Introduction - 94th Legislature (2025 - 2026)
Posted on 03/04/2025 09:23 a.m.
A bill for an act
relating to human services; modifying community first services and supports rates;
amending Minnesota Statutes 2024, section 256B.851, subdivisions 3, 4, 5, by
adding subdivisions.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Minnesota Statutes 2024, section 256B.851, subdivision 3, is amended to read:
deleted text begin When initially establishing the base wage
component values,deleted text end new text begin (a) Effective January 1, 2026, and every two years thereafter,new text end the
commissioner must deleted text begin usedeleted text end new text begin establish base wage component values usingnew text end the Minnesota-specific
median wage for the standard occupational classification (SOC) codes published by the
Bureau of Labor Statistics in the edition of the Occupational Handbook published deleted text begin in March
2021deleted text end new text begin in the spring approximately 21 months prior to the scheduled updatenew text end . The commissioner
must calculate the base wage component values as follows deleted text begin fordeleted text end :
(1) new text begin for new text end personal care assistance services, CFSS, extended personal care assistance services,
and extended CFSSdeleted text begin .deleted text end new text begin ,new text end the base wage component value equals the median wage for personal
care aide (SOC code 31-1120);
(2) new text begin for new text end enhanced rate personal care assistance services and enhanced rate CFSSdeleted text begin .deleted text end new text begin ,new text end the
base wage component value equals the product of median wage for personal care aide (SOC
code 31-1120) and the value of the enhanced rate under section 256B.0659, subdivision
17anew text begin , for enhanced personal care assistance services and under section 256B.85, subdivision
7a, for enhanced CFSSnew text end ; and
(3) new text begin for new text end qualified professional services and CFSS worker training and developmentdeleted text begin .deleted text end new text begin ,new text end the
base wage component value equals the sum of 70 percent of the median wage for registered
nurse (SOC code 29-1141), 15 percent of the median wage for health care social worker
(SOC code 21-1099), and 15 percent of the median wage for social and human service
assistant (SOC code 21-1093).
new text begin
(b) The commissioner must publish the current base wage component values on the
department's website.
new text end
Minnesota Statutes 2024, section 256B.851, subdivision 4, is amended to read:
(a) The commissioner must multiply the
base wage component values in subdivision 3 by one plus the appropriate competitive
workforce factor. The deleted text begin product isdeleted text end new text begin products arenew text end the total wage component deleted text begin value.deleted text end new text begin values. The
commissioner must publish the current total wage component values on the department's
website.
new text end
(b) For personal care assistance services, CFSS, extended personal care assistance
services, extended CFSS, enhanced rate personal care assistance services, and enhanced
rate CFSS, the deleted text begin initialdeleted text end competitive workforce factor is 4.7 percent.
(c) For qualified professional services and CFSS worker training and development, the
competitive workforce factor is zero percent.
Minnesota Statutes 2024, section 256B.851, is amended by adding a subdivision
to read:
new text begin
(a) Beginning January 1, 2026,
and every two years thereafter, the commissioner must adjust the total wage component
values in subdivision 4 by applying an updated competitive workforce factor using the most
recently available data. The commissioner must calculate the biennial update to the
competitive workforce factor after establishing the base wage component values required
in subdivision 3. The commissioner must determine the updated competitive workforce
factor by adjusting it toward the percent difference between:
new text end
new text begin
(1) the median wage for personal care aide (SOC code 39-9021); and
new text end
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(2) the weighted average wage for all other SOC codes with the same Bureau of Labor
Statistics classifications for education, experience, and training required for job competency.
new text end
new text begin
(b) For each biennial update of the competitive workforce factor under paragraph (a),
the commissioner must not increase or decrease the competitive workforce factor from its
previous value by more than three percentage points. If, after a biennial adjustment, the
competitive workforce factor is less than or equal to zero, the competitive workforce factor
must be zero.
new text end
new text begin
(c) The commissioner must publish the updated competitive workforce factor on the
department's website.
new text end
Minnesota Statutes 2024, section 256B.851, subdivision 5, is amended to read:
(a) The commissioner must use the
following component values:
(1) employee vacation, sick, and training factor, 8.71 percent;
(2) employer taxes and workers' compensation factor, 11.56 percent;
(3) employee benefits factor, 12.04 percent;
(4) client programming and supports factor, 2.30 percent;
(5) program plan support factor, 7.00 percent;
(6) general business and administrative expenses factor, 13.25 percent;
(7) program administration expenses factor, 2.90 percent; and
(8) absence and utilization factor, 3.90 percent.
deleted text begin
(b) For purposes of implementation, the commissioner shall use the following
implementation components:
deleted text end
deleted text begin
(1) personal care assistance services and CFSS: 88.19 percent;
deleted text end
deleted text begin
(2) enhanced rate personal care assistance services and enhanced rate CFSS: 88.19
percent; and
deleted text end
deleted text begin
(3) qualified professional services and CFSS worker training and development: 88.19
percent.
deleted text end
deleted text begin (c) Effective January 1, 2025,deleted text end new text begin (b)new text end For purposes of implementation, the commissioner
shall use the following implementation components:
(1) personal care assistance services and CFSS: 92.08 percent;
(2) enhanced rate personal care assistance services and enhanced rate CFSS: 92.08
percent; and
(3) qualified professional services and CFSS worker training and development: 92.08
percent.
deleted text begin (d)deleted text end new text begin (c)new text end The commissioner shall use the following worker retention components:
(1) for workers who have provided fewer than 1,001 cumulative hours in personal care
assistance services or CFSS, the worker retention component is zero percent;
(2) for workers who have provided between 1,001 and 2,000 cumulative hours in personal
care assistance services or CFSS, the worker retention component is 2.17 percent;
(3) for workers who have provided between 2,001 and 6,000 cumulative hours in personal
care assistance services or CFSS, the worker retention component is 4.36 percent;
(4) for workers who have provided between 6,001 and 10,000 cumulative hours in
personal care assistance services or CFSS, the worker retention component is 7.35 percent;
and
(5) for workers who have provided more than 10,000 cumulative hours in personal care
assistance services or CFSS, the worker retention component is 10.81 percent.
deleted text begin (e)deleted text end new text begin (d)new text end The commissioner shall define the appropriate worker retention component based
on the total number of units billed for services rendered by the individual provider since
July 1, 2017. The worker retention component must be determined by the commissioner
for each individual provider and is not subject to appeal.
Minnesota Statutes 2024, section 256B.851, is amended by adding a subdivision
to read:
new text begin
(a) Beginning January 1, 2026, and every two
years thereafter, the commissioner must increase the implementation component values
under subdivision 5 by two percentage points until each component is 100 percent.
new text end
new text begin
(b) Beginning January 1, 2026, and every two years thereafter, the commissioner must
update the client programming and supports factor in subdivision 5 for changes in the
Consumer Price Index by the value of the difference between the most recent update and
the data available six months and one day before the scheduled update.
new text end