1.1 	A bill for an act
1.2 	relating to state government; modifying provisions related to continuing care, 
1.3 	health care, MNsure, Health Department, chemical and mental health, children 
1.4 	and families, health-related licensing, human services forecast adjustments, 
1.5 	health and human services appropriations, state government appropriations, state 
1.6 	government, and public safety; making technical changes; adjusting rates for 
1.7 	nursing facilities in border cities; limiting appropriations and transfers to MNsure; 
1.8 	creating licenses relating to orthotics and genetic counselors; modifying fees; 
1.9 	canceling part of the senate carryforward account to the general fund; requiring 
1.10 	savings from reducing salaries in the executive branch, instituting a hiring 
1.11 	freeze, and limiting nonessential travel and advertising; requiring receipts from 
1.12 	examinations by the state auditor be credited to the general fund; transferring 
1.13 	funds in the state auditor enterprise fund to the general fund; suspending the 
1.14 	public subsidy program for state elections to the end of fiscal year 2017; requiring 
1.15 	the legislative auditor to participate in preparing fiscal notes, revenue estimates, 
1.16 	and local impact notes; requiring county payments and political subdivision 
1.17 	payments for state auditor costs be deposited in the general fund; requiring a 
1.18 	centralized tracking list of agency projects over $100,000; limiting fee or fine 
1.19 	increases; requiring disclosure to the legislative auditor on potential federal 
1.20 	penalties for the purchase or sale of state bonds; requiring legislature be notified 
1.21 	of certain costs in state construction projects; requiring approval for certain state 
1.22 	building projects; requiring termination of state grant agreement if recipient is 
1.23 	convicted of a criminal offense related to the grant agreement; prohibiting fees for 
1.24 	general fund grant administration; requiring audit of delegated authority; adding 
1.25 	a provision for targeted group business; limiting number of full-time employees; 
1.26 	changing provisions in the Veterans Preference Act; changing a provision for the 
1.27 	IRRRB; changing payments from the manufactured home relocation trust fund; 
1.28 	requiring a public hearing if a proposed interim ordinance deals with housing; 
1.29 	modifying health insurance provisions related to school districts and certain 
1.30 	self-insurance pools; requiring reports; designating parking ramp financing; 
1.31 	establishing Legislative Surrogacy Commission; requiring a study; increasing 
1.32 	fine for certain traffic violations around school buses; enhancing penalties and 
1.33 	establishing minimum fines for repeat violations of driving without a license; 
1.34 	allowing alcohol use by sensory testing services; extending funding for avian 
1.35 	influenza and agricultural emergency response; authorizing commissioner of 
1.36 	corrections to negotiate for facility to house offenders; providing for a fund 
1.37 	transfer from the correctional industries revolving fund to the general fund; 
1.38 	appropriating money;amending Minnesota Statutes 2014, sections 3.3005, 
1.39 	subdivisions 3, 3b, 4, 5, 6, by adding subdivisions; 3.971, by adding a subdivision; 
2.1 	3.98; 3.987, subdivision 1; 6.56, subdivision 2; 6.581, subdivision 4; 16A.103, by 
2.2 	adding a subdivision; 16A.1283; 16B.335, subdivision 1; 16C.03, subdivision 16; 
2.3 	16C.16, subdivision 5; 16E.0466; 16E.21, subdivision 2, by adding subdivisions; 
2.4 	62J.495, subdivision 4; 62J.496, subdivision 1; 62V.04, subdivisions 2, 3, 4; 
2.5 	62V.05, subdivision 2, by adding subdivisions; 62V.11, by adding a subdivision; 
2.6 	119B.13, subdivision 1; 144.05, by adding a subdivision; 144.293, subdivision 
2.7 	2; 144A.071, subdivisions 4c, 4d; 144A.073, subdivisions 13, 14, by adding a 
2.8 	subdivision; 144A.471, subdivision 9; 144A.611, subdivisions 1, 2, by adding a 
2.9 	subdivision; 144A.75, subdivisions 5, 6, 8, by adding a subdivision; 145.4716, 
2.10 	subdivision 2, by adding a subdivision; 149A.50, subdivision 2; 157.15, 
2.11 	subdivision 14; 169.444, subdivision 2; 171.24; 197.455, subdivision 1; 245.99, 
2.12 	subdivision 2; 254B.03, subdivision 4; 254B.04, subdivision 2a; 254B.06, 
2.13 	subdivision 2, by adding a subdivision; 256.01, by adding a subdivision; 
2.14 	256B.042, by adding a subdivision; 256B.0621, subdivision 10; 256B.0625, by 
2.15 	adding subdivisions; 256B.0644; 256B.0924, by adding a subdivision; 256B.15, 
2.16 	subdivisions 1a, 2, by adding a subdivision; 256D.051, subdivision 6b; 256L.02, 
2.17 	by adding a subdivision; 298.22, subdivision 1; 299A.41, subdivision 3; 327.14, 
2.18 	subdivision 8; 327C.03, subdivision 6; 327C.095, subdivisions 12, 13; 353.01, 
2.19 	subdivision 43; 462.355, subdivision 4; 471.6161, subdivision 8; 471.617, 
2.20 	subdivision 2; 518.175, subdivision 5; 518A.34; 518A.36; 609.3241; 626.558, 
2.21 	subdivisions 1, 2, by adding a subdivision; Minnesota Statutes 2015 Supplement, 
2.22 	sections 6.481, subdivision 6; 62V.03, subdivision 2; 144A.75, subdivision 13; 
2.23 	145.4131, subdivision 1; 149A.92, subdivision 1; 197.46; 245.735, subdivisions 
2.24 	3, 4; 256B.059, subdivision 5; 256B.0625, subdivisions 17a, 18a, 20; 256B.431, 
2.25 	subdivision 36; 256B.441, subdivisions 13, 53, 66; 256B.76, subdivision 2; 
2.26 	256B.766; 518A.26, subdivision 14; 518A.39, subdivision 2; Laws 2015, chapter 
2.27 	65, article 1, section 18; Laws 2015, chapter 71, article 1, section 125; article 14, 
2.28 	sections 2, subdivision 5, as amended; 4, subdivisions 1, 3, 5, 10, 11; 9; Laws 
2.29 	2015, chapter 77, article 1, section 11, subdivision 4; proposing coding for new 
2.30 	law in Minnesota Statutes, chapters 16A; 16B; 43A; 45; 62V; 144; 145; 148; 
2.31 	245A; 254B; 256B; 325E; 518A; proposing coding for new law as Minnesota 
2.32 	Statutes, chapters 147F; 153B; repealing Minnesota Statutes 2014, sections 3.886; 
2.33 	6.581, subdivision 1; 62V.01; 62V.02; 62V.03, subdivisions 1, 3; 62V.04; 62V.05, 
2.34 	subdivisions 1, 2, 3, 4, 5, 9, 10; 62V.06; 62V.07; 62V.08; 62V.09; 62V.10; 62V.11, 
2.35 	subdivisions 1, 2, 4; 144.058; 149A.92, subdivision 11; 179A.50; 179A.51; 
2.36 	179A.52; 179A.53; Minnesota Statutes 2015 Supplement, sections 62V.03, 
2.37 	subdivision 2; 62V.05, subdivisions 6, 7, 8, 11; 62V.051; Minnesota Rules, 
2.38 	parts 7700.0010; 7700.0020; 7700.0030; 7700.0040; 7700.0050; 7700.0060; 
2.39 	7700.0070; 7700.0080; 7700.0090; 7700.0100; 7700.0101; 7700.0105.
2.40 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

2.41 	ARTICLE 1
2.42 	CONTINUING CARE

2.43 	Section 1. [62V.055] ADDITIONAL NOTICE TO APPLICANTS.
2.44 	The board, in consultation with the commissioner of human services, shall include in 
2.45 	the combined application for medical assistance, MinnesotaCare, and qualified health plan 
2.46 	coverage available through the MNsure portal, information and notice on the following: 
2.47 	(1) that when an applicant submits the combined application, eligibility for 
2.48 	subsidized coverage will be determined in the following order:
2.49 	(i) medical assistance;
3.1 	(ii) MinnesotaCare;
3.2 	(iii) advanced premium tax credits and cost-sharing subsidies; and
3.3 	(iv) qualified health plan coverage without a subsidy;
3.4 	(2) persons eligible for medical assistance are not eligible for MinnesotaCare, and 
3.5 	persons eligible for medical assistance or MinnesotaCare are not eligible for advanced 
3.6 	premium tax credits and cost-sharing subsidies; and
3.7 	(3) if a person enrolls in medical assistance, the state may claim repayment for the 
3.8 	cost of medical care or premiums paid for that care from the person's estate.

3.9 	Sec. 2. Minnesota Statutes 2014, section 144A.071, subdivision 4c, is amended to read:
3.10 		Subd. 4c.Exceptions for replacement beds after June 30, 2003. (a) The 
3.11 	commissioner of health, in coordination with the commissioner of human services, may 
3.12 	approve the renovation, replacement, upgrading, or relocation of a nursing home or 
3.13 	boarding care home, under the following conditions:
3.14 	(1) to license and certify an 80-bed city-owned facility in Nicollet County to be 
3.15 	constructed on the site of a new city-owned hospital to replace an existing 85-bed facility 
3.16 	attached to a hospital that is also being replaced. The threshold allowed for this project 
3.17 	under section 144A.073 shall be the maximum amount available to pay the additional 
3.18 	medical assistance costs of the new facility;
3.19 	(2) to license and certify 29 beds to be added to an existing 69-bed facility in St. 
3.20 	Louis County, provided that the 29 beds must be transferred from active or layaway status 
3.21 	at an existing facility in St. Louis County that had 235 beds on April 1, 2003.
3.22 	The licensed capacity at the 235-bed facility must be reduced to 206 beds, but the payment 
3.23 	rate at that facility shall not be adjusted as a result of this transfer. The operating payment 
3.24 	rate of the facility adding beds after completion of this project shall be the same as it was 
3.25 	on the day prior to the day the beds are licensed and certified. This project shall not 
3.26 	proceed unless it is approved and financed under the provisions of section 144A.073;
3.27 	(3) to license and certify a new 60-bed facility in Austin, provided that: (i) 45 of 
3.28 	the new beds are transferred from a 45-bed facility in Austin under common ownership 
3.29 	that is closed and 15 of the new beds are transferred from a 182-bed facility in Albert Lea 
3.30 	under common ownership; (ii) the commissioner of human services is authorized by the 
3.31 	2004 legislature to negotiate budget-neutral planned nursing facility closures; and (iii) 
3.32 	money is available from planned closures of facilities under common ownership to make 
3.33 	implementation of this clause budget-neutral to the state. The bed capacity of the Albert 
3.34 	Lea facility shall be reduced to 167 beds following the transfer. Of the 60 beds at the 
4.1 	new facility, 20 beds shall be used for a special care unit for persons with Alzheimer's 
4.2 	disease or related dementias;
4.3 	(4) to license and certify up to 80 beds transferred from an existing state-owned 
4.4 	nursing facility in Cass County to a new facility located on the grounds of the 
4.5 	Ah-Gwah-Ching campus. The operating cost payment rates for the new facility shall be 
4.6 	determined based on the interim and settle-up payment provisions of Minnesota Rules, 
4.7 	part 9549.0057, and the reimbursement provisions of section 256B.431. The property 
4.8 	payment rate for the first three years of operation shall be $35 per day. For subsequent 
4.9 	years, the property payment rate of $35 per day shall be adjusted for inflation as provided 
4.10 	in section 256B.434, subdivision 4, paragraph (c), as long as the facility has a contract 
4.11 	under section 256B.434;
4.12 	(5) to initiate a pilot program to license and certify up to 80 beds transferred from 
4.13 	an existing county-owned nursing facility in Steele County relocated to the site of a new 
4.14 	acute care facility as part of the county's Communities for a Lifetime comprehensive plan 
4.15 	to create innovative responses to the aging of its population. Upon relocation to the new 
4.16 	site, the nursing facility shall delicense 28 beds. The property payment rate for the first 
4.17 	three years of operation of external fixed costs for the new facility shall be increased by an 
4.18 	amount as calculated according to items (i) to (v):
4.19 	(i) compute the estimated decrease in medical assistance residents served by the 
4.20 	nursing facility by multiplying the decrease in licensed beds by the historical percentage 
4.21 	of medical assistance resident days;
4.22 	(ii) compute the annual savings to the medical assistance program from the 
4.23 	delicensure of 28 beds by multiplying the anticipated decrease in medical assistance 
4.24 	residents, determined in item (i), by the existing facility's weighted average payment rate 
4.25 	multiplied by 365;
4.26 	(iii) compute the anticipated annual costs for community-based services by 
4.27 	multiplying the anticipated decrease in medical assistance residents served by the nursing 
4.28 	facility, determined in item (i), by the average monthly elderly waiver service costs for 
4.29 	individuals in Steele County multiplied by 12;
4.30 	(iv) subtract the amount in item (iii) from the amount in item (ii); and
4.31 	(v) divide the amount in item (iv) by an amount equal to the relocated nursing 
4.32 	facility's occupancy factor under section 256B.431, subdivision 3f, paragraph (c), 
4.33 	multiplied by the historical percentage of medical assistance resident days.; and
4.34 	For subsequent years, the adjusted property payment rate shall be adjusted for 
4.35 	inflation as provided in section 256B.434, subdivision 4, paragraph (c), as long as the 
4.36 	facility has a contract under section 256B.434; and
5.1 	(6) to consolidate and relocate nursing facility beds to a new site in Goodhue County 
5.2 	and to integrate these services with other community-based programs and services under a 
5.3 	communities for a lifetime pilot program and comprehensive plan to create innovative 
5.4 	responses to the aging of its population. Eighty beds in the city of Red Wing shall be 
5.5 	transferred from the downsizing and relocation of an existing 84-bed, hospital-owned 
5.6 	nursing facility and the entire closure or downsizing of beds from a 65-bed nonprofit 
5.7 	nursing facility in the community resulting in the delicensure of 69 beds in the two 
5.8 	existing facilities Two nursing facilities, one for 84 beds and one for 65 beds, in the city of 
5.9 	Red Wing licensed on July 1, 2015, shall be consolidated into a newly renovated 64-bed 
5.10 	nursing facility resulting in the delicensure of 85 beds. Notwithstanding the carryforward 
5.11 	of the approval authority in section 144A.073, subdivision 11, the funding approved in 
5.12 	April 2009 by the commissioner of health for a project in Goodhue County shall not carry 
5.13 	forward. The closure of the 69 85 beds shall not be eligible for a planned closure rate 
5.14 	adjustment under section 256B.437. The construction project permitted in this clause shall 
5.15 	not be eligible for a threshold project rate adjustment under section 256B.434, subdivision 
5.16 	4f. The property payment rate for the first three years of operation ofexternal fixed costs for 
5.17 	the new facility shall be increased by an amount as calculated according to items (i) to (vi):
5.18 	(i) compute the estimated decrease in medical assistance residents served by both 
5.19 	nursing facilities by multiplying the difference between the occupied beds of the two 
5.20 	nursing facilities for the reporting year ending September 30, 2009, and the projected 
5.21 	occupancy of the facility at 95 percent occupancy by the historical percentage of medical 
5.22 	assistance resident days;
5.23 	(ii) compute the annual savings to the medical assistance program from the 
5.24 	delicensure by multiplying the anticipated decrease in the medical assistance residents, 
5.25 	determined in item (i), by the hospital-owned nursing facility weighted average payment 
5.26 	rate multiplied by 365;
5.27 	(iii) compute the anticipated annual costs for community-based services by 
5.28 	multiplying the anticipated decrease in medical assistance residents served by the 
5.29 	facilities, determined in item (i), by the average monthly elderly waiver service costs for 
5.30 	individuals in Goodhue County multiplied by 12;
5.31 	(iv) subtract the amount in item (iii) from the amount in item (ii);
5.32 	(v) multiply the amount in item (iv) by 48.5 57.2 percent; and
5.33 	(vi) divide the difference of the amount in item (iv) and the amount in item (v) by an 
5.34 	amount equal to the relocated nursing facility's occupancy factor under section 256B.431, 
5.35 	subdivision 3f, paragraph (c), multiplied by the historical percentage of medical assistance 
5.36 	resident days.
6.1 	For subsequent years, the adjusted property payment rate shall be adjusted for 
6.2 	inflation as provided in section 256B.434, subdivision 4, paragraph (c), as long as the 
6.3 	facility has a contract under section 256B.434.
6.4 	(b) Projects approved under this subdivision shall be treated in a manner equivalent 
6.5 	to projects approved under subdivision 4a.

6.6 	EFFECTIVE DATE. This section is effective for rate years beginning on or after 
6.7 	January 1, 2017, except that the amendment to paragraph (a), clause (6), transferring the 
6.8 	rate adjustment in items (i) to (vi) from the property payment rate to the payment rate for 
6.9 	external fixed costs, is effective for rate years beginning on or after January 1, 2017, or 
6.10 	upon completion of the closure and new construction authorized in paragraph (a), clause 
6.11 	(6), whichever is later. The commissioner of human services shall notify the revisor 
6.12 	of statutes when the section is effective.

6.13 	Sec. 3. Minnesota Statutes 2014, section 144A.071, subdivision 4d, is amended to read:
6.14 		Subd. 4d.Consolidation of nursing facilities. (a) The commissioner of health, 
6.15 	in consultation with the commissioner of human services, may approve a request for 
6.16 	consolidation of nursing facilities which includes the closure of one or more facilities 
6.17 	and the upgrading of the physical plant of the remaining nursing facility or facilities, 
6.18 	the costs of which exceed the threshold project limit under subdivision 2, clause (a). 
6.19 	The commissioners shall consider the criteria in this section, section 144A.073, and 
6.20 	section 256B.437, in approving or rejecting a consolidation proposal. In the event the 
6.21 	commissioners approve the request, the commissioner of human services shall calculate a 
6.22 	property an external fixed costs rate adjustment according to clauses (1) to (3):
6.23 	(1) the closure of beds shall not be eligible for a planned closure rate adjustment 
6.24 	under section 256B.437, subdivision 6;
6.25 	(2) the construction project permitted in this clause shall not be eligible for a 
6.26 	threshold project rate adjustment under section 256B.434, subdivision 4f, or a moratorium 
6.27 	exception adjustment under section 144A.073; and
6.28 	(3) the property payment rate for external fixed costs for a remaining facility or 
6.29 	facilities shall be increased by an amount equal to 65 percent of the projected net cost 
6.30 	savings to the state calculated in paragraph (b), divided by the state's medical assistance 
6.31 	percentage of medical assistance dollars, and then divided by estimated medical assistance 
6.32 	resident days, as determined in paragraph (c), of the remaining nursing facility or facilities 
6.33 	in the request in this paragraph. The rate adjustment is effective on the later of the first 
6.34 	day of the month following completion of the construction upgrades in the consolidation 
6.35 	plan or the first day of the month following the complete closure of a facility designated 
7.1 	for closure in the consolidation plan. If more than one facility is receiving upgrades in 
7.2 	the consolidation plan, each facility's date of construction completion must be evaluated 
7.3 	separately.
7.4 	(b) For purposes of calculating the net cost savings to the state, the commissioner 
7.5 	shall consider clauses (1) to (7):
7.6 	(1) the annual savings from estimated medical assistance payments from the net 
7.7 	number of beds closed taking into consideration only beds that are in active service on the 
7.8 	date of the request and that have been in active service for at least three years;
7.9 	(2) the estimated annual cost of increased case load of individuals receiving services 
7.10 	under the elderly waiver;
7.11 	(3) the estimated annual cost of elderly waiver recipients receiving support under 
7.12 	group residential housing;
7.13 	(4) the estimated annual cost of increased case load of individuals receiving services 
7.14 	under the alternative care program;
7.15 	(5) the annual loss of license surcharge payments on closed beds;
7.16 	(6) the savings from not paying planned closure rate adjustments that the facilities 
7.17 	would otherwise be eligible for under section 256B.437; and
7.18 	(7) the savings from not paying property external fixed costs payment rate 
7.19 	adjustments from submission of renovation costs that would otherwise be eligible as 
7.20 	threshold projects under section 256B.434, subdivision 4f.
7.21 	(c) For purposes of the calculation in paragraph (a), clause (3), the estimated medical 
7.22 	assistance resident days of the remaining facility or facilities shall be computed assuming 
7.23 	95 percent occupancy multiplied by the historical percentage of medical assistance 
7.24 	resident days of the remaining facility or facilities, as reported on the facility's or facilities' 
7.25 	most recent nursing facility statistical and cost report filed before the plan of closure 
7.26 	is submitted, multiplied by 365.
7.27 	(d) For purposes of net cost of savings to the state in paragraph (b), the average 
7.28 	occupancy percentages will be those reported on the facility's or facilities' most recent 
7.29 	nursing facility statistical and cost report filed before the plan of closure is submitted, and 
7.30 	the average payment rates shall be calculated based on the approved payment rates in 
7.31 	effect at the time the consolidation request is submitted.
7.32 	(e) To qualify for the property external fixed costs payment rate adjustment under 
7.33 	this provision subdivision, the closing facilities shall:
7.34 	(1) submit an application for closure according to section 256B.437, subdivision 
7.35 	3; and
7.36 	(2) follow the resident relocation provisions of section 144A.161.
8.1 	(f) The county or counties in which a facility or facilities are closed under this 
8.2 	subdivision shall not be eligible for designation as a hardship area under section 144A.071, 
8.3 	subdivision 3, for five years from the date of the approval of the proposed consolidation. 
8.4 	The applicant shall notify the county of this limitation and the county shall acknowledge 
8.5 	this in a letter of support.

8.6 	EFFECTIVE DATE. This section is effective for rate years beginning on or after 
8.7 	January 1, 2017.

8.8 	Sec. 4. Minnesota Statutes 2014, section 144A.073, subdivision 13, is amended to read:
8.9 		Subd. 13.Moratorium exception funding. In fiscal year 2013, the commissioner 
8.10 	of health may approve moratorium exception projects under this section for which the 
8.11 	full annualized state share of medical assistance costs does not exceed $1,000,000 plus 
8.12 	any carryover of previous appropriations for this purpose.

8.13 	Sec. 5. Minnesota Statutes 2014, section 144A.073, subdivision 14, is amended to read:
8.14 		Subd. 14.Moratorium exception funding. In fiscal year 2015, the commissioner 
8.15 	of health may approve moratorium exception projects under this section for which the 
8.16 	full annualized state share of medical assistance costs does not exceed $1,000,000 plus 
8.17 	any carryover of previous appropriations for this purpose.

8.18 	Sec. 6. Minnesota Statutes 2014, section 144A.073, is amended by adding a 
8.19 	subdivision to read:
8.20 		Subd. 15.Moratorium exception funding. In fiscal year 2017, the commissioner 
8.21 	may approve moratorium exception projects under this section for which the full 
8.22 	annualized state share of medical assistance costs does not exceed $1,000,000 plus any 
8.23 	carryover of previous appropriations for this purpose.

8.24 	Sec. 7. Minnesota Statutes 2014, section 144A.611, subdivision 1, is amended to read:
8.25 		Subdivision 1.Nursing homes and certified boarding care homes. The actual 
8.26 	costs of tuition and textbooks and reasonable expenses for the competency evaluation 
8.27 	or the nursing assistant training program and competency evaluation approved under 
8.28 	section 144A.61, which are paid to nursing assistants or adult training programs pursuant 
8.29 	to subdivision subdivisions 2 and 4, are a reimbursable expense for nursing homes 
8.30 	and certified boarding care homes under the provisions of chapter 256B and the rules 
8.31 	promulgated thereunder section 256B.431, subdivision 36.

9.1 	Sec. 8. Minnesota Statutes 2014, section 144A.611, subdivision 2, is amended to read:
9.2 		Subd. 2.Nursing assistants Reimbursement for training program and 
9.3 	competency evaluation costs. A nursing assistant who has completed an approved 
9.4 	competency evaluation or an approved training program and competency evaluation 
9.5 	shall be reimbursed by the nursing home or certified boarding care home for actual costs 
9.6 	of tuition and textbooks and reasonable expenses for the competency evaluation or the 
9.7 	training program and competency evaluation 90 days after the date of employment, or 
9.8 	upon completion of the approved training program, whichever is later.

9.9 	Sec. 9. Minnesota Statutes 2014, section 144A.611, is amended by adding a 
9.10 	subdivision to read:
9.11 		Subd. 4.Reimbursement for adult basic education components. (a) Nursing 
9.12 	facilities and certified boarding care homes shall provide reimbursement for costs related 
9.13 	to additional adult basic education components of an approved nursing assistant training 
9.14 	program, to:
9.15 	(1) an adult training program that provided an approved nursing assistant training 
9.16 	program to an employee of the nursing facility or boarding care home; or
9.17 	(2) a nursing assistant who is an employee of the nursing facility or boarding care 
9.18 	home and completed an approved nursing assistant training program provided by an 
9.19 	adult training program.
9.20 	(b) For purposes of this subdivision, adult basic education components of a nursing 
9.21 	assistant training program must include the following, if needed: training in mathematics, 
9.22 	vocabulary, literacy skills, workplace skills, resume writing, and job interview skills. 
9.23 	Reimbursement provided under this subdivision shall not exceed 30 percent of the cost of 
9.24 	tuition, textbooks, and competency evaluation.
9.25 	(c) An adult training program is prohibited from billing program students, nursing 
9.26 	facilities, or certified boarding care homes for costs under this subdivision until the 
9.27 	program student has been employed by the nursing facility as a certified nursing assistant 
9.28 	for at least 90 days.

9.29 	EFFECTIVE DATE. This section is effective for costs incurred on or after October 
9.30 	1, 2016.

9.31 	Sec. 10. Minnesota Statutes 2014, section 256B.042, is amended by adding a 
9.32 	subdivision to read:
9.33 		Subd. 1a.Additional notice to applicants. An application for medical assistance 
9.34 	must include a statement, prominently displayed, that if any person on the application 
10.1 	enrolls in medical assistance, the state may claim repayment for the cost of medical care 
10.2 	or premiums paid for care from that person's estate.

10.3 	Sec. 11. Minnesota Statutes 2015 Supplement, section 256B.059, subdivision 5, 
10.4 	is amended to read:
10.5 		Subd. 5.Asset availability. (a) At the time of initial determination of eligibility for 
10.6 	medical assistance benefits following the first continuous period of institutionalization on 
10.7 	or after October 1, 1989, assets considered available to the institutionalized spouse shall 
10.8 	be the total value of all assets in which either spouse has an ownership interest, reduced by 
10.9 	the following amount for the community spouse:
10.10 	(1) prior to July 1, 1994, the greater of:
10.11 	(i) $14,148;
10.12 	(ii) the lesser of the spousal share or $70,740; or
10.13 	(iii) the amount required by court order to be paid to the community spouse;
10.14 	(2) for persons whose date of initial determination of eligibility for medical 
10.15 	assistance following their first continuous period of institutionalization occurs on or after 
10.16 	July 1, 1994, the greater of:
10.17 	(i) $20,000;
10.18 	(ii) the lesser of the spousal share or $70,740; or
10.19 	(iii) the amount required by court order to be paid to the community spouse.
10.20 	The value of assets transferred for the sole benefit of the community spouse under section 
10.21 	256B.0595, subdivision 4, in combination with other assets available to the community 
10.22 	spouse under this section, cannot exceed the limit for the community spouse asset 
10.23 	allowance determined under subdivision 3 or 4. Assets that exceed this allowance shall 
10.24 	be considered available to the institutionalized spouse. If the community spouse asset 
10.25 	allowance has been increased under subdivision 4, then the assets considered available to 
10.26 	the institutionalized spouse under this subdivision shall be further reduced by the value of 
10.27 	additional amounts allowed under subdivision 4.
10.28 	(b) An institutionalized spouse may be found eligible for medical assistance even 
10.29 	though assets in excess of the allowable amount are found to be available under paragraph 
10.30 	(a) if the assets are owned jointly or individually by the community spouse, and the 
10.31 	institutionalized spouse cannot use those assets to pay for the cost of care without the 
10.32 	consent of the community spouse, and if: 
10.33 	(i) the institutionalized spouse assigns to the commissioner the right to support from 
10.34 	the community spouse under section 256B.14, subdivision 3; 
11.1 	(ii) the institutionalized spouse lacks the ability to execute an assignment due to a 
11.2 	physical or mental impairment; or 
11.3 	(iii) the denial of eligibility would cause an imminent threat to the institutionalized 
11.4 	spouse's health and well-being.; or
11.5 	(iv) the assets in excess of the amount under paragraph (a) are assets owned by the 
11.6 	community spouse, and the denial of eligibility would cause an undue hardship to the 
11.7 	family due to the loss of retirement funds for the community spouse or funds protected for 
11.8 	the postsecondary education of a child under age 25. For purposes of this clause, only 
11.9 	retirement assets held by the community spouse in a tax-deferred retirement account, 
11.10 	including a defined benefit plan, defined contribution plan, an employer-sponsored 
11.11 	individual retirement arrangement, or individually purchased individual retirement 
11.12 	arrangement are protected, and are only protected until the community spouse is eligible to 
11.13 	withdraw retirement funds from any or all accounts without penalty. For purposes of this 
11.14 	clause, only funds in a plan designated under section 529 of the Internal Revenue Code 
11.15 	on behalf of a child of either or both spouses who is under the age of 25 are protected. 
11.16 	There shall not be an assignment of spousal support to the commissioner or a cause of 
11.17 	action against the individual's spouse under section 256B.14, subdivision 3, for the funds 
11.18 	in the protected retirement and college savings accounts.
11.19 	(c) After the month in which the institutionalized spouse is determined eligible for 
11.20 	medical assistance, during the continuous period of institutionalization, no assets of the 
11.21 	community spouse are considered available to the institutionalized spouse, unless the 
11.22 	institutionalized spouse has been found eligible under paragraph (b).
11.23 	(d) Assets determined to be available to the institutionalized spouse under this 
11.24 	section must be used for the health care or personal needs of the institutionalized spouse.
11.25 	(e) For purposes of this section, assets do not include assets excluded under the 
11.26 	Supplemental Security Income program.

11.27 	EFFECTIVE DATE. This section is effective June 1, 2016.

11.28 	Sec. 12. Minnesota Statutes 2014, section 256B.15, subdivision 1a, is amended to read:
11.29 		Subd. 1a.Estates subject to claims. (a) If a person receives any medical assistance 
11.30 	hereunder, on the person's death, if single, or on the death of the survivor of a married 
11.31 	couple, either or both of whom received medical assistance, or as otherwise provided 
11.32 	for in this section, the total amount paid for medical assistance rendered for the person 
11.33 	and spouse shall be filed as a claim against the estate of the person or the estate of the 
11.34 	surviving spouse in the court having jurisdiction to probate the estate or to issue a decree 
11.35 	of descent according to sections 525.31 to 525.313.
12.1 	(b) For the purposes of this section, the person's estate must consist of:
12.2 	(1) the person's probate estate;
12.3 	(2) all of the person's interests or proceeds of those interests in real property the 
12.4 	person owned as a life tenant or as a joint tenant with a right of survivorship at the time of 
12.5 	the person's death;
12.6 	(3) all of the person's interests or proceeds of those interests in securities the person 
12.7 	owned in beneficiary form as provided under sections 524.6-301 to 524.6-311 at the time 
12.8 	of the person's death, to the extent the interests or proceeds of those interests become part 
12.9 	of the probate estate under section 524.6-307;
12.10 	(4) all of the person's interests in joint accounts, multiple-party accounts, and 
12.11 	pay-on-death accounts, brokerage accounts, investment accounts, or the proceeds of 
12.12 	those accounts, as provided under sections 524.6-201 to 524.6-214 at the time of the 
12.13 	person's death to the extent the interests become part of the probate estate under section 
12.14 	524.6-207; and
12.15 	(5) assets conveyed to a survivor, heir, or assign of the person through survivorship, 
12.16 	living trust, or other arrangements.
12.17 	(c) For the purpose of this section and recovery in a surviving spouse's estate for 
12.18 	medical assistance paid for a predeceased spouse, the estate must consist of all of the legal 
12.19 	title and interests the deceased individual's predeceased spouse had in jointly owned or 
12.20 	marital property at the time of the spouse's death, as defined in subdivision 2b, and the 
12.21 	proceeds of those interests, that passed to the deceased individual or another individual, a 
12.22 	survivor, an heir, or an assign of the predeceased spouse through a joint tenancy, tenancy 
12.23 	in common, survivorship, life estate, living trust, or other arrangement. A deceased 
12.24 	recipient who, at death, owned the property jointly with the surviving spouse shall have 
12.25 	an interest in the entire property.
12.26 	(d) For the purpose of recovery in a single person's estate or the estate of a survivor 
12.27 	of a married couple, "other arrangement" includes any other means by which title to all or 
12.28 	any part of the jointly owned or marital property or interest passed from the predeceased 
12.29 	spouse to another including, but not limited to, transfers between spouses which are 
12.30 	permitted, prohibited, or penalized for purposes of medical assistance.
12.31 	(e) A claim shall be filed if medical assistance was rendered for either or both 
12.32 	persons under one of the following circumstances:
12.33 	(1) the person was over 55 years of age, and received services under this chapter 
12.34 	prior to January 1, 2014;
12.35 	(2) the person resided in a medical institution for six months or longer, received 
12.36 	services under this chapter, and, at the time of institutionalization or application for 
13.1 	medical assistance, whichever is later, the person could not have reasonably been expected 
13.2 	to be discharged and returned home, as certified in writing by the person's treating 
13.3 	physician. For purposes of this section only, a "medical institution" means a skilled 
13.4 	nursing facility, intermediate care facility, intermediate care facility for persons with 
13.5 	developmental disabilities, nursing facility, or inpatient hospital; or
13.6 	(3) the person received general assistance medical care services under chapter 
13.7 	256D.; or
13.8 	(4) the person was 55 years of age or older and received medical assistance 
13.9 	services on or after January 1, 2014, that consisted of nursing facility services, home and 
13.10 	community-based services, or related hospital and prescription drug benefits.
13.11 	(f) The claim shall be considered an expense of the last illness of the decedent for 
13.12 	the purpose of section 524.3-805. Notwithstanding any law or rule to the contrary, a 
13.13 	state or county agency with a claim under this section must be a creditor under section 
13.14 	524.6-307. Any statute of limitations that purports to limit any county agency or the state 
13.15 	agency, or both, to recover for medical assistance granted hereunder shall not apply to any 
13.16 	claim made hereunder for reimbursement for any medical assistance granted hereunder. 
13.17 	Notice of the claim shall be given to all heirs and devisees of the decedent, and to other 
13.18 	persons with an ownership interest in the real property owned by the decedent at the time 
13.19 	of the decedent's death, whose identity can be ascertained with reasonable diligence. The 
13.20 	notice must include procedures and instructions for making an application for a hardship 
13.21 	waiver under subdivision 5; time frames for submitting an application and determination; 
13.22 	and information regarding appeal rights and procedures. Counties are entitled to one-half 
13.23 	of the nonfederal share of medical assistance collections from estates that are directly 
13.24 	attributable to county effort. Counties are entitled to ten percent of the collections for 
13.25 	alternative care directly attributable to county effort.

13.26 	EFFECTIVE DATE. This section is effective upon federal approval and applies 
13.27 	retroactively to services rendered on or after January 1, 2014.

13.28 	Sec. 13. Minnesota Statutes 2014, section 256B.15, is amended by adding a 
13.29 	subdivision to read:
13.30 		Subd. 1l.Amending notices or liens arising out of notice. (a) State agencies must 
13.31 	amend notices of potential claims and liens arising from the notices, if the notice was filed 
13.32 	after January 1, 2014, for medical assistance services rendered on or after January 1, 2014, 
13.33 	to a recipient who at the time services were rendered was 55 years of age or older and who 
13.34 	was not institutionalized as described in subdivision 1a, paragraph (e).
14.1 	(b) The notices identified in paragraph (a) must be amended by removing the 
14.2 	amount of medical assistance rendered that did not consist of nursing facility services, 
14.3 	home and community-based services, as defined in subdivision 1a and related hospital 
14.4 	and prescription drug services.

14.5 	EFFECTIVE DATE. This section is effective the day following final enactment.

14.6 	Sec. 14. Minnesota Statutes 2014, section 256B.15, subdivision 2, is amended to read:
14.7 		Subd. 2.Limitations on claims. (a) For services rendered prior to January 1, 2014, 
14.8 	the claim shall include only the total amount of medical assistance rendered after age 55 or 
14.9 	during a period of institutionalization described in subdivision 1a, paragraph (e), and the 
14.10 	total amount of general assistance medical care rendered, and shall not include interest. 
14.11 	(b) For services rendered on or after January 1, 2014, the claim shall include only:
14.12 	(1) the amount of medical assistance rendered to recipients 55 years of age or older 
14.13 	and that consisted of nursing facility services, home and community-based services, and 
14.14 	related hospital and prescription drug services; and
14.15 	(2) the total amount of medical assistance rendered during a period of 
14.16 	institutionalization described in subdivision 1a, paragraph (e).
14.17 	The claim shall not include interest. For the purposes of this section, "home and 
14.18 	community-based services" has the same meaning it has when used in United States Code, 
14.19 	title 42, section 1396p, subsection (b), paragraph (1), subparagraph (B), clause (i).
14.20 	(c) Claims that have been allowed but not paid shall bear interest according to 
14.21 	section 524.3-806, paragraph (d). A claim against the estate of a surviving spouse who did 
14.22 	not receive medical assistance, for medical assistance rendered for the predeceased spouse, 
14.23 	shall be payable from the full value of all of the predeceased spouse's assets and interests 
14.24 	which are part of the surviving spouse's estate under subdivisions 1a and 2b. Recovery of 
14.25 	medical assistance expenses in the nonrecipient surviving spouse's estate is limited to the 
14.26 	value of the assets of the estate that were marital property or jointly owned property at any 
14.27 	time during the marriage. The claim is not payable from the value of assets or proceeds of 
14.28 	assets in the estate attributable to a predeceased spouse whom the individual married after 
14.29 	the death of the predeceased recipient spouse for whom the claim is filed or from assets 
14.30 	and the proceeds of assets in the estate which the nonrecipient decedent spouse acquired 
14.31 	with assets which were not marital property or jointly owned property after the death of 
14.32 	the predeceased recipient spouse. Claims for alternative care shall be net of all premiums 
14.33 	paid under section 256B.0913, subdivision 12, on or after July 1, 2003, and shall be 
15.1 	limited to services provided on or after July 1, 2003. Claims against marital property shall 
15.2 	be limited to claims against recipients who died on or after July 1, 2009.

15.3 	EFFECTIVE DATE. This section is effective upon federal approval and applies to 
15.4 	services rendered on or after January 1, 2014.

15.5 	Sec. 15. Minnesota Statutes 2015 Supplement, section 256B.431, subdivision 36, 
15.6 	is amended to read:
15.7 		Subd. 36.Employee scholarship costs and training in English as a second 
15.8 	language. (a) For the period between July 1, 2001, and June 30, 2003, the commissioner 
15.9 	shall provide to each nursing facility reimbursed under this section, section 256B.434, 
15.10 	or any other section, a scholarship per diem of 25 cents to the total operating payment 
15.11 	rate. For the 27-month period beginning October 1, 2015, through December 31, 2017, 
15.12 	the commissioner shall allow a scholarship per diem of up to 25 cents for each nursing 
15.13 	facility with no scholarship per diem that is requesting a scholarship per diem to be added 
15.14 	to the external fixed payment rate to be used:
15.15 	(1) for employee scholarships that satisfy the following requirements:
15.16 	(i) scholarships are available to all employees who work an average of at least 
15.17 	ten hours per week at the facility except the administrator, and to reimburse student 
15.18 	loan expenses for newly hired and recently graduated registered nurses and licensed 
15.19 	practical nurses, and training expenses for nursing assistants as definedspecified in section 
15.20 	144A.611, subdivision subdivisions 2 and 4, who are newly hired and have graduated 
15.21 	within the last 12 months; and
15.22 	(ii) the course of study is expected to lead to career advancement with the facility or 
15.23 	in long-term care, including medical care interpreter services and social work; and
15.24 	(2) to provide job-related training in English as a second language.
15.25 	(b) All facilities may annually request a rate adjustment under this subdivision by 
15.26 	submitting information to the commissioner on a schedule and in a form supplied by the 
15.27 	commissioner. The commissioner shall allow a scholarship payment rate equal to the 
15.28 	reported and allowable costs divided by resident days.
15.29 	(c) In calculating the per diem under paragraph (b), the commissioner shall allow 
15.30 	costs related to tuition, direct educational expenses, and reasonable costs as defined by the 
15.31 	commissioner for child care costs and transportation expenses related to direct educational 
15.32 	expenses.
15.33 	(d) The rate increase under this subdivision is an optional rate add-on that the facility 
15.34 	must request from the commissioner in a manner prescribed by the commissioner. The 
15.35 	rate increase must be used for scholarships as specified in this subdivision.
16.1 	(e) For instances in which a rate adjustment will be 15 cents or greater, nursing 
16.2 	facilities that close beds during a rate year may request to have their scholarship 
16.3 	adjustment under paragraph (b) recalculated by the commissioner for the remainder of the 
16.4 	rate year to reflect the reduction in resident days compared to the cost report year.

16.5 	Sec. 16. Minnesota Statutes 2015 Supplement, section 256B.441, subdivision 13, 
16.6 	is amended to read:
16.7 		Subd. 13.External fixed costs. "External fixed costs" means costs related to the 
16.8 	nursing home surcharge under section 256.9657, subdivision 1; licensure fees under 
16.9 	section 144.122; family advisory council fee under section 144A.33; scholarships under 
16.10 	section 256B.431, subdivision 36; planned closure rate adjustments under section 
16.11 	256B.437; consolidation rate adjustments under section 144A.071, subdivisions 4c, 
16.12 	paragraph (a), clauses (5) and (6), and 4d; single bed room incentives under section 
16.13 	256B.431, subdivision 42; property taxes, assessments, and payments in lieu of taxes; 
16.14 	employer health insurance costs; quality improvement incentive payment rate adjustments 
16.15 	under subdivision 46c; performance-based incentive payments under subdivision 46d; 
16.16 	special dietary needs under subdivision 51b; and PERA.

16.17 	Sec. 17. Minnesota Statutes 2015 Supplement, section 256B.441, subdivision 53, 
16.18 	is amended to read:
16.19 		Subd. 53.Calculation of payment rate for external fixed costs. The commissioner 
16.20 	shall calculate a payment rate for external fixed costs.
16.21 	(a) For a facility licensed as a nursing home, the portion related to section 256.9657 
16.22 	shall be equal to $8.86. For a facility licensed as both a nursing home and a boarding care 
16.23 	home, the portion related to section 256.9657 shall be equal to $8.86 multiplied by the 
16.24 	result of its number of nursing home beds divided by its total number of licensed beds.
16.25 	(b) The portion related to the licensure fee under section 144.122, paragraph (d), 
16.26 	shall be the amount of the fee divided by actual resident days.
16.27 	(c) The portion related to development and education of resident and family advisory 
16.28 	councils under section 144A.33 shall be $5 divided by 365.
16.29 	(d) The portion related to scholarships shall be determined under section 256B.431, 
16.30 	subdivision 36.
16.31 	(e) The portion related to planned closure rate adjustments shall be as determined 
16.32 	under section 256B.437, subdivision 6, and Minnesota Statutes 2010, section 256B.436.
16.33 	(f) The portion related to consolidation rate adjustments shall be as determined under 
16.34 	section 144A.071, subdivisions 4c, paragraph (a), clauses (5) and (6), and 4d.
17.1 	(f) (g) The single bed room incentives shall be as determined under section 
17.2 	256B.431, subdivision 42.
17.3 	(g) (h) The portions related to real estate taxes, special assessments, and payments 
17.4 	made in lieu of real estate taxes directly identified or allocated to the nursing facility shall 
17.5 	be the actual amounts divided by actual resident days.
17.6 	(h) (i) The portion related to employer health insurance costs shall be the allowable 
17.7 	costs divided by resident days.
17.8 	(i) (j) The portion related to the Public Employees Retirement Association shall 
17.9 	be actual costs divided by resident days.
17.10 	(j) (k) The portion related to quality improvement incentive payment rate 
17.11 	adjustments shall be as determined under subdivision 46c.
17.12 	(k) (l) The portion related to performance-based incentive payments shall be as 
17.13 	determined under subdivision 46d.
17.14 	(l) (m) The portion related to special dietary needs shall be the per diem amount 
17.15 	determined under subdivision 51b.
17.16 	(m) (n) The payment rate for external fixed costs shall be the sum of the amounts in 
17.17 	paragraphs (a) to (l) (m).

17.18 	Sec. 18. Minnesota Statutes 2015 Supplement, section 256B.441, subdivision 66, 
17.19 	is amended to read:
17.20 		Subd. 66.Nursing facilities in border cities. (a) Rate increases under this section 
17.21 	for a facility located in Breckenridge are effective for the rate year beginning January 1, 
17.22 	2016, and annually thereafter,. Rate increases under this section for a facility located in 
17.23 	Moorhead are effective for the rate year beginning January 1, 2020, and annually thereafter.
17.24 	(b) Operating payment rates of a nonprofit nursing facility that exists on January 
17.25 	1, 2015, is located anywhere within the boundaries of the city cities of Breckenridge or 
17.26 	Moorhead, and is reimbursed under this section, section 256B.431, or section 256B.434, 
17.27 	shall be adjusted to be equal to the median RUG's rates, including comparable rate 
17.28 	components as determined by the commissioner, for the equivalent RUG's weight of the 
17.29 	nonprofit nursing facility or facilities located in an adjacent city in another state and in 
17.30 	cities contiguous to the adjacent city. The commissioner must make the comparison 
17.31 	required under this subdivision on October 1 of each year. The adjustment under this 
17.32 	subdivision applies to the rates effective on the following January 1.
17.33 	(c) The Minnesota facility's operating payment rate with a weight of 1.0 shall be 
17.34 	computed by dividing the adjacent city's nursing facilities median operating payment rate 
17.35 	with a weight of 1.02 by 1.02. If the adjustments under this subdivision result in a rate that 
18.1 	exceeds the limits in subdivisions 50 and 51 in a given rate year, the facility's rate shall 
18.2 	not be subject to those limits for that rate year. If a facility's rate is increased under this 
18.3 	subdivision, the facility is not subject to the total care-related limit in subdivision 50 and is 
18.4 	not limited to the other operating price established in subdivision 51. This subdivision 
18.5 	shall apply only if it results in a higher operating payment rate than would otherwise be 
18.6 	determined under this section, section 256B.431, or section 256B.434.

18.7 	Sec. 19. EMPLOYMENT SERVICES PILOT PROJECT; DAKOTA COUNTY.
 18.8 	(a) Within available appropriations, the commissioner of human services shall 
18.9 	request, by October 1, 2016, necessary federal authority from the Centers for Medicare 
18.10 	and Medicaid Services to implement a community-based employment services pilot 
18.11 	project in Dakota County. The pilot project must be available to people who are receiving 
18.12 	services through home and community-based waivers authorized under Minnesota 
18.13 	Statutes, sections 256B.092 and 256B.49, using a rate methodology consistent with the 
18.14 	principles under Minnesota Statutes, section 256B.4914.
18.15 	(b) Dakota County shall be:
18.16 	(1) responsible for any portion of the state match of waiver expenses above the 
18.17 	established disability waiver rates under Minnesota Statutes, section 256B.4914; and 
18.18 	(2) allocated resources for supportive employment services incurred by the use of 
18.19 	employment exploration services, employment development services, and employment 
18.20 	support services in Dakota County for Dakota County residents.
18.21 	(c) The pilot project must provide the following employment services to people 
18.22 	receiving services through the home and community-based services waivers authorized 
18.23 	under Minnesota Statutes, sections 256B.092 and 256B.49:
18.24 	(1) "employment exploration services" defined as community-based orientation 
18.25 	services that introduce a person to competitive employment opportunities in their 
18.26 	community through individualized educational activities, learning opportunities, work 
18.27 	experiences, and support services that result in the person making an informed decision 
18.28 	about working in competitively paying jobs in community businesses;
18.29 	(2) "employment development services" defined as individualized services that 
18.30 	actively support a person to achieve paid employment in his or her community by assisting 
18.31 	the person with finding paid employment, becoming self-employed, or establishing 
18.32 	microenterprise businesses in the community; and 
18.33 	(3) "employment support services" defined as individualized services and supports 
18.34 	that assist people with maintaining competitive, integrated employment by providing a 
18.35 	broad range of training, coaching, and support strategies that not only assist individuals 
19.1 	and workgroups employed in paid job positions, but also support people working in 
19.2 	self-employment opportunities and microenterprise businesses with all aspects of effective 
19.3 	business operations. Employment support services must be provided in integrated 
19.4 	community settings.
19.5 	(d) The commissioner of human services shall consult with Dakota County on 
19.6 	this pilot project and report the results of the project to the chairs and ranking minority 
19.7 	members of the legislative committees with jurisdiction over human services policy and 
19.8 	finance by January 15, 2019.

19.9 	EFFECTIVE DATE. This section is effective July 1, 2016, or upon federal 
19.10 	approval, whichever is later, and expires on January 15, 2019. The commissioner of 
19.11 	human services shall notify the revisor of statutes when federal approval is obtained.

19.12 	Sec. 20. REVISOR'S INSTRUCTION.
 19.13 	The revisor of statutes, in consultation with the Department of Human Services, 
19.14 	shall change the cross-references in Minnesota Rules, chapters 2960, 9503, and 9525, 
19.15 	resulting from the repealer adopted in rules found at 40 State Register 179. The revisor 
19.16 	may make technical and other necessary changes to sentence structure to preserve the 
19.17 	meaning of the text.

19.18 	EFFECTIVE DATE. This section is effective the day following final enactment.

19.19 	ARTICLE 2
19.20 	HEALTH CARE

19.21 	Section 1. [256B.0562] IMPROVED OVERSIGHT OF MNSURE ELIGIBILITY 
19.22 	DETERMINATIONS.
19.23 		Subdivision 1.Implementation of OLA findings. (a) The commissioner shall 
19.24 	ensure that medical assistance and MinnesotaCare eligibility determinations through the 
19.25 	MNsure information technology system and through agency eligibility determination 
19.26 	systems fully implement the recommendations made by the Office of the Legislative 
19.27 	Auditor (OLA) in Report 14-22 -- Oversight of MNsure Eligibility Determinations 
19.28 	for Public Health Care Programs and Report 16-02 Oversight of MNsure Eligibility 
19.29 	Determinations for Public Health Care Programs -- Internal Controls and Compliance Audit.
19.30 	(b) The commissioner may contract with a vendor to provide technical assistance to 
19.31 	the commissioner in fully implementing the OLA report findings.
19.32 	(c) The commissioner shall coordinate implementation of this section with the 
19.33 	periodic data matching required under section 256B.0561.
20.1 	(d) The commissioner shall implement this section using existing resources.
20.2 		Subd. 2.Duties of the commissioner. (a) In fully implementing the OLA report 
20.3 	recommendations, the commissioner shall:
20.4 	(1) adequately verify that persons enrolled in public health care programs through 
20.5 	MNsure are eligible for those programs;
20.6 	(2) provide adequate controls to ensure the accurate and complete transfer of 
20.7 	recipient data from MNsure to the Department of Human Services' medical payment 
20.8 	system, and to detect whether Office of MN.IT Services staff inappropriately access 
20.9 	recipients' personal information;
20.10 	(3) provide county human service eligibility workers with sufficient training on 
20.11 	MNsure;
20.12 	(4) reverify that medical assistance and MinnesotaCare enrollees who enroll through 
20.13 	MNsure remain eligible for the program within the required time frames established 
20.14 	in federal and state laws;
20.15 	(5) establish an effective process to resolve discrepancies with Social Security 
20.16 	numbers, citizenship or immigration status, or household income that MNsure identifies 
20.17 	as needing further verification;
20.18 	(6) eliminate payment of medical assistance and MinnesotaCare benefits for 
20.19 	recipients whose income exceeds federal and state program limits;
20.20 	(7) verify household size and member relationships when determining eligibility;
20.21 	(8) ensure that applicants and recipients are enrolled in the correct public health 
20.22 	care program;
20.23 	(9) eliminate payment of benefits for MinnesotaCare recipients who are also 
20.24 	enrolled in Medicare;
20.25 	(10) verify that newborns turning age one remain eligible for medical assistance;
20.26 	(11) correct MinnesotaCare billing errors, ensure that enrollees pay their premiums, 
20.27 	and terminate coverage for failure to pay premiums; and
20.28 	(12) take all other steps necessary to fully implement the recommendations.
20.29 	(b) The commissioner shall implement the OLA recommendations for medical 
20.30 	assistance and MinnesotaCare applications and renewals submitted on or after July 1, 2016. 
20.31 	The commissioner shall present quarterly reports to the OLA and the chairs and ranking 
20.32 	minority members of the legislative committees with jurisdiction over health and human 
20.33 	services policy and finance, beginning October 1, 2016, and each quarter thereafter. The 
20.34 	quarterly report submitted October 1, 2016, must include a timetable for fully implementing 
20.35 	the OLA recommendations. Each quarterly report must include information on:
20.36 	(1) progress in implementing the OLA recommendations;
21.1 	(2) the number of medical assistance and MinnesotaCare applicants and enrollees 
21.2 	whose eligibility status was affected by implementation of the OLA recommendations, 
21.3 	reported quarterly, beginning with the July 1, 2016 through September 30, 2016 calendar 
21.4 	quarter; and
21.5 	(3) savings to the state from implementing the OLA recommendations.
21.6 		Subd. 3.Office of Legislative Auditor. The legislative auditor shall review each 
21.7 	quarterly report submitted by the commissioner of human services under subdivision 2 
21.8 	for accuracy and shall review compliance by the Department of Human Services with the 
21.9 	OLA report recommendations.  The legislative auditor shall notify the chairs and ranking 
21.10 	minority members of the legislative committees with jurisdiction over health and human 
21.11 	services policy and finance on whether or not these requirements are met.
21.12 		Subd. 4.Special revenue account; use of savings. (a) A medical assistance 
21.13 	audit special revenue account is established in the general fund. The commissioner 
21.14 	shall deposit into this account all savings achieved from implementing this section for 
21.15 	applications and renewals submitted on or after July 1, 2016, and all savings achieved 
21.16 	from implementation of periodic data matching under section 256B.0561 that are above 
21.17 	the forecasted savings for that initiative.
21.18 	(b) Once the medical assistance audit special revenue account fund balance has 
21.19 	reached a sufficient level, the commissioner shall provide a onetime, five percent increase 
21.20 	in medical assistance payment rates for intermediate care facilities for persons with 
21.21 	developmental disabilities and the long-term care and community-based providers listed 
21.22 	in Laws 2014, chapter 312, article 27, section 75, paragraph (b). The increase shall be 
21.23 	limited to a 12-month period.
21.24 	(c) Any further expenditures from the medical assistance audit special revenue 
21.25 	account are subject to legislative authorization.

21.26 	EFFECTIVE DATE. This section is effective the day following final enactment.

21.27 	Sec. 2. Minnesota Statutes 2015 Supplement, section 256B.0625, subdivision 17a, 
21.28 	is amended to read:
21.29 		Subd. 17a.Payment for ambulance services. (a) Medical assistance covers 
21.30 	ambulance services. Providers shall bill ambulance services according to Medicare 
21.31 	criteria. Nonemergency ambulance services shall not be paid as emergencies. Effective 
21.32 	for services rendered on or after July 1, 2001, medical assistance payments for ambulance 
21.33 	services shall be paid at the Medicare reimbursement rate or at the medical assistance 
21.34 	payment rate in effect on July 1, 2000, whichever is greater.
22.1 	(b) Effective for services provided on or after July 1, 2016, medical assistance 
22.2 	payment rates for ambulance services identified in this paragraph are increased by five 
22.3 	percent. Capitation payments made to managed care plans and county-based purchasing 
22.4 	plans for ambulance services provided on or after January 1, 2017, shall be adjusted to 
22.5 	reflect this rate increase. The increased rate described in this paragraph applies to:
22.6 	(1) an ambulance service provider whose base of operations, as defined in section 
22.7 	144E.10, is located outside the metropolitan counties listed in section 473.121, subdivision 
22.8 	4, and outside the cities of Duluth, Mankato, Moorhead, St. Cloud, and Rochester; or
22.9 	(2) an ambulance service provider whose base of operations, as defined in section 
22.10 	144E.10, is located within a municipality with a population of less than 1,000.

22.11 	Sec. 3. Minnesota Statutes 2014, section 256B.0625, is amended by adding a 
22.12 	subdivision to read:
22.13 		Subd. 60a.Community emergency medical technician services. (a) Medical 
22.14 	assistance covers services provided by a community emergency medical technician 
22.15 	(CEMT) who is certified under section 144E.275, subdivision 7, when the services are 
22.16 	provided in accordance with this subdivision.
22.17 	(b) A CEMT may provide a posthospital discharge visit when ordered by a treating 
22.18 	physician. The posthospital discharge visit includes:
22.19 	(1) verbal or visual reminders of discharge orders;
22.20 	(2) recording and reporting of vital signs to the patient's primary care provider;
22.21 	(3) medication access confirmation;
22.22 	(4) food access confirmation; and
22.23 	(5) identification of home hazards.
22.24 	(c) Individuals who have repeat ambulance calls due to falls, have been discharged 
22.25 	from a nursing home, or have been identified by their primary care provider as at risk 
22.26 	for nursing home placement may receive a safety evaluation visit from a CEMT when 
22.27 	ordered by a primary care provider in accordance with the individual's care plan. A safety 
22.28 	evaluation visit includes:
22.29 	(1) medication access confirmation;
22.30 	(2) food access confirmation; and
22.31 	(3) identification of home hazards.
22.32 	(d) A CEMT shall be paid at $9.75 per 15-minute increment. A safety evaluation visit 
22.33 	may not be billed for the same day as a posthospital discharge visit for the same recipient.

22.34 	EFFECTIVE DATE. This section is effective January 1, 2017, or upon federal 
22.35 	approval, whichever is later.

23.1 	Sec. 4. Minnesota Statutes 2014, section 256B.0644, is amended to read:
23.2 	256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE 
23.3 	PROGRAMS.
23.4 	(a) A vendor of medical care, as defined in section 256B.02, subdivision 7, and a 
23.5 	health maintenance organization, as defined in chapter 62D, must participate as a provider 
23.6 	or contractor in the medical assistance program and MinnesotaCare as a condition of 
23.7 	participating as a provider in health insurance plans and programs or contractor for state 
23.8 	employees established under section 43A.18, the public employees insurance program 
23.9 	under section 43A.316, for health insurance plans offered to local statutory or home 
23.10 	rule charter city, county, and school district employees, the workers' compensation 
23.11 	system under section 176.135, and insurance plans provided through the Minnesota 
23.12 	Comprehensive Health Association under sections 62E.01 to 62E.19. The limitations 
23.13 	on insurance plans offered to local government employees shall not be applicable in 
23.14 	geographic areas where provider participation is limited by managed care contracts 
23.15 	with the Department of Human Services. This section does not apply to dental service 
23.16 	providers providing dental services outside the seven-county metropolitan area.
23.17 	(b) For providers other than health maintenance organizations, participation in the 
23.18 	medical assistance program means that:
23.19 	(1) the provider accepts new medical assistance and MinnesotaCare patients;
23.20 	(2) for providers other than dental service providers, at least 20 percent of the 
23.21 	provider's patients are covered by medical assistance and MinnesotaCare as their primary 
23.22 	source of coverage; or
23.23 	(3) for dental service providers providing dental services in the seven-county 
23.24 	metropolitan area, at least ten percent of the provider's patients are covered by medical 
23.25 	assistance and MinnesotaCare as their primary source of coverage, or the provider accepts 
23.26 	new medical assistance and MinnesotaCare patients who are children with special health 
23.27 	care needs. For purposes of this section, "children with special health care needs" means 
23.28 	children up to age 18 who: (i) require health and related services beyond that required 
23.29 	by children generally; and (ii) have or are at risk for a chronic physical, developmental, 
23.30 	behavioral, or emotional condition, including: bleeding and coagulation disorders; 
23.31 	immunodeficiency disorders; cancer; endocrinopathy; developmental disabilities; 
23.32 	epilepsy, cerebral palsy, and other neurological diseases; visual impairment or deafness; 
23.33 	Down syndrome and other genetic disorders; autism; fetal alcohol syndrome; and other 
23.34 	conditions designated by the commissioner after consultation with representatives of 
23.35 	pediatric dental providers and consumers.
24.1 	(c) Patients seen on a volunteer basis by the provider at a location other than 
24.2 	the provider's usual place of practice may be considered in meeting the participation 
24.3 	requirement in this section. The commissioner shall establish participation requirements 
24.4 	for health maintenance organizations. The commissioner shall provide lists of participating 
24.5 	medical assistance providers on a quarterly basis to the commissioner of management and 
24.6 	budget, the commissioner of labor and industry, and the commissioner of commerce. Each 
24.7 	of the commissioners shall develop and implement procedures to exclude as participating 
24.8 	providers in the program or programs under their jurisdiction those providers who do 
24.9 	not participate in the medical assistance program. The commissioner of management 
24.10 	and budget shall implement this section through contracts with participating health and 
24.11 	dental carriers.
24.12 	(d) A volunteer dentist who has signed a volunteer agreement under section 
24.13 	256B.0625, subdivision 9a, shall not be considered to be participating in medical 
24.14 	assistance or MinnesotaCare for the purpose of this section.

24.15 	Sec. 5. Minnesota Statutes 2015 Supplement, section 256B.76, subdivision 2, is 
24.16 	amended to read:
24.17 		Subd. 2.Dental reimbursement.  (a) Effective for services rendered on or after 
24.18 	October 1, 1992, the commissioner shall make payments for dental services as follows:
24.19 	(1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25 
24.20 	percent above the rate in effect on June 30, 1992; and
24.21 	(2) dental rates shall be converted from the 50th percentile of 1982 to the 50th 
24.22 	percentile of 1989, less the percent in aggregate necessary to equal the above increases.
24.23 	(b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments 
24.24 	shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.
24.25 	(c) Effective for services rendered on or after January 1, 2000, payment rates for 
24.26 	dental services shall be increased by three percent over the rates in effect on December 
24.27 	31, 1999.
24.28 	(d) Effective for services provided on or after January 1, 2002, payment for 
24.29 	diagnostic examinations and dental x-rays provided to children under age 21 shall be the 
24.30 	lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.
24.31 	(e) The increases listed in paragraphs (b) and (c) shall be implemented January 1, 
24.32 	2000, for managed care.
24.33 	(f) Effective for dental services rendered on or after October 1, 2010, by a 
24.34 	state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based 
24.35 	on the Medicare principles of reimbursement. This payment shall be effective for services 
25.1 	rendered on or after January 1, 2011, to recipients enrolled in managed care plans or 
25.2 	county-based purchasing plans.
25.3 	(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics 
25.4 	in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal 
25.5 	year, a supplemental state payment equal to the difference between the total payments 
25.6 	in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated 
25.7 	services for the operation of the dental clinics.
25.8 	(h) If the cost-based payment system for state-operated dental clinics described in 
25.9 	paragraph (f) does not receive federal approval, then state-operated dental clinics shall be 
25.10 	designated as critical access dental providers under subdivision 4, paragraph (b), and shall 
25.11 	receive the critical access dental reimbursement rate as described under subdivision 4, 
25.12 	paragraph (a).
25.13 	(i) Effective for services rendered on or after September 1, 2011, through June 30, 
25.14 	2013, payment rates for dental services shall be reduced by three percent. This reduction 
25.15 	does not apply to state-operated dental clinics in paragraph (f).
25.16 	(j) Effective for services rendered on or after January 1, 2014, payment rates for 
25.17 	dental services shall be increased by five percent from the rates in effect on December 
25.18 	31, 2013. This increase does not apply to state-operated dental clinics in paragraph (f), 
25.19 	federally qualified health centers, rural health centers, and Indian health services. Effective 
25.20 	January 1, 2014, payments made to managed care plans and county-based purchasing 
25.21 	plans under sections 256B.69, 256B.692, and 256L.12 shall reflect the payment increase 
25.22 	described in this paragraph.
25.23 	(k) Effective for services rendered on or after July 1, 2015, through December 
25.24 	31, 2016, the commissioner shall increase payment rates for services furnished by 
25.25 	dental providers located outside of the seven-county metropolitan area by the maximum 
25.26 	percentage possible above the rates in effect on June 30, 2015, while remaining within 
25.27 	the limits of funding appropriated for this purpose. This increase does not apply to 
25.28 	state-operated dental clinics in paragraph (f), federally qualified health centers, rural health 
25.29 	centers, and Indian health services. Effective January 1, 2016, through December 31, 
25.30 	2016, payments to managed care plans and county-based purchasing plans under sections 
25.31 	256B.69 and 256B.692 shall reflect the payment increase described in this paragraph. The 
25.32 	commissioner shall require managed care and county-based purchasing plans to pass on 
25.33 	the full amount of the increase, in the form of higher payment rates to dental providers 
25.34 	located outside of the seven-county metropolitan area.
25.35 	(l) Effective for services provided on or after January 1, 2017, the commissioner 
25.36 	shall increase payment rates by 9.65 percent above the rates in effect on June 30, 2015, 
26.1 	for dental services provided outside of the seven-county metropolitan area. This increase 
26.2 	does not apply to state-operated dental clinics in paragraph (f), federally qualified health 
26.3 	centers, rural health centers, or Indian health services. Effective January 1, 2017, 
26.4 	payments to managed care plans and county-based purchasing plans under sections 
26.5 	256B.69 and 256B.692 shall reflect the payment increase described in this paragraph.

26.6 	Sec. 6. Minnesota Statutes 2015 Supplement, section 256B.766, is amended to read:
26.7 	256B.766 REIMBURSEMENT FOR BASIC CARE SERVICES.
26.8 	(a) Effective for services provided on or after July 1, 2009, total payments for basic 
26.9 	care services, shall be reduced by three percent, except that for the period July 1, 2009, 
26.10 	through June 30, 2011, total payments shall be reduced by 4.5 percent for the medical 
26.11 	assistance and general assistance medical care programs, prior to third-party liability and 
26.12 	spenddown calculation. Effective July 1, 2010, the commissioner shall classify physical 
26.13 	therapy services, occupational therapy services, and speech-language pathology and 
26.14 	related services as basic care services. The reduction in this paragraph shall apply to 
26.15 	physical therapy services, occupational therapy services, and speech-language pathology 
26.16 	and related services provided on or after July 1, 2010.
26.17 	(b) Payments made to managed care plans and county-based purchasing plans shall 
26.18 	be reduced for services provided on or after October 1, 2009, to reflect the reduction 
26.19 	effective July 1, 2009, and payments made to the plans shall be reduced effective October 
26.20 	1, 2010, to reflect the reduction effective July 1, 2010.
26.21 	(c) Effective for services provided on or after September 1, 2011, through June 30, 
26.22 	2013, total payments for outpatient hospital facility fees shall be reduced by five percent 
26.23 	from the rates in effect on August 31, 2011.
26.24 	(d) Effective for services provided on or after September 1, 2011, through June 
26.25 	30, 2013, total payments for ambulatory surgery centers facility fees, medical supplies 
26.26 	and durable medical equipment not subject to a volume purchase contract, prosthetics 
26.27 	and orthotics, renal dialysis services, laboratory services, public health nursing services, 
26.28 	physical therapy services, occupational therapy services, speech therapy services, 
26.29 	eyeglasses not subject to a volume purchase contract, hearing aids not subject to a volume 
26.30 	purchase contract, and anesthesia services shall be reduced by three percent from the 
26.31 	rates in effect on August 31, 2011.
26.32 	(e) Effective for services provided on or after September 1, 2014, payments 
26.33 	for ambulatory surgery centers facility fees, hospice services, renal dialysis services, 
26.34 	laboratory services, public health nursing services, eyeglasses not subject to a volume 
26.35 	purchase contract, and hearing aids not subject to a volume purchase contract shall be 
27.1 	increased by three percent and payments for outpatient hospital facility fees shall be 
27.2 	increased by three percent. Payments made to managed care plans and county-based 
27.3 	purchasing plans shall not be adjusted to reflect payments under this paragraph.
27.4 	(f) Payments for medical supplies and durable medical equipment not subject to a 
27.5 	volume purchase contract, and prosthetics and orthotics, provided on or after July 1, 2014, 
27.6 	through June 30, 2015, shall be decreased by .33 percent. Payments for medical supplies 
27.7 	and durable medical equipment not subject to a volume purchase contract, and prosthetics 
27.8 	and orthotics, provided on or after July 1, 2015, shall be increased by three percent from 
27.9 	the rates as determined under paragraph (i).
27.10 	(g) Effective for services provided on or after July 1, 2015, payments for outpatient 
27.11 	hospital facility fees, medical supplies and durable medical equipment not subject to a 
27.12 	volume purchase contract, prosthetics and orthotics, and laboratory services to a hospital 
27.13 	meeting the criteria specified in section 62Q.19, subdivision 1, paragraph (a), clause (4), 
27.14 	shall be increased by 90 percent from the rates in effect on June 30, 2015. Payments made 
27.15 	to managed care plans and county-based purchasing plans shall not be adjusted to reflect 
27.16 	payments under this paragraph.
27.17 	(h) This section does not apply to physician and professional services, inpatient 
27.18 	hospital services, family planning services, mental health services, dental services, 
27.19 	prescription drugs, medical transportation, federally qualified health centers, rural health 
27.20 	centers, Indian health services, and Medicare cost-sharing.
27.21 	(i) Effective July 1, 2015, the medical assistance payment rate for durable medical 
27.22 	equipment, prosthetics, orthotics, or supplies shall be restored to the January 1, 2008, 
27.23 	medical assistance fee schedule, updated to include subsequent rate increases in the 
27.24 	Medicare and medical assistance fee schedules, and including following categories of 
27.25 	durable medical equipment shall be individually priced items for the following categories: 
27.26 	enteral nutrition and supplies, customized and other specialized tracheostomy tubes and 
27.27 	supplies, electric patient lifts, and durable medical equipment repair and service. This 
27.28 	paragraph does not apply to medical supplies and durable medical equipment subject to 
27.29 	a volume purchase contract, products subject to the preferred diabetic testing supply 
27.30 	program, and items provided to dually eligible recipients when Medicare is the primary 
27.31 	payer for the item. The commissioner shall not apply any medical assistance rate 
27.32 	reductions to durable medical equipment as a result of Medicare competitive bidding.
27.33 	(j) Effective July 1, 2015, medical assistance payment rates for durable medical 
27.34 	equipment, prosthetics, orthotics, or supplies shall be increased as follows:
28.1 	(1) payment rates for durable medical equipment, prosthetics, orthotics, or supplies 
28.2 	that were subject to the Medicare 2008 competitive bid shall be increased by 9.5 percent; 
28.3 	and
28.4 	(2) payment rates for durable medical equipment, prosthetics, orthotics, or supplies 
28.5 	on the medical assistance fee schedule, whether or not subject to the Medicare 2008 
28.6 	competitive bid, shall be increased by 2.94 percent, with this increase being applied after 
28.7 	calculation of any increased payment rate under clause (1).
28.8 	This paragraph does not apply to medical supplies and durable medical equipment subject 
28.9 	to a volume purchase contract, products subject to the preferred diabetic testing supply 
28.10 	program, items provided to dually eligible recipients when Medicare is the primary payer 
28.11 	for the item, and individually priced items identified in paragraph (i). Payments made to 
28.12 	managed care plans and county-based purchasing plans shall not be adjusted to reflect the 
28.13 	rate increases in this paragraph.

28.14 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2015.

28.15 	ARTICLE 3
28.16 	MNSURE

28.17 	Section 1. [45.0131] LEGISLATIVE ENACTMENT REQUIRED.
28.18 		Subdivision 1.Agency agreements. The commissioner of commerce shall not 
28.19 	enter into or renew any interagency agreement or service level agreement with a value of 
28.20 	more than $100,000 a year, or related agreements with a cumulative value of more than 
28.21 	$100,000 a year, with a state department, state agency, or the Office of MN.IT Services, 
28.22 	unless the specific agreement is authorized by enactment of a new law. If an agreement, 
28.23 	including an agreement in effect as of the effective date of this section, does not have a 
28.24 	specific expiration date, the agreement shall expire two years from the effective date of 
28.25 	this section or the effective date of the agreement, whichever is later, unless the specific 
28.26 	agreement is authorized by enactment of a new law.
28.27 		Subd. 2.Transfers. Notwithstanding section 16A.285, the commissioner shall not 
28.28 	transfer appropriations and funds in amounts over $100,000 across agency accounts or 
28.29 	programs, unless the specific transfer is authorized by enactment of a new law.
28.30 		Subd. 3.Definitions. For purposes of this section, "state department" has the 
28.31 	meaning provided in section 15.01, and "state agency" has the meaning provided in 
28.32 	section 15.012.

28.33 	EFFECTIVE DATE. This section is effective the day following final enactment.

29.1 	Sec. 2. Minnesota Statutes 2015 Supplement, section 62V.03, subdivision 2, is 
29.2 	amended to read:
29.3 		Subd. 2.Application of other law. (a) MNsure must be reviewed by the legislative 
29.4 	auditor under section 3.971. The legislative auditor shall audit the books, accounts, and 
29.5 	affairs of MNsure once each year or less frequently as the legislative auditor's funds and 
29.6 	personnel permit. Upon the audit of the financial accounts and affairs of MNsure, MNsure 
29.7 	is liable to the state for the total cost and expenses of the audit, including the salaries paid 
29.8 	to the examiners while actually engaged in making the examination. The legislative 
29.9 	auditor may bill MNsure either monthly or at the completion of the audit. All collections 
29.10 	received for the audits must be deposited in the general fund and are appropriated to 
29.11 	the legislative auditor. Pursuant to section 3.97, subdivision 3a, the Legislative Audit 
29.12 	Commission is requested to direct the legislative auditor to report by March 1, 2014, to 
29.13 	the legislature on any duplication of services that occurs within state government as a 
29.14 	result of the creation of MNsure. The legislative auditor may make recommendations on 
29.15 	consolidating or eliminating any services deemed duplicative. The board shall reimburse 
29.16 	the legislative auditor for any costs incurred in the creation of this report.
29.17 	(b) Board members of MNsure are subject to sections 10A.07 and 10A.09. Board 
29.18 	members and the personnel of MNsure are subject to section 10A.071.
29.19 	(c) All meetings of the board and of the Minnesota Eligibility System Executive 
29.20 	Steering Committee established under section 62V.056 shall comply with the open 
29.21 	meeting law in chapter 13D.
29.22 	(d) The board and the Web site are exempt from chapter 60K. Any employee of 
29.23 	MNsure who sells, solicits, or negotiates insurance to individuals or small employers must 
29.24 	be licensed as an insurance producer under chapter 60K.
29.25 	(e) Section 3.3005 applies to any federal funds received by MNsure.
29.26 	(f) A MNsure decision that requires a vote of the board, other than a decision that 
29.27 	applies only to hiring of employees or other internal management of MNsure, is an 
29.28 	"administrative action" under section 10A.01, subdivision 2.

29.29 	Sec. 3. Minnesota Statutes 2014, section 62V.04, subdivision 2, is amended to read:
29.30 		Subd. 2.Appointment. (a) Board membership of MNsure consists of the following:
29.31 	(1) three members appointed by the governor with the advice and consent of both the 
29.32 	senate and the house of representatives acting separately in accordance with paragraph (d), 
29.33 	with one member representing the interests of individual consumers eligible for individual 
29.34 	market coverage, one member representing individual consumers eligible for public health 
30.1 	care program coverage, and one member representing small employers. Members are 
30.2 	appointed to serve four-year terms following the initial staggered-term lot determination;
30.3 	(2) three members appointed by the governor with the advice and consent of both the 
30.4 	senate and the house of representatives acting separately in accordance with paragraph (d) 
30.5 	who have demonstrated expertise, leadership, and innovation in the following areas: one 
30.6 	member representing the areas of health administration, health care finance, health plan 
30.7 	purchasing, and health care delivery systems; one member representing the areas of public 
30.8 	health, health disparities, public health care programs, and the uninsured; and one member 
30.9 	representing health policy issues related to the small group and individual markets. 
30.10 	Members are appointed to serve four-year terms following the initial staggered-term lot 
30.11 	determination; and
30.12 	(3) the commissioner of human services or a designee one member representing the 
30.13 	interests of the general public, appointed by the governor with the advice and consent of 
30.14 	both the senate and the house of representatives acting in accordance with paragraph (d). 
30.15 	A member appointed under this clause shall serve a four-year term.
30.16 	(b) Section 15.0597 shall apply to all appointments, except for the commissioner.
30.17 	(c) The governor shall make appointments to the board that are consistent with 
30.18 	federal law and regulations regarding its composition and structure. All board members 
30.19 	appointed by the governor must be legal residents of Minnesota.
30.20 	(d) Upon appointment by the governor, a board member shall exercise duties of 
30.21 	office immediately. If both the house of representatives and the senate vote not to confirm 
30.22 	an appointment, the appointment terminates on the day following the vote not to confirm 
30.23 	in the second body to vote.
30.24 	(e) Initial appointments shall be made by April 30, 2013.
30.25 	(f) One of the six members appointed under paragraph (a), clause (1) or (2), must 
30.26 	have experience in representing the needs of vulnerable populations and persons with 
30.27 	disabilities.
30.28 	(g) Membership on the board must include representation from outside the 
30.29 	seven-county metropolitan area, as defined in section 473.121, subdivision 2.

30.30 	Sec. 4. Minnesota Statutes 2014, section 62V.04, subdivision 3, is amended to read:
30.31 		Subd. 3.Terms. (a) Board members may serve no more than two consecutive 
30.32 	terms, except for the commissioner or the commissioner's designee, who shall serve 
30.33 	until replaced by the governor.
30.34 	(b) A board member may resign at any time by giving written notice to the board.
31.1 	(c) The appointed members under subdivision 2, paragraph (a), clauses (1) and (2), 
31.2 	shall have an initial term of two, three, or four years, determined by lot by the secretary of 
31.3 	state.

31.4 	Sec. 5. Minnesota Statutes 2014, section 62V.04, subdivision 4, is amended to read:
31.5 		Subd. 4.Conflicts of interest. (a) Within one year prior to or at any time during 
31.6 	their appointed term, board members appointed under subdivision 2, paragraph (a), 
31.7 	clauses (1) and (2), shall not be employed by, be a member of the board of directors of, or 
31.8 	otherwise be a representative of a health carrier, institutional health care provider or other 
31.9 	entity providing health care, navigator, insurance producer, or other entity in the business 
31.10 	of selling items or services of significant value to or through MNsure. For purposes of this 
31.11 	paragraph, "health care provider or entity" does not include an academic institution.
31.12 	(b) Board members must recuse themselves from discussion of and voting on an 
31.13 	official matter if the board member has a conflict of interest. A conflict of interest means 
31.14 	an association including a financial or personal association that has the potential to bias or 
31.15 	have the appearance of biasing a board member's decisions in matters related to MNsure 
31.16 	or the conduct of activities under this chapter.
31.17 	(c) No board member shall have a spouse who is an executive of a health carrier.
31.18 	(d) No member of the board may currently serve as a lobbyist, as defined under 
31.19 	section 10A.01, subdivision 21.

31.20 	Sec. 6. Minnesota Statutes 2014, section 62V.05, subdivision 2, is amended to read:
31.21 		Subd. 2.Operations funding. (a) Prior to January 1, 2015, MNsure shall retain or 
31.22 	collect up to 1.5 percent of total premiums for individual and small group market health 
31.23 	plans and dental plans sold through MNsure to fund the cash reserves of MNsure, but 
31.24 	the amount collected shall not exceed a dollar amount equal to 25 percent of the funds 
31.25 	collected under section 62E.11, subdivision 6, for calendar year 2012.
31.26 	(b) Beginning January 1, 2015, MNsure shall retain or collect up to 3.5 percent of 
31.27 	total premiums for individual and small group market health plans and dental plans sold 
31.28 	through MNsure to fund the operations of MNsure, but the amount collected shall not 
31.29 	exceed a dollar amount equal to 50 percent of the funds collected under section 62E.11, 
31.30 	subdivision 6, for calendar year 2012.
31.31 	(c) Beginning January 1, 2016, through December 31, 2016, MNsure shall retain or 
31.32 	collect up to 3.5 percent of total premiums for individual and small group market health 
31.33 	plans and dental plans sold through MNsure to fund the operations of MNsure, but the 
32.1 	amount collected may never exceed a dollar amount greater than 100 percent of the funds 
32.2 	collected under section 62E.11, subdivision 6, for calendar year 2012.
32.3 	(d) For fiscal years 2014 and 2015, the commissioner of management and budget is 
32.4 	authorized to provide cash flow assistance of up to $20,000,000 from the special revenue 
32.5 	fund or the statutory general fund under section 16A.671, subdivision 3, paragraph (a), 
32.6 	to MNsure. Any funds provided under this paragraph shall be repaid, with interest, by 
32.7 	June 30, 2015.
32.8 	(b) Beginning January 1, 2017, through December 31, 2017, MNsure shall retain or 
32.9 	collect up to 1.75 percent of total premiums for individual and small group market health 
32.10 	plans and dental plans sold through MNsure to fund the operation of MNsure.
32.11 	(c) If an independent third party makes the certification specified in this paragraph, 
32.12 	MNsure shall retain or collect up to 1.75 percent of total premiums for individual and small 
32.13 	group market health plans and dental plans sold through MNsure to fund the operations of 
32.14 	MNsure. This paragraph applies to a calendar year beginning on or after January 1, 2018, 
32.15 	if in the previous calendar year the independent third party certified that MNsure met all 
32.16 	of the following operational and technological benchmarks for the previous calendar year:
32.17 	(1) on a daily basis, MNsure successfully transferred to health carriers data in the 
32.18 	EDI 834 format that were complete and accurate according to industry standards and that 
32.19 	allowed the health carrier to enroll the consumer in the qualified health plan chosen by 
32.20 	the consumer;
32.21 	(2) MNsure automatically processed enrollment renewals in qualified health plans 
32.22 	and in public health care programs;
32.23 	(3) MNsure automatically processed invoices for and payments of MinnesotaCare 
32.24 	premiums;
32.25 	(4) MNsure provided self-service functionality for account changes and changes 
32.26 	necessitated by qualifying life events, including adding or removing household members, 
32.27 	making changes to address or income, canceling coverage, and accessing online proof of 
32.28 	coverage forms required by federal law;
32.29 	(5) MNsure transmitted 1095-A forms to enrollees by January 31 each year, or 
32.30 	earlier if required by federal law; and
32.31 	(6) MNsure call center response and resolution times met or exceeded industry 
32.32 	standards.
32.33 	(d) Beginning January 1, 2018, for any calendar year for which the independent 
32.34 	third party did not make the certification specified in paragraph (c) for the previous 
32.35 	calendar year, MNsure shall retain or collect up to 1.5 percent of total premiums for 
33.1 	individual and small group market health plans and dental plans sold through MNsure to 
33.2 	fund the operation of MNsure.
33.3 	(e) Funding for the operations of MNsure shall cover any compensation provided to 
33.4 	navigators participating in the navigator program.
33.5 	(f) The amount collected by MNsure in a calendar year under this subdivision shall 
33.6 	not exceed a dollar amount greater than 60 percent of the funds collected under section 
33.7 	62E.11, subdivision 6, for calendar year 2012.

33.8 	EFFECTIVE DATE. This section is effective July 1, 2016.

33.9 	Sec. 7. Minnesota Statutes 2014, section 62V.05, is amended by adding a subdivision 
33.10 	to read:
33.11 		Subd. 12.Legislative enactment required. (a) The MNsure board shall not enter 
33.12 	into or renew any interagency agreement or service level agreement with a value of 
33.13 	more than $100,000 a year, or related agreements with a cumulative value of more than 
33.14 	$100,000 a year, with a state department, state agency, or the Office of MN.IT Services, 
33.15 	unless the specific agreement is authorized by enactment of a new law. If an agreement, 
33.16 	including an agreement in effect as of the effective date of this subdivision, does not have 
33.17 	an expiration date, the agreement shall expire two years from the effective date of this 
33.18 	subdivision or the effective date of the agreement, whichever is later, unless the specific 
33.19 	agreement is authorized by enactment of a new law.
33.20 	(b) Notwithstanding section 16A.285, the board shall not transfer appropriations and 
33.21 	funds in amounts over $100,000 across agency accounts or programs unless the specific 
33.22 	transfer is authorized by enactment of a new law.
33.23 	(c) For purposes of this subdivision, "state department" has the meaning provided in 
33.24 	section 15.01, and "state agency" has the meaning provided in section 15.012.

33.25 	EFFECTIVE DATE. This section is effective the day following final enactment.

33.26 	Sec. 8. Minnesota Statutes 2014, section 62V.05, is amended by adding a subdivision 
33.27 	to read:
33.28 		Subd. 13.Limitation on appropriations and transfers. Notwithstanding any other 
33.29 	law to the contrary, effective July 1, 2016, no money in or from the general fund, health 
33.30 	care access fund, or any other state fund or account, may be: (1) appropriated or made 
33.31 	available to MNsure; or (2) transferred or otherwise provided to MNsure by any other 
33.32 	state agency or entity of state government, unless the appropriation, transfer, or transaction 
33.33 	is specifically authorized through the enactment of a new law.

34.1 	Sec. 9. [62V.056] MINNESOTA ELIGIBILITY SYSTEM EXECUTIVE 
34.2 	STEERING COMMITTEE.
34.3 		Subdivision 1. Definition; Minnesota eligibility system.  For purposes of this 
34.4 	section, "Minnesota eligibility system" means the system that supports eligibility 
34.5 	determinations using a modified adjusted gross income methodology for medical 
34.6 	assistance under section 256B.056, subdivision 1a, paragraph (b), clause (1); 
34.7 	MinnesotaCare under chapter 256L; and qualified health plan enrollment under section 
34.8 	62V.05, subdivision 5, paragraph (c).
34.9 		Subd. 2. Establishment; committee membership. The Minnesota Eligibility 
34.10 	System Executive Steering Committee is established to govern and administer the 
34.11 	Minnesota eligibility system. The steering committee shall be composed of one member 
34.12 	appointed by the commissioner of human services, one member appointed by the 
34.13 	board, one member appointed jointly by the Association of Minnesota Counties and 
34.14 	the Minnesota Inter-County Association, and one nonvoting member appointed by the 
34.15 	commissioner of MN.IT services who shall serve as the committee chairperson. Steering 
34.16 	committee costs must be paid from the budgets of the Department of Human Services, the 
34.17 	Office of MN.IT Services, and MNsure.
34.18 		Subd. 3.Duties.  (a) The Minnesota Eligibility System Executive Steering 
34.19 	Committee shall establish an overall governance structure for the Minnesota eligibility 
34.20 	system and shall be responsible for the overall governance of the system, including setting 
34.21 	system goals and priorities, allocating the system's resources, making major system 
34.22 	decisions, and tracking total funding and expenditures for the system from all sources. 
34.23 	The steering committee shall also report to the Legislative Oversight Committee on a 
34.24 	quarterly basis on Minnesota eligibility system funding and expenditures, including 
34.25 	amounts received in the most recent quarter by funding source and expenditures made in 
34.26 	the most recent quarter by funding source.
34.27 	(b) The steering committee shall adopt bylaws, policies, and interagency agreements 
34.28 	necessary to administer the Minnesota eligibility system.
34.29 	(c) In making decisions, the steering committee shall give particular attention to the 
34.30 	parts of the system with the largest enrollments and the greatest risks.
34.31 		Subd. 4. Meetings.  (a) All meetings of the steering committee must:
34.32 	(1) be held in the State Office Building; and
34.33 	(2) whenever possible, be available on the legislature's Web site for live streaming 
34.34 	and downloading over the Internet.
34.35 	(b) The steering committee must:
35.1 	(1) as part of every steering committee meeting, provide the opportunity for oral 
35.2 	and written public testimony and comments on steering committee governance of the 
35.3 	Minnesota eligibility system; and
35.4 	(2) provide documents under discussion or review by the steering committee to be 
35.5 	electronically posted on the legislature's Web site. Documents must be provided and 
35.6 	posted prior to the meeting at which the documents are scheduled for review or discussion.
35.7 	(c) All votes of the steering committee must be recorded, with each member's vote 
35.8 	identified.
35.9 		Subd. 5.Administrative structure.  The Office of MN.IT Services shall 
35.10 	be responsible for the design, build, maintenance, operation, and upgrade of the 
35.11 	information technology for the Minnesota eligibility system. The office shall carry out its 
35.12 	responsibilities under the governance of the steering committee, this section, and chapter 
35.13 	16E.

35.14 	Sec. 10. Minnesota Statutes 2014, section 62V.11, is amended by adding a subdivision 
35.15 	to read:
35.16 		Subd. 5. Review of Minnesota eligibility system funding and expenditures.  The 
35.17 	committee shall review quarterly reports submitted by the Minnesota Eligibility System 
35.18 	Executive Steering Committee under section 62V.055, subdivision 3, regarding Minnesota 
35.19 	eligibility system funding and expenditures.

35.20 	Sec. 11. Minnesota Statutes 2014, section 144.05, is amended by adding a subdivision 
35.21 	to read:
35.22 		Subd. 6.Legislative enactment required. (a) The commissioner of health shall not 
35.23 	enter into or renew any interagency agreement or service level agreement with a value of 
35.24 	more than $100,000 a year, or related agreements with a cumulative value of more than 
35.25 	$100,000 a year, with a state department, state agency, or the Office of MN.IT Services, 
35.26 	unless the specific agreement is authorized by enactment of a new law. If an agreement, 
35.27 	including an agreement in effect as of the effective date of this subdivision, does not have 
35.28 	an expiration date, the agreement shall expire two years from the effective date of this 
35.29 	subdivision or the effective date of the agreement, whichever is later, unless the specific 
35.30 	agreement is authorized by enactment of a new law.
35.31 	(b) Notwithstanding section 16A.285, the commissioner shall not transfer 
35.32 	appropriations and funds in amounts over $100,000 across agency accounts or programs 
35.33 	unless the specific transfer is authorized by enactment of a new law.
36.1 	(c) For purposes of this subdivision, "state department" has the meaning provided in 
36.2 	section 15.01, and "state agency" has the meaning provided in section 15.012.

36.3 	EFFECTIVE DATE. This section is effective the day following final enactment.

36.4 	Sec. 12. Minnesota Statutes 2014, section 256.01, is amended by adding a subdivision 
36.5 	to read:
36.6 		Subd. 41.Legislative enactment required. (a) The commissioner of human 
36.7 	services shall not enter into or renew any interagency agreement or service level agreement 
36.8 	with a value of more than $100,000 a year, or related agreements with a cumulative value 
36.9 	of more than $100,000 a year, with a state department, state agency, or the Office of 
36.10 	MN.IT Services, unless the specific agreement is authorized by enactment of a new law. If 
36.11 	an agreement, including an agreement in effect as of the effective date of this subdivision, 
36.12 	does not have an expiration date, the agreement shall expire two years from the effective 
36.13 	date of this subdivision or the effective date of the agreement, whichever is later, unless 
36.14 	the specific agreement is authorized by enactment of a new law.
36.15 	(b) Notwithstanding section 16A.285, the commissioner shall not transfer 
36.16 	appropriations and funds in amounts over $100,000 across agency accounts or programs 
36.17 	unless the specific transfer is authorized by enactment of a new law.
36.18 	(c) For purposes of this subdivision, "state department" has the meaning provided in 
36.19 	section 15.01, and "state agency" has the meaning provided in section 15.012.

36.20 	EFFECTIVE DATE. This section is effective the day following final enactment.

36.21 	Sec. 13. Minnesota Statutes 2014, section 256L.02, is amended by adding a subdivision 
36.22 	to read:
36.23 		Subd. 7.Federal waiver. The commissioner shall apply for an innovation waiver 
36.24 	under section 1332 of the Affordable Care Act, or any other applicable federal waiver, to 
36.25 	allow persons eligible for MinnesotaCare the option of declining MinnesotaCare coverage 
36.26 	and instead accessing advanced premium tax credits and cost-sharing reductions through 
36.27 	the purchase of qualified health plans through MNsure or outside of MNsure directly from 
36.28 	health plan companies. The commissioner shall submit this federal waiver request within 
36.29 	nine months of the effective date of this subdivision. The commissioner shall coordinate 
36.30 	this waiver request with the waiver request required by Laws 2015, chapter 71, article 12, 
36.31 	section 8. The commissioner shall submit a draft waiver proposal to the MNsure board and 
36.32 	the chairs and ranking minority members of the legislative committees with jurisdiction 
36.33 	over health and human services policy and finance at least 30 days before submitting a final 
37.1 	waiver proposal to the federal government. The commissioner shall notify the board and 
37.2 	the chairs and ranking minority members of any federal decision or action related to the 
37.3 	proposal. If federal approval is granted, the commissioner shall submit to the legislature 
37.4 	draft legislation and fiscal estimates necessary to implement the approved proposal.

37.5 	EFFECTIVE DATE. This section is effective the day following final enactment.

37.6 	Sec. 14. FEDERAL-STATE ELIGIBILITY DETERMINATION AND 
37.7 	ENROLLMENT SYSTEM FOR INSURANCE AFFORDABILITY PROGRAMS.
 37.8 		Subdivision 1.Waiver request. (a) The commissioner of human services, in 
37.9 	consultation with the MNsure board, commissioner of commerce, and commissioner 
37.10 	of health, shall apply for an innovation waiver under section 1332 of the Affordable 
37.11 	Care Act, or any other applicable federal waiver, to establish and operate a federal-state 
37.12 	eligibility determination and enrollment system for state insurance affordability programs 
37.13 	for coverage beginning January 1, 2018. The federal-state eligibility determination and 
37.14 	enrollment system shall take the place of MNsure established under Minnesota Statutes, 
37.15 	chapter 62V. Under the federal-state eligibility determination and enrollment system:
37.16 	(1) eligibility determinations and enrollment for persons applying for or renewing 
37.17 	coverage under medical assistance and MinnesotaCare shall be conducted by the 
37.18 	commissioner of human services; and
37.19 	(2) enrollment in qualified health plans and eligibility determinations for any 
37.20 	applicable advanced premium tax credits and cost-sharing reductions shall be conducted 
37.21 	by the federally facilitated marketplace.
37.22 	(b) For purposes of this section, "state insurance affordability programs" means 
37.23 	medical assistance, MinnesotaCare, and qualified health plan coverage with any applicable 
37.24 	advanced premium tax credits and cost-sharing reductions.
37.25 	(c) The federal-state eligibility determination and enrollment system must 
37.26 	incorporate an asset test for adults without children who qualify for medical assistance 
37.27 	under Minnesota Statutes, section 256B.055, subdivision 15, or MinnesotaCare under 
37.28 	Minnesota Statutes, chapter 256L, under which a household of two or more persons must 
37.29 	not own more than $20,000 in total net assets and a household of one person must not 
37.30 	own more than $10,000 in total net assets.
37.31 		Subd. 2.Requirements of waiver application. In designing the federal-state 
37.32 	eligibility determination and enrollment system and developing the waiver application, 
37.33 	the commissioner shall:
38.1 	(1) seek to incorporate, where appropriate and cost-effective, elements of 
38.2 	the MNsure eligibility determination system and eligibility determination systems 
38.3 	administered by the commissioner of human services;
38.4 	(2) coordinate the waiver request with the waiver requests required by Minnesota 
38.5 	Statutes, section 256L.02, subdivision 7, if enacted, and with the waiver request required 
38.6 	by Laws 2015, chapter 71, article 12, section 8;
38.7 	(3) regularly consult with stakeholder groups, including but not limited to 
38.8 	representatives of state and county agencies, health care providers, health plan companies, 
38.9 	brokers, and consumers; and
38.10 	(4) seek all available federal grants and funds for state planning and development 
38.11 	costs.
38.12 		Subd. 3.Vendor contract; use of existing resources. The commissioner of 
38.13 	human services, in consultation with the chief information officer of MN.IT, may contract 
38.14 	with a vendor to provide technical assistance in developing the waiver request. The 
38.15 	commissioner shall develop the waiver request and enter into any contract for technical 
38.16 	assistance using existing resources.
38.17 		Subd. 4.Reports to legislative committees. The commissioner of human services 
38.18 	shall report to the chairs and ranking minority members of the legislative committees with 
38.19 	jurisdiction over commerce and health and human services policy and finance by January 
38.20 	1, 2017, on progress in seeking the waiver required by this section, and shall notify these 
38.21 	chairs and ranking minority members of any federal decision related to the waiver request.

38.22 	EFFECTIVE DATE. This section is effective the day following final enactment.

38.23 	Sec. 15. REVISOR'S INSTRUCTION.
 38.24 	The revisor of statutes shall change cross-references to sections in Minnesota 
38.25 	Statutes and Minnesota Rules that are repealed in this article when appropriate. The 
38.26 	revisor may make technical and other necessary changes to sentence structure to preserve 
38.27 	the meaning of the text.

38.28 	Sec. 16.  REPEALER.
 38.29 	(a) Minnesota Statutes 2014, sections 62V.01; 62V.02; 62V.03, subdivisions 1 and 3; 
38.30 	62V.04; 62V.05, subdivisions 1, 2, 3, 4, 5, 9, and 10; 62V.06; 62V.07; 62V.08; 62V.09; 
38.31 	62V.10; and 62V.11, subdivisions 1, 2, and 4, are repealed.
38.32 	(b) Minnesota Statutes 2015 Supplement, sections 62V.03, subdivision 2; 62V.05, 
38.33 	subdivisions 6, 7, 8, and 11; and 62V.051, are repealed.
39.1 	(c) Minnesota Rules, parts 7700.0010; 7700.0020; 7700.0030; 7700.0040; 
39.2 	7700.0050; 7700.0060; 7700.0070; 7700.0080; 7700.0090; 7700.0100; 7700.0101; and 
39.3 	7700.0105, are repealed.

39.4 	EFFECTIVE DATE. This section is effective upon approval of the waiver request 
39.5 	to establish and operate a federal-state eligibility determination and enrollment system, or 
39.6 	January 1, 2018, whichever is later. The commissioner of human services shall notify the 
39.7 	revisor of statutes when the waiver request is approved.

39.8 	ARTICLE 4
39.9 	HEALTH DEPARTMENT

39.10 	Section 1. Minnesota Statutes 2014, section 62J.495, subdivision 4, is amended to read:
39.11 		Subd. 4.Coordination with national HIT activities. (a) The commissioner, 
39.12 	in consultation with the e-Health Advisory Committee, shall update the statewide 
39.13 	implementation plan required under subdivision 2 and released June 2008, to be consistent 
39.14 	with the updated Federal HIT Strategic Plan released by the Office of the National 
39.15 	Coordinator in accordance with section 3001 of the HITECH Act. The statewide plan 
39.16 	shall meet the requirements for a plan required under section 3013 of the HITECH Act.
39.17 	(b) The commissioner, in consultation with the e-Health Advisory Committee, 
39.18 	shall work to ensure coordination between state, regional, and national efforts to support 
39.19 	and accelerate efforts to effectively use health information technology to improve the 
39.20 	quality and coordination of health care and the continuity of patient care among health 
39.21 	care providers, to reduce medical errors, to improve population health, to reduce health 
39.22 	disparities, and to reduce chronic disease. The commissioner's coordination efforts shall 
39.23 	include but not be limited to:
39.24 	(1) assisting in the development and support of health information technology 
39.25 	regional extension centers established under section 3012(c) of the HITECH Act to 
39.26 	provide technical assistance and disseminate best practices; and
39.27 	(2) providing supplemental information to the best practices gathered by regional 
39.28 	centers to ensure that the information is relayed in a meaningful way to the Minnesota 
39.29 	health care community;
39.30 	(3) providing financial and technical support to Minnesota health care providers to 
39.31 	encourage implementation of admission, discharge, and transfer alerts and care summary 
39.32 	document exchange transactions, and to evaluate the impact of health information 
39.33 	technology on cost and quality of care. Communications about available financial and 
39.34 	technical support shall include clear information about the interoperable electronic health 
40.1 	record requirements in subdivision 1, including a separate statement in boldface type 
40.2 	clarifying the exceptions to those requirements;
40.3 	(4) providing educational resources and technical assistance to health care providers 
40.4 	and patients related to state and national privacy, security, and consent laws governing 
40.5 	clinical health information, including the requirements of sections 144.291 to 144.298. In 
40.6 	carrying out these activities, the commissioner's technical assistance does not constitute 
40.7 	legal advice; and
40.8 	(5) assessing Minnesota's legal, financial, and regulatory framework for health 
40.9 	information exchange, including the requirements of sections 144.291 to 144.298, and 
40.10 	making recommendations for modifications that would strengthen the ability of Minnesota 
40.11 	health care providers to securely exchange data in compliance with patient preferences 
40.12 	and in a way that is efficient and financially sustainable.
40.13 	(c) The commissioner, in consultation with the e-Health Advisory Committee, shall 
40.14 	monitor national activity related to health information technology and shall coordinate 
40.15 	statewide input on policy development. The commissioner shall coordinate statewide 
40.16 	responses to proposed federal health information technology regulations in order to ensure 
40.17 	that the needs of the Minnesota health care community are adequately and efficiently 
40.18 	addressed in the proposed regulations. The commissioner's responses may include, but 
40.19 	are not limited to:
40.20 	(1) reviewing and evaluating any standard, implementation specification, or 
40.21 	certification criteria proposed by the national HIT standards committee;
40.22 	(2) reviewing and evaluating policy proposed by the national HIT policy committee 
40.23 	relating to the implementation of a nationwide health information technology infrastructure;
40.24 	(3) monitoring and responding to activity related to the development of quality 
40.25 	measures and other measures as required by section 4101 of the HITECH Act. Any 
40.26 	response related to quality measures shall consider and address the quality efforts required 
40.27 	under chapter 62U; and
40.28 	(4) monitoring and responding to national activity related to privacy, security, and 
40.29 	data stewardship of electronic health information and individually identifiable health 
40.30 	information.
40.31 	(d) To the extent that the state is either required or allowed to apply, or designate an 
40.32 	entity to apply for or carry out activities and programs under section 3013 of the HITECH 
40.33 	Act, the commissioner of health, in consultation with the e-Health Advisory Committee 
40.34 	and the commissioner of human services, shall be the lead applicant or sole designating 
40.35 	authority. The commissioner shall make such designations consistent with the goals and 
40.36 	objectives of sections 62J.495 to 62J.497 and 62J.50 to 62J.61.
41.1 	(e) The commissioner of human services shall apply for funding necessary to 
41.2 	administer the incentive payments to providers authorized under title IV of the American 
41.3 	Recovery and Reinvestment Act.
41.4 	(f) The commissioner shall include in the report to the legislature information on the 
41.5 	activities of this subdivision and provide recommendations on any relevant policy changes 
41.6 	that should be considered in Minnesota.

41.7 	Sec. 2. Minnesota Statutes 2014, section 62J.496, subdivision 1, is amended to read:
41.8 		Subdivision 1.Account establishment. (a) An account is established to:
41.9 	(1) finance the purchase of certified electronic health records or qualified electronic 
41.10 	health records as defined in section 62J.495, subdivision 1a;
41.11 	(2) enhance the utilization of electronic health record technology, which may include 
41.12 	costs associated with upgrading the technology to meet the criteria necessary to be a 
41.13 	certified electronic health record or a qualified electronic health record;
41.14 	(3) train personnel in the use of electronic health record technology; and
41.15 	(4) improve the secure electronic exchange of health information.
41.16 	(b) Amounts deposited in the account, including any grant funds obtained through 
41.17 	federal or other sources, loan repayments, and interest earned on the amounts shall 
41.18 	be used only for awarding loans or loan guarantees, as a source of reserve and security 
41.19 	for leveraged loans, for activities authorized in section 62J.495, subdivision 4, or for 
41.20 	the administration of the account.
41.21 	(c) The commissioner may accept contributions to the account from private sector 
41.22 	entities subject to the following provisions:
41.23 	(1) the contributing entity may not specify the recipient or recipients of any loan 
41.24 	issued under this subdivision;
41.25 	(2) the commissioner shall make public the identity of any private contributor to the 
41.26 	loan fund, as well as the amount of the contribution provided;
41.27 	(3) the commissioner may issue letters of commendation or make other awards that 
41.28 	have no financial value to any such entity; and
41.29 	(4) a contributing entity may not specify that the recipient or recipients of any loan 
41.30 	use specific products or services, nor may the contributing entity imply that a contribution 
41.31 	is an endorsement of any specific product or service.
41.32 	(d) The commissioner may use the loan funds to reimburse private sector entities 
41.33 	for any contribution made to the loan fund. Reimbursement to private entities may not 
41.34 	exceed the principle amount contributed to the loan fund.
42.1 	(e) The commissioner may use funds deposited in the account to guarantee, or 
42.2 	purchase insurance for, a local obligation if the guarantee or purchase would improve 
42.3 	credit market access or reduce the interest rate applicable to the obligation involved.
42.4 	(f) The commissioner may use funds deposited in the account as a source of revenue 
42.5 	or security for the payment of principal and interest on revenue or general obligation 
42.6 	bonds issued by the state if the proceeds of the sale of the bonds will be deposited into 
42.7 	the loan fund.
42.8 	(h) The commissioner shall not award new loans or loan guarantees after July 1, 2016.

42.9 	Sec. 3. [144.1912] GREATER MINNESOTA FAMILY MEDICINE RESIDENCY 
42.10 	GRANT PROGRAM.
42.11 		Subdivision 1.Definitions. (a) For purposes of this section, the following terms 
42.12 	have the meanings given.
42.13 	(b) "Commissioner" means the commissioner of health.
42.14 	(c) "Eligible family medicine residency program" means a program that meets the 
42.15 	following criteria:
42.16 	(1) is located in Minnesota outside the seven-county metropolitan area as defined in 
42.17 	section 473.121, subdivision 4;
42.18 	(2) is accredited as a family medicine residency program or is a candidate for 
42.19 	accreditation;
42.20 	(3) is focused on the education and training of family medicine physicians to serve 
42.21 	communities outside the metropolitan area; and
42.22 	(4) demonstrates that over the most recent three years, at least 25 percent of its 
42.23 	graduates practice in Minnesota communities outside the metropolitan area.
42.24 		Subd. 2.Program administration. (a) The commissioner shall award family 
42.25 	medicine residency grants to existing, eligible, not-for-profit  family medicine residency 
42.26 	programs to support current and new residency positions. Funds shall be allocated first to 
42.27 	proposed new family medicine residency positions, and remaining funds shall be allocated 
42.28 	proportionally based on the number of existing residents in eligible programs. The 
42.29 	commissioner may fund a new residency position for up to three years.
42.30 	(b) Grant funds awarded may only be spent to cover the costs of:
42.31 	(1) establishing, maintaining, or expanding training for family medicine residents;
42.32 	(2) recruitment, training, and retention of residents and faculty;
42.33 	(3) travel and lodging for residents; and
42.34 	(4) faculty, resident, and preceptor salaries.
43.1 	(c) Grant funds shall not be used to supplant any other government or private funds 
43.2 	available for these purposes.
43.3 		Subd. 3.Applications. Eligible family medicine residency programs seeking a 
43.4 	grant must apply to the commissioner. The application must include objectives, a related 
43.5 	work plan and budget, a description of the number of new and existing residency positions 
43.6 	that will be supported using grant funds, and additional information the commissioner 
43.7 	determines to be necessary. The commissioner shall determine whether applications are 
43.8 	complete and responsive and may require revisions or additional information before 
43.9 	awarding a grant.
43.10 		Subd. 4.Program oversight. The commissioner may require and collect from 
43.11 	family medicine residency programs receiving grants any information necessary to 
43.12 	administer and evaluate the program.

43.13 	Sec. 4. Minnesota Statutes 2014, section 144.293, subdivision 2, is amended to read:
43.14 		Subd. 2.Patient consent to release of records. (a) A provider, or a person who 
43.15 	receives health records from a provider, may not release a patient's health records to a 
43.16 	person without:
43.17 	(1) a signed and dated consent from the patient or the patient's legally authorized 
43.18 	representative authorizing the release;
43.19 	(2) specific authorization in law; or
43.20 	(3) a representation from a provider that holds a signed and dated consent from the 
43.21 	patient authorizing the release.
43.22 	(b) Any consent form signed by a patient must include an option to indicate "yes" or 
43.23 	"no" to individual items for which the provider is requesting consent. The provider may not 
43.24 	condition the patient's receipt of treatment on the patient's willingness to release records.

43.25 	Sec. 5. [144.7011] PRESCRIPTION DRUG PRICE REPORTING.
43.26 		Subdivision 1.Definitions. (a) For purposes of this section, the following definitions 
43.27 	apply.
43.28 	(b) "Available discount" means any reduction in the usual and customary price 
43.29 	offered for a 30-day supply of a prescription drug to individuals in Minnesota regardless 
43.30 	of their health insurance coverage.
43.31 	(c) "Retail pharmacy" means any pharmacy licensed under section 151.19, and in 
43.32 	the community/outpatient category under Minnesota Rules, part 6800.0350, that has a 
43.33 	physical presence in Minnesota.
44.1 	(d) "Retail price" means the price maintained by pharmacies as the usual and 
44.2 	customary price offered for a 30-day supply to individuals in Minnesota regardless of 
44.3 	the individual's health insurance coverage.
44.4 		Subd. 2.Prescription drug price information reporting. By July 1, 2017, the 
44.5 	commissioner of health shall establish an interactive Web site that allows retail pharmacies, 
44.6 	on a voluntary basis, to list retail prices and available discounts for one or more of the 150 
44.7 	most commonly dispensed prescription drugs in Minnesota. The Web site must report the 
44.8 	retail prices for prescription drugs by participating pharmacy and any time period restriction 
44.9 	on an available discount. The Web site must allow consumers to search for prescription 
44.10 	drug retail prices by drug name and class, by available discount level, and by city, county, 
44.11 	and zip code. The commissioner shall consult annually with the commissioner of human 
44.12 	services to determine the list of the 150 most commonly filled prescription drugs, based on 
44.13 	prescription drug utilization in the medical assistance and MinnesotaCare programs.
44.14 		Subd. 3.Pharmacy duties. Beginning on June 1, 2017, and on a monthly basis 
44.15 	thereafter, all participating retail pharmacies shall submit retail prices and available 
44.16 	discounts to the commissioner using a form developed by the commissioner. A 
44.17 	retail pharmacy may opt out of the reporting system at any time, but shall notify the 
44.18 	commissioner at least 60 days prior to opting out.
44.19 		Subd. 4.External vendors. In carrying out the duties of this section, the 
44.20 	commissioner may contract with an outside vendor for collection of data from pharmacies, 
44.21 	and may also contract with an outside vendor for development and hosting of the 
44.22 	interactive application, if this contract complies with the requirements of section 16E.016, 
44.23 	paragraph (c).

44.24 	Sec. 6. Minnesota Statutes 2014, section 144A.471, subdivision 9, is amended to read:
44.25 		Subd. 9.Exclusions from home care licensure. The following are excluded from 
44.26 	home care licensure and are not required to provide the home care bill of rights:
44.27 	(1) an individual or business entity providing only coordination of home care that 
44.28 	includes one or more of the following:
44.29 	(i) determination of whether a client needs home care services, or assisting a client 
44.30 	in determining what services are needed;
44.31 	(ii) referral of clients to a home care provider;
44.32 	(iii) administration of payments for home care services; or
44.33 	(iv) administration of a health care home established under section 256B.0751;
44.34 	(2) an individual who is not an employee of a licensed home care provider if the 
44.35 	individual:
45.1 	(i) only provides services as an independent contractor to one or more licensed 
45.2 	home care providers;
45.3 	(ii) provides no services under direct agreements or contracts with clients; and
45.4 	(iii) is contractually bound to perform services in compliance with the contracting 
45.5 	home care provider's policies and service plans;
45.6 	(3) a business that provides staff to home care providers, such as a temporary 
45.7 	employment agency, if the business:
45.8 	(i) only provides staff under contract to licensed or exempt providers;
45.9 	(ii) provides no services under direct agreements with clients; and
45.10 	(iii) is contractually bound to perform services under the contracting home care 
45.11 	provider's direction and supervision;
45.12 	(4) any home care services conducted by and for the adherents of any recognized 
45.13 	church or religious denomination for its members through spiritual means, or by prayer 
45.14 	for healing;
45.15 	(5) an individual who only provides home care services to a relative;
45.16 	(6) an individual not connected with a home care provider that provides assistance 
45.17 	with basic home care needs if the assistance is provided primarily as a contribution and 
45.18 	not as a business;
45.19 	(7) an individual not connected with a home care provider that shares housing with 
45.20 	and provides primarily housekeeping or homemaking services to an elderly or disabled 
45.21 	person in return for free or reduced-cost housing;
45.22 	(8) an individual or provider providing home-delivered meal services;
45.23 	(9) an individual providing senior companion services and other older American 
45.24 	volunteer programs (OAVP) established under the Domestic Volunteer Service Act of 
45.25 	1973, United States Code, title 42, chapter 66;
45.26 	(10) an employee of a nursing home or home care provider licensed under this 
45.27 	chapter or an employee of a boarding care home licensed under sections 144.50 to 144.56
45.28 	who responds to occasional emergency calls from individuals residing in a residential 
45.29 	setting that is attached to or located on property contiguous to the nursing home or,
45.30 	boarding care home, or location where home care services are also provided;
45.31 	(11) an employee of a nursing home or home care provider licensed under this 
45.32 	chapter or an employee of a boarding care home licensed under sections 144.50 to 
45.33 	144.56 who provides occasional minor services free of charge to individuals residing in 
45.34 	a residential setting that is attached to or located on property contiguous to the nursing 
45.35 	home, boarding care home, or location where home care services are also provided, for the 
45.36 	occasional minor services provided free of charge;
46.1 	(11) (12) a member of a professional corporation organized under chapter 319B that 
46.2 	does not regularly offer or provide home care services as defined in section 144A.43, 
46.3 	subdivision 3;
46.4 	(12) (13) the following organizations established to provide medical or surgical 
46.5 	services that do not regularly offer or provide home care services as defined in section 
46.6 	144A.43, subdivision 3: a business trust organized under sections 318.01 to 318.04, 
46.7 	a nonprofit corporation organized under chapter 317A, a partnership organized under 
46.8 	chapter 323, or any other entity determined by the commissioner;
46.9 	(13) (14) an individual or agency that provides medical supplies or durable medical 
46.10 	equipment, except when the provision of supplies or equipment is accompanied by a 
46.11 	home care service;
46.12 	(14) (15) a physician licensed under chapter 147;
46.13 	(15) (16) an individual who provides home care services to a person with a 
46.14 	developmental disability who lives in a place of residence with a family, foster family, or 
46.15 	primary caregiver;
46.16 	(16) (17) a business that only provides services that are primarily instructional and 
46.17 	not medical services or health-related support services;
46.18 	(17) (18) an individual who performs basic home care services for no more than 
46.19 	14 hours each calendar week to no more than one client;
46.20 	(18) (19) an individual or business licensed as hospice as defined in sections 144A.75
46.21 	to 144A.755 who is not providing home care services independent of hospice service;
46.22 	(19) (20) activities conducted by the commissioner of health or a community health 
46.23 	board as defined in section 145A.02, subdivision 5, including communicable disease 
46.24 	investigations or testing; or
46.25 	(20) (21) administering or monitoring a prescribed therapy necessary to control or 
46.26 	prevent a communicable disease, or the monitoring of an individual's compliance with a 
46.27 	health directive as defined in section 144.4172, subdivision 6.

46.28 	Sec. 7. Minnesota Statutes 2014, section 144A.75, subdivision 5, is amended to read:
46.29 		Subd. 5.Hospice provider. "Hospice provider" means an individual, organization, 
46.30 	association, corporation, unit of government, or other entity that is regularly engaged 
46.31 	in the delivery, directly or by contractual arrangement, of hospice services for a fee to 
46.32 	terminally ill hospice patients. A hospice must provide all core services.

46.33 	Sec. 8. Minnesota Statutes 2014, section 144A.75, subdivision 6, is amended to read:
47.1 		Subd. 6.Hospice patient. "Hospice patient" means an individual who has been 
47.2 	diagnosed as terminally ill, with a probable life expectancy of under one year, aswhose 
47.3 	illness has been documented by the individual's attending physician and hospice medical 
47.4 	director, who alone or, when unable, through the individual's family has voluntarily 
47.5 	consented to and received admission to a hospice provider, and who:
47.6 	(1) has been diagnosed as terminally ill, with a probable life expectancy of under 
47.7 	one year; or
47.8 	(2) is 21 years of age or younger; has been diagnosed with a chronic, complex, and 
47.9 	life-threatening illness contributing to a shortened life expectancy; and is not expected 
47.10 	to survive to adulthood.

47.11 	Sec. 9. Minnesota Statutes 2014, section 144A.75, subdivision 8, is amended to read:
47.12 		Subd. 8.Hospice services; hospice care. "Hospice services" or "hospice care" 
47.13 	means palliative and supportive care and other services provided by an interdisciplinary 
47.14 	team under the direction of an identifiable hospice administration to terminally ill hospice 
47.15 	patients and their families to meet the physical, nutritional, emotional, social, spiritual, 
47.16 	and special needs experienced during the final stages of illness, dying, and bereavement, 
47.17 	or during a chronic, complex, and life-threatening illness contributing to a shortened life 
47.18 	expectancy. These services are provided through a centrally coordinated program that 
47.19 	ensures continuity and consistency of home and inpatient care that is provided directly 
47.20 	or through an agreement.

47.21 	Sec. 10. Minnesota Statutes 2015 Supplement, section 144A.75, subdivision 13, 
47.22 	is amended to read:
47.23 		Subd. 13.Residential hospice facility. (a) "Residential hospice facility" means a 
47.24 	facility that resembles a single-family home modified to address life safety, accessibility, 
47.25 	and care needs, located in a residential area that directly provides 24-hour residential 
47.26 	and support services in a home-like setting for hospice patients as an integral part of the 
47.27 	continuum of home care provided by a hospice and that houses:
47.28 	(1) no more than eight hospice patients; or
47.29 	(2) at least nine and no more than 12 hospice patients with the approval of the local 
47.30 	governing authority, notwithstanding section 462.357, subdivision 8.
47.31 	(b) Residential hospice facility also means a facility that directly provides 24-hour 
47.32 	residential and support services for hospice patients and that:
47.33 	(1) houses no more than 21 hospice patients;
48.1 	(2) meets hospice certification regulations adopted pursuant to title XVIII of the 
48.2 	federal Social Security Act, United States Code, title 42, section 1395, et seq.; and
48.3 	(3) is located on St. Anthony Avenue in St. Paul, Minnesota, and was licensed as a 
48.4 	40-bed non-Medicare certified nursing home as of January 1, 2015.

48.5 	Sec. 11. Minnesota Statutes 2014, section 144A.75, is amended by adding a 
48.6 	subdivision to read:
48.7 		Subd. 13a.Respite care. "Respite care" means short-term care in an inpatient 
48.8 	facility, such as a residential hospice facility, when necessary to relieve the hospice 
48.9 	patient's family or other persons caring for the patient. Respite care may be provided on 
48.10 	an occasional basis.

48.11 	Sec. 12. Minnesota Statutes 2015 Supplement, section 145.4131, subdivision 1, 
48.12 	is amended to read:
48.13 		Subdivision 1.Forms. (a) Within 90 days of July 1, 1998, the commissioner shall 
48.14 	prepare a reporting form for use by physicians or facilities performing abortions. A copy 
48.15 	of this section shall be attached to the form. A physician or facility performing an abortion 
48.16 	shall obtain a form from the commissioner.
48.17 	(b) The form shall require the following information:
48.18 	(1) the number of abortions performed by the physician in the previous calendar 
48.19 	year, reported by month;
48.20 	(2) the method used for each abortion;
48.21 	(3) the approximate gestational age expressed in one of the following increments:
48.22 	(i) less than nine weeks;
48.23 	(ii) nine to ten weeks;
48.24 	(iii) 11 to 12 weeks;
48.25 	(iv) 13 to 15 weeks;
48.26 	(v) 16 to 20 weeks;
48.27 	(vi) 21 to 24 weeks;
48.28 	(vii) 25 to 30 weeks;
48.29 	(viii) 31 to 36 weeks; or
48.30 	(ix) 37 weeks to term;
48.31 	(4) the age of the woman at the time the abortion was performed;
48.32 	(5) the specific reason for the abortion, including, but not limited to, the following:
48.33 	(i) the pregnancy was a result of rape;
48.34 	(ii) the pregnancy was a result of incest;
49.1 	(iii) economic reasons;
49.2 	(iv) the woman does not want children at this time;
49.3 	(v) the woman's emotional health is at stake;
49.4 	(vi) the woman's physical health is at stake;
49.5 	(vii) the woman will suffer substantial and irreversible impairment of a major bodily 
49.6 	function if the pregnancy continues;
49.7 	(viii) the pregnancy resulted in fetal anomalies; or
49.8 	(ix) unknown or the woman refused to answer;
49.9 	(6) the number of prior induced abortions;
49.10 	(7) the number of prior spontaneous abortions;
49.11 	(8) whether the abortion was paid for by:
49.12 	(i) private coverage;
49.13 	(ii) public assistance health coverage; or
49.14 	(iii) self-pay;
49.15 	(9) whether coverage was under:
49.16 	(i) a fee-for-service plan;
49.17 	(ii) a capitated private plan; or
49.18 	(iii) other;
49.19 	(10) complications, if any, for each abortion and for the aftermath of each abortion. 
49.20 	Space for a description of any complications shall be available on the form;
49.21 	(11) the medical specialty of the physician performing the abortion; and
49.22 	(12) if the abortion was performed via telemedicine, the facility code for the patient 
49.23 	and the facility code for the physician; and
49.24 	(12) (13) whether the abortion resulted in a born alive infant, as defined in section 
49.25 	145.423, subdivision 4, and:
49.26 	(i) any medical actions taken to preserve the life of the born alive infant;
49.27 	(ii) whether the born alive infant survived; and
49.28 	(iii) the status of the born alive infant, should the infant survive, if known.

49.29 	EFFECTIVE DATE. This section is effective January 1, 2017.

49.30 	Sec. 13. Minnesota Statutes 2014, section 145.4716, subdivision 2, is amended to read:
49.31 		Subd. 2.Duties of director. The director of child sex trafficking prevention is 
49.32 	responsible for the following:
49.33 	(1) developing and providing comprehensive training on sexual exploitation of 
49.34 	youth for social service professionals, medical professionals, public health workers, and 
49.35 	criminal justice professionals;
50.1 	(2) collecting, organizing, maintaining, and disseminating information on sexual 
50.2 	exploitation and services across the state, including maintaining a list of resources on the 
50.3 	Department of Health Web site;
50.4 	(3) monitoring and applying for federal funding for antitrafficking efforts that may 
50.5 	benefit victims in the state;
50.6 	(4) managing grant programs established under sections 145.4716 to 145.4718
50.7 	and 609.3241, paragraph (c), clause (3);
50.8 	(5) managing the request for proposals for grants for comprehensive services, 
50.9 	including trauma-informed, culturally specific services;
50.10 	(6) identifying best practices in serving sexually exploited youth, as defined in 
50.11 	section 260C.007, subdivision 31;
50.12 	(7) providing oversight of and technical support to regional navigators pursuant to 
50.13 	section 145.4717;
50.14 	(8) conducting a comprehensive evaluation of the statewide program for safe harbor 
50.15 	of sexually exploited youth; and
50.16 	(9) developing a policy consistent with the requirements of chapter 13 for sharing 
50.17 	data related to sexually exploited youth, as defined in section 260C.007, subdivision 31, 
50.18 	among regional navigators and community-based advocates.

50.19 	Sec. 14. Minnesota Statutes 2014, section 145.4716, is amended by adding a 
50.20 	subdivision to read:
50.21 		Subd. 3.Youth eligible for services. Youth 24 years of age or younger shall be 
50.22 	eligible for all services, support, and programs provided under this section and section 
50.23 	145.4717, and all shelter, housing beds, and services provided by the commissioner of 
50.24 	human services to sexually exploited youth and youth at risk of sexual exploitation.

50.25 	Sec. 15. [145.908] GRANT PROGRAM; SCREENING AND TREATMENT FOR 
50.26 	PRE- AND POSTPARTUM MOOD AND ANXIETY DISORDERS.
50.27 		Subdivision 1.Grant program established. Within the limits of federal funds 
50.28 	available specifically for this purpose, the commissioner of health shall establish a grant 
50.29 	program to provide culturally competent programs to screen and treat pregnant women 
50.30 	and women who have given birth in the preceding 12 months for pre- and postpartum 
50.31 	mood and anxiety disorders. Organizations may use grant funds to establish new screening 
50.32 	or treatment programs, or expand or maintain existing screening or treatment programs. In 
50.33 	establishing the grant program, the commissioner shall prioritize expanding or enhancing 
51.1 	screening for pre- and postpartum mood and anxiety disorders in primary care settings. 
51.2 	The commissioner shall determine the types of organizations eligible for grants.
51.3 		Subd. 2.Allowable uses of funds. Grant funds awarded by the commissioner 
51.4 	under this section:
51.5 	(1) must be used to provide health care providers with appropriate training 
51.6 	and relevant resources on screening, treatment, follow-up support, and links to 
51.7 	community-based resources for pre- and postpartum mood and anxiety disorders; and
51.8 	(2) may be used to:
51.9 	(i) enable health care providers to provide or receive psychiatric consultations to 
51.10 	treat eligible women for pre- and postpartum mood and anxiety disorders;
51.11 	(ii) conduct a public awareness campaign;
51.12 	(iii) fund startup costs for telephone lines, Web sites, and other resources to collect 
51.13 	and disseminate information about screening and treatment for pre- and postpartum mood 
51.14 	and anxiety disorders; or
51.15 	(iv) establish connections between community-based resources.
51.16 		Subd. 3.Federal funds. The commissioner shall apply for any available grant funds 
51.17 	from the federal Department of Health and Human Services for this program.

51.18 	Sec. 16. Minnesota Statutes 2014, section 149A.50, subdivision 2, is amended to read:
51.19 		Subd. 2.Requirements for funeral establishment. A funeral establishment 
51.20 	licensed under this section must:
51.21 	(1) contain a comply with preparation and embalming room requirements as 
51.22 	described in section 149A.92;
51.23 	(2) contain office space for making arrangements; and
51.24 	(3) comply with applicable local and state building codes, zoning laws, and 
51.25 	ordinances.

51.26 	EFFECTIVE DATE. This section is effective the day following final enactment.

51.27 	Sec. 17. Minnesota Statutes 2015 Supplement, section 149A.92, subdivision 1, is 
51.28 	amended to read:
51.29 		Subdivision 1.Establishment update. (a) Notwithstanding subdivision 11, a 
51.30 	funeral establishment with other establishment locations that uses one preparation and 
51.31 	embalming room for all establishment locations has until July 1, 2017, to bring the other 
51.32 	establishment locations that are not used for preparation or embalming into compliance 
51.33 	with this section so long as the preparation and embalming room that is used complies 
51.34 	with the minimum standards in this section.
52.1 	(b) At the time that ownership of a funeral establishment changes, the physical 
52.2 	location of the establishment changes, or the building housing the funeral establishment or 
52.3 	business space of the establishment is remodeled the existing preparation and embalming 
52.4 	room must be brought into compliance with the minimum standards in this section and in 
52.5 	accordance with subdivision 11.
52.6 	(a) Any room used by a funeral establishment for preparation and embalming must 
52.7 	comply with the minimum standards of this section. A funeral establishment where no 
52.8 	preparation and embalming is performed, but which conducts viewings, visitations, and 
52.9 	services, or which holds human remains while awaiting final disposition, need not comply 
52.10 	with the minimum standards of this section.
52.11 	(b) Each funeral establishment must have a preparation and embalming room that 
52.12 	complies with the minimum standards of this section, except that a funeral establishment 
52.13 	that operates branch locations need only have one compliant preparation and embalming 
52.14 	room for all locations.

52.15 	EFFECTIVE DATE. This section is effective the day following final enactment.

52.16 	Sec. 18. Minnesota Statutes 2014, section 157.15, subdivision 14, is amended to read:
52.17 		Subd. 14.Special event food stand. "Special event food stand" means a food and 
52.18 	beverage service establishment which is used in conjunction with celebrations and special 
52.19 	events, and which operates no more than three times annually for no more than ten total 
52.20 	days within the applicable license period.

52.21 	Sec. 19. Minnesota Statutes 2014, section 327.14, subdivision 8, is amended to read:
52.22 		Subd. 8.Recreational camping area. "Recreational camping area" means any area, 
52.23 	whether privately or publicly owned, used on a daily, nightly, weekly, or longer basis for 
52.24 	the accommodation of five or more tents or recreational camping vehicles free of charge 
52.25 	or for compensation. "Recreational camping area" excludes:
52.26 	(1) children's camps;
52.27 	(2) industrial camps;
52.28 	(3) migrant labor camps, as defined in Minnesota Statutes and state commissioner 
52.29 	of health rules;
52.30 	(4) United States Forest Service camps;
52.31 	(5) state forest service camps;
52.32 	(6) state wildlife management areas or state-owned public access areas which are 
52.33 	restricted in use to picnicking and boat landing; and
53.1 	(7) temporary holding areas for self-contained recreational camping vehicles 
53.2 	created by and adjacent to motor sports facilities, if the chief law enforcement officer of 
53.3 	an affected jurisdiction determines that it is in the interest of public safety to provide a 
53.4 	temporary holding area; and
53.5 	(8) a privately owned area used for camping no more than once a year and for no 
53.6 	longer than seven consecutive days by members of a private club where the members pay 
53.7 	annual dues to belong to the club.

53.8 	EFFECTIVE DATE. This section is effective the day following final enactment.

53.9 	Sec. 20. Minnesota Statutes 2014, section 609.3241, is amended to read:
53.10 	609.3241 PENALTY ASSESSMENT AUTHORIZED.
53.11 	(a) When a court sentences an adult convicted of violating section 609.322 or 
53.12 	609.324, while acting other than as a prostitute, the court shall impose an assessment of 
53.13 	not less than $500 and not more than $750 for a violation of section 609.324, subdivision 
53.14 	2, or a misdemeanor violation of section 609.324, subdivision 3; otherwise the court shall 
53.15 	impose an assessment of not less than $750 and not more than $1,000. The assessment 
53.16 	shall be distributed as provided in paragraph (c) and is in addition to the surcharge 
53.17 	required by section 357.021, subdivision 6.
53.18 	(b) The court may not waive payment of the minimum assessment required by 
53.19 	this section. If the defendant qualifies for the services of a public defender or the court 
53.20 	finds on the record that the convicted person is indigent or that immediate payment of 
53.21 	the assessment would create undue hardship for the convicted person or that person's 
53.22 	immediate family, the court may reduce the amount of the minimum assessment to not 
53.23 	less than $100. The court also may authorize payment of the assessment in installments.
53.24 	(c) The assessment collected under paragraph (a) must be distributed as follows:
53.25 	(1) 40 percent of the assessment shall be forwarded to the political subdivision that 
53.26 	employs the arresting officer for use in enforcement, training, and education activities 
53.27 	related to combating sexual exploitation of youth, or if the arresting officer is an employee 
53.28 	of the state, this portion shall be forwarded to the commissioner of public safety for those 
53.29 	purposes identified in clause (3);
53.30 	(2) 20 percent of the assessment shall be forwarded to the prosecuting agency that 
53.31 	handled the case for use in training and education activities relating to combating sexual 
53.32 	exploitation activities of youth; and
53.33 	(3) 40 percent of the assessment must be forwarded to the commissioner of public 
53.34 	safety health to be deposited in the safe harbor for youth account in the special revenue 
54.1 	fund and are appropriated to the commissioner for distribution to crime victims services 
54.2 	organizations that provide services to sexually exploited youth, as defined in section 
54.3 	260C.007, subdivision 31.
54.4 	(d) A safe harbor for youth account is established as a special account in the state 
54.5 	treasury.

54.6 	Sec. 21. EXPANDING ELIGIBILITY FOR DESIGNATION AS A CRITICAL 
54.7 	ACCESS HOSPITAL.
 54.8 	(a) The commissioner of health is encouraged to contact Minnesota's federal elected 
54.9 	officials and pursue all necessary changes to the Medicare rural hospital flexibility 
54.10 	program established in United States Code, title 42, section 1395i-4 to expand the number 
54.11 	of rural hospitals that are eligible for designation as a critical access hospital. In the 
54.12 	request for program changes, the commissioner shall seek authority to designate any 
54.13 	hospital that applies for designation as a critical access hospital if the hospital:
54.14 	(1) is located in a Minnesota county that is a rural area as defined in United States 
54.15 	Code, title 42, section 1395ww(d)(2)(D). A hospital is not required to be located 35 miles 
54.16 	from another hospital, or 15 miles from another hospital if located in mountainous terrain 
54.17 	or in an area with only secondary roads; and
54.18 	(2) is licensed under sections 144.50 to 144.56 and is certified to participate in the 
54.19 	Medicare program.
54.20 	(b) The commissioner shall determine other eligibility criteria for which program 
54.21 	changes should be requested, in order to expand eligibility for designation as a critical 
54.22 	access hospital to the greatest number of rural hospitals in the state. The commissioner 
54.23 	shall report to the chairs and ranking minority members of the legislative committees 
54.24 	with jurisdiction over health care finance and policy by January 1, 2017, on the status of 
54.25 	the request for program changes.

54.26 	Sec. 22.  REPEALER.
 54.27 	Minnesota Statutes 2014, section 149A.92, subdivision 11, is repealed the day 
54.28 	following final enactment.

54.29 	ARTICLE 5
54.30 	CHEMICAL AND MENTAL HEALTH

54.31 	Section 1. Minnesota Statutes 2015 Supplement, section 245.735, subdivision 3, 
54.32 	is amended to read:
55.1 		Subd. 3.Reform projects Certified community behavioral health clinics. (a) The 
55.2 	commissioner shall establish standards for a state certification of clinics as process for 
55.3 	certified community behavioral health clinics, in accordance (CCBHCs) to be eligible for 
55.4 	the prospective payment system in paragraph (f). Entities that choose to be CCBHCs must:
55.5 	(1) comply with the CCBHC criteria published on or before September 1, 2015, by 
55.6 	the United States Department of Health and Human Services. Certification standards 
55.7 	established by the commissioner shall require that:;
55.8 	(1) (2) employ or contract for clinic staff who have backgrounds in diverse 
55.9 	disciplines, include including licensed mental health professionals, and staff who are 
55.10 	culturally and linguistically trained to serve the needs of the clinic's patient population;
55.11 	(2) (3) ensure that clinic services are available and accessible to patients of all ages 
55.12 	and genders and that crisis management services are available 24 hours per day;
55.13 	(3) (4) establish fees for clinic services are established for non-medical assistance 
55.14 	patients using a sliding fee scale and that ensures that services to patients are not denied 
55.15 	or limited due to a patient's inability to pay for services;
55.16 	(4) clinics provide coordination of care across settings and providers to ensure  
55.17 	seamless transitions for patients across the full spectrum of health services, including 
55.18 	acute, chronic, and behavioral needs. Care coordination may be accomplished through 
55.19 	partnerships or formal contracts with federally qualified health centers, inpatient 
55.20 	psychiatric facilities, substance use and detoxification facilities, community-based mental 
55.21 	health providers, and other community services, supports, and providers including 
55.22 	schools, child welfare agencies, juvenile and criminal justice agencies, Indian Health 
55.23 	Services clinics, tribally licensed health care and mental health facilities, urban Indian 
55.24 	health clinics, Department of Veterans Affairs medical centers, outpatient clinics, drop-in 
55.25 	centers, acute care hospitals, and hospital outpatient clinics;
55.26 	(5) comply with quality assurance reporting requirements and other reporting 
55.27 	requirements, including any required reporting of encounter data, clinical outcomes data, 
55.28 	and quality data;
55.29 	(5) services provided by clinics include (6) provide crisis mental health services, 
55.30 	withdrawal management services, emergency crisis intervention services, and stabilization 
55.31 	services; screening, assessment, and diagnosis services, including risk assessments and 
55.32 	level of care determinations; patient-centered treatment planning; outpatient mental 
55.33 	health and substance use services; targeted case management; psychiatric rehabilitation 
55.34 	services; peer support and counselor services and family support services; and intensive 
55.35 	community-based mental health services, including mental health services for members of 
55.36 	the armed forces and veterans; and
56.1 	(6) clinics comply with quality assurance reporting requirements and other reporting 
56.2 	requirements, including any required reporting of encounter data, clinical outcomes data, 
56.3 	and quality data.
56.4 	(7) provide coordination of care across settings and providers to ensure seamless 
56.5 	transitions for patients across the full spectrum of health services, including acute, chronic, 
56.6 	and behavioral needs. Care coordination may be accomplished through partnerships 
56.7 	or formal contracts with:
56.8 	(i) counties, health plans, pharmacists, pharmacies, rural health clinics, federally 
56.9 	qualified health centers, inpatient psychiatric facilities, substance use and detoxification 
56.10 	facilities, and community-based mental health providers; and
56.11 	(ii) other community services, supports, and providers including schools, child 
56.12 	welfare agencies, juvenile and criminal justice agencies, Indian Health Services clinics, 
56.13 	tribally licensed health care and mental health facilities, urban Indian health clinics, 
56.14 	Department of Veterans Affairs medical centers, outpatient clinics, drop-in centers, acute 
56.15 	care hospitals, and hospital outpatient clinics;
56.16 	(8) be certified as mental health clinics under section 245.69, subdivision 2;
56.17 	(9) comply with standards relating to integrated treatment for co-occurring mental 
56.18 	illness and substance use disorders in adults or children under Minnesota Rules, chapter 
56.19 	9533;
56.20 	(10) comply with standards relating to mental health services in Minnesota Rules, 
56.21 	parts 9505.0370 to 9505.0372;
56.22 	(11) be licensed to provide chemical dependency treatment under Minnesota Rules, 
56.23 	parts 9530.6405 to 9530.6505;
56.24 	(12) be certified to provide children's therapeutic services and supports under 
56.25 	section 256B.0943;
56.26 	(13) be certified to provide adult rehabilitative mental health services under section 
56.27 	256B.0623;
56.28 	(14) be enrolled to provide mental health crisis response services under section 
56.29 	256B.0624;
56.30 	(15) be enrolled to provide mental health targeted case management under section 
56.31 	256B.0625, subdivision 20;
56.32 	(16) comply with standards relating to mental health case management in Minnesota 
56.33 	Rules, parts 9520.0900 to 9520.0926; and
56.34 	(17) provide services that comply with the evidence-based practices described in 
56.35 	paragraph (e).
57.1 	(b) If an entity is unable to provide one or more of the services listed in paragraph 
57.2 	(a), clauses (6) to (17), the commissioner may certify the entity as a CCBHC, if the entity 
57.3 	has a current contract with another entity that has the required authority to provide that 
57.4 	service and that meets federal CCBHC criteria as a designated collaborating organization, 
57.5 	or, to the extent allowed by the federal CCBHC criteria, the commissioner may approve a 
57.6 	referral arrangement. The CCBHC must meet federal requirements regarding the type and 
57.7 	scope of services to be provided directly by the CCBHC.
57.8 	(c) Notwithstanding other law that requires a county contract or other form of county 
57.9 	approval for certain services listed in paragraph (a), clause (6), a clinic that otherwise 
57.10 	meets CCBHC requirements may receive the prospective payment under paragraph (f) 
57.11 	for those services without a county contract or county approval. There is no county 
57.12 	share when medical assistance pays the CCBHC prospective payment. As part of the 
57.13 	certification process in paragraph (a), the commissioner shall require a letter of support 
57.14 	from the CCBHC's host county confirming that the CCBHC and the counties it serves 
57.15 	have an ongoing relationship to facilitate access and continuity of care, especially for 
57.16 	individuals who are uninsured or who may go on and off medical assistance.
57.17 	(d) In situations where the standards in paragraph (a) or other applicable standards 
57.18 	conflict or address similar issues in duplicative or incompatible ways, the commissioner 
57.19 	may grant variances to state requirements as long as the variances do not conflict with 
57.20 	federal requirements. In situations where standards overlap, the commissioner may decide 
57.21 	to substitute all or a part of a licensure or certification that is substantially the same as 
57.22 	another licensure or certification. The commissioner shall consult with stakeholders, as 
57.23 	described in subdivision 4, before granting variances under this provision.
57.24 	(e) The commissioner shall issue a list of required and recommended evidence-based 
57.25 	practices to be delivered by CCBHCs. The commissioner may update the list to reflect 
57.26 	advances in outcomes research and medical services for persons living with mental 
57.27 	illnesses or substance use disorders. The commissioner shall take into consideration the 
57.28 	adequacy of evidence to support the efficacy of the practice, the quality of workforce 
57.29 	available, and the current availability of the practice in the state. At least 30 days before 
57.30 	issuing the initial list and any revisions, the commissioner shall provide stakeholders 
57.31 	with an opportunity to comment.
57.32 	(b) (f) The commissioner shall establish standards and methodologies for a 
57.33 	prospective payment system for medical assistance payments for mental health services 
57.34 	delivered by certified community behavioral health clinics, in accordance with guidance 
57.35 	issued on or before September 1, 2015, by the Centers for Medicare and Medicaid 
57.36 	Services. During the operation of the demonstration project, payments shall comply with 
58.1 	federal requirements for a 90 percent an enhanced federal medical assistance percentage. 
58.2 	The commissioner may include quality bonus payments in the prospective payment 
58.3 	system based on federal criteria and on a clinic's provision of the evidence-based practices 
58.4 	in paragraph (e). The prospective payments system does not apply to MinnesotaCare. 
58.5 	Implementation of the prospective payment system is effective July 1, 2017, or upon 
58.6 	federal approval, whichever is later.
58.7 	(g) The commissioner shall seek federal approval to continue federal financial 
58.8 	participation in payment for CCBHC services after the federal demonstration period 
58.9 	ends for clinics that were certified as CCBHCs during the demonstration period and 
58.10 	that continue to meet the CCBHC certification standards in paragraph (a). Payment 
58.11 	for CCBHC services shall cease effective July 1, 2019, if continued federal financial 
58.12 	participation for the payment of CCBHC services cannot be obtained.
58.13 	(h) To the extent allowed by federal law, the commissioner may limit the number of 
58.14 	certified clinics so that the projected claims for certified clinics will not exceed the funds 
58.15 	budgeted for this purpose. The commissioner shall give preference to clinics that:
58.16 	(1) are located in both rural and urban areas, with at least one in each, as defined 
58.17 	by federal criteria;
58.18 	(2) provide a comprehensive range of services and evidence-based practices for all 
58.19 	age groups, with services being fully coordinated and integrated; and
58.20 	(3) enhance the state's ability to meet the federal priorities to be selected as a 
58.21 	CCBHC demonstration state.
58.22 	(i) The commissioner shall recertify CCBHCs at least every three years. The 
58.23 	commissioner shall establish a process for decertification and shall require corrective 
58.24 	action, medical assistance repayment, or decertification of a CCBHC that no longer 
58.25 	meets the requirements in this section or that fails to meet the standards provided by the 
58.26 	commissioner in the application and certification process.

58.27 	EFFECTIVE DATE. This section is effective the day following final enactment.

58.28 	Sec. 2. Minnesota Statutes 2015 Supplement, section 245.735, subdivision 4, is 
58.29 	amended to read:
58.30 		Subd. 4.Public participation. In developing the projects and implementing 
58.31 	certified community behavioral health clinics under subdivision 3, the commissioner shall 
58.32 	consult, collaborate, and partner with stakeholders, including but not limited to mental 
58.33 	health providers, substance use disorder treatment providers, advocacy organizations, 
58.34 	licensed mental health professionals, counties, tribes, hospitals, other health care 
59.1 	providers, and Minnesota public health care program enrollees who receive mental health 
59.2 	services and their families.

59.3 	EFFECTIVE DATE. This section is effective the day following final enactment.

59.4 	Sec. 3. Minnesota Statutes 2014, section 245.99, subdivision 2, is amended to read:
59.5 		Subd. 2.Rental assistance. The program shall pay up to 90 days of housing 
59.6 	assistance for persons with a serious and persistent mental illness who require inpatient or 
59.7 	residential care for stabilization. The commissioner of human services may extend the 
59.8 	length of assistance on a case-by-case basis.

59.9 	Sec. 4. Minnesota Statutes 2014, section 254B.03, subdivision 4, is amended to read:
59.10 		Subd. 4.Division of costs. (a) Except for services provided by a county under 
59.11 	section 254B.09, subdivision 1, or services provided under section 256B.69 or 256D.03, 
59.12 	subdivision 4, paragraph (b), the county shall, out of local money, pay the state for 22.95 
59.13 	percent of the cost of chemical dependency services, including those services provided to 
59.14 	persons eligible for medical assistance under chapter 256B and general assistance medical 
59.15 	care under chapter 256D. Counties may use the indigent hospitalization levy for treatment 
59.16 	and hospital payments made under this section. 22.95 percent of any state collections from 
59.17 	private or third-party pay, less 15 percent for the cost of payment and collections, must be 
59.18 	distributed to the county that paid for a portion of the treatment under this section.
59.19 	(b) For fiscal year 2017 only, the county percent of cost of chemical dependency 
59.20 	services shall be reduced from 22.95 percent to 15 percent.

59.21 	EFFECTIVE DATE. This section is effective July 1, 2016.

59.22 	Sec. 5. Minnesota Statutes 2014, section 254B.04, subdivision 2a, is amended to read:
59.23 		Subd. 2a.Eligibility for treatment in residential settings. Notwithstanding 
59.24 	provisions of Minnesota Rules, part 9530.6622, subparts 5 and 6, related to an assessor's 
59.25 	discretion in making placements to residential treatment settings, a person eligible for 
59.26 	services under this section must score at level 4 on assessment dimensions related to 
59.27 	relapse, continued use, or recovery environment in order to be assigned to services with a 
59.28 	room and board component reimbursed under this section. Whether a treatment facility 
59.29 	has been designated an institution for mental diseases under United States Code, title 42, 
59.30 	section 1396d, shall not be a factor in making placements.

59.31 	EFFECTIVE DATE. This section is effective July 1, 2016.

60.1 	Sec. 6. Minnesota Statutes 2014, section 254B.06, subdivision 2, is amended to read:
60.2 		Subd. 2.Allocation of collections. (a) The commissioner shall allocate all federal 
60.3 	financial participation collections to a special revenue account. The commissioner shall 
60.4 	allocate 77.05 percent of patient payments and third-party payments to the special revenue 
60.5 	account and 22.95 percent to the county financially responsible for the patient.
60.6 	(b) For fiscal year 2017 only, the commissioner's allocation to the special revenue 
60.7 	account shall be increased from 77.05 percent to 85 percent and the county financial 
60.8 	responsibility shall be reduced from 22.95 percent to 15 percent.

60.9 	EFFECTIVE DATE. This section is effective July 1, 2016.

60.10 	Sec. 7. Minnesota Statutes 2014, section 254B.06, is amended by adding a subdivision 
60.11 	to read:
60.12 		Subd. 4.Reimbursement for institutions for mental diseases. The commissioner 
60.13 	shall not deny reimbursement to a program designated as an institution for mental diseases 
60.14 	under United States Code, title 42, section 1396d, due to a reduction in federal financial 
60.15 	participation and the addition of new residential beds.

60.16 	EFFECTIVE DATE. This section is effective July 1, 2016.

60.17 	Sec. 8. [254B.15] PILOT PROJECTS; TREATMENT FOR PREGNANT AND 
60.18 	POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDER.
60.19 		Subdivision 1.Pilot projects established. (a) Within the limits of federal funds 
60.20 	available specifically for this purpose, the commissioner of human services shall establish 
60.21 	pilot projects to provide substance use disorder treatment and services to pregnant and 
60.22 	postpartum women with a primary diagnosis of substance use disorder, including opioid 
60.23 	use disorder. Pilot projects funded under this section must:
60.24 	(1) promote flexible uses of funds to provide treatment and services to pregnant and 
60.25 	postpartum women with substance use disorders;
60.26 	(2) fund family-based treatment and services for pregnant and postpartum women 
60.27 	with substance use disorders;
60.28 	(3) identify gaps in services along the continuum of care that are provided to 
60.29 	pregnant and postpartum women with substance use disorders; and
60.30 	(4) encourage new approaches to service delivery and service delivery models.
60.31 	(b) A pilot project funded under this section must provide at least a portion of its 
60.32 	treatment and services to women who receive services on an outpatient basis.
61.1 		Subd. 2.Federal funds. The commissioner shall apply for any available grant funds 
61.2 	from the federal Center for Substance Abuse Treatment for these pilot projects.

61.3 	Sec. 9. Minnesota Statutes 2014, section 256B.0621, subdivision 10, is amended to read:
61.4 		Subd. 10.Payment rates. The commissioner shall set payment rates for targeted 
61.5 	case management under this subdivision. Case managers may bill according to the 
61.6 	following criteria:
61.7 	(1) for relocation targeted case management, case managers may bill for direct case 
61.8 	management activities, including face-to-face and, telephone contacts, and interactive 
61.9 	video contact in accordance with section 256B.0924, subdivision 4a, in the lesser of:
61.10 	(i) 180 days preceding an eligible recipient's discharge from an institution; or
61.11 	(ii) the limits and conditions which apply to federal Medicaid funding for this service;
61.12 	(2) for home care targeted case management, case managers may bill for direct case 
61.13 	management activities, including face-to-face and telephone contacts; and
61.14 	(3) billings for targeted case management services under this subdivision shall not 
61.15 	duplicate payments made under other program authorities for the same purpose.

61.16 	Sec. 10. Minnesota Statutes 2015 Supplement, section 256B.0625, subdivision 20, 
61.17 	is amended to read:
61.18 		Subd. 20.Mental health case management. (a) To the extent authorized by rule 
61.19 	of the state agency, medical assistance covers case management services to persons with 
61.20 	serious and persistent mental illness and children with severe emotional disturbance. 
61.21 	Services provided under this section must meet the relevant standards in sections 245.461 
61.22 	to 245.4887, the Comprehensive Adult and Children's Mental Health Acts, Minnesota 
61.23 	Rules, parts 9520.0900 to 9520.0926, and 9505.0322, excluding subpart 10.
61.24 	(b) Entities meeting program standards set out in rules governing family community 
61.25 	support services as defined in section 245.4871, subdivision 17, are eligible for medical 
61.26 	assistance reimbursement for case management services for children with severe 
61.27 	emotional disturbance when these services meet the program standards in Minnesota 
61.28 	Rules, parts 9520.0900 to 9520.0926 and 9505.0322, excluding subparts 6 and 10.
61.29 	(c) Medical assistance and MinnesotaCare payment for mental health case 
61.30 	management shall be made on a monthly basis. In order to receive payment for an eligible 
61.31 	child, the provider must document at least a face-to-face contact with the child, the child's 
61.32 	parents, or the child's legal representative. To receive payment for an eligible adult, the 
61.33 	provider must document:
62.1 	(1) at least a face-to-face contact with the adult or the adult's legal representative or a 
62.2 	contact by interactive video that meets the requirements of subdivision 20b; or
62.3 	(2) at least a telephone contact with the adult or the adult's legal representative 
62.4 	and document a face-to-face contact or a contact by interactive video that meets the 
62.5 	requirements of subdivision 20b with the adult or the adult's legal representative within 
62.6 	the preceding two months.
62.7 	(d) Payment for mental health case management provided by county or state staff 
62.8 	shall be based on the monthly rate methodology under section 256B.094, subdivision 6, 
62.9 	paragraph (b), with separate rates calculated for child welfare and mental health, and 
62.10 	within mental health, separate rates for children and adults.
62.11 	(e) Payment for mental health case management provided by Indian health services 
62.12 	or by agencies operated by Indian tribes may be made according to this section or other 
62.13 	relevant federally approved rate setting methodology.
62.14 	(f) Payment for mental health case management provided by vendors who contract 
62.15 	with a county or Indian tribe shall be based on a monthly rate negotiated by the host county 
62.16 	or tribe. The negotiated rate must not exceed the rate charged by the vendor for the same 
62.17 	service to other payers. If the service is provided by a team of contracted vendors, the 
62.18 	county or tribe may negotiate a team rate with a vendor who is a member of the team. The 
62.19 	team shall determine how to distribute the rate among its members. No reimbursement 
62.20 	received by contracted vendors shall be returned to the county or tribe, except to reimburse 
62.21 	the county or tribe for advance funding provided by the county or tribe to the vendor.
62.22 	(g) If the service is provided by a team which includes contracted vendors, tribal 
62.23 	staff, and county or state staff, the costs for county or state staff participation in the team 
62.24 	shall be included in the rate for county-provided services. In this case, the contracted 
62.25 	vendor, the tribal agency, and the county may each receive separate payment for services 
62.26 	provided by each entity in the same month. In order to prevent duplication of services, 
62.27 	each entity must document, in the recipient's file, the need for team case management and 
62.28 	a description of the roles of the team members.
62.29 	(h) Notwithstanding section 256B.19, subdivision 1, the nonfederal share of costs 
62.30 	for mental health case management shall be provided by the recipient's county of 
62.31 	responsibility, as defined in sections 256G.01 to 256G.12, from sources other than federal 
62.32 	funds or funds used to match other federal funds. If the service is provided by a tribal 
62.33 	agency, the nonfederal share, if any, shall be provided by the recipient's tribe. When this 
62.34 	service is paid by the state without a federal share through fee-for-service, 50 percent of 
62.35 	the cost shall be provided by the recipient's county of responsibility.
63.1 	(i) Notwithstanding any administrative rule to the contrary, prepaid medical 
63.2 	assistance, general assistance medical care, and MinnesotaCare include mental health case 
63.3 	management. When the service is provided through prepaid capitation, the nonfederal 
63.4 	share is paid by the state and the county pays no share.
63.5 	(j) The commissioner may suspend, reduce, or terminate the reimbursement to a 
63.6 	provider that does not meet the reporting or other requirements of this section. The county 
63.7 	of responsibility, as defined in sections 256G.01 to 256G.12, or, if applicable, the tribal 
63.8 	agency, is responsible for any federal disallowances. The county or tribe may share this 
63.9 	responsibility with its contracted vendors.
63.10 	(k) The commissioner shall set aside a portion of the federal funds earned for county 
63.11 	expenditures under this section to repay the special revenue maximization account under 
63.12 	section 256.01, subdivision 2, paragraph (o). The repayment is limited to:
63.13 	(1) the costs of developing and implementing this section; and
63.14 	(2) programming the information systems.
63.15 	(l) Payments to counties and tribal agencies for case management expenditures 
63.16 	under this section shall only be made from federal earnings from services provided 
63.17 	under this section. When this service is paid by the state without a federal share through 
63.18 	fee-for-service, 50 percent of the cost shall be provided by the state. Payments to 
63.19 	county-contracted vendors shall include the federal earnings, the state share, and the 
63.20 	county share.
63.21 	(m) Case management services under this subdivision do not include therapy, 
63.22 	treatment, legal, or outreach services.
63.23 	(n) If the recipient is a resident of a nursing facility, intermediate care facility, or 
63.24 	hospital, and the recipient's institutional care is paid by medical assistance, payment for 
63.25 	case management services under this subdivision is limited to the lesser of:
63.26 	(1) the last 180 days of the recipient's residency in that facility and may not exceed 
63.27 	more than six months in a calendar year; or
63.28 	(2) the limits and conditions which apply to federal Medicaid funding for this service.
63.29 	(o) Payment for case management services under this subdivision shall not duplicate 
63.30 	payments made under other program authorities for the same purpose.
63.31 	(p) If the recipient is receiving care in a hospital, nursing facility, or a residential 
63.32 	setting licensed under chapter 245A or 245D that is staffed 24 hours per day, seven 
63.33 	days per week, mental health targeted case management services must actively support 
63.34 	identification of community alternatives and discharge planning for the recipient.

64.1 	Sec. 11. Minnesota Statutes 2014, section 256B.0625, is amended by adding a 
64.2 	subdivision to read:
64.3 		Subd. 20b.Mental health targeted case management through interactive video.
 64.4 	(a) Subject to federal approval, contact made for targeted case management by interactive 
64.5 	video shall be eligible for payment under section 256B.0924, subdivision 6, if:
64.6 	(1) the person receiving targeted case management services is residing in:
64.7 	(i) a hospital;
64.8 	(ii) a nursing facility; or
64.9 	(iii) a residential setting licensed under chapter 245A or 245D, or a boarding and 
64.10 	lodging establishment or a lodging establishment that provides supportive services or 
64.11 	health supervision services according to section 157.17, that is staffed 24 hours per day, 
64.12 	seven days per week;
64.13 	(2) interactive video is in the best interests of the person and is deemed appropriate 
64.14 	by the person receiving targeted case management or the person's legal guardian, the case 
64.15 	management provider, and the provider operating the setting where the person is residing;
64.16 	(3) the use of interactive video is approved as part of the person's written personal 
64.17 	service or case plan taking into consideration the person's vulnerability and active personal 
64.18 	relationships; and
64.19 	(4) interactive video is used for up to, but not more than, 50 percent of the minimum 
64.20 	required face-to-face contacts.
64.21 	(b) The person receiving targeted case management or the person's legal guardian 
64.22 	has the right to choose and consent to the use of interactive video under this subdivision 
64.23 	and has the right to refuse the use of interactive video at any time.
64.24 	(c) The commissioner shall establish criteria that a targeted case management 
64.25 	provider must attest to in order to demonstrate the safety or efficacy of delivering the service 
64.26 	via interactive video. The attestation may include that the case management provider has:
64.27 	(1) written policies and procedures specific to interactive video services that are 
64.28 	regularly reviewed and updated;
64.29 	(2) policies and procedures that adequately address client safety before, during, and 
64.30 	after the interactive video services are rendered;
64.31 	(3) established protocols addressing how and when to discontinue interactive video 
64.32 	services; and
64.33 	(4) established a quality assurance process related to interactive video services.
64.34 	(d) As a condition of payment, the targeted case management provider must 
64.35 	document the following for each occurrence of targeted case management provided by 
64.36 	interactive video:
65.1 	(1) the time the service began and the time the service ended, including an a.m. and 
65.2 	p.m. designation;
65.3 	(2) the basis for determining that interactive video is an appropriate and effective 
65.4 	means for delivering the service to the person receiving case management services;
65.5 	(3) the mode of transmission of the interactive video services and records evidencing 
65.6 	that a particular mode of transmission was utilized;
65.7 	(4) the location of the originating site and the distant site; and
65.8 	(5) compliance with the criteria attested to by the targeted case management provider 
65.9 	as provided in paragraph (c).

65.10 	Sec. 12. Minnesota Statutes 2014, section 256B.0924, is amended by adding a 
65.11 	subdivision to read:
65.12 		Subd. 4a.Targeted case management through interactive video. (a) Subject to 
65.13 	federal approval, contact made for targeted case management by interactive video shall be 
65.14 	eligible for payment under subdivision 6 if:
65.15 	(1) the person receiving targeted case management services is residing in:
65.16 	(i) a hospital;
65.17 	(ii) a nursing facility;
65.18 	(iii) a residential setting licensed under chapter 245A or 245D, or a boarding and 
65.19 	lodging establishment or a lodging establishment that provides supportive services or 
65.20 	health supervision services according to section 157.17, that is staffed 24 hours per day, 
65.21 	seven days per week;
65.22 	(2) interactive video is in the best interests of the person and is deemed appropriate 
65.23 	by the person receiving targeted case management or the person's legal guardian, the case 
65.24 	management provider, and the provider operating the setting where the person is residing;
65.25 	(3) the use of interactive video is approved as part of the person's written personal 
65.26 	service or case plan; and
65.27 	(4) interactive video is used for up to, but not more than, 50 percent of the minimum 
65.28 	required face-to-face contacts.
65.29 	(b) The person receiving targeted case management or the person's legal guardian 
65.30 	has the right to choose and consent to the use of interactive video under this subdivision 
65.31 	and has the right to refuse the use of interactive video at any time.
65.32 	(c) The commissioner shall establish criteria that a targeted case management 
65.33 	provider must attest to in order to demonstrate the safety or efficacy of delivering the service 
65.34 	via interactive video. The attestation may include that the case management provider has:
66.1 	(1) written policies and procedures specific to interactive video services that are 
66.2 	regularly reviewed and updated;
66.3 	(2) policies and procedures that adequately address client safety before, during, and 
66.4 	after the interactive video services are rendered;
66.5 	(3) established protocols addressing how and when to discontinue interactive video 
66.6 	services; and
66.7 	(4) established a quality assurance process related to interactive video services.
66.8 	(d) As a condition of payment, the targeted case management provider must 
66.9 	document the following for each occurrence of targeted case management provided by 
66.10 	interactive video:
66.11 	(1) the time the service began and the time the service ended, including an a.m. and 
66.12 	p.m. designation;
66.13 	(2) the basis for determining that interactive video is an appropriate and effective 
66.14 	means for delivering the service to the person receiving case management services;
66.15 	(3) the mode of transmission of the interactive video services and records evidencing 
66.16 	that a particular mode of transmission was utilized;
66.17 	(4) the location of the originating site and the distant site; and
66.18 	(5) compliance with the criteria attested to by the targeted case management provider 
66.19 	as provided in paragraph (c).

66.20 	Sec. 13. COMMISSIONER DUTY TO SEEK FEDERAL APPROVAL.
 66.21 	The commissioner of human services shall seek federal approval that is necessary 
66.22 	to implement Minnesota Statutes, sections 256B.0621, subdivision 10, and 256B.0625, 
66.23 	subdivision 20, for interactive video contact.

66.24 	Sec. 14. RURAL DEMONSTRATION PROJECT.
 66.25 	(a) Children's mental health collaboratives under Minnesota Statutes, section 
66.26 	245.493, are eligible to apply for grant funding under this section. The commissioner shall 
66.27 	solicit proposals and select the proposal that best meets the requirements under paragraph 
66.28 	(c). Only one demonstration project may be funded under this section.
66.29 	(b) The demonstration project must:
66.30 	(1) support youth served to achieve, within their potential, their personal goals 
66.31 	in employment, education, living situation, personal effectiveness, and community life 
66.32 	functioning;
66.33 	(2) build on and streamline transition services by identifying rural youth ages 15 to 
66.34 	25 currently in the mental health system or with emerging mental health conditions;
67.1 	(3) provide individualized motivational coaching;
67.2 	(4) build needed social supports;
67.3 	(5) demonstrate how services can be enhanced for youth to successfully navigate the 
67.4 	complexities associated with their unique needs;
67.5 	(6) utilize all available funding streams;
67.6 	(7) evaluate the effectiveness of the project; and
67.7 	(8) compare differences in outcomes and costs to youth without previous access 
67.8 	to this project.
67.9 	(c) The commissioner shall report to the chairs and ranking minority members of 
67.10 	the house of representatives and senate committees with jurisdiction over mental health 
67.11 	issues on the status and outcomes of the demonstration project by January 15, 2019. The 
67.12 	children's mental health collaboratives administering the demonstration project shall 
67.13 	collect and report outcome data, per guidelines approved by the commissioner, to support 
67.14 	the development of this report.

67.15 	ARTICLE 6
67.16 	CHILDREN AND FAMILIES

67.17 	Section 1. Minnesota Statutes 2014, section 119B.13, subdivision 1, is amended to read:
67.18 		Subdivision 1.Subsidy restrictions. (a) Beginning February 3, 2014, the maximum 
67.19 	rate paid for child care assistance in any county or county price cluster under the child 
67.20 	care fund shall be the greater of the 25th percentile of the 2011 child care provider rate 
67.21 	survey or the maximum rate effective November 28, 2011. For a child care provider 
67.22 	located inside the boundaries of a city located in two or more counties, the maximum rate 
67.23 	paid for child care assistance shall be equal to the maximum rate paid in the county with 
67.24 	the highest maximum reimbursement rates or the provider's charge, whichever is less. The 
67.25 	commissioner may: (1) assign a county with no reported provider prices to a similar price 
67.26 	cluster; and (2) consider county level access when determining final price clusters.
67.27 	(b) A rate which includes a special needs rate paid under subdivision 3 may be in 
67.28 	excess of the maximum rate allowed under this subdivision.
67.29 	(c) The department shall monitor the effect of this paragraph on provider rates. The 
67.30 	county shall pay the provider's full charges for every child in care up to the maximum 
67.31 	established. The commissioner shall determine the maximum rate for each type of care 
67.32 	on an hourly, full-day, and weekly basis, including special needs and disability care. The 
67.33 	maximum payment to a provider for one day of care must not exceed the daily rate. The 
67.34 	maximum payment to a provider for one week of care must not exceed the weekly rate.
68.1 	(d) Child care providers receiving reimbursement under this chapter must not be 
68.2 	paid activity fees or an additional amount above the maximum rates for care provided 
68.3 	during nonstandard hours for families receiving assistance.
68.4 	(e) When the provider charge is greater than the maximum provider rate allowed, 
68.5 	the parent is responsible for payment of the difference in the rates in addition to any 
68.6 	family co-payment fee.
68.7 	(f) All maximum provider rates changes shall be implemented on the Monday 
68.8 	following the effective date of the maximum provider rate.
68.9 	(g) Notwithstanding Minnesota Rules, part 3400.0130, subpart 7, maximum 
68.10 	registration fees in effect on January 1, 2013, shall remain in effect.

68.11 	EFFECTIVE DATE. This section is effective September 11, 2017.

68.12 	Sec. 2. [245A.043] ELECTRONIC APPLICATION; INFORMATION.
68.13 	(a) The commissioner, in consultation with child care providers, shall conduct a 
68.14 	feasibility study regarding the development of a single, easily accessible Web site that 
68.15 	complies with the requirements contained in the federal reauthorization of the federal 
68.16 	Child Care Development Fund. In conducting the study, the commissioner shall review 
68.17 	current child care licensing processes and regulations in order to determine methods by 
68.18 	which the commissioner can streamline processes for current and prospective child care 
68.19 	providers including but not limited to applications for licensure, license renewals, and 
68.20 	provider record keeping. As part of this review, the commissioner must evaluate the 
68.21 	feasibility of developing an online system that would allow child care providers and 
68.22 	prospective child care providers to:
68.23 	(1) access a guide on how to start a child care business;
68.24 	(2) access all applicable statutes, administrative rules, and agency policies and 
68.25 	procedures, including training requirements;
68.26 	(3) access up-to-date contact information for state and county agency licensing staff;
68.27 	(4) access information on the availability of grant programs and other resources 
68.28 	for providers; 
68.29 	(5) use an online reimbursement tool for payment under the child care assistance 
68.30 	programs; and
68.31 	(6) submit a single electronic application and license renewal, including all 
68.32 	supporting documentation required by the commissioner, information related to child 
68.33 	care assistance program registration, and application for rating in the quality rating and 
68.34 	improvement system.
69.1 	(b) The commissioner shall submit the feasibility study to the chairs and ranking 
69.2 	minority members of the house of representatives and senate committees with jurisdiction 
69.3 	over child care by September 30, 2016.

69.4 	EFFECTIVE DATE. This section is effective the day following final enactment.

69.5 	Sec. 3. [245A.055] NOTIFICATION TO PROVIDER.
69.6 	(a) When the county employee responsible for family child care and group family 
69.7 	child care licensing conducts a licensing inspection or conducts a home visit, the employee 
69.8 	must provide, prior to departure from the residence or facility, a written notification to 
69.9 	the licensee of any potential licensing violations noted. The notification must include 
69.10 	the condition that constitutes the violation, the action that must be taken to correct the 
69.11 	condition, and the time allowed to correct the violation. 
69.12 	(b) Providing this notification to the licensee does not relieve the county employee 
69.13 	from notifying the commissioner of the violation as required by statute and administrative 
69.14 	rule.

69.15 	Sec. 4. [245A.23] POSITIVE SUPPORT STRATEGIES.
69.16 	(a) The commissioner of human services, in conjunction with licensed programs that 
69.17 	provide group family day care and family day care under Minnesota Rules, chapter 9502, 
69.18 	and child care centers licensed under Minnesota Rules, chapter 9503, must review and 
69.19 	evaluate the applicability of Minnesota Rules, chapter 9544, the positive support strategies 
69.20 	and restrictive interventions rules, to child care programs. The commissioner must 
69.21 	consider the undue hardship, including increased cost and reduction in child care services, 
69.22 	experienced by child care providers and child care centers as a result of the application 
69.23 	of Minnesota Rules, chapter 9544. The commissioner must determine which rules must 
69.24 	apply to each type of program, to what extent each rule must apply, and consider granting 
69.25 	variances to the requirements to programs that submit a request for a variance. The 
69.26 	commissioner must complete this review and evaluation process of the applicability of 
69.27 	Minnesota Rules, chapter 9544, to child care programs no later than December 31, 2016. 
69.28 	The commissioner must submit a written plan to modify application of rules for child care 
69.29 	programs to the house of representatives and senate committees with jurisdiction over 
69.30 	child care no later than January 15, 2017.
69.31 	(b) Until the commissioner has completed the review and evaluation process and 
69.32 	submitted a written plan to the legislature required under paragraph (a), programs licensed 
69.33 	as family day care and group family day care facilities under Minnesota Rules, chapter 
70.1 	9502, and programs licensed as child care centers under Minnesota Rules, chapter 9503, 
70.2 	are exempt from the following rules:
70.3 	(1) Minnesota Rules, part 9544.0040, functional behavior assessment, unless the 
70.4 	child has a case manager under section 256B.092, subdivision 1a, paragraph (e); and
70.5 	(2) Minnesota Rules, part 9544.0090, staff qualifications and training.

70.6 	EFFECTIVE DATE. This section is effective the day following final enactment.

70.7 	Sec. 5. [245A.55] TRAINING FOR COUNTY LICENSING STAFF ON FAMILY 
70.8 	CHILD CARE AND GROUP FAMILY CHILD CARE REQUIREMENTS; 
70.9 	SUPERVISION.
70.10 	(a) Within the first two months of employment, county staff who license and inspect 
70.11 	family child care and group family child care programs must complete at least eight hours 
70.12 	of training on state statutes, administrative rules, and department policies related to the 
70.13 	licensing and regulation of family child care and group family child care programs. The 
70.14 	department must develop the training curriculum to ensure that all county staff who perform 
70.15 	licensing and inspection functions receive uniform training. This training must include:
70.16 	(1) explicit instructions that county staff who license and perform inspections 
70.17 	must apply only state statutes, administrative rules, and Department of Human Services 
70.18 	policies in the performance of their duties. Training must reinforce that county staff are 
70.19 	prohibited from imposing standards or requirements that are not imposed by statute, rule, 
70.20 	or approved state policy;
70.21 	(2) the rights of license holders, including their grievance and appeal rights. This 
70.22 	training must include information on the responsibility of the county staff to inform license 
70.23 	holders of their rights, including grievance and appeal rights; and
70.24 	(3) the procedure for county staff to seek clarification from the Department of 
70.25 	Human Services prior to issuing a correction order or other notice of violation to a license 
70.26 	holder if there is a dispute between the license holder and the county licensor regarding 
70.27 	the applicability of a statute or rule to the alleged violation.
70.28 	(b) To ensure consistency among all licensing staff, the commissioner must develop 
70.29 	a procedure by which the department will implement increased training and oversight of 
70.30 	county staff who perform licensing functions related to family child care licensing. This 
70.31 	procedure must ensure that the commissioner conducts at least biennial reviews of county 
70.32 	licensing performance.
70.33 	(c) Each calendar year, county agency staff who license and regulate family child 
70.34 	care providers and group family child care providers and their supervisors must receive 
70.35 	notice from the commissioner on new laws enacted or adopted in the previous 12-month 
71.1 	period relating to family child care providers and group family child care providers. The 
71.2 	commissioner shall provide the notices each year to include information on new laws and 
71.3 	disseminate the notices to county agencies.

71.4 	Sec. 6. Minnesota Statutes 2014, section 256D.051, subdivision 6b, is amended to read:
71.5 		Subd. 6b.Federal reimbursement. (a) Federal financial participation from 
71.6 	the United States Department of Agriculture for food stamp employment and training 
71.7 	expenditures that are eligible for reimbursement through the food stamp employment and 
71.8 	training program are dedicated funds and are annually appropriated to the commissioner 
71.9 	of human services for the operation of the food stamp employment and training program. 
71.10 	(b) The appropriation must be used for skill attainment through employment, 
71.11 	training, and support services for food stamp participants. By February 15, 2017, the 
71.12 	commissioner shall report to the chairs and ranking minority members of the legislative 
71.13 	committees having jurisdiction over the food stamp program on the progress of securing 
71.14 	additional federal reimbursement dollars under this program.
71.15 	(c) Federal financial participation for the nonstate portion of food stamp employment 
71.16 	and training costs must be paid to the county agency or service provider that incurred 
71.17 	the costs.

71.18 	Sec. 7. Minnesota Statutes 2014, section 518.175, subdivision 5, is amended to read:
71.19 		Subd. 5.Modification of parenting plan or order for parenting time. (a) If 
71.20 	a parenting plan or an order granting parenting time cannot be used to determine the 
71.21 	number of overnights or overnight equivalents the child has with each parent, the court 
71.22 	shall modify the parenting plan or order granting parenting time so that the number of 
71.23 	overnights or overnight equivalents the child has with each parent can be determined. For 
71.24 	purposes of this section, "overnight equivalents" has the meaning provided in section 
71.25 	518A.36, subdivision 1.
71.26 	(b) If modification would serve the best interests of the child, the court shall modify 
71.27 	the decision-making provisions of a parenting plan or an order granting or denying 
71.28 	parenting time, if the modification would not change the child's primary residence. 
71.29 	Consideration of a child's best interest includes a child's changing developmental needs.
71.30 	(b) (c) Except as provided in section 631.52, the court may not restrict parenting 
71.31 	time unless it finds that:
71.32 	(1) parenting time is likely to endanger the child's physical or emotional health or 
71.33 	impair the child's emotional development; or
72.1 	(2) the parent has chronically and unreasonably failed to comply with court-ordered 
72.2 	parenting time.
72.3 	A modification of parenting time which increases a parent's percentage of parenting time 
72.4 	to an amount that is between 45.1 to 54.9 percent parenting time is not a restriction of 
72.5 	the other parent's parenting time.
72.6 	(c) (d) If a parent makes specific allegations that parenting time by the other 
72.7 	parent places the parent or child in danger of harm, the court shall hold a hearing at 
72.8 	the earliest possible time to determine the need to modify the order granting parenting 
72.9 	time. Consistent with subdivision 1a, the court may require a third party, including the 
72.10 	local social services agency, to supervise the parenting time or may restrict a parent's 
72.11 	parenting time if necessary to protect the other parent or child from harm. If there is an 
72.12 	existing order for protection governing the parties, the court shall consider the use of an 
72.13 	independent, neutral exchange location for parenting time.

72.14 	EFFECTIVE DATE. This section is effective August 1, 2018.

72.15 	Sec. 8. Minnesota Statutes 2015 Supplement, section 518A.26, subdivision 14, is 
72.16 	amended to read:
72.17 		Subd. 14.Obligor. "Obligor" means a person obligated to pay maintenance or 
72.18 	support. For purposes of ordering medical support under section 518A.41, a parent who 
72.19 	has primary physical custody of a child may be an obligor subject to a payment agreement 
72.20 	under section 518A.69. If a parent has more than 55 percent court-ordered parenting time, 
72.21 	there is a rebuttable presumption that the parent shall have a zero-dollar basic support 
72.22 	obligation. A party seeking to overcome this presumption must show, and the court must 
72.23 	consider, the following:
72.24 	(1) a significant income disparity, which may include potential income determined 
72.25 	under section 518A.32;
72.26 	(2) the benefit and detriment to the child and the ability of each parent to meet 
72.27 	the needs of the child; and
72.28 	(3) whether the application of the presumption would have an unjust or inappropriate 
72.29 	result.
72.30 	The presumption of a zero-dollar basic support obligation does not eliminate that parent's 
72.31 	obligation to pay child support arrears pursuant to section 518A.60.

72.32 	EFFECTIVE DATE. This section is effective August 1, 2018.

73.1 	Sec. 9. Minnesota Statutes 2014, section 518A.34, is amended to read:
73.2 	518A.34 COMPUTATION OF CHILD SUPPORT OBLIGATIONS.
73.3 	(a) To determine the presumptive child support obligation of a parent, the court shall 
73.4 	follow the procedure set forth in this section.
73.5 	(b) To determine the obligor's basic support obligation, the court shall:
73.6 	(1) determine the gross income of each parent under section 518A.29;
73.7 	(2) calculate the parental income for determining child support (PICS) of each 
73.8 	parent, by subtracting from the gross income the credit, if any, for each parent's nonjoint 
73.9 	children under section 518A.33;
73.10 	(3) determine the percentage contribution of each parent to the combined PICS by 
73.11 	dividing the combined PICS into each parent's PICS;
73.12 	(4) determine the combined basic support obligation by application of the guidelines 
73.13 	in section 518A.35;
73.14 	(5) determine the obligor'seach parent's share of the combined basic support 
73.15 	obligation by multiplying the percentage figure from clause (3) by the combined basic 
73.16 	support obligation in clause (4); and
73.17 	(6) determine the parenting expense adjustment, if any, as apply the parenting 
73.18 	expense adjustment formula  provided in section 518A.36, and adjust the obligor's basic 
73.19 	support obligation accordingly to determine the obligor's basic support obligation. If the 
73.20 	parenting time of the parties is presumed equal, section 518A.36, subdivision 3, applies 
73.21 	to the calculation of the basic support obligation and a determination of which parent 
73.22 	is the obligor.
73.23 	(c)  If the parents have split custody of the joint children, child support shall be 
73.24 	calculated for each joint child as follows:
73.25 	(1) the court shall determine each parent's basic support obligation under paragraph 
73.26 	(b) and shall include the amount of each parent's obligation in the court order. If the basic 
73.27 	support calculation results in each parent owing support to the other, the court shall offset 
73.28 	the higher basic support obligation with the lower basic support obligation to determine 
73.29 	the amount to be paid by the parent with the higher obligation to the parent with the 
73.30 	lower obligation. For the purpose of the cost-of-living adjustment required under section 
73.31 	518A.75, the adjustment must be based on each parent's basic support obligation prior to 
73.32 	offset. For the purposes of this paragraph, "split custody" means that there are two or more 
73.33 	joint children and each parent has at least one joint child more than 50 percent of the time;
73.34 	(2) if each parent pays all child care expenses for at least one joint child, the court 
73.35 	shall calculate child care support for each joint child as provided in section 518A.40. The 
73.36 	court shall determine each parent's child care support obligation and include the amount of 
74.1 	each parent's obligation in the court order. If the child care support calculation results in 
74.2 	each parent owing support to the other, the court shall offset the higher child care support 
74.3 	obligation with the lower child care support obligation to determine the amount to be paid 
74.4 	by the parent with the higher obligation to the parent with the lower obligation; and
74.5 	(3) if each parent pays all medical or dental insurance expenses for at least one 
74.6 	joint child, medical support shall be calculated for each joint child as provided in section 
74.7 	518A.41. The court shall determine each parent's medical support obligation and include 
74.8 	the amount of each parent's obligation in the court order. If the medical support calculation 
74.9 	results in each parent owing support to the other, the court shall offset the higher medical 
74.10 	support obligation with the lower medical support obligation to determine the amount to 
74.11 	be paid by the parent with the higher obligation to the parent with the lower obligation. 
74.12 	Unreimbursed and uninsured medical expenses are not included in the presumptive amount 
74.13 	of support owed by a parent and are calculated and collected as provided in section 518A.41.
74.14 	(d) The court shall determine the child care support obligation for the obligor 
74.15 	as provided in section 518A.40.
74.16 	(d) (e) The court shall determine the medical support obligation for each parent as 
74.17 	provided in section 518A.41. Unreimbursed and uninsured medical expenses are not 
74.18 	included in the presumptive amount of support owed by a parent and are calculated and 
74.19 	collected as described in section 518A.41.
74.20 	(e) (f) The court shall determine each parent's total child support obligation by 
74.21 	adding together each parent's basic support, child care support, and health care coverage 
74.22 	obligations as provided in this section.
74.23 	(f) (g) If Social Security benefits or veterans' benefits are received by one parent as a 
74.24 	representative payee for a joint child based on the other parent's eligibility, the court shall 
74.25 	subtract the amount of benefits from the other parent's net child support obligation, if any.
74.26 	(g) (h) The final child support order shall separately designate the amount owed for 
74.27 	basic support, child care support, and medical support. If applicable, the court shall use 
74.28 	the self-support adjustment and minimum support adjustment under section 518A.42 to 
74.29 	determine the obligor's child support obligation.

74.30 	EFFECTIVE DATE. This section is effective August 1, 2018.

74.31 	Sec. 10. Minnesota Statutes 2014, section 518A.36, is amended to read:
74.32 	518A.36 PARENTING EXPENSE ADJUSTMENT.
74.33 		Subdivision 1.General. (a) The parenting expense adjustment under this section 
74.34 	reflects the presumption that while exercising parenting time, a parent is responsible 
75.1 	for and incurs costs of caring for the child, including, but not limited to, food, clothing, 
75.2 	transportation, recreation, and household expenses. Every child support order shall specify 
75.3 	the percentage of parenting time granted to or presumed for each parent. For purposes 
75.4 	of this section, the percentage of parenting time means the percentage of time a child is 
75.5 	scheduled to spend with the parent during a calendar year according to a court order 
75.6 	averaged over a two-year period. Parenting time includes time with the child whether it is 
75.7 	designated as visitation, physical custody, or parenting time. The percentage of parenting 
75.8 	time may be determined by calculating the number of overnights or overnight equivalents
75.9 	that a child parent spends with a parent, or child pursuant to a court order. For purposes of 
75.10 	this section, overnight equivalents are calculated by using a method other than overnights 
75.11 	if the parent has significant time periods on separate days where the child is in the parent's 
75.12 	physical custody and under the direct care of the parent but does not stay overnight. The 
75.13 	court may consider the age of the child in determining whether a child is with a parent 
75.14 	for a significant period of time.
75.15 	(b) If there is not a court order awarding parenting time, the court shall determine 
75.16 	the child support award without consideration of the parenting expense adjustment. If a 
75.17 	parenting time order is subsequently issued or is issued in the same proceeding, then the 
75.18 	child support order shall include application of the parenting expense adjustment.
75.19 		Subd. 2.Calculation of parenting expense adjustment. The obligor is entitled to 
75.20 	a parenting expense adjustment calculated as provided in this subdivision. The court shall:
75.21 	(1) find the adjustment percentage corresponding to the percentage of parenting 
75.22 	time allowed to the obligor below:

75.23
75.24		Percentage Range of Parenting 
Time
	Adjustment Percentage
	
75.25	(i)
	less than 10 percent
	no adjustment
	
75.26	(ii)
	10 percent to 45 percent
	12 percent
	
75.27	(iii)
	45.1 percent to 50 percent
	presume parenting time is equal
	
75.28 	(2) multiply the adjustment percentage by the obligor's basic child support obligation 
75.29 	to arrive at the parenting expense adjustment; and
75.30 	(3) subtract the parenting expense adjustment from the obligor's basic child support 
75.31 	obligation. The result is the obligor's basic support obligation after parenting expense 
75.32 	adjustment.
75.33 	(a) For the purposes of this section, the following terms have the meanings given:
75.34 	(1) "parent A" means the parent with whom the child or children will spend the least 
75.35 	number of overnights under the court order; and
75.36 	(2) "parent B" means the parent with whom the child or children will spend the 
75.37 	greatest number of overnights under the court order.
76.1 	(b) The court shall apply the following formula to determine which parent is the 
76.2 	obligor and calculate the basic support obligation:
76.3 	(1) raise to the power of three the approximate number of annual overnights the child 
76.4 	or children will likely spend with parent A;
76.5 	(2) raise to the power of three the approximate number of annual overnights the child 
76.6 	or children will likely spend with parent B;
76.7 	(3) multiply the result of clause (1) times parent B's share of the combined basic 
76.8 	support obligation as determined in section 518A.34, paragraph (b), clause (5);
76.9 	(4) multiply the result of clause (2) times parent A's share of the combined basic 
76.10 	support obligation as determined in section 518A.34, paragraph (b), clause (5);
76.11 	(5) subtract the result of clause (4) from the result of clause (3); and
76.12 	(6) divide the result of clause (5) by the sum of clauses (1) and (2).
76.13 	(c) If the result is a negative number, parent A is the obligor, the negative number 
76.14 	becomes its positive equivalent, and the result is the basic support obligation. If the result 
76.15 	is a positive number, parent B is the obligor and the result is the basic support obligation.
76.16 		Subd. 3.Calculation of basic support when parenting time presumed is equal.
 76.17 	(a) If the parenting time is equal and the parental incomes for determining child support of 
76.18 	the parents also are equal, no basic support shall be paid unless the court determines that 
76.19 	the expenses for the child are not equally shared.
76.20 	(b) If the parenting time is equal but the parents' parental incomes for determining 
76.21 	child support are not equal, the parent having the greater parental income for determining 
76.22 	child support shall be obligated for basic child support, calculated as follows:
76.23 	(1) multiply the combined basic support calculated under section 518A.34 by 0.75;
76.24 	(2) prorate the amount under clause (1) between the parents based on each parent's 
76.25 	proportionate share of the combined PICS; and
76.26 	(3) subtract the lower amount from the higher amount.
76.27 	The resulting figure is the obligation after parenting expense adjustment for the 
76.28 	parent with the greater parental income for determining child support.

76.29 	EFFECTIVE DATE. This section is effective August 1, 2018.

76.30 	Sec. 11. Minnesota Statutes 2015 Supplement, section 518A.39, subdivision 2, is 
76.31 	amended to read:
76.32 		Subd. 2.Modification. (a) The terms of an order respecting maintenance or support 
76.33 	may be modified upon a showing of one or more of the following, any of which makes 
76.34 	the terms unreasonable and unfair: (1) substantially increased or decreased gross income 
76.35 	of an obligor or obligee; (2) substantially increased or decreased need of an obligor or 
77.1 	obligee or the child or children that are the subject of these proceedings; (3) receipt of 
77.2 	assistance under the AFDC program formerly codified under sections 256.72 to 256.87 
77.3 	or 256B.01 to 256B.40, or chapter 256J or 256K; (4) a change in the cost of living for 
77.4 	either party as measured by the Federal Bureau of Labor Statistics; (5) extraordinary 
77.5 	medical expenses of the child not provided for under section 518A.41; (6) a change in 
77.6 	the availability of appropriate health care coverage or a substantial increase or decrease 
77.7 	in health care coverage costs; (7) the addition of work-related or education-related child 
77.8 	care expenses of the obligee or a substantial increase or decrease in existing work-related 
77.9 	or education-related child care expenses; or (8) upon the emancipation of the child, as 
77.10 	provided in subdivision 5.
77.11 	(b) It is presumed that there has been a substantial change in circumstances under 
77.12 	paragraph (a) and the terms of a current support order shall be rebuttably presumed to be 
77.13 	unreasonable and unfair if:
77.14 	(1) the application of the child support guidelines in section 518A.35, to the current 
77.15 	circumstances of the parties results in a calculated court order that is at least 20 percent 
77.16 	and at least $75 per month higher or lower than the current support order or, if the current 
77.17 	support order is less than $75, it results in a calculated court order that is at least 20 
77.18 	percent per month higher or lower;
77.19 	(2) the medical support provisions of the order established under section 518A.41 
77.20 	are not enforceable by the public authority or the obligee;
77.21 	(3) health coverage ordered under section 518A.41 is not available to the child for 
77.22 	whom the order is established by the parent ordered to provide;
77.23 	(4) the existing support obligation is in the form of a statement of percentage and not 
77.24 	a specific dollar amount;
77.25 	(5) the gross income of an obligor or obligee has decreased by at least 20 percent 
77.26 	through no fault or choice of the party; or
77.27 	(6) a deviation was granted based on the factor in section 518A.43, subdivision 1, 
77.28 	clause (4), and the child no longer resides in a foreign country or the factor is otherwise no 
77.29 	longer applicable.
77.30 	(c) A child support order is not presumptively modifiable solely because an obligor 
77.31 	or obligee becomes responsible for the support of an additional nonjoint child, which is 
77.32 	born after an existing order. Section 518A.33 shall be considered if other grounds are 
77.33 	alleged which allow a modification of support.
77.34 	(d) If child support was established by applying a parenting expense adjustment 
77.35 	or presumed equal parenting time calculation under previously existing child support 
77.36 	guidelines and there is no parenting plan or order from which overnights or overnight 
78.1 	equivalents can be determined, there is a rebuttable presumption that the established 
78.2 	adjustment or calculation shall continue after modification so long as the modification is 
78.3 	not based on a change in parenting time. In determining an obligation under previously 
78.4 	existing child support guidelines, it is presumed that the court shall:
78.5 	(1) if a 12 percent parenting expense adjustment was applied, multiply the obligor's 
78.6 	share of the combined basic support obligation calculated under section 518A.34, 
78.7 	paragraph (b), clause (5), by 0.88; or
78.8 	(2) if the parenting time was presumed equal but the parents' parental incomes for 
78.9 	determining child support were not equal:
78.10 	(i) multiply the combined basic support obligation under section 518A.34, paragraph 
78.11 	(b), clause (5), by 0.075;
78.12 	(ii) prorate the amount under item (i) between the parents based on each parent's 
78.13 	proportionate share of the combined PICS; and
78.14 	(iii) subtract the lower amount from the higher amount.
78.15 	(e) On a motion for modification of maintenance, including a motion for the 
78.16 	extension of the duration of a maintenance award, the court shall apply, in addition to all 
78.17 	other relevant factors, the factors for an award of maintenance under section 518.552 that 
78.18 	exist at the time of the motion. On a motion for modification of support, the court:
78.19 	(1) shall apply section 518A.35, and shall not consider the financial circumstances of 
78.20 	each party's spouse, if any; and
78.21 	(2) shall not consider compensation received by a party for employment in excess of 
78.22 	a 40-hour work week, provided that the party demonstrates, and the court finds, that:
78.23 	(i) the excess employment began after entry of the existing support order;
78.24 	(ii) the excess employment is voluntary and not a condition of employment;
78.25 	(iii) the excess employment is in the nature of additional, part-time employment, or 
78.26 	overtime employment compensable by the hour or fractions of an hour;
78.27 	(iv) the party's compensation structure has not been changed for the purpose of 
78.28 	affecting a support or maintenance obligation;
78.29 	(v) in the case of an obligor, current child support payments are at least equal to the 
78.30 	guidelines amount based on income not excluded under this clause; and
78.31 	(vi) in the case of an obligor who is in arrears in child support payments to the 
78.32 	obligee, any net income from excess employment must be used to pay the arrearages 
78.33 	until the arrearages are paid in full.
78.34 	(e) (f) A modification of support or maintenance, including interest that accrued 
78.35 	pursuant to section 548.091, may be made retroactive only with respect to any period 
78.36 	during which the petitioning party has pending a motion for modification but only from 
79.1 	the date of service of notice of the motion on the responding party and on the public 
79.2 	authority if public assistance is being furnished or the county attorney is the attorney of 
79.3 	record, unless the court adopts an alternative effective date under paragraph (l). The 
79.4 	court's adoption of an alternative effective date under paragraph (l) shall not be considered 
79.5 	a retroactive modification of maintenance or support.
79.6 	(f) (g) Except for an award of the right of occupancy of the homestead, provided 
79.7 	in section 518.63, all divisions of real and personal property provided by section 518.58 
79.8 	shall be final, and may be revoked or modified only where the court finds the existence 
79.9 	of conditions that justify reopening a judgment under the laws of this state, including 
79.10 	motions under section 518.145, subdivision 2. The court may impose a lien or charge on 
79.11 	the divided property at any time while the property, or subsequently acquired property, is 
79.12 	owned by the parties or either of them, for the payment of maintenance or support money, 
79.13 	or may sequester the property as is provided by section 518A.71.
79.14 	(g) (h) The court need not hold an evidentiary hearing on a motion for modification 
79.15 	of maintenance or support.
79.16 	(h) (i) Sections 518.14 and 518A.735 shall govern the award of attorney fees for 
79.17 	motions brought under this subdivision.
79.18 	(i) (j) Except as expressly provided, an enactment, amendment, or repeal of law does 
79.19 	not constitute a substantial change in the circumstances for purposes of modifying a 
79.20 	child support order.
79.21 	(j) MS 2006 [Expired]
79.22 	(k) On the first modification under the income shares method of calculation
79.23 	following implementation of amended child support guidelines, the modification of basic 
79.24 	support may be limited if the amount of the full variance would create hardship for either 
79.25 	the obligor or the obligee.
79.26 	(l) The court may select an alternative effective date for a maintenance or support 
79.27 	order if the parties enter into a binding agreement for an alternative effective date.

79.28 	EFFECTIVE DATE. This section is effective August 1, 2018.

79.29 	Sec. 12. [518A.79] CHILD SUPPORT TASK FORCE.
79.30 		Subdivision 1.Establishment; purpose. There is established the Child Support 
79.31 	Task Force for the Department of Human Services. The purpose of the task force is to 
79.32 	advise the commissioner of human services on matters relevant to maintaining effective 
79.33 	and efficient child support guidelines that will best serve the children of Minnesota and 
79.34 	take into account the changing dynamics of families.
79.35 		Subd. 2.Members.  (a) The task force must consist of:
80.1 	(1) two members of the house of representatives, one appointed by the speaker of the 
80.2 	house and one appointed by the minority leader;
80.3 	(2) two members of the senate, one appointed by the majority leader and one 
80.4 	appointed by the minority leader;
80.5 	(3) one representative from the Minnesota County Attorneys Association;
80.6 	(4) one staff member from the Department of Human Services Child Support 
80.7 	Division;
80.8 	(5) one representative from a tribe with an approved IV-D program appointed by 
80.9 	resolution of the Minnesota Indian Affairs Council;
80.10 	(6) one representative from the Minnesota Family Support Recovery Council;
80.11 	(7) one child support magistrate, family court referee, or one district court judge or 
80.12 	retired judge with experience in child support matters, appointed by the chief justice of 
80.13 	the Supreme Court;
80.14 	(8) four parents, at least two of whom represent diverse cultural and social 
80.15 	communities, appointed by the commissioner with equal representation between custodial 
80.16 	and noncustodial parents;
80.17 	(9) one representative from the Minnesota Legal Services Coalition; and
80.18 	(10) one representative from the Family Law Section of the Minnesota Bar 
80.19 	Association.
80.20 	(b) Section 15.059 governs the Child Support Task Force. 
80.21 	(c) Members of the task force shall be compensated as provided in section 15.059, 
80.22 	subdivision 3.
80.23 		Subd. 3.Organization. (a) The commissioner or the commissioner's designee shall 
80.24 	convene the first meeting of the task force.
80.25 	(b) The members of the task force shall annually elect a chair and other officers 
80.26 	as the members deem necessary.
80.27 	(c) The task force shall meet at least three times per year, with one meeting devoted 
80.28 	to collecting input from the public.
80.29 		Subd. 4.Staff. The commissioner shall provide support staff, office space, and 
80.30 	administrative services for the task force.
80.31 		Subd. 5.Duties of the task force. (a) General duties of the task force include, but 
80.32 	are not limited to:
80.33 	(1) serving in an advisory capacity to the commissioner of human services;
80.34 	(2) reviewing the effects of implementing the parenting expense adjustment enacted 
80.35 	by the 2016 legislature; 
81.1 	(3) at least every four years, preparing for and advising the commissioner on the 
81.2 	development of the quadrennial review report;
81.3 	(4) collecting and studying information and data relating to child support awards; and
81.4 	(5) conducting a comprehensive review of child support guidelines, economic 
81.5 	conditions, and other matters relevant to maintaining effective and efficient child support 
81.6 	guidelines.
81.7 	(b) The task force must review, address, and make recommendations on the 
81.8 	following priority issues: 
81.9 	(1) the self-support reserve for custodial and noncustodial parents;
81.10 	(2) simultaneous child support orders;
81.11 	(3) obligors who are subject to child support orders in multiple counties;
81.12 	(4) parents with multiple families;
81.13 	(5) non-nuclear families, such as grandparents, relatives, and foster parents who 
81.14 	are caretakers of children; 
81.15 	(6) standards to apply for modifications; and
81.16 	(7) updating section 518A.35, subdivision 2, the guideline for basic support.
81.17 		Subd. 6.Consultation. The chair of the task force must consult with the Cultural 
81.18 	and Ethnic Communities Leadership Council at least annually on the issues under 
81.19 	consideration by the task force.
81.20 		Subd. 7.Report and recommendations. Beginning February 15, 2018, and 
81.21 	biennially thereafter, if the task force is extended by the legislature, the commissioner 
81.22 	shall prepare and submit to the chairs and ranking minority members of the committees of 
81.23 	the house of representatives and the senate with jurisdiction over child support matters a 
81.24 	report that summarizes the activities of the task force, issues identified by the task force, 
81.25 	methods taken to address the issues, and recommendations for legislative action, if needed.
81.26 		Subd. 8.Expiration. The task force expires June 30, 2019, unless extended by 
81.27 	the legislature.

81.28 	EFFECTIVE DATE. This section is effective the day following final enactment.

81.29 	Sec. 13. Minnesota Statutes 2014, section 626.558, subdivision 1, is amended to read:
81.30 		Subdivision 1.Establishment of team. A county shall establish a multidisciplinary 
81.31 	child protection team that may include, but not be limited to, the director of the local 
81.32 	welfare agency or designees, the county attorney or designees, the county sheriff or 
81.33 	designees, representatives of health and education, representatives of mental health or 
81.34 	other appropriate human service or community-based agencies, and parent groups. As 
81.35 	used in this section, a "community-based agency" may include, but is not limited to, 
82.1 	schools, social service agencies, family service and mental health collaboratives, children's 
82.2 	advocacy centers, early childhood and family education programs, Head Start, or other 
82.3 	agencies serving children and families. A member of the team must be designated as the 
82.4 	lead person of the team responsible for the planning process to develop standards for its 
82.5 	activities with battered women's and domestic abuse programs and services.

82.6 	Sec. 14. Minnesota Statutes 2014, section 626.558, subdivision 2, is amended to read:
82.7 		Subd. 2.Duties of team. A multidisciplinary child protection team may provide 
82.8 	public and professional education, develop resources for prevention, intervention, and 
82.9 	treatment, and provide case consultation to the local welfare agency or other interested 
82.10 	community-based agencies. The community-based agencies may request case consultation 
82.11 	from the multidisciplinary child protection team regarding a child or family for whom the 
82.12 	community-based agency is providing services. As used in this section, "case consultation" 
82.13 	means a case review process in which recommendations are made concerning services to 
82.14 	be provided to the identified children and family. Case consultation may be performed by 
82.15 	a committee or subcommittee of members representing human services, including mental 
82.16 	health and chemical dependency; law enforcement, including probation and parole; the 
82.17 	county attorney; a children's advocacy center; health care; education; community-based 
82.18 	agencies and other necessary agencies; and persons directly involved in an individual case 
82.19 	as designated by other members performing case consultation.

82.20 	Sec. 15. Minnesota Statutes 2014, section 626.558, is amended by adding a subdivision 
82.21 	to read:
82.22 		Subd. 4.Children's advocacy center; definition. (a) For purposes of this section, 
82.23 	"children's advocacy center" means an organization, using a multidisciplinary team 
82.24 	approach, whose primary purpose is to provide children who have been the victims of 
82.25 	abuse and their nonoffending family members with:
82.26 	(1) support and advocacy;
82.27 	(2) specialized medical evaluation;
82.28 	(3) trauma-focused mental health services; and
82.29 	(4) forensic interviews.
82.30 	(b) Children's advocacy centers provide multidisciplinary case review and the 
82.31 	tracking and monitoring of case progress.

82.32 	Sec. 16. Laws 2015, chapter 71, article 1, section 125, is amended to read:
82.33 	Sec. 125. LEGISLATIVE TASK FORCE; CHILD PROTECTION.
 83.1 	(a) A legislative task force is created to:
83.2 	(1) review the efforts being made to implement the recommendations of the 
83.3 	Governor's Task Force on the Protection of Children, including a review of the roles and 
83.4 	functions of the Office of Ombudsperson for Families;
83.5 	(2) expand the efforts into related areas of the child welfare system;
83.6 	(3) work with the commissioner of human services and community partners to 
83.7 	establish and evaluate child protection grants to address disparities in child welfare 
83.8 	pursuant to Minnesota Statutes, section 256E.28; and
83.9 	(4) identify additional areas within the child welfare system that need to be addressed 
83.10 	by the legislature;
83.11 	(5) review and recommend alternatives to law enforcement responding to a 
83.12 	maltreatment report by removing the child, and evaluate situations in which it may 
83.13 	be appropriate for a social worker or other child protection worker to remove the child 
83.14 	from the home; and
83.15 	(6) clarify the definition of "substantial child endangerment," and provide language 
83.16 	in bill form by January 1, 2017.
83.17 	(b) Members of the legislative task force shall include:
83.18 	(1) the four legislators who served as members of the Governor's Task Force on 
83.19 	the Protection of Children;
83.20 	(2) two four members from the house of representatives appointed by the speaker, 
83.21 	one two from the majority party and one two from the minority party; and
83.22 	(3) two (2) four members from the senate, including two members appointed by the 
83.23 	senate majority leader, one from the majority party and one from the minority party two 
83.24 	members appointed by the senate minority leader.
83.25 	Members of the task force shall serve a term that expires on December 31 of the 
83.26 	even-numbered year following the year they are appointed. The speaker and the majority 
83.27 	leader shall each appoint a chair and vice-chair from the membership of the task force. 
83.28 	The gavelchair shall rotate after each meeting, and the house of representatives shall 
83.29 	assume the leadership of the task force first. The task force must meet at least quarterly.
83.30 	(c) The task force may provide oversight and monitoring of:
83.31 	(1) the efforts by the Department of Human Services, counties, and tribes to 
83.32 	implement laws related to child protection;
83.33 	(2) efforts by the Department of Human Services, counties, and tribes to implement 
83.34 	the recommendations of the Governor's Task Force on the Protection of Children;
83.35 	(3) efforts by agencies, including but not limited to the Minnesota Department 
83.36 	of Education, the Minnesota Housing Finance Agency, the Minnesota Department of 
84.1 	Corrections, and the Minnesota Department of Public Safety, to work with the Department 
84.2 	of Human Services to assure safety and well-being for children at risk of harm or children 
84.3 	in the child welfare system; and
84.4 	(4) efforts by the Department of Human Services, other agencies, counties, and 
84.5 	tribes to implement best practices to ensure every child is protected from maltreatment 
84.6 	and neglect and to ensure every child has the opportunity for healthy development.
84.7 	(d) The task force, in cooperation with the commissioner of human services, 
84.8 	shall issue a an annual report to the legislature and governor by February 1, 2016. The 
84.9 	report must contain information on the progress toward implementation of changes to 
84.10 	the child protection system, recommendations for additional legislative changes and 
84.11 	procedures affecting child protection and child welfare, and funding needs to implement 
84.12 	recommended changes.
84.13 	(e) The task force shall convene upon the effective date of this section and shall 
84.14 	continue until the last day of the 2016 legislative session.
84.15 	(e) This section expires December 31, 2020.

84.16 	EFFECTIVE DATE. This section is effective the day following final enactment.

84.17 	Sec. 17. CHILD CARE PROVIDER LIAISON AND ADVOCATE.
 84.18 	The commissioner of human services must designate a full-time employee of 
84.19 	the department to serve as a child care provider liaison and advocate. The child care 
84.20 	provider liaison and advocate must be responsive to requests from providers by providing 
84.21 	information or assistance in obtaining or renewing licenses, meeting state regulatory 
84.22 	requirements, or resolving disputes with state agencies or other political subdivisions.

84.23 	EFFECTIVE DATE. This section is effective the day following final enactment.

84.24 	Sec. 18. LEGISLATIVE TASK FORCE ON CHILD CARE.
 84.25 		Subdivision 1.Creation. A legislative task force on child care is created to review 
84.26 	the loss of child care providers in the state, assess affordability issues for providers and 
84.27 	parents, and identify areas that need to be addressed by the legislature.
84.28 		Subd. 2.Membership. Task force members shall include:
84.29 	(1) four members from the house of representatives appointed by the speaker of the 
84.30 	house, two from the majority party and two from the minority party; and
84.31 	(2) four members from the senate appointed by the majority leader, two from the 
84.32 	majority party and two from the minority party.
84.33 		Subd. 3.Duties. (a) The task force may:
85.1 	(1) evaluate factors that contribute to child care costs for providers and families;
85.2 	(2) assess the child care provider shortage in greater Minnesota;
85.3 	(3) review the current preservice and in-service training requirements for family 
85.4 	child care providers and child care center staff. The review shall include training required 
85.5 	for licensure, including staff credentialing for child care center staff positions and the ways 
85.6 	in which the training aligns with Minnesota's Career Lattice and Minnesota's Knowledge 
85.7 	and Competency Framework for Early Childhood and School-Aged Care Practitioners;
85.8 	(4) review the availability of training that is in place to meet the training needs of 
85.9 	providers, including the content of the training, cost, and delivery methods;
85.10 	(5) consider creation of a board of child care to be responsible for all matters related 
85.11 	to licensing of child care providers, both in-home and center-based programs, and to 
85.12 	employ an advocate for child care providers;
85.13 	(6) review the process of issuing and resolving correction orders issued to child 
85.14 	care providers;
85.15 	(7) consider uniform training requirements for county employees and their 
85.16 	supervisors who perform duties related to licensing;
85.17 	(8) review progress being made by the commissioner of human services to streamline 
85.18 	paperwork and reduce redundancies for child care providers; 
85.19 	(9) review the time it takes for the department to provide child care assistance 
85.20 	program reimbursement to providers; and
85.21 	(10) consider options for conducting exit interviews with providers who leave the 
85.22 	child care field or choose not to be relicensed.
85.23 	(b) Task force members may receive input from the commissioners of human 
85.24 	services and economic development, providers, and stakeholders to review all action items.
85.25 		Subd. 4.Recommendations and report. The task force, in cooperation with the 
85.26 	commissioner of human services, shall issue a report to the legislature and governor by 
85.27 	December 31, 2016. The report must contain summary information obtained during 
85.28 	the task force meetings and recommendations for additional legislative changes and 
85.29 	procedures affecting child care.

85.30 	EFFECTIVE DATE. This section is effective the day following final enactment 
85.31 	and sunsets on December 31, 2016.

85.32 	Sec. 19. DIRECTION TO COMMISSIONERS; INCOME AND ASSET 
85.33 	EXCLUSION.
 85.34 	(a) The commissioner of human services shall not count payments made to families 
85.35 	by the income and child development in the first three years of life demonstration 
86.1 	project as income or assets for purposes of determining or redetermining eligibility for 
86.2 	child care assistance programs under Minnesota Statutes, chapter 119B; the Minnesota 
86.3 	family investment program, work benefit program, or diversionary work program under 
86.4 	Minnesota Statutes, chapter 256J, during the duration of the demonstration.
86.5 	(b) The commissioner of human services shall not count payments made to families 
86.6 	by the income and child development in the first three years of life demonstration project 
86.7 	as income for purposes of determining or redetermining eligibility for medical assistance 
86.8 	under Minnesota Statutes, chapter 256B, and MinnesotaCare under Minnesota Statutes, 
86.9 	chapter 256L.
86.10 	(c) For the purposes of this section, "income and child development in the first 
86.11 	three years of life demonstration project" means a demonstration project funded by the 
86.12 	United States Department of Health and Human Services National Institutes of Health to 
86.13 	evaluate whether the unconditional cash payments have a causal effect on the cognitive, 
86.14 	socioemotional, and brain development of infants and toddlers.
86.15 	(d) This section shall only be implemented if Minnesota is chosen as a site for 
86.16 	the child development in the first three years of life demonstration project, and expires 
86.17 	January 1, 2022.
86.18 	(e) The commissioner of human services shall provide a report to the chairs and 
86.19 	ranking minority members of the legislative committees having jurisdiction over human 
86.20 	services issues by January 1, 2023, informing the legislature on the progress and outcomes 
86.21 	of the demonstration under this section.

86.22 	EFFECTIVE DATE. Paragraph (b) is effective August 16, 2016, or upon federal 
86.23 	approval, whichever is later.

86.24 	Sec. 20. REVISOR'S INSTRUCTION.
 86.25 	The revisor of statutes, in consultation with the commissioner of human services; 
86.26 	the Office of Senate Counsel, Research, and Fiscal Analysis; and House Research, shall 
86.27 	recodify the Maltreatment of Minors Act, Minnesota Statutes, section 626.556, and 
86.28 	related statutes in order to create internal consistency, eliminate redundant language, 
86.29 	separate provisions governing investigations of maltreatment in institutions, and otherwise 
86.30 	reorganize the statutes to facilitate interpretation and application of the law. The 
86.31 	recodification must be drafted in bill form for introduction in the 2017 session.

86.32 	Sec. 21.  REPEALER; HANDS OFF CHILD CARE.
 86.33 	Minnesota Statutes 2014, sections 179A.50; 179A.51; 179A.52; and 179A.53, are 
86.34 	repealed.

87.1 	ARTICLE 7
87.2 	HEALTH-RELATED LICENSING
87.3 	GENETIC COUNSELORS

87.4 	Section 1. [147F.01] DEFINITIONS.
87.5 		Subdivision 1.Applicability. For purposes of sections 147F.01 to 147F.17, the 
87.6 	terms defined in this section have the meanings given them.
87.7 		Subd. 2.ABGC. "ABGC" means the American Board of Genetic Counseling, a 
87.8 	national agency for certification and recertification of genetic counselors, or its successor 
87.9 	organization or equivalent.
87.10 		Subd. 3.ABMG. "ABMG" means the American Board of Medical Genetics, 
87.11 	a national agency for certification and recertification of genetic counselors, medical 
87.12 	geneticists, and Ph.D. geneticists, or its successor organization.
87.13 		Subd. 4.ACGC. "ACGC" means the Accreditation Council for Genetic Counseling, 
87.14 	a specialized program accreditation board for educational training programs granting 
87.15 	master's degrees or higher in genetic counseling, or its successor organization.
87.16 		Subd. 5.Board. "Board" means the Board of Medical Practice.
87.17 		Subd. 6.Eligible status. "Eligible status" means an applicant who has met the 
87.18 	requirements and received approval from the ABGC to sit for the certification examination.
87.19 		Subd. 7.Genetic counseling. "Genetic counseling" means the provision of services 
87.20 	described in section 147F.03 to help clients and their families understand the medical, 
87.21 	psychological, and familial implications of genetic contributions to a disease or medical 
87.22 	condition.
87.23 		Subd. 8.Genetic counselor. "Genetic counselor" means an individual licensed 
87.24 	under sections 147F.01 to 147F.17 to engage in the practice of genetic counseling.
87.25 		Subd. 9.Licensed physician. "Licensed physician" means an individual who is 
87.26 	licensed to practice medicine under chapter 147.
87.27 		Subd. 10.NSGC. "NSGC" means the National Society of Genetic Counselors, a 
87.28 	professional membership association for genetic counselors that approves continuing 
87.29 	education programs.
87.30 		Subd. 11.Qualified supervisor. "Qualified supervisor" means any person who is 
87.31 	licensed under sections 147F.01 to 147F.17 as a genetic counselor or a physician licensed 
87.32 	under chapter 147 to practice medicine in Minnesota.
87.33 		Subd. 12.Supervisee. "Supervisee" means a genetic counselor with a provisional 
87.34 	license.
88.1 		Subd. 13.Supervision. "Supervision" means an assessment of the work of the 
88.2 	supervisee, including regular meetings and file review, by a qualified supervisor according 
88.3 	to the supervision contract. Supervision does not require the qualified supervisor to be 
88.4 	present while the supervisee provides services.

88.5 	Sec. 2. [147F.03] SCOPE OF PRACTICE.
88.6 	The practice of genetic counseling by a licensed genetic counselor includes the 
88.7 	following services:
88.8 	(1) obtaining and interpreting individual and family medical and developmental 
88.9 	histories;
88.10 	(2) determining the mode of inheritance and the risk of transmitting genetic 
88.11 	conditions and birth defects;
88.12 	(3) discussing the inheritance, features, natural history, means of diagnosis, and 
88.13 	management of conditions with clients;
88.14 	(4) identifying, coordinating, ordering, and explaining the clinical implications of 
88.15 	genetic laboratory tests and other laboratory studies;
88.16 	(5) assessing psychosocial factors, including social, educational, and cultural issues;
88.17 	(6) providing client-centered counseling and anticipatory guidance to the client or 
88.18 	family based on their responses to the condition, risk of occurrence, or risk of recurrence;
88.19 	(7) facilitating informed decision-making about testing and management;
88.20 	(8) identifying and using community resources that provide medical, educational, 
88.21 	financial, and psychosocial support and advocacy; and
88.22 	(9) providing accurate written medical, genetic, and counseling information for 
88.23 	families and health care professionals.

88.24 	Sec. 3. [147F.05] UNLICENSED PRACTICE PROHIBITED; PROTECTED 
88.25 	TITLES AND RESTRICTIONS ON USE.
88.26 		Subdivision 1.Protected titles. No individual may use the title "genetic counselor," 
88.27 	"licensed genetic counselor," "gene counselor," "genetic consultant," "genetic assistant," 
88.28 	"genetic associate," or any words, letters, abbreviations, or insignia indicating or implying 
88.29 	that the individual is eligible for licensure by the state as a genetic counselor unless the 
88.30 	individual has been licensed as a genetic counselor according to sections 147F.01 to 
88.31 	147F.17.
88.32 		Subd. 2.Unlicensed practice prohibited. Effective January 1, 2018, no individual 
88.33 	may practice genetic counseling unless the individual is licensed as a genetic counselor 
89.1 	sections 147F.01 to 147F.17 except as otherwise provided under sections 147F.01 to 
89.2 	147F.17.
89.3 		Subd. 3.Other practitioners. (a) Nothing in sections 147F.01 to 147F.17 shall be 
89.4 	construed to prohibit or restrict the practice of any profession or occupation licensed 
89.5 	or registered by the state by an individual duly licensed or registered to practice the 
89.6 	profession or occupation or to perform any act that falls within the scope of practice 
89.7 	of the profession or occupation. 
89.8 	(b) Nothing in sections 147F.01 to 147F.17 shall be construed to require a license 
89.9 	under sections 147F.01 to 147F.17 for:
89.10 	(1) an individual employed as a genetic counselor by the federal government or a 
89.11 	federal agency if the individual is providing services under the direction and control of 
89.12 	the employer;
89.13 	(2) a student or intern, having graduated within the past six months, or currently 
89.14 	enrolled in an ACGC-accredited genetic counseling educational program providing 
89.15 	genetic counseling services that are an integral part of the student's or intern's course 
89.16 	of study, are performed under the direct supervision of a licensed genetic counselor or 
89.17 	physician who is on duty in the assigned patient care area, and the student is identified by 
89.18 	the title "genetic counseling intern"; 
89.19 	(3) a visiting ABGC- or ABMG-certified genetic counselor working as a consultant 
89.20 	in this state who permanently resides outside of the state, or the occasional use of services 
89.21 	from organizations from outside of the state that employ ABGC- or ABMG-certified 
89.22 	genetic counselors. This is limited to practicing for 30 days total within one calendar year. 
89.23 	Certified genetic counselors from outside of the state working as a consultant in this state 
89.24 	must be licensed in their state of residence if that credential is available; or
89.25 	(4) an individual who is licensed to practice medicine under chapter 147.
89.26 		Subd. 4.Sanctions. An individual who violates this section is guilty of a 
89.27 	misdemeanor and shall be subject to sanctions or actions according to section 214.11.

89.28 	Sec. 4. [147F.07] LICENSURE REQUIREMENTS.
89.29 		Subdivision 1.General requirements for licensure. To be eligible for licensure, an 
89.30 	applicant, with the exception of those seeking licensure by reciprocity under subdivision 
89.31 	2, must submit to the board:
89.32 	(1) a completed application on forms provided by the board along with all fees 
89.33 	required under section 147F.17. The applicant must include:
89.34 	(i) the applicant's name, Social Security number, home address and telephone 
89.35 	number, and business address and telephone number if currently employed;
90.1 	(ii) the name and location of the genetic counseling or medical program the applicant 
90.2 	completed;
90.3 	(iii) a list of degrees received from other educational institutions;
90.4 	(iv) a description of the applicant's professional training;
90.5 	(v) a list of registrations, certifications, and licenses held in other jurisdictions;
90.6 	(vi) a description of any other jurisdiction's refusal to credential the applicant;
90.7 	(vii) a description of all professional disciplinary actions initiated against the 
90.8 	applicant in any jurisdiction; and
90.9 	(viii) any history of drug or alcohol abuse, and any misdemeanor or felony conviction;
90.10 	(2) evidence of graduation from an education program accredited by the ACGC or 
90.11 	its predecessor or successor organization;
90.12 	(3) a verified copy of a valid and current certification issued by the ABGC or ABMG 
90.13 	as a certified genetic counselor, or by the ABMG as a certified medical geneticist;
90.14 	(4) additional information as requested by the board, including any additional 
90.15 	information necessary to ensure that the applicant is able to practice with reasonable skill 
90.16 	and safety to the public;
90.17 	(5) a signed statement verifying that the information in the application is true and 
90.18 	correct to the best of the applicant's knowledge and belief; and
90.19 	(6) a signed waiver authorizing the board to obtain access to the applicant's records 
90.20 	in this or any other state in which the applicant completed an educational program or 
90.21 	engaged in the practice of genetic counseling.
90.22 		Subd. 2.Licensure by reciprocity. To be eligible for licensure by reciprocity, 
90.23 	the applicant must hold a current genetic counselor or medical geneticist registration 
90.24 	or license in another state, the District of Columbia, or a territory of the United States, 
90.25 	whose standards for registration or licensure are at least equivalent to those of Minnesota, 
90.26 	and must:
90.27 	(1) submit the application materials and fees as required by subdivision 1, clauses 
90.28 	(1), (2), and (4) to (6);
90.29 	(2) provide a verified copy from the appropriate government body of a current 
90.30 	registration or license for the practice of genetic counseling in another jurisdiction that has 
90.31 	initial registration or licensing requirements equivalent to or higher than the requirements 
90.32 	in subdivision 1; and
90.33 	(3) provide letters of verification from the appropriate government body in each 
90.34 	jurisdiction in which the applicant holds a registration or license. Each letter must state 
90.35 	the applicant's name, date of birth, registration or license number, date of issuance, a 
91.1 	statement regarding disciplinary actions, if any, taken against the applicant, and the terms 
91.2 	under which the registration or license was issued.
91.3 		Subd. 3.Licensure by equivalency. (a) The board may grant a license to an 
91.4 	individual who does not meet the certification requirements in subdivision 1 but who 
91.5 	has been employed as a genetic counselor for a minimum of ten years and provides the 
91.6 	following documentation to the board no later than February 1, 2018:
91.7 	(1) proof of a master's or higher degree in genetics or related field of study from an 
91.8 	accredited educational institution;
91.9 	(2) proof that the individual has never failed the ABGC or ABMG certification 
91.10 	examination;
91.11 	(3) three letters of recommendation, with at least one from an individual eligible for 
91.12 	licensure under sections 147F.01 to 147F.17, and at least one from an individual certified 
91.13 	as a genetic counselor by the ABGC or ABMG or an individual certified as a medical 
91.14 	geneticist by the ABMG. An individual who submits a letter of recommendation must 
91.15 	have worked with the applicant in an employment setting during the past ten years and 
91.16 	must attest to the applicant's competency; and 
91.17 	(4) documentation of the completion of 100 hours of NSGC-approved continuing 
91.18 	education credits within the past five years.
91.19 	(b) This subdivision expires February 1, 2018.
91.20 		Subd. 4.License expiration. A genetic counselor license shall be valid for one 
91.21 	year from the date of issuance.
91.22 		Subd. 5.License renewal. To be eligible for license renewal, a licensed genetic 
91.23 	counselor must submit to the board:
91.24 	(1) a renewal application on a form provided by the board;
91.25 	(2) the renewal fee required under section 147F.17;
91.26 	(3) evidence of compliance with the continuing education requirements in section 
91.27 	147F.11; and
91.28 	(4) any additional information requested by the board.

91.29 	Sec. 5. [147F.09] BOARD ACTION ON APPLICATIONS FOR LICENSURE.
91.30 	(a) The board shall act on each application for licensure according to paragraphs 
91.31 	(b) to (d).
91.32 	(b) The board shall determine if the applicant meets the requirements for licensure 
91.33 	under section 147F.07. The board may investigate information provided by an applicant to 
91.34 	determine whether the information is accurate and complete.
92.1 	(c) The board shall notify each applicant in writing of action taken on the application, 
92.2 	the grounds for denying licensure if a license is denied, and the applicant's right to review 
92.3 	the board's decision under paragraph (d).
92.4 	(d) Applicants denied licensure may make a written request to the board, within 30 
92.5 	days of the board's notice, to appear before the advisory council and for the advisory 
92.6 	council to review the board's decision to deny the applicant's license. After reviewing the 
92.7 	denial, the advisory council shall make a recommendation to the board as to whether 
92.8 	the denial shall be affirmed. Each applicant is allowed only one request for review per 
92.9 	licensure period.

92.10 	Sec. 6. [147F.11] CONTINUING EDUCATION REQUIREMENTS.
92.11 	(a) A licensed genetic counselor must complete a minimum of 25 hours of NSGC- 
92.12 	or ABMG-approved continuing education units every two years. If a licensee's renewal 
92.13 	term is prorated to be more or less than one year, the required number of continuing 
92.14 	education units is prorated proportionately.
92.15 	(b) The board may grant a variance to the continuing education requirements 
92.16 	specified in this section if a licensee demonstrates to the satisfaction of the board that the 
92.17 	licensee is unable to complete the required number of educational units during the renewal 
92.18 	term. The board may allow the licensee to complete the required number of continuing 
92.19 	education units within a time frame specified by the board. In no case shall the board 
92.20 	allow the licensee to complete less than the required number of continuing education units.

92.21 	Sec. 7. [147F.13] DISCIPLINE; REPORTING.
92.22 	For purposes of sections 147F.01 to 147F.17, licensed genetic counselors and 
92.23 	applicants are subject to sections 147.091 to 147.162.

92.24 	Sec. 8. [147F.15] LICENSED GENETIC COUNSELOR ADVISORY COUNCIL.
92.25 		Subdivision 1.Membership. The board shall appoint a five-member Licensed 
92.26 	Genetic Counselor Advisory Council. One member must be a licensed physician with 
92.27 	experience in genetics, three members must be licensed genetic counselors, and one 
92.28 	member must be a public member.
92.29 		Subd. 2.Organization. The advisory council shall be organized and administered 
92.30 	as provided in section 15.059.
92.31 		Subd. 3.Duties. The advisory council shall:
92.32 	(1) advise the board regarding standards for licensed genetic counselors;
93.1 	(2) provide for distribution of information regarding licensed genetic counselor 
93.2 	practice standards;
93.3 	(3) advise the board on enforcement of sections 147F.01 to 147F.17;
93.4 	(4) review applications and recommend granting or denying licensure or license 
93.5 	renewal;
93.6 	(5) advise the board on issues related to receiving and investigating complaints, 
93.7 	conducting hearings, and imposing disciplinary action in relation to complaints against 
93.8 	licensed genetic counselors; and
93.9 	(6) perform other duties authorized for advisory councils by chapter 214, as directed 
93.10 	by the board.
93.11 		Subd. 4.Expiration. Notwithstanding section 15.059, the advisory council does 
93.12 	not expire.

93.13 	Sec. 9. [147F.17] FEES.
93.14 		Subdivision 1.Fees. Fees are as follows:
93.15 	(1) license application fee, $200;
93.16 	(2) initial licensure and annual renewal, $150;
93.17 	(3) provisional license fee, $150; and
93.18 	(4) late fee, $75.
93.19 		Subd. 2.Proration of fees. The board may prorate the initial license fee. All 
93.20 	licensees are required to pay the full fee upon license renewal.
93.21 		Subd. 3.Penalty for late renewals. An application for registration renewal 
93.22 	submitted after the deadline must be accompanied by a late fee in addition to the required 
93.23 	fees. 
93.24 		Subd. 4.Nonrefundable fees. All fees are nonrefundable.
93.25 		Subd. 5.Deposit. Fees collected by the board under this section shall be deposited 
93.26 	in the state government special revenue fund.
93.27 	SPOKEN LANGUAGE HEALTH CARE INTERPRETER

93.28 	Sec. 10. [148.9981] DEFINITIONS.
93.29 		Subdivision 1.Applicability. The definitions in this section apply to sections 
93.30 	148.9981 to 148.9987.
93.31 		Subd. 2.Advisory council. "Advisory council" means the Spoken Language Health 
93.32 	Care Interpreter Advisory Council established in section 148.9986.
94.1 		Subd. 3.Code of ethics. "Code of ethics" means the National Code of Ethics for 
94.2 	Interpreters in Health Care, as published by the National Council on Interpreting in Health 
94.3 	Care or its successor, or the International Medical Interpreters Association or its successor.
94.4 		Subd. 4.Commissioner. "Commissioner" means the commissioner of health.
94.5 		Subd. 5.Common languages. "Common languages" mean the ten most frequent 
94.6 	languages without regard to dialect in Minnesota for which interpreters are listed on 
94.7 	the registry.
94.8 		Subd. 6.Interpreting standards of practice. "Interpreting standards of practice" 
94.9 	means the interpreting standards of practice in health care as published by the National 
94.10 	Council on Interpreting in Health Care or its successor, or the International Medical 
94.11 	Interpreters Association or its successor.
94.12 		Subd. 7.Registry. "Registry" means a database of spoken language health 
94.13 	care interpreters in Minnesota who have met the qualifications described under section 
94.14 	148.9982, subdivision 2, 3, 4, or 5, which shall be maintained by the commissioner of 
94.15 	health.
94.16 		Subd. 8.Remote interpretation. "Remote interpretation" means providing spoken 
94.17 	language interpreting services via a telephone or by video conferencing.
94.18 		Subd. 9.Spoken language health care interpreter or interpreter. "Spoken 
94.19 	language health care interpreter" or "interpreter" means an individual who receives 
94.20 	compensation or other remuneration for providing spoken language interpreter services for 
94.21 	patients with limited English proficiency within a medical setting either by face-to-face 
94.22 	interpretation or remote interpretation.
94.23 		Subd. 10.Spoken language interpreting services. "Spoken language interpreting 
94.24 	services" means the conversion of one spoken language into another by an interpreter for 
94.25 	the purpose of facilitating communication between a patient and a health care provider 
94.26 	who do not share a common spoken language.

94.27 	Sec. 11. [148.9982] REGISTRY.
94.28 		Subdivision 1.Establishment. (a) By July 1, 2017, the commissioner of health 
94.29 	shall establish and maintain a registry for spoken language health care interpreters. The 
94.30 	registry shall contain four separate tiers based on different qualification standards for 
94.31 	education and training.
94.32 	(b) An individual who wants to be listed on the registry must submit an application 
94.33 	to the commissioner on a form provided by the commissioner along with all applicable 
94.34 	fees required under section 148.9987. The form must include the applicant's name; Social 
94.35 	Security number; business address and telephone number, or home address and telephone 
95.1 	number if the applicant has a home office; the applicant's employer or the agencies with 
95.2 	which the applicant is affiliated; the employer's or agencies' addresses and telephone 
95.3 	numbers; and the languages the applicant is qualified to interpret.
95.4 	(c) Upon receipt of the application, the commissioner shall determine if the applicant 
95.5 	meets the requirements for the applicable registry tier. The commissioner may request 
95.6 	further information from the applicant if the information provided is not complete or 
95.7 	accurate. The commissioner shall notify the applicant of action taken on the application, 
95.8 	and if the application is denied, the grounds for denying the application.
95.9 	(d) If the commissioner denies an application, the applicant may apply for a lower 
95.10 	tier or may reapply for the same tier at a later date. If an applicant applies for a different 
95.11 	tier or reapplies for the same tier, the applicant must submit with the new application the 
95.12 	applicable fees under section 148.9987.
95.13 	(e) Applicants who qualify for different tiers for different languages shall only be 
95.14 	required to complete one application and submit with the application the fee associated 
95.15 	with the highest tier for which the applicant is applying.
95.16 	(f) The commissioner may request, as deemed necessary, additional information 
95.17 	from an applicant to determine or verify qualifications or collect information to manage 
95.18 	the registry or monitor the field of health care interpreting.
95.19 		Subd. 2.Tier 1 requirements. The commissioner shall include on the tier 1 registry 
95.20 	an applicant who meets the following requirements:
95.21 	(1) is at least 18 years of age;
95.22 	(2) passes an examination approved by the commissioner on basic medical 
95.23 	terminology in English;
95.24 	(3) passes an examination approved by the commissioner on interpreter ethics and 
95.25 	standards of practice; and
95.26 	(4) affirms by signature, including electronic signature, that the applicant has read 
95.27 	the code of ethics and interpreting standards of practice identified on the registry Web 
95.28 	site and agrees to abide by them.
95.29 		Subd. 3.Tier 2 requirements. The commissioner shall include on the tier 2 registry 
95.30 	an applicant who meets the requirements for tier 1 described under subdivision 2 and who:
95.31 	(1) effective July 1, 2017, to June 30, 2018, provides proof of successfully 
95.32 	completing a training program for medical interpreters approved by the commissioner that 
95.33 	is, at a minimum, 40 hours in length; or
95.34 	(2) effective July 1, 2018, provides proof of successfully completing a training 
95.35 	program for medical interpreters approved by the commissioner that is equal in length to 
95.36 	the number of hours required by the Certification Commission for Healthcare Interpreters 
96.1 	(CCHI) or National Council on Interpreting in Health Care (NCIHC) or their successors. 
96.2 	If the number of hours required by CCHI or its successor and the number of hours required 
96.3 	by the NCIHC or its successor differ, the number of hours required to qualify for the 
96.4 	registry shall be the greater of the two. A training program of 40 hours or more approved 
96.5 	by the commissioner and completed prior to July 1, 2017, may count toward the number 
96.6 	of hours required.
96.7 		Subd. 4.Tier 3 requirements. The commissioner shall include on the tier 3 registry 
96.8 	an applicant who meets the requirements for tier 1 described under subdivision 2 and who:
96.9 	(1) has a national certification in health care interpreting that does not include a 
96.10 	performance examination from a certifying organization approved by the commissioner; or
96.11 	(2) provides proof of successfully completing an interpreting certification program 
96.12 	from an accredited United States academic institution approved by the commissioner 
96.13 	that is, at a minimum, 18 semester credits.
96.14 		Subd. 5.Tier 4 requirements. (a) The commissioner shall include on the tier 4 
96.15 	registry an applicant who meets the requirements for tier 1 described under subdivision 2 
96.16 	and who:
96.17 	(1) has a national certification from a certifying organization approved by the 
96.18 	commissioner in health care interpreting that includes a performance examination in the 
96.19 	non-English language in which the interpreter is registering to interpret; or
96.20 	(2)(i) has an associate's degree or higher in interpreting from an accredited United 
96.21 	States academic institution. The degree and institution must be approved by the 
96.22 	commissioner and the degree must include a minimum of three semester credits in medical 
96.23 	terminology or medical interpreting; and
96.24 	(ii) has achieved a score of "advanced mid" or higher on the American Council on 
96.25 	the Teaching of Foreign Languages Oral Proficiency Interview in a non-English language 
96.26 	in which the interpreter is registering to interpret.
96.27 	(b) The commissioner, in consultation with the advisory council, may approve 
96.28 	alternative means of meeting oral proficiency requirements for tier 4 for languages 
96.29 	in which the American Council of Teaching of Foreign Languages Oral Proficiency 
96.30 	Interview is not available.
96.31 	(c) The commissioner, in consultation with the advisory council, may approve a 
96.32 	degree from an educational institution from a foreign country as meeting the associate's 
96.33 	degree requirement in paragraph (a), clause (2). The commissioner may assess the 
96.34 	applicant a fee to cover the cost of foreign credential evaluation services approved by 
96.35 	the commissioner, in consultation with the advisory council, and any additional steps 
97.1 	necessary to process the application. Any assessed fee must be paid by the interpreter 
97.2 	before the interpreter will be registered.
97.3 		Subd. 6.Change of name and address. Registered spoken language health 
97.4 	care interpreters who change their name, address, or e-mail address must inform the 
97.5 	commissioner in writing of the change within 30 days. All notices or other correspondence 
97.6 	mailed to the interpreter's address or e-mail address on file with the commissioner shall 
97.7 	be considered as having been received by the interpreter.
97.8 		Subd. 7.Data. Section 13.41 applies to government data of the commissioner 
97.9 	on applicants and registered interpreters.

97.10 	Sec. 12. [148.9983] RENEWAL.
97.11 		Subdivision 1.Registry period. Listing on the registry is valid for a one-year 
97.12 	period. To renew inclusion on the registry, an interpreter must submit:
97.13 	(1) a renewal application on a form provided by the commissioner;
97.14 	(2) a continuing education report on a form provided by the commissioner as 
97.15 	specified under section 148.9985; and
97.16 	(3) the required fees under section 148.9987.
97.17 		Subd. 2.Notice. (a) Sixty days before the registry expiration date, the commissioner 
97.18 	shall send out a renewal notice to the spoken language health care interpreter's last known 
97.19 	address or e-mail address on file with the commissioner. The notice must include an 
97.20 	application for renewal and the amount of the fee required for renewal. If the interpreter 
97.21 	does not receive the renewal notice, the interpreter is still required to meet the deadline for 
97.22 	renewal to qualify for continuous inclusion on the registry.
97.23 	(b) An application for renewal must be received by the commissioner or postmarked 
97.24 	at least 30 calendar days before the registry expiration date.
97.25 		Subd. 3.Late fee. A renewal application submitted after the renewal deadline 
97.26 	date must include the late fee specified in section 148.9987. Fees for late renewal shall 
97.27 	not be prorated.
97.28 		Subd. 4.Lapse in renewal. An interpreter whose registry listing has been expired 
97.29 	for a period of one year or longer must submit a new application to be listed on the registry 
97.30 	instead of a renewal application.

97.31 	Sec. 13. [148.9984] DISCIPLINARY ACTIONS; OVERSIGHT OF 
97.32 	COMPLAINTS.
97.33 		Subdivision 1.Prohibited conduct. (a) The following conduct is prohibited and is 
97.34 	grounds for disciplinary or corrective action:
98.1 	(1) failure to provide spoken language interpreting services consistent with the 
98.2 	code of ethics and interpreting standards of practice, or performance of the interpretation 
98.3 	in an incompetent or negligent manner;
98.4 	(2) conviction of a crime, including a finding or verdict of guilt, an admission of 
98.5 	guilt, or a no-contest plea, in any court in Minnesota or any other jurisdiction in the United 
98.6 	States, demonstrably related to engaging in spoken language health care interpreter 
98.7 	services. Conviction includes a conviction for an offense which, if committed in this 
98.8 	state, would be deemed a felony;
98.9 	(3) conviction of violating any state or federal law, rule, or regulation that directly 
98.10 	relates to the practice of spoken language health care interpreters;
98.11 	(4) adjudication as mentally incompetent or as a person who is dangerous to self 
98.12 	or adjudication pursuant to chapter 253B as chemically dependent, developmentally 
98.13 	disabled, mentally ill and dangerous to the public, or as a sexual psychopathic personality 
98.14 	or sexually dangerous person;
98.15 	(5) violation or failure to comply with an order issued by the commissioner;
98.16 	(6) obtaining money, property, services, or business from a client through the use of 
98.17 	undue influence, excessive pressure, harassment, duress, deception, or fraud;
98.18 	(7) revocation of the interpreter's national certification as a result of disciplinary 
98.19 	action brought by the national certifying body;
98.20 	(8) failure to perform services with reasonable judgment, skill, or safety due to the 
98.21 	use of alcohol or drugs or other physical or mental impairment;
98.22 	(9) engaging in conduct likely to deceive, defraud, or harm the public;
98.23 	(10) demonstrating a willful or careless disregard for the health, welfare, or safety 
98.24 	of a client;
98.25 	(11) failure to cooperate with the commissioner or advisory council in an 
98.26 	investigation or to provide information in response to a request from the commissioner 
98.27 	or advisory council; 
98.28 	(12) aiding or abetting another person in violating any provision of sections 
98.29 	148.9981 to 148.9987; and
98.30 	(13) release or disclosure of a health record in violation of sections 144.291 to 
98.31 	144.298.
98.32 	(b) In disciplinary actions alleging a violation of paragraph (a), clause (2), (3), or 
98.33 	(4), a copy of the judgment or proceeding under seal of the court administrator, or of the 
98.34 	administrative agency that entered the same, is admissible into evidence without further 
98.35 	authentication and constitutes prima facie evidence of its contents.
99.1 		Subd. 2.Complaints. The commissioner may initiate an investigation upon 
99.2 	receiving a complaint or other oral or written communication that alleges or implies 
99.3 	a violation of subdivision 1. In the receipt, investigation, and hearing of a complaint 
99.4 	that alleges or implies a violation of subdivision 1, the commissioner shall follow the 
99.5 	procedures in section 214.10.
99.6 		Subd. 3.Disciplinary actions. If the commissioner finds that an interpreter who 
99.7 	is listed on the registry has violated any provision of sections 148.9981 to 148.9987, the 
99.8 	commissioner may take any one or more of the following actions:
99.9 	(1) remove the interpreter from the registry;
99.10 	(2) impose limitations or conditions on the interpreter's practice, impose 
99.11 	rehabilitation requirements, or require practice under supervision; or
99.12 	(3) censure or reprimand the interpreter.
99.13 		Subd. 4.Reinstatement requirements after disciplinary action. Interpreters 
99.14 	who have been removed from the registry may request and provide justification for 
99.15 	reinstatement. The requirements of sections 148.9981 to 148.9987 for registry renewal 
99.16 	and any other conditions imposed by the commissioner must be met before the interpreter 
99.17 	may be reinstated on the registry.

99.18 	Sec. 14. [148.9985] CONTINUING EDUCATION.
99.19 		Subdivision 1.Course approval. The advisory council shall approve continuing 
99.20 	education courses and training. A course that has not been approved by the advisory 
99.21 	council may be submitted, but may be disapproved by the commissioner. If the course 
99.22 	is disapproved, it shall not count toward the continuing education requirement. The 
99.23 	interpreter must complete the following hours of continuing education during each 
99.24 	one-year registry period:
99.25 	(1) for tier 2 interpreters, a minimum of four contact hours of continuing education;
99.26 	(2) for tier 3 interpreters, a minimum of six contact hours of continuing education; and
99.27 	(3) for tier 4 interpreters, a minimum of eight contact hours of continuing education.
99.28 	Contact hours shall be prorated for interpreters who are assigned a registry cycle of 
99.29 	less than one year.
99.30 		Subd. 2.Continuing education verification. Each spoken language health care 
99.31 	interpreter shall submit with a renewal application a continuing education report on a form 
99.32 	provided by the commissioner that indicates that the interpreter has met the continuing 
99.33 	education requirements of this section. The form shall include the following information:
99.34 	(1) the title of the continuing education activity;
99.35 	(2) a brief description of the activity;
100.1 	(3) the sponsor, presenter, or author;
100.2 	(4) the location and attendance dates;
100.3 	(5) the number of contact hours; and 
100.4 	(6) the interpreter's notarized affirmation that the information is true and correct.
100.5 		Subd. 3.Audit. The commissioner or advisory council may audit a percentage of 
100.6 	the continuing education reports based on a random selection.

100.7 	Sec. 15. [148.9986] SPOKEN LANGUAGE HEALTH CARE INTERPRETER 
100.8 	ADVISORY COUNCIL.
100.9 		Subdivision 1.Establishment. The commissioner shall appoint 12 members to a 
100.10 	Spoken Language Health Care Interpreter Advisory Council consisting of the following 
100.11 	members:
100.12 	(1) three members who are interpreters listed on the roster prior to July 1, 2017, or 
100.13 	on the registry after July 1, 2017, and who are Minnesota residents. Of these members, 
100.14 	each must be an interpreter for a different language; at least one must have a national 
100.15 	certification credential; and at least one must have been listed on the roster prior to July 1, 
100.16 	2017, or on the registry after July 1, 2017, as an interpreter in a language other than the 
100.17 	common languages and must have completed a training program for medical interpreters 
100.18 	approved by the commissioner that is, at a minimum, 40 hours in length;
100.19 	(2) three members representing limited English proficient (LEP) individuals, of 
100.20 	these members, two must represent LEP individuals who are proficient in a common 
100.21 	language and one must represent LEP individuals who are proficient in a language that is 
100.22 	not one of the common languages;
100.23 	(3) one member representing a health plan company;
100.24 	(4) one member representing a Minnesota health system who is not an interpreter;
100.25 	(5) one member representing an interpreter agency;
100.26 	(6) one member representing an interpreter training program or postsecondary 
100.27 	educational institution program providing interpreter courses or skills assessment;
100.28 	(7) one member who is affiliated with a Minnesota-based or Minnesota chapter of a 
100.29 	national or international organization representing interpreters; and
100.30 	(8) one member who is a licensed direct care health provider.
100.31 		Subd. 2.Organization. The advisory council shall be organized and administered 
100.32 	under section 15.059.
100.33 		Subd. 3.Duties. The advisory council shall:
100.34 	(1) advise the commissioner on issues relating to interpreting skills, ethics, and 
100.35 	standards of practice, including reviewing and recommending changes to the examinations 
101.1 	identified in section 148.9982, subdivision 2, on basic medical terminology in English 
101.2 	and interpreter ethics and interpreter standards of practice;
101.3 	(2) advise the commissioner on recommended changes to accepted spoken language 
101.4 	health care interpreter qualifications, including degree and training programs and 
101.5 	performance examinations;
101.6 	(3) address barriers for interpreters to gain access to the registry, including barriers 
101.7 	to interpreters of uncommon languages and interpreters in rural areas;
101.8 	(4) advise the commissioner on methods for identifying gaps in interpreter services in 
101.9 	rural areas and make recommendations to address interpreter training and funding needs;
101.10 	(5) inform the commissioner on emerging issues in the spoken language health 
101.11 	care interpreter field;
101.12 	(6) advise the commissioner on training and continuing education programs;
101.13 	(7) provide for distribution of information regarding interpreter standards and 
101.14 	resources to help interpreters qualify for higher registry tier levels;
101.15 	(8) make recommendations for necessary statutory changes to Minnesota interpreter 
101.16 	law;
101.17 	(9) compare the annual cost of administering the registry and the annual total 
101.18 	collection of registration fees and advise the commissioner, if necessary, to recommend an 
101.19 	adjustment to the registration fees;
101.20 	(10) identify barriers to meeting tier requirements and make recommendations to the 
101.21 	commissioner for addressing these barriers;
101.22 	(11) identify and make recommendations to the commissioner for Web distribution 
101.23 	of patient and provider education materials on working with an interpreter and on reporting 
101.24 	interpreter behavior as identified in section 148.9984; and
101.25 	(12) review and update as necessary the process for determining common languages.

101.26 	EFFECTIVE DATE. This section is effective July 1, 2016.

101.27 	Sec. 16. [148.9987] FEES.
101.28 		Subdivision 1.Fees. (a) The initial and renewal application fees for interpreters 
101.29 	listed on the registry shall be established by the commissioner not to exceed $90.
101.30 	(b) The renewal late fee for the registry shall be established by the commissioner 
101.31 	not to exceed $30.
101.32 	(c) If the commissioner must translate a document to verify whether a foreign degree 
101.33 	qualifies for registration for tier 4, the commissioner may assess a fee equal to the actual 
101.34 	cost of translation and additional effort necessary to process the application.
101.35 		Subd. 2.Nonrefundable fees. The fees in this section are nonrefundable.
102.1 		Subd. 3.Deposit. Fees received under sections 148.9981 to 148.9987 shall be 
102.2 	deposited in the state government special revenue fund.

102.3 	Sec. 17. Minnesota Statutes 2015 Supplement, section 256B.0625, subdivision 18a, 
102.4 	is amended to read:
102.5 		Subd. 18a.Access to medical services. (a) Medical assistance reimbursement for 
102.6 	meals for persons traveling to receive medical care may not exceed $5.50 for breakfast, 
102.7 	$6.50 for lunch, or $8 for dinner.
102.8 	(b) Medical assistance reimbursement for lodging for persons traveling to receive 
102.9 	medical care may not exceed $50 per day unless prior authorized by the local agency.
102.10 	(c) Regardless of the number of employees that an enrolled health care provider may 
102.11 	have, medical assistance covers sign and oral spoken language health care interpreter 
102.12 	services when provided by an enrolled health care provider during the course of providing 
102.13 	a direct, person-to-person covered health care service to an enrolled recipient with limited 
102.14 	English proficiency or who has a hearing loss and uses interpreting services. Coverage 
102.15 	for face-to-face oral language spoken language health care interpreter services shall be 
102.16 	provided only if the oral language spoken language health care interpreter used by the 
102.17 	enrolled health care provider is listed in on the registry or roster established under section 
102.18 	144.058 or the registry established under sections 148.9981 to 148.9987. Beginning July 
102.19 	1, 2018, coverage for spoken language health care interpreter services shall be provided 
102.20 	only if the spoken language health care interpreter used by the enrolled health care 
102.21 	provider is listed on the registry established under sections 148.9981 to 148.9987.

102.22 	Sec. 18. STRATIFIED MEDICAL ASSISTANCE REIMBURSEMENT SYSTEM 
102.23 	FOR SPOKEN LANGUAGE HEALTH CARE INTERPRETERS.
 102.24 	(a) The commissioner of human services, in consultation with the commissioner 
102.25 	of health, the Spoken Language Health Care Interpreter Advisory Council established 
102.26 	under Minnesota Statutes, section 148.9986, and representatives from the interpreting 
102.27 	stakeholder community at large, shall study and make recommendations for creating a 
102.28 	tiered reimbursement system for the Minnesota public health care programs for spoken 
102.29 	language health care interpreters based on the different tiers of the spoken language health 
102.30 	care interpreters registry established by the commissioner of health under Minnesota 
102.31 	Statutes, sections 148.9981 to 148.9987.
102.32 	(b) The commissioner of human services shall submit the proposed reimbursement 
102.33 	system, including the fiscal costs for the proposed system to the chairs and ranking 
103.1 	minority members of the house of representatives and senate committees with jurisdiction 
103.2 	over health and human services policy and finance by January 15, 2017.
103.3 	(c) The commissioner of health, in consultation with the Spoken Language Health 
103.4 	Care Interpreter Advisory Council, shall review the fees established under Minnesota 
103.5 	Statutes, section 148.9987, and make recommendations based on the results of the 
103.6 	study and recommendations under paragraph (a) whether the fees are established at an 
103.7 	appropriate level, including whether specific fees should be established for each tier of the 
103.8 	registry instead of one uniform fee for all tiers. The total fees collected must be sufficient 
103.9 	to recover the costs of the spoken language health care registry. If the commissioner 
103.10 	recommends different fees for the tier, the commissioner shall submit the proposed fees to 
103.11 	the chairs and ranking minority members of the legislative committees with jurisdiction 
103.12 	over health and human services policy and finance by January 15, 2018.

103.13 	Sec. 19. INITIAL SPOKEN LANGUAGE HEALTH CARE ADVISORY 
103.14 	COUNCIL MEETING.
 103.15 	The commissioner of health shall convene the first meeting of the Spoken Language 
103.16 	Health Care Advisory Council by October 1, 2016.

103.17 	Sec. 20. SPOKEN LANGUAGE HEALTH CARE INTERPRETER REGISTRY 
103.18 	FEES.
 103.19 	Notwithstanding Minnesota Statutes, section 148.9987, paragraph (a), the initial and 
103.20 	renewal fees for interpreters listed on the spoken language health care registry shall be $50 
103.21 	between the period of July 1, 2017, through June 30, 2018, and shall be $70 between the 
103.22 	period of July 1, 2018, through June 30, 2019. Beginning July 1, 2019, the fees shall be 
103.23 	in accordance with Minnesota Statutes, section 148.9987.

103.24 	Sec. 21. APPROPRIATION.
 103.25 	$357,000 in fiscal year 2017 is appropriated from the state government special 
103.26 	revenue fund to the commissioner of health for the spoken language health care interpreter 
103.27 	registry. This amount includes $280,000 for onetime start-up costs for the registry that 
103.28 	is available until June 30, 2019. The base for this appropriation is $241,000 in fiscal 
103.29 	year 2018 and $156,000 in fiscal year 2019.
103.30 	$25,000 in fiscal year 2017 is appropriated from the state government special revenue 
103.31 	fund to the commissioner of human services to study and submit a proposed stratified 
103.32 	medical assistance reimbursement system for spoken language health care interpreters.

104.1 	Sec. 22.  REPEALER.
 104.2 	Minnesota Statutes 2014, section 144.058, is repealed effective July 1, 2018.
104.3 	MINNESOTA ORTHOTIST, PROSTHETIST, AND PEDORTHIST 
104.4 	PRACTICE ACT

104.5 	Sec. 23. [153B.10] SHORT TITLE.
104.6 	Chapter 153B may be cited as the "Minnesota Orthotist, Prosthetist, and Pedorthist 
104.7 	Practice Act."

104.8 	EFFECTIVE DATE. This section is effective July 1, 2016.

104.9 	Sec. 24. [153B.15] DEFINITIONS.
104.10 		Subdivision 1.Application. For purposes of this act, the following words have 
104.11 	the meanings given.
104.12 		Subd. 2.Advisory council. "Advisory council" means the Orthotics, Prosthetics, 
104.13 	and Pedorthics Advisory Council established under section 153B.25.
104.14 		Subd. 3.Board. "Board" means the Board of Podiatric Medicine.
104.15 		Subd. 4.Custom-fabricated device. "Custom-fabricated device" means an orthosis, 
104.16 	prosthesis, or pedorthic device for use by a patient that is fabricated to comprehensive 
104.17 	measurements or a mold or patient model in accordance with a prescription and which 
104.18 	requires on-site or in-person clinical and technical judgment in its design, fabrication, 
104.19 	and fitting.
104.20 		Subd. 5.Licensed orthotic-prosthetic assistant. "Licensed orthotic-prosthetic 
104.21 	assistant" or "assistant" means a person, licensed by the board, who is educated and 
104.22 	trained to participate in comprehensive orthotic and prosthetic care while under the 
104.23 	supervision of a licensed orthotist or licensed prosthetist. Assistants may perform orthotic 
104.24 	and prosthetic procedures and related tasks in the management of patient care. The 
104.25 	assistant may fabricate, repair, and maintain orthoses and prostheses. The use of the title 
104.26 	"orthotic-prosthetic assistant" or representations to the public is limited to a person who is 
104.27 	licensed under this chapter as an orthotic-prosthetic assistant.
104.28 		Subd. 6.Licensed orthotic fitter. "Licensed orthotic fitter" or "fitter" means a 
104.29 	person licensed by the board who is educated and trained in providing certain orthoses, 
104.30 	and is trained to conduct patient assessments, formulate treatment plans, implement 
104.31 	treatment plans, perform follow-up, and practice management pursuant to a prescription. 
104.32 	An orthotic fitter must be competent to fit certain custom-fitted, prefabricated, and 
104.33 	off-the-shelf orthoses as follows:
105.1 	(1) cervical orthoses, except those used to treat an unstable cervical condition;
105.2 	(2) prefabricated orthoses for the upper and lower extremities, except those used in: 
105.3 	(i) the initial or acute treatment of long bone fractures and dislocations;
105.4 	(ii) therapeutic shoes and inserts needed as a result of diabetes; and
105.5 	(iii) functional electrical stimulation orthoses;
105.6 	(3) prefabricated spinal orthoses, except those used in the treatment of scoliosis or 
105.7 	unstable spinal conditions, including halo cervical orthoses; and
105.8 	(4) trusses.
105.9 	The use of the title "orthotic fitter" or representations to the public is limited to a person 
105.10 	who is licensed under this chapter as an orthotic fitter.
105.11 		Subd. 7.Licensed orthotist. "Licensed orthotist" means a person licensed by 
105.12 	the board who is educated and trained to practice orthotics, which includes managing 
105.13 	comprehensive orthotic patient care pursuant to a prescription. The use of the title 
105.14 	"orthotist" or representations to the public is limited to a person who is licensed under 
105.15 	this chapter as an orthotist.
105.16 		Subd. 8.Licensed pedorthist. "Licensed pedorthist" means a person licensed by 
105.17 	the board who is educated and trained to manage comprehensive pedorthic patient care 
105.18 	and who performs patient assessments, formulates and implements treatment plans, and 
105.19 	performs follow-up and practice management pursuant to a prescription. A pedorthist may 
105.20 	fit, fabricate, adjust, or modify devices within the scope of the pedorthist's education and 
105.21 	training. Use of the title "pedorthist" or representations to the public is limited to a person 
105.22 	who is licensed under this chapter as a pedorthist.
105.23 		Subd. 9.Licensed prosthetist. "Licensed prosthetist" means a person licensed by 
105.24 	the board who is educated and trained to manage comprehensive prosthetic patient care, 
105.25 	and who performs patient assessments, formulates and implements treatment plans, and 
105.26 	performs follow-up and practice management pursuant to a prescription. Use of the title 
105.27 	"prosthetist" or representations to the public is limited to a person who is licensed under 
105.28 	this chapter as a prosthetist.
105.29 		Subd. 10.Licensed prosthetist orthotist. "Licensed prosthetist orthotist" means a 
105.30 	person licensed by the board who is educated and trained to manage comprehensive 
105.31 	prosthetic and orthotic patient care, and who performs patient assessments, formulates and 
105.32 	implements treatment plans, and performs follow-up and practice management pursuant to 
105.33 	a prescription. Use of the title "prosthetist orthotist" or representations to the public is 
105.34 	limited to a person who is licensed under this chapter as a prosthetist orthotist.
105.35 		Subd. 11.NCOPE. "NCOPE" means National Commission on Orthotic and 
105.36 	Prosthetic Education, an accreditation program that ensures educational institutions and 
106.1 	residency programs meet the minimum standards of quality to prepare individuals to enter 
106.2 	the orthotic, prosthetic, and pedorthic professions.
106.3 		Subd. 12.Orthosis. "Orthosis" means an external device that is custom-fabricated 
106.4 	or custom-fitted to a specific patient based on the patient's unique physical condition and 
106.5 	is applied to a part of the body to help correct a deformity, provide support and protection, 
106.6 	restrict motion, improve function, or relieve symptoms of a disease, syndrome, injury, or 
106.7 	postoperative condition.
106.8 		Subd. 13.Orthotics. "Orthotics" means the science and practice of evaluating, 
106.9 	measuring, designing, fabricating, assembling, fitting, adjusting, or servicing an orthosis 
106.10 	pursuant to a prescription. The practice of orthotics includes providing the initial training 
106.11 	necessary for fitting an orthotic device for the support, correction, or alleviation of 
106.12 	neuromuscular or musculoskeletal dysfunction, disease, injury, or deformity.
106.13 		Subd. 14.Over-the-counter. "Over-the-counter" means a prefabricated, 
106.14 	mass-produced item that is prepackaged, requires no professional advice or judgment in 
106.15 	size selection or use, and is currently available at retail stores without a prescription. 
106.16 	Over-the-counter items are not regulated by this act.
106.17 		Subd. 15.Off-the-shelf. "Off-the-shelf" means a prefabricated device sized or 
106.18 	modified for the patient's use pursuant to a prescription and which requires changes to be 
106.19 	made by a qualified practitioner to achieve an individual fit, such as requiring the item 
106.20 	to be trimmed, bent, or molded with or without heat, or requiring any other alterations 
106.21 	beyond self adjustment.
106.22 		Subd. 16.Pedorthic device. "Pedorthic device" means below-the-ankle partial 
106.23 	foot prostheses for transmetatarsal and more distal amputations, foot orthoses, and 
106.24 	subtalar-control foot orthoses to control the range of motion of the subtalar joint. 
106.25 	A prescription is required for any pedorthic device, modification, or prefabricated 
106.26 	below-the-knee orthosis addressing a medical condition that originates at the ankle or 
106.27 	below. Pedorthic devices do not include nontherapeutic inlays or footwear regardless 
106.28 	of method of manufacture; unmodified, nontherapeutic over-the-counter shoes; or 
106.29 	prefabricated foot care products.
106.30 		Subd. 17.Pedorthics. "Pedorthics" means the science and practice of evaluating, 
106.31 	measuring, designing, fabricating, assembling, fitting, adjusting, or servicing a pedorthic 
106.32 	device pursuant to a prescription for the correction or alleviation of neuromuscular or 
106.33 	musculoskeletal dysfunction, disease, injury, or deformity. The practice of pedorthics 
106.34 	includes providing patient care and services pursuant to a prescription to prevent or 
106.35 	ameliorate painful or disabling conditions of the foot and ankle.
107.1 		Subd. 18.Prescription. "Prescription" means an order deemed medically necessary 
107.2 	by a physician, podiatric physician, osteopathic physician, or a licensed health care 
107.3 	provider who has authority in this state to prescribe orthotic and prosthetic devices, 
107.4 	supplies, and services.
107.5 		Subd. 19.Prosthesis. "Prosthesis" means a custom-designed, fabricated, fitted, or 
107.6 	modified device to treat partial or total limb loss for purposes of restoring physiological 
107.7 	function or cosmesis. Prosthesis does not include artificial eyes, ears, fingers, or toes; 
107.8 	dental appliances; external breast prosthesis; or cosmetic devices that do not have a 
107.9 	significant impact on the musculoskeletal functions of the body.
107.10 		Subd. 20.Prosthetics. "Prosthetics" means the science and practice of evaluating, 
107.11 	measuring, designing, fabricating, assembling, fitting, adjusting, or servicing a prosthesis 
107.12 	pursuant to a prescription. It includes providing the initial training necessary to fit a 
107.13 	prosthesis in order to replace external parts of a human body lost due to amputation, 
107.14 	congenital deformities, or absence.
107.15 		Subd. 21.Resident. "Resident" means a person who has completed a 
107.16 	NCOPE-approved education program in orthotics or prosthetics and is receiving clinical 
107.17 	training in a residency accredited by NCOPE.
107.18 		Subd. 22.Residency. "Residency" means a minimum of an NCOPE-approved 
107.19 	program to acquire practical clinical training in orthotics and prosthetics in a patient 
107.20 	care setting.
107.21 		Subd. 23.Supervisor. "Supervisor" means the licensed orthotist, prosthetist, or 
107.22 	pedorthist who oversees and is responsible for the delivery of appropriate, effective, 
107.23 	ethical, and safe orthotic, prosthetic, or pedorthic patient care.

107.24 	EFFECTIVE DATE. This section is effective July 1, 2016.

107.25 	Sec. 25. [153B.20] EXCEPTIONS.
107.26 	Nothing in this chapter shall prohibit:
107.27 	(1) a physician, osteopathic physician, or podiatric physician licensed by the state of 
107.28 	Minnesota from providing services within the physician's scope of practice;
107.29 	(2) a professional regulated in this state, including but not limited to physical 
107.30 	therapists and occupational therapists, from providing services within the professional's 
107.31 	scope of practice;
107.32 	(3) the practice of orthotics, prosthetics, or pedorthics by a person who is employed 
107.33 	by the federal government or any bureau, division, or agency of the federal government 
107.34 	while in the discharge of the employee's official duties;
107.35 	(4) the practice of orthotics, prosthetics, or pedorthics by:
108.1 	(i) a student enrolled in an accredited or approved orthotics, prosthetics, or 
108.2 	pedorthics education program who is performing activities required by the program;
108.3 	(ii) a resident enrolled in an NCOPE-accredited residency program; or
108.4 	(iii) a person working in a qualified, supervised work experience or internship who 
108.5 	is obtaining the clinical experience necessary for licensure under this chapter; or
108.6 	(5) an orthotist, prosthetist, prosthetist orthotist, pedorthist, assistant, or fitter who is 
108.7 	licensed in another state or territory of the United States or in another country that has 
108.8 	equivalent licensure requirements as approved by the board from providing services within 
108.9 	the professional's scope of practice subject to this paragraph, if the individual is qualified 
108.10 	and has applied for licensure under this chapter. The individual shall be allowed to practice 
108.11 	for no longer than six months following the filing of the application for licensure, unless 
108.12 	the individual withdraws the application for licensure or the board denies the license.

108.13 	EFFECTIVE DATE. This section is effective July 1, 2016.

108.14 	Sec. 26. [153B.25] ORTHOTICS, PROSTHETICS, AND PEDORTHICS 
108.15 	ADVISORY COUNCIL.
108.16 		Subdivision 1.Creation; membership. (a) There is established an Orthotics, 
108.17 	Prosthetics, and Pedorthics Advisory Council which shall consist of seven voting members 
108.18 	appointed by the board. Five members shall be licensed and practicing orthotists, 
108.19 	prosthetists, or pedorthists. Each profession shall be represented on the advisory council. 
108.20 	One member shall be a Minnesota-licensed doctor of podiatric medicine who is also a 
108.21 	member of the Board of Podiatric Medicine, and one member shall be a public member.
108.22 	(b) The council shall be organized and administered under section 15.059.
108.23 		Subd. 2.Duties. The advisory council shall:
108.24 	(1) advise the board on enforcement of the provisions contained in this chapter;
108.25 	(2) review reports of investigations or complaints relating to individuals and make 
108.26 	recommendations to the board as to whether a license should be denied or disciplinary 
108.27 	action taken against an individual;
108.28 	(3) advise the board regarding standards for licensure of professionals under this 
108.29 	chapter; and
108.30 	(4) perform other duties authorized for advisory councils by chapter 214, as directed 
108.31 	by the board.
108.32 		Subd. 3.Chair. The council must elect a chair from among its members.
108.33 		Subd. 4.Administrative provisions. The Board of Podiatric Medicine must 
108.34 	provide meeting space and administrative services for the council.

109.1 	EFFECTIVE DATE. This section is effective July 1, 2016.

109.2 	Sec. 27. [153B.30] LICENSURE.
109.3 		Subdivision 1.Application. An application for a license shall be submitted to the 
109.4 	board in the format required by the board and shall be accompanied by the required fee, 
109.5 	which is nonrefundable.
109.6 		Subd. 2.Qualifications. (a) To be eligible for licensure as an orthotist, prosthetist, 
109.7 	or prosthetist orthotist, an applicant shall meet orthotist, prosthetist, or prosthetist orthotist 
109.8 	certification requirements of either the American Board for Certification in Orthotics, 
109.9 	Prosthetics, and Pedorthics or the Board of Certification/Accreditation requirements in 
109.10 	effect at the time of the individual's application for licensure and be in good standing 
109.11 	with the certifying board.
109.12 	(b) To be eligible for licensure as a pedorthist, an applicant shall meet the pedorthist 
109.13 	certification requirements of either the American Board for Certification in Orthotics, 
109.14 	Prosthetics, and Pedorthics or the Board of Certification/Accreditation that are in effect 
109.15 	at the time of the individual's application for licensure and be in good standing with 
109.16 	the certifying board.
109.17 	(c) To be eligible for licensure as an orthotic or prosthetic assistant, an applicant shall 
109.18 	meet the orthotic or prosthetic assistant certification requirements of the American Board 
109.19 	for Certification in Orthotics, Prosthetics, and Pedorthics that are in effect at the time of 
109.20 	the individual's application for licensure and be in good standing with the certifying board.
109.21 	(d) To be eligible for licensure as an orthotic fitter, an applicant shall meet the 
109.22 	orthotic fitter certification requirements of either the American Board for Certification in 
109.23 	Orthotics, Prosthetics, and Pedorthics or the Board of Certification/Accreditation that are 
109.24 	in effect at the time of the individual's application for licensure and be in good standing 
109.25 	with the certifying board.
109.26 		Subd. 3.License term. A license to practice is valid for a term of up to 24 months 
109.27 	beginning on January 1 or commencing after initially fulfilling the license requirements 
109.28 	and ending on December 31 of the following year.

109.29 	EFFECTIVE DATE. This section is effective July 1, 2016.

109.30 	Sec. 28. [153B.35] EMPLOYMENT BY AN ACCREDITED FACILITY; SCOPE 
109.31 	OF PRACTICE.
109.32 	A licensed orthotist, prosthetist, pedorthist, assistant, or orthotic fitter may provide 
109.33 	limited, supervised patient care services beyond their licensed scope of practice if all of 
109.34 	the following conditions are met:
110.1 	(1) the licensee is employed by a patient care facility that is accredited by a national 
110.2 	accrediting organization in orthotics, prosthetics, and pedorthics;
110.3 	(2) written objective criteria are documented by the accredited facility to describe 
110.4 	the knowledge and skills required by the licensee to demonstrate competency to provide 
110.5 	additional specific and limited patient care services that are outside the licensee's scope of 
110.6 	practice;
110.7 	(3) the licensee provides patient care only at the direction of a supervisor who is 
110.8 	licensed as an orthotist, pedorthist, or prosthetist who is employed by the facility to provide 
110.9 	the specific patient care or services that are outside the licensee's scope of practice; and
110.10 	(4) the supervised patient care occurs in compliance with facility accreditation 
110.11 	standards.

110.12 	EFFECTIVE DATE. This section is effective July 1, 2016.

110.13 	Sec. 29. [153B.40] CONTINUING EDUCATION.
110.14 		Subdivision 1.Requirement. Each licensee shall obtain the number of continuing 
110.15 	education hours required by the certifying board to maintain certification status pursuant 
110.16 	to the specific license category.
110.17 		Subd. 2.Proof of attendance. A licensee must submit to the board proof of 
110.18 	attendance at approved continuing education programs during the license renewal period 
110.19 	in which it was attended in the form of a certificate, statement of continuing education 
110.20 	credits from the American Board for Certification in Orthotics, Prosthetics, and Pedorthics 
110.21 	or the Board of Certification/Accreditation, descriptive receipt, or affidavit. The board 
110.22 	may conduct random audits.
110.23 		Subd. 3.Extension of continuing education requirements. For good cause, a 
110.24 	licensee may apply to the board for a six-month extension of the deadline for obtaining 
110.25 	the required number of continuing education credits. No more than two consecutive 
110.26 	extensions may be granted. For purposes of this subdivision, "good cause" includes 
110.27 	unforeseen hardships such as illness, family emergency, or military call-up.

110.28 	EFFECTIVE DATE. This section is effective July 1, 2016.

110.29 	Sec. 30. [153B.45] LICENSE RENEWAL.
110.30 		Subdivision 1.Submission of license renewal application. A licensee must submit 
110.31 	to the board a license renewal application on a form provided by the board together with 
110.32 	the license renewal fee. The completed form must be postmarked no later than January 1 
110.33 	in the year of renewal. The form must be signed by the licensee in the place provided for 
111.1 	the renewal applicant's signature, include evidence of participation in approved continuing 
111.2 	education programs, and any other information as the board may reasonably require.
111.3 		Subd. 2.Renewal application postmarked after January 1. A renewal application 
111.4 	postmarked after January 1 in the renewal year shall be returned to the licensee for addition 
111.5 	of the late renewal fee. A license renewal application postmarked after January 1 in the 
111.6 	renewal year is not complete until the late renewal fee has been received by the board.
111.7 		Subd. 3.Failure to submit renewal application. (a) At any time after January 1 of 
111.8 	the applicable renewal year, the board shall send notice to a licensee who has failed to 
111.9 	apply for license renewal. The notice shall be mailed to the licensee at the last address on 
111.10 	file with the board and shall include the following information:
111.11 	(1) that the licensee has failed to submit application for license renewal;
111.12 	(2) the amount of renewal and late fees;
111.13 	(3) information about continuing education that must be submitted in order for 
111.14 	the license to be renewed;
111.15 	(4) that the licensee must respond within 30 calendar days after the notice was sent 
111.16 	by the board; and
111.17 	(5) that the licensee may voluntarily terminate the license by notifying the board 
111.18 	or may apply for license renewal by sending the board a completed renewal application, 
111.19 	license renewal and late fees, and evidence of compliance with continuing education 
111.20 	requirements.
111.21 	(b) Failure by the licensee to notify the board of the licensee's intent to voluntarily 
111.22 	terminate the license or to submit a license renewal application shall result in expiration 
111.23 	of the license and termination of the right to practice. The expiration of the license and 
111.24 	termination of the right to practice shall not be considered disciplinary action against the 
111.25 	licensee.
111.26 	(c) A license that has been expired under this subdivision may be reinstated.

111.27 	EFFECTIVE DATE. This section is effective July 1, 2016.

111.28 	Sec. 31. [153B.50] NAME AND ADDRESS CHANGE.
111.29 	(a) A licensee who has changed names must notify the board in writing within 90 
111.30 	days and request a revised license. The board may require official documentation of the 
111.31 	legal name change.
111.32 	(b) A licensee must maintain with the board a correct mailing address to receive 
111.33 	board communications and notices. A licensee who has changed addresses must notify the 
111.34 	board in writing within 90 days. Mailing a notice by United States mail to a licensee's last 
111.35 	known mailing address constitutes valid mailing.

112.1 	EFFECTIVE DATE. This section is effective July 1, 2016.

112.2 	Sec. 32. [153B.55] INACTIVE STATUS.
112.3 	(a) A licensee who notifies the board in the format required by the board may elect 
112.4 	to place the licensee's credential on inactive status and shall be excused from payment 
112.5 	of renewal fees until the licensee notifies the board in the format required by the board 
112.6 	of the licensee's plan to return to practice.
112.7 	(b) A person requesting restoration from inactive status shall be required to pay the 
112.8 	current renewal fee and comply with section 153B.45.
112.9 	(c) A person whose license has been placed on inactive status shall not practice in 
112.10 	this state.

112.11 	EFFECTIVE DATE. This section is effective July 1, 2016.

112.12 	Sec. 33. [153B.60] LICENSE LAPSE DUE TO MILITARY SERVICE.
112.13 	A licensee whose license has expired while on active duty in the armed forces of the 
112.14 	United States, with the National Guard while called into service or training, or while in 
112.15 	training or education preliminary to induction into military service may have the licensee's 
112.16 	license renewed or restored without paying a late fee or license restoration fee if the licensee 
112.17 	provides verification to the board within two years of the termination of service obligation.

112.18 	EFFECTIVE DATE. This section is effective July 1, 2016.

112.19 	Sec. 34. [153B.65] ENDORSEMENT.
112.20 	The board may license, without examination and on payment of the required fee, 
112.21 	an applicant who is an orthotist, prosthetist, prosthetist orthotist, pedorthist, assistant, or 
112.22 	fitter who is certified by the American Board for Certification in Orthotics, Prosthetics, 
112.23 	and Pedorthics or a national certification organization with educational, experiential, and 
112.24 	testing standards equal to or higher than the licensing requirements in Minnesota.

112.25 	EFFECTIVE DATE. This section is effective July 1, 2016.

112.26 	Sec. 35. [153B.70] GROUNDS FOR DISCIPLINARY ACTION.
112.27 	(a) The board may refuse to issue or renew a license, revoke or suspend a license, or 
112.28 	place on probation or reprimand a licensee for one or any combination of the following:
112.29 	(1) making a material misstatement in furnishing information to the board;
112.30 	(2) violating or intentionally disregarding the requirements of this chapter;
113.1 	(3) conviction of a crime, including a finding or verdict of guilt, an admission of 
113.2 	guilt, or a no-contest plea, in this state or elsewhere, reasonably related to the practice 
113.3 	of the profession. Conviction, as used in this clause, includes a conviction of an offense 
113.4 	which, if committed in this state, would be deemed a felony, gross misdemeanor, or 
113.5 	misdemeanor, without regard to its designation elsewhere, or a criminal proceeding where 
113.6 	a finding or verdict of guilty is made or returned but the adjudication of guilt is either 
113.7 	withheld or not entered;
113.8 	(4) making a misrepresentation in order to obtain or renew a license;
113.9 	(5) displaying a pattern of practice or other behavior that demonstrates incapacity or 
113.10 	incompetence to practice;
113.11 	(6) aiding or assisting another person in violating the provisions of this chapter;
113.12 	(7) failing to provide information within 60 days in response to a written request from 
113.13 	the board, including documentation of completion of continuing education requirements;
113.14 	(8) engaging in dishonorable, unethical, or unprofessional conduct;
113.15 	(9) engaging in conduct of a character likely to deceive, defraud, or harm the public;
113.16 	(10) inability to practice due to habitual intoxication, addiction to drugs, or mental 
113.17 	or physical illness;
113.18 	(11) being disciplined by another state or territory of the United States, the federal 
113.19 	government, a national certification organization, or foreign nation, if at least one of the 
113.20 	grounds for the discipline is the same or substantially equivalent to one of the grounds 
113.21 	in this section;
113.22 	(12) directly or indirectly giving to or receiving from a person, firm, corporation, 
113.23 	partnership, or association a fee, commission, rebate, or other form of compensation for 
113.24 	professional services not actually or personally rendered;
113.25 	(13) incurring a finding by the board that the licensee, after the licensee has been 
113.26 	placed on probationary status, has violated the conditions of the probation;
113.27 	(14) abandoning a patient or client;
113.28 	(15) willfully making or filing false records or reports in the course of the licensee's 
113.29 	practice including, but not limited to, false records or reports filed with state or federal 
113.30 	agencies;
113.31 	(16) willfully failing to report child maltreatment as required under the Maltreatment 
113.32 	of Minors Act, section 626.556; or
113.33 	(17) soliciting professional services using false or misleading advertising.
113.34 	(b) A license to practice is automatically suspended if (1) a guardian of a licensee is 
113.35 	appointed by order of a court pursuant to sections 524.5-101 to 524.5-502, for reasons 
113.36 	other than the minority of the licensee, or (2) the licensee is committed by order of a court 
114.1 	pursuant to chapter 253B. The license remains suspended until the licensee is restored to 
114.2 	capacity by a court and, upon petition by the licensee, the suspension is terminated by the 
114.3 	board after a hearing. The licensee may be reinstated to practice, either with or without 
114.4 	restrictions, by demonstrating clear and convincing evidence of rehabilitation. The 
114.5 	regulated person is not required to prove rehabilitation if the subsequent court decision 
114.6 	overturns previous court findings of public risk.
114.7 	(c) If the board has probable cause to believe that a licensee or applicant has violated 
114.8 	paragraph (a), clause (10), it may direct the person to submit to a mental or physical 
114.9 	examination. For the purpose of this section, every person is deemed to have consented to 
114.10 	submit to a mental or physical examination when directed in writing by the board and to 
114.11 	have waived all objections to the admissibility of the examining physician's testimony or 
114.12 	examination report on the grounds that the testimony or report constitutes a privileged 
114.13 	communication. Failure of a regulated person to submit to an examination when directed 
114.14 	constitutes an admission of the allegations against the person, unless the failure was due to 
114.15 	circumstances beyond the person's control, in which case a default and final order may be 
114.16 	entered without the taking of testimony or presentation of evidence. A regulated person 
114.17 	affected under this paragraph shall at reasonable intervals be given an opportunity to 
114.18 	demonstrate that the person can resume the competent practice of the regulated profession 
114.19 	with reasonable skill and safety to the public. In any proceeding under this paragraph, 
114.20 	neither the record of proceedings nor the orders entered by the board shall be used against 
114.21 	a regulated person in any other proceeding.
114.22 	(d) In addition to ordering a physical or mental examination, the board may, 
114.23 	notwithstanding section 13.384 or 144.293, or any other law limiting access to medical or 
114.24 	other health data, obtain medical data and health records relating to a licensee or applicant 
114.25 	without the person's or applicant's consent if the board has probable cause to believe that a 
114.26 	licensee is subject to paragraph (a), clause (10). The medical data may be requested 
114.27 	from a provider as defined in section 144.291, subdivision 2, paragraph (i), an insurance 
114.28 	company, or a government agency, including the Department of Human Services. A 
114.29 	provider, insurance company, or government agency shall comply with any written request 
114.30 	of the board under this subdivision and is not liable in any action for damages for releasing 
114.31 	the data requested by the board if the data are released pursuant to a written request under 
114.32 	this subdivision, unless the information is false and the provider giving the information 
114.33 	knew, or had reason to know, the information was false. Information obtained under this 
114.34 	subdivision is private data on individuals as defined in section 13.02.
114.35 	(e) If the board issues an order of immediate suspension of a license, a hearing must 
114.36 	be held within 30 days of the suspension and completed without delay.

115.1 	EFFECTIVE DATE. This section is effective July 1, 2016.

115.2 	Sec. 36. [153B.75] INVESTIGATION; NOTICE AND HEARINGS.
115.3 	The board has the authority to investigate alleged violations of this chapter, conduct 
115.4 	hearings, and impose corrective or disciplinary action as provided in section 214.103.

115.5 	EFFECTIVE DATE. This section is effective July 1, 2016.

115.6 	Sec. 37. [153B.80] UNLICENSED PRACTICE.
115.7 		Subdivision 1.License required. Effective January 1, 2018, no individual shall 
115.8 	practice as an orthotist, prosthetist, prosthetist orthotist, pedorthist, orthotic or prosthetic 
115.9 	assistant, or orthotic fitter, unless the individual holds a valid license issued by the board 
115.10 	under this chapter, except as permitted under section 153B.20 or 153B.35.
115.11 		Subd. 2.Designation. No individual shall represent themselves to the public as 
115.12 	a licensed orthotist, prosthetist, prosthetist orthotist, pedorthist, orthotic or prosthetic 
115.13 	assistant, or an orthotic fitter, unless the individual is licensed under this chapter.
115.14 		Subd. 3.Penalties. Any individual who violates this section is guilty of a 
115.15 	misdemeanor. The board shall have the authority to seek a cease and desist order against 
115.16 	any individual who is engaged in the unlicensed practice of a profession regulated by the 
115.17 	board under this chapter.

115.18 	EFFECTIVE DATE. This section is effective July 1, 2016.

115.19 	Sec. 38. [153B.85] FEES.
115.20 	(a) The application fee for initial licensure shall not exceed $600.
115.21 	(b) The biennial renewal fee for a license to practice as an orthotist, prosthetist, 
115.22 	prosthetist orthotist, or pedorthist shall not exceed $600.
115.23 	(c) The biennial renewal fee for a license to practice as an assistant or a fitter shall 
115.24 	not exceed $300.
115.25 	(d) For the first renewal period following initial licensure, the renewal fee is the fee 
115.26 	specified in paragraph (b) or (c), prorated to the nearest dollar that is represented by the 
115.27 	ratio of the number of days the license is held in the initial licensure period to 730 days.
115.28 	(e) The fee for license restoration shall not exceed $600.
115.29 	(f) The fee for late license renewal is the license renewal fee in effect at the time of 
115.30 	renewal plus $100.
115.31 	(g) The fee for license verification shall not exceed $30.
115.32 	(h) The fee to obtain a list of licensees shall not exceed $25.
116.1 	(i) No fee may be refunded for any reason.

116.2 	EFFECTIVE DATE. This section is effective July 1, 2016.

116.3 	Sec. 39. FIRST APPOINTMENTS, FIRST MEETING, AND FIRST CHAIR OF 
116.4 	THE ORTHOTICS, PROSTHETICS, AND PEDORTHICS ADVISORY COUNCIL.
 116.5 	The Board of Podiatric Medicine shall make its first appointments authorized 
116.6 	under Minnesota Statutes, section 153B.25, to the Orthotics, Prosthetics, and Pedorthics 
116.7 	Advisory Council, by September 1, 2016. The board shall designate four of its first 
116.8 	appointees to serve terms that are coterminous with the governor. The chair of the Board 
116.9 	of Podiatric Medicine or the chair's designee shall convene the first meeting of the council 
116.10 	by November 1, 2016. The council must elect a chair from among its members at the first 
116.11 	meeting of the council.

116.12 	EFFECTIVE DATE. This section is effective July 1, 2016.

116.13 	ARTICLE 8
116.14 	HUMAN SERVICES FORECAST ADJUSTMENTS

116.15	Section 1. HUMAN SERVICES APPROPRIATION.
 	
116.16 	The sums shown in the columns marked "Appropriations" are added to or, if shown 
116.17 	in parentheses, subtracted from the appropriations in Laws 2015, chapter 71, article 13, 
116.18 	from the general fund or any fund named to the Department of Human Services for the 
116.19 	purposes specified in this article, to be available for the fiscal year indicated for each 
116.20 	purpose. The figures "2016" and "2017" used in this article mean that the appropriations 
116.21 	listed under them are available for the fiscal year ending June 30, 2016, or June 30, 2017, 
116.22 	respectively. "The first year" is fiscal year 2016. "The second year" is fiscal year 2017. 
116.23 	"The biennium" is fiscal years 2016 and 2017.

116.24				APPROPRIATIONS
	
116.25				Available for the Year
	
116.26				Ending June 30
	
116.27					2016
		2017

116.28
116.29	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES

116.30	Subdivision 1.Total Appropriation
 	$
	(615,912,000)
	$
	(518,891,000)

116.31	Appropriations by Fund
	
116.32		2016
	2017
	
116.33	General Fund
	(307,806,000)
	(246,029,000)
	
117.1
117.2	Health Care Access 
Fund
	(289,770,000)
	(277,101,000)
	
117.3	Federal TANF
	(18,336,000)
	4,239,000

117.4	Subd. 2.Forecasted Programs

117.5	(a) MFIP/DWP

117.6	Appropriations by Fund
	
117.7	General Fund
	9,833,000
	(8,799,000)
	
117.8	Federal TANF
	(20,225,000)
	4,212,000

117.9	(b) MFIP Child Care Assistance
		(23,094,000)
		(7,760,000)

117.10	(c) General Assistance
		(2,120,000)
		(1,078,000)

117.11	(d) Minnesota Supplemental Aid
		(1,613,000)
		(1,650,000)

117.12	(e) Group Residential Housing
		(8,101,000)
		(7,954,000)

117.13	(f) Northstar Care for Children
		2,231,000
		4,496,000

117.14	(g) MinnesotaCare
		(227,821,000)
		(230,027,000)
	
117.15 	These appropriations are from the health care 
117.16 	access fund.

117.17	(h) Medical Assistance

117.18	Appropriations by Fund
	
117.19	General Fund
	(294,773,000)
	(243,700,000)
	
117.20
117.21	Health Care Access 
Fund
	(61,949,000)
	(47,074,000)

117.22	(i) Alternative Care Program
		-0-
		-0-

117.23	(j) CCDTF Entitlements
		9,831,000
		20,416,000

117.24	Subd. 3.Technical Activities
 		1,889,000
		27,000
	
117.25 	These appropriations are from the federal 
117.26 	TANF fund.

117.27 	EFFECTIVE DATE. This section is effective the day following final enactment.

117.28 	ARTICLE 9
117.29 	HEALTH AND HUMAN SERVICES APPROPRIATIONS

117.30	Section 1. HEALTH AND HUMAN SERVICES APPROPRIATIONS.
 	
118.1 	The sums shown in the columns marked "Appropriations" are added to or, if shown 
118.2 	in parentheses, subtracted from the appropriations in Laws 2015, chapter 71, article 14, to 
118.3 	the agencies and for the purposes specified in this article. The appropriations are from the 
118.4 	general fund or other named fund and are available for the fiscal years indicated for each 
118.5 	purpose. The figures "2016" and "2017" used in this article mean that the addition to or 
118.6 	subtraction from the appropriation listed under them is available for the fiscal year ending 
118.7 	June 30, 2016, or June 30, 2017, respectively. Supplemental appropriations and reductions 
118.8 	to appropriations for the fiscal year ending June 30, 2016, are effective the day following 
118.9 	final enactment unless a different effective date is explicit.

118.10				APPROPRIATIONS
	
118.11				Available for the Year
	
118.12				Ending June 30
	
118.13					2016
		2017

118.14
118.15	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES

118.16	Subdivision 1.Total Appropriation 		
-0-
		(9,626,000)

118.17	Appropriations by Fund
	
118.18		2016
	2017
	
118.19	General
	-0-	
(2,355,000)
	
118.20
118.21	State Government 
Special Revenue
	-0-	
25,000
	
118.22	Health Care Access
	-0-
	(7,296,000)
	
118.23	Federal TANF
	-0-
	-0-

118.24	Subd. 2.Central Office Operations

118.25	(a) Operations
		-0-
		(11,179,000)
	
118.26 	Base Adjustment. The general fund base is 
118.27 	reduced by $12,026,000 in fiscal year 2018 
118.28 	and $12,028,000 in fiscal year 2019.

118.29	(b) Children and Families
		-0-		
-0-

118.30	(c) Health Care

118.31	Appropriations by Fund
	
118.32	General
	-0-
	162,000
	
118.33
118.34	State Government 
Special Revenue 
	-0-
	25,000
	
118.35	Health Care Access
	-0-
	(4,239,000)
	
119.1 	Spoken Language Health Care 
119.2 	Interpreters. $25,000 in fiscal year 2017 
119.3 	from the state government special revenue 
119.4 	fund is for the commissioner of human 
119.5 	services to study and submit a proposed 
119.6 	stratified medical assistance reimbursement 
119.7 	system for spoken language health care 
119.8 	interpreters.
119.9 	Waiver to Allow MinnesotaCare-Eligible 
119.10 	Persons to Purchase Coverage Through 
119.11 	Qualified Health Plans. $213,000 in fiscal 
119.12 	year 2017 from the health care access fund is 
119.13 	for the commissioner to request a waiver to 
119.14 	allow persons eligible for MinnesotaCare to 
119.15 	instead purchase coverage from a qualified 
119.16 	health plan and access advanced premium 
119.17 	tax credits and cost-sharing reductions. This 
119.18 	is a onetime appropriation.
119.19 	Base Adjustment. The general fund base is 
119.20 	increased by $142,000 in fiscal years 2018 
119.21 	and 2019. The health care access fund base 
119.22 	is reduced by $4,112,000 in fiscal years 2018 
119.23 	and 2019. 

119.24	(d) Continuing Care
		-0-
		201,000
	
119.25 	Long-Term Care Simulation Model. (a) 
119.26 	$200,000 in fiscal year 2017 is for the 
119.27 	commissioner of human services to develop a 
119.28 	Minnesota-specific long-term care financing 
119.29 	microsimulation model. This is a onetime 
119.30 	appropriation. The commissioner shall 
119.31 	ensure that the model:
119.32 	(1) predicts the needs and future utilization 
119.33 	of long-term care services and supports for 
119.34 	Minnesotans based on demographic and 
119.35 	economic factors; and
120.1 	(2) estimates the costs of care under various 
120.2 	funding scenarios, including voluntary 
120.3 	programs, to determine the impact of 
120.4 	various financing options on state funds, 
120.5 	out-of-pocket expenses, Medicare, and other 
120.6 	insurance and financing products.
120.7 	(b) The commissioner shall use the 
120.8 	appropriation in paragraph (a) to create and 
120.9 	implement the model to:
120.10 	(1) predict the cost of long-term care under 
120.11 	various public and private financing options, 
120.12 	including voluntary programs; and
120.13 	(2) determine the most appropriate options 
120.14 	for the state. 
120.15 	(c) The commissioner shall report by January 
120.16 	15, 2018, to the chairs and ranking minority 
120.17 	members of the legislative committees and 
120.18 	divisions with jurisdiction over health and 
120.19 	human services policy and finance on the 
120.20 	development of the long-term care simulation 
120.21 	model.
120.22 	(d) Notwithstanding any contrary provision 
120.23 	in this article, paragraphs (a) to (c) expire 
120.24 	January 15, 2018.
120.25 	Base Adjustment. The general fund base is 
120.26 	increased by $2,000 in fiscal year 2018 and 
120.27 	$4,000 in fiscal year 2019.

120.28	(e) Community Supports
		-0-
		74,000
	
120.29 	Base Adjustment. The general fund base 
120.30 	is increased by $543,000 in fiscal year 2018 
120.31 	and $503,000 in fiscal year 2019.

120.32	Subd. 3.Forecasted Programs

120.33	(a) MFIP/DWP

121.1	Appropriations by Fund
	
121.2	General
		-0-
	
121.3	Federal TANF
		-0-

121.4	(b) MFIP Child Care Assistance
		-0-		
-0-

121.5	(c) General Assistance
		-0-		
-0-

121.6	(d) MN Supplemental Assistance
		-0-		
-0-

121.7	(e) Group Residential Housing
		-0-
		-0-

121.8	(f) Northstar Care for Children
		-0-
		-0-

121.9	(g) MinnesotaCare
		-0-
		58,000
	
121.10 	These appropriations are from the health care 
121.11 	access fund.

121.12	(h) Medical Assistance

121.13	Appropriations by Fund
	
121.14	General
	-0-
	252,000
	
121.15	Health Care Access
	-0-
	-0-

121.16	(i) Alternative Care
		-0-
		-0-

121.17	(j) CD Treatment Fund
		-0-
		3,792,000
	
121.18 	Transfer. Notwithstanding Minnesota 
121.19 	Statutes, section 254B.06, subdivision 1, the 
121.20 	commissioner shall transfer up to $2,000,000, 
121.21 	if available, in fiscal year 2017 only, from the 
121.22 	consolidated chemical dependency treatment 
121.23 	fund administrative account in the special 
121.24 	revenue fund to the general fund.

121.25	Subd. 4.Grant Programs

121.26	(a) Support Services Grants
		-0-
		-0-

121.27	(b) BSF Child Care Assistance Grants
		-0-
		-0-
	
121.28 	Base Adjustment. The general fund base 
121.29 	is increased by $174,000 in fiscal year 2018 
121.30 	and $232,000 in fiscal year 2019.

121.31	(c) Child Care Development Grants
		-0-
		-0-

122.1	(d) Child Support Enforcement Grants
		-0-		
-0- 

122.2	(e) Children's Services Grants
		-0-
		-0-

122.3	(f) Children and Community Service Grants		
-0-		
1,400,000
	
122.4 	White Earth Band of Ojibwe Human 
122.5 	Services Initiative Project. $1,400,000 
122.6 	in fiscal year 2017 is for a grant to the 
122.7 	White Earth Band of Ojibwe for the direct 
122.8 	implementation and administrative costs of 
122.9 	the White Earth Human Services Initiative 
122.10 	Project authorized under Laws 2011, First 
122.11 	Special Session chapter 9, article 9, section 
122.12 	18. This is a onetime appropriation.

122.13	(g) Children and Economic Support Grants
		-0-
		934,000
	
122.14 	Safe Harbor. $934,000 in fiscal year 2017 
122.15 	from the general fund is for emergency shelter 
122.16 	and transitional and long-term housing beds 
122.17 	for sexually exploited youth and youth at 
122.18 	risk of sexual exploitation, and for statewide 
122.19 	youth outreach workers to connect sexually 
122.20 	exploited youth with shelter and services.

122.21	(h) Health Care Grants

122.22	Appropriations by Fund
	
122.23	General
	-0-
	-0-
	
122.24	Health Care Access
	-0-
	(3,115,000)
	
122.25 	Base Adjustment. The health care access 
122.26 	fund base is reduced by $3,115,000 in fiscal 
122.27 	years 2018 and 2019.

122.28	(i) Other Long-Term Care Grants
		-0-
		-0-

122.29	(j) Aging and Adult Services Grants
		-0-
		40,000
	
122.30 	Advanced In-Home Activity Monitoring 
122.31 	Systems. $40,000 in fiscal year 2017 from the 
122.32 	general fund is for a grant to a local research 
122.33 	organization with expertise in identifying 
123.1 	current and potential support systems and 
123.2 	examining the capacity of those systems to 
123.3 	meet the needs of the growing population of 
123.4 	elderly persons, to conduct a comprehensive 
123.5 	assessment of current literature, past 
123.6 	research, and an environmental scan of the 
123.7 	field related to advanced in-home activity 
123.8 	monitoring systems for elderly persons. 
123.9 	The commissioner must report the results 
123.10 	of the assessment by January 15, 2017, to 
123.11 	the legislative committees and divisions with 
123.12 	jurisdiction over health and human services 
123.13 	policy and finance.
123.14 	Base Adjustment. The general fund base 
123.15 	is increased by $40,000 in fiscal years 2018 
123.16 	and 2019.

123.17	(k) Deaf and Hard-of-Hearing Grants
		-0-
		-0-

123.18	(l) Disabilities Grants
		-0-
		-0-

123.19	(m) Adult Mental Health Grants
		-0-
		394,000
	
123.20 	Mental Health Pilot Project. $394,000 
123.21 	in fiscal year 2017 from the general fund 
123.22 	is for a grant to the Zumbro Valley Health 
123.23 	Center. The grant shall be used to continue a 
123.24 	pilot project to test an integrated behavioral 
123.25 	health care coordination model. The grant 
123.26 	recipient must report measurable outcomes 
123.27 	to the commissioner of human services by 
123.28 	December 1, 2018. This appropriation does 
123.29 	not expire and is available through June 30, 
123.30 	2018.

123.31	(n) Child Mental Health Grants
		-0-
		600,000
	
123.32 	Children's Mental Health Collaboratives.
123.33 	$600,000 in fiscal year 2017 from the general 
123.34 	fund is for a children's mental health grant 
124.1 	under Minnesota Statutes, section 245.4889, 
124.2 	for a rural demonstration project to assist 
124.3 	transition-aged youth and young adults 
124.4 	with emotional behavioral disturbance or 
124.5 	mental illnesses in making a successful 
124.6 	transition into adulthood. This is a onetime 
124.7 	appropriation.

124.8
124.9	(o) Chemical Dependency Treatment Support 
Grants
		-0-		
975,000
	
124.10 	Peer Specialists. $800,000 in fiscal year 
124.11 	2017 from the general fund is for grants 
124.12 	to recovery community organizations to 
124.13 	train, hire, and supervise peer specialists 
124.14 	to work with underserved populations as 
124.15 	part of the continuum of care for substance 
124.16 	use disorders. Recovery community 
124.17 	organizations located in Rochester, 
124.18 	Moorhead, and the Twin Cities metropolitan 
124.19 	area are eligible to receive grant funds.
124.20 	Recovery Community Organizations.
124.21 	$175,000 in fiscal year 2017 from the 
124.22 	general fund is for a grant to recovery 
124.23 	community organizations to create and 
124.24 	implement a public relations campaign 
124.25 	specific to reducing the stigma associated 
124.26 	with substance use disorders. Recovery 
124.27 	community organizations located in 
124.28 	Rochester, Moorhead, and the Twin Cities 
124.29 	metropolitan area are eligible to receive grant 
124.30 	funds.
124.31 	Base Adjustment. The general fund base is 
124.32 	increased by $800,000 in fiscal years 2018 
124.33 	and 2019.

124.34	Subd. 5.DCT State-Operated Services

125.1
125.2	(a) DCT State-Operated Services Mental 
Health
		-0-
		-0-

125.3
125.4	(b) DCT State-Operated Services Enterprise 
Services
		-0-
		-0-

125.5
125.6	(c) DCT State-Operated Services Minnesota 
Security Hospital
		-0-
		-0-

125.7
125.8	Subd. 6.DCT Minnesota Sex Offender 
Program
 		-0-
		-0-

125.9	Subd. 7.Technical Activities
 		-0-
		-0-

125.10	Sec. 3. COMMISSIONER OF HEALTH

125.11	Subdivision 1.Total Appropriation
 	$
	-0-
	$	
8,296,000

125.12	Appropriations by Fund
	
125.13		2016
	2017
	
125.14	General
	-0-	
523,000
	
125.15	Health Care Access
	-0-	
7,411,000
	
125.16
125.17	State Government 
Special Revenue
	-0-	
362,000
	
125.18 	The appropriation modifications for each 
125.19 	purpose are shown in subdivisions 2 and 3.

125.20	Subd. 2.Health Improvement

125.21	Appropriations by Fund
	
125.22	General
	-0-	
523,000
	
125.23	Health Care Access
	-0-	
7,411,000
	
125.24 	Greater Minnesota Family Medicine 
125.25 	Residency Grant Program. $3,705,000 
125.26 	in fiscal year 2017 from the health care 
125.27 	access fund is for the commissioner of health 
125.28 	to award grants for the greater Minnesota 
125.29 	family medicine residency grant program.
125.30 	Medical Education. $3,706,000 in fiscal 
125.31 	year 2017 from the health care access fund 
125.32 	is for the medical education program under 
125.33 	Minnesota Statutes, section 62J.692.
125.34 	Reporting on Health Care Costs and 
125.35 	Volume. $202,000 in fiscal year 2017 from 
126.1 	the general fund is for the commissioner of 
126.2 	health to expand public reporting on average 
126.3 	cost and volume information for those health 
126.4 	care procedures, tests, and services that 
126.5 	the commissioner determines most impact 
126.6 	quality of care and patient outcomes. This 
126.7 	funding does not cancel and is available 
126.8 	through June 30, 2019. The commissioner 
126.9 	shall identify these procedures, tests, and 
126.10 	services through an analysis of commercial 
126.11 	health plan and government health program 
126.12 	data sources for services provided in 
126.13 	Minnesota and border communities, and by 
126.14 	consulting with stakeholder groups. The 
126.15 	expanded reporting must include the average 
126.16 	payment amount and volume for:
126.17 	(1) select specialty-based physician 
126.18 	procedures;
126.19 	(2) select outpatient facility-based 
126.20 	procedures;
126.21 	(3) select physician and outpatient 
126.22 	facility-based tests;
126.23 	(4) select non-physician professional and 
126.24 	outpatient facility services, such as physical 
126.25 	therapy, occupational therapy, home care, 
126.26 	and durable medical equipment; and
126.27 	(5) other episode-based or bundled services.
126.28 	The expanded reporting must be implemented 
126.29 	by July 1, 2019. The commissioner may 
126.30 	contract with an external vendor to identify 
126.31 	the procedures, tests, and services, and to 
126.32 	report cost and volume information for these 
126.33 	procedures, tests, and services.
127.1 	Base Adjustments. The general fund base is 
127.2 	increased by $2,267,000 in fiscal year 2018 
127.3 	and $2,472,000 in fiscal year 2019. The 
127.4 	health care access fund base is increased 
127.5 	by $7,085,000 in fiscal year 2018 and 
127.6 	$7,074,000 in fiscal year 2019.

127.7	Subd. 3.Health Protection
 		-0-		
362,000
	
127.8 	These appropriations are from the state 
127.9 	government special revenue fund.
127.10 	Spoken Language Health Care Interpreter 
127.11 	Registry. $357,000 in fiscal year 2017 
127.12 	from the state government special revenue 
127.13 	fund is for the spoken language health care 
127.14 	interpreter registry. This amount includes 
127.15 	$280,000 for onetime start-up costs for the 
127.16 	registry that is available until June 30, 2019.

127.17	Sec. 4. HEALTH-RELATED BOARDS

127.18	Subdivision 1.Total Appropriation
 	$
	-0-
	$	
97,000
	
127.19 	This appropriation is from the state 
127.20 	government special revenue fund.

127.21	Subd. 2. Board of Medical Practice
 		-0-
		22,000

127.22	Subd. 3.Board of Podiatric Medicine
 		-0-
		75,000

127.23	Sec. 5. EMS REGULATORY BOARD
 	$
	70,000
	$
	55,000
	
127.24 	EMS Technology. Of these appropriations:
127.25 	(1) $34,000 in fiscal year 2016 and 
127.26 	$34,000 in fiscal year 2017 are for annual 
127.27 	support, maintenance, and hosting of the 
127.28 	comprehensive electronic licensing and 
127.29 	agency operations software solution;
127.30 	(2) $21,000 in fiscal year 2016 and $21,000 
127.31 	in fiscal year 2017 are for annual support, 
128.1 	maintenance, and housing of the MNSTAR 
128.2 	prehospital patient care report database; and
128.3 	(3) $15,000 in fiscal year 2016 is for the 
128.4 	board to purchase four 800-megahertz 
128.5 	handheld radios to be used by field staff to 
128.6 	meet board responsibilities for emergency 
128.7 	communications during a regional or 
128.8 	statewide emergency.
128.9 	This provision is effective the day following 
128.10 	final enactment.

128.11
128.12
128.13	Sec. 6. OMBUDSMAN FOR MENTAL 
HEALTH AND DEVELOPMENTAL 
DISABILITIES
 	$
	-0-
	$
	250,000
	
128.14 	These funds are for two positions for the 
128.15 	Jensen Settlement and Minnesota's Olmstead 
128.16 	Plan System Division, for oversight and 
128.17 	systematic monitoring for the Jensen and 
128.18 	Olmstead implementation plans and to fulfill 
128.19 	the duties as a consultant to the court and all 
128.20 	parties, as appointed by the federal court.

128.21 	Sec. 7. Laws 2015, chapter 71, article 14, section 2, subdivision 5, as amended by 
128.22 	Laws 2015, First Special Session chapter 6, section 1, is amended to read:

128.23	Subd. 5.Grant Programs
 					
128.24 	The amounts that may be spent from this 
128.25 	appropriation for each purpose are as follows:

128.26	(a) Support Services Grants

128.27	Appropriations by Fund
	
128.28	General
	13,133,000
	8,715,000
	
128.29	Federal TANF
	96,311,000
	96,311,000

128.30
128.31	(b) Basic Sliding Fee Child Care Assistance 
Grants
		48,439,000
		51,559,000
	
128.32 	Basic Sliding Fee Waiting List Allocation. 
128.33 	Notwithstanding Minnesota Statutes, section 
129.1 	119B.03, $5,413,000 in fiscal year 2016 is to 
129.2 	reduce the basic sliding fee program waiting 
129.3 	list as follows:
129.4 	(1) The calendar year 2016 allocation shall 
129.5 	be increased to serve families on the waiting 
129.6 	list. To receive funds appropriated for this 
129.7 	purpose, a county must have:
129.8 	(i) a waiting list in the most recent published 
129.9 	waiting list month; 
129.10 	(ii) an average of at least ten families on the 
129.11 	most recent six months of published waiting 
129.12 	list; and 
129.13 	(iii) total expenditures in calendar year 
129.14 	2014 that met or exceeded 80 percent of the 
129.15 	county's available final allocation.
129.16 	(2) Funds shall be distributed proportionately 
129.17 	based on the average of the most recent six 
129.18 	months of published waiting lists to counties 
129.19 	that meet the criteria in clause (1).
129.20 	(3) Allocations in calendar years 2017 
129.21 	and beyond shall be calculated using the 
129.22 	allocation formula in Minnesota Statutes, 
129.23 	section 119B.03.
129.24 	(4) The guaranteed floor for calendar year 
129.25 	2017 shall be based on the revised calendar 
129.26 	year 2016 allocation. 
129.27 	Base Level Adjustment. The general fund 
129.28 	base is increased by $810,000 in fiscal year 
129.29 	2018 and increased by $821,000 in fiscal 
129.30 	year 2019.

129.31	(c) Child Care Development Grants
		1,737,000
		1,737,000

129.32	(d) Child Support Enforcement Grants
		50,000
		50,000

129.33	(e) Children's Services Grants

130.1	Appropriations by Fund
	
130.2	General
	39,015,000
	38,665,000
	
130.3	Federal TANF
	140,000
	140,000
	
130.4 	Safe Place for Newborns. $350,000 from 
130.5 	the general fund in fiscal year 2016 is to 
130.6 	distribute information on the Safe Place 
130.7 	for Newborns law in Minnesota to increase 
130.8 	public awareness of the law. This is a 
130.9 	onetime appropriation.
130.10 	Child Protection. $23,350,000 in fiscal 
130.11 	year 2016 and $23,350,000 in fiscal year 
130.12 	2017 are to address child protection staffing 
130.13 	and services under Minnesota Statutes, 
130.14 	section 256M.41. $1,650,000 in fiscal year 
130.15 	2016 and $1,650,000 in fiscal year 2017 
130.16 	are for child protection grants to address 
130.17 	child welfare disparities under Minnesota 
130.18 	Statutes, section 256E.28. Of the fiscal 
130.19 	year 2017 appropriation to address child 
130.20 	protection staffing and services in 2017 only, 
130.21 	$1,600,000 is for a grant to the White Earth 
130.22 	Band of Ojibwe for purposes of delivering 
130.23 	child welfare services.
130.24 	Title IV-E Adoption Assistance. Additional 
130.25 	federal reimbursement to the state as a result 
130.26 	of the Fostering Connections to Success 
130.27 	and Increasing Adoptions Act's expanded 
130.28 	eligibility for title IV-E adoption assistance 
130.29 	is appropriated to the commissioner 
130.30 	for postadoption services, including a 
130.31 	parent-to-parent support network. 
130.32 	Adoption Assistance Incentive Grants. 
130.33 	Federal funds available during fiscal years 
130.34 	2016 and 2017 for adoption incentive 
130.35 	grants are appropriated to the commissioner 
131.1 	for postadoption services, including a 
131.2 	parent-to-parent support network.

131.3	(f) Children and Community Service Grants
		56,301,000
		56,301,000

131.4	(g) Children and Economic Support Grants
		26,778,000
		26,966,000
	
131.5 	Mobile Food Shelf Grants. (a) $1,000,000 
131.6 	in fiscal year 2016 and $1,000,000 in 
131.7 	fiscal year 2017 are for a grant to Hunger 
131.8 	Solutions. This is a onetime appropriation 
131.9 	and is available until June 30, 2017.
131.10 	(b) Hunger Solutions shall award grants of 
131.11 	up to $75,000 on a competitive basis. Grant 
131.12 	applications must include:
131.13 	(1) the location of the project;
131.14 	(2) a description of the mobile program, 
131.15 	including size and scope;
131.16 	(3) evidence regarding the unserved or 
131.17 	underserved nature of the community in 
131.18 	which the project is to be located;
131.19 	(4) evidence of community support for the 
131.20 	project;
131.21 	(5) the total cost of the project;
131.22 	(6) the amount of the grant request and how 
131.23 	funds will be used;
131.24 	(7) sources of funding or in-kind 
131.25 	contributions for the project that will 
131.26 	supplement any grant award; 
131.27 	(8) a commitment to mobile programs by the 
131.28 	applicant and an ongoing commitment to 
131.29 	maintain the mobile program; and
131.30 	(9) any additional information requested by 
131.31 	Hunger Solutions.
131.32 	(c) Priority may be given to applicants who:
132.1 	(1) serve underserved areas;
132.2 	(2) create a new or expand an existing mobile 
132.3 	program;
132.4 	(3) serve areas where a high amount of need 
132.5 	is identified;
132.6 	(4) provide evidence of strong support for the 
132.7 	project from citizens and other institutions in 
132.8 	the community;
132.9 	(5) leverage funding for the project from 
132.10 	other private and public sources; and
132.11 	(6) commit to maintaining the program on a 
132.12 	multilayer basis.
132.13 	Homeless Youth Act. At least $500,000 of 
132.14 	the appropriation for the Homeless Youth 
132.15 	Act must be awarded to providers in greater 
132.16 	Minnesota, with at least 25 percent of this 
132.17 	amount for new applicant providers. The 
132.18 	commissioner shall provide outreach and 
132.19 	technical assistance to greater Minnesota 
132.20 	providers and new providers to encourage 
132.21 	responding to the request for proposals.
132.22 	Stearns County Veterans Housing. 
132.23 	$85,000 in fiscal year 2016 and $85,000 
132.24 	in fiscal year 2017 are for a grant to 
132.25 	Stearns County to provide administrative 
132.26 	funding in support of a service provider 
132.27 	serving veterans in Stearns County. The 
132.28 	administrative funding grant may be used to 
132.29 	support group residential housing services, 
132.30 	corrections-related services, veteran services, 
132.31 	and other social services related to the service 
132.32 	provider serving veterans in Stearns County.
132.33 	Safe Harbor. $800,000 in fiscal year 2016 
132.34 	and $800,000 in fiscal year 2017 are from 
133.1 	the general fund for emergency shelter and 
133.2 	transitional and long-term housing beds for 
133.3 	sexually exploited youth and youth at risk of 
133.4 	sexual exploitation. Of this appropriation, 
133.5 	$150,000 in fiscal year 2016 and $150,000 in 
133.6 	fiscal year 2017 are from the general fund for 
133.7 	statewide youth outreach workers connecting 
133.8 	sexually exploited youth and youth at risk of 
133.9 	sexual exploitation with shelter and services.
133.10 	Minnesota Food Assistance Program. 
133.11 	Unexpended funds for the Minnesota food 
133.12 	assistance program for fiscal year 2016 do 
133.13 	not cancel but are available for this purpose 
133.14 	in fiscal year 2017. 
133.15 	Base Level Adjustment. The general fund 
133.16 	base is decreased by $816,000 in fiscal year 
133.17 	2018 and is decreased by $606,000 in fiscal 
133.18 	year 2019.

133.19	(h) Health Care Grants

133.20	Appropriations by Fund
	
133.21	General
	536,000
	2,482,000
	
133.22	Health Care Access
	3,341,000
	3,465,000
	
133.23 	Grants for Periodic Data Matching for 
133.24 	Medical Assistance and MinnesotaCare. 
133.25 	Of the general fund appropriation, $26,000 
133.26 	in fiscal year 2016 and $1,276,000 in fiscal 
133.27 	year 2017 are for grants to counties for 
133.28 	costs related to periodic data matching 
133.29 	for medical assistance and MinnesotaCare 
133.30 	recipients under Minnesota Statutes, 
133.31 	section 256B.0561. The commissioner 
133.32 	must distribute these grants to counties in 
133.33 	proportion to each county's number of cases 
133.34 	in the prior year in the affected programs.
134.1 	Base Level Adjustment. The general fund 
134.2 	base is increased by $1,637,000 in fiscal year 
134.3 	2018 and increased by $1,229,000 in fiscal 
134.4 	year 2019.

134.5	(i) Other Long-Term Care Grants
		1,551,000
		3,069,000
	
134.6 	Transition Populations. $1,551,000 in fiscal 
134.7 	year 2016 and $1,725,000 in fiscal year 2017 
134.8 	are for home and community-based services 
134.9 	transition grants to assist in providing home 
134.10 	and community-based services and treatment 
134.11 	for transition populations under Minnesota 
134.12 	Statutes, section 256.478.
134.13 	Base Level Adjustment. The general fund 
134.14 	base is increased by $156,000 in fiscal year 
134.15 	2018 and by $581,000 in fiscal year 2019.

134.16	(j) Aging and Adult Services Grants
		28,463,000
		28,162,000
	
134.17 	Dementia Grants. $750,000 in fiscal year 
134.18 	2016 and $750,000 in fiscal year 2017 
134.19 	are for the Minnesota Board on Aging for 
134.20 	regional and local dementia grants authorized 
134.21 	in Minnesota Statutes, section 256.975, 
134.22 	subdivision 11.

134.23	(k) Deaf and Hard-of-Hearing Grants
		2,225,000
		2,375,000
	
134.24 	Deaf, Deafblind, and Hard-of-Hearing 
134.25 	Grants. $350,000 in fiscal year 2016 and 
134.26 	$500,000 in fiscal year 2017 are for deaf 
134.27 	and hard-of-hearing grants. The funds 
134.28 	must be used to increase the number of 
134.29 	deafblind Minnesotans receiving services 
134.30 	under Minnesota Statutes, section 256C.261, 
134.31 	and to provide linguistically and culturally 
134.32 	appropriate mental health services to children 
134.33 	who are deaf, deafblind, and hard-of-hearing. 
134.34 	This is a onetime appropriation.
135.1 	Base Level Adjustment. The general fund 
135.2 	base is decreased by $500,000 in fiscal year 
135.3 	2018 and by $500,000 in fiscal year 2019.

135.4	(l) Disabilities Grants
		20,820,000
		20,858,000
	
135.5 	State Quality Council. $573,000 in fiscal 
135.6 	year 2016 and $600,000 in fiscal year 
135.7 	2017 are for the State Quality Council to 
135.8 	provide technical assistance and monitoring 
135.9 	of person-centered outcomes related to 
135.10 	inclusive community living and employment. 
135.11 	The funding must be used by the State 
135.12 	Quality Council to assure a statewide plan 
135.13 	for systems change in person-centered 
135.14 	planning that will achieve desired outcomes 
135.15 	including increased integrated employment 
135.16 	and community living.

135.17	(m) Adult Mental Health Grants

135.18	Appropriations by Fund
	
135.19	General
	69,992,000
	71,244,000
	
135.20	Health Care Access
	1,575,000
	2,473,000
	
135.21	Lottery Prize
	1,733,000
	1,733,000
	
135.22 	Funding Usage. Up to 75 percent of a fiscal 
135.23 	year's appropriation for adult mental health 
135.24 	grants may be used to fund allocations in that 
135.25 	portion of the fiscal year ending December 
135.26 	31.
135.27 	Culturally Specific Mental Health 
135.28 	Services. $100,000 in fiscal year 2016 is for 
135.29 	grants to nonprofit organizations to provide 
135.30 	resources and referrals for culturally specific 
135.31 	mental health services to Southeast Asian 
135.32 	veterans born before 1965 who do not qualify 
135.33 	for services available to veterans formally 
135.34 	discharged from the United States armed 
135.35 	forces.
136.1 	Problem Gambling. $225,000 in fiscal year 
136.2 	2016 and $225,000 in fiscal year 2017 are 
136.3 	from the lottery prize fund for a grant to the 
136.4 	state affiliate recognized by the National 
136.5 	Council on Problem Gambling. The affiliate 
136.6 	must provide services to increase public 
136.7 	awareness of problem gambling, education, 
136.8 	and training for individuals and organizations 
136.9 	providing effective treatment services to 
136.10 	problem gamblers and their families, and 
136.11 	research related to problem gambling.
136.12 	Sustainability Grants. $2,125,000 in fiscal 
136.13 	year 2016 and $2,125,000 in fiscal year 2017 
136.14 	are for sustainability grants under Minnesota 
136.15 	Statutes, section 256B.0622, subdivision 11.
136.16 	Beltrami County Mental Health Services 
136.17 	Grant. $1,000,000 in fiscal year 2016 and 
136.18 	$1,000,000 in fiscal year 2017 are from the 
136.19 	general fund for a grant to Beltrami County 
136.20 	to fund the planning and development of 
136.21 	a comprehensive mental health services 
136.22 	program under article 2, section 41, 
136.23 	Comprehensive Mental Health Program 
136.24 	in Beltrami County. This is a onetime 
136.25 	appropriation.
136.26 	Base Level Adjustment. The general fund 
136.27 	base is increased by $723,000 in fiscal year 
136.28 	2018 and by $723,000 in fiscal year 2019. 
136.29 	The health care access fund base is decreased 
136.30 	by $1,723,000 in fiscal year 2018 and by 
136.31 	$1,723,000 in fiscal year 2019.

136.32	(n) Child Mental Health Grants
		23,386,000
		24,313,000
	
136.33 	Services and Supports for First Episode 
136.34 	Psychosis. $177,000 in fiscal year 2017 is 
136.35 	for grants under Minnesota Statutes, section 
137.1 	245.4889, to mental health providers to pilot 
137.2 	evidence-based interventions for youth at risk 
137.3 	of developing or experiencing a first episode 
137.4 	of psychosis and for a public awareness 
137.5 	campaign on the signs and symptoms of 
137.6 	psychosis. The base for these grants is 
137.7 	$236,000 in fiscal year 2018 and $301,000 in 
137.8 	fiscal year 2019.
137.9 	Adverse Childhood Experiences. The base 
137.10 	for grants under Minnesota Statutes, section 
137.11 	245.4889, to children's mental health and 
137.12 	family services collaboratives for adverse 
137.13 	childhood experiences (ACEs) training 
137.14 	grants and for an interactive Web site 
137.15 	connection to support ACEs in Minnesota is 
137.16 	$363,000 in fiscal year 2018 and $363,000 in 
137.17 	fiscal year 2019.
137.18 	Funding Usage. Up to 75 percent of a fiscal 
137.19 	year's appropriation for child mental health 
137.20 	grants may be used to fund allocations in that 
137.21 	portion of the fiscal year ending December 
137.22 	31.
137.23 	Base Level Adjustment. The general fund 
137.24 	base is increased by $422,000 in fiscal year 
137.25 	2018 and is increased by $487,000 in fiscal 
137.26 	year 2019.

137.27
137.28	(o) Chemical Dependency Treatment Support 
Grants
		1,561,000
		1,561,000
	
137.29 	Chemical Dependency Prevention. 
137.30 	$150,000 in fiscal year 2016 and $150,000 
137.31 	in fiscal year 2017 are for grants to 
137.32 	nonprofit organizations to provide chemical 
137.33 	dependency prevention programs in 
137.34 	secondary schools. When making grants, the 
137.35 	commissioner must consider the expertise, 
138.1 	prior experience, and outcomes achieved 
138.2 	by applicants that have provided prevention 
138.3 	programming in secondary education 
138.4 	environments. An applicant for the grant 
138.5 	funds must provide verification to the 
138.6 	commissioner that the applicant has available 
138.7 	and will contribute sufficient funds to match 
138.8 	the grant given by the commissioner. This is 
138.9 	a onetime appropriation.
138.10 	Fetal Alcohol Syndrome Grants. $250,000 
138.11 	in fiscal year 2016 and $250,000 in fiscal year 
138.12 	2017 are for grants to be administered by the 
138.13 	Minnesota Organization on Fetal Alcohol 
138.14 	Syndrome to provide comprehensive, 
138.15 	gender-specific services to pregnant and 
138.16 	parenting women suspected of or known 
138.17 	to use or abuse alcohol or other drugs. 
138.18 	This appropriation is for grants to no fewer 
138.19 	than three eligible recipients. Minnesota 
138.20 	Organization on Fetal Alcohol Syndrome 
138.21 	must report to the commissioner of human 
138.22 	services annually by January 15 on the 
138.23 	grants funded by this appropriation. The 
138.24 	report must include measurable outcomes for 
138.25 	the previous year, including the number of 
138.26 	pregnant women served and the number of 
138.27 	toxic-free babies born.
138.28 	Base Level Adjustment. The general fund 
138.29 	base is decreased by $150,000 in fiscal year 
138.30 	2018 and by $150,000 in fiscal year 2019.

138.31 	Sec. 8. Laws 2015, chapter 71, article 14, section 4, subdivision 1, is amended to read:

138.32
138.33	Subdivision 1.Total Appropriation
 	$
	19,707,000
19,902,000
	$
	19,597,000
19,852,000
	
138.34 	This appropriation is from the state 
138.35 	government special revenue fund. The 
139.1 	amounts that may be spent for each purpose 
139.2 	are specified in the following subdivisions.

139.3 	EFFECTIVE DATE. This section is effective the day following final enactment.

139.4 	Sec. 9. Laws 2015, chapter 71, article 14, section 4, subdivision 3, is amended to read:

139.5
139.6	Subd. 3.Board of Dentistry
 		2,192,000
1,342,000
		2,206,000
1,342,000
	
139.7 	This appropriation includes $864,000 in fiscal 
139.8 	year 2016 and $878,000 in fiscal year 2017 
139.9 	for the health professional services program.

139.10 	EFFECTIVE DATE. This section is effective the day following final enactment.

139.11 	Sec. 10. Laws 2015, chapter 71, article 14, section 4, subdivision 5, is amended to read:

139.12
139.13	Subd. 5.Board of Marriage and Family 
Therapy
 		234,000
274,000
		237,000
287,000

139.14 	EFFECTIVE DATE. This section is effective the day following final enactment.

139.15 	Sec. 11. Laws 2015, chapter 71, article 14, section 4, subdivision 10, is amended to read:

139.16
139.17	Subd. 10.Board of Pharmacy
 		2,847,000
2,962,000
		2,888,000
3,033,000

139.18 	EFFECTIVE DATE. This section is effective the day following final enactment.

139.19 	Sec. 12. Laws 2015, chapter 71, article 14, section 4, subdivision 11, is amended to read:

139.20
139.21	Subd. 11.Board of Physical Therapy
 		354,000
1,244,000
		359,000
1,283,000
	
139.22 	Health Professional Services Program. Of 
139.23 	this appropriation, $850,000 in fiscal year 
139.24 	2016 and $864,000 in fiscal year 2017 from 
139.25 	the state government special revenue fund are 
139.26 	for the health professional services program.

139.27 	EFFECTIVE DATE. This section is effective the day following final enactment.

139.28 	Sec. 13. Laws 2015, chapter 71, article 14, section 9, is amended to read:

140.1
140.2	Sec. 9. COMMISSIONER OF COMMERCE
 	$
	210,000
-0-
	$
	213,000
-0-
	
140.3 	The commissioner of commerce shall 
140.4 	develop a proposal to allow individuals 
140.5 	to purchase qualified health plans outside 
140.6 	of MNsure directly from health plan 
140.7 	companies and to allow eligible individuals 
140.8 	to receive advanced premium tax credits and 
140.9 	cost-sharing reductions when purchasing 
140.10 	qualified health plans outside of MNsure.

140.11 	Sec. 14. EXPIRATION OF UNCODIFIED LANGUAGE.
 140.12 	All uncodified language contained in this article expires on June 30, 2017, unless a 
140.13 	different expiration date is explicit.

140.14 	Sec. 15. EFFECTIVE DATE.
 140.15 	This article is effective the day following final enactment.

140.16 	ARTICLE 10
140.17 	STATE GOVERNMENT APPROPRIATIONS

140.18	Section 1. APPROPRIATIONS
 	
140.19 	The sums shown in the columns marked "Appropriations" are added to or subtracted 
140.20 	from the appropriations in Laws 2015, chapter 77, article 1, to the agencies and for the 
140.21 	purposes specified in this article. The appropriations are from the general fund, or another 
140.22 	named fund, and are available for the fiscal years indicated for each purpose. The figures 
140.23 	"2016" and "2017" used in this article mean that the addition to the appropriation listed 
140.24 	under them are available for the fiscal year ending June 30, 2016, or June 30, 2017, 
140.25 	respectively.

140.26				APPROPRIATIONS
	
140.27				Available for the Year
	
140.28				Ending June 30
	
140.29					2016
		2017

140.30	Sec. 2. LEGISLATURE
 	$
	-0-
	$
	185,000
	
141.1 	$3,140,000 from the senate carryforward 
141.2 	account cancels to the general fund on July 
141.3 	1, 2016.
141.4 	$260,000 from the Legislative Coordinating 
141.5 	Commission carryforward account cancels to 
141.6 	the general fund on July 1, 2016.
141.7 	$318,000 is appropriated to the Office of the 
141.8 	Legislative Auditor for new duties related 
141.9 	to fiscal notes, revenue estimates, and local 
141.10 	impact notes.
141.11 	The appropriation to the Legislative 
141.12 	Coordinating Commission for the fiscal 
141.13 	year ending June 30, 2017, is reduced by 
141.14 	$133,000.

141.15	Sec. 3. STATE AUDITOR
 	$
	-0-
	$
	6,951,000

141.16	Sec. 4. MN.IT SERVICES
 	$
	-0-
	$
	500,000
	
141.17 	This appropriation is for a study of enhanced 
141.18 	cybersecurity across state government. This 
141.19 	is a onetime appropriation.

141.20	Sec. 5. ADMINISTRATION
 	$
	-0-
	$
	148,000
	
141.21 	This appropriation is for continued 
141.22 	implementation of the state's Olmstead plan.

141.23
141.24	Sec. 6. MINNESOTA MANAGEMENT AND 
BUDGET
 	$
	-0-
	$
	(318,000)
	
141.25 	To the extent possible, the appropriation 
141.26 	reduction in this section must be 
141.27 	implemented through savings achieved in 
141.28 	not administering the fiscal note process.

141.29	Sec. 7. REVENUE
 					
141.30 	$1,000,000 of money previously appropriated 
141.31 	to the department for fiscal year 2017 must 
142.1 	be used for efforts to identify and reject 
142.2 	attempted tax refund fraud.

142.3	Sec. 8. HUMAN RIGHTS
 					
142.4 	Notwithstanding any law to the contrary, 
142.5 	federal funds received by the Department of 
142.6 	Human Rights during the biennium ending 
142.7 	June 30, 2017, must be deposited in the 
142.8 	state general fund, to the extent permitted 
142.9 	by agreements with the federal government. 
142.10 	If agreements with the federal government 
142.11 	do not permit federal funds received by the 
142.12 	department to be deposited in the state general 
142.13 	fund, the general fund appropriation to the 
142.14 	department for the biennium ending June 30, 
142.15 	2017, is reduced by the amount of the federal 
142.16 	funds received during the biennium.

142.17	Sec. 9. VETERANS AFFAIRS
 	$
	-0-
	$
	500,000
	
142.18 	$100,000 is for a grant to Eagle's Healing Nest 
142.19 	for assisting veterans who are reintegrating 
142.20 	back into civilian and family life.
142.21 	$300,000 is for the state soldiers assistance 
142.22 	fund, for housing assistance and health 
142.23 	assistance to veterans.
142.24 	$100,000 is to support nonprofit organizations 
142.25 	in providing rent subsidies for housing for 
142.26 	veterans and their families at the Cottages 
142.27 	of Anoka.
142.28 	The appropriations in this section are 
142.29 	onetime.

142.30	Sec. 10. MILITARY AFFAIRS
 	$
	1,562,000
	$
	248,000
	
142.31 	This appropriation is for security 
142.32 	improvements at National Guard facilities. 
143.1 	Any unencumbered balance remaining at the 
143.2 	end of the first year does not cancel, but is 
143.3 	available for the second year of the biennium.

143.4 	EFFECTIVE DATE. This section is effective the day following final enactment.

143.5	Sec. 11. PUBLIC SAFETY
 	$
	-0-
	$
	260,000
	
143.6 	$260,000 is appropriated for payment of 
143.7 	public safety officer survivor benefits. This 
143.8 	is added to the appropriation in Laws 2015, 
143.9 	chapter 75, article 1, section 5, subdivision 
143.10 	2, paragraph (b).

143.11 	Sec. 12. SAVINGS; APPROPRIATION REDUCTION FOR EXECUTIVE 
143.12 	AGENCIES.
 143.13 	(a) The commissioner of management and budget must reduce general fund 
143.14 	appropriations to executive agencies, including constitutional offices for agency operations 
143.15 	for the biennium ending June 30, 2017, by $6,519,000. The Minnesota State Colleges 
143.16 	and Universities system is not an executive agency for purposes of this section. The 
143.17 	commissioner must not reduce appropriations to the Department of Veterans Affairs, 
143.18 	Military Affairs, Human Services, Corrections, or Public Safety. To the greatest extent 
143.19 	possible, these reductions must come from savings provided by the cost-savings measures 
143.20 	contained in this article, including:
143.21 	(1) reductions in salaries of commissioners and deputy and assistant commissioners;
143.22 	(2) hiring freeze; and
143.23 	(3) reductions in agency expenditures on nonessential travel and advertising.
143.24 	(b) The commissioner of management and budget must report to the chairs 
143.25 	and ranking minority members of the senate Finance Committee and the house of 
143.26 	representatives Ways and Means and Finance Committees regarding the amount of 
143.27 	reductions in spending by each agency under this section.
143.28 	(c) Reductions made in fiscal year 2017 must be reflected as reductions in agency 
143.29 	base budgets for fiscal years 2018 and 2019.

143.30 	Sec. 13. HIRING FREEZE.
 143.31 		Subdivision 1.Application of freeze. A state employer may not hire any permanent 
143.32 	or temporary employees before July 1, 2017. For purposes of this section, "state employer" 
143.33 	means state elected officials, departments, boards, agencies, commissions, offices, and 
144.1 	other hiring entities in the executive and legislative branches of state government, as those 
144.2 	branches are defined in Minnesota Statutes, section 43A.02. State employer does not 
144.3 	include the Minnesota State Colleges and Universities system.
144.4 		Subd. 2.Freeze exceptions. (a) Subdivision 1 does not apply to:
144.5 	(1) a student in a work-study position; or
144.6 	(2) a position that is necessary to perform essential government services.
144.7 	(b) A determination under paragraph (a), clause (2), must be made by the speaker 
144.8 	of the house with respect to house employees, the chair of the Committee on Rules 
144.9 	and Administration with respect to senate employees, and the Legislative Coordinating 
144.10 	Commission with respect to its employees, by a constitutional officer with respect to 
144.11 	employees of the constitutional office, and by the governor with respect to any other 
144.12 	employee covered by this section. Exceptions granted under paragraph (a), clause (2), 
144.13 	must be reported monthly by the entity granting the exception. The reports must be 
144.14 	published on the entity's Web site, and copies must be provided to the chairs of the house 
144.15 	of representatives Ways and Means and senate finance committees and to the Legislative 
144.16 	Reference Library.

144.17 	Sec. 14. NO NONESSENTIAL TRAVEL.
 144.18 	During the biennium ending June 30, 2017, state funds may not be used to pay 
144.19 	for nonessential travel for employees of executive agencies. The governor must report 
144.20 	any travel monthly on the governor's Web site, and by providing copies to the chairs 
144.21 	of the house of representatives Ways and Means and senate finance committees and to 
144.22 	the Legislative Reference Library.

144.23 	Sec. 15. LIMIT ON EXPENDITURES FOR ADVERTISING.
 144.24 	During the fiscal year ending June 30, 2017, an executive branch agency's spending 
144.25 	on advertising and promotions may not exceed 90 percent of the amount the agency 
144.26 	spent on advertising and promotions during the fiscal year ending June 30, 2016. The 
144.27 	commissioner of management and budget must ensure compliance with this limit, and 
144.28 	may issue guidelines and policies to executive agencies. The commissioner may forbid 
144.29 	an agency from engaging in advertising as the commissioner determines is necessary to 
144.30 	ensure compliance with this section. This section does not apply to the Minnesota Lottery 
144.31 	or Explore Minnesota Tourism. Spending during the biennium ending June 30, 2017, on 
144.32 	advertising relating to a declared emergency, an emergency, or a disaster, as those terms 
144.33 	are defined in Minnesota Statutes, section 12.03, is excluded for purposes of this section.

145.1 	Sec. 16. EXECUTIVE AGENCY MANAGERS.
 145.2 	The salaries for the heads of all departments or agencies listed in Minnesota 
145.3 	Statutes, section 15.06, subdivision 1, are reduced by five percent. The salaries for 
145.4 	all deputy commissioners and assistant commissioners of agencies listed in Minnesota 
145.5 	Statutes, section 15.06, subdivision 1, are reduced by five percent. The commissioner 
145.6 	of management and budget must reduce the number of deputy commissioner and 
145.7 	assistant commissioner positions in agencies listed in Minnesota Statutes, section 15.06, 
145.8 	subdivision 1, by five percent.

145.9 	Sec. 17. TRANSITION; STATE AUDITOR ENTERPRISE FUND.
 145.10 	Notwithstanding any law to the contrary, receipts from examinations conducted by 
145.11 	the state auditor must be credited to the general fund beginning July 1, 2016. Amounts in 
145.12 	the state auditor enterprise fund are transferred to the general fund on July 1, 2016.

145.13 	Sec. 18. PUBLIC SUBSIDY PROGRAM SUSPENDED.
 145.14 	Notwithstanding any law to the contrary, the public subsidy program for state 
145.15 	elections does not apply for the remainder of the biennium ending June 30, 2017. During 
145.16 	this period:
145.17 	(1) no appropriations or transfers shall be made from the general fund to the state 
145.18 	elections campaign account;
145.19 	(2) no public subsidy payments shall be made from the state elections campaign 
145.20 	account for any general or special election; and
145.21 	(3) any written agreements made by a candidate as a condition of receiving a 
145.22 	payment are not effective for that election.
145.23 	Amounts designated on income tax and property tax refund returns filed after the effective 
145.24 	date of this section and before June 30, 2017, are not effective and remain in the general 
145.25 	fund.

145.26 	ARTICLE 11
145.27 	STATE GOVERNMENT

145.28 	Section 1. Minnesota Statutes 2014, section 3.3005, is amended by adding a 
145.29 	subdivision to read:
145.30 		Subd. 1a.Application. This section applies to the expenditure of all federal money 
145.31 	whether that federal money is appropriated under section 4.07 or another section, unless 
145.32 	that federal money is specifically excluded from the requirements of this section.

146.1 	Sec. 2. Minnesota Statutes 2014, section 3.3005, subdivision 3, is amended to read:
146.2 		Subd. 3.State match. If a request to spend federal money is included in the 
146.3 	governor's budget or spending the money is authorized by law but the amount of federal 
146.4 	money received that has been awarded requires a state match greater than that the amount 
146.5 	that was included in the budget request or authorized by law, the amount federal funds 
146.6 	that have been awarded that requires require an additional state match may be allotted for 
146.7 	expenditure after the requirements of subdivision 5 or 6 are met.

146.8 	Sec. 3. Minnesota Statutes 2014, section 3.3005, subdivision 3b, is amended to read:
146.9 		Subd. 3b.Increase in amount. If a request to spend federal money is included in a 
146.10 	governor's budget request and approved according to subdivision 2 or 5 and the amount 
146.11 	of money awarded and available to be expended increases after the request is made and 
146.12 	authorized, the additional amount may be allotted for expenditure after a revised request is 
146.13 	submitted according to subdivision 2, or the requirements of subdivision 5 or 6 are met.

146.14 	Sec. 4. Minnesota Statutes 2014, section 3.3005, subdivision 4, is amended to read:
146.15 		Subd. 4.Interim procedures; urgencies. If federal money becomes available 
146.16 	is awarded to the state for expenditure after the deadline in subdivision 2 or while the 
146.17 	legislature is not in session, and the availability of money from that source or for that 
146.18 	purpose or in that fiscal year could not reasonably have been anticipated and included in 
146.19 	the governor's budget request, and an urgency requires that all or part of the money be 
146.20 	allotted encumbered or expended before the legislature reconvenes or prior to the end of 
146.21 	the 20-day period specified in subdivision 2, it may be allotted to a state agency after the 
146.22 	requirements of subdivision 5 are met. Legislative Advisory Commission has reviewed 
146.23 	the request. If the members of the commission make a positive recommendation or no 
146.24 	recommendation, or if the commission has not reviewed the request within ten days after 
146.25 	the date the request was submitted, the commissioner may approve the request and the 
146.26 	federal money may be allotted for expenditure. If the commission makes a negative 
146.27 	recommendation or a recommendation for further review on a request within ten days after 
146.28 	the date the request was submitted, the commissioner shall not approve the expenditure of 
146.29 	the federal money. If a request to expend federal money submitted under this subdivision 
146.30 	receives a negative recommendation or a recommendation for further review, the request 
146.31 	may be submitted again under subdivision 2 or 6. For the purposes of this subdivision, a 
146.32 	recommendation of the commission must be made at a meeting of the commission unless 
146.33 	a written recommendation is signed by all members entitled to vote on the item. For the 
146.34 	purposes of this subdivision, an urgency means: (1) the expenditure of the federal funds 
147.1 	would prevent imminent harm to life or property; or (2) failure to encumber or spend the 
147.2 	federal funds before the expiration of the earliest time provided under this subdivision 
147.3 	would clearly result in a loss of the federal funds.

147.4 	Sec. 5. Minnesota Statutes 2014, section 3.3005, subdivision 5, is amended to read:
147.5 		Subd. 5.Legislative Advisory Commission review. Federal money that  is awarded 
147.6 	and becomes available under subdivision 3, 3a, or 3b, or 4 may be allotted after the 
147.7 	commissioner of management and budget has submitted the request to the members of 
147.8 	the Legislative Advisory Commission for their review and recommendation for further 
147.9 	review. If a recommendation is not made within ten days, no further review by the 
147.10 	Legislative Advisory Commission is required, and the commissioner shall approve or 
147.11 	disapprove the request. If a recommendation by any member is for further review the 
147.12 	governor shall submit the request to the Legislative Advisory Commission for its review 
147.13 	and recommendation. Failure or refusal of the commission to make a recommendation 
147.14 	promptly is a negative recommendation. If a member of the commission makes a negative 
147.15 	recommendation or requests further review on a request within 20 days after the date 
147.16 	the request was submitted, the commissioner shall not approve the expenditure of that 
147.17 	federal money. If a request to expend federal money submitted under this subdivision 
147.18 	receives a negative recommendation or a request for further review, the request may be 
147.19 	submitted again under subdivision 2. If the members of a commission make a positive 
147.20 	recommendation or no recommendation, the commissioner may approve the request and 
147.21 	the federal money may be allotted for expenditure.

147.22 	Sec. 6. Minnesota Statutes 2014, section 3.3005, subdivision 6, is amended to read:
147.23 		Subd. 6.Interim procedures; nonurgencies. If federal money is awarded and 
147.24 	becomes available to the state for expenditure after the deadline in subdivision 2 or while 
147.25 	the legislature is not in session, and subdivision 4 does not apply, a request to expend the 
147.26 	that federal money may be submitted by the commissioner of management and budget to 
147.27 	members of the Legislative Advisory Commission for their review and recommendation. 
147.28 	This request must be submitted by the later of October 1 of any year or 100 days before the 
147.29 	start of the next legislative session. If any member of the commission makes a negative 
147.30 	recommendation or a recommendation for further review on a request by October 20 of 
147.31 	the same year during the 20-day period beginning the day the commissioner submits 
147.32 	the request, the commissioner shall not approve expenditure of that federal money. If a 
147.33 	request to expend federal money submitted under this subdivision receives a negative 
147.34 	recommendation or a recommendation for further review, the commissioner shall not 
148.1 	approve the request until the request may be submitted again under subdivision 2. If the 
148.2 	members of the commission make a positive recommendation or no recommendation, the 
148.3 	commissioner shall may approve or disapprove the request and the federal money may be 
148.4 	allotted for expenditure.

148.5 	Sec. 7. Minnesota Statutes 2014, section 3.3005, is amended by adding a subdivision 
148.6 	to read:
148.7 		Subd. 9.Withdrawal. The commissioner of management and budget may, with 
148.8 	written notice, withdraw any request to spend federal money under this section. The 
148.9 	commissioner of an agency requesting to expend federal money under this section may, 
148.10 	with written notice, withdraw any request to spend federal money under this section that 
148.11 	was submitted by the commissioner's agency.

148.12 	Sec. 8. Minnesota Statutes 2014, section 3.971, is amended by adding a subdivision to 
148.13 	read:
148.14 		Subd. 8a.Fiscal notes and revenue estimates. The legislative auditor shall 
148.15 	participate in the fiscal note and revenue estimate process in the manner described in 
148.16 	section 3.98. Authority of the legislative auditor and duties of employees and entities 
148.17 	under section 3.978, subdivision 2, apply to the legislative auditor's work on fiscal notes 
148.18 	and revenue estimates.

148.19 	Sec. 9. Minnesota Statutes 2014, section 3.98, is amended to read:
148.20 	3.98 FISCAL NOTES AND REVENUE ESTIMATES.
148.21 		Subdivision 1.Preparation. The head or chief administrative officer of each 
148.22 	department or agency of the state government, including the Supreme Court, shall prepare 
148.23 	a fiscal note at the request of the chair of the standing committee to which a bill has been 
148.24 	referred, or the chair of the house of representatives Ways and Means Committee, or the 
148.25 	chair of the senate Committee on Finance.
148.26 	For purposes of this subdivision, "Supreme Court" includes all agencies, committees, 
148.27 	and commissions supervised or appointed by the state Supreme Court or the state court 
148.28 	administrator. (a) The chair of the standing committee to which a bill has been referred, 
148.29 	the chair of the house of representatives Ways and Means Committee, and the chair 
148.30 	of the senate Finance Committee may request a fiscal note. The chair of the house of 
148.31 	representatives or senate Tax Committee may request a revenue estimate. A request for a 
148.32 	fiscal note or revenue estimate must be filed with the legislative auditor.
149.1 	(b) Upon receiving a request for a fiscal note or revenue estimate, the legislative 
149.2 	auditor shall request appropriate agencies, offices, boards, or commissions in the executive, 
149.3 	judicial, or legislative branch to provide the legislative auditor with an analysis of the 
149.4 	financial and personnel impacts of the bill. The analysis must include a clear statement 
149.5 	of the assumptions used in the analysis and the extent to which alternative assumptions 
149.6 	were considered. Agencies, offices, boards, or commissions shall, after receiving a request 
149.7 	from the legislative auditor, submit the analysis in the time and manner requested by the 
149.8 	auditor. The legislative auditor may require agencies, offices, boards, or commissions to 
149.9 	use the fiscal note tracking system developed and maintained by the commissioner of 
149.10 	management and budget for submitting fiscal note information and analysis.
149.11 	(c) The legislative auditor shall review the analysis submitted by agencies, offices, 
149.12 	boards, or commissions and assess the reasonableness of the analysis, particularly the 
149.13 	reasonableness of the assumptions used in the analysis. The auditor may require agencies, 
149.14 	offices, boards, or commissions to resubmit their analysis under new assumptions or 
149.15 	calculation parameters as defined by the auditor.
149.16 	(d) When the legislative auditor accepts the final analysis from all relevant agencies, 
149.17 	offices, boards, or commissions, the legislative auditor shall deliver the completed 
149.18 	fiscal note or revenue estimate. The note or estimate must contain the final analysis 
149.19 	and assumptions submitted to the legislative auditor by agencies, offices, boards, or 
149.20 	commissions, and a statement by the legislative auditor as to whether the legislative 
149.21 	auditor agrees with the final analysis and assumptions. The auditor must state the 
149.22 	reasons for any disagreements and may offer alternative analysis and assumptions for 
149.23 	consideration by the legislature. If the legislative auditor deems these disagreements 
149.24 	sufficiently large, the legislative auditor may submit an unofficial "unapproved" fiscal note 
149.25 	to the legislature for public consideration of both the analysis of the agencies, offices, 
149.26 	boards, or commissions, and of the legislative auditor.
149.27 		Subd. 2.Contents. (a) The A fiscal note, where possible, shall:
149.28 	(1) cite the effect in dollar amounts;
149.29 	(2) cite the statutory provisions affected;
149.30 	(3) estimate the increase or decrease in revenues or expenditures;
149.31 	(4) include the costs which may be absorbed without additional funds;
149.32 	(5) include the assumptions used in determining the cost estimates; and
149.33 	(6) specify any long-range implication.
149.34 	(b) The A revenue estimate must estimate the effect of a bill on state tax revenues.
149.35 	(c) A fiscal note or revenue estimate may comment on technical or mechanical 
149.36 	defects in the bill but shall express no opinions concerning the merits of the proposal.
150.1 		Subd. 3.Distribution. A copy of the a fiscal note shall be delivered to the chair 
150.2 	of the Ways and Means Committee of the house of representatives, the chair of the 
150.3 	Finance Committee of the senate, the chair of the standing committee to which the bill 
150.4 	has been referred, to the chief author of the bill and to the commissioner of management 
150.5 	and budget. A copy of a revenue estimate shall be delivered to the chairs of the house 
150.6 	of representatives and senate tax committees, to the chief author of the bill, and to the 
150.7 	commissioner of revenue.
150.8 		Subd. 4.Uniform procedure. The commissioner of management and budget 
150.9 	legislative auditor shall prescribe a uniform procedure to govern the departments and 
150.10 	agencies of the state in complying with the requirements of this section.
150.11 		Subd. 5.Tracking system. The commissioner of management and budget shall 
150.12 	provide the legislative auditor with manuals and other documentation requested by the 
150.13 	auditor for the fiscal note tracking system that is maintained by the commissioner.

150.14 	Sec. 10. Minnesota Statutes 2014, section 3.987, subdivision 1, is amended to read:
150.15 		Subdivision 1.Local impact notes. The commissioner of management and budget 
150.16 	legislative auditor shall coordinate the development of a local impact note for any proposed 
150.17 	legislation introduced after June 30, 1997, upon request of the chair or the ranking minority 
150.18 	member of either legislative Tax, Finance, or Ways and Means Committee. Upon receipt 
150.19 	of a request to prepare a local impact note, the commissioner auditor must notify the 
150.20 	authors of the proposed legislation that the request has been made. The local impact note 
150.21 	must be made available to the public upon request. If the action is among the exceptions 
150.22 	listed in section 3.988, a local impact note need not be requested nor prepared. The 
150.23 	commissioner auditor shall make a reasonable and timely estimate of the local fiscal impact 
150.24 	on each type of political subdivision that would result from the proposed legislation. The 
150.25 	commissioner of management and budget auditor may require any political subdivision or 
150.26 	the commissioner of an administrative agency of the state to supply in a timely manner 
150.27 	any information determined to be necessary to determine local fiscal impact. The political 
150.28 	subdivision, its representative association, or commissioner shall convey the requested 
150.29 	information to the commissioner of management and budget auditor with a signed 
150.30 	statement to the effect that the information is accurate and complete to the best of its ability. 
150.31 	The political subdivision, its representative association, or commissioner, when requested, 
150.32 	shall update its determination of local fiscal impact based on actual cost or revenue figures, 
150.33 	improved estimates, or both. Upon completion of the note, the commissioner auditor must 
150.34 	provide a copy to the authors of the proposed legislation and to the chair and ranking 
150.35 	minority member of each committee to which the proposed legislation is referred.

151.1 	Sec. 11. Minnesota Statutes 2015 Supplement, section 6.481, subdivision 6, is 
151.2 	amended to read:
151.3 		Subd. 6.Payments to state auditor. A county audited by the state auditor must 
151.4 	pay the state auditor for the costs and expenses of the audit. If the state auditor makes 
151.5 	additional examinations of a county whose audit is performed by a CPA firm, the county 
151.6 	must pay the auditor for the cost of these examinations. Payments must be deposited in 
151.7 	the state auditor enterprise general fund.

151.8 	Sec. 12. Minnesota Statutes 2014, section 6.56, subdivision 2, is amended to read:
151.9 		Subd. 2.Billings by state auditor. Upon the examination of the books, records, 
151.10 	accounts, and affairs of any political subdivision, as provided by law, such political 
151.11 	subdivision shall be liable to the state for the total cost and expenses of such examination, 
151.12 	including the salaries paid to the examiners while actually engaged in making such 
151.13 	examination. The state auditor may bill such political subdivision periodically for service 
151.14 	rendered and the officials responsible for approving and paying claims are authorized to 
151.15 	pay said bill promptly. Said payments shall be without prejudice to any defense against 
151.16 	said claims that may exist or be asserted. The state auditor enterprisegeneral fund shall be 
151.17 	credited with all collections made for any such examinations, including interest payments 
151.18 	made pursuant to subdivision 3.

151.19 	Sec. 13. Minnesota Statutes 2014, section 6.581, subdivision 4, is amended to read:
151.20 		Subd. 4.Reports to legislature. At least 30 days before implementing increased 
151.21 	charges for examinations, the state auditor must report the proposed increases to the 
151.22 	chairs and ranking minority members of the committees in the house of representatives 
151.23 	and the senate with jurisdiction over the budget of the state auditor. By January 15 of 
151.24 	each odd-numbered year, the state auditor must report to the chairs and ranking minority 
151.25 	members of the legislative committees and divisions with primary jurisdiction over the 
151.26 	budget of the state auditor a summary of the state auditor enterprise fund anticipated 
151.27 	revenues, and expenditures  related to examinations for the biennium ending June 30 
151.28 	of that year. The report must also include for the biennium the number of full-time 
151.29 	equivalents paid by the fund in the audit practice division, any audit rate changes stated as 
151.30 	a percentage, the number of audit reports issued, and the number of counties audited.

151.31 	Sec. 14. [16A.0565] CENTRALIZED TRACKING LIST OF AGENCY 
151.32 	PROJECTS.
152.1 		Subdivision 1.Centralized tracking. The commissioner must maintain a 
152.2 	centralized tracking list of new agency projects estimated to cost more than $100,000 that 
152.3 	are paid for from the general fund.
152.4 		Subd. 2.New agency project. (a) For purposes of this section a "new agency 
152.5 	project" means:
152.6 	(1) any new agency program or activity with more than $100,000 in funding from 
152.7 	the general fund; and
152.8 	(2) any preexisting agency program or activity with an increase of $100,000 or more 
152.9 	above the base level in general fund support. 
152.10 	(b) For purposes of this section, a new agency project does not include:
152.11 	(1) general aid programs for units of local government, or entitlement programs 
152.12 	providing assistance to individuals; or
152.13 	(2) a new program or activity or increase in a program or activity that is mandated 
152.14 	by law.
152.15 		Subd. 3.Transparency requirements. The centralized tracking list maintained by 
152.16 	the commissioner must report the following for each new agency project:
152.17 	(1) the name of the agency and title of the project;
152.18 	(2) a brief description of the project and its purposes;
152.19 	(3) the extent to which the project has been implemented; and
152.20 	(4) the amount of money that has been spent on the project.
152.21 		Subd. 4.Timing and reporting. The commissioner must display the information 
152.22 	required by subdivision 3 on the department's Web site. The list shall be maintained in a 
152.23 	widely available and common document format such as a spreadsheet that does not require 
152.24 	any new costs to develop. The commissioner must report this information to the chairs of 
152.25 	the house of representatives Ways and Means Committee and senate Finance Committee 
152.26 	quarterly, and must update the information on the Web site at least quarterly.

152.27 	Sec. 15. Minnesota Statutes 2014, section 16A.103, is amended by adding a 
152.28 	subdivision to read:
152.29 		Subd. 1h.Revenue uncertainty information. The commissioner shall report 
152.30 	to the legislature within 14 days of a forecast  under subdivision 1 on uncertainty in 
152.31 	Minnesota's general fund revenue projections. The report shall present information on: (1) 
152.32 	the estimated range of forecast error for revenues; and (2) the data and methods used to 
152.33 	construct those measurements.

152.34 	Sec. 16. [16A.104] FEDERAL FUNDS REPORT.
153.1 	The commissioner must report to the chairs and ranking minority members of the 
153.2 	house of representatives Ways and Means and senate Finance Committee  on receipt of 
153.3 	federal funds by the state. The report must be submitted with the governor's detailed 
153.4 	operating budget in accordance with section 16A.11, subdivision 1, in an odd-numbered 
153.5 	year and within ten days prior to the start of the regular session in accordance with section 
153.6 	3.3005, subdivision 2, in an even-numbered year. The report must include the total amount 
153.7 	of federal funds received by the state in the fiscal year ending the prior June 30 and the 
153.8 	total amount of federal funds anticipated to be received by the state in the current fiscal 
153.9 	year. For each category of federal funding, the report must list:
153.10 	(1) the name of the federal grant or federal funding source, the federal agency 
153.11 	providing the funding, a federal identification number, and a brief description of the 
153.12 	purpose of the federal funding;
153.13 	(2) the amount of federal funding the state received through that grant or source in 
153.14 	the fiscal year ending the prior June 30 and the total amount of federal funds anticipated to 
153.15 	be received by the state in the current fiscal year;
153.16 	(3) if there is a federal maintenance-of-effort requirement associated with the funding;
153.17 	(4) the number of full-time equivalent state employees needed to implement the 
153.18 	federal funding; and
153.19 	(5) the amount of state funds spent, as a match or otherwise, in conjunction with 
153.20 	receipt of the federal funding in the fiscal year ending the prior June 30, and the amount of 
153.21 	state funds anticipated to be spent in the current fiscal year.

153.22 	Sec. 17. Minnesota Statutes 2014, section 16A.1283, is amended to read:
153.23 	16A.1283 LEGISLATIVE APPROVAL REQUIRED FOR FEES.
153.24 	(a) Notwithstanding any law to the contrary, an executive branch state agency may 
153.25 	not impose a new fee or increase an existing fee unless the new fee or increase is approved 
153.26 	by law.  An agency must not propose a fee or fine increase of more than ten percent 
153.27 	in a biennium over the same fee or fine in law at the start of the same biennium. For 
153.28 	purposes of this section, a fee is any charge for goods, services, regulation, or licensure, 
153.29 	and, notwithstanding paragraph (b), clause (3), includes charges for admission to or for 
153.30 	use of public facilities owned by the state.
153.31 	(b) This section does not apply to:
153.32 	(1) charges billed within or between state agencies, or billed to federal agencies;
153.33 	(2) the Minnesota State Colleges and Universities system;
153.34 	(3) charges for goods and services provided for the direct and primary use of a 
153.35 	private individual, business, or other entity;
154.1 	(4) charges that authorize use of state-owned lands and minerals administered by 
154.2 	the commissioner of natural resources by the issuance of leases, easements, cooperative 
154.3 	farming agreements, and land and water crossing licenses and charges for sales of 
154.4 	state-owned lands administered by the commissioner of natural resources; or
154.5 	(5) state park fees and charges established by commissioner's order.
154.6 	(c) An executive branch agency may reduce a fee that was set by rule before July 
154.7 	1, 2001, without legislative approval. Chapter 14 does not apply to fee reductions under 
154.8 	this paragraph.

154.9 	Sec. 18. [16A.6415] FEDERAL PENALTIES RELATING TO PURCHASE OR 
154.10 	SALE OF STATE BONDS.
154.11 	(a) The commissioner must disclose to the legislative auditor any situation that the 
154.12 	commissioner believes potentially could subject the state or a state agency to payment of a 
154.13 	penalty to the federal government in connection with the purchase or sale of bonds issued 
154.14 	by the state. This disclosure must be made within ten days of the commissioner learning 
154.15 	of the situation that has potential to subject the state to a federal penalty.
154.16 	(b) Payment of a penalty to the federal government in connection with the purchase 
154.17 	or sale of state bonds issued by the state must be made from funds appropriated for general 
154.18 	operations of the department. If the commissioner determines that it is not feasible to pay 
154.19 	the penalty from these funds, the commissioner may seek approval under the process in 
154.20 	section 3.30 for use of contingent account appropriations.
154.21 	(c) The commissioner must disclose to the legislative auditor and to the chairs and 
154.22 	ranking minority members of the house of representatives Ways and Means Committee, 
154.23 	senate Finance Committee, and house of representatives and senate committees with 
154.24 	jurisdiction over capital investment the payment of a penalty by the commissioner or a 
154.25 	state agency to the federal government in connection with the purchase or sale of bonds 
154.26 	issued by the state. A disclosure under this paragraph must be made within ten days of the 
154.27 	commissioner or a state agency paying the penalty.

154.28 	Sec. 19. Minnesota Statutes 2014, section 16B.335, subdivision 1, is amended to read:
154.29 		Subdivision 1.Construction and major remodeling. (a) The commissioner, or 
154.30 	any other recipient to whom an appropriation is made to acquire or better public lands 
154.31 	or buildings or other public improvements of a capital nature, must not prepare final 
154.32 	plans and specifications for any construction, major remodeling, or land acquisition in 
154.33 	anticipation of which the appropriation was made until the agency that will use the 
154.34 	project has presented the program plan and cost estimates for all elements necessary to 
155.1 	complete the project to the chair of the senate Finance Committee and the chair of the 
155.2 	house of representatives Ways and Means Committee and the chairs have made their 
155.3 	recommendations, and the chair and ranking minority member of the senate Capital 
155.4 	Investment Committee and the chair and ranking minority member of the house of 
155.5 	representatives Capital Investment Committee are notified. "Construction or major 
155.6 	remodeling" means construction of a new building, a substantial addition to an existing 
155.7 	building, or a substantial change to the interior configuration of an existing building. The 
155.8 	presentation must note any significant changes in the work that will be done, or in its cost, 
155.9 	since the appropriation for the project was enacted or from the predesign submittal. The 
155.10 	program plans and estimates must be presented for review at least two weeks before a 
155.11 	recommendation is needed. The recommendations are advisory only. Failure or refusal to 
155.12 	make a recommendation is considered a negative recommendation. 
155.13 	(b) The chairs and ranking minority members of the senate Finance and Capital 
155.14 	Investment Committees and, the house of representatives Capital Investment and Ways 
155.15 	and Means Committees, and the house of representatives and senate budget committees or 
155.16 	divisions with jurisdiction over the agency that will use the project must also be notified 
155.17 	whenever there is a substantial change in a construction or major remodeling project, or in 
155.18 	its cost. This notice must include the nature and reason for the change, and the anticipated 
155.19 	cost of the change. The notice must be given no later than ten days after signing a change 
155.20 	order or other document authorizing a change in the project, or if there is not a change 
155.21 	order or other document, no later than ten days after the project owner becomes aware of a 
155.22 	substantial change in the project or its cost.
155.23 	(b) (c) Capital projects exempt from the requirements of this subdivisionin 
155.24 	paragraph (a) to seek recommendations before preparing final plans and specifications 
155.25 	include demolition or decommissioning of state assets, hazardous material projects, utility 
155.26 	infrastructure projects, environmental testing, parking lots, parking structures, park and 
155.27 	ride facilities, bus rapid transit stations, light rail lines, passenger rail projects, exterior 
155.28 	lighting, fencing, highway rest areas, truck stations, storage facilities not consisting 
155.29 	primarily of offices or heated work areas, roads, bridges, trails, pathways, campgrounds, 
155.30 	athletic fields, dams, floodwater retention systems, water access sites, harbors, sewer 
155.31 	separation projects, water and wastewater facilities, port development projects for which 
155.32 	the commissioner of transportation has entered into an assistance agreement under section 
155.33 	457A.04, ice centers, a local government project with a construction cost of less than 
155.34 	$1,500,000, or any other capital project with a construction cost of less than $750,000. 
155.35 	The requirements in paragraph (b) to give notice of changes applies to these projects.

156.1 	Sec. 20. [16B.336] NEW STATE BUILDINGS.
156.2 	Any requirement for legislative approval of construction of a state building may be 
156.3 	fulfilled only by approval of the entire legislature in a bill enacted into law, and may not be 
156.4 	fulfilled by approval of one or more committees of the legislature.

156.5 	Sec. 21. [16B.991] TERMINATION OF GRANT.
156.6 	Each grant agreement subject to sections 16B.97 and 16B.98 must provide that 
156.7 	the agreement will immediately be terminated if the recipient is convicted of a criminal 
156.8 	offense relating to a state grant agreement.

156.9 	Sec. 22. [16B.992] NO FEES FOR GENERAL FUND GRANT 
156.10 	ADMINISTRATION.
156.11 	An agency may not charge a recipient of a grant from the general fund a fee and 
156.12 	may not deduct money from the grant to pay administrative expenses incurred by the 
156.13 	agency in administering the grant.

156.14 	Sec. 23. Minnesota Statutes 2014, section 16C.03, subdivision 16, is amended to read:
156.15 		Subd. 16.Delegation of duties. (a) The commissioner may delegate duties imposed 
156.16 	by this chapter to the head of an agency and to any subordinate of the agency head. At 
156.17 	least once every three years the commissioner must audit use of authority under this 
156.18 	chapter by each employee whom the commissioner has delegated duties.
156.19 	(b) The commissioner must develop guidelines for agencies and employees to whom 
156.20 	authority is delegated under this chapter that protect state legal interests. These guidelines 
156.21 	may provide for review by the commissioner when a specific contract has potential to put 
156.22 	the state's legal interests at risk.

156.23 	Sec. 24. Minnesota Statutes 2014, section 16C.16, subdivision 5, is amended to read:
156.24 		Subd. 5.Designation of targeted groups. (a) The commissioner of administration 
156.25 	shall periodically designate businesses that are majority owned and operated by women, 
156.26 	persons with a substantial physical disability, or specific minorities as targeted group 
156.27 	businesses within purchasing categories as determined by the commissioner. A group 
156.28 	may be targeted within a purchasing category if the commissioner determines there is a 
156.29 	statistical disparity between the percentage of purchasing from businesses owned by 
156.30 	group members and the representation of businesses owned by group members among all 
156.31 	businesses in the state in the purchasing category.
157.1 	(b) In addition to designations under paragraph (a),: (1) an individual business may 
157.2 	be included as a targeted group business if the commissioner determines that inclusion is 
157.3 	necessary to remedy discrimination against the owner based on race, gender, or disability 
157.4 	in attempting to operate a business that would provide goods or services to public 
157.5 	agencies; and (2) an individual business must be included as a targeted group business if 
157.6 	the business agrees that its workforce will be composed of at least 40 percent minority 
157.7 	persons or veterans, and that this agreement will be expressed as a condition of any 
157.8 	contract between the state and the business.
157.9 	(c) The designations of purchasing categories and businesses under paragraphs 
157.10 	(a) and (b) are not rules for purposes of chapter 14, and are not subject to rulemaking 
157.11 	procedures of that chapter.

157.12 	Sec. 25. Minnesota Statutes 2014, section 16E.0466, is amended to read:
157.13 	16E.0466 STATE AGENCY TECHNOLOGY PROJECTS.
157.14 	(a) Every state agency with an information or telecommunications project must 
157.15 	consult with the Office of MN.IT Services to determine the information technology cost 
157.16 	of the project. Upon agreement between the commissioner of a particular agency and 
157.17 	the chief information officer, the agency must transfer the information technology cost 
157.18 	portion of the project to the Office of MN.IT Services. Service level agreements must 
157.19 	document all project-related transfers under this section. Those agencies specified in 
157.20 	section 16E.016, paragraph (d), are exempt from the requirements of this section.
157.21 	(b) Notwithstanding section 16A.28, subdivision 3, any unexpended operating 
157.22 	balance appropriated to a state agency may be transferred to the information and 
157.23 	telecommunications technology systems and services account for the information 
157.24 	technology cost of a specific project, subject to the review of the Legislative Advisory 
157.25 	Commission, under section 16E.21, subdivision 3.

157.26 	Sec. 26. Minnesota Statutes 2014, section 16E.21, subdivision 2, is amended to read:
157.27 		Subd. 2.Charges. Upon agreement of the participating agency, the Office of 
157.28 	MN.IT Services may collect a charge or receive a fund transfer under section 16E.0466 
157.29 	for purchases of information and telecommunications technology systems and services 
157.30 	by state agencies and other governmental entities through state contracts for purposes 
157.31 	described in subdivision 1. Charges collected under this section must be credited to the 
157.32 	information and telecommunications technology systems and services account.

158.1 	Sec. 27. Minnesota Statutes 2014, section 16E.21, is amended by adding a subdivision 
158.2 	to read:
158.3 		Subd. 3.Legislative Advisory Commission review. (a) No funds may be 
158.4 	transferred to the information and telecommunications technology systems and services 
158.5 	account under subdivision 2 or section 16E.0466 until the commissioner of management 
158.6 	and budget has submitted the proposed transfer to the members of the Legislative 
158.7 	Advisory Commission for review and recommendation. If the commission makes a 
158.8 	positive recommendation or no recommendation, or if the commission has not reviewed 
158.9 	the request within 20 days after the date the request to transfer funds was submitted, 
158.10 	the commissioner of management and budget may approve the request to transfer the 
158.11 	funds. If the commission recommends further review of a request to transfer funds, the 
158.12 	commissioner shall provide additional information to the commission. If the commission 
158.13 	makes a negative recommendation on the request within ten days of receiving further 
158.14 	information, the commissioner shall not approve the fund transfer. If the commission 
158.15 	makes a positive recommendation or no recommendation within ten days of receiving 
158.16 	further information, the commissioner may approve the fund transfer.
158.17 	(b) A recommendation of the commission must be made at a meeting of the 
158.18 	commission unless a written recommendation is signed by all members entitled to vote on 
158.19 	the item as specified in section 3.30, subdivision 2. A recommendation of the commission 
158.20 	must be made by a majority of the commission.

158.21 	Sec. 28. Minnesota Statutes 2014, section 16E.21, is amended by adding a subdivision 
158.22 	to read:
158.23 		Subd. 4.Lapse. Any portion of any receipt credited to the information and 
158.24 	telecommunications technology systems and services account from a fund transfer under 
158.25 	subdivision 2 that remains unexpended and unencumbered at the close of the fiscal year 
158.26 	four years after the funds were received in the account shall lapse to the fund from which 
158.27 	the receipt was transferred.

158.28 	Sec. 29. Minnesota Statutes 2014, section 16E.21, is amended by adding a subdivision 
158.29 	to read:
158.30 		Subd. 5.Report. The chief information officer shall report by September 15 of 
158.31 	each odd-numbered year to the chairs and ranking minority members of the legislative 
158.32 	committees and divisions with jurisdiction over the Office of MN.IT Services regarding 
158.33 	the receipts credited to the account. The report must include a description of projects 
159.1 	funded through the information and telecommunications technology systems and services 
159.2 	account and each project's current status.

159.3 	Sec. 30. [43A.035] LIMIT ON NUMBER OF FULL-TIME EQUIVALENT 
159.4 	EMPLOYEES.
159.5 	The total number of full-time equivalent employees employed in all executive 
159.6 	branch agencies may not exceed 31,691. As provided in article 1, section 13, an executive 
159.7 	branch agency may not hire a new employee during the biennium ending June 30, 2017, 
159.8 	except as authorized in article 1, section 13. Any reductions in staff should prioritize 
159.9 	protecting client-facing health care workers, corrections officers, public safety workers, 
159.10 	and mental health workers. As a means of achieving compliance with this requirement, 
159.11 	the commissioner may authorize an agency to provide an early retirement incentive to an 
159.12 	executive branch employee, under which the state will continue to make the employer 
159.13 	contribution for health insurance after the employee has terminated state service. The 
159.14 	commissioner must prescribe eligibility requirements and the maximum duration of the 
159.15 	payments. For purposes of this section, an "executive agency" does not include the 
159.16 	Minnesota State Colleges and Universities or statewide pension plans.

159.17 	Sec. 31. Minnesota Statutes 2014, section 197.455, subdivision 1, is amended to read:
159.18 		Subdivision 1.Application. (a) This section shall govern preference of a veteran 
159.19 	under the civil service laws, charter provisions, ordinances, rules or regulations of a 
159.20 	county, home rule charter or statutory city, town, school district, or other municipality 
159.21 	or political subdivision of this state. Any provision in a law, charter, ordinance, rule or 
159.22 	regulation contrary to the applicable provisions of this section is void to the extent of 
159.23 	such inconsistency.
159.24 	(b) Sections 197.46 to 197.481 also apply to a veteran who is an incumbent in a 
159.25 	classified appointment in the state civil service and has completed the probationary period 
159.26 	for that position, as defined under section 43A.16. In matters of dismissal from such a 
159.27 	position, a qualified veteran has the irrevocable option of using the procedures described 
159.28 	in sections 197.46 to 197.481, or the procedures provided in the collective bargaining 
159.29 	agreement applicable to the person, but not both. For a qualified veteran electing to use 
159.30 	the procedures of sections 197.46 to 197.481, the matters governed by those sections must 
159.31 	not be considered grievances under a collective bargaining agreement, and if a veteran 
159.32 	elects to appeal the dispute through those sections, the veteran is precluded from making 
159.33 	an appeal under the grievance procedure of the collective bargaining agreement.
160.1 	(c) A county, home rule charter or statutory city, town, school district, or other 
160.2 	municipality or political subdivision may require a veteran to complete an initial hiring 
160.3 	probationary period, as defined under section 43A.16. In matters of dismissal, a veteran 
160.4 	employed by a county, home rule charter or statutory city, town, school district, or other 
160.5 	municipality or political subdivision is entitled to the same rights and legal protections 
160.6 	that state employees receive under paragraph (b).

160.7 	Sec. 32. Minnesota Statutes 2015 Supplement, section 197.46, is amended to read:
160.8 	197.46 VETERANS PREFERENCE ACT; REMOVAL FORBIDDEN; RIGHT 
160.9 	OF MANDAMUS.
160.10 	(a) Any person whose rights may be in any way prejudiced contrary to any of the 
160.11 	provisions of this section, shall be is entitled to a writ of mandamus to remedy the wrong. 
160.12 	After any initial hiring probationary period expires, no person holding a position  either in 
160.13 	the state civil service or by appointment or employment in the several counties any county, 
160.14 	cities home rule charter or statutory city, towns town, school districts and alldistrict, or 
160.15 	any other political subdivisions subdivision in the state, who is a veteran separated from 
160.16 	the military service under honorable conditions, shall be removed from such the position 
160.17 	or employment except for incompetency or misconduct shown after a hearing, upon 
160.18 	due notice, upon stated charges, in writing.
160.19 	(b) Any veteran who has been notified of the intent to discharge the veteran from an 
160.20 	appointed position or employment pursuant to this section shall be notified in writing of 
160.21 	such the intent to discharge and of the veteran's right to request a hearing within 60 30
160.22 	days of receipt of the notice of intent to discharge. The failure of a veteran to request a 
160.23 	hearing within the provided 60-day 30-day period shall constitute constitutes a waiver 
160.24 	of the right to a hearing. Such The failure shall also waive waives all other available 
160.25 	legal remedies for reinstatement.
160.26 	Request for a hearing concerning such a discharge shall be made in writing and 
160.27 	submitted by mail or personal service to the employment office of the concerned employer 
160.28 	or other appropriate office or person. If the veteran requests a hearing under this section, 
160.29 	such the written request must also contain the veteran's election to be heard by a civil 
160.30 	service board or commission, a merit authority, or a three-person panelan arbitrator 
160.31 	as defined in paragraph (c). If the veteran fails to identify the veteran's election, the 
160.32 	governmental subdivision may select the hearing body.
160.33 	(c) In all governmental subdivisions having an established civil service board or 
160.34 	commission, or merit system authority, suchthe veteran may elect to have the hearing for 
160.35 	removal or discharge shall be held before such the civil service board or commission or 
161.1 	merit system authority, or before an arbitrator as specified in this paragraph. Where no 
161.2 	such civil service board or commission or merit system authority exists, suchthe hearing 
161.3 	shall be held by a board of three persons appointed as follows: one by the governmental 
161.4 	subdivision, one by the veteran, and the third by the two so selected an arbitrator. In cases 
161.5 	where a hearing will be held by an arbitrator, the employer shall request from the Bureau 
161.6 	of Mediation Services a list of seven persons to serve as an arbitrator. The employer 
161.7 	shall strike the first name from the list and the parties shall alternately strike names from 
161.8 	the list until the name of one arbitrator remains. After receiving each of the employer's 
161.9 	elections to strike a person from the list, the veteran has 48 hours to strike a person from 
161.10 	the list.  The person remaining after the striking procedure must be the arbitrator. Upon the 
161.11 	selection of the arbitrator, the employer shall notify the designated arbitrator and request 
161.12 	available dates to hold the hearing. In the event that the hearing is authorized to be held 
161.13 	before a three-person board an arbitrator, the governmental subdivision's notice of intent 
161.14 	to discharge shall state that the veteran must respond within 60 30 days of receipt of the 
161.15 	notice of intent to discharge., and provide in writing to the governmental subdivision the 
161.16 	name, United States mailing address, and telephone number of the veteran's selected 
161.17 	representative for the three-person board. The failure of a veteran to submit the name, 
161.18 	address, and telephone number of the veteran's selected representative to the governmental 
161.19 	subdivision by mail or by personal service within the provided notice's 60-day period, shall 
161.20 	constitute a waiver of the veteran's right to the hearing and all other legal remedies available 
161.21 	for reinstatement of the veteran's employment position. In the event the two persons 
161.22 	selected by the veteran and governmental subdivision do not appoint the third person within 
161.23 	ten days after the appointment of the last of the two, then the judge of the district court of 
161.24 	the county wherein the proceeding is pending, or if there be more than one judge in said 
161.25 	county then any judge in chambers, shall have jurisdiction to appoint, and  Upon application 
161.26 	of either or both of the two so selected shall appoint, the third person to the board and the 
161.27 	person so appointed by the judge with the two first selected shall constitute the board.
161.28 	(d) Either the veteran or the governmental subdivision may appeal from the decision 
161.29 	of the board hearing body upon the charges to the district court by causing written notice 
161.30 	of appeal, stating the grounds thereof of the appeal, to be served upon the other party 
161.31 	within 15 days after notice of the decision and by filing the original notice of appeal 
161.32 	with proof of service thereof in the office of the court administrator of the district court 
161.33 	within ten days after service thereof. Nothing in section 197.455 or this section shall be 
161.34 	construed to apply to the position of private secretary, superintendent of schools, or one 
161.35 	chief deputy of any elected official or head of a department, or to any person holding a 
161.36 	strictly confidential relation to the appointing officer. Nothing in this section shall be 
162.1 	construed to apply to the position of teacher. The burden of establishing such relationship 
162.2 	shall be upon the appointing officer in all proceedings and actions relating thereto.
162.3 	(e) For disputes heard by a civil service board, commission or merit system 
162.4 	authority, or an arbitrator, the political governmental subdivisions shall bear all costs 
162.5 	associated with the hearing but not including attorney fees for attorneys representing the 
162.6 	veteran. For disputes heard by a three-person panel, all parties shall bear equally all costs 
162.7 	associated with the hearing, but not including attorney fees for attorneys representing the 
162.8 	veteran. If the veteran prevails in a dispute heard by a civil service board or a three-person 
162.9 	panel, commission or merit system authority, or an arbitrator and the hearing reverses all 
162.10 	aspects of the level of the alleged incompetency or misconduct requiring  discharge, the 
162.11 	governmental subdivision shall pay the veteran's reasonable attorney fees.
162.12 	(f) All officers, boards, commissions, and employees shall conform to, comply with, 
162.13 	and aid in all proper ways in carrying into effect the provisions of section 197.455 and this 
162.14 	section notwithstanding any laws, charter provisions, ordinances or rules to the contrary. 
162.15 	Any willful violation of such sections by officers, officials, or employees is a misdemeanor.

162.16 	Sec. 33. Minnesota Statutes 2014, section 298.22, subdivision 1, is amended to read:
162.17 		Subdivision 1.The Office of the Commissioner of Iron Range resources 
162.18 	and rehabilitation. (a) The Office of the Commissioner of Iron Range resources and 
162.19 	rehabilitation is created as an agency in the executive branch of state government. The 
162.20 	governor shall appoint the commissioner of Iron Range resources and rehabilitation under 
162.21 	section 15.06.
162.22 	(b) The commissioner may hold other positions or appointments that are not 
162.23 	incompatible with duties as commissioner of Iron Range resources and rehabilitation. The 
162.24 	commissioner may appoint a deputy commissioner. All expenses of the commissioner, 
162.25 	including the payment of staff and other assistance as may be necessary, must be paid 
162.26 	out of the amounts appropriated by section 298.28 or otherwise made available by law 
162.27 	to the commissioner. Notwithstanding chapters 16A, 16B, and 16C, the commissioner 
162.28 	may utilize contracting options available under section 471.345 when the commissioner 
162.29 	determines it is in the best interest of the agency. The agency is not subject to sections 
162.30 	16E.016 and 16C.05.
162.31 	(c) When the commissioner determines that distress and unemployment exists or 
162.32 	may exist in the future in any county by reason of the removal of natural resources or 
162.33 	a possibly limited use of natural resources in the future and any resulting decrease in 
162.34 	employment, the commissioner may use whatever amounts of the appropriation made to 
162.35 	the commissioner of revenue in section 298.28 that are determined to be necessary and 
163.1 	proper in the development of the remaining resources of the county and in the vocational 
163.2 	training and rehabilitation of its residents, except that the amount needed to cover cost 
163.3 	overruns awarded to a contractor by an arbitrator in relation to a contract awarded by 
163.4 	the commissioner or in effect after July 1, 1985, is appropriated from the general fund. 
163.5 	For the purposes of this section, "development of remaining resources" includes, but is 
163.6 	not limited to, the promotion of tourism.

163.7 	Sec. 34. Minnesota Statutes 2014, section 299A.41, subdivision 3, is amended to read:
163.8 		Subd. 3.Killed in the line of duty. "Killed in the line of duty" does not include 
163.9 	deaths from natural causes, except as provided in this subdivision. In the case of a peace
163.10 	public safety officer, "killed in the line of duty" includes the death of an a public safety
163.11 	officer caused by accidental means while the peacepublic safety officer is acting in the 
163.12 	course and scope of duties as a peacepublic safety officer. Killed in the line of duty also 
163.13 	means if a public safety officer dies as the direct and proximate result of a heart attack, 
163.14 	stroke, or vascular rupture, that officer shall be presumed to have died as the direct and 
163.15 	proximate result of a personal injury sustained in the line of duty if:
163.16 	(1) that officer, while on duty:
163.17 	(i) engaged in a situation, and that engagement involved nonroutine stressful or 
163.18 	strenuous physical law enforcement, fire suppression, rescue, hazardous material response, 
163.19 	emergency medical services, prison security, disaster relief, or other emergency response 
163.20 	activity; or
163.21 	(ii) participated in a training exercise, and that participation involved nonroutine 
163.22 	stressful or strenuous physical activity;
163.23 	(2) that officer died as a result of a heart attack, stroke, or vascular rupture suffered:
163.24 	(i) while engaging or participating under clause (1);
163.25 	(ii) while still on duty after engaging or participating under clause (1); or 
163.26 	(iii) not later than 24 hours after engaging or participating under clause (1); and 
163.27 	(3) the presumption is not overcome by competent medical evidence to the contrary.

163.28 	EFFECTIVE DATE. This section is effective the day following final enactment.

163.29 	Sec. 35. Minnesota Statutes 2014, section 327C.03, subdivision 6, is amended to read:
163.30 		Subd. 6.Payment to the Minnesota manufactured home relocation trust fund.
 163.31 	In the event a park owner has been assessed under section 327C.095, subdivision 12, 
163.32 	paragraph (c), the park owner may collect the $12 $15 annual payment required by section 
163.33 	327C.095, subdivision 12, for participation in the relocation trust fund, as a lump sum or, 
163.34 	along with monthly lot rent, a fee of no more than $1 $1.25 per month to cover the cost of 
164.1 	participating in the relocation trust fund. The $1 $1.25 fee must be separately itemized 
164.2 	and clearly labeled "Minnesota manufactured home relocation trust fund."

164.3 	Sec. 36. Minnesota Statutes 2014, section 327C.095, subdivision 12, is amended to read:
164.4 		Subd. 12.Payment to the Minnesota manufactured home relocation trust fund.
 164.5 	(a) If a manufactured home owner is required to move due to the conversion of all or a 
164.6 	portion of a manufactured home park to another use, the closure of a park, or cessation of 
164.7 	use of the land as a manufactured home park, the manufactured park owner shall, upon 
164.8 	the change in use, pay to the commissioner of management and budget for deposit in the 
164.9 	Minnesota manufactured home relocation trust fund under section 462A.35, the lesser 
164.10 	amount of the actual costs of moving or purchasing the manufactured home approved 
164.11 	by the neutral third party and paid by the Minnesota Housing Finance Agency under 
164.12 	subdivision 13, paragraph (a) or (e), or $3,250 for each single section manufactured 
164.13 	home, and $6,000 for each multisection manufactured home, for which a manufactured 
164.14 	home owner has made application for payment of relocation costs under subdivision 13, 
164.15 	paragraph (c). The manufactured home park owner shall make payments required under 
164.16 	this section to the Minnesota manufactured home relocation trust fund within 60 days of 
164.17 	receipt of invoice from the neutral third party.
164.18 	(b) A manufactured home park owner is not required to make the payment prescribed 
164.19 	under paragraph (a), nor is a manufactured home owner entitled to compensation under 
164.20 	subdivision 13, paragraph (a) or (e), if:
164.21 	(1) the manufactured home park owner relocates the manufactured home owner to 
164.22 	another space in the manufactured home park or to another manufactured home park at 
164.23 	the park owner's expense;
164.24 	(2) the manufactured home owner is vacating the premises and has informed the 
164.25 	manufactured home park owner or manager of this prior to the mailing date of the closure 
164.26 	statement under subdivision 1;
164.27 	(3) a manufactured home owner has abandoned the manufactured home, or the 
164.28 	manufactured home owner is not current on the monthly lot rental, personal property taxes;
164.29 	(4) the manufactured home owner has a pending eviction action for nonpayment of 
164.30 	lot rental amount under section 327C.09, which was filed against the manufactured home 
164.31 	owner prior to the mailing date of the closure statement under subdivision 1, and the writ 
164.32 	of recovery has been ordered by the district court;
164.33 	(5) the conversion of all or a portion of a manufactured home park to another use, 
164.34 	the closure of a park, or cessation of use of the land as a manufactured home park is the 
165.1 	result of a taking or exercise of the power of eminent domain by a governmental entity 
165.2 	or public utility; or
165.3 	(6) the owner of the manufactured home is not a resident of the manufactured home 
165.4 	park, as defined in section 327C.01, subdivision 9, or the owner of the manufactured home 
165.5 	is a resident, but came to reside in the manufactured home park after the mailing date of 
165.6 	the closure statement under subdivision 1.
165.7 	(c) If the unencumbered fund balance in the manufactured home relocation trust 
165.8 	fund is less than $1,000,000 as of June 30 of each year, the commissioner of management 
165.9 	and budget shall assess each manufactured home park owner by mail the total amount 
165.10 	of $12 $15 for each licensed lot in their park, payable on or before September 15 of that 
165.11 	year. The commissioner of management and budget shall deposit any payments in the 
165.12 	Minnesota manufactured home relocation trust fund. On or before July 15 of each year, 
165.13 	the commissioner of management and budget shall prepare and distribute to park owners a 
165.14 	letter explaining whether funds are being collected for that year, information about the 
165.15 	collection, an invoice for all licensed lots, and a sample form for the park owners to collect 
165.16 	information on which park residents have been accounted for. If assessed under this 
165.17 	paragraph, the park owner may recoup the cost of the $12 $15 assessment as a lump sum 
165.18 	or as a monthly fee of no more than $1 $1.25 collected from park residents together with 
165.19 	monthly lot rent as provided in section 327C.03, subdivision 6. Park owners may adjust 
165.20 	payment for lots in their park that are vacant or otherwise not eligible for contribution to 
165.21 	the trust fund under section 327C.095, subdivision 12, paragraph (b), and deduct from the 
165.22 	assessment accordingly.
165.23 	(d) This subdivision and subdivision 13, paragraph (c), clause (5), are enforceable by 
165.24 	the neutral third party, on behalf of the Minnesota Housing Finance Agency, or by action 
165.25 	in a court of appropriate jurisdiction. The court may award a prevailing party reasonable 
165.26 	attorney fees, court costs, and disbursements.

165.27 	Sec. 37. Minnesota Statutes 2014, section 327C.095, subdivision 13, is amended to read:
165.28 		Subd. 13.Change in use, relocation expenses; payments by park owner. (a) 
165.29 	If a manufactured home owner is required to relocate due to the conversion of all or a 
165.30 	portion of a manufactured home park to another use, the closure of a manufactured home 
165.31 	park, or cessation of use of the land as a manufactured home park under subdivision 1, 
165.32 	and the manufactured home owner complies with the requirements of this section, the 
165.33 	manufactured home owner is entitled to payment from the Minnesota manufactured home 
165.34 	relocation trust fund equal to the manufactured home owner's actual relocation costs for 
165.35 	relocating the manufactured home to a new location within a 25-mile radius of the park 
166.1 	that is being closed, up to a maximum of $4,000 $7,000 for a single-section and $8,000 
166.2 	$12,500 for a multisection manufactured home. The actual relocation costs must include 
166.3 	the reasonable cost of taking down, moving, and setting up the manufactured home, 
166.4 	including equipment rental, utility connection and disconnection charges, minor repairs, 
166.5 	modifications necessary for transportation of the home, necessary moving permits and 
166.6 	insurance, moving costs for any appurtenances, which meet applicable local, state, and 
166.7 	federal building and construction codes.
166.8 	(b) A manufactured home owner is not entitled to compensation under paragraph (a) 
166.9 	if the manufactured home park owner is not required to make a payment to the Minnesota 
166.10 	manufactured home relocation trust fund under subdivision 12, paragraph (b).
166.11 	(c) Except as provided in paragraph (e), in order to obtain payment from the 
166.12 	Minnesota manufactured home relocation trust fund, the manufactured home owner shall 
166.13 	submit to the neutral third party and the Minnesota Housing Finance Agency, with a copy 
166.14 	to the park owner, an application for payment, which includes:
166.15 	(1) a copy of the closure statement under subdivision 1;
166.16 	(2) a copy of the contract with a moving or towing contractor, which includes the 
166.17 	relocation costs for relocating the manufactured home;
166.18 	(3) a statement with supporting materials of any additional relocation costs as 
166.19 	outlined in subdivision 1;
166.20 	(4) a statement certifying that none of the exceptions to receipt of compensation 
166.21 	under subdivision 12, paragraph (b), apply to the manufactured home owner;
166.22 	(5) a statement from the manufactured park owner that the lot rental is current 
166.23 	and that the annual $12 $15 payments to the Minnesota manufactured home relocation 
166.24 	trust fund have been paid when due; and
166.25 	(6) a statement from the county where the manufactured home is located certifying 
166.26 	that personal property taxes for the manufactured home are paid through the end of that year.
166.27 	(d) If the neutral third party has acted reasonably and does not approve or deny 
166.28 	payment within 45 days after receipt of the information set forth in paragraph (c), the 
166.29 	payment is deemed approved. Upon approval and request by the neutral third party, 
166.30 	the Minnesota Housing Finance Agency shall issue two checks in equal amount for 50 
166.31 	percent of the contract price payable to the mover and towing contractor for relocating 
166.32 	the manufactured home in the amount of the actual relocation cost, plus a check to the 
166.33 	home owner for additional certified costs associated with third-party vendors, that were 
166.34 	necessary in relocating the manufactured home. The moving or towing contractor shall 
166.35 	receive 50 percent upon execution of the contract and 50 percent upon completion of 
166.36 	the relocation and approval by the manufactured home owner. The moving or towing 
167.1 	contractor may not apply the funds to any other purpose other than relocation of the 
167.2 	manufactured home as provided in the contract. A copy of the approval must be forwarded 
167.3 	by the neutral third party to the park owner with an invoice for payment of the amount 
167.4 	specified in subdivision 12, paragraph (a).
167.5 	(e) In lieu of collecting a relocation payment from the Minnesota manufactured 
167.6 	home relocation trust fund under paragraph (a), the manufactured home owner may collect 
167.7 	an amount from the fund after reasonable efforts to relocate the manufactured home 
167.8 	have failed due to the age or condition of the manufactured home, or because there are 
167.9 	no manufactured home parks willing or able to accept the manufactured home within a 
167.10 	25-mile radius. A manufactured home owner may tender title of the manufactured home in 
167.11 	the manufactured home park to the manufactured home park owner, and collect an amount 
167.12 	to be determined by an independent appraisal. The appraiser must be agreed to by both 
167.13 	the manufactured home park owner and the manufactured home owner. If the appraised 
167.14 	market value cannot be determined, the tax market value, averaged over a period of five 
167.15 	years, can be used as a substitute. The maximum amount that may be reimbursed under 
167.16 	the fund is a maximum of $5,000 $8,000 for a single-section and $9,000 $14,500 for a 
167.17 	multisection manufactured home. The minimum amount that may be reimbursed under the 
167.18 	fund is $2,000 for a single section and $4,000 for a multisection manufactured home. The 
167.19 	manufactured home owner shall deliver to the manufactured home park owner the current 
167.20 	certificate of title to the manufactured home duly endorsed by the owner of record, and 
167.21 	valid releases of all liens shown on the certificate of title, and a statement from the county 
167.22 	where the manufactured home is located evidencing that the personal property taxes have 
167.23 	been paid. The manufactured home owner's application for funds under this paragraph 
167.24 	must include a document certifying that the manufactured home cannot be relocated, that 
167.25 	the lot rental is current, that the annual $12 $15 payments to the Minnesota manufactured 
167.26 	home relocation trust fund have been paid when due, that the manufactured home owner 
167.27 	has chosen to tender title under this section, and that the park owner agrees to make a 
167.28 	payment to the commissioner of management and budget in the amount established in 
167.29 	subdivision 12, paragraph (a), less any documented costs submitted to the neutral third 
167.30 	party, required for demolition and removal of the home, and any debris or refuse left on the 
167.31 	lot, not to exceed $1,000. The manufactured home owner must also provide a copy of the 
167.32 	certificate of title endorsed by the owner of record, and certify to the neutral third party, 
167.33 	with a copy to the park owner, that none of the exceptions to receipt of compensation under 
167.34 	subdivision 12, paragraph (b), clauses (1) to (6), apply to the manufactured home owner, 
167.35 	and that the home owner will vacate the home within 60 days after receipt of payment or the 
167.36 	date of park closure, whichever is earlier, provided that the monthly lot rent is kept current.
168.1 	(f) The Minnesota Housing Finance Agency must make a determination of the 
168.2 	amount of payment a manufactured home owner would have been entitled to under a local 
168.3 	ordinance in effect on May 26, 2007. Notwithstanding paragraph (a), the manufactured 
168.4 	home owner's compensation for relocation costs from the fund under section 462A.35, is 
168.5 	the greater of the amount provided under this subdivision, or the amount under the local 
168.6 	ordinance in effect on May 26, 2007, that is applicable to the manufactured home owner. 
168.7 	Nothing in this paragraph is intended to increase the liability of the park owner.
168.8 	(g) Neither the neutral third party nor the Minnesota Housing Finance Agency shall 
168.9 	be liable to any person for recovery if the funds in the Minnesota manufactured home 
168.10 	relocation trust fund are insufficient to pay the amounts claimed. The Minnesota Housing 
168.11 	Finance Agency shall keep a record of the time and date of its approval of payment to a 
168.12 	claimant.
168.13 	(h) The agency shall report to the chairs of the senate Finance Committee and 
168.14 	house of representatives Ways and Means Committee by January 15 of each year on 
168.15 	the Minnesota manufactured home relocation trust fund, including the account balance, 
168.16 	payments to claimants, the amount of any advances to the fund, the amount of any 
168.17 	insufficiencies encountered during the previous calendar year, and any administrative 
168.18 	charges or expenses deducted from the trust fund balance. If sufficient funds become 
168.19 	available, the Minnesota Housing Finance Agency shall pay the manufactured home 
168.20 	owner whose unpaid claim is the earliest by time and date of approval.

168.21 	Sec. 38. Minnesota Statutes 2014, section 353.01, subdivision 43, is amended to read:
168.22 		Subd. 43.Line of duty death. "Line of duty death" means:
168.23 	(1) a death that occurs while performing or as a direct result of performing normal or 
168.24 	less frequent duties which are specific to protecting the property and personal safety of 
168.25 	others and that present inherent dangers that are specific to the positions covered by the 
168.26 	public employees police and fire plan.; or
168.27 	(2) a death determined by the commissioner of public safety to meet the requirements 
168.28 	of section 299A.41, subdivision 3.

168.29 	EFFECTIVE DATE. This section is effective the day following final enactment.

168.30 	Sec. 39. Minnesota Statutes 2014, section 462.355, subdivision 4, is amended to read:
168.31 		Subd. 4.Interim ordinance. (a) If a municipality is conducting studies or has 
168.32 	authorized a study to be conducted or has held or has scheduled a hearing for the purpose 
168.33 	of considering adoption or amendment of a comprehensive plan or official controls 
168.34 	as defined in section 462.352, subdivision 15, or if new territory for which plans or 
169.1 	controls have not been adopted is annexed to a municipality, the governing body of the 
169.2 	municipality may adopt an interim ordinance applicable to all or part of its jurisdiction for 
169.3 	the purpose of protecting the planning process and the health, safety and welfare of its 
169.4 	citizens. The interim ordinance may regulate, restrict, or prohibit any use, development, 
169.5 	or subdivision within the jurisdiction or a portion thereof for a period not to exceed one 
169.6 	year from the date it is effective.
169.7 	(b) If a proposed interim ordinance purports to regulate, restrict, or prohibit activities 
169.8 	relating to livestock production, a public hearing must be held following a ten-day notice 
169.9 	given by publication in a newspaper of general circulation in the municipality before 
169.10 	the interim ordinance takes effect.
169.11 	(c) If a proposed interim ordinance by a statutory or home rule charter city purports 
169.12 	to regulate, restrict, or prohibit activities relating to housing, a public hearing must be held 
169.13 	following a ten-day notice given by publication in a newspaper of general circulation in 
169.14 	the municipality before the interim ordinance takes effect.
169.15 	(d) The period of an interim ordinance applicable to an area that is affected by 
169.16 	a city's master plan for a municipal airport may be extended for such additional periods 
169.17 	as the municipality may deem appropriate, not exceeding a total additional period of 18 
169.18 	months. In all other cases, no interim ordinance may halt, delay, or impede a subdivision 
169.19 	that has been given preliminary approval, nor may any interim ordinance extend the 
169.20 	time deadline for agency action set forth in section 15.99 with respect to any application 
169.21 	filed prior to the effective date of the interim ordinance. The governing body of the 
169.22 	municipality may extend the interim ordinance after a public hearing and written findings 
169.23 	have been adopted based upon one or more of the conditions in clause (1), (2), or (3). 
169.24 	The public hearing must be held at least 15 days but not more than 30 days before the 
169.25 	expiration of the interim ordinance, and notice of the hearing must be published at least 
169.26 	ten days before the hearing. The interim ordinance may be extended for the following 
169.27 	conditions and durations, but, except as provided in clause (3), an interim ordinance may 
169.28 	not be extended more than an additional 18 months:
169.29 	(1) up to an additional 120 days following the receipt of the final approval or review 
169.30 	by a federal, state, or metropolitan agency when the approval is required by law and the 
169.31 	review or approval has not been completed and received by the municipality at least 30 
169.32 	days before the expiration of the interim ordinance;
169.33 	(2) up to an additional 120 days following the completion of any other process 
169.34 	required by a state statute, federal law, or court order, when the process is not completed at 
169.35 	least 30 days before the expiration of the interim ordinance; or
170.1 	(3) up to an additional one year if the municipality has not adopted a comprehensive 
170.2 	plan under this section at the time the interim ordinance is enacted.

170.3 	EFFECTIVE DATE. This section is effective for interim ordinances proposed on 
170.4 	or after August 1, 2016.

170.5 	Sec. 40. Minnesota Statutes 2014, section 471.6161, subdivision 8, is amended to read:
170.6 		Subd. 8.School districts; group health insurance coverage. (a) Any entity 
170.7 	providing group health insurance coverage to a school district must provide the school 
170.8 	district with school district-specific nonidentifiable aggregate claims records for the most 
170.9 	recent 24 months within 30 days of the request.
170.10 	(b) School districts shall request proposals for group health insurance coverage as 
170.11 	provided in subdivision 2 from a minimum of three potential sources of coverage. One of 
170.12 	these requests must go to an administrator governed by chapter 43A. Entities referenced 
170.13 	in subdivision 1 must respond to requests for proposals received directly from a school 
170.14 	district. School districts that are self-insured must also follow these provisions, except 
170.15 	as provided in paragraph (f). School districts must make requests for proposals at least 
170.16 	150 days prior to the expiration of the existing contract but not more frequently than once 
170.17 	every 24 months. The request for proposals must include the most recently available 
170.18 	24 months of nonidentifiable aggregate claims data. The request for proposals must be 
170.19 	publicly released at or prior to its release to potential sources of coverage.
170.20 	(c) School district contracts for group health insurance must not be longer than two 
170.21 	five years unless the exclusive representative of the largest employment group and the 
170.22 	school district agree otherwise, except that contracts for group health insurance negotiated 
170.23 	in connection with a service cooperative, governed by section 123A.21, must not be 
170.24 	longer than four years.
170.25 	(d) All initial proposals shall be sealed upon receipt until they are all opened no less 
170.26 	than 90 days prior to the plan's renewal date in the presence of up to three representatives 
170.27 	selected by the exclusive representative of the largest group of employees. Section 13.591, 
170.28 	subdivision 3, paragraph (b), applies to data in the proposals. The representatives of 
170.29 	the exclusive representative must maintain the data according to this classification and 
170.30 	are subject to the remedies and penalties under sections 13.08 and 13.09 for a violation 
170.31 	of this requirement.
170.32 	(e) A school district, in consultation with the same representatives referenced in 
170.33 	paragraph (d), may continue to negotiate with any entity that submitted a proposal under 
170.34 	paragraph (d) in order to reduce costs or improve services under the proposal. Following 
170.35 	the negotiations any entity that submitted an initial proposal may submit a final proposal 
171.1 	incorporating the negotiations, which is due no less than 75 days prior to the plan's 
171.2 	renewal date. All the final proposals submitted must be opened at the same time in the 
171.3 	presence of up to three representatives selected by the exclusive representative of the 
171.4 	largest group of employees. Notwithstanding section 13.591, subdivision 3, paragraph (b), 
171.5 	following the opening of the final proposals, all the proposals, including any made under 
171.6 	paragraph (d), and other data submitted in connection with the proposals are public data. 
171.7 	The school district may choose from any of the initial or final proposals without further 
171.8 	negotiations and in accordance with subdivision 5, but not sooner than 15 days after 
171.9 	the proposals become public data.
171.10 	(f) School districts that are self-insured shall follow all of the requirements of this 
171.11 	section, except that:
171.12 	(1) their requests for proposals may be for third-party administrator services, where 
171.13 	applicable;
171.14 	(2) these requests for proposals must be from a minimum of three different sources, 
171.15 	which may include both entities referenced in subdivision 1 and providers of third-party 
171.16 	administrator services;
171.17 	(3) for purposes of fulfilling the requirement to request a proposal for group 
171.18 	insurance coverage from an administrator governed by chapter 43A, self-insured districts 
171.19 	are not required to include in the request for proposal the coverage to be provided;
171.20 	(4) a district that is self-insured on or before the date of enactment, or that is 
171.21 	self-insured with more than 1,000 insured lives, or a district in which the school board 
171.22 	adopted a motion on or before May 14, 2014, to approve a self-insured health care plan 
171.23 	to be effective July 1, 2014, may, but need not, request a proposal from an administrator 
171.24 	governed by chapter 43A;
171.25 	(5) (3)  requests for proposals must be sent to providers no less than 90 days prior to 
171.26 	the expiration of the existing contract; and
171.27 	(6) (4) proposals must be submitted at least 60 days prior to the plan's renewal date 
171.28 	and all proposals shall be opened at the same time and in the presence of the exclusive 
171.29 	representative, where applicable.
171.30 	(g) Nothing in this section shall restrict the authority granted to school district boards 
171.31 	of education by section 471.59, except that districts will not be considered self-insured for 
171.32 	purposes of this subdivision solely through participation in a joint powers arrangement.
171.33 	(h) An entity providing group health insurance to a school district under a multiyear 
171.34 	contract must give notice of any rate or plan design changes applicable under the contract 
171.35 	at least 90 days before the effective date of any change. The notice must be given to the 
171.36 	school district and to the exclusive representatives of employees.
172.1 	(i) The exclusive representative of the largest group of employees shall comply 
172.2 	with this subdivision and must not exercise any of their abilities under section 43A.316, 
172.3 	subdivision 5, notwithstanding anything contained in that section, or any other law to the 
172.4 	contrary.

172.5 	EFFECTIVE DATE. This section is effective the day following final enactment.

172.6 	Sec. 41. Minnesota Statutes 2014, section 471.617, subdivision 2, is amended to read:
172.7 		Subd. 2.Jointly. Any two or more statutory or home rule charter cities, counties, 
172.8 	school districts, or instrumentalities thereof which together have more than 100 employees 
172.9 	may jointly self-insure for any employee health benefits including long-term disability, but 
172.10 	not for employee life benefits, subject to the same requirements as an individual self-insurer 
172.11 	under subdivision 1. Self-insurance pools under this section are subject to section 62L.045. 
172.12 	A self-insurance pool established and operated by one or more service cooperatives 
172.13 	governed by section 123A.21 to provide coverage described in this subdivision qualifies 
172.14 	under this subdivision, but the individual school district members of such a pool shall not 
172.15 	be considered to be self-insured for purposes of section 471.6161, subdivision 8, paragraph 
172.16 	(f). The commissioner of commerce may adopt rules pursuant to chapter 14, providing 
172.17 	standards or guidelines for the operation and administration of self-insurance pools.

172.18 	Sec. 42. Laws 2015, chapter 77, article 1, section 11, subdivision 4, is amended to read:

172.19	Subd. 4.Fiscal Agent
 		12,957,000
		11,737,000
	
172.20 	The appropriations under this section are to 
172.21 	the commissioner of administration for the 
172.22 	purposes specified.
172.23 	In-Lieu of Rent. $8,158,000 the first year 
172.24 	and $8,158,000 the second year are for 
172.25 	space costs of the legislature and veterans 
172.26 	organizations, ceremonial space, and 
172.27 	statutorily free space. In-lieu of rent may be 
172.28 	used for rent loss and relocation expenses 
172.29 	related to the Capitol restoration in the fiscal 
172.30 	year 2014-2015 biennium and fiscal year 
172.31 	2016-2017 biennium. 
172.32 	Relocation Expenses. $1,380,000 the first 
172.33 	year and $960,000 the second year are for 
173.1 	rent loss and relocation expenses related 
173.2 	to the Capitol renovation project. This is a 
173.3 	onetime appropriation.
173.4 	Public Broadcasting. (a) $1,550,000 the 
173.5 	first year and $1,550,000 the second year are 
173.6 	for matching grants for public television.
173.7 	(b) $550,000 the first year and $250,000 
173.8 	the second year are for public television 
173.9 	equipment grants under Minnesota Statutes, 
173.10 	section 129D.13.
173.11 	(c) The commissioner of administration 
173.12 	must consider the recommendations of the 
173.13 	Minnesota Public Television Association 
173.14 	before allocating the amount appropriated 
173.15 	in paragraphs (a) and (b) for equipment or 
173.16 	matching grants.
173.17 	(d) $592,000 the first year and $392,000 the 
173.18 	second year are for community service grants 
173.19 	to public educational radio stations. This 
173.20 	appropriation may be used to disseminate 
173.21 	emergency information in foreign languages.
173.22 	(e) $167,000 the first year and $117,000 
173.23 	the second year are for equipment grants 
173.24 	to public educational radio stations. This 
173.25 	appropriation may be used for the repair, 
173.26 	rental, and purchase of equipment including 
173.27 	equipment under $500.
173.28 	(f) $560,000 the first year and $310,000 
173.29 	the second year are for equipment grants 
173.30 	to Minnesota Public Radio, Inc., including 
173.31 	upgrades to Minnesota's Emergency Alert 
173.32 	and AMBER Alert Systems.
173.33 	(g) The appropriations in paragraphs (d), 
173.34 	(e), and (f), may not be used for indirect 
174.1 	costs claimed by an institution or governing 
174.2 	body. The commissioner of administration 
174.3 	must consider the recommendations of 
174.4 	the Minnesota Public Educational Radio 
174.5 	Stations before awarding grants under 
174.6 	Minnesota Statutes, section 129D.14, using 
174.7 	the appropriations in paragraphs (d), and (e), 
174.8 	and (f). No grantee is eligible for a grant of 
174.9 	the appropriations in paragraphs (d) and (e) 
174.10 	unless they are a member of the Association 
174.11 	of Minnesota Public Educational Radio 
174.12 	Stations on or before July 1, 2015.
174.13 	(h) Any unencumbered balance remaining 
174.14 	the first year for grants to public television or 
174.15 	radio stations does not cancel and is available 
174.16 	for the second year.

174.17 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2015.

174.18 	Sec. 43. REPORT ON STATE EMPLOYEE OUT-OF-STATE TRAVEL 
174.19 	EXPENSES.
 174.20 	The commissioner of management and budget shall audit state employee out-of-state 
174.21 	travel expenses incurred between July 1, 2013, and June 30, 2016. The audit shall identify 
174.22 	the amount spent on nonessential travel. For purposes of this section, travel is nonessential 
174.23 	unless it is necessary to protect the safety or other essential interests of the citizens of the 
174.24 	state. The commissioner of management and budget shall report to the chairs and ranking 
174.25 	minority members of the legislative committees in the house of representatives and senate 
174.26 	with jurisdiction over state employees by February 17, 2017. The commissioner must use 
174.27 	the department's existing budget to fund the audit.

174.28 	Sec. 44. STATE AUDITOR REPORT.
 174.29 	The state auditor must report to the chairs and ranking minority members of the 
174.30 	house of representatives and senate finance committees with jurisdiction over the Office 
174.31 	of the State Auditor by January 15, 2017. The report must include a strategic plan to 
174.32 	ensure that all local governments receive adequate oversight from the Office of the State 
174.33 	Auditor. In preparing this strategic plan, the state auditor must assess what types of audits 
175.1 	performed by the Office of the State Auditor are the most effective mechanisms for 
175.2 	ensuring that public funds have been used appropriately, what types of audit work can be 
175.3 	performed efficiently by certified public accounting (CPA) firms, and what is the most 
175.4 	effective deployment of audit resources available to the Office of the State Auditor. The 
175.5 	report must also evaluate the continuing importance of the reports, other than financial 
175.6 	audits, that the Office of the State Auditor produces on a regular basis.

175.7 	Sec. 45. PARKING RAMP FINANCING.
 175.8 	The debt service on the design and construction costs allocated to the parking garage 
175.9 	located on the block bounded by Sherburne Avenue on the north, Park Street on the west, 
175.10 	University Avenue on the south, and North Capitol Boulevard on the east must be paid 
175.11 	for exclusively by fees charged to persons parking in that parking garage. No fees may 
175.12 	be charged to members of the public parking in spaces designated for persons with a 
175.13 	disability parking certificate.

175.14 	Sec. 46. REPORT ON MNSURE COSTS TO COUNTIES.
 175.15 	The state auditor must report to the legislature by January 15, 2017, on costs 
175.16 	incurred by Minnesota counties related to eligibility determinations and related enrollment 
175.17 	activities for medical assistance enrollees and MinnesotaCare enrollees that are due to 
175.18 	implementing the Minnesota Eligibility Technology System administered by MNsure.

175.19 	Sec. 47. LEGISLATIVE SURROGACY COMMISSION.
 175.20 		Subdivision 1.Membership. The Legislative Commission on Surrogacy shall 
175.21 	consist of 15 members, appointed as follows:
175.22 	(1) three members of the senate appointed by the senate majority leader;
175.23 	(2) three members of the senate appointed by the senate minority leader;
175.24 	(3) three members of the house of representatives appointed by the speaker of the 
175.25 	house;
175.26 	(4) three members of the house of representatives appointed by the house of 
175.27 	representatives minority leader;
175.28 	(5) the commissioner of human services or the commissioner's designee;
175.29 	(6) the commissioner of health or the commissioner's designee; and
175.30 	(7) a family court referee appointed by the chief justice of the state Supreme Court.
175.31 	Appointments must be made by June 1, 2016.
175.32 		Subd. 2.Chair. The commission shall elect a chair from among its members.
176.1 		Subd. 3.Meetings. The ranking majority member of the commission who is 
176.2 	appointed by the senate majority leader shall convene the first meeting by July 1, 2016. 
176.3 	The commission shall have at least six meetings but may not have more than ten meetings.
176.4 		Subd. 4.Conflict of interest. A commission member may not participate in or 
176.5 	vote on a decision of the commission in which the member has either a direct or indirect 
176.6 	personal financial interest. A witness at a public meeting of the commission must disclose 
176.7 	any financial conflict of interest.
176.8 		Subd. 5.Duties. The commission shall develop recommendations on public policy 
176.9 	and laws regarding surrogacy. To develop the recommendations, the commission shall 
176.10 	study surrogacy through public hearings, research, and deliberation. Topics for study 
176.11 	include, but are not limited to:
176.12 	(1) potential health and psychological effects and benefits on women who serve 
176.13 	as surrogates;
176.14 	(2) potential health and psychological effects and benefits on children born of 
176.15 	surrogates;
176.16 	(3) business practices of the fertility industry, including attorneys, brokers, and 
176.17 	clinics;
176.18 	(4) considerations related to different forms of surrogacy;
176.19 	(5) considerations related to the potential exploitation of women in surrogacy 
176.20 	arrangements;
176.21 	(6) contract law implications when a surrogacy contract is breached;
176.22 	(7) potential conflicts with statutes governing private adoption and termination 
176.23 	of parental rights;
176.24 	(8) potential for legal conflicts related to third-party reproduction, including conflicts 
176.25 	between or amongst the surrogate mother, the intended parents, the child, insurance 
176.26 	companies, and medical professionals;
176.27 	(9) public policy determinations of other jurisdictions with regard to surrogacy; and
176.28 	(10) information to be provided to a child born of a surrogate about the child's 
176.29 	biological and gestational parents.
176.30 		Subd. 6.Reporting. The commission must submit a report including its 
176.31 	recommendations and may draft legislation to implement its recommendations to 
176.32 	the chairs and ranking minority members of the legislative committees with primary 
176.33 	jurisdiction over health and judiciary in the house of representatives and senate by 
176.34 	December 15, 2016. On topics where the commission fails to reach consensus, a majority 
176.35 	and minority report shall be issued.
177.1 		Subd. 7.Staffing. The Legislative Coordinating Commission shall provide staffing 
177.2 	and administrative support to the commission.
177.3 		Subd. 8.Expiration. The commission expires the day after submitting the report 
177.4 	required under subdivision 6.

177.5 	EFFECTIVE DATE. This section is effective the day following final enactment.

177.6 	Sec. 48. LCPFP STUDY OF JOINT BUDGET TARGET PROCESS; TIMING.
 177.7 	The Legislative Commission on Planning and Fiscal Policy shall study and make 
177.8 	recommendations to the legislature by January 15, 2017, on the process and timing for 
177.9 	the legislature to establish joint budget targets. In preparing its recommendations, the 
177.10 	commission must take public testimony.

177.11 	Sec. 49.  REPEALER.
 177.12 	(a) Minnesota Statutes 2014, section 6.581, subdivision 1, is repealed.
177.13 	(b) Minnesota Statutes 2014, section 3.886, is repealed.

177.14 	ARTICLE 12
177.15 	PUBLIC SAFETY

177.16 	Section 1. Minnesota Statutes 2014, section 169.444, subdivision 2, is amended to read:
177.17 		Subd. 2.Violations by drivers; penalties. (a) A person who fails to stop a vehicle 
177.18 	or to keep it stopped, as required in subdivision 1, or who violates subdivision 1a, is guilty 
177.19 	of a misdemeanor punishable by a fine of not less than $300 $500.
177.20 	(b) A person is guilty of a gross misdemeanor if the person fails to stop a motor 
177.21 	vehicle or to keep it stopped, as required in subdivision 1, or who violates subdivision 1a, 
177.22 	and commits either or both of the following acts:
177.23 	(1) passes or attempts to pass the school bus in a motor vehicle on the right-hand, 
177.24 	passenger-door side of the bus; or
177.25 	(2) passes or attempts to pass the school bus in a motor vehicle when a school child is 
177.26 	outside of and on the street or highway used by the school bus or on the adjacent sidewalk.

177.27 	EFFECTIVE DATE. This section is effective August 1, 2016, and applies to 
177.28 	violations committed on and after that date.

177.29 	Sec. 2. Minnesota Statutes 2014, section 171.24, is amended to read:
177.30 	171.24 VIOLATIONS; DRIVING WITHOUT VALID LICENSE.
178.1 		Subdivision 1.Driving after suspension; misdemeanor. Except as otherwise 
178.2 	provided in subdivision 5, a person is guilty of a misdemeanor if:
178.3 	(1) the person's driver's license or driving privilege has been suspended;
178.4 	(2) the person has been given notice of or reasonably should know of the suspension; 
178.5 	and
178.6 	(3) the person disobeys the order by operating in this state any motor vehicle, the 
178.7 	operation of which requires a driver's license, while the person's license or privilege 
178.8 	is suspended.
178.9 		Subd. 2.Driving after revocation; misdemeanor. Except as otherwise provided 
178.10 	in subdivision 5, a person is guilty of a misdemeanor if:
178.11 	(1) the person's driver's license or driving privilege has been revoked;
178.12 	(2) the person has been given notice of or reasonably should know of the revocation; 
178.13 	and
178.14 	(3) the person disobeys the order by operating in this state any motor vehicle, the 
178.15 	operation of which requires a driver's license, while the person's license or privilege is 
178.16 	revoked.
178.17 		Subd. 3.Driving after cancellation; misdemeanor. Except as otherwise provided 
178.18 	in subdivision 5, a person is guilty of a misdemeanor if:
178.19 	(1) the person's driver's license or driving privilege has been canceled;
178.20 	(2) the person has been given notice of or reasonably should know of the 
178.21 	cancellation; and
178.22 	(3) the person disobeys the order by operating in this state any motor vehicle, the 
178.23 	operation of which requires a driver's license, while the person's license or privilege is 
178.24 	canceled.
178.25 		Subd. 4.Driving after disqualification; misdemeanor. Except as otherwise 
178.26 	provided in subdivision 5, a person is guilty of a misdemeanor if the person:
178.27 	(1) has been disqualified from holding a commercial driver's license or been denied 
178.28 	the privilege to operate a commercial motor vehicle;
178.29 	(2) has been given notice of or reasonably should know of the disqualification; and
178.30 	(3) disobeys the order by operating in this state a commercial motor vehicle while 
178.31 	the person is disqualified to hold the license or privilege.
178.32 		Subd. 5.Gross misdemeanor violations. (a) A person is guilty of a gross 
178.33 	misdemeanor if:
178.34 	(1) the person's driver's license or driving privilege has been canceled or denied 
178.35 	under section 171.04, subdivision 1, clause (10);
179.1 	(2) the person has been given notice of or reasonably should know of the cancellation 
179.2 	or denial; and
179.3 	(3) the person disobeys the order by operating in this state any motor vehicle, the 
179.4 	operation of which requires a driver's license, while the person's license or privilege is 
179.5 	canceled or denied.
179.6 	(b) A person is guilty of a gross misdemeanor if the person violates this section and 
179.7 	causes a collision resulting in substantial bodily harm or death to another.
179.8 	(c) A person is guilty of a gross misdemeanor and is subject to the minimum penalty 
179.9 	under subdivision 5a, paragraph (b), if the person violates this section within ten years of 
179.10 	the first of two prior convictions under this section.
179.11 		Subd. 5a.Minimum penalties. (a) A person who is convicted under this section 
179.12 	a second time must, at a minimum, be sentenced to pay a fine of at least $750. This 
179.13 	paragraph does not apply to penalties under subdivision 5, paragraph (c).
179.14 	(b) A person who is convicted under this section a third or subsequent time must, at 
179.15 	a minimum, be sentenced to pay a fine of at least $1,500.
179.16 	(c) The court may order a person to perform community work service in lieu of all or 
179.17 	a portion of the minimum fine required under this subdivision if the court makes specific 
179.18 	findings on the record that the convicted person is indigent or that payment of the fine 
179.19 	would create undue hardship for the convicted person or that person's immediate family.
179.20 		Subd. 6.Responsibility for prosecution. (a) The attorney in the jurisdiction 
179.21 	in which the violation occurred who is responsible for prosecution of misdemeanor 
179.22 	violations of this section is also responsible for prosecution of gross misdemeanor 
179.23 	violations of this section.
179.24 	(b) Nothing in this section or section 609.035 or 609.04 shall limit the power of the 
179.25 	state to prosecute or punish a person for conduct that constitutes any other crime under 
179.26 	any other law of this state.
179.27 		Subd. 7.Sufficiency of notice. (a) Notice of revocation, suspension, cancellation, 
179.28 	or disqualification is sufficient if personally served, or if mailed by first class mail to the 
179.29 	person's last known address or to the address listed on the person's driver's license. Notice 
179.30 	is also sufficient if the person was informed that revocation, suspension, cancellation, or 
179.31 	disqualification would be imposed upon a condition occurring or failing to occur, and 
179.32 	where the condition has in fact occurred or failed to occur.
179.33 	(b) It is not a defense that a person failed to file a change of address with the post 
179.34 	office, or failed to notify the Department of Public Safety of a change of name or address 
179.35 	as required under section 171.11.
180.1 		Subd. 8.Definition. For the purposes of this section, "substantial bodily harm" has 
180.2 	the meaning given in section 609.02, subdivision 7a.

180.3 	EFFECTIVE DATE. This section is effective August 1, 2016, and applies to 
180.4 	offenses committed on or after that date.

180.5 	Sec. 3. [325E.041] SENSORY TESTING RESEARCH.
180.6 		Subdivision 1.Definitions. For purposes of this section, the following terms have 
180.7 	the meanings given:
180.8 	(1) "sensory testing firm" means a business that tests consumer reaction to physical 
180.9 	aspects of products for a third-party client;
180.10 	(2) "trained sensory assessors" means members of the public at least 21 years of age 
180.11 	selected by sensory testing firms and trained for a minimum of one hour to test products;
180.12 	(3) "sensory testing facility" means a facility specifically designed as a controlled 
180.13 	environment for testing; and
180.14 	(4) "department" means the Department of Public Safety.
180.15 		Subd. 2.Allowed activities. Notwithstanding any law to the contrary, a sensory 
180.16 	testing firm may possess and may purchase alcohol at retail or wholesale, and may allow 
180.17 	consumption of that alcohol, by trained sensory assessors for testing purposes at their 
180.18 	facility, provided that:
180.19 	(1) the firm must comply with section 340A.409 and all other state laws that do not 
180.20 	conflict with this section;
180.21 	(2) firms choosing to serve alcohol must be licensed by the department, which may 
180.22 	assess a fee sufficient to cover costs; and
180.23 	(3) records of testing protocols must be retained by the firm for at least one year.

180.24 	EFFECTIVE DATE. This section is effective the day following final enactment.

180.25 	Sec. 4. Laws 2015, chapter 65, article 1, section 18, is amended to read:

180.26
180.27
180.28	Sec. 18. AVIAN INFLUENZA AND 
AGRICULTURAL EMERGENCY 
RESPONSE.
 					
180.29 	Notwithstanding Minnesota Statutes, section 
180.30 	12.221, subdivision 6, for fiscal years 
180.31 	2016 and 2017 through June 30, 2019,
180.32 	only, the disaster contingency account, 
180.33 	under Minnesota Statutes, section 12.221, 
181.1 	subdivision 6, may be used to pay for 
181.2 	costs of eligible avian influenza emergency 
181.3 	response activities for avian influenza and 
181.4 	any agricultural emergency. By January 15, 
181.5 	2018, and again by January 15, 2020, the 
181.6 	commissioner of management and budget 
181.7 	must report to the chairs and ranking minority 
181.8 	members of the senate Finance Committee 
181.9 	and the house of representatives Committee 
181.10 	on Ways and Means on any amount used 
181.11 	for avian influenza the purposes authorized
181.12 	under this section.

181.13 	Sec. 5. CORRECTIONAL FACILITY CONTRACT.
 181.14 	The commissioner, in order to address bed capacity shortfalls, shall attempt to 
181.15 	complete negotiations by January 1, 2017, of a contract to operate and purchase or lease to 
181.16 	own an existing prison facility with a capacity of at least 1,500 beds located in Appleton, 
181.17 	Minnesota. The contract negotiated under this section must be reviewed and approved by 
181.18 	the legislature before its final execution.

181.19 	Sec. 6. TRANSFER; APPROPRIATION.
 181.20 	Notwithstanding Minnesota Statutes, section 241.27, the commissioner of 
181.21 	management and budget shall transfer $1,000,000 in fiscal year 2017 from the Minnesota 
181.22 	correctional industries revolving fund to the general fund. This is a onetime transfer.