1.1 	A bill for an act
1.2 	relating to health care; modifying provisions relating to the Department of Health, 
1.3 	health care, pharmacy services, background studies, Department of Human Services 
1.4 	program integrity, health-related licensing boards, and certain fees; providing for 
1.5 	rulemaking; requiring reports; making forecast adjustments; appropriating money;
1.6 	amending Minnesota Statutes 2024, sections 13.46, subdivisions 2, 3; 62D.21; 
1.7 	62D.211; 103I.005, subdivision 17b; 103I.101, subdivisions 2, 5, 6, by adding a 
1.8 	subdivision; 103I.208, subdivisions 1, 1a, 2; 103I.235, subdivision 1; 103I.525, 
1.9 	subdivisions 2, 6, 8; 103I.531, subdivisions 2, 6, 8; 103I.535, subdivisions 2, 6, 
1.10 	8; 103I.541, subdivisions 2b, 2c, 4; 103I.545, subdivisions 1, 2; 103I.601, 
1.11 	subdivisions 2, 4; 144.0758, subdivision 3; 144.1205, subdivisions 2, 4, 8, 9, 10; 
1.12 	144.121, subdivisions 1a, 2, 5, by adding subdivisions; 144.1215, by adding a 
1.13 	subdivision; 144.122; 144.1222, subdivision 1a; 144.3831, subdivision 1; 144.55, 
1.14 	subdivision 1a; 144.554; 144.608, subdivision 2; 144.615, subdivision 8; 144.966, 
1.15 	subdivision 2; 144A.291, subdivision 2; 144A.43, by adding a subdivision; 
1.16 	144A.474, subdivisions 9, 11; 144A.475, subdivisions 3, 3a, 3b, 3c; 144A.71, 
1.17 	subdivision 2; 144A.753, subdivision 1; 144E.123, subdivision 3; 144G.20, 
1.18 	subdivisions 3, 13, 16, 17; 144G.30, subdivision 7; 144G.31, subdivisions 2, 4, 5, 
1.19 	8; 144G.45, subdivision 6; 145.8811; 148.108, subdivision 1, by adding 
1.20 	subdivisions; 148B.53, subdivision 3; 148E.180, subdivisions 1, 5, 7, by adding 
1.21 	subdivisions; 153B.85, subdivisions 1, 3; 156.015, by adding subdivisions; 157.16, 
1.22 	subdivisions 2, 2a, 3, 3a, by adding a subdivision; 174.30, subdivision 3; 245.095, 
1.23 	subdivision 5, by adding a subdivision; 245A.04, subdivision 1; 245A.05; 245A.07, 
1.24 	subdivision 2; 245C.13, subdivision 2; 245C.14, by adding subdivisions; 245C.15, 
1.25 	subdivisions 1, 4a; 254B.06, by adding a subdivision; 256.9657, subdivisions 2, 
1.26 	3; 256.983, subdivision 4; 256B.04, subdivision 21; 256B.0625, subdivisions 3b, 
1.27 	8e, 13, 13c, 30; 256B.0659, subdivision 21; 256B.0949, subdivision 2; 256B.69, 
1.28 	subdivision 6d; 256B.85, subdivision 12; 256L.03, subdivision 3b; 326.72, 
1.29 	subdivision 1; 326.75, subdivisions 3, 3a; 327.15, subdivisions 2, 3, 4, by adding 
1.30 	a subdivision; Laws 2024, chapter 127, article 67, section 4; proposing coding for 
1.31 	new law in Minnesota Statutes, chapters 144; 153; repealing Minnesota Statutes 
1.32 	2024, sections 103I.550; 148.108, subdivisions 2, 3, 4; 156.015, subdivision 1; 
1.33 	Minnesota Rules, parts 2500.1150; 2500.2030; 4695.2900; 6900.0250, subparts 
1.34 	1, 2; 9100.0400, subparts 1, 3; 9100.0500; 9100.0600.
2.1 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

2.2 	ARTICLE 1
2.3 	DEPARTMENT OF HEALTH

2.4 	Section 1. Minnesota Statutes 2024, section 62D.21, is amended to read:
2.5 	62D.21 FEES.
2.6 	Every health maintenance organization subject to sections 62D.01 to 62D.30 shall pay 
2.7 	to the commissioner of health the following fees as prescribed by the commissioner of health 
2.8 	pursuant to section 144.122 for the following:
2.9 	(1) filing an application for a certificate of authority: $10,000;
2.10 	(2) filing an amendment to a certificate of authority: $125;
2.11 	(3) filing each annual report: $400; and
2.12 	(4) other filings, as specified by rule.
2.13 	(4) filing each quarterly report: $200; and
2.14 	(5) filing annual plan review documents, amendments to plan documents, and quality 
2.15 	plans: $125.

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

2.17 	Sec. 2. Minnesota Statutes 2024, section 62D.211, is amended to read:
2.18 	62D.211 RENEWAL FEE.
2.19 	Each health maintenance organization subject to sections 62D.01 to 62D.30 shall submit 
2.20 	to the commissioner of health each year before June 15 a certificate of authority renewal 
2.21 	fee in the amount of $10,000 $30,000 each plus 20 88 cents per person enrolled in the health 
2.22 	maintenance organization on December 31 of the preceding year. The commissioner may 
2.23 	adjust the renewal fee in rule under the provisions of chapter 14.

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

2.25 	Sec. 3. Minnesota Statutes 2024, section 103I.005, subdivision 17b, is amended to read:
2.26 		Subd. 17b.Temporary boring. "Temporary boring" means an excavation that is 15 
2.27 	feet or more in depth, is sealed within 72 hours of the time of construction, and is drilled, 
2.28 	cored, washed, driven, dug, jetted, or otherwise constructed to:
3.1 	(1) conduct physical, chemical, or biological testing of groundwater, including 
3.2 	groundwater quality monitoring;
3.3 	(2) monitor or measure physical, chemical, radiological, or biological parameters of 
3.4 	earth materials or earth fluids, including hydraulic conductivity, bearing capacity, or 
3.5 	resistance;
3.6 	(3) measure groundwater levels, including use of a piezometer; and or
3.7 	(4) determine groundwater flow direction or velocity.

3.8 	Sec. 4. Minnesota Statutes 2024, section 103I.101, subdivision 2, is amended to read:
3.9 		Subd. 2.Duties. The commissioner shall:
3.10 	(1) regulate the drilling, construction, modification, repair, and sealing of wells and 
3.11 	borings;
3.12 	(2) examine and license:
3.13 	(i) well contractors;
3.14 	(ii) persons constructing, repairing, and sealing bored geothermal heat exchangers;
3.15 	(iii) persons modifying or repairing well casings above the pitless unit or adaptor, well 
3.16 	screens, well diameters, and installing well pumps or pumping equipment;
3.17 	(iv) persons constructing, repairing, and sealing dewatering wells;
3.18 	(v) persons sealing wells or borings; and
3.19 	(vi) persons excavating or drilling holes for the installation of elevator borings; and
3.20 	(vii) persons installing, removing, or maintaining groundwater thermal exchange devices 
3.21 	and submerged closed loop heat exchangers;
3.22 	(3) examine and license environmental well contractors;
3.23 	(4) license explorers engaged in exploratory boring and examine individuals who 
3.24 	supervise or oversee exploratory boring;
3.25 	(5) after consultation with the commissioner of natural resources and the Pollution 
3.26 	Control Agency, establish standards for the design, location, construction, repair, and sealing 
3.27 	of wells and borings within the state; and
3.28 	(6) issue permits for wells, groundwater thermal devices, bored geothermal heat 
3.29 	exchangers, installation of submerged closed loop heat exchanger systems, and elevator 
3.30 	borings.

4.1 	Sec. 5. Minnesota Statutes 2024, section 103I.101, subdivision 5, is amended to read:
4.2 		Subd. 5.Commissioner to adopt rules. The commissioner shall adopt rules including:
4.3 	(1) issuance of licenses for:
4.4 	(i) qualified well contractors;
4.5 	(ii) persons constructing, repairing, and sealing dewatering wells;
4.6 	(iii) persons sealing wells or borings;
4.7 	(iv) persons installing, modifying, or repairing well casings, well screens, well diameters, 
4.8 	and well pumps or pumping equipment;
4.9 	(v) persons constructing, repairing, and sealing bored geothermal heat exchangers;
4.10 	(vi) persons constructing, repairing, and sealing elevator borings; and
4.11 	(vii) persons constructing, repairing, and sealing environmental wells; and
4.12 	(viii) persons installing, removing, or maintaining groundwater thermal exchange devices 
4.13 	and submerged closed loop heat exchangers;
4.14 	(2) establishment of conditions for examination and review of applications for license 
4.15 	and certification;
4.16 	(3) establishment of conditions for revocation and suspension of license and certification;
4.17 	(4) establishment of minimum standards for design, location, construction, repair, and 
4.18 	sealing of wells and borings to implement the purpose and intent of this chapter;
4.19 	(5) establishment of a system for reporting on wells and borings drilled and sealed;
4.20 	(6) establishment of standards for the construction, maintenance, sealing, and water 
4.21 	quality monitoring of wells in areas of known or suspected contamination;
4.22 	(7) establishment of wellhead protection measures for wells serving public water supplies;
4.23 	(8) establishment of procedures to coordinate collection of well and boring data with 
4.24 	other state and local governmental agencies;
4.25 	(9) establishment of criteria and procedures for submission of well and boring logs, 
4.26 	formation samples or well or boring cuttings, water samples, or other special information 
4.27 	required for and water resource mapping; and
4.28 	(10) establishment of minimum standards for design, location, construction, maintenance, 
4.29 	repair, sealing, safety, and resource conservation related to borings, including exploratory 
4.30 	borings as defined in section 103I.005, subdivision 9.

5.1 	Sec. 6. Minnesota Statutes 2024, section 103I.101, subdivision 6, is amended to read:
5.2 		Subd. 6.Fees for variances. The commissioner shall charge a nonrefundable application 
5.3 	fee of $275 $325 to cover the administrative cost of processing a request for a variance or 
5.4 	modification of rules adopted by the commissioner under this chapter.

5.5 	Sec. 7. Minnesota Statutes 2024, section 103I.101, is amended by adding a subdivision 
5.6 	to read:
5.7 		Subd. 7.Inspection. At a minimum, the commissioner of health shall inspect at least 
5.8 	25 percent of well construction notifications each year under this section.

5.9 	Sec. 8. Minnesota Statutes 2024, section 103I.208, subdivision 1, is amended to read:
5.10 		Subdivision 1.Well notification fee. The well notification fee to be paid by a property 
5.11 	owner is:
5.12 	(1) for construction of a water supply well, $275 $325, which includes the state core 
5.13 	function fee;
5.14 	(2) for a well sealing, $75 $125 for each well or temporary boring, which includes the 
5.15 	state core function fee, except that: (i) a single notification and fee of $75 $125 is required 
5.16 	for all temporary borings on a single property and sealed within 72 hours of start of 
5.17 	construction; and (ii) temporary borings less than 25 feet in depth are exempt from the 
5.18 	notification and fee requirements in this chapter;
5.19 	(3) for construction of a dewatering well, $275 $330, which includes the state core 
5.20 	function fee, for each dewatering well, except a dewatering project comprising five or more 
5.21 	dewatering wells shall be assessed a single fee of $1,375 $1,620 for the dewatering wells 
5.22 	recorded on the notification; and
5.23 	(4) for construction of an environmental well, $275 $330, which includes the state core 
5.24 	function fee, except that a single fee of $275 is required for all environmental wells recorded 
5.25 	on the notification that are located on a single property, and except that no fee is required 
5.26 	for construction of a temporary boring for each environmental well, except an environmental 
5.27 	well site project comprising five or more environmental wells shall be assessed a single fee 
5.28 	of $1,620 for the environmental wells recorded on the notification.

5.29 	Sec. 9. Minnesota Statutes 2024, section 103I.208, subdivision 1a, is amended to read:
5.30 		Subd. 1a.State core function fee. The state core function fee to be collected by the 
5.31 	state and delegated community health boards and used to support state core functions is:
6.1 	(1) for a new well, $20 $40; and
6.2 	(2) for a well sealing, $5 $15.

6.3 	Sec. 10. Minnesota Statutes 2024, section 103I.208, subdivision 2, is amended to read:
6.4 		Subd. 2.Permit fee. (a) The permit fee to be paid by a property owner is:
6.5 	(1) for a water supply well that is not in use under a maintenance permit, $175 $225
6.6 	annually;
6.7 	(2) for an environmental well that is unsealed under a maintenance permit, $175 annually 
6.8 	except no fee is required for an environmental well owned by a federal agency, state agency, 
6.9 	or local unit of government that is unsealed under a maintenance permit. "Local unit of 
6.10 	government" means a statutory or home rule charter city, town, county, or soil and water 
6.11 	conservation district, a watershed district, an organization formed for the joint exercise of 
6.12 	powers under section 471.59, a community health board, or other special purpose district 
6.13 	or authority with local jurisdiction in water and related land resources management;
6.14 	(3) for environmental wells on an environmental well site that are unsealed under a 
6.15 	maintenance permit,:
6.16 	$175 (i) $225 annually for one to ten environmental wells per site regardless of the 
6.17 	number of environmental wells located on site;
6.18 	(ii) $325 annually for 11 to 20 environmental wells per site; and
6.19 	(iii) $425 annually for 21 or more environmental wells per site;
6.20 	(4) for a groundwater thermal exchange device, in addition to the notification fee for 
6.21 	water supply wells, $275 $350 for systems using 20 gallons per minute or less and $590 
6.22 	for systems using over 20 gallons per minute, which includes the state core function fee;
6.23 	(5) for a bored geothermal heat exchanger with less than ten tons of heating/cooling 
6.24 	capacity, $275 $350;
6.25 	(6) for a bored geothermal heat exchanger with ten to 50 tons of heating/cooling capacity, 
6.26 	$515 $590;
6.27 	(7) for a bored geothermal heat exchanger with greater than 50 tons of heating/cooling 
6.28 	capacity, $740 $815;
6.29 	(8) for a dewatering well that is unsealed under a maintenance permit, $175 $330 annually 
6.30 	for each dewatering well, except a dewatering project comprising more than five or more
7.1 	dewatering wells shall be issued a single permit for $875 $1,620 annually for dewatering 
7.2 	wells recorded on the permit;
7.3 	(9) for an elevator boring, $275 $325 for each boring; and
7.4 	(10) for a submerged closed loop heat exchanger system, in addition to the notification 
7.5 	fee for water supply wells, $3,250, which includes the state core function fee.
7.6 	(b) For purposes of this subdivision, an environmental well site includes all of the 
7.7 	environmental wells on a single property. A single property is considered one tax parcel or 
7.8 	multiple contiguous parcels with the same owner.

7.9 	Sec. 11. Minnesota Statutes 2024, section 103I.235, subdivision 1, is amended to read:
7.10 		Subdivision 1.Disclosure of wells to buyer. (a) Before signing an agreement to sell or 
7.11 	transfer real property, the seller must disclose in writing to the buyer information about the 
7.12 	status and location of all known wells on the property, by delivering to the buyer either a 
7.13 	statement by the seller that the seller does not know of any wells on the property, or a 
7.14 	disclosure statement indicating the legal description and county, and a map drawn from 
7.15 	available information showing the location of each well to the extent practicable. In the 
7.16 	disclosure statement, the seller must indicate, for each well, whether the well is in use, not 
7.17 	in use, or sealed.
7.18 	(b) At the time of closing of the sale, the disclosure statement information, name and 
7.19 	mailing address of the buyer, and the quartile, section, township, and range in which each 
7.20 	well is located must be provided on a well disclosure certificate signed by the seller or a 
7.21 	person authorized to act on behalf of the seller.
7.22 	(c) A well disclosure certificate need not be provided if the seller does not know of any 
7.23 	wells on the property and the deed or other instrument of conveyance contains the statement: 
7.24 	"The Seller certifies that the Seller does not know of any wells on the described real 
7.25 	property."
7.26 	(d) If a deed is given pursuant to a contract for deed, the well disclosure certificate 
7.27 	required by this subdivision shall be signed by the buyer or a person authorized to act on 
7.28 	behalf of the buyer. If the buyer knows of no wells on the property, a well disclosure 
7.29 	certificate is not required if the following statement appears on the deed followed by the 
7.30 	signature of the grantee or, if there is more than one grantee, the signature of at least one 
7.31 	of the grantees: "The Grantee certifies that the Grantee does not know of any wells on the 
7.32 	described real property." The statement and signature of the grantee may be on the front or 
8.1 	back of the deed or on an attached sheet and an acknowledgment of the statement by the 
8.2 	grantee is not required for the deed to be recordable.
8.3 	(e) This subdivision does not apply to the sale, exchange, or transfer of real property:
8.4 	(1) that consists solely of a sale or transfer of severed mineral interests; or
8.5 	(2) that consists of an individual condominium unit as described in chapters 515 and 
8.6 	515B.
8.7 	(f) For an area owned in common under chapter 515 or 515B the association or other 
8.8 	responsible person must report to the commissioner by July 1, 1992, the location and status 
8.9 	of all wells in the common area. The association or other responsible person must notify 
8.10 	the commissioner within 30 days of any change in the reported status of wells.
8.11 	(g) If the seller fails to provide a required well disclosure certificate, the buyer, or a 
8.12 	person authorized to act on behalf of the buyer, may sign a well disclosure certificate based 
8.13 	on the information provided on the disclosure statement required by this section or based 
8.14 	on other available information.
8.15 	(h) A county recorder or registrar of titles may not record a deed or other instrument of 
8.16 	conveyance dated after October 31, 1990, for which a certificate of value is required under 
8.17 	section 272.115, or any deed or other instrument of conveyance dated after October 31, 
8.18 	1990, from a governmental body exempt from the payment of state deed tax, unless the 
8.19 	deed or other instrument of conveyance contains the statement made in accordance with 
8.20 	paragraph (c) or (d) or is accompanied by the well disclosure certificate containing all the 
8.21 	information required by paragraph (b) or (d). The county recorder or registrar of titles must 
8.22 	not accept a certificate unless it contains all the required information. The county recorder 
8.23 	or registrar of titles shall note on each deed or other instrument of conveyance accompanied 
8.24 	by a well disclosure certificate that the well disclosure certificate was received. The notation 
8.25 	must include the statement "No wells on property" if the disclosure certificate states there 
8.26 	are no wells on the property. The well disclosure certificate shall not be filed or recorded 
8.27 	in the records maintained by the county recorder or registrar of titles. After noting "No wells 
8.28 	on property" on the deed or other instrument of conveyance, the county recorder or registrar 
8.29 	of titles shall destroy or return to the buyer the well disclosure certificate. The county 
8.30 	recorder or registrar of titles shall collect from the buyer or the person seeking to record a 
8.31 	deed or other instrument of conveyance, a fee of $50 $54 for receipt of a completed well 
8.32 	disclosure certificate. By the tenth day of each month, the county recorder or registrar of 
8.33 	titles shall transmit the well disclosure certificates to the commissioner of health. By the 
8.34 	tenth day after the end of each calendar quarter, the county recorder or registrar of titles 
9.1 	shall transmit to the commissioner of health $42.50 $46.50 of the fee for each well disclosure 
9.2 	certificate received during the quarter. The commissioner shall maintain the well disclosure 
9.3 	certificate for at least six years. The commissioner may store the certificate as an electronic 
9.4 	image. A copy of that image shall be as valid as the original.
9.5 	(i) No new well disclosure certificate is required under this subdivision if the buyer or 
9.6 	seller, or a person authorized to act on behalf of the buyer or seller, certifies on the deed or 
9.7 	other instrument of conveyance that the status and number of wells on the property have 
9.8 	not changed since the last previously filed well disclosure certificate. The following 
9.9 	statement, if followed by the signature of the person making the statement, is sufficient to 
9.10 	comply with the certification requirement of this paragraph: "I am familiar with the property 
9.11 	described in this instrument and I certify that the status and number of wells on the described 
9.12 	real property have not changed since the last previously filed well disclosure certificate." 
9.13 	The certification and signature may be on the front or back of the deed or on an attached 
9.14 	sheet and an acknowledgment of the statement is not required for the deed or other instrument 
9.15 	of conveyance to be recordable.
9.16 	(j) The commissioner in consultation with county recorders shall prescribe the form for 
9.17 	a well disclosure certificate and provide well disclosure certificate forms to county recorders 
9.18 	and registrars of titles and other interested persons.
9.19 	(k) Failure to comply with a requirement of this subdivision does not impair:
9.20 	(1) the validity of a deed or other instrument of conveyance as between the parties to 
9.21 	the deed or instrument or as to any other person who otherwise would be bound by the deed 
9.22 	or instrument; or
9.23 	(2) the record, as notice, of any deed or other instrument of conveyance accepted for 
9.24 	filing or recording contrary to the provisions of this subdivision.

9.25 	Sec. 12. Minnesota Statutes 2024, section 103I.525, subdivision 2, is amended to read:
9.26 		Subd. 2.Certification fee. (a) The application fee for certification as a representative 
9.27 	of a well contractor is $75 $100. The commissioner may not act on an application until the 
9.28 	application fee is paid.
9.29 	(b) The renewal fee for certification as a representative of a well contractor is $75 $100. 
9.30 	The commissioner may not renew a certification until the renewal fee is paid.
9.31 	(c) A certified representative must file an application and a renewal application fee to 
9.32 	renew the certification by the date stated in the certification. The renewal application must 
10.1 	include information that the certified representative has met continuing education 
10.2 	requirements established by the commissioner by rule.

10.3 	Sec. 13. Minnesota Statutes 2024, section 103I.525, subdivision 6, is amended to read:
10.4 		Subd. 6.License fee. The fee for a well contractor's license is $250 $300.

10.5 	Sec. 14. Minnesota Statutes 2024, section 103I.525, subdivision 8, is amended to read:
10.6 		Subd. 8.Renewal. (a) A licensee must file an application and a renewal application fee 
10.7 	to renew the license by the date stated in the license.
10.8 	(b) The renewal application fee for a well contractor's license is $250 $300.
10.9 	(c) The renewal application must include information that the certified representative 
10.10 	of the applicant has met continuing education requirements established by the commissioner 
10.11 	by rule.
10.12 	(d) At the time of the renewal, the commissioner must have on file all properly completed 
10.13 	well and boring construction reports, well and boring sealing reports, reports of elevator 
10.14 	borings, water sample analysis reports, well and boring permits, and well notifications for 
10.15 	work conducted by the licensee since the last license renewal.

10.16 	Sec. 15. Minnesota Statutes 2024, section 103I.531, subdivision 2, is amended to read:
10.17 		Subd. 2.Certification fee. (a) The application fee for certification as a representative 
10.18 	of a limited well/boring contractor is $75 $100. The commissioner may not act on an 
10.19 	application until the application fee is paid.
10.20 	(b) The renewal fee for certification as a representative of a limited well/boring contractor 
10.21 	is $75 $100. The commissioner may not renew a certification until the renewal fee is paid.
10.22 	(c) The fee for three or more limited well/boring contractor certifications is $225 $275.
10.23 	(d) A certified representative must file an application and a renewal application fee to 
10.24 	renew the certification by the date stated in the certification. The renewal application must 
10.25 	include information that the certified representative has met continuing education 
10.26 	requirements established by the commissioner by rule.

10.27 	Sec. 16. Minnesota Statutes 2024, section 103I.531, subdivision 6, is amended to read:
10.28 		Subd. 6.License fee. The fee for a limited well/boring contractor's license is $75 $100. 
10.29 	The fee for three or more limited well/boring contractor licenses is $225 $275.

11.1 	Sec. 17. Minnesota Statutes 2024, section 103I.531, subdivision 8, is amended to read:
11.2 		Subd. 8.Renewal. (a) A person must file an application and a renewal application fee 
11.3 	to renew the limited well/boring contractor's license by the date stated in the license.
11.4 	(b) The renewal application fee for a limited well/boring contractor's license is $75 $100.
11.5 	(c) The renewal application must include information that the certified representative 
11.6 	of the applicant has met continuing education requirements established by the commissioner 
11.7 	by rule.
11.8 	(d) At the time of the renewal, the commissioner must have on file all properly completed 
11.9 	well and boring construction reports, well and boring sealing reports, well and boring 
11.10 	permits, water quality sample reports, and well notifications for work conducted by the 
11.11 	licensee since the last license renewal.

11.12 	Sec. 18. Minnesota Statutes 2024, section 103I.535, subdivision 2, is amended to read:
11.13 		Subd. 2.Certification fee. (a) The application fee for certification as a representative 
11.14 	of an elevator boring contractor is $75 $100. The commissioner may not act on an application 
11.15 	until the application fee is paid.
11.16 	(b) The renewal fee for certification as a representative of an elevator boring contractor 
11.17 	is $75 $100. The commissioner may not renew a certification until the renewal fee is paid.
11.18 	(c) A certified representative must file an application and a renewal application fee to 
11.19 	renew the certification by the date stated in the certification. The renewal application must 
11.20 	include information that the certified representative has met continuing education 
11.21 	requirements established by the commissioner by rule.

11.22 	Sec. 19. Minnesota Statutes 2024, section 103I.535, subdivision 6, is amended to read:
11.23 		Subd. 6.License fee. The fee for an elevator boring contractor's license is $75 $100.

11.24 	Sec. 20. Minnesota Statutes 2024, section 103I.535, subdivision 8, is amended to read:
11.25 		Subd. 8.Renewal. (a) A person must file an application and a renewal application fee 
11.26 	to renew the license by the date stated in the license.
11.27 	(b) The renewal application fee for an elevator boring contractor's license is $75 $100.
11.28 	(c) The renewal application must include information that the certified representative 
11.29 	of the applicant has met continuing education requirements established by the commissioner 
11.30 	by rule.
12.1 	(d) At the time of renewal, the commissioner must have on file all reports and permits 
12.2 	for elevator boring work conducted by the licensee since the last license renewal.

12.3 	Sec. 21. Minnesota Statutes 2024, section 103I.541, subdivision 2b, is amended to read:
12.4 		Subd. 2b.Issuance of license. If a person employs a certified representative, submits 
12.5 	the bond under subdivision 3, and pays the license fee of $75 $100 for an environmental 
12.6 	well contractor license, the commissioner shall issue an environmental well contractor 
12.7 	license to the applicant. The fee for an individual registration is $75 $100. The commissioner 
12.8 	may not act on an application until the application fee is paid.

12.9 	Sec. 22. Minnesota Statutes 2024, section 103I.541, subdivision 2c, is amended to read:
12.10 		Subd. 2c.Certification fee. (a) The application fee for certification as a representative 
12.11 	of an environmental well contractor is $75 $100. The commissioner may not act on an 
12.12 	application until the application fee is paid.
12.13 	(b) The renewal fee for certification as a representative of an environmental well 
12.14 	contractor is $75 $100. The commissioner may not renew a certification until the renewal 
12.15 	fee is paid.
12.16 	(c) A certified representative must file an application and a renewal application fee to 
12.17 	renew the certification by the date stated in the certification. The renewal application must 
12.18 	include information that the certified representative has met continuing education 
12.19 	requirements established by the commissioner by rule.

12.20 	Sec. 23. Minnesota Statutes 2024, section 103I.541, subdivision 4, is amended to read:
12.21 		Subd. 4.License renewal. (a) A person must file an application and a renewal application 
12.22 	fee to renew the license by the date stated in the license.
12.23 	(b) The renewal application fee for an environmental well contractor's license is $75
12.24 	$100.
12.25 	(c) The renewal application must include information that the certified representative 
12.26 	of the applicant has met continuing education requirements established by the commissioner 
12.27 	by rule.
12.28 	(d) At the time of the renewal, the commissioner must have on file all well and boring 
12.29 	construction reports, well and boring sealing reports, well permits, and notifications for 
12.30 	work conducted by the licensed person since the last license renewal.

13.1 	Sec. 24. Minnesota Statutes 2024, section 103I.545, subdivision 1, is amended to read:
13.2 		Subdivision 1.Drilling machine. (a) A person may not use a drilling machine such as 
13.3 	a cable tool, rotary tool, hollow rod tool, or auger for a drilling activity requiring a license 
13.4 	under this chapter unless the drilling machine is registered with the commissioner.
13.5 	(b) A person must apply for the registration on forms prescribed by the commissioner 
13.6 	and submit a $75 $125 registration fee.
13.7 	(c) A registration is valid for one year.

13.8 	Sec. 25. Minnesota Statutes 2024, section 103I.545, subdivision 2, is amended to read:
13.9 		Subd. 2.Hoist. (a) A person may not use a machine such as a hoist for an activity 
13.10 	requiring a license under this chapter to repair wells or borings, seal wells or borings, or 
13.11 	install pumps unless the machine is registered with the commissioner.
13.12 	(b) A person must apply for the registration on forms prescribed by the commissioner 
13.13 	and submit a $75 $125 registration fee.
13.14 	(c) A registration is valid for one year.

13.15 	Sec. 26. Minnesota Statutes 2024, section 103I.601, subdivision 2, is amended to read:
13.16 		Subd. 2.License required to make borings. (a) Except as provided in paragraph (d), 
13.17 	a person must not make an exploratory boring without an explorer's license. The fee for an 
13.18 	explorer's license is $75 $100. The explorer's license is valid until the date prescribed in the 
13.19 	license by the commissioner.
13.20 	(b) A person must file an application and renewal application fee to renew the explorer's 
13.21 	license by the date stated in the license. The renewal application fee is $75 $100.
13.22 	(c) If the licensee submits an application fee after the required renewal date, the licensee:
13.23 	(1) must include a late fee of $75; and
13.24 	(2) may not conduct activities authorized by an explorer's license until the renewal 
13.25 	application, renewal application fee, late fee, and sealing reports required in subdivision 9 
13.26 	are submitted.
13.27 	(d) An explorer must designate a responsible individual to supervise and oversee the 
13.28 	making of exploratory borings.
14.1 	(1) Before an individual supervises or oversees an exploratory boring, the individual 
14.2 	must file an application and application fee of $75 $100 to qualify as a certified responsible 
14.3 	individual.
14.4 	(2) The individual must take and pass an examination relating to construction, location, 
14.5 	and sealing of exploratory borings. A professional engineer or geoscientist licensed under 
14.6 	sections 326.02 to 326.15 or a professional geologist certified by the American Institute of 
14.7 	Professional Geologists is not required to take the examination required in this subdivision, 
14.8 	but must be certified as a responsible individual to supervise an exploratory boring.
14.9 	(3) The individual must file an application and a renewal fee of $75 $100 to renew the 
14.10 	responsible individual's certification by the date stated in the certification. If the certified 
14.11 	responsible individual submits an application fee after the renewal date, the certified 
14.12 	responsible individual must include a late fee of $75 and may not supervise or oversee 
14.13 	exploratory borings until the renewal application, application fee, and late fee are submitted.

14.14 	Sec. 27. Minnesota Statutes 2024, section 103I.601, subdivision 4, is amended to read:
14.15 		Subd. 4.Notification and map of borings. (a) By ten days before beginning exploratory 
14.16 	boring, an explorer must submit to the commissioner of health a notification of the proposed 
14.17 	boring map and a fee of $275 $325 for each boring constructed.
14.18 	(b) By ten days before beginning exploratory boring, an explorer must submit to the 
14.19 	commissioners of health and natural resources a county road map on a single sheet of paper 
14.20 	that is 8-1/2 by 11 inches in size and having a scale of one-half inch equal to one mile, as 
14.21 	prepared by the Department of Transportation, or a 7.5 minute series topographic map 
14.22 	(1:24,000 scale), as prepared by the United States Geological Survey, showing the location 
14.23 	of each proposed exploratory boring to the nearest estimated 40 acre parcel. Exploratory 
14.24 	boring that is proposed on the map may not be commenced later than 180 days after 
14.25 	submission of the map, unless a new map is submitted.

14.26 	Sec. 28. Minnesota Statutes 2024, section 144.0758, subdivision 3, is amended to read:
14.27 		Subd. 3.Eligible grantees. (a) Organizations eligible to receive grant funding under 
14.28 	this section are Minnesota's Tribal Nations in accordance with paragraph (b) and urban 
14.29 	American Indian community-based organizations in accordance with paragraph (c).
14.30 	(b) Minnesota's Tribal Nations may choose to receive funding under this section according 
14.31 	to a noncompetitive funding formula specified by the commissioner.
15.1 	(c) Urban American Indian community-based organizations are eligible to apply for 
15.2 	funding under this section by submitting a proposal for consideration by the commissioner.

15.3 	Sec. 29. Minnesota Statutes 2024, section 144.1205, subdivision 2, is amended to read:
15.4 		Subd. 2.Initial and annual fee. (a) A licensee must pay an initial fee that is equivalent 
15.5 	to the annual fee upon issuance of the initial license.
15.6 	(b) A licensee must pay an annual fee at least 60 days before the anniversary date of the 
15.7 	issuance of the license. The annual fee is as follows:

15.8	TYPE
		LICENSE FEE
	
15.1015.9	Academic broad scope - type A, B, or C
		$25,896
$34,500
		
15.1215.11
	Academic broad scope - type A, B, or C (4-8 locations)
		$31,075
$41,400
		
15.1415.13
	Academic broad scope - type A, B, or C (9 or more locations)
		$36,254
$48,300
		
15.1615.15
	Medical broad scope - type A
		$25,896
$34,500
		
15.1815.17
	Medical broad scope - type A (4-8 locations)
		$31,075
$41,400
		
15.2015.19
	Medical broad scope - type A (9 or more locations)
		$36,254
$48,300
		
15.21
15.22
15.23	Medical - diagnostic, diagnostic and therapeutic, mobile nuclear 
medicine, eye applicators, high dose rate afterloaders, and 
medical therapy emerging technologies
		$4,784
$6,600
		
15.24
15.25
15.26	Medical - diagnostic, diagnostic and therapeutic, mobile nuclear 
medicine, eye applicators, high dose rate afterloaders, and 
medical therapy emerging technologies (4-8 locations)
		$5,740
$7,900
		
15.27
15.28
15.29	Medical - diagnostic, diagnostic and therapeutic, mobile nuclear 
medicine, eye applicators, high dose rate afterloaders, and 
medical therapy emerging technologies (9 or more locations)
		$6,697
$9,200
		
15.3115.30
	Teletherapy
		$11,648
$15,500
		
15.3315.32
	Gamma knife
		$11,648
$15,500
		
15.3515.34
	Veterinary medicine
		$2,600
$3,500
		
15.3715.36
	In vitro testing lab
		$2,600
$3,500
		
15.3915.38
	Nuclear pharmacy
		$11,440
$15,300
		
15.4115.40
	Nuclear pharmacy (5 or more locations)
		$13,728
$18,300
		
16.216.1
	Radiopharmaceutical distribution (10 CFR 32.72)
		$4,992
$6,700
		
16.3
16.4	Radiopharmaceutical processing and distribution (10 CFR 
32.72)
		$11,440
$15,300
		
16.5
16.6	Radiopharmaceutical processing and distribution (10 CFR 
32.72) (5 or more locations)
		$13,728
$18,300
		
16.816.7
	Medical sealed sources - distribution (10 CFR 32.74)
		$4,992
$6,700
		
16.916.10
	Medical sealed sources - processing and distribution (10 CFR 
32.74)
		$11,440
$15,300
		
16.11
16.12	Medical sealed sources - processing and distribution (10 CFR 
32.74) (5 or more locations)
		$13,728
$18,300
		
16.1416.13
	Well logging - sealed sources
		$4,888
$6,600
		
16.15
16.16	Measuring systems - (fixed gauge, portable gauge, gas 
chromatograph, other)
		$2,600
$3,800
		
16.17
16.18	Measuring systems - (fixed gauge, portable gauge, gas 
chromatograph, other) (4-8 locations)
		$3,120
$4,500
		
16.19
16.20	Measuring systems - (fixed gauge, portable gauge, gas 
chromatograph, other) (9 or more locations)
		$3,640
$5,200
		
16.2216.21
	X-ray fluorescent analyzer
		$1,976
$2,700
		
16.2416.23
	Manufacturing and distribution - type A broad scope
		$25,896
$34,500
		
16.25
16.26	Manufacturing and distribution - type A broad scope (4-8 
locations)
		$31,075
$41,400
		
16.27
16.28	Manufacturing and distribution - type A broad scope (9 or more 
locations)
		$36,254
$48,300
		
16.3016.29
	Manufacturing and distribution - type B or C broad scope
		$22,880
$30,500
		
16.31
16.32	Manufacturing and distribution - type B or C broad scope (4-8 
locations)
		$27,456
$36,600
		
16.33
16.34	Manufacturing and distribution - type B or C broad scope (9 
or more locations)
		$32,032
$42,700
		
16.3616.35
	Manufacturing and distribution - other
		$6,864
$9,200
		
16.3816.37
	Manufacturing and distribution - other (4-8 locations)
		$8,236
$11,000
		
16.4016.39
	Manufacturing and distribution - other (9 or more locations)
		$9,609
$12,800
		
16.4216.41
	Nuclear laundry
		$24,232
$32,300
		
16.4416.43
	Decontamination services
		$6,448
$8,600
		
16.4616.45
	Leak test services only
		$2,600
$3,500
		
17.217.1
	Instrument calibration service only
		$2,600
$3,500
		
17.417.3
	Service, maintenance, installation, source changes, etc.
		$6,448
$8,600
		
17.617.5
	Waste disposal service, prepackaged only
		$7,800
$10,400
		
17.817.7
	Waste disposal
		$10,816
$14,400
		
17.1017.9	Distribution - general licensed devices (sealed sources)
		$2,288
$3,100
		
17.1217.11
	Distribution - general licensed material (unsealed sources)
		$1,456
$2,000
		
17.1417.13
	Industrial radiography - fixed or temporary location
		$12,792
$17,200
		
17.15
17.16	Industrial radiography - fixed or temporary location (5 or more 
locations)
		$16,629
$22,300
		
17.1817.17
	Irradiators, self-shielding
		$3,744
$5,000
		
17.2017.19
	Irradiators, other, less than 10,000 curies
		$6,968
$9,300
		
17.2217.21
	Research and development - type A, B, or C broad scope
		$12,376
$16,500
		
17.23
17.24	Research and development - type A, B, or C broad scope (4-8 
locations)
		$14,851
$19,800
		
17.25
17.26	Research and development - type A, B, or C broad scope (9 or 
more locations)
		$17,326
$23,100
		
17.2817.27
	Research and development - other
		$5,824
$7,800
		
17.3017.29
	Storage - no operations
		$2,600
$3,500
		
17.3217.31
	Source material - shielding
		$759
$1,100
		
17.3417.33
	Special nuclear material plutonium - neutron source in device
		$4,784
$6,400
		
17.35
17.36	Pacemaker by-product and/or special nuclear material - medical 
(institution)
		$4,784
$6,400
		
17.37
17.38	Pacemaker by-product and/or special nuclear material - 
manufacturing and distribution
		$6,864
$9,200
		
17.4017.39
	Accelerator-produced radioactive material
		$4,992
$6,700
		
17.4217.41
	Nonprofit educational institutions
		$500
$700

18.1 	Sec. 30. Minnesota Statutes 2024, section 144.1205, subdivision 4, is amended to read:
18.2 		Subd. 4.Initial and renewal application fee. A licensee must pay an initial and a 
18.3 	renewal application fee according to this subdivision.

18.4	TYPE
	APPLICATION FEE
	
18.618.5
	Academic broad scope - type A, B, or C
		$6,808
$9,100
		
18.818.7
	Medical broad scope - type A
		$4,508
$6,000
		
18.918.10
18.11
	Medical - diagnostic, diagnostic and therapeutic, mobile nuclear 
medicine, eye applicators, high dose rate afterloaders, and 
medical therapy emerging technologies
		$1,748
$2,350
		
18.1318.12
	Teletherapy
		$6,348
$8,450
		
18.1518.14
	Gamma knife
		$6,348
$8,450
		
18.1718.16
	Veterinary medicine
		$1,104
$1,500
		
18.1918.18
	In vitro testing lab
		$1,104
$1,500
		
18.2118.20
	Nuclear pharmacy
		$5,612
$7,500
		
18.2318.22
	Radiopharmaceutical distribution (10 CFR 32.72)
		$2,484
$3,350
		
18.24
18.25	Radiopharmaceutical processing and distribution (10 CFR 
32.72)
		$5,612
$7,500
		
18.2718.26
	Medical sealed sources - distribution (10 CFR 32.74)
		$2,484
$3,350
		
18.28
18.29	Medical sealed sources - processing and distribution (10 CFR 
32.74)
		$5,612
$7,500
		
18.3118.30
	Well logging - sealed sources
		$1,840
$2,450
		
18.32
18.33	Measuring systems - (fixed gauge, portable gauge, gas 
chromatograph, other)
		$1,104
$1,500
		
18.3518.34
	X-ray fluorescent analyzer
		$671
$900
		
18.3718.36
	Manufacturing and distribution - type A, B, and C broad scope
		$6,854
$9,150
		
18.3918.38
	Manufacturing and distribution - other
		$2,668
$3,550
		
18.4118.40
	Nuclear laundry
		$11,592
$15,450
		
18.4318.42
	Decontamination services
		$3,036
$4,050
		
19.219.1
	Leak test services only
		$1,104
$1,500
		
19.419.3
	Instrument calibration service only
		$1,104
$1,500
		
19.619.5
	Service, maintenance, installation, source changes, etc.
		$3,036
$4,050
		
19.819.7
	Waste disposal service, prepackaged only
		$2,576
$3,450
		
19.1019.9	Waste disposal
		$1,748
$2,350
		
19.1219.11
	Distribution - general licensed devices (sealed sources)
		$1,012
$1,350
		
19.1419.13
	Distribution - general licensed material (unsealed sources)
		$598
$800
		
19.1619.15
	Industrial radiography - fixed or temporary location
		$3,036
$4,050
		
19.1819.17
	Irradiators, self-shielding
		$1,656
$2,250
		
19.2019.19
	Irradiators, other, less than 10,000 curies
		$3,404
$4,550
		
19.2219.21
	Research and development - type A, B, or C broad scope
		$5,704
$7,600
		
19.2419.23
	Research and development - other
		$2,760
$3,700
		
19.2619.25
	Storage - no operations
		$1,104
$1,500
		
19.2819.27
	Source material - shielding
		$156
$250
		
19.3019.29
	Special nuclear material plutonium - neutron source in device
		$1,380
$1,850
		
19.31
19.32	Pacemaker by-product and/or special nuclear material - medical 
(institution)
		$1,380
$1,850
		
19.33
19.34	Pacemaker by-product and/or special nuclear material - 
manufacturing and distribution
		$2,668
$3,550
		
19.3619.35
	Accelerator-produced radioactive material
		$4,715
$6,300
		
19.3819.37
	Nonprofit educational institutions
		$345
$500

19.39 	Sec. 31. Minnesota Statutes 2024, section 144.1205, subdivision 8, is amended to read:
19.40 		Subd. 8.Reciprocity fee. A licensee submitting an application for reciprocal recognition 
19.41 	of a materials license issued by another agreement state or the United States Nuclear 
19.42 	Regulatory Commission for a period of 180 days or less during a calendar year must pay 
20.1 	$2,400 $3,200. For a period of 181 days or more, the licensee must obtain a license under 
20.2 	subdivision 4.

20.3 	Sec. 32. Minnesota Statutes 2024, section 144.1205, subdivision 9, is amended to read:
20.4 		Subd. 9.Fees for license amendments. A licensee must pay a fee of $600 $800 to 
20.5 	amend a license as follows:
20.6 	(1) to amend a license requiring review including, but not limited to, addition of isotopes, 
20.7 	procedure changes, new authorized users, or a new radiation safety officer; or
20.8 	(2) to amend a license requiring review and a site visit including, but not limited to, 
20.9 	facility move or addition of processes.

20.10 	Sec. 33. Minnesota Statutes 2024, section 144.1205, subdivision 10, is amended to read:
20.11 		Subd. 10.Fees for general license registrations. A person required to register generally 
20.12 	licensed devices according to Minnesota Rules, part 4731.3215, must pay an annual 
20.13 	registration fee of $450 $600.

20.14 	Sec. 34. Minnesota Statutes 2024, section 144.121, subdivision 1a, is amended to read:
20.15 		Subd. 1a.Fees for ionizing radiation-producing equipment. (a) A facility with ionizing 
20.16 	radiation-producing equipment and other sources of ionizing radiation must pay an initial 
20.17 	or annual renewal registration fee consisting of a base facility fee of $100 $155 and an 
20.18 	additional fee for each x-ray tube, as follows:

20.1920.20	(1)
	medical or veterinary equipment
	$
	100
130
		
20.2120.22	(2)
	dental x-ray equipment
	$
	40
60
		
20.2320.24	(3)
	x-ray equipment not used on 
humans or animals
	$
	100
130
		
20.2520.26
20.27	(4)
	devices with sources of ionizing 
radiation not used on humans or 
animals
	$
	100
130
		
20.2820.29	(5)
	security screening system
	$
	100
160
		
20.3020.31	(6)
	radiation therapy and accelerator 
x-ray equipment
	$
	1,000
		
20.3220.33	(7)
	industrial accelerator x-ray 
equipment
	$
	300
		
21.1 	(b) A facility with radiation therapy and accelerator equipment must pay an initial or 
21.2 	annual registration fee of $500. A facility with an industrial accelerator must pay an initial 
21.3 	or annual registration fee of $150.
21.4 	(c) (b) Electron microscopy equipment is exempt from the registration fee requirements 
21.5 	of this section.
21.6 	(d) (c) For purposes of this section, a security screening system means ionizing 
21.7 	radiation-producing equipment designed and used for security screening of humans who 
21.8 	are in the custody of a correctional or detention facility, and used by the facility to image 
21.9 	and identify contraband items concealed within or on all sides of a human body. For purposes 
21.10 	of this section, a correctional or detention facility is a facility licensed under section 241.021 
21.11 	and operated by a state agency or political subdivision charged with detection, enforcement, 
21.12 	or incarceration in respect to state criminal and traffic laws. The commissioner shall adopt 
21.13 	rules to establish requirements for the use of security screening systems. Notwithstanding 
21.14 	section 14.125, the authority to adopt these rules does not expire.

21.15 	Sec. 35. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision 
21.16 	to read:
21.17 		Subd. 1e.Fee for service provider of ionizing radiation-producing equipment. A 
21.18 	service provider of ionizing radiation-producing equipment and other sources of ionizing 
21.19 	radiation must pay an initial or annual renewal fee of $115.

21.20 	Sec. 36. Minnesota Statutes 2024, section 144.121, subdivision 2, is amended to read:
21.21 		Subd. 2.Inspections. Periodic radiation safety inspections of the x-ray equipment and 
21.22 	other sources of ionizing radiation shall be made by the commissioner of health. The 
21.23 	frequency of safety inspections shall be prescribed by the commissioner on the basis of
21.24 	based on the frequency of radiation exposure risk to occupational and public health from
21.25 	use of the x-ray equipment and other source of ionizing radiation, provided that each source 
21.26 	shall be inspected at least once every four years.

21.27 	Sec. 37. Minnesota Statutes 2024, section 144.121, subdivision 5, is amended to read:
21.28 		Subd. 5.Examination for individual operating x-ray systems. (a) An individual in a 
21.29 	facility with x-ray systems for use on living humans that is registered under subdivision 1 
21.30 	may not operate, nor may the facility allow the individual to operate, x-ray systems unless 
21.31 	the individual has passed a national or state examination.
21.32 	(b) Individuals who may operate x-ray systems include:
22.1 	(1) an individual who has passed the American Registry of Radiologic Technologists 
22.2 	(ARRT) registry for radiography examination;
22.3 	(2) an individual who has passed the American Chiropractic Registry of Radiologic 
22.4 	Technologists (ACRRT) registry examination and is limited to radiography of spines and 
22.5 	extremities;
22.6 	(3) a registered limited scope x-ray operator and a registered bone densitometry equipment 
22.7 	operator who passed the examination requirements in paragraphs (d) and (e) and practices 
22.8 	according to subdivision 5a;
22.9 	(4) an x-ray operator who has the original certificate or the original letter of passing the 
22.10 	examination that was required before January 1, 2008, under Minnesota Statutes 2008, 
22.11 	section 144.121, subdivision 5a, paragraph (b), clause (1);
22.12 	(5) an individual who has passed the American Registry of Radiologic Technologists 
22.13 	(ARRT) registry for radiation therapy examination according to subdivision 5e;
22.14 	(6) a cardiovascular technologist according to subdivision 5c;
22.15 	(7) a nuclear medicine technologist according to subdivision 5d;
22.16 	(8) an individual who has passed the examination for a dental hygienist under section 
22.17 	150A.06 and only operates dental x-ray systems;
22.18 	(9) an individual who has passed the examination for a dental therapist under section 
22.19 	150A.06 and only operates dental x-ray systems;
22.20 	(10) an individual who has passed the examination for a dental assistant under section 
22.21 	150A.06 and only operates dental x-ray systems;
22.22 	(11) an individual who has passed the examination under Minnesota Rules, part 
22.23 	3100.8500, subpart 3 3100.1320, and only operates dental x-ray systems; and
22.24 	(12) a qualified practitioner who is licensed by a health-related licensing board with 
22.25 	active practice authority and is working within the practitioner's scope of practice.
22.26 	(c) Except for individuals under clauses (3) and (4), an individual who is participating 
22.27 	in a training or educational program in any of the occupations listed in paragraph (b) is 
22.28 	exempt from the examination requirement within the scope and for the duration of the 
22.29 	training or educational program.
22.30 	(d) The Minnesota examination for limited scope x-ray operators must include:
23.1 	(1) radiation protection, radiation physics and radiobiology, equipment operation and 
23.2 	quality assurance, image acquisition and technical evaluation, and patient interactions and 
23.3 	management; and
23.4 	(2) at least one of the following regions of the human anatomy: chest, extremities, skull 
23.5 	and sinus, spine, or podiatry. The examinations must include the anatomy of, and radiographic 
23.6 	positions and projections for, the specific regions.
23.7 	(e) The examination for bone densitometry equipment operators must include:
23.8 	(1) osteoporosis, bone physiology, bone health and patient education, patient preparation, 
23.9 	fundamental principals, biological effects of radiation, units of measurements, radiation 
23.10 	protection in bone densitometry, fundamentals of x-ray production, quality control, measuring 
23.11 	bone mineral testing, determining quality in bone mineral testing, file and database 
23.12 	management; and
23.13 	(2) dual x-ray absorptiometry scanning of the lumbar spine, proximal femur, and forearm. 
23.14 	The examination must include the anatomy, scan acquisition, and scan analysis for these 
23.15 	three procedures.
23.16 	(f) A limited scope x-ray operator, and a bone densitometry equipment operator, who 
23.17 	are required to take an examination under this subdivision must submit to the commissioner 
23.18 	a registration application for the examination and a $25 processing fee. The processing fee 
23.19 	shall be deposited in the state treasury and credited to the state government special revenue 
23.20 	fund.

23.21 	Sec. 38. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision 
23.22 	to read:
23.23 		Subd. 10.Service provider practice; service technician. (a) A service technician is a 
23.24 	service provider who performs one or more of the following, including but not limited to: 
23.25 	assembly, installation, calibration, equipment performance evaluation, preventive 
23.26 	maintenance, repair, replacement, or disabling of ionizing radiation-producing equipment 
23.27 	and other sources of ionizing radiation. A service technician may not perform an equipment 
23.28 	performance evaluation on computed tomography, medical cone beam computed tomography, 
23.29 	and fluoroscopy equipment.
23.30 	(b) In order to provide service technician services, a service provider must register with 
23.31 	the commissioner as a service technician, meet the applicable requirements in Minnesota 
23.32 	Rules, chapter 4732, and pay the fee in subdivision 1e.

24.1 	Sec. 39. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision 
24.2 	to read:
24.3 		Subd. 11.Service provider practice; vendor. (a) A vendor is a service provider who 
24.4 	performs one or more of the following services, including but not limited to: sales, leasing, 
24.5 	lending, transferring, disposal, or demonstration of ionizing radiation-producing equipment 
24.6 	and other sources of ionizing radiation.
24.7 	(b) In order to provide vendor services, a service provider must register with the 
24.8 	commissioner as a vendor, meet the applicable requirements in Minnesota Rules, chapter 
24.9 	4732, and pay the fee in subdivision 1e.

24.10 	Sec. 40. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision 
24.11 	to read:
24.12 		Subd. 12.Service provider practice; qualified medical physicist. (a) A qualified 
24.13 	medical physicist is a service provider who provides medical physics services and must be 
24.14 	certified in diagnostic medical physics, diagnostic radiological physics, radiological physics, 
24.15 	diagnostic imaging physics, or diagnostic radiology physics by the American Board of 
24.16 	Radiology, the American Board of Medical Physics, or the Canadian College of Physicists 
24.17 	in Medicine.
24.18 	(b) In order to provide medical physics services a service provider must register with 
24.19 	the commissioner as a qualified medical physicist, meet the applicable requirements in 
24.20 	Minnesota Rules, chapter 4732, and pay the fee in subdivision 1e.

24.21 	Sec. 41. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision 
24.22 	to read:
24.23 		Subd. 13.Service provider practice; qualified expert. (a) A qualified expert is a service 
24.24 	provider who provides expert physics services, and must be certified in the appropriate 
24.25 	fields or specialties in which physics services are provided by the American Board of Health 
24.26 	Physics, the American Board of Medical Physics, the American Board of Radiology, the 
24.27 	American Board of Science in Nuclear Medicine, or the Canadian College of Physicists in 
24.28 	Medicine.
24.29 	(b) In order to provide health physics services, a service provider must register with the 
24.30 	commissioner as a qualified expert, meet the applicable requirements in Minnesota Rules, 
24.31 	chapter 4732, and pay the fee in subdivision 1e.

25.1 	Sec. 42. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision 
25.2 	to read:
25.3 		Subd. 14.Service provider practice; physicist assistant. (a) A physicist assistant is a 
25.4 	service provider who provides expert physics or medical physics services under the 
25.5 	supervision of a qualified expert or a qualified medical physicist and must be deemed 
25.6 	competent by a qualified expert or a qualified medical physicist in the appropriate fields or 
25.7 	specialties in which services are provided.
25.8 	(b) In order to provide health physics or medical physics services under the supervision 
25.9 	of a qualified expert or a qualified medical physicist, a physicist assistant must register with 
25.10 	the commissioner as a physicist assistant, meet the applicable requirements in Minnesota 
25.11 	Rules, chapter 4732, and pay the fee under subdivision 1e.
25.12 	(c) Supervision as used in this subdivision refers to either personal or general supervision 
25.13 	of a physicist assistant by a qualified expert or a qualified medical physicist according to 
25.14 	Minnesota Rules, chapter 4732.

25.15 	Sec. 43. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision 
25.16 	to read:
25.17 		Subd. 15.Service provider compliance. A service provider registered with the 
25.18 	commissioner under Minnesota Rules, chapter 4732, must, upon renewal of registration, 
25.19 	comply with the applicable requirements under this section and submit the fee under 
25.20 	subdivision 1e.

25.21 	Sec. 44. Minnesota Statutes 2024, section 144.1215, is amended by adding a subdivision 
25.22 	to read:
25.23 		Subd. 5.Rulemaking authority. The commissioner shall adopt rules to implement this 
25.24 	section. Notwithstanding section 14.125, the authority to adopt these rules does not expire.

25.25 	Sec. 45. Minnesota Statutes 2024, section 144.122, is amended to read:
25.26 	144.122 LICENSE, PERMIT, AND SURVEY FEES.
25.27 	(a) The state commissioner of health, by rule, may prescribe procedures and fees for 
25.28 	filing with the commissioner as prescribed by statute and for the issuance of original and 
25.29 	renewal permits, licenses, registrations, and certifications issued under authority of the 
25.30 	commissioner. The expiration dates of the various licenses, permits, registrations, and 
25.31 	certifications as prescribed by the rules shall be plainly marked thereon. Fees may include 
26.1 	application and examination fees and a penalty fee for renewal applications submitted after 
26.2 	the expiration date of the previously issued permit, license, registration, and certification. 
26.3 	The commissioner may also prescribe, by rule, reduced fees for permits, licenses, 
26.4 	registrations, and certifications when the application therefor is submitted during the last 
26.5 	three months of the permit, license, registration, or certification period. Fees proposed to 
26.6 	be prescribed in the rules shall be first approved by the Department of Management and 
26.7 	Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees shall be 
26.8 	in an amount so that the total fees collected by the commissioner will, where practical, 
26.9 	approximate the cost to the commissioner in administering the program. All fees collected 
26.10 	shall be deposited in the state treasury and credited to the state government special revenue 
26.11 	fund unless otherwise specifically appropriated by law for specific purposes.
26.12 	(b) The commissioner may charge a fee for voluntary certification of medical laboratories 
26.13 	and environmental laboratories, and for environmental and medical laboratory services 
26.14 	provided by the department, without complying with paragraph (a) or chapter 14. Fees 
26.15 	charged for environment and medical laboratory services provided by the department must 
26.16 	be approximately equal to the costs of providing the services.
26.17 	(c) The commissioner may develop a schedule of fees for diagnostic evaluations 
26.18 	conducted at clinics held by the services for children with disabilities program. All receipts 
26.19 	generated by the program are annually appropriated to the commissioner for use in the 
26.20 	maternal and child health program.
26.21 	(d) The commissioner shall set license fees for hospitals and nursing homes that are not 
26.22 	boarding care homes at the following levels:

26.23
26.24
26.25
26.26	The Joint Commission on Accreditation 
of Healthcare Organizations (JCAHO)
(TJC) and American Osteopathic 
Association (AOA) hospitals
		$7,655 plus $16 per bed $9,524
	
26.27
26.28	Non-JCAHO Non-TJC and non-AOA 
hospitals
		$5,280 $6,318 plus $250 $317 per bed
	
26.29
26.30
26.31	Fees collected per hospital for the 
Minnesota Adverse Health Care Events 
Reporting
		$600 plus $16 per bed
	
26.3226.33
26.34
26.35	Nursing home
		$183 plus $91 per bed until June 30, 2018. 
$183 plus $100 per bed between July 1, 
2018, and June 30, 2020. $183 $238 plus 
$105 $142 per bed beginning July 1, 2020.
	
26.36 	The commissioner shall set license fees for outpatient surgical centers, boarding care 
26.37 	homes, supervised living facilities, assisted living facilities, and assisted living facilities 
26.38 	with dementia care at the following levels:

27.1	Outpatient surgical centers
		$3,712 $1,966
	
27.2
27.3
27.4	Fees collected per outpatient surgical 
center for the Minnesota Adverse Health 
Care Events Reporting
		$2,200
	
27.5	Boarding care homes
		$183 $220 plus $91 $110 per bed
	
27.6	Supervised living facilities
		$183 $238 plus $91 $118 per bed.
	
27.7
27.8	Assisted living facilities with dementia 
care
		$3,000 plus $100 per resident.
	
27.9	Assisted living facilities
		$2,000 plus $75 per resident.
	
27.10 	Fees collected under this paragraph are nonrefundable. The fees are nonrefundable even if 
27.11 	received before July 1, 2017, for licenses or registrations being issued effective July 1, 2017, 
27.12 	or later.
27.13 	(e) Unless prohibited by federal law, the commissioner of health shall charge applicants 
27.14 	the following fees to cover the cost of any initial certification surveys required to determine 
27.15 	a provider's eligibility to participate in the Medicare or Medicaid program:

27.16	Prospective payment surveys for hospitals
	$
	900
	
27.17	Swing bed surveys for nursing homes
	$
	1,200
	
27.18	Psychiatric hospitals
	$
	1,400
	
27.19	Rural health facilities
	$
	1,100
	
27.20	Portable x-ray providers
	$
	500
	
27.21	Home health agencies
	$
	1,800
	
27.22	Outpatient therapy agencies
	$
	800
	
27.23	End stage renal dialysis providers
	$
	2,100
	
27.24	Independent therapists
	$
	800
	
27.25	Comprehensive rehabilitation outpatient facilities
	$
	1,200
	
27.26	Hospice providers
	$
	1,700
	
27.27	Ambulatory surgical providers
	$
	1,800
	
27.28	Hospitals
	$
	4,200
	
27.29
27.30
27.31	Other provider categories or additional
resurveys required to complete initial
certification
	Actual surveyor costs: average 
surveyor cost x number of hours for 
the survey process.
	
27.32 	These fees shall be submitted at the time of the application for federal certification and 
27.33 	shall not be refunded. All fees collected after the date that the imposition of fees is not 
27.34 	prohibited by federal law shall be deposited in the state treasury and credited to the state 
27.35 	government special revenue fund.
28.1 	(f) Notwithstanding section 16A.1283, the commissioner may adjust the fees assessed 
28.2 	on assisted living facilities and assisted living facilities with dementia care under paragraph 
28.3 	(d), in a revenue-neutral manner in accordance with the requirements of this paragraph:
28.4 	(1) a facility seeking to renew a license shall pay a renewal fee in an amount that is up 
28.5 	to ten percent lower than the applicable fee in paragraph (d) if residents who receive home 
28.6 	and community-based waiver services under chapter 256S and section 256B.49 comprise 
28.7 	more than 50 percent of the facility's capacity in the calendar year prior to the year in which 
28.8 	the renewal application is submitted; and
28.9 	(2) a facility seeking to renew a license shall pay a renewal fee in an amount that is up 
28.10 	to ten percent higher than the applicable fee in paragraph (d) if residents who receive home 
28.11 	and community-based waiver services under chapter 256S and section 256B.49 comprise 
28.12 	less than 50 percent of the facility's capacity during the calendar year prior to the year in 
28.13 	which the renewal application is submitted.
28.14 	The commissioner may annually adjust the percentages in clauses (1) and (2), to ensure this 
28.15 	paragraph is implemented in a revenue-neutral manner. The commissioner shall develop a 
28.16 	method for determining capacity thresholds in this paragraph in consultation with the 
28.17 	commissioner of human services and must coordinate the administration of this paragraph 
28.18 	with the commissioner of human services for purposes of verification.
28.19 	(g) The commissioner shall charge hospitals an annual licensing base fee of $1,826 per 
28.20 	hospital, plus an additional $23 per licensed bed or bassinet fee. Revenue shall be deposited 
28.21 	to the state government special revenue fund and credited toward trauma hospital designations 
28.22 	under sections 144.605 and 144.6071.

28.23 	Sec. 46. Minnesota Statutes 2024, section 144.122, is amended to read:
28.24 	144.122 LICENSE, PERMIT, AND SURVEY FEES.
28.25 	(a) The state commissioner of health, by rule, may prescribe procedures and fees for 
28.26 	filing with the commissioner as prescribed by statute and for the issuance of original and 
28.27 	renewal permits, licenses, registrations, and certifications issued under authority of the 
28.28 	commissioner. The expiration dates of the various licenses, permits, registrations, and 
28.29 	certifications as prescribed by the rules shall be plainly marked thereon. Fees may include 
28.30 	application and examination fees and a penalty fee for renewal applications submitted after 
28.31 	the expiration date of the previously issued permit, license, registration, and certification. 
28.32 	The commissioner may also prescribe, by rule, reduced fees for permits, licenses, 
28.33 	registrations, and certifications when the application therefor is submitted during the last 
29.1 	three months of the permit, license, registration, or certification period. Fees proposed to 
29.2 	be prescribed in the rules shall be first approved by the Department of Management and 
29.3 	Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees shall be 
29.4 	in an amount so that the total fees collected by the commissioner will, where practical, 
29.5 	approximate the cost to the commissioner in administering the program. All fees collected 
29.6 	shall be deposited in the state treasury and credited to the state government special revenue 
29.7 	fund unless otherwise specifically appropriated by law for specific purposes.
29.8 	(b) The commissioner may charge a fee for voluntary certification of medical laboratories 
29.9 	and environmental laboratories, and for environmental and medical laboratory services 
29.10 	provided by the department, without complying with paragraph (a) or chapter 14. Fees 
29.11 	charged for environment and medical laboratory services provided by the department must 
29.12 	be approximately equal to the costs of providing the services.
29.13 	(c) The commissioner may develop a schedule of fees for diagnostic evaluations 
29.14 	conducted at clinics held by the services for children with disabilities program. All receipts 
29.15 	generated by the program are annually appropriated to the commissioner for use in the 
29.16 	maternal and child health program.
29.17 	(d) The commissioner shall set license fees for hospitals and nursing homes that are not 
29.18 	boarding care homes at the following levels:

29.19
29.20
29.21
29.22	Joint Commission on Accreditation of 
Healthcare Organizations (JCAHO) and 
American Osteopathic Association (AOA) 
hospitals
	$7,655 plus $16 per bed
	
29.23	Non-JCAHO and non-AOA hospitals
	$5,280 plus $250 per bed
	
29.2429.25
29.26
29.27	Nursing home
	$183 plus $91 per bed until June 30, 2018. 
$183 plus $100 per bed between July 1, 2018, 
and June 30, 2020. $183 plus $105 per bed 
beginning July 1, 2020.
	
29.28 	The commissioner shall set license fees for outpatient surgical centers, boarding care 
29.29 	homes, supervised living facilities, assisted living facilities, and assisted living facilities 
29.30 	with dementia care at the following levels:

29.31	Outpatient surgical centers
	$3,712
	
29.32	Boarding care homes
	$183 plus $91 per bed
	
29.33	Supervised living facilities
	$183 plus $91 per bed.
	
29.34	Assisted living facilities with dementia care
	$3,000 plus $100 $150 per resident.
	
29.35	Assisted living facilities
	$2,000 plus $75 $125 per resident.
	
30.1 	Fees collected under this paragraph are nonrefundable. The fees are nonrefundable even if 
30.2 	received before July 1, 2017, for licenses or registrations being issued effective July 1, 2017, 
30.3 	or later.
30.4 	(e) Unless prohibited by federal law, the commissioner of health shall charge applicants 
30.5 	the following fees to cover the cost of any initial certification surveys required to determine 
30.6 	a provider's eligibility to participate in the Medicare or Medicaid program:

30.7	Prospective payment surveys for hospitals
	$
	900
	
30.8	Swing bed surveys for nursing homes
	$
	1,200
	
30.9	Psychiatric hospitals
	$
	1,400
	
30.10	Rural health facilities
	$
	1,100
	
30.11	Portable x-ray providers
	$
	500
	
30.12	Home health agencies
	$
	1,800
	
30.13	Outpatient therapy agencies
	$
	800
	
30.14	End stage renal dialysis providers
	$
	2,100
	
30.15	Independent therapists
	$
	800
	
30.16	Comprehensive rehabilitation outpatient facilities
	$
	1,200
	
30.17	Hospice providers
	$
	1,700
	
30.18	Ambulatory surgical providers
	$
	1,800
	
30.19	Hospitals
	$
	4,200
	
30.20
30.21
30.22	Other provider categories or additional
resurveys required to complete initial
certification
	Actual surveyor costs: average 
surveyor cost x number of hours for 
the survey process.
	
30.23 	These fees shall be submitted at the time of the application for federal certification and 
30.24 	shall not be refunded. All fees collected after the date that the imposition of fees is not 
30.25 	prohibited by federal law shall be deposited in the state treasury and credited to the state 
30.26 	government special revenue fund.
30.27 	(f) Notwithstanding section 16A.1283, the commissioner may adjust the fees assessed 
30.28 	on assisted living facilities and assisted living facilities with dementia care under paragraph 
30.29 	(d), in a revenue-neutral manner in accordance with the requirements of this paragraph:
30.30 	(1) a facility seeking to renew a license shall pay a renewal fee in an amount that is up 
30.31 	to ten percent lower than the applicable fee in paragraph (d) if residents who receive home 
30.32 	and community-based waiver services under chapter 256S and section 256B.49 comprise 
30.33 	more than 50 percent of the facility's capacity in the calendar year prior to the year in which 
30.34 	the renewal application is submitted; and
31.1 	(2) a facility seeking to renew a license shall pay a renewal fee in an amount that is up 
31.2 	to ten percent higher than the applicable fee in paragraph (d) if residents who receive home 
31.3 	and community-based waiver services under chapter 256S and section 256B.49 comprise 
31.4 	less than 50 percent of the facility's capacity during the calendar year prior to the year in 
31.5 	which the renewal application is submitted.
31.6 	The commissioner may annually adjust the percentages in clauses (1) and (2), to ensure this 
31.7 	paragraph is implemented in a revenue-neutral manner. The commissioner shall develop a 
31.8 	method for determining capacity thresholds in this paragraph in consultation with the 
31.9 	commissioner of human services and must coordinate the administration of this paragraph 
31.10 	with the commissioner of human services for purposes of verification.
31.11 	(g) The commissioner shall charge hospitals an annual licensing base fee of $1,826 per 
31.12 	hospital, plus an additional $23 per licensed bed or bassinet fee. Revenue shall be deposited 
31.13 	to the state government special revenue fund and credited toward trauma hospital designations 
31.14 	under sections 144.605 and 144.6071.

31.15 	Sec. 47. Minnesota Statutes 2024, section 144.1222, subdivision 1a, is amended to read:
31.16 		Subd. 1a.Fees. All plans and specifications for public pool and spa construction, 
31.17 	installation, or alteration or requests for a variance that are submitted to the commissioner 
31.18 	according to Minnesota Rules, part 4717.3975, shall be accompanied by the appropriate 
31.19 	fees. All public pool construction plans submitted for review after January 1, 2009, must 
31.20 	be certified by a professional engineer registered in the state of Minnesota. If the 
31.21 	commissioner determines, upon review of the plans, that inadequate fees were paid, the 
31.22 	necessary additional fees shall be paid before plan approval. For purposes of determining 
31.23 	fees, a project is defined as a proposal to construct or install a public pool, spa, special 
31.24 	purpose pool, or wading pool and all associated water treatment equipment and drains, 
31.25 	gutters, decks, water recreation features, spray pads, and those design and safety features 
31.26 	that are within five feet of any pool or spa. Plans submitted less than 30 days prior to 
31.27 	construction are subject to 50 percent of the original plan review fee. The commissioner 
31.28 	shall charge the following fees for plan review and inspection of public pools and spas and 
31.29 	for requests for variance from the public pool and spa rules:
31.30 	(1) each pool, $1,500 $1,600;
31.31 	(2) each spa pool, $800 $900;
31.32 	(3) each slide, $600 $650;
32.1 	(4) projects valued at $250,000 or more, the greater of the sum of the fees in clauses (1), 
32.2 	(2), and (3) or 0.5 percent of the documented estimated project cost to a maximum fee of 
32.3 	$15,000;
32.4 	(5) alterations to an existing pool without changing the size or configuration of the pool, 
32.5 	$600 $700;
32.6 	(6) removal or replacement of pool disinfection equipment only, $100 $200; and
32.7 	(7) request for variance from the public pool and spa rules, $500 $550.

32.8 	Sec. 48. [144.1223] REGISTERED SANITARIANS AND REGISTERED 
32.9 	ENVIRONMENTAL HEALTH SPECIALIST APPLICATION FEES.
32.10 	(a) Fees to be submitted with initial or renewal applications are as follows:
32.11 	(1) initial application fee, $55;
32.12 	(2) biennial renewal application fee, $55; and
32.13 	(3) penalty for late submission of renewal application, $20, if not renewed by designated 
32.14 	renewal date.
32.15 	(b) Additionally, a $5 technology fee must be paid with the initial registration or 
32.16 	registration renewal.

32.17 	Sec. 49. Minnesota Statutes 2024, section 144.3831, subdivision 1, is amended to read:
32.18 		Subdivision 1.Fee setting. The commissioner of health may assess an annual fee of 
32.19 	$9.72 $15.22 for every service connection to a public water supply that is owned or operated 
32.20 	by a home rule charter city, a statutory city, a city of the first class, or a town. The 
32.21 	commissioner of health may also assess an annual fee for every service connection served 
32.22 	by a water user district defined in section 110A.02.

32.23 	Sec. 50. Minnesota Statutes 2024, section 144.55, subdivision 1a, is amended to read:
32.24 		Subd. 1a.License fee. The annual license fee for outpatient surgical centers is $1,512
32.25 	$1,966.

33.1 	Sec. 51. Minnesota Statutes 2024, section 144.554, is amended to read:
33.2 	144.554 HEALTH FACILITIES CONSTRUCTION PLAN SUBMITTAL AND 
33.3 	FEES.
33.4 	For hospitals, nursing homes, assisted living facilities, boarding care homes, residential 
33.5 	hospices, supervised living facilities, freestanding outpatient surgical centers, and end-stage 
33.6 	renal disease facilities, the commissioner shall collect a fee for the review and approval of 
33.7 	architectural, mechanical, and electrical plans and specifications submitted before 
33.8 	construction begins for each project relative to construction of new buildings, additions to 
33.9 	existing buildings, or remodeling or alterations of existing buildings. All fees collected in 
33.10 	this section shall be deposited in the state treasury and credited to the state government 
33.11 	special revenue fund. Fees must be paid at the time of submission of final plans for review 
33.12 	and are not refundable. The fee is calculated as follows:

33.13	Construction project total estimated cost
	Fee
	
33.14	$0 - $10,000
	$30 $45
	
33.15	$10,001 - $50,000
	$150 $225
	
33.16	$50,001 - $100,000
	$300 $450
	
33.17	$100,001 - $150,000
	$450 $675
	
33.18	$150,001 - $200,000
	$600 $900
	
33.19	$200,001 - $250,000
	$750 $1,125
	
33.20	$250,001 - $300,000
	$900 $1,350
	
33.21	$300,001 - $350,000
	$1,050 $1,575
	
33.22	$350,001 - $400,000
	$1,200 $1,800
	
33.23	$400,001 - $450,000
	$1,350 $2,025
	
33.24	$450,001 - $500,000
	$1,500 $2,250
	
33.25	$500,001 - $550,000
	$1,650 $2,475
	
33.26	$550,001 - $600,000
	$1,800 $2,700
	
33.27	$600,001 - $650,000
	$1,950 $2,925
	
33.28	$650,001 - $700,000
	$2,100 $3,150
	
33.29	$700,001 - $750,000
	$2,250 $3,375
	
33.30	$750,001 - $800,000
	$2,400 $3,600
	
33.31	$800,001 - $850,000
	$2,550 $3,825
	
33.32	$850,001 - $900,000
	$2,700 $4,050
	
33.33	$900,001 - $950,000
	$2,850 $4,275
	
33.34	$950,001 - $1,000,000
	$3,000 $4,500
	
33.35	$1,000,001 - $1,050,000
	$3,150 $4,725
	
33.36	$1,050,001 - $1,100,000
	$3,300 $4,950
	
34.1	$1,100,001 - $1,150,000
	$3,450 $5,175
	
34.2	$1,150,001 - $1,200,000
	$3,600 $5,400
	
34.3	$1,200,001 - $1,250,000
	$3,750 $5,625
	
34.4	$1,250,001 - $1,300,000
	$3,900 $5,850
	
34.5	$1,300,001 - $1,350,000
	$4,050 $6,075
	
34.6	$1,350,001 - $1,400,000
	$4,200 $6,300
	
34.7	$1,400,001 - $1,450,000
	$4,350 $6,525
	
34.8	$1,450,001 - $1,500,000
	$4,500 $6,750
	
34.9	$1,500,001 and over - $2,000,000
	$4,800 $7,200
	
34.10	$2,000,001 - $3,000,000
	$7,650
	
34.11	$3,000,001 - $4,000,000
	$8,100
	
34.12	$4,000,001 - $7,000,000
	$8,550
	
34.13	$7,000,001 - $15,000,000
	$9,000
	
34.14	$15,000,001 - $50,000,000
	$9,450
	
34.15	$50,000,001 and over
	$9,900

34.16 	Sec. 52. Minnesota Statutes 2024, section 144.608, subdivision 2, is amended to read:
34.17 		Subd. 2.Council administration. (a) The council must meet at least twice a year but 
34.18 	may meet more frequently at the call of the chair, a majority of the council members, or the 
34.19 	commissioner.
34.20 	(b) The terms, compensation, and removal of members of the council are governed by 
34.21 	section 15.059. The council expires June 30, 2025 2035.
34.22 	(c) The council may appoint subcommittees and work groups. Subcommittees shall 
34.23 	consist of council members. Work groups may include noncouncil members. Noncouncil 
34.24 	members shall be compensated for work group activities under section 15.059, subdivision 
34.25 	3, but shall receive expenses only.

34.26 	Sec. 53. Minnesota Statutes 2024, section 144.615, subdivision 8, is amended to read:
34.27 		Subd. 8.Fees. (a) The biennial license fee for a birth center is $365 $438.
34.28 	(b) The temporary license fee is $365 $438.
34.29 	(c) Fees shall be collected and deposited according to section 144.122.

34.30 	Sec. 54. Minnesota Statutes 2024, section 144.966, subdivision 2, is amended to read:
34.31 		Subd. 2.Newborn Hearing Screening Advisory Committee. (a) The commissioner 
34.32 	of health shall establish a Newborn Hearing Screening Advisory Committee to advise and 
35.1 	assist the Department of Health; Department of Children, Youth, and Families; and the 
35.2 	Department of Education in:
35.3 	(1) developing protocols and timelines for screening, rescreening, and diagnostic 
35.4 	audiological assessment and early medical, audiological, and educational intervention 
35.5 	services for children who are deaf or hard-of-hearing;
35.6 	(2) designing protocols for tracking children from birth through age three that may have 
35.7 	passed newborn screening but are at risk for delayed or late onset of permanent hearing 
35.8 	loss;
35.9 	(3) designing a technical assistance program to support facilities implementing the 
35.10 	screening program and facilities conducting rescreening and diagnostic audiological 
35.11 	assessment;
35.12 	(4) designing implementation and evaluation of a system of follow-up and tracking; and
35.13 	(5) evaluating program outcomes to increase effectiveness and efficiency and ensure 
35.14 	culturally appropriate services for children with a confirmed hearing loss and their families.
35.15 	(b) The commissioner of health shall appoint at least one member from each of the 
35.16 	following groups with no less than two of the members being deaf or hard-of-hearing:
35.17 	(1) a representative from a consumer organization representing culturally deaf persons;
35.18 	(2) a parent with a child with hearing loss representing a parent organization;
35.19 	(3) a consumer from an organization representing oral communication options;
35.20 	(4) a consumer from an organization representing cued speech communication options;
35.21 	(5) an audiologist who has experience in evaluation and intervention of infants and 
35.22 	young children;
35.23 	(6) a speech-language pathologist who has experience in evaluation and intervention of 
35.24 	infants and young children;
35.25 	(7) two primary care providers who have experience in the care of infants and young 
35.26 	children, one of which shall be a pediatrician;
35.27 	(8) a representative from the early hearing detection intervention teams;
35.28 	(9) a representative from the Department of Education resource center for the deaf and 
35.29 	hard-of-hearing or the representative's designee;
35.30 	(10) a representative of the Commission of the Deaf, DeafBlind and Hard of Hearing;
36.1 	(11) a representative from the Department of Human Services Deaf and Hard-of-Hearing 
36.2 	Services Division;
36.3 	(12) one or more of the Part C coordinators from the Department of Education; the 
36.4 	Department of Health; the Department of Children, Youth, and Families; or the Department 
36.5 	of Human Services or the department's designees;
36.6 	(13) the Department of Health early hearing detection and intervention coordinators;
36.7 	(14) two birth hospital representatives from one rural and one urban hospital;
36.8 	(15) a pediatric geneticist;
36.9 	(16) an otolaryngologist;
36.10 	(17) a representative from the Newborn Screening Advisory Committee under this 
36.11 	subdivision;
36.12 	(18) a representative of the Department of Education regional low-incidence facilitators;
36.13 	(19) a representative from the deaf mentor program; and
36.14 	(20) a representative of the Minnesota State Academy for the Deaf from the Minnesota 
36.15 	State Academies staff.
36.16 	The commissioner must complete the initial appointments required under this subdivision 
36.17 	by September 1, 2007, and the initial appointments under clauses (19) and (20) by September 
36.18 	1, 2019.
36.19 	(c) The Department of Health member shall chair the first meeting of the committee. At 
36.20 	the first meeting, the committee shall elect a chair from its membership. The committee 
36.21 	shall meet at the call of the chair, at least four times a year. The committee shall adopt 
36.22 	written bylaws to govern its activities. The Department of Health shall provide technical 
36.23 	and administrative support services as required by the committee. These services shall 
36.24 	include technical support from individuals qualified to administer infant hearing screening, 
36.25 	rescreening, and diagnostic audiological assessments.
36.26 	Members of the committee shall receive no compensation for their service, but shall be 
36.27 	reimbursed as provided in section 15.059 for expenses incurred as a result of their duties 
36.28 	as members of the committee.
36.29 	(d) By February 15, 2015, and by February 15 of the odd-numbered years after that date, 
36.30 	the commissioner shall report to the chairs and ranking minority members of the legislative 
36.31 	committees with jurisdiction over health and data privacy on the activities of the committee 
36.32 	that have occurred during the past two years.
37.1 	(e) This subdivision expires June 30, 2025.

37.2 	EFFECTIVE DATE. This section is effective the day following final enactment or 
37.3 	June 30, 2025, whichever is earlier.

37.4 	Sec. 55. Minnesota Statutes 2024, section 144A.43, is amended by adding a subdivision 
37.5 	to read:
37.6 		Subd. 26a.Serious injury. "Serious injury" has the meaning given in section 245.91, 
37.7 	subdivision 6.

37.8 	Sec. 56. Minnesota Statutes 2024, section 144A.474, subdivision 9, is amended to read:
37.9 		Subd. 9.Follow-up surveys. For providers that have Level 3 or, Level 4, or Level 5
37.10 	violations under subdivision 11, the department shall conduct a follow-up survey within 90 
37.11 	calendar days of the survey. When conducting a follow-up survey, the surveyor will focus 
37.12 	on whether the previous violations have been corrected and may also address any new 
37.13 	violations that are observed while evaluating the corrections that have been made.

37.14 	Sec. 57. Minnesota Statutes 2024, section 144A.474, subdivision 11, is amended to read:
37.15 		Subd. 11.Fines. (a) Fines and enforcement actions under this subdivision may be assessed 
37.16 	based on the level and scope of the violations described in paragraph (b) and imposed 
37.17 	immediately with no opportunity to correct the violation first as follows:
37.18 	(1) Level 1, no fines or enforcement;
37.19 	(2) Level 2, a fine of $500 per violation, in addition to any of the enforcement 
37.20 	mechanisms authorized in section 144A.475for widespread violations;
37.21 	(3) Level 3, a fine of $3,000 $1,000 per incident, in addition to any of the enforcement 
37.22 	mechanisms authorized in section 144A.475;
37.23 	(4) Level 4, a fine of $5,000 $3,000 per incident, in addition to any of the enforcement 
37.24 	mechanisms authorized in section 144A.475;
37.25 	(5) Level 5, a fine of $5,000 per violation, in addition to any enforcement mechanism 
37.26 	authorized in section 144A.475; and
37.27 	(5) (6) for maltreatment violations for which the licensee was determined to be responsible 
37.28 	for the maltreatment under section 626.557, subdivision 9c, paragraph (c), a fine of $1,000. 
37.29 	A fine of $5,000 may be imposed if the commissioner determines the licensee is responsible 
38.1 	for maltreatment consisting of sexual assault, death, or abuse resulting in serious injury; 
38.2 	and.
38.3 	(6) The fines in clauses (1) to (4) (5) are increased and immediate fine imposition is 
38.4 	authorized for both surveys and investigations conducted.
38.5 	When a fine is assessed against a facility for substantiated maltreatment, the commissioner 
38.6 	shall not also impose an immediate fine under this chapter for the same circumstance.
38.7 	(b) Correction orders for violations are categorized by both level and scope and fines 
38.8 	shall be assessed as follows:
38.9 	(1) level of violation:
38.10 	(i) Level 1 is a violation that has no potential to cause more than a will cause only
38.11 	minimal impact on the client and does not affect health or safety;
38.12 	(ii) Level 2 is a violation that did not harm a client's health or safety but had the potential 
38.13 	to have harmed a client's health or safety, but was not likely to cause serious injury, 
38.14 	impairment, or death;
38.15 	(iii) Level 3 is a violation that harmed a client's health or safety, not including serious 
38.16 	injury, impairment, or death, or a violation that has the potential to lead to serious injury, 
38.17 	impairment, or death or a violation that had the potential to cause more than minimal harm 
38.18 	to the client; and
38.19 	(iv) Level 4 is a violation that results in serious injury, impairment, or death harmed a 
38.20 	client's health or safety, not including serious injury or death, or a violation that was likely 
38.21 	to lead to serious injury or death; and
38.22 	(v) Level 5 is a violation that results in serious injury or death; and
38.23 	(2) scope of violation:
38.24 	(i) isolated, when one or a limited number of clients are affected or one or a limited 
38.25 	number of staff are involved or the situation has occurred only occasionally;
38.26 	(ii) pattern, when more than a limited number of clients are affected, more than a limited 
38.27 	number of staff are involved, or the situation has occurred repeatedly but is not found to be 
38.28 	pervasive; and
38.29 	(iii) widespread, when problems are pervasive or represent a systemic failure that has 
38.30 	affected or has the potential to affect a large portion or all of the clients.
39.1 	(c) If the commissioner finds that the applicant or a home care provider has not corrected 
39.2 	violations by the date specified in the correction order or conditional license resulting from 
39.3 	a survey or complaint investigation, the commissioner shall provide a notice of 
39.4 	noncompliance with a correction order by email to the applicant's or provider's last known 
39.5 	email address. The noncompliance notice must list the violations not corrected.
39.6 	(d) For every violation identified by the commissioner, the commissioner shall issue an 
39.7 	immediate fine pursuant to paragraph (a), clause (6). The license holder must still correct 
39.8 	the violation in the time specified. The issuance of an immediate fine can occur in addition 
39.9 	to any enforcement mechanism authorized under section 144A.475. The immediate fine 
39.10 	may be appealed as allowed under this subdivision.
39.11 	(e) The license holder must pay the fines assessed on or before the payment date specified. 
39.12 	If the license holder fails to fully comply with the order, the commissioner may issue a 
39.13 	second fine or suspend the license until the license holder complies by paying the fine. A 
39.14 	timely appeal shall stay payment of the fine until the commissioner issues a final order.
39.15 	(f) A license holder shall promptly notify the commissioner in writing when a violation 
39.16 	specified in the order is corrected. If upon reinspection the commissioner determines that 
39.17 	a violation has not been corrected as indicated by the order, the commissioner may issue a 
39.18 	second fine. The commissioner shall notify the license holder by mail to the last known 
39.19 	address in the licensing record that a second fine has been assessed. The license holder may 
39.20 	appeal the second fine as provided under this subdivision.
39.21 	(g) A home care provider that has been assessed a fine under this subdivision has a right 
39.22 	to a reconsideration or a hearing under this section and chapter 14.
39.23 	(h) When a fine has been assessed, the license holder may not avoid payment by closing, 
39.24 	selling, or otherwise transferring the licensed program to a third party. In such an event, the 
39.25 	license holder shall be liable for payment of the fine.
39.26 	(i) In addition to any fine imposed under this section, the commissioner may assess a 
39.27 	penalty amount based on costs related to an investigation that results in a final order assessing 
39.28 	a fine or other enforcement action authorized by this chapter.
39.29 	(j) Fines collected under paragraph (a), clauses (1) to (4), shall be deposited in a dedicated 
39.30 	special revenue account. On an annual basis, the balance in the special revenue account 
39.31 	shall be appropriated to the commissioner to implement the recommendations of the advisory 
39.32 	council established in section 144A.4799 or recommendations from the commissioner after 
39.33 	the advisory council's review and approval.
40.1 	(k) Fines collected under paragraph (a), clause (5), shall be deposited in a dedicated 
40.2 	special revenue account and appropriated to the commissioner to provide compensation 
40.3 	according to subdivision 14 to clients subject to maltreatment. A client may choose to receive 
40.4 	compensation from this fund, not to exceed $5,000 for each substantiated finding of 
40.5 	maltreatment, or take civil action. This paragraph expires July 31, 2021.

40.6 	Sec. 58. Minnesota Statutes 2024, section 144A.475, subdivision 3, is amended to read:
40.7 		Subd. 3.Notice. (a) Prior to any suspension, revocation, or refusal to renew a license, 
40.8 	the home care provider shall be entitled to notice and a hearing as provided by sections 
40.9 	14.57 to 14.69. In addition to any other remedy provided by law, the commissioner may, 
40.10 	without a prior contested case hearing, temporarily suspend a license or prohibit delivery 
40.11 	of services by a provider for not more than 90 days, or issue a conditional license if the 
40.12 	commissioner determines that there are level 3 4 violations that do not pose an imminent 
40.13 	risk of harm to the health or safety of persons in the provider's care, provided:
40.14 	(1) advance notice is given to the home care provider;
40.15 	(2) after notice, the home care provider fails to correct the problem;
40.16 	(3) the commissioner has reason to believe that other administrative remedies are not 
40.17 	likely to be effective; and
40.18 	(4) there is an opportunity for a contested case hearing within the 30 days unless there 
40.19 	is an extension granted by an administrative law judge pursuant to subdivision 3b.
40.20 	(b) If the commissioner determines there are:
40.21 	(1) level 4 5 violations; or
40.22 	(2) violations that pose an imminent risk of harm to the health or safety of persons in 
40.23 	the provider's care,
40.24 	the commissioner may immediately temporarily suspend a license, prohibit delivery of 
40.25 	services by a provider, or issue a conditional license without meeting the requirements of 
40.26 	paragraph (a), clauses (1) to (4).
40.27 	For the purposes of this subdivision, "level 3 4" and "level 4 5" have the meanings given 
40.28 	in section 144A.474, subdivision 11, paragraph (b).

40.29 	Sec. 59. Minnesota Statutes 2024, section 144A.475, subdivision 3a, is amended to read:
40.30 		Subd. 3a.Hearing. Within 15 business days of receipt of the licensee's timely appeal 
40.31 	of a sanction under this section, other than for a temporary suspension, the commissioner 
41.1 	shall request assignment of an administrative law judge. The commissioner's request must 
41.2 	include a proposed date, time, and place of hearing. A hearing must be conducted by an 
41.3 	administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within 
41.4 	90 calendar days of the request for assignment, unless an extension is requested by either 
41.5 	party and granted by the administrative law judge for good cause or for purposes of discussing 
41.6 	settlement. In no case shall one or more extensions be granted for a total of more than 90 
41.7 	calendar days unless there is a criminal action pending against the licensee. If, while a 
41.8 	licensee continues to operate pending an appeal of an order for revocation, suspension, or 
41.9 	refusal to renew a license, the commissioner identifies one or more new violations of law 
41.10 	that meet the requirements of level 3 4 or 4 5 violations as defined in section 144A.474, 
41.11 	subdivision 11, paragraph (b), the commissioner shall act immediately to temporarily suspend 
41.12 	the license under the provisions in subdivision 3.

41.13 	Sec. 60. Minnesota Statutes 2024, section 144A.475, subdivision 3b, is amended to read:
41.14 		Subd. 3b. Expedited hearing. (a) Within five business days of receipt of the license 
41.15 	holder's timely appeal of a temporary suspension or issuance of a conditional license, the 
41.16 	commissioner shall request assignment of an administrative law judge. The request must 
41.17 	include a proposed date, time, and place of a hearing. A hearing must be conducted by an 
41.18 	administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within 
41.19 	30 calendar days of the request for assignment, unless an extension is requested by either 
41.20 	party and granted by the administrative law judge for good cause. The commissioner shall 
41.21 	issue a notice of hearing by certified mail or personal service at least ten business days 
41.22 	before the hearing. Certified mail to the last known address is sufficient. The scope of the 
41.23 	hearing shall be limited solely to the issue of whether the temporary suspension or issuance 
41.24 	of a conditional license should remain in effect and whether there is sufficient evidence to 
41.25 	conclude that the licensee's actions or failure to comply with applicable laws are level 3 4
41.26 	or 4 5 violations as defined in section 144A.474, subdivision 11, paragraph (b), or that there 
41.27 	were violations that posed an imminent risk of harm to the health and safety of persons in 
41.28 	the provider's care.
41.29 	(b) The administrative law judge shall issue findings of fact, conclusions, and a 
41.30 	recommendation within ten business days from the date of hearing. The parties shall have 
41.31 	ten calendar days to submit exceptions to the administrative law judge's report. The record 
41.32 	shall close at the end of the ten-day period for submission of exceptions. The commissioner's 
41.33 	final order shall be issued within ten business days from the close of the record. When an 
41.34 	appeal of a temporary immediate suspension or conditional license is withdrawn or dismissed, 
41.35 	the commissioner shall issue a final order affirming the temporary immediate suspension 
42.1 	or conditional license within ten calendar days of the commissioner's receipt of the 
42.2 	withdrawal or dismissal. The license holder is prohibited from operation during the temporary 
42.3 	suspension period.
42.4 	(c) When the final order under paragraph (b) affirms an immediate suspension, and a 
42.5 	final licensing sanction is issued under subdivisions 1 and 2 and the licensee appeals that 
42.6 	sanction, the licensee is prohibited from operation pending a final commissioner's order 
42.7 	after the contested case hearing conducted under chapter 14.
42.8 	(d) A licensee whose license is temporarily suspended must comply with the requirements 
42.9 	for notification and transfer of clients in subdivision 5. These requirements remain if an 
42.10 	appeal is requested.

42.11 	Sec. 61. Minnesota Statutes 2024, section 144A.475, subdivision 3c, is amended to read:
42.12 		Subd. 3c.Immediate temporary suspension. (a) In addition to any other remedies 
42.13 	provided by law, the commissioner may, without a prior contested case hearing, immediately 
42.14 	temporarily suspend a license or prohibit delivery of services by a provider for not more 
42.15 	than 90 days, or issue a conditional license, if the commissioner determines that there are:
42.16 	(1) level 4 5 violations; or
42.17 	(2) violations that pose an imminent risk of harm to the health or safety of persons in 
42.18 	the provider's care.
42.19 	(b) For purposes of this subdivision, "level 4 5" has the meaning given in section 
42.20 	144A.474, subdivision 11, paragraph (b).
42.21 	(c) A notice stating the reasons for the immediate temporary suspension or conditional 
42.22 	license and informing the license holder of the right to an expedited hearing under subdivision 
42.23 	3b must be delivered by personal service to the address shown on the application or the last 
42.24 	known address of the license holder. The license holder may appeal an order immediately 
42.25 	temporarily suspending a license or issuing a conditional license. The appeal must be made 
42.26 	in writing by certified mail or personal service. If mailed, the appeal must be postmarked 
42.27 	and sent to the commissioner within five calendar days after the license holder receives 
42.28 	notice. If an appeal is made by personal service, it must be received by the commissioner 
42.29 	within five calendar days after the license holder received the order.
42.30 	(d) A license holder whose license is immediately temporarily suspended must comply 
42.31 	with the requirements for notification and transfer of clients in subdivision 5. These 
42.32 	requirements remain if an appeal is requested.

43.1 	Sec. 62. Minnesota Statutes 2024, section 144A.71, subdivision 2, is amended to read:
43.2 		Subd. 2.Application information and fee. The commissioner shall establish forms and 
43.3 	procedures for processing each supplemental nursing services agency registration application. 
43.4 	An application for a supplemental nursing services agency registration must include at least 
43.5 	the following:
43.6 	(1) the names and addresses of all owners and controlling persons of the supplemental 
43.7 	nursing services agency;
43.8 	(2) if the owner is a corporation, copies of its articles of incorporation and current bylaws, 
43.9 	together with the names and addresses of its officers and directors;
43.10 	(3) if the owner is a limited liability company, copies of its articles of organization and 
43.11 	operating agreement, together with the names and addresses of its officers and directors;
43.12 	(4) documentation that the supplemental nursing services agency has medical malpractice 
43.13 	insurance to insure against the loss, damage, or expense of a claim arising out of the death 
43.14 	or injury of any person as the result of negligence or malpractice in the provision of health 
43.15 	care services by the supplemental nursing services agency or by any employee of the agency;
43.16 	(5) documentation that the supplemental nursing services agency has an employee 
43.17 	dishonesty bond in the amount of $10,000;
43.18 	(6) documentation that the supplemental nursing services agency has insurance coverage 
43.19 	for workers' compensation for all nurses, nursing assistants, nurse aides, and orderlies 
43.20 	provided or procured by the agency;
43.21 	(7) documentation that the supplemental nursing services agency filed with the 
43.22 	commissioner of revenue: (i) the name and address of the bank, savings bank, or savings 
43.23 	association in which the supplemental nursing services agency deposits all employee income 
43.24 	tax withholdings; and (ii) the name and address of any nurse, nursing assistant, nurse aide, 
43.25 	or orderly whose income is derived from placement by the agency, if the agency purports 
43.26 	the income is not subject to withholding;
43.27 	(8) any other relevant information that the commissioner determines is necessary to 
43.28 	properly evaluate an application for registration;
43.29 	(9) a policy and procedure that describes how the supplemental nursing services agency's 
43.30 	records will be immediately available at all times to the commissioner and facility; and
43.31 	(10) a nonrefundable registration fee of $2,035 $2,442.
44.1 	If a supplemental nursing services agency fails to provide the items in this subdivision 
44.2 	to the department, the commissioner shall immediately suspend or refuse to issue the 
44.3 	supplemental nursing services agency registration. The supplemental nursing services agency 
44.4 	may appeal the commissioner's findings according to section 144A.475, subdivisions 3a 
44.5 	and 7, except that the hearing must be conducted by an administrative law judge within 60 
44.6 	calendar days of the request for hearing assignment.

44.7 	Sec. 63. Minnesota Statutes 2024, section 144A.753, subdivision 1, is amended to read:
44.8 		Subdivision 1.License required; application. (a) A hospice provider may not operate 
44.9 	in the state without a valid license issued by the commissioner.
44.10 	(b) Within ten days after receiving an application for a license, the commissioner shall 
44.11 	acknowledge receipt of the application in writing. The acknowledgment must indicate 
44.12 	whether the application appears to be complete or whether additional information is required 
44.13 	before the application is considered complete. Within 90 days after receiving a complete 
44.14 	application, the commissioner shall either grant or deny the license. If an applicant is not 
44.15 	granted or denied a license within 90 days after submitting a complete application, the 
44.16 	license must be deemed granted. An applicant whose license has been deemed granted must 
44.17 	provide written notice to the commissioner before providing hospice care.
44.18 	(c) Each application for a hospice provider license, or for a renewal of a license, shall 
44.19 	be accompanied by a fee as follows:
44.20 	(1) for revenues no more than $25,000, $125 $150;
44.21 	(2) for revenues greater than $25,000 and no more than $100,000, $312.50 $375;
44.22 	(3) for revenues greater than $100,000 and no more than $250,000, $625 $750;
44.23 	(4) for revenues greater than $250,000 and no more than $350,000, $937.50 $1,125;
44.24 	(5) for revenues greater than $350,000 and no more than $450,000, $1,250 $1,500;
44.25 	(6) for revenues greater than $450,000 and no more than $550,000, $1,562.50 $1,875;
44.26 	(7) for revenues greater than $550,000 and no more than $650,000, $1,875 $2,250;
44.27 	(8) for revenues greater than $650,000 and no more than $750,000, $2,187.50 $2,625;
44.28 	(9) for revenues greater then $750,000 and no more than $850,000, $2,500 $3,000;
44.29 	(10) for revenues greater than $850,000 and no more than $950,000, $2,812.50 $3,375;
44.30 	(11) for revenues greater than $950,000 and no more than $1,100,000, $3,125 $3,750;
45.1 	(12) for revenues greater than $1,100,000 and no more than $1,275,000, $3,750 $4,500;
45.2 	(13) for revenues greater than $1,275,000 and no more than $1,500,000, $4,375 $5,250; 
45.3 	and
45.4 	(14) for revenues greater than $1,500,000, $5,000 $6,000.

45.5 	Sec. 64. Minnesota Statutes 2024, section 144G.20, subdivision 3, is amended to read:
45.6 		Subd. 3.Immediate temporary suspension. (a) In addition to any other remedies 
45.7 	provided by law, the commissioner may, without a prior contested case hearing, immediately 
45.8 	temporarily suspend a license or prohibit delivery of housing or services by a facility for 
45.9 	not more than 90 calendar days or issue a conditional license, if the commissioner determines 
45.10 	that there are:
45.11 	(1) Level 4 5 violations; or
45.12 	(2) violations that pose an imminent risk of harm to the health or safety of residents.
45.13 	(b) For purposes of this subdivision, "Level 4 5" has the meaning given in section 
45.14 	144G.31.
45.15 	(c) A notice stating the reasons for the immediate temporary suspension or conditional 
45.16 	license and informing the licensee of the right to an expedited hearing under subdivision 
45.17 	17 must be delivered by personal service to the address shown on the application or the last 
45.18 	known address of the licensee. The licensee may appeal an order immediately temporarily 
45.19 	suspending a license or issuing a conditional license. The appeal must be made in writing 
45.20 	by certified mail or personal service. If mailed, the appeal must be postmarked and sent to 
45.21 	the commissioner within five calendar days after the licensee receives notice. If an appeal 
45.22 	is made by personal service, it must be received by the commissioner within five calendar 
45.23 	days after the licensee received the order.
45.24 	(d) A licensee whose license is immediately temporarily suspended must comply with 
45.25 	the requirements for notification and transfer of residents in subdivision 15. The requirements 
45.26 	in subdivision 9 remain if an appeal is requested.

45.27 	Sec. 65. Minnesota Statutes 2024, section 144G.20, subdivision 13, is amended to read:
45.28 		Subd. 13.Notice to facility. (a) Prior to any suspension, revocation, or refusal to renew 
45.29 	a license, the facility shall be entitled to notice and a hearing as provided by sections 14.57 
45.30 	to 14.69. The hearing must commence within 60 calendar days after the proceedings are 
45.31 	initiated. In addition to any other remedy provided by law, the commissioner may, without 
46.1 	a prior contested case hearing, temporarily suspend a license or prohibit delivery of services 
46.2 	by a provider for not more than 90 calendar days, or issue a conditional license if the 
46.3 	commissioner determines that there are Level 3 4 violations that do not pose an imminent 
46.4 	risk of harm to the health or safety of the facility residents, provided:
46.5 	(1) advance notice is given to the facility;
46.6 	(2) after notice, the facility fails to correct the problem;
46.7 	(3) the commissioner has reason to believe that other administrative remedies are not 
46.8 	likely to be effective; and
46.9 	(4) there is an opportunity for a contested case hearing within 30 calendar days unless 
46.10 	there is an extension granted by an administrative law judge.
46.11 	(b) If the commissioner determines there are Level 4 5 violations or violations that pose 
46.12 	an imminent risk of harm to the health or safety of the facility residents, the commissioner 
46.13 	may immediately temporarily suspend a license, prohibit delivery of services by a facility, 
46.14 	or issue a conditional license without meeting the requirements of paragraph (a), clauses 
46.15 	(1) to (4).
46.16 	For the purposes of this subdivision, "Level 3 4" and "Level 4 5" have the meanings given 
46.17 	in section 144G.31.

46.18 	Sec. 66. Minnesota Statutes 2024, section 144G.20, subdivision 16, is amended to read:
46.19 		Subd. 16.Hearing. Within 15 business days of receipt of the licensee's timely appeal 
46.20 	of a sanction under this section, other than for a temporary suspension, the commissioner 
46.21 	shall request assignment of an administrative law judge. The commissioner's request must 
46.22 	include a proposed date, time, and place of hearing. A hearing must be conducted by an 
46.23 	administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within 
46.24 	90 calendar days of the request for assignment, unless an extension is requested by either 
46.25 	party and granted by the administrative law judge for good cause or for purposes of discussing 
46.26 	settlement. In no case shall one or more extensions be granted for a total of more than 90 
46.27 	calendar days unless there is a criminal action pending against the licensee. If, while a 
46.28 	licensee continues to operate pending an appeal of an order for revocation, suspension, or 
46.29 	refusal to renew a license, the commissioner identifies one or more new violations of law 
46.30 	that meet the requirements of Level 3 4 or Level 4 5 violations as defined in section 144G.31, 
46.31 	the commissioner shall act immediately to temporarily suspend the license.

47.1 	Sec. 67. Minnesota Statutes 2024, section 144G.20, subdivision 17, is amended to read:
47.2 		Subd. 17.Expedited hearing. (a) Within five business days of receipt of the licensee's 
47.3 	timely appeal of a temporary suspension or issuance of a conditional license, the 
47.4 	commissioner shall request assignment of an administrative law judge. The request must 
47.5 	include a proposed date, time, and place of a hearing. A hearing must be conducted by an 
47.6 	administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within 
47.7 	30 calendar days of the request for assignment, unless an extension is requested by either 
47.8 	party and granted by the administrative law judge for good cause. The commissioner shall 
47.9 	issue a notice of hearing by certified mail or personal service at least ten business days 
47.10 	before the hearing. Certified mail to the last known address is sufficient. The scope of the 
47.11 	hearing shall be limited solely to the issue of whether the temporary suspension or issuance 
47.12 	of a conditional license should remain in effect and whether there is sufficient evidence to 
47.13 	conclude that the licensee's actions or failure to comply with applicable laws are Level 3 4
47.14 	or Level 4 5 violations as defined in section 144G.31, or that there were violations that 
47.15 	posed an imminent risk of harm to the resident's health and safety.
47.16 	(b) The administrative law judge shall issue findings of fact, conclusions, and a 
47.17 	recommendation within ten business days from the date of hearing. The parties shall have 
47.18 	ten calendar days to submit exceptions to the administrative law judge's report. The record 
47.19 	shall close at the end of the ten-day period for submission of exceptions. The commissioner's 
47.20 	final order shall be issued within ten business days from the close of the record. When an 
47.21 	appeal of a temporary immediate suspension or conditional license is withdrawn or dismissed, 
47.22 	the commissioner shall issue a final order affirming the temporary immediate suspension 
47.23 	or conditional license within ten calendar days of the commissioner's receipt of the 
47.24 	withdrawal or dismissal. The licensee is prohibited from operation during the temporary 
47.25 	suspension period.
47.26 	(c) When the final order under paragraph (b) affirms an immediate suspension, and a 
47.27 	final licensing sanction is issued under subdivisions 1 and 2 and the licensee appeals that 
47.28 	sanction, the licensee is prohibited from operation pending a final commissioner's order 
47.29 	after the contested case hearing conducted under chapter 14.
47.30 	(d) A licensee whose license is temporarily suspended must comply with the requirements 
47.31 	for notification and transfer of residents under subdivision 15. These requirements remain 
47.32 	if an appeal is requested.

48.1 	Sec. 68. Minnesota Statutes 2024, section 144G.30, subdivision 7, is amended to read:
48.2 		Subd. 7.Required follow-up surveys. For assisted living facilities that have Level 3 
48.3 	or, Level 4, or Level 5 violations under section 144G.31, the commissioner shall conduct 
48.4 	a follow-up survey within 90 calendar days of the survey. When conducting a follow-up 
48.5 	survey, the surveyor shall focus on whether the previous violations have been corrected and 
48.6 	may also address any new violations that are observed while evaluating the corrections that 
48.7 	have been made.

48.8 	Sec. 69. Minnesota Statutes 2024, section 144G.31, subdivision 2, is amended to read:
48.9 		Subd. 2.Levels of violations. Correction orders for violations are categorized by level 
48.10 	as follows:
48.11 	(1) Level 1 is a violation that has no potential to cause more than a minimal impact on 
48.12 	the resident will cause only minimal impact on the resident and does not affect health or 
48.13 	safety;
48.14 	(2) Level 2 is a violation that did not harm a resident's health or safety but had the 
48.15 	potential to have harmed a resident's health or safety, but was not likely to cause serious 
48.16 	injury, impairment, or death;
48.17 	(3) Level 3 is a violation that harmed a resident's health or safety, not including serious 
48.18 	injury, impairment, or death, or a violation that has the potential to lead to serious injury, 
48.19 	impairment, or death or a violation that had the potential to cause more than minimal harm 
48.20 	to the resident; and
48.21 	(4) Level 4 is a violation that results in serious injury, impairment, or death. harmed a 
48.22 	resident's health or safety, not including serious injury or death, or a violation that was likely 
48.23 	to lead to serious injury or death; and
48.24 	(5) Level 5 is a violation that results in serious injury or death.

48.25 	Sec. 70. Minnesota Statutes 2024, section 144G.31, subdivision 4, is amended to read:
48.26 		Subd. 4.Fine amounts. (a) Fines and enforcement actions under this subdivision may 
48.27 	be assessed based on the level and scope of the violations described in subdivisions 2 and 
48.28 	3 as follows and may be imposed immediately with no opportunity to correct the violation 
48.29 	prior to imposition:
48.30 	(1) Level 1, no fines or enforcement;
49.1 	(2) Level 2, a fine of $500 per violation, in addition to any enforcement mechanism 
49.2 	authorized in section 144G.20for widespread violations;
49.3 	(3) Level 3, a fine of $3,000 $1,000 per violation, in addition to any enforcement 
49.4 	mechanism authorized in section 144G.20;
49.5 	(4) Level 4, a fine of $5,000 $3,000 per violation, in addition to any enforcement 
49.6 	mechanism authorized in section 144G.20; and
49.7 	(5) Level 5, a fine of $5,000 per violation, in addition to any enforcement mechanism 
49.8 	authorized in section 144G.20; and
49.9 	(5) (6) for maltreatment violations for which the licensee was determined to be responsible 
49.10 	for the maltreatment under section 626.557, subdivision 9c, paragraph (c), a fine of $1,000 
49.11 	per incident. A fine of $5,000 per incident may be imposed if the commissioner determines 
49.12 	the licensee is responsible for maltreatment consisting of sexual assault, death, or abuse 
49.13 	resulting in serious injury.
49.14 	(b) When a fine is assessed against a facility for substantiated maltreatment, the 
49.15 	commissioner shall not also impose an immediate fine under this chapter for the same 
49.16 	circumstance.

49.17 	Sec. 71. Minnesota Statutes 2024, section 144G.31, subdivision 5, is amended to read:
49.18 		Subd. 5.Immediate fine; payment. (a) For every Level 3 or, Level 4, or Level 5
49.19 	violation, the commissioner may issue an immediate fine. The licensee must still correct 
49.20 	the violation in the time specified. The issuance of an immediate fine may occur in addition 
49.21 	to any enforcement mechanism authorized under section 144G.20. The immediate fine may 
49.22 	be appealed as allowed under this chapter.
49.23 	(b) The licensee must pay the fines assessed on or before the payment date specified. If 
49.24 	the licensee fails to fully comply with the order, the commissioner may issue a second fine 
49.25 	or suspend the license until the licensee complies by paying the fine. A timely appeal shall 
49.26 	stay payment of the fine until the commissioner issues a final order.
49.27 	(c) A licensee shall promptly notify the commissioner in writing when a violation 
49.28 	specified in the order is corrected. If upon reinspection the commissioner determines that 
49.29 	a violation has not been corrected as indicated by the order, the commissioner may issue 
49.30 	an additional fine. The commissioner shall notify the licensee by mail to the last known 
49.31 	address in the licensing record that a second fine has been assessed. The licensee may appeal 
49.32 	the second fine as provided under this subdivision.
50.1 	(d) A facility that has been assessed a fine under this section has a right to a 
50.2 	reconsideration or hearing under this chapter and chapter 14.

50.3 	Sec. 72. Minnesota Statutes 2024, section 144G.31, subdivision 8, is amended to read:
50.4 		Subd. 8.Deposit of fines. Fines collected under this section shall be deposited in a 
50.5 	dedicated special revenue account. On an annual basis, the balance in the special revenue 
50.6 	account shall be appropriated to the commissioner for special projects to improve resident 
50.7 	quality of care and outcomes in assisted living facilities licensed under this chapter in 
50.8 	Minnesota as recommended by the advisory council established in section 144A.4799 or 
50.9 	as recommended by the commissioner after the advisory council's review and approval.

50.10 	Sec. 73. Minnesota Statutes 2024, section 144G.45, subdivision 6, is amended to read:
50.11 		Subd. 6.New construction; plans. (a) For all new licensure and construction beginning 
50.12 	on or after August 1, 2021, the following must be provided to the commissioner:
50.13 	(1) architectural and engineering plans and specifications for new construction must be 
50.14 	prepared and signed by architects and engineers who are registered in Minnesota. Final 
50.15 	working drawings and specifications for proposed construction must be submitted to the 
50.16 	commissioner for review and approval;
50.17 	(2) final architectural plans and specifications must include elevations and sections 
50.18 	through the building showing types of construction, and must indicate dimensions and 
50.19 	assignments of rooms and areas, room finishes, door types and hardware, elevations and 
50.20 	details of nurses' work areas, utility rooms, toilet and bathing areas, and large-scale layouts 
50.21 	of dietary and laundry areas. Plans must show the location of fixed equipment and sections 
50.22 	and details of elevators, chutes, and other conveying systems. Fire walls and smoke partitions 
50.23 	must be indicated. The roof plan must show all mechanical installations. The site plan must 
50.24 	indicate the proposed and existing buildings, topography, roadways, walks and utility service 
50.25 	lines; and
50.26 	(3) final mechanical and electrical plans and specifications must address the complete 
50.27 	layout and type of all installations, systems, and equipment to be provided. Heating plans 
50.28 	must include heating elements, piping, thermostatic controls, pumps, tanks, heat exchangers, 
50.29 	boilers, breeching, and accessories. Ventilation plans must include room air quantities, 
50.30 	ducts, fire and smoke dampers, exhaust fans, humidifiers, and air handling units. Plumbing 
50.31 	plans must include the fixtures and equipment fixture schedule; water supply and circulating 
50.32 	piping, pumps, tanks, riser diagrams, and building drains; the size, location, and elevation 
50.33 	of water and sewer services; and the building fire protection systems. Electrical plans must 
51.1 	include fixtures and equipment, receptacles, switches, power outlets, circuits, power and 
51.2 	light panels, transformers, and service feeders. Plans must show location of nurse call signals, 
51.3 	cable lines, fire alarm stations, and fire detectors and emergency lighting.
51.4 	(b) Unless construction is begun within one year after approval of the final working 
51.5 	drawing and specifications, the drawings must be resubmitted for review and approval.
51.6 	(c) The commissioner must be notified within 30 days before completion of construction 
51.7 	so that the commissioner can make arrangements for a final inspection by the commissioner.
51.8 	(d) At least one set of complete life safety plans, including changes resulting from 
51.9 	remodeling or alterations, must be kept on file in the facility.
51.10 	(e) For new construction beginning on or after July 1, 2025, the licensee must comply 
51.11 	with section 144.554 to submit applicable construction plans and fees to the commissioner.

51.12 	Sec. 74. Minnesota Statutes 2024, section 145.8811, is amended to read:
51.13 	145.8811 MATERNAL AND CHILD HEALTH ADVISORY TASK FORCE
51.14 	COMMITTEE.
51.15 		Subdivision 1.Composition of task force committee. The commissioner shall establish 
51.16 	and appoint a Maternal and Child Health Advisory Task Force Committee consisting of 15 
51.17 	members who will provide equal representation from:
51.18 	(1) professionals with expertise in maternal and child health services;
51.19 	(2) representatives of community health boards as defined in section 145A.02, subdivision 
51.20 	5; and
51.21 	(3) consumer representatives interested in the health of mothers and children.
51.22 	No members shall be employees of the Minnesota Department of Health. Section 15.059
51.23 	governs the Maternal and Child Health Advisory Task Force Committee. Notwithstanding 
51.24 	section 15.059, the Maternal and Child Health Advisory Task Force Committee does not 
51.25 	expire.
51.26 		Subd. 2.Duties. The advisory task force committee shall meet on a regular basis to 
51.27 	perform the following duties:
51.28 	(1) review and report on the health care needs of mothers and children throughout the 
51.29 	state of Minnesota;
52.1 	(2) review and report on the type, frequency, and impact of maternal and child health 
52.2 	care services provided to mothers and children under existing maternal and child health 
52.3 	care programs, including programs administered by the commissioner of health;
52.4 	(3) establish, review, and report to the commissioner a list of program guidelines and 
52.5 	criteria which the advisory task force committee considers essential to providing an effective 
52.6 	maternal and child health care program to low-income populations and high-risk persons 
52.7 	and fulfilling the purposes defined in section 145.88;
52.8 	(4) make recommendations to the commissioner for the use of other federal and state 
52.9 	funds available to meet maternal and child health needs;
52.10 	(5) make recommendations to the commissioner of health on priorities for funding the 
52.11 	following maternal and child health services:
52.12 	(i) prenatal, delivery, and postpartum care;
52.13 	(ii) comprehensive health care for children, especially from birth through five years of 
52.14 	age;
52.15 	(iii) adolescent health services;
52.16 	(iv) family planning services;
52.17 	(v) preventive dental care;
52.18 	(vi) special services for chronically ill and disabled children; and
52.19 	(vii) any other services that promote the health of mothers and children; and
52.20 	(6) establish in consultation with the commissioner statewide outcomes that will improve 
52.21 	the health status of mothers and children.

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

52.23 	Sec. 75. Minnesota Statutes 2024, section 157.16, subdivision 2, is amended to read:
52.24 		Subd. 2.License renewal. Initial and renewal licenses for all food and beverage service 
52.25 	establishments, youth camps, hotels, motels, lodging establishments, public pools, and 
52.26 	resorts shall be issued on an annual basis. Any person who operates a place of business after 
52.27 	the expiration date of a license or without having submitted an application and paid the fee 
52.28 	shall be deemed to have violated the provisions of this chapter and shall be subject to 
52.29 	enforcement action, as provided in the Health Enforcement Consolidation Act, sections 
52.30 	144.989 to 144.993. In addition, a penalty of $60 $100 shall be added to the total of the 
52.31 	license fee for any food and beverage service establishment operating without a license as 
53.1 	a mobile food unit, a seasonal temporary or seasonal permanent food stand, or a special 
53.2 	event food stand, and a penalty of $120 $200 shall be added to the total of the license fee 
53.3 	for all restaurants, food carts, hotels, motels, lodging establishments, youth camps, public 
53.4 	pools, and resorts operating without a license for a period of up to 30 days. A late fee of 
53.5 	$360 $450 shall be added to the license fee for establishments operating more than 30 days 
53.6 	without a license.

53.7 	Sec. 76. Minnesota Statutes 2024, section 157.16, subdivision 2a, is amended to read:
53.8 		Subd. 2a.Food manager certification. An applicant for certification or certification 
53.9 	renewal as a food manager must submit to the commissioner a $35 $45 nonrefundable 
53.10 	certification fee payable to the Department of Health. The commissioner shall issue a 
53.11 	duplicate certificate to replace a lost, destroyed, or mutilated certificate if the applicant 
53.12 	submits a completed application on a form provided by the commissioner for a duplicate 
53.13 	certificate and pays $20 $25 to the department for the cost of duplication. In addition, a $5 
53.14 	technology fee must be paid with the initial certification, certification renewal, or duplicate 
53.15 	certificate application.

53.16 	Sec. 77. Minnesota Statutes 2024, section 157.16, subdivision 3, is amended to read:
53.17 		Subd. 3.Establishment fees; definitions. (a) The following fees are required for food 
53.18 	and beverage service establishments, youth camps, hotels, motels, lodging establishments, 
53.19 	public pools, and resorts licensed under this chapter. Food and beverage service 
53.20 	establishments must pay the highest applicable fee under paragraph (d), clause (1), (2), (3), 
53.21 	or (4). The license fee for new operators previously licensed under this chapter for the same 
53.22 	calendar year is one-half of the appropriate annual license fee, plus any penalty that may 
53.23 	be required. The license fee for operators opening on or after October 1 is one-half of the 
53.24 	appropriate annual license fee, plus any penalty that may be required.
53.25 	(b) All food and beverage service establishments, except special event food stands, and 
53.26 	all hotels, motels, lodging establishments, public pools, and resorts shall pay an annual base 
53.27 	fee of $165 $300.
53.28 	(c) A special event food stand shall pay a flat fee of $55 $75 annually. "Special event 
53.29 	food stand" means a fee category where food is prepared or served in conjunction with 
53.30 	celebrations, county fairs, or special events from a special event food stand as defined in 
53.31 	section 157.15.
53.32 	(d) In addition to the base fee in paragraph (b), each food and beverage service 
53.33 	establishment, other than a special event food stand and a school concession stand, and each 
54.1 	hotel, motel, lodging establishment, public pool, and resort shall pay an additional annual 
54.2 	fee for each fee category, additional food service, or required additional inspection specified 
54.3 	in this paragraph:
54.4 	(1) Category 1 establishment, $110 $185. "Category 1 establishment" means a fee 
54.5 	category that provides one or more of the following items or is one of the listed 
54.6 	establishments or facilities:
54.7 	(i) serves prepackaged food that is served in the package;
54.8 	(ii) serves a continental breakfast such as rolls, coffee, juice, milk, and cold cereal;
54.9 	(iii) serves soft drinks, coffee, or nonalcoholic beverages;
54.10 	(iv) provides cleaning for eating, drinking, or cooking utensils, when the only food 
54.11 	served is prepared off site;
54.12 	(v) a food establishment where the method of food preparation meets the definition of 
54.13 	a low-risk establishment in section 157.20; or
54.14 	(vi) operates as a child care facility licensed under section 142B.05 and Minnesota Rules, 
54.15 	chapter 9503.
54.16 	(2) Category 2 establishment, $245 $430. "Category 2 establishment" means an 
54.17 	establishment that is not a Category 1 establishment and is either:
54.18 	(i) a food establishment where the method of food preparation meets the definition of a 
54.19 	medium-risk establishment in section 157.20; or
54.20 	(ii) an elementary or secondary school as defined in section 120A.05.
54.21 	(3) Category 3 establishment, $385 $670. "Category 3 establishment" means an 
54.22 	establishment that is not a Category 1 or Category 2 establishment and is either:
54.23 	(i) a food establishment where the method of food preparation meets the definition of a 
54.24 	high-risk establishment in section 157.20; or
54.25 	(ii) an establishment where 500 or more meals are prepared per day and served at one 
54.26 	or more separate locations.
54.27 	(4) Other food and beverage service, including food carts, mobile food units, seasonal 
54.28 	temporary food stands, and seasonal permanent food stands, $85 $150.
54.29 	(5) Lodging per sleeping accommodation unit, $11 $15, including hotels, motels, lodging 
54.30 	establishments, and resorts, up to a maximum of $1,100 $1,500. "Lodging per sleeping 
54.31 	accommodation unit" means a fee category including the number of guest rooms, cottages, 
55.1 	or other rental units of a hotel, motel, lodging establishment, or resort; or the number of 
55.2 	beds in a dormitory.
55.3 	(6) First public pool, $355 $455; each additional public pool, $200 $300. "Public pool" 
55.4 	means a fee category that has the meaning given in section 144.1222, subdivision 4.
55.5 	(7) First spa, $200 $300; each additional spa, $110 $200. "Spa pool" means a fee category 
55.6 	that has the meaning given in Minnesota Rules, part 4717.0250, subpart 9.
55.7 	(8) Private sewer or water, $60 $85. "Individual private water" means a fee category 
55.8 	with a water supply other than a community public water supply as defined in Minnesota 
55.9 	Rules, chapter 4720. "Individual private sewer" means a fee category with an individual 
55.10 	sewage treatment system which uses subsurface treatment and disposal.
55.11 	(9) Additional food service, $175 $250. "Additional food service" means a location at 
55.12 	a food service establishment, other than the primary food preparation and service area, used 
55.13 	to prepare or serve beverages or food to the public. Additional food service does not apply 
55.14 	to school concession stands.
55.15 	(10) Additional inspection fee, $250 $350. "Additional inspection fee" means a fee to 
55.16 	conduct the second inspection each year for elementary and secondary education facility 
55.17 	school lunch programs when required by the Richard B. Russell National School Lunch 
55.18 	Act.
55.19 	(11) HACCP verification, $175 $225. "HACCP verification" means an annual fee 
55.20 	category for a business that performs one or more specialized process that requires an 
55.21 	HACCP plan as required in chapter 31 and Minnesota Rules, chapter 4626.
55.22 	(e) A fee for review of construction plans must accompany the initial license application 
55.23 	for restaurants, hotels, motels, lodging establishments, resorts, seasonal food stands, and 
55.24 	mobile food units. Plans submitted less than 30 days prior to construction are subject to 50 
55.25 	percent of the original plan review fee. A fee for review of an HACCP plan for specialized 
55.26 	processing must be submitted and approved prior to preparing and serving the specialized 
55.27 	processed food for human consumption. The fees for construction plan reviews and HACCP 
55.28 	plan reviews are as follows:

55.29	Service Area
	Type
	Fee
	
55.3155.30
	Food
	category 1 establishment
	$400
$550
	
55.3355.32
		category 2 establishment
	$450
$750
	
55.3555.34
		category 3 food establishment
	$500
$800
	
56.256.1
		additional food service
	$250
$400
	
56.456.3
		HACCP Plan Review
	$500
$600
	
56.656.5
	Transient food service
	food cart
	$250
$500
	
56.856.7
		seasonal permanent food stand
	$250
$500
	
56.1056.9		seasonal temporary food stand
	$250
$500
	
56.1256.11
		mobile food unit
	$350
$700
	
56.1456.13
	Lodging
	less than 25 rooms
	$375
$450
	
56.1656.15
		25 to less than 100 rooms
	$400
$500
	
56.1856.17
		100 rooms or more
	$500
$600
	
56.2056.19
		less than five cabins
	$350
$400
	
56.2256.21
		five to less than ten cabins
	$400
$450
	
56.2456.23
		ten cabins or more
	$450
$500
	
56.25 	(f) When existing food and beverage service establishments, hotels, motels, lodging 
56.26 	establishments, resorts, seasonal food stands, and mobile food units are extensively 
56.27 	remodeled, a fee must be submitted with the remodeling plans. The fee for this construction 
56.28 	plan review is as follows:

56.29	Service Area
	Type
	Fee
	
56.3156.30
	Food
	category 1 establishment
	$300
$450
	
56.3356.32
		category 2 establishment
	$350
$500
	
56.3556.34
		category 3 establishment
	$400
$550
	
56.3756.36
		additional food service
	$250
$400
	
56.3956.38
	Transient food service
	food cart
	$250
$400
	
56.4156.40
		seasonal permanent food stand
	$250
$400
	
56.4356.42
		seasonal temporary food stand
	$250
$400
	
57.257.1
		mobile food unit
	$250
$400
	
57.457.3
	Lodging
	less than 25 rooms
	$250
$300
	
57.657.5
		25 to less than 100 rooms
	$300
$350
	
57.857.7
		100 rooms or more
	$450
$500
	
57.1057.9		less than five cabins
	$250
$300
	
57.1257.11
		five to less than ten cabins
	$350
$400
	
57.1457.13
		ten cabins or more
	$400
$450
	
57.15 	(g) Special event food stands are not required to submit construction or remodeling plans 
57.16 	for review.
57.17 	(h) Youth camps shall pay an annual single fee for food and lodging as follows:
57.18 	(1) camps with up to 99 campers, $325 $375;
57.19 	(2) camps with 100 to 199 campers, $550 $600; and
57.20 	(3) camps with 200 or more campers, $750 $800.
57.21 	(i) A youth camp which pays fees under paragraph (d) is not required to pay fees under 
57.22 	paragraph (h).

57.23 	Sec. 78. Minnesota Statutes 2024, section 157.16, subdivision 3a, is amended to read:
57.24 		Subd. 3a.Statewide hospitality fee. Every person, firm, or corporation that operates a 
57.25 	licensed boarding establishment, food and beverage service establishment, seasonal temporary 
57.26 	or permanent food stand, special event food stand, mobile food unit, food cart, resort, hotel, 
57.27 	motel, or lodging establishment in Minnesota must submit to the commissioner a $40 $50
57.28 	annual statewide hospitality fee for each licensed activity. The fee for establishments licensed 
57.29 	by either the Department of Health is required or a local government shall be paid at the 
57.30 	same time the licensure fee is due. For establishments licensed by local governments, the 
57.31 	fee is due to be paid to the Department of Health by the local government by July 1 of each 
57.32 	year.

58.1 	Sec. 79. Minnesota Statutes 2024, section 157.16, is amended by adding a subdivision to 
58.2 	read:
58.3 		Subd. 3b.Technology fee. Every food and beverage service establishment, youth camp, 
58.4 	hotel, motel, lodging establishment, public pool, and resort licensed under this chapter must 
58.5 	pay a $5 technology fee for each licensed activity for the initial license and with each 
58.6 	renewal.

58.7 	Sec. 80. Minnesota Statutes 2024, section 326.72, subdivision 1, is amended to read:
58.8 		Subdivision 1.When license required. A person within the state intending to directly 
58.9 	perform or cause to be performed through subcontracting or similar delegation any 
58.10 	asbestos-related work either for financial gain or with respect to the person's own property 
58.11 	shall first apply for and obtain a license from the commissioner. The license shall be in 
58.12 	writing, be dated when issued, contain an expiration date, be signed by the commissioner, 
58.13 	and give the name and address of the person to whom it is issued.
58.14 	The domiciled owner of a single family residence is not required to hold a license or 
58.15 	pay a project permit fee to conduct asbestos-related work in the domiciled residence.
58.16 	Any person performing any asbestos-related work within the state must be licensed by 
58.17 	the commissioner, whether directly performing asbestos work or causing it to be performed 
58.18 	through subcontracting or similar delegation. A domiciled owner of a single-family residence 
58.19 	is not required to hold a license or pay a project permit fee to conduct asbestos-related work 
58.20 	in the domiciled residence.

58.21 	Sec. 81. Minnesota Statutes 2024, section 326.75, subdivision 3, is amended to read:
58.22 		Subd. 3.Permit fee. Five calendar days before beginning asbestos-related work, a person 
58.23 	shall pay a project permit fee to the commissioner equal to two three percent of the total 
58.24 	costs of the asbestos-related work. For asbestos-related work performed in single or 
58.25 	multifamily residences, of greater than ten but less than 260 linear feet of asbestos-containing 
58.26 	material on pipes, or greater than six but less than 160 square feet of asbestos-containing 
58.27 	material on other facility components, a person shall pay a project permit fee of $35 to the 
58.28 	commissioner.

58.29 	Sec. 82. Minnesota Statutes 2024, section 326.75, subdivision 3a, is amended to read:
58.30 		Subd. 3a.Asbestos-related training course permit fee. The commissioner shall establish 
58.31 	by rule a permit fee to be paid by A training course provider shall pay the commissioner a 
59.1 	fee of $500 on application for a training course permit or and $250 for the renewal of a 
59.2 	permit of each asbestos-related training course required for certification or registration.

59.3 	Sec. 83. Minnesota Statutes 2024, section 327.15, subdivision 2, is amended to read:
59.4 		Subd. 2.License renewal. Initial and renewal licenses for all manufactured home parks 
59.5 	and recreational camping areas shall be issued annually and shall have an expiration date 
59.6 	included on the license. Any person who operates a manufactured home park or recreational 
59.7 	camping area after the expiration date of a license or without having submitted an application 
59.8 	and paid the fee shall be deemed to have violated the provisions of this chapter and shall 
59.9 	be subject to enforcement action, as provided in the Health Enforcement Consolidation Act, 
59.10 	sections 144.989 to 144.993. In addition, a penalty of $120 $200 shall be added to the total 
59.11 	of the license fee for any manufactured home park or recreational camping area operating 
59.12 	without a license for a period of up to 30 days. A late fee of $360 $450 shall be added to 
59.13 	the license fee for any manufactured home park or recreational camping area operating 
59.14 	more than 30 days without a license.

59.15 	Sec. 84. Minnesota Statutes 2024, section 327.15, subdivision 3, is amended to read:
59.16 		Subd. 3.Fees, manufactured home parks and recreational camping areas. (a) The 
59.17 	following fees are required for manufactured home parks and recreational camping areas 
59.18 	licensed under this chapter. Fees collected under this section shall be deposited in the state 
59.19 	government special revenue fund. Recreational camping areas and manufactured home 
59.20 	parks shall pay the highest applicable base fee under paragraph (b). The license fee for new 
59.21 	operators of a manufactured home park or recreational camping area previously licensed 
59.22 	under this chapter for the same calendar year is one-half of the appropriate annual license 
59.23 	fee, plus any penalty that may be required. The license fee for operators opening on or after 
59.24 	October 1 is one-half of the appropriate annual license fee, plus any penalty that may be 
59.25 	required.
59.26 	(b) All manufactured home parks and recreational camping areas shall pay the following 
59.27 	annual base fee:
59.28 	(1) a manufactured home park, $165 $280; and
59.29 	(2) a recreational camping area with:
59.30 	(i) 24 or less sites, $55 $100;
59.31 	(ii) 25 to 99 sites, $230 $410; and
59.32 	(iii) 100 or more sites, $330 $610.
60.1 	In addition to the base fee, manufactured home parks and recreational camping areas shall 
60.2 	pay $5 $8 for each licensed site. This paragraph does not apply to special event recreational 
60.3 	camping areas. Operators of a manufactured home park or a recreational camping area also 
60.4 	licensed under section 157.16 for the same location shall pay only one base fee, whichever 
60.5 	is the highest of the base fees found in this section or section 157.16.
60.6 	(c) In addition to the fee in paragraph (b), each manufactured home park or recreational 
60.7 	camping area shall pay an additional annual fee for each fee category specified in this 
60.8 	paragraph:
60.9 	(1) Manufactured home parks and recreational camping areas with public swimming 
60.10 	pools and spas shall pay the appropriate fees specified in section 157.16.
60.11 	(2) Individual private sewer or water, $60 $85. "Individual private water" means a fee 
60.12 	category with a water supply other than a community public water supply as defined in 
60.13 	Minnesota Rules, chapter 4720. "Individual private sewer" means a fee category with a 
60.14 	subsurface sewage treatment system which uses subsurface treatment and disposal.
60.15 	(d) The following fees must accompany a plan review application for initial construction 
60.16 	of a manufactured home park or recreational camping area:
60.17 	(1) for initial construction of less than 25 sites, $375 $400;
60.18 	(2) for initial construction of 25 to 99 sites, $400 $425; and
60.19 	(3) for initial construction of 100 or more sites, $500 $525.
60.20 	(e) The following fees must accompany a plan review application when an existing 
60.21 	manufactured home park or recreational camping area is expanded:
60.22 	(1) for expansion of less than 25 sites, $250 $300;
60.23 	(2) for expansion of 25 to 99 sites, $300 $350; and
60.24 	(3) for expansion of 100 or more sites, $450 $500.

60.25 	Sec. 85. Minnesota Statutes 2024, section 327.15, subdivision 4, is amended to read:
60.26 		Subd. 4.Fees, special event recreational camping areas. (a) The following fees are 
60.27 	required for special event recreational camping areas licensed under this chapter.
60.28 	(b) All special event recreational camping areas shall pay an annual fee of $150 $250
60.29 	plus $1 $4 for each licensed site.
60.30 	(c) A special event recreational camping area shall pay a late fee of $360 $450 for failing 
60.31 	to obtain a license prior to operating.
61.1 	(d) The following fees must accompany a plan review application for initial construction 
61.2 	of a special event recreational camping area:
61.3 	(1) for initial construction of less than 25 special event recreational camping sites, $375
61.4 	$475;
61.5 	(2) for initial construction of 25 to 99 sites, $400 $500; and
61.6 	(3) for initial construction of 100 or more sites, $500 $600.
61.7 	(e) The following fees must accompany a plan review application for expansion of a 
61.8 	special event recreational camping area:
61.9 	(1) for expansion of less than 25 sites, $250 $300;
61.10 	(2) for expansion of 25 to 99 sites, $300 $350; and
61.11 	(3) for expansion of 100 or more sites, $450 $500.

61.12 	Sec. 86. Minnesota Statutes 2024, section 327.15, is amended by adding a subdivision to 
61.13 	read:
61.14 		Subd. 5.Technology fee. All manufactured home parks, recreational camping areas, 
61.15 	and special event camping areas must pay a $5 technology fee at initial licensing and upon 
61.16 	each renewal.

61.17 	Sec. 87. RULEMAKING.
 61.18 	The Department of Health must adopt rules using the expedited process under Minnesota 
61.19 	Statutes, section 14.389, to amend certain parts in Minnesota Rules, chapter 4695, to conform 
61.20 	with the changes made in this act.

61.21 	Sec. 88. REPEALER.
 61.22 	(a) Minnesota Statutes 2024, section 103I.550, is repealed.
61.23 	(b) Minnesota Rules, part 4695.2900, is repealed.

61.24 	ARTICLE 2
61.25 	HEALTH CARE

61.26 	Section 1. Minnesota Statutes 2024, section 174.30, subdivision 3, is amended to read:
61.27 		Subd. 3.Other standards; wheelchair securement; protected transport. (a) A special 
61.28 	transportation service that transports individuals occupying wheelchairs is subject to the 
62.1 	provisions of sections 299A.11 to 299A.17 concerning wheelchair securement devices. The 
62.2 	commissioners of transportation and public safety shall cooperate in the enforcement of 
62.3 	this section and sections 299A.11 to 299A.17 so that a single inspection is sufficient to 
62.4 	ascertain compliance with sections 299A.11 to 299A.17 and with the standards adopted 
62.5 	under this section. Representatives of the Department of Transportation may inspect 
62.6 	wheelchair securement devices in vehicles operated by special transportation service 
62.7 	providers to determine compliance with sections 299A.11 to 299A.17 and to issue certificates 
62.8 	under section 299A.14, subdivision 4.
62.9 	(b) In place of a certificate issued under section 299A.14, the commissioner may issue 
62.10 	a decal under subdivision 4 for a vehicle equipped with a wheelchair securement device if 
62.11 	the device complies with sections 299A.11 to 299A.17 and the decal displays the information 
62.12 	in section 299A.14, subdivision 4.
62.13 	(c) For vehicles designated as protected transport under section 256B.0625, subdivision 
62.14 	17, paragraph (l) (n), the commissioner of transportation, during the commissioner's 
62.15 	inspection, shall check to ensure the safety provisions contained in that paragraph are in 
62.16 	working order.

62.17 	Sec. 2. Minnesota Statutes 2024, section 256.9657, subdivision 2, is amended to read:
62.18 		Subd. 2.Hospital surcharge. (a) Effective October 1, 1992 July 1, 2025, each Minnesota 
62.19 	hospital except facilities of the federal Indian Health Service and regional treatment centers 
62.20 	shall pay to the medical assistance account a surcharge equal to 1.4 1.72 percent of net 
62.21 	patient revenues excluding net Medicare revenues reported by that provider to the health 
62.22 	care cost information system according to the schedule in subdivision 4.
62.23 	(b) Effective July 1, 1994, the surcharge under paragraph (a) is increased to 1.56 percent.
62.24 	(c) (b) Notwithstanding the Medicare cost finding and allowable cost principles, the 
62.25 	hospital surcharge is not an allowable cost for purposes of rate setting under sections 
62.26 	256.9685 to 256.9695.

62.27 	Sec. 3. Minnesota Statutes 2024, section 256.9657, subdivision 3, is amended to read:
62.28 		Subd. 3.Surcharge on HMOs and community integrated service networks. (a) 
62.29 	Effective October 1, 1992 July 1, 2025, each health maintenance organization with a 
62.30 	certificate of authority issued by the commissioner of health under chapter 62D and each 
62.31 	community integrated service network licensed by the commissioner under chapter 62N 
62.32 	shall pay to the commissioner of human services a surcharge equal to six-tenths of one 1.25
63.1 	percent of the total premium revenues of the health maintenance organization or community 
63.2 	integrated service network as reported to the commissioner of health according to the 
63.3 	schedule in subdivision 4.
63.4 	(b) For purposes of this subdivision, total premium revenue means:
63.5 	(1) premium revenue recognized on a prepaid basis from individuals and groups for 
63.6 	provision of a specified range of health services over a defined period of time which is 
63.7 	normally one month, excluding premiums paid to a health maintenance organization or 
63.8 	community integrated service network from the Federal Employees Health Benefit Program;
63.9 	(2) premiums from Medicare wraparound subscribers for health benefits which 
63.10 	supplement Medicare coverage;
63.11 	(3) Medicare revenue, as a result of an arrangement between a health maintenance 
63.12 	organization or a community integrated service network and the Centers for Medicare and 
63.13 	Medicaid Services of the federal Department of Health and Human Services, for services 
63.14 	to a Medicare beneficiary, excluding Medicare revenue that states are prohibited from taxing 
63.15 	under sections 1854, 1860D-12, and 1876 of title XVIII of the federal Social Security Act, 
63.16 	codified as United States Code, title 42, sections 1395mm, 1395w-112, and 1395w-24, 
63.17 	respectively, as they may be amended from time to time; and
63.18 	(4) medical assistance revenue, as a result of an arrangement between a health 
63.19 	maintenance organization or community integrated service network and a Medicaid state 
63.20 	agency, for services to a medical assistance beneficiary.
63.21 	(c) If advance payments are made under paragraph (b), clause (1) or (2) to the health 
63.22 	maintenance organization or community integrated service network for more than one 
63.23 	reporting period, the portion of the payment that has not yet been earned must be treated as 
63.24 	a liability.
63.25 	(c) (d) When a health maintenance organization or community integrated service network 
63.26 	merges or consolidates with or is acquired by another health maintenance organization or 
63.27 	community integrated service network, the surviving corporation or the new corporation 
63.28 	shall be responsible for the annual surcharge originally imposed on each of the entities or 
63.29 	corporations subject to the merger, consolidation, or acquisition, regardless of whether one 
63.30 	of the entities or corporations does not retain a certificate of authority under chapter 62D 
63.31 	or a license under chapter 62N.
63.32 	(d) (e) Effective June 15 of each year, the surviving corporation's or the new corporation's 
63.33 	surcharge shall be based on the revenues earned in the previous calendar year by all of the 
64.1 	entities or corporations subject to the merger, consolidation, or acquisition regardless of 
64.2 	whether one of the entities or corporations does not retain a certificate of authority under 
64.3 	chapter 62D or a license under chapter 62N until the total premium revenues of the surviving 
64.4 	corporation include the total premium revenues of all the merged entities as reported to the 
64.5 	commissioner of health.
64.6 	(e) (f) When a health maintenance organization or community integrated service network, 
64.7 	which is subject to liability for the surcharge under this chapter, transfers, assigns, sells, 
64.8 	leases, or disposes of all or substantially all of its property or assets, liability for the surcharge 
64.9 	imposed by this chapter is imposed on the transferee, assignee, or buyer of the health 
64.10 	maintenance organization or community integrated service network.
64.11 	(f) (g) In the event a health maintenance organization or community integrated service 
64.12 	network converts its licensure to a different type of entity subject to liability for the surcharge 
64.13 	under this chapter, but survives in the same or substantially similar form, the surviving 
64.14 	entity remains liable for the surcharge regardless of whether one of the entities or corporations 
64.15 	does not retain a certificate of authority under chapter 62D or a license under chapter 62N.
64.16 	(g) (h) The surcharge assessed to a health maintenance organization or community 
64.17 	integrated service network ends when the entity ceases providing services for premiums 
64.18 	and the cessation is not connected with a merger, consolidation, acquisition, or conversion.

64.19 	Sec. 4. Minnesota Statutes 2024, section 256B.0625, subdivision 3b, is amended to read:
64.20 		Subd. 3b.Telehealth services. (a) Medical assistance covers medically necessary services 
64.21 	and consultations delivered by a health care provider through telehealth in the same manner 
64.22 	as if the service or consultation was delivered through in-person contact. Services or 
64.23 	consultations delivered through telehealth shall be paid at the full allowable rate.
64.24 	(b) The commissioner may establish criteria that a health care provider must attest to in 
64.25 	order to demonstrate the safety or efficacy of delivering a particular service through 
64.26 	telehealth. The attestation may include that the health care provider:
64.27 	(1) has identified the categories or types of services the health care provider will provide 
64.28 	through telehealth;
64.29 	(2) has written policies and procedures specific to services delivered through telehealth 
64.30 	that are regularly reviewed and updated;
64.31 	(3) has policies and procedures that adequately address patient safety before, during, 
64.32 	and after the service is delivered through telehealth;
65.1 	(4) has established protocols addressing how and when to discontinue telehealth services; 
65.2 	and
65.3 	(5) has an established quality assurance process related to delivering services through 
65.4 	telehealth.
65.5 	(c) As a condition of payment, a licensed health care provider must document each 
65.6 	occurrence of a health service delivered through telehealth to a medical assistance enrollee. 
65.7 	Health care service records for services delivered through telehealth must meet the 
65.8 	requirements set forth in Minnesota Rules, part 9505.2175, subparts 1 and 2, and must 
65.9 	document:
65.10 	(1) the type of service delivered through telehealth;
65.11 	(2) the time the service began and the time the service ended, including an a.m. and p.m. 
65.12 	designation;
65.13 	(3) the health care provider's basis for determining that telehealth is an appropriate and 
65.14 	effective means for delivering the service to the enrollee;
65.15 	(4) the mode of transmission used to deliver the service through telehealth and records 
65.16 	evidencing that a particular mode of transmission was utilized;
65.17 	(5) the location of the originating site and the distant site;
65.18 	(6) if the claim for payment is based on a physician's consultation with another physician 
65.19 	through telehealth, the written opinion from the consulting physician providing the telehealth 
65.20 	consultation; and
65.21 	(7) compliance with the criteria attested to by the health care provider in accordance 
65.22 	with paragraph (b).
65.23 	(d) Telehealth visits provided through audio and visual communication or accessible 
65.24 	video-based platforms may be used to satisfy the face-to-face requirement for reimbursement 
65.25 	under the payment methods that apply to a federally qualified health center, rural health 
65.26 	clinic, Indian health service, 638 tribal clinic, and certified community behavioral health 
65.27 	clinic, if the service would have otherwise qualified for payment if performed in person.
65.28 	(e) For purposes of this subdivision, unless otherwise covered under this chapter:
65.29 	(1) "telehealth" means the delivery of health care services or consultations using real-time 
65.30 	two-way interactive audio and visual communication or accessible telehealth video-based 
65.31 	platforms to provide or support health care delivery and facilitate the assessment, diagnosis, 
65.32 	consultation, treatment, education, and care management of a patient's health care. Telehealth 
66.1 	includes: the application of secure video conferencing consisting of a real-time, full-motion 
66.2 	synchronized video; store-and-forward technology; and synchronous interactions, between 
66.3 	a patient located at an originating site and a health care provider located at a distant site. 
66.4 	Telehealth does not include communication between health care providers, or between a 
66.5 	health care provider and a patient that consists solely of an audio-only communication, 
66.6 	email, or facsimile transmission or as specified by law, except that between July 1, 2025, 
66.7 	and July 1, 2028, telehealth includes communication between a health care provider and a 
66.8 	patient that solely consists of audio-only communication;
66.9 	(2) "health care provider" means a health care provider as defined under section 62A.673; 
66.10 	a community paramedic as defined under section 144E.001, subdivision 5f; a community 
66.11 	health worker who meets the criteria under subdivision 49, paragraph (a); a mental health 
66.12 	certified peer specialist under section 245I.04, subdivision 10; a mental health certified 
66.13 	family peer specialist under section 245I.04, subdivision 12; a mental health rehabilitation 
66.14 	worker under section 245I.04, subdivision 14; a mental health behavioral aide under section 
66.15 	245I.04, subdivision 16; a treatment coordinator under section 245G.11, subdivision 7; an 
66.16 	alcohol and drug counselor under section 245G.11, subdivision 5; or a recovery peer under 
66.17 	section 245G.11, subdivision 8; and
66.18 	(3) "originating site," "distant site," and "store-and-forward technology" have the 
66.19 	meanings given in section 62A.673, subdivision 2.

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

66.21 	Sec. 5. Minnesota Statutes 2024, section 256B.0625, subdivision 8e, is amended to read:
66.22 		Subd. 8e.Chiropractic services. Payment for chiropractic services is limited to
66.23 	individuals under the age of 21. Coverage for individuals under the age of 21 is limited to
66.24 	one annual evaluation and 24 visits per year unless prior authorization of a greater number 
66.25 	of visits is obtained.

66.26 	EFFECTIVE DATE. This section is effective January 1, 2026, or upon federal approval, 
66.27 	whichever is later. The commissioner shall notify the revisor of statutes when federal 
66.28 	approval is obtained.

66.29 	Sec. 6. Minnesota Statutes 2024, section 256B.0625, subdivision 13, is amended to read:
66.30 		Subd. 13.Drugs. (a) Medical assistance covers drugs, except for fertility drugs when 
66.31 	specifically used to enhance fertility, if prescribed by a licensed practitioner and dispensed 
66.32 	by a licensed pharmacist, by a physician enrolled in the medical assistance program as a 
67.1 	dispensing physician, or by a physician, a physician assistant, or an advanced practice 
67.2 	registered nurse employed by or under contract with a community health board as defined 
67.3 	in section 145A.02, subdivision 5, for the purposes of communicable disease control.
67.4 	(b) The dispensed quantity of a prescription drug must not exceed a 34-day supply unless 
67.5 	authorized by the commissioner or as provided in paragraph (h) or the drug appears on the 
67.6 	90-day supply list published by the commissioner. The 90-day supply list shall be published 
67.7 	by the commissioner on the department's website. The commissioner may add to, delete 
67.8 	from, and otherwise modify the 90-day supply list after providing public notice and the 
67.9 	opportunity for a 15-day public comment period. The 90-day supply list may include 
67.10 	cost-effective generic drugs and shall not include controlled substances.
67.11 	(c) For the purpose of this subdivision and subdivision 13d, an "active pharmaceutical 
67.12 	ingredient" is defined as a substance that is represented for use in a drug and when used in 
67.13 	the manufacturing, processing, or packaging of a drug becomes an active ingredient of the 
67.14 	drug product. An "excipient" is defined as an inert substance used as a diluent or vehicle 
67.15 	for a drug. The commissioner shall establish a list of active pharmaceutical ingredients and 
67.16 	excipients which are included in the medical assistance formulary. Medical assistance covers 
67.17 	selected active pharmaceutical ingredients and excipients used in compounded prescriptions 
67.18 	when the compounded combination is specifically approved by the commissioner or when 
67.19 	a commercially available product:
67.20 	(1) is not a therapeutic option for the patient;
67.21 	(2) does not exist in the same combination of active ingredients in the same strengths 
67.22 	as the compounded prescription; and
67.23 	(3) cannot be used in place of the active pharmaceutical ingredient in the compounded 
67.24 	prescription.
67.25 	(d) Medical assistance covers the following over-the-counter drugs as mandated by 
67.26 	United States Code, title 42, section 1396r-8, when prescribed by a licensed practitioner or 
67.27 	by a licensed pharmacist who meets standards established by the commissioner, in 
67.28 	consultation with the board of pharmacy: antacids, acetaminophen, family planning products, 
67.29 	aspirin, insulin, products for the treatment of lice, vitamins for adults with documented 
67.30 	vitamin deficiencies, vitamins for children under the age of seven and pregnant or nursing 
67.31 	women, and any other over-the-counter drug identified by the commissioner, in consultation 
67.32 	with the Formulary Committee, as necessary, appropriate, and cost-effective for the treatment 
67.33 	of certain specified chronic diseases, conditions, or disorders, and this determination shall 
67.34 	not be subject to the requirements of chapter 14. A pharmacist may prescribe over-the-counter 
68.1 	medications as provided under this paragraph for purposes of receiving reimbursement 
68.2 	under Medicaid. When prescribing over-the-counter drugs under this paragraph, licensed 
68.3 	pharmacists must consult with the recipient to determine necessity, provide drug counseling, 
68.4 	review drug therapy for potential adverse interactions, and make referrals as needed to other 
68.5 	health care professionals.
68.6 	(e) Effective January 1, 2006, medical assistance shall not cover drugs that are coverable 
68.7 	under Medicare Part D as defined in the Medicare Prescription Drug, Improvement, and 
68.8 	Modernization Act of 2003, Public Law 108-173, section 1860D-2(e), for individuals eligible 
68.9 	for drug coverage as defined in the Medicare Prescription Drug, Improvement, and 
68.10 	Modernization Act of 2003, Public Law 108-173, section 1860D-1(a)(3)(A). For these 
68.11 	individuals, medical assistance may cover drugs from the drug classes listed in United States 
68.12 	Code, title 42, section 1396r-8(d)(2), subject to this subdivision and subdivisions 13a to 
68.13 	13g, except that drugs listed in United States Code, title 42, section 1396r-8(d)(2)(E), shall 
68.14 	not be covered.
68.15 	(f) Medical assistance covers drugs acquired through the federal 340B Drug Pricing 
68.16 	Program and dispensed by 340B covered entities and ambulatory pharmacies under common 
68.17 	ownership of the 340B covered entity. Medical assistance does not cover drugs acquired 
68.18 	through the federal 340B Drug Pricing Program and dispensed by 340B contract pharmacies.
68.19 	(g) Notwithstanding paragraph (a), medical assistance covers self-administered hormonal 
68.20 	contraceptives prescribed and dispensed by a licensed pharmacist in accordance with section 
68.21 	151.37, subdivision 14; nicotine replacement medications prescribed and dispensed by a 
68.22 	licensed pharmacist in accordance with section 151.37, subdivision 15; and opiate antagonists 
68.23 	used for the treatment of an acute opiate overdose prescribed and dispensed by a licensed 
68.24 	pharmacist in accordance with section 151.37, subdivision 16.
68.25 	(h) Medical assistance coverage for a prescription contraceptive must provide a 12-month 
68.26 	supply for any prescription contraceptive if a 12-month supply is prescribed by the 
68.27 	prescribing health care provider. The prescribing health care provider must determine the 
68.28 	appropriate duration for which to prescribe the prescription contraceptives, up to 12 months. 
68.29 	For purposes of this paragraph, "prescription contraceptive" means any drug or device that 
68.30 	requires a prescription and is approved by the Food and Drug Administration to prevent 
68.31 	pregnancy. Prescription contraceptive does not include an emergency contraceptive drug 
68.32 	approved to prevent pregnancy when administered after sexual contact. For purposes of this 
68.33 	paragraph, "health plan" has the meaning provided in section 62Q.01, subdivision 3.

69.1 	EFFECTIVE DATE. This section is effective January 1, 2026, or upon federal approval, 
69.2 	whichever is later. The commissioner shall notify the revisor of statutes when federal 
69.3 	approval is obtained.

69.4 	Sec. 7. Minnesota Statutes 2024, section 256B.0625, subdivision 30, is amended to read:
69.5 		Subd. 30.Other clinic services. (a) Medical assistance covers rural health clinic services, 
69.6 	federally qualified health center services, nonprofit community health clinic services, and 
69.7 	public health clinic services. Rural health clinic services and federally qualified health center 
69.8 	services mean services defined in United States Code, title 42, section 1396d(a)(2)(B) and 
69.9 	(C). Payment for rural health clinic and federally qualified health center services shall be 
69.10 	made according to applicable federal law and regulation.
69.11 	(b) A federally qualified health center (FQHC) that is beginning initial operation shall 
69.12 	submit an estimate of budgeted costs and visits for the initial reporting period in the form 
69.13 	and detail required by the commissioner. An FQHC that is already in operation shall submit 
69.14 	an initial report using actual costs and visits for the initial reporting period. Within 90 days 
69.15 	of the end of its reporting period, an FQHC shall submit, in the form and detail required by 
69.16 	the commissioner, a report of its operations, including allowable costs actually incurred for 
69.17 	the period and the actual number of visits for services furnished during the period, and other 
69.18 	information required by the commissioner. FQHCs that file Medicare cost reports shall 
69.19 	provide the commissioner with a copy of the most recent Medicare cost report filed with 
69.20 	the Medicare program intermediary for the reporting year which support the costs claimed 
69.21 	on their cost report to the state.
69.22 	(c) In order to continue cost-based payment under the medical assistance program 
69.23 	according to paragraphs (a) and (b), an FQHC or rural health clinic must apply for designation 
69.24 	as an essential community provider within six months of final adoption of rules by the 
69.25 	Department of Health according to section 62Q.19, subdivision 7. For those FQHCs and 
69.26 	rural health clinics that have applied for essential community provider status within the 
69.27 	six-month time prescribed, medical assistance payments will continue to be made according 
69.28 	to paragraphs (a) and (b) for the first three years after application. For FQHCs and rural 
69.29 	health clinics that either do not apply within the time specified above or who have had 
69.30 	essential community provider status for three years, medical assistance payments for health 
69.31 	services provided by these entities shall be according to the same rates and conditions 
69.32 	applicable to the same service provided by health care providers that are not FQHCs or rural 
69.33 	health clinics.
70.1 	(d) Effective July 1, 1999, the provisions of paragraph (c) requiring an FQHC or a rural 
70.2 	health clinic to make application for an essential community provider designation in order 
70.3 	to have cost-based payments made according to paragraphs (a) and (b) no longer apply.
70.4 	(e) Effective January 1, 2000, payments made according to paragraphs (a) and (b) shall 
70.5 	be limited to the cost phase-out schedule of the Balanced Budget Act of 1997.
70.6 	(f) Effective January 1, 2001, through December 31, 2020, each FQHC and rural health 
70.7 	clinic may elect to be paid either under the prospective payment system established in United 
70.8 	States Code, title 42, section 1396a(aa), or under an alternative payment methodology 
70.9 	consistent with the requirements of United States Code, title 42, section 1396a(aa), and 
70.10 	approved by the Centers for Medicare and Medicaid Services. The alternative payment 
70.11 	methodology shall be 100 percent of cost as determined according to Medicare cost 
70.12 	principles.
70.13 	(g) Effective for services provided on or after January 1, 2021, all claims for payment 
70.14 	of clinic services provided by FQHCs and rural health clinics shall be paid by the 
70.15 	commissioner, according to an annual election by the FQHC or rural health clinic, under 
70.16 	the current prospective payment system described in paragraph (f) or the alternative payment 
70.17 	methodology described in paragraph (l), or, upon federal approval, for FQHCs that are also 
70.18 	urban Indian organizations under Title V of the federal Indian Health Improvement Act, as 
70.19 	provided under paragraph (k).
70.20 	(h) For purposes of this section, "nonprofit community clinic" is a clinic that:
70.21 	(1) has nonprofit status as specified in chapter 317A;
70.22 	(2) has tax exempt status as provided in Internal Revenue Code, section 501(c)(3);
70.23 	(3) is established to provide health services to low-income population groups, uninsured, 
70.24 	high-risk and special needs populations, underserved and other special needs populations;
70.25 	(4) employs professional staff at least one-half of which are familiar with the cultural 
70.26 	background of their clients;
70.27 	(5) charges for services on a sliding fee scale designed to provide assistance to 
70.28 	low-income clients based on current poverty income guidelines and family size; and
70.29 	(6) does not restrict access or services because of a client's financial limitations or public 
70.30 	assistance status and provides no-cost care as needed.
70.31 	(i) Effective for services provided on or after January 1, 2015, all claims for payment 
70.32 	of clinic services provided by FQHCs and rural health clinics shall be paid by the 
71.1 	commissioner. the commissioner shall determine the most feasible method for paying claims 
71.2 	from the following options:
71.3 	(1) FQHCs and rural health clinics submit claims directly to the commissioner for 
71.4 	payment, and the commissioner provides claims information for recipients enrolled in a 
71.5 	managed care or county-based purchasing plan to the plan, on a regular basis; or
71.6 	(2) FQHCs and rural health clinics submit claims for recipients enrolled in a managed 
71.7 	care or county-based purchasing plan to the plan, and those claims are submitted by the 
71.8 	plan to the commissioner for payment to the clinic.
71.9 	(j) For clinic services provided prior to January 1, 2015, the commissioner shall calculate 
71.10 	and pay monthly the proposed managed care supplemental payments to clinics, and clinics 
71.11 	shall conduct a timely review of the payment calculation data in order to finalize all 
71.12 	supplemental payments in accordance with federal law. Any issues arising from a clinic's 
71.13 	review must be reported to the commissioner by January 1, 2017. Upon final agreement 
71.14 	between the commissioner and a clinic on issues identified under this subdivision, and in 
71.15 	accordance with United States Code, title 42, section 1396a(bb), no supplemental payments 
71.16 	for managed care plan or county-based purchasing plan claims for services provided prior 
71.17 	to January 1, 2015, shall be made after June 30, 2017. If the commissioner and clinics are 
71.18 	unable to resolve issues under this subdivision, the parties shall submit the dispute to the 
71.19 	arbitration process under section 14.57.
71.20 	(k) The commissioner shall establish an encounter payment rate that is equivalent to the 
71.21 	all inclusive rate (AIR) payment established by the Indian Health Service and published in 
71.22 	the Federal Register. The encounter rate must be updated annually and must reflect the 
71.23 	changes in the AIR established by the Indian Health Service each calendar year. FQHCs 
71.24 	that are also urban Indian organizations under Title V of the federal Indian Health 
71.25 	Improvement Act may elect to be paid: (1) at the encounter rate established under this 
71.26 	paragraph; (2) under the alternative payment methodology described in paragraph (l); or 
71.27 	(3) under the federally required prospective payment system described in paragraph (f). 
71.28 	FQHCs that elect to be paid at the encounter rate established under this paragraph must 
71.29 	continue to meet all state and federal requirements related to FQHCs and urban Indian 
71.30 	organizations, and must maintain their statuses as FQHCs and urban Indian organizations.
71.31 	(l) All claims for payment of clinic services provided by FQHCs and rural health clinics, 
71.32 	that have elected to be paid under this paragraph, shall be paid by the commissioner according 
71.33 	to the following requirements:
72.1 	(1) the commissioner shall establish a single medical and single dental organization 
72.2 	encounter rate for each FQHC and rural health clinic when applicable;
72.3 	(2) each FQHC and rural health clinic is eligible for same day reimbursement of one 
72.4 	medical and one dental organization encounter rate if eligible medical and dental visits are 
72.5 	provided on the same day;
72.6 	(3) the commissioner shall reimburse FQHCs and rural health clinics, in accordance 
72.7 	with current applicable Medicare cost principles, their allowable costs, including direct 
72.8 	patient care costs and patient-related support services. Nonallowable costs include, but are 
72.9 	not limited to:
72.10 	(i) general social services and administrative costs;
72.11 	(ii) retail pharmacy;
72.12 	(iii) patient incentives, food, housing assistance, and utility assistance;
72.13 	(iv) external lab and x-ray;
72.14 	(v) navigation services;
72.15 	(vi) health care taxes;
72.16 	(vii) advertising, public relations, and marketing;
72.17 	(viii) office entertainment costs, food, alcohol, and gifts;
72.18 	(ix) contributions and donations;
72.19 	(x) bad debts or losses on awards or contracts;
72.20 	(xi) fines, penalties, damages, or other settlements;
72.21 	(xii) fundraising, investment management, and associated administrative costs;
72.22 	(xiii) research and associated administrative costs;
72.23 	(xiv) nonpaid workers;
72.24 	(xv) lobbying;
72.25 	(xvi) scholarships and student aid; and
72.26 	(xvii) nonmedical assistance covered services;
72.27 	(4) the commissioner shall review the list of nonallowable costs in the years between 
72.28 	the rebasing process established in clause (5), in consultation with the Minnesota Association 
73.1 	of Community Health Centers, FQHCs, and rural health clinics. The commissioner shall 
73.2 	publish the list and any updates in the Minnesota health care programs provider manual;
73.3 	(5) the initial applicable base year organization encounter rates for FQHCs and rural 
73.4 	health clinics shall be computed for services delivered on or after January 1, 2021, and:
73.5 	(i) must be determined using each FQHC's and rural health clinic's Medicare cost reports 
73.6 	from 2017 and 2018;
73.7 	(ii) must be according to current applicable Medicare cost principles as applicable to 
73.8 	FQHCs and rural health clinics without the application of productivity screens and upper 
73.9 	payment limits or the Medicare prospective payment system FQHC aggregate mean upper 
73.10 	payment limit;
73.11 	(iii) must be subsequently rebased every two years thereafter using the Medicare cost 
73.12 	reports that are three and four years prior to the rebasing year. Years in which organizational 
73.13 	cost or claims volume is reduced or altered due to a pandemic, disease, or other public health 
73.14 	emergency shall not be used as part of a base year when the base year includes more than 
73.15 	one year. The commissioner may use the Medicare cost reports of a year unaffected by a 
73.16 	pandemic, disease, or other public health emergency, or previous two consecutive years, 
73.17 	inflated to the base year as established under item (iv);
73.18 	(iv) must be inflated to the base year using the inflation factor described in clause (6); 
73.19 	and
73.20 	(v) the commissioner must provide for a 60-day appeals process under section 14.57;
73.21 	(6) the commissioner shall annually inflate the applicable organization encounter rates 
73.22 	for FQHCs and rural health clinics from the base year payment rate to the effective date by 
73.23 	using the CMS FQHC Market Basket inflator established under United States Code, title 
73.24 	42, section 1395m(o), less productivity;
73.25 	(7) FQHCs and rural health clinics that have elected the alternative payment methodology 
73.26 	under this paragraph shall submit all necessary documentation required by the commissioner 
73.27 	to compute the rebased organization encounter rates no later than six months following the 
73.28 	date the applicable Medicare cost reports are due to the Centers for Medicare and Medicaid 
73.29 	Services;
73.30 	(8) the commissioner shall reimburse FQHCs and rural health clinics an additional 
73.31 	amount relative to their medical and dental organization encounter rates that is attributable 
73.32 	to the tax required to be paid according to section 295.52, if applicable;
74.1 	(9) FQHCs and rural health clinics may submit change of scope requests to the 
74.2 	commissioner if the change of scope would result in an increase or decrease of 2.5 percent 
74.3 	or higher in the medical or dental organization encounter rate currently received by the 
74.4 	FQHC or rural health clinic;
74.5 	(10) for FQHCs and rural health clinics seeking a change in scope with the commissioner 
74.6 	under clause (9) that requires the approval of the scope change by the federal Health 
74.7 	Resources Services Administration:
74.8 	(i) FQHCs and rural health clinics shall submit the change of scope request, including 
74.9 	the start date of services, to the commissioner within seven business days of submission of 
74.10 	the scope change to the federal Health Resources Services Administration;
74.11 	(ii) the commissioner shall establish the effective date of the payment change as the 
74.12 	federal Health Resources Services Administration date of approval of the FQHC's or rural 
74.13 	health clinic's scope change request, or the effective start date of services, whichever is 
74.14 	later; and
74.15 	(iii) within 45 days of one year after the effective date established in item (ii), the 
74.16 	commissioner shall conduct a retroactive review to determine if the actual costs established 
74.17 	under clause (3) or encounters result in an increase or decrease of 2.5 percent or higher in 
74.18 	the medical or dental organization encounter rate, and if this is the case, the commissioner 
74.19 	shall revise the rate accordingly and shall adjust payments retrospectively to the effective 
74.20 	date established in item (ii);
74.21 	(11) for change of scope requests that do not require federal Health Resources Services 
74.22 	Administration approval, the FQHC and rural health clinic shall submit the request to the 
74.23 	commissioner before implementing the change, and the effective date of the change is the 
74.24 	date the commissioner received the FQHC's or rural health clinic's request, or the effective 
74.25 	start date of the service, whichever is later. The commissioner shall provide a response to 
74.26 	the FQHC's or rural health clinic's request within 45 days of submission and provide a final 
74.27 	approval within 120 days of submission. This timeline may be waived at the mutual 
74.28 	agreement of the commissioner and the FQHC or rural health clinic if more information is 
74.29 	needed to evaluate the request;
74.30 	(12) the commissioner, when establishing organization encounter rates for new FQHCs 
74.31 	and rural health clinics, shall consider the patient caseload of existing FQHCs and rural 
74.32 	health clinics in a 60-mile radius for organizations established outside of the seven-county 
74.33 	metropolitan area, and in a 30-mile radius for organizations in the seven-county metropolitan 
75.1 	area. If this information is not available, the commissioner may use Medicare cost reports 
75.2 	or audited financial statements to establish base rates;
75.3 	(13) the commissioner, when establishing organization encounter rates under this section 
75.4 	for FQHCs and rural health clinics resulting from a merger of existing clinics or the 
75.5 	acquisition of an existing clinic by another existing clinic, must use the combined costs and 
75.6 	caseloads from the clinics participating in the merger or acquisition to set the encounter rate 
75.7 	for the new clinic organization resulting from the merger or acquisition. The scope of services 
75.8 	for the newly formed clinic must be inclusive of the scope of services of the clinics 
75.9 	participating in the merger or acquisition;
75.10 	(13) (14) the commissioner shall establish a quality measures workgroup that includes 
75.11 	representatives from the Minnesota Association of Community Health Centers, FQHCs, 
75.12 	and rural health clinics, to evaluate clinical and nonclinical measures; and
75.13 	(14) (15) the commissioner shall not disallow or reduce costs that are related to an 
75.14 	FQHC's or rural health clinic's participation in health care educational programs to the extent 
75.15 	that the costs are not accounted for in the alternative payment methodology encounter rate 
75.16 	established in this paragraph.
75.17 	(m) Effective July 1, 2023, an enrolled Indian health service facility or a Tribal health 
75.18 	center operating under a 638 contract or compact may elect to also enroll as a Tribal FQHC. 
75.19 	Requirements that otherwise apply to an FQHC covered in this subdivision do not apply to 
75.20 	a Tribal FQHC enrolled under this paragraph, except that any requirements necessary to 
75.21 	comply with federal regulations do apply to a Tribal FQHC. The commissioner shall establish 
75.22 	an alternative payment method for a Tribal FQHC enrolled under this paragraph that uses 
75.23 	the same method and rates applicable to a Tribal facility or health center that does not enroll 
75.24 	as a Tribal FQHC.
75.25 	(n) FQHC reimbursement for mental health targeted case management services is limited 
75.26 	to:
75.27 	(1) only those services described under subdivision 20 and provided in accordance with 
75.28 	contracts executed with counties authorized to subcontract for mental health targeted case 
75.29 	management services; and
75.30 	(2) an FQHC's actual incurred costs as separately reported on the cost report submitted 
75.31 	to the Centers for Medicare and Medicaid Services and further identified in reports submitted 
75.32 	to the commissioner.
76.1 	(o) Counties contracting with FQHCs for mental health targeted case management remain 
76.2 	responsible for the nonfederal share of the cost of the provided mental health targeted case 
76.3 	management services. The commissioner must bill each county for the nonfederal share of 
76.4 	the mental health targeted case management costs as reported by the FQHC.

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

76.6 	Sec. 8. Minnesota Statutes 2024, section 256L.03, subdivision 3b, is amended to read:
76.7 		Subd. 3b.Chiropractic services. MinnesotaCare covers the following chiropractic 
76.8 	services for individuals under the age of 21: medically necessary exams, manual manipulation 
76.9 	of the spine, and x-rays.

76.10 	EFFECTIVE DATE. This section is effective January 1, 2026, or upon federal approval, 
76.11 	whichever is later. The commissioner shall notify the revisor of statutes when federal 
76.12 	approval is obtained.

76.13 	ARTICLE 3
76.14 	PHARMACY

76.15 	Section 1. Minnesota Statutes 2024, section 256B.0625, subdivision 13c, is amended to 
76.16 	read:
76.17 		Subd. 13c.Formulary Committee. (a) The commissioner, after receiving 
76.18 	recommendations from professional medical associations and professional pharmacy 
76.19 	associations, and consumer groups shall designate a Formulary Committee to carry out 
76.20 	duties as described in subdivisions 13 to 13g. The Formulary Committee shall be comprised 
76.21 	of at least five licensed physicians actively engaged in the practice of medicine in Minnesota, 
76.22 	one of whom is an actively practicing psychiatrist, one of whom specializes in the diagnosis 
76.23 	and treatment of rare diseases, one of whom specializes in pediatrics, and one of whom 
76.24 	actively treats persons with disabilities; at least three licensed pharmacists actively engaged 
76.25 	in the practice of pharmacy in Minnesota, one of whom practices outside the metropolitan 
76.26 	counties listed in section 473.121, subdivision 4, one of whom practices in the metropolitan 
76.27 	counties listed in section 473.121, subdivision 4, and one of whom is a practicing hospital 
76.28 	pharmacist; at least two consumer representatives, all of whom must have a personal or 
76.29 	professional connection to medical assistance; and one representative designated by the 
76.30 	Minnesota Rare Disease Advisory Council established under section 256.4835; the remainder 
76.31 	to be made up of health care professionals who are licensed in their field and have recognized 
76.32 	knowledge in the clinically appropriate prescribing, dispensing, and monitoring of covered 
76.33 	outpatient drugs. Members of the Formulary Committee shall not be employed by the 
77.1 	Department of Human Services or have a personal interest in a pharmaceutical company, 
77.2 	pharmacy benefits manager, health plan company, or their affiliate organizations, but the 
77.3 	committee shall be staffed by an employee of the department who shall serve as an ex 
77.4 	officio, nonvoting member of the committee. For the purposes of this subdivision, "personal 
77.5 	interest" means that a person owns at least five percent of the voting interest or equity 
77.6 	interest in the entity, the equity interest owned by a person represents at least five percent 
77.7 	of that person's net worth, or more than five percent of a person's gross income for the 
77.8 	preceding year was derived from the entity. A committee member must notify the committee 
77.9 	of any potential conflict of interest and recuse themselves from any communications, 
77.10 	discussion, or vote on any matter where a conflict of interest exists. A conflict of interest 
77.11 	alone, without a personal interest, does not preclude an applicant from serving as a member 
77.12 	of the Formulary Committee. Members may be removed from the committee for cause after 
77.13 	a recommendation for removal by a majority of the committee membership. For the purposes 
77.14 	of this subdivision, "cause" does not include offering a differing or dissenting clinical opinion 
77.15 	on a drug or drug class. The department's medical director shall also serve as an ex officio, 
77.16 	nonvoting member for the committee. Committee members shall serve three-year terms 
77.17 	and may be reappointed twice by the commissioner. The committee members shall vote on 
77.18 	a chair and vice chair from among their membership. The chair shall preside over all 
77.19 	committee meetings, and the vice chair shall preside over the meetings if the chair is not 
77.20 	present. The Formulary Committee shall meet at least three times per year. The commissioner 
77.21 	may require more frequent Formulary Committee meetings as needed. An honorarium of 
77.22 	$100 per meeting and reimbursement for mileage shall be paid to each committee member 
77.23 	in attendance. The Formulary Committee expires June 30, 2027. The Formulary Committee 
77.24 	is subject to the Open Meeting Law under chapter 13D. For purposes of establishing a 
77.25 	quorum to transact business, vacant committee member positions do not count in the 
77.26 	calculation as long as at least 60 percent of the committee member positions are filled.
77.27 	(b) Notwithstanding section 15.059, the Formulary Committee does not expire.

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

77.29 	Sec. 2. Minnesota Statutes 2024, section 256B.69, subdivision 6d, is amended to read:
77.30 		Subd. 6d.Prescription drugs.  The commissioner may must exclude or modify coverage 
77.31 	for outpatient prescription drugs from the prepaid managed care contracts entered into under 
77.32 	this section. The commissioner may include, exclude, or modify coverage for prescription 
77.33 	drugs, other than those dispensed from outpatient pharmacies, from the prepaid managed 
77.34 	care contracts under this section in order to increase savings to the state by collecting 
78.1 	additional prescription drug rebates. The contracts must maintain incentives for the managed 
78.2 	care plan to manage drug costs and utilization and may require that the managed care plans 
78.3 	maintain an open drug formulary. In order to manage drug costs and utilization, the contracts 
78.4 	may authorize the managed care plans to use preferred drug lists and prior authorization. 
78.5 	This subdivision is contingent on federal approval of the managed care contract changes 
78.6 	and the collection of additional prescription drug rebates.

78.7 	EFFECTIVE DATE. This section is effective January 1, 2026, or upon federal approval, 
78.8 	whichever is later. The commissioner shall notify the revisor of statutes when federal 
78.9 	approval is obtained.

78.10 	ARTICLE 4
78.11 	BACKGROUND STUDIES

78.12 	Section 1. Minnesota Statutes 2024, section 245C.13, subdivision 2, is amended to read:
78.13 		Subd. 2.Activities pending completion of background study. The subject of a 
78.14 	background study may not perform any activity requiring a background study under 
78.15 	paragraph (c) until the commissioner has issued one of the notices under paragraph (a).
78.16 	(a) Notices from the commissioner required prior to activity under paragraph (c) include:
78.17 	(1) a notice of the study results under section 245C.17 stating that:
78.18 	(i) the individual is not disqualified; or
78.19 	(ii) more time is needed to complete the study but the individual is not required to be 
78.20 	removed from direct contact or access to people receiving services prior to completion of 
78.21 	the study as provided under section 245C.17, subdivision 1, paragraph (b) or (c). The notice 
78.22 	that more time is needed to complete the study must also indicate whether the individual is 
78.23 	required to be under continuous direct supervision prior to completion of the background 
78.24 	study. When more time is necessary to complete a background study of an individual 
78.25 	affiliated with a Title IV-E eligible children's residential facility or foster residence setting, 
78.26 	the individual may not work in the facility or setting regardless of whether or not the 
78.27 	individual is supervised;
78.28 	(2) a notice that a disqualification has been set aside under section 245C.23; or
78.29 	(3) a notice that a variance has been granted related to the individual under section 
78.30 	245C.30.
78.31 	(b) For a background study affiliated with a licensed child care center or certified 
78.32 	license-exempt child care center, the notice sent under paragraph (a), clause (1), item (ii), 
79.1 	must not be issued until the commissioner receives a qualifying result for the individual for 
79.2 	the fingerprint-based national criminal history record check or the fingerprint-based criminal 
79.3 	history information from the Bureau of Criminal Apprehension. The notice must require 
79.4 	the individual to be under continuous direct supervision prior to completion of the remainder 
79.5 	of the background study except as permitted in subdivision 3.
79.6 	(c) Activities prohibited prior to receipt of notice under paragraph (a) include:
79.7 	(1) being issued a license;
79.8 	(2) living in the household where the licensed program will be provided;
79.9 	(3) providing direct contact services to persons served by a program unless the subject 
79.10 	is under continuous direct supervision;
79.11 	(4) having access to persons receiving services if the background study was completed 
79.12 	under section 144.057, subdivision 1, or 245C.03, subdivision 1, paragraph (a), clause (2), 
79.13 	(5), or (6), unless the subject is under continuous direct supervision;
79.14 	(5) for licensed child care centers and certified license-exempt child care centers, 
79.15 	providing direct contact services to persons served by the program;
79.16 	(6) for children's residential facilities or foster residence settings, working in the facility 
79.17 	or setting; or
79.18 	(7) for background studies affiliated with a personal care provider organization, except 
79.19 	as provided in section 245C.03, subdivision 3b, before a personal care assistant provides 
79.20 	services, the personal care assistance provider agency must initiate a background study of 
79.21 	the personal care assistant under this chapter and the personal care assistance provider 
79.22 	agency must have received a notice from the commissioner that the personal care assistant 
79.23 	is:
79.24 	(i) not disqualified under section 245C.14; or
79.25 	(ii) disqualified, but the personal care assistant has received a set aside of the 
79.26 	disqualification under section 245C.22.; or
79.27 	(8) for background studies affiliated with an early intensive developmental and behavioral 
79.28 	intervention provider, before an individual provides services, the early intensive 
79.29 	developmental and behavioral intervention provider must initiate a background study for 
79.30 	the individual under this chapter and the early intensive developmental and behavioral 
79.31 	intervention provider must have received a notice from the commissioner that the individual 
79.32 	is:
80.1 	(i) not disqualified under section 245C.14; or
80.2 	(ii) disqualified, but the individual has received a set aside of the disqualification under 
80.3 	section 245C.22.

80.4 	EFFECTIVE DATE. This section is effective January 15, 2026.

80.5 	Sec. 2. Minnesota Statutes 2024, section 245C.14, is amended by adding a subdivision to 
80.6 	read:
80.7 		Subd. 4c.Two-year disqualification. An individual is disqualified under section 
80.8 	245C.14, subdivision 6, if less than two years has passed since a determination that the 
80.9 	individual violated section 142A.12, 245.095, or 256B.064.

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

80.11 	Sec. 3. Minnesota Statutes 2024, section 245C.14, is amended by adding a subdivision to 
80.12 	read:
80.13 		Subd. 6.Disqualification from owning, operating, or billing. The commissioner shall 
80.14 	disqualify an individual who is the subject of a background study from any position involving 
80.15 	ownership, management, or control of a program or billing activities if a background study 
80.16 	completed under this chapter shows a violation of section 142A.12, 245.095, or 256B.064.

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

80.18 	Sec. 4. Minnesota Statutes 2024, section 245C.15, subdivision 1, is amended to read:
80.19 		Subdivision 1.Permanent disqualification. (a) An individual is disqualified under 
80.20 	section 245C.14 if: (1) regardless of how much time has passed since the discharge of the 
80.21 	sentence imposed, if any, for the offense; and (2) unless otherwise specified, regardless of 
80.22 	the level of the offense, the individual has committed any of the following offenses: sections 
80.23 	243.166 (violation of predatory offender registration law); 609.185 (murder in the first 
80.24 	degree); 609.19 (murder in the second degree); 609.195 (murder in the third degree); 609.20 
80.25 	(manslaughter in the first degree); 609.205 (manslaughter in the second degree); a felony 
80.26 	offense under 609.221 or 609.222 (assault in the first or second degree); a felony offense 
80.27 	under sections 609.2242 and 609.2243 (domestic assault), spousal abuse, child abuse or 
80.28 	neglect, or a crime against children; 609.2247 (domestic assault by strangulation); 609.228 
80.29 	(great bodily harm caused by distribution of drugs); 609.245 (aggravated robbery); 609.247, 
80.30 	subdivision 2 or 3 (carjacking in the first or second degree); 609.25 (kidnapping); 609.2661 
80.31 	(murder of an unborn child in the first degree); 609.2662 (murder of an unborn child in the 
81.1 	second degree); 609.2663 (murder of an unborn child in the third degree); 609.322 
81.2 	(solicitation, inducement, and promotion of prostitution); 609.324, subdivision 1 (other 
81.3 	prohibited acts); 609.342 (criminal sexual conduct in the first degree); 609.343 (criminal 
81.4 	sexual conduct in the second degree); 609.344 (criminal sexual conduct in the third degree); 
81.5 	609.345 (criminal sexual conduct in the fourth degree); 609.3451 (criminal sexual conduct 
81.6 	in the fifth degree); 609.3453 (criminal sexual predatory conduct); 609.3458 (sexual 
81.7 	extortion); 609.352 (solicitation of children to engage in sexual conduct); 609.365 (incest); 
81.8 	a felony offense under 609.377 (malicious punishment of a child); 609.3775 (child torture);
81.9 	a felony offense under 609.378 (neglect or endangerment of a child); 609.561 (arson in the 
81.10 	first degree); 609.66, subdivision 1e (drive-by shooting); 609.749, subdivision 3, 4, or 5 
81.11 	(felony-level harassment or stalking); 609.855, subdivision 5 (shooting at or in a public 
81.12 	transit vehicle or facility); 617.23, subdivision 2, clause (1), or subdivision 3, clause (1) 
81.13 	(indecent exposure involving a minor); 617.246 (use of minors in sexual performance 
81.14 	prohibited); 617.247 (possession of pictorial representations of minors); or, for a child care 
81.15 	background study subject, conviction of a crime that would make the individual ineligible 
81.16 	for employment under United States Code, title 42, section 9858f, except for a felony drug 
81.17 	conviction, regardless of whether a period of disqualification under subdivisions 2 to 4, 
81.18 	would apply if the individual were not a child care background study subject.
81.19 	(b) An individual's aiding and abetting, attempt, or conspiracy to commit any of the 
81.20 	offenses listed in paragraph (a), as each of these offenses is defined in Minnesota Statutes, 
81.21 	permanently disqualifies the individual under section 245C.14.
81.22 	(c) An individual's offense in any other state or country, where the elements of the offense 
81.23 	are substantially similar to any of the offenses listed in paragraph (a), permanently disqualifies 
81.24 	the individual under section 245C.14.
81.25 	(d) When a disqualification is based on a judicial determination other than a conviction, 
81.26 	the disqualification period begins from the date of the court order. When a disqualification 
81.27 	is based on an admission, the disqualification period begins from the date of an admission 
81.28 	in court. When a disqualification is based on an Alford Plea, the disqualification period 
81.29 	begins from the date the Alford Plea is entered in court. When a disqualification is based 
81.30 	on a preponderance of evidence of a disqualifying act, the disqualification date begins from 
81.31 	the date of the dismissal, the date of discharge of the sentence imposed for a conviction for 
81.32 	a disqualifying crime of similar elements, or the date of the incident, whichever occurs last.
81.33 	(e) If the individual studied commits one of the offenses listed in paragraph (a) that is 
81.34 	specified as a felony-level only offense, but the sentence or level of offense is a gross 
81.35 	misdemeanor or misdemeanor, the individual is disqualified, but the disqualification 
82.1 	look-back period for the offense is the period applicable to gross misdemeanor or 
82.2 	misdemeanor offenses.
82.3 	(f) A child care background study subject shall be disqualified if the individual is 
82.4 	registered, or required to be registered, on a state sex offender registry or repository or the 
82.5 	National Sex Offender Registry.

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

82.7 	Sec. 5. Minnesota Statutes 2024, section 245C.15, subdivision 4a, is amended to read:
82.8 		Subd. 4a.Licensed family foster setting disqualifications. (a) Notwithstanding 
82.9 	subdivisions 1 to 4, for a background study affiliated with a licensed family foster setting, 
82.10 	regardless of how much time has passed, an individual is disqualified under section 245C.14 
82.11 	if the individual committed an act that resulted in a felony-level conviction for sections: 
82.12 	609.185 (murder in the first degree); 609.19 (murder in the second degree); 609.195 (murder 
82.13 	in the third degree); 609.20 (manslaughter in the first degree); 609.205 (manslaughter in 
82.14 	the second degree); 609.2112 (criminal vehicular homicide); 609.221 (assault in the first 
82.15 	degree); 609.223, subdivision 2 (assault in the third degree, past pattern of child abuse); 
82.16 	609.223, subdivision 3 (assault in the third degree, victim under four); a felony offense 
82.17 	under sections 609.2242 and 609.2243 (domestic assault, spousal abuse, child abuse or 
82.18 	neglect, or a crime against children); 609.2247 (domestic assault by strangulation); 609.2325 
82.19 	(criminal abuse of a vulnerable adult resulting in the death of a vulnerable adult); 609.245 
82.20 	(aggravated robbery); 609.247, subdivision 2 or 3 (carjacking in the first or second degree); 
82.21 	609.25 (kidnapping); 609.255 (false imprisonment); 609.2661 (murder of an unborn child 
82.22 	in the first degree); 609.2662 (murder of an unborn child in the second degree); 609.2663 
82.23 	(murder of an unborn child in the third degree); 609.2664 (manslaughter of an unborn child 
82.24 	in the first degree); 609.2665 (manslaughter of an unborn child in the second degree); 
82.25 	609.267 (assault of an unborn child in the first degree); 609.2671 (assault of an unborn child 
82.26 	in the second degree); 609.268 (injury or death of an unborn child in the commission of a 
82.27 	crime); 609.322, subdivision 1 (solicitation, inducement, and promotion of prostitution; sex 
82.28 	trafficking in the first degree); 609.324, subdivision 1 (other prohibited acts; engaging in, 
82.29 	hiring, or agreeing to hire minor to engage in prostitution); 609.342 (criminal sexual conduct 
82.30 	in the first degree); 609.343 (criminal sexual conduct in the second degree); 609.344 (criminal 
82.31 	sexual conduct in the third degree); 609.345 (criminal sexual conduct in the fourth degree); 
82.32 	609.3451 (criminal sexual conduct in the fifth degree); 609.3453 (criminal sexual predatory 
82.33 	conduct); 609.3458 (sexual extortion); 609.352 (solicitation of children to engage in sexual 
82.34 	conduct); 609.377 (malicious punishment of a child); 609.3775 (child torture);609.378
83.1 	(neglect or endangerment of a child); 609.561 (arson in the first degree); 609.582, subdivision 
83.2 	1 (burglary in the first degree); 609.746 (interference with privacy); 617.23 (indecent 
83.3 	exposure); 617.246 (use of minors in sexual performance prohibited); or 617.247 (possession 
83.4 	of pictorial representations of minors).
83.5 	(b) Notwithstanding subdivisions 1 to 4, for the purposes of a background study affiliated 
83.6 	with a licensed family foster setting, an individual is disqualified under section 245C.14, 
83.7 	regardless of how much time has passed, if the individual:
83.8 	(1) committed an action under paragraph (e) that resulted in death or involved sexual 
83.9 	abuse, as defined in section 260E.03, subdivision 20;
83.10 	(2) committed an act that resulted in a gross misdemeanor-level conviction for section 
83.11 	609.3451 (criminal sexual conduct in the fifth degree);
83.12 	(3) committed an act against or involving a minor that resulted in a felony-level conviction 
83.13 	for: section 609.222 (assault in the second degree); 609.223, subdivision 1 (assault in the 
83.14 	third degree); 609.2231 (assault in the fourth degree); or 609.224 (assault in the fifth degree); 
83.15 	or
83.16 	(4) committed an act that resulted in a misdemeanor or gross misdemeanor-level 
83.17 	conviction for section 617.293 (dissemination and display of harmful materials to minors).
83.18 	(c) Notwithstanding subdivisions 1 to 4, for a background study affiliated with a licensed 
83.19 	family foster setting, an individual is disqualified under section 245C.14 if fewer than 20 
83.20 	years have passed since the termination of the individual's parental rights under section 
83.21 	260C.301, subdivision 1, paragraph (b), or if the individual consented to a termination of 
83.22 	parental rights under section 260C.301, subdivision 1, paragraph (a), to settle a petition to 
83.23 	involuntarily terminate parental rights. An individual is disqualified under section 245C.14 
83.24 	if fewer than 20 years have passed since the termination of the individual's parental rights 
83.25 	in any other state or country, where the conditions for the individual's termination of parental 
83.26 	rights are substantially similar to the conditions in section 260C.301, subdivision 1, paragraph 
83.27 	(b).
83.28 	(d) Notwithstanding subdivisions 1 to 4, for a background study affiliated with a licensed 
83.29 	family foster setting, an individual is disqualified under section 245C.14 if fewer than five 
83.30 	years have passed since a felony-level violation for sections: 152.021 (controlled substance 
83.31 	crime in the first degree); 152.022 (controlled substance crime in the second degree); 152.023 
83.32 	(controlled substance crime in the third degree); 152.024 (controlled substance crime in the 
83.33 	fourth degree); 152.025 (controlled substance crime in the fifth degree); 152.0261 (importing 
83.34 	controlled substances across state borders); 152.0262, subdivision 1, paragraph (b) 
84.1 	(possession of substance with intent to manufacture methamphetamine); 152.027, subdivision 
84.2 	6, paragraph (c) (sale or possession of synthetic cannabinoids); 152.096 (conspiracies 
84.3 	prohibited); 152.097 (simulated controlled substances); 152.136 (anhydrous ammonia; 
84.4 	prohibited conduct; criminal penalties; civil liabilities); 152.137 (methamphetamine-related 
84.5 	crimes involving children or vulnerable adults); 169A.24 (felony first-degree driving while 
84.6 	impaired); 243.166 (violation of predatory offender registration requirements); 609.2113 
84.7 	(criminal vehicular operation; bodily harm); 609.2114 (criminal vehicular operation; unborn 
84.8 	child); 609.228 (great bodily harm caused by distribution of drugs); 609.2325 (criminal 
84.9 	abuse of a vulnerable adult not resulting in the death of a vulnerable adult); 609.233 (criminal 
84.10 	neglect); 609.235 (use of drugs to injure or facilitate a crime); 609.24 (simple robbery); 
84.11 	609.247, subdivision 4 (carjacking in the third degree); 609.322, subdivision 1a (solicitation, 
84.12 	inducement, and promotion of prostitution; sex trafficking in the second degree); 609.498, 
84.13 	subdivision 1 (tampering with a witness in the first degree); 609.498, subdivision 1b 
84.14 	(aggravated first-degree witness tampering); 609.562 (arson in the second degree); 609.563 
84.15 	(arson in the third degree); 609.582, subdivision 2 (burglary in the second degree); 609.66 
84.16 	(felony dangerous weapons); 609.687 (adulteration); 609.713 (terroristic threats); 609.749, 
84.17 	subdivision 3, 4, or 5 (felony-level harassment or stalking); 609.855, subdivision 5 (shooting 
84.18 	at or in a public transit vehicle or facility); or 624.713 (certain people not to possess firearms).
84.19 	(e) Notwithstanding subdivisions 1 to 4, except as provided in paragraph (a), for a 
84.20 	background study affiliated with a licensed family child foster care license, an individual 
84.21 	is disqualified under section 245C.14 if fewer than five years have passed since:
84.22 	(1) a felony-level violation for an act not against or involving a minor that constitutes: 
84.23 	section 609.222 (assault in the second degree); 609.223, subdivision 1 (assault in the third 
84.24 	degree); 609.2231 (assault in the fourth degree); or 609.224, subdivision 4 (assault in the 
84.25 	fifth degree);
84.26 	(2) a violation of an order for protection under section 518B.01, subdivision 14;
84.27 	(3) a determination or disposition of the individual's failure to make required reports 
84.28 	under section 260E.06 or 626.557, subdivision 3, for incidents in which the final disposition 
84.29 	under chapter 260E or section 626.557 was substantiated maltreatment and the maltreatment 
84.30 	was recurring or serious;
84.31 	(4) a determination or disposition of the individual's substantiated serious or recurring 
84.32 	maltreatment of a minor under chapter 260E, a vulnerable adult under section 626.557, or 
84.33 	serious or recurring maltreatment in any other state, the elements of which are substantially 
85.1 	similar to the elements of maltreatment under chapter 260E or section 626.557 and meet 
85.2 	the definition of serious maltreatment or recurring maltreatment;
85.3 	(5) a gross misdemeanor-level violation for sections: 609.224, subdivision 2 (assault in 
85.4 	the fifth degree); 609.2242 and 609.2243 (domestic assault); 609.233 (criminal neglect); 
85.5 	609.377 (malicious punishment of a child); 609.378 (neglect or endangerment of a child); 
85.6 	609.746 (interference with privacy); 609.749 (stalking); or 617.23 (indecent exposure); or
85.7 	(6) committing an act against or involving a minor that resulted in a misdemeanor-level 
85.8 	violation of section 609.224, subdivision 1 (assault in the fifth degree).
85.9 	(f) For purposes of this subdivision, the disqualification begins from:
85.10 	(1) the date of the alleged violation, if the individual was not convicted;
85.11 	(2) the date of conviction, if the individual was convicted of the violation but not 
85.12 	committed to the custody of the commissioner of corrections; or
85.13 	(3) the date of release from prison, if the individual was convicted of the violation and 
85.14 	committed to the custody of the commissioner of corrections.
85.15 	Notwithstanding clause (3), if the individual is subsequently reincarcerated for a violation 
85.16 	of the individual's supervised release, the disqualification begins from the date of release 
85.17 	from the subsequent incarceration.
85.18 	(g) An individual's aiding and abetting, attempt, or conspiracy to commit any of the 
85.19 	offenses listed in paragraphs (a) and (b), as each of these offenses is defined in Minnesota 
85.20 	Statutes, permanently disqualifies the individual under section 245C.14. An individual is 
85.21 	disqualified under section 245C.14 if fewer than five years have passed since the individual's 
85.22 	aiding and abetting, attempt, or conspiracy to commit any of the offenses listed in paragraphs 
85.23 	(d) and (e).
85.24 	(h) An individual's offense in any other state or country, where the elements of the 
85.25 	offense are substantially similar to any of the offenses listed in paragraphs (a) and (b), 
85.26 	permanently disqualifies the individual under section 245C.14. An individual is disqualified 
85.27 	under section 245C.14 if fewer than five years have passed since an offense in any other 
85.28 	state or country, the elements of which are substantially similar to the elements of any 
85.29 	offense listed in paragraphs (d) and (e).

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

86.1 	ARTICLE 5
86.2 	DEPARTMENT OF HUMAN SERVICES PROGRAM INTEGRITY

86.3 	Section 1. Minnesota Statutes 2024, section 13.46, subdivision 2, is amended to read:
86.4 		Subd. 2.General. (a) Data on individuals collected, maintained, used, or disseminated 
86.5 	by the welfare system are private data on individuals, and shall not be disclosed except:
86.6 	(1) according to section 13.05;
86.7 	(2) according to court order;
86.8 	(3) according to a statute specifically authorizing access to the private data;
86.9 	(4) to an agent of the welfare system and an or investigator acting on behalf of a county, 
86.10 	the state, or the federal government, including a law enforcement person or attorney in the 
86.11 	investigation or prosecution of a criminal, civil, or administrative proceeding relating to the 
86.12 	administration of a program;
86.13 	(5) to personnel of the welfare system who require the data to verify an individual's 
86.14 	identity; determine eligibility, amount of assistance, and the need to provide services to an 
86.15 	individual or family across programs; coordinate services for an individual or family; 
86.16 	evaluate the effectiveness of programs; assess parental contribution amounts; and investigate 
86.17 	suspected fraud;
86.18 	(6) to administer federal funds or programs;
86.19 	(7) between personnel of the welfare system working in the same program;
86.20 	(8) to the Department of Revenue to administer and evaluate tax refund or tax credit 
86.21 	programs and to identify individuals who may benefit from these programs, and prepare 
86.22 	the databases for reports required under section 270C.13 and Laws 2008, chapter 366, article 
86.23 	17, section 6. The following information may be disclosed under this paragraph: an 
86.24 	individual's and their dependent's names, dates of birth, Social Security or individual taxpayer 
86.25 	identification numbers, income, addresses, and other data as required, upon request by the 
86.26 	Department of Revenue. Disclosures by the commissioner of revenue to the commissioner 
86.27 	of human services for the purposes described in this clause are governed by section 270B.14, 
86.28 	subdivision 1. Tax refund or tax credit programs include, but are not limited to, the dependent 
86.29 	care credit under section 290.067, the Minnesota working family credit under section 
86.30 	290.0671, the property tax refund under section 290A.04, and the Minnesota education 
86.31 	credit under section 290.0674;
87.1 	(9) between the Department of Human Services; the Department of Employment and 
87.2 	Economic Development; the Department of Children, Youth, and Families; Direct Care and 
87.3 	Treatment; and, when applicable, the Department of Education, for the following purposes:
87.4 	(i) to monitor the eligibility of the data subject for unemployment benefits, for any 
87.5 	employment or training program administered, supervised, or certified by that agency;
87.6 	(ii) to administer any rehabilitation program or child care assistance program, whether 
87.7 	alone or in conjunction with the welfare system;
87.8 	(iii) to monitor and evaluate the Minnesota family investment program or the child care 
87.9 	assistance program by exchanging data on recipients and former recipients of Supplemental 
87.10 	Nutrition Assistance Program (SNAP) benefits, cash assistance under chapter 142F, 256D, 
87.11 	256J, or 256K, child care assistance under chapter 142E, medical programs under chapter 
87.12 	256B or 256L; and
87.13 	(iv) to analyze public assistance employment services and program utilization, cost, 
87.14 	effectiveness, and outcomes as implemented under the authority established in Title II, 
87.15 	Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999. 
87.16 	Health records governed by sections 144.291 to 144.298 and "protected health information" 
87.17 	as defined in Code of Federal Regulations, title 45, section 160.103, and governed by Code 
87.18 	of Federal Regulations, title 45, parts 160-164, including health care claims utilization 
87.19 	information, must not be exchanged under this clause;
87.20 	(10) to appropriate parties in connection with an emergency if knowledge of the 
87.21 	information is necessary to protect the health or safety of the individual or other individuals 
87.22 	or persons;
87.23 	(11) data maintained by residential programs as defined in section 245A.02 may be 
87.24 	disclosed to the protection and advocacy system established in this state according to Part 
87.25 	C of Public Law 98-527 to protect the legal and human rights of persons with developmental 
87.26 	disabilities or other related conditions who live in residential facilities for these persons if 
87.27 	the protection and advocacy system receives a complaint by or on behalf of that person and 
87.28 	the person does not have a legal guardian or the state or a designee of the state is the legal 
87.29 	guardian of the person;
87.30 	(12) to the county medical examiner or the county coroner for identifying or locating 
87.31 	relatives or friends of a deceased person;
88.1 	(13) data on a child support obligor who makes payments to the public agency may be 
88.2 	disclosed to the Minnesota Office of Higher Education to the extent necessary to determine 
88.3 	eligibility under section 136A.121, subdivision 2, clause (5);
88.4 	(14) participant Social Security or individual taxpayer identification numbers and names 
88.5 	collected by the telephone assistance program may be disclosed to the Department of 
88.6 	Revenue to conduct an electronic data match with the property tax refund database to 
88.7 	determine eligibility under section 237.70, subdivision 4a;
88.8 	(15) the current address of a Minnesota family investment program participant may be 
88.9 	disclosed to law enforcement officers who provide the name of the participant and notify 
88.10 	the agency that:
88.11 	(i) the participant:
88.12 	(A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after 
88.13 	conviction, for a crime or attempt to commit a crime that is a felony under the laws of the 
88.14 	jurisdiction from which the individual is fleeing; or
88.15 	(B) is violating a condition of probation or parole imposed under state or federal law;
88.16 	(ii) the location or apprehension of the felon is within the law enforcement officer's 
88.17 	official duties; and
88.18 	(iii) the request is made in writing and in the proper exercise of those duties;
88.19 	(16) the current address of a recipient of general assistance may be disclosed to probation 
88.20 	officers and corrections agents who are supervising the recipient and to law enforcement 
88.21 	officers who are investigating the recipient in connection with a felony level offense;
88.22 	(17) information obtained from a SNAP applicant or recipient households may be 
88.23 	disclosed to local, state, or federal law enforcement officials, upon their written request, for 
88.24 	the purpose of investigating an alleged violation of the Food and Nutrition Act, according 
88.25 	to Code of Federal Regulations, title 7, section 272.1(c);
88.26 	(18) the address, Social Security or individual taxpayer identification number, and, if 
88.27 	available, photograph of any member of a household receiving SNAP benefits shall be made 
88.28 	available, on request, to a local, state, or federal law enforcement officer if the officer 
88.29 	furnishes the agency with the name of the member and notifies the agency that:
88.30 	(i) the member:
88.31 	(A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a 
88.32 	crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;
89.1 	(B) is violating a condition of probation or parole imposed under state or federal law; 
89.2 	or
89.3 	(C) has information that is necessary for the officer to conduct an official duty related 
89.4 	to conduct described in subitem (A) or (B);
89.5 	(ii) locating or apprehending the member is within the officer's official duties; and
89.6 	(iii) the request is made in writing and in the proper exercise of the officer's official duty;
89.7 	(19) the current address of a recipient of Minnesota family investment program, general 
89.8 	assistance, or SNAP benefits may be disclosed to law enforcement officers who, in writing, 
89.9 	provide the name of the recipient and notify the agency that the recipient is a person required 
89.10 	to register under section 243.166, but is not residing at the address at which the recipient is 
89.11 	registered under section 243.166;
89.12 	(20) certain information regarding child support obligors who are in arrears may be 
89.13 	made public according to section 518A.74;
89.14 	(21) data on child support payments made by a child support obligor and data on the 
89.15 	distribution of those payments excluding identifying information on obligees may be 
89.16 	disclosed to all obligees to whom the obligor owes support, and data on the enforcement 
89.17 	actions undertaken by the public authority, the status of those actions, and data on the income 
89.18 	of the obligor or obligee may be disclosed to the other party;
89.19 	(22) data in the work reporting system may be disclosed under section 142A.29, 
89.20 	subdivision 7;
89.21 	(23) to the Department of Education for the purpose of matching Department of Education 
89.22 	student data with public assistance data to determine students eligible for free and 
89.23 	reduced-price meals, meal supplements, and free milk according to United States Code, 
89.24 	title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and state 
89.25 	funds that are distributed based on income of the student's family; and to verify receipt of 
89.26 	energy assistance for the telephone assistance plan;
89.27 	(24) the current address and telephone number of program recipients and emergency 
89.28 	contacts may be released to the commissioner of health or a community health board as 
89.29 	defined in section 145A.02, subdivision 5, when the commissioner or community health 
89.30 	board has reason to believe that a program recipient is a disease case, carrier, suspect case, 
89.31 	or at risk of illness, and the data are necessary to locate the person;
89.32 	(25) to other state agencies, statewide systems, and political subdivisions of this state, 
89.33 	including the attorney general, and agencies of other states, interstate information networks, 
90.1 	federal agencies, and other entities as required by federal regulation or law for the 
90.2 	administration of the child support enforcement program;
90.3 	(26) to personnel of public assistance programs as defined in section 518A.81, for access 
90.4 	to the child support system database for the purpose of administration, including monitoring 
90.5 	and evaluation of those public assistance programs;
90.6 	(27) to monitor and evaluate the Minnesota family investment program by exchanging 
90.7 	data between the Departments of Human Services; Children, Youth, and Families; and 
90.8 	Education, on recipients and former recipients of SNAP benefits, cash assistance under 
90.9 	chapter 142F, 256D, 256J, or 256K, child care assistance under chapter 142E, medical 
90.10 	programs under chapter 256B or 256L, or a medical program formerly codified under chapter 
90.11 	256D;
90.12 	(28) to evaluate child support program performance and to identify and prevent fraud 
90.13 	in the child support program by exchanging data between the Department of Human Services; 
90.14 	Department of Children, Youth, and Families; Department of Revenue under section 270B.14, 
90.15 	subdivision 1, paragraphs (a) and (b), without regard to the limitation of use in paragraph 
90.16 	(c); Department of Health; Department of Employment and Economic Development; and 
90.17 	other state agencies as is reasonably necessary to perform these functions;
90.18 	(29) counties and the Department of Children, Youth, and Families operating child care 
90.19 	assistance programs under chapter 142E may disseminate data on program participants, 
90.20 	applicants, and providers to the commissioner of education;
90.21 	(30) child support data on the child, the parents, and relatives of the child may be 
90.22 	disclosed to agencies administering programs under titles IV-B and IV-E of the Social 
90.23 	Security Act, as authorized by federal law;
90.24 	(31) to a health care provider governed by sections 144.291 to 144.298, to the extent 
90.25 	necessary to coordinate services;
90.26 	(32) to the chief administrative officer of a school to coordinate services for a student 
90.27 	and family; data that may be disclosed under this clause are limited to name, date of birth, 
90.28 	gender, and address;
90.29 	(33) to county correctional agencies to the extent necessary to coordinate services and 
90.30 	diversion programs; data that may be disclosed under this clause are limited to name, client 
90.31 	demographics, program, case status, and county worker information; or
90.32 	(34) between the Department of Human Services and the Metropolitan Council for the 
90.33 	following purposes:
91.1 	(i) to coordinate special transportation service provided under section 473.386 with 
91.2 	services for people with disabilities and elderly individuals funded by or through the 
91.3 	Department of Human Services; and
91.4 	(ii) to provide for reimbursement of special transportation service provided under section 
91.5 	473.386.
91.6 	The data that may be shared under this clause are limited to the individual's first, last, and 
91.7 	middle names; date of birth; residential address; and program eligibility status with expiration 
91.8 	date for the purposes of informing the other party of program eligibility.
91.9 	(b) Information on persons who have been treated for substance use disorder may only 
91.10 	be disclosed according to the requirements of Code of Federal Regulations, title 42, sections 
91.11 	2.1 to 2.67.
91.12 	(c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16), 
91.13 	(17), or (18), or paragraph (b), are investigative data and are confidential or protected 
91.14 	nonpublic while the investigation is active. The data are private after the investigation 
91.15 	becomes inactive under section 13.82, subdivision 7, clause (a) or (b).
91.16 	(d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but are 
91.17 	not subject to the access provisions of subdivision 10, paragraph (b).
91.18 	For the purposes of this subdivision, a request will be deemed to be made in writing if 
91.19 	made through a computer interface system.

91.20 	Sec. 2. Minnesota Statutes 2024, section 13.46, subdivision 3, is amended to read:
91.21 		Subd. 3.Investigative data. (a) Data on persons, including data on vendors of services, 
91.22 	licensees, and applicants that is collected, maintained, used, or disseminated by the welfare 
91.23 	system in an investigation, authorized by statute, and relating to the enforcement of rules 
91.24 	or law are confidential data on individuals pursuant to section 13.02, subdivision 3, or 
91.25 	protected nonpublic data not on individuals pursuant to section 13.02, subdivision 13, and 
91.26 	shall not be disclosed except:
91.27 	(1) pursuant to section 13.05;
91.28 	(2) pursuant to statute or valid court order;
91.29 	(3) to a party named in a civil or criminal proceeding, administrative or judicial, for 
91.30 	preparation of defense;
91.31 	(4) to an agent of the welfare system or an investigator acting on behalf of a county, 
91.32 	state, or federal government, including a law enforcement officer or attorney in the 
92.1 	investigation or prosecution of a criminal, civil, or administrative proceeding, unless the 
92.2 	commissioner of human services or commissioner of children, youth, and families determines 
92.3 	that disclosure may compromise a Department of Human Services or Department of Children, 
92.4 	Youth, and Families ongoing investigation; or
92.5 	(5) to provide notices required or permitted by statute.
92.6 	The data referred to in this subdivision shall be classified as public data upon submission 
92.7 	to an administrative law judge or court in an administrative or judicial proceeding. Inactive 
92.8 	welfare investigative data shall be treated as provided in section 13.39, subdivision 3.
92.9 	(b) Notwithstanding any other provision in law, the commissioner of human services 
92.10 	shall provide all active and inactive investigative data, including the name of the reporter 
92.11 	of alleged maltreatment under section 626.557 or chapter 260E, to the ombudsman for 
92.12 	mental health and developmental disabilities upon the request of the ombudsman.
92.13 	(c) Notwithstanding paragraph (a) and section 13.39, the existence of an investigation 
92.14 	by the commissioner of human services of possible overpayments of public funds to a service 
92.15 	provider or recipient or the reduction or withholding of payments may be disclosed if the 
92.16 	commissioner determines that it will not compromise the investigation.

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

92.18 	Sec. 3. Minnesota Statutes 2024, section 245.095, subdivision 5, is amended to read:
92.19 		Subd. 5.Withholding of payments. (a) Except as otherwise provided by state or federal 
92.20 	law, the commissioner may withhold payments to a provider, vendor, individual, associated 
92.21 	individual, or associated entity in any program administered by the commissioner if the 
92.22 	commissioner determines:
92.23 	(1) there is a credible allegation of fraud for which an investigation is pending for a 
92.24 	program administered by a Minnesota state or federal agency.;
92.25 	(2) the individual, the entity, or an associated individual or entity was convicted of a 
92.26 	crime charged in state or federal court with an offense that involves fraud or theft against 
92.27 	a program administered by the commissioner or another Minnesota state or federal agency. 
92.28 	For purposes of this subdivision, "convicted" means a judgment of conviction has been 
92.29 	entered by a federal, state, or local court, regardless of whether an appeal from the judgment 
92.30 	is pending, and includes a stay of adjudication, a court-ordered diversion program, or a plea 
92.31 	of guilty or nolo contendere;
93.1 	(3) the provider is operating after a Minnesota state or federal agency orders the 
93.2 	suspension, revocation, or decertification of the provider's license;
93.3 	(4) the provider, vendor, associated individual, or associated entity, including those 
93.4 	receiving funds under any contract or registered program, has a background study 
93.5 	disqualification under chapter 245C that has not been set aside and for which no variance 
93.6 	has been issued, except for a disqualification under sections 245C.14, subdivision 5, and 
93.7 	245C.15, subdivision 4c; or
93.8 	(5) by a preponderance of the evidence that the provider, vendor, individual, associated 
93.9 	individual, or associated entity intentionally provided materially false information when 
93.10 	billing the commissioner.
93.11 	(b) For purposes of this subdivision, "credible allegation of fraud" means an allegation 
93.12 	that has been verified by the commissioner from any source, including but not limited to:
93.13 	(1) fraud hotline complaints;
93.14 	(2) claims data mining;
93.15 	(3) patterns identified through provider audits, civil false claims cases, and law 
93.16 	enforcement investigations; and
93.17 	(4) court filings and other legal documents, including but not limited to police reports, 
93.18 	complaints, indictments, informations, affidavits, declarations, and search warrants.
93.19 	(c) The commissioner must send notice of the withholding of payments within five days 
93.20 	of taking such action. The notice must:
93.21 	(1) state that payments are being withheld according to this subdivision;
93.22 	(2) set forth the general allegations related to the withholding action, except the notice 
93.23 	need not disclose specific information concerning an ongoing investigation;
93.24 	(3) state that the withholding is for a temporary period and cite the circumstances under 
93.25 	which the withholding will be terminated; and
93.26 	(4) inform the provider, vendor, individual, associated individual, or associated entity 
93.27 	of the right to submit written evidence to contest the withholding action for consideration 
93.28 	by the commissioner.
93.29 	(d) If the commissioner withholds payments under this subdivision, the provider, vendor, 
93.30 	individual, associated individual, or associated entity has a right to request administrative 
93.31 	reconsideration. A request for administrative reconsideration must be made in writing, state 
93.32 	with specificity the reasons the payment withholding decision is in error, and include 
94.1 	documents to support the request. Within 60 days from receipt of the request, the 
94.2 	commissioner shall judiciously review allegations, facts, evidence available to the 
94.3 	commissioner, and information submitted by the provider, vendor, individual, associated 
94.4 	individual, or associated entity to determine whether the payment withholding should remain 
94.5 	in place.
94.6 	(e) The commissioner shall stop withholding payments if the commissioner determines 
94.7 	there is insufficient evidence of fraud by the provider, vendor, individual, associated 
94.8 	individual, or associated entity or when legal proceedings relating to the alleged fraud are 
94.9 	completed, unless the commissioner has sent notice under subdivision 3 to the provider, 
94.10 	vendor, individual, associated individual, or associated entity.
94.11 	(f) The withholding of payments is a temporary action and is not subject to appeal under 
94.12 	section 256.045 or chapter 14.

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

94.14 	Sec. 4. Minnesota Statutes 2024, section 245.095, is amended by adding a subdivision to 
94.15 	read:
94.16 		Subd. 6.Data practices. The commissioner may exchange information, including claims 
94.17 	data, with state or federal agencies, professional boards, departments, or programs for the 
94.18 	purpose of investigating or prosecuting a criminal, civil, or administrative proceeding related 
94.19 	to suspected fraud or exclusion from any program administered by a state or federal agency.

94.20 	Sec. 5. Minnesota Statutes 2024, section 245A.04, subdivision 1, is amended to read:
94.21 		Subdivision 1.Application for licensure. (a) An individual, organization, or government 
94.22 	entity that is subject to licensure under section 245A.03 must apply for a license. The 
94.23 	application must be made on the forms and in the manner prescribed by the commissioner. 
94.24 	The commissioner shall provide the applicant with instruction in completing the application 
94.25 	and provide information about the rules and requirements of other state agencies that affect 
94.26 	the applicant. An applicant seeking licensure in Minnesota with headquarters outside of 
94.27 	Minnesota must have a program office located within 30 miles of the Minnesota border. 
94.28 	An applicant who intends to buy or otherwise acquire a program or services licensed under 
94.29 	this chapter that is owned by another license holder must apply for a license under this 
94.30 	chapter and comply with the application procedures in this section and section 245A.043.
94.31 	The commissioner shall act on the application within 90 working days after a complete 
94.32 	application and any required reports have been received from other state agencies or 
95.1 	departments, counties, municipalities, or other political subdivisions. The commissioner 
95.2 	shall not consider an application to be complete until the commissioner receives all of the 
95.3 	required information. If the applicant or a controlling individual is the subject of a pending 
95.4 	administrative, civil, or criminal investigation, the application is not complete until the 
95.5 	investigation has closed or the related legal proceedings are complete.
95.6 	When the commissioner receives an application for initial licensure that is incomplete 
95.7 	because the applicant failed to submit required documents or that is substantially deficient 
95.8 	because the documents submitted do not meet licensing requirements, the commissioner 
95.9 	shall provide the applicant written notice that the application is incomplete or substantially 
95.10 	deficient. In the written notice to the applicant the commissioner shall identify documents 
95.11 	that are missing or deficient and give the applicant 45 days to resubmit a second application 
95.12 	that is substantially complete. An applicant's failure to submit a substantially complete 
95.13 	application after receiving notice from the commissioner is a basis for license denial under 
95.14 	section 245A.043.
95.15 	(b) An application for licensure must identify all controlling individuals as defined in 
95.16 	section 245A.02, subdivision 5a, and must designate one individual to be the authorized 
95.17 	agent. The application must be signed by the authorized agent and must include the authorized 
95.18 	agent's first, middle, and last name; mailing address; and email address. By submitting an 
95.19 	application for licensure, the authorized agent consents to electronic communication with 
95.20 	the commissioner throughout the application process. The authorized agent must be 
95.21 	authorized to accept service on behalf of all of the controlling individuals. A government 
95.22 	entity that holds multiple licenses under this chapter may designate one authorized agent 
95.23 	for all licenses issued under this chapter or may designate a different authorized agent for 
95.24 	each license. Service on the authorized agent is service on all of the controlling individuals. 
95.25 	It is not a defense to any action arising under this chapter that service was not made on each 
95.26 	controlling individual. The designation of a controlling individual as the authorized agent 
95.27 	under this paragraph does not affect the legal responsibility of any other controlling individual 
95.28 	under this chapter.
95.29 	(c) An applicant or license holder must have a policy that prohibits license holders, 
95.30 	employees, subcontractors, and volunteers, when directly responsible for persons served 
95.31 	by the program, from abusing prescription medication or being in any manner under the 
95.32 	influence of a chemical that impairs the individual's ability to provide services or care. The 
95.33 	license holder must train employees, subcontractors, and volunteers about the program's 
95.34 	drug and alcohol policy.
96.1 	(d) An applicant and license holder must have a program grievance procedure that permits 
96.2 	persons served by the program and their authorized representatives to bring a grievance to 
96.3 	the highest level of authority in the program.
96.4 	(e) The commissioner may limit communication during the application process to the 
96.5 	authorized agent or the controlling individuals identified on the license application and for 
96.6 	whom a background study was initiated under chapter 245C. Upon implementation of the 
96.7 	provider licensing and reporting hub, applicants and license holders must use the hub in the 
96.8 	manner prescribed by the commissioner. The commissioner may require the applicant, 
96.9 	except for child foster care, to demonstrate competence in the applicable licensing 
96.10 	requirements by successfully completing a written examination. The commissioner may 
96.11 	develop a prescribed written examination format.
96.12 	(f) When an applicant is an individual, the applicant must provide:
96.13 	(1) the applicant's taxpayer identification numbers including the Social Security number 
96.14 	or Minnesota tax identification number, and federal employer identification number if the 
96.15 	applicant has employees;
96.16 	(2) at the request of the commissioner, a copy of the most recent filing with the secretary 
96.17 	of state that includes the complete business name, if any;
96.18 	(3) if doing business under a different name, the doing business as (DBA) name, as 
96.19 	registered with the secretary of state;
96.20 	(4) if applicable, the applicant's National Provider Identifier (NPI) number and Unique 
96.21 	Minnesota Provider Identifier (UMPI) number; and
96.22 	(5) at the request of the commissioner, the notarized signature of the applicant or 
96.23 	authorized agent.
96.24 	(g) When an applicant is an organization, the applicant must provide:
96.25 	(1) the applicant's taxpayer identification numbers including the Minnesota tax 
96.26 	identification number and federal employer identification number;
96.27 	(2) at the request of the commissioner, a copy of the most recent filing with the secretary 
96.28 	of state that includes the complete business name, and if doing business under a different 
96.29 	name, the doing business as (DBA) name, as registered with the secretary of state;
96.30 	(3) the first, middle, and last name, and address for all individuals who will be controlling 
96.31 	individuals, including all officers, owners, and managerial officials as defined in section 
97.1 	245A.02, subdivision 5a, and the date that the background study was initiated by the applicant 
97.2 	for each controlling individual;
97.3 	(4) if applicable, the applicant's NPI number and UMPI number;
97.4 	(5) the documents that created the organization and that determine the organization's 
97.5 	internal governance and the relations among the persons that own the organization, have 
97.6 	an interest in the organization, or are members of the organization, in each case as provided 
97.7 	or authorized by the organization's governing statute, which may include a partnership 
97.8 	agreement, bylaws, articles of organization, organizational chart, and operating agreement, 
97.9 	or comparable documents as provided in the organization's governing statute; and
97.10 	(6) the notarized signature of the applicant or authorized agent.
97.11 	(h) When the applicant is a government entity, the applicant must provide:
97.12 	(1) the name of the government agency, political subdivision, or other unit of government 
97.13 	seeking the license and the name of the program or services that will be licensed;
97.14 	(2) the applicant's taxpayer identification numbers including the Minnesota tax 
97.15 	identification number and federal employer identification number;
97.16 	(3) a letter signed by the manager, administrator, or other executive of the government 
97.17 	entity authorizing the submission of the license application; and
97.18 	(4) if applicable, the applicant's NPI number and UMPI number.
97.19 	(i) At the time of application for licensure or renewal of a license under this chapter, the 
97.20 	applicant or license holder must acknowledge on the form provided by the commissioner 
97.21 	if the applicant or license holder elects to receive any public funding reimbursement from 
97.22 	the commissioner for services provided under the license that:
97.23 	(1) the applicant's or license holder's compliance with the provider enrollment agreement 
97.24 	or registration requirements for receipt of public funding may be monitored by the 
97.25 	commissioner as part of a licensing investigation or licensing inspection; and
97.26 	(2) noncompliance with the provider enrollment agreement or registration requirements 
97.27 	for receipt of public funding that is identified through a licensing investigation or licensing 
97.28 	inspection, or noncompliance with a licensing requirement that is a basis of enrollment for 
97.29 	reimbursement for a service, may result in:
97.30 	(i) a correction order or a conditional license under section 245A.06, or sanctions under 
97.31 	section 245A.07;
98.1 	(ii) nonpayment of claims submitted by the license holder for public program 
98.2 	reimbursement;
98.3 	(iii) recovery of payments made for the service;
98.4 	(iv) disenrollment in the public payment program; or
98.5 	(v) other administrative, civil, or criminal penalties as provided by law.

98.6 	Sec. 6. Minnesota Statutes 2024, section 245A.05, is amended to read:
98.7 	245A.05 DENIAL OF APPLICATION.
98.8 	(a) The commissioner may deny a license if an applicant or controlling individual:
98.9 	(1) fails to submit a substantially complete application after receiving notice from the 
98.10 	commissioner under section 245A.04, subdivision 1;
98.11 	(2) fails to comply with applicable laws or rules;
98.12 	(3) knowingly withholds relevant information from or gives false or misleading 
98.13 	information to the commissioner in connection with an application for a license or during 
98.14 	an investigation;
98.15 	(4) has a disqualification that has not been set aside under section 245C.22 and no 
98.16 	variance has been granted;
98.17 	(5) has an individual living in the household who received a background study under 
98.18 	section 245C.03, subdivision 1, paragraph (a), clause (2), who has a disqualification that 
98.19 	has not been set aside under section 245C.22, and no variance has been granted;
98.20 	(6) is associated with an individual who received a background study under section 
98.21 	245C.03, subdivision 1, paragraph (a), clause (6), who may have unsupervised access to 
98.22 	children or vulnerable adults, and who has a disqualification that has not been set aside 
98.23 	under section 245C.22, and no variance has been granted;
98.24 	(7) fails to comply with section 245A.04, subdivision 1, paragraph (f) or (g);
98.25 	(8) fails to demonstrate competent knowledge as required by section 245A.04, subdivision 
98.26 	6;
98.27 	(9) has a history of noncompliance as a license holder or controlling individual with 
98.28 	applicable laws or rules, including but not limited to this chapter and chapters 142E and 
98.29 	245C; or
98.30 	(10) is prohibited from holding a license according to section 245.095.; or
99.1 	(11) is the subject of a pending administrative, civil, or criminal investigation.
99.2 	(b) An applicant whose application has been denied by the commissioner must be given 
99.3 	notice of the denial, which must state the reasons for the denial in plain language. Notice 
99.4 	must be given by certified mail, by personal service, or through the provider licensing and 
99.5 	reporting hub. The notice must state the reasons the application was denied and must inform 
99.6 	the applicant of the right to a contested case hearing under chapter 14 and Minnesota Rules, 
99.7 	parts 1400.8505 to 1400.8612. The applicant may appeal the denial by notifying the 
99.8 	commissioner in writing by certified mail, by personal service, or through the provider 
99.9 	licensing and reporting hub. If mailed, the appeal must be postmarked and sent to the 
99.10 	commissioner within 20 calendar days after the applicant received the notice of denial. If 
99.11 	an appeal request is made by personal service, it must be received by the commissioner 
99.12 	within 20 calendar days after the applicant received the notice of denial. If the order is issued 
99.13 	through the provider hub, the appeal must be received by the commissioner within 20 
99.14 	calendar days from the date the commissioner issued the order through the hub. Section 
99.15 	245A.08 applies to hearings held to appeal the commissioner's denial of an application.

99.16 	Sec. 7. Minnesota Statutes 2024, section 245A.07, subdivision 2, is amended to read:
99.17 		Subd. 2.Temporary immediate suspension. (a) The commissioner shall act immediately 
99.18 	to temporarily suspend a license issued under this chapter if:
99.19 	(1) the license holder's or controlling individual's actions or failure to comply with 
99.20 	applicable law or rule, or the actions of other individuals or conditions in the program, pose 
99.21 	an imminent risk of harm to the health, safety, or rights of persons served by the program;
99.22 	(2) while the program continues to operate pending an appeal of an order of revocation, 
99.23 	the commissioner identifies one or more subsequent violations of law or rule which may 
99.24 	adversely affect the health or safety of persons served by the program; or
99.25 	(3) the license holder or controlling individual is criminally charged in state or federal 
99.26 	court with an offense that involves fraud or theft against a program administered by the 
99.27 	commissioner a state or federal agency.
99.28 	(b) No state funds shall be made available or be expended by any agency or department 
99.29 	of state, county, or municipal government for use by a license holder regulated under this 
99.30 	chapter while a license issued under this chapter is under immediate suspension. A notice 
99.31 	stating the reasons for the immediate suspension and informing the license holder of the 
99.32 	right to an expedited hearing under chapter 14 and Minnesota Rules, parts 1400.8505 to 
99.33 	1400.8612, must be delivered by personal service to the address shown on the application 
100.1 	or the last known address of the license holder. The license holder may appeal an order 
100.2 	immediately suspending a license. The appeal of an order immediately suspending a license 
100.3 	must be made in writing by certified mail, personal service, or other means expressly set 
100.4 	forth in the commissioner's order. If mailed, the appeal must be postmarked and sent to the 
100.5 	commissioner within five calendar days after the license holder receives notice that the 
100.6 	license has been immediately suspended. If a request is made by personal service, it must 
100.7 	be received by the commissioner within five calendar days after the license holder received 
100.8 	the order. A license holder and any controlling individual shall discontinue operation of the 
100.9 	program upon receipt of the commissioner's order to immediately suspend the license.
100.10 	(c) The commissioner may act immediately to temporarily suspend a license issued 
100.11 	under this chapter if the license holder or controlling individual is the subject of a pending 
100.12 	administrative, civil, or criminal investigation or subject to an administrative or civil action 
100.13 	related to fraud against a program administered by a state or federal agency.

100.14 	Sec. 8. Minnesota Statutes 2024, section 254B.06, is amended by adding a subdivision to 
100.15 	read:
100.16 		Subd. 5.Prohibition of duplicative claim submission. (a) For time-based claims, 
100.17 	submissions must follow the guidelines in the Centers for Medicare and Medicaid Services' 
100.18 	Healthcare Common Procedure Coding System and the American Medical Association's 
100.19 	Current Procedural Terminology to determine the appropriate units of time to report.
100.20 	(b) More than half the duration of a time-based code must be spent performing the service 
100.21 	to be eligible under this section. Any provision of service during the remaining balance of 
100.22 	the unit of time is not eligible for any other claims submission and would be considered a 
100.23 	duplicative claim submission.
100.24 	(c) A provider may only round up to the next whole number of service units on a 
100.25 	submitted claim when more than one and one-half times the defined value of the code has 
100.26 	occurred and no additional time increment code exists.

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

100.28 	Sec. 9. Minnesota Statutes 2024, section 256.983, subdivision 4, is amended to read:
100.29 		Subd. 4.Funding. (a) County and Tribal agency reimbursement shall be made through 
100.30 	the settlement provisions applicable to the Supplemental Nutrition Assistance Program 
100.31 	(SNAP), MFIP, child care assistance programs, the medical assistance program, and other 
100.32 	federal and state-funded programs.
101.1 	(b) The commissioners will maintain program compliance if for any three consecutive 
101.2 	month period quarter, a county or Tribal agency fails to comply with fraud prevention 
101.3 	investigation program guidelines, or fails to meet the cost-effectiveness standards developed 
101.4 	by the commissioners. This result is contingent on the commissioners providing written 
101.5 	notice, including an offer of technical assistance, within 30 days of the end of the third or 
101.6 	subsequent month quarter of noncompliance. The county or Tribal agency shall be required 
101.7 	to submit a corrective action plan to the commissioners within 30 days of receipt of a notice 
101.8 	of noncompliance. Failure to submit a corrective action plan or, continued deviation from 
101.9 	standards of more than ten percent after submission of a corrective action plan, will result 
101.10 	in denial of funding for each subsequent month, or billing the county or Tribal agency for 
101.11 	fraud prevention investigation (FPI) service provided by the commissioners, or reallocation 
101.12 	of program grant funds, or investigative resources, or both, to other counties or Tribal 
101.13 	agencies. The denial of funding shall apply to the general settlement received by the county 
101.14 	or Tribal agency on a quarterly basis and shall not reduce the grant amount applicable to 
101.15 	the FPI project.

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

101.17 	Sec. 10. Minnesota Statutes 2024, section 256B.04, subdivision 21, is amended to read:
101.18 		Subd. 21.Provider enrollment. (a) The commissioner shall enroll providers and conduct 
101.19 	screening activities as required by Code of Federal Regulations, title 42, section 455, subpart 
101.20 	E. A provider must enroll each provider-controlled location where direct services are 
101.21 	provided. The commissioner may deny a provider's incomplete application if a provider 
101.22 	fails to respond to the commissioner's request for additional information within 60 days of 
101.23 	the request. The commissioner must conduct a background study under chapter 245C, 
101.24 	including a review of databases in section 245C.08, subdivision 1, paragraph (a), clauses 
101.25 	(1) to (5), for a provider described in this paragraph. The background study requirement 
101.26 	may be satisfied if the commissioner conducted a fingerprint-based background study on 
101.27 	the provider that includes a review of databases in section 245C.08, subdivision 1, paragraph 
101.28 	(a), clauses (1) to (5).
101.29 	(b) The commissioner shall revalidate each:
101.30 	(1) each provider under this subdivision at least once every five years; and
101.31 	(2) each personal care assistance agency under this subdivision once every three years.; 
101.32 	and
102.1 	(3) at the commissioner's discretion, any other Medicaid-only provider type the 
102.2 	commissioner deems "high risk" under this subdivision.
102.3 	(c) The commissioner shall conduct revalidation as follows:
102.4 	(1) provide 30-day notice of the revalidation due date including instructions for 
102.5 	revalidation and a list of materials the provider must submit;
102.6 	(2) if a provider fails to submit all required materials by the due date, notify the provider 
102.7 	of the deficiency within 30 days after the due date and allow the provider an additional 30 
102.8 	days from the notification date to comply; and
102.9 	(3) if a provider fails to remedy a deficiency within the 30-day time period, give 60-day 
102.10 	notice of termination and immediately suspend the provider's ability to bill. The provider 
102.11 	does not have the right to appeal suspension of ability to bill.
102.12 	(d) If a provider fails to comply with any individual provider requirement or condition 
102.13 	of participation, the commissioner may suspend the provider's ability to bill until the provider 
102.14 	comes into compliance. The commissioner's decision to suspend the provider is not subject 
102.15 	to an administrative appeal.
102.16 	(e) Correspondence and notifications, including notifications of termination and other 
102.17 	actions, may be delivered electronically to a provider's MN-ITS mailbox. This paragraph 
102.18 	does not apply to correspondences and notifications related to background studies.
102.19 	(f) If the commissioner or the Centers for Medicare and Medicaid Services determines 
102.20 	that a provider is designated "high-risk," the commissioner may withhold payment from 
102.21 	providers within that category upon initial enrollment for a 90-day period. The withholding 
102.22 	for each provider must begin on the date of the first submission of a claim.
102.23 	(g) An enrolled provider that is also licensed by the commissioner under chapter 245A, 
102.24 	is licensed as a home care provider by the Department of Health under chapter 144A, or is 
102.25 	licensed as an assisted living facility under chapter 144G and has a home and 
102.26 	community-based services designation on the home care license under section 144A.484, 
102.27 	must designate an individual as the entity's compliance officer. The compliance officer 
102.28 	must:
102.29 	(1) develop policies and procedures to assure adherence to medical assistance laws and 
102.30 	regulations and to prevent inappropriate claims submissions;
102.31 	(2) train the employees of the provider entity, and any agents or subcontractors of the 
102.32 	provider entity including billers, on the policies and procedures under clause (1);
103.1 	(3) respond to allegations of improper conduct related to the provision or billing of 
103.2 	medical assistance services, and implement action to remediate any resulting problems;
103.3 	(4) use evaluation techniques to monitor compliance with medical assistance laws and 
103.4 	regulations;
103.5 	(5) promptly report to the commissioner any identified violations of medical assistance 
103.6 	laws or regulations; and
103.7 	(6) within 60 days of discovery by the provider of a medical assistance reimbursement 
103.8 	overpayment, report the overpayment to the commissioner and make arrangements with 
103.9 	the commissioner for the commissioner's recovery of the overpayment.
103.10 	The commissioner may require, as a condition of enrollment in medical assistance, that a 
103.11 	provider within a particular industry sector or category establish a compliance program that 
103.12 	contains the core elements established by the Centers for Medicare and Medicaid Services.
103.13 	(h) The commissioner may revoke the enrollment of an ordering or rendering provider 
103.14 	for a period of not more than one year, if the provider fails to maintain and, upon request 
103.15 	from the commissioner, provide access to documentation relating to written orders or requests 
103.16 	for payment for durable medical equipment, certifications for home health services, or 
103.17 	referrals for other items or services written or ordered by such provider, when the 
103.18 	commissioner has identified a pattern of a lack of documentation. A pattern means a failure 
103.19 	to maintain documentation or provide access to documentation on more than one occasion. 
103.20 	Nothing in this paragraph limits the authority of the commissioner to sanction a provider 
103.21 	under the provisions of section 256B.064.
103.22 	(i) The commissioner shall terminate or deny the enrollment of any individual or entity 
103.23 	if the individual or entity has been terminated from participation in Medicare or under the 
103.24 	Medicaid program or Children's Health Insurance Program of any other state. The 
103.25 	commissioner may exempt a rehabilitation agency from termination or denial that would 
103.26 	otherwise be required under this paragraph, if the agency:
103.27 	(1) is unable to retain Medicare certification and enrollment solely due to a lack of billing 
103.28 	to the Medicare program;
103.29 	(2) meets all other applicable Medicare certification requirements based on an on-site 
103.30 	review completed by the commissioner of health; and
103.31 	(3) serves primarily a pediatric population.
103.32 	(j) As a condition of enrollment in medical assistance, the commissioner shall require 
103.33 	that a provider designated "moderate" or "high-risk" by the Centers for Medicare and 
104.1 	Medicaid Services or the commissioner permit the Centers for Medicare and Medicaid 
104.2 	Services, its agents, or its designated contractors and the state agency, its agents, or its 
104.3 	designated contractors to conduct unannounced on-site inspections of any provider location. 
104.4 	The commissioner shall publish in the Minnesota Health Care Program Provider Manual a 
104.5 	list of provider types designated "limited," "moderate," or "high-risk," based on the criteria 
104.6 	and standards used to designate Medicare providers in Code of Federal Regulations, title 
104.7 	42, section 424.518. The list and criteria are not subject to the requirements of chapter 14. 
104.8 	The commissioner's designations are not subject to administrative appeal.
104.9 	(k) As a condition of enrollment in medical assistance, the commissioner shall require 
104.10 	that a high-risk provider, or a person with a direct or indirect ownership interest in the 
104.11 	provider of five percent or higher, consent to criminal background checks, including 
104.12 	fingerprinting, when required to do so under state law or by a determination by the 
104.13 	commissioner or the Centers for Medicare and Medicaid Services that a provider is designated 
104.14 	high-risk for fraud, waste, or abuse.
104.15 	(l)(1) Upon initial enrollment, reenrollment, and notification of revalidation, all durable 
104.16 	medical equipment, prosthetics, orthotics, and supplies (DMEPOS) medical suppliers 
104.17 	meeting the durable medical equipment provider and supplier definition in clause (3), 
104.18 	operating in Minnesota and receiving Medicaid funds must purchase a surety bond that is 
104.19 	annually renewed and designates the Minnesota Department of Human Services as the 
104.20 	obligee, and must be submitted in a form approved by the commissioner. For purposes of 
104.21 	this clause, the following medical suppliers are not required to obtain a surety bond: a 
104.22 	federally qualified health center, a home health agency, the Indian Health Service, a 
104.23 	pharmacy, and a rural health clinic.
104.24 	(2) At the time of initial enrollment or reenrollment, durable medical equipment providers 
104.25 	and suppliers defined in clause (3) must purchase a surety bond of $50,000. If a revalidating 
104.26 	provider's Medicaid revenue in the previous calendar year is up to and including $300,000, 
104.27 	the provider agency must purchase a surety bond of $50,000. If a revalidating provider's 
104.28 	Medicaid revenue in the previous calendar year is over $300,000, the provider agency must 
104.29 	purchase a surety bond of $100,000. The surety bond must allow for recovery of costs and 
104.30 	fees in pursuing a claim on the bond. Any action to obtain monetary recovery or sanctions 
104.31 	from a surety bond must occur within six years from the date the debt is affirmed by a final 
104.32 	agency decision. An agency decision is final when the right to appeal the debt has been 
104.33 	exhausted or the time to appeal has expired under section 256B.064.
104.34 	(3) "Durable medical equipment provider or supplier" means a medical supplier that can 
104.35 	purchase medical equipment or supplies for sale or rental to the general public and is able 
105.1 	to perform or arrange for necessary repairs to and maintenance of equipment offered for 
105.2 	sale or rental.
105.3 	(m) The Department of Human Services may require a provider to purchase a surety 
105.4 	bond as a condition of initial enrollment, reenrollment, reinstatement, or continued enrollment 
105.5 	if: (1) the provider fails to demonstrate financial viability, (2) the department determines 
105.6 	there is significant evidence of or potential for fraud and abuse by the provider, or (3) the 
105.7 	provider or category of providers is designated high-risk pursuant to paragraph (f) and as 
105.8 	per Code of Federal Regulations, title 42, section 455.450. The surety bond must be in an 
105.9 	amount of $100,000 or ten percent of the provider's payments from Medicaid during the 
105.10 	immediately preceding 12 months, whichever is greater. The surety bond must name the 
105.11 	Department of Human Services as an obligee and must allow for recovery of costs and fees 
105.12 	in pursuing a claim on the bond. This paragraph does not apply if the provider currently 
105.13 	maintains a surety bond under the requirements in section 256B.0659 or 256B.85.

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

105.15 	Sec. 11. Minnesota Statutes 2024, section 256B.0659, subdivision 21, is amended to read:
105.16 		Subd. 21.Requirements for provider enrollment of personal care assistance provider 
105.17 	agencies. (a) All personal care assistance provider agencies must provide, at the time of 
105.18 	enrollment, reenrollment, and revalidation as a personal care assistance provider agency in 
105.19 	a format determined by the commissioner, information and documentation that includes, 
105.20 	but is not limited to, the following:
105.21 	(1) the personal care assistance provider agency's current contact information including 
105.22 	address, telephone number, and email address;
105.23 	(2) proof of surety bond coverage for each business location providing services. Upon 
105.24 	new enrollment, or if the provider's Medicaid revenue in the previous calendar year is up 
105.25 	to and including $300,000, the provider agency must purchase a surety bond of $50,000. If 
105.26 	the Medicaid revenue in the previous year is over $300,000, the provider agency must 
105.27 	purchase a surety bond of $100,000. The surety bond must be in a form approved by the 
105.28 	commissioner, must be renewed annually, and must allow for recovery of costs and fees in 
105.29 	pursuing a claim on the bond. Any action to obtain monetary recovery or sanctions from a 
105.30 	surety bond must occur within six years from the date the debt is affirmed by a final agency 
105.31 	decision. An agency decision is final when the right to appeal the debt has been exhausted 
105.32 	or the time to appeal has expired under section 256B.064;
106.1 	(3) proof of fidelity bond coverage in the amount of $20,000 for each business location 
106.2 	providing service;
106.3 	(4) proof of workers' compensation insurance coverage identifying the business location 
106.4 	where personal care assistance services are provided;
106.5 	(5) proof of liability insurance coverage identifying the business location where personal 
106.6 	care assistance services are provided and naming the department as a certificate holder;
106.7 	(6) a copy of the personal care assistance provider agency's written policies and 
106.8 	procedures including: hiring of employees; training requirements; service delivery; and 
106.9 	employee and consumer safety including process for notification and resolution of consumer 
106.10 	grievances, identification and prevention of communicable diseases, and employee 
106.11 	misconduct;
106.12 	(7) copies of all other forms the personal care assistance provider agency uses in the 
106.13 	course of daily business including, but not limited to:
106.14 	(i) a copy of the personal care assistance provider agency's time sheet if the time sheet 
106.15 	varies from the standard time sheet for personal care assistance services approved by the 
106.16 	commissioner, and a letter requesting approval of the personal care assistance provider 
106.17 	agency's nonstandard time sheet;
106.18 	(ii) the personal care assistance provider agency's template for the personal care assistance 
106.19 	care plan; and
106.20 	(iii) the personal care assistance provider agency's template for the written agreement 
106.21 	in subdivision 20 for recipients using the personal care assistance choice option, if applicable;
106.22 	(8) a list of all training and classes that the personal care assistance provider agency 
106.23 	requires of its staff providing personal care assistance services;
106.24 	(9) documentation that the personal care assistance provider agency and staff have 
106.25 	successfully completed all the training required by this section, including the requirements 
106.26 	under subdivision 11, paragraph (d), if enhanced personal care assistance services are 
106.27 	provided and submitted for an enhanced rate under subdivision 17a;
106.28 	(10) documentation of the agency's marketing practices;
106.29 	(11) disclosure of ownership, leasing, or management of all residential properties that 
106.30 	is used or could be used for providing home care services;
106.31 	(12) documentation that the agency will use the following percentages of revenue 
106.32 	generated from the medical assistance rate paid for personal care assistance services for 
107.1 	employee personal care assistant wages and benefits: 72.5 percent of revenue in the personal 
107.2 	care assistance choice option and 72.5 percent of revenue from other personal care assistance 
107.3 	providers. The revenue generated by the qualified professional and the reasonable costs 
107.4 	associated with the qualified professional shall not be used in making this calculation; and
107.5 	(13) effective May 15, 2010, documentation that the agency does not burden recipients' 
107.6 	free exercise of their right to choose service providers by requiring personal care assistants 
107.7 	to sign an agreement not to work with any particular personal care assistance recipient or 
107.8 	for another personal care assistance provider agency after leaving the agency and that the 
107.9 	agency is not taking action on any such agreements or requirements regardless of the date 
107.10 	signed.
107.11 	(b) Personal care assistance provider agencies shall provide the information specified 
107.12 	in paragraph (a) to the commissioner at the time the personal care assistance provider agency 
107.13 	enrolls as a vendor or upon request from the commissioner. The commissioner shall collect 
107.14 	the information specified in paragraph (a) from all personal care assistance providers 
107.15 	beginning July 1, 2009.
107.16 	(c) All personal care assistance provider agencies shall require all employees in 
107.17 	management and supervisory positions and owners of the agency who are active in the 
107.18 	day-to-day management and operations of the agency to complete mandatory training as 
107.19 	determined by the commissioner before submitting an application for enrollment of the 
107.20 	agency as a provider. All personal care assistance provider agencies shall also require 
107.21 	qualified professionals to complete the training required by subdivision 13 before submitting 
107.22 	an application for enrollment of the agency as a provider. Employees in management and 
107.23 	supervisory positions and owners who are active in the day-to-day operations of an agency 
107.24 	who have completed the required training as an employee with a personal care assistance 
107.25 	provider agency do not need to repeat the required training if they are hired by another 
107.26 	agency, if they have completed the training within the past three years. By September 1, 
107.27 	2010, the required training must be available with meaningful access according to title VI 
107.28 	of the Civil Rights Act and federal regulations adopted under that law or any guidance from 
107.29 	the United States Health and Human Services Department. The required training must be 
107.30 	available online or by electronic remote connection. The required training must provide for 
107.31 	competency testing. Personal care assistance provider agency billing staff shall complete 
107.32 	training about personal care assistance program financial management. This training is 
107.33 	effective July 1, 2009. Any personal care assistance provider agency enrolled before that 
107.34 	date shall, if it has not already, complete the provider training within 18 months of July 1, 
107.35 	2009. Any new owners or employees in management and supervisory positions involved 
108.1 	in the day-to-day operations are required to complete mandatory training as a requisite of 
108.2 	working for the agency. Personal care assistance provider agencies certified for participation 
108.3 	in Medicare as home health agencies are exempt from the training required in this 
108.4 	subdivision. When available, Medicare-certified home health agency owners, supervisors, 
108.5 	or managers must successfully complete the competency test.
108.6 	(d) All surety bonds, fidelity bonds, workers' compensation insurance, and liability 
108.7 	insurance required by this subdivision must be maintained continuously. After initial 
108.8 	enrollment, a provider must submit proof of bonds and required coverages at any time at 
108.9 	the request of the commissioner. Services provided while there are lapses in coverage are 
108.10 	not eligible for payment. Lapses in coverage may result in sanctions, including termination. 
108.11 	The commissioner shall send instructions and a due date to submit the requested information 
108.12 	to the personal care assistance provider agency.

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

108.14 	Sec. 12. Minnesota Statutes 2024, section 256B.0949, subdivision 2, is amended to read:
108.15 		Subd. 2.Definitions. (a) The terms used in this section have the meanings given in this 
108.16 	subdivision.
108.17 	(b) "Advanced certification" means a person who has completed advanced certification 
108.18 	in an approved modality under subdivision 13, paragraph (b).
108.19 	(c) "Agency" means the legal entity that is enrolled with Minnesota health care programs 
108.20 	as a medical assistance provider according to Minnesota Rules, part 9505.0195, to provide 
108.21 	EIDBI services and that has the legal responsibility to ensure that its employees or contractors 
108.22 	carry out the responsibilities defined in this section. Agency includes a licensed individual 
108.23 	professional who practices independently and acts as an agency.
108.24 	(d) "Autism spectrum disorder or a related condition" or "ASD or a related condition" 
108.25 	means either autism spectrum disorder (ASD) as defined in the current version of the 
108.26 	Diagnostic and Statistical Manual of Mental Disorders (DSM) or a condition that is found 
108.27 	to be closely related to ASD, as identified under the current version of the DSM, and meets 
108.28 	all of the following criteria:
108.29 	(1) is severe and chronic;
108.30 	(2) results in impairment of adaptive behavior and function similar to that of a person 
108.31 	with ASD;
108.32 	(3) requires treatment or services similar to those required for a person with ASD; and
109.1 	(4) results in substantial functional limitations in three core developmental deficits of 
109.2 	ASD: social or interpersonal interaction; functional communication, including nonverbal 
109.3 	or social communication; and restrictive or repetitive behaviors or hyperreactivity or 
109.4 	hyporeactivity to sensory input; and may include deficits or a high level of support in one 
109.5 	or more of the following domains:
109.6 	(i) behavioral challenges and self-regulation;
109.7 	(ii) cognition;
109.8 	(iii) learning and play;
109.9 	(iv) self-care; or
109.10 	(v) safety.
109.11 	(e) "Person" means a person under 21 years of age.
109.12 	(f) "Clinical supervision" means the overall responsibility for the control and direction 
109.13 	of EIDBI service delivery, including individual treatment planning, staff supervision, 
109.14 	individual treatment plan progress monitoring, and treatment review for each person. Clinical 
109.15 	supervision is provided by a qualified supervising professional (QSP) who takes full 
109.16 	professional responsibility for the service provided by each supervisee.
109.17 	(g) "Commissioner" means the commissioner of human services, unless otherwise 
109.18 	specified.
109.19 	(h) "Comprehensive multidisciplinary evaluation" or "CMDE" means a comprehensive 
109.20 	evaluation of a person to determine medical necessity for EIDBI services based on the 
109.21 	requirements in subdivision 5.
109.22 	(i) "Department" means the Department of Human Services, unless otherwise specified.
109.23 	(j) "Early intensive developmental and behavioral intervention benefit" or "EIDBI 
109.24 	benefit" means a variety of individualized, intensive treatment modalities approved and 
109.25 	published by the commissioner that are based in behavioral and developmental science 
109.26 	consistent with best practices on effectiveness.
109.27 	(k) "Employee" means any person who is employed by an agency, including temporary 
109.28 	and part-time employees, and who performs work for at least 80 hours in a year for that 
109.29 	agency in Minnesota. Employee does not include an independent contractor.
109.30 	(k) (l) "Generalizable goals" means results or gains that are observed during a variety 
109.31 	of activities over time with different people, such as providers, family members, other adults, 
110.1 	and people, and in different environments including, but not limited to, clinics, homes, 
110.2 	schools, and the community.
110.3 	(l) (m) "Incident" means when any of the following occur:
110.4 	(1) an illness, accident, or injury that requires first aid treatment;
110.5 	(2) a bump or blow to the head; or
110.6 	(3) an unusual or unexpected event that jeopardizes the safety of a person or staff, 
110.7 	including a person leaving the agency unattended.
110.8 	(m) (n) "Individual treatment plan" or "ITP" means the person-centered, individualized 
110.9 	written plan of care that integrates and coordinates person and family information from the 
110.10 	CMDE for a person who meets medical necessity for the EIDBI benefit. An individual 
110.11 	treatment plan must meet the standards in subdivision 6.
110.12 	(n) (o) "Legal representative" means the parent of a child who is under 18 years of age, 
110.13 	a court-appointed guardian, or other representative with legal authority to make decisions 
110.14 	about service for a person. For the purpose of this subdivision, "other representative with 
110.15 	legal authority to make decisions" includes a health care agent or an attorney-in-fact 
110.16 	authorized through a health care directive or power of attorney.
110.17 	(o) (p) "Mental health professional" means a staff person who is qualified according to 
110.18 	section 245I.04, subdivision 2.
110.19 	(p) (q) "Person-centered" means a service that both responds to the identified needs, 
110.20 	interests, values, preferences, and desired outcomes of the person or the person's legal 
110.21 	representative and respects the person's history, dignity, and cultural background and allows 
110.22 	inclusion and participation in the person's community.
110.23 	(q) (r) "Qualified EIDBI provider" means a person who is a QSP or a level I, level II, 
110.24 	or level III treatment provider.

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

110.26 	Sec. 13. Minnesota Statutes 2024, section 256B.85, subdivision 12, is amended to read:
110.27 		Subd. 12.Requirements for enrollment of CFSS agency-providers. (a) All CFSS 
110.28 	agency-providers must provide, at the time of enrollment, reenrollment, and revalidation 
110.29 	as a CFSS agency-provider in a format determined by the commissioner, information and 
110.30 	documentation that includes but is not limited to the following:
111.1 	(1) the CFSS agency-provider's current contact information including address, telephone 
111.2 	number, and email address;
111.3 	(2) proof of surety bond coverage. Upon new enrollment, or if the agency-provider's 
111.4 	Medicaid revenue in the previous calendar year is less than or equal to $300,000, the 
111.5 	agency-provider must purchase a surety bond of $50,000. If the agency-provider's Medicaid 
111.6 	revenue in the previous calendar year is greater than $300,000, the agency-provider must 
111.7 	purchase a surety bond of $100,000. The surety bond must be in a form approved by the 
111.8 	commissioner, must be renewed annually, and must allow for recovery of costs and fees in 
111.9 	pursuing a claim on the bond. Any action to obtain monetary recovery or sanctions from a 
111.10 	surety bond must occur within six years from the date the debt is affirmed by a final agency 
111.11 	decision.  An agency decision is final when the right to appeal the debt has been exhausted 
111.12 	or the time to appeal has expired under section 256B.064;
111.13 	(3) proof of fidelity bond coverage in the amount of $20,000 per provider location;
111.14 	(4) proof of workers' compensation insurance coverage;
111.15 	(5) proof of liability insurance;
111.16 	(6) a copy of the CFSS agency-provider's organizational chart identifying the names 
111.17 	and roles of all owners, managing employees, staff, board of directors, and additional 
111.18 	documentation reporting any affiliations of the directors and owners to other service 
111.19 	providers;
111.20 	(7) proof that the CFSS agency-provider has written policies and procedures including: 
111.21 	hiring of employees; training requirements; service delivery; and employee and consumer 
111.22 	safety, including the process for notification and resolution of participant grievances, incident 
111.23 	response, identification and prevention of communicable diseases, and employee misconduct;
111.24 	(8) proof that the CFSS agency-provider has all of the following forms and documents:
111.25 	(i) a copy of the CFSS agency-provider's time sheet; and
111.26 	(ii) a copy of the participant's individual CFSS service delivery plan;
111.27 	(9) a list of all training and classes that the CFSS agency-provider requires of its staff 
111.28 	providing CFSS services;
111.29 	(10) documentation that the CFSS agency-provider and staff have successfully completed 
111.30 	all the training required by this section;
111.31 	(11) documentation of the agency-provider's marketing practices;
112.1 	(12) disclosure of ownership, leasing, or management of all residential properties that 
112.2 	are used or could be used for providing home care services;
112.3 	(13) documentation that the agency-provider will use at least the following percentages 
112.4 	of revenue generated from the medical assistance rate paid for CFSS services for CFSS 
112.5 	support worker wages and benefits: 72.5 percent of revenue from CFSS providers, except 
112.6 	100 percent of the revenue generated by a medical assistance rate increase due to a collective 
112.7 	bargaining agreement under section 179A.54 must be used for support worker wages and 
112.8 	benefits. The revenue generated by the worker training and development services and the 
112.9 	reasonable costs associated with the worker training and development services shall not be 
112.10 	used in making this calculation; and
112.11 	(14) documentation that the agency-provider does not burden participants' free exercise 
112.12 	of their right to choose service providers by requiring CFSS support workers to sign an 
112.13 	agreement not to work with any particular CFSS participant or for another CFSS 
112.14 	agency-provider after leaving the agency and that the agency is not taking action on any 
112.15 	such agreements or requirements regardless of the date signed.
112.16 	(b) CFSS agency-providers shall provide to the commissioner the information specified 
112.17 	in paragraph (a).
112.18 	(c) All CFSS agency-providers shall require all employees in management and 
112.19 	supervisory positions and owners of the agency who are active in the day-to-day management 
112.20 	and operations of the agency to complete mandatory training as determined by the 
112.21 	commissioner. Employees in management and supervisory positions and owners who are 
112.22 	active in the day-to-day operations of an agency who have completed the required training 
112.23 	as an employee with a CFSS agency-provider do not need to repeat the required training if 
112.24 	they are hired by another agency and they have completed the training within the past three 
112.25 	years. CFSS agency-provider billing staff shall complete training about CFSS program 
112.26 	financial management. Any new owners or employees in management and supervisory 
112.27 	positions involved in the day-to-day operations are required to complete mandatory training 
112.28 	as a requisite of working for the agency.
112.29 	(d) Agency-providers shall submit all required documentation in this section within 30 
112.30 	days of notification from the commissioner. If an agency-provider fails to submit all the 
112.31 	required documentation, the commissioner may take action under subdivision 23a.

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

113.1 	ARTICLE 6
113.2 	HEALTH-RELATED LICENSING BOARDS

113.3 	Section 1. Minnesota Statutes 2024, section 144A.291, subdivision 2, is amended to read:
113.4 		Subd. 2.Amounts. (a) Fees may not exceed the following amounts but may be adjusted 
113.5 	lower by board direction and are for the exclusive use of the board as required to sustain 
113.6 	board operations. The maximum amounts of fees are:
113.7 	(1) application for licensure, $200 $300;
113.8 	(2) for a prospective applicant for a review of education and experience advisory to the 
113.9 	license application, $100, to be applied to the fee for application for licensure if the latter 
113.10 	is submitted within one year of the request for review of education and experience;
113.11 	(3) state examination, $125 $200;
113.12 	(4) initial license, $250 if issued between July 1 and December 31, $100 if issued between 
113.13 	January 1 and June 30 $300;
113.14 	(5) acting permit, $400;
113.15 	(6) renewal license, $250;
113.16 	(7) duplicate license, $50;
113.17 	(8) reinstatement fee, $250;
113.18 	(9) health services executive initial license, $250 $300;
113.19 	(10) health services executive renewal license, $250 $300;
113.20 	(11) reciprocity verification fee, $50;
113.21 	(12) second shared assignment, $250;
113.22 	(13) continuing education fees:
113.23 	(i) greater than six hours, $50; and
113.24 	(ii) seven hours or more, $75;
113.25 	(14) education review, $100;
113.26 	(15) fee to a sponsor for review of individual continuing education seminars, institutes, 
113.27 	workshops, or home study courses:
113.28 	(i) for less than seven clock hours, $30; and
113.29 	(ii) for seven or more clock hours, $50;
114.1 	(16) fee to a licensee for review of continuing education seminars, institutes, workshops, 
114.2 	or home study courses not previously approved for a sponsor and submitted with an 
114.3 	application for license renewal:
114.4 	(i) for less than seven clock hours total, $30; and
114.5 	(ii) for seven or more clock hours total, $50;
114.6 	(17) late renewal fee, $75;
114.7 	(18) fee to a licensee for verification of licensure status and examination scores, $30;
114.8 	(19) registration as a registered continuing education sponsor, $1,000;
114.9 	(20) mail labels, $75; and
114.10 	(21) annual assisted living program education provider fee, $2,500.
114.11 	(b) The revenue generated from the fees must be deposited in an account in the state 
114.12 	government special revenue fund.

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

114.14 	Sec. 2. Minnesota Statutes 2024, section 144E.123, subdivision 3, is amended to read:
114.15 		Subd. 3.Review. (a) Prehospital care data may be reviewed by the director or its 
114.16 	designees. The data shall be classified as private data on individuals under chapter 13, the 
114.17 	Minnesota Government Data Practices Act.
114.18 	(b) The director may share incident-level location data with the Washington/Baltimore 
114.19 	High Intensity Drug Trafficking Area's Overdose Detection Mapping Application Program 
114.20 	(ODMAP) if the ODMAP has the ability to:
114.21 	(1) allow secure access to the ODMAP system by authorized users to report information 
114.22 	about an overdose incident;
114.23 	(2) allow secure access to the ODMAP system by authorized users to view, in near 
114.24 	real-time, certain information about the overdose incidents reported;
114.25 	(3) produce a map in near real-time of the approximate locations of confirmed or 
114.26 	suspected overdose incidents reports; and
114.27 	(4) enable access to overdose incident information that assists in state and local decisions 
114.28 	regarding the allocation of public health, public safety, and educational resources for the 
114.29 	purposes of monitoring and reporting data related to suspected overdoses.

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

115.1 	Sec. 3. Minnesota Statutes 2024, section 148.108, subdivision 1, is amended to read:
115.2 		Subdivision 1.Fees. In addition to the fees established in Minnesota Rules, chapter 
115.3 	2500, The board is authorized to charge the fees in this section.

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

115.5 	Sec. 4. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to 
115.6 	read:
115.7 		Subd. 5.Chiropractic license fees. Fees for chiropractic licensure must not exceed the 
115.8 	following amounts but may be adjusted lower by board action:
115.9 	(1) initial application for licensure fee, $600;
115.10 	(2) annual renewal of an active license fee, $400;
115.11 	(3) annual renewal of an inactive license fee, 75 percent of the current active license 
115.12 	renewal fee under clause (2);
115.13 	(4) late renewal penalty fee, $150 per month late; and
115.14 	(5) application for reinstatement of a voluntarily retired or inactive license fee, $100.

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

115.16 	Sec. 5. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to 
115.17 	read:
115.18 		Subd. 6.Acupuncture registration fees. Fees for acupuncture registration must not 
115.19 	exceed the following amounts but may be adjusted lower by board action:
115.20 	(1) initial application acupuncture registration fee, $400;
115.21 	(2) annual renewal of active acupuncture registration fee, $200;
115.22 	(3) annual renewal of inactive acupuncture registration fee, 75 percent of the current 
115.23 	active acupuncture registration renewal fee under clause (2); and
115.24 	(4) reinstatement of nonrenewed acupuncture registration fee, $400.

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

116.1 	Sec. 6. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to 
116.2 	read:
116.3 		Subd. 7.Independent examiner registration fees. Fees for independent examiner 
116.4 	registration must not exceed the following amounts but may be adjusted lower by board 
116.5 	action:
116.6 	(1) initial application independent examiner registration fee, $400;
116.7 	(2) annual renewal of independent examiner registration fee, $200; and
116.8 	(3) reinstatement of nonrenewed independent examiner registration fee, $400.

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

116.10 	Sec. 7. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to 
116.11 	read:
116.12 		Subd. 8.Animal chiropractic registration fees. Fees for animal chiropractic registration 
116.13 	must not exceed the following amounts but may be adjusted lower by board action:
116.14 	(1) initial application animal chiropractic registration fee, $400;
116.15 	(2) annual renewal of active animal chiropractic registration fee, $200;
116.16 	(3) annual renewal of inactive animal chiropractic registration fee, 75 percent of the 
116.17 	current active animal chiropractic renewal fee under clause (2); and
116.18 	(4) reinstatement of nonrenewed animal chiropractic registration fee, $400.

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

116.20 	Sec. 8. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to 
116.21 	read:
116.22 		Subd. 9.Graduate preceptorship registration fee. The application fee for graduate 
116.23 	preceptorship registration is an amount not to exceed $500, but may be adjusted lower by 
116.24 	board action.

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

117.1 	Sec. 9. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to 
117.2 	read:
117.3 		Subd. 10.Professional firm registration fees. In addition to fees authorized under 
117.4 	chapter 319B, the late renewal penalty fee for professional firm registration is $5 per month 
117.5 	late.

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

117.7 	Sec. 10. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision 
117.8 	to read:
117.9 		Subd. 11.Miscellaneous fees. Fees under this subdivision must not exceed the following 
117.10 	amounts but may be adjusted lower by board action:
117.11 	(1) annual continuing education sponsorship fee, $1,000;
117.12 	(2) individual continuing education seminar sponsorship fee, $400;
117.13 	(3) mailing list request fee, $500;
117.14 	(4) license verification fee, $50;
117.15 	(5) duplicate certificate fee, $50; and
117.16 	(6) document copies fee, $0.25 per side of document page.

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

117.18 	Sec. 11. Minnesota Statutes 2024, section 148B.53, subdivision 3, is amended to read:
117.19 		Subd. 3.Fee Fees. Nonrefundable fees are as follows:
117.20 	(1) initial license application fee for licensed professional counseling (LPC) - $150;
117.21 	(2) initial license fee for LPC - $250;
117.22 	(3) annual active license renewal fee for LPC - $250 or equivalent;
117.23 	(4) annual inactive license renewal fee for LPC - $125;
117.24 	(5) initial license application fee for licensed professional clinical counseling (LPCC) - 
117.25 	$150;
117.26 	(6) initial license fee for LPCC - $250;
117.27 	(7) annual active license renewal fee for LPCC - $250 or equivalent;
117.28 	(8) annual inactive license renewal fee for LPCC - $125;
118.1 	(9) license renewal late fee - $100 per month or portion thereof;
118.2 	(10) copy of board order or stipulation - $10;
118.3 	(11) certificate of good standing or license verification - $25;
118.4 	(12) duplicate certificate fee - $25;
118.5 	(13) professional firm renewal fee - $25;
118.6 	(14) sponsor application for approval of a continuing education course - $60;
118.7 	(15) initial registration fee - $50;
118.8 	(16) annual registration renewal fee - $25;
118.9 	(17) approved supervisor application processing fee - $30; and
118.10 	(18) temporary license for members of the military - $250; and
118.11 	(19) interstate compact privilege to practice fee - not to exceed $100.

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

118.13 	Sec. 12. Minnesota Statutes 2024, section 148E.180, subdivision 1, is amended to read:
118.14 		Subdivision 1.Application fees. (a) Nonrefundable application fees for licensure may 
118.15 	not exceed the following amounts but may be adjusted lower by board action:
118.16 	(1) for a licensed social worker, $75;
118.17 	(2) for a licensed graduate social worker, $75;
118.18 	(3) for a licensed independent social worker, $75;
118.19 	(4) for a licensed independent clinical social worker, $75;
118.20 	(5) for a temporary license, $50; and
118.21 	(6) for a license by endorsement, $115; and
118.22 	(7) for a compact multistate license, $75.
118.23 	(b) The fee for criminal background checks is the fee charged by the Bureau of Criminal 
118.24 	Apprehension. The criminal background check fee must be included with the application 
118.25 	fee as required according to section 148E.055.

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

119.1 	Sec. 13. Minnesota Statutes 2024, section 148E.180, is amended by adding a subdivision 
119.2 	to read:
119.3 		Subd. 2a.Compact multistate license fees. Nonrefundable compact multistate license 
119.4 	fees must not exceed the following amounts but may be adjusted lower by board action:
119.5 	(1) for a licensed social worker, $115;
119.6 	(2) for a licensed graduate social worker, $210;
119.7 	(3) for a licensed independent social worker, $305; and
119.8 	(4) for a licensed independent clinical social worker, $335.

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

119.10 	Sec. 14. Minnesota Statutes 2024, section 148E.180, is amended by adding a subdivision 
119.11 	to read:
119.12 		Subd. 3a.Compact multistate renewal fees. Nonrefundable renewal fees for compact 
119.13 	multistate licensure must not exceed the following amounts but may be adjusted lower by 
119.14 	board action:
119.15 	(1) for a licensed social worker, $115;
119.16 	(2) for a licensed graduate social worker, $210;
119.17 	(3) for a licensed independent social worker, $305; and
119.18 	(4) for a licensed independent clinical social worker, $335.

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

119.20 	Sec. 15. Minnesota Statutes 2024, section 148E.180, subdivision 5, is amended to read:
119.21 		Subd. 5.Late fees. Late fees are the following nonrefundable amounts:
119.22 	(1) renewal late fee, one-fourth of the applicable renewal fee specified in subdivision
119.23 	subdivisions 3 and 3a;
119.24 	(2) supervision plan late fee, $40; and
119.25 	(3) license late fee, $100 plus the prorated share of the applicable license fee fees specified 
119.26 	in subdivision subdivisions 2 and 2a for the number of months during which the individual 
119.27 	practiced social work without a license.

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

120.1 	Sec. 16. Minnesota Statutes 2024, section 148E.180, subdivision 7, is amended to read:
120.2 		Subd. 7.Reactivation fees. Reactivation fees are the following nonrefundable amounts:
120.3 	(1) reactivation from a temporary leave or emeritus status, the prorated share of the 
120.4 	renewal fee specified in subdivision 3; and
120.5 	(2) reactivation of an expired license, 1-1/2 times the applicable renewal fees specified 
120.6 	in subdivision subdivisions 3 and 3a.

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

120.8 	Sec. 17. [153.30] FEES.
120.9 		Subdivision 1.Nonrefundable fees. The fees in this section are nonrefundable.
120.10 		Subd. 2.Fee amounts. The amount of fees must be set by the board so that the total 
120.11 	fees collected by the board equals as closely as possible the anticipated expenditures during 
120.12 	the fiscal biennium, as provided in section 16A.1285. Fees must not exceed the following 
120.13 	amounts but may be adjusted lower by board action:
120.14 	(1) application for licensure fee, $1,000;
120.15 	(2) renewal licensure fee, $1,000;
120.16 	(3) late renewal fee, $250;
120.17 	(4) temporary permit fee, $250;
120.18 	(5) duplicate license fee or duplicate renewal certificate fee, $25;
120.19 	(6) reinstatement fee, $1,250;
120.20 	(7) examination administration fee for persons who have not applied for a license or 
120.21 	permit, $50;
120.22 	(8) verification of licensure fee, $50;
120.23 	(9) label fee, $50;
120.24 	(10) list of licensees fee, $50; and
120.25 	(11) copies fee, $0.50 per page.
120.26 		Subd. 3.Current fee information. Information about fees in effect at any time must 
120.27 	be available from the board office.
120.28 		Subd. 4.Deposit of fees. The license fees collected under this section must be deposited 
120.29 	in the state government special revenue fund.

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

121.2 	Sec. 18. Minnesota Statutes 2024, section 153B.85, subdivision 1, is amended to read:
121.3 		Subdivision 1.Fees. (a) The application fee for initial licensure shall not exceed $600.
121.4 	(b) The biennial renewal fee for a license to practice as an orthotist, prosthetist, prosthetist 
121.5 	orthotist, or pedorthist shall not exceed $600.
121.6 	(c) The biennial renewal fee for a license to practice as an assistant or a fitter shall not 
121.7 	exceed $300.
121.8 	(d) The fee for license restoration shall not exceed $600.
121.9 	(e) The fee for license verification shall not exceed $30 $50.
121.10 	(f) The fee to obtain a list of licensees shall not exceed $25 $50.

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

121.12 	Sec. 19. Minnesota Statutes 2024, section 153B.85, subdivision 3, is amended to read:
121.13 		Subd. 3.Late fee. The fee for late license renewal is the license renewal fee in effect at 
121.14 	the time of renewal plus $100 $250.

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

121.16 	Sec. 20. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision 
121.17 	to read:
121.18 		Subd. 1a.Nonrefundable fees. All fees are nonrefundable.

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

121.20 	Sec. 21. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision 
121.21 	to read:
121.22 		Subd. 3.Fee amounts. Fees must not exceed the following amounts but may be adjusted 
121.23 	lower by board action:
121.24 	(1) initial application fee, $75;
121.25 	(2) state examination fee, $75;
121.26 	(3) duplicate license fee, $25;
121.27 	(4) continuing education sponsor application fee, $75;
122.1 	(5) mailing list fee, $250;
122.2 	(6) initial veterinary license fee, $300;
122.3 	(7) initial veterinary technician fee, $100;
122.4 	(8) active veterinary renewal fee, $300;
122.5 	(9) active veterinary technician renewal fee, $100;
122.6 	(10) inactive veterinary renewal fee, $150;
122.7 	(11) inactive veterinary technician renewal fee, $50;
122.8 	(12) institutional license fee, $300;
122.9 	(13) active late veterinary renewal fee, $150;
122.10 	(14) active late veterinary technician renewal fee, $50;
122.11 	(15) inactive late veterinary renewal fee, $100;
122.12 	(16) inactive late veterinary technician renewal fee, $25; and
122.13 	(17) institutional late renewal fee, $150.

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

122.15 	Sec. 22. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision 
122.16 	to read:
122.17 		Subd. 4.License verification. The board may charge a fee not to exceed $25 per license 
122.18 	verification to a licensee for verification of licensure status provided to other veterinary 
122.19 	licensing boards.

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

122.21 	Sec. 23. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision 
122.22 	to read:
122.23 		Subd. 5.Deposit of fees. The license fees collected under this section must be deposited 
122.24 	in the state government special revenue fund.

122.25 	Sec. 24. Laws 2024, chapter 127, article 67, section 4, is amended to read:

122.26	Sec. 4. BOARD OF PHARMACY

123.1	Appropriations by Fund
	
123.2	General
	1,500,000
	-0-
	
123.3
123.4	State Government 
Special Revenue
	-0-
	27,000
	
123.5 	(a) Legal Costs. $1,500,000 in fiscal year 
123.6 	2024 is from the general fund for legal costs. 
123.7 	This is a onetime appropriation and is 
123.8 	available until June 30, 2027.
123.9 	(b) Base Level Adjustment. The state 
123.10 	government special revenue fund base is 
123.11 	increased by $27,000 in fiscal year 2026 and 
123.12 	increased by $27,000 in fiscal year 2027.

123.13 	EFFECTIVE DATE. This section is effective June 30, 2025.

123.14 	Sec. 25. RULEMAKING.
 123.15 	The Board of Chiropractic Examiners must adopt rules using the expedited process under 
123.16 	Minnesota Statutes, section 14.389, that amend Minnesota Rules, chapter 2500, to conform 
123.17 	with the changes made in this act.

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

123.19 	Sec. 26. REPEALER.
 123.20 	(a) Minnesota Statutes 2024, sections 148.108, subdivisions 2, 3, and 4; and 156.015, 
123.21 	subdivision 1, are repealed.
123.22 	(b) Minnesota Rules, parts 2500.1150; 2500.2030; 9100.0400, subparts 1 and 3; 
123.23 	9100.0500; and 9100.0600, are repealed.
123.24 	(c) Minnesota Rules, part 6900.0250, subparts 1 and 2, are repealed.

123.25 	EFFECTIVE DATE. Paragraphs (a) and (b) are effective July 1, 2025. Paragraph (c) 
123.26 	is effective the day following final enactment.

123.27 	ARTICLE 7
123.28 	FORECAST ADJUSTMENTS

123.29	Section 1. DEPARTMENT OF HUMAN SERVICES FORECAST ADJUSTMENT.
 	
123.30 	The dollar amounts shown in the columns marked "Appropriations" are added to or, if 
123.31 	shown in parentheses, are subtracted from the appropriations in Laws 2023, chapter 70, 
124.1 	article 20, from the general fund, or any other fund named, to the commissioner of human 
124.2 	services for the purposes specified in this article, to be available for the fiscal year indicated 
124.3 	for each purpose. The figure "2025" used in this article means that the appropriations listed 
124.4 	are available for the fiscal year ending June 30, 2025.

124.5				APPROPRIATIONS
	
124.6				Available for the Year
	
124.7				Ending June 30
	
124.8					2025

124.9124.10
	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES

124.11	Subdivision 1.Total Appropriation
 	$
	(224,693,000)

124.12	Appropriations by Fund
	
124.13		2025
		
124.14	General
	(202,264,000)
		
124.15	Health Care Access
	(17,144,000)
		
124.16	Federal TANF
	(5,285,000)

124.17	Subd. 2.Forecasted Programs
 					
124.18
124.19
124.20
124.21	(a) Minnesota Family 
Investment Program 
(MFIP)/Diversionary Work 
Program (DWP)

124.22	Appropriations by Fund
	
124.23		2025
		
124.24	General
	(5,238,000)
		
124.25	Federal TANF
	(5,285,000)

124.26	(b) MFIP Child Care Assistance
		(57,918,000)

124.27	(c) General Assistance
		1,932,000

124.28	(d) Minnesota Supplemental Aid
		3,278,000

124.29	(e) Housing Support
		9,569,000

124.30	(f) Northstar Care for Children
		(9,006,000)

124.31	(g) MinnesotaCare
		(16,701,000)
			
124.32 	This appropriation is from the health care 
124.33 	access fund.

124.34	(h) Medical Assistance

125.1	Appropriations by Fund
	
125.2		2025
		
125.3	General
	(155,544,000)
		
125.4	Health Care Access
	(443,000)

125.5	(i) Behavioral Health Fund
		10,633,000

125.6 	Sec. 3. EFFECTIVE DATE.
 125.7 	Sections 1 and 2 are effective the day following final enactment.

125.8 	ARTICLE 8
125.9 	DEPARTMENT OF HEALTH APPROPRIATIONS

125.10	Section 1. HEALTH APPROPRIATIONS.
 	
125.11 	The sums shown in the columns marked "Appropriations" are appropriated to the 
125.12 	commissioner of health for the purposes specified in this article. The appropriations are 
125.13 	from the general fund, or another named fund, and are available for the fiscal years indicated 
125.14 	for each purpose. The figures "2026" and "2027" used in this article mean that the 
125.15 	appropriations listed under them are available for the fiscal year ending June 30, 2026, or 
125.16 	June 30, 2027, respectively. "The first year" is fiscal year 2026. "The second year" is fiscal 
125.17 	year 2027. "The biennium" is fiscal years 2026 and 2027.

125.18				APPROPRIATIONS
	
125.19				Available for the Year
	
125.20				Ending June 30
	
125.21					2026
		2027

125.22	Sec. 2. TOTAL APPROPRIATION
 	$
	435,545,000
	$
	433,094,000

125.23	Appropriations by Fund
	
125.24		2026
	2027
	
125.25	General
	270,286,000
	269,015,000
	
125.26
125.27	State Government 
Special Revenue
	98,781,000
	98,547,000
	
125.28	Health Care Access
	54,765,000
	53,819,000
	
125.29	Federal TANF
	11,713,000
	11,713,000
	
125.30 	The amounts that may be spent for each 
125.31 	purpose are specified in this article.

126.1	Sec. 3. HEALTH IMPROVEMENT

126.2	Subdivision 1.Total Appropriation
 	$
	291,524,000
	$
	288,655,000

126.3	Appropriations by Fund
	
126.4	General
	215,788,000
	213,865,000
	
126.5
126.6	State Government 
Special Revenue
	9,258,000
	9,258,000
	
126.7	Health Care Access
	54,765,000
	53,819,000
	
126.8	Federal TANF
	11,713,000
	11,713,000

126.9126.10
	Subd. 2.Substance Use Treatment, Recovery, 
and Prevention Grants
 					
126.11 	$3,000,000 in fiscal year 2026 and $3,000,000 
126.12 	in fiscal year 2027 are for the purposes of 
126.13 	Minnesota Statutes, section 342.72.

126.14
126.15	Subd. 3.Local and Tribal Public Health 
Cannabis Grants
 					
126.16 	$8,850,000 in fiscal year 2026 and $8,850,000 
126.17 	in fiscal year 2027 are for administration and 
126.18 	grants under Minnesota Statutes, section 
126.19 	144.197, subdivision 4. Of the amount 
126.20 	appropriated, $1,094,000 each year is for 
126.21 	administration and $7,756,000 each year is 
126.22 	for grants.

126.23	Sec. 4. HEALTH PROTECTION

126.24	Subdivision 1.Total Appropriation
 	$
	123,656,000
	$
	123,047,000

126.25	Appropriations by Fund
	
126.26	General
	34,133,000
	33,758,000
	
126.27
126.28	State Government 
Special Revenue
	89,523,000
	89,289,000

126.29	Subd. 2.Asbestos Abatement
 					
126.30 	$176,000 in fiscal year 2026 and $176,000 in 
126.31 	fiscal year 2027 are from the state government 
126.32 	special revenue fund for asbestos abatement 
126.33 	under Minnesota Statutes, section 326.75.

127.1	Subd. 3.Food, Pools, and Lodging Services
 					
127.2 	$5,483,000 in fiscal year 2026 and $5,483,000 
127.3 	in fiscal year 2027 are from the state 
127.4 	government special revenue fund for 
127.5 	supporting food, pools, and lodging services 
127.6 	program activities under Minnesota Statutes, 
127.7 	chapters 144, 157, and 327, including 
127.8 	inspection, plan review, credentialing, 
127.9 	licensing, and rulemaking and delegated 
127.10 	support activities.

127.11	Subd. 4.Public Water Supply
 					
127.12 	$7,827,000 in fiscal year 2026 and $7,827,000 
127.13 	in fiscal year 2027 are from the state 
127.14 	government special revenue fund for operating 
127.15 	the drinking water protection program, 
127.16 	including implementing the Safe Drinking 
127.17 	Water Act and for providing services to 
127.18 	regulated parties, partners, and the public 
127.19 	under Minnesota Statutes, sections 144.381 
127.20 	to 144.383.

127.21	Subd. 5.Radioactive Materials
 					
127.22 	$200,000 in fiscal year 2026 and $200,000 in 
127.23 	fiscal year 2027 are from the state government 
127.24 	special revenue fund for supporting radioactive 
127.25 	materials program activities, including licensee 
127.26 	inspections, responding to radiological 
127.27 	incidents, and state agreement responsibilities 
127.28 	under Minnesota Statutes, section 144.1205.

127.29	Subd. 6.Ionizing Radiation
 					
127.30 	$993,000 in fiscal year 2026 and $828,000 in 
127.31 	fiscal year 2027 are from the state government 
127.32 	special revenue fund for supporting new 
127.33 	regulatory activities for x-ray service 
127.34 	providers, ongoing inspections of licensed 
128.1 	facilities, and data analysis for program 
128.2 	planning and implementation under Minnesota 
128.3 	Statutes, section 144.121.

128.4
128.5	Subd. 7.Infectious Disease Prevention, Early 
Detection, and Outbreak Response
 					
128.6 	$1,300,000 in fiscal year 2026 and $1,300,000 
128.7 	in fiscal year 2027 are for infectious disease 
128.8 	prevention, early detection, and outbreak 
128.9 	response activities under Minnesota Statutes, 
128.10 	section 144.05, subdivision 1.

128.11	Subd. 8.Licensing and Certification
 					
128.12 	$1,707,000 in fiscal year 2026 and $1,707,000 
128.13 	in fiscal year 2027 are from the state 
128.14 	government special revenue fund for 
128.15 	administering licensing and certification fees 
128.16 	under Minnesota Statutes, chapter 144A, and 
128.17 	Minnesota Statutes, sections 144.122, 144.55, 
128.18 	and 144.615.

128.19	Subd. 9.Assisted Living Licensure
 					
128.20 	$1,555,000 in fiscal year 2026 and $1,555,000 
128.21 	in fiscal year 2027 are from the state 
128.22 	government special revenue fund for 
128.23 	administering assisted living licensure under 
128.24 	Minnesota Statutes, chapter 144G.

128.25	Subd. 10.Engineering Plan Reviews
 					
128.26 	$224,000 in fiscal year 2026 and $224,000 in 
128.27 	fiscal year 2027 are from the state government 
128.28 	special revenue fund for conducting 
128.29 	engineering plan reviews under Minnesota 
128.30 	Statutes, section 144.554.

129.1	Subd. 11.Base Level Adjustments
 					
129.2 	The state government special revenue fund 
129.3 	base is $89,610,000 in fiscal year 2028 and 
129.4 	$89,610,000 in fiscal year 2029.

129.5	Sec. 5. HEALTH OPERATIONS
 	$
	20,365,000
	$
	21,392,000

129.6 	Sec. 6. TRANSFERS; ADMINISTRATION.
 129.7 	Positions, salary money, and nonsalary administrative money may be transferred within 
129.8 	the Department of Health as the commissioner deems necessary with the advance approval 
129.9 	of the commissioner of management and budget. The commissioner shall report to the chairs 
129.10 	and ranking minority members of the legislative committees with jurisdiction over health 
129.11 	finance quarterly about transfers made under this section.

129.12 	Sec. 7. INDIRECT COSTS NOT TO FUND PROGRAMS.
 129.13 	The commissioner of health shall not use indirect cost allocations to pay for the 
129.14 	operational costs of any program for which the commissioner is responsible.

129.15 	Sec. 8. EXPIRATION OF UNCODIFIED LANGUAGE.
 129.16 	All uncodified language contained in this article expires on June 30, 2027, unless a 
129.17 	different expiration date is explicit or an appropriation is made available after June 30, 2027.

129.18 	ARTICLE 9
129.19 	DEPARTMENT OF HUMAN SERVICES APPROPRIATIONS

129.20	Section 1. HUMAN SERVICES APPROPRIATIONS.
 	
129.21 	The sums shown in the columns marked "Appropriations" are appropriated to the 
129.22 	commissioner of human services for the purposes specified in this article. The appropriations 
129.23 	are from the general fund, or another named fund, and are available for the fiscal years 
129.24 	indicated for each purpose. The figures "2026" and "2027" used in this article mean that 
129.25 	the appropriations listed under them are available for the fiscal year ending June 30, 2026, 
129.26 	or June 30, 2027, respectively. "The first year" is fiscal year 2026. "The second year" is 
129.27 	fiscal year 2027. "The biennium" is fiscal years 2026 and 2027.

129.28				APPROPRIATIONS
	
129.29				Available for the Year
	
130.1				Ending June 30
	
130.2					2026
		2027

130.3	Sec. 2. TOTAL APPROPRIATION
 	$
	5,592,495,000
	$
	5,934,084,000

130.4	Subdivision 1.Appropriations by Fund

130.5	Appropriations by Fund
	
130.6		2026
	2027
	
130.7	General
	4,417,305,000
	4,843,930,000
	
130.8
130.9	State Government 
Special Revenue
	3,978,000
	3,978,000
	
130.10	Health Care Access
	1,170,519,000
	1,085,483,000
	
130.11	Lottery Prize
	163,000
	163,000
	
130.12
130.13	Family and Medical 
Benefit Insurance
	530,000
	530,000
	
130.14 	The amounts that may be spent for each 
130.15 	purpose are specified in this article.

130.16	Subd. 2.Paid Leave
 					
130.17 	$530,000 each year is from the family and 
130.18 	medical benefit insurance account. This 
130.19 	amount is for the purposes of Minnesota 
130.20 	Statutes, chapter 268B.

130.21	Subd. 3.Information Technology Appropriations
 					
130.22 	(a) IT appropriations generally. This 
130.23 	appropriation includes money for information 
130.24 	technology projects, services, and support. 
130.25 	Notwithstanding Minnesota Statutes, section 
130.26 	16E.0466, funding for information technology 
130.27 	project costs must be incorporated into the 
130.28 	service-level agreement and paid to Minnesota 
130.29 	IT Services by the Department of Human 
130.30 	Services under the rates and mechanism 
130.31 	specified in that agreement.
130.32 	(b) Receipts for systems project.
130.33 	Appropriations and federal receipts for 
130.34 	information technology systems projects for 
131.1 	MAXIS, PRISM, MMIS, ISDS, METS, and 
131.2 	SSIS must be deposited in the state systems 
131.3 	account authorized in Minnesota Statutes, 
131.4 	section 256.014. Money appropriated for 
131.5 	information technology projects approved by 
131.6 	the commissioner of Minnesota IT Services 
131.7 	funded by the legislature and approved by the 
131.8 	commissioner of management and budget may 
131.9 	be transferred from one project to another and 
131.10 	from development to operations as the 
131.11 	commissioner of human services deems 
131.12 	necessary. Any unexpended balance in the 
131.13 	appropriation for these projects does not 
131.14 	cancel and is available for ongoing 
131.15 	development and operations.

131.16	Sec. 3. CENTRAL OFFICE; OPERATIONS

131.17	Subdivision 1.Total Appropriation
 	$
	180,979,000
	$
	186,544,000

131.18	Appropriations by Fund
	
131.19	General
	149,398,000
	153,436,000
	
131.20
131.21	State Government 
Special Revenue
	133,000
	133,000
	
131.22	Health Care Access
	30,918,000
	32,445,000
	
131.23
131.24	Family and Medical 
Benefits Insurance
	530,000
	530,000

131.25	Subd. 2.Administrative Recovery; Set-Aside
 					
131.26 	The commissioner may invoice local entities 
131.27 	through the SWIFT accounting system as an 
131.28 	alternative means to recover the actual cost of 
131.29 	administering the following provisions:
131.30 	(1) the statewide data management system 
131.31 	authorized in Minnesota Statutes, section 
131.32 	125A.744, subdivision 3;
131.33 	(2) repayment of the special revenue 
131.34 	maximization account as provided under 
132.1 	Minnesota Statutes, section 245.495, 
132.2 	paragraph (b);
132.3 	(3) repayment of the special revenue 
132.4 	maximization account as provided under 
132.5 	Minnesota Statutes, section 256B.0625, 
132.6 	subdivision 20, paragraph (k);
132.7 	(4) targeted case management under 
132.8 	Minnesota Statutes, section 256B.0924, 
132.9 	subdivision 6, paragraph (g);
132.10 	(5) residential services for children with severe 
132.11 	emotional disturbance under Minnesota 
132.12 	Statutes, section 256B.0945, subdivision 4, 
132.13 	paragraph (d); and
132.14 	(6) repayment of the special revenue 
132.15 	maximization account as provided under 
132.16 	Minnesota Statutes, section 256F.10, 
132.17 	subdivision 6, paragraph (b).

132.18	Subd. 3.Base Level Adjustment
 					
132.19 	The general fund base for the appropriations 
132.20 	in this section is $153,043,000 in fiscal year 
132.21 	2028 and $154,147,000 in fiscal year 2029.

132.22	Sec. 4. CENTRAL OFFICE; HEALTH CARE
 	$
	76,557,000
	$
	69,348,000

132.23	Appropriations by Fund
	
132.24	General
	48,389,000
	41,180,000
	
132.25	Health Care Access
	28,168,000
	28,168,000

132.26
132.27	Sec. 5. CENTRAL OFFICE; BEHAVIORAL 
HEALTH
 	$
	22,187,000
	$
	22,159,000

132.28	Appropriations by Fund
	
132.29	General
	22,024,000
	21,996,000
	
132.30	Lottery Prize
	163,000
	163,000

132.31
132.32	Sec. 6. CENTRAL OFFICE; HOMELESSNESS, 
HOUSING, AND SUPPORT SERVICES
 	$
	6,932,000
	$
	6,421,000

132.33
132.34	Sec. 7. CENTRAL OFFICE; OFFICE OF 
INSPECTOR GENERAL

133.1	Subdivision 1.Total Appropriation
 	$
	31,936,000
	$
	32,415,000

133.2	Appropriations by Fund
	
133.3	General
	27,150,000
	27,629,000
	
133.4	Health Care Access
	941,000
	941,000
	
133.5
133.6
133.7	State Government 
Special Revenue 
Fund
	3,845,000
	3,845,000

133.8	Subd. 2.Base Level Adjustment
 					
133.9 	The general fund base for appropriations in 
133.10 	this section is $27,685,000 in fiscal year 2028 
133.11 	and $27,631,000 in fiscal year 2029.

133.12
133.13	Sec. 8. FORECASTED PROGRAMS; 
GENERAL ASSISTANCE
 	$
	82,545,000
	$
	84,802,000
	
133.14 	Money to counties shall be allocated by the 
133.15 	commissioner using the allocation method 
133.16 	under Minnesota Statutes, section 256D.06.

133.17
133.18
133.19	Sec. 9. FORECASTED PROGRAMS; 
MINNESOTA SUPPLEMENTAL 
ASSISTANCE
 	$
	67,113,000
	$
	69,089,000

133.20
133.21	Sec. 10. FORECASTED PROGRAMS; 
HOUSING SUPPORT
 	$
	267,065,000
	$
	277,747,000

133.22
133.23	Sec. 11. FORECASTED PROGRAMS; 
MINNESOTACARE
 	$
	79,312,000
	$
	130,969,000
	
133.24 	This appropriation is from the health care 
133.25 	access fund.

133.26
133.27	Sec. 12. FORECASTED PROGRAMS; 
MEDICAL ASSISTANCE
 	$
	4,613,487,000
	$
	4,890,717,000

133.28	Appropriations by Fund
	
133.29	General
	3,585,772,000
	4,001,222,000
	
133.30	Health Care Access
	1,027,715,000
	889,495,000
	
133.31 	The health care access fund base for 
133.32 	appropriations in this section is $889,495,000 
133.33 	in fiscal year 2028 and $889,495,000 in fiscal 
133.34 	year 2029.

133.35
133.36	Sec. 13. FORECASTED PROGRAMS; 
ALTERNATIVE CARE
 	$
	55,610,000
	$
	56,101,000

134.1	Sec. 14. REFUGEE SERVICES GRANTS
 	$
	100,000
	$
	100,000

134.2
134.3	Sec. 15. GRANT PROGRAMS; HEALTH 
CARE GRANTS
 	$
	8,176,000
	$
	8,176,000

134.4	Appropriations by Fund
	
134.5	General
	4,711,000
	4,711,000
	
134.6	Health Care Access
	3,465,000
	3,465,000

134.7
134.8	Sec. 16. GRANT PROGRAMS; AGING AND 
ADULT SERVICES GRANTS
 	$
	2,655,000
	$
	2,655,000

134.9134.10
	Sec. 17. GRANT PROGRAMS; HOUSING 
GRANTS
 	$
	87,911,000
	$
	92,911,000

134.11
134.12	Sec. 18. GRANT PROGRAMS; ADULT 
MENTAL HEALTH GRANTS
 	$
	635,000
	$
	635,000

134.13
134.14	Sec. 19. GRANT PROGRAMS; CHILD 
MENTAL HEALTH GRANTS
 	$
	277,000
	$
	277,000

134.15
134.16	Sec. 20. GRANT PROGRAMS; DISABILITIES 
GRANTS
 	$
	6,000,000
	$
	-0-
	
134.17 	$6,000,000 in fiscal year 2026 is for grants to 
134.18 	community-based HIV/AIDS supportive 
134.19 	services providers as defined in Minnesota 
134.20 	Statutes, section 256.01, subdivision 19, and 
134.21 	for payment of allowed health care costs as 
134.22 	defined in Minnesota Statutes, section 
134.23 	256.9365. This is a onetime appropriation and 
134.24 	is available until June 30, 2027.

134.25
134.26	Sec. 21. GRANT PROGRAMS; FRAUD 
PREVENTION GRANTS
 	$
	3,018,000
	$
	3,018,000

134.27 	Sec. 22. TRANSFERS.
 134.28 		Subdivision 1.Grants. The commissioner of human services, with the approval of the 
134.29 	commissioner of management and budget, may transfer unencumbered appropriation balances 
134.30 	for the biennium ending June 30, 2025, within fiscal years among general assistance, medical 
134.31 	assistance, MinnesotaCare, the Minnesota supplemental aid program, the housing support 
134.32 	program, and the entitlement portion of the behavioral health fund between fiscal years of 
134.33 	the biennium. The commissioner shall report to the chairs and ranking minority members 
134.34 	of the legislative committees with jurisdiction over health and human services quarterly 
134.35 	about transfers made under this subdivision.
135.1 		Subd. 2.Administration. Positions, salary money, and nonsalary administrative money 
135.2 	may be transferred within the Department of Human Services as the commissioners deem 
135.3 	necessary, with the advance approval of the commissioner of management and budget. The 
135.4 	commissioners shall report to the chairs and ranking minority members of the legislative 
135.5 	committees with jurisdiction over health and human services finance quarterly about transfers 
135.6 	made under this section.
135.7 		Subd. 3.Children, youth, and families. Administrative money may be transferred 
135.8 	between the Department of Human Services and Department of Children, Youth, and 
135.9 	Families as the commissioners deem necessary, with the advance approval of the 
135.10 	commissioner of management and budget. The commissioners shall report to the chairs and 
135.11 	ranking minority members of the legislative committees with jurisdiction over children and 
135.12 	families quarterly about transfers made under this section.

135.13 	ARTICLE 10
135.14 	OTHER AGENCY APPROPRIATIONS

135.15	Section 1. OTHER AGENCY APPROPRIATIONS.
 	
135.16 	The sums shown in the columns marked "Appropriations" are appropriated to the agencies 
135.17 	and for the purposes specified in this article. The appropriations are from the general fund, 
135.18 	or another named fund, and are available for the fiscal years indicated for each purpose. 
135.19 	The figures "2026" and "2027" used in this article mean that the appropriations listed under 
135.20 	them are available for the fiscal year ending June 30, 2026, or June 30, 2027, respectively. 
135.21 	"The first year" is fiscal year 2026. "The second year" is fiscal year 2027. "The biennium" 
135.22 	is fiscal years 2026 and 2027.

135.23				APPROPRIATIONS
	
135.24				Available for the Year
	
135.25				Ending June 30
	
135.26					2026
		2027

135.27	Sec. 2. HEALTH-RELATED BOARDS

135.28	Subdivision 1.Total Appropriation
 	$
	34,372,000
	$
	34,262,000

135.29	Appropriations by Fund
	
135.30		2026
	2027
	
136.1	General
	468,000
	468,000
	
136.2
136.3	State Government 
Special Revenue
	33,904,000
	33,794,000
	
136.4 	This appropriation is from the state 
136.5 	government special revenue fund unless 
136.6 	specified otherwise. The amounts that may be 
136.7 	spent for each purpose are specified in the 
136.8 	following subdivisions.

136.9136.10
	Subd. 2.Board of Behavioral Health and 
Therapy
 		1,289,000
		1,289,000

136.11	Subd. 3.Board of Chiropractic Examiners
 		890,000
		890,000

136.12	Subd. 4.Board of Dentistry
 		4,308,000
		4,310,000
	
136.13 	(a) Administrative services unit; operating 
136.14 	costs. Of this appropriation, $1,936,000 in 
136.15 	fiscal year 2026 and $1,936,000 in fiscal year 
136.16 	2027 are for operating costs of the 
136.17 	administrative services unit. The 
136.18 	administrative services unit may receive and 
136.19 	expend reimbursements for services it 
136.20 	performs for other agencies.
136.21 	(b) Administrative services unit; volunteer 
136.22 	health care provider program. Of this 
136.23 	appropriation, $150,000 in fiscal year 2026 
136.24 	and $150,000 in fiscal year 2027 are to pay 
136.25 	for medical professional liability coverage 
136.26 	required under Minnesota Statutes, section 
136.27 	214.40.
136.28 	(c) Administrative services unit; retirement 
136.29 	costs. Of this appropriation, $237,000 in fiscal 
136.30 	year 2026 and $237,000 in fiscal year 2027 
136.31 	are for the administrative services unit to pay 
136.32 	for the retirement costs of health-related board 
136.33 	employees. This funding may be transferred 
136.34 	to the health board incurring retirement costs. 
136.35 	Any board that has an unexpended balance for 
137.1 	an amount transferred under this paragraph 
137.2 	shall transfer the unexpended amount to the 
137.3 	administrative services unit. If the amount 
137.4 	appropriated in the first year of the biennium 
137.5 	is not sufficient, the amount from the second 
137.6 	year of the biennium is available.
137.7 	(d) Administrative services unit; contested 
137.8 	cases and other legal proceedings. Of this 
137.9 	appropriation, $200,000 in fiscal year 2026 
137.10 	and $200,000 in fiscal year 2027 are for costs 
137.11 	of contested case hearings and other 
137.12 	unanticipated costs of legal proceedings 
137.13 	involving health-related boards under this 
137.14 	section. Upon certification by a health-related 
137.15 	board to the administrative services unit that 
137.16 	unanticipated costs for legal proceedings will 
137.17 	be incurred and that available appropriations 
137.18 	are insufficient to pay for the unanticipated 
137.19 	costs for that board, the administrative services 
137.20 	unit is authorized to transfer money from this 
137.21 	appropriation to the board for payment of costs 
137.22 	for contested case hearings and other 
137.23 	unanticipated costs of legal proceedings with 
137.24 	the approval of the commissioner of 
137.25 	management and budget. The commissioner 
137.26 	of management and budget must require any 
137.27 	board that has an unexpended balance or an 
137.28 	amount transferred under this paragraph to 
137.29 	transfer the unexpended amount to the 
137.30 	administrative services unit to be deposited in 
137.31 	the state government special revenue fund.

137.32
137.33	Subd. 5.Board of Dietetics and Nutrition 
Practice
 		277,000
		277,000

137.34
137.35	Subd. 6.Board of Executives for Long-term 
Services and Supports
 		736,000
		736,000

137.36	Subd. 7.Board of Marriage and Family Therapy
 		457,000
		457,000

138.1	Subd. 8.Board of Medical Practice
 		6,113,000
		6,067,000

138.2	Subd. 9.Board of Nursing
 		6,275,000
		6,275,000

138.3
138.4	Subd. 10.Board of Occupational Therapy 
Practice
 		560,000
		560,000

138.5	Subd. 11.Board of Optometry
 		280,000
		280,000

138.6	Subd. 12.Board of Pharmacy
 		6,748,000
		6,748,000

138.7	Appropriations by Fund
	
138.8	General
	468,000
	468,000
	
138.9138.10
	State Government 
Special Revenue
	6,280,000
	6,280,000

138.11	Subd. 13.Board of Physical Therapy
 		789,000
		789,000

138.12	Subd. 14.Board of Podiatric Medicine
 		257,000
		257,000

138.13	Subd. 15.Board of Psychology
 		2,781,000
		2,781,000

138.14	Subd. 16.Board of Social Work
 		2,068,000
		2,002,000

138.15	Subd. 17.Board of Veterinary Medicine
 		544,000
		544,000

138.16
138.17	Sec. 3. OFFICE OF EMERGENCY MEDICAL 
SERVICES
 	$
	7,013,000
	$
	5,448,000

138.18	Sec. 4. BOARD OF DIRECTORS OF MNSURE
 	$
	15,070,000
	$
	70,000

138.19
138.20	Sec. 5. RARE DISEASE ADVISORY 
COUNCIL
 	$
	332,000
	$
	337,000

	ARTICLE 1	DEPARTMENT OF HEALTH........	Page.Ln 2.2	
	ARTICLE 2	HEALTH CARE........	Page.Ln 61.24	
	ARTICLE 3	PHARMACY........	Page.Ln 76.13	
	ARTICLE 4	BACKGROUND STUDIES........	Page.Ln 78.10	
	ARTICLE 5	DEPARTMENT OF HUMAN SERVICES PROGRAM INTEGRITY........	Page.Ln 86.1	
	ARTICLE 6	HEALTH-RELATED LICENSING BOARDS........	Page.Ln 113.1	
	ARTICLE 7	FORECAST ADJUSTMENTS........	Page.Ln 123.27	
	ARTICLE 8	DEPARTMENT OF HEALTH APPROPRIATIONS........	Page.Ln 125.8	
	ARTICLE 9	DEPARTMENT OF HUMAN SERVICES APPROPRIATIONS........	Page.Ln 129.18	
	ARTICLE 10	OTHER AGENCY APPROPRIATIONS........	Page.Ln 135.13	

APPENDIX 

Repealed Minnesota Statutes: 25-00338 

103I.550 LIMITED PUMP, PITLESS, OR DUG WELL/DRIVE POINT CONTRACTOR.Subdivision 1.Limited pump or pitless license or certification. 
A person with a limited well/boring contractor's license or certification to install well pumps and pumping equipment; or a person with a limited well/boring contractor's license or certification to install, repair, and modify pitless units and pitless adapters, well casings above the pitless unit or pitless adapter, and well screens and well diameters, will be issued a combined license or certification to: (1) install well pumps and pumping equipment; and (2) install, repair, and modify pitless units and pitless adapters, well casings above the pitless unit or pitless adapter, well screens, and well diameters. 

Subd. 2.Limited dug well/drive point license or certification. 
A person with a limited well/boring contractor's license or certification to construct, repair, and seal drive point wells and dug wells will be issued a well contractor's license or certification. 

148.108 FEES.Subd. 2.Annual renewal of inactive acupuncture registration. 
The annual renewal of an inactive acupuncture registration fee is $25. 

Subd. 3.Acupuncture reinstatement. 
The acupuncture reinstatement fee is $50. 

Subd. 4.Animal chiropractic. 
(a) Animal chiropractic registration fee is $125. 

(b) Animal chiropractic registration renewal fee is $75. 

(c) Animal chiropractic inactive renewal fee is $25. 

156.015 FEES.Subdivision 1.Verification of licensure. 
The board may charge a fee of $25 per license verification to a licensee for verification of licensure status provided to other veterinary licensing boards. 

2500.1150FEES. 
The fees charged by the board are fixed at the following rates: 

A.
 peer review fee to be paid by a requesting doctor or by a requesting insurance company, $100; 

B.
 licensing examination regrade fee, $30; 

C.
 copy of a board order or stipulation fee, $10 each; 

D.
 certificate of good standing or licensure verification to other states, $10 each; 

E.
 duplicate of the original license or of an annual renewal, $10; 

F.
 miscellaneous copying fee, 25 cents per page; 

G.
 independent medical examination registration fee, $150; 

H.
 independent examination annual renewal fee, $100; 

I.
 incorporation renewal late charge, $5 per month; 

J.
 computer lists, $100; and 

K.
 computer printed labels, $150. 

2500.2030ANNUAL RENEWAL OF INACTIVE LICENSE. 
The annual renewal fee for an inactive license is 75 percent of the current fee imposed by the board for license renewal. 

4695.2900APPLICATION FEES. 
Fees to be submitted with initial or renewal applications shall be as follows: 

A.
 Initial application fee, $45 plus examination fees. 

B.
 Biennial renewal application fee, $45. 

C.
 Penalty for late submission of renewal application, $10, if not renewed by designated renewal date. 

6900.0250FEES. Subpart 1.Amounts.  
The amount of fees may be set by the board with the approval of the Department of Management and Budget up to the limits provided in this subpart depending upon the total amount required to sustain board operations under Minnesota Statutes, section 16A.1285, subdivision 2. Information about fees in effect at any time is available from the board office. The maximum amount of fees are: 

A.
 application for licensure, $600; 

B.
 renewal license, $600; 

C.
 late renewal fee, $100; 

D.
 temporary permit, $250; 

E.
 duplicate license or duplicate renewal certificate, $10; 

F.
 reinstatement, $650; 

G.
 exam administration to persons who have not applied for a license or permit, $50; 

H.
 fee for verification of licensure, $30; and 

I.
 miscellaneous fee: 

(1)
 labels, $25; 

(2)
 list of licensees, $25; and 

(3)
 copies, 25 cents per page. 

Subp. 2.Requirements.  
Fees must be paid in United States money and are not refundable. 

9100.0400APPLICATION AND EXAMINATION FEES FOR LICENSURE TO PRACTICE VETERINARY MEDICINE. Subpart 1.Application fee. A.
 A person applying for a license to practice veterinary medicine in Minnesota or applying for a permit to take the national veterinary medical examination must pay a $50 nonrefundable application fee to the board. Persons submitting concurrent applications for licensure and a national examination permit shall pay only one application fee. 

B.
 The application fee received supports only the application with which the fee was submitted. A person who applies more than once must submit the full application fee with each subsequent application. 

Subp. 3.Examination fees. A.
 All applicants for veterinary licensure in Minnesota must successfully pass the Minnesota Veterinary Jurisprudence Examination. The fee for this examination is $50, payable to the board. 

B.
 An applicant participating in the national veterinary licensing examination must complete a separate application for the national examination and submit the application to the board for approval. Payment for the national examination must be made by the applicant to the national board examination committee after the application for examination has been approved by the board. 

9100.0500INITIAL AND RENEWAL FEE. Subpart 1.Required for licensure.  
Each person now licensed to practice veterinary medicine in this state, or who becomes licensed by the Board of Veterinary Medicine to engage in the practice, shall pay an initial fee or a biennial license renewal fee if the person wishes to practice veterinary medicine in the coming two-year period or remain licensed as a veterinarian. A licensure period begins on March 1 and expires the last day of February two years later. A licensee with an even-numbered license shall renew by March 1 of even-numbered years and a licensee with an odd-numbered license shall renew by March 1 of odd-numbered years. For 1996 license renewals, licensees with an even-numbered license shall renew for two years. Licensees with an odd-numbered license shall renew for one year and commence renewal for a two-year period in 1997. 

Subp. 2.Amount.  
The initial licensure fee and the biennial renewal fee is $200 and must be paid to the executive director of the board on or before March 1 of the first year of the biennial license period. By January 1 of the first year for which the biennial renewal fee is due, the board shall issue a renewal application to each current licensee to the last address maintained in the board file. Failure to receive this notice does not relieve the licensee of the obligation to pay renewal fees so that they are received by the board on or before the renewal date of March 1. 

Initial licenses issued after the start of the licensure renewal period are valid only until the end of the period. 

Subp. 3.Date due.  
A licensee must apply for a renewal license on or before March 1 of the first year of the biennial license renewal period. A renewal license is valid from March 1 through the last day of February of the last year of the two-year license renewal period. An application postmarked no later than the last day of February must be considered to have been received on March 1. 

Subp. 4.Late renewal penalty.  
An applicant for renewal must pay a late renewal penalty of $100 in addition to the renewal fee if the application for renewal is received after March 1 of the licensure renewal period. A renewed license issued after March 1 of the licensure renewal period is valid only to the end of the period regardless of when the renewal fee is received. 

Subp. 4a.Reinstatement fee.  
An applicant for license renewal whose license has previously been suspended by official board action for nonrenewal must pay a reinstatement fee of $50 in addition to the $200 renewal fee and the $100 late renewal penalty. 

Subp. 5.Penalty for failure to pay.  
Within 30 days after the renewal date, a licensee who has not renewed the license must be notified by letter sent to the last known address of the licensee in the file of the board that the renewal is overdue and that failure to pay the current fee and current late fee within 60 days after the renewal date will result in suspension of the license. A second notice must be sent by registered or certified mail at least seven days before a board meeting occurring 60 days or more after the renewal date to each licensee who has not paid the renewal fee and late fee. 

Subp. 6.Suspension.  
The board, by means of a roll call vote, shall suspend the license of a licensee whose license renewal is at least 60 days overdue and to whom notification has been sent as provided in subpart 5. Failure of a licensee to receive notification is not grounds for later challenge by the licensee of the suspension. The former licensee must be notified by registered or certified letter within seven days of the board action. The suspended status placed on a license may be removed only on payment of renewal fees and late penalty fees for each licensure period or part of a period that the license was not renewed. A licensee who fails to renew a license for five years or more must meet the criteria of Minnesota Statutes, section 156.071, for relicensure. 

Subp. 7.Inactive license.  
A person holding a current unrestricted license to practice veterinary medicine in Minnesota may, at the time of the person's next biennial license renewal date, renew the license as an inactive license at one-half the renewal fee of an unrestricted license. The license may be continued in an inactive status by renewal on a biennial basis at one-half the regular license fee. 

A.
 A person holding an inactive license is not permitted to practice veterinary medicine in Minnesota and remains under the disciplinary authority of the board. 

B.
 A person may convert a current inactive license to an unrestricted license upon application to and approval by the board. The application must include: 

(1)
 documentation of licensure in good standing and of having met continuing education requirements of current state of practice, or documentation of having met Minnesota continuing education requirements retroactive to the date of licensure inactivation; 

(2)
 certification by the applicant that the applicant is not currently under disciplinary orders or investigation for acts that could result in disciplinary action in any other jurisdiction; and 

(3)
 payment of a fee equal to the full difference between an inactive and unrestricted license if converting during the first year of the biennial license cycle or payment of a fee equal to one-half the difference between an inactive and an unrestricted license if converting during the second year of the license cycle. 

C.
 Deadline for renewal of an inactive license is March 1 of the first year of the biennial license renewal period. A late renewal penalty of one-half the inactive renewal fee must be paid if renewal is received after March 1. 

9100.0600MISCELLANEOUS FEES. Subpart 1.Temporary license fee.  
A person meeting the requirements for issuance of a temporary permit to practice veterinary medicine under Minnesota Statutes, section 156.072, subdivision 5, pending examination, who desires a temporary permit shall pay a fee of $50 to the board. 

Subp. 2.Duplicate license.  
A person requesting issuance of a duplicate or replacement license shall pay a fee of $10 to the board.