shall be based on the health plan's utilization in 2009. To earn <br/>
<a id="pl.280.28"></a><var>280.28</var>the return of the withhold each subsequent year, the managed care plan or county-based <br/>
<a id="pl.280.29"></a><var>280.29</var>purchasing plan must achieve a qualifying reduction of no less than ten percent of the <br/>
<a id="pl.280.30"></a><var>280.30</var>plan's utilization rate for medical assistance and MinnesotaCare enrollees, excluding <br/>
<a id="pl.280.31"></a><var>280.31</var>Medicare enrollees in programs described in section 256B.69, subdivisions 23 and 28, <br/>
<a id="pl.280.32"></a><var>280.32</var>compared to the previous calendar measurement year, until the final performance target is <br/>
<a id="pl.280.33"></a><var>280.33</var>reached. When measuring performance, the commissioner must consider the difference <br/>
<a id="pl.280.34"></a><var>280.34</var>in health risk in a plan's membership in the baseline year compared to the measurement <br/>
<a id="pl.280.35"></a><var>280.35</var>year, and work with the managed care or county-based purchasing plan to account for <br/>
<a id="pl.280.36"></a><var>280.36</var>differences that they agree are significant.<br/>
<a id="pl.281.1"></a><var>281.1</var>    The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.281.2"></a><var>281.2</var>of the following calendar year if the managed care plan or county-based purchasing plan <br/>
<a id="pl.281.3"></a><var>281.3</var>demonstrates to the satisfaction of the commissioner that a reduction in the utilization rate <br/>
<a id="pl.281.4"></a><var>281.4</var>was achieved. The commissioner shall structure the withhold so that the commissioner <br/>
<a id="pl.281.5"></a><var>281.5</var>returns a portion of the withheld funds in amounts commensurate with achieved reductions <br/>
<a id="pl.281.6"></a><var>281.6</var>in utilization less than the targeted amount.<br/>
<a id="pl.281.7"></a><var>281.7</var>    The withhold described in this paragraph shall continue for each consecutive <br/>
<a id="pl.281.8"></a><var>281.8</var>contract period until the plan's emergency room utilization rate for state health care <br/>
<a id="pl.281.9"></a><var>281.9</var>program enrollees is reduced by 25 percent of the plan's emergency room utilization <br/>
<a id="pl.281.10"></a><var>281.10</var>rate for medical assistance and MinnesotaCare enrollees for calendar year 2011 2009. <br/>
<a id="pl.281.11"></a><var>281.11</var>Hospitals shall cooperate with the health plans in meeting this performance target and <br/>
<a id="pl.281.12"></a><var>281.12</var>shall accept payment withholds that may be returned to the hospitals if the performance <br/>
<a id="pl.281.13"></a><var>281.13</var>target is achieved.<br/>
<a id="pl.281.14"></a><var>281.14</var>    (e) Effective for services rendered on or after January 1, 2012, the commissioner <br/>
<a id="pl.281.15"></a><var>281.15</var>shall include as part of the performance targets described in paragraph (b) a reduction <br/>
<a id="pl.281.16"></a><var>281.16</var>in the plan's hospitalization admission rate for medical assistance and MinnesotaCare <br/>
<a id="pl.281.17"></a><var>281.17</var>enrollees, as determined by the commissioner. To earn the return of the withhold each <br/>
<a id="pl.281.18"></a><var>281.18</var>year, the managed care plan or county-based purchasing plan must achieve a qualifying <br/>
<a id="pl.281.19"></a><var>281.19</var>reduction of no less than five percent of the plan's hospital admission rate for medical <br/>
<a id="pl.281.20"></a><var>281.20</var>assistance and MinnesotaCare enrollees, excluding Medicare enrollees in programs <br/>
<a id="pl.281.21"></a><var>281.21</var>described in section 256B.69, subdivisions 23 and 28, compared to the previous calendar <br/>
<a id="pl.281.22"></a><var>281.22</var>year, until the final performance target is reached. When measuring performance, the <br/>
<a id="pl.281.23"></a><var>281.23</var>commissioner must consider the difference in health risk in a plan's membership in the <br/>
<a id="pl.281.24"></a><var>281.24</var>baseline year compared to the measurement year, and work with the managed care or <br/>
<a id="pl.281.25"></a><var>281.25</var>county-based purchasing plan to account for differences that they agree are significant.<br/>
<a id="pl.281.26"></a><var>281.26</var>    The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.281.27"></a><var>281.27</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.281.28"></a><var>281.28</var>plan demonstrates to the satisfaction of the commissioner that this reduction in the <br/>
<a id="pl.281.29"></a><var>281.29</var>hospitalization rate was achieved. The commissioner shall structure the withhold so that <br/>
<a id="pl.281.30"></a><var>281.30</var>the commissioner returns a portion of the withheld funds in amounts commensurate with <br/>
<a id="pl.281.31"></a><var>281.31</var>achieved reductions in utilization less than the targeted amount.<br/>
<a id="pl.281.32"></a><var>281.32</var>    The withhold described in this paragraph shall continue until there is a 25 percent <br/>
<a id="pl.281.33"></a><var>281.33</var>reduction in the hospitals admission rate compared to the hospital admission rate for <br/>
<a id="pl.281.34"></a><var>281.34</var>calendar year 2011 as determined by the commissioner. Hospitals shall cooperate with the <br/>
<a id="pl.281.35"></a><var>281.35</var>plans in meeting this performance target and shall accept payment withholds that may be <br/>
<a id="pl.281.36"></a><var>281.36</var>returned to the hospitals if the performance target is achieved. The hospital admissions <br/>
<a id="pl.282.1"></a><var>282.1</var>in this performance target do not include the admissions applicable to the subsequent <br/>
<a id="pl.282.2"></a><var>282.2</var>hospital admission performance target under paragraph (f).<br/>
<a id="pl.282.3"></a><var>282.3</var>    (f) Effective for services provided on or after January 1, 2012, the commissioner <br/>
<a id="pl.282.4"></a><var>282.4</var>shall include as part of the performance targets described in paragraph (b) a reduction <br/>
<a id="pl.282.5"></a><var>282.5</var>in the plan's hospitalization rate for a subsequent hospitalization within 30 days of a <br/>
<a id="pl.282.6"></a><var>282.6</var>previous hospitalization of a patient regardless of the reason, for medical assistance and <br/>
<a id="pl.282.7"></a><var>282.7</var>MinnesotaCare enrollees, as determined by the commissioner. To earn the return of the <br/>
<a id="pl.282.8"></a><var>282.8</var>withhold each year, the managed care plan or county-based purchasing plan must achieve <br/>
<a id="pl.282.9"></a><var>282.9</var>a qualifying reduction of the subsequent hospital admissions rate for medical assistance <br/>
<a id="pl.282.10"></a><var>282.10</var>and MinnesotaCare enrollees, excluding Medicare enrollees in programs described in <br/>
<a id="pl.282.11"></a><var>282.11</var>section 256B.69, subdivisions 23 and 28, of no less than five percent compared to the <br/>
<a id="pl.282.12"></a><var>282.12</var>previous calendar year until the final performance target is reached.<br/>
<a id="pl.282.13"></a><var>282.13</var>    The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.282.14"></a><var>282.14</var>of the following calendar year if the managed care plan or county-based purchasing plan <br/>
<a id="pl.282.15"></a><var>282.15</var>demonstrates to the satisfaction of the commissioner that a reduction in the subsequent <br/>
<a id="pl.282.16"></a><var>282.16</var>hospitalization rate was achieved. The commissioner shall structure the withhold so that <br/>
<a id="pl.282.17"></a><var>282.17</var>the commissioner returns a portion of the withheld funds in amounts commensurate with <br/>
<a id="pl.282.18"></a><var>282.18</var>achieved reductions in utilization less than the targeted amount.<br/>
<a id="pl.282.19"></a><var>282.19</var>    The withhold described in this paragraph must continue for each consecutive <br/>
<a id="pl.282.20"></a><var>282.20</var>contract period until the plan's subsequent hospitalization rate for medical assistance and <br/>
<a id="pl.282.21"></a><var>282.21</var>MinnesotaCare enrollees is reduced by 25 percent of the plan's subsequent hospitalization <br/>
<a id="pl.282.22"></a><var>282.22</var>rate for calendar year 2011. Hospitals shall cooperate with the plans in meeting this <br/>
<a id="pl.282.23"></a><var>282.23</var>performance target and shall accept payment withholds that must be returned to the <br/>
<a id="pl.282.24"></a><var>282.24</var>hospitals if the performance target is achieved.<br/>
<a id="pl.282.25"></a><var>282.25</var>    (g) A managed care plan or a county-based purchasing plan under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.282.26"></a><var>282.26</var>may include as admitted assets under section 
         <statute_ref>62D.044</statute_ref> any amount withheld under this <br/>
<a id="pl.282.27"></a><var>282.27</var>section that is reasonably expected to be returned.<br/>
<br/>
<a id="bill.13.20.0"></a><a id="pl.282.28"></a><var>282.28</var>    Sec. 20. Minnesota Statutes 2011 Supplement, section 256L.15, subdivision 1, is <br/>
<a id="pl.282.29"></a><var>282.29</var>amended to read:<br/>
<a id="pl.282.30"></a><var>282.30</var>    Subdivision 1. <b>Premium determination.</b> (a) Families with children and individuals <br/>
<a id="pl.282.31"></a><var>282.31</var>shall pay a premium determined according to subdivision 2.<br/>
<a id="pl.282.32"></a><var>282.32</var>    (b) Pregnant women and children under age two are exempt from the provisions <br/>
<a id="pl.282.33"></a><var>282.33</var>of section 
         <statute_ref>256L.06, subdivision 3</statute_ref>, paragraph (b), clause (3), requiring disenrollment <br/>
<a id="pl.282.34"></a><var>282.34</var>for failure to pay premiums. For pregnant women, this exemption continues until the <br/>
<a id="pl.282.35"></a><var>282.35</var>first day of the month following the 60th day postpartum. Women who remain enrolled <br/>
<a id="pl.283.1"></a><var>283.1</var>during pregnancy or the postpartum period, despite nonpayment of premiums, shall be <br/>
<a id="pl.283.2"></a><var>283.2</var>disenrolled on the first of the month following the 60th day postpartum for the penalty <br/>
<a id="pl.283.3"></a><var>283.3</var>period that otherwise applies under section 
         <statute_ref>256L.06</statute_ref>, unless they begin paying premiums.<br/>
<a id="pl.283.4"></a><var>283.4</var>    (c) Members of the military and their families who meet the eligibility criteria <br/>
<a id="pl.283.5"></a><var>283.5</var>for MinnesotaCare upon eligibility approval made within 24 months following the end <br/>
<a id="pl.283.6"></a><var>283.6</var>of the member's tour of active duty shall have their premiums paid by the commissioner. <br/>
<a id="pl.283.7"></a><var>283.7</var>The effective date of coverage for an individual or family who meets the criteria of this <br/>
<a id="pl.283.8"></a><var>283.8</var>paragraph shall be the first day of the month following the month in which eligibility is <br/>
<a id="pl.283.9"></a><var>283.9</var>approved. This exemption applies for 12 months.<br/>
<a id="pl.283.10"></a><var>283.10</var>(d) Beginning July 1, 2009, American Indians enrolled in MinnesotaCare and their <br/>
<a id="pl.283.11"></a><var>283.11</var>families shall have their premiums waived by the commissioner in accordance with <br/>
<a id="pl.283.12"></a><var>283.12</var>section 5006 of the American Recovery and Reinvestment Act of 2009, Public Law 111-5. <br/>
<a id="pl.283.13"></a><var>283.13</var>An individual must document status as an American Indian, as defined under Code of <br/>
<a id="pl.283.14"></a><var>283.14</var>Federal Regulations, title 42, section 447.50, to qualify for the waiver of premiums.<br/>
<a id="pl.283.15"></a><var>283.15</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from July 1, 2009.<br/>
<br/>
<a id="bill.13.21.0"></a><a id="pl.283.16"></a><var>283.16</var>    Sec. 21. Minnesota Statutes 2010, section 514.982, subdivision 1, is amended to read:<br/>
<a id="pl.283.17"></a><var>283.17</var>    Subdivision 1. <b>Contents.</b> A medical assistance lien notice must be dated and <br/>
<a id="pl.283.18"></a><var>283.18</var>must contain:<br/>
<a id="pl.283.19"></a><var>283.19</var>(1) the full name, last known address, and last four digits of the Social Security <br/>
<a id="pl.283.20"></a><var>283.20</var>number of the medical assistance recipient;<br/>
<a id="pl.283.21"></a><var>283.21</var>(2) a statement that medical assistance payments have been made to or for the <br/>
<a id="pl.283.22"></a><var>283.22</var>benefit of the medical assistance recipient named in the notice, specifying the first date <br/>
<a id="pl.283.23"></a><var>283.23</var>of eligibility for benefits;<br/>
<a id="pl.283.24"></a><var>283.24</var>(3) a statement that all interests in real property owned by the persons named in the <br/>
<a id="pl.283.25"></a><var>283.25</var>notice may be subject to or affected by the rights of the agency to be reimbursed for <br/>
<a id="pl.283.26"></a><var>283.26</var>medical assistance benefits; and<br/>
<a id="pl.283.27"></a><var>283.27</var>(4) the legal description of the real property upon which the lien attaches, and <br/>
<a id="pl.283.28"></a><var>283.28</var>whether the property is registered property.<br/>
<br/>
<a id="bill.13.22.0"></a><a id="pl.283.29"></a><var>283.29</var>    Sec. 22. <b>HEALTH SERVICES ADVISORY COUNCIL.</b><br/>
<a id="pl.283.30"></a><var>283.30</var>The Health Services Advisory Council shall review currently available literature <br/>
<a id="pl.283.31"></a><var>283.31</var>regarding the efficacy of various treatments for autism spectrum disorder, including <br/>
<a id="pl.283.32"></a><var>283.32</var>an evaluation of age-based variation in the appropriateness of existing medical and <br/>
<a id="pl.283.33"></a><var>283.33</var>behavioral interventions. The council shall recommend to the commissioner of human <br/>
<a id="pl.283.34"></a><var>283.34</var>services authorization criteria for services based on existing evidence. The council may <br/>
<a id="pl.284.1"></a><var>284.1</var>recommend coverage with ongoing collection of outcomes evidence in circumstances <br/>
<a id="pl.284.2"></a><var>284.2</var>where evidence is currently unavailable, or where the strength of the evidence is low. The <br/>
<a id="pl.284.3"></a><var>284.3</var>council shall make this recommendation by December 31, 2012.<br/>
<br/>
<a id="bill.13.23.0"></a><a id="pl.284.4"></a><var>284.4</var>    Sec. 23. <b> REPEALER.</b><br/>
<a id="pl.284.5"></a><var>284.5</var>Minnesota Statutes 2010, section 256.01, subdivision 18b, is repealed.<br/>
<br/>
<a id="bill.14.0.0"></a>

<a id="bill.14.1.0"></a><a id="pl.284.8"></a><var>284.8</var>    Section 1. Minnesota Statutes 2010, section 144A.071, subdivision 5a, is amended to <br/>
<a id="pl.284.9"></a><var>284.9</var>read:<br/>
<a id="pl.284.10"></a><var>284.10</var>    Subd. 5a. <b>Cost estimate of a moratorium exception project.</b> (a) For the <br/>
<a id="pl.284.11"></a><var>284.11</var>purposes of this section and section 
         <statute_ref>144A.073</statute_ref>, the cost estimate of a moratorium <br/>
<a id="pl.284.12"></a><var>284.12</var>exception project shall include the effects of the proposed project on the costs of the state <br/>
<a id="pl.284.13"></a><var>284.13</var>subsidy for community-based services, nursing services, and housing in institutional <br/>
<a id="pl.284.14"></a><var>284.14</var>and noninstitutional settings. The commissioner of health, in cooperation with the <br/>
<a id="pl.284.15"></a><var>284.15</var>commissioner of human services, shall define the method for estimating these costs in the <br/>
<a id="pl.284.16"></a><var>284.16</var>permanent rule implementing section 
         <statute_ref>144A.073</statute_ref>. The commissioner of human services <br/>
<a id="pl.284.17"></a><var>284.17</var>shall prepare an estimate of the total state annual long-term costs of each moratorium <br/>
<a id="pl.284.18"></a><var>284.18</var>exception proposal.<br/>
<a id="pl.284.19"></a><var>284.19</var>    (b) The interest rate to be used for estimating the cost of each moratorium exception <br/>
<a id="pl.284.20"></a><var>284.20</var>project proposal shall be the lesser of either the prime rate plus two percentage points, or <br/>
<a id="pl.284.21"></a><var>284.21</var>the posted yield for standard conventional fixed rate mortgages of the Federal Home Loan <br/>
<a id="pl.284.22"></a><var>284.22</var>Mortgage Corporation plus two percentage points as published in the Wall Street Journal <br/>
<a id="pl.284.23"></a><var>284.23</var>and in effect 56 days prior to the application deadline. If the applicant's proposal uses this <br/>
<a id="pl.284.24"></a><var>284.24</var>interest rate, the commissioner of human services, in determining the facility's actual <br/>
<a id="pl.284.25"></a><var>284.25</var>property-related payment rate to be established upon completion of the project must use <br/>
<a id="pl.284.26"></a><var>284.26</var>the actual interest rate obtained by the facility for the project's permanent financing up to <br/>
<a id="pl.284.27"></a><var>284.27</var>the maximum permitted under subdivision 6 Minnesota Rules, part 9549.0060, subpart 6.<br/>
<a id="pl.284.28"></a><var>284.28</var>    The applicant may choose an alternate interest rate for estimating the project's cost. <br/>
<a id="pl.284.29"></a><var>284.29</var>If the applicant makes this election, the commissioner of human services, in determining <br/>
<a id="pl.284.30"></a><var>284.30</var>the facility's actual property-related payment rate to be established upon completion of the <br/>
<a id="pl.284.31"></a><var>284.31</var>project, must use the lesser of the actual interest rate obtained for the project's permanent <br/>
<a id="pl.284.32"></a><var>284.32</var>financing or the interest rate which was used to estimate the proposal's project cost. For <br/>
<a id="pl.284.33"></a><var>284.33</var>succeeding rate years, the applicant is at risk for financing costs in excess of the interest <br/>
<a id="pl.284.34"></a><var>284.34</var>rate selected.<br/>
<br/>
<a id="bill.14.2.0"></a><a id="pl.285.1"></a><var>285.1</var>    Sec. 2. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.285.2"></a><var>285.2</var>    (a) In Minnesota Statutes, sections 256B.038, 256B.0911, 256B.0918, 256B.092, <br/>
<a id="pl.285.3"></a><var>285.3</var>256B.097, 256B.49, and 256B.765, the revisor of statutes shall delete the word "traumatic" <br/>
<a id="pl.285.4"></a><var>285.4</var>when it comes before the word "brain."<br/>
<a id="pl.285.5"></a><var>285.5</var>    (b) In Minnesota Statutes, section 256B.093, subdivision 1, clauses (4) and (5), and <br/>
<a id="pl.285.6"></a><var>285.6</var>subdivision 3, clause (2), the revisor of statutes shall delete the word "traumatic" when it <br/>
<a id="pl.285.7"></a><var>285.7</var>comes before the word "brain."<br/>
<a id="pl.285.8"></a><var>285.8</var>    (c) In Minnesota Statutes, sections 144.0724 and 144G.05, the revisor of statutes <br/>
<a id="pl.285.9"></a><var>285.9</var>shall delete "TBI" and replace it with "BI."<br/>
<br/>
<a id="bill.15.0.0"></a>

<a id="bill.15.1.0"></a><a id="pl.285.12"></a><var>285.12</var>    Section 1. Minnesota Statutes 2010, section 13.46, subdivision 2, is amended to read:<br/>
<a id="pl.285.13"></a><var>285.13</var>    Subd. 2. <b>General.</b> (a) Unless the data is summary data or a statute specifically <br/>
<a id="pl.285.14"></a><var>285.14</var>provides a different classification, data on individuals collected, maintained, used, or <br/>
<a id="pl.285.15"></a><var>285.15</var>disseminated by the welfare system is private data on individuals, and shall not be <br/>
<a id="pl.285.16"></a><var>285.16</var>disclosed except:<br/>
<a id="pl.285.17"></a><var>285.17</var>    (1) according to section 
         <statute_ref>13.05</statute_ref>;<br/>
<a id="pl.285.18"></a><var>285.18</var>    (2) according to court order;<br/>
<a id="pl.285.19"></a><var>285.19</var>    (3) according to a statute specifically authorizing access to the private data;<br/>
<a id="pl.285.20"></a><var>285.20</var>    (4) to an agent of the welfare system and an investigator acting on behalf of a county, <br/>
<a id="pl.285.21"></a><var>285.21</var>the state, or the federal government, including a law enforcement person, or attorney, or <br/>
<a id="pl.285.22"></a><var>285.22</var>investigator acting for it in the investigation or prosecution of a criminal or, civil, or <br/>
<a id="pl.285.23"></a><var>285.23</var>administrative proceeding relating to the administration of a program;<br/>
<a id="pl.285.24"></a><var>285.24</var>    (5) to personnel of the welfare system who require the data to verify an individual's <br/>
<a id="pl.285.25"></a><var>285.25</var>identity; determine eligibility, amount of assistance, and the need to provide services to <br/>
<a id="pl.285.26"></a><var>285.26</var>an individual or family across programs; evaluate the effectiveness of programs; assess <br/>
<a id="pl.285.27"></a><var>285.27</var>parental contribution amounts; and investigate suspected fraud;<br/>
<a id="pl.285.28"></a><var>285.28</var>    (6) to administer federal funds or programs;<br/>
<a id="pl.285.29"></a><var>285.29</var>    (7) between personnel of the welfare system working in the same program;<br/>
<a id="pl.285.30"></a><var>285.30</var>    (8) to the Department of Revenue to assess parental contribution amounts for <br/>
<a id="pl.285.31"></a><var>285.31</var>purposes of section 
         <statute_ref>252.27, subdivision 2a</statute_ref>, administer and evaluate tax refund or tax credit <br/>
<a id="pl.285.32"></a><var>285.32</var>programs and to identify individuals who may benefit from these programs. The following <br/>
<a id="pl.285.33"></a><var>285.33</var>information may be disclosed under this paragraph: an individual's and their dependent's <br/>
<a id="pl.285.34"></a><var>285.34</var>names, dates of birth, Social Security numbers, income, addresses, and other data as <br/>
<a id="pl.285.35"></a><var>285.35</var>required, upon request by the Department of Revenue. Disclosures by the commissioner <br/>
<a id="pl.286.1"></a><var>286.1</var>of revenue to the commissioner of human services for the purposes described in this clause <br/>
<a id="pl.286.2"></a><var>286.2</var>are governed by section 
         <statute_ref>270B.14, subdivision 1</statute_ref>. Tax refund or tax credit programs include, <br/>
<a id="pl.286.3"></a><var>286.3</var>but are not limited to, the dependent care credit under section 
         <statute_ref>290.067</statute_ref>, the Minnesota <br/>
<a id="pl.286.4"></a><var>286.4</var>working family credit under section 
         <statute_ref>290.0671</statute_ref>, the property tax refund and rental credit <br/>
<a id="pl.286.5"></a><var>286.5</var>under section 
         <statute_ref>290A.04</statute_ref>, and the Minnesota education credit under section 
         <statute_ref>290.0674</statute_ref>;<br/>
<a id="pl.286.6"></a><var>286.6</var>    (9) between the Department of Human Services, the Department of Employment <br/>
<a id="pl.286.7"></a><var>286.7</var>and Economic Development, and when applicable, the Department of Education, for <br/>
<a id="pl.286.8"></a><var>286.8</var>the following purposes:<br/>
<a id="pl.286.9"></a><var>286.9</var>    (i) to monitor the eligibility of the data subject for unemployment benefits, for any <br/>
<a id="pl.286.10"></a><var>286.10</var>employment or training program administered, supervised, or certified by that agency;<br/>
<a id="pl.286.11"></a><var>286.11</var>    (ii) to administer any rehabilitation program or child care assistance program, <br/>
<a id="pl.286.12"></a><var>286.12</var>whether alone or in conjunction with the welfare system;<br/>
<a id="pl.286.13"></a><var>286.13</var>    (iii) to monitor and evaluate the Minnesota family investment program or the child <br/>
<a id="pl.286.14"></a><var>286.14</var>care assistance program by exchanging data on recipients and former recipients of food <br/>
<a id="pl.286.15"></a><var>286.15</var>support, cash assistance under chapter 256, 256D, 256J, or 256K, child care assistance <br/>
<a id="pl.286.16"></a><var>286.16</var>under chapter 119B, or medical programs under chapter 256B, 256D, or 256L; and<br/>
<a id="pl.286.17"></a><var>286.17</var>    (iv) to analyze public assistance employment services and program utilization, <br/>
<a id="pl.286.18"></a><var>286.18</var>cost, effectiveness, and outcomes as implemented under the authority established in Title <br/>
<a id="pl.286.19"></a><var>286.19</var>II, Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of <br/>
<a id="pl.286.20"></a><var>286.20</var>1999. Health records governed by sections 
         <statute_ref>144.291</statute_ref> to 144.298 and "protected health <br/>
<a id="pl.286.21"></a><var>286.21</var>information" as defined in Code of Federal Regulations, title 45, section 
         <statute_ref>160.103</statute_ref>, and <br/>
<a id="pl.286.22"></a><var>286.22</var>governed by Code of Federal Regulations, title 45, parts 160-164, including health care <br/>
<a id="pl.286.23"></a><var>286.23</var>claims utilization information, must not be exchanged under this clause;<br/>
<a id="pl.286.24"></a><var>286.24</var>    (10) to appropriate parties in connection with an emergency if knowledge of <br/>
<a id="pl.286.25"></a><var>286.25</var>the information is necessary to protect the health or safety of the individual or other <br/>
<a id="pl.286.26"></a><var>286.26</var>individuals or persons;<br/>
<a id="pl.286.27"></a><var>286.27</var>    (11) data maintained by residential programs as defined in section 
         <statute_ref>245A.02</statute_ref> may <br/>
<a id="pl.286.28"></a><var>286.28</var>be disclosed to the protection and advocacy system established in this state according <br/>
<a id="pl.286.29"></a><var>286.29</var>to Part C of Public Law 98-527 to protect the legal and human rights of persons with <br/>
<a id="pl.286.30"></a><var>286.30</var>developmental disabilities or other related conditions who live in residential facilities for <br/>
<a id="pl.286.31"></a><var>286.31</var>these persons if the protection and advocacy system receives a complaint by or on behalf <br/>
<a id="pl.286.32"></a><var>286.32</var>of that person and the person does not have a legal guardian or the state or a designee of <br/>
<a id="pl.286.33"></a><var>286.33</var>the state is the legal guardian of the person;<br/>
<a id="pl.286.34"></a><var>286.34</var>    (12) to the county medical examiner or the county coroner for identifying or locating <br/>
<a id="pl.286.35"></a><var>286.35</var>relatives or friends of a deceased person;<br/>
<a id="pl.287.1"></a><var>287.1</var>    (13) data on a child support obligor who makes payments to the public agency <br/>
<a id="pl.287.2"></a><var>287.2</var>may be disclosed to the Minnesota Office of Higher Education to the extent necessary to <br/>
<a id="pl.287.3"></a><var>287.3</var>determine eligibility under section 
         <statute_ref>136A.121, subdivision 2</statute_ref>, clause (5);<br/>
<a id="pl.287.4"></a><var>287.4</var>    (14) participant Social Security numbers and names collected by the telephone <br/>
<a id="pl.287.5"></a><var>287.5</var>assistance program may be disclosed to the Department of Revenue to conduct an <br/>
<a id="pl.287.6"></a><var>287.6</var>electronic data match with the property tax refund database to determine eligibility under <br/>
<a id="pl.287.7"></a><var>287.7</var>section 
         <statute_ref>237.70, subdivision 4a</statute_ref>;<br/>
<a id="pl.287.8"></a><var>287.8</var>    (15) the current address of a Minnesota family investment program participant <br/>
<a id="pl.287.9"></a><var>287.9</var>may be disclosed to law enforcement officers who provide the name of the participant <br/>
<a id="pl.287.10"></a><var>287.10</var>and notify the agency that:<br/>
<a id="pl.287.11"></a><var>287.11</var>    (i) the participant:<br/>
<a id="pl.287.12"></a><var>287.12</var>    (A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after <br/>
<a id="pl.287.13"></a><var>287.13</var>conviction, for a crime or attempt to commit a crime that is a felony under the laws of the <br/>
<a id="pl.287.14"></a><var>287.14</var>jurisdiction from which the individual is fleeing; or<br/>
<a id="pl.287.15"></a><var>287.15</var>    (B) is violating a condition of probation or parole imposed under state or federal law;<br/>
<a id="pl.287.16"></a><var>287.16</var>    (ii) the location or apprehension of the felon is within the law enforcement officer's <br/>
<a id="pl.287.17"></a><var>287.17</var>official duties; and<br/>
<a id="pl.287.18"></a><var>287.18</var>    (iii) the request is made in writing and in the proper exercise of those duties;<br/>
<a id="pl.287.19"></a><var>287.19</var>    (16) the current address of a recipient of general assistance or general assistance <br/>
<a id="pl.287.20"></a><var>287.20</var>medical care may be disclosed to probation officers and corrections agents who are <br/>
<a id="pl.287.21"></a><var>287.21</var>supervising the recipient and to law enforcement officers who are investigating the <br/>
<a id="pl.287.22"></a><var>287.22</var>recipient in connection with a felony level offense;<br/>
<a id="pl.287.23"></a><var>287.23</var>    (17) information obtained from food support applicant or recipient households may <br/>
<a id="pl.287.24"></a><var>287.24</var>be disclosed to local, state, or federal law enforcement officials, upon their written request, <br/>
<a id="pl.287.25"></a><var>287.25</var>for the purpose of investigating an alleged violation of the Food Stamp Act, according <br/>
<a id="pl.287.26"></a><var>287.26</var>to Code of Federal Regulations, title 7, section 272.1 (c);<br/>
<a id="pl.287.27"></a><var>287.27</var>    (18) the address, Social Security number, and, if available, photograph of any <br/>
<a id="pl.287.28"></a><var>287.28</var>member of a household receiving food support shall be made available, on request, to a <br/>
<a id="pl.287.29"></a><var>287.29</var>local, state, or federal law enforcement officer if the officer furnishes the agency with the <br/>
<a id="pl.287.30"></a><var>287.30</var>name of the member and notifies the agency that:<br/>
<a id="pl.287.31"></a><var>287.31</var>    (i) the member:<br/>
<a id="pl.287.32"></a><var>287.32</var>    (A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a <br/>
<a id="pl.287.33"></a><var>287.33</var>crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;<br/>
<a id="pl.287.34"></a><var>287.34</var>    (B) is violating a condition of probation or parole imposed under state or federal <br/>
<a id="pl.287.35"></a><var>287.35</var>law; or<br/>
<a id="pl.288.1"></a><var>288.1</var>    (C) has information that is necessary for the officer to conduct an official duty related <br/>
<a id="pl.288.2"></a><var>288.2</var>to conduct described in subitem (A) or (B);<br/>
<a id="pl.288.3"></a><var>288.3</var>    (ii) locating or apprehending the member is within the officer's official duties; and<br/>
<a id="pl.288.4"></a><var>288.4</var>    (iii) the request is made in writing and in the proper exercise of the officer's official <br/>
<a id="pl.288.5"></a><var>288.5</var>duty;<br/>
<a id="pl.288.6"></a><var>288.6</var>    (19) the current address of a recipient of Minnesota family investment program, <br/>
<a id="pl.288.7"></a><var>288.7</var>general assistance, general assistance medical care, or food support may be disclosed to <br/>
<a id="pl.288.8"></a><var>288.8</var>law enforcement officers who, in writing, provide the name of the recipient and notify the <br/>
<a id="pl.288.9"></a><var>288.9</var>agency that the recipient is a person required to register under section 
         <statute_ref>243.166</statute_ref>, but is not <br/>
<a id="pl.288.10"></a><var>288.10</var>residing at the address at which the recipient is registered under section 
         <statute_ref>243.166</statute_ref>;<br/>
<a id="pl.288.11"></a><var>288.11</var>    (20) certain information regarding child support obligors who are in arrears may be <br/>
<a id="pl.288.12"></a><var>288.12</var>made public according to section 
         <statute_ref>518A.74</statute_ref>;<br/>
<a id="pl.288.13"></a><var>288.13</var>    (21) data on child support payments made by a child support obligor and data on <br/>
<a id="pl.288.14"></a><var>288.14</var>the distribution of those payments excluding identifying information on obligees may be <br/>
<a id="pl.288.15"></a><var>288.15</var>disclosed to all obligees to whom the obligor owes support, and data on the enforcement <br/>
<a id="pl.288.16"></a><var>288.16</var>actions undertaken by the public authority, the status of those actions, and data on the <br/>
<a id="pl.288.17"></a><var>288.17</var>income of the obligor or obligee may be disclosed to the other party;<br/>
<a id="pl.288.18"></a><var>288.18</var>    (22) data in the work reporting system may be disclosed under section 
         <statute_ref>256.998, <br/>
<a id="pl.288.19"></a><var>288.19</var>subdivision 7
         </statute_ref>;<br/>
<a id="pl.288.20"></a><var>288.20</var>    (23) to the Department of Education for the purpose of matching Department of <br/>
<a id="pl.288.21"></a><var>288.21</var>Education student data with public assistance data to determine students eligible for free <br/>
<a id="pl.288.22"></a><var>288.22</var>and reduced-price meals, meal supplements, and free milk according to United States <br/>
<a id="pl.288.23"></a><var>288.23</var>Code, title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and <br/>
<a id="pl.288.24"></a><var>288.24</var>state funds that are distributed based on income of the student's family; and to verify <br/>
<a id="pl.288.25"></a><var>288.25</var>receipt of energy assistance for the telephone assistance plan;<br/>
<a id="pl.288.26"></a><var>288.26</var>    (24) the current address and telephone number of program recipients and emergency <br/>
<a id="pl.288.27"></a><var>288.27</var>contacts may be released to the commissioner of health or a local board of health as <br/>
<a id="pl.288.28"></a><var>288.28</var>defined in section 
         <statute_ref>145A.02, subdivision 2</statute_ref>, when the commissioner or local board of health <br/>
<a id="pl.288.29"></a><var>288.29</var>has reason to believe that a program recipient is a disease case, carrier, suspect case, or at <br/>
<a id="pl.288.30"></a><var>288.30</var>risk of illness, and the data are necessary to locate the person;<br/>
<a id="pl.288.31"></a><var>288.31</var>    (25) to other state agencies, statewide systems, and political subdivisions of this <br/>
<a id="pl.288.32"></a><var>288.32</var>state, including the attorney general, and agencies of other states, interstate information <br/>
<a id="pl.288.33"></a><var>288.33</var>networks, federal agencies, and other entities as required by federal regulation or law for <br/>
<a id="pl.288.34"></a><var>288.34</var>the administration of the child support enforcement program;<br/>
<a id="pl.289.1"></a><var>289.1</var>    (26) to personnel of public assistance programs as defined in section 
         <statute_ref>256.741</statute_ref>, for <br/>
<a id="pl.289.2"></a><var>289.2</var>access to the child support system database for the purpose of administration, including <br/>
<a id="pl.289.3"></a><var>289.3</var>monitoring and evaluation of those public assistance programs;<br/>
<a id="pl.289.4"></a><var>289.4</var>    (27) to monitor and evaluate the Minnesota family investment program by <br/>
<a id="pl.289.5"></a><var>289.5</var>exchanging data between the Departments of Human Services and Education, on <br/>
<a id="pl.289.6"></a><var>289.6</var>recipients and former recipients of food support, cash assistance under chapter 256, 256D, <br/>
<a id="pl.289.7"></a><var>289.7</var>256J, or 256K, child care assistance under chapter 119B, or medical programs under <br/>
<a id="pl.289.8"></a><var>289.8</var>chapter 256B, 256D, or 256L;<br/>
<a id="pl.289.9"></a><var>289.9</var>    (28) to evaluate child support program performance and to identify and prevent <br/>
<a id="pl.289.10"></a><var>289.10</var>fraud in the child support program by exchanging data between the Department of Human <br/>
<a id="pl.289.11"></a><var>289.11</var>Services, Department of Revenue under section 
         <statute_ref>270B.14, subdivision 1</statute_ref>, paragraphs (a) <br/>
<a id="pl.289.12"></a><var>289.12</var>and (b), without regard to the limitation of use in paragraph (c), Department of Health, <br/>
<a id="pl.289.13"></a><var>289.13</var>Department of Employment and Economic Development, and other state agencies as is <br/>
<a id="pl.289.14"></a><var>289.14</var>reasonably necessary to perform these functions;<br/>
<a id="pl.289.15"></a><var>289.15</var>    (29) counties operating child care assistance programs under chapter 119B may <br/>
<a id="pl.289.16"></a><var>289.16</var>disseminate data on program participants, applicants, and providers to the commissioner <br/>
<a id="pl.289.17"></a><var>289.17</var>of education; or<br/>
<a id="pl.289.18"></a><var>289.18</var>    (30) child support data on the parents and the child may be disclosed to agencies <br/>
<a id="pl.289.19"></a><var>289.19</var>administering programs under titles IV-B and IV-E of the Social Security Act, as provided <br/>
<a id="pl.289.20"></a><var>289.20</var>by federal law. Data may be disclosed only to the extent necessary for the purpose of <br/>
<a id="pl.289.21"></a><var>289.21</var>establishing parentage or for determining who has or may have parental rights with respect <br/>
<a id="pl.289.22"></a><var>289.22</var>to a child, which could be related to permanency planning.<br/>
<a id="pl.289.23"></a><var>289.23</var>    (b) Information on persons who have been treated for drug or alcohol abuse may <br/>
<a id="pl.289.24"></a><var>289.24</var>only be disclosed according to the requirements of Code of Federal Regulations, title <br/>
<a id="pl.289.25"></a><var>289.25</var>42, sections 2.1 to 2.67.<br/>
<a id="pl.289.26"></a><var>289.26</var>    (c) Data provided to law enforcement agencies under paragraph (a), clause (15), <br/>
<a id="pl.289.27"></a><var>289.27</var>(16), (17), or (18), or paragraph (b), are investigative data and are confidential or protected <br/>
<a id="pl.289.28"></a><var>289.28</var>nonpublic while the investigation is active. The data are private after the investigation <br/>
<a id="pl.289.29"></a><var>289.29</var>becomes inactive under section 
         <statute_ref>13.82, subdivision 5</statute_ref>, paragraph (a) or (b).<br/>
<a id="pl.289.30"></a><var>289.30</var>    (d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but is <br/>
<a id="pl.289.31"></a><var>289.31</var>not subject to the access provisions of subdivision 10, paragraph (b).<br/>
<a id="pl.289.32"></a><var>289.32</var>    For the purposes of this subdivision, a request will be deemed to be made in writing <br/>
<a id="pl.289.33"></a><var>289.33</var>if made through a computer interface system.<br/>
<br/>
<a id="bill.15.2.0"></a><a id="pl.289.34"></a><var>289.34</var>    Sec. 2. Minnesota Statutes 2010, section 13.46, subdivision 3, is amended to read:<br/>
<a id="pl.290.1"></a><var>290.1</var>    Subd. 3. <b>Investigative data.</b> (a) Data on persons, including data on vendors of <br/>
<a id="pl.290.2"></a><var>290.2</var>services, licensees, and applicants that is collected, maintained, used, or disseminated <br/>
<a id="pl.290.3"></a><var>290.3</var>by the welfare system in an investigation, authorized by statute, and relating to the <br/>
<a id="pl.290.4"></a><var>290.4</var>enforcement of rules or law is confidential data on individuals pursuant to section 
         <statute_ref>13.02, <br/>
<a id="pl.290.5"></a><var>290.5</var>subdivision 3
         </statute_ref>, or protected nonpublic data not on individuals pursuant to section 
         <statute_ref>13.02, <br/>
<a id="pl.290.6"></a><var>290.6</var>subdivision 13
         </statute_ref>, and shall not be disclosed except:<br/>
<a id="pl.290.7"></a><var>290.7</var>(1) pursuant to section 
         <statute_ref>13.05</statute_ref>;<br/>
<a id="pl.290.8"></a><var>290.8</var>(2) pursuant to statute or valid court order;<br/>
<a id="pl.290.9"></a><var>290.9</var>(3) to a party named in a civil or criminal proceeding, administrative or judicial, for <br/>
<a id="pl.290.10"></a><var>290.10</var>preparation of defense; or<br/>
<a id="pl.290.11"></a><var>290.11</var>(4) to provide notices required or permitted by statute.<br/>
<a id="pl.290.12"></a><var>290.12</var>The data referred to in this subdivision shall be classified as public data upon <br/>
<a id="pl.290.13"></a><var>290.13</var>its submission to an administrative law judge or court in an administrative or judicial <br/>
<a id="pl.290.14"></a><var>290.14</var>proceeding. Inactive welfare investigative data shall be treated as provided in section <br/>
<statute_ref><a id="pl.290.15"></a><var>290.15</var>13.39, subdivision 3
         </statute_ref>.<br/>
<a id="pl.290.16"></a><var>290.16</var>(b) Notwithstanding any other provision in law, the commissioner of human services <br/>
<a id="pl.290.17"></a><var>290.17</var>shall provide all active and inactive investigative data, including the name of the reporter <br/>
<a id="pl.290.18"></a><var>290.18</var>of alleged maltreatment under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref>, to the ombudsman for mental <br/>
<a id="pl.290.19"></a><var>290.19</var>health and developmental disabilities upon the request of the ombudsman.<br/>
<a id="pl.290.20"></a><var>290.20</var>    (c) Notwithstanding paragraph (a) and section 13.39, the existence and status of an <br/>
<a id="pl.290.21"></a><var>290.21</var>investigation by the commissioner of possible overpayments of public funds to a service <br/>
<a id="pl.290.22"></a><var>290.22</var>provider are public data during an investigation.<br/>
<br/>
<a id="bill.15.3.0"></a><a id="pl.290.23"></a><var>290.23</var>    Sec. 3. Minnesota Statutes 2010, section 13.46, subdivision 4, is amended to read:<br/>
<a id="pl.290.24"></a><var>290.24</var>    Subd. 4. <b>Licensing data.</b> (a) As used in this subdivision:<br/>
<a id="pl.290.25"></a><var>290.25</var>    (1) "licensing data" means all data collected, maintained, used, or disseminated by <br/>
<a id="pl.290.26"></a><var>290.26</var>the welfare system pertaining to persons licensed or registered or who apply for licensure <br/>
<a id="pl.290.27"></a><var>290.27</var>or registration or who formerly were licensed or registered under the authority of the <br/>
<a id="pl.290.28"></a><var>290.28</var>commissioner of human services;<br/>
<a id="pl.290.29"></a><var>290.29</var>    (2) "client" means a person who is receiving services from a licensee or from an <br/>
<a id="pl.290.30"></a><var>290.30</var>applicant for licensure; and<br/>
<a id="pl.290.31"></a><var>290.31</var>    (3) "personal and personal financial data" means Social Security numbers, identity <br/>
<a id="pl.290.32"></a><var>290.32</var>of and letters of reference, insurance information, reports from the Bureau of Criminal <br/>
<a id="pl.290.33"></a><var>290.33</var>Apprehension, health examination reports, and social/home studies.<br/>
<a id="pl.290.34"></a><var>290.34</var>    (b)(1)(i) Except as provided in paragraph (c), the following data on applicants, <br/>
<a id="pl.290.35"></a><var>290.35</var>license holders, and former licensees are public: name, address, telephone number of <br/>
<a id="pl.291.1"></a><var>291.1</var>licensees, date of receipt of a completed application, dates of licensure, licensed capacity, <br/>
<a id="pl.291.2"></a><var>291.2</var>type of client preferred, variances granted, record of training and education in child care <br/>
<a id="pl.291.3"></a><var>291.3</var>and child development, type of dwelling, name and relationship of other family members, <br/>
<a id="pl.291.4"></a><var>291.4</var>previous license history, class of license, the existence and status of complaints, and the <br/>
<a id="pl.291.5"></a><var>291.5</var>number of serious injuries to or deaths of individuals in the licensed program as reported <br/>
<a id="pl.291.6"></a><var>291.6</var>to the commissioner of human services, the local social services agency, or any other <br/>
<a id="pl.291.7"></a><var>291.7</var>county welfare agency. For purposes of this clause, a serious injury is one that is treated <br/>
<a id="pl.291.8"></a><var>291.8</var>by a physician. <br/>
<a id="pl.291.9"></a><var>291.9</var>(ii) When a correction order, an order to forfeit a fine, an order of license suspension, <br/>
<a id="pl.291.10"></a><var>291.10</var>an order of temporary immediate suspension, an order of license revocation, an order <br/>
<a id="pl.291.11"></a><var>291.11</var>of license denial, or an order of conditional license has been issued, or a complaint is <br/>
<a id="pl.291.12"></a><var>291.12</var>resolved, the following data on current and former licensees and applicants are public: the <br/>
<a id="pl.291.13"></a><var>291.13</var>substance and investigative findings of the licensing or maltreatment complaint, licensing <br/>
<a id="pl.291.14"></a><var>291.14</var>violation, or substantiated maltreatment; the record of informal resolution of a licensing <br/>
<a id="pl.291.15"></a><var>291.15</var>violation; orders of hearing; findings of fact; conclusions of law; specifications of the final <br/>
<a id="pl.291.16"></a><var>291.16</var>correction order, fine, suspension, temporary immediate suspension, revocation, denial, or <br/>
<a id="pl.291.17"></a><var>291.17</var>conditional license contained in the record of licensing action; whether a fine has been <br/>
<a id="pl.291.18"></a><var>291.18</var>paid; and the status of any appeal of these actions. If a licensing sanction under section <br/>
<a id="pl.291.19"></a><var>291.19</var><statute_ref>245A.07</statute_ref>, or a license denial under section 
<statute_ref>245A.05</statute_ref>, is based on a determination that the <br/>
<a id="pl.291.20"></a><var>291.20</var>license holder or applicant is responsible for maltreatment or is disqualified under chapter <br/>
<a id="pl.291.21"></a><var>291.21</var>245C, the identity of the license holder or applicant as the individual responsible for <br/>
<a id="pl.291.22"></a><var>291.22</var>maltreatment or as the disqualified individual is public data at the time of the issuance of <br/>
<a id="pl.291.23"></a><var>291.23</var>the licensing sanction or denial.<br/>
<a id="pl.291.24"></a><var>291.24</var>(iii) When a license denial under section 245A.05 or a sanction under section <br/>
<a id="pl.291.25"></a><var>291.25</var>245A.07 is based on a determination that the license holder or applicant is responsible for <br/>
<a id="pl.291.26"></a><var>291.26</var>maltreatment under section 626.556 or 626.557, the identity of the applicant or license <br/>
<a id="pl.291.27"></a><var>291.27</var>holder as the individual responsible for maltreatment is public data at the time of the <br/>
<a id="pl.291.28"></a><var>291.28</var>issuance of the license denial or sanction.<br/>
<a id="pl.291.29"></a><var>291.29</var>(iv) When a license denial under section 245A.05 or a sanction under section <br/>
<a id="pl.291.30"></a><var>291.30</var>245A.07 is based on a determination that the license holder or applicant is disqualified <br/>
<a id="pl.291.31"></a><var>291.31</var>under chapter 245C, the identity of the license holder or applicant as the disqualified <br/>
<a id="pl.291.32"></a><var>291.32</var>individual and the reason for the disqualification are public data at the time of the <br/>
<a id="pl.291.33"></a><var>291.33</var>issuance of the licensing sanction or denial. If the applicant or license holder requests <br/>
<a id="pl.291.34"></a><var>291.34</var>reconsideration of the disqualification and the disqualification is affirmed, the reason for <br/>
<a id="pl.291.35"></a><var>291.35</var>the disqualification and the reason to not set aside the disqualification are public data.<br/>
<a id="pl.292.1"></a><var>292.1</var>    (2) Notwithstanding sections 
         <statute_ref>626.556, subdivision 11</statute_ref>, and 
         <statute_ref>626.557, subdivision 12b</statute_ref>, <br/>
<a id="pl.292.2"></a><var>292.2</var>when any person subject to disqualification under section 
         <statute_ref>245C.14</statute_ref> in connection with a <br/>
<a id="pl.292.3"></a><var>292.3</var>license to provide family day care for children, child care center services, foster care <br/>
<a id="pl.292.4"></a><var>292.4</var>for children in the provider's home, or foster care or day care services for adults in the <br/>
<a id="pl.292.5"></a><var>292.5</var>provider's home is a substantiated perpetrator of maltreatment, and the substantiated <br/>
<a id="pl.292.6"></a><var>292.6</var>maltreatment is a reason for a licensing action, the identity of the substantiated perpetrator <br/>
<a id="pl.292.7"></a><var>292.7</var>of maltreatment is public data. For purposes of this clause, a person is a substantiated <br/>
<a id="pl.292.8"></a><var>292.8</var>perpetrator if the maltreatment determination has been upheld under section 
         <statute_ref>256.045</statute_ref>; <br/>
<statute_ref><a id="pl.292.9"></a><var>292.9</var>626.556, subdivision 10i
         </statute_ref>; 
         <statute_ref>626.557, subdivision 9d</statute_ref>; or chapter 14, or if an individual or <br/>
<a id="pl.292.10"></a><var>292.10</var>facility has not timely exercised appeal rights under these sections, except as provided <br/>
<a id="pl.292.11"></a><var>292.11</var>under clause (1).<br/>
<a id="pl.292.12"></a><var>292.12</var>    (3) For applicants who withdraw their application prior to licensure or denial of a <br/>
<a id="pl.292.13"></a><var>292.13</var>license, the following data are public: the name of the applicant, the city and county in <br/>
<a id="pl.292.14"></a><var>292.14</var>which the applicant was seeking licensure, the dates of the commissioner's receipt of the <br/>
<a id="pl.292.15"></a><var>292.15</var>initial application and completed application, the type of license sought, and the date <br/>
<a id="pl.292.16"></a><var>292.16</var>of withdrawal of the application.<br/>
<a id="pl.292.17"></a><var>292.17</var>    (4) For applicants who are denied a license, the following data are public: the name <br/>
<a id="pl.292.18"></a><var>292.18</var>and address of the applicant, the city and county in which the applicant was seeking <br/>
<a id="pl.292.19"></a><var>292.19</var>licensure, the dates of the commissioner's receipt of the initial application and completed <br/>
<a id="pl.292.20"></a><var>292.20</var>application, the type of license sought, the date of denial of the application, the nature of <br/>
<a id="pl.292.21"></a><var>292.21</var>the basis for the denial, the record of informal resolution of a denial, orders of hearings, <br/>
<a id="pl.292.22"></a><var>292.22</var>findings of fact, conclusions of law, specifications of the final order of denial, and the <br/>
<a id="pl.292.23"></a><var>292.23</var>status of any appeal of the denial.<br/>
<a id="pl.292.24"></a><var>292.24</var>    (5) The following data on persons subject to disqualification under section 
         <statute_ref>245C.14 <br/>
</statute_ref><a id="pl.292.25"></a><var>292.25</var>in connection with a license to provide family day care for children, child care center <br/>
<a id="pl.292.26"></a><var>292.26</var>services, foster care for children in the provider's home, or foster care or day care <br/>
<a id="pl.292.27"></a><var>292.27</var>services for adults in the provider's home, are public: the nature of any disqualification <br/>
<a id="pl.292.28"></a><var>292.28</var>set aside under section 
         <statute_ref>245C.22</statute_ref>, subdivisions 2 and 4, and the reasons for setting aside <br/>
<a id="pl.292.29"></a><var>292.29</var>the disqualification; the nature of any disqualification for which a variance was granted <br/>
<a id="pl.292.30"></a><var>292.30</var>under sections 
         <statute_ref>245A.04, subdivision 9</statute_ref>; and 
         <statute_ref>245C.30</statute_ref>, and the reasons for granting any <br/>
<a id="pl.292.31"></a><var>292.31</var>variance under section 
         <statute_ref>245A.04, subdivision 9</statute_ref>; and, if applicable, the disclosure that <br/>
<a id="pl.292.32"></a><var>292.32</var>any person subject to a background study under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, has <br/>
<a id="pl.292.33"></a><var>292.33</var>successfully passed a background study. If a licensing sanction under section 
         <statute_ref>245A.07</statute_ref>, <br/>
<a id="pl.292.34"></a><var>292.34</var>or a license denial under section 
         <statute_ref>245A.05</statute_ref>, is based on a determination that an individual <br/>
<a id="pl.292.35"></a><var>292.35</var>subject to disqualification under chapter 245C is disqualified, the disqualification as a <br/>
<a id="pl.292.36"></a><var>292.36</var>basis for the licensing sanction or denial is public data. As specified in clause (1), item <br/>
<a id="pl.293.1"></a><var>293.1</var>(iv), if the disqualified individual is the license holder or applicant, the identity of the <br/>
<a id="pl.293.2"></a><var>293.2</var>license holder or applicant is and the reason for the disqualification are public data; and, if <br/>
<a id="pl.293.3"></a><var>293.3</var>the license holder or applicant requested reconsideration of the disqualification and the <br/>
<a id="pl.293.4"></a><var>293.4</var>disqualification is affirmed, the reason for the disqualification and the reason to not set <br/>
<a id="pl.293.5"></a><var>293.5</var>aside the disqualification are public data. If the disqualified individual is an individual <br/>
<a id="pl.293.6"></a><var>293.6</var>other than the license holder or applicant, the identity of the disqualified individual shall <br/>
<a id="pl.293.7"></a><var>293.7</var>remain private data.<br/>
<a id="pl.293.8"></a><var>293.8</var>    (6) When maltreatment is substantiated under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref> and the <br/>
<a id="pl.293.9"></a><var>293.9</var>victim and the substantiated perpetrator are affiliated with a program licensed under <br/>
<a id="pl.293.10"></a><var>293.10</var>chapter 245A, the commissioner of human services, local social services agency, or <br/>
<a id="pl.293.11"></a><var>293.11</var>county welfare agency may inform the license holder where the maltreatment occurred of <br/>
<a id="pl.293.12"></a><var>293.12</var>the identity of the substantiated perpetrator and the victim.<br/>
<a id="pl.293.13"></a><var>293.13</var>    (7) Notwithstanding clause (1), for child foster care, only the name of the license <br/>
<a id="pl.293.14"></a><var>293.14</var>holder and the status of the license are public if the county attorney has requested that data <br/>
<a id="pl.293.15"></a><var>293.15</var>otherwise classified as public data under clause (1) be considered private data based on the <br/>
<a id="pl.293.16"></a><var>293.16</var>best interests of a child in placement in a licensed program.<br/>
<a id="pl.293.17"></a><var>293.17</var>    (c) The following are private data on individuals under section 
         <statute_ref>13.02, subdivision <br/>
<a id="pl.293.18"></a><var>293.18</var>12
         </statute_ref>, or nonpublic data under section 
         <statute_ref>13.02, subdivision 9</statute_ref>: personal and personal financial <br/>
<a id="pl.293.19"></a><var>293.19</var>data on family day care program and family foster care program applicants and licensees <br/>
<a id="pl.293.20"></a><var>293.20</var>and their family members who provide services under the license.<br/>
<a id="pl.293.21"></a><var>293.21</var>    (d) The following are private data on individuals: the identity of persons who have <br/>
<a id="pl.293.22"></a><var>293.22</var>made reports concerning licensees or applicants that appear in inactive investigative data, <br/>
<a id="pl.293.23"></a><var>293.23</var>and the records of clients or employees of the licensee or applicant for licensure whose <br/>
<a id="pl.293.24"></a><var>293.24</var>records are received by the licensing agency for purposes of review or in anticipation of a <br/>
<a id="pl.293.25"></a><var>293.25</var>contested matter. The names of reporters of complaints or alleged violations of licensing <br/>
<a id="pl.293.26"></a><var>293.26</var>standards under chapters 245A, 245B, 245C, and applicable rules and alleged maltreatment <br/>
<a id="pl.293.27"></a><var>293.27</var>under sections 
         <statute_ref>626.556</statute_ref> and 
         <statute_ref>626.557</statute_ref>, are confidential data and may be disclosed only as <br/>
<a id="pl.293.28"></a><var>293.28</var>provided in section 
         <statute_ref>626.556, subdivision 11</statute_ref>, or 
         <statute_ref>626.557, subdivision 12b</statute_ref>.<br/>
<a id="pl.293.29"></a><var>293.29</var>    (e) Data classified as private, confidential, nonpublic, or protected nonpublic under <br/>
<a id="pl.293.30"></a><var>293.30</var>this subdivision become public data if submitted to a court or administrative law judge as <br/>
<a id="pl.293.31"></a><var>293.31</var>part of a disciplinary proceeding in which there is a public hearing concerning a license <br/>
<a id="pl.293.32"></a><var>293.32</var>which has been suspended, immediately suspended, revoked, or denied.<br/>
<a id="pl.293.33"></a><var>293.33</var>    (f) Data generated in the course of licensing investigations that relate to an alleged <br/>
<a id="pl.293.34"></a><var>293.34</var>violation of law are investigative data under subdivision 3.<br/>
<a id="pl.293.35"></a><var>293.35</var>    (g) Data that are not public data collected, maintained, used, or disseminated under <br/>
<a id="pl.293.36"></a><var>293.36</var>this subdivision that relate to or are derived from a report as defined in section 
         <statute_ref>626.556, <br/>
<a id="pl.294.1"></a><var>294.1</var>subdivision 2
         </statute_ref>, or 
         <statute_ref>626.5572, subdivision 18</statute_ref>, are subject to the destruction provisions of <br/>
<a id="pl.294.2"></a><var>294.2</var>sections 
         <statute_ref>626.556, subdivision 11c</statute_ref>, and 
         <statute_ref>626.557, subdivision 12b</statute_ref>.<br/>
<a id="pl.294.3"></a><var>294.3</var>    (h) Upon request, not public data collected, maintained, used, or disseminated under <br/>
<a id="pl.294.4"></a><var>294.4</var>this subdivision that relate to or are derived from a report of substantiated maltreatment as <br/>
<a id="pl.294.5"></a><var>294.5</var>defined in section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref> may be exchanged with the Department of Health <br/>
<a id="pl.294.6"></a><var>294.6</var>for purposes of completing background studies pursuant to section 
         <statute_ref>144.057</statute_ref> and with <br/>
<a id="pl.294.7"></a><var>294.7</var>the Department of Corrections for purposes of completing background studies pursuant <br/>
<a id="pl.294.8"></a><var>294.8</var>to section 
         <statute_ref>241.021</statute_ref>.<br/>
<a id="pl.294.9"></a><var>294.9</var>    (i) Data on individuals collected according to licensing activities under chapters <br/>
<a id="pl.294.10"></a><var>294.10</var>245A and 245C, and data on individuals collected by the commissioner of human <br/>
<a id="pl.294.11"></a><var>294.11</var>services according to maltreatment investigations under chapters 245A and 245C, and <br/>
<a id="pl.294.12"></a><var>294.12</var>sections 
         <statute_ref>626.556</statute_ref> and 
         <statute_ref>626.557</statute_ref>, may be shared with the Department of Human Rights, the <br/>
<a id="pl.294.13"></a><var>294.13</var>Department of Health, the Department of Corrections, the ombudsman for mental health <br/>
<a id="pl.294.14"></a><var>294.14</var>and developmental disabilities, and the individual's professional regulatory board when <br/>
<a id="pl.294.15"></a><var>294.15</var>there is reason to believe that laws or standards under the jurisdiction of those agencies <br/>
<a id="pl.294.16"></a><var>294.16</var>may have been violated. or the information may otherwise be relevant to the board's <br/>
<a id="pl.294.17"></a><var>294.17</var>regulatory jurisdiction. Background study data on an individual who is the subject of a <br/>
<a id="pl.294.18"></a><var>294.18</var>background study under chapter 245C for a licensed service for which the commissioner <br/>
<a id="pl.294.19"></a><var>294.19</var>of human services is the license holder may be shared with the commissioner and the <br/>
<a id="pl.294.20"></a><var>294.20</var>commissioner's delegate by the licensing division. Unless otherwise specified in this <br/>
<a id="pl.294.21"></a><var>294.21</var>chapter, the identity of a reporter of alleged maltreatment or licensing violations may not <br/>
<a id="pl.294.22"></a><var>294.22</var>be disclosed.<br/>
<a id="pl.294.23"></a><var>294.23</var>    (j) In addition to the notice of determinations required under section 
         <statute_ref>626.556, <br/>
<a id="pl.294.24"></a><var>294.24</var>subdivision 10f
         </statute_ref>, if the commissioner or the local social services agency has determined <br/>
<a id="pl.294.25"></a><var>294.25</var>that an individual is a substantiated perpetrator of maltreatment of a child based on sexual <br/>
<a id="pl.294.26"></a><var>294.26</var>abuse, as defined in section 
         <statute_ref>626.556, subdivision 2</statute_ref>, and the commissioner or local social <br/>
<a id="pl.294.27"></a><var>294.27</var>services agency knows that the individual is a person responsible for a child's care in <br/>
<a id="pl.294.28"></a><var>294.28</var>another facility, the commissioner or local social services agency shall notify the head <br/>
<a id="pl.294.29"></a><var>294.29</var>of that facility of this determination. The notification must include an explanation of the <br/>
<a id="pl.294.30"></a><var>294.30</var>individual's available appeal rights and the status of any appeal. If a notice is given under <br/>
<a id="pl.294.31"></a><var>294.31</var>this paragraph, the government entity making the notification shall provide a copy of the <br/>
<a id="pl.294.32"></a><var>294.32</var>notice to the individual who is the subject of the notice.<br/>
<a id="pl.294.33"></a><var>294.33</var>    (k) All not public data collected, maintained, used, or disseminated under this <br/>
<a id="pl.294.34"></a><var>294.34</var>subdivision and subdivision 3 may be exchanged between the Department of Human <br/>
<a id="pl.294.35"></a><var>294.35</var>Services, Licensing Division, and the Department of Corrections for purposes of <br/>
<a id="pl.295.1"></a><var>295.1</var>regulating services for which the Department of Human Services and the Department <br/>
<a id="pl.295.2"></a><var>295.2</var>of Corrections have regulatory authority.<br/>
<br/>
<a id="bill.15.4.0"></a><a id="pl.295.3"></a><var>295.3</var>    Sec. 4. Minnesota Statutes 2010, section 13.82, subdivision 1, is amended to read:<br/>
<a id="pl.295.4"></a><var>295.4</var>    Subdivision 1. <b>Application.</b> This section shall apply to agencies which carry on <br/>
<a id="pl.295.5"></a><var>295.5</var>a law enforcement function, including but not limited to municipal police departments, <br/>
<a id="pl.295.6"></a><var>295.6</var>county sheriff departments, fire departments, the Bureau of Criminal Apprehension, <br/>
<a id="pl.295.7"></a><var>295.7</var>the Minnesota State Patrol, the Board of Peace Officer Standards and Training, the <br/>
<a id="pl.295.8"></a><var>295.8</var>Department of Commerce, and the program integrity section of, and county human service <br/>
<a id="pl.295.9"></a><var>295.9</var>agency client and provider fraud investigation, prevention, and control units operated or <br/>
<a id="pl.295.10"></a><var>295.10</var>supervised by the Department of Human Services.<br/>
<br/>
<a id="bill.16.0.0"></a>

<a id="bill.16.1.0"></a><a id="pl.295.13"></a><var>295.13</var>    Section 1. Minnesota Statutes 2010, section 245A.03, is amended by adding a <br/>
<a id="pl.295.14"></a><var>295.14</var>subdivision to read:<br/>
<a id="pl.295.15"></a><var>295.15</var>    Subd. 2c. <b>School-age child care licensing moratorium.</b> A school-age program <br/>
<a id="pl.295.16"></a><var>295.16</var>whose sole purpose is to provide only services to school-age children during out-of-school <br/>
<a id="pl.295.17"></a><var>295.17</var>times is exempt from the human services licensing requirements in this chapter until July <br/>
<a id="pl.295.18"></a><var>295.18</var>1, 2014. Nothing in this section prohibits an already licensed school-age-only program <br/>
<a id="pl.295.19"></a><var>295.19</var>from continuing its license or a school-age program from seeking licensure.<br/>
<br/>
<a id="bill.16.2.0"></a><a id="pl.295.20"></a><var>295.20</var>    Sec. 2. Minnesota Statutes 2010, section 245A.04, subdivision 1, is amended to read:<br/>
<a id="pl.295.21"></a><var>295.21</var>    Subdivision 1. <b>Application for licensure.</b> (a) An individual, corporation, <br/>
<a id="pl.295.22"></a><var>295.22</var>partnership, voluntary association, other organization or controlling individual that is <br/>
<a id="pl.295.23"></a><var>295.23</var>subject to licensure under section 
         <statute_ref>245A.03</statute_ref> must apply for a license. The application <br/>
<a id="pl.295.24"></a><var>295.24</var>must be made on the forms and in the manner prescribed by the commissioner. The <br/>
<a id="pl.295.25"></a><var>295.25</var>commissioner shall provide the applicant with instruction in completing the application <br/>
<a id="pl.295.26"></a><var>295.26</var>and provide information about the rules and requirements of other state agencies that affect <br/>
<a id="pl.295.27"></a><var>295.27</var>the applicant. An applicant seeking licensure in Minnesota with headquarters outside of <br/>
<a id="pl.295.28"></a><var>295.28</var>Minnesota must have a program office located within the state.<br/>
<a id="pl.295.29"></a><var>295.29</var>The commissioner shall act on the application within 90 working days after a <br/>
<a id="pl.295.30"></a><var>295.30</var>complete application and any required reports have been received from other state <br/>
<a id="pl.295.31"></a><var>295.31</var>agencies or departments, counties, municipalities, or other political subdivisions. The <br/>
<a id="pl.295.32"></a><var>295.32</var>commissioner shall not consider an application to be complete until the commissioner <br/>
<a id="pl.295.33"></a><var>295.33</var>receives all of the information required under section 
         <statute_ref>245C.05</statute_ref>.<br/>
<a id="pl.296.1"></a><var>296.1</var>When the commissioner receives an application for initial licensure that is incomplete <br/>
<a id="pl.296.2"></a><var>296.2</var>because the applicant failed to submit required documents or that is substantially <br/>
<a id="pl.296.3"></a><var>296.3</var>deficient because the documents submitted do not meet licensing requirements, the <br/>
<a id="pl.296.4"></a><var>296.4</var>commissioner shall provide the applicant written notice that the application is incomplete <br/>
<a id="pl.296.5"></a><var>296.5</var>or substantially deficient. In the written notice to the applicant the commissioner shall <br/>
<a id="pl.296.6"></a><var>296.6</var>identify documents that are missing or deficient and give the applicant 45 days to resubmit <br/>
<a id="pl.296.7"></a><var>296.7</var>a second application that is substantially complete. An applicant's failure to submit a <br/>
<a id="pl.296.8"></a><var>296.8</var>substantially complete application after receiving notice from the commissioner is a basis <br/>
<a id="pl.296.9"></a><var>296.9</var>for license denial under section 245A.05.<br/>
<a id="pl.296.10"></a><var>296.10</var>(b) An application for licensure must specify one or more identify all controlling <br/>
<a id="pl.296.11"></a><var>296.11</var>individuals as and must specify an agent who is responsible for dealing with the <br/>
<a id="pl.296.12"></a><var>296.12</var>commissioner of human services on all matters provided for in this chapter and on whom <br/>
<a id="pl.296.13"></a><var>296.13</var>service of all notices and orders must be made. The agent must be authorized to accept <br/>
<a id="pl.296.14"></a><var>296.14</var>service on behalf of all of the controlling individuals of the program. Service on the agent <br/>
<a id="pl.296.15"></a><var>296.15</var>is service on all of the controlling individuals of the program. It is not a defense to any <br/>
<a id="pl.296.16"></a><var>296.16</var>action arising under this chapter that service was not made on each controlling individual <br/>
<a id="pl.296.17"></a><var>296.17</var>of the program. The designation of one or more controlling individuals as agents under <br/>
<a id="pl.296.18"></a><var>296.18</var>this paragraph does not affect the legal responsibility of any other controlling individual <br/>
<a id="pl.296.19"></a><var>296.19</var>under this chapter.<br/>
<a id="pl.296.20"></a><var>296.20</var>(c) An applicant or license holder must have a policy that prohibits license holders, <br/>
<a id="pl.296.21"></a><var>296.21</var>employees, subcontractors, and volunteers, when directly responsible for persons served <br/>
<a id="pl.296.22"></a><var>296.22</var>by the program, from abusing prescription medication or being in any manner under <br/>
<a id="pl.296.23"></a><var>296.23</var>the influence of a chemical that impairs the individual's ability to provide services or <br/>
<a id="pl.296.24"></a><var>296.24</var>care. The license holder must train employees, subcontractors, and volunteers about the <br/>
<a id="pl.296.25"></a><var>296.25</var>program's drug and alcohol policy.<br/>
<a id="pl.296.26"></a><var>296.26</var>(d) An applicant and license holder must have a program grievance procedure that <br/>
<a id="pl.296.27"></a><var>296.27</var>permits persons served by the program and their authorized representatives to bring a <br/>
<a id="pl.296.28"></a><var>296.28</var>grievance to the highest level of authority in the program.<br/>
<a id="pl.296.29"></a><var>296.29</var>(e) The applicant must be able to demonstrate competent knowledge of the <br/>
<a id="pl.296.30"></a><var>296.30</var>applicable requirements of this chapter and chapter 245C, and the requirements of <br/>
<a id="pl.296.31"></a><var>296.31</var>other licensing statutes and rules applicable to the program or services for which the <br/>
<a id="pl.296.32"></a><var>296.32</var>applicant is seeking to be licensed. Effective January 1, 2013, the commissioner may <br/>
<a id="pl.296.33"></a><var>296.33</var>require the applicant, except for child foster care, to demonstrate competence in the <br/>
<a id="pl.296.34"></a><var>296.34</var>applicable licensing requirements by successfully completing a written examination. The <br/>
<a id="pl.296.35"></a><var>296.35</var>commissioner may develop a prescribed written examination format.<br/>
<a id="pl.297.1"></a><var>297.1</var>(f) When an applicant is an individual, the individual must provide the applicant's <br/>
<a id="pl.297.2"></a><var>297.2</var>Social Security number and a photocopy of a Minnesota driver's license, Minnesota <br/>
<a id="pl.297.3"></a><var>297.3</var>identification card, or valid United States passport.<br/>
<a id="pl.297.4"></a><var>297.4</var>(g) When an applicant is a nonindividual, the applicant must provide the applicant's <br/>
<a id="pl.297.5"></a><var>297.5</var>Minnesota tax identification number, the name, and address, and the date that the <br/>
<a id="pl.297.6"></a><var>297.6</var>background study was initiated by the applicant for each controlling individual, and:<br/>
<a id="pl.297.7"></a><var>297.7</var>(1) if the agent authorized to accept service on behalf of all the controlling <br/>
<a id="pl.297.8"></a><var>297.8</var>individuals resides in Minnesota, the agent must provide a photocopy of the agent's <br/>
<a id="pl.297.9"></a><var>297.9</var>Minnesota driver's license, Minnesota identification card, or United States passport; or<br/>
<a id="pl.297.10"></a><var>297.10</var>(2) if the agent authorized to accept service on behalf of all the controlling <br/>
<a id="pl.297.11"></a><var>297.11</var>individuals resides outside Minnesota, the agent must provide a photocopy of the agent's <br/>
<a id="pl.297.12"></a><var>297.12</var>driver's license or identification card from the state where the agent resides or a photocopy <br/>
<a id="pl.297.13"></a><var>297.13</var>of the agent's United States passport.<br/>
<br/>
<a id="bill.16.3.0"></a><a id="pl.297.14"></a><var>297.14</var>    Sec. 3. Minnesota Statutes 2010, section 245A.04, subdivision 7, is amended to read:<br/>
<a id="pl.297.15"></a><var>297.15</var>    Subd. 7. <b>Grant of license; license extension.</b> (a) If the commissioner determines <br/>
<a id="pl.297.16"></a><var>297.16</var>that the program complies with all applicable rules and laws, the commissioner shall issue <br/>
<a id="pl.297.17"></a><var>297.17</var>a license. At minimum, the license shall state:<br/>
<a id="pl.297.18"></a><var>297.18</var>(1) the name of the license holder;<br/>
<a id="pl.297.19"></a><var>297.19</var>(2) the address of the program;<br/>
<a id="pl.297.20"></a><var>297.20</var>(3) the effective date and expiration date of the license;<br/>
<a id="pl.297.21"></a><var>297.21</var>(4) the type of license;<br/>
<a id="pl.297.22"></a><var>297.22</var>(5) the maximum number and ages of persons that may receive services from the <br/>
<a id="pl.297.23"></a><var>297.23</var>program; and<br/>
<a id="pl.297.24"></a><var>297.24</var>(6) any special conditions of licensure.<br/>
<a id="pl.297.25"></a><var>297.25</var>(b) The commissioner may issue an initial license for a period not to exceed two <br/>
<a id="pl.297.26"></a><var>297.26</var>years if:<br/>
<a id="pl.297.27"></a><var>297.27</var>(1) the commissioner is unable to conduct the evaluation or observation required <br/>
<a id="pl.297.28"></a><var>297.28</var>by subdivision 4, paragraph (a), clauses (3) and (4), because the program is not yet <br/>
<a id="pl.297.29"></a><var>297.29</var>operational;<br/>
<a id="pl.297.30"></a><var>297.30</var>(2) certain records and documents are not available because persons are not yet <br/>
<a id="pl.297.31"></a><var>297.31</var>receiving services from the program; and<br/>
<a id="pl.297.32"></a><var>297.32</var>(3) the applicant complies with applicable laws and rules in all other respects.<br/>
<a id="pl.297.33"></a><var>297.33</var>(c) A decision by the commissioner to issue a license does not guarantee that any <br/>
<a id="pl.297.34"></a><var>297.34</var>person or persons will be placed or cared for in the licensed program. A license shall not <br/>
<a id="pl.298.1"></a><var>298.1</var>be transferable to another individual, corporation, partnership, voluntary association, other <br/>
<a id="pl.298.2"></a><var>298.2</var>organization, or controlling individual or to another location.<br/>
<a id="pl.298.3"></a><var>298.3</var>(d) A license holder must notify the commissioner and obtain the commissioner's <br/>
<a id="pl.298.4"></a><var>298.4</var>approval before making any changes that would alter the license information listed under <br/>
<a id="pl.298.5"></a><var>298.5</var>paragraph (a).<br/>
<a id="pl.298.6"></a><var>298.6</var>(e) Except as provided in paragraphs (g) and (h), the commissioner shall not issue or <br/>
<a id="pl.298.7"></a><var>298.7</var>reissue a license if the applicant, license holder, or controlling individual has:<br/>
<a id="pl.298.8"></a><var>298.8</var>(1) been disqualified and the disqualification was not set aside and no variance has <br/>
<a id="pl.298.9"></a><var>298.9</var>been granted;<br/>
<a id="pl.298.10"></a><var>298.10</var>(2) has been denied a license within the past two years;<br/>
<a id="pl.298.11"></a><var>298.11</var>(3) had a license revoked within the past five years; or<br/>
<a id="pl.298.12"></a><var>298.12</var>(4) has an outstanding debt related to a license fee, licensing fine, or settlement <br/>
<a id="pl.298.13"></a><var>298.13</var>agreement for which payment is delinquent.; or<br/>
<a id="pl.298.14"></a><var>298.14</var>(5) failed to submit the information required of an applicant under section 245A.04, <br/>
<a id="pl.298.15"></a><var>298.15</var>subdivision 1, paragraph (f) or (g), after being requested by the commissioner.<br/>
<a id="pl.298.16"></a><var>298.16</var>When a license is revoked under clause (1) or (3), the license holder and controlling <br/>
<a id="pl.298.17"></a><var>298.17</var>individual may not hold any license under chapter 245A or 245B for five years following <br/>
<a id="pl.298.18"></a><var>298.18</var>the revocation, and other licenses held by the applicant, license holder, or controlling <br/>
<a id="pl.298.19"></a><var>298.19</var>individual shall also be revoked.<br/>
<a id="pl.298.20"></a><var>298.20</var>(f) The commissioner shall not issue or reissue a license if an individual living in <br/>
<a id="pl.298.21"></a><var>298.21</var>the household where the licensed services will be provided as specified under section <br/>
<statute_ref><a id="pl.298.22"></a><var>298.22</var>245C.03, subdivision 1
         </statute_ref>, has been disqualified and the disqualification has not been set <br/>
<a id="pl.298.23"></a><var>298.23</var>aside and no variance has been granted.<br/>
<a id="pl.298.24"></a><var>298.24</var>(g) Pursuant to section 
         <statute_ref>245A.07, subdivision 1</statute_ref>, paragraph (b), when a license has <br/>
<a id="pl.298.25"></a><var>298.25</var>been suspended or revoked and the suspension or revocation is under appeal, the program <br/>
<a id="pl.298.26"></a><var>298.26</var>may continue to operate pending a final order from the commissioner. If the license under <br/>
<a id="pl.298.27"></a><var>298.27</var>suspension or revocation will expire before a final order is issued, a temporary provisional <br/>
<a id="pl.298.28"></a><var>298.28</var>license may be issued provided any applicable license fee is paid before the temporary <br/>
<a id="pl.298.29"></a><var>298.29</var>provisional license is issued.<br/>
<a id="pl.298.30"></a><var>298.30</var>(h) Notwithstanding paragraph (g), when a revocation is based on the disqualification <br/>
<a id="pl.298.31"></a><var>298.31</var>of a controlling individual or license holder, and the controlling individual or license holder <br/>
<a id="pl.298.32"></a><var>298.32</var>is ordered under section 
         <statute_ref>245C.17</statute_ref> to be immediately removed from direct contact with <br/>
<a id="pl.298.33"></a><var>298.33</var>persons receiving services or is ordered to be under continuous, direct supervision when <br/>
<a id="pl.298.34"></a><var>298.34</var>providing direct contact services, the program may continue to operate only if the program <br/>
<a id="pl.298.35"></a><var>298.35</var>complies with the order and submits documentation demonstrating compliance with the <br/>
<a id="pl.298.36"></a><var>298.36</var>order. If the disqualified individual fails to submit a timely request for reconsideration, or <br/>
<a id="pl.299.1"></a><var>299.1</var>if the disqualification is not set aside and no variance is granted, the order to immediately <br/>
<a id="pl.299.2"></a><var>299.2</var>remove the individual from direct contact or to be under continuous, direct supervision <br/>
<a id="pl.299.3"></a><var>299.3</var>remains in effect pending the outcome of a hearing and final order from the commissioner.<br/>
<a id="pl.299.4"></a><var>299.4</var>(i) For purposes of reimbursement for meals only, under the Child and Adult Care <br/>
<a id="pl.299.5"></a><var>299.5</var>Food Program, Code of Federal Regulations, title 7, subtitle B, chapter II, subchapter A, <br/>
<a id="pl.299.6"></a><var>299.6</var>part 226, relocation within the same county by a licensed family day care provider, shall <br/>
<a id="pl.299.7"></a><var>299.7</var>be considered an extension of the license for a period of no more than 30 calendar days or <br/>
<a id="pl.299.8"></a><var>299.8</var>until the new license is issued, whichever occurs first, provided the county agency has <br/>
<a id="pl.299.9"></a><var>299.9</var>determined the family day care provider meets licensure requirements at the new location.<br/>
<a id="pl.299.10"></a><var>299.10</var>(j) Unless otherwise specified by statute, all licenses expire at 12:01 a.m. on the <br/>
<a id="pl.299.11"></a><var>299.11</var>day after the expiration date stated on the license. A license holder must apply for and <br/>
<a id="pl.299.12"></a><var>299.12</var>be granted a new license to operate the program or the program must not be operated <br/>
<a id="pl.299.13"></a><var>299.13</var>after the expiration date.<br/>
<a id="pl.299.14"></a><var>299.14</var>(k) The commissioner shall not issue or reissue a license if it has been determined that <br/>
<a id="pl.299.15"></a><var>299.15</var>a tribal licensing authority has established jurisdiction to license the program or service.<br/>
<br/>
<a id="bill.16.4.0"></a><a id="pl.299.16"></a><var>299.16</var>    Sec. 4. Minnesota Statutes 2010, section 245A.04, subdivision 11, is amended to read:<br/>
<a id="pl.299.17"></a><var>299.17</var>    Subd. 11. <b>Education program; permitted ages, additional requirement.</b> (a) The <br/>
<a id="pl.299.18"></a><var>299.18</var>education program offered in a residential or nonresidential program, except for child care, <br/>
<a id="pl.299.19"></a><var>299.19</var>foster care, or services for adults, must be approved by the commissioner of education <br/>
<a id="pl.299.20"></a><var>299.20</var>before the commissioner of human services may grant a license to the program. Except for <br/>
<a id="pl.299.21"></a><var>299.21</var>foster care, the commissioner of human services may not grant a license to a residential <br/>
<a id="pl.299.22"></a><var>299.22</var>facility for the placement of children before the commissioner has received documentation <br/>
<a id="pl.299.23"></a><var>299.23</var>of approval of the educational program from the commissioner of education according to <br/>
<a id="pl.299.24"></a><var>299.24</var>section 125A.515.<br/>
<a id="pl.299.25"></a><var>299.25</var>    (b) A residential program licensed by the commissioner of human services under <br/>
<a id="pl.299.26"></a><var>299.26</var>Minnesota Rules, parts 2960.0010 to 2960.0710, may serve persons through the age of <br/>
<a id="pl.299.27"></a><var>299.27</var>19 when:<br/>
<a id="pl.299.28"></a><var>299.28</var>    (1) the admission or continued stay is necessary for a person to complete a secondary <br/>
<a id="pl.299.29"></a><var>299.29</var>school program or its equivalent, or it is necessary to facilitate a transition period after <br/>
<a id="pl.299.30"></a><var>299.30</var>completing the secondary school program or its equivalent for up to four months in order <br/>
<a id="pl.299.31"></a><var>299.31</var>for the resident to obtain other living arrangements;<br/>
<a id="pl.299.32"></a><var>299.32</var>    (2) the facility develops policies, procedures, and plans required under section <br/>
<a id="pl.299.33"></a><var>299.33</var><statute_ref>245A.65</statute_ref>;<br/>
<a id="pl.300.1"></a><var>300.1</var>    (3) the facility documents an assessment of the 18- or 19-year-old person's risk <br/>
<a id="pl.300.2"></a><var>300.2</var>of victimizing children residing in the facility, and develops necessary risk reduction <br/>
<a id="pl.300.3"></a><var>300.3</var>measures, including sleeping arrangements, to minimize any risk of harm to children; and<br/>
<a id="pl.300.4"></a><var>300.4</var>    (4) notwithstanding the license holder's target population age range, whenever <br/>
<a id="pl.300.5"></a><var>300.5</var>persons age 18 or 19 years old are receiving residential services, the age difference among <br/>
<a id="pl.300.6"></a><var>300.6</var>residents may not exceed five years.<br/>
<a id="pl.300.7"></a><var>300.7</var>    (c) (b) A child foster care program licensed by the commissioner under Minnesota <br/>
<a id="pl.300.8"></a><var>300.8</var>Rules, chapter 2960, may serve persons who are over the age of 18 but under the age <br/>
<a id="pl.300.9"></a><var>300.9</var>of 21 when the person is:<br/>
<a id="pl.300.10"></a><var>300.10</var>(1) completing secondary education or a program leading to an equivalent credential;<br/>
<a id="pl.300.11"></a><var>300.11</var>(2) enrolled in an institution which provides postsecondary or vocational education;<br/>
<a id="pl.300.12"></a><var>300.12</var>(3) participating in a program or activity designed to promote, or remove barriers to, <br/>
<a id="pl.300.13"></a><var>300.13</var>employment;<br/>
<a id="pl.300.14"></a><var>300.14</var>(4) employed for at least 80 hours per month; or<br/>
<a id="pl.300.15"></a><var>300.15</var>(5) incapable of doing any of the activities described in clauses (1) to (4) due to a <br/>
<a id="pl.300.16"></a><var>300.16</var>medical condition, which incapability is supported by regularly updated information in the <br/>
<a id="pl.300.17"></a><var>300.17</var>case plan of the person.<br/>
<a id="pl.300.18"></a><var>300.18</var>(c) In addition to the requirements in paragraph (b), a residential program licensed <br/>
<a id="pl.300.19"></a><var>300.19</var>by the commissioner of human services under Minnesota Rules, parts 2960.0010 to <br/>
<a id="pl.300.20"></a><var>300.20</var>2960.0710, may serve persons under the age of 21 provided the facility complies with the <br/>
<a id="pl.300.21"></a><var>300.21</var>following requirements:<br/>
<a id="pl.300.22"></a><var>300.22</var>(1) for each person age 18 and older served at the program, the program must assess <br/>
<a id="pl.300.23"></a><var>300.23</var>and document the person's risk of victimizing other residents residing in the facility, and <br/>
<a id="pl.300.24"></a><var>300.24</var>based on the assessment, the facility must develop and implement necessary measures <br/>
<a id="pl.300.25"></a><var>300.25</var>to minimize any risk of harm to other residents, including making arrangements for <br/>
<a id="pl.300.26"></a><var>300.26</var>appropriate sleeping arrangements; and<br/>
<a id="pl.300.27"></a><var>300.27</var>(2) the program must assure that the services and living arrangements provided to all <br/>
<a id="pl.300.28"></a><var>300.28</var>residents are suitable to the age and functioning of the residents, including separation of <br/>
<a id="pl.300.29"></a><var>300.29</var>services, staff supervision, and other program operations as appropriate.<br/>
<a id="pl.300.30"></a><var>300.30</var>(d) Nothing in this paragraph subdivision precludes the license holder from seeking <br/>
<a id="pl.300.31"></a><var>300.31</var>other variances under subdivision 9.<br/>
<br/>
<a id="bill.16.5.0"></a><a id="pl.300.32"></a><var>300.32</var>    Sec. 5. Minnesota Statutes 2010, section 245A.04, is amended by adding a subdivision <br/>
<a id="pl.300.33"></a><var>300.33</var>to read:<br/>
<a id="pl.300.34"></a><var>300.34</var>    Subd. 16. <b>Program policy; reporting a death in the program.</b> Unless such <br/>
<a id="pl.300.35"></a><var>300.35</var>reporting is otherwise already required under statute or rule, programs licensed under this <br/>
<a id="pl.301.1"></a><var>301.1</var>chapter must have a written policy for reporting the death of an individual served by the <br/>
<a id="pl.301.2"></a><var>301.2</var>program to the commissioner of human services. Within 24 hours of receiving knowledge <br/>
<a id="pl.301.3"></a><var>301.3</var>of the death of an individual served by the program, the license holder shall notify the <br/>
<a id="pl.301.4"></a><var>301.4</var>commissioner of the death. If the license holder has reason to know that the death has <br/>
<a id="pl.301.5"></a><var>301.5</var>been reported to the commissioner, a subsequent report is not required.<br/>
<br/>
<a id="bill.16.6.0"></a><a id="pl.301.6"></a><var>301.6</var>    Sec. 6. Minnesota Statutes 2010, section 245A.04, is amended by adding a subdivision <br/>
<a id="pl.301.7"></a><var>301.7</var>to read:<br/>
<a id="pl.301.8"></a><var>301.8</var>    Subd. 17. <b>Child care education plan.</b> Child care providers are not required to <br/>
<a id="pl.301.9"></a><var>301.9</var>provide an education plan or curriculum that has been approved by the Department of <br/>
<a id="pl.301.10"></a><var>301.10</var>Education as a condition for initial or renewed licensure under this chapter.<br/>
<br/>
<a id="bill.16.7.0"></a><a id="pl.301.11"></a><var>301.11</var>    Sec. 7. Minnesota Statutes 2010, section 245A.05, is amended to read:<br/>
<a id="pl.301.12"></a><var>301.12</var><b>245A.05 DENIAL OF APPLICATION.</b><br/>
<a id="pl.301.13"></a><var>301.13</var>(a) The commissioner may deny a license if an applicant or controlling individual:<br/>
<a id="pl.301.14"></a><var>301.14</var>(1) fails to submit a substantially complete application after receiving notice from <br/>
<a id="pl.301.15"></a><var>301.15</var>the commissioner under section 245A.04, subdivision 1;<br/>
<a id="pl.301.16"></a><var>301.16</var>(1) (2) fails to comply with applicable laws or rules;<br/>
<a id="pl.301.17"></a><var>301.17</var>(2) (3) knowingly withholds relevant information from or gives false or misleading <br/>
<a id="pl.301.18"></a><var>301.18</var>information to the commissioner in connection with an application for a license or during <br/>
<a id="pl.301.19"></a><var>301.19</var>an investigation;<br/>
<a id="pl.301.20"></a><var>301.20</var>(3) (4) has a disqualification that has not been set aside under section 
         <statute_ref>245C.22</statute_ref> <br/>
<a id="pl.301.21"></a><var>301.21</var>and no variance has been granted;<br/>
<a id="pl.301.22"></a><var>301.22</var>(4) (5) has an individual living in the household who received a background study <br/>
<a id="pl.301.23"></a><var>301.23</var>under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), clause (2), who has a disqualification <br/>
<a id="pl.301.24"></a><var>301.24</var>that has not been set aside under section 
         <statute_ref>245C.22</statute_ref>, and no variance has been granted; or<br/>
<a id="pl.301.25"></a><var>301.25</var>(5) (6) is associated with an individual who received a background study under <br/>
<a id="pl.301.26"></a><var>301.26</var>section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), clause (6), who may have unsupervised <br/>
<a id="pl.301.27"></a><var>301.27</var>access to children or vulnerable adults, and who has a disqualification that has not been set <br/>
<a id="pl.301.28"></a><var>301.28</var>aside under section 
         <statute_ref>245C.22</statute_ref>, and no variance has been granted.; or<br/>
<a id="pl.301.29"></a><var>301.29</var>(7) fails to comply with section 245A.04, subdivision 1, paragraph (f) or (g).<br/>
<a id="pl.301.30"></a><var>301.30</var>(b) An applicant whose application has been denied by the commissioner must be <br/>
<a id="pl.301.31"></a><var>301.31</var>given notice of the denial. Notice must be given by certified mail or personal service. <br/>
<a id="pl.301.32"></a><var>301.32</var>The notice must state the reasons the application was denied and must inform the <br/>
<a id="pl.301.33"></a><var>301.33</var>applicant of the right to a contested case hearing under chapter 14 and Minnesota Rules, <br/>
<a id="pl.301.34"></a><var>301.34</var>parts 1400.8505 to 1400.8612. The applicant may appeal the denial by notifying the <br/>
<a id="pl.302.1"></a><var>302.1</var>commissioner in writing by certified mail or personal service. If mailed, the appeal must <br/>
<a id="pl.302.2"></a><var>302.2</var>be postmarked and sent to the commissioner within 20 calendar days after the applicant <br/>
<a id="pl.302.3"></a><var>302.3</var>received the notice of denial. If an appeal request is made by personal service, it must <br/>
<a id="pl.302.4"></a><var>302.4</var>be received by the commissioner within 20 calendar days after the applicant received the <br/>
<a id="pl.302.5"></a><var>302.5</var>notice of denial. Section 
         <statute_ref>245A.08</statute_ref> applies to hearings held to appeal the commissioner's <br/>
<a id="pl.302.6"></a><var>302.6</var>denial of an application.<br/>
<br/>
<a id="bill.16.8.0"></a><a id="pl.302.7"></a><var>302.7</var>    Sec. 8. Minnesota Statutes 2010, section 245A.07, subdivision 3, is amended to read:<br/>
<a id="pl.302.8"></a><var>302.8</var>    Subd. 3. <b>License suspension, revocation, or fine.</b> (a) The commissioner may <br/>
<a id="pl.302.9"></a><var>302.9</var>suspend or revoke a license, or impose a fine if:<br/>
<a id="pl.302.10"></a><var>302.10</var>(1) a license holder fails to comply fully with applicable laws or rules, if;<br/>
<a id="pl.302.11"></a><var>302.11</var>(2) a license holder, a controlling individual, or an individual living in the household <br/>
<a id="pl.302.12"></a><var>302.12</var>where the licensed services are provided or is otherwise subject to a background study has <br/>
<a id="pl.302.13"></a><var>302.13</var>a disqualification which has not been set aside under section 
         <statute_ref>245C.22</statute_ref>, or if; <br/>
<a id="pl.302.14"></a><var>302.14</var>(3) a license holder knowingly withholds relevant information from or gives false <br/>
<a id="pl.302.15"></a><var>302.15</var>or misleading information to the commissioner in connection with an application for <br/>
<a id="pl.302.16"></a><var>302.16</var>a license, in connection with the background study status of an individual, during an <br/>
<a id="pl.302.17"></a><var>302.17</var>investigation, or regarding compliance with applicable laws or rules.; or<br/>
<a id="pl.302.18"></a><var>302.18</var>(4) after July 1, 2012, and upon request by the commissioner, a license holder fails <br/>
<a id="pl.302.19"></a><var>302.19</var>to submit the information required of an applicant under section 245A.04, subdivision 1, <br/>
<a id="pl.302.20"></a><var>302.20</var>paragraph (f) or (g). <br/>
<a id="pl.302.21"></a><var>302.21</var>A license holder who has had a license suspended, revoked, or has been ordered <br/>
<a id="pl.302.22"></a><var>302.22</var>to pay a fine must be given notice of the action by certified mail or personal service. If <br/>
<a id="pl.302.23"></a><var>302.23</var>mailed, the notice must be mailed to the address shown on the application or the last <br/>
<a id="pl.302.24"></a><var>302.24</var>known address of the license holder. The notice must state the reasons the license was <br/>
<a id="pl.302.25"></a><var>302.25</var>suspended, revoked, or a fine was ordered.<br/>
<a id="pl.302.26"></a><var>302.26</var>    (b) If the license was suspended or revoked, the notice must inform the license <br/>
<a id="pl.302.27"></a><var>302.27</var>holder of the right to a contested case hearing under chapter 14 and Minnesota Rules, parts <br/>
<a id="pl.302.28"></a><var>302.28</var>1400.8505 to 1400.8612. The license holder may appeal an order suspending or revoking <br/>
<a id="pl.302.29"></a><var>302.29</var>a license. The appeal of an order suspending or revoking a license must be made in writing <br/>
<a id="pl.302.30"></a><var>302.30</var>by certified mail or personal service. If mailed, the appeal must be postmarked and sent to <br/>
<a id="pl.302.31"></a><var>302.31</var>the commissioner within ten calendar days after the license holder receives notice that the <br/>
<a id="pl.302.32"></a><var>302.32</var>license has been suspended or revoked. If a request is made by personal service, it must be <br/>
<a id="pl.302.33"></a><var>302.33</var>received by the commissioner within ten calendar days after the license holder received <br/>
<a id="pl.302.34"></a><var>302.34</var>the order. Except as provided in subdivision 2a, paragraph (c), if a license holder submits <br/>
<a id="pl.302.35"></a><var>302.35</var>a timely appeal of an order suspending or revoking a license, the license holder may <br/>
<a id="pl.303.1"></a><var>303.1</var>continue to operate the program as provided in section 
         <statute_ref>245A.04, subdivision 7</statute_ref>, paragraphs <br/>
<a id="pl.303.2"></a><var>303.2</var>(g) and (h), until the commissioner issues a final order on the suspension or revocation.<br/>
<a id="pl.303.3"></a><var>303.3</var>    (c)(1) If the license holder was ordered to pay a fine, the notice must inform the <br/>
<a id="pl.303.4"></a><var>303.4</var>license holder of the responsibility for payment of fines and the right to a contested case <br/>
<a id="pl.303.5"></a><var>303.5</var>hearing under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. The appeal <br/>
<a id="pl.303.6"></a><var>303.6</var>of an order to pay a fine must be made in writing by certified mail or personal service. If <br/>
<a id="pl.303.7"></a><var>303.7</var>mailed, the appeal must be postmarked and sent to the commissioner within ten calendar <br/>
<a id="pl.303.8"></a><var>303.8</var>days after the license holder receives notice that the fine has been ordered. If a request is <br/>
<a id="pl.303.9"></a><var>303.9</var>made by personal service, it must be received by the commissioner within ten calendar <br/>
<a id="pl.303.10"></a><var>303.10</var>days after the license holder received the order.<br/>
<a id="pl.303.11"></a><var>303.11</var>    (2) The license holder shall pay the fines assessed on or before the payment date <br/>
<a id="pl.303.12"></a><var>303.12</var>specified. If the license holder fails to fully comply with the order, the commissioner <br/>
<a id="pl.303.13"></a><var>303.13</var>may issue a second fine or suspend the license until the license holder complies. If the <br/>
<a id="pl.303.14"></a><var>303.14</var>license holder receives state funds, the state, county, or municipal agencies or departments <br/>
<a id="pl.303.15"></a><var>303.15</var>responsible for administering the funds shall withhold payments and recover any payments <br/>
<a id="pl.303.16"></a><var>303.16</var>made while the license is suspended for failure to pay a fine. A timely appeal shall stay <br/>
<a id="pl.303.17"></a><var>303.17</var>payment of the fine until the commissioner issues a final order.<br/>
<a id="pl.303.18"></a><var>303.18</var>    (3) A license holder shall promptly notify the commissioner of human services, <br/>
<a id="pl.303.19"></a><var>303.19</var>in writing, when a violation specified in the order to forfeit a fine is corrected. If upon <br/>
<a id="pl.303.20"></a><var>303.20</var>reinspection the commissioner determines that a violation has not been corrected as <br/>
<a id="pl.303.21"></a><var>303.21</var>indicated by the order to forfeit a fine, the commissioner may issue a second fine. The <br/>
<a id="pl.303.22"></a><var>303.22</var>commissioner shall notify the license holder by certified mail or personal service that a <br/>
<a id="pl.303.23"></a><var>303.23</var>second fine has been assessed. The license holder may appeal the second fine as provided <br/>
<a id="pl.303.24"></a><var>303.24</var>under this subdivision.<br/>
<a id="pl.303.25"></a><var>303.25</var>    (4) Fines shall be assessed as follows: the license holder shall forfeit $1,000 for <br/>
<a id="pl.303.26"></a><var>303.26</var>each determination of maltreatment of a child under section 
         <statute_ref>626.556</statute_ref> or the maltreatment <br/>
<a id="pl.303.27"></a><var>303.27</var>of a vulnerable adult under section 
         <statute_ref>626.557</statute_ref> for which the license holder is determined <br/>
<a id="pl.303.28"></a><var>303.28</var>responsible for the maltreatment under section 
         <statute_ref>626.556, subdivision 10e</statute_ref>, paragraph (i), <br/>
<a id="pl.303.29"></a><var>303.29</var>or 
         <statute_ref>626.557, subdivision 9c</statute_ref>, paragraph (c); the license holder shall forfeit $200 for each <br/>
<a id="pl.303.30"></a><var>303.30</var>occurrence of a violation of law or rule governing matters of health, safety, or supervision, <br/>
<a id="pl.303.31"></a><var>303.31</var>including but not limited to the provision of adequate staff-to-child or adult ratios, and <br/>
<a id="pl.303.32"></a><var>303.32</var>failure to comply with background study requirements under chapter 245C; and the license <br/>
<a id="pl.303.33"></a><var>303.33</var>holder shall forfeit $100 for each occurrence of a violation of law or rule other than those <br/>
<a id="pl.303.34"></a><var>303.34</var>subject to a $1,000 or $200 fine above. For purposes of this section, "occurrence" means <br/>
<a id="pl.303.35"></a><var>303.35</var>each violation identified in the commissioner's fine order. Fines assessed against a license <br/>
<a id="pl.303.36"></a><var>303.36</var>holder that holds a license to provide the residential-based habilitation services, as defined <br/>
<a id="pl.304.1"></a><var>304.1</var>under section 
         <statute_ref>245B.02, subdivision 20</statute_ref>, and a license to provide foster care, may be <br/>
<a id="pl.304.2"></a><var>304.2</var>assessed against both licenses for the same occurrence, but the combined amount of the <br/>
<a id="pl.304.3"></a><var>304.3</var>fines shall not exceed the amount specified in this clause for that occurrence.<br/>
<a id="pl.304.4"></a><var>304.4</var>    (5) When a fine has been assessed, the license holder may not avoid payment by <br/>
<a id="pl.304.5"></a><var>304.5</var>closing, selling, or otherwise transferring the licensed program to a third party. In such an <br/>
<a id="pl.304.6"></a><var>304.6</var>event, the license holder will be personally liable for payment. In the case of a corporation, <br/>
<a id="pl.304.7"></a><var>304.7</var>each controlling individual is personally and jointly liable for payment.<br/>
<a id="pl.304.8"></a><var>304.8</var>(d) Except for background study violations involving the failure to comply with an <br/>
<a id="pl.304.9"></a><var>304.9</var>order to immediately remove an individual or an order to provide continuous, direct <br/>
<a id="pl.304.10"></a><var>304.10</var>supervision, the commissioner shall not issue a fine under paragraph (c) relating to a <br/>
<a id="pl.304.11"></a><var>304.11</var>background study violation to a license holder who self-corrects a background study <br/>
<a id="pl.304.12"></a><var>304.12</var>violation before the commissioner discovers the violation. A license holder who has <br/>
<a id="pl.304.13"></a><var>304.13</var>previously exercised the provisions of this paragraph to avoid a fine for a background <br/>
<a id="pl.304.14"></a><var>304.14</var>study violation may not avoid a fine for a subsequent background study violation unless at <br/>
<a id="pl.304.15"></a><var>304.15</var>least 365 days have passed since the license holder self-corrected the earlier background <br/>
<a id="pl.304.16"></a><var>304.16</var>study violation.<br/>
<br/>
<a id="bill.16.9.0"></a><a id="pl.304.17"></a><var>304.17</var>    Sec. 9. Minnesota Statutes 2010, section 245A.14, subdivision 11, is amended to read:<br/>
<a id="pl.304.18"></a><var>304.18</var>    Subd. 11. <b>Swimming pools; family day care and group family day care </b><br/>
<a id="pl.304.19"></a><var>304.19</var><b>providers.</b> (a) This subdivision governs swimming pools located at family day care <br/>
<a id="pl.304.20"></a><var>304.20</var>or group family day care homes licensed under Minnesota Rules, chapter 9502. This <br/>
<a id="pl.304.21"></a><var>304.21</var>subdivision does not apply to portable wading pools or whirlpools located at family day <br/>
<a id="pl.304.22"></a><var>304.22</var>care or group family day care homes licensed under Minnesota Rules, chapter 9502. For a <br/>
<a id="pl.304.23"></a><var>304.23</var>provider to be eligible to allow a child cared for at the family day care or group family day <br/>
<a id="pl.304.24"></a><var>304.24</var>care home to use the swimming pool located at the home, the provider must not have had <br/>
<a id="pl.304.25"></a><var>304.25</var>a licensing sanction under section 
         <statute_ref>245A.07</statute_ref> or a correction order or conditional license <br/>
<a id="pl.304.26"></a><var>304.26</var>under section 
         <statute_ref>245A.06</statute_ref> relating to the supervision or health and safety of children during <br/>
<a id="pl.304.27"></a><var>304.27</var>the prior 24 months, and must satisfy the following requirements:<br/>
<a id="pl.304.28"></a><var>304.28</var>(1) notify the county agency before initial use of the swimming pool and annually, <br/>
<a id="pl.304.29"></a><var>304.29</var>thereafter;<br/>
<a id="pl.304.30"></a><var>304.30</var>(2) obtain written consent from a child's parent or legal guardian allowing the child <br/>
<a id="pl.304.31"></a><var>304.31</var>to use the swimming pool and renew the parent or legal guardian's written consent at least <br/>
<a id="pl.304.32"></a><var>304.32</var>annually. The written consent must include a statement that the parent or legal guardian <br/>
<a id="pl.304.33"></a><var>304.33</var>has received and read materials provided by the Department of Health to the Department <br/>
<a id="pl.304.34"></a><var>304.34</var>of Human Services for distribution to all family day care or group family day care homes <br/>
<a id="pl.304.35"></a><var>304.35</var>and the general public on the human services Internet Web site related to the risk of disease <br/>
<a id="pl.305.1"></a><var>305.1</var>transmission as well as other health risks associated with swimming pools. The written <br/>
<a id="pl.305.2"></a><var>305.2</var>consent must also include a statement that the Department of Health, Department of <br/>
<a id="pl.305.3"></a><var>305.3</var>Human Services, and county agency will not monitor or inspect the provider's swimming <br/>
<a id="pl.305.4"></a><var>305.4</var>pool to ensure compliance with the requirements in this subdivision;<br/>
<a id="pl.305.5"></a><var>305.5</var>(3) enter into a written contract with a child's parent or legal guardian and renew the <br/>
<a id="pl.305.6"></a><var>305.6</var>written contract annually. The terms of the written contract must specify that the provider <br/>
<a id="pl.305.7"></a><var>305.7</var>agrees to perform all of the requirements in this subdivision;<br/>
<a id="pl.305.8"></a><var>305.8</var>(4) attend and successfully complete a swimming pool operator training course once <br/>
<a id="pl.305.9"></a><var>305.9</var>every five years. Acceptable training courses are:<br/>
<a id="pl.305.10"></a><var>305.10</var>(i) the National Swimming Pool Foundation Certified Pool Operator course;<br/>
<a id="pl.305.11"></a><var>305.11</var>(ii) the National Spa and Pool Institute Tech I and Tech II courses (both required); or<br/>
<a id="pl.305.12"></a><var>305.12</var>(iii) the National Recreation and Park Association Aquatic Facility Operator course;<br/>
<a id="pl.305.13"></a><var>305.13</var>(5) require a caregiver trained in first aid and adult and child cardiopulmonary <br/>
<a id="pl.305.14"></a><var>305.14</var>resuscitation to supervise and be present at the swimming pool with any children in the <br/>
<a id="pl.305.15"></a><var>305.15</var>pool;<br/>
<a id="pl.305.16"></a><var>305.16</var>(6) toilet all potty-trained children before they enter the swimming pool;<br/>
<a id="pl.305.17"></a><var>305.17</var>(7) require all children who are not potty-trained to wear swim diapers while in <br/>
<a id="pl.305.18"></a><var>305.18</var>the swimming pool;<br/>
<a id="pl.305.19"></a><var>305.19</var>(8) if fecal material enters the swimming pool water, add three times the normal <br/>
<a id="pl.305.20"></a><var>305.20</var>shock treatment to the pool water to raise the chlorine level to at least 20 parts per million, <br/>
<a id="pl.305.21"></a><var>305.21</var>and close the pool to swimming for the 24 hours following the entrance of fecal material <br/>
<a id="pl.305.22"></a><var>305.22</var>into the water or until the water pH and disinfectant concentration levels have returned to <br/>
<a id="pl.305.23"></a><var>305.23</var>the standards specified in clause (10), whichever is later;<br/>
<a id="pl.305.24"></a><var>305.24</var>(9) prevent any person from entering the swimming pool who has an open wound or <br/>
<a id="pl.305.25"></a><var>305.25</var>any person who has or is suspected of having a communicable disease;<br/>
<a id="pl.305.26"></a><var>305.26</var>(10) maintain the swimming pool water at a pH of not less than 7.2 and not more <br/>
<a id="pl.305.27"></a><var>305.27</var>than 8.0, maintain the disinfectant concentration between two and five parts per million for <br/>
<a id="pl.305.28"></a><var>305.28</var>chlorine or between 2.3 and 4.5 parts per million for bromine, and maintain a daily record <br/>
<a id="pl.305.29"></a><var>305.29</var>of the swimming pool's operation with pH and disinfectant concentration readings on days <br/>
<a id="pl.305.30"></a><var>305.30</var>when children cared for at the family day care or group family day care home are present;<br/>
<a id="pl.305.31"></a><var>305.31</var>(11) have a disinfectant feeder or feeders;<br/>
<a id="pl.305.32"></a><var>305.32</var>(12) have a recirculation system that will clarify and disinfect the swimming pool <br/>
<a id="pl.305.33"></a><var>305.33</var>volume of water in ten hours or less;<br/>
<a id="pl.305.34"></a><var>305.34</var>(13) maintain the swimming pool's water clarity so that an object on the pool floor at <br/>
<a id="pl.305.35"></a><var>305.35</var>the pool's deepest point is easily visible;<br/>
<a id="pl.306.1"></a><var>306.1</var>(14) have two or more suction lines in the swimming pool comply with the provisions <br/>
<a id="pl.306.2"></a><var>306.2</var>of the Abigail Taylor Pool Safety Act in section 144.1222, subdivisions 1c and 1d;<br/>
<a id="pl.306.3"></a><var>306.3</var>(15) have in place and enforce written safety rules and swimming pool policies;<br/>
<a id="pl.306.4"></a><var>306.4</var>(16) have in place at all times a safety rope that divides the shallow and deep <br/>
<a id="pl.306.5"></a><var>306.5</var>portions of the swimming pool;<br/>
<a id="pl.306.6"></a><var>306.6</var>(17) satisfy any existing local ordinances regarding swimming pool installation, <br/>
<a id="pl.306.7"></a><var>306.7</var>decks, and fencing;<br/>
<a id="pl.306.8"></a><var>306.8</var>(18) maintain a water temperature of not more than 104 degrees Fahrenheit and <br/>
<a id="pl.306.9"></a><var>306.9</var>not less than 70 degrees Fahrenheit; and<br/>
<a id="pl.306.10"></a><var>306.10</var>(19) for lifesaving equipment, have a United States Coast Guard-approved life <br/>
<a id="pl.306.11"></a><var>306.11</var>ring attached to a rope, an exit ladder, and a shepherd's hook available at all times to the <br/>
<a id="pl.306.12"></a><var>306.12</var>caregiver supervising the swimming pool.<br/>
<a id="pl.306.13"></a><var>306.13</var>The requirements of clauses (5), (16), and (18) only apply at times when children <br/>
<a id="pl.306.14"></a><var>306.14</var>cared for at the family day care or group family day care home are present.<br/>
<a id="pl.306.15"></a><var>306.15</var>(b) A violation of paragraph (a), clauses (1) to (3), is grounds for a sanction under <br/>
<a id="pl.306.16"></a><var>306.16</var>section 
         <statute_ref>245A.07</statute_ref> or a correction order or conditional license under section 
         <statute_ref>245A.06</statute_ref>.<br/>
<a id="pl.306.17"></a><var>306.17</var>(c) If a provider under this subdivision receives a licensing sanction under section <br/>
<statute_ref><a id="pl.306.18"></a><var>306.18</var>245A.07
         </statute_ref> or a correction order or a conditional license under section 
         <statute_ref>245A.06</statute_ref> relating to <br/>
<a id="pl.306.19"></a><var>306.19</var>the supervision or health and safety of children, the provider is prohibited from allowing a <br/>
<a id="pl.306.20"></a><var>306.20</var>child cared for at the family day care or group family day care home to continue to use <br/>
<a id="pl.306.21"></a><var>306.21</var>the swimming pool located at the home.<br/>
<br/>
<a id="bill.16.10.0"></a><a id="pl.306.22"></a><var>306.22</var>    Sec. 10. Minnesota Statutes 2010, section 245A.146, subdivision 2, is amended to read:<br/>
<a id="pl.306.23"></a><var>306.23</var>    Subd. 2. <b>Documentation requirement for license holders.</b> (a) Effective January <br/>
<a id="pl.306.24"></a><var>306.24</var>1, 2006, All licensed child care providers, children's residential facilities, chemical <br/>
<a id="pl.306.25"></a><var>306.25</var>dependency treatment programs with children in care, and residential habilitation <br/>
<a id="pl.306.26"></a><var>306.26</var>programs serving children with developmental disabilities must maintain the following <br/>
<a id="pl.306.27"></a><var>306.27</var>documentation for every crib used by or that is accessible to any child in care:<br/>
<a id="pl.306.28"></a><var>306.28</var>(1) the crib's brand name; and<br/>
<a id="pl.306.29"></a><var>306.29</var>(2) the crib's model number.<br/>
<a id="pl.306.30"></a><var>306.30</var>(b) Any crib for which the license holder does not have the documentation required <br/>
<a id="pl.306.31"></a><var>306.31</var>under paragraph (a) must not be used by or be accessible to children in care.<br/>
<a id="pl.306.32"></a><var>306.32</var>(c) Effective December 28, 2012, the licensed program must maintain documentation <br/>
<a id="pl.306.33"></a><var>306.33</var>that meets federal documentation requirements to show that every full-size and <br/>
<a id="pl.306.34"></a><var>306.34</var>non-full-size crib that is used by or is accessible to any child in care is compliant with <br/>
<a id="pl.307.1"></a><var>307.1</var>federal crib standards under Code of Federal Regulations, title 16, part 1219, for full-size <br/>
<a id="pl.307.2"></a><var>307.2</var>baby cribs, or Code of Federal Regulations, title 16, part 1220, for non-full-size baby cribs.<br/>
<br/>
<a id="bill.16.11.0"></a><a id="pl.307.3"></a><var>307.3</var>    Sec. 11. Minnesota Statutes 2010, section 245A.146, subdivision 3, is amended to read:<br/>
<a id="pl.307.4"></a><var>307.4</var>    Subd. 3. <b>License holder documentation of cribs.</b> (a) Annually, from the date <br/>
<a id="pl.307.5"></a><var>307.5</var>printed on the license, all license holders shall check all their cribs' brand names and <br/>
<a id="pl.307.6"></a><var>307.6</var>model numbers against the United States Consumer Product Safety Commission Web <br/>
<a id="pl.307.7"></a><var>307.7</var>site listing of unsafe cribs.<br/>
<a id="pl.307.8"></a><var>307.8</var>(b) The license holder shall maintain written documentation to be reviewed on site <br/>
<a id="pl.307.9"></a><var>307.9</var>for each crib showing that the review required in paragraph (a) has been completed, and <br/>
<a id="pl.307.10"></a><var>307.10</var>which of the following conditions applies:<br/>
<a id="pl.307.11"></a><var>307.11</var>(1) the crib was not identified as unsafe on the United States Consumer Product <br/>
<a id="pl.307.12"></a><var>307.12</var>Safety Commission Web site;<br/>
<a id="pl.307.13"></a><var>307.13</var>(2) the crib was identified as unsafe on the United States Consumer Product Safety <br/>
<a id="pl.307.14"></a><var>307.14</var>Commission Web site, but the license holder has taken the action directed by the United <br/>
<a id="pl.307.15"></a><var>307.15</var>States Consumer Product Safety Commission to make the crib safe; or<br/>
<a id="pl.307.16"></a><var>307.16</var>(3) the crib was identified as unsafe on the United States Consumer Product Safety <br/>
<a id="pl.307.17"></a><var>307.17</var>Commission Web site, and the license holder has removed the crib so that it is no longer <br/>
<a id="pl.307.18"></a><var>307.18</var>used by or accessible to children in care.<br/>
<a id="pl.307.19"></a><var>307.19</var>(c) Documentation of the review completed under this subdivision shall be <br/>
<a id="pl.307.20"></a><var>307.20</var>maintained by the license holder on site and made available to parents or guardians of <br/>
<a id="pl.307.21"></a><var>307.21</var>children in care and the commissioner.<br/>
<a id="pl.307.22"></a><var>307.22</var>(d) Notwithstanding Minnesota Rules, part 
         <statute_ref>9502.0425</statute_ref>, a family child care provider <br/>
<a id="pl.307.23"></a><var>307.23</var>that complies with this section may use a mesh-sided playpen or crib that has not been <br/>
<a id="pl.307.24"></a><var>307.24</var>identified as unsafe on the United States Consumer Product Safety Commission Web site <br/>
<a id="pl.307.25"></a><var>307.25</var>for the care or sleeping of infants.<br/>
<br/>
<a id="bill.16.12.0"></a><a id="pl.307.26"></a><var>307.26</var>    Sec. 12. Minnesota Statutes 2010, section 245A.18, subdivision 1, is amended to read:<br/>
<a id="pl.307.27"></a><var>307.27</var>    Subdivision 1. <b>Seat belt </b><b>and child passenger restraint system </b><b>use.</b> When a child <br/>
<a id="pl.307.28"></a><var>307.28</var>is transported, a license holder must comply with all seat belt and child passenger restraint <br/>
<a id="pl.307.29"></a><var>307.29</var>system requirements under section sections
<statute_ref>169.685</statute_ref> and 169.686.<br/>
<br/>
<a id="bill.16.13.0"></a><a id="pl.307.30"></a><var>307.30</var>    Sec. 13. <b>[245A.191] PROVIDER ELIGIBILITY FOR PAYMENTS FROM THE </b><br/>
<a id="pl.307.31"></a><var>307.31</var><b>CHEMICAL DEPENDENCY CONSOLIDATED TREATMENT FUND.</b><br/>
<a id="pl.307.32"></a><var>307.32</var>(a) When a chemical dependency treatment provider licensed under Minnesota <br/>
<a id="pl.307.33"></a><var>307.33</var>Rules, parts 2960.0430 to 2960.0490 or 9530.6405 to 9530.6505, agrees to meet the <br/>
<a id="pl.308.1"></a><var>308.1</var>applicable requirements under section 254B.05, subdivision 5, paragraphs (b), clauses <br/>
<a id="pl.308.2"></a><var>308.2</var>(1) to (4) and (6), (c), and (d), to be eligible for enhanced funding from the chemical <br/>
<a id="pl.308.3"></a><var>308.3</var>dependency consolidated treatment fund, the applicable requirements under section <br/>
<a id="pl.308.4"></a><var>308.4</var>254B.05 are also licensing requirements that may be monitored for compliance through <br/>
<a id="pl.308.5"></a><var>308.5</var>licensing investigations and licensing inspections.<br/>
<a id="pl.308.6"></a><var>308.6</var>    (b) Noncompliance with the requirements identified under paragraph (a) may <br/>
<a id="pl.308.7"></a><var>308.7</var>result in:<br/>
<a id="pl.308.8"></a><var>308.8</var>    (1) a correction order or a conditional license under section 245A.06, or sanctions <br/>
<a id="pl.308.9"></a><var>308.9</var>under section 245A.07;<br/>
<a id="pl.308.10"></a><var>308.10</var>    (2) nonpayment of claims submitted by the license holder for public program <br/>
<a id="pl.308.11"></a><var>308.11</var>reimbursement;<br/>
<a id="pl.308.12"></a><var>308.12</var>    (3) recovery of payments made for the service;<br/>
<a id="pl.308.13"></a><var>308.13</var>    (4) disenrollment in the public payment program; or<br/>
<a id="pl.308.14"></a><var>308.14</var>    (5) other administrative, civil, or criminal penalties as provided by law.<br/>
<br/>
<a id="bill.16.14.0"></a><a id="pl.308.15"></a><var>308.15</var>    Sec. 14. Minnesota Statutes 2010, section 245A.22, subdivision 2, is amended to read:<br/>
<a id="pl.308.16"></a><var>308.16</var>    Subd. 2. <b>Admission.</b> (a) The license holder shall accept as clients in the independent <br/>
<a id="pl.308.17"></a><var>308.17</var>living assistance program only youth ages 16 to 21 who are in out-of-home placement, <br/>
<a id="pl.308.18"></a><var>308.18</var>leaving out-of-home placement, at risk of becoming homeless, or homeless.<br/>
<a id="pl.308.19"></a><var>308.19</var>(b) Youth who have current drug or alcohol problems, a recent history of violent <br/>
<a id="pl.308.20"></a><var>308.20</var>behaviors, or a mental health disorder or issue that is not being resolved through <br/>
<a id="pl.308.21"></a><var>308.21</var>counseling or treatment are not eligible to receive the services described in subdivision 1.<br/>
<a id="pl.308.22"></a><var>308.22</var>(c) Youth who are not employed, participating in employment training, or enrolled <br/>
<a id="pl.308.23"></a><var>308.23</var>in an academic program are not eligible to receive transitional housing or independent <br/>
<a id="pl.308.24"></a><var>308.24</var>living assistance.<br/>
<a id="pl.308.25"></a><var>308.25</var>(d) The commissioner may grant a variance under section 245A.04, subdivision 9, <br/>
<a id="pl.308.26"></a><var>308.26</var>to requirements in this section.<br/>
<br/>
<a id="bill.16.15.0"></a><a id="pl.308.27"></a><var>308.27</var>    Sec. 15. Minnesota Statutes 2010, section 245A.66, subdivision 2, is amended to read:<br/>
<a id="pl.308.28"></a><var>308.28</var>    Subd. 2. <b>Child care centers; risk reduction plan.</b> (a) Child care centers licensed <br/>
<a id="pl.308.29"></a><var>308.29</var>under this chapter and Minnesota Rules, chapter 9503, must develop a risk reduction plan <br/>
<a id="pl.308.30"></a><var>308.30</var>that assesses identifies the general risks to children served by the child care center. The <br/>
<a id="pl.308.31"></a><var>308.31</var>license holder must establish procedures to minimize identified risks, train staff on the <br/>
<a id="pl.308.32"></a><var>308.32</var>procedures, and annually review the procedures.<br/>
<a id="pl.309.1"></a><var>309.1</var>(b) The risk reduction plan must include an assessment of risk to children the <br/>
<a id="pl.309.2"></a><var>309.2</var>center serves or intends to serve and identify specific risks based on the outcome of the <br/>
<a id="pl.309.3"></a><var>309.3</var>assessment. The assessment of risk must be based on the following:<br/>
<a id="pl.309.4"></a><var>309.4</var>(1) an assessment of the risk presented by the vulnerability of the children served, <br/>
<a id="pl.309.5"></a><var>309.5</var>including an evaluation of the following factors: age, developmental functioning, and the <br/>
<a id="pl.309.6"></a><var>309.6</var>physical and emotional health of children the program serves or intends to serve;<br/>
<a id="pl.309.7"></a><var>309.7</var>(2) an assessment of the risks presented by the physical plant where the licensed <br/>
<a id="pl.309.8"></a><var>309.8</var>services are provided, including an evaluation of the following factors: the condition and <br/>
<a id="pl.309.9"></a><var>309.9</var>design of the facility and its outdoor space, bathrooms, storage areas, and accessibility <br/>
<a id="pl.309.10"></a><var>309.10</var>of medications and cleaning products that are harmful to children when children are not <br/>
<a id="pl.309.11"></a><var>309.11</var>supervised, doors where finger pinching may occur, and the existence of areas that are <br/>
<a id="pl.309.12"></a><var>309.12</var>difficult to supervise; and<br/>
<a id="pl.309.13"></a><var>309.13</var>(3) (2) an assessment of the risks presented by the environment for each facility and <br/>
<a id="pl.309.14"></a><var>309.14</var>for each site, including an evaluation of the following factors: the type of grounds and <br/>
<a id="pl.309.15"></a><var>309.15</var>terrain surrounding the building and the proximity to hazards, busy roads, and publicly <br/>
<a id="pl.309.16"></a><var>309.16</var>accessed businesses.<br/>
<a id="pl.309.17"></a><var>309.17</var>(c) The risk reduction plan must include a statement of measures that will be <br/>
<a id="pl.309.18"></a><var>309.18</var>taken to minimize the risk of harm presented to children for each risk identified in the <br/>
<a id="pl.309.19"></a><var>309.19</var>assessment required under paragraph (b) related to the physical plant and environment. At <br/>
<a id="pl.309.20"></a><var>309.20</var>a minimum, the risk reduction plan stated measures must address the following: include<br/>
<a id="pl.309.21"></a><var>309.21</var>(1) a general description of supervision, programming, and the development and <br/>
<a id="pl.309.22"></a><var>309.22</var>implementation of specific policies and procedures or reference to the existing policies <br/>
<a id="pl.309.23"></a><var>309.23</var>and procedures developed and implemented to address that minimize the risks identified <br/>
<a id="pl.309.24"></a><var>309.24</var>in the assessment required under paragraph (b) related to the general population served, <br/>
<a id="pl.309.25"></a><var>309.25</var>the physical plant, and environment;.<br/>
<a id="pl.309.26"></a><var>309.26</var>(2) (d) In addition to any program-specific risks identified in paragraph (b), the plan <br/>
<a id="pl.309.27"></a><var>309.27</var>must include development and implementation of specific policies and procedures or refer <br/>
<a id="pl.309.28"></a><var>309.28</var>to existing policies and procedures developed and implemented to that minimize the risk <br/>
<a id="pl.309.29"></a><var>309.29</var>of harm or injury to children, including:<br/>
<a id="pl.309.30"></a><var>309.30</var>(i) (1) closing children's fingers in doors, including cabinet doors;<br/>
<a id="pl.309.31"></a><var>309.31</var>(ii) (2) leaving children in the community without supervision;<br/>
<a id="pl.309.32"></a><var>309.32</var>(iii) (3) children leaving the facility without supervision;<br/>
<a id="pl.309.33"></a><var>309.33</var>(iv) (4) caregiver dislocation of children's elbows;<br/>
<a id="pl.309.34"></a><var>309.34</var>(v) (5) burns from hot food or beverages, whether served to children or being <br/>
<a id="pl.309.35"></a><var>309.35</var>consumed by caregivers, and the devices used to warm food and beverages;<br/>
<a id="pl.309.36"></a><var>309.36</var>(vi) (6) injuries from equipment, such as scissors and glue guns;<br/>
<a id="pl.310.1"></a><var>310.1</var>(vii) (7) sunburn;<br/>
<a id="pl.310.2"></a><var>310.2</var>(viii) (8) feeding children foods to which they are allergic;<br/>
<a id="pl.310.3"></a><var>310.3</var>(ix) (9) children falling from changing tables; and<br/>
<a id="pl.310.4"></a><var>310.4</var>(x) (10)  children accessing dangerous items or chemicals or coming into contact <br/>
<a id="pl.310.5"></a><var>310.5</var>with residue from harmful cleaning products; and.<br/>
<a id="pl.310.6"></a><var>310.6</var>(3) (e) The plan shall prohibit the accessibility of hazardous items to children.<br/>
<a id="pl.310.7"></a><var>310.7</var>(f) The plan must include specific policies and procedures to ensure adequate <br/>
<a id="pl.310.8"></a><var>310.8</var>supervision of children at all times as defined under section 245A.02, subdivision 18, with <br/>
<a id="pl.310.9"></a><var>310.9</var>particular emphasis on:<br/>
<a id="pl.310.10"></a><var>310.10</var>(1) times when children are transitioned from one area within the facility to another;<br/>
<a id="pl.310.11"></a><var>310.11</var>(2) nap-time supervision, including infant crib rooms as specified under section <br/>
<a id="pl.310.12"></a><var>310.12</var>245A.02, subdivision 18, which requires that when an infant is placed in a crib to sleep, <br/>
<a id="pl.310.13"></a><var>310.13</var>supervision occurs when a staff person is within sight or hearing of the infant. When <br/>
<a id="pl.310.14"></a><var>310.14</var>supervision of a crib room is provided by sight or hearing, the center must have a plan to <br/>
<a id="pl.310.15"></a><var>310.15</var>address the other supervision components;<br/>
<a id="pl.310.16"></a><var>310.16</var>(3) child drop-off and pick-up times;<br/>
<a id="pl.310.17"></a><var>310.17</var>(4) supervision during outdoor play and on community activities, including but not <br/>
<a id="pl.310.18"></a><var>310.18</var>limited to field trips and neighborhood walks; and<br/>
<a id="pl.310.19"></a><var>310.19</var>(5) supervision of children in hallways.<br/>
<br/>
<a id="bill.16.16.0"></a><a id="pl.310.20"></a><var>310.20</var>    Sec. 16. Minnesota Statutes 2010, section 245A.66, subdivision 3, is amended to read:<br/>
<a id="pl.310.21"></a><var>310.21</var>    Subd. 3. <b>Orientation to risk reduction plan and annual review of plan.</b> (a) The <br/>
<a id="pl.310.22"></a><var>310.22</var>license holder shall ensure that all mandated reporters, as defined in section 
         <statute_ref>626.556</statute_ref>, <br/>
<a id="pl.310.23"></a><var>310.23</var>subdivision 3, who are under the control of the license holder, receive an orientation to <br/>
<a id="pl.310.24"></a><var>310.24</var>the risk reduction plan prior to first providing unsupervised direct contact services, as <br/>
<a id="pl.310.25"></a><var>310.25</var>defined in section 
         <statute_ref>245C.02, subdivision 11</statute_ref>, to children, not to exceed 14 days from the <br/>
<a id="pl.310.26"></a><var>310.26</var>first supervised direct contact, and annually thereafter. The license holder must document <br/>
<a id="pl.310.27"></a><var>310.27</var>the orientation to the risk reduction plan in the mandated reporter's personnel records.<br/>
<a id="pl.310.28"></a><var>310.28</var>(b) The license holder must review the risk reduction plan annually and document <br/>
<a id="pl.310.29"></a><var>310.29</var>the annual review. When conducting the review, the license holder must consider incidents <br/>
<a id="pl.310.30"></a><var>310.30</var>that have occurred in the center since the last review, including:<br/>
<a id="pl.310.31"></a><var>310.31</var>(1) the assessment factors in the plan;<br/>
<a id="pl.310.32"></a><var>310.32</var>(2) the internal reviews conducted under this section, if any;<br/>
<a id="pl.310.33"></a><var>310.33</var>(3) substantiated maltreatment findings, if any; and<br/>
<a id="pl.310.34"></a><var>310.34</var>(4) incidents that caused injury or harm to a child, if any, that occurred since the <br/>
<a id="pl.310.35"></a><var>310.35</var>last review.<br/>
<a id="pl.311.1"></a><var>311.1</var>Following any change to the risk reduction plan, the license holder must inform mandated <br/>
<a id="pl.311.2"></a><var>311.2</var>reporters, under the control of the license holder, of the changes in the risk reduction plan, <br/>
<a id="pl.311.3"></a><var>311.3</var>and document that the mandated reporters were informed of the changes.<br/>
<br/>
<a id="bill.16.17.0"></a><a id="pl.311.4"></a><var>311.4</var>    Sec. 17. Minnesota Statutes 2010, section 245C.03, subdivision 1, is amended to read:<br/>
<a id="pl.311.5"></a><var>311.5</var>    Subdivision 1. <b>Licensed programs.</b> (a) The commissioner shall conduct a <br/>
<a id="pl.311.6"></a><var>311.6</var>background study on:<br/>
<a id="pl.311.7"></a><var>311.7</var>(1) the person or persons applying for a license;<br/>
<a id="pl.311.8"></a><var>311.8</var>(2) an individual age 13 and over living in the household where the licensed program <br/>
<a id="pl.311.9"></a><var>311.9</var>will be provided who is not receiving licensed services from the program;<br/>
<a id="pl.311.10"></a><var>311.10</var>(3) current or prospective employees or contractors of the applicant who will have <br/>
<a id="pl.311.11"></a><var>311.11</var>direct contact with persons served by the facility, agency, or program;<br/>
<a id="pl.311.12"></a><var>311.12</var>(4) volunteers or student volunteers who will have direct contact with persons served <br/>
<a id="pl.311.13"></a><var>311.13</var>by the program to provide program services if the contact is not under the continuous, <br/>
<a id="pl.311.14"></a><var>311.14</var>direct supervision by an individual listed in clause (1) or (3);<br/>
<a id="pl.311.15"></a><var>311.15</var>(5) an individual age ten to 12 living in the household where the licensed services <br/>
<a id="pl.311.16"></a><var>311.16</var>will be provided when the commissioner has reasonable cause;<br/>
<a id="pl.311.17"></a><var>311.17</var>(6) an individual who, without providing direct contact services at a licensed <br/>
<a id="pl.311.18"></a><var>311.18</var>program, may have unsupervised access to children or vulnerable adults receiving services <br/>
<a id="pl.311.19"></a><var>311.19</var>from a program, when the commissioner has reasonable cause; and<br/>
<a id="pl.311.20"></a><var>311.20</var>(7) all managerial officials as defined under section 
         <statute_ref>245A.02, subdivision 5a</statute_ref>.<br/>
<a id="pl.311.21"></a><var>311.21</var>(b) For family child foster care settings, a short-term substitute caregiver providing <br/>
<a id="pl.311.22"></a><var>311.22</var>direct contact services for a child for less than 72 hours of continuous care is not required <br/>
<a id="pl.311.23"></a><var>311.23</var>to receive a background study under this chapter.<br/>
<br/>
<a id="bill.16.18.0"></a><a id="pl.311.24"></a><var>311.24</var>    Sec. 18. Minnesota Statutes 2010, section 245C.04, subdivision 1, is amended to read:<br/>
<a id="pl.311.25"></a><var>311.25</var>    Subdivision 1. <b>Licensed programs.</b> (a) The commissioner shall conduct a <br/>
<a id="pl.311.26"></a><var>311.26</var>background study of an individual required to be studied under section 
         <statute_ref>245C.03, <br/>
<a id="pl.311.27"></a><var>311.27</var>subdivision 1
         </statute_ref>, at least upon application for initial license for all license types.<br/>
<a id="pl.311.28"></a><var>311.28</var>    (b) The commissioner shall conduct a background study of an individual required <br/>
<a id="pl.311.29"></a><var>311.29</var>to be studied under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, at reapplication for a license for <br/>
<a id="pl.311.30"></a><var>311.30</var>family child care.<br/>
<a id="pl.311.31"></a><var>311.31</var>    (c) The commissioner is not required to conduct a study of an individual at the time <br/>
<a id="pl.311.32"></a><var>311.32</var>of reapplication for a license if the individual's background study was completed by the <br/>
<a id="pl.311.33"></a><var>311.33</var>commissioner of human services for an adult foster care license holder that is also:<br/>
<a id="pl.311.34"></a><var>311.34</var>    (1) registered under chapter 144D; or<br/>
<a id="pl.312.1"></a><var>312.1</var>    (2) licensed to provide home and community-based services to people with <br/>
<a id="pl.312.2"></a><var>312.2</var>disabilities at the foster care location and the license holder does not reside in the foster <br/>
<a id="pl.312.3"></a><var>312.3</var>care residence; and<br/>
<a id="pl.312.4"></a><var>312.4</var>    (3) the following conditions are met:<br/>
<a id="pl.312.5"></a><var>312.5</var>    (i) a study of the individual was conducted either at the time of initial licensure or <br/>
<a id="pl.312.6"></a><var>312.6</var>when the individual became affiliated with the license holder;<br/>
<a id="pl.312.7"></a><var>312.7</var>    (ii) the individual has been continuously affiliated with the license holder since <br/>
<a id="pl.312.8"></a><var>312.8</var>the last study was conducted; and<br/>
<a id="pl.312.9"></a><var>312.9</var>    (iii) the last study of the individual was conducted on or after October 1, 1995.<br/>
<a id="pl.312.10"></a><var>312.10</var>    (d) From July 1, 2007, to June 30, 2009, the commissioner of human services shall <br/>
<a id="pl.312.11"></a><var>312.11</var>conduct a study of an individual required to be studied under section 
         <statute_ref>245C.03</statute_ref>, at the <br/>
<a id="pl.312.12"></a><var>312.12</var>time of reapplication for a child foster care license. The county or private agency shall <br/>
<a id="pl.312.13"></a><var>312.13</var>collect and forward to the commissioner the information required under section 
         <statute_ref>245C.05</statute_ref>, <br/>
<a id="pl.312.14"></a><var>312.14</var>subdivisions 1, paragraphs (a) and (b), and 5, paragraphs (a) and (b). The background <br/>
<a id="pl.312.15"></a><var>312.15</var>study conducted by the commissioner of human services under this paragraph must <br/>
<a id="pl.312.16"></a><var>312.16</var>include a review of the information required under section 
         <statute_ref>245C.08, subdivisions 1</statute_ref>, <br/>
<a id="pl.312.17"></a><var>312.17</var>paragraph (a), clauses (1) to (5), 3, and 4.<br/>
<a id="pl.312.18"></a><var>312.18</var>    (e) The commissioner of human services shall conduct a background study of an <br/>
<a id="pl.312.19"></a><var>312.19</var>individual specified under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), clauses (2) <br/>
<a id="pl.312.20"></a><var>312.20</var>to (6), who is newly affiliated with a child foster care license holder. The county or <br/>
<a id="pl.312.21"></a><var>312.21</var>private agency shall collect and forward to the commissioner the information required <br/>
<a id="pl.312.22"></a><var>312.22</var>under section 
         <statute_ref>245C.05, subdivisions 1</statute_ref> and 5. The background study conducted by the <br/>
<a id="pl.312.23"></a><var>312.23</var>commissioner of human services under this paragraph must include a review of the <br/>
<a id="pl.312.24"></a><var>312.24</var>information required under section 
         <statute_ref>245C.08, subdivisions 1</statute_ref>, 3, and 4.<br/>
<a id="pl.312.25"></a><var>312.25</var>    (f) From January 1, 2010, to December 31, 2012, unless otherwise specified in <br/>
<a id="pl.312.26"></a><var>312.26</var>paragraph (c), the commissioner shall conduct a study of an individual required to <br/>
<a id="pl.312.27"></a><var>312.27</var>be studied under section 
         <statute_ref>245C.03</statute_ref> at the time of reapplication for an adult foster care <br/>
<a id="pl.312.28"></a><var>312.28</var>or family adult day services license: (1) the county shall collect and forward to the <br/>
<a id="pl.312.29"></a><var>312.29</var>commissioner the information required under section 
         <statute_ref>245C.05, subdivision 1</statute_ref>, paragraphs <br/>
<a id="pl.312.30"></a><var>312.30</var>(a) and (b), and subdivision 5, paragraphs (a) and (b), for background studies conducted <br/>
<a id="pl.312.31"></a><var>312.31</var>by the commissioner for all family adult day services and for adult foster care when <br/>
<a id="pl.312.32"></a><var>312.32</var>the adult foster care license holder resides in the adult foster care or family adult day <br/>
<a id="pl.312.33"></a><var>312.33</var>services residence; (2) the license holder shall collect and forward to the commissioner <br/>
<a id="pl.312.34"></a><var>312.34</var>the information required under section 
         <statute_ref>245C.05, subdivisions 1</statute_ref>, paragraphs (a) and (b); <br/>
<a id="pl.312.35"></a><var>312.35</var>and 5, paragraphs (a) and (b), for background studies conducted by the commissioner for <br/>
<a id="pl.312.36"></a><var>312.36</var>adult foster care when the license holder does not reside in the adult foster care residence; <br/>
<a id="pl.313.1"></a><var>313.1</var>and (3) the background study conducted by the commissioner under this paragraph must <br/>
<a id="pl.313.2"></a><var>313.2</var>include a review of the information required under section 
         <statute_ref>245C.08, subdivision 1</statute_ref>, <br/>
<a id="pl.313.3"></a><var>313.3</var>paragraph (a), clauses (1) to (5), and subdivisions 3 and 4.<br/>
<a id="pl.313.4"></a><var>313.4</var>(g) The commissioner shall conduct a background study of an individual specified <br/>
<a id="pl.313.5"></a><var>313.5</var>under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), clauses (2) to (6), who is newly <br/>
<a id="pl.313.6"></a><var>313.6</var>affiliated with an adult foster care or family adult day services license holder: (1) the <br/>
<a id="pl.313.7"></a><var>313.7</var>county shall collect and forward to the commissioner the information required under <br/>
<a id="pl.313.8"></a><var>313.8</var>section 
         <statute_ref>245C.05, subdivision 1</statute_ref>, paragraphs (a) and (b), and subdivision 5, paragraphs (a) <br/>
<a id="pl.313.9"></a><var>313.9</var>and (b), for background studies conducted by the commissioner for all family adult day <br/>
<a id="pl.313.10"></a><var>313.10</var>services and for adult foster care when the adult foster care license holder resides in <br/>
<a id="pl.313.11"></a><var>313.11</var>the adult foster care residence; (2) the license holder shall collect and forward to the <br/>
<a id="pl.313.12"></a><var>313.12</var>commissioner the information required under section 
         <statute_ref>245C.05, subdivisions 1</statute_ref>, paragraphs <br/>
<a id="pl.313.13"></a><var>313.13</var>(a) and (b); and 5, paragraphs (a) and (b), for background studies conducted by the <br/>
<a id="pl.313.14"></a><var>313.14</var>commissioner for adult foster care when the license holder does not reside in the adult <br/>
<a id="pl.313.15"></a><var>313.15</var>foster care residence; and (3) the background study conducted by the commissioner under <br/>
<a id="pl.313.16"></a><var>313.16</var>this paragraph must include a review of the information required under section 
         <statute_ref>245C.08, <br/>
<a id="pl.313.17"></a><var>313.17</var>subdivision 1
         </statute_ref>, paragraph (a), and subdivisions 3 and 4.<br/>
<a id="pl.313.18"></a><var>313.18</var>(h) Applicants for licensure, license holders, and other entities as provided in this <br/>
<a id="pl.313.19"></a><var>313.19</var>chapter must submit completed background study forms to the commissioner before <br/>
<a id="pl.313.20"></a><var>313.20</var>individuals specified in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, begin positions allowing direct <br/>
<a id="pl.313.21"></a><var>313.21</var>contact in any licensed program.<br/>
<a id="pl.313.22"></a><var>313.22</var>    (i) A license holder must provide the commissioner notice initiate a new background <br/>
<a id="pl.313.23"></a><var>313.23</var>study through the commissioner's online background study system or through a letter <br/>
<a id="pl.313.24"></a><var>313.24</var>mailed to the commissioner when:<br/>
<a id="pl.313.25"></a><var>313.25</var>    (1) an individual returns to a position requiring a background study following an <br/>
<a id="pl.313.26"></a><var>313.26</var>absence of 45 180 or more consecutive days; or<br/>
<a id="pl.313.27"></a><var>313.27</var>    (2) a program that discontinued providing licensed direct contact services for 45 180 <br/>
<a id="pl.313.28"></a><var>313.28</var>or more consecutive days begins to provide direct contact licensed services again.<br/>
<a id="pl.313.29"></a><var>313.29</var>    The license holder shall maintain a copy of the notification provided to <br/>
<a id="pl.313.30"></a><var>313.30</var>the commissioner under this paragraph in the program's files. If the individual's <br/>
<a id="pl.313.31"></a><var>313.31</var>disqualification was previously set aside for the license holder's program and the new <br/>
<a id="pl.313.32"></a><var>313.32</var>background study results in no new information that indicates the individual may pose a <br/>
<a id="pl.313.33"></a><var>313.33</var>risk of harm to persons receiving services from the license holder, the previous set-aside <br/>
<a id="pl.313.34"></a><var>313.34</var>shall remain in effect.<br/>
<a id="pl.314.1"></a><var>314.1</var>    (j) For purposes of this section, a physician licensed under chapter 147 is considered <br/>
<a id="pl.314.2"></a><var>314.2</var>to be continuously affiliated upon the license holder's receipt from the commissioner of <br/>
<a id="pl.314.3"></a><var>314.3</var>health or human services of the physician's background study results.<br/>
<a id="pl.314.4"></a><var>314.4</var>(k) For purposes of family child care, a substitute caregiver must receive repeat <br/>
<a id="pl.314.5"></a><var>314.5</var>background studies at the time of each license renewal.<br/>
<br/>
<a id="bill.16.19.0"></a><a id="pl.314.6"></a><var>314.6</var>    Sec. 19. Minnesota Statutes 2010, section 245C.05, subdivision 2, is amended to read:<br/>
<a id="pl.314.7"></a><var>314.7</var>    Subd. 2. <b>Applicant, license holder, or other entity.</b> The applicant, license holder, <br/>
<a id="pl.314.8"></a><var>314.8</var>or other entities as provided in this chapter shall provide verify that the information <br/>
<a id="pl.314.9"></a><var>314.9</var>collected under subdivision 1 about an individual who is the subject of the background <br/>
<a id="pl.314.10"></a><var>314.10</var>study is correct and must provide the information on forms or in a format prescribed by <br/>
<a id="pl.314.11"></a><var>314.11</var>the commissioner.<br/>
<br/>
<a id="bill.16.20.0"></a><a id="pl.314.12"></a><var>314.12</var>    Sec. 20. Minnesota Statutes 2010, section 245C.05, is amended by adding a <br/>
<a id="pl.314.13"></a><var>314.13</var>subdivision to read:<br/>
<a id="pl.314.14"></a><var>314.14</var>    Subd. 2c. <b>Privacy notice to background study subject.</b> (a) For every background <br/>
<a id="pl.314.15"></a><var>314.15</var>study, the commissioner's notice to the background study subject required under <br/>
<a id="pl.314.16"></a><var>314.16</var>section 13.04, subdivision 2, that is provided through the commissioner's electronic <br/>
<a id="pl.314.17"></a><var>314.17</var>NETStudy system or through the commissioner's background study forms shall include <br/>
<a id="pl.314.18"></a><var>314.18</var>the information in paragraph (b).<br/>
<a id="pl.314.19"></a><var>314.19</var>(b) The background study subject shall be informed that any previous background <br/>
<a id="pl.314.20"></a><var>314.20</var>studies that received a set-aside will be reviewed, and without further contact with the <br/>
<a id="pl.314.21"></a><var>314.21</var>background study subject, the commissioner may notify the agency that initiated the <br/>
<a id="pl.314.22"></a><var>314.22</var>subsequent background study:<br/>
<a id="pl.314.23"></a><var>314.23</var>(1) that the individual has a disqualification that has been set aside for the program <br/>
<a id="pl.314.24"></a><var>314.24</var>or agency that initiated the study;<br/>
<a id="pl.314.25"></a><var>314.25</var>(2) the reason for the disqualification; and<br/>
<a id="pl.314.26"></a><var>314.26</var>(3) information about the decision to set aside the disqualification will be available <br/>
<a id="pl.314.27"></a><var>314.27</var>to the license holder upon request without the consent of the background study subject.<br/>
<br/>
<a id="bill.16.21.0"></a><a id="pl.314.28"></a><var>314.28</var>    Sec. 21. Minnesota Statutes 2010, section 245C.05, subdivision 4, is amended to read:<br/>
<a id="pl.314.29"></a><var>314.29</var>    Subd. 4. <b>Electronic transmission.</b> (a) For background studies conducted by the <br/>
<a id="pl.314.30"></a><var>314.30</var>Department of Human Services, the commissioner shall implement a system for the <br/>
<a id="pl.314.31"></a><var>314.31</var>electronic transmission of:<br/>
<a id="pl.314.32"></a><var>314.32</var>    (1) background study information to the commissioner;<br/>
<a id="pl.314.33"></a><var>314.33</var>    (2) background study results to the license holder;<br/>
<a id="pl.315.1"></a><var>315.1</var>    (3) background study results to county and private agencies for background studies <br/>
<a id="pl.315.2"></a><var>315.2</var>conducted by the commissioner for child foster care; and<br/>
<a id="pl.315.3"></a><var>315.3</var>(4) background study results to county agencies for background studies conducted <br/>
<a id="pl.315.4"></a><var>315.4</var>by the commissioner for adult foster care and family adult day services.<br/>
<a id="pl.315.5"></a><var>315.5</var>(b) Unless the commissioner has granted a hardship variance under paragraph (c), a <br/>
<a id="pl.315.6"></a><var>315.6</var>license holder or an applicant must use the electronic transmission system known as <br/>
<a id="pl.315.7"></a><var>315.7</var>NETStudy to submit all requests for background studies to the commissioner as required <br/>
<a id="pl.315.8"></a><var>315.8</var>by this chapter.<br/>
<a id="pl.315.9"></a><var>315.9</var>(c) A license holder or applicant whose program is located in an area in which <br/>
<a id="pl.315.10"></a><var>315.10</var>high-speed Internet is inaccessible may request the commissioner to grant a variance to <br/>
<a id="pl.315.11"></a><var>315.11</var>the electronic transmission requirement.<br/>
<br/>
<a id="bill.16.22.0"></a><a id="pl.315.12"></a><var>315.12</var>    Sec. 22. Minnesota Statutes 2010, section 245C.05, subdivision 7, is amended to read:<br/>
<a id="pl.315.13"></a><var>315.13</var>    Subd. 7. <b>Probation officer and corrections agent.</b> (a) A probation officer or <br/>
<a id="pl.315.14"></a><var>315.14</var>corrections agent shall notify the commissioner of an individual's conviction if the <br/>
<a id="pl.315.15"></a><var>315.15</var>individual is:<br/>
<a id="pl.315.16"></a><var>315.16</var>    (1) has been affiliated with a program or facility regulated by the Department of <br/>
<a id="pl.315.17"></a><var>315.17</var>Human Services or Department of Health, a facility serving children or youth licensed by <br/>
<a id="pl.315.18"></a><var>315.18</var>the Department of Corrections, or any type of home care agency or provider of personal <br/>
<a id="pl.315.19"></a><var>315.19</var>care assistance services within the preceding year; and<br/>
<a id="pl.315.20"></a><var>315.20</var>    (2) has been convicted of a crime constituting a disqualification under section <br/>
<statute_ref><a id="pl.315.21"></a><var>315.21</var>245C.14
         </statute_ref>.<br/>
<a id="pl.315.22"></a><var>315.22</var>    (b) For the purpose of this subdivision, "conviction" has the meaning given it <br/>
<a id="pl.315.23"></a><var>315.23</var>in section 
         <statute_ref>609.02, subdivision 5</statute_ref>.<br/>
<a id="pl.315.24"></a><var>315.24</var>    (c) The commissioner, in consultation with the commissioner of corrections, shall <br/>
<a id="pl.315.25"></a><var>315.25</var>develop forms and information necessary to implement this subdivision and shall provide <br/>
<a id="pl.315.26"></a><var>315.26</var>the forms and information to the commissioner of corrections for distribution to local <br/>
<a id="pl.315.27"></a><var>315.27</var>probation officers and corrections agents.<br/>
<a id="pl.315.28"></a><var>315.28</var>    (d) The commissioner shall inform individuals subject to a background study that <br/>
<a id="pl.315.29"></a><var>315.29</var>criminal convictions for disqualifying crimes will be reported to the commissioner by the <br/>
<a id="pl.315.30"></a><var>315.30</var>corrections system.<br/>
<a id="pl.315.31"></a><var>315.31</var>    (e) A probation officer, corrections agent, or corrections agency is not civilly or <br/>
<a id="pl.315.32"></a><var>315.32</var>criminally liable for disclosing or failing to disclose the information required by this <br/>
<a id="pl.315.33"></a><var>315.33</var>subdivision.<br/>
<a id="pl.315.34"></a><var>315.34</var>    (f) Upon receipt of disqualifying information, the commissioner shall provide the <br/>
<a id="pl.315.35"></a><var>315.35</var>notice required under section 
         <statute_ref>245C.17</statute_ref>, as appropriate, to agencies on record as having <br/>
<a id="pl.316.1"></a><var>316.1</var>initiated a background study or making a request for documentation of the background <br/>
<a id="pl.316.2"></a><var>316.2</var>study status of the individual.<br/>
<a id="pl.316.3"></a><var>316.3</var>    (g) This subdivision does not apply to family child care programs.<br/>
<br/>
<a id="bill.16.23.0"></a><a id="pl.316.4"></a><var>316.4</var>    Sec. 23. Minnesota Statutes 2010, section 245C.07, is amended to read:<br/>
<a id="pl.316.5"></a><var>316.5</var><b>245C.07 STUDY SUBJECT AFFILIATED WITH MULTIPLE FACILITIES.</b><br/>
<a id="pl.316.6"></a><var>316.6</var>    (a) Except for child foster care and adoption agencies, Subject to the conditions in <br/>
<a id="pl.316.7"></a><var>316.7</var>paragraph (d), when a license holder, applicant, or other entity owns multiple programs or <br/>
<a id="pl.316.8"></a><var>316.8</var>services that are licensed by the Department of Human Services, Department of Health, or <br/>
<a id="pl.316.9"></a><var>316.9</var>Department of Corrections, only one background study is required for an individual who <br/>
<a id="pl.316.10"></a><var>316.10</var>provides direct contact services in one or more of the licensed programs or services if:<br/>
<a id="pl.316.11"></a><var>316.11</var>    (1) the license holder designates one individual with one address and telephone <br/>
<a id="pl.316.12"></a><var>316.12</var>number as the person to receive sensitive background study information for the multiple <br/>
<a id="pl.316.13"></a><var>316.13</var>licensed programs or services that depend on the same background study; and<br/>
<a id="pl.316.14"></a><var>316.14</var>    (2) the individual designated to receive the sensitive background study information <br/>
<a id="pl.316.15"></a><var>316.15</var>is capable of determining, upon request of the department, whether a background study <br/>
<a id="pl.316.16"></a><var>316.16</var>subject is providing direct contact services in one or more of the license holder's programs <br/>
<a id="pl.316.17"></a><var>316.17</var>or services and, if so, at which location or locations.<br/>
<a id="pl.316.18"></a><var>316.18</var>    (b) When a license holder maintains background study compliance for multiple <br/>
<a id="pl.316.19"></a><var>316.19</var>licensed programs according to paragraph (a), and one or more of the licensed programs <br/>
<a id="pl.316.20"></a><var>316.20</var>closes, the license holder shall immediately notify the commissioner which staff must be <br/>
<a id="pl.316.21"></a><var>316.21</var>transferred to an active license so that the background studies can be electronically paired <br/>
<a id="pl.316.22"></a><var>316.22</var>with the license holder's active program.<br/>
<a id="pl.316.23"></a><var>316.23</var>    (c) When a background study is being initiated by a licensed program or service or a <br/>
<a id="pl.316.24"></a><var>316.24</var>foster care provider that is also registered under chapter 144D, a study subject affiliated <br/>
<a id="pl.316.25"></a><var>316.25</var>with multiple licensed programs or services may attach to the background study form a <br/>
<a id="pl.316.26"></a><var>316.26</var>cover letter indicating the additional names of the programs or services, addresses, and <br/>
<a id="pl.316.27"></a><var>316.27</var>background study identification numbers.<br/>
<a id="pl.316.28"></a><var>316.28</var>    When the commissioner receives a notice, the commissioner shall notify each <br/>
<a id="pl.316.29"></a><var>316.29</var>program or service identified by the background study subject of the study results.<br/>
<a id="pl.316.30"></a><var>316.30</var>    The background study notice the commissioner sends to the subsequent agencies <br/>
<a id="pl.316.31"></a><var>316.31</var>shall satisfy those programs' or services' responsibilities for initiating a background study <br/>
<a id="pl.316.32"></a><var>316.32</var>on that individual.<br/>
<a id="pl.316.33"></a><var>316.33</var>(d) If a background study was conducted on an individual related to child foster care <br/>
<a id="pl.316.34"></a><var>316.34</var>and the requirements under paragraph (a) are met, the background study is transferable <br/>
<a id="pl.316.35"></a><var>316.35</var>across all licensed programs. If a background study was conducted on an individual under <br/>
<a id="pl.317.1"></a><var>317.1</var>a license other than child foster care and the requirements under paragraph (a) are met, the <br/>
<a id="pl.317.2"></a><var>317.2</var>background study is transferable to all licensed programs except child foster care.<br/>
<a id="pl.317.3"></a><var>317.3</var>(e) The provisions of this section that allow a single background study in one <br/>
<a id="pl.317.4"></a><var>317.4</var>or more licensed programs or services do not apply to background studies submitted <br/>
<a id="pl.317.5"></a><var>317.5</var>by adoption agencies, supplemental nursing services agencies, personnel agencies, <br/>
<a id="pl.317.6"></a><var>317.6</var>educational programs, professional services agencies, and unlicensed personal care <br/>
<a id="pl.317.7"></a><var>317.7</var>provider organizations.<br/>
<br/>
<a id="bill.16.24.0"></a><a id="pl.317.8"></a><var>317.8</var>    Sec. 24. Minnesota Statutes 2010, section 245C.08, subdivision 1, is amended to read:<br/>
<a id="pl.317.9"></a><var>317.9</var>    Subdivision 1. <b>Background studies conducted by Department of Human </b><br/>
<a id="pl.317.10"></a><var>317.10</var><b>Services.</b> (a) For a background study conducted by the Department of Human Services, <br/>
<a id="pl.317.11"></a><var>317.11</var>the commissioner shall review:<br/>
<a id="pl.317.12"></a><var>317.12</var>    (1) information related to names of substantiated perpetrators of maltreatment of <br/>
<a id="pl.317.13"></a><var>317.13</var>vulnerable adults that has been received by the commissioner as required under section <br/>
<statute_ref><a id="pl.317.14"></a><var>317.14</var>626.557, subdivision 9c
         </statute_ref>, paragraph (j);<br/>
<a id="pl.317.15"></a><var>317.15</var>    (2) the commissioner's records relating to the maltreatment of minors in licensed <br/>
<a id="pl.317.16"></a><var>317.16</var>programs, and from findings of maltreatment of minors as indicated through the social <br/>
<a id="pl.317.17"></a><var>317.17</var>service information system;<br/>
<a id="pl.317.18"></a><var>317.18</var>    (3) information from juvenile courts as required in subdivision 4 for individuals <br/>
<a id="pl.317.19"></a><var>317.19</var>listed in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), when there is reasonable cause;<br/>
<a id="pl.317.20"></a><var>317.20</var>    (4) information from the Bureau of Criminal Apprehension;<br/>
<a id="pl.317.21"></a><var>317.21</var>    (5) except as provided in clause (6), information from the national crime information <br/>
<a id="pl.317.22"></a><var>317.22</var>system when the commissioner has reasonable cause as defined under section 
         <statute_ref>245C.05</statute_ref>, <br/>
<a id="pl.317.23"></a><var>317.23</var>subdivision 5; and<br/>
<a id="pl.317.24"></a><var>317.24</var>    (6) for a background study related to a child foster care application for licensure or <br/>
<a id="pl.317.25"></a><var>317.25</var>adoptions, the commissioner shall also review:<br/>
<a id="pl.317.26"></a><var>317.26</var>    (i) information from the child abuse and neglect registry for any state in which the <br/>
<a id="pl.317.27"></a><var>317.27</var>background study subject has resided for the past five years; and<br/>
<a id="pl.317.28"></a><var>317.28</var>    (ii) information from national crime information databases, when the background <br/>
<a id="pl.317.29"></a><var>317.29</var>study subject is 18 years of age or older.<br/>
<a id="pl.317.30"></a><var>317.30</var>    (b) Notwithstanding expungement by a court, the commissioner may consider <br/>
<a id="pl.317.31"></a><var>317.31</var>information obtained under paragraph (a), clauses (3) and (4), unless the commissioner <br/>
<a id="pl.317.32"></a><var>317.32</var>received notice of the petition for expungement and the court order for expungement is <br/>
<a id="pl.317.33"></a><var>317.33</var>directed specifically to the commissioner. When the commissioner has reasonable cause to <br/>
<a id="pl.317.34"></a><var>317.34</var>believe that the identity of a background study subject is uncertain, the commissioner shall <br/>
<a id="pl.318.1"></a><var>318.1</var>require the subject to provide a set of classifiable fingerprints and may review the subject's <br/>
<a id="pl.318.2"></a><var>318.2</var>national criminal history record information.<br/>
<br/>
<a id="bill.16.25.0"></a><a id="pl.318.3"></a><var>318.3</var>    Sec. 25. Minnesota Statutes 2010, section 245C.14, subdivision 2, is amended to read:<br/>
<a id="pl.318.4"></a><var>318.4</var>    Subd. 2. <b>Disqualification from access.</b> (a) If an individual who is studied under <br/>
<a id="pl.318.5"></a><var>318.5</var>section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), clauses (2), (5), and (6), is disqualified from <br/>
<a id="pl.318.6"></a><var>318.6</var>direct contact under subdivision 1, the commissioner shall also disqualify the individual <br/>
<a id="pl.318.7"></a><var>318.7</var>from access to a person receiving services from the license holder.<br/>
<a id="pl.318.8"></a><var>318.8</var>(b) No individual who is disqualified following a background study under section <br/>
<statute_ref><a id="pl.318.9"></a><var>318.9</var>245C.03, subdivision 1
         </statute_ref>, paragraph (a), clauses (2), (5), and (6), or as provided elsewhere <br/>
<a id="pl.318.10"></a><var>318.10</var>in statute who is disqualified as a result of this section, may be allowed access to persons <br/>
<a id="pl.318.11"></a><var>318.11</var>served by the program unless the commissioner has provided written notice under section <br/>
<statute_ref><a id="pl.318.12"></a><var>318.12</var>245C.17
         </statute_ref> stating that:<br/>
<a id="pl.318.13"></a><var>318.13</var>(1) the individual may remain in direct contact during the period in which the <br/>
<a id="pl.318.14"></a><var>318.14</var>individual may request reconsideration as provided in section 
         <statute_ref>245C.21, subdivision 2</statute_ref>;<br/>
<a id="pl.318.15"></a><var>318.15</var>(2) the commissioner has set aside the individual's disqualification for that <br/>
<a id="pl.318.16"></a><var>318.16</var>licensed program or entity identified in section 
         <statute_ref>245C.03</statute_ref> as provided in section 
         <statute_ref>245C.22, <br/>
<a id="pl.318.17"></a><var>318.17</var>subdivision 4
         </statute_ref>; or<br/>
<a id="pl.318.18"></a><var>318.18</var>(3) the license holder has been granted a variance for the disqualified individual <br/>
<a id="pl.318.19"></a><var>318.19</var>under section 
         <statute_ref>245C.30</statute_ref>.<br/>
<br/>
<a id="bill.16.26.0"></a><a id="pl.318.20"></a><var>318.20</var>    Sec. 26. Minnesota Statutes 2010, section 245C.16, subdivision 1, is amended to read:<br/>
<a id="pl.318.21"></a><var>318.21</var>    Subdivision 1. <b>Determining immediate risk of harm.</b> (a) If the commissioner <br/>
<a id="pl.318.22"></a><var>318.22</var>determines that the individual studied has a disqualifying characteristic, the commissioner <br/>
<a id="pl.318.23"></a><var>318.23</var>shall review the information immediately available and make a determination as to the <br/>
<a id="pl.318.24"></a><var>318.24</var>subject's immediate risk of harm to persons served by the program where the individual <br/>
<a id="pl.318.25"></a><var>318.25</var>studied will have direct contact with, or access to, people receiving services.<br/>
<a id="pl.318.26"></a><var>318.26</var>    (b) The commissioner shall consider all relevant information available, including the <br/>
<a id="pl.318.27"></a><var>318.27</var>following factors in determining the immediate risk of harm:<br/>
<a id="pl.318.28"></a><var>318.28</var>    (1) the recency of the disqualifying characteristic;<br/>
<a id="pl.318.29"></a><var>318.29</var>    (2) the recency of discharge from probation for the crimes;<br/>
<a id="pl.318.30"></a><var>318.30</var>    (3) the number of disqualifying characteristics;<br/>
<a id="pl.318.31"></a><var>318.31</var>    (4) the intrusiveness or violence of the disqualifying characteristic;<br/>
<a id="pl.318.32"></a><var>318.32</var>    (5) the vulnerability of the victim involved in the disqualifying characteristic;<br/>
<a id="pl.318.33"></a><var>318.33</var>    (6) the similarity of the victim to the persons served by the program where the <br/>
<a id="pl.318.34"></a><var>318.34</var>individual studied will have direct contact;<br/>
<a id="pl.319.1"></a><var>319.1</var>    (7) whether the individual has a disqualification from a previous background study <br/>
<a id="pl.319.2"></a><var>319.2</var>that has not been set aside; and<br/>
<a id="pl.319.3"></a><var>319.3</var>    (8) if the individual has a disqualification which may not be set aside because it is <br/>
<a id="pl.319.4"></a><var>319.4</var>a permanent bar under section 
         <statute_ref>245C.24, subdivision 1</statute_ref>, the commissioner may order the <br/>
<a id="pl.319.5"></a><var>319.5</var>immediate removal of the individual from any position allowing direct contact with, or <br/>
<a id="pl.319.6"></a><var>319.6</var>access to, persons receiving services from the program.<br/>
<a id="pl.319.7"></a><var>319.7</var>    (c) This section does not apply when the subject of a background study is regulated <br/>
<a id="pl.319.8"></a><var>319.8</var>by a health-related licensing board as defined in chapter 214, and the subject is determined <br/>
<a id="pl.319.9"></a><var>319.9</var>to be responsible for substantiated maltreatment under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref>.<br/>
<a id="pl.319.10"></a><var>319.10</var>    (d) This section does not apply to a background study related to an initial application <br/>
<a id="pl.319.11"></a><var>319.11</var>for a child foster care license.<br/>
<a id="pl.319.12"></a><var>319.12</var>(e) This section does not apply to a background study that is also subject to the <br/>
<a id="pl.319.13"></a><var>319.13</var>requirements under section 256B.0659, subdivisions 11 and 13, for a personal care <br/>
<a id="pl.319.14"></a><var>319.14</var>assistant or a qualified professional as defined in section 256B.0659, subdivision 1.<br/>
<a id="pl.319.15"></a><var>319.15</var>    (e) (f) If the commissioner has reason to believe, based on arrest information or an <br/>
<a id="pl.319.16"></a><var>319.16</var>active maltreatment investigation, that an individual poses an imminent risk of harm to <br/>
<a id="pl.319.17"></a><var>319.17</var>persons receiving services, the commissioner may order that the person be continuously <br/>
<a id="pl.319.18"></a><var>319.18</var>supervised or immediately removed pending the conclusion of the maltreatment <br/>
<a id="pl.319.19"></a><var>319.19</var>investigation or criminal proceedings.<br/>
<br/>
<a id="bill.16.27.0"></a><a id="pl.319.20"></a><var>319.20</var>    Sec. 27. Minnesota Statutes 2010, section 245C.17, subdivision 2, is amended to read:<br/>
<a id="pl.319.21"></a><var>319.21</var>    Subd. 2. <b>Disqualification notice sent to subject.</b> (a) If the information in the study <br/>
<a id="pl.319.22"></a><var>319.22</var>indicates the individual is disqualified from direct contact with, or from access to, persons <br/>
<a id="pl.319.23"></a><var>319.23</var>served by the program, the commissioner shall disclose to the individual studied:<br/>
<a id="pl.319.24"></a><var>319.24</var>    (1) the information causing disqualification;<br/>
<a id="pl.319.25"></a><var>319.25</var>    (2) instructions on how to request a reconsideration of the disqualification;<br/>
<a id="pl.319.26"></a><var>319.26</var>    (3) an explanation of any restrictions on the commissioner's discretion to set aside <br/>
<a id="pl.319.27"></a><var>319.27</var>the disqualification under section 
         <statute_ref>245C.24</statute_ref>, when applicable to the individual;<br/>
<a id="pl.319.28"></a><var>319.28</var>(4) a statement that, if the individual's disqualification is set aside under section <br/>
<a id="pl.319.29"></a><var>319.29</var>245C.22, the applicant, license holder, or other entity that initiated the background study <br/>
<a id="pl.319.30"></a><var>319.30</var>will be provided with the reason for the individual's disqualification and an explanation <br/>
<a id="pl.319.31"></a><var>319.31</var>that the factors under section 245C.22, subdivision 4, which were the basis of the decision <br/>
<a id="pl.319.32"></a><var>319.32</var>to set aside the disqualification shall be made available to the license holder upon request <br/>
<a id="pl.319.33"></a><var>319.33</var>without the consent of the subject of the background study;<br/>
<a id="pl.319.34"></a><var>319.34</var>    (4) (5) a statement indicating that if the individual's disqualification is set aside or <br/>
<a id="pl.319.35"></a><var>319.35</var>the facility is granted a variance under section 
         <statute_ref>245C.30</statute_ref>, the individual's identity and the <br/>
<a id="pl.320.1"></a><var>320.1</var>reason for the individual's disqualification will become public data under section 
         <statute_ref>245C.22, <br/>
<a id="pl.320.2"></a><var>320.2</var>subdivision 7
         </statute_ref>, when applicable to the individual; and<br/>
<a id="pl.320.3"></a><var>320.3</var>(6) a statement that when a subsequent background study is initiated on the <br/>
<a id="pl.320.4"></a><var>320.4</var>individual following a set-aside of the individual's disqualification, and the commissioner <br/>
<a id="pl.320.5"></a><var>320.5</var>makes a determination under section 245C.22, subdivision 5, paragraph (b), that the <br/>
<a id="pl.320.6"></a><var>320.6</var>previous set-aside applies to the subsequent background study, the applicant, license <br/>
<a id="pl.320.7"></a><var>320.7</var>holder, or other entity that initiated the background study will be informed in the notice <br/>
<a id="pl.320.8"></a><var>320.8</var>under section 245C.22, subdivision 5, paragraph (c):<br/>
<a id="pl.320.9"></a><var>320.9</var>(i) of the reason for the individual's disqualification;<br/>
<a id="pl.320.10"></a><var>320.10</var>(ii) that the individual's disqualification is set aside for that program or agency; and<br/>
<a id="pl.320.11"></a><var>320.11</var>(iii) that information about the factors under section 245C.22, subdivision 4, that <br/>
<a id="pl.320.12"></a><var>320.12</var>were the basis of the decision to set aside the disqualification are available to the license <br/>
<a id="pl.320.13"></a><var>320.13</var>holder upon request without the consent of the background study subject; and<br/>
<a id="pl.320.14"></a><var>320.14</var>    (5) (7) the commissioner's determination of the individual's immediate risk of harm <br/>
<a id="pl.320.15"></a><var>320.15</var>under section 
         <statute_ref>245C.16</statute_ref>.<br/>
<a id="pl.320.16"></a><var>320.16</var>    (b) If the commissioner determines under section 
         <statute_ref>245C.16</statute_ref> that an individual poses <br/>
<a id="pl.320.17"></a><var>320.17</var>an imminent risk of harm to persons served by the program where the individual will have <br/>
<a id="pl.320.18"></a><var>320.18</var>direct contact with, or access to, people receiving services, the commissioner's notice must <br/>
<a id="pl.320.19"></a><var>320.19</var>include an explanation of the basis of this determination.<br/>
<a id="pl.320.20"></a><var>320.20</var>    (c) If the commissioner determines under section 
         <statute_ref>245C.16</statute_ref> that an individual studied <br/>
<a id="pl.320.21"></a><var>320.21</var>does not pose a risk of harm that requires immediate removal, the individual shall be <br/>
<a id="pl.320.22"></a><var>320.22</var>informed of the conditions under which the agency that initiated the background study <br/>
<a id="pl.320.23"></a><var>320.23</var>may allow the individual to have direct contact with, or access to, people receiving <br/>
<a id="pl.320.24"></a><var>320.24</var>services, as provided under subdivision 3.<br/>
<br/>
<a id="bill.16.28.0"></a><a id="pl.320.25"></a><var>320.25</var>    Sec. 28. Minnesota Statutes 2010, section 245C.22, subdivision 5, is amended to read:<br/>
<a id="pl.320.26"></a><var>320.26</var>    Subd. 5. <b>Scope of set-aside.</b> (a) If the commissioner sets aside a disqualification <br/>
<a id="pl.320.27"></a><var>320.27</var>under this section, the disqualified individual remains disqualified, but may hold a license <br/>
<a id="pl.320.28"></a><var>320.28</var>and have direct contact with or access to persons receiving services.  Except as provided <br/>
<a id="pl.320.29"></a><var>320.29</var>in paragraph (b), the commissioner's set-aside of a disqualification is limited solely <br/>
<a id="pl.320.30"></a><var>320.30</var>to the licensed program, applicant, or agency specified in the set aside notice under <br/>
<a id="pl.320.31"></a><var>320.31</var>section 
         <statute_ref>245C.23</statute_ref>, unless otherwise specified in the notice. For personal care provider <br/>
<a id="pl.320.32"></a><var>320.32</var>organizations, the commissioner's set-aside may further be limited to a specific individual <br/>
<a id="pl.320.33"></a><var>320.33</var>who is receiving services. For new background studies required under section 245C.04, <br/>
<a id="pl.320.34"></a><var>320.34</var>subdivision 1, paragraph (i), if an individual's disqualification was previously set aside for <br/>
<a id="pl.320.35"></a><var>320.35</var>the license holder's program and the new background study results in no new information <br/>
<a id="pl.321.1"></a><var>321.1</var>that indicates the individual may pose a risk of harm to persons receiving services from <br/>
<a id="pl.321.2"></a><var>321.2</var>the license holder, the previous set-aside shall remain in effect.<br/>
<a id="pl.321.3"></a><var>321.3</var>(b) If the commissioner has previously set aside an individual's disqualification <br/>
<a id="pl.321.4"></a><var>321.4</var>for one or more programs or agencies, and the individual is the subject of a subsequent <br/>
<a id="pl.321.5"></a><var>321.5</var>background study for a different program or agency, the commissioner shall determine <br/>
<a id="pl.321.6"></a><var>321.6</var>whether the disqualification is set aside for the program or agency that initiated the <br/>
<a id="pl.321.7"></a><var>321.7</var>subsequent background study. A notice of a set-aside under paragraph (c) shall be issued <br/>
<a id="pl.321.8"></a><var>321.8</var>within 15 working days if all of the following criteria are met:<br/>
<a id="pl.321.9"></a><var>321.9</var>(1) the subsequent background study was initiated in connection with a program <br/>
<a id="pl.321.10"></a><var>321.10</var>licensed or regulated under the same provisions of law and rule for at least one program <br/>
<a id="pl.321.11"></a><var>321.11</var>for which the individual's disqualification was previously set aside by the commissioner;<br/>
<a id="pl.321.12"></a><var>321.12</var>(2) the individual is not disqualified for an offense specified in section 245C.15, <br/>
<a id="pl.321.13"></a><var>321.13</var>subdivision 1 or 2;<br/>
<a id="pl.321.14"></a><var>321.14</var>(3) the commissioner has received no new information to indicate that the individual <br/>
<a id="pl.321.15"></a><var>321.15</var>may pose a risk of harm to any person served by the program; and<br/>
<a id="pl.321.16"></a><var>321.16</var>(4) the previous set-aside was not limited to a specific person receiving services.<br/>
<a id="pl.321.17"></a><var>321.17</var>(c) When a disqualification is set aside under paragraph (b), the notice of background <br/>
<a id="pl.321.18"></a><var>321.18</var>study results issued under section 245C.17, in addition to the requirements under section <br/>
<a id="pl.321.19"></a><var>321.19</var>245C.17, shall state that the disqualification is set aside for the program or agency that <br/>
<a id="pl.321.20"></a><var>321.20</var>initiated the subsequent background study. The notice must inform the individual that the <br/>
<a id="pl.321.21"></a><var>321.21</var>individual may request reconsideration of the disqualification under section 245C.21 on <br/>
<a id="pl.321.22"></a><var>321.22</var>the basis that the information used to disqualify the individual is incorrect.<br/>
<br/>
<a id="bill.16.29.0"></a><a id="pl.321.23"></a><var>321.23</var>    Sec. 29. Minnesota Statutes 2010, section 245C.23, subdivision 2, is amended to read:<br/>
<a id="pl.321.24"></a><var>321.24</var>    Subd. 2. <b>Commissioner's notice of disqualification that is not set aside.</b> (a) The <br/>
<a id="pl.321.25"></a><var>321.25</var>commissioner shall notify the license holder of the disqualification and order the license <br/>
<a id="pl.321.26"></a><var>321.26</var>holder to immediately remove the individual from any position allowing direct contact <br/>
<a id="pl.321.27"></a><var>321.27</var>with persons receiving services from the license holder if:<br/>
<a id="pl.321.28"></a><var>321.28</var>    (1) the individual studied does not submit a timely request for reconsideration <br/>
<a id="pl.321.29"></a><var>321.29</var>under section 
         <statute_ref>245C.21</statute_ref>;<br/>
<a id="pl.321.30"></a><var>321.30</var>    (2) the individual submits a timely request for reconsideration, but the commissioner <br/>
<a id="pl.321.31"></a><var>321.31</var>does not set aside the disqualification for that license holder under section 
         <statute_ref>245C.22</statute_ref>;<br/>
<a id="pl.321.32"></a><var>321.32</var>    (3) an individual who has a right to request a hearing under sections 
         <statute_ref>245C.27</statute_ref> and <br/>
<statute_ref><a id="pl.321.33"></a><var>321.33</var>256.045
         </statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14 for a disqualification that has not been set aside, does <br/>
<a id="pl.321.34"></a><var>321.34</var>not request a hearing within the specified time; or<br/>
<a id="pl.322.1"></a><var>322.1</var>    (4) an individual submitted a timely request for a hearing under sections 
         <statute_ref>245C.27 <br/>
</statute_ref><a id="pl.322.2"></a><var>322.2</var>and 
         <statute_ref>256.045</statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14, but the commissioner does not set aside the <br/>
<a id="pl.322.3"></a><var>322.3</var>disqualification under section 
         <statute_ref>245A.08, subdivision 5</statute_ref>, or 
         <statute_ref>256.045</statute_ref>.<br/>
<a id="pl.322.4"></a><var>322.4</var>    (b) If the commissioner does not set aside the disqualification under section 
         <statute_ref>245C.22</statute_ref>, <br/>
<a id="pl.322.5"></a><var>322.5</var>and the license holder was previously ordered under section 
         <statute_ref>245C.17</statute_ref> to immediately <br/>
<a id="pl.322.6"></a><var>322.6</var>remove the disqualified individual from direct contact with persons receiving services or <br/>
<a id="pl.322.7"></a><var>322.7</var>to ensure that the individual is under continuous, direct supervision when providing direct <br/>
<a id="pl.322.8"></a><var>322.8</var>contact services, the order remains in effect pending the outcome of a hearing under <br/>
<a id="pl.322.9"></a><var>322.9</var>sections 
         <statute_ref>245C.27</statute_ref> and 
         <statute_ref>256.045</statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14.<br/>
<a id="pl.322.10"></a><var>322.10</var>(c) If the commissioner does not set aside the disqualification under section <br/>
<a id="pl.322.11"></a><var>322.11</var>245C.22, and the license holder was not previously ordered to immediately remove the <br/>
<a id="pl.322.12"></a><var>322.12</var>individual from any position allowing direct contact with persons receiving services from <br/>
<a id="pl.322.13"></a><var>322.13</var>the program or to ensure that the individual is under continuous, direct supervision when <br/>
<a id="pl.322.14"></a><var>322.14</var>providing direct contact services, the commissioner shall order the license holder to ensure <br/>
<a id="pl.322.15"></a><var>322.15</var>that the individual remains under continuous, direct supervision when providing direct <br/>
<a id="pl.322.16"></a><var>322.16</var>contact services pending the outcome of a hearing under sections 245C.27 and 256.045, or <br/>
<a id="pl.322.17"></a><var>322.17</var>245C.28 and chapter 14.<br/>
<a id="pl.322.18"></a><var>322.18</var>    (c) (d) For background studies related to child foster care, the commissioner shall <br/>
<a id="pl.322.19"></a><var>322.19</var>also notify the county or private agency that initiated the study of the results of the <br/>
<a id="pl.322.20"></a><var>322.20</var>reconsideration.<br/>
<a id="pl.322.21"></a><var>322.21</var>(d) (e) For background studies related to adult foster care and family adult day <br/>
<a id="pl.322.22"></a><var>322.22</var>services, the commissioner shall also notify the county that initiated the study of the <br/>
<a id="pl.322.23"></a><var>322.23</var>results of the reconsideration.<br/>
<br/>
<a id="bill.16.30.0"></a><a id="pl.322.24"></a><var>322.24</var>    Sec. 30. Minnesota Statutes 2010, section 471.709, is amended to read:<br/>
<a id="pl.322.25"></a><var>322.25</var><b>471.709 LICENSE; PERMIT.</b><br/>
<a id="pl.322.26"></a><var>322.26</var>    Notwithstanding any law to the contrary, a municipality shall not require a massage <br/>
<a id="pl.322.27"></a><var>322.27</var>therapist to obtain a license or permit when the therapist is working for or an employee of <br/>
<a id="pl.322.28"></a><var>322.28</var>is hired or employed by, and exclusively provides treatment on the premises of, a medical <br/>
<a id="pl.322.29"></a><var>322.29</var>professional licensed under chapter 147 or 148 or a dental professional licensed under <br/>
<a id="pl.322.30"></a><var>322.30</var>chapter 150A. A massage therapist is not limited to providing treatment to patients of the <br/>
<a id="pl.322.31"></a><var>322.31</var>medical or dental professional.<br/>
<br/>
<a id="bill.16.31.0"></a><a id="pl.322.32"></a><var>322.32</var>    Sec. 31. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.323.1"></a><var>323.1</var>The revisor shall renumber Minnesota Statutes, section 245B.05, subdivision 4, as <br/>
<a id="pl.323.2"></a><var>323.2</var>Minnesota Statutes, section 245A.04, subdivision 2a. The revisor shall make necessary <br/>
<a id="pl.323.3"></a><var>323.3</var>cross-reference changes to effectuate this renumbering.<br/>
<br/>
<a id="bill.17.0.0"></a>

<a id="bill.17.1.0"></a><a id="pl.323.6"></a><var>323.6</var>    Section 1. Minnesota Statutes 2010, section 245A.04, subdivision 1, is amended to <br/>
<a id="pl.323.7"></a><var>323.7</var>read:<br/>
<a id="pl.323.8"></a><var>323.8</var>    Subdivision 1. <b>Application for licensure.</b> (a) An individual, corporation, <br/>
<a id="pl.323.9"></a><var>323.9</var>partnership, voluntary association, other organization or controlling individual that is <br/>
<a id="pl.323.10"></a><var>323.10</var>subject to licensure under section 
         <statute_ref>245A.03</statute_ref> must apply for a license. The application <br/>
<a id="pl.323.11"></a><var>323.11</var>must be made on the forms and in the manner prescribed by the commissioner. The <br/>
<a id="pl.323.12"></a><var>323.12</var>commissioner shall provide the applicant with instruction in completing the application <br/>
<a id="pl.323.13"></a><var>323.13</var>and provide information about the rules and requirements of other state agencies that affect <br/>
<a id="pl.323.14"></a><var>323.14</var>the applicant. An applicant seeking licensure in Minnesota with headquarters outside of <br/>
<a id="pl.323.15"></a><var>323.15</var>Minnesota must have a program office located within the state.<br/>
<a id="pl.323.16"></a><var>323.16</var>The commissioner shall act on the application within 90 working days after a <br/>
<a id="pl.323.17"></a><var>323.17</var>complete application and any required reports have been received from other state <br/>
<a id="pl.323.18"></a><var>323.18</var>agencies or departments, counties, municipalities, or other political subdivisions. The <br/>
<a id="pl.323.19"></a><var>323.19</var>commissioner shall not consider an application to be complete until the commissioner <br/>
<a id="pl.323.20"></a><var>323.20</var>receives all of the information required under section 
         <statute_ref>245C.05</statute_ref>.<br/>
<a id="pl.323.21"></a><var>323.21</var>(b) An application for licensure must specify one or more controlling individuals as <br/>
<a id="pl.323.22"></a><var>323.22</var>an agent who is responsible for dealing with the commissioner of human services on all <br/>
<a id="pl.323.23"></a><var>323.23</var>matters provided for in this chapter and on whom service of all notices and orders must be <br/>
<a id="pl.323.24"></a><var>323.24</var>made. The agent must be authorized to accept service on behalf of all of the controlling <br/>
<a id="pl.323.25"></a><var>323.25</var>individuals of the program. Service on the agent is service on all of the controlling <br/>
<a id="pl.323.26"></a><var>323.26</var>individuals of the program. It is not a defense to any action arising under this chapter that <br/>
<a id="pl.323.27"></a><var>323.27</var>service was not made on each controlling individual of the program. The designation of <br/>
<a id="pl.323.28"></a><var>323.28</var>one or more controlling individuals as agents under this paragraph does not affect the legal <br/>
<a id="pl.323.29"></a><var>323.29</var>responsibility of any other controlling individual under this chapter.<br/>
<a id="pl.323.30"></a><var>323.30</var>(c) An applicant or license holder must have a policy that prohibits license holders, <br/>
<a id="pl.323.31"></a><var>323.31</var>employees, subcontractors, and volunteers, when directly responsible for persons served <br/>
<a id="pl.323.32"></a><var>323.32</var>by the program, from abusing prescription medication or being in any manner under <br/>
<a id="pl.323.33"></a><var>323.33</var>the influence of a chemical that impairs the individual's ability to provide services or <br/>
<a id="pl.323.34"></a><var>323.34</var>care. The license holder must train employees, subcontractors, and volunteers about the <br/>
<a id="pl.323.35"></a><var>323.35</var>program's drug and alcohol policy.<br/>
<a id="pl.324.1"></a><var>324.1</var>(d) An applicant and license holder must have a program grievance procedure that <br/>
<a id="pl.324.2"></a><var>324.2</var>permits persons served by the program and their authorized representatives to bring a <br/>
<a id="pl.324.3"></a><var>324.3</var>grievance to the highest level of authority in the program.<br/>
<a id="pl.324.4"></a><var>324.4</var>(e) At the time of application for licensure or renewal of a license, the applicant <br/>
<a id="pl.324.5"></a><var>324.5</var>or license holder must acknowledge on the form provided by the commissioner if the <br/>
<a id="pl.324.6"></a><var>324.6</var>applicant or license holder elects to receive any public funding reimbursement from the <br/>
<a id="pl.324.7"></a><var>324.7</var>commissioner for services provided under the license that:<br/>
<a id="pl.324.8"></a><var>324.8</var>(1) the applicant's or license holder's compliance with the provider enrollment <br/>
<a id="pl.324.9"></a><var>324.9</var>agreement or registration requirements for receipt of public funding may be monitored by <br/>
<a id="pl.324.10"></a><var>324.10</var>the commissioner as part of a licensing investigation or licensing inspection; and<br/>
<a id="pl.324.11"></a><var>324.11</var>(2) noncompliance with the provider enrollment agreement or registration <br/>
<a id="pl.324.12"></a><var>324.12</var>requirements for receipt of public funding that is identified through a licensing <br/>
<a id="pl.324.13"></a><var>324.13</var>investigation or licensing inspection, or noncompliance with a licensing requirement that <br/>
<a id="pl.324.14"></a><var>324.14</var>is a basis of enrollment for reimbursement for a service, may result in:<br/>
<a id="pl.324.15"></a><var>324.15</var>(i) a correction order or a conditional license under section 245A.06, or sanctions <br/>
<a id="pl.324.16"></a><var>324.16</var>under section 245A.07;<br/>
<a id="pl.324.17"></a><var>324.17</var>(ii) nonpayment of claims submitted by the license holder for public program <br/>
<a id="pl.324.18"></a><var>324.18</var>reimbursement;<br/>
<a id="pl.324.19"></a><var>324.19</var>(iii) recovery of payments made for the service;<br/>
<a id="pl.324.20"></a><var>324.20</var>(iv) disenrollment in the public payment program; or<br/>
<a id="pl.324.21"></a><var>324.21</var>(v) other administrative, civil, or criminal penalties as provided by law.<br/>
<br/>
<a id="bill.17.2.0"></a><a id="pl.324.22"></a><var>324.22</var>    Sec. 2. Minnesota Statutes 2010, section 245A.14, is amended by adding a subdivision <br/>
<a id="pl.324.23"></a><var>324.23</var>to read:<br/>
<a id="pl.324.24"></a><var>324.24</var>    Subd. 14. <b>Attendance records for publicly funded services.</b> (a) A child care <br/>
<a id="pl.324.25"></a><var>324.25</var>center licensed under this chapter and according to Minnesota Rules, chapter 9503, must <br/>
<a id="pl.324.26"></a><var>324.26</var>maintain documentation of actual attendance for each child receiving care for which the <br/>
<a id="pl.324.27"></a><var>324.27</var>license holder is reimbursed by a governmental program. The records must be accessible <br/>
<a id="pl.324.28"></a><var>324.28</var>to the commissioner during the program's hours of operation, they must be completed on <br/>
<a id="pl.324.29"></a><var>324.29</var>the actual day of attendance, and they must include:<br/>
<a id="pl.324.30"></a><var>324.30</var>(1) the first and last name of the child;<br/>
<a id="pl.324.31"></a><var>324.31</var>(2) the time of day that the child was dropped off; and<br/>
<a id="pl.324.32"></a><var>324.32</var>(3) the time of day that the child was picked up.<br/>
<a id="pl.324.33"></a><var>324.33</var>(b) A family child care provider licensed under this chapter and according to <br/>
<a id="pl.324.34"></a><var>324.34</var>Minnesota Rules, chapter 9502, must maintain documentation of actual attendance for <br/>
<a id="pl.324.35"></a><var>324.35</var>each child receiving care for which the license holder is reimbursed by a governmental <br/>
<a id="pl.325.1"></a><var>325.1</var>program. The records must be accessible to the commissioner during the program's <br/>
<a id="pl.325.2"></a><var>325.2</var>hours of operation, they must be completed on the actual day of attendance, and they <br/>
<a id="pl.325.3"></a><var>325.3</var>must include:<br/>
<a id="pl.325.4"></a><var>325.4</var>(1) the first and last name of the child;<br/>
<a id="pl.325.5"></a><var>325.5</var>(2) the time of day that the child was dropped off; and<br/>
<a id="pl.325.6"></a><var>325.6</var>(3) the time of day that the child was picked up.<br/>
<a id="pl.325.7"></a><var>325.7</var>(c) An adult day services program licensed under this chapter and according to <br/>
<a id="pl.325.8"></a><var>325.8</var>Minnesota Rules, parts 9555.5105 to 9555.6265, must maintain documentation of actual <br/>
<a id="pl.325.9"></a><var>325.9</var>attendance for each adult day service recipient for which the license holder is reimbursed <br/>
<a id="pl.325.10"></a><var>325.10</var>by a governmental program. The records must be accessible to the commissioner during <br/>
<a id="pl.325.11"></a><var>325.11</var>the program's hours of operation, they must be completed on the actual day of attendance, <br/>
<a id="pl.325.12"></a><var>325.12</var>and they must include:<br/>
<a id="pl.325.13"></a><var>325.13</var>(1) the first, middle, and last name of the recipient;<br/>
<a id="pl.325.14"></a><var>325.14</var>(2) the time of day that the recipient was dropped off; and<br/>
<a id="pl.325.15"></a><var>325.15</var>(3) the time of day that the recipient was picked up.<br/>
<a id="pl.325.16"></a><var>325.16</var>(d) The commissioner shall not issue a correction for attendance record errors that <br/>
<a id="pl.325.17"></a><var>325.17</var>occur before August 1, 2013.<br/>
<br/>
<a id="bill.17.3.0"></a><a id="pl.325.18"></a><var>325.18</var>    Sec. 3. <b>[245A.167] PUBLIC FUNDS PROGRAM INTEGRITY MONITORING.</b><br/>
<a id="pl.325.19"></a><var>325.19</var>(a) An applicant or a license holder that has enrolled to receive public funding <br/>
<a id="pl.325.20"></a><var>325.20</var>reimbursement for services is required to comply with the registration or enrollment <br/>
<a id="pl.325.21"></a><var>325.21</var>requirements as licensing standards.<br/>
<a id="pl.325.22"></a><var>325.22</var>(b) Compliance with the licensing standards established under paragraph (a) may <br/>
<a id="pl.325.23"></a><var>325.23</var>be monitored during a licensing investigation or inspection. Noncompliance with these <br/>
<a id="pl.325.24"></a><var>325.24</var>licensure standards may result in:<br/>
<a id="pl.325.25"></a><var>325.25</var>(i) a correction order or a conditional license under section 245A.06, or sanctions <br/>
<a id="pl.325.26"></a><var>325.26</var>under section 245A.07;<br/>
<a id="pl.325.27"></a><var>325.27</var>(ii) nonpayment of claims submitted by the license holder for public program <br/>
<a id="pl.325.28"></a><var>325.28</var>reimbursement according to the statute applicable to that program;<br/>
<a id="pl.325.29"></a><var>325.29</var>(iii) recovery of payments made for the service according to the statute applicable to <br/>
<a id="pl.325.30"></a><var>325.30</var>that program;<br/>
<a id="pl.325.31"></a><var>325.31</var>(iv) disenrollment in the public payment program according to the statute applicable <br/>
<a id="pl.325.32"></a><var>325.32</var>to that program; or<br/>
<a id="pl.325.33"></a><var>325.33</var>(v) a referral for other administrative, civil, or criminal penalties as provided by law.<br/>
<br/>
<a id="bill.17.4.0"></a><a id="pl.326.1"></a><var>326.1</var>    Sec. 4. Minnesota Statutes 2011 Supplement, section 256B.04, subdivision 21, is <br/>
<a id="pl.326.2"></a><var>326.2</var>amended to read:<br/>
<a id="pl.326.3"></a><var>326.3</var>    Subd. 21. <b>Provider enrollment.</b> (a) If the commissioner or the Centers for <br/>
<a id="pl.326.4"></a><var>326.4</var>Medicare and Medicaid Services determines that a provider is designated "high-risk," the <br/>
<a id="pl.326.5"></a><var>326.5</var>commissioner may withhold payment from providers within that category upon initial <br/>
<a id="pl.326.6"></a><var>326.6</var>enrollment for a 90-day period. The withholding for each provider must begin on the date <br/>
<a id="pl.326.7"></a><var>326.7</var>of the first submission of a claim.<br/>
<a id="pl.326.8"></a><var>326.8</var>(b) An enrolled provider that is also licensed by the commissioner under chapter <br/>
<a id="pl.326.9"></a><var>326.9</var>245A must designate an individual as the entity's compliance officer. The compliance <br/>
<a id="pl.326.10"></a><var>326.10</var>officer must:<br/>
<a id="pl.326.11"></a><var>326.11</var>(1) develop policies and procedures to assure adherence to medical assistance laws <br/>
<a id="pl.326.12"></a><var>326.12</var>and regulations and to prevent inappropriate claims submissions;<br/>
<a id="pl.326.13"></a><var>326.13</var>(2) train the employees of the provider entity, and any agents or subcontractors of <br/>
<a id="pl.326.14"></a><var>326.14</var>the provider entity including billers, on the policies and procedures under clause (1);<br/>
<a id="pl.326.15"></a><var>326.15</var>(3) respond to allegations of improper conduct related to the provision or billing of <br/>
<a id="pl.326.16"></a><var>326.16</var>medical assistance services, and implement action to remediate any resulting problems;<br/>
<a id="pl.326.17"></a><var>326.17</var>(4) use evaluation techniques to monitor compliance with medical assistance laws <br/>
<a id="pl.326.18"></a><var>326.18</var>and regulations;<br/>
<a id="pl.326.19"></a><var>326.19</var>(5) promptly report to the commissioner any identified violations of medical <br/>
<a id="pl.326.20"></a><var>326.20</var>assistance laws or regulations; and<br/>
<a id="pl.326.21"></a><var>326.21</var>    (6) within 60 days of discovery by the provider of a medical assistance <br/>
<a id="pl.326.22"></a><var>326.22</var>reimbursement overpayment, report the overpayment to the commissioner and make <br/>
<a id="pl.326.23"></a><var>326.23</var>arrangements with the commissioner for the commissioner's recovery of the overpayment.<br/>
<a id="pl.326.24"></a><var>326.24</var>The commissioner may require, as a condition of enrollment in medical assistance, that a <br/>
<a id="pl.326.25"></a><var>326.25</var>provider within a particular industry sector or category establish a compliance program that <br/>
<a id="pl.326.26"></a><var>326.26</var>contains the core elements established by the Centers for Medicare and Medicaid Services.<br/>
<a id="pl.326.27"></a><var>326.27</var>(c) The commissioner may revoke the enrollment of an ordering or rendering <br/>
<a id="pl.326.28"></a><var>326.28</var>provider for a period of not more than one year, if the provider fails to maintain and, upon <br/>
<a id="pl.326.29"></a><var>326.29</var>request from the commissioner, provide access to documentation relating to written orders <br/>
<a id="pl.326.30"></a><var>326.30</var>or requests for payment for durable medical equipment, certifications for home health <br/>
<a id="pl.326.31"></a><var>326.31</var>services, or referrals for other items or services written or ordered by such provider, when <br/>
<a id="pl.326.32"></a><var>326.32</var>the commissioner has identified a pattern of a lack of documentation. A pattern means a <br/>
<a id="pl.326.33"></a><var>326.33</var>failure to maintain documentation or provide access to documentation on more than one <br/>
<a id="pl.326.34"></a><var>326.34</var>occasion. Nothing in this paragraph limits the authority of the commissioner to sanction a <br/>
<a id="pl.326.35"></a><var>326.35</var>provider under the provisions of section 256B.064.<br/>
<a id="pl.327.1"></a><var>327.1</var>(d) The commissioner shall terminate or deny the enrollment of any individual or <br/>
<a id="pl.327.2"></a><var>327.2</var>entity if the individual or entity has been terminated from participation in Medicare or <br/>
<a id="pl.327.3"></a><var>327.3</var>under the Medicaid program or Children's Health Insurance Program of any other state.<br/>
<a id="pl.327.4"></a><var>327.4</var>(e) As a condition of enrollment in medical assistance, the commissioner shall <br/>
<a id="pl.327.5"></a><var>327.5</var>require that a provider designated "moderate" or "high-risk" by the Centers for Medicare <br/>
<a id="pl.327.6"></a><var>327.6</var>and Medicaid Services or the Minnesota Department of Human Services permit the <br/>
<a id="pl.327.7"></a><var>327.7</var>Centers for Medicare and Medicaid Services, its agents, or its designated contractors and <br/>
<a id="pl.327.8"></a><var>327.8</var>the state agency, its agents, or its designated contractors to conduct unannounced on-site <br/>
<a id="pl.327.9"></a><var>327.9</var>inspections of any provider location.<br/>
<a id="pl.327.10"></a><var>327.10</var>(f) As a condition of enrollment in medical assistance, the commissioner shall <br/>
<a id="pl.327.11"></a><var>327.11</var>require that a high-risk provider, or a person with a direct or indirect ownership interest in <br/>
<a id="pl.327.12"></a><var>327.12</var>the provider of five percent or higher, consent to criminal background checks, including <br/>
<a id="pl.327.13"></a><var>327.13</var>fingerprinting, when required to do so under state law or by a determination by the <br/>
<a id="pl.327.14"></a><var>327.14</var>commissioner or the Centers for Medicare and Medicaid Services that a provider is <br/>
<a id="pl.327.15"></a><var>327.15</var>designated high-risk for fraud, waste, or abuse.<br/>
<br/>
<a id="bill.18.0.0"></a>

<a id="pl.327.18"></a><var>327.18</var><b>AND PAYMENT METHODOLOGY DEVELOPMENT</b><br/>

<a id="bill.18.1.0"></a><a id="pl.327.19"></a><var>327.19</var>    Section 1. Minnesota Statutes 2010, section 245A.03, subdivision 2, is amended to <br/>
<a id="pl.327.20"></a><var>327.20</var>read:<br/>
<a id="pl.327.21"></a><var>327.21</var>    Subd. 2. <b>Exclusion from licensure.</b> (a) This chapter does not apply to:<br/>
<a id="pl.327.22"></a><var>327.22</var>    (1) residential or nonresidential programs that are provided to a person by an <br/>
<a id="pl.327.23"></a><var>327.23</var>individual who is related unless the residential program is a child foster care placement <br/>
<a id="pl.327.24"></a><var>327.24</var>made by a local social services agency or a licensed child-placing agency, except as <br/>
<a id="pl.327.25"></a><var>327.25</var>provided in subdivision 2a;<br/>
<a id="pl.327.26"></a><var>327.26</var>    (2) nonresidential programs that are provided by an unrelated individual to persons <br/>
<a id="pl.327.27"></a><var>327.27</var>from a single related family;<br/>
<a id="pl.327.28"></a><var>327.28</var>    (3) residential or nonresidential programs that are provided to adults who do <br/>
<a id="pl.327.29"></a><var>327.29</var>not abuse chemicals or who do not have a chemical dependency, a mental illness, a <br/>
<a id="pl.327.30"></a><var>327.30</var>developmental disability, a functional impairment, or a physical disability;<br/>
<a id="pl.327.31"></a><var>327.31</var>    (4) sheltered workshops or work activity programs that are certified by the <br/>
<a id="pl.327.32"></a><var>327.32</var>commissioner of employment and economic development;<br/>
<a id="pl.327.33"></a><var>327.33</var>    (5) programs operated by a public school for children 33 months or older;<br/>
<a id="pl.327.34"></a><var>327.34</var>    (6) nonresidential programs primarily for children that provide care or supervision <br/>
<a id="pl.327.35"></a><var>327.35</var>for periods of less than three hours a day while the child's parent or legal guardian is in <br/>
<a id="pl.328.1"></a><var>328.1</var>the same building as the nonresidential program or present within another building that is <br/>
<a id="pl.328.2"></a><var>328.2</var>directly contiguous to the building in which the nonresidential program is located;<br/>
<a id="pl.328.3"></a><var>328.3</var>    (7) nursing homes or hospitals licensed by the commissioner of health except as <br/>
<a id="pl.328.4"></a><var>328.4</var>specified under section 
         <statute_ref>245A.02</statute_ref>;<br/>
<a id="pl.328.5"></a><var>328.5</var>    (8) board and lodge facilities licensed by the commissioner of health that do not <br/>
<a id="pl.328.6"></a><var>328.6</var>provide children's residential services under Minnesota Rules, chapter 2960, mental health <br/>
<a id="pl.328.7"></a><var>328.7</var>or chemical dependency treatment;<br/>
<a id="pl.328.8"></a><var>328.8</var>    (9) homes providing programs for persons placed by a county or a licensed agency <br/>
<a id="pl.328.9"></a><var>328.9</var>for legal adoption, unless the adoption is not completed within two years;<br/>
<a id="pl.328.10"></a><var>328.10</var>    (10) programs licensed by the commissioner of corrections;<br/>
<a id="pl.328.11"></a><var>328.11</var>    (11) recreation programs for children or adults that are operated or approved by a <br/>
<a id="pl.328.12"></a><var>328.12</var>park and recreation board whose primary purpose is to provide social and recreational <br/>
<a id="pl.328.13"></a><var>328.13</var>activities;<br/>
<a id="pl.328.14"></a><var>328.14</var>    (12) programs operated by a school as defined in section 
         <statute_ref>120A.22, subdivision 4</statute_ref>; <br/>
<a id="pl.328.15"></a><var>328.15</var>YMCA as defined in section 
         <statute_ref>315.44</statute_ref>; YWCA as defined in section 
         <statute_ref>315.44</statute_ref>; or JCC as <br/>
<a id="pl.328.16"></a><var>328.16</var>defined in section 
         <statute_ref>315.51</statute_ref>, whose primary purpose is to provide child care or services to <br/>
<a id="pl.328.17"></a><var>328.17</var>school-age children;<br/>
<a id="pl.328.18"></a><var>328.18</var>    (13) Head Start nonresidential programs which operate for less than 45 days in <br/>
<a id="pl.328.19"></a><var>328.19</var>each calendar year;<br/>
<a id="pl.328.20"></a><var>328.20</var>    (14) noncertified boarding care homes unless they provide services for five or more <br/>
<a id="pl.328.21"></a><var>328.21</var>persons whose primary diagnosis is mental illness or a developmental disability;<br/>
<a id="pl.328.22"></a><var>328.22</var>    (15) programs for children such as scouting, boys clubs, girls clubs, and sports and <br/>
<a id="pl.328.23"></a><var>328.23</var>art programs, and nonresidential programs for children provided for a cumulative total of <br/>
<a id="pl.328.24"></a><var>328.24</var>less than 30 days in any 12-month period;<br/>
<a id="pl.328.25"></a><var>328.25</var>    (16) residential programs for persons with mental illness, that are located in hospitals;<br/>
<a id="pl.328.26"></a><var>328.26</var>    (17) the religious instruction of school-age children; Sabbath or Sunday schools; or <br/>
<a id="pl.328.27"></a><var>328.27</var>the congregate care of children by a church, congregation, or religious society during the <br/>
<a id="pl.328.28"></a><var>328.28</var>period used by the church, congregation, or religious society for its regular worship;<br/>
<a id="pl.328.29"></a><var>328.29</var>    (18) camps licensed by the commissioner of health under Minnesota Rules, chapter <br/>
<a id="pl.328.30"></a><var>328.30</var>4630;<br/>
<a id="pl.328.31"></a><var>328.31</var>    (19) mental health outpatient services for adults with mental illness or children <br/>
<a id="pl.328.32"></a><var>328.32</var>with emotional disturbance;<br/>
<a id="pl.328.33"></a><var>328.33</var>    (20) residential programs serving school-age children whose sole purpose is cultural <br/>
<a id="pl.328.34"></a><var>328.34</var>or educational exchange, until the commissioner adopts appropriate rules;<br/>
<a id="pl.328.35"></a><var>328.35</var>    (21) unrelated individuals who provide out-of-home respite care services to persons <br/>
<a id="pl.328.36"></a><var>328.36</var>with developmental disabilities from a single related family for no more than 90 days in a <br/>
<a id="pl.329.1"></a><var>329.1</var>12-month period and the respite care services are for the temporary relief of the person's <br/>
<a id="pl.329.2"></a><var>329.2</var>family or legal representative;<br/>
<a id="pl.329.3"></a><var>329.3</var>    (22) respite care services provided as a home and community-based service to a <br/>
<a id="pl.329.4"></a><var>329.4</var>person with a developmental disability, in the person's primary residence;<br/>
<a id="pl.329.5"></a><var>329.5</var>    (23) (21) community support services programs as defined in section 
         <statute_ref>245.462, <br/>
<a id="pl.329.6"></a><var>329.6</var>subdivision 6
         </statute_ref>, and family community support services as defined in section 
         <statute_ref>245.4871, <br/>
<a id="pl.329.7"></a><var>329.7</var>subdivision 17
         </statute_ref>;<br/>
<a id="pl.329.8"></a><var>329.8</var>    (24) (22) the placement of a child by a birth parent or legal guardian in a preadoptive <br/>
<a id="pl.329.9"></a><var>329.9</var>home for purposes of adoption as authorized by section 
         <statute_ref>259.47</statute_ref>;<br/>
<a id="pl.329.10"></a><var>329.10</var>    (25) (23) settings registered under chapter 144D which provide home care services <br/>
<a id="pl.329.11"></a><var>329.11</var>licensed by the commissioner of health to fewer than seven adults;<br/>
<a id="pl.329.12"></a><var>329.12</var>    (26) (24) chemical dependency or substance abuse treatment activities of licensed <br/>
<a id="pl.329.13"></a><var>329.13</var>professionals in private practice as defined in Minnesota Rules, part 9530.6405, subpart <br/>
<a id="pl.329.14"></a><var>329.14</var>15, when the treatment activities are not paid for by the consolidated chemical dependency <br/>
<a id="pl.329.15"></a><var>329.15</var>treatment fund;<br/>
<a id="pl.329.16"></a><var>329.16</var>(27) (25) consumer-directed community support service funded under the Medicaid <br/>
<a id="pl.329.17"></a><var>329.17</var>waiver for persons with developmental disabilities when the individual who provided <br/>
<a id="pl.329.18"></a><var>329.18</var>the service is:<br/>
<a id="pl.329.19"></a><var>329.19</var>    (i) the same individual who is the direct payee of these specific waiver funds or paid <br/>
<a id="pl.329.20"></a><var>329.20</var>by a fiscal agent, fiscal intermediary, or employer of record; and<br/>
<a id="pl.329.21"></a><var>329.21</var>    (ii) not otherwise under the control of a residential or nonresidential program that is <br/>
<a id="pl.329.22"></a><var>329.22</var>required to be licensed under this chapter when providing the service; or<br/>
<a id="pl.329.23"></a><var>329.23</var>    (28) (26) a program serving only children who are age 33 months or older, that is <br/>
<a id="pl.329.24"></a><var>329.24</var>operated by a nonpublic school, for no more than four hours per day per child, with no <br/>
<a id="pl.329.25"></a><var>329.25</var>more than 20 children at any one time, and that is accredited by:<br/>
<a id="pl.329.26"></a><var>329.26</var>    (i) an accrediting agency that is formally recognized by the commissioner of <br/>
<a id="pl.329.27"></a><var>329.27</var>education as a nonpublic school accrediting organization; or<br/>
<a id="pl.329.28"></a><var>329.28</var>    (ii) an accrediting agency that requires background studies and that receives and <br/>
<a id="pl.329.29"></a><var>329.29</var>investigates complaints about the services provided.<br/>
<a id="pl.329.30"></a><var>329.30</var>    A program that asserts its exemption from licensure under item (ii) shall, upon <br/>
<a id="pl.329.31"></a><var>329.31</var>request from the commissioner, provide the commissioner with documentation from the <br/>
<a id="pl.329.32"></a><var>329.32</var>accrediting agency that verifies: that the accreditation is current; that the accrediting <br/>
<a id="pl.329.33"></a><var>329.33</var>agency investigates complaints about services; and that the accrediting agency's standards <br/>
<a id="pl.329.34"></a><var>329.34</var>require background studies on all people providing direct contact services.<br/>
<a id="pl.329.35"></a><var>329.35</var>    (b) For purposes of paragraph (a), clause (6), a building is directly contiguous to a <br/>
<a id="pl.329.36"></a><var>329.36</var>building in which a nonresidential program is located if it shares a common wall with the <br/>
<a id="pl.330.1"></a><var>330.1</var>building in which the nonresidential program is located or is attached to that building by <br/>
<a id="pl.330.2"></a><var>330.2</var>skyway, tunnel, atrium, or common roof.<br/>
<a id="pl.330.3"></a><var>330.3</var>    (c) Except for the home and community-based services identified in section <br/>
<a id="pl.330.4"></a><var>330.4</var>245D.03, subdivision 1, nothing in this chapter shall be construed to require licensure for <br/>
<a id="pl.330.5"></a><var>330.5</var>any services provided and funded according to an approved federal waiver plan where <br/>
<a id="pl.330.6"></a><var>330.6</var>licensure is specifically identified as not being a condition for the services and funding.<br/>
<br/>
<a id="bill.18.2.0"></a><a id="pl.330.7"></a><var>330.7</var>    Sec. 2. Minnesota Statutes 2010, section 245A.041, is amended by adding a <br/>
<a id="pl.330.8"></a><var>330.8</var>subdivision to read:<br/>
<a id="pl.330.9"></a><var>330.9</var>    Subd. 3. <b>Record retention; license holder requirements.</b> (a) A license holder must <br/>
<a id="pl.330.10"></a><var>330.10</var>maintain and store records in a manner that will allow for review by the commissioner as <br/>
<a id="pl.330.11"></a><var>330.11</var>identified in section 245A.04, subdivision 5. The following records must be maintained as <br/>
<a id="pl.330.12"></a><var>330.12</var>specified and in accordance with applicable state or federal law, regulation, or rule:<br/>
<a id="pl.330.13"></a><var>330.13</var>(1) service recipient records, including verification of service delivery, must be <br/>
<a id="pl.330.14"></a><var>330.14</var>maintained for a minimum of five years following discharge or termination of service;<br/>
<a id="pl.330.15"></a><var>330.15</var>(2) personnel records must be maintained for a minimum of five years following <br/>
<a id="pl.330.16"></a><var>330.16</var>termination of employment; and<br/>
<a id="pl.330.17"></a><var>330.17</var>(3) program administration and financial records must be maintained for a minimum <br/>
<a id="pl.330.18"></a><var>330.18</var>of five years from the date the program closes.<br/>
<a id="pl.330.19"></a><var>330.19</var>(b) A license holder who ceases to provide services must maintain all records related <br/>
<a id="pl.330.20"></a><var>330.20</var>to the licensed program for five years from the date the program closes. The license holder <br/>
<a id="pl.330.21"></a><var>330.21</var>must notify the commissioner of the location where the licensing records will be stored <br/>
<a id="pl.330.22"></a><var>330.22</var>and the name of the person responsible for maintaining the stored records.<br/>
<a id="pl.330.23"></a><var>330.23</var>(c) If the ownership of a licensed program or service changes, the transferor, unless <br/>
<a id="pl.330.24"></a><var>330.24</var>otherwise provided by law or written agreement with the transferee, is responsible for <br/>
<a id="pl.330.25"></a><var>330.25</var>maintaining, preserving, and making available to the commissioner on demand the license <br/>
<a id="pl.330.26"></a><var>330.26</var>records generated before the date of the transfer.<br/>
<a id="pl.330.27"></a><var>330.27</var>(d) In the event of a contested case, the license holder must retain records as required <br/>
<a id="pl.330.28"></a><var>330.28</var>in paragraph (a) or until the final agency decision is issued and the conclusion of any <br/>
<a id="pl.330.29"></a><var>330.29</var>related appeal, whichever period is longer.<br/>
<br/>
<a id="bill.18.3.0"></a><a id="pl.330.30"></a><var>330.30</var>    Sec. 3. Minnesota Statutes 2010, section 245A.041, is amended by adding a <br/>
<a id="pl.330.31"></a><var>330.31</var>subdivision to read:<br/>
<a id="pl.330.32"></a><var>330.32</var>    Subd. 4. <b>Electronic records; license holder use.</b> A license holder's use of <br/>
<a id="pl.330.33"></a><var>330.33</var>electronic record keeping or electronic signatures must meet the following requirements:<br/>
<a id="pl.331.1"></a><var>331.1</var>(1) use of electronic record keeping or electronic signatures does not alter the license <br/>
<a id="pl.331.2"></a><var>331.2</var>holder's obligations under state or federal law, regulation, or rule;<br/>
<a id="pl.331.3"></a><var>331.3</var>(2) the license holder must ensure that the use of electronic record keeping does not <br/>
<a id="pl.331.4"></a><var>331.4</var>limit the commissioner's access to records as specified under section 245A.04, subdivision <br/>
<a id="pl.331.5"></a><var>331.5</var>5;<br/>
<a id="pl.331.6"></a><var>331.6</var>(3) upon request, the license holder must assist the commissioner in accessing and <br/>
<a id="pl.331.7"></a><var>331.7</var>copying all records, including encrypted records and electronic signatures; and<br/>
<a id="pl.331.8"></a><var>331.8</var>(4) the license holder must establish a mechanism or procedure to ensure that:<br/>
<a id="pl.331.9"></a><var>331.9</var>(i) the act of creating the electronic record or signature is attributable to the license <br/>
<a id="pl.331.10"></a><var>331.10</var>holder, according to section 325L.09;<br/>
<a id="pl.331.11"></a><var>331.11</var>(ii) the electronic records and signatures are maintained in a form capable of being <br/>
<a id="pl.331.12"></a><var>331.12</var>retained and accurately reproduced;<br/>
<a id="pl.331.13"></a><var>331.13</var>(iii) the commissioner has access to information that establishes the date and time <br/>
<a id="pl.331.14"></a><var>331.14</var>that data and signatures were entered into the electronic record; and<br/>
<a id="pl.331.15"></a><var>331.15</var>(iv) the license holder's use of electronic record keeping or electronic signatures does <br/>
<a id="pl.331.16"></a><var>331.16</var>not compromise the security of the records.<br/>
<br/>
<a id="bill.18.4.0"></a><a id="pl.331.17"></a><var>331.17</var>    Sec. 4. <b>[245A.042] HOME AND COMMUNITY-BASED SERVICES; </b><br/>
<a id="pl.331.18"></a><var>331.18</var><b>ADDITIONAL STANDARDS AND PROCEDURES.</b><br/>
<a id="pl.331.19"></a><var>331.19</var>    Subdivision 1. <b>Standards governing the provision of home and community-based </b><br/>
<a id="pl.331.20"></a><var>331.20</var><b>services. </b> Residential and nonresidential programs for persons with disabilities or <br/>
<a id="pl.331.21"></a><var>331.21</var>age 65 and older must obtain a license according to this chapter to provide home and <br/>
<a id="pl.331.22"></a><var>331.22</var>community-based services defined in the federal waiver plans governed by United States <br/>
<a id="pl.331.23"></a><var>331.23</var>Code, title 42, sections 1396 et seq., or the state's alternative care program according to <br/>
<a id="pl.331.24"></a><var>331.24</var>section 256B.0913, and identified in section 245D.03, subdivision 1. As a condition <br/>
<a id="pl.331.25"></a><var>331.25</var>of licensure, an applicant or license holder must demonstrate and maintain verification <br/>
<a id="pl.331.26"></a><var>331.26</var>of compliance with:<br/>
<a id="pl.331.27"></a><var>331.27</var>(1) licensing requirements under this chapter and chapter 245D;<br/>
<a id="pl.331.28"></a><var>331.28</var>(2) applicable health care program requirements under Minnesota Rules, parts <br/>
<a id="pl.331.29"></a><var>331.29</var>9505.0170 to 9505.0475 and 9505.2160 to 9505.2245; and<br/>
<a id="pl.331.30"></a><var>331.30</var>(3) provider standards and qualifications identified in the federal waiver plans or the <br/>
<a id="pl.331.31"></a><var>331.31</var>alternative care program.<br/>
<a id="pl.331.32"></a><var>331.32</var>    Subd. 2. <b>Modified application procedures.</b> (a) Applicants seeking chapter 245D <br/>
<a id="pl.331.33"></a><var>331.33</var>licensure who meet the following criteria are subject to modified application procedures:<br/>
<a id="pl.331.34"></a><var>331.34</var>    (1) the applicant holds a chapter 245B license issued on or before December 31, <br/>
<a id="pl.331.35"></a><var>331.35</var>2012, at the time of application;<br/>
<a id="pl.332.1"></a><var>332.1</var>    (2) the applicant's chapter 245B license or licenses are in substantial compliance <br/>
<a id="pl.332.2"></a><var>332.2</var>according to the licensing standards in this chapter and chapter 245B; and<br/>
<a id="pl.332.3"></a><var>332.3</var>    (3) the commissioner has conducted at least one on-site inspection of the chapter <br/>
<a id="pl.332.4"></a><var>332.4</var>245B license or licenses within the two-year period before submitting the chapter 245D <br/>
<a id="pl.332.5"></a><var>332.5</var>license application.<br/>
<a id="pl.332.6"></a><var>332.6</var>    For purposes of this subdivision, substantial compliance means the commissioner <br/>
<a id="pl.332.7"></a><var>332.7</var>has not issued a sanction according to section 245A.07 against any chapter 245B license <br/>
<a id="pl.332.8"></a><var>332.8</var>held by the applicant or made the chapter 245B license or licenses conditional according <br/>
<a id="pl.332.9"></a><var>332.9</var>to section 245A.06 within the 12-month period before submitting the application for <br/>
<a id="pl.332.10"></a><var>332.10</var>chapter 245D licensure.<br/>
<a id="pl.332.11"></a><var>332.11</var>    (b) The modified application procedures mean the commissioner must accept <br/>
<a id="pl.332.12"></a><var>332.12</var>the applicant's attestation of compliance with certain requirements in lieu of providing <br/>
<a id="pl.332.13"></a><var>332.13</var>information to the commissioner for evaluation that is otherwise required when seeking <br/>
<a id="pl.332.14"></a><var>332.14</var>chapter 245D licensure.<br/>
<a id="pl.332.15"></a><var>332.15</var>    Subd. 3. <b>Implementation.</b> (a) Licensure of home and community-based services <br/>
<a id="pl.332.16"></a><var>332.16</var>according to this section will be implemented upon authorization for the commissioner <br/>
<a id="pl.332.17"></a><var>332.17</var>to collect fees according to section 245A.10, subdivisions 3 and 4, necessary to support <br/>
<a id="pl.332.18"></a><var>332.18</var>licensing functions. License applications will be received on a phased in schedule as <br/>
<a id="pl.332.19"></a><var>332.19</var>determined by the commissioner. Licenses will be issued on or after January 1, 2013, <br/>
<a id="pl.332.20"></a><var>332.20</var>according to section 245A.04.<br/>
<a id="pl.332.21"></a><var>332.21</var>(b) Implementation of compliance monitoring must be phased in after January <br/>
<a id="pl.332.22"></a><var>332.22</var>1, 2013.<br/>
<a id="pl.332.23"></a><var>332.23</var>(1) Applicants who do not currently hold a license issued under this chapter must <br/>
<a id="pl.332.24"></a><var>332.24</var>receive an initial compliance monitoring visit within 12 months of the effective date of <br/>
<a id="pl.332.25"></a><var>332.25</var>the initial license for the purpose of providing technical assistance on how to achieve and <br/>
<a id="pl.332.26"></a><var>332.26</var>maintain compliance with the applicable law or rules governing the provision of home and <br/>
<a id="pl.332.27"></a><var>332.27</var>community-based services under chapter 245D. If during the review the commissioner <br/>
<a id="pl.332.28"></a><var>332.28</var>finds that the license holder has failed to achieve compliance with an applicable law or <br/>
<a id="pl.332.29"></a><var>332.29</var>rule and this failure does not imminently endanger the health, safety, or rights of the <br/>
<a id="pl.332.30"></a><var>332.30</var>persons served by the program, the commissioner may issue a licensing review report with <br/>
<a id="pl.332.31"></a><var>332.31</var>recommendations for achieving and maintaining compliance.<br/>
<a id="pl.332.32"></a><var>332.32</var>(2) Applicants who do currently hold a license issued under this chapter must receive <br/>
<a id="pl.332.33"></a><var>332.33</var>a compliance monitoring visit after 24 months of the effective date of the initial license.<br/>
<a id="pl.332.34"></a><var>332.34</var>(c) Nothing in this subdivision shall be construed to limit the commissioner's <br/>
<a id="pl.332.35"></a><var>332.35</var>authority to suspend or revoke a license or issue a fine at any time under section 245A.07, <br/>
<a id="pl.332.36"></a><var>332.36</var>or make correction orders and make a license conditional for failure to comply with <br/>
<a id="pl.333.1"></a><var>333.1</var>applicable laws or rules under section 245A.06, based on the nature, chronicity, or severity <br/>
<a id="pl.333.2"></a><var>333.2</var>of the violation of law or rule and the effect of the violation on the health, safety, or <br/>
<a id="pl.333.3"></a><var>333.3</var>rights of persons served by the program.<br/>
<br/>
<a id="bill.18.5.0"></a><a id="pl.333.4"></a><var>333.4</var>    Sec. 5. Minnesota Statutes 2010, section 245A.085, is amended to read:<br/>
<a id="pl.333.5"></a><var>333.5</var><b>245A.085 CONSOLIDATION OF HEARINGS; RECONSIDERATION.</b><br/>
<a id="pl.333.6"></a><var>333.6</var>Hearings authorized under this chapter, chapter 245C, and sections 
         <statute_ref>256.045</statute_ref>, <br/>
<a id="pl.333.7"></a><var>333.7</var>256B.04,
<statute_ref>626.556</statute_ref>, and 
         <statute_ref>626.557</statute_ref>, shall be consolidated if feasible and in accordance with <br/>
<a id="pl.333.8"></a><var>333.8</var>other applicable statutes and rules. Reconsideration under sections 
         <statute_ref>245C.28</statute_ref>; 
         <statute_ref>626.556, <br/>
<a id="pl.333.9"></a><var>333.9</var>subdivision 10i
         </statute_ref>; and 
         <statute_ref>626.557, subdivision 9d</statute_ref>, shall also be consolidated if feasible.<br/>
<br/>
<a id="bill.18.6.0"></a><a id="pl.333.10"></a><var>333.10</var>    Sec. 6. Minnesota Statutes 2010, section 245B.02, is amended by adding a subdivision <br/>
<a id="pl.333.11"></a><var>333.11</var>to read:<br/>
<a id="pl.333.12"></a><var>333.12</var>    Subd. 8a. <b>Emergency.</b> "Emergency" means any fires, severe weather, natural <br/>
<a id="pl.333.13"></a><var>333.13</var>disasters, power failures, or any event that affects the ordinary daily operation of the <br/>
<a id="pl.333.14"></a><var>333.14</var>program, including, but not limited to, events that threaten the immediate health and <br/>
<a id="pl.333.15"></a><var>333.15</var>safety of a person receiving services and that require calling 911, emergency evacuation, <br/>
<a id="pl.333.16"></a><var>333.16</var>moving to an emergency shelter, or temporary closure or relocation of the program <br/>
<a id="pl.333.17"></a><var>333.17</var>to another facility or service site.<br/>
<br/>
<a id="bill.18.7.0"></a><a id="pl.333.18"></a><var>333.18</var>    Sec. 7. Minnesota Statutes 2010, section 245B.02, subdivision 10, is amended to read:<br/>
<a id="pl.333.19"></a><var>333.19</var>    Subd. 10. <b>Incident.</b> "Incident" means an occurrence that affects the ordinary <br/>
<a id="pl.333.20"></a><var>333.20</var>provision of services to a person and includes any of the following:<br/>
<a id="pl.333.21"></a><var>333.21</var>(1) serious injury as determined by section 
         <statute_ref>245.91, subdivision 6</statute_ref>;<br/>
<a id="pl.333.22"></a><var>333.22</var>(2) a consumer's death;<br/>
<a id="pl.333.23"></a><var>333.23</var>(3) any medical emergencies emergency, unexpected serious illnesses illness, or <br/>
<a id="pl.333.24"></a><var>333.24</var>accidents significant unexpected changes in an illness or medical condition, or the mental <br/>
<a id="pl.333.25"></a><var>333.25</var>health status of a person that require requires calling 911 or a mental health mobile crisis <br/>
<a id="pl.333.26"></a><var>333.26</var>intervention team, physician treatment, or hospitalization;<br/>
<a id="pl.333.27"></a><var>333.27</var>(4) a consumer's unauthorized or unexplained absence;<br/>
<a id="pl.333.28"></a><var>333.28</var>(5) any fires or other events that require the relocation of services for more than 24 <br/>
<a id="pl.333.29"></a><var>333.29</var>hours, or circumstances involving a law enforcement agency or fire department related to <br/>
<a id="pl.333.30"></a><var>333.30</var>the health, safety, or supervision of a consumer;<br/>
<a id="pl.333.31"></a><var>333.31</var>(6) (5) physical aggression by a consumer against another consumer that causes <br/>
<a id="pl.333.32"></a><var>333.32</var>physical pain, injury, or persistent emotional distress, including, but not limited to, hitting, <br/>
<a id="pl.333.33"></a><var>333.33</var>slapping, kicking, scratching, pinching, biting, pushing, and spitting;<br/>
<a id="pl.334.1"></a><var>334.1</var>(7) (6) any sexual activity between consumers involving force or coercion as defined <br/>
<a id="pl.334.2"></a><var>334.2</var>under section 
         <statute_ref>609.341, subdivisions 3 and 14</statute_ref>; or<br/>
<a id="pl.334.3"></a><var>334.3</var>(8) (7) a report of child or vulnerable adult maltreatment under section 
         <statute_ref>626.556</statute_ref> or <br/>
<statute_ref><a id="pl.334.4"></a><var>334.4</var>626.557
         </statute_ref>.<br/>
<br/>
<a id="bill.18.8.0"></a><a id="pl.334.5"></a><var>334.5</var>    Sec. 8. Minnesota Statutes 2010, section 245B.04, subdivision 1, is amended to read:<br/>
<a id="pl.334.6"></a><var>334.6</var>    Subdivision 1. <b>License holder's responsibility for consumers' rights.</b> The license <br/>
<a id="pl.334.7"></a><var>334.7</var>holder must:<br/>
<a id="pl.334.8"></a><var>334.8</var>(1) provide the consumer or the consumer's legal representative a copy of the <br/>
<a id="pl.334.9"></a><var>334.9</var>consumer's rights on the day that services are initiated and an explanation of the rights <br/>
<a id="pl.334.10"></a><var>334.10</var>in subdivisions 2 and 3 within five working days of service initiation and annually <br/>
<a id="pl.334.11"></a><var>334.11</var>thereafter. Reasonable accommodations shall be made by the license holder to provide <br/>
<a id="pl.334.12"></a><var>334.12</var>this information in other formats as needed to facilitate understanding of the rights by the <br/>
<a id="pl.334.13"></a><var>334.13</var>consumer and the consumer's legal representative, if any;<br/>
<a id="pl.334.14"></a><var>334.14</var>(2) document the consumer's or the consumer's legal representative's receipt of a <br/>
<a id="pl.334.15"></a><var>334.15</var>copy of the rights and an explanation of the rights; and<br/>
<a id="pl.334.16"></a><var>334.16</var>(3) ensure the exercise and protection of the consumer's rights in the services <br/>
<a id="pl.334.17"></a><var>334.17</var>provided by the license holder and authorized in the individual service plan.<br/>
<br/>
<a id="bill.18.9.0"></a><a id="pl.334.18"></a><var>334.18</var>    Sec. 9. Minnesota Statutes 2010, section 245B.04, subdivision 2, is amended to read:<br/>
<a id="pl.334.19"></a><var>334.19</var>    Subd. 2. <b>Service-related rights.</b> A consumer's service-related rights include the <br/>
<a id="pl.334.20"></a><var>334.20</var>right to:<br/>
<a id="pl.334.21"></a><var>334.21</var>(1) refuse or terminate services and be informed of the consequences of refusing <br/>
<a id="pl.334.22"></a><var>334.22</var>or terminating services;<br/>
<a id="pl.334.23"></a><var>334.23</var>(2) know, in advance, limits to the services available from the license holder;<br/>
<a id="pl.334.24"></a><var>334.24</var>(3) know conditions and terms governing the provision of services, including those <br/>
<a id="pl.334.25"></a><var>334.25</var>the license holder's policies and procedures related to initiation and termination;<br/>
<a id="pl.334.26"></a><var>334.26</var>(4) know what the charges are for services, regardless of who will be paying for the <br/>
<a id="pl.334.27"></a><var>334.27</var>services, and be notified upon request of changes in those charges;<br/>
<a id="pl.334.28"></a><var>334.28</var>(5) know, in advance, whether services are covered by insurance, government <br/>
<a id="pl.334.29"></a><var>334.29</var>funding, or other sources, and be told of any charges the consumer or other private party <br/>
<a id="pl.334.30"></a><var>334.30</var>may have to pay; and<br/>
<a id="pl.334.31"></a><var>334.31</var>(6) receive licensed services from individuals who are competent and trained, <br/>
<a id="pl.334.32"></a><var>334.32</var>who have professional certification or licensure, as required, and who meet additional <br/>
<a id="pl.334.33"></a><var>334.33</var>qualifications identified in the individual service plan.<br/>
<br/>
<a id="bill.18.10.0"></a><a id="pl.335.1"></a><var>335.1</var>    Sec. 10. Minnesota Statutes 2010, section 245B.04, subdivision 3, is amended to read:<br/>
<a id="pl.335.2"></a><var>335.2</var>    Subd. 3. <b>Protection-related rights.</b> (a) The consumer's protection-related rights <br/>
<a id="pl.335.3"></a><var>335.3</var>include the right to:<br/>
<a id="pl.335.4"></a><var>335.4</var>(1) have personal, financial, services, and medical information kept private, and <br/>
<a id="pl.335.5"></a><var>335.5</var>be advised of the license holder's policies and procedures regarding disclosure of such <br/>
<a id="pl.335.6"></a><var>335.6</var>information;<br/>
<a id="pl.335.7"></a><var>335.7</var>(2) access records and recorded information about the person in accordance with <br/>
<a id="pl.335.8"></a><var>335.8</var>applicable state and federal law, regulation, or rule;<br/>
<a id="pl.335.9"></a><var>335.9</var>(3) be free from maltreatment;<br/>
<a id="pl.335.10"></a><var>335.10</var>(4) be treated with courtesy and respect for the consumer's individuality, mode of <br/>
<a id="pl.335.11"></a><var>335.11</var>communication, and culture, and receive respectful treatment of the consumer's property;<br/>
<a id="pl.335.12"></a><var>335.12</var>(5) reasonable observance of cultural and ethnic practice and religion;<br/>
<a id="pl.335.13"></a><var>335.13</var>(6) be free from bias and harassment regarding race, gender, age, disability, <br/>
<a id="pl.335.14"></a><var>335.14</var>spirituality, and sexual orientation;<br/>
<a id="pl.335.15"></a><var>335.15</var>(7) be informed of and use the license holder's grievance policy and procedures, <br/>
<a id="pl.335.16"></a><var>335.16</var>including knowing how to contact persons responsible for addressing problems and to <br/>
<a id="pl.335.17"></a><var>335.17</var>appeal under section 256.045;<br/>
<a id="pl.335.18"></a><var>335.18</var>(8) know the name, telephone number, and the Web site, e-mail, and street <br/>
<a id="pl.335.19"></a><var>335.19</var>addresses of protection and advocacy services, including the appropriate state-appointed <br/>
<a id="pl.335.20"></a><var>335.20</var>ombudsman, and a brief description of how to file a complaint with these offices;<br/>
<a id="pl.335.21"></a><var>335.21</var>(5) (9) voice grievances, know the contact persons responsible for addressing <br/>
<a id="pl.335.22"></a><var>335.22</var>problems and how to contact those persons;<br/>
<a id="pl.335.23"></a><var>335.23</var>(6) (10) any procedures for grievance or complaint resolution and the right to appeal <br/>
<a id="pl.335.24"></a><var>335.24</var>under section 
         <statute_ref>256.045</statute_ref>;<br/>
<a id="pl.335.25"></a><var>335.25</var>(7) (11) know the name and address of the state, county, or advocacy agency to <br/>
<a id="pl.335.26"></a><var>335.26</var>contact for additional information or assistance;<br/>
<a id="pl.335.27"></a><var>335.27</var>(8) (12) assert these rights personally, or have them asserted by the consumer's <br/>
<a id="pl.335.28"></a><var>335.28</var>family or legal representative, without retaliation;<br/>
<a id="pl.335.29"></a><var>335.29</var>(9) (13) give or withhold written informed consent to participate in any research or <br/>
<a id="pl.335.30"></a><var>335.30</var>experimental treatment;<br/>
<a id="pl.335.31"></a><var>335.31</var>(10) (14) have daily, private access to and use of a non-coin-operated telephone for <br/>
<a id="pl.335.32"></a><var>335.32</var>local calls and long-distance calls made collect or paid for by the resident;<br/>
<a id="pl.335.33"></a><var>335.33</var>(11) (15) receive and send, without interference, uncensored, unopened mail or <br/>
<a id="pl.335.34"></a><var>335.34</var>electronic correspondence or communication;<br/>
<a id="pl.335.35"></a><var>335.35</var>(12) (16) marital privacy for visits with the consumer's spouse and, if both are <br/>
<a id="pl.335.36"></a><var>335.36</var>residents of the site, the right to share a bedroom and bed;<br/>
<a id="pl.336.1"></a><var>336.1</var>(13) (17) associate with other persons of the consumer's choice;<br/>
<a id="pl.336.2"></a><var>336.2</var>(14) (18) personal privacy; and<br/>
<a id="pl.336.3"></a><var>336.3</var>(15) (19) engage in chosen activities.<br/>
<a id="pl.336.4"></a><var>336.4</var>(b) Restriction of a person's rights under paragraph (a), clauses (13) to (15), or <br/>
<a id="pl.336.5"></a><var>336.5</var>this paragraph is allowed only if determined necessary to ensure the health, safety, and <br/>
<a id="pl.336.6"></a><var>336.6</var>well-being of the person. Any restriction of these rights must be documented in the service <br/>
<a id="pl.336.7"></a><var>336.7</var>plan for the person and must include the following information:<br/>
<a id="pl.336.8"></a><var>336.8</var>(1) the justification for the restriction based on an assessment of the person's <br/>
<a id="pl.336.9"></a><var>336.9</var>vulnerability related to exercising the right without restriction;<br/>
<a id="pl.336.10"></a><var>336.10</var>(2) the objective measures set as conditions for ending the restriction;<br/>
<a id="pl.336.11"></a><var>336.11</var>(3) a schedule for reviewing the need for the restriction based on the conditions for <br/>
<a id="pl.336.12"></a><var>336.12</var>ending the restriction to occur, at a minimum, every three months for persons who do not <br/>
<a id="pl.336.13"></a><var>336.13</var>have a legal representative and annually for persons who do have a legal representative <br/>
<a id="pl.336.14"></a><var>336.14</var>from the date of initial approval; and<br/>
<a id="pl.336.15"></a><var>336.15</var>(4) signed and dated approval for the restriction from the person, or the person's <br/>
<a id="pl.336.16"></a><var>336.16</var>legal representative, if any. A restriction may be implemented only when the required <br/>
<a id="pl.336.17"></a><var>336.17</var>approval has been obtained. Approval may be withdrawn at any time. If approval is <br/>
<a id="pl.336.18"></a><var>336.18</var>withdrawn, the right must be immediately and fully restored.<br/>
<br/>
<a id="bill.18.11.0"></a><a id="pl.336.19"></a><var>336.19</var>    Sec. 11. Minnesota Statutes 2010, section 245B.05, subdivision 1, is amended to read:<br/>
<a id="pl.336.20"></a><var>336.20</var>    Subdivision 1. <b>Environment.</b> The license holder must:<br/>
<a id="pl.336.21"></a><var>336.21</var>(1) ensure that services are provided in a safe and hazard-free environment when the <br/>
<a id="pl.336.22"></a><var>336.22</var>license holder is the owner, lessor, or tenant of the service site. All other license holders <br/>
<a id="pl.336.23"></a><var>336.23</var>shall inform the consumer or the consumer's legal representative and case manager about <br/>
<a id="pl.336.24"></a><var>336.24</var>any environmental safety concerns in writing;<br/>
<a id="pl.336.25"></a><var>336.25</var>(2) lock doors ensure that doors are locked or toxic substances or dangerous items <br/>
<a id="pl.336.26"></a><var>336.26</var>normally accessible to persons served by the program are stored in locked cabinets, <br/>
<a id="pl.336.27"></a><var>336.27</var>drawers, or containers  only to protect the safety of consumers and not as a substitute for <br/>
<a id="pl.336.28"></a><var>336.28</var>staff supervision or interactions with consumers. If doors are locked or toxic substances <br/>
<a id="pl.336.29"></a><var>336.29</var>or dangerous items normally accessible to persons served by the program are stored in <br/>
<a id="pl.336.30"></a><var>336.30</var>locked cabinets, drawers, or containers, the license holder must justify and document <br/>
<a id="pl.336.31"></a><var>336.31</var>how this determination was made in consultation with the person or the person's legal <br/>
<a id="pl.336.32"></a><var>336.32</var>representative and how access will otherwise be provided to the person and all other <br/>
<a id="pl.336.33"></a><var>336.33</var>affected persons receiving services;<br/>
<a id="pl.336.34"></a><var>336.34</var>(3) follow procedures that minimize the consumer's health risk from communicable <br/>
<a id="pl.336.35"></a><var>336.35</var>diseases; and<br/>
<a id="pl.337.1"></a><var>337.1</var>(4) maintain equipment, vehicles, supplies, and materials owned or leased by the <br/>
<a id="pl.337.2"></a><var>337.2</var>license holder in good condition.<br/>
<br/>
<a id="bill.18.12.0"></a><a id="pl.337.3"></a><var>337.3</var>    Sec. 12. Minnesota Statutes 2010, section 245B.07, subdivision 5, is amended to read:<br/>
<a id="pl.337.4"></a><var>337.4</var>    Subd. 5. <b>Staff orientation.</b> (a) Within 60 days of hiring staff who provide direct <br/>
<a id="pl.337.5"></a><var>337.5</var>service, the license holder must provide 30 hours of staff orientation. Direct care staff <br/>
<a id="pl.337.6"></a><var>337.6</var>must complete 15 of the 30 hours orientation before providing any unsupervised direct <br/>
<a id="pl.337.7"></a><var>337.7</var>service to a consumer. If the staff person has received orientation training from a license <br/>
<a id="pl.337.8"></a><var>337.8</var>holder licensed under this chapter, or provides semi-independent living services only, the <br/>
<a id="pl.337.9"></a><var>337.9</var>15-hour requirement may be reduced to eight hours. The total orientation of 30 hours may <br/>
<a id="pl.337.10"></a><var>337.10</var>be reduced to 15 hours if the staff person has previously received orientation training from <br/>
<a id="pl.337.11"></a><var>337.11</var>a license holder licensed under this chapter.<br/>
<a id="pl.337.12"></a><var>337.12</var>(b) The 30 hours of orientation must combine supervised on-the-job training with <br/>
<a id="pl.337.13"></a><var>337.13</var>coverage review of and instruction on the following material:<br/>
<a id="pl.337.14"></a><var>337.14</var>(1) review of the consumer's service plans and risk management plan to achieve an <br/>
<a id="pl.337.15"></a><var>337.15</var>understanding of the consumer as a unique individual and staff responsibilities related to <br/>
<a id="pl.337.16"></a><var>337.16</var>implementation of those plans;<br/>
<a id="pl.337.17"></a><var>337.17</var>(2) review and instruction on implementation of the license holder's policies and <br/>
<a id="pl.337.18"></a><var>337.18</var>procedures, including their location and access;<br/>
<a id="pl.337.19"></a><var>337.19</var>(3) staff responsibilities related to emergency procedures;<br/>
<a id="pl.337.20"></a><var>337.20</var>(4) explanation of specific job functions, including implementing objectives from <br/>
<a id="pl.337.21"></a><var>337.21</var>the consumer's individual service plan;<br/>
<a id="pl.337.22"></a><var>337.22</var>(5) explanation of responsibilities related to section 
         <statute_ref>245A.65</statute_ref>; sections 
         <statute_ref>626.556</statute_ref> <br/>
<a id="pl.337.23"></a><var>337.23</var>and 
         <statute_ref>626.557</statute_ref>, governing maltreatment reporting and service planning for children and <br/>
<a id="pl.337.24"></a><var>337.24</var>vulnerable adults; and section 
         <statute_ref>245.825</statute_ref>, governing use of aversive and deprivation <br/>
<a id="pl.337.25"></a><var>337.25</var>procedures;<br/>
<a id="pl.337.26"></a><var>337.26</var>(6) medication administration as it applies to the individual consumer, from a <br/>
<a id="pl.337.27"></a><var>337.27</var>training curriculum developed by a health services professional described in section <br/>
<statute_ref><a id="pl.337.28"></a><var>337.28</var>245B.05, subdivision 5
         </statute_ref>, and when the consumer meets the criteria of having overriding <br/>
<a id="pl.337.29"></a><var>337.29</var>health care needs, then medication administration taught by a health services professional. <br/>
<a id="pl.337.30"></a><var>337.30</var>Staff may administer medications only after they demonstrate the ability, as defined in the <br/>
<a id="pl.337.31"></a><var>337.31</var>license holder's medication administration policy and procedures. Once a consumer with <br/>
<a id="pl.337.32"></a><var>337.32</var>overriding health care needs is admitted, staff will be provided with remedial training as <br/>
<a id="pl.337.33"></a><var>337.33</var>deemed necessary by the license holder and the health professional to meet the needs of <br/>
<a id="pl.337.34"></a><var>337.34</var>that consumer.<br/>
<a id="pl.338.1"></a><var>338.1</var>For purposes of this section, overriding health care needs means a health care <br/>
<a id="pl.338.2"></a><var>338.2</var>condition that affects the service options available to the consumer because the condition <br/>
<a id="pl.338.3"></a><var>338.3</var>requires:<br/>
<a id="pl.338.4"></a><var>338.4</var>(i) specialized or intensive medical or nursing supervision; and<br/>
<a id="pl.338.5"></a><var>338.5</var>(ii) nonmedical service providers to adapt their services to accommodate the health <br/>
<a id="pl.338.6"></a><var>338.6</var>and safety needs of the consumer;<br/>
<a id="pl.338.7"></a><var>338.7</var>(7) consumer rights and staff responsibilities related to protecting and ensuring <br/>
<a id="pl.338.8"></a><var>338.8</var>the exercise of the consumer rights; and<br/>
<a id="pl.338.9"></a><var>338.9</var>(8) other topics necessary as determined by the consumer's individual service plan or <br/>
<a id="pl.338.10"></a><var>338.10</var>other areas identified by the license holder.<br/>
<a id="pl.338.11"></a><var>338.11</var>(c) The license holder must document each employee's orientation received.<br/>
<br/>
<a id="bill.18.13.0"></a><a id="pl.338.12"></a><var>338.12</var>    Sec. 13. Minnesota Statutes 2010, section 245B.07, is amended by adding a <br/>
<a id="pl.338.13"></a><var>338.13</var>subdivision to read:<br/>
<a id="pl.338.14"></a><var>338.14</var>    Subd. 7a. <b>Subcontractors.</b> If the license holder uses a subcontractor to perform <br/>
<a id="pl.338.15"></a><var>338.15</var>services licensed under this chapter on the license holder's behalf, the license holder must <br/>
<a id="pl.338.16"></a><var>338.16</var>ensure that the subcontractor meets and maintains compliance with all requirements under <br/>
<a id="pl.338.17"></a><var>338.17</var>this chapter that apply to the services to be provided.<br/>
<br/>
<a id="bill.18.14.0"></a><a id="pl.338.18"></a><var>338.18</var>    Sec. 14. Minnesota Statutes 2010, section 245B.07, subdivision 9, is amended to read:<br/>
<a id="pl.338.19"></a><var>338.19</var>    Subd. 9. <b>Availability of current written policies and procedures.</b> The license <br/>
<a id="pl.338.20"></a><var>338.20</var>holder shall:<br/>
<a id="pl.338.21"></a><var>338.21</var>(1) review and update, as needed, the written policies and procedures in this chapter;<br/>
<a id="pl.338.22"></a><var>338.22</var>(2) inform consumers or the consumer's legal representatives of the written policies <br/>
<a id="pl.338.23"></a><var>338.23</var>and procedures in this chapter upon service initiation. Copies of policies and procedures <br/>
<a id="pl.338.24"></a><var>338.24</var>affecting a consumer's rights under section 245D.04 must be provided upon service <br/>
<a id="pl.338.25"></a><var>338.25</var>initiation. Copies of all other policies and procedures must be available to consumers <br/>
<a id="pl.338.26"></a><var>338.26</var>or the consumer's legal representatives, case managers, the county where services are <br/>
<a id="pl.338.27"></a><var>338.27</var>located, and the commissioner upon request;<br/>
<a id="pl.338.28"></a><var>338.28</var>(3) provide all consumers or the consumers' legal representatives and case managers <br/>
<a id="pl.338.29"></a><var>338.29</var>a copy of the revised policies and procedures and explanation of the revisions to policies <br/>
<a id="pl.338.30"></a><var>338.30</var>and procedures that affect consumers' service-related or protection-related rights under <br/>
<a id="pl.338.31"></a><var>338.31</var>section 
         <statute_ref>245B.04</statute_ref> and maltreatment reporting policies and procedures. Unless there is <br/>
<a id="pl.338.32"></a><var>338.32</var>reasonable cause, the license holder must provide this notice at least 30 days before <br/>
<a id="pl.338.33"></a><var>338.33</var>implementing the revised policy and procedure. The license holder must document the <br/>
<a id="pl.338.34"></a><var>338.34</var>reason for not providing the notice at least 30 days before implementing the revisions;<br/>
<a id="pl.339.1"></a><var>339.1</var>(4) annually notify all consumers or the consumers' legal representatives and case <br/>
<a id="pl.339.2"></a><var>339.2</var>managers of any revised policies and procedures under this chapter, other than those in <br/>
<a id="pl.339.3"></a><var>339.3</var>clause (3). Upon request, the license holder must provide the consumer or consumer's <br/>
<a id="pl.339.4"></a><var>339.4</var>legal representative and case manager copies of the revised policies and procedures;<br/>
<a id="pl.339.5"></a><var>339.5</var>(5) before implementing revisions to policies and procedures under this chapter, <br/>
<a id="pl.339.6"></a><var>339.6</var>inform all employees of the revisions and provide training on implementation of the <br/>
<a id="pl.339.7"></a><var>339.7</var>revised policies and procedures; and<br/>
<a id="pl.339.8"></a><var>339.8</var>(6) document and maintain relevant information related to the policies and <br/>
<a id="pl.339.9"></a><var>339.9</var>procedures in this chapter.<br/>
<br/>
<a id="bill.18.15.0"></a><a id="pl.339.10"></a><var>339.10</var>    Sec. 15. Minnesota Statutes 2010, section 245B.07, subdivision 10, is amended to read:<br/>
<a id="pl.339.11"></a><var>339.11</var>    Subd. 10. <b>Consumer funds.</b> (a) The license holder must ensure that consumers <br/>
<a id="pl.339.12"></a><var>339.12</var>retain the use and availability of personal funds or property unless restrictions are justified <br/>
<a id="pl.339.13"></a><var>339.13</var>in the consumer's individual service plan.<br/>
<a id="pl.339.14"></a><var>339.14</var>(b) The license holder must ensure separation of consumer funds from funds of the <br/>
<a id="pl.339.15"></a><var>339.15</var>license holder, the program, or program staff.<br/>
<a id="pl.339.16"></a><var>339.16</var>(c) Whenever the license holder assists a consumer with the safekeeping of funds <br/>
<a id="pl.339.17"></a><var>339.17</var>or other property, the license holder must have written authorization to do so by the <br/>
<a id="pl.339.18"></a><var>339.18</var>consumer or the consumer's legal representative, and the case manager. In addition, the <br/>
<a id="pl.339.19"></a><var>339.19</var>license holder must:<br/>
<a id="pl.339.20"></a><var>339.20</var>(1) document receipt and disbursement of the consumer's funds or the property;<br/>
<a id="pl.339.21"></a><var>339.21</var>(2) annually survey, document, and implement the preferences of the consumer, <br/>
<a id="pl.339.22"></a><var>339.22</var>consumer's legal representative, and the case manager for frequency of receiving a <br/>
<a id="pl.339.23"></a><var>339.23</var>statement that itemizes receipts and disbursements of consumer funds or other property; <br/>
<a id="pl.339.24"></a><var>339.24</var>and<br/>
<a id="pl.339.25"></a><var>339.25</var>(3) return to the consumer upon the consumer's request, funds and property in the <br/>
<a id="pl.339.26"></a><var>339.26</var>license holder's possession subject to restrictions in the consumer's individual service plan, <br/>
<a id="pl.339.27"></a><var>339.27</var>as soon as possible, but no later than three working days after the date of the request.<br/>
<a id="pl.339.28"></a><var>339.28</var>(d) License holders and program staff must not:<br/>
<a id="pl.339.29"></a><var>339.29</var>(1) borrow money from a consumer;<br/>
<a id="pl.339.30"></a><var>339.30</var>(2) purchase personal items from a consumer;<br/>
<a id="pl.339.31"></a><var>339.31</var>(3) sell merchandise or personal services to a consumer;<br/>
<a id="pl.339.32"></a><var>339.32</var>(4) require a consumer to purchase items for which the license holder is eligible for <br/>
<a id="pl.339.33"></a><var>339.33</var>reimbursement; or<br/>
<a id="pl.339.34"></a><var>339.34</var>(5) use consumer funds in a manner that would violate section 
         <statute_ref>256B.04</statute_ref>, or any <br/>
<a id="pl.339.35"></a><var>339.35</var>rules promulgated under that section.; or<br/>
<a id="pl.340.1"></a><var>340.1</var>(6) accept powers-of-attorney from a person receiving services from the license <br/>
<a id="pl.340.2"></a><var>340.2</var>holder for any purpose, and may not accept an appointment as guardian or conservator of <br/>
<a id="pl.340.3"></a><var>340.3</var>a person receiving services from the license holder. This does not apply to license holders <br/>
<a id="pl.340.4"></a><var>340.4</var>that are Minnesota counties or other units of government.<br/>
<br/>
<a id="bill.18.16.0"></a><a id="pl.340.5"></a><var>340.5</var>    Sec. 16. <b>[245D.01] CITATION.</b><br/>
<a id="pl.340.6"></a><var>340.6</var>This chapter may be cited as the "Home and Community-Based Services Standards" <br/>
<a id="pl.340.7"></a><var>340.7</var>or "HCBS Standards."<br/>
<br/>
<a id="bill.18.17.0"></a><a id="pl.340.8"></a><var>340.8</var>    Sec. 17. <b>[245D.02] DEFINITIONS.</b><br/>
<a id="pl.340.9"></a><var>340.9</var>    Subdivision 1. <b>Scope.</b> The terms used in this chapter have the meanings given <br/>
<a id="pl.340.10"></a><var>340.10</var>them in this section.<br/>
<a id="pl.340.11"></a><var>340.11</var>    Subd. 2. <b>Annual and annually.</b> "Annual" and "annually" have the meaning given <br/>
<a id="pl.340.12"></a><var>340.12</var>in section 245A.02, subdivision 2b.<br/>
<a id="pl.340.13"></a><var>340.13</var>    Subd. 3. <b>Case manager.</b> "Case manager" means the individual designated <br/>
<a id="pl.340.14"></a><var>340.14</var>to provide waiver case management services, care coordination, or long-term care <br/>
<a id="pl.340.15"></a><var>340.15</var>consultation, as specified in sections 256B.0913, 256B.0915, 256B.092, and 256B.49, <br/>
<a id="pl.340.16"></a><var>340.16</var>or successor provisions. <br/>
<a id="pl.340.17"></a><var>340.17</var>    Subd. 4. <b>Commissioner.</b> "Commissioner" means the commissioner of the <br/>
<a id="pl.340.18"></a><var>340.18</var>Department of Human Services or the commissioner's designated representative.<br/>
<a id="pl.340.19"></a><var>340.19</var>    Subd. 5. <b>Department.</b> "Department" means the Department of Human Services.<br/>
<a id="pl.340.20"></a><var>340.20</var>    Subd. 6. <b>Direct contact.</b> "Direct contact" has the meaning given in section 245C.02, <br/>
<a id="pl.340.21"></a><var>340.21</var>subdivision 11, and is used interchangeably with the term "direct service."<br/>
<a id="pl.340.22"></a><var>340.22</var>    Subd. 7. <b>Drug.</b> "Drug" has the meaning given in section 151.01, subdivision 5.<br/>
<a id="pl.340.23"></a><var>340.23</var>    Subd. 8. <b>Emergency.</b> "Emergency" means any event that affects the ordinary <br/>
<a id="pl.340.24"></a><var>340.24</var>daily operation of the program including, but not limited to, fires, severe weather, natural <br/>
<a id="pl.340.25"></a><var>340.25</var>disasters, power failures, or other events that threaten the immediate health and safety of <br/>
<a id="pl.340.26"></a><var>340.26</var>a person receiving services and that require calling 911, emergency evacuation, moving <br/>
<a id="pl.340.27"></a><var>340.27</var>to an emergency shelter, or temporary closure or relocation of the program to another <br/>
<a id="pl.340.28"></a><var>340.28</var>facility or service site.<br/>
<a id="pl.340.29"></a><var>340.29</var>    Subd. 9. <b>Health services.</b> "Health services" means any service or treatment <br/>
<a id="pl.340.30"></a><var>340.30</var>consistent with the physical and mental health needs of the person, such as medication <br/>
<a id="pl.340.31"></a><var>340.31</var>administration and monitoring, medical, dental, nutritional, health monitoring, wellness <br/>
<a id="pl.340.32"></a><var>340.32</var>education, and exercise.<br/>
<a id="pl.340.33"></a><var>340.33</var>    Subd. 10. <b>Home and community-based services.</b> "Home and community-based <br/>
<a id="pl.340.34"></a><var>340.34</var>services" means the services subject to the provisions of this chapter and defined in the <br/>
<a id="pl.341.1"></a><var>341.1</var>federal waiver plans governed by United States Code, title 42, sections 1396 et seq., or the <br/>
<a id="pl.341.2"></a><var>341.2</var>state's alternative care program according to section 256B.0913, including the brain injury <br/>
<a id="pl.341.3"></a><var>341.3</var>(BI) waiver, the community alternative care (CAC) waiver, the community alternatives <br/>
<a id="pl.341.4"></a><var>341.4</var>for disabled individuals (CADI) waiver, the developmental disability (DD) waiver, the <br/>
<a id="pl.341.5"></a><var>341.5</var>elderly waiver (EW), and the alternative care (AC) program. <br/>
<a id="pl.341.6"></a><var>341.6</var>    Subd. 11. <b>Incident.</b> "Incident" means an occurrence that affects the ordinary <br/>
<a id="pl.341.7"></a><var>341.7</var>provision of services to a person and includes any of the following:<br/>
<a id="pl.341.8"></a><var>341.8</var>(1) serious injury as determined by section 245.91, subdivision 6; <br/>
<a id="pl.341.9"></a><var>341.9</var>(2) a person's death;<br/>
<a id="pl.341.10"></a><var>341.10</var>(3) any medical emergency, unexpected serious illness, or significant unexpected <br/>
<a id="pl.341.11"></a><var>341.11</var>change in an illness or medical condition, or the mental health status of a person that <br/>
<a id="pl.341.12"></a><var>341.12</var>requires calling 911 or a mental health crisis intervention team, physician treatment, <br/>
<a id="pl.341.13"></a><var>341.13</var>or hospitalization;<br/>
<a id="pl.341.14"></a><var>341.14</var>(4) a person's unauthorized or unexplained absence from a program;<br/>
<a id="pl.341.15"></a><var>341.15</var>(5) physical aggression by a person receiving services against another person <br/>
<a id="pl.341.16"></a><var>341.16</var>receiving services that causes physical pain, injury, or persistent emotional distress, <br/>
<a id="pl.341.17"></a><var>341.17</var>including, but not limited to, hitting, slapping, kicking, scratching, pinching, biting, <br/>
<a id="pl.341.18"></a><var>341.18</var>pushing, and spitting;<br/>
<a id="pl.341.19"></a><var>341.19</var>(6) any sexual activity between persons receiving services involving force or <br/>
<a id="pl.341.20"></a><var>341.20</var>coercion as defined under section 609.341, subdivisions 3 and 14; or <br/>
<a id="pl.341.21"></a><var>341.21</var>(7) a report of alleged or suspected child or vulnerable adult maltreatment under <br/>
<a id="pl.341.22"></a><var>341.22</var>section 626.556 or 626.557. <br/>
<a id="pl.341.23"></a><var>341.23</var>    Subd. 12. <b>Legal representative.</b> "Legal representative" means the parent of a <br/>
<a id="pl.341.24"></a><var>341.24</var>person who is under 18 years of age, a court-appointed guardian, or other representative <br/>
<a id="pl.341.25"></a><var>341.25</var>with legal authority to make decisions about services for a person.<br/>
<a id="pl.341.26"></a><var>341.26</var>    Subd. 13. <b>License.</b> "License" has the meaning given in section 245A.02, <br/>
<a id="pl.341.27"></a><var>341.27</var>subdivision 8. <br/>
<a id="pl.341.28"></a><var>341.28</var>    Subd. 14. <b>Licensed health professional.</b> "Licensed health professional" means a <br/>
<a id="pl.341.29"></a><var>341.29</var>person licensed in Minnesota to practice those professions described in section 214.01, <br/>
<a id="pl.341.30"></a><var>341.30</var>subdivision 2.<br/>
<a id="pl.341.31"></a><var>341.31</var>    Subd. 15. <b>License holder.</b> "License holder" has the meaning given in section <br/>
<a id="pl.341.32"></a><var>341.32</var>245A.02, subdivision 9. <br/>
<a id="pl.341.33"></a><var>341.33</var>    Subd. 16. <b>Medication.</b> "Medication" means a prescription drug or over-the-counter <br/>
<a id="pl.341.34"></a><var>341.34</var>drug. For purposes of this chapter, "medication" includes dietary supplements.<br/>
<a id="pl.341.35"></a><var>341.35</var>    Subd. 17. <b>Medication administration.</b> "Medication administration" means <br/>
<a id="pl.341.36"></a><var>341.36</var>performing the following set of tasks to ensure a person takes both prescription and <br/>
<a id="pl.342.1"></a><var>342.1</var>over-the-counter medications and treatments according to orders issued by appropriately <br/>
<a id="pl.342.2"></a><var>342.2</var>licensed professionals, and includes the following:<br/>
<a id="pl.342.3"></a><var>342.3</var>(1) checking the person's medication record;<br/>
<a id="pl.342.4"></a><var>342.4</var>(2) preparing the medication for administration;<br/>
<a id="pl.342.5"></a><var>342.5</var>(3) administering the medication to the person;<br/>
<a id="pl.342.6"></a><var>342.6</var>(4) documenting the administration of the medication or the reason for not <br/>
<a id="pl.342.7"></a><var>342.7</var>administering the medication; and<br/>
<a id="pl.342.8"></a><var>342.8</var>(5) reporting to the prescriber or a nurse any concerns about the medication, <br/>
<a id="pl.342.9"></a><var>342.9</var>including side effects, adverse reactions, effectiveness, or the person's refusal to take the <br/>
<a id="pl.342.10"></a><var>342.10</var>medication or the person's self-administration of the medication.<br/>
<a id="pl.342.11"></a><var>342.11</var>    Subd. 18. <b>Medication assistance.</b> "Medication assistance" means providing verbal <br/>
<a id="pl.342.12"></a><var>342.12</var>or visual reminders to take regularly scheduled medication, which includes either of <br/>
<a id="pl.342.13"></a><var>342.13</var>the following:<br/>
<a id="pl.342.14"></a><var>342.14</var>(1) bringing to the person and opening a container of previously set up medications <br/>
<a id="pl.342.15"></a><var>342.15</var>and emptying the container into the person's hand or opening and giving the medications <br/>
<a id="pl.342.16"></a><var>342.16</var>in the original container to the person, or bringing to the person liquids or food to <br/>
<a id="pl.342.17"></a><var>342.17</var>accompany the medication; or<br/>
<a id="pl.342.18"></a><var>342.18</var>(2) providing verbal or visual reminders to perform regularly scheduled treatments <br/>
<a id="pl.342.19"></a><var>342.19</var>and exercises.<br/>
<a id="pl.342.20"></a><var>342.20</var>    Subd. 19. <b>Medication management.</b> "Medication management" means the <br/>
<a id="pl.342.21"></a><var>342.21</var>provision of any of the following:<br/>
<a id="pl.342.22"></a><var>342.22</var>(1) medication-related services to a person;<br/>
<a id="pl.342.23"></a><var>342.23</var>(2) medication setup;<br/>
<a id="pl.342.24"></a><var>342.24</var>(3) medication administration;<br/>
<a id="pl.342.25"></a><var>342.25</var>(4) medication storage and security;<br/>
<a id="pl.342.26"></a><var>342.26</var>(5) medication documentation and charting;<br/>
<a id="pl.342.27"></a><var>342.27</var>(6) verification and monitoring of effectiveness of systems to ensure safe medication <br/>
<a id="pl.342.28"></a><var>342.28</var>handling and administration;<br/>
<a id="pl.342.29"></a><var>342.29</var>(7) coordination of medication refills;<br/>
<a id="pl.342.30"></a><var>342.30</var>(8) handling changes to prescriptions and implementation of those changes;<br/>
<a id="pl.342.31"></a><var>342.31</var>(9) communicating with the pharmacy; or<br/>
<a id="pl.342.32"></a><var>342.32</var>(10) coordination and communication with prescriber.<br/>
<a id="pl.342.33"></a><var>342.33</var>For the purposes of this chapter, medication management does not mean "medication <br/>
<a id="pl.342.34"></a><var>342.34</var>therapy management services" as identified in section 256B.0625, subdivision 13h.<br/>
<a id="pl.342.35"></a><var>342.35</var>    Subd. 20. <b>Mental health crisis intervention team.</b> "Mental health crisis <br/>
<a id="pl.342.36"></a><var>342.36</var>intervention team" means mental health crisis response providers as identified in section <br/>
<a id="pl.343.1"></a><var>343.1</var>256B.0624, subdivision 2, paragraph (d), for adults, and in section 256B.0944, subdivision <br/>
<a id="pl.343.2"></a><var>343.2</var>1, paragraph (d), for children.<br/>
<a id="pl.343.3"></a><var>343.3</var>    Subd. 21. <b>Over-the-counter drug.</b> "Over-the-counter drug" means a drug that <br/>
<a id="pl.343.4"></a><var>343.4</var>is not required by federal law to bear the statement "Caution: Federal law prohibits <br/>
<a id="pl.343.5"></a><var>343.5</var>dispensing without prescription."<br/>
<a id="pl.343.6"></a><var>343.6</var>    Subd. 22. <b>Person.</b> "Person" has the meaning given in section 245A.02, subdivision <br/>
<a id="pl.343.7"></a><var>343.7</var>11.<br/>
<a id="pl.343.8"></a><var>343.8</var>    Subd. 23. <b>Person with a disability.</b> "Person with a disability" means a person <br/>
<a id="pl.343.9"></a><var>343.9</var>determined to have a disability by the commissioner's state medical review team as <br/>
<a id="pl.343.10"></a><var>343.10</var>identified in section 256B.055, subdivision 7,  the Social Security Administration, or <br/>
<a id="pl.343.11"></a><var>343.11</var>the person is determined to have a developmental disability as defined in Minnesota <br/>
<a id="pl.343.12"></a><var>343.12</var>Rules, part 9525.0016, subpart 2, item B, or a related condition as defined in section <br/>
<a id="pl.343.13"></a><var>343.13</var>252.27, subdivision 1a.<br/>
<a id="pl.343.14"></a><var>343.14</var>    Subd. 24. <b>Prescriber.</b> "Prescriber" means a licensed practitioner as defined in <br/>
<a id="pl.343.15"></a><var>343.15</var>section 151.01, subdivision 23, who is authorized under section 151.37 to prescribe <br/>
<a id="pl.343.16"></a><var>343.16</var>drugs. For the purposes of this chapter, the term "prescriber" is used interchangeably <br/>
<a id="pl.343.17"></a><var>343.17</var>with "physician."<br/>
<a id="pl.343.18"></a><var>343.18</var>    Subd. 25. <b>Prescription drug.</b> "Prescription drug" has the meaning given in section <br/>
<a id="pl.343.19"></a><var>343.19</var>151.01, subdivision 17.<br/>
<a id="pl.343.20"></a><var>343.20</var>    Subd. 26. <b>Program.</b> "Program" means either the nonresidential or residential <br/>
<a id="pl.343.21"></a><var>343.21</var>program as defined in section 245A.02, subdivisions 10 and 14.<br/>
<a id="pl.343.22"></a><var>343.22</var>    Subd. 27. <b>Psychotropic medication.</b> "Psychotropic medication" means any <br/>
<a id="pl.343.23"></a><var>343.23</var>medication prescribed to treat the symptoms of mental illness that affect thought processes, <br/>
<a id="pl.343.24"></a><var>343.24</var>mood, sleep, or behavior. The major classes of psychotropic medication are antipsychotic <br/>
<a id="pl.343.25"></a><var>343.25</var>(neuroleptic), antidepressant, antianxiety, mood stabilizers, anticonvulsants, and <br/>
<a id="pl.343.26"></a><var>343.26</var>stimulants and nonstimulants for the treatment of attention deficit/hyperactivity disorder. <br/>
<a id="pl.343.27"></a><var>343.27</var>Other miscellaneous medications are considered to be a psychotropic medication when <br/>
<a id="pl.343.28"></a><var>343.28</var>they are specifically prescribed to treat a mental illness or to control or alter behavior.<br/>
<a id="pl.343.29"></a><var>343.29</var>    Subd. 28. <b>Restraint.</b> "Restraint" means physical or mechanical limiting of the free <br/>
<a id="pl.343.30"></a><var>343.30</var>and normal movement of body or limbs.<br/>
<a id="pl.343.31"></a><var>343.31</var>    Subd. 29. <b>Seclusion.</b> "Seclusion" means separating a person from others in a way <br/>
<a id="pl.343.32"></a><var>343.32</var>that prevents social contact and prevents the person from leaving the situation if he or she <br/>
<a id="pl.343.33"></a><var>343.33</var>chooses.<br/>
<a id="pl.343.34"></a><var>343.34</var>    Subd. 30. <b>Service.</b> "Service" means care, training, supervision, counseling, <br/>
<a id="pl.343.35"></a><var>343.35</var>consultation, or medication assistance assigned to the license holder in the service plan.<br/>
<a id="pl.344.1"></a><var>344.1</var>    Subd. 31. <b>Service plan.</b> "Service plan" means the individual service plan or <br/>
<a id="pl.344.2"></a><var>344.2</var>individual care plan identified in sections 256B.0913, 256B.0915, 256B.092, and 256B.49, <br/>
<a id="pl.344.3"></a><var>344.3</var>or successor provisions, and includes any support plans or service needs identified as <br/>
<a id="pl.344.4"></a><var>344.4</var>a result of long-term care consultation, or a support team meeting that includes the <br/>
<a id="pl.344.5"></a><var>344.5</var>participation of the person, the person's legal representative, and case manager, or assigned <br/>
<a id="pl.344.6"></a><var>344.6</var>to a license holder through an authorized service agreement.<br/>
<a id="pl.344.7"></a><var>344.7</var>    Subd. 32. <b>Service site.</b> "Service site" means the location where the service is <br/>
<a id="pl.344.8"></a><var>344.8</var>provided to the person, including but not limited to, a facility licensed according to chapter <br/>
<a id="pl.344.9"></a><var>344.9</var>245A; a location where the license holder is the owner, lessor, or tenant; a person's own <br/>
<a id="pl.344.10"></a><var>344.10</var>home; or a community-based location.<br/>
<a id="pl.344.11"></a><var>344.11</var>    Subd. 33. <b>Staff.</b> "Staff" means an employee who will have direct contact with a <br/>
<a id="pl.344.12"></a><var>344.12</var>person served by the facility, agency, or program.<br/>
<a id="pl.344.13"></a><var>344.13</var>    Subd. 34. <b>Support team.</b> "Support team" means the service planning team <br/>
<a id="pl.344.14"></a><var>344.14</var>identified in section 256B.49, subdivision 15, or the interdisciplinary team identified in <br/>
<a id="pl.344.15"></a><var>344.15</var>Minnesota Rules, part 9525.0004, subpart 14.<br/>
<a id="pl.344.16"></a><var>344.16</var>    Subd. 35. <b>Unit of government.</b> "Unit of government" means every city, county, <br/>
<a id="pl.344.17"></a><var>344.17</var>town, school district, other political subdivisions of the state, and any agency of the state <br/>
<a id="pl.344.18"></a><var>344.18</var>or the United States, and includes any instrumentality of a unit of government. <br/>
<a id="pl.344.19"></a><var>344.19</var>    Subd. 36. <b>Volunteer.</b> "Volunteer" means an individual who, under the direction of <br/>
<a id="pl.344.20"></a><var>344.20</var>the license holder, provides direct services without pay to a person served by the license <br/>
<a id="pl.344.21"></a><var>344.21</var>holder.<br/>
<br/>
<a id="bill.18.18.0"></a><a id="pl.344.22"></a><var>344.22</var>    Sec. 18. <b>[245D.03] APPLICABILITY AND EFFECT.</b><br/>
<a id="pl.344.23"></a><var>344.23</var>    Subdivision 1. <b>Applicability. </b> The commissioner shall regulate the provision of <br/>
<a id="pl.344.24"></a><var>344.24</var>home and community-based services to persons with disabilities and persons age 65 and <br/>
<a id="pl.344.25"></a><var>344.25</var>older pursuant to this chapter. The licensing standards in this chapter govern the provision <br/>
<a id="pl.344.26"></a><var>344.26</var>of the following services:<br/>
<a id="pl.344.27"></a><var>344.27</var>(1) housing access coordination as defined under the current BI, CADI, and DD <br/>
<a id="pl.344.28"></a><var>344.28</var>waiver plans or successor plans;<br/>
<a id="pl.344.29"></a><var>344.29</var>(2) respite services as defined under the current CADI, BI, CAC, DD, and EW <br/>
<a id="pl.344.30"></a><var>344.30</var>waiver plans or successor plans when the provider is an individual who is not an employee <br/>
<a id="pl.344.31"></a><var>344.31</var>of a residential or nonresidential program licensed by the Department of Human Services <br/>
<a id="pl.344.32"></a><var>344.32</var>or the Department of Health that is otherwise providing the respite service;<br/>
<a id="pl.344.33"></a><var>344.33</var>(3) behavioral programming as defined under the current BI and CADI waiver <br/>
<a id="pl.344.34"></a><var>344.34</var>plans or successor plans;<br/>
<a id="pl.345.1"></a><var>345.1</var>(4) specialist services as defined under the current DD waiver plan or successor <br/>
<a id="pl.345.2"></a><var>345.2</var>plans; <br/>
<a id="pl.345.3"></a><var>345.3</var>(5) companion services as defined under the current BI, CADI, and EW waiver <br/>
<a id="pl.345.4"></a><var>345.4</var>plans or successor plans, excluding companion services provided under the Corporation <br/>
<a id="pl.345.5"></a><var>345.5</var>for National and Community Services Senior Companion Program established under the <br/>
<a id="pl.345.6"></a><var>345.6</var>Domestic Volunteer Service Act of 1973, Public Law 98-288; <br/>
<a id="pl.345.7"></a><var>345.7</var>(6) personal support as defined under the current DD waiver plan or successor plans;<br/>
<a id="pl.345.8"></a><var>345.8</var>(7) 24-hour emergency assistance, on-call and personal emergency response as <br/>
<a id="pl.345.9"></a><var>345.9</var>defined under the current CADI and DD waiver plans or successor plans;<br/>
<a id="pl.345.10"></a><var>345.10</var>(8) night supervision services as defined under the current BI waiver plan or <br/>
<a id="pl.345.11"></a><var>345.11</var>successor plans;<br/>
<a id="pl.345.12"></a><var>345.12</var>(9) homemaker services as defined under the current CADI, BI, CAC, DD, and EW <br/>
<a id="pl.345.13"></a><var>345.13</var>waiver plans or successor plans, excluding providers licensed by the Department of Health <br/>
<a id="pl.345.14"></a><var>345.14</var>under chapter 144A and those providers providing cleaning services only;<br/>
<a id="pl.345.15"></a><var>345.15</var>(10) independent living skills training as defined under the current BI and CADI <br/>
<a id="pl.345.16"></a><var>345.16</var>waiver plans or successor plans;<br/>
<a id="pl.345.17"></a><var>345.17</var>(11) prevocational services as defined under the current BI and CADI waiver plans <br/>
<a id="pl.345.18"></a><var>345.18</var>or successor plans;<br/>
<a id="pl.345.19"></a><var>345.19</var>(12) structured day services as defined under the current BI waiver plan or successor <br/>
<a id="pl.345.20"></a><var>345.20</var>plans; or<br/>
<a id="pl.345.21"></a><var>345.21</var>(13) supported employment as defined under the current BI and CADI waiver plans <br/>
<a id="pl.345.22"></a><var>345.22</var>or successor plans.<br/>
<a id="pl.345.23"></a><var>345.23</var>    Subd. 2. <b>Relationship to other standards governing home and community-based </b><br/>
<a id="pl.345.24"></a><var>345.24</var><b>services.</b> (a) A license holder governed by this chapter is also subject to the licensure <br/>
<a id="pl.345.25"></a><var>345.25</var>requirements under chapter 245A. <br/>
<a id="pl.345.26"></a><var>345.26</var>(b) A license holder concurrently providing child foster care services licensed <br/>
<a id="pl.345.27"></a><var>345.27</var>according to Minnesota Rules, chapter 2960, to the same person receiving a service <br/>
<a id="pl.345.28"></a><var>345.28</var>licensed under this chapter is exempt from section 245D.04, as it applies to the person.<br/>
<a id="pl.345.29"></a><var>345.29</var>(c) A license holder concurrently providing home care services registered according <br/>
<a id="pl.345.30"></a><var>345.30</var>to sections 144A.43 to 144A.49 to the same person receiving home management services <br/>
<a id="pl.345.31"></a><var>345.31</var>licensed under this chapter is exempt from section 245D.04, as it applies to the person.<br/>
<a id="pl.345.32"></a><var>345.32</var>(d) A license holder identified in subdivision 1, clauses (1), (5), and (9), is exempt <br/>
<a id="pl.345.33"></a><var>345.33</var>from compliance with sections 245A.65, subdivision 2, paragraph (a), and 626.557, <br/>
<a id="pl.345.34"></a><var>345.34</var>subdivision 14, paragraph (b). <br/>
<a id="pl.345.35"></a><var>345.35</var>(e) Notwithstanding section 245D.06, subdivision 5, a license holder providing <br/>
<a id="pl.345.36"></a><var>345.36</var>structured day, prevocational, or supported employment services under this chapter and <br/>
<a id="pl.346.1"></a><var>346.1</var>day training and habilitation or supported employment services licensed under chapter <br/>
<a id="pl.346.2"></a><var>346.2</var>245B within the same program is exempt from compliance with this chapter, when <br/>
<a id="pl.346.3"></a><var>346.3</var>the license holder notifies the commissioner in writing that the requirements under <br/>
<a id="pl.346.4"></a><var>346.4</var>chapter 245B will be met for all persons receiving these services from the program. For <br/>
<a id="pl.346.5"></a><var>346.5</var>the purposes of this paragraph, if the license holder has obtained approval from the <br/>
<a id="pl.346.6"></a><var>346.6</var>commissioner for an alternative inspection status according to section 245B.031, that <br/>
<a id="pl.346.7"></a><var>346.7</var>approval will apply to all persons receiving services in the program.<br/>
<a id="pl.346.8"></a><var>346.8</var>    Subd. 3. <b>Variance.</b> If the conditions in section 245A.04, subdivision 9, are met, <br/>
<a id="pl.346.9"></a><var>346.9</var>the commissioner may grant a variance to any of the requirements in this chapter, except <br/>
<a id="pl.346.10"></a><var>346.10</var>sections 245D.04, and 245D.10, subdivision 4, paragraph (b), or provisions governing <br/>
<a id="pl.346.11"></a><var>346.11</var>data practices and information rights of persons. <br/>
<a id="pl.346.12"></a><var>346.12</var>    Subd. 4. <b>License holders with multiple 245D licenses.</b> (a) When a person changes <br/>
<a id="pl.346.13"></a><var>346.13</var>service from one license to a different license held by the same license holder, the license <br/>
<a id="pl.346.14"></a><var>346.14</var>holder is exempt from the requirements in section 245D.10, subdivision 4, paragraph (b). <br/>
<a id="pl.346.15"></a><var>346.15</var>(b) When a staff person begins providing direct service under one or more licenses <br/>
<a id="pl.346.16"></a><var>346.16</var>held by the same license holder, other than the license for which staff orientation was <br/>
<a id="pl.346.17"></a><var>346.17</var>initially provided according to section 245D.09, subdivision 4, the license holder is <br/>
<a id="pl.346.18"></a><var>346.18</var>exempt from those staff orientation requirements; except the staff person must review each <br/>
<a id="pl.346.19"></a><var>346.19</var>person's service plan and medication administration procedures in accordance with section <br/>
<a id="pl.346.20"></a><var>346.20</var>245D.09, subdivision 4, paragraph (c), if not previously reviewed by the staff person. <br/>
<br/>
<a id="bill.18.19.0"></a><a id="pl.346.21"></a><var>346.21</var>    Sec. 19. <b>[245D.04] SERVICE RECIPIENT RIGHTS.</b><br/>
<a id="pl.346.22"></a><var>346.22</var>    Subdivision 1. <b>License holder responsibility for individual rights of persons </b><br/>
<a id="pl.346.23"></a><var>346.23</var><b>served by the program. </b> The license holder must:<br/>
<a id="pl.346.24"></a><var>346.24</var>(1) provide each person or each person's legal representative with a written notice <br/>
<a id="pl.346.25"></a><var>346.25</var>that identifies the service recipient rights in subdivisions 2 and 3, and an explanation of <br/>
<a id="pl.346.26"></a><var>346.26</var>those rights within five working days of service initiation and annually thereafter;<br/>
<a id="pl.346.27"></a><var>346.27</var>(2) make reasonable accommodations to provide this information in other formats <br/>
<a id="pl.346.28"></a><var>346.28</var>or languages as needed to facilitate understanding of the rights by the person and the <br/>
<a id="pl.346.29"></a><var>346.29</var>person's legal representative, if any;<br/>
<a id="pl.346.30"></a><var>346.30</var>(3) maintain documentation of the person's or the person's legal representative's <br/>
<a id="pl.346.31"></a><var>346.31</var>receipt of a copy and an explanation of the rights; and<br/>
<a id="pl.346.32"></a><var>346.32</var>(4) ensure the exercise and protection of the person's rights in the services provided <br/>
<a id="pl.346.33"></a><var>346.33</var>by the license holder and as authorized in the service plan.<br/>
<a id="pl.346.34"></a><var>346.34</var>    Subd. 2. <b>Service-related rights.</b> A person's service-related rights include the right <br/>
<a id="pl.346.35"></a><var>346.35</var>to:<br/>
<a id="pl.347.1"></a><var>347.1</var>(1) participate in the development and evaluation of the services provided to the <br/>
<a id="pl.347.2"></a><var>347.2</var>person;<br/>
<a id="pl.347.3"></a><var>347.3</var>(2) have services identified in the service plan provided in a manner that respects <br/>
<a id="pl.347.4"></a><var>347.4</var>and takes into consideration the person's preferences;<br/>
<a id="pl.347.5"></a><var>347.5</var>(3) refuse or terminate services and be informed of the consequences of refusing <br/>
<a id="pl.347.6"></a><var>347.6</var>or terminating services; <br/>
<a id="pl.347.7"></a><var>347.7</var>(4) know, in advance, limits to the services available from the license holder;<br/>
<a id="pl.347.8"></a><var>347.8</var>(5) know conditions and terms governing the provision of services, including the <br/>
<a id="pl.347.9"></a><var>347.9</var>license holder's policies and procedures related to temporary service suspension and <br/>
<a id="pl.347.10"></a><var>347.10</var>service termination;<br/>
<a id="pl.347.11"></a><var>347.11</var>(6) know what the charges are for services, regardless of who will be paying for the <br/>
<a id="pl.347.12"></a><var>347.12</var>services, and be notified of changes in those charges;<br/>
<a id="pl.347.13"></a><var>347.13</var>(7) know, in advance, whether services are covered by insurance, government <br/>
<a id="pl.347.14"></a><var>347.14</var>funding, or other sources, and be told of any charges the person or other private party <br/>
<a id="pl.347.15"></a><var>347.15</var>may have to pay; and<br/>
<a id="pl.347.16"></a><var>347.16</var>(8) receive services from an individual who is competent and trained, who has <br/>
<a id="pl.347.17"></a><var>347.17</var>professional certification or licensure, as required, and who meets additional qualifications <br/>
<a id="pl.347.18"></a><var>347.18</var>identified in the person's service plan.<br/>
<a id="pl.347.19"></a><var>347.19</var>    Subd. 3. <b>Protection-related rights.</b> (a) A person's protection-related rights include <br/>
<a id="pl.347.20"></a><var>347.20</var>the right to:<br/>
<a id="pl.347.21"></a><var>347.21</var>(1) have personal, financial, service, health, and medical information kept private, <br/>
<a id="pl.347.22"></a><var>347.22</var>and be advised of disclosure of this information by the license holder;<br/>
<a id="pl.347.23"></a><var>347.23</var>(2) access records and recorded information about the person in accordance with <br/>
<a id="pl.347.24"></a><var>347.24</var>applicable state and federal law, regulation, or rule;<br/>
<a id="pl.347.25"></a><var>347.25</var>(3) be free from maltreatment; <br/>
<a id="pl.347.26"></a><var>347.26</var>(4) be free from restraint or seclusion used for a purpose other than to protect the <br/>
<a id="pl.347.27"></a><var>347.27</var>person from imminent danger to self or others;<br/>
<a id="pl.347.28"></a><var>347.28</var>(5) receive services in a clean and safe environment when the license holder is the <br/>
<a id="pl.347.29"></a><var>347.29</var>owner, lessor, or tenant of the service site;<br/>
<a id="pl.347.30"></a><var>347.30</var>(6) be treated with courtesy and respect and receive respectful treatment of the <br/>
<a id="pl.347.31"></a><var>347.31</var>person's property; <br/>
<a id="pl.347.32"></a><var>347.32</var>(7) reasonable observance of cultural and ethnic practice and religion;<br/>
<a id="pl.347.33"></a><var>347.33</var>(8) be free from bias and harassment regarding race, gender, age, disability, <br/>
<a id="pl.347.34"></a><var>347.34</var>spirituality, and sexual orientation;<br/>
<a id="pl.348.1"></a><var>348.1</var>(9) be informed of and use the license holder's grievance policy and procedures, <br/>
<a id="pl.348.2"></a><var>348.2</var>including knowing how to contact persons responsible for addressing problems and to <br/>
<a id="pl.348.3"></a><var>348.3</var>appeal under section 256.045; <br/>
<a id="pl.348.4"></a><var>348.4</var>(10) know the name, telephone number, and the Web site, e-mail, and street <br/>
<a id="pl.348.5"></a><var>348.5</var>addresses of protection and advocacy services, including the appropriate state-appointed <br/>
<a id="pl.348.6"></a><var>348.6</var>ombudsman, and a brief description of how to file a complaint with these offices;<br/>
<a id="pl.348.7"></a><var>348.7</var>(11) assert these rights personally, or have them asserted by the person's family, <br/>
<a id="pl.348.8"></a><var>348.8</var>authorized representative, or legal representative, without retaliation;<br/>
<a id="pl.348.9"></a><var>348.9</var>(12) give or withhold written informed consent to participate in any research or <br/>
<a id="pl.348.10"></a><var>348.10</var>experimental treatment;<br/>
<a id="pl.348.11"></a><var>348.11</var>(13) associate with other persons of the person's choice;<br/>
<a id="pl.348.12"></a><var>348.12</var>(14) personal privacy; and<br/>
<a id="pl.348.13"></a><var>348.13</var>(15) engage in chosen activities.<br/>
<a id="pl.348.14"></a><var>348.14</var>(b) For a person residing in a residential site licensed according to chapter 245A, <br/>
<a id="pl.348.15"></a><var>348.15</var>or where the license holder is the owner, lessor, or tenant of the residential service site, <br/>
<a id="pl.348.16"></a><var>348.16</var>protection-related rights also include the right to: <br/>
<a id="pl.348.17"></a><var>348.17</var>(1) have daily, private access to and use of a non-coin-operated telephone for local <br/>
<a id="pl.348.18"></a><var>348.18</var>calls and long-distance calls made collect or paid for by the person;<br/>
<a id="pl.348.19"></a><var>348.19</var>(2) receive and send, without interference, uncensored, unopened mail or electronic <br/>
<a id="pl.348.20"></a><var>348.20</var>correspondence or communication; and<br/>
<a id="pl.348.21"></a><var>348.21</var>(3) privacy for visits with the person's spouse, next of kin, legal counsel, religious <br/>
<a id="pl.348.22"></a><var>348.22</var>advisor, or others, in accordance with section 363A.09 of the Human Rights Act, including <br/>
<a id="pl.348.23"></a><var>348.23</var>privacy in the person's bedroom.<br/>
<a id="pl.348.24"></a><var>348.24</var>(c) Restriction of a person's rights under paragraph (a), clauses (13) to (15), or <br/>
<a id="pl.348.25"></a><var>348.25</var>paragraph (b) is allowed only if determined necessary to ensure the health, safety, and <br/>
<a id="pl.348.26"></a><var>348.26</var>well-being of the person. Any restriction of those rights must be documented in the service <br/>
<a id="pl.348.27"></a><var>348.27</var>plan for the person and must include the following information:<br/>
<a id="pl.348.28"></a><var>348.28</var>(1) the justification for the restriction based on an assessment of the person's <br/>
<a id="pl.348.29"></a><var>348.29</var>vulnerability related to exercising the right without restriction;<br/>
<a id="pl.348.30"></a><var>348.30</var>(2) the objective measures set as conditions for ending the restriction;<br/>
<a id="pl.348.31"></a><var>348.31</var>(3) a schedule for reviewing the need for the restriction based on the conditions for <br/>
<a id="pl.348.32"></a><var>348.32</var>ending the restriction to occur, at a minimum, every three months for persons who do not <br/>
<a id="pl.348.33"></a><var>348.33</var>have a legal representative and annually for persons who do have a legal representative <br/>
<a id="pl.348.34"></a><var>348.34</var>from the date of initial approval; and<br/>
<a id="pl.348.35"></a><var>348.35</var>(4) signed and dated approval for the restriction from the person, or the person's <br/>
<a id="pl.348.36"></a><var>348.36</var>legal representative, if any. A restriction may be implemented only when the required <br/>
<a id="pl.349.1"></a><var>349.1</var>approval has been obtained. Approval may be withdrawn at any time. If approval is <br/>
<a id="pl.349.2"></a><var>349.2</var>withdrawn, the right must be immediately and fully restored.<br/>
<br/>
<a id="bill.18.20.0"></a><a id="pl.349.3"></a><var>349.3</var>    Sec. 20. <b>[245D.05] HEALTH SERVICES.</b><br/>
<a id="pl.349.4"></a><var>349.4</var>    Subdivision 1. <b>Health needs.</b> (a) The license holder is responsible for providing <br/>
<a id="pl.349.5"></a><var>349.5</var>health services assigned in the service plan and consistent with the person's health needs. <br/>
<a id="pl.349.6"></a><var>349.6</var>The license holder is responsible for promptly notifying the person or the person's legal <br/>
<a id="pl.349.7"></a><var>349.7</var>representative and the case manager of changes in a person's physical and mental health <br/>
<a id="pl.349.8"></a><var>349.8</var>needs affecting assigned health services, when discovered by the license holder, unless <br/>
<a id="pl.349.9"></a><var>349.9</var>the license holder has reason to know the change has already been reported. The license <br/>
<a id="pl.349.10"></a><var>349.10</var>holder must document when the notice is provided. <br/>
<a id="pl.349.11"></a><var>349.11</var>(b) When assigned in the service plan, the license holder is required to maintain <br/>
<a id="pl.349.12"></a><var>349.12</var>documentation on how the person's health needs will be met, including a description of <br/>
<a id="pl.349.13"></a><var>349.13</var>the procedures the license holder will follow in order to:<br/>
<a id="pl.349.14"></a><var>349.14</var>(1) provide medication administration, medication assistance, or medication <br/>
<a id="pl.349.15"></a><var>349.15</var>management according to this chapter;<br/>
<a id="pl.349.16"></a><var>349.16</var>(2) monitor health conditions according to written instructions from the person's <br/>
<a id="pl.349.17"></a><var>349.17</var>physician or a licensed health professional; <br/>
<a id="pl.349.18"></a><var>349.18</var>(3) assist with or coordinate medical, dental, and other health service appointments; <br/>
<a id="pl.349.19"></a><var>349.19</var>or <br/>
<a id="pl.349.20"></a><var>349.20</var>(4) use medical equipment, devices, or adaptive aides or technology safely and <br/>
<a id="pl.349.21"></a><var>349.21</var>correctly according to written instructions from the person's physician or a licensed <br/>
<a id="pl.349.22"></a><var>349.22</var>health professional. <br/>
<a id="pl.349.23"></a><var>349.23</var>    Subd. 2. <b>Medication administration.</b> (a) The license holder must ensure that the <br/>
<a id="pl.349.24"></a><var>349.24</var>following criteria have been met before staff that is not a licensed health professional <br/>
<a id="pl.349.25"></a><var>349.25</var>administers medication or treatment:<br/>
<a id="pl.349.26"></a><var>349.26</var>(1)  written authorization has been obtained from the person or the person's legal <br/>
<a id="pl.349.27"></a><var>349.27</var>representative to administer medication or treatment orders;<br/>
<a id="pl.349.28"></a><var>349.28</var>(2) the staff person has completed medication administration training according to <br/>
<a id="pl.349.29"></a><var>349.29</var>section 245D.09, subdivision 4, paragraph (c), clause (2); and<br/>
<a id="pl.349.30"></a><var>349.30</var>(3) the medication or treatment will be administered under administration procedures <br/>
<a id="pl.349.31"></a><var>349.31</var>established for the person in consultation with a licensed health professional. Written <br/>
<a id="pl.349.32"></a><var>349.32</var>instruction from the person's physician may constitute the medication administration <br/>
<a id="pl.349.33"></a><var>349.33</var>procedures. A prescription label or the prescriber's order for the prescription is sufficient <br/>
<a id="pl.349.34"></a><var>349.34</var>to constitute written instructions from the prescriber. A licensed health professional may <br/>
<a id="pl.349.35"></a><var>349.35</var>delegate medication administration procedures.<br/>
<a id="pl.350.1"></a><var>350.1</var>(b) The license holder must ensure the following information is documented in the <br/>
<a id="pl.350.2"></a><var>350.2</var>person's medication administration record:<br/>
<a id="pl.350.3"></a><var>350.3</var>(1) the information on the prescription label or the prescriber's order that includes <br/>
<a id="pl.350.4"></a><var>350.4</var>directions for safely and correctly administering the medication to ensure effectiveness;<br/>
<a id="pl.350.5"></a><var>350.5</var>(2) information on any discomforts, risks, or other side effects that are reasonable to <br/>
<a id="pl.350.6"></a><var>350.6</var>expect, and any contraindications to its use;<br/>
<a id="pl.350.7"></a><var>350.7</var>(3) the possible consequences if the medication or treatment is not taken or <br/>
<a id="pl.350.8"></a><var>350.8</var>administered as directed;<br/>
<a id="pl.350.9"></a><var>350.9</var>(4) instruction from the prescriber on when and to whom to report the following:<br/>
<a id="pl.350.10"></a><var>350.10</var>(i) if the medication or treatment is not administered as prescribed, whether by error <br/>
<a id="pl.350.11"></a><var>350.11</var>by the staff or the person or by refusal by the person; and<br/>
<a id="pl.350.12"></a><var>350.12</var>(ii) the occurrence of possible adverse reactions to the medication or treatment;<br/>
<a id="pl.350.13"></a><var>350.13</var>(5) notation of any occurrence of medication not being administered as prescribed or <br/>
<a id="pl.350.14"></a><var>350.14</var>of adverse reactions, and when and to whom the report was made; and<br/>
<a id="pl.350.15"></a><var>350.15</var>(6) notation of when a medication or treatment is started, changed, or discontinued.<br/>
<a id="pl.350.16"></a><var>350.16</var>(c) The license holder must ensure that the information maintained in the medication <br/>
<a id="pl.350.17"></a><var>350.17</var>administration record is current and is regularly reviewed with the person or the person's <br/>
<a id="pl.350.18"></a><var>350.18</var>legal representative and the staff administering the medication to identify medication <br/>
<a id="pl.350.19"></a><var>350.19</var>administration issues or errors. At a minimum, the review must be conducted every three <br/>
<a id="pl.350.20"></a><var>350.20</var>months or more often if requested by the person or the person's legal representative. <br/>
<a id="pl.350.21"></a><var>350.21</var>Based on the review, the license holder must develop and implement a plan to correct <br/>
<a id="pl.350.22"></a><var>350.22</var>medication administration issues or errors. If issues or concerns are identified related to <br/>
<a id="pl.350.23"></a><var>350.23</var>the medication itself, the license holder must report those as required under subdivision 4.<br/>
<a id="pl.350.24"></a><var>350.24</var>    Subd. 3. <b>Medication assistance.</b> The license holder must ensure that the <br/>
<a id="pl.350.25"></a><var>350.25</var>requirements of subdivision 2, paragraph (a), have been met when staff provides assistance <br/>
<a id="pl.350.26"></a><var>350.26</var>to enable a person to self-administer medication when the person is capable of directing <br/>
<a id="pl.350.27"></a><var>350.27</var>the person's own care, or when the person's legal representative is present and able to <br/>
<a id="pl.350.28"></a><var>350.28</var>direct care for the person.<br/>
<a id="pl.350.29"></a><var>350.29</var>    Subd. 4. <b>Reporting medication and treatment issues.</b> The following medication <br/>
<a id="pl.350.30"></a><var>350.30</var>administration issues must be reported to the person or the person's legal representative <br/>
<a id="pl.350.31"></a><var>350.31</var>and case manager as they occur or following timelines established in the person's service <br/>
<a id="pl.350.32"></a><var>350.32</var>plan or as requested in writing by the person or the person's legal representative, or the <br/>
<a id="pl.350.33"></a><var>350.33</var>case manager:<br/>
<a id="pl.350.34"></a><var>350.34</var>(1) any reports made to the person's physician or prescriber required under <br/>
<a id="pl.350.35"></a><var>350.35</var>subdivision 2, paragraph (b), clause (4);<br/>
<a id="pl.350.36"></a><var>350.36</var>(2) a person's refusal or failure to take medication or treatment as prescribed; or<br/>
<a id="pl.351.1"></a><var>351.1</var>(3) concerns about a person's self-administration of medication. <br/>
<a id="pl.351.2"></a><var>351.2</var>    Subd. 5. <b>Injectable medications.</b> Injectable medications may be administered <br/>
<a id="pl.351.3"></a><var>351.3</var>according to a prescriber's order and written instructions when one of the following <br/>
<a id="pl.351.4"></a><var>351.4</var>conditions has been met:<br/>
<a id="pl.351.5"></a><var>351.5</var>(1) a registered nurse or licensed practical nurse will administer the subcutaneous or <br/>
<a id="pl.351.6"></a><var>351.6</var>intramuscular injection;<br/>
<a id="pl.351.7"></a><var>351.7</var>(2) a supervising registered nurse with a physician's order has delegated the <br/>
<a id="pl.351.8"></a><var>351.8</var>administration of subcutaneous injectable medication to an unlicensed staff member <br/>
<a id="pl.351.9"></a><var>351.9</var>and has provided the necessary training; or<br/>
<a id="pl.351.10"></a><var>351.10</var>(3) there is an agreement signed by the license holder, the prescriber, and the person <br/>
<a id="pl.351.11"></a><var>351.11</var>or the person's legal representative, specifying what subcutaneous injections may be <br/>
<a id="pl.351.12"></a><var>351.12</var>given, when, how, and that the prescriber must retain responsibility for the license <br/>
<a id="pl.351.13"></a><var>351.13</var>holder's giving the injections. A copy of the agreement must be placed in the person's <br/>
<a id="pl.351.14"></a><var>351.14</var>service recipient record.<br/>
<a id="pl.351.15"></a><var>351.15</var>Only licensed health professionals are allowed to administer psychotropic <br/>
<a id="pl.351.16"></a><var>351.16</var>medications by injection.<br/>
<br/>
<a id="bill.18.21.0"></a><a id="pl.351.17"></a><var>351.17</var>    Sec. 21. <b>[245D.06] PROTECTION STANDARDS.</b><br/>
<a id="pl.351.18"></a><var>351.18</var>    Subdivision 1. <b>Incident response and reporting. </b> (a) The license holder must <br/>
<a id="pl.351.19"></a><var>351.19</var>respond to all incidents under section 245D.02, subdivision 11, that occur while providing <br/>
<a id="pl.351.20"></a><var>351.20</var>services to protect the health and safety of and minimize risk of harm to the person.<br/>
<a id="pl.351.21"></a><var>351.21</var>(b) The license holder must maintain information about and report incidents to the <br/>
<a id="pl.351.22"></a><var>351.22</var>person's legal representative or designated emergency contact and case manager within 24 <br/>
<a id="pl.351.23"></a><var>351.23</var>hours of an incident occurring while services are being provided, or within 24 hours of <br/>
<a id="pl.351.24"></a><var>351.24</var>discovery or receipt of information that an incident occurred, unless the license holder has <br/>
<a id="pl.351.25"></a><var>351.25</var>reason to know that the incident has already been reported. An incident of suspected or <br/>
<a id="pl.351.26"></a><var>351.26</var>alleged maltreatment must be reported as required under paragraph (d), and an incident of <br/>
<a id="pl.351.27"></a><var>351.27</var>serious injury or death must be reported as required under paragraph (e). <br/>
<a id="pl.351.28"></a><var>351.28</var>(c) When the incident involves more than one person, the license holder must not <br/>
<a id="pl.351.29"></a><var>351.29</var>disclose personally identifiable information about any other person when making the report <br/>
<a id="pl.351.30"></a><var>351.30</var>to each person and case manager unless the license holder has the consent of the person.<br/>
<a id="pl.351.31"></a><var>351.31</var>(d) Within 24 hours of reporting maltreatment as required under section 626.556 <br/>
<a id="pl.351.32"></a><var>351.32</var>or 626.557, the license holder must inform the case manager of the report unless there is <br/>
<a id="pl.351.33"></a><var>351.33</var>reason to believe that the case manager is involved in the suspected maltreatment. The <br/>
<a id="pl.351.34"></a><var>351.34</var>license holder must disclose the nature of the activity or occurrence reported and the <br/>
<a id="pl.351.35"></a><var>351.35</var>agency that received the report. <br/>
<a id="pl.352.1"></a><var>352.1</var>(e) Within 24 hours of the occurrence, or within 24 hours of receipt of the <br/>
<a id="pl.352.2"></a><var>352.2</var>information, the license holder must report the death or serious injury of the person to <br/>
<a id="pl.352.3"></a><var>352.3</var>the legal representative, if any, and case manager, the Department of Human Services <br/>
<a id="pl.352.4"></a><var>352.4</var>Licensing Division, and the Office of Ombudsman for Mental Health and Developmental <br/>
<a id="pl.352.5"></a><var>352.5</var>Disabilities as required under section 245.94, subdivision 2a, within 24 hours of the death, <br/>
<a id="pl.352.6"></a><var>352.6</var>discovery of the death, or receipt of information that the death occurred unless the license <br/>
<a id="pl.352.7"></a><var>352.7</var>holder has reason to know that the death has already been reported. <br/>
<a id="pl.352.8"></a><var>352.8</var>(f) The license holder must conduct a review of incident reports, for identification <br/>
<a id="pl.352.9"></a><var>352.9</var>of incident patterns, and implementation of corrective action as necessary to reduce <br/>
<a id="pl.352.10"></a><var>352.10</var>occurrences.<br/>
<a id="pl.352.11"></a><var>352.11</var>    Subd. 2. <b>Environment and safety.</b> The license holder must:<br/>
<a id="pl.352.12"></a><var>352.12</var>(1) ensure the following when the license holder is the owner, lessor, or tenant <br/>
<a id="pl.352.13"></a><var>352.13</var>of the service site:<br/>
<a id="pl.352.14"></a><var>352.14</var>(i) the service site is a safe and hazard-free environment;<br/>
<a id="pl.352.15"></a><var>352.15</var>(ii) doors are locked or toxic substances or dangerous items normally accessible <br/>
<a id="pl.352.16"></a><var>352.16</var>to persons served by the program are stored in locked cabinets, drawers, or containers <br/>
<a id="pl.352.17"></a><var>352.17</var>only to protect the safety of a person receiving services and not as a substitute for staff <br/>
<a id="pl.352.18"></a><var>352.18</var>supervision or interactions with a person who is receiving services. If doors are locked or <br/>
<a id="pl.352.19"></a><var>352.19</var>toxic substances or dangerous items normally accessible to persons served by the program <br/>
<a id="pl.352.20"></a><var>352.20</var>are stored in locked cabinets, drawers, or containers, the license holder must justify and <br/>
<a id="pl.352.21"></a><var>352.21</var>document how this determination was made in consultation with the person or person's <br/>
<a id="pl.352.22"></a><var>352.22</var>legal representative, and how access will otherwise be provided to the person and all other <br/>
<a id="pl.352.23"></a><var>352.23</var>affected persons receiving services; and<br/>
<a id="pl.352.24"></a><var>352.24</var>(iii) a staff person is available on site who is trained in basic first aid whenever <br/>
<a id="pl.352.25"></a><var>352.25</var>persons are present and staff are required to be at the site to provide direct service;<br/>
<a id="pl.352.26"></a><var>352.26</var>(2) maintain equipment, vehicles, supplies, and materials owned or leased by the <br/>
<a id="pl.352.27"></a><var>352.27</var>license holder in good condition when used to provide services;<br/>
<a id="pl.352.28"></a><var>352.28</var>(3) follow procedures to ensure safe transportation, handling, and transfers of the <br/>
<a id="pl.352.29"></a><var>352.29</var>person and any equipment used by the person, when the license holder is responsible for <br/>
<a id="pl.352.30"></a><var>352.30</var>transportation of a person or a person's equipment; <br/>
<a id="pl.352.31"></a><var>352.31</var>(4) be prepared for emergencies and follow emergency response procedures to <br/>
<a id="pl.352.32"></a><var>352.32</var>ensure the person's safety in an emergency; and <br/>
<a id="pl.352.33"></a><var>352.33</var>(5) follow sanitary practices for infection control and to prevent communicable <br/>
<a id="pl.352.34"></a><var>352.34</var>diseases. <br/>
<a id="pl.352.35"></a><var>352.35</var>    Subd. 3. <b>Compliance with fire and safety codes.</b> When services are provided at a <br/>
<a id="pl.352.36"></a><var>352.36</var>service site licensed according to chapter 245A or where the license holder is the owner, <br/>
<a id="pl.353.1"></a><var>353.1</var>lessor, or tenant of the service site, the license holder must document compliance with <br/>
<a id="pl.353.2"></a><var>353.2</var>applicable building codes, fire and safety codes, health rules, and zoning ordinances, or <br/>
<a id="pl.353.3"></a><var>353.3</var>document that an appropriate waiver has been granted. <br/>
<a id="pl.353.4"></a><var>353.4</var>    Subd. 4. <b>Funds and property.</b> (a) Whenever the license holder assists a person <br/>
<a id="pl.353.5"></a><var>353.5</var>with the safekeeping of funds or other property according to section 245A.04, subdivision <br/>
<a id="pl.353.6"></a><var>353.6</var>13, the license holder must have written authorization to do so from the person and the <br/>
<a id="pl.353.7"></a><var>353.7</var>case manager. <br/>
<a id="pl.353.8"></a><var>353.8</var>(b) A license holder or staff person may not accept powers-of-attorney from a <br/>
<a id="pl.353.9"></a><var>353.9</var>person receiving services from the license holder for any purpose, and may not accept an <br/>
<a id="pl.353.10"></a><var>353.10</var>appointment as guardian or conservator of a person receiving services from the license <br/>
<a id="pl.353.11"></a><var>353.11</var>holder. This does not apply to license holders that are Minnesota counties or other units <br/>
<a id="pl.353.12"></a><var>353.12</var>of government or to staff persons employed by license holders who were acting as <br/>
<a id="pl.353.13"></a><var>353.13</var>power-of-attorney, guardian, or conservator for specific individuals prior to enactment of <br/>
<a id="pl.353.14"></a><var>353.14</var>this section. The license holder must maintain documentation of the power-of-attorney, <br/>
<a id="pl.353.15"></a><var>353.15</var>guardianship, or conservatorship in the service recipient record. <br/>
<a id="pl.353.16"></a><var>353.16</var>    Subd. 5. <b>Prohibitions.</b> The license holder is prohibited from using psychotropic <br/>
<a id="pl.353.17"></a><var>353.17</var>medication as a substitute for adequate staffing, as punishment, for staff convenience, <br/>
<a id="pl.353.18"></a><var>353.18</var>or for any reason other than as prescribed. The license holder is prohibited from using <br/>
<a id="pl.353.19"></a><var>353.19</var>restraints or seclusion under any circumstance, unless the commissioner has approved a <br/>
<a id="pl.353.20"></a><var>353.20</var>variance request from the license holder that allows for the emergency use of restraints <br/>
<a id="pl.353.21"></a><var>353.21</var>and seclusion according to terms and conditions approved in the variance.<br/>
<br/>
<a id="bill.18.22.0"></a><a id="pl.353.22"></a><var>353.22</var>    Sec. 22. <b>[245D.07] SERVICE NEEDS.</b><br/>
<a id="pl.353.23"></a><var>353.23</var>    Subdivision 1. <b>Provision of services.</b> The license holder must provide services as <br/>
<a id="pl.353.24"></a><var>353.24</var>specified in the service plan and assigned to the license holder. The provision of services <br/>
<a id="pl.353.25"></a><var>353.25</var>must comply with the requirements of this chapter and the federal waiver plans.<br/>
<a id="pl.353.26"></a><var>353.26</var>    Subd. 2. <b>Service planning.</b> The license holder must participate in support team <br/>
<a id="pl.353.27"></a><var>353.27</var>meetings related to the person following stated timelines established in the person's service <br/>
<a id="pl.353.28"></a><var>353.28</var>plan or as requested by the support team, the person, or the person's legal representative.<br/>
<a id="pl.353.29"></a><var>353.29</var>    Subd. 3. <b>Reports.</b> The license holder must provide written reports regarding the <br/>
<a id="pl.353.30"></a><var>353.30</var>person's progress or status as requested by the person, the person's legal representative, the <br/>
<a id="pl.353.31"></a><var>353.31</var>case manager, or the team.<br/>
<br/>
<a id="bill.18.23.0"></a><a id="pl.353.32"></a><var>353.32</var>    Sec. 23. <b>[245D.08] RECORD REQUIREMENTS.</b><br/>
<a id="pl.354.1"></a><var>354.1</var>    Subdivision 1. <b>Record-keeping systems.</b> The license holder must ensure that the <br/>
<a id="pl.354.2"></a><var>354.2</var>content and format of service recipient, personnel, and program records are uniform, <br/>
<a id="pl.354.3"></a><var>354.3</var>legible, and in compliance with the requirements of this chapter. <br/>
<a id="pl.354.4"></a><var>354.4</var>    Subd. 2. <b>Service recipient record.</b> (a) The license holder must:<br/>
<a id="pl.354.5"></a><var>354.5</var>(1) maintain a record of current services provided to each person on the premises <br/>
<a id="pl.354.6"></a><var>354.6</var>where the services are provided or coordinated; and<br/>
<a id="pl.354.7"></a><var>354.7</var>(2) protect service recipient records against loss, tampering, or unauthorized <br/>
<a id="pl.354.8"></a><var>354.8</var>disclosure in compliance with sections 13.01 to 13.10 and 13.46.<br/>
<a id="pl.354.9"></a><var>354.9</var>(b) The license holder must maintain the following information for each person:<br/>
<a id="pl.354.10"></a><var>354.10</var>(1) identifying information, including the person's name, date of birth, address, and <br/>
<a id="pl.354.11"></a><var>354.11</var>telephone number;<br/>
<a id="pl.354.12"></a><var>354.12</var>(2) the name, address, and telephone number of the person's legal representative, if <br/>
<a id="pl.354.13"></a><var>354.13</var>any, an emergency contact, the case manager, and family members or others as identified <br/>
<a id="pl.354.14"></a><var>354.14</var>by the person or case manager;<br/>
<a id="pl.354.15"></a><var>354.15</var>(3) service information, including service initiation information, verification of the <br/>
<a id="pl.354.16"></a><var>354.16</var>person's eligibility for services, and documentation verifying that services have been <br/>
<a id="pl.354.17"></a><var>354.17</var>provided as identified in the service plan according to paragraph (a);<br/>
<a id="pl.354.18"></a><var>354.18</var>(4) health information, including medical history and allergies; and when the license <br/>
<a id="pl.354.19"></a><var>354.19</var>holder is assigned responsibility for meeting the person's health needs according to section <br/>
<a id="pl.354.20"></a><var>354.20</var>245D.05:<br/>
<a id="pl.354.21"></a><var>354.21</var>(i) current orders for medication, treatments, or medical equipment;<br/>
<a id="pl.354.22"></a><var>354.22</var>(ii) medication administration procedures;<br/>
<a id="pl.354.23"></a><var>354.23</var>(iii) a medication administration record documenting the implementation of the <br/>
<a id="pl.354.24"></a><var>354.24</var>medication administration procedures, including any agreements for administration of <br/>
<a id="pl.354.25"></a><var>354.25</var>injectable medications by the license holder; and<br/>
<a id="pl.354.26"></a><var>354.26</var>(iv) a medical appointment schedule;<br/>
<a id="pl.354.27"></a><var>354.27</var>(5) the person's current service plan or that portion of the plan assigned to the <br/>
<a id="pl.354.28"></a><var>354.28</var>license holder. When a person's case manager does not provide a current service plan, <br/>
<a id="pl.354.29"></a><var>354.29</var>the license holder must make a written request to the case manager to provide a copy of <br/>
<a id="pl.354.30"></a><var>354.30</var>the service plan and inform the person of the right to a current service plan and the right <br/>
<a id="pl.354.31"></a><var>354.31</var>to appeal under section 256.045; <br/>
<a id="pl.354.32"></a><var>354.32</var>(6) a record of other service providers serving the person when the person's service <br/>
<a id="pl.354.33"></a><var>354.33</var>plan identifies the need for coordination between the service providers, that includes <br/>
<a id="pl.354.34"></a><var>354.34</var>a contact person and telephone numbers, services being provided, and names of staff <br/>
<a id="pl.354.35"></a><var>354.35</var>responsible for coordination; <br/>
<a id="pl.355.1"></a><var>355.1</var>(7) documentation of orientation to the service recipient rights according to section <br/>
<a id="pl.355.2"></a><var>355.2</var>245D.04, subdivision 1, and maltreatment reporting policies and procedures according to <br/>
<a id="pl.355.3"></a><var>355.3</var>section 245A.65, subdivision 1, paragraph (c);<br/>
<a id="pl.355.4"></a><var>355.4</var>(8) copies of authorizations to handle a person's funds, according to section 245D.06, <br/>
<a id="pl.355.5"></a><var>355.5</var>subdivision 4, paragraph (a);<br/>
<a id="pl.355.6"></a><var>355.6</var>(9) documentation of complaints received and grievance resolution;<br/>
<a id="pl.355.7"></a><var>355.7</var>(10) incident reports required under section 245D.06, subdivision 1; <br/>
<a id="pl.355.8"></a><var>355.8</var>(11) copies of written reports regarding the person's status when requested according <br/>
<a id="pl.355.9"></a><var>355.9</var>to section 245D.07, subdivision 3; and<br/>
<a id="pl.355.10"></a><var>355.10</var>(12) discharge summary, including service termination notice and related <br/>
<a id="pl.355.11"></a><var>355.11</var>documentation, when applicable.<br/>
<a id="pl.355.12"></a><var>355.12</var>    Subd. 3. <b>Access to service recipient records.</b> The license holder must ensure that <br/>
<a id="pl.355.13"></a><var>355.13</var>the following people have access to the information in subdivision 1 in accordance with <br/>
<a id="pl.355.14"></a><var>355.14</var>applicable state and federal law, regulation, or rule:<br/>
<a id="pl.355.15"></a><var>355.15</var>(1) the person, the person's legal representative, and anyone properly authorized <br/>
<a id="pl.355.16"></a><var>355.16</var>by the person;<br/>
<a id="pl.355.17"></a><var>355.17</var>(2) the person's case manager;<br/>
<a id="pl.355.18"></a><var>355.18</var>(3) staff providing services to the person unless the information is not relevant to <br/>
<a id="pl.355.19"></a><var>355.19</var>carrying out the service plan; and <br/>
<a id="pl.355.20"></a><var>355.20</var>(4) the county adult foster care licensor, when services are also licensed as adult <br/>
<a id="pl.355.21"></a><var>355.21</var>foster care. <br/>
<a id="pl.355.22"></a><var>355.22</var>    Subd. 4. <b>Personnel records.</b> The license holder must maintain a personnel record <br/>
<a id="pl.355.23"></a><var>355.23</var>of each employee, direct service volunteer, and subcontractor to document and verify staff <br/>
<a id="pl.355.24"></a><var>355.24</var>qualifications, orientation, and training. For the purposes of this subdivision, the terms <br/>
<a id="pl.355.25"></a><var>355.25</var>"staff" or "staff person" mean paid employee, direct service volunteer, or subcontractor. <br/>
<a id="pl.355.26"></a><var>355.26</var>The personnel record must include:<br/>
<a id="pl.355.27"></a><var>355.27</var>(1) the staff person's date of hire, completed application, a position description <br/>
<a id="pl.355.28"></a><var>355.28</var>signed by the staff person, documentation that the staff person meets the position <br/>
<a id="pl.355.29"></a><var>355.29</var>requirements as determined by the license holder, the date of first supervised direct contact <br/>
<a id="pl.355.30"></a><var>355.30</var>with a person served by the program, and the date of first unsupervised direct contact with <br/>
<a id="pl.355.31"></a><var>355.31</var>a person served by the program;<br/>
<a id="pl.355.32"></a><var>355.32</var>(2) documentation of staff qualifications, orientation, training, and performance <br/>
<a id="pl.355.33"></a><var>355.33</var>evaluations as required under section 245D.09, subdivisions 3, 4, and 5, including the <br/>
<a id="pl.355.34"></a><var>355.34</var>date the training was completed, the number of hours per subject area, and the name and <br/>
<a id="pl.355.35"></a><var>355.35</var>qualifications of the trainer or instructor; and<br/>
<a id="pl.355.36"></a><var>355.36</var>(3) a completed background study as required under chapter 245C.<br/>
<br/>
<a id="bill.18.24.0"></a><a id="pl.356.1"></a><var>356.1</var>    Sec. 24. <b>[245D.09] STAFFING STANDARDS.</b><br/>
<a id="pl.356.2"></a><var>356.2</var>    Subdivision 1. <b>Staffing requirements. </b> The license holder must provide direct <br/>
<a id="pl.356.3"></a><var>356.3</var>service staff sufficient to ensure the health, safety, and protection of rights of each person <br/>
<a id="pl.356.4"></a><var>356.4</var>and to be able to implement the responsibilities assigned to the license holder in each <br/>
<a id="pl.356.5"></a><var>356.5</var>person's service plan.<br/>
<a id="pl.356.6"></a><var>356.6</var>    Subd. 2. <b>Supervision of staff having direct contact.</b> Except for a license holder <br/>
<a id="pl.356.7"></a><var>356.7</var>who are the sole direct service staff, the license holder must provide adequate supervision <br/>
<a id="pl.356.8"></a><var>356.8</var>of staff providing direct service to ensure the health, safety, and protection of rights of <br/>
<a id="pl.356.9"></a><var>356.9</var>each person and implementation of the responsibilities assigned to the license holder in <br/>
<a id="pl.356.10"></a><var>356.10</var>each person's service plan.<br/>
<a id="pl.356.11"></a><var>356.11</var>    Subd. 3. <b>Staff qualifications.</b> (a) The license holder must ensure that staff is <br/>
<a id="pl.356.12"></a><var>356.12</var>competent through training, experience, and education to meet the person's needs and <br/>
<a id="pl.356.13"></a><var>356.13</var>additional requirements as written in the service plan, or when otherwise required by the <br/>
<a id="pl.356.14"></a><var>356.14</var>case manager or the federal waiver plan. The license holder must verify and maintain <br/>
<a id="pl.356.15"></a><var>356.15</var>evidence of staff competency, including documentation of:<br/>
<a id="pl.356.16"></a><var>356.16</var>(1) education and experience qualifications, including a valid degree and transcript, <br/>
<a id="pl.356.17"></a><var>356.17</var>or a current license, registration, or certification, when a degree or licensure, registration, <br/>
<a id="pl.356.18"></a><var>356.18</var>or certification is required;<br/>
<a id="pl.356.19"></a><var>356.19</var>(2) completion of required orientation and training, including completion of <br/>
<a id="pl.356.20"></a><var>356.20</var>continuing education required to maintain professional licensure, registration, or <br/>
<a id="pl.356.21"></a><var>356.21</var>certification requirements; and<br/>
<a id="pl.356.22"></a><var>356.22</var>(3) except for a license holder who is the sole direct service staff, performance <br/>
<a id="pl.356.23"></a><var>356.23</var>evaluations completed by the license holder of the direct service staff person's ability to <br/>
<a id="pl.356.24"></a><var>356.24</var>perform the job functions based on direct observation.<br/>
<a id="pl.356.25"></a><var>356.25</var>(b) Staff under 18 years of age may not perform overnight duties or administer <br/>
<a id="pl.356.26"></a><var>356.26</var>medication.<br/>
<a id="pl.356.27"></a><var>356.27</var>    Subd. 4. <b>Orientation.</b> (a) Except for a license holder who does not supervise any <br/>
<a id="pl.356.28"></a><var>356.28</var>direct service staff, within 90 days of hiring direct service staff, the license holder must <br/>
<a id="pl.356.29"></a><var>356.29</var>provide and ensure completion of orientation that combines supervised on-the-job training <br/>
<a id="pl.356.30"></a><var>356.30</var>with review of and instruction on the following:<br/>
<a id="pl.356.31"></a><var>356.31</var>(1) the job description and how to complete specific job functions, including:<br/>
<a id="pl.356.32"></a><var>356.32</var>(i) responding to and reporting incidents as required under section 245D.06, <br/>
<a id="pl.356.33"></a><var>356.33</var>subdivision 1; and<br/>
<a id="pl.356.34"></a><var>356.34</var>(ii) following safety practices established by the license holder and as required in <br/>
<a id="pl.356.35"></a><var>356.35</var>section 245D.06, subdivision 2;<br/>
<a id="pl.357.1"></a><var>357.1</var>(2) the license holder's current policies and procedures required under this chapter, <br/>
<a id="pl.357.2"></a><var>357.2</var>including their location and access, and staff responsibilities related to implementation <br/>
<a id="pl.357.3"></a><var>357.3</var>of those policies and procedures;<br/>
<a id="pl.357.4"></a><var>357.4</var>(3) data privacy requirements according to sections 13.01 to 13.10 and 13.46, the <br/>
<a id="pl.357.5"></a><var>357.5</var>federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), and staff <br/>
<a id="pl.357.6"></a><var>357.6</var>responsibilities related to complying with data privacy practices;<br/>
<a id="pl.357.7"></a><var>357.7</var>(4) the service recipient rights under section 245D.04, and staff responsibilities <br/>
<a id="pl.357.8"></a><var>357.8</var>related to ensuring the exercise and protection of those rights;<br/>
<a id="pl.357.9"></a><var>357.9</var>(5) sections 245A.65; 245A.66, 626.556, and 626.557, governing maltreatment <br/>
<a id="pl.357.10"></a><var>357.10</var>reporting and service planning for children and vulnerable adults, and staff responsibilities <br/>
<a id="pl.357.11"></a><var>357.11</var>related to protecting persons from maltreatment and reporting maltreatment; <br/>
<a id="pl.357.12"></a><var>357.12</var>(6) what constitutes use of restraints, seclusion, and psychotropic medications, and <br/>
<a id="pl.357.13"></a><var>357.13</var>staff responsibilities related to the prohibitions of their use; and <br/>
<a id="pl.357.14"></a><var>357.14</var>(7) other topics as determined necessary in the person's service plan by the case <br/>
<a id="pl.357.15"></a><var>357.15</var>manager or other areas identified by the license holder.<br/>
<a id="pl.357.16"></a><var>357.16</var>(b) License holders who provide direct service themselves must complete the <br/>
<a id="pl.357.17"></a><var>357.17</var>orientation required in paragraph (a), clauses (3) to (7). <br/>
<a id="pl.357.18"></a><var>357.18</var>(c) Before providing unsupervised direct service to a person served by the program, <br/>
<a id="pl.357.19"></a><var>357.19</var>or for whom the staff person has not previously provided direct service, or any time the <br/>
<a id="pl.357.20"></a><var>357.20</var>plans or procedures identified in clauses (1) and (2) are revised, the staff person must <br/>
<a id="pl.357.21"></a><var>357.21</var>review and receive instruction on the following as it relates to the staff person's job <br/>
<a id="pl.357.22"></a><var>357.22</var>functions for that person:<br/>
<a id="pl.357.23"></a><var>357.23</var>(1) the person's service plan as it relates to the responsibilities assigned to the license <br/>
<a id="pl.357.24"></a><var>357.24</var>holder, and when applicable, the person's individual abuse prevention plan according to <br/>
<a id="pl.357.25"></a><var>357.25</var>section 245A.65, to achieve an understanding of the person as a unique individual, and <br/>
<a id="pl.357.26"></a><var>357.26</var>how to implement those plans; and<br/>
<a id="pl.357.27"></a><var>357.27</var>(2) medication administration procedures established for the person when assigned <br/>
<a id="pl.357.28"></a><var>357.28</var>to the license holder according to section 245D.05, subdivision 1, paragraph (b). <br/>
<a id="pl.357.29"></a><var>357.29</var>Unlicensed staff may administer medications only after successful completion of a <br/>
<a id="pl.357.30"></a><var>357.30</var>medication administration training, from a training curriculum developed by a registered <br/>
<a id="pl.357.31"></a><var>357.31</var>nurse, clinical nurse specialist in psychiatric and mental health nursing, certified nurse <br/>
<a id="pl.357.32"></a><var>357.32</var>practitioner, physician's assistant, or physician incorporating an observed skill assessment <br/>
<a id="pl.357.33"></a><var>357.33</var>conducted by the trainer to ensure staff demonstrate the ability to safely and correctly <br/>
<a id="pl.357.34"></a><var>357.34</var>follow medication procedures. Medication administration must be taught by a registered <br/>
<a id="pl.357.35"></a><var>357.35</var>nurse, clinical nurse specialist, certified nurse practitioner, physician's assistant, or <br/>
<a id="pl.357.36"></a><var>357.36</var>physician, if at the time of service initiation or any time thereafter, the person has or <br/>
<a id="pl.358.1"></a><var>358.1</var>develops a health care condition that affects the service options available to the person <br/>
<a id="pl.358.2"></a><var>358.2</var>because the condition requires:<br/>
<a id="pl.358.3"></a><var>358.3</var>(i) specialized or intensive medical or nursing supervision;<br/>
<a id="pl.358.4"></a><var>358.4</var>(ii) nonmedical service providers to adapt their services to accommodate the health <br/>
<a id="pl.358.5"></a><var>358.5</var>and safety needs of the person; and<br/>
<a id="pl.358.6"></a><var>358.6</var>(iii) necessary training in order to meet the health service needs of the person as <br/>
<a id="pl.358.7"></a><var>358.7</var>determined by the person's physician.<br/>
<a id="pl.358.8"></a><var>358.8</var>    Subd. 5. <b>Training.</b> (a) A license holder must provide annual training to direct <br/>
<a id="pl.358.9"></a><var>358.9</var>service staff on the topics identified in subdivision 4, paragraph (a), clauses (3) to (6).<br/>
<a id="pl.358.10"></a><var>358.10</var>(b) A license holder providing behavioral programming, specialist services, personal <br/>
<a id="pl.358.11"></a><var>358.11</var>support, 24-hour emergency assistance, night supervision, independent living skills, <br/>
<a id="pl.358.12"></a><var>358.12</var>structured day, prevocational, or supported employment services must provide a minimum <br/>
<a id="pl.358.13"></a><var>358.13</var>of eight hours of annual training to direct service staff that addresses:<br/>
<a id="pl.358.14"></a><var>358.14</var>(1) topics related to the general health, safety, and service needs of the population <br/>
<a id="pl.358.15"></a><var>358.15</var>served by the license holder; and<br/>
<a id="pl.358.16"></a><var>358.16</var>(2) other areas identified by the license holder or in the person's current service plan.<br/>
<a id="pl.358.17"></a><var>358.17</var>Training on relevant topics received from sources other than the license holder <br/>
<a id="pl.358.18"></a><var>358.18</var>may count toward training requirements. <br/>
<a id="pl.358.19"></a><var>358.19</var>(c) When the license holder is the owner, lessor, or tenant of the service site and <br/>
<a id="pl.358.20"></a><var>358.20</var>whenever a person receiving services is present at the site, the license holder must have <br/>
<a id="pl.358.21"></a><var>358.21</var>a staff person available on site who is trained in basic first aid and, when required in a <br/>
<a id="pl.358.22"></a><var>358.22</var>person's service plan, cardiopulmonary resuscitation.<br/>
<a id="pl.358.23"></a><var>358.23</var>    Subd. 6. <b>Subcontractors.</b> If the license holder uses a subcontractor to perform <br/>
<a id="pl.358.24"></a><var>358.24</var>services licensed under this chapter on their behalf, the license holder must ensure that the <br/>
<a id="pl.358.25"></a><var>358.25</var>subcontractor meets and maintains compliance with all requirements under this chapter <br/>
<a id="pl.358.26"></a><var>358.26</var>that apply to the services to be provided.<br/>
<a id="pl.358.27"></a><var>358.27</var>    Subd. 7. <b>Volunteers.</b> The license holder must ensure that volunteers who provide <br/>
<a id="pl.358.28"></a><var>358.28</var>direct services to persons served by the program receive the training, orientation, and <br/>
<a id="pl.358.29"></a><var>358.29</var>supervision necessary to fulfill their responsibilities.<br/>
<br/>
<a id="bill.18.25.0"></a><a id="pl.358.30"></a><var>358.30</var>    Sec. 25. <b>[245D.10] POLICIES AND PROCEDURES.</b><br/>
<a id="pl.358.31"></a><var>358.31</var>    Subdivision 1. <b>Policy and procedure requirements. </b> The license holder must <br/>
<a id="pl.358.32"></a><var>358.32</var>establish, enforce, and maintain policies and procedures as required in this chapter.<br/>
<a id="pl.358.33"></a><var>358.33</var>    Subd. 2. <b>Grievances.</b> The license holder must establish policies and procedures that <br/>
<a id="pl.358.34"></a><var>358.34</var>provide a simple complaint process for persons served by the program and their authorized <br/>
<a id="pl.358.35"></a><var>358.35</var>representatives to bring a grievance that:<br/>
<a id="pl.359.1"></a><var>359.1</var>(1) provides staff assistance with the complaint process when requested, and the <br/>
<a id="pl.359.2"></a><var>359.2</var>addresses and telephone numbers of outside agencies to assist the person; <br/>
<a id="pl.359.3"></a><var>359.3</var>(2) allows the person to bring the complaint to the highest level of authority in the <br/>
<a id="pl.359.4"></a><var>359.4</var>program if the grievance cannot be resolved by other staff members, and that provides <br/>
<a id="pl.359.5"></a><var>359.5</var>the name, address, and telephone number of that person; <br/>
<a id="pl.359.6"></a><var>359.6</var>(3) requires the license holder to promptly respond to all complaints affecting a <br/>
<a id="pl.359.7"></a><var>359.7</var>person's health and safety. For all other complaints the license holder must provide an <br/>
<a id="pl.359.8"></a><var>359.8</var>initial response within 14 calendar days of receipt of the complaint. All complaints must <br/>
<a id="pl.359.9"></a><var>359.9</var>be resolved within 30 calendar days of receipt or the license holder must document the <br/>
<a id="pl.359.10"></a><var>359.10</var>reason for the delay and a plan for resolution; <br/>
<a id="pl.359.11"></a><var>359.11</var>(4) requires a complaint review that includes an evaluation of whether:<br/>
<a id="pl.359.12"></a><var>359.12</var>(i) related policies and procedures were followed and adequate; <br/>
<a id="pl.359.13"></a><var>359.13</var>(ii) there is a need for additional staff training; <br/>
<a id="pl.359.14"></a><var>359.14</var>(iii) the complaint is similar to past complaints with the persons, staff, or services <br/>
<a id="pl.359.15"></a><var>359.15</var>involved; and <br/>
<a id="pl.359.16"></a><var>359.16</var>(iv) there is a need for corrective action by the license holder to protect the health <br/>
<a id="pl.359.17"></a><var>359.17</var>and safety of persons receiving services; <br/>
<a id="pl.359.18"></a><var>359.18</var>(5) based on the review in clause (4), requires the license holder to develop, <br/>
<a id="pl.359.19"></a><var>359.19</var>document, and implement a corrective action plan, designed to correct current lapses and <br/>
<a id="pl.359.20"></a><var>359.20</var>prevent future lapses in performance by staff or the license holder, if any;<br/>
<a id="pl.359.21"></a><var>359.21</var>(6) provides a written summary of the complaint and a notice of the complaint <br/>
<a id="pl.359.22"></a><var>359.22</var>resolution to the person and case manager, that:<br/>
<a id="pl.359.23"></a><var>359.23</var>(i) identifies the nature of the complaint and the date it was received; <br/>
<a id="pl.359.24"></a><var>359.24</var>(ii) includes the results of the complaint review; <br/>
<a id="pl.359.25"></a><var>359.25</var>(iii) identifies the complaint resolution, including any corrective action; and <br/>
<a id="pl.359.26"></a><var>359.26</var>(7) requires that the complaint summary and resolution notice be maintained in the <br/>
<a id="pl.359.27"></a><var>359.27</var>service recipient record.<br/>
<a id="pl.359.28"></a><var>359.28</var>    Subd. 3. <b>Service suspension and service termination.</b> (a) The license holder must <br/>
<a id="pl.359.29"></a><var>359.29</var>establish policies and procedures for temporary service suspension and service termination <br/>
<a id="pl.359.30"></a><var>359.30</var>that promote continuity of care and service coordination with the person and the case <br/>
<a id="pl.359.31"></a><var>359.31</var>manager, and with other licensed caregivers, if any, who also provide support to the person. <br/>
<a id="pl.359.32"></a><var>359.32</var>(b) The policy must include the following requirements:<br/>
<a id="pl.359.33"></a><var>359.33</var>(1) the license holder must notify the person and case manager in writing of the <br/>
<a id="pl.359.34"></a><var>359.34</var>intended termination or temporary service suspension, and the person's right to seek a <br/>
<a id="pl.359.35"></a><var>359.35</var>temporary order staying the termination of service according to the procedures in section <br/>
<a id="pl.359.36"></a><var>359.36</var>256.045, subdivision 4a, or 6, paragraph (c); <br/>
<a id="pl.360.1"></a><var>360.1</var>(2) notice of the proposed termination of services, including those situations <br/>
<a id="pl.360.2"></a><var>360.2</var>that began with a temporary service suspension, must be given at least 60 days before <br/>
<a id="pl.360.3"></a><var>360.3</var>the proposed termination is to become effective when a license holder is providing <br/>
<a id="pl.360.4"></a><var>360.4</var>independent living skills training, structured day, prevocational or supported employment <br/>
<a id="pl.360.5"></a><var>360.5</var>services to the person, and 30 days prior to termination for all other services licensed <br/>
<a id="pl.360.6"></a><var>360.6</var>under this chapter;<br/>
<a id="pl.360.7"></a><var>360.7</var>(3) the license holder must provide information requested by the person or case <br/>
<a id="pl.360.8"></a><var>360.8</var>manager when services are temporarily suspended or upon notice of termination;<br/>
<a id="pl.360.9"></a><var>360.9</var>(4) prior to giving notice of service termination or temporary service suspension, <br/>
<a id="pl.360.10"></a><var>360.10</var>the license holder must document actions taken to minimize or eliminate the need for <br/>
<a id="pl.360.11"></a><var>360.11</var>service suspension or termination; <br/>
<a id="pl.360.12"></a><var>360.12</var>(5) during the temporary service suspension or service termination notice period, <br/>
<a id="pl.360.13"></a><var>360.13</var>the license holder will work with the appropriate county agency to develop reasonable <br/>
<a id="pl.360.14"></a><var>360.14</var>alternatives to protect the person and others; <br/>
<a id="pl.360.15"></a><var>360.15</var>(6) the license holder must maintain information about the service suspension or <br/>
<a id="pl.360.16"></a><var>360.16</var>termination, including the written termination notice, in the service recipient record; and<br/>
<a id="pl.360.17"></a><var>360.17</var>(7) the license holder must restrict temporary service suspension to situations in <br/>
<a id="pl.360.18"></a><var>360.18</var>which the person's behavior causes immediate and serious danger to the health and safety <br/>
<a id="pl.360.19"></a><var>360.19</var>of the person or others.<br/>
<a id="pl.360.20"></a><var>360.20</var>    Subd. 4. <b>Availability of current written policies and procedures.</b> (a) The license <br/>
<a id="pl.360.21"></a><var>360.21</var>holder must review and update, as needed, the written policies and procedures required <br/>
<a id="pl.360.22"></a><var>360.22</var>under this chapter.<br/>
<a id="pl.360.23"></a><var>360.23</var>(b) The license holder must inform the person and case manager of the policies and <br/>
<a id="pl.360.24"></a><var>360.24</var>procedures affecting a person's rights under section 245D.04, and provide copies of those <br/>
<a id="pl.360.25"></a><var>360.25</var>policies and procedures, within five working days of service initiation. <br/>
<a id="pl.360.26"></a><var>360.26</var>(c) The license holder must provide a written notice at least 30 days before <br/>
<a id="pl.360.27"></a><var>360.27</var>implementing any revised policies and procedures affecting a person's rights under section <br/>
<a id="pl.360.28"></a><var>360.28</var>245D.04. The notice must explain the revision that was made and include a copy of <br/>
<a id="pl.360.29"></a><var>360.29</var>the revised policy and procedure. The license holder must document the reason for not <br/>
<a id="pl.360.30"></a><var>360.30</var>providing the notice at least 30 days before implementing the revisions.<br/>
<a id="pl.360.31"></a><var>360.31</var>(d) Before implementing revisions to required policies and procedures the license <br/>
<a id="pl.360.32"></a><var>360.32</var>holder must inform all employees of the revisions and provide training on implementation <br/>
<a id="pl.360.33"></a><var>360.33</var>of the revised policies and procedures. <br/>
<br/>
<a id="bill.18.26.0"></a><a id="pl.361.1"></a><var>361.1</var>    Sec. 26. Minnesota Statutes 2010, section 256B.4912, is amended to read:<br/>
<a id="pl.361.2"></a><var>361.2</var><b>256B.4912 HOME AND COMMUNITY-BASED WAIVERS; PROVIDERS </b><br/>
<a id="pl.361.3"></a><var>361.3</var><b>AND PAYMENT.</b><br/>
<a id="pl.361.4"></a><var>361.4</var>    Subdivision 1. <b>Provider qualifications.</b> For the home and community-based <br/>
<a id="pl.361.5"></a><var>361.5</var>waivers providing services to seniors and individuals with disabilities, the commissioner <br/>
<a id="pl.361.6"></a><var>361.6</var>shall establish:<br/>
<a id="pl.361.7"></a><var>361.7</var>(1) agreements with enrolled waiver service providers to ensure providers meet <br/>
<a id="pl.361.8"></a><var>361.8</var>qualifications defined in the waiver plans Minnesota health care program requirements;<br/>
<a id="pl.361.9"></a><var>361.9</var>(2) regular reviews of provider qualifications, and including requests of proof of <br/>
<a id="pl.361.10"></a><var>361.10</var>documentation; and<br/>
<a id="pl.361.11"></a><var>361.11</var>(3) processes to gather the necessary information to determine provider <br/>
<a id="pl.361.12"></a><var>361.12</var>qualifications.<br/>
<a id="pl.361.13"></a><var>361.13</var>    By July 2010, Beginning July 1, 2012, staff that provide direct contact, as defined <br/>
<a id="pl.361.14"></a><var>361.14</var>in section 
         <statute_ref>245C.02, subdivision </statute_ref>11, that are employees of waiver service providers for <br/>
<a id="pl.361.15"></a><var>361.15</var>services specified in the federally approved waiver plans must meet the requirements <br/>
<a id="pl.361.16"></a><var>361.16</var>of chapter 245C prior to providing waiver services and as part of ongoing enrollment.  <br/>
<a id="pl.361.17"></a><var>361.17</var>Upon federal approval, this requirement must also apply to consumer-directed community <br/>
<a id="pl.361.18"></a><var>361.18</var>supports.<br/>
<a id="pl.361.19"></a><var>361.19</var>    Subd. 2. <b>Rate-setting</b><b> Payment</b><b> methodologies.</b> (a) The commissioner shall <br/>
<a id="pl.361.20"></a><var>361.20</var>establish statewide rate-setting payment methodologies that meet federal waiver <br/>
<a id="pl.361.21"></a><var>361.21</var>requirements for home and community-based waiver services for individuals with <br/>
<a id="pl.361.22"></a><var>361.22</var>disabilities. The rate-setting payment methodologies must abide by the principles of <br/>
<a id="pl.361.23"></a><var>361.23</var>transparency and equitability across the state. The methodologies must involve a uniform <br/>
<a id="pl.361.24"></a><var>361.24</var>process of structuring rates for each service and must promote quality and participant <br/>
<a id="pl.361.25"></a><var>361.25</var>choice.<br/>
<a id="pl.361.26"></a><var>361.26</var>    (b) As of January 1, 2012, counties shall not implement changes to established <br/>
<a id="pl.361.27"></a><var>361.27</var>processes for rate-setting methodologies for individuals using components of or data <br/>
<a id="pl.361.28"></a><var>361.28</var>from research rates.<br/>
<a id="pl.361.29"></a><var>361.29</var>    Subd. 3. <b>Payment requirements.</b> The payment methodologies established under <br/>
<a id="pl.361.30"></a><var>361.30</var>this section shall accommodate:<br/>
<a id="pl.361.31"></a><var>361.31</var>(1) supervision costs; <br/>
<a id="pl.361.32"></a><var>361.32</var>(2) staffing patterns;<br/>
<a id="pl.361.33"></a><var>361.33</var>(3) program-related expenses;<br/>
<a id="pl.361.34"></a><var>361.34</var>(4) general and administrative expenses; and<br/>
<a id="pl.361.35"></a><var>361.35</var>(5) consideration of recipient intensity.<br/>
<a id="pl.362.1"></a><var>362.1</var>    Subd. 4. <b>Payment rate criteria.</b> (a) The payment methodologies under this section <br/>
<a id="pl.362.2"></a><var>362.2</var>shall reflect the payment rate criteria in paragraphs (b), (c), and (d).<br/>
<a id="pl.362.3"></a><var>362.3</var>    (b) Payment rates shall reflect the reasonable, ordinary, and necessary costs of <br/>
<a id="pl.362.4"></a><var>362.4</var>service delivery.<br/>
<a id="pl.362.5"></a><var>362.5</var>    (c) Payment rates shall be sufficient to enlist enough providers so that care and <br/>
<a id="pl.362.6"></a><var>362.6</var>services are available at least to the extent that such care and services are available to <br/>
<a id="pl.362.7"></a><var>362.7</var>the general population in the geographic area as required by section 1902(a)(30)(A) of <br/>
<a id="pl.362.8"></a><var>362.8</var>the Social Security Act.<br/>
<a id="pl.362.9"></a><var>362.9</var>(d) The commissioner must not reimburse:<br/>
<a id="pl.362.10"></a><var>362.10</var>(1) unauthorized service delivery;<br/>
<a id="pl.362.11"></a><var>362.11</var>(2) services provided under a receipt of a special grant;<br/>
<a id="pl.362.12"></a><var>362.12</var>(3) services provided under contract to a local school district;<br/>
<a id="pl.362.13"></a><var>362.13</var>(4) extended employment services under Minnesota Rules, parts 3300.2005 to <br/>
<a id="pl.362.14"></a><var>362.14</var>3300.3100, or vocational rehabilitation services provided under the federal Rehabilitation <br/>
<a id="pl.362.15"></a><var>362.15</var>Act, as amended, Title I, section 110, or Title VI-C, and not through use of medical <br/>
<a id="pl.362.16"></a><var>362.16</var>assistance or county social service funds; or<br/>
<a id="pl.362.17"></a><var>362.17</var>(5) services provided to a client by a licensed medical, therapeutic, or rehabilitation <br/>
<a id="pl.362.18"></a><var>362.18</var>practitioner or any other vendor of medical care which are billed separately on a <br/>
<a id="pl.362.19"></a><var>362.19</var>fee-for-service basis.<br/>
<a id="pl.362.20"></a><var>362.20</var>    Subd. 5. <b>County and tribal provider contract elimination.</b> County and tribal <br/>
<a id="pl.362.21"></a><var>362.21</var>contracts with providers of home and community-based waiver services provided under <br/>
<a id="pl.362.22"></a><var>362.22</var>sections 256B.0913, 256B.0915, 256B.092, and 256B.49 are eliminated effective January <br/>
<a id="pl.362.23"></a><var>362.23</var>1, 2014.<br/>
<a id="pl.362.24"></a><var>362.24</var>    Subd. 6. <b>Program standards.</b> The commissioner of human services must establish <br/>
<a id="pl.362.25"></a><var>362.25</var>uniform program standards for services identified in chapter 245D for persons with <br/>
<a id="pl.362.26"></a><var>362.26</var>disabilities and people age 65 and older. The commissioner must grant licenses according <br/>
<a id="pl.362.27"></a><var>362.27</var>to the provisions of chapter 245A.<br/>
<a id="pl.362.28"></a><var>362.28</var>    Subd. 7. <b>Applicant and license holder training.</b> An applicant or license holder <br/>
<a id="pl.362.29"></a><var>362.29</var>that is not enrolled as a Minnesota health care program home and community-based <br/>
<a id="pl.362.30"></a><var>362.30</var>services waiver provider at the time of application must ensure that at least one controlling <br/>
<a id="pl.362.31"></a><var>362.31</var>individual completes a onetime training on the requirements for providing home and <br/>
<a id="pl.362.32"></a><var>362.32</var>community-based services from a qualified source as determined by the commissioner, <br/>
<a id="pl.362.33"></a><var>362.33</var>before a provider is enrolled or license is issued.<br/>
<a id="pl.362.34"></a><var>362.34</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.18.27.0"></a><a id="pl.362.35"></a><var>362.35</var>    Sec. 27. <b>[256B.4913] PAYMENT METHODOLOGY DEVELOPMENT.</b><br/>
<a id="pl.363.1"></a><var>363.1</var>    Subdivision 1. <b>Research period and rates.</b> (a) For the purposes of this <br/>
<a id="pl.363.2"></a><var>363.2</var>section, "research rate" means a proposed payment rate for the provision of home <br/>
<a id="pl.363.3"></a><var>363.3</var>and community-based waivered services to meet federal requirements and assess <br/>
<a id="pl.363.4"></a><var>363.4</var>the implications of changing resources on the provision of services and "research <br/>
<a id="pl.363.5"></a><var>363.5</var>period" means the time period during which the research rate is being assessed by the <br/>
<a id="pl.363.6"></a><var>363.6</var>commissioner.<br/>
<a id="pl.363.7"></a><var>363.7</var>    (b) The commissioner shall determine and publish initial frameworks and values to <br/>
<a id="pl.363.8"></a><var>363.8</var>generate research rates for individuals receiving home and community-based services.<br/>
<a id="pl.363.9"></a><var>363.9</var>    (c) The initial values issued by the commissioner shall ensure projected spending <br/>
<a id="pl.363.10"></a><var>363.10</var>for home and community-based services for each service area is equivalent to projected <br/>
<a id="pl.363.11"></a><var>363.11</var>spending under current law in the most recent expenditure forecast.<br/>
<a id="pl.363.12"></a><var>363.12</var>    (d) The initial values issued shall be based on the most updated information and cost <br/>
<a id="pl.363.13"></a><var>363.13</var>data available on supervision, employee-related costs, client programming and supports, <br/>
<a id="pl.363.14"></a><var>363.14</var>programming planning supports, transportation, administrative overhead, and utilization <br/>
<a id="pl.363.15"></a><var>363.15</var>costs. These service areas are:<br/>
<a id="pl.363.16"></a><var>363.16</var>    (1) residential services, defined as corporate foster care, family foster care, residential <br/>
<a id="pl.363.17"></a><var>363.17</var>care, supported living services, customized living, and 24-hour customized living;<br/>
<a id="pl.363.18"></a><var>363.18</var>    (2) day program services, defined as adult day care, day training and habilitation, <br/>
<a id="pl.363.19"></a><var>363.19</var>prevocational services, structured day services, and transportation;<br/>
<a id="pl.363.20"></a><var>363.20</var>    (3) unit-based services with programming, defined as in-home family support, <br/>
<a id="pl.363.21"></a><var>363.21</var>independent living services, supported living services, supported employment, behavior <br/>
<a id="pl.363.22"></a><var>363.22</var>programming, and housing access coordination; and<br/>
<a id="pl.363.23"></a><var>363.23</var>    (4) unit-based services without programming, defined as respite, personal support, <br/>
<a id="pl.363.24"></a><var>363.24</var>and night supervision.<br/>
<a id="pl.363.25"></a><var>363.25</var>    (e) The commissioner shall make available the underlying assessment information, <br/>
<a id="pl.363.26"></a><var>363.26</var>without any identifying information, and the statistical modeling used to generate the <br/>
<a id="pl.363.27"></a><var>363.27</var>initial research rate and calculate budget neutrality.<br/>
<a id="pl.363.28"></a><var>363.28</var>    Subd. 2. <b>Framework values.</b> (a) The commissioner shall propose legislation with <br/>
<a id="pl.363.29"></a><var>363.29</var>the specific payment methodology frameworks, process for calculation, and specific <br/>
<a id="pl.363.30"></a><var>363.30</var>values to populate the frameworks by February 15, 2013.<br/>
<a id="pl.363.31"></a><var>363.31</var>    (b) The commissioner shall provide underlying data and information used to <br/>
<a id="pl.363.32"></a><var>363.32</var>formulate the final frameworks and values to the existing stakeholder workgroup by <br/>
<a id="pl.363.33"></a><var>363.33</var>January 15, 2013.<br/>
<a id="pl.363.34"></a><var>363.34</var>    (c) The commissioner shall provide recommendations for the final frameworks <br/>
<a id="pl.363.35"></a><var>363.35</var>and values, and the basis for the recommendations to the legislative committees with <br/>
<a id="pl.363.36"></a><var>363.36</var>jurisdiction over health and human services finance by February 15, 2013.<br/>
<a id="pl.364.1"></a><var>364.1</var>    (d) The commissioner shall review the following topics during the research period <br/>
<a id="pl.364.2"></a><var>364.2</var>and propose, as necessary, recommendations to address the following research questions:<br/>
<a id="pl.364.3"></a><var>364.3</var>    (1) underlying differences in the cost to provide services throughout the state;<br/>
<a id="pl.364.4"></a><var>364.4</var>    (2) a data-driven process for determining labor costs and customizations for staffing <br/>
<a id="pl.364.5"></a><var>364.5</var>classifications included in each rate framework based on the services performed;<br/>
<a id="pl.364.6"></a><var>364.6</var>    (3) the allocation of resources previously established under section 256B.501, <br/>
<a id="pl.364.7"></a><var>364.7</var>subdivision 4b;<br/>
<a id="pl.364.8"></a><var>364.8</var>    (4) further definition and development of unit-based services;<br/>
<a id="pl.364.9"></a><var>364.9</var>    (5) the impact of splitting the allocation of resources for unit-based services for those <br/>
<a id="pl.364.10"></a><var>364.10</var>with programming aspects and those without;<br/>
<a id="pl.364.11"></a><var>364.11</var>    (6) linking assessment criteria to future assessment processes for determination <br/>
<a id="pl.364.12"></a><var>364.12</var>of customizations;<br/>
<a id="pl.364.13"></a><var>364.13</var>    (7) recognition of cost differences in the use of monitoring technology where it is <br/>
<a id="pl.364.14"></a><var>364.14</var>appropriate to substitute for supervision;<br/>
<a id="pl.364.15"></a><var>364.15</var>    (8) implications for day services of reimbursement based on a unit rate and a daily <br/>
<a id="pl.364.16"></a><var>364.16</var>rate;<br/>
<a id="pl.364.17"></a><var>364.17</var>    (9) a definition of shared and individual staffing for unit-based services;<br/>
<a id="pl.364.18"></a><var>364.18</var>    (10) the underlying costs of providing transportation associated with day services; <br/>
<a id="pl.364.19"></a><var>364.19</var>and<br/>
<a id="pl.364.20"></a><var>364.20</var>    (11) an exception process for individuals with exceptional needs that cannot be met <br/>
<a id="pl.364.21"></a><var>364.21</var>under the initial research rate, and an alternative payment structure for those individuals.<br/>
<a id="pl.364.22"></a><var>364.22</var>    (e) The commissioner shall develop a comprehensive plan based on information <br/>
<a id="pl.364.23"></a><var>364.23</var>gathered during the research period that uses statistically reliable and valid assessment <br/>
<a id="pl.364.24"></a><var>364.24</var>data to refine payment methodologies.<br/>
<a id="pl.364.25"></a><var>364.25</var>    (f) The commissioner shall make recommendations and provide underlying data and <br/>
<a id="pl.364.26"></a><var>364.26</var>information used to formulate these research recommendations to the existing stakeholder <br/>
<a id="pl.364.27"></a><var>364.27</var>workgroup by January 15, 2013.<br/>
<a id="pl.364.28"></a><var>364.28</var>    Subd. 3. <b>Data collection.</b> (a) The commissioner shall conduct any necessary <br/>
<a id="pl.364.29"></a><var>364.29</var>research and gather additional data for the further development and refinement of payment <br/>
<a id="pl.364.30"></a><var>364.30</var>methodology components. These include but are not limited to:<br/>
<a id="pl.364.31"></a><var>364.31</var>    (1) levels of service utilization and patterns of use;<br/>
<a id="pl.364.32"></a><var>364.32</var>    (2) staffing patterns for each service;<br/>
<a id="pl.364.33"></a><var>364.33</var>    (3) profile of individual service needs; and<br/>
<a id="pl.364.34"></a><var>364.34</var>    (4) cost factors involved in providing transportation services.<br/>
<a id="pl.364.35"></a><var>364.35</var>    (b) The commissioner shall provide this information to the existing stakeholder <br/>
<a id="pl.364.36"></a><var>364.36</var>workgroup by January 15, 2013.<br/>
<a id="pl.365.1"></a><var>365.1</var>    Subd. 4. <b>Rate stabilization adjustment.</b> Beginning January 1, 2014, the <br/>
<a id="pl.365.2"></a><var>365.2</var>commissioner shall adjust individual rates determined by the new payment methodology <br/>
<a id="pl.365.3"></a><var>365.3</var>so that the new rate varies no more than one percent per year from the rate effective <br/>
<a id="pl.365.4"></a><var>365.4</var>on December 31 of the prior calendar year. This adjustment is made annually and is <br/>
<a id="pl.365.5"></a><var>365.5</var>effective for three calendar years from the date of implementation. This subdivision <br/>
<a id="pl.365.6"></a><var>365.6</var>expires January 1, 2017.<br/>
<a id="pl.365.7"></a><var>365.7</var>    Subd. 5. <b>Stakeholder consultation.</b> The commissioner shall continue consultation <br/>
<a id="pl.365.8"></a><var>365.8</var>on regular intervals with the existing stakeholder group established as part of the <br/>
<a id="pl.365.9"></a><var>365.9</var>rate-setting methodology process to gather input, concerns, data, and exchange ideas for <br/>
<a id="pl.365.10"></a><var>365.10</var>the legislative proposals for the new rate payment system and make pertinent information <br/>
<a id="pl.365.11"></a><var>365.11</var>available to the public through the department's Web site.<br/>
<a id="pl.365.12"></a><var>365.12</var>    Subd. 6. <b>Implementation.</b> The commissioner may implement changes no <br/>
<a id="pl.365.13"></a><var>365.13</var>sooner than January 1, 2014, to payment rates for individuals receiving home and <br/>
<a id="pl.365.14"></a><var>365.14</var>community-based waivered services after the enactment of legislation that establishes <br/>
<a id="pl.365.15"></a><var>365.15</var>specific payment methodology frameworks, processes for rate calculations, and specific <br/>
<a id="pl.365.16"></a><var>365.16</var>values to populate the payment methodology frameworks.<br/>
<a id="pl.365.17"></a><var>365.17</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>