1.1 	A bill for an act
1.2 	relating to human services; the human services omnibus budget bill; modifying 
1.3 	provisions related to disability services, aging services, substance use disorder 
1.4 	treatment services, priority admissions to state-operated programs and civil 
1.5 	commitment, and Direct Care and Treatment; modifying provisions related to 
1.6 	licensing of assisted living facilities; making technical changes; appropriating 
1.7 	money;amending Minnesota Statutes 2022, sections 13.46, subdivisions 1, as 
1.8 	amended, 10, as amended; 144G.41, subdivision 1, by adding subdivisions; 
1.9 	144G.63, subdivisions 1, 4; 145.61, subdivision 5; 245.821, subdivision 1; 245.825, 
1.10 	subdivision 1; 245A.11, subdivision 2a; 246.018, subdivision 3, as amended; 
1.11 	246.13, subdivision 2, as amended; 246.234, as amended; 246.36, as amended; 
1.12 	246.511, as amended; 252.27, subdivision 2b; 252.282, subdivision 1, by adding 
1.13 	a subdivision; 256.88; 256.89; 256.90; 256.91; 256.92; 256B.02, subdivision 11; 
1.14 	256B.073, subdivision 4; 256B.0911, subdivisions 12, 17, 20, 25; 256B.0913, 
1.15 	subdivision 5a; 256B.0924, subdivision 3; 256B.434, by adding a subdivision; 
1.16 	256B.49, subdivision 16, by adding a subdivision; 256B.4911, by adding 
1.17 	subdivisions; 256B.77, subdivision 7a; 256R.53, by adding a subdivision; 256S.205, 
1.18 	subdivision 5; 447.42, subdivision 1; Minnesota Statutes 2023 Supplement, sections 
1.19 	10.65, subdivision 2; 13.46, subdivision 2, as amended; 15.01; 15.06, subdivision 
1.20 	1; 15A.0815, subdivision 2; 15A.082, subdivisions 1, 3, 7; 43A.08, subdivisions 
1.21 	1, 1a; 246C.01; 246C.02, as amended; 246C.04, as amended; 246C.05, as amended; 
1.22 	253B.10, subdivision 1; 256.042, subdivision 2; 256.043, subdivision 3; 256.9756, 
1.23 	subdivisions 1, 2; 256B.073, subdivision 3; 256B.0911, subdivision 13; 256B.0913, 
1.24 	subdivision 5; 256B.4914, subdivision 10d; 256R.55, subdivision 9; 270B.14, 
1.25 	subdivision 1; Laws 2021, First Special Session chapter 7, article 13, section 68; 
1.26 	Laws 2023, chapter 61, article 1, sections 59, subdivisions 2, 3; 60, subdivisions 
1.27 	1, 2; 67, subdivision 3; article 4, section 11; article 8, sections 1; 2; 3; 8; article 9, 
1.28 	section 2, subdivisions 5, 13, 16, as amended, 18; Laws 2024, chapter 79, article 
1.29 	1, sections 3; 18; 23; 24; 25, subdivision 3; article 10, sections 1; 6; Laws 2024, 
1.30 	chapter 85, section 53; proposing coding for new law in Minnesota Statutes, 
1.31 	chapters 144G; 245D; 246; 246C; 256S; repealing Minnesota Statutes 2022, 
1.32 	sections 246.41; 252.021; 252.27, subdivisions 1a, 2, 3, 4a, 5, 6; 256B.0916, 
1.33 	subdivision 10; Minnesota Statutes 2023 Supplement, sections 246C.03; 252.27, 
1.34 	subdivision 2a.
2.1 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

2.2 	ARTICLE 1
2.3 	DISABILITY SERVICES

2.4 	Section 1. Minnesota Statutes 2023 Supplement, section 13.46, subdivision 2, as amended 
2.5 	by Laws 2024, chapter 80, article 8, section 2, is amended to read:
2.6 		Subd. 2.General. (a) Data on individuals collected, maintained, used, or disseminated 
2.7 	by the welfare system are private data on individuals, and shall not be disclosed except:
2.8 	(1) according to section 13.05;
2.9 	(2) according to court order;
2.10 	(3) according to a statute specifically authorizing access to the private data;
2.11 	(4) to an agent of the welfare system and an investigator acting on behalf of a county, 
2.12 	the state, or the federal government, including a law enforcement person or attorney in the 
2.13 	investigation or prosecution of a criminal, civil, or administrative proceeding relating to the 
2.14 	administration of a program;
2.15 	(5) to personnel of the welfare system who require the data to verify an individual's 
2.16 	identity; determine eligibility, amount of assistance, and the need to provide services to an 
2.17 	individual or family across programs; coordinate services for an individual or family; 
2.18 	evaluate the effectiveness of programs; assess parental contribution amounts; and investigate 
2.19 	suspected fraud;
2.20 	(6) to administer federal funds or programs;
2.21 	(7) between personnel of the welfare system working in the same program;
2.22 	(8) to the Department of Revenue to assess parental contribution amounts for purposes 
2.23 	of section 252.27, subdivision 2a, administer and evaluate tax refund or tax credit programs 
2.24 	and to identify individuals who may benefit from these programs, and prepare the databases 
2.25 	for reports required under section 270C.13 and Laws 2008, chapter 366, article 17, section 
2.26 	6. The following information may be disclosed under this paragraph: an individual's and 
2.27 	their dependent's names, dates of birth, Social Security or individual taxpayer identification 
2.28 	numbers, income, addresses, and other data as required, upon request by the Department 
2.29 	of Revenue. Disclosures by the commissioner of revenue to the commissioner of human 
2.30 	services for the purposes described in this clause are governed by section 270B.14, 
2.31 	subdivision 1. Tax refund or tax credit programs include, but are not limited to, the dependent 
2.32 	care credit under section 290.067, the Minnesota working family credit under section 
3.1 	290.0671, the property tax refund under section 290A.04, and the Minnesota education 
3.2 	credit under section 290.0674;
3.3 	(9) between the Department of Human Services; the Department of Employment and 
3.4 	Economic Development; the Department of Children, Youth, and Families; and, when 
3.5 	applicable, the Department of Education, for the following purposes:
3.6 	(i) to monitor the eligibility of the data subject for unemployment benefits, for any 
3.7 	employment or training program administered, supervised, or certified by that agency;
3.8 	(ii) to administer any rehabilitation program or child care assistance program, whether 
3.9 	alone or in conjunction with the welfare system;
3.10 	(iii) to monitor and evaluate the Minnesota family investment program or the child care 
3.11 	assistance program by exchanging data on recipients and former recipients of Supplemental 
3.12 	Nutrition Assistance Program (SNAP) benefits, cash assistance under chapter 256, 256D, 
3.13 	256J, or 256K, child care assistance under chapter 119B, medical programs under chapter 
3.14 	256B or 256L; and
3.15 	(iv) to analyze public assistance employment services and program utilization, cost, 
3.16 	effectiveness, and outcomes as implemented under the authority established in Title II, 
3.17 	Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999. 
3.18 	Health records governed by sections 144.291 to 144.298 and "protected health information" 
3.19 	as defined in Code of Federal Regulations, title 45, section 160.103, and governed by Code 
3.20 	of Federal Regulations, title 45, parts 160-164, including health care claims utilization 
3.21 	information, must not be exchanged under this clause;
3.22 	(10) to appropriate parties in connection with an emergency if knowledge of the 
3.23 	information is necessary to protect the health or safety of the individual or other individuals 
3.24 	or persons;
3.25 	(11) data maintained by residential programs as defined in section 245A.02 may be 
3.26 	disclosed to the protection and advocacy system established in this state according to Part 
3.27 	C of Public Law 98-527 to protect the legal and human rights of persons with developmental 
3.28 	disabilities or other related conditions who live in residential facilities for these persons if 
3.29 	the protection and advocacy system receives a complaint by or on behalf of that person and 
3.30 	the person does not have a legal guardian or the state or a designee of the state is the legal 
3.31 	guardian of the person;
3.32 	(12) to the county medical examiner or the county coroner for identifying or locating 
3.33 	relatives or friends of a deceased person;
4.1 	(13) data on a child support obligor who makes payments to the public agency may be 
4.2 	disclosed to the Minnesota Office of Higher Education to the extent necessary to determine 
4.3 	eligibility under section 136A.121, subdivision 2, clause (5);
4.4 	(14) participant Social Security or individual taxpayer identification numbers and names 
4.5 	collected by the telephone assistance program may be disclosed to the Department of 
4.6 	Revenue to conduct an electronic data match with the property tax refund database to 
4.7 	determine eligibility under section 237.70, subdivision 4a;
4.8 	(15) the current address of a Minnesota family investment program participant may be 
4.9 	disclosed to law enforcement officers who provide the name of the participant and notify 
4.10 	the agency that:
4.11 	(i) the participant:
4.12 	(A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after 
4.13 	conviction, for a crime or attempt to commit a crime that is a felony under the laws of the 
4.14 	jurisdiction from which the individual is fleeing; or
4.15 	(B) is violating a condition of probation or parole imposed under state or federal law;
4.16 	(ii) the location or apprehension of the felon is within the law enforcement officer's 
4.17 	official duties; and
4.18 	(iii) the request is made in writing and in the proper exercise of those duties;
4.19 	(16) the current address of a recipient of general assistance may be disclosed to probation 
4.20 	officers and corrections agents who are supervising the recipient and to law enforcement 
4.21 	officers who are investigating the recipient in connection with a felony level offense;
4.22 	(17) information obtained from a SNAP applicant or recipient households may be 
4.23 	disclosed to local, state, or federal law enforcement officials, upon their written request, for 
4.24 	the purpose of investigating an alleged violation of the Food and Nutrition Act, according 
4.25 	to Code of Federal Regulations, title 7, section 272.1(c);
4.26 	(18) the address, Social Security or individual taxpayer identification number, and, if 
4.27 	available, photograph of any member of a household receiving SNAP benefits shall be made 
4.28 	available, on request, to a local, state, or federal law enforcement officer if the officer 
4.29 	furnishes the agency with the name of the member and notifies the agency that:
4.30 	(i) the member:
4.31 	(A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a 
4.32 	crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;
5.1 	(B) is violating a condition of probation or parole imposed under state or federal law; 
5.2 	or
5.3 	(C) has information that is necessary for the officer to conduct an official duty related 
5.4 	to conduct described in subitem (A) or (B);
5.5 	(ii) locating or apprehending the member is within the officer's official duties; and
5.6 	(iii) the request is made in writing and in the proper exercise of the officer's official duty;
5.7 	(19) the current address of a recipient of Minnesota family investment program, general 
5.8 	assistance, or SNAP benefits may be disclosed to law enforcement officers who, in writing, 
5.9 	provide the name of the recipient and notify the agency that the recipient is a person required 
5.10 	to register under section 243.166, but is not residing at the address at which the recipient is 
5.11 	registered under section 243.166;
5.12 	(20) certain information regarding child support obligors who are in arrears may be 
5.13 	made public according to section 518A.74;
5.14 	(21) data on child support payments made by a child support obligor and data on the 
5.15 	distribution of those payments excluding identifying information on obligees may be 
5.16 	disclosed to all obligees to whom the obligor owes support, and data on the enforcement 
5.17 	actions undertaken by the public authority, the status of those actions, and data on the income 
5.18 	of the obligor or obligee may be disclosed to the other party;
5.19 	(22) data in the work reporting system may be disclosed under section 256.998, 
5.20 	subdivision 7;
5.21 	(23) to the Department of Education for the purpose of matching Department of Education 
5.22 	student data with public assistance data to determine students eligible for free and 
5.23 	reduced-price meals, meal supplements, and free milk according to United States Code, 
5.24 	title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and state 
5.25 	funds that are distributed based on income of the student's family; and to verify receipt of 
5.26 	energy assistance for the telephone assistance plan;
5.27 	(24) the current address and telephone number of program recipients and emergency 
5.28 	contacts may be released to the commissioner of health or a community health board as 
5.29 	defined in section 145A.02, subdivision 5, when the commissioner or community health 
5.30 	board has reason to believe that a program recipient is a disease case, carrier, suspect case, 
5.31 	or at risk of illness, and the data are necessary to locate the person;
5.32 	(25) to other state agencies, statewide systems, and political subdivisions of this state, 
5.33 	including the attorney general, and agencies of other states, interstate information networks, 
6.1 	federal agencies, and other entities as required by federal regulation or law for the 
6.2 	administration of the child support enforcement program;
6.3 	(26) to personnel of public assistance programs as defined in section 256.741, for access 
6.4 	to the child support system database for the purpose of administration, including monitoring 
6.5 	and evaluation of those public assistance programs;
6.6 	(27) to monitor and evaluate the Minnesota family investment program by exchanging 
6.7 	data between the Departments of Human Services; Children, Youth, and Families; and 
6.8 	Education, on recipients and former recipients of SNAP benefits, cash assistance under 
6.9 	chapter 256, 256D, 256J, or 256K, child care assistance under chapter 119B, medical 
6.10 	programs under chapter 256B or 256L, or a medical program formerly codified under chapter 
6.11 	256D;
6.12 	(28) to evaluate child support program performance and to identify and prevent fraud 
6.13 	in the child support program by exchanging data between the Department of Human Services; 
6.14 	Department of Children, Youth, and Families; Department of Revenue under section 270B.14, 
6.15 	subdivision 1, paragraphs (a) and (b), without regard to the limitation of use in paragraph 
6.16 	(c); Department of Health; Department of Employment and Economic Development; and 
6.17 	other state agencies as is reasonably necessary to perform these functions;
6.18 	(29) counties and the Department of Children, Youth, and Families operating child care 
6.19 	assistance programs under chapter 119B may disseminate data on program participants, 
6.20 	applicants, and providers to the commissioner of education;
6.21 	(30) child support data on the child, the parents, and relatives of the child may be 
6.22 	disclosed to agencies administering programs under titles IV-B and IV-E of the Social 
6.23 	Security Act, as authorized by federal law;
6.24 	(31) to a health care provider governed by sections 144.291 to 144.298, to the extent 
6.25 	necessary to coordinate services;
6.26 	(32) to the chief administrative officer of a school to coordinate services for a student 
6.27 	and family; data that may be disclosed under this clause are limited to name, date of birth, 
6.28 	gender, and address;
6.29 	(33) to county correctional agencies to the extent necessary to coordinate services and 
6.30 	diversion programs; data that may be disclosed under this clause are limited to name, client 
6.31 	demographics, program, case status, and county worker information; or
6.32 	(34) between the Department of Human Services and the Metropolitan Council for the 
6.33 	following purposes:
7.1 	(i) to coordinate special transportation service provided under section 473.386 with 
7.2 	services for people with disabilities and elderly individuals funded by or through the 
7.3 	Department of Human Services; and
7.4 	(ii) to provide for reimbursement of special transportation service provided under section 
7.5 	473.386.
7.6 	The data that may be shared under this clause are limited to the individual's first, last, and 
7.7 	middle names; date of birth; residential address; and program eligibility status with expiration 
7.8 	date for the purposes of informing the other party of program eligibility.
7.9 	(b) Information on persons who have been treated for substance use disorder may only 
7.10 	be disclosed according to the requirements of Code of Federal Regulations, title 42, sections 
7.11 	2.1 to 2.67.
7.12 	(c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16), 
7.13 	(17), or (18), or paragraph (b), are investigative data and are confidential or protected 
7.14 	nonpublic while the investigation is active. The data are private after the investigation 
7.15 	becomes inactive under section 13.82, subdivision 7, clause (a) or (b).
7.16 	(d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but are 
7.17 	not subject to the access provisions of subdivision 10, paragraph (b).
7.18 	For the purposes of this subdivision, a request will be deemed to be made in writing if 
7.19 	made through a computer interface system.

7.20 	Sec. 2. Minnesota Statutes 2022, section 245.821, subdivision 1, is amended to read:
7.21 		Subdivision 1.Notice required. Notwithstanding any law to the contrary, no private or 
7.22 	public facility for the treatment, housing, or counseling of more than five persons with 
7.23 	mental illness, physical disability, developmental disability, as defined in section 252.27, 
7.24 	subdivision 1a, substance use disorder, or another form of dependency, nor any correctional 
7.25 	facility for more than five persons, shall be established without 30 days' written notice to 
7.26 	the affected municipality or other political subdivision.

7.27 	Sec. 3. Minnesota Statutes 2022, section 245.825, subdivision 1, is amended to read:
7.28 		Subdivision 1.Rules governing aversive and deprivation procedures. The 
7.29 	commissioner of human services shall by October, 1983, promulgate rules governing the 
7.30 	use of aversive and deprivation procedures in all licensed facilities and licensed services 
7.31 	serving persons with developmental disabilities, as defined in section 252.27, subdivision 
7.32 	1a. No provision of these rules shall encourage or require the use of aversive and deprivation 
8.1 	procedures. The rules shall prohibit: (1) the application of certain aversive and deprivation 
8.2 	procedures in facilities except as authorized and monitored by the commissioner; (2) the 
8.3 	use of aversive and deprivation procedures that restrict the consumers' normal access to 
8.4 	nutritious diet, drinking water, adequate ventilation, necessary medical care, ordinary hygiene 
8.5 	facilities, normal sleeping conditions, and necessary clothing; and (3) the use of faradic 
8.6 	shock without a court order. The rule shall further specify that consumers may not be denied 
8.7 	ordinary access to legal counsel and next of kin. In addition, the rule may specify other 
8.8 	prohibited practices and the specific conditions under which permitted practices are to be 
8.9 	carried out. For any persons receiving faradic shock, a plan to reduce and eliminate the use 
8.10 	of faradic shock shall be in effect upon implementation of the procedure.

8.11 	Sec. 4. Minnesota Statutes 2022, section 245A.11, subdivision 2a, is amended to read:
8.12 		Subd. 2a.Adult foster care and community residential setting license capacity. (a) 
8.13 	The commissioner shall issue adult foster care and community residential setting licenses 
8.14 	with a maximum licensed capacity of four beds, including nonstaff roomers and boarders, 
8.15 	except that the commissioner may issue a license with a capacity of five beds, including 
8.16 	roomers and boarders, according to paragraphs (b) to (g).
8.17 	(b) The license holder may have a maximum license capacity of five if all persons in 
8.18 	care are age 55 or over and do not have a serious and persistent mental illness or a 
8.19 	developmental disability.
8.20 	(c) The commissioner may grant variances to paragraph (b) to allow a facility with a 
8.21 	licensed capacity of up to five persons to admit an individual under the age of 55 if the 
8.22 	variance complies with section 245A.04, subdivision 9, and approval of the variance is 
8.23 	recommended by the county in which the licensed facility is located.
8.24 	(d) The commissioner may grant variances to paragraph (a) to allow the use of an 
8.25 	additional bed, up to six, for emergency crisis services for a person with serious and persistent 
8.26 	mental illness or a developmental disability, regardless of age, if the variance complies with 
8.27 	section 245A.04, subdivision 9, and approval of the variance is recommended by the county 
8.28 	in which the licensed facility is located.
8.29 	(e) The commissioner may grant a variance to paragraph (b) to allow for the use of an 
8.30 	additional bed, up to six, for respite services, as defined in section 245A.02, for persons 
8.31 	with disabilities, regardless of age, if the variance complies with sections 245A.03, 
8.32 	subdivision 7, and 245A.04, subdivision 9, and approval of the variance is recommended 
8.33 	by the county in which the licensed facility is located. Respite care may be provided under 
8.34 	the following conditions:
9.1 	(1) staffing ratios cannot be reduced below the approved level for the individuals being 
9.2 	served in the home on a permanent basis;
9.3 	(2) no more than two different individuals can be accepted for respite services in any 
9.4 	calendar month and the total respite days may not exceed 120 days per program in any 
9.5 	calendar year;
9.6 	(3) the person receiving respite services must have his or her own bedroom, which could 
9.7 	be used for alternative purposes when not used as a respite bedroom, and cannot be the 
9.8 	room of another person who lives in the facility; and
9.9 	(4) individuals living in the facility must be notified when the variance is approved. The 
9.10 	provider must give 60 days' notice in writing to the residents and their legal representatives 
9.11 	prior to accepting the first respite placement. Notice must be given to residents at least two 
9.12 	days prior to service initiation, or as soon as the license holder is able if they receive notice 
9.13 	of the need for respite less than two days prior to initiation, each time a respite client will 
9.14 	be served, unless the requirement for this notice is waived by the resident or legal guardian.
9.15 	(f) The commissioner may issue an adult foster care or community residential setting 
9.16 	license with a capacity of five adults if the fifth bed does not increase the overall statewide 
9.17 	capacity of licensed adult foster care or community residential setting beds in homes that 
9.18 	are not the primary residence of the license holder, as identified in a plan submitted to the 
9.19 	commissioner by the county, when the capacity is recommended by the county licensing 
9.20 	agency of the county in which the facility is located and if the recommendation verifies 
9.21 	that:
9.22 	(1) the facility meets the physical environment requirements in the adult foster care 
9.23 	licensing rule;
9.24 	(2) the five-bed living arrangement is specified for each resident in the resident's:
9.25 	(i) individualized plan of care;
9.26 	(ii) individual service plan under section 256B.092, subdivision 1b, if required; or
9.27 	(iii) individual resident placement agreement under Minnesota Rules, part 9555.5105, 
9.28 	subpart 19, if required;
9.29 	(3) the license holder obtains written and signed informed consent from each resident 
9.30 	or resident's legal representative documenting the resident's informed choice to remain 
9.31 	living in the home and that the resident's refusal to consent would not have resulted in 
9.32 	service termination; and
10.1 	(4) the facility was licensed for adult foster care before March 1, 2016.
10.2 	(g) The commissioner shall not issue a new adult foster care license under paragraph (f) 
10.3 	after December 31, 2020. The commissioner shall allow a facility with an adult foster care 
10.4 	license issued under paragraph (f) before December 31, 2020, to continue with a capacity 
10.5 	of five adults if the license holder continues to comply with the requirements in paragraph 
10.6 	(f).
10.7 	(h) The commissioner may issue an adult foster care or community residential setting 
10.8 	license with a capacity of five or six adults to facilities meeting the criteria in section 
10.9 	245A.03, subdivision 7, paragraph (a), clause (5).
10.10 	(h) (i) Notwithstanding Minnesota Rules, part 9520.0500, adult foster care and community 
10.11 	residential setting licenses with a capacity of up to six adults as allowed under this subdivision 
10.12 	are not required to be licensed as an adult mental health residential program according to 
10.13 	Minnesota Rules, parts 9520.0500 to 9520.0670.

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

10.15 	Sec. 5. [245D.13] OUT-OF-HOME RESPITE SERVICES FOR CHILDREN.
10.16 		Subdivision 1.Licensed setting required. A license holder with a home and 
10.17 	community-based services license providing out-of-home respite services for children must 
10.18 	do so only in a licensed setting, unless exempt under subdivision 2.
10.19 		Subd. 2.Exemption from licensed setting requirement. (a) A license holder with a 
10.20 	home and community-based services license may provide out-of-home respite services for 
10.21 	children in an unlicensed residential setting if:
10.22 	(1) the child has not been placed in foster care under Minnesota Rules, part 9560.0529;
10.23 	(2) all background studies are completed according to the requirements in chapter 245C;
10.24 	(3) a child's case manager conducts and documents an assessment of the residential 
10.25 	setting and its environment before services are provided and at least once each calendar 
10.26 	year thereafter if services continue to be provided at that residence. The assessment must 
10.27 	ensure that the setting is suitable for the child receiving respite services. The assessment 
10.28 	must be conducted and documented in the manner prescribed by the commissioner;
10.29 	(4) the child's legal representative visits the residence and signs and dates a statement 
10.30 	authorizing services in the residence before services are provided and at least once each 
10.31 	calendar year thereafter if services continue to be provided at that residence;
11.1 	(5) the services are provided in a residential setting that is not licensed to provide any 
11.2 	other licensed services;
11.3 	(6) the services are provided to no more than four children at any one time. Each child 
11.4 	must have an individual bedroom, with the exception of two siblings who may share a 
11.5 	bedroom;
11.6 	(7) services are not provided to children and adults over the age of 21 in the same 
11.7 	residence at the same time;
11.8 	(8) services are not provided to a single family for more than 46 calendar days in a 
11.9 	calendar year and no more than ten consecutive days;
11.10 	(9) the license holder's license was not made conditional, suspended, or revoked during 
11.11 	the previous 24 months; and
11.12 	(10) each individual in the residence at the time services are provided, other than 
11.13 	individuals receiving services, is an employee, as defined under section 245C.02, of the 
11.14 	license holder and has had a background study completed under chapter 245C. No other 
11.15 	household members or other individuals may be present in the residence while services are 
11.16 	provided.
11.17 	(b) A child may not receive out-of-home respite services in more than two unlicensed 
11.18 	residential settings in a calendar year.
11.19 	(c) The license holder must ensure the requirements in this section are met.
11.20 		Subd. 3.Documentation requirements. The license holder must maintain documentation 
11.21 	of the following:
11.22 	(1) background studies completed under chapter 245C;
11.23 	(2) service recipient records indicating the calendar dates and times when services were 
11.24 	provided;
11.25 	(3) the case manager's initial residential setting assessment and each residential assessment 
11.26 	completed thereafter; and
11.27 	(4) the legal representative's approval of the residential setting before services are 
11.28 	provided and each year thereafter.

12.1 	Sec. 6. Minnesota Statutes 2022, section 246.511, as amended by Laws 2024, chapter 79, 
12.2 	article 2, section 39, is amended to read:
12.3 	246.511 RELATIVE RESPONSIBILITY.
12.4 	Except for substance use disorder services paid for with money provided under chapter 
12.5 	254B, the executive board must not require under section 246.51 a client's relatives to pay 
12.6 	more than the following: (1) for services provided in a community-based service, the 
12.7 	noncovered cost of care as determined under the ability to pay determination; and (2) for 
12.8 	services provided at a regional treatment center operated by state-operated services, 20 
12.9 	percent of the cost of care, unless the relatives reside outside the state. The executive board 
12.10 	must determine the responsibility of parents of children in state facilities to pay according 
12.11 	to section 252.27, subdivision 2, or in rules adopted under chapter 254B if the cost of care 
12.12 	is paid under chapter 254B. The executive board may accept voluntary payments in excess 
12.13 	of 20 percent. The executive board may require full payment of the full per capita cost of 
12.14 	care in state facilities for clients whose parent, parents, spouse, guardian, or conservator do 
12.15 	not reside in Minnesota.

12.16 	Sec. 7. Minnesota Statutes 2022, section 252.27, subdivision 2b, is amended to read:
12.17 		Subd. 2b.Child's responsibility Parental or guardian reimbursement to counties. (a) 
12.18 	Parental or guardian responsibility of for the child for the child's cost of care incurred by 
12.19 	counties shall be up to the maximum amount of the total income and resources attributed 
12.20 	to the child except for the clothing and personal needs allowance as provided in section 
12.21 	256B.35, subdivision 1. Reimbursement by the parents and child or guardians residing 
12.22 	outside of Minnesota shall be made to the county making any payments for services. The 
12.23 	county board may require payment of the full cost of caring for children whose parents or 
12.24 	guardians do not reside in this state.
12.25 	(b) To the extent that a child described in subdivision 1 is eligible for benefits under 
12.26 	chapter 62A, 62C, 62D, 62E, or 64B, the county is not liable for the cost of services.

12.27 	Sec. 8. Minnesota Statutes 2022, section 252.282, subdivision 1, is amended to read:
12.28 		Subdivision 1.Host county responsibility. (a) For purposes of this section, "local system 
12.29 	needs planning" means the determination of need for ICF/DD services by program type, 
12.30 	location, demographics, and size of licensed services for persons with developmental 
12.31 	disabilities or related conditions.
13.1 	(b) (a) This section does not apply to semi-independent living services and 
13.2 	residential-based habilitation services funded as home and community-based services.
13.3 	(c) (b) In collaboration with the commissioner and ICF/DD providers, counties shall 
13.4 	complete a local system needs planning process for each ICF/DD facility. Counties shall 
13.5 	evaluate the preferences and needs of persons with developmental disabilities to determine 
13.6 	resource demands through a systematic assessment and planning process by May 15, 2000, 
13.7 	and by July 1 every two years thereafter beginning in 2001.
13.8 	(d) (c) A local system needs planning process shall be undertaken more frequently when 
13.9 	the needs or preferences of consumers change significantly to require reformation of the 
13.10 	resources available to persons with developmental disabilities.
13.11 	(e) (d) A local system needs plan shall be amended anytime recommendations for 
13.12 	modifications to existing ICF/DD services are made to the host county, including 
13.13 	recommendations for:
13.14 	(1) closure;
13.15 	(2) relocation of services;
13.16 	(3) downsizing; or
13.17 	(4) modification of existing services for which a change in the framework of service 
13.18 	delivery is advocated.

13.19 	Sec. 9. Minnesota Statutes 2022, section 252.282, is amended by adding a subdivision to 
13.20 	read:
13.21 		Subd. 1a.Definitions. (a) For purposes of this section, the terms in this subdivision have 
13.22 	the meanings given.
13.23 	(b) "Local system needs planning" means the determination of need for ICF/DD services 
13.24 	by program type, location, demographics, and size of licensed services for persons with 
13.25 	developmental disabilities or related conditions.
13.26 	(c) "Related condition" has the meaning given in section 256B.02, subdivision 11.

13.27 	Sec. 10. Minnesota Statutes 2022, section 256B.02, subdivision 11, is amended to read:
13.28 		Subd. 11.Related condition. "Related condition" means that condition defined in section 
13.29 	252.27, subdivision 1a a condition:
14.1 	(1) that is found to be closely related to a developmental disability, including but not 
14.2 	limited to cerebral palsy, epilepsy, autism, fetal alcohol spectrum disorder, and Prader-Willi 
14.3 	syndrome; and
14.4 	(2) that meets all of the following criteria:
14.5 	(i) is severe and chronic;
14.6 	(ii) results in impairment of general intellectual functioning or adaptive behavior similar 
14.7 	to that of persons with developmental disabilities;
14.8 	(iii) requires treatment or services similar to those required for persons with 
14.9 	developmental disabilities;
14.10 	(iv) is manifested before the person reaches 22 years of age;
14.11 	(v) is likely to continue indefinitely;
14.12 	(vi) results in substantial functional limitations in three or more of the following areas 
14.13 	of major life activity:
14.14 	(A) self-care;
14.15 	(B) understanding and use of language;
14.16 	(C) learning;
14.17 	(D) mobility;
14.18 	(E) self-direction; or
14.19 	(F) capacity for independent living; and
14.20 	(vii) is not attributable to mental illness as defined in section 245.462, subdivision 20, 
14.21 	or an emotional disturbance as defined in section 245.4871, subdivision 15. For purposes 
14.22 	of this item, notwithstanding section 245.462, subdivision 20, or 245.4871, subdivision 15, 
14.23 	"mental illness" does not include autism or other pervasive developmental disorders.

14.24 	Sec. 11. Minnesota Statutes 2023 Supplement, section 256B.073, subdivision 3, is amended 
14.25 	to read:
14.26 		Subd. 3.Requirements. (a) In developing implementation requirements for electronic 
14.27 	visit verification, the commissioner shall ensure that the requirements:
14.28 	(1) are minimally administratively and financially burdensome to a provider;
14.29 	(2) are minimally burdensome to the service recipient and the least disruptive to the 
14.30 	service recipient in receiving and maintaining allowed services;
15.1 	(3) consider existing best practices and use of electronic visit verification;
15.2 	(4) are conducted according to all state and federal laws;
15.3 	(5) are effective methods for preventing fraud when balanced against the requirements 
15.4 	of clauses (1) and (2); and
15.5 	(6) are consistent with the Department of Human Services' policies related to covered 
15.6 	services, flexibility of service use, and quality assurance.
15.7 	(b) The commissioner shall make training available to providers on the electronic visit 
15.8 	verification system requirements.
15.9 	(c) The commissioner shall establish baseline measurements related to preventing fraud 
15.10 	and establish measures to determine the effect of electronic visit verification requirements 
15.11 	on program integrity.
15.12 	(d) The commissioner shall make a state-selected electronic visit verification system 
15.13 	available to providers of services.
15.14 	(e) The commissioner shall make available and publish on the agency website the name 
15.15 	and contact information for the vendor of the state-selected electronic visit verification 
15.16 	system and the other vendors that offer alternative electronic visit verification systems. The 
15.17 	information provided must state that the state-selected electronic visit verification system 
15.18 	is offered at no cost to the provider of services and that the provider may choose an alternative 
15.19 	system that may be at a cost to the provider.
15.20 	(f) The commissioner must make data access through direct electronic means available 
15.21 	to all vendors of electronic visit verification systems offered in the state. The commissioner 
15.22 	must make the data available to the same extent and on the same terms to all vendors, 
15.23 	regardless of whether the vendor is providing the state-selected electronic verification system 
15.24 	or providing an alternative system at a cost to the provider.

15.25 	Sec. 12. Minnesota Statutes 2022, section 256B.073, subdivision 4, is amended to read:
15.26 		Subd. 4.Provider requirements. (a) A provider of services may select any electronic 
15.27 	visit verification system that meets the requirements established by the commissioner.
15.28 	(b) All electronic visit verification systems used by providers to comply with the 
15.29 	requirements established by the commissioner must provide data to the commissioner in a 
15.30 	format and at a frequency to be established by the commissioner.
15.31 	(c) Providers must implement the electronic visit verification systems required under 
15.32 	this section by a date established by the commissioner to be set after the state-selected 
16.1 	electronic visit verification systems for personal care services and home health services are 
16.2 	in production. For purposes of this paragraph, "personal care services" and "home health 
16.3 	services" have the meanings given in United States Code, title 42, section 1396b(l)(5). 
16.4 	Reimbursement rates for providers must not be reduced as a result of federal action to reduce 
16.5 	the federal medical assistance percentage under the 21st Century Cures Act, Public Law 
16.6 	114-255.
16.7 	(d) For services provided in the service provider's own home, a service provider may 
16.8 	electronically document the services on a weekly basis provided the documentation contains 
16.9 	the elements listed under subdivision 2, paragraph (b), clauses (1) to (6).

16.10 	Sec. 13. Minnesota Statutes 2022, section 256B.0911, subdivision 12, is amended to read:
16.11 		Subd. 12.Exception to use of MnCHOICES assessment; contracted assessors. (a)
16.12 	A lead agency that has not implemented MnCHOICES assessments and uses contracted 
16.13 	assessors as of January 1, 2022, is not subject to the requirements of subdivisions 11, clauses 
16.14 	(7) to (9); 13; 14, paragraphs (a) to (c); 16 to 21; 23; 24; and 29 to 31.
16.15 	(b) This subdivision expires upon statewide implementation of MnCHOICES assessments. 
16.16 	The commissioner shall notify the revisor of statutes when statewide implementation has 
16.17 	occurred.

16.18 	Sec. 14. Minnesota Statutes 2023 Supplement, section 256B.0911, subdivision 13, is 
16.19 	amended to read:
16.20 		Subd. 13.MnCHOICES assessor qualifications, training, and certification. (a) The 
16.21 	commissioner shall develop and implement a curriculum and an assessor certification 
16.22 	process.
16.23 	(b) MnCHOICES certified assessors must:
16.24 	(1) either have a bachelor's degree in social work, nursing with a public health nursing 
16.25 	certificate, or other closely related field or be a registered nurse with at least two years of 
16.26 	home and community-based experience; and
16.27 	(2) have received training and certification specific to assessment and consultation for 
16.28 	long-term care services in the state.
16.29 	(c) Certified assessors shall demonstrate best practices in assessment and support 
16.30 	planning, including person-centered planning principles, and have a common set of skills 
16.31 	that ensures consistency and equitable access to services statewide.
17.1 	(d) Certified assessors must be recertified every three years.

17.2 	EFFECTIVE DATE. This section is effective July 1, 2024.

17.3 	Sec. 15. Minnesota Statutes 2022, section 256B.0911, subdivision 17, is amended to read:
17.4 		Subd. 17.MnCHOICES assessments. (a) A person requesting long-term care 
17.5 	consultation services must be visited by a long-term care consultation team within 20 
17.6 	calendar working days after the date on which an assessment was requested or recommended. 
17.7 	Assessments must be conducted according to this subdivision and subdivisions 19 to 21, 
17.8 	23, 24, and 29 to 31.
17.9 	(b) Lead agencies shall use certified assessors to conduct the assessment.
17.10 	(c) For a person with complex health care needs, a public health or registered nurse from 
17.11 	the team must be consulted.
17.12 	(d) The lead agency must use the MnCHOICES assessment provided by the commissioner 
17.13 	to complete a comprehensive, conversation-based, person-centered assessment. The 
17.14 	assessment must include the health, psychological, functional, environmental, and social 
17.15 	needs of the individual necessary to develop a person-centered assessment summary that 
17.16 	meets the individual's needs and preferences.
17.17 	(e) Except as provided in subdivision 24, an assessment must be conducted by a certified 
17.18 	assessor in an in-person conversational interview with the person being assessed.

17.19 	Sec. 16. Minnesota Statutes 2022, section 256B.0911, subdivision 20, is amended to read:
17.20 		Subd. 20.MnCHOICES assessments; duration of validity. (a) An assessment that is 
17.21 	completed as part of an eligibility determination for multiple programs for the alternative 
17.22 	care, elderly waiver, developmental disabilities, community access for disability inclusion, 
17.23 	community alternative care, and brain injury waiver programs under chapter 256S and 
17.24 	sections 256B.0913, 256B.092, and 256B.49 is valid to establish service eligibility for no 
17.25 	more than 60 calendar 365 days after the date of the assessment.
17.26 	(b) The effective eligibility start date for programs in paragraph (a) can never be prior 
17.27 	to the date of assessment. If an assessment was completed more than 60 days before the 
17.28 	effective waiver or alternative care program eligibility start date, assessment and support 
17.29 	plan information must be updated and documented in the department's Medicaid Management 
17.30 	Information System (MMIS). Notwithstanding retroactive medical assistance coverage of 
17.31 	state plan services, the effective date of eligibility for programs included in paragraph (a) 
17.32 	cannot be prior to the completion date of the most recent updated assessment.
18.1 	(c) If an eligibility update is completed within 90 days of the previous assessment and 
18.2 	documented in the department's Medicaid Management Information System (MMIS), the 
18.3 	effective date of eligibility for programs included in paragraph (a) is the date of the previous 
18.4 	in-person assessment when all other eligibility requirements are met.

18.5 	EFFECTIVE DATE. This section is effective July 1, 2025.

18.6 	Sec. 17. Minnesota Statutes 2022, section 256B.0911, subdivision 25, is amended to read:
18.7 		Subd. 25.Reassessments for Rule 185 case management and waiver services. (a) 
18.8 	Unless otherwise required by federal law, the county agency is not required to conduct or 
18.9 	arrange for an annual needs reassessment by a certified assessor for people receiving Rule 
18.10 	185 case management under Minnesota Rules, part 9525.0016. The case manager who 
18.11 	works on behalf of the person to identify the person's needs and to minimize the impact of 
18.12 	the disability on the person's life must instead develop a person-centered service plan based 
18.13 	on the person's assessed needs and preferences. The person-centered service plan must be 
18.14 	reviewed annually for persons with developmental disabilities who are receiving only case 
18.15 	management services under Minnesota Rules, part 9525.0016, and who make an informed 
18.16 	choice to decline an assessment under this section.
18.17 	(b) Unless otherwise required by federal law, the county agency is not required to conduct 
18.18 	or arrange for an annual needs reassessment by a certified assessor for people with no 
18.19 	significant changes in function or needs who are receiving the following services:
18.20 	(1) alternative care services under section 256B.0913;
18.21 	(2) developmental disability waiver services under section 256B.092;
18.22 	(3) essential community supports under section 256B.0922;
18.23 	(4) community access for disability inclusion, community alternative care, and brain 
18.24 	injury waiver services under section 256B.49; and
18.25 	(5) elderly waiver services under chapter 256S.
18.26 	(c) The county agency shall conduct or arrange for a needs reassessment for persons 
18.27 	described in paragraph (b) once every three years. The person or the person's legal 
18.28 	representative may request a needs reassessment at any time. The county agency must 
18.29 	annually review the person-centered services plan and reauthorize services. A person or the 
18.30 	person's legal representative must make an informed choice to decline an annual needs 
18.31 	reassessment under this section.

19.1 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
19.2 	whichever occurs later. The commissioner of human services shall notify the revisor of 
19.3 	statutes when federal approval is obtained.

19.4 	Sec. 18. Minnesota Statutes 2022, section 256B.0924, subdivision 3, is amended to read:
19.5 		Subd. 3.Eligibility. Persons are eligible to receive targeted case management services 
19.6 	under this section if the requirements in paragraphs (a) and (b) are met.
19.7 	(a) The person must be assessed and determined by the local county agency to:
19.8 	(1) be age 18 or older;
19.9 	(2) be receiving medical assistance;
19.10 	(3) have significant functional limitations; and
19.11 	(4) be in need of service coordination to attain or maintain living in an integrated 
19.12 	community setting.
19.13 	(b) The person must be a vulnerable adult in need of adult protection as defined in section 
19.14 	626.5572, or is an adult with a developmental disability as defined in section 252A.02, 
19.15 	subdivision 2, or a related condition as defined in section 252.27, subdivision 1a 256B.02, 
19.16 	subdivision 11, and is not receiving home and community-based waiver services, or is an 
19.17 	adult who lacks a permanent residence and who has been without a permanent residence 
19.18 	for at least one year or on at least four occasions in the last three years.

19.19 	Sec. 19. Minnesota Statutes 2022, section 256B.49, subdivision 16, is amended to read:
19.20 		Subd. 16.Services and supports. (a) Services and supports included in the home and 
19.21 	community-based waivers for persons with disabilities must meet the requirements set out 
19.22 	in United States Code, title 42, section 1396n. The services and supports, which are offered 
19.23 	as alternatives to institutional care, must promote consumer choice, community inclusion, 
19.24 	self-sufficiency, and self-determination.
19.25 	(b) The commissioner must simplify and improve access to home and community-based 
19.26 	waivered waiver services, to the extent possible, through the establishment of a common 
19.27 	service menu that is available to eligible recipients regardless of age, disability type, or 
19.28 	waiver program.
19.29 	(c) Consumer-directed community supports must be offered as an option to all persons 
19.30 	eligible for services under subdivision 11.
20.1 	(d) Services and supports must be arranged and provided consistent with individualized 
20.2 	written plans of care for eligible waiver recipients.
20.3 	(e) A transitional supports allowance must be available to all persons under a home and 
20.4 	community-based waiver who are moving from a licensed setting to a community setting. 
20.5 	"Transitional supports allowance" means a onetime payment of up to $3,000, to cover the 
20.6 	costs, not covered by other sources, associated with moving from a licensed setting to a 
20.7 	community setting. Covered costs include:
20.8 	(1) lease or rent deposits;
20.9 	(2) security deposits;
20.10 	(3) utilities setup costs, including telephone;
20.11 	(4) essential furnishings and supplies; and
20.12 	(5) personal supports and transports needed to locate and transition to community settings.
20.13 	(f) (e) The state of Minnesota and county agencies that administer home and 
20.14 	community-based waivered waiver services for persons with disabilities must not be liable 
20.15 	for damages, injuries, or liabilities sustained through the purchase of supports by the 
20.16 	individual, the individual's family, legal representative, or the authorized representative 
20.17 	with funds received through consumer-directed community supports under this section. 
20.18 	Liabilities include but are not limited to workers' compensation liability, the Federal Insurance 
20.19 	Contributions Act (FICA), or the Federal Unemployment Tax Act (FUTA).

20.20 	EFFECTIVE DATE. This section is effective January 1, 2025.

20.21 	Sec. 20. Minnesota Statutes 2022, section 256B.4911, is amended by adding a subdivision 
20.22 	to read:
20.23 		Subd. 7.Budget procedures. When a lead agency authorizes or reauthorizes 
20.24 	consumer-directed community supports services for a home and community-based services 
20.25 	waiver participant, the lead agency must provide to the waiver participant and the waiver 
20.26 	participant's legal representative the following information in an accessible format and in 
20.27 	a manner that meets the participant's needs:
20.28 	(1) an explanation of how the participant's consumer-directed community supports 
20.29 	services budget was calculated, including a detailed explanation of the variables used in the 
20.30 	budget formula;
20.31 	(2) a copy of the formula used to calculate the participant's consumer-directed community 
20.32 	supports services budget; and
21.1 	(3) information about the participant's right to appeal the consumer-directed community 
21.2 	supports services budget in accordance with sections 256.045 and 256.0451.

21.3 	Sec. 21. Minnesota Statutes 2022, section 256B.4911, is amended by adding a subdivision 
21.4 	to read:
21.5 		Subd. 8.Consumer-direct community supports policy. Policies governing the 
21.6 	consumer-directed community supports program must be created solely by the commissioner. 
21.7 	Lead agencies must not create or implement any policies that are in addition to or inconsistent 
21.8 	with policies created by the commissioner or federal or state laws. Any handbooks, 
21.9 	procedures, or other guidance documents maintained by a lead agency do not have the force 
21.10 	or effect of law, and must not be given deference if introduced in a state fair hearing 
21.11 	conducted under sections 256.045 and 256.0451.

21.12 	Sec. 22. Minnesota Statutes 2023 Supplement, section 256B.4914, subdivision 10d, is 
21.13 	amended to read:
21.14 		Subd. 10d.Direct care staff; compensation. (a) A provider paid with rates determined 
21.15 	under subdivision 6 must use a minimum of 66 percent of the revenue generated by rates 
21.16 	determined under that subdivision for direct care staff compensation and technology costs.
21.17 	(b) A provider paid with rates determined under subdivision 7 must use a minimum of 
21.18 	45 percent of the revenue generated by rates determined under that subdivision for direct 
21.19 	care staff compensation and technology costs.
21.20 	(c) A provider paid with rates determined under subdivision 8 or 9 must use a minimum 
21.21 	of 60 percent of the revenue generated by rates determined under those subdivisions for 
21.22 	direct care staff compensation and technology costs.
21.23 	(d) Compensation under this subdivision includes:
21.24 	(1) wages;
21.25 	(2) taxes and workers' compensation;
21.26 	(3) health insurance;
21.27 	(4) dental insurance;
21.28 	(5) vision insurance;
21.29 	(6) life insurance;
21.30 	(7) short-term disability insurance;
22.1 	(8) long-term disability insurance;
22.2 	(9) retirement spending;
22.3 	(10) tuition reimbursement;
22.4 	(11) wellness programs;
22.5 	(12) paid vacation time;
22.6 	(13) paid sick time; or
22.7 	(14) other items of monetary value provided to direct care staff.
22.8 	(e) Technology costs under this subdivision include:
22.9 	(1) costs related to providing remote support, including payments made to third-party 
22.10 	vendors; or
22.11 	(2) costs of technology to support individuals remotely.

22.12 	Sec. 23. Minnesota Statutes 2022, section 256B.77, subdivision 7a, is amended to read:
22.13 		Subd. 7a.Eligible individuals. (a) Persons are eligible for the demonstration project as 
22.14 	provided in this subdivision.
22.15 	(b) "Eligible individuals" means those persons living in the demonstration site who are 
22.16 	eligible for medical assistance and are disabled based on a disability determination under 
22.17 	section 256B.055, subdivisions 7 and 12, or who are eligible for medical assistance and 
22.18 	have been diagnosed as having:
22.19 	(1) serious and persistent mental illness as defined in section 245.462, subdivision 20;
22.20 	(2) severe emotional disturbance as defined in section 245.4871, subdivision 6; or
22.21 	(3) developmental disability, or being a person with a developmental disability as defined 
22.22 	in section 252A.02, or a related condition as defined in section 252.27, subdivision 1a
22.23 	256B.02, subdivision 11.
22.24 	Other individuals may be included at the option of the county authority based on agreement 
22.25 	with the commissioner.
22.26 	(c) Eligible individuals include individuals in excluded time status, as defined in chapter 
22.27 	256G. Enrollees in excluded time at the time of enrollment shall remain in excluded time 
22.28 	status as long as they live in the demonstration site and shall be eligible for 90 days after 
22.29 	placement outside the demonstration site if they move to excluded time status in a county 
22.30 	within Minnesota other than their county of financial responsibility.
23.1 	(d) A person who is a sexual psychopathic personality as defined in section 253D.02, 
23.2 	subdivision 15, or a sexually dangerous person as defined in section 253D.02, subdivision 
23.3 	16, is excluded from enrollment in the demonstration project.

23.4 	Sec. 24. Minnesota Statutes 2023 Supplement, section 270B.14, subdivision 1, is amended 
23.5 	to read:
23.6 		Subdivision 1.Disclosure to commissioner of human services. (a) On the request of 
23.7 	the commissioner of human services, the commissioner shall disclose return information 
23.8 	regarding taxes imposed by chapter 290, and claims for refunds under chapter 290A, to the 
23.9 	extent provided in paragraph (b) and for the purposes set forth in paragraph (c).
23.10 	(b) Data that may be disclosed are limited to data relating to the identity, whereabouts, 
23.11 	employment, income, and property of a person owing or alleged to be owing an obligation 
23.12 	of child support.
23.13 	(c) The commissioner of human services may request data only for the purposes of 
23.14 	carrying out the child support enforcement program and to assist in the location of parents 
23.15 	who have, or appear to have, deserted their children. Data received may be used only as set 
23.16 	forth in section 256.978.
23.17 	(d) The commissioner shall provide the records and information necessary to administer 
23.18 	the supplemental housing allowance to the commissioner of human services.
23.19 	(e) At the request of the commissioner of human services, the commissioner of revenue 
23.20 	shall electronically match the Social Security or individual taxpayer identification numbers 
23.21 	and names of participants in the telephone assistance plan operated under sections 237.69
23.22 	to 237.71, with those of property tax refund filers under chapter 290A or renter's credit filers 
23.23 	under section 290.0693, and determine whether each participant's household income is 
23.24 	within the eligibility standards for the telephone assistance plan.
23.25 	(f) The commissioner may provide records and information collected under sections 
23.26 	295.50 to 295.59 to the commissioner of human services for purposes of the Medicaid 
23.27 	Voluntary Contribution and Provider-Specific Tax Amendments of 1991, Public Law 
23.28 	102-234. Upon the written agreement by the United States Department of Health and Human 
23.29 	Services to maintain the confidentiality of the data, the commissioner may provide records 
23.30 	and information collected under sections 295.50 to 295.59 to the Centers for Medicare and 
23.31 	Medicaid Services section of the United States Department of Health and Human Services 
23.32 	for purposes of meeting federal reporting requirements.
24.1 	(g) The commissioner may provide records and information to the commissioner of 
24.2 	human services as necessary to administer the early refund of refundable tax credits.
24.3 	(h) The commissioner may disclose information to the commissioner of human services 
24.4 	as necessary for income verification for eligibility and premium payment under the 
24.5 	MinnesotaCare program, under section 256L.05, subdivision 2, as well as the medical 
24.6 	assistance program under chapter 256B.
24.7 	(i) The commissioner may disclose information to the commissioner of human services 
24.8 	necessary to verify whether applicants or recipients for the Minnesota family investment 
24.9 	program, general assistance, the Supplemental Nutrition Assistance Program (SNAP), 
24.10 	Minnesota supplemental aid program, and child care assistance have claimed refundable 
24.11 	tax credits under chapter 290 and the property tax refund under chapter 290A, and the 
24.12 	amounts of the credits.
24.13 	(j) The commissioner may disclose information to the commissioner of human services 
24.14 	necessary to verify income for purposes of calculating parental contribution amounts under 
24.15 	section 252.27, subdivision 2a.
24.16 	(k) (j) At the request of the commissioner of human services and when authorized in 
24.17 	writing by the taxpayer, the commissioner of revenue may match the business legal name 
24.18 	or individual legal name, and the Minnesota tax identification number, federal Employer 
24.19 	Identification Number, or Social Security number of the applicant under section 245A.04, 
24.20 	subdivision 1; 245I.20; or 245H.03; or license or certification holder. The commissioner of 
24.21 	revenue may share the matching with the commissioner of human services. The matching 
24.22 	may only be used by the commissioner of human services to determine eligibility for provider 
24.23 	grant programs and to facilitate the regulatory oversight of license and certification holders 
24.24 	as it relates to ownership and public funds program integrity. This paragraph applies only 
24.25 	if the commissioner of human services and the commissioner of revenue enter into an 
24.26 	interagency agreement for the purposes of this paragraph.

24.27 	Sec. 25. Minnesota Statutes 2022, section 447.42, subdivision 1, is amended to read:
24.28 		Subdivision 1.Establishment. Notwithstanding any provision of Minnesota Statutes 
24.29 	to the contrary, any city, county, town, or nonprofit corporation approved by the 
24.30 	commissioner of human services, or any combination of them may establish and operate a 
24.31 	community residential facility for persons with developmental disabilities or related 
24.32 	conditions, as defined in section 252.27, subdivision 1a 256B.02, subdivision 11.

25.1 	Sec. 26. Laws 2021, First Special Session chapter 7, article 13, section 68, is amended to 
25.2 	read:
25.3 	Sec. 68. DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES; 
25.4 	DIRECT CARE SERVICES DURING SHORT-TERM ACUTE HOSPITAL VISITS.
 25.5 	The commissioner of human services, in consultation with stakeholders, shall develop 
25.6 	a new covered state plan service under Minnesota Statutes, chapter 256B, or develop 
25.7 	modifications to existing covered state plan services, that permits receipt of direct care 
25.8 	services in an acute care hospital in a manner consistent with the requirements of for people 
25.9 	eligible for home care services as identified in Minnesota Statutes, section 256B.0651, and 
25.10 	community first services and supports as identified in Minnesota Statutes, section 256B.85, 
25.11 	for the purposes of support during acute care hospital stays, as authorized under United 
25.12 	States Code, title 42, section 1396a(h). By August 31, 2022 January 1, 2025, the 
25.13 	commissioner must provide to the chairs and ranking minority members of the house of 
25.14 	representatives and senate committees and divisions with jurisdiction over direct care services 
25.15 	any draft legislation as may be necessary to implement the new or modified covered state 
25.16 	plan service.

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

25.18 	Sec. 27. Laws 2023, chapter 61, article 1, section 59, subdivision 2, is amended to read:
25.19 		Subd. 2.Eligibility. An eligible applicant for the capacity grants under subdivision 1 is 
25.20 	an organization or provider that serves, or will serve, rural or underserved communities 
25.21 	and:
25.22 	(1) provides, or will provide, home and community-based services in the state; or
25.23 	(2) serves, or will serve, as a connector for communities to available home and 
25.24 	community-based services; or
25.25 	(3) conducts culturally specific outreach and education campaigns targeting existing 
25.26 	providers that might more appropriately serve their clients under a different home and 
25.27 	community-based services program or license.

25.28 	Sec. 28. Laws 2023, chapter 61, article 1, section 59, subdivision 3, is amended to read:
25.29 		Subd. 3.Allowable grant activities.  Grants under this section must be used by recipients 
25.30 	for the following activities:
25.31 	(1) expanding existing services;
26.1 	(2) increasing access in rural or underserved areas;
26.2 	(3) creating new home and community-based organizations;
26.3 	(4) connecting underserved communities to benefits and available services; or
26.4 	(5) building new or expanded infrastructure to access medical assistance reimbursement; 
26.5 	or
26.6 	(6) conducting culturally specific outreach and education campaigns targeting existing 
26.7 	providers that might more appropriately serve their clients under a different home and 
26.8 	community-based services program or license.

26.9 	Sec. 29. Laws 2023, chapter 61, article 1, section 60, subdivision 1, is amended to read:
26.10 		Subdivision 1.Definition. "New American" means an individual born abroad and the 
26.11 	individual's children, irrespective of immigration status.

26.12 	Sec. 30. Laws 2023, chapter 61, article 1, section 60, subdivision 2, is amended to read:
26.13 		Subd. 2.Grant program established. The commissioner of human services shall 
26.14 	establish a new American legal, social services, and long-term care workforce grant program 
26.15 	for organizations that serve and support new Americans:
26.16 	(1) in seeking or maintaining legal or citizenship status to legally obtain or retain and 
26.17 	obtaining or retaining legal authorization for employment in the United States in any field 
26.18 	or industry; or
26.19 	(2) to provide specialized services and supports to new Americans to enter the long-term 
26.20 	care workforce.

26.21 	Sec. 31. Laws 2024, chapter 85, section 53, is amended to read:
26.22 	Sec. 53. Minnesota Statutes 2023 Supplement, section 245A.03, subdivision 7, is amended 
26.23 	to read:
26.24 		Subd. 7.Licensing moratorium. (a) The commissioner shall not issue an initial license 
26.25 	for child foster care licensed under Minnesota Rules, parts 2960.3000 to 2960.3340, or adult 
26.26 	foster care licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, under this chapter 
26.27 	for a physical location that will not be the primary residence of the license holder for the 
26.28 	entire period of licensure. If a family child foster care home or family adult foster care home 
26.29 	license is issued during this moratorium, and the license holder changes the license holder's 
26.30 	primary residence away from the physical location of the foster care license, the 
27.1 	commissioner shall revoke the license according to section 245A.07. The commissioner 
27.2 	shall not issue an initial license for a community residential setting licensed under chapter 
27.3 	245D. When approving an exception under this paragraph, the commissioner shall consider 
27.4 	the resource need determination process in paragraph (h), the availability of foster care 
27.5 	licensed beds in the geographic area in which the licensee seeks to operate, the results of a 
27.6 	person's choices during their annual assessment and service plan review, and the 
27.7 	recommendation of the local county board. The determination by the commissioner is final 
27.8 	and not subject to appeal. Exceptions to the moratorium include:
27.9 	(1) a license for a person in a foster care setting that is not the primary residence of the 
27.10 	license holder and where at least 80 percent of the residents are 55 years of age or older;
27.11 	(2) foster care licenses replacing foster care licenses in existence on May 15, 2009, or 
27.12 	community residential setting licenses replacing adult foster care licenses in existence on 
27.13 	December 31, 2013, and determined to be needed by the commissioner under paragraph 
27.14 	(b);
27.15 	(3) new foster care licenses or community residential setting licenses determined to be 
27.16 	needed by the commissioner under paragraph (b) for the closure of a nursing facility, ICF/DD, 
27.17 	or regional treatment center; restructuring of state-operated services that limits the capacity 
27.18 	of state-operated facilities; or allowing movement to the community for people who no 
27.19 	longer require the level of care provided in state-operated facilities as provided under section 
27.20 	256B.092, subdivision 13, or 256B.49, subdivision 24; or
27.21 	(4) new foster care licenses or community residential setting licenses determined to be 
27.22 	needed by the commissioner under paragraph (b) for persons requiring hospital-level care.; 
27.23 	or
27.24 	(5) new community residential setting licenses for supervised living facilities licensed 
27.25 	under Minnesota Rules, chapter 4665, with a capacity of 5 or 6 beds, but not designated as 
27.26 	intermediate care facilities. This exception is available until June 30, 2026.
27.27 	(b) The commissioner shall determine the need for newly licensed foster care homes or 
27.28 	community residential settings as defined under this subdivision. As part of the determination, 
27.29 	the commissioner shall consider the availability of foster care capacity in the area in which 
27.30 	the licensee seeks to operate, and the recommendation of the local county board. The 
27.31 	determination by the commissioner must be final. A determination of need is not required 
27.32 	for a change in ownership at the same address.
27.33 	(c) When an adult resident served by the program moves out of a foster home that is not 
27.34 	the primary residence of the license holder according to section 256B.49, subdivision 15, 
28.1 	paragraph (f), or the adult community residential setting, the county shall immediately 
28.2 	inform the Department of Human Services Licensing Division. The department may decrease 
28.3 	the statewide licensed capacity for adult foster care settings.
28.4 	(d) Residential settings that would otherwise be subject to the decreased license capacity 
28.5 	established in paragraph (c) shall be exempt if the license holder's beds are occupied by 
28.6 	residents whose primary diagnosis is mental illness and the license holder is certified under 
28.7 	the requirements in subdivision 6a or section 245D.33.
28.8 	(e) A resource need determination process, managed at the state level, using the available 
28.9 	data required by section 144A.351, and other data and information shall be used to determine 
28.10 	where the reduced capacity determined under section 256B.493 will be implemented. The 
28.11 	commissioner shall consult with the stakeholders described in section 144A.351, and employ 
28.12 	a variety of methods to improve the state's capacity to meet the informed decisions of those 
28.13 	people who want to move out of corporate foster care or community residential settings, 
28.14 	long-term service needs within budgetary limits, including seeking proposals from service 
28.15 	providers or lead agencies to change service type, capacity, or location to improve services, 
28.16 	increase the independence of residents, and better meet needs identified by the long-term 
28.17 	services and supports reports and statewide data and information.
28.18 	(f) At the time of application and reapplication for licensure, the applicant and the license 
28.19 	holder that are subject to the moratorium or an exclusion established in paragraph (a) are 
28.20 	required to inform the commissioner whether the physical location where the foster care 
28.21 	will be provided is or will be the primary residence of the license holder for the entire period 
28.22 	of licensure. If the primary residence of the applicant or license holder changes, the applicant 
28.23 	or license holder must notify the commissioner immediately. The commissioner shall print 
28.24 	on the foster care license certificate whether or not the physical location is the primary 
28.25 	residence of the license holder.
28.26 	(g) License holders of foster care homes identified under paragraph (f) that are not the 
28.27 	primary residence of the license holder and that also provide services in the foster care home 
28.28 	that are covered by a federally approved home and community-based services waiver, as 
28.29 	authorized under chapter 256S or section 256B.092 or 256B.49, must inform the human 
28.30 	services licensing division that the license holder provides or intends to provide these 
28.31 	waiver-funded services.
28.32 	(h) The commissioner may adjust capacity to address needs identified in section 
28.33 	144A.351. Under this authority, the commissioner may approve new licensed settings or 
29.1 	delicense existing settings. Delicensing of settings will be accomplished through a process 
29.2 	identified in section 256B.493.
29.3 	(i) The commissioner must notify a license holder when its corporate foster care or 
29.4 	community residential setting licensed beds are reduced under this section. The notice of 
29.5 	reduction of licensed beds must be in writing and delivered to the license holder by certified 
29.6 	mail or personal service. The notice must state why the licensed beds are reduced and must 
29.7 	inform the license holder of its right to request reconsideration by the commissioner. The 
29.8 	license holder's request for reconsideration must be in writing. If mailed, the request for 
29.9 	reconsideration must be postmarked and sent to the commissioner within 20 calendar days 
29.10 	after the license holder's receipt of the notice of reduction of licensed beds. If a request for 
29.11 	reconsideration is made by personal service, it must be received by the commissioner within 
29.12 	20 calendar days after the license holder's receipt of the notice of reduction of licensed beds.
29.13 	(j) The commissioner shall not issue an initial license for children's residential treatment 
29.14 	services licensed under Minnesota Rules, parts 2960.0580 to 2960.0700, under this chapter 
29.15 	for a program that Centers for Medicare and Medicaid Services would consider an institution 
29.16 	for mental diseases. Facilities that serve only private pay clients are exempt from the 
29.17 	moratorium described in this paragraph. The commissioner has the authority to manage 
29.18 	existing statewide capacity for children's residential treatment services subject to the 
29.19 	moratorium under this paragraph and may issue an initial license for such facilities if the 
29.20 	initial license would not increase the statewide capacity for children's residential treatment 
29.21 	services subject to the moratorium under this paragraph.

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

29.23 	Sec. 32. ADVISORY TASK FORCE ON FAMILY RESIDENTIAL SERVICES.
 29.24 		Subdivision 1.Establishment; purpose. The Advisory Task Force on Family Residential 
29.25 	Services is established to evaluate pending family residential services rate modifications 
29.26 	and the impact any pending payment methodology would have on existing family residential 
29.27 	services and licensed adult family foster care providers.
29.28 		Subd. 2.Membership. (a) The Advisory Task Force on Family Residential Services 
29.29 	must consist of the members appointed as follows:
29.30 	(1) two licensed adult family foster care providers, appointed by the commissioner of 
29.31 	human services;
29.32 	(2) two licensed adult family foster care providers, appointed by ARRM;
30.1 	(3) one member representing the Department of Human Services who has experience 
30.2 	with adult family foster care providers and family residential services, appointed by the 
30.3 	commissioner of human services;
30.4 	(4) one additional member representing the Department of Human Services who has 
30.5 	experience with disability waiver rate setting, appointed by the commissioner of human 
30.6 	services;
30.7 	(5) one member representing lead agencies, appointed by the Association of Minnesota 
30.8 	Counties;
30.9 	(6) one member representing ARRM, appointed by ARRM;
30.10 	(7) one person receiving family residential services; and
30.11 	(8) one person receiving life sharing services.
30.12 	(b) Appointments must be made no later than September 1, 2024.
30.13 	(c) Notwithstanding Minnesota Statutes, section 15.059, subdivision 6, member 
30.14 	compensation and reimbursement for expenses are governed by Minnesota Statutes, section 
30.15 	15.059, subdivision 3.
30.16 		Subd. 3.Meetings. (a) The commissioner of human services must convene the first 
30.17 	meeting of the advisory task force no later than October 1, 2024.
30.18 	(b) Advisory task force meetings are subject to the Minnesota Open Meeting Law under 
30.19 	Minnesota Statutes, chapter 13D.
30.20 	(c) Advisory task force meetings must be conducted by telephone or interactive 
30.21 	technology according to Minnesota Statutes, section 13D.015.
30.22 		Subd. 4.Administrative support. (a) The commissioner of human services must provide 
30.23 	administrative support and staff assistance for the advisory task force.
30.24 	(b) The commissioner of human services must provide the advisory task force with data, 
30.25 	fiscal estimates, rate models, draft waiver amendments, implementation updates, estimated 
30.26 	impacts, and other information the advisory task force requires to fulfill its duties under 
30.27 	subdivisions 5 and 6.
30.28 		Subd. 5.Duties. (a) Prior to issuing the report required under subdivision 6, paragraph 
30.29 	(a), the advisory task force must evaluate multiple family residential service rate models 
30.30 	and the impact the proposed rate models would have on family residential services and adult 
30.31 	family foster care providers. The evaluations must include:
31.1 	(1) case studies demonstrating rate changes adult family foster care providers would 
31.2 	experience under each rate model;
31.3 	(2) an estimate of the median rate change family residential services adult family foster 
31.4 	care providers will experience under each model;
31.5 	(3) the number of adult family foster care providers operating in Minnesota; and
31.6 	(4) the number of individuals receiving family residential services from licensed adult 
31.7 	family foster care providers.
31.8 	(b) Prior to issuing the report required under subdivision 6, paragraph (b), the advisory 
31.9 	task force must monitor the development and implementation of the family residential 
31.10 	service rate methodology and the impact of the rate methodology on family residential 
31.11 	services and adult family foster care providers.
31.12 		Subd. 6.Reports. (a) No later than March 15, 2025, the advisory task force must submit 
31.13 	to the chairs and ranking minority members of the legislative committees with jurisdiction 
31.14 	over licensed adult foster care providers and family residential services reimbursement rates 
31.15 	a written report that includes recommendations on:
31.16 	(1) a payment rate methodology for family residential services;
31.17 	(2) a payment rate methodology for life sharing services;
31.18 	(3) any additional recommended changes to family residential services and life sharing 
31.19 	services;
31.20 	(4) any legislative language required to implement the recommendations of the advisory 
31.21 	task force; and
31.22 	(5) any legislative modifications to the duties or authorities of the advisory task force 
31.23 	required to adequately monitor the implementation of new rates for family residential 
31.24 	services and life sharing services.
31.25 	(b) No later than June 30, 2027, the advisory task force must submit to the chairs and 
31.26 	ranking minority members of the legislative committees with jurisdiction over licensed 
31.27 	adult foster care providers and family residential services reimbursement rates a written 
31.28 	report that includes an assessment of the development and implementation of the family 
31.29 	residential service rate methodology and the impact of the rate methodology on family 
31.30 	residential services and adult family foster care providers.
31.31 		Subd. 7.Expiration. The advisory task force expires June 30, 2027.

31.32 	EFFECTIVE DATE. This section is effective July 1, 2024.

32.1 	Sec. 33. ASSISTIVE TECHNOLOGY LEAD AGENCY PARTNERSHIPS.
 32.2 	(a) Lead agencies may establish partnerships with enrolled medical assistance providers 
32.3 	of home and community-based services under Minnesota Statutes, section 256B.0913, 
32.4 	256B.092, 256B.093, or 256B.49, or Minnesota Statutes, chapter 256S, to evaluate the 
32.5 	benefits of informed choice in accessing the following existing assistive technology home 
32.6 	and community-based waiver services:
32.7 	(1) assistive technology;
32.8 	(2) specialized equipment and supplies;
32.9 	(3) environmental accessibility adaptations;
32.10 	(4) client and caregiver training;
32.11 	(5) 24-hour emergency assistance; or
32.12 	(6) any other cost-effective, allowable waiver services and benefits related to assistive 
32.13 	technology.
32.14 	(b) Lead agencies may prioritize eligible individuals who desire to participate in the 
32.15 	partnership authorized by this section using existing home and community-based waiver 
32.16 	criteria under Minnesota Statutes, chapters 256B and 256S, which may include but are not 
32.17 	limited to:
32.18 	(1) significant clinical acuity due to one or more chronic medical conditions;
32.19 	(2) multiple emergency room visits or inpatient admissions during the prior 365 days;
32.20 	(3) a diagnosis of a behavioral or complex chronic condition;
32.21 	(4) challenges in finding nonemergency medical transportation in the individual's region; 
32.22 	or
32.23 	(5) an inability to find available primary care providers.
32.24 	(c) Lead agencies must ensure individuals who choose to participate have informed 
32.25 	choice in accessing the services and must adhere to conflict-free case management 
32.26 	requirements.
32.27 	(d) Lead agencies may identify efficiencies, as well as utilize an alternative 
32.28 	evidence-based methodology, that result in approval or denial of service authorizations 
32.29 	within 30 business days of the receipt of the initial request, provide evidence-based cost 
32.30 	data and quality analysis to the commissioner, and collect feedback on the use of technology 
33.1 	systems from home and community-based waiver services recipients, family caregivers, 
33.2 	and any other interested community partners.

33.3 	Sec. 34. DIRECT SUPPORT SERVICE RATE CALCULATIONS.
 33.4 	(a) By March 15, 2025, the commissioner of human services must submit to the chairs 
33.5 	and ranking minority members of the legislative committees with jurisdiction over human 
33.6 	services policy and finance a report that includes legislative language necessary to increase 
33.7 	the reimbursement rates, enhanced rates, tiered rates, individual budgets, grants, and 
33.8 	allocations by an amount equal to the incremental increase in the wage floor, the incremental 
33.9 	increase in any paid time off, the incremental increase in any pay for work on holidays, and 
33.10 	any other incremental increase in other benefits, plus all corresponding incremental increases 
33.11 	in the employer's share of FICA taxes, Medicare taxes, state and federal unemployment 
33.12 	taxes, worker compensation premiums, and retirement contributions, if any, attributable to 
33.13 	any incremental increases included in a proposed collective bargaining agreement between 
33.14 	the state and individual providers of direct support services to participants in a covered 
33.15 	program as defined under Minnesota Statutes, section 256B.0711.
33.16 	(b) The commissioner must include in the report the formula used to determine the 
33.17 	increase in the reimbursement rates, enhanced rates, tiered rates, individual budgets, grants, 
33.18 	and allocations as described in paragraph (a) for not only each covered program, but also 
33.19 	the CFSS agency-provider model and the traditional personal care assistance program. The 
33.20 	commissioner must assume for the purposes of the report that every individual providing 
33.21 	direct support services will receive a wage increase equal to the incremental increase in the 
33.22 	wage floor and the incremental increase in other benefits proposed in the collective bargaining 
33.23 	agreement and that no employer, fiscal support entity, or fiscal management service will 
33.24 	absorb any incremental increase in costs attributable to increasing wages by an amount 
33.25 	equal to the incremental increase in the wage floor or providing additional benefits equal 
33.26 	to the incremental increase in benefits described in the collective bargaining agreement.

33.27 	Sec. 35. DIRECTION TO COMMISSIONER; CONSUMER-DIRECTED 
33.28 	COMMUNITY SUPPORTS.
 33.29 	By December 31, 2024, the commissioner of human services shall seek any necessary 
33.30 	changes to home and community-based services waiver plans regarding consumer-directed 
33.31 	community supports in order to:
33.32 	(1) clarify that allowable goods and services for a consumer-directed community supports 
33.33 	participant do not need to be for the sole benefit of the participant, and that goods and 
34.1 	services may benefit others if there is also a direct benefit to the participant based on the 
34.2 	participant's assessed needs;
34.3 	(2) clarify that goods or services that support the participant's assessed needs for 
34.4 	community integration and inclusion are allowable under the consumer-directed community 
34.5 	supports program;
34.6 	(3) clarify that the rate authorized for services approved under the consumer-directed 
34.7 	community supports personal assistance category may exceed the reasonable range of similar 
34.8 	services in the participant's community if the participant has an assessed need for an enhanced 
34.9 	rate; and
34.10 	(4) clarify that a participant's spouse or a parent of a minor participant, as defined in the 
34.11 	waiver plans, may be paid for consumer-directed community support services at a rate that 
34.12 	exceeds that which would otherwise be paid to a provider of a similar service or that exceeds 
34.13 	what is allowed by the commissioner for the payment of personal care assistance services 
34.14 	if the participant has an assessed need for an enhanced rate.

34.15 	Sec. 36. DIRECTION TO COMMISSIONER; PREVOCATIONAL SERVICES 
34.16 	WAIVER AMENDMENTS.
 34.17 	By September 1, 2024, the commissioner of human services must submit waiver plan 
34.18 	amendments for the developmental disabilities waiver, the brain injury waiver, the community 
34.19 	access for disability inclusion waiver, and the community alternative care waiver to remove 
34.20 	from the service definitions of prevocational services the limits on the duration a person 
34.21 	who began receiving prevocational services after January 1, 2021, may receive prevocational 
34.22 	services.

34.23 	Sec. 37. DIRECTION TO COMMISSIONER OF HUMAN SERVICES; 
34.24 	REIMBURSEMENT FOR PERSONAL CARE ASSISTANTS AND 
34.25 	COMMUNITY-FIRST SERVICES AND SUPPORTS WORKERS.
 34.26 	By January 1, 2025, the commissioner of human services shall provide draft legislation 
34.27 	to the chairs and ranking minority members of the legislative committees with jurisdiction 
34.28 	over human services finance proposing the statutory changes needed to permit reimbursement 
34.29 	of personal care assistants and support workers to provide:
34.30 	(1) up to eight hours of overtime per week per worker beyond the current maximum 
34.31 	number of reimbursable hours per month;
35.1 	(2) asleep overnight and awake overnight staffing in the same manner as direct support 
35.2 	professionals under the brain injury waiver, community alternative care waiver, community 
35.3 	access for disability inclusion waiver, and developmental disabilities waiver; and
35.4 	(3) services in shifts of up to 80 consecutive hours when otherwise compliant with federal 
35.5 	and state labor laws.

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

35.7 	Sec. 38. DISABILITY HOME AND COMMUNITY-BASED SERVICES 
35.8 	REIMBURSEMENT IN ACUTE CARE HOSPITAL STAYS.
 35.9 	(a) The commissioner of human services must seek approval to amend Minnesota's 
35.10 	federally approved disability waiver plans under Minnesota Statutes, sections 256B.092 
35.11 	and 256B.49, to reimburse for delivery of unit-based services under Minnesota Statutes, 
35.12 	section 256B.4914, in acute care hospital settings, as authorized under United States Code, 
35.13 	title 42, section 1396a(h).
35.14 	(b) Reimbursed services must:
35.15 	(1) be identified in an individual's person-centered support plan as required under 
35.16 	Minnesota Statutes, section 256B.0911;
35.17 	(2) be provided to meet the needs of the person that are not met through the provision 
35.18 	of hospital services;
35.19 	(3) not substitute services that the hospital is obligated to provide as required under state 
35.20 	and federal law; and
35.21 	(4) be designed to ensure smooth transitions between acute care settings and home and 
35.22 	community-based settings and to preserve the person's functional abilities.

35.23 	EFFECTIVE DATE. Paragraph (b) is effective January 1, 2025, or upon federal 
35.24 	approval, whichever is later. The commissioner of human services shall notify the revisor 
35.25 	of statutes when federal approval is obtained.

35.26 	Sec. 39. DISABILITY SERVICES CONTINUOUS IMPROVEMENT STUDY; 
35.27 	DIRECTION TO COMMISSIONER.
 35.28 	(a) By August 1, 2024, the commissioner of human services shall issue a request for 
35.29 	proposals for the design, implementation, and administration of a continuous improvement 
35.30 	study of access to disability services.
36.1 	(b) The continuous improvement study must assess access to the range of disability 
36.2 	services programs:
36.3 	(1) in metropolitan, suburban, and rural counties; and
36.4 	(2) by non-English-speaking communities and by various populations, including but not 
36.5 	limited to Black, Indigenous, and People of Color.
36.6 	(c) To be eligible to respond to the request for proposals, an entity must demonstrate 
36.7 	that it has worked successfully with other organizations on continuous improvement studies 
36.8 	and journey mapping of processes from beginning to end.
36.9 	(d) In developing the request for proposals, the commissioner shall consult with disability 
36.10 	services providers, county human services agencies, disability advocacy organizations, and 
36.11 	individuals with lived experience in accessing disability services.
36.12 	(e) The commissioner shall report the results of the continuous improvement study and 
36.13 	any recommendations to improve access to disability services to the chairs and ranking 
36.14 	minority members of the legislative committees with jurisdiction over disability services 
36.15 	by December 15, 2026.

36.16 	Sec. 40. EMERGENCY RELIEF GRANTS FOR RURAL EARLY INTENSIVE 
36.17 	DEVELOPMENTAL AND BEHAVIORAL INTERVENTION PROVIDERS.
 36.18 		Subdivision 1.Establishment and purpose. (a) The commissioner of human services 
36.19 	shall award grants to financially distressed organizations that provide early intensive 
36.20 	developmental and behavioral intervention services to rural communities. For the purposes 
36.21 	of this section, "rural communities" means communities outside the metropolitan counties 
36.22 	listed in Minnesota Statutes, section 473.121, subdivision 4, and outside the cities of Duluth, 
36.23 	Mankato, Moorhead, Rochester, and St. Cloud.
36.24 	(b) The commissioner shall conduct community engagement, provide technical assistance, 
36.25 	and work with the commissioners of management and budget and administration to mitigate 
36.26 	barriers in accessing grant money.
36.27 	(c) The commissioner shall limit expenditures under this section to the amount 
36.28 	appropriated for this purpose.
36.29 		Subd. 2.Eligibility. (a) To be an eligible applicant for a grant under this section, a 
36.30 	provider of early intensive developmental and behavioral intervention services must submit 
36.31 	to the commissioner of human services a grant application in the form and according to the 
36.32 	timelines established by the commissioner.
37.1 	(b) In a grant application, an applicant must demonstrate that:
37.2 	(1) the total net income of the provider of early intensive developmental and behavioral 
37.3 	intervention services is not generating sufficient revenue to cover the provider's operating 
37.4 	expenses;
37.5 	(2) the provider is at risk of closure or ceasing to provide early intensive developmental 
37.6 	and behavioral intervention services; and
37.7 	(3) additional emergency operating revenue is necessary to preserve access to early 
37.8 	intensive developmental and behavioral intervention services within the rural community 
37.9 	the provider serves.
37.10 	(c) In a grant application, the applicant must make a request based on the information 
37.11 	submitted under paragraph (b) for the minimal funding amount sufficient to preserve access 
37.12 	to early intensive developmental and behavioral intervention services within the rural 
37.13 	community the provider serves.
37.14 		Subd. 3.Approving grants. The commissioner must evaluate all grant applications on 
37.15 	a competitive basis and award grants to successful applicants within available appropriations 
37.16 	for this purpose. The commissioner's decisions are final and not subject to appeal.

37.17 	Sec. 41. LEGISLATIVE TASK FORCE ON GUARDIANSHIP.
 37.18 		Subdivision 1.Membership. (a) The Legislative Task Force on Guardianship consists 
37.19 	of the following members:
37.20 	(1) one member of the house of representatives, appointed by the speaker of the house 
37.21 	of representatives;
37.22 	(2) one member of the house of representatives, appointed by the minority leader of the 
37.23 	house of representatives;
37.24 	(3) one member of the senate, appointed by the senate majority leader;
37.25 	(4) one member of the senate, appointed by the senate minority leader;
37.26 	(5) one judge who has experience working on guardianship cases, appointed by the chief 
37.27 	justice of the supreme court;
37.28 	(6) two individuals presently or formerly under guardianship or emergency guardianship, 
37.29 	appointed by the Minnesota Council on Disability;
37.30 	(7) one private, professional guardian, appointed by the Minnesota Council on Disability;
38.1 	(8) one private, nonprofessional guardian, appointed by the Minnesota Council on 
38.2 	Disability;
38.3 	(9) one representative of the Department of Human Services with knowledge of public 
38.4 	guardianship issues, appointed by the commissioner of human services;
38.5 	(10) one member appointed by the Minnesota Council on Disability;
38.6 	(11) two members of two different disability advocacy organizations, appointed by the 
38.7 	Minnesota Council on Disability;
38.8 	(12) one member of a professional or advocacy group representing the interests of the 
38.9 	guardian who has experience working in the judicial system on guardianship cases, appointed 
38.10 	by the Minnesota Council on Disability;
38.11 	(13) one member of a professional or advocacy group representing the interests of persons 
38.12 	subject to guardianship who has experience working in the judicial system on guardianship 
38.13 	cases, appointed by the Minnesota Council on Disability;
38.14 	(14) two members of two different advocacy groups representing the interests of older 
38.15 	Minnesotans who are or may find themselves subject to guardianship, appointed by the 
38.16 	Minnesota Council on Disability;
38.17 	(15) one employee acting as the Disability Systems Planner in the Center for Health 
38.18 	Equity at the Minnesota Department of Health, appointed by the commissioner of health;
38.19 	(16) one member appointed by the Minnesota Indian Affairs Council;
38.20 	(17) one member from the Commission of the Deaf, Deafblind, and Hard-of-Hearing, 
38.21 	appointed by the executive director of the commission;
38.22 	(18) one member of the Council on Developmental Disabilities, appointed by the 
38.23 	executive director of the council;
38.24 	(19) one employee from the Office of Ombudsman for Mental Health and Developmental 
38.25 	Disabilities, appointed by the ombudsman;
38.26 	(20) one employee from the Office of Ombudsman for Long Term Care, appointed by 
38.27 	the ombudsman;
38.28 	(21) one member appointed by the Minnesota Association of County Social Services 
38.29 	Administrators (MACSSA);
38.30 	(22) one employee from the Olmstead Implementation Office, appointed by the director 
38.31 	of the office; and
39.1 	(23) one member representing an organization dedicated to supported decision-making 
39.2 	alternatives to guardianship, appointed by the Minnesota Council on Disability.
39.3 	(b) Appointees to the task force must be named by each appointing authority by June 
39.4 	30, 2025. Appointments made by an agency or commissioner may also be made by a 
39.5 	designee.
39.6 	(c) The member from the Minnesota Council on Disability serves as chair of the task 
39.7 	force. The chair must designate a member to serve as secretary.
39.8 		Subd. 2.Meetings; administrative support. The first meeting of the task force must 
39.9 	be convened by the chair no later than September 1, 2025, if an appropriation is made by 
39.10 	that date for the task force. The task force must meet at least quarterly. Meetings are subject 
39.11 	to Minnesota Statutes, chapter 13D. The task force may meet by telephone or interactive 
39.12 	technology consistent with Minnesota Statutes, section 13D.015. The Minnesota Council 
39.13 	on Disability shall provide meeting space and administrative and research support to the 
39.14 	task force.
39.15 		Subd. 3.Duties. (a) The task force must make recommendations to address concerns 
39.16 	and gaps related to guardianships and less restrictive alternatives to guardianships in 
39.17 	Minnesota, including but not limited to:
39.18 	(1) developing efforts to sustain and increase the number of qualified guardians;
39.19 	(2) increasing compensation for in forma pauperis (IFP) guardians by studying current 
39.20 	funding streams to develop approaches to ensure that the funding streams are consistent 
39.21 	across the state and sufficient to serve the needs of persons subject to guardianship;
39.22 	(3) securing ongoing funding for guardianships and less restrictive alternatives;
39.23 	(4) establishing guardian certification or licensure;
39.24 	(5) identifying standards of practice for guardians and options for providing education 
39.25 	to guardians on standards and less restrictive alternatives;
39.26 	(6) securing ongoing funding for the guardian and conservator administrative complaint 
39.27 	process;
39.28 	(7) identifying and understanding alternatives to guardianship whenever possible to meet 
39.29 	the needs of patients and the challenges of providers in the delivery of health care, behavioral 
39.30 	health care, and residential and home-based care services;
39.31 	(8) expanding supported decision-making alternatives to guardianships and 
39.32 	conservatorships;
40.1 	(9) reducing the removal of civil rights when appointing a guardian, including by ensuring 
40.2 	guardianship is only used as a last resort; and
40.3 	(10) identifying ways to preserve and to maximize the civil rights of the person, including 
40.4 	due process considerations.
40.5 	(b) The task force must seek input from the public, the judiciary, people subject to 
40.6 	guardianship, guardians, advocacy groups, and attorneys. The task force must hold hearings 
40.7 	to gather information to fulfill the purpose of the task force.
40.8 		Subd. 4.Compensation; expenses. Members of the task force may receive compensation 
40.9 	and expense reimbursement as provided in Minnesota Statutes, section 15.059, subdivision 
40.10 	3.
40.11 		Subd. 5.Report; expiration. The task force shall submit a report to the chairs and 
40.12 	ranking minority members of the legislative committees with jurisdiction over guardianship 
40.13 	issues no later than January 15, 2027. The report must describe any concerns about the 
40.14 	current guardianship system identified by the task force and recommend policy options to 
40.15 	address those concerns and to promote less restrictive alternatives to guardianship. The 
40.16 	report must include draft legislation to implement recommended policy.
40.17 		Subd. 6.Expiration. The task force expires upon submission of its report, or January 
40.18 	16, 2027, whichever is earlier.

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

40.20 	Sec. 42. OWN HOME SERVICES PROVIDER CAPACITY-BUILDING GRANTS.
 40.21 		Subdivision 1.Establishment. The commissioner of human services shall establish a 
40.22 	onetime grant program to incentivize providers to support individuals to move out of 
40.23 	congregate living settings and into an individual's own home as described in Minnesota 
40.24 	Statutes, section 256B.492, subdivision 3.
40.25 		Subd. 2.Eligible grant recipients. Eligible grant recipients are providers of home and 
40.26 	community-based services under Minnesota Statutes, chapter 245D.
40.27 		Subd. 3.Grant application. In order to receive a grant under this section, providers 
40.28 	must apply to the commissioner on the forms and according to the timelines established by 
40.29 	the commissioner.
40.30 		Subd. 4.Allowable uses of grant money. Allowable uses of grant money include:
40.31 	(1) enhancing resources and staffing to support people and families in understanding 
40.32 	housing options;
41.1 	(2) housing expenses related to moving an individual into their own home that are not 
41.2 	covered by other housing services for which the individual is eligible;
41.3 	(3) moving expenses that are not covered by other housing services for which the 
41.4 	individual is eligible;
41.5 	(4) implementing and testing innovative approaches to better support people with 
41.6 	disabilities and their families in living in their own homes;
41.7 	(5) financial incentives for providers that have successfully moved an individual out of 
41.8 	congregate living and into their own home; and
41.9 	(6) other activities approved by the commissioner.
41.10 		Subd. 5.Expiration. This section expires June 30, 2026.

41.11 	Sec. 43. PEDIATRIC HOSPITAL-TO-HOME TRANSITION PILOT PROGRAM.
 41.12 	(a) The commissioner of human services shall establish a single competitive grant to a 
41.13 	home care nursing provider to develop and implement, in coordination with the commissioner 
41.14 	of human services, Fairview Masonic Children's Hospital, Gillette Children's Specialty 
41.15 	Healthcare, and Children's Minnesota of St. Paul and Minneapolis, a pilot program to 
41.16 	expedite and facilitate pediatric hospital-to-home discharges for patients receiving services 
41.17 	in this state under medical assistance, including under the community alternative care waiver, 
41.18 	community access for disability inclusion waiver, and developmental disabilities waiver.
41.19 	(b) Grant money awarded under this section must be used only to support the 
41.20 	administrative, training, and auxiliary services necessary to reduce: (1) delayed discharge 
41.21 	days due to unavailability of home care nursing staffing to accommodate complex pediatric 
41.22 	patients; (2) avoidable rehospitalization days for pediatric patients; (3) unnecessary 
41.23 	emergency department utilization by pediatric patients following discharge; (4) long-term 
41.24 	nursing needs for pediatric patients; and (5) the number of school days missed by pediatric 
41.25 	patients.
41.26 	(c) Grant money must not be used to supplement payment rates for services covered 
41.27 	under Minnesota Statutes, chapter 256B.
41.28 	(d) No later than December 15, 2026, the commissioner must prepare a report 
41.29 	summarizing the impact of the pilot program that includes but is not limited to: (1) the 
41.30 	number of delayed discharge days eliminated; (2) the number of rehospitalization days 
41.31 	eliminated; (3) the number of unnecessary emergency department admissions eliminated; 
42.1 	(4) the number of missed school days eliminated; and (5) an estimate of the return on 
42.2 	investment of the pilot program.
42.3 	(e) The commissioner must submit the report under paragraph (d) to the chairs and 
42.4 	ranking minority members of the legislative committees with jurisdiction over health and 
42.5 	human services.

42.6 	Sec. 44. PERSONAL CARE ASSISTANCE COMPENSATION FOR SERVICES 
42.7 	PROVIDED BY A PARENT OR SPOUSE.
 42.8 	(a) Notwithstanding Minnesota Statutes, section 256B.0659, subdivision 3, paragraph 
42.9 	(a), clause (1); subdivision 11, paragraph (c); and subdivision 19, paragraph (b), clause (3), 
42.10 	beginning October 1, 2024, a parent, stepparent, or legal guardian of a minor who is a 
42.11 	personal care assistance recipient or the spouse of a personal care assistance recipient may 
42.12 	provide and be paid for providing personal care assistance services under medical assistance. 
42.13 	The commissioner shall seek federal approval for these payments. The commissioner shall 
42.14 	make payments for services rendered without federal financial participation until federal 
42.15 	approval is obtained, and if federal approval is denied, until this section expires.
42.16 	(b) This section expires upon full implementation of community first services and 
42.17 	supports under Minnesota Statutes, section 256B.85. The commissioner of human services 
42.18 	shall notify the revisor of statutes when this section expires.

42.19 	EFFECTIVE DATE. This section is effective for services rendered on or after October 
42.20 	1, 2024.

42.21 	Sec. 45. TRANSITIONAL SUPPORTS ALLOWANCE INCREASE.
 42.22 	Upon federal approval, the commissioner of human services must increase to $4,000 
42.23 	the transitional supports allowance under Minnesota's federally approved home and 
42.24 	community-based service waiver plans authorized under Minnesota Statutes, sections 
42.25 	256B.092 and 256B.49.

42.26 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
42.27 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
42.28 	when federal approval is obtained.

43.1 	Sec. 46. TRIBAL VULNERABLE ADULT AND DEVELOPMENTAL DISABILITY 
43.2 	TARGETED CASE MANAGEMENT MEDICAL ASSISTANCE BENEFIT.
 43.3 	(a) The commissioner of human services must engage with Minnesota's 
43.4 	federally-recognized Tribal Nations and urban American Indian providers and leaders to 
43.5 	design and recommend a Tribal-specific vulnerable adult and developmental disability 
43.6 	medical assistance targeted case management benefit to meet community needs and reduce 
43.7 	disparities experienced by Tribal members and urban American Indian populations. The 
43.8 	commissioner must honor and uphold Tribal sovereignty as part of this engagement, ensuring 
43.9 	Tribal Nations are equitably and authentically included in planning and policy discussions.
43.10 	(b) By January 1, 2025, the commissioner must report recommendations to the chairs 
43.11 	and ranking minority members of the legislative committees with jurisdiction over health 
43.12 	and human services finance and policy. Recommendations must include a description of 
43.13 	engagement with Tribal Nations, Tribal perspectives shared throughout the engagement 
43.14 	process, service design, and reimbursement methodology.

43.15 	EFFECTIVE DATE. This section is effective July 1, 2024.

43.16 	Sec. 47. REPEALER.
 43.17 	(a) Minnesota Statutes 2022, sections 252.021; and 252.27, subdivisions 1a, 2, 3, 4a, 5, 
43.18 	and 6, is repealed.
43.19 	(b) Minnesota Statutes 2022, section 256B.0916, subdivision 10, is repealed.
43.20 	(c) Minnesota Statutes 2023 Supplement, section 252.27, subdivision 2a, is repealed.

43.21 	EFFECTIVE DATE. Paragraph (b) is effective January 1, 2025.

43.22 	ARTICLE 2
43.23 	AGING SERVICES

43.24 	Section 1. [144G.195] FACILITY RELOCATION.
43.25 		Subdivision 1.New license not required. (a) Effective March 15, 2025, an assisted 
43.26 	living facility with a licensed resident capacity of ten residents or fewer may operate under 
43.27 	the licensee's current license if the facility is relocated with the approval of the commissioner 
43.28 	during the period the current license is valid.
43.29 	(b) A licensee is not required to apply for a new license solely because the licensee 
43.30 	receives approval to relocate a facility, and the licensee's license for the relocated facility 
43.31 	remains valid until the expiration date specified on the existing license. The commissioner 
44.1 	must apply the licensing and survey cycle previously established for the facility's prior 
44.2 	location to the facility's new location.
44.3 	(c) A licensee must notify the commissioner of health through a form developed by the 
44.4 	commissioner of the licensee's intent to relocate the licensee's facility. The building to which 
44.5 	the licensee intends to relocate the facility must obtain plan review approval and a certificate 
44.6 	of occupancy from the commissioner of labor and industry or the commissioner of labor 
44.7 	and industry's delegated authority. Upon issuance of a certificate of occupancy, the 
44.8 	commissioner of health must review and inspect the building to which the licensee intends 
44.9 	to relocate the facility and approve or deny the license relocation within 30 calendar days.
44.10 	(d) A licensee that receives approval from the commissioner to relocate a facility must 
44.11 	provide each resident with a new assisted living contract and comply with the coordinated 
44.12 	move requirements under section 144G.55.
44.13 	(e) A licensee denied approval by the commissioner to relocate a facility may continue 
44.14 	to operate the facility in its current location, follow the requirements in section 144G.57 
44.15 	and close the facility, or notify the commissioner of the licensee's intent to relocate the 
44.16 	facility to an alternative new location. If the licensee notifies the commissioner of the 
44.17 	licensee's intent to relocate the facility to an alternative new location, paragraph (c) applies, 
44.18 	including the timelines for approving or denying the license relocation for the alternative 
44.19 	new location.
44.20 		Subd. 2.Limited exemption from the customized living setting moratorium and 
44.21 	age limitations. (a) A licensee that receives approval from the commissioner of health under 
44.22 	subdivision 1 to relocate a facility that is also enrolled with the Department of Human 
44.23 	Services as a customized living setting to deliver 24-hour customized living services and 
44.24 	customized living services as defined by the brain injury and community access for disability 
44.25 	inclusion home and community-based services waiver plans and under section 256B.49 
44.26 	must inform the commissioner of human services of the licensee's intent to relocate.
44.27 	(b) If the licensee at the time of the intended relocation is providing customized living 
44.28 	or 24-hour customized living services under the brain injury and community access for 
44.29 	disability inclusion home and community-based services waiver plans and section 256B.49 
44.30 	to at least one individual, and the licensee intends to continue serving that individual in the 
44.31 	new location, the licensee must inform the commissioner of human services of the licensee's 
44.32 	intention to do so and meet the requirements specified under section 256B.49, subdivision 
44.33 	28a.

45.1 	EFFECTIVE DATE. This section is effective August 1, 2024, except subdivision 2 is 
45.2 	effective August 1, 2024, or 90 days after federal approval, whichever is later. The 
45.3 	commissioner of human services shall notify the revisor of statutes when federal approval 
45.4 	is obtained.

45.5 	Sec. 2. Minnesota Statutes 2022, section 144G.41, subdivision 1, is amended to read:
45.6 		Subdivision 1.Minimum requirements. All assisted living facilities shall:
45.7 	(1) distribute to residents the assisted living bill of rights;
45.8 	(2) provide services in a manner that complies with the Nurse Practice Act in sections 
45.9 	148.171 to 148.285;
45.10 	(3) utilize a person-centered planning and service delivery process;
45.11 	(4) have and maintain a system for delegation of health care activities to unlicensed 
45.12 	personnel by a registered nurse, including supervision and evaluation of the delegated 
45.13 	activities as required by the Nurse Practice Act in sections 148.171 to 148.285;
45.14 	(5) provide a means for residents to request assistance for health and safety needs 24 
45.15 	hours per day, seven days per week;
45.16 	(6) allow residents the ability to furnish and decorate the resident's unit within the terms 
45.17 	of the assisted living contract;
45.18 	(7) permit residents access to food at any time;
45.19 	(8) allow residents to choose the resident's visitors and times of visits;
45.20 	(9) allow the resident the right to choose a roommate if sharing a unit;
45.21 	(10) notify the resident of the resident's right to have and use a lockable door to the 
45.22 	resident's unit. The licensee shall provide the locks on the unit. Only a staff member with 
45.23 	a specific need to enter the unit shall have keys, and advance notice must be given to the 
45.24 	resident before entrance, when possible. An assisted living facility must not lock a resident 
45.25 	in the resident's unit;
45.26 	(11) develop and implement a staffing plan for determining its staffing level that:
45.27 	(i) includes an evaluation, to be conducted at least twice a year, of the appropriateness 
45.28 	of staffing levels in the facility;
45.29 	(ii) ensures sufficient staffing at all times to meet the scheduled and reasonably 
45.30 	foreseeable unscheduled needs of each resident as required by the residents' assessments 
45.31 	and service plans on a 24-hour per day basis; and
46.1 	(iii) ensures that the facility can respond promptly and effectively to individual resident 
46.2 	emergencies and to emergency, life safety, and disaster situations affecting staff or residents 
46.3 	in the facility;
46.4 	(12) ensure that one or more persons are available 24 hours per day, seven days per 
46.5 	week, who are responsible for responding to the requests of residents for assistance with 
46.6 	health or safety needs. Such persons must be:
46.7 	(i) awake;
46.8 	(ii) located in the same building, in an attached building, or on a contiguous campus 
46.9 	with the facility in order to respond within a reasonable amount of time;
46.10 	(iii) capable of communicating with residents;
46.11 	(iv) capable of providing or summoning the appropriate assistance; and
46.12 	(v) capable of following directions; and
46.13 	(13) offer to provide or make available at least the following services to residents:
46.14 	(i) at least three nutritious meals daily with snacks available seven days per week, 
46.15 	according to the recommended dietary allowances in the United States Department of 
46.16 	Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables. The 
46.17 	following apply:
46.18 	(A) menus must be prepared at least one week in advance, and made available to all 
46.19 	residents. The facility must encourage residents' involvement in menu planning. Meal 
46.20 	substitutions must be of similar nutritional value if a resident refuses a food that is served. 
46.21 	Residents must be informed in advance of menu changes;
46.22 	(B) food must be prepared and served according to the Minnesota Food Code, Minnesota 
46.23 	Rules, chapter 4626; and
46.24 	(C) the facility cannot require a resident to include and pay for meals in their contract;
46.25 	(ii) weekly housekeeping;
46.26 	(iii) weekly laundry service;
46.27 	(iv) upon the request of the resident, provide direct or reasonable assistance with arranging 
46.28 	for transportation to medical and social services appointments, shopping, and other recreation, 
46.29 	and provide the name of or other identifying information about the persons responsible for 
46.30 	providing this assistance;
47.1 	(v) upon the request of the resident, provide reasonable assistance with accessing 
47.2 	community resources and social services available in the community, and provide the name 
47.3 	of or other identifying information about persons responsible for providing this assistance;
47.4 	(vi) provide culturally sensitive programs; and
47.5 	(vii) have a daily program of social and recreational activities that are based upon 
47.6 	individual and group interests, physical, mental, and psychosocial needs, and that creates 
47.7 	opportunities for active participation in the community at large; and
47.8 	(14) (13) provide staff access to an on-call registered nurse 24 hours per day, seven days 
47.9 	per week.

47.10 	Sec. 3. Minnesota Statutes 2022, section 144G.41, is amended by adding a subdivision to 
47.11 	read:
47.12 		Subd. 1a.Minimum requirements; required food services. (a) All assisted living 
47.13 	facilities must offer to provide or make available at least three nutritious meals daily with 
47.14 	snacks available seven days per week, according to the recommended dietary allowances 
47.15 	in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh 
47.16 	fruit and fresh vegetables. The menus must be prepared at least one week in advance, and 
47.17 	made available to all residents. The facility must encourage residents' involvement in menu 
47.18 	planning. Meal substitutions must be of similar nutritional value if a resident refuses a food 
47.19 	that is served. Residents must be informed in advance of menu changes. The facility must 
47.20 	not require a resident to include and pay for meals in the resident's contract. Except as 
47.21 	provided in paragraph (b), food must be prepared and served according to the Minnesota 
47.22 	Food Code, Minnesota Rules, chapter 4626.
47.23 	(b) For an assisted living facility with a licensed capacity of ten or fewer residents:
47.24 	(1) notwithstanding Minnesota Rules, part 4626.0033, item A, the facility may share a 
47.25 	certified food protection manager (CFPM) with one other facility located within a 60-mile 
47.26 	radius and under common management provided the CFPM is present at each facility 
47.27 	frequently enough to effectively administer, manage, and supervise each facility's food 
47.28 	service operation;
47.29 	(2) notwithstanding Minnesota Rules, part 4626.0545, item A, kick plates that are not 
47.30 	removable or cannot be rotated open are allowed unless the facility has been issued repeated 
47.31 	correction orders for violations of Minnesota Rules, part 4626.1565 or 4626.1570;
47.32 	(3) notwithstanding Minnesota Rules, part 4626.0685, item A, the facility is not required 
47.33 	to provide integral drainboards, utensil racks, or tables large enough to accommodate soiled 
48.1 	and clean items that may accumulate during hours of operation provided soiled items do 
48.2 	not contaminate clean items, surfaces, or food, and clean equipment and dishes are air dried 
48.3 	in a manner that prevents contamination before storage;
48.4 	(4) notwithstanding Minnesota Rules, part 4626.1070, item A, the facility is not required 
48.5 	to install a dedicated handwashing sink in its existing kitchen provided it designates one 
48.6 	well of a two-compartment sink for use only as a handwashing sink;
48.7 	(5) notwithstanding Minnesota Rules, parts 4626.1325, 4626.1335, and 4626.1360, item 
48.8 	A, existing floor, wall, and ceiling finishes are allowed provided the facility keeps them 
48.9 	clean and in good condition;
48.10 	(6) notwithstanding Minnesota Rules, part 4626.1375, shielded or shatter-resistant 
48.11 	lightbulbs are not required, but if a light bulb breaks, the facility must discard all exposed 
48.12 	food and fully clean all equipment, dishes, and surfaces to remove any glass particles; and
48.13 	(7) notwithstanding Minnesota Rules, part 4626.1390, toilet rooms are not required to 
48.14 	be provided with a self-closing door.

48.15 	Sec. 4. Minnesota Statutes 2022, section 144G.41, is amended by adding a subdivision to 
48.16 	read:
48.17 		Subd. 1b.Minimum requirements; other required services. All assisted living facilities 
48.18 	must offer to provide or make available the following services to residents:
48.19 	(1) weekly housekeeping;
48.20 	(2) weekly laundry service;
48.21 	(3) upon the request of the resident, provide direct or reasonable assistance with arranging 
48.22 	for transportation to medical and social services appointments, shopping, and other recreation, 
48.23 	and provide the name of or other identifying information about the persons responsible for 
48.24 	providing this assistance;
48.25 	(4) upon the request of the resident, provide reasonable assistance with accessing 
48.26 	community resources and social services available in the community, and provide the name 
48.27 	of or other identifying information about persons responsible for providing this assistance;
48.28 	(5) provide culturally sensitive programs; and
48.29 	(6) have a daily program of social and recreational activities that are based upon individual 
48.30 	and group interests, physical, mental, and psychosocial needs, and that creates opportunities 
48.31 	for active participation in the community at large.

49.1 	Sec. 5. Minnesota Statutes 2022, section 144G.63, subdivision 1, is amended to read:
49.2 		Subdivision 1.Orientation of staff and supervisors. (a) All staff providing and 
49.3 	supervising direct services must complete an orientation to assisted living facility licensing 
49.4 	requirements and regulations before providing assisted living services to residents. The 
49.5 	orientation may be incorporated into the training required under subdivision 5. The orientation 
49.6 	need only be completed once for each staff person and is not transferable to another facility, 
49.7 	except as provided in paragraph (b).
49.8 	(b) A staff person is not required to repeat the orientation required under subdivision 2 
49.9 	if the staff person transfers from one licensed assisted living facility to another facility 
49.10 	operated by the same licensee or by a licensee affiliated with the same corporate organization 
49.11 	as the licensee of the first facility, or to another facility managed by the same entity managing 
49.12 	the first facility. The facility to which the staff person transfers must document that the staff 
49.13 	person completed the orientation at the prior facility. The facility to which the staff person 
49.14 	transfers must nonetheless provide the transferred staff person with supplemental orientation 
49.15 	specific to the facility and document that the supplemental orientation was provided. The 
49.16 	supplemental orientation must include the types of assisted living services the staff person 
49.17 	will be providing, the facility's category of licensure, and the facility's emergency procedures. 
49.18 	A staff person cannot transfer to an assisted living facility with dementia care without 
49.19 	satisfying the additional training requirements under section 144G.83.

49.20 	Sec. 6. Minnesota Statutes 2022, section 144G.63, subdivision 4, is amended to read:
49.21 		Subd. 4.Training required relating to dementia, mental illness, and de-escalation. All 
49.22 	direct care staff and supervisors providing direct services must demonstrate an understanding 
49.23 	of the training specified in section sections144G.64 and 144G.65.

49.24 	EFFECTIVE DATE. This section is effective January 1, 2025.

49.25 	Sec. 7. [144G.65] TRAINING IN MENTAL ILLNESS AND DE-ESCALATION.
49.26 		Subdivision 1.Training for supervisors. (a) Within 90 calendar days of the employment 
49.27 	start date, all supervisors of direct care staff must complete at least eight hours of initial 
49.28 	training on the topics specified in subdivision 6.
49.29 	(b) New supervisors may satisfy the training required under this subdivision by producing 
49.30 	written proof of previously completed required training within the past 18 months.
49.31 		Subd. 2.Training for direct care staff. (a) Within 90 calendar days of the employment 
49.32 	start date, all direct care staff must complete at least eight hours of initial training on the 
50.1 	topics specified in subdivision 6. Until the initial training is complete, a direct care staff 
50.2 	member must not provide direct care unless someone is available who can act as a resource, 
50.3 	can assist if issues arise, and is either another direct care staff member who has completed 
50.4 	the eight hours of required training and is on-site or is a supervisor.
50.5 	(b) New direct care employees may satisfy the training required under this subdivision 
50.6 	by producing written proof of previously completed required training within the past 18 
50.7 	months.
50.8 		Subd. 3.Training for staff who do not provide direct care. (a) Within 90 calendar 
50.9 	days of the employment start date, all assisted living facility employees who do not provide 
50.10 	direct care, including maintenance, housekeeping, and food service staff, must complete at 
50.11 	least four hours of initial training on all the topics specified in subdivision 6.
50.12 	(b) New staff members may satisfy the training required under this subdivision by 
50.13 	producing written proof of previously completed required training within the past 18 months.
50.14 		Subd. 4.Annual training for all staff. All assisted living staff required to complete 
50.15 	initial training under subdivisions 1 to 3 must complete at least two hours of additional 
50.16 	training for each year of employment following completion of the initial training. Annual 
50.17 	training must cover some, but is not required to cover all, of the topics listed under 
50.18 	subdivision 6.
50.19 		Subd. 5.New staff members. A supervisor who has completed the training required 
50.20 	under subdivision 1 or a person who conducts the initial training must be available for 
50.21 	consultation with a new staff member on issues related to mental illness and de-escalation 
50.22 	during the first 90 calendar days of the new staff member's employment start date.
50.23 		Subd. 6.Content of training. The initial training on mental illness and de-escalation 
50.24 	required under this section must include:
50.25 	(1) an explanation of the principles of trauma-informed care;
50.26 	(2) instruction on incorporating knowledge about trauma into care plans, policies, 
50.27 	procedures, and practices to avoid retraumatization;
50.28 	(3) de-escalation techniques and communication;
50.29 	(4) crisis resolution, including a procedure for contacting county crisis response teams;
50.30 	(5) suicide prevention, including use of the 988 suicide and crisis lifeline;
51.1 	(6) recognizing symptoms of common mental illness diagnoses, including but not limited 
51.2 	to mood disorders, anxiety disorders, trauma and stressor-related disorders, personality and 
51.3 	psychotic disorders, substance use disorder, and substance misuse;
51.4 	(7) creating and executing person-centered care plans for residents with mental illness;
51.5 	(8) information on medications and their side effects, the risks of overmedication or 
51.6 	improper use of medications, and nonpharmacological interventions; and
51.7 	(9) support strategies, resources, and referral sources for residents experiencing diagnoses 
51.8 	co-occurring with mental illness, including dementia.
51.9 		Subd. 7.Information to prospective residents. The facility must provide to prospective 
51.10 	residents in written or electronic form a description of its training program on mental illness 
51.11 	and de-escalation, the categories of staff trained, the frequency and amount of training, and 
51.12 	the basic topics covered.

51.13 	EFFECTIVE DATE. This section is effective January 1, 2025.

51.14 	Sec. 8. Minnesota Statutes 2023 Supplement, section 256.9756, subdivision 1, is amended 
51.15 	to read:
51.16 		Subdivision 1.Caregiver respite services grant program established. The Minnesota 
51.17 	Board on Aging must establish a caregiver respite services grant program to increase the 
51.18 	availability of respite services for family caregivers of people with dementia and older adults
51.19 	and to provide information, education, and training to respite caregivers and volunteers 
51.20 	regarding caring for people with dementia. From the money made available for this purpose, 
51.21 	the board must award grants on a competitive basis to respite service providers, giving 
51.22 	priority to areas of the state where there is a high need of respite services.

51.23 	Sec. 9. Minnesota Statutes 2023 Supplement, section 256.9756, subdivision 2, is amended 
51.24 	to read:
51.25 		Subd. 2.Eligible uses. Grant recipients awarded grant money under this section must 
51.26 	use a portion of the grant award as determined by the board to provide free or subsidized 
51.27 	respite services for family caregivers of people with dementia and older adults.

51.28 	Sec. 10. Minnesota Statutes 2023 Supplement, section 256B.0913, subdivision 5, is 
51.29 	amended to read:
51.30 		Subd. 5.Services covered under alternative care. Alternative care funding may be 
51.31 	used for payment of costs of:
52.1 	(1) adult day services and adult day services bath;
52.2 	(2) home care;
52.3 	(3) homemaker services;
52.4 	(4) personal care;
52.5 	(5) case management and conversion case management;
52.6 	(6) respite care;
52.7 	(7) specialized supplies and equipment;
52.8 	(8) home-delivered meals;
52.9 	(9) nonmedical transportation;
52.10 	(10) nursing services;
52.11 	(11) chore services;
52.12 	(12) companion services;
52.13 	(13) nutrition services;
52.14 	(14) family caregiver training and education;
52.15 	(15) coaching and counseling;
52.16 	(16) telehome care to provide services in their own homes in conjunction with in-home 
52.17 	visits;
52.18 	(17) consumer-directed community supports;
52.19 	(18) environmental accessibility and adaptations; and
52.20 	(19) transitional services; and
52.21 	(19) (20) discretionary services, for which lead agencies may make payment from their 
52.22 	alternative care program allocation for services not otherwise defined in this section or 
52.23 	section 256B.0625, following approval by the commissioner.
52.24 	Total annual payments for discretionary services for all clients served by a lead agency 
52.25 	must not exceed 25 percent of that lead agency's annual alternative care program base 
52.26 	allocation, except that when alternative care services receive federal financial participation 
52.27 	under the 1115 waiver demonstration, funding shall be allocated in accordance with 
52.28 	subdivision 17.

53.1 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
53.2 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
53.3 	when federal approval is obtained.

53.4 	Sec. 11. Minnesota Statutes 2022, section 256B.0913, subdivision 5a, is amended to read:
53.5 		Subd. 5a.Services; service definitions; service standards. (a) Unless specified in 
53.6 	statute, the services, service definitions, and standards for alternative care services shall be 
53.7 	the same as the services, service definitions, and standards specified in the federally approved 
53.8 	elderly waiver plan, except alternative care does not cover transitional support services,
53.9 	assisted living services, adult foster care services, and residential care and benefits defined 
53.10 	under section 256B.0625 that meet primary and acute health care needs.
53.11 	(b) The lead agency must ensure that the funds are not used to supplant or supplement 
53.12 	services available through other public assistance or services programs, including 
53.13 	supplementation of client co-pays, deductibles, premiums, or other cost-sharing arrangements 
53.14 	for health-related benefits and services or entitlement programs and services that are available 
53.15 	to the person, but in which they have elected not to enroll. The lead agency must ensure 
53.16 	that the benefit department recovery system in the Medicaid Management Information 
53.17 	System (MMIS) has the necessary information on any other health insurance or third-party 
53.18 	insurance policy to which the client may have access. Supplies and equipment may be 
53.19 	purchased from a vendor not certified to participate in the Medicaid program if the cost for 
53.20 	the item is less than that of a Medicaid vendor.
53.21 	(c) Personal care services must meet the service standards defined in the federally 
53.22 	approved elderly waiver plan, except that a lead agency may authorize services to be provided 
53.23 	by a client's relative who meets the relative hardship waiver requirements or a relative who 
53.24 	meets the criteria and is also the responsible party under an individual service plan that 
53.25 	ensures the client's health and safety and supervision of the personal care services by a 
53.26 	qualified professional as defined in section 256B.0625, subdivision 19c. Relative hardship 
53.27 	is established by the lead agency when the client's care causes a relative caregiver to do any 
53.28 	of the following: resign from a paying job, reduce work hours resulting in lost wages, obtain 
53.29 	a leave of absence resulting in lost wages, incur substantial client-related expenses, provide 
53.30 	services to address authorized, unstaffed direct care time, or meet special needs of the client 
53.31 	unmet in the formal service plan.
53.32 	(d) Alternative care covers sign language interpreter services and spoken language 
53.33 	interpreter services for recipients eligible for alternative care when the services are necessary 
53.34 	to help deaf and hard-of-hearing recipients or recipients with limited English proficiency 
54.1 	obtain covered services. Coverage for face-to-face spoken language interpreter services 
54.2 	shall be provided only if the spoken language interpreter used by the enrolled health care 
54.3 	provider is listed in the registry or roster established under section 144.058.

54.4 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
54.5 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
54.6 	when federal approval is obtained.

54.7 	Sec. 12. Minnesota Statutes 2022, section 256B.434, is amended by adding a subdivision 
54.8 	to read:
54.9 		Subd. 4k.Property rate increase for certain nursing facilities. (a) A rate increase 
54.10 	under this subdivision ends upon the effective date of the transition of the facility's property 
54.11 	rate to a property payment rate under section 256R.26, subdivision 8.
54.12 	(b) The commissioner shall increase the property rate of a nursing facility located in the 
54.13 	city of St. Paul at 1415 Almond Avenue in Ramsey County by $10.65 on January 1, 2025.
54.14 	(c) The commissioner shall increase the property rate of a nursing facility located in the 
54.15 	city of Duluth at 3111 Church Place in St. Louis County by $20.81 on January 1, 2025.
54.16 	(d) The commissioner shall increase the property rate of a nursing facility located in the 
54.17 	city of Chatfield at 1102 Liberty Street SE in Fillmore County by $21.35 on January 1, 
54.18 	2025.
54.19 	(e) Effective January 1, 2025, through June 30, 2025, the commissioner shall increase 
54.20 	the property rate of a nursing facility located in the city of Fergus Falls at 1131 South 
54.21 	Mabelle Avenue in Ottertail County by $38.56.

54.22 	EFFECTIVE DATE. This section is effective January 1, 2025.

54.23 	Sec. 13. Minnesota Statutes 2022, section 256B.49, is amended by adding a subdivision 
54.24 	to read:
54.25 		Subd. 28a.Limited exemption from the customized living setting moratorium and 
54.26 	age limitations. (a) For the purposes of this subdivision, "operational" has the meaning 
54.27 	given in subdivision 28.
54.28 	(b) This paragraph applies only to customized living settings enrolled and operational 
54.29 	on or before June 30, 2021, and customized living settings that have previously been exempt 
54.30 	from the customized living moratorium under this paragraph. A setting for which a provider 
54.31 	receives approval from the commissioner of health under section 144G.195, subdivision 1, 
55.1 	to relocate a licensed assisted living facility that is also enrolled as a customized living 
55.2 	setting to deliver 24-hour customized living services and customized living services as 
55.3 	defined by the brain injury and community access for disability inclusion home and 
55.4 	community-based services waiver plans and under this section is exempt from the customized 
55.5 	living moratorium under subdivision 28.
55.6 	(c) This paragraph applies only to customized living settings enrolled and operational 
55.7 	on or before January 11, 2021, and customized living settings that have previously been 
55.8 	deemed a tier 1 customized living setting under this paragraph. A setting for which a provider 
55.9 	receives approval from the commissioner of health under section 144G.195, subdivision 1, 
55.10 	to relocate a licensed assisted living facility that is also enrolled as a customized living 
55.11 	setting to deliver 24-hour customized living services and customized living services as 
55.12 	defined by the brain injury and community access for disability inclusion home and 
55.13 	community-based services waiver plans and under this section must be deemed a current 
55.14 	customized living setting, or tier 1 setting, for the purposes of the application of the home 
55.15 	and community-based residential tiered standards under Minnesota's Home and 
55.16 	Community-Based Services Rule Statewide Transition Plan.

55.17 	EFFECTIVE DATE. This section is effective August 1, 2024, or 90 days after federal 
55.18 	approval, whichever is later. The commissioner of human services shall notify the revisor 
55.19 	of statutes when federal approval is obtained.

55.20 	Sec. 14. Minnesota Statutes 2022, section 256R.53, is amended by adding a subdivision 
55.21 	to read:
55.22 		Subd. 4.Nursing facility in Minnetonka. (a) For a nursing facility located in Minnetonka 
55.23 	and licensed for 21 beds as of February 1, 2024, the commissioner shall use funding from 
55.24 	the moratorium exceptions process under section 144A.073 to calculate the facility's property 
55.25 	rate beginning January 1, 2025.
55.26 	(b) For the purposes of determining the total property payment rate under section 256R.26 
55.27 	for the facility described in paragraph (a), for a project completed in 2023, the final building 
55.28 	valuation is equal to the lesser of the limited depreciated replacement cost as determined 
55.29 	under section 256R.26, subdivision 3, or 105 percent of the estimated building valuation of 
55.30 	$6,650,000.

56.1 	Sec. 15. [256S.191] ELDERLY WAIVER BUDGET AND RATE EXCEPTIONS; 
56.2 	HIGH-NEED PARTICIPANTS.
56.3 		Subdivision 1.Eligibility for budget and rate exceptions. A participant is eligible to 
56.4 	request an elderly waiver budget and rate exception when:
56.5 	(1) hospitalization of the participant is no longer medically necessary but the participant 
56.6 	has not been discharged to the community due to lack of community care options;
56.7 	(2) the participant requires a support plan that exceeds elderly waiver budgets and rates 
56.8 	due to the participant's specific assessed needs; and
56.9 	(3) the participant meets all eligibility criteria for the elderly waiver.
56.10 		Subd. 2.Requests for budget and rate exceptions. (a) A participant eligible under 
56.11 	subdivision 1 may request, in a format prescribed by the commissioner, an elderly waiver 
56.12 	budget and rate exception when requesting an eligibility determination for elderly waiver 
56.13 	services. The participant may request an exception to the elderly waiver case mix caps, the 
56.14 	customized living service rate limits, service rates, or any combination of the three.
56.15 	(b) The participant must document in the request that the participant's needs cannot be 
56.16 	met within the existing case mix caps, customized living service rate limits, or service rates 
56.17 	and how an exception to any of the three will meet the participant's needs.
56.18 	(c) The participant must include in the request the basis for the underlying costs used to 
56.19 	determine the overall cost of the proposed service plan.
56.20 	(d) The commissioner must respond to all exception requests, whether the request is 
56.21 	granted, denied, or granted as modified. The commissioner must include in the response 
56.22 	the basis for the action and provide notification of the right to appeal.
56.23 	(e) Participants granted exceptions under this section must apply annually in a format 
56.24 	prescribed by the commissioner to continue or modify the exception.
56.25 	(f) A participant no longer qualifies for an exception when the participant's needs can 
56.26 	be met within standard elderly waiver budgets and rates.

56.27 	EFFECTIVE DATE. This section is effective January 1, 2026, or upon federal approval, 
56.28 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
56.29 	when federal approval is obtained.

57.1 	Sec. 16. Minnesota Statutes 2022, section 256S.205, subdivision 5, is amended to read:
57.2 		Subd. 5.Rate adjustment; rate floor. (a) Notwithstanding the 24-hour customized 
57.3 	living monthly service rate limits under section 256S.202, subdivision 2, and the component 
57.4 	service rates established under section 256S.201, subdivision 4, the commissioner must 
57.5 	establish a rate floor equal to $119 $145 per resident per day for 24-hour customized living 
57.6 	services provided to an elderly waiver participant in a designated disproportionate share 
57.7 	facility.
57.8 	(b) The commissioner must apply the rate floor to the services described in paragraph 
57.9 	(a) provided during the rate year.
57.10 	(c) The commissioner must adjust the rate floor by the same amount and at the same 
57.11 	time as any adjustment to the 24-hour customized living monthly service rate limits under 
57.12 	section 256S.202, subdivision 2.
57.13 	(d) The commissioner shall not implement the rate floor under this section if the 
57.14 	customized living rates established under sections 256S.21 to 256S.215 will be implemented 
57.15 	at 100 percent on January 1 of the year following an application year.

57.16 	EFFECTIVE DATE. This section is effective January 1, 2025.

57.17 	Sec. 17. DIRECTION TO COMMISSIONER; HOME AND COMMUNITY-BASED 
57.18 	SERVICES SYSTEM REFORM ANALYSIS.
 57.19 	(a) The commissioner of human services must study Minnesota's existing home and 
57.20 	community-based services system for older adults and evaluate options to meet the needs 
57.21 	of older adults with high support needs that cannot be addressed by services or individual 
57.22 	participant budgets available under the elderly waiver. The commissioner must propose 
57.23 	reforms to the home and community-based services system to meet the following goals:
57.24 	(1) address the needs of older adults with high support needs, including older adults with 
57.25 	high support needs currently residing in the community;
57.26 	(2) develop provider capacity to meet the needs of older adults with high support needs; 
57.27 	and
57.28 	(3) ensure access to a full range of services and supports necessary to address the needs 
57.29 	of older adults with high support needs.
57.30 	(b) The commissioner must submit a report with recommendations to meet the goals in 
57.31 	paragraph (a) to the chairs and ranking minority members of the legislative committees with 
57.32 	jurisdiction over human services finance and policy by December 31, 2025.

58.1 	ARTICLE 3
58.2 	SUBSTANCE USE DISORDER SERVICES

58.3 	Section 1. Minnesota Statutes 2023 Supplement, section 256.042, subdivision 2, is amended 
58.4 	to read:
58.5 		Subd. 2.Membership. (a) The council shall consist of the following 20 voting members, 
58.6 	appointed by the commissioner of human services except as otherwise specified, and three
58.7 	four nonvoting members:
58.8 	(1) two members of the house of representatives, appointed in the following sequence: 
58.9 	the first from the majority party appointed by the speaker of the house and the second from 
58.10 	the minority party appointed by the minority leader. Of these two members, one member 
58.11 	must represent a district outside of the seven-county metropolitan area, and one member 
58.12 	must represent a district that includes the seven-county metropolitan area. The appointment 
58.13 	by the minority leader must ensure that this requirement for geographic diversity in 
58.14 	appointments is met;
58.15 	(2) two members of the senate, appointed in the following sequence: the first from the 
58.16 	majority party appointed by the senate majority leader and the second from the minority 
58.17 	party appointed by the senate minority leader. Of these two members, one member must 
58.18 	represent a district outside of the seven-county metropolitan area and one member must 
58.19 	represent a district that includes the seven-county metropolitan area. The appointment by 
58.20 	the minority leader must ensure that this requirement for geographic diversity in appointments 
58.21 	is met;
58.22 	(3) one member appointed by the Board of Pharmacy;
58.23 	(4) one member who is a physician appointed by the Minnesota Medical Association;
58.24 	(5) one member representing opioid treatment programs, sober living programs, or 
58.25 	substance use disorder programs licensed under chapter 245G;
58.26 	(6) one member appointed by the Minnesota Society of Addiction Medicine who is an 
58.27 	addiction psychiatrist;
58.28 	(7) one member representing professionals providing alternative pain management 
58.29 	therapies, including, but not limited to, acupuncture, chiropractic, or massage therapy;
58.30 	(8) one member representing nonprofit organizations conducting initiatives to address 
58.31 	the opioid epidemic, with the commissioner's initial appointment being a member 
58.32 	representing the Steve Rummler Hope Network, and subsequent appointments representing 
58.33 	this or other organizations;
59.1 	(9) one member appointed by the Minnesota Ambulance Association who is serving 
59.2 	with an ambulance service as an emergency medical technician, advanced emergency 
59.3 	medical technician, or paramedic;
59.4 	(10) one member representing the Minnesota courts who is a judge or law enforcement 
59.5 	officer;
59.6 	(11) one public member who is a Minnesota resident and who is in opioid addiction 
59.7 	recovery;
59.8 	(12) two members representing Indian tribes, one representing the Ojibwe tribes and 
59.9 	one representing the Dakota tribes;
59.10 	(13) one member representing an urban American Indian community;
59.11 	(14) one public member who is a Minnesota resident and who is suffering from chronic 
59.12 	pain, intractable pain, or a rare disease or condition;
59.13 	(15) one mental health advocate representing persons with mental illness;
59.14 	(16) one member appointed by the Minnesota Hospital Association;
59.15 	(17) one member representing a local health department; and
59.16 	(18) the commissioners of human services, health, and corrections, or their designees, 
59.17 	who shall be ex officio nonvoting members of the council.; and
59.18 	(19) the director of the Office of Addiction and Recovery, as specified under section 
59.19 	4.046, subdivision 6, or their designee, who shall be an ex officio nonvoting member of the 
59.20 	council.
59.21 	(b) The commissioner of human services shall coordinate the commissioner's 
59.22 	appointments to provide geographic, racial, and gender diversity, and shall ensure that at 
59.23 	least one-third of council members appointed by the commissioner reside outside of the 
59.24 	seven-county metropolitan area. Of the members appointed by the commissioner, to the 
59.25 	extent practicable, at least one member must represent a community of color 
59.26 	disproportionately affected by the opioid epidemic.
59.27 	(c) The council is governed by section 15.059, except that members of the council shall 
59.28 	serve three-year terms and shall receive no compensation other than reimbursement for 
59.29 	expenses. Notwithstanding section 15.059, subdivision 6, the council shall not expire.
59.30 	(d) The chair shall convene the council at least quarterly, and may convene other meetings 
59.31 	as necessary. The chair shall convene meetings at different locations in the state to provide 
60.1 	geographic access, and shall ensure that at least one-half of the meetings are held at locations 
60.2 	outside of the seven-county metropolitan area.
60.3 	(e) The commissioner of human services shall provide staff and administrative services 
60.4 	for the advisory council.
60.5 	(f) The council is subject to chapter 13D.

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

60.7 	Sec. 2. Minnesota Statutes 2023 Supplement, section 256.043, subdivision 3, is amended 
60.8 	to read:
60.9 		Subd. 3.Appropriations from registration and license fee account. (a) The 
60.10 	appropriations in paragraphs (b) to (n) shall be made from the registration and license fee 
60.11 	account on a fiscal year basis in the order specified.
60.12 	(b) The appropriations specified in Laws 2019, chapter 63, article 3, section 1, paragraphs 
60.13 	(b), (f), (g), and (h), as amended by Laws 2020, chapter 115, article 3, section 35, shall be 
60.14 	made accordingly.
60.15 	(c) $100,000 is appropriated to the commissioner of human services for grants for opiate 
60.16 	antagonist distribution. Grantees may utilize funds for opioid overdose prevention, 
60.17 	community asset mapping, education, and opiate antagonist distribution.
60.18 	(d) $2,000,000 is appropriated to the commissioner of human services for grants to Tribal 
60.19 	nations and five urban Indian communities for traditional healing practices for American 
60.20 	Indians and to increase the capacity of culturally specific providers in the behavioral health 
60.21 	workforce.
60.22 	(e) $400,000 is appropriated to the commissioner of human services for competitive 
60.23 	grants for opioid-focused Project ECHO programs.
60.24 	(f) $277,000 in fiscal year 2024 and $321,000 each year thereafter is appropriated to the 
60.25 	commissioner of human services to administer the funding distribution and reporting 
60.26 	requirements in paragraph (o).
60.27 	(g) $3,000,000 in fiscal year 2025 and $3,000,000 each year thereafter is appropriated 
60.28 	to the commissioner of human services for safe recovery sites start-up and capacity building 
60.29 	grants under section 254B.18.
60.30 	(h) $395,000 in fiscal year 2024 and $415,000 each year thereafter is appropriated to 
60.31 	the commissioner of human services for the opioid overdose surge alert system under section 
60.32 	245.891.
61.1 	(i) $300,000 is appropriated to the commissioner of management and budget for 
61.2 	evaluation activities under section 256.042, subdivision 1, paragraph (c).
61.3 	(j) $261,000 is appropriated to the commissioner of human services for the provision of 
61.4 	administrative services to the Opiate Epidemic Response Advisory Council and for the 
61.5 	administration of the grants awarded under paragraph (n).
61.6 	(k) $126,000 is appropriated to the Board of Pharmacy for the collection of the registration 
61.7 	fees under section 151.066.
61.8 	(l) $672,000 is appropriated to the commissioner of public safety for the Bureau of 
61.9 	Criminal Apprehension. Of this amount, $384,000 is for drug scientists and lab supplies 
61.10 	and $288,000 is for special agent positions focused on drug interdiction and drug trafficking.
61.11 	(m) After the appropriations in paragraphs (b) to (l) are made, 50 percent of the remaining 
61.12 	amount is appropriated to the commissioner of human services for distribution to county 
61.13 	social service agencies and Tribal social service agency initiative projects authorized under 
61.14 	section 256.01, subdivision 14b, to provide prevention and child protection services to 
61.15 	children and families who are affected by addiction. The commissioner shall distribute this 
61.16 	money proportionally to county social service agencies and Tribal social service agency 
61.17 	initiative projects through a formula based on intake data from the previous three calendar 
61.18 	years related to substance use and out-of-home placement episodes where parental drug 
61.19 	abuse is the primary a reason for the out-of-home placement using data from the previous 
61.20 	calendar year. County social service agencies and Tribal social service agency initiative 
61.21 	projects receiving funds from the opiate epidemic response fund must annually report to 
61.22 	the commissioner on how the funds were used to provide prevention and child protection 
61.23 	services, including measurable outcomes, as determined by the commissioner. County social 
61.24 	service agencies and Tribal social service agency initiative projects must not use funds 
61.25 	received under this paragraph to supplant current state or local funding received for child 
61.26 	protection services for children and families who are affected by addiction.
61.27 	(n) After the appropriations in paragraphs (b) to (m) are made, the remaining amount in 
61.28 	the account is appropriated to the commissioner of human services to award grants as 
61.29 	specified by the Opiate Epidemic Response Advisory Council in accordance with section 
61.30 	256.042, unless otherwise appropriated by the legislature.
61.31 	(o) Beginning in fiscal year 2022 and each year thereafter, funds for county social service 
61.32 	agencies and Tribal social service agency initiative projects under paragraph (m) and grant 
61.33 	funds specified by the Opiate Epidemic Response Advisory Council under paragraph (n) 
61.34 	may be distributed on a calendar year basis.
62.1 	(p) Notwithstanding section 16A.28, subdivision 3, funds appropriated in paragraphs 
62.2 	(c), (d), (e), (g), (m), and (n) are available for three years after the funds are appropriated.

62.3 	Sec. 3. ELECTRONIC VISIT VERIFICATION IMPLEMENTATION GRANT.
 62.4 		Subdivision 1.Establishment. The commissioner of human services must establish a 
62.5 	onetime grant program to assist home care service providers with a portion of the costs of 
62.6 	implementation of electronic visit verification.
62.7 		Subd. 2.Eligible grant recipients. Eligible grant recipients must be:
62.8 	(1) providers of home care services licensed under chapter 144A;
62.9 	(2) with an average daily census of at least 30 individuals; and
62.10 	(3) with an average daily census of medical assistance and MinnesotaCare enrollees of 
62.11 	20 percent or higher in the 12 months prior to application.
62.12 		Subd. 3.Allowable uses. Allowable uses of grant money include:
62.13 	(1) administrative implementation of an electronic visit verification system, including 
62.14 	but not limited to staff costs for loading patient information into the portal, programming, 
62.15 	and training staff;
62.16 	(2) electronic visit verification operations and maintenance, including but not limited 
62.17 	to staff costs for addressing system flaws related to geographical location and clocking in 
62.18 	and out;
62.19 	(3) purchase and monthly fees for an upgraded electronic visit verification system;
62.20 	(4) purchase of or reimbursement for cell phones and electronic tablets to be used by 
62.21 	staff and the monthly fee for the phone service; and
62.22 	(5) other activities approved by the commissioner.
62.23 		Subd. 4.Application for and distribution of grant funds. In order to receive a grant 
62.24 	under this section, providers must apply to the commissioner by November 1, 2024. Grants 
62.25 	shall be distributed no later than February 1, 2025. Grant fund amounts awarded to each 
62.26 	approved applicant will be determined by the total number of approved grantees and each 
62.27 	approved applicant's medical assistance and MinnesotaCare average daily census.
62.28 		Subd. 5.Expiration. This section expires June 30, 2026.

63.1 	ARTICLE 4
63.2 	PRIORITY ADMISSIONS AND CIVIL COMMITMENT

63.3 	Section 1. Minnesota Statutes 2023 Supplement, section 253B.10, subdivision 1, is amended 
63.4 	to read:
63.5 		Subdivision 1.Administrative requirements. (a) When a person is committed, the 
63.6 	court shall issue a warrant or an order committing the patient to the custody of the head of 
63.7 	the treatment facility, state-operated treatment program, or community-based treatment 
63.8 	program. The warrant or order shall state that the patient meets the statutory criteria for 
63.9 	civil commitment.
63.10 	(b) The commissioner shall prioritize patients being admitted from jail or a correctional 
63.11 	institution who are for admission to a medically appropriate direct care and treatment 
63.12 	program based on the decisions of physicians in the executive medical director's office, 
63.13 	using a priority admissions framework. The framework must account for a range of factors 
63.14 	for priority admission, including but not limited to:
63.15 	(1) ordered confined in a state-operated treatment program for an examination under 
63.16 	Minnesota Rules of Criminal Procedure, rules 20.01, subdivision 4, paragraph (a), and 
63.17 	20.02, subdivision 2 the length of time the person has been on a waiting list for admission 
63.18 	to a direct care and treatment program since the date of the order under paragraph (a);
63.19 	(2) under civil commitment for competency treatment and continuing supervision under 
63.20 	Minnesota Rules of Criminal Procedure, rule 20.01, subdivision 7 the intensity of the 
63.21 	treatment the person needs, based on medical acuity;
63.22 	(3) found not guilty by reason of mental illness under Minnesota Rules of Criminal 
63.23 	Procedure, rule 20.02, subdivision 8, and under civil commitment or are ordered to be 
63.24 	detained in a state-operated treatment program pending completion of the civil commitment 
63.25 	proceedings; or the person's revoked provisional discharge status;
63.26 	(4) committed under this chapter to the commissioner after dismissal of the patient's 
63.27 	criminal charges. the person's safety and safety of others in the person's current environment;
63.28 	(5) whether the person has access to necessary or court-ordered treatment;
63.29 	(6) distinct and articulable negative impacts of an admission delay on the facility referring 
63.30 	the individual for treatment; and
63.31 	(7) any relevant federal prioritization requirements.
64.1 	Patients described in this paragraph must be admitted to a state-operated treatment program 
64.2 	within 48 hours. The commitment must be ordered by the court as provided in section 
64.3 	253B.09, subdivision 1, paragraph (d).
64.4 	(c) Upon the arrival of a patient at the designated treatment facility, state-operated 
64.5 	treatment program, or community-based treatment program, the head of the facility or 
64.6 	program shall retain the duplicate of the warrant and endorse receipt upon the original 
64.7 	warrant or acknowledge receipt of the order. The endorsed receipt or acknowledgment must 
64.8 	be filed in the court of commitment. After arrival, the patient shall be under the control and 
64.9 	custody of the head of the facility or program.
64.10 	(d) Copies of the petition for commitment, the court's findings of fact and conclusions 
64.11 	of law, the court order committing the patient, the report of the court examiners, and the 
64.12 	prepetition report, and any medical and behavioral information available shall be provided 
64.13 	at the time of admission of a patient to the designated treatment facility or program to which 
64.14 	the patient is committed. Upon a patient's referral to the commissioner of human services 
64.15 	for admission pursuant to subdivision 1, paragraph (b), any inpatient hospital, treatment 
64.16 	facility, jail, or correctional facility that has provided care or supervision to the patient in 
64.17 	the previous two years shall, when requested by the treatment facility or commissioner, 
64.18 	provide copies of the patient's medical and behavioral records to the Department of Human 
64.19 	Services for purposes of preadmission planning. This information shall be provided by the 
64.20 	head of the treatment facility to treatment facility staff in a consistent and timely manner 
64.21 	and pursuant to all applicable laws.
64.22 	(e) Patients described in paragraph (b) must be admitted to a state-operated treatment 
64.23 	program within 48 hours of the Office of Medical Director, under section 246.018, or a 
64.24 	designee determining that a medically appropriate bed is available. This paragraph expires 
64.25 	on June 30, 2025.

64.26 	EFFECTIVE DATE. This section is effective July 1, 2024.

64.27 	Sec. 2. Laws 2024, chapter 79, article 1, section 3, is amended to read:
64.28 	Sec. 3. Minnesota Statutes 2023 Supplement, section 246.0135, is amended to read:
64.29 	246.0135 OPERATION OF REGIONAL TREATMENT CENTERS.
64.30 	(a) The executive board is prohibited from closing any regional treatment center or 
64.31 	state-operated nursing home or, from closing any program at any of the regional treatment 
64.32 	centers or state-operated nursing homes, and from closing the community addiction recovery 
65.1 	enterprise program located in Carlton or modifying the population served by the program,
65.2 	without specific legislative authorization.
65.3 	(b) Prior to closing or downsizing a regional treatment center, the executive board is 
65.4 	responsible for assuring that community-based alternatives developed in response are 
65.5 	adequate to meet the program needs identified by each county within the catchment area 
65.6 	and do not require additional local county property tax expenditures.
65.7 	(c) The nonfederal share of the cost of alternative treatment or care developed as the 
65.8 	result of the closure of a regional treatment center, including costs associated with fulfillment 
65.9 	of responsibilities under chapter 253B must be paid from state money appropriated for 
65.10 	purposes specified in section 246C.11.
65.11 	(d) The executive board must not divert state money used for providing for care or 
65.12 	treatment of persons residing in a regional treatment center for purposes unrelated to the 
65.13 	care and treatment of such persons.

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

65.15 	Sec. 3. DIRECTION TO COMMISSIONER OF HUMAN SERVICES; 
65.16 	REIMBURSEMENT TO BELTRAMI COUNTY OR TODD COUNTY FOR CERTAIN 
65.17 	COST OF CARE PAYMENTS.
 65.18 	(a) Notwithstanding Minnesota Statutes 2021 Supplement, section 246.54, subdivisions 
65.19 	1a and 1b; Minnesota Statutes 2022, section 246.54, subdivisions 1a and 1b; or any other 
65.20 	law to the contrary, the commissioner of human services must not sanction or otherwise 
65.21 	seek payment from Beltrami County or Todd County for outstanding debts for the cost of 
65.22 	care provided between July 1, 2022, and June 30, 2023, under:
65.23 	(1) Minnesota Statutes, section 246.54, subdivision 1a, paragraph (a), clause (3), to a 
65.24 	person committed as a person who has a mental illness and is dangerous to the public under 
65.25 	Minnesota Statutes, section 253B.18, and who was awaiting transfer from Anoka-Metro 
65.26 	Regional Treatment Center to another state-operated facility or program; or
65.27 	(2) Minnesota Statutes, section 246.54, subdivision 1b, paragraph (a), clause (1), to a 
65.28 	person committed as a person who has a mental illness and is dangerous to the public under 
65.29 	Minnesota Statutes, section 253B.18, and who was awaiting transfer from a state-operated 
65.30 	community-based behavioral health hospital to another state-operated facility or program.
65.31 	(b) The commissioner must reimburse Beltrami County and Todd County with state-only 
65.32 	money any amount previously paid to the state or otherwise recovered by the commissioner 
65.33 	from Beltrami County or Todd County for the cost of care identified in paragraph (a).
66.1 	(c) Nothing in this section prohibits the commissioner from seeking reimbursement from 
66.2 	Beltrami County or from Todd County for the cost of care provided in Anoka-Metro Regional 
66.3 	Treatment Center or a state-operated community-based behavioral health hospital for care 
66.4 	not described in paragraph (a).

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

66.6 	Sec. 4. ENGAGEMENT SERVICES PILOT PROJECT.
 66.7 		Subdivision 1.Creation. The commissioner of human services shall provide a grant to 
66.8 	Otter Tail county to conduct a pilot project involving the provision of engagement services 
66.9 	under Minnesota Statutes, section 253B.041.
66.10 		Subd. 2.Allowable grant activities. (a) The grantee must use grant money to:
66.11 	(1) develop a system to respond to requests for engagement services;
66.12 	(2) provide the following engagement services, taking into account an individual's 
66.13 	preferences for treatment services and supports:
66.14 	(i) assertive attempts to engage an individual in voluntary treatment for mental illness 
66.15 	for at least 90 days;
66.16 	(ii) efforts to engage an individual's existing support systems and interested persons, 
66.17 	including but not limited to providing education on restricting means of harm and suicide 
66.18 	prevention, when the provider determines that such engagement would be helpful; and
66.19 	(iii) collaboration with the individual to meet the individual's immediate needs, including 
66.20 	but not limited to housing access, food and income assistance, disability verification, 
66.21 	medication management, and medical treatment;
66.22 	(3) conduct outreach to families and providers; and
66.23 	(4) evaluate the impact of engagement services on decreasing civil commitments, 
66.24 	increasing engagement in treatment, decreasing police involvement with individuals 
66.25 	exhibiting symptoms of serious mental illness, and other measures.
66.26 	(b) Engagement services staff must have completed training on person-centered care. 
66.27 	Staff may include but are not limited to mobile crisis providers under Minnesota Statutes, 
66.28 	section 256B.0624; certified peer specialists under Minnesota Statutes, section 256B.0615; 
66.29 	community-based treatment programs staff; and homeless outreach workers.

67.1 	Sec. 5. HOSPITAL ADMISSION EXCEPTION TO CURRENT PRIORITY 
67.2 	ADMISSION.
 67.3 	(a) Notwithstanding Minnesota Statutes, section 253B.10, subdivision 1, paragraph (b), 
67.4 	the commissioner of human services must admit to a medically appropriate state-operated 
67.5 	treatment program ten civilly committed patients who are awaiting admission in hospital 
67.6 	settings. Admissions of patients awaiting admission in hospital settings must be managed 
67.7 	according to the priority admissions framework under Minnesota Statutes, section 253B.10, 
67.8 	subdivision 1, paragraph (b).
67.9 	(b) This section expires upon admission of the tenth patient who has been civilly 
67.10 	committed and is awaiting admission in a hospital setting.

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

67.12 	Sec. 6. MENTALLY ILL AND DANGEROUS CIVIL COMMITMENT REFORM 
67.13 	TASK FORCE.
 67.14 		Subdivision 1.Establishment; purpose. The Mentally Ill and Dangerous Civil 
67.15 	Commitment Reform Task Force is established to evaluate current statutes related to mentally 
67.16 	ill and dangerous civil commitments and develop recommendations to optimize the use of 
67.17 	state-operated mental health resources and increase equitable access and outcomes for 
67.18 	patients.
67.19 		Subd. 2.Membership. (a) The Mentally Ill and Dangerous Civil Commitment Reform 
67.20 	Task Force consists of the members appointed as follows:
67.21 	(1) the commissioner of human services or a designee;
67.22 	(2) two members representing the Department of Direct Care and Treatment who have 
67.23 	experience with mentally ill and dangerous civil commitments, appointed by the 
67.24 	commissioner of human services;
67.25 	(3) the ombudsman for mental health and developmental disabilities;
67.26 	(4) a judge with experience presiding over mentally ill and dangerous civil commitments, 
67.27 	appointed by the state court administrator;
67.28 	(5) a court examiner with experience participating in mentally ill and dangerous civil 
67.29 	commitments, appointed by the state court administrator;
67.30 	(6) a member of the Special Review Board, appointed by the state court administrator;
67.31 	(7) a county representative, appointed by the Association of Minnesota Counties;
68.1 	(8) a representative appointed by the Minnesota Association of County Social Service 
68.2 	Administrators;
68.3 	(9) a county attorney with experience participating in mentally ill and dangerous civil 
68.4 	commitments, appointed by the Minnesota County Attorneys Association;
68.5 	(10) an attorney with experience representing respondents in mentally ill and dangerous 
68.6 	civil commitments, appointed by the governor;
68.7 	(11) a member appointed by the Minnesota Association of Community Mental Health 
68.8 	Programs;
68.9 	(12) a member appointed by the National Alliance on Mental Illness Minnesota;
68.10 	(13) a licensed independent practitioner with experience treating individuals subject to 
68.11 	a mentally ill and dangerous civil commitment; and
68.12 	(14) an individual with lived experience under civil commitment as mentally ill and 
68.13 	dangerous and who is on a provisional discharge or has been discharged from commitment.
68.14 	(b) A member of the legislature may not serve as a member of the task force.
68.15 	(c) Appointments to the task force must be made no later than July 30, 2024.
68.16 		Subd. 3.Compensation; removal; vacancy. (a) Notwithstanding Minnesota Statutes, 
68.17 	section 15.059, subdivision 6, members of the task force may be compensated as provided 
68.18 	under Minnesota Statutes, section 15.059, subdivision 3.
68.19 	(b) A member may be removed by the appointing authority at any time at the pleasure 
68.20 	of the appointing authority. In the case of a vacancy on the task force, the appointing authority 
68.21 	shall appoint an individual to fill the vacancy for the remainder of the unexpired term.
68.22 		Subd. 4.Officers; meetings. (a) The commissioner of human services shall convene 
68.23 	the first meeting of the task force no later than September 1, 2024.
68.24 	(b) The task force must elect a chair and vice-chair from among its members and may 
68.25 	elect other officers as necessary.
68.26 	(c) The task force is subject to Minnesota Statutes, chapter 13D.
68.27 		Subd. 5.Staff. The commissioner of human services must provide staff assistance to 
68.28 	support the work of the task force.
68.29 		Subd. 6.Data usage and privacy. Any data provided by executive agencies as part of 
68.30 	the work and report of the task force are subject to the requirements of Minnesota Statutes, 
68.31 	chapter 13, and all other applicable data privacy laws.
69.1 		Subd. 7.Duties. The task force must:
69.2 	(1) analyze current trends in mentally ill and dangerous civil commitments, including 
69.3 	but not limited to the length of stay for individuals committed in Minnesota as compared 
69.4 	to other jurisdictions;
69.5 	(2) review national practices and criteria for civil commitment of individuals who have 
69.6 	a mental illness and represent a danger to the public;
69.7 	(3) develop recommended statutory changes necessary to provide services to the high 
69.8 	number of mentally ill and dangerous civilly committed individuals;
69.9 	(4) develop funding and statutory recommendations for alternatives to the current mentally 
69.10 	ill and dangerous civil commitment process;
69.11 	(5) identify what types of placements and services are necessary to serve individuals 
69.12 	civilly committed as mentally ill and dangerous in the community;
69.13 	(6) make recommendations to reduce barriers to discharge from the forensic mental 
69.14 	health program for individuals civilly committed as mentally ill and dangerous;
69.15 	(7) develop recommended plain language statutory changes to clarify operational 
69.16 	definitions for terms used within Minnesota Statutes, section 253B.18;
69.17 	(8) develop recommended statutory changes to provide clear direction to the 
69.18 	commissioner of human services and facilities to which individuals are civilly committed 
69.19 	to address situations in which an individual is committed as mentally ill and dangerous and 
69.20 	is later determined to not have an organic disorder of the brain or a substantial psychiatric 
69.21 	disorder of thought, mood, perception, orientation, or memory; and
69.22 	(9) evaluate and make statutory and funding recommendations for the voluntary return 
69.23 	of individuals civilly committed as mentally ill and dangerous to community facilities.
69.24 		Subd. 8.Report required. By August 1, 2025, the task force shall submit to the chairs 
69.25 	and ranking minority members of the legislative committees with jurisdiction over mentally 
69.26 	ill and dangerous civil commitments a written report that includes the outcome of the duties 
69.27 	in subdivision 7, including but not limited to recommended statutory changes.
69.28 		Subd. 9.Expiration. The task force expires January 1, 2026.

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

70.1 	Sec. 7. PRIORITY ADMISSIONS REVIEW PANEL.
 70.2 	(a) The commissioner shall appoint all members who served on the Task Force on Priority 
70.3 	Admissions to State-Operated Treatment Programs under Laws 2023, chapter 61, article 8, 
70.4 	section 13, subdivision 2, to the priority admissions review panel. The panel must:
70.5 	(1) evaluate the requirement under Minnesota Statutes, section 253B.10, subdivision 1, 
70.6 	paragraph (b), that patients being admitted from jail or a correctional institution be admitted 
70.7 	to a state-operated treatment program within 48 hours;
70.8 	(2) develop policy and legislative proposals related to the eventual expiration of the 
70.9 	48-hour timeline, prioritizing individuals based on medical need for admission into 
70.10 	state-operated treatment programs, minimizing litigation costs, maximizing capacity in and 
70.11 	access to state-operated treatment programs in order to implement admissions criteria passed 
70.12 	on medical need, and addressing issues related to individuals awaiting admission to 
70.13 	state-operated treatment programs in jails, correctional institutions, community hospitals, 
70.14 	and community settings; and
70.15 	(3) develop a plan to expand direct care and treatment capacity. The plan must include 
70.16 	clear definitions of what constitutes expanded capacity; an estimate of the capital, 
70.17 	administrative, staffing, and programmatic costs of expanding capacity; an expansion 
70.18 	implementation and workforce plan developed in consultation with the employees of direct 
70.19 	care and treatment; and a proposal for the expiration of the 48-hour rule contingent on 
70.20 	meeting a measurable capacity expansion goal.
70.21 	(b) By December 31, 2024, the review panel must submit a written report to the chairs 
70.22 	and ranking minority members of the legislative committees with jurisdiction over public 
70.23 	safety and human services finance and policy that includes legislative proposals to amend 
70.24 	paragraph (b) to establish admissions criteria to state-operated treatment programs based 
70.25 	on medical need.
70.26 	(c) The panel appointed under paragraph (a) must also advise the commissioner on the 
70.27 	effectiveness of the framework and priority admissions generally and review de-identified 
70.28 	data quarterly for one year following the implementation of the priority admissions 
70.29 	framework to ensure that the framework is implemented and applied equitably. If the panel 
70.30 	requests to review data that is classified as private or confidential and the commissioner 
70.31 	determines the data requested is necessary for the scope of the panel's review, the 
70.32 	commissioner is authorized to disclose private or confidential data to the panel under this 
70.33 	paragraph and pursuant to Minnesota Statutes, section 13.05, subdivision 4, paragraph (b), 
70.34 	for private or confidential data collected prior to the effective date of this section.
71.1 	(d) After the panel completes its year of review, a quality committee established by the 
71.2 	Department of Direct Care and Treatment executive board will continue to review data, 
71.3 	seek input from counties, hospitals, community providers, and advocates, and provide a 
71.4 	routine report to the executive board on the effectiveness of the framework and priority 
71.5 	admissions.

71.6 	EFFECTIVE DATE. This section is effective July 1, 2024.

71.7 	ARTICLE 5
71.8 	DIRECT CARE AND TREATMENT

71.9 	Section 1. Minnesota Statutes 2023 Supplement, section 10.65, subdivision 2, is amended 
71.10 	to read:
71.11 		Subd. 2.Definitions. As used in this section, the following terms have the meanings 
71.12 	given:
71.13 	(1) "agency" means the Department of Administration; Department of Agriculture; 
71.14 	Department of Children, Youth, and Families; Department of Commerce; Department of 
71.15 	Corrections; Department of Education; Department of Employment and Economic 
71.16 	Development; Department of Health; Office of Higher Education; Housing Finance Agency; 
71.17 	Department of Human Rights; Department of Human Services; Department of Information 
71.18 	Technology Services; Department of Iron Range Resources and Rehabilitation; Department 
71.19 	of Labor and Industry; Minnesota Management and Budget; Bureau of Mediation Services; 
71.20 	Department of Military Affairs; Metropolitan Council; Department of Natural Resources; 
71.21 	Pollution Control Agency; Department of Public Safety; Department of Revenue; Department 
71.22 	of Transportation; Department of Veterans Affairs; Direct Care and Treatment; Gambling 
71.23 	Control Board; Racing Commission; the Minnesota Lottery; the Animal Health Board; and 
71.24 	the Board of Water and Soil Resources;
71.25 	(2) "consultation" means the direct and interactive involvement of the Minnesota Tribal 
71.26 	governments in the development of policy on matters that have Tribal implications. 
71.27 	Consultation is the proactive, affirmative process of identifying and seeking input from 
71.28 	appropriate Tribal governments and considering their interest as a necessary and integral 
71.29 	part of the decision-making process. This definition adds to statutorily mandated notification 
71.30 	procedures. During a consultation, the burden is on the agency to show that it has made a 
71.31 	good faith effort to elicit feedback. Consultation is a formal engagement between agency 
71.32 	officials and the governing body or bodies of an individual Minnesota Tribal government 
71.33 	that the agency or an individual Tribal government may initiate. Formal meetings or 
72.1 	communication between top agency officials and the governing body of a Minnesota Tribal 
72.2 	government is a necessary element of consultation;
72.3 	(3) "matters that have Tribal implications" means rules, legislative proposals, policy 
72.4 	statements, or other actions that have substantial direct effects on one or more Minnesota 
72.5 	Tribal governments, or on the distribution of power and responsibilities between the state 
72.6 	and Minnesota Tribal governments;
72.7 	(4) "Minnesota Tribal governments" means the federally recognized Indian Tribes located 
72.8 	in Minnesota including: Bois Forte Band; Fond Du Lac Band; Grand Portage Band; Leech 
72.9 	Lake Band; Mille Lacs Band; White Earth Band; Red Lake Nation; Lower Sioux Indian 
72.10 	Community; Prairie Island Indian Community; Shakopee Mdewakanton Sioux Community; 
72.11 	and Upper Sioux Community; and
72.12 	(5) "timely and meaningful" means done or occurring at a favorable or useful time that 
72.13 	allows the result of consultation to be included in the agency's decision-making process for 
72.14 	a matter that has Tribal implications.

72.15 	EFFECTIVE DATE. This section is effective July 1, 2024.

72.16 	Sec. 2. Minnesota Statutes 2022, section 13.46, subdivision 1, as amended by Laws 2024, 
72.17 	chapter 79, article 9, section 1, and Laws 2024, chapter 80, article 8, section 1, is amended 
72.18 	to read:
72.19 		Subdivision 1.Definitions. As used in this section:
72.20 	(a) "Individual" means an individual according to section 13.02, subdivision 8, but does 
72.21 	not include a vendor of services.
72.22 	(b) "Program" includes all programs for which authority is vested in a component of the 
72.23 	welfare system according to statute or federal law, including but not limited to Native 
72.24 	American Tribe programs that provide a service component of the welfare system, the 
72.25 	Minnesota family investment program, medical assistance, general assistance, general 
72.26 	assistance medical care formerly codified in chapter 256D, the child care assistance program, 
72.27 	and child support collections.
72.28 	(c) "Welfare system" includes the Department of Human Services; the Department of
72.29 	Direct Care and Treatment; the Department of Children, Youth, and Families; local social 
72.30 	services agencies; county welfare agencies; county public health agencies; county veteran 
72.31 	services agencies; county housing agencies; private licensing agencies; the public authority 
72.32 	responsible for child support enforcement; human services boards; community mental health 
72.33 	center boards, state hospitals, state nursing homes, the ombudsman for mental health and 
73.1 	developmental disabilities; Native American Tribes to the extent a Tribe provides a service 
73.2 	component of the welfare system; and persons, agencies, institutions, organizations, and 
73.3 	other entities under contract to any of the above agencies to the extent specified in the 
73.4 	contract.
73.5 	(d) "Mental health data" means data on individual clients and patients of community 
73.6 	mental health centers, established under section 245.62, mental health divisions of counties 
73.7 	and other providers under contract to deliver mental health services, Department of Direct 
73.8 	Care and Treatment mental health services, or the ombudsman for mental health and 
73.9 	developmental disabilities.
73.10 	(e) "Fugitive felon" means a person who has been convicted of a felony and who has 
73.11 	escaped from confinement or violated the terms of probation or parole for that offense.
73.12 	(f) "Private licensing agency" means an agency licensed by the commissioner of children, 
73.13 	youth, and families under chapter 142B to perform the duties under section 142B.30.

73.14 	EFFECTIVE DATE. This section is effective July 1, 2024.

73.15 	Sec. 3. Minnesota Statutes 2023 Supplement, section 13.46, subdivision 2, as amended 
73.16 	by Laws 2024, chapter 80, article 8, section 2, is amended to read:
73.17 		Subd. 2.General. (a) Data on individuals collected, maintained, used, or disseminated 
73.18 	by the welfare system are private data on individuals, and shall not be disclosed except:
73.19 	(1) according to section 13.05;
73.20 	(2) according to court order;
73.21 	(3) according to a statute specifically authorizing access to the private data;
73.22 	(4) to an agent of the welfare system and an investigator acting on behalf of a county, 
73.23 	the state, or the federal government, including a law enforcement person or attorney in the 
73.24 	investigation or prosecution of a criminal, civil, or administrative proceeding relating to the 
73.25 	administration of a program;
73.26 	(5) to personnel of the welfare system who require the data to verify an individual's 
73.27 	identity; determine eligibility, amount of assistance, and the need to provide services to an 
73.28 	individual or family across programs; coordinate services for an individual or family; 
73.29 	evaluate the effectiveness of programs; assess parental contribution amounts; and investigate 
73.30 	suspected fraud;
73.31 	(6) to administer federal funds or programs;
74.1 	(7) between personnel of the welfare system working in the same program;
74.2 	(8) to the Department of Revenue to assess parental contribution amounts for purposes 
74.3 	of section 252.27, subdivision 2a, administer and evaluate tax refund or tax credit programs 
74.4 	and to identify individuals who may benefit from these programs, and prepare the databases 
74.5 	for reports required under section 270C.13 and Laws 2008, chapter 366, article 17, section 
74.6 	6. The following information may be disclosed under this paragraph: an individual's and 
74.7 	their dependent's names, dates of birth, Social Security or individual taxpayer identification 
74.8 	numbers, income, addresses, and other data as required, upon request by the Department 
74.9 	of Revenue. Disclosures by the commissioner of revenue to the commissioner of human 
74.10 	services for the purposes described in this clause are governed by section 270B.14, 
74.11 	subdivision 1. Tax refund or tax credit programs include, but are not limited to, the dependent 
74.12 	care credit under section 290.067, the Minnesota working family credit under section 
74.13 	290.0671, the property tax refund under section 290A.04, and the Minnesota education 
74.14 	credit under section 290.0674;
74.15 	(9) between the Department of Human Services; the Department of Employment and 
74.16 	Economic Development; the Department of Children, Youth, and Families; Direct Care and 
74.17 	Treatment; and, when applicable, the Department of Education, for the following purposes:
74.18 	(i) to monitor the eligibility of the data subject for unemployment benefits, for any 
74.19 	employment or training program administered, supervised, or certified by that agency;
74.20 	(ii) to administer any rehabilitation program or child care assistance program, whether 
74.21 	alone or in conjunction with the welfare system;
74.22 	(iii) to monitor and evaluate the Minnesota family investment program or the child care 
74.23 	assistance program by exchanging data on recipients and former recipients of Supplemental 
74.24 	Nutrition Assistance Program (SNAP) benefits, cash assistance under chapter 256, 256D, 
74.25 	256J, or 256K, child care assistance under chapter 119B, medical programs under chapter 
74.26 	256B or 256L; and
74.27 	(iv) to analyze public assistance employment services and program utilization, cost, 
74.28 	effectiveness, and outcomes as implemented under the authority established in Title II, 
74.29 	Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999. 
74.30 	Health records governed by sections 144.291 to 144.298 and "protected health information" 
74.31 	as defined in Code of Federal Regulations, title 45, section 160.103, and governed by Code 
74.32 	of Federal Regulations, title 45, parts 160-164, including health care claims utilization 
74.33 	information, must not be exchanged under this clause;
75.1 	(10) to appropriate parties in connection with an emergency if knowledge of the 
75.2 	information is necessary to protect the health or safety of the individual or other individuals 
75.3 	or persons;
75.4 	(11) data maintained by residential programs as defined in section 245A.02 may be 
75.5 	disclosed to the protection and advocacy system established in this state according to Part 
75.6 	C of Public Law 98-527 to protect the legal and human rights of persons with developmental 
75.7 	disabilities or other related conditions who live in residential facilities for these persons if 
75.8 	the protection and advocacy system receives a complaint by or on behalf of that person and 
75.9 	the person does not have a legal guardian or the state or a designee of the state is the legal 
75.10 	guardian of the person;
75.11 	(12) to the county medical examiner or the county coroner for identifying or locating 
75.12 	relatives or friends of a deceased person;
75.13 	(13) data on a child support obligor who makes payments to the public agency may be 
75.14 	disclosed to the Minnesota Office of Higher Education to the extent necessary to determine 
75.15 	eligibility under section 136A.121, subdivision 2, clause (5);
75.16 	(14) participant Social Security or individual taxpayer identification numbers and names 
75.17 	collected by the telephone assistance program may be disclosed to the Department of 
75.18 	Revenue to conduct an electronic data match with the property tax refund database to 
75.19 	determine eligibility under section 237.70, subdivision 4a;
75.20 	(15) the current address of a Minnesota family investment program participant may be 
75.21 	disclosed to law enforcement officers who provide the name of the participant and notify 
75.22 	the agency that:
75.23 	(i) the participant:
75.24 	(A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after 
75.25 	conviction, for a crime or attempt to commit a crime that is a felony under the laws of the 
75.26 	jurisdiction from which the individual is fleeing; or
75.27 	(B) is violating a condition of probation or parole imposed under state or federal law;
75.28 	(ii) the location or apprehension of the felon is within the law enforcement officer's 
75.29 	official duties; and
75.30 	(iii) the request is made in writing and in the proper exercise of those duties;
76.1 	(16) the current address of a recipient of general assistance may be disclosed to probation 
76.2 	officers and corrections agents who are supervising the recipient and to law enforcement 
76.3 	officers who are investigating the recipient in connection with a felony level offense;
76.4 	(17) information obtained from a SNAP applicant or recipient households may be 
76.5 	disclosed to local, state, or federal law enforcement officials, upon their written request, for 
76.6 	the purpose of investigating an alleged violation of the Food and Nutrition Act, according 
76.7 	to Code of Federal Regulations, title 7, section 272.1(c);
76.8 	(18) the address, Social Security or individual taxpayer identification number, and, if 
76.9 	available, photograph of any member of a household receiving SNAP benefits shall be made 
76.10 	available, on request, to a local, state, or federal law enforcement officer if the officer 
76.11 	furnishes the agency with the name of the member and notifies the agency that:
76.12 	(i) the member:
76.13 	(A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a 
76.14 	crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;
76.15 	(B) is violating a condition of probation or parole imposed under state or federal law; 
76.16 	or
76.17 	(C) has information that is necessary for the officer to conduct an official duty related 
76.18 	to conduct described in subitem (A) or (B);
76.19 	(ii) locating or apprehending the member is within the officer's official duties; and
76.20 	(iii) the request is made in writing and in the proper exercise of the officer's official duty;
76.21 	(19) the current address of a recipient of Minnesota family investment program, general 
76.22 	assistance, or SNAP benefits may be disclosed to law enforcement officers who, in writing, 
76.23 	provide the name of the recipient and notify the agency that the recipient is a person required 
76.24 	to register under section 243.166, but is not residing at the address at which the recipient is 
76.25 	registered under section 243.166;
76.26 	(20) certain information regarding child support obligors who are in arrears may be 
76.27 	made public according to section 518A.74;
76.28 	(21) data on child support payments made by a child support obligor and data on the 
76.29 	distribution of those payments excluding identifying information on obligees may be 
76.30 	disclosed to all obligees to whom the obligor owes support, and data on the enforcement 
76.31 	actions undertaken by the public authority, the status of those actions, and data on the income 
76.32 	of the obligor or obligee may be disclosed to the other party;
77.1 	(22) data in the work reporting system may be disclosed under section 256.998, 
77.2 	subdivision 7;
77.3 	(23) to the Department of Education for the purpose of matching Department of Education 
77.4 	student data with public assistance data to determine students eligible for free and 
77.5 	reduced-price meals, meal supplements, and free milk according to United States Code, 
77.6 	title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and state 
77.7 	funds that are distributed based on income of the student's family; and to verify receipt of 
77.8 	energy assistance for the telephone assistance plan;
77.9 	(24) the current address and telephone number of program recipients and emergency 
77.10 	contacts may be released to the commissioner of health or a community health board as 
77.11 	defined in section 145A.02, subdivision 5, when the commissioner or community health 
77.12 	board has reason to believe that a program recipient is a disease case, carrier, suspect case, 
77.13 	or at risk of illness, and the data are necessary to locate the person;
77.14 	(25) to other state agencies, statewide systems, and political subdivisions of this state, 
77.15 	including the attorney general, and agencies of other states, interstate information networks, 
77.16 	federal agencies, and other entities as required by federal regulation or law for the 
77.17 	administration of the child support enforcement program;
77.18 	(26) to personnel of public assistance programs as defined in section 256.741, for access 
77.19 	to the child support system database for the purpose of administration, including monitoring 
77.20 	and evaluation of those public assistance programs;
77.21 	(27) to monitor and evaluate the Minnesota family investment program by exchanging 
77.22 	data between the Departments of Human Services; Children, Youth, and Families; and 
77.23 	Education, on recipients and former recipients of SNAP benefits, cash assistance under 
77.24 	chapter 256, 256D, 256J, or 256K, child care assistance under chapter 119B, medical 
77.25 	programs under chapter 256B or 256L, or a medical program formerly codified under chapter 
77.26 	256D;
77.27 	(28) to evaluate child support program performance and to identify and prevent fraud 
77.28 	in the child support program by exchanging data between the Department of Human Services; 
77.29 	Department of Children, Youth, and Families; Department of Revenue under section 270B.14, 
77.30 	subdivision 1, paragraphs (a) and (b), without regard to the limitation of use in paragraph 
77.31 	(c); Department of Health; Department of Employment and Economic Development; and 
77.32 	other state agencies as is reasonably necessary to perform these functions;
78.1 	(29) counties and the Department of Children, Youth, and Families operating child care 
78.2 	assistance programs under chapter 119B may disseminate data on program participants, 
78.3 	applicants, and providers to the commissioner of education;
78.4 	(30) child support data on the child, the parents, and relatives of the child may be 
78.5 	disclosed to agencies administering programs under titles IV-B and IV-E of the Social 
78.6 	Security Act, as authorized by federal law;
78.7 	(31) to a health care provider governed by sections 144.291 to 144.298, to the extent 
78.8 	necessary to coordinate services;
78.9 	(32) to the chief administrative officer of a school to coordinate services for a student 
78.10 	and family; data that may be disclosed under this clause are limited to name, date of birth, 
78.11 	gender, and address;
78.12 	(33) to county correctional agencies to the extent necessary to coordinate services and 
78.13 	diversion programs; data that may be disclosed under this clause are limited to name, client 
78.14 	demographics, program, case status, and county worker information; or
78.15 	(34) between the Department of Human Services and the Metropolitan Council for the 
78.16 	following purposes:
78.17 	(i) to coordinate special transportation service provided under section 473.386 with 
78.18 	services for people with disabilities and elderly individuals funded by or through the 
78.19 	Department of Human Services; and
78.20 	(ii) to provide for reimbursement of special transportation service provided under section 
78.21 	473.386.
78.22 	The data that may be shared under this clause are limited to the individual's first, last, and 
78.23 	middle names; date of birth; residential address; and program eligibility status with expiration 
78.24 	date for the purposes of informing the other party of program eligibility.
78.25 	(b) Information on persons who have been treated for substance use disorder may only 
78.26 	be disclosed according to the requirements of Code of Federal Regulations, title 42, sections 
78.27 	2.1 to 2.67.
78.28 	(c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16), 
78.29 	(17), or (18), or paragraph (b), are investigative data and are confidential or protected 
78.30 	nonpublic while the investigation is active. The data are private after the investigation 
78.31 	becomes inactive under section 13.82, subdivision 7, clause (a) or (b).
79.1 	(d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but are 
79.2 	not subject to the access provisions of subdivision 10, paragraph (b).
79.3 	For the purposes of this subdivision, a request will be deemed to be made in writing if 
79.4 	made through a computer interface system.

79.5 	EFFECTIVE DATE. This section is effective July 1, 2024.

79.6 	Sec. 4. Minnesota Statutes 2022, section 13.46, subdivision 10, as amended by Laws 2024, 
79.7 	chapter 79, article 9, section 2, is amended to read:
79.8 		Subd. 10.Responsible authority. (a) Notwithstanding any other provision of this chapter 
79.9 	to the contrary, the responsible authority for each component of the welfare system listed 
79.10 	in subdivision 1, clause (c), shall be as follows:
79.11 	(1) the responsible authority for the Department of Human Services is the commissioner 
79.12 	of human services;
79.13 	(2) the responsible authority of a county welfare agency is the director of the county 
79.14 	welfare agency;
79.15 	(3) the responsible authority for a local social services agency, human services board, 
79.16 	or community mental health center board is the chair of the board;
79.17 	(4) the responsible authority of any person, agency, institution, organization, or other 
79.18 	entity under contract to any of the components of the welfare system listed in subdivision 
79.19 	1, clause (c), is the person specified in the contract;
79.20 	(5) the responsible authority of the public authority for child support enforcement is the 
79.21 	head of the public authority for child support enforcement;
79.22 	(6) the responsible authority for county veteran services is the county veterans service 
79.23 	officer pursuant to section 197.603, subdivision 2; and
79.24 	(7) the responsible authority for the Department of Direct Care and Treatment is the 
79.25 	chief executive officer of Direct Care and Treatment executive board.
79.26 	(b) A responsible authority shall allow another responsible authority in the welfare 
79.27 	system access to data classified as not public data when access is necessary for the 
79.28 	administration and management of programs, or as authorized or required by statute or 
79.29 	federal law.

79.30 	EFFECTIVE DATE. This section is effective July 1, 2024.

80.1 	Sec. 5. Minnesota Statutes 2023 Supplement, section 15.01, is amended to read:
80.2 	15.01 DEPARTMENTS OF THE STATE.
80.3 	The following agencies are designated as the departments of the state government: the 
80.4 	Department of Administration; the Department of Agriculture; the Department of Children, 
80.5 	Youth, and Families; the Department of Commerce; the Department of Corrections; the 
80.6 	Department of Direct Care and Treatment; the Department of Education; the Department 
80.7 	of Employment and Economic Development; the Department of Health; the Department of 
80.8 	Human Rights; the Department of Human Services; the Department of Information 
80.9 	Technology Services; the Department of Iron Range Resources and Rehabilitation; the 
80.10 	Department of Labor and Industry; the Department of Management and Budget; the 
80.11 	Department of Military Affairs; the Department of Natural Resources; the Department of 
80.12 	Public Safety; the Department of Revenue; the Department of Transportation; the Department 
80.13 	of Veterans Affairs; and their successor departments.

80.14 	EFFECTIVE DATE. This section is effective July 1, 2024.

80.15 	Sec. 6. Minnesota Statutes 2023 Supplement, section 15.06, subdivision 1, is amended to 
80.16 	read:
80.17 		Subdivision 1.Applicability. This section applies to the following departments or 
80.18 	agencies: the Departments of Administration; Agriculture; Children, Youth, and Families; 
80.19 	Commerce; Corrections; Direct Care and Treatment; Education; Employment and Economic 
80.20 	Development; Health; Human Rights; Human Services; Labor and Industry; Management 
80.21 	and Budget; Natural Resources; Public Safety; Revenue; Transportation; and Veterans 
80.22 	Affairs; the Housing Finance and Pollution Control Agencies; the Office of Commissioner 
80.23 	of Iron Range Resources and Rehabilitation; the Department of Information Technology 
80.24 	Services; the Bureau of Mediation Services; and their successor departments and agencies. 
80.25 	The heads of the foregoing departments or agencies are "commissioners."

80.26 	EFFECTIVE DATE. This section is effective July 1, 2024.

80.27 	Sec. 7. Minnesota Statutes 2023 Supplement, section 15A.0815, subdivision 2, is amended 
80.28 	to read:
80.29 		Subd. 2.Agency head salaries. The salary for a position listed in this subdivision shall 
80.30 	be determined by the Compensation Council under section 15A.082. The commissioner of 
80.31 	management and budget must publish the salaries on the department's website. This 
80.32 	subdivision applies to the following positions:
81.1 	Commissioner of administration;
81.2 	Commissioner of agriculture;
81.3 	Commissioner of education;
81.4 	Commissioner of children, youth, and families;
81.5 	Commissioner of commerce;
81.6 	Commissioner of corrections;
81.7 	Commissioner of health;
81.8 	Commissioner, Minnesota Office of Higher Education;
81.9 	Commissioner, Minnesota IT Services;
81.10 	Commissioner, Housing Finance Agency;
81.11 	Commissioner of human rights;
81.12 	Commissioner of human services;
81.13 	Commissioner of labor and industry;
81.14 	Commissioner of management and budget;
81.15 	Commissioner of natural resources;
81.16 	Commissioner, Pollution Control Agency;
81.17 	Commissioner of public safety;
81.18 	Commissioner of revenue;
81.19 	Commissioner of employment and economic development;
81.20 	Commissioner of transportation;
81.21 	Commissioner of veterans affairs;
81.22 	Executive director of the Gambling Control Board;
81.23 	Executive director of the Minnesota State Lottery;
81.24 	Commissioner of Iron Range resources and rehabilitation;
81.25 	Commissioner, Bureau of Mediation Services;
81.26 	Ombudsman for mental health and developmental disabilities;
81.27 	Ombudsperson for corrections;
82.1 	Chair, Metropolitan Council;
82.2 	Chair, Metropolitan Airports Commission;
82.3 	School trust lands director;
82.4 	Executive director of pari-mutuel racing; and
82.5 	Commissioner, Public Utilities Commission; and
82.6 	Chief Executive Officer, Direct Care and Treatment.

82.7 	Sec. 8. Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 1, is amended 
82.8 	to read:
82.9 		Subdivision 1.Creation. A Compensation Council is created each odd-numbered year 
82.10 	to establish the compensation of constitutional officers and the heads of state and metropolitan 
82.11 	agencies identified in section 15A.0815, and to assist the legislature in establishing the 
82.12 	compensation of justices of the supreme court and judges of the court of appeals and district 
82.13 	court, and to determine the daily compensation for voting members of the Direct Care and 
82.14 	Treatment executive board.

82.15 	Sec. 9. Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 3, is amended 
82.16 	to read:
82.17 		Subd. 3.Submission of recommendations and determination. (a) By April 1 in each 
82.18 	odd-numbered year, the Compensation Council shall submit to the speaker of the house and 
82.19 	the president of the senate salary recommendations for justices of the supreme court, and 
82.20 	judges of the court of appeals and district court. The recommended salaries take effect on 
82.21 	July 1 of that year and July 1 of the subsequent even-numbered year and at whatever interval 
82.22 	the council recommends thereafter, unless the legislature by law provides otherwise. The 
82.23 	salary recommendations take effect if an appropriation of money to pay the recommended 
82.24 	salaries is enacted after the recommendations are submitted and before their effective date. 
82.25 	Recommendations may be expressly modified or rejected.
82.26 	(b) By April 1 in each odd-numbered year, the Compensation Council must prescribe 
82.27 	salaries for constitutional officers, and for the agency and metropolitan agency heads 
82.28 	identified in section 15A.0815. The prescribed salary for each office must take effect July 
82.29 	1 of that year and July 1 of the subsequent even-numbered year and at whatever interval 
82.30 	the council determines thereafter, unless the legislature by law provides otherwise. An 
82.31 	appropriation by the legislature to fund the relevant office, branch, or agency of an amount 
83.1 	sufficient to pay the salaries prescribed by the council constitutes a prescription by law as 
83.2 	provided in the Minnesota Constitution, article V, sections 4 and 5.
83.3 	(c) By April 1 in each odd-numbered year, the Compensation Council must prescribe 
83.4 	daily compensation for voting members of the Direct Care and Treatment executive board. 
83.5 	The recommended daily compensation takes effect on July 1 of that year and July 1 of the 
83.6 	subsequent even-numbered year and at whatever interval the council recommends thereafter, 
83.7 	unless the legislature by law provides otherwise.

83.8 	Sec. 10. Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 7, is amended 
83.9 	to read:
83.10 		Subd. 7.No ex parte communications. Members may not have any communication 
83.11 	with a constitutional officer, a head of a state agency, or a member of the judiciary, or a 
83.12 	member of the Direct Care and Treatment executive board during the period after the first 
83.13 	meeting is convened under this section and the date the prescribed and recommended salaries
83.14 	and daily compensation are submitted under subdivision 3.

83.15 	Sec. 11. Minnesota Statutes 2023 Supplement, section 43A.08, subdivision 1, is amended 
83.16 	to read:
83.17 		Subdivision 1.Unclassified positions.  Unclassified positions are held by employees 
83.18 	who are:
83.19 	(1) chosen by election or appointed to fill an elective office;
83.20 	(2) heads of agencies required by law to be appointed by the governor or other elective 
83.21 	officers, and the executive or administrative heads of departments, bureaus, divisions, and 
83.22 	institutions specifically established by law in the unclassified service;
83.23 	(3) deputy and assistant agency heads and one confidential secretary in the agencies 
83.24 	listed in subdivision 1a;
83.25 	(4) the confidential secretary to each of the elective officers of this state and, for the 
83.26 	secretary of state and state auditor, an additional deputy, clerk, or employee;
83.27 	(5) intermittent help employed by the commissioner of public safety to assist in the 
83.28 	issuance of vehicle licenses;
83.29 	(6) employees in the offices of the governor and of the lieutenant governor and one 
83.30 	confidential employee for the governor in the Office of the Adjutant General;
83.31 	(7) employees of the Washington, D.C., office of the state of Minnesota;
84.1 	(8) employees of the legislature and of legislative committees or commissions; provided 
84.2 	that employees of the Legislative Audit Commission, except for the legislative auditor, the 
84.3 	deputy legislative auditors, and their confidential secretaries, shall be employees in the 
84.4 	classified service;
84.5 	(9) presidents, vice-presidents, deans, other managers and professionals in academic 
84.6 	and academic support programs, administrative or service faculty, teachers, research 
84.7 	assistants, and student employees eligible under terms of the federal Economic Opportunity 
84.8 	Act work study program in the Perpich Center for Arts Education and the Minnesota State 
84.9 	Colleges and Universities, but not the custodial, clerical, or maintenance employees, or any 
84.10 	professional or managerial employee performing duties in connection with the business 
84.11 	administration of these institutions;
84.12 	(10) officers and enlisted persons in the National Guard;
84.13 	(11) attorneys, legal assistants, and three confidential employees appointed by the attorney 
84.14 	general or employed with the attorney general's authorization;
84.15 	(12) judges and all employees of the judicial branch, referees, receivers, jurors, and 
84.16 	notaries public, except referees and adjusters employed by the Department of Labor and 
84.17 	Industry;
84.18 	(13) members of the State Patrol; provided that selection and appointment of State Patrol 
84.19 	troopers must be made in accordance with applicable laws governing the classified service;
84.20 	(14) examination monitors and intermittent training instructors employed by the 
84.21 	Departments of Management and Budget and Commerce and by professional examining 
84.22 	boards and intermittent staff employed by the technical colleges for the administration of 
84.23 	practical skills tests and for the staging of instructional demonstrations;
84.24 	(15) student workers;
84.25 	(16) executive directors or executive secretaries appointed by and reporting to any 
84.26 	policy-making board or commission established by statute;
84.27 	(17) employees unclassified pursuant to other statutory authority;
84.28 	(18) intermittent help employed by the commissioner of agriculture to perform duties 
84.29 	relating to pesticides, fertilizer, and seed regulation; and
84.30 	(19) the administrators and the deputy administrators at the State Academies for the 
84.31 	Deaf and the Blind; and.
84.32 	(20) chief executive officers in the Department of Human Services.

85.1 	EFFECTIVE DATE. This section is effective July 1, 2025.

85.2 	Sec. 12. Minnesota Statutes 2023 Supplement, section 43A.08, subdivision 1a, is amended 
85.3 	to read:
85.4 		Subd. 1a.Additional unclassified positions. Appointing authorities for the following 
85.5 	agencies may designate additional unclassified positions according to this subdivision: the 
85.6 	Departments of Administration; Agriculture; Children, Youth, and Families; Commerce; 
85.7 	Corrections; Direct Care and Treatment; Education; Employment and Economic 
85.8 	Development; Explore Minnesota Tourism; Management and Budget; Health; Human 
85.9 	Rights; Human Services; Labor and Industry; Natural Resources; Public Safety; Revenue; 
85.10 	Transportation; and Veterans Affairs; the Housing Finance and Pollution Control Agencies; 
85.11 	the State Lottery; the State Board of Investment; the Office of Administrative Hearings; the 
85.12 	Department of Information Technology Services; the Offices of the Attorney General, 
85.13 	Secretary of State, and State Auditor; the Minnesota State Colleges and Universities; the 
85.14 	Minnesota Office of Higher Education; the Perpich Center for Arts Education; Direct Care 
85.15 	and Treatment; and the Minnesota Zoological Board.
85.16 	A position designated by an appointing authority according to this subdivision must 
85.17 	meet the following standards and criteria:
85.18 	(1) the designation of the position would not be contrary to other law relating specifically 
85.19 	to that agency;
85.20 	(2) the person occupying the position would report directly to the agency head or deputy 
85.21 	agency head and would be designated as part of the agency head's management team;
85.22 	(3) the duties of the position would involve significant discretion and substantial 
85.23 	involvement in the development, interpretation, and implementation of agency policy;
85.24 	(4) the duties of the position would not require primarily personnel, accounting, or other 
85.25 	technical expertise where continuity in the position would be important;
85.26 	(5) there would be a need for the person occupying the position to be accountable to, 
85.27 	loyal to, and compatible with, the governor and the agency head, the employing statutory 
85.28 	board or commission, or the employing constitutional officer;
85.29 	(6) the position would be at the level of division or bureau director or assistant to the 
85.30 	agency head; and
85.31 	(7) the commissioner has approved the designation as being consistent with the standards 
85.32 	and criteria in this subdivision.

86.1 	EFFECTIVE DATE. This section is effective July 1, 2024.

86.2 	Sec. 13. Minnesota Statutes 2022, section 145.61, subdivision 5, is amended to read:
86.3 		Subd. 5.Review organization. "Review organization" means a nonprofit organization 
86.4 	acting according to clause (l), a committee as defined under section 144E.32, subdivision 
86.5 	2, or a committee whose membership is limited to professionals, administrative staff, and 
86.6 	consumer directors, except where otherwise provided for by state or federal law, and which 
86.7 	is established by one or more of the following: a hospital, a clinic, a nursing home, an 
86.8 	ambulance service or first responder service regulated under chapter 144E, one or more 
86.9 	state or local associations of professionals, an organization of professionals from a particular 
86.10 	area or medical institution, a health maintenance organization as defined in chapter 62D, a 
86.11 	community integrated service network as defined in chapter 62N, a nonprofit health service 
86.12 	plan corporation as defined in chapter 62C, a preferred provider organization, a professional 
86.13 	standards review organization established pursuant to United States Code, title 42, section 
86.14 	1320c-1 et seq., a medical review agent established to meet the requirements of section 
86.15 	256B.04, subdivision 15, the Department of Human Services, Direct Care and Treatment, 
86.16 	or a nonprofit corporation that owns, operates, or is established by one or more of the above 
86.17 	referenced entities, to gather and review information relating to the care and treatment of 
86.18 	patients for the purposes of:
86.19 	(a) evaluating and improving the quality of health care;
86.20 	(b) reducing morbidity or mortality;
86.21 	(c) obtaining and disseminating statistics and information relative to the treatment and 
86.22 	prevention of diseases, illness and injuries;
86.23 	(d) developing and publishing guidelines showing the norms of health care in the area 
86.24 	or medical institution or in the entity or organization that established the review organization;
86.25 	(e) developing and publishing guidelines designed to keep within reasonable bounds the 
86.26 	cost of health care;
86.27 	(f) developing and publishing guidelines designed to improve the safety of care provided 
86.28 	to individuals;
86.29 	(g) reviewing the safety, quality, or cost of health care services provided to enrollees of 
86.30 	health maintenance organizations, community integrated service networks, health service 
86.31 	plans, preferred provider organizations, and insurance companies;
87.1 	(h) acting as a professional standards review organization pursuant to United States 
87.2 	Code, title 42, section 1320c-1 et seq.;
87.3 	(i) determining whether a professional shall be granted staff privileges in a medical 
87.4 	institution, membership in a state or local association of professionals, or participating status 
87.5 	in a nonprofit health service plan corporation, health maintenance organization, community 
87.6 	integrated service network, preferred provider organization, or insurance company, or 
87.7 	whether a professional's staff privileges, membership, or participation status should be 
87.8 	limited, suspended or revoked;
87.9 	(j) reviewing, ruling on, or advising on controversies, disputes or questions between:
87.10 	(1) health insurance carriers, nonprofit health service plan corporations, health 
87.11 	maintenance organizations, community integrated service networks, self-insurers and their 
87.12 	insureds, subscribers, enrollees, or other covered persons;
87.13 	(2) professional licensing boards and health providers licensed by them;
87.14 	(3) professionals and their patients concerning diagnosis, treatment or care, or the charges 
87.15 	or fees therefor;
87.16 	(4) professionals and health insurance carriers, nonprofit health service plan corporations, 
87.17 	health maintenance organizations, community integrated service networks, or self-insurers 
87.18 	concerning a charge or fee for health care services provided to an insured, subscriber, 
87.19 	enrollee, or other covered person;
87.20 	(5) professionals or their patients and the federal, state, or local government, or agencies 
87.21 	thereof;
87.22 	(k) providing underwriting assistance in connection with professional liability insurance 
87.23 	coverage applied for or obtained by dentists, or providing assistance to underwriters in 
87.24 	evaluating claims against dentists;
87.25 	(l) acting as a medical review agent under section 256B.04, subdivision 15;
87.26 	(m) providing recommendations on the medical necessity of a health service, or the 
87.27 	relevant prevailing community standard for a health service;
87.28 	(n) providing quality assurance as required by United States Code, title 42, sections 
87.29 	1396r(b)(1)(b) and 1395i-3(b)(1)(b) of the Social Security Act;
87.30 	(o) providing information to group purchasers of health care services when that 
87.31 	information was originally generated within the review organization for a purpose specified 
87.32 	by this subdivision;
88.1 	(p) providing information to other, affiliated or nonaffiliated review organizations, when 
88.2 	that information was originally generated within the review organization for a purpose 
88.3 	specified by this subdivision, and as long as that information will further the purposes of a 
88.4 	review organization as specified by this subdivision; or
88.5 	(q) participating in a standardized incident reporting system, including Internet-based 
88.6 	applications, to share information for the purpose of identifying and analyzing trends in 
88.7 	medical error and iatrogenic injury.

88.8 	EFFECTIVE DATE. This section is effective July 1, 2024.

88.9 	Sec. 14. Minnesota Statutes 2022, section 246.018, subdivision 3, as amended by Laws 
88.10 	2024, chapter 79, article 1, section 6, is amended to read:
88.11 		Subd. 3.Duties. The executive medical director shall:
88.12 	(1) oversee the clinical provision of inpatient mental health services provided in the 
88.13 	state's regional treatment centers;
88.14 	(2) recruit and retain psychiatrists to serve on the direct care and treatment medical staff 
88.15 	established in subdivision 4;
88.16 	(3) consult with the executive board, the chief executive officer, and community mental 
88.17 	health center directors, and the state-operated services governing body to develop standards 
88.18 	for treatment and care of patients in state-operated service programs;
88.19 	(4) develop and oversee a continuing education program for members of the medical 
88.20 	staff; and
88.21 	(5) participate and cooperate in the development and maintenance of a quality assurance 
88.22 	program for state-operated services that assures that residents receive continuous quality 
88.23 	inpatient, outpatient, and postdischarge care.

88.24 	EFFECTIVE DATE. This section is effective July 1, 2024.

88.25 	Sec. 15. Minnesota Statutes 2022, section 246.13, subdivision 2, as amended by Laws 
88.26 	2024, chapter 79, article 2, section 4, is amended to read:
88.27 		Subd. 2.Definitions; risk assessment and management. (a) As used in this section:
88.28 	(1) "appropriate and necessary medical and other records" includes patient medical 
88.29 	records and other protected health information as defined by Code of Federal Regulations, 
88.30 	title 45, section 164.501, relating to a patient in a state-operated services facility including 
88.31 	but not limited to the patient's treatment plan and abuse prevention plan pertinent to the 
89.1 	patient's ongoing care, treatment, or placement in a community-based treatment facility or 
89.2 	a health care facility that is not operated by state-operated services, including information 
89.3 	describing the level of risk posed by a patient when the patient enters the facility;
89.4 	(2) "community-based treatment" means the community support services listed in section 
89.5 	253B.02, subdivision 4b;
89.6 	(3) "criminal history data" means data maintained or used by the Departments of 
89.7 	Corrections and Public Safety and by the supervisory authorities listed in section 13.84, 
89.8 	subdivision 1, that relate to an individual's criminal history or propensity for violence, 
89.9 	including data in the:
89.10 	(i) Corrections Offender Management System (COMS);
89.11 	(ii) Statewide Supervision System (S3);
89.12 	(iii) Bureau of Criminal Apprehension criminal history data as defined in section 13.87;
89.13 	(iv) Integrated Search Service as defined in section 13.873; and
89.14 	(v) Predatory Offender Registration (POR) system;
89.15 	(4) "designated agency" means the agency defined in section 253B.02, subdivision 5;
89.16 	(5) "law enforcement agency" means the law enforcement agency having primary 
89.17 	jurisdiction over the location where the offender expects to reside upon release;
89.18 	(6) "predatory offender" and "offender" mean a person who is required to register as a 
89.19 	predatory offender under section 243.166; and
89.20 	(7) "treatment facility" means a facility as defined in section 253B.02, subdivision 19.
89.21 	(b) To promote public safety and for the purposes and subject to the requirements of 
89.22 	this paragraph, the executive board or the executive board's designee shall have access to, 
89.23 	and may review and disclose, medical and criminal history data as provided by this section, 
89.24 	as necessary to comply with Minnesota Rules, part 1205.0400, to:
89.25 	(1) determine whether a patient is required under state law to register as a predatory 
89.26 	offender according to section 243.166;
89.27 	(2) facilitate and expedite the responsibilities of the special review board and 
89.28 	end-of-confinement review committees by corrections institutions and state treatment 
89.29 	facilities;
90.1 	(3) prepare, amend, or revise the abuse prevention plans required under section 626.557, 
90.2 	subdivision 14, and individual patient treatment plans required under section 253B.03, 
90.3 	subdivision 7;
90.4 	(4) facilitate the custody, supervision, and transport of individuals transferred between 
90.5 	the Department of Corrections and the Department of Direct Care and Treatment; and
90.6 	(5) effectively monitor and supervise individuals who are under the authority of the 
90.7 	Department of Corrections, the Department of Direct Care and Treatment, and the supervisory 
90.8 	authorities listed in section 13.84, subdivision 1.
90.9 	(c) The state-operated services treatment facility or a designee must make a good faith 
90.10 	effort to obtain written authorization from the patient before releasing information from the 
90.11 	patient's medical record.
90.12 	(d) If the patient refuses or is unable to give informed consent to authorize the release 
90.13 	of information required under this subdivision, the chief executive officer for state-operated 
90.14 	services or a designee shall provide the appropriate and necessary medical and other records. 
90.15 	The chief executive officer or a designee shall comply with the minimum necessary privacy 
90.16 	requirements.
90.17 	(e) The executive board may have access to the National Crime Information Center 
90.18 	(NCIC) database through the Department of Public Safety in support of the public safety 
90.19 	functions described in paragraph (b).

90.20 	EFFECTIVE DATE. This section is effective July 1, 2024.

90.21 	Sec. 16. Minnesota Statutes 2022, section 246.234, as amended by Laws 2024, chapter 
90.22 	79, article 1, section 11, is amended to read:
90.23 	246.234 RECIPROCAL EXCHANGE OF CERTAIN PERSONS.
90.24 	The executive board is hereby authorized with the approval of the governor to enter into 
90.25 	reciprocal agreements with duly authorized authorities of any other another state or states 
90.26 	regarding the mutual exchange, return, and transportation of persons with a mental illness 
90.27 	or developmental disability who are within the confines of one state but have legal residence 
90.28 	or legal settlement for the purposes of relief in another state. Such agreements Any agreement 
90.29 	entered into under this subdivision must not contain provisions conflicting any provision 
90.30 	that conflicts with any law of this state law.

90.31 	EFFECTIVE DATE. This section is effective July 1, 2024.

91.1 	Sec. 17. Minnesota Statutes 2022, section 246.36, as amended by Laws 2024, chapter 79, 
91.2 	article 1, section 14, is amended to read:
91.3 	246.36 ACCEPTANCE OF VOLUNTARY, UNCOMPENSATED SERVICES.
91.4 	For the purpose of carrying out a duty, the executive board shall have authority to may
91.5 	accept uncompensated and voluntary services and to may enter into contracts or agreements 
91.6 	with private or public agencies, organizations, or persons for uncompensated and voluntary 
91.7 	services as the executive board deems practicable. Uncompensated and voluntary services 
91.8 	do not include services mandated by licensure and certification requirements for health care 
91.9 	facilities. The volunteer agencies, organizations, or persons who provide services to residents 
91.10 	of state facilities operated under the authority of the executive board are not subject to the 
91.11 	procurement requirements of chapters 16A and 16C. The agencies, organizations, or persons 
91.12 	may purchase supplies, services, and equipment to be used in providing services to residents 
91.13 	of state facilities through the Department of Administration.

91.14 	EFFECTIVE DATE. This section is effective July 1, 2024.

91.15 	Sec. 18. Minnesota Statutes 2023 Supplement, section 246C.01, is amended to read:
91.16 	246C.01 TITLE.
91.17 	This chapter may be cited as the "Department of Direct Care and Treatment Act."

91.18 	EFFECTIVE DATE. This section is effective July 1, 2024.

91.19 	Sec. 19. Minnesota Statutes 2023 Supplement, section 246C.02, as amended by Laws 
91.20 	2024, chapter 79, article 1, section 19, is amended to read:
91.21 	246C.02 DEPARTMENT OF DIRECT CARE AND TREATMENT; 
91.22 	ESTABLISHMENT.
91.23 		Subdivision 1.Establishment. The Department of Direct Care and Treatment is created
91.24 	as an agency headed by an executive board. An executive board shall head the Department 
91.25 	of Direct Care and Treatment.
91.26 		Subd. 2.Mission. (a) The executive board shall develop and maintain direct care and 
91.27 	treatment in a manner consistent with applicable law, including chapters 13, 245, 246, 246B, 
91.28 	252, 253, 253B, 253C, 253D, 254A, 254B, and 256.
91.29 	(b) The executive board shall provide direct care and treatment services in coordination 
91.30 	with the commissioner of human services, counties, and other vendors.
92.1 		Subd. 3.Direct care and treatment services. Direct Care and Treatment services shall 
92.2 	provide direct care and treatment services that include specialized inpatient programs at 
92.3 	secure treatment facilities, community preparation services, regional treatment centers, 
92.4 	enterprise services, consultative services, aftercare services, community-based services and 
92.5 	programs, transition services, nursing home services, and other services consistent with the 
92.6 	mission of the Department of Direct Care and Treatment state law, including this chapter 
92.7 	and chapters 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256. Direct 
92.8 	Care and Treatment shall provide direct care and treatment services in coordination with 
92.9 	the commissioner of human services, counties, and other vendors.
92.10 		Subd. 4.Statewide services. (a) The administrative structure of state-operated services 
92.11 	must be statewide in character.
92.12 	(b) The state-operated services staff may deliver services at any location throughout the 
92.13 	state.
92.14 		Subd. 5.Department of Human Services as state agency. The commissioner of human 
92.15 	services continues to constitute the "state agency" as defined by the Social Security Act of 
92.16 	the United States and the laws of this state for all purposes relating to mental health and 
92.17 	mental hygiene.

92.18 	EFFECTIVE DATE. This section is effective July 1, 2024.

92.19 	Sec. 20. Minnesota Statutes 2023 Supplement, section 246C.04, as amended by Laws 
92.20 	2024, chapter 79, article 1, section 21, is amended to read:
92.21 	246C.04 TRANSFER OF DUTIES.
92.22 		Subdivision 1.Transfer of duties. (a) Section 15.039 applies to the transfer of duties
92.23 	responsibilities from the Department of Human Services to Direct Care and Treatment
92.24 	required by this chapter.
92.25 	(b) The commissioner of administration, with the governor's approval, shall issue 
92.26 	reorganization orders under section 16B.37 as necessary to carry out the transfer of duties 
92.27 	required by section 246C.03 this chapter. The provision of section 16B.37, subdivision 1, 
92.28 	stating that transfers under section 16B.37 may only be to an agency that has existed for at 
92.29 	least one year does not apply to transfers to an agency created by this chapter.
92.30 	(c) The initial salary for the health systems chief executive officer of the Department of 
92.31 	Direct Care and Treatment is the same as the salary for the health systems chief executive 
92.32 	officer of direct care and treatment at the Department of Human Services immediately before 
92.33 	July 1, 2024.
93.1 		Subd. 2.Transfer of custody of civilly committed persons. The commissioner of 
93.2 	human services shall continue to exercise all authority and responsibility for and retain 
93.3 	custody of persons subject to civil commitment under chapter 253B or 253D until July 1, 
93.4 	2025. Effective July 1, 2025, custody of persons subject to civil commitment under chapter 
93.5 	253B or 253D and in the custody of the commissioner of human services as of that date is 
93.6 	hereby transferred to the executive board without any further act or proceeding. Authority 
93.7 	and responsibility for the commitment of such persons is transferred to the executive board
93.8 	July 1, 2025.
93.9 		Subd. 3.Control of direct care and treatment. The commissioner of human services 
93.10 	shall continue to exercise all authorities and responsibilities under this chapter and chapters 
93.11 	13, 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256, with reference to 
93.12 	any state-operated service, program, or facility subject to transfer under this act until July 
93.13 	1, 2025. Effective July 1, 2025, the powers and duties vested in or imposed upon the 
93.14 	commissioner of human services with reference to any state-operated service, program, or 
93.15 	facility are hereby transferred to, vested in, and imposed upon the executive board according 
93.16 	to this chapter and applicable state law. Effective July 1, 2025, the executive board is hereby 
93.17 	charged with and has the exclusive power of administration and management of all state 
93.18 	hospitals for persons with a developmental disability, mental illness, or substance use 
93.19 	disorder. Effective July 1, 2025, the executive board has the power and authority to determine 
93.20 	all matters relating to the development of all of the foregoing institutions and of such other 
93.21 	institutions vested in the executive board. Effective July 1, 2025, the powers, functions, and 
93.22 	authority vested in the commissioner of human services relative to such state institutions 
93.23 	are hereby transferred to the executive board according to this chapter and applicable state 
93.24 	law.
93.25 		Subd. 4.Appropriations. There is hereby appropriated to such persons or institutions 
93.26 	as are entitled to such sums as are provided for in this section, from the fund or account in 
93.27 	the state treasury to which the money was credited, an amount sufficient to make such 
93.28 	payment.

93.29 	EFFECTIVE DATE. This section is effective July 1, 2024.

94.1 	Sec. 21. Minnesota Statutes 2023 Supplement, section 246C.05, as amended by Laws 
94.2 	2024, chapter 79, article 1, section 22, is amended to read:
94.3 	246C.05 EMPLOYEE PROTECTIONS FOR ESTABLISHING THE NEW 
94.4 	DEPARTMENT OF DIRECT CARE AND TREATMENT.
94.5 	(a) Personnel whose duties relate to the functions assigned to the executive board in 
94.6 	section 246C.03 this chapter are transferred to the Department of Direct Care and Treatment 
94.7 	effective 30 days after approval by the commissioner of management and budget.
94.8 	(b) Before the executive board is appointed, personnel whose duties relate to the functions 
94.9 	in this section chapter may be transferred beginning July 1, 2024, with 30 days' notice from 
94.10 	the commissioner of management and budget.
94.11 	(c) The following protections shall apply to employees who are transferred from the 
94.12 	Department of Human Services to the Department of Direct Care and Treatment:
94.13 	(1) No transferred employee other than the chief executive officer shall have their 
94.14 	employment status and job classification altered as a result of the transfer.
94.15 	(2) Transferred employees who were represented by an exclusive representative prior 
94.16 	to the transfer shall continue to be represented by the same exclusive representative after 
94.17 	the transfer.
94.18 	(3) The applicable collective bargaining agreements with exclusive representatives shall 
94.19 	continue in full force and effect for such transferred employees after the transfer.
94.20 	(4) The state shall have the obligation to meet and negotiate with the exclusive 
94.21 	representatives of the transferred employees about any proposed changes affecting or relating 
94.22 	to the transferred employees' terms and conditions of employment to the extent such changes 
94.23 	are not addressed in the applicable collective bargaining agreement.
94.24 	(5) When an employee in a temporary unclassified position is transferred to the 
94.25 	Department of Direct Care and Treatment, the total length of time that the employee has 
94.26 	served in the appointment shall include all time served in the appointment at the transferring 
94.27 	agency and the time served in the appointment at the Department of Direct Care and 
94.28 	Treatment. An employee in a temporary unclassified position who was hired by a transferring 
94.29 	agency through an open competitive selection process in accordance with a policy enacted 
94.30 	by Minnesota Management and Budget shall be considered to have been hired through such 
94.31 	process after the transfer.
94.32 	(6) In the event that the state transfers ownership or control of any of the facilities, 
94.33 	services, or operations of the Department of Direct Care and Treatment to another entity, 
95.1 	whether private or public, by subcontracting, sale, assignment, lease, or other transfer, the 
95.2 	state shall require as a written condition of such transfer of ownership or control the following 
95.3 	provisions:
95.4 	(i) Employees who perform work in transferred facilities, services, or operations must 
95.5 	be offered employment with the entity acquiring ownership or control before the entity 
95.6 	offers employment to any individual who was not employed by the transferring agency at 
95.7 	the time of the transfer.
95.8 	(ii) The wage and benefit standards of such transferred employees must not be reduced 
95.9 	by the entity acquiring ownership or control through the expiration of the collective 
95.10 	bargaining agreement in effect at the time of the transfer or for a period of two years after 
95.11 	the transfer, whichever is longer.
95.12 	(d) There is no liability on the part of, and no cause of action arises against, the state of 
95.13 	Minnesota or its officers or agents for any action or inaction of any entity acquiring ownership 
95.14 	or control of any facilities, services, or operations of the Department of Direct Care and 
95.15 	Treatment.
95.16 	(e) This section expires upon the completion of the transfer of duties to the executive 
95.17 	board under section 246C.03 this chapter. The commissioner of human services shall notify 
95.18 	the revisor of statutes when the transfer of duties is complete.

95.19 	EFFECTIVE DATE. This section is effective July 1, 2024.

95.20 	Sec. 22. [246C.07] POWERS AND DUTIES OF EXECUTIVE BOARD.
95.21 		Subdivision 1.Generally. (a) The executive board must operate the agency according 
95.22 	to this chapter and applicable state and federal law. The overall management and control 
95.23 	of the agency is vested in the executive board in accordance with this chapter.
95.24 	(b) The executive board may delegate duties imposed by this chapter and under applicable 
95.25 	state and federal law as deemed appropriate by the board and in accordance with this chapter. 
95.26 	Any delegation of a specified statutory duty or power to an employee of Direct Care and 
95.27 	Treatment other than the chief executive officer must be made by written order and filed 
95.28 	with the secretary of state. Only the chief executive officer shall have the powers and duties 
95.29 	of the executive board as specified in section 246C.08.
95.30 		Subd. 2.Principles. The executive board, in undertaking its duties and responsibilities 
95.31 	and within Direct Care and Treatment resources, shall act according to the following 
95.32 	principles:
96.1 	(1) prevent the waste or unnecessary spending of public money;
96.2 	(2) use innovative fiscal and human resource practices to manage the state's resources 
96.3 	and operate the agency as efficiently as possible;
96.4 	(3) coordinate Direct Care and Treatment activities wherever appropriate with the 
96.5 	activities of other governmental agencies;
96.6 	(4) use technology where appropriate to increase agency productivity, improve customer 
96.7 	service, increase public access to information about government, and increase public 
96.8 	participation in the business of government; and
96.9 	(5) utilize constructive and cooperative labor management practices to the extent 
96.10 	otherwise required by chapter 43A or 179A.
96.11 		Subd. 3.Powers and duties. (a) The executive board has the power and duty to:
96.12 	(1) set the overall strategic direction for Direct Care and Treatment, ensuring that Direct 
96.13 	Care and Treatment delivers exceptional care and supports the well-being of all individuals 
96.14 	served by Direct Care and Treatment;
96.15 	(2) establish policies and procedures to govern the operation of the facilities, programs, 
96.16 	and services under the direct authority of Direct Care and Treatment;
96.17 	(3) employ personnel and delegate duties and responsibilities to personnel as deemed 
96.18 	appropriate by the executive board, subject to chapters 43A and 179A and in accordance 
96.19 	with this chapter;
96.20 	(4) review and approve the operating budget proposal for Direct Care and Treatment;
96.21 	(5) accept and use gifts, grants, or contributions from any nonstate source or refuse to 
96.22 	accept any gift, grant, or contribution if acceptance would not be in the best interest of the 
96.23 	state;
96.24 	(6) deposit all money received as gifts, grants, or contributions pursuant to section 
96.25 	246C.091, subdivision 1;
96.26 	(7) expend or use any gift, grant, or contribution as nearly in accordance with the 
96.27 	conditions of the gift, grant, or contribution identified by the donor for a certain institution 
96.28 	or purpose, compatible with the best interests of the individuals under the jurisdiction of 
96.29 	the executive board and of the state;
96.30 	(8) comply with all conditions and requirements necessary to receive federal aid or block 
96.31 	grants with respect to the establishment, construction, maintenance, equipment, or operation 
96.32 	of adequate facilities and services consistent with the mission of Direct Care and Treatment;
97.1 	(9) enter into information-sharing agreements with federal and state agencies and other 
97.2 	entities, provided the agreements include adequate protections with respect to the 
97.3 	confidentiality and integrity of the information to be shared and comply with all applicable 
97.4 	state and federal laws, regulations, and rules;
97.5 	(10) enter into interagency or service level agreements with a state department listed in 
97.6 	section 15.01; a multimember state agency described in section 15.012, paragraph (a); or 
97.7 	the Department of Information Technology Services;
97.8 	(11) enter into contractual agreements with federally recognized Indian Tribes with a 
97.9 	reservation in Minnesota;
97.10 	(12) enter into contracts with public and private agencies, private and nonprofit 
97.11 	organizations, and individuals, using appropriated money;
97.12 	(13) establish and maintain any administrative units reasonably necessary for the 
97.13 	performance of administrative functions common to all programs or divisions of Direct 
97.14 	Care and Treatment;
97.15 	(14) authorize the method of payment to or from Direct Care and Treatment as part of 
97.16 	programs administered by Direct Care and Treatment, including authorization of the receipt 
97.17 	or disbursement of money held by Direct Care and Treatment in a fiduciary capacity as part 
97.18 	of the programs administered by Direct Care and Treatment;
97.19 	(15) inform Tribal Nations and county agencies, on a timely basis, of changes in statute, 
97.20 	rule, federal law, regulation, and policy necessary to Tribal or county agency administration 
97.21 	of Direct Care and Treatment programs and services;
97.22 	(16) report to the legislature on the performance of Direct Care and Treatment operations 
97.23 	and the accomplishment of Direct Care and Treatment goals in its biennial budget in 
97.24 	accordance with section 16A.10, subdivision 1;
97.25 	(17) recommend to the legislature appropriate changes in law necessary to carry out the 
97.26 	principles and improve the performance of Direct Care and Treatment; and
97.27 	(18) exercise all powers reasonably necessary to implement and administer the 
97.28 	requirements of this chapter and applicable state and federal law.
97.29 	(b) The specific enumeration of powers and duties as set forth in this section shall not 
97.30 	be construed as a limitation upon the general transfer of Direct Care and Treatment facilities, 
97.31 	programs, and services from the Department of Human Services to Direct Care and Treatment 
97.32 	under this chapter.
98.1 		Subd. 4.Creation of bylaws. The board may establish bylaws governing its operations 
98.2 	and the operations of Direct Care and Treatment in accordance with this chapter.
98.3 		Subd. 5.Reciprocal exchange of certain persons. The executive board is authorized 
98.4 	and empowered with the approval of the governor to enter into reciprocal agreements with 
98.5 	another state or states regarding the mutual exchange, return, and transportation of persons 
98.6 	with a mental illness or a developmental disability who are within the confines of one state 
98.7 	but have legal residence or legal settlement for the purposes of relief in another state. Any 
98.8 	agreement entered into under this subdivision must not contain any provision that conflicts 
98.9 	with any state law.
98.10 		Subd. 6.Acceptance of voluntary, uncompensated services. For the purpose of carrying 
98.11 	out a duty, the executive board may accept uncompensated and voluntary services and may 
98.12 	enter into contracts or agreements with private or public agencies, organizations, or persons, 
98.13 	for uncompensated and voluntary services, as the executive board may deem practicable. 
98.14 	Uncompensated and voluntary services do not include services mandated by licensure or 
98.15 	certification requirements for health care facilities. The volunteer agencies, organizations, 
98.16 	or persons who provide services to residents of state facilities operated under the authority 
98.17 	of Direct Care and Treatment are not subject to the procurement requirements of chapter 
98.18 	16A or 16C.

98.19 	EFFECTIVE DATE. This section is effective July 1, 2024.

98.20 	Sec. 23. [246C.08] CHIEF EXECUTIVE OFFICER; SERVICE; DUTIES.
98.21 		Subdivision 1.Service. The Direct Care and Treatment chief executive officer is 
98.22 	appointed by the governor with the advice and consent of the senate and serves at the pleasure 
98.23 	of the governor.
98.24 		Subd. 2.Powers and duties. (a) The chief executive officer shall serve as chair of the 
98.25 	executive board. The chief executive officer is responsible for the administrative and 
98.26 	operational management of the agency in accordance with this chapter.
98.27 	(b) The chief executive officer shall have all the powers of the executive board unless 
98.28 	the executive board directs otherwise. The chief executive officer shall have the authority 
98.29 	to speak for the executive board and Direct Care and Treatment within and outside the 
98.30 	agency.
98.31 	(c) In the event that a vacancy occurs for any reason within the chief executive officer 
98.32 	position, the executive medical director appointed under section 246.018 shall immediately 
98.33 	become the temporary chief executive officer until the governor appoints a new chief 
99.1 	executive officer. During this period, the executive medical director shall have all the powers 
99.2 	and authority delegated to the chief executive officer by the board and specified in this 
99.3 	chapter.

99.4 	EFFECTIVE DATE. This section is effective July 1, 2024.

99.5 	Sec. 24. [246C.091] DIRECT CARE AND TREATMENT ACCOUNTS.
99.6 		Subdivision 1.Gifts, grants, and contributions account. (a) A gifts, grants, and 
99.7 	contributions account is created in the special revenue fund in the state treasury. All money 
99.8 	received by the executive board as a gift, grant, or contribution must be deposited in the 
99.9 	gifts, grants, and contributions account. Beginning July 1, 2025, except as provided in 
99.10 	paragraph (b), money in the account is annually appropriated to the Direct Care and 
99.11 	Treatment executive board to accomplish the purposes of this chapter. Gifts, grants, or 
99.12 	contributions received by the executive board exceeding current agency needs must be 
99.13 	invested by the State Board of Investment in accordance with section 11A.24. Disbursements 
99.14 	from the gifts, grants, and contributions account must be made in the manner provided for 
99.15 	the issuance of other state payments.
99.16 	(b) If the gift or contribution is designated for a certain person, institution, or purpose, 
99.17 	the Direct Care and Treatment executive board must use the gift or contribution as specified 
99.18 	in accordance with the conditions of the gift or contribution if compatible with the best 
99.19 	interests of the person and the state. If a gift or contribution is accepted for the use and 
99.20 	benefit of a person with a developmental disability, including those within a state hospital, 
99.21 	research relating to persons with a developmental disability must be considered an appropriate 
99.22 	use of the gift or contribution. Such money must not be used for any structures or installations 
99.23 	which by their nature would require state expenditures for their operation or maintenance 
99.24 	without specific legislative enactment.
99.25 		Subd. 2.Facilities management account. A facilities management account is created 
99.26 	in the special revenue fund of the state treasury. Beginning July 1, 2025, money in the 
99.27 	account is appropriated to the Direct Care and Treatment executive board and may be used 
99.28 	to maintain buildings, acquire facilities, renovate existing buildings, or acquire land for the 
99.29 	design and construction of buildings for Direct Care and Treatment use. Money received 
99.30 	for maintaining state property under control of the executive board may be deposited into 
99.31 	this account.
99.32 		Subd. 3.Direct Care and Treatment systems account. (a) The Direct Care and 
99.33 	Treatment systems account is created in the special revenue fund of the state treasury. 
99.34 	Beginning July 1, 2025, money in the account is appropriated to the Direct Care and 
100.1 	Treatment executive board and may be used for security systems and information technology 
100.2 	projects, services, and support under the control of the executive board.
100.3 	(b) The commissioner of human services shall transfer all money allocated to the Direct 
100.4 	Care and Treatment systems projects under section 256.014 to the Direct Care and Treatment 
100.5 	systems account by June 30, 2026.
100.6 		Subd. 4.Cemetery maintenance account. The cemetery maintenance account is created 
100.7 	in the special revenue fund of the state treasury. Money in the account is appropriated to 
100.8 	the executive board for the maintenance of cemeteries under control of the executive board. 
100.9 	Money allocated to Direct Care and Treatment cemeteries may be transferred to this account.

100.10 	EFFECTIVE DATE. This section is effective July 1, 2024.

100.11 	Sec. 25. Minnesota Statutes 2022, section 256.88, is amended to read:
100.12 	256.88 SOCIAL WELFARE FUND ESTABLISHED.
100.13 	Except as otherwise expressly provided, all moneys and funds held by the commissioner 
100.14 	of human services, the Direct Care and Treatment executive board, and the local social 
100.15 	services agencies of the several counties in trust or for the benefit of children with a disability 
100.16 	and children who are dependent, neglected, or delinquent, children born to mothers who 
100.17 	were not married to the children's fathers at the times of the conception nor at the births of 
100.18 	the children, persons determined to have developmental disability, mental illness, or substance 
100.19 	use disorder, or other wards or beneficiaries, under any law, shall be kept in a single fund 
100.20 	to be known as the "social welfare fund" which shall be deposited at interest, held, or 
100.21 	disbursed as provided in sections 256.89 to 256.92.

100.22 	EFFECTIVE DATE. This section is effective July 1, 2024.

100.23 	Sec. 26. Minnesota Statutes 2022, section 256.89, is amended to read:
100.24 	256.89 FUND DEPOSITED IN STATE TREASURY.
100.25 	The social welfare fund and all accretions thereto shall be deposited in the state treasury, 
100.26 	as a separate and distinct fund, to the credit of the commissioner of human services and the 
100.27 	Direct Care and Treatment executive board as trustee trustees for the their respective
100.28 	beneficiaries thereof in proportion to their the beneficiaries' several interests. The 
100.29 	commissioner of management and budget shall be responsible only to the commissioner of 
100.30 	human services and the Direct Care and Treatment executive board for the sum total of the 
100.31 	fund, and shall have no duties nor direct obligations toward the beneficiaries thereof 
100.32 	individually. Subject to the applicable rules of the commissioner of human services or the 
101.1 	Direct Care and Treatment executive board, money so received by a local social services 
101.2 	agency may be deposited by the executive secretary of the local social services agency in 
101.3 	a local bank carrying federal deposit insurance, designated by the local social services 
101.4 	agency for this purpose. The amount of such deposit in each such bank at any one time shall 
101.5 	not exceed the amount protected by federal deposit insurance.

101.6 	EFFECTIVE DATE. This section is effective July 1, 2024.

101.7 	Sec. 27. Minnesota Statutes 2022, section 256.90, is amended to read:
101.8 	256.90 SOCIAL WELFARE FUND; USE; DISPOSITION; DEPOSITORIES.
101.9 	The commissioner of human services, in consultation with the Direct Care and Treatment 
101.10 	executive board, at least 30 days before the first day of January and the first day of July in 
101.11 	each year shall file with the commissioner of management and budget an estimate of the 
101.12 	amount of the social welfare fund to be held in the treasury during the succeeding six-month 
101.13 	period, subject to current disbursement. Such portion of the remainder thereof as may be at 
101.14 	any time designated by the request of the commissioner of human services may be invested 
101.15 	by the commissioner of management and budget in bonds in which the permanent trust 
101.16 	funds of the state of Minnesota may be invested, upon approval by the State Board of 
101.17 	Investment. The portion of such remainder not so invested shall be placed by the 
101.18 	commissioner of management and budget at interest for the period of six months, or when 
101.19 	directed by the commissioner of human services, for the period of 12 months thereafter at 
101.20 	the highest rate of interest obtainable in a bank, or banks, designated by the board of deposit 
101.21 	as a suitable depository therefor. All the provisions of law relative to the designation and 
101.22 	qualification of depositories of other state funds shall be applicable to sections 256.88 to 
101.23 	256.92, except as herein otherwise provided. Any bond given, or collateral assigned or both, 
101.24 	to secure a deposit hereunder may be continuous in character to provide for the repayment 
101.25 	of any moneys belonging to the fund theretofore or thereafter at any time deposited in such 
101.26 	bank until its designation as such depository is revoked and the security thereof shall be not 
101.27 	impaired by any subsequent agreement or understanding as to the rate of interest to be paid 
101.28 	upon such deposit, or as to time for its repayment. The amount of money belonging to the 
101.29 	fund deposited in any bank, including other state deposits, shall not at any time exceed the 
101.30 	amount of the capital stock thereof. In the event of the closing of the bank any sum deposited 
101.31 	therein shall immediately become due and payable.

101.32 	EFFECTIVE DATE. This section is effective July 1, 2024.

102.1 	Sec. 28. Minnesota Statutes 2022, section 256.91, is amended to read:
102.2 	256.91 PURPOSES.
102.3 	From that part of the social welfare fund held in the state treasury subject to disbursement 
102.4 	as provided in section 256.90 the commissioner of human services or the Direct Care and 
102.5 	Treatment executive board at any time may pay out such amounts as the commissioner or 
102.6 	executive board deems proper for the support, maintenance, or other legal benefit of any of 
102.7 	the children with a disability and children who are dependent, neglected, or delinquent, 
102.8 	children born to mothers who were not married to the children's fathers at the times of the 
102.9 	conception nor at the births of the children, persons with developmental disability, substance 
102.10 	use disorder, or mental illness, or other wards or persons entitled thereto, not exceeding in 
102.11 	the aggregate to or for any person the principal amount previously received for the benefit 
102.12 	of the person, together with the increase in it from an equitable apportionment of interest 
102.13 	realized from the social welfare fund.
102.14 	When any such person dies or is finally discharged from the guardianship, care, custody, 
102.15 	and control of the commissioner of human services or the Direct Care and Treatment 
102.16 	executive board, the amount then remaining subject to use for the benefit of the person shall 
102.17 	be paid as soon as may be from the social welfare fund to the persons thereto entitled by 
102.18 	law.

102.19 	EFFECTIVE DATE. This section is effective July 1, 2024.

102.20 	Sec. 29. Minnesota Statutes 2022, section 256.92, is amended to read:
102.21 	256.92 COMMISSIONER OF HUMAN SERVICES AND DIRECT CARE AND 
102.22 	TREATMENT, ACCOUNTS.
102.23 	It shall be the duty of the commissioner of human services, the Direct Care and Treatment 
102.24 	executive board, and of the local social services agencies of the several counties of this state 
102.25 	to cause to be deposited with the commissioner of management and budget all moneys and 
102.26 	funds in their possession or under their control and designated by section 256.91 as and for 
102.27 	the social welfare fund; and all such moneys and funds shall be so deposited in the state 
102.28 	treasury as soon as received. The commissioner of human services, in consultation with the 
102.29 	Direct Care and Treatment executive board, shall keep books of account or other records 
102.30 	showing separately the principal amount received and deposited in the social welfare fund 
102.31 	for the benefit of any person, together with the name of such person, and the name and 
102.32 	address, if known to the commissioner of human services or the Direct Care and Treatment 
102.33 	executive board, of the person from whom such money was received; and, at least once 
103.1 	every two years, the amount of interest, if any, which the money has earned in the social 
103.2 	welfare fund shall be apportioned thereto and posted in the books of account or records to 
103.3 	the credit of such beneficiary.
103.4 	The provisions of sections 256.88 to 256.92 shall not apply to any fund or money now 
103.5 	or hereafter deposited or otherwise disposed of pursuant to the lawful orders, decrees, 
103.6 	judgments, or other directions of any district court having jurisdiction thereof.

103.7 	EFFECTIVE DATE. This section is effective July 1, 2024.

103.8 	Sec. 30. Laws 2023, chapter 61, article 8, section 1, the effective date, is amended to read:

103.9 	EFFECTIVE DATE. This section is effective January July 1, 2025 2024.

103.10 	Sec. 31. Laws 2023, chapter 61, article 8, section 2, the effective date, is amended to read:

103.11 	EFFECTIVE DATE. This section is effective January July 1, 2025 2024.

103.12 	Sec. 32. Laws 2023, chapter 61, article 8, section 3, the effective date, is amended to read:

103.13 	EFFECTIVE DATE. This section is effective January July 1, 2025 2024.

103.14 	Sec. 33. Laws 2023, chapter 61, article 8, section 8, the effective date, is amended to read:

103.15 	EFFECTIVE DATE. This section is effective January July 1, 2025 2024.

103.16 	Sec. 34. Laws 2024, chapter 79, article 1, section 18, is amended to read:
103.17 	Sec. 18. 246C.015 DEFINITIONS.
103.18 		Subdivision 1.Scope. For purposes of this chapter, the following terms have the meanings 
103.19 	given.
103.20 		Subd. 2.Chief executive officer. "Chief executive officer" means the Department of
103.21 	Direct Care and Treatment chief executive officer appointed according to section 246C.08.
103.22 		Subd. 3.Commissioner. "Commissioner" means the commissioner of human services.
103.23 		Subd. 4.Community preparation services. "Community preparation services" means 
103.24 	specialized inpatient or outpatient services operated outside of a secure environment but 
103.25 	administered by a secure treatment facility.
103.26 		Subd. 5.County of financial responsibility. "County of financial responsibility" has 
103.27 	the meaning given in section 256G.02, subdivision 4.
104.1 		Subd. 5a.Direct Care and Treatment. "Direct Care and Treatment" means the agency 
104.2 	of Direct Care and Treatment established under this chapter.
104.3 		Subd. 6.Executive board. "Executive board" means the Department of Direct Care and 
104.4 	Treatment executive board established under section 246C.06.
104.5 		Subd. 7.Executive medical director.  "Executive medical director" means the licensed 
104.6 	physician serving as executive medical director in the Department of Direct Care and 
104.7 	Treatment under section 246C.09.
104.8 		Subd. 8.Head of the facility or head of the program. "Head of the facility" or "head 
104.9 	of the program" means the person who is charged with overall responsibility for the 
104.10 	professional program of care and treatment of the facility or program.
104.11 		Subd. 9.Indian. "Indian" has the meaning given in section 260.755, subdivision 7.
104.12 		Subd. 10.Secure treatment facility. "Secure treatment facility" means a facility as 
104.13 	defined in section 253B.02, subdivision 18a, or 253D.02, subdivision 13.
104.14 		Subd. 11.Tobacco; tobacco-related device. "Tobacco" and "tobacco-related device" 
104.15 	have the meanings given in section 609.685, subdivision 1.

104.16 	EFFECTIVE DATE. This section is effective July 1, 2024.

104.17 	Sec. 35. Laws 2024, chapter 79, article 1, section 23, is amended to read:
104.18 	Sec. 23. 246C.06 EXECUTIVE BOARD; POWERS AND DUTIES MEMBERSHIP; 
104.19 	GOVERNANCE.
104.20 		Subdivision 1.Establishment. The Direct Care and Treatment executive board of the 
104.21 	Department of Direct Care and Treatment is established.
104.22 		Subd. 2.Membership of the executive board. The executive board shall consist of no 
104.23 	more than five members, all appointed by the governor. (a) The Direct Care and Treatment 
104.24 	executive board consists of ten members with eight voting members and two nonvoting 
104.25 	members. The eight voting members must include six members appointed by the governor 
104.26 	with the advice and consent of the senate in accordance with paragraph (b), the chief 
104.27 	executive officer, and the commissioner of human services or a designee. The two nonvoting 
104.28 	members must be appointed in accordance with paragraph (c). Section 15.0597 applies to 
104.29 	all executive board appointments except for the commissioner of human services.
104.30 	(b) The executive board voting members appointed by the governor other than the chief 
104.31 	executive officer must meet the following qualifications:
105.1 	(1) one member must be a licensed physician who is a psychiatrist or has experience in 
105.2 	serving behavioral health patients;
105.3 	(2) two members must have experience serving on a hospital or nonprofit board; and
105.4 	(3) three members must have experience working: (i) as a public labor union 
105.5 	representative; (ii) in the delivery of behavioral health services or care coordination or in 
105.6 	traditional healing practices; (iii) as a licensed health care professional; (iv) within health 
105.7 	care administration; or (v) with residential services.
105.8 	(c) The executive board nonvoting members must be appointed as follows:
105.9 	(1) one member appointed by the Association of Counties; and
105.10 	(2) one member who has an active role as a union representative representing staff at 
105.11 	Direct Care and Treatment appointed by joint representatives of the following unions: 
105.12 	American Federation of State and Municipal Employees (AFSCME); Minnesota Association 
105.13 	of Professional Employees (MAPE); Minnesota Nurses Association (MNA); Middle 
105.14 	Management Association (MMA); and State Residential Schools Education Association 
105.15 	(SRSEA).
105.16 	(d) Membership on the board must include representation from outside the seven-county 
105.17 	metropolitan area, as defined in section 473.121, subdivision 2.
105.18 	(e) A voting member of the executive board must not be or must not have been within 
105.19 	one year prior to appointment: (1) an employee of Direct Care and Treatment; (2) an 
105.20 	employee of a county, including a county commissioner; (3) an active employee or 
105.21 	representative of a labor union that represents employees of Direct Care and Treatment; or 
105.22 	(4) a member of the state legislature. This paragraph does not apply to the nonvoting 
105.23 	members, the chief executive officer, or the commissioner of human services or designee.
105.24 		Subd. 3.Qualifications of members Procedures. An executive board member's 
105.25 	qualifications must be appropriate for overseeing a complex behavioral health system, such 
105.26 	as experience serving on a hospital or nonprofit board, serving as a public sector labor union 
105.27 	representative, delivering behavioral health services or care coordination, or working as a 
105.28 	licensed health care provider in an allied health profession or in health care administration.
105.29 	Except as otherwise provided for in this section, the membership terms and removal and 
105.30 	filling of vacancies for the executive board are governed by section 15.0575.
105.31 		Subd. 4.Accepting contributions or gifts Compensation. (a) The executive board has 
105.32 	the power and authority to accept, on behalf of the state, contributions and gifts of money 
105.33 	and personal property for the use and benefit of the residents of the public institutions under 
106.1 	the executive board's control. All money and securities received must be deposited in the 
106.2 	state treasury subject to the order of the executive board. Notwithstanding section 15.0575, 
106.3 	subdivision 3, paragraph (a), the nonvoting members of the executive board must not receive 
106.4 	daily compensation for executive board activities. Nonvoting members of the executive 
106.5 	board may receive expenses in the same manner and amount as authorized by the 
106.6 	commissioner's plan adopted under section 43A.18, subdivision 2. Nonvoting members 
106.7 	who, as a result of time spent attending board meetings, incur child care expenses that would 
106.8 	not otherwise have been incurred, may be reimbursed for those expenses upon board 
106.9 	authorization.
106.10 	(b) If the gift or contribution is designated by the donor for a certain institution or purpose, 
106.11 	the executive board shall expend or use the money as nearly in accordance with the conditions 
106.12 	of the gift or contribution, compatible with the best interests of the individuals under the 
106.13 	jurisdiction of the executive board and the state. Notwithstanding section 15.0575, subdivision 
106.14 	3, paragraph (a), the Compensation Council under section 15A.082 must determine the 
106.15 	compensation for voting members of the executive board per day spent on executive board 
106.16 	activities authorized by the executive board. Voting members of the executive board may 
106.17 	also receive the expenses in the same manner and amount as authorized by the commissioner's 
106.18 	plan adopted under section 43A.18, subdivision 2. Voting members who, as a result of time 
106.19 	spent attending board meetings, incur child care expenses that would not otherwise have 
106.20 	been incurred, may be reimbursed for those expenses upon board authorization.
106.21 	(c) The commissioner of management and budget must publish the daily compensation 
106.22 	rate for voting members of the executive board determined under paragraph (b) on the 
106.23 	Department of Management and Budget's website.
106.24 	(d) Voting members of the executive board must adopt internal standards prescribing 
106.25 	what constitutes a day spent on board activities for the purposes of making payments 
106.26 	authorized under paragraph (b).
106.27 	(e) All other requirements under section 15.0575, subdivision 3, apply to the 
106.28 	compensation of executive board members.
106.29 	(f) This subdivision does not apply to the chief executive officer or the commissioner 
106.30 	of human services or their designee.
106.31 		Subd. 5.Federal aid or block grants Chair; officers. The executive board may comply 
106.32 	with all conditions and requirements necessary to receive federal aid or block grants with 
106.33 	respect to the establishment, constructions, maintenance, equipment, or operation of adequate 
107.1 	facilities and services consistent with the mission of the Department of Direct Care and 
107.2 	Treatment. (a) The chief executive officer shall serves as the chair.
107.3 	(b) The executive board must elect officers from among the voting membership appointed 
107.4 	by the governor. The elected officers shall serve for one year.
107.5 		Subd. 6.Operation of a communication systems account Terms. (a) The executive 
107.6 	board may operate a communications systems account established in Laws 1993, First 
107.7 	Special Session chapter 1, article 1, section 2, subdivision 2, to manage shared 
107.8 	communication costs necessary for the operation of the regional treatment centers the 
107.9 	executive board supervises. Except for the commissioner of human services and the chief 
107.10 	executive officer, executive board members must not serve more than two consecutive terms 
107.11 	unless service beyond two consecutive terms is approved by the majority of voting members. 
107.12 	The chief executive officer and the commissioner of human services or designee shall serve 
107.13 	until replaced by the governor.
107.14 	(b) Each account must be used to manage shared communication costs necessary for the 
107.15 	operations of the regional treatment centers the executive board supervises. The executive 
107.16 	board may distribute the costs of operating and maintaining communication systems to 
107.17 	participants in a manner that reflects actual usage. Costs may include acquisition, licensing, 
107.18 	insurance, maintenance, repair, staff time, and other costs as determined by the executive 
107.19 	board. An executive board member may resign at any time by giving written notice to the 
107.20 	executive board.
107.21 	(c) Nonprofit organizations and state, county, and local government agencies involved 
107.22 	in the operation of regional treatment centers the executive board supervises may participate 
107.23 	in the use of the executive board's communication technology and share in the cost of 
107.24 	operation. The initial term of the member appointed under subdivision 2, paragraph (b), 
107.25 	clause (1), is two years. The initial term of the members appointed under subdivision 2, 
107.26 	paragraph (b), clause (2), is three years. The initial term of the members appointed under 
107.27 	subdivision 2, paragraph (b), clause (3), and the members appointed under subdivision 2, 
107.28 	paragraph (c), is four years.
107.29 	(d) The executive board may accept on behalf of the state any gift, bequest, devise, 
107.30 	personal property of any kind, or money tendered to the state for any lawful purpose 
107.31 	pertaining to the communication activities under this section. Any money received for this 
107.32 	purpose must be deposited into the executive board's communication systems account. 
107.33 	Money collected by the executive board for the use of communication systems must be 
107.34 	deposited into the state communication systems account and is appropriated to the executive 
108.1 	board for purposes of this section. After the initial term, the term length of all appointed 
108.2 	executive board members is four years.
108.3 		Subd. 7.Conflicts of interest. Executive board members must recuse themselves from 
108.4 	discussion of and voting on an official matter if the executive board member has a conflict 
108.5 	of interest. A conflict of interest means an association, including a financial or personal 
108.6 	association, that has the potential to bias or have the appearance of biasing an executive 
108.7 	board member's decision in matters related to Direct Care and Treatment or the conduct of 
108.8 	activities under this chapter.
108.9 		Subd. 8.Meetings. The executive board must meet at least four times per fiscal year at 
108.10 	a place and time determined by the executive board.
108.11 		Subd. 9.Quorum. A majority of the voting members of the executive board constitutes 
108.12 	a quorum. The affirmative vote of a majority of the voting members of the executive board 
108.13 	is necessary and sufficient for action taken by the executive board.
108.14 		Subd. 10.Immunity; indemnification. (a) Members of the executive board are immune 
108.15 	from civil liability for any act or omission occurring within the scope of the performance 
108.16 	of their duties under this chapter.
108.17 	(b) When performing executive board duties or actions, members of the executive board 
108.18 	are employees of the state for purposes of indemnification under section 3.736, subdivision 
108.19 	9.
108.20 		Subd. 11.Rulemaking. (a) The executive board is authorized to adopt, amend, and 
108.21 	repeal rules in accordance with chapter 14 under the executive board's authority to implement 
108.22 	this chapter or any responsibilities of Direct Care and Treatment specified in state law.
108.23 	(b) Until July 1, 2030, the executive board may adopt rules using the expedited 
108.24 	rulemaking process in section 14.389.
108.25 	(c) All orders, rules, delegations, permits, and other privileges issued or granted by the 
108.26 	Department of Human Services with respect to any function of Direct Care and Treatment 
108.27 	and in effect at the time of the establishment of Direct Care and Treatment shall continue 
108.28 	in effect as if such establishment had not occurred. The executive board may amend or 
108.29 	repeal rules applicable to Direct Care and Treatment that were established by the Department 
108.30 	of Human Services in accordance with chapter 14.

108.31 	EFFECTIVE DATE. This section is effective July 1, 2024.

109.1 	Sec. 36. Laws 2024, chapter 79, article 1, section 24, is amended to read:
109.2 	Sec. 24. 246C.10 FORENSIC SERVICES.
109.3 		Subdivision 1.Maintenance of forensic services. (a) The executive board shall create 
109.4 	and maintain forensic services programs.
109.5 	(b) The executive board must provide forensic services in coordination with counties 
109.6 	and other vendors.
109.7 	(c) Forensic services must include specialized inpatient programs at secure treatment 
109.8 	facilities, consultive services, aftercare services, community-based services and programs, 
109.9 	transition services, nursing home services, or other services consistent with the mission of 
109.10 	the Department of Direct Care and Treatment.
109.11 	(d) The executive board shall may adopt rules to carry out the provision of this section 
109.12 	and to govern the operation of the services and programs under the direct administrative 
109.13 	authority of the executive board.

109.14 	EFFECTIVE DATE. This section is effective July 1, 2024.

109.15 	Sec. 37. Laws 2024, chapter 79, article 1, section 25, subdivision 3, is amended to read:
109.16 		Subd. 3.Comprehensive system of services. The establishment of state-operated, 
109.17 	community-based programs must be within the context of a comprehensive definition of 
109.18 	the role of state-operated services in the state. The role of state-operated services must be 
109.19 	defined within the context of a comprehensive system of services for persons with 
109.20 	developmental disability.

109.21 	EFFECTIVE DATE. This section is effective July 1, 2024.

109.22 	Sec. 38. Laws 2024, chapter 79, article 10, section 1, is amended to read:
109.23 	Section 1. REVISOR INSTRUCTION.
 109.24 	The revisor of statutes shall renumber each provision of Minnesota Statutes listed in 
109.25 	column A as amended in this act to the number listed in column B.

109.26		Column A
	Column B
	
109.27		245.036
	246C.16, subdivision 1
	
109.28		245.037
	246C.16, subdivision 2
	
109.29		245.041
	246C.15
	
109.30		245.474, subdivision 1
	246C.12, subdivision 1
	
110.1		245.474, subdivision 2
	246C.12, subdivision 2
	
110.2		245.474, subdivision 3
	246C.12, subdivision 3
	
110.3		245.474, subdivision 4
	246C.12, subdivision 4
	
110.4		246.0135, paragraph (a)
	246C.18, subdivision 2, paragraph (a)
	
110.5		246.0135, paragraph (b)
	246C.18, subdivision 2, paragraph (b)
	
110.6		246.0135, paragraph (c)
	246C.18, subdivision 2, paragraph (c)
	
110.7		246.0135, paragraph (d)
	246C.18, subdivision 3
	
110.8		246.018, subdivision 1
	246C.09, subdivision 1
	
110.9		246.018, subdivision 2
	246C.09, subdivision 2
	
110.10		246.018, subdivision 3
	246C.09, subdivision 3
	
110.11		246.018, subdivision 4
	246C.09, subdivision 4
	
110.13110.12
		246.12
	246C.06, subdivision 7 246C.07, 
subdivision 7
	
110.14		246.128
	246C.18, subdivision 1
	
110.15		246.129
	246C.18, subdivision 4
	
110.16		246.14
	246C.16, subdivision 3
	
110.17		246.23, subdivision 2
	246.555, subdivision 1
	
110.18		246.23, subdivision 3
	246.555, subdivision 2
	
110.19		246.23, subdivision 4
	246.555, subdivision 3
	
110.20		246.23, subdivision 5
	246.555, subdivision 4
	
110.21		246.23, subdivision 6
	246.555, subdivision 5
	
110.23110.22
		246.234
	246C.06, subdivision 8 246C.07, 
subdivision 5
	
110.24		246.24
	246C.16, subdivision 4
	
110.25		246.27
	246C.19
	
110.27110.26
		246.36
	246C.06, subdivision 9 246C.07, 
subdivision 6
	
110.28110.29		246.41, subdivision 1
	246C.06, subdivision 10, paragraph 
(a)
	
110.30110.31		246.41, subdivision 2
	246C.06, subdivision 10, paragraph 
(b)
	
110.32110.33		246.41, subdivision 3
	246C.06, subdivision 10, paragraph 
(c)
	
110.34		246.70
	246C.18, subdivision 5
	
110.35		246B.02
	246C.13
	
110.36		251.012, subdivision 1
	246.575, subdivision 1
	
110.37		251.012, subdivision 2
	246.575, subdivision 2
	
110.38		251.012, subdivision 3
	246.575, subdivision 3
	
110.39		251.012, subdivision 4
	246.575, subdivision 4
	
110.40		251.041
	176.87
	
111.1		251.042
	176.871
	
111.2		251.043, subdivision 1
	176.872, subdivision 1
	
111.3		251.043, subdivision 1a
	176.872, subdivision 2
	
111.4		251.043, subdivision 1b
	176.872, subdivision 3
	
111.5		251.043, subdivision 2
	176.872, subdivision 4
	
111.6		251.043, subdivision 3
	176.872, subdivision 5
	
111.7		251.044
	176.873
	
111.8		251.051
	176.874
	
111.9		251.052
	176.875
	
111.10		251.053
	176.876
	
111.11		251.15, subdivision 1
	176.872, subdivision 6, paragraph (a)
	
111.12		251.15, subdivision 2
	176.872, subdivision 6, paragraph (b)
	
111.13		251.17
	246C.14
	
111.14		252.50, subdivision 2
	246C.16, subdivision 5
	
111.15		252.50, subdivision 4
	246C.10, subdivision 2
	
111.16		252.50, subdivision 6
	246.65
	
111.17		252.50, subdivision 7
	246.585
	
111.18		252.50, subdivision 8
	246.588
	
111.19		252.50, subdivision 10
	246.611
	
111.20		253.015, subdivision 1
	253B.10, subdivision 6
	
111.21		253.016
	246.554
	
111.22		253.017, subdivision 1
	246.591
	
111.23		253.017, subdivision 2
	246C.10, subdivision 3
	
111.24		253.017, subdivision 3
	246C.10, subdivision 4
	
111.25		253.13
	253.245
	
111.26		253C.01, subdivision 1
	245A.27, subdivision 1
	
111.27		253C.01, subdivision 2
	245A.27, subdivision 2
	
111.28		253C.01, subdivision 3
	245A.27, subdivision 3
	
111.29		256.0121, subdivision 1
	246.595, subdivision 1
	
111.30		256.0121, subdivision 2
	246.595, subdivision 2
	
111.31		256.0121, subdivision 3
	246.595, subdivision 3

111.32 	Sec. 39. Laws 2024, chapter 79, article 10, section 6, is amended to read:
111.33 	Sec. 6. EFFECTIVE DATE.
 111.34 	(a) Article 1, section 23, is effective July 1, 2024. This act is effective July 1, 2024.
112.1 	(b) Article 1, sections 1 to 22 and 24 to 31, and articles 2 to 10 are effective January 1, 
112.2 	2025.

112.3 	Sec. 40. INITIAL APPOINTMENTS AND COMPENSATION OF THE DIRECT 
112.4 	CARE AND TREATMENT EXECUTIVE BOARD AND CHIEF EXECUTIVE 
112.5 	OFFICER.
 112.6 		Subdivision 1.Executive board. (a) The initial appointments of the members of the 
112.7 	Direct Care and Treatment executive board under Minnesota Statutes, section 246C.06, 
112.8 	must be made by January 1, 2025.
112.9 	(b) Prior to the first Compensation Council determination of the daily compensation rate 
112.10 	for voting members of the executive board under Minnesota Statutes, section 246C.06, 
112.11 	subdivision 4, paragraph (b), voting members of the executive board must be paid the per 
112.12 	diem rate provided for in Minnesota Statutes, section 15.0575, subdivision 3, paragraph (a).
112.13 	(c) The executive board is exempt from Minnesota Statutes, section 13D.01, until the 
112.14 	authority and responsibilities for Direct Care and Treatment are transferred to the executive 
112.15 	board in accordance with Minnesota Statutes, section 246C.04.
112.16 		Subd. 2.Chief executive officer. Until the governor appoints the initial chief executive 
112.17 	officer for Direct Care and Treatment, the chief executive officer of the direct care and 
112.18 	treatment division of the Department of Human Services shall hold that position.
112.19 		Subd. 3.Commissioner of human services to consult. In preparing the budget estimates 
112.20 	required under Minnesota Statutes, section 16A.10, for the direct care and treatment division 
112.21 	for the 2026-2027 biennial budget and any legislative proposals for the 2025 legislative 
112.22 	session that involve direct care and treatment operations, the commissioner of human services 
112.23 	must consult with the Direct Care and Treatment executive board before submitting the 
112.24 	budget estimates or legislative proposals. If the executive board is not appointed by the date 
112.25 	the budget estimates must be submitted to the commissioner of management and budget, 
112.26 	the commissioner of human services must provide the executive board with a summary of 
112.27 	the budget estimates that were submitted.

112.28 	EFFECTIVE DATE. This section is effective July 1, 2024.

112.29 	Sec. 41. REVISOR INSTRUCTION.
 112.30 	The revisor of statutes shall change the term "Department of Human Services" to "Direct 
112.31 	Care and Treatment" wherever the term appears in respect to the governmental entity with 
112.32 	programmatic direction and fiscal control over state-operated services, programs, or facilities 
113.1 	under Minnesota Statutes, chapter 246C. The revisor may make technical and other necessary 
113.2 	changes to sentence structure to preserve the meaning of the text.

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

113.4 	Sec. 42. REVISOR INSTRUCTION.
 113.5 	The revisor of statutes shall change the term "Department of Direct Care and Treatment" 
113.6 	to "Direct Care and Treatment" wherever the term appears in respect to the governmental 
113.7 	entity with programmatic direction and fiscal control over state-operated services, programs, 
113.8 	or facilities under Minnesota Statutes, chapter 246C. The revisor may make technical and 
113.9 	other necessary changes to sentence structure to preserve the meaning of the text.

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

113.11 	Sec. 43. REVISOR INSTRUCTION.
 113.12 	The revisor of statutes, in consultation with the House Research Department; the Office 
113.13 	of Senate Counsel, Research, and Fiscal Analysis; the Department of Human Services; and 
113.14 	Direct Care and Treatment, shall make necessary cross-reference changes to conform with 
113.15 	this act. The revisor may make technical and other necessary changes to sentence structure 
113.16 	to preserve the meaning of the text. The revisor may alter the coding in this act to incorporate 
113.17 	statutory changes made by other law in the 2024 regular legislative session.

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

113.19 	Sec. 44. REPEALER.
 113.20 	(a) Minnesota Statutes 2022, section 246.41, is repealed.
113.21 	(b) Minnesota Statutes 2023 Supplement, section 246C.03, is repealed.

113.22 	EFFECTIVE DATE. This section is effective July 1, 2024.

113.23 	ARTICLE 6
113.24 	MISCELLANEOUS

113.25 	Section 1. [246.0142] FREE COMMUNICATION SERVICES FOR  CONFINED 
113.26 	PERSONS.
113.27 		Subdivision 1.Free communication services. (a) A facility must provide confined 
113.28 	persons with voice communication services. A facility may supplement voice communication 
113.29 	services with other communication services, including but not limited to video 
114.1 	communication and email or electronic messaging services. A facility must at least continue 
114.2 	to offer the services the facility offered as of January 1, 2023.
114.3 	(b) To the extent that voice or other communication services are provided, which must 
114.4 	not be limited beyond program participation and routine facility policies and procedures, 
114.5 	neither the individual initiating the communication nor the individual receiving the 
114.6 	communication must be charged for the service.
114.7 		Subd. 2.Communication services restrictions. Nothing in this section allows  a confined 
114.8 	person to violate an active protection order, harassment restraining order, or other no-contact 
114.9 	order or directive. Notwithstanding section 241.252, subdivisions 2 and 4, nothing in this 
114.10 	section entitles a civilly committed person to communication services restricted or limited 
114.11 	under section 253B.03, subdivision 3, or 253D.19.
114.12 		Subd. 3.Revenue prohibited. An agency operating a facility must not receive revenue 
114.13 	from the provision of voice communication services or any other communication services 
114.14 	under this section.
114.15 		Subd. 4.Visitation programs. (a) Facilities shall maintain in-person visits for  confined 
114.16 	persons. Communication services, including video calls, must not be used to replace a 
114.17 	facility's in-person visitation program or be counted toward a confined person's in-person 
114.18 	visitation limit.
114.19 	(b) Notwithstanding paragraph (a), the agency operating the facility may waive the 
114.20 	in-person visitation program requirement under this subdivision if there is:
114.21 	(1) a declared emergency under section 12.31; or
114.22 	(2) a local-, state-, or federal-declared natural disaster.
114.23 		Subd. 5.Reporting. (a) By January 15 of each year, the Department of Direct Care and 
114.24 	Treatment must report the information described in paragraph (b) to the commissioner of 
114.25 	corrections. By March 15 of each year, the commissioner of corrections shall submit a 
114.26 	summary of the information submitted under this paragraph to the chairs and ranking minority 
114.27 	members of the legislative committees having jurisdiction over corrections and human 
114.28 	services policy and finance.
114.29 	(b) The Department of Direct Care and Treatment must include the following information 
114.30 	covering the previous calendar year in its annual report to the commissioner of corrections 
114.31 	required under paragraph (a):
114.32 	(1) the status of all the agency's communication contracts; efforts to renegotiate the 
114.33 	agency's communication contracts, including the rates the agency is paying or charging  
115.1 	confined people or community members for any and all services in the contracts; and plans 
115.2 	to consolidate the agency's communication contracts to maximize purchasing power;
115.3 	(2) a complete and detailed accounting of how appropriated funds for communication 
115.4 	services are spent, including spending on expenses previously covered by commissions; 
115.5 	and
115.6 	(3) summary data on usage of all communication services, including monthly call and 
115.7 	message volume.
115.8 		Subd. 6.Definitions. For the purposes of this section, the following terms have the 
115.9 	meanings given:
115.10 	(1) "voice communications" means real-time, audio-only communication services, 
115.11 	namely phone calls made over wireline telephony, voice over Internet protocol, or any other 
115.12 	technology infrastructure;
115.13 	(2) "other communication services" means communication services other than voice 
115.14 	communications, including but not limited to video calls and electronic messages; and
115.15 	(3) "facility" means any facility, setting, or program owned, operated, or under the 
115.16 	programmatic or fiscal control of the Department of Direct Care and Treatment.

115.17 	Sec. 2. PLANNING COMMUNITY CARE HUB GRANT.
 115.18 		Subdivision 1.Establishment. The commissioner of health shall establish a single grant 
115.19 	to develop and design programs to expand and strengthen the community care hub model, 
115.20 	which organizes and supports a network of health and social care service providers to address 
115.21 	health-related social needs.
115.22 		Subd. 2.Definitions. (a) For purposes of this section, the following terms have the 
115.23 	meanings given.
115.24 	(b) "Community-based organization" means a public or private nonprofit organization 
115.25 	of demonstrated effectiveness that is representative of a community or significant segments 
115.26 	of a community and provides educational or related services to individuals in the community.
115.27 	(c) "Community care hub" means a nonprofit organization that provides a centralized 
115.28 	administrative and operational interface between health care institutions and a network of 
115.29 	community-based organizations that provide health promotion and social care services.
115.30 	(d) "Health-related social needs" means the individual-level, adverse social conditions 
115.31 	that can negatively impact a person's health or health care, such as poor health literacy, food 
115.32 	insecurity, housing instability, and lack of access to transportation.
116.1 	(e) "Social care services" means culturally informed services to address health-related 
116.2 	social needs and community-informed health promotion programs.
116.3 		Subd. 3.Eligible applicants. To be eligible for the single grant available under this 
116.4 	section, a grant applicant must:
116.5 	(1) be recognized as a selected community care hub by the federal Administration for 
116.6 	Community Living and the Centers for Disease Control and Prevention;
116.7 	(2) hold contracts with health plans within Minnesota that allow the applicant to provide 
116.8 	social care services to a plan's covered member population; and
116.9 	(3) demonstrate active engagement in providing, coordinating, and aiding health care 
116.10 	and social care services at the community level.
116.11 		Subd. 4.Eligible uses. The grantee must use awarded funding to develop and design 
116.12 	programs that support the development of a social care network that provides services to 
116.13 	address health-related social needs. Activities eligible for funding under this section include 
116.14 	but are not limited to education activities, feasibility studies, program design, and pilots.

116.15 	EFFECTIVE DATE. This section is effective July 1, 2024.

116.16 	ARTICLE 7
116.17 	TECHNICAL CORRECTIONS

116.18 	Section 1. Minnesota Statutes 2023 Supplement, section 256R.55, subdivision 9, is amended 
116.19 	to read:
116.20 		Subd. 9.Carryforward. Notwithstanding section 16A.28, subdivision 3, any 
116.21 	appropriation for the purposes under this section carries forward and does not lapse until 
116.22 	the close of the fiscal year in which this section expires is available until June 30, 2029.

116.23 	Sec. 2. Laws 2023, chapter 61, article 1, section 67, subdivision 3, is amended to read:
116.24 		Subd. 3.Evaluation and report. (a) The Metropolitan Center for Independent Living 
116.25 	must contract with a third party to evaluate the pilot project's impact on health care costs, 
116.26 	retention of personal care assistants, and patients' and providers' satisfaction of care. The 
116.27 	evaluation must include the number of participants, the hours of care provided by participants, 
116.28 	and the retention of participants from semester to semester.
116.29 	(b) By January 15, 2025 2026, the Metropolitan Center for Independent Living must 
116.30 	report the findings under paragraph (a) to the chairs and ranking minority members of the 
116.31 	legislative committees with jurisdiction over human services finance and policy.

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

117.2 	Sec. 3. Laws 2023, chapter 61, article 4, section 11, the effective date, is amended to read:

117.3 	EFFECTIVE DATE. This section is effective January 1, 2024 2025, or upon federal 
117.4 	approval, whichever is later. The commissioner shall notify the revisor of statutes when 
117.5 	federal approval is obtained.

117.6 	ARTICLE 8
117.7 	APPROPRIATIONS

117.8	Section 1. HUMAN SERVICES APPROPRIATION.
 	
117.9 	The dollar amounts shown in the columns marked "Appropriations" are added to or, if 
117.10 	shown in parentheses, are subtracted from the appropriations in Laws 2023, chapter 61, 
117.11 	article 9, and Laws 2023, chapter 70, article 20, from the general fund or any fund named 
117.12 	for the purposes specified in this article, to be available for the fiscal years indicated for 
117.13 	each purpose. The figures "2024" and "2025" used in this article mean that the appropriations 
117.14 	listed under them are available for the fiscal years ending June 30, 2024, or June 30, 2025, 
117.15 	respectively. "The first year" is fiscal year 2024. "The second year" is fiscal year 2025. "The 
117.16 	biennium" is fiscal years 2024 and 2025.

117.17				APPROPRIATIONS
	
117.18				Available for the Year
	
117.19				Ending June 30
	
117.20					2024
		2025

117.21
117.22	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES

117.23	Subdivision 1.Total Appropriation
 	$
	(4,872,000)
	$
	50,381,000
	
117.24 	The amounts that may be spent for each 
117.25 	purpose are specified in the following 
117.26 	subdivisions.

117.27	Subd. 2.Central Office; Operations
 		(3,030,000)
		2,485,000
	
117.28 	(a) Carryforward Authority.
117.29 	Notwithstanding Minnesota Statutes, section 
117.30 	16A.28, subdivision 3, $2,186,000 in fiscal 
117.31 	year 2025 is available until June 30, 2027.
118.1 	(b) Base Level Adjustment. The general fund 
118.2 	base is increased by $25,000 in fiscal year 
118.3 	2026 and $25,000 in fiscal year 2027.

118.4
118.5	Subd. 3.Central Office; Aging and Disability 
Services
 		(1,342,000)
		4,846,000
	
118.6 	(a) Tribal Vulnerable Adult and 
118.7 	Developmental Disabilities Targeted Case 
118.8 	Management Medical Assistance Benefit.
118.9 	$200,000 in fiscal year 2025 is for a contract 
118.10 	to develop a Tribal vulnerable adult and 
118.11 	developmental disabilities targeted case 
118.12 	management medical assistance benefit under 
118.13 	Minnesota Statutes, section 256B.0924. This 
118.14 	is a onetime appropriation.
118.15 	(b) Carryforward Authority.
118.16 	Notwithstanding Minnesota Statutes, section 
118.17 	16A.28, subdivision 3, $4,057,000 in fiscal 
118.18 	year 2025 is available until June 30, 2027.
118.19 	(c) Base Level Adjustment. The general fund 
118.20 	base is increased by $177,000 in fiscal year 
118.21 	2026 and $177,000 in fiscal year 2027.

118.22
118.23
118.24	Subd. 4.Central Office; Behavioral Health, 
Housing, and Deaf and Hard-of-Hearing 
Services
 		-0-
		935,000
	
118.25 	Carryforward Authority. Notwithstanding 
118.26 	Minnesota Statutes, section 16A.28, 
118.27 	subdivision 3, $935,000 in fiscal year 2025 is 
118.28 	available until June 30, 2027.

118.29
118.30	Subd. 5.Forecasted Programs; Medical 
Assistance
 		-0-
		4,758,000
	
118.31 	Critical Access Nursing Facility Rate 
118.32 	Adjustments. $3,277,000 is for rate 
118.33 	adjustments for critical access nursing 
118.34 	facilities under Minnesota Statutes, section 
118.35 	256R.47. Notwithstanding Minnesota Statutes, 
119.1 	section 16A.28, subdivision 3, this 
119.2 	appropriation is available until June 30, 2027. 
119.3 	This is a onetime appropriation.

119.4	Subd. 6.Forecasted Programs; Alternative Care
 		-0-
		49,000

119.5
119.6	Subd. 7.Grant Programs; Refugee Services 
Grants
 		-0-
		8,868,000

119.7	Subd. 8.Grant Programs; Health Care Grants
 		-0-
		500,000
	
119.8 	Community Care Hub Grant. $500,000 in 
119.9 	fiscal year 2025 is from the general fund for 
119.10 	the community care hub planning grant. 
119.11 	Notwithstanding Minnesota Statutes, section 
119.12 	16A.28, subdivision 3, this appropriation is 
119.13 	available until June 30, 2027. This is a onetime 
119.14 	appropriation. Notwithstanding Minnesota 
119.15 	Statutes, section 16B.98, subdivision 14, the 
119.16 	commissioner must not use any of this grant 
119.17 	amount for administrative costs.

119.18
119.19	Subd. 9.Grant Programs; Other Long Term 
Care Grants
 		-0-
		1,675,000
	
119.20 	(a) Health Awareness Hub Pilot Project.
119.21 	$575,000 in fiscal year 2025 is for a grant to 
119.22 	the Organization for Liberians in Minnesota 
119.23 	for a health awareness hub pilot project. The 
119.24 	pilot project must seek to address health care 
119.25 	education and the physical and mental 
119.26 	wellness needs of elderly individuals within 
119.27 	the African immigrant community by offering 
119.28 	culturally relevant support, resources, and 
119.29 	preventive care education from medical 
119.30 	practitioners who have a similar background, 
119.31 	and by making appropriate referrals to 
119.32 	culturally competent programs, supports, and 
119.33 	medical care. Within six months of the 
119.34 	conclusion of the pilot project, the 
119.35 	Organization for Liberians in Minnesota must 
120.1 	provide the commissioner with an evaluation 
120.2 	of the project as determined by the 
120.3 	commissioner. Notwithstanding Minnesota 
120.4 	Statutes, section 16A.28, subdivision 3, this 
120.5 	appropriation is available until June 30, 2027. 
120.6 	This is a onetime appropriation. 
120.7 	Notwithstanding Minnesota Statutes, section 
120.8 	16B.98, subdivision 14, the commissioner 
120.9 	must not use any of this grant amount for 
120.10 	administrative costs.
120.11 	(b) Chapter 245D Compliance Support 
120.12 	Grant. $450,000 in fiscal year 2025 is for a 
120.13 	grant to Equitable Development Action to 
120.14 	support minority providers licensed under 
120.15 	Minnesota Statutes, chapter 245D, as intensive 
120.16 	support services providers to build skills and 
120.17 	the infrastructure needed to increase the 
120.18 	quality of services provided to the people the 
120.19 	providers serve while complying with the 
120.20 	requirements of Minnesota Statutes, chapter 
120.21 	245D, and to enable the providers to accept 
120.22 	clients with high behavioral needs. 
120.23 	Notwithstanding Minnesota Statutes, section 
120.24 	16A.28, subdivision 3, this appropriation is 
120.25 	available until June 30, 2027. This is a onetime 
120.26 	appropriation. Notwithstanding Minnesota 
120.27 	Statutes, section 16B.98, subdivision 14, the 
120.28 	commissioner must not use any of this grant 
120.29 	amount for administrative costs.
120.30 	(c) Linguistically and Culturally Specific 
120.31 	Training Pilot Project. $650,000 in fiscal 
120.32 	year 2025 is for a grant to the Minnesota 
120.33 	Ethnic Providers Network to collaborate with 
120.34 	the commissioner of human services to 
120.35 	develop and implement a pilot program to 
121.1 	provide: (1) linguistically and culturally 
121.2 	specific in-person training to bilingual 
121.3 	individuals, particularly bilingual women, 
121.4 	from diverse ethnic backgrounds; and (2) 
121.5 	technical assistance to Minnesota Ethnic 
121.6 	Provider Network member providers to ensure 
121.7 	successful implementation of the pilot 
121.8 	program, including training, resources, and 
121.9 	ongoing support. Within six months of the 
121.10 	conclusion of the pilot project, the Minnesota 
121.11 	Ethnic Providers Network must provide the 
121.12 	commissioner with an evaluation of the project 
121.13 	as determined by the commissioner. 
121.14 	Notwithstanding Minnesota Statutes, section 
121.15 	16A.28, subdivision 3, this appropriation is 
121.16 	available until June 30, 2027. This is a onetime 
121.17 	appropriation. Notwithstanding Minnesota 
121.18 	Statutes, section 16B.98, subdivision 14, the 
121.19 	commissioner must not use any of this grant 
121.20 	amount for administrative costs.
121.21 	(d) SEWA-AIFW. $250,000 in fiscal year 
121.22 	2025 is for a grant to SEWA-AIFW. Of this 
121.23 	amount, $75,000 is for SEWA-AIFW's South 
121.24 	Asian persons of neurodiverse abilities 
121.25 	(SAPNA) program and $175,000 is for 
121.26 	SEWA-AIFW's senior program. This is a 
121.27 	onetime appropriation. Notwithstanding 
121.28 	Minnesota Statutes, section 16A.28, 
121.29 	subdivision 3, this appropriation is available 
121.30 	until June 30, 2027. Notwithstanding 
121.31 	Minnesota Statutes, section 16B.98, 
121.32 	subdivision 14, the commissioner must not 
121.33 	use any of this grant amount for administrative 
121.34 	costs.

122.1
122.2	Subd. 10.Grant Programs; Aging and Adult 
Services Grants
 		-0-
		9,000,000
	
122.3 	(a) Caregiver Respite Services Grants.
122.4 	$4,000,000 in fiscal year 2025 is for caregiver 
122.5 	respite services grants under Minnesota 
122.6 	Statutes, section 256.9756. Notwithstanding 
122.7 	Minnesota Statutes, section 16A.28, 
122.8 	subdivision 3, this appropriation is available 
122.9 	until June 30, 2027. This is a onetime 
122.10 	appropriation.
122.11 	(b) Caregiver Support Programs.
122.12 	$5,000,000 in fiscal year 2025 is for the 
122.13 	Minnesota Board on Aging for the purposes 
122.14 	of the caregiver support programs under 
122.15 	Minnesota Statutes, section 256.9755. 
122.16 	Programs receiving funding under this 
122.17 	paragraph must include an ALS-specific 
122.18 	respite service in their caregiver support 
122.19 	program. This is a onetime appropriation.
122.20 	(c) Electronic Visit Verification 
122.21 	Implementation Grants. $2,000,000 in fiscal 
122.22 	year 2025 is for electronic visit verification 
122.23 	implementation grants. This is a onetime 
122.24 	appropriation. Notwithstanding Minnesota 
122.25 	Statutes, section 16A.28, subdivision 3, this 
122.26 	appropriation is available until June 30, 2027. 
122.27 	Notwithstanding Minnesota Statutes, section 
122.28 	16B.98, subdivision 14, the commissioner 
122.29 	must not use any of this grant amount for 
122.30 	administrative costs.

122.31	Subd. 11.Grant Programs; Disabilities Grants
 		8,900,000
		10,561,000
	
122.32 	(a) Capital Improvement for Accessibility.
122.33 	$400,000 in fiscal year 2025 is for a payment 
122.34 	to Anoka County to make capital 
122.35 	improvements to existing space in the Anoka 
123.1 	County Human Services building in the city 
123.2 	of Blaine, including making bathrooms fully 
123.3 	compliant with the Americans with Disabilities 
123.4 	Act with adult changing tables and ensuring 
123.5 	barrier-free access for the purposes of 
123.6 	improving and expanding the services an 
123.7 	existing building tenant can provide to adults 
123.8 	with developmental disabilities. This is a 
123.9 	onetime appropriation. Notwithstanding 
123.10 	Minnesota Statutes, section 16B.98, 
123.11 	subdivision 14, the commissioner must not 
123.12 	use any of this grant amount for administrative 
123.13 	costs.
123.14 	(b) Own Home Services Provider 
123.15 	Capacity-Building Grants. $5,000,000 in 
123.16 	fiscal year 2025 is for the own home services 
123.17 	provider capacity-building grant program. 
123.18 	Notwithstanding Minnesota Statutes, section 
123.19 	16A.28, subdivision 3, this appropriation is 
123.20 	available until June 30, 2027. This is a onetime 
123.21 	appropriation. Notwithstanding Minnesota 
123.22 	Statutes, section 16B.98, subdivision 14, the 
123.23 	commissioner must not use any of this grant 
123.24 	amount for administrative costs.
123.25 	(c) Dakota County Disability Services 
123.26 	Workforce Shortage Pilot Project.
123.27 	$1,000,000 in fiscal year 2025 is for a grant 
123.28 	to Dakota County for innovative solutions to 
123.29 	the disability services workforce shortage. Up 
123.30 	to $500,000 of this amount must be used to 
123.31 	develop and test an online application for 
123.32 	matching requests for services from people 
123.33 	with disabilities to available staff, and up to 
123.34 	$500,000 of this amount must be used to 
123.35 	develop a communities-for-all program that 
124.1 	engages businesses, community organizations, 
124.2 	neighbors, and informal support systems to 
124.3 	promote community inclusion of people with 
124.4 	disabilities. By October 1, 2026, the 
124.5 	commissioner shall report the outcomes and 
124.6 	recommendations of these pilot projects to the 
124.7 	chairs and ranking minority members of the 
124.8 	legislative committees with jurisdiction over 
124.9 	human services finance and policy. 
124.10 	Notwithstanding Minnesota Statutes, section 
124.11 	16A.28, subdivision 3, this appropriation is 
124.12 	available until June 30, 2027. This is a onetime 
124.13 	appropriation. Notwithstanding Minnesota 
124.14 	Statutes, section 16B.98, subdivision 14, the 
124.15 	commissioner must not use any of this grant 
124.16 	amount for administrative costs.
124.17 	(d) Pediatric Hospital-to-Home Transition 
124.18 	Pilot Program. $1,040,000 in fiscal year 2025 
124.19 	is for the pediatric hospital-to-home pilot 
124.20 	program. Notwithstanding Minnesota Statutes, 
124.21 	section 16A.28, subdivision 3, this 
124.22 	appropriation is available until June 30, 2027. 
124.23 	This is a onetime appropriation. 
124.24 	Notwithstanding Minnesota Statutes, section 
124.25 	16B.98, subdivision 14, the commissioner 
124.26 	must not use any of this grant amount for 
124.27 	administrative costs.
124.28 	(e) Artists With Disabilities Support Grant.
124.29 	$690,000 in fiscal year 2025 is for a grant to 
124.30 	a nonprofit organization licensed under 
124.31 	Minnesota Statutes, chapter 245D, located on 
124.32 	Minnehaha Avenue West in Saint Paul, and 
124.33 	that supports artists with disabilities in creating 
124.34 	visual and performing art that challenges 
124.35 	society's views of persons with disabilities. 
125.1 	Notwithstanding Minnesota Statutes, section 
125.2 	16A.28, subdivision 3, this appropriation is 
125.3 	available until June 30, 2027. This is a onetime 
125.4 	appropriation. Notwithstanding Minnesota 
125.5 	Statutes, section 16B.98, subdivision 14, the 
125.6 	commissioner must not use any of this grant 
125.7 	amount for administrative costs.
125.8 	(f) Emergency Relief Grants for Rural 
125.9 	EIDBI Providers. $600,000 in fiscal year 
125.10 	2025 is for emergency relief grants for EIDBI 
125.11 	providers. This is a onetime appropriation. 
125.12 	Notwithstanding Minnesota Statutes, section 
125.13 	16B.98, subdivision 14, the commissioner 
125.14 	must not use any of this grant amount for 
125.15 	administrative costs.
125.16 	(g) Accessible Space, Inc. $250,000 in fiscal 
125.17 	year 2025 is for a grant to Accessible Space, 
125.18 	Inc. for nursing services provided in integrated 
125.19 	community supports settings, but not 
125.20 	otherwise reimbursed under Minnesota 
125.21 	Statutes, section 256B.4914. This is a onetime 
125.22 	appropriation. Notwithstanding Minnesota 
125.23 	Statutes, section 16B.98, subdivision 14, the 
125.24 	commissioner must not use any of this grant 
125.25 	amount for administrative costs.
125.26 	(h) Self-Advocacy Grants for Persons with 
125.27 	Intellectual and Developmental Disabilities.
125.28 	$648,000 in fiscal year 2025 is for 
125.29 	self-advocacy grants under Minnesota Statutes, 
125.30 	section 256.477. Of these amounts, $438,000 
125.31 	in fiscal year 2025 are for the activities under 
125.32 	Minnesota Statutes, section 256.477, 
125.33 	subdivision 1, paragraph (a), clauses (5) to (7), 
125.34 	and for administrative costs, and $210,000 in 
125.35 	fiscal year 2025 is for the activities under 
126.1 	Minnesota Statutes, section 256.477, 
126.2 	subdivision 2. This is onetime appropriation. 
126.3 	Notwithstanding Minnesota Statutes, section 
126.4 	16A.28, subdivision 3, this appropriation is 
126.5 	available until June 30, 2027.

126.6
126.7	Subd. 12.Grant Programs; Adult Mental Health 
Grants
 		(8,900,000)
		(1,561,000)
	
126.8 	Engagement Services Pilot Project.
126.9 	$250,000 in fiscal year 2025 is for the 
126.10 	engagement services pilot project. 
126.11 	Notwithstanding Minnesota Statutes, section 
126.12 	16A.28, subdivision 3, this appropriation is 
126.13 	available until June 30, 2027. This is a onetime 
126.14 	appropriation. Notwithstanding Minnesota 
126.15 	Statutes, section 16B.98, subdivision 14, the 
126.16 	commissioner must not use any of this grant 
126.17 	amount for administrative costs.

126.18
126.19	Subd. 13.Grant Programs; Chemical 
Dependency Treatment Support Grants
 		(500,000)
		-0-

126.20
126.21	Subd. 14.Direct Care and Treatment - Mental 
Health and Substance Abuse
 		-0-
		977,000
	
126.22 	Base Level Adjustment. The general fund 
126.23 	base is increased by $1,011,000 in fiscal year 
126.24 	2026 and $1,011,000 in fiscal year 2027.

126.25
126.26	Subd. 15.Direct Care and Treatment - Forensic 
Services
 		-0-
		7,182,000
	
126.27 	Base Level Adjustment. The general fund 
126.28 	base is increased by $6,612,000 in fiscal year 
126.29 	2026 and $6,612,000 in fiscal year 2027.

126.30
126.31	Subd. 16.Direct Care and Treatment - 
Operations
 		-0-
		606,000
	
126.32 	(a) Free Communication Services for 
126.33 	Patients and Clients. $292,000 in fiscal year 
126.34 	2025 is for free communication services under 
126.35 	Minnesota Statutes, section 246.0142. This is 
127.1 	a onetime appropriation. Notwithstanding 
127.2 	Minnesota Statutes, section 16A.28, 
127.3 	subdivision 3, this appropriation is available 
127.4 	until June 30, 2027.
127.5 	(b) Base Level Adjustment. The general fund 
127.6 	base is increased by $617,000 in fiscal year 
127.7 	2026 and $586,000 in fiscal year 2027.

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

127.9	Sec. 3. COMMISSIONER OF HEALTH
 	$
	0
	$
	262,000

127.10	Subdivision 1.Total Appropriation
 		-0-
		262,000
	
127.11 	This appropriation is from the state 
127.12 	government special revenue fund.

127.13	Subd. 2.Health Protection
 		-0-
		262,000
	
127.14 	(a) Chapter 144G Compliance Support 
127.15 	Grant. $250,000 in fiscal year 2025 is from 
127.16 	the dedicated special revenue account 
127.17 	established under Minnesota Statutes, section 
127.18 	144A.474, subdivision 11, paragraph (j), for 
127.19 	a grant to a nonprofit organization to conduct 
127.20 	culturally specific outreach and education for 
127.21 	small assisted living providers seeking to 
127.22 	improve understanding and compliance with 
127.23 	physical plant and client-focused licensing 
127.24 	requirements under chapter 144G and rules 
127.25 	promulgated thereunder. This is a onetime 
127.26 	appropriation. Notwithstanding Minnesota 
127.27 	Statutes, section 16B.98, subdivision 14, the 
127.28 	commissioner must not use any of this grant 
127.29 	amount for administrative costs.
127.30 	(b) Base Level Adjustments. The state 
127.31 	government special revenue base is increased 
127.32 	by $24,000 in fiscal year 2026 and increased 
127.33 	by $24,000 in fiscal year 2027.

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

128.2	Sec. 4. COUNCIL ON DISABILITY
 	$
	0
	$
	400,000
	
128.3 	$400,000 in fiscal year 2025 is for the 
128.4 	Legislative Task Force on Guardianship. 
128.5 	Notwithstanding Minnesota Statutes, section 
128.6 	16A.28, subdivision 3, this appropriation is 
128.7 	available until June 30, 2027. This is a onetime 
128.8 	appropriation.

128.9 	Sec. 5. Laws 2023, chapter 61, article 9, section 2, subdivision 5, is amended to read:

128.10
128.11	Subd. 5.Central Office; Aging and Disability 
Services
 		40,115,000
		11,995,000
	
128.12 	(a) Employment Supports Alignment Study.
128.13 	$50,000 in fiscal year 2024 and $200,000 in 
128.14 	fiscal year 2025 are to conduct an interagency 
128.15 	employment supports alignment study. The 
128.16 	base for this appropriation is $150,000 in fiscal 
128.17 	year 2026 and $100,000 in fiscal year 2027.
128.18 	(b) Case Management Training 
128.19 	Curriculum. $377,000 in fiscal year 2024 and 
128.20 	$377,000 in fiscal year 2025 are to develop 
128.21 	and implement a curriculum and training plan 
128.22 	to ensure all lead agency assessors and case 
128.23 	managers have the knowledge and skills 
128.24 	necessary to fulfill support planning and 
128.25 	coordination responsibilities for individuals 
128.26 	who use home and community-based disability 
128.27 	services and live in own-home settings. This 
128.28 	is a onetime appropriation.
128.29 	(c) Office of Ombudsperson for Long-Term 
128.30 	Care. $875,000 in fiscal year 2024 and 
128.31 	$875,000 in fiscal year 2025 are for additional 
128.32 	staff and associated direct costs in the Office 
128.33 	of Ombudsperson for Long-Term Care.
129.1 	(d) Direct Care Services Corps Pilot Project.
129.2 	$500,000 in fiscal year 2024 is from the 
129.3 	general fund for a grant to the Metropolitan 
129.4 	Center for Independent Living for the direct 
129.5 	care services corps pilot project. Up to $25,000 
129.6 	may be used by the Metropolitan Center for 
129.7 	Independent Living for administrative costs. 
129.8 	This is a onetime appropriation and is 
129.9 	available until June 30, 2026.
129.10 	(e) Research on Access to Long-Term Care 
129.11 	Services and Financing. Any unexpended 
129.12 	amount of the fiscal year 2023 appropriation 
129.13 	referenced in Laws 2021, First Special Session 
129.14 	chapter 7, article 17, section 16, estimated to 
129.15 	be $300,000, is canceled. The amount canceled 
129.16 	is appropriated in fiscal year 2024 for the same 
129.17 	purpose.
129.18 	(f) Native American Elder Coordinator.
129.19 	$441,000 in fiscal year 2024 and $441,000 in 
129.20 	fiscal year 2025 are for the Native American 
129.21 	elder coordinator position under Minnesota 
129.22 	Statutes, section 256.975, subdivision 6.
129.23 	(g) Grant Administration Carryforward.
129.24 	(1) Of this amount, $8,154,000 in fiscal year 
129.25 	2024 is available until June 30, 2027.
129.26 	(2) Of this amount, $1,071,000 in fiscal year 
129.27 	2025 is available until June 30, 2027.
129.28 	(3) Of this amount, $19,000,000 in fiscal year 
129.29 	2024 is available until June 30, 2029.
129.30 	(h) Base Level Adjustment. The general fund 
129.31 	base is increased by $8,189,000 in fiscal year 
129.32 	2026 and increased by $8,093,000 in fiscal 
129.33 	year 2027.

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

130.2 	Sec. 6. Laws 2023, chapter 61, article 9, section 2, subdivision 13, is amended to read:

130.3
130.4	Subd. 13.Grant Programs; Other Long-Term 
Care Grants
 		152,387,000
		1,925,000
	
130.5 	(a) Provider Capacity Grant for Rural and 
130.6 	Underserved Communities. $17,148,000 in 
130.7 	fiscal year 2024 is for provider capacity grants 
130.8 	for rural and underserved communities. Of 
130.9 	this amount, $250,000 is for a grant to a 
130.10 	nonprofit organization to conduct a culturally 
130.11 	specific outreach and education campaign 
130.12 	toward existing customized living providers 
130.13 	that might more appropriately serve their 
130.14 	clients under a different home and 
130.15 	community-based services program or license.
130.16 	Notwithstanding Minnesota Statutes, section 
130.17 	16A.28, this appropriation is available until 
130.18 	June 30, 2027. This is a onetime appropriation.
130.19 	(b) New American Legal, Social Services, 
130.20 	and Long-Term Care Grant Program.
130.21 	$28,316,000 in fiscal year 2024 is for 
130.22 	long-term care workforce grants for new 
130.23 	Americans. Notwithstanding Minnesota 
130.24 	Statutes, section 16A.28, this appropriation is 
130.25 	available until June 30, 2027. This is a onetime 
130.26 	appropriation.
130.27 	(c) Supported Decision Making Programs.
130.28 	$4,000,000 in fiscal year 2024 is for supported 
130.29 	decision making grants. This is a onetime 
130.30 	appropriation and is available until June 30, 
130.31 	2025.
130.32 	(d) Direct Support Professionals 
130.33 	Employee-Owned Cooperative Program.
130.34 	$350,000 in fiscal year 2024 is for a grant to 
131.1 	the Metropolitan Consortium of Community 
131.2 	Developers for the Direct Support 
131.3 	Professionals Employee-Owned Cooperative 
131.4 	program. The grantee must use the grant 
131.5 	amount for outreach and engagement, 
131.6 	managing a screening and selection process, 
131.7 	providing one-on-one technical assistance, 
131.8 	developing and providing training curricula 
131.9 	related to cooperative development and home 
131.10 	and community-based waiver services, 
131.11 	administration, reporting, and program 
131.12 	evaluation. This is a onetime appropriation 
131.13 	and is available until June 30, 2025.
131.14 	(e) Long-Term Services and Supports 
131.15 	Workforce Incentive Grants. $83,560,000 
131.16 	in fiscal year 2024 is for long-term services 
131.17 	and supports workforce incentive grants 
131.18 	administered according to Minnesota Statutes, 
131.19 	section 256.4764. Notwithstanding Minnesota 
131.20 	Statutes, section 16A.28, this appropriation is 
131.21 	available until June 30, 2029. This is a onetime 
131.22 	appropriation.
131.23 	(f) Base Level Adjustment. The general fund 
131.24 	base is $3,949,000 in fiscal year 2026 and 
131.25 	$3,949,000 in fiscal year 2027. Of these 
131.26 	amounts, $2,024,000 in fiscal year 2026 and 
131.27 	$2,024,000 in fiscal year 2027 are for PCA 
131.28 	background study grants.

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

131.30 	Sec. 7. Laws 2023, chapter 61, article 9, section 2, subdivision 16, as amended by Laws 
131.31 	2023, chapter 70, article 15, section 8, is amended to read:

131.32	Subd. 16.Grant Programs; Disabilities Grants
 		113,684,000
		30,377,000
	
131.33 	(a) Temporary Grants for Small 
131.34 	Customized Living Providers. $5,450,000 
132.1 	in fiscal year 2024 is for grants to assist small 
132.2 	customized living providers to transition to 
132.3 	community residential services licensure or 
132.4 	integrated community supports licensure. 
132.5 	Notwithstanding Minnesota Statutes, section 
132.6 	16A.28, this appropriation is available until 
132.7 	June 30, 2027. This is a onetime appropriation.
132.8 	(b) Lead Agency Capacity Building Grants.
132.9 	$444,000 in fiscal year 2024 and $2,396,000 
132.10 	in fiscal year 2025 are for grants to assist 
132.11 	organizations, counties, and Tribes to build 
132.12 	capacity for employment opportunities for 
132.13 	people with disabilities. The base for this 
132.14 	appropriation is $2,413,000 in fiscal year 2026 
132.15 	and $2,411,000 in fiscal year 2027.
132.16 	(c) Employment and Technical Assistance 
132.17 	Center Grants. $450,000 in fiscal year 2024 
132.18 	and $1,800,000 in fiscal year 2025 are for 
132.19 	employment and technical assistance grants 
132.20 	to assist organizations and employers in 
132.21 	promoting a more inclusive workplace for 
132.22 	people with disabilities.
132.23 	(d) Case Management Training Grants.
132.24 	$37,000 in fiscal year 2024 and $123,000 in 
132.25 	fiscal year 2025 are for grants to provide case 
132.26 	management training to organizations and 
132.27 	employers to support the state's disability 
132.28 	employment supports system. The base for 
132.29 	this appropriation is $45,000 in fiscal year 
132.30 	2026 and $45,000 in fiscal year 2027.
132.31 	(e) Self-Directed Bargaining Agreement; 
132.32 	Electronic Visit Verification Stipends.
132.33 	$6,095,000 in fiscal year 2024 is for onetime 
132.34 	stipends of $200 to bargaining members to 
132.35 	offset the potential costs related to people 
133.1 	using individual devices to access the 
133.2 	electronic visit verification system. Of this 
133.3 	amount, $5,600,000 is for stipends and 
133.4 	$495,000 is for administration. This is a 
133.5 	onetime appropriation and is available until 
133.6 	June 30, 2025.
133.7 	(f) Self-Directed Collective Bargaining 
133.8 	Agreement; Temporary Rate Increase 
133.9 	Memorandum of Understanding. $1,600,000 
133.10 	in fiscal year 2024 is for onetime stipends for 
133.11 	individual providers covered by the SEIU 
133.12 	collective bargaining agreement based on the 
133.13 	memorandum of understanding related to the 
133.14 	temporary rate increase in effect between 
133.15 	December 1, 2020, and February 7, 2021. Of 
133.16 	this amount, $1,400,000 of the appropriation 
133.17 	is for stipends and $200,000 is for 
133.18 	administration. This is a onetime 
133.19 	appropriation.
133.20 	(g) Self-Directed Collective Bargaining 
133.21 	Agreement; Retention Bonuses. $50,750,000 
133.22 	in fiscal year 2024 is for onetime retention 
133.23 	bonuses covered by the SEIU collective 
133.24 	bargaining agreement. Of this amount, 
133.25 	$50,000,000 is for retention bonuses and 
133.26 	$750,000 is for administration of the bonuses. 
133.27 	This is a onetime appropriation and is 
133.28 	available until June 30, 2025.
133.29 	(h) Self-Directed Bargaining Agreement; 
133.30 	Training Stipends. $2,100,000 in fiscal year 
133.31 	2024 and $100,000 in fiscal year 2025 are for 
133.32 	onetime stipends of $500 for collective 
133.33 	bargaining unit members who complete 
133.34 	designated, voluntary trainings made available 
133.35 	through or recommended by the State Provider 
134.1 	Cooperation Committee. Of this amount, 
134.2 	$2,000,000 in fiscal year 2024 is for stipends, 
134.3 	and $100,000 in fiscal year 2024 and $100,000 
134.4 	in fiscal year 2025 are for administration. This 
134.5 	is a onetime appropriation.
134.6 	(i) Self-Directed Bargaining Agreement; 
134.7 	Orientation Program. $2,000,000 in fiscal 
134.8 	year 2024 and $2,000,000 in fiscal year 2025 
134.9 	are for onetime $100 payments to collective 
134.10 	bargaining unit members who complete 
134.11 	voluntary orientation requirements. Of this 
134.12 	amount, $1,500,000 in fiscal year 2024 and 
134.13 	$1,500,000 in fiscal year 2025 are for the 
134.14 	onetime $100 payments, and $500,000 in 
134.15 	fiscal year 2024 and $500,000 in fiscal year 
134.16 	2025 are for orientation-related costs. This is 
134.17 	a onetime appropriation.
134.18 	(j) Self-Directed Bargaining Agreement; 
134.19 	Home Care Orientation Trust. $1,000,000 
134.20 	in fiscal year 2024 is for the Home Care 
134.21 	Orientation Trust under Minnesota Statutes, 
134.22 	section 179A.54, subdivision 11. The 
134.23 	commissioner shall disburse the appropriation 
134.24 	to the board of trustees of the Home Care 
134.25 	Orientation Trust for deposit into an account 
134.26 	designated by the board of trustees outside the 
134.27 	state treasury and state's accounting system. 
134.28 	This is a onetime appropriation and is 
134.29 	available until June 30, 2025.
134.30 	(k) HIV/AIDS Supportive Services.
134.31 	$12,100,000 in fiscal year 2024 is for grants 
134.32 	to community-based HIV/AIDS supportive 
134.33 	services providers as defined in Minnesota 
134.34 	Statutes, section 256.01, subdivision 19, and 
134.35 	for payment of allowed health care costs as 
135.1 	defined in Minnesota Statutes, section 
135.2 	256.9365. This is a onetime appropriation and 
135.3 	is available until June 30, 2025.
135.4 	(l) Motion Analysis Advancements Clinical 
135.5 	Study and Patient Care. $400,000 is fiscal 
135.6 	year 2024 is for a grant to the Mayo Clinic 
135.7 	Motion Analysis Laboratory and Limb Lab 
135.8 	for continued research in motion analysis 
135.9 	advancements and patient care. This is a 
135.10 	onetime appropriation and is available through 
135.11 	June 30, 2025.
135.12 	(m) Grant to Family Voices in Minnesota.
135.13 	$75,000 in fiscal year 2024 and $75,000 in 
135.14 	fiscal year 2025 are for a grant to Family 
135.15 	Voices in Minnesota under Minnesota 
135.16 	Statutes, section 256.4776.
135.17 	(n) Parent-to-Parent Programs.
135.18 	(1) $550,000 in fiscal year 2024 and $550,000 
135.19 	in fiscal year 2025 are for grants to 
135.20 	organizations that provide services to 
135.21 	underserved communities with a high 
135.22 	prevalence of autism spectrum disorder. This 
135.23 	is a onetime appropriation and is available 
135.24 	until June 30, 2025.
135.25 	(2) The commissioner shall give priority to 
135.26 	organizations that provide culturally specific 
135.27 	and culturally responsive services.
135.28 	(3) Eligible organizations must:
135.29 	(i) conduct outreach and provide support to 
135.30 	newly identified parents or guardians of a child 
135.31 	with special health care needs;
135.32 	(ii) provide training to educate parents and 
135.33 	guardians in ways to support their child and 
136.1 	navigate the health, education, and human 
136.2 	services systems;
136.3 	(iii) facilitate ongoing peer support for parents 
136.4 	and guardians from trained volunteer support 
136.5 	parents; and
136.6 	(iv) communicate regularly with other 
136.7 	parent-to-parent programs and national 
136.8 	organizations to ensure that best practices are 
136.9 	implemented.
136.10 	(4) Grant recipients must use grant money for 
136.11 	the activities identified in clause (3).
136.12 	(5) For purposes of this paragraph, "special 
136.13 	health care needs" means disabilities, chronic 
136.14 	illnesses or conditions, health-related 
136.15 	educational or behavioral problems, or the risk 
136.16 	of developing disabilities, illnesses, conditions, 
136.17 	or problems.
136.18 	(6) Each grant recipient must report to the 
136.19 	commissioner of human services annually by 
136.20 	January 15 with measurable outcomes from 
136.21 	programs and services funded by this 
136.22 	appropriation the previous year including the 
136.23 	number of families served and the number of 
136.24 	volunteer support parents trained by the 
136.25 	organization's parent-to-parent program.
136.26 	(o) Self-Advocacy Grants for Persons with 
136.27 	Intellectual and Developmental Disabilities.
136.28 	$323,000 in fiscal year 2024 and $323,000 in 
136.29 	fiscal year 2025 are for self-advocacy grants 
136.30 	under Minnesota Statutes, section 256.477. 
136.31 	This is a onetime appropriation. Of these 
136.32 	amounts, $218,000 in fiscal year 2024 and 
136.33 	$218,000 in fiscal year 2025 are for the 
136.34 	activities under Minnesota Statutes, section 
137.1 	256.477, subdivision 1, paragraph (a), clauses 
137.2 	(5) to (7), and for administrative costs, and 
137.3 	$105,000 in fiscal year 2024 and $105,000 in 
137.4 	fiscal year 2025 are for the activities under 
137.5 	Minnesota Statutes, section 256.477, 
137.6 	subdivision 2.
137.7 	(p) Technology for Home Grants. $300,000 
137.8 	in fiscal year 2024 and $300,000 in fiscal year 
137.9 	2025 are for technology for home grants under 
137.10 	Minnesota Statutes, section 256.4773.
137.11 	(q) Community Residential Setting 
137.12 	Transition. $500,000 in fiscal year 2024 is 
137.13 	for a grant to Hennepin County to expedite 
137.14 	approval of community residential setting 
137.15 	licenses subject to the corporate foster care 
137.16 	moratorium exception under Minnesota 
137.17 	Statutes, section 245A.03, subdivision 7, 
137.18 	paragraph (a), clause (5).
137.19 	(r) Base Level Adjustment. The general fund 
137.20 	base is $27,343,000 in fiscal year 2026 and 
137.21 	$27,016,000 in fiscal year 2027.

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

137.23 	Sec. 8. Laws 2023, chapter 61, article 9, section 2, subdivision 18, is amended to read:

137.24
137.25	Subd. 18.Grant Programs; Chemical 
Dependency Treatment Support Grants

137.26	Appropriations by Fund
	
137.27	General
	54,691,000
	5,342,000
	
137.28	Lottery Prize
	1,733,000
	1,733,000
	
137.29 	(a) Culturally Specific Recovery 
137.30 	Community Organization Start-Up Grants.
137.31 	$4,000,000 in fiscal year 2024 is for culturally 
137.32 	specific recovery community organization 
137.33 	start-up grants. Notwithstanding Minnesota 
138.1 	Statutes, section 16A.28, this appropriation is 
138.2 	available until June 30, 2027. This is a onetime 
138.3 	appropriation.
138.4 	(b) Safe Recovery Sites. $14,537,000 in fiscal 
138.5 	year 2024 is from the general fund for start-up 
138.6 	and capacity-building grants for organizations 
138.7 	to establish safe recovery sites. 
138.8 	Notwithstanding Minnesota Statutes, section 
138.9 	16A.28, this appropriation is onetime and is 
138.10 	available until June 30, 2029.
138.11 	(c) Technical Assistance for Culturally 
138.12 	Specific Organizations; Culturally Specific 
138.13 	Services Grants. $4,000,000 in fiscal year 
138.14 	2024 is for grants to culturally specific 
138.15 	providers for technical assistance navigating 
138.16 	culturally specific and responsive substance 
138.17 	use and recovery programs. Notwithstanding 
138.18 	Minnesota Statutes, section 16A.28, this 
138.19 	appropriation is available until June 30, 2027.
138.20 	(d) Technical Assistance for Culturally 
138.21 	Specific Organizations; Culturally Specific 
138.22 	Grant Development Training. $400,000 in 
138.23 	fiscal year 2024 is for grants for up to four 
138.24 	trainings for community members and 
138.25 	culturally specific providers for grant writing 
138.26 	training for substance use and recovery-related 
138.27 	grants. Notwithstanding Minnesota Statutes, 
138.28 	section 16A.28, this is a onetime appropriation 
138.29 	and is available until June 30, 2027.
138.30 	(e) Harm Reduction Supplies for Tribal and 
138.31 	Culturally Specific Programs. $7,597,000 
138.32 	in fiscal year 2024 is from the general fund to 
138.33 	provide sole source grants to culturally 
138.34 	specific communities to purchase syringes, 
138.35 	testing supplies, and opiate antagonists. 
139.1 	Notwithstanding Minnesota Statutes, section 
139.2 	16A.28, this appropriation is available until 
139.3 	June 30, 2027. This is a onetime appropriation.
139.4 	(f) Families and Family Treatment 
139.5 	Capacity-Building and Start-Up Grants.
139.6 	$10,000,000 in fiscal year 2024 is from the 
139.7 	general fund for start-up and capacity-building 
139.8 	grants for family substance use disorder 
139.9 	treatment programs. Notwithstanding 
139.10 	Minnesota Statutes, section 16A.28, this 
139.11 	appropriation is available until June 30, 2029. 
139.12 	This is a onetime appropriation.
139.13 	(g) Start-Up and Capacity Building Grants 
139.14 	for Withdrawal Management.$500,000 $0
139.15 	in fiscal year 2024 and $1,000,000 in fiscal 
139.16 	year 2025 are for start-up and capacity 
139.17 	building grants for withdrawal management.
139.18 	(h) Recovery Community Organization 
139.19 	Grants. $4,300,000 in fiscal year 2024 is from 
139.20 	the general fund for grants to recovery 
139.21 	community organizations, as defined in 
139.22 	Minnesota Statutes, section 254B.01, 
139.23 	subdivision 8, that are current grantees as of 
139.24 	June 30, 2023. This is a onetime appropriation 
139.25 	and is available until June 30, 2025.
139.26 	(i) Opioid Overdose Prevention Grants.
139.27 	(1) $125,000 in fiscal year 2024 and $125,000 
139.28 	in fiscal year 2025 are from the general fund 
139.29 	for a grant to Ka Joog, a nonprofit organization 
139.30 	in Minneapolis, Minnesota, to be used for 
139.31 	collaborative outreach, education, and training 
139.32 	on opioid use and overdose, and distribution 
139.33 	of opiate antagonist kits in East African and 
140.1 	Somali communities in Minnesota. This is a 
140.2 	onetime appropriation.
140.3 	(2) $125,000 in fiscal year 2024 and $125,000 
140.4 	in fiscal year 2025 are from the general fund 
140.5 	for a grant to the Steve Rummler Hope 
140.6 	Network to be used for statewide outreach, 
140.7 	education, and training on opioid use and 
140.8 	overdose, and distribution of opiate antagonist 
140.9 	kits. This is a onetime appropriation.
140.10 	(3) $250,000 in fiscal year 2024 and $250,000 
140.11 	in fiscal year 2025 are from the general fund 
140.12 	for a grant to African Career Education and 
140.13 	Resource, Inc. to be used for collaborative 
140.14 	outreach, education, and training on opioid 
140.15 	use and overdose, and distribution of opiate 
140.16 	antagonist kits. This is a onetime 
140.17 	appropriation.
140.18 	(j) Problem Gambling. $225,000 in fiscal 
140.19 	year 2024 and $225,000 in fiscal year 2025 
140.20 	are from the lottery prize fund for a grant to a 
140.21 	state affiliate recognized by the National 
140.22 	Council on Problem Gambling. The affiliate 
140.23 	must provide services to increase public 
140.24 	awareness of problem gambling, education, 
140.25 	training for individuals and organizations that 
140.26 	provide effective treatment services to problem 
140.27 	gamblers and their families, and research 
140.28 	related to problem gambling.
140.29 	(k) Project ECHO. $1,310,000 in fiscal year 
140.30 	2024 and $1,295,000 in fiscal year 2025 are 
140.31 	from the general fund for a grant to Hennepin 
140.32 	Healthcare to expand the Project ECHO 
140.33 	program. The grant must be used to establish 
140.34 	at least four substance use disorder-focused 
140.35 	Project ECHO programs at Hennepin 
141.1 	Healthcare, expanding the grantee's capacity 
141.2 	to improve health and substance use disorder 
141.3 	outcomes for diverse populations of 
141.4 	individuals enrolled in medical assistance, 
141.5 	including but not limited to immigrants, 
141.6 	individuals who are homeless, individuals 
141.7 	seeking maternal and perinatal care, and other 
141.8 	underserved populations. The Project ECHO 
141.9 	programs funded under this section must be 
141.10 	culturally responsive, and the grantee must 
141.11 	contract with culturally and linguistically 
141.12 	appropriate substance use disorder service 
141.13 	providers who have expertise in focus areas, 
141.14 	based on the populations served. Grant funds 
141.15 	may be used for program administration, 
141.16 	equipment, provider reimbursement, and 
141.17 	staffing hours. This is a onetime appropriation.
141.18 	(l) White Earth Nation Substance Use 
141.19 	Disorder Digital Therapy Tool. $3,000,000 
141.20 	in fiscal year 2024 is from the general fund 
141.21 	for a grant to the White Earth Nation to 
141.22 	develop an individualized Native American 
141.23 	centric digital therapy tool with Pathfinder 
141.24 	Solutions. This is a onetime appropriation. 
141.25 	The grant must be used to:
141.26 	(1) develop a mobile application that is 
141.27 	culturally tailored to connecting substance use 
141.28 	disorder resources with White Earth Nation 
141.29 	members;
141.30 	(2) convene a planning circle with White Earth 
141.31 	Nation members to design the tool;
141.32 	(3) provide and expand White Earth 
141.33 	Nation-specific substance use disorder 
141.34 	services; and
142.1 	(4) partner with an academic research 
142.2 	institution to evaluate the efficacy of the 
142.3 	program.
142.4 	(m) Wellness in the Woods. $300,000 in 
142.5 	fiscal year 2024 and $300,000 in fiscal year 
142.6 	2025 are from the general fund for a grant to 
142.7 	Wellness in the Woods for daily peer support 
142.8 	and special sessions for individuals who are 
142.9 	in substance use disorder recovery, are 
142.10 	transitioning out of incarceration, or who have 
142.11 	experienced trauma. These are onetime 
142.12 	appropriations.
142.13 	(n) Base Level Adjustment. The general fund 
142.14 	base is $3,247,000 in fiscal year 2026 and 
142.15 	$3,247,000 in fiscal year 2027.

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

APPENDIX 

Repealed Minnesota Statutes: S5335-1 

246.41 BENEFIT FOR PERSONS WITH DEVELOPMENTAL DISABILITIES.Subdivision 1.Acceptance. 
The commissioner of human services is authorized to accept, for and in behalf of the state, contributions of money for the use and benefit of persons with developmental disabilities. 

Subd. 2.Special welfare fund. 
Any money so received by the commissioner shall be deposited with the commissioner of management and budget in a special welfare fund, which fund is to be used by the commissioner of human services for the benefit of persons with developmental disabilities within the state, including those within state hospitals. And, without excluding other possible uses, research relating to persons with developmental disabilities shall be considered an appropriate use of such funds; but such funds shall not be used for any structures or installations which by their nature would require state expenditures for their operation or maintenance without specific legislative enactment therefor. 

Subd. 3.Appropriation. 
There is hereby appropriated from the special welfare fund in the state treasury to such persons as are entitled thereto to carry out the provisions stated in this section. 

246C.03 TRANSITION OF AUTHORITY; DEVELOPMENT OF A BOARD.Subdivision 1.Authority until board is developed and powers defined. 
On July 1, 2023, the commissioner of human services shall continue to exercise all authorities and responsibilities under chapters 13, 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256, until legislation is effective that develops the Department of Direct Care and Treatment executive board and defines the responsibilities and powers of the Department of Direct Care and Treatment and its executive board. 

Subd. 2.Development of Department of Direct Care and Treatment Board. 
(a) The commissioner of human services shall prepare legislation for introduction during the 2024 legislative session, with input from stakeholders the commissioner deems necessary, proposing legislation for the creation and implementation of the Direct Care and Treatment executive board and defining the responsibilities, powers, and function of the Department of Direct Care and Treatment executive board. 

(b) The Department of Direct Care and Treatment executive board shall consist of no more than five members, all appointed by the governor. 

(c) An executive board member's qualifications must be appropriate for overseeing a complex behavioral health system, such as experience serving on a hospital or non-profit board, serving as a public sector labor union representative, experience in delivery of behavioral health services or care coordination, or working as a licensed health care provider, in an allied health profession, or in health care administration. 

252.021 DEFINITION.
For the purposes of this chapter, the term "related condition" has the meaning given in section 252.27, subdivision 1a. 

252.27 CHILDREN'S SERVICES; PARENTAL CONTRIBUTION.Subd. 1a.Definitions. 
A "related condition" is a condition: (1) that is found to be closely related to a developmental disability, including, but not limited to, cerebral palsy, epilepsy, autism, fetal alcohol spectrum disorder, and Prader-Willi syndrome; and (2) that meets all of the following criteria: 

(i) is severe and chronic; 

(ii) results in impairment of general intellectual functioning or adaptive behavior similar to that of persons with developmental disabilities; 

(iii) requires treatment or services similar to those required for persons with developmental disabilities; 

(iv) is manifested before the person reaches 22 years of age; 

(v) is likely to continue indefinitely; 

(vi) results in substantial functional limitations in three or more of the following areas of major life activity: (A) self-care, (B) understanding and use of language, (C) learning, (D) mobility, (E) self-direction, or (F) capacity for independent living; and 

(vii) is not attributable to mental illness as defined in section 245.462, subdivision 20, or an emotional disturbance as defined in section 245.4871, subdivision 15. 

For purposes of item (vii), notwithstanding section 245.462, subdivision 20, or 245.4871, subdivision 15, "mental illness" does not include autism or other pervasive developmental disorders. 

Subd. 2.Parental responsibility. 
Responsibility of the parents for the cost of services shall be based upon ability to pay. The state agency shall adopt rules to determine responsibility of the parents for the cost of services when: 

(1) insurance or other health care benefits pay some but not all of the cost of services; and 

(2) no insurance or other health care benefits are available. 

Subd. 2a.Contribution amount. 
(a) The natural or adoptive parents of a minor child, not including a child determined eligible for medical assistance without consideration of parental income under the Tax Equity and Fiscal Responsibility Act (TEFRA) option or a child accessing home and community-based waiver services, must contribute to the cost of services used by making monthly payments on a sliding scale based on income, unless the child is married or has been married, parental rights have been terminated, or the child's adoption is subsidized according to chapter 259A or through title IV-E of the Social Security Act. The parental contribution is a partial or full payment for medical services provided for diagnostic, therapeutic, curing, treating, mitigating, rehabilitation, maintenance, and personal care services as defined in United States Code, title 26, section 213, needed by the child with a chronic illness or disability. 

(b) For households with adjusted gross income equal to or greater than 275 percent of federal poverty guidelines, the parental contribution shall be computed by applying the following schedule of rates to the adjusted gross income of the natural or adoptive parents: 

(1) if the adjusted gross income is equal to or greater than 275 percent of federal poverty guidelines and less than or equal to 545 percent of federal poverty guidelines, the parental contribution shall be determined using a sliding fee scale established by the commissioner of human services which begins at 1.65 percent of adjusted gross income at 275 percent of federal poverty guidelines and increases to 4.5 percent of adjusted gross income for those with adjusted gross income up to 545 percent of federal poverty guidelines; 

(2) if the adjusted gross income is greater than 545 percent of federal poverty guidelines and less than 675 percent of federal poverty guidelines, the parental contribution shall be 4.5 percent of adjusted gross income; 

(3) if the adjusted gross income is equal to or greater than 675 percent of federal poverty guidelines and less than 975 percent of federal poverty guidelines, the parental contribution shall be determined using a sliding fee scale established by the commissioner of human services which begins at 4.5 percent of adjusted gross income at 675 percent of federal poverty guidelines and increases to 5.99 percent of adjusted gross income for those with adjusted gross income up to 975 percent of federal poverty guidelines; and 

(4) if the adjusted gross income is equal to or greater than 975 percent of federal poverty guidelines, the parental contribution shall be 7.49 percent of adjusted gross income. 

If the child lives with the parent, the annual adjusted gross income is reduced by $2,400 prior to calculating the parental contribution. If the child resides in an institution specified in section 256B.35, the parent is responsible for the personal needs allowance specified under that section in addition to the parental contribution determined under this section. The parental contribution is reduced by any amount required to be paid directly to the child pursuant to a court order, but only if actually paid. 

(c) The household size to be used in determining the amount of contribution under paragraph (b) includes natural and adoptive parents and their dependents, including the child receiving services. Adjustments in the contribution amount due to annual changes in the federal poverty guidelines shall be implemented on the first day of July following publication of the changes. 

(d) For purposes of paragraph (b), "income" means the adjusted gross income of the natural or adoptive parents determined according to the previous year's federal tax form, except, effective retroactive to July 1, 2003, taxable capital gains to the extent the funds have been used to purchase a home shall not be counted as income. 

(e) The contribution shall be explained in writing to the parents at the time eligibility for services is being determined. The contribution shall be made on a monthly basis effective with the first month in which the child receives services. Annually upon redetermination or at termination of eligibility, if the contribution exceeded the cost of services provided, the local agency or the state shall reimburse that excess amount to the parents, either by direct reimbursement if the parent is no longer required to pay a contribution, or by a reduction in or waiver of parental fees until the excess amount is exhausted. All reimbursements must include a notice that the amount reimbursed may be taxable income if the parent paid for the parent's fees through an employer's health care flexible spending account under the Internal Revenue Code, section 125, and that the parent is responsible for paying the taxes owed on the amount reimbursed. 

(f) The monthly contribution amount must be reviewed at least every 12 months; when there is a change in household size; and when there is a loss of or gain in income from one month to another in excess of ten percent. The local agency shall mail a written notice 30 days in advance of the effective date of a change in the contribution amount. A decrease in the contribution amount is effective in the month that the parent verifies a reduction in income or change in household size. 

(g) Parents of a minor child who do not live with each other shall each pay the contribution required under paragraph (a). An amount equal to the annual court-ordered child support payment actually paid on behalf of the child receiving services shall be deducted from the adjusted gross income of the parent making the payment prior to calculating the parental contribution under paragraph (b). 

(h) The contribution under paragraph (b) shall be increased by an additional five percent if the local agency determines that insurance coverage is available but not obtained for the child. For purposes of this section, "available" means the insurance is a benefit of employment for a family member at an annual cost of no more than five percent of the family's annual income. For purposes of this section, "insurance" means health and accident insurance coverage, enrollment in a nonprofit health service plan, health maintenance organization, self-insured plan, or preferred provider organization. 

Parents who have more than one child receiving services shall not be required to pay more than the amount for the child with the highest expenditures. There shall be no resource contribution from the parents. The parent shall not be required to pay a contribution in excess of the cost of the services provided to the child, not counting payments made to school districts for education-related services. Notice of an increase in fee payment must be given at least 30 days before the increased fee is due. 

(i) The contribution under paragraph (b) shall be reduced by $300 per fiscal year if, in the 12 months prior to July 1: 

(1) the parent applied for insurance for the child; 

(2) the insurer denied insurance; 

(3) the parents submitted a complaint or appeal, in writing to the insurer, submitted a complaint or appeal, in writing, to the commissioner of health or the commissioner of commerce, or litigated the complaint or appeal; and 

(4) as a result of the dispute, the insurer reversed its decision and granted insurance. 

For purposes of this section, "insurance" has the meaning given in paragraph (h). 

A parent who has requested a reduction in the contribution amount under this paragraph shall submit proof in the form and manner prescribed by the commissioner or county agency, including but not limited to the insurer's denial of insurance, the written letter or complaint of the parents, court documents, and the written response of the insurer approving insurance. The determinations of the commissioner or county agency under this paragraph are not rules subject to chapter 14. 

Subd. 3.Civil actions. 
If the parent fails to make appropriate reimbursement as required in subdivisions 2a and 2b, the attorney general, at the request of the commissioner, may institute or direct the appropriate county attorney to institute civil action to recover the required reimbursement. 

Subd. 4a.Order of payment. 
If the parental contribution is for reimbursement for the cost of services to both the local agency and the medical assistance program, the local agency shall be reimbursed for its expenses first and the remainder must be deposited in the medical assistance account. 

Subd. 5.Determination; redetermination; notice. 
A determination order and notice of parental fee shall be mailed to the parent at least annually, or more frequently as provided in Minnesota Rules, parts 9550.6220 to 9550.6229. The determination order and notice shall contain the following information: 

(1) the amount the parent is required to contribute; 

(2) notice of the right to a redetermination and appeal; and 

(3) the telephone number of the division at the Department of Human Services that is responsible for redeterminations. 

Subd. 6.Appeals. 
A parent may appeal the determination or redetermination of an obligation to make a contribution under this section, according to section 256.045. The parent must make a request for a hearing in writing within 30 days of the date the determination or redetermination order is mailed, or within 90 days of such written notice if the parent shows good cause why the request was not submitted within the 30-day time limit. The commissioner must provide the parent with a written notice that acknowledges receipt of the request and notifies the parent of the date of the hearing. While the appeal is pending, the parent has the rights regarding making payment that are provided in Minnesota Rules, part 9550.6235. If the commissioner's determination or redetermination is affirmed, the parent shall, within 90 calendar days after the date an order is issued under section 256.045, subdivision 5, pay the total amount due from the effective date of the notice of determination or redetermination that was appealed by the parent. If the commissioner's order under this subdivision results in a decrease in the parental fee amount, any payments made by the parent that result in an overpayment shall be credited to the parent as provided in Minnesota Rules, part 9550.6235, subpart 3. 

256B.0916 EXPANSION OF HOME AND COMMUNITY-BASED SERVICES.Subd. 10.Transitional supports allowance. 
A transitional supports allowance shall be available to all persons under a home and community-based waiver who are moving from a licensed setting to a community setting. "Transitional supports allowance" means a onetime payment of up to $3,000, to cover the costs, not covered by other sources, associated with moving from a licensed setting to a community setting. Covered costs include: 

(1) lease or rent deposits; 

(2) security deposits; 

(3) utilities setup costs, including telephone; 

(4) essential furnishings and supplies; and 

(5) personal supports and transports needed to locate and transition to community settings.