1.1 	A bill for an act
1.2 	relating to human services; modifying policy provisions relating to aging and 
1.3 	disability services, the Department of Health, Direct Care and Treatment, substance 
1.4 	use disorder treatment services, and certain health insurance claims;amending 
1.5 	Minnesota Statutes 2024, sections 4.046, subdivisions 2, 3; 13.46, subdivisions 3, 
1.6 	4; 15.471, subdivision 6; 43A.241; 62J.495, subdivision 2; 62Q.75, subdivision 
1.7 	3; 97A.441, subdivision 3; 144.0724, subdivisions 2, 3a, 4, 8, 9, 11; 144.53; 
1.8 	144.586, subdivision 2; 144.651, subdivisions 2, 4, 20, 31, 32; 144A.07; 144A.08, 
1.9 	by adding a subdivision; 144A.70, subdivisions 3, 7, by adding subdivisions; 
1.10 	144A.751, subdivision 1; 144G.08, by adding subdivisions; 144G.10, subdivisions 
1.11 	1, 1a, 5; 144G.16, subdivision 3; 144G.45, by adding a subdivision; 144G.51; 
1.12 	144G.52, by adding a subdivision; 144G.53; 144G.70, subdivision 2; 144G.71, 
1.13 	subdivisions 3, 5; 144G.81, subdivisions 1, 5; 146A.08, subdivision 4; 147.091, 
1.14 	subdivision 6; 147A.13, subdivision 6; 148.10, subdivision 1; 148.261, subdivision 
1.15 	5; 148.754; 148B.5905; 148F.09, subdivision 6; 150A.08, subdivision 6; 151.071, 
1.16 	subdivision 10; 153.21, subdivision 2; 153B.70; 168.012, subdivision 1; 244.052, 
1.17 	subdivision 4; 245.50, subdivision 2; 245.91, subdivision 2; 245D.10, by adding 
1.18 	a subdivision; 245F.06, subdivision 2; 245G.05, subdivision 1; 245G.11, 
1.19 	subdivision 7; 246.585; 246C.06, subdivision 11; 246C.12, subdivision 6; 246C.20; 
1.20 	252.28, subdivision 2; 252.291, subdivision 3; 252.41, subdivision 3; 252.42; 
1.21 	252.43; 252.44; 252.45; 252.46, subdivision 1a; 252.50, subdivision 5; 253B.07, 
1.22 	subdivision 2b; 253B.09, subdivision 3a; 253B.10, subdivision 1; 253B.141, 
1.23 	subdivision 2; 253B.18, subdivision 6; 253B.19, subdivision 2; 253D.29, 
1.24 	subdivisions 1, 2, 3; 253D.30, subdivisions 4, 5; 254A.03, subdivision 1; 254A.19, 
1.25 	subdivisions 6, 7; 254B.05, subdivisions 1, 5; 256.01, subdivisions 2, 5; 256.019, 
1.26 	subdivision 1; 256.0281; 256.0451, subdivisions 1, 3, 6, 8, 9, 18, 22, 23, 24; 
1.27 	256.4825; 256.93, subdivision 1; 256.98, subdivision 7; 256B.092, subdivisions 
1.28 	1a, 10, 11a; 256B.49, subdivisions 13, 29; 256B.4914, subdivisions 10a, 10d, 17; 
1.29 	256G.09, subdivisions 4, 5; 256R.38; 256R.40, subdivision 5; 299F.77, subdivision 
1.30 	2; 342.04; 352.91, subdivision 3f; 401.17, subdivision 1; 507.071, subdivision 1; 
1.31 	611.57, subdivisions 2, 4; 624.7131, subdivisions 1, 2; 624.7132, subdivisions 1, 
1.32 	2; 624.714, subdivisions 3, 4; 631.40, subdivision 3; Laws 2021, First Special 
1.33 	Session chapter 7, article 13, section 75, subdivisions 3, as amended, 4, as amended, 
1.34 	6, as amended, 7, as amended; proposing coding for new law in Minnesota Statutes, 
1.35 	chapters 144A; 144G; 246C; 253B; 256G; repealing Minnesota Statutes 2024, 
1.36 	sections 144G.9999, subdivisions 1, 2, 3; 245.4862; 246.015, subdivision 3; 246.50, 
1.37 	subdivision 2; 246B.04, subdivision 1a; Laws 2024, chapter 79, article 1, sections 
1.38 	15; 16; 17.
2.1 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

2.2 	ARTICLE 1
2.3 	AGING AND DISABILITY SERVICES POLICY

2.4 	Section 1. Minnesota Statutes 2024, section 245D.10, is amended by adding a subdivision 
2.5 	to read:
2.6 		Subd. 1a.Prohibited condition of service provision. (a) A license holder is prohibited 
2.7 	from requiring a person to have or obtain a guardian or conservator as a condition of receiving 
2.8 	or continuing to receive services regulated under this chapter.
2.9 	(b) A license holder is prohibited from disseminating the following data, without the 
2.10 	consent of the individual who is the subject of the data, for purposes of researching autism 
2.11 	as a preventable disease:
2.12 	(1) data identifying an individual, including names, birthdates, addresses, telephone 
2.13 	numbers, email addresses, or biometric information; or
2.14 	(2) any other data that could reasonably be used to identify an individual.
2.15 	Nothing in this paragraph prohibits an individual from transmitting their own identifying 
2.16 	data for the purposes of researching autism as a preventable disease.

2.17 	Sec. 2. Minnesota Statutes 2024, section 252.28, subdivision 2, is amended to read:
2.18 		Subd. 2.Rules; program standards; licenses. The commissioner of human services 
2.19 	shall:
2.20 	(1) Establish uniform rules and program standards for each type of residential and day 
2.21 	facility or service for persons with developmental disabilities, including state hospitals under 
2.22 	control of the executive board and serving persons with developmental disabilities, and 
2.23 	excluding persons with developmental disabilities residing with their families.
2.24 	(2) Grant licenses according to the provisions of Laws 1976, chapter 243, sections 2 to 
2.25 	13 chapter 245A.

2.26 	Sec. 3. Minnesota Statutes 2024, section 252.41, subdivision 3, is amended to read:
2.27 		Subd. 3.Day services for adults with disabilities. (a) "Day services for adults with 
2.28 	disabilities" or "day services" means services that:
2.29 	(1) include supervision, training, assistance, support, facility-based work-related activities, 
2.30 	or other community-integrated activities designed and implemented in accordance with the 
3.1 	support plan and support plan addendum required under sections 245D.02, subdivision 4, 
3.2 	paragraphs (b) and (c), subdivisions 4b and 4c, and 256B.092, subdivision 1b, and Minnesota 
3.3 	Rules, part 9525.0004, subpart 12, to help an adult reach and maintain the highest possible 
3.4 	level of independence, productivity, and integration into the community;
3.5 	(2) include day support services, prevocational services, day training and habilitation 
3.6 	services, structured day services, and adult day services as defined in Minnesota's federally 
3.7 	approved disability waiver plans; and
3.8 	(3) include day training and habilitation services; and
3.9 	(4) are provided by a vendor licensed under sections 245A.01 to 245A.16, 245D.27 to 
3.10 	245D.31, 252.28, subdivision 2, or 252.41 to 252.46, or Minnesota Rules, parts 9525.1200 
3.11 	to 9525.1330, to provide day services.
3.12 	(b) Day services reimbursable under this section do not include special education and 
3.13 	related services as defined in the Education of the Individuals with Disabilities Act, United 
3.14 	States Code, title 20, chapter 33, section 1401, clauses (6) and (17), or vocational services 
3.15 	funded under section 110 of the Rehabilitation Act of 1973, United States Code, title 29, 
3.16 	section 720, as amended.
3.17 	(c) Day services do not include employment exploration, employment development, or 
3.18 	employment support services as defined in the home and community-based services waivers 
3.19 	for people with disabilities authorized under sections 256B.092 and 256B.49.

3.20 	Sec. 4. Minnesota Statutes 2024, section 252.42, is amended to read:
3.21 	252.42 SERVICE PRINCIPLES.
3.22 	The design and delivery of services eligible for reimbursement should reflect the 
3.23 	following principles:
3.24 	(1) services must suit a person's chronological age and be provided in the least restrictive 
3.25 	environment possible, consistent with the needs identified in the person's support plan and 
3.26 	support plan addendum required under sections 245D.02, subdivisions 4b and 4c, and
3.27 	256B.092, subdivision 1b, and 245D.02, subdivision 4, paragraphs (b) and (c), and Minnesota 
3.28 	Rules, part 9525.0004, subpart 12;
3.29 	(2) a person with a disability whose individual support plans and support plan addendums 
3.30 	authorize employment or employment-related activities shall be given the opportunity to 
3.31 	participate in employment and employment-related activities in which nondisabled persons 
3.32 	participate;
4.1 	(3) a person with a disability participating in work shall be paid wages commensurate 
4.2 	with the rate for comparable work and productivity except as regional centers are governed 
4.3 	by section 246.151;
4.4 	(4) a person with a disability shall receive services which include services offered in 
4.5 	settings used by the general public and designed to increase the person's active participation 
4.6 	in ordinary community activities;
4.7 	(5) a person with a disability shall participate in the patterns, conditions, and rhythms 
4.8 	of everyday living and working that are consistent with the norms of the mainstream of 
4.9 	society.

4.10 	Sec. 5. Minnesota Statutes 2024, section 252.43, is amended to read:
4.11 	252.43 COMMISSIONER'S DUTIES.
4.12 	(a) The commissioner shall supervise lead agencies' provision of day services to adults 
4.13 	with disabilities. The commissioner shall:
4.14 	(1) determine the need for day programs services, except for adult day services, under 
4.15 	sections 256B.4914 and 252.41 to 252.46 operated in a day services facility licensed under 
4.16 	sections 245D.27 to 245D.31;
4.17 	(2) establish payment rates as provided under section 256B.4914;
4.18 	(3) (2) adopt rules for the administration and provision of day services under sections 
4.19 	245A.01 to 245A.16; 252.28, subdivision 2; or 252.41 to 252.46; or Minnesota Rules, parts 
4.20 	9525.1200 to 9525.1330;
4.21 	(4) (3) enter into interagency agreements necessary to ensure effective coordination and 
4.22 	provision of day services;
4.23 	(5) (4) monitor and evaluate the costs and effectiveness of day services; and
4.24 	(6) (5) provide information and technical help to lead agencies and vendors in their 
4.25 	administration and provision of day services.
4.26 	(b) A determination of need in paragraph (a), clause (1), shall not be required for a 
4.27 	change in day service provider name or ownership.

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

5.1 	Sec. 6. Minnesota Statutes 2024, section 252.44, is amended to read:
5.2 	252.44 LEAD AGENCY BOARD RESPONSIBILITIES.
5.3 	When the need for day services in a county or tribe has been determined under section 
5.4 	252.28 252.43, the board of commissioners for that lead agency shall:
5.5 	(1) authorize the delivery of day services according to the support plans and support 
5.6 	plan addendums required as part of the lead agency's provision of case management services 
5.7 	under sections 256B.0913, subdivision 8;256B.092, subdivision 1b;, and256B.49, 
5.8 	subdivision 15;, and 256S.10 and Minnesota Rules, parts 9525.0004 to 9525.0036;
5.9 	(2) ensure that transportation is provided or arranged by the vendor in the most efficient 
5.10 	and reasonable way possible; and
5.11 	(3) monitor and evaluate the cost and effectiveness of the services.

5.12 	Sec. 7. Minnesota Statutes 2024, section 252.45, is amended to read:
5.13 	252.45 VENDOR'S DUTIES.
5.14 	A day service vendor enrolled with the commissioner is responsible for items under 
5.15 	clauses (1), (2), and (3), and extends only to the provision of services that are reimbursable 
5.16 	under state and federal law. A vendor providing day services shall:
5.17 	(1) provide the amount and type of services authorized in the individual service plan 
5.18 	under the support plan and support plan addendum required under sections 245D.02, 
5.19 	subdivision 4, paragraphs (b) and (c) subdivisions 4b and 4c, and 256B.092, subdivision 
5.20 	1b, and Minnesota Rules, part 9525.0004, subpart 12;
5.21 	(2) design the services to achieve the outcomes assigned to the vendor in the support 
5.22 	plan and support plan addendum required under sections 245D.02, subdivision 4, paragraphs 
5.23 	(a) and (b) subdivisions 4b and 4c, and 256B.092, subdivision 1b, and Minnesota Rules, 
5.24 	part 9525.0004, subpart 12;
5.25 	(3) provide or arrange for transportation of persons receiving services to and from service 
5.26 	sites;
5.27 	(4) enter into agreements with community-based intermediate care facilities for persons 
5.28 	with developmental disabilities to ensure compliance with applicable federal regulations; 
5.29 	and
5.30 	(5) comply with state and federal law.

6.1 	Sec. 8. Minnesota Statutes 2024, section 252.46, subdivision 1a, is amended to read:
6.2 		Subd. 1a.Day training and habilitation rates. The commissioner shall establish a 
6.3 	statewide rate-setting methodology rates for all day training and habilitation services as 
6.4 	provided under section 256B.4914. The rate-setting methodology must abide by the principles 
6.5 	of transparency and equitability across the state. The methodology must involve a uniform 
6.6 	process of structuring rates for each service and must promote quality and participant choice
6.7 	and for transportation delivered as a part of day training and habilitation services. The 
6.8 	commissioner shall consult with impacted groups prior to making modifications to rates 
6.9 	under this section.

6.10 	EFFECTIVE DATE. This section is effective January 1, 2026.

6.11 	Sec. 9. Minnesota Statutes 2024, section 256B.092, subdivision 1a, is amended to read:
6.12 		Subd. 1a.Case management services. (a) Each recipient of a home and community-based 
6.13 	waiver shall be provided case management services by qualified vendors as described in 
6.14 	the federally approved waiver application.
6.15 	(b) Case management service activities provided to or arranged for a person include:
6.16 	(1) development of the person-centered support plan under subdivision 1b;
6.17 	(2) informing the individual or the individual's legal guardian or conservator, or parent 
6.18 	if the person is a minor, of service options, including all service options available under the 
6.19 	waiver plan;
6.20 	(3) consulting with relevant medical experts or service providers;
6.21 	(4) assisting the person in the identification of potential providers of chosen services, 
6.22 	including:
6.23 	(i) providers of services provided in a non-disability-specific setting;
6.24 	(ii) employment service providers;
6.25 	(iii) providers of services provided in settings that are not controlled by a provider; and
6.26 	(iv) providers of financial management services;
6.27 	(5) assisting the person to access services and assisting in appeals under section 256.045;
6.28 	(6) coordination of services, if coordination is not provided by another service provider;
6.29 	(7) evaluation and monitoring of the services identified in the support plan, which must 
6.30 	incorporate at least one annual face-to-face visit by the case manager with each person; and
7.1 	(8) reviewing support plans and providing the lead agency with recommendations for 
7.2 	service authorization based upon the individual's needs identified in the support plan.
7.3 	(c) Case management service activities that are provided to the person with a 
7.4 	developmental disability shall be provided directly by county agencies or under contract. 
7.5 	If a county agency contracts for case management services, the county agency must provide 
7.6 	each recipient of home and community-based services who is receiving contracted case 
7.7 	management services with the contact information the recipient may use to file a grievance 
7.8 	with the county agency about the quality of the contracted services the recipient is receiving 
7.9 	from a county-contracted case manager. If a county agency provides case management 
7.10 	under contracts with other individuals or agencies and the county agency utilizes a 
7.11 	competitive proposal process for the procurement of contracted case management services, 
7.12 	the competitive proposal process must include evaluation criteria to ensure that the county 
7.13 	maintains a culturally responsive program for case management services adequate to meet 
7.14 	the needs of the population of the county. For the purposes of this section, "culturally 
7.15 	responsive program" means a case management services program that: (1) ensures effective, 
7.16 	equitable, comprehensive, and respectful quality care services that are responsive to 
7.17 	individuals within a specific population's values, beliefs, practices, health literacy, preferred 
7.18 	language, and other communication needs; and (2) is designed to address the unique needs 
7.19 	of individuals who share a common language or racial, ethnic, or social background.
7.20 	(d) Case management services must be provided by a public or private agency that is 
7.21 	enrolled as a medical assistance provider determined by the commissioner to meet all of 
7.22 	the requirements in the approved federal waiver plans. Case management services must not 
7.23 	be provided to a recipient by a private agency that has a financial interest in the provision 
7.24 	of any other services included in the recipient's support plan. For purposes of this section, 
7.25 	"private agency" means any agency that is not identified as a lead agency under section 
7.26 	256B.0911, subdivision 10.
7.27 	(e) Case managers are responsible for service provisions listed in paragraphs (a) and 
7.28 	(b). Case managers shall collaborate with consumers, families, legal representatives, and 
7.29 	relevant medical experts and service providers in the development and annual review of the 
7.30 	person-centered support plan and habilitation plan.
7.31 	(f) For persons who need a positive support transition plan as required in chapter 245D, 
7.32 	the case manager shall participate in the development and ongoing evaluation of the plan 
7.33 	with the expanded support team. At least quarterly, the case manager, in consultation with 
7.34 	the expanded support team, shall evaluate the effectiveness of the plan based on progress 
7.35 	evaluation data submitted by the licensed provider to the case manager. The evaluation must 
8.1 	identify whether the plan has been developed and implemented in a manner to achieve the 
8.2 	following within the required timelines:
8.3 	(1) phasing out the use of prohibited procedures;
8.4 	(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's 
8.5 	timeline; and
8.6 	(3) accomplishment of identified outcomes.
8.7 	If adequate progress is not being made, the case manager shall consult with the person's 
8.8 	expanded support team to identify needed modifications and whether additional professional 
8.9 	support is required to provide consultation.
8.10 	(g) The Department of Human Services shall offer ongoing education in case management 
8.11 	to case managers. Case managers shall receive no less than 20 hours of case management 
8.12 	education and disability-related training each year. The education and training must include 
8.13 	person-centered planning, informed choice, informed decision making, cultural competency, 
8.14 	employment planning, community living planning, self-direction options, and use of 
8.15 	technology supports. Case managers must annually complete an informed choice curriculum 
8.16 	and pass a competency evaluation, in a form determined by the commissioner, on informed 
8.17 	decision-making standards. By August 1, 2024, all case managers must complete an 
8.18 	employment support training course identified by the commissioner of human services. For 
8.19 	case managers hired after August 1, 2024, this training must be completed within the first 
8.20 	six months of providing case management services. For the purposes of this section, 
8.21 	"person-centered planning" or "person-centered" has the meaning given in section 256B.0911, 
8.22 	subdivision 10. Case managers must document completion of training in a system identified 
8.23 	by the commissioner.

8.24 	EFFECTIVE DATE. This section is effective August 1, 2025.

8.25 	Sec. 10. Minnesota Statutes 2024, section 256B.092, subdivision 11a, is amended to read:
8.26 		Subd. 11a.Residential support services criteria. (a) For the purposes of this subdivision, 
8.27 	"residential support services" means the following residential support services reimbursed 
8.28 	under section 256B.4914: community residential services, customized living services, and 
8.29 	24-hour customized living services.
8.30 	(b) In order to increase independent living options for people with disabilities and in 
8.31 	accordance with section 256B.4905, subdivisions 3 and 4 7 and 8, and consistent with 
8.32 	section 245A.03, subdivision 7, the commissioner must establish and implement criteria to 
8.33 	access residential support services. The criteria for accessing residential support services 
9.1 	must prohibit the commissioner from authorizing residential support services unless at least 
9.2 	all of the following conditions are met:
9.3 	(1) the individual has complex behavioral health or complex medical needs; and
9.4 	(2) the individual's service planning team has considered all other available residential 
9.5 	service options and determined that those options are inappropriate to meet the individual's 
9.6 	support needs.
9.7 	(c) Nothing in this subdivision shall be construed as permitting the commissioner to 
9.8 	establish criteria prohibiting the authorization of residential support services for individuals 
9.9 	described in the statewide priorities established in subdivision 12, the transition populations 
9.10 	in subdivision 13, and the licensing moratorium exception criteria under section 245A.03, 
9.11 	subdivision 7, paragraph (a).
9.12 	(d) Individuals with active service agreements for residential support services on the 
9.13 	date that the criteria for accessing residential support services become effective are exempt 
9.14 	from the requirements of this subdivision, and the exemption from the criteria for accessing 
9.15 	residential support services continues to apply for renewals of those service agreements.

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

9.17 	Sec. 11. Minnesota Statutes 2024, section 256B.49, subdivision 13, is amended to read:
9.18 		Subd. 13.Case management. (a) Each recipient of a home and community-based waiver 
9.19 	shall be provided case management services by qualified vendors as described in the federally 
9.20 	approved waiver application. The case management service activities provided must include:
9.21 	(1) finalizing the person-centered written support plan within the timelines established 
9.22 	by the commissioner and section 256B.0911, subdivision 29;
9.23 	(2) informing the recipient or the recipient's legal guardian or conservator of service 
9.24 	options, including all service options available under the waiver plans;
9.25 	(3) assisting the recipient in the identification of potential service providers of chosen 
9.26 	services, including:
9.27 	(i) available options for case management service and providers;
9.28 	(ii) providers of services provided in a non-disability-specific setting;
9.29 	(iii) employment service providers;
9.30 	(iv) providers of services provided in settings that are not community residential settings; 
9.31 	and
10.1 	(v) providers of financial management services;
10.2 	(4) assisting the recipient to access services and assisting with appeals under section 
10.3 	256.045; and
10.4 	(5) coordinating, evaluating, and monitoring of the services identified in the service 
10.5 	plan.
10.6 	(b) The case manager may delegate certain aspects of the case management service 
10.7 	activities to another individual provided there is oversight by the case manager. The case 
10.8 	manager may not delegate those aspects which require professional judgment including:
10.9 	(1) finalizing the person-centered support plan;
10.10 	(2) ongoing assessment and monitoring of the person's needs and adequacy of the 
10.11 	approved person-centered support plan; and
10.12 	(3) adjustments to the person-centered support plan.
10.13 	(c) Case management services must be provided by a public or private agency that is 
10.14 	enrolled as a medical assistance provider determined by the commissioner to meet all of 
10.15 	the requirements in the approved federal waiver plans. If a county agency provides case 
10.16 	management under contracts with other individuals or agencies and the county agency 
10.17 	utilizes a competitive proposal process for the procurement of contracted case management 
10.18 	services, the competitive proposal process must include evaluation criteria to ensure that 
10.19 	the county maintains a culturally responsive program for case management services adequate 
10.20 	to meet the needs of the population of the county. For the purposes of this section, "culturally 
10.21 	responsive program" means a case management services program that: (1) ensures effective, 
10.22 	equitable, comprehensive, and respectful quality care services that are responsive to 
10.23 	individuals within a specific population's values, beliefs, practices, health literacy, preferred 
10.24 	language, and other communication needs; and (2) is designed to address the unique needs 
10.25 	of individuals who share a common language or racial, ethnic, or social background.
10.26 	(d) Case management services must not be provided to a recipient by a private agency 
10.27 	that has any financial interest in the provision of any other services included in the recipient's 
10.28 	support plan. For purposes of this section, "private agency" means any agency that is not 
10.29 	identified as a lead agency under section 256B.0911, subdivision 10.
10.30 	(e) For persons who need a positive support transition plan as required in chapter 245D, 
10.31 	the case manager shall participate in the development and ongoing evaluation of the plan 
10.32 	with the expanded support team. At least quarterly, the case manager, in consultation with 
10.33 	the expanded support team, shall evaluate the effectiveness of the plan based on progress 
11.1 	evaluation data submitted by the licensed provider to the case manager. The evaluation must 
11.2 	identify whether the plan has been developed and implemented in a manner to achieve the 
11.3 	following within the required timelines:
11.4 	(1) phasing out the use of prohibited procedures;
11.5 	(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's 
11.6 	timeline; and
11.7 	(3) accomplishment of identified outcomes.
11.8 	If adequate progress is not being made, the case manager shall consult with the person's 
11.9 	expanded support team to identify needed modifications and whether additional professional 
11.10 	support is required to provide consultation.
11.11 	(f) The Department of Human Services shall offer ongoing education in case management 
11.12 	to case managers. Case managers shall receive no less than 20 hours of case management 
11.13 	education and disability-related training each year. The education and training must include 
11.14 	person-centered planning, informed choice, informed decision making, cultural competency, 
11.15 	employment planning, community living planning, self-direction options, and use of 
11.16 	technology supports. Case managers must annually complete an informed choice curriculum 
11.17 	and pass a competency evaluation, in a form determined by the commissioner, on informed 
11.18 	decision-making standards. By August 1, 2024, all case managers must complete an 
11.19 	employment support training course identified by the commissioner of human services. For 
11.20 	case managers hired after August 1, 2024, this training must be completed within the first 
11.21 	six months of providing case management services. For the purposes of this section, 
11.22 	"person-centered planning" or "person-centered" has the meaning given in section 256B.0911, 
11.23 	subdivision 10. Case managers shall document completion of training in a system identified 
11.24 	by the commissioner.

11.25 	EFFECTIVE DATE. This section is effective August 1, 2025.

11.26 	Sec. 12. Minnesota Statutes 2024, section 256B.49, subdivision 29, is amended to read:
11.27 		Subd. 29.Residential support services criteria. (a) For the purposes of this subdivision, 
11.28 	"residential support services" means the following residential support services reimbursed 
11.29 	under section 256B.4914: community residential services, customized living services, and 
11.30 	24-hour customized living services.
11.31 	(b) In order to increase independent living options for people with disabilities and in 
11.32 	accordance with section 256B.4905, subdivisions 3 and 4 7 and 8, and consistent with 
11.33 	section 245A.03, subdivision 7, the commissioner must establish and implement criteria to 
12.1 	access residential support services. The criteria for accessing residential support services 
12.2 	must prohibit the commissioner from authorizing residential support services unless at least 
12.3 	all of the following conditions are met:
12.4 	(1) the individual has complex behavioral health or complex medical needs; and
12.5 	(2) the individual's service planning team has considered all other available residential 
12.6 	service options and determined that those options are inappropriate to meet the individual's 
12.7 	support needs.
12.8 	(c) Nothing in this subdivision shall be construed as permitting the commissioner to 
12.9 	establish criteria prohibiting the authorization of residential support services for individuals 
12.10 	described in the statewide priorities established in subdivision 12 11a, the transition 
12.11 	populations in subdivision 13 24, and the licensing moratorium exception criteria under 
12.12 	section 245A.03, subdivision 7, paragraph (a).
12.13 	(c) (d) Individuals with active service agreements for residential support services on the 
12.14 	date that the criteria for accessing residential support services become effective are exempt 
12.15 	from the requirements of this subdivision, and the exemption from the criteria for accessing 
12.16 	residential support services continues to apply for renewals of those service agreements.

12.17 	EFFECTIVE DATE. This section is effective 90 days following federal approval of 
12.18 	Laws 2021, First Special Session chapter 7, article 13, section 30.

12.19 	Sec. 13. Minnesota Statutes 2024, section 256B.4914, subdivision 10a, is amended to 
12.20 	read:
12.21 		Subd. 10a.Reporting and analysis of cost data. (a) The commissioner must ensure 
12.22 	that wage values and component values in subdivisions 5 to 9 reflect the cost to provide the 
12.23 	service. As determined by the commissioner, in consultation with stakeholderscommunity 
12.24 	partners identified in subdivision 17, a provider enrolled to provide services with rates 
12.25 	determined under this section must submit requested cost data to the commissioner to support 
12.26 	research on the cost of providing services that have rates determined by the disability waiver 
12.27 	rates system. Requested cost data may include, but is not limited to:
12.28 	(1) worker wage costs;
12.29 	(2) benefits paid;
12.30 	(3) supervisor wage costs;
12.31 	(4) executive wage costs;
12.32 	(5) vacation, sick, and training time paid;
13.1 	(6) taxes, workers' compensation, and unemployment insurance costs paid;
13.2 	(7) administrative costs paid;
13.3 	(8) program costs paid;
13.4 	(9) transportation costs paid;
13.5 	(10) vacancy rates; and
13.6 	(11) other data relating to costs required to provide services requested by the 
13.7 	commissioner.
13.8 	(b) At least once in any five-year period, a provider must submit cost data for a fiscal 
13.9 	year that ended not more than 18 months prior to the submission date. The commissioner 
13.10 	shall provide each provider a 90-day notice prior to its submission due date. If a provider 
13.11 	fails to submit required reporting data, the commissioner shall provide notice to providers 
13.12 	that have not provided required data 30 days after the required submission date, and a second 
13.13 	notice for providers who have not provided required data 60 days after the required 
13.14 	submission date. The commissioner shall temporarily suspend payments to the provider if 
13.15 	cost data is not received 90 days after the required submission date. Withheld payments 
13.16 	shall be made once data is received by the commissioner.
13.17 	(c) The commissioner shall conduct a random validation of data submitted under 
13.18 	paragraph (a) to ensure data accuracy. The commissioner shall analyze cost documentation 
13.19 	in paragraph (a) and provide recommendations for adjustments to cost components.
13.20 	(d) The commissioner shall analyze cost data submitted under paragraph (a). The 
13.21 	commissioner shall release cost data in an aggregate form. Cost data from individual 
13.22 	providers must not be released except as provided for in current law.
13.23 	(e) Beginning January 1, 2029, the commissioner shall use data collected in paragraph 
13.24 	(a) to determine the compliance with requirements identified under subdivision 10d. The 
13.25 	commissioner shall identify providers who have not met the thresholds identified under 
13.26 	subdivision 10d on the Department of Human Services website for the year for which the 
13.27 	providers reported their costs.

13.28 	EFFECTIVE DATE. This section is effective retroactively from January 1, 2025.

14.1 	Sec. 14. Minnesota Statutes 2024, section 256B.4914, subdivision 10d, is amended to 
14.2 	read:
14.3 		Subd. 10d.Direct care staff; compensation. (a) A provider paid with rates determined 
14.4 	under subdivision 6 must use a minimum of 66 percent of the revenue generated by rates 
14.5 	determined under that subdivision for direct care staff compensation.
14.6 	(b) A provider paid with rates determined under subdivision 7 must use a minimum of 
14.7 	45 percent of the revenue generated by rates determined under that subdivision for direct 
14.8 	care staff compensation.
14.9 	(c) A provider paid with rates determined under subdivision 8 or 9 must use a minimum 
14.10 	of 60 percent of the revenue generated by rates determined under those subdivisions for 
14.11 	direct care staff compensation.
14.12 	(d) Compensation under this subdivision includes:
14.13 	(1) wages;
14.14 	(2) taxes and workers' compensation;
14.15 	(3) health insurance;
14.16 	(4) dental insurance;
14.17 	(5) vision insurance;
14.18 	(6) life insurance;
14.19 	(7) short-term disability insurance;
14.20 	(8) long-term disability insurance;
14.21 	(9) retirement spending;
14.22 	(10) tuition reimbursement;
14.23 	(11) wellness programs;
14.24 	(12) paid vacation time;
14.25 	(13) paid sick time; or
14.26 	(14) other items of monetary value provided to direct care staff.
14.27 	(e) This subdivision does not apply to a provider licensed as an assisted living facility 
14.28 	by the commissioner of health under chapter 144G.
15.1 	(f) This subdivision is effective January 1, 2029, and applies to services provided on or 
15.2 	after that date.

15.3 	EFFECTIVE DATE. This section is effective retroactively from January 1, 2025.

15.4 	Sec. 15. Minnesota Statutes 2024, section 256B.4914, subdivision 17, is amended to read:
15.5 		Subd. 17.StakeholderCommunity consultation and county training. (a) The 
15.6 	commissioner shall continue consultation at regular intervals with the existing stakeholder 
15.7 	groupDWRS advisory committee established as part of the rate-setting methodology process 
15.8 	and othersother community partners, to gather input, concerns, and data, to assist in the 
15.9 	implementation of the rate payment system, and to make pertinent information available to 
15.10 	the public through the department's website.
15.11 	(b) The commissioner shall offer training at least annually for county personnel 
15.12 	responsible for administering the rate-setting framework in a manner consistent with this 
15.13 	section.
15.14 	(c) The commissioner shall maintain an online instruction manual explaining the 
15.15 	rate-setting framework. The manual shallmust be consistent with this section, and shall
15.16 	must be accessible to all stakeholders including recipients, representatives of recipients, 
15.17 	county or Tribal agencies, and license holders.
15.18 	(d) The commissioner shall not defer to the county or Tribal agency on matters of 
15.19 	technical application of the rate-setting framework, and a county or Tribal agency shall
15.20 	must not set rates in a manner that conflicts with this section.
15.21 	(e) The commissioner must consult with the DWRS advisory committee and other 
15.22 	community partners as required under this subdivision to periodically review, update, and 
15.23 	revise the format by which initiators of rate exception requests and lead agencies collect 
15.24 	and submit information about individuals with exceptional needs under subdivision 14.

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

15.26 	Sec. 16. Minnesota Statutes 2024, section 256R.38, is amended to read:
15.27 	256R.38 PERFORMANCE-BASED INCENTIVE PAYMENTS.
15.28 	The commissioner shall develop additional incentive-based payments of up to five 
15.29 	percent above a facility's operating payment rate for achieving outcomes specified in a 
15.30 	contract. The commissioner may solicit proposals and select those which, on a competitive 
15.31 	basis, best meet the state's policy objectives. The commissioner shall limit the amount of 
16.1 	any incentive payment and the number of contract amendments under this section to operate 
16.2 	the incentive payments within funds appropriated for this purpose. The commissioner shall 
16.3 	approve proposals through a memorandum of understanding which shall specify various 
16.4 	levels of payment for various levels of performance. Incentive payments to facilities under 
16.5 	this section shall be in the form of time-limited rate adjustments which shall be included in 
16.6 	the external fixed costs payment rate under section 256R.25. In establishing the specified 
16.7 	outcomes and related criteria, the commissioner shall consider the following state policy 
16.8 	objectives:
16.9 	(1) successful diversion or discharge of residents to the residents' prior home or other 
16.10 	community-based alternatives;
16.11 	(2) adoption of new technology to improve quality or efficiency;
16.12 	(3) improved quality as measured in the Minnesota Nursing Home Report Card;
16.13 	(4) reduced acute care costs; and
16.14 	(5) any additional outcomes proposed by a nursing facility that the commissioner finds 
16.15 	desirable.

16.16 	Sec. 17. Minnesota Statutes 2024, section 256R.40, subdivision 5, is amended to read:
16.17 		Subd. 5.Planned closure rate adjustment. (a) The commissioner shall calculate the 
16.18 	amount of the planned closure rate adjustment available under subdivision 6 according to 
16.19 	clauses (1) to (4):
16.20 	(1) the amount available is the net reduction of nursing facility beds multiplied by $2,080;
16.21 	(2) the total number of beds in the nursing facility or facilities receiving the planned 
16.22 	closure rate adjustment must be identified;
16.23 	(3) capacity days are determined by multiplying the number determined under clause 
16.24 	(2) by 365; and
16.25 	(4) the planned closure rate adjustment is the amount available in clause (1), divided by 
16.26 	capacity days determined under clause (3).
16.27 	(b) A planned closure rate adjustment under this section is effective on the first day of 
16.28 	the month of January or July, whichever occurs immediately following completion of closure 
16.29 	of the facility designated for closure in the application and becomes part of the nursing 
16.30 	facility's external fixed costs payment rate.
17.1 	(c) Upon the request of a closing facility, the commissioner must allow the facility a 
17.2 	closure rate adjustment as provided under section 144A.161, subdivision 10.
17.3 	(d) A facility that has received a planned closure rate adjustment may reassign it to 
17.4 	another facility that is under the same ownership at any time within three years of its effective 
17.5 	date. The amount of the adjustment is computed according to paragraph (a).
17.6 	(e) If the per bed dollar amount specified in paragraph (a), clause (1), is increased, the 
17.7 	commissioner shall recalculate planned closure rate adjustments for facilities that delicense 
17.8 	beds under this section on or after July 1, 2001, to reflect the increase in the per bed dollar 
17.9 	amount. The recalculated planned closure rate adjustment is effective from the date the per 
17.10 	bed dollar amount is increased.

17.11 	Sec. 18. Laws 2021, First Special Session chapter 7, article 13, section 75, subdivision 3, 
17.12 	as amended by Laws 2024, chapter 108, article 1, section 28, is amended to read:
17.13 		Subd. 3.Waiver Reimagine Advisory Committee. (a) The commissioner must convene, 
17.14 	at regular intervals throughout the development and implementation of waiver reimagine 
17.15 	phase II, a Waiver Reimagine Advisory Committee that consists of a group of diverse, 
17.16 	representative stakeholders. The commissioner must solicit and endeavor to include racially, 
17.17 	ethnically, and geographically diverse membership from each of the following groups:
17.18 	(1) people with disabilities who use waiver services;
17.19 	(2) family members of people who use waiver services;
17.20 	(3) disability and behavioral health advocates;
17.21 	(4) lead agency representatives; and
17.22 	(5) waiver service providers.
17.23 	(b) The commissioner must ensure that the Waiver Reimagine Advisory Committee 
17.24 	specifically requests input from the following when compiling its final report:
17.25 	(1) individuals presently receiving waiver benefits who are under the age of 65;
17.26 	(2) individuals assessed to receive ten or more hours of waiver services per day;
17.27 	(3) county employees who conduct long-term care consultation services assessments 
17.28 	for persons under the age of 65;
17.29 	(4) employees of the Department of Human Services with knowledge of the requirements 
17.30 	for a provider to participate in waiver service programs and of the administration of benefits;
17.31 	(5) the Minnesota Council on Disability;
18.1 	(6) family members of individuals under the age of 18 who are receiving waivered 
18.2 	services;
18.3 	(7) family members of individuals aged 18 or older and under age 65 who are receiving 
18.4 	waivered services;
18.5 	(8) providers of waivered services for persons who are under the age of 65;
18.6 	(9) the Council on Developmental Disabilities;
18.7 	(10) the Office of Ombudsman for Mental Health and Developmental Disabilities;
18.8 	(11) the Olmstead Implementation Office; and
18.9 	(12) the Home Care Association.
18.10 	(b) (c) The assistant commissioner of aging and disability services must attend and 
18.11 	participate in meetings of the Waiver Reimagine Advisory Committee.
18.12 	(c) (d) The Waiver Reimagine Advisory Committee must have the opportunity to 
18.13 	collaborate in a meaningful way in developing and providing feedback on proposed plans 
18.14 	for waiver reimagine components, including an individual budget methodology, criteria 
18.15 	and a process for individualized budget exemptions, the consolidation of the four current 
18.16 	home and community-based waiver service programs into two-waiver programs, the role 
18.17 	of assessments and the MnCHOICES 2.0 assessment tool in determining service needs and 
18.18 	individual budgets, and other aspects of waiver reimagine phase II.
18.19 	(d) (e) The Waiver Reimagine Advisory Committee must have an opportunity to assist 
18.20 	in the development of and provide feedback on proposed adjustments and modifications to 
18.21 	the streamlined menu of services and the existing rate exception criteria and process.

18.22 	Sec. 19. Laws 2021, First Special Session chapter 7, article 13, section 75, subdivision 4, 
18.23 	as amended by Laws 2024, chapter 108, article 1, section 28, is amended to read:
18.24 		Subd. 4.Required report. Prior to seeking federal approval for any aspect of waiver 
18.25 	reimagine phase II and in collaboration with the Waiver Reimagine Advisory Committee, 
18.26 	the commissioner must submit to the chairs and ranking minority members of the legislative 
18.27 	committees and divisions with jurisdiction over health and human services a report on plans 
18.28 	for waiver reimagine phase II, as well as the actual Waiver Reimagine waiver plan intended 
18.29 	to be submitted for federal approval. The report must also include any plans to a clear 
18.30 	explanation of how the proposed waiver plan submitted with the report will adjust or modify 
18.31 	the streamlined menu of services, the existing rate or budget exemption criteria or process, 
18.32 	the; will establish proposed individual budget ranges, budgets based on the assessed needs 
19.1 	of the individual; and the role of will utilize the MnCHOICES 2.0 assessment tool in 
19.2 	determining to determine service needs and individual budget ranges budgets.

19.3 	Sec. 20. Laws 2021, First Special Session chapter 7, article 13, section 75, subdivision 6, 
19.4 	as amended by Laws 2024, chapter 108, article 1, section 28, is amended to read:
19.5 		Subd. 6.Online support planning tool. The commissioner must develop an online 
19.6 	support planning and tracking tool for people using disability waiver services that allows 
19.7 	access to the total budget available to the person, the services for which they are eligible, 
19.8 	and the services they have chosen and used. The commissioner must explore operability 
19.9 	options that would facilitate real-time tracking of a person's remaining available budget 
19.10 	throughout the service year. The online support planning tool must provide information in 
19.11 	an accessible format to support the person's informed choice. The commissioner must seek 
19.12 	input from people with disabilities and the Waiver Reimagine Advisory Committee about 
19.13 	the online support planning tool prior to its implementation.

19.14 	Sec. 21. Laws 2021, First Special Session chapter 7, article 13, section 75, subdivision 7, 
19.15 	as amended by Laws 2024, chapter 108, article 1, section 28, is amended to read:
19.16 		Subd. 7.Curriculum and training. The commissioner, in consultation with the Waiver 
19.17 	Reimagine Advisory Committee, must develop and implement a curriculum and training 
19.18 	plan to ensure all lead agency assessors and case managers have the knowledge and skills 
19.19 	necessary to comply with informed decision making for people who used home and 
19.20 	community-based disability waivers. Training and competency evaluations must be completed 
19.21 	annually by all staff responsible for case management as described in Minnesota Statutes, 
19.22 	sections 256B.092, subdivision 1a, paragraph (f), and 256B.49, subdivision 13, paragraph 
19.23 	(e).

19.24 	ARTICLE 2
19.25 	DEPARTMENT OF HEALTH POLICY

19.26 	Section 1. Minnesota Statutes 2024, section 144.0724, subdivision 2, is amended to read:
19.27 		Subd. 2.Definitions. For purposes of this section, the following terms have the meanings 
19.28 	given.
19.29 	(a) "Assessment reference date" or "ARD" means the specific end point for look-back 
19.30 	periods in the MDS assessment process. This look-back period is also called the observation 
19.31 	or assessment period.
20.1 	(b) "Case mix index" means the weighting factors assigned to the case mix reimbursement 
20.2 	classifications determined by an assessment.
20.3 	(c) "Index maximization" means classifying a resident who could be assigned to more 
20.4 	than one category, to the category with the highest case mix index.
20.5 	(d) "Minimum Data Set" or "MDS" means a core set of screening, clinical assessment, 
20.6 	and functional status elements, that include common definitions and coding categories 
20.7 	specified by the Centers for Medicare and Medicaid Services and designated by the 
20.8 	Department of Health.
20.9 	(e) "Representative" means a person who is the resident's guardian or conservator, the 
20.10 	person authorized to pay the nursing home expenses of the resident, a representative of the 
20.11 	Office of Ombudsman for Long-Term Care whose assistance has been requested, or any 
20.12 	other individual designated by the resident.
20.13 	(f) "Activities of daily living" or "ADL" includes personal hygiene, dressing, bathing, 
20.14 	transferring, bed mobility, locomotion, eating, and toileting.
20.15 	(g) "Patient Driven Payment Model" or "PDPM" means the case mix reimbursement 
20.16 	classification system for residents in nursing facilities according to the resident's condition, 
20.17 	the resident's diagnosis, and the care the resident is receiving as reflected in data supplied 
20.18 	in the facility's MDS with an ARD on or after October 1, 2025.
20.19 	(g) (h) "Nursing facility level of care determination" means the assessment process that 
20.20 	results in a determination of a resident's or prospective resident's need for nursing facility 
20.21 	level of care as established in subdivision 11 for purposes of medical assistance payment 
20.22 	of long-term care services for:
20.23 	(1) nursing facility services under chapter 256R;
20.24 	(2) elderly waiver services under chapter 256S;
20.25 	(3) CADI and BI waiver services under section 256B.49; and
20.26 	(4) state payment of alternative care services under section 256B.0913.
20.27 	(i) "Resource utilization group" or "RUG" means the case mix reimbursement 
20.28 	classification system for residents in nursing facilities according to the resident's clinical 
20.29 	and functional status as reflected in data supplied by the facility's MDS with an ARD on or 
20.30 	before September 30, 2025.

20.31 	EFFECTIVE DATE. This section is effective October 1, 2025, and applies to 
20.32 	assessments conducted on or after that date.

21.1 	Sec. 2. Minnesota Statutes 2024, section 144.0724, subdivision 3a, is amended to read:
21.2 		Subd. 3a.Resident case mix reimbursement classifications. (a) Resident case mix 
21.3 	reimbursement classifications shall be based on the Minimum Data Set, version 3.0 
21.4 	assessment instrument, or its successor version mandated by the Centers for Medicare and 
21.5 	Medicaid Services that nursing facilities are required to complete for all residents. Case 
21.6 	mix reimbursement classifications shall also be based on assessments required under 
21.7 	subdivision 4. Assessments must be completed according to the Long Term Care Facility 
21.8 	Resident Assessment Instrument User's Manual Version 3.0 or a successor manual issued 
21.9 	by the Centers for Medicare and Medicaid Services. The optional state assessment must be 
21.10 	completed according to the OSA Manual Version 1.0 v.2.
21.11 	(b) Each resident must be classified based on the information from the Minimum Data 
21.12 	Set according to the general categories issued by the Minnesota Department of Health, 
21.13 	utilized for reimbursement purposes.

21.14 	EFFECTIVE DATE. This section is effective October 1, 2025, and applies to 
21.15 	assessments conducted on or after that date.

21.16 	Sec. 3. Minnesota Statutes 2024, section 144.0724, subdivision 4, is amended to read:
21.17 		Subd. 4.Resident assessment schedule. (a) A facility must conduct and electronically 
21.18 	submit to the federal database MDS assessments that conform with the assessment schedule 
21.19 	defined by the Long Term Care Facility Resident Assessment Instrument User's Manual, 
21.20 	version 3.0, or its successor issued by the Centers for Medicare and Medicaid Services. The 
21.21 	commissioner of health may substitute successor manuals or question and answer documents 
21.22 	published by the United States Department of Health and Human Services, Centers for 
21.23 	Medicare and Medicaid Services, to replace or supplement the current version of the manual 
21.24 	or document.
21.25 	(b) The assessments required under the Omnibus Budget Reconciliation Act of 1987 
21.26 	(OBRA) used to determine a case mix reimbursement classification include:
21.27 	(1) a new admission comprehensive assessment, which must have an assessment reference 
21.28 	date (ARD) within 14 calendar days after admission, excluding readmissions;
21.29 	(2) an annual comprehensive assessment, which must have an ARD within 92 days of 
21.30 	a previous quarterly review assessment or a previous comprehensive assessment, which 
21.31 	must occur at least once every 366 days;
21.32 	(3) a significant change in status comprehensive assessment, which must have an ARD 
21.33 	within 14 days after the facility determines, or should have determined, that there has been 
22.1 	a significant change in the resident's physical or mental condition, whether an improvement 
22.2 	or a decline, and regardless of the amount of time since the last comprehensive assessment 
22.3 	or quarterly review assessment;
22.4 	(4) a significant change in status comprehensive assessment when isolation for an 
22.5 	infectious disease has ended. If isolation was not coded on the most recent assessment 
22.6 	completed, then the significant change in status comprehensive assessment under this clause 
22.7 	is not required. The ARD for assessments under this clause must be set on day 15 after 
22.8 	isolation has ended;
22.9 	(5) a quarterly review assessment must have an ARD within 92 days of the ARD of the 
22.10 	previous quarterly review assessment or a previous comprehensive assessment;
22.11 	(5) (6) any significant correction to a prior comprehensive assessment, if the assessment 
22.12 	being corrected is the current one being used for reimbursement classification;
22.13 	(6) (7) any significant correction to a prior quarterly review assessment, if the assessment 
22.14 	being corrected is the current one being used for reimbursement classification; and
22.15 	(7) (8) any modifications to the most recent assessments under clauses (1) to (6) (7).
22.16 	(c) The optional state assessment must accompany all OBRA assessments. The optional 
22.17 	state assessment is also required to determine reimbursement when:
22.18 	(1) all speech, occupational, and physical therapies have ended. If the most recent optional 
22.19 	state assessment completed does not result in a rehabilitation case mix reimbursement 
22.20 	classification, then the optional state assessment is not required. The ARD of this assessment 
22.21 	must be set on day eight after all therapy services have ended; and
22.22 	(2) isolation for an infectious disease has ended. If isolation was not coded on the most 
22.23 	recent optional state assessment completed, then the optional state assessment is not required. 
22.24 	The ARD of this assessment must be set on day 15 after isolation has ended.
22.25 	(d) (c) In addition to the assessments listed in paragraphs paragraph (b) and (c), the 
22.26 	assessments used to determine nursing facility level of care include the following:
22.27 	(1) preadmission screening completed under section 256.975, subdivisions 7a to 7c, by 
22.28 	the Senior LinkAge Line or other organization under contract with the Minnesota Board on 
22.29 	Aging; and
22.30 	(2) a nursing facility level of care determination as provided for under section 256B.0911, 
22.31 	subdivision 26, as part of a face-to-face long-term care consultation assessment completed 
23.1 	under section 256B.0911, by a county, tribe, or managed care organization under contract 
23.2 	with the Department of Human Services.

23.3 	EFFECTIVE DATE. This section is effective October 1, 2025, and applies to 
23.4 	assessments conducted on or after that date.

23.5 	Sec. 4. Minnesota Statutes 2024, section 144.0724, subdivision 8, is amended to read:
23.6 		Subd. 8.Request for reconsideration of resident classifications. (a) The resident, the 
23.7 	resident's representative, the nursing facility, or the boarding care home may request that 
23.8 	the commissioner of health reconsider the assigned case mix reimbursement classification 
23.9 	and any item or items changed during the audit process. The request for reconsideration 
23.10 	must be submitted in writing to the commissioner of health.
23.11 	(b) For reconsideration requests initiated by the resident or the resident's representative:
23.12 	(1) The resident or the resident's representative must submit in writing a reconsideration 
23.13 	request to the facility administrator within 30 days of receipt of the resident classification 
23.14 	notice. The written request must include the reasons for the reconsideration request.
23.15 	(2) Within three business days of receiving the reconsideration request, the nursing 
23.16 	facility must submit to the commissioner of health a completed reconsideration request 
23.17 	form, a copy of the resident's or resident's representative's written request, and all supporting 
23.18 	documentation used to complete the assessment being reconsidered. If the facility fails to 
23.19 	provide the required information, the reconsideration will be completed with the information 
23.20 	submitted and the facility cannot make further reconsideration requests on this classification.
23.21 	(3) Upon written request and within three business days, the nursing facility must give 
23.22 	the resident or the resident's representative a copy of the assessment being reconsidered and 
23.23 	all supporting documentation used to complete the assessment. Notwithstanding any law 
23.24 	to the contrary, the facility may not charge a fee for providing copies of the requested 
23.25 	documentation. If a facility fails to provide the required documents within this time, it is 
23.26 	subject to the issuance of a correction order and penalty assessment under sections 144.653 
23.27 	and 144A.10. Notwithstanding those sections, any correction order issued under this 
23.28 	subdivision must require that the nursing facility immediately comply with the request for 
23.29 	information, and as of the date of the issuance of the correction order, the facility shall 
23.30 	forfeit to the state a $100 fine for the first day of noncompliance, and an increase in the 
23.31 	$100 fine by $50 increments for each day the noncompliance continues.
23.32 	(c) For reconsideration requests initiated by the facility:
24.1 	(1) The facility is required to inform the resident or the resident's representative in writing 
24.2 	that a reconsideration of the resident's case mix reimbursement classification is being 
24.3 	requested. The notice must inform the resident or the resident's representative:
24.4 	(i) of the date and reason for the reconsideration request;
24.5 	(ii) of the potential for a case mix reimbursement classification change and subsequent 
24.6 	rate change;
24.7 	(iii) of the extent of the potential rate change;
24.8 	(iv) that copies of the request and supporting documentation are available for review; 
24.9 	and
24.10 	(v) that the resident or the resident's representative has the right to request a 
24.11 	reconsideration also.
24.12 	(2) Within 30 days of receipt of the audit exit report or resident classification notice, the 
24.13 	facility must submit to the commissioner of health a completed reconsideration request 
24.14 	form, all supporting documentation used to complete the assessment being reconsidered, 
24.15 	and a copy of the notice informing the resident or the resident's representative that a 
24.16 	reconsideration of the resident's classification is being requested.
24.17 	(3) If the facility fails to provide the required information, the reconsideration request 
24.18 	may be denied and the facility may not make further reconsideration requests on this 
24.19 	classification.
24.20 	(d) Reconsideration by the commissioner must be made by individuals not involved in 
24.21 	reviewing the assessment, audit, or reconsideration that established the disputed classification. 
24.22 	The reconsideration must be based upon the assessment that determined the classification 
24.23 	and upon the information provided to the commissioner of health under paragraphs (a) to 
24.24 	(c). If necessary for evaluating the reconsideration request, the commissioner may conduct 
24.25 	on-site reviews. Within 15 business days of receiving the request for reconsideration, the 
24.26 	commissioner shall affirm or modify the original resident classification. The original 
24.27 	classification must be modified if the commissioner determines that the assessment resulting 
24.28 	in the classification did not accurately reflect characteristics of the resident at the time of 
24.29 	the assessment. The commissioner must transmit the reconsideration classification notice 
24.30 	by electronic means to the nursing facility. The nursing facility is responsible for the 
24.31 	distribution of the notice to the resident or the resident's representative. The notice must be 
24.32 	distributed by the nursing facility within three business days after receipt. A decision by 
25.1 	the commissioner under this subdivision is the final administrative decision of the agency 
25.2 	for the party requesting reconsideration.
25.3 	(e) The case mix reimbursement classification established by the commissioner shall be 
25.4 	the classification which applies to the resident while the request for reconsideration is 
25.5 	pending. If a request for reconsideration applies to an assessment used to determine nursing 
25.6 	facility level of care under subdivision 4, paragraph (d) (c), the resident shall continue to 
25.7 	be eligible for nursing facility level of care while the request for reconsideration is pending.
25.8 	(f) The commissioner may request additional documentation regarding a reconsideration 
25.9 	necessary to make an accurate reconsideration determination.
25.10 	(g) Data collected as part of the reconsideration process under this section is classified 
25.11 	as private data on individuals and nonpublic data pursuant to section 13.02. Notwithstanding 
25.12 	the classification of these data as private or nonpublic, the commissioner is authorized to 
25.13 	share these data with the U.S. Centers for Medicare and Medicaid Services and the 
25.14 	commissioner of human services as necessary for reimbursement purposes.

25.15 	EFFECTIVE DATE. This section is effective October 1, 2025, and applies to 
25.16 	assessments conducted on or after that date.

25.17 	Sec. 5. Minnesota Statutes 2024, section 144.0724, subdivision 9, is amended to read:
25.18 		Subd. 9.Audit authority. (a) The commissioner shall audit the accuracy of resident 
25.19 	assessments performed under section 256R.17 through any of the following: desk audits; 
25.20 	on-site review of residents and their records; and interviews with staff, residents, or residents' 
25.21 	families. The commissioner shall reclassify a resident if the commissioner determines that 
25.22 	the resident was incorrectly classified.
25.23 	(b) The commissioner is authorized to conduct on-site audits on an unannounced basis.
25.24 	(c) A facility must grant the commissioner access to examine the medical records relating 
25.25 	to the resident assessments selected for audit under this subdivision. The commissioner may 
25.26 	also observe and speak to facility staff and residents.
25.27 	(d) The commissioner shall consider documentation under the time frames for coding 
25.28 	items on the minimum data set as set out in the Long-Term Care Facility Resident Assessment 
25.29 	Instrument User's Manual or OSA Manual version 1.0 v.2 published by the Centers for 
25.30 	Medicare and Medicaid Services.
25.31 	(e) The commissioner shall develop an audit selection procedure that includes the 
25.32 	following factors:
26.1 	(1) Each facility shall be audited annually. If a facility has two successive audits in which 
26.2 	the percentage of change is five percent or less and the facility has not been the subject of 
26.3 	a special audit in the past 36 months, the facility may be audited biannually. A stratified 
26.4 	sample of 15 percent, with a minimum of ten assessments, of the most current assessments 
26.5 	shall be selected for audit. If more than 20 percent of the case mix reimbursement 
26.6 	classifications are changed as a result of the audit, the audit shall be expanded to a second 
26.7 	15 percent sample, with a minimum of ten assessments. If the total change between the first 
26.8 	and second samples is 35 percent or greater, the commissioner may expand the audit to all 
26.9 	of the remaining assessments.
26.10 	(2) If a facility qualifies for an expanded audit, the commissioner may audit the facility 
26.11 	again within six months. If a facility has two expanded audits within a 24-month period, 
26.12 	that facility will be audited at least every six months for the next 18 months.
26.13 	(3) The commissioner may conduct special audits if the commissioner determines that 
26.14 	circumstances exist that could alter or affect the validity of case mix reimbursement 
26.15 	classifications of residents. These circumstances include, but are not limited to, the following:
26.16 	(i) frequent changes in the administration or management of the facility;
26.17 	(ii) an unusually high percentage of residents in a specific case mix reimbursement 
26.18 	classification;
26.19 	(iii) a high frequency in the number of reconsideration requests received from a facility;
26.20 	(iv) frequent adjustments of case mix reimbursement classifications as the result of 
26.21 	reconsiderations or audits;
26.22 	(v) a criminal indictment alleging provider fraud;
26.23 	(vi) other similar factors that relate to a facility's ability to conduct accurate assessments;
26.24 	(vii) an atypical pattern of scoring minimum data set items;
26.25 	(viii) nonsubmission of assessments;
26.26 	(ix) late submission of assessments; or
26.27 	(x) a previous history of audit changes of 35 percent or greater.
26.28 	(f) If the audit results in a case mix reimbursement classification change, the 
26.29 	commissioner must transmit the audit classification notice by electronic means to the nursing 
26.30 	facility within 15 business days of completing an audit. The nursing facility is responsible 
26.31 	for distribution of the notice to each resident or the resident's representative. This notice 
26.32 	must be distributed by the nursing facility within three business days after receipt. The 
27.1 	notice must inform the resident of the case mix reimbursement classification assigned, the 
27.2 	opportunity to review the documentation supporting the classification, the opportunity to 
27.3 	obtain clarification from the commissioner, the opportunity to request a reconsideration of 
27.4 	the classification, and the address and telephone number of the Office of Ombudsman for 
27.5 	Long-Term Care.

27.6 	EFFECTIVE DATE. This section is effective October 1, 2025, and applies to 
27.7 	assessments conducted on or after that date.

27.8 	Sec. 6. Minnesota Statutes 2024, section 144.0724, subdivision 11, is amended to read:
27.9 		Subd. 11.Nursing facility level of care. (a) For purposes of medical assistance payment 
27.10 	of long-term care services, a recipient must be determined, using assessments defined in 
27.11 	subdivision 4, to meet one of the following nursing facility level of care criteria:
27.12 	(1) the person requires formal clinical monitoring at least once per day;
27.13 	(2) the person needs the assistance of another person or constant supervision to begin 
27.14 	and complete at least four of the following activities of living: bathing, bed mobility, dressing, 
27.15 	eating, grooming, toileting, transferring, and walking;
27.16 	(3) the person needs the assistance of another person or constant supervision to begin 
27.17 	and complete toileting, transferring, or positioning and the assistance cannot be scheduled;
27.18 	(4) the person has significant difficulty with memory, using information, daily decision 
27.19 	making, or behavioral needs that require intervention;
27.20 	(5) the person has had a qualifying nursing facility stay of at least 90 days;
27.21 	(6) the person meets the nursing facility level of care criteria determined 90 days after 
27.22 	admission or on the first quarterly assessment after admission, whichever is later; or
27.23 	(7) the person is determined to be at risk for nursing facility admission or readmission 
27.24 	through a face-to-face long-term care consultation assessment as specified in section 
27.25 	256B.0911, subdivision 17 to 21, 23, 24, 27, or 28, by a county, tribe, or managed care 
27.26 	organization under contract with the Department of Human Services. The person is 
27.27 	considered at risk under this clause if the person currently lives alone or will live alone or 
27.28 	be homeless without the person's current housing and also meets one of the following criteria:
27.29 	(i) the person has experienced a fall resulting in a fracture;
27.30 	(ii) the person has been determined to be at risk of maltreatment or neglect, including 
27.31 	self-neglect; or
28.1 	(iii) the person has a sensory impairment that substantially impacts functional ability 
28.2 	and maintenance of a community residence.
28.3 	(b) The assessment used to establish medical assistance payment for nursing facility 
28.4 	services must be the most recent assessment performed under subdivision 4, paragraphs
28.5 	paragraph (b) and (c), that occurred no more than 90 calendar days before the effective date 
28.6 	of medical assistance eligibility for payment of long-term care services. In no case shall 
28.7 	medical assistance payment for long-term care services occur prior to the date of the 
28.8 	determination of nursing facility level of care.
28.9 	(c) The assessment used to establish medical assistance payment for long-term care 
28.10 	services provided under chapter 256S and section 256B.49 and alternative care payment 
28.11 	for services provided under section 256B.0913 must be the most recent face-to-face 
28.12 	assessment performed under section 256B.0911, subdivisions 17 to 21, 23, 24, 27, or 28, 
28.13 	that occurred no more than 60 calendar days before the effective date of medical assistance 
28.14 	eligibility for payment of long-term care services.

28.15 	EFFECTIVE DATE. This section is effective October 1, 2025, and applies to 
28.16 	assessments conducted on or after that date.

28.17 	Sec. 7. Minnesota Statutes 2024, section 144.586, subdivision 2, is amended to read:
28.18 		Subd. 2.Postacute care discharge planning. (a) Each hospital, including hospitals 
28.19 	designated as critical access hospitals, must comply with the federal hospital requirements 
28.20 	for discharge planning which include:
28.21 	(1) conducting a discharge planning evaluation that includes an evaluation of:
28.22 	(i) the likelihood of the patient needing posthospital services and of the availability of 
28.23 	those services; and
28.24 	(ii) the patient's capacity for self-care or the possibility of the patient being cared for in 
28.25 	the environment from which the patient entered the hospital;
28.26 	(2) timely completion of the discharge planning evaluation under clause (1) by hospital 
28.27 	personnel so that appropriate arrangements for posthospital care are made before discharge, 
28.28 	and to avoid unnecessary delays in discharge;
28.29 	(3) including the discharge planning evaluation under clause (1) in the patient's medical 
28.30 	record for use in establishing an appropriate discharge plan. The hospital must discuss the 
28.31 	results of the evaluation with the patient or individual acting on behalf of the patient. The 
28.32 	hospital must reassess the patient's discharge plan if the hospital determines that there are 
29.1 	factors that may affect continuing care needs or the appropriateness of the discharge plan; 
29.2 	and
29.3 	(4) providing counseling, as needed, for the patient and family members or interested 
29.4 	persons to prepare them for posthospital care. The hospital must provide a list of available 
29.5 	Medicare-eligible home care agencies or skilled nursing facilities that serve the patient's 
29.6 	geographic area, or other area requested by the patient if such care or placement is indicated 
29.7 	and appropriate. Once the patient has designated their preferred providers, the hospital will 
29.8 	assist the patient in securing care covered by their health plan or within the care network. 
29.9 	The hospital must not specify or otherwise limit the qualified providers that are available 
29.10 	to the patient. The hospital must document in the patient's record that the list was presented 
29.11 	to the patient or to the individual acting on the patient's behalf.
29.12 	(b) Each hospital, including hospitals designated as critical access hospitals, must 
29.13 	document in the patient's discharge plan any instances when a chemical, manual, or 
29.14 	mechanical restraint was used to manage the patient's behavior prior to discharge, including 
29.15 	the type of restraint, duration, and frequency. In cases where the patient is transferred to 
29.16 	any licensed or registered provider, the hospital must notify the provider of the type, duration, 
29.17 	and frequency of the restraint. Restraint has the meaning given in section 144G.08, 
29.18 	subdivision 61a.

29.19 	Sec. 8. Minnesota Statutes 2024, section 144A.08, is amended by adding a subdivision to 
29.20 	read:
29.21 		Subd. 1c.Historic preservation exemptions. A facility on the National Register of 
29.22 	Historic Places and located in Fergus Falls that has previously operated as or is currently 
29.23 	operating as a nursing home, assisted living facility, or assisted living facility with dementia 
29.24 	care is exempt from any new minimum design standards established, modified, or updated 
29.25 	after the date of the facility's initial licensure as a nursing home, assisted living facility, or 
29.26 	assisted living facility with dementia care related to the construction, maintenance, equipping, 
29.27 	and operation of the physical plant of a nursing home.

29.28 	Sec. 9. [144A.104] PROHIBITED CONDITION FOR ADMISSION OR CONTINUED 
29.29 	RESIDENCE.
29.30 	A nursing home is prohibited from requiring a current or prospective resident to have 
29.31 	or obtain a guardian or conservator as a condition of admission to or continued residence 
29.32 	in the nursing home.

30.1 	Sec. 10. Minnesota Statutes 2024, section 144A.70, subdivision 3, is amended to read:
30.2 		Subd. 3.Controlling person. "Controlling person" means a business entity or entities, 
30.3 	officer, program administrator, or director, whose responsibilities include the management 
30.4 	and decision-making authority to establish or control business policy and all other policies 
30.5 	of a supplemental nursing services agency. Controlling person also means an individual 
30.6 	who, directly or indirectly, beneficially owns an has a direct ownership interest or indirect 
30.7 	ownership interest in a corporation, partnership, or other business association that is a 
30.8 	controlling person the registrant.

30.9 	Sec. 11. Minnesota Statutes 2024, section 144A.70, is amended by adding a subdivision 
30.10 	to read:
30.11 		Subd. 3a.Direct ownership interest. "Direct ownership interest" means an individual 
30.12 	or legal entity with at least five percent equity in capital, stock, or profits of the registrant 
30.13 	or who is a member of a limited liability company of the registrant.

30.14 	Sec. 12. Minnesota Statutes 2024, section 144A.70, is amended by adding a subdivision 
30.15 	to read:
30.16 		Subd. 4b.Indirect ownership interest. "Indirect ownership interest" means an individual 
30.17 	or legal entity with a direct ownership interest in an entity that has a direct or indirect 
30.18 	ownership interest of at least five percent in an entity that is a registrant.

30.19 	Sec. 13. Minnesota Statutes 2024, section 144A.70, subdivision 7, is amended to read:
30.20 		Subd. 7.Oversight. The commissioner is responsible for the oversight of supplemental 
30.21 	nursing services agencies through semiannual unannounced surveys every two years and 
30.22 	follow-up surveys, complaint investigations under sections 144A.51 to 144A.53, and other 
30.23 	actions necessary to ensure compliance with sections 144A.70 to 144A.74.

30.24 	Sec. 14. Minnesota Statutes 2024, section 144A.751, subdivision 1, is amended to read:
30.25 		Subdivision 1.Statement of rights. An individual who receives hospice care has the 
30.26 	right to:
30.27 	(1) receive written information about rights in advance of receiving hospice care or 
30.28 	during the initial evaluation visit before the initiation of hospice care, including what to do 
30.29 	if rights are violated;
31.1 	(2) receive care and services according to a suitable hospice plan of care and subject to 
31.2 	accepted hospice care standards and to take an active part in creating and changing the plan 
31.3 	and evaluating care and services;
31.4 	(3) be told in advance of receiving care about the services that will be provided, the 
31.5 	disciplines that will furnish care, the frequency of visits proposed to be furnished, other 
31.6 	choices that are available, and the consequence of these choices, including the consequences 
31.7 	of refusing these services;
31.8 	(4) be told in advance, whenever possible, of any change in the hospice plan of care and 
31.9 	to take an active part in any change;
31.10 	(5) refuse services or treatment;
31.11 	(6) know, in advance, any limits to the services available from a provider, and the 
31.12 	provider's grounds for a termination of services;
31.13 	(7) know in advance of receiving care whether the hospice services may be covered by 
31.14 	health insurance, medical assistance, Medicare, or other health programs in which the 
31.15 	individual is enrolled;
31.16 	(8) receive, upon request, a good faith estimate of the reimbursement the provider expects 
31.17 	to receive from the health plan company in which the individual is enrolled. A good faith 
31.18 	estimate must also be made available at the request of an individual who is not enrolled in 
31.19 	a health plan company. This payment information does not constitute a legally binding 
31.20 	estimate of the cost of services;
31.21 	(9) know that there may be other services available in the community, including other 
31.22 	end of life services and other hospice providers, and know where to go for information 
31.23 	about these services;
31.24 	(10) choose freely among available providers and change providers after services have 
31.25 	begun, within the limits of health insurance, medical assistance, Medicare, or other health 
31.26 	programs;
31.27 	(11) have personal, financial, and medical information kept private and be advised of 
31.28 	the provider's policies and procedures regarding disclosure of such information;
31.29 	(12) be allowed access to records and written information from records according to 
31.30 	sections 144.291 to 144.298;
31.31 	(13) be served by people who are properly trained and competent to perform their duties;
32.1 	(14) be treated with courtesy and respect and to have the patient's property treated with 
32.2 	respect;
32.3 	(15) voice grievances regarding treatment or care that is, or fails to be, furnished or 
32.4 	regarding the lack of courtesy or respect to the patient or the patient's property;
32.5 	(16) be free from physical and verbal abuse;
32.6 	(17) reasonable, advance notice of changes in services or charges, including at least ten 
32.7 	days' advance notice of the termination of a service by a provider, except in cases where:
32.8 	(i) the recipient of services engages in conduct that alters the conditions of employment 
32.9 	between the hospice provider and the individual providing hospice services, or creates an 
32.10 	abusive or unsafe work environment for the individual providing hospice services;
32.11 	(ii) an emergency for the informal caregiver or a significant change in the recipient's 
32.12 	condition has resulted in service needs that exceed the current service provider agreement 
32.13 	and that cannot be safely met by the hospice provider; or
32.14 	(iii) the recipient is no longer certified as terminally ill;
32.15 	(18) a coordinated transfer when there will be a change in the provider of services;
32.16 	(19) know how to contact an individual associated with the provider who is responsible 
32.17 	for handling problems and to have the provider investigate and attempt to resolve the 
32.18 	grievance or complaint;
32.19 	(20) know the name and address of the state or county agency to contact for additional 
32.20 	information or assistance;
32.21 	(21) assert these rights personally, or have them asserted by the hospice patient's family 
32.22 	when the patient has been judged incompetent, without retaliation; and
32.23 	(22) have pain and symptoms managed to the patient's desired level of comfort, including 
32.24 	ensuring appropriate pain medications are immediately available to the patient;
32.25 	(23) revoke hospice election at any time; and
32.26 	(24) receive curative treatment for any condition unrelated to the condition that qualified 
32.27 	the individual for hospice, while remaining on hospice election.

32.28 	Sec. 15. Minnesota Statutes 2024, section 144G.08, is amended by adding a subdivision 
32.29 	to read:
32.30 		Subd. 26a.Imminent risk. "Imminent risk" means an immediate and impending threat 
32.31 	to the health, safety, or rights of an individual.

33.1 	EFFECTIVE DATE. This section is effective January 1, 2026.

33.2 	Sec. 16. Minnesota Statutes 2024, section 144G.08, is amended by adding a subdivision 
33.3 	to read:
33.4 		Subd. 54a.Prone restraint. "Prone restraint" means the use of manual restraint that 
33.5 	places a resident in a face-down position. Prone restraint does not include brief physical 
33.6 	holding of a resident who, during an emergency use of manual restraint, rolls into a prone 
33.7 	position, if the resident is restored to a standing, sitting, or side-lying position as quickly as 
33.8 	possible.

33.9 	EFFECTIVE DATE. This section is effective January 1, 2026.

33.10 	Sec. 17. Minnesota Statutes 2024, section 144G.08, is amended by adding a subdivision 
33.11 	to read:
33.12 		Subd. 55a.Registered nurse. "Registered nurse" has the meaning given in section 
33.13 	148.171, subdivision 20.

33.14 	Sec. 18. Minnesota Statutes 2024, section 144G.08, is amended by adding a subdivision 
33.15 	to read:
33.16 		Subd. 61a.Restraint. "Restraint" means:
33.17 	(1) chemical restraint, as defined in section 245D.02, subdivision 3b;
33.18 	(2) manual restraint, as defined in section 245D.02, subdivision 15a;
33.19 	(3) mechanical restraint, as defined in section 245D.02, subdivision 15b; or
33.20 	(4) any other form of restraint that results in limiting the free and normal movement of 
33.21 	body or limbs.

33.22 	EFFECTIVE DATE. This section is effective January 1, 2026.

33.23 	Sec. 19. Minnesota Statutes 2024, section 144G.10, subdivision 1, is amended to read:
33.24 		Subdivision 1.License required. (a)(1) Beginning August 1, 2021, no assisted living 
33.25 	facility may operate in Minnesota unless it is licensed under this chapter.
33.26 	(2) No facility or building on a campus may provide assisted living services until 
33.27 	obtaining the required license under paragraphs (c) to (e).
34.1 	(b) The licensee is legally responsible for the management, control, and operation of the 
34.2 	facility, regardless of the existence of a management agreement or subcontract. Nothing in 
34.3 	this chapter shall in any way affect the rights and remedies available under other law.
34.4 	(c) Upon approving an application for an assisted living facility license, the commissioner 
34.5 	shall issue a single license for each building that is operated by the licensee as an assisted 
34.6 	living facility and is located at a separate address, except as provided under paragraph (d) 
34.7 	or (e). If a licensed assisted living facility wants a portion of the licensed assisted living 
34.8 	building to be utilized by an unlicensed entity or a different license type not granted under 
34.9 	chapter 144G, the licensed assisted living facility must ensure there is at least a vertical 
34.10 	two-hour fire barrier constructed in accordance with the National Fire Protection Association, 
34.11 	Standard 101, Life Safety Code, between any licensed assisted living areas and unlicensed 
34.12 	entity areas of the building and between the licensed assisted living areas and any licensed 
34.13 	areas subject to another license type.
34.14 	(d) Upon approving an application for an assisted living facility license, the commissioner 
34.15 	may issue a single license for two or more buildings on a campus that are operated by the 
34.16 	same licensee as an assisted living facility. An assisted living facility license for a campus 
34.17 	must identify the address and licensed resident capacity of each building located on the 
34.18 	campus in which assisted living services are provided.
34.19 	(e) Upon approving an application for an assisted living facility license, the commissioner 
34.20 	may:
34.21 	(1) issue a single license for two or more buildings on a campus that are operated by the 
34.22 	same licensee as an assisted living facility with dementia care, provided the assisted living 
34.23 	facility for dementia care license for a campus identifies the buildings operating as assisted 
34.24 	living facilities with dementia care; or
34.25 	(2) issue a separate assisted living facility with dementia care license for a building that 
34.26 	is on a campus and that is operating as an assisted living facility with dementia care.

34.27 	Sec. 20. Minnesota Statutes 2024, section 144G.10, subdivision 1a, is amended to read:
34.28 		Subd. 1a.Assisted living director license required. Each assisted living facility must 
34.29 	employ an assisted living director licensed or permitted by the Board of Executives for 
34.30 	Long Term Services and Supports and be affiliated as the director of record with the board.

35.1 	Sec. 21. Minnesota Statutes 2024, section 144G.10, subdivision 5, is amended to read:
35.2 		Subd. 5.Protected title; restriction on use. (a) Effective January 1, 2026 2027, no 
35.3 	person or entity may use the phrase "assisted living," whether alone or in combination with 
35.4 	other words and whether orally or in writing, to: advertise; market; or otherwise describe, 
35.5 	offer, or promote itself, or any housing, service, service package, or program that it provides 
35.6 	within this state, unless the person or entity is a licensed assisted living facility that meets 
35.7 	the requirements of this chapter. A person or entity entitled to use the phrase "assisted living" 
35.8 	shall use the phrase only in the context of its participation that meets the requirements of 
35.9 	this chapter.
35.10 	(b) Effective January 1, 2026 2027, the licensee's name for a new an assisted living 
35.11 	facility may not include the terms "home care" or "nursing home."

35.12 	Sec. 22. Minnesota Statutes 2024, section 144G.16, subdivision 3, is amended to read:
35.13 		Subd. 3.Licensure; termination or extension of provisional licenses. (a) If the 
35.14 	provisional licensee is in substantial compliance with the survey, the commissioner shall 
35.15 	issue a facility license.
35.16 	(b) If the provisional licensee is not in substantial compliance with the initial survey, 
35.17 	the commissioner shall either: (1) not issue the facility license and terminate the provisional 
35.18 	license; or (2) extend the provisional license for a period not to exceed 90 calendar days 
35.19 	and apply conditions necessary to bring the facility into substantial compliance. If the 
35.20 	provisional licensee is not in substantial compliance with the survey within the time period 
35.21 	of the extension or if the provisional licensee does not satisfy the license conditions, the 
35.22 	commissioner may deny the license.
35.23 	(c) The owners and managerial officials of a provisional licensee whose license is denied 
35.24 	are ineligible to apply for an assisted living facility license under this chapter for one year 
35.25 	following the facility's closure date.

35.26 	Sec. 23. Minnesota Statutes 2024, section 144G.45, is amended by adding a subdivision 
35.27 	to read:
35.28 		Subd. 8.Historic preservation exemption. A facility on the National Register of Historic 
35.29 	Places and located in Fergus Falls that has previously operated as or is currently operating 
35.30 	as a nursing home, assisted living facility, or assisted living facility with dementia care is 
35.31 	exempt from any new minimum design standards established, modified, or updated after 
35.32 	the date of the facility's initial licensure as a nursing home, assisted living facility, or assisted 
36.1 	living facility with dementia care related to the construction, maintenance, equipping, and 
36.2 	operation of the physical plant of an assisted living facility or assisted living facility with 
36.3 	dementia care.

36.4 	Sec. 24. [144G.505] PROHIBITED CONDITION OF ADMISSION OR CONTINUED 
36.5 	RESIDENCE.
36.6 	An assisted living facility is prohibited from requiring a current or prospective resident 
36.7 	to have or obtain a guardian or conservator as a condition of admission to or continued 
36.8 	residence in the assisted living facility.

36.9 	Sec. 25. Minnesota Statutes 2024, section 144G.51, is amended to read:
36.10 	144G.51 ARBITRATION.
36.11 	(a) An assisted living facility must clearly and conspicuously disclose, in writing in an 
36.12 	assisted living contract, any arbitration provision in the contract that precludes, limits, or 
36.13 	delays the ability of a resident from taking a civil action.
36.14 	(b) An arbitration requirement provision must not include a choice of law or choice of 
36.15 	venue provision. Assisted living contracts must adhere to Minnesota law and any other 
36.16 	applicable federal or local law.
36.17 	(c) An assisted living facility must not require any resident or the resident's representative 
36.18 	to sign an agreement for binding arbitration as a condition of admission to, or as a 
36.19 	requirement to continue to receive care at, the facility.

36.20 	Sec. 26. Minnesota Statutes 2024, section 144G.52, is amended by adding a subdivision 
36.21 	to read:
36.22 		Subd. 5a.Impermissible ground for termination. A facility must not terminate an 
36.23 	assisted living contract on the ground that the resident changes from using private funds to 
36.24 	using public funds to pay for housing or services. This subdivision does not prohibit a 
36.25 	facility from terminating an assisted living contract for nonpayment according to subdivision 
36.26 	3 or for a violation of the assisted living contract according to subdivision 4.

36.27 	Sec. 27. Minnesota Statutes 2024, section 144G.53, is amended to read:
36.28 	144G.53 NONRENEWAL OF HOUSING.
36.29 		Subdivision 1.Notice or termination procedure. (a) If a facility decides to not renew 
36.30 	a resident's housing under a contract, the facility must either (1) provide the resident with 
37.1 	60 calendar days' notice of the nonrenewal and assistance with relocation planning, or (2) 
37.2 	follow the termination procedure under section 144G.52.
37.3 	(b) The notice must include the reason for the nonrenewal and contact information of 
37.4 	the Office of Ombudsman for Long-Term Care and the Office of Ombudsman for Mental 
37.5 	Health and Developmental Disabilities.
37.6 	(c) A facility must:
37.7 	(1) provide notice of the nonrenewal to the Office of Ombudsman for Long-Term Care;
37.8 	and
37.9 	(2) for residents who receive home and community-based waiver services under chapter 
37.10 	256S and section 256B.49, provide notice to the resident's case manager;.
37.11 		Subd. 2.Prohibited ground for nonrenewal. A facility must not decline to renew a 
37.12 	resident's housing under a contract on the ground that the resident changes from using private 
37.13 	funds to using public funds to pay for housing. This subdivision does not prohibit a facility 
37.14 	from terminating an assisted living contract for nonpayment according to section 144G.52, 
37.15 	subdivision 3, or for a violation of the assisted living contract according to section 144G.52, 
37.16 	subdivision 4.
37.17 		Subd. 3.Requirements following notice. If a facility provides notice of nonrenewal 
37.18 	according to subdivision 1, the facility must:
37.19 	(3) (1) ensure a coordinated move to a safe location, as defined in section 144G.55, 
37.20 	subdivision 2, that is appropriate for the resident;
37.21 	(4) (2) ensure a coordinated move to an appropriate service provider identified by the 
37.22 	facility, if services are still needed and desired by the resident;
37.23 	(5) (3) consult and cooperate with the resident, legal representative, designated 
37.24 	representative, case manager for a resident who receives home and community-based waiver 
37.25 	services under chapter 256S and section 256B.49, relevant health professionals, and any 
37.26 	other persons of the resident's choosing to make arrangements to move the resident, including 
37.27 	consideration of the resident's goals; and
37.28 	(6) (4) prepare a written plan to prepare for the move.
37.29 		Subd. 4.Right to move to location of resident's choosing or to use provider of 
37.30 	resident's choosing. (d) A resident may decline to move to the location the facility identifies 
37.31 	or to accept services from a service provider the facility identifies, and may instead choose 
38.1 	to move to a location of the resident's choosing or receive services from a service provider 
38.2 	of the resident's choosing within the timeline prescribed in the nonrenewal notice.

38.3 	Sec. 28. [144G.65] TRAINING IN EMERGENCY MANUAL RESTRAINTS.
38.4 		Subdivision 1.Training. The licensee must ensure that staff who may apply an 
38.5 	emergency manual restraint complete a minimum of four hours of training from qualified 
38.6 	individuals prior to assuming these responsibilities. Training must include:
38.7 	(1) types of behaviors, de-escalation techniques, and their value;
38.8 	(2) principles of person-centered planning and service delivery as identified in section 
38.9 	245D.07, subdivision 1a;
38.10 	(3) what constitutes the use of a restraint;
38.11 	(4) staff responsibilities related to prohibited procedures under section 144G.85, 
38.12 	subdivision 4; why the procedures are not effective for reducing or eliminating symptoms 
38.13 	or interfering behavior; and why the procedures are not safe;
38.14 	(5) the situations in which staff must contact 911 services in response to an imminent 
38.15 	risk of harm to the resident or others; and
38.16 	(6) strategies for respecting and supporting each resident's cultural preferences.
38.17 		Subd. 2.Annual refresher training. The licensee must ensure that staff who may apply 
38.18 	an emergency manual restraint complete two hours of refresher training on an annual basis 
38.19 	covering each of the training areas in subdivision 1.
38.20 		Subd. 3.Implementation. The assisted living facility must implement all orientation 
38.21 	and training topics in this section.
38.22 		Subd. 4.Verification and documentation of orientation and training. For staff who 
38.23 	may apply an emergency manual restraint, the assisted living facility must retain evidence 
38.24 	in the employee record of each staff person having completed the orientation and training 
38.25 	required under this section.

38.26 	EFFECTIVE DATE. This section is effective January 1, 2026.

38.27 	Sec. 29. Minnesota Statutes 2024, section 144G.70, subdivision 2, is amended to read:
38.28 		Subd. 2.Initial reviews, assessments, and monitoring. (a) Residents who are not 
38.29 	receiving any assisted living services shall not be required to undergo an initial 
38.30 	comprehensive nursing assessment.
39.1 	(b) An assisted living facility shall conduct a comprehensive nursing assessment by a 
39.2 	registered nurse of the physical and cognitive needs of the prospective resident and propose 
39.3 	a temporary service plan prior to the date on which a prospective resident executes a contract 
39.4 	with a facility or the date on which a prospective resident moves in, whichever is earlier. 
39.5 	If necessitated by either the geographic distance between the prospective resident and the 
39.6 	facility, or urgent or unexpected circumstances, the comprehensive assessment may be 
39.7 	conducted using telecommunication methods based on practice standards that meet the 
39.8 	resident's needs and reflect person-centered planning and care delivery.
39.9 	(c) Resident comprehensive reassessment and monitoring must be conducted no more 
39.10 	than 14 calendar days after initiation of services. Ongoing resident reassessment and 
39.11 	monitoring must be conducted as needed based on changes in the needs of the resident and 
39.12 	cannot exceed 90 calendar days from the last date of the assessment by a registered nurse:
39.13 	(1) no more than 14 calendar days after initiation of services;
39.14 	(2) as needed based upon changes in the needs of the resident; and
39.15 	(3) at least every 90 calendar days.
39.16 	(d) Sections of the comprehensive reassessment and monitoring in paragraph (c) may 
39.17 	be completed by a licensed practical nurse as allowed under the Nurse Practice Act in 
39.18 	sections 148.171 to 148.285.  A registered nurse must review the findings as part of the 
39.19 	resident's comprehensive reassessment.
39.20 	(d) (e) For residents only receiving assisted living services specified in section 144G.08, 
39.21 	subdivision 9, clauses (1) to (5), the facility shall complete an individualized initial review 
39.22 	of the resident's needs and preferences. The initial review must be completed within 30 
39.23 	calendar days of the start of services. Resident monitoring and review must be conducted 
39.24 	as needed based on changes in the needs of the resident and cannot exceed 90 calendar days 
39.25 	from the date of the last review.
39.26 	(e) (f) A facility must inform the prospective resident of the availability of and contact 
39.27 	information for long-term care consultation services under section 256B.0911, prior to the 
39.28 	date on which a prospective resident executes a contract with a facility or the date on which 
39.29 	a prospective resident moves in, whichever is earlier.

39.30 	Sec. 30. Minnesota Statutes 2024, section 144G.71, subdivision 3, is amended to read:
39.31 		Subd. 3.Individualized medication monitoring and reassessment. The assisted living 
39.32 	facility A registered nurse, advanced practice registered nurse, or qualified staff delegated 
39.33 	the task by a registered nurse must monitor and reassess the resident's medication 
40.1 	management services as needed under subdivision 2 when the resident presents with 
40.2 	symptoms or other issues that may be medication-related and, at a minimum, annually.

40.3 	Sec. 31. Minnesota Statutes 2024, section 144G.71, subdivision 5, is amended to read:
40.4 		Subd. 5.Individualized medication management plan. (a) For each resident receiving 
40.5 	medication management services, the assisted living facility a registered nurse, advanced 
40.6 	practice registered nurse, or qualified staff delegated the task by a registered nurse must 
40.7 	prepare and include in the service plan a written statement of the medication management 
40.8 	services that will be provided to the resident. The facility must develop and maintain a 
40.9 	current individualized medication management record for each resident based on the resident's 
40.10 	assessment that must contain the following:
40.11 	(1) a statement describing the medication management services that will be provided;
40.12 	(2) a description of storage of medications based on the resident's needs and preferences, 
40.13 	risk of diversion, and consistent with the manufacturer's directions;
40.14 	(3) documentation of specific resident instructions relating to the administration of 
40.15 	medications;
40.16 	(4) identification of persons responsible for monitoring medication supplies and ensuring 
40.17 	that medication refills are ordered on a timely basis;
40.18 	(5) identification of medication management tasks that may be delegated to unlicensed 
40.19 	personnel;
40.20 	(6) procedures for staff notifying a registered nurse or appropriate licensed health 
40.21 	professional when a problem arises with medication management services; and
40.22 	(7) any resident-specific requirements relating to documenting medication administration, 
40.23 	verifications that all medications are administered as prescribed, and monitoring of 
40.24 	medication use to prevent possible complications or adverse reactions.
40.25 	(b) The medication management record must be current and updated when there are any 
40.26 	changes.
40.27 	(c) Medication reconciliation must be completed when a licensed nurse, licensed health 
40.28 	professional, or authorized prescriber is providing medication management.

41.1 	Sec. 32. Minnesota Statutes 2024, section 144G.81, subdivision 1, is amended to read:
41.2 		Subdivision 1.Fire protection and physical environment. An assisted living facility 
41.3 	with a dementia care that has a secured dementia care unit license must meet the requirements 
41.4 	of section 144G.45 and the following additional requirements:
41.5 	(1) a hazard vulnerability an assessment or of safety risk risks must be performed on 
41.6 	and around the property. The hazards indicated safety risks identified by the facility on the 
41.7 	assessment must be assessed and mitigated to protect the residents from harm. The mitigation 
41.8 	efforts must be documented in the facility's records; and
41.9 	(2) the facility shall must be protected throughout by an approved supervised automatic 
41.10 	sprinkler system by August 1, 2029.

41.11 	Sec. 33. Minnesota Statutes 2024, section 144G.81, subdivision 5, is amended to read:
41.12 		Subd. 5.Variance or waiver. A facility may request under section 144G.45, subdivision 
41.13 	7 or 8, that the commissioner grant a variance or waiver from the provisions of this section, 
41.14 	except subdivision 4.

41.15 	Sec. 34. [144G.85] USE OF RESTRAINTS.
41.16 		Subdivision 1.Use of restraints prohibited. Restraints are prohibited except as described 
41.17 	in subdivisions 2 and 4.
41.18 		Subd. 2.Emergency use of manual restraints. Emergency use of a manual restraint 
41.19 	is permitted only when immediate intervention is needed to protect the resident or others 
41.20 	from imminent risk of physical harm and is the least restrictive intervention to address the 
41.21 	risk. The manual restraint must be imposed for the least amount of time necessary and 
41.22 	removed when there is no longer imminent risk of physical harm to the resident or other 
41.23 	persons in the facility. The use of a manual restraint under this subdivision must:
41.24 	(1) take into consideration the rights, health, and welfare of the resident;
41.25 	(2) not apply back or chest pressure while the resident is in a prone, supine, or side-lying 
41.26 	position;
41.27 	(3) allow the resident to be free from prone restraint.
41.28 		Subd. 3.Documentation and notification of use of emergency manual restraints. (a) 
41.29 	The resident's legal representative must be notified within 12 hours of any use of an 
41.30 	emergency manual restraint and of the circumstances that prompted the use of an emergency 
41.31 	manual restraint. Notification and the use of an emergency manual restraint must be 
42.1 	documented. If known, the advanced practice registered nurse, physician, or physician 
42.2 	assistant must be notified within 12 hours of any use of an emergency manual restraint.
42.3 	(b) On a form developed by the commissioner, the facility must notify the commissioner 
42.4 	and the ombudsperson for long-term care within seven calendar days of the use of any 
42.5 	emergency manual restraint. The commissioner will monitor reported uses of emergency 
42.6 	manual restraints to detect overuse or unauthorized, inappropriate, or ineffective use of 
42.7 	emergency manual restraints. The form must include:
42.8 	(1) the name and date of birth of the resident;
42.9 	(2) the date and time of the use of the emergency manual restraint;
42.10 	(3) the names of staff and any residents who were involved in the incident leading up 
42.11 	to the emergency use of a manual restraint;
42.12 	(4) a description of the incident, including the length of time the restraint was applied, 
42.13 	and who was present before and during the incident leading up to the emergency use of a 
42.14 	manual restraint;
42.15 	(5) a description of what less restrictive alternative measures were attempted to de-escalate 
42.16 	the incident and maintain safety that identifies when, how, and how long the alternative 
42.17 	measures were attempted before the emergency manual restraint was implemented;
42.18 	(6) a description of the mental, physical, and emotional condition of the resident who 
42.19 	was manually restrained and of other persons involved in the incident leading up to, during, 
42.20 	and following the manual restraint;
42.21 	(7) whether there was any injury to the resident who was manually restrained or other 
42.22 	persons involved in the incident, including staff, before or as a result of the use of manual 
42.23 	restraint; and
42.24 	(8) whether there was a debriefing following the incident with the staff, and, if not 
42.25 	contraindicated, with the resident who was manually restrained and other persons who were 
42.26 	involved in or who witnessed the manual restraint, and the outcome of the debriefing. If the 
42.27 	debriefing was not conducted at the time the incident report was made, the report should 
42.28 	identify whether a debriefing is planned and whether there is a plan for mitigating use of 
42.29 	emergency manual restraints in the future.
42.30 	(c) A copy of the report submitted under paragraph (b) must be maintained in the 
42.31 	resident's record.
43.1 	(d) A copy of the report submitted under paragraph (b) must be sent to the resident's 
43.2 	waiver case manager within seven calendar days of the use of any emergency manual 
43.3 	restraints. Any use of emergency manual restraints on people served under section 256B.49 
43.4 	and chapter 256S must be documented by the case manager in the resident's support plan, 
43.5 	as defined in sections 256B.49, subdivision 15, and 256S.10.
43.6 		Subd. 4.Ordered treatment. Any use of a restraint, other than the use of an emergency 
43.7 	manual restraint to address an imminent risk, must be the least restrictive option and comply 
43.8 	with the requirements for an ordered treatment under section 144G.72.

43.9 	EFFECTIVE DATE. This section is effective January 1, 2026.

43.10 	Sec. 35. REVISOR INSTRUCTION.
 43.11 	(a) The revisor of statutes shall renumber Minnesota Statutes, section 144A.70, 
43.12 	subdivision 4a, as Minnesota Statutes, section 144A.70, subdivision 4c, and correct all 
43.13 	cross-references.
43.14 	(b) The revisor of statutes shall renumber Minnesota Statutes, section 144A.70, 
43.15 	subdivision 7, as Minnesota Statutes, section 144A.714, and correct all cross-references.

43.16 	Sec. 36. REPEALER.
 43.17 	Minnesota Statutes 2024, section 144G.9999, subdivisions 1, 2, and 3, are repealed.

43.18 	ARTICLE 3
43.19 	DIRECT CARE AND TREATMENT POLICY

43.20 	Section 1. Minnesota Statutes 2024, section 13.46, subdivision 3, is amended to read:
43.21 		Subd. 3.Investigative data. (a) Data on persons, including data on vendors of services, 
43.22 	licensees, and applicants that is collected, maintained, used, or disseminated by the welfare 
43.23 	system in an investigation, authorized by statute, and relating to the enforcement of rules 
43.24 	or law are confidential data on individuals pursuant to section 13.02, subdivision 3, or 
43.25 	protected nonpublic data not on individuals pursuant to section 13.02, subdivision 13, and 
43.26 	shall not be disclosed except:
43.27 	(1) pursuant to section 13.05;
43.28 	(2) pursuant to statute or valid court order;
43.29 	(3) to a party named in a civil or criminal proceeding, administrative or judicial, for 
43.30 	preparation of defense;
44.1 	(4) to an agent of the welfare system or an investigator acting on behalf of a county, 
44.2 	state, or federal government, including a law enforcement officer or attorney in the 
44.3 	investigation or prosecution of a criminal, civil, or administrative proceeding, unless the 
44.4 	commissioner of human services or; the commissioner of children, youth, and families; or 
44.5 	the Direct Care and Treatment executive board determines that disclosure may compromise 
44.6 	a Department of Human Services or; Department of Children, Youth, and Families; or Direct 
44.7 	Care and Treatment ongoing investigation; or
44.8 	(5) to provide notices required or permitted by statute.
44.9 	The data referred to in this subdivision shall be classified as public data upon submission 
44.10 	to an administrative law judge or court in an administrative or judicial proceeding. Inactive 
44.11 	welfare investigative data shall be treated as provided in section 13.39, subdivision 3.
44.12 	(b) Notwithstanding any other provision in law, the commissioner of human services 
44.13 	shall provide all active and inactive investigative data, including the name of the reporter 
44.14 	of alleged maltreatment under section 626.557 or chapter 260E, to the ombudsman for 
44.15 	mental health and developmental disabilities upon the request of the ombudsman.
44.16 	(c) Notwithstanding paragraph (a) and section 13.39, the existence of an investigation 
44.17 	by the commissioner of human services of possible overpayments of public funds to a service 
44.18 	provider or recipient may be disclosed if the commissioner determines that it will not 
44.19 	compromise the investigation.

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

44.21 	Sec. 2. Minnesota Statutes 2024, section 13.46, subdivision 4, is amended to read:
44.22 		Subd. 4.Licensing data. (a) As used in this subdivision:
44.23 	(1) "licensing data" are all data collected, maintained, used, or disseminated by the 
44.24 	welfare system pertaining to persons licensed or registered or who apply for licensure or 
44.25 	registration or who formerly were licensed or registered under the authority of the 
44.26 	commissioner of human services;
44.27 	(2) "client" means a person who is receiving services from a licensee or from an applicant 
44.28 	for licensure; and
44.29 	(3) "personal and personal financial data" are Social Security numbers, identity of and 
44.30 	letters of reference, insurance information, reports from the Bureau of Criminal 
44.31 	Apprehension, health examination reports, and social/home studies.
45.1 	(b)(1)(i) Except as provided in paragraph (c), the following data on applicants, license 
45.2 	holders, certification holders, and former licensees are public: name, address, telephone 
45.3 	number of licensees, email addresses except for family child foster care, date of receipt of 
45.4 	a completed application, dates of licensure, licensed capacity, type of client preferred, 
45.5 	variances granted, record of training and education in child care and child development, 
45.6 	type of dwelling, name and relationship of other family members, previous license history, 
45.7 	class of license, the existence and status of complaints, and the number of serious injuries 
45.8 	to or deaths of individuals in the licensed program as reported to the commissioner of human 
45.9 	services; the commissioner of children, youth, and families; the local social services agency; 
45.10 	or any other county welfare agency. For purposes of this clause, a serious injury is one that 
45.11 	is treated by a physician.
45.12 	(ii) Except as provided in item (v), when a correction order, an order to forfeit a fine, 
45.13 	an order of license suspension, an order of temporary immediate suspension, an order of 
45.14 	license revocation, an order of license denial, or an order of conditional license has been 
45.15 	issued, or a complaint is resolved, the following data on current and former licensees and 
45.16 	applicants are public: the general nature of the complaint or allegations leading to the 
45.17 	temporary immediate suspension; the substance and investigative findings of the licensing 
45.18 	or maltreatment complaint, licensing violation, or substantiated maltreatment; the existence 
45.19 	of settlement negotiations; the record of informal resolution of a licensing violation; orders 
45.20 	of hearing; findings of fact; conclusions of law; specifications of the final correction order, 
45.21 	fine, suspension, temporary immediate suspension, revocation, denial, or conditional license 
45.22 	contained in the record of licensing action; whether a fine has been paid; and the status of 
45.23 	any appeal of these actions.
45.24 	(iii) When a license denial under section 142A.15 or 245A.05 or a sanction under section 
45.25 	142B.18 or 245A.07 is based on a determination that a license holder, applicant, or controlling 
45.26 	individual is responsible for maltreatment under section 626.557 or chapter 260E, the identity 
45.27 	of the applicant, license holder, or controlling individual as the individual responsible for 
45.28 	maltreatment is public data at the time of the issuance of the license denial or sanction.
45.29 	(iv) When a license denial under section 142A.15 or 245A.05 or a sanction under section 
45.30 	142B.18 or 245A.07 is based on a determination that a license holder, applicant, or controlling 
45.31 	individual is disqualified under chapter 245C, the identity of the license holder, applicant, 
45.32 	or controlling individual as the disqualified individual is public data at the time of the 
45.33 	issuance of the licensing sanction or denial. If the applicant, license holder, or controlling 
45.34 	individual requests reconsideration of the disqualification and the disqualification is affirmed, 
46.1 	the reason for the disqualification and the reason to not set aside the disqualification are 
46.2 	private data.
46.3 	(v) A correction order or fine issued to a child care provider for a licensing violation is 
46.4 	private data on individuals under section 13.02, subdivision 12, or nonpublic data under 
46.5 	section 13.02, subdivision 9, if the correction order or fine is seven years old or older.
46.6 	(2) For applicants who withdraw their application prior to licensure or denial of a license, 
46.7 	the following data are public: the name of the applicant, the city and county in which the 
46.8 	applicant was seeking licensure, the dates of the commissioner's receipt of the initial 
46.9 	application and completed application, the type of license sought, and the date of withdrawal 
46.10 	of the application.
46.11 	(3) For applicants who are denied a license, the following data are public: the name and 
46.12 	address of the applicant, the city and county in which the applicant was seeking licensure, 
46.13 	the dates of the commissioner's receipt of the initial application and completed application, 
46.14 	the type of license sought, the date of denial of the application, the nature of the basis for 
46.15 	the denial, the existence of settlement negotiations, the record of informal resolution of a 
46.16 	denial, orders of hearings, findings of fact, conclusions of law, specifications of the final 
46.17 	order of denial, and the status of any appeal of the denial.
46.18 	(4) When maltreatment is substantiated under section 626.557 or chapter 260E and the 
46.19 	victim and the substantiated perpetrator are affiliated with a program licensed under chapter 
46.20 	142B or 245A; the commissioner of human services; commissioner of children, youth, and 
46.21 	families; local social services agency; or county welfare agency may inform the license 
46.22 	holder where the maltreatment occurred of the identity of the substantiated perpetrator and 
46.23 	the victim.
46.24 	(5) Notwithstanding clause (1), for child foster care, only the name of the license holder 
46.25 	and the status of the license are public if the county attorney has requested that data otherwise 
46.26 	classified as public data under clause (1) be considered private data based on the best interests 
46.27 	of a child in placement in a licensed program.
46.28 	(c) The following are private data on individuals under section 13.02, subdivision 12, 
46.29 	or nonpublic data under section 13.02, subdivision 9: personal and personal financial data 
46.30 	on family day care program and family foster care program applicants and licensees and 
46.31 	their family members who provide services under the license.
46.32 	(d) The following are private data on individuals: the identity of persons who have made 
46.33 	reports concerning licensees or applicants that appear in inactive investigative data, and the 
46.34 	records of clients or employees of the licensee or applicant for licensure whose records are 
47.1 	received by the licensing agency for purposes of review or in anticipation of a contested 
47.2 	matter. The names of reporters of complaints or alleged violations of licensing standards 
47.3 	under chapters 142B, 245A, 245B, 245C, and 245D, and applicable rules and alleged 
47.4 	maltreatment under section 626.557 and chapter 260E, are confidential data and may be 
47.5 	disclosed only as provided in section 260E.21, subdivision 4; 260E.35; or 626.557, 
47.6 	subdivision 12b.
47.7 	(e) Data classified as private, confidential, nonpublic, or protected nonpublic under this 
47.8 	subdivision become public data if submitted to a court or administrative law judge as part 
47.9 	of a disciplinary proceeding in which there is a public hearing concerning a license which 
47.10 	has been suspended, immediately suspended, revoked, or denied.
47.11 	(f) Data generated in the course of licensing investigations that relate to an alleged 
47.12 	violation of law are investigative data under subdivision 3.
47.13 	(g) Data that are not public data collected, maintained, used, or disseminated under this 
47.14 	subdivision that relate to or are derived from a report as defined in section 260E.03, or 
47.15 	626.5572, subdivision 18, are subject to the destruction provisions of sections 260E.35, 
47.16 	subdivision 6, and 626.557, subdivision 12b.
47.17 	(h) Upon request, not public data collected, maintained, used, or disseminated under 
47.18 	this subdivision that relate to or are derived from a report of substantiated maltreatment as 
47.19 	defined in section 626.557 or chapter 260E may be exchanged with the Department of 
47.20 	Health for purposes of completing background studies pursuant to section 144.057 and with 
47.21 	the Department of Corrections for purposes of completing background studies pursuant to 
47.22 	section 241.021.
47.23 	(i) Data on individuals collected according to licensing activities under chapters 142B, 
47.24 	245A, and 245C, data on individuals collected by the commissioner of human services 
47.25 	according to investigations under section 626.557 and chapters 142B, 245A, 245B, 245C, 
47.26 	245D, and 260E may be shared with the Department of Human Rights, the Department of 
47.27 	Health, the Department of Corrections, the ombudsman for mental health and developmental 
47.28 	disabilities, and the individual's professional regulatory board when there is reason to believe 
47.29 	that laws or standards under the jurisdiction of those agencies may have been violated or 
47.30 	the information may otherwise be relevant to the board's regulatory jurisdiction. Background 
47.31 	study data on an individual who is the subject of a background study under chapter 245C 
47.32 	for a licensed service for which the commissioner of human services or; the commissioner 
47.33 	of children, youth, and families; or the Direct Care and Treatment executive board is the 
47.34 	license holder may be shared with the commissioner and the commissioner's delegate by 
48.1 	the licensing division. Unless otherwise specified in this chapter, the identity of a reporter 
48.2 	of alleged maltreatment or licensing violations may not be disclosed.
48.3 	(j) In addition to the notice of determinations required under sections 260E.24, 
48.4 	subdivisions 5 and 7, and 260E.30, subdivision 6, paragraphs (b), (c), (d), (e), and (f), if the 
48.5 	commissioner of children, youth, and families or the local social services agency has 
48.6 	determined that an individual is a substantiated perpetrator of maltreatment of a child based 
48.7 	on sexual abuse, as defined in section 260E.03, and the commissioner or local social services 
48.8 	agency knows that the individual is a person responsible for a child's care in another facility, 
48.9 	the commissioner or local social services agency shall notify the head of that facility of this 
48.10 	determination. The notification must include an explanation of the individual's available 
48.11 	appeal rights and the status of any appeal. If a notice is given under this paragraph, the 
48.12 	government entity making the notification shall provide a copy of the notice to the individual 
48.13 	who is the subject of the notice.
48.14 	(k) All not public data collected, maintained, used, or disseminated under this subdivision 
48.15 	and subdivision 3 may be exchanged between the Department of Human Services, Licensing 
48.16 	Division, and the Department of Corrections for purposes of regulating services for which 
48.17 	the Department of Human Services and the Department of Corrections have regulatory 
48.18 	authority.

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

48.20 	Sec. 3. Minnesota Statutes 2024, section 15.471, subdivision 6, is amended to read:
48.21 		Subd. 6.Party. (a) Except as modified by paragraph (b), "party" means a person named 
48.22 	or admitted as a party, or seeking and entitled to be admitted as a party, in a court action or 
48.23 	contested case proceeding, or a person admitted by an administrative law judge for limited 
48.24 	purposes, and who is:
48.25 	(1) an unincorporated business, partnership, corporation, association, or organization, 
48.26 	having not more than 500 employees at the time the civil action was filed or the contested 
48.27 	case proceeding was initiated; and
48.28 	(2) an unincorporated business, partnership, corporation, association, or organization 
48.29 	whose annual revenues did not exceed $7,000,000 at the time the civil action was filed or 
48.30 	the contested case proceeding was initiated.
48.31 	(b) "Party" also includes a partner, officer, shareholder, member, or owner of an entity 
48.32 	described in paragraph (a), clauses (1) and (2).
49.1 	(c) "Party" does not include a person providing services pursuant to licensure or 
49.2 	reimbursement on a cost basis by the Department of Health or, the Department of Human 
49.3 	Services, or Direct Care and Treatment when that person is named or admitted or seeking 
49.4 	to be admitted as a party in a matter which involves the licensing or reimbursement rates, 
49.5 	procedures, or methodology applicable to those services.

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

49.7 	Sec. 4. Minnesota Statutes 2024, section 43A.241, is amended to read:
49.8 	43A.241 INSURANCE CONTRIBUTIONS; FORMER EMPLOYEES.
49.9 	(a) This section applies to a person who:
49.10 	(1) was employed by the commissioner of corrections, the commissioner of human 
49.11 	services, or the Direct Care and Treatment executive board;
49.12 	(2) was covered by the correctional employee retirement plan under section 352.91 or 
49.13 	the general state employees retirement plan of the Minnesota State Retirement System as 
49.14 	defined in section 352.021;
49.15 	(3) while employed under clause (1), was assaulted by:
49.16 	(i) a person under correctional supervision for a criminal offense; or
49.17 	(ii) a client or patient at the Minnesota Sex Offender Program, or at a state-operated 
49.18 	forensic services program as defined in section 352.91, subdivision 3j; and
49.19 	(4) as a direct result of the assault under clause (3), was determined to be totally and 
49.20 	permanently physically disabled under laws governing the Minnesota State Retirement 
49.21 	System.
49.22 	(b) For a person to whom this section applies, the commissioner of corrections, the 
49.23 	commissioner of human services, or the Direct Care and Treatment executive board, using 
49.24 	existing budget resources, must continue to make the employer contribution for medical 
49.25 	and dental benefits under the State Employee Group Insurance Program after the person 
49.26 	terminates state service. If the person had dependent coverage at the time of terminating 
49.27 	state service, employer contributions for dependent coverage also must continue under this 
49.28 	section. The employer contributions must be in the amount of the employer contribution 
49.29 	for active state employees at the time each payment is made. The employer contributions 
49.30 	must continue until the person reaches age 65, provided the person makes the required 
49.31 	employee contributions, in the amount required of an active state employee, at the time and 
49.32 	in the manner specified by the commissioner or executive board.

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

50.2 	Sec. 5. Minnesota Statutes 2024, section 62J.495, subdivision 2, is amended to read:
50.3 		Subd. 2.E-Health Advisory Committee. (a) The commissioner shall establish an 
50.4 	e-Health Advisory Committee governed by section 15.059 to advise the commissioner on 
50.5 	the following matters:
50.6 	(1) assessment of the adoption and effective use of health information technology by 
50.7 	the state, licensed health care providers and facilities, and local public health agencies;
50.8 	(2) recommendations for implementing a statewide interoperable health information 
50.9 	infrastructure, to include estimates of necessary resources, and for determining standards 
50.10 	for clinical data exchange, clinical support programs, patient privacy requirements, and 
50.11 	maintenance of the security and confidentiality of individual patient data;
50.12 	(3) recommendations for encouraging use of innovative health care applications using 
50.13 	information technology and systems to improve patient care and reduce the cost of care, 
50.14 	including applications relating to disease management and personal health management 
50.15 	that enable remote monitoring of patients' conditions, especially those with chronic 
50.16 	conditions; and
50.17 	(4) other related issues as requested by the commissioner.
50.18 	(b) The members of the e-Health Advisory Committee shall include the commissioners, 
50.19 	or commissioners' designees, of health, human services, administration, and commerce; a 
50.20 	representative of the Direct Care and Treatment executive board; and additional members 
50.21 	to be appointed by the commissioner to include persons representing Minnesota's local 
50.22 	public health agencies, licensed hospitals and other licensed facilities and providers, private 
50.23 	purchasers, the medical and nursing professions, health insurers and health plans, the state 
50.24 	quality improvement organization, academic and research institutions, consumer advisory 
50.25 	organizations with an interest and expertise in health information technology, and other 
50.26 	stakeholders as identified by the commissioner to fulfill the requirements of section 3013, 
50.27 	paragraph (g), of the HITECH Act.
50.28 	(c) This subdivision expires June 30, 2031.

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

51.1 	Sec. 6. Minnesota Statutes 2024, section 97A.441, subdivision 3, is amended to read:
51.2 		Subd. 3.Angling; residents of state institutions. The commissioner may issue a license, 
51.3 	without a fee, to take fish by angling to a person that is a ward of the commissioner of human 
51.4 	services and a resident of a state institution under the control of the Direct Care and Treatment 
51.5 	executive board upon application by the commissioner of human services.

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

51.7 	Sec. 7. Minnesota Statutes 2024, section 144.53, is amended to read:
51.8 	144.53 FEES.
51.9 	Each application for a license, or renewal thereof, to operate a hospital, sanitarium or 
51.10 	other institution for the hospitalization or care of human beings, within the meaning of 
51.11 	sections 144.50 to 144.56, except applications by the Minnesota Veterans Home, the 
51.12 	commissioner of human services Direct Care and Treatment executive board for the licensing 
51.13 	of state institutions, or by the administrator for the licensing of the University of Minnesota 
51.14 	hospitals, shall be accompanied by a fee to be prescribed by the state commissioner of health 
51.15 	pursuant to section 144.122. No fee shall be refunded. Licenses shall expire and shall be 
51.16 	renewed as prescribed by the commissioner of health pursuant to section 144.122.
51.17 	No license granted hereunder shall be assignable or transferable.

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

51.19 	Sec. 8. Minnesota Statutes 2024, section 144.651, subdivision 2, is amended to read:
51.20 		Subd. 2.Definitions. (a) For the purposes of this section, "patient" means a person who 
51.21 	is admitted to an acute care inpatient facility for a continuous period longer than 24 hours, 
51.22 	for the purpose of diagnosis or treatment bearing on the physical or mental health of that 
51.23 	person. For purposes of subdivisions 4 to 9, 12, 13, 15, 16, and 18 to 20, "patient" also 
51.24 	means a person who receives health care services at an outpatient surgical center or at a 
51.25 	birth center licensed under section 144.615. "Patient" also means a minor who is admitted 
51.26 	to a residential program as defined in section 253C.01 paragraph (c). For purposes of 
51.27 	subdivisions 1, 3 to 16, 18, 20 and 30, "patient" also means any person who is receiving 
51.28 	mental health treatment on an outpatient basis or in a community support program or other 
51.29 	community-based program.
51.30 	(b) "Resident" means a person who is admitted to a nonacute care facility including 
51.31 	extended care facilities, nursing homes, and boarding care homes for care required because 
51.32 	of prolonged mental or physical illness or disability, recovery from injury or disease, or 
52.1 	advancing age. For purposes of all subdivisions except subdivisions 28 and 29, "resident" 
52.2 	also means a person who is admitted to a facility licensed as a board and lodging facility 
52.3 	under Minnesota Rules, parts 4625.0100 to 4625.2355, a boarding care home under sections 
52.4 	144.50 to 144.56, or a supervised living facility under Minnesota Rules, parts 4665.0100
52.5 	to 4665.9900, and which operates a rehabilitation program licensed under chapter 245G or 
52.6 	245I, or Minnesota Rules, parts 9530.6510 to 9530.6590.
52.7 	(c) "Residential program" means (1) a hospital-based primary treatment program that 
52.8 	provides residential treatment to minors with emotional disturbance as defined by the 
52.9 	Comprehensive Children's Mental Health Act in sections 245.487 to 245.4889, or (2) a 
52.10 	facility licensed by the state under Minnesota Rules, parts 2960.0580 to 2960.0700, to 
52.11 	provide services to minors on a 24-hour basis.

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

52.13 	Sec. 9. Minnesota Statutes 2024, section 144.651, subdivision 4, is amended to read:
52.14 		Subd. 4.Information about rights. Patients and residents shall, at admission, be told 
52.15 	that there are legal rights for their protection during their stay at the facility or throughout 
52.16 	their course of treatment and maintenance in the community and that these are described 
52.17 	in an accompanying written statement of the applicable rights and responsibilities set forth 
52.18 	in this section. In the case of patients admitted to residential programs as defined in section 
52.19 	253C.01 subdivision 2, the written statement shall also describe the right of a person 16 
52.20 	years old or older to request release as provided in section 253B.04, subdivision 2, and shall 
52.21 	list the names and telephone numbers of individuals and organizations that provide advocacy 
52.22 	and legal services for patients in residential programs. Reasonable accommodations shall 
52.23 	be made for people who have communication disabilities and those who speak a language 
52.24 	other than English. Current facility policies, inspection findings of state and local health 
52.25 	authorities, and further explanation of the written statement of rights shall be available to 
52.26 	patients, residents, their guardians or their chosen representatives upon reasonable request 
52.27 	to the administrator or other designated staff person, consistent with chapter 13, the Data 
52.28 	Practices Act, and section 626.557, relating to vulnerable adults.

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

52.30 	Sec. 10. Minnesota Statutes 2024, section 144.651, subdivision 20, is amended to read:
52.31 		Subd. 20.Grievances. Patients and residents shall be encouraged and assisted, throughout 
52.32 	their stay in a facility or their course of treatment, to understand and exercise their rights 
52.33 	as patients, residents, and citizens. Patients and residents may voice grievances and 
53.1 	recommend changes in policies and services to facility staff and others of their choice, free 
53.2 	from restraint, interference, coercion, discrimination, or reprisal, including threat of discharge. 
53.3 	Notice of the grievance procedure of the facility or program, as well as addresses and 
53.4 	telephone numbers for the Office of Health Facility Complaints and the area nursing home 
53.5 	ombudsman pursuant to the Older Americans Act, section 307(a)(12) shall be posted in a 
53.6 	conspicuous place.
53.7 	Every acute care inpatient facility, every residential program as defined in section 
53.8 	253C.01 subdivision 2, every nonacute care facility, and every facility employing more 
53.9 	than two people that provides outpatient mental health services shall have a written internal 
53.10 	grievance procedure that, at a minimum, sets forth the process to be followed; specifies 
53.11 	time limits, including time limits for facility response; provides for the patient or resident 
53.12 	to have the assistance of an advocate; requires a written response to written grievances; and 
53.13 	provides for a timely decision by an impartial decision maker if the grievance is not otherwise 
53.14 	resolved. Compliance by hospitals, residential programs as defined in section 253C.01
53.15 	subdivision 2 which are hospital-based primary treatment programs, and outpatient surgery 
53.16 	centers with section 144.691 and compliance by health maintenance organizations with 
53.17 	section 62D.11 is deemed to be compliance with the requirement for a written internal 
53.18 	grievance procedure.

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

53.20 	Sec. 11. Minnesota Statutes 2024, section 144.651, subdivision 31, is amended to read:
53.21 		Subd. 31.Isolation and restraints. A minor patient who has been admitted to a 
53.22 	residential program as defined in section 253C.01 subdivision 2 has the right to be free from 
53.23 	physical restraint and isolation except in emergency situations involving a likelihood that 
53.24 	the patient will physically harm the patient's self or others. These procedures may not be 
53.25 	used for disciplinary purposes, to enforce program rules, or for the convenience of staff. 
53.26 	Isolation or restraint may be used only upon the prior authorization of a physician, advanced 
53.27 	practice registered nurse, physician assistant, psychiatrist, or licensed psychologist, only 
53.28 	when less restrictive measures are ineffective or not feasible and only for the shortest time 
53.29 	necessary.

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

53.31 	Sec. 12. Minnesota Statutes 2024, section 144.651, subdivision 32, is amended to read:
53.32 		Subd. 32.Treatment plan. A minor patient who has been admitted to a residential 
53.33 	program as defined in section 253C.01 subdivision 2 has the right to a written treatment 
54.1 	plan that describes in behavioral terms the case problems, the precise goals of the plan, and 
54.2 	the procedures that will be utilized to minimize the length of time that the minor requires 
54.3 	inpatient treatment. The plan shall also state goals for release to a less restrictive facility 
54.4 	and follow-up treatment measures and services, if appropriate. To the degree possible, the 
54.5 	minor patient and the minor patient's parents or guardian shall be involved in the development 
54.6 	of the treatment and discharge plan.

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

54.8 	Sec. 13. Minnesota Statutes 2024, section 144A.07, is amended to read:
54.9 	144A.07 FEES.
54.10 	Each application for a license to operate a nursing home, or for a renewal of license, 
54.11 	except an application by the Minnesota Veterans Home or the commissioner of human 
54.12 	services Direct Care and Treatment executive board for the licensing of state institutions, 
54.13 	shall be accompanied by a fee to be prescribed by the commissioner of health pursuant to 
54.14 	section 144.122. No fee shall be refunded.

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

54.16 	Sec. 14. Minnesota Statutes 2024, section 146A.08, subdivision 4, is amended to read:
54.17 		Subd. 4.Examination; access to medical data. (a) If the commissioner has probable 
54.18 	cause to believe that an unlicensed complementary and alternative health care practitioner 
54.19 	has engaged in conduct prohibited by subdivision 1, paragraph (h), (i), (j), or (k), the 
54.20 	commissioner may issue an order directing the practitioner to submit to a mental or physical 
54.21 	examination or substance use disorder evaluation. For the purpose of this subdivision, every 
54.22 	unlicensed complementary and alternative health care practitioner is deemed to have 
54.23 	consented to submit to a mental or physical examination or substance use disorder evaluation 
54.24 	when ordered to do so in writing by the commissioner and further to have waived all 
54.25 	objections to the admissibility of the testimony or examination reports of the health care 
54.26 	provider performing the examination or evaluation on the grounds that the same constitute 
54.27 	a privileged communication. Failure of an unlicensed complementary and alternative health 
54.28 	care practitioner to submit to an examination or evaluation when ordered, unless the failure 
54.29 	was due to circumstances beyond the practitioner's control, constitutes an admission that 
54.30 	the unlicensed complementary and alternative health care practitioner violated subdivision 
54.31 	1, paragraph (h), (i), (j), or (k), based on the factual specifications in the examination or 
54.32 	evaluation order and may result in a default and final disciplinary order being entered after 
54.33 	a contested case hearing. An unlicensed complementary and alternative health care 
55.1 	practitioner affected under this paragraph shall at reasonable intervals be given an opportunity 
55.2 	to demonstrate that the practitioner can resume the provision of complementary and 
55.3 	alternative health care practices with reasonable safety to clients. In any proceeding under 
55.4 	this paragraph, neither the record of proceedings nor the orders entered by the commissioner 
55.5 	shall be used against an unlicensed complementary and alternative health care practitioner 
55.6 	in any other proceeding.
55.7 	(b) In addition to ordering a physical or mental examination or substance use disorder 
55.8 	evaluation, the commissioner may, notwithstanding section 13.384; 144.651; 595.02; or 
55.9 	any other law limiting access to medical or other health data, obtain medical data and health 
55.10 	records relating to an unlicensed complementary and alternative health care practitioner 
55.11 	without the practitioner's consent if the commissioner has probable cause to believe that a 
55.12 	practitioner has engaged in conduct prohibited by subdivision 1, paragraph (h), (i), (j), or 
55.13 	(k). The medical data may be requested from a provider as defined in section 144.291, 
55.14 	subdivision 2, paragraph (i), an insurance company, or a government agency, including the 
55.15 	Department of Human Services and Direct Care and Treatment. A provider, insurance 
55.16 	company, or government agency shall comply with any written request of the commissioner 
55.17 	under this subdivision and is not liable in any action for damages for releasing the data 
55.18 	requested by the commissioner if the data are released pursuant to a written request under 
55.19 	this subdivision, unless the information is false and the person or organization giving the 
55.20 	information knew or had reason to believe the information was false. Information obtained 
55.21 	under this subdivision is private data under section 13.41.

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

55.23 	Sec. 15. Minnesota Statutes 2024, section 147.091, subdivision 6, is amended to read:
55.24 		Subd. 6.Mental examination; access to medical data. (a) If the board has probable 
55.25 	cause to believe that a regulated person comes under subdivision 1, paragraph (1), it may 
55.26 	direct the person to submit to a mental or physical examination. For the purpose of this 
55.27 	subdivision every regulated person is deemed to have consented to submit to a mental or 
55.28 	physical examination when directed in writing by the board and further to have waived all 
55.29 	objections to the admissibility of the examining physicians' testimony or examination reports 
55.30 	on the ground that the same constitute a privileged communication. Failure of a regulated 
55.31 	person to submit to an examination when directed constitutes an admission of the allegations 
55.32 	against the person, unless the failure was due to circumstance beyond the person's control, 
55.33 	in which case a default and final order may be entered without the taking of testimony or 
55.34 	presentation of evidence. A regulated person affected under this paragraph shall at reasonable 
56.1 	intervals be given an opportunity to demonstrate that the person can resume the competent 
56.2 	practice of the regulated profession with reasonable skill and safety to the public.
56.3 	In any proceeding under this paragraph, neither the record of proceedings nor the orders 
56.4 	entered by the board shall be used against a regulated person in any other proceeding.
56.5 	(b) In addition to ordering a physical or mental examination, the board may, 
56.6 	notwithstanding section 13.384, 144.651, or any other law limiting access to medical or 
56.7 	other health data, obtain medical data and health records relating to a regulated person or 
56.8 	applicant without the person's or applicant's consent if the board has probable cause to 
56.9 	believe that a regulated person comes under subdivision 1, paragraph (1). The medical data 
56.10 	may be requested from a provider, as defined in section 144.291, subdivision 2, paragraph 
56.11 	(i), an insurance company, or a government agency, including the Department of Human 
56.12 	Services and Direct Care and Treatment. A provider, insurance company, or government 
56.13 	agency shall comply with any written request of the board under this subdivision and is not 
56.14 	liable in any action for damages for releasing the data requested by the board if the data are 
56.15 	released pursuant to a written request under this subdivision, unless the information is false 
56.16 	and the provider giving the information knew, or had reason to believe, the information was 
56.17 	false. Information obtained under this subdivision is classified as private under sections 
56.18 	13.01 to 13.87.

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

56.20 	Sec. 16. Minnesota Statutes 2024, section 147A.13, subdivision 6, is amended to read:
56.21 		Subd. 6.Mental examination; access to medical data. (a) If the board has probable 
56.22 	cause to believe that a physician assistant comes under subdivision 1, clause (1), it may 
56.23 	direct the physician assistant to submit to a mental or physical examination. For the purpose 
56.24 	of this subdivision, every physician assistant licensed under this chapter is deemed to have 
56.25 	consented to submit to a mental or physical examination when directed in writing by the 
56.26 	board and further to have waived all objections to the admissibility of the examining 
56.27 	physicians' testimony or examination reports on the ground that the same constitute a 
56.28 	privileged communication. Failure of a physician assistant to submit to an examination 
56.29 	when directed constitutes an admission of the allegations against the physician assistant, 
56.30 	unless the failure was due to circumstance beyond the physician assistant's control, in which 
56.31 	case a default and final order may be entered without the taking of testimony or presentation 
56.32 	of evidence. A physician assistant affected under this subdivision shall at reasonable intervals 
56.33 	be given an opportunity to demonstrate that the physician assistant can resume competent 
56.34 	practice with reasonable skill and safety to patients. In any proceeding under this subdivision, 
57.1 	neither the record of proceedings nor the orders entered by the board shall be used against 
57.2 	a physician assistant in any other proceeding.
57.3 	(b) In addition to ordering a physical or mental examination, the board may, 
57.4 	notwithstanding sections 13.384, 144.651, or any other law limiting access to medical or 
57.5 	other health data, obtain medical data and health records relating to a licensee or applicant 
57.6 	without the licensee's or applicant's consent if the board has probable cause to believe that 
57.7 	a physician assistant comes under subdivision 1, clause (1).
57.8 	The medical data may be requested from a provider, as defined in section 144.291, 
57.9 	subdivision 2, paragraph (i), an insurance company, or a government agency, including the 
57.10 	Department of Human Services and Direct Care and Treatment. A provider, insurance 
57.11 	company, or government agency shall comply with any written request of the board under 
57.12 	this subdivision and is not liable in any action for damages for releasing the data requested 
57.13 	by the board if the data are released pursuant to a written request under this subdivision, 
57.14 	unless the information is false and the provider giving the information knew, or had reason 
57.15 	to believe, the information was false. Information obtained under this subdivision is classified 
57.16 	as private under chapter 13.

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

57.18 	Sec. 17. Minnesota Statutes 2024, section 148.10, subdivision 1, is amended to read:
57.19 		Subdivision 1.Grounds. (a) The state Board of Chiropractic Examiners may refuse to 
57.20 	grant, or may revoke, suspend, condition, limit, restrict or qualify a license to practice 
57.21 	chiropractic, or may cause the name of a person licensed to be removed from the records 
57.22 	in the office of the court administrator of the district court for:
57.23 	(1) advertising that is false or misleading; that violates a rule of the board; or that claims 
57.24 	the cure of any condition or disease;
57.25 	(2) the employment of fraud or deception in applying for a license or in passing the 
57.26 	examination provided for in section 148.06 or conduct which subverts or attempts to subvert 
57.27 	the licensing examination process;
57.28 	(3) the practice of chiropractic under a false or assumed name or the impersonation of 
57.29 	another practitioner of like or different name;
57.30 	(4) the conviction of a crime involving moral turpitude;
57.31 	(5) the conviction, during the previous five years, of a felony reasonably related to the 
57.32 	practice of chiropractic;
58.1 	(6) habitual intemperance in the use of alcohol or drugs;
58.2 	(7) practicing under a license which has not been renewed;
58.3 	(8) advanced physical or mental disability;
58.4 	(9) the revocation or suspension of a license to practice chiropractic; or other disciplinary 
58.5 	action against the licensee; or the denial of an application for a license by the proper licensing 
58.6 	authority of another state, territory or country; or failure to report to the board that charges 
58.7 	regarding the person's license have been brought in another state or jurisdiction;
58.8 	(10) the violation of, or failure to comply with, the provisions of sections 148.01 to 
58.9 	148.105, the rules of the state Board of Chiropractic Examiners, or a lawful order of the 
58.10 	board;
58.11 	(11) unprofessional conduct;
58.12 	(12) being unable to practice chiropractic with reasonable skill and safety to patients by 
58.13 	reason of illness, professional incompetence, senility, drunkenness, use of drugs, narcotics, 
58.14 	chemicals or any other type of material, or as a result of any mental or physical condition, 
58.15 	including deterioration through the aging process or loss of motor skills. If the board has 
58.16 	probable cause to believe that a person comes within this clause, it shall direct the person 
58.17 	to submit to a mental or physical examination. For the purpose of this clause, every person 
58.18 	licensed under this chapter shall be deemed to have given consent to submit to a mental or 
58.19 	physical examination when directed in writing by the board and further to have waived all 
58.20 	objections to the admissibility of the examining physicians' testimony or examination reports 
58.21 	on the ground that the same constitute a privileged communication. Failure of a person to 
58.22 	submit to such examination when directed shall constitute an admission of the allegations, 
58.23 	unless the failure was due to circumstances beyond the person's control, in which case a 
58.24 	default and final order may be entered without the taking of testimony or presentation of 
58.25 	evidence. A person affected under this clause shall at reasonable intervals be afforded an 
58.26 	opportunity to demonstrate that the person can resume the competent practice of chiropractic 
58.27 	with reasonable skill and safety to patients.
58.28 	In addition to ordering a physical or mental examination, the board may, notwithstanding 
58.29 	section 13.384, 144.651, or any other law limiting access to health data, obtain health data 
58.30 	and health records relating to a licensee or applicant without the licensee's or applicant's 
58.31 	consent if the board has probable cause to believe that a doctor of chiropractic comes under 
58.32 	this clause. The health data may be requested from a provider, as defined in section 144.291, 
58.33 	subdivision 2, paragraph (i), an insurance company, or a government agency, including the 
58.34 	Department of Human Services and Direct Care and Treatment. A provider, insurance 
59.1 	company, or government agency shall comply with any written request of the board under 
59.2 	this subdivision and is not liable in any action for damages for releasing the data requested 
59.3 	by the board if the data are released pursuant to a written request under this subdivision, 
59.4 	unless the information is false and the provider or entity giving the information knew, or 
59.5 	had reason to believe, the information was false. Information obtained under this subdivision 
59.6 	is classified as private under sections 13.01 to 13.87.
59.7 	In any proceeding under this clause, neither the record of proceedings nor the orders 
59.8 	entered by the board shall be used against a person in any other proceeding;
59.9 	(13) aiding or abetting an unlicensed person in the practice of chiropractic, except that 
59.10 	it is not a violation of this clause for a doctor of chiropractic to employ, supervise, or delegate 
59.11 	functions to a qualified person who may or may not be required to obtain a license or 
59.12 	registration to provide health services if that person is practicing within the scope of the 
59.13 	license or registration or delegated authority;
59.14 	(14) improper management of health records, including failure to maintain adequate 
59.15 	health records as described in clause (18), to comply with a patient's request made under 
59.16 	sections 144.291 to 144.298 or to furnish a health record or report required by law;
59.17 	(15) failure to make reports required by section 148.102, subdivisions 2 and 5, or to 
59.18 	cooperate with an investigation of the board as required by section 148.104, or the submission 
59.19 	of a knowingly false report against another doctor of chiropractic under section 148.10, 
59.20 	subdivision 3;
59.21 	(16) splitting fees, or promising to pay a portion of a fee or a commission, or accepting 
59.22 	a rebate;
59.23 	(17) revealing a privileged communication from or relating to a patient, except when 
59.24 	otherwise required or permitted by law;
59.25 	(18) failing to keep written chiropractic records justifying the course of treatment of the 
59.26 	patient, including, but not limited to, patient histories, examination results, test results, and 
59.27 	x-rays. Unless otherwise required by law, written records need not be retained for more 
59.28 	than seven years and x-rays need not be retained for more than four years;
59.29 	(19) exercising influence on the patient or client in such a manner as to exploit the patient 
59.30 	or client for financial gain of the licensee or of a third party which shall include, but not be 
59.31 	limited to, the promotion or sale of services, goods, or appliances;
60.1 	(20) gross or repeated malpractice or the failure to practice chiropractic at a level of 
60.2 	care, skill, and treatment which is recognized by a reasonably prudent chiropractor as being 
60.3 	acceptable under similar conditions and circumstances; or
60.4 	(21) delegating professional responsibilities to a person when the licensee delegating 
60.5 	such responsibilities knows or has reason to know that the person is not qualified by training, 
60.6 	experience, or licensure to perform them.
60.7 	(b) For the purposes of paragraph (a), clause (2), conduct that subverts or attempts to 
60.8 	subvert the licensing examination process includes, but is not limited to: (1) conduct that 
60.9 	violates the security of the examination materials, such as removing examination materials 
60.10 	from the examination room or having unauthorized possession of any portion of a future, 
60.11 	current, or previously administered licensing examination; (2) conduct that violates the 
60.12 	standard of test administration, such as communicating with another examinee during 
60.13 	administration of the examination, copying another examinee's answers, permitting another 
60.14 	examinee to copy one's answers, or possessing unauthorized materials; or (3) impersonating 
60.15 	an examinee or permitting an impersonator to take the examination on one's own behalf.
60.16 	(c) For the purposes of paragraph (a), clauses (4) and (5), conviction as used in these 
60.17 	subdivisions includes a conviction of an offense that if committed in this state would be 
60.18 	deemed a felony without regard to its designation elsewhere, or a criminal proceeding where 
60.19 	a finding or verdict of guilt is made or returned but the adjudication of guilt is either withheld 
60.20 	or not entered.
60.21 	(d) For the purposes of paragraph (a), clauses (4), (5), and (6), a copy of the judgment 
60.22 	or proceeding under seal of the administrator of the court or of the administrative agency 
60.23 	which entered the same shall be admissible into evidence without further authentication 
60.24 	and shall constitute prima facie evidence of its contents.
60.25 	(e) For the purposes of paragraph (a), clause (11), unprofessional conduct means any 
60.26 	unethical, deceptive or deleterious conduct or practice harmful to the public, any departure 
60.27 	from or the failure to conform to the minimal standards of acceptable chiropractic practice, 
60.28 	or a willful or careless disregard for the health, welfare or safety of patients, in any of which 
60.29 	cases proof of actual injury need not be established. Unprofessional conduct shall include, 
60.30 	but not be limited to, the following acts of a chiropractor:
60.31 	(1) gross ignorance of, or incompetence in, the practice of chiropractic;
60.32 	(2) engaging in conduct with a patient that is sexual or may reasonably be interpreted 
60.33 	by the patient as sexual, or in any verbal behavior that is seductive or sexually demeaning 
60.34 	to a patient;
61.1 	(3) performing unnecessary services;
61.2 	(4) charging a patient an unconscionable fee or charging for services not rendered;
61.3 	(5) directly or indirectly engaging in threatening, dishonest, or misleading fee collection 
61.4 	techniques;
61.5 	(6) perpetrating fraud upon patients, third-party payors, or others, relating to the practice 
61.6 	of chiropractic, including violations of the Medicare or Medicaid laws or state medical 
61.7 	assistance laws;
61.8 	(7) advertising that the licensee will accept for services rendered assigned payments 
61.9 	from any third-party payer as payment in full, if the effect is to give the impression of 
61.10 	eliminating the need of payment by the patient of any required deductible or co-payment 
61.11 	applicable in the patient's health benefit plan. As used in this clause, "advertise" means 
61.12 	solicitation by the licensee by means of handbills, posters, circulars, motion pictures, radio, 
61.13 	newspapers, television, or in any other manner. In addition to the board's power to punish 
61.14 	for violations of this clause, violation of this clause is also a misdemeanor;
61.15 	(8) accepting for services rendered assigned payments from any third-party payer as 
61.16 	payment in full, if the effect is to eliminate the need of payment by the patient of any required 
61.17 	deductible or co-payment applicable in the patient's health benefit plan, except as hereinafter 
61.18 	provided; and
61.19 	(9) any other act that the board by rule may define.

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

61.21 	Sec. 18. Minnesota Statutes 2024, section 148.261, subdivision 5, is amended to read:
61.22 		Subd. 5.Examination; access to medical data. The board may take the following 
61.23 	actions if it has probable cause to believe that grounds for disciplinary action exist under 
61.24 	subdivision 1, clause (9) or (10):
61.25 	(a) It may direct the applicant or nurse to submit to a mental or physical examination or 
61.26 	substance use disorder evaluation. For the purpose of this subdivision, when a nurse licensed 
61.27 	under sections 148.171 to 148.285 is directed in writing by the board to submit to a mental 
61.28 	or physical examination or substance use disorder evaluation, that person is considered to 
61.29 	have consented and to have waived all objections to admissibility on the grounds of privilege. 
61.30 	Failure of the applicant or nurse to submit to an examination when directed constitutes an 
61.31 	admission of the allegations against the applicant or nurse, unless the failure was due to 
61.32 	circumstances beyond the person's control, and the board may enter a default and final order 
62.1 	without taking testimony or allowing evidence to be presented. A nurse affected under this 
62.2 	paragraph shall, at reasonable intervals, be given an opportunity to demonstrate that the 
62.3 	competent practice of professional, advanced practice registered, or practical nursing can 
62.4 	be resumed with reasonable skill and safety to patients. Neither the record of proceedings 
62.5 	nor the orders entered by the board in a proceeding under this paragraph, may be used 
62.6 	against a nurse in any other proceeding.
62.7 	(b) It may, notwithstanding sections 13.384, 144.651, 595.02, or any other law limiting 
62.8 	access to medical or other health data, obtain medical data and health records relating to a 
62.9 	registered nurse, advanced practice registered nurse, licensed practical nurse, or applicant 
62.10 	for a license without that person's consent. The medical data may be requested from a 
62.11 	provider, as defined in section 144.291, subdivision 2, paragraph (i), an insurance company, 
62.12 	or a government agency, including the Department of Human Services and Direct Care and 
62.13 	Treatment. A provider, insurance company, or government agency shall comply with any 
62.14 	written request of the board under this subdivision and is not liable in any action for damages 
62.15 	for releasing the data requested by the board if the data are released pursuant to a written 
62.16 	request under this subdivision unless the information is false and the provider giving the 
62.17 	information knew, or had reason to believe, the information was false. Information obtained 
62.18 	under this subdivision is classified as private data on individuals as defined in section 13.02.

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

62.20 	Sec. 19. Minnesota Statutes 2024, section 148.754, is amended to read:
62.21 	148.754 EXAMINATION; ACCESS TO MEDICAL DATA.
62.22 	(a) If the board has probable cause to believe that a licensee comes under section 148.75, 
62.23 	paragraph (a), clause (2), it may direct the licensee to submit to a mental or physical 
62.24 	examination. For the purpose of this paragraph, every licensee is deemed to have consented 
62.25 	to submit to a mental or physical examination when directed in writing by the board and 
62.26 	further to have waived all objections to the admissibility of the examining physicians' 
62.27 	testimony or examination reports on the ground that they constitute a privileged 
62.28 	communication. Failure of the licensee to submit to an examination when directed constitutes 
62.29 	an admission of the allegations against the person, unless the failure was due to circumstances 
62.30 	beyond the person's control, in which case a default and final order may be entered without 
62.31 	the taking of testimony or presentation of evidence. A licensee affected under this paragraph 
62.32 	shall, at reasonable intervals, be given an opportunity to demonstrate that the person can 
62.33 	resume the competent practice of physical therapy with reasonable skill and safety to the 
62.34 	public.
63.1 	(b) In any proceeding under paragraph (a), neither the record of proceedings nor the 
63.2 	orders entered by the board shall be used against a licensee in any other proceeding.
63.3 	(c) In addition to ordering a physical or mental examination, the board may, 
63.4 	notwithstanding section 13.384, 144.651, or any other law limiting access to medical or 
63.5 	other health data, obtain medical data and health records relating to a licensee or applicant 
63.6 	without the person's or applicant's consent if the board has probable cause to believe that 
63.7 	the person comes under paragraph (a). The medical data may be requested from a provider, 
63.8 	as defined in section 144.291, subdivision 2, paragraph (i), an insurance company, or a 
63.9 	government agency, including the Department of Human Services and Direct Care and 
63.10 	Treatment. A provider, insurance company, or government agency shall comply with any 
63.11 	written request of the board under this paragraph and is not liable in any action for damages 
63.12 	for releasing the data requested by the board if the data are released pursuant to a written 
63.13 	request under this paragraph, unless the information is false and the provider giving the 
63.14 	information knew, or had reason to believe, the information was false. Information obtained 
63.15 	under this paragraph is classified as private under sections 13.01 to 13.87.

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

63.17 	Sec. 20. Minnesota Statutes 2024, section 148B.5905, is amended to read:
63.18 	148B.5905 MENTAL, PHYSICAL, OR SUBSTANCE USE DISORDER 
63.19 	EXAMINATION OR EVALUATION; ACCESS TO MEDICAL DATA.
63.20 	(a) If the board has probable cause to believe section 148B.59, paragraph (a), clause (9), 
63.21 	applies to a licensee or applicant, the board may direct the person to submit to a mental, 
63.22 	physical, or substance use disorder examination or evaluation. For the purpose of this section, 
63.23 	every licensee and applicant is deemed to have consented to submit to a mental, physical, 
63.24 	or substance use disorder examination or evaluation when directed in writing by the board 
63.25 	and to have waived all objections to the admissibility of the examining professionals' 
63.26 	testimony or examination reports on the grounds that the testimony or examination reports 
63.27 	constitute a privileged communication. Failure of a licensee or applicant to submit to an 
63.28 	examination when directed by the board constitutes an admission of the allegations against 
63.29 	the person, unless the failure was due to circumstances beyond the person's control, in which 
63.30 	case a default and final order may be entered without the taking of testimony or presentation 
63.31 	of evidence. A licensee or applicant affected under this paragraph shall at reasonable intervals 
63.32 	be given an opportunity to demonstrate that the person can resume the competent practice 
63.33 	of licensed professional counseling with reasonable skill and safety to the public. In any 
64.1 	proceeding under this paragraph, neither the record of proceedings nor the orders entered 
64.2 	by the board shall be used against a licensee or applicant in any other proceeding.
64.3 	(b) In addition to ordering a physical or mental examination, the board may, 
64.4 	notwithstanding section 13.384, 144.651, or any other law limiting access to medical or 
64.5 	other health data, obtain medical data and health records relating to a licensee or applicant 
64.6 	without the licensee's or applicant's consent if the board has probable cause to believe that 
64.7 	section 148B.59, paragraph (a), clause (9), applies to the licensee or applicant. The medical 
64.8 	data may be requested from a provider, as defined in section 144.291, subdivision 2, 
64.9 	paragraph (i); an insurance company; or a government agency, including the Department 
64.10 	of Human Services and Direct Care and Treatment. A provider, insurance company, or 
64.11 	government agency shall comply with any written request of the board under this subdivision 
64.12 	and is not liable in any action for damages for releasing the data requested by the board if 
64.13 	the data are released pursuant to a written request under this subdivision, unless the 
64.14 	information is false and the provider giving the information knew, or had reason to believe, 
64.15 	the information was false. Information obtained under this subdivision is classified as private 
64.16 	under sections 13.01 to 13.87.

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

64.18 	Sec. 21. Minnesota Statutes 2024, section 148F.09, subdivision 6, is amended to read:
64.19 		Subd. 6.Mental, physical, or chemical health evaluation. (a) If the board has probable 
64.20 	cause to believe that an applicant or licensee is unable to practice alcohol and drug counseling 
64.21 	with reasonable skill and safety due to a mental or physical illness or condition, the board 
64.22 	may direct the individual to submit to a mental, physical, or chemical dependency 
64.23 	examination or evaluation.
64.24 	(1) For the purposes of this section, every licensee and applicant is deemed to have 
64.25 	consented to submit to a mental, physical, or chemical dependency examination or evaluation 
64.26 	when directed in writing by the board and to have waived all objections to the admissibility 
64.27 	of the examining professionals' testimony or examination reports on the grounds that the 
64.28 	testimony or examination reports constitute a privileged communication.
64.29 	(2) Failure of a licensee or applicant to submit to an examination when directed by the 
64.30 	board constitutes an admission of the allegations against the person, unless the failure was 
64.31 	due to circumstances beyond the person's control, in which case a default and final order 
64.32 	may be entered without the taking of testimony or presentation of evidence.
65.1 	(3) A licensee or applicant affected under this subdivision shall at reasonable intervals 
65.2 	be given an opportunity to demonstrate that the licensee or applicant can resume the 
65.3 	competent practice of licensed alcohol and drug counseling with reasonable skill and safety 
65.4 	to the public.
65.5 	(4) In any proceeding under this subdivision, neither the record of proceedings nor the 
65.6 	orders entered by the board shall be used against the licensee or applicant in any other 
65.7 	proceeding.
65.8 	(b) In addition to ordering a physical or mental examination, the board may, 
65.9 	notwithstanding section 13.384 or sections 144.291 to 144.298, or any other law limiting 
65.10 	access to medical or other health data, obtain medical data and health records relating to a 
65.11 	licensee or applicant without the licensee's or applicant's consent if the board has probable 
65.12 	cause to believe that subdivision 1, clause (9), applies to the licensee or applicant. The 
65.13 	medical data may be requested from:
65.14 	(1) a provider, as defined in section 144.291, subdivision 2, paragraph (i);
65.15 	(2) an insurance company; or
65.16 	(3) a government agency, including the Department of Human Services and Direct Care 
65.17 	and Treatment.
65.18 	(c) A provider, insurance company, or government agency must comply with any written 
65.19 	request of the board under this subdivision and is not liable in any action for damages for 
65.20 	releasing the data requested by the board if the data are released pursuant to a written request 
65.21 	under this subdivision, unless the information is false and the provider giving the information 
65.22 	knew, or had reason to believe, the information was false.
65.23 	(d) Information obtained under this subdivision is private data on individuals as defined 
65.24 	in section 13.02, subdivision 12.

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

65.26 	Sec. 22. Minnesota Statutes 2024, section 150A.08, subdivision 6, is amended to read:
65.27 		Subd. 6.Medical records. Notwithstanding contrary provisions of sections 13.384 and 
65.28 	144.651 or any other statute limiting access to medical or other health data, the board may 
65.29 	obtain medical data and health records of a licensee or applicant without the licensee's or 
65.30 	applicant's consent if the information is requested by the board as part of the process specified 
65.31 	in subdivision 5. The medical data may be requested from a provider, as defined in section 
65.32 	144.291, subdivision 2, paragraph (h), an insurance company, or a government agency, 
66.1 	including the Department of Human Services and Direct Care and Treatment. A provider, 
66.2 	insurance company, or government agency shall comply with any written request of the 
66.3 	board under this subdivision and shall not be liable in any action for damages for releasing 
66.4 	the data requested by the board if the data are released pursuant to a written request under 
66.5 	this subdivision, unless the information is false and the provider giving the information 
66.6 	knew, or had reason to believe, the information was false. Information obtained under this 
66.7 	subdivision shall be classified as private under the Minnesota Government Data Practices 
66.8 	Act.

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

66.10 	Sec. 23. Minnesota Statutes 2024, section 151.071, subdivision 10, is amended to read:
66.11 		Subd. 10.Mental examination; access to medical data. (a) If the board receives a 
66.12 	complaint and has probable cause to believe that an individual licensed or registered by the 
66.13 	board falls under subdivision 2, clause (14), it may direct the individual to submit to a mental 
66.14 	or physical examination. For the purpose of this subdivision, every licensed or registered 
66.15 	individual is deemed to have consented to submit to a mental or physical examination when 
66.16 	directed in writing by the board and further to have waived all objections to the admissibility 
66.17 	of the examining practitioner's testimony or examination reports on the grounds that the 
66.18 	same constitute a privileged communication. Failure of a licensed or registered individual 
66.19 	to submit to an examination when directed constitutes an admission of the allegations against 
66.20 	the individual, unless the failure was due to circumstances beyond the individual's control, 
66.21 	in which case a default and final order may be entered without the taking of testimony or 
66.22 	presentation of evidence. Pharmacists affected under this paragraph shall at reasonable 
66.23 	intervals be given an opportunity to demonstrate that they can resume the competent practice 
66.24 	of the profession of pharmacy with reasonable skill and safety to the public. Pharmacist 
66.25 	interns, pharmacy technicians, or controlled substance researchers affected under this 
66.26 	paragraph shall at reasonable intervals be given an opportunity to demonstrate that they can 
66.27 	competently resume the duties that can be performed, under this chapter or the rules of the 
66.28 	board, by similarly registered persons with reasonable skill and safety to the public. In any 
66.29 	proceeding under this paragraph, neither the record of proceedings nor the orders entered 
66.30 	by the board shall be used against a licensed or registered individual in any other proceeding.
66.31 	(b) Notwithstanding section 13.384, 144.651, or any other law limiting access to medical 
66.32 	or other health data, the board may obtain medical data and health records relating to an 
66.33 	individual licensed or registered by the board, or to an applicant for licensure or registration, 
66.34 	without the individual's consent when the board receives a complaint and has probable cause 
67.1 	to believe that the individual is practicing in violation of subdivision 2, clause (14), and the 
67.2 	data and health records are limited to the complaint. The medical data may be requested 
67.3 	from a provider, as defined in section 144.291, subdivision 2, paragraph (i), an insurance 
67.4 	company, or a government agency, including the Department of Human Services and Direct 
67.5 	Care and Treatment. A provider, insurance company, or government agency shall comply 
67.6 	with any written request of the board under this subdivision and is not liable in any action 
67.7 	for damages for releasing the data requested by the board if the data are released pursuant 
67.8 	to a written request under this subdivision, unless the information is false and the provider 
67.9 	giving the information knew, or had reason to believe, the information was false. Information 
67.10 	obtained under this subdivision is classified as private under sections 13.01 to 13.87.

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

67.12 	Sec. 24. Minnesota Statutes 2024, section 153.21, subdivision 2, is amended to read:
67.13 		Subd. 2.Access to medical data. In addition to ordering a physical or mental examination 
67.14 	or substance use disorder evaluation, the board may, notwithstanding section 13.384, 144.651, 
67.15 	or any other law limiting access to medical or other health data, obtain medical data and 
67.16 	health records relating to a licensee or applicant without the licensee's or applicant's consent 
67.17 	if the board has probable cause to believe that a doctor of podiatric medicine falls within 
67.18 	the provisions of section 153.19, subdivision 1, clause (12). The medical data may be 
67.19 	requested from a provider, as defined in section 144.291, subdivision 2, paragraph (h), an 
67.20 	insurance company, or a government agency, including the Department of Human Services
67.21 	and Direct Care and Treatment. A provider, insurance company, or government agency 
67.22 	shall comply with any written request of the board under this section and is not liable in 
67.23 	any action for damages for releasing the data requested by the board if the data are released 
67.24 	in accordance with a written request under this section, unless the information is false and 
67.25 	the provider giving the information knew, or had reason to believe, the information was 
67.26 	false.

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

67.28 	Sec. 25. Minnesota Statutes 2024, section 153B.70, is amended to read:
67.29 	153B.70 GROUNDS FOR DISCIPLINARY ACTION.
67.30 	(a) The board may refuse to issue or renew a license, revoke or suspend a license, or 
67.31 	place on probation or reprimand a licensee for one or any combination of the following:
67.32 	(1) making a material misstatement in furnishing information to the board;
68.1 	(2) violating or intentionally disregarding the requirements of this chapter;
68.2 	(3) conviction of a crime, including a finding or verdict of guilt, an admission of guilt, 
68.3 	or a no-contest plea, in this state or elsewhere, reasonably related to the practice of the 
68.4 	profession. Conviction, as used in this clause, includes a conviction of an offense which, if 
68.5 	committed in this state, would be deemed a felony, gross misdemeanor, or misdemeanor, 
68.6 	without regard to its designation elsewhere, or a criminal proceeding where a finding or 
68.7 	verdict of guilty is made or returned but the adjudication of guilt is either withheld or not 
68.8 	entered;
68.9 	(4) making a misrepresentation in order to obtain or renew a license;
68.10 	(5) displaying a pattern of practice or other behavior that demonstrates incapacity or 
68.11 	incompetence to practice;
68.12 	(6) aiding or assisting another person in violating the provisions of this chapter;
68.13 	(7) failing to provide information within 60 days in response to a written request from 
68.14 	the board, including documentation of completion of continuing education requirements;
68.15 	(8) engaging in dishonorable, unethical, or unprofessional conduct;
68.16 	(9) engaging in conduct of a character likely to deceive, defraud, or harm the public;
68.17 	(10) inability to practice due to habitual intoxication, addiction to drugs, or mental or 
68.18 	physical illness;
68.19 	(11) being disciplined by another state or territory of the United States, the federal 
68.20 	government, a national certification organization, or foreign nation, if at least one of the 
68.21 	grounds for the discipline is the same or substantially equivalent to one of the grounds in 
68.22 	this section;
68.23 	(12) directly or indirectly giving to or receiving from a person, firm, corporation, 
68.24 	partnership, or association a fee, commission, rebate, or other form of compensation for 
68.25 	professional services not actually or personally rendered;
68.26 	(13) incurring a finding by the board that the licensee, after the licensee has been placed 
68.27 	on probationary status, has violated the conditions of the probation;
68.28 	(14) abandoning a patient or client;
68.29 	(15) willfully making or filing false records or reports in the course of the licensee's 
68.30 	practice including, but not limited to, false records or reports filed with state or federal 
68.31 	agencies;
69.1 	(16) willfully failing to report child maltreatment as required under the Maltreatment of 
69.2 	Minors Act, chapter 260E; or
69.3 	(17) soliciting professional services using false or misleading advertising.
69.4 	(b) A license to practice is automatically suspended if (1) a guardian of a licensee is 
69.5 	appointed by order of a court pursuant to sections 524.5-101 to 524.5-502, for reasons other 
69.6 	than the minority of the licensee, or (2) the licensee is committed by order of a court pursuant 
69.7 	to chapter 253B. The license remains suspended until the licensee is restored to capacity 
69.8 	by a court and, upon petition by the licensee, the suspension is terminated by the board after 
69.9 	a hearing. The licensee may be reinstated to practice, either with or without restrictions, by 
69.10 	demonstrating clear and convincing evidence of rehabilitation. The regulated person is not 
69.11 	required to prove rehabilitation if the subsequent court decision overturns previous court 
69.12 	findings of public risk.
69.13 	(c) If the board has probable cause to believe that a licensee or applicant has violated 
69.14 	paragraph (a), clause (10), it may direct the person to submit to a mental or physical 
69.15 	examination. For the purpose of this section, every person is deemed to have consented to 
69.16 	submit to a mental or physical examination when directed in writing by the board and to 
69.17 	have waived all objections to the admissibility of the examining physician's testimony or 
69.18 	examination report on the grounds that the testimony or report constitutes a privileged 
69.19 	communication. Failure of a regulated person to submit to an examination when directed 
69.20 	constitutes an admission of the allegations against the person, unless the failure was due to 
69.21 	circumstances beyond the person's control, in which case a default and final order may be 
69.22 	entered without the taking of testimony or presentation of evidence. A regulated person 
69.23 	affected under this paragraph shall at reasonable intervals be given an opportunity to 
69.24 	demonstrate that the person can resume the competent practice of the regulated profession 
69.25 	with reasonable skill and safety to the public. In any proceeding under this paragraph, neither 
69.26 	the record of proceedings nor the orders entered by the board shall be used against a regulated 
69.27 	person in any other proceeding.
69.28 	(d) In addition to ordering a physical or mental examination, the board may, 
69.29 	notwithstanding section 13.384 or 144.293, or any other law limiting access to medical or 
69.30 	other health data, obtain medical data and health records relating to a licensee or applicant 
69.31 	without the person's or applicant's consent if the board has probable cause to believe that a 
69.32 	licensee is subject to paragraph (a), clause (10). The medical data may be requested from 
69.33 	a provider as defined in section 144.291, subdivision 2, paragraph (i), an insurance company, 
69.34 	or a government agency, including the Department of Human Services and Direct Care and 
69.35 	Treatment. A provider, insurance company, or government agency shall comply with any 
70.1 	written request of the board under this section and is not liable in any action for damages 
70.2 	for releasing the data requested by the board if the data are released pursuant to a written 
70.3 	request under this section, unless the information is false and the provider giving the 
70.4 	information knew, or had reason to know, the information was false. Information obtained 
70.5 	under this section is private data on individuals as defined in section 13.02.
70.6 	(e) If the board issues an order of immediate suspension of a license, a hearing must be 
70.7 	held within 30 days of the suspension and completed without delay.

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

70.9 	Sec. 26. Minnesota Statutes 2024, section 168.012, subdivision 1, is amended to read:
70.10 		Subdivision 1.Vehicles exempt from tax, fees, or plate display. (a) The following 
70.11 	vehicles are exempt from the provisions of this chapter requiring payment of tax and 
70.12 	registration fees, except as provided in subdivision 1c:
70.13 	(1) vehicles owned and used solely in the transaction of official business by the federal 
70.14 	government, the state, or any political subdivision;
70.15 	(2) vehicles owned and used exclusively by educational institutions and used solely in 
70.16 	the transportation of pupils to and from those institutions;
70.17 	(3) vehicles used solely in driver education programs at nonpublic high schools;
70.18 	(4) vehicles owned by nonprofit charities and used exclusively to transport disabled 
70.19 	persons for charitable, religious, or educational purposes;
70.20 	(5) vehicles owned by nonprofit charities and used exclusively for disaster response and 
70.21 	related activities;
70.22 	(6) vehicles owned by ambulance services licensed under section 144E.10 that are 
70.23 	equipped and specifically intended for emergency response or providing ambulance services; 
70.24 	and
70.25 	(7) vehicles owned by a commercial driving school licensed under section 171.34, or 
70.26 	an employee of a commercial driving school licensed under section 171.34, and the vehicle 
70.27 	is used exclusively for driver education and training.
70.28 	(b) Provided the general appearance of the vehicle is unmistakable, the following vehicles 
70.29 	are not required to register or display number plates:
70.30 	(1) vehicles owned by the federal government;
71.1 	(2) fire apparatuses, including fire-suppression support vehicles, owned or leased by the 
71.2 	state or a political subdivision;
71.3 	(3) police patrols owned or leased by the state or a political subdivision; and
71.4 	(4) ambulances owned or leased by the state or a political subdivision.
71.5 	(c) Unmarked vehicles used in general police work, liquor investigations, or arson 
71.6 	investigations, and passenger automobiles, pickup trucks, and buses owned or operated by 
71.7 	the Department of Corrections or by conservation officers of the Division of Enforcement 
71.8 	and Field Service of the Department of Natural Resources, must be registered and must 
71.9 	display appropriate license number plates, furnished by the registrar at cost. Original and 
71.10 	renewal applications for these license plates authorized for use in general police work and 
71.11 	for use by the Department of Corrections or by conservation officers must be accompanied 
71.12 	by a certification signed by the appropriate chief of police if issued to a police vehicle, the 
71.13 	appropriate sheriff if issued to a sheriff's vehicle, the commissioner of corrections if issued 
71.14 	to a Department of Corrections vehicle, or the appropriate officer in charge if issued to a 
71.15 	vehicle of any other law enforcement agency. The certification must be on a form prescribed 
71.16 	by the commissioner and state that the vehicle will be used exclusively for a purpose 
71.17 	authorized by this section.
71.18 	(d) Unmarked vehicles used by the Departments of Revenue and Labor and Industry, 
71.19 	fraud unit, in conducting seizures or criminal investigations must be registered and must 
71.20 	display passenger vehicle classification license number plates, furnished at cost by the 
71.21 	registrar. Original and renewal applications for these passenger vehicle license plates must 
71.22 	be accompanied by a certification signed by the commissioner of revenue or the 
71.23 	commissioner of labor and industry. The certification must be on a form prescribed by the 
71.24 	commissioner and state that the vehicles will be used exclusively for the purposes authorized 
71.25 	by this section.
71.26 	(e) Unmarked vehicles used by the Division of Disease Prevention and Control of the 
71.27 	Department of Health must be registered and must display passenger vehicle classification 
71.28 	license number plates. These plates must be furnished at cost by the registrar. Original and 
71.29 	renewal applications for these passenger vehicle license plates must be accompanied by a 
71.30 	certification signed by the commissioner of health. The certification must be on a form 
71.31 	prescribed by the commissioner and state that the vehicles will be used exclusively for the 
71.32 	official duties of the Division of Disease Prevention and Control.
71.33 	(f) Unmarked vehicles used by staff of the Gambling Control Board in gambling 
71.34 	investigations and reviews must be registered and must display passenger vehicle 
72.1 	classification license number plates. These plates must be furnished at cost by the registrar. 
72.2 	Original and renewal applications for these passenger vehicle license plates must be 
72.3 	accompanied by a certification signed by the board chair. The certification must be on a 
72.4 	form prescribed by the commissioner and state that the vehicles will be used exclusively 
72.5 	for the official duties of the Gambling Control Board.
72.6 	(g) Unmarked vehicles used in general investigation, surveillance, supervision, and 
72.7 	monitoring by the Department of Human Services' Office of Special Investigations' staff; 
72.8 	the Minnesota Sex Offender Program's executive director and the executive director's staff; 
72.9 	and the Office of Inspector General's staff, including, but not limited to, county fraud 
72.10 	prevention investigators, must be registered and must display passenger vehicle classification 
72.11 	license number plates, furnished by the registrar at cost. Original and renewal applications 
72.12 	for passenger vehicle license plates must be accompanied by a certification signed by the 
72.13 	commissioner of human services. The certification must be on a form prescribed by the 
72.14 	commissioner and state that the vehicles must be used exclusively for the official duties of 
72.15 	the Office of Special Investigations' staff; the Minnesota Sex Offender Program's executive 
72.16 	director and the executive director's staff; and the Office of the Inspector General's staff, 
72.17 	including, but not limited to, contract and county fraud prevention investigators.
72.18 	(h) Unmarked vehicles used in general investigation, surveillance, supervision, and 
72.19 	monitoring by the Direct Care and Treatment Office of Special Investigations' staff and 
72.20 	unmarked vehicles used by the Minnesota Sex Offender Program's executive director and 
72.21 	the executive director's staff must be registered and must display passenger vehicle 
72.22 	classification license number plates, furnished by the registrar at cost. Original and renewal 
72.23 	applications for passenger vehicle license plates must be accompanied by a certification 
72.24 	signed by the Direct Care and Treatment executive board. The certification must be on a 
72.25 	form prescribed by the commissioner and state that the vehicles must be used exclusively 
72.26 	for the official duties of the Minnesota Sex Offender Program's executive director and the 
72.27 	executive director's staff, including but not limited to contract and county fraud prevention 
72.28 	investigators.
72.29 	(h) (i) Each state hospital and institution for persons who are mentally ill and 
72.30 	developmentally disabled may have one vehicle without the required identification on the 
72.31 	sides of the vehicle. The vehicle must be registered and must display passenger vehicle 
72.32 	classification license number plates. These plates must be furnished at cost by the registrar. 
72.33 	Original and renewal applications for these passenger vehicle license plates must be 
72.34 	accompanied by a certification signed by the hospital administrator. The certification must 
72.35 	be on a form prescribed by the commissioner Direct Care and Treatment executive board
73.1 	and state that the vehicles will be used exclusively for the official duties of the state hospital 
73.2 	or institution.
73.3 	(i) (j) Each county social service agency may have vehicles used for child and vulnerable 
73.4 	adult protective services without the required identification on the sides of the vehicle. The 
73.5 	vehicles must be registered and must display passenger vehicle classification license number 
73.6 	plates. These plates must be furnished at cost by the registrar. Original and renewal 
73.7 	applications for these passenger vehicle license plates must be accompanied by a certification 
73.8 	signed by the agency administrator. The certification must be on a form prescribed by the 
73.9 	commissioner and state that the vehicles will be used exclusively for the official duties of 
73.10 	the social service agency.
73.11 	(j) (k) Unmarked vehicles used in general investigation, surveillance, supervision, and 
73.12 	monitoring by tobacco inspector staff of the Department of Human Services' Alcohol and 
73.13 	Drug Abuse Division for the purposes of tobacco inspections, investigations, and reviews 
73.14 	must be registered and must display passenger vehicle classification license number plates, 
73.15 	furnished at cost by the registrar. Original and renewal applications for passenger vehicle 
73.16 	license plates must be accompanied by a certification signed by the commissioner of human 
73.17 	services. The certification must be on a form prescribed by the commissioner and state that 
73.18 	the vehicles will be used exclusively by tobacco inspector staff for the duties specified in 
73.19 	this paragraph.
73.20 	(k) (l) All other motor vehicles must be registered and display tax-exempt number plates, 
73.21 	furnished by the registrar at cost, except as provided in subdivision 1c. All vehicles required 
73.22 	to display tax-exempt number plates must have the name of the state department or political 
73.23 	subdivision, nonpublic high school operating a driver education program, licensed 
73.24 	commercial driving school, or other qualifying organization or entity, plainly displayed on 
73.25 	both sides of the vehicle. This identification must be in a color giving contrast with that of 
73.26 	the part of the vehicle on which it is placed and must endure throughout the term of the 
73.27 	registration. The identification must not be on a removable plate or placard and must be 
73.28 	kept clean and visible at all times; except that a removable plate or placard may be utilized 
73.29 	on vehicles leased or loaned to a political subdivision or to a nonpublic high school driver 
73.30 	education program.

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

73.32 	Sec. 27. Minnesota Statutes 2024, section 244.052, subdivision 4, is amended to read:
73.33 		Subd. 4.Law enforcement agency; disclosure of information to public. (a) The law 
73.34 	enforcement agency in the area where the predatory offender resides, expects to reside, is 
74.1 	employed, or is regularly found, shall disclose to the public any information regarding the 
74.2 	offender contained in the report forwarded to the agency under subdivision 3, paragraph 
74.3 	(f), that is relevant and necessary to protect the public and to counteract the offender's 
74.4 	dangerousness, consistent with the guidelines in paragraph (b). The extent of the information 
74.5 	disclosed and the community to whom disclosure is made must relate to the level of danger 
74.6 	posed by the offender, to the offender's pattern of offending behavior, and to the need of 
74.7 	community members for information to enhance their individual and collective safety.
74.8 	(b) The law enforcement agency shall employ the following guidelines in determining 
74.9 	the scope of disclosure made under this subdivision:
74.10 	(1) if the offender is assigned to risk level I, the agency may maintain information 
74.11 	regarding the offender within the agency and may disclose it to other law enforcement 
74.12 	agencies. Additionally, the agency may disclose the information to any victims of or 
74.13 	witnesses to the offense committed by the offender. The agency shall disclose the information 
74.14 	to victims of the offense committed by the offender who have requested disclosure and to 
74.15 	adult members of the offender's immediate household;
74.16 	(2) if the offender is assigned to risk level II, the agency also may disclose the information 
74.17 	to agencies and groups that the offender is likely to encounter for the purpose of securing 
74.18 	those institutions and protecting individuals in their care while they are on or near the 
74.19 	premises of the institution. These agencies and groups include the staff members of public 
74.20 	and private educational institutions, day care establishments, and establishments and 
74.21 	organizations that primarily serve individuals likely to be victimized by the offender. The 
74.22 	agency also may disclose the information to individuals the agency believes are likely to 
74.23 	be victimized by the offender. The agency's belief shall be based on the offender's pattern 
74.24 	of offending or victim preference as documented in the information provided by the 
74.25 	Department of Corrections or, the Department of Human Services, or Direct Care and 
74.26 	Treatment. The agency may disclose the information to property assessors, property 
74.27 	inspectors, code enforcement officials, and child protection officials who are likely to visit 
74.28 	the offender's home in the course of their duties;
74.29 	(3) if the offender is assigned to risk level III, the agency shall disclose the information 
74.30 	to the persons and entities described in clauses (1) and (2) and to other members of the 
74.31 	community whom the offender is likely to encounter, unless the law enforcement agency 
74.32 	determines that public safety would be compromised by the disclosure or that a more limited 
74.33 	disclosure is necessary to protect the identity of the victim.
75.1 	Notwithstanding the assignment of a predatory offender to risk level II or III, a law 
75.2 	enforcement agency may not make the disclosures permitted or required by clause (2) or 
75.3 	(3), if: the offender is placed or resides in a residential facility. However, if an offender is 
75.4 	placed or resides in a residential facility, the offender and the head of the facility shall 
75.5 	designate the offender's likely residence upon release from the facility and the head of the 
75.6 	facility shall notify the commissioner of corrections or, the commissioner of human services, 
75.7 	or the Direct Care and Treatment executive board of the offender's likely residence at least 
75.8 	14 days before the offender's scheduled release date. The commissioner shall give this 
75.9 	information to the law enforcement agency having jurisdiction over the offender's likely 
75.10 	residence. The head of the residential facility also shall notify the commissioner of corrections 
75.11 	or, the commissioner of human services, or the Direct Care and Treatment executive board
75.12 	within 48 hours after finalizing the offender's approved relocation plan to a permanent 
75.13 	residence. Within five days after receiving this notification, the appropriate commissioner 
75.14 	shall give to the appropriate law enforcement agency all relevant information the 
75.15 	commissioner has concerning the offender, including information on the risk factors in the 
75.16 	offender's history and the risk level to which the offender was assigned. After receiving this 
75.17 	information, the law enforcement agency shall make the disclosures permitted or required 
75.18 	by clause (2) or (3), as appropriate.
75.19 	(c) As used in paragraph (b), clauses (2) and (3), "likely to encounter" means that:
75.20 	(1) the organizations or community members are in a location or in close proximity to 
75.21 	a location where the offender lives or is employed, or which the offender visits or is likely 
75.22 	to visit on a regular basis, other than the location of the offender's outpatient treatment 
75.23 	program; and
75.24 	(2) the types of interaction which ordinarily occur at that location and other circumstances 
75.25 	indicate that contact with the offender is reasonably certain.
75.26 	(d) A law enforcement agency or official who discloses information under this subdivision 
75.27 	shall make a good faith effort to make the notification within 14 days of receipt of a 
75.28 	confirmed address from the Department of Corrections indicating that the offender will be, 
75.29 	or has been, released from confinement, or accepted for supervision, or has moved to a new 
75.30 	address and will reside at the address indicated. If a change occurs in the release plan, this 
75.31 	notification provision does not require an extension of the release date.
75.32 	(e) A law enforcement agency or official who discloses information under this subdivision 
75.33 	shall not disclose the identity or any identifying characteristics of the victims of or witnesses 
75.34 	to the offender's offenses.
76.1 	(f) A law enforcement agency shall continue to disclose information on an offender as 
76.2 	required by this subdivision for as long as the offender is required to register under section 
76.3 	243.166. This requirement on a law enforcement agency to continue to disclose information 
76.4 	also applies to an offender who lacks a primary address and is registering under section 
76.5 	243.166, subdivision 3a.
76.6 	(g) A law enforcement agency that is disclosing information on an offender assigned to 
76.7 	risk level III to the public under this subdivision shall inform the commissioner of corrections 
76.8 	what information is being disclosed and forward this information to the commissioner within 
76.9 	two days of the agency's determination. The commissioner shall post this information on 
76.10 	the Internet as required in subdivision 4b.
76.11 	(h) A city council may adopt a policy that addresses when information disclosed under 
76.12 	this subdivision must be presented in languages in addition to English. The policy may 
76.13 	address when information must be presented orally, in writing, or both in additional languages 
76.14 	by the law enforcement agency disclosing the information. The policy may provide for 
76.15 	different approaches based on the prevalence of non-English languages in different 
76.16 	neighborhoods.
76.17 	(i) An offender who is the subject of a community notification meeting held pursuant 
76.18 	to this section may not attend the meeting.
76.19 	(j) When a school, day care facility, or other entity or program that primarily educates 
76.20 	or serves children receives notice under paragraph (b), clause (3), that a level III predatory 
76.21 	offender resides or works in the surrounding community, notice to parents must be made 
76.22 	as provided in this paragraph. If the predatory offender identified in the notice is participating 
76.23 	in programs offered by the facility that require or allow the person to interact with children 
76.24 	other than the person's children, the principal or head of the entity must notify parents with 
76.25 	children at the facility of the contents of the notice received pursuant to this section. The 
76.26 	immunity provisions of subdivision 7 apply to persons disclosing information under this 
76.27 	paragraph.
76.28 	(k) When an offender for whom notification was made under this subdivision no longer 
76.29 	resides, is employed, or is regularly found in the area, and the law enforcement agency that 
76.30 	made the notification is aware of this, the agency shall inform the entities and individuals 
76.31 	initially notified of the change in the offender's status. If notification was made under 
76.32 	paragraph (b), clause (3), the agency shall provide the updated information required under 
76.33 	this paragraph in a manner designed to ensure a similar scope of dissemination. However, 
76.34 	the agency is not required to hold a public meeting to do so.

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

77.2 	Sec. 28. Minnesota Statutes 2024, section 245.50, subdivision 2, is amended to read:
77.3 		Subd. 2.Purpose and authority. (a) The purpose of this section is to enable appropriate 
77.4 	treatment or detoxification services to be provided to individuals, across state lines from 
77.5 	the individual's state of residence, in qualified facilities that are closer to the homes of 
77.6 	individuals than are facilities available in the individual's home state.
77.7 	(b) Unless prohibited by another law and subject to the exceptions listed in subdivision 
77.8 	3, a county board or, the commissioner of human services, or the Direct Care and Treatment 
77.9 	executive board may contract with an agency or facility in a bordering state for mental 
77.10 	health, chemical health, or detoxification services for residents of Minnesota, and a Minnesota 
77.11 	mental health, chemical health, or detoxification agency or facility may contract to provide 
77.12 	services to residents of bordering states. Except as provided in subdivision 5, a person who 
77.13 	receives services in another state under this section is subject to the laws of the state in 
77.14 	which services are provided. A person who will receive services in another state under this 
77.15 	section must be informed of the consequences of receiving services in another state, including 
77.16 	the implications of the differences in state laws, to the extent the individual will be subject 
77.17 	to the laws of the receiving state.

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

77.19 	Sec. 29. Minnesota Statutes 2024, section 245.91, subdivision 2, is amended to read:
77.20 		Subd. 2.Agency. "Agency" means the divisions, officials, or employees of the state 
77.21 	Departments of Human Services, Direct Care and Treatment, Health, and Education,; of 
77.22 	Direct Care and Treatment; and of local school districts and designated county social service 
77.23 	agencies as defined in section 256G.02, subdivision 7, that are engaged in monitoring, 
77.24 	providing, or regulating services or treatment for mental illness, developmental disability, 
77.25 	substance use disorder, or emotional disturbance.

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

77.27 	Sec. 30. Minnesota Statutes 2024, section 246.585, is amended to read:
77.28 	246.585 CRISIS SERVICES.
77.29 	Within the limits of appropriations, state-operated regional technical assistance must be 
77.30 	available in each region to assist counties, Tribal Nations, residential and day programming 
77.31 	staff vocational service providers, and families, and persons with disabilities to prevent or 
78.1 	resolve crises that could lead to a change in placement person moving to a less integrated 
78.2 	setting. Crisis capacity must be provided on all regional treatment center campuses serving 
78.3 	persons with developmental disabilities. In addition, crisis capacity may be developed to 
78.4 	serve 16 persons in the Twin Cities metropolitan area. Technical assistance and consultation 
78.5 	must also be available in each region to providers and counties. Staff must be available to 
78.6 	provide:
78.7 	(1) individual assessments;
78.8 	(2) program plan development and implementation assistance;
78.9 	(3) analysis of service delivery problems; and
78.10 	(4) assistance with transition planning, including technical assistance to counties, Tribal 
78.11 	Nations, and service providers to develop new services, site the new services, and assist 
78.12 	with community acceptance.

78.13 	Sec. 31. Minnesota Statutes 2024, section 246C.06, subdivision 11, is amended to read:
78.14 		Subd. 11.Rulemaking. (a) The executive board is authorized to adopt, amend, and 
78.15 	repeal rules in accordance with chapter 14 to the extent necessary to implement this chapter 
78.16 	or any responsibilities of Direct Care and Treatment specified in state law. The 18-month 
78.17 	time limit under section 14.125 does not apply to the rulemaking authority under this 
78.18 	subdivision.
78.19 	(b) Until July 1, 2027, the executive board may adopt rules using the expedited 
78.20 	rulemaking process in section 14.389.
78.21 	(c) In accordance with section 15.039, all orders, rules, delegations, permits, and other 
78.22 	privileges issued or granted by the Department of Human Services with respect to any 
78.23 	function of Direct Care and Treatment and in effect at the time of the establishment of Direct 
78.24 	Care and Treatment shall continue in effect as if such establishment had not occurred. The 
78.25 	executive board may amend or repeal rules applicable to Direct Care and Treatment that 
78.26 	were established by the Department of Human Services in accordance with chapter 14.
78.27 	(d) The executive board must not adopt rules that go into effect or enforce rules prior 
78.28 	to July 1, 2025.

78.29 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2024.

79.1 	Sec. 32. Minnesota Statutes 2024, section 246C.12, subdivision 6, is amended to read:
79.2 		Subd. 6.Dissemination of Admission and stay criteria; dissemination. (a) The 
79.3 	executive board shall establish standard admission and continued-stay criteria for 
79.4 	state-operated services facilities to ensure that appropriate services are provided in the least 
79.5 	restrictive setting.
79.6 	(b) The executive board shall periodically disseminate criteria for admission and 
79.7 	continued stay in a state-operated services facility. The executive board shall disseminate 
79.8 	the criteria to the courts of the state and counties.

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

79.10 	Sec. 33. Minnesota Statutes 2024, section 246C.20, is amended to read:
79.11 	246C.20 CONTRACT WITH DEPARTMENT OF HUMAN SERVICES FOR 
79.12 	ADMINISTRATIVE SERVICES.
79.13 	(a) Direct Care and Treatment shall contract with the Department of Human Services 
79.14 	to provide determinations on issues of county of financial responsibility under chapter 256G
79.15 	and to provide administrative and judicial review of direct care and treatment matters 
79.16 	according to section 256.045.
79.17 	(b) The executive board may prescribe rules necessary to carry out this subdivision
79.18 	section, except that the executive board must not create any rule purporting to control the 
79.19 	decision making or processes of state human services judges under section 256.045, 
79.20 	subdivision 4, or the decision making or processes of the commissioner of human services 
79.21 	issuing an advisory opinion or recommended order to the executive board under section 
79.22 	256G.09, subdivision 3. The executive board must not create any rule purporting to control 
79.23 	processes for determinations of financial responsibility under chapter 256G or administrative 
79.24 	and judicial review under section 256.045 on matters outside of the jurisdiction of Direct 
79.25 	Care and Treatment.
79.26 	(c) The executive board and commissioner of human services may adopt joint rules 
79.27 	necessary to accomplish the purposes of this section.

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

80.1 	Sec. 34. [246C.21] INTERVIEW EXPENSES.
80.2 	Job applicants for professional, administrative, or highly technical positions recruited 
80.3 	by the Direct Care and Treatment executive board may be reimbursed for necessary travel 
80.4 	expenses to and from interviews arranged by the Direct Care and Treatment executive board.

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

80.6 	Sec. 35. [246C.211] FEDERAL GRANTS FOR MINNESOTA INDIANS.
80.7 	The Direct Care and Treatment executive board is authorized to enter into contracts with 
80.8 	the United States Departments of Health and Human Services; Education; and Interior, 
80.9 	Bureau of Indian Affairs, for the purposes of receiving federal grants for the welfare and 
80.10 	relief of Minnesota Indians.

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

80.12 	Sec. 36. Minnesota Statutes 2024, section 252.291, subdivision 3, is amended to read:
80.13 		Subd. 3.Duties of commissioner of human services. The commissioner shall:
80.14 	(1) establish standard admission criteria for state hospitals and county utilization targets 
80.15 	to limit and reduce the number of intermediate care beds in state hospitals and community 
80.16 	facilities in accordance with approved waivers under United States Code, title 42, sections 
80.17 	1396 to 1396p, as amended through December 31, 1987, to assure ensure that appropriate 
80.18 	services are provided in the least restrictive setting;
80.19 	(2) define services, including respite care, that may be needed in meeting individual 
80.20 	service plan objectives;
80.21 	(3) provide technical assistance so that county boards may establish a request for proposal 
80.22 	system for meeting individual service plan objectives through home and community-based 
80.23 	services; alternative community services; or, if no other alternative will meet the needs of 
80.24 	identifiable individuals for whom the county is financially responsible, a new intermediate 
80.25 	care facility for persons with developmental disabilities;
80.26 	(4) establish a client tracking and evaluation system as required under applicable federal 
80.27 	waiver regulations, Code of Federal Regulations, title 42, sections 431, 435, 440, and 441, 
80.28 	as amended through December 31, 1987; and
80.29 	(5) develop a state plan for the delivery and funding of residential day and support 
80.30 	services to persons with developmental disabilities in Minnesota. The biennial developmental 
80.31 	disability plan shall include but not be limited to:
81.1 	(i) county by county maximum intermediate care bed utilization quotas;
81.2 	(ii) plans for the development of the number and types of services alternative to 
81.3 	intermediate care beds;
81.4 	(iii) procedures for the administration and management of the plan;
81.5 	(iv) procedures for the evaluation of the implementation of the plan; and
81.6 	(v) the number, type, and location of intermediate care beds targeted for decertification.
81.7 	The commissioner shall modify the plan to ensure conformance with the medical 
81.8 	assistance home and community-based services waiver.

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

81.10 	Sec. 37. Minnesota Statutes 2024, section 252.50, subdivision 5, is amended to read:
81.11 		Subd. 5.Location of programs. (a) In determining the location of state-operated, 
81.12 	community-based programs, the needs of the individual client shall be paramount. The 
81.13 	executive board shall also take into account:
81.14 	(1) prioritization of beds services in state-operated, community-based programs for 
81.15 	individuals with complex behavioral needs that cannot be met by private community-based 
81.16 	providers;
81.17 	(2) choices made by individuals who chose to move to a more integrated setting, and 
81.18 	shall coordinate with the lead agency to ensure that appropriate person-centered transition 
81.19 	plans are created;
81.20 	(3) the personal preferences of the persons being served and their families as determined 
81.21 	by Minnesota Rules, parts 9525.0004 to 9525.0036;
81.22 	(4) the location of the support services established by the individual service plans of the 
81.23 	persons being served;
81.24 	(5) the appropriate grouping of the persons served;
81.25 	(6) the availability of qualified staff;
81.26 	(7) the need for state-operated, community-based programs in the geographical region 
81.27 	of the state; and
81.28 	(8) a reasonable commuting distance from a regional treatment center or the residences 
81.29 	of the program staff.
82.1 	(b) The executive board must locate state-operated, community-based programs in 
82.2 	coordination with the commissioner of human services according to section 252.28.

82.3 	Sec. 38. Minnesota Statutes 2024, section 253B.07, subdivision 2b, is amended to read:
82.4 		Subd. 2b.Apprehend and hold orders. (a) The court may order the treatment facility 
82.5 	or state-operated treatment program to hold the proposed patient or direct a health officer, 
82.6 	peace officer, or other person to take the proposed patient into custody and transport the 
82.7 	proposed patient to a treatment facility or state-operated treatment program for observation, 
82.8 	evaluation, diagnosis, care, treatment, and, if necessary, confinement, when:
82.9 	(1) there has been a particularized showing by the petitioner that serious physical harm 
82.10 	to the proposed patient or others is likely unless the proposed patient is immediately 
82.11 	apprehended;
82.12 	(2) the proposed patient has not voluntarily appeared for the examination or the 
82.13 	commitment hearing pursuant to the summons; or
82.14 	(3) a person is held pursuant to section 253B.051 and a request for a petition for 
82.15 	commitment has been filed.
82.16 	(b) The order of the court may be executed on any day and at any time by the use of all 
82.17 	necessary means including the imposition of necessary restraint upon the proposed patient. 
82.18 	Where possible, a peace officer taking the proposed patient into custody pursuant to this 
82.19 	subdivision shall not be in uniform and shall not use a vehicle visibly marked as a law 
82.20 	enforcement vehicle. Except as provided in section 253D.10, subdivision 2, in the case of 
82.21 	an individual on a judicial hold due to a petition for civil commitment under chapter 253D, 
82.22 	assignment of custody during the hold is to the commissioner executive board. The 
82.23 	commissioner executive board is responsible for determining the appropriate placement 
82.24 	within a secure treatment facility under the authority of the commissioner executive board.
82.25 	(c) A proposed patient must not be allowed or required to consent to nor participate in 
82.26 	a clinical drug trial while an order is in effect under this subdivision. A consent given while 
82.27 	an order is in effect is void and unenforceable. This paragraph does not prohibit a patient 
82.28 	from continuing participation in a clinical drug trial if the patient was participating in the 
82.29 	clinical drug trial at the time the order was issued under this subdivision.

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

83.1 	Sec. 39. Minnesota Statutes 2024, section 253B.09, subdivision 3a, is amended to read:
83.2 		Subd. 3a.Reporting judicial commitments; private treatment program or 
83.3 	facility. Notwithstanding section 253B.23, subdivision 9, when a court commits a patient 
83.4 	to a non-state-operated treatment facility or program, the court shall report the commitment 
83.5 	to the commissioner executive board through the supreme court information system for 
83.6 	purposes of providing commitment information for firearm background checks under section 
83.7 	246C.15. If the patient is committed to a state-operated treatment program, the court shall 
83.8 	send a copy of the commitment order to the commissioner and the executive board.

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

83.10 	Sec. 40. Minnesota Statutes 2024, section 253B.10, subdivision 1, is amended to read:
83.11 		Subdivision 1.Administrative requirements. (a) When a person is committed, the 
83.12 	court shall issue a warrant or an order committing the patient to the custody of the head of 
83.13 	the treatment facility, state-operated treatment program, or community-based treatment 
83.14 	program. The warrant or order shall state that the patient meets the statutory criteria for 
83.15 	civil commitment.
83.16 	(b) The executive board shall prioritize civilly committed patients being admitted from 
83.17 	jail or a correctional institution or who are referred to a state-operated treatment facility for 
83.18 	competency attainment or a competency examination under sections 611.40 to 611.59 for 
83.19 	admission to a medically appropriate state-operated direct care and treatment bed based on 
83.20 	the decisions of physicians in the executive medical director's office, using a priority 
83.21 	admissions framework. The framework must account for a range of factors for priority 
83.22 	admission, including but not limited to:
83.23 	(1) the length of time the person has been on a waiting list for admission to a 
83.24 	state-operated direct care and treatment program since the date of the order under paragraph 
83.25 	(a), or the date of an order issued under sections 611.40 to 611.59;
83.26 	(2) the intensity of the treatment the person needs, based on medical acuity;
83.27 	(3) the person's revoked provisional discharge status;
83.28 	(4) the person's safety and safety of others in the person's current environment;
83.29 	(5) whether the person has access to necessary or court-ordered treatment;
83.30 	(6) distinct and articulable negative impacts of an admission delay on the facility referring 
83.31 	the individual for treatment; and
83.32 	(7) any relevant federal prioritization requirements.
84.1 	Patients described in this paragraph must be admitted to a state-operated treatment program 
84.2 	within 48 hours the timelines specified in section 253B.1005. The commitment must be 
84.3 	ordered by the court as provided in section 253B.09, subdivision 1, paragraph (d). Patients 
84.4 	committed to a secure treatment facility or less restrictive setting as ordered by the court 
84.5 	under section 253B.18, subdivisions 1 and 2, must be prioritized for admission to a 
84.6 	state-operated treatment program using the priority admissions framework in this paragraph.
84.7 	(c) Upon the arrival of a patient at the designated treatment facility, state-operated 
84.8 	treatment program, or community-based treatment program, the head of the facility or 
84.9 	program shall retain the duplicate of the warrant and endorse receipt upon the original 
84.10 	warrant or acknowledge receipt of the order. The endorsed receipt or acknowledgment must 
84.11 	be filed in the court of commitment. After arrival, the patient shall be under the control and 
84.12 	custody of the head of the facility or program.
84.13 	(d) Copies of the petition for commitment, the court's findings of fact and conclusions 
84.14 	of law, the court order committing the patient, the report of the court examiners, and the 
84.15 	prepetition report, and any medical and behavioral information available shall be provided 
84.16 	at the time of admission of a patient to the designated treatment facility or program to which 
84.17 	the patient is committed. Upon a patient's referral to the executive board for admission 
84.18 	pursuant to subdivision 1, paragraph (b), any inpatient hospital, treatment facility, jail, or 
84.19 	correctional facility that has provided care or supervision to the patient in the previous two 
84.20 	years shall, when requested by the treatment facility or executive board, provide copies of 
84.21 	the patient's medical and behavioral records to the executive board for purposes of 
84.22 	preadmission planning. This information shall be provided by the head of the treatment 
84.23 	facility to treatment facility staff in a consistent and timely manner and pursuant to all 
84.24 	applicable laws.
84.25 	(e) Patients described in paragraph (b) must be admitted to a state-operated treatment 
84.26 	program within 48 hours of the Office of Executive Medical Director, under section 246C.09, 
84.27 	or a designee determining that a medically appropriate bed is available. This paragraph 
84.28 	expires on June 30, 2025.
84.29 	(f) Within four business days of determining which state-operated direct care and 
84.30 	treatment program or programs are appropriate for an individual, the executive medical 
84.31 	director's office or a designee must notify the source of the referral and the responsible 
84.32 	county human services agency, the individual being ordered to direct care and treatment, 
84.33 	and the district court that issued the order of the determination. The notice shall include 
84.34 	which program or programs are appropriate for the person's priority status. Any interested 
84.35 	person may provide additional information or request updated priority status about the 
85.1 	individual to the executive medical director's office or a designee while the individual is 
85.2 	awaiting admission. Updated Priority status of an individual will only be disclosed to 
85.3 	interested persons who are legally authorized to receive private information about the 
85.4 	individual. When an available bed has been identified, the executive medical director's 
85.5 	office or a designee must notify the designated agency and the facility where the individual 
85.6 	is awaiting admission that the individual has been accepted for admission to a particular 
85.7 	state-operated direct care and treatment program and the earliest possible date the admission 
85.8 	can occur. The designated agency or facility where the individual is awaiting admission 
85.9 	must transport the individual to the admitting state-operated direct care and treatment 
85.10 	program no more than 48 hours after the offered admission date.

85.11 	Sec. 41. [253B.1005] ADMISSION TIMELINES.
85.12 		Subdivision 1.Admission required within 48 hours. Unless required otherwise under 
85.13 	this section, patients described in section 253B.10, subdivision 1, paragraph (b), must be 
85.14 	admitted to a state-operated treatment program within 48 hours.
85.15 		Subd. 2.Temporary alternative admission timeline. Patients described in section 
85.16 	253B.10, subdivision 1, paragraph (b), must be admitted to a state-operated treatment 
85.17 	program within 48 hours of the Office of Executive Medical Director, under section 246C.09, 
85.18 	or a designee determining that a medically appropriate bed is available. This subdivision 
85.19 	expires on June 30, 2027.

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

85.21 	Sec. 42. Minnesota Statutes 2024, section 253B.141, subdivision 2, is amended to read:
85.22 		Subd. 2.Apprehension; return to facility or program. (a) Upon receiving the report 
85.23 	of absence from the head of the treatment facility, state-operated treatment program, or 
85.24 	community-based treatment program or the committing court, a patient may be apprehended 
85.25 	and held by a peace officer in any jurisdiction pending return to the facility or program from 
85.26 	which the patient is absent without authorization. A patient may also be returned to any 
85.27 	state-operated treatment program or any other treatment facility or community-based 
85.28 	treatment program willing to accept the person. A person who has a mental illness and is 
85.29 	dangerous to the public and detained under this subdivision may be held in a jail or lockup 
85.30 	only if:
85.31 	(1) there is no other feasible place of detention for the patient;
85.32 	(2) the detention is for less than 24 hours; and
86.1 	(3) there are protections in place, including segregation of the patient, to ensure the 
86.2 	safety of the patient.
86.3 	(b) If a patient is detained under this subdivision, the head of the facility or program 
86.4 	from which the patient is absent shall arrange to pick up the patient within 24 hours of the 
86.5 	time detention was begun and shall be responsible for securing transportation for the patient 
86.6 	to the facility or program. The expense of detaining and transporting a patient shall be the 
86.7 	responsibility of the facility or program from which the patient is absent. The expense of 
86.8 	detaining and transporting a patient to a state-operated treatment program shall be paid by 
86.9 	the commissioner executive board unless paid by the patient or persons on behalf of the 
86.10 	patient.

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

86.12 	Sec. 43. Minnesota Statutes 2024, section 253B.18, subdivision 6, is amended to read:
86.13 		Subd. 6.Transfer. (a) A patient who is a person who has a mental illness and is 
86.14 	dangerous to the public shall not be transferred out of a secure treatment facility unless it 
86.15 	appears to the satisfaction of the executive board, after a hearing and favorable 
86.16 	recommendation by a majority of the special review board, that the transfer is appropriate. 
86.17 	Transfer may be to another state-operated treatment program. In those instances where a 
86.18 	commitment also exists to the Department of Corrections, transfer may be to a facility 
86.19 	designated by the commissioner of corrections.
86.20 	(b) The following factors must be considered in determining whether a transfer is 
86.21 	appropriate:
86.22 	(1) the person's clinical progress and present treatment needs;
86.23 	(2) the need for security to accomplish continuing treatment;
86.24 	(3) the need for continued institutionalization;
86.25 	(4) which facility can best meet the person's needs; and
86.26 	(5) whether transfer can be accomplished with a reasonable degree of safety for the 
86.27 	public.
86.28 	(c) If a committed person has been transferred out of a secure treatment facility pursuant 
86.29 	to this subdivision, that committed person may voluntarily return to a secure treatment 
86.30 	facility for a period of up to 60 days with the consent of the head of the treatment facility.
86.31 	(d) If the committed person is not returned to the original, nonsecure transfer facility 
86.32 	within 60 days of being readmitted to a secure treatment facility, the transfer is revoked and 
87.1 	the committed person must remain in a secure treatment facility. The committed person 
87.2 	must immediately be notified in writing of the revocation.
87.3 	(e) Within 15 days of receiving notice of the revocation, the committed person may 
87.4 	petition the special review board for a review of the revocation. The special review board 
87.5 	shall review the circumstances of the revocation and shall recommend to the commissioner
87.6 	executive board whether or not the revocation should be upheld. The special review board 
87.7 	may also recommend a new transfer at the time of the revocation hearing.
87.8 	(f) No action by the special review board is required if the transfer has not been revoked 
87.9 	and the committed person is returned to the original, nonsecure transfer facility with no 
87.10 	substantive change to the conditions of the transfer ordered under this subdivision.
87.11 	(g) The head of the treatment facility may revoke a transfer made under this subdivision 
87.12 	and require a committed person to return to a secure treatment facility if:
87.13 	(1) remaining in a nonsecure setting does not provide a reasonable degree of safety to 
87.14 	the committed person or others; or
87.15 	(2) the committed person has regressed clinically and the facility to which the committed 
87.16 	person was transferred does not meet the committed person's needs.
87.17 	(h) Upon the revocation of the transfer, the committed person must be immediately 
87.18 	returned to a secure treatment facility. A report documenting the reasons for revocation 
87.19 	must be issued by the head of the treatment facility within seven days after the committed 
87.20 	person is returned to the secure treatment facility. Advance notice to the committed person 
87.21 	of the revocation is not required.
87.22 	(i) The committed person must be provided a copy of the revocation report and informed, 
87.23 	orally and in writing, of the rights of a committed person under this section. The revocation 
87.24 	report must be served upon the committed person, the committed person's counsel, and the 
87.25 	designated agency. The report must outline the specific reasons for the revocation, including 
87.26 	but not limited to the specific facts upon which the revocation is based.
87.27 	(j) If a committed person's transfer is revoked, the committed person may re-petition for 
87.28 	transfer according to subdivision 5.
87.29 	(k) A committed person aggrieved by a transfer revocation decision may petition the 
87.30 	special review board within seven business days after receipt of the revocation report for a 
87.31 	review of the revocation. The matter must be scheduled within 30 days. The special review 
87.32 	board shall review the circumstances leading to the revocation and, after considering the 
87.33 	factors in paragraph (b), shall recommend to the commissioner executive board whether or 
88.1 	not the revocation shall be upheld. The special review board may also recommend a new 
88.2 	transfer out of a secure treatment facility at the time of the revocation hearing.

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

88.4 	Sec. 44. Minnesota Statutes 2024, section 253B.19, subdivision 2, is amended to read:
88.5 		Subd. 2.Petition; hearing. (a) A patient committed as a person who has a mental illness 
88.6 	and is dangerous to the public under section 253B.18, or the county attorney of the county 
88.7 	from which the patient was committed or the county of financial responsibility, may petition 
88.8 	the judicial appeal panel for a rehearing and reconsideration of a decision by the 
88.9 	commissioner executive board under section 253B.18, subdivision 5. The judicial appeal 
88.10 	panel must not consider petitions for relief other than those considered by the executive 
88.11 	board from which the appeal is taken. The petition must be filed with the supreme court 
88.12 	within 30 days after the decision of the executive board is signed. The hearing must be held 
88.13 	within 45 days of the filing of the petition unless an extension is granted for good cause.
88.14 	(b) For an appeal under paragraph (a), the supreme court shall refer the petition to the 
88.15 	chief judge of the judicial appeal panel. The chief judge shall notify the patient, the county 
88.16 	attorney of the county of commitment, the designated agency, the executive board, the head 
88.17 	of the facility or program to which the patient was committed, any interested person, and 
88.18 	other persons the chief judge designates, of the time and place of the hearing on the petition. 
88.19 	The notice shall be given at least 14 days prior to the date of the hearing.
88.20 	(c) Any person may oppose the petition. The patient, the patient's counsel, the county 
88.21 	attorney of the committing county or the county of financial responsibility, and the executive 
88.22 	board shall participate as parties to the proceeding pending before the judicial appeal panel 
88.23 	and shall, except when the patient is committed solely as a person who has a mental illness 
88.24 	and is dangerous to the public, no later than 20 days before the hearing on the petition, 
88.25 	inform the judicial appeal panel and the opposing party in writing whether they support or 
88.26 	oppose the petition and provide a summary of facts in support of their position. The judicial 
88.27 	appeal panel may appoint court examiners and may adjourn the hearing from time to time. 
88.28 	It shall hear and receive all relevant testimony and evidence and make a record of all 
88.29 	proceedings. The patient, the patient's counsel, and the county attorney of the committing 
88.30 	county or the county of financial responsibility have the right to be present and may present 
88.31 	and cross-examine all witnesses and offer a factual and legal basis in support of their 
88.32 	positions. The petitioning party seeking discharge or provisional discharge bears the burden 
88.33 	of going forward with the evidence, which means presenting a prima facie case with 
88.34 	competent evidence to show that the person is entitled to the requested relief. If the petitioning 
89.1 	party has met this burden, the party opposing discharge or provisional discharge bears the 
89.2 	burden of proof by clear and convincing evidence that the discharge or provisional discharge 
89.3 	should be denied. A party seeking transfer under section 253B.18, subdivision 6, must 
89.4 	establish by a preponderance of the evidence that the transfer is appropriate.

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

89.6 	Sec. 45. Minnesota Statutes 2024, section 253D.29, subdivision 1, is amended to read:
89.7 		Subdivision 1.Factors. (a) A person who is committed as a sexually dangerous person 
89.8 	or a person with a sexual psychopathic personality shall not be transferred out of a secure 
89.9 	treatment facility unless the transfer is appropriate. Transfer may be to other treatment 
89.10 	programs a facility under the control of the executive board.
89.11 	(b) The following factors must be considered in determining whether a transfer is 
89.12 	appropriate:
89.13 	(1) the person's clinical progress and present treatment needs;
89.14 	(2) the need for security to accomplish continuing treatment;
89.15 	(3) the need for continued institutionalization;
89.16 	(4) which other treatment program facility can best meet the person's needs; and
89.17 	(5) whether transfer can be accomplished with a reasonable degree of safety for the 
89.18 	public.

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

89.20 	Sec. 46. Minnesota Statutes 2024, section 253D.29, subdivision 2, is amended to read:
89.21 		Subd. 2. Voluntary readmission to a secure treatment facility. (a) After a committed 
89.22 	person has been transferred out of a secure treatment facility pursuant to subdivision 1 and 
89.23 	with the consent of the executive director, a committed person may voluntarily return to a 
89.24 	secure treatment facility for a period of up to 60 days.
89.25 	(b) If the committed person is not returned to the other treatment program secure treatment 
89.26 	facility to which the person was originally transferred pursuant to subdivision 1 within 60 
89.27 	days of being readmitted to a secure treatment facility under this subdivision, the transfer 
89.28 	to the other treatment program secure treatment facility under subdivision 1 is revoked and 
89.29 	the committed person shall remain in a secure treatment facility. The committed person 
89.30 	shall immediately be notified in writing of the revocation.
90.1 	(c) Within 15 days of receiving notice of the revocation, the committed person may 
90.2 	petition the special review board for a review of the revocation. The special review board 
90.3 	shall review the circumstances of the revocation and shall recommend to the judicial appeal 
90.4 	panel whether or not the revocation shall be upheld. The special review board may also 
90.5 	recommend a new transfer at the time of the revocation hearing.
90.6 	(d) If the transfer has not been revoked and the committed person is to be returned to 
90.7 	the other treatment program facility to which the committed person was originally transferred 
90.8 	pursuant to subdivision 1 with no substantive change to the conditions of the transfer ordered 
90.9 	pursuant to subdivision 1, no action by the special review board or judicial appeal panel is 
90.10 	required.

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

90.12 	Sec. 47. Minnesota Statutes 2024, section 253D.29, subdivision 3, is amended to read:
90.13 		Subd. 3. Revocation. (a) The executive director may revoke a transfer made pursuant 
90.14 	to subdivision 1 and require a committed person to return to a secure treatment facility if:
90.15 	(1) remaining in a nonsecure setting will not provide a reasonable degree of safety to 
90.16 	the committed person or others; or
90.17 	(2) the committed person has regressed in clinical progress so that the other treatment 
90.18 	program facility to which the committed person was transferred is no longer sufficient to 
90.19 	meet the committed person's needs.
90.20 	(b) Upon the revocation of the transfer, the committed person shall be immediately 
90.21 	returned to a secure treatment facility. A report documenting reasons for revocation shall 
90.22 	be issued by the executive director within seven days after the committed person is returned 
90.23 	to the secure treatment facility. Advance notice to the committed person of the revocation 
90.24 	is not required.
90.25 	(c) The committed person must be provided a copy of the revocation report and informed, 
90.26 	orally and in writing, of the rights of a committed person under this section. The revocation 
90.27 	report shall be served upon the committed person and the committed person's counsel. The 
90.28 	report shall outline the specific reasons for the revocation including, but not limited to, the 
90.29 	specific facts upon which the revocation is based.
90.30 	(d) If a committed person's transfer is revoked, the committed person may re-petition 
90.31 	for transfer according to section 253D.27.
91.1 	(e) Any committed person aggrieved by a transfer revocation decision may petition the 
91.2 	special review board within seven days, exclusive of Saturdays, Sundays, and legal holidays, 
91.3 	after receipt of the revocation report for a review of the revocation. The matter shall be 
91.4 	scheduled within 30 days. The special review board shall review the circumstances leading 
91.5 	to the revocation and, after considering the factors in subdivision 1, paragraph (b), shall 
91.6 	recommend to the judicial appeal panel whether or not the revocation shall be upheld. The 
91.7 	special review board may also recommend a new transfer out of a secure treatment facility 
91.8 	at the time of the revocation hearing.

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

91.10 	Sec. 48. Minnesota Statutes 2024, section 253D.30, subdivision 4, is amended to read:
91.11 		Subd. 4. Voluntary readmission. (a) With the consent of the executive director, a 
91.12 	committed person may voluntarily return to the Minnesota Sex Offender Program a secure 
91.13 	treatment facility from provisional discharge for a period of up to 60 days.
91.14 	(b) If the committed person is not returned to provisional discharge status within 60 days 
91.15 	of being readmitted to the Minnesota Sex Offender Program a secure treatment facility, the 
91.16 	provisional discharge is revoked. The committed person shall immediately be notified of 
91.17 	the revocation in writing. Within 15 days of receiving notice of the revocation, the committed 
91.18 	person may request a review of the matter before the special review board. The special 
91.19 	review board shall review the circumstances of the revocation and, after applying the 
91.20 	standards in subdivision 5, paragraph (a), shall recommend to the judicial appeal panel 
91.21 	whether or not the revocation shall be upheld. The board may recommend a return to 
91.22 	provisional discharge status.
91.23 	(c) If the provisional discharge has not been revoked and the committed person is to be 
91.24 	returned to provisional discharge, the Minnesota Sex Offender Program is not required to 
91.25 	petition for a further review by the special review board no action by the special review 
91.26 	board or judicial appeal panel is required unless the committed person's return to the 
91.27 	community results in substantive change to the existing provisional discharge plan.

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

91.29 	Sec. 49. Minnesota Statutes 2024, section 253D.30, subdivision 5, is amended to read:
91.30 		Subd. 5. Revocation. (a) The executive director may revoke a provisional discharge if 
91.31 	either of the following grounds exist:
92.1 	(1) the committed person has departed from the conditions of the provisional discharge 
92.2 	plan; or
92.3 	(2) the committed person is exhibiting behavior which may be dangerous to self or 
92.4 	others.
92.5 	(b) The executive director may revoke the provisional discharge and, either orally or in 
92.6 	writing, order that the committed person be immediately returned to a secure treatment 
92.7 	facility or other treatment program. A report documenting reasons for revocation shall be 
92.8 	issued by the executive director within seven days after the committed person is returned 
92.9 	to the secure treatment facility or other treatment program. Advance notice to the committed 
92.10 	person of the revocation is not required.
92.11 	(c) The committed person must be provided a copy of the revocation report and informed, 
92.12 	orally and in writing, of the rights of a committed person under this section. The revocation 
92.13 	report shall be served upon the committed person, the committed person's counsel, and the 
92.14 	county attorneys of the county of commitment and the county of financial responsibility. 
92.15 	The report shall outline the specific reasons for the revocation, including but not limited to 
92.16 	the specific facts upon which the revocation is based.
92.17 	(d) An individual who is revoked from provisional discharge must successfully re-petition 
92.18 	the special review board and judicial appeal panel prior to being placed back on provisional 
92.19 	discharge.

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

92.21 	Sec. 50. Minnesota Statutes 2024, section 256.01, subdivision 2, is amended to read:
92.22 		Subd. 2.Specific powers. Subject to the provisions of section 241.021, subdivision 2, 
92.23 	the commissioner of human services shall carry out the specific duties in paragraphs (a) 
92.24 	through (bb):
92.25 	(a) Administer and supervise the forms of public assistance provided for by state law 
92.26 	and other welfare activities or services that are vested in the commissioner. Administration 
92.27 	and supervision of human services activities or services includes, but is not limited to, 
92.28 	assuring timely and accurate distribution of benefits, completeness of service, and quality 
92.29 	program management. In addition to administering and supervising human services activities 
92.30 	vested by law in the department, the commissioner shall have the authority to:
92.31 	(1) require county agency participation in training and technical assistance programs to 
92.32 	promote compliance with statutes, rules, federal laws, regulations, and policies governing 
92.33 	human services;
93.1 	(2) monitor, on an ongoing basis, the performance of county agencies in the operation 
93.2 	and administration of human services, enforce compliance with statutes, rules, federal laws, 
93.3 	regulations, and policies governing welfare services and promote excellence of administration 
93.4 	and program operation;
93.5 	(3) develop a quality control program or other monitoring program to review county 
93.6 	performance and accuracy of benefit determinations;
93.7 	(4) require county agencies to make an adjustment to the public assistance benefits issued 
93.8 	to any individual consistent with federal law and regulation and state law and rule and to 
93.9 	issue or recover benefits as appropriate;
93.10 	(5) delay or deny payment of all or part of the state and federal share of benefits and 
93.11 	administrative reimbursement according to the procedures set forth in section 256.017;
93.12 	(6) make contracts with and grants to public and private agencies and organizations, 
93.13 	both profit and nonprofit, and individuals, using appropriated funds; and
93.14 	(7) enter into contractual agreements with federally recognized Indian Tribes with a 
93.15 	reservation in Minnesota to the extent necessary for the Tribe to operate a federally approved 
93.16 	family assistance program or any other program under the supervision of the commissioner. 
93.17 	The commissioner shall consult with the affected county or counties in the contractual 
93.18 	agreement negotiations, if the county or counties wish to be included, in order to avoid the 
93.19 	duplication of county and Tribal assistance program services. The commissioner may 
93.20 	establish necessary accounts for the purposes of receiving and disbursing funds as necessary 
93.21 	for the operation of the programs.
93.22 	The commissioner shall work in conjunction with the commissioner of children, youth, and 
93.23 	families to carry out the duties of this paragraph when necessary and feasible.
93.24 	(b) Inform county agencies, on a timely basis, of changes in statute, rule, federal law, 
93.25 	regulation, and policy necessary to county agency administration of the programs.
93.26 	(c) Administer and supervise all noninstitutional service to persons with disabilities, 
93.27 	including persons who have vision impairments, and persons who are deaf, deafblind, and 
93.28 	hard-of-hearing or with other disabilities. The commissioner may provide and contract for 
93.29 	the care and treatment of qualified indigent children in facilities other than those located 
93.30 	and available at state hospitals operated by the executive board when it is not feasible to 
93.31 	provide the service in state hospitals operated by the executive board.
94.1 	(d) Assist and actively cooperate with other departments, agencies and institutions, local, 
94.2 	state, and federal, by performing services in conformity with the purposes of Laws 1939, 
94.3 	chapter 431.
94.4 	(e) Act as the agent of and cooperate with the federal government in matters of mutual 
94.5 	concern relative to and in conformity with the provisions of Laws 1939, chapter 431, 
94.6 	including the administration of any federal funds granted to the state to aid in the performance 
94.7 	of any functions of the commissioner as specified in Laws 1939, chapter 431, and including 
94.8 	the promulgation of rules making uniformly available medical care benefits to all recipients 
94.9 	of public assistance, at such times as the federal government increases its participation in 
94.10 	assistance expenditures for medical care to recipients of public assistance, the cost thereof 
94.11 	to be borne in the same proportion as are grants of aid to said recipients.
94.12 	(f) Establish and maintain any administrative units reasonably necessary for the 
94.13 	performance of administrative functions common to all divisions of the department.
94.14 	(g) Act as designated guardian of both the estate and the person of all the wards of the 
94.15 	state of Minnesota, whether by operation of law or by an order of court, without any further 
94.16 	act or proceeding whatever, except as to persons committed as developmentally disabled.
94.17 	(h) Act as coordinating referral and informational center on requests for service for 
94.18 	newly arrived immigrants coming to Minnesota.
94.19 	(i) The specific enumeration of powers and duties as hereinabove set forth shall in no 
94.20 	way be construed to be a limitation upon the general transfer of powers herein contained.
94.21 	(j) Establish county, regional, or statewide schedules of maximum fees and charges 
94.22 	which may be paid by county agencies for medical, dental, surgical, hospital, nursing and 
94.23 	nursing home care and medicine and medical supplies under all programs of medical care 
94.24 	provided by the state and for congregate living care under the income maintenance programs.
94.25 	(k) Have the authority to conduct and administer experimental projects to test methods 
94.26 	and procedures of administering assistance and services to recipients or potential recipients 
94.27 	of public welfare. To carry out such experimental projects, it is further provided that the 
94.28 	commissioner of human services is authorized to waive the enforcement of existing specific 
94.29 	statutory program requirements, rules, and standards in one or more counties. The order 
94.30 	establishing the waiver shall provide alternative methods and procedures of administration, 
94.31 	shall not be in conflict with the basic purposes, coverage, or benefits provided by law, and 
94.32 	in no event shall the duration of a project exceed four years. It is further provided that no 
94.33 	order establishing an experimental project as authorized by the provisions of this section 
94.34 	shall become effective until the following conditions have been met:
95.1 	(1) the United States Secretary of Health and Human Services has agreed, for the same 
95.2 	project, to waive state plan requirements relative to statewide uniformity; and
95.3 	(2) a comprehensive plan, including estimated project costs, shall be approved by the 
95.4 	Legislative Advisory Commission and filed with the commissioner of administration.
95.5 	(l) According to federal requirements and in coordination with the commissioner of 
95.6 	children, youth, and families, establish procedures to be followed by local welfare boards 
95.7 	in creating citizen advisory committees, including procedures for selection of committee 
95.8 	members.
95.9 	(m) Allocate federal fiscal disallowances or sanctions which are based on quality control 
95.10 	error rates for medical assistance in the following manner:
95.11 	(1) one-half of the total amount of the disallowance shall be borne by the county boards 
95.12 	responsible for administering the programs. Disallowances shall be shared by each county 
95.13 	board in the same proportion as that county's expenditures for the sanctioned program are 
95.14 	to the total of all counties' expenditures for medical assistance. Each county shall pay its 
95.15 	share of the disallowance to the state of Minnesota. When a county fails to pay the amount 
95.16 	due hereunder, the commissioner may deduct the amount from reimbursement otherwise 
95.17 	due the county, or the attorney general, upon the request of the commissioner, may institute 
95.18 	civil action to recover the amount due; and
95.19 	(2) notwithstanding the provisions of clause (1), if the disallowance results from knowing 
95.20 	noncompliance by one or more counties with a specific program instruction, and that knowing 
95.21 	noncompliance is a matter of official county board record, the commissioner may require 
95.22 	payment or recover from the county or counties, in the manner prescribed in clause (1), an 
95.23 	amount equal to the portion of the total disallowance which resulted from the noncompliance, 
95.24 	and may distribute the balance of the disallowance according to clause (1).
95.25 	(n) Develop and implement special projects that maximize reimbursements and result 
95.26 	in the recovery of money to the state. For the purpose of recovering state money, the 
95.27 	commissioner may enter into contracts with third parties. Any recoveries that result from 
95.28 	projects or contracts entered into under this paragraph shall be deposited in the state treasury 
95.29 	and credited to a special account until the balance in the account reaches $1,000,000. When 
95.30 	the balance in the account exceeds $1,000,000, the excess shall be transferred and credited 
95.31 	to the general fund. All money in the account is appropriated to the commissioner for the 
95.32 	purposes of this paragraph.
95.33 	(o) Have the authority to establish and enforce the following county reporting 
95.34 	requirements:
96.1 	(1) the commissioner shall establish fiscal and statistical reporting requirements necessary 
96.2 	to account for the expenditure of funds allocated to counties for human services programs. 
96.3 	When establishing financial and statistical reporting requirements, the commissioner shall 
96.4 	evaluate all reports, in consultation with the counties, to determine if the reports can be 
96.5 	simplified or the number of reports can be reduced;
96.6 	(2) the county board shall submit monthly or quarterly reports to the department as 
96.7 	required by the commissioner. Monthly reports are due no later than 15 working days after 
96.8 	the end of the month. Quarterly reports are due no later than 30 calendar days after the end 
96.9 	of the quarter, unless the commissioner determines that the deadline must be shortened to 
96.10 	20 calendar days to avoid jeopardizing compliance with federal deadlines or risking a loss 
96.11 	of federal funding. Only reports that are complete, legible, and in the required format shall 
96.12 	be accepted by the commissioner;
96.13 	(3) if the required reports are not received by the deadlines established in clause (2), the 
96.14 	commissioner may delay payments and withhold funds from the county board until the next 
96.15 	reporting period. When the report is needed to account for the use of federal funds and the 
96.16 	late report results in a reduction in federal funding, the commissioner shall withhold from 
96.17 	the county boards with late reports an amount equal to the reduction in federal funding until 
96.18 	full federal funding is received;
96.19 	(4) a county board that submits reports that are late, illegible, incomplete, or not in the 
96.20 	required format for two out of three consecutive reporting periods is considered 
96.21 	noncompliant. When a county board is found to be noncompliant, the commissioner shall 
96.22 	notify the county board of the reason the county board is considered noncompliant and 
96.23 	request that the county board develop a corrective action plan stating how the county board 
96.24 	plans to correct the problem. The corrective action plan must be submitted to the 
96.25 	commissioner within 45 days after the date the county board received notice of 
96.26 	noncompliance;
96.27 	(5) the final deadline for fiscal reports or amendments to fiscal reports is one year after 
96.28 	the date the report was originally due. If the commissioner does not receive a report by the 
96.29 	final deadline, the county board forfeits the funding associated with the report for that 
96.30 	reporting period and the county board must repay any funds associated with the report 
96.31 	received for that reporting period;
96.32 	(6) the commissioner may not delay payments, withhold funds, or require repayment 
96.33 	under clause (3) or (5) if the county demonstrates that the commissioner failed to provide 
96.34 	appropriate forms, guidelines, and technical assistance to enable the county to comply with 
97.1 	the requirements. If the county board disagrees with an action taken by the commissioner 
97.2 	under clause (3) or (5), the county board may appeal the action according to sections 14.57 
97.3 	to 14.69; and
97.4 	(7) counties subject to withholding of funds under clause (3) or forfeiture or repayment 
97.5 	of funds under clause (5) shall not reduce or withhold benefits or services to clients to cover 
97.6 	costs incurred due to actions taken by the commissioner under clause (3) or (5).
97.7 	(p) Allocate federal fiscal disallowances or sanctions for audit exceptions when federal 
97.8 	fiscal disallowances or sanctions are based on a statewide random sample in direct proportion 
97.9 	to each county's claim for that period.
97.10 	(q) Be responsible for ensuring the detection, prevention, investigation, and resolution 
97.11 	of fraudulent activities or behavior by applicants, recipients, and other participants in the 
97.12 	human services programs administered by the department.
97.13 	(r) Require county agencies to identify overpayments, establish claims, and utilize all 
97.14 	available and cost-beneficial methodologies to collect and recover these overpayments in 
97.15 	the human services programs administered by the department.
97.16 	(s) Have the authority to administer the federal drug rebate program for drugs purchased 
97.17 	under the medical assistance program as allowed by section 1927 of title XIX of the Social 
97.18 	Security Act and according to the terms and conditions of section 1927. Rebates shall be 
97.19 	collected for all drugs that have been dispensed or administered in an outpatient setting and 
97.20 	that are from manufacturers who have signed a rebate agreement with the United States 
97.21 	Department of Health and Human Services.
97.22 	(t) Have the authority to administer a supplemental drug rebate program for drugs 
97.23 	purchased under the medical assistance program. The commissioner may enter into 
97.24 	supplemental rebate contracts with pharmaceutical manufacturers and may require prior 
97.25 	authorization for drugs that are from manufacturers that have not signed a supplemental 
97.26 	rebate contract. Prior authorization of drugs shall be subject to the provisions of section 
97.27 	256B.0625, subdivision 13.
97.28 	(u) Operate the department's communication systems account established in Laws 1993, 
97.29 	First Special Session chapter 1, article 1, section 2, subdivision 2, to manage shared 
97.30 	communication costs necessary for the operation of the programs the commissioner 
97.31 	supervises. Each account must be used to manage shared communication costs necessary 
97.32 	for the operations of the programs the commissioner supervises. The commissioner may 
97.33 	distribute the costs of operating and maintaining communication systems to participants in 
97.34 	a manner that reflects actual usage. Costs may include acquisition, licensing, insurance, 
98.1 	maintenance, repair, staff time and other costs as determined by the commissioner. Nonprofit 
98.2 	organizations and state, county, and local government agencies involved in the operation 
98.3 	of programs the commissioner supervises may participate in the use of the department's 
98.4 	communications technology and share in the cost of operation. The commissioner may 
98.5 	accept on behalf of the state any gift, bequest, devise or personal property of any kind, or 
98.6 	money tendered to the state for any lawful purpose pertaining to the communication activities 
98.7 	of the department. Any money received for this purpose must be deposited in the department's 
98.8 	communication systems accounts. Money collected by the commissioner for the use of 
98.9 	communication systems must be deposited in the state communication systems account and 
98.10 	is appropriated to the commissioner for purposes of this section.
98.11 	(v) Receive any federal matching money that is made available through the medical 
98.12 	assistance program for the consumer satisfaction survey. Any federal money received for 
98.13 	the survey is appropriated to the commissioner for this purpose. The commissioner may 
98.14 	expend the federal money received for the consumer satisfaction survey in either year of 
98.15 	the biennium.
98.16 	(w) Designate community information and referral call centers and incorporate cost 
98.17 	reimbursement claims from the designated community information and referral call centers 
98.18 	into the federal cost reimbursement claiming processes of the department according to 
98.19 	federal law, rule, and regulations. Existing information and referral centers provided by 
98.20 	Greater Twin Cities United Way or existing call centers for which Greater Twin Cities 
98.21 	United Way has legal authority to represent, shall be included in these designations upon 
98.22 	review by the commissioner and assurance that these services are accredited and in 
98.23 	compliance with national standards. Any reimbursement is appropriated to the commissioner 
98.24 	and all designated information and referral centers shall receive payments according to 
98.25 	normal department schedules established by the commissioner upon final approval of 
98.26 	allocation methodologies from the United States Department of Health and Human Services 
98.27 	Division of Cost Allocation or other appropriate authorities.
98.28 	(x) Develop recommended standards for adult foster care homes that address the 
98.29 	components of specialized therapeutic services to be provided by adult foster care homes 
98.30 	with those services.
98.31 	(y) Authorize the method of payment to or from the department as part of the human 
98.32 	services programs administered by the department. This authorization includes the receipt 
98.33 	or disbursement of funds held by the department in a fiduciary capacity as part of the human 
98.34 	services programs administered by the department.
99.1 	(z) Designate the agencies that operate the Senior LinkAge Line under section 256.975, 
99.2 	subdivision 7, and the Disability Hub under subdivision 24 as the state of Minnesota Aging 
99.3 	and Disability Resource Center under United States Code, title 42, section 3001, the Older 
99.4 	Americans Act Amendments of 2006, and incorporate cost reimbursement claims from the 
99.5 	designated centers into the federal cost reimbursement claiming processes of the department 
99.6 	according to federal law, rule, and regulations. Any reimbursement must be appropriated 
99.7 	to the commissioner and treated consistent with section 256.011. All Aging and Disability 
99.8 	Resource Center designated agencies shall receive payments of grant funding that supports 
99.9 	the activity and generates the federal financial participation according to Board on Aging 
99.10 	administrative granting mechanisms.

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

99.12 	Sec. 51. Minnesota Statutes 2024, section 256.01, subdivision 5, is amended to read:
99.13 		Subd. 5.Gifts, contributions, pensions and benefits; acceptance. The commissioner 
99.14 	may receive and accept on behalf of patients and residents at the several state hospitals for 
99.15 	persons with mental illness or developmental disabilities during the period of their 
99.16 	hospitalization and while on provisional discharge therefrom, money due and payable to 
99.17 	them as old age and survivors insurance benefits, veterans benefits, pensions or other such 
99.18 	monetary benefits. Such gifts, contributions, pensions and benefits shall be deposited in and 
99.19 	disbursed from the social welfare fund provided for in sections 256.88 to 256.92.

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

99.21 	Sec. 52. Minnesota Statutes 2024, section 256.019, subdivision 1, is amended to read:
99.22 		Subdivision 1.Retention rates. When an assistance recovery amount is collected and 
99.23 	posted by a county agency under the provisions governing public assistance programs 
99.24 	including general assistance medical care formerly codified in chapter 256D, general 
99.25 	assistance, and Minnesota supplemental aid, the county may keep one-half of the recovery 
99.26 	made by the county agency using any method other than recoupment. For medical assistance, 
99.27 	if the recovery is made by a county agency using any method other than recoupment, the 
99.28 	county may keep one-half of the nonfederal share of the recovery. For MinnesotaCare, if 
99.29 	the recovery is collected and posted by the county agency, the county may keep one-half 
99.30 	of the nonfederal share of the recovery.
99.31 	This does not apply to recoveries from medical providers or to recoveries begun by the 
99.32 	Department of Human Services' Surveillance and Utilization Review Division, State Hospital 
100.1 	Collections Unit, and the Benefit Recoveries Division or, by the Direct Care and Treatment 
100.2 	State Hospital Collections Unit, the attorney general's office, or child support collections.

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

100.4 	Sec. 53. Minnesota Statutes 2024, section 256.0281, is amended to read:
100.5 	256.0281 INTERAGENCY DATA EXCHANGE.
100.6 	(a) The Department of Human Services, the Department of Health, Direct Care and 
100.7 	Treatment, and the Office of the Ombudsman for Mental Health and Developmental 
100.8 	Disabilities may establish interagency agreements governing the electronic exchange of 
100.9 	data on providers and individuals collected, maintained, or used by each agency when such 
100.10 	exchange is outlined by each agency in an interagency agreement to accomplish the purposes 
100.11 	in clauses (1) to (4):
100.12 	(1) to improve provider enrollment processes for home and community-based services 
100.13 	and state plan home care services;
100.14 	(2) to improve quality management of providers between state agencies;
100.15 	(3) to establish and maintain provider eligibility to participate as providers under 
100.16 	Minnesota health care programs; or
100.17 	(4) to meet the quality assurance reporting requirements under federal law under section 
100.18 	1915(c) of the Social Security Act related to home and community-based waiver programs.
100.19 	(b) Each interagency agreement must include provisions to ensure anonymity of 
100.20 	individuals, including mandated reporters, and must outline the specific uses of and access 
100.21 	to shared data within each agency. Electronic interfaces between source data systems 
100.22 	developed under these interagency agreements must incorporate these provisions as well 
100.23 	as other HIPAA provisions related to individual data.

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

100.25 	Sec. 54. Minnesota Statutes 2024, section 256.0451, subdivision 1, is amended to read:
100.26 		Subdivision 1.Scope. (a) The requirements in this section apply to all fair hearings and 
100.27 	appeals under sections 142A.20, subdivision 2, and 256.045, subdivision 3, paragraph (a), 
100.28 	clauses (1), (2), (3), (5), (6), (7), (10), and (12). Except as provided in subdivisions 3 and 
100.29 	19, the requirements under this section apply to fair hearings and appeals under section 
100.30 	256.045, subdivision 3, paragraph (a), clauses (4), (8), (9), and (11).
101.1 	(b) For purposes of this section, "person" means an individual who, on behalf of 
101.2 	themselves or their household, is appealing or disputing or challenging an action, a decision, 
101.3 	or a failure to act, by an agency in the human services system subject to this section. When 
101.4 	a person involved in a proceeding under this section is represented by an attorney or by an 
101.5 	authorized representative, the term "person" also means the person's attorney or authorized 
101.6 	representative. Any notice sent to the person involved in the hearing must also be sent to 
101.7 	the person's attorney or authorized representative.
101.8 	(c) For purposes of this section, "agency" means the a county human services agency, 
101.9 	the a state human services agency, and, where applicable, any entity involved under a 
101.10 	contract, subcontract, grant, or subgrant with the state agency or with a county agency, that 
101.11 	provides or operates programs or services in which appeals are governed by section 256.045.
101.12 	(d) For purposes of this section, "state agency" means the Department of Human Services; 
101.13 	the Department of Health; the Department of Education; the Department of Children, Youth, 
101.14 	and Families; or Direct Care and Treatment.

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

101.16 	Sec. 55. Minnesota Statutes 2024, section 256.0451, subdivision 3, is amended to read:
101.17 		Subd. 3.Agency appeal summary. (a) Except in fair hearings and appeals under section 
101.18 	256.045, subdivision 3, paragraph (a), clauses (4), (9), and (10), the agency involved in an 
101.19 	appeal must prepare a state agency appeal summary for each fair hearing appeal. The state 
101.20 	agency appeal summary shall be mailed or otherwise delivered to the person who is involved 
101.21 	in the appeal at least three working days before the date of the hearing. The state agency 
101.22 	appeal summary must also be mailed or otherwise delivered to the department's Department 
101.23 	of Human Services' Appeals Office at least three working days before the date of the fair 
101.24 	hearing appeal.
101.25 	(b) In addition, the human services judge shall confirm that the state agency appeal 
101.26 	summary is mailed or otherwise delivered to the person involved in the appeal as required 
101.27 	under paragraph (a). The person involved in the fair hearing should be provided, through 
101.28 	the state agency appeal summary or other reasonable methods, appropriate information 
101.29 	about the procedures for the fair hearing and an adequate opportunity to prepare. These 
101.30 	requirements apply equally to the state agency or an entity under contract when involved 
101.31 	in the appeal.
102.1 	(c) The contents of the state agency appeal summary must be adequate to inform the 
102.2 	person involved in the appeal of the evidence on which the agency relies and the legal basis 
102.3 	for the agency's action or determination.

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

102.5 	Sec. 56. Minnesota Statutes 2024, section 256.0451, subdivision 6, is amended to read:
102.6 		Subd. 6.Appeal request for emergency assistance or urgent matter. (a) When an 
102.7 	appeal involves an application for emergency assistance, the agency involved shall mail or 
102.8 	otherwise deliver the state agency appeal summary to the department's Department of Human 
102.9 	Services' Appeals Office within two working days of receiving the request for an appeal. 
102.10 	A person may also request that a fair hearing be held on an emergency basis when the issue 
102.11 	requires an immediate resolution. The human services judge shall schedule the fair hearing 
102.12 	on the earliest available date according to the urgency of the issue involved. Issuance of the 
102.13 	recommended decision after an emergency hearing shall be expedited.
102.14 	(b) The applicable commissioner or executive board shall issue a written decision within 
102.15 	five working days of receiving the recommended decision, shall immediately inform the 
102.16 	parties of the outcome by telephone, and shall mail the decision no later than two working 
102.17 	days following the date of the decision.

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

102.19 	Sec. 57. Minnesota Statutes 2024, section 256.0451, subdivision 8, is amended to read:
102.20 		Subd. 8.Subpoenas. A person involved in a fair hearing or the agency may request a 
102.21 	subpoena for a witness, for evidence, or for both. A reasonable number of subpoenas shall 
102.22 	be issued to require the attendance and the testimony of witnesses, and the production of 
102.23 	evidence relating to any issue of fact in the appeal hearing. The request for a subpoena must 
102.24 	show a need for the subpoena and the general relevance to the issues involved. The subpoena 
102.25 	shall be issued in the name of the Department of Human Services and shall be served and 
102.26 	enforced as provided in section 357.22 and the Minnesota Rules of Civil Procedure.
102.27 	An individual or entity served with a subpoena may petition the human services judge 
102.28 	in writing to vacate or modify a subpoena. The human services judge shall resolve such a 
102.29 	petition in a prehearing conference involving all parties and shall make a written decision. 
102.30 	A subpoena may be vacated or modified if the human services judge determines that the 
102.31 	testimony or evidence sought does not relate with reasonable directness to the issues of the 
102.32 	fair hearing appeal; that the subpoena is unreasonable, over broad, or oppressive; that the 
103.1 	evidence sought is repetitious or cumulative; or that the subpoena has not been served 
103.2 	reasonably in advance of the time when the appeal hearing will be held.

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

103.4 	Sec. 58. Minnesota Statutes 2024, section 256.0451, subdivision 9, is amended to read:
103.5 		Subd. 9.No ex parte contact. The human services judge shall not have ex parte contact 
103.6 	on substantive issues with the agency or with any person or witness in a fair hearing appeal. 
103.7 	No employee of the Department or an agency shall review, interfere with, change, or attempt 
103.8 	to influence the recommended decision of the human services judge in any fair hearing 
103.9 	appeal, except through the procedure allowed in subdivision 18. The limitations in this 
103.10 	subdivision do not affect the applicable commissioner's or executive board's authority to 
103.11 	review or reconsider decisions or make final decisions.

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

103.13 	Sec. 59. Minnesota Statutes 2024, section 256.0451, subdivision 18, is amended to read:
103.14 		Subd. 18.Inviting comment by department state agency. The human services judge 
103.15 	or the applicable commissioner or executive board may determine that a written comment 
103.16 	by the department state agency about the policy implications of a specific legal issue could 
103.17 	help resolve a pending appeal. Such a written policy comment from the department state 
103.18 	agency shall be obtained only by a written request that is also sent to the person involved 
103.19 	and to the agency or its representative. When such a written comment is received, both the 
103.20 	person involved in the hearing and the agency shall have adequate opportunity to review, 
103.21 	evaluate, and respond to the written comment, including submission of additional testimony 
103.22 	or evidence, and cross-examination concerning the written comment.

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

103.24 	Sec. 60. Minnesota Statutes 2024, section 256.0451, subdivision 22, is amended to read:
103.25 		Subd. 22.Decisions. A timely, written decision must be issued in every appeal. Each 
103.26 	decision must contain a clear ruling on the issues presented in the appeal hearing and should 
103.27 	contain a ruling only on questions directly presented by the appeal and the arguments raised 
103.28 	in the appeal.
103.29 	(a) A written decision must be issued within 90 days of the date the person involved 
103.30 	requested the appeal unless a shorter time is required by law. An additional 30 days is 
103.31 	provided in those cases where the applicable commissioner or executive board refuses to 
104.1 	accept the recommended decision. In appeals of maltreatment determinations or 
104.2 	disqualifications filed pursuant to section 256.045, subdivision 3, paragraph (a), clause (4), 
104.3 	(8), or (9), that also give rise to possible licensing actions, the 90-day period for issuing 
104.4 	final decisions does not begin until the later of the date that the licensing authority provides 
104.5 	notice to the appeals division that the authority has made the final determination in the 
104.6 	matter or the date the appellant files the last appeal in the consolidated matters.
104.7 	(b) The decision must contain both findings of fact and conclusions of law, clearly 
104.8 	separated and identified. The findings of fact must be based on the entire record. Each 
104.9 	finding of fact made by the human services judge shall be supported by a preponderance 
104.10 	of the evidence unless a different standard is required under the regulations of a particular 
104.11 	program. The "preponderance of the evidence" means, in light of the record as a whole, the 
104.12 	evidence leads the human services judge to believe that the finding of fact is more likely to 
104.13 	be true than not true. The legal claims or arguments of a participant do not constitute either 
104.14 	a finding of fact or a conclusion of law, except to the extent the human services judge adopts 
104.15 	an argument as a finding of fact or conclusion of law.
104.16 	The decision shall contain at least the following:
104.17 	(1) a listing of the date and place of the hearing and the participants at the hearing;
104.18 	(2) a clear and precise statement of the issues, including the dispute under consideration 
104.19 	and the specific points which must be resolved in order to decide the case;
104.20 	(3) a listing of the material, including exhibits, records, reports, placed into evidence at 
104.21 	the hearing, and upon which the hearing decision is based;
104.22 	(4) the findings of fact based upon the entire hearing record. The findings of fact must 
104.23 	be adequate to inform the participants and any interested person in the public of the basis 
104.24 	of the decision. If the evidence is in conflict on an issue which must be resolved, the findings 
104.25 	of fact must state the reasoning used in resolving the conflict;
104.26 	(5) conclusions of law that address the legal authority for the hearing and the ruling, and 
104.27 	which give appropriate attention to the claims of the participants to the hearing;
104.28 	(6) a clear and precise statement of the decision made resolving the dispute under 
104.29 	consideration in the hearing; and
104.30 	(7) written notice of the right to appeal to district court or to request reconsideration, 
104.31 	and of the actions required and the time limits for taking appropriate action to appeal to 
104.32 	district court or to request a reconsideration.
105.1 	(c) The human services judge shall not independently investigate facts or otherwise rely 
105.2 	on information not presented at the hearing. The human services judge may not contact 
105.3 	other agency personnel, except as provided in subdivision 18. The human services judge's 
105.4 	recommended decision must be based exclusively on the testimony and evidence presented 
105.5 	at the hearing, and legal arguments presented, and the human services judge's research and 
105.6 	knowledge of the law.
105.7 	(d) The applicable commissioner willor executive board must review the recommended 
105.8 	decision and accept or refuse to accept the decision according to section 142A.20, subdivision 
105.9 	3, or 256.045, subdivision 5 or 5a.

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

105.11 	Sec. 61. Minnesota Statutes 2024, section 256.0451, subdivision 23, is amended to read:
105.12 		Subd. 23.Refusal to accept recommended orders. (a) If the applicable commissioner 
105.13 	or executive board refuses to accept the recommended order from the human services judge, 
105.14 	the person involved, the person's attorney or authorized representative, and the agency shall 
105.15 	be sent a copy of the recommended order, a detailed explanation of the basis for refusing 
105.16 	to accept the recommended order, and the proposed modified order.
105.17 	(b) The person involved and the agency shall have at least ten business days to respond 
105.18 	to the proposed modification of the recommended order. The person involved and the agency 
105.19 	may submit a legal argument concerning the proposed modification, and may propose to 
105.20 	submit additional evidence that relates to the proposed modified order.

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

105.22 	Sec. 62. Minnesota Statutes 2024, section 256.0451, subdivision 24, is amended to read:
105.23 		Subd. 24.Reconsideration. (a) Reconsideration may be requested within 30 days of 
105.24 	the date of the applicable commissioner's or executive board's final order. If reconsideration 
105.25 	is requested under section 142A.20, subdivision 3, or 256.045, subdivision 5 or 5a, the other 
105.26 	participants in the appeal shall be informed of the request. The person seeking reconsideration 
105.27 	has the burden to demonstrate why the matter should be reconsidered. The request for 
105.28 	reconsideration may include legal argument and may include proposed additional evidence 
105.29 	supporting the request. The other participants shall be sent a copy of all material submitted 
105.30 	in support of the request for reconsideration and must be given ten days to respond.
105.31 	(b) When the requesting party raises a question as to the appropriateness of the findings 
105.32 	of fact, the applicable commissioner or executive board shall review the entire record.
106.1 	(c) When the requesting party questions the appropriateness of a conclusion of law, the
106.2 	applicable commissioner or executive board shall consider the recommended decision, the 
106.3 	decision under reconsideration, and the material submitted in connection with the 
106.4 	reconsideration. The applicable commissioner or executive board shall review the remaining 
106.5 	record as necessary to issue a reconsidered decision.
106.6 	(d) The applicable commissioner or executive board shall issue a written decision on 
106.7 	reconsideration in a timely fashion. The decision must clearly inform the parties that this 
106.8 	constitutes the final administrative decision, advise the participants of the right to seek 
106.9 	judicial review, and the deadline for doing so.

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

106.11 	Sec. 63. Minnesota Statutes 2024, section 256.4825, is amended to read:
106.12 	256.4825 REPORT REGARDING PROGRAMS AND SERVICES FOR PEOPLE 
106.13 	WITH DISABILITIES.
106.14 	The Minnesota State Council on Disability, the Minnesota Consortium for Citizens with 
106.15 	Disabilities, and the Arc of Minnesota may submit an annual report by January 15 of each 
106.16 	year, beginning in 2012, to the chairs and ranking minority members of the legislative 
106.17 	committees with jurisdiction over programs serving people with disabilities as provided in 
106.18 	this section. The report must describe the existing state policies and goals for programs 
106.19 	serving people with disabilities including, but not limited to, programs for employment, 
106.20 	transportation, housing, education, quality assurance, consumer direction, physical and 
106.21 	programmatic access, and health. The report must provide data and measurements to assess 
106.22 	the extent to which the policies and goals are being met. The commissioner of human 
106.23 	services, the Direct Care and Treatment executive board, and the commissioners of other 
106.24 	state agencies administering programs for people with disabilities shall cooperate with the 
106.25 	Minnesota State Council on Disability, the Minnesota Consortium for Citizens with 
106.26 	Disabilities, and the Arc of Minnesota and provide those organizations with existing 
106.27 	published information and reports that will assist in the preparation of the report.

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

106.29 	Sec. 64. Minnesota Statutes 2024, section 256.93, subdivision 1, is amended to read:
106.30 		Subdivision 1.Limitations. In any case where the guardianship of any child with a 
106.31 	developmental disability or who is disabled, dependent, neglected or delinquent, or a child 
106.32 	born to a mother who was not married to the child's father when the child was conceived 
107.1 	nor when the child was born, has been committed appointed to the commissioner of human 
107.2 	services, and in any case where the guardianship of any person with a developmental 
107.3 	disability has been committed appointed to the commissioner of human services, the court 
107.4 	having jurisdiction of the estate may on such notice as the court may direct, authorize the 
107.5 	commissioner to take possession of the personal property in the estate, liquidate it, and hold 
107.6 	the proceeds in trust for the ward, to be invested, expended and accounted for as provided 
107.7 	by sections 256.88 to 256.92.

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

107.9 	Sec. 65. Minnesota Statutes 2024, section 256.98, subdivision 7, is amended to read:
107.10 		Subd. 7.Division of recovered amounts. Except for recoveries under chapter 142E, if 
107.11 	the state is responsible for the recovery, the amounts recovered shall be paid to the appropriate 
107.12 	units of government. If the recovery is directly attributable to a county, the county may 
107.13 	retain one-half of the nonfederal share of any recovery from a recipient or the recipient's 
107.14 	estate.
107.15 	This subdivision does not apply to recoveries from medical providers or to recoveries 
107.16 	involving the Department of Human services, Services' Surveillance and Utilization Review 
107.17 	Division, state hospital collections unit, and the Benefit Recoveries Division or the Direct 
107.18 	Care and Treatment State Hospital Collections Unit.

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

107.20 	Sec. 66. Minnesota Statutes 2024, section 256B.092, subdivision 10, is amended to read:
107.21 		Subd. 10.Admission of persons to and discharge of persons from regional treatment 
107.22 	centers. (a) Prior to the admission of a person to a regional treatment center program for 
107.23 	persons with developmental disabilities, the case manager shall make efforts to secure 
107.24 	community-based alternatives. If these alternatives are rejected by the person, the person's 
107.25 	legal guardian or conservator, or the county agency in favor of a regional treatment center 
107.26 	placement, the case manager shall document the reasons why the alternatives were rejected.
107.27 	(b) Assessment and support planning must be completed in accordance with requirements 
107.28 	identified in section 256B.0911.
107.29 	(c) No discharge shall take place until disputes are resolved under section 256.045, 
107.30 	subdivision 4a, or until a review by the commissioner Direct Care and Treatment executive 
107.31 	board is completed upon request of the chief executive officer or program director of the 
108.1 	regional treatment center, or the county agency. For persons under public guardianship, the 
108.2 	ombudsman may request a review or hearing under section 256.045.

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

108.4 	Sec. 67. Minnesota Statutes 2024, section 256G.09, subdivision 4, is amended to read:
108.5 		Subd. 4.Appeals. A local agency that is aggrieved by the order of thea department or 
108.6 	the executive board may appeal the opinion to the district court of the county responsible 
108.7 	for furnishing assistance or services by serving a written copy of a notice of appeal on the
108.8 	a commissioner or the executive board and any adverse party of record within 30 days after 
108.9 	the date the department issued the opinion, and by filing the original notice and proof of 
108.10 	service with the court administrator of district court. Service may be made personally or by 
108.11 	mail. Service by mail is complete upon mailing.
108.12 	The A commissioner or the executive board may elect to become a party to the 
108.13 	proceedings in district court. The court may consider the matter in or out of chambers and 
108.14 	shall take no new or additional evidence.

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

108.16 	Sec. 68. Minnesota Statutes 2024, section 256G.09, subdivision 5, is amended to read:
108.17 		Subd. 5.Payment pending appeal. After the a department or the executive board issues 
108.18 	an opinion in any submission under this section, the service or assistance covered by the 
108.19 	submission must be provided or paid pending or during an appeal to the district court.

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

108.21 	Sec. 69. Minnesota Statutes 2024, section 299F.77, subdivision 2, is amended to read:
108.22 		Subd. 2.Background check. (a) For licenses issued by the commissioner under section 
108.23 	299F.73, the applicant for licensure must provide the commissioner with all of the 
108.24 	information required by Code of Federal Regulations, title 28, section 25.7. The commissioner 
108.25 	shall forward the information to the superintendent of the Bureau of Criminal Apprehension 
108.26 	so that criminal records, histories, and warrant information on the applicant can be retrieved 
108.27 	from the Minnesota Crime Information System and the National Instant Criminal Background 
108.28 	Check System, as well as the civil commitment records maintained by the Department of 
108.29 	Human Services Direct Care and Treatment. The results must be returned to the commissioner 
108.30 	to determine if the individual applicant is qualified to receive a license.
109.1 	(b) For permits issued by a county sheriff or chief of police under section 299F.75, the 
109.2 	applicant for a permit must provide the county sheriff or chief of police with all of the 
109.3 	information required by Code of Federal Regulations, title 28, section 25.7. The county 
109.4 	sheriff or chief of police must check, by means of electronic data transfer, criminal records, 
109.5 	histories, and warrant information on each applicant through the Minnesota Crime 
109.6 	Information System and the National Instant Criminal Background Check System, as well 
109.7 	as the civil commitment records maintained by the Department of Human Services Direct 
109.8 	Care and Treatment. The county sheriff or chief of police shall use the results of the query 
109.9 	to determine if the individual applicant is qualified to receive a permit.

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

109.11 	Sec. 70. Minnesota Statutes 2024, section 342.04, is amended to read:
109.12 	342.04 STUDIES; REPORTS.
109.13 	(a) The office shall conduct a study to determine the expected size and growth of the 
109.14 	regulated cannabis industry and hemp consumer industry, including an estimate of the 
109.15 	demand for cannabis flower and cannabis products, the number and geographic distribution 
109.16 	of cannabis businesses needed to meet that demand, and the anticipated business from 
109.17 	residents of other states.
109.18 	(b) The office shall conduct a study to determine the size of the illicit cannabis market, 
109.19 	the sources of illicit cannabis flower and illicit cannabis products in the state, the locations 
109.20 	of citations issued and arrests made for cannabis offenses, and the subareas, such as census 
109.21 	tracts or neighborhoods, that experience a disproportionately large amount of cannabis 
109.22 	enforcement.
109.23 	(c) The office shall conduct a study on impaired driving to determine:
109.24 	(1) the number of accidents involving one or more drivers who admitted to using cannabis 
109.25 	flower, cannabis products, lower-potency hemp edibles, or hemp-derived consumer products, 
109.26 	or who tested positive for cannabis or tetrahydrocannabinol;
109.27 	(2) the number of arrests of individuals for impaired driving in which the individual 
109.28 	tested positive for cannabis or tetrahydrocannabinol; and
109.29 	(3) the number of convictions for driving under the influence of cannabis flower, cannabis 
109.30 	products, lower-potency hemp edibles, hemp-derived consumer products, or 
109.31 	tetrahydrocannabinol.
110.1 	(d) The office shall provide preliminary reports on the studies conducted pursuant to 
110.2 	paragraphs (a) to (c) to the legislature by January 15, 2024, and shall provide final reports 
110.3 	to the legislature by January 15, 2025. The reports may be consolidated into a single report 
110.4 	by the office.
110.5 	(e) The office shall collect existing data from the Department of Human Services, 
110.6 	Department of Health, Direct Care and Treatment, Minnesota state courts, and hospitals 
110.7 	licensed under chapter 144 on the utilization of mental health and substance use disorder 
110.8 	services, emergency room visits, and commitments to identify any increase in the services 
110.9 	provided or any increase in the number of visits or commitments. The office shall also obtain 
110.10 	summary data from existing first episode psychosis programs on the number of persons 
110.11 	served by the programs and number of persons on the waiting list. All information collected 
110.12 	by the office under this paragraph shall be included in the report required under paragraph 
110.13 	(f).
110.14 	(f) The office shall conduct an annual market analysis on the status of the regulated 
110.15 	cannabis industry and submit a report of the findings. The office shall submit the report by 
110.16 	January 15, 2025, and each January 15 thereafter and the report may be combined with the 
110.17 	annual report submitted by the office. The process of completing the market analysis must 
110.18 	include holding public meetings to solicit the input of consumers, market stakeholders, and 
110.19 	potential new applicants and must include an assessment as to whether the office has issued 
110.20 	the necessary number of licenses in order to:
110.21 	(1) ensure the sufficient supply of cannabis flower and cannabis products to meet demand;
110.22 	(2) provide market stability;
110.23 	(3) ensure a competitive market; and
110.24 	(4) limit the sale of unregulated cannabis flower and cannabis products.
110.25 	(g) The office shall submit an annual report to the legislature by January 15, 2024, and 
110.26 	each January 15 thereafter. The annual report shall include but not be limited to the following:
110.27 	(1) the status of the regulated cannabis industry;
110.28 	(2) the status of the illicit cannabis market and hemp consumer industry;
110.29 	(3) the number of accidents, arrests, and convictions involving drivers who admitted to 
110.30 	using cannabis flower, cannabis products, lower-potency hemp edibles, or hemp-derived 
110.31 	consumer products or who tested positive for cannabis or tetrahydrocannabinol;
111.1 	(4) the change in potency, if any, of cannabis flower and cannabis products available 
111.2 	through the regulated market;
111.3 	(5) progress on providing opportunities to individuals and communities that experienced 
111.4 	a disproportionate, negative impact from cannabis prohibition, including but not limited to 
111.5 	providing relief from criminal convictions and increasing economic opportunities;
111.6 	(6) the status of racial and geographic diversity in the cannabis industry;
111.7 	(7) proposed legislative changes, including but not limited to recommendations to 
111.8 	streamline licensing systems and related administrative processes;
111.9 	(8) information on the adverse effects of second-hand smoke from any cannabis flower, 
111.10 	cannabis products, and hemp-derived consumer products that are consumed by the 
111.11 	combustion or vaporization of the product and the inhalation of smoke, aerosol, or vapor 
111.12 	from the product; and
111.13 	(9) recommendations for the levels of funding for:
111.14 	(i) a coordinated education program to address and raise public awareness about the top 
111.15 	three adverse health effects, as determined by the commissioner of health, associated with 
111.16 	the use of cannabis flower, cannabis products, lower-potency hemp edibles, or hemp-derived 
111.17 	consumer products by individuals under 21 years of age;
111.18 	(ii) a coordinated education program to educate pregnant individuals, breastfeeding 
111.19 	individuals, and individuals who may become pregnant on the adverse health effects of 
111.20 	cannabis flower, cannabis products, lower-potency hemp edibles, and hemp-derived consumer 
111.21 	products;
111.22 	(iii) training, technical assistance, and educational materials for home visiting programs, 
111.23 	Tribal home visiting programs, and child welfare workers regarding safe and unsafe use of 
111.24 	cannabis flower, cannabis products, lower-potency hemp edibles, and hemp-derived consumer 
111.25 	products in homes with infants and young children;
111.26 	(iv) model programs to educate middle school and high school students on the health 
111.27 	effects on children and adolescents of the use of cannabis flower, cannabis products, 
111.28 	lower-potency hemp edibles, hemp-derived consumer products, and other intoxicating or 
111.29 	controlled substances;
111.30 	(v) grants issued through the CanTrain, CanNavigate, CanStartup, and CanGrow 
111.31 	programs;
112.1 	(vi) grants to organizations for community development in social equity communities 
112.2 	through the CanRenew program;
112.3 	(vii) training of peace officers and law enforcement agencies on changes to laws involving 
112.4 	cannabis flower, cannabis products, lower-potency hemp edibles, and hemp-derived consumer 
112.5 	products and the law's impact on searches and seizures;
112.6 	(viii) training of peace officers to increase the number of drug recognition experts;
112.7 	(ix) training of peace officers on the cultural uses of sage and distinguishing use of sage 
112.8 	from the use of cannabis flower, including whether the Board of Peace Officer Standards 
112.9 	and Training should approve or develop training materials;
112.10 	(x) the retirement and replacement of drug detection canines; and
112.11 	(xi) the Department of Human Services and county social service agencies to address 
112.12 	any increase in demand for services.
112.13 	(g) In developing the recommended funding levels under paragraph (f), clause (9), items 
112.14 	(vii) to (xi), the office shall consult with local law enforcement agencies, the Minnesota 
112.15 	Chiefs of Police Association, the Minnesota Sheriff's Association, the League of Minnesota 
112.16 	Cities, the Association of Minnesota Counties, and county social services agencies.

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

112.18 	Sec. 71. Minnesota Statutes 2024, section 352.91, subdivision 3f, is amended to read:
112.19 		Subd. 3f.Additional Direct Care and Treatment personnel. (a) "Covered correctional 
112.20 	service" means service by a state employee in one of the employment positions specified 
112.21 	in paragraph (b) in the state-operated forensic services program or the Minnesota Sex 
112.22 	Offender Program if at least 75 percent of the employee's working time is spent in direct 
112.23 	contact with patients and the determination of this direct contact is certified to the executive 
112.24 	director by the commissioner of human services or Direct Care and Treatment executive 
112.25 	board.
112.26 	(b) The employment positions are:
112.27 	(1) baker;
112.28 	(2) behavior analyst 2;
112.29 	(3) behavior analyst 3;
112.30 	(4) certified occupational therapy assistant 1;
112.31 	(5) certified occupational therapy assistant 2;
113.1 	(6) client advocate;
113.2 	(7) clinical program therapist 2;
113.3 	(8) clinical program therapist 3;
113.4 	(9) clinical program therapist 4;
113.5 	(10) cook;
113.6 	(11) culinary supervisor;
113.7 	(12) customer services specialist principal;
113.8 	(13) dental assistant registered;
113.9 	(14) dental hygienist;
113.10 	(15) food service worker;
113.11 	(16) food services supervisor;
113.12 	(17) group supervisor;
113.13 	(18) group supervisor assistant;
113.14 	(19) human services support specialist;
113.15 	(20) licensed alcohol and drug counselor;
113.16 	(21) licensed practical nurse;
113.17 	(22) management analyst 3;
113.18 	(23) music therapist;
113.19 	(24) occupational therapist;
113.20 	(25) occupational therapist, senior;
113.21 	(26) physical therapist;
113.22 	(27) psychologist 1;
113.23 	(28) psychologist 2;
113.24 	(29) psychologist 3;
113.25 	(30) recreation program assistant;
113.26 	(31) recreation therapist lead;
113.27 	(32) recreation therapist senior;
114.1 	(33) rehabilitation counselor senior;
114.2 	(34) residential program lead;
114.3 	(35) security supervisor;
114.4 	(36) skills development specialist;
114.5 	(37) social worker senior;
114.6 	(38) social worker specialist;
114.7 	(39) social worker specialist, senior;
114.8 	(40) special education program assistant;
114.9 	(41) speech pathology clinician;
114.10 	(42) substance use disorder counselor senior;
114.11 	(43) work therapy assistant; and
114.12 	(44) work therapy program coordinator.

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

114.14 	Sec. 72. Minnesota Statutes 2024, section 401.17, subdivision 1, is amended to read:
114.15 		Subdivision 1.Establishment; members. (a) The commissioner must establish a 
114.16 	Community Supervision Advisory Committee to develop and make recommendations to 
114.17 	the commissioner on standards for probation, supervised release, and community supervision. 
114.18 	The committee consists of 19 members as follows:
114.19 	(1) two directors appointed by the Minnesota Association of Community Corrections 
114.20 	Act Counties;
114.21 	(2) two probation directors appointed by the Minnesota Association of County Probation 
114.22 	Officers;
114.23 	(3) three county commissioner representatives appointed by the Association of Minnesota 
114.24 	Counties;
114.25 	(4) two behavioral health, treatment, or programming providers who work directly with 
114.26 	individuals on correctional supervision, one appointed by the Department of Human Services
114.27 	Corrections and one appointed by the Minnesota Association of County Social Service 
114.28 	Administrators;
114.29 	(5) two representatives appointed by the Minnesota Indian Affairs Council;
115.1 	(6) two commissioner-appointed representatives from the Department of Corrections;
115.2 	(7) the chair of the statewide Evidence-Based Practice Advisory Committee;
115.3 	(8) three individuals who have been supervised, either individually or collectively, under 
115.4 	each of the state's three community supervision delivery systems appointed by the 
115.5 	commissioner in consultation with the Minnesota Association of County Probation Officers 
115.6 	and the Minnesota Association of Community Corrections Act Counties;
115.7 	(9) an advocate for victims of crime appointed by the commissioner; and
115.8 	(10) a representative from a community-based research and advocacy entity appointed 
115.9 	by the commissioner.
115.10 	(b) When an appointing authority selects an individual for membership on the committee, 
115.11 	the authority must make reasonable efforts to reflect geographic diversity and to appoint 
115.12 	qualified members of protected groups, as defined under section 43A.02, subdivision 33.
115.13 	(c) Chapter 15 applies to the extent consistent with this section.
115.14 	(d) The commissioner must convene the first meeting of the committee on or before 
115.15 	October 1, 2023.

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

115.17 	Sec. 73. Minnesota Statutes 2024, section 507.071, subdivision 1, is amended to read:
115.18 		Subdivision 1.Definitions. For the purposes of this section the following terms have 
115.19 	the meanings given:
115.20 	(a) "Beneficiary" or "grantee beneficiary" means a person or entity named as a grantee 
115.21 	beneficiary in a transfer on death deed, including a successor grantee beneficiary.
115.22 	(b) "County agency" means the county department or office designated to recover medical 
115.23 	assistance benefits from the estates of decedents.
115.24 	(c) "Grantor owner" means an owner, whether individually, as a joint tenant, or as a 
115.25 	tenant in common, named as a grantor in a transfer on death deed upon whose death the 
115.26 	conveyance or transfer of the described real property is conditioned. Grantor owner does 
115.27 	not include a spouse who joins in a transfer on death deed solely for the purpose of conveying 
115.28 	or releasing statutory or other marital interests in the real property to be conveyed or 
115.29 	transferred by the transfer on death deed.
115.30 	(d) "Owner" means a person having an ownership or other interest in all or part of the 
115.31 	real property to be conveyed or transferred by a transfer on death deed either at the time the 
116.1 	deed is executed or at the time the transfer becomes effective. Owner does not include a 
116.2 	spouse who joins in a transfer on death deed solely for the purpose of conveying or releasing 
116.3 	statutory or other marital interests in the real property to be conveyed or transferred by the 
116.4 	transfer on death deed.
116.5 	(e) "Property" and "interest in real property" mean any interest in real property located 
116.6 	in this state which is transferable on the death of the owner and includes, without limitation, 
116.7 	an interest in real property defined in chapter 500, a mortgage, a deed of trust, a security 
116.8 	interest in, or a security pledge of, an interest in real property, including the rights to 
116.9 	payments of the indebtedness secured by the security instrument, a judgment, a tax lien, 
116.10 	both the seller's and purchaser's interest in a contract for deed, land contract, purchase 
116.11 	agreement, or earnest money contract for the sale and purchase of real property, including 
116.12 	the rights to payments under such contracts, or any other lien on, or interest in, real property.
116.13 	(f) "Recorded" means recorded in the office of the county recorder or registrar of titles, 
116.14 	as appropriate for the real property described in the instrument to be recorded.
116.15 	(g) "State agency" means the Department of Human Services or any successor agency
116.16 	or Direct Care and Treatment or any successor agency.
116.17 	(h) "Transfer on death deed" means a deed authorized under this section.

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

116.19 	Sec. 74. Minnesota Statutes 2024, section 611.57, subdivision 2, is amended to read:
116.20 		Subd. 2.Membership. (a) The Certification Advisory Committee consists of the 
116.21 	following members:
116.22 	(1) a mental health professional, as defined in section 245I.02, subdivision 27, with 
116.23 	community behavioral health experience, appointed by the governor;
116.24 	(2) a board-certified forensic psychiatrist with experience in competency evaluations, 
116.25 	providing competency attainment services, or both, appointed by the governor;
116.26 	(3) a board-certified forensic psychologist with experience in competency evaluations, 
116.27 	providing competency attainment services, or both, appointed by the governor;
116.28 	(4) the president of the Minnesota Corrections Association or a designee;
116.29 	(5) the Direct Care and Treatment deputy commissionerchief executive officer or a 
116.30 	designee;
117.1 	(6) the president of the Minnesota Association of County Social Service Administrators 
117.2 	or a designee;
117.3 	(7) the president of the Minnesota Association of Community Mental Health Providers 
117.4 	or a designee;
117.5 	(8) the president of the Minnesota Sheriffs' Association or a designee; and
117.6 	(9) the executive director of the National Alliance on Mental Illness Minnesota or a 
117.7 	designee.
117.8 	(b) Members of the advisory committee serve without compensation and at the pleasure 
117.9 	of the appointing authority. Vacancies shall be filled by the appointing authority consistent 
117.10 	with the qualifications of the vacating member required by this subdivision.

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

117.12 	Sec. 75. Minnesota Statutes 2024, section 611.57, subdivision 4, is amended to read:
117.13 		Subd. 4.Duties. The Certification Advisory Committee shall consult with the Department 
117.14 	of Human Services, the Department of Health, and the Department of Corrections, and 
117.15 	Direct Care and Treatment; make recommendations to the Minnesota Competency Attainment 
117.16 	Board regarding competency attainment curriculum, certification requirements for 
117.17 	competency attainment programs including jail-based programs, and certification of 
117.18 	individuals to provide competency attainment services; and provide information and 
117.19 	recommendations on other issues relevant to competency attainment as requested by the 
117.20 	board.

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

117.22 	Sec. 76. Minnesota Statutes 2024, section 624.7131, subdivision 1, is amended to read:
117.23 		Subdivision 1.Information. Any person may apply for a transferee permit by providing 
117.24 	the following information in writing to the chief of police of an organized full time police 
117.25 	department of the municipality in which the person resides or to the county sheriff if there 
117.26 	is no such local chief of police:
117.27 	(1) the name, residence, telephone number, and driver's license number or 
117.28 	nonqualification certificate number, if any, of the proposed transferee;
117.29 	(2) the sex, date of birth, height, weight, and color of eyes, and distinguishing physical 
117.30 	characteristics, if any, of the proposed transferee;
118.1 	(3) a statement that the proposed transferee authorizes the release to the local police 
118.2 	authority of commitment information about the proposed transferee maintained by the 
118.3 	commissioner of human services Direct Care and Treatment executive board, to the extent 
118.4 	that the information relates to the proposed transferee's eligibility to possess a pistol or 
118.5 	semiautomatic military-style assault weapon under section 624.713, subdivision 1; and
118.6 	(4) a statement by the proposed transferee that the proposed transferee is not prohibited 
118.7 	by section 624.713 from possessing a pistol or semiautomatic military-style assault weapon.
118.8 	The statements shall be signed and dated by the person applying for a permit. At the 
118.9 	time of application, the local police authority shall provide the applicant with a dated receipt 
118.10 	for the application. The statement under clause (3) must comply with any applicable 
118.11 	requirements of Code of Federal Regulations, title 42, sections 2.31 to 2.35, with respect 
118.12 	to consent to disclosure of alcohol or drug abuse patient records.

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

118.14 	Sec. 77. Minnesota Statutes 2024, section 624.7131, subdivision 2, is amended to read:
118.15 		Subd. 2.Investigation. The chief of police or sheriff shall check criminal histories, 
118.16 	records and warrant information relating to the applicant through the Minnesota Crime 
118.17 	Information System, the national criminal record repository, and the National Instant Criminal 
118.18 	Background Check System. The chief of police or sheriff shall also make a reasonable effort 
118.19 	to check other available state and local record-keeping systems. The chief of police or sheriff 
118.20 	shall obtain commitment information from the commissioner of human services Direct Care 
118.21 	and Treatment executive board as provided in section 246C.15.

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

118.23 	Sec. 78. Minnesota Statutes 2024, section 624.7132, subdivision 1, is amended to read:
118.24 		Subdivision 1.Required information. Except as provided in this section and section 
118.25 	624.7131, every person who agrees to transfer a pistol or semiautomatic military-style 
118.26 	assault weapon shall report the following information in writing to the chief of police of 
118.27 	the organized full-time police department of the municipality where the proposed transferee 
118.28 	resides or to the appropriate county sheriff if there is no such local chief of police:
118.29 	(1) the name, residence, telephone number, and driver's license number or 
118.30 	nonqualification certificate number, if any, of the proposed transferee;
118.31 	(2) the sex, date of birth, height, weight, and color of eyes, and distinguishing physical 
118.32 	characteristics, if any, of the proposed transferee;
119.1 	(3) a statement that the proposed transferee authorizes the release to the local police 
119.2 	authority of commitment information about the proposed transferee maintained by the 
119.3 	commissioner of human services Direct Care and Treatment executive board, to the extent 
119.4 	that the information relates to the proposed transferee's eligibility to possess a pistol or 
119.5 	semiautomatic military-style assault weapon under section 624.713, subdivision 1;
119.6 	(4) a statement by the proposed transferee that the transferee is not prohibited by section 
119.7 	624.713 from possessing a pistol or semiautomatic military-style assault weapon; and
119.8 	(5) the address of the place of business of the transferor.
119.9 	The report shall be signed and dated by the transferor and the proposed transferee. The 
119.10 	report shall be delivered by the transferor to the chief of police or sheriff no later than three 
119.11 	days after the date of the agreement to transfer, excluding weekends and legal holidays. 
119.12 	The statement under clause (3) must comply with any applicable requirements of Code of 
119.13 	Federal Regulations, title 42, sections 2.31 to 2.35, with respect to consent to disclosure of 
119.14 	alcohol or drug abuse patient records.

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

119.16 	Sec. 79. Minnesota Statutes 2024, section 624.7132, subdivision 2, is amended to read:
119.17 		Subd. 2.Investigation. Upon receipt of a transfer report, the chief of police or sheriff 
119.18 	shall check criminal histories, records and warrant information relating to the proposed 
119.19 	transferee through the Minnesota Crime Information System, the national criminal record 
119.20 	repository, and the National Instant Criminal Background Check System. The chief of police 
119.21 	or sheriff shall also make a reasonable effort to check other available state and local 
119.22 	record-keeping systems. The chief of police or sheriff shall obtain commitment information 
119.23 	from the commissioner of human services Direct Care and Treatment executive board as 
119.24 	provided in section 246C.15.

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

119.26 	Sec. 80. Minnesota Statutes 2024, section 624.714, subdivision 3, is amended to read:
119.27 		Subd. 3.Form and contents of application. (a) Applications for permits to carry must 
119.28 	be an official, standardized application form, adopted under section 624.7151, and must set 
119.29 	forth in writing only the following information:
119.30 	(1) the applicant's name, residence, telephone number, if any, and driver's license number 
119.31 	or state identification card number;
120.1 	(2) the applicant's sex, date of birth, height, weight, and color of eyes and hair, and 
120.2 	distinguishing physical characteristics, if any;
120.3 	(3) the township or statutory city or home rule charter city, and county, of all Minnesota 
120.4 	residences of the applicant in the last five years, though not including specific addresses;
120.5 	(4) the township or city, county, and state of all non-Minnesota residences of the applicant 
120.6 	in the last five years, though not including specific addresses;
120.7 	(5) a statement that the applicant authorizes the release to the sheriff of commitment 
120.8 	information about the applicant maintained by the commissioner of human services Direct 
120.9 	Care and Treatment executive board or any similar agency or department of another state 
120.10 	where the applicant has resided, to the extent that the information relates to the applicant's 
120.11 	eligibility to possess a firearm; and
120.12 	(6) a statement by the applicant that, to the best of the applicant's knowledge and belief, 
120.13 	the applicant is not prohibited by law from possessing a firearm.
120.14 	(b) The statement under paragraph (a), clause (5), must comply with any applicable 
120.15 	requirements of Code of Federal Regulations, title 42, sections 2.31 to 2.35, with respect 
120.16 	to consent to disclosure of alcohol or drug abuse patient records.
120.17 	(c) An applicant must submit to the sheriff an application packet consisting only of the 
120.18 	following items:
120.19 	(1) a completed application form, signed and dated by the applicant;
120.20 	(2) an accurate photocopy of the certificate described in subdivision 2a, paragraph (c), 
120.21 	that is submitted as the applicant's evidence of training in the safe use of a pistol; and
120.22 	(3) an accurate photocopy of the applicant's current driver's license, state identification 
120.23 	card, or the photo page of the applicant's passport.
120.24 	(d) In addition to the other application materials, a person who is otherwise ineligible 
120.25 	for a permit due to a criminal conviction but who has obtained a pardon or expungement 
120.26 	setting aside the conviction, sealing the conviction, or otherwise restoring applicable rights, 
120.27 	must submit a copy of the relevant order.
120.28 	(e) Applications must be submitted in person.
120.29 	(f) The sheriff may charge a new application processing fee in an amount not to exceed 
120.30 	the actual and reasonable direct cost of processing the application or $100, whichever is 
120.31 	less. Of this amount, $10 must be submitted to the commissioner and deposited into the 
120.32 	general fund.
121.1 	(g) This subdivision prescribes the complete and exclusive set of items an applicant is 
121.2 	required to submit in order to apply for a new or renewal permit to carry. The applicant 
121.3 	must not be asked or required to submit, voluntarily or involuntarily, any information, fees, 
121.4 	or documentation beyond that specifically required by this subdivision. This paragraph does 
121.5 	not apply to alternate training evidence accepted by the sheriff under subdivision 2a, 
121.6 	paragraph (d).
121.7 	(h) Forms for new and renewal applications must be available at all sheriffs' offices and 
121.8 	the commissioner must make the forms available on the Internet.
121.9 	(i) Application forms must clearly display a notice that a permit, if granted, is void and 
121.10 	must be immediately returned to the sheriff if the permit holder is or becomes prohibited 
121.11 	by law from possessing a firearm. The notice must list the applicable state criminal offenses 
121.12 	and civil categories that prohibit a person from possessing a firearm.
121.13 	(j) Upon receipt of an application packet and any required fee, the sheriff must provide 
121.14 	a signed receipt indicating the date of submission.

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

121.16 	Sec. 81. Minnesota Statutes 2024, section 624.714, subdivision 4, is amended to read:
121.17 		Subd. 4.Investigation. (a) The sheriff must check, by means of electronic data transfer, 
121.18 	criminal records, histories, and warrant information on each applicant through the Minnesota 
121.19 	Crime Information System and the National Instant Criminal Background Check System. 
121.20 	The sheriff shall also make a reasonable effort to check other available and relevant federal, 
121.21 	state, or local record-keeping systems. The sheriff must obtain commitment information 
121.22 	from the commissioner of human services Direct Care and Treatment executive board as 
121.23 	provided in section 246C.15 or, if the information is reasonably available, as provided by 
121.24 	a similar statute from another state.
121.25 	(b) When an application for a permit is filed under this section, the sheriff must notify 
121.26 	the chief of police, if any, of the municipality where the applicant resides. The police chief 
121.27 	may provide the sheriff with any information relevant to the issuance of the permit.
121.28 	(c) The sheriff must conduct a background check by means of electronic data transfer 
121.29 	on a permit holder through the Minnesota Crime Information System and the National 
121.30 	Instant Criminal Background Check System at least yearly to ensure continuing eligibility. 
121.31 	The sheriff may also conduct additional background checks by means of electronic data 
121.32 	transfer on a permit holder at any time during the period that a permit is in effect.

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

122.1 	Sec. 82. Minnesota Statutes 2024, section 631.40, subdivision 3, is amended to read:
122.2 		Subd. 3.Departments of Human Services; Children, Youth, and Families; and 
122.3 	Health licensees. When a person who is affiliated with a program or facility governed or 
122.4 	licensed by Direct Care and Treatment; the Department of Human Services,; Department 
122.5 	of Children, Youth, and Families,; or Department of Health is convicted of a disqualifying 
122.6 	crime, the probation officer or corrections agent shall notify the commissioner of the 
122.7 	conviction, as provided in chapter 245C.

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

122.9 	Sec. 83. REVISOR INSTRUCTION.
 122.10 	(a) The revisor of statutes shall renumber Minnesota Statutes, section 252.50, subdivision 
122.11 	5, as Minnesota Statutes, section 246C.11, subdivision 4a.
122.12 	(b) The revisor of statutes shall renumber Minnesota Statutes, section 252.52, as 
122.13 	Minnesota Statutes, section 246C.191.
122.14 	(c) The revisor of statutes shall make necessary cross-reference changes consistent with 
122.15 	the renumbering in this section.

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

122.17 	Sec. 84. REPEALER.
 122.18 	(a) Minnesota Statutes 2024, sections 245.4862; 246.015, subdivision 3; 246.50, 
122.19 	subdivision 2; and 246B.04, subdivision 1a, are repealed.
122.20 	(b) Laws 2024, chapter 79, article 1, sections 15; 16; and 17, are repealed.

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

122.22 	ARTICLE 4
122.23 	SUBSTANCE USE DISORDER TREATMENT SERVICES POLICY

122.24 	Section 1. Minnesota Statutes 2024, section 4.046, subdivision 2, is amended to read:
122.25 		Subd. 2.Subcabinet membership. The subcabinet consists of the following members:
122.26 	(1) the commissioner of human services;
122.27 	(2) the commissioner of health;
122.28 	(3) the commissioner of education;
123.1 	(4) the commissioner of public safety;
123.2 	(5) the commissioner of corrections;
123.3 	(6) the commissioner of management and budget;
123.4 	(7) the commissioner of higher education;
123.5 	(8) the commissioner of children, youth, and families;
123.6 	(9) the chief executive officer of direct care and treatment;
123.7 	(10) the commissioner of commerce;
123.8 	(11) the director of the Office of Cannabis Management;
123.9 	(8) (12) the chair of the Interagency Council on Homelessness; and
123.10 	(9) (13) the governor's director of addiction and recovery, who shall serve as chair of 
123.11 	the subcabinet.

123.12 	Sec. 2. Minnesota Statutes 2024, section 4.046, subdivision 3, is amended to read:
123.13 		Subd. 3.Policy and strategy development. The subcabinet must engage in the following 
123.14 	duties related to the development of opioid use, substance use, and addiction policy and 
123.15 	strategy:
123.16 	(1) identify challenges and opportunities that exist relating to accessing treatment and 
123.17 	support services and develop recommendations to overcome these barriers for all 
123.18 	Minnesotans;
123.19 	(2) with input from affected communities, develop policies and strategies that will reduce 
123.20 	barriers and gaps in service for all Minnesotans seeking treatment for opioid or substance 
123.21 	use disorder, particularly for those Minnesotans who are members of communities 
123.22 	disproportionately impacted by substance use and addiction;
123.23 	(3) develop policies and strategies that the state may adopt to expand Minnesota's recovery 
123.24 	infrastructure, including detoxification or withdrawal management facilities, treatment 
123.25 	facilities, and sober housing;
123.26 	(4) identify innovative services and strategies for effective treatment and support;
123.27 	(5) develop policies and strategies to expand services and support for people in Minnesota 
123.28 	suffering from opioid or substance use disorder through partnership with the Opioid Epidemic 
123.29 	Response Advisory Council and other relevant partnerships;
124.1 	(6) develop policies and strategies for agencies to manage addiction and the relationship 
124.2 	it has with co-occurring conditions;
124.3 	(7) identify policies and strategies to address opioid or substance use disorder among 
124.4 	Minnesotans experiencing homelessness; and
124.5 	(8) submit recommendations to the legislature addressing opioid use, substance use, and 
124.6 	addiction in Minnesota.; and
124.7 	(9) develop and publish a comprehensive substance use and addiction plan for the state. 
124.8 	The plan must establish goals and priorities for a comprehensive continuum of care for 
124.9 	substance misuse and substance use disorder for Minnesota. All state agencies' operating 
124.10 	programs related to substance use prevention, harm reduction, treatment, or recovery or 
124.11 	that are administering state or federal funds for those programs shall set program goals and 
124.12 	priorities in accordance with the state plan. Each state agency shall submit its relevant plans 
124.13 	and budgets to the subcabinet for review upon request.

124.14 	Sec. 3. Minnesota Statutes 2024, section 245F.06, subdivision 2, is amended to read:
124.15 		Subd. 2.Comprehensive assessment. (a) Prior to a medically stable discharge, but not 
124.16 	later than 72 hours following admission, a license holder must provide a comprehensive 
124.17 	assessment according to sections 245.4863, paragraph (a), and 245G.05, for each patient 
124.18 	who has a positive screening for a substance use disorder. If a patient's medical condition 
124.19 	prevents a comprehensive assessment from being completed within 72 hours, the license 
124.20 	holder must document why the assessment was not completed. The comprehensive 
124.21 	assessment must include documentation of the appropriateness of an involuntary referral 
124.22 	through the civil commitment process.
124.23 	(b) If available to the program, a patient's previous comprehensive assessment may be 
124.24 	used in the patient record. If a previously completed comprehensive assessment is used, its 
124.25 	contents must be reviewed to ensure the assessment is accurate and current and complies 
124.26 	with the requirements of this chapter. The review must be completed by a staff person 
124.27 	qualified according to section 245G.11, subdivision 5 245G.05. The license holder must 
124.28 	document that the review was completed and that the previously completed assessment is 
124.29 	accurate and current, or the license holder must complete an updated or new assessment.

124.30 	Sec. 4. Minnesota Statutes 2024, section 245G.05, subdivision 1, is amended to read:
124.31 		Subdivision 1.Comprehensive assessment. (a) A comprehensive assessment of the 
124.32 	client's substance use disorder must be administered face-to-face by an alcohol and drug 
125.1 	counselor within five calendar days from the day of service initiation for a residential 
125.2 	program or by the end of the fifth day on which a treatment service is provided in a 
125.3 	nonresidential program. The number of days to complete the comprehensive assessment 
125.4 	excludes the day of service initiation.
125.5 	(b) A comprehensive assessment must be administered by:
125.6 	(1) an alcohol and drug counselor;
125.7 	(2) a mental health professional who meets the qualifications under section 245I.04, 
125.8 	subdivision 2; practices within the scope of their professional licensure; and has at least 12 
125.9 	hours of training in substance use disorder and treatment;
125.10 	(3) a clinical trainee who meets the qualifications under section 245I.04, subdivision 6, 
125.11 	practicing under the supervision of a mental health professional who meets the requirements 
125.12 	of clause (2); or
125.13 	(4) an advanced practice registered nurse as defined in section 148.171, subdivision 3, 
125.14 	who practices within the scope of their professional licensure and has at least 12 hours of 
125.15 	training in substance use disorder and treatment.
125.16 	(c) If the comprehensive assessment is not completed within the required time frame, 
125.17 	the person-centered reason for the delay and the planned completion date must be documented 
125.18 	in the client's file. The comprehensive assessment is complete upon a qualified staff member's 
125.19 	dated signature. If the client received a comprehensive assessment that authorized the 
125.20 	treatment service, an alcohol and drug counselor a staff member qualified under paragraph 
125.21 	(b) may use the comprehensive assessment for requirements of this subdivision but must 
125.22 	document a review of the comprehensive assessment and update the comprehensive 
125.23 	assessment as clinically necessary to ensure compliance with this subdivision within 
125.24 	applicable timelines. An alcohol and drug counselor A staff member qualified under 
125.25 	paragraph (b) must sign and date the comprehensive assessment review and update.

125.26 	Sec. 5. Minnesota Statutes 2024, section 245G.11, subdivision 7, is amended to read:
125.27 		Subd. 7.Treatment coordination provider qualifications. (a) Treatment coordination 
125.28 	must be provided by qualified staff. An individual is qualified to provide treatment 
125.29 	coordination if the individual meets the qualifications of an alcohol and drug counselor 
125.30 	under subdivision 5 or if the individual:
125.31 	(1) is skilled in the process of identifying and assessing a wide range of client needs;
126.1 	(2) is knowledgeable about local community resources and how to use those resources 
126.2 	for the benefit of the client;
126.3 	(3) has successfully completed 30 15 hours of classroom instruction on treatment
126.4 	education or training on substance use disorder, co-occurring conditions, and care
126.5 	coordination for an individual individuals with substance use disorder or co-occurring 
126.6 	conditions that is consistent with national evidence-based standards;
126.7 	(4) has either meets one of the following criteria:
126.8 	(i) has a high school diploma or equivalent;
126.9 	(ii) has a bachelor's degree in one of the behavioral sciences or related fields; or
126.10 	(ii) current certification as an alcohol and drug counselor, level I, by the Upper Midwest 
126.11 	Indian Council on Addictive Disorders (iii) is a mental health practitioner that meets the 
126.12 	qualifications under section 245I.04, subdivision 4; and
126.13 	(5) either has at least 2,000 1,000 hours of supervised experience working with individuals 
126.14 	with substance use disorder or co-occurring conditions or receives treatment supervision at 
126.15 	least once per week until obtaining 1,000 hours of supervised experience working with 
126.16 	individuals with substance use disorder or co-occurring conditions.
126.17 	(b) A treatment coordinator must receive at least one hour of supervision regarding 
126.18 	individual service delivery from an alcohol and drug counselor, or a mental health 
126.19 	professional who has substance use treatment and assessments within the scope of their 
126.20 	practice, on a monthly basis. An alcohol and drug counselor or a mental health professional 
126.21 	who has substance use treatment and assessments within the scope of their practice, must 
126.22 	provide the following levels of supervision:
126.23 	(1) treatment coordinators that have not yet obtained 1,000 hours of supervised experience 
126.24 	as required in paragraph (a), clause (5), must receive at least one hour of weekly supervision; 
126.25 	or
126.26 	(2) treatment coordinators that have obtained at least 1,000 hours of supervised experience 
126.27 	as required in paragraph (a), clause (5), must receive at least one hour per month of 
126.28 	supervision.

126.29 	Sec. 6. Minnesota Statutes 2024, section 254A.03, subdivision 1, is amended to read:
126.30 		Subdivision 1.Alcohol and Other Drug Abuse Section. There is hereby created an 
126.31 	Alcohol and Other Drug Abuse Section in the Department of Human Services. This section 
126.32 	shall be headed by a director. The commissioner may place the director's position in the 
127.1 	unclassified service if the position meets the criteria established in section 43A.08, 
127.2 	subdivision 1a. The section shall:
127.3 	(1) conduct and foster basic research relating to the cause, prevention and methods of 
127.4 	diagnosis, treatment and recovery of persons with substance misuse and substance use 
127.5 	disorder;
127.6 	(2) coordinate and review all activities and programs of all the various state departments 
127.7 	as they relate to problems associated with substance misuse and substance use disorder;
127.8 	(3) (2) develop, demonstrate, and disseminate new methods and techniques for prevention, 
127.9 	early intervention, treatment and recovery support for substance misuse and substance use 
127.10 	disorder;
127.11 	(4) (3) gather facts and information about substance misuse and substance use disorder, 
127.12 	and about the efficiency and effectiveness of prevention, treatment, and recovery support 
127.13 	services from all comprehensive programs, including programs approved or licensed by the 
127.14 	commissioner of human services or the commissioner of health or accredited by the Joint 
127.15 	Commission on Accreditation of Hospitals. The state authority is authorized to require 
127.16 	information from comprehensive programs which is reasonable and necessary to fulfill 
127.17 	these duties. When required information has been previously furnished to a state or local 
127.18 	governmental agency, the state authority shall collect the information from the governmental 
127.19 	agency. The state authority shall disseminate facts and summary information about problems 
127.20 	associated with substance misuse and substance use disorder to public and private agencies, 
127.21 	local governments, local and regional planning agencies, and the courts for guidance to and 
127.22 	assistance in prevention, treatment and recovery support;
127.23 	(5) (4) inform and educate the general public on substance misuse and substance use 
127.24 	disorder;
127.25 	(6) (5) serve as the state authority concerning substance misuse and substance use disorder 
127.26 	by monitoring the conduct of diagnosis and referral services, research and comprehensive 
127.27 	programs. The state authority shall submit a biennial report to the governor containing a 
127.28 	description of public services delivery and recommendations concerning increase of 
127.29 	coordination and quality of services, and decrease of service duplication and cost;
127.30 	(7) establish a state plan which shall set forth goals and priorities for a comprehensive 
127.31 	continuum of care for substance misuse and substance use disorder for Minnesota. All state 
127.32 	agencies operating substance misuse or substance use disorder programs or administering 
127.33 	state or federal funds for such programs shall annually set their program goals and priorities 
127.34 	in accordance with the state plan. Each state agency shall annually submit its plans and 
128.1 	budgets to the state authority for review. The state authority shall certify whether proposed 
128.2 	services comply with the comprehensive state plan and advise each state agency of review 
128.3 	findings;
128.4 	(8) (6) make contracts with and grants to public and private agencies and organizations, 
128.5 	both profit and nonprofit, and individuals, using federal funds, and state funds as authorized 
128.6 	to pay for costs of state administration, including evaluation, statewide programs and services, 
128.7 	research and demonstration projects, and American Indian programs;
128.8 	(9) (7) receive and administer money available for substance misuse and substance use 
128.9 	disorder programs under the alcohol, drug abuse, and mental health services block grant, 
128.10 	United States Code, title 42, sections 300X to 300X-9;
128.11 	(10) (8) solicit and accept any gift of money or property for purposes of Laws 1973, 
128.12 	chapter 572, and any grant of money, services, or property from the federal government, 
128.13 	the state, any political subdivision thereof, or any private source; and
128.14 	(11) (9) with respect to substance misuse and substance use disorder programs serving 
128.15 	the American Indian community, establish guidelines for the employment of personnel with 
128.16 	considerable practical experience in substance misuse and substance use disorder, and 
128.17 	understanding of social and cultural problems related to substance misuse and substance 
128.18 	use disorder, in the American Indian community.

128.19 	Sec. 7. Minnesota Statutes 2024, section 254A.19, subdivision 6, is amended to read:
128.20 		Subd. 6.Assessments for detoxification programs. For detoxification programs licensed 
128.21 	under chapter 245A according to Minnesota Rules, parts 9530.6510 to 9530.6590, a 
128.22 	"chemical use assessment" is a comprehensive assessment completed according to the 
128.23 	requirements of section 245G.05and a "chemical dependency assessor" or "assessor" is an 
128.24 	individual who meets the qualifications of section 245G.11, subdivisions 1 and 5.

128.25 	Sec. 8. Minnesota Statutes 2024, section 254A.19, subdivision 7, is amended to read:
128.26 		Subd. 7.Assessments for children's residential facilities. For children's residential 
128.27 	facilities licensed under chapter 245A according to Minnesota Rules, parts 2960.0010 to 
128.28 	2960.0220 and 2960.0430 to 2960.0490, a "chemical use assessment" is a comprehensive 
128.29 	assessment completed according to the requirements of section 245G.05and must be 
128.30 	completed by an individual who meets the qualifications of section 245G.11, subdivisions 
128.31 	1 and 5.

129.1 	Sec. 9. Minnesota Statutes 2024, section 254B.05, subdivision 1, is amended to read:
129.2 		Subdivision 1.Licensure or certification required. (a) Programs licensed by the 
129.3 	commissioner are eligible vendors. Hospitals may apply for and receive licenses to be 
129.4 	eligible vendors, notwithstanding the provisions of section 245A.03. American Indian 
129.5 	programs that provide substance use disorder treatment, extended care, transitional residence, 
129.6 	or outpatient treatment services, and are licensed by tribal government are eligible vendors.
129.7 	(b) A licensed professional in private practice as defined in section 245G.01, subdivision 
129.8 	17, who meets the requirements of section 245G.11, subdivisions 1 and 4, is an eligible 
129.9 	vendor of a comprehensive assessment provided according to section 254A.19, subdivision 
129.10 	3, and treatment services provided according to sections 245G.06 and 245G.07, subdivision 
129.11 	1, paragraphs (a), clauses (1) to (5), and (b); and subdivision 2, clauses (1) to (6).
129.12 	(c) A county is an eligible vendor for a comprehensive assessment when provided by 
129.13 	an individual who meets the staffing credentials of section 245G.11, subdivisions 1 and 5, 
129.14 	and completed according to the requirements of section 254A.19, subdivision 3. A county 
129.15 	is an eligible vendor of care coordination services when provided by an individual who 
129.16 	meets the staffing credentials of section 245G.11, subdivisions 1 and 7, and provided 
129.17 	according to the requirements of section 245G.07, subdivision 1, paragraph (a), clause (5). 
129.18 	A county is an eligible vendor of peer recovery services when the services are provided by 
129.19 	an individual who meets the requirements of section 245G.11, subdivision 8.
129.20 	(d) A recovery community organization that meets the requirements of clauses (1) to 
129.21 	(14) (15) and meets certification or accreditation requirements of the Alliance for Recovery 
129.22 	Centered Organizations, the Council on Accreditation of Peer Recovery Support Services, 
129.23 	or a Minnesota statewide recovery organization identified by the commissioner is an eligible 
129.24 	vendor of peer recovery support services. A Minnesota statewide recovery organization 
129.25 	identified by the commissioner must update recovery community organization applicants 
129.26 	for certification or accreditation on the status of the application within 45 days of receipt. 
129.27 	If the approved statewide recovery organization denies an application, it must provide a 
129.28 	written explanation for the denial to the recovery community organization. Eligible vendors 
129.29 	under this paragraph must:
129.30 	(1) be nonprofit organizations under section 501(c)(3) of the Internal Revenue Code, be 
129.31 	free from conflicting self-interests, and be autonomous in decision-making, program 
129.32 	development, peer recovery support services provided, and advocacy efforts for the purpose 
129.33 	of supporting the recovery community organization's mission;
130.1 	(2) be led and governed by individuals in the recovery community, with more than 50 
130.2 	percent of the board of directors or advisory board members self-identifying as people in 
130.3 	personal recovery from substance use disorders;
130.4 	(3) have a mission statement and conduct corresponding activities indicating that the 
130.5 	organization's primary purpose is to support recovery from substance use disorder;
130.6 	(4) demonstrate ongoing community engagement with the identified primary region and 
130.7 	population served by the organization, including individuals in recovery and their families, 
130.8 	friends, and recovery allies;
130.9 	(5) be accountable to the recovery community through documented priority-setting and 
130.10 	participatory decision-making processes that promote the engagement of, and consultation 
130.11 	with, people in recovery and their families, friends, and recovery allies;
130.12 	(6) provide nonclinical peer recovery support services, including but not limited to 
130.13 	recovery support groups, recovery coaching, telephone recovery support, skill-building, 
130.14 	and harm-reduction activities, and provide recovery public education and advocacy;
130.15 	(7) have written policies that allow for and support opportunities for all paths toward 
130.16 	recovery and refrain from excluding anyone based on their chosen recovery path, which 
130.17 	may include but is not limited to harm reduction paths, faith-based paths, and nonfaith-based 
130.18 	paths;
130.19 	(8) maintain organizational practices to meet the needs of Black, Indigenous, and people 
130.20 	of color communities, LGBTQ+ communities, and other underrepresented or marginalized 
130.21 	communities. Organizational practices may include board and staff training, service offerings, 
130.22 	advocacy efforts, and culturally informed outreach and services;
130.23 	(9) use recovery-friendly language in all media and written materials that is supportive 
130.24 	of and promotes recovery across diverse geographical and cultural contexts and reduces 
130.25 	stigma;
130.26 	(10) establish and maintain a publicly available recovery community organization code 
130.27 	of ethics and grievance policy and procedures;
130.28 	(11) not classify or treat any recovery peer hired on or after July 1, 2024, as an 
130.29 	independent contractor;
130.30 	(12) not classify or treat any recovery peer as an independent contractor on or after 
130.31 	January 1, 2025;
131.1 	(13) provide an orientation for recovery peers that includes an overview of the consumer 
131.2 	advocacy services provided by the Ombudsman for Mental Health and Developmental 
131.3 	Disabilities and other relevant advocacy services; and
131.4 	(14) provide notice to peer recovery support services participants that includes the 
131.5 	following statement: "If you have a complaint about the provider or the person providing 
131.6 	your peer recovery support services, you may contact the Minnesota Alliance of Recovery 
131.7 	Community Organizations. You may also contact the Office of Ombudsman for Mental 
131.8 	Health and Developmental Disabilities." The statement must also include:
131.9 	(i) the telephone number, website address, email address, and mailing address of the 
131.10 	Minnesota Alliance of Recovery Community Organizations and the Office of Ombudsman 
131.11 	for Mental Health and Developmental Disabilities;
131.12 	(ii) the recovery community organization's name, address, email, telephone number, and 
131.13 	name or title of the person at the recovery community organization to whom problems or 
131.14 	complaints may be directed; and
131.15 	(iii) a statement that the recovery community organization will not retaliate against a 
131.16 	peer recovery support services participant because of a complaint; and
131.17 	(15) comply with the requirements of section 245A.04, subdivision 15a.
131.18 	(e) A recovery community organization approved by the commissioner before June 30, 
131.19 	2023, must have begun the application process as required by an approved certifying or 
131.20 	accrediting entity and have begun the process to meet the requirements under paragraph (d) 
131.21 	by September 1, 2024, in order to be considered as an eligible vendor of peer recovery 
131.22 	support services.
131.23 	(f) A recovery community organization that is aggrieved by an accreditation, certification, 
131.24 	or membership determination and believes it meets the requirements under paragraph (d) 
131.25 	may appeal the determination under section 256.045, subdivision 3, paragraph (a), clause 
131.26 	(14), for reconsideration as an eligible vendor. If the human services judge determines that 
131.27 	the recovery community organization meets the requirements under paragraph (d), the 
131.28 	recovery community organization is an eligible vendor of peer recovery support services.
131.29 	(g) All recovery community organizations must be certified or accredited by an entity 
131.30 	listed in paragraph (d) by June 30, 2025.
131.31 	(h) Detoxification programs licensed under Minnesota Rules, parts 9530.6510 to 
131.32 	9530.6590, are not eligible vendors. Programs that are not licensed as a residential or 
131.33 	nonresidential substance use disorder treatment or withdrawal management program by the 
132.1 	commissioner or by tribal government or do not meet the requirements of subdivisions 1a 
132.2 	and 1b are not eligible vendors.
132.3 	(i) Hospitals, federally qualified health centers, and rural health clinics are eligible 
132.4 	vendors of a comprehensive assessment when the comprehensive assessment is completed 
132.5 	according to section 254A.19, subdivision 3, and by an individual who meets the criteria 
132.6 	of an alcohol and drug counselor according to section 245G.11, subdivision 5. The alcohol 
132.7 	and drug counselor must be individually enrolled with the commissioner and reported on 
132.8 	the claim as the individual who provided the service.
132.9 	(j) Any complaints about a recovery community organization or peer recovery support 
132.10 	services may be made to and reviewed or investigated by the ombudsperson for behavioral 
132.11 	health and developmental disabilities under sections 245.91 and 245.94.

132.12 	Sec. 10. Minnesota Statutes 2024, section 254B.05, subdivision 5, is amended to read:
132.13 		Subd. 5.Rate requirements. (a) The commissioner shall establish rates for substance 
132.14 	use disorder services and service enhancements funded under this chapter.
132.15 	(b) Eligible substance use disorder treatment services include:
132.16 	(1) those licensed, as applicable, according to chapter 245G or applicable Tribal license 
132.17 	and provided according to the following ASAM levels of care:
132.18 	(i) ASAM level 0.5 early intervention services provided according to section 254B.19, 
132.19 	subdivision 1, clause (1);
132.20 	(ii) ASAM level 1.0 outpatient services provided according to section 254B.19, 
132.21 	subdivision 1, clause (2);
132.22 	(iii) ASAM level 2.1 intensive outpatient services provided according to section 254B.19, 
132.23 	subdivision 1, clause (3);
132.24 	(iv) ASAM level 2.5 partial hospitalization services provided according to section 
132.25 	254B.19, subdivision 1, clause (4);
132.26 	(v) ASAM level 3.1 clinically managed low-intensity residential services provided 
132.27 	according to section 254B.19, subdivision 1, clause (5). The commissioner shall use the 
132.28 	base payment rate of $79.84 per day for services provided under this item;
132.29 	(vi) ASAM level 3.1 clinically managed low-intensity residential services provided 
132.30 	according to section 254B.19, subdivision 1, clause (5), at 15 or more hours of skilled 
132.31 	treatment services each week. The commissioner shall use the base payment rate of $166.13 
132.32 	per day for services provided under this item;
133.1 	(vii) ASAM level 3.3 clinically managed population-specific high-intensity residential 
133.2 	services provided according to section 254B.19, subdivision 1, clause (6). The commissioner 
133.3 	shall use the specified base payment rate of $224.06 per day for services provided under 
133.4 	this item; and
133.5 	(viii) ASAM level 3.5 clinically managed high-intensity residential services provided 
133.6 	according to section 254B.19, subdivision 1, clause (7). The commissioner shall use the 
133.7 	specified base payment rate of $224.06 per day for services provided under this item;
133.8 	(2) comprehensive assessments provided according to section 254A.19, subdivision 3;
133.9 	(3) treatment coordination services provided according to section 245G.07, subdivision 
133.10 	1, paragraph (a), clause (5);
133.11 	(4) peer recovery support services provided according to section 245G.07, subdivision 
133.12 	2, clause (8);
133.13 	(5) withdrawal management services provided according to chapter 245F;
133.14 	(6) hospital-based treatment services that are licensed according to sections 245G.01 to 
133.15 	245G.17 or applicable Tribal license and licensed as a hospital under sections 144.50 to 
133.16 	144.56;
133.17 	(7) substance use disorder treatment services with medications for opioid use disorder 
133.18 	provided in an opioid treatment program licensed according to sections 245G.01 to 245G.17 
133.19 	and 245G.22, or under an applicable Tribal license;
133.20 	(8) medium-intensity residential treatment services that provide 15 hours of skilled 
133.21 	treatment services each week and are licensed according to sections 245G.01 to 245G.17 
133.22 	and 245G.21 or applicable Tribal license;
133.23 	(9) adolescent treatment programs that are licensed as outpatient treatment programs 
133.24 	according to sections 245G.01 to 245G.18 or as residential treatment programs according 
133.25 	to Minnesota Rules, parts 2960.0010 to 2960.0220, and 2960.0430 to 2960.0490, or 
133.26 	applicable Tribal license;
133.27 	(10) ASAM 3.5 clinically managed high-intensity residential services that are licensed 
133.28 	according to sections 245G.01 to 245G.17 and 245G.21 or applicable Tribal license, which 
133.29 	provide ASAM level of care 3.5 according to section 254B.19, subdivision 1, clause (7), 
133.30 	and are provided by a state-operated vendor or to clients who have been civilly committed 
133.31 	to the commissioner, present the most complex and difficult care needs, and are a potential 
133.32 	threat to the community; and
134.1 	(11) room and board facilities that meet the requirements of subdivision 1a.
134.2 	(c) The commissioner shall establish higher rates for programs that meet the requirements 
134.3 	of paragraph (b) and one of the following additional requirements:
134.4 	(1) programs that serve parents with their children if the program:
134.5 	(i) provides on-site child care during the hours of treatment activity that:
134.6 	(A) is licensed under chapter 245A as a child care center under Minnesota Rules, chapter 
134.7 	9503; or
134.8 	(B) is licensed under chapter 245A and sections 245G.01 to 245G.19; or
134.9 	(ii) arranges for off-site child care during hours of treatment activity at a facility that is 
134.10 	licensed under chapter 245A as:
134.11 	(A) a child care center under Minnesota Rules, chapter 9503; or
134.12 	(B) a family child care home under Minnesota Rules, chapter 9502;
134.13 	(2) culturally specific or culturally responsive programs as defined in section 254B.01, 
134.14 	subdivision 4a;
134.15 	(3) disability responsive programs as defined in section 254B.01, subdivision 4b;
134.16 	(4) programs that offer medical services delivered by appropriately credentialed health 
134.17 	care staff in an amount equal to one hour per client per week if the medical needs of the 
134.18 	client and the nature and provision of any medical services provided are documented in the 
134.19 	client file; or
134.20 	(5) programs that offer services to individuals with co-occurring mental health and 
134.21 	substance use disorder problems if:
134.22 	(i) the program meets the co-occurring requirements in section 245G.20;
134.23 	(ii) the program employs a mental health professional as defined in section 245I.04, 
134.24 	subdivision 2;
134.25 	(iii) clients scoring positive on a standardized mental health screen receive a mental 
134.26 	health diagnostic assessment within ten days of admission, excluding weekends and holidays;
134.27 	(iv) the program has standards for multidisciplinary case review that include a monthly 
134.28 	review for each client that, at a minimum, includes a licensed mental health professional 
134.29 	and licensed alcohol and drug counselor, and their involvement in the review is documented;
135.1 	(v) family education is offered that addresses mental health and substance use disorder 
135.2 	and the interaction between the two; and
135.3 	(vi) co-occurring counseling staff shall receive eight hours of co-occurring disorder 
135.4 	training annually.
135.5 	(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program 
135.6 	that provides arrangements for off-site child care must maintain current documentation at 
135.7 	the substance use disorder facility of the child care provider's current licensure to provide 
135.8 	child care services.
135.9 	(e) Adolescent residential programs that meet the requirements of Minnesota Rules, 
135.10 	parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the requirements 
135.11 	in paragraph (c), clause (5), items (i) to (iv).
135.12 	(f) Substance use disorder services that are otherwise covered as direct face-to-face 
135.13 	services may be provided via telehealth as defined in section 256B.0625, subdivision 3b. 
135.14 	The use of telehealth to deliver services must be medically appropriate to the condition and 
135.15 	needs of the person being served. Reimbursement shall be at the same rates and under the 
135.16 	same conditions that would otherwise apply to direct face-to-face services.
135.17 	(g) For the purpose of reimbursement under this section, substance use disorder treatment 
135.18 	services provided in a group setting without a group participant maximum or maximum 
135.19 	client to staff ratio under chapter 245G shall not exceed a client to staff ratio of 48 to one. 
135.20 	At least one of the attending staff must meet the qualifications as established under this 
135.21 	chapter for the type of treatment service provided. A recovery peer may not be included as 
135.22 	part of the staff ratio.
135.23 	(h) Payment for outpatient substance use disorder services that are licensed according 
135.24 	to sections 245G.01 to 245G.17 is limited to six hours per day or 30 hours per week unless 
135.25 	prior authorization of a greater number of hours is obtained from the commissioner.
135.26 	(i) Payment for substance use disorder services under this section must start from the 
135.27 	day of service initiation, when the comprehensive assessment is completed within the 
135.28 	required timelines.
135.29 	(j) A license holder that is unable to provide all residential treatment services because 
135.30 	a client missed services remains eligible to bill for the client's intensity level of services 
135.31 	under this paragraph if the license holder can document the reason the client missed services 
135.32 	and the interventions done to address the client's absence.
136.1 	(k) Hours in a treatment week may be reduced in observance of federally recognized 
136.2 	holidays.
136.3 	(l) Eligible vendors of peer recovery support services must:
136.4 	(1) submit to a review by the commissioner of up to ten percent of all medical assistance 
136.5 	and behavioral health fund claims to determine the medical necessity of peer recovery 
136.6 	support services for entities billing for peer recovery support services individually and not 
136.7 	receiving a daily rate; and
136.8 	(2) limit an individual client to 14 hours per week for peer recovery support services 
136.9 	from an individual provider of peer recovery support services.
136.10 	(m) Peer recovery support services not provided in accordance with section 254B.052 
136.11 	are subject to monetary recovery under section 256B.064 as money improperly paid.

136.12 	Sec. 11. [256G.061] WITHDRAWAL MANAGEMENT SERVICES.
136.13 	The county of financial responsibility for withdrawal management services is defined 
136.14 	in section 256G.02, subdivision 4.

136.15 	ARTICLE 5
136.16 	MISCELLANEOUS POLICY

136.17 	Section 1. Minnesota Statutes 2024, section 62Q.75, subdivision 3, is amended to read:
136.18 		Subd. 3.Claims filing. (a) Unless otherwise provided by contract, by section 16A.124, 
136.19 	subdivision 4a, or by federal law, the health care providers and facilities specified in 
136.20 	subdivision 2 must submit their charges to a health plan company or third-party administrator 
136.21 	within six months from the date of service or the date the health care provider knew or was 
136.22 	informed of the correct name and address of the responsible health plan company or 
136.23 	third-party administrator, whichever is later.
136.24 	(b) A health care provider or facility that does not make an initial submission of charges 
136.25 	within the six-month period in paragraph (a), the 12-month period in paragraph (c), or the 
136.26 	additional six-month period in paragraph (d) shall not be reimbursed for the charge and may 
136.27 	not collect the charge from the recipient of the service or any other payer.
136.28 	(c) The six-month submission requirement in paragraph (a) may be extended to 12 
136.29 	months in cases where a health care provider or facility specified in subdivision 2 has 
136.30 	determined and can substantiate that it has experienced a significant disruption to normal 
137.1 	operations that materially affects the ability to conduct business in a normal manner and to 
137.2 	submit claims on a timely basis.
137.3 	(d) The six-month submission requirement in paragraph (a) may be extended an additional 
137.4 	six months if a health plan company or third-party administrator makes any adjustment or 
137.5 	recoupment of payment. The additional six months begins on the date the health plan 
137.6 	company or third-party administrator adjusts or recoups the payment.
137.7 	(e) Any request by a health care provider or facility specified in subdivision 2 for an 
137.8 	exception to a contractually defined claims submission timeline must be reviewed and acted 
137.9 	upon by the health plan company within the same time frame as the contractually agreed 
137.10 	upon claims filing timeline.
137.11 	(f) This subdivision also applies to all health care providers and facilities that submit 
137.12 	charges to workers' compensation payers for treatment of a workers' compensation injury 
137.13 	compensable under chapter 176, or to reparation obligors for treatment of an injury 
137.14 	compensable under chapter 65B.

	ARTICLE 1	AGING AND DISABILITY SERVICES POLICY........	Page.Ln 2.2	
	ARTICLE 2	DEPARTMENT OF HEALTH POLICY........	Page.Ln 19.24	
	ARTICLE 3	DIRECT CARE AND TREATMENT POLICY........	Page.Ln 43.18	
	ARTICLE 4	SUBSTANCE USE DISORDER TREATMENT SERVICES POLICY........	Page.Ln 122.22	
	ARTICLE 5	MISCELLANEOUS POLICY........	Page.Ln 136.15	

APPENDIX 

Repealed Minnesota Statutes: ueh2115-1 

144G.9999 RESIDENT QUALITY OF CARE AND OUTCOMES IMPROVEMENT TASK FORCE.Subdivision 1.Establishment. 
The commissioner shall establish a Resident Quality of Care and Outcomes Improvement Task Force to examine and make recommendations, on an ongoing basis, on how to apply proven safety and quality improvement practices and infrastructure to settings and providers that provide long-term services and supports. 

Subd. 2.Membership. 
The task force shall include representation from: 

(1) nonprofit Minnesota-based organizations dedicated to patient safety or innovation in health care safety and quality; 

(2) Department of Health staff with expertise in issues related to safety and adverse health events; 

(3) consumer organizations; 

(4) direct care providers or their representatives; 

(5) organizations representing long-term care providers and home care providers in Minnesota; 

(6) the ombudsman for long-term care or a designee; 

(7) national patient safety experts; and 

(8) other experts in the safety and quality improvement field. 

The task force shall have at least one public member who either is or has been a resident in an assisted living setting and one public member who has or had a family member living in an assisted living setting. The membership shall be voluntary except that public members may be reimbursed under section 15.059, subdivision 3. 

Subd. 3.Recommendations. 
The task force shall periodically provide recommendations to the commissioner and the legislature on changes needed to promote safety and quality improvement practices in long-term care settings and with long-term care providers. The task force shall meet no fewer than four times per year. The task force shall be established by July 1, 2020. 

245.4862 MENTAL HEALTH URGENT CARE AND PSYCHIATRIC CONSULTATION.Subdivision 1.Mental health urgent care and psychiatric consultation. 
The commissioner shall include mental health urgent care and psychiatric consultation services as part of, but not limited to, the redesign of six community-based behavioral health hospitals and the Anoka-Metro Regional Treatment Center. These services must not duplicate existing services in the region, and must be implemented as specified in subdivisions 3 to 7. 

Subd. 2.Definitions. 
For purposes of this section: 

(a) Mental health urgent care includes: 

(1) initial mental health screening; 

(2) mobile crisis assessment and intervention; 

(3) rapid access to psychiatry, including psychiatric evaluation, initial treatment, and short-term psychiatry; 

(4) nonhospital crisis stabilization residential beds; and 

(5) health care navigator services that include, but are not limited to, assisting uninsured individuals in obtaining health care coverage. 

(b) Psychiatric consultation services includes psychiatric consultation to primary care practitioners. 

Subd. 3.Rapid access to psychiatry. 
The commissioner shall develop rapid access to psychiatric services based on the following criteria: 

(1) the individuals who receive the psychiatric services must be at risk of hospitalization and otherwise unable to receive timely services; 

(2) where clinically appropriate, the service may be provided via interactive video where the service is provided in conjunction with an emergency room, a local crisis service, or a primary care or behavioral care practitioner; and 

(3) the commissioner may integrate rapid access to psychiatry with the psychiatric consultation services in subdivision 4. 

Subd. 4.Collaborative psychiatric consultation. 
(a) The commissioner shall establish a collaborative psychiatric consultation service based on the following criteria: 

(1) the service may be available via telephone, interactive video, email, or other means of communication to emergency rooms, local crisis services, mental health professionals, and primary care practitioners, including pediatricians; 

(2) the service shall be provided by a multidisciplinary team including, at a minimum, a child and adolescent psychiatrist, an adult psychiatrist, and a licensed clinical social worker; 

(3) the service shall include a triage-level assessment to determine the most appropriate response to each request, including appropriate referrals to other mental health professionals, as well as provision of rapid psychiatric access when other appropriate services are not available; 

(4) the first priority for this service is to provide the consultations required under section 256B.0625, subdivision 13j; and 

(5) the service must encourage use of cognitive and behavioral therapies and other evidence-based treatments in addition to or in place of medication, where appropriate. 

(b) The commissioner shall appoint an interdisciplinary work group to establish appropriate medication and psychotherapy protocols to guide the consultative process, including consultation with the Drug Utilization Review Board, as provided in section 256B.0625, subdivision 13j. 

Subd. 5.Phased availability. 
(a) The commissioner may phase in the availability of mental health urgent care services based on the limits of appropriations and the commissioner's determination of level of need and cost-effectiveness. 

(b) For subdivisions 3 and 4, the first phase must focus on adults in Hennepin and Ramsey Counties and children statewide who are affected by section 256B.0625, subdivision 13j, and must include tracking of costs for the services provided and associated impacts on utilization of inpatient, emergency room, and other services. 

Subd. 6.Limited appropriations. 
The commissioner shall maximize use of available health care coverage for the services provided under this section. The commissioner's responsibility to provide these services for individuals without health care coverage must not exceed the appropriations for this section. 

Subd. 7.Flexible implementation. 
To implement this section, the commissioner shall select the structure and funding method that is the most cost-effective for each county or group of counties. This may include grants, contracts, service agreements with the Direct Care and Treatment executive board, and public-private partnerships. Where feasible, the commissioner shall make any grants under this section a part of the integrated adult mental health initiative grants under section 245.4661. 

246.015 CONSULTATIVE SERVICES; AFTERCARE OF PATIENTS.Subd. 3.Authorization. 
The Direct Care and Treatment executive board may authorize state-operated services to provide consultative services for courts, state welfare agencies, and supervise the placement and aftercare of patients, on a fee-for-service basis as defined in section 246.50, provisionally or otherwise discharged from a state-operated services facility. State-operated services may also promote and conduct programs of education relating to mental health. The executive board shall administer, expend, and distribute federal funds which may be made available to the state and other funds not appropriated by the legislature, which may be made available to the state for mental health purposes. 

246.50 CARE OF CLIENTS AT STATE FACILITIES; DEFINITIONS.Subd. 2.Commissioner. 
"Commissioner" means the commissioner of human services of the state of Minnesota. 

246B.04 RULES; EVALUATION.Subd. 1a.Program evaluation. 
The executive board shall establish an evaluation process to measure outcomes and behavioral changes as a result of treatment compared with incarceration without treatment to determine the value, if any, of treatment in protecting the public. 

Repealed Minnesota Session Laws: ueh2115-1 

Laws 2024, chapter 79, article 1, section 15
Sec. 15. Minnesota Statutes 2022, section 246.41, subdivision 1, is amended to read:Subdivision 1.Acceptance. 
The commissioner of human services executive board is authorized to accept, for and in on behalf of the state, contributions of money for the use and benefit of persons with developmental disabilities. 

Laws 2024, chapter 79, article 1, section 16
Sec. 16. Minnesota Statutes 2022, section 246.41, subdivision 2, is amended to read:Subd. 2.Special welfare fund. 
The executive board shall deposit any money so received by the commissioner shall be deposited executive board under paragraph (a) with the commissioner of management and budget in a special welfare fund, which fund is to be used by the commissioner of human services executive board for the benefit of persons with developmental disabilities within the state, including those within state hospitals. And, without excluding other possible uses, Allowable uses of the money by the executive board include but are not limited to research relating to persons with developmental disabilities shall be considered an appropriate use of such funds; but such funds shall not be used for must not include creation of any structures or installations which by their nature would require state expenditures for their ongoing operation or maintenance without specific legislative enactment therefor for such a project. 

Laws 2024, chapter 79, article 1, section 17
Sec. 17. Minnesota Statutes 2022, section 246.41, subdivision 3, is amended to read:Subd. 3.Appropriation. 
There is hereby appropriated from The amount in the special welfare fund in the state treasury to such persons as are entitled thereto to carry out the provisions stated in is annually appropriated to the executive board for the purposes of this section.