<a id="pl.1.3"></a><var>1.3</var>relating to children and family services, health care, chemical and mental health <br/>
<a id="pl.1.4"></a><var>1.4</var>services, continuing care, and operations; modifying provisions governing the <br/>
<a id="pl.1.5"></a><var>1.5</var>elderly waiver, the alternative care program, and mental health services for <br/>
<a id="pl.1.6"></a><var>1.6</var>children;amending Minnesota Statutes 2012, sections 13.46, subdivision 4; <br/>
<a id="pl.1.7"></a><var>1.7</var>245.4871, subdivisions 3, 6; 245.4873, subdivision 2; 245.4874, subdivision 1; <br/>
<a id="pl.1.8"></a><var>1.8</var>245.4881, subdivisions 3, 4; 245.4882, subdivision 1; 245C.04, subdivision 1; <br/>
<a id="pl.1.9"></a><var>1.9</var>245C.05, subdivision 5; 246.0135; 246.325; 254B.05, subdivision 2; 256.01, <br/>
<a id="pl.1.10"></a><var>1.10</var>subdivision 14b; 256.963, subdivision 2; 256.969, subdivision 9; 256B.0913, <br/>
<a id="pl.1.11"></a><var>1.11</var>subdivisions 5a, 14; 256B.0915, subdivisions 3c, 3d, 3f, 3g; 256B.0943, <br/>
<a id="pl.1.12"></a><var>1.12</var>subdivisions 8, 10, 12; 256B.69, subdivisions 2, 4b, 5, 5a, 5b, 6b, 6d, 17, <br/>
<a id="pl.1.13"></a><var>1.13</var>26, 29, 30; 256B.692, subdivisions 2, 5; 256D.02, subdivision 11; 256D.04; <br/>
<a id="pl.1.14"></a><var>1.14</var>256D.045; 256D.07; 256I.04, subdivision 3; 256I.05, subdivision 1c; 256J.425, <br/>
<a id="pl.1.15"></a><var>1.15</var>subdivision 4; 518A.65; 595.06; 626.556, subdivision 3c; Minnesota Statutes <br/>
<a id="pl.1.16"></a><var>1.16</var>2013 Supplement, sections 245A.03, subdivision 7; 256B.0943, subdivisions 1, <br/>
<a id="pl.1.17"></a><var>1.17</var>2, 7; 256B.69, subdivisions 5c, 28; 256D.02, subdivision 12a; 517.04; Laws <br/>
<a id="pl.1.18"></a><var>1.18</var>2013, chapter 108, article 3, section 48; repealing Minnesota Statutes 2012, <br/>
<a id="pl.1.19"></a><var>1.19</var>sections 119A.04, subdivision 1; 119B.09, subdivision 2; 119B.23; 119B.231; <br/>
<a id="pl.1.20"></a><var>1.20</var>119B.232; 158.13; 158.14; 158.15; 158.16; 158.17; 158.18; 158.19; 245.0311; <br/>
<a id="pl.1.21"></a><var>1.21</var>245.0312; 245.072; 245.4861; 245.487, subdivisions 4, 5; 245.4871, subdivisions <br/>
<a id="pl.1.22"></a><var>1.22</var>7, 11, 18, 25; 245.4872; 245.4873, subdivisions 3, 6; 245.4875, subdivisions <br/>
<a id="pl.1.23"></a><var>1.23</var>3, 6, 7; 245.4883, subdivision 1; 245.490; 245.492, subdivisions 6, 8, 13, 19; <br/>
<a id="pl.1.24"></a><var>1.24</var>245.4932, subdivisions 2, 3, 4; 245.4933; 245.494; 245.63; 245.652; 245.69, <br/>
<a id="pl.1.25"></a><var>1.25</var>subdivision 1; 245.714; 245.715; 245.717; 245.718; 245.721; 245.77; 245.827; <br/>
<a id="pl.1.26"></a><var>1.26</var>245A.02, subdivision 7b; 245A.09, subdivision 12; 245A.11, subdivision 5; <br/>
<a id="pl.1.27"></a><var>1.27</var>246.012; 246.016; 246.023, subdivision 1; 246.28; 251.045; 252.038; 252.05; <br/>
<a id="pl.1.28"></a><var>1.28</var>252.07; 252.09; 254.01; 254.03; 254.04; 254.06; 254.07; 254.09; 254.10; 254.11; <br/>
<a id="pl.1.29"></a><var>1.29</var>254A.05, subdivision 1; 254A.07, subdivisions 1, 2; 254A.16, subdivision 1; <br/>
<a id="pl.1.30"></a><var>1.30</var>254B.01, subdivision 1; 254B.04, subdivision 3; 256.01, subdivisions 3, 14, 14a; <br/>
<a id="pl.1.31"></a><var>1.31</var>256.964; 256.9691; 256.971; 256.975, subdivision 3; 256.9753, subdivision <br/>
<a id="pl.1.32"></a><var>1.32</var>4; 256.9792; 256B.04, subdivision 16; 256B.0656; 256B.0657; 256B.075, <br/>
<a id="pl.1.33"></a><var>1.33</var>subdivision 4; 256B.0757, subdivision 7; 256B.0913, subdivision 9; 256B.0916, <br/>
<a id="pl.1.34"></a><var>1.34</var>subdivisions 6, 6a; 256B.0928; 256B.19, subdivision 3; 256B.431, subdivisions <br/>
<a id="pl.1.35"></a><var>1.35</var>28, 31, 33, 34, 37, 38, 39, 40, 41, 43; 256B.434, subdivision 19; 256B.440; <br/>
<a id="pl.1.36"></a><var>1.36</var>256B.441, subdivisions 46, 46a; 256B.491; 256B.501, subdivisions 3a, 3b, 3h, <br/>
<a id="pl.1.37"></a><var>1.37</var>3j, 3k, 3l, 5e; 256B.5016; 256B.503; 256B.53; 256B.69, subdivisions 5e, 6c, <br/>
<a id="pl.1.38"></a><var>1.38</var>24a; 256B.692, subdivision 10; 256D.02, subdivision 19; 256D.05, subdivision <br/>
<a id="pl.1.39"></a><var>1.39</var>4; 256D.46; 256I.05, subdivisions 1b, 5; 256I.07; 256J.24, subdivision 10; <br/>
<a id="pl.2.1"></a><var>2.1</var>256K.35; 259.85, subdivisions 2, 3, 4, 5; 518A.53, subdivision 7; 518A.74; <br/>
<a id="pl.2.2"></a><var>2.2</var>626.557, subdivision 16; 626.5593; Minnesota Statutes 2013 Supplement, <br/>
<a id="pl.2.3"></a><var>2.3</var>sections 246.0251; 254.05; 254B.13, subdivision 3; 256B.31; 256B.501, <br/>
<a id="pl.2.4"></a><var>2.4</var>subdivision 5b; 256C.05; 256C.29; 259.85, subdivision 1; Minnesota Rules, <br/>
<a id="pl.2.5"></a><var>2.5</var>parts 9549.0020, subparts 2, 12, 13, 20, 23, 24, 25, 26, 27, 30, 31, 32, 33, 34, <br/>
<a id="pl.2.6"></a><var>2.6</var>35, 36, 38, 41, 42, 43, 44, 46, 47; 9549.0030; 9549.0035, subparts 4, 5, 6; <br/>
<a id="pl.2.7"></a><var>2.7</var>9549.0036; 9549.0040; 9549.0041, subparts 1, 2, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, <br/>
<a id="pl.2.8"></a><var>2.8</var>14, 15; 9549.0050; 9549.0051, subparts 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 14; <br/>
<a id="pl.2.9"></a><var>2.9</var>9549.0053; 9549.0054; 9549.0055, subpart 4; 9549.0056; 9549.0060, subparts 1, <br/>
<a id="pl.2.10"></a><var>2.10</var>2, 3, 8, 9, 12, 13; 9549.0061; 9549.0070, subparts 1, 4.<br/>
<a id="pl.2.11"></a><var>2.11</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.2.14"></a><var>2.14</var>    Section 1. Minnesota Statutes 2012, section 256D.02, subdivision 11, is amended to <br/>
<a id="pl.2.15"></a><var>2.15</var>read:<br/>
<a id="pl.2.16"></a><var>2.16</var>    Subd. 11. <b>State aid.</b> "State aid" means state aid to county agencies for general <br/>
<a id="pl.2.17"></a><var>2.17</var>assistance and general assistance medical care expenditures as provided for in section <br/>
<statute_ref><a id="pl.2.18"></a><var>2.18</var>256D.03
         </statute_ref>, subdivisions subdivision 2 and 3.<br/>
<br/>
<a id="bill.1.2.0"></a><a id="pl.2.19"></a><var>2.19</var>    Sec. 2. Minnesota Statutes 2013 Supplement, section 256D.02, subdivision 12a, <br/>
<a id="pl.2.20"></a><var>2.20</var>is amended to read:<br/>
<a id="pl.2.21"></a><var>2.21</var>    Subd. 12a. <b>Resident.</b> (a) For purposes of eligibility for general assistance and <br/>
<a id="pl.2.22"></a><var>2.22</var>general assistance medical care, a person must be a resident of this state.<br/>
<a id="pl.2.23"></a><var>2.23</var>(b) A "resident" is a person living in the state for at least 30 days with the intention of <br/>
<a id="pl.2.24"></a><var>2.24</var>making the person's home here and not for any temporary purpose. Time spent in a shelter <br/>
<a id="pl.2.25"></a><var>2.25</var>for battered women shall count toward satisfying the 30-day residency requirement. All <br/>
<a id="pl.2.26"></a><var>2.26</var>applicants for these programs are required to demonstrate the requisite intent and can do <br/>
<a id="pl.2.27"></a><var>2.27</var>so in any of the following ways:<br/>
<a id="pl.2.28"></a><var>2.28</var>(1) by showing that the applicant maintains a residence at a verified address, other <br/>
<a id="pl.2.29"></a><var>2.29</var>than a place of public accommodation. An applicant may verify a residence address by <br/>
<a id="pl.2.30"></a><var>2.30</var>presenting a valid state driver's license, a state identification card, a voter registration card, <br/>
<a id="pl.2.31"></a><var>2.31</var>a rent receipt, a statement by the landlord, apartment manager, or homeowner verifying <br/>
<a id="pl.2.32"></a><var>2.32</var>that the individual is residing at the address, or other form of verification approved by <br/>
<a id="pl.2.33"></a><var>2.33</var>the commissioner; or<br/>
<a id="pl.2.34"></a><var>2.34</var>(2) by verifying residence according to Minnesota Rules, part 9500.1219, subpart <br/>
<a id="pl.2.35"></a><var>2.35</var>3, item C.<br/>
<a id="pl.2.36"></a><var>2.36</var>(c) For general assistance, a county shall waive the 30-day residency requirement <br/>
<a id="pl.2.37"></a><var>2.37</var>where unusual hardship would result from denial of general assistance. For purposes of <br/>
<a id="pl.3.1"></a><var>3.1</var>this subdivision, "unusual hardship" means the applicant is without shelter or is without <br/>
<a id="pl.3.2"></a><var>3.2</var>available resources for food.<br/>
<a id="pl.3.3"></a><var>3.3</var>The county agency must report to the commissioner within 30 days on any waiver <br/>
<a id="pl.3.4"></a><var>3.4</var>granted under this section. The county shall not deny an application solely because the <br/>
<a id="pl.3.5"></a><var>3.5</var>applicant does not meet at least one of the criteria in this subdivision, but shall continue to <br/>
<a id="pl.3.6"></a><var>3.6</var>process the application and leave the application pending until the residency requirement <br/>
<a id="pl.3.7"></a><var>3.7</var>is met or until eligibility or ineligibility is established.<br/>
<a id="pl.3.8"></a><var>3.8</var>(d) For purposes of paragraph (c), the following definitions apply (1) "metropolitan <br/>
<a id="pl.3.9"></a><var>3.9</var>statistical area" is as defined by the United States Census Bureau; (2) "shelter" includes <br/>
<a id="pl.3.10"></a><var>3.10</var>any shelter that is located within the metropolitan statistical area containing the county <br/>
<a id="pl.3.11"></a><var>3.11</var>and for which the applicant is eligible, provided the applicant does not have to travel more <br/>
<a id="pl.3.12"></a><var>3.12</var>than 20 miles to reach the shelter and has access to transportation to the shelter. Clause (2) <br/>
<a id="pl.3.13"></a><var>3.13</var>does not apply to counties in the Minneapolis-St. Paul metropolitan statistical area.<br/>
<a id="pl.3.14"></a><var>3.14</var>(e) Migrant workers as defined in section 
         <statute_ref>256J.08</statute_ref> and, until March 31, 1998, their <br/>
<a id="pl.3.15"></a><var>3.15</var>immediate families are exempt from the residency requirements of this section, provided <br/>
<a id="pl.3.16"></a><var>3.16</var>the migrant worker provides verification that the migrant family worked in this state <br/>
<a id="pl.3.17"></a><var>3.17</var>within the last 12 months and earned at least $1,000 in gross wages during the time the <br/>
<a id="pl.3.18"></a><var>3.18</var>migrant worker worked in this state.<br/>
<a id="pl.3.19"></a><var>3.19</var>(f) For purposes of eligibility for emergency general assistance, the 30-day residency <br/>
<a id="pl.3.20"></a><var>3.20</var>requirement under this section shall not be waived.<br/>
<a id="pl.3.21"></a><var>3.21</var>(g) If any provision of this subdivision is enjoined from implementation or found <br/>
<a id="pl.3.22"></a><var>3.22</var>unconstitutional by any court of competent jurisdiction, the remaining provisions shall <br/>
<a id="pl.3.23"></a><var>3.23</var>remain valid and shall be given full effect.<br/>
<br/>
<a id="bill.1.3.0"></a><a id="pl.3.24"></a><var>3.24</var>    Sec. 3. Minnesota Statutes 2012, section 256D.04, is amended to read:<br/>
<a id="pl.3.25"></a><var>3.25</var><b>256D.04 DUTIES OF THE COMMISSIONER.</b><br/>
<a id="pl.3.26"></a><var>3.26</var>In addition to any other duties imposed by law, the commissioner shall:<br/>
<a id="pl.3.27"></a><var>3.27</var>(1) supervise according to section 
         <statute_ref>256.01</statute_ref> the administration of general assistance <br/>
<a id="pl.3.28"></a><var>3.28</var>and general assistance medical care by county agencies as provided in sections 
         <statute_ref>256D.01</statute_ref> to <br/>
<statute_ref><a id="pl.3.29"></a><var>3.29</var>256D.21
         </statute_ref>;<br/>
<a id="pl.3.30"></a><var>3.30</var>(2) promulgate uniform rules consistent with law for carrying out and enforcing the <br/>
<a id="pl.3.31"></a><var>3.31</var>provisions of sections 
         <statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.21</statute_ref>, including section 256D.05, subdivision 3, <br/>
<a id="pl.3.32"></a><var>3.32</var>and section 
         <statute_ref>256.01, subdivision 2</statute_ref>, paragraph (16), to the end that general assistance may <br/>
<a id="pl.3.33"></a><var>3.33</var>be administered as uniformly as possible throughout the state; rules shall be furnished <br/>
<a id="pl.3.34"></a><var>3.34</var>immediately to all county agencies and other interested persons; in promulgating rules, the <br/>
<a id="pl.3.35"></a><var>3.35</var>provisions of sections 
         <statute_ref>14.001</statute_ref> to 
         <statute_ref>14.69</statute_ref>, shall apply;<br/>
<a id="pl.4.1"></a><var>4.1</var>(3) allocate money appropriated for general assistance and general assistance medical <br/>
<a id="pl.4.2"></a><var>4.2</var>care to county agencies as provided in section 
         <statute_ref>256D.03</statute_ref>, subdivisions subdivision 2 and 3;<br/>
<a id="pl.4.3"></a><var>4.3</var>(4) accept and supervise the disbursement of any funds that may be provided by the <br/>
<a id="pl.4.4"></a><var>4.4</var>federal government or from other sources for use in this state for general assistance and <br/>
<a id="pl.4.5"></a><var>4.5</var>general assistance medical care;<br/>
<a id="pl.4.6"></a><var>4.6</var>(5) cooperate with other agencies including any agency of the United States or of <br/>
<a id="pl.4.7"></a><var>4.7</var>another state in all matters concerning the powers and duties of the commissioner under <br/>
<a id="pl.4.8"></a><var>4.8</var>sections 
         <statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.21</statute_ref>;<br/>
<a id="pl.4.9"></a><var>4.9</var>(6) cooperate to the fullest extent with other public agencies empowered by law to <br/>
<a id="pl.4.10"></a><var>4.10</var>provide vocational training, rehabilitation, or similar services;<br/>
<a id="pl.4.11"></a><var>4.11</var>(7) gather and study current information and report at least annually to the governor <br/>
<a id="pl.4.12"></a><var>4.12</var>on the nature and need for general assistance and general assistance medical care, the <br/>
<a id="pl.4.13"></a><var>4.13</var>amounts expended under the supervision of each county agency, and the activities of each <br/>
<a id="pl.4.14"></a><var>4.14</var>county agency and publish such reports for the information of the public;<br/>
<a id="pl.4.15"></a><var>4.15</var>(8) specify requirements for general assistance and general assistance medical care<br/>
<a id="pl.4.16"></a><var>4.16</var> reports, including fiscal reports, according to section 
         <statute_ref>256.01, subdivision 2</statute_ref>, paragraph <br/>
<a id="pl.4.17"></a><var>4.17</var>(17); and<br/>
<a id="pl.4.18"></a><var>4.18</var>(9) ensure that every notice of eligibility for general assistance includes a notice that <br/>
<a id="pl.4.19"></a><var>4.19</var>women who are pregnant may be eligible for medical assistance benefits.<br/>
<br/>
<a id="bill.1.4.0"></a><a id="pl.4.20"></a><var>4.20</var>    Sec. 4. Minnesota Statutes 2012, section 256D.045, is amended to read:<br/>
<a id="pl.4.21"></a><var>4.21</var><b>256D.045 SOCIAL SECURITY NUMBER REQUIRED.</b><br/>
<a id="pl.4.22"></a><var>4.22</var>To be eligible for general assistance under sections 
         <statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.21</statute_ref>, an individual <br/>
<a id="pl.4.23"></a><var>4.23</var>must provide the individual's Social Security number to the county agency or submit proof <br/>
<a id="pl.4.24"></a><var>4.24</var>that an application has been made. An individual who refuses to provide a Social Security <br/>
<a id="pl.4.25"></a><var>4.25</var>number because of a well-established religious objection as described in Code of Federal <br/>
<a id="pl.4.26"></a><var>4.26</var>Regulations, title 42, section 435.910, may be eligible for general assistance medical care <br/>
<a id="pl.4.27"></a><var>4.27</var>under section 
<statute_ref>256D.03</statute_ref>. The provisions of this section do not apply to the determination of <br/>
<a id="pl.4.28"></a><var>4.28</var>eligibility for emergency general assistance under section 
         <statute_ref>256D.06, subdivision 2</statute_ref>. This <br/>
<a id="pl.4.29"></a><var>4.29</var>provision applies to eligible children under the age of 18 effective July 1, 1997.<br/>
<br/>
<a id="bill.1.5.0"></a><a id="pl.4.30"></a><var>4.30</var>    Sec. 5. Minnesota Statutes 2012, section 256D.07, is amended to read:<br/>
<a id="pl.4.31"></a><var>4.31</var><b>256D.07 TIME OF PAYMENT OF ASSISTANCE.</b><br/>
<a id="pl.4.32"></a><var>4.32</var>An applicant for general assistance or general assistance medical care authorized <br/>
<a id="pl.4.33"></a><var>4.33</var>by section 
<statute_ref>256D.03, subdivision 3</statute_ref>, shall be deemed eligible if the application and the <br/>
<a id="pl.4.34"></a><var>4.34</var>verification of the statement on that application demonstrate that the applicant is within <br/>
<a id="pl.5.1"></a><var>5.1</var>the eligibility criteria established by sections 
         <statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.21</statute_ref> and any applicable rules <br/>
<a id="pl.5.2"></a><var>5.2</var>of the commissioner. Any person requesting general assistance or general assistance <br/>
<a id="pl.5.3"></a><var>5.3</var>medical care shall be permitted by the county agency to make an application for assistance <br/>
<a id="pl.5.4"></a><var>5.4</var>as soon as administratively possible and in no event later than the fourth day following <br/>
<a id="pl.5.5"></a><var>5.5</var>the date on which assistance is first requested, and no county agency shall require that a <br/>
<a id="pl.5.6"></a><var>5.6</var>person requesting assistance appear at the offices of the county agency more than once <br/>
<a id="pl.5.7"></a><var>5.7</var>prior to the date on which the person is permitted to make the application. The application <br/>
<a id="pl.5.8"></a><var>5.8</var>shall be in writing in the manner and upon the form prescribed by the commissioner <br/>
<a id="pl.5.9"></a><var>5.9</var>and attested to by the oath of the applicant or in lieu thereof shall contain the following <br/>
<a id="pl.5.10"></a><var>5.10</var>declaration which shall be signed by the applicant: "I declare that this application has <br/>
<a id="pl.5.11"></a><var>5.11</var>been examined by me and to the best of my knowledge and belief is a true and correct <br/>
<a id="pl.5.12"></a><var>5.12</var>statement of every material point." On the date that general assistance is first requested, <br/>
<a id="pl.5.13"></a><var>5.13</var>the county agency shall inquire and determine whether the person requesting assistance <br/>
<a id="pl.5.14"></a><var>5.14</var>is in immediate need of food, shelter, clothing, assistance for necessary transportation, <br/>
<a id="pl.5.15"></a><var>5.15</var>or other emergency assistance pursuant to section 
         <statute_ref>256D.06, subdivision 2</statute_ref>. A person in <br/>
<a id="pl.5.16"></a><var>5.16</var>need of emergency assistance shall be granted emergency assistance immediately, and <br/>
<a id="pl.5.17"></a><var>5.17</var>necessary emergency assistance shall continue for up to 30 days following the date of <br/>
<a id="pl.5.18"></a><var>5.18</var>application. A determination of an applicant's eligibility for general assistance shall be <br/>
<a id="pl.5.19"></a><var>5.19</var>made by the county agency as soon as the required verifications are received by the county <br/>
<a id="pl.5.20"></a><var>5.20</var>agency and in no event later than 30 days following the date that the application is made. <br/>
<a id="pl.5.21"></a><var>5.21</var>Any verifications required of the applicant shall be reasonable, and the commissioner <br/>
<a id="pl.5.22"></a><var>5.22</var>shall by rule establish reasonable verifications. General assistance shall be granted to an <br/>
<a id="pl.5.23"></a><var>5.23</var>eligible applicant without the necessity of first securing action by the board of the county <br/>
<a id="pl.5.24"></a><var>5.24</var>agency. The first month's grant must be computed to cover the time period starting with <br/>
<a id="pl.5.25"></a><var>5.25</var>the date a signed application form is received by the county agency or from the date that <br/>
<a id="pl.5.26"></a><var>5.26</var>the applicant meets all eligibility factors, whichever occurs later.<br/>
<a id="pl.5.27"></a><var>5.27</var>If upon verification and due investigation it appears that the applicant provided <br/>
<a id="pl.5.28"></a><var>5.28</var>false information and the false information materially affected the applicant's eligibility <br/>
<a id="pl.5.29"></a><var>5.29</var>for general assistance or general assistance medical care provided pursuant to section <br/>
<a id="pl.5.30"></a><var>5.30</var><statute_ref>256D.03, subdivision 3</statute_ref>, or the amount of the applicant's general assistance grant, the <br/>
<a id="pl.5.31"></a><var>5.31</var>county agency may refer the matter to the county attorney. The county attorney may <br/>
<a id="pl.5.32"></a><var>5.32</var>commence a criminal prosecution or a civil action for the recovery of any general <br/>
<a id="pl.5.33"></a><var>5.33</var>assistance wrongfully received, or both.<br/>
<br/>
<a id="bill.1.6.0"></a><a id="pl.5.34"></a><var>5.34</var>    Sec. 6. Minnesota Statutes 2012, section 256I.04, subdivision 3, is amended to read:<br/>
<a id="pl.6.1"></a><var>6.1</var>    Subd. 3. <b>Moratorium on development of group residential housing beds.</b> (a) <br/>
<a id="pl.6.2"></a><var>6.2</var>County agencies shall not enter into agreements for new group residential housing beds <br/>
<a id="pl.6.3"></a><var>6.3</var>with total rates in excess of the MSA equivalent rate except:<br/>
<a id="pl.6.4"></a><var>6.4</var>(1) for group residential housing establishments licensed under Minnesota Rules, <br/>
<a id="pl.6.5"></a><var>6.5</var>parts 9525.0215 to 9525.0355, provided the facility is needed to meet the census reduction <br/>
<a id="pl.6.6"></a><var>6.6</var>targets for persons with developmental disabilities at regional treatment centers;<br/>
<a id="pl.6.7"></a><var>6.7</var>(2) to ensure compliance with the federal Omnibus Budget Reconciliation Act <br/>
<a id="pl.6.8"></a><var>6.8</var>alternative disposition plan requirements for inappropriately placed persons with <br/>
<a id="pl.6.9"></a><var>6.9</var>developmental disabilities or mental illness;<br/>
<a id="pl.6.10"></a><var>6.10</var>(3) (2) up to 80 beds in a single, specialized facility located in Hennepin County <br/>
<a id="pl.6.11"></a><var>6.11</var>that will provide housing for chronic inebriates who are repetitive users of detoxification <br/>
<a id="pl.6.12"></a><var>6.12</var>centers and are refused placement in emergency shelters because of their state of <br/>
<a id="pl.6.13"></a><var>6.13</var>intoxication, and planning for the specialized facility must have been initiated before July <br/>
<a id="pl.6.14"></a><var>6.14</var>1, 1991, in anticipation of receiving a grant from the Housing Finance Agency under <br/>
<a id="pl.6.15"></a><var>6.15</var>section 
         <statute_ref>462A.05, subdivision 20a</statute_ref>, paragraph (b);<br/>
<a id="pl.6.16"></a><var>6.16</var>(4) (3) notwithstanding the provisions of subdivision 2a, for up to 190 supportive <br/>
<a id="pl.6.17"></a><var>6.17</var>housing units in Anoka, Dakota, Hennepin, or Ramsey County for homeless adults with a <br/>
<a id="pl.6.18"></a><var>6.18</var>mental illness, a history of substance abuse, or human immunodeficiency virus or acquired <br/>
<a id="pl.6.19"></a><var>6.19</var>immunodeficiency syndrome. For purposes of this section, "homeless adult" means a <br/>
<a id="pl.6.20"></a><var>6.20</var>person who is living on the street or in a shelter or discharged from a regional treatment <br/>
<a id="pl.6.21"></a><var>6.21</var>center, community hospital, or residential treatment program and has no appropriate <br/>
<a id="pl.6.22"></a><var>6.22</var>housing available and lacks the resources and support necessary to access appropriate <br/>
<a id="pl.6.23"></a><var>6.23</var>housing. At least 70 percent of the supportive housing units must serve homeless adults <br/>
<a id="pl.6.24"></a><var>6.24</var>with mental illness, substance abuse problems, or human immunodeficiency virus or <br/>
<a id="pl.6.25"></a><var>6.25</var>acquired immunodeficiency syndrome who are about to be or, within the previous six <br/>
<a id="pl.6.26"></a><var>6.26</var>months, has been discharged from a regional treatment center, or a state-contracted <br/>
<a id="pl.6.27"></a><var>6.27</var>psychiatric bed in a community hospital, or a residential mental health or chemical <br/>
<a id="pl.6.28"></a><var>6.28</var>dependency treatment program. If a person meets the requirements of subdivision 1, <br/>
<a id="pl.6.29"></a><var>6.29</var>paragraph (a), and receives a federal or state housing subsidy, the group residential housing <br/>
<a id="pl.6.30"></a><var>6.30</var>rate for that person is limited to the supplementary rate under section 
         <statute_ref>256I.05, subdivision <br/>
<a id="pl.6.31"></a><var>6.31</var>1a
         </statute_ref>, and is determined by subtracting the amount of the person's countable income that <br/>
<a id="pl.6.32"></a><var>6.32</var>exceeds the MSA equivalent rate from the group residential housing supplementary rate. <br/>
<a id="pl.6.33"></a><var>6.33</var>A resident in a demonstration project site who no longer participates in the demonstration <br/>
<a id="pl.6.34"></a><var>6.34</var>program shall retain eligibility for a group residential housing payment in an amount <br/>
<a id="pl.6.35"></a><var>6.35</var>determined under section 
         <statute_ref>256I.06, subdivision 8</statute_ref>, using the MSA equivalent rate. Service <br/>
<a id="pl.6.36"></a><var>6.36</var>funding under section 
         <statute_ref>256I.05, subdivision 1a</statute_ref>, will end June 30, 1997, if federal matching <br/>
<a id="pl.7.1"></a><var>7.1</var>funds are available and the services can be provided through a managed care entity. If <br/>
<a id="pl.7.2"></a><var>7.2</var>federal matching funds are not available, then service funding will continue under section <br/>
<statute_ref><a id="pl.7.3"></a><var>7.3</var>256I.05, subdivision 1a
         </statute_ref>;<br/>
<a id="pl.7.4"></a><var>7.4</var>(5) for group residential housing beds in settings meeting the requirements of <br/>
<a id="pl.7.5"></a><var>7.5</var>subdivision 2a, clauses (1) and (3), which are used exclusively for recipients receiving <br/>
<a id="pl.7.6"></a><var>7.6</var>home and community-based waiver services under sections 
<statute_ref>256B.0915</statute_ref>, 
<statute_ref>256B.092, <br/>
<a id="pl.7.7"></a><var>7.7</var>subdivision 5
</statute_ref>, 
<statute_ref>256B.093</statute_ref>, and 
<statute_ref>256B.49</statute_ref>, and who resided in a nursing facility for the six <br/>
<a id="pl.7.8"></a><var>7.8</var>months immediately prior to the month of entry into the group residential housing setting. <br/>
<a id="pl.7.9"></a><var>7.9</var>The group residential housing rate for these beds must be set so that the monthly group <br/>
<a id="pl.7.10"></a><var>7.10</var>residential housing payment for an individual occupying the bed when combined with the <br/>
<a id="pl.7.11"></a><var>7.11</var>nonfederal share of services delivered under the waiver for that person does not exceed the <br/>
<a id="pl.7.12"></a><var>7.12</var>nonfederal share of the monthly medical assistance payment made for the person to the <br/>
<a id="pl.7.13"></a><var>7.13</var>nursing facility in which the person resided prior to entry into the group residential housing <br/>
<a id="pl.7.14"></a><var>7.14</var>establishment. The rate may not exceed the MSA equivalent rate plus $426.37 for any case;<br/>
<a id="pl.7.15"></a><var>7.15</var>(6) (4) for an additional two beds, resulting in a total of 32 beds, for a facility located <br/>
<a id="pl.7.16"></a><var>7.16</var>in Hennepin County providing services for recovering and chemically dependent men that <br/>
<a id="pl.7.17"></a><var>7.17</var>has had a group residential housing contract with the county and has been licensed as a <br/>
<a id="pl.7.18"></a><var>7.18</var>board and lodge facility with special services since 1980;<br/>
<a id="pl.7.19"></a><var>7.19</var>(7) (5) for a group residential housing provider located in the city of St. Cloud, <br/>
<a id="pl.7.20"></a><var>7.20</var>or a county contiguous to the city of St. Cloud, that operates a 40-bed facility, <br/>
<a id="pl.7.21"></a><var>7.21</var>that received financing through the Minnesota Housing Finance Agency Ending <br/>
<a id="pl.7.22"></a><var>7.22</var>Long-Term Homelessness Initiative and serves chemically dependent clientele, providing <br/>
<a id="pl.7.23"></a><var>7.23</var>24-hour-a-day supervision;<br/>
<a id="pl.7.24"></a><var>7.24</var>(8) (6) for a new 65-bed facility in Crow Wing County that will serve chemically <br/>
<a id="pl.7.25"></a><var>7.25</var>dependent persons, operated by a group residential housing provider that currently <br/>
<a id="pl.7.26"></a><var>7.26</var>operates a 304-bed facility in Minneapolis, and a 44-bed facility in Duluth;<br/>
<a id="pl.7.27"></a><var>7.27</var>(9) (7) for a group residential housing provider that operates two ten-bed facilities, <br/>
<a id="pl.7.28"></a><var>7.28</var>one located in Hennepin County and one located in Ramsey County, that provide <br/>
<a id="pl.7.29"></a><var>7.29</var>community support and 24-hour-a-day supervision to serve the mental health needs of <br/>
<a id="pl.7.30"></a><var>7.30</var>individuals who have chronically lived unsheltered; and<br/>
<a id="pl.7.31"></a><var>7.31</var>(10) (8) for a group residential facility in Hennepin County with a capacity of up to <br/>
<a id="pl.7.32"></a><var>7.32</var>48 beds that has been licensed since 1978 as a board and lodging facility and that until <br/>
<a id="pl.7.33"></a><var>7.33</var>August 1, 2007, operated as a licensed chemical dependency treatment program.<br/>
<a id="pl.7.34"></a><var>7.34</var>    (b) A county agency may enter into a group residential housing agreement for beds <br/>
<a id="pl.7.35"></a><var>7.35</var>with rates in excess of the MSA equivalent rate in addition to those currently covered <br/>
<a id="pl.7.36"></a><var>7.36</var>under a group residential housing agreement if the additional beds are only a replacement <br/>
<a id="pl.8.1"></a><var>8.1</var>of beds with rates in excess of the MSA equivalent rate which have been made available <br/>
<a id="pl.8.2"></a><var>8.2</var>due to closure of a setting, a change of licensure or certification which removes the beds <br/>
<a id="pl.8.3"></a><var>8.3</var>from group residential housing payment, or as a result of the downsizing of a group <br/>
<a id="pl.8.4"></a><var>8.4</var>residential housing setting. The transfer of available beds from one county to another can <br/>
<a id="pl.8.5"></a><var>8.5</var>only occur by the agreement of both counties.<br/>
<br/>
<a id="bill.1.7.0"></a><a id="pl.8.6"></a><var>8.6</var>    Sec. 7. Minnesota Statutes 2012, section 256I.05, subdivision 1c, is amended to read:<br/>
<a id="pl.8.7"></a><var>8.7</var>    Subd. 1c. <b>Rate increases.</b> A county agency may not increase the rates negotiated <br/>
<a id="pl.8.8"></a><var>8.8</var>for group residential housing above those in effect on June 30, 1993, except as provided in <br/>
<a id="pl.8.9"></a><var>8.9</var>paragraphs (a) to (g) (f).<br/>
<a id="pl.8.10"></a><var>8.10</var>(a) A county may increase the rates for group residential housing settings to the MSA <br/>
<a id="pl.8.11"></a><var>8.11</var>equivalent rate for those settings whose current rate is below the MSA equivalent rate.<br/>
<a id="pl.8.12"></a><var>8.12</var>(b) A county agency may increase the rates for residents in adult foster care whose <br/>
<a id="pl.8.13"></a><var>8.13</var>difficulty of care has increased. The total group residential housing rate for these residents <br/>
<a id="pl.8.14"></a><var>8.14</var>must not exceed the maximum rate specified in subdivisions 1 and 1a. County agencies <br/>
<a id="pl.8.15"></a><var>8.15</var>must not include nor increase group residential housing difficulty of care rates for adults in <br/>
<a id="pl.8.16"></a><var>8.16</var>foster care whose difficulty of care is eligible for funding by home and community-based <br/>
<a id="pl.8.17"></a><var>8.17</var>waiver programs under title XIX of the Social Security Act.<br/>
<a id="pl.8.18"></a><var>8.18</var>(c) The room and board rates will be increased each year when the MSA equivalent <br/>
<a id="pl.8.19"></a><var>8.19</var>rate is adjusted for SSI cost-of-living increases by the amount of the annual SSI increase, <br/>
<a id="pl.8.20"></a><var>8.20</var>less the amount of the increase in the medical assistance personal needs allowance under <br/>
<a id="pl.8.21"></a><var>8.21</var>section 
         <statute_ref>256B.35</statute_ref>.<br/>
<a id="pl.8.22"></a><var>8.22</var>(d) When a group residential housing rate is used to pay for an individual's room <br/>
<a id="pl.8.23"></a><var>8.23</var>and board, or other costs necessary to provide room and board, the rate payable to <br/>
<a id="pl.8.24"></a><var>8.24</var>the residence must continue for up to 18 calendar days per incident that the person is <br/>
<a id="pl.8.25"></a><var>8.25</var>temporarily absent from the residence, not to exceed 60 days in a calendar year, if the <br/>
<a id="pl.8.26"></a><var>8.26</var>absence or absences have received the prior approval of the county agency's social service <br/>
<a id="pl.8.27"></a><var>8.27</var>staff. Prior approval is not required for emergency absences due to crisis, illness, or injury.<br/>
<a id="pl.8.28"></a><var>8.28</var>(e) For facilities meeting substantial change criteria within the prior year. Substantial <br/>
<a id="pl.8.29"></a><var>8.29</var>change criteria exists if the group residential housing establishment experiences a 25 <br/>
<a id="pl.8.30"></a><var>8.30</var>percent increase or decrease in the total number of its beds, if the net cost of capital <br/>
<a id="pl.8.31"></a><var>8.31</var>additions or improvements is in excess of 15 percent of the current market value of the <br/>
<a id="pl.8.32"></a><var>8.32</var>residence, or if the residence physically moves, or changes its licensure, and incurs a <br/>
<a id="pl.8.33"></a><var>8.33</var>resulting increase in operation and property costs.<br/>
<a id="pl.8.34"></a><var>8.34</var>(f) Until June 30, 1994, a county agency may increase by up to five percent the total <br/>
<a id="pl.8.35"></a><var>8.35</var>rate paid for recipients of assistance under sections 
         <statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.21</statute_ref> or 
         <statute_ref>256D.33</statute_ref> to <br/>
<statute_ref><a id="pl.9.1"></a><var>9.1</var>256D.54
         </statute_ref> who reside in residences that are licensed by the commissioner of health as <br/>
<a id="pl.9.2"></a><var>9.2</var>a boarding care home, but are not certified for the purposes of the medical assistance <br/>
<a id="pl.9.3"></a><var>9.3</var>program. However, an increase under this clause must not exceed an amount equivalent to <br/>
<a id="pl.9.4"></a><var>9.4</var>65 percent of the 1991 medical assistance reimbursement rate for nursing home resident <br/>
<a id="pl.9.5"></a><var>9.5</var>class A, in the geographic grouping in which the facility is located, as established under <br/>
<a id="pl.9.6"></a><var>9.6</var>Minnesota Rules, parts 9549.0050 to 9549.0058.<br/>
<a id="pl.9.7"></a><var>9.7</var>(g) For the rate year beginning July 1, 1996, a county agency may increase the total <br/>
<a id="pl.9.8"></a><var>9.8</var>rate paid for recipients of assistance under sections 
<statute_ref>256D.01</statute_ref> to 
<statute_ref>256D.21</statute_ref> or 
<statute_ref>256D.33</statute_ref> to <br/>
<a id="pl.9.9"></a><var>9.9</var><statute_ref>256D.54</statute_ref> who reside in a residence that meets the following criteria:<br/>
<a id="pl.9.10"></a><var>9.10</var>(1) it is licensed by the commissioner of health as a boarding care home;<br/>
<a id="pl.9.11"></a><var>9.11</var>(2) it is not certified for the purposes of the medical assistance program;<br/>
<a id="pl.9.12"></a><var>9.12</var>(3) at least 50 percent of its residents have a primary diagnosis of mental illness;<br/>
<a id="pl.9.13"></a><var>9.13</var>(4) it has at least 17 beds; and<br/>
<a id="pl.9.14"></a><var>9.14</var>(5) it provides medication administration to residents.<br/>
<a id="pl.9.15"></a><var>9.15</var>    The rate following an increase under this paragraph must not exceed an amount <br/>
<a id="pl.9.16"></a><var>9.16</var>equivalent to the average 1995 medical assistance payment for nursing home resident <br/>
<a id="pl.9.17"></a><var>9.17</var>class A under the age of 65, in the geographic grouping in which the facility is located, as <br/>
<a id="pl.9.18"></a><var>9.18</var>established under Minnesota Rules, parts 9549.0010 to 9549.0080.<br/>
<br/>
<a id="bill.1.8.0"></a><a id="pl.9.19"></a><var>9.19</var>    Sec. 8. Minnesota Statutes 2012, section 256J.425, subdivision 4, is amended to read:<br/>
<a id="pl.9.20"></a><var>9.20</var>    Subd. 4. <b>Employed participants.</b> (a) An assistance unit subject to the time limit <br/>
<a id="pl.9.21"></a><var>9.21</var>under section 
         <statute_ref>256J.42, subdivision 1</statute_ref>, is eligible to receive assistance under a hardship <br/>
<a id="pl.9.22"></a><var>9.22</var>extension if the participant who reached the time limit belongs to:<br/>
<a id="pl.9.23"></a><var>9.23</var>(1) a one-parent assistance unit in which the participant is participating in work <br/>
<a id="pl.9.24"></a><var>9.24</var>activities for at least 30 hours per week, of which an average of at least 25 hours per week <br/>
<a id="pl.9.25"></a><var>9.25</var>every month are spent participating in employment;<br/>
<a id="pl.9.26"></a><var>9.26</var>(2) a two-parent assistance unit in which the participants are participating in work <br/>
<a id="pl.9.27"></a><var>9.27</var>activities for at least 55 hours per week, of which an average of at least 45 hours per week <br/>
<a id="pl.9.28"></a><var>9.28</var>every month are spent participating in employment; or<br/>
<a id="pl.9.29"></a><var>9.29</var>(3) an assistance unit in which a participant is participating in employment for fewer <br/>
<a id="pl.9.30"></a><var>9.30</var>hours than those specified in clause (1), and the participant submits verification from a <br/>
<a id="pl.9.31"></a><var>9.31</var>qualified professional, in a form acceptable to the commissioner, stating that the number <br/>
<a id="pl.9.32"></a><var>9.32</var>of hours the participant may work is limited due to illness or disability, as long as the <br/>
<a id="pl.9.33"></a><var>9.33</var>participant is participating in employment for at least the number of hours specified by the <br/>
<a id="pl.9.34"></a><var>9.34</var>qualified professional. The participant must be following the treatment recommendations <br/>
<a id="pl.9.35"></a><var>9.35</var>of the qualified professional providing the verification. The commissioner shall develop a <br/>
<a id="pl.10.1"></a><var>10.1</var>form to be completed and signed by the qualified professional, documenting the diagnosis <br/>
<a id="pl.10.2"></a><var>10.2</var>and any additional information necessary to document the functional limitations of the <br/>
<a id="pl.10.3"></a><var>10.3</var>participant that limit work hours. If the participant is part of a two-parent assistance unit, <br/>
<a id="pl.10.4"></a><var>10.4</var>the other parent must be treated as a one-parent assistance unit for purposes of meeting the <br/>
<a id="pl.10.5"></a><var>10.5</var>work requirements under this subdivision.<br/>
<a id="pl.10.6"></a><var>10.6</var>(b) For purposes of this section, employment means:<br/>
<a id="pl.10.7"></a><var>10.7</var>(1) unsubsidized employment under section 
         <statute_ref>256J.49, subdivision 13</statute_ref>, clause (1);<br/>
<a id="pl.10.8"></a><var>10.8</var>(2) subsidized employment under section 
         <statute_ref>256J.49, subdivision 13</statute_ref>, clause (2);<br/>
<a id="pl.10.9"></a><var>10.9</var>(3) on-the-job training under section 
         <statute_ref>256J.49, subdivision 13</statute_ref>, clause (2);<br/>
<a id="pl.10.10"></a><var>10.10</var>(4) an apprenticeship under section 
         <statute_ref>256J.49, subdivision 13</statute_ref>, clause (1);<br/>
<a id="pl.10.11"></a><var>10.11</var>(5) supported work under section 
         <statute_ref>256J.49, subdivision 13</statute_ref>, clause (2);<br/>
<a id="pl.10.12"></a><var>10.12</var>(6) a combination of clauses (1) to (5); or<br/>
<a id="pl.10.13"></a><var>10.13</var>(7) child care under section 
         <statute_ref>256J.49, subdivision 13</statute_ref>, clause (7), if it is in combination <br/>
<a id="pl.10.14"></a><var>10.14</var>with paid employment.<br/>
<a id="pl.10.15"></a><var>10.15</var>(c) If a participant is complying with a child protection plan under chapter 260C, <br/>
<a id="pl.10.16"></a><var>10.16</var>the number of hours required under the child protection plan count toward the number <br/>
<a id="pl.10.17"></a><var>10.17</var>of hours required under this subdivision.<br/>
<a id="pl.10.18"></a><var>10.18</var>(d) The county shall provide the opportunity for subsidized employment to <br/>
<a id="pl.10.19"></a><var>10.19</var>participants needing that type of employment within available appropriations.<br/>
<a id="pl.10.20"></a><var>10.20</var>(e) To be eligible for a hardship extension for employed participants under this <br/>
<a id="pl.10.21"></a><var>10.21</var>subdivision, a participant must be in compliance for at least ten out of the 12 months <br/>
<a id="pl.10.22"></a><var>10.22</var>the participant received MFIP immediately preceding the participant's 61st month on <br/>
<a id="pl.10.23"></a><var>10.23</var>assistance. If ten or fewer months of eligibility for TANF assistance remain at the time the <br/>
<a id="pl.10.24"></a><var>10.24</var>participant from another state applies for assistance, the participant must be in compliance <br/>
<a id="pl.10.25"></a><var>10.25</var>every month.<br/>
<a id="pl.10.26"></a><var>10.26</var>(f) The employment plan developed under section 
         <statute_ref>256J.521, subdivision 2</statute_ref>, for <br/>
<a id="pl.10.27"></a><var>10.27</var>participants under this subdivision must contain at least the minimum number of hours <br/>
<a id="pl.10.28"></a><var>10.28</var>specified in paragraph (a) for the purpose of meeting the requirements for an extension <br/>
<a id="pl.10.29"></a><var>10.29</var>under this subdivision. The job counselor and the participant must sign the employment <br/>
<a id="pl.10.30"></a><var>10.30</var>plan to indicate agreement between the job counselor and the participant on the contents <br/>
<a id="pl.10.31"></a><var>10.31</var>of the plan.<br/>
<a id="pl.10.32"></a><var>10.32</var>(g) Participants who fail to meet the requirements in paragraph (a), without good <br/>
<a id="pl.10.33"></a><var>10.33</var>cause under section 
         <statute_ref>256J.57</statute_ref>, shall be sanctioned or permanently disqualified under <br/>
<a id="pl.10.34"></a><var>10.34</var>subdivision 6. Good cause may only be granted for that portion of the month for which <br/>
<a id="pl.10.35"></a><var>10.35</var>the good cause reason applies. Participants must meet all remaining requirements in the <br/>
<a id="pl.10.36"></a><var>10.36</var>approved employment plan or be subject to sanction or permanent disqualification.<br/>
<a id="pl.11.1"></a><var>11.1</var>(h) If the noncompliance with an employment plan is due to the involuntary loss of <br/>
<a id="pl.11.2"></a><var>11.2</var>employment, the participant is exempt from the hourly employment requirement under <br/>
<a id="pl.11.3"></a><var>11.3</var>this subdivision for one month. Participants must meet all remaining requirements in the <br/>
<a id="pl.11.4"></a><var>11.4</var>approved employment plan or be subject to sanction or permanent disqualification. This <br/>
<a id="pl.11.5"></a><var>11.5</var>exemption is available to each participant two times in a 12-month period.<br/>
<br/>
<a id="bill.1.9.0"></a><a id="pl.11.6"></a><var>11.6</var>    Sec. 9. Minnesota Statutes 2012, section 518A.65, is amended to read:<br/>
<a id="pl.11.7"></a><var>11.7</var><b>518A.65 DRIVER'S LICENSE SUSPENSION.</b><br/>
<a id="pl.11.8"></a><var>11.8</var>(a) Upon motion of an obligee, which has been properly served on the obligor and <br/>
<a id="pl.11.9"></a><var>11.9</var>upon which there has been an opportunity for hearing, if a court finds that the obligor has <br/>
<a id="pl.11.10"></a><var>11.10</var>been or may be issued a driver's license by the commissioner of public safety and the <br/>
<a id="pl.11.11"></a><var>11.11</var>obligor is in arrears in court-ordered child support or maintenance payments, or both, <br/>
<a id="pl.11.12"></a><var>11.12</var>in an amount equal to or greater than three times the obligor's total monthly support <br/>
<a id="pl.11.13"></a><var>11.13</var>and maintenance payments and is not in compliance with a written payment agreement <br/>
<a id="pl.11.14"></a><var>11.14</var>pursuant to section 
         <statute_ref>518A.69</statute_ref> that is approved by the court, a child support magistrate, or <br/>
<a id="pl.11.15"></a><var>11.15</var>the public authority, the court shall order the commissioner of public safety to suspend the <br/>
<a id="pl.11.16"></a><var>11.16</var>obligor's driver's license. The court's order must be stayed for 90 days in order to allow the <br/>
<a id="pl.11.17"></a><var>11.17</var>obligor to execute a written payment agreement pursuant to section 
         <statute_ref>518A.69</statute_ref>. The payment <br/>
<a id="pl.11.18"></a><var>11.18</var>agreement must be approved by either the court or the public authority responsible for <br/>
<a id="pl.11.19"></a><var>11.19</var>child support enforcement. If the obligor has not executed or is not in compliance with <br/>
<a id="pl.11.20"></a><var>11.20</var>a written payment agreement pursuant to section 
         <statute_ref>518A.69</statute_ref> after the 90 days expires, the <br/>
<a id="pl.11.21"></a><var>11.21</var>court's order becomes effective and the commissioner of public safety shall suspend <br/>
<a id="pl.11.22"></a><var>11.22</var>the obligor's driver's license. The remedy under this section is in addition to any other <br/>
<a id="pl.11.23"></a><var>11.23</var>enforcement remedy available to the court. An obligee may not bring a motion under this <br/>
<a id="pl.11.24"></a><var>11.24</var>paragraph within 12 months of a denial of a previous motion under this paragraph.<br/>
<a id="pl.11.25"></a><var>11.25</var>(b) If a public authority responsible for child support enforcement determines that <br/>
<a id="pl.11.26"></a><var>11.26</var>the obligor has been or may be issued a driver's license by the commissioner of public <br/>
<a id="pl.11.27"></a><var>11.27</var>safety and the obligor is in arrears in court-ordered child support or maintenance payments <br/>
<a id="pl.11.28"></a><var>11.28</var>or both in an amount equal to or greater than three times the obligor's total monthly support <br/>
<a id="pl.11.29"></a><var>11.29</var>and maintenance payments and not in compliance with a written payment agreement <br/>
<a id="pl.11.30"></a><var>11.30</var>pursuant to section 
         <statute_ref>518A.69</statute_ref> that is approved by the court, a child support magistrate, or <br/>
<a id="pl.11.31"></a><var>11.31</var>the public authority, the public authority shall direct the commissioner of public safety to <br/>
<a id="pl.11.32"></a><var>11.32</var>suspend the obligor's driver's license. The remedy under this section is in addition to any <br/>
<a id="pl.11.33"></a><var>11.33</var>other enforcement remedy available to the public authority.<br/>
<a id="pl.11.34"></a><var>11.34</var>(c) At least 90 days prior to notifying the commissioner of public safety according <br/>
<a id="pl.11.35"></a><var>11.35</var>to paragraph (b), the public authority must mail a written notice to the obligor at the <br/>
<a id="pl.12.1"></a><var>12.1</var>obligor's last known address, that it intends to seek suspension of the obligor's driver's <br/>
<a id="pl.12.2"></a><var>12.2</var>license and that the obligor must request a hearing within 30 days in order to contest the <br/>
<a id="pl.12.3"></a><var>12.3</var>suspension. If the obligor makes a written request for a hearing within 30 days of the date <br/>
<a id="pl.12.4"></a><var>12.4</var>of the notice, a court hearing must be held. Notwithstanding any law to the contrary, the <br/>
<a id="pl.12.5"></a><var>12.5</var>obligor must be served with 14 days' notice in writing specifying the time and place of the <br/>
<a id="pl.12.6"></a><var>12.6</var>hearing and the allegations against the obligor. The notice must include information that <br/>
<a id="pl.12.7"></a><var>12.7</var>apprises the obligor of the requirement to develop a written payment agreement that is <br/>
<a id="pl.12.8"></a><var>12.8</var>approved by a court, a child support magistrate, or the public authority responsible for <br/>
<a id="pl.12.9"></a><var>12.9</var>child support enforcement regarding child support, maintenance, and any arrearages in <br/>
<a id="pl.12.10"></a><var>12.10</var>order to avoid license suspension. The notice may be served personally or by mail. If <br/>
<a id="pl.12.11"></a><var>12.11</var>the public authority does not receive a request for a hearing within 30 days of the date <br/>
<a id="pl.12.12"></a><var>12.12</var>of the notice, and the obligor does not execute a written payment agreement pursuant to <br/>
<a id="pl.12.13"></a><var>12.13</var>section 
         <statute_ref>518A.69</statute_ref> that is approved by the public authority within 90 days of the date of the <br/>
<a id="pl.12.14"></a><var>12.14</var>notice, the public authority shall direct the commissioner of public safety to suspend the <br/>
<a id="pl.12.15"></a><var>12.15</var>obligor's driver's license under paragraph (b).<br/>
<a id="pl.12.16"></a><var>12.16</var>(d) At a hearing requested by the obligor under paragraph (c), and on finding that <br/>
<a id="pl.12.17"></a><var>12.17</var>the obligor is in arrears in court-ordered child support or maintenance payments or both <br/>
<a id="pl.12.18"></a><var>12.18</var>in an amount equal to or greater than three times the obligor's total monthly support <br/>
<a id="pl.12.19"></a><var>12.19</var>and maintenance payments, the district court or child support magistrate shall order the <br/>
<a id="pl.12.20"></a><var>12.20</var>commissioner of public safety to suspend the obligor's driver's license or operating <br/>
<a id="pl.12.21"></a><var>12.21</var>privileges unless the court or child support magistrate determines that the obligor has <br/>
<a id="pl.12.22"></a><var>12.22</var>executed and is in compliance with a written payment agreement pursuant to section <br/>
<statute_ref><a id="pl.12.23"></a><var>12.23</var>518A.69
         </statute_ref> that is approved by the court, a child support magistrate, or the public authority.<br/>
<a id="pl.12.24"></a><var>12.24</var>(e) An obligor whose driver's license or operating privileges are suspended may:<br/>
<a id="pl.12.25"></a><var>12.25</var>(1) provide proof to the public authority responsible for child support enforcement <br/>
<a id="pl.12.26"></a><var>12.26</var>that the obligor is in compliance with all written payment agreements pursuant to section <br/>
<statute_ref><a id="pl.12.27"></a><var>12.27</var>518A.69
         </statute_ref>;<br/>
<a id="pl.12.28"></a><var>12.28</var>(2) bring a motion for reinstatement of the driver's license. At the hearing, if the <br/>
<a id="pl.12.29"></a><var>12.29</var>court or child support magistrate orders reinstatement of the driver's license, the court or <br/>
<a id="pl.12.30"></a><var>12.30</var>child support magistrate must establish a written payment agreement pursuant to section <br/>
<statute_ref><a id="pl.12.31"></a><var>12.31</var>518A.69
         </statute_ref>; or<br/>
<a id="pl.12.32"></a><var>12.32</var>(3) seek a limited license under section 
         <statute_ref>171.30</statute_ref>. A limited license issued to an obligor <br/>
<a id="pl.12.33"></a><var>12.33</var>under section 
         <statute_ref>171.30</statute_ref> expires 90 days after the date it is issued.<br/>
<a id="pl.12.34"></a><var>12.34</var>Within 15 days of the receipt of that proof or a court order, the public authority shall <br/>
<a id="pl.12.35"></a><var>12.35</var>inform the commissioner of public safety that the obligor's driver's license or operating <br/>
<a id="pl.12.36"></a><var>12.36</var>privileges should no longer be suspended.<br/>
<a id="pl.13.1"></a><var>13.1</var>(f) On January 15, 1997, and every two years after that, the commissioner of human <br/>
<a id="pl.13.2"></a><var>13.2</var>services shall submit a report to the legislature that identifies the following information <br/>
<a id="pl.13.3"></a><var>13.3</var>relevant to the implementation of this section:<br/>
<a id="pl.13.4"></a><var>13.4</var>(1) the number of child support obligors notified of an intent to suspend a driver's <br/>
<a id="pl.13.5"></a><var>13.5</var>license;<br/>
<a id="pl.13.6"></a><var>13.6</var>(2) the amount collected in payments from the child support obligors notified of an <br/>
<a id="pl.13.7"></a><var>13.7</var>intent to suspend a driver's license;<br/>
<a id="pl.13.8"></a><var>13.8</var>(3) the number of cases paid in full and payment agreements executed in response <br/>
<a id="pl.13.9"></a><var>13.9</var>to notification of an intent to suspend a driver's license;<br/>
<a id="pl.13.10"></a><var>13.10</var>(4) the number of cases in which there has been notification and no payments or <br/>
<a id="pl.13.11"></a><var>13.11</var>payment agreements;<br/>
<a id="pl.13.12"></a><var>13.12</var>(5) the number of driver's licenses suspended;<br/>
<a id="pl.13.13"></a><var>13.13</var>(6) the cost of implementation and operation of the requirements of this section; and<br/>
<a id="pl.13.14"></a><var>13.14</var>(7) the number of limited licenses issued and number of cases in which payment <br/>
<a id="pl.13.15"></a><var>13.15</var>agreements are executed and cases are paid in full following issuance of a limited license.<br/>
<a id="pl.13.16"></a><var>13.16</var>(g) (f) In addition to the criteria established under this section for the suspension of <br/>
<a id="pl.13.17"></a><var>13.17</var>an obligor's driver's license, a court, a child support magistrate, or the public authority <br/>
<a id="pl.13.18"></a><var>13.18</var>may direct the commissioner of public safety to suspend the license of a party who has <br/>
<a id="pl.13.19"></a><var>13.19</var>failed, after receiving notice, to comply with a subpoena relating to a paternity or child <br/>
<a id="pl.13.20"></a><var>13.20</var>support proceeding. Notice to an obligor of intent to suspend must be served by first class <br/>
<a id="pl.13.21"></a><var>13.21</var>mail at the obligor's last known address. The notice must inform the obligor of the right to <br/>
<a id="pl.13.22"></a><var>13.22</var>request a hearing. If the obligor makes a written request within ten days of the date of <br/>
<a id="pl.13.23"></a><var>13.23</var>the hearing, a hearing must be held. At the hearing, the only issues to be considered are <br/>
<a id="pl.13.24"></a><var>13.24</var>mistake of fact and whether the obligor received the subpoena.<br/>
<a id="pl.13.25"></a><var>13.25</var>(h) (g) The license of an obligor who fails to remain in compliance with an <br/>
<a id="pl.13.26"></a><var>13.26</var>approved written payment agreement may be suspended. Prior to suspending a license for <br/>
<a id="pl.13.27"></a><var>13.27</var>noncompliance with an approved written payment agreement, the public authority must <br/>
<a id="pl.13.28"></a><var>13.28</var>mail to the obligor's last known address a written notice that (1) the public authority <br/>
<a id="pl.13.29"></a><var>13.29</var>intends to seek suspension of the obligor's driver's license under this paragraph, and (2) <br/>
<a id="pl.13.30"></a><var>13.30</var>the obligor must request a hearing, within 30 days of the date of the notice, to contest the <br/>
<a id="pl.13.31"></a><var>13.31</var>suspension. If, within 30 days of the date of the notice, the public authority does not <br/>
<a id="pl.13.32"></a><var>13.32</var>receive a written request for a hearing and the obligor does not comply with an approved <br/>
<a id="pl.13.33"></a><var>13.33</var>written payment agreement, the public authority must direct the Department of Public <br/>
<a id="pl.13.34"></a><var>13.34</var>Safety to suspend the obligor's license under paragraph (b). If the obligor makes a written <br/>
<a id="pl.13.35"></a><var>13.35</var>request for a hearing within 30 days of the date of the notice, a court hearing must be held. <br/>
<a id="pl.13.36"></a><var>13.36</var>Notwithstanding any law to the contrary, the obligor must be served with 14 days' notice in <br/>
<a id="pl.14.1"></a><var>14.1</var>writing specifying the time and place of the hearing and the allegations against the obligor. <br/>
<a id="pl.14.2"></a><var>14.2</var>The notice may be served personally or by mail at the obligor's last known address. If <br/>
<a id="pl.14.3"></a><var>14.3</var>the obligor appears at the hearing and the court determines that the obligor has failed to <br/>
<a id="pl.14.4"></a><var>14.4</var>comply with an approved written payment agreement, the court or public authority shall <br/>
<a id="pl.14.5"></a><var>14.5</var>notify the Department of Public Safety to suspend the obligor's license under paragraph <br/>
<a id="pl.14.6"></a><var>14.6</var>(b). If the obligor fails to appear at the hearing, the court or public authority must notify <br/>
<a id="pl.14.7"></a><var>14.7</var>the Department of Public Safety to suspend the obligor's license under paragraph (b).<br/>
<br/>
<a id="bill.1.10.0"></a><a id="pl.14.8"></a><var>14.8</var>    Sec. 10. Laws 2013, chapter 108, article 3, section 48, is amended to read:<br/>
<a id="pl.14.9"></a><var>14.9</var>    Sec. 48. <b>REPEALER.</b><br/>
<a id="pl.14.10"></a><var>14.10</var>(a) Minnesota Statutes 2012, section 256J.24, subdivision 6, is repealed January <br/>
<a id="pl.14.11"></a><var>14.11</var>1, 2015.<br/>
<a id="pl.14.12"></a><var>14.12</var>(b) Minnesota Statutes 2012, section 609.093, is repealed effective the day following <br/>
<a id="pl.14.13"></a><var>14.13</var>final enactment.<br/>
<br/>
<a id="bill.1.11.0"></a><a id="pl.14.14"></a><var>14.14</var>    Sec. 11. <b>TRANSITION; PROVISIONS GOVERNING PERFORMANCE BASE </b><br/>
<a id="pl.14.15"></a><var>14.15</var><b>FUNDS.</b><br/>
<a id="pl.14.16"></a><var>14.16</var>(a) Laws 2013, chapter 107, article 4, section 19, is repealed effective January 1, 2016.<br/>
<a id="pl.14.17"></a><var>14.17</var>(b) Laws 2013, chapter 108, article 3, section 31, is effective January 1, 2016.<br/>
<br/>
<a id="bill.1.12.0"></a><a id="pl.14.18"></a><var>14.18</var>    Sec. 12. <b> REPEALER.</b><br/>
<a id="pl.14.19"></a><var>14.19</var>(a) Minnesota Statutes 2012, sections 119A.04, subdivision 1; 119B.09, subdivision <br/>
<a id="pl.14.20"></a><var>14.20</var>2; 119B.23; 119B.231; 119B.232; 256.01, subdivisions 3, 14, and 14a; 256.9792; <br/>
<a id="pl.14.21"></a><var>14.21</var>256D.02, subdivision 19; 256D.05, subdivision 4; 256D.46; 256I.05, subdivisions 1b <br/>
<a id="pl.14.22"></a><var>14.22</var>and 5; 256I.07; 256K.35; 259.85, subdivisions 2, 3, 4, and 5; 518A.53, subdivision 7; <br/>
<a id="pl.14.23"></a><var>14.23</var>518A.74; and 626.5593, are repealed.<br/>
<a id="pl.14.24"></a><var>14.24</var>(b) Minnesota Statutes 2012, section 256J.24, subdivision 10, is repealed effective <br/>
<a id="pl.14.25"></a><var>14.25</var>October 1, 2014.<br/>
<a id="pl.14.26"></a><var>14.26</var>(c) Minnesota Statutes 2013 Supplement, section 259.85, subdivision 1, is repealed.<br/>
<br/>
<a id="bill.2.0.0"></a>

<a id="bill.2.1.0"></a><a id="pl.14.29"></a><var>14.29</var>    Section 1. Minnesota Statutes 2012, section 256.963, subdivision 2, is amended to read:<br/>
<a id="pl.14.30"></a><var>14.30</var>    Subd. 2. <b>Evaluation.</b> (a) The grantee must report to the commissioner on a quarterly <br/>
<a id="pl.14.31"></a><var>14.31</var>basis the following information:<br/>
<a id="pl.14.32"></a><var>14.32</var>    (1) the total number of appointments available for scheduling by specialty;<br/>
<a id="pl.15.1"></a><var>15.1</var>    (2) the average length of time between scheduling and actual appointment;<br/>
<a id="pl.15.2"></a><var>15.2</var>    (3) the total number of patients referred and whether the patient was insured or <br/>
<a id="pl.15.3"></a><var>15.3</var>uninsured; and<br/>
<a id="pl.15.4"></a><var>15.4</var>    (4) the total number of appointments resulting in visits completed and number of <br/>
<a id="pl.15.5"></a><var>15.5</var>patients continuing services with the referring clinic.<br/>
<a id="pl.15.6"></a><var>15.6</var>    (b) The commissioner, in consultation with the Minnesota Hospital Association, <br/>
<a id="pl.15.7"></a><var>15.7</var>shall conduct an evaluation of the emergency room diversion pilot project and submit the <br/>
<a id="pl.15.8"></a><var>15.8</var>results to the legislature by January 15, 2009. The evaluation shall compare the number of <br/>
<a id="pl.15.9"></a><var>15.9</var>nonemergency visits and repeat visits to hospital emergency rooms for the period before <br/>
<a id="pl.15.10"></a><var>15.10</var>the commencement of the project and one year after the commencement, and an estimate <br/>
<a id="pl.15.11"></a><var>15.11</var>of the costs saved from any documented reductions.<br/>
<br/>
<a id="bill.2.2.0"></a><a id="pl.15.12"></a><var>15.12</var>    Sec. 2. Minnesota Statutes 2012, section 256.969, subdivision 9, is amended to read:<br/>
<a id="pl.15.13"></a><var>15.13</var>    Subd. 9. <b>Disproportionate numbers of low-income patients served.</b> (a) For <br/>
<a id="pl.15.14"></a><var>15.14</var>admissions occurring on or after October 1, 1992, through December 31, 1992, the <br/>
<a id="pl.15.15"></a><var>15.15</var>medical assistance disproportionate population adjustment shall comply with federal law <br/>
<a id="pl.15.16"></a><var>15.16</var>and shall be paid to a hospital, excluding regional treatment centers and facilities of the <br/>
<a id="pl.15.17"></a><var>15.17</var>federal Indian Health Service, with a medical assistance inpatient utilization rate in excess <br/>
<a id="pl.15.18"></a><var>15.18</var>of the arithmetic mean. The adjustment must be determined as follows:<br/>
<a id="pl.15.19"></a><var>15.19</var>    (1) for a hospital with a medical assistance inpatient utilization rate above the <br/>
<a id="pl.15.20"></a><var>15.20</var>arithmetic mean for all hospitals excluding regional treatment centers and facilities of the <br/>
<a id="pl.15.21"></a><var>15.21</var>federal Indian Health Service but less than or equal to one standard deviation above the <br/>
<a id="pl.15.22"></a><var>15.22</var>mean, the adjustment must be determined by multiplying the total of the operating and <br/>
<a id="pl.15.23"></a><var>15.23</var>property payment rates by the difference between the hospital's actual medical assistance <br/>
<a id="pl.15.24"></a><var>15.24</var>inpatient utilization rate and the arithmetic mean for all hospitals excluding regional <br/>
<a id="pl.15.25"></a><var>15.25</var>treatment centers and facilities of the federal Indian Health Service; and<br/>
<a id="pl.15.26"></a><var>15.26</var>    (2) for a hospital with a medical assistance inpatient utilization rate above one <br/>
<a id="pl.15.27"></a><var>15.27</var>standard deviation above the mean, the adjustment must be determined by multiplying <br/>
<a id="pl.15.28"></a><var>15.28</var>the adjustment that would be determined under clause (1) for that hospital by 1.1. If <br/>
<a id="pl.15.29"></a><var>15.29</var>federal matching funds are not available for all adjustments under this subdivision, the <br/>
<a id="pl.15.30"></a><var>15.30</var>commissioner shall reduce payments on a pro rata basis so that all adjustments qualify for <br/>
<a id="pl.15.31"></a><var>15.31</var>federal match. The commissioner may establish a separate disproportionate population <br/>
<a id="pl.15.32"></a><var>15.32</var>operating payment rate adjustment under the general assistance medical care program. <br/>
<a id="pl.15.33"></a><var>15.33</var>For purposes of this subdivision medical assistance does not include general assistance <br/>
<a id="pl.15.34"></a><var>15.34</var>medical care. The commissioner shall report annually on the number of hospitals likely to <br/>
<a id="pl.15.35"></a><var>15.35</var>receive the adjustment authorized by this paragraph. The commissioner shall specifically <br/>
<a id="pl.16.1"></a><var>16.1</var>report on the adjustments received by public hospitals and public hospital corporations <br/>
<a id="pl.16.2"></a><var>16.2</var>located in cities of the first class.<br/>
<a id="pl.16.3"></a><var>16.3</var>    (b) (a) For admissions occurring on or after July 1, 1993, the medical assistance <br/>
<a id="pl.16.4"></a><var>16.4</var>disproportionate population adjustment shall comply with federal law and shall be paid to <br/>
<a id="pl.16.5"></a><var>16.5</var>a hospital, excluding regional treatment centers and facilities of the federal Indian Health <br/>
<a id="pl.16.6"></a><var>16.6</var>Service, with a medical assistance inpatient utilization rate in excess of the arithmetic <br/>
<a id="pl.16.7"></a><var>16.7</var>mean. The adjustment must be determined as follows:<br/>
<a id="pl.16.8"></a><var>16.8</var>    (1) for a hospital with a medical assistance inpatient utilization rate above the <br/>
<a id="pl.16.9"></a><var>16.9</var>arithmetic mean for all hospitals excluding regional treatment centers and facilities of the <br/>
<a id="pl.16.10"></a><var>16.10</var>federal Indian Health Service but less than or equal to one standard deviation above the <br/>
<a id="pl.16.11"></a><var>16.11</var>mean, the adjustment must be determined by multiplying the total of the operating and <br/>
<a id="pl.16.12"></a><var>16.12</var>property payment rates by the difference between the hospital's actual medical assistance <br/>
<a id="pl.16.13"></a><var>16.13</var>inpatient utilization rate and the arithmetic mean for all hospitals excluding regional <br/>
<a id="pl.16.14"></a><var>16.14</var>treatment centers and facilities of the federal Indian Health Service;<br/>
<a id="pl.16.15"></a><var>16.15</var>    (2) for a hospital with a medical assistance inpatient utilization rate above one <br/>
<a id="pl.16.16"></a><var>16.16</var>standard deviation above the mean, the adjustment must be determined by multiplying <br/>
<a id="pl.16.17"></a><var>16.17</var>the adjustment that would be determined under clause (1) for that hospital by 1.1. The <br/>
<a id="pl.16.18"></a><var>16.18</var>commissioner may establish a separate disproportionate population operating payment <br/>
<a id="pl.16.19"></a><var>16.19</var>rate adjustment under the general assistance medical care program. For purposes of this <br/>
<a id="pl.16.20"></a><var>16.20</var>subdivision, medical assistance does not include general assistance medical care. The <br/>
<a id="pl.16.21"></a><var>16.21</var>commissioner shall report annually on the number of hospitals likely to receive the <br/>
<a id="pl.16.22"></a><var>16.22</var>adjustment authorized by this paragraph. The commissioner shall specifically report on <br/>
<a id="pl.16.23"></a><var>16.23</var>the adjustments received by public hospitals and public hospital corporations located <br/>
<a id="pl.16.24"></a><var>16.24</var>in cities of the first class;<br/>
<a id="pl.16.25"></a><var>16.25</var>    (3) for a hospital that had medical assistance fee-for-service payment volume during <br/>
<a id="pl.16.26"></a><var>16.26</var>calendar year 1991 in excess of 13 percent of total medical assistance fee-for-service <br/>
<a id="pl.16.27"></a><var>16.27</var>payment volume, a medical assistance disproportionate population adjustment shall be <br/>
<a id="pl.16.28"></a><var>16.28</var>paid in addition to any other disproportionate payment due under this subdivision as <br/>
<a id="pl.16.29"></a><var>16.29</var>follows: $1,515,000 due on the 15th of each month after noon, beginning July 15, 1995. <br/>
<a id="pl.16.30"></a><var>16.30</var>For a hospital that had medical assistance fee-for-service payment volume during calendar <br/>
<a id="pl.16.31"></a><var>16.31</var>year 1991 in excess of eight percent of total medical assistance fee-for-service payment <br/>
<a id="pl.16.32"></a><var>16.32</var>volume and was the primary hospital affiliated with the University of Minnesota, a <br/>
<a id="pl.16.33"></a><var>16.33</var>medical assistance disproportionate population adjustment shall be paid in addition to any <br/>
<a id="pl.16.34"></a><var>16.34</var>other disproportionate payment due under this subdivision as follows: $505,000 due on <br/>
<a id="pl.16.35"></a><var>16.35</var>the 15th of each month after noon, beginning July 15, 1995; and<br/>
<a id="pl.17.1"></a><var>17.1</var>    (4) effective August 1, 2005, the payments in paragraph (b), clause (3), shall be <br/>
<a id="pl.17.2"></a><var>17.2</var>reduced to zero.<br/>
<a id="pl.17.3"></a><var>17.3</var>    (c) (b) The commissioner shall adjust rates paid to a health maintenance organization <br/>
<a id="pl.17.4"></a><var>17.4</var>under contract with the commissioner to reflect rate increases provided in paragraph (b)<br/>
<a id="pl.17.5"></a><var>17.5</var> (a), clauses (1) and (2), on a nondiscounted hospital-specific basis but shall not adjust <br/>
<a id="pl.17.6"></a><var>17.6</var>those rates to reflect payments provided in paragraph (a), clause (3).<br/>
<a id="pl.17.7"></a><var>17.7</var>    (d) (c) If federal matching funds are not available for all adjustments under paragraph <br/>
<a id="pl.17.8"></a><var>17.8</var>(b) (a), the commissioner shall reduce payments under paragraph (b) (a), clauses (1) and (2), <br/>
<a id="pl.17.9"></a><var>17.9</var>on a pro rata basis so that all adjustments under paragraph (b) (a) qualify for federal match.<br/>
<a id="pl.17.10"></a><var>17.10</var>    (e) (d) For purposes of this subdivision, medical assistance does not include general <br/>
<a id="pl.17.11"></a><var>17.11</var>assistance medical care.<br/>
<a id="pl.17.12"></a><var>17.12</var>    (f) (e) For hospital services occurring on or after July 1, 2005, to June 30, 2007:<br/>
<a id="pl.17.13"></a><var>17.13</var>    (1) general assistance medical care expenditures for fee-for-service inpatient and <br/>
<a id="pl.17.14"></a><var>17.14</var>outpatient hospital payments made by the department shall be considered Medicaid <br/>
<a id="pl.17.15"></a><var>17.15</var>disproportionate share hospital payments, except as limited below:<br/>
<a id="pl.17.16"></a><var>17.16</var>     (i) only the portion of Minnesota's disproportionate share hospital allotment under <br/>
<a id="pl.17.17"></a><var>17.17</var>section 1923(f) of the Social Security Act that is not spent on the disproportionate <br/>
<a id="pl.17.18"></a><var>17.18</var>population adjustments in paragraph (b) (a), clauses (1) and (2), may be used for general <br/>
<a id="pl.17.19"></a><var>17.19</var>assistance medical care expenditures;<br/>
<a id="pl.17.20"></a><var>17.20</var>     (ii) only those general assistance medical care expenditures made to hospitals that <br/>
<a id="pl.17.21"></a><var>17.21</var>qualify for disproportionate share payments under section 1923 of the Social Security Act <br/>
<a id="pl.17.22"></a><var>17.22</var>and the Medicaid state plan may be considered disproportionate share hospital payments;<br/>
<a id="pl.17.23"></a><var>17.23</var>     (iii) only those general assistance medical care expenditures made to an individual <br/>
<a id="pl.17.24"></a><var>17.24</var>hospital that would not cause the hospital to exceed its individual hospital limits under <br/>
<a id="pl.17.25"></a><var>17.25</var>section 1923 of the Social Security Act may be considered; and<br/>
<a id="pl.17.26"></a><var>17.26</var>     (iv) general assistance medical care expenditures may be considered only to the <br/>
<a id="pl.17.27"></a><var>17.27</var>extent of Minnesota's aggregate allotment under section 1923 of the Social Security Act.<br/>
<a id="pl.17.28"></a><var>17.28</var>All hospitals and prepaid health plans participating in general assistance medical care <br/>
<a id="pl.17.29"></a><var>17.29</var>must provide any necessary expenditure, cost, and revenue information required by the <br/>
<a id="pl.17.30"></a><var>17.30</var>commissioner as necessary for purposes of obtaining federal Medicaid matching funds for <br/>
<a id="pl.17.31"></a><var>17.31</var>general assistance medical care expenditures; and<br/>
<a id="pl.17.32"></a><var>17.32</var>    (2) certified public expenditures made by Hennepin County Medical Center shall <br/>
<a id="pl.17.33"></a><var>17.33</var>be considered Medicaid disproportionate share hospital payments. Hennepin County <br/>
<a id="pl.17.34"></a><var>17.34</var>and Hennepin County Medical Center shall report by June 15, 2007, on payments made <br/>
<a id="pl.17.35"></a><var>17.35</var>beginning July 1, 2005, or another date specified by the commissioner, that may qualify <br/>
<a id="pl.18.1"></a><var>18.1</var>for reimbursement under federal law. Based on these reports, the commissioner shall <br/>
<a id="pl.18.2"></a><var>18.2</var>apply for federal matching funds.<br/>
<a id="pl.18.3"></a><var>18.3</var>    (g) (f) Upon federal approval of the related state plan amendment, paragraph (f) (e)<br/>
<a id="pl.18.4"></a><var>18.4</var> is effective retroactively from July 1, 2005, or the earliest effective date approved by the <br/>
<a id="pl.18.5"></a><var>18.5</var>Centers for Medicare and Medicaid Services.<br/>
<br/>
<a id="bill.2.3.0"></a><a id="pl.18.6"></a><var>18.6</var>    Sec. 3. Minnesota Statutes 2012, section 256B.69, subdivision 2, is amended to read:<br/>
<a id="pl.18.7"></a><var>18.7</var>    Subd. 2. <b>Definitions.</b> For the purposes of this section, the following terms have <br/>
<a id="pl.18.8"></a><var>18.8</var>the meanings given.<br/>
<a id="pl.18.9"></a><var>18.9</var>(a) "Commissioner" means the commissioner of human services. For the <br/>
<a id="pl.18.10"></a><var>18.10</var>remainder of this section, the commissioner's responsibilities for methods and policies <br/>
<a id="pl.18.11"></a><var>18.11</var>for implementing the project will be proposed by the project advisory committees and <br/>
<a id="pl.18.12"></a><var>18.12</var>approved by the commissioner.<br/>
<a id="pl.18.13"></a><var>18.13</var>(b) "Demonstration provider" means a health maintenance organization, community <br/>
<a id="pl.18.14"></a><var>18.14</var>integrated service network, or accountable provider network authorized and operating <br/>
<a id="pl.18.15"></a><var>18.15</var>under chapter 62D, 62N, or 62T that participates in the demonstration project according <br/>
<a id="pl.18.16"></a><var>18.16</var>to criteria, standards, methods, and other requirements established for the project and <br/>
<a id="pl.18.17"></a><var>18.17</var>approved by the commissioner. For purposes of this section, a county board, or group of <br/>
<a id="pl.18.18"></a><var>18.18</var>county boards operating under a joint powers agreement, is considered a demonstration <br/>
<a id="pl.18.19"></a><var>18.19</var>provider if the county or group of county boards meets the requirements of section <br/>
<statute_ref><a id="pl.18.20"></a><var>18.20</var>256B.692
         </statute_ref>. Notwithstanding the above, Itasca County may continue to participate as a <br/>
<a id="pl.18.21"></a><var>18.21</var>demonstration provider until July 1, 2004.<br/>
<a id="pl.18.22"></a><var>18.22</var>(c) "Eligible individuals" means those persons eligible for medical assistance <br/>
<a id="pl.18.23"></a><var>18.23</var>benefits as defined in sections 
         <statute_ref>256B.055</statute_ref>, 
         <statute_ref>256B.056</statute_ref>, and 
         <statute_ref>256B.06</statute_ref>.<br/>
<a id="pl.18.24"></a><var>18.24</var>(d) "Limitation of choice" means suspending freedom of choice while allowing <br/>
<a id="pl.18.25"></a><var>18.25</var>eligible individuals to choose among the demonstration providers.<br/>
<br/>
<a id="bill.2.4.0"></a><a id="pl.18.26"></a><var>18.26</var>    Sec. 4. Minnesota Statutes 2012, section 256B.69, subdivision 4b, is amended to read:<br/>
<a id="pl.18.27"></a><var>18.27</var>    Subd. 4b. <b>Individualized education program and individualized family service </b><br/>
<a id="pl.18.28"></a><var>18.28</var><b>plan services.</b> The commissioner shall amend the federal waiver allowing the state <br/>
<a id="pl.18.29"></a><var>18.29</var>to separate out individualized education program and individualized family service <br/>
<a id="pl.18.30"></a><var>18.30</var>plan services for children enrolled in the prepaid medical assistance program and the <br/>
<a id="pl.18.31"></a><var>18.31</var>MinnesotaCare program. Effective July 1, 1999, or upon federal approval, Medical <br/>
<a id="pl.18.32"></a><var>18.32</var>assistance coverage of eligible individualized education program and individualized family <br/>
<a id="pl.18.33"></a><var>18.33</var>service plan services shall not be included in the capitated services for children enrolled <br/>
<a id="pl.18.34"></a><var>18.34</var>in health plans through the prepaid medical assistance program and the MinnesotaCare <br/>
<a id="pl.19.1"></a><var>19.1</var>program. Upon federal approval, Local school districts shall bill the commissioner for <br/>
<a id="pl.19.2"></a><var>19.2</var>these services, and claims shall be paid on a fee-for-service basis.<br/>
<br/>
<a id="bill.2.5.0"></a><a id="pl.19.3"></a><var>19.3</var>    Sec. 5. Minnesota Statutes 2012, section 256B.69, subdivision 5, is amended to read:<br/>
<a id="pl.19.4"></a><var>19.4</var>    Subd. 5. <b>Prospective per capita payment.</b> The commissioner shall establish the <br/>
<a id="pl.19.5"></a><var>19.5</var>method and amount of payments for services. The commissioner shall annually contract <br/>
<a id="pl.19.6"></a><var>19.6</var>with demonstration providers to provide services consistent with these established <br/>
<a id="pl.19.7"></a><var>19.7</var>methods and amounts for payment.<br/>
<a id="pl.19.8"></a><var>19.8</var>If allowed by the commissioner, a demonstration provider may contract with an <br/>
<a id="pl.19.9"></a><var>19.9</var>insurer, health care provider, nonprofit health service plan corporation, or the commissioner, <br/>
<a id="pl.19.10"></a><var>19.10</var>to provide insurance or similar protection against the cost of care provided by the <br/>
<a id="pl.19.11"></a><var>19.11</var>demonstration provider or to provide coverage against the risks incurred by demonstration <br/>
<a id="pl.19.12"></a><var>19.12</var>providers under this section. The recipients enrolled with a demonstration provider are <br/>
<a id="pl.19.13"></a><var>19.13</var>a permissible group under group insurance laws and chapter 62C, the Nonprofit Health <br/>
<a id="pl.19.14"></a><var>19.14</var>Service Plan Corporations Act. Under this type of contract, the insurer or corporation may <br/>
<a id="pl.19.15"></a><var>19.15</var>make benefit payments to a demonstration provider for services rendered or to be rendered <br/>
<a id="pl.19.16"></a><var>19.16</var>to a recipient. Any insurer or nonprofit health service plan corporation licensed to do <br/>
<a id="pl.19.17"></a><var>19.17</var>business in this state is authorized to provide this insurance or similar protection.<br/>
<a id="pl.19.18"></a><var>19.18</var>Payments to providers participating in the project are exempt from the requirements <br/>
<a id="pl.19.19"></a><var>19.19</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.19.20"></a><var>19.20</var>development of capitation rates for payments before delivery of services under this <br/>
<a id="pl.19.21"></a><var>19.21</var>section is begun. For payments made during calendar year 1990 and later years, The <br/>
<a id="pl.19.22"></a><var>19.22</var>commissioner shall contract with an independent actuary to establish prepayment rates.<br/>
<a id="pl.19.23"></a><var>19.23</var>By January 15, 1996, the commissioner shall report to the legislature on the <br/>
<a id="pl.19.24"></a><var>19.24</var>methodology used to allocate to participating counties available administrative <br/>
<a id="pl.19.25"></a><var>19.25</var>reimbursement for advocacy and enrollment costs. The report shall reflect the <br/>
<a id="pl.19.26"></a><var>19.26</var>commissioner's judgment as to the adequacy of the funds made available and of the <br/>
<a id="pl.19.27"></a><var>19.27</var>methodology for equitable distribution of the funds. The commissioner must involve <br/>
<a id="pl.19.28"></a><var>19.28</var>participating counties in the development of the report.<br/>
<a id="pl.19.29"></a><var>19.29</var>Beginning July 1, 2004, the commissioner may include payments for elderly waiver <br/>
<a id="pl.19.30"></a><var>19.30</var>services and 180 days of nursing home care in capitation payments for the prepaid medical <br/>
<a id="pl.19.31"></a><var>19.31</var>assistance program for recipients age 65 and older.<br/>
<br/>
<a id="bill.2.6.0"></a><a id="pl.19.32"></a><var>19.32</var>    Sec. 6. Minnesota Statutes 2012, section 256B.69, subdivision 5a, is amended to read:<br/>
<a id="pl.19.33"></a><var>19.33</var>    Subd. 5a. <b>Managed care contracts.</b> (a) Managed care contracts under this section <br/>
<a id="pl.19.34"></a><var>19.34</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.20.1"></a><var>20.1</var>January 1, 1996. Managed care contracts which were in effect on June 30, 1995, and set to <br/>
<a id="pl.20.2"></a><var>20.2</var>renew on July 1, 1995, shall be renewed for the period July 1, 1995 through December <br/>
<a id="pl.20.3"></a><var>20.3</var>31, 1995 at the same terms that were in effect on June 30, 1995. The commissioner may <br/>
<a id="pl.20.4"></a><var>20.4</var>issue separate contracts with requirements specific to services to medical assistance <br/>
<a id="pl.20.5"></a><var>20.5</var>recipients age 65 and older.<br/>
<a id="pl.20.6"></a><var>20.6</var>    (b) A prepaid health plan providing covered health services for eligible persons <br/>
<a id="pl.20.7"></a><var>20.7</var>pursuant to chapters 256B and 256L is responsible for complying with the terms of its <br/>
<a id="pl.20.8"></a><var>20.8</var>contract with the commissioner. Requirements applicable to managed care programs <br/>
<a id="pl.20.9"></a><var>20.9</var>under chapters 256B and 256L established after the effective date of a contract with the <br/>
<a id="pl.20.10"></a><var>20.10</var>commissioner take effect when the contract is next issued or renewed.<br/>
<a id="pl.20.11"></a><var>20.11</var>    (c) Effective for services rendered on or after January 1, 2003, The commissioner <br/>
<a id="pl.20.12"></a><var>20.12</var>shall withhold five percent of managed care plan payments under this section and <br/>
<a id="pl.20.13"></a><var>20.13</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the prepaid medical <br/>
<a id="pl.20.14"></a><var>20.14</var>assistance program pending completion of performance targets. Each performance target <br/>
<a id="pl.20.15"></a><var>20.15</var>must be quantifiable, objective, measurable, and reasonably attainable, except in the case <br/>
<a id="pl.20.16"></a><var>20.16</var>of a performance target based on a federal or state law or rule. Criteria for assessment <br/>
<a id="pl.20.17"></a><var>20.17</var>of each performance target must be outlined in writing prior to the contract effective <br/>
<a id="pl.20.18"></a><var>20.18</var>date. Clinical or utilization performance targets and their related criteria must consider <br/>
<a id="pl.20.19"></a><var>20.19</var>evidence-based research and reasonable interventions when available or applicable to the <br/>
<a id="pl.20.20"></a><var>20.20</var>populations served, and must be developed with input from external clinical experts <br/>
<a id="pl.20.21"></a><var>20.21</var>and stakeholders, including managed care plans, county-based purchasing plans, and <br/>
<a id="pl.20.22"></a><var>20.22</var>providers. The managed care or county-based purchasing plan must demonstrate, <br/>
<a id="pl.20.23"></a><var>20.23</var>to the commissioner's satisfaction, that the data submitted regarding attainment of <br/>
<a id="pl.20.24"></a><var>20.24</var>the performance target is accurate. The commissioner shall periodically change the <br/>
<a id="pl.20.25"></a><var>20.25</var>administrative measures used as performance targets in order to improve plan performance <br/>
<a id="pl.20.26"></a><var>20.26</var>across a broader range of administrative services. The performance targets must include <br/>
<a id="pl.20.27"></a><var>20.27</var>measurement of plan efforts to contain spending on health care services and administrative <br/>
<a id="pl.20.28"></a><var>20.28</var>activities. The commissioner may adopt plan-specific performance targets that take into <br/>
<a id="pl.20.29"></a><var>20.29</var>account factors affecting only one plan, including characteristics of the plan's enrollee <br/>
<a id="pl.20.30"></a><var>20.30</var>population. The withheld funds must be returned no sooner than July of the following <br/>
<a id="pl.20.31"></a><var>20.31</var>year if performance targets in the contract are achieved. The commissioner may exclude <br/>
<a id="pl.20.32"></a><var>20.32</var>special demonstration projects under subdivision 23.<br/>
<a id="pl.20.33"></a><var>20.33</var>    (d) Effective for services rendered on or after January 1, 2009, through December <br/>
<a id="pl.20.34"></a><var>20.34</var>31, 2009, the commissioner shall withhold three percent of managed care plan payments <br/>
<a id="pl.20.35"></a><var>20.35</var>under this section and county-based purchasing plan payments under section 
<statute_ref>256B.692 <br/>
<a id="pl.20.36"></a><var>20.36</var></statute_ref>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.21.1"></a><var>21.1</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.21.2"></a><var>21.2</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.21.3"></a><var>21.3</var>(e) Effective for services provided on or after January 1, 2010, (d) The commissioner <br/>
<a id="pl.21.4"></a><var>21.4</var>shall require that managed care plans use the assessment and authorization processes, <br/>
<a id="pl.21.5"></a><var>21.5</var>forms, timelines, standards, documentation, and data reporting requirements, protocols, <br/>
<a id="pl.21.6"></a><var>21.6</var>billing processes, and policies consistent with medical assistance fee-for-service or the <br/>
<a id="pl.21.7"></a><var>21.7</var>Department of Human Services contract requirements consistent with medical assistance <br/>
<a id="pl.21.8"></a><var>21.8</var>fee-for-service or the Department of Human Services contract requirements for all <br/>
<a id="pl.21.9"></a><var>21.9</var>personal care assistance services under section 
         <statute_ref>256B.0659</statute_ref>.<br/>
<a id="pl.21.10"></a><var>21.10</var>(f) Effective for services rendered on or after January 1, 2010, through December <br/>
<a id="pl.21.11"></a><var>21.11</var>31, 2010, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.21.12"></a><var>21.12</var>under this section and county-based purchasing plan payments under section 
<statute_ref>256B.692 <br/>
<a id="pl.21.13"></a><var>21.13</var></statute_ref>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.21.14"></a><var>21.14</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.21.15"></a><var>21.15</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.21.16"></a><var>21.16</var>(g) Effective for services rendered on or after January 1, 2011, through December <br/>
<a id="pl.21.17"></a><var>21.17</var>31, 2011, the commissioner shall include as part of the performance targets described in <br/>
<a id="pl.21.18"></a><var>21.18</var>paragraph (c) a reduction in the health plan's emergency room utilization rate for state <br/>
<a id="pl.21.19"></a><var>21.19</var>health care program enrollees by a measurable rate of five percent from the plan's utilization <br/>
<a id="pl.21.20"></a><var>21.20</var>rate for state health care program enrollees for the previous calendar year. (e) Effective for <br/>
<a id="pl.21.21"></a><var>21.21</var>services rendered on or after January 1, 2012, the commissioner shall include as part of the <br/>
<a id="pl.21.22"></a><var>21.22</var>performance targets described in paragraph (c) a reduction in the health plan's emergency <br/>
<a id="pl.21.23"></a><var>21.23</var>department utilization rate for medical assistance and MinnesotaCare enrollees, as <br/>
<a id="pl.21.24"></a><var>21.24</var>determined by the commissioner. For 2012, the reduction shall be based on the health plan's <br/>
<a id="pl.21.25"></a><var>21.25</var>utilization in 2009. To earn the return of the withhold each subsequent year, the managed <br/>
<a id="pl.21.26"></a><var>21.26</var>care plan or county-based purchasing plan must achieve a qualifying reduction of no less <br/>
<a id="pl.21.27"></a><var>21.27</var>than ten percent of the plan's emergency department utilization rate for medical assistance <br/>
<a id="pl.21.28"></a><var>21.28</var>and MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions <br/>
<a id="pl.21.29"></a><var>21.29</var>23 and 28, compared to the previous measurement year until the final performance target <br/>
<a id="pl.21.30"></a><var>21.30</var>is reached. When measuring performance, the commissioner must consider the difference <br/>
<a id="pl.21.31"></a><var>21.31</var>in health risk in a managed care or county-based purchasing plan's membership in the <br/>
<a id="pl.21.32"></a><var>21.32</var>baseline year compared to the measurement year, and work with the managed care or <br/>
<a id="pl.21.33"></a><var>21.33</var>county-based purchasing plan to account for differences that they agree are significant.<br/>
<a id="pl.21.34"></a><var>21.34</var>The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.21.35"></a><var>21.35</var>of the following calendar year if the managed care plan or county-based purchasing plan <br/>
<a id="pl.21.36"></a><var>21.36</var>demonstrates to the satisfaction of the commissioner that a reduction in the utilization rate <br/>
<a id="pl.22.1"></a><var>22.1</var>was achieved. The commissioner shall structure the withhold so that the commissioner <br/>
<a id="pl.22.2"></a><var>22.2</var>returns a portion of the withheld funds in amounts commensurate with achieved reductions <br/>
<a id="pl.22.3"></a><var>22.3</var>in utilization less than the targeted amount.<br/>
<a id="pl.22.4"></a><var>22.4</var>The withhold described in this paragraph shall continue for each consecutive contract <br/>
<a id="pl.22.5"></a><var>22.5</var>period until the plan's emergency room utilization rate for state health care program <br/>
<a id="pl.22.6"></a><var>22.6</var>enrollees is reduced by 25 percent of the plan's emergency room utilization rate for medical <br/>
<a id="pl.22.7"></a><var>22.7</var>assistance and MinnesotaCare enrollees for calendar year 2009. Hospitals shall cooperate <br/>
<a id="pl.22.8"></a><var>22.8</var>with the health plans in meeting this performance target and shall accept payment <br/>
<a id="pl.22.9"></a><var>22.9</var>withholds that may be returned to the hospitals if the performance target is achieved.<br/>
<a id="pl.22.10"></a><var>22.10</var>(h) (f) Effective for services rendered on or after January 1, 2012, the commissioner <br/>
<a id="pl.22.11"></a><var>22.11</var>shall include as part of the performance targets described in paragraph (c) a reduction <br/>
<a id="pl.22.12"></a><var>22.12</var>in the plan's hospitalization admission rate for medical assistance and MinnesotaCare <br/>
<a id="pl.22.13"></a><var>22.13</var>enrollees, as determined by the commissioner. To earn the return of the withhold each <br/>
<a id="pl.22.14"></a><var>22.14</var>year, the managed care plan or county-based purchasing plan must achieve a qualifying <br/>
<a id="pl.22.15"></a><var>22.15</var>reduction of no less than five percent of the plan's hospital admission rate for medical <br/>
<a id="pl.22.16"></a><var>22.16</var>assistance and MinnesotaCare enrollees, excluding enrollees in programs described in <br/>
<a id="pl.22.17"></a><var>22.17</var>subdivisions 23 and 28, compared to the previous calendar year until the final performance <br/>
<a id="pl.22.18"></a><var>22.18</var>target is reached. When measuring performance, the commissioner must consider the <br/>
<a id="pl.22.19"></a><var>22.19</var>difference in health risk in a managed care or county-based purchasing plan's membership <br/>
<a id="pl.22.20"></a><var>22.20</var>in the baseline year compared to the measurement year, and work with the managed care <br/>
<a id="pl.22.21"></a><var>22.21</var>or county-based purchasing plan to account for differences that they agree are significant.<br/>
<a id="pl.22.22"></a><var>22.22</var>The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.22.23"></a><var>22.23</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.22.24"></a><var>22.24</var>plan demonstrates to the satisfaction of the commissioner that this reduction in the <br/>
<a id="pl.22.25"></a><var>22.25</var>hospitalization rate was achieved. The commissioner shall structure the withhold so that <br/>
<a id="pl.22.26"></a><var>22.26</var>the commissioner returns a portion of the withheld funds in amounts commensurate with <br/>
<a id="pl.22.27"></a><var>22.27</var>achieved reductions in utilization less than the targeted amount.<br/>
<a id="pl.22.28"></a><var>22.28</var>The withhold described in this paragraph shall continue until there is a 25 percent <br/>
<a id="pl.22.29"></a><var>22.29</var>reduction in the hospital admission rate compared to the hospital admission rates in <br/>
<a id="pl.22.30"></a><var>22.30</var>calendar year 2011, as determined by the commissioner. The hospital admissions in this <br/>
<a id="pl.22.31"></a><var>22.31</var>performance target do not include the admissions applicable to the subsequent hospital <br/>
<a id="pl.22.32"></a><var>22.32</var>admission performance target under paragraph (i) (g). Hospitals shall cooperate with the <br/>
<a id="pl.22.33"></a><var>22.33</var>plans in meeting this performance target and shall accept payment withholds that may be <br/>
<a id="pl.22.34"></a><var>22.34</var>returned to the hospitals if the performance target is achieved.<br/>
<a id="pl.22.35"></a><var>22.35</var>(i) (g) Effective for services rendered on or after January 1, 2012, the commissioner <br/>
<a id="pl.22.36"></a><var>22.36</var>shall include as part of the performance targets described in paragraph (c) a reduction in <br/>
<a id="pl.23.1"></a><var>23.1</var>the plan's hospitalization admission rates for subsequent hospitalizations within 30 days of <br/>
<a id="pl.23.2"></a><var>23.2</var>a previous hospitalization of a patient regardless of the reason, for medical assistance and <br/>
<a id="pl.23.3"></a><var>23.3</var>MinnesotaCare enrollees, as determined by the commissioner. To earn the return of the <br/>
<a id="pl.23.4"></a><var>23.4</var>withhold each year, the managed care plan or county-based purchasing plan must achieve <br/>
<a id="pl.23.5"></a><var>23.5</var>a qualifying reduction of the subsequent hospitalization rate for medical assistance and <br/>
<a id="pl.23.6"></a><var>23.6</var>MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions 23 <br/>
<a id="pl.23.7"></a><var>23.7</var>and 28, of no less than five percent compared to the previous calendar year until the <br/>
<a id="pl.23.8"></a><var>23.8</var>final performance target is reached.<br/>
<a id="pl.23.9"></a><var>23.9</var>The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.23.10"></a><var>23.10</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.23.11"></a><var>23.11</var>plan demonstrates to the satisfaction of the commissioner that a qualifying reduction in <br/>
<a id="pl.23.12"></a><var>23.12</var>the subsequent hospitalization rate was achieved. The commissioner shall structure the <br/>
<a id="pl.23.13"></a><var>23.13</var>withhold so that the commissioner returns a portion of the withheld funds in amounts <br/>
<a id="pl.23.14"></a><var>23.14</var>commensurate with achieved reductions in utilization less than the targeted amount.<br/>
<a id="pl.23.15"></a><var>23.15</var>The withhold described in this paragraph must continue for each consecutive <br/>
<a id="pl.23.16"></a><var>23.16</var>contract period until the plan's subsequent hospitalization rate for medical assistance and <br/>
<a id="pl.23.17"></a><var>23.17</var>MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions 23 <br/>
<a id="pl.23.18"></a><var>23.18</var>and 28, is reduced by 25 percent of the plan's subsequent hospitalization rate for calendar <br/>
<a id="pl.23.19"></a><var>23.19</var>year 2011. Hospitals shall cooperate with the plans in meeting this performance target and <br/>
<a id="pl.23.20"></a><var>23.20</var>shall accept payment withholds that must be returned to the hospitals if the performance <br/>
<a id="pl.23.21"></a><var>23.21</var>target is achieved.<br/>
<a id="pl.23.22"></a><var>23.22</var>(j) Effective for services rendered on or after January 1, 2011, through December 31, <br/>
<a id="pl.23.23"></a><var>23.23</var>2011, the commissioner shall withhold 4.5 percent of managed care plan payments under <br/>
<a id="pl.23.24"></a><var>23.24</var>this section and county-based purchasing plan payments under section 
<statute_ref>256B.692 </statute_ref>for the <br/>
<a id="pl.23.25"></a><var>23.25</var>prepaid medical assistance program. The withheld funds must be returned no sooner than <br/>
<a id="pl.23.26"></a><var>23.26</var>July 1 and no later than July 31 of the following year. The commissioner may exclude <br/>
<a id="pl.23.27"></a><var>23.27</var>special demonstration projects under subdivision 23.<br/>
<a id="pl.23.28"></a><var>23.28</var>(k) Effective for services rendered on or after January 1, 2012, through December <br/>
<a id="pl.23.29"></a><var>23.29</var>31, 2012, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.23.30"></a><var>23.30</var>under this section and county-based purchasing plan payments under section 
<statute_ref>256B.692 <br/>
<a id="pl.23.31"></a><var>23.31</var></statute_ref>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.23.32"></a><var>23.32</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.23.33"></a><var>23.33</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.23.34"></a><var>23.34</var>(l) (h) Effective for services rendered on or after January 1, 2013, through December <br/>
<a id="pl.23.35"></a><var>23.35</var>31, 2013, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.23.36"></a><var>23.36</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.24.1"></a><var>24.1</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.24.2"></a><var>24.2</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.24.3"></a><var>24.3</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.24.4"></a><var>24.4</var>(m) (i) Effective for services rendered on or after January 1, 2014, the commissioner <br/>
<a id="pl.24.5"></a><var>24.5</var>shall withhold three percent of managed care plan payments under this section and <br/>
<a id="pl.24.6"></a><var>24.6</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692</statute_ref> for the prepaid medical <br/>
<a id="pl.24.7"></a><var>24.7</var>assistance program. The withheld funds must be returned no sooner than July 1 and <br/>
<a id="pl.24.8"></a><var>24.8</var>no later than July 31 of the following year. The commissioner may exclude special <br/>
<a id="pl.24.9"></a><var>24.9</var>demonstration projects under subdivision 23.<br/>
<a id="pl.24.10"></a><var>24.10</var>(n) (j) A managed care plan or a county-based purchasing plan under section <br/>
<statute_ref><a id="pl.24.11"></a><var>24.11</var>256B.692 
         </statute_ref>may include as admitted assets under section 
         <statute_ref>62D.044</statute_ref> any amount withheld <br/>
<a id="pl.24.12"></a><var>24.12</var>under this section that is reasonably expected to be returned.<br/>
<a id="pl.24.13"></a><var>24.13</var>(o) (k) Contracts between the commissioner and a prepaid health plan are exempt <br/>
<a id="pl.24.14"></a><var>24.14</var>from the set-aside and preference provisions of section 
         <statute_ref>16C.16, subdivisions 6</statute_ref>, paragraph <br/>
<a id="pl.24.15"></a><var>24.15</var>(a), and 7.<br/>
<a id="pl.24.16"></a><var>24.16</var>(p) (l) The return of the withhold under paragraphs (d), (f), and (j) to (m) (h) and (i)<br/>
<a id="pl.24.17"></a><var>24.17</var> is not subject to the requirements of paragraph (c).<br/>
<br/>
<a id="bill.2.7.0"></a><a id="pl.24.18"></a><var>24.18</var>    Sec. 7. Minnesota Statutes 2012, section 256B.69, subdivision 5b, is amended to read:<br/>
<a id="pl.24.19"></a><var>24.19</var>    Subd. 5b. <b>Prospective reimbursement rates.</b> (a) For prepaid medical assistance <br/>
<a id="pl.24.20"></a><var>24.20</var>program contract rates set by the commissioner under subdivision 5 and effective on or <br/>
<a id="pl.24.21"></a><var>24.21</var>after January 1, 2003, capitation rates for nonmetropolitan counties shall on a weighted <br/>
<a id="pl.24.22"></a><var>24.22</var>average be no less than 87 percent of the capitation rates for metropolitan counties, <br/>
<a id="pl.24.23"></a><var>24.23</var>excluding Hennepin County. The commissioner shall make a pro rata adjustment in <br/>
<a id="pl.24.24"></a><var>24.24</var>capitation rates paid to counties other than nonmetropolitan counties in order to make <br/>
<a id="pl.24.25"></a><var>24.25</var>this provision budget neutral. The commissioner, in consultation with a health care <br/>
<a id="pl.24.26"></a><var>24.26</var>actuary, shall evaluate the regional rate relationships based on actual health plan costs <br/>
<a id="pl.24.27"></a><var>24.27</var>for Minnesota health care programs. The commissioner may establish, based on the <br/>
<a id="pl.24.28"></a><var>24.28</var>actuary's recommendation, new rate regions that recognize metropolitan areas outside of <br/>
<a id="pl.24.29"></a><var>24.29</var>the seven-county metropolitan area.<br/>
<a id="pl.24.30"></a><var>24.30</var>(b) This subdivision shall not affect the nongeographically based risk adjusted rates <br/>
<a id="pl.24.31"></a><var>24.31</var>established under section 
         <statute_ref>62Q.03, subdivision 5a</statute_ref>.<br/>
<br/>
<a id="bill.2.8.0"></a><a id="pl.24.32"></a><var>24.32</var>    Sec. 8. Minnesota Statutes 2013 Supplement, section 256B.69, subdivision 5c, is <br/>
<a id="pl.24.33"></a><var>24.33</var>amended to read:<br/>
<a id="pl.25.1"></a><var>25.1</var>    Subd. 5c. <b>Medical education and research fund.</b> (a) The commissioner of human <br/>
<a id="pl.25.2"></a><var>25.2</var>services shall transfer each year to the medical education and research fund established <br/>
<a id="pl.25.3"></a><var>25.3</var>under section 
         <statute_ref>62J.692</statute_ref>, an amount specified in this subdivision. The commissioner shall <br/>
<a id="pl.25.4"></a><var>25.4</var>calculate the following:<br/>
<a id="pl.25.5"></a><var>25.5</var>(1) an amount equal to the reduction in the prepaid medical assistance payments as <br/>
<a id="pl.25.6"></a><var>25.6</var>specified in this clause. Until January 1, 2002, the county medical assistance capitation <br/>
<a id="pl.25.7"></a><var>25.7</var>base rate prior to plan specific adjustments and after the regional rate adjustments under <br/>
<a id="pl.25.8"></a><var>25.8</var>subdivision 5b is reduced 6.3 percent for Hennepin County, two percent for the remaining <br/>
<a id="pl.25.9"></a><var>25.9</var>metropolitan counties, and no reduction for nonmetropolitan Minnesota counties; and<br/>
<a id="pl.25.10"></a><var>25.10</var> After January 1, 2002, the county medical assistance capitation base rate prior to plan <br/>
<a id="pl.25.11"></a><var>25.11</var>specific adjustments is reduced 6.3 percent for Hennepin County, two percent for the <br/>
<a id="pl.25.12"></a><var>25.12</var>remaining metropolitan counties, and 1.6 percent for nonmetropolitan Minnesota counties. <br/>
<a id="pl.25.13"></a><var>25.13</var>Nursing facility and elderly waiver payments and demonstration project payments <br/>
<a id="pl.25.14"></a><var>25.14</var>operating under subdivision 23 are excluded from this reduction. The amount calculated <br/>
<a id="pl.25.15"></a><var>25.15</var>under this clause shall not be adjusted for periods already paid due to subsequent changes <br/>
<a id="pl.25.16"></a><var>25.16</var>to the capitation payments;<br/>
<a id="pl.25.17"></a><var>25.17</var>(2) beginning July 1, 2003, $4,314,000 from the capitation rates paid under this <br/>
<a id="pl.25.18"></a><var>25.18</var>section;<br/>
<a id="pl.25.19"></a><var>25.19</var>(3) beginning July 1, 2002, an additional $12,700,000 from the capitation rates <br/>
<a id="pl.25.20"></a><var>25.20</var>paid under this section; and<br/>
<a id="pl.25.21"></a><var>25.21</var>(4) beginning July 1, 2003, an additional $4,700,000 from the capitation rates paid <br/>
<a id="pl.25.22"></a><var>25.22</var>under this section.<br/>
<a id="pl.25.23"></a><var>25.23</var>(b) This subdivision shall be effective upon approval of a federal waiver which <br/>
<a id="pl.25.24"></a><var>25.24</var>allows federal financial participation in the medical education and research fund. The <br/>
<a id="pl.25.25"></a><var>25.25</var>amount specified under paragraph (a), clauses (1) to (4), shall not exceed the total amount <br/>
<a id="pl.25.26"></a><var>25.26</var>transferred for fiscal year 2009. Any excess shall first reduce the amounts specified under <br/>
<a id="pl.25.27"></a><var>25.27</var>paragraph (a), clauses (2) to (4). Any excess following this reduction shall proportionally <br/>
<a id="pl.25.28"></a><var>25.28</var>reduce the amount specified under paragraph (a), clause (1).<br/>
<a id="pl.25.29"></a><var>25.29</var>(c) Beginning September 1, 2011, of the amount in paragraph (a), the commissioner <br/>
<a id="pl.25.30"></a><var>25.30</var>shall transfer $21,714,000 each fiscal year to the medical education and research fund.<br/>
<a id="pl.25.31"></a><var>25.31</var>(d) Beginning September 1, 2011, of the amount in paragraph (a), following the <br/>
<a id="pl.25.32"></a><var>25.32</var>transfer under paragraph (c), the commissioner shall transfer to the medical education <br/>
<a id="pl.25.33"></a><var>25.33</var>research fund $23,936,000 in fiscal years 2012 and 2013 and $49,552,000 in fiscal year <br/>
<a id="pl.25.34"></a><var>25.34</var>2014 and thereafter.<br/>
<br/>
<a id="bill.2.9.0"></a><a id="pl.25.35"></a><var>25.35</var>    Sec. 9. Minnesota Statutes 2012, section 256B.69, subdivision 6b, is amended to read:<br/>
<a id="pl.26.1"></a><var>26.1</var>    Subd. 6b. <b>Home and community-based waiver services.</b> (a) For individuals <br/>
<a id="pl.26.2"></a><var>26.2</var>enrolled in the Minnesota senior health options project authorized under subdivision 23, <br/>
<a id="pl.26.3"></a><var>26.3</var>elderly waiver services shall be covered according to the terms and conditions of the <br/>
<a id="pl.26.4"></a><var>26.4</var>federal agreement governing that demonstration project.<br/>
<a id="pl.26.5"></a><var>26.5</var>(b) For individuals under age 65 enrolled in demonstrations authorized under <br/>
<a id="pl.26.6"></a><var>26.6</var>subdivision 23, home and community-based waiver services shall be covered according to <br/>
<a id="pl.26.7"></a><var>26.7</var>the terms and conditions of the federal agreement governing that demonstration project.<br/>
<a id="pl.26.8"></a><var>26.8</var>(c) The commissioner of human services shall issue requests for proposals for <br/>
<a id="pl.26.9"></a><var>26.9</var>collaborative service models between counties and managed care organizations to <br/>
<a id="pl.26.10"></a><var>26.10</var>integrate the home and community-based elderly waiver services and additional nursing <br/>
<a id="pl.26.11"></a><var>26.11</var>home services into the prepaid medical assistance program.<br/>
<a id="pl.26.12"></a><var>26.12</var>(d) Notwithstanding Minnesota Rules, part 9500.1457, subpart 1, item C, elderly <br/>
<a id="pl.26.13"></a><var>26.13</var>waiver services shall be covered statewide no sooner than July 1, 2006, under the prepaid <br/>
<a id="pl.26.14"></a><var>26.14</var>medical assistance program for all individuals who are eligible according to section <br/>
<statute_ref><a id="pl.26.15"></a><var>26.15</var>256B.0915
         </statute_ref>. The commissioner may develop a schedule to phase in implementation of <br/>
<a id="pl.26.16"></a><var>26.16</var>these waiver services, including collaborative service models under paragraph (c). The <br/>
<a id="pl.26.17"></a><var>26.17</var>commissioner shall phase in implementation beginning with those counties participating <br/>
<a id="pl.26.18"></a><var>26.18</var>under section 
         <statute_ref>256B.692</statute_ref>, and those counties where a viable collaborative service model <br/>
<a id="pl.26.19"></a><var>26.19</var>has been developed. In consultation with counties and all managed care organizations <br/>
<a id="pl.26.20"></a><var>26.20</var>that have expressed an interest in participating in collaborative service models, the <br/>
<a id="pl.26.21"></a><var>26.21</var>commissioner shall evaluate the models. The commissioner shall consider the evaluation <br/>
<a id="pl.26.22"></a><var>26.22</var>in selecting the most appropriate models for statewide implementation.<br/>
<br/>
<a id="bill.2.10.0"></a><a id="pl.26.23"></a><var>26.23</var>    Sec. 10. Minnesota Statutes 2012, section 256B.69, subdivision 6d, is amended to read:<br/>
<a id="pl.26.24"></a><var>26.24</var>    Subd. 6d. <b>Prescription drugs.</b> Effective January 1, 2004, The commissioner <br/>
<a id="pl.26.25"></a><var>26.25</var>may exclude or modify coverage for prescription drugs from the prepaid managed care <br/>
<a id="pl.26.26"></a><var>26.26</var>contracts entered into under this section in order to increase savings to the state by <br/>
<a id="pl.26.27"></a><var>26.27</var>collecting additional prescription drug rebates. The contracts must maintain incentives <br/>
<a id="pl.26.28"></a><var>26.28</var>for the managed care plan to manage drug costs and utilization and may require that the <br/>
<a id="pl.26.29"></a><var>26.29</var>managed care plans maintain an open drug formulary. In order to manage drug costs and <br/>
<a id="pl.26.30"></a><var>26.30</var>utilization, the contracts may authorize the managed care plans to use preferred drug lists <br/>
<a id="pl.26.31"></a><var>26.31</var>and prior authorization. This subdivision is contingent on federal approval of the managed <br/>
<a id="pl.26.32"></a><var>26.32</var>care contract changes and the collection of additional prescription drug rebates.<br/>
<br/>
<a id="bill.2.11.0"></a><a id="pl.26.33"></a><var>26.33</var>    Sec. 11. Minnesota Statutes 2012, section 256B.69, subdivision 17, is amended to read:<br/>
<a id="pl.27.1"></a><var>27.1</var>    Subd. 17. <b>Continuation of prepaid medical assistance.</b> The commissioner may <br/>
<a id="pl.27.2"></a><var>27.2</var>continue the provisions of this section after June 30, 1990, in any or all of the participating <br/>
<a id="pl.27.3"></a><var>27.3</var>counties if necessary federal authority is granted. The commissioner may adopt permanent <br/>
<a id="pl.27.4"></a><var>27.4</var>rules to continue prepaid medical assistance in these areas.<br/>
<br/>
<a id="bill.2.12.0"></a><a id="pl.27.5"></a><var>27.5</var>    Sec. 12. Minnesota Statutes 2012, section 256B.69, subdivision 26, is amended to read:<br/>
<a id="pl.27.6"></a><var>27.6</var>    Subd. 26. <b>American Indian recipients.</b> (a) Beginning on or after January 1, 1999,<br/>
<a id="pl.27.7"></a><var>27.7</var> For American Indian recipients of medical assistance who are required to enroll with a <br/>
<a id="pl.27.8"></a><var>27.8</var>demonstration provider under subdivision 4 or in a county-based purchasing entity, if <br/>
<a id="pl.27.9"></a><var>27.9</var>applicable, under section 
         <statute_ref>256B.692</statute_ref>, medical assistance shall cover health care services <br/>
<a id="pl.27.10"></a><var>27.10</var>provided at Indian health services facilities and facilities operated by a tribe or tribal <br/>
<a id="pl.27.11"></a><var>27.11</var>organization under funding authorized by United States Code, title 25, sections 450f to <br/>
<a id="pl.27.12"></a><var>27.12</var>450n, or title III of the Indian Self-Determination and Education Assistance Act, Public <br/>
<a id="pl.27.13"></a><var>27.13</var>Law 93-638, if those services would otherwise be covered under section 
         <statute_ref>256B.0625</statute_ref>. <br/>
<a id="pl.27.14"></a><var>27.14</var>Payments for services provided under this subdivision shall be made on a fee-for-service <br/>
<a id="pl.27.15"></a><var>27.15</var>basis, and may, at the option of the tribe or tribal organization, be made according to <br/>
<a id="pl.27.16"></a><var>27.16</var>rates authorized under sections 
         <statute_ref>256.969, subdivision 16</statute_ref>, and 
         <statute_ref>256B.0625, subdivision 34</statute_ref>. <br/>
<a id="pl.27.17"></a><var>27.17</var>Implementation of this purchasing model is contingent on federal approval.<br/>
<a id="pl.27.18"></a><var>27.18</var>(b) The commissioner of human services, in consultation with the tribal <br/>
<a id="pl.27.19"></a><var>27.19</var>governments, shall develop a plan for tribes to assist in the enrollment process for <br/>
<a id="pl.27.20"></a><var>27.20</var>American Indian recipients enrolled in the prepaid medical assistance program under <br/>
<a id="pl.27.21"></a><var>27.21</var>this section. This plan also shall address how tribes will be included in ensuring the <br/>
<a id="pl.27.22"></a><var>27.22</var>coordination of care for American Indian recipients between Indian health service or <br/>
<a id="pl.27.23"></a><var>27.23</var>tribal providers and other providers.<br/>
<a id="pl.27.24"></a><var>27.24</var>(c) For purposes of this subdivision, "American Indian" has the meaning given <br/>
<a id="pl.27.25"></a><var>27.25</var>to persons to whom services will be provided for in Code of Federal Regulations, title <br/>
<a id="pl.27.26"></a><var>27.26</var>42, section 
         <statute_ref>36.12</statute_ref>.<br/>
<br/>
<a id="bill.2.13.0"></a><a id="pl.27.27"></a><var>27.27</var>    Sec. 13. Minnesota Statutes 2013 Supplement, section 256B.69, subdivision 28, <br/>
<a id="pl.27.28"></a><var>27.28</var>is amended to read:<br/>
<a id="pl.27.29"></a><var>27.29</var>    Subd. 28. <b>Medicare special needs plans; medical assistance basic health </b><br/>
<a id="pl.27.30"></a><var>27.30</var><b>care.</b> (a) The commissioner may contract with demonstration providers and current or <br/>
<a id="pl.27.31"></a><var>27.31</var>former sponsors of qualified Medicare-approved special needs plans, to provide medical <br/>
<a id="pl.27.32"></a><var>27.32</var>assistance basic health care services to persons with disabilities, including those with <br/>
<a id="pl.27.33"></a><var>27.33</var>developmental disabilities. Basic health care services include:<br/>
<a id="pl.28.1"></a><var>28.1</var>    (1) those services covered by the medical assistance state plan except for ICF/DD <br/>
<a id="pl.28.2"></a><var>28.2</var>services, home and community-based waiver services, case management for persons with <br/>
<a id="pl.28.3"></a><var>28.3</var>developmental disabilities under section 
         <statute_ref>256B.0625</statute_ref>, subdivision 20a, and personal care <br/>
<a id="pl.28.4"></a><var>28.4</var>and certain home care services defined by the commissioner in consultation with the <br/>
<a id="pl.28.5"></a><var>28.5</var>stakeholder group established under paragraph (d); and<br/>
<a id="pl.28.6"></a><var>28.6</var>    (2) basic health care services may also include risk for up to 100 days of nursing <br/>
<a id="pl.28.7"></a><var>28.7</var>facility services for persons who reside in a noninstitutional setting and home health <br/>
<a id="pl.28.8"></a><var>28.8</var>services related to rehabilitation as defined by the commissioner after consultation with <br/>
<a id="pl.28.9"></a><var>28.9</var>the stakeholder group.<br/>
<a id="pl.28.10"></a><var>28.10</var>    The commissioner may exclude other medical assistance services from the basic <br/>
<a id="pl.28.11"></a><var>28.11</var>health care benefit set. Enrollees in these plans can access any excluded services on the <br/>
<a id="pl.28.12"></a><var>28.12</var>same basis as other medical assistance recipients who have not enrolled.<br/>
<a id="pl.28.13"></a><var>28.13</var>    (b) Beginning January 1, 2007, The commissioner may contract with demonstration <br/>
<a id="pl.28.14"></a><var>28.14</var>providers and current and former sponsors of qualified Medicare special needs plans, to <br/>
<a id="pl.28.15"></a><var>28.15</var>provide basic health care services under medical assistance to persons who are dually <br/>
<a id="pl.28.16"></a><var>28.16</var>eligible for both Medicare and Medicaid and those Social Security beneficiaries eligible <br/>
<a id="pl.28.17"></a><var>28.17</var>for Medicaid but in the waiting period for Medicare. The commissioner shall consult with <br/>
<a id="pl.28.18"></a><var>28.18</var>the stakeholder group under paragraph (d) in developing program specifications for these <br/>
<a id="pl.28.19"></a><var>28.19</var>services. The commissioner shall report to the chairs of the house of representatives and <br/>
<a id="pl.28.20"></a><var>28.20</var>senate committees with jurisdiction over health and human services policy and finance by <br/>
<a id="pl.28.21"></a><var>28.21</var>February 1, 2007, on implementation of these programs and the need for increased funding <br/>
<a id="pl.28.22"></a><var>28.22</var>for the ombudsman for managed care and other consumer assistance and protections <br/>
<a id="pl.28.23"></a><var>28.23</var>needed due to enrollment in managed care of persons with disabilities. Payment for <br/>
<a id="pl.28.24"></a><var>28.24</var>Medicaid services provided under this subdivision for the months of May and June will <br/>
<a id="pl.28.25"></a><var>28.25</var>be made no earlier than July 1 of the same calendar year.<br/>
<a id="pl.28.26"></a><var>28.26</var>    (c) Notwithstanding subdivision 4, beginning January 1, 2012, the commissioner <br/>
<a id="pl.28.27"></a><var>28.27</var>shall enroll persons with disabilities in managed care under this section, unless the <br/>
<a id="pl.28.28"></a><var>28.28</var>individual chooses to opt out of enrollment. The commissioner shall establish enrollment <br/>
<a id="pl.28.29"></a><var>28.29</var>and opt out procedures consistent with applicable enrollment procedures under this section.<br/>
<a id="pl.28.30"></a><var>28.30</var>    (d) The commissioner shall establish a state-level stakeholder group to provide <br/>
<a id="pl.28.31"></a><var>28.31</var>advice on managed care programs for persons with disabilities, including both MnDHO <br/>
<a id="pl.28.32"></a><var>28.32</var>and contracts with special needs plans that provide basic health care services as described <br/>
<a id="pl.28.33"></a><var>28.33</var>in paragraphs (a) and (b). The stakeholder group shall provide advice on program <br/>
<a id="pl.28.34"></a><var>28.34</var>expansions under this subdivision and subdivision 23, including:<br/>
<a id="pl.28.35"></a><var>28.35</var>    (1) implementation efforts;<br/>
<a id="pl.28.36"></a><var>28.36</var>    (2) consumer protections; and<br/>
<a id="pl.29.1"></a><var>29.1</var>    (3) program specifications such as quality assurance measures, data collection and <br/>
<a id="pl.29.2"></a><var>29.2</var>reporting, and evaluation of costs, quality, and results.<br/>
<a id="pl.29.3"></a><var>29.3</var>    (e) Each plan under contract to provide medical assistance basic health care services <br/>
<a id="pl.29.4"></a><var>29.4</var>shall establish a local or regional stakeholder group, including representatives of the <br/>
<a id="pl.29.5"></a><var>29.5</var>counties covered by the plan, members, consumer advocates, and providers, for advice on <br/>
<a id="pl.29.6"></a><var>29.6</var>issues that arise in the local or regional area.<br/>
<a id="pl.29.7"></a><var>29.7</var>    (f) The commissioner is prohibited from providing the names of potential enrollees <br/>
<a id="pl.29.8"></a><var>29.8</var>to health plans for marketing purposes. The commissioner shall mail no more than <br/>
<a id="pl.29.9"></a><var>29.9</var>two sets of marketing materials per contract year to potential enrollees on behalf of <br/>
<a id="pl.29.10"></a><var>29.10</var>health plans, at the health plan's request. The marketing materials shall be mailed by the <br/>
<a id="pl.29.11"></a><var>29.11</var>commissioner within 30 days of receipt of these materials from the health plan. The health <br/>
<a id="pl.29.12"></a><var>29.12</var>plans shall cover any costs incurred by the commissioner for mailing marketing materials.<br/>
<br/>
<a id="bill.2.14.0"></a><a id="pl.29.13"></a><var>29.13</var>    Sec. 14. Minnesota Statutes 2012, section 256B.69, subdivision 29, is amended to read:<br/>
<a id="pl.29.14"></a><var>29.14</var>    Subd. 29. <b>Prepaid health plan rates.</b> In negotiating the prepaid health plan <br/>
<a id="pl.29.15"></a><var>29.15</var>contract rates for services rendered on or after January 1, 2011, the commissioner of <br/>
<a id="pl.29.16"></a><var>29.16</var>human services shall take into consideration, and the rates shall reflect, the anticipated <br/>
<a id="pl.29.17"></a><var>29.17</var>savings in the medical assistance program due to extending medical assistance coverage to <br/>
<a id="pl.29.18"></a><var>29.18</var>services provided in licensed birth centers, the anticipated use of these services within <br/>
<a id="pl.29.19"></a><var>29.19</var>the medical assistance population, and the reduced medical assistance costs associated <br/>
<a id="pl.29.20"></a><var>29.20</var>with the use of birth centers for normal, low-risk deliveries.<br/>
<br/>
<a id="bill.2.15.0"></a><a id="pl.29.21"></a><var>29.21</var>    Sec. 15. Minnesota Statutes 2012, section 256B.69, subdivision 30, is amended to read:<br/>
<a id="pl.29.22"></a><var>29.22</var>    Subd. 30. <b>Provision of required materials in alternative formats.</b> (a) For the <br/>
<a id="pl.29.23"></a><var>29.23</var>purposes of this subdivision, "alternative format" means a medium other than paper and <br/>
<a id="pl.29.24"></a><var>29.24</var>"prepaid health plan" means managed care plans and county-based purchasing plans.<br/>
<a id="pl.29.25"></a><var>29.25</var>(b) A prepaid health plan may provide in an alternative format a provider directory <br/>
<a id="pl.29.26"></a><var>29.26</var>and certificate of coverage, or materials otherwise required to be available in writing <br/>
<a id="pl.29.27"></a><var>29.27</var>under Code of Federal Regulations, title 42, section 
         <statute_ref>438.10</statute_ref>, or under the commissioner's <br/>
<a id="pl.29.28"></a><var>29.28</var>contract with the prepaid health plan, if the following conditions are met:<br/>
<a id="pl.29.29"></a><var>29.29</var>(1) the prepaid health plan, local agency, or commissioner, as applicable, informs the <br/>
<a id="pl.29.30"></a><var>29.30</var>enrollee that:<br/>
<a id="pl.29.31"></a><var>29.31</var>(i) an alternative format is available and the enrollee affirmatively requests of <br/>
<a id="pl.29.32"></a><var>29.32</var>the prepaid health plan that the provider directory, certificate of coverage, or materials <br/>
<a id="pl.29.33"></a><var>29.33</var>otherwise required under Code of Federal Regulations, title 42, section 
         <statute_ref>438.10</statute_ref>, or under <br/>
<a id="pl.30.1"></a><var>30.1</var>the commissioner's contract with the prepaid health plan be provided in an alternative <br/>
<a id="pl.30.2"></a><var>30.2</var>format; and<br/>
<a id="pl.30.3"></a><var>30.3</var>(ii) a record of the enrollee request is retained by the prepaid health plan in the <br/>
<a id="pl.30.4"></a><var>30.4</var>form of written direction from the enrollee or a documented telephone call followed by a <br/>
<a id="pl.30.5"></a><var>30.5</var>confirmation letter to the enrollee from the prepaid health plan that explains that the <br/>
<a id="pl.30.6"></a><var>30.6</var>enrollee may change the request at any time;<br/>
<a id="pl.30.7"></a><var>30.7</var>(2) the materials are sent to a secure electronic mailbox and are made available at a <br/>
<a id="pl.30.8"></a><var>30.8</var>password-protected secure electronic Web site or on a data storage device if the materials <br/>
<a id="pl.30.9"></a><var>30.9</var>contain enrollee data that is individually identifiable;<br/>
<a id="pl.30.10"></a><var>30.10</var>(3) the enrollee is provided a customer service number on the enrollee's membership <br/>
<a id="pl.30.11"></a><var>30.11</var>card that may be called to request a paper version of the materials provided in an <br/>
<a id="pl.30.12"></a><var>30.12</var>alternative format; and<br/>
<a id="pl.30.13"></a><var>30.13</var>(4) the materials provided in an alternative format meets all other requirements of <br/>
<a id="pl.30.14"></a><var>30.14</var>the commissioner regarding content, size of the typeface, and any required time frames <br/>
<a id="pl.30.15"></a><var>30.15</var>for distribution. "Required time frames for distribution" must permit sufficient time for <br/>
<a id="pl.30.16"></a><var>30.16</var>prepaid health plans to distribute materials in alternative formats upon receipt of enrollees' <br/>
<a id="pl.30.17"></a><var>30.17</var>requests for the materials.<br/>
<a id="pl.30.18"></a><var>30.18</var>(c) A prepaid health plan may provide in an alternative format its primary care <br/>
<a id="pl.30.19"></a><var>30.19</var>network list to the commissioner and to local agencies within its service area. The <br/>
<a id="pl.30.20"></a><var>30.20</var>commissioner or local agency, as applicable, shall inform a potential enrollee of the <br/>
<a id="pl.30.21"></a><var>30.21</var>availability of a prepaid health plan's primary care network list in an alternative format. If <br/>
<a id="pl.30.22"></a><var>30.22</var>the potential enrollee requests an alternative format of the prepaid health plan's primary <br/>
<a id="pl.30.23"></a><var>30.23</var>care network list, a record of that request shall be retained by the commissioner or local <br/>
<a id="pl.30.24"></a><var>30.24</var>agency. The potential enrollee is permitted to withdraw the request at any time.<br/>
<a id="pl.30.25"></a><var>30.25</var>The prepaid health plan shall submit sufficient paper versions of the primary <br/>
<a id="pl.30.26"></a><var>30.26</var>care network list to the commissioner and to local agencies within its service area to <br/>
<a id="pl.30.27"></a><var>30.27</var>accommodate potential enrollee requests for paper versions of the primary care network list.<br/>
<a id="pl.30.28"></a><var>30.28</var>(d) A prepaid health plan may provide in an alternative format materials otherwise <br/>
<a id="pl.30.29"></a><var>30.29</var>required to be available in writing under Code of Federal Regulations, title 42, section <br/>
<statute_ref><a id="pl.30.30"></a><var>30.30</var>438.10
         </statute_ref>, or under the commissioner's contract with the prepaid health plan, if the conditions <br/>
<a id="pl.30.31"></a><var>30.31</var>of paragraphs (b), and (c), and (e), are met for persons who are eligible for enrollment in <br/>
<a id="pl.30.32"></a><var>30.32</var>managed care.<br/>
<a id="pl.30.33"></a><var>30.33</var>(e) The commissioner shall seek any federal Medicaid waivers within 90 days after <br/>
<a id="pl.30.34"></a><var>30.34</var>the effective date of this subdivision that are necessary to provide alternative formats of <br/>
<a id="pl.30.35"></a><var>30.35</var>required material to enrollees of prepaid health plans as authorized under this subdivision.<br/>
<a id="pl.31.1"></a><var>31.1</var>(f) (e) The commissioner shall consult with managed care plans, county-based <br/>
<a id="pl.31.2"></a><var>31.2</var>purchasing plans, counties, and other interested parties to determine how materials required <br/>
<a id="pl.31.3"></a><var>31.3</var>to be made available to enrollees under Code of Federal Regulations, title 42, section <br/>
<statute_ref><a id="pl.31.4"></a><var>31.4</var>438.10
         </statute_ref>, or under the commissioner's contract with a prepaid health plan may be provided <br/>
<a id="pl.31.5"></a><var>31.5</var>in an alternative format on the basis that the enrollee has not opted in to receive the <br/>
<a id="pl.31.6"></a><var>31.6</var>alternative format. The commissioner shall consult with managed care plans, county-based <br/>
<a id="pl.31.7"></a><var>31.7</var>purchasing plans, counties, and other interested parties to develop recommendations <br/>
<a id="pl.31.8"></a><var>31.8</var>relating to the conditions that must be met for an opt-out process to be granted.<br/>
<br/>
<a id="bill.2.16.0"></a><a id="pl.31.9"></a><var>31.9</var>    Sec. 16. Minnesota Statutes 2012, section 256B.692, subdivision 2, is amended to read:<br/>
<a id="pl.31.10"></a><var>31.10</var>    Subd. 2. <b>Duties of commissioner of health.</b> (a) Notwithstanding chapters 62D and <br/>
<a id="pl.31.11"></a><var>31.11</var>62N, a county that elects to purchase medical assistance in return for a fixed sum without <br/>
<a id="pl.31.12"></a><var>31.12</var>regard to the frequency or extent of services furnished to any particular enrollee is not <br/>
<a id="pl.31.13"></a><var>31.13</var>required to obtain a certificate of authority under chapter 62D or 62N. The county board <br/>
<a id="pl.31.14"></a><var>31.14</var>of commissioners is the governing body of a county-based purchasing program. In a <br/>
<a id="pl.31.15"></a><var>31.15</var>multicounty arrangement, the governing body is a joint powers board established under <br/>
<a id="pl.31.16"></a><var>31.16</var>section 
         <statute_ref>471.59</statute_ref>.<br/>
<a id="pl.31.17"></a><var>31.17</var>    (b) A county that elects to purchase medical assistance services under this section <br/>
<a id="pl.31.18"></a><var>31.18</var>must satisfy the commissioner of health that the requirements for assurance of consumer <br/>
<a id="pl.31.19"></a><var>31.19</var>protection, provider protection, and, effective January 1, 2010, fiscal solvency of chapter <br/>
<a id="pl.31.20"></a><var>31.20</var>62D, applicable to health maintenance organizations will be met according to the <br/>
<a id="pl.31.21"></a><var>31.21</var>following schedule:<br/>
<a id="pl.31.22"></a><var>31.22</var>    (1) for a county-based purchasing plan approved on or before June 30, 2008, the <br/>
<a id="pl.31.23"></a><var>31.23</var>plan must have in reserve:<br/>
<a id="pl.31.24"></a><var>31.24</var>    (i) at least 50 percent of the minimum amount required under chapter 62D as <br/>
<a id="pl.31.25"></a><var>31.25</var>of January 1, 2010;<br/>
<a id="pl.31.26"></a><var>31.26</var>    (ii) at least 75 percent of the minimum amount required under chapter 62D as of <br/>
<a id="pl.31.27"></a><var>31.27</var>January 1, 2011;<br/>
<a id="pl.31.28"></a><var>31.28</var>    (iii) at least 87.5 percent of the minimum amount required under chapter 62D as <br/>
<a id="pl.31.29"></a><var>31.29</var>of January 1, 2012; and<br/>
<a id="pl.31.30"></a><var>31.30</var>    (iv) at least 100 percent of the minimum amount required under chapter 62D as <br/>
<a id="pl.31.31"></a><var>31.31</var>of January 1, 2013; and<br/>
<a id="pl.31.32"></a><var>31.32</var>    (2) for a county-based purchasing plan first approved after June 30, 2008, the plan <br/>
<a id="pl.31.33"></a><var>31.33</var>must have in reserve:<br/>
<a id="pl.31.34"></a><var>31.34</var>    (i) at least 50 percent of the minimum amount required under chapter 62D at the <br/>
<a id="pl.31.35"></a><var>31.35</var>time the plan begins enrolling enrollees;<br/>
<a id="pl.32.1"></a><var>32.1</var>    (ii) at least 75 percent of the minimum amount required under chapter 62D after <br/>
<a id="pl.32.2"></a><var>32.2</var>the first full calendar year;<br/>
<a id="pl.32.3"></a><var>32.3</var>    (iii) at least 87.5 percent of the minimum amount required under chapter 62D after <br/>
<a id="pl.32.4"></a><var>32.4</var>the second full calendar year; and<br/>
<a id="pl.32.5"></a><var>32.5</var>    (iv) at least 100 percent of the minimum amount required under chapter 62D after <br/>
<a id="pl.32.6"></a><var>32.6</var>the third full calendar year.<br/>
<a id="pl.32.7"></a><var>32.7</var>    (c) Until a plan is required to have reserves equaling at least 100 percent of the <br/>
<a id="pl.32.8"></a><var>32.8</var>minimum amount required under chapter 62D, the plan may demonstrate its ability <br/>
<a id="pl.32.9"></a><var>32.9</var>to cover any losses by satisfying the requirements of chapter 62N. A county-based <br/>
<a id="pl.32.10"></a><var>32.10</var>purchasing plan must also assure the commissioner of health that the requirements of <br/>
<a id="pl.32.11"></a><var>32.11</var>sections 
         <statute_ref>62J.041</statute_ref>; 
         <statute_ref>62J.48</statute_ref>; 
         <statute_ref>62J.71</statute_ref> to 
         <statute_ref>62J.73</statute_ref>; 
         <statute_ref>62M.01</statute_ref> to 
         <statute_ref>62M.16</statute_ref>; all applicable provisions <br/>
<a id="pl.32.12"></a><var>32.12</var>of chapter 62Q, including sections 
         <statute_ref>62Q.075</statute_ref>; 
         <statute_ref>62Q.1055</statute_ref>; 
         <statute_ref>62Q.106</statute_ref>; 
         <statute_ref>62Q.12</statute_ref>; 
         <statute_ref>62Q.135</statute_ref>; <br/>
<statute_ref><a id="pl.32.13"></a><var>32.13</var>62Q.14
         </statute_ref>; 
         <statute_ref>62Q.145</statute_ref>; 
         <statute_ref>62Q.19</statute_ref>; 
         <statute_ref>62Q.23, paragraph (c)</statute_ref>; 
         <statute_ref>62Q.43</statute_ref>; 
         <statute_ref>62Q.47</statute_ref>; 
         <statute_ref>62Q.50</statute_ref>; 
         <statute_ref>62Q.52</statute_ref> to <br/>
<statute_ref><a id="pl.32.14"></a><var>32.14</var>62Q.56
         </statute_ref>; 
         <statute_ref>62Q.58</statute_ref>; 
         <statute_ref>62Q.68</statute_ref> to 
         <statute_ref>62Q.72</statute_ref>; and 
         <statute_ref>72A.201</statute_ref> will be met.<br/>
<a id="pl.32.15"></a><var>32.15</var>    (d) All enforcement and rulemaking powers available under chapters 62D, 62J, 62M, <br/>
<a id="pl.32.16"></a><var>32.16</var>62N, and 62Q are hereby granted to the commissioner of health with respect to counties <br/>
<a id="pl.32.17"></a><var>32.17</var>that purchase medical assistance services under this section.<br/>
<a id="pl.32.18"></a><var>32.18</var>    (e) The commissioner, in consultation with county government, shall develop <br/>
<a id="pl.32.19"></a><var>32.19</var>administrative and financial reporting requirements for county-based purchasing programs <br/>
<a id="pl.32.20"></a><var>32.20</var>relating to sections 
         <statute_ref>62D.041</statute_ref>, 
         <statute_ref>62D.042</statute_ref>, 
         <statute_ref>62D.045</statute_ref>, 
         <statute_ref>62D.08</statute_ref>, 
         <statute_ref>62N.28</statute_ref>, 
         <statute_ref>62N.29</statute_ref>, and 
         <statute_ref>62N.31</statute_ref>, <br/>
<a id="pl.32.21"></a><var>32.21</var>and other sections as necessary, that are specific to county administrative, accounting, and <br/>
<a id="pl.32.22"></a><var>32.22</var>reporting systems and consistent with other statutory requirements of counties.<br/>
<a id="pl.32.23"></a><var>32.23</var>    (f) The commissioner shall collect from a county-based purchasing plan under <br/>
<a id="pl.32.24"></a><var>32.24</var>this section the following fees:<br/>
<a id="pl.32.25"></a><var>32.25</var>    (1) fees attributable to the costs of audits and other examinations of plan financial <br/>
<a id="pl.32.26"></a><var>32.26</var>operations. These fees are subject to the provisions of Minnesota Rules, part 4685.2800, <br/>
<a id="pl.32.27"></a><var>32.27</var>subpart 1, item F; and<br/>
<a id="pl.32.28"></a><var>32.28</var>    (2) an annual fee of $21,500, to be paid by June 15 of each calendar year, beginning <br/>
<a id="pl.32.29"></a><var>32.29</var>in calendar year 2009; and<br/>
<a id="pl.32.30"></a><var>32.30</var>    (3) for fiscal year 2009 only, a per-enrollee fee of 14.6 cents, based on the number of <br/>
<a id="pl.32.31"></a><var>32.31</var>enrollees as of December 31, 2008.<br/>
<a id="pl.32.32"></a><var>32.32</var>All fees collected under this paragraph shall be deposited in the state government special <br/>
<a id="pl.32.33"></a><var>32.33</var>revenue fund.<br/>
<br/>
<a id="bill.2.17.0"></a><a id="pl.32.34"></a><var>32.34</var>    Sec. 17. Minnesota Statutes 2012, section 256B.692, subdivision 5, is amended to read:<br/>
<a id="pl.33.1"></a><var>33.1</var>    Subd. 5. <b>County proposals.</b> (a) On or before September 1, 1997, A county board <br/>
<a id="pl.33.2"></a><var>33.2</var>that wishes to purchase or provide health care under this section must submit a preliminary <br/>
<a id="pl.33.3"></a><var>33.3</var>proposal that substantially demonstrates the county's ability to meet all the requirements <br/>
<a id="pl.33.4"></a><var>33.4</var>of this section in response to criteria for proposals issued by the department on or before <br/>
<a id="pl.33.5"></a><var>33.5</var>July 1, 1997. Counties submitting preliminary proposals must establish a local planning <br/>
<a id="pl.33.6"></a><var>33.6</var>process that involves input from medical assistance recipients, recipient advocates, <br/>
<a id="pl.33.7"></a><var>33.7</var>providers and representatives of local school districts, labor, and tribal government to <br/>
<a id="pl.33.8"></a><var>33.8</var>advise on the development of a final proposal and its implementation.<br/>
<a id="pl.33.9"></a><var>33.9</var>(b) The county board must submit a final proposal on or before July 1, 1998, that <br/>
<a id="pl.33.10"></a><var>33.10</var>demonstrates the ability to meet all the requirements of this section, including beginning <br/>
<a id="pl.33.11"></a><var>33.11</var>enrollment on January 1, 1999, unless a delay has been granted under section 
<statute_ref>256B.69, <br/>
<a id="pl.33.12"></a><var>33.12</var>subdivision 3a
</statute_ref>, paragraph (g).<br/>
<a id="pl.33.13"></a><var>33.13</var>(c) After January 1, 1999, For a county in which the prepaid medical assistance <br/>
<a id="pl.33.14"></a><var>33.14</var>program is in existence, the county board must submit a preliminary proposal at least 15 <br/>
<a id="pl.33.15"></a><var>33.15</var>months prior to termination of health plan contracts in that county and a final proposal <br/>
<a id="pl.33.16"></a><var>33.16</var>six months prior to the health plan contract termination date in order to begin enrollment <br/>
<a id="pl.33.17"></a><var>33.17</var>after the termination. Nothing in this section shall impede or delay implementation or <br/>
<a id="pl.33.18"></a><var>33.18</var>continuation of the prepaid medical assistance program in counties for which the board <br/>
<a id="pl.33.19"></a><var>33.19</var>does not submit a proposal, or submits a proposal that is not in compliance with this section.<br/>
<a id="pl.33.20"></a><var>33.20</var>(d) The commissioner is not required to terminate contracts for the prepaid medical <br/>
<a id="pl.33.21"></a><var>33.21</var>assistance program that begin on or after September 1, 1997, in a county for which a <br/>
<a id="pl.33.22"></a><var>33.22</var>county board has submitted a proposal under this paragraph, until two years have elapsed <br/>
<a id="pl.33.23"></a><var>33.23</var>from the date of initial enrollment in the prepaid medical assistance program.<br/>
<br/>
<a id="bill.2.18.0"></a><a id="pl.33.24"></a><var>33.24</var>    Sec. 18. <b> REPEALER.</b><br/>
<a id="pl.33.25"></a><var>33.25</var>Minnesota Statutes 2012, sections 256.964; 256.9691; 256B.075, subdivision 4; <br/>
<a id="pl.33.26"></a><var>33.26</var>256B.0757, subdivision 7; 256B.19, subdivision 3; 256B.53; 256B.69, subdivisions 5e, <br/>
<a id="pl.33.27"></a><var>33.27</var>6c, and 24a; and 256B.692, subdivision 10, are repealed.<br/>
<br/>
<a id="bill.3.0.0"></a>

<a id="bill.3.1.0"></a><a id="pl.33.30"></a><var>33.30</var>    Section 1. Minnesota Statutes 2012, section 245.4871, subdivision 3, is amended to read:<br/>
<a id="pl.33.31"></a><var>33.31</var>    Subd. 3. <b>Case management services.</b> "Case management services" means activities <br/>
<a id="pl.33.32"></a><var>33.32</var>that are coordinated with the family community support services and are designed to <br/>
<a id="pl.33.33"></a><var>33.33</var>help the child with severe emotional disturbance and the child's family obtain needed <br/>
<a id="pl.33.34"></a><var>33.34</var>mental health services, social services, educational services, health services, vocational <br/>
<a id="pl.34.1"></a><var>34.1</var>services, recreational services, and related services in the areas of volunteer services, <br/>
<a id="pl.34.2"></a><var>34.2</var>advocacy, transportation, and legal services. Case management services include assisting <br/>
<a id="pl.34.3"></a><var>34.3</var>in obtaining a comprehensive diagnostic assessment, if needed, developing a functional <br/>
<a id="pl.34.4"></a><var>34.4</var>assessment, developing an individual family community support plan, and assisting the <br/>
<a id="pl.34.5"></a><var>34.5</var>child and the child's family in obtaining needed services by coordination with other <br/>
<a id="pl.34.6"></a><var>34.6</var>agencies and assuring continuity of care. Case managers must assess and reassess the <br/>
<a id="pl.34.7"></a><var>34.7</var>delivery, appropriateness, and effectiveness of services over time.<br/>
<br/>
<a id="bill.3.2.0"></a><a id="pl.34.8"></a><var>34.8</var>    Sec. 2. Minnesota Statutes 2012, section 245.4871, subdivision 6, is amended to read:<br/>
<a id="pl.34.9"></a><var>34.9</var>    Subd. 6. <b>Child with severe emotional disturbance.</b> For purposes of eligibility for <br/>
<a id="pl.34.10"></a><var>34.10</var>case management and family community support services, "child with severe emotional <br/>
<a id="pl.34.11"></a><var>34.11</var>disturbance" means a child who has an emotional disturbance and who meets one of the <br/>
<a id="pl.34.12"></a><var>34.12</var>following criteria:<br/>
<a id="pl.34.13"></a><var>34.13</var>(1) the child has been admitted within the last three years or is at risk of being <br/>
<a id="pl.34.14"></a><var>34.14</var>admitted to inpatient treatment or residential treatment for an emotional disturbance; or<br/>
<a id="pl.34.15"></a><var>34.15</var>(2) the child is a Minnesota resident and is receiving inpatient treatment or <br/>
<a id="pl.34.16"></a><var>34.16</var>residential treatment for an emotional disturbance through the interstate compact; or<br/>
<a id="pl.34.17"></a><var>34.17</var>(3) the child has one of the following as determined by a mental health professional:<br/>
<a id="pl.34.18"></a><var>34.18</var>(i) psychosis or a clinical depression; or<br/>
<a id="pl.34.19"></a><var>34.19</var>(ii) risk of harming self or others as a result of an emotional disturbance; or<br/>
<a id="pl.34.20"></a><var>34.20</var>(iii) psychopathological symptoms as a result of being a victim of physical or sexual <br/>
<a id="pl.34.21"></a><var>34.21</var>abuse or of psychic trauma within the past year; or<br/>
<a id="pl.34.22"></a><var>34.22</var>(4) the child, as a result of an emotional disturbance, has significantly impaired home, <br/>
<a id="pl.34.23"></a><var>34.23</var>school, or community functioning that has lasted at least one year or that, in the written <br/>
<a id="pl.34.24"></a><var>34.24</var>opinion of a mental health professional, presents substantial risk of lasting at least one year.<br/>
<a id="pl.34.25"></a><var>34.25</var>The term "child with severe emotional disturbance" shall be used only for purposes <br/>
<a id="pl.34.26"></a><var>34.26</var>of county eligibility determinations. In all other written and oral communications, <br/>
<a id="pl.34.27"></a><var>34.27</var>case managers, mental health professionals, mental health practitioners, and all other <br/>
<a id="pl.34.28"></a><var>34.28</var>providers of mental health services shall use the term "child eligible for mental health case <br/>
<a id="pl.34.29"></a><var>34.29</var>management" in place of "child with severe emotional disturbance."<br/>
<br/>
<a id="bill.3.3.0"></a><a id="pl.34.30"></a><var>34.30</var>    Sec. 3. Minnesota Statutes 2012, section 245.4873, subdivision 2, is amended to read:<br/>
<a id="pl.34.31"></a><var>34.31</var>    Subd. 2. <b>State level; coordination.</b> The Children's Cabinet, under section 
         <statute_ref>4.045</statute_ref>, in <br/>
<a id="pl.34.32"></a><var>34.32</var>consultation with a representative of the Minnesota District Judges Association Juvenile <br/>
<a id="pl.34.33"></a><var>34.33</var>Committee, shall:<br/>
<a id="pl.35.1"></a><var>35.1</var>(1) educate each agency about the policies, procedures, funding, and services for <br/>
<a id="pl.35.2"></a><var>35.2</var>children with emotional disturbances of all agencies represented;<br/>
<a id="pl.35.3"></a><var>35.3</var>(2) develop mechanisms for interagency coordination on behalf of children with <br/>
<a id="pl.35.4"></a><var>35.4</var>emotional disturbances;<br/>
<a id="pl.35.5"></a><var>35.5</var>(3) identify barriers including policies and procedures within all agencies represented <br/>
<a id="pl.35.6"></a><var>35.6</var>that interfere with delivery of mental health services for children;<br/>
<a id="pl.35.7"></a><var>35.7</var>(4) recommend policy and procedural changes needed to improve development and <br/>
<a id="pl.35.8"></a><var>35.8</var>delivery of mental health services for children in the agency or agencies they represent; and<br/>
<a id="pl.35.9"></a><var>35.9</var>(5) identify mechanisms for better use of federal and state funding in the delivery of <br/>
<a id="pl.35.10"></a><var>35.10</var>mental health services for children; and.<br/>
<a id="pl.35.11"></a><var>35.11</var>(6) perform the duties required under sections 
<statute_ref>245.494</statute_ref> to 
<statute_ref>245.495</statute_ref>.<br/>
<br/>
<a id="bill.3.4.0"></a><a id="pl.35.12"></a><var>35.12</var>    Sec. 4. Minnesota Statutes 2012, section 245.4874, subdivision 1, is amended to read:<br/>
<a id="pl.35.13"></a><var>35.13</var>    Subdivision 1. <b>Duties of county board.</b> (a) The county board must:<br/>
<a id="pl.35.14"></a><var>35.14</var>    (1) develop a system of affordable and locally available children's mental health <br/>
<a id="pl.35.15"></a><var>35.15</var>services according to sections 
         <statute_ref>245.487</statute_ref> to 
         <statute_ref>245.4889</statute_ref>;<br/>
<a id="pl.35.16"></a><var>35.16</var>    (2) establish a mechanism providing for interagency coordination as specified in <br/>
<a id="pl.35.17"></a><var>35.17</var>section 
         <statute_ref>245.4875, subdivision 6</statute_ref>;<br/>
<a id="pl.35.18"></a><var>35.18</var>    (3) consider the assessment of unmet needs in the county as reported by the local <br/>
<a id="pl.35.19"></a><var>35.19</var>children's mental health advisory council under section 
         <statute_ref>245.4875, subdivision 5</statute_ref>, paragraph <br/>
<a id="pl.35.20"></a><var>35.20</var>(b), clause (3). The county shall provide, upon request of the local children's mental health <br/>
<a id="pl.35.21"></a><var>35.21</var>advisory council, readily available data to assist in the determination of unmet needs;<br/>
<a id="pl.35.22"></a><var>35.22</var>    (4) assure that parents and providers in the county receive information about how to <br/>
<a id="pl.35.23"></a><var>35.23</var>gain access to services provided according to sections 
         <statute_ref>245.487</statute_ref> to 
         <statute_ref>245.4889</statute_ref>;<br/>
<a id="pl.35.24"></a><var>35.24</var>    (5) coordinate the delivery of children's mental health services with services provided <br/>
<a id="pl.35.25"></a><var>35.25</var>by social services, education, corrections, health, and vocational agencies to improve the <br/>
<a id="pl.35.26"></a><var>35.26</var>availability of mental health services to children and the cost-effectiveness of their delivery;<br/>
<a id="pl.35.27"></a><var>35.27</var>    (6) assure that mental health services delivered according to sections 
         <statute_ref>245.487 <br/>
</statute_ref><a id="pl.35.28"></a><var>35.28</var>to 
         <statute_ref>245.4889</statute_ref> are delivered expeditiously and are appropriate to the child's diagnostic <br/>
<a id="pl.35.29"></a><var>35.29</var>assessment and individual treatment plan;<br/>
<a id="pl.35.30"></a><var>35.30</var>    (7) provide the community with information about predictors and symptoms of <br/>
<a id="pl.35.31"></a><var>35.31</var>emotional disturbances and how to access children's mental health services according to <br/>
<a id="pl.35.32"></a><var>35.32</var>sections 
<statute_ref>245.4877</statute_ref> and 
<statute_ref>245.4878</statute_ref>;<br/>
<a id="pl.35.33"></a><var>35.33</var>    (8) (7) provide for case management services to each child with severe emotional <br/>
<a id="pl.35.34"></a><var>35.34</var>disturbance according to sections 
         <statute_ref>245.486</statute_ref>; 
         <statute_ref>245.4871</statute_ref>, subdivisions 3 and 4; and 
         <statute_ref>245.4881, <br/>
<a id="pl.35.35"></a><var>35.35</var>subdivisions 1, 3, and 5
         </statute_ref>;<br/>
<a id="pl.36.1"></a><var>36.1</var>    (9) (8) provide for screening of each child under section 
         <statute_ref>245.4885</statute_ref> upon admission <br/>
<a id="pl.36.2"></a><var>36.2</var>to a residential treatment facility, acute care hospital inpatient treatment, or informal <br/>
<a id="pl.36.3"></a><var>36.3</var>admission to a regional treatment center;<br/>
<a id="pl.36.4"></a><var>36.4</var>    (10) (9) prudently administer grants and purchase-of-service contracts that the <br/>
<a id="pl.36.5"></a><var>36.5</var>county board determines are necessary to fulfill its responsibilities under sections 
         <statute_ref>245.487</statute_ref> <br/>
<a id="pl.36.6"></a><var>36.6</var>to 
         <statute_ref>245.4889</statute_ref>;<br/>
<a id="pl.36.7"></a><var>36.7</var>    (11) (10) assure that mental health professionals, mental health practitioners, and <br/>
<a id="pl.36.8"></a><var>36.8</var>case managers employed by or under contract to the county to provide mental health <br/>
<a id="pl.36.9"></a><var>36.9</var>services are qualified under section 
         <statute_ref>245.4871</statute_ref>;<br/>
<a id="pl.36.10"></a><var>36.10</var>    (12) (11) assure that children's mental health services are coordinated with adult <br/>
<a id="pl.36.11"></a><var>36.11</var>mental health services specified in sections 
         <statute_ref>245.461</statute_ref> to 
         <statute_ref>245.486</statute_ref> so that a continuum of <br/>
<a id="pl.36.12"></a><var>36.12</var>mental health services is available to serve persons with mental illness, regardless of <br/>
<a id="pl.36.13"></a><var>36.13</var>the person's age;<br/>
<a id="pl.36.14"></a><var>36.14</var>    (13) (12) assure that culturally competent mental health consultants are used as <br/>
<a id="pl.36.15"></a><var>36.15</var>necessary to assist the county board in assessing and providing appropriate treatment for <br/>
<a id="pl.36.16"></a><var>36.16</var>children of cultural or racial minority heritage; and<br/>
<a id="pl.36.17"></a><var>36.17</var>    (14) (13) consistent with section 
         <statute_ref>245.486</statute_ref>, arrange for or provide a children's mental <br/>
<a id="pl.36.18"></a><var>36.18</var>health screening for:<br/>
<a id="pl.36.19"></a><var>36.19</var>(i) a child receiving child protective services;<br/>
<a id="pl.36.20"></a><var>36.20</var>(ii) a child in out-of-home placement;<br/>
<a id="pl.36.21"></a><var>36.21</var>(iii) a child for whom parental rights have been terminated;<br/>
<a id="pl.36.22"></a><var>36.22</var>(iv) a child found to be delinquent; or<br/>
<a id="pl.36.23"></a><var>36.23</var>(v) a child found to have committed a juvenile petty offense for the third or <br/>
<a id="pl.36.24"></a><var>36.24</var>subsequent time.<br/>
<a id="pl.36.25"></a><var>36.25</var>A children's mental health screening is not required when a screening or diagnostic <br/>
<a id="pl.36.26"></a><var>36.26</var>assessment has been performed within the previous 180 days, or the child is currently <br/>
<a id="pl.36.27"></a><var>36.27</var>under the care of a mental health professional.<br/>
<a id="pl.36.28"></a><var>36.28</var>(b) When a child is receiving protective services or is in out-of-home placement, <br/>
<a id="pl.36.29"></a><var>36.29</var>the court or county agency must notify a parent or guardian whose parental rights have <br/>
<a id="pl.36.30"></a><var>36.30</var>not been terminated of the potential mental health screening and the option to prevent the <br/>
<a id="pl.36.31"></a><var>36.31</var>screening by notifying the court or county agency in writing.<br/>
<a id="pl.36.32"></a><var>36.32</var>(c) When a child is found to be delinquent or a child is found to have committed a <br/>
<a id="pl.36.33"></a><var>36.33</var>juvenile petty offense for the third or subsequent time, the court or county agency must <br/>
<a id="pl.36.34"></a><var>36.34</var>obtain written informed consent from the parent or legal guardian before a screening is <br/>
<a id="pl.36.35"></a><var>36.35</var>conducted unless the court, notwithstanding the parent's failure to consent, determines that <br/>
<a id="pl.36.36"></a><var>36.36</var>the screening is in the child's best interest.<br/>
<a id="pl.37.1"></a><var>37.1</var>(d) The screening shall be conducted with a screening instrument approved by <br/>
<a id="pl.37.2"></a><var>37.2</var>the commissioner of human services according to criteria that are updated and issued <br/>
<a id="pl.37.3"></a><var>37.3</var>annually to ensure that approved screening instruments are valid and useful for child <br/>
<a id="pl.37.4"></a><var>37.4</var>welfare and juvenile justice populations. Screenings shall be conducted by a mental health <br/>
<a id="pl.37.5"></a><var>37.5</var>practitioner as defined in section 
         <statute_ref>245.4871, subdivision 26</statute_ref>, or a probation officer or local <br/>
<a id="pl.37.6"></a><var>37.6</var>social services agency staff person who is trained in the use of the screening instrument. <br/>
<a id="pl.37.7"></a><var>37.7</var>Training in the use of the instrument shall include:<br/>
<a id="pl.37.8"></a><var>37.8</var>(1) training in the administration of the instrument;<br/>
<a id="pl.37.9"></a><var>37.9</var>(2) the interpretation of its validity given the child's current circumstances;<br/>
<a id="pl.37.10"></a><var>37.10</var>(3) the state and federal data practices laws and confidentiality standards;<br/>
<a id="pl.37.11"></a><var>37.11</var>(4) the parental consent requirement; and<br/>
<a id="pl.37.12"></a><var>37.12</var>(5) providing respect for families and cultural values.<br/>
<a id="pl.37.13"></a><var>37.13</var>If the screen indicates a need for assessment, the child's family, or if the family lacks <br/>
<a id="pl.37.14"></a><var>37.14</var>mental health insurance, the local social services agency, in consultation with the child's <br/>
<a id="pl.37.15"></a><var>37.15</var>family, shall have conducted a diagnostic assessment, including a functional assessment, <br/>
<a id="pl.37.16"></a><var>37.16</var>as defined in section 
<statute_ref>245.4871</statute_ref>. The administration of the screening shall safeguard the <br/>
<a id="pl.37.17"></a><var>37.17</var>privacy of children receiving the screening and their families and shall comply with the <br/>
<a id="pl.37.18"></a><var>37.18</var>Minnesota Government Data Practices Act, chapter 13, and the federal Health Insurance <br/>
<a id="pl.37.19"></a><var>37.19</var>Portability and Accountability Act of 1996, Public Law 104-191. Screening results shall be <br/>
<a id="pl.37.20"></a><var>37.20</var>considered private data and the commissioner shall not collect individual screening results.<br/>
<a id="pl.37.21"></a><var>37.21</var>    (e) When the county board refers clients to providers of children's therapeutic <br/>
<a id="pl.37.22"></a><var>37.22</var>services and supports under section 
         <statute_ref>256B.0943</statute_ref>, the county board must clearly identify <br/>
<a id="pl.37.23"></a><var>37.23</var>the desired services components not covered under section 
         <statute_ref>256B.0943</statute_ref> and identify the <br/>
<a id="pl.37.24"></a><var>37.24</var>reimbursement source for those requested services, the method of payment, and the <br/>
<a id="pl.37.25"></a><var>37.25</var>payment rate to the provider.<br/>
<br/>
<a id="bill.3.5.0"></a><a id="pl.37.26"></a><var>37.26</var>    Sec. 5. Minnesota Statutes 2012, section 245.4881, subdivision 3, is amended to read:<br/>
<a id="pl.37.27"></a><var>37.27</var>    Subd. 3. <b>Duties of case manager.</b> (a) Upon a determination of eligibility for case <br/>
<a id="pl.37.28"></a><var>37.28</var>management services, the case manager shall complete a written functional assessment <br/>
<a id="pl.37.29"></a><var>37.29</var>according to section 
<statute_ref>245.4871, subdivision 18</statute_ref>. The case manager shall develop an <br/>
<a id="pl.37.30"></a><var>37.30</var>individual family community support plan for a child as specified in subdivision 4, review <br/>
<a id="pl.37.31"></a><var>37.31</var>the child's progress, and monitor the provision of services. If services are to be provided <br/>
<a id="pl.37.32"></a><var>37.32</var>in a host county that is not the county of financial responsibility, the case manager shall <br/>
<a id="pl.37.33"></a><var>37.33</var>consult with the host county and obtain a letter demonstrating the concurrence of the host <br/>
<a id="pl.37.34"></a><var>37.34</var>county regarding the provision of services.<br/>
<a id="pl.38.1"></a><var>38.1</var>(b) The case manager shall note in the child's record the services needed by the <br/>
<a id="pl.38.2"></a><var>38.2</var>child and the child's family, the services requested by the family, services that are not <br/>
<a id="pl.38.3"></a><var>38.3</var>available, and the unmet needs of the child and child's family. The case manager shall <br/>
<a id="pl.38.4"></a><var>38.4</var>note this provision in the child's record.<br/>
<br/>
<a id="bill.3.6.0"></a><a id="pl.38.5"></a><var>38.5</var>    Sec. 6. Minnesota Statutes 2012, section 245.4881, subdivision 4, is amended to read:<br/>
<a id="pl.38.6"></a><var>38.6</var>    Subd. 4. <b>Individual family community support plan.</b> (a) For each child, the case <br/>
<a id="pl.38.7"></a><var>38.7</var>manager must develop an individual family community support plan that incorporates the <br/>
<a id="pl.38.8"></a><var>38.8</var>child's individual treatment plan. The individual treatment plan may not be a substitute <br/>
<a id="pl.38.9"></a><var>38.9</var>for the development of an individual family community support plan. The case manager <br/>
<a id="pl.38.10"></a><var>38.10</var>is responsible for developing the individual family community support plan within 30 <br/>
<a id="pl.38.11"></a><var>38.11</var>days of intake based on a diagnostic assessment and a functional assessment and for <br/>
<a id="pl.38.12"></a><var>38.12</var>implementing and monitoring the delivery of services according to the individual family <br/>
<a id="pl.38.13"></a><var>38.13</var>community support plan. The case manager must review the plan at least every 180 <br/>
<a id="pl.38.14"></a><var>38.14</var>calendar days after it is developed, unless the case manager has received a written request <br/>
<a id="pl.38.15"></a><var>38.15</var>from the child's family or an advocate for the child for a review of the plan every 90 <br/>
<a id="pl.38.16"></a><var>38.16</var>days after it is developed. To the extent appropriate, the child with severe emotional <br/>
<a id="pl.38.17"></a><var>38.17</var>disturbance, the child's family, advocates, service providers, and significant others must <br/>
<a id="pl.38.18"></a><var>38.18</var>be involved in all phases of development and implementation of the individual family <br/>
<a id="pl.38.19"></a><var>38.19</var>community support plan. Notwithstanding the lack of an individual family community <br/>
<a id="pl.38.20"></a><var>38.20</var>support plan, the case manager shall assist the child and child's family in accessing the <br/>
<a id="pl.38.21"></a><var>38.21</var>needed services listed in section 
         <statute_ref>245.4884, subdivision 1</statute_ref>.<br/>
<a id="pl.38.22"></a><var>38.22</var>(b) The child's individual family community support plan must state:<br/>
<a id="pl.38.23"></a><var>38.23</var>(1) the goals and expected outcomes of each service and criteria for evaluating the <br/>
<a id="pl.38.24"></a><var>38.24</var>effectiveness and appropriateness of the service;<br/>
<a id="pl.38.25"></a><var>38.25</var>(2) the activities for accomplishing each goal;<br/>
<a id="pl.38.26"></a><var>38.26</var>(3) a schedule for each activity; and<br/>
<a id="pl.38.27"></a><var>38.27</var>(4) the frequency of face-to-face contacts by the case manager, as appropriate to <br/>
<a id="pl.38.28"></a><var>38.28</var>client need and the implementation of the individual family community support plan.<br/>
<br/>
<a id="bill.3.7.0"></a><a id="pl.38.29"></a><var>38.29</var>    Sec. 7. Minnesota Statutes 2012, section 245.4882, subdivision 1, is amended to read:<br/>
<a id="pl.38.30"></a><var>38.30</var>    Subdivision 1. <b>Availability of residential treatment services.</b> County boards must <br/>
<a id="pl.38.31"></a><var>38.31</var>provide or contract for enough residential treatment services to meet the needs of each <br/>
<a id="pl.38.32"></a><var>38.32</var>child with severe emotional disturbance residing in the county and needing this level of <br/>
<a id="pl.38.33"></a><var>38.33</var>care. Length of stay is based on the child's residential treatment need and shall be subject <br/>
<a id="pl.38.34"></a><var>38.34</var>to the six-month review process established in section 
         <statute_ref>260C.203</statute_ref>, and for children in <br/>
<a id="pl.39.1"></a><var>39.1</var>voluntary placement for treatment, the court review process in section 
         <statute_ref>260D.06</statute_ref>. Services <br/>
<a id="pl.39.2"></a><var>39.2</var>must be appropriate to the child's age and treatment needs and must be made available as <br/>
<a id="pl.39.3"></a><var>39.3</var>close to the county as possible. Residential treatment must be designed to:<br/>
<a id="pl.39.4"></a><var>39.4</var>(1) prevent placement in settings that are more intensive, costly, or restrictive than <br/>
<a id="pl.39.5"></a><var>39.5</var>necessary and appropriate to meet the child's needs;<br/>
<a id="pl.39.6"></a><var>39.6</var>(2) (1) help the child improve family living and social interaction skills;<br/>
<a id="pl.39.7"></a><var>39.7</var>(3) (2) help the child gain the necessary skills to return to the community;<br/>
<a id="pl.39.8"></a><var>39.8</var>(4) (3) stabilize crisis admissions; and<br/>
<a id="pl.39.9"></a><var>39.9</var>(5) (4) work with families throughout the placement to improve the ability of the <br/>
<a id="pl.39.10"></a><var>39.10</var>families to care for children with severe emotional disturbance in the home.<br/>
<br/>
<a id="bill.3.8.0"></a><a id="pl.39.11"></a><var>39.11</var>    Sec. 8. Minnesota Statutes 2012, section 246.0135, is amended to read:<br/>
<a id="pl.39.12"></a><var>39.12</var><b>246.0135 OPERATION OF REGIONAL TREATMENT CENTERS.</b><br/>
<a id="pl.39.13"></a><var>39.13</var>    (a) The commissioner of human services is prohibited from closing any regional <br/>
<a id="pl.39.14"></a><var>39.14</var>treatment center or state-operated nursing home or any program at any of the regional <br/>
<a id="pl.39.15"></a><var>39.15</var>treatment centers or state-operated nursing homes, without specific legislative <br/>
<a id="pl.39.16"></a><var>39.16</var>authorization. For persons with developmental disabilities who move from one regional <br/>
<a id="pl.39.17"></a><var>39.17</var>treatment center to another regional treatment center, the provisions of section 
         <statute_ref>256B.092, <br/>
<a id="pl.39.18"></a><var>39.18</var>subdivision 10
         </statute_ref>, must be followed for both the discharge from one regional treatment <br/>
<a id="pl.39.19"></a><var>39.19</var>center and admission to another regional treatment center, except that the move is not <br/>
<a id="pl.39.20"></a><var>39.20</var>subject to the consensus requirement of section 
         <statute_ref>256B.092, subdivision 10</statute_ref>, paragraph (b).<br/>
<a id="pl.39.21"></a><var>39.21</var>    (b) Prior to closing or downsizing a regional treatment center, the commissioner <br/>
<a id="pl.39.22"></a><var>39.22</var>of human services shall be responsible for assuring that community-based alternatives <br/>
<a id="pl.39.23"></a><var>39.23</var>developed in response are adequate to meet the program needs identified by each county <br/>
<a id="pl.39.24"></a><var>39.24</var>within the catchment area and do not require additional local county property tax <br/>
<a id="pl.39.25"></a><var>39.25</var>expenditures.<br/>
<a id="pl.39.26"></a><var>39.26</var>    (c) The nonfederal share of the cost of alternative treatment or care developed <br/>
<a id="pl.39.27"></a><var>39.27</var>as the result of the closure of a regional treatment center, including costs associated <br/>
<a id="pl.39.28"></a><var>39.28</var>with fulfillment of responsibilities under chapter 253B shall be paid from state funds <br/>
<a id="pl.39.29"></a><var>39.29</var>appropriated for purposes specified in section 
         <statute_ref>246.013</statute_ref>.<br/>
<a id="pl.39.30"></a><var>39.30</var>    (d) Counties in the catchment area of a regional treatment center which has been <br/>
<a id="pl.39.31"></a><var>39.31</var>closed or downsized may not at any time be required to pay a greater cost of care for <br/>
<a id="pl.39.32"></a><var>39.32</var>alternative care and treatment than the county share set by the commissioner for the cost <br/>
<a id="pl.39.33"></a><var>39.33</var>of care provided by regional treatment centers.<br/>
<a id="pl.40.1"></a><var>40.1</var>    (e) The commissioner may not divert state funds used for providing for care or <br/>
<a id="pl.40.2"></a><var>40.2</var>treatment of persons residing in a regional treatment center for purposes unrelated to the <br/>
<a id="pl.40.3"></a><var>40.3</var>care and treatment of such persons.<br/>
<br/>
<a id="bill.3.9.0"></a><a id="pl.40.4"></a><var>40.4</var>    Sec. 9. Minnesota Statutes 2012, section 246.325, is amended to read:<br/>
<a id="pl.40.5"></a><var>40.5</var><b>246.325 GARDEN OF REMEMBRANCE.</b><br/>
<a id="pl.40.6"></a><var>40.6</var>    The cemetery located on the grounds of the Cambridge State Hospital shall be <br/>
<a id="pl.40.7"></a><var>40.7</var>known as the Garden of Remembrance. The commissioner of human services shall <br/>
<a id="pl.40.8"></a><var>40.8</var>approve the wording and design for a sign at the cemetery indicating its name. The <br/>
<a id="pl.40.9"></a><var>40.9</var>commissioner may approve a temporary sign before the permanent sign is completed and <br/>
<a id="pl.40.10"></a><var>40.10</var>installed. All costs related to the sign must be paid with nonstate funds.<br/>
<br/>
<a id="bill.3.10.0"></a><a id="pl.40.11"></a><var>40.11</var>    Sec. 10. Minnesota Statutes 2012, section 254B.05, subdivision 2, is amended to read:<br/>
<a id="pl.40.12"></a><var>40.12</var>    Subd. 2. <b>Regulatory methods.</b> (a) Where appropriate and feasible, the <br/>
<a id="pl.40.13"></a><var>40.13</var>commissioner shall identify and implement alternative methods of regulation and <br/>
<a id="pl.40.14"></a><var>40.14</var>enforcement to the extent authorized in this subdivision. These methods shall include:<br/>
<a id="pl.40.15"></a><var>40.15</var>(1) expansion of the types and categories of licenses that may be granted;<br/>
<a id="pl.40.16"></a><var>40.16</var>(2) when the standards of an independent accreditation body have been shown to <br/>
<a id="pl.40.17"></a><var>40.17</var>predict compliance with the rules, the commissioner shall consider compliance with the <br/>
<a id="pl.40.18"></a><var>40.18</var>accreditation standards to be equivalent to partial compliance with the rules; and<br/>
<a id="pl.40.19"></a><var>40.19</var>(3) use of an abbreviated inspection that employs key standards that have been <br/>
<a id="pl.40.20"></a><var>40.20</var>shown to predict full compliance with the rules.<br/>
<a id="pl.40.21"></a><var>40.21</var>If the commissioner determines that the methods in clause (2) or (3) can be used in <br/>
<a id="pl.40.22"></a><var>40.22</var>licensing a program, the commissioner may reduce any fee set under section 
<statute_ref>254B.03, <br/>
<a id="pl.40.23"></a><var>40.23</var>subdivision 3
</statute_ref>, by up to 50 percent.<br/>
<a id="pl.40.24"></a><var>40.24</var>(b) The commissioner shall work with the commissioners of health, public <br/>
<a id="pl.40.25"></a><var>40.25</var>safety, administration, and education in consolidating duplicative licensing and <br/>
<a id="pl.40.26"></a><var>40.26</var>certification rules and standards if the commissioner determines that consolidation is <br/>
<a id="pl.40.27"></a><var>40.27</var>administratively feasible, would significantly reduce the cost of licensing, and would <br/>
<a id="pl.40.28"></a><var>40.28</var>not reduce the protection given to persons receiving services in licensed programs. <br/>
<a id="pl.40.29"></a><var>40.29</var>Where administratively feasible and appropriate, the commissioner shall work with the <br/>
<a id="pl.40.30"></a><var>40.30</var>commissioners of health, public safety, administration, and education in conducting joint <br/>
<a id="pl.40.31"></a><var>40.31</var>agency inspections of programs.<br/>
<a id="pl.40.32"></a><var>40.32</var>(c) The commissioner shall work with the commissioners of health, public safety, <br/>
<a id="pl.40.33"></a><var>40.33</var>administration, and education in establishing a single point of application for applicants <br/>
<a id="pl.41.1"></a><var>41.1</var>who are required to obtain concurrent licensure from more than one of the commissioners <br/>
<a id="pl.41.2"></a><var>41.2</var>listed in this clause.<br/>
<br/>
<a id="bill.3.11.0"></a><a id="pl.41.3"></a><var>41.3</var>    Sec. 11. Minnesota Statutes 2012, section 256.01, subdivision 14b, is amended to read:<br/>
<a id="pl.41.4"></a><var>41.4</var>    Subd. 14b. <b>American Indian child welfare projects.</b> (a) The commissioner of <br/>
<a id="pl.41.5"></a><var>41.5</var>human services may authorize projects to test tribal delivery of child welfare services to <br/>
<a id="pl.41.6"></a><var>41.6</var>American Indian children and their parents and custodians living on the reservation. <br/>
<a id="pl.41.7"></a><var>41.7</var>The commissioner has authority to solicit and determine which tribes may participate <br/>
<a id="pl.41.8"></a><var>41.8</var>in a project. Grants may be issued to Minnesota Indian tribes to support the projects. <br/>
<a id="pl.41.9"></a><var>41.9</var>The commissioner may waive existing state rules as needed to accomplish the projects. <br/>
<a id="pl.41.10"></a><var>41.10</var>Notwithstanding section 
         <statute_ref>626.556</statute_ref>, the commissioner may authorize projects to use <br/>
<a id="pl.41.11"></a><var>41.11</var>alternative methods of investigating and assessing reports of child maltreatment, provided <br/>
<a id="pl.41.12"></a><var>41.12</var>that the projects comply with the provisions of section 
         <statute_ref>626.556</statute_ref> dealing with the rights <br/>
<a id="pl.41.13"></a><var>41.13</var>of individuals who are subjects of reports or investigations, including notice and appeal <br/>
<a id="pl.41.14"></a><var>41.14</var>rights and data practices requirements. The commissioner may seek any federal approvals <br/>
<a id="pl.41.15"></a><var>41.15</var>necessary to carry out the projects as well as seek and use any funds available to the <br/>
<a id="pl.41.16"></a><var>41.16</var>commissioner, including use of federal funds, foundation funds, existing grant funds, <br/>
<a id="pl.41.17"></a><var>41.17</var>and other funds. The commissioner is authorized to advance state funds as necessary to <br/>
<a id="pl.41.18"></a><var>41.18</var>operate the projects. Federal reimbursement applicable to the projects is appropriated <br/>
<a id="pl.41.19"></a><var>41.19</var>to the commissioner for the purposes of the projects. The projects must be required to <br/>
<a id="pl.41.20"></a><var>41.20</var>address responsibility for safety, permanency, and well-being of children.<br/>
<a id="pl.41.21"></a><var>41.21</var>(b) For the purposes of this section, "American Indian child" means a person under 21 <br/>
<a id="pl.41.22"></a><var>41.22</var>years old and who is a tribal member or eligible for membership in one of the tribes chosen <br/>
<a id="pl.41.23"></a><var>41.23</var>for a project under this subdivision and who is residing on the reservation of that tribe.<br/>
<a id="pl.41.24"></a><var>41.24</var>(c) In order to qualify for an American Indian child welfare project, a tribe must:<br/>
<a id="pl.41.25"></a><var>41.25</var>(1) be one of the existing tribes with reservation land in Minnesota;<br/>
<a id="pl.41.26"></a><var>41.26</var>(2) have a tribal court with jurisdiction over child custody proceedings;<br/>
<a id="pl.41.27"></a><var>41.27</var>(3) have a substantial number of children for whom determinations of maltreatment <br/>
<a id="pl.41.28"></a><var>41.28</var>have occurred;<br/>
<a id="pl.41.29"></a><var>41.29</var>(4) have capacity to respond to reports of abuse and neglect under section 
         <statute_ref>626.556</statute_ref>;<br/>
<a id="pl.41.30"></a><var>41.30</var>(5) provide a wide range of services to families in need of child welfare services; and<br/>
<a id="pl.41.31"></a><var>41.31</var>(6) have a tribal-state title IV-E agreement in effect.<br/>
<a id="pl.41.32"></a><var>41.32</var>(d) Grants awarded under this section may be used for the nonfederal costs of <br/>
<a id="pl.41.33"></a><var>41.33</var>providing child welfare services to American Indian children on the tribe's reservation, <br/>
<a id="pl.41.34"></a><var>41.34</var>including costs associated with:<br/>
<a id="pl.41.35"></a><var>41.35</var>(1) assessment and prevention of child abuse and neglect;<br/>
<a id="pl.42.1"></a><var>42.1</var>(2) family preservation;<br/>
<a id="pl.42.2"></a><var>42.2</var>(3) facilitative, supportive, and reunification services;<br/>
<a id="pl.42.3"></a><var>42.3</var>(4) out-of-home placement for children removed from the home for child protective <br/>
<a id="pl.42.4"></a><var>42.4</var>purposes; and<br/>
<a id="pl.42.5"></a><var>42.5</var>(5) other activities and services approved by the commissioner that further the goals <br/>
<a id="pl.42.6"></a><var>42.6</var>of providing safety, permanency, and well-being of American Indian children.<br/>
<a id="pl.42.7"></a><var>42.7</var>(e) When a tribe has initiated a project and has been approved by the commissioner <br/>
<a id="pl.42.8"></a><var>42.8</var>to assume child welfare responsibilities for American Indian children of that tribe under <br/>
<a id="pl.42.9"></a><var>42.9</var>this section, the affected county social service agency is relieved of responsibility for <br/>
<a id="pl.42.10"></a><var>42.10</var>responding to reports of abuse and neglect under section 
         <statute_ref>626.556</statute_ref> for those children <br/>
<a id="pl.42.11"></a><var>42.11</var>during the time within which the tribal project is in effect and funded. The commissioner <br/>
<a id="pl.42.12"></a><var>42.12</var>shall work with tribes and affected counties to develop procedures for data collection, <br/>
<a id="pl.42.13"></a><var>42.13</var>evaluation, and clarification of ongoing role and financial responsibilities of the county <br/>
<a id="pl.42.14"></a><var>42.14</var>and tribe for child welfare services prior to initiation of the project. Children who have not <br/>
<a id="pl.42.15"></a><var>42.15</var>been identified by the tribe as participating in the project shall remain the responsibility <br/>
<a id="pl.42.16"></a><var>42.16</var>of the county. Nothing in this section shall alter responsibilities of the county for law <br/>
<a id="pl.42.17"></a><var>42.17</var>enforcement or court services.<br/>
<a id="pl.42.18"></a><var>42.18</var>(f) Participating tribes may conduct children's mental health screenings under section <br/>
<statute_ref><a id="pl.42.19"></a><var>42.19</var>245.4874, subdivision 1
         </statute_ref>, paragraph (a), clause (14) (13), for children who are eligible for <br/>
<a id="pl.42.20"></a><var>42.20</var>the initiative and living on the reservation and who meet one of the following criteria:<br/>
<a id="pl.42.21"></a><var>42.21</var>(1) the child must be receiving child protective services;<br/>
<a id="pl.42.22"></a><var>42.22</var>(2) the child must be in foster care; or<br/>
<a id="pl.42.23"></a><var>42.23</var>(3) the child's parents must have had parental rights suspended or terminated.<br/>
<a id="pl.42.24"></a><var>42.24</var>Tribes may access reimbursement from available state funds for conducting the screenings. <br/>
<a id="pl.42.25"></a><var>42.25</var>Nothing in this section shall alter responsibilities of the county for providing services <br/>
<a id="pl.42.26"></a><var>42.26</var>under section 
         <statute_ref>245.487</statute_ref>.<br/>
<a id="pl.42.27"></a><var>42.27</var>(g) Participating tribes may establish a local child mortality review panel. In <br/>
<a id="pl.42.28"></a><var>42.28</var>establishing a local child mortality review panel, the tribe agrees to conduct local child <br/>
<a id="pl.42.29"></a><var>42.29</var>mortality reviews for child deaths or near-fatalities occurring on the reservation under <br/>
<a id="pl.42.30"></a><var>42.30</var>subdivision 12. Tribes with established child mortality review panels shall have access <br/>
<a id="pl.42.31"></a><var>42.31</var>to nonpublic data and shall protect nonpublic data under subdivision 12, paragraphs (c) <br/>
<a id="pl.42.32"></a><var>42.32</var>to (e). The tribe shall provide written notice to the commissioner and affected counties <br/>
<a id="pl.42.33"></a><var>42.33</var>when a local child mortality review panel has been established and shall provide data upon <br/>
<a id="pl.42.34"></a><var>42.34</var>request of the commissioner for purposes of sharing nonpublic data with members of the <br/>
<a id="pl.42.35"></a><var>42.35</var>state child mortality review panel in connection to an individual case.<br/>
<a id="pl.43.1"></a><var>43.1</var>(h) The commissioner shall collect information on outcomes relating to child safety, <br/>
<a id="pl.43.2"></a><var>43.2</var>permanency, and well-being of American Indian children who are served in the projects. <br/>
<a id="pl.43.3"></a><var>43.3</var>Participating tribes must provide information to the state in a format and completeness <br/>
<a id="pl.43.4"></a><var>43.4</var>deemed acceptable by the state to meet state and federal reporting requirements.<br/>
<a id="pl.43.5"></a><var>43.5</var>    (i) In consultation with the White Earth Band, the commissioner shall develop <br/>
<a id="pl.43.6"></a><var>43.6</var>and submit to the chairs and ranking minority members of the legislative committees <br/>
<a id="pl.43.7"></a><var>43.7</var>with jurisdiction over health and human services a plan to transfer legal responsibility <br/>
<a id="pl.43.8"></a><var>43.8</var>for providing child protective services to White Earth Band member children residing in <br/>
<a id="pl.43.9"></a><var>43.9</var>Hennepin County to the White Earth Band. The plan shall include a financing proposal, <br/>
<a id="pl.43.10"></a><var>43.10</var>definitions of key terms, statutory amendments required, and other provisions required to <br/>
<a id="pl.43.11"></a><var>43.11</var>implement the plan. The commissioner shall submit the plan by January 15, 2012.<br/>
<br/>
<a id="bill.3.12.0"></a><a id="pl.43.12"></a><var>43.12</var>    Sec. 12. Minnesota Statutes 2013 Supplement, section 256B.0943, subdivision 1, <br/>
<a id="pl.43.13"></a><var>43.13</var>is amended to read:<br/>
<a id="pl.43.14"></a><var>43.14</var>    Subdivision 1. <b>Definitions.</b> For purposes of this section, the following terms have <br/>
<a id="pl.43.15"></a><var>43.15</var>the meanings given them.<br/>
<a id="pl.43.16"></a><var>43.16</var>    (a) "Children's therapeutic services and supports" means the flexible package of <br/>
<a id="pl.43.17"></a><var>43.17</var>mental health services for children who require varying therapeutic and rehabilitative <br/>
<a id="pl.43.18"></a><var>43.18</var>levels of intervention. The services are time-limited interventions that are delivered using <br/>
<a id="pl.43.19"></a><var>43.19</var>various treatment modalities and combinations of services designed to reach treatment <br/>
<a id="pl.43.20"></a><var>43.20</var>outcomes identified in the individual treatment plan.<br/>
<a id="pl.43.21"></a><var>43.21</var>    (b) "Clinical supervision" means the overall responsibility of the mental health <br/>
<a id="pl.43.22"></a><var>43.22</var>professional for the control and direction of individualized treatment planning, service <br/>
<a id="pl.43.23"></a><var>43.23</var>delivery, and treatment review for each client. A mental health professional who is an <br/>
<a id="pl.43.24"></a><var>43.24</var>enrolled Minnesota health care program provider accepts full professional responsibility <br/>
<a id="pl.43.25"></a><var>43.25</var>for a supervisee's actions and decisions, instructs the supervisee in the supervisee's work, <br/>
<a id="pl.43.26"></a><var>43.26</var>and oversees or directs the supervisee's work.<br/>
<a id="pl.43.27"></a><var>43.27</var>    (c) "County board" means the county board of commissioners or board established <br/>
<a id="pl.43.28"></a><var>43.28</var>under sections 
         <statute_ref>402.01</statute_ref> to 
         <statute_ref>402.10</statute_ref> or 
         <statute_ref>471.59</statute_ref>.<br/>
<a id="pl.43.29"></a><var>43.29</var>    (d) "Crisis assistance" has the meaning given in section 
         <statute_ref>245.4871, subdivision 9a</statute_ref>.<br/>
<a id="pl.43.30"></a><var>43.30</var>    (e) "Culturally competent provider" means a provider who understands and can <br/>
<a id="pl.43.31"></a><var>43.31</var>utilize to a client's benefit the client's culture when providing services to the client. A <br/>
<a id="pl.43.32"></a><var>43.32</var>provider may be culturally competent because the provider is of the same cultural or <br/>
<a id="pl.43.33"></a><var>43.33</var>ethnic group as the client or the provider has developed the knowledge and skills through <br/>
<a id="pl.43.34"></a><var>43.34</var>training and experience to provide services to culturally diverse clients.<br/>
<a id="pl.44.1"></a><var>44.1</var>    (f) "Day treatment program" for children means a site-based structured mental <br/>
<a id="pl.44.2"></a><var>44.2</var>health program consisting of group psychotherapy for more than three or more individuals <br/>
<a id="pl.44.3"></a><var>44.3</var>and other intensive therapeutic services individual or group skills training provided by a <br/>
<a id="pl.44.4"></a><var>44.4</var>multidisciplinary team, under the clinical supervision of a mental health professional.<br/>
<a id="pl.44.5"></a><var>44.5</var>    (g) "Diagnostic assessment" has the meaning given in Minnesota Rules, part <br/>
<a id="pl.44.6"></a><var>44.6</var>9505.0372, subpart 1.<br/>
<a id="pl.44.7"></a><var>44.7</var>    (h) "Direct service time" means the time that a mental health professional, mental <br/>
<a id="pl.44.8"></a><var>44.8</var>health practitioner, or mental health behavioral aide spends face-to-face with a client <br/>
<a id="pl.44.9"></a><var>44.9</var>and the client's family. Direct service time includes time in which the provider obtains <br/>
<a id="pl.44.10"></a><var>44.10</var>a client's history or provides service components of children's therapeutic services and <br/>
<a id="pl.44.11"></a><var>44.11</var>supports. Direct service time does not include time doing work before and after providing <br/>
<a id="pl.44.12"></a><var>44.12</var>direct services, including scheduling, maintaining clinical records, consulting with others <br/>
<a id="pl.44.13"></a><var>44.13</var>about the client's mental health status, preparing reports, receiving clinical supervision, <br/>
<a id="pl.44.14"></a><var>44.14</var>and revising the client's individual treatment plan.<br/>
<a id="pl.44.15"></a><var>44.15</var>    (i) "Direction of mental health behavioral aide" means the activities of a mental <br/>
<a id="pl.44.16"></a><var>44.16</var>health professional or mental health practitioner in guiding the mental health behavioral <br/>
<a id="pl.44.17"></a><var>44.17</var>aide in providing services to a client. The direction of a mental health behavioral aide <br/>
<a id="pl.44.18"></a><var>44.18</var>must be based on the client's individualized treatment plan and meet the requirements in <br/>
<a id="pl.44.19"></a><var>44.19</var>subdivision 6, paragraph (b), clause (5).<br/>
<a id="pl.44.20"></a><var>44.20</var>    (j) "Emotional disturbance" has the meaning given in section 
         <statute_ref>245.4871, subdivision <br/>
<a id="pl.44.21"></a><var>44.21</var>15
         </statute_ref>. For persons at least age 18 but under age 21, mental illness has the meaning given in <br/>
<a id="pl.44.22"></a><var>44.22</var>section 
         <statute_ref>245.462, subdivision 20</statute_ref>, paragraph (a).<br/>
<a id="pl.44.23"></a><var>44.23</var>    (k) "Individual behavioral plan" means a plan of intervention, treatment, and <br/>
<a id="pl.44.24"></a><var>44.24</var>services for a child written by a mental health professional or mental health practitioner, <br/>
<a id="pl.44.25"></a><var>44.25</var>under the clinical supervision of a mental health professional, to guide the work of the <br/>
<a id="pl.44.26"></a><var>44.26</var>mental health behavioral aide.<br/>
<a id="pl.44.27"></a><var>44.27</var>    (l) "Individual treatment plan" has the meaning given in section 
         <statute_ref>245.4871, <br/>
<a id="pl.44.28"></a><var>44.28</var>subdivision 21
         </statute_ref>.<br/>
<a id="pl.44.29"></a><var>44.29</var>    (m) "Mental health behavioral aide services" means medically necessary one-on-one <br/>
<a id="pl.44.30"></a><var>44.30</var>activities performed by a trained paraprofessional to assist a child retain or generalize <br/>
<a id="pl.44.31"></a><var>44.31</var>psychosocial skills as taught by a mental health professional or mental health practitioner <br/>
<a id="pl.44.32"></a><var>44.32</var>and as described in the child's individual treatment plan and individual behavior plan. <br/>
<a id="pl.44.33"></a><var>44.33</var>Activities involve working directly with the child or child's family as provided in <br/>
<a id="pl.44.34"></a><var>44.34</var>subdivision 9, paragraph (b), clause (4).<br/>
<a id="pl.44.35"></a><var>44.35</var>    (n) "Mental health practitioner" means an individual as defined in section 
         <statute_ref>245.4871</statute_ref>, <br/>
<a id="pl.44.36"></a><var>44.36</var>subdivision 26.<br/>
<a id="pl.45.1"></a><var>45.1</var>    (o) "Mental health professional" means an individual as defined in section 
         <statute_ref>245.4871, <br/>
<a id="pl.45.2"></a><var>45.2</var>subdivision 27
         </statute_ref>, clauses (1) to (6), or tribal vendor as defined in section 
         <statute_ref>256B.02, <br/>
<a id="pl.45.3"></a><var>45.3</var>subdivision 7
         </statute_ref>, paragraph (b).<br/>
<a id="pl.45.4"></a><var>45.4</var>    (p) "Mental health service plan development" includes:<br/>
<a id="pl.45.5"></a><var>45.5</var>    (1) the development, review, and revision of a child's individual treatment plan, <br/>
<a id="pl.45.6"></a><var>45.6</var>as provided in Minnesota Rules, part 9505.0371, subpart 7, including involvement of <br/>
<a id="pl.45.7"></a><var>45.7</var>the client or client's parents, primary caregiver, or other person authorized to consent to <br/>
<a id="pl.45.8"></a><var>45.8</var>mental health services for the client, and including arrangement of treatment and support <br/>
<a id="pl.45.9"></a><var>45.9</var>activities specified in the individual treatment plan; and<br/>
<a id="pl.45.10"></a><var>45.10</var>    (2) administering standardized outcome measurement instruments, determined <br/>
<a id="pl.45.11"></a><var>45.11</var>and updated by the commissioner, as periodically needed to evaluate the effectiveness <br/>
<a id="pl.45.12"></a><var>45.12</var>of treatment for children receiving clinical services and reporting outcome measures, <br/>
<a id="pl.45.13"></a><var>45.13</var>as required by the commissioner.<br/>
<a id="pl.45.14"></a><var>45.14</var>    (q) "Skills training" means individual, family, or group training, delivered by or <br/>
<a id="pl.45.15"></a><var>45.15</var>under the direction of a mental health professional, designed to facilitate the acquisition <br/>
<a id="pl.45.16"></a><var>45.16</var>of psychosocial skills that are medically necessary to rehabilitate the child to an <br/>
<a id="pl.45.17"></a><var>45.17</var>age-appropriate developmental trajectory heretofore disrupted by a psychiatric illness <br/>
<a id="pl.45.18"></a><var>45.18</var>or to self-monitor, compensate for, cope with, counteract, or replace skills deficits or <br/>
<a id="pl.45.19"></a><var>45.19</var>maladaptive skills acquired over the course of a psychiatric illness. Skills training is <br/>
<a id="pl.45.20"></a><var>45.20</var>subject to the following requirements:<br/>
<a id="pl.45.21"></a><var>45.21</var>    (1) a mental health professional or a mental health practitioner must provide skills <br/>
<a id="pl.45.22"></a><var>45.22</var>training;<br/>
<a id="pl.45.23"></a><var>45.23</var>    (2) the child must always be present during skills training; however, a brief absence <br/>
<a id="pl.45.24"></a><var>45.24</var>of the child for no more than ten percent of the session unit may be allowed to redirect or <br/>
<a id="pl.45.25"></a><var>45.25</var>instruct family members;<br/>
<a id="pl.45.26"></a><var>45.26</var>    (3) skills training delivered to children or their families must be targeted to the <br/>
<a id="pl.45.27"></a><var>45.27</var>specific deficits or maladaptations of the child's mental health disorder and must be <br/>
<a id="pl.45.28"></a><var>45.28</var>prescribed in the child's individual treatment plan;<br/>
<a id="pl.45.29"></a><var>45.29</var>    (4) skills training delivered to the child's family must teach skills needed by parents <br/>
<a id="pl.45.30"></a><var>45.30</var>to enhance the child's skill development and to help the child use in daily life the skills <br/>
<a id="pl.45.31"></a><var>45.31</var>previously taught by a mental health professional or mental health practitioner and to <br/>
<a id="pl.45.32"></a><var>45.32</var>develop or maintain a home environment that supports the child's progressive use skills;<br/>
<a id="pl.45.33"></a><var>45.33</var>    (5) group skills training may be provided to multiple recipients who, because of the <br/>
<a id="pl.45.34"></a><var>45.34</var>nature of their emotional, behavioral, or social dysfunction, can derive mutual benefit from <br/>
<a id="pl.45.35"></a><var>45.35</var>interaction in a group setting, which must be staffed as follows:<br/>
<a id="pl.46.1"></a><var>46.1</var>    (i) one mental health professional or one mental health practitioner under supervision <br/>
<a id="pl.46.2"></a><var>46.2</var>of a licensed mental health professional must work with a group of four to eight clients; or<br/>
<a id="pl.46.3"></a><var>46.3</var>    (ii) two mental health professionals or two mental health practitioners under <br/>
<a id="pl.46.4"></a><var>46.4</var>supervision of a licensed mental health professional, or one professional plus one <br/>
<a id="pl.46.5"></a><var>46.5</var>practitioner must work with a group of nine to 12 clients.<br/>
<br/>
<a id="bill.3.13.0"></a><a id="pl.46.6"></a><var>46.6</var>    Sec. 13. Minnesota Statutes 2013 Supplement, section 256B.0943, subdivision 2, <br/>
<a id="pl.46.7"></a><var>46.7</var>is amended to read:<br/>
<a id="pl.46.8"></a><var>46.8</var>    Subd. 2. <b>Covered service components of children's therapeutic services and </b><br/>
<a id="pl.46.9"></a><var>46.9</var><b>supports.</b> (a) Subject to federal approval, medical assistance covers medically necessary <br/>
<a id="pl.46.10"></a><var>46.10</var>children's therapeutic services and supports as defined in this section that an eligible <br/>
<a id="pl.46.11"></a><var>46.11</var>provider entity certified under subdivision 4 provides to a client eligible under subdivision <br/>
<a id="pl.46.12"></a><var>46.12</var>3.<br/>
<a id="pl.46.13"></a><var>46.13</var>(b) The service components of children's therapeutic services and supports are:<br/>
<a id="pl.46.14"></a><var>46.14</var>(1) individual patient or family member, family, psychotherapy for crisis, and group <br/>
<a id="pl.46.15"></a><var>46.15</var>psychotherapy;<br/>
<a id="pl.46.16"></a><var>46.16</var>(2) individual, family, or group skills training provided by a mental health <br/>
<a id="pl.46.17"></a><var>46.17</var>professional or mental health practitioner;<br/>
<a id="pl.46.18"></a><var>46.18</var>(3) crisis assistance;<br/>
<a id="pl.46.19"></a><var>46.19</var>(4) mental health behavioral aide services;<br/>
<a id="pl.46.20"></a><var>46.20</var>(5) direction of a mental health behavioral aide;<br/>
<a id="pl.46.21"></a><var>46.21</var>(6) mental health service plan development; and<br/>
<a id="pl.46.22"></a><var>46.22</var>(7) clinical care consultation under section 
<statute_ref>256B.0625, subdivision 62</statute_ref>; children's <br/>
<a id="pl.46.23"></a><var>46.23</var>day treatment.<br/>
<a id="pl.46.24"></a><var>46.24</var>(8) family psychoeducation under section 
<statute_ref>256B.0625, subdivision 61</statute_ref>; and<br/>
<a id="pl.46.25"></a><var>46.25</var>(9) services provided by a family peer specialist under section 
<statute_ref>256B.0616</statute_ref>.<br/>
<a id="pl.46.26"></a><var>46.26</var>(c) Service components in paragraph (b) may be combined to constitute therapeutic <br/>
<a id="pl.46.27"></a><var>46.27</var>programs, including day treatment programs and therapeutic preschool programs.<br/>
<a id="pl.46.28"></a><var>46.28</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.3.14.0"></a><a id="pl.46.29"></a><var>46.29</var>    Sec. 14. Minnesota Statutes 2013 Supplement, section 256B.0943, subdivision 7, <br/>
<a id="pl.46.30"></a><var>46.30</var>is amended to read:<br/>
<a id="pl.46.31"></a><var>46.31</var>    Subd. 7. <b>Qualifications of individual and team providers.</b> (a) An individual <br/>
<a id="pl.46.32"></a><var>46.32</var>or team provider working within the scope of the provider's practice or qualifications <br/>
<a id="pl.46.33"></a><var>46.33</var>may provide service components of children's therapeutic services and supports that are <br/>
<a id="pl.46.34"></a><var>46.34</var>identified as medically necessary in a client's individual treatment plan.<br/>
<a id="pl.47.1"></a><var>47.1</var>(b) An individual provider must be qualified as:<br/>
<a id="pl.47.2"></a><var>47.2</var>(1) a mental health professional as defined in subdivision 1, paragraph (n); or<br/>
<a id="pl.47.3"></a><var>47.3</var>(2) a mental health practitioner as defined in section 
<statute_ref>245.4871, subdivision 26</statute_ref> or <br/>
<a id="pl.47.4"></a><var>47.4</var>clinical trainee. The mental health practitioner or clinical trainee must work under the <br/>
<a id="pl.47.5"></a><var>47.5</var>clinical supervision of a mental health professional; or<br/>
<a id="pl.47.6"></a><var>47.6</var>(3) a mental health behavioral aide working under the clinical supervision of <br/>
<a id="pl.47.7"></a><var>47.7</var>a mental health professional to implement the rehabilitative mental health services <br/>
<a id="pl.47.8"></a><var>47.8</var>previously introduced by a mental health professional or practitioner and identified in the <br/>
<a id="pl.47.9"></a><var>47.9</var>client's individual treatment plan and individual behavior plan.<br/>
<a id="pl.47.10"></a><var>47.10</var>(A) A level I mental health behavioral aide must:<br/>
<a id="pl.47.11"></a><var>47.11</var>(i) be at least 18 years old;<br/>
<a id="pl.47.12"></a><var>47.12</var>(ii) have a high school diploma or general equivalency diploma (GED) or two years <br/>
<a id="pl.47.13"></a><var>47.13</var>of experience as a primary caregiver to a child with severe emotional disturbance within <br/>
<a id="pl.47.14"></a><var>47.14</var>the previous ten years; and<br/>
<a id="pl.47.15"></a><var>47.15</var>(iii) meet preservice and continuing education requirements under subdivision 8.<br/>
<a id="pl.47.16"></a><var>47.16</var>(B) A level II mental health behavioral aide must:<br/>
<a id="pl.47.17"></a><var>47.17</var>(i) be at least 18 years old;<br/>
<a id="pl.47.18"></a><var>47.18</var>(ii) have an associate or bachelor's degree or 4,000 hours of experience in delivering <br/>
<a id="pl.47.19"></a><var>47.19</var>clinical services in the treatment of mental illness concerning children or adolescents or <br/>
<a id="pl.47.20"></a><var>47.20</var>complete a certificate program established under subdivision 8a; and<br/>
<a id="pl.47.21"></a><var>47.21</var>(iii) meet preservice and continuing education requirements in subdivision 8.<br/>
<a id="pl.47.22"></a><var>47.22</var>(c) A preschool program multidisciplinary team must include at least one mental <br/>
<a id="pl.47.23"></a><var>47.23</var>health professional and one or more of the following individuals under the clinical <br/>
<a id="pl.47.24"></a><var>47.24</var>supervision of a mental health professional:<br/>
<a id="pl.47.25"></a><var>47.25</var>(i) a mental health practitioner; or<br/>
<a id="pl.47.26"></a><var>47.26</var>(ii) a program person, including a teacher, assistant teacher, or aide, who meets the <br/>
<a id="pl.47.27"></a><var>47.27</var>qualifications and training standards of a level I mental health behavioral aide.<br/>
<a id="pl.47.28"></a><var>47.28</var>(d) (c) A day treatment multidisciplinary team must include at least one mental <br/>
<a id="pl.47.29"></a><var>47.29</var>health professional or clinical trainee and one mental health practitioner.<br/>
<a id="pl.47.30"></a><var>47.30</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.3.15.0"></a><a id="pl.47.31"></a><var>47.31</var>    Sec. 15. Minnesota Statutes 2012, section 256B.0943, subdivision 8, is amended to read:<br/>
<a id="pl.47.32"></a><var>47.32</var>    Subd. 8. <b>Required preservice and continuing education.</b> (a) A provider entity <br/>
<a id="pl.47.33"></a><var>47.33</var>shall establish a plan to provide preservice and continuing education for staff. The plan <br/>
<a id="pl.47.34"></a><var>47.34</var>must clearly describe the type of training necessary to maintain current skills and obtain <br/>
<a id="pl.47.35"></a><var>47.35</var>new skills and that relates to the provider entity's goals and objectives for services offered.<br/>
<a id="pl.48.1"></a><var>48.1</var>    (b) A provider that employs a mental health behavioral aide under this section must <br/>
<a id="pl.48.2"></a><var>48.2</var>require the mental health behavioral aide to complete 30 hours of preservice training. The <br/>
<a id="pl.48.3"></a><var>48.3</var>preservice training must include topics specified in Minnesota Rules, part 9535.4068, <br/>
<a id="pl.48.4"></a><var>48.4</var>subparts 1 and 2, and parent team training. The preservice training must include 15 hours <br/>
<a id="pl.48.5"></a><var>48.5</var>of in-person training of a mental health behavioral aide in mental health services delivery <br/>
<a id="pl.48.6"></a><var>48.6</var>and eight hours of parent team training. Curricula for parent team training must be <br/>
<a id="pl.48.7"></a><var>48.7</var>approved in advance by the commissioner. Components of parent team training include:<br/>
<a id="pl.48.8"></a><var>48.8</var>    (1) partnering with parents;<br/>
<a id="pl.48.9"></a><var>48.9</var>    (2) fundamentals of family support;<br/>
<a id="pl.48.10"></a><var>48.10</var>    (3) fundamentals of policy and decision making;<br/>
<a id="pl.48.11"></a><var>48.11</var>    (4) defining equal partnership;<br/>
<a id="pl.48.12"></a><var>48.12</var>    (5) complexities of the parent and service provider partnership in multiple service <br/>
<a id="pl.48.13"></a><var>48.13</var>delivery systems due to system strengths and weaknesses;<br/>
<a id="pl.48.14"></a><var>48.14</var>    (6) sibling impacts;<br/>
<a id="pl.48.15"></a><var>48.15</var>    (7) support networks; and<br/>
<a id="pl.48.16"></a><var>48.16</var>    (8) community resources.<br/>
<a id="pl.48.17"></a><var>48.17</var>    (c) A provider entity that employs a mental health practitioner and a mental health <br/>
<a id="pl.48.18"></a><var>48.18</var>behavioral aide to provide children's therapeutic services and supports under this section <br/>
<a id="pl.48.19"></a><var>48.19</var>must require the mental health practitioner and mental health behavioral aide to complete <br/>
<a id="pl.48.20"></a><var>48.20</var>20 hours of continuing education every two calendar years. The continuing education <br/>
<a id="pl.48.21"></a><var>48.21</var>must be related to serving the needs of a child with emotional disturbance in the child's <br/>
<a id="pl.48.22"></a><var>48.22</var>home environment and the child's family. The topics covered in orientation and training <br/>
<a id="pl.48.23"></a><var>48.23</var>must conform to Minnesota Rules, part 9535.4068.<br/>
<a id="pl.48.24"></a><var>48.24</var>    (d) The provider entity must document the mental health practitioner's or mental <br/>
<a id="pl.48.25"></a><var>48.25</var>health behavioral aide's annual completion of the required continuing education. The <br/>
<a id="pl.48.26"></a><var>48.26</var>documentation must include the date, subject, and number of hours of the continuing <br/>
<a id="pl.48.27"></a><var>48.27</var>education, and attendance records, as verified by the staff member's signature, job <br/>
<a id="pl.48.28"></a><var>48.28</var>title, and the instructor's name. The provider entity must keep documentation for each <br/>
<a id="pl.48.29"></a><var>48.29</var>employee, including records of attendance at professional workshops and conferences, <br/>
<a id="pl.48.30"></a><var>48.30</var>at a central location and in the employee's personnel file.<br/>
<a id="pl.48.31"></a><var>48.31</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.3.16.0"></a><a id="pl.48.32"></a><var>48.32</var>    Sec. 16. Minnesota Statutes 2012, section 256B.0943, subdivision 10, is amended to <br/>
<a id="pl.48.33"></a><var>48.33</var>read:<br/>
<a id="pl.48.34"></a><var>48.34</var>    Subd. 10. <b>Service authorization.</b> The commissioner shall publish in the State <br/>
<a id="pl.48.35"></a><var>48.35</var>Register a list of health services that require prior authorization, as well as the criteria <br/>
<a id="pl.49.1"></a><var>49.1</var>and standards used to select health services on the list. The list and the criteria and <br/>
<a id="pl.49.2"></a><var>49.2</var>standards used to formulate the list are not subject to the requirements of sections 
<statute_ref>14.001<br/>
</statute_ref><a id="pl.49.3"></a><var>49.3</var> to 
<statute_ref>14.69</statute_ref>. The commissioner's decision on whether prior authorization is required for a <br/>
<a id="pl.49.4"></a><var>49.4</var>health service is not subject to administrative appeal. Children's therapeutic services and <br/>
<a id="pl.49.5"></a><var>49.5</var>supports are subject to authorization criteria and standards published by the commissioner <br/>
<a id="pl.49.6"></a><var>49.6</var>according to section 256B.0625, subdivision 25.<br/>
<a id="pl.49.7"></a><var>49.7</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.3.17.0"></a><a id="pl.49.8"></a><var>49.8</var>    Sec. 17. Minnesota Statutes 2012, section 256B.0943, subdivision 12, is amended to <br/>
<a id="pl.49.9"></a><var>49.9</var>read:<br/>
<a id="pl.49.10"></a><var>49.10</var>    Subd. 12. <b>Excluded services.</b> The following services are not eligible for medical <br/>
<a id="pl.49.11"></a><var>49.11</var>assistance payment as children's therapeutic services and supports:<br/>
<a id="pl.49.12"></a><var>49.12</var>    (1) service components of children's therapeutic services and supports simultaneously <br/>
<a id="pl.49.13"></a><var>49.13</var>provided by more than one provider entity unless prior authorization is obtained;<br/>
<a id="pl.49.14"></a><var>49.14</var>    (2) treatment by multiple providers within the same agency at the same clock time;<br/>
<a id="pl.49.15"></a><var>49.15</var>(3) children's therapeutic services and supports provided in violation of medical <br/>
<a id="pl.49.16"></a><var>49.16</var>assistance policy in Minnesota Rules, part 9505.0220;<br/>
<a id="pl.49.17"></a><var>49.17</var>    (4) mental health behavioral aide services provided by a personal care assistant who <br/>
<a id="pl.49.18"></a><var>49.18</var>is not qualified as a mental health behavioral aide and employed by a certified children's <br/>
<a id="pl.49.19"></a><var>49.19</var>therapeutic services and supports provider entity;<br/>
<a id="pl.49.20"></a><var>49.20</var>    (5) service components of CTSS that are the responsibility of a residential or <br/>
<a id="pl.49.21"></a><var>49.21</var>program license holder, including foster care providers under the terms of a service <br/>
<a id="pl.49.22"></a><var>49.22</var>agreement or administrative rules governing licensure; and<br/>
<a id="pl.49.23"></a><var>49.23</var>    (6) adjunctive activities that may be offered by a provider entity but are not <br/>
<a id="pl.49.24"></a><var>49.24</var>otherwise covered by medical assistance, including:<br/>
<a id="pl.49.25"></a><var>49.25</var>    (i) a service that is primarily recreation oriented or that is provided in a setting that <br/>
<a id="pl.49.26"></a><var>49.26</var>is not medically supervised. This includes sports activities, exercise groups, activities <br/>
<a id="pl.49.27"></a><var>49.27</var>such as craft hours, leisure time, social hours, meal or snack time, trips to community <br/>
<a id="pl.49.28"></a><var>49.28</var>activities, and tours;<br/>
<a id="pl.49.29"></a><var>49.29</var>    (ii) a social or educational service that does not have or cannot reasonably be <br/>
<a id="pl.49.30"></a><var>49.30</var>expected to have a therapeutic outcome related to the client's emotional disturbance;<br/>
<a id="pl.49.31"></a><var>49.31</var>    (iii) consultation with other providers or service agency staff about the care or <br/>
<a id="pl.49.32"></a><var>49.32</var>progress of a client;<br/>
<a id="pl.49.33"></a><var>49.33</var>    (iv) (iii) prevention or education programs provided to the community; and<br/>
<a id="pl.49.34"></a><var>49.34</var>    (v) (iv) treatment for clients with primary diagnoses of alcohol or other drug abuse; <br/>
<a id="pl.49.35"></a><var>49.35</var>and.<br/>
<a id="pl.50.1"></a><var>50.1</var>    (7) activities that are not direct service time.<br/>
<a id="pl.50.2"></a><var>50.2</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.3.18.0"></a><a id="pl.50.3"></a><var>50.3</var>    Sec. 18. <b> REPEALER.</b><br/>
<a id="pl.50.4"></a><var>50.4</var>(a) Minnesota Statutes 2012, sections 245.0311; 245.0312; 245.4861; 245.487, <br/>
<a id="pl.50.5"></a><var>50.5</var>subdivisions 4 and 5; 245.4871, subdivisions 7, 11, 18, and 25; 245.4872; 245.4873, <br/>
<a id="pl.50.6"></a><var>50.6</var>subdivisions 3 and 6; 245.4875, subdivisions 3, 6, and 7; 245.4883, subdivision 1; <br/>
<a id="pl.50.7"></a><var>50.7</var>245.490; 245.492, subdivisions 6, 8, 13, and 19; 245.4932, subdivisions 2, 3, and 4; <br/>
<a id="pl.50.8"></a><var>50.8</var>245.4933; 245.494; 245.63; 245.652; 245.69, subdivision 1; 245.714; 245.715; 245.717; <br/>
<a id="pl.50.9"></a><var>50.9</var>245.718; 245.721; 245.77; 245.827; 246.012; 246.016; 246.023, subdivision 1; 246.28; <br/>
<a id="pl.50.10"></a><var>50.10</var>251.045; 252.038; 252.05; 252.07; 252.09; 254.01; 254.03; 254.04; 254.06; 254.07; <br/>
<a id="pl.50.11"></a><var>50.11</var>254.09; 254.10; 254.11; 254A.05, subdivision 1; 254A.07, subdivisions 1 and 2; 254A.16, <br/>
<a id="pl.50.12"></a><var>50.12</var>subdivision 1; 254B.01, subdivision 1; and 254B.04, subdivision 3, are repealed.<br/>
<a id="pl.50.13"></a><var>50.13</var>(b) Minnesota Statutes 2013 Supplement, sections 246.0251; 254.05; and 254B.13, <br/>
<a id="pl.50.14"></a><var>50.14</var>subdivision 3, are repealed.<br/>
<br/>
<a id="bill.4.0.0"></a>

<a id="bill.4.1.0"></a><a id="pl.50.17"></a><var>50.17</var>    Section 1. Minnesota Statutes 2012, section 256B.0913, subdivision 5a, is amended to <br/>
<a id="pl.50.18"></a><var>50.18</var>read:<br/>
<a id="pl.50.19"></a><var>50.19</var>    Subd. 5a. <b>Services; service definitions; service standards.</b> (a) Unless specified in <br/>
<a id="pl.50.20"></a><var>50.20</var>statute, the services, service definitions, and standards for alternative care services shall <br/>
<a id="pl.50.21"></a><var>50.21</var>be the same as the services, service definitions, and standards specified in the federally <br/>
<a id="pl.50.22"></a><var>50.22</var>approved elderly waiver plan, except alternative care does not cover transitional support <br/>
<a id="pl.50.23"></a><var>50.23</var>services, assisted living services, adult foster care services, and residential care and <br/>
<a id="pl.50.24"></a><var>50.24</var>benefits defined under section 
         <statute_ref>256B.0625</statute_ref> that meet primary and acute health care needs.<br/>
<a id="pl.50.25"></a><var>50.25</var>    (b) The lead agency must ensure that the funds are not used to supplant or <br/>
<a id="pl.50.26"></a><var>50.26</var>supplement services available through other public assistance or services programs, <br/>
<a id="pl.50.27"></a><var>50.27</var>including supplementation of client co-pays, deductibles, premiums, or other cost-sharing <br/>
<a id="pl.50.28"></a><var>50.28</var>arrangements for health-related benefits and services or entitlement programs and services <br/>
<a id="pl.50.29"></a><var>50.29</var>that are available to the person, but in which they have elected not to enroll. The <br/>
<a id="pl.50.30"></a><var>50.30</var>lead agency must ensure that the benefit department recovery system in the Medicaid <br/>
<a id="pl.50.31"></a><var>50.31</var>Management Information System (MMIS) has the necessary information on any other <br/>
<a id="pl.50.32"></a><var>50.32</var>health insurance or third-party insurance policy to which the client may have access. For a <br/>
<a id="pl.50.33"></a><var>50.33</var>provider of supplies and equipment when the monthly cost of the supplies and equipment <br/>
<a id="pl.51.1"></a><var>51.1</var>is less than $250, persons or agencies must be employed by or under a contract with the <br/>
<a id="pl.51.2"></a><var>51.2</var>lead agency or the public health nursing agency of the local board of health in order to <br/>
<a id="pl.51.3"></a><var>51.3</var>receive funding under the alternative care program. Supplies and equipment may be <br/>
<a id="pl.51.4"></a><var>51.4</var>purchased from a vendor not certified to participate in the Medicaid program if the cost for <br/>
<a id="pl.51.5"></a><var>51.5</var>the item is less than that of a Medicaid vendor.<br/>
<a id="pl.51.6"></a><var>51.6</var>    (c) Personal care services must meet the service standards defined in the federally <br/>
<a id="pl.51.7"></a><var>51.7</var>approved elderly waiver plan, except that a lead agency may contract with authorize <br/>
<a id="pl.51.8"></a><var>51.8</var>services to be provided by a client's relative who meets the relative hardship waiver <br/>
<a id="pl.51.9"></a><var>51.9</var>requirements or a relative who meets the criteria and is also the responsible party under <br/>
<a id="pl.51.10"></a><var>51.10</var>an individual service plan that ensures the client's health and safety and supervision of <br/>
<a id="pl.51.11"></a><var>51.11</var>the personal care services by a qualified professional as defined in section 
         <statute_ref>256B.0625, <br/>
<a id="pl.51.12"></a><var>51.12</var>subdivision 19c
         </statute_ref>. Relative hardship is established by the lead agency when the client's care <br/>
<a id="pl.51.13"></a><var>51.13</var>causes a relative caregiver to do any of the following: resign from a paying job, reduce <br/>
<a id="pl.51.14"></a><var>51.14</var>work hours resulting in lost wages, obtain a leave of absence resulting in lost wages, incur <br/>
<a id="pl.51.15"></a><var>51.15</var>substantial client-related expenses, provide services to address authorized, unstaffed direct <br/>
<a id="pl.51.16"></a><var>51.16</var>care time, or meet special needs of the client unmet in the formal service plan.<br/>
<br/>
<a id="bill.4.2.0"></a><a id="pl.51.17"></a><var>51.17</var>    Sec. 2. Minnesota Statutes 2012, section 256B.0913, subdivision 14, is amended to read:<br/>
<a id="pl.51.18"></a><var>51.18</var>    Subd. 14. <b>Provider requirements, payment, and rate adjustments.</b> (a) Unless <br/>
<a id="pl.51.19"></a><var>51.19</var>otherwise specified in statute, providers must be enrolled as Minnesota health care <br/>
<a id="pl.51.20"></a><var>51.20</var>program providers and abide by the requirements for provider participation according to <br/>
<a id="pl.51.21"></a><var>51.21</var>Minnesota Rules, part 9505.0195.<br/>
<a id="pl.51.22"></a><var>51.22</var>    (b) Payment for provided alternative care services as approved by the client's <br/>
<a id="pl.51.23"></a><var>51.23</var>case manager shall occur through the invoice processing procedures of the department's <br/>
<a id="pl.51.24"></a><var>51.24</var>Medicaid Management Information System (MMIS). To receive payment, the lead agency <br/>
<a id="pl.51.25"></a><var>51.25</var>or vendor must submit invoices within 12 months following the date of service. The lead <br/>
<a id="pl.51.26"></a><var>51.26</var>agency and its vendors under contract shall not be reimbursed for services which exceed <br/>
<a id="pl.51.27"></a><var>51.27</var>the county allocation. Service rates are governed by section 256B.0915, subdivision 3g.<br/>
<a id="pl.51.28"></a><var>51.28</var>    (c) The lead agency shall negotiate individual rates with vendors and may authorize <br/>
<a id="pl.51.29"></a><var>51.29</var>service payment for actual costs up to the county's current approved rate. Notwithstanding <br/>
<a id="pl.51.30"></a><var>51.30</var>any other rule or statutory provision to the contrary, the commissioner shall not be <br/>
<a id="pl.51.31"></a><var>51.31</var>authorized to increase rates by an annual inflation factor, unless so authorized by the <br/>
<a id="pl.51.32"></a><var>51.32</var>legislature. To improve access to community services and eliminate payment disparities <br/>
<a id="pl.51.33"></a><var>51.33</var>between the alternative care program and the elderly waiver program, the commissioner <br/>
<a id="pl.51.34"></a><var>51.34</var>shall establish statewide maximum service rate limits and eliminate county-specific <br/>
<a id="pl.51.35"></a><var>51.35</var>service rate limits.<br/>
<a id="pl.52.1"></a><var>52.1</var>    (1) Effective July 1, 2001, for service rate limits, except those in subdivision 5, <br/>
<a id="pl.52.2"></a><var>52.2</var>paragraphs (d) and (i), the rate limit for each service shall be the greater of the alternative <br/>
<a id="pl.52.3"></a><var>52.3</var>care statewide maximum rate or the elderly waiver statewide maximum rate.<br/>
<a id="pl.52.4"></a><var>52.4</var>    (2) Lead agencies may negotiate individual service rates with vendors for actual <br/>
<a id="pl.52.5"></a><var>52.5</var>costs up to the statewide maximum service rate limit.<br/>
<br/>
<a id="bill.4.3.0"></a><a id="pl.52.6"></a><var>52.6</var>    Sec. 3. Minnesota Statutes 2012, section 256B.0915, subdivision 3c, is amended to read:<br/>
<a id="pl.52.7"></a><var>52.7</var>    Subd. 3c. <b>Service approval </b><b>and contracting</b><b> provisions.</b> (a) Medical assistance <br/>
<a id="pl.52.8"></a><var>52.8</var>funding for skilled nursing services, private duty nursing, home health aide, and personal <br/>
<a id="pl.52.9"></a><var>52.9</var>care services for waiver recipients must be approved by the case manager and included in <br/>
<a id="pl.52.10"></a><var>52.10</var>the coordinated service and support plan.<br/>
<a id="pl.52.11"></a><var>52.11</var>    (b) A lead agency is not required to contract with a provider of supplies and <br/>
<a id="pl.52.12"></a><var>52.12</var>equipment if the monthly cost of the supplies and equipment is less than $250.<br/>
<br/>
<a id="bill.4.4.0"></a><a id="pl.52.13"></a><var>52.13</var>    Sec. 4. Minnesota Statutes 2012, section 256B.0915, subdivision 3d, is amended to read:<br/>
<a id="pl.52.14"></a><var>52.14</var>    Subd. 3d. <b>Adult foster care rate.</b> The adult foster care rate shall be considered a <br/>
<a id="pl.52.15"></a><var>52.15</var>difficulty of care payment and shall not include room and board. The adult foster care <br/>
<a id="pl.52.16"></a><var>52.16</var>service rate shall be negotiated between the lead agency and the foster care provider. The <br/>
<a id="pl.52.17"></a><var>52.17</var>elderly waiver payment for the foster care service in combination with the payment for <br/>
<a id="pl.52.18"></a><var>52.18</var>all other elderly waiver services, including case management, must not exceed the limit <br/>
<a id="pl.52.19"></a><var>52.19</var>specified in subdivision 3a, paragraph (a).<br/>
<br/>
<a id="bill.4.5.0"></a><a id="pl.52.20"></a><var>52.20</var>    Sec. 5. Minnesota Statutes 2012, section 256B.0915, subdivision 3f, is amended to read:<br/>
<a id="pl.52.21"></a><var>52.21</var>    Subd. 3f. <b>Individual service rates</b><b> Payments for services</b><b>; expenditure forecasts.</b><br/>
<a id="pl.52.22"></a><var>52.22</var>    (a) The lead agency shall negotiate individual service rates with vendors and may <br/>
<a id="pl.52.23"></a><var>52.23</var>authorize payment for actual costs up to the lead agency's current approved rate. Persons <br/>
<a id="pl.52.24"></a><var>52.24</var>or agencies must be employed by or under a contract with the lead agency or the public <br/>
<a id="pl.52.25"></a><var>52.25</var>health nursing agency of the local board of health in order to receive funding under the <br/>
<a id="pl.52.26"></a><var>52.26</var>elderly waiver program, except as a provider of supplies and equipment when the monthly <br/>
<a id="pl.52.27"></a><var>52.27</var>cost of the supplies and equipment is less than $250. Lead agencies shall authorize <br/>
<a id="pl.52.28"></a><var>52.28</var>payments for services in accordance with the payment rates and limits published annually <br/>
<a id="pl.52.29"></a><var>52.29</var>by the commissioner.<br/>
<a id="pl.52.30"></a><var>52.30</var>    (b) Reimbursement for the medical assistance recipients under the approved waiver <br/>
<a id="pl.52.31"></a><var>52.31</var>shall be made from the medical assistance account through the invoice processing <br/>
<a id="pl.52.32"></a><var>52.32</var>procedures of the department's Medicaid Management Information System (MMIS), <br/>
<a id="pl.52.33"></a><var>52.33</var>only with the approval of the client's case manager. The budget for the state share of the <br/>
<a id="pl.53.1"></a><var>53.1</var>Medicaid expenditures shall be forecasted with the medical assistance budget, and shall <br/>
<a id="pl.53.2"></a><var>53.2</var>be consistent with the approved waiver.<br/>
<br/>
<a id="bill.4.6.0"></a><a id="pl.53.3"></a><var>53.3</var>    Sec. 6. Minnesota Statutes 2012, section 256B.0915, subdivision 3g, is amended to read:<br/>
<a id="pl.53.4"></a><var>53.4</var>    Subd. 3g. <b>Service rate limits; state assumption of costs.</b> (a) To improve access <br/>
<a id="pl.53.5"></a><var>53.5</var>to community services and eliminate payment disparities between the alternative care <br/>
<a id="pl.53.6"></a><var>53.6</var>program and the elderly waiver, the commissioner shall establish statewide maximum<br/>
<a id="pl.53.7"></a><var>53.7</var> service rate limits and eliminate lead agency-specific service rate limits.<br/>
<a id="pl.53.8"></a><var>53.8</var>    (b) Effective July 1, 2001, for statewide service rate limits, except those described <br/>
<a id="pl.53.9"></a><var>53.9</var>or defined in subdivisions 3d and, 3e, and 3h, the statewide service rate limit for each <br/>
<a id="pl.53.10"></a><var>53.10</var>service shall be the greater of the alternative care statewide maximum rate or the elderly <br/>
<a id="pl.53.11"></a><var>53.11</var>waiver statewide maximum rate.<br/>
<a id="pl.53.12"></a><var>53.12</var>    (c) Lead agencies may negotiate individual service rates with vendors for actual <br/>
<a id="pl.53.13"></a><var>53.13</var>costs up to the statewide maximum service rate limit.<br/>
<br/>
<a id="bill.4.7.0"></a><a id="pl.53.14"></a><var>53.14</var>    Sec. 7. Minnesota Statutes 2013 Supplement, section 517.04, is amended to read:<br/>
<a id="pl.53.15"></a><var>53.15</var><b>517.04 PERSONS AUTHORIZED TO PERFORM CIVIL MARRIAGES.</b><br/>
<a id="pl.53.16"></a><var>53.16</var>    Civil marriages may be solemnized throughout the state by an individual who has <br/>
<a id="pl.53.17"></a><var>53.17</var>attained the age of 21 years and is a judge of a court of record, a retired judge of a court <br/>
<a id="pl.53.18"></a><var>53.18</var>of record, a court administrator, a retired court administrator with the approval of the <br/>
<a id="pl.53.19"></a><var>53.19</var>chief judge of the judicial district, a former court commissioner who is employed by the <br/>
<a id="pl.53.20"></a><var>53.20</var>court system or is acting pursuant to an order of the chief judge of the commissioner's <br/>
<a id="pl.53.21"></a><var>53.21</var>judicial district, the residential school administrators superintendent of the Minnesota <br/>
<a id="pl.53.22"></a><var>53.22</var>State Academy for the Deaf and the Minnesota State Academy for the Blind, a licensed <br/>
<a id="pl.53.23"></a><var>53.23</var>or ordained minister of any religious denomination, or by any mode recognized in <br/>
<a id="pl.53.24"></a><var>53.24</var>section 
         <statute_ref>517.18</statute_ref>. For purposes of this section, a court of record includes the Office of <br/>
<a id="pl.53.25"></a><var>53.25</var>Administrative Hearings under section 
         <statute_ref>14.48</statute_ref>.<br/>
<br/>
<a id="bill.4.8.0"></a><a id="pl.53.26"></a><var>53.26</var>    Sec. 8. Minnesota Statutes 2012, section 595.06, is amended to read:<br/>
<a id="pl.53.27"></a><var>53.27</var><b>595.06 CAPACITY OF WITNESS.</b><br/>
<a id="pl.53.28"></a><var>53.28</var>    When an infant, or a person apparently of weak intellect, is produced as a witness, <br/>
<a id="pl.53.29"></a><var>53.29</var>the court may examine the infant or witness person to ascertain capacity, and whether the <br/>
<a id="pl.53.30"></a><var>53.30</var>person understands the nature and obligations of an oath, and the court may inquire of any <br/>
<a id="pl.53.31"></a><var>53.31</var>person what peculiar ceremonies the person deems most obligatory in taking an oath.<br/>
<br/>
<a id="bill.4.9.0"></a><a id="pl.53.32"></a><var>53.32</var>    Sec. 9. <b> REPEALER.</b><br/>
<a id="pl.54.1"></a><var>54.1</var>(a) Minnesota Statutes 2012, sections 158.13; 158.14; 158.15; 158.16; 158.17; <br/>
<a id="pl.54.2"></a><var>54.2</var>158.18; 158.19; 245.072; 256.971; 256.975, subdivision 3; 256.9753, subdivision 4; <br/>
<a id="pl.54.3"></a><var>54.3</var>256B.04, subdivision 16; 256B.0656; 256B.0657; 256B.0913, subdivision 9; 256B.0916, <br/>
<a id="pl.54.4"></a><var>54.4</var>subdivisions 6 and 6a; 256B.0928; 256B.431, subdivisions 28, 31, 33, 34, 37, 38, 39, 40, <br/>
<a id="pl.54.5"></a><var>54.5</var>41, and 43; 256B.434, subdivision 19; 256B.440; 256B.441, subdivisions 46 and 46a; <br/>
<a id="pl.54.6"></a><var>54.6</var>256B.491; 256B.501, subdivisions 3a, 3b, 3h, 3j, 3k, 3l, and 5e; 256B.5016; 256B.503; <br/>
<a id="pl.54.7"></a><var>54.7</var>and 626.557, subdivision 16, are repealed.<br/>
<a id="pl.54.8"></a><var>54.8</var>(b) Minnesota Statutes 2013 Supplement, sections 256B.31; 256B.501, subdivision <br/>
<a id="pl.54.9"></a><var>54.9</var>5b; 256C.05; and 256C.29, are repealed.<br/>
<a id="pl.54.10"></a><var>54.10</var>(c) Minnesota Rules, parts 9549.0020, subparts 2, 12, 13, 20, 23, 24, 25, 26, 27, 30, <br/>
<a id="pl.54.11"></a><var>54.11</var>31, 32, 33, 34, 35, 36, 38, 41, 42, 43, 44, 46, and 47; 9549.0030; 9549.0035, subparts 4, 5, <br/>
<a id="pl.54.12"></a><var>54.12</var>and 6; 9549.0036; 9549.0040; 9549.0041, subparts 1, 2, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, <br/>
<a id="pl.54.13"></a><var>54.13</var>14, and 15; 9549.0050; 9549.0051, subparts 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, and 14; <br/>
<a id="pl.54.14"></a><var>54.14</var>9549.0053; 9549.0054; 9549.0055, subpart 4; 9549.0056; 9549.0060, subparts 1, 2, 3, 8, <br/>
<a id="pl.54.15"></a><var>54.15</var>9, 12, and 13; 9549.0061; and 9549.0070, subparts 1 and 4, are repealed.<br/>
<br/>
<a id="bill.5.0.0"></a>

<a id="bill.5.1.0"></a><a id="pl.54.18"></a><var>54.18</var>    Section 1. Minnesota Statutes 2012, section 13.46, subdivision 4, is amended to read:<br/>
<a id="pl.54.19"></a><var>54.19</var>    Subd. 4. <b>Licensing data.</b> (a) As used in this subdivision:<br/>
<a id="pl.54.20"></a><var>54.20</var>    (1) "licensing data" are all data collected, maintained, used, or disseminated by the <br/>
<a id="pl.54.21"></a><var>54.21</var>welfare system pertaining to persons licensed or registered or who apply for licensure <br/>
<a id="pl.54.22"></a><var>54.22</var>or registration or who formerly were licensed or registered under the authority of the <br/>
<a id="pl.54.23"></a><var>54.23</var>commissioner of human services;<br/>
<a id="pl.54.24"></a><var>54.24</var>    (2) "client" means a person who is receiving services from a licensee or from an <br/>
<a id="pl.54.25"></a><var>54.25</var>applicant for licensure; and<br/>
<a id="pl.54.26"></a><var>54.26</var>    (3) "personal and personal financial data" are Social Security numbers, identity <br/>
<a id="pl.54.27"></a><var>54.27</var>of and letters of reference, insurance information, reports from the Bureau of Criminal <br/>
<a id="pl.54.28"></a><var>54.28</var>Apprehension, health examination reports, and social/home studies.<br/>
<a id="pl.54.29"></a><var>54.29</var>    (b)(1)(i) Except as provided in paragraph (c), the following data on applicants, <br/>
<a id="pl.54.30"></a><var>54.30</var>license holders, and former licensees are public: name, address, telephone number of <br/>
<a id="pl.54.31"></a><var>54.31</var>licensees, date of receipt of a completed application, dates of licensure, licensed capacity, <br/>
<a id="pl.54.32"></a><var>54.32</var>type of client preferred, variances granted, record of training and education in child care <br/>
<a id="pl.54.33"></a><var>54.33</var>and child development, type of dwelling, name and relationship of other family members, <br/>
<a id="pl.54.34"></a><var>54.34</var>previous license history, class of license, the existence and status of complaints, and the <br/>
<a id="pl.54.35"></a><var>54.35</var>number of serious injuries to or deaths of individuals in the licensed program as reported <br/>
<a id="pl.55.1"></a><var>55.1</var>to the commissioner of human services, the local social services agency, or any other <br/>
<a id="pl.55.2"></a><var>55.2</var>county welfare agency. For purposes of this clause, a serious injury is one that is treated <br/>
<a id="pl.55.3"></a><var>55.3</var>by a physician.<br/>
<a id="pl.55.4"></a><var>55.4</var>(ii) When a correction order, an order to forfeit a fine, an order of license suspension, <br/>
<a id="pl.55.5"></a><var>55.5</var>an order of temporary immediate suspension, an order of license revocation, an order <br/>
<a id="pl.55.6"></a><var>55.6</var>of license denial, or an order of conditional license has been issued, or a complaint is <br/>
<a id="pl.55.7"></a><var>55.7</var>resolved, the following data on current and former licensees and applicants are public: the <br/>
<a id="pl.55.8"></a><var>55.8</var>substance and investigative findings of the licensing or maltreatment complaint, licensing <br/>
<a id="pl.55.9"></a><var>55.9</var>violation, or substantiated maltreatment; the record of informal resolution of a licensing <br/>
<a id="pl.55.10"></a><var>55.10</var>violation; orders of hearing; findings of fact; conclusions of law; specifications of the final <br/>
<a id="pl.55.11"></a><var>55.11</var>correction order, fine, suspension, temporary immediate suspension, revocation, denial, or <br/>
<a id="pl.55.12"></a><var>55.12</var>conditional license contained in the record of licensing action; whether a fine has been <br/>
<a id="pl.55.13"></a><var>55.13</var>paid; and the status of any appeal of these actions.<br/>
<a id="pl.55.14"></a><var>55.14</var>(iii) When a license denial under section 
         <statute_ref>245A.05</statute_ref> or a sanction under section <br/>
<statute_ref><a id="pl.55.15"></a><var>55.15</var>245A.07
         </statute_ref> is based on a determination that the license holder or applicant is responsible for <br/>
<a id="pl.55.16"></a><var>55.16</var>maltreatment under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref>, the identity of the applicant or license <br/>
<a id="pl.55.17"></a><var>55.17</var>holder as the individual responsible for maltreatment is public data at the time of the <br/>
<a id="pl.55.18"></a><var>55.18</var>issuance of the license denial or sanction.<br/>
<a id="pl.55.19"></a><var>55.19</var>(iv) When a license denial under section 
         <statute_ref>245A.05</statute_ref> or a sanction under section <br/>
<statute_ref><a id="pl.55.20"></a><var>55.20</var>245A.07
         </statute_ref> is based on a determination that the license holder or applicant is disqualified <br/>
<a id="pl.55.21"></a><var>55.21</var>under chapter 245C, the identity of the license holder or applicant as the disqualified <br/>
<a id="pl.55.22"></a><var>55.22</var>individual and the reason for the disqualification are public data at the time of the <br/>
<a id="pl.55.23"></a><var>55.23</var>issuance of the licensing sanction or denial. If the applicant or license holder requests <br/>
<a id="pl.55.24"></a><var>55.24</var>reconsideration of the disqualification and the disqualification is affirmed, the reason for <br/>
<a id="pl.55.25"></a><var>55.25</var>the disqualification and the reason to not set aside the disqualification are public data.<br/>
<a id="pl.55.26"></a><var>55.26</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.55.27"></a><var>55.27</var>when any person subject to disqualification under section 
<statute_ref>245C.14</statute_ref> in connection with a <br/>
<a id="pl.55.28"></a><var>55.28</var>license to provide family day care for children, child care center services, foster care for <br/>
<a id="pl.55.29"></a><var>55.29</var>children in the provider's home, or foster care or day care services for adults in the provider's <br/>
<a id="pl.55.30"></a><var>55.30</var>home is a substantiated perpetrator of maltreatment, and the substantiated maltreatment is <br/>
<a id="pl.55.31"></a><var>55.31</var>a reason for a licensing action, the identity of the substantiated perpetrator of maltreatment <br/>
<a id="pl.55.32"></a><var>55.32</var>is public data. For purposes of this clause, a person is a substantiated perpetrator if the <br/>
<a id="pl.55.33"></a><var>55.33</var>maltreatment determination has been upheld under section 
<statute_ref>256.045</statute_ref>; 
<statute_ref>626.556, subdivision <br/>
<a id="pl.55.34"></a><var>55.34</var>10i
</statute_ref>; 
<statute_ref>626.557, subdivision 9d</statute_ref>; or chapter 14, or if an individual or facility has not timely <br/>
<a id="pl.55.35"></a><var>55.35</var>exercised appeal rights under these sections, except as provided under clause (1).<br/>
<a id="pl.56.1"></a><var>56.1</var>    (3) (2) For applicants who withdraw their application prior to licensure or denial of <br/>
<a id="pl.56.2"></a><var>56.2</var>a license, the following data are public: the name of the applicant, the city and county <br/>
<a id="pl.56.3"></a><var>56.3</var>in which the applicant was seeking licensure, the dates of the commissioner's receipt of <br/>
<a id="pl.56.4"></a><var>56.4</var>the initial application and completed application, the type of license sought, and the date <br/>
<a id="pl.56.5"></a><var>56.5</var>of withdrawal of the application.<br/>
<a id="pl.56.6"></a><var>56.6</var>    (4) (3) For applicants who are denied a license, the following data are public: the <br/>
<a id="pl.56.7"></a><var>56.7</var>name and address of the applicant, the city and county in which the applicant was seeking <br/>
<a id="pl.56.8"></a><var>56.8</var>licensure, the dates of the commissioner's receipt of the initial application and completed <br/>
<a id="pl.56.9"></a><var>56.9</var>application, the type of license sought, the date of denial of the application, the nature of <br/>
<a id="pl.56.10"></a><var>56.10</var>the basis for the denial, the record of informal resolution of a denial, orders of hearings, <br/>
<a id="pl.56.11"></a><var>56.11</var>findings of fact, conclusions of law, specifications of the final order of denial, and the <br/>
<a id="pl.56.12"></a><var>56.12</var>status of any appeal of the denial.<br/>
<a id="pl.56.13"></a><var>56.13</var>    (5) The following data on persons subject to disqualification under section 
<statute_ref>245C.14 </statute_ref>in <br/>
<a id="pl.56.14"></a><var>56.14</var>connection with a license to provide family day care for children, child care center services, <br/>
<a id="pl.56.15"></a><var>56.15</var>foster care for children in the provider's home, or foster care or day care services for adults <br/>
<a id="pl.56.16"></a><var>56.16</var>in the provider's home, are public: the nature of any disqualification set aside under section <br/>
<a id="pl.56.17"></a><var>56.17</var><statute_ref>245C.22</statute_ref>, subdivisions 2 and 4, and the reasons for setting aside the disqualification; the <br/>
<a id="pl.56.18"></a><var>56.18</var>nature of any disqualification for which a variance was granted under sections 
<statute_ref>245A.04, <br/>
<a id="pl.56.19"></a><var>56.19</var>subdivision 9
</statute_ref>; and 
<statute_ref>245C.30</statute_ref>, and the reasons for granting any variance under section <br/>
<a id="pl.56.20"></a><var>56.20</var><statute_ref>245A.04, subdivision 9</statute_ref>; and, if applicable, the disclosure that any person subject to <br/>
<a id="pl.56.21"></a><var>56.21</var>a background study under section 
<statute_ref>245C.03, subdivision 1</statute_ref>, has successfully passed a <br/>
<a id="pl.56.22"></a><var>56.22</var>background study. If a licensing sanction under section 
<statute_ref>245A.07</statute_ref>, or a license denial under <br/>
<a id="pl.56.23"></a><var>56.23</var>section 
<statute_ref>245A.05</statute_ref>, is based on a determination that an individual subject to disqualification <br/>
<a id="pl.56.24"></a><var>56.24</var>under chapter 245C is disqualified, the disqualification as a basis for the licensing sanction <br/>
<a id="pl.56.25"></a><var>56.25</var>or denial is public data. As specified in clause (1), item (iv), if the disqualified individual <br/>
<a id="pl.56.26"></a><var>56.26</var>is the license holder or applicant, the identity of the license holder or applicant and the <br/>
<a id="pl.56.27"></a><var>56.27</var>reason for the disqualification are public data; and, if the license holder or applicant <br/>
<a id="pl.56.28"></a><var>56.28</var>requested reconsideration of the disqualification and the disqualification is affirmed, the <br/>
<a id="pl.56.29"></a><var>56.29</var>reason for the disqualification and the reason to not set aside the disqualification are <br/>
<a id="pl.56.30"></a><var>56.30</var>public data. If the disqualified individual is an individual other than the license holder or <br/>
<a id="pl.56.31"></a><var>56.31</var>applicant, the identity of the disqualified individual shall remain private data.<br/>
<a id="pl.56.32"></a><var>56.32</var>    (6) (4) When maltreatment is substantiated under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref> and <br/>
<a id="pl.56.33"></a><var>56.33</var>the victim and the substantiated perpetrator are affiliated with a program licensed under <br/>
<a id="pl.56.34"></a><var>56.34</var>chapter 245A, the commissioner of human services, local social services agency, or <br/>
<a id="pl.56.35"></a><var>56.35</var>county welfare agency may inform the license holder where the maltreatment occurred of <br/>
<a id="pl.56.36"></a><var>56.36</var>the identity of the substantiated perpetrator and the victim.<br/>
<a id="pl.57.1"></a><var>57.1</var>    (7) (5) Notwithstanding clause (1), for child foster care, only the name of the license <br/>
<a id="pl.57.2"></a><var>57.2</var>holder and the status of the license are public if the county attorney has requested that data <br/>
<a id="pl.57.3"></a><var>57.3</var>otherwise classified as public data under clause (1) be considered private data based on the <br/>
<a id="pl.57.4"></a><var>57.4</var>best interests of a child in placement in a licensed program.<br/>
<a id="pl.57.5"></a><var>57.5</var>    (c) The following are private data on individuals under section 
         <statute_ref>13.02, subdivision <br/>
<a id="pl.57.6"></a><var>57.6</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.57.7"></a><var>57.7</var>data on family day care program and family foster care program applicants and licensees <br/>
<a id="pl.57.8"></a><var>57.8</var>and their family members who provide services under the license.<br/>
<a id="pl.57.9"></a><var>57.9</var>    (d) The following are private data on individuals: the identity of persons who have <br/>
<a id="pl.57.10"></a><var>57.10</var>made reports concerning licensees or applicants that appear in inactive investigative data, <br/>
<a id="pl.57.11"></a><var>57.11</var>and the records of clients or employees of the licensee or applicant for licensure whose <br/>
<a id="pl.57.12"></a><var>57.12</var>records are received by the licensing agency for purposes of review or in anticipation of a <br/>
<a id="pl.57.13"></a><var>57.13</var>contested matter. The names of reporters of complaints or alleged violations of licensing <br/>
<a id="pl.57.14"></a><var>57.14</var>standards under chapters 245A, 245B, 245C, and applicable rules and alleged maltreatment <br/>
<a id="pl.57.15"></a><var>57.15</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.57.16"></a><var>57.16</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.57.17"></a><var>57.17</var>    (e) Data classified as private, confidential, nonpublic, or protected nonpublic under <br/>
<a id="pl.57.18"></a><var>57.18</var>this subdivision become public data if submitted to a court or administrative law judge as <br/>
<a id="pl.57.19"></a><var>57.19</var>part of a disciplinary proceeding in which there is a public hearing concerning a license <br/>
<a id="pl.57.20"></a><var>57.20</var>which has been suspended, immediately suspended, revoked, or denied.<br/>
<a id="pl.57.21"></a><var>57.21</var>    (f) Data generated in the course of licensing investigations that relate to an alleged <br/>
<a id="pl.57.22"></a><var>57.22</var>violation of law are investigative data under subdivision 3.<br/>
<a id="pl.57.23"></a><var>57.23</var>    (g) Data that are not public data collected, maintained, used, or disseminated under <br/>
<a id="pl.57.24"></a><var>57.24</var>this subdivision that relate to or are derived from a report as defined in section 
         <statute_ref>626.556, <br/>
<a id="pl.57.25"></a><var>57.25</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.57.26"></a><var>57.26</var>sections 
         <statute_ref>626.556, subdivision 11c</statute_ref>, and 
         <statute_ref>626.557, subdivision 12b</statute_ref>.<br/>
<a id="pl.57.27"></a><var>57.27</var>    (h) Upon request, not public data collected, maintained, used, or disseminated under <br/>
<a id="pl.57.28"></a><var>57.28</var>this subdivision that relate to or are derived from a report of substantiated maltreatment as <br/>
<a id="pl.57.29"></a><var>57.29</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.57.30"></a><var>57.30</var>for purposes of completing background studies pursuant to section 
         <statute_ref>144.057</statute_ref> and with <br/>
<a id="pl.57.31"></a><var>57.31</var>the Department of Corrections for purposes of completing background studies pursuant <br/>
<a id="pl.57.32"></a><var>57.32</var>to section 
         <statute_ref>241.021</statute_ref>.<br/>
<a id="pl.57.33"></a><var>57.33</var>    (i) Data on individuals collected according to licensing activities under chapters <br/>
<a id="pl.57.34"></a><var>57.34</var>245A and 245C, data on individuals collected by the commissioner of human services <br/>
<a id="pl.57.35"></a><var>57.35</var>according to investigations under chapters 245A, 245B, and 245C, and sections 
         <statute_ref>626.556</statute_ref> <br/>
<a id="pl.57.36"></a><var>57.36</var>and 
         <statute_ref>626.557</statute_ref> may be shared with the Department of Human Rights, the Department <br/>
<a id="pl.58.1"></a><var>58.1</var>of Health, the Department of Corrections, the ombudsman for mental health and <br/>
<a id="pl.58.2"></a><var>58.2</var>developmental disabilities, and the individual's professional regulatory board when there <br/>
<a id="pl.58.3"></a><var>58.3</var>is reason to believe that laws or standards under the jurisdiction of those agencies may <br/>
<a id="pl.58.4"></a><var>58.4</var>have been violated or the information may otherwise be relevant to the board's regulatory <br/>
<a id="pl.58.5"></a><var>58.5</var>jurisdiction. Background study data on an individual who is the subject of a background <br/>
<a id="pl.58.6"></a><var>58.6</var>study under chapter 245C for a licensed service for which the commissioner of human <br/>
<a id="pl.58.7"></a><var>58.7</var>services is the license holder may be shared with the commissioner and the commissioner's <br/>
<a id="pl.58.8"></a><var>58.8</var>delegate by the licensing division. Unless otherwise specified in this chapter, the identity <br/>
<a id="pl.58.9"></a><var>58.9</var>of a reporter of alleged maltreatment or licensing violations may not be disclosed.<br/>
<a id="pl.58.10"></a><var>58.10</var>    (j) In addition to the notice of determinations required under section 
         <statute_ref>626.556, <br/>
<a id="pl.58.11"></a><var>58.11</var>subdivision 10f
         </statute_ref>, if the commissioner or the local social services agency has determined <br/>
<a id="pl.58.12"></a><var>58.12</var>that an individual is a substantiated perpetrator of maltreatment of a child based on sexual <br/>
<a id="pl.58.13"></a><var>58.13</var>abuse, as defined in section 
         <statute_ref>626.556, subdivision 2</statute_ref>, and the commissioner or local social <br/>
<a id="pl.58.14"></a><var>58.14</var>services agency knows that the individual is a person responsible for a child's care in <br/>
<a id="pl.58.15"></a><var>58.15</var>another facility, the commissioner or local social services agency shall notify the head <br/>
<a id="pl.58.16"></a><var>58.16</var>of that facility of this determination. The notification must include an explanation of the <br/>
<a id="pl.58.17"></a><var>58.17</var>individual's available appeal rights and the status of any appeal. If a notice is given under <br/>
<a id="pl.58.18"></a><var>58.18</var>this paragraph, the government entity making the notification shall provide a copy of the <br/>
<a id="pl.58.19"></a><var>58.19</var>notice to the individual who is the subject of the notice.<br/>
<a id="pl.58.20"></a><var>58.20</var>    (k) All not public data collected, maintained, used, or disseminated under this <br/>
<a id="pl.58.21"></a><var>58.21</var>subdivision and subdivision 3 may be exchanged between the Department of Human <br/>
<a id="pl.58.22"></a><var>58.22</var>Services, Licensing Division, and the Department of Corrections for purposes of <br/>
<a id="pl.58.23"></a><var>58.23</var>regulating services for which the Department of Human Services and the Department <br/>
<a id="pl.58.24"></a><var>58.24</var>of Corrections have regulatory authority.<br/>
<br/>
<a id="bill.5.2.0"></a><a id="pl.58.25"></a><var>58.25</var>    Sec. 2. Minnesota Statutes 2013 Supplement, section 245A.03, subdivision 7, is <br/>
<a id="pl.58.26"></a><var>58.26</var>amended to read:<br/>
<a id="pl.58.27"></a><var>58.27</var>    Subd. 7. <b>Licensing moratorium.</b> (a) The commissioner shall not issue an initial <br/>
<a id="pl.58.28"></a><var>58.28</var>license for child foster care licensed under Minnesota Rules, parts 2960.3000 to 2960.3340, <br/>
<a id="pl.58.29"></a><var>58.29</var>or adult foster care licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, under <br/>
<a id="pl.58.30"></a><var>58.30</var>this chapter for a physical location that will not be the primary residence of the license <br/>
<a id="pl.58.31"></a><var>58.31</var>holder for the entire period of licensure. If a license is issued during this moratorium, and <br/>
<a id="pl.58.32"></a><var>58.32</var>the license holder changes the license holder's primary residence away from the physical <br/>
<a id="pl.58.33"></a><var>58.33</var>location of the foster care license, the commissioner shall revoke the license according <br/>
<a id="pl.58.34"></a><var>58.34</var>to section 
         <statute_ref>245A.07</statute_ref>. The commissioner shall not issue an initial license for a community <br/>
<a id="pl.58.35"></a><var>58.35</var>residential setting licensed under chapter 245D. Exceptions to the moratorium include:<br/>
<a id="pl.59.1"></a><var>59.1</var>(1) foster care settings that are required to be registered under chapter 144D;<br/>
<a id="pl.59.2"></a><var>59.2</var>(2) foster care licenses replacing foster care licenses in existence on May 15, 2009, or <br/>
<a id="pl.59.3"></a><var>59.3</var>community residential setting licenses replacing adult foster care licenses in existence on <br/>
<a id="pl.59.4"></a><var>59.4</var>December 31, 2013, and determined to be needed by the commissioner under paragraph (b);<br/>
<a id="pl.59.5"></a><var>59.5</var>(3) new foster care licenses or community residential setting licenses determined to <br/>
<a id="pl.59.6"></a><var>59.6</var>be needed by the commissioner under paragraph (b) for the closure of a nursing facility, <br/>
<a id="pl.59.7"></a><var>59.7</var>ICF/DD, or regional treatment center; restructuring of state-operated services that limits <br/>
<a id="pl.59.8"></a><var>59.8</var>the capacity of state-operated facilities; or allowing movement to the community for <br/>
<a id="pl.59.9"></a><var>59.9</var>people who no longer require the level of care provided in state-operated facilities as <br/>
<a id="pl.59.10"></a><var>59.10</var>provided under section 
         <statute_ref>256B.092</statute_ref>, subdivision 13, or 
         <statute_ref>256B.49, subdivision 24</statute_ref>;<br/>
<a id="pl.59.11"></a><var>59.11</var>(4) new foster care licenses or community residential setting licenses determined <br/>
<a id="pl.59.12"></a><var>59.12</var>to be needed by the commissioner under paragraph (b) for persons requiring hospital <br/>
<a id="pl.59.13"></a><var>59.13</var>level care; or<br/>
<a id="pl.59.14"></a><var>59.14</var>(5) new foster care licenses or community residential setting licenses determined to <br/>
<a id="pl.59.15"></a><var>59.15</var>be needed by the commissioner for the transition of people from personal care assistance <br/>
<a id="pl.59.16"></a><var>59.16</var>to the home and community-based services.<br/>
<a id="pl.59.17"></a><var>59.17</var>(b) The commissioner shall determine the need for newly licensed foster care <br/>
<a id="pl.59.18"></a><var>59.18</var>homes or community residential settings as defined under this subdivision. As part of the <br/>
<a id="pl.59.19"></a><var>59.19</var>determination, the commissioner shall consider the availability of foster care capacity in <br/>
<a id="pl.59.20"></a><var>59.20</var>the area in which the licensee seeks to operate, and the recommendation of the local <br/>
<a id="pl.59.21"></a><var>59.21</var>county board. The determination by the commissioner must be final. A determination of <br/>
<a id="pl.59.22"></a><var>59.22</var>need is not required for a change in ownership at the same address.<br/>
<a id="pl.59.23"></a><var>59.23</var>(c) When an adult resident served by the program moves out of a foster home <br/>
<a id="pl.59.24"></a><var>59.24</var>that is not the primary residence of the license holder according to section 
         <statute_ref>256B.49, <br/>
<a id="pl.59.25"></a><var>59.25</var>subdivision 15
         </statute_ref>, paragraph (f), or the adult community residential setting, the county <br/>
<a id="pl.59.26"></a><var>59.26</var>shall immediately inform the Department of Human Services Licensing Division. The <br/>
<a id="pl.59.27"></a><var>59.27</var>department shall decrease the statewide licensed capacity for adult foster care settings <br/>
<a id="pl.59.28"></a><var>59.28</var>where the physical location is not the primary residence of the license holder, or for adult <br/>
<a id="pl.59.29"></a><var>59.29</var>community residential settings, if the voluntary changes described in paragraph (e) are <br/>
<a id="pl.59.30"></a><var>59.30</var>not sufficient to meet the savings required by reductions in licensed bed capacity under <br/>
<a id="pl.59.31"></a><var>59.31</var>Laws 2011, First Special Session chapter 9, article 7, sections 1 and 40, paragraph (f), <br/>
<a id="pl.59.32"></a><var>59.32</var>and maintain statewide long-term care residential services capacity within budgetary <br/>
<a id="pl.59.33"></a><var>59.33</var>limits. Implementation of the statewide licensed capacity reduction shall begin on July <br/>
<a id="pl.59.34"></a><var>59.34</var>1, 2013. The commissioner shall delicense up to 128 beds by June 30, 2014, using the <br/>
<a id="pl.59.35"></a><var>59.35</var>needs determination process. Under this paragraph, the commissioner has the authority <br/>
<a id="pl.59.36"></a><var>59.36</var>to reduce unused licensed capacity of a current foster care program, or the community <br/>
<a id="pl.60.1"></a><var>60.1</var>residential settings, to accomplish the consolidation or closure of settings. Under this <br/>
<a id="pl.60.2"></a><var>60.2</var>paragraph, the commissioner has the authority to manage statewide capacity, including <br/>
<a id="pl.60.3"></a><var>60.3</var>adjusting the capacity available to each county and adjusting statewide available capacity, <br/>
<a id="pl.60.4"></a><var>60.4</var>to meet the statewide needs identified through the process in paragraph (e). A decreased <br/>
<a id="pl.60.5"></a><var>60.5</var>licensed capacity according to this paragraph is not subject to appeal under this chapter.<br/>
<a id="pl.60.6"></a><var>60.6</var>(d) Residential settings that would otherwise be subject to the decreased license <br/>
<a id="pl.60.7"></a><var>60.7</var>capacity established in paragraph (c) shall be exempt under the following circumstances:<br/>
<a id="pl.60.8"></a><var>60.8</var>(1) until August 1, 2013, the license holder's beds occupied by residents whose <br/>
<a id="pl.60.9"></a><var>60.9</var>primary diagnosis is mental illness and the license holder is:<br/>
<a id="pl.60.10"></a><var>60.10</var>(i) a provider of assertive community treatment (ACT) or adult rehabilitative mental <br/>
<a id="pl.60.11"></a><var>60.11</var>health services (ARMHS) as defined in section 
<statute_ref>256B.0623</statute_ref>;<br/>
<a id="pl.60.12"></a><var>60.12</var>(ii) a mental health center certified under Minnesota Rules, parts 9520.0750 to <br/>
<a id="pl.60.13"></a><var>60.13</var>9520.0870;<br/>
<a id="pl.60.14"></a><var>60.14</var>(iii) a mental health clinic certified under Minnesota Rules, parts 9520.0750 to <br/>
<a id="pl.60.15"></a><var>60.15</var>9520.0870; or<br/>
<a id="pl.60.16"></a><var>60.16</var>(iv) a provider of intensive residential treatment services (IRTS) licensed under <br/>
<a id="pl.60.17"></a><var>60.17</var>Minnesota Rules, parts 9520.0500 to 9520.0670; or<br/>
<a id="pl.60.18"></a><var>60.18</var>(2)  if the license holder's beds are occupied by residents whose primary diagnosis is <br/>
<a id="pl.60.19"></a><var>60.19</var>mental illness and the license holder is certified under the requirements in subdivision 6a <br/>
<a id="pl.60.20"></a><var>60.20</var>or section 
         <statute_ref>245D.33</statute_ref>.<br/>
<a id="pl.60.21"></a><var>60.21</var>(e) A resource need determination process, managed at the state level, using the <br/>
<a id="pl.60.22"></a><var>60.22</var>available reports required by section 
         <statute_ref>144A.351</statute_ref>, and other data and information shall <br/>
<a id="pl.60.23"></a><var>60.23</var>be used to determine where the reduced capacity required under paragraph (c) will be <br/>
<a id="pl.60.24"></a><var>60.24</var>implemented. The commissioner shall consult with the stakeholders described in section <br/>
<statute_ref><a id="pl.60.25"></a><var>60.25</var>144A.351
         </statute_ref>, and employ a variety of methods to improve the state's capacity to meet <br/>
<a id="pl.60.26"></a><var>60.26</var>long-term care service needs within budgetary limits, including seeking proposals from <br/>
<a id="pl.60.27"></a><var>60.27</var>service providers or lead agencies to change service type, capacity, or location to improve <br/>
<a id="pl.60.28"></a><var>60.28</var>services, increase the independence of residents, and better meet needs identified by the <br/>
<a id="pl.60.29"></a><var>60.29</var>long-term care services reports and statewide data and information. By February 1, 2013, <br/>
<a id="pl.60.30"></a><var>60.30</var>and August 1, 2014, and each following year, the commissioner shall provide information <br/>
<a id="pl.60.31"></a><var>60.31</var>and data on the overall capacity of licensed long-term care services, actions taken under <br/>
<a id="pl.60.32"></a><var>60.32</var>this subdivision to manage statewide long-term care services and supports resources, and <br/>
<a id="pl.60.33"></a><var>60.33</var>any recommendations for change to the legislative committees with jurisdiction over <br/>
<a id="pl.60.34"></a><var>60.34</var>health and human services budget.<br/>
<a id="pl.60.35"></a><var>60.35</var>    (f) At the time of application and reapplication for licensure, the applicant and the <br/>
<a id="pl.60.36"></a><var>60.36</var>license holder that are subject to the moratorium or an exclusion established in paragraph <br/>
<a id="pl.61.1"></a><var>61.1</var>(a) are required to inform the commissioner whether the physical location where the foster <br/>
<a id="pl.61.2"></a><var>61.2</var>care will be provided is or will be the primary residence of the license holder for the entire <br/>
<a id="pl.61.3"></a><var>61.3</var>period of licensure. If the primary residence of the applicant or license holder changes, the <br/>
<a id="pl.61.4"></a><var>61.4</var>applicant or license holder must notify the commissioner immediately. The commissioner <br/>
<a id="pl.61.5"></a><var>61.5</var>shall print on the foster care license certificate whether or not the physical location is the <br/>
<a id="pl.61.6"></a><var>61.6</var>primary residence of the license holder.<br/>
<a id="pl.61.7"></a><var>61.7</var>    (g) License holders of foster care homes identified under paragraph (f) that are not <br/>
<a id="pl.61.8"></a><var>61.8</var>the primary residence of the license holder and that also provide services in the foster care <br/>
<a id="pl.61.9"></a><var>61.9</var>home that are covered by a federally approved home and community-based services <br/>
<a id="pl.61.10"></a><var>61.10</var>waiver, as authorized under section 
         <statute_ref>256B.0915</statute_ref>, 
         <statute_ref>256B.092</statute_ref>, or 
         <statute_ref>256B.49</statute_ref>, must inform the <br/>
<a id="pl.61.11"></a><var>61.11</var>human services licensing division that the license holder provides or intends to provide <br/>
<a id="pl.61.12"></a><var>61.12</var>these waiver-funded services.<br/>
<br/>
<a id="bill.5.3.0"></a><a id="pl.61.13"></a><var>61.13</var>    Sec. 3. Minnesota Statutes 2012, section 245C.04, subdivision 1, is amended to read:<br/>
<a id="pl.61.14"></a><var>61.14</var>    Subdivision 1. <b>Licensed programs.</b> (a) The commissioner shall conduct a <br/>
<a id="pl.61.15"></a><var>61.15</var>background study of an individual required to be studied under section 
         <statute_ref>245C.03, <br/>
<a id="pl.61.16"></a><var>61.16</var>subdivision 1
         </statute_ref>, at least upon application for initial license for all license types.<br/>
<a id="pl.61.17"></a><var>61.17</var>    (b) The commissioner shall conduct a background study of an individual required <br/>
<a id="pl.61.18"></a><var>61.18</var>to be studied under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, at reapplication for a license for <br/>
<a id="pl.61.19"></a><var>61.19</var>family child care.<br/>
<a id="pl.61.20"></a><var>61.20</var>    (c) The commissioner is not required to conduct a study of an individual at the time <br/>
<a id="pl.61.21"></a><var>61.21</var>of reapplication for a license if the individual's background study was completed by the <br/>
<a id="pl.61.22"></a><var>61.22</var>commissioner of human services for an adult foster care license holder that is also: and<br/>
<a id="pl.61.23"></a><var>61.23</var>    (1) registered under chapter 144D; or<br/>
<a id="pl.61.24"></a><var>61.24</var>    (2) licensed to provide home and community-based services to people with <br/>
<a id="pl.61.25"></a><var>61.25</var>disabilities at the foster care location and the license holder does not reside in the foster <br/>
<a id="pl.61.26"></a><var>61.26</var>care residence; and<br/>
<a id="pl.61.27"></a><var>61.27</var>    (3) the following conditions are met:<br/>
<a id="pl.61.28"></a><var>61.28</var>    (i) (1) a study of the individual was conducted either at the time of initial licensure <br/>
<a id="pl.61.29"></a><var>61.29</var>or when the individual became affiliated with the license holder;<br/>
<a id="pl.61.30"></a><var>61.30</var>    (ii) (2) the individual has been continuously affiliated with the license holder since <br/>
<a id="pl.61.31"></a><var>61.31</var>the last study was conducted; and<br/>
<a id="pl.61.32"></a><var>61.32</var>    (iii) (3) the last study of the individual was conducted on or after October 1, 1995.<br/>
<a id="pl.61.33"></a><var>61.33</var>    (d) From July 1, 2007, to June 30, 2009, the commissioner of human services shall <br/>
<a id="pl.61.34"></a><var>61.34</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.61.35"></a><var>61.35</var>time of reapplication for a child foster care license. The county or private agency shall <br/>
<a id="pl.62.1"></a><var>62.1</var>collect and forward to the commissioner the information required under section 
<statute_ref>245C.05</statute_ref>, <br/>
<a id="pl.62.2"></a><var>62.2</var>subdivisions 1, paragraphs (a) and (b), and 5, paragraphs (a) and (b). The background <br/>
<a id="pl.62.3"></a><var>62.3</var>study conducted by the commissioner of human services under this paragraph must <br/>
<a id="pl.62.4"></a><var>62.4</var>include a review of the information required under section 
<statute_ref>245C.08, subdivisions 1</statute_ref>, <br/>
<a id="pl.62.5"></a><var>62.5</var>paragraph (a), clauses (1) to (5), 3, and 4.<br/>
<a id="pl.62.6"></a><var>62.6</var>    (e) (d) The commissioner of human services shall conduct a background study <br/>
<a id="pl.62.7"></a><var>62.7</var>of an individual specified under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), clauses <br/>
<a id="pl.62.8"></a><var>62.8</var>(2) to (6), who is newly affiliated with a child foster care license holder. The county or <br/>
<a id="pl.62.9"></a><var>62.9</var>private agency shall collect and forward to the commissioner the information required <br/>
<a id="pl.62.10"></a><var>62.10</var>under section 
         <statute_ref>245C.05, subdivisions 1</statute_ref> and 5. The background study conducted by the <br/>
<a id="pl.62.11"></a><var>62.11</var>commissioner of human services under this paragraph must include a review of the <br/>
<a id="pl.62.12"></a><var>62.12</var>information required under section 
         <statute_ref>245C.08, subdivisions 1</statute_ref>, 3, and 4.<br/>
<a id="pl.62.13"></a><var>62.13</var>    (f) From January 1, 2010, to December 31, 2012, unless otherwise specified in <br/>
<a id="pl.62.14"></a><var>62.14</var>paragraph (c), the commissioner shall conduct a study of an individual required to <br/>
<a id="pl.62.15"></a><var>62.15</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.62.16"></a><var>62.16</var>or family adult day services license: (1) the county shall collect and forward to the <br/>
<a id="pl.62.17"></a><var>62.17</var>commissioner the information required under section 
<statute_ref>245C.05, subdivision 1</statute_ref>, paragraphs <br/>
<a id="pl.62.18"></a><var>62.18</var>(a) and (b), and subdivision 5, paragraphs (a) and (b), for background studies conducted <br/>
<a id="pl.62.19"></a><var>62.19</var>by the commissioner for all family adult day services and for adult foster care when <br/>
<a id="pl.62.20"></a><var>62.20</var>the adult foster care license holder resides in the adult foster care or family adult day <br/>
<a id="pl.62.21"></a><var>62.21</var>services residence; (2) the license holder shall collect and forward to the commissioner <br/>
<a id="pl.62.22"></a><var>62.22</var>the information required under section 
<statute_ref>245C.05, subdivisions 1</statute_ref>, paragraphs (a) and (b); <br/>
<a id="pl.62.23"></a><var>62.23</var>and 5, paragraphs (a) and (b), for background studies conducted by the commissioner for <br/>
<a id="pl.62.24"></a><var>62.24</var>adult foster care when the license holder does not reside in the adult foster care residence; <br/>
<a id="pl.62.25"></a><var>62.25</var>and (3) the background study conducted by the commissioner under this paragraph must <br/>
<a id="pl.62.26"></a><var>62.26</var>include a review of the information required under section 
<statute_ref>245C.08, subdivision 1</statute_ref>, <br/>
<a id="pl.62.27"></a><var>62.27</var>paragraph (a), clauses (1) to (5), and subdivisions 3 and 4.<br/>
<a id="pl.62.28"></a><var>62.28</var>(g) (e) The commissioner shall conduct a background study of an individual <br/>
<a id="pl.62.29"></a><var>62.29</var>specified under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), clauses (2) to (6), who is <br/>
<a id="pl.62.30"></a><var>62.30</var>newly affiliated with an adult foster care or family adult day services license holder: (1) <br/>
<a id="pl.62.31"></a><var>62.31</var>the county shall collect and forward to the commissioner the information required under <br/>
<a id="pl.62.32"></a><var>62.32</var>section 
         <statute_ref>245C.05, subdivision 1</statute_ref>, paragraphs (a) and (b), and subdivision 5, paragraphs (a) <br/>
<a id="pl.62.33"></a><var>62.33</var>and (b), for background studies conducted by the commissioner for all family adult day <br/>
<a id="pl.62.34"></a><var>62.34</var>services and for adult foster care when the adult foster care license holder resides in <br/>
<a id="pl.62.35"></a><var>62.35</var>the adult foster care residence; (2) the license holder shall collect and forward to the <br/>
<a id="pl.62.36"></a><var>62.36</var>commissioner the information required under section 
         <statute_ref>245C.05, subdivisions 1</statute_ref>, paragraphs <br/>
<a id="pl.63.1"></a><var>63.1</var>(a) and (b); and 5, paragraphs (a) and (b), for background studies conducted by the <br/>
<a id="pl.63.2"></a><var>63.2</var>commissioner for adult foster care when the license holder does not reside in the adult <br/>
<a id="pl.63.3"></a><var>63.3</var>foster care residence; and (3) the background study conducted by the commissioner under <br/>
<a id="pl.63.4"></a><var>63.4</var>this paragraph must include a review of the information required under section 
         <statute_ref>245C.08, <br/>
<a id="pl.63.5"></a><var>63.5</var>subdivision 1
         </statute_ref>, paragraph (a), and subdivisions 3 and 4.<br/>
<a id="pl.63.6"></a><var>63.6</var>(h) (f) Applicants for licensure, license holders, and other entities as provided in <br/>
<a id="pl.63.7"></a><var>63.7</var>this chapter must submit completed background study forms to the commissioner before <br/>
<a id="pl.63.8"></a><var>63.8</var>individuals specified in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, begin positions allowing direct <br/>
<a id="pl.63.9"></a><var>63.9</var>contact in any licensed program.<br/>
<a id="pl.63.10"></a><var>63.10</var>    (i) (g) A license holder must initiate a new background study through the <br/>
<a id="pl.63.11"></a><var>63.11</var>commissioner's online background study system when:<br/>
<a id="pl.63.12"></a><var>63.12</var>    (1) an individual returns to a position requiring a background study following an <br/>
<a id="pl.63.13"></a><var>63.13</var>absence of 90 or more consecutive days; or<br/>
<a id="pl.63.14"></a><var>63.14</var>    (2) a program that discontinued providing licensed direct contact services for 90 or <br/>
<a id="pl.63.15"></a><var>63.15</var>more consecutive days begins to provide direct contact licensed services again.<br/>
<a id="pl.63.16"></a><var>63.16</var>    The license holder shall maintain a copy of the notification provided to <br/>
<a id="pl.63.17"></a><var>63.17</var>the commissioner under this paragraph in the program's files. If the individual's <br/>
<a id="pl.63.18"></a><var>63.18</var>disqualification was previously set aside for the license holder's program and the new <br/>
<a id="pl.63.19"></a><var>63.19</var>background study results in no new information that indicates the individual may pose a <br/>
<a id="pl.63.20"></a><var>63.20</var>risk of harm to persons receiving services from the license holder, the previous set-aside <br/>
<a id="pl.63.21"></a><var>63.21</var>shall remain in effect.<br/>
<a id="pl.63.22"></a><var>63.22</var>    (j) (h) For purposes of this section, a physician licensed under chapter 147 is <br/>
<a id="pl.63.23"></a><var>63.23</var>considered to be continuously affiliated upon the license holder's receipt from the <br/>
<a id="pl.63.24"></a><var>63.24</var>commissioner of health or human services of the physician's background study results.<br/>
<a id="pl.63.25"></a><var>63.25</var>(k) (i) For purposes of family child care, a substitute caregiver must receive repeat <br/>
<a id="pl.63.26"></a><var>63.26</var>background studies at the time of each license renewal.<br/>
<br/>
<a id="bill.5.4.0"></a><a id="pl.63.27"></a><var>63.27</var>    Sec. 4. Minnesota Statutes 2012, section 245C.05, subdivision 5, is amended to read:<br/>
<a id="pl.63.28"></a><var>63.28</var>    Subd. 5. <b>Fingerprints.</b> (a) Except as provided in paragraph (c), for any background <br/>
<a id="pl.63.29"></a><var>63.29</var>study completed under this chapter, when the commissioner has reasonable cause to <br/>
<a id="pl.63.30"></a><var>63.30</var>believe that further pertinent information may exist on the subject of the background <br/>
<a id="pl.63.31"></a><var>63.31</var>study, the subject shall provide the commissioner with a set of classifiable fingerprints <br/>
<a id="pl.63.32"></a><var>63.32</var>obtained from an authorized agency.<br/>
<a id="pl.63.33"></a><var>63.33</var>    (b) For purposes of requiring fingerprints, the commissioner has reasonable cause <br/>
<a id="pl.63.34"></a><var>63.34</var>when, but not limited to, the:<br/>
<a id="pl.64.1"></a><var>64.1</var>    (1) information from the Bureau of Criminal Apprehension indicates that the subject <br/>
<a id="pl.64.2"></a><var>64.2</var>is a multistate offender;<br/>
<a id="pl.64.3"></a><var>64.3</var>    (2) information from the Bureau of Criminal Apprehension indicates that multistate <br/>
<a id="pl.64.4"></a><var>64.4</var>offender status is undetermined; or<br/>
<a id="pl.64.5"></a><var>64.5</var>    (3) commissioner has received a report from the subject or a third party indicating <br/>
<a id="pl.64.6"></a><var>64.6</var>that the subject has a criminal history in a jurisdiction other than Minnesota.<br/>
<a id="pl.64.7"></a><var>64.7</var>    (c) Except as specified under section 
<statute_ref>245C.04, subdivision 1</statute_ref>, paragraph (d), For <br/>
<a id="pl.64.8"></a><var>64.8</var>background studies conducted by the commissioner for child foster care or adoptions, <br/>
<a id="pl.64.9"></a><var>64.9</var>the subject of the background study, who is 18 years of age or older, shall provide the <br/>
<a id="pl.64.10"></a><var>64.10</var>commissioner with a set of classifiable fingerprints obtained from an authorized agency.<br/>
<br/>
<a id="bill.5.5.0"></a><a id="pl.64.11"></a><var>64.11</var>    Sec. 5. Minnesota Statutes 2012, section 626.556, subdivision 3c, is amended to read:<br/>
<a id="pl.64.12"></a><var>64.12</var>    Subd. 3c. <b>Local welfare agency, Department of Human Services or Department </b><br/>
<a id="pl.64.13"></a><var>64.13</var><b>of Health responsible for assessing or investigating reports of maltreatment.</b> (a) <br/>
<a id="pl.64.14"></a><var>64.14</var>The county local welfare agency is the agency responsible for assessing or investigating <br/>
<a id="pl.64.15"></a><var>64.15</var>allegations of maltreatment in child foster care, family child care, legally unlicensed <br/>
<a id="pl.64.16"></a><var>64.16</var>child care, juvenile correctional facilities licensed under section 241.021 located in the <br/>
<a id="pl.64.17"></a><var>64.17</var>local welfare agency's county, and reports involving children served by an unlicensed <br/>
<a id="pl.64.18"></a><var>64.18</var>personal care provider organization under section 
         <statute_ref>256B.0659</statute_ref>. Copies of findings related <br/>
<a id="pl.64.19"></a><var>64.19</var>to personal care provider organizations under section 
         <statute_ref>256B.0659</statute_ref> must be forwarded to <br/>
<a id="pl.64.20"></a><var>64.20</var>the Department of Human Services provider enrollment.<br/>
<a id="pl.64.21"></a><var>64.21</var>(b) The Department of Human Services is the agency responsible for assessing or <br/>
<a id="pl.64.22"></a><var>64.22</var>investigating allegations of maltreatment in facilities licensed under chapters 245A and <br/>
<a id="pl.64.23"></a><var>64.23</var>245B, except for child foster care and family child care.<br/>
<a id="pl.64.24"></a><var>64.24</var>(c) The Department of Health is the agency responsible for assessing or investigating <br/>
<a id="pl.64.25"></a><var>64.25</var>allegations of child maltreatment in facilities licensed under sections 144.50 to 144.58 <br/>
<a id="pl.64.26"></a><var>64.26</var>and 
         <statute_ref>144A.46</statute_ref>.<br/>
<a id="pl.64.27"></a><var>64.27</var>(d) The commissioners of human services, public safety, and education must <br/>
<a id="pl.64.28"></a><var>64.28</var>jointly submit a written report by January 15, 2007, to the education policy and finance <br/>
<a id="pl.64.29"></a><var>64.29</var>committees of the legislature recommending the most efficient and effective allocation <br/>
<a id="pl.64.30"></a><var>64.30</var>of agency responsibility for assessing or investigating reports of maltreatment and must <br/>
<a id="pl.64.31"></a><var>64.31</var>specifically address allegations of maltreatment that currently are not the responsibility <br/>
<a id="pl.64.32"></a><var>64.32</var>of a designated agency.<br/>
<br/>
<a id="bill.5.6.0"></a><a id="pl.64.33"></a><var>64.33</var>    Sec. 6. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.65.1"></a><var>65.1</var>The revisor of statutes shall make necessary technical cross-reference changes in <br/>
<a id="pl.65.2"></a><var>65.2</var>Minnesota Statutes and Minnesota Rules to conform with the sections and parts repealed <br/>
<a id="pl.65.3"></a><var>65.3</var>in articles 1 to 5.<br/>
<br/>
<a id="bill.5.7.0"></a><a id="pl.65.4"></a><var>65.4</var>    Sec. 7. <b>REPEALER.</b><br/>
<a id="pl.65.5"></a><var>65.5</var>Minnesota Statutes 2012, sections 245A.02, subdivision 7b; 245A.09, subdivision <br/>
<a id="pl.65.6"></a><var>65.6</var>12; and 245A.11, subdivision 5, are repealed.<br/>