1.1 	A bill for an act
1.2 	relating to human services; modifying provisions governing disability services, 
1.3 	aging services, substance use disorder services, and priority admissions and civil 
1.4 	commitment; establishing the Direct Care and Treatment executive board, the 
1.5 	human services response contingency account, the Homelessness and Housing 
1.6 	Support Office, task forces, and working groups; requiring studies and reports; 
1.7 	providing for rulemaking; appropriating money;amending Minnesota Statutes 
1.8 	2022, sections 13.46, subdivisions 1, as amended, 10, as amended; 144G.41, 
1.9 	subdivision 1, by adding subdivisions; 144G.63, subdivisions 1, 4; 144G.64; 
1.10 	145.61, subdivision 5; 151.065, subdivision 7; 245.821, subdivision 1; 245.825, 
1.11 	subdivision 1; 245A.11, subdivision 2a; 245I.23, subdivision 19a; 246.018, 
1.12 	subdivision 3, as amended; 246.129, as amended; 246.13, subdivision 2, as 
1.13 	amended; 246.234, as amended; 246.36, as amended; 246.511, as amended; 252.27, 
1.14 	subdivision 2b; 252.282, subdivision 1, by adding a subdivision; 254B.01, by 
1.15 	adding subdivisions; 256.88; 256.89; 256.90; 256.91; 256.92; 256.9755, 
1.16 	subdivisions 2, 3; 256B.02, subdivision 11; 256B.076, by adding a subdivision; 
1.17 	256B.0911, subdivisions 12, 17, 20; 256B.0913, subdivision 5a; 256B.0924, 
1.18 	subdivision 3; 256B.434, by adding a subdivision; 256B.49, subdivision 16, by 
1.19 	adding a subdivision; 256B.4911, by adding subdivisions; 256B.4912, subdivision 
1.20 	1; 256B.69, subdivision 4; 256B.77, subdivision 7a; 256S.07, subdivision 1; 
1.21 	256S.205, subdivisions 2, 3, 5, by adding a subdivision; 447.42, subdivision 1; 
1.22 	604A.04, subdivision 3; Minnesota Statutes 2023 Supplement, sections 10.65, 
1.23 	subdivision 2; 13.46, subdivision 2, as amended; 15.01; 15.06, subdivision 1, as 
1.24 	amended; 15A.0815, subdivision 2; 15A.082, subdivisions 1, 3, 7; 43A.08, 
1.25 	subdivisions 1, 1a; 245.91, subdivision 4; 245A.03, subdivision 7, as amended; 
1.26 	245G.07, subdivision 2; 245I.04, subdivision 19; 246.54, subdivisions 1a, 1b; 
1.27 	246C.01; 246C.02, as amended; 246C.04, as amended; 246C.05, as amended; 
1.28 	253B.10, subdivision 1, as amended; 254B.05, subdivisions 1, 5, as amended; 
1.29 	254B.19, subdivision 1; 256.043, subdivision 3; 256.4764, subdivision 3; 256.9756, 
1.30 	subdivisions 1, 2; 256B.0622, subdivision 8; 256B.0911, subdivision 13; 
1.31 	256B.0913, subdivision 5, as amended; 256B.092, subdivision 1a; 256B.0949, 
1.32 	subdivision 15; 256B.49, subdivision 13; 256B.766; 256R.55; 270B.14, subdivision 
1.33 	1; Laws 2021, First Special Session chapter 7, article 13, section 68; article 17, 
1.34 	section 19, as amended; Laws 2023, chapter 53, article 21, sections 6; 7; Laws 
1.35 	2023, chapter 61, article 1, sections 60, subdivisions 1, 2; 67, subdivision 3; article 
1.36 	4, section 11; article 8, sections 1; 2; 3; 8; article 9, section 2, subdivisions 5, 14, 
1.37 	16, as amended, 18; Laws 2023, chapter 70, article 20, section 2, subdivision 29; 
1.38 	Laws 2024, chapter 79, article 1, sections 18; 23; 24; 25, subdivision 3; article 10, 
2.1 	sections 1; 6; proposing coding for new law in Minnesota Statutes, chapters 144G; 
2.2 	246C; 254B; 256; 256B; 256S; repealing Minnesota Statutes 2022, sections 246.41; 
2.3 	252.27, subdivisions 1a, 2, 3, 4a, 5, 6; 253C.01; 256.043, subdivision 4; 256B.0916, 
2.4 	subdivision 10; Minnesota Statutes 2023 Supplement, sections 246C.03; 252.27, 
2.5 	subdivision 2a; Laws 2023, chapter 25, section 190, subdivision 10; Laws 2024, 
2.6 	chapter 79, article 4, section 1, subdivision 3.
2.7 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

2.8 	ARTICLE 1
2.9 	DISABILITY SERVICES

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

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

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

8.19 	Sec. 4. Minnesota Statutes 2023 Supplement, section 245A.03, subdivision 7, as amended 
8.20 	by Laws 2024, chapter 80, article 2, section 37, and Laws 2024, chapter 85, section 53, is 
8.21 	amended to read:
8.22 		Subd. 7.Licensing moratorium. (a) The commissioner shall not issue an initial license 
8.23 	for child foster care licensed under Minnesota Rules, parts 2960.3000 to 2960.3340, or adult 
8.24 	foster care licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, under this chapter 
8.25 	for a physical location that will not be the primary residence of the license holder for the 
8.26 	entire period of licensure. If a family adult foster care home license is issued during this 
8.27 	moratorium, and the license holder changes the license holder's primary residence away 
8.28 	from the physical location of the foster care license, the commissioner shall revoke the 
8.29 	license according to section 245A.07. The commissioner shall not issue an initial license 
8.30 	for a community residential setting licensed under chapter 245D. When approving an 
8.31 	exception under this paragraph, the commissioner shall consider the resource need 
8.32 	determination process in paragraph (h), the availability of foster care licensed beds in the 
8.33 	geographic area in which the licensee seeks to operate, the results of a person's choices 
8.34 	during their annual assessment and service plan review, and the recommendation of the 
9.1 	local county board. The determination by the commissioner is final and not subject to appeal. 
9.2 	Exceptions to the moratorium include:
9.3 	(1) a license for a person in a foster care setting that is not the primary residence of the 
9.4 	license holder and where at least 80 percent of the residents are 55 years of age or older;
9.5 	(2) foster care licenses replacing foster care licenses in existence on May 15, 2009, or 
9.6 	community residential setting licenses replacing adult foster care licenses in existence on 
9.7 	December 31, 2013, and determined to be needed by the commissioner under paragraph 
9.8 	(b);
9.9 	(3) new foster care licenses or community residential setting licenses determined to be 
9.10 	needed by the commissioner under paragraph (b) for the closure of a nursing facility, ICF/DD, 
9.11 	or regional treatment center; restructuring of state-operated services that limits the capacity 
9.12 	of state-operated facilities; or allowing movement to the community for people who no 
9.13 	longer require the level of care provided in state-operated facilities as provided under section 
9.14 	256B.092, subdivision 13, or 256B.49, subdivision 24; or
9.15 	(4) new foster care licenses or community residential setting licenses determined to be 
9.16 	needed by the commissioner under paragraph (b) for persons requiring hospital-level care.; 
9.17 	or
9.18 	(5) new community residential setting licenses determined necessary by the commissioner 
9.19 	for people affected by the closure of homes with a capacity of five or six beds currently 
9.20 	licensed as supervised living facilities licensed under Minnesota Rules, chapter 4665, but 
9.21 	not designated as intermediate care facilities. This exception is available until June 30, 2025.
9.22 	(b) The commissioner shall determine the need for newly licensed foster care homes or 
9.23 	community residential settings as defined under this subdivision. As part of the determination, 
9.24 	the commissioner shall consider the availability of foster care capacity in the area in which 
9.25 	the licensee seeks to operate, and the recommendation of the local county board. The 
9.26 	determination by the commissioner must be final. A determination of need is not required 
9.27 	for a change in ownership at the same address.
9.28 	(c) When an adult resident served by the program moves out of a foster home that is not 
9.29 	the primary residence of the license holder according to section 256B.49, subdivision 15, 
9.30 	paragraph (f), or the adult community residential setting, the county shall immediately 
9.31 	inform the Department of Human Services Licensing Division. The department may decrease 
9.32 	the statewide licensed capacity for adult foster care settings.
10.1 	(d) Residential settings that would otherwise be subject to the decreased license capacity 
10.2 	established in paragraph (c) shall be exempt if the license holder's beds are occupied by 
10.3 	residents whose primary diagnosis is mental illness and the license holder is certified under 
10.4 	the requirements in subdivision 6a or section 245D.33.
10.5 	(e) A resource need determination process, managed at the state level, using the available 
10.6 	data required by section 144A.351, and other data and information shall be used to determine 
10.7 	where the reduced capacity determined under section 256B.493 will be implemented. The 
10.8 	commissioner shall consult with the stakeholders described in section 144A.351, and employ 
10.9 	a variety of methods to improve the state's capacity to meet the informed decisions of those 
10.10 	people who want to move out of corporate foster care or community residential settings, 
10.11 	long-term service needs within budgetary limits, including seeking proposals from service 
10.12 	providers or lead agencies to change service type, capacity, or location to improve services, 
10.13 	increase the independence of residents, and better meet needs identified by the long-term 
10.14 	services and supports reports and statewide data and information.
10.15 	(f) At the time of application and reapplication for licensure, the applicant and the license 
10.16 	holder that are subject to the moratorium or an exclusion established in paragraph (a) are 
10.17 	required to inform the commissioner whether the physical location where the foster care 
10.18 	will be provided is or will be the primary residence of the license holder for the entire period 
10.19 	of licensure. If the primary residence of the applicant or license holder changes, the applicant 
10.20 	or license holder must notify the commissioner immediately. The commissioner shall print 
10.21 	on the foster care license certificate whether or not the physical location is the primary 
10.22 	residence of the license holder.
10.23 	(g) License holders of foster care homes identified under paragraph (f) that are not the 
10.24 	primary residence of the license holder and that also provide services in the foster care home 
10.25 	that are covered by a federally approved home and community-based services waiver, as 
10.26 	authorized under chapter 256S or section 256B.092 or 256B.49, must inform the human 
10.27 	services licensing division that the license holder provides or intends to provide these 
10.28 	waiver-funded services.
10.29 	(h) The commissioner may adjust capacity to address needs identified in section 
10.30 	144A.351. Under this authority, the commissioner may approve new licensed settings or 
10.31 	delicense existing settings. Delicensing of settings will be accomplished through a process 
10.32 	identified in section 256B.493.
10.33 	(i) The commissioner must notify a license holder when its corporate foster care or 
10.34 	community residential setting licensed beds are reduced under this section. The notice of 
11.1 	reduction of licensed beds must be in writing and delivered to the license holder by certified 
11.2 	mail or personal service. The notice must state why the licensed beds are reduced and must 
11.3 	inform the license holder of its right to request reconsideration by the commissioner. The 
11.4 	license holder's request for reconsideration must be in writing. If mailed, the request for 
11.5 	reconsideration must be postmarked and sent to the commissioner within 20 calendar days 
11.6 	after the license holder's receipt of the notice of reduction of licensed beds. If a request for 
11.7 	reconsideration is made by personal service, it must be received by the commissioner within 
11.8 	20 calendar days after the license holder's receipt of the notice of reduction of licensed beds.
11.9 	(j) The commissioner shall not issue an initial license for children's residential treatment 
11.10 	services licensed under Minnesota Rules, parts 2960.0580 to 2960.0700, under this chapter 
11.11 	for a program that Centers for Medicare and Medicaid Services would consider an institution 
11.12 	for mental diseases. Facilities that serve only private pay clients are exempt from the 
11.13 	moratorium described in this paragraph. The commissioner has the authority to manage 
11.14 	existing statewide capacity for children's residential treatment services subject to the 
11.15 	moratorium under this paragraph and may issue an initial license for such facilities if the 
11.16 	initial license would not increase the statewide capacity for children's residential treatment 
11.17 	services subject to the moratorium under this paragraph.

11.18 	EFFECTIVE DATE. This section is effective August 1, 2024.

11.19 	Sec. 5. Minnesota Statutes 2022, section 245A.11, subdivision 2a, is amended to read:
11.20 		Subd. 2a.Adult foster care and community residential setting license capacity. (a) 
11.21 	The commissioner shall issue adult foster care and community residential setting licenses 
11.22 	with a maximum licensed capacity of four beds, including nonstaff roomers and boarders, 
11.23 	except that the commissioner may issue a license with a capacity of five beds, including 
11.24 	roomers and boarders, according to paragraphs (b) to (g) (h).
11.25 	(b) The license holder may have a maximum license capacity of five if all persons in 
11.26 	care are age 55 or over and do not have a serious and persistent mental illness or a 
11.27 	developmental disability.
11.28 	(c) The commissioner may grant variances to paragraph (b) to allow a facility with a 
11.29 	licensed capacity of up to five persons to admit an individual under the age of 55 if the 
11.30 	variance complies with section 245A.04, subdivision 9, and approval of the variance is 
11.31 	recommended by the county in which the licensed facility is located.
11.32 	(d) The commissioner may grant variances to paragraph (a) to allow the use of an 
11.33 	additional bed, up to six, for emergency crisis services for a person with serious and persistent 
12.1 	mental illness or a developmental disability, regardless of age, if the variance complies with 
12.2 	section 245A.04, subdivision 9, and approval of the variance is recommended by the county 
12.3 	in which the licensed facility is located.
12.4 	(e) The commissioner may grant a variance to paragraph (b) to allow for the use of an 
12.5 	additional bed, up to six, for respite services, as defined in section 245A.02, for persons 
12.6 	with disabilities, regardless of age, if the variance complies with sections 245A.03, 
12.7 	subdivision 7, and 245A.04, subdivision 9, and approval of the variance is recommended 
12.8 	by the county in which the licensed facility is located. Respite care may be provided under 
12.9 	the following conditions:
12.10 	(1) staffing ratios cannot be reduced below the approved level for the individuals being 
12.11 	served in the home on a permanent basis;
12.12 	(2) no more than two different individuals can be accepted for respite services in any 
12.13 	calendar month and the total respite days may not exceed 120 days per program in any 
12.14 	calendar year;
12.15 	(3) the person receiving respite services must have his or her own bedroom, which could 
12.16 	be used for alternative purposes when not used as a respite bedroom, and cannot be the 
12.17 	room of another person who lives in the facility; and
12.18 	(4) individuals living in the facility must be notified when the variance is approved. The 
12.19 	provider must give 60 days' notice in writing to the residents and their legal representatives 
12.20 	prior to accepting the first respite placement. Notice must be given to residents at least two 
12.21 	days prior to service initiation, or as soon as the license holder is able if they receive notice 
12.22 	of the need for respite less than two days prior to initiation, each time a respite client will 
12.23 	be served, unless the requirement for this notice is waived by the resident or legal guardian.
12.24 	(f) The commissioner may issue an adult foster care or community residential setting 
12.25 	license with a capacity of five adults if the fifth bed does not increase the overall statewide 
12.26 	capacity of licensed adult foster care or community residential setting beds in homes that 
12.27 	are not the primary residence of the license holder, as identified in a plan submitted to the 
12.28 	commissioner by the county, when the capacity is recommended by the county licensing 
12.29 	agency of the county in which the facility is located and if the recommendation verifies 
12.30 	that:
12.31 	(1) the facility meets the physical environment requirements in the adult foster care 
12.32 	licensing rule;
12.33 	(2) the five-bed living arrangement is specified for each resident in the resident's:
13.1 	(i) individualized plan of care;
13.2 	(ii) individual service plan under section 256B.092, subdivision 1b, if required; or
13.3 	(iii) individual resident placement agreement under Minnesota Rules, part 9555.5105, 
13.4 	subpart 19, if required;
13.5 	(3) the license holder obtains written and signed informed consent from each resident 
13.6 	or resident's legal representative documenting the resident's informed choice to remain 
13.7 	living in the home and that the resident's refusal to consent would not have resulted in 
13.8 	service termination; and
13.9 	(4) the facility was licensed for adult foster care before March 1, 2016.
13.10 	(g) The commissioner shall not issue a new adult foster care license under paragraph (f) 
13.11 	after December 31, 2020. The commissioner shall allow a facility with an adult foster care 
13.12 	license issued under paragraph (f) before December 31, 2020, to continue with a capacity 
13.13 	of five adults if the license holder continues to comply with the requirements in paragraph 
13.14 	(f).
13.15 	(h) The commissioner may issue an adult foster care or community residential setting 
13.16 	license with a capacity of five or six adults to facilities meeting the criteria in section 
13.17 	245A.03, subdivision 7, paragraph (a), clause (5), and grant variances to paragraph (b) to 
13.18 	allow the facility to admit an individual under the age of 55 if the variance complies with 
13.19 	section 245A.04, subdivision 9, and approval of the variance is recommended by the county 
13.20 	in which the licensed facility is located.
13.21 	(h) (i) Notwithstanding Minnesota Rules, part 9520.0500, adult foster care and community 
13.22 	residential setting licenses with a capacity of up to six adults as allowed under this subdivision 
13.23 	are not required to be licensed as an adult mental health residential program according to 
13.24 	Minnesota Rules, parts 9520.0500 to 9520.0670.

13.25 	EFFECTIVE DATE. This section is effective August 1, 2024.

13.26 	Sec. 6. Minnesota Statutes 2022, section 246.511, as amended by Laws 2024, chapter 79, 
13.27 	article 2, section 39, is amended to read:
13.28 	246.511 RELATIVE RESPONSIBILITY.
13.29 	Except for substance use disorder services paid for with money provided under chapter 
13.30 	254B, the executive board must not require under section 246.51 a client's relatives to pay 
13.31 	more than the following: (1) for services provided in a community-based service, the 
13.32 	noncovered cost of care as determined under the ability to pay determination; and (2) for 
14.1 	services provided at a regional treatment center operated by state-operated services, 20 
14.2 	percent of the cost of care, unless the relatives reside outside the state. The executive board 
14.3 	must determine the responsibility of parents of children in state facilities to pay according 
14.4 	to section 252.27, subdivision 2, or in rules adopted under chapter 254B if the cost of care 
14.5 	is paid under chapter 254B. The executive board may accept voluntary payments in excess 
14.6 	of 20 percent. The executive board may require full payment of the full per capita cost of 
14.7 	care in state facilities for clients whose parent, parents, spouse, guardian, or conservator do 
14.8 	not reside in Minnesota.

14.9 	Sec. 7. Minnesota Statutes 2022, section 252.27, subdivision 2b, is amended to read:
14.10 		Subd. 2b.Child's responsibility Parental or guardian reimbursement to counties. (a) 
14.11 	Parental or guardian responsibility of for the child for the child's cost of care incurred by 
14.12 	counties shall be up to the maximum amount of the total income and resources attributed 
14.13 	to the child except for the clothing and personal needs allowance as provided in section 
14.14 	256B.35, subdivision 1. Reimbursement by the parents and child or guardians shall be made 
14.15 	to the county making any payments for services.
14.16 	(b) Notwithstanding paragraph (a), the county board may require payment of the full 
14.17 	cost of caring for children whose parents or guardians do not reside in this state.
14.18 	(c) To the extent that a child described in subdivision 1 is eligible for benefits under 
14.19 	chapter 62A, 62C, 62D, 62E, or 64B, the county is not liable for the cost of services.

14.20 	Sec. 8. Minnesota Statutes 2022, section 252.282, subdivision 1, is amended to read:
14.21 		Subdivision 1.Host county responsibility. (a) For purposes of this section, "local system 
14.22 	needs planning" means the determination of need for ICF/DD services by program type, 
14.23 	location, demographics, and size of licensed services for persons with developmental 
14.24 	disabilities or related conditions.
14.25 	(b) (a) This section does not apply to semi-independent living services and 
14.26 	residential-based habilitation services funded as home and community-based services.
14.27 	(c) (b) In collaboration with the commissioner and ICF/DD providers, counties shall 
14.28 	complete a local system needs planning process for each ICF/DD facility. Counties shall 
14.29 	evaluate the preferences and needs of persons with developmental disabilities to determine 
14.30 	resource demands through a systematic assessment and planning process by May 15, 2000, 
14.31 	and by July 1 every two years thereafter beginning in 2001.
15.1 	(d) (c) A local system needs planning process shall be undertaken more frequently when 
15.2 	the needs or preferences of consumers change significantly to require reformation of the 
15.3 	resources available to persons with developmental disabilities.
15.4 	(e) (d) A local system needs plan shall be amended anytime recommendations for 
15.5 	modifications to existing ICF/DD services are made to the host county, including 
15.6 	recommendations for:
15.7 	(1) closure;
15.8 	(2) relocation of services;
15.9 	(3) downsizing; or
15.10 	(4) modification of existing services for which a change in the framework of service 
15.11 	delivery is advocated.

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

15.20 	Sec. 10. Minnesota Statutes 2023 Supplement, section 256.4764, subdivision 3, is amended 
15.21 	to read:
15.22 		Subd. 3.Allowable uses of grant money. (a) Grantees must use grant money to provide 
15.23 	payments to eligible workers for the following purposes:
15.24 	(1) retention, recruitment, and incentive payments;
15.25 	(2) postsecondary loan and tuition payments;
15.26 	(3) child care costs;
15.27 	(4) transportation-related costs;
15.28 	(5) personal care assistant background study costs; and
16.1 	(6) other costs associated with retaining and recruiting workers, as approved by the 
16.2 	commissioner.
16.3 	(b) Eligible workers may receive cumulative payments up to $1,000 per calendar year 
16.4 	from the workforce incentive grant account and all other state money intended for the same 
16.5 	purpose. Workers are not eligible for payments under this section if they received payments 
16.6 	under section 256.4766.
16.7 	(c) The commissioner must develop a grant cycle distribution plan that allows for 
16.8 	equitable distribution of money among eligible employers. The commissioner's determination 
16.9 	of the grant awards and amounts is final and is not subject to appeal.

16.10 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2023.

16.11 	Sec. 11. Minnesota Statutes 2022, section 256B.02, subdivision 11, is amended to read:
16.12 		Subd. 11.Related condition. "Related condition" means that condition defined in section 
16.13 	252.27, subdivision 1a a condition:
16.14 	(1) that is found to be closely related to a developmental disability, including but not 
16.15 	limited to cerebral palsy, epilepsy, autism, fetal alcohol spectrum disorder, and Prader-Willi 
16.16 	syndrome; and
16.17 	(2) that meets all of the following criteria:
16.18 	(i) is severe and chronic;
16.19 	(ii) results in impairment of general intellectual functioning or adaptive behavior similar 
16.20 	to that of persons with developmental disabilities;
16.21 	(iii) requires treatment or services similar to those required for persons with 
16.22 	developmental disabilities;
16.23 	(iv) is manifested before the person reaches 22 years of age;
16.24 	(v) is likely to continue indefinitely;
16.25 	(vi) results in substantial functional limitations in three or more of the following areas 
16.26 	of major life activity:
16.27 	(A) self-care;
16.28 	(B) understanding and use of language;
16.29 	(C) learning;
16.30 	(D) mobility;
17.1 	(E) self-direction; or
17.2 	(F) capacity for independent living; and
17.3 	(vii) is not attributable to mental illness as defined in section 245.462, subdivision 20, 
17.4 	or an emotional disturbance as defined in section 245.4871, subdivision 15. For purposes 
17.5 	of this item, notwithstanding section 245.462, subdivision 20, or 245.4871, subdivision 15, 
17.6 	"mental illness" does not include autism or other pervasive developmental disorders.

17.7 	Sec. 12. Minnesota Statutes 2022, section 256B.076, is amended by adding a subdivision 
17.8 	to read:
17.9 		Subd. 4.Case management provided under contract. If a county agency provides 
17.10 	case management under contracts with other individuals or agencies and the county agency 
17.11 	utilizes a competitive proposal process for the procurement of contracted case management 
17.12 	services, the competitive proposal process must include evaluation criteria to ensure that 
17.13 	the county maintains a culturally responsive program for case management services adequate 
17.14 	to meet the needs of the population of the county. For the purposes of this section, "culturally 
17.15 	responsive program" means a case management services program that:
17.16 	(1) ensures effective, equitable, comprehensive, and respectful quality care services that 
17.17 	are responsive to individuals within a specific population's values, beliefs, practices, health 
17.18 	literacy, preferred language, and other communication needs; and
17.19 	(2) is designed to address the unique needs of individuals who share a common language 
17.20 	or racial, ethnic, or social background.

17.21 	EFFECTIVE DATE. This section is effective August 1, 2024, and applies to 
17.22 	procurement processes that commence on or after that date.

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

18.1 	Sec. 14. Minnesota Statutes 2023 Supplement, section 256B.0911, subdivision 13, is 
18.2 	amended to read:
18.3 		Subd. 13.MnCHOICES assessor qualifications, training, and certification. (a) The 
18.4 	commissioner shall develop and implement a curriculum and an assessor certification 
18.5 	process.
18.6 	(b) MnCHOICES certified assessors must:
18.7 	(1) either have a bachelor's degree in social work, nursing with a public health nursing 
18.8 	certificate, or other closely related field or be a registered nurse with at least two years of 
18.9 	home and community-based experience; and
18.10 	(2) have received training and certification specific to assessment and consultation for 
18.11 	long-term care services in the state.
18.12 	(c) Certified assessors shall demonstrate best practices in assessment and support 
18.13 	planning, including person-centered planning principles, and have a common set of skills 
18.14 	that ensures consistency and equitable access to services statewide.
18.15 	(d) Certified assessors must be recertified every three years.

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

18.17 	Sec. 15. Minnesota Statutes 2022, section 256B.0911, subdivision 17, is amended to read:
18.18 		Subd. 17.MnCHOICES assessments. (a) A person requesting long-term care 
18.19 	consultation services must be visited by a long-term care consultation team within 20 
18.20 	calendar working days after the date on which an assessment was requested or recommended. 
18.21 	Assessments must be conducted according to this subdivision and subdivisions 19 to 21, 
18.22 	23, 24, and 29 to 31.
18.23 	(b) Lead agencies shall use certified assessors to conduct the assessment.
18.24 	(c) For a person with complex health care needs, a public health or registered nurse from 
18.25 	the team must be consulted.
18.26 	(d) The lead agency must use the MnCHOICES assessment provided by the commissioner 
18.27 	to complete a comprehensive, conversation-based, person-centered assessment. The 
18.28 	assessment must include the health, psychological, functional, environmental, and social 
18.29 	needs of the individual necessary to develop a person-centered assessment summary that 
18.30 	meets the individual's needs and preferences.
19.1 	(e) Except as provided in subdivision 24, an assessment must be conducted by a certified 
19.2 	assessor in an in-person conversational interview with the person being assessed.

19.3 	Sec. 16. Minnesota Statutes 2022, section 256B.0911, subdivision 20, is amended to read:
19.4 		Subd. 20.MnCHOICES assessments; duration of validity. (a) An assessment that is 
19.5 	completed as part of an eligibility determination for multiple programs for the alternative 
19.6 	care, elderly waiver, developmental disabilities, community access for disability inclusion, 
19.7 	community alternative care, and brain injury waiver programs under chapter 256S and 
19.8 	sections 256B.0913, 256B.092, and 256B.49 is valid to establish service eligibility for no 
19.9 	more than 60 calendar 365 days after the date of the assessment.
19.10 	(b) The effective eligibility start date for programs in paragraph (a) can never be prior 
19.11 	to the date of assessment. If an assessment was completed more than 60 days before the 
19.12 	effective waiver or alternative care program eligibility start date, assessment and support 
19.13 	plan information must be updated and documented in the department's Medicaid Management 
19.14 	Information System (MMIS). Notwithstanding retroactive medical assistance coverage of 
19.15 	state plan services, the effective date of eligibility for programs included in paragraph (a) 
19.16 	cannot be prior to the completion date of the most recent updated assessment.
19.17 	(c) If an eligibility update is completed within 90 days of the previous assessment and 
19.18 	documented in the department's Medicaid Management Information System (MMIS), the 
19.19 	effective date of eligibility for programs included in paragraph (a) is the date of the previous 
19.20 	in-person assessment when all other eligibility requirements are met.

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

19.22 	Sec. 17. Minnesota Statutes 2023 Supplement, section 256B.092, subdivision 1a, is 
19.23 	amended to read:
19.24 		Subd. 1a.Case management services. (a) Each recipient of a home and community-based 
19.25 	waiver shall be provided case management services by qualified vendors as described in 
19.26 	the federally approved waiver application.
19.27 	(b) Case management service activities provided to or arranged for a person include:
19.28 	(1) development of the person-centered support plan under subdivision 1b;
19.29 	(2) informing the individual or the individual's legal guardian or conservator, or parent 
19.30 	if the person is a minor, of service options, including all service options available under the 
19.31 	waiver plan;
20.1 	(3) consulting with relevant medical experts or service providers;
20.2 	(4) assisting the person in the identification of potential providers of chosen services, 
20.3 	including:
20.4 	(i) providers of services provided in a non-disability-specific setting;
20.5 	(ii) employment service providers;
20.6 	(iii) providers of services provided in settings that are not controlled by a provider; and
20.7 	(iv) providers of financial management services;
20.8 	(5) assisting the person to access services and assisting in appeals under section 256.045;
20.9 	(6) coordination of services, if coordination is not provided by another service provider;
20.10 	(7) evaluation and monitoring of the services identified in the support plan, which must 
20.11 	incorporate at least one annual face-to-face visit by the case manager with each person; and
20.12 	(8) reviewing support plans and providing the lead agency with recommendations for 
20.13 	service authorization based upon the individual's needs identified in the support plan.
20.14 	(c) Case management service activities that are provided to the person with a 
20.15 	developmental disability shall be provided directly by county agencies or under contract. 
20.16 	If a county agency contracts for case management services, the county agency must provide 
20.17 	each recipient of home and community-based services who is receiving contracted case 
20.18 	management services with the contact information the recipient may use to file a grievance 
20.19 	with the county agency about the quality of the contracted services the recipient is receiving 
20.20 	from a county-contracted case manager. If a county agency provides case management 
20.21 	under contracts with other individuals or agencies and the county agency utilizes a 
20.22 	competitive proposal process for the procurement of contracted case management services, 
20.23 	the competitive proposal process must include evaluation criteria to ensure that the county 
20.24 	maintains a culturally responsive program for case management services adequate to meet 
20.25 	the needs of the population of the county. For the purposes of this section, "culturally 
20.26 	responsive program" means a case management services program that: (1) ensures effective, 
20.27 	equitable, comprehensive, and respectful quality care services that are responsive to 
20.28 	individuals within a specific population's values, beliefs, practices, health literacy, preferred 
20.29 	language, and other communication needs; and (2) is designed to address the unique needs 
20.30 	of individuals who share a common language or racial, ethnic, or social background.
20.31 	(d) Case management services must be provided by a public or private agency that is 
20.32 	enrolled as a medical assistance provider determined by the commissioner to meet all of 
21.1 	the requirements in the approved federal waiver plans. Case management services must not 
21.2 	be provided to a recipient by a private agency that has a financial interest in the provision 
21.3 	of any other services included in the recipient's support plan. For purposes of this section, 
21.4 	"private agency" means any agency that is not identified as a lead agency under section 
21.5 	256B.0911, subdivision 10.
21.6 	(d) (e) Case managers are responsible for service provisions listed in paragraphs (a) and 
21.7 	(b). Case managers shall collaborate with consumers, families, legal representatives, and 
21.8 	relevant medical experts and service providers in the development and annual review of the 
21.9 	person-centered support plan and habilitation plan.
21.10 	(e) (f) For persons who need a positive support transition plan as required in chapter 
21.11 	245D, the case manager shall participate in the development and ongoing evaluation of the 
21.12 	plan with the expanded support team. At least quarterly, the case manager, in consultation 
21.13 	with the expanded support team, shall evaluate the effectiveness of the plan based on progress 
21.14 	evaluation data submitted by the licensed provider to the case manager. The evaluation must 
21.15 	identify whether the plan has been developed and implemented in a manner to achieve the 
21.16 	following within the required timelines:
21.17 	(1) phasing out the use of prohibited procedures;
21.18 	(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's 
21.19 	timeline; and
21.20 	(3) accomplishment of identified outcomes.
21.21 	If adequate progress is not being made, the case manager shall consult with the person's 
21.22 	expanded support team to identify needed modifications and whether additional professional 
21.23 	support is required to provide consultation.
21.24 	(f) (g) The Department of Human Services shall offer ongoing education in case 
21.25 	management to case managers. Case managers shall receive no less than 20 hours of case 
21.26 	management education and disability-related training each year. The education and training 
21.27 	must include person-centered planning, informed choice, cultural competency, employment 
21.28 	planning, community living planning, self-direction options, and use of technology supports. 
21.29 	By August 1, 2024, all case managers must complete an employment support training course 
21.30 	identified by the commissioner of human services. For case managers hired after August 
21.31 	1, 2024, this training must be completed within the first six months of providing case 
21.32 	management services. For the purposes of this section, "person-centered planning" or 
21.33 	"person-centered" has the meaning given in section 256B.0911, subdivision 10. Case 
21.34 	managers must document completion of training in a system identified by the commissioner.

22.1 	EFFECTIVE DATE. This section is effective August 1, 2024, and applies to 
22.2 	procurement processes that commence on or after that date.

22.3 	Sec. 18. Minnesota Statutes 2022, section 256B.0924, subdivision 3, is amended to read:
22.4 		Subd. 3.Eligibility. Persons are eligible to receive targeted case management services 
22.5 	under this section if the requirements in paragraphs (a) and (b) are met.
22.6 	(a) The person must be assessed and determined by the local county agency to:
22.7 	(1) be age 18 or older;
22.8 	(2) be receiving medical assistance;
22.9 	(3) have significant functional limitations; and
22.10 	(4) be in need of service coordination to attain or maintain living in an integrated 
22.11 	community setting.
22.12 	(b) The person must be a vulnerable adult in need of adult protection as defined in section 
22.13 	626.5572, or is an adult with a developmental disability as defined in section 252A.02, 
22.14 	subdivision 2, or a related condition as defined in section 252.27, subdivision 1a 256B.02, 
22.15 	subdivision 11, and is not receiving home and community-based waiver services, or is an 
22.16 	adult who lacks a permanent residence and who has been without a permanent residence 
22.17 	for at least one year or on at least four occasions in the last three years.

22.18 	Sec. 19. Minnesota Statutes 2023 Supplement, section 256B.0949, subdivision 15, is 
22.19 	amended to read:
22.20 		Subd. 15.EIDBI provider qualifications. (a) A QSP must be employed by an agency 
22.21 	and be:
22.22 	(1) a licensed mental health professional who has at least 2,000 hours of supervised 
22.23 	clinical experience or training in examining or treating people with ASD or a related condition 
22.24 	or equivalent documented coursework at the graduate level by an accredited university in 
22.25 	ASD diagnostics, ASD developmental and behavioral treatment strategies, and typical child 
22.26 	development; or
22.27 	(2) a developmental or behavioral pediatrician who has at least 2,000 hours of supervised 
22.28 	clinical experience or training in examining or treating people with ASD or a related condition 
22.29 	or equivalent documented coursework at the graduate level by an accredited university in 
22.30 	the areas of ASD diagnostics, ASD developmental and behavioral treatment strategies, and 
22.31 	typical child development.
23.1 	(b) A level I treatment provider must be employed by an agency and:
23.2 	(1) have at least 2,000 hours of supervised clinical experience or training in examining 
23.3 	or treating people with ASD or a related condition or equivalent documented coursework 
23.4 	at the graduate level by an accredited university in ASD diagnostics, ASD developmental 
23.5 	and behavioral treatment strategies, and typical child development or an equivalent 
23.6 	combination of documented coursework or hours of experience; and
23.7 	(2) have or be at least one of the following:
23.8 	(i) a master's degree in behavioral health or child development or related fields including, 
23.9 	but not limited to, mental health, special education, social work, psychology, speech 
23.10 	pathology, or occupational therapy from an accredited college or university;
23.11 	(ii) a bachelor's degree in a behavioral health, child development, or related field 
23.12 	including, but not limited to, mental health, special education, social work, psychology, 
23.13 	speech pathology, or occupational therapy, from an accredited college or university, and 
23.14 	advanced certification in a treatment modality recognized by the department;
23.15 	(iii) a board-certified behavior analyst as defined by the Behavior Analyst Certification 
23.16 	Board or a qualified behavior analyst as defined by the Qualified Applied Behavior Analysis 
23.17 	Credentialing Board; or
23.18 	(iv) a board-certified assistant behavior analyst with 4,000 hours of supervised clinical 
23.19 	experience that meets all registration, supervision, and continuing education requirements 
23.20 	of the certification.
23.21 	(c) A level II treatment provider must be employed by an agency and must be:
23.22 	(1) a person who has a bachelor's degree from an accredited college or university in a 
23.23 	behavioral or child development science or related field including, but not limited to, mental 
23.24 	health, special education, social work, psychology, speech pathology, or occupational 
23.25 	therapy; and meets at least one of the following:
23.26 	(i) has at least 1,000 hours of supervised clinical experience or training in examining or 
23.27 	treating people with ASD or a related condition or equivalent documented coursework at 
23.28 	the graduate level by an accredited university in ASD diagnostics, ASD developmental and 
23.29 	behavioral treatment strategies, and typical child development or a combination of 
23.30 	coursework or hours of experience;
23.31 	(ii) has certification as a board-certified assistant behavior analyst from the Behavior 
23.32 	Analyst Certification Board or a qualified autism service practitioner from the Qualified 
23.33 	Applied Behavior Analysis Credentialing Board;
24.1 	(iii) is a registered behavior technician as defined by the Behavior Analyst Certification 
24.2 	Board or an applied behavior analysis technician as defined by the Qualified Applied 
24.3 	Behavior Analysis Credentialing Board; or
24.4 	(iv) is certified in one of the other treatment modalities recognized by the department; 
24.5 	or
24.6 	(2) a person who has:
24.7 	(i) an associate's degree in a behavioral or child development science or related field 
24.8 	including, but not limited to, mental health, special education, social work, psychology, 
24.9 	speech pathology, or occupational therapy from an accredited college or university; and
24.10 	(ii) at least 2,000 hours of supervised clinical experience in delivering treatment to people 
24.11 	with ASD or a related condition. Hours worked as a mental health behavioral aide or level 
24.12 	III treatment provider may be included in the required hours of experience; or
24.13 	(3) a person who has at least 4,000 hours of supervised clinical experience in delivering 
24.14 	treatment to people with ASD or a related condition. Hours worked as a mental health 
24.15 	behavioral aide or level III treatment provider may be included in the required hours of 
24.16 	experience; or
24.17 	(4) a person who is a graduate student in a behavioral science, child development science, 
24.18 	or related field and is receiving clinical supervision by a QSP affiliated with an agency to 
24.19 	meet the clinical training requirements for experience and training with people with ASD 
24.20 	or a related condition; or
24.21 	(5) a person who is at least 18 years of age and who:
24.22 	(i) is fluent in a non-English language or is an individual certified by a Tribal Nation;
24.23 	(ii) completed the level III EIDBI training requirements; and
24.24 	(iii) receives observation and direction from a QSP or level I treatment provider at least 
24.25 	once a week until the person meets 1,000 hours of supervised clinical experience.
24.26 	(d) A level III treatment provider must be employed by an agency, have completed the 
24.27 	level III training requirement, be at least 18 years of age, and have at least one of the 
24.28 	following:
24.29 	(1) a high school diploma or commissioner of education-selected high school equivalency 
24.30 	certification;
24.31 	(2) fluency in a non-English language or Tribal Nation certification;
25.1 	(3) one year of experience as a primary personal care assistant, community health worker, 
25.2 	waiver service provider, or special education assistant to a person with ASD or a related 
25.3 	condition within the previous five years; or
25.4 	(4) completion of all required EIDBI training within six months of employment.

25.5 	Sec. 20. Minnesota Statutes 2023 Supplement, section 256B.49, subdivision 13, is amended 
25.6 	to read:
25.7 		Subd. 13.Case management. (a) Each recipient of a home and community-based waiver 
25.8 	shall be provided case management services by qualified vendors as described in the federally 
25.9 	approved waiver application. The case management service activities provided must include:
25.10 	(1) finalizing the person-centered written support plan within the timelines established 
25.11 	by the commissioner and section 256B.0911, subdivision 29;
25.12 	(2) informing the recipient or the recipient's legal guardian or conservator of service 
25.13 	options, including all service options available under the waiver plans;
25.14 	(3) assisting the recipient in the identification of potential service providers of chosen 
25.15 	services, including:
25.16 	(i) available options for case management service and providers;
25.17 	(ii) providers of services provided in a non-disability-specific setting;
25.18 	(iii) employment service providers;
25.19 	(iv) providers of services provided in settings that are not community residential settings; 
25.20 	and
25.21 	(v) providers of financial management services;
25.22 	(4) assisting the recipient to access services and assisting with appeals under section 
25.23 	256.045; and
25.24 	(5) coordinating, evaluating, and monitoring of the services identified in the service 
25.25 	plan.
25.26 	(b) The case manager may delegate certain aspects of the case management service 
25.27 	activities to another individual provided there is oversight by the case manager. The case 
25.28 	manager may not delegate those aspects which require professional judgment including:
25.29 	(1) finalizing the person-centered support plan;
26.1 	(2) ongoing assessment and monitoring of the person's needs and adequacy of the 
26.2 	approved person-centered support plan; and
26.3 	(3) adjustments to the person-centered support plan.
26.4 	(c) Case management services must be provided by a public or private agency that is 
26.5 	enrolled as a medical assistance provider determined by the commissioner to meet all of 
26.6 	the requirements in the approved federal waiver plans. If a county agency provides case 
26.7 	management under contracts with other individuals or agencies and the county agency 
26.8 	utilizes a competitive proposal process for the procurement of contracted case management 
26.9 	services, the competitive proposal process must include evaluation criteria to ensure that 
26.10 	the county maintains a culturally responsive program for case management services adequate 
26.11 	to meet the needs of the population of the county. For the purposes of this section, "culturally 
26.12 	responsive program" means a case management services program that: (1) ensures effective, 
26.13 	equitable, comprehensive, and respectful quality care services that are responsive to 
26.14 	individuals within a specific population's values, beliefs, practices, health literacy, preferred 
26.15 	language, and other communication needs; and (2) is designed to address the unique needs 
26.16 	of individuals who share a common language or racial, ethnic, or social background.
26.17 	(d) Case management services must not be provided to a recipient by a private agency 
26.18 	that has any financial interest in the provision of any other services included in the recipient's 
26.19 	support plan. For purposes of this section, "private agency" means any agency that is not 
26.20 	identified as a lead agency under section 256B.0911, subdivision 10.
26.21 	(d) (e) For persons who need a positive support transition plan as required in chapter 
26.22 	245D, the case manager shall participate in the development and ongoing evaluation of the 
26.23 	plan with the expanded support team. At least quarterly, the case manager, in consultation 
26.24 	with the expanded support team, shall evaluate the effectiveness of the plan based on progress 
26.25 	evaluation data submitted by the licensed provider to the case manager. The evaluation must 
26.26 	identify whether the plan has been developed and implemented in a manner to achieve the 
26.27 	following within the required timelines:
26.28 	(1) phasing out the use of prohibited procedures;
26.29 	(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's 
26.30 	timeline; and
26.31 	(3) accomplishment of identified outcomes.
27.1 	If adequate progress is not being made, the case manager shall consult with the person's 
27.2 	expanded support team to identify needed modifications and whether additional professional 
27.3 	support is required to provide consultation.
27.4 	(e) (f) The Department of Human Services shall offer ongoing education in case 
27.5 	management to case managers. Case managers shall receive no less than 20 hours of case 
27.6 	management education and disability-related training each year. The education and training 
27.7 	must include person-centered planning, informed choice, cultural competency, employment 
27.8 	planning, community living planning, self-direction options, and use of technology supports. 
27.9 	By August 1, 2024, all case managers must complete an employment support training course 
27.10 	identified by the commissioner of human services. For case managers hired after August 
27.11 	1, 2024, this training must be completed within the first six months of providing case 
27.12 	management services. For the purposes of this section, "person-centered planning" or 
27.13 	"person-centered" has the meaning given in section 256B.0911, subdivision 10. Case 
27.14 	managers shall document completion of training in a system identified by the commissioner.

27.15 	EFFECTIVE DATE. This section is effective August 1, 2024, and applies to 
27.16 	procurement processes that commence on or after that date.

27.17 	Sec. 21. Minnesota Statutes 2022, section 256B.49, subdivision 16, is amended to read:
27.18 		Subd. 16.Services and supports. (a) Services and supports included in the home and 
27.19 	community-based waivers for persons with disabilities must meet the requirements set out 
27.20 	in United States Code, title 42, section 1396n. The services and supports, which are offered 
27.21 	as alternatives to institutional care, must promote consumer choice, community inclusion, 
27.22 	self-sufficiency, and self-determination.
27.23 	(b) The commissioner must simplify and improve access to home and community-based 
27.24 	waivered waiver services, to the extent possible, through the establishment of a common 
27.25 	service menu that is available to eligible recipients regardless of age, disability type, or 
27.26 	waiver program.
27.27 	(c) Consumer-directed community supports must be offered as an option to all persons 
27.28 	eligible for services under subdivision 11.
27.29 	(d) Services and supports must be arranged and provided consistent with individualized 
27.30 	written plans of care for eligible waiver recipients.
27.31 	(e) A transitional supports allowance must be available to all persons under a home and 
27.32 	community-based waiver who are moving from a licensed setting to a community setting. 
27.33 	"Transitional supports allowance" means a onetime payment of up to $3,000, to cover the 
28.1 	costs, not covered by other sources, associated with moving from a licensed setting to a 
28.2 	community setting. Covered costs include:
28.3 	(1) lease or rent deposits;
28.4 	(2) security deposits;
28.5 	(3) utilities setup costs, including telephone;
28.6 	(4) essential furnishings and supplies; and
28.7 	(5) personal supports and transports needed to locate and transition to community settings.
28.8 	(f) (e) The state of Minnesota and county agencies that administer home and 
28.9 	community-based waivered waiver services for persons with disabilities must not be liable 
28.10 	for damages, injuries, or liabilities sustained through the purchase of supports by the 
28.11 	individual, the individual's family, legal representative, or the authorized representative 
28.12 	with funds received through consumer-directed community supports under this section. 
28.13 	Liabilities include but are not limited to workers' compensation liability, the Federal Insurance 
28.14 	Contributions Act (FICA), or the Federal Unemployment Tax Act (FUTA).

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

28.16 	Sec. 22. Minnesota Statutes 2022, section 256B.4911, is amended by adding a subdivision 
28.17 	to read:
28.18 		Subd. 7.Budget procedures. When a lead agency authorizes or reauthorizes 
28.19 	consumer-directed community supports services for a home and community-based services 
28.20 	waiver participant, the lead agency must provide to the waiver participant and the waiver 
28.21 	participant's legal representative the following information in an accessible format and in 
28.22 	a manner that meets the participant's needs:
28.23 	(1) an explanation of how the participant's consumer-directed community supports 
28.24 	services budget was calculated, including a detailed explanation of the variables used in the 
28.25 	budget formula;
28.26 	(2) a copy of the formula used to calculate the participant's consumer-directed community 
28.27 	supports services budget; and
28.28 	(3) information about the participant's right to appeal the consumer-directed community 
28.29 	supports services budget in accordance with sections 256.045 and 256.0451.

29.1 	Sec. 23. Minnesota Statutes 2022, section 256B.4911, is amended by adding a subdivision 
29.2 	to read:
29.3 		Subd. 8.Consumer-directed community supports policy. Policies governing the 
29.4 	consumer-directed community supports program must be created solely by the commissioner. 
29.5 	Lead agencies must not create or implement any policies that are in addition to or inconsistent 
29.6 	with policies created by the commissioner or federal or state laws. Any handbooks, 
29.7 	procedures, or other guidance documents maintained by a lead agency do not have the force 
29.8 	or effect of law, and must not be given deference if introduced in a state fair hearing 
29.9 	conducted under sections 256.045 and 256.0451.

29.10 	Sec. 24. Minnesota Statutes 2022, section 256B.4912, subdivision 1, is amended to read:
29.11 		Subdivision 1.Provider qualifications. (a) For the home and community-based waivers 
29.12 	providing services to seniors and individuals with disabilities under chapter 256S and 
29.13 	sections 256B.0913, 256B.092, and 256B.49, the commissioner shall establish:
29.14 	(1) agreements with enrolled waiver service providers to ensure providers meet Minnesota 
29.15 	health care program requirements;
29.16 	(2) regular reviews of provider qualifications, and including requests of proof of 
29.17 	documentation; and
29.18 	(3) processes to gather the necessary information to determine provider qualifications.
29.19 	(b) A provider shall not require or coerce any service recipient to change waiver programs 
29.20 	or move to a different location, consistent with the informed choice and independent living 
29.21 	policies under section 256B.4905, subdivisions 1a, 2a, 3a, 7, and 8.
29.22 	(b) (c) Beginning July 1, 2012, staff that provide direct contact, as defined in section 
29.23 	245C.02, subdivision 11, for services specified in the federally approved waiver plans must 
29.24 	meet the requirements of chapter 245C prior to providing waiver services and as part of 
29.25 	ongoing enrollment. Upon federal approval, this requirement must also apply to 
29.26 	consumer-directed community supports.
29.27 	(c) (d) Beginning January 1, 2014, service owners and managerial officials overseeing 
29.28 	the management or policies of services that provide direct contact as specified in the federally 
29.29 	approved waiver plans must meet the requirements of chapter 245C prior to reenrollment 
29.30 	or revalidation or, for new providers, prior to initial enrollment if they have not already 
29.31 	done so as a part of service licensure requirements.

30.1 	Sec. 25. Minnesota Statutes 2023 Supplement, section 256B.766, is amended to read:
30.2 	256B.766 REIMBURSEMENT FOR BASIC CARE SERVICES.
30.3 	(a) Effective for services provided on or after July 1, 2009, total payments for basic care 
30.4 	services, shall be reduced by three percent, except that for the period July 1, 2009, through 
30.5 	June 30, 2011, total payments shall be reduced by 4.5 percent for the medical assistance 
30.6 	and general assistance medical care programs, prior to third-party liability and spenddown 
30.7 	calculation. Effective July 1, 2010, the commissioner shall classify physical therapy services, 
30.8 	occupational therapy services, and speech-language pathology and related services as basic 
30.9 	care services. The reduction in this paragraph shall apply to physical therapy services, 
30.10 	occupational therapy services, and speech-language pathology and related services provided 
30.11 	on or after July 1, 2010.
30.12 	(b) Payments made to managed care plans and county-based purchasing plans shall be 
30.13 	reduced for services provided on or after October 1, 2009, to reflect the reduction effective 
30.14 	July 1, 2009, and payments made to the plans shall be reduced effective October 1, 2010, 
30.15 	to reflect the reduction effective July 1, 2010.
30.16 	(c) Effective for services provided on or after September 1, 2011, through June 30, 2013, 
30.17 	total payments for outpatient hospital facility fees shall be reduced by five percent from the 
30.18 	rates in effect on August 31, 2011.
30.19 	(d) Effective for services provided on or after September 1, 2011, through June 30, 2013, 
30.20 	total payments for ambulatory surgery centers facility fees, medical supplies and durable 
30.21 	medical equipment not subject to a volume purchase contract, prosthetics and orthotics, 
30.22 	renal dialysis services, laboratory services, public health nursing services, physical therapy 
30.23 	services, occupational therapy services, speech therapy services, eyeglasses not subject to 
30.24 	a volume purchase contract, hearing aids not subject to a volume purchase contract, and 
30.25 	anesthesia services shall be reduced by three percent from the rates in effect on August 31, 
30.26 	2011.
30.27 	(e) Effective for services provided on or after September 1, 2014, payments for 
30.28 	ambulatory surgery centers facility fees, hospice services, renal dialysis services, laboratory 
30.29 	services, public health nursing services, eyeglasses not subject to a volume purchase contract, 
30.30 	and hearing aids not subject to a volume purchase contract shall be increased by three percent 
30.31 	and payments for outpatient hospital facility fees shall be increased by three percent. 
30.32 	Payments made to managed care plans and county-based purchasing plans shall not be 
30.33 	adjusted to reflect payments under this paragraph.
31.1 	(f) Payments for medical supplies and durable medical equipment not subject to a volume 
31.2 	purchase contract, and prosthetics and orthotics, provided on or after July 1, 2014, through 
31.3 	June 30, 2015, shall be decreased by .33 percent. Payments for medical supplies and durable 
31.4 	medical equipment not subject to a volume purchase contract, and prosthetics and orthotics, 
31.5 	provided on or after July 1, 2015, shall be increased by three percent from the rates as 
31.6 	determined under paragraphs (i) and (j).
31.7 	(g) Effective for services provided on or after July 1, 2015, payments for outpatient 
31.8 	hospital facility fees, medical supplies and durable medical equipment not subject to a 
31.9 	volume purchase contract, prosthetics, and orthotics to a hospital meeting the criteria specified 
31.10 	in section 62Q.19, subdivision 1, paragraph (a), clause (4), shall be increased by 90 percent 
31.11 	from the rates in effect on June 30, 2015. Payments made to managed care plans and 
31.12 	county-based purchasing plans shall not be adjusted to reflect payments under this paragraph.
31.13 	(h) This section does not apply to physician and professional services, inpatient hospital 
31.14 	services, family planning services, mental health services, dental services, prescription 
31.15 	drugs, medical transportation, federally qualified health centers, rural health centers, Indian 
31.16 	health services, and Medicare cost-sharing.
31.17 	(i) Effective for services provided on or after July 1, 2015, the following categories of 
31.18 	medical supplies and durable medical equipment shall be individually priced items: 
31.19 	customized and other specialized tracheostomy tubes and supplies, electric patient lifts, and 
31.20 	durable medical equipment repair and service. This paragraph does not apply to medical 
31.21 	supplies and durable medical equipment subject to a volume purchase contract, products 
31.22 	subject to the preferred diabetic testing supply program, and items provided to dually eligible 
31.23 	recipients when Medicare is the primary payer for the item. The commissioner shall not 
31.24 	apply any medical assistance rate reductions to durable medical equipment as a result of 
31.25 	Medicare competitive bidding.
31.26 	(j) Effective for services provided on or after July 1, 2015, medical assistance payment 
31.27 	rates for durable medical equipment, prosthetics, orthotics, or supplies shall be increased 
31.28 	as follows:
31.29 	(1) payment rates for durable medical equipment, prosthetics, orthotics, or supplies that 
31.30 	were subject to the Medicare competitive bid that took effect in January of 2009 shall be 
31.31 	increased by 9.5 percent; and
31.32 	(2) payment rates for durable medical equipment, prosthetics, orthotics, or supplies on 
31.33 	the medical assistance fee schedule, whether or not subject to the Medicare competitive bid 
32.1 	that took effect in January of 2009, shall be increased by 2.94 percent, with this increase 
32.2 	being applied after calculation of any increased payment rate under clause (1).
32.3 	This paragraph does not apply to medical supplies and durable medical equipment subject 
32.4 	to a volume purchase contract, products subject to the preferred diabetic testing supply 
32.5 	program, items provided to dually eligible recipients when Medicare is the primary payer 
32.6 	for the item, and individually priced items identified in paragraph (i). Payments made to 
32.7 	managed care plans and county-based purchasing plans shall not be adjusted to reflect the 
32.8 	rate increases in this paragraph.
32.9 	(k) Effective for nonpressure support ventilators provided on or after January 1, 2016, 
32.10 	the rate shall be the lower of the submitted charge or the Medicare fee schedule rate. Effective 
32.11 	for pressure support ventilators provided on or after January 1, 2016, the rate shall be the 
32.12 	lower of the submitted charge or 47 percent above the Medicare fee schedule rate. For 
32.13 	payments made in accordance with this paragraph, if, and to the extent that, the commissioner 
32.14 	identifies that the state has received federal financial participation for ventilators in excess 
32.15 	of the amount allowed effective January 1, 2018, under United States Code, title 42, section 
32.16 	1396b(i)(27), the state shall repay the excess amount to the Centers for Medicare and 
32.17 	Medicaid Services with state funds and maintain the full payment rate under this paragraph.
32.18 	(l) Payment rates for durable medical equipment, prosthetics, orthotics or supplies, that 
32.19 	are subject to the upper payment limit in accordance with section 1903(i)(27) of the Social 
32.20 	Security Act, shall be paid the Medicare rate. Rate increases provided in this chapter shall 
32.21 	not be applied to the items listed in this paragraph.
32.22 	(m) For dates of service on or after July 1, 2023, through June 30, 2024 2025, enteral 
32.23 	nutrition and supplies must be paid according to this paragraph. If sufficient data exists for 
32.24 	a product or supply, payment must be based upon the 50th percentile of the usual and 
32.25 	customary charges per product code submitted to the commissioner, using only charges 
32.26 	submitted per unit. Increases in rates resulting from the 50th percentile payment method 
32.27 	must not exceed 150 percent of the previous fiscal year's rate per code and product 
32.28 	combination. Data are sufficient if: (1) the commissioner has at least 100 paid claim lines 
32.29 	by at least ten different providers for a given product or supply; or (2) in the absence of the 
32.30 	data in clause (1), the commissioner has at least 20 claim lines by at least five different 
32.31 	providers for a product or supply that does not meet the requirements of clause (1). If 
32.32 	sufficient data are not available to calculate the 50th percentile for enteral products or 
32.33 	supplies, the payment rate must be the payment rate in effect on June 30, 2023.
33.1 	(n) For dates of service on or after July 1, 2024 2025, enteral nutrition and supplies must 
33.2 	be paid according to this paragraph and updated annually each January 1. If sufficient data 
33.3 	exists for a product or supply, payment must be based upon the 50th percentile of the usual 
33.4 	and customary charges per product code submitted to the commissioner for the previous 
33.5 	calendar year, using only charges submitted per unit. Increases in rates resulting from the 
33.6 	50th percentile payment method must not exceed 150 percent of the previous year's rate per 
33.7 	code and product combination. Data are sufficient if: (1) the commissioner has at least 100 
33.8 	paid claim lines by at least ten different providers for a given product or supply; or (2) in 
33.9 	the absence of the data in clause (1), the commissioner has at least 20 claim lines by at least 
33.10 	five different providers for a product or supply that does not meet the requirements of clause 
33.11 	(1). If sufficient data are not available to calculate the 50th percentile for enteral products 
33.12 	or supplies, the payment must be the manufacturer's suggested retail price of that product 
33.13 	or supply minus 20 percent. If the manufacturer's suggested retail price is not available, 
33.14 	payment must be the actual acquisition cost of that product or supply plus 20 percent.

33.15 	Sec. 26. Minnesota Statutes 2022, section 256B.77, subdivision 7a, is amended to read:
33.16 		Subd. 7a.Eligible individuals. (a) Persons are eligible for the demonstration project as 
33.17 	provided in this subdivision.
33.18 	(b) "Eligible individuals" means those persons living in the demonstration site who are 
33.19 	eligible for medical assistance and are disabled based on a disability determination under 
33.20 	section 256B.055, subdivisions 7 and 12, or who are eligible for medical assistance and 
33.21 	have been diagnosed as having:
33.22 	(1) serious and persistent mental illness as defined in section 245.462, subdivision 20;
33.23 	(2) severe emotional disturbance as defined in section 245.4871, subdivision 6; or
33.24 	(3) developmental disability, or being a person with a developmental disability as defined 
33.25 	in section 252A.02, or a related condition as defined in section 252.27, subdivision 1a
33.26 	256B.02, subdivision 11.
33.27 	Other individuals may be included at the option of the county authority based on agreement 
33.28 	with the commissioner.
33.29 	(c) Eligible individuals include individuals in excluded time status, as defined in chapter 
33.30 	256G. Enrollees in excluded time at the time of enrollment shall remain in excluded time 
33.31 	status as long as they live in the demonstration site and shall be eligible for 90 days after 
33.32 	placement outside the demonstration site if they move to excluded time status in a county 
33.33 	within Minnesota other than their county of financial responsibility.
34.1 	(d) A person who is a sexual psychopathic personality as defined in section 253D.02, 
34.2 	subdivision 15, or a sexually dangerous person as defined in section 253D.02, subdivision 
34.3 	16, is excluded from enrollment in the demonstration project.

34.4 	Sec. 27. Minnesota Statutes 2022, section 256S.07, subdivision 1, is amended to read:
34.5 		Subdivision 1.Elderly waiver case management provided by counties and tribes. (a) 
34.6 	For participants not enrolled in a managed care organization, the county of residence or 
34.7 	tribe must provide or arrange to provide elderly waiver case management activities under 
34.8 	section 256S.09, subdivisions 2 and 3.
34.9 	(b) If a county agency provides case management under contracts with other individuals 
34.10 	or agencies and the county agency utilizes a competitive proposal process for the procurement 
34.11 	of contracted case management services, the competitive proposal process must include 
34.12 	evaluation criteria to ensure that the county maintains a culturally responsive program for 
34.13 	case management services adequate to meet the needs of the population of the county. For 
34.14 	the purposes of this section, "culturally responsive program" means a case management 
34.15 	services program that:
34.16 	(1) ensures effective, equitable, comprehensive, and respectful quality care services that 
34.17 	are responsive to individuals within a specific population's values, beliefs, practices, health 
34.18 	literacy, preferred language, and other communication needs; and
34.19 	(2) is designed to address the unique needs of individuals who share a common language 
34.20 	or racial, ethnic, or social background.

34.21 	EFFECTIVE DATE. This section is effective August 1, 2024, and applies to 
34.22 	procurement processes that commence on or after that date.

34.23 	Sec. 28. Minnesota Statutes 2023 Supplement, section 270B.14, subdivision 1, is amended 
34.24 	to read:
34.25 		Subdivision 1.Disclosure to commissioner of human services. (a) On the request of 
34.26 	the commissioner of human services, the commissioner shall disclose return information 
34.27 	regarding taxes imposed by chapter 290, and claims for refunds under chapter 290A, to the 
34.28 	extent provided in paragraph (b) and for the purposes set forth in paragraph (c).
34.29 	(b) Data that may be disclosed are limited to data relating to the identity, whereabouts, 
34.30 	employment, income, and property of a person owing or alleged to be owing an obligation 
34.31 	of child support.
35.1 	(c) The commissioner of human services may request data only for the purposes of 
35.2 	carrying out the child support enforcement program and to assist in the location of parents 
35.3 	who have, or appear to have, deserted their children. Data received may be used only as set 
35.4 	forth in section 256.978.
35.5 	(d) The commissioner shall provide the records and information necessary to administer 
35.6 	the supplemental housing allowance to the commissioner of human services.
35.7 	(e) At the request of the commissioner of human services, the commissioner of revenue 
35.8 	shall electronically match the Social Security or individual taxpayer identification numbers 
35.9 	and names of participants in the telephone assistance plan operated under sections 237.69
35.10 	to 237.71, with those of property tax refund filers under chapter 290A or renter's credit filers 
35.11 	under section 290.0693, and determine whether each participant's household income is 
35.12 	within the eligibility standards for the telephone assistance plan.
35.13 	(f) The commissioner may provide records and information collected under sections 
35.14 	295.50 to 295.59 to the commissioner of human services for purposes of the Medicaid 
35.15 	Voluntary Contribution and Provider-Specific Tax Amendments of 1991, Public Law 
35.16 	102-234. Upon the written agreement by the United States Department of Health and Human 
35.17 	Services to maintain the confidentiality of the data, the commissioner may provide records 
35.18 	and information collected under sections 295.50 to 295.59 to the Centers for Medicare and 
35.19 	Medicaid Services section of the United States Department of Health and Human Services 
35.20 	for purposes of meeting federal reporting requirements.
35.21 	(g) The commissioner may provide records and information to the commissioner of 
35.22 	human services as necessary to administer the early refund of refundable tax credits.
35.23 	(h) The commissioner may disclose information to the commissioner of human services 
35.24 	as necessary for income verification for eligibility and premium payment under the 
35.25 	MinnesotaCare program, under section 256L.05, subdivision 2, as well as the medical 
35.26 	assistance program under chapter 256B.
35.27 	(i) The commissioner may disclose information to the commissioner of human services 
35.28 	necessary to verify whether applicants or recipients for the Minnesota family investment 
35.29 	program, general assistance, the Supplemental Nutrition Assistance Program (SNAP), 
35.30 	Minnesota supplemental aid program, and child care assistance have claimed refundable 
35.31 	tax credits under chapter 290 and the property tax refund under chapter 290A, and the 
35.32 	amounts of the credits.
36.1 	(j) The commissioner may disclose information to the commissioner of human services 
36.2 	necessary to verify income for purposes of calculating parental contribution amounts under 
36.3 	section 252.27, subdivision 2a.
36.4 	(k) (j) At the request of the commissioner of human services and when authorized in 
36.5 	writing by the taxpayer, the commissioner of revenue may match the business legal name 
36.6 	or individual legal name, and the Minnesota tax identification number, federal Employer 
36.7 	Identification Number, or Social Security number of the applicant under section 245A.04, 
36.8 	subdivision 1; 245I.20; or 245H.03; or license or certification holder. The commissioner of 
36.9 	revenue may share the matching with the commissioner of human services. The matching 
36.10 	may only be used by the commissioner of human services to determine eligibility for provider 
36.11 	grant programs and to facilitate the regulatory oversight of license and certification holders 
36.12 	as it relates to ownership and public funds program integrity. This paragraph applies only 
36.13 	if the commissioner of human services and the commissioner of revenue enter into an 
36.14 	interagency agreement for the purposes of this paragraph.

36.15 	Sec. 29. Minnesota Statutes 2022, section 447.42, subdivision 1, is amended to read:
36.16 		Subdivision 1.Establishment. Notwithstanding any provision of Minnesota Statutes 
36.17 	to the contrary, any city, county, town, or nonprofit corporation approved by the 
36.18 	commissioner of human services, or any combination of them may establish and operate a 
36.19 	community residential facility for persons with developmental disabilities or related 
36.20 	conditions, as defined in section 252.27, subdivision 1a 256B.02, subdivision 11.

36.21 	Sec. 30. Laws 2021, First Special Session chapter 7, article 13, section 68, is amended to 
36.22 	read:
36.23 	Sec. 68. DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES; 
36.24 	DIRECT CARE SERVICES DURING SHORT-TERM ACUTE HOSPITAL VISITS.
 36.25 	The commissioner of human services, in consultation with stakeholders, shall develop 
36.26 	a new covered state plan service under Minnesota Statutes, chapter 256B, or develop 
36.27 	modifications to existing covered state plan services, that permits receipt of direct care 
36.28 	services in an acute care hospital in a manner consistent with the requirements of for people 
36.29 	eligible for home care services as identified in Minnesota Statutes, section 256B.0651, and 
36.30 	community first services and supports as identified in Minnesota Statutes, section 256B.85, 
36.31 	for the purposes of support during acute care hospital stays, as authorized under United 
36.32 	States Code, title 42, section 1396a(h). By August 31, 2022 January 1, 2025, the 
36.33 	commissioner must provide to the chairs and ranking minority members of the house of 
37.1 	representatives and senate committees and divisions with jurisdiction over direct care services 
37.2 	any draft legislation as may be necessary to implement the new or modified covered state 
37.3 	plan service.

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

37.5 	Sec. 31. Laws 2023, chapter 61, article 1, section 60, subdivision 1, is amended to read:
37.6 		Subdivision 1.Definition. "New American" means an individual born abroad and the 
37.7 	individual's children, irrespective of immigration status.

37.8 	Sec. 32. Laws 2023, chapter 61, article 1, section 60, subdivision 2, is amended to read:
37.9 		Subd. 2.Grant program established. The commissioner of human services shall 
37.10 	establish a new American legal, social services, and long-term care workforce grant program 
37.11 	for organizations that serve and support new Americans:
37.12 	(1) in seeking or maintaining legal or citizenship status to legally obtain or retain and 
37.13 	obtaining or retaining legal authorization for employment in the United States in any field 
37.14 	or industry; or
37.15 	(2) to provide specialized services and supports to new Americans to enter the long-term 
37.16 	care workforce.

37.17 	Sec. 33. ASSISTIVE TECHNOLOGY LEAD AGENCY PARTNERSHIPS.
 37.18 	(a) Lead agencies may establish partnerships with enrolled medical assistance providers 
37.19 	of home and community-based services under Minnesota Statutes, section 256B.0913, 
37.20 	256B.092, 256B.093, or 256B.49, or Minnesota Statutes, chapter 256S, to evaluate the 
37.21 	benefits of informed choice in accessing the following existing assistive technology home 
37.22 	and community-based waiver services:
37.23 	(1) assistive technology;
37.24 	(2) specialized equipment and supplies;
37.25 	(3) environmental accessibility adaptations; and
37.26 	(4) 24-hour emergency assistance.
37.27 	(b) Lead agencies may identify eligible individuals who desire to participate in the 
37.28 	partnership authorized by this section using existing home and community-based waiver 
37.29 	criteria under Minnesota Statutes, chapters 256B and 256S.
38.1 	(c) Lead agencies must ensure individuals who choose to participate have informed 
38.2 	choice in accessing the services and must adhere to conflict-free case management 
38.3 	requirements.
38.4 	(d) Lead agencies may identify efficiencies for service authorizations, provide 
38.5 	evidence-based cost data and quality analysis to the commissioner, and collect feedback on 
38.6 	the use of technology systems from home and community-based waiver services recipients, 
38.7 	family caregivers, and any other interested community partners.

38.8 	Sec. 34. DIRECTION TO COMMISSIONER; CONSUMER-DIRECTED 
38.9 	COMMUNITY SUPPORTS.
 38.10 	By December 31, 2024, the commissioner of human services shall seek any necessary 
38.11 	changes to home and community-based services waiver plans regarding consumer-directed 
38.12 	community supports in order to:
38.13 	(1) clarify that allowable goods and services for a consumer-directed community supports 
38.14 	participant do not need to be for the sole benefit of the participant, and that goods and 
38.15 	services may benefit others if there is also a direct benefit to the participant based on the 
38.16 	participant's assessed needs;
38.17 	(2) clarify that goods or services that support the participant's assessed needs for 
38.18 	community integration and inclusion are allowable under the consumer-directed community 
38.19 	supports program;
38.20 	(3) clarify that the rate authorized for services approved under the consumer-directed 
38.21 	community supports personal assistance category may exceed the reasonable range of similar 
38.22 	services in the participant's community if the participant has an assessed need for an enhanced 
38.23 	rate; and
38.24 	(4) clarify that a participant's spouse or a parent of a minor participant, as defined in the 
38.25 	waiver plans, may be paid for consumer-directed community support services at a rate that 
38.26 	exceeds that which would otherwise be paid to a provider of a similar service or that exceeds 
38.27 	what is allowed by the commissioner for the payment of personal care assistance services 
38.28 	if the participant has an assessed need for an enhanced rate.

39.1 	Sec. 35. REIMBURSEMENT FOR COMMUNITY-FIRST SERVICES AND 
39.2 	SUPPORTS WORKERS REPORT.
 39.3 	(a) The commissioner of human services must explore options to permit reimbursement 
39.4 	of community-first services and supports workers under Minnesota Statutes, sections 256B.85 
39.5 	and 256B.851, to provide:
39.6 	(1) up to eight hours of overtime per week per worker beyond the current maximum 
39.7 	number of reimbursable hours per month;
39.8 	(2) asleep overnight and awake overnight staffing in the same manner as direct support 
39.9 	professionals under the brain injury waiver, community alternative care waiver, community 
39.10 	access for disability inclusion waiver, and developmental disabilities waiver; and
39.11 	(3) services in shifts of up to 80 consecutive hours when otherwise compliant with federal 
39.12 	and state labor laws.
39.13 	(b) The commissioner must report recommendations to the chairs and ranking minority 
39.14 	members of the legislative committees with jurisdiction over human services policy and 
39.15 	finance by February 1, 2025.

39.16 	Sec. 36. DISABILITY HOME AND COMMUNITY-BASED SERVICES 
39.17 	REIMBURSEMENT IN ACUTE CARE HOSPITAL STAYS.
 39.18 	(a) The commissioner of human services must seek approval to amend Minnesota's 
39.19 	federally approved disability waiver plans under Minnesota Statutes, sections 256B.092 
39.20 	and 256B.49, to reimburse for delivery of unit-based services under Minnesota Statutes, 
39.21 	section 256B.4914, in acute care hospital settings, as authorized under United States Code, 
39.22 	title 42, section 1396a(h).
39.23 	(b) Reimbursed services must:
39.24 	(1) be identified in an individual's person-centered support plan as required under 
39.25 	Minnesota Statutes, section 256B.0911;
39.26 	(2) be provided to meet the needs of the person that are not met through the provision 
39.27 	of hospital services;
39.28 	(3) not substitute services that the hospital is obligated to provide as required under state 
39.29 	and federal law; and
39.30 	(4) be designed to ensure smooth transitions between acute care settings and home and 
39.31 	community-based settings and to preserve the person's functional abilities.

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

40.4 	Sec. 37. ELECTRONIC VISIT VERIFICATION IMPLEMENTATION GRANT.
 40.5 		Subdivision 1.Establishment. The commissioner of human services must establish a 
40.6 	onetime grant program to assist home care service providers with a portion of the costs of 
40.7 	implementation of electronic visit verification.
40.8 		Subd. 2.Eligible grant recipients. Eligible grant recipients must:
40.9 	(1) be providers of home care services licensed under Minnesota Statutes, chapter 144A;
40.10 	(2) have an average daily census of at least 30 individuals; and
40.11 	(3) have an average daily census of medical assistance and MinnesotaCare enrollees of 
40.12 	20 percent or higher in the 12 months prior to application.
40.13 		Subd. 3.Allowable uses. Allowable uses of grant money include:
40.14 	(1) administrative implementation of an electronic visit verification system, including 
40.15 	but not limited to staff costs for loading patient information into the portal, programming, 
40.16 	and training staff;
40.17 	(2) electronic visit verification operations and maintenance, including but not limited 
40.18 	to staff costs for addressing system flaws related to geographical location and clocking in 
40.19 	and out;
40.20 	(3) purchase and monthly fees for an upgraded electronic visit verification system;
40.21 	(4) purchase of or reimbursement for cell phones and electronic tablets to be used by 
40.22 	staff and the monthly fee for the phone service; and
40.23 	(5) other activities approved by the commissioner.
40.24 		Subd. 4.Application for and distribution of grant money. In order to receive a grant 
40.25 	under this section, providers must apply to the commissioner by November 1, 2024. Grants 
40.26 	must be distributed no later than February 1, 2025. Grant amounts awarded to each approved 
40.27 	applicant must be determined by the total number of approved grantees and each approved 
40.28 	applicant's medical assistance and MinnesotaCare average daily census.
40.29 		Subd. 5.Expiration. This section expires June 30, 2026.

41.1 	Sec. 38. EMERGENCY RELIEF GRANTS FOR RURAL EARLY INTENSIVE 
41.2 	DEVELOPMENTAL AND BEHAVIORAL INTERVENTION PROVIDERS.
 41.3 		Subdivision 1.Establishment and purpose. (a) The commissioner of human services 
41.4 	shall award grants to financially distressed organizations that provide early intensive 
41.5 	developmental and behavioral intervention services to rural communities. For the purposes 
41.6 	of this section, "rural communities" means communities outside the metropolitan counties 
41.7 	listed in Minnesota Statutes, section 473.121, subdivision 4, and outside the cities of Duluth, 
41.8 	Mankato, Moorhead, Rochester, and St. Cloud.
41.9 	(b) The commissioner shall conduct community engagement, provide technical assistance, 
41.10 	and work with the commissioners of management and budget and administration to mitigate 
41.11 	barriers in accessing grant money.
41.12 	(c) The commissioner shall limit expenditures under this section to the amount 
41.13 	appropriated for this purpose.
41.14 		Subd. 2.Eligibility. (a) To be an eligible applicant for a grant under this section, a 
41.15 	provider of early intensive developmental and behavioral intervention services must submit 
41.16 	to the commissioner of human services a grant application in the form and according to the 
41.17 	timelines established by the commissioner.
41.18 	(b) In a grant application, an applicant must demonstrate that:
41.19 	(1) the total net income of the provider of early intensive developmental and behavioral 
41.20 	intervention services is not generating sufficient revenue to cover the provider's operating 
41.21 	expenses;
41.22 	(2) the provider is at risk of closure or ceasing to provide early intensive developmental 
41.23 	and behavioral intervention services; and
41.24 	(3) additional emergency operating revenue is necessary to preserve access to early 
41.25 	intensive developmental and behavioral intervention services within the rural community 
41.26 	the provider serves.
41.27 	(c) In a grant application, the applicant must make a request based on the information 
41.28 	submitted under paragraph (b) for the minimal funding amount sufficient to preserve access 
41.29 	to early intensive developmental and behavioral intervention services within the rural 
41.30 	community the provider serves.
41.31 		Subd. 3.Approving grants. The commissioner must evaluate all grant applications on 
41.32 	a competitive basis and award grants to successful applicants within available appropriations 
41.33 	for this purpose. The commissioner's decisions are final and not subject to appeal.

42.1 	Sec. 39. LEGISLATIVE TASK FORCE ON GUARDIANSHIP.
 42.2 		Subdivision 1.Membership. (a) The Legislative Task Force on Guardianship consists 
42.3 	of the following members:
42.4 	(1) one member of the house of representatives, appointed by the speaker of the house 
42.5 	of representatives;
42.6 	(2) one member of the house of representatives, appointed by the minority leader of the 
42.7 	house of representatives;
42.8 	(3) one member of the senate, appointed by the senate majority leader;
42.9 	(4) one member of the senate, appointed by the senate minority leader;
42.10 	(5) one judge who has experience working on guardianship cases, appointed by the chief 
42.11 	justice of the supreme court;
42.12 	(6) two individuals presently or formerly under guardianship or emergency guardianship, 
42.13 	appointed by the Minnesota Council on Disability;
42.14 	(7) one private, professional guardian, appointed by the Minnesota Council on Disability;
42.15 	(8) one private, nonprofessional guardian, appointed by the Minnesota Council on 
42.16 	Disability;
42.17 	(9) one representative of the Department of Human Services with knowledge of public 
42.18 	guardianship issues, appointed by the commissioner of human services;
42.19 	(10) one member appointed by the Minnesota Council on Disability;
42.20 	(11) two members of two different disability advocacy organizations, appointed by the 
42.21 	Minnesota Council on Disability;
42.22 	(12) one member of a professional or advocacy group representing the interests of the 
42.23 	guardian who has experience working in the judicial system on guardianship cases, appointed 
42.24 	by the Minnesota Council on Disability;
42.25 	(13) one member of a professional or advocacy group representing the interests of persons 
42.26 	subject to guardianship who has experience working in the judicial system on guardianship 
42.27 	cases, appointed by the Minnesota Council on Disability;
42.28 	(14) two members of two different advocacy groups representing the interests of older 
42.29 	Minnesotans who are or may find themselves subject to guardianship, appointed by the 
42.30 	Minnesota Council on Disability;
43.1 	(15) one employee acting as the Disability Systems Planner in the Center for Health 
43.2 	Equity at the Minnesota Department of Health, appointed by the commissioner of health;
43.3 	(16) one member appointed by the Minnesota Indian Affairs Council;
43.4 	(17) one member from the Commission of the Deaf, Deafblind, and Hard-of-Hearing, 
43.5 	appointed by the executive director of the commission;
43.6 	(18) one member of the Council on Developmental Disabilities, appointed by the 
43.7 	executive director of the council;
43.8 	(19) one employee from the Office of Ombudsman for Mental Health and Developmental 
43.9 	Disabilities, appointed by the ombudsman;
43.10 	(20) one employee from the Office of Ombudsman for Long Term Care, appointed by 
43.11 	the ombudsman;
43.12 	(21) one member appointed by the Minnesota Association of County Social Services 
43.13 	Administrators (MACSSA);
43.14 	(22) one employee from the Olmstead Implementation Office, appointed by the director 
43.15 	of the office; and
43.16 	(23) one member representing an organization dedicated to supported decision-making 
43.17 	alternatives to guardianship, appointed by the Minnesota Council on Disability.
43.18 	(b) Appointees to the task force must be named by each appointing authority by June 
43.19 	30, 2025. Appointments made by an agency or commissioner may also be made by a 
43.20 	designee.
43.21 	(c) The member from the Minnesota Council on Disability serves as chair of the task 
43.22 	force. The chair must designate a member to serve as secretary.
43.23 		Subd. 2.Meetings; administrative support. The first meeting of the task force must 
43.24 	be convened by the chair no later than September 1, 2025, if an appropriation is made by 
43.25 	that date for the task force. The task force must meet at least quarterly. Meetings are subject 
43.26 	to Minnesota Statutes, chapter 13D. The task force may meet by telephone or interactive 
43.27 	technology consistent with Minnesota Statutes, section 13D.015. The Minnesota Council 
43.28 	on Disability shall provide meeting space and administrative and research support to the 
43.29 	task force.
43.30 		Subd. 3.Duties. (a) The task force must make recommendations to address concerns 
43.31 	and gaps related to guardianships and less restrictive alternatives to guardianships in 
43.32 	Minnesota, including but not limited to:
44.1 	(1) developing efforts to sustain and increase the number of qualified guardians;
44.2 	(2) increasing compensation for in forma pauperis (IFP) guardians by studying current 
44.3 	funding streams to develop approaches to ensure that the funding streams are consistent 
44.4 	across the state and sufficient to serve the needs of persons subject to guardianship;
44.5 	(3) securing ongoing funding for guardianships and less restrictive alternatives;
44.6 	(4) establishing guardian certification or licensure;
44.7 	(5) identifying standards of practice for guardians and options for providing education 
44.8 	to guardians on standards and less restrictive alternatives;
44.9 	(6) securing ongoing funding for the guardian and conservator administrative complaint 
44.10 	process;
44.11 	(7) identifying and understanding alternatives to guardianship whenever possible to meet 
44.12 	the needs of patients and the challenges of providers in the delivery of health care, behavioral 
44.13 	health care, and residential and home-based care services;
44.14 	(8) expanding supported decision-making alternatives to guardianships and 
44.15 	conservatorships;
44.16 	(9) reducing the removal of civil rights when appointing a guardian, including by ensuring 
44.17 	guardianship is only used as a last resort; and
44.18 	(10) identifying ways to preserve and to maximize the civil rights of the person, including 
44.19 	due process considerations.
44.20 	(b) The task force must seek input from the public, the judiciary, people subject to 
44.21 	guardianship, guardians, advocacy groups, and attorneys. The task force must hold hearings 
44.22 	to gather information to fulfill the purpose of the task force.
44.23 		Subd. 4.Compensation; expenses. Members of the task force may receive compensation 
44.24 	and expense reimbursement as provided in Minnesota Statutes, section 15.059, subdivision 
44.25 	3.
44.26 		Subd. 5.Report; expiration. The task force shall submit a report to the chairs and 
44.27 	ranking minority members of the legislative committees with jurisdiction over guardianship 
44.28 	issues no later than January 15, 2027. The report must describe any concerns about the 
44.29 	current guardianship system identified by the task force and recommend policy options to 
44.30 	address those concerns and to promote less restrictive alternatives to guardianship. The 
44.31 	report must include draft legislation to implement recommended policy.
45.1 		Subd. 6.Expiration. The task force expires upon submission of its report, or January 
45.2 	16, 2027, whichever is earlier.

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

45.4 	Sec. 40. TRANSITIONAL SUPPORTS ALLOWANCE INCREASE.
 45.5 	Upon federal approval, the commissioner of human services must increase to $5,000 
45.6 	the transitional supports allowance under Minnesota's federally approved home and 
45.7 	community-based service waiver plans authorized under Minnesota Statutes, sections 
45.8 	256B.092 and 256B.49.

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

45.12 	Sec. 41. TRIBAL VULNERABLE ADULT AND DEVELOPMENTAL DISABILITY 
45.13 	TARGETED CASE MANAGEMENT MEDICAL ASSISTANCE BENEFIT.
 45.14 	(a) The commissioner of human services must engage with Minnesota's 
45.15 	federally-recognized Tribal Nations and urban American Indian providers and leaders to 
45.16 	design and recommend a Tribal-specific vulnerable adult and developmental disability 
45.17 	medical assistance targeted case management benefit to meet community needs and reduce 
45.18 	disparities experienced by Tribal members and urban American Indian populations. The 
45.19 	commissioner must honor and uphold Tribal sovereignty as part of this engagement, ensuring 
45.20 	Tribal Nations are equitably and authentically included in planning and policy discussions.
45.21 	(b) By January 1, 2025, the commissioner must report recommendations to the chairs 
45.22 	and ranking minority members of the legislative committees with jurisdiction over health 
45.23 	and human services finance and policy. Recommendations must include a description of 
45.24 	engagement with Tribal Nations, Tribal perspectives shared throughout the engagement 
45.25 	process, service design, and reimbursement methodology.

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

45.27 	Sec. 42. ELECTRONIC VISIT VERIFICATION SIMPLIFICATION FOR LIVE-IN 
45.28 	CAREGIVERS.
 45.29 	The commissioner must explore options to simplify documentation requirements for 
45.30 	direct support professionals who live in the same house as the person they support and are 
45.31 	reimbursed for services subject to electronic visit verification requirements under Minnesota 
46.1 	Statutes, section 256B.073. The commissioner may evaluate information technology barriers 
46.2 	and opportunities, attestation options, worker identification options, and program integrity 
46.3 	considerations. The commissioner must report recommendations to the chairs and ranking 
46.4 	minority members of the legislative committees with jurisdiction over health and human 
46.5 	services policy and finance by February 1, 2025, with short- and long-term policy changes 
46.6 	that will simplify documentation requirements and minimize burdens on providers and 
46.7 	recipients.

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

46.9 	Sec. 43. LICENSE TRANSITION SUPPORT FOR SMALL DISABILITY WAIVER 
46.10 	PROVIDERS.
 46.11 		Subdivision 1.Onetime transition support. The commissioner of human services must 
46.12 	distribute onetime payments to medical assistance disability waiver customized living and 
46.13 	community residential providers to assist with the transition from small, customized living 
46.14 	settings to licensed community residential services under Minnesota Statutes, chapter 245D 
46.15 	and section 256B.49.
46.16 		Subd. 2.Definitions. For purposes of this section, "eligible provider" means an enrolled 
46.17 	provider that received approval from the commissioner of human services for a corporate 
46.18 	foster care moratorium exception under Minnesota Statutes, section 245A.03, subdivision 
46.19 	7, related to transitioning between customized living services and community residential 
46.20 	services. This approval must have been received between July 1, 2022, and December 31, 
46.21 	2023.
46.22 		Subd. 3.Allowable uses of payments. Allowable uses of payments include costs incurred 
46.23 	by a community residential service provider or customed living provider directly related to 
46.24 	the provider's transition from providing medical assistance customized living or 24-hour 
46.25 	customized living and technical assistance to adapt business models and meet policy and 
46.26 	regulatory guidance.
46.27 		Subd. 4.Payment request and requirements. License holders of eligible settings must 
46.28 	apply for payments using an application process determined by the commissioner of human 
46.29 	services. Payments are onetime amounts of $15,000 per eligible setting. To be considered 
46.30 	for a payment, eligible settings must submit a payment application no later than March 1, 
46.31 	2025. The commissioner may approve payment applications on a rolling basis. Payments 
46.32 	must be distributed without compliance to time-consuming procedures and formalities 
46.33 	prescribed in law, including the following statutes and related policies: Minnesota Statutes, 
46.34 	sections 16A.15, subdivision 3; 16B.97; and 16B.98, subdivisions 5, 7, and 8, the express 
47.1 	audit clause requirement. The commissioner's determination of the payment amount 
47.2 	determined under this section is final and is not subject to appeal. This subdivision does not 
47.3 	apply to recoupment by the commissioner under subdivision 7.
47.4 		Subd. 5.Attestation. As a condition of obtaining payments under this section, an eligible 
47.5 	provider must attest, on the payment application form, to the following:
47.6 	(1) the provider's intent to provide services through December 31, 2027; and
47.7 	(2) the provider's intent to use the payment for allowable uses under subdivision 3.
47.8 		Subd. 6.Agreement. As a condition of obtaining a payment under this section, an eligible 
47.9 	provider must agree to the following on the payment application form:
47.10 	(1) to cooperate with the commissioner of human services to deliver services according 
47.11 	to the requirements in this section;
47.12 	(2) to maintain documentation sufficient to demonstrate the costs required to transition 
47.13 	to a new setting as described under subdivision 3; and
47.14 	(3) to acknowledge that payments may be subject to a recoupment under this section if 
47.15 	a state audit performed under this section determines that the provider used payments for 
47.16 	purposes not authorized under this section.
47.17 		Subd. 7.Recoupment. (a) The commissioner of human services may perform an audit 
47.18 	under this section up to six years after the payments are distributed to ensure the funds are 
47.19 	utilized solely for the purposes stated in subdivision 3.
47.20 	(b) If the commissioner determines that a provider used the allocated payment for 
47.21 	purposes not authorized under this section, the commissioner must treat any amount used 
47.22 	for a purpose not authorized under this section as an overpayment. The commissioner must 
47.23 	recover any overpayment.

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

47.25 	Sec. 44. DISABILITY SERVICES PERSON-CENTERED ENGAGEMENT AND 
47.26 	NAVIGATION STUDY.
 47.27 	(a) The commissioner of human services must issue a request for proposals for the design 
47.28 	and administration of a study of a person's experience in accessing and navigating medical 
47.29 	assistance state plan and home and community-based waiver services and state funded 
47.30 	disability services to improve people's experiences in accessing and navigating the system.
48.1 	(b) The person-centered disability services engagement and navigation study must engage 
48.2 	with people and families who use services, lead agencies, and providers to assess:
48.3 	(1) access to the full range of disability services programs in metropolitan, suburban, 
48.4 	and rural counties with a focus on non-English-speaking communities and by various 
48.5 	populations, including but not limited to Black people, Indigenous people, people of color, 
48.6 	and communities with vision, hearing, physical, neurocognitive, or intellectual developmental 
48.7 	disabilities;
48.8 	(2) how people and families experience and navigate the system, including their customer 
48.9 	service experiences and barriers to person-centered and culturally responsive navigation 
48.10 	support and resources; and
48.11 	(3) opportunities to improve state, lead agency, and provider capacity to improve the 
48.12 	experiences of people accessing and navigating the system.
48.13 	(c) To be eligible to respond to the request for proposals, an entity must demonstrate 
48.14 	that it has engaged successfully with people who use disability services and their families.
48.15 	(d) The commissioner must report the results of the study and provide specific 
48.16 	recommendations and administrative strategy or policy modifications to improve system 
48.17 	accessibility, efficiency, and person-centered systemic design to the chairs and ranking 
48.18 	minority members of the legislative committees with jurisdiction over health and human 
48.19 	services finance and policy by January 15, 2026.

48.20 	Sec. 45. PERSONAL CARE ASSISTANCE COMPENSATION FOR SERVICES 
48.21 	PROVIDED BY A PARENT OR SPOUSE.
 48.22 	(a) Notwithstanding Minnesota Statutes, section 256B.0659, subdivision 3, paragraph 
48.23 	(a), clause (1); subdivision 11, paragraph (c); and subdivision 19, paragraph (b), clause (3), 
48.24 	beginning October 1, 2024, a parent, stepparent, or legal guardian of a minor who is a 
48.25 	personal care assistance recipient or the spouse of a personal care assistance recipient may 
48.26 	provide and be paid for providing personal care assistance services under medical assistance.
48.27 	(b) This section expires upon full implementation of community first services and 
48.28 	supports under Minnesota Statutes, section 256B.85. The commissioner of human services 
48.29 	shall notify the revisor of statutes when this section expires.

48.30 	EFFECTIVE DATE. This section is effective for services rendered on or after October 
48.31 	1, 2024.

49.1 	Sec. 46. OWN HOME SERVICES PROVIDER CAPACITY-BUILDING GRANTS.
 49.2 		Subdivision 1.Establishment. The commissioner of human services shall establish a 
49.3 	onetime grant program to incentivize providers to support individuals to move out of 
49.4 	congregate living settings and into an individual's own home as described in Minnesota 
49.5 	Statutes, section 256B.492, subdivision 3.
49.6 		Subd. 2.Eligible grant recipients. Eligible grant recipients are providers of home and 
49.7 	community-based services under Minnesota Statutes, chapter 245D.
49.8 		Subd. 3.Grant application. In order to receive a grant under this section, providers 
49.9 	must apply to the commissioner on the forms and according to the timelines established by 
49.10 	the commissioner.
49.11 		Subd. 4.Allowable uses of grant money. Allowable uses of grant money include:
49.12 	(1) enhancing resources and staffing to support people and families in understanding 
49.13 	housing options;
49.14 	(2) housing expenses related to moving an individual into their own home, if the person 
49.15 	is not eligible for other available housing services;
49.16 	(3) moving expenses that are not covered by other housing services for which the 
49.17 	individual is eligible;
49.18 	(4) implementing and testing innovative approaches to better support people with 
49.19 	disabilities and their families in living in their own homes;
49.20 	(5) financial incentives for providers that have successfully moved an individual out of 
49.21 	congregate living and into their own home; and
49.22 	(6) other activities approved by the commissioner.
49.23 		Subd. 5.Expiration. This section expires June 30, 2026.

49.24 	Sec. 47. DIRECTION TO COMMISSIONER; PEDIATRIC HOSPITAL-TO-HOME 
49.25 	TRANSITION PILOT PROGRAM.
 49.26 	(a) The commissioner of human services must award a single competitive grant to a 
49.27 	home care nursing provider to develop and implement, in coordination with the commissioner 
49.28 	of health, Fairview Masonic Children's Hospital, Gillette Children's Specialty Healthcare, 
49.29 	and Children's Minnesota of St. Paul and Minneapolis, a pilot program to expedite and 
49.30 	facilitate pediatric hospital-to-home discharges for patients receiving services in this state 
50.1 	under medical assistance, including under the community alternative care waiver, community 
50.2 	access for disability inclusion waiver, and developmental disabilities waiver.
50.3 	(b) Grant money awarded under this section must be used only to support the 
50.4 	administrative, training, and auxiliary services necessary to reduce:
50.5 	(1) delayed discharge days due to unavailability of home care nursing staffing to 
50.6 	accommodate complex pediatric patients;
50.7 	(2) avoidable rehospitalization days for pediatric patients;
50.8 	(3) unnecessary emergency department utilization by pediatric patients following 
50.9 	discharge;
50.10 	(4) long-term nursing needs for pediatric patients; and
50.11 	(5) the number of school days missed by pediatric patients.
50.12 	(c) Grant money must not be used to supplant payment rates for services covered under 
50.13 	Minnesota Statutes, chapter 256B.
50.14 	(d) No later than December 15, 2026, the commissioner must prepare a report 
50.15 	summarizing the impact of the pilot program that includes but is not limited to: (1) the 
50.16 	number of delayed discharge days eliminated; (2) the number of rehospitalization days 
50.17 	eliminated; (3) the number of unnecessary emergency department admissions eliminated; 
50.18 	(4) the number of missed school days eliminated; and (5) an estimate of the return on 
50.19 	investment of the pilot program.
50.20 	(e) The commissioner must submit the report under paragraph (d) to the chairs and 
50.21 	ranking minority members of the legislative committees with jurisdiction over health and 
50.22 	human services finance and policy.

50.23 	Sec. 48. REPEALER.
 50.24 	(a) Minnesota Statutes 2022, section 252.27, subdivisions 1a, 2, 3, 4a, 5, and 6, are 
50.25 	repealed.
50.26 	(b) Minnesota Statutes 2022, section 256B.0916, subdivision 10, is repealed.
50.27 	(c) Minnesota Statutes 2023 Supplement, section 252.27, subdivision 2a, is repealed.
50.28 	(d) Laws 2024, chapter 79, article 4, section 1, subdivision 3, is repealed.

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

51.1 	ARTICLE 2
51.2 	AGING SERVICES

51.3 	Section 1. [144G.195] FACILITY RELOCATION.
51.4 		Subdivision 1.New license not required. (a) Beginning March 15, 2025, an assisted 
51.5 	living facility with a licensed resident capacity of five residents or fewer may operate under 
51.6 	the licensee's current license if the facility is relocated with the approval of the commissioner 
51.7 	of health during the period the current license is valid.
51.8 	(b) A licensee is not required to apply for a new license solely because the licensee 
51.9 	receives approval to relocate a facility. The licensee's license for the relocated facility 
51.10 	remains valid until the expiration date specified on the existing license. The commissioner 
51.11 	of health must apply the licensing and survey cycle previously established for the facility's 
51.12 	prior location to the facility's new location.
51.13 	(c) A licensee must notify the commissioner of health, on a form developed by the 
51.14 	commissioner, of the licensee's intent to relocate the licensee's facility and submit a 
51.15 	nonrefundable relocation fee of $3,905. The commissioner must deposit all relocation fees 
51.16 	in the state treasury to be credited to the state government special revenue fund.
51.17 	(d) The licensee must obtain plan review approval for the building to which the licensee 
51.18 	intends to relocate the facility and a certificate of occupancy from the commissioner of labor 
51.19 	and industry or the commissioner of labor and industry's delegated authority for the building. 
51.20 	Upon issuance of a certificate of occupancy, the commissioner of health must review and 
51.21 	inspect the building to which the licensee intends to relocate the facility and approve or 
51.22 	deny the license relocation within 30 calendar days.
51.23 	(e) A licensee may only relocate a facility within the geographic boundaries of the 
51.24 	municipality in which the facility is currently located or within the geographic boundaries 
51.25 	of a contiguous municipality.
51.26 	(f) A licensee may only relocate one time in any three-year period, except that the 
51.27 	commissioner may approve an additional relocation within a three-year period upon a 
51.28 	licensee's demonstration of an extenuating circumstance, including but not limited to the 
51.29 	criteria outlined in section 256B.49, subdivision 28a, paragraph (c).
51.30 	(g) A licensee that receives approval from the commissioner to relocate a facility must 
51.31 	provide each resident with a new assisted living contract and comply with the coordinated 
51.32 	move requirements under section 144G.55.
52.1 	(h) A licensee denied approval by the commissioner of health to relocate a facility may 
52.2 	continue to operate the facility in its current location, follow the requirements in section 
52.3 	144G.57 and close the facility, or notify the commissioner of health of the licensee's intent 
52.4 	to relocate the facility to an alternative new location. If the licensee notifies the commissioner 
52.5 	of the licensee's intent to relocate the facility to an alternative new location, paragraph (c) 
52.6 	applies, including the timelines for approving or denying the license relocation for the 
52.7 	alternative new location.
52.8 		Subd. 2.Limited exemption from the customized living setting moratorium and 
52.9 	age limitations. (a) A licensee that receives approval from the commissioner of health under 
52.10 	subdivision 1 to relocate a facility that is also enrolled with the Department of Human 
52.11 	Services as a customized living setting to deliver 24-hour customized living services or 
52.12 	customized living services to participants through the brain injury and community access 
52.13 	for disability inclusion home and community-based services waiver plans and under section 
52.14 	256B.49 must inform the commissioner of human services of the licensee's intent to relocate.
52.15 	(b) If the licensee at the time of the intended relocation is providing customized living 
52.16 	or 24-hour customized living services under the brain injury and community access for 
52.17 	disability inclusion home and community-based services waiver plans and section 256B.49 
52.18 	to at least one individual, and the licensee intends to continue serving that individual in the 
52.19 	new location, the licensee must inform the commissioner of human services of the licensee's 
52.20 	intention to do so and meet the requirements specified under section 256B.49, subdivision 
52.21 	28a.

52.22 	EFFECTIVE DATE. This section is effective January 1, 2025, except subdivision 2 
52.23 	is effective January 1, 2025, or 90 days after federal approval, whichever is later. The 
52.24 	commissioner of human services shall notify the revisor of statutes when federal approval 
52.25 	is obtained.

52.26 	Sec. 2. Minnesota Statutes 2022, section 144G.41, subdivision 1, is amended to read:
52.27 		Subdivision 1.Minimum requirements. All assisted living facilities shall:
52.28 	(1) distribute to residents the assisted living bill of rights;
52.29 	(2) provide services in a manner that complies with the Nurse Practice Act in sections 
52.30 	148.171 to 148.285;
52.31 	(3) utilize a person-centered planning and service delivery process;
53.1 	(4) have and maintain a system for delegation of health care activities to unlicensed 
53.2 	personnel by a registered nurse, including supervision and evaluation of the delegated 
53.3 	activities as required by the Nurse Practice Act in sections 148.171 to 148.285;
53.4 	(5) provide a means for residents to request assistance for health and safety needs 24 
53.5 	hours per day, seven days per week;
53.6 	(6) allow residents the ability to furnish and decorate the resident's unit within the terms 
53.7 	of the assisted living contract;
53.8 	(7) permit residents access to food at any time;
53.9 	(8) allow residents to choose the resident's visitors and times of visits;
53.10 	(9) allow the resident the right to choose a roommate if sharing a unit;
53.11 	(10) notify the resident of the resident's right to have and use a lockable door to the 
53.12 	resident's unit. The licensee shall provide the locks on the unit. Only a staff member with 
53.13 	a specific need to enter the unit shall have keys, and advance notice must be given to the 
53.14 	resident before entrance, when possible. An assisted living facility must not lock a resident 
53.15 	in the resident's unit;
53.16 	(11) develop and implement a staffing plan for determining its staffing level that:
53.17 	(i) includes an evaluation, to be conducted at least twice a year, of the appropriateness 
53.18 	of staffing levels in the facility;
53.19 	(ii) ensures sufficient staffing at all times to meet the scheduled and reasonably 
53.20 	foreseeable unscheduled needs of each resident as required by the residents' assessments 
53.21 	and service plans on a 24-hour per day basis; and
53.22 	(iii) ensures that the facility can respond promptly and effectively to individual resident 
53.23 	emergencies and to emergency, life safety, and disaster situations affecting staff or residents 
53.24 	in the facility;
53.25 	(12) ensure that one or more persons are available 24 hours per day, seven days per 
53.26 	week, who are responsible for responding to the requests of residents for assistance with 
53.27 	health or safety needs. Such persons must be:
53.28 	(i) awake;
53.29 	(ii) located in the same building, in an attached building, or on a contiguous campus 
53.30 	with the facility in order to respond within a reasonable amount of time;
53.31 	(iii) capable of communicating with residents;
54.1 	(iv) capable of providing or summoning the appropriate assistance; and
54.2 	(v) capable of following directions; and
54.3 	(13) offer to provide or make available at least the following services to residents:
54.4 	(i) at least three nutritious meals daily with snacks available seven days per week, 
54.5 	according to the recommended dietary allowances in the United States Department of 
54.6 	Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables. The 
54.7 	following apply:
54.8 	(A) menus must be prepared at least one week in advance, and made available to all 
54.9 	residents. The facility must encourage residents' involvement in menu planning. Meal 
54.10 	substitutions must be of similar nutritional value if a resident refuses a food that is served. 
54.11 	Residents must be informed in advance of menu changes;
54.12 	(B) food must be prepared and served according to the Minnesota Food Code, Minnesota 
54.13 	Rules, chapter 4626; and
54.14 	(C) the facility cannot require a resident to include and pay for meals in their contract;
54.15 	(ii) weekly housekeeping;
54.16 	(iii) weekly laundry service;
54.17 	(iv) upon the request of the resident, provide direct or reasonable assistance with arranging 
54.18 	for transportation to medical and social services appointments, shopping, and other recreation, 
54.19 	and provide the name of or other identifying information about the persons responsible for 
54.20 	providing this assistance;
54.21 	(v) upon the request of the resident, provide reasonable assistance with accessing 
54.22 	community resources and social services available in the community, and provide the name 
54.23 	of or other identifying information about persons responsible for providing this assistance;
54.24 	(vi) provide culturally sensitive programs; and
54.25 	(vii) have a daily program of social and recreational activities that are based upon 
54.26 	individual and group interests, physical, mental, and psychosocial needs, and that creates 
54.27 	opportunities for active participation in the community at large; and
54.28 	(14) (13) provide staff access to an on-call registered nurse 24 hours per day, seven days 
54.29 	per week.

55.1 	Sec. 3. Minnesota Statutes 2022, section 144G.41, is amended by adding a subdivision to 
55.2 	read:
55.3 		Subd. 1a.Minimum requirements; required food services. (a) All assisted living 
55.4 	facilities must offer to provide or make available at least three nutritious meals daily with 
55.5 	snacks available seven days per week, according to the recommended dietary allowances 
55.6 	in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh 
55.7 	fruit and fresh vegetables. The menus must be prepared at least one week in advance, and 
55.8 	made available to all residents. The facility must encourage residents' involvement in menu 
55.9 	planning. Meal substitutions must be of similar nutritional value if a resident refuses a food 
55.10 	that is served. Residents must be informed in advance of menu changes. The facility must 
55.11 	not require a resident to include and pay for meals in the resident's contract. Except as 
55.12 	provided in paragraph (b), food must be prepared and served according to the Minnesota 
55.13 	Food Code, Minnesota Rules, chapter 4626.
55.14 	(b) For an assisted living facility with a licensed capacity of ten or fewer residents:
55.15 	(1) notwithstanding Minnesota Rules, part 4626.0033, item A, the facility may share a 
55.16 	certified food protection manager (CFPM) with one other facility located within a 60-mile 
55.17 	radius and under common management provided the CFPM is present at each facility 
55.18 	frequently enough to effectively administer, manage, and supervise each facility's food 
55.19 	service operation;
55.20 	(2) notwithstanding Minnesota Rules, part 4626.0545, item A, kick plates that are not 
55.21 	removable or cannot be rotated open are allowed unless the facility has been issued repeated 
55.22 	correction orders for violations of Minnesota Rules, part 4626.1565 or 4626.1570;
55.23 	(3) notwithstanding Minnesota Rules, part 4626.0685, item A, the facility is not required 
55.24 	to provide integral drainboards, utensil racks, or tables large enough to accommodate soiled 
55.25 	and clean items that may accumulate during hours of operation provided soiled items do 
55.26 	not contaminate clean items, surfaces, or food, and clean equipment and dishes are air dried 
55.27 	in a manner that prevents contamination before storage;
55.28 	(4) notwithstanding Minnesota Rules, part 4626.1070, item A, the facility is not required 
55.29 	to install a dedicated handwashing sink in its existing kitchen provided it designates one 
55.30 	well of a two-compartment sink for use only as a handwashing sink;
55.31 	(5) notwithstanding Minnesota Rules, parts 4626.1325, 4626.1335, and 4626.1360, item 
55.32 	A, existing floor, wall, and ceiling finishes are allowed provided the facility keeps them 
55.33 	clean and in good condition;
56.1 	(6) notwithstanding Minnesota Rules, part 4626.1375, shielded or shatter-resistant 
56.2 	lightbulbs are not required, but if a light bulb breaks, the facility must discard all exposed 
56.3 	food and fully clean all equipment, dishes, and surfaces to remove any glass particles; and
56.4 	(7) notwithstanding Minnesota Rules, part 4626.1390, toilet rooms are not required to 
56.5 	be provided with a self-closing door.

56.6 	Sec. 4. Minnesota Statutes 2022, section 144G.41, is amended by adding a subdivision to 
56.7 	read:
56.8 		Subd. 1b.Minimum requirements; other required services. All assisted living facilities 
56.9 	must offer to provide or make available the following services to residents:
56.10 	(1) weekly housekeeping;
56.11 	(2) weekly laundry service;
56.12 	(3) upon the request of the resident, provide direct or reasonable assistance with arranging 
56.13 	for transportation to medical and social services appointments, shopping, and other recreation, 
56.14 	and provide the name of or other identifying information about the persons responsible for 
56.15 	providing this assistance;
56.16 	(4) upon the request of the resident, provide reasonable assistance with accessing 
56.17 	community resources and social services available in the community, and provide the name 
56.18 	of or other identifying information about persons responsible for providing this assistance;
56.19 	(5) provide culturally sensitive programs; and
56.20 	(6) have a daily program of social and recreational activities that are based upon individual 
56.21 	and group interests, physical, mental, and psychosocial needs, and that creates opportunities 
56.22 	for active participation in the community at large.

56.23 	Sec. 5. Minnesota Statutes 2022, section 144G.63, subdivision 1, is amended to read:
56.24 		Subdivision 1.Orientation of staff and supervisors. (a) All staff providing and 
56.25 	supervising direct services must complete an orientation to assisted living facility licensing 
56.26 	requirements and regulations before providing assisted living services to residents. The 
56.27 	orientation may be incorporated into the training required under subdivision 5. The orientation 
56.28 	need only be completed once for each staff person and is not transferable to another facility, 
56.29 	except as provided in paragraph (b).
56.30 	(b) A staff person is not required to repeat the orientation required under subdivision 2 
56.31 	if the staff person transfers from one licensed assisted living facility to another facility 
57.1 	operated by the same licensee or by a licensee affiliated with the same corporate organization 
57.2 	as the licensee of the first facility, or to another facility managed by the same entity managing 
57.3 	the first facility. The facility to which the staff person transfers must document that the staff 
57.4 	person completed the orientation at the prior facility. The facility to which the staff person 
57.5 	transfers must nonetheless provide the transferred staff person with supplemental orientation 
57.6 	specific to the facility and document that the supplemental orientation was provided. The 
57.7 	supplemental orientation must include the types of assisted living services the staff person 
57.8 	will be providing, the facility's category of licensure, and the facility's emergency procedures. 
57.9 	A staff person cannot transfer to an assisted living facility with dementia care without 
57.10 	satisfying the additional training requirements under section 144G.83.

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

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

57.16 	Sec. 7. Minnesota Statutes 2022, section 144G.64, is amended to read:
57.17 	144G.64 TRAINING IN DEMENTIA CARE, MENTAL ILLNESS, AND 
57.18 	DE-ESCALATION REQUIRED.
57.19 	(a) All assisted living facilities must meet the following dementia care, mental illness, 
57.20 	and de-escalation training requirements:
57.21 	(1) supervisors of direct-care staff must have at least eight hours of initial training on 
57.22 	dementia topics specified under paragraph (b), clauses (1) to (5), and two hours of initial 
57.23 	training on mental illness and de-escalation topics specified under paragraph (b), clauses 
57.24 	(6) to (8), within 120 working hours of the employment start date, and. Supervisors must 
57.25 	have at least two hours of training on topics related to dementia care and one hour of training 
57.26 	on topics related to mental illness and de-escalation for each 12 months of employment 
57.27 	thereafter;
57.28 	(2) direct-care employees must have completed at least eight hours of initial training on 
57.29 	dementia topics specified under paragraph (b), clauses (1) to (5), and two hours of initial 
57.30 	training on mental illness and de-escalation topics specified under paragraph (b), clauses 
57.31 	(6) to (8), within 160 working hours of the employment start date. Until this initial training 
57.32 	is complete, an employee must not provide direct care unless there is another employee on 
58.1 	site who has completed the initial eight hours of training on topics related to dementia care
58.2 	and the initial two hours of training on topics related to mental illness and de-escalation and 
58.3 	who can act as a resource and assist if issues arise. A trainer of the requirements under 
58.4 	paragraph (b) or a supervisor meeting the requirements in clause (1) must be available for 
58.5 	consultation with the new employee until the training requirement is complete. Direct-care 
58.6 	employees must have at least two hours of training on topics related to dementia and one 
58.7 	hour of training on topics related to mental illness and de-escalation for each 12 months of 
58.8 	employment thereafter;
58.9 	(3) for assisted living facilities with dementia care, direct-care employees must have 
58.10 	completed at least eight hours of initial training on topics specified under paragraph (b) 
58.11 	within 80 working hours of the employment start date. Until this initial training is complete, 
58.12 	an employee must not provide direct care unless there is another employee on site who has 
58.13 	completed the initial eight hours of training on topics related to dementia careand two hours 
58.14 	of training on topics related to mental illness and de-escalation and who can act as a resource 
58.15 	and assist if issues arise. A trainer of the requirements under paragraph (b) or a supervisor 
58.16 	meeting the requirements in clause (1) must be available for consultation with the new 
58.17 	employee until the training requirement is complete. Direct-care employees must have at 
58.18 	least two hours of training on topics related to dementia and one hour of training on topics 
58.19 	related to mental illness and de-escalation for each 12 months of employment thereafter;
58.20 	(4) staff who do not provide direct care, including maintenance, housekeeping, and food 
58.21 	service staff, must have at least four hours of initial training on topics specified under 
58.22 	paragraph (b), clauses (1) to (5), and two hours of initial training on mental illness and 
58.23 	de-escalation topics specified under paragraph (b), clauses (6) to (8), within 160 working 
58.24 	hours of the employment start date, and must have at least two hours of training on topics 
58.25 	related to dementia care and one hour of training on topics related to mental illness and 
58.26 	de-escalation for each 12 months of employment thereafter; and
58.27 	(5) new employees may satisfy the initial training requirements by producing written 
58.28 	proof of previously completed required training within the past 18 months.
58.29 	(b) Areas of required dementia, mental illness, and de-escalation training include:
58.30 	(1) an explanation of Alzheimer's disease and other dementias;
58.31 	(2) assistance with activities of daily living;
58.32 	(3) problem solving with challenging behaviors;
58.33 	(4) communication skills; and
59.1 	(5) person-centered planning and service delivery.;
59.2 	(6) recognizing symptoms of common mental illness diagnoses, including but not limited 
59.3 	to mood disorders, anxiety disorders, trauma- and stressor-related disorders, personality 
59.4 	and psychotic disorders, substance use disorder, and substance misuse;
59.5 	(7) de-escalation techniques and communication; and
59.6 	(8) crisis resolution and suicide prevention, including procedures for contacting county 
59.7 	crisis response teams and 988 suicide and crisis lifelines.
59.8 	(c) The facility shall provide to consumers in written or electronic form a description of 
59.9 	the training program, the categories of employees trained, the frequency of training, and 
59.10 	the basic topics covered.

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

59.12 	Sec. 8. Minnesota Statutes 2022, section 256.9755, subdivision 2, is amended to read:
59.13 		Subd. 2.Authority. The Minnesota Board on Aging shall allocate to area agencies on 
59.14 	aging the state funds which that are received under this section for the caregiver support 
59.15 	program in a manner consistent with federal requirements. The board shall give priority to 
59.16 	those areas where there is a high need of respite services as evidenced by the data provided 
59.17 	by the board.

59.18 	Sec. 9. Minnesota Statutes 2022, section 256.9755, subdivision 3, is amended to read:
59.19 		Subd. 3.Caregiver support services. Funds allocated under this section to an area 
59.20 	agency on aging for caregiver support services must be used in a manner consistent with 
59.21 	the National Family Caregiver Support Program to reach family caregivers of persons with 
59.22 	ALS, except that and such funds may be used to provide services benefiting people under 
59.23 	the age of 60 and their caregivers. The funds must be used to provide social, 
59.24 	community-based services and activities that provide social interaction for participants. The 
59.25 	funds may also be used to provide respite care.

59.26 	Sec. 10. Minnesota Statutes 2023 Supplement, section 256.9756, subdivision 1, is amended 
59.27 	to read:
59.28 		Subdivision 1.Caregiver respite services grant program established. The Minnesota 
59.29 	Board on Aging must establish a caregiver respite services grant program to increase the 
59.30 	availability of respite services for family caregivers of people with dementia and older adults
59.31 	and to provide information, education, and training to respite caregivers and volunteers 
60.1 	regarding caring for people with dementia. From the money made available for this purpose, 
60.2 	the board must award grants on a competitive basis to respite service providers, giving 
60.3 	priority to areas of the state where there is a high need of respite services.

60.4 	Sec. 11. Minnesota Statutes 2023 Supplement, section 256.9756, subdivision 2, is amended 
60.5 	to read:
60.6 		Subd. 2.Eligible uses. Grant recipients awarded grant money under this section must 
60.7 	use a portion of the grant award as determined by the board to provide free or subsidized 
60.8 	respite services for family caregivers of people with dementia and older adults.

60.9 	Sec. 12. Minnesota Statutes 2023 Supplement, section 256B.0913, subdivision 5, as 
60.10 	amended by Laws 2024, chapter 85, section 68, is amended to read:
60.11 		Subd. 5.Services covered under alternative care. (a) Alternative care funding may 
60.12 	be used for payment of costs of:
60.13 	(1) adult day services and adult day services bath;
60.14 	(2) home care;
60.15 	(3) homemaker services;
60.16 	(4) personal care;
60.17 	(5) case management and conversion case management;
60.18 	(6) respite care;
60.19 	(7) specialized supplies and equipment;
60.20 	(8) home-delivered meals;
60.21 	(9) nonmedical transportation;
60.22 	(10) nursing services;
60.23 	(11) chore services;
60.24 	(12) companion services;
60.25 	(13) nutrition services;
60.26 	(14) family caregiver training and education;
60.27 	(15) coaching and counseling;
61.1 	(16) telehome care to provide services in their own homes in conjunction with in-home 
61.2 	visits;
61.3 	(17) consumer-directed community supports;
61.4 	(18) environmental accessibility and adaptations; and
61.5 	(19) transitional services; and
61.6 	(19) (20) discretionary services, for which lead agencies may make payment from their 
61.7 	alternative care program allocation for services not otherwise defined in this section or 
61.8 	section 256B.0625, following approval by the commissioner.
61.9 	(b) Total annual payments for discretionary services for all clients served by a lead 
61.10 	agency must not exceed 25 percent of that lead agency's annual alternative care program 
61.11 	base allocation, except that when alternative care services receive federal financial 
61.12 	participation under the 1115 waiver demonstration, funding shall be allocated in accordance 
61.13 	with subdivision 17.

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

61.17 	Sec. 13. Minnesota Statutes 2022, section 256B.0913, subdivision 5a, is amended to read:
61.18 		Subd. 5a.Services; service definitions; service standards. (a) Unless specified in 
61.19 	statute, the services, service definitions, and standards for alternative care services shall be 
61.20 	the same as the services, service definitions, and standards specified in the federally approved 
61.21 	elderly waiver plan, except alternative care does not cover transitional support services,
61.22 	assisted living services, adult foster care services, and residential care and benefits defined 
61.23 	under section 256B.0625 that meet primary and acute health care needs.
61.24 	(b) The lead agency must ensure that the funds are not used to supplant or supplement 
61.25 	services available through other public assistance or services programs, including 
61.26 	supplementation of client co-pays, deductibles, premiums, or other cost-sharing arrangements 
61.27 	for health-related benefits and services or entitlement programs and services that are available 
61.28 	to the person, but in which they have elected not to enroll. The lead agency must ensure 
61.29 	that the benefit department recovery system in the Medicaid Management Information 
61.30 	System (MMIS) has the necessary information on any other health insurance or third-party 
61.31 	insurance policy to which the client may have access. Supplies and equipment may be 
61.32 	purchased from a vendor not certified to participate in the Medicaid program if the cost for 
61.33 	the item is less than that of a Medicaid vendor.
62.1 	(c) Personal care services must meet the service standards defined in the federally 
62.2 	approved elderly waiver plan, except that a lead agency may authorize services to be provided 
62.3 	by a client's relative who meets the relative hardship waiver requirements or a relative who 
62.4 	meets the criteria and is also the responsible party under an individual service plan that 
62.5 	ensures the client's health and safety and supervision of the personal care services by a 
62.6 	qualified professional as defined in section 256B.0625, subdivision 19c. Relative hardship 
62.7 	is established by the lead agency when the client's care causes a relative caregiver to do any 
62.8 	of the following: resign from a paying job, reduce work hours resulting in lost wages, obtain 
62.9 	a leave of absence resulting in lost wages, incur substantial client-related expenses, provide 
62.10 	services to address authorized, unstaffed direct care time, or meet special needs of the client 
62.11 	unmet in the formal service plan.
62.12 	(d) Alternative care covers sign language interpreter services and spoken language 
62.13 	interpreter services for recipients eligible for alternative care when the services are necessary 
62.14 	to help deaf and hard-of-hearing recipients or recipients with limited English proficiency 
62.15 	obtain covered services. Coverage for face-to-face spoken language interpreter services 
62.16 	shall be provided only if the spoken language interpreter used by the enrolled health care 
62.17 	provider is listed in the registry or roster established under section 144.058.

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

62.21 	Sec. 14. Minnesota Statutes 2022, section 256B.434, is amended by adding a subdivision 
62.22 	to read:
62.23 		Subd. 4k.Property rate increase for certain nursing facilities. (a) A rate increase 
62.24 	under this subdivision ends upon the effective date of the transition of the facility's property 
62.25 	rate to a property payment rate under section 256R.26, subdivision 8, or May 31, 2026, 
62.26 	whichever is earlier.
62.27 	(b) The commissioner shall increase the property rate of a nursing facility located in the 
62.28 	city of St. Paul at 1415 Almond Avenue in Ramsey County by $10.65 on January 1, 2025.
62.29 	(c) The commissioner shall increase the property rate of a nursing facility located in the 
62.30 	city of Duluth at 3111 Church Place in St. Louis County by $20.81 on January 1, 2025.
62.31 	(d) The commissioner shall increase the property rate of a nursing facility located in the 
62.32 	city of Chatfield at 1102 Liberty Street SE in Fillmore County by $21.35 on January 1, 
62.33 	2025.
63.1 	(e) Effective January 1, 2025, through June 30, 2025, the commissioner shall increase 
63.2 	the property rate of a nursing facility located in the city of Fergus Falls at 1131 South 
63.3 	Mabelle Avenue in Ottertail County by $38.56.

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

63.5 	Sec. 15. Minnesota Statutes 2022, section 256B.49, is amended by adding a subdivision 
63.6 	to read:
63.7 		Subd. 28a.Transfer of customized living enrollment dates. (a) For the purposes of 
63.8 	this subdivision, "operational" has the meaning given in subdivision 28.
63.9 	(b) This paragraph applies only to customized living settings enrolled and operational 
63.10 	on or before June 30, 2021, and customized living settings that have previously transferred 
63.11 	their customized living enrollment date under this paragraph. A provider that receives 
63.12 	approval from the commissioner of health under section 144G.195, subdivision 1, to relocate 
63.13 	a licensed assisted living facility that was enrolled prior to January 11, 2021, to deliver 
63.14 	medical assistance 24-hour customized living services, or customized living services as 
63.15 	defined by the brain injury and community access for disability inclusion federally approved 
63.16 	home and community-based services waiver plans, may continue to operate the customized 
63.17 	living setting under the original setting's customized living enrollment date if all of the 
63.18 	requirements under this subdivision are met.
63.19 	(c) A transfer of enrollment date is allowed under this subdivision only if the facility 
63.20 	relocation is due to:
63.21 	(1) a provider that rents the original setting being unable to continue to rent the original 
63.22 	setting because of eviction, nonrenewal of its lease by the property owner, or sale of the 
63.23 	property by the owner;
63.24 	(2) a provider that rents the original setting being unable to make the necessary updates 
63.25 	or improvements to the original setting to comply with the physical plant and other 
63.26 	requirements under state or federal law, including but not limited to chapter 144G;
63.27 	(3) a provider's monthly rent increasing more than three percent in a 12-month period;
63.28 	(4) the original setting being destroyed or damaged by fire, lightning, flood, wind, ground 
63.29 	shifts, or other such hazards, including environmental hazards, to such an extent that the 
63.30 	original setting cannot be repaired and the safety of residents would be jeopardized by 
63.31 	continuing to reside in the original setting; or
64.1 	(5) a provider or an entity that directly or indirectly through one or more intermediaries 
64.2 	is controlled by, is under common control with, or controls the entity enrolled to provide 
64.3 	customized living services at the current setting purchases a new setting and the commissioner 
64.4 	of health approves the relocation of the provider's assisted living facility  license to the newly 
64.5 	purchased setting.
64.6 	(d) When a relocation is necessitated by a qualifying situation under paragraph (c), 
64.7 	clauses (1) to (5), the provider must submit a notification to the commissioner of human 
64.8 	services, the ombudsman of long-term care, the ombudsperson of mental health and 
64.9 	developmental disabilities, relevant lead agencies, each resident's case manager, and either 
64.10 	each person receiving services at the setting or the person's legal representative. The 
64.11 	notification must be made at least 30 days prior to the relocation date and on forms and in 
64.12 	the manner prescribed by the commissioner of human services.
64.13 	(e) A provider proposing to transfer a customized living setting enrollment date to a new 
64.14 	setting must submit, with the provider's notification to the commissioner of human services 
64.15 	under paragraph (d), the following information:
64.16 	(1) the addresses of the vacating location and of the proposed new location;
64.17 	(2) the anticipated date of the move to the new location;
64.18 	(3) contacts for the lead agency and each resident's waiver case manager;
64.19 	(4) documentation that the Department of Health has received an application to relocate 
64.20 	pursuant to section 144G.195, subdivision 1, for the new location; and
64.21 	(5) documentation that the customized living provider's assisted living facility license 
64.22 	is not conditional.
64.23 	(f) The commissioner of human services has 30 days to approve or deny requests to 
64.24 	transfer the original setting's customized living enrollment date to the new setting.
64.25 	(g) The commissioner of human services must deny requests to transfer a customized 
64.26 	living enrollment date to a new setting if:
64.27 	(1) the new setting approved by the commissioner of health under section 144G.195, 
64.28 	subdivision 1, is adjoined to or on the same property as an institution as defined in Code of 
64.29 	Federal Regulations, title 42, section 441.301(c), or one or more licensed assisted living 
64.30 	facilities;
64.31 	(2) the requesting provider fails to notify the commissioner of human services of the 
64.32 	proposed relocation within the time frames required under this subdivision;
65.1 	(3) the requesting provider's assisted living facility license is conditional; or
65.2 	(4) the requesting provider is changing ownership at the same time as the proposed 
65.3 	relocation.
65.4 	(h) The setting to which the original customized living enrollment date is transferred 
65.5 	must:
65.6 	(1) comply with setting requirements in the brain injury and community access for 
65.7 	disability inclusion federally approved home and community-based services waiver plans 
65.8 	and under this section as the requirements existed on the customized living enrollment date 
65.9 	of the original setting;
65.10 	(2) have a resident capacity less than or equal to the resident capacity of the original 
65.11 	setting;
65.12 	(3) not require or coerce any resident of the original setting to move to the new setting, 
65.13 	consistent with informed choice and independent living policies under section 256B.4905, 
65.14 	subdivisions 1a, 2a, 3a, and 8; and
65.15 	(4) provide each resident with a new assisted living contract and comply with the 
65.16 	coordinated move requirements under section 144G.55.

65.17 	EFFECTIVE DATE. This section is effective January 1, 2025, or 90 days after federal 
65.18 	approval, whichever is later. The commissioner of human services shall notify the revisor 
65.19 	of statutes when federal approval is obtained.

65.20 	Sec. 16. Minnesota Statutes 2023 Supplement, section 256R.55, is amended to read:
65.21 	256R.55 FINANCIALLY DISTRESSED NURSING FACILITYLONG-TERM 
65.22 	SERVICES AND SUPPORTS LOAN PROGRAM.
65.23 		Subdivision 1.Financially distressed nursing facility loans Long-term services and 
65.24 	supports loan program. The commissioner of human services shall establish a competitive 
65.25 	financially distressed nursing facility loan program to provide operating loans to eligible 
65.26 	nursing long-term services and supports providers and facilities. The commissioner shall 
65.27 	initiate the application process for the loan described in this section at least once annually
65.28 	if money is available. A second application process may be initiated each year at the 
65.29 	discretion of the commissioner.
65.30 		Subd. 2.Eligibility. To be an eligible applicant for a loan under this section, a nursing 
65.31 	facility provider must submit to the commissioner of human services a loan application in 
66.1 	the form and according to the timelines established by the commissioner. In its loan 
66.2 	application, a loan applicant must demonstrate that the following:
66.3 	(1) for nursing facilities with a medical assistance provider agreement that are licensed 
66.4 	as a nursing home or boarding care home according to section 256R.02, subdivision 33:
66.5 	(1) (i) the total net income of the nursing facility is not generating sufficient revenue to 
66.6 	cover the nursing facility's operating expenses;
66.7 	(2) (ii) the nursing facility is at risk of closure; and
66.8 	(3) (iii) additional operating revenue is necessary to either preserve access to nursing 
66.9 	facility services within the community or support people with complex, high-acuity support 
66.10 	needs.; and
66.11 	(2) for other long-term services and supports providers:
66.12 	(i) demonstration that the provider is enrolled in a Minnesota health care program and 
66.13 	provides one or more of the following services in a Minnesota health care program:
66.14 	(A) home and community-based services under chapter 245D;
66.15 	(B) personal care assistance services under section 256B.0659;
66.16 	(C) community first services and supports under section 256B.85;
66.17 	(D) early intensive developmental and behavioral intervention services under section 
66.18 	256B.0949;
66.19 	(E) home care services as defined under section 256B.0651, subdivision 1, paragraph 
66.20 	(d); or
66.21 	(F) customized living services as defined in section 256S.02; and
66.22 	(ii) additional operating revenue is necessary to preserve access to services within the 
66.23 	community, expand services to people within the community, expand services to new 
66.24 	communities, or support people with complex, high-acuity support needs.
66.25 		Subd. 2a.Allowable uses of loan money. (a) A loan awarded to a nursing facility under 
66.26 	subdivision 2, clause (1), must only be used to cover the facility's short-term operating 
66.27 	expenses. Nursing facilities receiving loans must not use the loan proceeds to pay related 
66.28 	organizations as defined in section 256R.02, subdivision 43.
66.29 	(b) A loan awarded to a long-term services and supports provider under subdivision 2, 
66.30 	clause (2), must only be used to cover expenses related to achieving outcomes identified in 
66.31 	subdivision 2, clause (2), item (ii).
67.1 		Subd. 3.Approving loans. The commissioner must evaluate all loan applications on a 
67.2 	competitive basis and award loans to successful applicants within available appropriations 
67.3 	for this purpose. The commissioner's decisions are final and not subject to appeal.
67.4 		Subd. 4.Disbursement schedule. Successful loan applicants under this section may 
67.5 	receive loan disbursements as a lump sum, or on an agreed upon disbursement schedule, or 
67.6 	as a time-limited line of credit. The commissioner shall approve disbursements to successful 
67.7 	loan applicants through a memorandum of understanding. Memoranda of understanding 
67.8 	must specify the amount and schedule of loan disbursements.
67.9 		Subd. 5.Loan administration. The commissioner may contract with an independent 
67.10 	third party to administer the loan program under this section.
67.11 		Subd. 6.Loan payments. The commissioner shall negotiate the terms of the loan 
67.12 	repayment, including the start of the repayment plan, the due date of the repayment, and 
67.13 	the frequency of the repayment installments. Repayment installments must not begin until 
67.14 	at least 18 months after the first disbursement date. The memoranda of understanding must 
67.15 	specify the amount and schedule of loan payments. The repayment term must not exceed 
67.16 	72 months. If any loan payment to the commissioner is not paid within the time specified 
67.17 	by the memoranda of understanding, the late payment must be assessed a penalty rate of 
67.18 	0.01 percent of the original loan amount each month the payment is past due. For nursing 
67.19 	facilities, this late fee is not an allowable cost on the department's cost report. The 
67.20 	commissioner shall have the power to abate penalties when discrepancies occur resulting 
67.21 	from but not limited to circumstances of error and mail delivery.
67.22 		Subd. 7.Loan repayment. (a) If a borrower is more than 60 calendar days delinquent 
67.23 	in the timely payment of a contractual payment under this section, the provisions in 
67.24 	paragraphs (b) to (e) apply.
67.25 	(b) The commissioner may withhold some or all of the amount of the delinquent loan 
67.26 	payment, together with any penalties due and owing on those amounts, from any money 
67.27 	the department owes to the borrower. The commissioner may, at the commissioner's 
67.28 	discretion, also withhold future contractual payments from any money the commissioner 
67.29 	owes the provider as those contractual payments become due and owing. The commissioner 
67.30 	may continue this withholding until the commissioner determines there is no longer any 
67.31 	need to do so.
67.32 	(c) The commissioner shall give prior notice of the commissioner's intention to withhold 
67.33 	by mail, facsimile, or email at least ten business days before the date of the first payment 
68.1 	period for which the withholding begins. The notice must be deemed received as of the date 
68.2 	of mailing or receipt of the facsimile or electronic notice. The notice must:
68.3 	(1) state the amount of the delinquent contractual payment;
68.4 	(2) state the amount of the withholding per payment period;
68.5 	(3) state the date on which the withholding is to begin;
68.6 	(4) state whether the commissioner intends to withhold future installments of the 
68.7 	provider's contractual payments; and
68.8 	(5) state other contents as the commissioner deems appropriate.
68.9 	(d) The commissioner, or the commissioner's designee, may enter into written settlement 
68.10 	agreements with a provider to resolve disputes and other matters involving unpaid loan 
68.11 	contractual payments or future loan contractual payments.
68.12 	(e) Notwithstanding any law to the contrary, all unpaid loans, plus any accrued penalties, 
68.13 	are overpayments for the purposes of section 256B.0641, subdivision 1. The current owner 
68.14 	of a nursing home or, boarding care home, or long-term services and supports provider is 
68.15 	liable for the overpayment amount owed by a former owner for any facility sold, transferred, 
68.16 	or reorganized.
68.17 		Subd. 8.Audit. Loan money allocated under this section is subject to audit to determine 
68.18 	whether the money was spent as authorized under this section.
68.19 		Subd. 8a.Special revenue account. A long-term services and supports loan account is 
68.20 	created in the special revenue fund in the state treasury. Money appropriated for the purposes 
68.21 	of this section must be transferred to the long-term services and supports loan account. All 
68.22 	payments received under subdivision 6, along with fees, penalties, and interest, must be 
68.23 	deposited into the special revenue account and are appropriated to the commissioner for the 
68.24 	purposes of this section.
68.25 		Subd. 9.Carryforward. Notwithstanding section 16A.28, subdivision 3, any 
68.26 	appropriation money in the long-term services and supports loan account for the purposes 
68.27 	under this section carries forward and does not lapse until the close of the fiscal year in 
68.28 	which this section expires.
68.29 		Subd. 10.Expiration. This section expires June 30, 2029.

68.30 	EFFECTIVE DATE. This section is effective July 1, 2024, except that subdivision 8a 
68.31 	is effective retroactively from July 1, 2023.

69.1 	Sec. 17. [256S.191] ELDERLY WAIVER BUDGET AND RATE EXCEPTIONS; 
69.2 	HIGH-NEED PARTICIPANTS.
69.3 		Subdivision 1.Eligibility for budget and rate exceptions. A participant is eligible to 
69.4 	request an elderly waiver budget and rate exception when:
69.5 	(1) hospitalization of the participant is no longer medically necessary but the participant 
69.6 	has not been discharged to the community due to lack of community care options;
69.7 	(2) the participant requires a support plan that exceeds elderly waiver budgets and rates 
69.8 	due to the participant's specific assessed needs; and
69.9 	(3) the participant meets all eligibility criteria for the elderly waiver.
69.10 		Subd. 2.Requests for budget and rate exceptions. (a) A participant eligible under 
69.11 	subdivision 1 may request, in a format prescribed by the commissioner, an elderly waiver 
69.12 	budget and rate exception when requesting an eligibility determination for elderly waiver 
69.13 	services. The participant may request an exception to the elderly waiver case mix caps, the 
69.14 	customized living service rate limits, service rates, or any combination of the three.
69.15 	(b) The participant must document in the request that the participant's needs cannot be 
69.16 	met within the existing case mix caps, customized living service rate limits, or service rates 
69.17 	and how an exception to any of the three will meet the participant's needs.
69.18 	(c) The participant must include in the request the basis for the underlying costs used to 
69.19 	determine the overall cost of the proposed service plan.
69.20 	(d) The commissioner must respond to all exception requests, whether the request is 
69.21 	granted, denied, or granted as modified. The commissioner must include in the response 
69.22 	the basis for the action and provide notification of the right to appeal.
69.23 	(e) Participants granted exceptions under this section must apply annually in a format 
69.24 	prescribed by the commissioner to continue or modify the exception.
69.25 	(f) A participant no longer qualifies for an exception when the participant's needs can 
69.26 	be met within standard elderly waiver budgets and rates.

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

70.1 	Sec. 18. Minnesota Statutes 2022, section 256S.205, subdivision 2, is amended to read:
70.2 		Subd. 2.Rate adjustment application. (a) Effective through September 30, 2023, a 
70.3 	facility may apply to the commissioner for designation as a disproportionate share facility. 
70.4 	Applications must be submitted annually between September 1 and September 30. The 
70.5 	applying facility must apply in a manner determined by the commissioner. The applying 
70.6 	facility must document each of the following on the application:
70.7 	(1) the number of customized living residents in the facility on September 1 of the 
70.8 	application year, broken out by specific waiver program; and
70.9 	(2) the total number of people residing in the facility on September 1 of the application 
70.10 	year.
70.11 	(b) Effective October 1, 2023, the commissioner must not process any new applications 
70.12 	for disproportionate share facilities after the September 1 through September 30, 2023, 
70.13 	application period.
70.14 	(c) A facility that receives rate floor payments in rate year 2024 may submit an application 
70.15 	under this subdivision to maintain its designation as a disproportionate share facility for 
70.16 	rate year 2025.

70.17 	Sec. 19. Minnesota Statutes 2022, section 256S.205, subdivision 3, is amended to read:
70.18 		Subd. 3.Rate adjustment eligibility criteria. (a) Effective through September 30, 2023, 
70.19 	only facilities satisfying all of the following conditions on September 1 of the application 
70.20 	year are eligible for designation as a disproportionate share facility:
70.21 	(1) at least 83.5 percent of the residents of the facility are customized living residents; 
70.22 	and
70.23 	(2) at least 70 percent of the customized living residents are elderly waiver participants.
70.24 	(b) A facility determined eligible for the disproportionate share rate adjustment in 
70.25 	application year 2023 and receiving payments in rate year 2024 is eligible to receive payments 
70.26 	in rate year 2025 only if the commissioner determines that the facility continues to meet 
70.27 	the eligibility requirements under this subdivision as determined by the application process 
70.28 	under subdivision 2, paragraph (c).

70.29 	Sec. 20. Minnesota Statutes 2022, section 256S.205, subdivision 5, is amended to read:
70.30 		Subd. 5.Rate adjustment; rate floor. (a) Effective through December 31, 2025, 
70.31 	notwithstanding the 24-hour customized living monthly service rate limits under section 
71.1 	256S.202, subdivision 2, and the component service rates established under section 256S.201, 
71.2 	subdivision 4, the commissioner must establish a rate floor equal to $119 $141 per resident 
71.3 	per day for 24-hour customized living services provided to an elderly waiver participant in 
71.4 	a designated disproportionate share facility.
71.5 	(b) The commissioner must apply the rate floor to the services described in paragraph 
71.6 	(a) provided during the rate year.
71.7 	(c) The commissioner must adjust the rate floor by the same amount and at the same 
71.8 	time as any adjustment to the 24-hour customized living monthly service rate limits under 
71.9 	section 256S.202, subdivision 2.
71.10 	(d) The commissioner shall not implement the rate floor under this section if the 
71.11 	customized living rates established under sections 256S.21 to 256S.215 will be implemented 
71.12 	at 100 percent on January 1 of the year following an application year.

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

71.14 	Sec. 21. Minnesota Statutes 2022, section 256S.205, is amended by adding a subdivision 
71.15 	to read:
71.16 		Subd. 7.Expiration. This section expires January 1, 2026.

71.17 	Sec. 22. DIRECTION TO COMMISSIONER; HOME AND COMMUNITY-BASED 
71.18 	SERVICES SYSTEM REFORM ANALYSIS.
 71.19 	(a) The commissioner of human services must study Minnesota's existing home and 
71.20 	community-based services system for older adults and evaluate options to meet the needs 
71.21 	of older adults with high support needs that cannot be addressed by services or individual 
71.22 	participant budgets available under the elderly waiver. The commissioner must propose 
71.23 	reforms to the home and community-based services system to meet the following goals:
71.24 	(1) address the needs of older adults with high support needs, including older adults with 
71.25 	high support needs currently residing in the community;
71.26 	(2) develop provider capacity to meet the needs of older adults with high support needs; 
71.27 	and
71.28 	(3) ensure access to a full range of services and supports necessary to address the needs 
71.29 	of older adults with high support needs.
72.1 	(b) The commissioner must submit a report with recommendations to meet the goals in 
72.2 	paragraph (a) to the chairs and ranking minority members of the legislative committees with 
72.3 	jurisdiction over human services finance and policy by December 31, 2025.

72.4 	Sec. 23. REVISOR INSTRUCTION.
 72.5 	The revisor of statutes shall renumber Minnesota Statutes, section 256R.55, as Minnesota 
72.6 	Statutes, section 256.4792, and correct all cross-references.

72.7 	ARTICLE 3
72.8 	SUBSTANCE USE DISORDER SERVICES

72.9 	Section 1. Minnesota Statutes 2022, section 151.065, subdivision 7, is amended to read:
72.10 		Subd. 7.Deposit of fees. (a) The license fees collected under this section, with the 
72.11 	exception of the fees identified in paragraphs (b) and (c), shall be deposited in the state 
72.12 	government special revenue fund.
72.13 	(b) $5,000 of each fee collected under subdivision 1, clauses (6) to (9), and (11) to (15), 
72.14 	and subdivision 3, clauses (4) to (7), and (9) to (13), and $55,000 of each fee collected under 
72.15 	subdivision 1, clause (16), and subdivision 3, clause (14), shall be deposited in the opiate 
72.16 	epidemic response fund established in section 256.043.
72.17 	(c) If the fees collected under subdivision 1, clause (16), or subdivision 3, clause (14), 
72.18 	are reduced under section 256.043, $5,000 of the reduced fee shall be deposited in the opiate 
72.19 	epidemic response fund in section 256.043.

72.20 	Sec. 2. Minnesota Statutes 2023 Supplement, section 245.91, subdivision 4, is amended 
72.21 	to read:
72.22 		Subd. 4.Facility or program. "Facility" or "program" means a nonresidential or 
72.23 	residential program as defined in section 245A.02, subdivisions 10 and 14, and any agency, 
72.24 	facility, or program that provides services or treatment for mental illness, developmental 
72.25 	disability, substance use disorder, or emotional disturbance that is required to be licensed, 
72.26 	certified, or registered by the commissioner of human services, health, or education; a sober 
72.27 	home as defined in section 254B.01, subdivision 11; peer recovery support services provided 
72.28 	by a recovery community organization as defined in section 254B.01, subdivision 8; and 
72.29 	an acute care inpatient facility that provides services or treatment for mental illness, 
72.30 	developmental disability, substance use disorder, or emotional disturbance.

73.1 	Sec. 3. Minnesota Statutes 2023 Supplement, section 245G.07, subdivision 2, is amended 
73.2 	to read:
73.3 		Subd. 2.Additional treatment service. A license holder may provide or arrange the 
73.4 	following additional treatment service as a part of the client's individual treatment plan:
73.5 	(1) relationship counseling provided by a qualified professional to help the client identify 
73.6 	the impact of the client's substance use disorder on others and to help the client and persons 
73.7 	in the client's support structure identify and change behaviors that contribute to the client's 
73.8 	substance use disorder;
73.9 	(2) therapeutic recreation to allow the client to participate in recreational activities 
73.10 	without the use of mood-altering chemicals and to plan and select leisure activities that do 
73.11 	not involve the inappropriate use of chemicals;
73.12 	(3) stress management and physical well-being to help the client reach and maintain an 
73.13 	appropriate level of health, physical fitness, and well-being;
73.14 	(4) living skills development to help the client learn basic skills necessary for independent 
73.15 	living;
73.16 	(5) employment or educational services to help the client become financially independent;
73.17 	(6) socialization skills development to help the client live and interact with others in a 
73.18 	positive and productive manner;
73.19 	(7) room, board, and supervision at the treatment site to provide the client with a safe 
73.20 	and appropriate environment to gain and practice new skills; and
73.21 	(8) peer recovery support services must be provided by an individual in a recovery peer
73.22 	qualified according to section 245I.04, subdivision 18. Peer recovery support services include 
73.23 	education; advocacy; mentoring through self-disclosure of personal recovery experiences; 
73.24 	attending recovery and other support groups with a client; accompanying the client to 
73.25 	appointments that support recovery; assistance accessing resources to obtain housing, 
73.26 	employment, education, and advocacy services; and nonclinical recovery support to assist 
73.27 	the transition from treatment into the recovery community must be provided according to 
73.28 	sections 254B.05, subdivision 5, and 254B.052.

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

74.1 	Sec. 4. Minnesota Statutes 2023 Supplement, section 245I.04, subdivision 19, is amended 
74.2 	to read:
74.3 		Subd. 19.Recovery peer scope of practice. (a) A recovery peer, under the supervision 
74.4 	of an a licensed alcohol and drug counselor or mental health professional who meets the 
74.5 	qualifications under subdivision 2, must:
74.6 	(1) provide individualized peer support and individual recovery planning to each client;
74.7 	(2) promote a client's recovery goals, self-sufficiency, self-advocacy, and development 
74.8 	of natural supports; and
74.9 	(3) support a client's maintenance of skills that the client has learned from other services.
74.10 	(b) A licensed alcohol and drug counselor or mental health professional providing 
74.11 	supervision to a recovery peer must meet with the recovery peer face-to-face, either remotely 
74.12 	or in person, at least once per month in order to provide adequate supervision to the recovery 
74.13 	peer. Supervision must include reviewing individual recovery plans, as defined in section 
74.14 	254B.01, subdivision 4e, and reviewing documentation of peer recovery support services 
74.15 	provided for clients and may include client updates, discussion of ethical considerations, 
74.16 	and any other questions or issues relevant to peer recovery support services.

74.17 	Sec. 5. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision to 
74.18 	read:
74.19 		Subd. 4e.Individual recovery plan. "Individual recovery plan" means a person-centered 
74.20 	outline of supports that an eligible vendor of peer recovery support services under section 
74.21 	254B.05, subdivision 1, must develop to respond to an individual's peer recovery support 
74.22 	services needs and goals.

74.23 	Sec. 6. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision to 
74.24 	read:
74.25 		Subd. 8a.Recovery peer. "Recovery peer" means a person who is qualified according 
74.26 	to section 245I.04, subdivision 18, to provide peer recovery support services within the 
74.27 	scope of practice provided under section 245I.04, subdivision 19.

74.28 	Sec. 7. Minnesota Statutes 2023 Supplement, section 254B.05, subdivision 1, is amended 
74.29 	to read:
74.30 		Subdivision 1.Licensure or certification required. (a) Programs licensed by the 
74.31 	commissioner are eligible vendors. Hospitals may apply for and receive licenses to be 
75.1 	eligible vendors, notwithstanding the provisions of section 245A.03. American Indian 
75.2 	programs that provide substance use disorder treatment, extended care, transitional residence, 
75.3 	or outpatient treatment services, and are licensed by tribal government are eligible vendors.
75.4 	(b) A licensed professional in private practice as defined in section 245G.01, subdivision 
75.5 	17, who meets the requirements of section 245G.11, subdivisions 1 and 4, is an eligible 
75.6 	vendor of a comprehensive assessment and assessment summary provided according to 
75.7 	section 245G.05, and treatment services provided according to sections 245G.06 and 
75.8 	245G.07, subdivision 1, paragraphs (a), clauses (1) to (5), and (b); and subdivision 2, clauses 
75.9 	(1) to (6).
75.10 	(c) A county is an eligible vendor for a comprehensive assessment and assessment 
75.11 	summary when provided by an individual who meets the staffing credentials of section 
75.12 	245G.11, subdivisions 1 and 5, and completed according to the requirements of section 
75.13 	245G.05. A county is an eligible vendor of care coordination services when provided by an 
75.14 	individual who meets the staffing credentials of section 245G.11, subdivisions 1 and 7, and 
75.15 	provided according to the requirements of section 245G.07, subdivision 1, paragraph (a), 
75.16 	clause (5). A county is an eligible vendor of peer recovery services when the services are 
75.17 	provided by an individual who meets the requirements of section 245G.11, subdivision 8.
75.18 	(d) A recovery community organization that meets the requirements of clauses (1) to 
75.19 	(10) (12) and meets membership certification or accreditation requirements of the Association 
75.20 	of Recovery Community Organizations the Alliance for Recovery Centered Organizations, 
75.21 	the Council on Accreditation of Peer Recovery Support Services, or a Minnesota statewide 
75.22 	recovery community organization identified by the commissioner is an eligible vendor of 
75.23 	peer recovery support services. A Minnesota statewide recovery organization identified by 
75.24 	the commissioner must update recovery community organization applicants for certification 
75.25 	or accreditation on the status of the application within 45 days of receipt. If the approved 
75.26 	statewide recovery organization denies an application, it must provide a written explanation 
75.27 	for the denial to the recovery community organization. Eligible vendors under this paragraph 
75.28 	must:
75.29 	(1) be nonprofit organizations under section 501(c)(3) of the Internal Revenue Code, be 
75.30 	free from conflicting self-interests, and be autonomous in decision-making, program 
75.31 	development, peer recovery support services provided, and advocacy efforts for the purpose 
75.32 	of supporting the recovery community organization's mission;
76.1 	(2) be led and governed by individuals in the recovery community, with more than 50 
76.2 	percent of the board of directors or advisory board members self-identifying as people in 
76.3 	personal recovery from substance use disorders;
76.4 	(3) primarily focus on recovery from substance use disorders, with missions and visions 
76.5 	that support this primary focus have a mission statement and conduct corresponding activities 
76.6 	indicating that the organization's primary purpose is to support recovery from substance 
76.7 	use disorder;
76.8 	(4) be grassroots and reflective of and engaged with the community served demonstrate 
76.9 	ongoing community engagement with the identified primary region and population served 
76.10 	by the organization, including individuals in recovery and their families, friends, and recovery 
76.11 	allies;
76.12 	(5) be accountable to the recovery community through documented priority-setting and 
76.13 	participatory decision-making processes that promote the involvement and engagement of, 
76.14 	and consultation with, people in recovery and their families, friends, and recovery allies;
76.15 	(6) provide nonclinical peer recovery support services, including but not limited to 
76.16 	recovery support groups, recovery coaching, telephone recovery support, skill-building 
76.17 	groups, and harm-reduction activities, and provide recovery public education and advocacy;
76.18 	(7) have written policies that allow for and support opportunities for all paths toward 
76.19 	recovery and refrain from excluding anyone based on their chosen recovery path, which 
76.20 	may include but is not limited to harm reduction paths, faith-based paths, and nonfaith-based 
76.21 	paths;
76.22 	(8) be purposeful in meeting the diverse maintain organizational practices to meet the
76.23 	needs of Black, Indigenous, and people of color communities, including LGBTQ+ 
76.24 	communities, and other underrepresented or marginalized communities. Organizational 
76.25 	practices may include board and staff development activities, organizational practices
76.26 	training, service offerings, advocacy efforts, and culturally informed outreach and service 
76.27 	plans services;
76.28 	(9) be stewards of use recovery-friendly language in all media and written materials that 
76.29 	is supportive of and promotes recovery across diverse geographical and cultural contexts 
76.30 	and reduces stigma; and
76.31 	(10) establish and maintain an employee and volunteer a publicly available recovery 
76.32 	community organization code of ethics and easily accessible grievance policy and procedures 
76.33 	posted in physical spaces, on websites, or on program policies or forms.;
77.1 	(11) provide an orientation for recovery peers that includes an overview of the consumer 
77.2 	advocacy services provided by the Ombudsman for Mental Health and Developmental 
77.3 	Disabilities and other relevant advocacy services; and
77.4 	(12) provide notice to peer recovery support services participants that includes the 
77.5 	following statement: "If you have a complaint about the provider or the person providing 
77.6 	your peer recovery support services, you may contact the Minnesota Alliance of Recovery 
77.7 	Community Organizations. You may also contact the Office of Ombudsman for Mental 
77.8 	Health and Developmental Disabilities." The statement must also include:
77.9 	(i) the telephone number, website address, email address, and mailing address of the 
77.10 	Minnesota Alliance of Recovery Community Organizations and the Office of Ombudsman 
77.11 	for Mental Health and Developmental Disabilities;
77.12 	(ii) the recovery community organization's name, address, email, telephone number, and 
77.13 	name or title of the person at the recovery community organization to whom problems or 
77.14 	complaints may be directed; and
77.15 	(iii) a statement that the recovery community organization will not retaliate against a 
77.16 	peer recovery support services participant because of a complaint.
77.17 	(e) A recovery community organizations organization approved by the commissioner 
77.18 	before June 30, 2023, shall retain their designation as recovery community organizations
77.19 	must have begun the application process as required by an approved certifying or accrediting 
77.20 	entity and have begun the process to meet the requirements under paragraph (d) by September 
77.21 	1, 2024, in order to be considered as an eligible vendor of peer recovery support services.
77.22 	(f) A recovery community organization that is aggrieved by an accreditation, certification,
77.23 	or membership determination and believes it meets the requirements under paragraph (d) 
77.24 	may appeal the determination under section 256.045, subdivision 3, paragraph (a), clause 
77.25 	(15), for reconsideration as an eligible vendor. If the human services judge determines that 
77.26 	the recovery community organization meets the requirements under paragraph (d), the 
77.27 	recovery community organization is an eligible vendor of peer recovery support services.
77.28 	(g) Detoxification programs licensed under Minnesota Rules, parts 9530.6510 to 
77.29 	9530.6590, are not eligible vendors. Programs that are not licensed as a residential or 
77.30 	nonresidential substance use disorder treatment or withdrawal management program by the 
77.31 	commissioner or by tribal government or do not meet the requirements of subdivisions 1a 
77.32 	and 1b are not eligible vendors.
78.1 	(h) Hospitals, federally qualified health centers, and rural health clinics are eligible 
78.2 	vendors of a comprehensive assessment when the comprehensive assessment is completed 
78.3 	according to section 245G.05 and by an individual who meets the criteria of an alcohol and 
78.4 	drug counselor according to section 245G.11, subdivision 5. The alcohol and drug counselor 
78.5 	must be individually enrolled with the commissioner and reported on the claim as the 
78.6 	individual who provided the service.
78.7 	(i) Any complaints about a recovery community organization or peer recovery support 
78.8 	services may be made to and reviewed or investigated by the ombudsperson for behavioral 
78.9 	health and developmental disabilities under sections 245.91 and 245.94.

78.10 	EFFECTIVE DATE. This section is effective the day following final enactment, except 
78.11 	the amendments adding paragraph (d), clauses (11) and (12), and paragraph (i) are effective 
78.12 	July 1, 2025.

78.13 	Sec. 8. Minnesota Statutes 2023 Supplement, section 254B.05, subdivision 5, as amended 
78.14 	by Laws 2024, chapter 85, section 59, is amended to read:
78.15 		Subd. 5.Rate requirements. (a) The commissioner shall establish rates for substance 
78.16 	use disorder services and service enhancements funded under this chapter.
78.17 	(b) Eligible substance use disorder treatment services include:
78.18 	(1) those licensed, as applicable, according to chapter 245G or applicable Tribal license 
78.19 	and provided according to the following ASAM levels of care:
78.20 	(i) ASAM level 0.5 early intervention services provided according to section 254B.19, 
78.21 	subdivision 1, clause (1);
78.22 	(ii) ASAM level 1.0 outpatient services provided according to section 254B.19, 
78.23 	subdivision 1, clause (2);
78.24 	(iii) ASAM level 2.1 intensive outpatient services provided according to section 254B.19, 
78.25 	subdivision 1, clause (3);
78.26 	(iv) ASAM level 2.5 partial hospitalization services provided according to section 
78.27 	254B.19, subdivision 1, clause (4);
78.28 	(v) ASAM level 3.1 clinically managed low-intensity residential services provided 
78.29 	according to section 254B.19, subdivision 1, clause (5);
78.30 	(vi) ASAM level 3.3 clinically managed population-specific high-intensity residential 
78.31 	services provided according to section 254B.19, subdivision 1, clause (6); and
79.1 	(vii) ASAM level 3.5 clinically managed high-intensity residential services provided 
79.2 	according to section 254B.19, subdivision 1, clause (7);
79.3 	(2) comprehensive assessments provided according to sections 245.4863, paragraph (a), 
79.4 	and 245G.05;
79.5 	(3) treatment coordination services provided according to section 245G.07, subdivision 
79.6 	1, paragraph (a), clause (5);
79.7 	(4) peer recovery support services provided according to section 245G.07, subdivision 
79.8 	2, clause (8);
79.9 	(5) withdrawal management services provided according to chapter 245F;
79.10 	(6) hospital-based treatment services that are licensed according to sections 245G.01 to 
79.11 	245G.17 or applicable tribal license and licensed as a hospital under sections 144.50 to 
79.12 	144.56;
79.13 	(7) adolescent treatment programs that are licensed as outpatient treatment programs 
79.14 	according to sections 245G.01 to 245G.18 or as residential treatment programs according 
79.15 	to Minnesota Rules, parts 2960.0010 to 2960.0220, and 2960.0430 to 2960.0490, or 
79.16 	applicable tribal license;
79.17 	(8) ASAM 3.5 clinically managed high-intensity residential services that are licensed 
79.18 	according to sections 245G.01 to 245G.17 and 245G.21 or applicable tribal license, which 
79.19 	provide ASAM level of care 3.5 according to section 254B.19, subdivision 1, clause (7), 
79.20 	and are provided by a state-operated vendor or to clients who have been civilly committed 
79.21 	to the commissioner, present the most complex and difficult care needs, and are a potential 
79.22 	threat to the community; and
79.23 	(9) room and board facilities that meet the requirements of subdivision 1a.
79.24 	(c) The commissioner shall establish higher rates for programs that meet the requirements 
79.25 	of paragraph (b) and one of the following additional requirements:
79.26 	(1) programs that serve parents with their children if the program:
79.27 	(i) provides on-site child care during the hours of treatment activity that:
79.28 	(A) is licensed under chapter 245A as a child care center under Minnesota Rules, chapter 
79.29 	9503; or
79.30 	(B) is licensed under chapter 245A and sections 245G.01 to 245G.19; or
80.1 	(ii) arranges for off-site child care during hours of treatment activity at a facility that is 
80.2 	licensed under chapter 245A as:
80.3 	(A) a child care center under Minnesota Rules, chapter 9503; or
80.4 	(B) a family child care home under Minnesota Rules, chapter 9502;
80.5 	(2) culturally specific or culturally responsive programs as defined in section 254B.01, 
80.6 	subdivision 4a;
80.7 	(3) disability responsive programs as defined in section 254B.01, subdivision 4b;
80.8 	(4) programs that offer medical services delivered by appropriately credentialed health 
80.9 	care staff in an amount equal to two hours per client per week if the medical needs of the 
80.10 	client and the nature and provision of any medical services provided are documented in the 
80.11 	client file; or
80.12 	(5) programs that offer services to individuals with co-occurring mental health and 
80.13 	substance use disorder problems if:
80.14 	(i) the program meets the co-occurring requirements in section 245G.20;
80.15 	(ii) 25 percent of the counseling staff are licensed mental health professionals under 
80.16 	section 245I.04, subdivision 2, or are students or licensing candidates under the supervision 
80.17 	of a licensed alcohol and drug counselor supervisor and mental health professional under 
80.18 	section 245I.04, subdivision 2, except that no more than 50 percent of the mental health 
80.19 	staff may be students or licensing candidates with time documented to be directly related 
80.20 	to provisions of co-occurring services;
80.21 	(iii) clients scoring positive on a standardized mental health screen receive a mental 
80.22 	health diagnostic assessment within ten days of admission;
80.23 	(iv) the program has standards for multidisciplinary case review that include a monthly 
80.24 	review for each client that, at a minimum, includes a licensed mental health professional 
80.25 	and licensed alcohol and drug counselor, and their involvement in the review is documented;
80.26 	(v) family education is offered that addresses mental health and substance use disorder 
80.27 	and the interaction between the two; and
80.28 	(vi) co-occurring counseling staff shall receive eight hours of co-occurring disorder 
80.29 	training annually.
80.30 	(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program 
80.31 	that provides arrangements for off-site child care must maintain current documentation at 
81.1 	the substance use disorder facility of the child care provider's current licensure to provide 
81.2 	child care services.
81.3 	(e) Adolescent residential programs that meet the requirements of Minnesota Rules, 
81.4 	parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the requirements 
81.5 	in paragraph (c), clause (5), items (i) to (iv).
81.6 	(f) Subject to federal approval, Substance use disorder services that are otherwise covered 
81.7 	as direct face-to-face services may be provided via telehealth as defined in section 256B.0625, 
81.8 	subdivision 3b. The use of telehealth to deliver services must be medically appropriate to 
81.9 	the condition and needs of the person being served. Reimbursement shall be at the same 
81.10 	rates and under the same conditions that would otherwise apply to direct face-to-face services.
81.11 	(g) For the purpose of reimbursement under this section, substance use disorder treatment 
81.12 	services provided in a group setting without a group participant maximum or maximum 
81.13 	client to staff ratio under chapter 245G shall not exceed a client to staff ratio of 48 to one. 
81.14 	At least one of the attending staff must meet the qualifications as established under this 
81.15 	chapter for the type of treatment service provided. A recovery peer may not be included as 
81.16 	part of the staff ratio.
81.17 	(h) Payment for outpatient substance use disorder services that are licensed according 
81.18 	to sections 245G.01 to 245G.17 is limited to six hours per day or 30 hours per week unless 
81.19 	prior authorization of a greater number of hours is obtained from the commissioner.
81.20 	(i) Payment for substance use disorder services under this section must start from the 
81.21 	day of service initiation, when the comprehensive assessment is completed within the 
81.22 	required timelines.
81.23 	(j) Eligible vendors of peer recovery support services must:
81.24 	(1) submit to a review by the commissioner of up to ten percent of all medical assistance 
81.25 	and behavioral health fund claims to determine the medical necessity of peer recovery 
81.26 	support services for entities billing for peer recovery support services individually and not 
81.27 	receiving a daily rate; and
81.28 	(2) limit an individual client to 14 hours per week for peer recovery support services 
81.29 	from an individual provider of peer recovery support services.
81.30 	(k) Peer recovery support services not provided in accordance with section 254B.052 
81.31 	are subject to monetary recovery under section 256B.064 as money improperly paid.

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

82.1 	Sec. 9. [254B.052] PEER RECOVERY SUPPORT SERVICES REQUIREMENTS.
82.2 		Subdivision 1.Peer recovery support services; service requirements. (a) Peer recovery 
82.3 	support services are face-to-face interactions between a recovery peer and a client, on a 
82.4 	one-on-one basis, in which specific goals identified in an individual recovery plan, treatment 
82.5 	plan, or stabilization plan are discussed and addressed. Peer recovery support services are 
82.6 	provided to promote a client's recovery goals, self-sufficiency, self-advocacy, and 
82.7 	development of natural supports and to support maintenance of a client's recovery.
82.8 	(b) Peer recovery support services must be provided according to an individual recovery 
82.9 	plan if provided by a recovery community organization or county, a treatment plan if provided 
82.10 	in a substance use disorder treatment program under chapter 245G, or a stabilization plan 
82.11 	if provided by a withdrawal management program under chapter 245F.
82.12 	(c) A client receiving peer recovery support services must participate in the services 
82.13 	voluntarily. Any program that incorporates peer recovery support services must provide 
82.14 	written notice to the client that peer recovery support services will be provided.
82.15 	(d) Peer recovery support services may not be provided to a client residing with or 
82.16 	employed by a recovery peer from whom they receive services.
82.17 		Subd. 2.Individual recovery plan. (a) The individual recovery plan must be developed 
82.18 	with the client and must be completed within the first three sessions with a recovery peer.
82.19 	(b) The recovery peer must document how each session ties into the client's individual 
82.20 	recovery plan. The individual recovery plan must be updated as needed. The individual 
82.21 	recovery plan must include:
82.22 	(1) the client's name;
82.23 	(2) the recovery peer's name;
82.24 	(3) the name of the recovery peer's supervisor;
82.25 	(4) the client's recovery goals;
82.26 	(5) the client's resources and assets to support recovery;
82.27 	(6) activities that may support meeting identified goals; and
82.28 	(7) the planned frequency of peer recovery support services sessions between the recovery 
82.29 	peer and the client.
82.30 		Subd. 3.Eligible vendor documentation requirements. An eligible vendor of peer 
82.31 	recovery support services under section 254B.05, subdivision 1, must keep a secure file for 
83.1 	each individual receiving medical assistance peer recovery support services. The file must 
83.2 	include, at a minimum:
83.3 	(1) the client's comprehensive assessment under section 245G.05 that led to the client's 
83.4 	referral for peer recovery support services;
83.5 	(2) the client's individual recovery plan; and
83.6 	(3) documentation of each billed peer recovery support services interaction between the 
83.7 	client and the recovery peer, including the date, start and end time with a.m. and p.m. 
83.8 	designations, the client's response, and the name of the recovery peer who provided the 
83.9 	service.

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

83.11 	Sec. 10. Minnesota Statutes 2023 Supplement, section 254B.19, subdivision 1, is amended 
83.12 	to read:
83.13 		Subdivision 1.Level of care requirements. (a) For each client assigned an ASAM level 
83.14 	of care, eligible vendors must implement the standards set by the ASAM for the respective 
83.15 	level of care. Additionally, vendors must meet the following requirements:
83.16 	(1) For ASAM level 0.5 early intervention targeting individuals who are at risk of 
83.17 	developing a substance-related problem but may not have a diagnosed substance use disorder, 
83.18 	early intervention services may include individual or group counseling, treatment 
83.19 	coordination, peer recovery support, screening brief intervention, and referral to treatment 
83.20 	provided according to section 254A.03, subdivision 3, paragraph (c).
83.21 	(2) For ASAM level 1.0 outpatient clients, adults must receive up to eight hours per 
83.22 	week of skilled treatment services and adolescents must receive up to five hours per week. 
83.23 	Services must be licensed according to section 245G.20 and meet requirements under section 
83.24 	256B.0759. Peer recovery and treatment coordination may be provided beyond the hourly 
83.25 	skilled treatment service hours allowable per week.
83.26 	(3) For ASAM level 2.1 intensive outpatient clients, adults must receive nine to 19 hours 
83.27 	per week of skilled treatment services and adolescents must receive six or more hours per 
83.28 	week. Vendors must be licensed according to section 245G.20 and must meet requirements 
83.29 	under section 256B.0759. Peer recovery services and treatment coordination may be provided 
83.30 	beyond the hourly skilled treatment service hours allowable per week. If clinically indicated 
83.31 	on the client's treatment plan, this service may be provided in conjunction with room and 
83.32 	board according to section 254B.05, subdivision 1a.
84.1 	(4) For ASAM level 2.5 partial hospitalization clients, adults must receive 20 hours or 
84.2 	more of skilled treatment services. Services must be licensed according to section 245G.20 
84.3 	and must meet requirements under section 256B.0759. Level 2.5 is for clients who need 
84.4 	daily monitoring in a structured setting, as directed by the individual treatment plan and in 
84.5 	accordance with the limitations in section 254B.05, subdivision 5, paragraph (h). If clinically 
84.6 	indicated on the client's treatment plan, this service may be provided in conjunction with 
84.7 	room and board according to section 254B.05, subdivision 1a.
84.8 	(5) For ASAM level 3.1 clinically managed low-intensity residential clients, programs 
84.9 	must provide at least 5 hours of skilled treatment services per week according to each client's 
84.10 	specific treatment schedule, as directed by the individual treatment plan. Programs must be 
84.11 	licensed according to section 245G.20 and must meet requirements under section 256B.0759.
84.12 	(6) For ASAM level 3.3 clinically managed population-specific high-intensity residential 
84.13 	clients, programs must be licensed according to section 245G.20 and must meet requirements 
84.14 	under section 256B.0759. Programs must have 24-hour staffing coverage. Programs must 
84.15 	be enrolled as a disability responsive program as described in section 254B.01, subdivision 
84.16 	4b, and must specialize in serving persons with a traumatic brain injury or a cognitive 
84.17 	impairment so significant, and the resulting level of impairment so great, that outpatient or 
84.18 	other levels of residential care would not be feasible or effective. Programs must provide, 
84.19 	at a minimum, daily skilled treatment services seven days a week according to each client's 
84.20 	specific treatment schedule, as directed by the individual treatment plan.
84.21 	(7) For ASAM level 3.5 clinically managed high-intensity residential clients, services 
84.22 	must be licensed according to section 245G.20 and must meet requirements under section 
84.23 	256B.0759. Programs must have 24-hour staffing coverage and provide, at a minimum, 
84.24 	daily skilled treatment services seven days a week according to each client's specific treatment 
84.25 	schedule, as directed by the individual treatment plan.
84.26 	(8) For ASAM level withdrawal management 3.2 clinically managed clients, withdrawal 
84.27 	management must be provided according to chapter 245F.
84.28 	(9) For ASAM level withdrawal management 3.7 medically monitored clients, withdrawal 
84.29 	management must be provided according to chapter 245F.
84.30 	(b) Notwithstanding the minimum daily skilled treatment service requirements under 
84.31 	paragraph (a), clauses (6) and (7), ASAM level 3.3 and 3.5 vendors must provide each client 
84.32 	at least 30 hours of treatment services per week for the period between January 1, 2024, 
84.33 	through June 30, 2024.

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

85.1 	Sec. 11. Minnesota Statutes 2023 Supplement, section 256.043, subdivision 3, is amended 
85.2 	to read:
85.3 		Subd. 3.Appropriations from registration and license fee account. (a) The 
85.4 	appropriations in paragraphs (b) to (n) shall be made from the registration and license fee 
85.5 	account on a fiscal year basis in the order specified.
85.6 	(b) The appropriations specified in Laws 2019, chapter 63, article 3, section 1, paragraphs 
85.7 	(b), (f), (g), and (h), as amended by Laws 2020, chapter 115, article 3, section 35, shall be 
85.8 	made accordingly.
85.9 	(c) $100,000 is appropriated to the commissioner of human services for grants for opiate 
85.10 	antagonist distribution. Grantees may utilize funds for opioid overdose prevention, 
85.11 	community asset mapping, education, and opiate antagonist distribution.
85.12 	(d) $2,000,000 is appropriated to the commissioner of human services for grants to Tribal 
85.13 	nations and five urban Indian communities for traditional healing practices for American 
85.14 	Indians and to increase the capacity of culturally specific providers in the behavioral health 
85.15 	workforce.
85.16 	(e) $400,000 is appropriated to the commissioner of human services for competitive 
85.17 	grants for opioid-focused Project ECHO programs.
85.18 	(f) $277,000 in fiscal year 2024 and $321,000 each year thereafter is appropriated to the 
85.19 	commissioner of human services to administer the funding distribution and reporting 
85.20 	requirements in paragraph (o).
85.21 	(g) $3,000,000 in fiscal year 2025 and $3,000,000 each year thereafter is appropriated 
85.22 	to the commissioner of human services for safe recovery sites start-up and capacity building 
85.23 	grants under section 254B.18.
85.24 	(h) $395,000 in fiscal year 2024 and $415,000 each year thereafter is appropriated to 
85.25 	the commissioner of human services for the opioid overdose surge alert system under section 
85.26 	245.891.
85.27 	(i) $300,000 is appropriated to the commissioner of management and budget for 
85.28 	evaluation activities under section 256.042, subdivision 1, paragraph (c).
85.29 	(j) $261,000 is appropriated to the commissioner of human services for the provision of 
85.30 	administrative services to the Opiate Epidemic Response Advisory Council and for the 
85.31 	administration of the grants awarded under paragraph (n).
86.1 	(k) $126,000 is appropriated to the Board of Pharmacy for the collection of the registration 
86.2 	fees under section 151.066.
86.3 	(l) $672,000 is appropriated to the commissioner of public safety for the Bureau of 
86.4 	Criminal Apprehension. Of this amount, $384,000 is for drug scientists and lab supplies 
86.5 	and $288,000 is for special agent positions focused on drug interdiction and drug trafficking.
86.6 	(m) After the appropriations in paragraphs (b) to (l) are made, 50 percent of the remaining 
86.7 	amount is appropriated to the commissioner of human services for distribution to county 
86.8 	social service agencies and Tribal social service agency initiative projects authorized under 
86.9 	section 256.01, subdivision 14b, to provide prevention and child protection services to 
86.10 	children and families who are affected by addiction. The commissioner shall distribute this 
86.11 	money proportionally to county social service agencies and Tribal social service agency 
86.12 	initiative projects through a formula based on intake data from the previous three calendar 
86.13 	years related to substance use and out-of-home placement episodes where parental drug 
86.14 	abuse is the primary a reason for the out-of-home placement using data from the previous 
86.15 	calendar year. County social service agencies and Tribal social service agency initiative 
86.16 	projects receiving funds from the opiate epidemic response fund must annually report to 
86.17 	the commissioner on how the funds were used to provide prevention and child protection 
86.18 	services, including measurable outcomes, as determined by the commissioner. County social 
86.19 	service agencies and Tribal social service agency initiative projects must not use funds 
86.20 	received under this paragraph to supplant current state or local funding received for child 
86.21 	protection services for children and families who are affected by addiction.
86.22 	(n) After the appropriations in paragraphs (b) to (m) are made, the remaining amount in 
86.23 	the account is appropriated to the commissioner of human services to award grants as 
86.24 	specified by the Opiate Epidemic Response Advisory Council in accordance with section 
86.25 	256.042, unless otherwise appropriated by the legislature.
86.26 	(o) Beginning in fiscal year 2022 and each year thereafter, funds for county social service 
86.27 	agencies and Tribal social service agency initiative projects under paragraph (m) and grant 
86.28 	funds specified by the Opiate Epidemic Response Advisory Council under paragraph (n) 
86.29 	may be distributed on a calendar year basis.
86.30 	(p) Notwithstanding section 16A.28, subdivision 3, funds appropriated in paragraphs 
86.31 	(c), (d), (e), (g), (m), and (n) are available for three years after the funds are appropriated.

87.1 	Sec. 12. [256B.0761] REENTRY DEMONSTRATION WAIVER.
87.2 		Subdivision 1.Establishment. The commissioner must submit a waiver application to 
87.3 	the Centers for Medicare and Medicaid Services to implement a medical assistance 
87.4 	demonstration project to provide health care and coordination services that bridge to 
87.5 	community-based services for individuals confined in state, local, or Tribal correctional 
87.6 	facilities, or facilities located outside of the seven-county metropolitan area that have an 
87.7 	inmate census with a significant proportion of Tribal members or American Indians, prior 
87.8 	to community reentry. The demonstration must be designed to:
87.9 	(1) increase continuity of coverage;
87.10 	(2) improve access to health care services, including mental health services, physical 
87.11 	health services, and substance use disorder treatment services;
87.12 	(3) enhance coordination between Medicaid systems, health and human services systems, 
87.13 	correctional systems, and community-based providers;
87.14 	(4) reduce overdoses and deaths following release;
87.15 	(5) decrease disparities in overdoses and deaths following release; and
87.16 	(6) maximize health and overall community reentry outcomes.
87.17 		Subd. 2.Eligible individuals. Notwithstanding section 256B.055, subdivision 14, 
87.18 	individuals are eligible to receive services under this demonstration if they are eligible under 
87.19 	section 256B.055, subdivision 3a, 6, 7, 7a, 9, 15, 16, or 17, as determined by the 
87.20 	commissioner in collaboration with correctional facilities, local governments, and Tribal 
87.21 	governments.
87.22 		Subd. 3.Eligible correctional facilities. (a) The commissioner's waiver application is 
87.23 	limited to:
87.24 	(1) three state correctional facilities to be determined by the commissioner of corrections, 
87.25 	one of which must be the Minnesota Correctional Facility-Shakopee;
87.26 	(2) two facilities for delinquent children and youth licensed under section 241.021, 
87.27 	subdivision 2, identified in coordination with the Minnesota Juvenile Detention Association 
87.28 	and the Minnesota Sheriffs' Association;
87.29 	(3) four correctional facilities for adults licensed under section 241.021, subdivision 1, 
87.30 	identified in coordination with the Minnesota Sheriffs' Association and the Association of 
87.31 	Minnesota Counties; and
88.1 	(4) one correctional facility owned and managed by a Tribal government or a facility 
88.2 	located outside of the seven-county metropolitan area that has an inmate census with a 
88.3 	significant proportion of Tribal members or American Indians.
88.4 	(b) Additional facilities may be added to the waiver contingent on legislative authorization 
88.5 	and appropriations.
88.6 		Subd. 4.Services and duration. (a) Services must be provided 90 days prior to an 
88.7 	individual's release date or, if an individual's confinement is less than 90 days, during the 
88.8 	time period between a medical assistance eligibility determination and the release to the 
88.9 	community.
88.10 	(b) Facilities must offer the following services using either community-based or 
88.11 	corrections-based providers:
88.12 	(1) case management activities to address physical and behavioral health needs, including 
88.13 	a comprehensive assessment of individual needs, development of a person-centered care 
88.14 	plan, referrals and other activities to address assessed needs, and monitoring and follow-up 
88.15 	activities;
88.16 	(2) drug coverage in accordance with section 256B.0625, subdivision 13, including up 
88.17 	to a 30-day supply of drugs upon release;
88.18 	(3) substance use disorder comprehensive assessments according section 254B.05, 
88.19 	subdivision 5, paragraph (b), clause (2);
88.20 	(4) treatment coordination services according to section 254B.05, subdivision 5, paragraph 
88.21 	(b), clause (3);
88.22 	(5) peer recovery support services according to sections 245I.04, subdivisions 18 and 
88.23 	19, and 254B.05, subdivision 5, paragraph (b), clause (4);
88.24 	(6) substance use disorder individual and group counseling provided according to sections 
88.25 	245G.07, subdivision 1, paragraph (a), clause (1), and 254B.05;
88.26 	(7) mental health diagnostic assessments as required under section 245I.10;
88.27 	(8) group and individual psychotherapy as required under section 256B.0671;
88.28 	(9) peer specialist services as required under sections 245I.04 and 256B.0615;
88.29 	(10) family planning and obstetrics and gynecology services; and
88.30 	(11) physical health well-being and screenings and care for adults and youth.
89.1 	(c) Services outlined in this subdivision must only be authorized when an individual 
89.2 	demonstrates medical necessity or other eligibility as required under this chapter or applicable 
89.3 	state and federal laws.
89.4 		Subd. 5.Provider requirements and standards. (a) Service providers must adhere to 
89.5 	applicable licensing and provider standards as required by federal guidance.
89.6 	(b) Service providers must be enrolled to provide services under Minnesota health care 
89.7 	programs.
89.8 	(c) Services must be provided by eligible providers employed by the correctional facility 
89.9 	or by eligible community providers under contract with the correctional facility.
89.10 	(d) The commissioner must determine whether each facility is ready to participate in 
89.11 	this demonstration based on a facility-submitted assessment of the facility's readiness to 
89.12 	implement:
89.13 	(1) prerelease medical assistance application and enrollment processes for inmates not 
89.14 	enrolled in medical assistance coverage;
89.15 	(2) the provision or facilitation of all required prerelease services for a period of up to 
89.16 	90 days prior to release;
89.17 	(3) coordination among county and Tribal human services agencies and all other entities 
89.18 	with a role in furnishing health care and supports to address health related social needs;
89.19 	(4) appropriate reentry planning, prerelease care management, and assistance with care 
89.20 	transitions to the community;
89.21 	(5) operational approaches to implementing certain Medicaid and CHIP requirements 
89.22 	including applications, suspensions, notices, fair hearings, and reasonable promptness for 
89.23 	coverage of services;
89.24 	(6) a data exchange process to support care coordination and transition activities; and
89.25 	(7) reporting of all requested data to the commissioner of human services to support 
89.26 	program monitoring, evaluation, oversight, and all financial data to meet reinvestment 
89.27 	requirements.
89.28 	(e) Participating facilities must detail reinvestment plans for all new federal Medicaid 
89.29 	money expended for reentry services that were previously the responsibility of each facility 
89.30 	and provide detailed financial reports to the commissioner.
90.1 		Subd. 6.Payment rates. (a) Payment rates for services under this section that are 
90.2 	approved under Minnesota's state plan agreement with the Centers for Medicare and Medicaid 
90.3 	Services are equal to current and applicable state law and federal requirements.
90.4 	(b) Case management payment rates are equal to rates authorized by the commissioner 
90.5 	for relocation targeted case management under section 256B.0621, subdivision 10.
90.6 	(c) Claims for covered drugs purchased through discount purchasing programs, such as 
90.7 	the Federal Supply Schedule of the United States General Services Administration or the 
90.8 	MMCAP Infuse program, must be no more than the actual acquisition cost plus the 
90.9 	professional dispensing fee in section 256B.0625, subdivision 13e. Drugs administered to 
90.10 	members must be billed on a professional claim in accordance with section 256B.0625, 
90.11 	subdivision 13e, paragraph (e), and submitted with the actual acquisition cost for the drug 
90.12 	on the claim line. Pharmacy claims must be submitted with the actual acquisition cost as 
90.13 	the ingredient cost field and the dispensing fee in section 256B.0625, subdivision 13e, as 
90.14 	the dispensing fee field on the claim with the basis of cost indicator of 08. Providers may 
90.15 	establish written protocols for establishing or calculating the facility's actual acquisition 
90.16 	drug cost based on a monthly, quarterly, or other average of the facility's actual acquisition 
90.17 	drug cost through the discount purchasing program. A written protocol must not include an 
90.18 	inflation, markup, spread, or margin to be added to the provider's actual purchase price after 
90.19 	subtracting all discounts.
90.20 		Subd. 7.Reentry services working group. (a) The commissioner of human services, 
90.21 	in collaboration with the commissioner of corrections, must convene a reentry services 
90.22 	working group to consider ways to improve the demonstration under this section and related 
90.23 	policies for justice-involved individuals.
90.24 	(b) The working group must be composed of balanced representation, including:
90.25 	(1) people with lived experience; and
90.26 	(2) representatives from:
90.27 	(i) community health care providers;
90.28 	(ii) the Minnesota Sheriffs' Association;
90.29 	(iii) the Minnesota Association for County Social Service Administrators;
90.30 	(iv) the Association of Minnesota Counties;
90.31 	(v) the Minnesota Juvenile Detention Association;
90.32 	(vi) the Office of Addiction and Recovery;
91.1 	(vii) NAMI Minnesota;
91.2 	(viii) the Minnesota Association of Resources for Recovery and Chemical Health;
91.3 	(ix) Tribal Nations; and
91.4 	(x) the Minnesota Alliance of Recovery Community Organizations.
91.5 	(c) The working group must:
91.6 	(1) advise on the waiver application, implementation, monitoring, evaluation, and 
91.7 	reinvestment plans;
91.8 	(2) recommend strategies to improve processes that ensure notifications of the individual's 
91.9 	release date, current location, postrelease location, and other relevant information are 
91.10 	provided to state, county, and Tribal eligibility systems and managed care organizations;
91.11 	(3) consider the value of expanding, replicating, or adapting the components of the 
91.12 	demonstration authorized under this section to additional populations;
91.13 	(4) consider information technology and other implementation needs for participating 
91.14 	correctional facilities; and
91.15 	(5) recommend ideas to fund expanded reentry services.

91.16 	EFFECTIVE DATE. This section is effective January 1, 2026, or upon federal approval, 
91.17 	whichever is later, except subdivision 7 is effective July 1, 2024. The commissioner of 
91.18 	human services must notify the revisor of statutes when federal approval is obtained.

91.19 	Sec. 13. Minnesota Statutes 2022, section 256B.69, subdivision 4, is amended to read:
91.20 		Subd. 4.Limitation of choice. (a) The commissioner shall develop criteria to determine 
91.21 	when limitation of choice may be implemented in the experimental counties. The criteria 
91.22 	shall ensure that all eligible individuals in the county have continuing access to the full 
91.23 	range of medical assistance services as specified in subdivision 6.
91.24 	(b) The commissioner shall exempt the following persons from participation in the 
91.25 	project, in addition to those who do not meet the criteria for limitation of choice:
91.26 	(1) persons eligible for medical assistance according to section 256B.055, subdivision 
91.27 	1;
91.28 	(2) persons eligible for medical assistance due to blindness or disability as determined 
91.29 	by the Social Security Administration or the state medical review team, unless:
91.30 	(i) they are 65 years of age or older; or
92.1 	(ii) they reside in Itasca County or they reside in a county in which the commissioner 
92.2 	conducts a pilot project under a waiver granted pursuant to section 1115 of the Social 
92.3 	Security Act;
92.4 	(3) recipients who currently have private coverage through a health maintenance 
92.5 	organization;
92.6 	(4) recipients who are eligible for medical assistance by spending down excess income 
92.7 	for medical expenses other than the nursing facility per diem expense;
92.8 	(5) recipients who receive benefits under the Refugee Assistance Program, established 
92.9 	under United States Code, title 8, section 1522(e);
92.10 	(6) children who are both determined to be severely emotionally disturbed and receiving 
92.11 	case management services according to section 256B.0625, subdivision 20, except children 
92.12 	who are eligible for and who decline enrollment in an approved preferred integrated network 
92.13 	under section 245.4682;
92.14 	(7) adults who are both determined to be seriously and persistently mentally ill and 
92.15 	received case management services according to section 256B.0625, subdivision 20;
92.16 	(8) persons eligible for medical assistance according to section 256B.057, subdivision 
92.17 	10;
92.18 	(9) persons with access to cost-effective employer-sponsored private health insurance 
92.19 	or persons enrolled in a non-Medicare individual health plan determined to be cost-effective 
92.20 	according to section 256B.0625, subdivision 15; and
92.21 	(10) persons who are absent from the state for more than 30 consecutive days but still 
92.22 	deemed a resident of Minnesota, identified in accordance with section 256B.056, subdivision 
92.23 	1, paragraph (b).; and
92.24 	(11) persons who are enrolled in the reentry demonstration waiver under section 
92.25 	256B.0761.
92.26 	Children under age 21 who are in foster placement may enroll in the project on an elective 
92.27 	basis. Individuals excluded under clauses (1), (6), and (7) may choose to enroll on an elective 
92.28 	basis. The commissioner may enroll recipients in the prepaid medical assistance program 
92.29 	for seniors who are (1) age 65 and over, and (2) eligible for medical assistance by spending 
92.30 	down excess income.
93.1 	(c) The commissioner may allow persons with a one-month spenddown who are otherwise 
93.2 	eligible to enroll to voluntarily enroll or remain enrolled, if they elect to prepay their monthly 
93.3 	spenddown to the state.
93.4 	(d) The commissioner may require those individuals to enroll in the prepaid medical 
93.5 	assistance program who otherwise would have been excluded under paragraph (b), clauses 
93.6 	(1), (3), and (8), and under Minnesota Rules, part 9500.1452, subpart 2, items H, K, and L.
93.7 	(e) Before limitation of choice is implemented, eligible individuals shall be notified and 
93.8 	after notification, shall be allowed to choose only among demonstration providers. The 
93.9 	commissioner may assign an individual with private coverage through a health maintenance 
93.10 	organization, to the same health maintenance organization for medical assistance coverage, 
93.11 	if the health maintenance organization is under contract for medical assistance in the 
93.12 	individual's county of residence. After initially choosing a provider, the recipient is allowed 
93.13 	to change that choice only at specified times as allowed by the commissioner. If a 
93.14 	demonstration provider ends participation in the project for any reason, a recipient enrolled 
93.15 	with that provider must select a new provider but may change providers without cause once 
93.16 	more within the first 60 days after enrollment with the second provider.
93.17 	(f) An infant born to a woman who is eligible for and receiving medical assistance and 
93.18 	who is enrolled in the prepaid medical assistance program shall be retroactively enrolled to 
93.19 	the month of birth in the same managed care plan as the mother once the child is enrolled 
93.20 	in medical assistance unless the child is determined to be excluded from enrollment in a 
93.21 	prepaid plan under this section.

93.22 	EFFECTIVE DATE. This section is effective January 1, 2026, or upon federal approval, 
93.23 	whichever is later. The commissioner of human services must notify the revisor of statutes 
93.24 	when federal approval is obtained.

93.25 	Sec. 14. Minnesota Statutes 2022, section 604A.04, subdivision 3, is amended to read:
93.26 		Subd. 3.Health care professionals; release from liability. (a) A licensed health care 
93.27 	professional who is permitted by law to prescribe an opiate antagonist, if acting in good 
93.28 	faith, may directly or by standing order prescribe, dispense, distribute, or administer an 
93.29 	opiate antagonist to a person without being subject to civil liability or criminal prosecution 
93.30 	for the act. This immunity applies even when the opiate antagonist is eventually administered 
93.31 	in either or both of the following instances: (1) by someone other than the person to whom 
93.32 	it is prescribed; or (2) to someone other than the person to whom it is prescribed.
94.1 	(b) A local unit of government, if acting in good faith, may distribute and administer an 
94.2 	opiate antagonist that is obtained pursuant to paragraph (a) without being subject to civil 
94.3 	liability or criminal prosecution for the act.

94.4 	Sec. 15. DIRECTION TO OMBUDSMAN FOR MENTAL HEALTH AND 
94.5 	DEVELOPMENTAL DISABILITIES.
 94.6 	By September 30, 2025, the ombudsman for mental health and developmental disabilities 
94.7 	must provide a report to the governor and the chairs and ranking minority members of the 
94.8 	legislative committees with jurisdiction over human services that contains summary 
94.9 	information on complaints received regarding peer recovery support services provided by 
94.10 	a recovery community organization as defined in Minnesota Statutes, section 254B.01, and 
94.11 	any recommendations to the legislature to improve the quality of peer recovery support 
94.12 	services, recovery peer worker misclassification, and peer recovery support services billing 
94.13 	codes and procedures.

94.14 	Sec. 16. PEER RECOVERY SUPPORT SERVICES AND RECOVERY 
94.15 	COMMUNITY ORGANIZATION WORKING GROUP.
 94.16 		Subdivision 1.Establishment; duties. The commissioner of human services must 
94.17 	convene a working group to develop recommendations on:
94.18 	(1) peer recovery support services billing rates and practices, including a billing model 
94.19 	for providing services to groups of up to four clients and groups larger than four clients at 
94.20 	one time;
94.21 	(2) acceptable activities to bill for peer recovery services, including group activities and 
94.22 	transportation related to individual recovery plans;
94.23 	(3) ways to address authorization for additional service hours and a review of the amount 
94.24 	of peer recovery support services clients may need;
94.25 	(4) improving recovery peer supervision and reimbursement for the costs of providing 
94.26 	recovery peer supervision for provider organizations;
94.27 	(5) certification or other regulation of recovery community organizations and recovery 
94.28 	peers; and
94.29 	(6) policy and statutory changes to improve access to peer recovery support services 
94.30 	and increase oversight of provider organizations.
95.1 		Subd. 2.Membership; meetings. (a) Members of the working group must include but 
95.2 	not be limited to:
95.3 	(1) a representative of the Minnesota Alliance of Recovery Community Organizations;
95.4 	(2) a representative of the Minnesota Association of Resources for Recovery and 
95.5 	Chemical Health;
95.6 	(3) representatives from at least three recovery community organizations who are eligible 
95.7 	vendors of peer recovery support services under Minnesota Statutes, section 254B.05, 
95.8 	subdivision 1;
95.9 	(4) at least two currently practicing recovery peers qualified under Minnesota Statutes, 
95.10 	section 245I.04, subdivision 18;
95.11 	(5) at least two individuals currently providing supervision for recovery peers according 
95.12 	to Minnesota Statutes, section 245I.04, subdivision 19;
95.13 	(6) the commissioner of human services or a designee;
95.14 	(7) a representative of county social services agencies; and
95.15 	(8) a representative of a Tribal social services agency.
95.16 	(b) Members of the working group may include a representative of the Alliance for 
95.17 	Recovery Centered Organizations and a representative of the Council on Accreditation of 
95.18 	Peer Recovery Support Services.
95.19 	(c) The commissioner of human services must make appointments to the working group 
95.20 	by October 1, 2024, and convene the first meeting of the working group by December 1, 
95.21 	2024.
95.22 	(d) The commissioner of human services must provide administrative support and meeting 
95.23 	space for the working group. The working group may conduct meetings remotely.
95.24 		Subd. 3.Report. The commissioner must complete and submit a report on the 
95.25 	recommendations in this section to the chairs and ranking minority members of the legislative 
95.26 	committees with jurisdiction over health and human services policy and finance on or before 
95.27 	August 1, 2025.
95.28 		Subd. 4.Expiration. The working group expires upon submission of the report to the 
95.29 	legislature under subdivision 3.

96.1 	Sec. 17. CAPACITY BUILDING AND IMPLEMENTATION GRANTS FOR THE 
96.2 	MEDICAL ASSISTANCE REENTRY DEMONSTRATION.
 96.3 	The commissioner of human services must establish capacity-building grants for eligible 
96.4 	local correctional facilities as they prepare to implement reentry demonstration services 
96.5 	under Minnesota Statutes, section 256B.0761. Allowable expenditures under this grant 
96.6 	include:
96.7 	(1) developing, in coordination with incarcerated individuals and community members 
96.8 	with lived experience, processes and protocols listed under Minnesota Statutes, section 
96.9 	256B.0761, subdivision 5, paragraph (d);
96.10 	(2) establishing or modifying information technology systems to support implementation 
96.11 	of the reentry demonstration waiver;
96.12 	(3) personnel costs; and
96.13 	(4) other expenses as determined by the commissioner.

96.14 	Sec. 18. 1115 WAIVER FOR MEDICAL ASSISTANCE REENTRY 
96.15 	DEMONSTRATION.
 96.16 	The commissioner of human services must submit an application to the United States 
96.17 	Secretary of Health and Human Services to implement a medical assistance reentry 
96.18 	demonstration that covers services for incarcerated individuals as described under Minnesota 
96.19 	Statutes, section 256B.0761. Coverage of prerelease services is contingent on federal approval 
96.20 	of the demonstration and the required implementation and reinvestment plans.

96.21 	Sec. 19. RESIDENTIAL SUBSTANCE USE DISORDER RATE INCREASE.
 96.22 	The commissioner of human services must increase rates for residential substance use 
96.23 	disorder services as authorized under Minnesota Statutes, section 254B.05, subdivision 5, 
96.24 	paragraph (a), by three percent for the 1115 demonstration base rates in effect as of January 
96.25 	1, 2024.

96.26 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
96.27 	whichever is later. The commissioner of human services must notify the revisor of statutes 
96.28 	when federal approval is obtained.

96.29 	Sec. 20. REPEALER.
 96.30 	Minnesota Statutes 2022, section 256.043, subdivision 4, is repealed.

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

97.2 	ARTICLE 4
97.3 	PRIORITY ADMISSIONS AND CIVIL COMMITMENT

97.4 	Section 1. Minnesota Statutes 2022, section 245I.23, subdivision 19a, is amended to read:
97.5 		Subd. 19a.Additional requirements for locked program facility. (a) A license holder 
97.6 	that prohibits clients from leaving the facility by locking exit doors or other permissible 
97.7 	methods must meet the additional requirements of this subdivision.
97.8 	(b) The license holder must meet all applicable building and fire codes to operate a 
97.9 	building with locked exit doors. The license holder must have the appropriate license from 
97.10 	the Department of Health, as determined by the Department of Health, for operating a 
97.11 	program with locked exit doors.
97.12 	(c) The license holder's policies and procedures must clearly describe the types of court 
97.13 	orders that authorize the license holder to prohibit clients from leaving the facility.
97.14 	(d) (c) For each client present in the facility under a court order, the license holder must 
97.15 	maintain documentation of the court order for treatment authorizing the license holder to 
97.16 	prohibit the client from leaving the facility.
97.17 	(e) (d) Upon a client's admission to a locked program facility, the license holder must 
97.18 	document in the client file that the client was informed:
97.19 	(1) that the client has the right to leave the facility according to the client's rights under 
97.20 	section 144.651, subdivision 21, if the client is not subject to a court order authorizing the 
97.21 	license holder to prohibit the client from leaving the facility; or and that leaving the facility 
97.22 	against medical advice may result in legal consequences; and
97.23 	(2) that the client cannot may not be able to leave the facility due to a court order 
97.24 	authorizing the license holder to prohibit the client from leaving the facility as required 
97.25 	under chapter 253B.
97.26 	(f) (e) If the license holder prohibits a client from leaving the facility is prohibited from 
97.27 	leaving the facility under chapter 253B, the client's treatment plan must reflect this restriction.

98.1 	Sec. 2. Minnesota Statutes 2022, section 246.129, as amended by Laws 2024, chapter 79, 
98.2 	article 1, section 9, is amended to read:
98.3 	246.129 LEGISLATIVE APPROVAL REQUIRED.
98.4 	If the closure of a state-operated facility is proposed, and the executive board and 
98.5 	respective bargaining units fail to arrive at a mutually agreed upon solution to transfer 
98.6 	affected state employees to other state jobs, the closure of the facility requires legislative 
98.7 	approval. This does not apply to state-operated enterprise services.

98.8 	Sec. 3. Minnesota Statutes 2023 Supplement, section 246.54, subdivision 1a, is amended 
98.9 	to read:
98.10 		Subd. 1a.Anoka-Metro Regional Treatment Center. (a) A county's payment of the 
98.11 	cost of care provided at Anoka-Metro Regional Treatment Center shall be according to the 
98.12 	following schedule:
98.13 	(1) zero percent for the first 30 days;
98.14 	(2) 20 percent for days 31 and over if the stay is determined to be clinically appropriate 
98.15 	for the client; and
98.16 	(3) 100 percent for each day during the stay, including the day of admission, when the 
98.17 	facility determines that it is clinically appropriate for the client to be discharged.
98.18 	(b) If payments received by the state under sections 246.50 to 246.53 exceed 80 percent 
98.19 	of the cost of care for days over 31 for clients who meet the criteria in paragraph (a), clause 
98.20 	(2), the county shall be responsible for paying the state only the remaining amount. The 
98.21 	county shall not be entitled to reimbursement from the client, the client's estate, or from the 
98.22 	client's relatives, except as provided in section 246.53.
98.23 	(c) Between July 1, 2023, and June 30 March 31, 2025, the county is not responsible 
98.24 	for the cost of care under paragraph (a), clause (3), for a person who is committed as a 
98.25 	person who has a mental illness and is dangerous to the public under section 253B.18 and 
98.26 	who is awaiting transfer to another state-operated facility or program. This paragraph expires 
98.27 	June 30 March 31, 2025.
98.28 	(d) Between April 1, 2025, and June 30, 2025, the county is not responsible for the cost 
98.29 	of care under paragraph (a), clause (3), for a person who is civilly committed, if the client 
98.30 	is awaiting transfer:
98.31 	(1) to a facility operated by the Department of Corrections; or
99.1 	(2) to another state-operated facility or program, and the Direct Care and Treatment 
99.2 	executive medical director's office or a designee has determined that:
99.3 	(i) the client meets criteria for admission to that state-operated facility or program; and
99.4 	(ii) the state-operated facility or program is the only facility or program that can 
99.5 	reasonably serve the client. This paragraph expires June 30, 2025.
99.6 	(d) (e) Notwithstanding any law to the contrary, the client is not responsible for payment 
99.7 	of the cost of care under this subdivision.

99.8 	Sec. 4. Minnesota Statutes 2023 Supplement, section 246.54, subdivision 1b, is amended 
99.9 	to read:
99.10 		Subd. 1b.Community behavioral health hospitals. (a) A county's payment of the cost 
99.11 	of care provided at state-operated community-based behavioral health hospitals for adults 
99.12 	and children shall be according to the following schedule:
99.13 	(1) 100 percent for each day during the stay, including the day of admission, when the 
99.14 	facility determines that it is clinically appropriate for the client to be discharged; and
99.15 	(2) the county shall not be entitled to reimbursement from the client, the client's estate, 
99.16 	or from the client's relatives, except as provided in section 246.53.
99.17 	(b) Between July 1, 2023, and June 30 March 31, 2025, the county is not responsible 
99.18 	for the cost of care under paragraph (a), clause (1), for a person committed as a person who 
99.19 	has a mental illness and is dangerous to the public under section 253B.18 and who is awaiting 
99.20 	transfer to another state-operated facility or program. This paragraph expires June 30 March 
99.21 	31, 2025.
99.22 	(c) Between April 1, 2025, and June 30, 2025, the county is not responsible for the cost 
99.23 	of care under paragraph (a), clause (1), for a person who is civilly committed, if the client 
99.24 	is awaiting transfer:
99.25 	(1) to a facility operated by the Department of Corrections; or
99.26 	(2) to another state-operated facility or program, and the Direct Care and Treatment 
99.27 	executive medical director's office or a designee has determined that:
99.28 	(i) the client meets criteria for admission to that state-operated facility or program; and
99.29 	(ii) the state-operated facility or program is the only facility or program that can 
99.30 	reasonably serve the client. This paragraph expires June 30, 2025.
100.1 	(c) (d) Notwithstanding any law to the contrary, the client is not responsible for payment 
100.2 	of the cost of care under this subdivision.

100.3 	Sec. 5. Minnesota Statutes 2023 Supplement, section 253B.10, subdivision 1, as amended 
100.4 	by Laws 2024, chapter 79, article 5, section 8, is amended to read:
100.5 		Subdivision 1.Administrative requirements. (a) When a person is committed, the 
100.6 	court shall issue a warrant or an order committing the patient to the custody of the head of 
100.7 	the treatment facility, state-operated treatment program, or community-based treatment 
100.8 	program. The warrant or order shall state that the patient meets the statutory criteria for 
100.9 	civil commitment.
100.10 	(b) The executive board shall prioritize civilly committed patients being admitted from 
100.11 	jail or a correctional institution or who are referred to a state-operated treatment facility for 
100.12 	competency attainment or a competency examination under sections 611.40 to 611.59 for 
100.13 	admission to a medically appropriate state-operated direct care and treatment bed based on 
100.14 	the decisions of physicians in the executive medical director's office, using a priority 
100.15 	admissions framework. The framework must account for a range of factors for priority 
100.16 	admission, including but not limited to:
100.17 	(1) ordered confined in a state-operated treatment program for an examination under 
100.18 	Minnesota Rules of Criminal Procedure, rules 20.01, subdivision 4, paragraph (a), and 
100.19 	20.02, subdivision 2 the length of time the person has been on a waiting list for admission 
100.20 	to a state-operated direct care and treatment program since the date of the order under 
100.21 	paragraph (a), or the date of an order issued under sections 611.40 to 611.59;
100.22 	(2) under civil commitment for competency treatment and continuing supervision under 
100.23 	Minnesota Rules of Criminal Procedure, rule 20.01, subdivision 7 the intensity of the 
100.24 	treatment the person needs, based on medical acuity;
100.25 	(3) found not guilty by reason of mental illness under Minnesota Rules of Criminal 
100.26 	Procedure, rule 20.02, subdivision 8, and under civil commitment or are ordered to be 
100.27 	detained in a state-operated treatment program pending completion of the civil commitment 
100.28 	proceedings; or the person's revoked provisional discharge status;
100.29 	(4) committed under this chapter to the executive board after dismissal of the patient's 
100.30 	criminal charges. the person's safety and safety of others in the person's current environment;
100.31 	(5) whether the person has access to necessary or court-ordered treatment;
100.32 	(6) distinct and articulable negative impacts of an admission delay on the facility referring 
100.33 	the individual for treatment; and
101.1 	(7) any relevant federal prioritization requirements.
101.2 	Patients described in this paragraph must be admitted to a state-operated treatment program 
101.3 	within 48 hours. The commitment must be ordered by the court as provided in section 
101.4 	253B.09, subdivision 1, paragraph (d). Patients committed to a secure treatment facility or 
101.5 	less restrictive setting as ordered by the court under section 253B.18, subdivisions 1 and 2, 
101.6 	must be prioritized for admission to a state-operated treatment program using the priority 
101.7 	admissions framework in this paragraph.
101.8 	(c) Upon the arrival of a patient at the designated treatment facility, state-operated 
101.9 	treatment program, or community-based treatment program, the head of the facility or 
101.10 	program shall retain the duplicate of the warrant and endorse receipt upon the original 
101.11 	warrant or acknowledge receipt of the order. The endorsed receipt or acknowledgment must 
101.12 	be filed in the court of commitment. After arrival, the patient shall be under the control and 
101.13 	custody of the head of the facility or program.
101.14 	(d) Copies of the petition for commitment, the court's findings of fact and conclusions 
101.15 	of law, the court order committing the patient, the report of the court examiners, and the 
101.16 	prepetition report, and any medical and behavioral information available shall be provided 
101.17 	at the time of admission of a patient to the designated treatment facility or program to which 
101.18 	the patient is committed. Upon a patient's referral to the executive board for admission 
101.19 	pursuant to subdivision 1, paragraph (b), any inpatient hospital, treatment facility, jail, or 
101.20 	correctional facility that has provided care or supervision to the patient in the previous two 
101.21 	years shall, when requested by the treatment facility or commissioner, provide copies of 
101.22 	the patient's medical and behavioral records to the executive board for purposes of 
101.23 	preadmission planning. This information shall be provided by the head of the treatment 
101.24 	facility to treatment facility staff in a consistent and timely manner and pursuant to all 
101.25 	applicable laws.
101.26 	(e) Patients described in paragraph (b) must be admitted to a state-operated treatment 
101.27 	program within 48 hours of the Office of Executive Medical Director, under section 246C.09, 
101.28 	or a designee determining that a medically appropriate bed is available. This paragraph 
101.29 	expires on June 30, 2025.
101.30 	(f) Within four business days of determining which state-operated direct care and 
101.31 	treatment program or programs are appropriate for an individual, the executive medical 
101.32 	director's office or a designee must notify the source of the referral and the responsible 
101.33 	county human services agency, the individual being ordered to direct care and treatment, 
101.34 	and the district court that issued the order of the determination. The notice shall include 
102.1 	which program or programs are appropriate for the person's priority status. Any interested 
102.2 	person may provide additional information or request updated priority status about the 
102.3 	individual to the executive medical director's office or a designee while the individual is 
102.4 	awaiting admission. Updated priority status of an individual will only be disclosed to 
102.5 	interested persons who are legally authorized to receive private information about the 
102.6 	individual. When an available bed has been identified, the executive medical director's 
102.7 	office or a designee must notify the designated agency and the facility where the individual 
102.8 	is awaiting admission that the individual has been accepted for admission to a particular 
102.9 	state-operated direct care and treatment program and the earliest possible date the admission 
102.10 	can occur. The designated agency or facility where the individual is awaiting admission 
102.11 	must transport the individual to the admitting state-operated direct care and treatment 
102.12 	program no more than 48 hours after the offered admission date.

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

102.14 	Sec. 6. Minnesota Statutes 2023 Supplement, section 256B.0622, subdivision 8, is amended 
102.15 	to read:
102.16 		Subd. 8.Medical assistance payment for assertive community treatment and 
102.17 	intensive residential treatment services. (a) Payment for intensive residential treatment 
102.18 	services and assertive community treatment in this section shall be based on one daily rate 
102.19 	per provider inclusive of the following services received by an eligible client in a given 
102.20 	calendar day: all rehabilitative services under this section, staff travel time to provide 
102.21 	rehabilitative services under this section, and nonresidential crisis stabilization services 
102.22 	under section 256B.0624.
102.23 	(b) Except as indicated in paragraph (c) (d), payment will not be made to more than one 
102.24 	entity for each client for services provided under this section on a given day. If services 
102.25 	under this section are provided by a team that includes staff from more than one entity, the 
102.26 	team must determine how to distribute the payment among the members.
102.27 	(c) Payment must not be made based solely on a court order to participate in intensive 
102.28 	residential treatment services. If a client has a court order to participate in the program or 
102.29 	to obtain assessment for treatment and follow treatment recommendations, payment under 
102.30 	this section must only be provided if the client is eligible for the service and the service is 
102.31 	determined to be medically necessary.
102.32 	(c) (d) The commissioner shall determine one rate for each provider that will bill medical 
102.33 	assistance for residential services under this section and one rate for each assertive community 
102.34 	treatment provider. If a single entity provides both services, one rate is established for the 
103.1 	entity's residential services and another rate for the entity's nonresidential services under 
103.2 	this section. A provider is not eligible for payment under this section without authorization 
103.3 	from the commissioner. The commissioner shall develop rates using the following criteria:
103.4 	(1) the provider's cost for services shall include direct services costs, other program 
103.5 	costs, and other costs determined as follows:
103.6 	(i) the direct services costs must be determined using actual costs of salaries, benefits, 
103.7 	payroll taxes, and training of direct service staff and service-related transportation;
103.8 	(ii) other program costs not included in item (i) must be determined as a specified 
103.9 	percentage of the direct services costs as determined by item (i). The percentage used shall 
103.10 	be determined by the commissioner based upon the average of percentages that represent 
103.11 	the relationship of other program costs to direct services costs among the entities that provide 
103.12 	similar services;
103.13 	(iii) physical plant costs calculated based on the percentage of space within the program 
103.14 	that is entirely devoted to treatment and programming. This does not include administrative 
103.15 	or residential space;
103.16 	(iv) assertive community treatment physical plant costs must be reimbursed as part of 
103.17 	the costs described in item (ii); and
103.18 	(v) subject to federal approval, up to an additional five percent of the total rate may be 
103.19 	added to the program rate as a quality incentive based upon the entity meeting performance 
103.20 	criteria specified by the commissioner;
103.21 	(2) actual cost is defined as costs which are allowable, allocable, and reasonable, and 
103.22 	consistent with federal reimbursement requirements under Code of Federal Regulations, 
103.23 	title 48, chapter 1, part 31, relating to for-profit entities, and Office of Management and 
103.24 	Budget Circular Number A-122, relating to nonprofit entities;
103.25 	(3) the number of service units;
103.26 	(4) the degree to which clients will receive services other than services under this section; 
103.27 	and
103.28 	(5) the costs of other services that will be separately reimbursed.
103.29 	(d) (e) The rate for intensive residential treatment services and assertive community 
103.30 	treatment must exclude the medical assistance room and board rate, as defined in section 
103.31 	256B.056, subdivision 5d, and services not covered under this section, such as partial 
103.32 	hospitalization, home care, and inpatient services.
104.1 	(e) (f) Physician services that are not separately billed may be included in the rate to the 
104.2 	extent that a psychiatrist, or other health care professional providing physician services 
104.3 	within their scope of practice, is a member of the intensive residential treatment services 
104.4 	treatment team. Physician services, whether billed separately or included in the rate, may 
104.5 	be delivered by telehealth. For purposes of this paragraph, "telehealth" has the meaning 
104.6 	given to "mental health telehealth" in section 256B.0625, subdivision 46, when telehealth 
104.7 	is used to provide intensive residential treatment services.
104.8 	(f) (g) When services under this section are provided by an assertive community treatment 
104.9 	provider, case management functions must be an integral part of the team.
104.10 	(g) (h) The rate for a provider must not exceed the rate charged by that provider for the 
104.11 	same service to other payors.
104.12 	(h) (i) The rates for existing programs must be established prospectively based upon the 
104.13 	expenditures and utilization over a prior 12-month period using the criteria established in 
104.14 	paragraph (c) (d). The rates for new programs must be established based upon estimated 
104.15 	expenditures and estimated utilization using the criteria established in paragraph (c) (d).
104.16 	(i) (j) Effective for the rate years beginning on and after January 1, 2024, rates for 
104.17 	assertive community treatment, adult residential crisis stabilization services, and intensive 
104.18 	residential treatment services must be annually adjusted for inflation using the Centers for 
104.19 	Medicare and Medicaid Services Medicare Economic Index, as forecasted in the fourth 
104.20 	quarter of the calendar year before the rate year. The inflation adjustment must be based on 
104.21 	the 12-month period from the midpoint of the previous rate year to the midpoint of the rate 
104.22 	year for which the rate is being determined.
104.23 	(j) (k) Entities who discontinue providing services must be subject to a settle-up process 
104.24 	whereby actual costs and reimbursement for the previous 12 months are compared. In the 
104.25 	event that the entity was paid more than the entity's actual costs plus any applicable 
104.26 	performance-related funding due the provider, the excess payment must be reimbursed to 
104.27 	the department. If a provider's revenue is less than actual allowed costs due to lower 
104.28 	utilization than projected, the commissioner may reimburse the provider to recover its actual 
104.29 	allowable costs. The resulting adjustments by the commissioner must be proportional to the 
104.30 	percent of total units of service reimbursed by the commissioner and must reflect a difference 
104.31 	of greater than five percent.
104.32 	(k) (l) A provider may request of the commissioner a review of any rate-setting decision 
104.33 	made under this subdivision.

105.1 	Sec. 7. PRIORITY ADMISSIONS REVIEW PANEL.
 105.2 	(a) A panel appointed by the commissioner of human services, consisting of all members 
105.3 	who served on the Task Force on Priority Admissions to State-Operated Treatment Programs 
105.4 	under Laws 2023, chapter 61, article 8, section 13, subdivision 2, and one member who has 
105.5 	an active role as a union representative representing staff at Direct Care and Treatment 
105.6 	appointed by joint representatives of the American Federation of State, County and Municipal 
105.7 	Employees (AFSCME); Minnesota Association of Professional Employees (MAPE); 
105.8 	Minnesota Nurses Association (MNA); Middle Management Association (MMA); and State 
105.9 	Residential Schools Education Association (SRSEA) must:
105.10 	(1) evaluate the 48-hour timeline for priority admissions required under Minnesota 
105.11 	Statutes, section 253B.10, subdivision 1, paragraph (b), and develop policy and legislative 
105.12 	proposals related to the priority admissions timeline in order to minimize litigation costs, 
105.13 	maximize capacity in and access to state-operated treatment programs, and address issues 
105.14 	related to individuals awaiting admission to state-operated treatment programs in jails and 
105.15 	correctional institutions; and
105.16 	(2) by February 1, 2025, submit a written report to the chairs and ranking minority 
105.17 	members of the legislative committees with jurisdiction over public safety and human 
105.18 	services that includes legislative proposals to amend Minnesota Statutes, section 253B.10, 
105.19 	subdivision 1, paragraph (b), to modify the 48-hour priority admissions timeline.
105.20 	(b) The panel appointed under paragraph (a) must also advise the commissioner on the 
105.21 	effectiveness of the framework and priority admissions generally and review de-identified 
105.22 	data quarterly for one year following the implementation of the priority admissions 
105.23 	framework to ensure that the framework is implemented and applied equitably. If the panel 
105.24 	requests to review data that are classified as private or confidential and the commissioner 
105.25 	determines that the data requested are necessary for the scope of the panel's review, the 
105.26 	commissioner is authorized to disclose private or confidential data to the panel under this 
105.27 	paragraph and pursuant to Minnesota Statutes, section 13.05, subdivision 4, paragraph (b), 
105.28 	for private or confidential data collected prior to the effective date of this section.
105.29 	(c) After the panel completes one year of review, a quality committee established by the 
105.30 	Direct Care and Treatment executive board must continue to review data; seek input from 
105.31 	counties, hospitals, community providers, and advocates; and provide a routine report to 
105.32 	the executive board on the effectiveness of the framework and priority admissions.

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

106.1 	Sec. 8. DIRECTION TO COMMISSIONER OF HUMAN SERVICES; 
106.2 	REIMBURSEMENT TO BELTRAMI COUNTY AND TODD COUNTY FOR 
106.3 	CERTAIN COST OF CARE PAYMENTS.
 106.4 	(a) Notwithstanding Minnesota Statutes 2021 Supplement, section 246.54, subdivisions 
106.5 	1a and 1b; Minnesota Statutes 2022, section 246.54, subdivisions 1a and 1b; or any other 
106.6 	law to the contrary, the commissioner of human services must not sanction or otherwise 
106.7 	seek payment from Beltrami County for outstanding debts for the cost of care provided 
106.8 	between July 1, 2022, and June 30, 2023, under:
106.9 	(1) Minnesota Statutes, section 246.54, subdivision 1a, paragraph (a), clause (3), to a 
106.10 	person committed as a person who has a mental illness and is dangerous to the public under 
106.11 	Minnesota Statutes, section 253B.18, and who was awaiting transfer from Anoka-Metro 
106.12 	Regional Treatment Center to another state-operated facility or program; or
106.13 	(2) Minnesota Statutes, section 246.54, subdivision 1b, paragraph (a), clause (1), to a 
106.14 	person committed as a person who has a mental illness and is dangerous to the public under 
106.15 	Minnesota Statutes, section 253B.18, and who was awaiting transfer from a state-operated 
106.16 	community-based behavioral health hospital to another state-operated facility or program.
106.17 	(b) Notwithstanding Minnesota Statutes 2021 Supplement, section 246.54, subdivision 
106.18 	1a; Minnesota Statutes 2022, section 246.54, subdivision 1a; or any other law to the contrary, 
106.19 	the commissioner of human services must not sanction or otherwise seek payment from 
106.20 	Todd County for outstanding debts for the cost of care provided in Anoka-Metro Regional 
106.21 	Treatment Center from August 22, 2023, to February 3, 2024, not to exceed $387,000.
106.22 	(c) The commissioner must reimburse Beltrami County and Todd County with state-only 
106.23 	money any amount previously paid to the state or otherwise recovered by the commissioner 
106.24 	from Beltrami County or Todd County for the cost of care identified in paragraphs (a) and 
106.25 	(b).
106.26 	(d) Nothing in this section prohibits the commissioner from seeking reimbursement from 
106.27 	Beltrami County for the cost of care provided in Anoka-Metro Regional Treatment Center 
106.28 	or a state-operated community-based behavioral health hospital for care not described in 
106.29 	paragraph (a).
106.30 	(e) Nothing in this section prohibits the commissioner of human services from seeking 
106.31 	reimbursement from Todd County for the cost of care provided in Anoka-Metro Regional 
106.32 	Treatment Center or by any state-operated facility or program in excess of the amount 
106.33 	specified in paragraph (b).
107.1 	(f) Notwithstanding any law to the contrary, the client is not responsible for payment of 
107.2 	the cost of care under this section.

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

107.4 	Sec. 9. MENTALLY ILL AND DANGEROUS CIVIL COMMITMENT REFORM 
107.5 	TASK FORCE.
 107.6 		Subdivision 1.Establishment; purpose. The Mentally Ill and Dangerous Civil 
107.7 	Commitment Reform Task Force is established to evaluate current statutes related to mentally 
107.8 	ill and dangerous civil commitments and develop recommendations to optimize the use of 
107.9 	state-operated mental health resources and increase equitable access and outcomes for 
107.10 	patients.
107.11 		Subd. 2.Membership. (a) The Mentally Ill and Dangerous Civil Commitment Reform 
107.12 	Task Force consists of the members appointed as follows:
107.13 	(1) the commissioner of human services or a designee;
107.14 	(2) two members representing the Department of Direct Care and Treatment who have 
107.15 	experience with mentally ill and dangerous civil commitments, appointed by the 
107.16 	commissioner of human services;
107.17 	(3) the ombudsman for mental health and developmental disabilities;
107.18 	(4) a judge with experience presiding over mentally ill and dangerous civil commitments, 
107.19 	appointed by the state court administrator;
107.20 	(5) a court examiner with experience participating in mentally ill and dangerous civil 
107.21 	commitments, appointed by the state court administrator;
107.22 	(6) a member of the Special Review Board, appointed by the state court administrator;
107.23 	(7) a county representative, appointed by the Association of Minnesota Counties;
107.24 	(8) a representative appointed by the Minnesota Association of County Social Service 
107.25 	Administrators;
107.26 	(9) a county attorney with experience participating in mentally ill and dangerous civil 
107.27 	commitments, appointed by the Minnesota County Attorneys Association;
107.28 	(10) an attorney with experience representing respondents in mentally ill and dangerous 
107.29 	civil commitments, appointed by the governor;
107.30 	(11) a member appointed by the Minnesota Association of Community Mental Health 
107.31 	Programs;
108.1 	(12) a member appointed by the National Alliance on Mental Illness Minnesota;
108.2 	(13) a licensed independent practitioner with experience treating individuals subject to 
108.3 	a mentally ill and dangerous civil commitment;
108.4 	(14) an individual with lived experience under civil commitment as mentally ill and 
108.5 	dangerous and who is on a provisional discharge or has been discharged from commitment;
108.6 	(15) a family member of an individual with lived experience under civil commitment 
108.7 	as mentally ill and dangerous and who is on a provisional discharge or has been discharged 
108.8 	from commitment;
108.9 	(16) at least one Tribal government representative; and
108.10 	(17) a member appointed by the Minnesota Disability Law Center.
108.11 	(b) A member of the legislature may not serve as a member of the task force.
108.12 	(c) Appointments to the task force must be made no later than July 30, 2024.
108.13 		Subd. 3.Compensation; removal; vacancy. (a) Notwithstanding Minnesota Statutes, 
108.14 	section 15.059, subdivision 6, members of the task force may be compensated as provided 
108.15 	under Minnesota Statutes, section 15.059, subdivision 3.
108.16 	(b) A member may be removed by the appointing authority at any time at the pleasure 
108.17 	of the appointing authority. In the case of a vacancy on the task force, the appointing authority 
108.18 	shall appoint an individual to fill the vacancy for the remainder of the unexpired term.
108.19 		Subd. 4.Officers; meetings. (a) The commissioner of human services shall convene 
108.20 	the first meeting of the task force no later than September 1, 2024.
108.21 	(b) The task force must elect a chair and vice-chair from among its members and may 
108.22 	elect other officers as necessary.
108.23 	(c) The task force is subject to Minnesota Statutes, chapter 13D.
108.24 		Subd. 5.Staff. The commissioner of human services must provide staff assistance to 
108.25 	support the work of the task force.
108.26 		Subd. 6.Data usage and privacy. Any data provided by executive agencies as part of 
108.27 	the work and report of the task force are subject to the requirements of Minnesota Statutes, 
108.28 	chapter 13, and all other applicable data privacy laws.
108.29 		Subd. 7.Duties. The task force must:
109.1 	(1) analyze current trends in mentally ill and dangerous civil commitments, including 
109.2 	but not limited to the length of stay for individuals committed in Minnesota as compared 
109.3 	to other jurisdictions;
109.4 	(2) review national practices and criteria for civil commitment of individuals who have 
109.5 	a mental illness and represent a danger to the public;
109.6 	(3) develop recommended statutory changes necessary to provide services to the high 
109.7 	number of mentally ill and dangerous civilly committed individuals;
109.8 	(4) develop funding and statutory recommendations for alternatives to the current mentally 
109.9 	ill and dangerous civil commitment process;
109.10 	(5) identify what types of placements and services are necessary to serve individuals 
109.11 	civilly committed as mentally ill and dangerous in the community;
109.12 	(6) make recommendations to reduce barriers to discharge from the forensic mental 
109.13 	health program for individuals civilly committed as mentally ill and dangerous;
109.14 	(7) develop recommended plain language statutory changes to clarify operational 
109.15 	definitions for terms used within Minnesota Statutes, section 253B.18;
109.16 	(8) develop recommended statutory changes to provide clear direction to the 
109.17 	commissioner of human services and facilities to which individuals are civilly committed 
109.18 	to address situations in which an individual is committed as mentally ill and dangerous and 
109.19 	is later determined to not have an organic disorder of the brain or a substantial psychiatric 
109.20 	disorder of thought, mood, perception, orientation, or memory; and
109.21 	(9) evaluate and make statutory and funding recommendations for the voluntary return 
109.22 	of individuals civilly committed as mentally ill and dangerous to community facilities.
109.23 		Subd. 8.Report required. By August 1, 2025, the task force shall submit to the chairs 
109.24 	and ranking minority members of the legislative committees with jurisdiction over mentally 
109.25 	ill and dangerous civil commitments a written report that includes the outcome of the duties 
109.26 	in subdivision 7, including but not limited to recommended statutory changes.
109.27 		Subd. 9.Expiration. The task force expires January 1, 2026.

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

109.29 	Sec. 10. ENGAGEMENT SERVICES PILOT GRANTS.
109.30 		Subdivision 1.Creation. The engagement services pilot grant program is established 
109.31 	in the Department of Human Services to provide grants to counties or certified community 
110.1 	behavioral health clinics under section 245.735 that have a letter of support from a county 
110.2 	to provide engagement services under section 253B.041. The commissioner of human 
110.3 	services must award one grant under this section to Otter Tail County. Engagement services 
110.4 	must provide culturally responsive early interventions to prevent an individual from meeting 
110.5 	the criteria for civil commitment and promote positive outcomes.
110.6 		Subd. 2.Allowable grant activities. (a) Grantees must use grant money to:
110.7 	(1) develop a system to respond to requests for engagement services;
110.8 	(2) provide the following engagement services, taking into account an individual's 
110.9 	preferences for treatment services and supports:
110.10 	(i) assertive attempts to engage an individual in voluntary treatment for mental illness 
110.11 	for at least 90 days;
110.12 	(ii) efforts to engage an individual's existing support systems and interested persons, 
110.13 	including but not limited to providing education on restricting means of harm and suicide 
110.14 	prevention, when the provider determines that such engagement would be helpful; and
110.15 	(iii) collaboration with the individual to meet the individual's immediate needs, including 
110.16 	but not limited to housing access, food and income assistance, disability verification, 
110.17 	medication management, and medical treatment;
110.18 	(3) conduct outreach to families and providers; and
110.19 	(4) evaluate the impact of engagement services on decreasing civil commitments, 
110.20 	increasing engagement in treatment, decreasing police involvement with individuals 
110.21 	exhibiting symptoms of serious mental illness, and other measures.
110.22 	(b) Grantees must seek reimbursement for all activities and provided services eligible 
110.23 	for medical assistance.
110.24 	(c) Engagement services staff must have completed training on person-centered care. 
110.25 	Staff may include but are not limited to mobile crisis providers under Minnesota Statutes, 
110.26 	section 256B.0624; certified peer specialists under Minnesota Statutes, section 256B.0615; 
110.27 	community-based treatment programs staff; and homeless outreach workers.

110.28 	Sec. 11. DIRECTION TO COMMISSIONER OF HUMAN SERVICES; LIMITED 
110.29 	EXCEPTION FOR ADMISSION FROM HOSPITAL SETTINGS.
 110.30 	The commissioner of human services must immediately approve an exception to add 
110.31 	up to ten patients who have been civilly committed and are in hospital settings to the waiting 
110.32 	list for admission to medically appropriate direct care and treatment beds under Minnesota 
111.1 	Statutes, section 253B.10, subdivision 1, paragraph (b). This section expires upon the 
111.2 	commissioner's approval of the exception for ten patients who have been civilly committed 
111.3 	and are awaiting admission.

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

111.5 	Sec. 12. COUNTY CORRECTIONAL FACILITY LONG-ACTING INJECTABLE 
111.6 	ANTIPSYCHOTIC MEDICATION PILOT PROGRAM.
 111.7 		Subdivision 1.Authorization. The commissioner of human services must establish a 
111.8 	pilot program that provides payments to counties to support county correctional facilities 
111.9 	in administering long-acting injectable antipsychotic medications to prisoners for mental 
111.10 	health treatment.
111.11 		Subd. 2.Application. Counties may submit requests for reimbursement for costs incurred 
111.12 	pursuant to subdivision 3 on an application form specified by the commissioner. Requests 
111.13 	for reimbursement for the cost of a long-acting injectable antipsychotic medication must 
111.14 	be accompanied by the correctional facility's invoice for the long-acting injectable 
111.15 	antipsychotic medication. The commissioner must issue an application to each county board 
111.16 	at least once per calendar quarter until money for the pilot program is expended.
111.17 		Subd. 3.Pilot program payments; allowable uses. Counties must use payments received 
111.18 	under this section for reimbursement of costs incurred during the most recent calendar 
111.19 	quarter for:
111.20 	(1) long-acting injectable antipsychotic medications for prisoners in county correctional 
111.21 	facilities; and
111.22 	(2) health care costs related to the administration of long-acting injectable antipsychotic 
111.23 	medications for prisoners in correctional facilities.
111.24 		Subd. 4.Pilot program payment allocation. (a) The commissioner may allocate up to 
111.25 	one quarter of the total appropriation for the pilot program each quarter. If the amount of 
111.26 	money for eligible requests received exceeds the amount of money available in the quarter, 
111.27 	the commissioner shall determine an equitable allocation of payments among the applicants.
111.28 	(b) The commissioner may review costs and set a reasonable cap on the reimbursement 
111.29 	amount for medications and treatment.
111.30 	(c) The commissioner's determination of payment amounts and allocation methods is 
111.31 	final and not subject to appeal.
112.1 		Subd. 5.Report. By December 15, 2025, the commissioner must provide a summary 
112.2 	report on the pilot program to the chairs and ranking minority members of the legislative 
112.3 	committees with jurisdiction over mental health and county correctional facilities.

112.4 	Sec. 13. REPORT ON INPATIENT SUBSTANCE USE DISORDER BEDS.
 112.5 	By January 15, 2025, the Direct Care and Treatment executive board must submit a 
112.6 	report to the chairs and ranking minority members of the legislative committees with 
112.7 	jurisdiction over human services finance and policy with options for increasing inpatient 
112.8 	substance use disorder beds operated by the executive board. One option must include the 
112.9 	development of an inpatient substance use disorder program operated by the executive board 
112.10 	within 35 miles of the existing CARE-St. Peter facility.

112.11 	ARTICLE 5
112.12 	DIRECT CARE AND TREATMENT

112.13 	Section 1. Minnesota Statutes 2023 Supplement, section 10.65, subdivision 2, is amended 
112.14 	to read:
112.15 		Subd. 2.Definitions. As used in this section, the following terms have the meanings 
112.16 	given:
112.17 	(1) "agency" means the Department of Administration; Department of Agriculture; 
112.18 	Department of Children, Youth, and Families; Department of Commerce; Department of 
112.19 	Corrections; Department of Education; Department of Employment and Economic 
112.20 	Development; Department of Health; Office of Higher Education; Housing Finance Agency; 
112.21 	Department of Human Rights; Department of Human Services; Department of Information 
112.22 	Technology Services; Department of Iron Range Resources and Rehabilitation; Department 
112.23 	of Labor and Industry; Minnesota Management and Budget; Bureau of Mediation Services; 
112.24 	Department of Military Affairs; Metropolitan Council; Department of Natural Resources; 
112.25 	Pollution Control Agency; Department of Public Safety; Department of Revenue; Department 
112.26 	of Transportation; Department of Veterans Affairs; Direct Care and Treatment; Gambling 
112.27 	Control Board; Racing Commission; the Minnesota Lottery; the Animal Health Board; and 
112.28 	the Board of Water and Soil Resources;
112.29 	(2) "consultation" means the direct and interactive involvement of the Minnesota Tribal 
112.30 	governments in the development of policy on matters that have Tribal implications. 
112.31 	Consultation is the proactive, affirmative process of identifying and seeking input from 
112.32 	appropriate Tribal governments and considering their interest as a necessary and integral 
112.33 	part of the decision-making process. This definition adds to statutorily mandated notification 
113.1 	procedures. During a consultation, the burden is on the agency to show that it has made a 
113.2 	good faith effort to elicit feedback. Consultation is a formal engagement between agency 
113.3 	officials and the governing body or bodies of an individual Minnesota Tribal government 
113.4 	that the agency or an individual Tribal government may initiate. Formal meetings or 
113.5 	communication between top agency officials and the governing body of a Minnesota Tribal 
113.6 	government is a necessary element of consultation;
113.7 	(3) "matters that have Tribal implications" means rules, legislative proposals, policy 
113.8 	statements, or other actions that have substantial direct effects on one or more Minnesota 
113.9 	Tribal governments, or on the distribution of power and responsibilities between the state 
113.10 	and Minnesota Tribal governments;
113.11 	(4) "Minnesota Tribal governments" means the federally recognized Indian Tribes located 
113.12 	in Minnesota including: Bois Forte Band; Fond Du Lac Band; Grand Portage Band; Leech 
113.13 	Lake Band; Mille Lacs Band; White Earth Band; Red Lake Nation; Lower Sioux Indian 
113.14 	Community; Prairie Island Indian Community; Shakopee Mdewakanton Sioux Community; 
113.15 	and Upper Sioux Community; and
113.16 	(5) "timely and meaningful" means done or occurring at a favorable or useful time that 
113.17 	allows the result of consultation to be included in the agency's decision-making process for 
113.18 	a matter that has Tribal implications.

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

113.20 	Sec. 2. Minnesota Statutes 2022, section 13.46, subdivision 1, as amended by Laws 2024, 
113.21 	chapter 79, article 9, section 1, and Laws 2024, chapter 80, article 8, section 1, is amended 
113.22 	to read:
113.23 		Subdivision 1.Definitions. As used in this section:
113.24 	(a) "Individual" means an individual according to section 13.02, subdivision 8, but does 
113.25 	not include a vendor of services.
113.26 	(b) "Program" includes all programs for which authority is vested in a component of the 
113.27 	welfare system according to statute or federal law, including but not limited to Native 
113.28 	American Tribe programs that provide a service component of the welfare system, the 
113.29 	Minnesota family investment program, medical assistance, general assistance, general 
113.30 	assistance medical care formerly codified in chapter 256D, the child care assistance program, 
113.31 	and child support collections.
113.32 	(c) "Welfare system" includes the Department of Human Services; the Department of
113.33 	Direct Care and Treatment; the Department of Children, Youth, and Families; local social 
114.1 	services agencies; county welfare agencies; county public health agencies; county veteran 
114.2 	services agencies; county housing agencies; private licensing agencies; the public authority 
114.3 	responsible for child support enforcement; human services boards; community mental health 
114.4 	center boards, state hospitals, state nursing homes, the ombudsman for mental health and 
114.5 	developmental disabilities; Native American Tribes to the extent a Tribe provides a service 
114.6 	component of the welfare system; and persons, agencies, institutions, organizations, and 
114.7 	other entities under contract to any of the above agencies to the extent specified in the 
114.8 	contract.
114.9 	(d) "Mental health data" means data on individual clients and patients of community 
114.10 	mental health centers, established under section 245.62, mental health divisions of counties 
114.11 	and other providers under contract to deliver mental health services, Department of Direct 
114.12 	Care and Treatment mental health services, or the ombudsman for mental health and 
114.13 	developmental disabilities.
114.14 	(e) "Fugitive felon" means a person who has been convicted of a felony and who has 
114.15 	escaped from confinement or violated the terms of probation or parole for that offense.
114.16 	(f) "Private licensing agency" means an agency licensed by the commissioner of children, 
114.17 	youth, and families under chapter 142B to perform the duties under section 142B.30.

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

114.19 	Sec. 3. Minnesota Statutes 2023 Supplement, section 13.46, subdivision 2, as amended 
114.20 	by Laws 2024, chapter 80, article 8, section 2, is amended to read:
114.21 		Subd. 2.General. (a) Data on individuals collected, maintained, used, or disseminated 
114.22 	by the welfare system are private data on individuals, and shall not be disclosed except:
114.23 	(1) according to section 13.05;
114.24 	(2) according to court order;
114.25 	(3) according to a statute specifically authorizing access to the private data;
114.26 	(4) to an agent of the welfare system and an investigator acting on behalf of a county, 
114.27 	the state, or the federal government, including a law enforcement person or attorney in the 
114.28 	investigation or prosecution of a criminal, civil, or administrative proceeding relating to the 
114.29 	administration of a program;
114.30 	(5) to personnel of the welfare system who require the data to verify an individual's 
114.31 	identity; determine eligibility, amount of assistance, and the need to provide services to an 
114.32 	individual or family across programs; coordinate services for an individual or family; 
115.1 	evaluate the effectiveness of programs; assess parental contribution amounts; and investigate 
115.2 	suspected fraud;
115.3 	(6) to administer federal funds or programs;
115.4 	(7) between personnel of the welfare system working in the same program;
115.5 	(8) to the Department of Revenue to assess parental contribution amounts for purposes 
115.6 	of section 252.27, subdivision 2a, administer and evaluate tax refund or tax credit programs 
115.7 	and to identify individuals who may benefit from these programs, and prepare the databases 
115.8 	for reports required under section 270C.13 and Laws 2008, chapter 366, article 17, section 
115.9 	6. The following information may be disclosed under this paragraph: an individual's and 
115.10 	their dependent's names, dates of birth, Social Security or individual taxpayer identification 
115.11 	numbers, income, addresses, and other data as required, upon request by the Department 
115.12 	of Revenue. Disclosures by the commissioner of revenue to the commissioner of human 
115.13 	services for the purposes described in this clause are governed by section 270B.14, 
115.14 	subdivision 1. Tax refund or tax credit programs include, but are not limited to, the dependent 
115.15 	care credit under section 290.067, the Minnesota working family credit under section 
115.16 	290.0671, the property tax refund under section 290A.04, and the Minnesota education 
115.17 	credit under section 290.0674;
115.18 	(9) between the Department of Human Services; the Department of Employment and 
115.19 	Economic Development; the Department of Children, Youth, and Families; Direct Care and 
115.20 	Treatment; and, when applicable, the Department of Education, for the following purposes:
115.21 	(i) to monitor the eligibility of the data subject for unemployment benefits, for any 
115.22 	employment or training program administered, supervised, or certified by that agency;
115.23 	(ii) to administer any rehabilitation program or child care assistance program, whether 
115.24 	alone or in conjunction with the welfare system;
115.25 	(iii) to monitor and evaluate the Minnesota family investment program or the child care 
115.26 	assistance program by exchanging data on recipients and former recipients of Supplemental 
115.27 	Nutrition Assistance Program (SNAP) benefits, cash assistance under chapter 256, 256D, 
115.28 	256J, or 256K, child care assistance under chapter 119B, medical programs under chapter 
115.29 	256B or 256L; and
115.30 	(iv) to analyze public assistance employment services and program utilization, cost, 
115.31 	effectiveness, and outcomes as implemented under the authority established in Title II, 
115.32 	Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999. 
115.33 	Health records governed by sections 144.291 to 144.298 and "protected health information" 
116.1 	as defined in Code of Federal Regulations, title 45, section 160.103, and governed by Code 
116.2 	of Federal Regulations, title 45, parts 160-164, including health care claims utilization 
116.3 	information, must not be exchanged under this clause;
116.4 	(10) to appropriate parties in connection with an emergency if knowledge of the 
116.5 	information is necessary to protect the health or safety of the individual or other individuals 
116.6 	or persons;
116.7 	(11) data maintained by residential programs as defined in section 245A.02 may be 
116.8 	disclosed to the protection and advocacy system established in this state according to Part 
116.9 	C of Public Law 98-527 to protect the legal and human rights of persons with developmental 
116.10 	disabilities or other related conditions who live in residential facilities for these persons if 
116.11 	the protection and advocacy system receives a complaint by or on behalf of that person and 
116.12 	the person does not have a legal guardian or the state or a designee of the state is the legal 
116.13 	guardian of the person;
116.14 	(12) to the county medical examiner or the county coroner for identifying or locating 
116.15 	relatives or friends of a deceased person;
116.16 	(13) data on a child support obligor who makes payments to the public agency may be 
116.17 	disclosed to the Minnesota Office of Higher Education to the extent necessary to determine 
116.18 	eligibility under section 136A.121, subdivision 2, clause (5);
116.19 	(14) participant Social Security or individual taxpayer identification numbers and names 
116.20 	collected by the telephone assistance program may be disclosed to the Department of 
116.21 	Revenue to conduct an electronic data match with the property tax refund database to 
116.22 	determine eligibility under section 237.70, subdivision 4a;
116.23 	(15) the current address of a Minnesota family investment program participant may be 
116.24 	disclosed to law enforcement officers who provide the name of the participant and notify 
116.25 	the agency that:
116.26 	(i) the participant:
116.27 	(A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after 
116.28 	conviction, for a crime or attempt to commit a crime that is a felony under the laws of the 
116.29 	jurisdiction from which the individual is fleeing; or
116.30 	(B) is violating a condition of probation or parole imposed under state or federal law;
116.31 	(ii) the location or apprehension of the felon is within the law enforcement officer's 
116.32 	official duties; and
117.1 	(iii) the request is made in writing and in the proper exercise of those duties;
117.2 	(16) the current address of a recipient of general assistance may be disclosed to probation 
117.3 	officers and corrections agents who are supervising the recipient and to law enforcement 
117.4 	officers who are investigating the recipient in connection with a felony level offense;
117.5 	(17) information obtained from a SNAP applicant or recipient households may be 
117.6 	disclosed to local, state, or federal law enforcement officials, upon their written request, for 
117.7 	the purpose of investigating an alleged violation of the Food and Nutrition Act, according 
117.8 	to Code of Federal Regulations, title 7, section 272.1(c);
117.9 	(18) the address, Social Security or individual taxpayer identification number, and, if 
117.10 	available, photograph of any member of a household receiving SNAP benefits shall be made 
117.11 	available, on request, to a local, state, or federal law enforcement officer if the officer 
117.12 	furnishes the agency with the name of the member and notifies the agency that:
117.13 	(i) the member:
117.14 	(A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a 
117.15 	crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;
117.16 	(B) is violating a condition of probation or parole imposed under state or federal law; 
117.17 	or
117.18 	(C) has information that is necessary for the officer to conduct an official duty related 
117.19 	to conduct described in subitem (A) or (B);
117.20 	(ii) locating or apprehending the member is within the officer's official duties; and
117.21 	(iii) the request is made in writing and in the proper exercise of the officer's official duty;
117.22 	(19) the current address of a recipient of Minnesota family investment program, general 
117.23 	assistance, or SNAP benefits may be disclosed to law enforcement officers who, in writing, 
117.24 	provide the name of the recipient and notify the agency that the recipient is a person required 
117.25 	to register under section 243.166, but is not residing at the address at which the recipient is 
117.26 	registered under section 243.166;
117.27 	(20) certain information regarding child support obligors who are in arrears may be 
117.28 	made public according to section 518A.74;
117.29 	(21) data on child support payments made by a child support obligor and data on the 
117.30 	distribution of those payments excluding identifying information on obligees may be 
117.31 	disclosed to all obligees to whom the obligor owes support, and data on the enforcement 
118.1 	actions undertaken by the public authority, the status of those actions, and data on the income 
118.2 	of the obligor or obligee may be disclosed to the other party;
118.3 	(22) data in the work reporting system may be disclosed under section 256.998, 
118.4 	subdivision 7;
118.5 	(23) to the Department of Education for the purpose of matching Department of Education 
118.6 	student data with public assistance data to determine students eligible for free and 
118.7 	reduced-price meals, meal supplements, and free milk according to United States Code, 
118.8 	title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and state 
118.9 	funds that are distributed based on income of the student's family; and to verify receipt of 
118.10 	energy assistance for the telephone assistance plan;
118.11 	(24) the current address and telephone number of program recipients and emergency 
118.12 	contacts may be released to the commissioner of health or a community health board as 
118.13 	defined in section 145A.02, subdivision 5, when the commissioner or community health 
118.14 	board has reason to believe that a program recipient is a disease case, carrier, suspect case, 
118.15 	or at risk of illness, and the data are necessary to locate the person;
118.16 	(25) to other state agencies, statewide systems, and political subdivisions of this state, 
118.17 	including the attorney general, and agencies of other states, interstate information networks, 
118.18 	federal agencies, and other entities as required by federal regulation or law for the 
118.19 	administration of the child support enforcement program;
118.20 	(26) to personnel of public assistance programs as defined in section 256.741, for access 
118.21 	to the child support system database for the purpose of administration, including monitoring 
118.22 	and evaluation of those public assistance programs;
118.23 	(27) to monitor and evaluate the Minnesota family investment program by exchanging 
118.24 	data between the Departments of Human Services; Children, Youth, and Families; and 
118.25 	Education, on recipients and former recipients of SNAP benefits, cash assistance under 
118.26 	chapter 256, 256D, 256J, or 256K, child care assistance under chapter 119B, medical 
118.27 	programs under chapter 256B or 256L, or a medical program formerly codified under chapter 
118.28 	256D;
118.29 	(28) to evaluate child support program performance and to identify and prevent fraud 
118.30 	in the child support program by exchanging data between the Department of Human Services; 
118.31 	Department of Children, Youth, and Families; Department of Revenue under section 270B.14, 
118.32 	subdivision 1, paragraphs (a) and (b), without regard to the limitation of use in paragraph 
118.33 	(c); Department of Health; Department of Employment and Economic Development; and 
118.34 	other state agencies as is reasonably necessary to perform these functions;
119.1 	(29) counties and the Department of Children, Youth, and Families operating child care 
119.2 	assistance programs under chapter 119B may disseminate data on program participants, 
119.3 	applicants, and providers to the commissioner of education;
119.4 	(30) child support data on the child, the parents, and relatives of the child may be 
119.5 	disclosed to agencies administering programs under titles IV-B and IV-E of the Social 
119.6 	Security Act, as authorized by federal law;
119.7 	(31) to a health care provider governed by sections 144.291 to 144.298, to the extent 
119.8 	necessary to coordinate services;
119.9 	(32) to the chief administrative officer of a school to coordinate services for a student 
119.10 	and family; data that may be disclosed under this clause are limited to name, date of birth, 
119.11 	gender, and address;
119.12 	(33) to county correctional agencies to the extent necessary to coordinate services and 
119.13 	diversion programs; data that may be disclosed under this clause are limited to name, client 
119.14 	demographics, program, case status, and county worker information; or
119.15 	(34) between the Department of Human Services and the Metropolitan Council for the 
119.16 	following purposes:
119.17 	(i) to coordinate special transportation service provided under section 473.386 with 
119.18 	services for people with disabilities and elderly individuals funded by or through the 
119.19 	Department of Human Services; and
119.20 	(ii) to provide for reimbursement of special transportation service provided under section 
119.21 	473.386.
119.22 	The data that may be shared under this clause are limited to the individual's first, last, and 
119.23 	middle names; date of birth; residential address; and program eligibility status with expiration 
119.24 	date for the purposes of informing the other party of program eligibility.
119.25 	(b) Information on persons who have been treated for substance use disorder may only 
119.26 	be disclosed according to the requirements of Code of Federal Regulations, title 42, sections 
119.27 	2.1 to 2.67.
119.28 	(c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16), 
119.29 	(17), or (18), or paragraph (b), are investigative data and are confidential or protected 
119.30 	nonpublic while the investigation is active. The data are private after the investigation 
119.31 	becomes inactive under section 13.82, subdivision 7, clause (a) or (b).
120.1 	(d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but are 
120.2 	not subject to the access provisions of subdivision 10, paragraph (b).
120.3 	For the purposes of this subdivision, a request will be deemed to be made in writing if 
120.4 	made through a computer interface system.

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

120.6 	Sec. 4. Minnesota Statutes 2022, section 13.46, subdivision 10, as amended by Laws 2024, 
120.7 	chapter 79, article 9, section 2, is amended to read:
120.8 		Subd. 10.Responsible authority. (a) Notwithstanding any other provision of this chapter 
120.9 	to the contrary, the responsible authority for each component of the welfare system listed 
120.10 	in subdivision 1, clause (c), shall be as follows:
120.11 	(1) the responsible authority for the Department of Human Services is the commissioner 
120.12 	of human services;
120.13 	(2) the responsible authority of a county welfare agency is the director of the county 
120.14 	welfare agency;
120.15 	(3) the responsible authority for a local social services agency, human services board, 
120.16 	or community mental health center board is the chair of the board;
120.17 	(4) the responsible authority of any person, agency, institution, organization, or other 
120.18 	entity under contract to any of the components of the welfare system listed in subdivision 
120.19 	1, clause (c), is the person specified in the contract;
120.20 	(5) the responsible authority of the public authority for child support enforcement is the 
120.21 	head of the public authority for child support enforcement;
120.22 	(6) the responsible authority for county veteran services is the county veterans service 
120.23 	officer pursuant to section 197.603, subdivision 2; and
120.24 	(7) the responsible authority for the Department of Direct Care and Treatment is the 
120.25 	chief executive officer of Direct Care and Treatment executive board.
120.26 	(b) A responsible authority shall allow another responsible authority in the welfare 
120.27 	system access to data classified as not public data when access is necessary for the 
120.28 	administration and management of programs, or as authorized or required by statute or 
120.29 	federal law.

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

121.1 	Sec. 5. Minnesota Statutes 2023 Supplement, section 15.01, is amended to read:
121.2 	15.01 DEPARTMENTS OF THE STATE.
121.3 	The following agencies are designated as the departments of the state government: the 
121.4 	Department of Administration; the Department of Agriculture; the Department of Children, 
121.5 	Youth, and Families; the Department of Commerce; the Department of Corrections; the 
121.6 	Department of Direct Care and Treatment; the Department of Education; the Department 
121.7 	of Employment and Economic Development; the Department of Health; the Department of 
121.8 	Human Rights; the Department of Human Services; the Department of Information 
121.9 	Technology Services; the Department of Iron Range Resources and Rehabilitation; the 
121.10 	Department of Labor and Industry; the Department of Management and Budget; the 
121.11 	Department of Military Affairs; the Department of Natural Resources; the Department of 
121.12 	Public Safety; the Department of Revenue; the Department of Transportation; the Department 
121.13 	of Veterans Affairs; and their successor departments.

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

121.15 	Sec. 6. Minnesota Statutes 2023 Supplement, section 15.06, subdivision 1, as amended 
121.16 	by Laws 2024, chapter 85, section 6, is amended to read:
121.17 		Subdivision 1.Applicability. This section applies to the following departments or 
121.18 	agencies: the Departments of Administration; Agriculture; Children, Youth, and Families; 
121.19 	Commerce; Corrections; Direct Care and Treatment; Education; Employment and Economic 
121.20 	Development; Health; Human Rights; Human Services; Iron Range Resources and 
121.21 	Rehabilitation; Labor and Industry; Management and Budget; Natural Resources; Public 
121.22 	Safety; Revenue; Transportation; and Veterans Affairs; the Housing Finance and Pollution 
121.23 	Control Agencies; the Department of Information Technology Services; the Bureau of 
121.24 	Mediation Services; and their successor departments and agencies. The heads of the foregoing 
121.25 	departments or agencies are "commissioners."

121.26 	EFFECTIVE DATE. This section is effective July 1, 2024t.

121.27 	Sec. 7. Minnesota Statutes 2023 Supplement, section 15A.0815, subdivision 2, is amended 
121.28 	to read:
121.29 		Subd. 2.Agency head salaries. The salary for a position listed in this subdivision shall 
121.30 	be determined by the Compensation Council under section 15A.082. The commissioner of 
121.31 	management and budget must publish the salaries on the department's website. This 
121.32 	subdivision applies to the following positions:
122.1 	Commissioner of administration;
122.2 	Commissioner of agriculture;
122.3 	Commissioner of education;
122.4 	Commissioner of children, youth, and families;
122.5 	Commissioner of commerce;
122.6 	Commissioner of corrections;
122.7 	Commissioner of health;
122.8 	Commissioner, Minnesota Office of Higher Education;
122.9 	Commissioner, Minnesota IT Services;
122.10 	Commissioner, Housing Finance Agency;
122.11 	Commissioner of human rights;
122.12 	Commissioner of human services;
122.13 	Commissioner of labor and industry;
122.14 	Commissioner of management and budget;
122.15 	Commissioner of natural resources;
122.16 	Commissioner, Pollution Control Agency;
122.17 	Commissioner of public safety;
122.18 	Commissioner of revenue;
122.19 	Commissioner of employment and economic development;
122.20 	Commissioner of transportation;
122.21 	Commissioner of veterans affairs;
122.22 	Executive director of the Gambling Control Board;
122.23 	Executive director of the Minnesota State Lottery;
122.24 	Commissioner of Iron Range resources and rehabilitation;
122.25 	Commissioner, Bureau of Mediation Services;
122.26 	Ombudsman for mental health and developmental disabilities;
122.27 	Ombudsperson for corrections;
123.1 	Chair, Metropolitan Council;
123.2 	Chair, Metropolitan Airports Commission;
123.3 	School trust lands director;
123.4 	Executive director of pari-mutuel racing; and
123.5 	Commissioner, Public Utilities Commission; and
123.6 	Chief Executive Officer, Direct Care and Treatment.

123.7 	Sec. 8. Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 1, is amended 
123.8 	to read:
123.9 		Subdivision 1.Creation. A Compensation Council is created each odd-numbered year 
123.10 	to establish the compensation of constitutional officers and the heads of state and metropolitan 
123.11 	agencies identified in section 15A.0815, and to assist the legislature in establishing the 
123.12 	compensation of justices of the supreme court and judges of the court of appeals and district 
123.13 	court, and to determine the daily compensation for voting members of the Direct Care and 
123.14 	Treatment executive board.

123.15 	Sec. 9. Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 3, is amended 
123.16 	to read:
123.17 		Subd. 3.Submission of recommendations and determination. (a) By April 1 in each 
123.18 	odd-numbered year, the Compensation Council shall submit to the speaker of the house and 
123.19 	the president of the senate salary recommendations for justices of the supreme court, and 
123.20 	judges of the court of appeals and district court. The recommended salaries take effect on 
123.21 	July 1 of that year and July 1 of the subsequent even-numbered year and at whatever interval 
123.22 	the council recommends thereafter, unless the legislature by law provides otherwise. The 
123.23 	salary recommendations take effect if an appropriation of money to pay the recommended 
123.24 	salaries is enacted after the recommendations are submitted and before their effective date. 
123.25 	Recommendations may be expressly modified or rejected.
123.26 	(b) By April 1 in each odd-numbered year, the Compensation Council must prescribe 
123.27 	salaries for constitutional officers, and for the agency and metropolitan agency heads 
123.28 	identified in section 15A.0815. The prescribed salary for each office must take effect July 
123.29 	1 of that year and July 1 of the subsequent even-numbered year and at whatever interval 
123.30 	the council determines thereafter, unless the legislature by law provides otherwise. An 
123.31 	appropriation by the legislature to fund the relevant office, branch, or agency of an amount 
124.1 	sufficient to pay the salaries prescribed by the council constitutes a prescription by law as 
124.2 	provided in the Minnesota Constitution, article V, sections 4 and 5.
124.3 	(c) By April 1 in each odd-numbered year, the Compensation Council must prescribe 
124.4 	daily compensation for voting members of the Direct Care and Treatment executive board. 
124.5 	The recommended daily compensation takes effect on July 1 of that year and July 1 of the 
124.6 	subsequent even-numbered year and at whatever interval the council recommends thereafter, 
124.7 	unless the legislature by law provides otherwise.

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

124.15 	Sec. 11. Minnesota Statutes 2023 Supplement, section 43A.08, subdivision 1, is amended 
124.16 	to read:
124.17 		Subdivision 1.Unclassified positions.  Unclassified positions are held by employees 
124.18 	who are:
124.19 	(1) chosen by election or appointed to fill an elective office;
124.20 	(2) heads of agencies required by law to be appointed by the governor or other elective 
124.21 	officers, and the executive or administrative heads of departments, bureaus, divisions, and 
124.22 	institutions specifically established by law in the unclassified service;
124.23 	(3) deputy and assistant agency heads and one confidential secretary in the agencies 
124.24 	listed in subdivision 1a;
124.25 	(4) the confidential secretary to each of the elective officers of this state and, for the 
124.26 	secretary of state and state auditor, an additional deputy, clerk, or employee;
124.27 	(5) intermittent help employed by the commissioner of public safety to assist in the 
124.28 	issuance of vehicle licenses;
124.29 	(6) employees in the offices of the governor and of the lieutenant governor and one 
124.30 	confidential employee for the governor in the Office of the Adjutant General;
124.31 	(7) employees of the Washington, D.C., office of the state of Minnesota;
125.1 	(8) employees of the legislature and of legislative committees or commissions; provided 
125.2 	that employees of the Legislative Audit Commission, except for the legislative auditor, the 
125.3 	deputy legislative auditors, and their confidential secretaries, shall be employees in the 
125.4 	classified service;
125.5 	(9) presidents, vice-presidents, deans, other managers and professionals in academic 
125.6 	and academic support programs, administrative or service faculty, teachers, research 
125.7 	assistants, and student employees eligible under terms of the federal Economic Opportunity 
125.8 	Act work study program in the Perpich Center for Arts Education and the Minnesota State 
125.9 	Colleges and Universities, but not the custodial, clerical, or maintenance employees, or any 
125.10 	professional or managerial employee performing duties in connection with the business 
125.11 	administration of these institutions;
125.12 	(10) officers and enlisted persons in the National Guard;
125.13 	(11) attorneys, legal assistants, and three confidential employees appointed by the attorney 
125.14 	general or employed with the attorney general's authorization;
125.15 	(12) judges and all employees of the judicial branch, referees, receivers, jurors, and 
125.16 	notaries public, except referees and adjusters employed by the Department of Labor and 
125.17 	Industry;
125.18 	(13) members of the State Patrol; provided that selection and appointment of State Patrol 
125.19 	troopers must be made in accordance with applicable laws governing the classified service;
125.20 	(14) examination monitors and intermittent training instructors employed by the 
125.21 	Departments of Management and Budget and Commerce and by professional examining 
125.22 	boards and intermittent staff employed by the technical colleges for the administration of 
125.23 	practical skills tests and for the staging of instructional demonstrations;
125.24 	(15) student workers;
125.25 	(16) executive directors or executive secretaries appointed by and reporting to any 
125.26 	policy-making board or commission established by statute;
125.27 	(17) employees unclassified pursuant to other statutory authority;
125.28 	(18) intermittent help employed by the commissioner of agriculture to perform duties 
125.29 	relating to pesticides, fertilizer, and seed regulation;
125.30 	(19) the administrators and the deputy administrators at the State Academies for the 
125.31 	Deaf and the Blind; and
126.1 	(20) the chief executive officers in the Department of Human Services officer of Direct 
126.2 	Care and Treatment.

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

126.4 	Sec. 12. Minnesota Statutes 2023 Supplement, section 43A.08, subdivision 1a, is amended 
126.5 	to read:
126.6 		Subd. 1a.Additional unclassified positions. Appointing authorities for the following 
126.7 	agencies may designate additional unclassified positions according to this subdivision: the 
126.8 	Departments of Administration; Agriculture; Children, Youth, and Families; Commerce; 
126.9 	Corrections; Direct Care and Treatment; Education; Employment and Economic 
126.10 	Development; Explore Minnesota Tourism; Management and Budget; Health; Human 
126.11 	Rights; Human Services; Labor and Industry; Natural Resources; Public Safety; Revenue; 
126.12 	Transportation; and Veterans Affairs; the Housing Finance and Pollution Control Agencies; 
126.13 	the State Lottery; the State Board of Investment; the Office of Administrative Hearings; the 
126.14 	Department of Information Technology Services; the Offices of the Attorney General, 
126.15 	Secretary of State, and State Auditor; the Minnesota State Colleges and Universities; the 
126.16 	Minnesota Office of Higher Education; the Perpich Center for Arts Education; Direct Care 
126.17 	and Treatment; and the Minnesota Zoological Board.
126.18 	A position designated by an appointing authority according to this subdivision must 
126.19 	meet the following standards and criteria:
126.20 	(1) the designation of the position would not be contrary to other law relating specifically 
126.21 	to that agency;
126.22 	(2) the person occupying the position would report directly to the agency head or deputy 
126.23 	agency head and would be designated as part of the agency head's management team;
126.24 	(3) the duties of the position would involve significant discretion and substantial 
126.25 	involvement in the development, interpretation, and implementation of agency policy;
126.26 	(4) the duties of the position would not require primarily personnel, accounting, or other 
126.27 	technical expertise where continuity in the position would be important;
126.28 	(5) there would be a need for the person occupying the position to be accountable to, 
126.29 	loyal to, and compatible with, the governor and the agency head, the employing statutory 
126.30 	board or commission, or the employing constitutional officer;
126.31 	(6) the position would be at the level of division or bureau director or assistant to the 
126.32 	agency head; and
127.1 	(7) the commissioner has approved the designation as being consistent with the standards 
127.2 	and criteria in this subdivision.

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

127.4 	Sec. 13. Minnesota Statutes 2022, section 145.61, subdivision 5, is amended to read:
127.5 		Subd. 5.Review organization. "Review organization" means a nonprofit organization 
127.6 	acting according to clause (l), a committee as defined under section 144E.32, subdivision 
127.7 	2, or a committee whose membership is limited to professionals, administrative staff, and 
127.8 	consumer directors, except where otherwise provided for by state or federal law, and which 
127.9 	is established by one or more of the following: a hospital, a clinic, a nursing home, an 
127.10 	ambulance service or first responder service regulated under chapter 144E, one or more 
127.11 	state or local associations of professionals, an organization of professionals from a particular 
127.12 	area or medical institution, a health maintenance organization as defined in chapter 62D, a 
127.13 	community integrated service network as defined in chapter 62N, a nonprofit health service 
127.14 	plan corporation as defined in chapter 62C, a preferred provider organization, a professional 
127.15 	standards review organization established pursuant to United States Code, title 42, section 
127.16 	1320c-1 et seq., a medical review agent established to meet the requirements of section 
127.17 	256B.04, subdivision 15, the Department of Human Services, Direct Care and Treatment, 
127.18 	or a nonprofit corporation that owns, operates, or is established by one or more of the above 
127.19 	referenced entities, to gather and review information relating to the care and treatment of 
127.20 	patients for the purposes of:
127.21 	(a) evaluating and improving the quality of health care;
127.22 	(b) reducing morbidity or mortality;
127.23 	(c) obtaining and disseminating statistics and information relative to the treatment and 
127.24 	prevention of diseases, illness and injuries;
127.25 	(d) developing and publishing guidelines showing the norms of health care in the area 
127.26 	or medical institution or in the entity or organization that established the review organization;
127.27 	(e) developing and publishing guidelines designed to keep within reasonable bounds the 
127.28 	cost of health care;
127.29 	(f) developing and publishing guidelines designed to improve the safety of care provided 
127.30 	to individuals;
128.1 	(g) reviewing the safety, quality, or cost of health care services provided to enrollees of 
128.2 	health maintenance organizations, community integrated service networks, health service 
128.3 	plans, preferred provider organizations, and insurance companies;
128.4 	(h) acting as a professional standards review organization pursuant to United States 
128.5 	Code, title 42, section 1320c-1 et seq.;
128.6 	(i) determining whether a professional shall be granted staff privileges in a medical 
128.7 	institution, membership in a state or local association of professionals, or participating status 
128.8 	in a nonprofit health service plan corporation, health maintenance organization, community 
128.9 	integrated service network, preferred provider organization, or insurance company, or 
128.10 	whether a professional's staff privileges, membership, or participation status should be 
128.11 	limited, suspended or revoked;
128.12 	(j) reviewing, ruling on, or advising on controversies, disputes or questions between:
128.13 	(1) health insurance carriers, nonprofit health service plan corporations, health 
128.14 	maintenance organizations, community integrated service networks, self-insurers and their 
128.15 	insureds, subscribers, enrollees, or other covered persons;
128.16 	(2) professional licensing boards and health providers licensed by them;
128.17 	(3) professionals and their patients concerning diagnosis, treatment or care, or the charges 
128.18 	or fees therefor;
128.19 	(4) professionals and health insurance carriers, nonprofit health service plan corporations, 
128.20 	health maintenance organizations, community integrated service networks, or self-insurers 
128.21 	concerning a charge or fee for health care services provided to an insured, subscriber, 
128.22 	enrollee, or other covered person;
128.23 	(5) professionals or their patients and the federal, state, or local government, or agencies 
128.24 	thereof;
128.25 	(k) providing underwriting assistance in connection with professional liability insurance 
128.26 	coverage applied for or obtained by dentists, or providing assistance to underwriters in 
128.27 	evaluating claims against dentists;
128.28 	(l) acting as a medical review agent under section 256B.04, subdivision 15;
128.29 	(m) providing recommendations on the medical necessity of a health service, or the 
128.30 	relevant prevailing community standard for a health service;
128.31 	(n) providing quality assurance as required by United States Code, title 42, sections 
128.32 	1396r(b)(1)(b) and 1395i-3(b)(1)(b) of the Social Security Act;
129.1 	(o) providing information to group purchasers of health care services when that 
129.2 	information was originally generated within the review organization for a purpose specified 
129.3 	by this subdivision;
129.4 	(p) providing information to other, affiliated or nonaffiliated review organizations, when 
129.5 	that information was originally generated within the review organization for a purpose 
129.6 	specified by this subdivision, and as long as that information will further the purposes of a 
129.7 	review organization as specified by this subdivision; or
129.8 	(q) participating in a standardized incident reporting system, including Internet-based 
129.9 	applications, to share information for the purpose of identifying and analyzing trends in 
129.10 	medical error and iatrogenic injury.

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

129.12 	Sec. 14. Minnesota Statutes 2022, section 246.018, subdivision 3, as amended by Laws 
129.13 	2024, chapter 79, article 1, section 6, is amended to read:
129.14 		Subd. 3.Duties. The executive medical director shall:
129.15 	(1) oversee the clinical provision of inpatient mental health services provided in the 
129.16 	state's regional treatment centers;
129.17 	(2) recruit and retain psychiatrists to serve on the direct care and treatment medical staff 
129.18 	established in subdivision 4;
129.19 	(3) consult with the executive board, the chief executive officer, and community mental 
129.20 	health center directors, and the state-operated services governing body to develop standards 
129.21 	for treatment and care of patients in state-operated service programs;
129.22 	(4) develop and oversee a continuing education program for members of the medical 
129.23 	staff; and
129.24 	(5) participate and cooperate in the development and maintenance of a quality assurance 
129.25 	program for state-operated services that assures that residents receive continuous quality 
129.26 	inpatient, outpatient, and postdischarge care.

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

129.28 	Sec. 15. Minnesota Statutes 2022, section 246.13, subdivision 2, as amended by Laws 
129.29 	2024, chapter 79, article 2, section 4, is amended to read:
129.30 		Subd. 2.Definitions; risk assessment and management. (a) As used in this section:
130.1 	(1) "appropriate and necessary medical and other records" includes patient medical 
130.2 	records and other protected health information as defined by Code of Federal Regulations, 
130.3 	title 45, section 164.501, relating to a patient in a state-operated services facility including 
130.4 	but not limited to the patient's treatment plan and abuse prevention plan pertinent to the 
130.5 	patient's ongoing care, treatment, or placement in a community-based treatment facility or 
130.6 	a health care facility that is not operated by state-operated services, including information 
130.7 	describing the level of risk posed by a patient when the patient enters the facility;
130.8 	(2) "community-based treatment" means the community support services listed in section 
130.9 	253B.02, subdivision 4b;
130.10 	(3) "criminal history data" means data maintained or used by the Departments of 
130.11 	Corrections and Public Safety and by the supervisory authorities listed in section 13.84, 
130.12 	subdivision 1, that relate to an individual's criminal history or propensity for violence, 
130.13 	including data in the:
130.14 	(i) Corrections Offender Management System (COMS);
130.15 	(ii) Statewide Supervision System (S3);
130.16 	(iii) Bureau of Criminal Apprehension criminal history data as defined in section 13.87;
130.17 	(iv) Integrated Search Service as defined in section 13.873; and
130.18 	(v) Predatory Offender Registration (POR) system;
130.19 	(4) "designated agency" means the agency defined in section 253B.02, subdivision 5;
130.20 	(5) "law enforcement agency" means the law enforcement agency having primary 
130.21 	jurisdiction over the location where the offender expects to reside upon release;
130.22 	(6) "predatory offender" and "offender" mean a person who is required to register as a 
130.23 	predatory offender under section 243.166; and
130.24 	(7) "treatment facility" means a facility as defined in section 253B.02, subdivision 19.
130.25 	(b) To promote public safety and for the purposes and subject to the requirements of 
130.26 	this paragraph, the executive board or the executive board's designee shall have access to, 
130.27 	and may review and disclose, medical and criminal history data as provided by this section, 
130.28 	as necessary to comply with Minnesota Rules, part 1205.0400, to:
130.29 	(1) determine whether a patient is required under state law to register as a predatory 
130.30 	offender according to section 243.166;
131.1 	(2) facilitate and expedite the responsibilities of the special review board and 
131.2 	end-of-confinement review committees by corrections institutions and state treatment 
131.3 	facilities;
131.4 	(3) prepare, amend, or revise the abuse prevention plans required under section 626.557, 
131.5 	subdivision 14, and individual patient treatment plans required under section 253B.03, 
131.6 	subdivision 7;
131.7 	(4) facilitate the custody, supervision, and transport of individuals transferred between 
131.8 	the Department of Corrections and the Department of Direct Care and Treatment; and
131.9 	(5) effectively monitor and supervise individuals who are under the authority of the 
131.10 	Department of Corrections, the Department of Direct Care and Treatment, and the supervisory 
131.11 	authorities listed in section 13.84, subdivision 1.
131.12 	(c) The state-operated services treatment facility or a designee must make a good faith 
131.13 	effort to obtain written authorization from the patient before releasing information from the 
131.14 	patient's medical record.
131.15 	(d) If the patient refuses or is unable to give informed consent to authorize the release 
131.16 	of information required under this subdivision, the chief executive officer for state-operated 
131.17 	services or a designee shall provide the appropriate and necessary medical and other records. 
131.18 	The chief executive officer or a designee shall comply with the minimum necessary privacy 
131.19 	requirements.
131.20 	(e) The executive board may have access to the National Crime Information Center 
131.21 	(NCIC) database through the Department of Public Safety in support of the public safety 
131.22 	functions described in paragraph (b).

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

131.24 	Sec. 16. Minnesota Statutes 2022, section 246.234, as amended by Laws 2024, chapter 
131.25 	79, article 1, section 11, is amended to read:
131.26 	246.234 RECIPROCAL EXCHANGE OF CERTAIN PERSONS.
131.27 	The executive board is hereby authorized with the approval of the governor to enter into 
131.28 	reciprocal agreements with duly authorized authorities of any other another state or states 
131.29 	regarding the mutual exchange, return, and transportation of persons with a mental illness 
131.30 	or developmental disability who are within the confines of one state but have legal residence 
131.31 	or legal settlement for the purposes of relief in another state. Such agreements Any agreement 
132.1 	entered into under this subdivision must not contain provisions conflicting any provision 
132.2 	that conflicts with any law of this state law.

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

132.4 	Sec. 17. Minnesota Statutes 2022, section 246.36, as amended by Laws 2024, chapter 79, 
132.5 	article 1, section 14, is amended to read:
132.6 	246.36 ACCEPTANCE OF VOLUNTARY, UNCOMPENSATED SERVICES.
132.7 	For the purpose of carrying out a duty, the executive board shall have authority to may
132.8 	accept uncompensated and voluntary services and to may enter into contracts or agreements 
132.9 	with private or public agencies, organizations, or persons for uncompensated and voluntary 
132.10 	services as the executive board deems practicable. Uncompensated and voluntary services 
132.11 	do not include services mandated by licensure and certification requirements for health care 
132.12 	facilities. The volunteer agencies, organizations, or persons who provide services to residents 
132.13 	of state facilities operated under the authority of the executive board are not subject to the 
132.14 	procurement requirements of chapters 16A and 16C. The agencies, organizations, or persons 
132.15 	may purchase supplies, services, and equipment to be used in providing services to residents 
132.16 	of state facilities through the Department of Administration.

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

132.18 	Sec. 18. Minnesota Statutes 2023 Supplement, section 246C.01, is amended to read:
132.19 	246C.01 TITLE.
132.20 	This chapter may be cited as the "Department of Direct Care and Treatment Act."

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

132.22 	Sec. 19. Minnesota Statutes 2023 Supplement, section 246C.02, as amended by Laws 
132.23 	2024, chapter 79, article 1, section 19, is amended to read:
132.24 	246C.02 DEPARTMENT OF DIRECT CARE AND TREATMENT; 
132.25 	ESTABLISHMENT.
132.26 		Subdivision 1.Establishment. The Department of Direct Care and Treatment is created
132.27 	as an agency headed by an executive board. An executive board shall head the Department 
132.28 	of Direct Care and Treatment.
133.1 		Subd. 2.Mission. (a) The executive board shall develop and maintain direct care and 
133.2 	treatment in a manner consistent with applicable law, including chapters 13, 245, 246, 246B, 
133.3 	252, 253, 253B, 253C, 253D, 254A, 254B, and 256.
133.4 	(b) The executive board shall provide direct care and treatment services in coordination 
133.5 	with the commissioner of human services, counties, and other vendors.
133.6 		Subd. 3.Direct care and treatment services. Direct Care and Treatment services shall 
133.7 	provide direct care and treatment services that include specialized inpatient programs at 
133.8 	secure treatment facilities, community preparation services, regional treatment centers, 
133.9 	enterprise services, consultative services, aftercare services, community-based services and 
133.10 	programs, transition services, nursing home services, and other services consistent with the 
133.11 	mission of the Department of Direct Care and Treatment state law, including this chapter 
133.12 	and chapters 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256. Direct 
133.13 	Care and Treatment shall provide direct care and treatment services in coordination with 
133.14 	the commissioner of human services, counties, and other vendors.
133.15 		Subd. 4.Statewide services. (a) The administrative structure of state-operated services 
133.16 	must be statewide in character.
133.17 	(b) The state-operated services staff may deliver services at any location throughout the 
133.18 	state.
133.19 		Subd. 5.Department of Human Services as state agency. The commissioner of human 
133.20 	services continues to constitute the "state agency" as defined by the Social Security Act of 
133.21 	the United States and the laws of this state for all purposes relating to mental health and 
133.22 	mental hygiene.

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

133.24 	Sec. 20. Minnesota Statutes 2023 Supplement, section 246C.04, as amended by Laws 
133.25 	2024, chapter 79, article 1, section 21, is amended to read:
133.26 	246C.04 TRANSFER OF DUTIES.
133.27 		Subdivision 1.Transfer of duties. (a) Section 15.039 applies to the transfer of duties
133.28 	responsibilities from the Department of Human Services to Direct Care and Treatment
133.29 	required by this chapter.
133.30 	(b) The commissioner of administration, with the governor's approval, shall issue 
133.31 	reorganization orders under section 16B.37 as necessary to carry out the transfer of duties 
133.32 	required by section 246C.03 this chapter. The provision of section 16B.37, subdivision 1, 
134.1 	stating that transfers under section 16B.37 may only be to an agency that has existed for at 
134.2 	least one year does not apply to transfers to an agency created by this chapter.
134.3 	(c) The initial salary for the health systems chief executive officer of the Department of 
134.4 	Direct Care and Treatment is the same as the salary for the health systems chief executive 
134.5 	officer of direct care and treatment at the Department of Human Services immediately before 
134.6 	July 1, 2024.
134.7 		Subd. 2.Transfer of custody of civilly committed persons. The commissioner of 
134.8 	human services shall continue to exercise all authority and responsibility for and retain 
134.9 	custody of persons subject to civil commitment under chapter 253B or 253D until July 1, 
134.10 	2025. Effective July 1, 2025, custody of persons subject to civil commitment under chapter 
134.11 	253B or 253D and in the custody of the commissioner of human services as of that date is 
134.12 	hereby transferred to the executive board without any further act or proceeding. Authority 
134.13 	and responsibility for the commitment of such persons is transferred to the executive board
134.14 	July 1, 2025.
134.15 		Subd. 3.Control of direct care and treatment. The commissioner of human services 
134.16 	shall continue to exercise all authorities and responsibilities under this chapter and chapters 
134.17 	13, 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256, with reference to 
134.18 	any state-operated service, program, or facility subject to transfer under this act until July 
134.19 	1, 2025. Effective July 1, 2025, the powers and duties vested in or imposed upon the 
134.20 	commissioner of human services with reference to any state-operated service, program, or 
134.21 	facility are hereby transferred to, vested in, and imposed upon the executive board according 
134.22 	to this chapter and applicable state law. Effective July 1, 2025, the executive board is hereby 
134.23 	charged with and has the exclusive power of administration and management of all state 
134.24 	hospitals for persons with a developmental disability, mental illness, or substance use 
134.25 	disorder. Effective July 1, 2025, the executive board has the power and authority to determine 
134.26 	all matters relating to the development of all of the foregoing institutions and of such other 
134.27 	institutions vested in the executive board. Effective July 1, 2025, the powers, functions, and 
134.28 	authority vested in the commissioner of human services relative to such state institutions 
134.29 	are hereby transferred to the executive board according to this chapter and applicable state 
134.30 	law.
134.31 		Subd. 4.Appropriations. There is hereby appropriated to such persons or institutions 
134.32 	as are entitled to such sums as are provided for in this section, from the fund or account in 
134.33 	the state treasury to which the money was credited, an amount sufficient to make such 
134.34 	payment.

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

135.2 	Sec. 21. Minnesota Statutes 2023 Supplement, section 246C.05, as amended by Laws 
135.3 	2024, chapter 79, article 1, section 22, is amended to read:
135.4 	246C.05 EMPLOYEE PROTECTIONS FOR ESTABLISHING THE NEW 
135.5 	DEPARTMENT OF DIRECT CARE AND TREATMENT.
135.6 	(a) Personnel whose duties relate to the functions assigned to the executive board in 
135.7 	section 246C.03 this chapter are transferred to the Department of Direct Care and Treatment 
135.8 	effective 30 days after approval by the commissioner of management and budget.
135.9 	(b) Before the executive board is appointed, personnel whose duties relate to the functions 
135.10 	in this section chapter may be transferred beginning July 1, 2024, with 30 days' notice from 
135.11 	the commissioner of management and budget.
135.12 	(c) The following protections shall apply to employees who are transferred from the 
135.13 	Department of Human Services to the Department of Direct Care and Treatment:
135.14 	(1) No transferred employee shall have their employment status and job classification 
135.15 	altered as a result of the transfer.
135.16 	(2) Transferred employees who were represented by an exclusive representative prior 
135.17 	to the transfer shall continue to be represented by the same exclusive representative after 
135.18 	the transfer.
135.19 	(3) The applicable collective bargaining agreements with exclusive representatives shall 
135.20 	continue in full force and effect for such transferred employees after the transfer.
135.21 	(4) The state shall have the obligation to meet and negotiate with the exclusive 
135.22 	representatives of the transferred employees about any proposed changes affecting or relating 
135.23 	to the transferred employees' terms and conditions of employment to the extent such changes 
135.24 	are not addressed in the applicable collective bargaining agreement.
135.25 	(5) When an employee in a temporary unclassified position is transferred to the 
135.26 	Department of Direct Care and Treatment, the total length of time that the employee has 
135.27 	served in the appointment shall include all time served in the appointment at the transferring 
135.28 	agency and the time served in the appointment at the Department of Direct Care and 
135.29 	Treatment. An employee in a temporary unclassified position who was hired by a transferring 
135.30 	agency through an open competitive selection process in accordance with a policy enacted 
135.31 	by Minnesota Management and Budget shall be considered to have been hired through such 
135.32 	process after the transfer.
136.1 	(6) In the event that the state transfers ownership or control of any of the facilities, 
136.2 	services, or operations of the Department of Direct Care and Treatment to another entity, 
136.3 	whether private or public, by subcontracting, sale, assignment, lease, or other transfer, the 
136.4 	state shall require as a written condition of such transfer of ownership or control the following 
136.5 	provisions:
136.6 	(i) Employees who perform work in transferred facilities, services, or operations must 
136.7 	be offered employment with the entity acquiring ownership or control before the entity 
136.8 	offers employment to any individual who was not employed by the transferring agency at 
136.9 	the time of the transfer.
136.10 	(ii) The wage and benefit standards of such transferred employees must not be reduced 
136.11 	by the entity acquiring ownership or control through the expiration of the collective 
136.12 	bargaining agreement in effect at the time of the transfer or for a period of two years after 
136.13 	the transfer, whichever is longer.
136.14 	(d) There is no liability on the part of, and no cause of action arises against, the state of 
136.15 	Minnesota or its officers or agents for any action or inaction of any entity acquiring ownership 
136.16 	or control of any facilities, services, or operations of the Department of Direct Care and 
136.17 	Treatment.
136.18 	(e) This section expires upon the completion of the transfer of duties to the executive 
136.19 	board under section 246C.03 this chapter. The commissioner of human services shall notify 
136.20 	the revisor of statutes when the transfer of duties is complete.

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

136.22 	Sec. 22. [246C.07] POWERS AND DUTIES OF EXECUTIVE BOARD.
136.23 		Subdivision 1.Generally. (a) The executive board must operate the agency according 
136.24 	to this chapter and applicable state and federal law. The overall management and control 
136.25 	of the agency is vested in the executive board in accordance with this chapter.
136.26 	(b) The executive board must appoint a chief executive officer according to section 
136.27 	246C.08. The chief executive officer is responsible for the administrative and operational 
136.28 	duties of Direct Care and Treatment in accordance with this chapter.
136.29 	(c) The executive board may delegate duties imposed by this chapter and under applicable 
136.30 	state and federal law as deemed appropriate by the board and in accordance with this chapter. 
136.31 	Any delegation of a specified statutory duty or power to an employee of Direct Care and 
136.32 	Treatment other than the chief executive officer must be made by written order and filed 
137.1 	with the secretary of state. Only the chief executive officer shall have the powers and duties 
137.2 	of the executive board as specified in section 246C.08.
137.3 		Subd. 2.Principles. The executive board, in undertaking its duties and responsibilities 
137.4 	and within Direct Care and Treatment resources, shall act according to the following 
137.5 	principles:
137.6 	(1) prevent the waste or unnecessary spending of public money;
137.7 	(2) use innovative fiscal and human resource practices to manage the state's resources 
137.8 	and operate the agency as efficiently as possible;
137.9 	(3) coordinate Direct Care and Treatment activities wherever appropriate with the 
137.10 	activities of other governmental agencies;
137.11 	(4) use technology where appropriate to increase agency productivity, improve customer 
137.12 	service, increase public access to information about government, and increase public 
137.13 	participation in the business of government; and
137.14 	(5) utilize constructive and cooperative labor management practices to the extent 
137.15 	otherwise required by chapter 43A or 179A.
137.16 		Subd. 3.Powers and duties. (a) The executive board has the power and duty to:
137.17 	(1) set the overall strategic direction for Direct Care and Treatment, ensuring that Direct 
137.18 	Care and Treatment delivers exceptional care and supports the well-being of all individuals 
137.19 	served by Direct Care and Treatment;
137.20 	(2) establish policies and procedures to govern the operation of the facilities, programs, 
137.21 	and services under the direct authority of Direct Care and Treatment;
137.22 	(3) employ personnel and delegate duties and responsibilities to personnel as deemed 
137.23 	appropriate by the executive board, subject to chapters 43A and 179A and in accordance 
137.24 	with this chapter;
137.25 	(4) review and approve the operating budget proposal for Direct Care and Treatment;
137.26 	(5) accept and use gifts, grants, or contributions from any nonstate source or refuse to 
137.27 	accept any gift, grant, or contribution if acceptance would not be in the best interest of the 
137.28 	state;
137.29 	(6) deposit all money received as gifts, grants, or contributions pursuant to section 
137.30 	246C.091, subdivision 1;
138.1 	(7) expend or use any gift, grant, or contribution as nearly in accordance with the 
138.2 	conditions of the gift, grant, or contribution identified by the donor for a certain institution 
138.3 	or purpose, compatible with the best interests of the individuals under the jurisdiction of 
138.4 	the executive board and of the state;
138.5 	(8) comply with all conditions and requirements necessary to receive federal aid or block 
138.6 	grants with respect to the establishment, construction, maintenance, equipment, or operation 
138.7 	of adequate facilities and services consistent with the mission of Direct Care and Treatment;
138.8 	(9) enter into information-sharing agreements with federal and state agencies and other 
138.9 	entities, provided the agreements include adequate protections with respect to the 
138.10 	confidentiality and integrity of the information to be shared and comply with all applicable 
138.11 	state and federal laws, regulations, and rules;
138.12 	(10) enter into interagency or service level agreements with a state department listed in 
138.13 	section 15.01; a multimember state agency described in section 15.012, paragraph (a); or 
138.14 	the Department of Information Technology Services;
138.15 	(11) enter into contractual agreements with federally recognized Indian Tribes with a 
138.16 	reservation in Minnesota;
138.17 	(12) enter into contracts with public and private agencies, private and nonprofit 
138.18 	organizations, and individuals using appropriated money;
138.19 	(13) establish and maintain any administrative units reasonably necessary for the 
138.20 	performance of administrative functions common to all programs or divisions of Direct 
138.21 	Care and Treatment;
138.22 	(14) authorize the method of payment to or from Direct Care and Treatment as part of 
138.23 	programs administered by Direct Care and Treatment, including authorization of the receipt 
138.24 	or disbursement of money held by Direct Care and Treatment in a fiduciary capacity as part 
138.25 	of the programs administered by Direct Care and Treatment;
138.26 	(15) inform Tribal Nations and county agencies, on a timely basis, of changes in statute, 
138.27 	rule, federal law, regulation, and policy necessary to Tribal or county agency administration 
138.28 	of Direct Care and Treatment programs and services;
138.29 	(16) report to the legislature on the performance of Direct Care and Treatment operations 
138.30 	and the accomplishment of Direct Care and Treatment goals in its biennial budget in 
138.31 	accordance with section 16A.10, subdivision 1;
138.32 	(17) recommend to the legislature appropriate changes in law necessary to carry out the 
138.33 	principles and improve the performance of Direct Care and Treatment; and
139.1 	(18) exercise all powers reasonably necessary to implement and administer the 
139.2 	requirements of this chapter and applicable state and federal law.
139.3 	(b) The specific enumeration of powers and duties as set forth in this section shall not 
139.4 	be construed as a limitation upon the general transfer of Direct Care and Treatment facilities, 
139.5 	programs, and services from the Department of Human Services to Direct Care and Treatment 
139.6 	under this chapter.
139.7 		Subd. 4.Creation of bylaws. The board may establish bylaws governing its operations 
139.8 	and the operations of Direct Care and Treatment in accordance with this chapter.
139.9 		Subd. 5.Performance of chief executive officer. The governor may request that the 
139.10 	executive board review the performance of the chief executive officer at any time. Within 
139.11 	14 days of receipt of the request, the board must meet and conduct a performance review 
139.12 	as specifically requested by the governor. During the performance review, a representative 
139.13 	of the governor must be included as a voting member of the board for the purpose of the 
139.14 	board's discussions and decisions regarding the governor's request. The board must establish 
139.15 	a performance improvement plan as necessary or take disciplinary or other corrective action, 
139.16 	including dismissal. The executive board must report to the governor on action taken by 
139.17 	the board, including an explanation if no action is deemed necessary.

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

139.19 	Sec. 23. [246C.08] CHIEF EXECUTIVE OFFICER; SERVICE; DUTIES.
139.20 		Subdivision 1.Service. (a) The Direct Care and Treatment chief executive officer is 
139.21 	appointed by the executive board, in consultation with the governor, and serves at the 
139.22 	pleasure of the executive board, with the advice and consent of the senate.
139.23 	(b) The chief executive officer shall serve in the unclassified service in accordance with 
139.24 	section 43A.08. The Compensation Council under section 15A.082 shall establish the salary 
139.25 	of the chief executive officer.
139.26 		Subd. 2.Powers and duties. (a) The chief executive officer's primary duty is to assist 
139.27 	the executive board. The chief executive officer is responsible for the administrative and 
139.28 	operational management of the agency.
139.29 	(b) The chief executive officer shall have all the powers of the executive board unless 
139.30 	the executive board directs otherwise. The chief executive officer shall have the authority 
139.31 	to speak for the executive board and Direct Care and Treatment within and outside the 
139.32 	agency.
140.1 	(c) In the event that a vacancy occurs for any reason within the chief executive officer 
140.2 	position, the executive medical director appointed under section 246.018 shall immediately 
140.3 	become the temporary chief executive officer until the executive board appoints a new chief 
140.4 	executive officer. During this period, the executive medical director shall have all the powers 
140.5 	and authority delegated to the chief executive officer by the board and specified in this 
140.6 	chapter.

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

140.8 	Sec. 24. [246C.091] DIRECT CARE AND TREATMENT ACCOUNTS.
140.9 		Subdivision 1.Gifts, grants, and contributions account. (a) A gifts, grants, and 
140.10 	contributions account is created in the special revenue fund in the state treasury. All money 
140.11 	received by the executive board as a gift, grant, or contribution must be deposited in the 
140.12 	gifts, grants, and contributions account. Beginning July 1, 2025, except as provided in 
140.13 	paragraph (b), money in the account is annually appropriated to the Direct Care and 
140.14 	Treatment executive board to accomplish the purposes of this chapter. Gifts, grants, or 
140.15 	contributions received by the executive board exceeding current agency needs must be 
140.16 	invested by the State Board of Investment in accordance with section 11A.24. Disbursements 
140.17 	from the gifts, grants, and contributions account must be made in the manner provided for 
140.18 	the issuance of other state payments.
140.19 	(b) If the gift or contribution is designated for a certain person, institution, or purpose, 
140.20 	the Direct Care and Treatment executive board must use the gift or contribution as specified 
140.21 	in accordance with the conditions of the gift or contribution if compatible with the best 
140.22 	interests of the person and the state. If a gift or contribution is accepted for the use and 
140.23 	benefit of a person with a developmental disability, including those within a state hospital, 
140.24 	research relating to persons with a developmental disability must be considered an appropriate 
140.25 	use of the gift or contribution. Such money must not be used for any structures or installations 
140.26 	which by their nature would require state expenditures for their operation or maintenance 
140.27 	without specific legislative enactment.
140.28 		Subd. 2.Facilities management account. A facilities management account is created 
140.29 	in the special revenue fund of the state treasury. Beginning July 1, 2025, money in the 
140.30 	account is appropriated to the Direct Care and Treatment executive board and may be used 
140.31 	to maintain buildings, acquire facilities, renovate existing buildings, or acquire land for the 
140.32 	design and construction of buildings for Direct Care and Treatment use. Money received 
140.33 	for maintaining state property under control of the executive board may be deposited into 
140.34 	this account.
141.1 		Subd. 3.Direct Care and Treatment systems account. (a) The Direct Care and 
141.2 	Treatment systems account is created in the special revenue fund of the state treasury. 
141.3 	Beginning July 1, 2025, money in the account is appropriated to the Direct Care and 
141.4 	Treatment executive board and may be used for security systems and information technology 
141.5 	projects, services, and support under the control of the executive board.
141.6 	(b) The commissioner of human services shall transfer all money allocated to the Direct 
141.7 	Care and Treatment systems projects under section 256.014 to the Direct Care and Treatment 
141.8 	systems account by June 30, 2026.
141.9 		Subd. 4.Cemetery maintenance account. The cemetery maintenance account is created 
141.10 	in the special revenue fund of the state treasury. Money in the account is appropriated to 
141.11 	the executive board for the maintenance of cemeteries under control of the executive board. 
141.12 	Money allocated to Direct Care and Treatment cemeteries may be transferred to this account.

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

141.14 	Sec. 25. Minnesota Statutes 2022, section 256.88, is amended to read:
141.15 	256.88 SOCIAL WELFARE FUND ESTABLISHED.
141.16 	Except as otherwise expressly provided, all moneys and funds held by the commissioner 
141.17 	of human services, the Direct Care and Treatment executive board, and the local social 
141.18 	services agencies of the several counties in trust or for the benefit of children with a disability 
141.19 	and children who are dependent, neglected, or delinquent, children born to mothers who 
141.20 	were not married to the children's fathers at the times of the conception nor at the births of 
141.21 	the children, persons determined to have developmental disability, mental illness, or substance 
141.22 	use disorder, or other wards or beneficiaries, under any law, shall be kept in a single fund 
141.23 	to be known as the "social welfare fund" which shall be deposited at interest, held, or 
141.24 	disbursed as provided in sections 256.89 to 256.92.

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

141.26 	Sec. 26. Minnesota Statutes 2022, section 256.89, is amended to read:
141.27 	256.89 FUND DEPOSITED IN STATE TREASURY.
141.28 	The social welfare fund and all accretions thereto shall be deposited in the state treasury, 
141.29 	as a separate and distinct fund, to the credit of the commissioner of human services and the 
141.30 	Direct Care and Treatment executive board as trustee trustees for the their respective
141.31 	beneficiaries thereof in proportion to their the beneficiaries' several interests. The 
141.32 	commissioner of management and budget shall be responsible only to the commissioner of 
142.1 	human services and the Direct Care and Treatment executive board for the sum total of the 
142.2 	fund, and shall have no duties nor direct obligations toward the beneficiaries thereof 
142.3 	individually. Subject to the applicable rules of the commissioner of human services or the 
142.4 	Direct Care and Treatment executive board, money so received by a local social services 
142.5 	agency may be deposited by the executive secretary of the local social services agency in 
142.6 	a local bank carrying federal deposit insurance, designated by the local social services 
142.7 	agency for this purpose. The amount of such deposit in each such bank at any one time shall 
142.8 	not exceed the amount protected by federal deposit insurance.

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

142.10 	Sec. 27. Minnesota Statutes 2022, section 256.90, is amended to read:
142.11 	256.90 SOCIAL WELFARE FUND; USE; DISPOSITION; DEPOSITORIES.
142.12 	The commissioner of human services, in consultation with the Direct Care and Treatment 
142.13 	executive board, at least 30 days before the first day of January and the first day of July in 
142.14 	each year shall file with the commissioner of management and budget an estimate of the 
142.15 	amount of the social welfare fund to be held in the treasury during the succeeding six-month 
142.16 	period, subject to current disbursement. Such portion of the remainder thereof as may be at 
142.17 	any time designated by the request of the commissioner of human services may be invested 
142.18 	by the commissioner of management and budget in bonds in which the permanent trust 
142.19 	funds of the state of Minnesota may be invested, upon approval by the State Board of 
142.20 	Investment. The portion of such remainder not so invested shall be placed by the 
142.21 	commissioner of management and budget at interest for the period of six months, or when 
142.22 	directed by the commissioner of human services, for the period of 12 months thereafter at 
142.23 	the highest rate of interest obtainable in a bank, or banks, designated by the board of deposit 
142.24 	as a suitable depository therefor. All the provisions of law relative to the designation and 
142.25 	qualification of depositories of other state funds shall be applicable to sections 256.88 to 
142.26 	256.92, except as herein otherwise provided. Any bond given, or collateral assigned or both, 
142.27 	to secure a deposit hereunder may be continuous in character to provide for the repayment 
142.28 	of any moneys belonging to the fund theretofore or thereafter at any time deposited in such 
142.29 	bank until its designation as such depository is revoked and the security thereof shall be not 
142.30 	impaired by any subsequent agreement or understanding as to the rate of interest to be paid 
142.31 	upon such deposit, or as to time for its repayment. The amount of money belonging to the 
142.32 	fund deposited in any bank, including other state deposits, shall not at any time exceed the 
142.33 	amount of the capital stock thereof. In the event of the closing of the bank any sum deposited 
142.34 	therein shall immediately become due and payable.

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

143.2 	Sec. 28. Minnesota Statutes 2022, section 256.91, is amended to read:
143.3 	256.91 PURPOSES.
143.4 	From that part of the social welfare fund held in the state treasury subject to disbursement 
143.5 	as provided in section 256.90 the commissioner of human services or the Direct Care and 
143.6 	Treatment executive board at any time may pay out such amounts as the commissioner or 
143.7 	executive board deems proper for the support, maintenance, or other legal benefit of any of 
143.8 	the children with a disability and children who are dependent, neglected, or delinquent, 
143.9 	children born to mothers who were not married to the children's fathers at the times of the 
143.10 	conception nor at the births of the children, persons with developmental disability, substance 
143.11 	use disorder, or mental illness, or other wards or persons entitled thereto, not exceeding in 
143.12 	the aggregate to or for any person the principal amount previously received for the benefit 
143.13 	of the person, together with the increase in it from an equitable apportionment of interest 
143.14 	realized from the social welfare fund.
143.15 	When any such person dies or is finally discharged from the guardianship, care, custody, 
143.16 	and control of the commissioner of human services or the Direct Care and Treatment 
143.17 	executive board, the amount then remaining subject to use for the benefit of the person shall 
143.18 	be paid as soon as may be from the social welfare fund to the persons thereto entitled by 
143.19 	law.

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

143.21 	Sec. 29. Minnesota Statutes 2022, section 256.92, is amended to read:
143.22 	256.92 COMMISSIONER OF HUMAN SERVICES AND DIRECT CARE AND 
143.23 	TREATMENT, ACCOUNTS.
143.24 	It shall be the duty of the commissioner of human services, the Direct Care and Treatment 
143.25 	executive board, and of the local social services agencies of the several counties of this state 
143.26 	to cause to be deposited with the commissioner of management and budget all moneys and 
143.27 	funds in their possession or under their control and designated by section 256.91 as and for 
143.28 	the social welfare fund; and all such moneys and funds shall be so deposited in the state 
143.29 	treasury as soon as received. The commissioner of human services, in consultation with the 
143.30 	Direct Care and Treatment executive board, shall keep books of account or other records 
143.31 	showing separately the principal amount received and deposited in the social welfare fund 
143.32 	for the benefit of any person, together with the name of such person, and the name and 
143.33 	address, if known to the commissioner of human services or the Direct Care and Treatment 
144.1 	executive board, of the person from whom such money was received; and, at least once 
144.2 	every two years, the amount of interest, if any, which the money has earned in the social 
144.3 	welfare fund shall be apportioned thereto and posted in the books of account or records to 
144.4 	the credit of such beneficiary.
144.5 	The provisions of sections 256.88 to 256.92 shall not apply to any fund or money now 
144.6 	or hereafter deposited or otherwise disposed of pursuant to the lawful orders, decrees, 
144.7 	judgments, or other directions of any district court having jurisdiction thereof.

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

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

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

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

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

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

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

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

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

144.17 	Sec. 34. Laws 2024, chapter 79, article 1, section 18, is amended to read:
144.18 	Sec. 18. 246C.015 DEFINITIONS.
144.19 		Subdivision 1.Scope. For purposes of this chapter, the following terms have the meanings 
144.20 	given.
144.21 		Subd. 2.Chief executive officer. "Chief executive officer" means the Department of
144.22 	Direct Care and Treatment chief executive officer appointed according to section 246C.08.
144.23 		Subd. 3.Commissioner. "Commissioner" means the commissioner of human services.
144.24 		Subd. 4.Community preparation services. "Community preparation services" means 
144.25 	specialized inpatient or outpatient services operated outside of a secure environment but 
144.26 	administered by a secure treatment facility.
145.1 		Subd. 5.County of financial responsibility. "County of financial responsibility" has 
145.2 	the meaning given in section 256G.02, subdivision 4.
145.3 		Subd. 5a.Direct Care and Treatment. "Direct Care and Treatment" means the agency 
145.4 	of Direct Care and Treatment established under this chapter.
145.5 		Subd. 6.Executive board. "Executive board" means the Department of Direct Care and 
145.6 	Treatment executive board established under section 246C.06.
145.7 		Subd. 7.Executive medical director.  "Executive medical director" means the licensed 
145.8 	physician serving as executive medical director in the Department of Direct Care and 
145.9 	Treatment under section 246C.09.
145.10 		Subd. 8.Head of the facility or head of the program. "Head of the facility" or "head 
145.11 	of the program" means the person who is charged with overall responsibility for the 
145.12 	professional program of care and treatment of the facility or program.
145.13 		Subd. 9.Indian. "Indian" has the meaning given in section 260.755, subdivision 7.
145.14 		Subd. 10.Secure treatment facility. "Secure treatment facility" means a facility as 
145.15 	defined in section 253B.02, subdivision 18a, or 253D.02, subdivision 13.
145.16 		Subd. 11.Tobacco; tobacco-related device. "Tobacco" and "tobacco-related device" 
145.17 	have the meanings given in section 609.685, subdivision 1.

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

145.19 	Sec. 35. Laws 2024, chapter 79, article 1, section 23, is amended to read:
145.20 	Sec. 23. 246C.06 EXECUTIVE BOARD; POWERS AND DUTIES MEMBERSHIP; 
145.21 	GOVERNANCE.
145.22 		Subdivision 1.Establishment. The Direct Care and Treatment executive board of the 
145.23 	Department of Direct Care and Treatment is established.
145.24 		Subd. 2.Membership of the executive board. The executive board shall consist of no 
145.25 	more than five members, all appointed by the governor. (a) The Direct Care and Treatment 
145.26 	executive board consists of nine members with seven voting members and two nonvoting 
145.27 	members. The seven voting members must include six members appointed by the governor 
145.28 	with the advice and consent of the senate in accordance with paragraph (b) and the 
145.29 	commissioner of human services or a designee. The two nonvoting members must be 
145.30 	appointed in accordance with paragraph (c). Section 15.0597 applies to all executive board 
145.31 	appointments except for the commissioner of human services.
146.1 	(b) The executive board voting members appointed by the governor must meet the 
146.2 	following qualifications:
146.3 	(1) one member must be a licensed physician who is a psychiatrist or has experience in 
146.4 	serving behavioral health patients;
146.5 	(2) two members must have experience serving on a hospital or nonprofit board; and
146.6 	(3) three members must have experience working: (i) in the delivery of behavioral health 
146.7 	services or care coordination or in traditional healing practices; (ii) as a licensed health care 
146.8 	professional; (iii) within health care administration; or (iv) with residential services.
146.9 	(c) The executive board nonvoting members must be appointed as follows:
146.10 	(1) one member appointed by the Association of Counties; and
146.11 	(2) one member who has an active role as a union representative representing staff at 
146.12 	Direct Care and Treatment appointed by joint representatives of the following unions: 
146.13 	American Federation of State, County and Municipal Employees (AFSCME); Minnesota 
146.14 	Association of Professional Employees (MAPE); Minnesota Nurses Association (MNA); 
146.15 	Middle Management Association (MMA); and State Residential Schools Education 
146.16 	Association (SRSEA).
146.17 	(d) Membership on the board must include representation from outside the seven-county 
146.18 	metropolitan area, as defined in section 473.121, subdivision 2.
146.19 	(e) A voting member of the executive board must not be or must not have been within 
146.20 	one year prior to appointment: (1) an employee of Direct Care and Treatment; (2) an 
146.21 	employee of a county, including a county commissioner; (3) an active employee or 
146.22 	representative of a labor union that represents employees of Direct Care and Treatment; or 
146.23 	(4) a member of the state legislature. This paragraph does not apply to the nonvoting members 
146.24 	or the commissioner of human services or designee.
146.25 		Subd. 3.Qualifications of members Procedures. An executive board member's 
146.26 	qualifications must be appropriate for overseeing a complex behavioral health system, such 
146.27 	as experience serving on a hospital or nonprofit board, serving as a public sector labor union 
146.28 	representative, delivering behavioral health services or care coordination, or working as a 
146.29 	licensed health care provider in an allied health profession or in health care administration.
146.30 	Except as otherwise provided in this section, the membership terms and removal and filling 
146.31 	of vacancies for the executive board are governed by section 15.0575.
146.32 		Subd. 4.Accepting contributions or gifts Compensation. (a) The executive board has 
146.33 	the power and authority to accept, on behalf of the state, contributions and gifts of money 
147.1 	and personal property for the use and benefit of the residents of the public institutions under 
147.2 	the executive board's control. All money and securities received must be deposited in the 
147.3 	state treasury subject to the order of the executive board. Notwithstanding section 15.0575, 
147.4 	subdivision 3, paragraph (a), the nonvoting members of the executive board must not receive 
147.5 	daily compensation for executive board activities. Nonvoting members of the executive 
147.6 	board may receive expenses in the same manner and amount as authorized by the 
147.7 	commissioner's plan adopted under section 43A.18, subdivision 2. Nonvoting members 
147.8 	who, as a result of time spent attending board meetings, incur child care expenses that would 
147.9 	not otherwise have been incurred may be reimbursed for those expenses upon board 
147.10 	authorization.
147.11 	(b) If the gift or contribution is designated by the donor for a certain institution or purpose, 
147.12 	the executive board shall expend or use the money as nearly in accordance with the conditions 
147.13 	of the gift or contribution, compatible with the best interests of the individuals under the 
147.14 	jurisdiction of the executive board and the state. Notwithstanding section 15.0575, subdivision 
147.15 	3, paragraph (a), the Compensation Council under section 15A.082 must determine the 
147.16 	compensation for voting members of the executive board per day spent on executive board 
147.17 	activities authorized by the executive board. Voting members of the executive board may 
147.18 	also receive the expenses in the same manner and amount as authorized by the commissioner's 
147.19 	plan adopted under section 43A.18, subdivision 2. Voting members who, as a result of time 
147.20 	spent attending board meetings, incur child care expenses that would not otherwise have 
147.21 	been incurred may be reimbursed for those expenses upon board authorization.
147.22 	(c) The commissioner of management and budget must publish the daily compensation 
147.23 	rate for voting members of the executive board determined under paragraph (b) on the 
147.24 	Department of Management and Budget's website.
147.25 	(d) Voting members of the executive board must adopt internal standards prescribing 
147.26 	what constitutes a day spent on board activities for the purposes of making payments 
147.27 	authorized under paragraph (b).
147.28 	(e) All other requirements under section 15.0575, subdivision 3, apply to the 
147.29 	compensation of executive board members.
147.30 		Subd. 5.Federal aid or block grants Acting chair; officers. The executive board may 
147.31 	comply with all conditions and requirements necessary to receive federal aid or block grants 
147.32 	with respect to the establishment, constructions, maintenance, equipment, or operation of 
147.33 	adequate facilities and services consistent with the mission of the Department of Direct 
148.1 	Care and Treatment. (a) The governor shall designate one member from the voting 
148.2 	membership appointed by the governor as acting chair of the executive board.
148.3 	(b) At the first meeting of the executive board, the executive board must elect a chair 
148.4 	from among the voting membership appointed by the governor.
148.5 	(c) The executive board must annually elect a chair from among the voting membership 
148.6 	appointed by the governor.
148.7 	(d) The executive board must elect officers from among the voting membership appointed 
148.8 	by the governor. The elected officers shall serve for one year.
148.9 		Subd. 6.Operation of a communication systems account Terms. (a) The executive 
148.10 	board may operate a communications systems account established in Laws 1993, First 
148.11 	Special Session chapter 1, article 1, section 2, subdivision 2, to manage shared 
148.12 	communication costs necessary for the operation of the regional treatment centers the 
148.13 	executive board supervises. Except for the commissioner of human services, executive 
148.14 	board members must not serve more than two consecutive terms unless service beyond two 
148.15 	consecutive terms is approved by the majority of voting members. The commissioner of 
148.16 	human services or a designee shall serve until replaced by the governor.
148.17 	(b) Each account must be used to manage shared communication costs necessary for the 
148.18 	operations of the regional treatment centers the executive board supervises. The executive 
148.19 	board may distribute the costs of operating and maintaining communication systems to 
148.20 	participants in a manner that reflects actual usage. Costs may include acquisition, licensing, 
148.21 	insurance, maintenance, repair, staff time, and other costs as determined by the executive 
148.22 	board. An executive board member may resign at any time by giving written notice to the 
148.23 	executive board.
148.24 	(c) Nonprofit organizations and state, county, and local government agencies involved 
148.25 	in the operation of regional treatment centers the executive board supervises may participate 
148.26 	in the use of the executive board's communication technology and share in the cost of 
148.27 	operation. The initial term of the member appointed under subdivision 2, paragraph (b), 
148.28 	clause (1), is two years. The initial term of the members appointed under subdivision 2, 
148.29 	paragraph (b), clause (2), is three years. The initial term of the members appointed under 
148.30 	subdivision 2, paragraph (b), clause (3), and the members appointed under subdivision 2, 
148.31 	paragraph (c), is four years.
148.32 	(d) The executive board may accept on behalf of the state any gift, bequest, devise, 
148.33 	personal property of any kind, or money tendered to the state for any lawful purpose 
148.34 	pertaining to the communication activities under this section. Any money received for this 
149.1 	purpose must be deposited into the executive board's communication systems account. 
149.2 	Money collected by the executive board for the use of communication systems must be 
149.3 	deposited into the state communication systems account and is appropriated to the executive 
149.4 	board for purposes of this section. After the initial term, the term length of all appointed 
149.5 	executive board members is four years.
149.6 		Subd. 7.Conflicts of interest. Executive board members must recuse themselves from 
149.7 	discussion of and voting on an official matter if the executive board member has a conflict 
149.8 	of interest. A conflict of interest means an association, including a financial or personal 
149.9 	association, that has the potential to bias or have the appearance of biasing an executive 
149.10 	board member's decision in matters related to Direct Care and Treatment or the conduct of 
149.11 	activities under this chapter.
149.12 		Subd. 8.Meetings. The executive board must meet at least four times per fiscal year at 
149.13 	a place and time determined by the executive board.
149.14 		Subd. 9.Quorum. A majority of the voting members of the executive board constitutes 
149.15 	a quorum. The affirmative vote of a majority of the voting members of the executive board 
149.16 	is necessary and sufficient for action taken by the executive board.
149.17 		Subd. 10.Immunity; indemnification. (a) Members of the executive board are immune 
149.18 	from civil liability for any act or omission occurring within the scope of the performance 
149.19 	of their duties under this chapter.
149.20 	(b) When performing executive board duties or actions, members of the executive board 
149.21 	are employees of the state for purposes of indemnification under section 3.736, subdivision 
149.22 	9.
149.23 		Subd. 11.Rulemaking. (a) The executive board is authorized to adopt, amend, and 
149.24 	repeal rules in accordance with chapter 14 to the extent necessary to implement this chapter 
149.25 	or any responsibilities of Direct Care and Treatment specified in state law.
149.26 	(b) Until July 1, 2027, the executive board may adopt rules using the expedited 
149.27 	rulemaking process in section 14.389.
149.28 	(c) In accordance with section 15.039, all orders, rules, delegations, permits, and other 
149.29 	privileges issued or granted by the Department of Human Services with respect to any 
149.30 	function of Direct Care and Treatment and in effect at the time of the establishment of Direct 
149.31 	Care and Treatment shall continue in effect as if such establishment had not occurred. The 
149.32 	executive board may amend or repeal rules applicable to Direct Care and Treatment that 
149.33 	were established by the Department of Human Services in accordance with chapter 14.
150.1 	(d) The executive board must not adopt rules that go into effect or enforce rules prior 
150.2 	to July 1, 2025.

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

150.4 	Sec. 36. Laws 2024, chapter 79, article 1, section 24, is amended to read:
150.5 	Sec. 24. 246C.10 FORENSIC SERVICES.
150.6 		Subdivision 1.Maintenance of forensic services. (a) The executive board shall create 
150.7 	and maintain forensic services programs.
150.8 	(b) The executive board must provide forensic services in coordination with counties 
150.9 	and other vendors.
150.10 	(c) Forensic services must include specialized inpatient programs at secure treatment 
150.11 	facilities, consultive services, aftercare services, community-based services and programs, 
150.12 	transition services, nursing home services, or other services consistent with the mission of 
150.13 	the Department of Direct Care and Treatment.
150.14 	(d) The executive board shall may adopt rules to carry out the provision of this section 
150.15 	and to govern the operation of the services and programs under the direct administrative 
150.16 	authority of the executive board.

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

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

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

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

151.1		Column A
	Column B
	
151.2		245.036
	246C.16, subdivision 1
	
151.3		245.037
	246C.16, subdivision 2
	
151.4		245.041
	246C.15
	
151.5		245.474, subdivision 1
	246C.12, subdivision 1
	
151.6		245.474, subdivision 2
	246C.12, subdivision 2
	
151.7		245.474, subdivision 3
	246C.12, subdivision 3
	
151.8		245.474, subdivision 4
	246C.12, subdivision 4
	
151.9		246.0135, paragraph (a)
	246C.18, subdivision 2, paragraph (a)
	
151.10		246.0135, paragraph (b)
	246C.18, subdivision 2, paragraph (b)
	
151.11		246.0135, paragraph (c)
	246C.18, subdivision 2, paragraph (c)
	
151.12		246.0135, paragraph (d)
	246C.18, subdivision 3
	
151.13		246.018, subdivision 1
	246C.09, subdivision 1
	
151.14		246.018, subdivision 2
	246C.09, subdivision 2
	
151.15		246.018, subdivision 3
	246C.09, subdivision 3
	
151.16		246.018, subdivision 4
	246C.09, subdivision 4
	
151.18151.17
		246.12
	246C.06, subdivision 7
246C.07, subdivision 7
	
151.19		246.128
	246C.18, subdivision 1
	
151.20		246.129
	246C.18, subdivision 4
	
151.21		246.14
	246C.16, subdivision 3
	
151.22		246.23, subdivision 2
	246.555, subdivision 1
	
151.23		246.23, subdivision 3
	246.555, subdivision 2
	
151.24		246.23, subdivision 4
	246.555, subdivision 3
	
151.25		246.23, subdivision 5
	246.555, subdivision 4
	
151.26		246.23, subdivision 6
	246.555, subdivision 5
	
151.28151.27
		246.234
	246C.06, subdivision 8
246C.07, subdivision 5
	
151.29		246.24
	246C.16, subdivision 4
	
151.30		246.27
	246C.19
	
151.32151.31
		246.36
	246C.06, subdivision 9
246C.07, subdivision 6
	
151.33151.34		246.41, subdivision 1
	246C.06, subdivision 10, paragraph 
(a)
	
151.35151.36		246.41, subdivision 2
	246C.06, subdivision 10, paragraph 
(b)
	
151.37151.38		246.41, subdivision 3
	246C.06, subdivision 10, paragraph 
(c)
	
151.39		246.70
	246C.18, subdivision 5
	
151.40		246B.02
	246C.13
	
152.1		251.012, subdivision 1
	246.575, subdivision 1
	
152.2		251.012, subdivision 2
	246.575, subdivision 2
	
152.3		251.012, subdivision 3
	246.575, subdivision 3
	
152.4		251.012, subdivision 4
	246.575, subdivision 4
	
152.5		251.041
	176.87
	
152.6		251.042
	176.871
	
152.7		251.043, subdivision 1
	176.872, subdivision 1
	
152.8		251.043, subdivision 1a
	176.872, subdivision 2
	
152.9		251.043, subdivision 1b
	176.872, subdivision 3
	
152.10		251.043, subdivision 2
	176.872, subdivision 4
	
152.11		251.043, subdivision 3
	176.872, subdivision 5
	
152.12		251.044
	176.873
	
152.13		251.051
	176.874
	
152.14		251.052
	176.875
	
152.15		251.053
	176.876
	
152.16		251.15, subdivision 1
	176.872, subdivision 6, paragraph (a)
	
152.17		251.15, subdivision 2
	176.872, subdivision 6, paragraph (b)
	
152.18		251.17
	246C.14
	
152.19		252.50, subdivision 2
	246C.16, subdivision 5
	
152.20		252.50, subdivision 4
	246C.10, subdivision 2
	
152.21		252.50, subdivision 6
	246.65
	
152.22		252.50, subdivision 7
	246.585
	
152.23		252.50, subdivision 8
	246.588
	
152.24		252.50, subdivision 10
	246.611
	
152.25		253.015, subdivision 1
	253B.10, subdivision 6
	
152.26		253.016
	246.554
	
152.27		253.017, subdivision 1
	246.591
	
152.28		253.017, subdivision 2
	246C.10, subdivision 3
	
152.29		253.017, subdivision 3
	246C.10, subdivision 4
	
152.30		253.13
	253.245
	
152.31		253C.01, subdivision 1
	245A.27, subdivision 1
	
152.32		253C.01, subdivision 2
	245A.27, subdivision 2
	
152.33		253C.01, subdivision 3
	245A.27, subdivision 3
	
152.34		256.0121, subdivision 1
	246.595, subdivision 1
	
152.35		256.0121, subdivision 2
	246.595, subdivision 2
	
152.36		256.0121, subdivision 3
	246.595, subdivision 3

153.1 	Sec. 39. Laws 2024, chapter 79, article 10, section 6, is amended to read:
153.2 	Sec. 6. EFFECTIVE DATE.
 153.3 	(a) Article 1, section 23, is effective July 1, 2024. This act is effective July 1, 2024.
153.4 	(b) Article 1, sections 1 to 22 and 24 to 31, and articles 2 to 10 are effective January 1, 
153.5 	2025.

153.6 	Sec. 40. DIRECT CARE AND TREATMENT ADVISORY COMMITTEE.
 153.7 	(a) The Direct Care and Treatment executive board under Minnesota Statutes, section 
153.8 	246C.07, shall establish an advisory committee to provide state legislators, counties, union 
153.9 	representatives, the National Alliance on Mental Illness Minnesota, people being served by 
153.10 	direct care and treatment programs, and other stakeholders the opportunity to advise the 
153.11 	executive board regarding the operation of Direct Care and Treatment.
153.12 	(b) The members of the advisory committee must be appointed as follows:
153.13 	(1) one member appointed by the speaker of the house;
153.14 	(2) one member appointed by the minority leader of the house of representatives;
153.15 	(3) two members appointed by the senate Committee on Committees, one member 
153.16 	representing the majority caucus and one member representing the minority caucus;
153.17 	(4) one member appointed by the Association of Minnesota Counties;
153.18 	(5) one member appointed by joint representatives of the American Federation of State 
153.19 	and Municipal Employees, the Minnesota Association of Professional Employees, the 
153.20 	Minnesota Nurses Association, the Middle Management Association, and the State 
153.21 	Residential Schools Education Association;
153.22 	(6) one member appointed by the National Alliance on Mental Illness Minnesota; and
153.23 	(7) two members representing people with lived experience being served by state-operated 
153.24 	treatment programs or their families, appointed by the governor.
153.25 	(c) Appointing authorities under paragraph (b) shall make appointments by January 1, 
153.26 	2026.
153.27 	(d) The first meeting of the advisory committee must be held no later than January 15, 
153.28 	2026. The members of the advisory committee shall elect a chair from among their 
153.29 	membership at the first meeting. The advisory committee shall meet as frequently as it 
153.30 	determines necessary.
154.1 	(e) The executive board shall regularly consult with the advisory committee.
154.2 	(f) The advisory committee under this section expires December 31, 2027.

154.3 	Sec. 41. INITIAL APPOINTMENTS AND COMPENSATION OF THE DIRECT 
154.4 	CARE AND TREATMENT EXECUTIVE BOARD AND CHIEF EXECUTIVE 
154.5 	OFFICER.
 154.6 		Subdivision 1.Executive board. (a) The initial appointments of the members of the 
154.7 	Direct Care and Treatment executive board under Minnesota Statutes, section 246C.06, 
154.8 	must be made by January 1, 2025.
154.9 	(b) Prior to the first Compensation Council determination of the daily compensation rate 
154.10 	for voting members of the executive board under Minnesota Statutes, section 246C.06, 
154.11 	subdivision 4, paragraph (b), voting members of the executive board must be paid the per 
154.12 	diem rate provided for in Minnesota Statutes, section 15.0575, subdivision 3, paragraph (a).
154.13 	(c) The executive board is exempt from Minnesota Statutes, section 13D.01, until the 
154.14 	authority and responsibilities for Direct Care and Treatment are transferred to the executive 
154.15 	board in accordance with Minnesota Statutes, section 246C.04.
154.16 		Subd. 2.Chief executive officer. (a) The Direct Care and Treatment executive board 
154.17 	must appoint as the initial chief executive officer for Direct Care and Treatment under 
154.18 	Minnesota Statutes, section 246C.07, the chief executive officer of the direct care and 
154.19 	treatment division of the Department of Human Services holding that position at the time 
154.20 	the initial appointment is made by the board. The initial appointment of the chief executive 
154.21 	officer must be made by the executive board by July 1, 2025. The initial appointment of 
154.22 	the chief executive officer is subject to confirmation by the senate.
154.23 	(b) In its report issued April 1, 2025, the Compensation Council under Minnesota Statutes, 
154.24 	section 15A.082, must establish the salary of the chief executive officer at an amount equal 
154.25 	to or greater than the amount paid to the chief executive officer of the direct care and 
154.26 	treatment division of the Department of Human Services as of the date of initial appointment. 
154.27 	The salary of the chief executive officer shall become effective July 1, 2025, pursuant to 
154.28 	Minnesota Statutes, section 15A.082, subdivision 3. Notwithstanding Minnesota Statutes, 
154.29 	sections 15A.082 and 246C.08, subdivision 1, if the initial appointment of the chief executive 
154.30 	officer occurs prior to the effective date of the salary specified by the Compensation Council 
154.31 	in its April 1, 2025, report, the salary of the chief executive officer must equal the amount 
154.32 	paid to the chief executive officer of the direct care and treatment division of the Department 
154.33 	of Human Services as of the date of initial appointment.
155.1 		Subd. 3.Commissioner of human services to consult. In preparing the budget estimates 
155.2 	required under Minnesota Statutes, section 16A.10, for the direct care and treatment division 
155.3 	for the 2026-2027 biennial budget and any legislative proposals for the 2025 legislative 
155.4 	session that involve direct care and treatment operations, the commissioner of human services 
155.5 	must consult with the Direct Care and Treatment executive board before submitting the 
155.6 	budget estimates or legislative proposals. If the executive board is not appointed by the date 
155.7 	the budget estimates must be submitted to the commissioner of management and budget, 
155.8 	the commissioner of human services must provide the executive board with a summary of 
155.9 	the budget estimates that were submitted.

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

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

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

155.18 	Sec. 43. REVISOR INSTRUCTION.
 155.19 	The revisor of statutes shall change the term "Department of Direct Care and Treatment" 
155.20 	to "Direct Care and Treatment" wherever the term appears in respect to the governmental 
155.21 	entity with programmatic direction and fiscal control over state-operated services, programs, 
155.22 	or facilities under Minnesota Statutes, chapter 246C. The revisor may make technical and 
155.23 	other necessary changes to sentence structure to preserve the meaning of the text.

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

155.25 	Sec. 44. REVISOR INSTRUCTION.
 155.26 	The revisor of statutes, in consultation with the House Research Department; the Office 
155.27 	of Senate Counsel, Research, and Fiscal Analysis; the Department of Human Services; and 
155.28 	Direct Care and Treatment, shall make necessary cross-reference changes to conform with 
155.29 	this act. The revisor may make technical and other necessary changes to sentence structure 
155.30 	to preserve the meaning of the text. The revisor may alter the coding in this act to incorporate 
155.31 	statutory changes made by other law in the 2024 regular legislative session.

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

156.2 	Sec. 45. REPEALER.
 156.3 	(a) Minnesota Statutes 2022, sections 246.41; and 253C.01, are repealed.
156.4 	(b) Minnesota Statutes 2023 Supplement, section 246C.03, is repealed.

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

156.6 	ARTICLE 6
156.7 	MISCELLANEOUS

156.8 	Section 1. FREE COMMUNICATION SERVICES.
156.9 		Subdivision 1.Free communication services. (a) A facility must provide patients and 
156.10 	clients with voice communication services. A facility may supplement voice communication 
156.11 	services with other communication services, including but not limited to video 
156.12 	communication and email or electronic messaging services. A facility must continue to 
156.13 	offer the services the facility offered as of January 1, 2024.
156.14 	(b) To the extent that voice or other communication services are provided, which must 
156.15 	not be limited beyond program participation and routine facility policies and procedures, 
156.16 	neither the individual initiating the communication nor the individual receiving the 
156.17 	communication must be charged for the service.
156.18 		Subd. 2.Communication services restrictions. Nothing in this section allows a patient 
156.19 	or client to violate an active protection order, harassment restraining order, or other no-contact 
156.20 	order or directive. Nothing in this section entitles a civilly committed person to 
156.21 	communication services restricted or limited under Minnesota Statutes, section 253B.03, 
156.22 	subdivision 3, or 253D.19.
156.23 		Subd. 3.Revenue prohibited. Direct Care and Treatment must not receive revenue 
156.24 	from the provision of voice communication services or any other communication services 
156.25 	under this section.
156.26 		Subd. 4.Visitation programs. (a) Facilities shall maintain in-person visits for  patients 
156.27 	or clients. Communication services, including video calls, must not be used to replace a 
156.28 	facility's in-person visitation program or be counted toward a patient's or client's in-person 
156.29 	visitation limit.
156.30 	(b) Notwithstanding paragraph (a), the Direct Care and Treatment executive board may 
156.31 	waive the in-person visitation program requirement under this subdivision if there is:
157.1 	(1) a declared emergency under Minnesota Statutes, section 12.31; or
157.2 	(2) a local-, state-, or federal-declared natural disaster.
157.3 		Subd. 5.Reporting. (a) By January 15, 2026, the Direct Care and Treatment executive 
157.4 	board must report the information described in paragraph (b) to the chairs and ranking 
157.5 	minority members of the legislative committees having jurisdiction over human services 
157.6 	policy and finance.
157.7 	(b) The Direct Care and Treatment executive board must include the following 
157.8 	information covering fiscal year 2024:
157.9 	(1) the status of all the agency's communication contracts; efforts to renegotiate the 
157.10 	agency's communication contracts, including the rates the agency is paying or charging  
157.11 	confined people or community members for any and all services in the contracts; and plans 
157.12 	to consolidate the agency's communication contracts to maximize purchasing power;
157.13 	(2) a complete and detailed accounting of how appropriated funds for communication 
157.14 	services are spent, including spending on expenses previously covered by commissions; 
157.15 	and
157.16 	(3) summary data on usage of all communication services, including monthly call and 
157.17 	message volume.
157.18 		Subd. 6.Definitions. For the purposes of this section, the following terms have the 
157.19 	meanings given:
157.20 	(1) "voice communications" means real-time, audio-only communication services, 
157.21 	namely phone calls made over wireline telephony, voice over Internet protocol, or any other 
157.22 	technology infrastructure;
157.23 	(2) "other communication services" means communication services other than voice 
157.24 	communications, including but not limited to video calls and electronic messages; and
157.25 	(3) "facility" means any facility, setting, or program owned, operated, or under the 
157.26 	programmatic or fiscal control of Direct Care and Treatment.
157.27 		Subd. 7.Expiration. Subdivisions 1 to 4 expire June 30, 2026. Subdivisions 5 and 6 
157.28 	expire upon submission by the Direct Care and Treatment executive board of the report to 
157.29 	the legislature required under subdivision 5.

158.1 	Sec. 2. COMMUNITY CARE HUB PLANNING GRANT.
 158.2 		Subdivision 1.Establishment. The commissioner of health shall establish a single grant 
158.3 	to develop and design programs to expand and strengthen the community care hub model, 
158.4 	which organizes and supports a network of health and social care service providers to address 
158.5 	health-related social needs.
158.6 		Subd. 2.Definitions. (a) For purposes of this section, the following terms have the 
158.7 	meanings given.
158.8 	(b) "Community-based organization" means a public or private nonprofit organization 
158.9 	of demonstrated effectiveness that is representative of a community or significant segments 
158.10 	of a community and provides educational or related services to individuals in the community.
158.11 	(c) "Community care hub" means a nonprofit organization that provides a centralized 
158.12 	administrative and operational interface between health care institutions and a network of 
158.13 	community-based organizations that provide health promotion and social care services.
158.14 	(d) "Health-related social needs" means the individual-level, adverse social conditions 
158.15 	that can negatively impact a person's health or health care, such as poor health literacy, food 
158.16 	insecurity, housing instability, and lack of access to transportation.
158.17 	(e) "Social care services" means culturally informed services to address health-related 
158.18 	social needs and community-informed health promotion programs.
158.19 		Subd. 3.Eligible applicants. To be eligible for the single grant available under this 
158.20 	section, a grant applicant must:
158.21 	(1) be recognized as a selected community care hub by the federal Administration for 
158.22 	Community Living and the Centers for Disease Control and Prevention;
158.23 	(2) hold contracts with health plans within Minnesota that allow the applicant to provide 
158.24 	social care services to a plan's covered member population; and
158.25 	(3) demonstrate active engagement in providing, coordinating, and aiding health care 
158.26 	and social care services at the community level.
158.27 		Subd. 4.Eligible uses. The grantee must use awarded funding to develop and design 
158.28 	programs that support the development of a social care network that provides services to 
158.29 	address health-related social needs. Activities eligible for funding under this section include 
158.30 	but are not limited to education activities, feasibility studies, program design, and pilots.

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

159.1 	Sec. 3. DIRECTION TO COMMISSIONER; FEDERAL WAIVERS FOR 
159.2 	HEALTH-RELATED SOCIAL NEEDS.
 159.3 	(a) The commissioner of human services shall develop a strategy to implement 
159.4 	interventions to address unmet health-related social needs, including but not limited to 
159.5 	nutrition support, housing support, case management, and violence prevention. In developing 
159.6 	such a strategy, the commissioner shall consider whether services could be reimbursed 
159.7 	under section 1115 of the Social Security Act, other federal waivers, or existing state 
159.8 	authority.
159.9 	(b) The commissioner shall collaborate with the commissioner of health, communities 
159.10 	most impacted by health disparities, and other external partners providing services in 
159.11 	nutrition, housing, case management, and violence prevention to medical assistance recipients 
159.12 	on specific interventions to include in the proposed strategy.
159.13 	(c) By March 1, 2025, the commissioner shall provide the strategy developed under this 
159.14 	section to the chairs and ranking minority members of the legislative committees with 
159.15 	jurisdiction over health care finance and must include:
159.16 	(1) a proposed timeline for implementation;
159.17 	(2) an estimate of the administrative and programmatic costs associated with 
159.18 	implementing and evaluating any proposed federal waivers; and
159.19 	(3) any statutory changes necessary to seek ongoing state funding and federal authority 
159.20 	for the proposed strategies.
159.21 	(d) The commissioner may perform the steps necessary to develop a federal waiver or 
159.22 	other strategies identified in paragraph (c) in preparation for enactment of the strategies.
159.23 	(e) The commissioner is exempt from the requirements of Minnesota Statutes, chapter 
159.24 	16C, when entering into a new contract or amending an existing contract to complete the 
159.25 	work under this section.

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

159.27 	Sec. 4. WORKING GROUP ON SIMPLIFYING SUPPORTIVE HOUSING 
159.28 	RESOURCES.
 159.29 		Subdivision 1.Establishment. A working group on simplifying supportive housing 
159.30 	resources is established to streamline access, eligibility, and administration of state-funded 
159.31 	supportive housing resources for people experiencing homelessness.
160.1 		Subd. 2.Membership. (a) The working group must prioritize membership from 
160.2 	individuals and organizations that use or administer state-funded supportive housing resources 
160.3 	and must include the following:
160.4 	(1) the commissioner of the Minnesota Housing Finance Agency or designee;
160.5 	(2) the commissioner of human services or designee;
160.6 	(3) two representatives with lived experience from the Minnesota Coalition for the 
160.7 	Homeless;
160.8 	(4) one representative from Hearth Connection;
160.9 	(5) one representative from the Metropolitan Urban Indian Directors network;
160.10 	(6) one representative from the Minnesota Housing Stability Coalition;
160.11 	(7) five representatives from organizations providing or administering state-funded 
160.12 	supportive housing resources to people experiencing homelessness, including organizations 
160.13 	that provide services to youth experiencing homelessness, veterans experiencing 
160.14 	homelessness, populations that disproportionately experience homelessness, and a provider 
160.15 	that participates in a coordinated entry system and demonstrates statewide geographic 
160.16 	representation;
160.17 	(8) one representative from the Minnesota Tribal Collaborative;
160.18 	(9) one representative from Hennepin County;
160.19 	(10) one representative from St. Louis County;
160.20 	(11) two members from the house of representatives, one appointed by the speaker of 
160.21 	the house and one appointed by the minority leader; and
160.22 	(12) two members from the senate appointed by the senate committee on committees, 
160.23 	one representing the majority caucus and one representing the minority caucus.
160.24 	(b) The members listed in paragraph (a), clauses (3) to (10), must be appointed by the 
160.25 	commissioner of human services in collaboration with the commissioner of the Minnesota 
160.26 	Housing Finance Agency.
160.27 	(c) All appointing authorities must make their appointments to the working group by 
160.28 	August 1, 2024.
160.29 		Subd. 3.Duties. (a) The working group must study supportive housing resources to 
160.30 	streamline access, eligibility, and administration of state-funded supportive housing resources 
160.31 	for people experiencing homelessness, including the following programs:
161.1 	(1) the housing support program;
161.2 	(2) long-term homeless supportive services;
161.3 	(3) housing with supports for adults with serious mental illness;
161.4 	(4) the housing trust fund; and
161.5 	(5) other capital and operating funds administered by the Minnesota Housing Finance 
161.6 	Agency.
161.7 	(b) In studying supportive housing resources, the working group must identify the 
161.8 	processes, procedures, and technological or personnel resources that would be necessary to 
161.9 	enable the state, county or Tribal agencies, and providers responsible for administering 
161.10 	public supportive housing funds to meet the following goals:
161.11 	(1) reduce administrative complexities;
161.12 	(2) enhance equity and accessibility, including coordinated entry;
161.13 	(3) streamline and simplify eligibility criteria, paperwork, and funding distribution; and
161.14 	(4) accelerate the transition of individuals from homelessness to sustainable long-term 
161.15 	solutions.
161.16 		Subd. 4.Compensation. Notwithstanding Minnesota Statutes, section 15.059, subdivision 
161.17 	3, members of the working group shall not be compensated, except for the members with 
161.18 	lived experience of homelessness.
161.19 		Subd. 5.Meetings; facilitation. (a) The commissioner of human services may contract 
161.20 	with a third-party vendor to facilitate the working group and convene the first meeting by 
161.21 	January 15, 2025.
161.22 	(b) The working group must meet at regular intervals as often as necessary to fulfill the 
161.23 	duties under subdivision 3.
161.24 	(c) Meetings of the working group are subject to the Minnesota Open Meeting Law 
161.25 	under Minnesota Statutes, chapter 13D.
161.26 		Subd. 6.Consultation. The working group must consult with other individuals and 
161.27 	organizations that have expertise and experience in providing supportive services that may 
161.28 	assist the working group in fulfilling its responsibilities, including entities engaging in 
161.29 	additional input from those with lived experience of homelessness and administrators of 
161.30 	state-funded supportive housing not included on the working group.
162.1 		Subd. 7.Report required. The working group shall submit a final report by January 
162.2 	15, 2026, to the chairs and ranking minority members of the legislative committees with 
162.3 	jurisdiction over housing and homelessness finance and policy detailing the recommendations 
162.4 	to streamline access, eligibility, and administration of state-funded supportive housing 
162.5 	resources for people experiencing homelessness. The report shall include draft legislation 
162.6 	required to implement the proposed legislation.
162.7 		Subd. 8.Expiration. The working group expires January 15, 2026.

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

162.9 	Sec. 5. HOMELESSNESS PRIORITY; HOMELESSNESS REPORT.
 162.10 	The governor and lieutenant governor and the legislature find that addressing 
162.11 	homelessness is a pressing public need. The Department of Human Services administers 
162.12 	programs to provide shelter, support services, and housing stability to low-income 
162.13 	Minnesotans and people experiencing homelessness. No later than January 15, 2025, the 
162.14 	commissioner, in cooperation with the commissioner of the Minnesota Housing Finance 
162.15 	Agency and other relevant departments, must report to the chairs and ranking minority 
162.16 	members of the legislative committees with jurisdiction over human services policy and 
162.17 	finance on the departments' activities to reduce homelessness.

162.18 	Sec. 6. DIRECTION TO COMMISSIONER; TARGETED CASE MANAGEMENT 
162.19 	REDESIGN.
 162.20 	The commissioner of human services must consult with members of the Minnesota 
162.21 	Association of County Social Service Administrators to improve case management 
162.22 	information systems and identify the necessary changes needed to comply with regulations 
162.23 	related to federal certified public expenditures. The changes must facilitate transition to use 
162.24 	of a 15-minute unit rate or improved financial reporting for fee-for-service targeted case 
162.25 	management services provided by counties. The Social Service Information System and 
162.26 	adjacent systems must be modified to support any increase in the intensity of time reporting 
162.27 	requirements prior to any implementation of proposed changes to targeted case management 
162.28 	rate setting, reimbursement, and reconciliation processes.

162.29 	Sec. 7. REVISOR INSTRUCTION.
 162.30 	The revisor of statutes shall renumber each section of Minnesota Statutes listed in column 
162.31 	A with the number listed in column B. The revisor shall also make necessary cross-reference 
162.32 	changes consistent with the renumbering:

163.1		Column A
	Column B
	
163.2		256E.33
	256K.48
	
163.3		256E.36
	256K.49

163.4 	ARTICLE 7
163.5 	HUMAN SERVICES RESPONSE CONTINGENCY ACCOUNT

163.6 	Section 1. [256.044] HUMAN SERVICES RESPONSE CONTINGENCY ACCOUNT.
163.7 		Subdivision 1.Human services response contingency account. A human services 
163.8 	response contingency account is created in the special revenue fund in the state treasury. 
163.9 	Money in the human services response contingency account does not cancel and is 
163.10 	appropriated to the commissioner of human services for the purposes specified in this section.
163.11 		Subd. 2.Definition. For purposes of this section, "human services response" means 
163.12 	activities deemed necessary by the commissioner of human services to respond to emerging 
163.13 	or immediate needs related to supporting the health, welfare, or safety of people.
163.14 		Subd. 3.Use of money. (a) The commissioner may make expenditures from the human 
163.15 	services response contingency account to respond to needs as defined in subdivision 2 and 
163.16 	for which no other funding or insufficient funding is available.
163.17 	(b) When the commissioner determines that a human services response is needed, the 
163.18 	commissioner may make expenditures from the human services response contingency 
163.19 	account for the following uses to implement the human services response:
163.20 	(1) services, supplies, and equipment to support the health, welfare, or safety of people;
163.21 	(2) training and coordination with service providers, Tribal Nations, and local government 
163.22 	entities;
163.23 	(3) communication with and outreach to impacted people;
163.24 	(4) informational technology; and
163.25 	(5) staffing.
163.26 	(c) The commissioner may transfer money within the Department of Human Services 
163.27 	and to the Department of Children, Youth, and Families for eligible uses under paragraph 
163.28 	(b) as necessary to implement a human services response.
163.29 	(d) Notwithstanding any other law or rule to the contrary, when implementing a human 
163.30 	services response, the commissioner may allocate funds from the human services response 
163.31 	contingency account to programs, providers, and organizations for eligible uses under 
164.1 	paragraph (b) through one or more fiscal agents chosen by the commissioner. In contracting 
164.2 	with a fiscal agent, the commissioner may use a sole-source contract and is not subject to 
164.3 	the solicitation requirements of chapter 16B or 16C.
164.4 	(e) Programs, providers, and organizations receiving funds from the human services 
164.5 	response contingency account under paragraph (d) must describe how the money will be 
164.6 	used. If a program, provider, or organization receiving money from the human services 
164.7 	response contingency account receives money from a nonstate source other than a local unit 
164.8 	of government or Tribe for the same human services response, the entity must notify the 
164.9 	commissioner of the amount received from the nonstate source. If the commissioner 
164.10 	determines that the total amount received under this section and from the nonstate source 
164.11 	exceeds the entity's total costs for the human services response, the entity must pay the 
164.12 	commissioner the amount that exceeds the costs up to the amount of funding provided to 
164.13 	the entity under this section. All money paid to the commissioner under this paragraph must 
164.14 	be deposited in the human services response contingency account.
164.15 		Subd. 4.Assistance from other sources. (a) As a condition of making expenditures 
164.16 	from the human services response contingency account, the commissioner must seek any 
164.17 	appropriate assistance from other available sources, including the federal government, to 
164.18 	assist with costs attributable to the human services response.
164.19 	(b) If the commissioner recovers eligible costs for the human services response from a 
164.20 	nonstate source after making expenditures from the human services response contingency 
164.21 	account, the commissioner shall reimburse the human services response contingency account 
164.22 	for those costs up to the amount recovered for eligible costs from the nonstate source.
164.23 		Subd. 5.Reporting. The commissioner must develop required reporting for entities 
164.24 	receiving human services response contingency account money. Entities receiving money 
164.25 	from the commissioner of human services from the human services response contingency 
164.26 	account must submit reports to the commissioner of human services with detailed information 
164.27 	in a manner determined by the commissioner, including but not limited to:
164.28 	(1) amounts expended by category of expenditure;
164.29 	(2) outcomes achieved, including estimated individuals served;
164.30 	(3) documentation necessary to verify that funds were spent in compliance with this 
164.31 	section;
164.32 	(4) expenditure reports for the purpose of requesting reimbursement from other available 
164.33 	sources; and
165.1 	(5) data necessary to comply with an audit of human services response contingency 
165.2 	account expenditures.
165.3 		Subd. 6.Report. By March 1 of each year, the commissioner shall submit a report to 
165.4 	the chairs and ranking minority members of the house of representatives and senate 
165.5 	committees with jurisdiction over human services finance and health and human services 
165.6 	finance detailing expenditures made in the previous calendar year from the human services 
165.7 	response contingency account. This report is exempt from section 256.01, subdivision 42.

165.8 	ARTICLE 8
165.9 	APPROPRIATIONS

165.10	Section 1. HUMAN SERVICES APPROPRIATION.
 	
165.11 	The sums shown in the columns marked "Appropriations" are added to or, if shown in 
165.12 	parentheses, subtracted from the appropriations in Laws 2023, chapter 61, article 9; Laws 
165.13 	2023, chapter 70, article 20; and Laws 2023, chapter 74, section 6, to the agencies and for 
165.14 	the purposes specified in this article. The appropriations are from the general fund or other 
165.15 	named fund and are available for the fiscal years indicated for each purpose. The figures 
165.16 	"2024" and "2025" used in this article mean that the addition to or subtraction from the 
165.17 	appropriation listed under them is available for the fiscal year ending June 30, 2024, or June 
165.18 	30, 2025, respectively. Base adjustments mean the increase or decrease of the base level 
165.19 	adjustment set in Laws 2023, chapter 61, article 9; Laws 2023, chapter 70, article 20; and 
165.20 	Laws 2023, chapter 74, section 6. Supplemental appropriations and reductions to 
165.21 	appropriations for the fiscal year ending June 30, 2024, are effective the day following final 
165.22 	enactment unless a different effective date is explicit.

165.23				APPROPRIATIONS
	
165.24				Available for the Year
	
165.25				Ending June 30
	
165.26					2024
		2025

165.27
165.28	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES

165.29	Subdivision 1.Total Appropriation
 	$
	(17,213,000)
	$
	63,804,000
	
165.30 	The amounts that may be spent for each 
165.31 	purpose are specified in the following 
165.32 	subdivisions.

165.33	Subd. 2.Central Office; Operations
 		(4,299,000)
		2,172,000
	
166.1 	(a) Carryforward Authority.
166.2 	Notwithstanding Minnesota Statutes, section 
166.3 	16A.28, subdivision 3, $912,000 in fiscal year 
166.4 	2025 is available until June 30, 2027.
166.5 	(b) Base Level Adjustment. The general fund 
166.6 	base is increased by $327,000 in fiscal year 
166.7 	2026 and $327,000 in fiscal year 2027.

166.8	Subd. 3.Central Office; Health Care
 		-0-
		2,035,000
	
166.9 	(a) Health-Related Social Needs 1115 
166.10 	Waiver. $500,000 is for a contract to develop 
166.11 	a 1115 waiver related to nutrition supports as 
166.12 	a covered service under medical assistance. 
166.13 	This is a onetime appropriation. 
166.14 	Notwithstanding Minnesota Statutes, section 
166.15 	16A.28, subdivision 3, this appropriation is 
166.16 	available until June 30, 2027.
166.17 	(b) Carryforward Authority.
166.18 	Notwithstanding Minnesota Statutes, section 
166.19 	16A.28, subdivision 3, $327,000 in fiscal year 
166.20 	2025 is available until June 30, 2026, and 
166.21 	$543,000 in fiscal year 2025 is available until 
166.22 	June 30, 2027.
166.23 	(c) Base Level Adjustment. The general fund 
166.24 	base is increased by $786,000 in fiscal year 
166.25 	2026 and increased by $790,000 in fiscal year 
166.26 	2027.

166.27
166.28	Subd. 4.Central Office; Aging and Disability 
Services
 		(2,664,000)
		4,164,000
	
166.29 	(a) Tribal Vulnerable Adult and 
166.30 	Developmental Disabilities Targeted Case 
166.31 	Management Medical Assistance Benefit.
166.32 	$200,000 in fiscal year 2025 is for a contract 
166.33 	to develop a Tribal vulnerable adult and 
166.34 	developmental disabilities targeted case 
167.1 	management medical assistance benefit under 
167.2 	Minnesota Statutes, section 256B.0924. This 
167.3 	is a onetime appropriation. Notwithstanding 
167.4 	Minnesota Statutes, section 16A.28, 
167.5 	subdivision 3, this appropriation is available 
167.6 	until June 30, 2027.
167.7 	(b) Disability Services Person-Centered 
167.8 	Engagement and Navigation Study.
167.9 	$600,000 in fiscal year 2025 is for the 
167.10 	disability services person-centered engagement 
167.11 	and navigation study. This is a onetime 
167.12 	appropriation. Notwithstanding Minnesota 
167.13 	Statutes, section 16A.28, subdivision 3, this 
167.14 	appropriation is available until June 30, 2026.
167.15 	(c) Pediatric Hospital-to-Home Transition 
167.16 	Pilot Program Administration. $300,000 in 
167.17 	fiscal year 2025 is for a contract related to the 
167.18 	pediatric hospital-to-home transition pilot 
167.19 	program. This is a onetime appropriation. 
167.20 	Notwithstanding Minnesota Statutes, section 
167.21 	16A.28, subdivision 3, this appropriation is 
167.22 	available until June 30, 2027.
167.23 	(d) Reimbursement for Community-First 
167.24 	Services and Supports Workers Report.
167.25 	$250,000 in fiscal year 2025 is for a contract 
167.26 	related to the reimbursement for 
167.27 	community-first services and supports workers 
167.28 	report. This is a onetime appropriation. 
167.29 	Notwithstanding Minnesota Statutes, section 
167.30 	16A.28, subdivision 3, this appropriation is 
167.31 	available until June 30, 2026.
167.32 	(e) Carryforward Authority.
167.33 	Notwithstanding Minnesota Statutes, section 
167.34 	16A.28, subdivision 3, $758,000 in fiscal year 
167.35 	2025 is available until June 30, 2026, and 
168.1 	$2,687,000 in fiscal year 2025 is available 
168.2 	until June 30, 2027.
168.3 	(f) Base Level Adjustment. The general fund 
168.4 	base is increased by $340,000 in fiscal year 
168.5 	2026 and increased by $340,000 in fiscal year 
168.6 	2027.

168.7
168.8
168.9	Subd. 5.Central Office; Behavioral Health, 
Housing, and Deaf and Hard-of-Hearing 
Services
 		-0-
		3,304,000
	
168.10 	(a) Medical Assistance Reentry 
168.11 	Demonstration. $600,000 in fiscal year 2025 
168.12 	is for engagement with people with lived 
168.13 	experience, families, and community partners 
168.14 	on the development and implementation of 
168.15 	the medical assistance reentry demonstration 
168.16 	benefit under Minnesota Statutes, section 
168.17 	256B.0761. This is a onetime appropriation. 
168.18 	Notwithstanding Minnesota Statutes, section 
168.19 	16A.28, subdivision 3, this appropriation is 
168.20 	available until June 30, 2027.
168.21 	(b) Working Group on Simplifying Housing 
168.22 	Support Resources. $400,000 in fiscal year 
168.23 	2025 is for administration of a working group 
168.24 	to streamline access, eligibility, and 
168.25 	administration of state-funded supportive 
168.26 	housing resources for people experiencing 
168.27 	homelessness. This is a onetime appropriation. 
168.28 	Notwithstanding Minnesota Statutes, section 
168.29 	16A.28, subdivision 3, this appropriation is 
168.30 	available until June 30, 2026.
168.31 	(c) Carryforward Authority.
168.32 	Notwithstanding Minnesota Statutes, section 
168.33 	16A.28, subdivision 3, $34,000 in fiscal year 
168.34 	2025 is available until June 30, 2026.
169.1 	(d) Base Level Adjustment. The general fund 
169.2 	base is increased by $2,271,000 in fiscal year 
169.3 	2026 and increased by $2,271,000 in fiscal 
169.4 	year 2027.

169.5
169.6	Subd. 6.Forecasted Programs; Medical 
Assistance
 		-0-
		5,533,000

169.7	Subd. 7.Forecasted Programs; Alternative Care
 		-0-
		49,000

169.8
169.9	Subd. 8.Forecasted Programs; Behavioral 
Health Fund
 		-0-
		274,000

169.10
169.11	Subd. 9.Grant Programs; Child and Economic 
Support Grants
 		-0-
		5,050,000
	
169.12 	(a) Homeless Shelter Services. $50,000 in 
169.13 	fiscal year 2025 is for a payment to Churches 
169.14 	United for the Homeless in Moorhead to hire 
169.15 	staff or contract for assistance to secure public 
169.16 	funding for Churches United's existing 
169.17 	services, including the provision of safe shelter 
169.18 	for individuals experiencing homelessness, 
169.19 	supportive housing, nutrition support, nursing 
169.20 	services, family services, and case 
169.21 	management. This is a onetime appropriation.
169.22 	(b) American Indian Food Sovereignty.
169.23 	$1,000,000 in fiscal year 2025 is for the 
169.24 	American Indian food sovereignty funding 
169.25 	program under Minnesota Statutes, section 
169.26 	256E.342. This is a onetime appropriation. 
169.27 	Notwithstanding Minnesota Statutes, section 
169.28 	16A.28, subdivision 3, this appropriation is 
169.29 	available until June 30, 2026.
169.30 	(c) Minnesota Food Shelf. $1,390,000 in 
169.31 	fiscal year 2025 is for the Minnesota food 
169.32 	shelf program under Minnesota Statutes, 
169.33 	section 256E.34. This is a onetime 
169.34 	appropriation.
170.1 	(d) Emergency Food Assistance Program.
170.2 	$2,610,000 in fiscal year 2025 is for contracts 
170.3 	with Minnesota's regional food banks that the 
170.4 	commissioner contracts with for the purposes 
170.5 	of the Emergency Food Assistance Program 
170.6 	(TEFAP). The commissioner shall distribute 
170.7 	the food bank funding under this paragraph in 
170.8 	accordance with the federal TEFAP formula 
170.9 	and guidelines of the United States 
170.10 	Department of Agriculture. Funding must be 
170.11 	used by all regional food banks to purchase 
170.12 	food that will be distributed free of charge to 
170.13 	TEFAP partner agencies. Funding must also 
170.14 	cover the handling and delivery fees typically 
170.15 	paid by food shelves to food banks to ensure 
170.16 	that costs associated with funding under this 
170.17 	paragraph are not incurred at the local level. 
170.18 	This is a onetime appropriation.

170.19	Subd. 10.Grant Programs; Refugee Services
 		-0-
		4,000,000
	
170.20 	Human Services Response Contingency 
170.21 	Account. (a) $4,000,000 in fiscal year 2025 
170.22 	is for the human services response contingency 
170.23 	account under Minnesota Statutes, section 
170.24 	256.044. This is a onetime appropriation.
170.25 	(b) The commissioner of management and 
170.26 	budget shall transfer $4,000,000 in fiscal year 
170.27 	2025 from the general fund to the human 
170.28 	services response contingency account 
170.29 	established under Minnesota Statutes, section 
170.30 	256.044. This is a onetime transfer.

170.31	Subd. 11.Grant Programs; Health Care Grants
 		-0-
		1,000,000
	
170.32 	County Correctional Facility Mental Health 
170.33 	Medication Pilot Program. $1,000,000 in 
170.34 	fiscal year 2025 is for the county correctional 
171.1 	facility mental health medication pilot 
171.2 	program. This is a onetime appropriation. 
171.3 	Notwithstanding Minnesota Statutes, section 
171.4 	16A.28, subdivision 3, this appropriation is 
171.5 	available until June 30, 2026.

171.6
171.7	Subd. 12.Grant Programs; Other Long Term 
Care Grants
 		(2,500,000)
		1,962,000
	
171.8 	(a) Health Awareness Hub Pilot Project.
171.9 	$281,000 in fiscal year 2025 is for a payment 
171.10 	to the Organization for Liberians in Minnesota 
171.11 	for a health awareness hub pilot project. The 
171.12 	pilot project must seek to address health care 
171.13 	education and the physical and mental 
171.14 	wellness needs of elderly individuals within 
171.15 	the African immigrant community by offering 
171.16 	culturally relevant support, resources, and 
171.17 	preventive care education from medical 
171.18 	practitioners who have a similar background, 
171.19 	and by making appropriate referrals to 
171.20 	culturally competent programs, supports, and 
171.21 	medical care. Within six months of the 
171.22 	conclusion of the pilot project, the 
171.23 	Organization for Liberians in Minnesota must 
171.24 	provide the commissioner with an evaluation 
171.25 	of the project as determined by the 
171.26 	commissioner. This is a onetime appropriation.
171.27 	(b) Chapter 245D Compliance Support.
171.28 	$219,000 in fiscal year 2025 is for a payment 
171.29 	to Black Business Enterprises Fund to support 
171.30 	minority providers licensed under Minnesota 
171.31 	Statutes, chapter 245D, as intensive support 
171.32 	services providers to build skills and the 
171.33 	infrastructure needed to increase the quality 
171.34 	of services provided to the people the 
171.35 	providers serve while complying with the 
172.1 	requirements of Minnesota Statutes, chapter 
172.2 	245D, and to enable the providers to accept 
172.3 	clients with high behavioral needs. This is a 
172.4 	onetime appropriation.
172.5 	(c) Customized Living Technical Assistance. 
172.6 	$350,000 is for a payment to Propel 
172.7 	Nonprofits for a culturally specific outreach 
172.8 	and education campaign toward existing 
172.9 	customized living providers that might more 
172.10 	appropriately serve their clients under a 
172.11 	different home and community-based services 
172.12 	program or license. This is a onetime 
172.13 	appropriation.
172.14 	(d) Linguistically and Culturally Specific 
172.15 	Training Pilot Project. $650,000 in fiscal 
172.16 	year 2025 is for a payment to Isuroon to 
172.17 	collaborate with the commissioner of human 
172.18 	services to develop and implement a pilot 
172.19 	program to provide: (1) linguistically and 
172.20 	culturally specific in-person training to 
172.21 	bilingual individuals, particularly bilingual 
172.22 	women, from diverse ethnic backgrounds; and 
172.23 	(2) technical assistance to providers to ensure 
172.24 	successful implementation of the pilot 
172.25 	program, including training, resources, and 
172.26 	ongoing support. Within six months of the 
172.27 	conclusion of the pilot project, Isuroon must 
172.28 	provide the commissioner with an evaluation 
172.29 	of the project as determined by the 
172.30 	commissioner. This is a onetime appropriation.
172.31 	(e) Long-Term Services and Supports Loan 
172.32 	Program. (1) $462,000 in fiscal year 2025 is 
172.33 	from the general fund for the long-term 
172.34 	services and supports loan program established 
172.35 	under Minnesota Statutes, section 256R.55. 
173.1 	The base for this appropriation is $822,000 in 
173.2 	fiscal year 2026 and $0 in fiscal year 2027.
173.3 	(2) The commissioner of management and 
173.4 	budget shall transfer $462,000 in fiscal year 
173.5 	2025 from the general fund to the long-term 
173.6 	services and supports loan account established 
173.7 	under Minnesota Statutes, section 256R.55. 
173.8 	The base for this transfer is $822,000 in fiscal 
173.9 	year 2026 and $0 in fiscal year 2027.
173.10 	(f) Base Level Adjustment. The general fund 
173.11 	base is decreased by $1,202,000 in fiscal year 
173.12 	2026 and decreased by $2,024,000 in fiscal 
173.13 	year 2027.

173.14
173.15	Subd. 13.Grant Programs; Aging and Adult 
Services Grants
 		-0-
		4,500,000
	
173.16 	(a) Caregiver Respite Services Grants.
173.17 	$2,000,000 in fiscal year 2025 is for caregiver 
173.18 	respite services grants under Minnesota 
173.19 	Statutes, section 256.9756. This is a onetime 
173.20 	appropriation. Notwithstanding Minnesota 
173.21 	Statutes, section 16A.28, subdivision 3, this 
173.22 	appropriation is available until June 30, 2027.
173.23 	(b) Caregiver Support Programs.
173.24 	$2,500,000 in fiscal year 2025 is for the 
173.25 	Minnesota Board on Aging for the purposes 
173.26 	of the caregiver support programs under 
173.27 	Minnesota Statutes, section 256.9755. 
173.28 	Programs receiving funding under this 
173.29 	paragraph must include an ALS-specific 
173.30 	respite service in their caregiver support 
173.31 	program. This is a onetime appropriation. 
173.32 	Notwithstanding Minnesota Statutes, section 
173.33 	16A.28, subdivision 3, this appropriation is 
173.34 	available until June 30, 2027.

174.1	Subd. 14.Grant Programs; Disabilities Grants
 		1,650,000
		9,574,000
	
174.2 	(a) Capital Improvement for Accessibility.
174.3 	$400,000 in fiscal year 2025 is for a payment 
174.4 	to Anoka County to make capital 
174.5 	improvements to existing space in the Anoka 
174.6 	County Human Services building in the city 
174.7 	of Blaine, including making bathrooms fully 
174.8 	compliant with the Americans with Disabilities 
174.9 	Act with adult changing tables and ensuring 
174.10 	barrier-free access for the purposes of 
174.11 	improving and expanding the services an 
174.12 	existing building tenant can provide to adults 
174.13 	with developmental disabilities. This is a 
174.14 	onetime appropriation.
174.15 	(b) Dakota County Disability Services 
174.16 	Workforce Shortage Pilot Project. $500,000 
174.17 	in fiscal year 2025 is for a grant to Dakota 
174.18 	County for innovative solutions to the 
174.19 	disability services workforce shortage. Up to 
174.20 	$250,000 of this amount must be used to 
174.21 	develop and test an online application for 
174.22 	matching requests for services from people 
174.23 	with disabilities to available staff, and up to 
174.24 	$250,000 of this amount must be used to 
174.25 	develop a communities-for-all program that 
174.26 	engages businesses, community organizations, 
174.27 	neighbors, and informal support systems to 
174.28 	promote community inclusion of people with 
174.29 	disabilities. By October 1, 2026, the 
174.30 	commissioner shall report the outcomes and 
174.31 	recommendations of these pilot projects to the 
174.32 	chairs and ranking minority members of the 
174.33 	legislative committees with jurisdiction over 
174.34 	human services finance and policy. This is a 
174.35 	onetime appropriation. Notwithstanding 
175.1 	Minnesota Statutes, section 16A.28, 
175.2 	subdivision 3, this appropriation is available 
175.3 	until June 30, 2027.
175.4 	(c) Pediatric Hospital-to-Home Transition 
175.5 	Pilot Program. $1,040,000 in fiscal year 2025 
175.6 	is for the pediatric hospital-to-home pilot 
175.7 	program. This is a onetime appropriation. 
175.8 	Notwithstanding Minnesota Statutes, section 
175.9 	16A.28, subdivision 3, this appropriation is 
175.10 	available until June 30, 2027.
175.11 	(d) Artists With Disabilities Support.
175.12 	$690,000 in fiscal year 2025 is for a payment 
175.13 	to a nonprofit organization licensed under 
175.14 	Minnesota Statutes, chapter 245D, located on 
175.15 	Minnehaha Avenue West in Saint Paul, and 
175.16 	that supports artists with disabilities in creating 
175.17 	visual and performing art that challenges 
175.18 	society's views of persons with disabilities. 
175.19 	This is a onetime appropriation. 
175.20 	Notwithstanding Minnesota Statutes, section 
175.21 	16A.28, subdivision 3, this appropriation is 
175.22 	available until June 30, 2027.
175.23 	(e) Emergency Relief Grants for Rural 
175.24 	EIDBI Providers. $600,000 in fiscal year 
175.25 	2025 is for emergency relief grants for EIDBI 
175.26 	providers. This is a onetime appropriation. 
175.27 	Notwithstanding Minnesota Statutes, section 
175.28 	16A.28, subdivision 3, this appropriation is 
175.29 	available until June 30, 2027.
175.30 	(f) Self-Advocacy Grants for Persons with 
175.31 	Intellectual and Developmental Disabilities.
175.32 	$250,000 in fiscal year 2025 is for 
175.33 	self-advocacy grants under Minnesota Statutes, 
175.34 	section 256.477, subdivision 1, paragraph (a), 
176.1 	clauses (5) to (7), and for administrative costs. 
176.2 	This is onetime appropriation.
176.3 	(g) Electronic Visit Verification 
176.4 	Implementation Grants. $864,000 in fiscal 
176.5 	year 2025 is for electronic visit verification 
176.6 	implementation grants. This is a onetime 
176.7 	appropriation. Notwithstanding Minnesota 
176.8 	Statutes, section 16A.28, subdivision 3, this 
176.9 	appropriation is available until June 30, 2027.
176.10 	(h) Aging and Disability Services for 
176.11 	Immigrant and Refugee Communities.
176.12 	$250,000 in fiscal year 2025 is for a payment 
176.13 	to SEWA-AIFW to address aging, disability, 
176.14 	and mental health needs for immigrant and 
176.15 	refugee communities. This is a onetime 
176.16 	appropriation.
176.17 	(i) License Transition Support for Small 
176.18 	Disability Waiver Providers. $3,150,000 in 
176.19 	fiscal year 2025 is for license transition 
176.20 	payments to small disability waiver providers. 
176.21 	This is a onetime appropriation. 
176.22 	Notwithstanding Minnesota Statutes, section 
176.23 	16A.28, subdivision 3, this appropriation is 
176.24 	available until June 30, 2027.
176.25 	(j) Own home services provider 
176.26 	capacity-building grants. $1,519,000 in fiscal 
176.27 	year 2025 is for the own home services 
176.28 	provider capacity-building grant program. 
176.29 	Notwithstanding Minnesota Statutes, section 
176.30 	16A.28, subdivision 3, this appropriation is 
176.31 	available until June 30, 2027. This is a onetime 
176.32 	appropriation.
176.33 	(k) Continuation of Centers for 
176.34 	Independent Living HCBS Access Grants.
177.1 	$311,000 in fiscal year 2024 is for continued 
177.2 	funding of grants awarded under Laws 2021, 
177.3 	First Special Session chapter 7, article 17, 
177.4 	section 19, as amended by Laws 2022, chapter 
177.5 	98, article 15, section 15. This is a onetime 
177.6 	appropriation and is available until June 30, 
177.7 	2025.
177.8 	(l) Base Level Adjustment. The general fund 
177.9 	base is increased by $811,000 in fiscal year 
177.10 	2026 and increased by $811,000 in fiscal year 
177.11 	2027.

177.12
177.13	Subd. 15.Grant Programs; Adult Mental Health 
Grants
 		(8,900,000)
		2,364,000
	
177.14 	(a) Locked Intensive Residential Treatment 
177.15 	Services. $1,000,000 in fiscal year 2025 is for 
177.16 	start-up funds to intensive residential treatment 
177.17 	services providers to provide treatment in 
177.18 	locked facilities for patients meeting medical 
177.19 	necessity criteria and who may also be referred 
177.20 	for competency attainment or a competency 
177.21 	examination under Minnesota Statutes, 
177.22 	sections 611.40 to 611.59. This is a onetime 
177.23 	appropriation. Notwithstanding Minnesota 
177.24 	Statutes, section 16A.28, subdivision 3, this 
177.25 	appropriation is available until June 30, 2027.
177.26 	(b) Engagement Services Pilot Grants.
177.27 	$1,500,000 in fiscal year 2025 is for 
177.28 	engagement services pilot grants. Of this 
177.29 	amount, $250,000 in fiscal year 2025 is for an 
177.30 	engagement services pilot grant to Otter Tail 
177.31 	County. This is a onetime appropriation. 
177.32 	Notwithstanding Minnesota Statutes, section 
177.33 	16A.28, subdivision 3, this appropriation is 
177.34 	available until June 30, 2026.
178.1 	(c) Mental Health Innovation Grant 
178.2 	Program. $1,321,000 in fiscal year 2025 is 
178.3 	for the mental health innovation grant program 
178.4 	under Minnesota Statutes, section 245.4662. 
178.5 	This is a onetime appropriation. 
178.6 	Notwithstanding Minnesota Statutes, section 
178.7 	16A.28, subdivision 3, this appropriation is 
178.8 	available until June 30, 2026.
178.9 	(d) Behavioral Health Services For 
178.10 	Immigrant And Refugee Communities.
178.11 	$354,000 in fiscal year 2025 is for a payment 
178.12 	to African Immigrant Community Services to 
178.13 	provide culturally and linguistically 
178.14 	appropriate services to new Americans with 
178.15 	disabilities, mental health needs, and substance 
178.16 	use disorders and to connect such individuals 
178.17 	with appropriate alternative service providers 
178.18 	to ensure continuity of care. This is a onetime 
178.19 	appropriation. Notwithstanding Minnesota 
178.20 	Statutes, section 16A.28, subdivision 3, this 
178.21 	appropriation is available until June 30, 2027.
178.22 	(e) Base Level Adjustment. The general fund 
178.23 	base is decreased by $1,811,000 in fiscal year 
178.24 	2026 and decreased by $1,811,000 in fiscal 
178.25 	year 2027.

178.26
178.27	Subd. 16.Grant Programs; Child Mental Health 
Grants
 		-0-
		500,000
	
178.28 	Youth Peer Recovery Support Services Pilot 
178.29 	Project. $500,000 in fiscal year 2025 is for a 
178.30 	grant to Hennepin County to conduct a 
178.31 	two-year pilot project to provide peer recovery 
178.32 	support services under Minnesota Statutes, 
178.33 	section 245G.07, subdivision 2, clause (8), to 
178.34 	youth between 13 and 18 years of age. The 
178.35 	pilot project must be conducted in partnership 
179.1 	with a community organization that provides 
179.2 	culturally specific peer recovery support 
179.3 	services to East African individuals and that 
179.4 	is working to expand peer recovery support 
179.5 	services for youth in Hennepin County. At the 
179.6 	conclusion of the pilot project, Hennepin 
179.7 	County must submit a report to the chairs and 
179.8 	ranking minority members of the legislative 
179.9 	committees with jurisdiction over health and 
179.10 	human services detailing the implementation, 
179.11 	operation, and outcomes of the pilot project 
179.12 	and providing recommendations on expanding 
179.13 	youth peer recovery support services 
179.14 	statewide. This is a onetime appropriation. 
179.15 	Notwithstanding Minnesota Statutes, section 
179.16 	16A.28, subdivision 3, this appropriation is 
179.17 	available until June 30, 2026.

179.18
179.19	Subd. 17.Grant Programs; Chemical 
Dependency Treatment Support Grants
 		(500,000)
		2,500,000
	
179.20 	Medical Assistance Reentry Demonstration 
179.21 	Grants. $2,500,000 in fiscal year 2025 is for 
179.22 	capacity building and implementation grants 
179.23 	for the medical assistance reentry 
179.24 	demonstration under Minnesota Statutes, 
179.25 	section 256B.0761. This is a onetime 
179.26 	appropriation. Notwithstanding Minnesota 
179.27 	Statutes, section 16A.28, subdivision 3, this 
179.28 	appropriation is available until June 30, 2027.

179.29
179.30	Subd. 18.Direct Care and Treatment - Mental 
Health and Substance Abuse
 		-0-
		977,000

179.31
179.32	Subd. 19.Direct Care and Treatment - Forensic 
Services
 		-0-
		7,752,000
	
179.33 	(a) Employee incentives. $1,000,000 in fiscal 
179.34 	year 2025 is for incentives related to the 
179.35 	transition of CARE St. Peter to the forensic 
180.1 	mental health program. This is a onetime 
180.2 	appropriation.
180.3 	(b) Base Level Adjustment. The general fund 
180.4 	base is increased by $6,612,000 in fiscal year 
180.5 	2026 and increased by $6,612,000 in fiscal 
180.6 	year 2027.

180.7
180.8	Subd. 20.Direct Care and Treatment - 
Operations
 		-0-
		6,094,000
	
180.9 	(a) Free Communication Services for 
180.10 	Patients and Clients. $1,368,000 in fiscal 
180.11 	year 2025 is for free communication services 
180.12 	under article 6, section 1. This is a onetime 
180.13 	appropriation. Notwithstanding Minnesota 
180.14 	Statutes, section 16A.28, subdivision 3, this 
180.15 	appropriation is available until June 30, 2026.
180.16 	(b) Direct Care and Treatment Capacity; 
180.17 	Miller Building. $1,796,000 in fiscal year 
180.18 	2025 is to design a replacement facility for the 
180.19 	Miller Building on the Anoka Metro Regional 
180.20 	Treatment Center campus. This is a onetime 
180.21 	appropriation. Notwithstanding Minnesota 
180.22 	Statutes, section 16A.28, subdivision 3, this 
180.23 	appropriation is available until June 30, 2027.
180.24 	(c) Direct Care and Treatment County 
180.25 	Correctional Facility Support Pilot 
180.26 	Program. $2,387,000 in fiscal year 2025 is 
180.27 	to establish a two-year county correctional 
180.28 	facility support pilot program. The pilot 
180.29 	program must: (1) provide education and 
180.30 	support to counties and county correctional 
180.31 	facilities on protocols and best practices for 
180.32 	the provision of involuntary medications for 
180.33 	mental health treatment; (2) provide technical 
180.34 	assistance to expand access to injectable 
180.35 	psychotropic medications in county 
181.1 	correctional facilities; and (3) survey county 
181.2 	correctional facilities and their contracted 
181.3 	medical providers on their capacity to provide 
181.4 	injectable psychotropic medications, including 
181.5 	involuntary administration of medications, 
181.6 	and barriers to providing these services. This 
181.7 	is a onetime appropriation. Notwithstanding 
181.8 	Minnesota Statutes, section 16A.28, 
181.9 	subdivision 3, this appropriation is available 
181.10 	until June 30, 2026.
181.11 	(d) Advisory Committee for Direct Care 
181.12 	and Treatment. $482,000 in fiscal year 2025 
181.13 	is for the administration of the advisory 
181.14 	committee for the operation of Direct Care 
181.15 	and Treatment. This is a onetime 
181.16 	appropriation. Notwithstanding Minnesota 
181.17 	Statutes, section 16A.28, subdivision 3, this 
181.18 	appropriation is available until June 30, 2027.
181.19 	(e) Base Level Adjustment. The general fund 
181.20 	base is increased by $31,000 in fiscal year 
181.21 	2026 and increased by $0 in fiscal year 2027.

181.22	Subd. 21.Grant Administration Costs
 					
181.23 	Notwithstanding Minnesota Statutes, section 
181.24 	16B.98, subdivision 14, the commissioner of 
181.25 	human services must not use any of the grant 
181.26 	amounts appropriated under this section for 
181.27 	administrative costs.

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

181.29	Sec. 3. COMMISSIONER OF HEALTH

181.30	Subdivision 1.Total Appropriation
 	$
	-0-
	$
	1,087,000

181.31	Appropriations by Fund
	
181.32		2024
	2025
	
182.1	General
	-0-
	554,000
	
182.2
182.3	State Government 
Special Revenue
	-0-
	533,000
	
182.4 	The amounts that may be spent for each 
182.5 	purpose are specified in the following 
182.6 	subdivisions.

182.7	Subd. 2.Health Improvement
 		-0-
		554,000
	
182.8 	(a) Community Care Hub Grant. $500,000 
182.9 	in fiscal year 2025 is from the general fund 
182.10 	for the community care hub planning grant. 
182.11 	This is a onetime appropriation. 
182.12 	Notwithstanding Minnesota Statutes, section 
182.13 	16A.28, subdivision 3, this appropriation is 
182.14 	available until June 30, 2026.
182.15 	(b) Cannabis education program grants. To 
182.16 	achieve the net reduction in the general fund 
182.17 	base of $3,650,000 in fiscal year 2026 and 
182.18 	$3,650,000 in fiscal year 2027 for cannabis 
182.19 	education grants under Minnesota Statutes, 
182.20 	section 144.197, subdivision 4, the 
182.21 	commissioner must not reduce the grant 
182.22 	amounts distributed to Tribal health 
182.23 	departments.
182.24 	(c) Carryforward Authority.
182.25 	Notwithstanding Minnesota Statutes, section 
182.26 	16A.28, subdivision 3, $54,000 in fiscal year 
182.27 	2025 is available until June 30, 2026, for 
182.28 	administration expenses related to the 
182.29 	community care hub grant.
182.30 	(d) Base Level Adjustment. The general fund 
182.31 	base is decreased by $3,650,000 in fiscal year 
182.32 	2026 and decreased by $3,650,000 in fiscal 
182.33 	year 2027.

183.1	Subd. 3.Health Protection
 		-0-
		533,000
	
183.2 	This appropriation is from the state 
183.3 	government special revenue fund.
183.4 	Base Level Adjustments. The state 
183.5 	government special revenue base is increased 
183.6 	by $525,000 in fiscal year 2026 and increased 
183.7 	by $525,000 in fiscal year 2027.

183.8	Subd. 4.Grantee Evaluation Requirement
 					
183.9 	For all new grants for which money is 
183.10 	appropriated in this act, the commissioner of 
183.11 	health must comply with the grantee 
183.12 	evaluation requirements under Minnesota 
183.13 	Statutes, section 16B.98, subdivision 12.

183.14	Sec. 4. COUNCIL ON DISABILITY
 	$
	-0-
	$
	400,000
	
183.15 	$400,000 in fiscal year 2025 is for the 
183.16 	Legislative Task Force on Guardianship. 
183.17 	Notwithstanding Minnesota Statutes, section 
183.18 	16A.28, subdivision 3, this appropriation is 
183.19 	available until June 30, 2027. This is a onetime 
183.20 	appropriation.

183.21	Sec. 5. DEPARTMENT OF CORRECTIONS
 	$
	-0-
	$
	1,649,000
	
183.22 	Medical Assistance Reentry Demonstration.
183.23 	$1,649,000 in fiscal year 2025 is from the 
183.24 	general fund for planning and implementation 
183.25 	of the medical assistance reentry 
183.26 	demonstration. The base for this appropriation 
183.27 	is $1,924,000 in fiscal year 2026 and 
183.28 	$2,364,000 in fiscal year 2027.

183.29
183.30	Sec. 6. DEPARTMENT OF EMPLOYMENT 
AND ECONOMIC DEVELOPMENT
 	$
	-0-
	$
	5,000,000
	
183.31 	Cedar Riverside Recreation Center.
183.32 	$5,000,000 in fiscal year 2025 is for a payment 
183.33 	to the Minneapolis Park and Recreation Board 
184.1 	for the design, development, and construction 
184.2 	of the new Cedar Riverside Recreation Center 
184.3 	to serve the largest immigrant population 
184.4 	center in the state. This is a onetime 
184.5 	appropriation available until June 30, 2028.

184.6 	Sec. 7. Laws 2021, First Special Session chapter 7, article 17, section 19, as amended by 
184.7 	Laws 2022, chapter 98, article 15, section 15, is amended to read:
184.8 	Sec. 19. CENTERS FOR INDEPENDENT LIVING HCBS ACCESS GRANT.
 184.9 	(a) This act includes $1,200,000 in fiscal year 2022 and $1,200,000 in fiscal year 2023 
184.10 	for grants to expand services to support people with disabilities from underserved 
184.11 	communities who are ineligible for medical assistance to live in their own homes and 
184.12 	communities by providing accessibility modifications, independent living services, and 
184.13 	public health program facilitation. The commissioner of human services must award the 
184.14 	grants in equal amounts to grantees. To be eligible, a grantee must be an organization defined 
184.15 	in Minnesota Statutes, section 268A.01, subdivision 8. Any unexpended amount in fiscal 
184.16 	year 2022 is available through June 30, 2023. The general fund base included in this act for 
184.17 	this purpose is $0 in fiscal year 2024 and $0 in fiscal year 2025.
184.18 	(b) All grant activities must be completed by March 31, 2024 June 30, 2025.
184.19 	(c) This section expires June 30, 2024 2025.

184.20 	EFFECTIVE DATE. This section is effective retroactively from March 31, 2024.

184.21 	Sec. 8. Laws 2023, chapter 53, article 21, section 6, is amended to read:
184.22 	Sec. 6. TRANSFERS.
 184.23 	(a) In the biennium ending on June 30, 2025, the commissioner of management and 
184.24 	budget must transfer $400,000,000 $390,000,000 from the general fund to the Minnesota 
184.25 	forward fund account established in Minnesota Statutes, section 116J.8752, subdivision 2. 
184.26 	The base for this transfer is $0.
184.27 	(b) In the biennium ending on June 30, 2025, the commissioner of management and 
184.28 	budget shall transfer $25,000,000 from the general fund to the Minnesota climate innovation 
184.29 	authority account established in Minnesota Statutes, section 216C.441, subdivision 11. The 
184.30 	base for this transfer is $0.
185.1 	(c) In the biennium ending on June 30, 2025, the commissioner of management and 
185.2 	budget must transfer $75,000,000 from the general fund to the state competitiveness fund 
185.3 	account established in Minnesota Statutes, section 216C.391, subdivision 2. Notwithstanding 
185.4 	Minnesota Statutes, section 216C.391, subdivision 2, the commissioner of commerce must 
185.5 	use this transfer for grants to eligible entities for projects receiving federal loans or tax 
185.6 	credits where the benefits are in disadvantaged communities. The base for this transfer is 
185.7 	$0. Up to three percent of money transferred under this paragraph is for administrative costs.
185.8 	(d) In the biennium ending on June 30, 2027, The commissioners of management and 
185.9 	budget, in consultation with the commissioners of employment and economic development 
185.10 	and commerce, may transfer money between the Minnesota forward fund account, the 
185.11 	Minnesota climate innovation authority account, and the state competitiveness fund account. 
185.12 	The commissioner of management and budget must notify the Legislative Advisory 
185.13 	Commission within 15 days of making transfers under this paragraph.
185.14 	(e) The commissioner of management and budget may transfer money from the Minnesota 
185.15 	forward fund account, the Minnesota climate innovation authority account, and the state 
185.16 	competitiveness fund account to the human services response contingency account established 
185.17 	under Minnesota Statutes, section 256.044, as necessary to respond to emergent state needs. 
185.18 	The commissioner of management and budget must notify the Legislative Advisory 
185.19 	Commission within 15 days of making transfers under this paragraph.
185.20 	(f) The commissioner of management and budget may transfer money from the Minnesota 
185.21 	forward fund account, the Minnesota climate innovation authority account, and the state 
185.22 	competitiveness fund account to other state agencies to maximize federal funding 
185.23 	opportunities. Money transferred under this paragraph is appropriated to the agency that 
185.24 	receives the money and is available until June 30, 2027. Any money that remains unspent 
185.25 	is canceled to the general fund. The commissioner of management and budget must notify 
185.26 	the Legislative Advisory Commission 15 days prior to making transfers under this paragraph.
185.27 	(g) The total amount transferred under paragraphs (e) and (f) shall not exceed 
185.28 	$100,000,000.

185.29 	Sec. 9. Laws 2023, chapter 53, article 21, section 7, is amended to read:
185.30 	Sec. 7. APPROPRIATIONS.
 185.31 	(a) $50,000,000 in fiscal year 2024 is appropriated from the Minnesota forward fund 
185.32 	account to the commissioner of employment and economic development for providing 
185.33 	businesses with matching funds required by federal programs. Money awarded under this 
186.1 	program is made retroactive to February 1, 2023, for applications and projects. The 
186.2 	commissioner may use up to two percent of this appropriation for administration. This is a 
186.3 	onetime appropriation and is available until June 30, 2027. Any funds that remain unspent 
186.4 	are canceled to the general fund.
186.5 	(b) $100,000,000 in fiscal year 2024 is appropriated from the Minnesota forward fund 
186.6 	account to the commissioner of employment and economic development to match existing 
186.7 	federal funds made available in the Consolidated Appropriations Act, Public Law 117-328. 
186.8 	This appropriation must be used to (1) construct and operate a bioindustrial manufacturing 
186.9 	pilot innovation facility, biorefinery, or commercial campus utilizing agricultural feedstocks 
186.10 	or (2) for a Minnesota aerospace center for research, development, and testing, or both (1) 
186.11 	and (2). This appropriation is not subject to the requirements of Minnesota Statutes, 
186.12 	116J.8752, subdivision 5. The commissioner may use up to two percent of this appropriation 
186.13 	for administration. This is a onetime appropriation and is available until June 30, 2027. Any 
186.14 	funds that remain unspent are canceled to the general fund.
186.15 	(c) $250,000,000 $240,000,000 in fiscal year 2024 is appropriated from the Minnesota 
186.16 	forward fund account to the commissioner of employment and economic development to 
186.17 	match federal funds made available in the Chips and Science Act, Public Law 117-167. 
186.18 	Money awarded under this program is made retroactive to February 1, 2023, for applications 
186.19 	and projects. This appropriation is not subject to Minnesota Statutes, section 116J.8752, 
186.20 	subdivision 5. The commissioner may use up two percent for administration. This is a 
186.21 	onetime appropriation and is available until June 30, 2027. Any funds that remain unspent 
186.22 	are canceled to the general fund.
186.23 	(d) The commissioner may use the appropriation under paragraph (c) to allocate up to 
186.24 	15 percent of the total project cost with a maximum of $75,000,000 per project for the 
186.25 	purpose of constructing, modernizing, or expanding commercial facilities on the front- and 
186.26 	back-end fabrication of leading-edge, current-generation, and mature-node semiconductors; 
186.27 	funding semiconductor materials and manufacturing equipment facilities; and for research 
186.28 	and development facilities.
186.29 	(e) The commissioner may use the appropriation under paragraph (c) to award:
186.30 	(1) grants to institutions of higher education for developing and deploying training 
186.31 	programs and to build pipelines to serve the needs of industry; and
186.32 	(2) grants to increase the capacity of institutions of higher education to serve industrial 
186.33 	requirements for research and development that coincide with current and future requirements 
186.34 	of projects eligible under this section. Grant money may be used to construct and equip 
187.1 	facilities that serve the purpose of the industry. The maximum grant award per institution 
187.2 	of higher education under this section is $5,000,000 and may not represent more than 50 
187.3 	percent of the total project funding from other sources. Use of this funding must be supported 
187.4 	by businesses receiving funds under clause (1).
187.5 	(f) Money appropriated in paragraphs (a), (b), and (c) may be transferred between 
187.6 	appropriations within the Minnesota forward fund account by the commissioner of 
187.7 	employment and economic development with approval of the commissioner of management 
187.8 	and budget. The commissioner must notify the Legislative Advisory Commission at least 
187.9 	15 days prior to changing appropriations under this paragraph.

187.10 	Sec. 10. Laws 2023, chapter 61, article 1, section 67, subdivision 3, is amended to read:
187.11 		Subd. 3.Evaluation and report. (a) The Metropolitan Center for Independent Living 
187.12 	must contract with a third party to evaluate the pilot project's impact on health care costs, 
187.13 	retention of personal care assistants, and patients' and providers' satisfaction of care. The 
187.14 	evaluation must include the number of participants, the hours of care provided by participants, 
187.15 	and the retention of participants from semester to semester.
187.16 	(b) By January 15, 2025 2026, the Metropolitan Center for Independent Living must 
187.17 	report the findings under paragraph (a) to the chairs and ranking minority members of the 
187.18 	legislative committees with jurisdiction over human services finance and policy.

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

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

187.22 	EFFECTIVE DATE. This section is effective January 1, 2024 2026, or upon federal 
187.23 	approval, whichever is later. The commissioner shall notify the revisor of statutes when 
187.24 	federal approval is obtained.

187.25 	Sec. 12. Laws 2023, chapter 61, article 9, section 2, subdivision 5, is amended to read:

187.26
187.27	Subd. 5.Central Office; Aging and Disability 
Services
 		40,115,000
		11,995,000
	
187.28 	(a) Employment Supports Alignment Study.
187.29 	$50,000 in fiscal year 2024 and $200,000 in 
187.30 	fiscal year 2025 are to conduct an interagency 
187.31 	employment supports alignment study. The 
188.1 	base for this appropriation is $150,000 in fiscal 
188.2 	year 2026 and $100,000 in fiscal year 2027.
188.3 	(b) Case Management Training 
188.4 	Curriculum. $377,000 in fiscal year 2024 and 
188.5 	$377,000 in fiscal year 2025 are to develop 
188.6 	and implement a curriculum and training plan 
188.7 	to ensure all lead agency assessors and case 
188.8 	managers have the knowledge and skills 
188.9 	necessary to fulfill support planning and 
188.10 	coordination responsibilities for individuals 
188.11 	who use home and community-based disability 
188.12 	services and live in own-home settings. This 
188.13 	is a onetime appropriation.
188.14 	(c) Office of Ombudsperson for Long-Term 
188.15 	Care. $875,000 in fiscal year 2024 and 
188.16 	$875,000 in fiscal year 2025 are for additional 
188.17 	staff and associated direct costs in the Office 
188.18 	of Ombudsperson for Long-Term Care.
188.19 	(d) Direct Care Services Corps Pilot Project.
188.20 	$500,000 in fiscal year 2024 is from the 
188.21 	general fund for a grant to the Metropolitan 
188.22 	Center for Independent Living for the direct 
188.23 	care services corps pilot project. Up to $25,000 
188.24 	may be used by the Metropolitan Center for 
188.25 	Independent Living for administrative costs. 
188.26 	This is a onetime appropriation and is 
188.27 	available until June 30, 2026.
188.28 	(e) Research on Access to Long-Term Care 
188.29 	Services and Financing. Any unexpended 
188.30 	amount of the fiscal year 2023 appropriation 
188.31 	referenced in Laws 2021, First Special Session 
188.32 	chapter 7, article 17, section 16, estimated to 
188.33 	be $300,000, is canceled. The amount canceled 
188.34 	is appropriated in fiscal year 2024 for the same 
188.35 	purpose.
189.1 	(f) Native American Elder Coordinator.
189.2 	$441,000 in fiscal year 2024 and $441,000 in 
189.3 	fiscal year 2025 are for the Native American 
189.4 	elder coordinator position under Minnesota 
189.5 	Statutes, section 256.975, subdivision 6.
189.6 	(g) Grant Administration Carryforward.
189.7 	(1) Of this amount, $8,154,000 in fiscal year 
189.8 	2024 is available until June 30, 2027.
189.9 	(2) Of this amount, $1,071,000 in fiscal year 
189.10 	2025 is available until June 30, 2027.
189.11 	(3) Of this amount, $19,000,000 in fiscal year 
189.12 	2024 is available until June 30, 2029.
189.13 	(h) Base Level Adjustment. The general fund 
189.14 	base is increased by $8,189,000 in fiscal year 
189.15 	2026 and increased by $8,093,000 in fiscal 
189.16 	year 2027.

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

189.18 	Sec. 13. Laws 2023, chapter 61, article 9, section 2, subdivision 14, is amended to read:

189.19
189.20	Subd. 14.Grant Programs; Aging and Adult 
Services Grants
 		164,626,000
		34,795,000
	
189.21 	(a) Vulnerable Adult Act Redesign Phase 
189.22 	Two. $17,129,000 in fiscal year 2024 is for 
189.23 	adult protection grants to counties and Tribes 
189.24 	under Minnesota Statutes, section 256M.42. 
189.25 	Notwithstanding Minnesota Statutes, section 
189.26 	16A.28, this appropriation is available until 
189.27 	June 30, 2027. The base for this appropriation 
189.28 	is $866,000 in fiscal year 2026 and $867,000 
189.29 	in fiscal year 2027.
189.30 	(b) Caregiver Respite Services Grants.
189.31 	$1,800,000 in fiscal year 2025 is for caregiver 
189.32 	respite services grants under Minnesota 
190.1 	Statutes, section 256.9756. This is a onetime 
190.2 	appropriation.
190.3 	(c) Live Well at Home Grants. $4,575,000 
190.4 	in fiscal year 2024 is for live well at home 
190.5 	grants under Minnesota Statutes, section 
190.6 	256.9754, subdivision 3f. This is a onetime 
190.7 	appropriation and is available until June 30, 
190.8 	2025.
190.9 	(d) Senior Nutrition Program. $10,552,000 
190.10 	in fiscal year 2024 is for the senior nutrition 
190.11 	program. Notwithstanding Minnesota Statutes, 
190.12 	section 16A.28, this appropriation is available 
190.13 	until June 30, 2027. This is a onetime 
190.14 	appropriation.
190.15 	(e) Age-Friendly Community Grants.
190.16 	$3,000,000 in fiscal year 2024 is for the 
190.17 	continuation of age-friendly community grants 
190.18 	under Laws 2021, First Special Session 
190.19 	chapter 7, article 17, section 8, subdivision 1. 
190.20 	Notwithstanding Minnesota Statutes, section 
190.21 	16A.28, this is a onetime appropriation and is 
190.22 	available until June 30, 2027.
190.23 	(f) Age-Friendly Technical Assistance 
190.24 	Grants. $1,725,000 in fiscal year 2024 is for 
190.25 	the continuation of age-friendly technical 
190.26 	assistance grants under Laws 2021, First 
190.27 	Special Session chapter 7, article 17, section 
190.28 	8, subdivision 2. Notwithstanding Minnesota 
190.29 	Statutes, section 16A.28, this is a onetime 
190.30 	appropriation and is available until June 30, 
190.31 	2027.
190.32 	(g) Financially Distressed Nursing Facility
190.33 	Long-Term Services and Supports Loan 
190.34 	Program. $93,200,000 in fiscal year 2024 is 
191.1 	for the financially distressed nursing facility
191.2 	long-term services and supports loan program 
191.3 	under Minnesota Statutes, section 256R.55, 
191.4 	and is available as provided therein.
191.5 	(h) Base Level Adjustment. The general fund 
191.6 	base is $33,861,000 in fiscal year 2026 and 
191.7 	$33,862,000 in fiscal year 2027.

191.8 	Sec. 14. Laws 2023, chapter 61, article 9, section 2, subdivision 16, as amended by Laws 
191.9 	2023, chapter 70, article 15, section 8, is amended to read:

191.10	Subd. 16.Grant Programs; Disabilities Grants
 		113,684,000
		30,377,000
	
191.11 	(a) Temporary Grants for Small 
191.12 	Customized Living Providers. $5,450,000 
191.13 	in fiscal year 2024 is for grants to assist small 
191.14 	customized living providers to transition to 
191.15 	community residential services licensure or 
191.16 	integrated community supports licensure. 
191.17 	Notwithstanding Minnesota Statutes, section 
191.18 	16A.28, this appropriation is available until 
191.19 	June 30, 2027. This is a onetime appropriation.
191.20 	(b) Lead Agency Capacity Building Grants.
191.21 	$444,000 in fiscal year 2024 and $2,396,000 
191.22 	in fiscal year 2025 are for grants to assist 
191.23 	organizations, counties, and Tribes to build 
191.24 	capacity for employment opportunities for 
191.25 	people with disabilities. The base for this 
191.26 	appropriation is $2,413,000 in fiscal year 2026 
191.27 	and $2,411,000 in fiscal year 2027.
191.28 	(c) Employment and Technical Assistance 
191.29 	Center Grants. $450,000 in fiscal year 2024 
191.30 	and $1,800,000 in fiscal year 2025 are for 
191.31 	employment and technical assistance grants 
191.32 	to assist organizations and employers in 
191.33 	promoting a more inclusive workplace for 
191.34 	people with disabilities.
192.1 	(d) Case Management Training Grants.
192.2 	$37,000 in fiscal year 2024 and $123,000 in 
192.3 	fiscal year 2025 are for grants to provide case 
192.4 	management training to organizations and 
192.5 	employers to support the state's disability 
192.6 	employment supports system. The base for 
192.7 	this appropriation is $45,000 in fiscal year 
192.8 	2026 and $45,000 in fiscal year 2027.
192.9 	(e) Self-Directed Bargaining Agreement; 
192.10 	Electronic Visit Verification Stipends.
192.11 	$6,095,000 in fiscal year 2024 is for onetime 
192.12 	stipends of $200 to bargaining members to 
192.13 	offset the potential costs related to people 
192.14 	using individual devices to access the 
192.15 	electronic visit verification system. Of this 
192.16 	amount, $5,600,000 is for stipends and 
192.17 	$495,000 is for administration. This is a 
192.18 	onetime appropriation and is available until 
192.19 	June 30, 2025.
192.20 	(f) Self-Directed Collective Bargaining 
192.21 	Agreement; Temporary Rate Increase 
192.22 	Memorandum of Understanding. $1,600,000 
192.23 	in fiscal year 2024 is for onetime stipends for 
192.24 	individual providers covered by the SEIU 
192.25 	collective bargaining agreement based on the 
192.26 	memorandum of understanding related to the 
192.27 	temporary rate increase in effect between 
192.28 	December 1, 2020, and February 7, 2021. Of 
192.29 	this amount, $1,400,000 of the appropriation 
192.30 	is for stipends and $200,000 is for 
192.31 	administration. This is a onetime 
192.32 	appropriation.
192.33 	(g) Self-Directed Collective Bargaining 
192.34 	Agreement; Retention Bonuses. $50,750,000 
192.35 	in fiscal year 2024 is for onetime retention 
193.1 	bonuses covered by the SEIU collective 
193.2 	bargaining agreement. Of this amount, 
193.3 	$50,000,000 is for retention bonuses and 
193.4 	$750,000 is for administration of the bonuses. 
193.5 	This is a onetime appropriation and is 
193.6 	available until June 30, 2025.
193.7 	(h) Self-Directed Bargaining Agreement; 
193.8 	Training Stipends. $2,100,000 in fiscal year 
193.9 	2024 and $100,000 in fiscal year 2025 are for 
193.10 	onetime stipends of $500 for collective 
193.11 	bargaining unit members who complete 
193.12 	designated, voluntary trainings made available 
193.13 	through or recommended by the State Provider 
193.14 	Cooperation Committee. Of this amount, 
193.15 	$2,000,000 in fiscal year 2024 is for stipends, 
193.16 	and $100,000 in fiscal year 2024 and $100,000 
193.17 	in fiscal year 2025 are for administration. This 
193.18 	is a onetime appropriation.
193.19 	(i) Self-Directed Bargaining Agreement; 
193.20 	Orientation Program. $2,000,000 in fiscal 
193.21 	year 2024 and $2,000,000 in fiscal year 2025 
193.22 	are for onetime $100 payments to collective 
193.23 	bargaining unit members who complete 
193.24 	voluntary orientation requirements. Of this 
193.25 	amount, $1,500,000 in fiscal year 2024 and 
193.26 	$1,500,000 in fiscal year 2025 are for the 
193.27 	onetime $100 payments, and $500,000 in 
193.28 	fiscal year 2024 and $500,000 in fiscal year 
193.29 	2025 are for orientation-related costs. This is 
193.30 	a onetime appropriation.
193.31 	(j) Self-Directed Bargaining Agreement; 
193.32 	Home Care Orientation Trust. $1,000,000 
193.33 	in fiscal year 2024 is for the Home Care 
193.34 	Orientation Trust under Minnesota Statutes, 
193.35 	section 179A.54, subdivision 11. The 
194.1 	commissioner shall disburse the appropriation 
194.2 	to the board of trustees of the Home Care 
194.3 	Orientation Trust for deposit into an account 
194.4 	designated by the board of trustees outside the 
194.5 	state treasury and state's accounting system. 
194.6 	This is a onetime appropriation and is 
194.7 	available until June 30, 2025.
194.8 	(k) HIV/AIDS Supportive Services.
194.9 	$12,100,000 in fiscal year 2024 is for grants 
194.10 	to community-based HIV/AIDS supportive 
194.11 	services providers as defined in Minnesota 
194.12 	Statutes, section 256.01, subdivision 19, and 
194.13 	for payment of allowed health care costs as 
194.14 	defined in Minnesota Statutes, section 
194.15 	256.9365. This is a onetime appropriation and 
194.16 	is available until June 30, 2025.
194.17 	(l) Motion Analysis Advancements Clinical 
194.18 	Study and Patient Care. $400,000 is fiscal 
194.19 	year 2024 is for a grant to the Mayo Clinic 
194.20 	Motion Analysis Laboratory and Limb Lab 
194.21 	for continued research in motion analysis 
194.22 	advancements and patient care. This is a 
194.23 	onetime appropriation and is available through 
194.24 	June 30, 2025.
194.25 	(m) Grant to Family Voices in Minnesota.
194.26 	$75,000 in fiscal year 2024 and $75,000 in 
194.27 	fiscal year 2025 are for a grant to Family 
194.28 	Voices in Minnesota under Minnesota 
194.29 	Statutes, section 256.4776.
194.30 	(n) Parent-to-Parent Programs.
194.31 	(1) $550,000 in fiscal year 2024 and $550,000 
194.32 	in fiscal year 2025 are for grants to 
194.33 	organizations that provide services to 
194.34 	underserved communities with a high 
195.1 	prevalence of autism spectrum disorder. This 
195.2 	is a onetime appropriation and is available 
195.3 	until June 30, 2025.
195.4 	(2) The commissioner shall give priority to 
195.5 	organizations that provide culturally specific 
195.6 	and culturally responsive services.
195.7 	(3) Eligible organizations must:
195.8 	(i) conduct outreach and provide support to 
195.9 	newly identified parents or guardians of a child 
195.10 	with special health care needs;
195.11 	(ii) provide training to educate parents and 
195.12 	guardians in ways to support their child and 
195.13 	navigate the health, education, and human 
195.14 	services systems;
195.15 	(iii) facilitate ongoing peer support for parents 
195.16 	and guardians from trained volunteer support 
195.17 	parents; and
195.18 	(iv) communicate regularly with other 
195.19 	parent-to-parent programs and national 
195.20 	organizations to ensure that best practices are 
195.21 	implemented.
195.22 	(4) Grant recipients must use grant money for 
195.23 	the activities identified in clause (3).
195.24 	(5) For purposes of this paragraph, "special 
195.25 	health care needs" means disabilities, chronic 
195.26 	illnesses or conditions, health-related 
195.27 	educational or behavioral problems, or the risk 
195.28 	of developing disabilities, illnesses, conditions, 
195.29 	or problems.
195.30 	(6) Each grant recipient must report to the 
195.31 	commissioner of human services annually by 
195.32 	January 15 with measurable outcomes from 
195.33 	programs and services funded by this 
196.1 	appropriation the previous year including the 
196.2 	number of families served and the number of 
196.3 	volunteer support parents trained by the 
196.4 	organization's parent-to-parent program.
196.5 	(o) Self-Advocacy Grants for Persons with 
196.6 	Intellectual and Developmental Disabilities.
196.7 	$323,000 in fiscal year 2024 and $323,000 in 
196.8 	fiscal year 2025 are for self-advocacy grants 
196.9 	under Minnesota Statutes, section 256.477. 
196.10 	This is a onetime appropriation. Of these 
196.11 	amounts, $218,000 in fiscal year 2024 and 
196.12 	$218,000 in fiscal year 2025 are for the 
196.13 	activities under Minnesota Statutes, section 
196.14 	256.477, subdivision 1, paragraph (a), clauses 
196.15 	(5) to (7), and for administrative costs, and 
196.16 	$105,000 in fiscal year 2024 and $105,000 in 
196.17 	fiscal year 2025 are for the activities under 
196.18 	Minnesota Statutes, section 256.477, 
196.19 	subdivision 2.
196.20 	(p) Technology for Home Grants. $300,000 
196.21 	in fiscal year 2024 and $300,000 in fiscal year 
196.22 	2025 are for technology for home grants under 
196.23 	Minnesota Statutes, section 256.4773.
196.24 	(q) Community Residential Setting 
196.25 	Transition. $500,000 in fiscal year 2024 is 
196.26 	for a grant to Hennepin County to expedite 
196.27 	approval of community residential setting 
196.28 	licenses subject to the corporate foster care 
196.29 	moratorium exception under Minnesota 
196.30 	Statutes, section 245A.03, subdivision 7, 
196.31 	paragraph (a), clause (5).
196.32 	(r) Base Level Adjustment. The general fund 
196.33 	base is $27,343,000 in fiscal year 2026 and 
196.34 	$27,016,000 in fiscal year 2027.

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

197.2 	Sec. 15. Laws 2023, chapter 61, article 9, section 2, subdivision 18, is amended to read:

197.3
197.4	Subd. 18.Grant Programs; Chemical 
Dependency Treatment Support Grants

197.5	Appropriations by Fund
	
197.6	General
	54,691,000
	5,342,000
	
197.7	Lottery Prize
	1,733,000
	1,733,000
	
197.8 	(a) Culturally Specific Recovery 
197.9 	Community Organization Start-Up Grants.
197.10 	$4,000,000 in fiscal year 2024 is for culturally 
197.11 	specific recovery community organization 
197.12 	start-up grants. Notwithstanding Minnesota 
197.13 	Statutes, section 16A.28, this appropriation is 
197.14 	available until June 30, 2027. This is a onetime 
197.15 	appropriation.
197.16 	(b) Safe Recovery Sites. $14,537,000 in fiscal 
197.17 	year 2024 is from the general fund for start-up 
197.18 	and capacity-building grants for organizations 
197.19 	to establish safe recovery sites. 
197.20 	Notwithstanding Minnesota Statutes, section 
197.21 	16A.28, this appropriation is onetime and is 
197.22 	available until June 30, 2029.
197.23 	(c) Technical Assistance for Culturally 
197.24 	Specific Organizations; Culturally Specific 
197.25 	Services Grants. $4,000,000 in fiscal year 
197.26 	2024 is for grants to culturally specific 
197.27 	providers for technical assistance navigating 
197.28 	culturally specific and responsive substance 
197.29 	use and recovery programs. Notwithstanding 
197.30 	Minnesota Statutes, section 16A.28, this 
197.31 	appropriation is available until June 30, 2027.
197.32 	(d) Technical Assistance for Culturally 
197.33 	Specific Organizations; Culturally Specific 
197.34 	Grant Development Training. $400,000 in 
198.1 	fiscal year 2024 is for grants for up to four 
198.2 	trainings for community members and 
198.3 	culturally specific providers for grant writing 
198.4 	training for substance use and recovery-related 
198.5 	grants. Notwithstanding Minnesota Statutes, 
198.6 	section 16A.28, this is a onetime appropriation 
198.7 	and is available until June 30, 2027.
198.8 	(e) Harm Reduction Supplies for Tribal and 
198.9 	Culturally Specific Programs. $7,597,000 
198.10 	in fiscal year 2024 is from the general fund to 
198.11 	provide sole source grants to culturally 
198.12 	specific communities to purchase syringes, 
198.13 	testing supplies, and opiate antagonists. 
198.14 	Notwithstanding Minnesota Statutes, section 
198.15 	16A.28, this appropriation is available until 
198.16 	June 30, 2027. This is a onetime appropriation.
198.17 	(f) Families and Family Treatment 
198.18 	Capacity-Building and Start-Up Grants.
198.19 	$10,000,000 in fiscal year 2024 is from the 
198.20 	general fund for start-up and capacity-building 
198.21 	grants for family substance use disorder 
198.22 	treatment programs. Notwithstanding 
198.23 	Minnesota Statutes, section 16A.28, this 
198.24 	appropriation is available until June 30, 2029. 
198.25 	This is a onetime appropriation.
198.26 	(g) Start-Up and Capacity Building Grants 
198.27 	for Withdrawal Management.$500,000 $0
198.28 	in fiscal year 2024 and $1,000,000 in fiscal 
198.29 	year 2025 are for start-up and capacity 
198.30 	building grants for withdrawal management.
198.31 	(h) Recovery Community Organization 
198.32 	Grants. $4,300,000 in fiscal year 2024 is from 
198.33 	the general fund for grants to recovery 
198.34 	community organizations, as defined in 
198.35 	Minnesota Statutes, section 254B.01, 
199.1 	subdivision 8, that are current grantees as of 
199.2 	June 30, 2023. This is a onetime appropriation 
199.3 	and is available until June 30, 2025.
199.4 	(i) Opioid Overdose Prevention Grants.
199.5 	(1) $125,000 in fiscal year 2024 and $125,000 
199.6 	in fiscal year 2025 are from the general fund 
199.7 	for a grant to Ka Joog, a nonprofit organization 
199.8 	in Minneapolis, Minnesota, to be used for 
199.9 	collaborative outreach, education, and training 
199.10 	on opioid use and overdose, and distribution 
199.11 	of opiate antagonist kits in East African and 
199.12 	Somali communities in Minnesota. This is a 
199.13 	onetime appropriation.
199.14 	(2) $125,000 in fiscal year 2024 and $125,000 
199.15 	in fiscal year 2025 are from the general fund 
199.16 	for a grant to the Steve Rummler Hope 
199.17 	Network to be used for statewide outreach, 
199.18 	education, and training on opioid use and 
199.19 	overdose, and distribution of opiate antagonist 
199.20 	kits. This is a onetime appropriation.
199.21 	(3) $250,000 in fiscal year 2024 and $250,000 
199.22 	in fiscal year 2025 are from the general fund 
199.23 	for a grant to African Career Education and 
199.24 	Resource, Inc. to be used for collaborative 
199.25 	outreach, education, and training on opioid 
199.26 	use and overdose, and distribution of opiate 
199.27 	antagonist kits. This is a onetime 
199.28 	appropriation.
199.29 	(j) Problem Gambling. $225,000 in fiscal 
199.30 	year 2024 and $225,000 in fiscal year 2025 
199.31 	are from the lottery prize fund for a grant to a 
199.32 	state affiliate recognized by the National 
199.33 	Council on Problem Gambling. The affiliate 
199.34 	must provide services to increase public 
200.1 	awareness of problem gambling, education, 
200.2 	training for individuals and organizations that 
200.3 	provide effective treatment services to problem 
200.4 	gamblers and their families, and research 
200.5 	related to problem gambling.
200.6 	(k) Project ECHO. $1,310,000 in fiscal year 
200.7 	2024 and $1,295,000 in fiscal year 2025 are 
200.8 	from the general fund for a grant to Hennepin 
200.9 	Healthcare to expand the Project ECHO 
200.10 	program. The grant must be used to establish 
200.11 	at least four substance use disorder-focused 
200.12 	Project ECHO programs at Hennepin 
200.13 	Healthcare, expanding the grantee's capacity 
200.14 	to improve health and substance use disorder 
200.15 	outcomes for diverse populations of 
200.16 	individuals enrolled in medical assistance, 
200.17 	including but not limited to immigrants, 
200.18 	individuals who are homeless, individuals 
200.19 	seeking maternal and perinatal care, and other 
200.20 	underserved populations. The Project ECHO 
200.21 	programs funded under this section must be 
200.22 	culturally responsive, and the grantee must 
200.23 	contract with culturally and linguistically 
200.24 	appropriate substance use disorder service 
200.25 	providers who have expertise in focus areas, 
200.26 	based on the populations served. Grant funds 
200.27 	may be used for program administration, 
200.28 	equipment, provider reimbursement, and 
200.29 	staffing hours. This is a onetime appropriation
200.30 	and is available until June 30, 2027.
200.31 	(l) White Earth Nation Substance Use 
200.32 	Disorder Digital Therapy Tool. $3,000,000 
200.33 	in fiscal year 2024 is from the general fund 
200.34 	for a grant to the White Earth Nation to 
200.35 	develop an individualized Native American 
201.1 	centric digital therapy tool with Pathfinder 
201.2 	Solutions. This is a onetime appropriation. 
201.3 	The grant must be used to:
201.4 	(1) develop a mobile application that is 
201.5 	culturally tailored to connecting substance use 
201.6 	disorder resources with White Earth Nation 
201.7 	members;
201.8 	(2) convene a planning circle with White Earth 
201.9 	Nation members to design the tool;
201.10 	(3) provide and expand White Earth 
201.11 	Nation-specific substance use disorder 
201.12 	services; and
201.13 	(4) partner with an academic research 
201.14 	institution to evaluate the efficacy of the 
201.15 	program.
201.16 	(m) Wellness in the Woods. $300,000 in 
201.17 	fiscal year 2024 and $300,000 in fiscal year 
201.18 	2025 are from the general fund for a grant to 
201.19 	Wellness in the Woods for daily peer support 
201.20 	and special sessions for individuals who are 
201.21 	in substance use disorder recovery, are 
201.22 	transitioning out of incarceration, or who have 
201.23 	experienced trauma. These are onetime 
201.24 	appropriations.
201.25 	(n) Base Level Adjustment. The general fund 
201.26 	base is $3,247,000 in fiscal year 2026 and 
201.27 	$3,247,000 in fiscal year 2027.

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

201.29 	Sec. 16. Laws 2023, chapter 70, article 20, section 2, subdivision 29, is amended to read:

201.30
201.31	Subd. 29.Grant Programs; Adult Mental Health 
Grants
 		132,327,000
		121,270,000
	
201.32 	(a) Mobile crisis grants to Tribal Nations. 
201.33 	$1,000,000 in fiscal year 2024 and $1,000,000 
202.1 	in fiscal year 2025 are for mobile crisis grants 
202.2 	under Minnesota Statutes section sections
202.3 	245.4661, subdivision 9, paragraph (b), clause 
202.4 	(15),  and 245.4889, subdivision 1, paragraph 
202.5 	(b), clause (4), to Tribal Nations.
202.6 	(b) Mental health provider supervision 
202.7 	grant program. $1,500,000 in fiscal year 
202.8 	2024 and $1,500,000 in fiscal year 2025 are 
202.9 	for the mental health provider supervision 
202.10 	grant program under Minnesota Statutes, 
202.11 	section 245.4663.
202.12 	(c) Minnesota State University, Mankato 
202.13 	community behavioral health center. 
202.14 	$750,000 in fiscal year 2024 and $750,000 in 
202.15 	fiscal year 2025 are for a grant to the Center 
202.16 	for Rural Behavioral Health at Minnesota State 
202.17 	University, Mankato to establish a community 
202.18 	behavioral health center and training clinic. 
202.19 	The community behavioral health center must 
202.20 	provide comprehensive, culturally specific, 
202.21 	trauma-informed, practice- and 
202.22 	evidence-based, person- and family-centered 
202.23 	mental health and substance use disorder 
202.24 	treatment services in Blue Earth County and 
202.25 	the surrounding region to individuals of all 
202.26 	ages, regardless of an individual's ability to 
202.27 	pay or place of residence. The community 
202.28 	behavioral health center and training clinic 
202.29 	must also provide training and workforce 
202.30 	development opportunities to students enrolled 
202.31 	in the university's training programs in the 
202.32 	fields of social work, counseling and student 
202.33 	personnel, alcohol and drug studies, 
202.34 	psychology, and nursing. Upon request, the 
202.35 	commissioner must make information 
203.1 	regarding the use of this grant funding 
203.2 	available to the chairs and ranking minority 
203.3 	members of the legislative committees with 
203.4 	jurisdiction over behavioral health. This is a 
203.5 	onetime appropriation and is available until 
203.6 	June 30, 2027.
203.7 	(d) White Earth Nation; adult mental health 
203.8 	initiative. $300,000 in fiscal year 2024 and 
203.9 	$300,000 in fiscal year 2025 are for adult 
203.10 	mental health initiative grants to the White 
203.11 	Earth Nation. This is a onetime appropriation.
203.12 	(e) Mobile crisis grants. $8,472,000 in fiscal 
203.13 	year 2024 and $8,380,000 in fiscal year 2025 
203.14 	are for the mobile crisis grants under 
203.15 	Minnesota Statutes, section sections245.4661, 
203.16 	subdivision 9, paragraph (b), clause (15), and 
203.17 	245.4889, subdivision 1, paragraph (b), clause 
203.18 	(4). This is a onetime appropriation and is 
203.19 	available until June 30, 2027.
203.20 	(f) Base level adjustment. The general fund 
203.21 	base is $121,980,000 in fiscal year 2026 and 
203.22 	$121,980,000 in fiscal year 2027.

203.23 	Sec. 17. REIMBURSEMENT TO BELTRAMI COUNTY AND TODD COUNTY 
203.24 	FOR CERTAIN COST OF CARE PAYMENTS.
 203.25 	This act includes $336,680 in fiscal year 2025 for reimbursement of prior payments by 
203.26 	Beltrami County and the forgiveness of existing Beltrami County debt under article 4, 
203.27 	section 8, paragraph (a), and $387,000 in fiscal year 2025 for reimbursement of prior 
203.28 	payments by Todd County and the forgiveness of existing Todd County debt under article 
203.29 	4, section 8, paragraph (b).

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

204.1 	Sec. 18. REVIVAL AND REENACTMENT.
 204.2 	Minnesota Statutes 2022, section 256B.051, subdivision 7, is revived and reenacted 
204.3 	effective retroactively from August 1, 2023. Any time frames within or dependent on the 
204.4 	subdivision are based on the original effective date in Laws 2017, First Special Session 
204.5 	chapter 6, article 2, section 10.

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

204.7 	Sec. 19. APPROPRIATIONS GIVEN EFFECT ONCE.
 204.8 	If an appropriation or transfer in this article is enacted more than once during the 2024 
204.9 	legislative session, the appropriation or transfer must be given effect once.

204.10 	Sec. 20. DIRECTION TO COMMISSIONER OF MANAGEMENT AND BUDGET; 
204.11 	DIRECT CARE AND TREATMENT BUDGET.
 204.12 	The commissioner of management and budget must identify any unexpended 
204.13 	appropriations and all base funding for the Direct Care and Treatment Division of the 
204.14 	Department of Human Services and allocate the identified unexpended appropriations and 
204.15 	base funding to Direct Care and Treatment when establishing the 2026-2027 biennial budget.

204.16 	Sec. 21. REPEALER.
 204.17 	Laws 2023, chapter 25, section 190, subdivision 10, is repealed.

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

204.19 	Sec. 22. EXPIRATION OF UNCODIFIED LANGUAGE.
 204.20 	All uncodified language contained in this article expires on June 30, 2025, unless a 
204.21 	different expiration date is explicit.

204.22 	Sec. 23. EFFECTIVE DATE.
 204.23 	This article is effective July 1, 2024, unless a different effective date is specified.

APPENDIX 

Repealed Minnesota Statutes: S5335-4 

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. 

252.27 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. 

253C.01 REPORTING BY RESIDENTIAL TREATMENT PROGRAMS REQUIRED.Subdivision 1.Definition. 
As used in this section, "residential program" means (1) a hospital-based primary treatment program that provides residential treatment to minors with emotional disturbance as defined by the Comprehensive Children's Mental Health Act in sections 245.487 to 245.4889, or (2) a facility licensed by the state under Minnesota Rules, parts 2960.0580 to 2960.0700, to provide services to minors on a 24-hour basis. 

Subd. 2.Information required. 
Beginning June 1, 1986, each residential program shall collect the information listed in this subdivision. Each residential program shall provide the required information annually on a date to be determined by the commissioner of human services. All residential programs shall report to the commissioner of human services. The summary reports on each program are public data and must contain at least the following information for the period covered by the report: 

(1) number of minors admitted to the program; 

(2) number of minors discharged from the program; 

(3) number of minors served during the reporting period; 

(4) number of minors who remained in residence for less than 30 days; 

(5) number of minors who remained in residence for between 30 and 60 days; 

(6) number of minors who remained in residence for more than 60 days; 

(7) average length of stay of minors in the program; 

(8) number of minors who have received psychotropic medications as part of treatment in the program; 

(9) age, race, and sex of each minor admitted to the program; 

(10) number of minors admitted who have previously had residential treatment; 

(11) number of minors discharged who are on private pay or third-party reimbursement payment and number who are receiving government funds for treatment; 

(12) the county of residence of discharged minors; 

(13) number of admitted minors whose admission is court-ordered; and 

(14) number of beds on a locked unit and number of beds on an unlocked unit. 

Subd. 3.Release and summary of data. 
The reporting requirement of this section must not release individual names of minors or other identifying information. The commissioner of health and the commissioner of human services shall make the reports available to interested persons upon request. 

256.043 OPIATE EPIDEMIC RESPONSE FUND.Subd. 4.Settlement; sunset. 
(a) If the state receives a total sum of $250,000,000: (1) as a result of a settlement agreement or an assurance of discontinuance entered into by the attorney general of the state or resulting from a court order in litigation brought by the attorney general of the state on behalf of the state or a state agency, related to alleged violations of consumer fraud laws in the marketing, sale, or distribution of opioids in this state, or other alleged illegal actions that contributed to the excessive use of opioids; (2) from the fees collected under sections 151.065, subdivisions 1 and 3, and 151.066, that are deposited into the opiate epidemic response fund established in this section; or (3) from a combination of both, the fees specified in section 151.065, subdivisions 1, clause (16), and 3, clause (14), shall be reduced to $5,260, and the opiate registration fee in section 151.066, subdivision 3, shall be repealed. For purposes of this paragraph, any money received as a result of a settlement agreement specified in this paragraph and directly allocated or distributed and received by either the state or a municipality as defined in section 466.01, subdivision 1, shall be counted toward determining when the $250,000,000 is reached. 

(b) The commissioner of management and budget shall inform the Board of Pharmacy, the governor, and the legislature when the amount specified in paragraph (a) has been reached. The board shall apply the reduced license fee for the next licensure period. 

(c) Notwithstanding paragraph (a), the reduction of the license fee in section 151.065, subdivisions 1 and 3, and the repeal of the registration fee in section 151.066 shall not occur before July 1, 2031. 

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.