2E Relating to health and human services

ARTICLE 1 - AFFORDABLE HEALTH CARE ACT IMPLEMENTATION; BETTER HEALTH CARE FOR MORE MINNESOTANS

Dedicating MinnesotaCare federal receipts; requiring federal authority to operate a health coverage program for certain persons in poverty; adding and modifying medical assistance (MA) definitions; conforming MA to certain federal requirements; requiring a presumptive eligibility hospital MA determination; applying federal definitions to MinnesotaCare and requiring federal approval to implement MinnesotaCare as a basic health program and requiring Minnesota insurance marketplace coordination; adding and modifying MinnesotaCare definitions; requiring MinnesotaCare and MA coordination; requiring a competitive process for MinnesotaCare service delivery; requiring MinnesotaCare funding adequacy determination; repealing MinnesotaCare by a certain date; repealing certain MA eligibilities

ARTICLE 2 - CONTINGENT REFORM 2020; REDESIGNING HOME AND COMMUNITY-BASED SERVICES

Modifying home and community-based continuing care services; requiring a one-time critical access study; designating the agencies operating the Senior LinkAge line and the Disability Linage line as the state of Minnesota aging and the disability resource centers under federal code; requiring certain costs reimbursement claims incorporation into federal cost reimbursement claiming processes; requiring nursing facility admission preadmission screening; modifying the medical assistance (MA) reform waiver, long-term care consultation services, the alternative care program, senior's agenda for independent living (SAIL) projects, the long-term care quality profile system, the value-based nursing facility reimbursement system, and the home and community-based service waiver for disabled; establishing a community first services and supports (CFSS) MA state plan option; modifying the group residential housing supplementary service rate; requiring common entry point use for vulnerable adult maltreatment reporting; specifying a federal approval contingency for all provisions; repealing provisions relating to common entry point vulnerable adult maltreatment reporting federal grants, SAIL, and long-term care consultation services

ARTICLE 3 - SAFE AND HEALTHY DEVELOPMENT OF CHILDREN, YOUTH AND FAMILIES

Modifying the Minnesota family investment child care program (MFIP), child care rates, licensing sanctions, sudden infant death syndrome (SIDS) risk reduction, abusive head trauma, sudden unexpected infant death, family child care training requirements, children with disabilities services contribution, foster care rates, the runaway and homeless youth act, the vulnerable children and adults grant formula, relative custody assistance, the adoption assistance program, juvenile delinquency and safety, child support collection, and the electronic benefit transaction (EBT) subsidy; requiring child care license holder liability insurance notification; allowing temporary assistance for needy families (TANF) demonstration projects or waiver from federal regulation; providing directives to the commissioner of human services; repealing an MFIP family cap and juvenile prostitution diversion or child protection proceedings

ARTICLE 4 - STRENGTHENING CHEMICAL AND MENTAL HEALTH SERVICES

Modifying the adult and the children's mental health acts, the state operated services account, commitment procedure administrative requirements, chemical dependency pilot projects, foster care treatment, the mental health services reimbursement, and the group residential housing supplementary rate; providing medical assistance (MA) mental health certified family peer specialist coverage, parenting skills, psychological services, in-reach community-based service coordination, family psychoeducation, and mental health clinical care consultation; defining mental health service plan development and level II mental health behavioral aide; requiring state-operated child and adolescent behavioral health services facility recommendations, a pediatric services and children's mental health services pilot provider input survey, and the mentally ill and dangerous commitments stakeholders group convention for recommendations

ARTICLE 5 - DEPARTMENT OF HUMAN SERVICES PROGRAM INTEGRITY AND OFFICE OF INSPECTOR GENERAL

Requiring a department of human services electronic process for regular transfer of new criminal case information added to the court information system; requiring agency review of predatory offender registration background study and criminal case information and requiring cost recovery through a study fee; establishing child care provider and recipient fraud investigations within the child care assistance program; modifying department of human services provider medical assistance (MA) enrollment duties and requiring application fee collection; modifying MA sanctions and monetary recovery; authorizing commissioner of human services bureau of criminal apprehension database access; modifying the uniform probate code for protection of persons under disability and their property for guardian and conservator investigation purposes

ARTICLE 6 - HEALTH CARE

Authorizing two deputy human services commissioners; increasing the health maintenance organization (HMO) and community integrated service network (CISN) surcharge, inpatient hospital services payment system percent, and the physician and professional service rate; increasing the medical assistance (MA) reimbursement for dental services , family planning services, and basic care services; requiring payment adjustment for the early hearing detection and intervention program; providing MA for correctional facility inmates during an inpatient stay in a medical institution; authorizing MA coverage for certain emergency medical conditions, Doula services, and electronic tablets; requiring a preferred diabetic testing supply program; allowing same day mental health multiple services payments and Hennepin county pilot program MA co-payment waiver requirements; modifying Hennepin and Ramsey Counties health care delivery network pilot programs; requiring a Hennepin county medical center (HCMC)ambulance services upper payment limit; increasing medical education and research fund (MERF) funding; requiring a risk corridor establishment, primary care services and immunization payment, a work group to study emergency MA, determination for adding 19 and 20 year olds and caretaker populations, a provider prescription drugs reimbursement study, and a dental access and reimbursement report

ARTICLE 7 - CONTINUING CARE

Modifying late or nonsubmission resident reimbursement penalties, the child foster care licensing moratorium, medical assistance (MA) covered services pharmacy payment rate determination, elderly waiver cost limits, home and community-based services excess spending responsibility, waivered services statewide priorities, quality assurance system opt in, state quality council membership duration, value-based nursing facility reimbursement system, home and community-based service waivers for the disabled, and home and community-based setting for people with disabilities; requiring a Nicollet county additional bed certification, mental health consultations for avoidable behavioral crisis emergency room admissions, psychiatric inpatient hospitalizations, and commitments reduction, a federal 1115 demonstration waiver, a nursing home level of care report, assistive technology equipment recommendations, reimbursement and grant increases, a home and community-based waiver services safety net, a shared living model, and money follows the person grant submission; establishing individual community living support (ICLS) on the elderly waiver; providing a nursing facility property rate increase for nursing facilities in McLeod and Dakota counties, a Cottonwood county intermediate care facility for persons with developmental disabilities (ICF/DD) rate adjustment, an intermediate care facility for persons with mental retardation (ICF/MR) rate increase, and an ICF/DD rate increase; removing a commissioner of human services requirement for baseline assessments; clarifying a previous appropriation; repealing provisions relating to the quality management, assurance, and improvement systems for Minnesotans receiving disability services, an ICF/DD rate decrease, and contingency provider rate and grant reductions

ARTICLE 8 - WAIVER PROVIDER STANDARDS

Redesigning home and community-based services, defining psychotropic medication monitoring responsibility, providing emergency use of manual restraints, intensive support services planning and delivery, establishing program coordination, evaluation, and oversight, intervention services, record requirements, intensive support services, facility licensure requirements, facility sanitation, community residential settings, day services facilities, alternative licensing inspections, and adult mental health certification standards, requiring integrated licensing system for home care and home and community-based services; repealing services for developmental disabilities and record requirements

ARTICLE 9 - WAIVER PROVIDER STANDARDS TECHNICAL CHANGES

Making technical changes; repealing home and community-based services for the disabled services and supports

ARTICLE 10 - HEALTH-RELATED LICENSING BOARDS

Classifying criminal history record information obtained by the health-related licensing boards; decreasing licensed marriage and family therapist licensure fees; changing licensing requirements for businesses regulated by the board of pharmacy; making the changes to the prescription monitoring; establishing a criminal background check process for individuals licensed by the health-related licensing boards; requiring continuing education requirements for health related licensed boards to include parental depression; requiring inclusion of other health-related occupations to criminal background checks

ARTICLE 11 - HOME CARE PROVIDERS

Classifying provider data and regulating data release; modifying the home care program; establishing home care provider, home care services, and home care provider licensure; providing issuance of temporary license and license renewal, enforcement, background studies, compliance, innovation variance, home care provider responsibilities, medication management, treatment and therapy management, client record requirements, orientation and training, transition period, home management providers registration, an integrated licensing system for home care and home and community-based services; requiring surveys and investigations, a home care advisory council, a quality improvement program, and a correction order appeal process study; repealing home care program licensure

ARTICLE 12 - HEALTH DEPARTMENT

Modifying medical education, the essential community provider designation, diagnostic laboratory services, infant testing for congenital disorders, vital records, the early hearing detection and intervention program, environmental laboratories accreditation fees, the statewide health improvement program, the home visiting program, alkaline hydrolysis facility licensing, and commissioner of health statutory requirements review of embalming; defining bored geothermal heat exchanger, maternal depression, alkaline hydrolysis and related terms; providing newborn screening for critical congenital heart disease (CCHD), vital records amendment and correction; requiring vital records system security, a laboratory assessors selection committee, a health facilities construction plan fee, postpartum depression review ; establishing a system for stroke response; extending the newborn hearing advisory committee; authorizing certified lead firm administrative penalty imposition; repealing medical research, a well boring definition, certain mortuary science statutes, and a vital statistic statute

ARTICLE 13 - PAYMENT METHODOLOGIES FOR HOME AND COMMUNITY-BASED SERVICES

Modifying medical assistance (MA) home and community-based waivers providers payment methodology for services for persons with developmental disabilities and the disabled; establishing a new home and community-based waivers rate setting; repealing medical assistance (MA) payment methodology development

ARTICLE 14 - HEALTH AND HUMAN SERVICES APPROPRIATIONS

Appropriating money to the commissioner of human services for supplemental nutrition assistance, temporary assistance for needy families (TANF) maintenance of effort (MOE), working family credit expenditures, health care, continuing care, chemical and mental health, the Minnesota family investment program (MFIP) diversionary work program (DWP), child care assistance, general assistance (GA), supplemental assistance, group residential housing, MinnesotaCare, medical assistance (MA), deaf and hard-of-hearing services, alternative care, CD treatment, work study, child support, adoption assistance, child and economic support grants, health care grants, advocating change together, adult and child mental health grants, the sex offender program, to the commissioner of health for health improvement, compliance, health protection, to the health-related boards, to the emergency medical services regulatory board, to the council on disability, to the ombudsman for mental health and developmental disabilities, and to the ombudsperson for families; specifying federal administrative reimbursement use; authorizing certain transfers and adjustments

ARTICLE 15 - REFORM 2020 CONTINGENT APPROPRIATIONS

Appropriating money to the commissioner of human services for continuing care, group residential housing, medical assistance (MA), alternative care, child and community service grants, and aging and adult services grants; specifying a federal approval contingency; requiring commissioner of management and budget (MMB) appropriations adjustment

ARTICLE 16 - HUMAN SERVICES FORECAST ADJUSTMENT

Appropriating money to the commissioner of human services for the Minnesota family investment program (MFIP), diversionary work program (DWIP), child care assistance, general assistance (GA), supplemental aid, group residential housing, MinnesotaCare, medical assistance (MA), alternative care, and CD entitlement
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