1.1 	A bill for an act
1.2 	relating to state government; 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, workgroups, and councils; requiring studies and reports; providing 
1.7 	for rulemaking; appropriating money;amending Minnesota Statutes 2022, sections 
1.8 	13.46, subdivisions 1, as amended, 10, as amended; 144G.30, subdivision 5; 
1.9 	144G.63, subdivision 1; 144G.70, subdivision 2; 145.61, subdivision 5; 151.065, 
1.10 	subdivision 7; 245.821, subdivision 1; 245.825, subdivision 1; 245F.08, subdivision 
1.11 	3; 245I.23, subdivision 19a; 246.018, subdivision 3, as amended; 246.13, 
1.12 	subdivision 2, as amended; 246.234, as amended; 246.36, as amended; 246.511, 
1.13 	as amended; 252.27, subdivision 2b; 252.282, subdivision 1, by adding a 
1.14 	subdivision; 254B.01, by adding subdivisions; 256.01, by adding a subdivision; 
1.15 	256.88; 256.89; 256.90; 256.91; 256.92; 256B.02, subdivision 11; 256B.076, by 
1.16 	adding a subdivision; 256B.0911, subdivision 20; 256B.0924, subdivision 3; 
1.17 	256B.49, by adding a subdivision; 256B.69, subdivision 4; 256B.77, subdivision 
1.18 	7a; 256S.07, subdivision 1; 256S.205, subdivisions 2, 3, 5; 447.42, subdivision 1; 
1.19 	Minnesota Statutes 2023 Supplement, sections 10.65, subdivision 2; 13.46, 
1.20 	subdivision 2, as amended; 15.01; 15.06, subdivision 1; 15A.082, subdivisions 1, 
1.21 	3, 7; 43A.08, subdivisions 1, 1a; 245.91, subdivision 4; 245G.07, subdivision 2; 
1.22 	245I.04, subdivision 19; 246C.01; 246C.02, as amended; 246C.04, as amended; 
1.23 	246C.05, as amended; 253B.10, subdivision 1, as amended; 254B.05, subdivisions 
1.24 	1, 5; 256.043, subdivision 3; 256B.0911, subdivision 13; 256B.092, subdivision 
1.25 	1a; 256B.0949, subdivision 15; 256B.49, subdivision 13; 256R.55; 270B.14, 
1.26 	subdivision 1; Laws 2023, chapter 61, article 1, section 67, subdivision 3; article 
1.27 	4, section 11; article 8, sections 1; 2; 3; 8; article 9, section 2, subdivisions 5, 14, 
1.28 	16, as amended, 18; Laws 2023, chapter 70, article 20, section 16, subdivision 2; 
1.29 	Laws 2024, chapter 79, article 1, sections 18; 23; 24; 25, subdivision 3; article 10, 
1.30 	sections 1; 6; proposing coding for new law in Minnesota Statutes, chapters 144G; 
1.31 	246C; 254B; 256; 256B; 462A; repealing Minnesota Statutes 2022, sections 246.41; 
1.32 	252.021; 252.27, subdivisions 1a, 2, 3, 4a, 5, 6; 256.043, subdivision 4; 256S.205, 
1.33 	subdivision 4; Minnesota Statutes 2023 Supplement, sections 246C.03; 252.27, 
1.34 	subdivision 2a; Laws 2023, chapter 25, section 190, subdivision 10.
2.1 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

2.2 	ARTICLE 1
2.3 	DISABILITY SERVICES

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

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

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

8.11 	Sec. 4. Minnesota Statutes 2022, section 246.511, as amended by Laws 2024, chapter 79, 
8.12 	article 2, section 39, is amended to read:
8.13 	246.511 RELATIVE RESPONSIBILITY.
8.14 	Except for substance use disorder services paid for with money provided under chapter 
8.15 	254B, the executive board must not require under section 246.51 a client's relatives to pay 
8.16 	more than the following: (1) for services provided in a community-based service, the 
8.17 	noncovered cost of care as determined under the ability to pay determination; and (2) for 
8.18 	services provided at a regional treatment center operated by state-operated services, 20 
8.19 	percent of the cost of care, unless the relatives reside outside the state. The executive board 
8.20 	must determine the responsibility of parents of children in state facilities to pay according 
8.21 	to section 252.27, subdivision 2, or in rules adopted under chapter 254B if the cost of care 
8.22 	is paid under chapter 254B. The executive board may accept voluntary payments in excess 
8.23 	of 20 percent. The executive board may require full payment of the full per capita cost of 
8.24 	care in state facilities for clients whose parent, parents, spouse, guardian, or conservator do 
8.25 	not reside in Minnesota.

8.26 	Sec. 5. Minnesota Statutes 2022, section 252.27, subdivision 2b, is amended to read:
8.27 		Subd. 2b.Child's responsibility Parental or guardian reimbursement to counties. (a) 
8.28 	Parental or guardian responsibility of for the child for the child's cost of care incurred by 
8.29 	counties shall be up to the maximum amount of the total income and resources attributed 
8.30 	to the child except for the clothing and personal needs allowance as provided in section 
8.31 	256B.35, subdivision 1. Reimbursement by the parents and child or guardians residing 
8.32 	outside of Minnesota shall be made to the county making any payments for services. The 
9.1 	county board may require payment of the full cost of caring for children whose parents or 
9.2 	guardians do not reside in this state.
9.3 	(b) To the extent that a child described in subdivision 1 is eligible for benefits under 
9.4 	chapter 62A, 62C, 62D, 62E, or 64B, the county is not liable for the cost of services.

9.5 	Sec. 6. Minnesota Statutes 2022, section 252.282, subdivision 1, is amended to read:
9.6 		Subdivision 1.Host county responsibility. (a) For purposes of this section, "local system 
9.7 	needs planning" means the determination of need for ICF/DD services by program type, 
9.8 	location, demographics, and size of licensed services for persons with developmental 
9.9 	disabilities or related conditions.
9.10 	(b) (a) This section does not apply to semi-independent living services and 
9.11 	residential-based habilitation services funded as home and community-based services.
9.12 	(c) (b) In collaboration with the commissioner and ICF/DD providers, counties shall 
9.13 	complete a local system needs planning process for each ICF/DD facility. Counties shall 
9.14 	evaluate the preferences and needs of persons with developmental disabilities to determine 
9.15 	resource demands through a systematic assessment and planning process by May 15, 2000, 
9.16 	and by July 1 every two years thereafter beginning in 2001.
9.17 	(d) (c) A local system needs planning process shall be undertaken more frequently when 
9.18 	the needs or preferences of consumers change significantly to require reformation of the 
9.19 	resources available to persons with developmental disabilities.
9.20 	(e) (d) A local system needs plan shall be amended anytime recommendations for 
9.21 	modifications to existing ICF/DD services are made to the host county, including 
9.22 	recommendations for:
9.23 	(1) closure;
9.24 	(2) relocation of services;
9.25 	(3) downsizing; or
9.26 	(4) modification of existing services for which a change in the framework of service 
9.27 	delivery is advocated.

9.28 	Sec. 7. Minnesota Statutes 2022, section 252.282, is amended by adding a subdivision to 
9.29 	read:
9.30 		Subd. 1a.Definitions. (a) For purposes of this section, the terms in this subdivision have 
9.31 	the meanings given.
10.1 	(b) "Local system needs planning" means the determination of need for ICF/DD services 
10.2 	by program type, location, demographics, and size of licensed services for persons with 
10.3 	developmental disabilities or related conditions.
10.4 	(c) "Related condition" has the meaning given in section 256B.02, subdivision 11.

10.5 	Sec. 8. Minnesota Statutes 2022, section 256B.02, subdivision 11, is amended to read:
10.6 		Subd. 11.Related condition. "Related condition" means that condition defined in section 
10.7 	252.27, subdivision 1a. a condition:
10.8 	(1) that is found to be closely related to a developmental disability, including but not 
10.9 	limited to cerebral palsy, epilepsy, autism, fetal alcohol spectrum disorder, and Prader-Willi 
10.10 	syndrome; and
10.11 	(2) that meets all of the following criteria:
10.12 	(i) is severe and chronic;
10.13 	(ii) results in impairment of general intellectual functioning or adaptive behavior similar 
10.14 	to that of persons with developmental disabilities;
10.15 	(iii) requires treatment or services similar to those required for persons with 
10.16 	developmental disabilities;
10.17 	(iv) is manifested before the person reaches 22 years of age;
10.18 	(v) is likely to continue indefinitely;
10.19 	(vi) results in substantial functional limitations in three or more of the following areas 
10.20 	of major life activity:
10.21 	(A) self-care;
10.22 	(B) understanding and use of language;
10.23 	(C) learning;
10.24 	(D) mobility;
10.25 	(E) self-direction; or
10.26 	(F) capacity for independent living; and
10.27 	(vii) is not attributable to mental illness as defined in section 245.462, subdivision 20, 
10.28 	or an emotional disturbance as defined in section 245.4871, subdivision 15. For purposes 
10.29 	of this item, notwithstanding section 245.462, subdivision 20, or 245.4871, subdivision 15, 
10.30 	mental illness does not include autism or other pervasive developmental disorders.

11.1 	Sec. 9. Minnesota Statutes 2022, section 256B.076, is amended by adding a subdivision 
11.2 	to read:
11.3 		Subd. 4.Case management provided under contract. If a county agency provides 
11.4 	case management under contracts with other individuals or agencies, the county agency 
11.5 	must initiate a competitive proposal process for the procurement of contracted case 
11.6 	management services at least every two years. The competitive proposal process must 
11.7 	include evaluation criteria to ensure that the county maintains a culturally specific program 
11.8 	for case management services, as defined in section 256B.076, subdivision 3, adequate to 
11.9 	meet the needs of the population of the county.

11.10 	EFFECTIVE DATE. This section is effective August 1, 2024, and applies to contracts 
11.11 	entered into or renewed on or after that date.

11.12 	Sec. 10. Minnesota Statutes 2023 Supplement, section 256B.0911, subdivision 13, is 
11.13 	amended to read:
11.14 		Subd. 13.MnCHOICES assessor qualifications, training, and certification. (a) The 
11.15 	commissioner shall develop and implement a curriculum and an assessor certification 
11.16 	process.
11.17 	(b) MnCHOICES certified assessors must:
11.18 	(1) either have a bachelor's degree in social work, nursing with a public health nursing 
11.19 	certificate, or other closely related field or be a registered nurse with at least two years of 
11.20 	home and community-based experience; and
11.21 	(2) have received training and certification specific to assessment and consultation for 
11.22 	long-term care services in the state.
11.23 	(c) Certified assessors shall demonstrate best practices in assessment and support 
11.24 	planning, including person-centered planning principles, and have a common set of skills 
11.25 	that ensures consistency and equitable access to services statewide.
11.26 	(d) Certified assessors must be recertified every three years.

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

11.28 	Sec. 11. Minnesota Statutes 2022, section 256B.0911, subdivision 20, is amended to read:
11.29 		Subd. 20.MnCHOICES assessments; duration of validity. (a) An assessment that is 
11.30 	completed as part of an eligibility determination for multiple programs for the alternative 
11.31 	care, elderly waiver, developmental disabilities, community access for disability inclusion, 
12.1 	community alternative care, and brain injury waiver programs under chapter 256S and 
12.2 	sections 256B.0913, 256B.092, and 256B.49 is valid to establish service eligibility for no 
12.3 	more than 60 calendar 365 days after the date of the assessment.
12.4 	(b) The effective eligibility start date for programs in paragraph (a) can never be prior 
12.5 	to the date of assessment. If an assessment was completed more than 60 days before the 
12.6 	effective waiver or alternative care program eligibility start date, assessment and support 
12.7 	plan information must be updated and documented in the department's Medicaid Management 
12.8 	Information System (MMIS). Notwithstanding retroactive medical assistance coverage of 
12.9 	state plan services, the effective date of eligibility for programs included in paragraph (a) 
12.10 	cannot be prior to the completion date of the most recent updated assessment.
12.11 	(c) If an eligibility update is completed within 90 days of the previous assessment and 
12.12 	documented in the department's Medicaid Management Information System (MMIS), the 
12.13 	effective date of eligibility for programs included in paragraph (a) is the date of the previous 
12.14 	in-person assessment when all other eligibility requirements are met.

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

12.16 	Sec. 12. Minnesota Statutes 2023 Supplement, section 256B.092, subdivision 1a, is 
12.17 	amended to read:
12.18 		Subd. 1a.Case management services. (a) Each recipient of a home and community-based 
12.19 	waiver shall be provided case management services by qualified vendors as described in 
12.20 	the federally approved waiver application.
12.21 	(b) Case management service activities provided to or arranged for a person include:
12.22 	(1) development of the person-centered support plan under subdivision 1b;
12.23 	(2) informing the individual or the individual's legal guardian or conservator, or parent 
12.24 	if the person is a minor, of service options, including all service options available under the 
12.25 	waiver plan;
12.26 	(3) consulting with relevant medical experts or service providers;
12.27 	(4) assisting the person in the identification of potential providers of chosen services, 
12.28 	including:
12.29 	(i) providers of services provided in a non-disability-specific setting;
12.30 	(ii) employment service providers;
12.31 	(iii) providers of services provided in settings that are not controlled by a provider; and
13.1 	(iv) providers of financial management services;
13.2 	(5) assisting the person to access services and assisting in appeals under section 256.045;
13.3 	(6) coordination of services, if coordination is not provided by another service provider;
13.4 	(7) evaluation and monitoring of the services identified in the support plan, which must 
13.5 	incorporate at least one annual face-to-face visit by the case manager with each person; and
13.6 	(8) reviewing support plans and providing the lead agency with recommendations for 
13.7 	service authorization based upon the individual's needs identified in the support plan.
13.8 	(c) Case management service activities that are provided to the person with a 
13.9 	developmental disability shall be provided directly by county agencies or under contract. 
13.10 	If a county agency contracts for case management services, the county agency must provide 
13.11 	each recipient of home and community-based services who is receiving contracted case 
13.12 	management services with the contact information the recipient may use to file a grievance 
13.13 	with the county agency about the quality of the contracted services the recipient is receiving 
13.14 	from a county-contracted case manager. If a county agency provides case management 
13.15 	under contracts with other individuals or agencies, the county agency must initiate a 
13.16 	competitive proposal process for the procurement of contracted case management services 
13.17 	at least every two years. The competitive proposal process must include evaluation criteria 
13.18 	to ensure that the county maintains a culturally specific program for case management 
13.19 	services, as defined in section 256B.076, subdivision 3, adequate to meet the needs of the 
13.20 	population of the county.
13.21 	(d) Case management services must be provided by a public or private agency that is 
13.22 	enrolled as a medical assistance provider determined by the commissioner to meet all of 
13.23 	the requirements in the approved federal waiver plans. Case management services must not 
13.24 	be provided to a recipient by a private agency that has a financial interest in the provision 
13.25 	of any other services included in the recipient's support plan. For purposes of this section, 
13.26 	"private agency" means any agency that is not identified as a lead agency under section 
13.27 	256B.0911, subdivision 10.
13.28 	(d) (e) Case managers are responsible for service provisions listed in paragraphs (a) and 
13.29 	(b). Case managers shall collaborate with consumers, families, legal representatives, and 
13.30 	relevant medical experts and service providers in the development and annual review of the 
13.31 	person-centered support plan and habilitation plan.
13.32 	(e) (f) For persons who need a positive support transition plan as required in chapter 
13.33 	245D, the case manager shall participate in the development and ongoing evaluation of the 
14.1 	plan with the expanded support team. At least quarterly, the case manager, in consultation 
14.2 	with the expanded support team, shall evaluate the effectiveness of the plan based on progress 
14.3 	evaluation data submitted by the licensed provider to the case manager. The evaluation must 
14.4 	identify whether the plan has been developed and implemented in a manner to achieve the 
14.5 	following within the required timelines:
14.6 	(1) phasing out the use of prohibited procedures;
14.7 	(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's 
14.8 	timeline; and
14.9 	(3) accomplishment of identified outcomes.
14.10 	If adequate progress is not being made, the case manager shall consult with the person's 
14.11 	expanded support team to identify needed modifications and whether additional professional 
14.12 	support is required to provide consultation.
14.13 	(f) (g) The Department of Human Services shall offer ongoing education in case 
14.14 	management to case managers. Case managers shall receive no less than 20 hours of case 
14.15 	management education and disability-related training each year. The education and training 
14.16 	must include person-centered planning, informed choice, cultural competency, employment 
14.17 	planning, community living planning, self-direction options, and use of technology supports. 
14.18 	By August 1, 2024, all case managers must complete an employment support training course 
14.19 	identified by the commissioner of human services. For case managers hired after August 
14.20 	1, 2024, this training must be completed within the first six months of providing case 
14.21 	management services. For the purposes of this section, "person-centered planning" or 
14.22 	"person-centered" has the meaning given in section 256B.0911, subdivision 10. Case 
14.23 	managers must document completion of training in a system identified by the commissioner.

14.24 	EFFECTIVE DATE. This section is effective August 1, 2024, and applies to contracts 
14.25 	entered into or renewed on or after that date.

14.26 	Sec. 13. Minnesota Statutes 2022, section 256B.0924, subdivision 3, is amended to read:
14.27 		Subd. 3.Eligibility. Persons are eligible to receive targeted case management services 
14.28 	under this section if the requirements in paragraphs (a) and (b) are met.
14.29 	(a) The person must be assessed and determined by the local county agency to:
14.30 	(1) be age 18 or older;
14.31 	(2) be receiving medical assistance;
14.32 	(3) have significant functional limitations; and
15.1 	(4) be in need of service coordination to attain or maintain living in an integrated 
15.2 	community setting.
15.3 	(b) The person must be a vulnerable adult in need of adult protection as defined in section 
15.4 	626.5572, or is an adult with a developmental disability as defined in section 252A.02, 
15.5 	subdivision 2, or a related condition as defined in section 252.27, subdivision 1a 256B.02, 
15.6 	subdivision 11, and is not receiving home and community-based waiver services, or is an 
15.7 	adult who lacks a permanent residence and who has been without a permanent residence 
15.8 	for at least one year or on at least four occasions in the last three years.

15.9 	Sec. 14. Minnesota Statutes 2023 Supplement, section 256B.0949, subdivision 15, is 
15.10 	amended to read:
15.11 		Subd. 15.EIDBI provider qualifications. (a) A QSP must be employed by an agency 
15.12 	and be:
15.13 	(1) a licensed mental health professional who has at least 2,000 hours of supervised 
15.14 	clinical experience or training in examining or treating people with ASD or a related condition 
15.15 	or equivalent documented coursework at the graduate level by an accredited university in 
15.16 	ASD diagnostics, ASD developmental and behavioral treatment strategies, and typical child 
15.17 	development; or
15.18 	(2) a developmental or behavioral pediatrician who has at least 2,000 hours of supervised 
15.19 	clinical experience or training in examining or treating people with ASD or a related condition 
15.20 	or equivalent documented coursework at the graduate level by an accredited university in 
15.21 	the areas of ASD diagnostics, ASD developmental and behavioral treatment strategies, and 
15.22 	typical child development.
15.23 	(b) A level I treatment provider must be employed by an agency and:
15.24 	(1) have at least 2,000 hours of supervised clinical experience or training in examining 
15.25 	or treating people with ASD or a related condition or equivalent documented coursework 
15.26 	at the graduate level by an accredited university in ASD diagnostics, ASD developmental 
15.27 	and behavioral treatment strategies, and typical child development or an equivalent 
15.28 	combination of documented coursework or hours of experience; and
15.29 	(2) have or be at least one of the following:
15.30 	(i) a master's degree in behavioral health or child development or related fields including, 
15.31 	but not limited to, mental health, special education, social work, psychology, speech 
15.32 	pathology, or occupational therapy from an accredited college or university;
16.1 	(ii) a bachelor's degree in a behavioral health, child development, or related field 
16.2 	including, but not limited to, mental health, special education, social work, psychology, 
16.3 	speech pathology, or occupational therapy, from an accredited college or university, and 
16.4 	advanced certification in a treatment modality recognized by the department;
16.5 	(iii) a board-certified behavior analyst as defined by the Behavior Analyst Certification 
16.6 	Board or a qualified behavior analyst as defined by the Qualified Applied Behavior Analysis 
16.7 	Credentialing Board; or
16.8 	(iv) a board-certified assistant behavior analyst with 4,000 hours of supervised clinical 
16.9 	experience that meets all registration, supervision, and continuing education requirements 
16.10 	of the certification.
16.11 	(c) A level II treatment provider must be employed by an agency and must be:
16.12 	(1) a person who has a bachelor's degree from an accredited college or university in a 
16.13 	behavioral or child development science or related field including, but not limited to, mental 
16.14 	health, special education, social work, psychology, speech pathology, or occupational 
16.15 	therapy; and meets at least one of the following:
16.16 	(i) has at least 1,000 hours of supervised clinical experience or training in examining or 
16.17 	treating people with ASD or a related condition or equivalent documented coursework at 
16.18 	the graduate level by an accredited university in ASD diagnostics, ASD developmental and 
16.19 	behavioral treatment strategies, and typical child development or a combination of 
16.20 	coursework or hours of experience;
16.21 	(ii) has certification as a board-certified assistant behavior analyst from the Behavior 
16.22 	Analyst Certification Board or a qualified autism service practitioner from the Qualified 
16.23 	Applied Behavior Analysis Credentialing Board;
16.24 	(iii) is a registered behavior technician as defined by the Behavior Analyst Certification 
16.25 	Board or an applied behavior analysis technician as defined by the Qualified Applied 
16.26 	Behavior Analysis Credentialing Board; or
16.27 	(iv) is certified in one of the other treatment modalities recognized by the department; 
16.28 	or
16.29 	(2) a person who has:
16.30 	(i) an associate's degree in a behavioral or child development science or related field 
16.31 	including, but not limited to, mental health, special education, social work, psychology, 
16.32 	speech pathology, or occupational therapy from an accredited college or university; and
17.1 	(ii) at least 2,000 hours of supervised clinical experience in delivering treatment to people 
17.2 	with ASD or a related condition. Hours worked as a mental health behavioral aide or level 
17.3 	III treatment provider may be included in the required hours of experience; or
17.4 	(3) a person who has at least 4,000 hours of supervised clinical experience in delivering 
17.5 	treatment to people with ASD or a related condition. Hours worked as a mental health 
17.6 	behavioral aide or level III treatment provider may be included in the required hours of 
17.7 	experience; or
17.8 	(4) a person who is a graduate student in a behavioral science, child development science, 
17.9 	or related field and is receiving clinical supervision by a QSP affiliated with an agency to 
17.10 	meet the clinical training requirements for experience and training with people with ASD 
17.11 	or a related condition; or
17.12 	(5) a person who is at least 18 years of age and who:
17.13 	(i) is fluent in a non-English language or is an individual certified by a Tribal Nation;
17.14 	(ii) completed the level III EIDBI training requirements; and
17.15 	(iii) receives observation and direction from a QSP or level I treatment provider at least 
17.16 	once a week until the person meets 1,000 hours of supervised clinical experience.
17.17 	(d) A level III treatment provider must be employed by an agency, have completed the 
17.18 	level III training requirement, be at least 18 years of age, and have at least one of the 
17.19 	following:
17.20 	(1) a high school diploma or commissioner of education-selected high school equivalency 
17.21 	certification;
17.22 	(2) fluency in a non-English language or Tribal Nation certification;
17.23 	(3) one year of experience as a primary personal care assistant, community health worker, 
17.24 	waiver service provider, or special education assistant to a person with ASD or a related 
17.25 	condition within the previous five years; or
17.26 	(4) completion of all required EIDBI training within six months of employment.

17.27 	Sec. 15. Minnesota Statutes 2023 Supplement, section 256B.49, subdivision 13, is amended 
17.28 	to read:
17.29 		Subd. 13.Case management. (a) Each recipient of a home and community-based waiver 
17.30 	shall be provided case management services by qualified vendors as described in the federally 
17.31 	approved waiver application. The case management service activities provided must include:
18.1 	(1) finalizing the person-centered written support plan within the timelines established 
18.2 	by the commissioner and section 256B.0911, subdivision 29;
18.3 	(2) informing the recipient or the recipient's legal guardian or conservator of service 
18.4 	options, including all service options available under the waiver plans;
18.5 	(3) assisting the recipient in the identification of potential service providers of chosen 
18.6 	services, including:
18.7 	(i) available options for case management service and providers;
18.8 	(ii) providers of services provided in a non-disability-specific setting;
18.9 	(iii) employment service providers;
18.10 	(iv) providers of services provided in settings that are not community residential settings; 
18.11 	and
18.12 	(v) providers of financial management services;
18.13 	(4) assisting the recipient to access services and assisting with appeals under section 
18.14 	256.045; and
18.15 	(5) coordinating, evaluating, and monitoring of the services identified in the service 
18.16 	plan.
18.17 	(b) The case manager may delegate certain aspects of the case management service 
18.18 	activities to another individual provided there is oversight by the case manager. The case 
18.19 	manager may not delegate those aspects which require professional judgment including:
18.20 	(1) finalizing the person-centered support plan;
18.21 	(2) ongoing assessment and monitoring of the person's needs and adequacy of the 
18.22 	approved person-centered support plan; and
18.23 	(3) adjustments to the person-centered support plan.
18.24 	(c) Case management services must be provided by a public or private agency that is 
18.25 	enrolled as a medical assistance provider determined by the commissioner to meet all of 
18.26 	the requirements in the approved federal waiver plans. If a county agency provides case 
18.27 	management under contracts with other individuals or agencies, the county agency must 
18.28 	initiate a competitive proposal process for the procurement of contracted case management 
18.29 	services at least every two years. The competitive proposal process must include evaluation 
18.30 	criteria to ensure that the county maintains a culturally specific program for case management 
19.1 	services, as defined in section 256B.076, subdivision 3, adequate to meet the needs of the 
19.2 	population of the county.
19.3 	(d) Case management services must not be provided to a recipient by a private agency 
19.4 	that has any financial interest in the provision of any other services included in the recipient's 
19.5 	support plan. For purposes of this section, "private agency" means any agency that is not 
19.6 	identified as a lead agency under section 256B.0911, subdivision 10.
19.7 	(d) (e) For persons who need a positive support transition plan as required in chapter 
19.8 	245D, the case manager shall participate in the development and ongoing evaluation of the 
19.9 	plan with the expanded support team. At least quarterly, the case manager, in consultation 
19.10 	with the expanded support team, shall evaluate the effectiveness of the plan based on progress 
19.11 	evaluation data submitted by the licensed provider to the case manager. The evaluation must 
19.12 	identify whether the plan has been developed and implemented in a manner to achieve the 
19.13 	following within the required timelines:
19.14 	(1) phasing out the use of prohibited procedures;
19.15 	(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's 
19.16 	timeline; and
19.17 	(3) accomplishment of identified outcomes.
19.18 	If adequate progress is not being made, the case manager shall consult with the person's 
19.19 	expanded support team to identify needed modifications and whether additional professional 
19.20 	support is required to provide consultation.
19.21 	(e) (f) The Department of Human Services shall offer ongoing education in case 
19.22 	management to case managers. Case managers shall receive no less than 20 hours of case 
19.23 	management education and disability-related training each year. The education and training 
19.24 	must include person-centered planning, informed choice, cultural competency, employment 
19.25 	planning, community living planning, self-direction options, and use of technology supports. 
19.26 	By August 1, 2024, all case managers must complete an employment support training course 
19.27 	identified by the commissioner of human services. For case managers hired after August 
19.28 	1, 2024, this training must be completed within the first six months of providing case 
19.29 	management services. For the purposes of this section, "person-centered planning" or 
19.30 	"person-centered" has the meaning given in section 256B.0911, subdivision 10. Case 
19.31 	managers shall document completion of training in a system identified by the commissioner.

19.32 	EFFECTIVE DATE. This section is effective August 1, 2024, and applies to contracts 
19.33 	entered into or renewed on or after that date.

20.1 	Sec. 16. Minnesota Statutes 2022, section 256B.77, subdivision 7a, is amended to read:
20.2 		Subd. 7a.Eligible individuals. (a) Persons are eligible for the demonstration project as 
20.3 	provided in this subdivision.
20.4 	(b) "Eligible individuals" means those persons living in the demonstration site who are 
20.5 	eligible for medical assistance and are disabled based on a disability determination under 
20.6 	section 256B.055, subdivisions 7 and 12, or who are eligible for medical assistance and 
20.7 	have been diagnosed as having:
20.8 	(1) serious and persistent mental illness as defined in section 245.462, subdivision 20;
20.9 	(2) severe emotional disturbance as defined in section 245.4871, subdivision 6; or
20.10 	(3) developmental disability, or being a person with a developmental disability as defined 
20.11 	in section 252A.02, or a related condition as defined in section 252.27, subdivision 1a
20.12 	256B.02, subdivision 11.
20.13 	Other individuals may be included at the option of the county authority based on agreement 
20.14 	with the commissioner.
20.15 	(c) Eligible individuals include individuals in excluded time status, as defined in chapter 
20.16 	256G. Enrollees in excluded time at the time of enrollment shall remain in excluded time 
20.17 	status as long as they live in the demonstration site and shall be eligible for 90 days after 
20.18 	placement outside the demonstration site if they move to excluded time status in a county 
20.19 	within Minnesota other than their county of financial responsibility.
20.20 	(d) A person who is a sexual psychopathic personality as defined in section 253D.02, 
20.21 	subdivision 15, or a sexually dangerous person as defined in section 253D.02, subdivision 
20.22 	16, is excluded from enrollment in the demonstration project.

20.23 	Sec. 17. Minnesota Statutes 2022, section 256S.07, subdivision 1, is amended to read:
20.24 		Subdivision 1.Elderly waiver case management provided by counties and tribes. (a) 
20.25 	For participants not enrolled in a managed care organization, the county of residence or 
20.26 	tribe must provide or arrange to provide elderly waiver case management activities under 
20.27 	section 256S.09, subdivisions 2 and 3.
20.28 	(b) If a county agency provides case management under contracts with other individuals 
20.29 	or agencies, the county agency must initiate a competitive proposal process for the 
20.30 	procurement of contracted case management services at least every two years. The 
20.31 	competitive proposal process must include evaluation criteria to ensure that the county 
21.1 	maintains a culturally specific program for case management services, as defined in section 
21.2 	256B.076, subdivision 3, adequate to meet the needs of the population of the county.

21.3 	EFFECTIVE DATE. This section is effective August 1, 2024, and applies to contracts 
21.4 	entered into or renewed on or after that date.

21.5 	Sec. 18. Minnesota Statutes 2023 Supplement, section 270B.14, subdivision 1, is amended 
21.6 	to read:
21.7 		Subdivision 1.Disclosure to commissioner of human services. (a) On the request of 
21.8 	the commissioner of human services, the commissioner shall disclose return information 
21.9 	regarding taxes imposed by chapter 290, and claims for refunds under chapter 290A, to the 
21.10 	extent provided in paragraph (b) and for the purposes set forth in paragraph (c).
21.11 	(b) Data that may be disclosed are limited to data relating to the identity, whereabouts, 
21.12 	employment, income, and property of a person owing or alleged to be owing an obligation 
21.13 	of child support.
21.14 	(c) The commissioner of human services may request data only for the purposes of 
21.15 	carrying out the child support enforcement program and to assist in the location of parents 
21.16 	who have, or appear to have, deserted their children. Data received may be used only as set 
21.17 	forth in section 256.978.
21.18 	(d) The commissioner shall provide the records and information necessary to administer 
21.19 	the supplemental housing allowance to the commissioner of human services.
21.20 	(e) At the request of the commissioner of human services, the commissioner of revenue 
21.21 	shall electronically match the Social Security or individual taxpayer identification numbers 
21.22 	and names of participants in the telephone assistance plan operated under sections 237.69
21.23 	to 237.71, with those of property tax refund filers under chapter 290A or renter's credit filers 
21.24 	under section 290.0693, and determine whether each participant's household income is 
21.25 	within the eligibility standards for the telephone assistance plan.
21.26 	(f) The commissioner may provide records and information collected under sections 
21.27 	295.50 to 295.59 to the commissioner of human services for purposes of the Medicaid 
21.28 	Voluntary Contribution and Provider-Specific Tax Amendments of 1991, Public Law 
21.29 	102-234. Upon the written agreement by the United States Department of Health and Human 
21.30 	Services to maintain the confidentiality of the data, the commissioner may provide records 
21.31 	and information collected under sections 295.50 to 295.59 to the Centers for Medicare and 
21.32 	Medicaid Services section of the United States Department of Health and Human Services 
21.33 	for purposes of meeting federal reporting requirements.
22.1 	(g) The commissioner may provide records and information to the commissioner of 
22.2 	human services as necessary to administer the early refund of refundable tax credits.
22.3 	(h) The commissioner may disclose information to the commissioner of human services 
22.4 	as necessary for income verification for eligibility and premium payment under the 
22.5 	MinnesotaCare program, under section 256L.05, subdivision 2, as well as the medical 
22.6 	assistance program under chapter 256B.
22.7 	(i) The commissioner may disclose information to the commissioner of human services 
22.8 	necessary to verify whether applicants or recipients for the Minnesota family investment 
22.9 	program, general assistance, the Supplemental Nutrition Assistance Program (SNAP), 
22.10 	Minnesota supplemental aid program, and child care assistance have claimed refundable 
22.11 	tax credits under chapter 290 and the property tax refund under chapter 290A, and the 
22.12 	amounts of the credits.
22.13 	(j) The commissioner may disclose information to the commissioner of human services 
22.14 	necessary to verify income for purposes of calculating parental contribution amounts under 
22.15 	section 252.27, subdivision 2a.
22.16 	(k) (j) At the request of the commissioner of human services and when authorized in 
22.17 	writing by the taxpayer, the commissioner of revenue may match the business legal name 
22.18 	or individual legal name, and the Minnesota tax identification number, federal Employer 
22.19 	Identification Number, or Social Security number of the applicant under section 245A.04, 
22.20 	subdivision 1; 245I.20; or 245H.03; or license or certification holder. The commissioner of 
22.21 	revenue may share the matching with the commissioner of human services. The matching 
22.22 	may only be used by the commissioner of human services to determine eligibility for provider 
22.23 	grant programs and to facilitate the regulatory oversight of license and certification holders 
22.24 	as it relates to ownership and public funds program integrity. This paragraph applies only 
22.25 	if the commissioner of human services and the commissioner of revenue enter into an 
22.26 	interagency agreement for the purposes of this paragraph.

22.27 	Sec. 19. Minnesota Statutes 2022, section 447.42, subdivision 1, is amended to read:
22.28 		Subdivision 1.Establishment. Notwithstanding any provision of Minnesota Statutes 
22.29 	to the contrary, any city, county, town, or nonprofit corporation approved by the 
22.30 	commissioner of human services, or any combination of them may establish and operate a 
22.31 	community residential facility for persons with developmental disabilities or related 
22.32 	conditions, as defined in section 252.27, subdivision 1a 256B.02, subdivision 11.

23.1 	Sec. 20. Laws 2023, chapter 61, article 1, section 67, subdivision 3, is amended to read:
23.2 		Subd. 3.Evaluation and report. (a) The Metropolitan Center for Independent Living 
23.3 	must contract with a third party to evaluate the pilot project's impact on health care costs, 
23.4 	retention of personal care assistants, and patients' and providers' satisfaction of care. The 
23.5 	evaluation must include the number of participants, the hours of care provided by participants, 
23.6 	and the retention of participants from semester to semester.
23.7 	(b) By January 15, 2025 2026, the Metropolitan Center for Independent Living must 
23.8 	report the findings under paragraph (a) to the chairs and ranking minority members of the 
23.9 	legislative committees with jurisdiction over human services finance and policy.

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

23.11 	Sec. 21. Laws 2023, chapter 61, article 9, section 2, subdivision 5, is amended to read:

23.12
23.13	Subd. 5.Central Office; Aging and Disability 
Services
 		40,115,000
		11,995,000
	
23.14 	(a) Employment Supports Alignment Study.
23.15 	$50,000 in fiscal year 2024 and $200,000 in 
23.16 	fiscal year 2025 are to conduct an interagency 
23.17 	employment supports alignment study. The 
23.18 	base for this appropriation is $150,000 in fiscal 
23.19 	year 2026 and $100,000 in fiscal year 2027.
23.20 	(b) Case Management Training 
23.21 	Curriculum. $377,000 in fiscal year 2024 and 
23.22 	$377,000 in fiscal year 2025 are to develop 
23.23 	and implement a curriculum and training plan 
23.24 	to ensure all lead agency assessors and case 
23.25 	managers have the knowledge and skills 
23.26 	necessary to fulfill support planning and 
23.27 	coordination responsibilities for individuals 
23.28 	who use home and community-based disability 
23.29 	services and live in own-home settings. This 
23.30 	is a onetime appropriation.
23.31 	(c) Office of Ombudsperson for Long-Term 
23.32 	Care. $875,000 in fiscal year 2024 and 
23.33 	$875,000 in fiscal year 2025 are for additional 
24.1 	staff and associated direct costs in the Office 
24.2 	of Ombudsperson for Long-Term Care.
24.3 	(d) Direct Care Services Corps Pilot Project.
24.4 	$500,000 in fiscal year 2024 is from the 
24.5 	general fund for a grant to the Metropolitan 
24.6 	Center for Independent Living for the direct 
24.7 	care services corps pilot project. Up to $25,000 
24.8 	may be used by the Metropolitan Center for 
24.9 	Independent Living for administrative costs. 
24.10 	This is a onetime appropriation and is 
24.11 	available until June 30, 2026.
24.12 	(e) Research on Access to Long-Term Care 
24.13 	Services and Financing. Any unexpended 
24.14 	amount of the fiscal year 2023 appropriation 
24.15 	referenced in Laws 2021, First Special Session 
24.16 	chapter 7, article 17, section 16, estimated to 
24.17 	be $300,000, is canceled. The amount canceled 
24.18 	is appropriated in fiscal year 2024 for the same 
24.19 	purpose.
24.20 	(f) Native American Elder Coordinator.
24.21 	$441,000 in fiscal year 2024 and $441,000 in 
24.22 	fiscal year 2025 are for the Native American 
24.23 	elder coordinator position under Minnesota 
24.24 	Statutes, section 256.975, subdivision 6.
24.25 	(g) Grant Administration Carryforward.
24.26 	(1) Of this amount, $8,154,000 in fiscal year 
24.27 	2024 is available until June 30, 2027.
24.28 	(2) Of this amount, $1,071,000 in fiscal year 
24.29 	2025 is available until June 30, 2027.
24.30 	(3) Of this amount, $19,000,000 in fiscal year 
24.31 	2024 is available until June 30, 2029.
24.32 	(h) Base Level Adjustment. The general fund 
24.33 	base is increased by $8,189,000 in fiscal year 
25.1 	2026 and increased by $8,093,000 in fiscal 
25.2 	year 2027.

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

25.4 	Sec. 22. HOME CARE AND COMMUNITY FIRST SERVICES AND SUPPORTS 
25.5 	HOSPITAL TRANSITION MEDICAL ASSISTANCE BENEFIT.
 25.6 	(a) The commissioner of human services must develop a Medicaid state plan service for 
25.7 	people eligible for home care services under Minnesota Statutes, section 256B.0651, and 
25.8 	community first services and supports under Minnesota Statutes, section 256B.85, for the 
25.9 	purpose of providing support during an acute care hospital stay, as authorized under United 
25.10 	States Code, title 42, section 1396a(h).
25.11 	(b) By January 1, 2025, the commissioner must report to the chairs and ranking minority 
25.12 	members of the legislative committees with jurisdiction over health and human services 
25.13 	finance and policy with the recommended medical assistance service design and draft 
25.14 	legislation with statutory changes necessary to implement the service.

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

25.16 	Sec. 23. DISABILITY SERVICES PERSON-CENTERED ENGAGEMENT AND 
25.17 	NAVIGATION STUDY.
 25.18 	(a) The commissioner of human services must issue a request for proposals for the design 
25.19 	and administration of a study of a person's experience in accessing and navigating medical 
25.20 	assistance state plan and home and community-based waiver services and state funded 
25.21 	disability services to improve people's experiences in accessing and navigating the system.
25.22 	(b) The person-centered disability services engagement and navigation study must engage 
25.23 	with people and families who use services, lead agencies, and providers to assess:
25.24 	(1) access to the full range of disability services programs in metropolitan, suburban, 
25.25 	and rural counties with a focus on non-English-speaking communities and by various 
25.26 	populations, including but not limited to Black people, Indigenous people, people of color, 
25.27 	communities with vision and hearing disabilities, and communities with physical, 
25.28 	neurocognitive, or intellectual developmental disabilities;
25.29 	(2) how people and families experience and navigate the system, including their customer 
25.30 	service experiences and barriers to person-centered and culturally responsive navigation 
25.31 	support and resources; and
26.1 	(3) opportunities to improve state, lead agency, and provider capacity to improve the 
26.2 	experiences of people accessing and navigating the system.
26.3 	(c) To be eligible to respond to the request for proposals, an entity must demonstrate 
26.4 	that it has engaged successfully with people who use disability services and their families.
26.5 	(d) The commissioner must report the results of the study and provide specific 
26.6 	recommendations and administrative strategy or policy modifications to improve system 
26.7 	accessibility, efficiency, and person-centered systemic design to the chairs and ranking 
26.8 	minority members of the legislative committees with jurisdiction over health and human 
26.9 	services finance and policy by January 15, 2026.

26.10 	Sec. 24. TRIBAL VULNERABLE ADULT AND DEVELOPMENTAL DISABILITY 
26.11 	TARGETED CASE MANAGEMENT MEDICAL ASSISTANCE BENEFIT.
 26.12 	(a) The commissioner of human services must engage with Minnesota's 
26.13 	federally-recognized Tribal Nations and urban American Indian providers and leaders to 
26.14 	design and recommend a Tribal-specific vulnerable adult and developmental disability 
26.15 	medical assistance targeted case management benefit to meet community needs and reduce 
26.16 	disparities experienced by Tribal members and urban American Indian populations. The 
26.17 	commissioner must honor and uphold Tribal sovereignty as part of this engagement, ensuring 
26.18 	Tribal Nations are equitably and authentically included in planning and policy discussions.
26.19 	(b) By January 1, 2025, the commissioner must report recommendations to the chairs 
26.20 	and ranking minority members of the legislative committees with jurisdiction over health 
26.21 	and human services finance and policy. Recommendations must include a description of 
26.22 	engagement with Tribal Nations, Tribal perspectives shared throughout the engagement 
26.23 	process, service design, and reimbursement methodology.

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

26.25 	Sec. 25. ASSISTIVE TECHNOLOGY LEAD AGENCY PARTNERSHIPS.
 26.26 	(a) Lead agencies may establish partnerships with enrolled medical assistance providers 
26.27 	of home and community-based services under Minnesota Statutes, section 256B.0913, 
26.28 	256B.092, 256B.093, or 256B.49, or chapter 256S, to evaluate the benefits of informed 
26.29 	choice in accessing the following existing assistive technology home and community-based 
26.30 	waiver services:
26.31 	(1) assistive technology;
26.32 	(2) specialized equipment and supplies;
27.1 	(3) environmental accessibility adaptations; and
27.2 	(4) 24-hour emergency assistance.
27.3 	(b) Lead agencies may identify eligible individuals who desire to participate in the 
27.4 	partnership authorized by this section using existing home and community-based waiver 
27.5 	criteria under Minnesota Statutes, chapters 256B and 256S.
27.6 	(c) Lead agencies must ensure individuals who choose to participate have informed 
27.7 	choice in accessing the services and must adhere to conflict-free case management 
27.8 	requirements.
27.9 	(d) Lead agencies may identify efficiencies for service authorizations, provide 
27.10 	evidence-based cost data and quality analysis to the commissioner, and collect feedback on 
27.11 	the use of technology systems from home and community-based waiver services recipients, 
27.12 	family caregivers, and any other interested community partners.

27.13 	Sec. 26. PERSONAL CARE ASSISTANCE COMPENSATION FOR SERVICES 
27.14 	PROVIDED BY A PARENT OR SPOUSE.
 27.15 	(a) Notwithstanding Minnesota Statutes, section 256B.0659, subdivision 3, paragraph 
27.16 	(a), clause (1); subdivision 11, paragraph (c); and subdivision 19, paragraph (b), clause (3), 
27.17 	beginning October 1, 2024, a parent, stepparent, or legal guardian of a minor who is a 
27.18 	personal care assistance recipient or the spouse of a personal care assistance recipient may 
27.19 	provide and be paid for providing personal care assistance services under medical assistance.
27.20 	(b) This section expires upon full implementation of community first services and 
27.21 	supports under Minnesota Statutes, section 256B.85. The commissioner of human services 
27.22 	shall notify the revisor of statutes when this section expires.

27.23 	EFFECTIVE DATE. This section is effective for services rendered on or after October 
27.24 	1, 2024.

27.25 	Sec. 27. DIRECTION TO COMMISSIONER; PEDIATRIC HOSPITAL-TO-HOME 
27.26 	TRANSITION PILOT PROGRAM.
 27.27 	(a) The commissioner of human services must award a single competitive grant to a 
27.28 	home care nursing provider to develop and implement, in coordination with the commissioner 
27.29 	of health, Fairview Masonic Children's Hospital, Gillette Children's Specialty Healthcare, 
27.30 	and Children's Minnesota of St. Paul and Minneapolis, a pilot program to expedite and 
27.31 	facilitate pediatric hospital-to-home discharges for patients receiving services in this state 
28.1 	under medical assistance, including under the community alternative care waiver, community 
28.2 	access for disability inclusion waiver, and developmental disabilities waiver.
28.3 	(b) Grant money awarded under this section must be used only to support the 
28.4 	administrative, training, and auxiliary services necessary to reduce:
28.5 	(1) delayed discharge days due to unavailability of home care nursing staffing to 
28.6 	accommodate complex pediatric patients;
28.7 	(2) avoidable rehospitalization days for pediatric patients;
28.8 	(3) unnecessary emergency department utilization by pediatric patients following 
28.9 	discharge;
28.10 	(4) long-term nursing needs for pediatric patients; and
28.11 	(5) the number of school days missed by pediatric patients.
28.12 	(c) Grant money must not be used to supplement payment rates for services covered 
28.13 	under Minnesota Statutes, chapter 256B.
28.14 	(d) No later than December 15, 2026, the commissioner must prepare a report 
28.15 	summarizing the impact of the pilot program that includes but is not limited to: (1) the 
28.16 	number of delayed discharge days eliminated; (2) the number of rehospitalization days 
28.17 	eliminated; (3) the number of unnecessary emergency department admissions eliminated; 
28.18 	(4) the number of missed school days eliminated; and (5) an estimate of the return on 
28.19 	investment of the pilot program.
28.20 	(e) The commissioner must submit the report under paragraph (d) to the chairs and 
28.21 	ranking minority members of the legislative committees with jurisdiction over health and 
28.22 	human services finance and policy.

28.23 	Sec. 28. OWN HOME SERVICES PROVIDER CAPACITY-BUILDING GRANTS.
 28.24 		Subdivision 1.Establishment. The commissioner of human services shall establish a 
28.25 	onetime grant program to incentivize providers to support individuals to move out of 
28.26 	congregate living settings and into an individual's own home as described in Minnesota 
28.27 	Statutes, section 256B.492, subdivision 3.
28.28 		Subd. 2.Eligible grant recipients. Eligible grant recipients are providers of home and 
28.29 	community-based services under Minnesota Statutes, chapter 245D.
29.1 		Subd. 3.Grant application. In order to receive a grant under this section, providers 
29.2 	must apply to the commissioner on the forms and according to the timelines established by 
29.3 	the commissioner.
29.4 		Subd. 4.Allowable uses of grant money. Allowable uses of grant money include:
29.5 	(1) enhancing resources and staffing to support people and families in understanding 
29.6 	housing options;
29.7 	(2) housing expenses related to moving an individual into their own home, if the person 
29.8 	is not eligible for other available housing services;
29.9 	(3) implementing and testing innovative approaches to better support people with 
29.10 	disabilities and their families in living in their own homes;
29.11 	(4) financial incentives for providers that have successfully moved an individual out of 
29.12 	congregate living and into their own home;
29.13 	(5) moving expenses that are not covered by other available housing services; and
29.14 	(6) other activities approved by the commissioner.
29.15 		Subd. 5.Expiration. This section expires June 30, 2026.

29.16 	Sec. 29. REPEALER.
 29.17 	(a) Minnesota Statutes 2022, sections 252.021; and 252.27, subdivisions 1a, 2, 3, 4a, 5, 
29.18 	and 6, are repealed.
29.19 	(b) Minnesota Statutes 2023 Supplement, section 252.27, subdivision 2a, is repealed.

29.20 	ARTICLE 2
29.21 	AGING SERVICES

29.22 	Section 1. [144G.195] FACILITY RELOCATION.
29.23 		Subdivision 1.New license not required. (a) Effective March 15, 2025, an assisted 
29.24 	living facility with a licensed resident capacity of ten residents or fewer may operate under 
29.25 	the licensee's current license if the facility is relocated with the approval of the commissioner 
29.26 	of health during the period the current license is valid.
29.27 	(b) A licensee is not required to apply for a new license solely because the licensee 
29.28 	receives approval to relocate a facility. The licensee's license for the relocated facility 
29.29 	remains valid until the expiration date specified on the existing license. The commissioner 
30.1 	of health must apply the licensing and survey cycle previously established for the facility's 
30.2 	prior location to the facility's new location.
30.3 	(c) A licensee must notify the commissioner of health, on a form developed by the 
30.4 	commissioner, of the licensee's intent to relocate the licensee's facility. The licensee must 
30.5 	obtain plan review approval for the building to which the licensee intends to relocate the 
30.6 	facility and a certificate of occupancy from the commissioner of labor and industry or the 
30.7 	commissioner of labor and industry's delegated authority for the building. Upon issuance 
30.8 	of a certificate of occupancy, the commissioner of health must review and inspect the 
30.9 	building to which the licensee intends to relocate the facility and approve or deny the license 
30.10 	relocation within 30 calendar days.
30.11 	(d) A licensee that receives approval from the commissioner to relocate a facility must 
30.12 	provide each resident with a new assisted living contract and comply with the coordinated 
30.13 	move requirements under section 144G.55.
30.14 	(e) A licensee denied approval by the commissioner of health to relocate a facility may 
30.15 	continue to operate the facility in its current location, follow the requirements in section 
30.16 	144G.57 and close the facility, or notify the commissioner of health of the licensee's intent 
30.17 	to relocate the facility to an alternative new location. If the licensee notifies the commissioner 
30.18 	of the licensee's intent to relocate the facility to an alternative new location, paragraph (c) 
30.19 	applies, including the timelines for approving or denying the license relocation for the 
30.20 	alternative new location.
30.21 		Subd. 2.Limited exemption from the customized living setting moratorium and 
30.22 	age limitations. (a) A licensee that receives approval from the commissioner of health under 
30.23 	subdivision 1 to relocate a facility that is also enrolled with the Department of Human 
30.24 	Services as a customized living setting to deliver 24-hour customized living services and 
30.25 	customized living services as defined by the brain injury and community access for disability 
30.26 	inclusion home and community-based services waiver plans and under section 256B.49 
30.27 	must inform the commissioner of human services of the licensee's intent to relocate.
30.28 	(b) If the licensee at the time of the intended relocation is providing customized living 
30.29 	or 24-hour customized living services under the brain injury and community access for 
30.30 	disability inclusion home and community-based services waiver plans and section 256B.49 
30.31 	to at least one individual, and the licensee intends to continue serving that individual in the 
30.32 	new location, the licensee must inform the commissioner of human services of the licensee's 
30.33 	intention to do so and meet the requirements specified under section 256B.49, subdivision 
30.34 	28a.

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

31.5 	Sec. 2. Minnesota Statutes 2022, section 144G.30, subdivision 5, is amended to read:
31.6 		Subd. 5.Correction orders. (a) A correction order may be issued whenever the 
31.7 	commissioner finds upon survey or during a complaint investigation that a facility, a 
31.8 	managerial official, an agent of the facility, or an employee of the facility is not in compliance 
31.9 	with this chapter. The correction order shall cite the specific statute and document areas of 
31.10 	noncompliance and the time allowed for correction.
31.11 	(b) The commissioner shall mail or email copies of any correction order to the facility 
31.12 	within 30 calendar days after the survey exit date. A copy of each correction order and 
31.13 	copies of any documentation supplied to the commissioner shall be kept on file by the 
31.14 	facility and public documents shall be made available for viewing by any person upon 
31.15 	request. Copies may be kept electronically.
31.16 	(c) By the correction order date, the facility must:
31.17 	(1) document in the facility's records any action taken to comply with the correction 
31.18 	order. The commissioner may request a copy of this documentation and the facility's action 
31.19 	to respond to the correction order in future surveys, upon a complaint investigation, and as 
31.20 	otherwise needed.; and
31.21 	(2) post or otherwise make available, in a manner or location readily accessible to 
31.22 	residents and others, the most recent plan of correction documenting the actions taken by 
31.23 	the facility to comply with the correction order.
31.24 	(d) After the plan of correction is posted or otherwise made available under paragraph 
31.25 	(c), clause (2), the facility must provide a copy of the facility's most recent plan of correction 
31.26 	to any individual who requests it. A copy of the most recent plan of correction must be 
31.27 	provided within 30 days after the request and in a format determined by the facility, except 
31.28 	the facility must make reasonable accommodations in providing the plan of correction in 
31.29 	another format upon request.

31.30 	EFFECTIVE DATE. This section is effective August 1, 2024, and applies to correction 
31.31 	orders issued on or after that date.

32.1 	Sec. 3. Minnesota Statutes 2022, section 144G.63, subdivision 1, is amended to read:
32.2 		Subdivision 1.Orientation of staff and supervisors. (a) All staff providing and 
32.3 	supervising direct services must complete an orientation to assisted living facility licensing 
32.4 	requirements and regulations before providing assisted living services to residents. The 
32.5 	orientation may be incorporated into the training required under subdivision 5. The orientation 
32.6 	need only be completed once for each staff person and is not transferable to another facility, 
32.7 	except as provided in paragraph (b).
32.8 	(b) A staff person is not required to repeat the orientation required under subdivision 2 
32.9 	if the staff person transfers from one licensed assisted living facility to another facility 
32.10 	operated by the same licensee or by a licensee affiliated with the same corporate organization 
32.11 	as the licensee of the first facility, or to another facility managed by the same entity managing 
32.12 	the first facility. The facility to which the staff person transfers must document that the staff 
32.13 	person completed the orientation at the prior facility. The facility to which the staff person 
32.14 	transfers must nonetheless provide the transferred staff person with supplemental orientation 
32.15 	specific to the facility and document that the supplemental orientation was provided. The 
32.16 	supplemental orientation must include the types of assisted living services the staff person 
32.17 	will be providing, the facility's category of licensure, and the facility's emergency procedures. 
32.18 	A staff person cannot transfer to an assisted living facility with dementia care without 
32.19 	satisfying the additional training requirements under section 144G.83.

32.20 	Sec. 4. Minnesota Statutes 2022, section 144G.70, subdivision 2, is amended to read:
32.21 		Subd. 2.Initial reviews, assessments, and monitoring. (a) Residents who are not 
32.22 	receiving any assisted living services shall not be required to undergo an initial nursing 
32.23 	assessment.
32.24 	(b) An assisted living facility shall conduct a nursing assessment by a registered nurse 
32.25 	of the physical and cognitive needs of the prospective resident and propose a temporary 
32.26 	service plan prior to the date on which a prospective resident executes a contract with a 
32.27 	facility or the date on which a prospective resident moves in, whichever is earlier. If 
32.28 	necessitated by either the geographic distance between the prospective resident and the 
32.29 	facility, or urgent or unexpected circumstances, the assessment may be conducted using 
32.30 	telecommunication methods based on practice standards that meet the resident's needs and 
32.31 	reflect person-centered planning and care delivery.
32.32 	(c) Resident reassessment and monitoring must be conducted no more than 14 calendar 
32.33 	days after initiation of services. Ongoing resident reassessment and monitoring must be 
33.1 	conducted as needed based on changes in the needs of the resident and cannot exceed 90 
33.2 	calendar days from the last date of the assessment. by a registered nurse:
33.3 	(1) no more than 14 calendar days after initiation of services;
33.4 	(2) as needed based upon changes in the needs of the resident;
33.5 	(3) not to exceed 180 calendar days; and
33.6 	(4) annually.
33.7 	(d) Focused assessments of the health status of the resident as described in section 
33.8 	148.171, subdivision 14, must be conducted by a registered nurse or licensed practical nurse 
33.9 	to address Minnesota Rules, part 4659.0150, subpart 2, item B; item D, subitems (2) to (4), 
33.10 	unit (h); item D, subitems (7) and (8); item E, subitems (2) and (3); item F, subitem (2); 
33.11 	items G to L; and item M, subitems (1) to (5) and (7) to (9), and be scheduled to not exceed 
33.12 	90 days since the last reassessment or focused assessment. Annual assessments conducted 
33.13 	by a registered nurse may take the place of a scheduled 90-day reassessment.
33.14 	(d) (e) For residents only receiving assisted living services specified in section 144G.08, 
33.15 	subdivision 9, clauses (1) to (5), the facility shall complete an individualized initial review 
33.16 	of the resident's needs and preferences. The initial review must be completed within 30 
33.17 	calendar days of the start of services. Resident monitoring and review must be conducted 
33.18 	as needed based on changes in the needs of the resident and cannot exceed 90 calendar days 
33.19 	from the date of the last review.
33.20 	(e) (f) A facility must inform the prospective resident of the availability of and contact 
33.21 	information for long-term care consultation services under section 256B.0911, prior to the 
33.22 	date on which a prospective resident executes a contract with a facility or the date on which 
33.23 	a prospective resident moves in, whichever is earlier.

33.24 	Sec. 5. Minnesota Statutes 2022, section 256B.49, is amended by adding a subdivision to 
33.25 	read:
33.26 		Subd. 28a.Limited exemption from the customized living setting moratorium and 
33.27 	age limitations. (a) For the purposes of this subdivision, "operational" has the meaning 
33.28 	given in subdivision 28.
33.29 	(b) This paragraph applies only to customized living settings enrolled and operational 
33.30 	on or before June 30, 2021, and customized living settings that have previously been exempt 
33.31 	from the customized living moratorium under this paragraph. A setting for which a provider 
33.32 	receives approval from the commissioner of health under section 144G.195, subdivision 1, 
34.1 	to relocate a licensed assisted living facility that is also enrolled as a customized living 
34.2 	setting to deliver 24-hour customized living services and customized living services as 
34.3 	defined by the brain injury and community access for disability inclusion home and 
34.4 	community-based services waiver plans and under this section is exempt from the customized 
34.5 	living moratorium under subdivision 28.
34.6 	(c) This paragraph applies only to customized living settings enrolled and operational 
34.7 	on or before January 11, 2021, and customized living settings that have previously been 
34.8 	deemed a tier 1 customized living setting under this paragraph. A setting for which a provider 
34.9 	receives approval from the commissioner of health under section 144G.195, subdivision 1, 
34.10 	to relocate a licensed assisted living facility that is also enrolled as a customized living 
34.11 	setting to deliver 24-hour customized living services and customized living services as 
34.12 	defined by the brain injury and community access for disability inclusion home and 
34.13 	community-based services waiver plans and under this section must be deemed a current 
34.14 	customized living setting, or tier 1 setting, for the purposes of the application of the home 
34.15 	and community-based residential tiered standards under Minnesota's Home and 
34.16 	Community-Based Services Rule Statewide Transition Plan.

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

34.20 	Sec. 6. Minnesota Statutes 2023 Supplement, section 256R.55, is amended to read:
34.21 	256R.55 FINANCIALLY DISTRESSED NURSING FACILITYLONG-TERM 
34.22 	SERVICES AND SUPPORTS LOAN PROGRAM.
34.23 		Subdivision 1.Financially distressed nursing facility loans Long-term services and 
34.24 	supports loan program. The commissioner of human services shall establish a competitive 
34.25 	financially distressed nursing facility loan program to provide operating loans to eligible 
34.26 	nursing long-term services and supports providers and facilities. The commissioner shall 
34.27 	initiate the application process for the loan described in this section at least once annually
34.28 	if money is available. A second application process may be initiated each year at the 
34.29 	discretion of the commissioner.
34.30 		Subd. 2.Eligibility. To be an eligible applicant for a loan under this section, a nursing 
34.31 	facility provider must submit to the commissioner of human services a loan application in 
34.32 	the form and according to the timelines established by the commissioner. In its loan 
34.33 	application, a loan applicant must demonstrate that the following:
35.1 	(1) for nursing facilities with a medical assistance provider agreement that are licensed 
35.2 	as a nursing home or boarding care home according to section 256R.02, subdivision 33:
35.3 	(1) (i) the total net income of the nursing facility is not generating sufficient revenue to 
35.4 	cover the nursing facility's operating expenses;
35.5 	(2) (ii) the nursing facility is at risk of closure; and
35.6 	(3) (iii) additional operating revenue is necessary to either preserve access to nursing 
35.7 	facility services within the community or support people with complex, high-acuity support 
35.8 	needs.; and
35.9 	(2) for other long-term services and supports providers:
35.10 	(i) demonstration that the provider is enrolled in a Minnesota health care program and 
35.11 	provides one or more of the following services in a Minnesota health care program:
35.12 	(A) home and community-based services under chapter 245D;
35.13 	(B) personal care assistance services under section 256B.0659;
35.14 	(C) community first services and supports under section 256B.85;
35.15 	(D) early intensive developmental and behavioral intervention services under section 
35.16 	256B.0949;
35.17 	(E) home care services as defined under section 256B.0651, subdivision 1, paragraph 
35.18 	(d); or
35.19 	(F) customized living services as defined in section 256S.02; and
35.20 	(ii) additional operating revenue is necessary to preserve access to services within the 
35.21 	community, expand services to people within the community, expand services to new 
35.22 	communities, or support people with complex, high-acuity support needs.
35.23 		Subd. 2a.Allowable uses of loan money. (a) A loan awarded to a nursing facility under 
35.24 	subdivision 2, clause (1), must only be used to cover the facility's short-term operating 
35.25 	expenses. Nursing facilities receiving loans must not use the loan proceeds to pay related 
35.26 	organizations as defined in section 256R.02, subdivision 43.
35.27 	(b) A loan awarded to a long-term services and supports provider under subdivision 2, 
35.28 	clause (2), must only be used to cover expenses related to achieving outcomes identified in 
35.29 	subdivision 2, clause (2), item (ii).
36.1 		Subd. 3.Approving loans. The commissioner must evaluate all loan applications on a 
36.2 	competitive basis and award loans to successful applicants within available appropriations 
36.3 	for this purpose. The commissioner's decisions are final and not subject to appeal.
36.4 		Subd. 4.Disbursement schedule. Successful loan applicants under this section may 
36.5 	receive loan disbursements as a lump sum, or on an agreed upon disbursement schedule, or 
36.6 	as a time-limited line of credit. The commissioner shall approve disbursements to successful 
36.7 	loan applicants through a memorandum of understanding. Memoranda of understanding 
36.8 	must specify the amount and schedule of loan disbursements.
36.9 		Subd. 5.Loan administration. The commissioner may contract with an independent 
36.10 	third party to administer the loan program under this section.
36.11 		Subd. 6.Loan payments. The commissioner shall negotiate the terms of the loan 
36.12 	repayment, including the start of the repayment plan, the due date of the repayment, and 
36.13 	the frequency of the repayment installments. Repayment installments must not begin until 
36.14 	at least 18 months after the first disbursement date. The memoranda of understanding must 
36.15 	specify the amount and schedule of loan payments. The repayment term must not exceed 
36.16 	72 months. If any loan payment to the commissioner is not paid within the time specified 
36.17 	by the memoranda of understanding, the late payment must be assessed a penalty rate of 
36.18 	0.01 percent of the original loan amount each month the payment is past due. For nursing 
36.19 	facilities, this late fee is not an allowable cost on the department's cost report. The 
36.20 	commissioner shall have the power to abate penalties when discrepancies occur resulting 
36.21 	from but not limited to circumstances of error and mail delivery.
36.22 		Subd. 7.Loan repayment. (a) If a borrower is more than 60 calendar days delinquent 
36.23 	in the timely payment of a contractual payment under this section, the provisions in 
36.24 	paragraphs (b) to (e) apply.
36.25 	(b) The commissioner may withhold some or all of the amount of the delinquent loan 
36.26 	payment, together with any penalties due and owing on those amounts, from any money 
36.27 	the department owes to the borrower. The commissioner may, at the commissioner's 
36.28 	discretion, also withhold future contractual payments from any money the commissioner 
36.29 	owes the provider as those contractual payments become due and owing. The commissioner 
36.30 	may continue this withholding until the commissioner determines there is no longer any 
36.31 	need to do so.
36.32 	(c) The commissioner shall give prior notice of the commissioner's intention to withhold 
36.33 	by mail, facsimile, or email at least ten business days before the date of the first payment 
37.1 	period for which the withholding begins. The notice must be deemed received as of the date 
37.2 	of mailing or receipt of the facsimile or electronic notice. The notice must:
37.3 	(1) state the amount of the delinquent contractual payment;
37.4 	(2) state the amount of the withholding per payment period;
37.5 	(3) state the date on which the withholding is to begin;
37.6 	(4) state whether the commissioner intends to withhold future installments of the 
37.7 	provider's contractual payments; and
37.8 	(5) state other contents as the commissioner deems appropriate.
37.9 	(d) The commissioner, or the commissioner's designee, may enter into written settlement 
37.10 	agreements with a provider to resolve disputes and other matters involving unpaid loan 
37.11 	contractual payments or future loan contractual payments.
37.12 	(e) Notwithstanding any law to the contrary, all unpaid loans, plus any accrued penalties, 
37.13 	are overpayments for the purposes of section 256B.0641, subdivision 1. The current owner 
37.14 	of a nursing home or, boarding care home, or long-term services and supports provider is 
37.15 	liable for the overpayment amount owed by a former owner for any facility sold, transferred, 
37.16 	or reorganized.
37.17 		Subd. 8.Audit. Loan money allocated under this section is subject to audit to determine 
37.18 	whether the money was spent as authorized under this section.
37.19 		Subd. 8a.Special revenue account. A long-term services and supports loan account is 
37.20 	created in the special revenue fund in the state treasury. Money appropriated for the purposes 
37.21 	of this section must be transferred to the long-term services and supports loan account. All 
37.22 	payments received under subdivision 6, along with fees, penalties, and interest, must be 
37.23 	deposited into the special revenue account and are appropriated to the commissioner for the 
37.24 	purposes of this section.
37.25 		Subd. 9.Carryforward. Notwithstanding section 16A.28, subdivision 3, any 
37.26 	appropriation money in the long-term services and supports loan account for the purposes 
37.27 	under this section carries forward and does not lapse until the close of the fiscal year in 
37.28 	which this section expires.
37.29 		Subd. 10.Expiration. This section expires June 30, 2029.

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

38.1 	Sec. 7. Minnesota Statutes 2022, section 256S.205, subdivision 2, is amended to read:
38.2 		Subd. 2.Rate adjustment application. (a) Effective through September 30, 2023, a 
38.3 	facility may apply to the commissioner for designation as a disproportionate share facility. 
38.4 	Applications must be submitted annually between September 1 and September 30. The 
38.5 	applying facility must apply in a manner determined by the commissioner. The applying 
38.6 	facility must document each of the following on the application:
38.7 	(1) the number of customized living residents in the facility on September 1 of the 
38.8 	application year, broken out by specific waiver program; and
38.9 	(2) the total number of people residing in the facility on September 1 of the application 
38.10 	year.
38.11 	(b) Effective October 1, 2023, the commissioner must not process any further applications 
38.12 	for disproportionate share facilities after the September 1 through September 30, 2023, 
38.13 	application period.
38.14 	(c) This subdivision expires January 1, 2025.

38.15 	Sec. 8. Minnesota Statutes 2022, section 256S.205, subdivision 3, is amended to read:
38.16 		Subd. 3.Rate adjustment eligibility criteria. (a) Effective through September 30, 2023, 
38.17 	only facilities satisfying all of the following conditions on September 1 of the application 
38.18 	year are eligible for designation as a disproportionate share facility:
38.19 	(1) at least 83.5 percent of the residents of the facility are customized living residents; 
38.20 	and
38.21 	(2) at least 70 percent of the customized living residents are elderly waiver participants.
38.22 	(b) This subdivision expires January 1, 2025.

38.23 	Sec. 9. Minnesota Statutes 2022, section 256S.205, subdivision 5, is amended to read:
38.24 		Subd. 5.Rate adjustment; rate floor. (a) Effective through December 31, 2024, 
38.25 	notwithstanding the 24-hour customized living monthly service rate limits under section 
38.26 	256S.202, subdivision 2, and the component service rates established under section 256S.201, 
38.27 	subdivision 4, the commissioner must establish a rate floor equal to $119 per resident per 
38.28 	day for 24-hour customized living services provided to an elderly waiver participant in a 
38.29 	designated disproportionate share facility.
38.30 	(b) The commissioner must apply the rate floor to the services described in paragraph 
38.31 	(a) provided during the rate year.
39.1 	(c) The commissioner must adjust the rate floor by the same amount and at the same 
39.2 	time as any adjustment to the 24-hour customized living monthly service rate limits under 
39.3 	section 256S.202, subdivision 2.
39.4 	(d) The commissioner shall not implement the rate floor under this section if the 
39.5 	customized living rates established under sections 256S.21 to 256S.215 will be implemented 
39.6 	at 100 percent on January 1 of the year following an application year.
39.7 	(e) This subdivision expires January 1, 2025.

39.8 	Sec. 10. Laws 2023, chapter 61, article 9, section 2, subdivision 14, is amended to read:

39.939.10
	Subd. 14.Grant Programs; Aging and Adult 
Services Grants
 		164,626,000
		34,795,000
	
39.11 	(a) Vulnerable Adult Act Redesign Phase 
39.12 	Two. $17,129,000 in fiscal year 2024 is for 
39.13 	adult protection grants to counties and Tribes 
39.14 	under Minnesota Statutes, section 256M.42. 
39.15 	Notwithstanding Minnesota Statutes, section 
39.16 	16A.28, this appropriation is available until 
39.17 	June 30, 2027. The base for this appropriation 
39.18 	is $866,000 in fiscal year 2026 and $867,000 
39.19 	in fiscal year 2027.
39.20 	(b) Caregiver Respite Services Grants.
39.21 	$1,800,000 in fiscal year 2025 is for caregiver 
39.22 	respite services grants under Minnesota 
39.23 	Statutes, section 256.9756. This is a onetime 
39.24 	appropriation.
39.25 	(c) Live Well at Home Grants. $4,575,000 
39.26 	in fiscal year 2024 is for live well at home 
39.27 	grants under Minnesota Statutes, section 
39.28 	256.9754, subdivision 3f. This is a onetime 
39.29 	appropriation and is available until June 30, 
39.30 	2025.
39.31 	(d) Senior Nutrition Program. $10,552,000 
39.32 	in fiscal year 2024 is for the senior nutrition 
39.33 	program. Notwithstanding Minnesota Statutes, 
40.1 	section 16A.28, this appropriation is available 
40.2 	until June 30, 2027. This is a onetime 
40.3 	appropriation.
40.4 	(e) Age-Friendly Community Grants.
40.5 	$3,000,000 in fiscal year 2024 is for the 
40.6 	continuation of age-friendly community grants 
40.7 	under Laws 2021, First Special Session 
40.8 	chapter 7, article 17, section 8, subdivision 1. 
40.9 	Notwithstanding Minnesota Statutes, section 
40.10 	16A.28, this is a onetime appropriation and is 
40.11 	available until June 30, 2027.
40.12 	(f) Age-Friendly Technical Assistance 
40.13 	Grants. $1,725,000 in fiscal year 2024 is for 
40.14 	the continuation of age-friendly technical 
40.15 	assistance grants under Laws 2021, First 
40.16 	Special Session chapter 7, article 17, section 
40.17 	8, subdivision 2. Notwithstanding Minnesota 
40.18 	Statutes, section 16A.28, this is a onetime 
40.19 	appropriation and is available until June 30, 
40.20 	2027.
40.21 	(g) Financially Distressed Nursing Facility
40.22 	Long-Term Services and Supports Loan 
40.23 	Program. $93,200,000 in fiscal year 2024 is 
40.24 	for the financially distressed nursing facility
40.25 	long-term services and supports loan program 
40.26 	under Minnesota Statutes, section 256R.55, 
40.27 	and is available as provided therein.
40.28 	(h) Base Level Adjustment. The general fund 
40.29 	base is $33,861,000 in fiscal year 2026 and 
40.30 	$33,862,000 in fiscal year 2027.

40.31 	Sec. 11. PACE IMPLEMENTATION.
 40.32 	By January 15, 2025, the commissioner of human services shall submit to the chairs and 
40.33 	ranking minority members of the legislative committees with jurisdiction over human 
40.34 	services a proposal for the implementation of a PACE program in Minnesota, as authorized 
41.1 	under section 9412(b)(2) of the federal Omnibus Reconciliation Act of 1986, Public Law 
41.2 	99-509, and Minnesota Statutes, section 256B.69, subdivision 23. The commissioner's 
41.3 	proposal must include:
41.4 	(1) timelines for submission of any necessary Medicaid state plan amendments;
41.5 	(2) details for issuing a request for proposals for PACE; and
41.6 	(3) any administrative framework required to implement PACE, award contracts, and 
41.7 	monitor beneficiary enrollment in PACE by January 1, 2027, or upon federal approval, 
41.8 	whichever is later.

41.9 	Sec. 12. REVISOR INSTRUCTION.
 41.10 	The revisor of statutes shall renumber Minnesota Statutes, section 256R.55, as Minnesota 
41.11 	Statutes, section 256.4792, and correct all cross-references.

41.12 	Sec. 13. REPEALER.
 41.13 	Minnesota Statutes 2022, section 256S.205, subdivision 4, is repealed.

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

41.15 	ARTICLE 3
41.16 	SUBSTANCE USE DISORDER SERVICES

41.17 	Section 1. Minnesota Statutes 2022, section 151.065, subdivision 7, is amended to read:
41.18 		Subd. 7.Deposit of fees. (a) The license fees collected under this section, with the 
41.19 	exception of the fees identified in paragraphs (b) and (c), shall be deposited in the state 
41.20 	government special revenue fund.
41.21 	(b) $5,000 of each fee collected under subdivision 1, clauses (6) to (9), and (11) to (15), 
41.22 	and subdivision 3, clauses (4) to (7), and (9) to (13), and $55,000 of each fee collected under 
41.23 	subdivision 1, clause (16), and subdivision 3, clause (14), shall be deposited in the opiate 
41.24 	epidemic response fund established in section 256.043.
41.25 	(c) If the fees collected under subdivision 1, clause (16), or subdivision 3, clause (14), 
41.26 	are reduced under section 256.043, $5,000 of the reduced fee shall be deposited in the opiate 
41.27 	epidemic response fund in section 256.043.

42.1 	Sec. 2. Minnesota Statutes 2023 Supplement, section 245.91, subdivision 4, is amended 
42.2 	to read:
42.3 		Subd. 4.Facility or program. "Facility" or "program" means a nonresidential or 
42.4 	residential program as defined in section 245A.02, subdivisions 10 and 14, and any agency, 
42.5 	facility, or program that provides services or treatment for mental illness, developmental 
42.6 	disability, substance use disorder, or emotional disturbance that is required to be licensed, 
42.7 	certified, or registered by the commissioner of human services, health, or education; a sober 
42.8 	home as defined in section 254B.01, subdivision 11; peer recovery support services provided 
42.9 	by a recovery community organization as defined in section 254B.01, subdivision 8; and 
42.10 	an acute care inpatient facility that provides services or treatment for mental illness, 
42.11 	developmental disability, substance use disorder, or emotional disturbance.

42.12 	Sec. 3. Minnesota Statutes 2022, section 245F.08, subdivision 3, is amended to read:
42.13 		Subd. 3.Peer recovery support services. (a) Peers in recovery serve as mentors or 
42.14 	recovery-support partners for individuals in recovery, and may provide encouragement, 
42.15 	self-disclosure of recovery experiences, transportation to appointments, assistance with 
42.16 	finding resources that will help locate housing, job search resources, and assistance finding 
42.17 	and participating in support groups.
42.18 	(b) Peer recovery support services are provided by a recovery peer and must be supervised 
42.19 	by the responsible staff person must be provided according to sections 254B.05, subdivision 
42.20 	5, and 254B.052.

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

42.22 	Sec. 4. Minnesota Statutes 2023 Supplement, section 245G.07, subdivision 2, is amended 
42.23 	to read:
42.24 		Subd. 2.Additional treatment service. A license holder may provide or arrange the 
42.25 	following additional treatment service as a part of the client's individual treatment plan:
42.26 	(1) relationship counseling provided by a qualified professional to help the client identify 
42.27 	the impact of the client's substance use disorder on others and to help the client and persons 
42.28 	in the client's support structure identify and change behaviors that contribute to the client's 
42.29 	substance use disorder;
42.30 	(2) therapeutic recreation to allow the client to participate in recreational activities 
42.31 	without the use of mood-altering chemicals and to plan and select leisure activities that do 
42.32 	not involve the inappropriate use of chemicals;
43.1 	(3) stress management and physical well-being to help the client reach and maintain an 
43.2 	appropriate level of health, physical fitness, and well-being;
43.3 	(4) living skills development to help the client learn basic skills necessary for independent 
43.4 	living;
43.5 	(5) employment or educational services to help the client become financially independent;
43.6 	(6) socialization skills development to help the client live and interact with others in a 
43.7 	positive and productive manner;
43.8 	(7) room, board, and supervision at the treatment site to provide the client with a safe 
43.9 	and appropriate environment to gain and practice new skills; and
43.10 	(8) peer recovery support services must be provided by an individual in a recovery peer
43.11 	qualified according to section 245I.04, subdivision 18. Peer recovery support services include 
43.12 	education; advocacy; mentoring through self-disclosure of personal recovery experiences; 
43.13 	attending recovery and other support groups with a client; accompanying the client to 
43.14 	appointments that support recovery; assistance accessing resources to obtain housing, 
43.15 	employment, education, and advocacy services; and nonclinical recovery support to assist 
43.16 	the transition from treatment into the recovery community must be provided according to 
43.17 	sections 254B.05, subdivision 5, and 254B.052.

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

43.19 	Sec. 5. Minnesota Statutes 2023 Supplement, section 245I.04, subdivision 19, is amended 
43.20 	to read:
43.21 		Subd. 19.Recovery peer scope of practice. (a) A recovery peer, under the supervision 
43.22 	of an a licensed alcohol and drug counselor or mental health professional who meets the 
43.23 	qualifications under subdivision 2, must:
43.24 	(1) provide individualized peer support and individual recovery planning to each client;
43.25 	(2) promote a client's recovery goals, self-sufficiency, self-advocacy, and development 
43.26 	of natural supports; and
43.27 	(3) support a client's maintenance of skills that the client has learned from other services.
43.28 	(b) A licensed alcohol and drug counselor or mental health professional providing 
43.29 	supervision to a recovery peer must meet with the recovery peer face-to-face, either remotely 
43.30 	or in person, at least once per month in order to provide adequate supervision to the recovery 
43.31 	peer. Supervision must include reviewing individual recovery plans, as defined in section 
43.32 	254B.01, subdivision 4e, and reviewing documentation of peer recovery support services 
44.1 	provided for clients and may include client updates, discussion of ethical considerations, 
44.2 	and any other questions or issues relevant to peer recovery support services.

44.3 	Sec. 6. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision to 
44.4 	read:
44.5 		Subd. 4e.Individual recovery plan. "Individual recovery plan" means a person-centered 
44.6 	outline of supports that an eligible vendor of peer recovery support services under section 
44.7 	254B.05, subdivision 1, must develop to respond to an individual's peer recovery support 
44.8 	services needs and goals.

44.9 	Sec. 7. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision to 
44.10 	read:
44.11 		Subd. 8a.Recovery peer. "Recovery peer" means a person who is qualified according 
44.12 	to section 245I.04, subdivision 18, to provide peer recovery support services within the 
44.13 	scope of practice provided under section 245I.04, subdivision 19.

44.14 	Sec. 8. Minnesota Statutes 2023 Supplement, section 254B.05, subdivision 1, is amended 
44.15 	to read:
44.16 		Subdivision 1.Licensure or certification required. (a) Programs licensed by the 
44.17 	commissioner are eligible vendors. Hospitals may apply for and receive licenses to be 
44.18 	eligible vendors, notwithstanding the provisions of section 245A.03. American Indian 
44.19 	programs that provide substance use disorder treatment, extended care, transitional residence, 
44.20 	or outpatient treatment services, and are licensed by tribal government are eligible vendors.
44.21 	(b) A licensed professional in private practice as defined in section 245G.01, subdivision 
44.22 	17, who meets the requirements of section 245G.11, subdivisions 1 and 4, is an eligible 
44.23 	vendor of a comprehensive assessment and assessment summary provided according to 
44.24 	section 245G.05, and treatment services provided according to sections 245G.06 and 
44.25 	245G.07, subdivision 1, paragraphs (a), clauses (1) to (5), and (b); and subdivision 2, clauses 
44.26 	(1) to (6).
44.27 	(c) A county is an eligible vendor for a comprehensive assessment and assessment 
44.28 	summary when provided by an individual who meets the staffing credentials of section 
44.29 	245G.11, subdivisions 1 and 5, and completed according to the requirements of section 
44.30 	245G.05. A county is an eligible vendor of care coordination services when provided by an 
44.31 	individual who meets the staffing credentials of section 245G.11, subdivisions 1 and 7, and 
44.32 	provided according to the requirements of section 245G.07, subdivision 1, paragraph (a), 
45.1 	clause (5). A county is an eligible vendor of peer recovery services when the services are 
45.2 	provided by an individual who meets the requirements of section 245G.11, subdivision 8.
45.3 	(d) A recovery community organization that meets the requirements of clauses (1) to 
45.4 	(10) (12) and meets membership certification or accreditation requirements of the Association 
45.5 	of Recovery Community Organizations the Alliance for Recovery Centered Organizations, 
45.6 	the Council on Accreditation of Peer Recovery Support Services, or a Minnesota statewide 
45.7 	recovery community organization identified by the commissioner is an eligible vendor of 
45.8 	peer recovery support services. A Minnesota statewide recovery organization identified by 
45.9 	the commissioner must update recovery community organization applicants for certification 
45.10 	or accreditation on the status of the application within 45 days of receipt. If the approved 
45.11 	statewide recovery organization denies an application, it must provide a written explanation 
45.12 	for the denial to the recovery community organization. Eligible vendors under this paragraph 
45.13 	must:
45.14 	(1) be nonprofit organizations under section 501(c)(3) of the Internal Revenue Code, be 
45.15 	free from conflicting self-interests, and be autonomous in decision-making, program 
45.16 	development, peer recovery support services provided, and advocacy efforts for the purpose 
45.17 	of supporting the recovery community organization's mission;
45.18 	(2) be led and governed by individuals in the recovery community, with more than 50 
45.19 	percent of the board of directors or advisory board members self-identifying as people in 
45.20 	personal recovery from substance use disorders;
45.21 	(3) primarily focus on recovery from substance use disorders, with missions and visions 
45.22 	that support this primary focus have a mission statement and conduct corresponding activities 
45.23 	indicating that the organization's primary purpose is to support recovery from substance 
45.24 	use disorder;
45.25 	(4) be grassroots and reflective of and engaged with the community served demonstrate 
45.26 	ongoing community engagement with the identified primary region and population served 
45.27 	by the organization, including individuals in recovery and their families, friends, and recovery 
45.28 	allies;
45.29 	(5) be accountable to the recovery community through documented priority-setting and 
45.30 	participatory decision-making processes that promote the involvement and engagement of, 
45.31 	and consultation with, people in recovery and their families, friends, and recovery allies;
45.32 	(6) provide nonclinical peer recovery support services, including but not limited to 
45.33 	recovery support groups, recovery coaching, telephone recovery support, skill-building 
45.34 	groups, and harm-reduction activities, and provide recovery public education and advocacy;
46.1 	(7) have written policies that allow for and support opportunities for all paths toward 
46.2 	recovery and refrain from excluding anyone based on their chosen recovery path, which 
46.3 	may include but is not limited to harm reduction paths, faith-based paths, and nonfaith-based 
46.4 	paths;
46.5 	(8) be purposeful in meeting the diverse maintain organizational practices to meet the
46.6 	needs of Black, Indigenous, and people of color communities, including LGBTQ+ 
46.7 	communities, and other underrepresented or marginalized communities. Organizational 
46.8 	practices may include board and staff development activities, organizational practices
46.9 	training, service offerings, advocacy efforts, and culturally informed outreach and service 
46.10 	plans services;
46.11 	(9) be stewards of use recovery-friendly language in all media and written materials that 
46.12 	is supportive of and promotes recovery across diverse geographical and cultural contexts 
46.13 	and reduces stigma; and
46.14 	(10) establish and maintain an employee and volunteer a publicly available recovery 
46.15 	community organization code of ethics and easily accessible grievance policy and procedures 
46.16 	posted in physical spaces, on websites, or on program policies or forms.;
46.17 	(11) provide an orientation for recovery peers that includes an overview of the consumer 
46.18 	advocacy services provided by the Ombudsman for Mental Health and Developmental 
46.19 	Disabilities and other relevant advocacy services; and
46.20 	(12) provide notice to peer recovery support services participants that includes the 
46.21 	following statement: "If you have a complaint about the provider or the person providing 
46.22 	your peer recovery support services, you may contact the Minnesota Alliance of Recovery 
46.23 	Community Organizations. You may also contact the Office of Ombudsman for Mental 
46.24 	Health and Developmental Disabilities." The statement must also include:
46.25 	(i) the telephone number, website address, email address, and mailing address of the 
46.26 	Minnesota Alliance of Recovery Community Organizations and the Office of Ombudsman 
46.27 	for Mental Health and Developmental Disabilities;
46.28 	(ii) the recovery community organization's name, address, email, telephone number, and 
46.29 	name or title of the person at the recovery community organization to whom problems or 
46.30 	complaints may be directed; and
46.31 	(iii) a statement that the recovery community organization will not retaliate against a 
46.32 	peer recovery support services participant because of a complaint.
47.1 	(e) A recovery community organizations organization approved by the commissioner 
47.2 	before June 30, 2023, shall retain their designation as recovery community organizations
47.3 	must have begun the application process as required by an approved certifying or accrediting 
47.4 	entity and have begun the process to meet the requirements under paragraph (d) by September 
47.5 	1, 2024, in order to be considered as an eligible vendor of peer recovery support services.
47.6 	(f) A recovery community organization that is aggrieved by an accreditation, certification,
47.7 	or membership determination and believes it meets the requirements under paragraph (d) 
47.8 	may appeal the determination under section 256.045, subdivision 3, paragraph (a), clause 
47.9 	(15), for reconsideration as an eligible vendor. If the human services judge determines that 
47.10 	the recovery community organization meets the requirements under paragraph (d), the 
47.11 	recovery community organization is an eligible vendor of peer recovery support services.
47.12 	(g) Detoxification programs licensed under Minnesota Rules, parts 9530.6510 to 
47.13 	9530.6590, are not eligible vendors. Programs that are not licensed as a residential or 
47.14 	nonresidential substance use disorder treatment or withdrawal management program by the 
47.15 	commissioner or by tribal government or do not meet the requirements of subdivisions 1a 
47.16 	and 1b are not eligible vendors.
47.17 	(h) Hospitals, federally qualified health centers, and rural health clinics are eligible 
47.18 	vendors of a comprehensive assessment when the comprehensive assessment is completed 
47.19 	according to section 245G.05 and by an individual who meets the criteria of an alcohol and 
47.20 	drug counselor according to section 245G.11, subdivision 5. The alcohol and drug counselor 
47.21 	must be individually enrolled with the commissioner and reported on the claim as the 
47.22 	individual who provided the service.
47.23 	(i) Any complaints about a recovery community organization or peer recovery support 
47.24 	services may be made to and reviewed or investigated by the ombudsperson for behavioral 
47.25 	health and developmental disabilities under sections 245.91 and 245.94.

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

47.29 	Sec. 9. Minnesota Statutes 2023 Supplement, section 254B.05, subdivision 5, is amended 
47.30 	to read:
47.31 		Subd. 5.Rate requirements. (a) The commissioner shall establish rates for substance 
47.32 	use disorder services and service enhancements funded under this chapter.
47.33 	(b) Eligible substance use disorder treatment services include:
48.1 	(1) those licensed, as applicable, according to chapter 245G or applicable Tribal license 
48.2 	and provided according to the following ASAM levels of care:
48.3 	(i) ASAM level 0.5 early intervention services provided according to section 254B.19, 
48.4 	subdivision 1, clause (1);
48.5 	(ii) ASAM level 1.0 outpatient services provided according to section 254B.19, 
48.6 	subdivision 1, clause (2);
48.7 	(iii) ASAM level 2.1 intensive outpatient services provided according to section 254B.19, 
48.8 	subdivision 1, clause (3);
48.9 	(iv) ASAM level 2.5 partial hospitalization services provided according to section 
48.10 	254B.19, subdivision 1, clause (4);
48.11 	(v) ASAM level 3.1 clinically managed low-intensity residential services provided 
48.12 	according to section 254B.19, subdivision 1, clause (5);
48.13 	(vi) ASAM level 3.3 clinically managed population-specific high-intensity residential 
48.14 	services provided according to section 254B.19, subdivision 1, clause (6); and
48.15 	(vii) ASAM level 3.5 clinically managed high-intensity residential services provided 
48.16 	according to section 254B.19, subdivision 1, clause (7);
48.17 	(2) comprehensive assessments provided according to sections 245.4863, paragraph (a), 
48.18 	and 245G.05;
48.19 	(3) treatment coordination services provided according to section 245G.07, subdivision 
48.20 	1, paragraph (a), clause (5);
48.21 	(4) peer recovery support services provided according to section 245G.07, subdivision 
48.22 	2, clause (8);
48.23 	(5) withdrawal management services provided according to chapter 245F;
48.24 	(6) hospital-based treatment services that are licensed according to sections 245G.01 to 
48.25 	245G.17 or applicable tribal license and licensed as a hospital under sections 144.50 to 
48.26 	144.56;
48.27 	(7) adolescent treatment programs that are licensed as outpatient treatment programs 
48.28 	according to sections 245G.01 to 245G.18 or as residential treatment programs according 
48.29 	to Minnesota Rules, parts 2960.0010 to 2960.0220, and 2960.0430 to 2960.0490, or 
48.30 	applicable tribal license;
49.1 	(8) ASAM 3.5 clinically managed high-intensity residential services that are licensed 
49.2 	according to sections 245G.01 to 245G.17 and 245G.21 or applicable tribal license, which 
49.3 	provide ASAM level of care 3.5 according to section 254B.19, subdivision 1, clause (7), 
49.4 	and are provided by a state-operated vendor or to clients who have been civilly committed 
49.5 	to the commissioner, present the most complex and difficult care needs, and are a potential 
49.6 	threat to the community; and
49.7 	(9) room and board facilities that meet the requirements of subdivision 1a.
49.8 	(c) The commissioner shall establish higher rates for programs that meet the requirements 
49.9 	of paragraph (b) and one of the following additional requirements:
49.10 	(1) programs that serve parents with their children if the program:
49.11 	(i) provides on-site child care during the hours of treatment activity that:
49.12 	(A) is licensed under chapter 245A as a child care center under Minnesota Rules, chapter 
49.13 	9503; or
49.14 	(B) is licensed under chapter 245A and sections 245G.01 to 245G.19; or
49.15 	(ii) arranges for off-site child care during hours of treatment activity at a facility that is 
49.16 	licensed under chapter 245A as:
49.17 	(A) a child care center under Minnesota Rules, chapter 9503; or
49.18 	(B) a family child care home under Minnesota Rules, chapter 9502;
49.19 	(2) culturally specific or culturally responsive programs as defined in section 254B.01, 
49.20 	subdivision 4a;
49.21 	(3) disability responsive programs as defined in section 254B.01, subdivision 4b;
49.22 	(4) programs that offer medical services delivered by appropriately credentialed health 
49.23 	care staff in an amount equal to two hours per client per week if the medical needs of the 
49.24 	client and the nature and provision of any medical services provided are documented in the 
49.25 	client file; or
49.26 	(5) programs that offer services to individuals with co-occurring mental health and 
49.27 	substance use disorder problems if:
49.28 	(i) the program meets the co-occurring requirements in section 245G.20;
49.29 	(ii) 25 percent of the counseling staff are licensed mental health professionals under 
49.30 	section 245I.04, subdivision 2, or are students or licensing candidates under the supervision 
49.31 	of a licensed alcohol and drug counselor supervisor and mental health professional under 
50.1 	section 245I.04, subdivision 2, except that no more than 50 percent of the mental health 
50.2 	staff may be students or licensing candidates with time documented to be directly related 
50.3 	to provisions of co-occurring services;
50.4 	(iii) clients scoring positive on a standardized mental health screen receive a mental 
50.5 	health diagnostic assessment within ten days of admission;
50.6 	(iv) the program has standards for multidisciplinary case review that include a monthly 
50.7 	review for each client that, at a minimum, includes a licensed mental health professional 
50.8 	and licensed alcohol and drug counselor, and their involvement in the review is documented;
50.9 	(v) family education is offered that addresses mental health and substance use disorder 
50.10 	and the interaction between the two; and
50.11 	(vi) co-occurring counseling staff shall receive eight hours of co-occurring disorder 
50.12 	training annually.
50.13 	(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program 
50.14 	that provides arrangements for off-site child care must maintain current documentation at 
50.15 	the substance use disorder facility of the child care provider's current licensure to provide 
50.16 	child care services.
50.17 	(e) Adolescent residential programs that meet the requirements of Minnesota Rules, 
50.18 	parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the requirements 
50.19 	in paragraph (c), clause (4), items (i) to (iv).
50.20 	(f) Subject to federal approval, Substance use disorder services that are otherwise covered 
50.21 	as direct face-to-face services may be provided via telehealth as defined in section 256B.0625, 
50.22 	subdivision 3b. The use of telehealth to deliver services must be medically appropriate to 
50.23 	the condition and needs of the person being served. Reimbursement shall be at the same 
50.24 	rates and under the same conditions that would otherwise apply to direct face-to-face services.
50.25 	(g) For the purpose of reimbursement under this section, substance use disorder treatment 
50.26 	services provided in a group setting without a group participant maximum or maximum 
50.27 	client to staff ratio under chapter 245G shall not exceed a client to staff ratio of 48 to one. 
50.28 	At least one of the attending staff must meet the qualifications as established under this 
50.29 	chapter for the type of treatment service provided. A recovery peer may not be included as 
50.30 	part of the staff ratio.
50.31 	(h) Payment for outpatient substance use disorder services that are licensed according 
50.32 	to sections 245G.01 to 245G.17 is limited to six hours per day or 30 hours per week unless 
50.33 	prior authorization of a greater number of hours is obtained from the commissioner.
51.1 	(i) Payment for substance use disorder services under this section must start from the 
51.2 	day of service initiation, when the comprehensive assessment is completed within the 
51.3 	required timelines.
51.4 	(j) Eligible vendors of peer recovery support services must:
51.5 	(1) submit to a review by the commissioner of up to ten percent of all medical assistance 
51.6 	and behavioral health fund claims to determine the medical necessity of peer recovery 
51.7 	support services for entities billing for peer recovery support services individually and not 
51.8 	receiving a daily rate; and
51.9 	(2) limit an individual client to 14 hours per week for peer recovery support services 
51.10 	from an individual provider of peer recovery support services.
51.11 	(k) Peer recovery support services not provided in accordance with section 254B.052 
51.12 	are subject to monetary recovery under section 256B.064 as money improperly paid.

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

51.14 	Sec. 10. [254B.052] PEER RECOVERY SUPPORT SERVICES REQUIREMENTS.
51.15 		Subdivision 1.Peer recovery support services; service requirements. (a) Peer recovery 
51.16 	support services are face-to-face interactions between a recovery peer and a client, on a 
51.17 	one-on-one basis, in which specific goals identified in an individual recovery plan, treatment 
51.18 	plan, or stabilization plan are discussed and addressed. Peer recovery support services are 
51.19 	provided to promote a client's recovery goals, self-sufficiency, self-advocacy, and 
51.20 	development of natural supports and to support maintenance of a client's recovery.
51.21 	(b) Peer recovery support services must be provided according to an individual recovery 
51.22 	plan if provided by a recovery community organization or county, a treatment plan if provided 
51.23 	in a substance use disorder treatment program under chapter 245G, or a stabilization plan 
51.24 	if provided by a withdrawal management program under chapter 245F.
51.25 	(c) A client receiving peer recovery support services must participate in the services 
51.26 	voluntarily. Any program that incorporates peer recovery support services must provide 
51.27 	written notice to the client that peer recovery support services will be provided.
51.28 	(d) Peer recovery support services may not be provided to a client residing with or 
51.29 	employed by a recovery peer from whom they receive services.
51.30 		Subd. 2.Individual recovery plan. (a) The individual recovery plan must be developed 
51.31 	with the client and must be completed within the first three sessions with a recovery peer.
52.1 	(b) The recovery peer must document how each session ties into the client's individual 
52.2 	recovery plan. The individual recovery plan must be updated as needed. The individual 
52.3 	recovery plan must include:
52.4 	(1) the client's name;
52.5 	(2) the recovery peer's name;
52.6 	(3) the name of the recovery peer's supervisor;
52.7 	(4) the client's recovery goals;
52.8 	(5) the client's resources and assets to support recovery;
52.9 	(6) activities that may support meeting identified goals; and
52.10 	(7) the planned frequency of peer recovery support services sessions between the recovery 
52.11 	peer and the client.
52.12 		Subd. 3.Eligible vendor documentation requirements. An eligible vendor of peer 
52.13 	recovery support services under section 254B.05, subdivision 1, must keep a secure file for 
52.14 	each individual receiving medical assistance peer recovery support services. The file must 
52.15 	include, at a minimum:
52.16 	(1) the client's comprehensive assessment under section 245G.05 that led to the client's 
52.17 	referral for peer recovery support services;
52.18 	(2) the client's individual recovery plan; and
52.19 	(3) documentation of each billed peer recovery support services interaction between the 
52.20 	client and the recovery peer, including the date, start and end time with a.m. and p.m. 
52.21 	designations, the client's response, and the name of the recovery peer who provided the 
52.22 	service.

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

52.24 	Sec. 11. Minnesota Statutes 2023 Supplement, section 256.043, subdivision 3, is amended 
52.25 	to read:
52.26 		Subd. 3.Appropriations from registration and license fee account. (a) The 
52.27 	appropriations in paragraphs (b) to (n) shall be made from the registration and license fee 
52.28 	account on a fiscal year basis in the order specified.
52.29 	(b) The appropriations specified in Laws 2019, chapter 63, article 3, section 1, paragraphs 
52.30 	(b), (f), (g), and (h), as amended by Laws 2020, chapter 115, article 3, section 35, shall be 
52.31 	made accordingly.
53.1 	(c) $100,000 is appropriated to the commissioner of human services for grants for opiate 
53.2 	antagonist distribution. Grantees may utilize funds for opioid overdose prevention, 
53.3 	community asset mapping, education, and opiate antagonist distribution.
53.4 	(d) $2,000,000 is appropriated to the commissioner of human services for grants to Tribal 
53.5 	nations and five urban Indian communities for traditional healing practices for American 
53.6 	Indians and to increase the capacity of culturally specific providers in the behavioral health 
53.7 	workforce.
53.8 	(e) $400,000 is appropriated to the commissioner of human services for competitive 
53.9 	grants for opioid-focused Project ECHO programs.
53.10 	(f) $277,000 in fiscal year 2024 and $321,000 each year thereafter is appropriated to the 
53.11 	commissioner of human services to administer the funding distribution and reporting 
53.12 	requirements in paragraph (o).
53.13 	(g) $3,000,000 in fiscal year 2025 and $3,000,000 each year thereafter is appropriated 
53.14 	to the commissioner of human services for safe recovery sites start-up and capacity building 
53.15 	grants under section 254B.18.
53.16 	(h) $395,000 in fiscal year 2024 and $415,000 each year thereafter is appropriated to 
53.17 	the commissioner of human services for the opioid overdose surge alert system under section 
53.18 	245.891.
53.19 	(i) $300,000 is appropriated to the commissioner of management and budget for 
53.20 	evaluation activities under section 256.042, subdivision 1, paragraph (c).
53.21 	(j) $261,000 is appropriated to the commissioner of human services for the provision of 
53.22 	administrative services to the Opiate Epidemic Response Advisory Council and for the 
53.23 	administration of the grants awarded under paragraph (n).
53.24 	(k) $126,000 is appropriated to the Board of Pharmacy for the collection of the registration 
53.25 	fees under section 151.066.
53.26 	(l) $672,000 is appropriated to the commissioner of public safety for the Bureau of 
53.27 	Criminal Apprehension. Of this amount, $384,000 is for drug scientists and lab supplies 
53.28 	and $288,000 is for special agent positions focused on drug interdiction and drug trafficking.
53.29 	(m) After the appropriations in paragraphs (b) to (l) are made, 50 percent of the remaining 
53.30 	amount is appropriated to the commissioner of human services for distribution to county 
53.31 	social service agencies and Tribal social service agency initiative projects authorized under 
53.32 	section 256.01, subdivision 14b, to provide prevention and child protection services to 
53.33 	children and families who are affected by addiction. The commissioner shall distribute this 
54.1 	money proportionally to county social service agencies and Tribal social service agency 
54.2 	initiative projects through a formula based on intake data from the previous three calendar 
54.3 	years related to substance use and out-of-home placement episodes where parental drug 
54.4 	abuse is the primary a reason for the out-of-home placement using data from the previous 
54.5 	calendar year. County social service agencies and Tribal social service agency initiative 
54.6 	projects receiving funds from the opiate epidemic response fund must annually report to 
54.7 	the commissioner on how the funds were used to provide prevention and child protection 
54.8 	services, including measurable outcomes, as determined by the commissioner. County social 
54.9 	service agencies and Tribal social service agency initiative projects must not use funds 
54.10 	received under this paragraph to supplant current state or local funding received for child 
54.11 	protection services for children and families who are affected by addiction.
54.12 	(n) After the appropriations in paragraphs (b) to (m) are made, the remaining amount in 
54.13 	the account is appropriated to the commissioner of human services to award grants as 
54.14 	specified by the Opiate Epidemic Response Advisory Council in accordance with section 
54.15 	256.042, unless otherwise appropriated by the legislature.
54.16 	(o) Beginning in fiscal year 2022 and each year thereafter, funds for county social service 
54.17 	agencies and Tribal social service agency initiative projects under paragraph (m) and grant 
54.18 	funds specified by the Opiate Epidemic Response Advisory Council under paragraph (n) 
54.19 	may be distributed on a calendar year basis.
54.20 	(p) Notwithstanding section 16A.28, subdivision 3, funds appropriated in paragraphs 
54.21 	(c), (d), (e), (g), (m), and (n) are available for three years after the funds are appropriated.

54.22 	Sec. 12. [256B.0761] REENTRY DEMONSTRATION WAIVER.
54.23 		Subdivision 1.Establishment. The commissioner must submit a waiver application to 
54.24 	the Centers for Medicare and Medicaid Services to implement a medical assistance 
54.25 	demonstration project to provide health care and coordination services that bridge to 
54.26 	community-based services for individuals confined in state, local, or Tribal correctional 
54.27 	facilities, or facilities located outside of the seven-county metropolitan area that have an 
54.28 	inmate census with a significant proportion of Tribal members or American Indians, prior 
54.29 	to community reentry. The demonstration must be designed to:
54.30 	(1) increase continuity of coverage;
54.31 	(2) improve access to health care services, including mental health services, physical 
54.32 	health services, and substance use disorder treatment services;
55.1 	(3) enhance coordination between Medicaid systems, health and human services systems, 
55.2 	correctional systems, and community-based providers;
55.3 	(4) reduce overdoses and deaths following release;
55.4 	(5) decrease disparities in overdoses and deaths following release; and
55.5 	(6) maximize health and overall community reentry outcomes.
55.6 		Subd. 2.Eligible individuals. Notwithstanding section 256B.055, subdivision 14, 
55.7 	individuals are eligible to receive services under this demonstration if they are eligible under 
55.8 	section 256B.055, subdivision 3a, 6, 7, 7a, 9, 15, 16, or 17, as determined by the 
55.9 	commissioner in collaboration with correctional facilities, local governments, and Tribal 
55.10 	governments.
55.11 		Subd. 3.Eligible correctional facilities. (a) The commissioner's waiver application is 
55.12 	limited to:
55.13 	(1) three state correctional facilities to be determined by the commissioner of corrections, 
55.14 	one of which must be the Minnesota Correctional Facility-Shakopee;
55.15 	(2) two facilities for delinquent children and youth licensed under section 241.021, 
55.16 	subdivision 2, identified in coordination with the Minnesota Juvenile Detention Association 
55.17 	and the Minnesota Sheriffs' Association;
55.18 	(3) four correctional facilities for adults licensed under section 241.021, subdivision 1, 
55.19 	identified in coordination with the Minnesota Sheriffs' Association and the Association of 
55.20 	Minnesota Counties; and
55.21 	(4) one correctional facility owned and managed by a Tribal government or a facility 
55.22 	located outside of the seven-county metropolitan area that has an inmate census with a 
55.23 	significant proportion of Tribal members or American Indians.
55.24 	(b) Additional facilities may be added to the waiver contingent on legislative authorization 
55.25 	and appropriations.
55.26 		Subd. 4.Services and duration. (a) Services must be provided 90 days prior to an 
55.27 	individual's release date or, if an individual's confinement is less than 90 days, during the 
55.28 	time period between a medical assistance eligibility determination and the release to the 
55.29 	community.
55.30 	(b) Facilities must offer the following services using either community-based or 
55.31 	corrections-based providers:
56.1 	(1) case management activities to address physical and behavioral health needs, including 
56.2 	a comprehensive assessment of individual needs, development of a person-centered care 
56.3 	plan, referrals and other activities to address assessed needs, and monitoring and follow-up 
56.4 	activities;
56.5 	(2) drug coverage in accordance with section 256B.0625, subdivision 13, including up 
56.6 	to a 30-day supply of drugs upon release;
56.7 	(3) substance use disorder comprehensive assessments according section 254B.05, 
56.8 	subdivision 5, paragraph (b), clause (2);
56.9 	(4) treatment coordination services according to section 254B.05, subdivision 5, paragraph 
56.10 	(b), clause (3);
56.11 	(5) peer recovery support services according to sections 245I.04, subdivisions 18 and 
56.12 	19, and 254B.05, subdivision 5, paragraph (b), clause (4);
56.13 	(6) substance use disorder individual and group counseling provided according to sections 
56.14 	245G.07, subdivision 1, paragraph (a), clause (1); 245G.11, subdivision 5; and 254B.05;
56.15 	(7) mental health diagnostic assessments as required under section 245I.10;
56.16 	(8) group and individual psychotherapy as required under section 256B.0671;
56.17 	(9) peer specialist services as required under sections 245I.04 and 256B.0615;
56.18 	(10) family planning and obstetrics and gynecology services; and
56.19 	(11) physical health well-being and screenings and care for adults and youth.
56.20 	(c) Services outlined in this subdivision must only be authorized when an individual 
56.21 	demonstrates medical necessity or other eligibility as required under this chapter or applicable 
56.22 	state and federal laws.
56.23 		Subd. 5.Provider requirements and standards. (a) Service providers must adhere to 
56.24 	applicable licensing and provider requirements under chapters 245A, 245G, 245I, 254B, 
56.25 	256B, and 256I.
56.26 	(b) Service providers must be enrolled to provide services under Minnesota health care 
56.27 	programs.
56.28 	(c) Services must be provided by eligible providers employed by the correctional facility 
56.29 	or by eligible community providers under contract with the correctional facility.
57.1 	(d) The commissioner must determine whether each facility is ready to participate in 
57.2 	this demonstration based on a facility-submitted assessment of the facility's readiness to 
57.3 	implement:
57.4 	(1) prerelease medical assistance application and enrollment processes for inmates not 
57.5 	enrolled in medical assistance coverage;
57.6 	(2) the provision or facilitation of all required prerelease services for a period of up to 
57.7 	90 days prior to release;
57.8 	(3) coordination among county and Tribal human services agencies and all other entities 
57.9 	with a role in furnishing health care and supports to address health related social needs;
57.10 	(4) appropriate reentry planning, prerelease care management, and assistance with care 
57.11 	transitions to the community;
57.12 	(5) operational approaches to implementing certain Medicaid and CHIP requirements 
57.13 	including applications, suspensions, notices, fair hearings, and reasonable promptness for 
57.14 	coverage of services;
57.15 	(6) a data exchange process to support care coordination and transition activities; and
57.16 	(7) reporting of all requested data to the commissioner of human services to support 
57.17 	program monitoring, evaluation, oversight, and all financial data to meet reinvestment 
57.18 	requirements.
57.19 	(e) Participating facilities must detail reinvestment plans for all new federal Medicaid 
57.20 	money expended for reentry services that were previously the responsibility of each facility 
57.21 	and provide detailed financial reports to the commissioner.
57.22 		Subd. 6.Payment rates. (a) Payment rates for services under this section that are 
57.23 	approved under Minnesota's state plan agreement with the Centers for Medicare and Medicaid 
57.24 	Services are equal to current and applicable state law and federal requirements.
57.25 	(b) Case management payment rates are equal to rates authorized by the commissioner 
57.26 	for relocation targeted case management under section 256B.0621, subdivision 10.
57.27 	(c) Claims for covered drugs purchased through discount purchasing programs, such as 
57.28 	the Federal Supply Schedule of the United States General Services Administration or the 
57.29 	MMCAP Infuse program, must be no more than the actual acquisition cost plus the 
57.30 	professional dispensing fee in section 256B.0625, subdivision 13e. Drugs administered to 
57.31 	members must be billed on a professional claim in accordance with section 256B.0625, 
57.32 	subdivision 13e, paragraph (e), and submitted with the actual acquisition cost for the drug 
58.1 	on the claim line. Pharmacy claims must be submitted with the actual acquisition cost as 
58.2 	the ingredient cost field and the dispensing fee in section 256B.0625, subdivision 13e, as 
58.3 	the dispensing fee field on the claim with the basis of cost indicator of 08. Providers may 
58.4 	establish written protocols for establishing or calculating the facility's actual acquisition 
58.5 	drug cost based on a monthly, quarterly, or other average of the facility's actual acquisition 
58.6 	drug cost through the discount purchasing program. A written protocol must not include an 
58.7 	inflation, markup, spread, or margin to be added to the provider's actual purchase price after 
58.8 	subtracting all discounts.
58.9 		Subd. 7.Reentry services working group. (a) The commissioner of human services, 
58.10 	in collaboration with the commissioner of corrections, must convene a reentry services 
58.11 	working group to consider ways to improve the demonstration under this section and related 
58.12 	policies for justice-involved individuals.
58.13 	(b) The working group must be composed of balanced representation, including:
58.14 	(1) people with lived experience; and
58.15 	(2) representatives from:
58.16 	(i) community health care providers;
58.17 	(ii) the Minnesota Sheriffs' Association;
58.18 	(iii) the Minnesota Association for County Social Service Administrators;
58.19 	(iv) the Association of Minnesota Counties;
58.20 	(v) the Minnesota Juvenile Detention Association;
58.21 	(vi) the Office of Addiction and Recovery;
58.22 	(vii) NAMI Minnesota;
58.23 	(viii) the Minnesota Association of Resources for Recovery and Chemical Health;
58.24 	(ix) Tribal Nations; and
58.25 	(x) the Minnesota Alliance of Recovery Community Organizations.
58.26 	(c) The working group must:
58.27 	(1) advise on the waiver application, implementation, monitoring, evaluation, and 
58.28 	reinvestment plans;
59.1 	(2) recommend strategies to improve processes that ensure notifications of the individual's 
59.2 	release date, current location, postrelease location, and other relevant information are 
59.3 	provided to state, county, and Tribal eligibility systems and managed care organizations;
59.4 	(3) consider the value of expanding, replicating, or adapting the components of the 
59.5 	demonstration authorized under this section to additional populations;
59.6 	(4) consider information technology and other implementation needs for participating 
59.7 	correctional facilities; and
59.8 	(5) recommend ideas to fund expanded reentry services.

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

59.12 	Sec. 13. Minnesota Statutes 2022, section 256B.69, subdivision 4, is amended to read:
59.13 		Subd. 4.Limitation of choice. (a) The commissioner shall develop criteria to determine 
59.14 	when limitation of choice may be implemented in the experimental counties. The criteria 
59.15 	shall ensure that all eligible individuals in the county have continuing access to the full 
59.16 	range of medical assistance services as specified in subdivision 6.
59.17 	(b) The commissioner shall exempt the following persons from participation in the 
59.18 	project, in addition to those who do not meet the criteria for limitation of choice:
59.19 	(1) persons eligible for medical assistance according to section 256B.055, subdivision 
59.20 	1;
59.21 	(2) persons eligible for medical assistance due to blindness or disability as determined 
59.22 	by the Social Security Administration or the state medical review team, unless:
59.23 	(i) they are 65 years of age or older; or
59.24 	(ii) they reside in Itasca County or they reside in a county in which the commissioner 
59.25 	conducts a pilot project under a waiver granted pursuant to section 1115 of the Social 
59.26 	Security Act;
59.27 	(3) recipients who currently have private coverage through a health maintenance 
59.28 	organization;
59.29 	(4) recipients who are eligible for medical assistance by spending down excess income 
59.30 	for medical expenses other than the nursing facility per diem expense;
60.1 	(5) recipients who receive benefits under the Refugee Assistance Program, established 
60.2 	under United States Code, title 8, section 1522(e);
60.3 	(6) children who are both determined to be severely emotionally disturbed and receiving 
60.4 	case management services according to section 256B.0625, subdivision 20, except children 
60.5 	who are eligible for and who decline enrollment in an approved preferred integrated network 
60.6 	under section 245.4682;
60.7 	(7) adults who are both determined to be seriously and persistently mentally ill and 
60.8 	received case management services according to section 256B.0625, subdivision 20;
60.9 	(8) persons eligible for medical assistance according to section 256B.057, subdivision 
60.10 	10;
60.11 	(9) persons with access to cost-effective employer-sponsored private health insurance 
60.12 	or persons enrolled in a non-Medicare individual health plan determined to be cost-effective 
60.13 	according to section 256B.0625, subdivision 15; and
60.14 	(10) persons who are absent from the state for more than 30 consecutive days but still 
60.15 	deemed a resident of Minnesota, identified in accordance with section 256B.056, subdivision 
60.16 	1, paragraph (b).; and
60.17 	(11) persons who are enrolled in the reentry demonstration waiver under section 
60.18 	256B.0761.
60.19 	Children under age 21 who are in foster placement may enroll in the project on an elective 
60.20 	basis. Individuals excluded under clauses (1), (6), and (7) may choose to enroll on an elective 
60.21 	basis. The commissioner may enroll recipients in the prepaid medical assistance program 
60.22 	for seniors who are (1) age 65 and over, and (2) eligible for medical assistance by spending 
60.23 	down excess income.
60.24 	(c) The commissioner may allow persons with a one-month spenddown who are otherwise 
60.25 	eligible to enroll to voluntarily enroll or remain enrolled, if they elect to prepay their monthly 
60.26 	spenddown to the state.
60.27 	(d) The commissioner may require those individuals to enroll in the prepaid medical 
60.28 	assistance program who otherwise would have been excluded under paragraph (b), clauses 
60.29 	(1), (3), and (8), and under Minnesota Rules, part 9500.1452, subpart 2, items H, K, and L.
60.30 	(e) Before limitation of choice is implemented, eligible individuals shall be notified and 
60.31 	after notification, shall be allowed to choose only among demonstration providers. The 
60.32 	commissioner may assign an individual with private coverage through a health maintenance 
60.33 	organization, to the same health maintenance organization for medical assistance coverage, 
61.1 	if the health maintenance organization is under contract for medical assistance in the 
61.2 	individual's county of residence. After initially choosing a provider, the recipient is allowed 
61.3 	to change that choice only at specified times as allowed by the commissioner. If a 
61.4 	demonstration provider ends participation in the project for any reason, a recipient enrolled 
61.5 	with that provider must select a new provider but may change providers without cause once 
61.6 	more within the first 60 days after enrollment with the second provider.
61.7 	(f) An infant born to a woman who is eligible for and receiving medical assistance and 
61.8 	who is enrolled in the prepaid medical assistance program shall be retroactively enrolled to 
61.9 	the month of birth in the same managed care plan as the mother once the child is enrolled 
61.10 	in medical assistance unless the child is determined to be excluded from enrollment in a 
61.11 	prepaid plan under this section.

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

61.15 	Sec. 14. Laws 2023, chapter 61, article 9, section 2, subdivision 18, is amended to read:

61.16
61.17	Subd. 18.Grant Programs; Chemical 
Dependency Treatment Support Grants

61.18	Appropriations by Fund
	
61.19	General
	54,691,000
	5,342,000
	
61.20	Lottery Prize
	1,733,000
	1,733,000
	
61.21 	(a) Culturally Specific Recovery 
61.22 	Community Organization Start-Up Grants.
61.23 	$4,000,000 in fiscal year 2024 is for culturally 
61.24 	specific recovery community organization 
61.25 	start-up grants. Notwithstanding Minnesota 
61.26 	Statutes, section 16A.28, this appropriation is 
61.27 	available until June 30, 2027. This is a onetime 
61.28 	appropriation.
61.29 	(b) Safe Recovery Sites. $14,537,000 in fiscal 
61.30 	year 2024 is from the general fund for start-up 
61.31 	and capacity-building grants for organizations 
61.32 	to establish safe recovery sites. 
61.33 	Notwithstanding Minnesota Statutes, section 
62.1 	16A.28, this appropriation is onetime and is 
62.2 	available until June 30, 2029.
62.3 	(c) Technical Assistance for Culturally 
62.4 	Specific Organizations; Culturally Specific 
62.5 	Services Grants. $4,000,000 in fiscal year 
62.6 	2024 is for grants to culturally specific 
62.7 	providers for technical assistance navigating 
62.8 	culturally specific and responsive substance 
62.9 	use and recovery programs. Notwithstanding 
62.10 	Minnesota Statutes, section 16A.28, this 
62.11 	appropriation is available until June 30, 2027.
62.12 	(d) Technical Assistance for Culturally 
62.13 	Specific Organizations; Culturally Specific 
62.14 	Grant Development Training. $400,000 in 
62.15 	fiscal year 2024 is for grants for up to four 
62.16 	trainings for community members and 
62.17 	culturally specific providers for grant writing 
62.18 	training for substance use and recovery-related 
62.19 	grants. Notwithstanding Minnesota Statutes, 
62.20 	section 16A.28, this is a onetime appropriation 
62.21 	and is available until June 30, 2027.
62.22 	(e) Harm Reduction Supplies for Tribal and 
62.23 	Culturally Specific Programs. $7,597,000 
62.24 	in fiscal year 2024 is from the general fund to 
62.25 	provide sole source grants to culturally 
62.26 	specific communities to purchase syringes, 
62.27 	testing supplies, and opiate antagonists. 
62.28 	Notwithstanding Minnesota Statutes, section 
62.29 	16A.28, this appropriation is available until 
62.30 	June 30, 2027. This is a onetime appropriation.
62.31 	(f) Families and Family Treatment 
62.32 	Capacity-Building and Start-Up Grants.
62.33 	$10,000,000 in fiscal year 2024 is from the 
62.34 	general fund for start-up and capacity-building 
62.35 	grants for family substance use disorder 
63.1 	treatment programs. Notwithstanding 
63.2 	Minnesota Statutes, section 16A.28, this 
63.3 	appropriation is available until June 30, 2029. 
63.4 	This is a onetime appropriation.
63.5 	(g) Start-Up and Capacity Building Grants 
63.6 	for Withdrawal Management. $500,000 in 
63.7 	fiscal year 2024 and $1,000,000 in fiscal year 
63.8 	2025 are for start-up and capacity building 
63.9 	grants for withdrawal management.
63.10 	(h) Recovery Community Organization 
63.11 	Grants. $4,300,000 in fiscal year 2024 is from 
63.12 	the general fund for grants to recovery 
63.13 	community organizations, as defined in 
63.14 	Minnesota Statutes, section 254B.01, 
63.15 	subdivision 8, that are current grantees as of 
63.16 	June 30, 2023. This is a onetime appropriation 
63.17 	and is available until June 30, 2025.
63.18 	(i) Opioid Overdose Prevention Grants.
63.19 	(1) $125,000 in fiscal year 2024 and $125,000 
63.20 	in fiscal year 2025 are from the general fund 
63.21 	for a grant to Ka Joog, a nonprofit organization 
63.22 	in Minneapolis, Minnesota, to be used for 
63.23 	collaborative outreach, education, and training 
63.24 	on opioid use and overdose, and distribution 
63.25 	of opiate antagonist kits in East African and 
63.26 	Somali communities in Minnesota. This is a 
63.27 	onetime appropriation.
63.28 	(2) $125,000 in fiscal year 2024 and $125,000 
63.29 	in fiscal year 2025 are from the general fund 
63.30 	for a grant to the Steve Rummler Hope 
63.31 	Network to be used for statewide outreach, 
63.32 	education, and training on opioid use and 
63.33 	overdose, and distribution of opiate antagonist 
63.34 	kits. This is a onetime appropriation.
64.1 	(3) $250,000 in fiscal year 2024 and $250,000 
64.2 	in fiscal year 2025 are from the general fund 
64.3 	for a grant to African Career Education and 
64.4 	Resource, Inc. to be used for collaborative 
64.5 	outreach, education, and training on opioid 
64.6 	use and overdose, and distribution of opiate 
64.7 	antagonist kits. This is a onetime 
64.8 	appropriation.
64.9 	(j) Problem Gambling. $225,000 in fiscal 
64.10 	year 2024 and $225,000 in fiscal year 2025 
64.11 	are from the lottery prize fund for a grant to a 
64.12 	state affiliate recognized by the National 
64.13 	Council on Problem Gambling. The affiliate 
64.14 	must provide services to increase public 
64.15 	awareness of problem gambling, education, 
64.16 	training for individuals and organizations that 
64.17 	provide effective treatment services to problem 
64.18 	gamblers and their families, and research 
64.19 	related to problem gambling.
64.20 	(k) Project ECHO. $1,310,000 in fiscal year 
64.21 	2024 and $1,295,000 in fiscal year 2025 are 
64.22 	from the general fund for a grant to Hennepin 
64.23 	Healthcare to expand the Project ECHO 
64.24 	program. The grant must be used to establish 
64.25 	at least four substance use disorder-focused 
64.26 	Project ECHO programs at Hennepin 
64.27 	Healthcare, expanding the grantee's capacity 
64.28 	to improve health and substance use disorder 
64.29 	outcomes for diverse populations of 
64.30 	individuals enrolled in medical assistance, 
64.31 	including but not limited to immigrants, 
64.32 	individuals who are homeless, individuals 
64.33 	seeking maternal and perinatal care, and other 
64.34 	underserved populations. The Project ECHO 
64.35 	programs funded under this section must be 
65.1 	culturally responsive, and the grantee must 
65.2 	contract with culturally and linguistically 
65.3 	appropriate substance use disorder service 
65.4 	providers who have expertise in focus areas, 
65.5 	based on the populations served. Grant funds 
65.6 	may be used for program administration, 
65.7 	equipment, provider reimbursement, and 
65.8 	staffing hours. This is a onetime appropriation
65.9 	and is available until June 30, 2027.
65.10 	(l) White Earth Nation Substance Use 
65.11 	Disorder Digital Therapy Tool. $3,000,000 
65.12 	in fiscal year 2024 is from the general fund 
65.13 	for a grant to the White Earth Nation to 
65.14 	develop an individualized Native American 
65.15 	centric digital therapy tool with Pathfinder 
65.16 	Solutions. This is a onetime appropriation. 
65.17 	The grant must be used to:
65.18 	(1) develop a mobile application that is 
65.19 	culturally tailored to connecting substance use 
65.20 	disorder resources with White Earth Nation 
65.21 	members;
65.22 	(2) convene a planning circle with White Earth 
65.23 	Nation members to design the tool;
65.24 	(3) provide and expand White Earth 
65.25 	Nation-specific substance use disorder 
65.26 	services; and
65.27 	(4) partner with an academic research 
65.28 	institution to evaluate the efficacy of the 
65.29 	program.
65.30 	(m) Wellness in the Woods. $300,000 in 
65.31 	fiscal year 2024 and $300,000 in fiscal year 
65.32 	2025 are from the general fund for a grant to 
65.33 	Wellness in the Woods for daily peer support 
65.34 	and special sessions for individuals who are 
66.1 	in substance use disorder recovery, are 
66.2 	transitioning out of incarceration, or who have 
66.3 	experienced trauma. These are onetime 
66.4 	appropriations.
66.5 	(n) Base Level Adjustment. The general fund 
66.6 	base is $3,247,000 in fiscal year 2026 and 
66.7 	$3,247,000 in fiscal year 2027.

66.8 	Sec. 15. DIRECTION TO OMBUDSMAN FOR MENTAL HEALTH AND 
66.9 	DEVELOPMENTAL DISABILITIES.
 66.10 	By September 30, 2025, the ombudsman for mental health and developmental disabilities 
66.11 	must provide a report to the governor and the chairs and ranking minority members of the 
66.12 	legislative committees with jurisdiction over human services that contains summary 
66.13 	information on complaints received regarding peer recovery support services provided by 
66.14 	a recovery community organization as defined in Minnesota Statutes, section 254B.01, and 
66.15 	any recommendations to the legislature to improve the quality of peer recovery support 
66.16 	services, recovery peer worker misclassification, and peer recovery support services billing 
66.17 	codes and procedures.

66.18 	Sec. 16. PEER RECOVERY SUPPORT SERVICES AND RECOVERY 
66.19 	COMMUNITY ORGANIZATION WORKING GROUP.
 66.20 		Subdivision 1.Establishment; duties. The commissioner of human services must 
66.21 	convene a working group to develop recommendations on:
66.22 	(1) peer recovery support services billing rates and practices, including a billing model 
66.23 	for providing services to groups of up to four clients and groups larger than four clients at 
66.24 	one time;
66.25 	(2) acceptable activities to bill for peer recovery services, including group activities and 
66.26 	transportation related to individual recovery plans;
66.27 	(3) ways to address authorization for additional service hours and a review of the amount 
66.28 	of peer recovery support services clients may need;
66.29 	(4) improving recovery peer supervision and reimbursement for the costs of providing 
66.30 	recovery peer supervision for provider organizations;
66.31 	(5) certification or other regulation of recovery community organizations and recovery 
66.32 	peers; and
67.1 	(6) policy and statutory changes to improve access to peer recovery support services 
67.2 	and increase oversight of provider organizations.
67.3 		Subd. 2.Membership; meetings. (a) Members of the working group must include but 
67.4 	not be limited to:
67.5 	(1) a representative of the Minnesota Alliance of Recovery Community Organizations;
67.6 	(2) a representative of the Minnesota Association of Resources for Recovery and 
67.7 	Chemical Health;
67.8 	(3) representatives from at least three recovery community organizations who are eligible 
67.9 	vendors of peer recovery support services under Minnesota Statutes, section 254B.05, 
67.10 	subdivision 1;
67.11 	(4) at least two currently practicing recovery peers qualified under Minnesota Statutes, 
67.12 	section 245I.04, subdivision 18;
67.13 	(5) at least two individuals currently providing supervision for recovery peers according 
67.14 	to Minnesota Statutes, section 245I.04, subdivision 19;
67.15 	(6) the commissioner of human services or a designee;
67.16 	(7) a representative of county social services agencies; and
67.17 	(8) a representative of a Tribal social services agency.
67.18 	(b) Members of the working group may include a representative of the Alliance for 
67.19 	Recovery Centered Organizations and a representative of the Council on Accreditation of 
67.20 	Peer Recovery Support Services.
67.21 	(c) The commissioner of human services must make appointments to the working group 
67.22 	by October 1, 2024, and convene the first meeting of the working group by December 1, 
67.23 	2024.
67.24 	(d) The commissioner of human services must provide administrative support and meeting 
67.25 	space for the working group. The working group may conduct meetings remotely.
67.26 		Subd. 3.Report. The commissioner must complete and submit a report on the 
67.27 	recommendations in this section to the chairs and ranking minority members of the legislative 
67.28 	committees with jurisdiction over health and human services policy and finance on or before 
67.29 	August 1, 2025.
67.30 		Subd. 4.Expiration. The working group expires upon submission of the report to the 
67.31 	legislature under subdivision 3.

68.1 	Sec. 17. CAPACITY BUILDING AND IMPLEMENTATION GRANTS FOR THE 
68.2 	MEDICAL ASSISTANCE REENTRY DEMONSTRATION.
 68.3 	The commissioner of human services must establish capacity-building grants for eligible 
68.4 	local correctional facilities as they prepare to implement reentry demonstration services 
68.5 	under Minnesota Statutes, section 256B.0761. Allowable expenditures under this grant 
68.6 	include:
68.7 	(1) developing, in coordination with incarcerated individuals and community members 
68.8 	with lived experience, processes and protocols listed under Minnesota Statutes, section 
68.9 	256B.0761, subdivision 5, paragraph (d);
68.10 	(2) establishing or modifying information technology systems to support implementation 
68.11 	of the reentry demonstration waiver;
68.12 	(3) personnel costs; and
68.13 	(4) other expenses as determined by the commissioner.

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

68.21 	Sec. 19. REPEALER.
 68.22 	Minnesota Statutes 2022, section 256.043, subdivision 4, is repealed.

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

68.24 	ARTICLE 4
68.25 	PRIORITY ADMISSIONS AND CIVIL COMMITMENT

68.26 	Section 1. Minnesota Statutes 2022, section 245I.23, subdivision 19a, is amended to read:
68.27 		Subd. 19a.Additional requirements for locked program facility. (a) A license holder 
68.28 	that prohibits clients from leaving the facility by locking exit doors or other permissible 
68.29 	methods must meet the additional requirements of this subdivision.
69.1 	(b) The license holder must meet all applicable building and fire codes to operate a 
69.2 	building with locked exit doors. The license holder must have the appropriate license from 
69.3 	the Department of Health, as determined by the Department of Health, for operating a 
69.4 	program with locked exit doors.
69.5 	(c) The license holder's policies and procedures must clearly describe the types of court 
69.6 	orders that authorize the license holder to prohibit clients from leaving the facility.
69.7 	(d) (c) For each client present in the facility under a court order, the license holder must 
69.8 	maintain documentation of the court order for treatment authorizing the license holder to 
69.9 	prohibit the client from leaving the facility.
69.10 	(e) (d) Upon a client's admission to a locked program facility, the license holder must 
69.11 	document in the client file that the client was informed:
69.12 	(1) that the client has the right to leave the facility according to the client's rights under 
69.13 	section 144.651, subdivision 21, if the client is not subject to a court order authorizing the 
69.14 	license holder to prohibit the client from leaving the facility; or
69.15 	(2) that the client cannot leave the facility due to a court order for treatment authorizing 
69.16 	the license holder to prohibit the client from leaving the facility.
69.17 	(f) (e) If the license holder prohibits a client from leaving the facility, the client's treatment 
69.18 	plan must reflect this restriction.

69.19 	Sec. 2. Minnesota Statutes 2023 Supplement, section 253B.10, subdivision 1, as amended 
69.20 	by Laws 2024, chapter 79, article 5, section 8, is amended to read:
69.21 		Subdivision 1.Administrative requirements. (a) When a person is committed, the 
69.22 	court shall issue a warrant or an order committing the patient to the custody of the head of 
69.23 	the treatment facility, state-operated treatment program, or community-based treatment 
69.24 	program. The warrant or order shall state that the patient meets the statutory criteria for 
69.25 	civil commitment.
69.26 	(b) The executive board shall prioritize patients being admitted from jail or a correctional 
69.27 	institution or who are referred to a state-operated treatment facility for competency attainment 
69.28 	or a competency examination under sections 611.40 to 611.59 for admission to a medically 
69.29 	appropriate state-operated direct care and treatment bed based on the decisions of physicians 
69.30 	in the executive medical director's office, using a priority admissions framework. The 
69.31 	framework must account for a range of factors for priority admission, including but not 
69.32 	limited to:
70.1 	(1) ordered confined in a state-operated treatment program for an examination under 
70.2 	Minnesota Rules of Criminal Procedure, rules 20.01, subdivision 4, paragraph (a), and 
70.3 	20.02, subdivision 2 the length of time the person has been on a waiting list for admission 
70.4 	to a state-operated direct care and treatment program since the date of the order under 
70.5 	paragraph (a);
70.6 	(2) under civil commitment for competency treatment and continuing supervision under 
70.7 	Minnesota Rules of Criminal Procedure, rule 20.01, subdivision 7 the intensity of the 
70.8 	treatment the person needs, based on medical acuity;
70.9 	(3) found not guilty by reason of mental illness under Minnesota Rules of Criminal 
70.10 	Procedure, rule 20.02, subdivision 8, and under civil commitment or are ordered to be 
70.11 	detained in a state-operated treatment program pending completion of the civil commitment 
70.12 	proceedings; or the person's revoked provisional discharge status;
70.13 	(4) committed under this chapter to the executive board after dismissal of the patient's 
70.14 	criminal charges. the person's safety and safety of others in the person's current environment;
70.15 	(5) whether the person has access to necessary or court-ordered treatment;
70.16 	(6) distinct and articulable negative impacts of an admission delay on the facility referring 
70.17 	the individual for treatment; and
70.18 	(7) any relevant federal prioritization requirements.
70.19 	Patients described in this paragraph must be admitted to a state-operated treatment program 
70.20 	within 48 hours. The commitment must be ordered by the court as provided in section 
70.21 	253B.09, subdivision 1, paragraph (d). Patients committed to a secure treatment facility or 
70.22 	less restrictive setting as ordered by the court under section 253B.18, subdivisions 1 and 2, 
70.23 	must be prioritized for admission to a state-operated treatment program using the priority 
70.24 	admissions framework in this paragraph.
70.25 	(c) Upon the arrival of a patient at the designated treatment facility, state-operated 
70.26 	treatment program, or community-based treatment program, the head of the facility or 
70.27 	program shall retain the duplicate of the warrant and endorse receipt upon the original 
70.28 	warrant or acknowledge receipt of the order. The endorsed receipt or acknowledgment must 
70.29 	be filed in the court of commitment. After arrival, the patient shall be under the control and 
70.30 	custody of the head of the facility or program.
70.31 	(d) Copies of the petition for commitment, the court's findings of fact and conclusions 
70.32 	of law, the court order committing the patient, the report of the court examiners, and the 
70.33 	prepetition report, and any medical and behavioral information available shall be provided 
71.1 	at the time of admission of a patient to the designated treatment facility or program to which 
71.2 	the patient is committed. Upon a patient's referral to the executive board for admission 
71.3 	pursuant to subdivision 1, paragraph (b), any inpatient hospital, treatment facility, jail, or 
71.4 	correctional facility that has provided care or supervision to the patient in the previous two 
71.5 	years shall, when requested by the treatment facility or commissioner, provide copies of 
71.6 	the patient's medical and behavioral records to the executive board for purposes of 
71.7 	preadmission planning. This information shall be provided by the head of the treatment 
71.8 	facility to treatment facility staff in a consistent and timely manner and pursuant to all 
71.9 	applicable laws.
71.10 	(e) Patients described in paragraph (b) must be admitted to a state-operated treatment 
71.11 	program within 48 hours of the Office of Executive Medical Director, under section 246C.09, 
71.12 	or a designee determining that a medically appropriate bed is available. This paragraph 
71.13 	expires on June 30, 2025.
71.14 	(f) Within four business days of determining which state-operated direct care and 
71.15 	treatment program or programs are appropriate for an individual, the executive medical 
71.16 	director's office or a designee must notify the source of the referral and the responsible 
71.17 	county human services agency, the individual being ordered to direct care and treatment, 
71.18 	and the district court that issued the order of the determination. The notice shall include 
71.19 	which program or programs are appropriate for the person's priority status. Any interested 
71.20 	person may provide additional information or request updated priority status about the 
71.21 	individual to the executive medical director's office or a designee while the individual is 
71.22 	awaiting admission. Updated priority status of an individual will only be disclosed to 
71.23 	interested persons who are legally authorized to receive private information about the 
71.24 	individual. When an available bed has been identified, the executive medical director's 
71.25 	office or a designee must notify the designated agency and the facility where the individual 
71.26 	is awaiting admission that the individual has been accepted for admission to a particular 
71.27 	state-operated direct care and treatment program and the earliest possible date the admission 
71.28 	can occur. The designated agency or facility where the individual is awaiting admission 
71.29 	must transport the individual to the admitting state-operated direct care and treatment 
71.30 	program no more than 48 hours after the offered admission date.
71.31 	(g) A panel appointed by the commissioner, consisting of all members who served on 
71.32 	the Task Force on Priority Admissions to State-Operated Treatment Programs under Laws 
71.33 	2023, chapter 61, article 8, section 13, subdivision 2, must:
71.34 	(1) evaluate the 48-hour timeline for priority admissions required under paragraph (b) 
71.35 	and develop policy and legislative proposals related to the priority admissions timeline in 
72.1 	order to minimize litigation costs, maximize capacity in and access to state-operated treatment 
72.2 	programs, and address issues related to individuals awaiting admission to state-operated 
72.3 	treatment programs in jails and correctional institutions; and
72.4 	(2) by February 1, 2025, submit a written report to the chairs and ranking minority 
72.5 	members of the legislative committees with jurisdiction over public safety and human 
72.6 	services that includes legislative proposals to amend paragraph (b) to modify the 48-hour 
72.7 	priority admissions timeline.
72.8 	(h) The panel appointed under paragraph (g) must also advise the commissioner on the 
72.9 	effectiveness of the framework and priority admissions generally and review de-identified 
72.10 	data quarterly for one year following the implementation of the priority admissions 
72.11 	framework to ensure that the framework is implemented and applied equitably. If the panel 
72.12 	requests to review data that are classified as private or confidential and the commissioner 
72.13 	determines the data requested are necessary for the scope of the panel's review, the 
72.14 	commissioner is authorized to disclose private or confidential data to the panel under this 
72.15 	paragraph and pursuant to section 13.05, subdivision 4, paragraph (b), for private or 
72.16 	confidential data collected prior to the effective date of this paragraph.
72.17 	(i) After the panel completes its year of review, a quality committee established by the 
72.18 	Direct Care and Treatment executive board must continue to review data; seek input from 
72.19 	counties, hospitals, community providers, and advocates; and provide a routine report to 
72.20 	the executive board on the effectiveness of the framework and priority admissions.

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

72.22 	Sec. 3. Laws 2023, chapter 70, article 20, section 16, subdivision 2, is amended to read:
72.23 		Subd. 2.Intensive residential treatment services. (a) The fiscal year 2023 general 
72.24 	fund appropriation in Laws 2022, chapter 99, article 3, section 7, is reduced by $2,914,000 
72.25 	and that amount is canceled to the general fund.
72.26 	(b) The general fund base for the appropriation in Laws 2022, chapter 99, article 3, 
72.27 	section 7, is reduced by $180,000 in fiscal year 2024.
72.28 	(c) This act includes $2,796,000 in fiscal year 2024 from the general fund to the 
72.29 	commissioner of human services for start-up funds to intensive residential treatment service 
72.30 	providers to provide treatment in locked facilities for patients who have been transferred 
72.31 	from a jail or who have been deemed incompetent to stand trial and a judge has determined 
72.32 	that the patient needs to be in a secure facility.

73.1 	Sec. 4. DIRECTION TO COMMISSIONER OF HUMAN SERVICES; 
73.2 	REIMBURSEMENT TO BELTRAMI COUNTY FOR CERTAIN COST OF CARE 
73.3 	PAYMENTS.
 73.4 	(a) Notwithstanding Minnesota Statutes 2021 Supplement, section 246.54, subdivisions 
73.5 	1a and 1b; Minnesota Statutes 2022, section 246.54, subdivisions 1a and 1b; or any other 
73.6 	law to the contrary, the commissioner of human services must not sanction or otherwise 
73.7 	seek payment from Beltrami County for outstanding debts for the cost of care provided 
73.8 	between July 1, 2022, and June 30, 2023, under:
73.9 	(1) Minnesota Statutes, section 246.54, subdivision 1a, paragraph (a), clause (3), to a 
73.10 	person committed as a person who has a mental illness and is dangerous to the public under 
73.11 	Minnesota Statutes, section 253B.18, and who was awaiting transfer from Anoka-Metro 
73.12 	Regional Treatment Center to another state-operated facility or program; or
73.13 	(2) Minnesota Statutes, section 246.54, subdivision 1b, paragraph (a), clause (1), to a 
73.14 	person committed as a person who has a mental illness and is dangerous to the public under 
73.15 	Minnesota Statutes, section 253B.18, and who was awaiting transfer from a state-operated 
73.16 	community-based behavioral health hospital to another state-operated facility or program.
73.17 	(b) The commissioner must reimburse Beltrami County with state-only money any 
73.18 	amount previously paid to the state or otherwise recovered by the commissioner from 
73.19 	Beltrami County for the cost of care identified in paragraph (a).
73.20 	(c) Nothing in this section prohibits the commissioner from seeking reimbursement from 
73.21 	Beltrami County for the cost of care provided in the Anoka-Metro Regional Treatment 
73.22 	Center or a state-operated community-based behavioral health hospital for care not described 
73.23 	in paragraph (a).
73.24 	(d) Notwithstanding any law to the contrary, the client is not responsible for payment 
73.25 	of the cost of care under this section.

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

73.27 	Sec. 5. MENTALLY ILL AND DANGEROUS CIVIL COMMITMENT REFORM 
73.28 	TASK FORCE.
 73.29 		Subdivision 1.Establishment; purpose. The Mentally Ill and Dangerous Civil 
73.30 	Commitment Reform Task Force is established to evaluate current statutes related to mentally 
73.31 	ill and dangerous civil commitments and develop recommendations to optimize the use of 
73.32 	state-operated mental health resources and increase equitable access and outcomes for 
73.33 	patients.
74.1 		Subd. 2.Membership. (a) The Mentally Ill and Dangerous Civil Commitment Reform 
74.2 	Task Force consists of the members appointed as follows:
74.3 	(1) the commissioner of human services or a designee;
74.4 	(2) two members representing the Department of Direct Care and Treatment who have 
74.5 	experience with mentally ill and dangerous civil commitments, appointed by the 
74.6 	commissioner of human services;
74.7 	(3) the ombudsman for mental health and developmental disabilities;
74.8 	(4) a judge with experience presiding over mentally ill and dangerous civil commitments, 
74.9 	appointed by the state court administrator;
74.10 	(5) a court examiner with experience participating in mentally ill and dangerous civil 
74.11 	commitments, appointed by the state court administrator;
74.12 	(6) a member of the Special Review Board, appointed by the state court administrator;
74.13 	(7) a county representative, appointed by the Association of Minnesota Counties;
74.14 	(8) a representative appointed by the Minnesota Association of County Social Service 
74.15 	Administrators;
74.16 	(9) a county attorney with experience participating in mentally ill and dangerous civil 
74.17 	commitments, appointed by the Minnesota County Attorneys Association;
74.18 	(10) an attorney with experience representing respondents in mentally ill and dangerous 
74.19 	civil commitments, appointed by the governor;
74.20 	(11) a member appointed by the Minnesota Association of Community Mental Health 
74.21 	Programs;
74.22 	(12) a member appointed by the National Alliance on Mental Illness Minnesota;
74.23 	(13) a licensed independent practitioner with experience treating individuals subject to 
74.24 	a mentally ill and dangerous civil commitment;
74.25 	(14) an individual with lived experience under civil commitment as mentally ill and 
74.26 	dangerous and who is on a provisional discharge or has been discharged from commitment;
74.27 	(15) a family member of an individual with lived experience under civil commitment 
74.28 	as mentally ill and dangerous and who is on a provisional discharge or has been discharged 
74.29 	from commitment; and
74.30 	(16) at least one Tribal government representative.
75.1 	(b) A member of the legislature may not serve as a member of the task force.
75.2 	(c) Appointments to the task force must be made no later than July 30, 2024.
75.3 		Subd. 3.Compensation; removal; vacancy. (a) Notwithstanding Minnesota Statutes, 
75.4 	section 15.059, subdivision 6, members of the task force may be compensated as provided 
75.5 	under Minnesota Statutes, section 15.059, subdivision 3.
75.6 	(b) A member may be removed by the appointing authority at any time at the pleasure 
75.7 	of the appointing authority. In the case of a vacancy on the task force, the appointing authority 
75.8 	shall appoint an individual to fill the vacancy for the remainder of the unexpired term.
75.9 		Subd. 4.Officers; meetings. (a) The commissioner of human services shall convene 
75.10 	the first meeting of the task force no later than September 1, 2024.
75.11 	(b) The task force must elect a chair and vice-chair from among its members and may 
75.12 	elect other officers as necessary.
75.13 	(c) The task force is subject to Minnesota Statutes, chapter 13D.
75.14 		Subd. 5.Staff. The commissioner of human services must provide staff assistance to 
75.15 	support the work of the task force.
75.16 		Subd. 6.Data usage and privacy. Any data provided by executive agencies as part of 
75.17 	the work and report of the task force are subject to the requirements of Minnesota Statutes, 
75.18 	chapter 13, and all other applicable data privacy laws.
75.19 		Subd. 7.Duties. The task force must:
75.20 	(1) analyze current trends in mentally ill and dangerous civil commitments, including 
75.21 	but not limited to the length of stay for individuals committed in Minnesota as compared 
75.22 	to other jurisdictions;
75.23 	(2) review national practices and criteria for civil commitment of individuals who have 
75.24 	a mental illness and represent a danger to the public;
75.25 	(3) develop recommended statutory changes necessary to provide services to the high 
75.26 	number of mentally ill and dangerous civilly committed individuals;
75.27 	(4) develop funding and statutory recommendations for alternatives to the current mentally 
75.28 	ill and dangerous civil commitment process;
75.29 	(5) identify what types of placements and services are necessary to serve individuals 
75.30 	civilly committed as mentally ill and dangerous in the community;
76.1 	(6) make recommendations to reduce barriers to discharge from the forensic mental 
76.2 	health program for individuals civilly committed as mentally ill and dangerous;
76.3 	(7) develop recommended plain language statutory changes to clarify operational 
76.4 	definitions for terms used within Minnesota Statutes, section 253B.18;
76.5 	(8) develop recommended statutory changes to provide clear direction to the 
76.6 	commissioner of human services and facilities to which individuals are civilly committed 
76.7 	to address situations in which an individual is committed as mentally ill and dangerous and 
76.8 	is later determined to not have an organic disorder of the brain or a substantial psychiatric 
76.9 	disorder of thought, mood, perception, orientation, or memory; and
76.10 	(9) evaluate and make statutory and funding recommendations for the voluntary return 
76.11 	of individuals civilly committed as mentally ill and dangerous to community facilities.
76.12 		Subd. 8.Report required. By August 1, 2025, the task force shall submit to the chairs 
76.13 	and ranking minority members of the legislative committees with jurisdiction over mentally 
76.14 	ill and dangerous civil commitments a written report that includes the outcome of the duties 
76.15 	in subdivision 7, including but not limited to recommended statutory changes.
76.16 		Subd. 9.Expiration. The task force expires January 1, 2026.

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

76.18 	Sec. 6. ENGAGEMENT SERVICES PILOT GRANTS.
76.19 		Subdivision 1.Creation. The engagement services pilot grant program is established 
76.20 	in the Department of Human Services to provide grants to counties or certified community 
76.21 	behavioral health clinics under section 245.735 that have a letter of support from a county 
76.22 	to provide engagement services under section 253B.041. Engagement services must provide 
76.23 	culturally responsive early interventions to prevent an individual from meeting the criteria 
76.24 	for civil commitment and promote positive outcomes.
76.25 		Subd. 2.Allowable grant activities. (a) Grantees must use grant money to:
76.26 	(1) develop a system to respond to requests for engagement services;
76.27 	(2) provide the following engagement services, taking into account an individual's 
76.28 	preferences for treatment services and supports:
76.29 	(i) assertive attempts to engage an individual in voluntary treatment for mental illness 
76.30 	for at least 90 days;
77.1 	(ii) efforts to engage an individual's existing support systems and interested persons, 
77.2 	including but not limited to providing education on restricting means of harm and suicide 
77.3 	prevention, when the provider determines that such engagement would be helpful; and
77.4 	(iii) collaboration with the individual to meet the individual's immediate needs, including 
77.5 	but not limited to housing access, food and income assistance, disability verification, 
77.6 	medication management, and medical treatment;
77.7 	(3) conduct outreach to families and providers; and
77.8 	(4) evaluate the impact of engagement services on decreasing civil commitments, 
77.9 	increasing engagement in treatment, decreasing police involvement with individuals 
77.10 	exhibiting symptoms of serious mental illness, and other measures.
77.11 	(b) Engagement services staff must have completed training on person-centered care. 
77.12 	Staff may include but are not limited to mobile crisis providers under Minnesota Statutes, 
77.13 	section 256B.0624; certified peer specialists under Minnesota Statutes, section 256B.0615; 
77.14 	community-based treatment programs staff; and homeless outreach workers.

77.15 	Sec. 7. DIRECTION TO COMMISSIONER OF HUMAN SERVICES; LIMITED 
77.16 	EXCEPTION FOR ADMISSION FROM HOSPITAL SETTINGS.
 77.17 	The commissioner of human services may immediately approve an exception to add up 
77.18 	to ten patients who have been civilly committed and are awaiting admission in hospital 
77.19 	settings to the waiting list for admission to medically appropriate direct care and treatment 
77.20 	beds under Minnesota Statutes, section 253B.10, subdivision 1, paragraph (b). This section 
77.21 	expires upon the commissioner's approval of the exception for ten patients who have been 
77.22 	civilly committed and are awaiting admission.

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

77.24 	Sec. 8. COUNTY CORRECTIONAL FACILITY MENTAL HEALTH MEDICATION 
77.25 	PILOT PROGRAM.
 77.26 		Subdivision 1.Authorization. The commissioner of human services must establish a 
77.27 	pilot program that provides payments to counties to support county correctional facilities 
77.28 	in delivering injectable medications to prisoners for mental health treatment.
77.29 		Subd. 2.Application. Counties may submit requests for reimbursement for costs incurred 
77.30 	pursuant to subdivision 3 on an application form specified by the commissioner. The 
77.31 	commissioner must issue an application to each county board at least once per calendar 
77.32 	quarter until money for the pilot program is expended.
78.1 		Subd. 3.Pilot program payments; allowable uses. Counties must use payments received 
78.2 	under this section for reimbursement of costs incurred during the most recent calendar 
78.3 	quarter for:
78.4 	(1) the delivery of injectable medications to prisoners for mental health treatment in 
78.5 	county correctional facilities; and
78.6 	(2) billable health care costs related to the delivery of injectable medications for mental 
78.7 	health treatment.
78.8 		Subd. 4.Pilot program payment allocation. (a) The commissioner may allocate up to 
78.9 	one quarter of the total appropriation for the pilot program with each quarterly application. 
78.10 	If the amount of money for eligible requests received exceeds the amount of money available 
78.11 	in the quarter, the commissioner shall determine an equitable allocation of payments among 
78.12 	the applicants.
78.13 	(b) The commissioner's determination of payment amounts is final and not subject to 
78.14 	appeal.
78.15 		Subd. 5.Report. By December 15, 2025, the commissioner must provide a summary 
78.16 	report on the pilot program to the chairs and ranking minority members of the legislative 
78.17 	committees with jurisdiction over mental health and county correctional facilities.

78.18 	ARTICLE 5
78.19 	DIRECT CARE AND TREATMENT AGENCY

78.20 	Section 1. Minnesota Statutes 2023 Supplement, section 10.65, subdivision 2, is amended 
78.21 	to read:
78.22 		Subd. 2.Definitions. As used in this section, the following terms have the meanings 
78.23 	given:
78.24 	(1) "agency" means the Department of Administration; Department of Agriculture; 
78.25 	Department of Children, Youth, and Families; Department of Commerce; Department of 
78.26 	Corrections; Department of Education; Department of Employment and Economic 
78.27 	Development; Department of Health; Office of Higher Education; Housing Finance Agency; 
78.28 	Department of Human Rights; Department of Human Services; Department of Information 
78.29 	Technology Services; Department of Iron Range Resources and Rehabilitation; Department 
78.30 	of Labor and Industry; Minnesota Management and Budget; Bureau of Mediation Services; 
78.31 	Department of Military Affairs; Metropolitan Council; Department of Natural Resources; 
78.32 	Pollution Control Agency; Department of Public Safety; Department of Revenue; Department 
79.1 	of Transportation; Department of Veterans Affairs; Direct Care and Treatment; Gambling 
79.2 	Control Board; Racing Commission; the Minnesota Lottery; the Animal Health Board; and 
79.3 	the Board of Water and Soil Resources;
79.4 	(2) "consultation" means the direct and interactive involvement of the Minnesota Tribal 
79.5 	governments in the development of policy on matters that have Tribal implications. 
79.6 	Consultation is the proactive, affirmative process of identifying and seeking input from 
79.7 	appropriate Tribal governments and considering their interest as a necessary and integral 
79.8 	part of the decision-making process. This definition adds to statutorily mandated notification 
79.9 	procedures. During a consultation, the burden is on the agency to show that it has made a 
79.10 	good faith effort to elicit feedback. Consultation is a formal engagement between agency 
79.11 	officials and the governing body or bodies of an individual Minnesota Tribal government 
79.12 	that the agency or an individual Tribal government may initiate. Formal meetings or 
79.13 	communication between top agency officials and the governing body of a Minnesota Tribal 
79.14 	government is a necessary element of consultation;
79.15 	(3) "matters that have Tribal implications" means rules, legislative proposals, policy 
79.16 	statements, or other actions that have substantial direct effects on one or more Minnesota 
79.17 	Tribal governments, or on the distribution of power and responsibilities between the state 
79.18 	and Minnesota Tribal governments;
79.19 	(4) "Minnesota Tribal governments" means the federally recognized Indian Tribes located 
79.20 	in Minnesota including: Bois Forte Band; Fond Du Lac Band; Grand Portage Band; Leech 
79.21 	Lake Band; Mille Lacs Band; White Earth Band; Red Lake Nation; Lower Sioux Indian 
79.22 	Community; Prairie Island Indian Community; Shakopee Mdewakanton Sioux Community; 
79.23 	and Upper Sioux Community; and
79.24 	(5) "timely and meaningful" means done or occurring at a favorable or useful time that 
79.25 	allows the result of consultation to be included in the agency's decision-making process for 
79.26 	a matter that has Tribal implications.

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

79.28 	Sec. 2. Minnesota Statutes 2022, section 13.46, subdivision 1, as amended by Laws 2024, 
79.29 	chapter 79, article 9, section 1, and Laws 2024, chapter 80, article 8, section 1, is amended 
79.30 	to read:
79.31 		Subdivision 1.Definitions. As used in this section:
79.32 	(a) "Individual" means an individual according to section 13.02, subdivision 8, but does 
79.33 	not include a vendor of services.
80.1 	(b) "Program" includes all programs for which authority is vested in a component of the 
80.2 	welfare system according to statute or federal law, including but not limited to Native 
80.3 	American Tribe programs that provide a service component of the welfare system, the 
80.4 	Minnesota family investment program, medical assistance, general assistance, general 
80.5 	assistance medical care formerly codified in chapter 256D, the child care assistance program, 
80.6 	and child support collections.
80.7 	(c) "Welfare system" includes the Department of Human Services; the Department of
80.8 	Direct Care and Treatment; the Department of Children, Youth, and Families; local social 
80.9 	services agencies; county welfare agencies; county public health agencies; county veteran 
80.10 	services agencies; county housing agencies; private licensing agencies; the public authority 
80.11 	responsible for child support enforcement; human services boards; community mental health 
80.12 	center boards, state hospitals, state nursing homes, the ombudsman for mental health and 
80.13 	developmental disabilities; Native American Tribes to the extent a Tribe provides a service 
80.14 	component of the welfare system; and persons, agencies, institutions, organizations, and 
80.15 	other entities under contract to any of the above agencies to the extent specified in the 
80.16 	contract.
80.17 	(d) "Mental health data" means data on individual clients and patients of community 
80.18 	mental health centers, established under section 245.62, mental health divisions of counties 
80.19 	and other providers under contract to deliver mental health services, Department of Direct 
80.20 	Care and Treatment mental health services, or the ombudsman for mental health and 
80.21 	developmental disabilities.
80.22 	(e) "Fugitive felon" means a person who has been convicted of a felony and who has 
80.23 	escaped from confinement or violated the terms of probation or parole for that offense.
80.24 	(f) "Private licensing agency" means an agency licensed by the commissioner of children, 
80.25 	youth, and families under chapter 142B to perform the duties under section 142B.30.

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

80.27 	Sec. 3. Minnesota Statutes 2023 Supplement, section 13.46, subdivision 2, as amended 
80.28 	by Laws 2024, chapter 80, article 8, section 2, is amended to read:
80.29 		Subd. 2.General. (a) Data on individuals collected, maintained, used, or disseminated 
80.30 	by the welfare system are private data on individuals, and shall not be disclosed except:
80.31 	(1) according to section 13.05;
80.32 	(2) according to court order;
81.1 	(3) according to a statute specifically authorizing access to the private data;
81.2 	(4) to an agent of the welfare system and an investigator acting on behalf of a county, 
81.3 	the state, or the federal government, including a law enforcement person or attorney in the 
81.4 	investigation or prosecution of a criminal, civil, or administrative proceeding relating to the 
81.5 	administration of a program;
81.6 	(5) to personnel of the welfare system who require the data to verify an individual's 
81.7 	identity; determine eligibility, amount of assistance, and the need to provide services to an 
81.8 	individual or family across programs; coordinate services for an individual or family; 
81.9 	evaluate the effectiveness of programs; assess parental contribution amounts; and investigate 
81.10 	suspected fraud;
81.11 	(6) to administer federal funds or programs;
81.12 	(7) between personnel of the welfare system working in the same program;
81.13 	(8) to the Department of Revenue to assess parental contribution amounts for purposes 
81.14 	of section 252.27, subdivision 2a, administer and evaluate tax refund or tax credit programs 
81.15 	and to identify individuals who may benefit from these programs, and prepare the databases 
81.16 	for reports required under section 270C.13 and Laws 2008, chapter 366, article 17, section 
81.17 	6. The following information may be disclosed under this paragraph: an individual's and 
81.18 	their dependent's names, dates of birth, Social Security or individual taxpayer identification 
81.19 	numbers, income, addresses, and other data as required, upon request by the Department 
81.20 	of Revenue. Disclosures by the commissioner of revenue to the commissioner of human 
81.21 	services for the purposes described in this clause are governed by section 270B.14, 
81.22 	subdivision 1. Tax refund or tax credit programs include, but are not limited to, the dependent 
81.23 	care credit under section 290.067, the Minnesota working family credit under section 
81.24 	290.0671, the property tax refund under section 290A.04, and the Minnesota education 
81.25 	credit under section 290.0674;
81.26 	(9) between the Department of Human Services; the Department of Employment and 
81.27 	Economic Development; the Department of Children, Youth, and Families; Direct Care and 
81.28 	Treatment; and, when applicable, the Department of Education, for the following purposes:
81.29 	(i) to monitor the eligibility of the data subject for unemployment benefits, for any 
81.30 	employment or training program administered, supervised, or certified by that agency;
81.31 	(ii) to administer any rehabilitation program or child care assistance program, whether 
81.32 	alone or in conjunction with the welfare system;
82.1 	(iii) to monitor and evaluate the Minnesota family investment program or the child care 
82.2 	assistance program by exchanging data on recipients and former recipients of Supplemental 
82.3 	Nutrition Assistance Program (SNAP) benefits, cash assistance under chapter 256, 256D, 
82.4 	256J, or 256K, child care assistance under chapter 119B, medical programs under chapter 
82.5 	256B or 256L; and
82.6 	(iv) to analyze public assistance employment services and program utilization, cost, 
82.7 	effectiveness, and outcomes as implemented under the authority established in Title II, 
82.8 	Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999. 
82.9 	Health records governed by sections 144.291 to 144.298 and "protected health information" 
82.10 	as defined in Code of Federal Regulations, title 45, section 160.103, and governed by Code 
82.11 	of Federal Regulations, title 45, parts 160-164, including health care claims utilization 
82.12 	information, must not be exchanged under this clause;
82.13 	(10) to appropriate parties in connection with an emergency if knowledge of the 
82.14 	information is necessary to protect the health or safety of the individual or other individuals 
82.15 	or persons;
82.16 	(11) data maintained by residential programs as defined in section 245A.02 may be 
82.17 	disclosed to the protection and advocacy system established in this state according to Part 
82.18 	C of Public Law 98-527 to protect the legal and human rights of persons with developmental 
82.19 	disabilities or other related conditions who live in residential facilities for these persons if 
82.20 	the protection and advocacy system receives a complaint by or on behalf of that person and 
82.21 	the person does not have a legal guardian or the state or a designee of the state is the legal 
82.22 	guardian of the person;
82.23 	(12) to the county medical examiner or the county coroner for identifying or locating 
82.24 	relatives or friends of a deceased person;
82.25 	(13) data on a child support obligor who makes payments to the public agency may be 
82.26 	disclosed to the Minnesota Office of Higher Education to the extent necessary to determine 
82.27 	eligibility under section 136A.121, subdivision 2, clause (5);
82.28 	(14) participant Social Security or individual taxpayer identification numbers and names 
82.29 	collected by the telephone assistance program may be disclosed to the Department of 
82.30 	Revenue to conduct an electronic data match with the property tax refund database to 
82.31 	determine eligibility under section 237.70, subdivision 4a;
82.32 	(15) the current address of a Minnesota family investment program participant may be 
82.33 	disclosed to law enforcement officers who provide the name of the participant and notify 
82.34 	the agency that:
83.1 	(i) the participant:
83.2 	(A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after 
83.3 	conviction, for a crime or attempt to commit a crime that is a felony under the laws of the 
83.4 	jurisdiction from which the individual is fleeing; or
83.5 	(B) is violating a condition of probation or parole imposed under state or federal law;
83.6 	(ii) the location or apprehension of the felon is within the law enforcement officer's 
83.7 	official duties; and
83.8 	(iii) the request is made in writing and in the proper exercise of those duties;
83.9 	(16) the current address of a recipient of general assistance may be disclosed to probation 
83.10 	officers and corrections agents who are supervising the recipient and to law enforcement 
83.11 	officers who are investigating the recipient in connection with a felony level offense;
83.12 	(17) information obtained from a SNAP applicant or recipient households may be 
83.13 	disclosed to local, state, or federal law enforcement officials, upon their written request, for 
83.14 	the purpose of investigating an alleged violation of the Food and Nutrition Act, according 
83.15 	to Code of Federal Regulations, title 7, section 272.1(c);
83.16 	(18) the address, Social Security or individual taxpayer identification number, and, if 
83.17 	available, photograph of any member of a household receiving SNAP benefits shall be made 
83.18 	available, on request, to a local, state, or federal law enforcement officer if the officer 
83.19 	furnishes the agency with the name of the member and notifies the agency that:
83.20 	(i) the member:
83.21 	(A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a 
83.22 	crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;
83.23 	(B) is violating a condition of probation or parole imposed under state or federal law; 
83.24 	or
83.25 	(C) has information that is necessary for the officer to conduct an official duty related 
83.26 	to conduct described in subitem (A) or (B);
83.27 	(ii) locating or apprehending the member is within the officer's official duties; and
83.28 	(iii) the request is made in writing and in the proper exercise of the officer's official duty;
83.29 	(19) the current address of a recipient of Minnesota family investment program, general 
83.30 	assistance, or SNAP benefits may be disclosed to law enforcement officers who, in writing, 
83.31 	provide the name of the recipient and notify the agency that the recipient is a person required 
84.1 	to register under section 243.166, but is not residing at the address at which the recipient is 
84.2 	registered under section 243.166;
84.3 	(20) certain information regarding child support obligors who are in arrears may be 
84.4 	made public according to section 518A.74;
84.5 	(21) data on child support payments made by a child support obligor and data on the 
84.6 	distribution of those payments excluding identifying information on obligees may be 
84.7 	disclosed to all obligees to whom the obligor owes support, and data on the enforcement 
84.8 	actions undertaken by the public authority, the status of those actions, and data on the income 
84.9 	of the obligor or obligee may be disclosed to the other party;
84.10 	(22) data in the work reporting system may be disclosed under section 256.998, 
84.11 	subdivision 7;
84.12 	(23) to the Department of Education for the purpose of matching Department of Education 
84.13 	student data with public assistance data to determine students eligible for free and 
84.14 	reduced-price meals, meal supplements, and free milk according to United States Code, 
84.15 	title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and state 
84.16 	funds that are distributed based on income of the student's family; and to verify receipt of 
84.17 	energy assistance for the telephone assistance plan;
84.18 	(24) the current address and telephone number of program recipients and emergency 
84.19 	contacts may be released to the commissioner of health or a community health board as 
84.20 	defined in section 145A.02, subdivision 5, when the commissioner or community health 
84.21 	board has reason to believe that a program recipient is a disease case, carrier, suspect case, 
84.22 	or at risk of illness, and the data are necessary to locate the person;
84.23 	(25) to other state agencies, statewide systems, and political subdivisions of this state, 
84.24 	including the attorney general, and agencies of other states, interstate information networks, 
84.25 	federal agencies, and other entities as required by federal regulation or law for the 
84.26 	administration of the child support enforcement program;
84.27 	(26) to personnel of public assistance programs as defined in section 256.741, for access 
84.28 	to the child support system database for the purpose of administration, including monitoring 
84.29 	and evaluation of those public assistance programs;
84.30 	(27) to monitor and evaluate the Minnesota family investment program by exchanging 
84.31 	data between the Departments of Human Services; Children, Youth, and Families; and 
84.32 	Education, on recipients and former recipients of SNAP benefits, cash assistance under 
84.33 	chapter 256, 256D, 256J, or 256K, child care assistance under chapter 119B, medical 
85.1 	programs under chapter 256B or 256L, or a medical program formerly codified under chapter 
85.2 	256D;
85.3 	(28) to evaluate child support program performance and to identify and prevent fraud 
85.4 	in the child support program by exchanging data between the Department of Human Services; 
85.5 	Department of Children, Youth, and Families; Department of Revenue under section 270B.14, 
85.6 	subdivision 1, paragraphs (a) and (b), without regard to the limitation of use in paragraph 
85.7 	(c); Department of Health; Department of Employment and Economic Development; and 
85.8 	other state agencies as is reasonably necessary to perform these functions;
85.9 	(29) counties and the Department of Children, Youth, and Families operating child care 
85.10 	assistance programs under chapter 119B may disseminate data on program participants, 
85.11 	applicants, and providers to the commissioner of education;
85.12 	(30) child support data on the child, the parents, and relatives of the child may be 
85.13 	disclosed to agencies administering programs under titles IV-B and IV-E of the Social 
85.14 	Security Act, as authorized by federal law;
85.15 	(31) to a health care provider governed by sections 144.291 to 144.298, to the extent 
85.16 	necessary to coordinate services;
85.17 	(32) to the chief administrative officer of a school to coordinate services for a student 
85.18 	and family; data that may be disclosed under this clause are limited to name, date of birth, 
85.19 	gender, and address;
85.20 	(33) to county correctional agencies to the extent necessary to coordinate services and 
85.21 	diversion programs; data that may be disclosed under this clause are limited to name, client 
85.22 	demographics, program, case status, and county worker information; or
85.23 	(34) between the Department of Human Services and the Metropolitan Council for the 
85.24 	following purposes:
85.25 	(i) to coordinate special transportation service provided under section 473.386 with 
85.26 	services for people with disabilities and elderly individuals funded by or through the 
85.27 	Department of Human Services; and
85.28 	(ii) to provide for reimbursement of special transportation service provided under section 
85.29 	473.386.
85.30 	The data that may be shared under this clause are limited to the individual's first, last, and 
85.31 	middle names; date of birth; residential address; and program eligibility status with expiration 
85.32 	date for the purposes of informing the other party of program eligibility.
86.1 	(b) Information on persons who have been treated for substance use disorder may only 
86.2 	be disclosed according to the requirements of Code of Federal Regulations, title 42, sections 
86.3 	2.1 to 2.67.
86.4 	(c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16), 
86.5 	(17), or (18), or paragraph (b), are investigative data and are confidential or protected 
86.6 	nonpublic while the investigation is active. The data are private after the investigation 
86.7 	becomes inactive under section 13.82, subdivision 7, clause (a) or (b).
86.8 	(d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but are 
86.9 	not subject to the access provisions of subdivision 10, paragraph (b).
86.10 	For the purposes of this subdivision, a request will be deemed to be made in writing if 
86.11 	made through a computer interface system.

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

86.13 	Sec. 4. Minnesota Statutes 2022, section 13.46, subdivision 10, as amended by Laws 2024, 
86.14 	chapter 79, article 9, section 2, is amended to read:
86.15 		Subd. 10.Responsible authority. (a) Notwithstanding any other provision of this chapter 
86.16 	to the contrary, the responsible authority for each component of the welfare system listed 
86.17 	in subdivision 1, clause (c), shall be as follows:
86.18 	(1) the responsible authority for the Department of Human Services is the commissioner 
86.19 	of human services;
86.20 	(2) the responsible authority of a county welfare agency is the director of the county 
86.21 	welfare agency;
86.22 	(3) the responsible authority for a local social services agency, human services board, 
86.23 	or community mental health center board is the chair of the board;
86.24 	(4) the responsible authority of any person, agency, institution, organization, or other 
86.25 	entity under contract to any of the components of the welfare system listed in subdivision 
86.26 	1, clause (c), is the person specified in the contract;
86.27 	(5) the responsible authority of the public authority for child support enforcement is the 
86.28 	head of the public authority for child support enforcement;
86.29 	(6) the responsible authority for county veteran services is the county veterans service 
86.30 	officer pursuant to section 197.603, subdivision 2; and
87.1 	(7) the responsible authority for the Department of Direct Care and Treatment is the 
87.2 	chief executive officer of Direct Care and Treatment executive board.
87.3 	(b) A responsible authority shall allow another responsible authority in the welfare 
87.4 	system access to data classified as not public data when access is necessary for the 
87.5 	administration and management of programs, or as authorized or required by statute or 
87.6 	federal law.

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

87.8 	Sec. 5. Minnesota Statutes 2023 Supplement, section 15.01, is amended to read:
87.9 	15.01 DEPARTMENTS OF THE STATE.
87.10 	The following agencies are designated as the departments of the state government: the 
87.11 	Department of Administration; the Department of Agriculture; the Department of Children, 
87.12 	Youth, and Families; the Department of Commerce; the Department of Corrections; the 
87.13 	Department of Direct Care and Treatment; the Department of Education; the Department 
87.14 	of Employment and Economic Development; the Department of Health; the Department of 
87.15 	Human Rights; the Department of Human Services; the Department of Information 
87.16 	Technology Services; the Department of Iron Range Resources and Rehabilitation; the 
87.17 	Department of Labor and Industry; the Department of Management and Budget; the 
87.18 	Department of Military Affairs; the Department of Natural Resources; the Department of 
87.19 	Public Safety; the Department of Revenue; the Department of Transportation; the Department 
87.20 	of Veterans Affairs; and their successor departments.

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

87.22 	Sec. 6. Minnesota Statutes 2023 Supplement, section 15.06, subdivision 1, is amended to 
87.23 	read:
87.24 		Subdivision 1.Applicability. This section applies to the following departments or 
87.25 	agencies: the Departments of Administration; Agriculture; Children, Youth, and Families; 
87.26 	Commerce; Corrections; Direct Care and Treatment; Education; Employment and Economic 
87.27 	Development; Health; Human Rights; Human Services; Labor and Industry; Management 
87.28 	and Budget; Natural Resources; Public Safety; Revenue; Transportation; and Veterans 
87.29 	Affairs; the Housing Finance and Pollution Control Agencies; the Office of Commissioner 
87.30 	of Iron Range Resources and Rehabilitation; the Department of Information Technology 
87.31 	Services; the Bureau of Mediation Services; and their successor departments and agencies. 
87.32 	The heads of the foregoing departments or agencies are "commissioners."

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

88.2 	Sec. 7. Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 1, is amended 
88.3 	to read:
88.4 		Subdivision 1.Creation. A Compensation Council is created each odd-numbered year 
88.5 	to establish the compensation of constitutional officers and the heads of state and metropolitan 
88.6 	agencies identified in section 15A.0815, and to assist the legislature in establishing the 
88.7 	compensation of justices of the supreme court and judges of the court of appeals and district 
88.8 	court, and to determine the daily compensation for voting members of the Direct Care and 
88.9 	Treatment executive board.

88.10 	Sec. 8. Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 3, is amended 
88.11 	to read:
88.12 		Subd. 3.Submission of recommendations and determination. (a) By April 1 in each 
88.13 	odd-numbered year, the Compensation Council shall submit to the speaker of the house and 
88.14 	the president of the senate salary recommendations for justices of the supreme court, and 
88.15 	judges of the court of appeals and district court. The recommended salaries take effect on 
88.16 	July 1 of that year and July 1 of the subsequent even-numbered year and at whatever interval 
88.17 	the council recommends thereafter, unless the legislature by law provides otherwise. The 
88.18 	salary recommendations take effect if an appropriation of money to pay the recommended 
88.19 	salaries is enacted after the recommendations are submitted and before their effective date. 
88.20 	Recommendations may be expressly modified or rejected.
88.21 	(b) By April 1 in each odd-numbered year, the Compensation Council must prescribe 
88.22 	salaries for constitutional officers, and for the agency and metropolitan agency heads 
88.23 	identified in section 15A.0815. The prescribed salary for each office must take effect July 
88.24 	1 of that year and July 1 of the subsequent even-numbered year and at whatever interval 
88.25 	the council determines thereafter, unless the legislature by law provides otherwise. An 
88.26 	appropriation by the legislature to fund the relevant office, branch, or agency of an amount 
88.27 	sufficient to pay the salaries prescribed by the council constitutes a prescription by law as 
88.28 	provided in the Minnesota Constitution, article V, sections 4 and 5.
88.29 	(c) By April 1 in each odd-numbered year, the Compensation Council must prescribe 
88.30 	daily compensation for voting members of the Direct Care and Treatment executive board. 
88.31 	The recommended daily compensation takes effect on July 1 of that year and July 1 of the 
88.32 	subsequent even-numbered year and at whatever interval the council recommends thereafter, 
88.33 	unless the legislature by law provides otherwise.

89.1 	Sec. 9. Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 7, is amended 
89.2 	to read:
89.3 		Subd. 7.No ex parte communications. Members may not have any communication 
89.4 	with a constitutional officer, a head of a state agency, or a member of the judiciary, or a 
89.5 	member of the Direct Care and Treatment executive board during the period after the first 
89.6 	meeting is convened under this section and the date the prescribed and recommended salaries
89.7 	and daily compensation are submitted under subdivision 3.

89.8 	Sec. 10. Minnesota Statutes 2023 Supplement, section 43A.08, subdivision 1, is amended 
89.9 	to read:
89.10 		Subdivision 1.Unclassified positions.  Unclassified positions are held by employees 
89.11 	who are:
89.12 	(1) chosen by election or appointed to fill an elective office;
89.13 	(2) heads of agencies required by law to be appointed by the governor or other elective 
89.14 	officers, and the executive or administrative heads of departments, bureaus, divisions, and 
89.15 	institutions specifically established by law in the unclassified service;
89.16 	(3) deputy and assistant agency heads and one confidential secretary in the agencies 
89.17 	listed in subdivision 1a;
89.18 	(4) the confidential secretary to each of the elective officers of this state and, for the 
89.19 	secretary of state and state auditor, an additional deputy, clerk, or employee;
89.20 	(5) intermittent help employed by the commissioner of public safety to assist in the 
89.21 	issuance of vehicle licenses;
89.22 	(6) employees in the offices of the governor and of the lieutenant governor and one 
89.23 	confidential employee for the governor in the Office of the Adjutant General;
89.24 	(7) employees of the Washington, D.C., office of the state of Minnesota;
89.25 	(8) employees of the legislature and of legislative committees or commissions; provided 
89.26 	that employees of the Legislative Audit Commission, except for the legislative auditor, the 
89.27 	deputy legislative auditors, and their confidential secretaries, shall be employees in the 
89.28 	classified service;
89.29 	(9) presidents, vice-presidents, deans, other managers and professionals in academic 
89.30 	and academic support programs, administrative or service faculty, teachers, research 
89.31 	assistants, and student employees eligible under terms of the federal Economic Opportunity 
89.32 	Act work study program in the Perpich Center for Arts Education and the Minnesota State 
90.1 	Colleges and Universities, but not the custodial, clerical, or maintenance employees, or any 
90.2 	professional or managerial employee performing duties in connection with the business 
90.3 	administration of these institutions;
90.4 	(10) officers and enlisted persons in the National Guard;
90.5 	(11) attorneys, legal assistants, and three confidential employees appointed by the attorney 
90.6 	general or employed with the attorney general's authorization;
90.7 	(12) judges and all employees of the judicial branch, referees, receivers, jurors, and 
90.8 	notaries public, except referees and adjusters employed by the Department of Labor and 
90.9 	Industry;
90.10 	(13) members of the State Patrol; provided that selection and appointment of State Patrol 
90.11 	troopers must be made in accordance with applicable laws governing the classified service;
90.12 	(14) examination monitors and intermittent training instructors employed by the 
90.13 	Departments of Management and Budget and Commerce and by professional examining 
90.14 	boards and intermittent staff employed by the technical colleges for the administration of 
90.15 	practical skills tests and for the staging of instructional demonstrations;
90.16 	(15) student workers;
90.17 	(16) executive directors or executive secretaries appointed by and reporting to any 
90.18 	policy-making board or commission established by statute;
90.19 	(17) employees unclassified pursuant to other statutory authority;
90.20 	(18) intermittent help employed by the commissioner of agriculture to perform duties 
90.21 	relating to pesticides, fertilizer, and seed regulation;
90.22 	(19) the administrators and the deputy administrators at the State Academies for the 
90.23 	Deaf and the Blind; and
90.24 	(20) the chief executive officers in the Department of Human Services officer of Direct 
90.25 	Care and Treatment.

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

90.27 	Sec. 11. Minnesota Statutes 2023 Supplement, section 43A.08, subdivision 1a, is amended 
90.28 	to read:
90.29 		Subd. 1a.Additional unclassified positions. Appointing authorities for the following 
90.30 	agencies may designate additional unclassified positions according to this subdivision: the 
90.31 	Departments of Administration; Agriculture; Children, Youth, and Families; Commerce; 
91.1 	Corrections; Direct Care and Treatment; Education; Employment and Economic 
91.2 	Development; Explore Minnesota Tourism; Management and Budget; Health; Human 
91.3 	Rights; Human Services; Labor and Industry; Natural Resources; Public Safety; Revenue; 
91.4 	Transportation; and Veterans Affairs; the Housing Finance and Pollution Control Agencies; 
91.5 	the State Lottery; the State Board of Investment; the Office of Administrative Hearings; the 
91.6 	Department of Information Technology Services; the Offices of the Attorney General, 
91.7 	Secretary of State, and State Auditor; the Minnesota State Colleges and Universities; the 
91.8 	Minnesota Office of Higher Education; the Perpich Center for Arts Education; Direct Care 
91.9 	and Treatment; and the Minnesota Zoological Board.
91.10 	A position designated by an appointing authority according to this subdivision must 
91.11 	meet the following standards and criteria:
91.12 	(1) the designation of the position would not be contrary to other law relating specifically 
91.13 	to that agency;
91.14 	(2) the person occupying the position would report directly to the agency head or deputy 
91.15 	agency head and would be designated as part of the agency head's management team;
91.16 	(3) the duties of the position would involve significant discretion and substantial 
91.17 	involvement in the development, interpretation, and implementation of agency policy;
91.18 	(4) the duties of the position would not require primarily personnel, accounting, or other 
91.19 	technical expertise where continuity in the position would be important;
91.20 	(5) there would be a need for the person occupying the position to be accountable to, 
91.21 	loyal to, and compatible with, the governor and the agency head, the employing statutory 
91.22 	board or commission, or the employing constitutional officer;
91.23 	(6) the position would be at the level of division or bureau director or assistant to the 
91.24 	agency head; and
91.25 	(7) the commissioner has approved the designation as being consistent with the standards 
91.26 	and criteria in this subdivision.

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

91.28 	Sec. 12. Minnesota Statutes 2022, section 145.61, subdivision 5, is amended to read:
91.29 		Subd. 5.Review organization. "Review organization" means a nonprofit organization 
91.30 	acting according to clause (l), a committee as defined under section 144E.32, subdivision 
91.31 	2, or a committee whose membership is limited to professionals, administrative staff, and 
91.32 	consumer directors, except where otherwise provided for by state or federal law, and which 
92.1 	is established by one or more of the following: a hospital, a clinic, a nursing home, an 
92.2 	ambulance service or first responder service regulated under chapter 144E, one or more 
92.3 	state or local associations of professionals, an organization of professionals from a particular 
92.4 	area or medical institution, a health maintenance organization as defined in chapter 62D, a 
92.5 	community integrated service network as defined in chapter 62N, a nonprofit health service 
92.6 	plan corporation as defined in chapter 62C, a preferred provider organization, a professional 
92.7 	standards review organization established pursuant to United States Code, title 42, section 
92.8 	1320c-1 et seq., a medical review agent established to meet the requirements of section 
92.9 	256B.04, subdivision 15, the Department of Human Services, Direct Care and Treatment, 
92.10 	or a nonprofit corporation that owns, operates, or is established by one or more of the above 
92.11 	referenced entities, to gather and review information relating to the care and treatment of 
92.12 	patients for the purposes of:
92.13 	(a) evaluating and improving the quality of health care;
92.14 	(b) reducing morbidity or mortality;
92.15 	(c) obtaining and disseminating statistics and information relative to the treatment and 
92.16 	prevention of diseases, illness and injuries;
92.17 	(d) developing and publishing guidelines showing the norms of health care in the area 
92.18 	or medical institution or in the entity or organization that established the review organization;
92.19 	(e) developing and publishing guidelines designed to keep within reasonable bounds the 
92.20 	cost of health care;
92.21 	(f) developing and publishing guidelines designed to improve the safety of care provided 
92.22 	to individuals;
92.23 	(g) reviewing the safety, quality, or cost of health care services provided to enrollees of 
92.24 	health maintenance organizations, community integrated service networks, health service 
92.25 	plans, preferred provider organizations, and insurance companies;
92.26 	(h) acting as a professional standards review organization pursuant to United States 
92.27 	Code, title 42, section 1320c-1 et seq.;
92.28 	(i) determining whether a professional shall be granted staff privileges in a medical 
92.29 	institution, membership in a state or local association of professionals, or participating status 
92.30 	in a nonprofit health service plan corporation, health maintenance organization, community 
92.31 	integrated service network, preferred provider organization, or insurance company, or 
92.32 	whether a professional's staff privileges, membership, or participation status should be 
92.33 	limited, suspended or revoked;
93.1 	(j) reviewing, ruling on, or advising on controversies, disputes or questions between:
93.2 	(1) health insurance carriers, nonprofit health service plan corporations, health 
93.3 	maintenance organizations, community integrated service networks, self-insurers and their 
93.4 	insureds, subscribers, enrollees, or other covered persons;
93.5 	(2) professional licensing boards and health providers licensed by them;
93.6 	(3) professionals and their patients concerning diagnosis, treatment or care, or the charges 
93.7 	or fees therefor;
93.8 	(4) professionals and health insurance carriers, nonprofit health service plan corporations, 
93.9 	health maintenance organizations, community integrated service networks, or self-insurers 
93.10 	concerning a charge or fee for health care services provided to an insured, subscriber, 
93.11 	enrollee, or other covered person;
93.12 	(5) professionals or their patients and the federal, state, or local government, or agencies 
93.13 	thereof;
93.14 	(k) providing underwriting assistance in connection with professional liability insurance 
93.15 	coverage applied for or obtained by dentists, or providing assistance to underwriters in 
93.16 	evaluating claims against dentists;
93.17 	(l) acting as a medical review agent under section 256B.04, subdivision 15;
93.18 	(m) providing recommendations on the medical necessity of a health service, or the 
93.19 	relevant prevailing community standard for a health service;
93.20 	(n) providing quality assurance as required by United States Code, title 42, sections 
93.21 	1396r(b)(1)(b) and 1395i-3(b)(1)(b) of the Social Security Act;
93.22 	(o) providing information to group purchasers of health care services when that 
93.23 	information was originally generated within the review organization for a purpose specified 
93.24 	by this subdivision;
93.25 	(p) providing information to other, affiliated or nonaffiliated review organizations, when 
93.26 	that information was originally generated within the review organization for a purpose 
93.27 	specified by this subdivision, and as long as that information will further the purposes of a 
93.28 	review organization as specified by this subdivision; or
93.29 	(q) participating in a standardized incident reporting system, including Internet-based 
93.30 	applications, to share information for the purpose of identifying and analyzing trends in 
93.31 	medical error and iatrogenic injury.

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

94.1 	Sec. 13. Minnesota Statutes 2022, section 246.018, subdivision 3, as amended by Laws 
94.2 	2024, chapter 79, article 1, section 6, is amended to read:
94.3 		Subd. 3.Duties. The executive medical director shall:
94.4 	(1) oversee the clinical provision of inpatient mental health services provided in the 
94.5 	state's regional treatment centers;
94.6 	(2) recruit and retain psychiatrists to serve on the direct care and treatment medical staff 
94.7 	established in subdivision 4;
94.8 	(3) consult with the executive board, the chief executive officer, and community mental 
94.9 	health center directors, and the state-operated services governing body to develop standards 
94.10 	for treatment and care of patients in state-operated service programs;
94.11 	(4) develop and oversee a continuing education program for members of the medical 
94.12 	staff; and
94.13 	(5) participate and cooperate in the development and maintenance of a quality assurance 
94.14 	program for state-operated services that assures that residents receive continuous quality 
94.15 	inpatient, outpatient, and postdischarge care.

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

94.17 	Sec. 14. Minnesota Statutes 2022, section 246.13, subdivision 2, as amended by Laws 
94.18 	2024, chapter 79, article 2, section 4, is amended to read:
94.19 		Subd. 2.Definitions; risk assessment and management. (a) As used in this section:
94.20 	(1) "appropriate and necessary medical and other records" includes patient medical 
94.21 	records and other protected health information as defined by Code of Federal Regulations, 
94.22 	title 45, section 164.501, relating to a patient in a state-operated services facility including 
94.23 	but not limited to the patient's treatment plan and abuse prevention plan pertinent to the 
94.24 	patient's ongoing care, treatment, or placement in a community-based treatment facility or 
94.25 	a health care facility that is not operated by state-operated services, including information 
94.26 	describing the level of risk posed by a patient when the patient enters the facility;
94.27 	(2) "community-based treatment" means the community support services listed in section 
94.28 	253B.02, subdivision 4b;
94.29 	(3) "criminal history data" means data maintained or used by the Departments of 
94.30 	Corrections and Public Safety and by the supervisory authorities listed in section 13.84, 
94.31 	subdivision 1, that relate to an individual's criminal history or propensity for violence, 
94.32 	including data in the:
95.1 	(i) Corrections Offender Management System (COMS);
95.2 	(ii) Statewide Supervision System (S3);
95.3 	(iii) Bureau of Criminal Apprehension criminal history data as defined in section 13.87;
95.4 	(iv) Integrated Search Service as defined in section 13.873; and
95.5 	(v) Predatory Offender Registration (POR) system;
95.6 	(4) "designated agency" means the agency defined in section 253B.02, subdivision 5;
95.7 	(5) "law enforcement agency" means the law enforcement agency having primary 
95.8 	jurisdiction over the location where the offender expects to reside upon release;
95.9 	(6) "predatory offender" and "offender" mean a person who is required to register as a 
95.10 	predatory offender under section 243.166; and
95.11 	(7) "treatment facility" means a facility as defined in section 253B.02, subdivision 19.
95.12 	(b) To promote public safety and for the purposes and subject to the requirements of 
95.13 	this paragraph, the executive board or the executive board's designee shall have access to, 
95.14 	and may review and disclose, medical and criminal history data as provided by this section, 
95.15 	as necessary to comply with Minnesota Rules, part 1205.0400, to:
95.16 	(1) determine whether a patient is required under state law to register as a predatory 
95.17 	offender according to section 243.166;
95.18 	(2) facilitate and expedite the responsibilities of the special review board and 
95.19 	end-of-confinement review committees by corrections institutions and state treatment 
95.20 	facilities;
95.21 	(3) prepare, amend, or revise the abuse prevention plans required under section 626.557, 
95.22 	subdivision 14, and individual patient treatment plans required under section 253B.03, 
95.23 	subdivision 7;
95.24 	(4) facilitate the custody, supervision, and transport of individuals transferred between 
95.25 	the Department of Corrections and the Department of Direct Care and Treatment; and
95.26 	(5) effectively monitor and supervise individuals who are under the authority of the 
95.27 	Department of Corrections, the Department of Direct Care and Treatment, and the supervisory 
95.28 	authorities listed in section 13.84, subdivision 1.
95.29 	(c) The state-operated services treatment facility or a designee must make a good faith 
95.30 	effort to obtain written authorization from the patient before releasing information from the 
95.31 	patient's medical record.
96.1 	(d) If the patient refuses or is unable to give informed consent to authorize the release 
96.2 	of information required under this subdivision, the chief executive officer for state-operated 
96.3 	services or a designee shall provide the appropriate and necessary medical and other records. 
96.4 	The chief executive officer or a designee shall comply with the minimum necessary privacy 
96.5 	requirements.
96.6 	(e) The executive board may have access to the National Crime Information Center 
96.7 	(NCIC) database through the Department of Public Safety in support of the public safety 
96.8 	functions described in paragraph (b).

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

96.10 	Sec. 15. Minnesota Statutes 2022, section 246.234, as amended by Laws 2024, chapter 
96.11 	79, article 1, section 11, is amended to read:
96.12 	246.234 RECIPROCAL EXCHANGE OF CERTAIN PERSONS.
96.13 	The executive board is hereby authorized with the approval of the governor to enter into 
96.14 	reciprocal agreements with duly authorized authorities of any other another state or states 
96.15 	regarding the mutual exchange, return, and transportation of persons with a mental illness 
96.16 	or developmental disability who are within the confines of one state but have legal residence 
96.17 	or legal settlement for the purposes of relief in another state. Such agreements Any agreement 
96.18 	entered into under this subdivision must not contain provisions conflicting any provision 
96.19 	that conflicts with any law of this state law.

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

96.21 	Sec. 16. Minnesota Statutes 2022, section 246.36, as amended by Laws 2024, chapter 79, 
96.22 	article 1, section 14, is amended to read:
96.23 	246.36 ACCEPTANCE OF VOLUNTARY, UNCOMPENSATED SERVICES.
96.24 	For the purpose of carrying out a duty, the executive board shall have authority to may
96.25 	accept uncompensated and voluntary services and to may enter into contracts or agreements 
96.26 	with private or public agencies, organizations, or persons for uncompensated and voluntary 
96.27 	services as the executive board deems practicable. Uncompensated and voluntary services 
96.28 	do not include services mandated by licensure and certification requirements for health care 
96.29 	facilities. The volunteer agencies, organizations, or persons who provide services to residents 
96.30 	of state facilities operated under the authority of the executive board are not subject to the 
96.31 	procurement requirements of chapters 16A and 16C. The agencies, organizations, or persons 
97.1 	may purchase supplies, services, and equipment to be used in providing services to residents 
97.2 	of state facilities through the Department of Administration.

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

97.4 	Sec. 17. Minnesota Statutes 2023 Supplement, section 246C.01, is amended to read:
97.5 	246C.01 TITLE.
97.6 	This chapter may be cited as the "Department of Direct Care and Treatment Act."

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

97.8 	Sec. 18. Minnesota Statutes 2023 Supplement, section 246C.02, as amended by Laws 
97.9 	2024, chapter 79, article 1, section 19, is amended to read:
97.10 	246C.02 DEPARTMENT OF DIRECT CARE AND TREATMENT; 
97.11 	ESTABLISHMENT.
97.12 		Subdivision 1.Establishment. The Department of Direct Care and Treatment is created
97.13 	as an agency headed by an executive board. An executive board shall head the Department 
97.14 	of Direct Care and Treatment.
97.15 		Subd. 2.Mission. (a) The executive board shall develop and maintain direct care and 
97.16 	treatment in a manner consistent with applicable law, including chapters 13, 245, 246, 246B, 
97.17 	252, 253, 253B, 253C, 253D, 254A, 254B, and 256.
97.18 	(b) The executive board shall provide direct care and treatment services in coordination 
97.19 	with the commissioner of human services, counties, and other vendors.
97.20 		Subd. 3.Direct care and treatment services. Direct Care and Treatment services shall 
97.21 	provide direct care and treatment services that include specialized inpatient programs at 
97.22 	secure treatment facilities, community preparation services, regional treatment centers, 
97.23 	enterprise services, consultative services, aftercare services, community-based services and 
97.24 	programs, transition services, nursing home services, and other services consistent with the 
97.25 	mission of the Department of Direct Care and Treatment state law, including this chapter 
97.26 	and chapters 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256. Direct 
97.27 	Care and Treatment shall provide direct care and treatment services in coordination with 
97.28 	the commissioner of human services, counties, and other vendors.
97.29 		Subd. 4.Statewide services. (a) The administrative structure of state-operated services 
97.30 	must be statewide in character.
98.1 	(b) The state-operated services staff may deliver services at any location throughout the 
98.2 	state.
98.3 		Subd. 5.Department of Human Services as state agency. The commissioner of human 
98.4 	services continues to constitute the "state agency" as defined by the Social Security Act of 
98.5 	the United States and the laws of this state for all purposes relating to mental health and 
98.6 	mental hygiene.

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

98.8 	Sec. 19. Minnesota Statutes 2023 Supplement, section 246C.04, as amended by Laws 
98.9 	2024, chapter 79, article 1, section 21, is amended to read:
98.10 	246C.04 TRANSFER OF DUTIES.
98.11 		Subdivision 1.Transfer of duties. (a) Section 15.039 applies to the transfer of duties
98.12 	responsibilities from the Department of Human Services to Direct Care and Treatment
98.13 	required by this chapter.
98.14 	(b) The commissioner of administration, with the governor's approval, shall issue 
98.15 	reorganization orders under section 16B.37 as necessary to carry out the transfer of duties 
98.16 	required by section 246C.03 this chapter. The provision of section 16B.37, subdivision 1, 
98.17 	stating that transfers under section 16B.37 may only be to an agency that has existed for at 
98.18 	least one year does not apply to transfers to an agency created by this chapter.
98.19 	(c) The initial salary for the health systems chief executive officer of the Department of 
98.20 	Direct Care and Treatment is the same as the salary for the health systems chief executive 
98.21 	officer of direct care and treatment at the Department of Human Services immediately before 
98.22 	July 1, 2024.
98.23 		Subd. 2.Transfer of custody of civilly committed persons. The commissioner of 
98.24 	human services shall continue to exercise all authority and responsibility for and retain 
98.25 	custody of persons subject to civil commitment under chapter 253B or 253D until July 1, 
98.26 	2025. Effective July 1, 2025, custody of persons subject to civil commitment under chapter 
98.27 	253B or 253D and in the custody of the commissioner of human services as of that date is 
98.28 	hereby transferred to the executive board without any further act or proceeding. Authority 
98.29 	and responsibility for the commitment of such persons is transferred to the executive board
98.30 	on July 1, 2025.
98.31 		Subd. 3.Control of direct care and treatment. The commissioner of human services 
98.32 	shall continue to exercise all authorities and responsibilities under this chapter and chapters 
98.33 	13, 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256, with reference to 
99.1 	any state-operated service, program, or facility subject to transfer under this act until July 
99.2 	1, 2025. Effective July 1, 2025, the powers and duties vested in or imposed upon the 
99.3 	commissioner of human services with reference to any state-operated service, program, or 
99.4 	facility are hereby transferred to, vested in, and imposed upon the executive board according 
99.5 	to this chapter and applicable state law. Effective July 1, 2025, the executive board is hereby 
99.6 	charged with and has the exclusive power of administration and management of all state 
99.7 	hospitals for persons with a developmental disability, mental illness, or substance use 
99.8 	disorder. Effective July 1, 2025, the executive board has the power and authority to determine 
99.9 	all matters relating to the development of all of the foregoing institutions and of such other 
99.10 	institutions vested in the executive board. Effective July 1, 2025, the powers, functions, and 
99.11 	authority vested in the commissioner of human services relative to such state institutions 
99.12 	are hereby transferred to the executive board according to this chapter and applicable state 
99.13 	law.
99.14 		Subd. 4.Appropriations. There is hereby appropriated to such persons or institutions 
99.15 	as are entitled to such sums as are provided for in this section, from the fund or account in 
99.16 	the state treasury to which the money was credited, an amount sufficient to make such 
99.17 	payment.

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

99.19 	Sec. 20. Minnesota Statutes 2023 Supplement, section 246C.05, as amended by Laws 
99.20 	2024, chapter 79, article 1, section 22, is amended to read:
99.21 	246C.05 EMPLOYEE PROTECTIONS FOR ESTABLISHING THE NEW 
99.22 	DEPARTMENT OF DIRECT CARE AND TREATMENT.
99.23 	(a) Personnel whose duties relate to the functions assigned to the executive board in 
99.24 	section 246C.03 this chapter are transferred to the Department of Direct Care and Treatment 
99.25 	effective 30 days after approval by the commissioner of management and budget.
99.26 	(b) Before the executive board is appointed, personnel whose duties relate to the functions 
99.27 	in this section chapter may be transferred beginning July 1, 2024, with 30 days' notice from 
99.28 	the commissioner of management and budget.
99.29 	(c) The following protections shall apply to employees who are transferred from the 
99.30 	Department of Human Services to the Department of Direct Care and Treatment:
99.31 	(1) No transferred employee shall have their employment status and job classification 
99.32 	altered as a result of the transfer.
100.1 	(2) Transferred employees who were represented by an exclusive representative prior 
100.2 	to the transfer shall continue to be represented by the same exclusive representative after 
100.3 	the transfer.
100.4 	(3) The applicable collective bargaining agreements with exclusive representatives shall 
100.5 	continue in full force and effect for such transferred employees after the transfer.
100.6 	(4) The state shall have the obligation to meet and negotiate with the exclusive 
100.7 	representatives of the transferred employees about any proposed changes affecting or relating 
100.8 	to the transferred employees' terms and conditions of employment to the extent such changes 
100.9 	are not addressed in the applicable collective bargaining agreement.
100.10 	(5) When an employee in a temporary unclassified position is transferred to the 
100.11 	Department of Direct Care and Treatment, the total length of time that the employee has 
100.12 	served in the appointment shall include all time served in the appointment at the transferring 
100.13 	agency and the time served in the appointment at the Department of Direct Care and 
100.14 	Treatment. An employee in a temporary unclassified position who was hired by a transferring 
100.15 	agency through an open competitive selection process in accordance with a policy enacted 
100.16 	by Minnesota Management and Budget shall be considered to have been hired through such 
100.17 	process after the transfer.
100.18 	(6) In the event that the state transfers ownership or control of any of the facilities, 
100.19 	services, or operations of the Department of Direct Care and Treatment to another entity, 
100.20 	whether private or public, by subcontracting, sale, assignment, lease, or other transfer, the 
100.21 	state shall require as a written condition of such transfer of ownership or control the following 
100.22 	provisions:
100.23 	(i) Employees who perform work in transferred facilities, services, or operations must 
100.24 	be offered employment with the entity acquiring ownership or control before the entity 
100.25 	offers employment to any individual who was not employed by the transferring agency at 
100.26 	the time of the transfer.
100.27 	(ii) The wage and benefit standards of such transferred employees must not be reduced 
100.28 	by the entity acquiring ownership or control through the expiration of the collective 
100.29 	bargaining agreement in effect at the time of the transfer or for a period of two years after 
100.30 	the transfer, whichever is longer.
100.31 	(d) There is no liability on the part of, and no cause of action arises against, the state of 
100.32 	Minnesota or its officers or agents for any action or inaction of any entity acquiring ownership 
100.33 	or control of any facilities, services, or operations of the Department of Direct Care and 
100.34 	Treatment.
101.1 	(e) This section expires upon the completion of the transfer of duties to the executive 
101.2 	board under section 246C.03 this chapter. The commissioner of human services shall notify 
101.3 	the revisor of statutes when the transfer of duties is complete.

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

101.5 	Sec. 21. [246C.07] POWERS AND DUTIES OF EXECUTIVE BOARD.
101.6 		Subdivision 1.Generally. (a) The executive board must operate the agency according 
101.7 	to this chapter and applicable state and federal law. The overall management and control 
101.8 	of the agency is vested in the executive board in accordance with this chapter.
101.9 	(b) The executive board must appoint a chief executive officer according to section 
101.10 	246C.08. The chief executive officer is responsible for the administrative and operational 
101.11 	duties of Direct Care and Treatment in accordance with this chapter.
101.12 	(c) The executive board may delegate duties imposed by this chapter and under applicable 
101.13 	state and federal law as deemed appropriate by the board and in accordance with this chapter. 
101.14 	Any delegation of a specified statutory duty or power to an employee of Direct Care and 
101.15 	Treatment other than the chief executive officer must be made by written order and filed 
101.16 	with the secretary of state. Only the chief executive officer shall have the powers and duties 
101.17 	of the executive board as specified in section 246C.08.
101.18 		Subd. 2.Principles. The executive board, in undertaking its duties and responsibilities 
101.19 	and within Direct Care and Treatment resources, shall act according to the following 
101.20 	principles:
101.21 	(1) prevent the waste or unnecessary spending of public money;
101.22 	(2) use innovative fiscal and human resource practices to manage the state's resources 
101.23 	and operate the agency as efficiently as possible;
101.24 	(3) coordinate Direct Care and Treatment activities wherever appropriate with the 
101.25 	activities of other governmental agencies;
101.26 	(4) use technology where appropriate to increase agency productivity, improve customer 
101.27 	service, increase public access to information about government, and increase public 
101.28 	participation in the business of government; and
101.29 	(5) utilize constructive and cooperative labor management practices to the extent 
101.30 	otherwise required by chapter 43A or 179A.
101.31 		Subd. 3.Powers and duties. (a) The executive board has the power and duty to:
102.1 	(1) set the overall strategic direction for Direct Care and Treatment, ensuring that Direct 
102.2 	Care and Treatment delivers exceptional care and supports the well-being of all individuals 
102.3 	served by Direct Care and Treatment;
102.4 	(2) establish policies and procedures to govern the operation of the facilities, programs, 
102.5 	and services under the direct authority of Direct Care and Treatment;
102.6 	(3) employ personnel and delegate duties and responsibilities to personnel as deemed 
102.7 	appropriate by the executive board, subject to chapters 43A and 179A and in accordance 
102.8 	with this chapter;
102.9 	(4) review and approve the operating budget proposal for Direct Care and Treatment;
102.10 	(5) accept and use gifts, grants, or contributions from any nonstate source or refuse to 
102.11 	accept any gift, grant, or contribution if acceptance would not be in the best interest of the 
102.12 	state;
102.13 	(6) deposit all money received as gifts, grants, or contributions pursuant to section 
102.14 	246C.091, subdivision 1;
102.15 	(7) expend or use any gift, grant, or contribution as nearly in accordance with the 
102.16 	conditions of the gift, grant, or contribution identified by the donor for a certain institution 
102.17 	or purpose, compatible with the best interests of the individuals under the jurisdiction of 
102.18 	the executive board and of the state;
102.19 	(8) comply with all conditions and requirements necessary to receive federal aid or block 
102.20 	grants with respect to the establishment, construction, maintenance, equipment, or operation 
102.21 	of adequate facilities and services consistent with the mission of Direct Care and Treatment;
102.22 	(9) enter into information-sharing agreements with federal and state agencies and other 
102.23 	entities, provided the agreements include adequate protections with respect to the 
102.24 	confidentiality and integrity of the information to be shared and comply with all applicable 
102.25 	state and federal laws, regulations, and rules;
102.26 	(10) enter into interagency or service level agreements with a state department listed in 
102.27 	section 15.01; a multimember state agency described in section 15.012, paragraph (a); or 
102.28 	the Department of Information Technology Services;
102.29 	(11) enter into contractual agreements with federally recognized Indian Tribes with a 
102.30 	reservation in Minnesota;
102.31 	(12) enter into contracts with public and private agencies, private and nonprofit 
102.32 	organizations, and individuals using appropriated money;
103.1 	(13) establish and maintain any administrative units reasonably necessary for the 
103.2 	performance of administrative functions common to all programs or divisions of Direct 
103.3 	Care and Treatment;
103.4 	(14) authorize the method of payment to or from Direct Care and Treatment as part of 
103.5 	programs administered by Direct Care and Treatment, including authorization of the receipt 
103.6 	or disbursement of money held by Direct Care and Treatment in a fiduciary capacity as part 
103.7 	of the programs administered by Direct Care and Treatment;
103.8 	(15) inform Tribal Nations and county agencies, on a timely basis, of changes in statute, 
103.9 	rule, federal law, regulation, and policy necessary to Tribal or county agency administration 
103.10 	of Direct Care and Treatment programs and services;
103.11 	(16) report to the legislature on the performance of Direct Care and Treatment operations 
103.12 	and the accomplishment of Direct Care and Treatment goals in its biennial budget in 
103.13 	accordance with section 16A.10, subdivision 1;
103.14 	(17) recommend to the legislature appropriate changes in law necessary to carry out the 
103.15 	principles and improve the performance of Direct Care and Treatment; and
103.16 	(18) exercise all powers reasonably necessary to implement and administer the 
103.17 	requirements of this chapter and applicable state and federal law.
103.18 	(b) The specific enumeration of powers and duties as set forth in this section shall not 
103.19 	be construed as a limitation upon the general transfer of Direct Care and Treatment facilities, 
103.20 	programs, and services from the Department of Human Services to Direct Care and Treatment 
103.21 	under this chapter.
103.22 		Subd. 4.Creation of bylaws. The board may establish bylaws governing its operations 
103.23 	and the operations of Direct Care and Treatment in accordance with this chapter.
103.24 		Subd. 5.Advisory committee. (a) The executive board shall establish an advisory 
103.25 	committee to provide state legislators, counties, union representatives, the National Alliance 
103.26 	on Mental Illness Minnesota, people being served by direct care and treatment programs, 
103.27 	and other stakeholders the opportunity to advise the executive board regarding the operation 
103.28 	of Direct Care and Treatment. The legislative members of the advisory committee must be 
103.29 	appointed as follows: (1) one member appointed by the speaker of the house of 
103.30 	representatives; (2) one member appointed by the minority leader of the house of 
103.31 	representatives; and (3) two members appointed by the senate committee on committees, 
103.32 	one member representing the majority caucus and one member representing the minority 
103.33 	caucus.
104.1 	(b) The executive board shall regularly consult with the advisory committee.
104.2 	(c) The advisory committee under this subdivision expires December 31, 2027.

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

104.4 	Sec. 22. [246C.08] CHIEF EXECUTIVE OFFICER; SERVICE; DUTIES.
104.5 		Subdivision 1.Service. (a) The Direct Care and Treatment chief executive officer is 
104.6 	appointed by the executive board and serves at the pleasure of the executive board, with 
104.7 	the advice and consent of the senate.
104.8 	(b) The chief executive officer shall serve in the unclassified service in accordance with 
104.9 	section 43A.08 and shall be governed by a compensation plan prepared by the executive 
104.10 	board, submitted to the commissioner of management and budget for review and comment, 
104.11 	and approved by the Legislative Coordinating Commission and the legislature in accordance 
104.12 	with section 3.855.
104.13 		Subd. 2.Powers and duties. (a) The chief executive officer's primary duty is to assist 
104.14 	the executive board. The chief executive officer is responsible for the administrative and 
104.15 	operational management of the agency.
104.16 	(b) The chief executive officer shall have all the powers of the executive board unless 
104.17 	the executive board directs otherwise. The chief executive officer shall have the authority 
104.18 	to speak for the executive board and Direct Care and Treatment within and outside the 
104.19 	agency.
104.20 	(c) In the event that a vacancy occurs for any reason within the chief executive officer 
104.21 	position, the executive medical director appointed under section 246.018 shall immediately 
104.22 	become the temporary chief executive officer until the executive board appoints a new chief 
104.23 	executive officer. During this period, the executive medical director shall have all the powers 
104.24 	and authority delegated to the chief executive officer by the board and specified in this 
104.25 	chapter.

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

104.27 	Sec. 23. [246C.091] DIRECT CARE AND TREATMENT ACCOUNTS.
104.28 		Subdivision 1.Gifts, grants, and contributions account. (a) A gifts, grants, and 
104.29 	contributions account is created in the special revenue fund in the state treasury. All money 
104.30 	received by the executive board as a gift, grant, or contribution must be deposited in the 
104.31 	gifts, grants, and contributions account. Beginning July 1, 2025, except as provided in 
105.1 	paragraph (b), money in the account is annually appropriated to the Direct Care and 
105.2 	Treatment executive board to accomplish the purposes of this chapter. Gifts, grants, or 
105.3 	contributions received by the executive board exceeding current agency needs must be 
105.4 	invested by the State Board of Investment in accordance with section 11A.24. Disbursements 
105.5 	from the gifts, grants, and contributions account must be made in the manner provided for 
105.6 	the issuance of other state payments.
105.7 	(b) If the gift or contribution is designated for a certain person, institution, or purpose, 
105.8 	the Direct Care and Treatment executive board must use the gift or contribution as specified 
105.9 	in accordance with the conditions of the gift or contribution if compatible with the best 
105.10 	interests of the person and the state. If a gift or contribution is accepted for the use and 
105.11 	benefit of a person with a developmental disability, including those within a state hospital, 
105.12 	research relating to persons with a developmental disability must be considered an appropriate 
105.13 	use of the gift or contribution. Such money must not be used for any structures or installations 
105.14 	which by their nature would require state expenditures for their operation or maintenance 
105.15 	without specific legislative enactment.
105.16 		Subd. 2.Facilities management account. A facilities management account is created 
105.17 	in the special revenue fund of the state treasury. Beginning July 1, 2025, money in the 
105.18 	account is appropriated to the Direct Care and Treatment executive board and may be used 
105.19 	to maintain buildings, acquire facilities, renovate existing buildings, or acquire land for the 
105.20 	design and construction of buildings for Direct Care and Treatment use. Money received 
105.21 	for maintaining state property under control of the executive board may be deposited into 
105.22 	this account.
105.23 		Subd. 3.Direct Care and Treatment systems account. (a) The Direct Care and 
105.24 	Treatment systems account is created in the special revenue fund of the state treasury. 
105.25 	Beginning July 1, 2025, money in the account is appropriated to the Direct Care and 
105.26 	Treatment executive board and may be used for security systems and information technology 
105.27 	projects, services, and support under the control of the executive board.
105.28 	(b) The commissioner of human services shall transfer all money allocated to the Direct 
105.29 	Care and Treatment systems projects under section 256.014 to the Direct Care and Treatment 
105.30 	systems account by June 30, 2026.
105.31 		Subd. 4.Cemetery maintenance account. The cemetery maintenance account is created 
105.32 	in the special revenue fund of the state treasury. Money in the account is appropriated to 
105.33 	the executive board for the maintenance of cemeteries under control of the executive board. 
105.34 	Money allocated to Direct Care and Treatment cemeteries may be transferred to this account.

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

106.2 	Sec. 24. Minnesota Statutes 2022, section 256.88, is amended to read:
106.3 	256.88 SOCIAL WELFARE FUND ESTABLISHED.
106.4 	Except as otherwise expressly provided, all moneys and funds held by the commissioner 
106.5 	of human services, the Direct Care and Treatment executive board, and the local social 
106.6 	services agencies of the several counties in trust or for the benefit of children with a disability 
106.7 	and children who are dependent, neglected, or delinquent, children born to mothers who 
106.8 	were not married to the children's fathers at the times of the conception nor at the births of 
106.9 	the children, persons determined to have developmental disability, mental illness, or substance 
106.10 	use disorder, or other wards or beneficiaries, under any law, shall be kept in a single fund 
106.11 	to be known as the "social welfare fund" which shall be deposited at interest, held, or 
106.12 	disbursed as provided in sections 256.89 to 256.92.

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

106.14 	Sec. 25. Minnesota Statutes 2022, section 256.89, is amended to read:
106.15 	256.89 FUND DEPOSITED IN STATE TREASURY.
106.16 	The social welfare fund and all accretions thereto shall be deposited in the state treasury, 
106.17 	as a separate and distinct fund, to the credit of the commissioner of human services and the 
106.18 	Direct Care and Treatment executive board as trustee trustees for the their respective
106.19 	beneficiaries thereof in proportion to their the beneficiaries' several interests. The 
106.20 	commissioner of management and budget shall be responsible only to the commissioner of 
106.21 	human services and the Direct Care and Treatment executive board for the sum total of the 
106.22 	fund, and shall have no duties nor direct obligations toward the beneficiaries thereof 
106.23 	individually. Subject to the applicable rules of the commissioner of human services or the 
106.24 	Direct Care and Treatment executive board, money so received by a local social services 
106.25 	agency may be deposited by the executive secretary of the local social services agency in 
106.26 	a local bank carrying federal deposit insurance, designated by the local social services 
106.27 	agency for this purpose. The amount of such deposit in each such bank at any one time shall 
106.28 	not exceed the amount protected by federal deposit insurance.

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

107.1 	Sec. 26. Minnesota Statutes 2022, section 256.90, is amended to read:
107.2 	256.90 SOCIAL WELFARE FUND; USE; DISPOSITION; DEPOSITORIES.
107.3 	The commissioner of human services, in consultation with the Direct Care and Treatment 
107.4 	executive board, at least 30 days before the first day of January and the first day of July in 
107.5 	each year shall file with the commissioner of management and budget an estimate of the 
107.6 	amount of the social welfare fund to be held in the treasury during the succeeding six-month 
107.7 	period, subject to current disbursement. Such portion of the remainder thereof as may be at 
107.8 	any time designated by the request of the commissioner of human services may be invested 
107.9 	by the commissioner of management and budget in bonds in which the permanent trust 
107.10 	funds of the state of Minnesota may be invested, upon approval by the State Board of 
107.11 	Investment. The portion of such remainder not so invested shall be placed by the 
107.12 	commissioner of management and budget at interest for the period of six months, or when 
107.13 	directed by the commissioner of human services, for the period of 12 months thereafter at 
107.14 	the highest rate of interest obtainable in a bank, or banks, designated by the board of deposit 
107.15 	as a suitable depository therefor. All the provisions of law relative to the designation and 
107.16 	qualification of depositories of other state funds shall be applicable to sections 256.88 to 
107.17 	256.92, except as herein otherwise provided. Any bond given, or collateral assigned or both, 
107.18 	to secure a deposit hereunder may be continuous in character to provide for the repayment 
107.19 	of any moneys belonging to the fund theretofore or thereafter at any time deposited in such 
107.20 	bank until its designation as such depository is revoked and the security thereof shall be not 
107.21 	impaired by any subsequent agreement or understanding as to the rate of interest to be paid 
107.22 	upon such deposit, or as to time for its repayment. The amount of money belonging to the 
107.23 	fund deposited in any bank, including other state deposits, shall not at any time exceed the 
107.24 	amount of the capital stock thereof. In the event of the closing of the bank any sum deposited 
107.25 	therein shall immediately become due and payable.

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

107.27 	Sec. 27. Minnesota Statutes 2022, section 256.91, is amended to read:
107.28 	256.91 PURPOSES.
107.29 	From that part of the social welfare fund held in the state treasury subject to disbursement 
107.30 	as provided in section 256.90 the commissioner of human services or the Direct Care and 
107.31 	Treatment executive board at any time may pay out such amounts as the commissioner or 
107.32 	executive board deems proper for the support, maintenance, or other legal benefit of any of 
107.33 	the children with a disability and children who are dependent, neglected, or delinquent, 
107.34 	children born to mothers who were not married to the children's fathers at the times of the 
108.1 	conception nor at the births of the children, persons with developmental disability, substance 
108.2 	use disorder, or mental illness, or other wards or persons entitled thereto, not exceeding in 
108.3 	the aggregate to or for any person the principal amount previously received for the benefit 
108.4 	of the person, together with the increase in it from an equitable apportionment of interest 
108.5 	realized from the social welfare fund.
108.6 	When any such person dies or is finally discharged from the guardianship, care, custody, 
108.7 	and control of the commissioner of human services or the Direct Care and Treatment 
108.8 	executive board, the amount then remaining subject to use for the benefit of the person shall 
108.9 	be paid as soon as may be from the social welfare fund to the persons thereto entitled by 
108.10 	law.

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

108.12 	Sec. 28. Minnesota Statutes 2022, section 256.92, is amended to read:
108.13 	256.92 COMMISSIONER OF HUMAN SERVICES AND DIRECT CARE AND 
108.14 	TREATMENT, ACCOUNTS.
108.15 	It shall be the duty of the commissioner of human services, the Direct Care and Treatment 
108.16 	executive board, and of the local social services agencies of the several counties of this state 
108.17 	to cause to be deposited with the commissioner of management and budget all moneys and 
108.18 	funds in their possession or under their control and designated by section 256.91 as and for 
108.19 	the social welfare fund; and all such moneys and funds shall be so deposited in the state 
108.20 	treasury as soon as received. The commissioner of human services, in consultation with the 
108.21 	Direct Care and Treatment executive board, shall keep books of account or other records 
108.22 	showing separately the principal amount received and deposited in the social welfare fund 
108.23 	for the benefit of any person, together with the name of such person, and the name and 
108.24 	address, if known to the commissioner of human services or the Direct Care and Treatment 
108.25 	executive board, of the person from whom such money was received; and, at least once 
108.26 	every two years, the amount of interest, if any, which the money has earned in the social 
108.27 	welfare fund shall be apportioned thereto and posted in the books of account or records to 
108.28 	the credit of such beneficiary.
108.29 	The provisions of sections 256.88 to 256.92 shall not apply to any fund or money now 
108.30 	or hereafter deposited or otherwise disposed of pursuant to the lawful orders, decrees, 
108.31 	judgments, or other directions of any district court having jurisdiction thereof.

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

109.1 	Sec. 29. Laws 2023, chapter 61, article 8, section 1, the effective date, is amended to read:

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

109.3 	Sec. 30. Laws 2023, chapter 61, article 8, section 2, the effective date, is amended to read:

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

109.5 	Sec. 31. Laws 2023, chapter 61, article 8, section 3, the effective date, is amended to read:

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

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

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

109.9 	Sec. 33. Laws 2024, chapter 79, article 1, section 18, is amended to read:
109.10 	Sec. 18. 246C.015 DEFINITIONS.
109.11 		Subdivision 1.Scope. For purposes of this chapter, the following terms have the meanings 
109.12 	given.
109.13 		Subd. 2.Chief executive officer. "Chief executive officer" means the Department of
109.14 	Direct Care and Treatment chief executive officer appointed according to section 246C.08.
109.15 		Subd. 3.Commissioner. "Commissioner" means the commissioner of human services.
109.16 		Subd. 4.Community preparation services. "Community preparation services" means 
109.17 	specialized inpatient or outpatient services operated outside of a secure environment but 
109.18 	administered by a secure treatment facility.
109.19 		Subd. 5.County of financial responsibility. "County of financial responsibility" has 
109.20 	the meaning given in section 256G.02, subdivision 4.
109.21 		Subd. 5a.Direct Care and Treatment. "Direct Care and Treatment" means the agency 
109.22 	of Direct Care and Treatment established under this chapter.
109.23 		Subd. 6.Executive board. "Executive board" means the Department of Direct Care and 
109.24 	Treatment executive board established under section 246C.06.
109.25 		Subd. 7.Executive medical director.  "Executive medical director" means the licensed 
109.26 	physician serving as executive medical director in the Department of Direct Care and 
109.27 	Treatment under section 246C.09.
110.1 		Subd. 8.Head of the facility or head of the program. "Head of the facility" or "head 
110.2 	of the program" means the person who is charged with overall responsibility for the 
110.3 	professional program of care and treatment of the facility or program.
110.4 		Subd. 9.Indian. "Indian" has the meaning given in section 260.755, subdivision 7.
110.5 		Subd. 10.Secure treatment facility. "Secure treatment facility" means a facility as 
110.6 	defined in section 253B.02, subdivision 18a, or 253D.02, subdivision 13.
110.7 		Subd. 11.Tobacco; tobacco-related device. "Tobacco" and "tobacco-related device" 
110.8 	have the meanings given in section 609.685, subdivision 1.

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

110.10 	Sec. 34. Laws 2024, chapter 79, article 1, section 23, is amended to read:
110.11 	Sec. 23. 246C.06 EXECUTIVE BOARD; POWERS AND DUTIES MEMBERSHIP; 
110.12 	GOVERNANCE.
110.13 		Subdivision 1.Establishment. The Direct Care and Treatment executive board of the 
110.14 	Department of Direct Care and Treatment is established.
110.15 		Subd. 2.Membership of the executive board. The executive board shall consist of no 
110.16 	more than five members, all appointed by the governor. (a) The Direct Care and Treatment 
110.17 	executive board consists of nine members with seven voting members and two nonvoting 
110.18 	members. The seven voting members must include six members appointed by the governor 
110.19 	with the advice and consent of the senate in accordance with paragraph (b) and the 
110.20 	commissioner of human services or a designee. The two nonvoting members must be 
110.21 	appointed in accordance with paragraph (c). Section 15.0597 applies to all executive board 
110.22 	appointments except for the commissioner of human services.
110.23 	(b) The executive board voting members appointed by the governor must meet the 
110.24 	following qualifications:
110.25 	(1) one member must be a licensed physician who is a psychiatrist or has experience in 
110.26 	serving behavioral health patients;
110.27 	(2) two members must have experience serving on a hospital or nonprofit board; and
110.28 	(3) three members must have experience working: (i) in the delivery of behavioral health 
110.29 	services or care coordination or in traditional healing practices; (ii) as a licensed health care 
110.30 	professional; (iii) within health care administration; or (iv) with residential services.
110.31 	(c) The executive board nonvoting members must be appointed as follows:
111.1 	(1) one member appointed by the Association of Counties; and
111.2 	(2) one member who has an active role as a union representative representing staff at 
111.3 	Direct Care and Treatment appointed by joint representatives of the following unions: 
111.4 	American Federation of State, County and Municipal Employees (AFSCME); Minnesota 
111.5 	Association of Professional Employees (MAPE); Minnesota Nurses Association (MNA); 
111.6 	Middle Management Association (MMA); and State Residential Schools Education 
111.7 	Association (SRSEA).
111.8 	(d) Membership on the board must include representation from outside the seven-county 
111.9 	metropolitan area, as defined in section 473.121, subdivision 2.
111.10 	(e) A voting member of the executive board must not be or must not have been within 
111.11 	one year prior to appointment: (1) an employee of Direct Care and Treatment; (2) an 
111.12 	employee of a county, including a county commissioner; (3) an active employee or 
111.13 	representative of a labor union that represents employees of Direct Care and Treatment; or 
111.14 	(4) a member of the state legislature. This paragraph does not apply to the nonvoting members 
111.15 	or the commissioner of human services or designee.
111.16 		Subd. 3.Qualifications of members Procedures. An executive board member's 
111.17 	qualifications must be appropriate for overseeing a complex behavioral health system, such 
111.18 	as experience serving on a hospital or nonprofit board, serving as a public sector labor union 
111.19 	representative, delivering behavioral health services or care coordination, or working as a 
111.20 	licensed health care provider in an allied health profession or in health care administration.
111.21 	Except as otherwise provided in this section, the membership terms and removal and filling 
111.22 	of vacancies for the executive board are governed by section 15.0575.
111.23 		Subd. 4.Accepting contributions or gifts Compensation. (a) The executive board has 
111.24 	the power and authority to accept, on behalf of the state, contributions and gifts of money 
111.25 	and personal property for the use and benefit of the residents of the public institutions under 
111.26 	the executive board's control. All money and securities received must be deposited in the 
111.27 	state treasury subject to the order of the executive board. Notwithstanding section 15.0575, 
111.28 	subdivision 3, paragraph (a), the nonvoting members of the executive board must not receive 
111.29 	daily compensation for executive board activities. Nonvoting members of the executive 
111.30 	board may receive expenses in the same manner and amount as authorized by the 
111.31 	commissioner's plan adopted under section 43A.18, subdivision 2. Nonvoting members 
111.32 	who, as a result of time spent attending board meetings, incur child care expenses that would 
111.33 	not otherwise have been incurred may be reimbursed for those expenses upon board 
111.34 	authorization.
112.1 	(b) If the gift or contribution is designated by the donor for a certain institution or purpose, 
112.2 	the executive board shall expend or use the money as nearly in accordance with the conditions 
112.3 	of the gift or contribution, compatible with the best interests of the individuals under the 
112.4 	jurisdiction of the executive board and the state. Notwithstanding section 15.0575, subdivision 
112.5 	3, paragraph (a), the Compensation Council under section 15A.082 must determine the 
112.6 	compensation for voting members of the executive board per day spent on executive board 
112.7 	activities authorized by the executive board. Voting members of the executive board may 
112.8 	also receive the expenses in the same manner and amount as authorized by the commissioner's 
112.9 	plan adopted under section 43A.18, subdivision 2. Voting members who, as a result of time 
112.10 	spent attending board meetings, incur child care expenses that would not otherwise have 
112.11 	been incurred may be reimbursed for those expenses upon board authorization.
112.12 	(c) The commissioner of management and budget must publish the daily compensation 
112.13 	rate for voting members of the executive board determined under paragraph (b) on the 
112.14 	Department of Management and Budget's website.
112.15 	(d) Voting members of the executive board must adopt internal standards prescribing 
112.16 	what constitutes a day spent on board activities for the purposes of making payments 
112.17 	authorized under paragraph (b).
112.18 	(e) All other requirements under section 15.0575, subdivision 3, apply to the 
112.19 	compensation of executive board members.
112.20 		Subd. 5.Federal aid or block grants Acting chair; officers. The executive board may 
112.21 	comply with all conditions and requirements necessary to receive federal aid or block grants 
112.22 	with respect to the establishment, constructions, maintenance, equipment, or operation of 
112.23 	adequate facilities and services consistent with the mission of the Department of Direct 
112.24 	Care and Treatment. (a) The governor shall designate one member from the voting 
112.25 	membership appointed by the governor as acting chair of the executive board.
112.26 	(b) At the first meeting of the executive board, the executive board must elect a chair 
112.27 	from among the voting membership appointed by the governor.
112.28 	(c) The executive board must annually elect a chair from among the voting membership 
112.29 	appointed by the governor.
112.30 	(d) The executive board must elect officers from among the voting membership appointed 
112.31 	by the governor. The elected officers shall serve for one year.
112.32 		Subd. 6.Operation of a communication systems account Terms. (a) The executive 
112.33 	board may operate a communications systems account established in Laws 1993, First 
113.1 	Special Session chapter 1, article 1, section 2, subdivision 2, to manage shared 
113.2 	communication costs necessary for the operation of the regional treatment centers the 
113.3 	executive board supervises. Except for the commissioner of human services, executive 
113.4 	board members must not serve more than two consecutive terms unless service beyond two 
113.5 	consecutive terms is approved by the majority of voting members. The commissioner of 
113.6 	human services or a designee shall serve until replaced by the governor.
113.7 	(b) Each account must be used to manage shared communication costs necessary for the 
113.8 	operations of the regional treatment centers the executive board supervises. The executive 
113.9 	board may distribute the costs of operating and maintaining communication systems to 
113.10 	participants in a manner that reflects actual usage. Costs may include acquisition, licensing, 
113.11 	insurance, maintenance, repair, staff time, and other costs as determined by the executive 
113.12 	board. An executive board member may resign at any time by giving written notice to the 
113.13 	executive board.
113.14 	(c) Nonprofit organizations and state, county, and local government agencies involved 
113.15 	in the operation of regional treatment centers the executive board supervises may participate 
113.16 	in the use of the executive board's communication technology and share in the cost of 
113.17 	operation. The initial term of the member appointed under subdivision 2, paragraph (b), 
113.18 	clause (1), is two years. The initial term of the members appointed under subdivision 2, 
113.19 	paragraph (b), clause (2), is three years. The initial term of the members appointed under 
113.20 	subdivision 2, paragraph (b), clause (3), and the members appointed under subdivision 2, 
113.21 	paragraph (c), is four years.
113.22 	(d) The executive board may accept on behalf of the state any gift, bequest, devise, 
113.23 	personal property of any kind, or money tendered to the state for any lawful purpose 
113.24 	pertaining to the communication activities under this section. Any money received for this 
113.25 	purpose must be deposited into the executive board's communication systems account. 
113.26 	Money collected by the executive board for the use of communication systems must be 
113.27 	deposited into the state communication systems account and is appropriated to the executive 
113.28 	board for purposes of this section. After the initial term, the term length of all appointed 
113.29 	executive board members is four years.
113.30 		Subd. 7.Conflicts of interest. Executive board members must recuse themselves from 
113.31 	discussion of and voting on an official matter if the executive board member has a conflict 
113.32 	of interest. A conflict of interest means an association, including a financial or personal 
113.33 	association, that has the potential to bias or have the appearance of biasing an executive 
113.34 	board member's decision in matters related to Direct Care and Treatment or the conduct of 
113.35 	activities under this chapter.
114.1 		Subd. 8.Meetings. The executive board must meet at least four times per fiscal year at 
114.2 	a place and time determined by the executive board.
114.3 		Subd. 9.Quorum. A majority of the voting members of the executive board constitutes 
114.4 	a quorum. The affirmative vote of a majority of the voting members of the executive board 
114.5 	is necessary and sufficient for action taken by the executive board.
114.6 		Subd. 10.Immunity; indemnification. (a) Members of the executive board are immune 
114.7 	from civil liability for any act or omission occurring within the scope of the performance 
114.8 	of their duties under this chapter.
114.9 	(b) When performing executive board duties or actions, members of the executive board 
114.10 	are employees of the state for purposes of indemnification under section 3.736, subdivision 
114.11 	9.
114.12 		Subd. 11.Rulemaking. (a) The executive board is authorized to adopt, amend, and 
114.13 	repeal rules in accordance with chapter 14 to the extent necessary to implement this chapter 
114.14 	or any responsibilities of Direct Care and Treatment specified in state law.
114.15 	(b) Until July 1, 2027, the executive board may adopt rules using the expedited 
114.16 	rulemaking process in section 14.389.
114.17 	(c) In accordance with section 15.039, all orders, rules, delegations, permits, and other 
114.18 	privileges issued or granted by the Department of Human Services with respect to any 
114.19 	function of Direct Care and Treatment and in effect at the time of the establishment of Direct 
114.20 	Care and Treatment shall continue in effect as if such establishment had not occurred. The 
114.21 	executive board may amend or repeal rules applicable to Direct Care and Treatment that 
114.22 	were established by the Department of Human Services in accordance with chapter 14.
114.23 	(d) The executive board must not adopt rules that go into effect or enforce rules prior 
114.24 	to July 1, 2025.

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

114.26 	Sec. 35. Laws 2024, chapter 79, article 1, section 24, is amended to read:
114.27 	Sec. 24. 246C.10 FORENSIC SERVICES.
114.28 		Subdivision 1.Maintenance of forensic services. (a) The executive board shall create 
114.29 	and maintain forensic services programs.
114.30 	(b) The executive board must provide forensic services in coordination with counties 
114.31 	and other vendors.
115.1 	(c) Forensic services must include specialized inpatient programs at secure treatment 
115.2 	facilities, consultive services, aftercare services, community-based services and programs, 
115.3 	transition services, nursing home services, or other services consistent with the mission of 
115.4 	the Department of Direct Care and Treatment.
115.5 	(d) The executive board shall may adopt rules to carry out the provision of this section 
115.6 	and to govern the operation of the services and programs under the direct administrative 
115.7 	authority of the executive board.

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

115.9 	Sec. 36. Laws 2024, chapter 79, article 1, section 25, subdivision 3, is amended to read:
115.10 		Subd. 3.Comprehensive system of services. The establishment of state-operated, 
115.11 	community-based programs must be within the context of a comprehensive definition of 
115.12 	the role of state-operated services in the state. The role of state-operated services must be 
115.13 	defined within the context of a comprehensive system of services for persons with 
115.14 	developmental disability.

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

115.16 	Sec. 37. Laws 2024, chapter 79, article 10, section 1, is amended to read:
115.17 	Section 1. REVISOR INSTRUCTION.
 115.18 	The revisor of statutes shall renumber each provision of Minnesota Statutes listed in 
115.19 	column A as amended in this act to the number listed in column B.

115.20		Column A
	Column B
	
115.21		245.036
	246C.16, subdivision 1
	
115.22		245.037
	246C.16, subdivision 2
	
115.23		245.041
	246C.15
	
115.24		245.474, subdivision 1
	246C.12, subdivision 1
	
115.25		245.474, subdivision 2
	246C.12, subdivision 2
	
115.26		245.474, subdivision 3
	246C.12, subdivision 3
	
115.27		245.474, subdivision 4
	246C.12, subdivision 4
	
115.28		246.0135, paragraph (a)
	246C.18, subdivision 2, paragraph (a)
	
115.29		246.0135, paragraph (b)
	246C.18, subdivision 2, paragraph (b)
	
115.30		246.0135, paragraph (c)
	246C.18, subdivision 2, paragraph (c)
	
115.31		246.0135, paragraph (d)
	246C.18, subdivision 3
	
115.32		246.018, subdivision 1
	246C.09, subdivision 1
	
116.1		246.018, subdivision 2
	246C.09, subdivision 2
	
116.2		246.018, subdivision 3
	246C.09, subdivision 3
	
116.3		246.018, subdivision 4
	246C.09, subdivision 4
	
116.5116.4
		246.12
	246C.06, subdivision 7 246C.07, 
subdivision 7
	
116.6		246.128
	246C.18, subdivision 1
	
116.7		246.129
	246C.18, subdivision 4
	
116.8		246.14
	246C.16, subdivision 3
	
116.9		246.23, subdivision 2
	246.555, subdivision 1
	
116.10		246.23, subdivision 3
	246.555, subdivision 2
	
116.11		246.23, subdivision 4
	246.555, subdivision 3
	
116.12		246.23, subdivision 5
	246.555, subdivision 4
	
116.13		246.23, subdivision 6
	246.555, subdivision 5
	
116.15116.14
		246.234
	246C.06, subdivision 8 246C.07, 
subdivision 5
	
116.16		246.24
	246C.16, subdivision 4
	
116.17		246.27
	246C.19
	
116.19116.18
		246.36
	246C.06, subdivision 9 246C.07, 
subdivision 6
	
116.20116.21		246.41, subdivision 1
	246C.06, subdivision 10, paragraph 
(a)
	
116.22116.23		246.41, subdivision 2
	246C.06, subdivision 10, paragraph 
(b)
	
116.24116.25		246.41, subdivision 3
	246C.06, subdivision 10, paragraph 
(c)
	
116.26		246.70
	246C.18, subdivision 5
	
116.27		246B.02
	246C.13
	
116.28		251.012, subdivision 1
	246.575, subdivision 1
	
116.29		251.012, subdivision 2
	246.575, subdivision 2
	
116.30		251.012, subdivision 3
	246.575, subdivision 3
	
116.31		251.012, subdivision 4
	246.575, subdivision 4
	
116.32		251.041
	176.87
	
116.33		251.042
	176.871
	
116.34		251.043, subdivision 1
	176.872, subdivision 1
	
116.35		251.043, subdivision 1a
	176.872, subdivision 2
	
116.36		251.043, subdivision 1b
	176.872, subdivision 3
	
116.37		251.043, subdivision 2
	176.872, subdivision 4
	
116.38		251.043, subdivision 3
	176.872, subdivision 5
	
116.39		251.044
	176.873
	
116.40		251.051
	176.874
	
117.1		251.052
	176.875
	
117.2		251.053
	176.876
	
117.3		251.15, subdivision 1
	176.872, subdivision 6, paragraph (a)
	
117.4		251.15, subdivision 2
	176.872, subdivision 6, paragraph (b)
	
117.5		251.17
	246C.14
	
117.6		252.50, subdivision 2
	246C.16, subdivision 5
	
117.7		252.50, subdivision 4
	246C.10, subdivision 2
	
117.8		252.50, subdivision 6
	246.65
	
117.9		252.50, subdivision 7
	246.585
	
117.10		252.50, subdivision 8
	246.588
	
117.11		252.50, subdivision 10
	246.611
	
117.12		253.015, subdivision 1
	253B.10, subdivision 6
	
117.13		253.016
	246.554
	
117.14		253.017, subdivision 1
	246.591
	
117.15		253.017, subdivision 2
	246C.10, subdivision 3
	
117.16		253.017, subdivision 3
	246C.10, subdivision 4
	
117.17		253.13
	253.245
	
117.18		253C.01, subdivision 1
	245A.27, subdivision 1
	
117.19		253C.01, subdivision 2
	245A.27, subdivision 2
	
117.20		253C.01, subdivision 3
	245A.27, subdivision 3
	
117.21		256.0121, subdivision 1
	246.595, subdivision 1
	
117.22		256.0121, subdivision 2
	246.595, subdivision 2
	
117.23		256.0121, subdivision 3
	246.595, subdivision 3

117.24 	Sec. 38. Laws 2024, chapter 79, article 10, section 6, is amended to read:
117.25 	Sec. 6. EFFECTIVE DATE.
 117.26 	(a) Article 1, section 23, is effective July 1, 2024. This act is effective July 1, 2024.
117.27 	(b) Article 1, sections 1 to 22 and 24 to 31, and articles 2 to 10 are effective January 1, 
117.28 	2025.

117.29 	Sec. 39. INITIAL APPOINTMENTS AND COMPENSATION OF THE DIRECT 
117.30 	CARE AND TREATMENT EXECUTIVE BOARD AND CHIEF EXECUTIVE 
117.31 	OFFICER.
 117.32 		Subdivision 1.Executive board. (a) The initial appointments of the members of the 
117.33 	Direct Care and Treatment executive board under Minnesota Statutes, section 246C.06, 
117.34 	must be made by January 1, 2025.
118.1 	(b) Prior to the first Compensation Council determination of the daily compensation rate 
118.2 	for voting members of the executive board under Minnesota Statutes, section 246C.06, 
118.3 	subdivision 4, paragraph (b), voting members of the executive board must be paid the per 
118.4 	diem rate provided for in Minnesota Statutes, section 15.0575, subdivision 3, paragraph (a).
118.5 	(c) The executive board is exempt from Minnesota Statutes, section 13D.01, until the 
118.6 	authority and responsibilities for Direct Care and Treatment are transferred to the executive 
118.7 	board in accordance with Minnesota Statutes, section 246C.04.
118.8 		Subd. 2.Chief executive officer. (a) The Direct Care and Treatment executive board 
118.9 	must appoint as the initial chief executive officer for Direct Care and Treatment under 
118.10 	Minnesota Statutes, section 246C.07, the chief executive officer of the direct care and 
118.11 	treatment division of the Department of Human Services holding that position at the time 
118.12 	the initial appointment is made by the board. The initial appointment of the chief executive 
118.13 	officer must be made by the executive board by July 1, 2025. The initial appointment of 
118.14 	the chief executive officer is subject to confirmation by the senate.
118.15 	(b) Notwithstanding Minnesota Statutes, section 246C.08, the salary of the initial chief 
118.16 	executive officer must not be less than the amount paid to the chief executive officer of the 
118.17 	direct care and treatment division of the Department of Human Services as of the date of 
118.18 	the initial appointment.
118.19 		Subd. 3.Commissioner of human services to consult. In preparing the budget estimates 
118.20 	required under Minnesota Statutes, section 16A.10, for the direct care and treatment division 
118.21 	for the 2026-2027 biennial budget and any legislative proposals for the 2025 legislative 
118.22 	session that involve direct care and treatment operations, the commissioner of human services 
118.23 	must consult with the Direct Care and Treatment executive board before submitting the 
118.24 	budget estimates or legislative proposals. If the executive board is not appointed by the date 
118.25 	the budget estimates must be submitted to the commissioner of management and budget, 
118.26 	the commissioner of human services must provide the executive board with a summary of 
118.27 	the budget estimates that were submitted.

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

118.29 	Sec. 40. REVISOR INSTRUCTION.
 118.30 	The revisor of statutes shall change the term "Department of Human Services" to "Direct 
118.31 	Care and Treatment" wherever the term appears in respect to the governmental entity with 
118.32 	programmatic direction and fiscal control over state-operated services, programs, or facilities 
119.1 	under Minnesota Statutes, chapter 246C. The revisor may make technical and other necessary 
119.2 	changes to sentence structure to preserve the meaning of the text.

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

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

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

119.11 	Sec. 42. REVISOR INSTRUCTION.
 119.12 	The revisor of statutes, in consultation with the House Research Department; the Office 
119.13 	of Senate Counsel, Research, and Fiscal Analysis; the Department of Human Services; and 
119.14 	Direct Care and Treatment, shall make necessary cross-reference changes to conform with 
119.15 	this act. The revisor may make technical and other necessary changes to sentence structure 
119.16 	to preserve the meaning of the text. The revisor may alter the coding in this act to incorporate 
119.17 	statutory changes made by other law in the 2024 regular legislative session.

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

119.19 	Sec. 43. REPEALER.
 119.20 	(a) Minnesota Statutes 2022, section 246.41, is repealed.
119.21 	(b) Minnesota Statutes 2023 Supplement, section 246C.03, is repealed.

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

119.23 	ARTICLE 6
119.24 	HUMAN SERVICES RESPONSE CONTINGENCY ACCOUNT

119.25 	Section 1. [256.044] HUMAN SERVICES RESPONSE CONTINGENCY ACCOUNT.
119.26 		Subdivision 1.Human services response contingency account. A human services 
119.27 	response contingency account is created in the special revenue fund in the state treasury. 
119.28 	Money in the human services response contingency account does not cancel and is 
119.29 	appropriated to the commissioner of human services for the purposes specified in this section.
120.1 		Subd. 2.Definition. For purposes of this section, "human services response" means 
120.2 	activities deemed necessary by the commissioner of human services to respond to emerging 
120.3 	or immediate needs related to supporting the health, welfare, or safety of people.
120.4 		Subd. 3.Use of money. (a) The commissioner may make expenditures from the human 
120.5 	services response contingency account to respond to needs as defined in subdivision 2 and 
120.6 	for which no other funding or insufficient funding is available.
120.7 	(b) When the commissioner determines that a human services response is needed, the 
120.8 	commissioner may make expenditures from the human services response contingency 
120.9 	account for the following uses to implement the human services response:
120.10 	(1) services, supplies, and equipment to support the health, welfare, or safety of people;
120.11 	(2) training and coordination with service providers, Tribal Nations, and local government 
120.12 	entities;
120.13 	(3) communication with and outreach to impacted people;
120.14 	(4) informational technology; and
120.15 	(5) staffing.
120.16 	(c) The commissioner may transfer money within the Department of Human Services 
120.17 	and to the Department of Children, Youth, and Families for eligible uses under paragraph 
120.18 	(b) as necessary to implement a human services response.
120.19 	(d) Notwithstanding any other law or rule to the contrary, when implementing a human 
120.20 	services response, the commissioner may allocate funds from the human services response 
120.21 	contingency account to programs, providers, and organizations for eligible uses under 
120.22 	paragraph (b) through one or more fiscal agents chosen by the commissioner. In contracting 
120.23 	with a fiscal agent, the commissioner may use a sole-source contract and is not subject to 
120.24 	the solicitation requirements of chapter 16B or 16C.
120.25 	(e) Programs, providers, and organizations receiving funds from the human services 
120.26 	response contingency account under paragraph (d) must describe how the money will be 
120.27 	used. If a program, provider, or organization receiving money from the human services 
120.28 	response contingency account receives money from a nonstate source other than a local unit 
120.29 	of government or Tribe for the same human services response, the entity must notify the 
120.30 	commissioner of the amount received from the nonstate source. If the commissioner 
120.31 	determines that the total amount received under this section and from the nonstate source 
120.32 	exceeds the entity's total costs for the human services response, the entity must pay the 
120.33 	commissioner the amount that exceeds the costs up to the amount of funding provided to 
121.1 	the entity under this section. All money paid to the commissioner under this paragraph must 
121.2 	be deposited in the human services response contingency account.
121.3 		Subd. 4.Assistance from other sources. (a) As a condition of making expenditures 
121.4 	from the human services response contingency account, the commissioner must seek any 
121.5 	appropriate assistance from other available sources, including the federal government, to 
121.6 	assist with costs attributable to the human services response.
121.7 	(b) If the commissioner recovers eligible costs for the human services response from a 
121.8 	nonstate source after making expenditures from the human services response contingency 
121.9 	account, the commissioner shall reimburse the human services response contingency account 
121.10 	for those costs up to the amount recovered for eligible costs from the nonstate source.
121.11 		Subd. 5.Reporting. The commissioner must develop required reporting for entities 
121.12 	receiving human services response contingency account money. Entities receiving money 
121.13 	from the commissioner of human services from the human services response contingency 
121.14 	account must submit reports to the commissioner of human services with detailed information 
121.15 	in a manner determined by the commissioner, including but not limited to:
121.16 	(1) amounts expended by category of expenditure;
121.17 	(2) outcomes achieved, including estimated individuals served;
121.18 	(3) documentation necessary to verify that funds were spent in compliance with this 
121.19 	section;
121.20 	(4) expenditure reports for the purpose of requesting reimbursement from other available 
121.21 	sources; and
121.22 	(5) data necessary to comply with an audit of human services response contingency 
121.23 	account expenditures.
121.24 		Subd. 6.Report. By March 1 of each year, the commissioner shall submit a report to 
121.25 	the chairs and ranking minority members of the house of representatives and senate 
121.26 	committees with jurisdiction over human services finance and health and human services 
121.27 	finance detailing expenditures made in the previous calendar year from the human services 
121.28 	response contingency account. This report is exempt from section 256.01, subdivision 42.

122.1 	ARTICLE 7
122.2 	MISCELLANEOUS

122.3 	Section 1. Minnesota Statutes 2022, section 256.01, is amended by adding a subdivision 
122.4 	to read:
122.5 		Subd. 44.Homelessness and Housing Support Office. (a) The Homelessness and 
122.6 	Housing Support Office is established in the Department of Human Services. The office 
122.7 	shall be under the supervision of an assistant commissioner appointed by the commissioner.
122.8 	(b) The commissioner, working with the assistant commissioner for homelessness and 
122.9 	housing support, shall:
122.10 	(1) administer the following programs:
122.11 	(i) housing stabilization services under section 256B.051, subdivision 7;
122.12 	(ii) general assistance under sections 256D.01 to 256D.17;
122.13 	(iii) Minnesota supplemental aid under sections 256D.33 to 256D.54;
122.14 	(iv) the transitional housing program under section 256E.33;
122.15 	(v) the emergency services program under section 256E.36;
122.16 	(vi) the emergency solutions grant;
122.17 	(vii) bridging benefits;
122.18 	(viii) the housing support program under chapter 256I;
122.19 	(ix) community living infrastructure grants under section 256I.09;
122.20 	(x) long-term homeless supportive services under section 256K.26;
122.21 	(xi) the Homeless Youth Act under section 256K.45;
122.22 	(xii) the shelter-linked youth mental health grant program under section 256K.46;
122.23 	(xiii) safe harbor shelter and housing under section 256K.47;
122.24 	(xiv) emergency shelter facilities grants under Laws 2023, chapter 70, article 11, section 
122.25 	14; and
122.26 	(xv) the homeless youth cash stipend pilot project under Laws 2023, chapter 70, article 
122.27 	11, section 13;
122.28 	(2) coordinate with the Interagency Council on Homelessness;
123.1 	(3) make recommendations to the legislature on improving access to homeless services 
123.2 	and supportive housing, improving service delivery, and improving the effectiveness of the 
123.3 	state's homeless and supportive housing system;
123.4 	(4) engage with other state agencies, counties, Tribes, advocacy organizations, and other 
123.5 	stakeholders on issues related to homelessness in Minnesota; and
123.6 	(5) perform other duties related to the provision of services to people experiencing 
123.7 	homelessness in the state.
123.8 	(c) By January 15 of each year, the assistant commissioner must submit an annual report 
123.9 	to the legislative committees with jurisdiction over human services policy and finance 
123.10 	detailing the activities of the office and making recommendations for system improvements, 
123.11 	including any necessary draft legislation.

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

123.13 	Sec. 2. [462A.291] INTERAGENCY COUNCIL ON HOMELESSNESS; 
123.14 	HOMELESSNESS DATA REPORTING.
123.15 	(a) By January 15 of each year, the Minnesota Interagency Council on Homelessness, 
123.16 	in consultation with the commissioner of human services and other relevant state agencies, 
123.17 	must report to the chairs and ranking minority members of the legislative committees with 
123.18 	jurisdiction over homelessness policy and finance key trends and other relevant summary 
123.19 	data on the state of homelessness in Minnesota, including but not limited to:
123.20 	(1) the number of people experiencing homelessness, including the sheltered and 
123.21 	unsheltered populations;
123.22 	(2) the demographic composition of people experiencing homelessness;
123.23 	(3) information on the intersection between homelessness and other relevant factors, 
123.24 	including but not limited to mental health and substance use disorder;
123.25 	(4) the change in the number and subpopulations of people experiencing homelessness 
123.26 	from year to year; and
123.27 	(5) any other relevant data on homelessness trends and outcomes in Minnesota.
123.28 	(b) The Minnesota Interagency Council on Homelessness may use publicly available 
123.29 	data from the United States Department of Housing and Urban Development's annual 
123.30 	point-in-time count, the homeless management information system, and other relevant 
123.31 	sources for the information collected and reported under paragraph (a). The information 
123.32 	must also be available on the website of the Minnesota Interagency Council on Homelessness.

124.1 	Sec. 3. DIRECTION TO COMMISSIONER; TARGETED CASE MANAGEMENT 
124.2 	REDESIGN.
 124.3 	The commissioner of human services must consult with members of the Minnesota 
124.4 	Association of County Social Service Administrators to improve case management 
124.5 	information systems and identify the necessary changes needed to comply with regulations 
124.6 	related to federal certified public expenditures. The changes must facilitate transition to use 
124.7 	of a 15-minute unit rate or improved financial reporting for fee-for-service targeted case 
124.8 	management services provided by counties. The Social Service Information System and 
124.9 	adjacent systems must be modified to support any increase in the intensity of time reporting 
124.10 	requirements prior to any implementation of proposed changes to targeted case management 
124.11 	rate setting, reimbursement, and reconciliation processes.

124.12 	Sec. 4. DIRECTION TO COMMISSIONER; FEDERAL WAIVERS FOR 
124.13 	HEALTH-RELATED SOCIAL NEEDS.
 124.14 	(a) The commissioner of human services shall develop a strategy to implement 
124.15 	interventions to address unmet health-related social needs, including but not limited to 
124.16 	nutrition support, housing support, case management, and violence prevention. In developing 
124.17 	such a strategy, the commissioner shall consider whether services could be reimbursed 
124.18 	under section 1115 of the Social Security Act, other federal waivers, or existing state 
124.19 	authority.
124.20 	(b) The commissioner shall collaborate with the commissioner of health and community 
124.21 	and other external partners providing services in nutrition, housing, case management, and 
124.22 	violence prevention to medical assistance recipients on specific interventions to include in 
124.23 	the proposed strategy.
124.24 	(c) By March 1, 2025, the commissioner shall provide the strategy developed under this 
124.25 	section to the chairs and ranking minority members of the legislative committees with 
124.26 	jurisdiction over health care finance and must include:
124.27 	(1) a proposed timeline for implementation;
124.28 	(2) an estimate of the administrative and programmatic costs associated with 
124.29 	implementing and evaluating any proposed federal waivers; and
124.30 	(3) any statutory changes necessary to seek ongoing state funding and federal authority 
124.31 	for the proposed strategies.
124.32 	(d) The commissioner may perform the steps necessary to develop a federal waiver or 
124.33 	other strategies identified in paragraph (c) in preparation for enactment of the strategies.
125.1 	(e) The commissioner is exempt from the requirements of Minnesota Statutes, chapter 
125.2 	16C, when entering into a new contract or amending an existing contract to complete the 
125.3 	work under this section.

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

125.5 	Sec. 5. DIRECTION TO COMMISSIONER; STUDY OF NAVIGATOR 
125.6 	REIMBURSEMENT.
 125.7 	(a) The commissioner of human services, in collaboration with the board of directors of 
125.8 	MNsure, shall conduct an analysis of the navigator and in-person assister programs in 
125.9 	Minnesota Statutes, section 62V.05, subdivision 4. The analysis must consider the incentive 
125.10 	program in Minnesota Statutes, section 256.962, subdivision 5, including examining 
125.11 	reimbursement levels and methodologies used in other states and recommending a sustainable 
125.12 	source of funding for the navigator program. The analysis must also include consultation 
125.13 	with individual navigators and navigator organizations.
125.14 	(b) By October 1, 2025, the commissioner shall submit the analysis under this section 
125.15 	and recommendations to the chairs and ranking minority members of the legislative 
125.16 	committees with jurisdiction over human services and health care finance.

125.17 	Sec. 6. WORKING GROUP ON SIMPLIFYING SUPPORTIVE HOUSING 
125.18 	RESOURCES.
 125.19 		Subdivision 1.Establishment. A working group on simplifying supportive housing 
125.20 	resources is established to streamline access, eligibility, and administration of state-funded 
125.21 	supportive housing resources for people experiencing homelessness.
125.22 		Subd. 2.Membership. (a) The working group must prioritize membership from 
125.23 	individuals and organizations that use or administer state-funded supportive housing resources 
125.24 	and must include the following:
125.25 	(1) the commissioner of the Minnesota Housing Finance Agency or designee;
125.26 	(2) the commissioner of human services or designee;
125.27 	(3) two representatives from the Minnesota Coalition for the Homeless;
125.28 	(4) eight representatives from organizations providing services to people experiencing 
125.29 	homelessness, including organizations that provide services to youth experiencing 
125.30 	homelessness and populations that disproportionately experience homelessness, and a 
125.31 	coordinated entry provider;
126.1 	(5) one representative with lived experience of homelessness;
126.2 	(6) one representative from the Minnesota Tribal Collaborative;
126.3 	(7) one representative from Hennepin County;
126.4 	(8) one representative from St. Louis County;
126.5 	(9) two members from the house of representatives, one appointed by the speaker of the 
126.6 	house and one appointed by the minority leader; and
126.7 	(10) two members from the senate appointed by the senate committee on committees, 
126.8 	one representing the majority caucus and one representing the minority caucus.
126.9 	(b) The members listed in paragraph (a), clauses (3) to (8), must be appointed by the 
126.10 	commissioner of human services.
126.11 	(c) All appointing authorities must make their appointments to the working group by 
126.12 	August 1, 2024.
126.13 		Subd. 3.Duties. (a) The working group must study supportive housing resources to 
126.14 	streamline access, eligibility, and administration of state-funded supportive housing resources 
126.15 	for people experiencing homelessness, including the following programs:
126.16 	(1) the housing support program;
126.17 	(2) long-term homeless supportive services;
126.18 	(3) housing with supports for adults with serious mental illness;
126.19 	(4) the housing trust fund; and
126.20 	(5) other capital and operating funds administered by the Minnesota Housing Finance 
126.21 	Agency.
126.22 	(b) In studying supportive housing resources, the working group must identify the 
126.23 	processes, procedures, and technological or personnel resources that would be necessary to 
126.24 	enable the state, county or Tribal agencies, and providers responsible for administering 
126.25 	public supportive housing funds to meet the following goals:
126.26 	(1) reduce administrative complexities;
126.27 	(2) enhance equity and accessibility, including coordinated entry;
126.28 	(3) streamline and simplify eligibility criteria, paperwork, and funding distribution; and
126.29 	(4) accelerate the transition of individuals from homelessness to sustainable long-term 
126.30 	solutions.
127.1 		Subd. 4.Compensation. Notwithstanding Minnesota Statutes, section 15.059, subdivision 
127.2 	3, members of the working group shall not be compensated, except for the member with 
127.3 	lived experience of homelessness.
127.4 		Subd. 5.Meetings; facilitation. (a) The commissioner of human services may contract 
127.5 	with a third-party vendor to facilitate the working group and convene the first meeting by 
127.6 	January 15, 2025.
127.7 	(b) The working group must meet at regular intervals as often as necessary to fulfill the 
127.8 	duties under subdivision 3.
127.9 	(c) Meetings of the working group are subject to the Minnesota Open Meeting Law 
127.10 	under Minnesota Statutes, chapter 13D.
127.11 		Subd. 6.Consultation. The working group must consult with other individuals and 
127.12 	organizations that have expertise and experience in providing supportive services that may 
127.13 	assist the working group in fulfilling its responsibilities, including entities engaging in 
127.14 	additional external stakeholder input from those with lived experience of homelessness and 
127.15 	administrators of state-funded supportive housing not included on the working group.
127.16 		Subd. 7.Report required. The working group shall submit a final report by January 
127.17 	15, 2026, to the chairs and ranking minority members of the legislative committees with 
127.18 	jurisdiction over housing and homelessness finance and policy detailing the recommendations 
127.19 	to streamline access, eligibility, and administration of state-funded supportive housing 
127.20 	resources for people experiencing homelessness. The report shall include draft legislation 
127.21 	required to implement the proposed legislation.
127.22 		Subd. 8.Expiration. The working group expires January 15, 2026.

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

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

127.28		Column A
	Column B
	
127.29		256E.33
	256K.48
	
127.30		256E.36
	256K.49

128.1 	ARTICLE 8
128.2 	APPROPRIATIONS

128.3	Section 1. HUMAN SERVICES APPROPRIATION.
 	
128.4 	The dollar amounts shown in the columns marked "Appropriations" are added to or, if 
128.5 	shown in parentheses, are subtracted from the appropriations in Laws 2023, chapter 70, 
128.6 	article 20, and chapter 61, article 9, from the general fund or any fund named for the purposes 
128.7 	specified in this article, to be available for the fiscal years indicated for each purpose. The 
128.8 	figures "2024" and "2025" used in this article mean that the appropriations listed under them 
128.9 	are available for the fiscal years ending June 30, 2024, or June 30, 2025, respectively. "The 
128.10 	first year" is fiscal year 2024. "The second year" is fiscal year 2025. "The biennium" is 
128.11 	fiscal years 2024 and 2025.

128.12				APPROPRIATIONS
	
128.13				Available for the Year
	
128.14				Ending June 30
	
128.15					2024
		2025

128.16
128.17	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES

128.18
128.19	Subdivision 1.Total General Fund 
Appropriation
 	$
	(7,107,000)
	$
	53,502,000
	
128.20 	The amounts that may be spent for each 
128.21 	purpose are specified in the following 
128.22 	subdivisions.

128.23	Subd. 2.Central Office; Operations
 		(3,030,000)
		2,609,000
	
128.24 	(a) Feasibility Study of Department of 
128.25 	Human Services Background Studies 
128.26 	Fingerprinting and Process Reform.
128.27 	$500,000 in fiscal year 2025 is for a feasibility 
128.28 	study of the Department of Human Services 
128.29 	becoming an FBI-approved fingerprinting 
128.30 	channeler, evaluating fingerprinting options, 
128.31 	and identifying critical needs in the 
128.32 	background study system. The commissioner 
128.33 	shall contract with an independent contractor 
128.34 	to complete the study and submit a report to 
128.35 	the department. This is a onetime 
129.1 	appropriation and is available until June 30, 
129.2 	2026.
129.3 	(b) Carryforward Authority.
129.4 	Notwithstanding Minnesota Statutes, section 
129.5 	16A.28, subdivision 3, $504,000 in fiscal year 
129.6 	2025 is available until June 30, 2027, and 
129.7 	$592,000 in fiscal year 2025 is available until 
129.8 	June 30, 2027.
129.9 	(c) Base Level Adjustment. The general fund 
129.10 	base is increased by $373,000 in fiscal year 
129.11 	2026 and each year thereafter.

129.12	Subd. 3.Central Office; Health Care
 		-0-
		2,568,000
	
129.13 	(a) Study of Navigator Reimbursement.
129.14 	$577,000 in fiscal year 2025 is for a contract 
129.15 	and staffing related to navigator 
129.16 	reimbursement. This is a onetime 
129.17 	appropriation and is available until June 30, 
129.18 	2026.
129.19 	(b) Base Level Adjustment. The general fund 
129.20 	base is increased by $726,000 in fiscal year 
129.21 	2026 and increased by $730,000 in fiscal year 
129.22 	2027.
129.23 	(c) Health-Related Social Needs 1115 
129.24 	Waiver. $1,043,000 is for a contract and 
129.25 	staffing related to developing an 1115 waiver 
129.26 	related to nutrition supports as a covered 
129.27 	service under medical assistance. This is a 
129.28 	onetime appropriation.

129.29
129.30	Subd. 4.Central Office; Aging and Disability 
Services
 		(1,281,000)
		4,577,000
	
129.31 	(a) Tribal vulnerable Adult And 
129.32 	Developmental Disabilities Targeted Case 
129.33 	Management Medical Assistance Benefit.
129.34 	$666,000 in fiscal year 2025 is for the 
130.1 	development of a Tribal vulnerable adult and 
130.2 	developmental disabilities targeted case 
130.3 	management medical assistance benefit under 
130.4 	Minnesota Statutes, section 256B.0924. This 
130.5 	is a onetime appropriation and is available 
130.6 	until June 30, 2027.
130.7 	(b) Disability Services Person-Centered 
130.8 	Engagement and Navigation Study.
130.9 	$600,000 in fiscal year 2025 is for the 
130.10 	disability services person-centered engagement 
130.11 	and navigation study. This is a onetime 
130.12 	appropriation and is available until June 30, 
130.13 	2026.
130.14 	(c) Own Home Services Provider 
130.15 	Capacity-Building Grants Administration.
130.16 	$200,000 in fiscal year 2025 is for a contract 
130.17 	related to own home services provider 
130.18 	capacity-building grants. This is a onetime 
130.19 	appropriation.
130.20 	(d) Pediatric Hospital-to-Home Transition 
130.21 	Pilot Program Administration. $300,000 in 
130.22 	fiscal year 2025 is for a contract related to the 
130.23 	pediatric hospital-to-home transition pilot 
130.24 	program. This is a onetime appropriation and 
130.25 	is available until June 30, 2027.
130.26 	(e) Personal Care Assistance in Hospitals.
130.27 	$504,000 in fiscal year 2025 is for the policy 
130.28 	development of providing personal care 
130.29 	assistance in hospital settings. This is a 
130.30 	onetime appropriation and is available until 
130.31 	June 30, 2026.
130.32 	(f) Carryforward Authority.
130.33 	Notwithstanding Minnesota Statutes, section 
131.1 	16A.28, subdivision 3, $1,281,000 in fiscal 
131.2 	year 2025 is available until June 30, 2027.

131.3
131.4
131.5	Subd. 5.Central Office; Behavioral Health, 
Housing, and Deaf and Hard of Hearing 
Services
 		-0-
		3,981,000
	
131.6 	(a) Medical Assistance Reentry 
131.7 	Demonstration. $600,000 in fiscal year 2025 
131.8 	is for engagement with people with lived 
131.9 	experience, families, and community partners 
131.10 	on the development and implementation of 
131.11 	the medical assistance reentry demonstration 
131.12 	benefit under Minnesota Statutes, section 
131.13 	256B.0761. This is a onetime appropriation 
131.14 	and is available until June 30, 2027.
131.15 	(b) Working Group on Simplifying Housing 
131.16 	Support Resources. $434,000 in fiscal year 
131.17 	2025 is for administration of a working group 
131.18 	to streamline access, eligibility, and 
131.19 	administration of state-funded supportive 
131.20 	housing resources for people experiencing 
131.21 	homelessness. This is a onetime appropriation 
131.22 	and is available until June 30, 2026.
131.23 	(c) Base Level Adjustment. The general fund 
131.24 	base is increased by $2,876,000 in fiscal year 
131.25 	2026 and each year thereafter.

131.26
131.27	Subd. 6.Forecasted Programs; Medical 
Assistance
 		-0-
		3,290,000

131.28	Subd. 7.Forecasted Programs; Alternative Care
 		-0-
		48,000

131.29
131.30	Subd. 8.Grant Programs; Refugee Services 
Grants
 		-0-
		1,656,000
	
131.31 	Human Services Response Contingency 
131.32 	Account. $1,656,000 in fiscal year 2025 is for 
131.33 	the human services response contingency 
131.34 	account under Minnesota Statutes, section 
131.35 	256.044. This is a onetime appropriation.

132.1	Subd. 9.Grant Programs; Health Care Grants
 		-0-
		1,000,000
	
132.2 	County Correctional Facility Mental Health 
132.3 	Medication Pilot Program. $1,000,000 in 
132.4 	fiscal year 2025 is for the county correctional 
132.5 	facility mental health medication pilot 
132.6 	program. This is a onetime appropriation and 
132.7 	is available until June 30, 2026.

132.8
132.9	Subd. 10.Grant Programs; Other Long-Term 
Care Grants
 		-0-
		10,185,000
	
132.10 	(a) Long-Term Services and Supports Loan 
132.11 	Program. $7,685,000 is for the long-term 
132.12 	services and supports loan program. This is a 
132.13 	onetime appropriation.
132.14 	(b) Provider Capacity Grant for Rural and 
132.15 	Underserved Communities. $2,500,000 in 
132.16 	fiscal year 2025 is for provider capacity grants 
132.17 	for rural and underserved communities. This 
132.18 	is a onetime appropriation and is available 
132.19 	until June 30, 2027.
132.20 	(1) Of this amount, $575,000 is for a 
132.21 	competitive grant to a nonprofit organization 
132.22 	with experience serving the West African 
132.23 	immigrant community for a health awareness 
132.24 	hub pilot project. The pilot project must seek 
132.25 	to address health care education and the 
132.26 	physical and mental wellness needs of elderly 
132.27 	individuals within the African immigrant 
132.28 	community by offering culturally relevant 
132.29 	support, resources, and preventive care 
132.30 	education from medical practitioners who have 
132.31 	a similar background and by making 
132.32 	appropriate referrals to culturally competent 
132.33 	programs, supports, and medical care. Within 
132.34 	six months of the conclusion of the pilot 
132.35 	project, the grantee must provide the 
133.1 	commissioner with an evaluation of the project 
133.2 	as determined by the commissioner.
133.3 	(2) Of this amount, $450,000 is for a 
133.4 	competitive grant to a nonprofit organization 
133.5 	to support minority providers licensed under 
133.6 	Minnesota Statutes, chapter 245D, as intensive 
133.7 	support services providers to build skills and 
133.8 	the infrastructure needed to increase the 
133.9 	quality of services provided to the people they 
133.10 	serve while complying with the requirements 
133.11 	of Minnesota Statutes, chapter 245D, and to 
133.12 	enable the providers to accept clients with high 
133.13 	behavioral needs.
133.14 	(3) Of this amount, $250,000 is for a grant to 
133.15 	a nonprofit organization to conduct a culturally 
133.16 	specific outreach and education campaign 
133.17 	toward existing customized living providers 
133.18 	that might more appropriately serve their 
133.19 	clients under a different home and 
133.20 	community-based services program or license.

133.21	Subd. 11.Grant Programs; Disabilities Grants
 		8,900,000
		5,183,000
	
133.22 	(a) Dakota County Disability Services 
133.23 	Workforce Shortage Pilot Project.
133.24 	$1,000,000 in fiscal year 2025 is for a grant 
133.25 	to Dakota County for innovative solutions to 
133.26 	the disability workforce shortage. The grant 
133.27 	must be used: (1) to develop and test an online 
133.28 	application for matching requests for services 
133.29 	from people with disabilities to available staff; 
133.30 	and (2) to develop a communities-for-all 
133.31 	program that engages businesses, community 
133.32 	organizations, neighbors, and informal support 
133.33 	systems to promote community inclusion of 
133.34 	people with disabilities. By October 1, 2026, 
133.35 	the commissioner shall report the outcomes 
134.1 	and recommendations of these pilot projects 
134.2 	to the chairs and ranking minority members 
134.3 	of the legislative committees with jurisdiction 
134.4 	over human services finance and policy. This 
134.5 	is a onetime appropriation.
134.6 	(b) Own Home Services Provider 
134.7 	Capacity-Building Grants. $1,332,000 in 
134.8 	fiscal year 2025 is for the own home services 
134.9 	provider capacity-building grant program. This 
134.10 	is a onetime appropriation.
134.11 	(c) Pediatric Hospital-to-Home Transition 
134.12 	Pilot Program. $1,040,000 in fiscal year 2025 
134.13 	is for the pediatric hospital-to-home transition 
134.14 	pilot program. This is a onetime appropriation 
134.15 	and is available until June 30, 2027.
134.16 	(d) Base Level Adjustment. The general fund 
134.17 	base is increased by $1,811,000 in fiscal year 
134.18 	2026 and each year thereafter.

134.19
134.20	Subd. 12.Grant Programs; Adult Mental Health 
Grants
 		(11,696,000)
		5,520,000
	
134.21 	(a) Medical Assistance Reentry 
134.22 	Demonstration Grants. $2,500,000 in fiscal 
134.23 	year 2025 is for capacity building and 
134.24 	implementation grants for the medical 
134.25 	assistance reentry demonstration under 
134.26 	Minnesota Statutes, section 256B.0761. 
134.27 	Money appropriated in fiscal year 2025 is 
134.28 	available until June 30, 2027. The base for this 
134.29 	appropriation is $77,000 in fiscal year 2026 
134.30 	and each year thereafter.
134.31 	(b) Locked Intensive Residential Treatment 
134.32 	Services. $1,000,000 in fiscal year 2025 is for 
134.33 	start-up funds to intensive residential treatment 
134.34 	services providers to provide treatment in 
135.1 	locked facilities for patients meeting medical 
135.2 	necessity criteria and when a judge has 
135.3 	determined that the patient needs to be in a 
135.4 	secure facility due to the severity of their 
135.5 	mental illness and the risk of harming others. 
135.6 	This is a onetime appropriation and is 
135.7 	available until June 30, 2027.
135.8 	(c) Engagement Services Pilot Grants.
135.9 	$1,500,000 in fiscal year 2025 is for 
135.10 	engagement services pilot grants. This is a 
135.11 	onetime appropriation and is available until 
135.12 	June 30, 2026.
135.13 	(d) Mental Health Innovation Grant 
135.14 	Program. $2,331,000 in fiscal year 2025 is 
135.15 	for the mental health innovation grant program 
135.16 	under Minnesota Statutes, section 245.4662. 
135.17 	This is a onetime appropriation and is 
135.18 	available until June 30, 2026.
135.19 	(e) Base Level Adjustment. The general fund 
135.20 	base is decreased by $1,734,000 in fiscal year 
135.21 	2026 and $1,734,000 in fiscal year 2027.

135.22
135.23	Subd. 13.Grant Programs; Child Mental Health 
Grants
 		-0-
		500,000
	
135.24 	(a) Youth Peer Recovery Support Services 
135.25 	Pilot Project. $500,000 in fiscal year 2025 is 
135.26 	for a grant to Hennepin County to conduct a 
135.27 	two-year pilot project to provide peer recovery 
135.28 	support services under Minnesota Statutes, 
135.29 	section 245G.07, subdivision 2, clause (8), to 
135.30 	youth between 13 and 18 years of age. The 
135.31 	pilot project must be conducted in partnership 
135.32 	with a community organization that provides 
135.33 	culturally specific peer recovery support 
135.34 	services to East African individuals and that 
135.35 	is working to expand peer recovery support 
136.1 	services for youth in Hennepin County. At the 
136.2 	conclusion of the pilot project, Hennepin 
136.3 	County must submit a report to the chairs and 
136.4 	ranking minority members of the legislative 
136.5 	committees with jurisdiction over health and 
136.6 	human services detailing the implementation, 
136.7 	operation, and outcomes of the pilot project 
136.8 	and providing recommendations on expanding 
136.9 	youth peer recovery support services 
136.10 	statewide.
136.11 	(b) This appropriation is from the opioid 
136.12 	emergency response fund settlement account 
136.13 	and is a onetime appropriation.

136.14
136.15	Subd. 14.Direct Care and Treatment - Mental 
Health and Substance Abuse
 		-0-
		977,000
	
136.16 	Base Level Adjustment. The general fund 
136.17 	base is increased by $977,000 in fiscal year 
136.18 	2026 and each year thereafter.

136.19
136.20	Subd. 15.Direct Care and Treatment - Forensic 
Services
 		-0-
		7,182,000
	
136.21 	Base Level Adjustment. The general fund 
136.22 	base is increased by $6,612,000 in fiscal year 
136.23 	2026 and each year thereafter.

136.24
136.25	Subd. 16.Direct Care and Treatment - 
Operations
 		-0-
		4,726,000
	
136.26 	(a) Direct Care and Treatment Capacity; 
136.27 	Miller Building. $1,796,000 in fiscal year 
136.28 	2025 is to design a replacement facility for the 
136.29 	Miller Building on the Anoka Metro Regional 
136.30 	Treatment Center campus. This is a onetime 
136.31 	appropriation and is available until June 30, 
136.32 	2026.
136.33 	(b) Direct Care and Treatment County 
136.34 	Correctional Facility Support Pilot 
136.35 	Program. $2,387,000 in fiscal year 2025 is 
137.1 	to establish a two-year county correctional 
137.2 	facility support pilot program. The pilot 
137.3 	program must: (1) provide education and 
137.4 	support to counties and county correctional 
137.5 	facilities on protocols and best practices for 
137.6 	the provision of involuntary medications for 
137.7 	mental health treatment; (2) provide technical 
137.8 	assistance to expand access to injectable 
137.9 	psychotropic medications in county 
137.10 	correctional facilities; and (3) survey county 
137.11 	correctional facilities and their contracted 
137.12 	medical providers on their capacity to provide 
137.13 	injectable psychotropic medications, including 
137.14 	involuntary administration of medications, 
137.15 	and barriers to providing these services. This 
137.16 	is a onetime appropriation and is available 
137.17 	until June 30, 2026.
137.18 	(c) Advisory Committee for Direct Care 
137.19 	and Treatment. $482,000 in fiscal year 2025 
137.20 	is for the administration of an advisory 
137.21 	committee for the operation of Direct Care 
137.22 	and Treatment under Minnesota Statutes, 
137.23 	section 246C.07, subdivision 7. This is a 
137.24 	onetime appropriation and is available until 
137.25 	June 30, 2028.
137.26 	(d) Base Level Adjustment. The general fund 
137.27 	base is increased by $31,000 in fiscal year 
137.28 	2026 and $0 in fiscal year 2027.

137.29	Sec. 3. DEPARTMENT OF CORRECTIONS
 	$
	0
	$
	1,649,000
	
137.30 	Medical Assistance Reentry Demonstration.
137.31 	$1,649,000 in fiscal year 2025 is from the 
137.32 	general fund for planning and implementation 
137.33 	of the medical assistance reentry 
137.34 	demonstration. The base for this appropriation 
138.1 	is $1,924,000 in fiscal year 2026 and 
138.2 	$2,364,000 in fiscal year 2027.

138.3 	Sec. 4. Minnesota Statutes 2023 Supplement, section 256R.55, subdivision 9, is amended 
138.4 	to read:
138.5 		Subd. 9.Carryforward. Notwithstanding section 16A.28, subdivision 3, any 
138.6 	appropriation for the purposes under this section carries forward and does not lapse until 
138.7 	the close of the fiscal year in which this section expires is available until June 30, 2029.

138.8 	Sec. 5. Laws 2023, chapter 61, article 4, section 11, the effective date, is amended to read:

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

138.12 	Sec. 6. Laws 2023, chapter 61, article 9, section 2, subdivision 5, is amended to read:

138.13
138.14	Subd. 5.Central Office; Aging and Disability 
Services
 		40,115,000
		11,995,000
	
138.15 	(a) Employment Supports Alignment Study.
138.16 	$50,000 in fiscal year 2024 and $200,000 in 
138.17 	fiscal year 2025 are to conduct an interagency 
138.18 	employment supports alignment study. The 
138.19 	base for this appropriation is $150,000 in fiscal 
138.20 	year 2026 and $100,000 in fiscal year 2027.
138.21 	(b) Case Management Training 
138.22 	Curriculum. $377,000 in fiscal year 2024 and 
138.23 	$377,000 in fiscal year 2025 are to develop 
138.24 	and implement a curriculum and training plan 
138.25 	to ensure all lead agency assessors and case 
138.26 	managers have the knowledge and skills 
138.27 	necessary to fulfill support planning and 
138.28 	coordination responsibilities for individuals 
138.29 	who use home and community-based disability 
138.30 	services and live in own-home settings. This 
138.31 	is a onetime appropriation.
139.1 	(c) Office of Ombudsperson for Long-Term 
139.2 	Care. $875,000 in fiscal year 2024 and 
139.3 	$875,000 in fiscal year 2025 are for additional 
139.4 	staff and associated direct costs in the Office 
139.5 	of Ombudsperson for Long-Term Care.
139.6 	(d) Direct Care Services Corps Pilot Project.
139.7 	$500,000 in fiscal year 2024 is from the 
139.8 	general fund for a grant to the Metropolitan 
139.9 	Center for Independent Living for the direct 
139.10 	care services corps pilot project. Up to $25,000 
139.11 	may be used by the Metropolitan Center for 
139.12 	Independent Living for administrative costs. 
139.13 	This is a onetime appropriation.
139.14 	(e) Research on Access to Long-Term Care 
139.15 	Services and Financing. Any unexpended 
139.16 	amount of the fiscal year 2023 appropriation 
139.17 	referenced in Laws 2021, First Special Session 
139.18 	chapter 7, article 17, section 16, estimated to 
139.19 	be $300,000, is canceled. The amount canceled 
139.20 	is appropriated in fiscal year 2024 for the same 
139.21 	purpose.
139.22 	(f) Native American Elder Coordinator.
139.23 	$441,000 in fiscal year 2024 and $441,000 in 
139.24 	fiscal year 2025 are for the Native American 
139.25 	elder coordinator position under Minnesota 
139.26 	Statutes, section 256.975, subdivision 6.
139.27 	(g) Grant Administration Carryforward.
139.28 	(1) Of this amount, $8,154,000 $9,501,000 in 
139.29 	fiscal year 2024 is available until June 30, 
139.30 	2027.
139.31 	(2) Of this amount, $1,071,000 in fiscal year 
139.32 	2025 is available until June 30, 2027.
139.33 	(3) Of this amount, $19,000,000 in fiscal year 
139.34 	2024 is available until June 30, 2029.
140.1 	(h) Base Level Adjustment. The general fund 
140.2 	base is increased by $8,189,000 in fiscal year 
140.3 	2026 and increased by $8,093,000 in fiscal 
140.4 	year 2027.

140.5 	Sec. 7. Laws 2023, chapter 61, article 9, section 2, subdivision 16, as amended by Laws 
140.6 	2023, chapter 70, article 15, section 8, is amended to read:

140.7	Subd. 16.Grant Programs; Disabilities Grants
 		113,684,000
		30,377,000
	
140.8 	(a) Temporary Grants for Small 
140.9 	Customized Living Providers. $5,450,000 
140.10 	in fiscal year 2024 is for grants to assist small 
140.11 	customized living providers to transition to 
140.12 	community residential services licensure or 
140.13 	integrated community supports licensure. 
140.14 	Notwithstanding Minnesota Statutes, section 
140.15 	16A.28, this appropriation is available until 
140.16 	June 30, 2027. This is a onetime appropriation.
140.17 	(b) Lead Agency Capacity Building Grants.
140.18 	$444,000 in fiscal year 2024 and $2,396,000 
140.19 	in fiscal year 2025 are for grants to assist 
140.20 	organizations, counties, and Tribes to build 
140.21 	capacity for employment opportunities for 
140.22 	people with disabilities. The base for this 
140.23 	appropriation is $2,413,000 in fiscal year 2026 
140.24 	and $2,411,000 in fiscal year 2027.
140.25 	(c) Employment and Technical Assistance 
140.26 	Center Grants. $450,000 in fiscal year 2024 
140.27 	and $1,800,000 in fiscal year 2025 are for 
140.28 	employment and technical assistance grants 
140.29 	to assist organizations and employers in 
140.30 	promoting a more inclusive workplace for 
140.31 	people with disabilities.
140.32 	(d) Case Management Training Grants.
140.33 	$37,000 in fiscal year 2024 and $123,000 in 
140.34 	fiscal year 2025 are for grants to provide case 
141.1 	management training to organizations and 
141.2 	employers to support the state's disability 
141.3 	employment supports system. The base for 
141.4 	this appropriation is $45,000 in fiscal year 
141.5 	2026 and $45,000 in fiscal year 2027.
141.6 	(e) Self-Directed Bargaining Agreement; 
141.7 	Electronic Visit Verification Stipends.
141.8 	$6,095,000 in fiscal year 2024 is for onetime 
141.9 	stipends of $200 to bargaining members to 
141.10 	offset the potential costs related to people 
141.11 	using individual devices to access the 
141.12 	electronic visit verification system. Of this 
141.13 	amount, $5,600,000 is for stipends and 
141.14 	$495,000 is for administration. This is a 
141.15 	onetime appropriation and is available until 
141.16 	June 30, 2025.
141.17 	(f) Self-Directed Collective Bargaining 
141.18 	Agreement; Temporary Rate Increase 
141.19 	Memorandum of Understanding. $1,600,000 
141.20 	in fiscal year 2024 is for onetime stipends for 
141.21 	individual providers covered by the SEIU 
141.22 	collective bargaining agreement based on the 
141.23 	memorandum of understanding related to the 
141.24 	temporary rate increase in effect between 
141.25 	December 1, 2020, and February 7, 2021. Of 
141.26 	this amount, $1,400,000 of the appropriation 
141.27 	is for stipends and $200,000 is for 
141.28 	administration. This is a onetime 
141.29 	appropriation.
141.30 	(g) Self-Directed Collective Bargaining 
141.31 	Agreement; Retention Bonuses. $50,750,000 
141.32 	in fiscal year 2024 is for onetime retention 
141.33 	bonuses covered by the SEIU collective 
141.34 	bargaining agreement. Of this amount, 
141.35 	$50,000,000 is for retention bonuses and 
142.1 	$750,000 is for administration of the bonuses. 
142.2 	This is a onetime appropriation and is 
142.3 	available until June 30, 2025.
142.4 	(h) Self-Directed Bargaining Agreement; 
142.5 	Training Stipends. $2,100,000 in fiscal year 
142.6 	2024 and $100,000 in fiscal year 2025 are for 
142.7 	onetime stipends of $500 for collective 
142.8 	bargaining unit members who complete 
142.9 	designated, voluntary trainings made available 
142.10 	through or recommended by the State Provider 
142.11 	Cooperation Committee. Of this amount, 
142.12 	$2,000,000 in fiscal year 2024 is for stipends, 
142.13 	and $100,000 in fiscal year 2024 and $100,000 
142.14 	in fiscal year 2025 are for administration. This 
142.15 	is a onetime appropriation.
142.16 	(i) Self-Directed Bargaining Agreement; 
142.17 	Orientation Program. $2,000,000 in fiscal 
142.18 	year 2024 and $2,000,000 in fiscal year 2025 
142.19 	are for onetime $100 payments to collective 
142.20 	bargaining unit members who complete 
142.21 	voluntary orientation requirements. Of this 
142.22 	amount, $1,500,000 in fiscal year 2024 and 
142.23 	$1,500,000 in fiscal year 2025 are for the 
142.24 	onetime $100 payments, and $500,000 in 
142.25 	fiscal year 2024 and $500,000 in fiscal year 
142.26 	2025 are for orientation-related costs. This is 
142.27 	a onetime appropriation.
142.28 	(j) Self-Directed Bargaining Agreement; 
142.29 	Home Care Orientation Trust. $1,000,000 
142.30 	in fiscal year 2024 is for the Home Care 
142.31 	Orientation Trust under Minnesota Statutes, 
142.32 	section 179A.54, subdivision 11. The 
142.33 	commissioner shall disburse the appropriation 
142.34 	to the board of trustees of the Home Care 
142.35 	Orientation Trust for deposit into an account 
143.1 	designated by the board of trustees outside the 
143.2 	state treasury and state's accounting system. 
143.3 	This is a onetime appropriation and is 
143.4 	available until June 30, 2025.
143.5 	(k) HIV/AIDS Supportive Services.
143.6 	$12,100,000 in fiscal year 2024 is for grants 
143.7 	to community-based HIV/AIDS supportive 
143.8 	services providers as defined in Minnesota 
143.9 	Statutes, section 256.01, subdivision 19, and 
143.10 	for payment of allowed health care costs as 
143.11 	defined in Minnesota Statutes, section 
143.12 	256.9365. This is a onetime appropriation and 
143.13 	is available until June 30, 2025.
143.14 	(l) Motion Analysis Advancements Clinical 
143.15 	Study and Patient Care. $400,000 is fiscal 
143.16 	year 2024 is for a grant to the Mayo Clinic 
143.17 	Motion Analysis Laboratory and Limb Lab 
143.18 	for continued research in motion analysis 
143.19 	advancements and patient care. This is a 
143.20 	onetime appropriation and is available through 
143.21 	June 30, 2025.
143.22 	(m) Grant to Family Voices in Minnesota.
143.23 	$75,000 in fiscal year 2024 and $75,000 in 
143.24 	fiscal year 2025 are for a grant to Family 
143.25 	Voices in Minnesota under Minnesota 
143.26 	Statutes, section 256.4776.
143.27 	(n) Parent-to-Parent Programs.
143.28 	(1) $550,000 in fiscal year 2024 and $550,000 
143.29 	in fiscal year 2025 are for grants to 
143.30 	organizations that provide services to 
143.31 	underserved communities with a high 
143.32 	prevalence of autism spectrum disorder. This 
143.33 	is a onetime appropriation and is available 
143.34 	until June 30, 2025.
144.1 	(2) The commissioner shall give priority to 
144.2 	organizations that provide culturally specific 
144.3 	and culturally responsive services.
144.4 	(3) Eligible organizations must:
144.5 	(i) conduct outreach and provide support to 
144.6 	newly identified parents or guardians of a child 
144.7 	with special health care needs;
144.8 	(ii) provide training to educate parents and 
144.9 	guardians in ways to support their child and 
144.10 	navigate the health, education, and human 
144.11 	services systems;
144.12 	(iii) facilitate ongoing peer support for parents 
144.13 	and guardians from trained volunteer support 
144.14 	parents; and
144.15 	(iv) communicate regularly with other 
144.16 	parent-to-parent programs and national 
144.17 	organizations to ensure that best practices are 
144.18 	implemented.
144.19 	(4) Grant recipients must use grant money for 
144.20 	the activities identified in clause (3).
144.21 	(5) For purposes of this paragraph, "special 
144.22 	health care needs" means disabilities, chronic 
144.23 	illnesses or conditions, health-related 
144.24 	educational or behavioral problems, or the risk 
144.25 	of developing disabilities, illnesses, conditions, 
144.26 	or problems.
144.27 	(6) Each grant recipient must report to the 
144.28 	commissioner of human services annually by 
144.29 	January 15 with measurable outcomes from 
144.30 	programs and services funded by this 
144.31 	appropriation the previous year including the 
144.32 	number of families served and the number of 
145.1 	volunteer support parents trained by the 
145.2 	organization's parent-to-parent program.
145.3 	(o) Self-Advocacy Grants for Persons with 
145.4 	Intellectual and Developmental Disabilities.
145.5 	$323,000 in fiscal year 2024 and $323,000 in 
145.6 	fiscal year 2025 are for self-advocacy grants 
145.7 	under Minnesota Statutes, section 256.477. 
145.8 	This is a onetime appropriation. Of these 
145.9 	amounts, $218,000 in fiscal year 2024 and 
145.10 	$218,000 in fiscal year 2025 are for the 
145.11 	activities under Minnesota Statutes, section 
145.12 	256.477, subdivision 1, paragraph (a), clauses 
145.13 	(5) to (7), and for administrative costs, and 
145.14 	$105,000 in fiscal year 2024 and $105,000 in 
145.15 	fiscal year 2025 are for the activities under 
145.16 	Minnesota Statutes, section 256.477, 
145.17 	subdivision 2.
145.18 	(p) Technology for Home Grants. $300,000 
145.19 	in fiscal year 2024 and $300,000 in fiscal year 
145.20 	2025 are for technology for home grants under 
145.21 	Minnesota Statutes, section 256.4773.
145.22 	(q) Community Residential Setting 
145.23 	Transition. $500,000 in fiscal year 2024 is 
145.24 	for a grant to Hennepin County to expedite 
145.25 	approval of community residential setting 
145.26 	licenses subject to the corporate foster care 
145.27 	moratorium exception under Minnesota 
145.28 	Statutes, section 245A.03, subdivision 7, 
145.29 	paragraph (a), clause (5).
145.30 	(r) Base Level Adjustment. The general fund 
145.31 	base is $27,343,000 in fiscal year 2026 and 
145.32 	$27,016,000 in fiscal year 2027.

146.1 	Sec. 8. REIMBURSEMENT TO BELTRAMI COUNTY FOR CERTAIN COST OF 
146.2 	CARE PAYMENTS.
 146.3 	(a) This act includes $336,680 for both reimbursement of prior payments by Beltrami 
146.4 	County and the forgiveness of existing Beltrami County debt, either of which is attributable 
146.5 	to the cost of care provided between July 1, 2022, and June 30, 2023, under either:
146.6 	(1) Minnesota Statutes, section 246.54, subdivision 1a, paragraph (a), clause (3), to a 
146.7 	person committed as a person who has a mental illness and is dangerous to the public under 
146.8 	Minnesota Statutes, section 253B.18, and who was awaiting transfer from Anoka-Metro 
146.9 	Regional Treatment Center to another state-operated facility or program; or
146.10 	(2) Minnesota Statutes, section 246.54, subdivision 1b, paragraph (a), clause (1), to a 
146.11 	person committed as a person who has a mental illness and is dangerous to the public under 
146.12 	Minnesota Statutes, section 253B.18, and who was awaiting transfer from a state-operated 
146.13 	community-based behavioral health hospital to another state-operated facility or program.
146.14 	(b) This appropriation is available until June 30, 2025.

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

146.16 	Sec. 9. REVIVAL AND REENACTMENT.
 146.17 	Minnesota Statutes 2022, section 256B.051, subdivision 7, is revived and reenacted 
146.18 	effective retroactively from August 1, 2023. Any time frames within or dependent on the 
146.19 	subdivision are based on the original effective date in Laws 2017, First Special Session 
146.20 	chapter 6, article 2, section 10.

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

146.22 	Sec. 10. APPROPRIATIONS GIVEN EFFECT ONCE.
 146.23 	If an appropriation or transfer in this article is enacted more than once during the 2024 
146.24 	legislative session, the appropriation or transfer must be given effect once.

146.25 	Sec. 11. EXPIRATION OF UNCODIFIED LANGUAGE.
 146.26 	All uncodified language contained in this article expires on June 30, 2025, unless a 
146.27 	different expiration date is explicit.

146.28 	Sec. 12. REPEALER.
 146.29 	Laws 2023, chapter 25, section 190, subdivision 10, is repealed.

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

147.2 	Sec. 13. EFFECTIVE DATE.
 147.3 	This article is effective July 1, 2024, unless a different effective date is specified.

APPENDIX 

Repealed Minnesota Statutes: UES5335-1 

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

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

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

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

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

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

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

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

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

(i) is severe and chronic; 

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

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

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

(v) is likely to continue indefinitely; 

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

(2) the insurer denied insurance; 

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

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

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

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

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

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

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

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

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

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

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

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. 

256S.205 CUSTOMIZED LIVING SERVICES; DISPROPORTIONATE SHARE RATE ADJUSTMENTS.Subd. 4.Designation as a disproportionate share facility. 
(a) By October 15 of each application year, the commissioner must designate as a disproportionate share facility a facility that complies with the application requirements of subdivision 2 and meets the eligibility criteria of subdivision 3. 

(b) An annual designation is effective for one rate year. 

Repealed Minnesota Session Laws: UES5335-1 

Laws 2023, chapter 25, section 190, subdivision 10
Sec. 190. REPEALER. Subd. 10.Obsolete subdivision. Minnesota Statutes 2022, section 256B.051, subdivision 7, is repealed.