SF 2443

Introduction - 94th Legislature (2025 - 2026)

Posted on 04/04/2025 02:40 p.m.

A bill for an act
relating to human services; modifying provisions relating to aging and disability
services, behavioral health, Direct Care and Treatment, health care administration,
the Office of the Inspector General, licensing and disqualification, and department
operations; establishing human services programs criminal penalties; establishing
the intermediate school district behavioral health grant program; correcting
cross-references and making conforming and technical changes; amending
Minnesota Statutes 2024, sections 13.46, subdivisions 3, 4; 15.471, subdivision
6; 16A.103, subdivision 1j; 62J.495, subdivision 2; 62M.17, subdivision 2;
97A.441, subdivision 3; 142B.10, subdivision 14; 142B.30, subdivision 1; 142B.51,
subdivision 2; 142B.65, subdivision 8; 142B.66, subdivision 3; 142B.70,
subdivision 7; 142C.06, by adding a subdivision; 142C.11, subdivision 8; 142C.12,
subdivision 1; 142E.51, subdivisions 5, 6; 144.53; 144.651, subdivisions 2, 4, 20,
31, 32; 144A.07; 146A.08, subdivision 4; 147.091, subdivision 6; 147A.13,
subdivision 6; 148.10, subdivision 1; 148.261, subdivision 5; 148.754; 148B.5905;
148F.09, subdivision 6; 150A.08, subdivision 6; 151.071, subdivision 10; 153.21,
subdivision 2; 153B.70; 168.012, subdivision 1; 244.052, subdivision 4; 245.4871,
subdivision 4, by adding a subdivision; 245.4881, subdivision 3; 245.50, subdivision
2; 245.91, subdivision 2; 245A.04, subdivisions 1, 7; 245A.16, subdivision 1;
245A.18, subdivision 1; 245A.242, subdivision 2; 245C.05, by adding a
subdivision; 245C.08, subdivision 3; 245C.22, subdivision 5; 245D.02, subdivision
4a; 245G.05, subdivision 1; 245G.06, subdivisions 1, 2a, 3a; 245G.07, subdivision
2; 245G.08, subdivision 6; 245G.09, subdivision 3; 245G.11, subdivision 11;
245G.18, subdivision 2; 245G.19, subdivision 4, by adding a subdivision; 245G.22,
subdivisions 1, 14, 15; 246.585; 246C.06, subdivision 11; 246C.12, subdivision
6; 246C.20; 252.291, subdivision 3; 252.43; 252.46, subdivision 1a; 252.50,
subdivision 5; 253B.09, subdivision 3a; 253B.10, subdivision 1; 256.01,
subdivisions 2, 5; 256.019, subdivision 1; 256.0281; 256.0451, subdivisions 1, 3,
6, 8, 9, 18, 22, 23, 24; 256.4825; 256.93, subdivision 1; 256.98, subdivisions 1,
7; 256B.0625, subdivision 25c; 256B.092, subdivisions 1a, 10, 11a; 256B.12;
256B.49, subdivisions 13, 29; 256G.09, subdivisions 4, 5; 299F.77, subdivision
2; 342.04; 352.91, subdivision 3f; 401.17, subdivision 1; 480.40, subdivision 1;
507.071, subdivision 1; 611.57, subdivisions 2, 4; 624.7131, subdivisions 1, 2;
624.7132, subdivisions 1, 2; 624.714, subdivisions 3, 4; 631.40, subdivision 3;
proposing coding for new law in Minnesota Statutes, chapters 245; 246C; 609;
repealing Minnesota Statutes 2024, sections 245.4862; 245A.11, subdivision 8;
246.015, subdivision 3; 246.50, subdivision 2; 246B.04, subdivision 1a; Laws
2024, chapter 79, article 1, sections 15; 16; 17.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

ARTICLE 1

AGING AND DISABILITY SERVICES

Section 1.

Minnesota Statutes 2024, section 252.43, is amended to read:

252.43 COMMISSIONER'S DUTIES.

(a) The commissioner shall supervise lead agencies' provision of day services to adults
with disabilities. The commissioner shall:

(1) determine the need for day programs new text begin , except for adult day services, new text end under sections
256B.4914 and 252.41 to 252.46 new text begin operated in a day services facility licensed under sections
245D.27 to 245D.31 new text end ;

(2) establish payment rates as provided under section 256B.4914;

(3) adopt rules for the administration and provision of day services under sections
245A.01 to 245A.16; 252.28, subdivision 2; or 252.41 to 252.46; or Minnesota Rules, parts
9525.1200 to 9525.1330;

(4) enter into interagency agreements necessary to ensure effective coordination and
provision of day services;

(5) monitor and evaluate the costs and effectiveness of day services; and

(6) provide information and technical help to lead agencies and vendors in their
administration and provision of day services.

(b) A determination of need in paragraph (a), clause (1), shall not be required for a
change in day service provider name or ownership.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 2.

Minnesota Statutes 2024, section 252.46, subdivision 1a, is amended to read:

Subd. 1a.

Day training and habilitation rates.

The commissioner shall establish deleted text begin a
statewide rate-setting methodology deleted text end new text begin rates new text end for all day training and habilitation services new text begin and
for transportation delivered as a part of day training and habilitation services new text end deleted text begin as provided
under section 256B.4914. The rate-setting methodology must abide by the principles of
transparency and equitability across the state. The methodology must involve a uniform
process of structuring rates for each service and must promote quality and participant choice deleted text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
new text end

Sec. 3.

Minnesota Statutes 2024, section 256B.092, subdivision 1a, is amended to read:

Subd. 1a.

Case management services.

(a) Each recipient of a home and community-based
waiver shall be provided case management services by qualified vendors as described in
the federally approved waiver application.

(b) Case management service activities provided to or arranged for a person include:

(1) development of the person-centered support plan under subdivision 1b;

(2) informing the individual or the individual's legal guardian or conservator, or parent
if the person is a minor, of service options, including all service options available under the
waiver plan;

(3) consulting with relevant medical experts or service providers;

(4) assisting the person in the identification of potential providers of chosen services,
including:

(i) providers of services provided in a non-disability-specific setting;

(ii) employment service providers;

(iii) providers of services provided in settings that are not controlled by a provider; and

(iv) providers of financial management services;

(5) assisting the person to access services and assisting in appeals under section 256.045;

(6) coordination of services, if coordination is not provided by another service provider;

(7) evaluation and monitoring of the services identified in the support plan, which must
incorporate at least one annual face-to-face visit by the case manager with each person; and

(8) reviewing support plans and providing the lead agency with recommendations for
service authorization based upon the individual's needs identified in the support plan.

(c) Case management service activities that are provided to the person with a
developmental disability shall be provided directly by county agencies or under contract.
If a county agency contracts for case management services, the county agency must provide
each recipient of home and community-based services who is receiving contracted case
management services with the contact information the recipient may use to file a grievance
with the county agency about the quality of the contracted services the recipient is receiving
from a county-contracted case manager. If a county agency provides case management
under contracts with other individuals or agencies and the county agency utilizes a
competitive proposal process for the procurement of contracted case management services,
the competitive proposal process must include evaluation criteria to ensure that the county
maintains a culturally responsive program for case management services adequate to meet
the needs of the population of the county. For the purposes of this section, "culturally
responsive program" means a case management services program that: (1) ensures effective,
equitable, comprehensive, and respectful quality care services that are responsive to
individuals within a specific population's values, beliefs, practices, health literacy, preferred
language, and other communication needs; and (2) is designed to address the unique needs
of individuals who share a common language or racial, ethnic, or social background.

(d) Case management services must be provided by a public or private agency that is
enrolled as a medical assistance provider determined by the commissioner to meet all of
the requirements in the approved federal waiver plans. Case management services must not
be provided to a recipient by a private agency that has a financial interest in the provision
of any other services included in the recipient's support plan. For purposes of this section,
"private agency" means any agency that is not identified as a lead agency under section
256B.0911, subdivision 10.

(e) Case managers are responsible for service provisions listed in paragraphs (a) and
(b). Case managers shall collaborate with consumers, families, legal representatives, and
relevant medical experts and service providers in the development and annual review of the
person-centered support plan and habilitation plan.

(f) For persons who need a positive support transition plan as required in chapter 245D,
the case manager shall participate in the development and ongoing evaluation of the plan
with the expanded support team. At least quarterly, the case manager, in consultation with
the expanded support team, shall evaluate the effectiveness of the plan based on progress
evaluation data submitted by the licensed provider to the case manager. The evaluation must
identify whether the plan has been developed and implemented in a manner to achieve the
following within the required timelines:

(1) phasing out the use of prohibited procedures;

(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's
timeline; and

(3) accomplishment of identified outcomes.

If adequate progress is not being made, the case manager shall consult with the person's
expanded support team to identify needed modifications and whether additional professional
support is required to provide consultation.

(g) The Department of Human Services shall offer ongoing education in case management
to case managers. Case managers shall receive no less than 20 hours of case management
education and disability-related training each year. The education and training must include
person-centered planning, informed choice, new text begin informed decision making, new text end cultural competency,
employment planning, community living planning, self-direction options, and use of
technology supports. new text begin Case managers must annually pass a competency evaluation, in a form
determined by the commissioner, on informed decision-making topics. new text end By August 1, 2024,
all case managers must complete an employment support training course identified by the
commissioner of human services. For case managers hired after August 1, 2024, this training
must be completed within the first six months of providing case management services. For
the purposes of this section, "person-centered planning" or "person-centered" has the meaning
given in section 256B.0911, subdivision 10. Case managers must document completion of
training in a system identified by the commissioner.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2025.
new text end

Sec. 4.

Minnesota Statutes 2024, section 256B.092, subdivision 11a, is amended to read:

Subd. 11a.

Residential support services criteria.

(a) For the purposes of this subdivision,
"residential support services" means the following residential support services reimbursed
under section 256B.4914: community residential services, customized living services, and
24-hour customized living services.

(b) In order to increase independent living options for people with disabilities and in
accordance with section 256B.4905, subdivisions deleted text begin 3 deleted text end deleted text begin and 4 deleted text end new text begin 7 and 8 new text end , and consistent with
section 245A.03, subdivision 7, the commissioner must establish and implement criteria to
access residential support services. The criteria for accessing residential support services
must prohibit the commissioner from authorizing residential support services unless at least
all of the following conditions are met:

(1) the individual has complex behavioral health or complex medical needs; and

(2) the individual's service planning team has considered all other available residential
service options and determined that those options are inappropriate to meet the individual's
support needs.

(c) Nothing in this subdivision shall be construed as permitting the commissioner to
establish criteria prohibiting the authorization of residential support services for individuals
described in the statewide priorities established in subdivision 12, the transition populations
in subdivision 13, and the licensing moratorium exception criteria under section 245A.03,
subdivision 7, paragraph (a).

(d) Individuals with active service agreements for residential support services on the
date that the criteria for accessing residential support services become effective are exempt
from the requirements of this subdivision, and the exemption from the criteria for accessing
residential support services continues to apply for renewals of those service agreements.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective 90 days following federal approval of
Laws 2021, First Special Session chapter 7, article 13, section 18.
new text end

Sec. 5.

Minnesota Statutes 2024, section 256B.49, subdivision 13, is amended to read:

Subd. 13.

Case management.

(a) Each recipient of a home and community-based waiver
shall be provided case management services by qualified vendors as described in the federally
approved waiver application. The case management service activities provided must include:

(1) finalizing the person-centered written support plan within the timelines established
by the commissioner and section 256B.0911, subdivision 29;

(2) informing the recipient or the recipient's legal guardian or conservator of service
options, including all service options available under the waiver plans;

(3) assisting the recipient in the identification of potential service providers of chosen
services, including:

(i) available options for case management service and providers;

(ii) providers of services provided in a non-disability-specific setting;

(iii) employment service providers;

(iv) providers of services provided in settings that are not community residential settings;
and

(v) providers of financial management services;

(4) assisting the recipient to access services and assisting with appeals under section
256.045; and

(5) coordinating, evaluating, and monitoring of the services identified in the service
plan.

(b) The case manager may delegate certain aspects of the case management service
activities to another individual provided there is oversight by the case manager. The case
manager may not delegate those aspects which require professional judgment including:

(1) finalizing the person-centered support plan;

(2) ongoing assessment and monitoring of the person's needs and adequacy of the
approved person-centered support plan; and

(3) adjustments to the person-centered support plan.

(c) Case management services must be provided by a public or private agency that is
enrolled as a medical assistance provider determined by the commissioner to meet all of
the requirements in the approved federal waiver plans. If a county agency provides case
management under contracts with other individuals or agencies and the county agency
utilizes a competitive proposal process for the procurement of contracted case management
services, the competitive proposal process must include evaluation criteria to ensure that
the county maintains a culturally responsive program for case management services adequate
to meet the needs of the population of the county. For the purposes of this section, "culturally
responsive program" means a case management services program that: (1) ensures effective,
equitable, comprehensive, and respectful quality care services that are responsive to
individuals within a specific population's values, beliefs, practices, health literacy, preferred
language, and other communication needs; and (2) is designed to address the unique needs
of individuals who share a common language or racial, ethnic, or social background.

(d) Case management services must not be provided to a recipient by a private agency
that has any financial interest in the provision of any other services included in the recipient's
support plan. For purposes of this section, "private agency" means any agency that is not
identified as a lead agency under section 256B.0911, subdivision 10.

(e) For persons who need a positive support transition plan as required in chapter 245D,
the case manager shall participate in the development and ongoing evaluation of the plan
with the expanded support team. At least quarterly, the case manager, in consultation with
the expanded support team, shall evaluate the effectiveness of the plan based on progress
evaluation data submitted by the licensed provider to the case manager. The evaluation must
identify whether the plan has been developed and implemented in a manner to achieve the
following within the required timelines:

(1) phasing out the use of prohibited procedures;

(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's
timeline; and

(3) accomplishment of identified outcomes.

If adequate progress is not being made, the case manager shall consult with the person's
expanded support team to identify needed modifications and whether additional professional
support is required to provide consultation.

(f) The Department of Human Services shall offer ongoing education in case management
to case managers. Case managers shall receive no less than 20 hours of case management
education and disability-related training each year. The education and training must include
person-centered planning, informed choice, new text begin informed decision making, new text end cultural competency,
employment planning, community living planning, self-direction options, and use of
technology supports. new text begin Case managers must annually pass a competency evaluation, in a form
determined by the commissioner, on informed decision-making topics. new text end By August 1, 2024,
all case managers must complete an employment support training course identified by the
commissioner of human services. For case managers hired after August 1, 2024, this training
must be completed within the first six months of providing case management services. For
the purposes of this section, "person-centered planning" or "person-centered" has the meaning
given in section 256B.0911, subdivision 10. Case managers shall document completion of
training in a system identified by the commissioner.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2025.
new text end

Sec. 6.

Minnesota Statutes 2024, section 256B.49, subdivision 29, is amended to read:

Subd. 29.

Residential support services criteria.

(a) For the purposes of this subdivision,
"residential support services" means the following residential support services reimbursed
under section 256B.4914: community residential services, customized living services, and
24-hour customized living services.

(b) In order to increase independent living options for people with disabilities and in
accordance with section 256B.4905, subdivisions deleted text begin 3 and 4 deleted text end new text begin 7 and 8 new text end , and consistent with
section 245A.03, subdivision 7, the commissioner must establish and implement criteria to
access residential support services. The criteria for accessing residential support services
must prohibit the commissioner from authorizing residential support services unless at least
all of the following conditions are met:

(1) the individual has complex behavioral health or complex medical needs; and

(2) the individual's service planning team has considered all other available residential
service options and determined that those options are inappropriate to meet the individual's
support needs.

new text begin (c) new text end Nothing in this subdivision shall be construed as permitting the commissioner to
establish criteria prohibiting the authorization of residential support services for individuals
described in the statewide priorities established in subdivision deleted text begin 12 deleted text end new text begin 11a new text end , the transition
populations in subdivision deleted text begin 13 deleted text end new text begin 24 new text end , and the licensing moratorium exception criteria under
section 245A.03, subdivision 7, paragraph (a).

deleted text begin (c) deleted text end new text begin (d) new text end Individuals with active service agreements for residential support services on the
date that the criteria for accessing residential support services become effective are exempt
from the requirements of this subdivision, and the exemption from the criteria for accessing
residential support services continues to apply for renewals of those service agreements.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective 90 days following federal approval of
Laws 2021, First Special Session chapter 7, article 13, section 30.
new text end

ARTICLE 2

BEHAVIORAL HEALTH

Section 1.

Minnesota Statutes 2024, section 245.4871, subdivision 4, is amended to read:

Subd. 4.

Case management service provider.

(a) "Case management service provider"
means a case manager or case manager associate employed by the county or other entity
authorized by the county board to provide case management services specified in subdivision
3 for the child with severe emotional disturbance and the child's family.

(b) A case manager must:

(1) have experience and training in working with children;

(2) new text begin be a mental health practitioner under section 245I.04, subdivision 4, or new text end have at least
a bachelor's degree in one of the behavioral sciences or a related field including, but not
limited to, social work, psychology, or nursing from an accredited college or university or
meet the requirements of paragraph (d);

(3) have experience and training in identifying and assessing a wide range of children's
needs;

(4) be knowledgeable about local community resources and how to use those resources
for the benefit of children and their families; and

(5) meet the supervision and continuing education requirements of paragraphs (e), (f),
and (g), as applicable.

(c) A case manager may be a member of any professional discipline that is part of the
local system of care for children established by the county board.

(d) A case manager deleted text begin without deleted text end new text begin who is not a mental health practitioner and does not have
new text end a bachelor's degree must meet one of the requirements in clauses (1) to (3):

(1) have three or four years of experience as a case manager associate;

(2) be a registered nurse without a bachelor's degree who has a combination of specialized
training in psychiatry and work experience consisting of community interaction and
involvement or community discharge planning in a mental health setting totaling three years;
or

(3) be a person who qualified as a case manager under the 1998 Department of Human
Services waiver provision and meets the continuing education, supervision, and mentoring
requirements in this section.

(e) A case manager with at least 2,000 hours of supervised experience in the delivery
of mental health services to children must receive regular ongoing supervision and clinical
supervision totaling 38 hours per year, of which at least one hour per month must be clinical
supervision regarding individual service delivery with a case management supervisor. The
other 26 hours of supervision may be provided by a case manager with two years of
experience. Group supervision may not constitute more than one-half of the required
supervision hours.

(f) A case manager without 2,000 hours of supervised experience in the delivery of
mental health services to children with emotional disturbance must:

(1) begin 40 hours of training approved by the commissioner of human services in case
management skills and in the characteristics and needs of children with severe emotional
disturbance before beginning to provide case management services; and

(2) receive clinical supervision regarding individual service delivery from a mental
health professional at least one hour each week until the requirement of 2,000 hours of
experience is met.

(g) A case manager who is not licensed, registered, or certified by a health-related
licensing board must receive 30 hours of continuing education and training in severe
emotional disturbance and mental health services every two years.

(h) Clinical supervision must be documented in the child's record. When the case manager
is not a mental health professional, the county board must provide or contract for needed
clinical supervision.

(i) The county board must ensure that the case manager has the freedom to access and
coordinate the services within the local system of care that are needed by the child.

(j) A case manager associate (CMA) must:

(1) work under the direction of a case manager or case management supervisor;

(2) be at least 21 years of age;

(3) have at least a high school diploma or its equivalent; and

(4) meet one of the following criteria:

(i) have an associate of arts degree in one of the behavioral sciences or human services;

(ii) be a registered nurse without a bachelor's degree;

(iii) have three years of life experience as a primary caregiver to a child with serious
emotional disturbance as defined in subdivision 6 within the previous ten years;

(iv) have 6,000 hours work experience as a nondegreed state hospital technician; or

(v) have 6,000 hours of supervised work experience in the delivery of mental health
services to children with emotional disturbances; hours worked as a mental health behavioral
aide I or II under section 256B.0943, subdivision 7, may count toward the 6,000 hours of
supervised work experience.

Individuals meeting one of the criteria in items (i) to (iv) may qualify as a case manager
after four years of supervised work experience as a case manager associate. Individuals
meeting the criteria in item (v) may qualify as a case manager after three years of supervised
experience as a case manager associate.

(k) Case manager associates must meet the following supervision, mentoring, and
continuing education requirements;

(1) have 40 hours of preservice training described under paragraph (f), clause (1);

(2) receive at least 40 hours of continuing education in severe emotional disturbance
and mental health service annually; and

(3) receive at least five hours of mentoring per week from a case management mentor.
A "case management mentor" means a qualified, practicing case manager or case management
supervisor who teaches or advises and provides intensive training and clinical supervision
to one or more case manager associates. Mentoring may occur while providing direct services
to consumers in the office or in the field and may be provided to individuals or groups of
case manager associates. At least two mentoring hours per week must be individual and
face-to-face.

(l) A case management supervisor must meet the criteria for a mental health professional
as specified in subdivision 27.

(m) An immigrant who does not have the qualifications specified in this subdivision
may provide case management services to child immigrants with severe emotional
disturbance of the same ethnic group as the immigrant if the person:

(1) is currently enrolled in and is actively pursuing credits toward the completion of a
bachelor's degree in one of the behavioral sciences or related fields at an accredited college
or university;

(2) completes 40 hours of training as specified in this subdivision; and

(3) receives clinical supervision at least once a week until the requirements of obtaining
a bachelor's degree and 2,000 hours of supervised experience are met.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 2.

Minnesota Statutes 2024, section 245.4871, is amended by adding a subdivision
to read:

new text begin Subd. 7a. new text end

new text begin Clinical supervision. new text end

new text begin "Clinical supervision" means the oversight responsibility
for individual treatment plans and individual mental health service delivery, including
oversight provided by the case manager. Clinical supervision must be provided by a mental
health professional. The supervising mental health professional must cosign an individual
treatment plan, and their name must be documented in the client's record.
new text end

Sec. 3.

Minnesota Statutes 2024, section 245.4881, subdivision 3, is amended to read:

Subd. 3.

Duties of case manager.

(a) Upon a determination of eligibility for case
management services, the case manager shall develop an individual family community
support plan for a child as specified in subdivision 4, review the child's progress, deleted text begin and deleted text end monitor
the provision of services new text begin , and if the child and parent or legal guardian consent, complete a
written functional assessment as defined by section 245.4871, subdivision 18a new text end . If services
are to be provided in a host county that is not the county of financial responsibility, the case
manager shall consult with the host county and obtain a letter demonstrating the concurrence
of the host county regarding the provision of services.

(b) The case manager shall note in the child's record the services needed by the child
and the child's family, the services requested by the family, services that are not available,
and the unmet needs of the child and child's family. The case manager shall note this
provision in the child's record.

Sec. 4.

new text begin [245.4904] INTERMEDIATE SCHOOL DISTRICT BEHAVIORAL HEALTH
GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of human services must establish a
grant program to improve behavioral health outcomes for youth attending a qualifying
school unit and to build the capacity of schools to support student and teacher needs in the
classroom. For the purposes of this section, "qualifying school unit" means an intermediate
school district organized under section 136D.01.
new text end

new text begin Subd. 2. new text end

new text begin Eligible applicants. new text end

new text begin An eligible applicant is an intermediate school district
organized under section 136D.01, and a partner entity or provider that has demonstrated
capacity to serve the youth identified in subdivision 1 that is:
new text end

new text begin (1) a mental health clinic certified under section 245I.20;
new text end

new text begin (2) a community mental health center under section 256B.0625, subdivision 5;
new text end

new text begin (3) an Indian health service facility or a facility owned and operated by a Tribe or Tribal
organization operating under United States Code, title 25, section 5321;
new text end

new text begin (4) a provider of children's therapeutic services and supports as defined in section
256B.0943;
new text end

new text begin (5) enrolled in medical assistance as a mental health or substance use disorder provider
agency and employs at least two full-time equivalent mental health professionals qualified
according to section 245I.04, subdivision 2, or two alcohol and drug counselors licensed or
exempt from licensure under chapter 148F who are qualified to provide clinical services to
children and families;
new text end

new text begin (6) licensed under chapter 245G and in compliance with the applicable requirements in
chapters 245A, 245C, and 260E; section 626.557; and Minnesota Rules, chapter 9544; or
new text end

new text begin (7) a licensed professional in private practice as defined in section 245G.01, subdivision
17, who meets the requirements of section 254B.05, subdivision 1, paragraph (b).
new text end

new text begin Subd. 3. new text end

new text begin Allowable grant activities and related expenses. new text end

new text begin (a) Allowable grant activities
and related expenses include but are not limited to:
new text end

new text begin (1) identifying mental health conditions and substance use disorders of students;
new text end

new text begin (2) delivering mental health and substance use disorder treatment and supportive services
to students and their families within the classroom, including via telehealth consistent with
section 256B.0625, subdivision 3b;
new text end

new text begin (3) delivering therapeutic interventions and customizing an array of supplementary
learning experiences for students;
new text end

new text begin (4) supporting families in meeting their child's needs, including navigating health care,
social service, and juvenile justice systems;
new text end

new text begin (5) providing transportation for students receiving behavioral health services when school
is not in session;
new text end

new text begin (6) building the capacity of schools to meet the needs of students with mental health and
substance use disorder concerns, including school staff development activities for licensed
and nonlicensed staff; and
new text end

new text begin (7) purchasing equipment, connection charges, on-site coordination, set-up fees, and
site fees in order to deliver school-linked behavioral health services via telehealth.
new text end

new text begin (b) Grantees must obtain all available third-party reimbursement sources as a condition
of receiving grant funds. For purposes of this grant program, a third-party reimbursement
source does not include a public school as defined in section 120A.20, subdivision 1. Grantees
shall serve students regardless of health coverage status or ability to pay.
new text end

new text begin Subd. 4. new text end

new text begin Calculating the share of the appropriation. new text end

new text begin (a) Grants must be awarded to
qualifying school units proportionately.
new text end

new text begin (b) The commissioner must calculate the share of the appropriation to be used in each
qualifying school unit by multiplying the total appropriation going to the grantees by the
qualifying school unit's average daily membership in a setting of federal instructional level
4 or higher and then dividing by the total average daily membership in a setting of federal
instructional level 4 or higher for the same year for all qualifying school units.
new text end

new text begin Subd. 5. new text end

new text begin Data collection and outcome measurement. new text end

new text begin Grantees must provide data to
the commissioner for the purpose of evaluating the Intermediate School District Behavioral
Health Innovation grant program. The commissioner must consult with grantees to develop
outcome measures for program capacity and performance.
new text end

ARTICLE 3

DIRECT CARE AND TREATMENT

Section 1.

Minnesota Statutes 2024, section 13.46, subdivision 3, is amended to read:

Subd. 3.

Investigative data.

(a) Data on persons, including data on vendors of services,
licensees, and applicants that is collected, maintained, used, or disseminated by the welfare
system in an investigation, authorized by statute, and relating to the enforcement of rules
or law are confidential data on individuals pursuant to section 13.02, subdivision 3, or
protected nonpublic data not on individuals pursuant to section 13.02, subdivision 13, and
shall not be disclosed except:

(1) pursuant to section 13.05;

(2) pursuant to statute or valid court order;

(3) to a party named in a civil or criminal proceeding, administrative or judicial, for
preparation of defense;

(4) to an agent of the welfare system or an investigator acting on behalf of a county,
state, or federal government, including a law enforcement officer or attorney in the
investigation or prosecution of a criminal, civil, or administrative proceeding, unless the
commissioner of human services deleted text begin or deleted text end new text begin ; the new text end commissioner of children, youth, and families new text begin ; or
the Direct Care and Treatment executive board new text end determines that disclosure may compromise
a Department of Human Services deleted text begin or deleted text end new text begin ; new text end Department of Children, Youth, and Families new text begin ; or Direct
Care and Treatment new text end ongoing investigation; or

(5) to provide notices required or permitted by statute.

The data referred to in this subdivision shall be classified as public data upon submission
to an administrative law judge or court in an administrative or judicial proceeding. Inactive
welfare investigative data shall be treated as provided in section 13.39, subdivision 3.

(b) Notwithstanding any other provision in law, the commissioner of human services
shall provide all active and inactive investigative data, including the name of the reporter
of alleged maltreatment under section 626.557 or chapter 260E, to the ombudsman for
mental health and developmental disabilities upon the request of the ombudsman.

(c) Notwithstanding paragraph (a) and section 13.39, the existence of an investigation
by the commissioner of human services of possible overpayments of public funds to a service
provider or recipient may be disclosed if the commissioner determines that it will not
compromise the investigation.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 2.

Minnesota Statutes 2024, section 13.46, subdivision 4, is amended to read:

Subd. 4.

Licensing data.

(a) As used in this subdivision:

(1) "licensing data" are all data collected, maintained, used, or disseminated by the
welfare system pertaining to persons licensed or registered or who apply for licensure or
registration or who formerly were licensed or registered under the authority of the
commissioner of human services;

(2) "client" means a person who is receiving services from a licensee or from an applicant
for licensure; and

(3) "personal and personal financial data" are Social Security numbers, identity of and
letters of reference, insurance information, reports from the Bureau of Criminal
Apprehension, health examination reports, and social/home studies.

(b)(1)(i) Except as provided in paragraph (c), the following data on applicants, license
holders, certification holders, and former licensees are public: name, address, telephone
number of licensees, email addresses except for family child foster care, date of receipt of
a completed application, dates of licensure, licensed capacity, type of client preferred,
variances granted, record of training and education in child care and child development,
type of dwelling, name and relationship of other family members, previous license history,
class of license, the existence and status of complaints, and the number of serious injuries
to or deaths of individuals in the licensed program as reported to the commissioner of human
services; the commissioner of children, youth, and families; the local social services agency;
or any other county welfare agency. For purposes of this clause, a serious injury is one that
is treated by a physician.

(ii) Except as provided in item (v), when a correction order, an order to forfeit a fine,
an order of license suspension, an order of temporary immediate suspension, an order of
license revocation, an order of license denial, or an order of conditional license has been
issued, or a complaint is resolved, the following data on current and former licensees and
applicants are public: the general nature of the complaint or allegations leading to the
temporary immediate suspension; the substance and investigative findings of the licensing
or maltreatment complaint, licensing violation, or substantiated maltreatment; the existence
of settlement negotiations; the record of informal resolution of a licensing violation; orders
of hearing; findings of fact; conclusions of law; specifications of the final correction order,
fine, suspension, temporary immediate suspension, revocation, denial, or conditional license
contained in the record of licensing action; whether a fine has been paid; and the status of
any appeal of these actions.

(iii) When a license denial under section 142A.15 or 245A.05 or a sanction under section
142B.18 or 245A.07 is based on a determination that a license holder, applicant, or controlling
individual is responsible for maltreatment under section 626.557 or chapter 260E, the identity
of the applicant, license holder, or controlling individual as the individual responsible for
maltreatment is public data at the time of the issuance of the license denial or sanction.

(iv) When a license denial under section 142A.15 or 245A.05 or a sanction under section
142B.18 or 245A.07 is based on a determination that a license holder, applicant, or controlling
individual is disqualified under chapter 245C, the identity of the license holder, applicant,
or controlling individual as the disqualified individual is public data at the time of the
issuance of the licensing sanction or denial. If the applicant, license holder, or controlling
individual requests reconsideration of the disqualification and the disqualification is affirmed,
the reason for the disqualification and the reason to not set aside the disqualification are
private data.

(v) A correction order or fine issued to a child care provider for a licensing violation is
private data on individuals under section 13.02, subdivision 12, or nonpublic data under
section 13.02, subdivision 9, if the correction order or fine is seven years old or older.

(2) For applicants who withdraw their application prior to licensure or denial of a license,
the following data are public: the name of the applicant, the city and county in which the
applicant was seeking licensure, the dates of the commissioner's receipt of the initial
application and completed application, the type of license sought, and the date of withdrawal
of the application.

(3) For applicants who are denied a license, the following data are public: the name and
address of the applicant, the city and county in which the applicant was seeking licensure,
the dates of the commissioner's receipt of the initial application and completed application,
the type of license sought, the date of denial of the application, the nature of the basis for
the denial, the existence of settlement negotiations, the record of informal resolution of a
denial, orders of hearings, findings of fact, conclusions of law, specifications of the final
order of denial, and the status of any appeal of the denial.

(4) When maltreatment is substantiated under section 626.557 or chapter 260E and the
victim and the substantiated perpetrator are affiliated with a program licensed under chapter
142B or 245A; the commissioner of human services; commissioner of children, youth, and
families; local social services agency; or county welfare agency may inform the license
holder where the maltreatment occurred of the identity of the substantiated perpetrator and
the victim.

(5) Notwithstanding clause (1), for child foster care, only the name of the license holder
and the status of the license are public if the county attorney has requested that data otherwise
classified as public data under clause (1) be considered private data based on the best interests
of a child in placement in a licensed program.

(c) The following are private data on individuals under section 13.02, subdivision 12,
or nonpublic data under section 13.02, subdivision 9: personal and personal financial data
on family day care program and family foster care program applicants and licensees and
their family members who provide services under the license.

(d) The following are private data on individuals: the identity of persons who have made
reports concerning licensees or applicants that appear in inactive investigative data, and the
records of clients or employees of the licensee or applicant for licensure whose records are
received by the licensing agency for purposes of review or in anticipation of a contested
matter. The names of reporters of complaints or alleged violations of licensing standards
under chapters 142B, 245A, 245B, 245C, and 245D, and applicable rules and alleged
maltreatment under section 626.557 and chapter 260E, are confidential data and may be
disclosed only as provided in section 260E.21, subdivision 4; 260E.35; or 626.557,
subdivision 12b.

(e) Data classified as private, confidential, nonpublic, or protected nonpublic under this
subdivision become public data if submitted to a court or administrative law judge as part
of a disciplinary proceeding in which there is a public hearing concerning a license which
has been suspended, immediately suspended, revoked, or denied.

(f) Data generated in the course of licensing investigations that relate to an alleged
violation of law are investigative data under subdivision 3.

(g) Data that are not public data collected, maintained, used, or disseminated under this
subdivision that relate to or are derived from a report as defined in section 260E.03, or
626.5572, subdivision 18, are subject to the destruction provisions of sections 260E.35,
subdivision 6, and 626.557, subdivision 12b.

(h) Upon request, not public data collected, maintained, used, or disseminated under
this subdivision that relate to or are derived from a report of substantiated maltreatment as
defined in section 626.557 or chapter 260E may be exchanged with the Department of
Health for purposes of completing background studies pursuant to section 144.057 and with
the Department of Corrections for purposes of completing background studies pursuant to
section 241.021.

(i) Data on individuals collected according to licensing activities under chapters 142B,
245A, and 245C, data on individuals collected by the commissioner of human services
according to investigations under section 626.557 and chapters 142B, 245A, 245B, 245C,
245D, and 260E may be shared with the Department of Human Rights, the Department of
Health, the Department of Corrections, the ombudsman for mental health and developmental
disabilities, and the individual's professional regulatory board when there is reason to believe
that laws or standards under the jurisdiction of those agencies may have been violated or
the information may otherwise be relevant to the board's regulatory jurisdiction. Background
study data on an individual who is the subject of a background study under chapter 245C
for a licensed service for which the commissioner of human services deleted text begin or deleted text end new text begin ; commissioner of new text end
children, youth, and families new text begin ; or the Direct Care and Treatment executive board new text end is the license
holder may be shared with the commissioner and the commissioner's delegate by the licensing
division. Unless otherwise specified in this chapter, the identity of a reporter of alleged
maltreatment or licensing violations may not be disclosed.

(j) In addition to the notice of determinations required under sections 260E.24,
subdivisions 5 and 7, and 260E.30, subdivision 6, paragraphs (b), (c), (d), (e), and (f), if the
commissioner of children, youth, and families or the local social services agency has
determined that an individual is a substantiated perpetrator of maltreatment of a child based
on sexual abuse, as defined in section 260E.03, and the commissioner or local social services
agency knows that the individual is a person responsible for a child's care in another facility,
the commissioner or local social services agency shall notify the head of that facility of this
determination. The notification must include an explanation of the individual's available
appeal rights and the status of any appeal. If a notice is given under this paragraph, the
government entity making the notification shall provide a copy of the notice to the individual
who is the subject of the notice.

(k) All not public data collected, maintained, used, or disseminated under this subdivision
and subdivision 3 may be exchanged between the Department of Human Services, Licensing
Division, and the Department of Corrections for purposes of regulating services for which
the Department of Human Services and the Department of Corrections have regulatory
authority.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 3.

Minnesota Statutes 2024, section 15.471, subdivision 6, is amended to read:

Subd. 6.

Party.

(a) Except as modified by paragraph (b), "party" means a person named
or admitted as a party, or seeking and entitled to be admitted as a party, in a court action or
contested case proceeding, or a person admitted by an administrative law judge for limited
purposes, and who is:

(1) an unincorporated business, partnership, corporation, association, or organization,
having not more than 500 employees at the time the civil action was filed or the contested
case proceeding was initiated; and

(2) an unincorporated business, partnership, corporation, association, or organization
whose annual revenues did not exceed $7,000,000 at the time the civil action was filed or
the contested case proceeding was initiated.

(b) "Party" also includes a partner, officer, shareholder, member, or owner of an entity
described in paragraph (a), clauses (1) and (2).

(c) "Party" does not include a person providing services pursuant to licensure or
reimbursement on a cost basis by the Department of Health deleted text begin or deleted text end new text begin , new text end the Department of Human
Services, new text begin or Direct Care and Treatment new text end when that person is named or admitted or seeking
to be admitted as a party in a matter which involves the licensing or reimbursement rates,
procedures, or methodology applicable to those services.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 4.

Minnesota Statutes 2024, section 16A.103, subdivision 1j, is amended to read:

Subd. 1j.

Federal reimbursement for administrative costs.

In preparing the forecast
of state revenues and expenditures under subdivision 1, the commissioner must include
estimates of the amount of federal reimbursement for administrative costs for the Department
of Human Services deleted text begin and deleted text end new text begin ; new text end the Department of Children, Youth, and Families new text begin ; and Direct Care
and Treatment new text end in the forecast as an expenditure reduction. The amount included under this
subdivision must conform with generally accepted accounting principles.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 5.

Minnesota Statutes 2024, section 62J.495, subdivision 2, is amended to read:

Subd. 2.

E-Health Advisory Committee.

(a) The commissioner shall establish an
e-Health Advisory Committee governed by section 15.059 to advise the commissioner on
the following matters:

(1) assessment of the adoption and effective use of health information technology by
the state, licensed health care providers and facilities, and local public health agencies;

(2) recommendations for implementing a statewide interoperable health information
infrastructure, to include estimates of necessary resources, and for determining standards
for clinical data exchange, clinical support programs, patient privacy requirements, and
maintenance of the security and confidentiality of individual patient data;

(3) recommendations for encouraging use of innovative health care applications using
information technology and systems to improve patient care and reduce the cost of care,
including applications relating to disease management and personal health management
that enable remote monitoring of patients' conditions, especially those with chronic
conditions; and

(4) other related issues as requested by the commissioner.

(b) The members of the e-Health Advisory Committee shall include the commissioners,
or commissioners' designees, of health, human services, administration, and commerce new text begin ; a
representative of the Direct Care and Treatment executive board; new text end and additional members
to be appointed by the commissioner to include persons representing Minnesota's local
public health agencies, licensed hospitals and other licensed facilities and providers, private
purchasers, the medical and nursing professions, health insurers and health plans, the state
quality improvement organization, academic and research institutions, consumer advisory
organizations with an interest and expertise in health information technology, and other
stakeholders as identified by the commissioner to fulfill the requirements of section 3013,
paragraph (g), of the HITECH Act.

(c) This subdivision expires June 30, 2031.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 6.

Minnesota Statutes 2024, section 97A.441, subdivision 3, is amended to read:

Subd. 3.

Angling; residents of state institutions.

The commissioner may issue a license,
without a fee, to take fish by angling to a person that is a ward of the commissioner of human
services and a resident of a state institution new text begin under the control of the Direct Care and Treatment
executive board new text end upon application by the commissioner of human services.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 7.

Minnesota Statutes 2024, section 144.53, is amended to read:

144.53 FEES.

Each application for a license, or renewal thereof, to operate a hospital, sanitarium or
other institution for the hospitalization or care of human beings, within the meaning of
sections 144.50 to 144.56, except applications by the Minnesota Veterans Home, the
deleted text begin commissioner of human services deleted text end new text begin Direct Care and Treatment executive board new text end for the licensing
of state institutions new text begin , new text end or deleted text begin by deleted text end the administrator for the licensing of the University of Minnesota
hospitals, shall be accompanied by a fee to be prescribed by the state commissioner of health
pursuant to section 144.122. No fee shall be refunded. Licenses shall expire and shall be
renewed as prescribed by the commissioner of health pursuant to section 144.122.

No license granted hereunder shall be assignable or transferable.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 8.

Minnesota Statutes 2024, section 144.651, subdivision 2, is amended to read:

Subd. 2.

Definitions.

new text begin (a) new text end For the purposes of this section, "patient" means a person who
is admitted to an acute care inpatient facility for a continuous period longer than 24 hours,
for the purpose of diagnosis or treatment bearing on the physical or mental health of that
person. For purposes of subdivisions 4 to 9, 12, 13, 15, 16, and 18 to 20, "patient" also
means a person who receives health care services at an outpatient surgical center or at a
birth center licensed under section 144.615. "Patient" also means a minor who is admitted
to a residential program as defined in deleted text begin section 253C.01 deleted text end new text begin paragraph (c) new text end . For purposes of
subdivisions 1, 3 to 16, 18, 20 and 30, "patient" also means any person who is receiving
mental health treatment on an outpatient basis or in a community support program or other
community-based program.

new text begin (b) new text end "Resident" means a person who is admitted to a nonacute care facility including
extended care facilities, nursing homes, and boarding care homes for care required because
of prolonged mental or physical illness or disability, recovery from injury or disease, or
advancing age. For purposes of all subdivisions except subdivisions 28 and 29, "resident"
also means a person who is admitted to a facility licensed as a board and lodging facility
under Minnesota Rules, parts 4625.0100 to 4625.2355, a boarding care home under sections
144.50 to 144.56, or a supervised living facility under Minnesota Rules, parts 4665.0100
to 4665.9900, and which operates a rehabilitation program licensed under chapter 245G or
245I, or Minnesota Rules, parts 9530.6510 to 9530.6590.

new text begin (c) "Residential program" means (1) a hospital-based primary treatment program that
provides residential treatment to minors with emotional disturbance as defined by the
Comprehensive Children's Mental Health Act in sections 245.487 to 245.4889, or (2) a
facility licensed by the state under Minnesota Rules, parts 2960.0580 to 2960.0700, to
provide services to minors on a 24-hour basis.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 9.

Minnesota Statutes 2024, section 144.651, subdivision 4, is amended to read:

Subd. 4.

Information about rights.

Patients and residents shall, at admission, be told
that there are legal rights for their protection during their stay at the facility or throughout
their course of treatment and maintenance in the community and that these are described
in an accompanying written statement of the applicable rights and responsibilities set forth
in this section. In the case of patients admitted to residential programs as defined in deleted text begin section
253C.01 deleted text end new text begin subdivision 2 new text end , the written statement shall also describe the right of a person 16
years old or older to request release as provided in section 253B.04, subdivision 2, and shall
list the names and telephone numbers of individuals and organizations that provide advocacy
and legal services for patients in residential programs. Reasonable accommodations shall
be made for people who have communication disabilities and those who speak a language
other than English. Current facility policies, inspection findings of state and local health
authorities, and further explanation of the written statement of rights shall be available to
patients, residents, their guardians or their chosen representatives upon reasonable request
to the administrator or other designated staff person, consistent with chapter 13, the Data
Practices Act, and section 626.557, relating to vulnerable adults.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 10.

Minnesota Statutes 2024, section 144.651, subdivision 20, is amended to read:

Subd. 20.

Grievances.

Patients and residents shall be encouraged and assisted, throughout
their stay in a facility or their course of treatment, to understand and exercise their rights
as patients, residents, and citizens. Patients and residents may voice grievances and
recommend changes in policies and services to facility staff and others of their choice, free
from restraint, interference, coercion, discrimination, or reprisal, including threat of discharge.
Notice of the grievance procedure of the facility or program, as well as addresses and
telephone numbers for the Office of Health Facility Complaints and the area nursing home
ombudsman pursuant to the Older Americans Act, section 307(a)(12) shall be posted in a
conspicuous place.

Every acute care inpatient facility, every residential program as defined in deleted text begin section
253C.01 deleted text end new text begin subdivision 2 new text end , every nonacute care facility, and every facility employing more
than two people that provides outpatient mental health services shall have a written internal
grievance procedure that, at a minimum, sets forth the process to be followed; specifies
time limits, including time limits for facility response; provides for the patient or resident
to have the assistance of an advocate; requires a written response to written grievances; and
provides for a timely decision by an impartial decision maker if the grievance is not otherwise
resolved. Compliance by hospitals, residential programs as defined in deleted text begin section 253C.01 deleted text end new text begin
subdivision 2 new text end which are hospital-based primary treatment programs, and outpatient surgery
centers with section 144.691 and compliance by health maintenance organizations with
section 62D.11 is deemed to be compliance with the requirement for a written internal
grievance procedure.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 11.

Minnesota Statutes 2024, section 144.651, subdivision 31, is amended to read:

Subd. 31.

Isolation and restraints.

A minor patient who has been admitted to a
residential program as defined in deleted text begin section 253C.01 deleted text end new text begin subdivision 2 new text end has the right to be free from
physical restraint and isolation except in emergency situations involving a likelihood that
the patient will physically harm the patient's self or others. These procedures may not be
used for disciplinary purposes, to enforce program rules, or for the convenience of staff.
Isolation or restraint may be used only upon the prior authorization of a physician, advanced
practice registered nurse, physician assistant, psychiatrist, or licensed psychologist, only
when less restrictive measures are ineffective or not feasible and only for the shortest time
necessary.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 12.

Minnesota Statutes 2024, section 144.651, subdivision 32, is amended to read:

Subd. 32.

Treatment plan.

A minor patient who has been admitted to a residential
program as defined in deleted text begin section 253C.01 deleted text end new text begin subdivision 2 new text end has the right to a written treatment
plan that describes in behavioral terms the case problems, the precise goals of the plan, and
the procedures that will be utilized to minimize the length of time that the minor requires
inpatient treatment. The plan shall also state goals for release to a less restrictive facility
and follow-up treatment measures and services, if appropriate. To the degree possible, the
minor patient and the minor patient's parents or guardian shall be involved in the development
of the treatment and discharge plan.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 13.

Minnesota Statutes 2024, section 144A.07, is amended to read:

144A.07 FEES.

Each application for a license to operate a nursing home, or for a renewal of license,
except an application by the Minnesota Veterans Home or the deleted text begin commissioner of human
services deleted text end new text begin Direct Care and Treatment executive board new text end for the licensing of state institutions,
shall be accompanied by a fee to be prescribed by the commissioner of health pursuant to
section 144.122. No fee shall be refunded.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 14.

Minnesota Statutes 2024, section 146A.08, subdivision 4, is amended to read:

Subd. 4.

Examination; access to medical data.

(a) If the commissioner has probable
cause to believe that an unlicensed complementary and alternative health care practitioner
has engaged in conduct prohibited by subdivision 1, paragraph (h), (i), (j), or (k), the
commissioner may issue an order directing the practitioner to submit to a mental or physical
examination or substance use disorder evaluation. For the purpose of this subdivision, every
unlicensed complementary and alternative health care practitioner is deemed to have
consented to submit to a mental or physical examination or substance use disorder evaluation
when ordered to do so in writing by the commissioner and further to have waived all
objections to the admissibility of the testimony or examination reports of the health care
provider performing the examination or evaluation on the grounds that the same constitute
a privileged communication. Failure of an unlicensed complementary and alternative health
care practitioner to submit to an examination or evaluation when ordered, unless the failure
was due to circumstances beyond the practitioner's control, constitutes an admission that
the unlicensed complementary and alternative health care practitioner violated subdivision
1, paragraph (h), (i), (j), or (k), based on the factual specifications in the examination or
evaluation order and may result in a default and final disciplinary order being entered after
a contested case hearing. An unlicensed complementary and alternative health care
practitioner affected under this paragraph shall at reasonable intervals be given an opportunity
to demonstrate that the practitioner can resume the provision of complementary and
alternative health care practices with reasonable safety to clients. In any proceeding under
this paragraph, neither the record of proceedings nor the orders entered by the commissioner
shall be used against an unlicensed complementary and alternative health care practitioner
in any other proceeding.

(b) In addition to ordering a physical or mental examination or substance use disorder
evaluation, the commissioner may, notwithstanding section 13.384; 144.651; 595.02; or
any other law limiting access to medical or other health data, obtain medical data and health
records relating to an unlicensed complementary and alternative health care practitioner
without the practitioner's consent if the commissioner has probable cause to believe that a
practitioner has engaged in conduct prohibited by subdivision 1, paragraph (h), (i), (j), or
(k). The medical data may be requested from a provider as defined in section 144.291,
subdivision 2, paragraph (i), an insurance company, or a government agency, including the
Department of Human Services new text begin and Direct Care and Treatment new text end . A provider, insurance
company, or government agency shall comply with any written request of the commissioner
under this subdivision and is not liable in any action for damages for releasing the data
requested by the commissioner if the data are released pursuant to a written request under
this subdivision, unless the information is false and the person or organization giving the
information knew or had reason to believe the information was false. Information obtained
under this subdivision is private data under section 13.41.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 15.

Minnesota Statutes 2024, section 147.091, subdivision 6, is amended to read:

Subd. 6.

Mental examination; access to medical data.

(a) If the board has probable
cause to believe that a regulated person comes under subdivision 1, paragraph (1), it may
direct the person to submit to a mental or physical examination. For the purpose of this
subdivision every regulated person is deemed to have consented to submit to a mental or
physical examination when directed in writing by the board and further to have waived all
objections to the admissibility of the examining physicians' testimony or examination reports
on the ground that the same constitute a privileged communication. Failure of a regulated
person to submit to an examination when directed constitutes an admission of the allegations
against the person, unless the failure was due to circumstance beyond the person's control,
in which case a default and final order may be entered without the taking of testimony or
presentation of evidence. A regulated person affected under this paragraph shall at reasonable
intervals be given an opportunity to demonstrate that the person can resume the competent
practice of the regulated profession with reasonable skill and safety to the public.

In any proceeding under this paragraph, neither the record of proceedings nor the orders
entered by the board shall be used against a regulated person in any other proceeding.

(b) In addition to ordering a physical or mental examination, the board may,
notwithstanding section 13.384, 144.651, or any other law limiting access to medical or
other health data, obtain medical data and health records relating to a regulated person or
applicant without the person's or applicant's consent if the board has probable cause to
believe that a regulated person comes under subdivision 1, paragraph (1). The medical data
may be requested from a provider, as defined in section 144.291, subdivision 2, paragraph
(i), an insurance company, or a government agency, including the Department of Human
Services new text begin and Direct Care and Treatment new text end . A provider, insurance company, or government
agency shall comply with any written request of the board under this subdivision and is not
liable in any action for damages for releasing the data requested by the board if the data are
released pursuant to a written request under this subdivision, unless the information is false
and the provider giving the information knew, or had reason to believe, the information was
false. Information obtained under this subdivision is classified as private under sections
13.01 to 13.87.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 16.

Minnesota Statutes 2024, section 147A.13, subdivision 6, is amended to read:

Subd. 6.

Mental examination; access to medical data.

(a) If the board has probable
cause to believe that a physician assistant comes under subdivision 1, clause (1), it may
direct the physician assistant to submit to a mental or physical examination. For the purpose
of this subdivision, every physician assistant licensed under this chapter is deemed to have
consented to submit to a mental or physical examination when directed in writing by the
board and further to have waived all objections to the admissibility of the examining
physicians' testimony or examination reports on the ground that the same constitute a
privileged communication. Failure of a physician assistant to submit to an examination
when directed constitutes an admission of the allegations against the physician assistant,
unless the failure was due to circumstance beyond the physician assistant's control, in which
case a default and final order may be entered without the taking of testimony or presentation
of evidence. A physician assistant affected under this subdivision shall at reasonable intervals
be given an opportunity to demonstrate that the physician assistant can resume competent
practice with reasonable skill and safety to patients. In any proceeding under this subdivision,
neither the record of proceedings nor the orders entered by the board shall be used against
a physician assistant in any other proceeding.

(b) In addition to ordering a physical or mental examination, the board may,
notwithstanding sections 13.384, 144.651, or any other law limiting access to medical or
other health data, obtain medical data and health records relating to a licensee or applicant
without the licensee's or applicant's consent if the board has probable cause to believe that
a physician assistant comes under subdivision 1, clause (1).

The medical data may be requested from a provider, as defined in section 144.291,
subdivision 2, paragraph (i), an insurance company, or a government agency, including the
Department of Human Services new text begin and Direct Care and Treatment new text end . A provider, insurance
company, or government agency shall comply with any written request of the board under
this subdivision and is not liable in any action for damages for releasing the data requested
by the board if the data are released pursuant to a written request under this subdivision,
unless the information is false and the provider giving the information knew, or had reason
to believe, the information was false. Information obtained under this subdivision is classified
as private under chapter 13.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 17.

Minnesota Statutes 2024, section 148.10, subdivision 1, is amended to read:

Subdivision 1.

Grounds.

(a) The state Board of Chiropractic Examiners may refuse to
grant, or may revoke, suspend, condition, limit, restrict or qualify a license to practice
chiropractic, or may cause the name of a person licensed to be removed from the records
in the office of the court administrator of the district court for:

(1) advertising that is false or misleading; that violates a rule of the board; or that claims
the cure of any condition or disease;

(2) the employment of fraud or deception in applying for a license or in passing the
examination provided for in section 148.06 or conduct which subverts or attempts to subvert
the licensing examination process;

(3) the practice of chiropractic under a false or assumed name or the impersonation of
another practitioner of like or different name;

(4) the conviction of a crime involving moral turpitude;

(5) the conviction, during the previous five years, of a felony reasonably related to the
practice of chiropractic;

(6) habitual intemperance in the use of alcohol or drugs;

(7) practicing under a license which has not been renewed;

(8) advanced physical or mental disability;

(9) the revocation or suspension of a license to practice chiropractic; or other disciplinary
action against the licensee; or the denial of an application for a license by the proper licensing
authority of another state, territory or country; or failure to report to the board that charges
regarding the person's license have been brought in another state or jurisdiction;

(10) the violation of, or failure to comply with, the provisions of sections 148.01 to
148.105, the rules of the state Board of Chiropractic Examiners, or a lawful order of the
board;

(11) unprofessional conduct;

(12) being unable to practice chiropractic with reasonable skill and safety to patients by
reason of illness, professional incompetence, senility, drunkenness, use of drugs, narcotics,
chemicals or any other type of material, or as a result of any mental or physical condition,
including deterioration through the aging process or loss of motor skills. If the board has
probable cause to believe that a person comes within this clause, it shall direct the person
to submit to a mental or physical examination. For the purpose of this clause, every person
licensed under this chapter shall be deemed to have given consent to submit to a mental or
physical examination when directed in writing by the board and further to have waived all
objections to the admissibility of the examining physicians' testimony or examination reports
on the ground that the same constitute a privileged communication. Failure of a person to
submit to such examination when directed shall constitute an admission of the allegations,
unless the failure was due to circumstances beyond the person's control, in which case a
default and final order may be entered without the taking of testimony or presentation of
evidence. A person affected under this clause shall at reasonable intervals be afforded an
opportunity to demonstrate that the person can resume the competent practice of chiropractic
with reasonable skill and safety to patients.

In addition to ordering a physical or mental examination, the board may, notwithstanding
section 13.384, 144.651, or any other law limiting access to health data, obtain health data
and health records relating to a licensee or applicant without the licensee's or applicant's
consent if the board has probable cause to believe that a doctor of chiropractic comes under
this clause. The health data may be requested from a provider, as defined in section 144.291,
subdivision 2, paragraph (i), an insurance company, or a government agency, including the
Department of Human Services new text begin and Direct Care and Treatment new text end . A provider, insurance
company, or government agency shall comply with any written request of the board under
this subdivision and is not liable in any action for damages for releasing the data requested
by the board if the data are released pursuant to a written request under this subdivision,
unless the information is false and the provider or entity giving the information knew, or
had reason to believe, the information was false. Information obtained under this subdivision
is classified as private under sections 13.01 to 13.87.

In any proceeding under this clause, neither the record of proceedings nor the orders
entered by the board shall be used against a person in any other proceeding;

(13) aiding or abetting an unlicensed person in the practice of chiropractic, except that
it is not a violation of this clause for a doctor of chiropractic to employ, supervise, or delegate
functions to a qualified person who may or may not be required to obtain a license or
registration to provide health services if that person is practicing within the scope of the
license or registration or delegated authority;

(14) improper management of health records, including failure to maintain adequate
health records as described in clause (18), to comply with a patient's request made under
sections 144.291 to 144.298 or to furnish a health record or report required by law;

(15) failure to make reports required by section 148.102, subdivisions 2 and 5, or to
cooperate with an investigation of the board as required by section 148.104, or the submission
of a knowingly false report against another doctor of chiropractic under section 148.10,
subdivision 3;

(16) splitting fees, or promising to pay a portion of a fee or a commission, or accepting
a rebate;

(17) revealing a privileged communication from or relating to a patient, except when
otherwise required or permitted by law;

(18) failing to keep written chiropractic records justifying the course of treatment of the
patient, including, but not limited to, patient histories, examination results, test results, and
x-rays. Unless otherwise required by law, written records need not be retained for more
than seven years and x-rays need not be retained for more than four years;

(19) exercising influence on the patient or client in such a manner as to exploit the patient
or client for financial gain of the licensee or of a third party which shall include, but not be
limited to, the promotion or sale of services, goods, or appliances;

(20) gross or repeated malpractice or the failure to practice chiropractic at a level of
care, skill, and treatment which is recognized by a reasonably prudent chiropractor as being
acceptable under similar conditions and circumstances; or

(21) delegating professional responsibilities to a person when the licensee delegating
such responsibilities knows or has reason to know that the person is not qualified by training,
experience, or licensure to perform them.

(b) For the purposes of paragraph (a), clause (2), conduct that subverts or attempts to
subvert the licensing examination process includes, but is not limited to: (1) conduct that
violates the security of the examination materials, such as removing examination materials
from the examination room or having unauthorized possession of any portion of a future,
current, or previously administered licensing examination; (2) conduct that violates the
standard of test administration, such as communicating with another examinee during
administration of the examination, copying another examinee's answers, permitting another
examinee to copy one's answers, or possessing unauthorized materials; or (3) impersonating
an examinee or permitting an impersonator to take the examination on one's own behalf.

(c) For the purposes of paragraph (a), clauses (4) and (5), conviction as used in these
subdivisions includes a conviction of an offense that if committed in this state would be
deemed a felony without regard to its designation elsewhere, or a criminal proceeding where
a finding or verdict of guilt is made or returned but the adjudication of guilt is either withheld
or not entered.

(d) For the purposes of paragraph (a), clauses (4), (5), and (6), a copy of the judgment
or proceeding under seal of the administrator of the court or of the administrative agency
which entered the same shall be admissible into evidence without further authentication
and shall constitute prima facie evidence of its contents.

(e) For the purposes of paragraph (a), clause (11), unprofessional conduct means any
unethical, deceptive or deleterious conduct or practice harmful to the public, any departure
from or the failure to conform to the minimal standards of acceptable chiropractic practice,
or a willful or careless disregard for the health, welfare or safety of patients, in any of which
cases proof of actual injury need not be established. Unprofessional conduct shall include,
but not be limited to, the following acts of a chiropractor:

(1) gross ignorance of, or incompetence in, the practice of chiropractic;

(2) engaging in conduct with a patient that is sexual or may reasonably be interpreted
by the patient as sexual, or in any verbal behavior that is seductive or sexually demeaning
to a patient;

(3) performing unnecessary services;

(4) charging a patient an unconscionable fee or charging for services not rendered;

(5) directly or indirectly engaging in threatening, dishonest, or misleading fee collection
techniques;

(6) perpetrating fraud upon patients, third-party payors, or others, relating to the practice
of chiropractic, including violations of the Medicare or Medicaid laws or state medical
assistance laws;

(7) advertising that the licensee will accept for services rendered assigned payments
from any third-party payer as payment in full, if the effect is to give the impression of
eliminating the need of payment by the patient of any required deductible or co-payment
applicable in the patient's health benefit plan. As used in this clause, "advertise" means
solicitation by the licensee by means of handbills, posters, circulars, motion pictures, radio,
newspapers, television, or in any other manner. In addition to the board's power to punish
for violations of this clause, violation of this clause is also a misdemeanor;

(8) accepting for services rendered assigned payments from any third-party payer as
payment in full, if the effect is to eliminate the need of payment by the patient of any required
deductible or co-payment applicable in the patient's health benefit plan, except as hereinafter
provided; and

(9) any other act that the board by rule may define.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 18.

Minnesota Statutes 2024, section 148.261, subdivision 5, is amended to read:

Subd. 5.

Examination; access to medical data.

The board may take the following
actions if it has probable cause to believe that grounds for disciplinary action exist under
subdivision 1, clause (9) or (10):

(a) It may direct the applicant or nurse to submit to a mental or physical examination or
substance use disorder evaluation. For the purpose of this subdivision, when a nurse licensed
under sections 148.171 to 148.285 is directed in writing by the board to submit to a mental
or physical examination or substance use disorder evaluation, that person is considered to
have consented and to have waived all objections to admissibility on the grounds of privilege.
Failure of the applicant or nurse to submit to an examination when directed constitutes an
admission of the allegations against the applicant or nurse, unless the failure was due to
circumstances beyond the person's control, and the board may enter a default and final order
without taking testimony or allowing evidence to be presented. A nurse affected under this
paragraph shall, at reasonable intervals, be given an opportunity to demonstrate that the
competent practice of professional, advanced practice registered, or practical nursing can
be resumed with reasonable skill and safety to patients. Neither the record of proceedings
nor the orders entered by the board in a proceeding under this paragraph, may be used
against a nurse in any other proceeding.

(b) It may, notwithstanding sections 13.384, 144.651, 595.02, or any other law limiting
access to medical or other health data, obtain medical data and health records relating to a
registered nurse, advanced practice registered nurse, licensed practical nurse, or applicant
for a license without that person's consent. The medical data may be requested from a
provider, as defined in section 144.291, subdivision 2, paragraph (i), an insurance company,
or a government agency, including the Department of Human Services new text begin and Direct Care and
Treatment new text end . A provider, insurance company, or government agency shall comply with any
written request of the board under this subdivision and is not liable in any action for damages
for releasing the data requested by the board if the data are released pursuant to a written
request under this subdivision unless the information is false and the provider giving the
information knew, or had reason to believe, the information was false. Information obtained
under this subdivision is classified as private data on individuals as defined in section 13.02.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 19.

Minnesota Statutes 2024, section 148.754, is amended to read:

148.754 EXAMINATION; ACCESS TO MEDICAL DATA.

(a) If the board has probable cause to believe that a licensee comes under section 148.75,
paragraph (a), clause (2), it may direct the licensee to submit to a mental or physical
examination. For the purpose of this paragraph, every licensee is deemed to have consented
to submit to a mental or physical examination when directed in writing by the board and
further to have waived all objections to the admissibility of the examining physicians'
testimony or examination reports on the ground that they constitute a privileged
communication. Failure of the licensee to submit to an examination when directed constitutes
an admission of the allegations against the person, unless the failure was due to circumstances
beyond the person's control, in which case a default and final order may be entered without
the taking of testimony or presentation of evidence. A licensee affected under this paragraph
shall, at reasonable intervals, be given an opportunity to demonstrate that the person can
resume the competent practice of physical therapy with reasonable skill and safety to the
public.

(b) In any proceeding under paragraph (a), neither the record of proceedings nor the
orders entered by the board shall be used against a licensee in any other proceeding.

(c) In addition to ordering a physical or mental examination, the board may,
notwithstanding section 13.384, 144.651, or any other law limiting access to medical or
other health data, obtain medical data and health records relating to a licensee or applicant
without the person's or applicant's consent if the board has probable cause to believe that
the person comes under paragraph (a). The medical data may be requested from a provider,
as defined in section 144.291, subdivision 2, paragraph (i), an insurance company, or a
government agency, including the Department of Human Services new text begin and Direct Care and
Treatment new text end . A provider, insurance company, or government agency shall comply with any
written request of the board under this paragraph and is not liable in any action for damages
for releasing the data requested by the board if the data are released pursuant to a written
request under this paragraph, unless the information is false and the provider giving the
information knew, or had reason to believe, the information was false. Information obtained
under this paragraph is classified as private under sections 13.01 to 13.87.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 20.

Minnesota Statutes 2024, section 148B.5905, is amended to read:

148B.5905 MENTAL, PHYSICAL, OR SUBSTANCE USE DISORDER
EXAMINATION OR EVALUATION; ACCESS TO MEDICAL DATA.

(a) If the board has probable cause to believe section 148B.59, paragraph (a), clause (9),
applies to a licensee or applicant, the board may direct the person to submit to a mental,
physical, or substance use disorder examination or evaluation. For the purpose of this section,
every licensee and applicant is deemed to have consented to submit to a mental, physical,
or substance use disorder examination or evaluation when directed in writing by the board
and to have waived all objections to the admissibility of the examining professionals'
testimony or examination reports on the grounds that the testimony or examination reports
constitute a privileged communication. Failure of a licensee or applicant to submit to an
examination when directed by the board constitutes an admission of the allegations against
the person, unless the failure was due to circumstances beyond the person's control, in which
case a default and final order may be entered without the taking of testimony or presentation
of evidence. A licensee or applicant affected under this paragraph shall at reasonable intervals
be given an opportunity to demonstrate that the person can resume the competent practice
of licensed professional counseling with reasonable skill and safety to the public. In any
proceeding under this paragraph, neither the record of proceedings nor the orders entered
by the board shall be used against a licensee or applicant in any other proceeding.

(b) In addition to ordering a physical or mental examination, the board may,
notwithstanding section 13.384, 144.651, or any other law limiting access to medical or
other health data, obtain medical data and health records relating to a licensee or applicant
without the licensee's or applicant's consent if the board has probable cause to believe that
section 148B.59, paragraph (a), clause (9), applies to the licensee or applicant. The medical
data may be requested from a provider, as defined in section 144.291, subdivision 2,
paragraph (i); an insurance company; or a government agency, including the Department
of Human Services new text begin and Direct Care and Treatment new text end . A provider, insurance company, or
government agency shall comply with any written request of the board under this subdivision
and is not liable in any action for damages for releasing the data requested by the board if
the data are released pursuant to a written request under this subdivision, unless the
information is false and the provider giving the information knew, or had reason to believe,
the information was false. Information obtained under this subdivision is classified as private
under sections 13.01 to 13.87.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 21.

Minnesota Statutes 2024, section 148F.09, subdivision 6, is amended to read:

Subd. 6.

Mental, physical, or chemical health evaluation.

(a) If the board has probable
cause to believe that an applicant or licensee is unable to practice alcohol and drug counseling
with reasonable skill and safety due to a mental or physical illness or condition, the board
may direct the individual to submit to a mental, physical, or chemical dependency
examination or evaluation.

(1) For the purposes of this section, every licensee and applicant is deemed to have
consented to submit to a mental, physical, or chemical dependency examination or evaluation
when directed in writing by the board and to have waived all objections to the admissibility
of the examining professionals' testimony or examination reports on the grounds that the
testimony or examination reports constitute a privileged communication.

(2) Failure of a licensee or applicant to submit to an examination when directed by the
board constitutes an admission of the allegations against the person, unless the failure was
due to circumstances beyond the person's control, in which case a default and final order
may be entered without the taking of testimony or presentation of evidence.

(3) A licensee or applicant affected under this subdivision shall at reasonable intervals
be given an opportunity to demonstrate that the licensee or applicant can resume the
competent practice of licensed alcohol and drug counseling with reasonable skill and safety
to the public.

(4) In any proceeding under this subdivision, neither the record of proceedings nor the
orders entered by the board shall be used against the licensee or applicant in any other
proceeding.

(b) In addition to ordering a physical or mental examination, the board may,
notwithstanding section 13.384 or sections 144.291 to 144.298, or any other law limiting
access to medical or other health data, obtain medical data and health records relating to a
licensee or applicant without the licensee's or applicant's consent if the board has probable
cause to believe that subdivision 1, clause (9), applies to the licensee or applicant. The
medical data may be requested from:

(1) a provider, as defined in section 144.291, subdivision 2, paragraph (i);

(2) an insurance company; or

(3) a government agency, including the Department of Human Services new text begin and Direct Care
and Treatment new text end .

(c) A provider, insurance company, or government agency must comply with any written
request of the board under this subdivision and is not liable in any action for damages for
releasing the data requested by the board if the data are released pursuant to a written request
under this subdivision, unless the information is false and the provider giving the information
knew, or had reason to believe, the information was false.

(d) Information obtained under this subdivision is private data on individuals as defined
in section 13.02, subdivision 12.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 22.

Minnesota Statutes 2024, section 150A.08, subdivision 6, is amended to read:

Subd. 6.

Medical records.

Notwithstanding contrary provisions of sections 13.384 and
144.651 or any other statute limiting access to medical or other health data, the board may
obtain medical data and health records of a licensee or applicant without the licensee's or
applicant's consent if the information is requested by the board as part of the process specified
in subdivision 5. The medical data may be requested from a provider, as defined in section
144.291, subdivision 2, paragraph (h), an insurance company, or a government agency,
including the Department of Human Services new text begin and Direct Care and Treatment new text end . A provider,
insurance company, or government agency shall comply with any written request of the
board under this subdivision and shall not be liable in any action for damages for releasing
the data requested by the board if the data are released pursuant to a written request under
this subdivision, unless the information is false and the provider giving the information
knew, or had reason to believe, the information was false. Information obtained under this
subdivision shall be classified as private under the Minnesota Government Data Practices
Act.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 23.

Minnesota Statutes 2024, section 151.071, subdivision 10, is amended to read:

Subd. 10.

Mental examination; access to medical data.

(a) If the board receives a
complaint and has probable cause to believe that an individual licensed or registered by the
board falls under subdivision 2, clause (14), it may direct the individual to submit to a mental
or physical examination. For the purpose of this subdivision, every licensed or registered
individual is deemed to have consented to submit to a mental or physical examination when
directed in writing by the board and further to have waived all objections to the admissibility
of the examining practitioner's testimony or examination reports on the grounds that the
same constitute a privileged communication. Failure of a licensed or registered individual
to submit to an examination when directed constitutes an admission of the allegations against
the individual, unless the failure was due to circumstances beyond the individual's control,
in which case a default and final order may be entered without the taking of testimony or
presentation of evidence. Pharmacists affected under this paragraph shall at reasonable
intervals be given an opportunity to demonstrate that they can resume the competent practice
of the profession of pharmacy with reasonable skill and safety to the public. Pharmacist
interns, pharmacy technicians, or controlled substance researchers affected under this
paragraph shall at reasonable intervals be given an opportunity to demonstrate that they can
competently resume the duties that can be performed, under this chapter or the rules of the
board, by similarly registered persons with reasonable skill and safety to the public. In any
proceeding under this paragraph, neither the record of proceedings nor the orders entered
by the board shall be used against a licensed or registered individual in any other proceeding.

(b) Notwithstanding section 13.384, 144.651, or any other law limiting access to medical
or other health data, the board may obtain medical data and health records relating to an
individual licensed or registered by the board, or to an applicant for licensure or registration,
without the individual's consent when the board receives a complaint and has probable cause
to believe that the individual is practicing in violation of subdivision 2, clause (14), and the
data and health records are limited to the complaint. The medical data may be requested
from a provider, as defined in section 144.291, subdivision 2, paragraph (i), an insurance
company, or a government agency, including the Department of Human Services new text begin and Direct
Care and Treatment new text end . A provider, insurance company, or government agency shall comply
with any written request of the board under this subdivision and is not liable in any action
for damages for releasing the data requested by the board if the data are released pursuant
to a written request under this subdivision, unless the information is false and the provider
giving the information knew, or had reason to believe, the information was false. Information
obtained under this subdivision is classified as private under sections 13.01 to 13.87.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 24.

Minnesota Statutes 2024, section 153.21, subdivision 2, is amended to read:

Subd. 2.

Access to medical data.

In addition to ordering a physical or mental examination
or substance use disorder evaluation, the board may, notwithstanding section 13.384, 144.651,
or any other law limiting access to medical or other health data, obtain medical data and
health records relating to a licensee or applicant without the licensee's or applicant's consent
if the board has probable cause to believe that a doctor of podiatric medicine falls within
the provisions of section 153.19, subdivision 1, clause (12). The medical data may be
requested from a provider, as defined in section 144.291, subdivision 2, paragraph (h), an
insurance company, or a government agency, including the Department of Human Services new text begin
and Direct Care and Treatment new text end . A provider, insurance company, or government agency
shall comply with any written request of the board under this section and is not liable in
any action for damages for releasing the data requested by the board if the data are released
in accordance with a written request under this section, unless the information is false and
the provider giving the information knew, or had reason to believe, the information was
false.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 25.

Minnesota Statutes 2024, section 153B.70, is amended to read:

153B.70 GROUNDS FOR DISCIPLINARY ACTION.

(a) The board may refuse to issue or renew a license, revoke or suspend a license, or
place on probation or reprimand a licensee for one or any combination of the following:

(1) making a material misstatement in furnishing information to the board;

(2) violating or intentionally disregarding the requirements of this chapter;

(3) conviction of a crime, including a finding or verdict of guilt, an admission of guilt,
or a no-contest plea, in this state or elsewhere, reasonably related to the practice of the
profession. Conviction, as used in this clause, includes a conviction of an offense which, if
committed in this state, would be deemed a felony, gross misdemeanor, or misdemeanor,
without regard to its designation elsewhere, or a criminal proceeding where a finding or
verdict of guilty is made or returned but the adjudication of guilt is either withheld or not
entered;

(4) making a misrepresentation in order to obtain or renew a license;

(5) displaying a pattern of practice or other behavior that demonstrates incapacity or
incompetence to practice;

(6) aiding or assisting another person in violating the provisions of this chapter;

(7) failing to provide information within 60 days in response to a written request from
the board, including documentation of completion of continuing education requirements;

(8) engaging in dishonorable, unethical, or unprofessional conduct;

(9) engaging in conduct of a character likely to deceive, defraud, or harm the public;

(10) inability to practice due to habitual intoxication, addiction to drugs, or mental or
physical illness;

(11) being disciplined by another state or territory of the United States, the federal
government, a national certification organization, or foreign nation, if at least one of the
grounds for the discipline is the same or substantially equivalent to one of the grounds in
this section;

(12) directly or indirectly giving to or receiving from a person, firm, corporation,
partnership, or association a fee, commission, rebate, or other form of compensation for
professional services not actually or personally rendered;

(13) incurring a finding by the board that the licensee, after the licensee has been placed
on probationary status, has violated the conditions of the probation;

(14) abandoning a patient or client;

(15) willfully making or filing false records or reports in the course of the licensee's
practice including, but not limited to, false records or reports filed with state or federal
agencies;

(16) willfully failing to report child maltreatment as required under the Maltreatment of
Minors Act, chapter 260E; or

(17) soliciting professional services using false or misleading advertising.

(b) A license to practice is automatically suspended if (1) a guardian of a licensee is
appointed by order of a court pursuant to sections 524.5-101 to 524.5-502, for reasons other
than the minority of the licensee, or (2) the licensee is committed by order of a court pursuant
to chapter 253B. The license remains suspended until the licensee is restored to capacity
by a court and, upon petition by the licensee, the suspension is terminated by the board after
a hearing. The licensee may be reinstated to practice, either with or without restrictions, by
demonstrating clear and convincing evidence of rehabilitation. The regulated person is not
required to prove rehabilitation if the subsequent court decision overturns previous court
findings of public risk.

(c) If the board has probable cause to believe that a licensee or applicant has violated
paragraph (a), clause (10), it may direct the person to submit to a mental or physical
examination. For the purpose of this section, every person is deemed to have consented to
submit to a mental or physical examination when directed in writing by the board and to
have waived all objections to the admissibility of the examining physician's testimony or
examination report on the grounds that the testimony or report constitutes a privileged
communication. Failure of a regulated person to submit to an examination when directed
constitutes an admission of the allegations against the person, unless the failure was due to
circumstances beyond the person's control, in which case a default and final order may be
entered without the taking of testimony or presentation of evidence. A regulated person
affected under this paragraph shall at reasonable intervals be given an opportunity to
demonstrate that the person can resume the competent practice of the regulated profession
with reasonable skill and safety to the public. In any proceeding under this paragraph, neither
the record of proceedings nor the orders entered by the board shall be used against a regulated
person in any other proceeding.

(d) In addition to ordering a physical or mental examination, the board may,
notwithstanding section 13.384 or 144.293, or any other law limiting access to medical or
other health data, obtain medical data and health records relating to a licensee or applicant
without the person's or applicant's consent if the board has probable cause to believe that a
licensee is subject to paragraph (a), clause (10). The medical data may be requested from
a provider as defined in section 144.291, subdivision 2, paragraph (i), an insurance company,
or a government agency, including the Department of Human Services new text begin and Direct Care and
Treatment new text end . A provider, insurance company, or government agency shall comply with any
written request of the board under this section and is not liable in any action for damages
for releasing the data requested by the board if the data are released pursuant to a written
request under this section, unless the information is false and the provider giving the
information knew, or had reason to know, the information was false. Information obtained
under this section is private data on individuals as defined in section 13.02.

(e) If the board issues an order of immediate suspension of a license, a hearing must be
held within 30 days of the suspension and completed without delay.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 26.

Minnesota Statutes 2024, section 168.012, subdivision 1, is amended to read:

Subdivision 1.

Vehicles exempt from tax, fees, or plate display.

(a) The following
vehicles are exempt from the provisions of this chapter requiring payment of tax and
registration fees, except as provided in subdivision 1c:

(1) vehicles owned and used solely in the transaction of official business by the federal
government, the state, or any political subdivision;

(2) vehicles owned and used exclusively by educational institutions and used solely in
the transportation of pupils to and from those institutions;

(3) vehicles used solely in driver education programs at nonpublic high schools;

(4) vehicles owned by nonprofit charities and used exclusively to transport disabled
persons for charitable, religious, or educational purposes;

(5) vehicles owned by nonprofit charities and used exclusively for disaster response and
related activities;

(6) vehicles owned by ambulance services licensed under section 144E.10 that are
equipped and specifically intended for emergency response or providing ambulance services;
and

(7) vehicles owned by a commercial driving school licensed under section 171.34, or
an employee of a commercial driving school licensed under section 171.34, and the vehicle
is used exclusively for driver education and training.

(b) Provided the general appearance of the vehicle is unmistakable, the following vehicles
are not required to register or display number plates:

(1) vehicles owned by the federal government;

(2) fire apparatuses, including fire-suppression support vehicles, owned or leased by the
state or a political subdivision;

(3) police patrols owned or leased by the state or a political subdivision; and

(4) ambulances owned or leased by the state or a political subdivision.

(c) Unmarked vehicles used in general police work, liquor investigations, or arson
investigations, and passenger automobiles, pickup trucks, and buses owned or operated by
the Department of Corrections or by conservation officers of the Division of Enforcement
and Field Service of the Department of Natural Resources, must be registered and must
display appropriate license number plates, furnished by the registrar at cost. Original and
renewal applications for these license plates authorized for use in general police work and
for use by the Department of Corrections or by conservation officers must be accompanied
by a certification signed by the appropriate chief of police if issued to a police vehicle, the
appropriate sheriff if issued to a sheriff's vehicle, the commissioner of corrections if issued
to a Department of Corrections vehicle, or the appropriate officer in charge if issued to a
vehicle of any other law enforcement agency. The certification must be on a form prescribed
by the commissioner and state that the vehicle will be used exclusively for a purpose
authorized by this section.

(d) Unmarked vehicles used by the Departments of Revenue and Labor and Industry,
fraud unit, in conducting seizures or criminal investigations must be registered and must
display passenger vehicle classification license number plates, furnished at cost by the
registrar. Original and renewal applications for these passenger vehicle license plates must
be accompanied by a certification signed by the commissioner of revenue or the
commissioner of labor and industry. The certification must be on a form prescribed by the
commissioner and state that the vehicles will be used exclusively for the purposes authorized
by this section.

(e) Unmarked vehicles used by the Division of Disease Prevention and Control of the
Department of Health must be registered and must display passenger vehicle classification
license number plates. These plates must be furnished at cost by the registrar. Original and
renewal applications for these passenger vehicle license plates must be accompanied by a
certification signed by the commissioner of health. The certification must be on a form
prescribed by the commissioner and state that the vehicles will be used exclusively for the
official duties of the Division of Disease Prevention and Control.

(f) Unmarked vehicles used by staff of the Gambling Control Board in gambling
investigations and reviews must be registered and must display passenger vehicle
classification license number plates. These plates must be furnished at cost by the registrar.
Original and renewal applications for these passenger vehicle license plates must be
accompanied by a certification signed by the board chair. The certification must be on a
form prescribed by the commissioner and state that the vehicles will be used exclusively
for the official duties of the Gambling Control Board.

(g) Unmarked vehicles used in general investigation, surveillance, supervision, and
monitoring by deleted text begin the Department of Human Services' Office of Special Investigations' staff;
the Minnesota Sex Offender Program's executive director and the executive director's staff;
and deleted text end the Office of Inspector General's staff, including, but not limited to, county fraud
prevention investigators, must be registered and must display passenger vehicle classification
license number plates, furnished by the registrar at cost. Original and renewal applications
for passenger vehicle license plates must be accompanied by a certification signed by the
commissioner of human services. The certification must be on a form prescribed by the
commissioner and state that the vehicles must be used exclusively for the official duties of
the Office of Special Investigations' staff deleted text begin ; the Minnesota Sex Offender Program's executive
director and the executive director's staff; deleted text end and the Office of the Inspector General's staff,
including, but not limited to, contract and county fraud prevention investigators.

new text begin (h) Unmarked vehicles used in general investigation, surveillance, supervision, and
monitoring by the Direct Care and Treatment Office of Special Investigations' staff and
unmarked vehicles used by the Minnesota Sex Offender Program's executive director and
the executive director's staff must be registered and must display passenger vehicle
classification license number plates, furnished by the registrar at cost. Original and renewal
applications for passenger vehicle license plates must be accompanied by a certification
signed by the Direct Care and Treatment executive board. The certification must be on a
form prescribed by the commissioner and state that the vehicles must be used exclusively
for the official duties of the Minnesota Sex Offender Program's executive director and the
executive director's staff, including but not limited to contract and county fraud prevention
investigators.
new text end

deleted text begin (h) deleted text end new text begin (i) new text end Each state hospital and institution for persons who are mentally ill and
developmentally disabled may have one vehicle without the required identification on the
sides of the vehicle. The vehicle must be registered and must display passenger vehicle
classification license number plates. These plates must be furnished at cost by the registrar.
Original and renewal applications for these passenger vehicle license plates must be
accompanied by a certification signed by the hospital administrator. The certification must
be on a form prescribed by the deleted text begin commissioner deleted text end new text begin Direct Care and Treatment executive board new text end
and state that the vehicles will be used exclusively for the official duties of the state hospital
or institution.

deleted text begin (i) deleted text end new text begin (j) new text end Each county social service agency may have vehicles used for child and vulnerable
adult protective services without the required identification on the sides of the vehicle. The
vehicles must be registered and must display passenger vehicle classification license number
plates. These plates must be furnished at cost by the registrar. Original and renewal
applications for these passenger vehicle license plates must be accompanied by a certification
signed by the agency administrator. The certification must be on a form prescribed by the
commissioner and state that the vehicles will be used exclusively for the official duties of
the social service agency.

deleted text begin (j) deleted text end new text begin (k) new text end Unmarked vehicles used in general investigation, surveillance, supervision, and
monitoring by tobacco inspector staff of the Department of Human Services' Alcohol and
Drug Abuse Division for the purposes of tobacco inspections, investigations, and reviews
must be registered and must display passenger vehicle classification license number plates,
furnished at cost by the registrar. Original and renewal applications for passenger vehicle
license plates must be accompanied by a certification signed by the commissioner of human
services. The certification must be on a form prescribed by the commissioner and state that
the vehicles will be used exclusively by tobacco inspector staff for the duties specified in
this paragraph.

deleted text begin (k) deleted text end new text begin (l) new text end All other motor vehicles must be registered and display tax-exempt number plates,
furnished by the registrar at cost, except as provided in subdivision 1c. All vehicles required
to display tax-exempt number plates must have the name of the state department or political
subdivision, nonpublic high school operating a driver education program, licensed
commercial driving school, or other qualifying organization or entity, plainly displayed on
both sides of the vehicle. This identification must be in a color giving contrast with that of
the part of the vehicle on which it is placed and must endure throughout the term of the
registration. The identification must not be on a removable plate or placard and must be
kept clean and visible at all times; except that a removable plate or placard may be utilized
on vehicles leased or loaned to a political subdivision or to a nonpublic high school driver
education program.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 27.

Minnesota Statutes 2024, section 244.052, subdivision 4, is amended to read:

Subd. 4.

Law enforcement agency; disclosure of information to public.

(a) The law
enforcement agency in the area where the predatory offender resides, expects to reside, is
employed, or is regularly found, shall disclose to the public any information regarding the
offender contained in the report forwarded to the agency under subdivision 3, paragraph
(f), that is relevant and necessary to protect the public and to counteract the offender's
dangerousness, consistent with the guidelines in paragraph (b). The extent of the information
disclosed and the community to whom disclosure is made must relate to the level of danger
posed by the offender, to the offender's pattern of offending behavior, and to the need of
community members for information to enhance their individual and collective safety.

(b) The law enforcement agency shall employ the following guidelines in determining
the scope of disclosure made under this subdivision:

(1) if the offender is assigned to risk level I, the agency may maintain information
regarding the offender within the agency and may disclose it to other law enforcement
agencies. Additionally, the agency may disclose the information to any victims of or
witnesses to the offense committed by the offender. The agency shall disclose the information
to victims of the offense committed by the offender who have requested disclosure and to
adult members of the offender's immediate household;

(2) if the offender is assigned to risk level II, the agency also may disclose the information
to agencies and groups that the offender is likely to encounter for the purpose of securing
those institutions and protecting individuals in their care while they are on or near the
premises of the institution. These agencies and groups include the staff members of public
and private educational institutions, day care establishments, and establishments and
organizations that primarily serve individuals likely to be victimized by the offender. The
agency also may disclose the information to individuals the agency believes are likely to
be victimized by the offender. The agency's belief shall be based on the offender's pattern
of offending or victim preference as documented in the information provided by the
Department of Corrections deleted text begin or deleted text end new text begin , the Department of new text end Human Services new text begin , or Direct Care and
Treatment new text end . The agency may disclose the information to property assessors, property
inspectors, code enforcement officials, and child protection officials who are likely to visit
the offender's home in the course of their duties;

(3) if the offender is assigned to risk level III, the agency shall disclose the information
to the persons and entities described in clauses (1) and (2) and to other members of the
community whom the offender is likely to encounter, unless the law enforcement agency
determines that public safety would be compromised by the disclosure or that a more limited
disclosure is necessary to protect the identity of the victim.

Notwithstanding the assignment of a predatory offender to risk level II or III, a law
enforcement agency may not make the disclosures permitted or required by clause (2) or
(3), if: the offender is placed or resides in a residential facility. However, if an offender is
placed or resides in a residential facility, the offender and the head of the facility shall
designate the offender's likely residence upon release from the facility and the head of the
facility shall notify the commissioner of corrections deleted text begin or deleted text end new text begin , new text end the commissioner of human services new text begin ,
or the Direct Care and Treatment executive board new text end of the offender's likely residence at least
14 days before the offender's scheduled release date. The commissioner shall give this
information to the law enforcement agency having jurisdiction over the offender's likely
residence. The head of the residential facility also shall notify the commissioner of corrections
deleted text begin or deleted text end new text begin , the commissioner of new text end human services new text begin , or the Direct Care and Treatment executive board new text end
within 48 hours after finalizing the offender's approved relocation plan to a permanent
residence. Within five days after receiving this notification, the appropriate commissioner
shall give to the appropriate law enforcement agency all relevant information the
commissioner has concerning the offender, including information on the risk factors in the
offender's history and the risk level to which the offender was assigned. After receiving this
information, the law enforcement agency shall make the disclosures permitted or required
by clause (2) or (3), as appropriate.

(c) As used in paragraph (b), clauses (2) and (3), "likely to encounter" means that:

(1) the organizations or community members are in a location or in close proximity to
a location where the offender lives or is employed, or which the offender visits or is likely
to visit on a regular basis, other than the location of the offender's outpatient treatment
program; and

(2) the types of interaction which ordinarily occur at that location and other circumstances
indicate that contact with the offender is reasonably certain.

(d) A law enforcement agency or official who discloses information under this subdivision
shall make a good faith effort to make the notification within 14 days of receipt of a
confirmed address from the Department of Corrections indicating that the offender will be,
or has been, released from confinement, or accepted for supervision, or has moved to a new
address and will reside at the address indicated. If a change occurs in the release plan, this
notification provision does not require an extension of the release date.

(e) A law enforcement agency or official who discloses information under this subdivision
shall not disclose the identity or any identifying characteristics of the victims of or witnesses
to the offender's offenses.

(f) A law enforcement agency shall continue to disclose information on an offender as
required by this subdivision for as long as the offender is required to register under section
243.166. This requirement on a law enforcement agency to continue to disclose information
also applies to an offender who lacks a primary address and is registering under section
243.166, subdivision 3a.

(g) A law enforcement agency that is disclosing information on an offender assigned to
risk level III to the public under this subdivision shall inform the commissioner of corrections
what information is being disclosed and forward this information to the commissioner within
two days of the agency's determination. The commissioner shall post this information on
the Internet as required in subdivision 4b.

(h) A city council may adopt a policy that addresses when information disclosed under
this subdivision must be presented in languages in addition to English. The policy may
address when information must be presented orally, in writing, or both in additional languages
by the law enforcement agency disclosing the information. The policy may provide for
different approaches based on the prevalence of non-English languages in different
neighborhoods.

(i) An offender who is the subject of a community notification meeting held pursuant
to this section may not attend the meeting.

(j) When a school, day care facility, or other entity or program that primarily educates
or serves children receives notice under paragraph (b), clause (3), that a level III predatory
offender resides or works in the surrounding community, notice to parents must be made
as provided in this paragraph. If the predatory offender identified in the notice is participating
in programs offered by the facility that require or allow the person to interact with children
other than the person's children, the principal or head of the entity must notify parents with
children at the facility of the contents of the notice received pursuant to this section. The
immunity provisions of subdivision 7 apply to persons disclosing information under this
paragraph.

(k) When an offender for whom notification was made under this subdivision no longer
resides, is employed, or is regularly found in the area, and the law enforcement agency that
made the notification is aware of this, the agency shall inform the entities and individuals
initially notified of the change in the offender's status. If notification was made under
paragraph (b), clause (3), the agency shall provide the updated information required under
this paragraph in a manner designed to ensure a similar scope of dissemination. However,
the agency is not required to hold a public meeting to do so.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 28.

Minnesota Statutes 2024, section 245.50, subdivision 2, is amended to read:

Subd. 2.

Purpose and authority.

(a) The purpose of this section is to enable appropriate
treatment or detoxification services to be provided to individuals, across state lines from
the individual's state of residence, in qualified facilities that are closer to the homes of
individuals than are facilities available in the individual's home state.

(b) Unless prohibited by another law and subject to the exceptions listed in subdivision
3, a county board deleted text begin or deleted text end new text begin , new text end the commissioner of human services new text begin , or the Direct Care and Treatment
executive board new text end may contract with an agency or facility in a bordering state for mental
health, chemical health, or detoxification services for residents of Minnesota, and a Minnesota
mental health, chemical health, or detoxification agency or facility may contract to provide
services to residents of bordering states. Except as provided in subdivision 5, a person who
receives services in another state under this section is subject to the laws of the state in
which services are provided. A person who will receive services in another state under this
section must be informed of the consequences of receiving services in another state, including
the implications of the differences in state laws, to the extent the individual will be subject
to the laws of the receiving state.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 29.

Minnesota Statutes 2024, section 245.91, subdivision 2, is amended to read:

Subd. 2.

Agency.

"Agency" means the divisions, officials, or employees of the state
Departments of Human Services, deleted text begin Direct Care and Treatment, deleted text end Health, and Education deleted text begin , deleted text end new text begin ; Direct
Care and Treatment; new text end and of local school districts and designated county social service
agencies as defined in section 256G.02, subdivision 7, that are engaged in monitoring,
providing, or regulating services or treatment for mental illness, developmental disability,
substance use disorder, or emotional disturbance.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 30.

Minnesota Statutes 2024, section 246.585, is amended to read:

246.585 CRISIS SERVICES.

Within the limits of appropriations, state-operated regional technical assistance must be
available in each region to assist counties, new text begin Tribal Nations, new text end residential and deleted text begin day programming
staff deleted text end new text begin vocational service providers new text end , deleted text begin and deleted text end families new text begin , and persons with disabilities new text end to prevent or
resolve crises that could lead to a deleted text begin change in placement deleted text end new text begin person moving to a less integrated
setting new text end . deleted text begin Crisis capacity must be provided on all regional treatment center campuses serving
persons with developmental disabilities. deleted text end In addition, crisis capacity may be developed to
serve 16 persons in the Twin Cities metropolitan area. deleted text begin Technical assistance and consultation
must also be available in each region to providers and counties. deleted text end Staff must be available to
provide:

(1) individual assessments;

(2) program plan development and implementation assistance;

(3) analysis of service delivery problems; and

(4) assistance with transition planning, including technical assistance to counties new text begin , Tribal
Nations, new text end and new text begin service new text end providers to develop new services, site the new services, and assist
with community acceptance.

Sec. 31.

Minnesota Statutes 2024, section 246C.06, subdivision 11, is amended to read:

Subd. 11.

Rulemaking.

(a) The executive board is authorized to adopt, amend, and
repeal rules in accordance with chapter 14 to the extent necessary to implement this chapter
or any responsibilities of Direct Care and Treatment specified in state law. new text begin The 18-month
time limit under section 14.125 does not apply to the rulemaking authority under this
subdivision.
new text end

(b) Until July 1, 2027, the executive board may adopt rules using the expedited
rulemaking process in section 14.389.

(c) In accordance with section 15.039, all orders, rules, delegations, permits, and other
privileges issued or granted by the Department of Human Services with respect to any
function of Direct Care and Treatment and in effect at the time of the establishment of Direct
Care and Treatment shall continue in effect as if such establishment had not occurred. The
executive board may amend or repeal rules applicable to Direct Care and Treatment that
were established by the Department of Human Services in accordance with chapter 14.

(d) The executive board must not adopt rules that go into effect or enforce rules prior
to July 1, 2025.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2024.
new text end

Sec. 32.

Minnesota Statutes 2024, section 246C.12, subdivision 6, is amended to read:

Subd. 6.

deleted text begin Dissemination of deleted text end Admission and stay criteria new text begin ; dissemination new text end .

new text begin (a) The
executive board shall establish standard admission and continued-stay criteria for
state-operated services facilities to ensure that appropriate services are provided in the least
restrictive setting.
new text end

new text begin (b) new text end The executive board shall periodically disseminate criteria for admission and
continued stay in a state-operated services facility. The executive board shall disseminate
the criteria to the courts of the state and counties.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 33.

Minnesota Statutes 2024, section 246C.20, is amended to read:

246C.20 CONTRACT WITH DEPARTMENT OF HUMAN SERVICES FOR
ADMINISTRATIVE SERVICES.

(a) Direct Care and Treatment shall contract with the Department of Human Services
to provide determinations on issues of county of financial responsibility under chapter 256G
and to provide administrative and judicial review of direct care and treatment matters
according to section 256.045.

(b) The executive board may prescribe rules necessary to carry out this deleted text begin subdivision deleted text end new text begin
section new text end , except that the executive board must not create any rule purporting to control the
decision making or processes of state human services judges under section 256.045,
subdivision 4, or the decision making or processes of the commissioner of human services
issuing an advisory opinion or recommended order to the executive board under section
256G.09, subdivision 3. The executive board must not create any rule purporting to control
processes for determinations of financial responsibility under chapter 256G or administrative
and judicial review under section 256.045 on matters outside of the jurisdiction of Direct
Care and Treatment.

(c) The executive board and commissioner of human services may adopt joint rules
necessary to accomplish the purposes of this section.

Sec. 34.

new text begin [246C.21] INTERVIEW EXPENSES.
new text end

new text begin Job applicants for professional, administrative, or highly technical positions recruited
by the Direct Care and Treatment executive board may be reimbursed for necessary travel
expenses to and from interviews arranged by the Direct Care and Treatment executive board.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 35.

new text begin [246C.211] FEDERAL GRANTS FOR MINNESOTA INDIANS.
new text end

new text begin The Direct Care and Treatment executive board is authorized to enter into contracts with
the United States Departments of Health and Human Services; Education; and Interior,
Bureau of Indian Affairs, for the purposes of receiving federal grants for the welfare and
relief of Minnesota Indians.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 36.

Minnesota Statutes 2024, section 252.291, subdivision 3, is amended to read:

Subd. 3.

Duties of commissioner of human services.

The commissioner shall:

(1) establish deleted text begin standard admission criteria for state hospitals and deleted text end county utilization targets
to limit and reduce the number of intermediate care beds in state hospitals and community
facilities in accordance with approved waivers under United States Code, title 42, sections
1396 to 1396p, as amended through December 31, 1987, to deleted text begin assure deleted text end new text begin ensure new text end that appropriate
services are provided in the least restrictive setting;

(2) define services, including respite care, that may be needed in meeting individual
service plan objectives;

(3) provide technical assistance so that county boards may establish a request for proposal
system for meeting individual service plan objectives through home and community-based
services; alternative community services; or, if no other alternative will meet the needs of
identifiable individuals for whom the county is financially responsible, a new intermediate
care facility for persons with developmental disabilities;

(4) establish a client tracking and evaluation system as required under applicable federal
waiver regulations, Code of Federal Regulations, title 42, sections 431, 435, 440, and 441,
as amended through December 31, 1987; and

(5) develop a state plan for the delivery and funding of residential day and support
services to persons with developmental disabilities in Minnesota. The biennial developmental
disability plan shall include but not be limited to:

(i) county by county maximum intermediate care bed utilization quotas;

(ii) plans for the development of the number and types of services alternative to
intermediate care beds;

(iii) procedures for the administration and management of the plan;

(iv) procedures for the evaluation of the implementation of the plan; and

(v) the number, type, and location of intermediate care beds targeted for decertification.

The commissioner shall modify the plan to ensure conformance with the medical
assistance home and community-based services waiver.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 37.

Minnesota Statutes 2024, section 252.50, subdivision 5, is amended to read:

Subd. 5.

Location of programs.

(a) In determining the location of state-operated,
community-based programs, the needs of the individual client shall be paramount. The
executive board shall also take into account:

(1) prioritization of deleted text begin beds deleted text end new text begin services new text end in state-operated, community-based programs for
individuals with complex behavioral needs that cannot be met by private community-based
providers;

(2) choices made by individuals who chose to move to a more integrated setting, and
shall coordinate with the lead agency to ensure that appropriate person-centered transition
plans are created;

(3) the personal preferences of the persons being served and their families as determined
by Minnesota Rules, parts 9525.0004 to 9525.0036;

(4) the location of the support services established by the individual service plans of the
persons being served;

(5) the appropriate grouping of the persons served;

(6) the availability of qualified staff;

(7) the need for state-operated, community-based programs in the geographical region
of the state; and

(8) a reasonable commuting distance from a regional treatment center or the residences
of the program staff.

(b) The executive board must locate state-operated, community-based programs in
coordination with the commissioner of human services according to section 252.28.

Sec. 38.

Minnesota Statutes 2024, section 253B.09, subdivision 3a, is amended to read:

Subd. 3a.

Reporting judicial commitments; private treatment program or
facility.

Notwithstanding section 253B.23, subdivision 9, when a court commits a patient
to a non-state-operated treatment facility or program, the court shall report the commitment
to the commissioner through the supreme court information system for purposes of providing
commitment information for firearm background checks under section 246C.15. If the
patient is committed to a state-operated treatment program, the court shall send a copy of
the commitment order to deleted text begin the commissioner and deleted text end the executive board.

Sec. 39.

Minnesota Statutes 2024, section 253B.10, subdivision 1, is amended to read:

Subdivision 1.

Administrative requirements.

(a) When a person is committed, the
court shall issue a warrant or an order committing the patient to the custody of the head of
the treatment facility, state-operated treatment program, or community-based treatment
program. The warrant or order shall state that the patient meets the statutory criteria for
civil commitment.

(b) The executive board shall prioritize civilly committed patients being admitted from
jail or a correctional institution or who are referred to a state-operated treatment facility for
competency attainment or a competency examination under sections 611.40 to 611.59 for
admission to a medically appropriate state-operated direct care and treatment bed based on
the decisions of physicians in the executive medical director's office, using a priority
admissions framework. The framework must account for a range of factors for priority
admission, including but not limited to:

(1) the length of time the person has been on a waiting list for admission to a
state-operated direct care and treatment program since the date of the order under paragraph
(a), or the date of an order issued under sections 611.40 to 611.59;

(2) the intensity of the treatment the person needs, based on medical acuity;

(3) the person's revoked provisional discharge status;

(4) the person's safety and safety of others in the person's current environment;

(5) whether the person has access to necessary or court-ordered treatment;

(6) distinct and articulable negative impacts of an admission delay on the facility referring
the individual for treatment; and

(7) any relevant federal prioritization requirements.

Patients described in this paragraph must be admitted to a state-operated treatment program
within 48 hours. The commitment must be ordered by the court as provided in section
253B.09, subdivision 1, paragraph (d). Patients committed to a secure treatment facility or
less restrictive setting as ordered by the court under section 253B.18, subdivisions 1 and 2,
must be prioritized for admission to a state-operated treatment program using the priority
admissions framework in this paragraph.

(c) Upon the arrival of a patient at the designated treatment facility, state-operated
treatment program, or community-based treatment program, the head of the facility or
program shall retain the duplicate of the warrant and endorse receipt upon the original
warrant or acknowledge receipt of the order. The endorsed receipt or acknowledgment must
be filed in the court of commitment. After arrival, the patient shall be under the control and
custody of the head of the facility or program.

(d) Copies of the petition for commitment, the court's findings of fact and conclusions
of law, the court order committing the patient, the report of the court examiners, and the
prepetition report, and any medical and behavioral information available shall be provided
at the time of admission of a patient to the designated treatment facility or program to which
the patient is committed. Upon a patient's referral to the executive board for admission
pursuant to subdivision 1, paragraph (b), any inpatient hospital, treatment facility, jail, or
correctional facility that has provided care or supervision to the patient in the previous two
years shall, when requested by the treatment facility or executive board, provide copies of
the patient's medical and behavioral records to the executive board for purposes of
preadmission planning. This information shall be provided by the head of the treatment
facility to treatment facility staff in a consistent and timely manner and pursuant to all
applicable laws.

(e) Patients described in paragraph (b) must be admitted to a state-operated treatment
program within 48 hours of the Office of Executive Medical Director, under section 246C.09,
or a designee determining that a medically appropriate bed is available. deleted text begin This paragraph
expires on June 30, 2025.
deleted text end

(f) Within four business days of determining which state-operated direct care and
treatment program or programs are appropriate for an individual, the executive medical
director's office or a designee must notify the source of the referral and the responsible
county human services agency, the individual being ordered to direct care and treatment,
and the district court that issued the order of the determination. The notice shall include
which program or programs are appropriate for the person's priority status. Any interested
person may provide additional information or request updated priority status about the
individual to the executive medical director's office or a designee while the individual is
awaiting admission. Updated priority status of an individual will only be disclosed to
interested persons who are legally authorized to receive private information about the
individual. When an available bed has been identified, the executive medical director's
office or a designee must notify the designated agency and the facility where the individual
is awaiting admission that the individual has been accepted for admission to a particular
state-operated direct care and treatment program and the earliest possible date the admission
can occur. The designated agency or facility where the individual is awaiting admission
must transport the individual to the admitting state-operated direct care and treatment
program no more than 48 hours after the offered admission date.

Sec. 40.

Minnesota Statutes 2024, section 256.01, subdivision 2, is amended to read:

Subd. 2.

Specific powers.

Subject to the provisions of section 241.021, subdivision 2,
the commissioner of human services shall carry out the specific duties in paragraphs (a)
through (bb):

(a) Administer and supervise the forms of public assistance provided for by state law
and other welfare activities or services that are vested in the commissioner. Administration
and supervision of human services activities or services includes, but is not limited to,
assuring timely and accurate distribution of benefits, completeness of service, and quality
program management. In addition to administering and supervising human services activities
vested by law in the department, the commissioner shall have the authority to:

(1) require county agency participation in training and technical assistance programs to
promote compliance with statutes, rules, federal laws, regulations, and policies governing
human services;

(2) monitor, on an ongoing basis, the performance of county agencies in the operation
and administration of human services, enforce compliance with statutes, rules, federal laws,
regulations, and policies governing welfare services and promote excellence of administration
and program operation;

(3) develop a quality control program or other monitoring program to review county
performance and accuracy of benefit determinations;

(4) require county agencies to make an adjustment to the public assistance benefits issued
to any individual consistent with federal law and regulation and state law and rule and to
issue or recover benefits as appropriate;

(5) delay or deny payment of all or part of the state and federal share of benefits and
administrative reimbursement according to the procedures set forth in section 256.017;

(6) make contracts with and grants to public and private agencies and organizations,
both profit and nonprofit, and individuals, using appropriated funds; and

(7) enter into contractual agreements with federally recognized Indian Tribes with a
reservation in Minnesota to the extent necessary for the Tribe to operate a federally approved
family assistance program or any other program under the supervision of the commissioner.
The commissioner shall consult with the affected county or counties in the contractual
agreement negotiations, if the county or counties wish to be included, in order to avoid the
duplication of county and Tribal assistance program services. The commissioner may
establish necessary accounts for the purposes of receiving and disbursing funds as necessary
for the operation of the programs.

The commissioner shall work in conjunction with the commissioner of children, youth, and
families to carry out the duties of this paragraph when necessary and feasible.

(b) Inform county agencies, on a timely basis, of changes in statute, rule, federal law,
regulation, and policy necessary to county agency administration of the programs.

(c) Administer and supervise all noninstitutional service to persons with disabilities,
including persons who have vision impairments, and persons who are deaf, deafblind, and
hard-of-hearing or with other disabilities. The commissioner may provide and contract for
the care and treatment of qualified indigent children in facilities other than those located
and available at state hospitals new text begin operated by the executive board new text end when it is not feasible to
provide the service in state hospitals new text begin operated by the executive board new text end .

(d) Assist and actively cooperate with other departments, agencies and institutions, local,
state, and federal, by performing services in conformity with the purposes of Laws 1939,
chapter 431.

(e) Act as the agent of and cooperate with the federal government in matters of mutual
concern relative to and in conformity with the provisions of Laws 1939, chapter 431,
including the administration of any federal funds granted to the state to aid in the performance
of any functions of the commissioner as specified in Laws 1939, chapter 431, and including
the promulgation of rules making uniformly available medical care benefits to all recipients
of public assistance, at such times as the federal government increases its participation in
assistance expenditures for medical care to recipients of public assistance, the cost thereof
to be borne in the same proportion as are grants of aid to said recipients.

(f) Establish and maintain any administrative units reasonably necessary for the
performance of administrative functions common to all divisions of the department.

(g) Act as designated guardian of both the estate and the person of all the wards of the
state of Minnesota, whether by operation of law or by an order of court, without any further
act or proceeding whatever, except as to persons committed as developmentally disabled.

(h) Act as coordinating referral and informational center on requests for service for
newly arrived immigrants coming to Minnesota.

(i) The specific enumeration of powers and duties as hereinabove set forth shall in no
way be construed to be a limitation upon the general transfer of powers herein contained.

(j) Establish county, regional, or statewide schedules of maximum fees and charges
which may be paid by county agencies for medical, dental, surgical, hospital, nursing and
nursing home care and medicine and medical supplies under all programs of medical care
provided by the state and for congregate living care under the income maintenance programs.

(k) Have the authority to conduct and administer experimental projects to test methods
and procedures of administering assistance and services to recipients or potential recipients
of public welfare. To carry out such experimental projects, it is further provided that the
commissioner of human services is authorized to waive the enforcement of existing specific
statutory program requirements, rules, and standards in one or more counties. The order
establishing the waiver shall provide alternative methods and procedures of administration,
shall not be in conflict with the basic purposes, coverage, or benefits provided by law, and
in no event shall the duration of a project exceed four years. It is further provided that no
order establishing an experimental project as authorized by the provisions of this section
shall become effective until the following conditions have been met:

(1) the United States Secretary of Health and Human Services has agreed, for the same
project, to waive state plan requirements relative to statewide uniformity; and

(2) a comprehensive plan, including estimated project costs, shall be approved by the
Legislative Advisory Commission and filed with the commissioner of administration.

(l) According to federal requirements and in coordination with the commissioner of
children, youth, and families, establish procedures to be followed by local welfare boards
in creating citizen advisory committees, including procedures for selection of committee
members.

(m) Allocate federal fiscal disallowances or sanctions which are based on quality control
error rates for medical assistance in the following manner:

(1) one-half of the total amount of the disallowance shall be borne by the county boards
responsible for administering the programs. Disallowances shall be shared by each county
board in the same proportion as that county's expenditures for the sanctioned program are
to the total of all counties' expenditures for medical assistance. Each county shall pay its
share of the disallowance to the state of Minnesota. When a county fails to pay the amount
due hereunder, the commissioner may deduct the amount from reimbursement otherwise
due the county, or the attorney general, upon the request of the commissioner, may institute
civil action to recover the amount due; and

(2) notwithstanding the provisions of clause (1), if the disallowance results from knowing
noncompliance by one or more counties with a specific program instruction, and that knowing
noncompliance is a matter of official county board record, the commissioner may require
payment or recover from the county or counties, in the manner prescribed in clause (1), an
amount equal to the portion of the total disallowance which resulted from the noncompliance,
and may distribute the balance of the disallowance according to clause (1).

(n) Develop and implement special projects that maximize reimbursements and result
in the recovery of money to the state. For the purpose of recovering state money, the
commissioner may enter into contracts with third parties. Any recoveries that result from
projects or contracts entered into under this paragraph shall be deposited in the state treasury
and credited to a special account until the balance in the account reaches $1,000,000. When
the balance in the account exceeds $1,000,000, the excess shall be transferred and credited
to the general fund. All money in the account is appropriated to the commissioner for the
purposes of this paragraph.

(o) Have the authority to establish and enforce the following county reporting
requirements:

(1) the commissioner shall establish fiscal and statistical reporting requirements necessary
to account for the expenditure of funds allocated to counties for human services programs.
When establishing financial and statistical reporting requirements, the commissioner shall
evaluate all reports, in consultation with the counties, to determine if the reports can be
simplified or the number of reports can be reduced;

(2) the county board shall submit monthly or quarterly reports to the department as
required by the commissioner. Monthly reports are due no later than 15 working days after
the end of the month. Quarterly reports are due no later than 30 calendar days after the end
of the quarter, unless the commissioner determines that the deadline must be shortened to
20 calendar days to avoid jeopardizing compliance with federal deadlines or risking a loss
of federal funding. Only reports that are complete, legible, and in the required format shall
be accepted by the commissioner;

(3) if the required reports are not received by the deadlines established in clause (2), the
commissioner may delay payments and withhold funds from the county board until the next
reporting period. When the report is needed to account for the use of federal funds and the
late report results in a reduction in federal funding, the commissioner shall withhold from
the county boards with late reports an amount equal to the reduction in federal funding until
full federal funding is received;

(4) a county board that submits reports that are late, illegible, incomplete, or not in the
required format for two out of three consecutive reporting periods is considered
noncompliant. When a county board is found to be noncompliant, the commissioner shall
notify the county board of the reason the county board is considered noncompliant and
request that the county board develop a corrective action plan stating how the county board
plans to correct the problem. The corrective action plan must be submitted to the
commissioner within 45 days after the date the county board received notice of
noncompliance;

(5) the final deadline for fiscal reports or amendments to fiscal reports is one year after
the date the report was originally due. If the commissioner does not receive a report by the
final deadline, the county board forfeits the funding associated with the report for that
reporting period and the county board must repay any funds associated with the report
received for that reporting period;

(6) the commissioner may not delay payments, withhold funds, or require repayment
under clause (3) or (5) if the county demonstrates that the commissioner failed to provide
appropriate forms, guidelines, and technical assistance to enable the county to comply with
the requirements. If the county board disagrees with an action taken by the commissioner
under clause (3) or (5), the county board may appeal the action according to sections 14.57
to 14.69; and

(7) counties subject to withholding of funds under clause (3) or forfeiture or repayment
of funds under clause (5) shall not reduce or withhold benefits or services to clients to cover
costs incurred due to actions taken by the commissioner under clause (3) or (5).

(p) Allocate federal fiscal disallowances or sanctions for audit exceptions when federal
fiscal disallowances or sanctions are based on a statewide random sample in direct proportion
to each county's claim for that period.

(q) Be responsible for ensuring the detection, prevention, investigation, and resolution
of fraudulent activities or behavior by applicants, recipients, and other participants in the
human services programs administered by the department.

(r) Require county agencies to identify overpayments, establish claims, and utilize all
available and cost-beneficial methodologies to collect and recover these overpayments in
the human services programs administered by the department.

(s) Have the authority to administer the federal drug rebate program for drugs purchased
under the medical assistance program as allowed by section 1927 of title XIX of the Social
Security Act and according to the terms and conditions of section 1927. Rebates shall be
collected for all drugs that have been dispensed or administered in an outpatient setting and
that are from manufacturers who have signed a rebate agreement with the United States
Department of Health and Human Services.

(t) Have the authority to administer a supplemental drug rebate program for drugs
purchased under the medical assistance program. The commissioner may enter into
supplemental rebate contracts with pharmaceutical manufacturers and may require prior
authorization for drugs that are from manufacturers that have not signed a supplemental
rebate contract. Prior authorization of drugs shall be subject to the provisions of section
256B.0625, subdivision 13.

(u) Operate the department's communication systems account established in Laws 1993,
First Special Session chapter 1, article 1, section 2, subdivision 2, to manage shared
communication costs necessary for the operation of the programs the commissioner
supervises. Each account must be used to manage shared communication costs necessary
for the operations of the programs the commissioner supervises. The commissioner may
distribute the costs of operating and maintaining communication systems to participants in
a manner that reflects actual usage. Costs may include acquisition, licensing, insurance,
maintenance, repair, staff time and other costs as determined by the commissioner. Nonprofit
organizations and state, county, and local government agencies involved in the operation
of programs the commissioner supervises may participate in the use of the department's
communications technology and share in the cost of operation. The commissioner may
accept on behalf of the state any gift, bequest, devise or personal property of any kind, or
money tendered to the state for any lawful purpose pertaining to the communication activities
of the department. Any money received for this purpose must be deposited in the department's
communication systems accounts. Money collected by the commissioner for the use of
communication systems must be deposited in the state communication systems account and
is appropriated to the commissioner for purposes of this section.

(v) Receive any federal matching money that is made available through the medical
assistance program for the consumer satisfaction survey. Any federal money received for
the survey is appropriated to the commissioner for this purpose. The commissioner may
expend the federal money received for the consumer satisfaction survey in either year of
the biennium.

(w) Designate community information and referral call centers and incorporate cost
reimbursement claims from the designated community information and referral call centers
into the federal cost reimbursement claiming processes of the department according to
federal law, rule, and regulations. Existing information and referral centers provided by
Greater Twin Cities United Way or existing call centers for which Greater Twin Cities
United Way has legal authority to represent, shall be included in these designations upon
review by the commissioner and assurance that these services are accredited and in
compliance with national standards. Any reimbursement is appropriated to the commissioner
and all designated information and referral centers shall receive payments according to
normal department schedules established by the commissioner upon final approval of
allocation methodologies from the United States Department of Health and Human Services
Division of Cost Allocation or other appropriate authorities.

(x) Develop recommended standards for adult foster care homes that address the
components of specialized therapeutic services to be provided by adult foster care homes
with those services.

(y) Authorize the method of payment to or from the department as part of the human
services programs administered by the department. This authorization includes the receipt
or disbursement of funds held by the department in a fiduciary capacity as part of the human
services programs administered by the department.

(z) Designate the agencies that operate the Senior LinkAge Line under section 256.975,
subdivision 7, and the Disability Hub under subdivision 24 as the state of Minnesota Aging
and Disability Resource Center under United States Code, title 42, section 3001, the Older
Americans Act Amendments of 2006, and incorporate cost reimbursement claims from the
designated centers into the federal cost reimbursement claiming processes of the department
according to federal law, rule, and regulations. Any reimbursement must be appropriated
to the commissioner and treated consistent with section 256.011. All Aging and Disability
Resource Center designated agencies shall receive payments of grant funding that supports
the activity and generates the federal financial participation according to Board on Aging
administrative granting mechanisms.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 41.

Minnesota Statutes 2024, section 256.01, subdivision 5, is amended to read:

Subd. 5.

Gifts, contributions, pensions and benefits; acceptance.

The commissioner
may receive and accept on behalf of patients deleted text begin and residents at the several state hospitals for
persons with mental illness or developmental disabilities during the period of their
hospitalization and while on provisional discharge therefrom, deleted text end money due and payable to
them as old age and survivors insurance benefits, veterans benefits, pensions or other such
monetary benefits. Such gifts, contributions, pensions and benefits shall be deposited in and
disbursed from the social welfare fund provided for in sections 256.88 to 256.92.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 42.

Minnesota Statutes 2024, section 256.019, subdivision 1, is amended to read:

Subdivision 1.

Retention rates.

When an assistance recovery amount is collected and
posted by a county agency under the provisions governing public assistance programs
including general assistance medical care formerly codified in chapter 256D, general
assistance, and Minnesota supplemental aid, the county may keep one-half of the recovery
made by the county agency using any method other than recoupment. For medical assistance,
if the recovery is made by a county agency using any method other than recoupment, the
county may keep one-half of the nonfederal share of the recovery. For MinnesotaCare, if
the recovery is collected and posted by the county agency, the county may keep one-half
of the nonfederal share of the recovery.

This does not apply to recoveries from medical providers or to recoveries begun by the
Department of Human Services' Surveillance and Utilization Review Division deleted text begin , State Hospital
Collections Unit, deleted text end and deleted text begin the deleted text end Benefit Recoveries Division deleted text begin or deleted text end , deleted text begin by deleted text end the new text begin Direct Care and Treatment
State Hospital Collections Unit, the new text end attorney general's office, or child support collections.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 43.

Minnesota Statutes 2024, section 256.0281, is amended to read:

256.0281 INTERAGENCY DATA EXCHANGE.

new text begin (a) new text end The Department of Human Services, the Department of Health, new text begin Direct Care and
Treatment, new text end and the Office of the Ombudsman for Mental Health and Developmental
Disabilities may establish interagency agreements governing the electronic exchange of
data on providers and individuals collected, maintained, or used by each agency when such
exchange is outlined by each agency in an interagency agreement to accomplish the purposes
in clauses (1) to (4):

(1) to improve provider enrollment processes for home and community-based services
and state plan home care services;

(2) to improve quality management of providers between state agencies;

(3) to establish and maintain provider eligibility to participate as providers under
Minnesota health care programs; or

(4) to meet the quality assurance reporting requirements under federal law under section
1915(c) of the Social Security Act related to home and community-based waiver programs.

new text begin (b) new text end Each interagency agreement must include provisions to ensure anonymity of
individuals, including mandated reporters, and must outline the specific uses of and access
to shared data within each agency. Electronic interfaces between source data systems
developed under these interagency agreements must incorporate these provisions as well
as other HIPAA provisions related to individual data.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 44.

Minnesota Statutes 2024, section 256.0451, subdivision 1, is amended to read:

Subdivision 1.

Scope.

(a) The requirements in this section apply to all fair hearings and
appeals under sections 142A.20, subdivision 2, and 256.045, subdivision 3, paragraph (a),
clauses (1), (2), (3), (5), (6), (7), (10), and (12). Except as provided in subdivisions 3 and
19, the requirements under this section apply to fair hearings and appeals under section
256.045, subdivision 3, paragraph (a), clauses (4), (8), (9), and (11).

(b) For purposes of this section, "person" means an individual who, on behalf of
themselves or their household, is appealing or disputing or challenging an action, a decision,
or a failure to act, by an agency deleted text begin in the human services system deleted text end new text begin subject to this section new text end . When
a person involved in a proceeding under this section is represented by an attorney or by an
authorized representative, the term "person" also means the person's attorney or authorized
representative. Any notice sent to the person involved in the hearing must also be sent to
the person's attorney or authorized representative.

(c) For purposes of this section, "agency" means deleted text begin the deleted text end new text begin a new text end county human services agency,
deleted text begin the deleted text end new text begin a new text end state deleted text begin human services deleted text end agency, and, where applicable, any entity involved under a
contract, subcontract, grant, or subgrant with the state agency or with a county agency, that
provides or operates programs or services in which appeals are governed by section 256.045.

new text begin (d) For purposes of this section, "state agency" means the Department of Human Services;
the Department of Health; the Department of Education; the Department of Children, Youth,
and Families; or Direct Care and Treatment.
new text end

Sec. 45.

Minnesota Statutes 2024, section 256.0451, subdivision 3, is amended to read:

Subd. 3.

Agency appeal summary.

(a) Except in fair hearings and appeals under section
256.045, subdivision 3, paragraph (a), clauses (4), (9), and (10), the agency involved in an
appeal must prepare a state agency appeal summary for each fair hearing appeal. The state
agency appeal summary shall be mailed or otherwise delivered to the person who is involved
in the appeal at least three working days before the date of the hearing. The state agency
appeal summary must also be mailed or otherwise delivered to the deleted text begin department's deleted text end new text begin Department
of Human Services' new text end Appeals Office at least three working days before the date of the fair
hearing appeal.

(b) In addition, the human services judge shall confirm that the state agency appeal
summary is mailed or otherwise delivered to the person involved in the appeal as required
under paragraph (a). The person involved in the fair hearing should be provided, through
the state agency appeal summary or other reasonable methods, appropriate information
about the procedures for the fair hearing and an adequate opportunity to prepare. These
requirements apply equally to the state agency or an entity under contract when involved
in the appeal.

(c) The contents of the state agency appeal summary must be adequate to inform the
person involved in the appeal of the evidence on which the agency relies and the legal basis
for the agency's action or determination.

Sec. 46.

Minnesota Statutes 2024, section 256.0451, subdivision 6, is amended to read:

Subd. 6.

Appeal request for emergency assistance or urgent matter.

(a) When an
appeal involves an application for emergency assistance, the agency involved shall mail or
otherwise deliver the state agency appeal summary to the deleted text begin department's deleted text end new text begin Department of Human
Services' new text end Appeals Office within two working days of receiving the request for an appeal.
A person may also request that a fair hearing be held on an emergency basis when the issue
requires an immediate resolution. The human services judge shall schedule the fair hearing
on the earliest available date according to the urgency of the issue involved. Issuance of the
recommended decision after an emergency hearing shall be expedited.

(b) The new text begin applicable new text end commissioner new text begin or executive board new text end shall issue a written decision within
five working days of receiving the recommended decision, shall immediately inform the
parties of the outcome by telephone, and shall mail the decision no later than two working
days following the date of the decision.

Sec. 47.

Minnesota Statutes 2024, section 256.0451, subdivision 8, is amended to read:

Subd. 8.

Subpoenas.

A person involved in a fair hearing or the agency may request a
subpoena for a witness, for evidence, or for both. A reasonable number of subpoenas shall
be issued to require the attendance and the testimony of witnesses, and the production of
evidence relating to any issue of fact in the appeal hearing. The request for a subpoena must
show a need for the subpoena and the general relevance to the issues involved. The subpoena
shall be issued in the name of the Department new text begin of Human Services new text end and shall be served and
enforced as provided in section 357.22 and the Minnesota Rules of Civil Procedure.

An individual or entity served with a subpoena may petition the human services judge
in writing to vacate or modify a subpoena. The human services judge shall resolve such a
petition in a prehearing conference involving all parties and shall make a written decision.
A subpoena may be vacated or modified if the human services judge determines that the
testimony or evidence sought does not relate with reasonable directness to the issues of the
fair hearing appeal; that the subpoena is unreasonable, over broad, or oppressive; that the
evidence sought is repetitious or cumulative; or that the subpoena has not been served
reasonably in advance of the time when the appeal hearing will be held.

Sec. 48.

Minnesota Statutes 2024, section 256.0451, subdivision 9, is amended to read:

Subd. 9.

No ex parte contact.

The human services judge shall not have ex parte contact
on substantive issues with the agency or with any person or witness in a fair hearing appeal.
No employee of deleted text begin the Department or deleted text end new text begin an new text end agency shall review, interfere with, change, or attempt
to influence the recommended decision of the human services judge in any fair hearing
appeal, except through the procedure allowed in subdivision 18. The limitations in this
subdivision do not affect the new text begin applicable new text end commissioner's new text begin or executive board's new text end authority to
review or reconsider decisions or make final decisions.

Sec. 49.

Minnesota Statutes 2024, section 256.0451, subdivision 18, is amended to read:

Subd. 18.

Inviting comment by deleted text begin department deleted text end new text begin state agency new text end .

The human services judge
or the new text begin applicable new text end commissioner new text begin or executive board new text end may determine that a written comment
by the deleted text begin department deleted text end new text begin state agency new text end about the policy implications of a specific legal issue could
help resolve a pending appeal. Such a written policy comment from the deleted text begin department deleted text end new text begin state
agency new text end shall be obtained only by a written request that is also sent to the person involved
and to the agency or its representative. When such a written comment is received, both the
person involved in the hearing and the agency shall have adequate opportunity to review,
evaluate, and respond to the written comment, including submission of additional testimony
or evidence, and cross-examination concerning the written comment.

Sec. 50.

Minnesota Statutes 2024, section 256.0451, subdivision 22, is amended to read:

Subd. 22.

Decisions.

A timely, written decision must be issued in every appeal. Each
decision must contain a clear ruling on the issues presented in the appeal hearing and should
contain a ruling only on questions directly presented by the appeal and the arguments raised
in the appeal.

(a) A written decision must be issued within 90 days of the date the person involved
requested the appeal unless a shorter time is required by law. An additional 30 days is
provided in those cases where the new text begin applicable new text end commissioner new text begin or executive board new text end refuses to
accept the recommended decision. In appeals of maltreatment determinations or
disqualifications filed pursuant to section 256.045, subdivision 3, paragraph (a), clause (4),
(8), or (9), that also give rise to possible licensing actions, the 90-day period for issuing
final decisions does not begin until the later of the date that the licensing authority provides
notice to the appeals division that the authority has made the final determination in the
matter or the date the appellant files the last appeal in the consolidated matters.

(b) The decision must contain both findings of fact and conclusions of law, clearly
separated and identified. The findings of fact must be based on the entire record. Each
finding of fact made by the human services judge shall be supported by a preponderance
of the evidence unless a different standard is required under the regulations of a particular
program. The "preponderance of the evidence" means, in light of the record as a whole, the
evidence leads the human services judge to believe that the finding of fact is more likely to
be true than not true. The legal claims or arguments of a participant do not constitute either
a finding of fact or a conclusion of law, except to the extent the human services judge adopts
an argument as a finding of fact or conclusion of law.

The decision shall contain at least the following:

(1) a listing of the date and place of the hearing and the participants at the hearing;

(2) a clear and precise statement of the issues, including the dispute under consideration
and the specific points which must be resolved in order to decide the case;

(3) a listing of the material, including exhibits, records, reports, placed into evidence at
the hearing, and upon which the hearing decision is based;

(4) the findings of fact based upon the entire hearing record. The findings of fact must
be adequate to inform the participants and any interested person in the public of the basis
of the decision. If the evidence is in conflict on an issue which must be resolved, the findings
of fact must state the reasoning used in resolving the conflict;

(5) conclusions of law that address the legal authority for the hearing and the ruling, and
which give appropriate attention to the claims of the participants to the hearing;

(6) a clear and precise statement of the decision made resolving the dispute under
consideration in the hearing; and

(7) written notice of the right to appeal to district court or to request reconsideration,
and of the actions required and the time limits for taking appropriate action to appeal to
district court or to request a reconsideration.

(c) The human services judge shall not independently investigate facts or otherwise rely
on information not presented at the hearing. The human services judge may not contact
other agency personnel, except as provided in subdivision 18. The human services judge's
recommended decision must be based exclusively on the testimony and evidence presented
at the hearing, and legal arguments presented, and the human services judge's research and
knowledge of the law.

(d) The new text begin applicable new text end commissioner deleted text begin will deleted text end new text begin or executive board must new text end review the recommended
decision and accept or refuse to accept the decision according to section 142A.20, subdivision
3, or 256.045, subdivision 5 new text begin or 5a new text end .

Sec. 51.

Minnesota Statutes 2024, section 256.0451, subdivision 23, is amended to read:

Subd. 23.

Refusal to accept recommended orders.

(a) If the new text begin applicable new text end commissioner
new text begin or executive board new text end refuses to accept the recommended order from the human services judge,
the person involved, the person's attorney or authorized representative, and the agency shall
be sent a copy of the recommended order, a detailed explanation of the basis for refusing
to accept the recommended order, and the proposed modified order.

(b) The person involved and the agency shall have at least ten business days to respond
to the proposed modification of the recommended order. The person involved and the agency
may submit a legal argument concerning the proposed modification, and may propose to
submit additional evidence that relates to the proposed modified order.

Sec. 52.

Minnesota Statutes 2024, section 256.0451, subdivision 24, is amended to read:

Subd. 24.

Reconsideration.

(a) Reconsideration may be requested within 30 days of
the date of the new text begin applicable new text end commissioner's new text begin or executive board's new text end final order. If reconsideration
is requested under section 142A.20, subdivision 3, or 256.045, subdivision 5 new text begin or 5a new text end , the other
participants in the appeal shall be informed of the request. The person seeking reconsideration
has the burden to demonstrate why the matter should be reconsidered. The request for
reconsideration may include legal argument and may include proposed additional evidence
supporting the request. The other participants shall be sent a copy of all material submitted
in support of the request for reconsideration and must be given ten days to respond.

(b) When the requesting party raises a question as to the appropriateness of the findings
of fact, the new text begin applicable new text end commissioner new text begin or executive board new text end shall review the entire record.

(c) When the requesting party questions the appropriateness of a conclusion of law, the new text begin
applicable new text end commissioner new text begin or executive board new text end shall consider the recommended decision, the
decision under reconsideration, and the material submitted in connection with the
reconsideration. The new text begin applicable new text end commissioner new text begin or executive board new text end shall review the remaining
record as necessary to issue a reconsidered decision.

(d) The new text begin applicable new text end commissioner new text begin or executive board new text end shall issue a written decision on
reconsideration in a timely fashion. The decision must clearly inform the parties that this
constitutes the final administrative decision, advise the participants of the right to seek
judicial review, and the deadline for doing so.

Sec. 53.

Minnesota Statutes 2024, section 256.4825, is amended to read:

256.4825 REPORT REGARDING PROGRAMS AND SERVICES FOR PEOPLE
WITH DISABILITIES.

The Minnesota State Council on Disability, the Minnesota Consortium for Citizens with
Disabilities, and the Arc of Minnesota may submit an annual report by January 15 of each
year, beginning in 2012, to the chairs and ranking minority members of the legislative
committees with jurisdiction over programs serving people with disabilities as provided in
this section. The report must describe the existing state policies and goals for programs
serving people with disabilities including, but not limited to, programs for employment,
transportation, housing, education, quality assurance, consumer direction, physical and
programmatic access, and health. The report must provide data and measurements to assess
the extent to which the policies and goals are being met. The commissioner of human
services new text begin , the Direct Care and Treatment executive board, new text end and the commissioners of other
state agencies administering programs for people with disabilities shall cooperate with the
Minnesota State Council on Disability, the Minnesota Consortium for Citizens with
Disabilities, and the Arc of Minnesota and provide those organizations with existing
published information and reports that will assist in the preparation of the report.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 54.

Minnesota Statutes 2024, section 256.93, subdivision 1, is amended to read:

Subdivision 1.

Limitations.

In any case where the guardianship of any child with a
developmental disability or who is disabled, dependent, neglected or delinquent, or a child
born to a mother who was not married to the child's father when the child was conceived
nor when the child was born, has been deleted text begin committed deleted text end new text begin appointed new text end to the commissioner of human
services, and in any case where the guardianship of any person with a developmental
disability has been deleted text begin committed deleted text end new text begin appointed new text end to the commissioner of human services, the court
having jurisdiction of the estate may on such notice as the court may direct, authorize the
commissioner to take possession of the personal property in the estate, liquidate it, and hold
the proceeds in trust for the ward, to be invested, expended and accounted for as provided
by sections 256.88 to 256.92.

Sec. 55.

Minnesota Statutes 2024, section 256.98, subdivision 7, is amended to read:

Subd. 7.

Division of recovered amounts.

Except for recoveries under chapter 142E, if
the state is responsible for the recovery, the amounts recovered shall be paid to the appropriate
units of government. If the recovery is directly attributable to a county, the county may
retain one-half of the nonfederal share of any recovery from a recipient or the recipient's
estate.

This subdivision does not apply to recoveries from medical providers or to recoveries
involving the Department of Human deleted text begin services, deleted text end new text begin Services' new text end Surveillance and Utilization Review
Division deleted text begin , state hospital collections unit, deleted text end and deleted text begin the deleted text end Benefit Recoveries Division new text begin or the Direct
Care and Treatment State Hospital Collections Unit new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 56.

Minnesota Statutes 2024, section 256B.092, subdivision 10, is amended to read:

Subd. 10.

Admission of persons to and discharge of persons from regional treatment
centers.

(a) Prior to the admission of a person to a regional treatment center program for
persons with developmental disabilities, the case manager shall make efforts to secure
community-based alternatives. If these alternatives are rejected by the person, the person's
legal guardian or conservator, or the county agency in favor of a regional treatment center
placement, the case manager shall document the reasons why the alternatives were rejected.

(b) Assessment and support planning must be completed in accordance with requirements
identified in section 256B.0911.

(c) No discharge shall take place until disputes are resolved under section 256.045,
subdivision 4a, or until a review by the deleted text begin commissioner deleted text end new text begin Direct Care and Treatment executive
board new text end is completed upon request of the chief executive officer or program director of the
regional treatment center, or the county agency. For persons under public guardianship, the
ombudsman may request a review or hearing under section 256.045.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 57.

Minnesota Statutes 2024, section 256G.09, subdivision 4, is amended to read:

Subd. 4.

Appeals.

A local agency that is aggrieved by the order of deleted text begin the deleted text end new text begin a new text end department new text begin or
the executive board new text end may appeal the opinion to the district court of the county responsible
for furnishing assistance or services by serving a written copy of a notice of appeal on deleted text begin the deleted text end new text begin
a new text end commissioner new text begin or the executive board new text end and any adverse party of record within 30 days after
the date the department issued the opinion, and by filing the original notice and proof of
service with the court administrator of district court. Service may be made personally or by
mail. Service by mail is complete upon mailing.

deleted text begin The deleted text end new text begin A new text end commissioner new text begin or the executive board new text end may elect to become a party to the
proceedings in district court. The court may consider the matter in or out of chambers and
shall take no new or additional evidence.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 58.

Minnesota Statutes 2024, section 256G.09, subdivision 5, is amended to read:

Subd. 5.

Payment pending appeal.

After deleted text begin the deleted text end new text begin a new text end department new text begin or the executive board new text end issues
an opinion in any submission under this section, the service or assistance covered by the
submission must be provided or paid pending or during an appeal to the district court.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 59.

Minnesota Statutes 2024, section 299F.77, subdivision 2, is amended to read:

Subd. 2.

Background check.

(a) For licenses issued by the commissioner under section
299F.73, the applicant for licensure must provide the commissioner with all of the
information required by Code of Federal Regulations, title 28, section 25.7. The commissioner
shall forward the information to the superintendent of the Bureau of Criminal Apprehension
so that criminal records, histories, and warrant information on the applicant can be retrieved
from the Minnesota Crime Information System and the National Instant Criminal Background
Check System, as well as the civil commitment records maintained by deleted text begin the Department of
Human Services deleted text end new text begin Direct Care and Treatment new text end . The results must be returned to the commissioner
to determine if the individual applicant is qualified to receive a license.

(b) For permits issued by a county sheriff or chief of police under section 299F.75, the
applicant for a permit must provide the county sheriff or chief of police with all of the
information required by Code of Federal Regulations, title 28, section 25.7. The county
sheriff or chief of police must check, by means of electronic data transfer, criminal records,
histories, and warrant information on each applicant through the Minnesota Crime
Information System and the National Instant Criminal Background Check System, as well
as the civil commitment records maintained by deleted text begin the Department of Human Services deleted text end new text begin Direct
Care and Treatment new text end . The county sheriff or chief of police shall use the results of the query
to determine if the individual applicant is qualified to receive a permit.

Sec. 60.

Minnesota Statutes 2024, section 342.04, is amended to read:

342.04 STUDIES; REPORTS.

(a) The office shall conduct a study to determine the expected size and growth of the
regulated cannabis industry and hemp consumer industry, including an estimate of the
demand for cannabis flower and cannabis products, the number and geographic distribution
of cannabis businesses needed to meet that demand, and the anticipated business from
residents of other states.

(b) The office shall conduct a study to determine the size of the illicit cannabis market,
the sources of illicit cannabis flower and illicit cannabis products in the state, the locations
of citations issued and arrests made for cannabis offenses, and the subareas, such as census
tracts or neighborhoods, that experience a disproportionately large amount of cannabis
enforcement.

(c) The office shall conduct a study on impaired driving to determine:

(1) the number of accidents involving one or more drivers who admitted to using cannabis
flower, cannabis products, lower-potency hemp edibles, or hemp-derived consumer products,
or who tested positive for cannabis or tetrahydrocannabinol;

(2) the number of arrests of individuals for impaired driving in which the individual
tested positive for cannabis or tetrahydrocannabinol; and

(3) the number of convictions for driving under the influence of cannabis flower, cannabis
products, lower-potency hemp edibles, hemp-derived consumer products, or
tetrahydrocannabinol.

(d) The office shall provide preliminary reports on the studies conducted pursuant to
paragraphs (a) to (c) to the legislature by January 15, 2024, and shall provide final reports
to the legislature by January 15, 2025. The reports may be consolidated into a single report
by the office.

(e) The office shall collect existing data from the Department of Human Services,
Department of Health, new text begin Direct Care and Treatment, new text end Minnesota state courts, and hospitals
licensed under chapter 144 on the utilization of mental health and substance use disorder
services, emergency room visits, and commitments to identify any increase in the services
provided or any increase in the number of visits or commitments. The office shall also obtain
summary data from existing first episode psychosis programs on the number of persons
served by the programs and number of persons on the waiting list. All information collected
by the office under this paragraph shall be included in the report required under paragraph
(f).

(f) The office shall conduct an annual market analysis on the status of the regulated
cannabis industry and submit a report of the findings. The office shall submit the report by
January 15, 2025, and each January 15 thereafter and the report may be combined with the
annual report submitted by the office. The process of completing the market analysis must
include holding public meetings to solicit the input of consumers, market stakeholders, and
potential new applicants and must include an assessment as to whether the office has issued
the necessary number of licenses in order to:

(1) ensure the sufficient supply of cannabis flower and cannabis products to meet demand;

(2) provide market stability;

(3) ensure a competitive market; and

(4) limit the sale of unregulated cannabis flower and cannabis products.

(g) The office shall submit an annual report to the legislature by January 15, 2024, and
each January 15 thereafter. The annual report shall include but not be limited to the following:

(1) the status of the regulated cannabis industry;

(2) the status of the illicit cannabis market and hemp consumer industry;

(3) the number of accidents, arrests, and convictions involving drivers who admitted to
using cannabis flower, cannabis products, lower-potency hemp edibles, or hemp-derived
consumer products or who tested positive for cannabis or tetrahydrocannabinol;

(4) the change in potency, if any, of cannabis flower and cannabis products available
through the regulated market;

(5) progress on providing opportunities to individuals and communities that experienced
a disproportionate, negative impact from cannabis prohibition, including but not limited to
providing relief from criminal convictions and increasing economic opportunities;

(6) the status of racial and geographic diversity in the cannabis industry;

(7) proposed legislative changes, including but not limited to recommendations to
streamline licensing systems and related administrative processes;

(8) information on the adverse effects of second-hand smoke from any cannabis flower,
cannabis products, and hemp-derived consumer products that are consumed by the
combustion or vaporization of the product and the inhalation of smoke, aerosol, or vapor
from the product; and

(9) recommendations for the levels of funding for:

(i) a coordinated education program to address and raise public awareness about the top
three adverse health effects, as determined by the commissioner of health, associated with
the use of cannabis flower, cannabis products, lower-potency hemp edibles, or hemp-derived
consumer products by individuals under 21 years of age;

(ii) a coordinated education program to educate pregnant individuals, breastfeeding
individuals, and individuals who may become pregnant on the adverse health effects of
cannabis flower, cannabis products, lower-potency hemp edibles, and hemp-derived consumer
products;

(iii) training, technical assistance, and educational materials for home visiting programs,
Tribal home visiting programs, and child welfare workers regarding safe and unsafe use of
cannabis flower, cannabis products, lower-potency hemp edibles, and hemp-derived consumer
products in homes with infants and young children;

(iv) model programs to educate middle school and high school students on the health
effects on children and adolescents of the use of cannabis flower, cannabis products,
lower-potency hemp edibles, hemp-derived consumer products, and other intoxicating or
controlled substances;

(v) grants issued through the CanTrain, CanNavigate, CanStartup, and CanGrow
programs;

(vi) grants to organizations for community development in social equity communities
through the CanRenew program;

(vii) training of peace officers and law enforcement agencies on changes to laws involving
cannabis flower, cannabis products, lower-potency hemp edibles, and hemp-derived consumer
products and the law's impact on searches and seizures;

(viii) training of peace officers to increase the number of drug recognition experts;

(ix) training of peace officers on the cultural uses of sage and distinguishing use of sage
from the use of cannabis flower, including whether the Board of Peace Officer Standards
and Training should approve or develop training materials;

(x) the retirement and replacement of drug detection canines; and

(xi) the Department of Human Services and county social service agencies to address
any increase in demand for services.

(g) In developing the recommended funding levels under paragraph (f), clause (9), items
(vii) to (xi), the office shall consult with local law enforcement agencies, the Minnesota
Chiefs of Police Association, the Minnesota Sheriff's Association, the League of Minnesota
Cities, the Association of Minnesota Counties, and county social services agencies.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 61.

Minnesota Statutes 2024, section 352.91, subdivision 3f, is amended to read:

Subd. 3f.

Additional Direct Care and Treatment personnel.

(a) "Covered correctional
service" means service by a state employee in one of the employment positions specified
in paragraph (b) in the state-operated forensic services program or the Minnesota Sex
Offender Program if at least 75 percent of the employee's working time is spent in direct
contact with patients and the determination of this direct contact is certified to the executive
director by the deleted text begin commissioner of human services or deleted text end Direct Care and Treatment executive
board.

(b) The employment positions are:

(1) baker;

(2) behavior analyst 2;

(3) behavior analyst 3;

(4) certified occupational therapy assistant 1;

(5) certified occupational therapy assistant 2;

(6) client advocate;

(7) clinical program therapist 2;

(8) clinical program therapist 3;

(9) clinical program therapist 4;

(10) cook;

(11) culinary supervisor;

(12) customer services specialist principal;

(13) dental assistant registered;

(14) dental hygienist;

(15) food service worker;

(16) food services supervisor;

(17) group supervisor;

(18) group supervisor assistant;

(19) human services support specialist;

(20) licensed alcohol and drug counselor;

(21) licensed practical nurse;

(22) management analyst 3;

(23) music therapist;

(24) occupational therapist;

(25) occupational therapist, senior;

(26) physical therapist;

(27) psychologist 1;

(28) psychologist 2;

(29) psychologist 3;

(30) recreation program assistant;

(31) recreation therapist lead;

(32) recreation therapist senior;

(33) rehabilitation counselor senior;

(34) residential program lead;

(35) security supervisor;

(36) skills development specialist;

(37) social worker senior;

(38) social worker specialist;

(39) social worker specialist, senior;

(40) special education program assistant;

(41) speech pathology clinician;

(42) substance use disorder counselor senior;

(43) work therapy assistant; and

(44) work therapy program coordinator.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 62.

Minnesota Statutes 2024, section 401.17, subdivision 1, is amended to read:

Subdivision 1.

Establishment; members.

(a) The commissioner must establish a
Community Supervision Advisory Committee to develop and make recommendations to
the commissioner on standards for probation, supervised release, and community supervision.
The committee consists of 19 members as follows:

(1) two directors appointed by the Minnesota Association of Community Corrections
Act Counties;

(2) two probation directors appointed by the Minnesota Association of County Probation
Officers;

(3) three county commissioner representatives appointed by the Association of Minnesota
Counties;

(4) two behavioral health, treatment, or programming providers who work directly with
individuals on correctional supervision, one appointed by the deleted text begin Department of Human Services deleted text end new text begin
Direct Care and Treatment executive board new text end and one appointed by the Minnesota Association
of County Social Service Administrators;

(5) two representatives appointed by the Minnesota Indian Affairs Council;

(6) two commissioner-appointed representatives from the Department of Corrections;

(7) the chair of the statewide Evidence-Based Practice Advisory Committee;

(8) three individuals who have been supervised, either individually or collectively, under
each of the state's three community supervision delivery systems appointed by the
commissioner in consultation with the Minnesota Association of County Probation Officers
and the Minnesota Association of Community Corrections Act Counties;

(9) an advocate for victims of crime appointed by the commissioner; and

(10) a representative from a community-based research and advocacy entity appointed
by the commissioner.

(b) When an appointing authority selects an individual for membership on the committee,
the authority must make reasonable efforts to reflect geographic diversity and to appoint
qualified members of protected groups, as defined under section 43A.02, subdivision 33.

(c) Chapter 15 applies to the extent consistent with this section.

(d) The commissioner must convene the first meeting of the committee on or before
October 1, 2023.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 63.

Minnesota Statutes 2024, section 507.071, subdivision 1, is amended to read:

Subdivision 1.

Definitions.

For the purposes of this section the following terms have
the meanings given:

(a) "Beneficiary" or "grantee beneficiary" means a person or entity named as a grantee
beneficiary in a transfer on death deed, including a successor grantee beneficiary.

(b) "County agency" means the county department or office designated to recover medical
assistance benefits from the estates of decedents.

(c) "Grantor owner" means an owner, whether individually, as a joint tenant, or as a
tenant in common, named as a grantor in a transfer on death deed upon whose death the
conveyance or transfer of the described real property is conditioned. Grantor owner does
not include a spouse who joins in a transfer on death deed solely for the purpose of conveying
or releasing statutory or other marital interests in the real property to be conveyed or
transferred by the transfer on death deed.

(d) "Owner" means a person having an ownership or other interest in all or part of the
real property to be conveyed or transferred by a transfer on death deed either at the time the
deed is executed or at the time the transfer becomes effective. Owner does not include a
spouse who joins in a transfer on death deed solely for the purpose of conveying or releasing
statutory or other marital interests in the real property to be conveyed or transferred by the
transfer on death deed.

(e) "Property" and "interest in real property" mean any interest in real property located
in this state which is transferable on the death of the owner and includes, without limitation,
an interest in real property defined in chapter 500, a mortgage, a deed of trust, a security
interest in, or a security pledge of, an interest in real property, including the rights to
payments of the indebtedness secured by the security instrument, a judgment, a tax lien,
both the seller's and purchaser's interest in a contract for deed, land contract, purchase
agreement, or earnest money contract for the sale and purchase of real property, including
the rights to payments under such contracts, or any other lien on, or interest in, real property.

(f) "Recorded" means recorded in the office of the county recorder or registrar of titles,
as appropriate for the real property described in the instrument to be recorded.

(g) "State agency" means the Department of Human Services or any successor agency new text begin
or Direct Care and Treatment or any successor agency new text end .

(h) "Transfer on death deed" means a deed authorized under this section.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 64.

Minnesota Statutes 2024, section 611.57, subdivision 2, is amended to read:

Subd. 2.

Membership.

(a) The Certification Advisory Committee consists of the
following members:

(1) a mental health professional, as defined in section 245I.02, subdivision 27, with
community behavioral health experience, appointed by the governor;

(2) a board-certified forensic psychiatrist with experience in competency evaluations,
providing competency attainment services, or both, appointed by the governor;

(3) a board-certified forensic psychologist with experience in competency evaluations,
providing competency attainment services, or both, appointed by the governor;

(4) the president of the Minnesota Corrections Association or a designee;

(5) the Direct Care and Treatment deleted text begin deputy commissioner deleted text end new text begin chief executive officer new text end or a
designee;

(6) the president of the Minnesota Association of County Social Service Administrators
or a designee;

(7) the president of the Minnesota Association of Community Mental Health Providers
or a designee;

(8) the president of the Minnesota Sheriffs' Association or a designee; and

(9) the executive director of the National Alliance on Mental Illness Minnesota or a
designee.

(b) Members of the advisory committee serve without compensation and at the pleasure
of the appointing authority. Vacancies shall be filled by the appointing authority consistent
with the qualifications of the vacating member required by this subdivision.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 65.

Minnesota Statutes 2024, section 611.57, subdivision 4, is amended to read:

Subd. 4.

Duties.

The Certification Advisory Committee shall consult with the Department
of Human Services, the Department of Health, deleted text begin and deleted text end the Department of Corrections new text begin , and
Direct Care and Treatment new text end ; make recommendations to the Minnesota Competency Attainment
Board regarding competency attainment curriculum, certification requirements for
competency attainment programs including jail-based programs, and certification of
individuals to provide competency attainment services; and provide information and
recommendations on other issues relevant to competency attainment as requested by the
board.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 66.

Minnesota Statutes 2024, section 624.7131, subdivision 1, is amended to read:

Subdivision 1.

Information.

Any person may apply for a transferee permit by providing
the following information in writing to the chief of police of an organized full time police
department of the municipality in which the person resides or to the county sheriff if there
is no such local chief of police:

(1) the name, residence, telephone number, and driver's license number or
nonqualification certificate number, if any, of the proposed transferee;

(2) the sex, date of birth, height, weight, and color of eyes, and distinguishing physical
characteristics, if any, of the proposed transferee;

(3) a statement that the proposed transferee authorizes the release to the local police
authority of commitment information about the proposed transferee maintained by the
deleted text begin commissioner of human services deleted text end new text begin Direct Care and Treatment executive board new text end , to the extent
that the information relates to the proposed transferee's eligibility to possess a pistol or
semiautomatic military-style assault weapon under section 624.713, subdivision 1; and

(4) a statement by the proposed transferee that the proposed transferee is not prohibited
by section 624.713 from possessing a pistol or semiautomatic military-style assault weapon.

The statements shall be signed and dated by the person applying for a permit. At the
time of application, the local police authority shall provide the applicant with a dated receipt
for the application. The statement under clause (3) must comply with any applicable
requirements of Code of Federal Regulations, title 42, sections 2.31 to 2.35, with respect
to consent to disclosure of alcohol or drug abuse patient records.

Sec. 67.

Minnesota Statutes 2024, section 624.7131, subdivision 2, is amended to read:

Subd. 2.

Investigation.

The chief of police or sheriff shall check criminal histories,
records and warrant information relating to the applicant through the Minnesota Crime
Information System, the national criminal record repository, and the National Instant Criminal
Background Check System. The chief of police or sheriff shall also make a reasonable effort
to check other available state and local record-keeping systems. The chief of police or sheriff
shall obtain commitment information from the deleted text begin commissioner of human services deleted text end new text begin Direct Care
and Treatment executive board new text end as provided in section 246C.15.

Sec. 68.

Minnesota Statutes 2024, section 624.7132, subdivision 1, is amended to read:

Subdivision 1.

Required information.

Except as provided in this section and section
624.7131, every person who agrees to transfer a pistol or semiautomatic military-style
assault weapon shall report the following information in writing to the chief of police of
the organized full-time police department of the municipality where the proposed transferee
resides or to the appropriate county sheriff if there is no such local chief of police:

(1) the name, residence, telephone number, and driver's license number or
nonqualification certificate number, if any, of the proposed transferee;

(2) the sex, date of birth, height, weight, and color of eyes, and distinguishing physical
characteristics, if any, of the proposed transferee;

(3) a statement that the proposed transferee authorizes the release to the local police
authority of commitment information about the proposed transferee maintained by the
deleted text begin commissioner of human services deleted text end new text begin Direct Care and Treatment executive board new text end , to the extent
that the information relates to the proposed transferee's eligibility to possess a pistol or
semiautomatic military-style assault weapon under section 624.713, subdivision 1;

(4) a statement by the proposed transferee that the transferee is not prohibited by section
624.713 from possessing a pistol or semiautomatic military-style assault weapon; and

(5) the address of the place of business of the transferor.

The report shall be signed and dated by the transferor and the proposed transferee. The
report shall be delivered by the transferor to the chief of police or sheriff no later than three
days after the date of the agreement to transfer, excluding weekends and legal holidays.
The statement under clause (3) must comply with any applicable requirements of Code of
Federal Regulations, title 42, sections 2.31 to 2.35, with respect to consent to disclosure of
alcohol or drug abuse patient records.

Sec. 69.

Minnesota Statutes 2024, section 624.7132, subdivision 2, is amended to read:

Subd. 2.

Investigation.

Upon receipt of a transfer report, the chief of police or sheriff
shall check criminal histories, records and warrant information relating to the proposed
transferee through the Minnesota Crime Information System, the national criminal record
repository, and the National Instant Criminal Background Check System. The chief of police
or sheriff shall also make a reasonable effort to check other available state and local
record-keeping systems. The chief of police or sheriff shall obtain commitment information
from the deleted text begin commissioner of human services deleted text end new text begin Direct Care and Treatment executive board new text end as
provided in section 246C.15.

Sec. 70.

Minnesota Statutes 2024, section 624.714, subdivision 3, is amended to read:

Subd. 3.

Form and contents of application.

(a) Applications for permits to carry must
be an official, standardized application form, adopted under section 624.7151, and must set
forth in writing only the following information:

(1) the applicant's name, residence, telephone number, if any, and driver's license number
or state identification card number;

(2) the applicant's sex, date of birth, height, weight, and color of eyes and hair, and
distinguishing physical characteristics, if any;

(3) the township or statutory city or home rule charter city, and county, of all Minnesota
residences of the applicant in the last five years, though not including specific addresses;

(4) the township or city, county, and state of all non-Minnesota residences of the applicant
in the last five years, though not including specific addresses;

(5) a statement that the applicant authorizes the release to the sheriff of commitment
information about the applicant maintained by the deleted text begin commissioner of human services deleted text end new text begin Direct
Care and Treatment executive board new text end or any similar agency or department of another state
where the applicant has resided, to the extent that the information relates to the applicant's
eligibility to possess a firearm; and

(6) a statement by the applicant that, to the best of the applicant's knowledge and belief,
the applicant is not prohibited by law from possessing a firearm.

(b) The statement under paragraph (a), clause (5), must comply with any applicable
requirements of Code of Federal Regulations, title 42, sections 2.31 to 2.35, with respect
to consent to disclosure of alcohol or drug abuse patient records.

(c) An applicant must submit to the sheriff an application packet consisting only of the
following items:

(1) a completed application form, signed and dated by the applicant;

(2) an accurate photocopy of the certificate described in subdivision 2a, paragraph (c),
that is submitted as the applicant's evidence of training in the safe use of a pistol; and

(3) an accurate photocopy of the applicant's current driver's license, state identification
card, or the photo page of the applicant's passport.

(d) In addition to the other application materials, a person who is otherwise ineligible
for a permit due to a criminal conviction but who has obtained a pardon or expungement
setting aside the conviction, sealing the conviction, or otherwise restoring applicable rights,
must submit a copy of the relevant order.

(e) Applications must be submitted in person.

(f) The sheriff may charge a new application processing fee in an amount not to exceed
the actual and reasonable direct cost of processing the application or $100, whichever is
less. Of this amount, $10 must be submitted to the commissioner and deposited into the
general fund.

(g) This subdivision prescribes the complete and exclusive set of items an applicant is
required to submit in order to apply for a new or renewal permit to carry. The applicant
must not be asked or required to submit, voluntarily or involuntarily, any information, fees,
or documentation beyond that specifically required by this subdivision. This paragraph does
not apply to alternate training evidence accepted by the sheriff under subdivision 2a,
paragraph (d).

(h) Forms for new and renewal applications must be available at all sheriffs' offices and
the commissioner must make the forms available on the Internet.

(i) Application forms must clearly display a notice that a permit, if granted, is void and
must be immediately returned to the sheriff if the permit holder is or becomes prohibited
by law from possessing a firearm. The notice must list the applicable state criminal offenses
and civil categories that prohibit a person from possessing a firearm.

(j) Upon receipt of an application packet and any required fee, the sheriff must provide
a signed receipt indicating the date of submission.

Sec. 71.

Minnesota Statutes 2024, section 624.714, subdivision 4, is amended to read:

Subd. 4.

Investigation.

(a) The sheriff must check, by means of electronic data transfer,
criminal records, histories, and warrant information on each applicant through the Minnesota
Crime Information System and the National Instant Criminal Background Check System.
The sheriff shall also make a reasonable effort to check other available and relevant federal,
state, or local record-keeping systems. The sheriff must obtain commitment information
from the deleted text begin commissioner of human services deleted text end new text begin Direct Care and Treatment executive board new text end as
provided in section 246C.15 or, if the information is reasonably available, as provided by
a similar statute from another state.

(b) When an application for a permit is filed under this section, the sheriff must notify
the chief of police, if any, of the municipality where the applicant resides. The police chief
may provide the sheriff with any information relevant to the issuance of the permit.

(c) The sheriff must conduct a background check by means of electronic data transfer
on a permit holder through the Minnesota Crime Information System and the National
Instant Criminal Background Check System at least yearly to ensure continuing eligibility.
The sheriff may also conduct additional background checks by means of electronic data
transfer on a permit holder at any time during the period that a permit is in effect.

Sec. 72.

Minnesota Statutes 2024, section 631.40, subdivision 3, is amended to read:

Subd. 3.

Departments of Human Services; Children, Youth, and Families; and
Health licensees.

When a person who is affiliated with a program or facility deleted text begin governed deleted text end new text begin
licensed new text end by the Department of Human Services deleted text begin , deleted text end new text begin ; new text end Department of Children, Youth, and
Families deleted text begin , deleted text end new text begin ; new text end or Department of Health is convicted of a disqualifying crime, the probation
officer or corrections agent shall notify the commissioner of the conviction, as provided in
chapter 245C.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 73. new text begin REVISOR INSTRUCTION.
new text end

new text begin (a) The revisor of statutes shall renumber Minnesota Statutes, section 252.50, subdivision
5, as Minnesota Statutes, section 246C.11, subdivision 4a.
new text end

new text begin (b) The revisor of statutes shall renumber Minnesota Statutes, section 252.52, as
Minnesota Statutes, section 246C.191.
new text end

new text begin (c) The revisor of statutes shall make necessary cross-reference changes consistent with
the renumbering in this section.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 74. new text begin REPEALER.
new text end

new text begin (a) new text end new text begin Minnesota Statutes 2024, sections 245.4862; 246.015, subdivision 3; 246.50,
subdivision 2; and 246B.04, subdivision 1a, new text end new text begin are repealed.
new text end

new text begin (b) new text end new text begin Laws 2024, chapter 79, article 1, sections 15; 16; and 17, new text end new text begin are repealed.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

ARTICLE 4

HEALTH CARE ADMINISTRATION

Section 1.

Minnesota Statutes 2024, section 62M.17, subdivision 2, is amended to read:

Subd. 2.

Effect of change in prior authorization clinical criteria.

(a) If, during a plan
year, new text begin or a calendar year for fee-for-service providers under chapters 256B and 256L, new text end a
utilization review organization changes coverage terms for a health care service or the
clinical criteria used to conduct prior authorizations for a health care service, the change in
coverage terms or change in clinical criteria shall not apply until the next plan year new text begin , or the
next calendar year for fee-for-service providers under chapters 256B and 256L, new text end for any
enrollee who received prior authorization for a health care service using the coverage terms
or clinical criteria in effect before the effective date of the change.

(b) Paragraph (a) does not apply if a utilization review organization changes coverage
terms for a drug or device that has been deemed unsafe by the United States Food and Drug
Administration (FDA); that has been withdrawn by either the FDA or the product
manufacturer; or when an independent source of research, clinical guidelines, or
evidence-based standards has issued drug- or device-specific warnings or recommended
changes in drug or device usage.

(c) Paragraph (a) does not apply if a utilization review organization changes coverage
terms for a service or the clinical criteria used to conduct prior authorizations for a service
when an independent source of research, clinical guidelines, or evidence-based standards
has recommended changes in usage of the service for reasons related to patient harm. This
paragraph expires December 31, 2025, for health benefit plans offered, sold, issued, or
renewed on or after that date.

(d) Effective January 1, 2026, and applicable to health benefit plans offered, sold, issued,
or renewed on or after that date, paragraph (a) does not apply if a utilization review
organization changes coverage terms for a service or the clinical criteria used to conduct
prior authorizations for a service when an independent source of research, clinical guidelines,
or evidence-based standards has recommended changes in usage of the service for reasons
related to previously unknown and imminent patient harm.

(e) Paragraph (a) does not apply if a utilization review organization removes a brand
name drug from its formulary or places a brand name drug in a benefit category that increases
the enrollee's cost, provided the utilization review organization (1) adds to its formulary a
generic or multisource brand name drug rated as therapeutically equivalent according to
the FDA Orange Book, or a biologic drug rated as interchangeable according to the FDA
Purple Book, at a lower cost to the enrollee, and (2) provides at least a 60-day notice to
prescribers, pharmacists, and affected enrollees.

Sec. 2.

Minnesota Statutes 2024, section 256B.0625, subdivision 25c, is amended to read:

Subd. 25c.

Applicability of utilization review provisions.

Effective January 1, 2026,
the following provisions of chapter 62M apply to the commissioner when delivering services
under chapters 256B and 256L: 62M.02, subdivisions 1 to 5, 7 to 12, 13, 14 to 18, and 21;
62M.04; 62M.05, subdivisions 1 to 4; 62M.06, subdivisions 1 to 3; 62M.07; 62M.072;
62M.09; 62M.10; 62M.12; new text begin and new text end 62M.17, subdivision 2 deleted text begin ; and 62M.18 deleted text end .

ARTICLE 5

HUMAN SERVICES OFFICE OF THE INSPECTOR GENERAL

Section 1.

Minnesota Statutes 2024, section 142E.51, subdivision 5, is amended to read:

Subd. 5.

Administrative disqualification of child care providers caring for children
receiving child care assistance.

(a) The department shall pursue an administrative
disqualification, if the child care provider is accused of committing an intentional program
violation, in lieu of a criminal action when it has not been pursued. Intentional program
violations include intentionally making false or misleading statements; new text begin receiving or providing
a kickback, as defined in subdivision 6, paragraph (b); new text end intentionally misrepresenting,
concealing, or withholding facts; and repeatedly and intentionally violating program
regulations under this chapter. Intent may be proven by demonstrating a pattern of conduct
that violates program rules under this chapter.

(b) To initiate an administrative disqualification, the commissioner must send written
notice using a signature-verified confirmed delivery method to the provider against whom
the action is being taken. Unless otherwise specified under this chapter or Minnesota Rules,
chapter 3400, the commissioner must send the written notice at least 15 calendar days before
the adverse action's effective date. The notice shall state (1) the factual basis for the agency's
determination, (2) the action the agency intends to take, (3) the dollar amount of the monetary
recovery or recoupment, if known, and (4) the provider's right to appeal the agency's proposed
action.

(c) The provider may appeal an administrative disqualification by submitting a written
request to the state agency. A provider's request must be received by the state agency no
later than 30 days after the date the commissioner mails the notice.

(d) The provider's appeal request must contain the following:

(1) each disputed item, the reason for the dispute, and, if applicable, an estimate of the
dollar amount involved for each disputed item;

(2) the computation the provider believes to be correct, if applicable;

(3) the statute or rule relied on for each disputed item; and

(4) the name, address, and telephone number of the person at the provider's place of
business with whom contact may be made regarding the appeal.

(e) On appeal, the issuing agency bears the burden of proof to demonstrate by a
preponderance of the evidence that the provider committed an intentional program violation.

(f) The hearing is subject to the requirements of section 142A.20. The human services
judge may combine a fair hearing and administrative disqualification hearing into a single
hearing if the factual issues arise out of the same or related circumstances and the provider
receives prior notice that the hearings will be combined.

(g) A provider found to have committed an intentional program violation and is
administratively disqualified must be disqualified, for a period of three years for the first
offense and permanently for any subsequent offense, from receiving any payments from
any child care program under this chapter.

(h) Unless a timely and proper appeal made under this section is received by the
department, the administrative determination of the department is final and binding.

Sec. 2.

Minnesota Statutes 2024, section 142E.51, subdivision 6, is amended to read:

Subd. 6.

Prohibited hiring deleted text begin practice deleted text end new text begin practices new text end .

new text begin (a) new text end It is prohibited to hire a child care
center employee when, as a condition of employment, the employee is required to have one
or more children who are eligible for or receive child care assistance, if:

(1) the individual hiring the employee is, or is acting at the direction of or in cooperation
with, a child care center provider, center owner, director, manager, license holder, or other
controlling individual; and

(2) the individual hiring the employee knows or has reason to know the purpose in hiring
the employee is to obtain child care assistance program funds.

new text begin (b) Program applicants, participants, and providers are prohibited from receiving or
providing a kickback or payment in exchange for obtaining or attempting to obtain child
care assistance benefits for their own financial gain. This paragraph does not apply to:
new text end

new text begin (1) marketing or promotional offerings that directly benefit an applicant or recipient's
child or dependent for whom the child care provider is providing child care services; or
new text end

new text begin (2) child care provider discounts, scholarships, or other financial assistance allowed
under section 142E.17, subdivision 7.
new text end

new text begin (c) An attempt to buy or sell access to a family's child care subsidy benefits to an
unauthorized person by an applicant, a participant, or a provider is a kickback, an intentional
program violation under subdivision 5, and wrongfully obtaining assistance under section
256.98.
new text end

Sec. 3.

Minnesota Statutes 2024, section 144.651, subdivision 2, is amended to read:

Subd. 2.

Definitions.

For the purposes of this section, "patient" means a person who is
admitted to an acute care inpatient facility for a continuous period longer than 24 hours, for
the purpose of diagnosis or treatment bearing on the physical or mental health of that person.
For purposes of subdivisions 4 to 9, 12, 13, 15, 16, and 18 to 20, "patient" also means a
person who receives health care services at an outpatient surgical center or at a birth center
licensed under section 144.615. "Patient" also means a deleted text begin minor deleted text end new text begin person new text end who is admitted to a
residential program as defined in section 253C.01. new text begin "Patient" also means a person who is
admitted to a residential substance use disorder treatment program licensed according to
Minnesota Rules, parts 2960.0430 to 2960.0490. new text end For purposes of subdivisions 1, 3 to 16,
18, 20 and 30, "patient" also means any person who is receiving mental health treatment new text begin or
substance use disorder treatment new text end on an outpatient basis or in a community support program
or other community-based program. "Resident" means a person who is admitted to a nonacute
care facility including extended care facilities, nursing homes, and boarding care homes for
care required because of prolonged mental or physical illness or disability, recovery from
injury or disease, or advancing age. For purposes of all subdivisions except subdivisions
28 and 29, "resident" also means a person who is admitted to a facility licensed as a board
and lodging facility under Minnesota Rules, parts 4625.0100 to 4625.2355, a boarding care
home under sections 144.50 to 144.56, or a supervised living facility under Minnesota Rules,
parts 4665.0100 to 4665.9900, and deleted text begin which deleted text end new text begin that new text end operates a deleted text begin rehabilitation deleted text end new text begin withdrawal
management program licensed under chapter 245F, a residential substance use disorder
treatment new text end program licensed under chapter 245G deleted text begin or deleted text end new text begin , an intensive residential treatment services
or residential crisis stabilization program licensed under chapter new text end 245I, or new text begin a detoxification
program licensed under new text end Minnesota Rules, parts 9530.6510 to 9530.6590.

Sec. 4.

Minnesota Statutes 2024, section 245A.04, subdivision 1, is amended to read:

Subdivision 1.

Application for licensure.

(a) An individual, organization, or government
entity that is subject to licensure under section 245A.03 must apply for a license. The
application must be made on the forms and in the manner prescribed by the commissioner.
The commissioner shall provide the applicant with instruction in completing the application
and provide information about the rules and requirements of other state agencies that affect
the applicant. An applicant seeking licensure in Minnesota with headquarters outside of
Minnesota must have a program office located within 30 miles of the Minnesota border.
An applicant who intends to buy or otherwise acquire a program or services licensed under
this chapter that is owned by another license holder must apply for a license under this
chapter and comply with the application procedures in this section and section 245A.043.

The commissioner shall act on the application within 90 working days after a complete
application and any required reports have been received from other state agencies or
departments, counties, municipalities, or other political subdivisions. The commissioner
shall not consider an application to be complete until the commissioner receives all of the
required information.

When the commissioner receives an application for initial licensure that is incomplete
because the applicant failed to submit required documents or that is substantially deficient
because the documents submitted do not meet licensing requirements, the commissioner
shall provide the applicant written notice that the application is incomplete or substantially
deficient. In the written notice to the applicant the commissioner shall identify documents
that are missing or deficient and give the applicant 45 days to resubmit a second application
that is substantially complete. An applicant's failure to submit a substantially complete
application after receiving notice from the commissioner is a basis for license denial under
section 245A.043.

(b) An application for licensure must identify all controlling individuals as defined in
section 245A.02, subdivision 5a, and must designate one individual to be the authorized
agent. The application must be signed by the authorized agent and must include the authorized
agent's first, middle, and last name; mailing address; and email address. By submitting an
application for licensure, the authorized agent consents to electronic communication with
the commissioner throughout the application process. The authorized agent must be
authorized to accept service on behalf of all of the controlling individuals. A government
entity that holds multiple licenses under this chapter may designate one authorized agent
for all licenses issued under this chapter or may designate a different authorized agent for
each license. Service on the authorized agent is service on all of the controlling individuals.
It is not a defense to any action arising under this chapter that service was not made on each
controlling individual. The designation of a controlling individual as the authorized agent
under this paragraph does not affect the legal responsibility of any other controlling individual
under this chapter.

(c) An applicant or license holder must have a policy that prohibits license holders,
employees, subcontractors, and volunteers, when directly responsible for persons served
by the program, from abusing prescription medication or being in any manner under the
influence of a chemical that impairs the individual's ability to provide services or care. The
license holder must train employees, subcontractors, and volunteers about the program's
drug and alcohol policy new text begin before the employee, subcontractor, or volunteer has direct contact,
as defined in section 245C.02, subdivision 11, with a person served by the program new text end .

(d) An applicant and license holder must have a program grievance procedure that permits
persons served by the program and their authorized representatives to bring a grievance to
the highest level of authority in the program.

(e) The commissioner may limit communication during the application process to the
authorized agent or the controlling individuals identified on the license application and for
whom a background study was initiated under chapter 245C. Upon implementation of the
provider licensing and reporting hub, applicants and license holders must use the hub in the
manner prescribed by the commissioner. The commissioner may require the applicant,
except for child foster care, to demonstrate competence in the applicable licensing
requirements by successfully completing a written examination. The commissioner may
develop a prescribed written examination format.

(f) When an applicant is an individual, the applicant must provide:

(1) the applicant's taxpayer identification numbers including the Social Security number
or Minnesota tax identification number, and federal employer identification number if the
applicant has employees;

(2) at the request of the commissioner, a copy of the most recent filing with the secretary
of state that includes the complete business name, if any;

(3) if doing business under a different name, the doing business as (DBA) name, as
registered with the secretary of state;

(4) if applicable, the applicant's National Provider Identifier (NPI) number and Unique
Minnesota Provider Identifier (UMPI) number; and

(5) at the request of the commissioner, the notarized signature of the applicant or
authorized agent.

(g) When an applicant is an organization, the applicant must provide:

(1) the applicant's taxpayer identification numbers including the Minnesota tax
identification number and federal employer identification number;

(2) at the request of the commissioner, a copy of the most recent filing with the secretary
of state that includes the complete business name, and if doing business under a different
name, the doing business as (DBA) name, as registered with the secretary of state;

(3) the first, middle, and last name, and address for all individuals who will be controlling
individuals, including all officers, owners, and managerial officials as defined in section
245A.02, subdivision 5a, and the date that the background study was initiated by the applicant
for each controlling individual;

(4) if applicable, the applicant's NPI number and UMPI number;

(5) the documents that created the organization and that determine the organization's
internal governance and the relations among the persons that own the organization, have
an interest in the organization, or are members of the organization, in each case as provided
or authorized by the organization's governing statute, which may include a partnership
agreement, bylaws, articles of organization, organizational chart, and operating agreement,
or comparable documents as provided in the organization's governing statute; and

(6) the notarized signature of the applicant or authorized agent.

(h) When the applicant is a government entity, the applicant must provide:

(1) the name of the government agency, political subdivision, or other unit of government
seeking the license and the name of the program or services that will be licensed;

(2) the applicant's taxpayer identification numbers including the Minnesota tax
identification number and federal employer identification number;

(3) a letter signed by the manager, administrator, or other executive of the government
entity authorizing the submission of the license application; and

(4) if applicable, the applicant's NPI number and UMPI number.

(i) At the time of application for licensure or renewal of a license under this chapter, the
applicant or license holder must acknowledge on the form provided by the commissioner
if the applicant or license holder elects to receive any public funding reimbursement from
the commissioner for services provided under the license that:

(1) the applicant's or license holder's compliance with the provider enrollment agreement
or registration requirements for receipt of public funding may be monitored by the
commissioner as part of a licensing investigation or licensing inspection; and

(2) noncompliance with the provider enrollment agreement or registration requirements
for receipt of public funding that is identified through a licensing investigation or licensing
inspection, or noncompliance with a licensing requirement that is a basis of enrollment for
reimbursement for a service, may result in:

(i) a correction order or a conditional license under section 245A.06, or sanctions under
section 245A.07;

(ii) nonpayment of claims submitted by the license holder for public program
reimbursement;

(iii) recovery of payments made for the service;

(iv) disenrollment in the public payment program; or

(v) other administrative, civil, or criminal penalties as provided by law.

Sec. 5.

Minnesota Statutes 2024, section 245A.04, subdivision 7, is amended to read:

Subd. 7.

Grant of license; license extension.

(a) If the commissioner determines that
the program complies with all applicable rules and laws, the commissioner shall issue a
license consistent with this section or, if applicable, a temporary change of ownership license
under section 245A.043. At minimum, the license shall state:

(1) the name of the license holder;

(2) the address of the program;

(3) the effective date and expiration date of the license;

(4) the type of license;

(5) the maximum number and ages of persons that may receive services from the program;
and

(6) any special conditions of licensure.

(b) The commissioner may issue a license for a period not to exceed two years if:

(1) the commissioner is unable to conduct the observation required by subdivision 4,
paragraph (a), clause (3), because the program is not yet operational;

(2) certain records and documents are not available because persons are not yet receiving
services from the program; and

(3) the applicant complies with applicable laws and rules in all other respects.

(c) A decision by the commissioner to issue a license does not guarantee that any person
or persons will be placed or cared for in the licensed program.

(d) Except as provided in paragraphs (i) and (j), the commissioner shall not issue a
license if the applicant, license holder, or an affiliated controlling individual has:

(1) been disqualified and the disqualification was not set aside and no variance has been
granted;

(2) been denied a license under this chapter or chapter 142B within the past two years;

(3) had a license issued under this chapter or chapter 142B revoked within the past five
years; or

(4) failed to submit the information required of an applicant under subdivision 1,
paragraph (f), (g), or (h), after being requested by the commissioner.

When a license issued under this chapter or chapter 142B is revoked, the license holder
and each affiliated controlling individual with a revoked license may not hold any license
under chapter 245A for five years following the revocation, and other licenses held by the
applicant or license holder or licenses affiliated with each controlling individual shall also
be revoked.

(e) Notwithstanding paragraph (d), the commissioner may elect not to revoke a license
affiliated with a license holder or controlling individual that had a license revoked within
the past five years if the commissioner determines that (1) the license holder or controlling
individual is operating the program in substantial compliance with applicable laws and rules
and (2) the program's continued operation is in the best interests of the community being
served.

(f) Notwithstanding paragraph (d), the commissioner may issue a new license in response
to an application that is affiliated with an applicant, license holder, or controlling individual
that had an application denied within the past two years or a license revoked within the past
five years if the commissioner determines that (1) the applicant or controlling individual
has operated one or more programs in substantial compliance with applicable laws and rules
and (2) the program's operation would be in the best interests of the community to be served.

(g) In determining whether a program's operation would be in the best interests of the
community to be served, the commissioner shall consider factors such as the number of
persons served, the availability of alternative services available in the surrounding
community, the management structure of the program, whether the program provides
culturally specific services, and other relevant factors.

(h) The commissioner shall not issue or reissue a license under this chapter if an individual
living in the household where the services will be provided as specified under section
245C.03, subdivision 1, has been disqualified and the disqualification has not been set aside
and no variance has been granted.

(i) Pursuant to section 245A.07, subdivision 1, paragraph (b), when a license issued
under this chapter has been suspended or revoked and the suspension or revocation is under
appeal, the program may continue to operate pending a final order from the commissioner.
If the license under suspension or revocation will expire before a final order is issued, a
temporary provisional license may be issued provided any applicable license fee is paid
before the temporary provisional license is issued.

(j) Notwithstanding paragraph (i), when a revocation is based on the disqualification of
a controlling individual or license holder, and the controlling individual or license holder
is ordered under section 245C.17 to be immediately removed from direct contact with
persons receiving services or is ordered to be under continuous, direct supervision when
providing direct contact services, the program may continue to operate only if the program
complies with the order and submits documentation demonstrating compliance with the
order. If the disqualified individual fails to submit a timely request for reconsideration, or
if the disqualification is not set aside and no variance is granted, the order to immediately
remove the individual from direct contact or to be under continuous, direct supervision
remains in effect pending the outcome of a hearing and final order from the commissioner.

(k) Unless otherwise specified by statute, all licenses issued under this chapter expire
at 12:01 a.m. on the day after the expiration date stated on the license. A license holder must
deleted text begin apply for and be granted deleted text end new text begin comply with the requirements in section 245A.10 and be reissued
new text end a new license to operate the program or the program must not be operated after the expiration
date. new text begin Adult foster care, family adult day services, child foster residence setting, and
community residential services license holders must apply for and be granted a new license
to operate the program or the program must not be operated after the expiration date. Upon
implementation of the provider licensing and reporting hub, licenses may be issued each
calendar year.
new text end

(l) The commissioner shall not issue or reissue a license under this chapter if it has been
determined that a Tribal licensing authority has established jurisdiction to license the program
or service.

(m) The commissioner of human services may coordinate and share data with the
commissioner of children, youth, and families to enforce this section.

Sec. 6.

Minnesota Statutes 2024, section 245A.16, subdivision 1, is amended to read:

Subdivision 1.

Delegation of authority to agencies.

(a) County agencies that have been
designated by the commissioner to perform licensing functions and activities under section
245A.04; to recommend denial of applicants under section 245A.05; to issue correction
orders, to issue variances, and recommend a conditional license under section 245A.06; or
to recommend suspending or revoking a license or issuing a fine under section 245A.07,
shall comply with rules and directives of the commissioner governing those functions and
with this section. The following variances are excluded from the delegation of variance
authority and may be issued only by the commissioner:

(1) dual licensure of child foster residence setting and community residential setting;

(2) until the responsibility for family child foster care transfers to the commissioner of
children, youth, and families under Laws 2023, chapter 70, article 12, section 30, dual
licensure of family child foster care and family adult foster care;

(3) until the responsibility for family child care transfers to the commissioner of children,
youth, and families under Laws 2023, chapter 70, article 12, section 30, dual licensure of
family adult foster care and family child care;

(4) adult foster care or community residential setting maximum capacity;

(5) adult foster care or community residential setting minimum age requirement;

(6) child foster care maximum age requirement;

(7) variances regarding disqualified individuals;

(8) the required presence of a caregiver in the adult foster care residence during normal
sleeping hours;

(9) variances to requirements relating to chemical use problems of a license holder or a
household member of a license holder; and

(10) variances to section 142B.46 for the use of a cradleboard for a cultural
accommodation.

(b) Once the respective responsibilities transfer from the commissioner of human services
to the commissioner of children, youth, and families, under Laws 2023, chapter 70, article
12, section 30, the commissioners of human services and children, youth, and families must
both approve a variance for dual licensure of family child foster care and family adult foster
care or family adult foster care and family child care. Variances under this paragraph are
excluded from the delegation of variance authority and may be issued only by both
commissioners.

deleted text begin (c) For family adult day services programs, the commissioner may authorize licensing
reviews every two years after a licensee has had at least one annual review.
deleted text end

deleted text begin (d) A deleted text end new text begin (c) An adult foster care, family adult day services, child foster residence setting,
or community residential services new text end license issued under this section may be issued for up to
two years new text begin until implementation of the provider licensing and reporting hub. Upon
implementation of the provider licensing and reporting hub, licenses may be issued each
calendar year new text end .

deleted text begin (e) deleted text end new text begin (d) new text end During implementation of chapter 245D, the commissioner shall consider:

(1) the role of counties in quality assurance;

(2) the duties of county licensing staff; and

(3) the possible use of joint powers agreements, according to section 471.59, with counties
through which some licensing duties under chapter 245D may be delegated by the
commissioner to the counties.

Any consideration related to this paragraph must meet all of the requirements of the corrective
action plan ordered by the federal Centers for Medicare and Medicaid Services.

deleted text begin (f) deleted text end new text begin (e) new text end Licensing authority specific to section 245D.06, subdivisions 5, 6, 7, and 8, or
successor provisions; and section 245D.061 or successor provisions, for family child foster
care programs providing out-of-home respite, as identified in section 245D.03, subdivision
1, paragraph (b), clause (1), is excluded from the delegation of authority to county agencies.

Sec. 7.

Minnesota Statutes 2024, section 245A.242, subdivision 2, is amended to read:

Subd. 2.

Emergency overdose treatment.

(a) A license holder must maintain a supply
of opiate antagonists as defined in section 604A.04, subdivision 1, available for emergency
treatment of opioid overdose and must have a written standing order protocol by a physician
who is licensed under chapter 147, advanced practice registered nurse who is licensed under
chapter 148, or physician assistant who is licensed under chapter 147A, that permits the
license holder to maintain a supply of opiate antagonists on site. A license holder must
require staff to undergo training in the specific mode of administration used at the program,
which may include intranasal administration, intramuscular injection, or both new text begin , before the
staff has direct contact, as defined in section 245C.02, subdivision 11, with a person served
by the program new text end .

(b) Notwithstanding any requirements to the contrary in Minnesota Rules, chapters 2960
and 9530, and Minnesota Statutes, chapters 245F, 245G, and 245I:

(1) emergency opiate antagonist medications are not required to be stored in a locked
area and staff and adult clients may carry this medication on them and store it in an unlocked
location;

(2) staff persons who only administer emergency opiate antagonist medications only
require the training required by paragraph (a), which any knowledgeable trainer may provide.
The trainer is not required to be a registered nurse or part of an accredited educational
institution; and

(3) nonresidential substance use disorder treatment programs that do not administer
client medications beyond emergency opiate antagonist medications are not required to
have the policies and procedures required in section 245G.08, subdivisions 5 and 6, and
must instead describe the program's procedures for administering opiate antagonist
medications in the license holder's description of health care services under section 245G.08,
subdivision 1.

Sec. 8.

Minnesota Statutes 2024, section 245C.05, is amended by adding a subdivision to
read:

new text begin Subd. 9. new text end

new text begin Electronic signature. new text end

new text begin For documentation requiring a signature under this
chapter, use of an electronic signature as defined under section 325L.02, paragraph (h), is
allowed.
new text end

Sec. 9.

Minnesota Statutes 2024, section 245C.08, subdivision 3, is amended to read:

Subd. 3.

Arrest and investigative information.

(a) For any background study completed
under this section, if the commissioner has reasonable cause to believe the information is
pertinent to the disqualification of an individual, the commissioner also may review arrest
and investigative information from:

(1) the Bureau of Criminal Apprehension;

(2) the commissioners of children, youth, and families; health; and human services;

(3) a deleted text begin county attorney deleted text end new text begin prosecutor new text end ;

deleted text begin (4) a county sheriff;
deleted text end

deleted text begin (5) deleted text end new text begin (4) new text end a county agency;

deleted text begin (6) deleted text end new text begin (5) new text end a deleted text begin local chief of police deleted text end new text begin law enforcement agency new text end ;

deleted text begin (7) deleted text end new text begin (6) new text end other states;

deleted text begin (8) deleted text end new text begin (7) new text end the courts;

deleted text begin (9) deleted text end new text begin (8) new text end the Federal Bureau of Investigation;

deleted text begin (10) deleted text end new text begin (9) new text end the National Criminal Records Repository; and

deleted text begin (11) deleted text end new text begin (10) new text end criminal records from other states.

(b) Except when specifically required by law, the commissioner is not required to conduct
more than one review of a subject's records from the Federal Bureau of Investigation if a
review of the subject's criminal history with the Federal Bureau of Investigation has already
been completed by the commissioner and there has been no break in the subject's affiliation
with the entity that initiated the background study.

(c) If the commissioner conducts a national criminal history record check when required
by law and uses the information from the national criminal history record check to make a
disqualification determination, the data obtained is private data and cannot be shared with
private agencies or prospective employers of the background study subject.

(d) If the commissioner conducts a national criminal history record check when required
by law and uses the information from the national criminal history record check to make a
disqualification determination, the license holder or entity that submitted the study is not
required to obtain a copy of the background study subject's disqualification letter under
section 245C.17, subdivision 3.

Sec. 10.

Minnesota Statutes 2024, section 245C.22, subdivision 5, is amended to read:

Subd. 5.

Scope of set-aside.

(a) If the commissioner sets aside a disqualification under
this section, the disqualified individual remains disqualified, but may hold a license and
have direct contact with or access to persons receiving services. Except as provided in
paragraph (b), the commissioner's set-aside of a disqualification is limited solely to the
licensed program, applicant, or agency specified in the set aside notice under section 245C.23.
For personal care provider organizations, new text begin financial management services organizations,
community first services and supports organizations, unlicensed home and community-based
organizations, and consumer-directed community supports organizations, new text end the commissioner's
set-aside may further be limited to a specific individual who is receiving services. For new
background studies required under section 245C.04, subdivision 1, paragraph (h), if an
individual's disqualification was previously set aside for the license holder's program and
the new background study results in no new information that indicates the individual may
pose a risk of harm to persons receiving services from the license holder, the previous
set-aside shall remain in effect.

(b) If the commissioner has previously set aside an individual's disqualification for one
or more programs or agencies, and the individual is the subject of a subsequent background
study for a different program or agency, the commissioner shall determine whether the
disqualification is set aside for the program or agency that initiated the subsequent
background study. A notice of a set-aside under paragraph (c) shall be issued within 15
working days if all of the following criteria are met:

(1) the subsequent background study was initiated in connection with a program licensed
or regulated under the same provisions of law and rule for at least one program for which
the individual's disqualification was previously set aside by the commissioner;

(2) the individual is not disqualified for an offense specified in section 245C.15,
subdivision 1 or 2;

(3) the commissioner has received no new information to indicate that the individual
may pose a risk of harm to any person served by the program; and

(4) the previous set-aside was not limited to a specific person receiving services.

(c) Notwithstanding paragraph (b), clause (2), for an individual who is employed in the
substance use disorder field, if the commissioner has previously set aside an individual's
disqualification for one or more programs or agencies in the substance use disorder treatment
field, and the individual is the subject of a subsequent background study for a different
program or agency in the substance use disorder treatment field, the commissioner shall set
aside the disqualification for the program or agency in the substance use disorder treatment
field that initiated the subsequent background study when the criteria under paragraph (b),
clauses (1), (3), and (4), are met and the individual is not disqualified for an offense specified
in section 245C.15, subdivision 1. A notice of a set-aside under paragraph (d) shall be issued
within 15 working days.

(d) When a disqualification is set aside under paragraph (b), the notice of background
study results issued under section 245C.17, in addition to the requirements under section
245C.17, shall state that the disqualification is set aside for the program or agency that
initiated the subsequent background study. The notice must inform the individual that the
individual may request reconsideration of the disqualification under section 245C.21 on the
basis that the information used to disqualify the individual is incorrect.

Sec. 11.

Minnesota Statutes 2024, section 245D.02, subdivision 4a, is amended to read:

Subd. 4a.

Community residential setting.

"Community residential setting" means a
residential program deleted text begin as identified in section 245A.11, subdivision 8, deleted text end where residential supports
and services identified in section 245D.03, subdivision 1, paragraph (c), clause (3), items
(i) and (ii), are provided new text begin to adults, as defined in section 245A.02, subdivision 2, new text end and the
license holder is the owner, lessor, or tenant of the facility licensed according to this chapter,
and the license holder does not reside in the facility.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2025.
new text end

Sec. 12.

Minnesota Statutes 2024, section 245G.05, subdivision 1, is amended to read:

Subdivision 1.

Comprehensive assessment.

A comprehensive assessment of the client's
substance use disorder must be administered face-to-face by an alcohol and drug counselor
within five calendar days from the day of service initiation for a residential program or by
the end of the fifth day on which a treatment service is provided in a nonresidential program.
The number of days to complete the comprehensive assessment excludes the day of service
initiation. If the comprehensive assessment is not completed within the required time frame,
the person-centered reason for the delay and the planned completion date must be documented
in the client's file. The comprehensive assessment is complete upon a qualified staff member's
dated signature. If the client new text begin previously new text end received a comprehensive assessment deleted text begin that authorized
the treatment service deleted text end , an alcohol and drug counselor may use the comprehensive assessment
for requirements of this subdivision but must document a review of the comprehensive
assessment and update the comprehensive assessment as clinically necessary to ensure
compliance with this subdivision within applicable timelines. An alcohol and drug counselor
must sign and date the comprehensive assessment review and update.

Sec. 13.

Minnesota Statutes 2024, section 245G.06, subdivision 1, is amended to read:

Subdivision 1.

General.

Each client must have a person-centered individual treatment
plan developed by an alcohol and drug counselor within ten days from the day of service
initiation for a residential program, by the end of the tenth day on which a treatment session
has been provided from the day of service initiation for a client in a nonresidential program,
not to exceed 30 days. Opioid treatment programs must complete the individual treatment
plan within deleted text begin 21 deleted text end new text begin 14 new text end days from the day of service initiation. The number of days to complete
the individual treatment plan excludes the day of service initiation. The individual treatment
plan must be signed by the client and the alcohol and drug counselor and document the
client's involvement in the development of the plan. The individual treatment plan is
developed upon the qualified staff member's dated signature. Treatment planning must
include ongoing assessment of client needs. An individual treatment plan must be updated
based on new information gathered about the client's condition, the client's level of
participation, and on whether methods identified have the intended effect. A change to the
plan must be signed by the client and the alcohol and drug counselor. If the client chooses
to have family or others involved in treatment services, the client's individual treatment plan
must include how the family or others will be involved in the client's treatment. If a client
is receiving treatment services or an assessment via telehealth and the alcohol and drug
counselor documents the reason the client's signature cannot be obtained, the alcohol and
drug counselor may document the client's verbal approval or electronic written approval of
the treatment plan or change to the treatment plan in lieu of the client's signature.

Sec. 14.

Minnesota Statutes 2024, section 245G.06, subdivision 2a, is amended to read:

Subd. 2a.

Documentation of treatment services.

The license holder must ensure that
the staff member who provides the treatment service documents in the client record the
date, type, and amount of each treatment service provided to a client and the client's response
to each treatment service within seven days of providing the treatment service. new text begin In addition
to the other requirements of this subdivision, if a guest speaker presents information during
a treatment service, the alcohol and drug counselor who provided the service and is
responsible for the information presented by the guest speaker must document the name of
the guest speaker, date of service, time the presentation began, time the presentation ended,
and a summary of the topic presentation.
new text end

Sec. 15.

Minnesota Statutes 2024, section 245G.06, subdivision 3a, is amended to read:

Subd. 3a.

Frequency of treatment plan reviews.

(a) A license holder must ensure that
the alcohol and drug counselor responsible for a client's treatment plan completes and
documents a treatment plan review that meets the requirements of subdivision 3 in each
client's file, according to the frequencies required in this subdivision. All ASAM levels
referred to in this chapter are those described in section 254B.19, subdivision 1.

(b) For a client receiving residential ASAM level 3.3 or 3.5 high-intensity services or
residential hospital-based services, a treatment plan review must be completed once every
14 days.

(c) For a client receiving residential ASAM level 3.1 low-intensity services or any other
residential level not listed in paragraph (b), a treatment plan review must be completed once
every 30 days.

(d) For a client receiving nonresidential ASAM level 2.5 partial hospitalization services,
a treatment plan review must be completed once every 14 days.

(e) For a client receiving nonresidential ASAM level 1.0 outpatient or 2.1 intensive
outpatient services or any other nonresidential level not included in paragraph (d), a treatment
plan review must be completed once every 30 days.

(f) For a client receiving nonresidential opioid treatment program services according to
section 245G.22, a treatment plan review must be completed:

(1) weekly for the ten weeks following completion of the treatment plan; and

(2) monthly thereafter.

Treatment plan reviews must be completed more frequently when clinical needs warrant.

new text begin (g) The ten-week time frame in paragraph (f), clause (1), may include a client's previous
time at another opioid treatment program licensed in Minnesota under section 245G.22 if:
new text end

new text begin (1) the client was enrolled in the other opioid treatment program immediately prior to
admission to the license holder's program;
new text end

new text begin (2) the client did not miss taking a daily dose of medication to treat an opioid use disorder;
and
new text end

new text begin (3) the license holder obtains from the previous opioid treatment program the client's
number of days in comprehensive treatment, discharge summary, amount of daily milligram
dose of medication for opioid use disorder, and previous three drug abuse test results.
new text end

deleted text begin (g) deleted text end new text begin (h) new text end Notwithstanding paragraphs (e) and (f), clause (2), for a client in a nonresidential
program with a treatment plan that clearly indicates less than five hours of skilled treatment
services will be provided to the client each month, a treatment plan review must be completed
once every 90 days. Treatment plan reviews must be completed more frequently when
clinical needs warrant.

Sec. 16.

Minnesota Statutes 2024, section 245G.07, subdivision 2, is amended to read:

Subd. 2.

Additional treatment service.

A license holder may provide or arrange the
following additional treatment service as a part of the client's individual treatment plan:

(1) relationship counseling provided by a qualified professional to help the client identify
the impact of the client's substance use disorder on others and to help the client and persons
in the client's support structure identify and change behaviors that contribute to the client's
substance use disorder;

(2) therapeutic recreation to allow the client to participate in recreational activities
without the use of mood-altering chemicals and to plan and select leisure activities that do
not involve the inappropriate use of chemicals;

(3) stress management and physical well-being to help the client reach and maintain an
appropriate level of health, physical fitness, and well-being;

(4) living skills development to help the client learn basic skills necessary for independent
living;

(5) employment or educational services to help the client become financially independent;

(6) socialization skills development to help the client live and interact with others in a
positive and productive manner;

(7) room, board, and supervision at the treatment site to provide the client with a safe
and appropriate environment to gain and practice new skills; and

(8) peer recovery support services must be provided new text begin one-to-one and face-to-face,
including through the Internet, new text end by a recovery peer qualified according to section 245I.04,
subdivision 18. Peer recovery support services must be provided according to sections
254B.05, subdivision 5, and 254B.052.

Sec. 17.

Minnesota Statutes 2024, section 245G.08, subdivision 6, is amended to read:

Subd. 6.

Control of drugs.

A license holder must have and implement written policies
and procedures developed by a registered nurse that contain:

(1) a requirement that each drug must be stored in a locked compartment. A Schedule
II drug, as defined by section 152.02, subdivision 3, must be stored in a separately locked
compartment, permanently affixed to the physical plant or medication cart;

(2) a new text begin documentation new text end system deleted text begin which deleted text end new text begin that new text end accounts for all deleted text begin scheduled drugs each shift deleted text end new text begin
schedule II to V drugs listed in section 152.02, subdivisions 3 to 6 new text end ;

(3) a procedure for recording the client's use of medication, including the signature of
the staff member who completed the administration of the medication with the time and
date;

(4) a procedure to destroy a discontinued, outdated, or deteriorated medication;

(5) a statement that only authorized personnel are permitted access to the keys to a locked
compartment;

(6) a statement that no legend drug supply for one client shall be given to another client;
and

(7) a procedure for monitoring the available supply of an opiate antagonist as defined
in section 604A.04, subdivision 1, on site and replenishing the supply when needed.

Sec. 18.

Minnesota Statutes 2024, section 245G.09, subdivision 3, is amended to read:

Subd. 3.

Contents.

new text begin (a) new text end Client records must contain the following:

(1) documentation that the client was given new text begin :
new text end

new text begin (i) new text end information on client rights and responsibilities deleted text begin , deleted text end new text begin and new text end grievance procedures deleted text begin , deleted text end new text begin on the
day of service initiation;
new text end

new text begin (ii) information on new text end tuberculosis deleted text begin , deleted text end and HIV deleted text begin , and that the client was provided deleted text end new text begin within 72
hours of service initiation;
new text end

new text begin (iii) new text end an orientation to the program abuse prevention plan required under section 245A.65,
subdivision 2, paragraph (a), clause (4) deleted text begin . If the client has an opioid use disorder, the record
must contain documentation that the client was provided deleted text end new text begin within 24 hours of admission or,
for clients who would benefit from a later orientation, 72 hours; and
new text end

new text begin (iv) opioid new text end educational deleted text begin information deleted text end new text begin material new text end according to section 245G.04, subdivision
3 new text begin , on the day of service initiation new text end ;

(2) an initial services plan completed according to section 245G.04;

(3) a comprehensive assessment completed according to section 245G.05;

(4) an individual abuse prevention plan according to sections 245A.65, subdivision 2,
and 626.557, subdivision 14, when applicable;

(5) an individual treatment plan according to section 245G.06, subdivisions 1 and 1a;

(6) documentation of treatment services, significant events, appointments, concerns, and
treatment plan reviews according to section 245G.06, subdivisions 2a, 2b, 3, and 3a; and

(7) a summary at the time of service termination according to section 245G.06,
subdivision 4.

new text begin (b) For a client that transfers to another of the license holder's licensed treatment locations,
the license holder is not required to complete new documents or orientation for the client,
except that the client must receive an orientation to the new location's grievance procedure,
program abuse prevention plan, and maltreatment of minor and vulnerable adults reporting
procedures.
new text end

Sec. 19.

Minnesota Statutes 2024, section 245G.11, subdivision 11, is amended to read:

Subd. 11.

Individuals with temporary permit.

An individual with a temporary permit
from the Board of Behavioral Health and Therapy may provide substance use disorder
treatment deleted text begin service deleted text end new text begin services and complete comprehensive assessments, individual treatment
plans, treatment plan reviews, and service discharge summaries new text end according to this subdivision
if they meet the requirements of either paragraph (a) or (b).

(a) An individual with a temporary permit must be supervised by a licensed alcohol and
drug counselor assigned by the license holder. The supervising licensed alcohol and drug
counselor must document the amount and type of supervision provided at least on a weekly
basis. The supervision must relate to the clinical practice.

(b) An individual with a temporary permit must be supervised by a clinical supervisor
approved by the Board of Behavioral Health and Therapy. The supervision must be
documented and meet the requirements of section 148F.04, subdivision 4.

Sec. 20.

Minnesota Statutes 2024, section 245G.18, subdivision 2, is amended to read:

Subd. 2.

Alcohol and drug counselor qualifications.

In addition to the requirements
specified in section 245G.11, subdivisions 1 and 5, an alcohol and drug counselor providing
treatment service to an adolescent must have deleted text begin :
deleted text end

deleted text begin (1) deleted text end an additional 30 hours of new text begin training or new text end classroom instruction or one three-credit semester
college course in adolescent development. deleted text begin This deleted text end new text begin The new text end training new text begin , classroom instruction, or
college course must be completed no later than six months after the counselor first provides
treatment services to adolescents and new text end need only be completed one time deleted text begin ; and deleted text end new text begin . The training
must be interactive and must not consist only of reading information. An alcohol and drug
counselor who is also qualified as a mental health professional under section 245I.04,
subdivision 2, is exempt from the requirement in this subdivision.
new text end

deleted text begin (2) at least 150 hours of supervised experience as an adolescent counselor, either as a
student or as a staff member.
deleted text end

Sec. 21.

Minnesota Statutes 2024, section 245G.19, subdivision 4, is amended to read:

Subd. 4.

Additional licensing requirements.

During the times the license holder is
responsible for the supervision of a child, new text begin except for license holders described in subdivision
5, new text end the license holder must meet the following standards:

(1) child and adult ratios in Minnesota Rules, part 9502.0367;

(2) day care training in section 142B.70;

(3) behavior guidance in Minnesota Rules, part 9502.0395;

(4) activities and equipment in Minnesota Rules, part 9502.0415;

(5) physical environment in Minnesota Rules, part 9502.0425;

(6) physical space requirements in section 142B.72; and

(7) water, food, and nutrition in Minnesota Rules, part 9502.0445, unless the license
holder has a license from the Department of Health.

Sec. 22.

Minnesota Statutes 2024, section 245G.19, is amended by adding a subdivision
to read:

new text begin Subd. 5. new text end

new text begin Child care license exemption. new text end

new text begin (a) License holders that only provide supervision
of children for less than three hours a day while the child's parent is in the same building
or contiguous building as allowed by the exclusion from licensure in section 245A.03,
subdivision 2, paragraph (a), clause (6), are exempt from the requirements of subdivision
4, if the requirements of this subdivision are met.
new text end

new text begin (b) During the times the license holder is responsible for the supervision of the child,
there must always be a staff member present that is responsible for supervising the child
who is trained in cardiopulmonary resuscitation (CPR) and first aid. This staff person must
be able to immediately contact the child's parent at all times.
new text end

Sec. 23.

Minnesota Statutes 2024, section 245G.22, subdivision 1, is amended to read:

Subdivision 1.

Additional requirements.

(a) An opioid treatment program licensed
under this chapter must also: (1) comply with the requirements of this section and Code of
Federal Regulations, title 42, part 8; (2) be registered as a narcotic treatment program with
the Drug Enforcement Administration; (3) be accredited through an accreditation body
approved by the Division of Pharmacologic Therapy of the Center for Substance Abuse
Treatment; (4) be certified through the Division of Pharmacologic Therapy of the Center
for Substance Abuse Treatment; and (5) hold a license from the Minnesota Board of
Pharmacy or deleted text begin equivalent agency deleted text end new text begin meet the requirements for dispensing by a practitioner in
section 151.37, subdivision 2, and Minnesota Rules, parts 6800.9950 to 6800.9954 new text end .

new text begin (b) A license holder operating under the dispensing by practitioner requirements in
section 151.37, subdivision 2, and Minnesota Rules, parts 6800.9950 to 6800.9954, must
maintain documentation that the practitioner responsible for complying with the above
statute and rules has signed a statement attesting that they are the practitioner responsible
for complying with the applicable statutes and rules. If more than one person is responsible
for compliance, all practitioners must sign a statement.
new text end

deleted text begin (b) deleted text end new text begin (c) new text end Where a standard in this section differs from a standard in an otherwise applicable
administrative rule or statute, the standard of this section applies.

Sec. 24.

Minnesota Statutes 2024, section 245G.22, subdivision 14, is amended to read:

Subd. 14.

Central registry.

deleted text begin (a) deleted text end A license holder must comply with requirements to
submit information and necessary consents to the state central registry for each client
admitted, as specified by the commissioner. The license holder must submit data concerning
medication used for the treatment of opioid use disorder. The data must be submitted in a
method determined by the commissioner and the original information must be kept in the
client's record. The information must be submitted for each client at admission and discharge.
The program must document the date the information was submitted. The client's failure to
provide the information shall prohibit participation in an opioid treatment program. The
information submitted must include the client's:

(1) full name and all aliases;

(2) date of admission;

(3) date of birth;

(4) Social Security number or Alien Registration Number, if any; new text begin and
new text end

(5) current or previous enrollment status in another opioid treatment program deleted text begin ; deleted text end new text begin .
new text end

deleted text begin (6) government-issued photo identification card number; and
deleted text end

deleted text begin (7) driver's license number, if any.
deleted text end

deleted text begin (b) The requirements in paragraph (a) are effective upon the commissioner's
implementation of changes to the drug and alcohol abuse normative evaluation system or
development of an electronic system by which to submit the data.
deleted text end

Sec. 25.

Minnesota Statutes 2024, section 245G.22, subdivision 15, is amended to read:

Subd. 15.

Nonmedication treatment services; documentation.

(a) The program must
offer at least 50 consecutive minutes of individual or group therapy treatment services as
defined in section 245G.07, subdivision 1, paragraph (a), clause (1), per week, for the first
ten weeks following the day of service initiation, and at least 50 consecutive minutes per
month thereafter. As clinically appropriate, the program may offer these services cumulatively
and not consecutively in increments of no less than 15 minutes over the required time period,
and for a total of 60 minutes of treatment services over the time period, and must document
the reason for providing services cumulatively in the client's record. The program may offer
additional levels of service when deemed clinically necessary.

new text begin (b) The ten-week time frame may include a client's previous time at another opioid
treatment program licensed in Minnesota under this section if:
new text end

new text begin (1) the client was enrolled in the other opioid treatment program immediately prior to
admission to the license holder's program;
new text end

new text begin (2) the client did not miss taking a daily dose of medication to treat an opioid use disorder;
and
new text end

new text begin (3) the license holder obtains from the previous opioid treatment program the client's
number of days in comprehensive maintenance treatment, discharge summary, amount of
daily milligram dose of medication for opioid use disorder, and previous three drug abuse
test results.
new text end

deleted text begin (b) deleted text end new text begin (c) new text end Notwithstanding the requirements of comprehensive assessments in section
245G.05, the assessment must be completed within 21 days from the day of service initiation.

Sec. 26.

Minnesota Statutes 2024, section 256.98, subdivision 1, is amended to read:

Subdivision 1.

Wrongfully obtaining assistance.

(a) A person who commits any of the
following acts or omissions with intent to defeat the purposes of sections 145.891 to 145.897,
the MFIP program formerly codified in sections 256.031 to 256.0361, the AFDC program
formerly codified in sections 256.72 to 256.871, chapter 142G, 256B, 256D, 256I, 256K,
or 256L, child care assistance programs, and emergency assistance programs under section
256D.06, is guilty of theft and shall be sentenced under section 609.52, subdivision 3, clauses
(1) to (5):

(1) obtains or attempts to obtain, or aids or abets any person to obtain by means of a
willfully false statement or representation, by intentional concealment of any material fact,
or by impersonation or other fraudulent device, assistance or the continued receipt of
assistance, to include child care assistance or food benefits produced according to sections
145.891 to 145.897 and MinnesotaCare services according to sections 256.9365, 256.94,
and 256L.01 to 256L.15, to which the person is not entitled or assistance greater than that
to which the person is entitled;

(2) knowingly aids or abets in buying or in any way disposing of the property of a
recipient or applicant of assistance without the consent of the county agency; or

(3) obtains or attempts to obtain, alone or in collusion with others, the receipt of payments
to which the individual is not entitled as a provider of subsidized child care deleted text begin , or deleted text end by deleted text begin furnishing
or concurring in deleted text end new text begin receiving or providing any prohibited payment, as defined in section
609.542, subdivision 2, including a kickback, or by submitting or aiding or abetting the
submission of new text end a willfully false claim for child care assistance.

(b) The continued receipt of assistance to which the person is not entitled or greater than
that to which the person is entitled as a result of any of the acts, failure to act, or concealment
described in this subdivision shall be deemed to be continuing offenses from the date that
the first act or failure to act occurred.

Sec. 27.

Minnesota Statutes 2024, section 256B.12, is amended to read:

256B.12 LEGAL REPRESENTATION.

The attorney general or the appropriate county attorney appearing at the direction of the
attorney general shall be the attorney for the state agency, and the county attorney of the
appropriate county shall be the attorney for the deleted text begin local deleted text end agency in all matters pertaining hereto.
To prosecute under this chapter or sections 609.466 deleted text begin and deleted text end new text begin , new text end 609.52, subdivision 2, new text begin and 609.542 new text end
or to recover payments wrongfully made under this chapter, the attorney general or the
appropriate county attorney, acting independently or at the direction of the attorney general
may institute a criminal or civil action.

Sec. 28.

Minnesota Statutes 2024, section 480.40, subdivision 1, is amended to read:

Subdivision 1.

Definitions.

(a) For purposes of this section and section 480.45, the
following terms have the meanings given.

(b) "Judicial official" means:

(1) every Minnesota district court judge, senior judge, retired judge, and every judge of
the Minnesota Court of Appeals and every active, senior, recalled, or retired federal judge
who resides in Minnesota;

(2) a justice of the Minnesota Supreme Court;

(3) employees of the Minnesota judicial branch;

(4) judicial referees and magistrate judges; and

(5) current and retired judges and current employees of the Office of Administrative
Hearings, new text begin Department of Human Services Appeals Division, new text end Workers' Compensation Court
of Appeals, and Tax Court.

(c) "Personal information" does not include publicly available information. Personal
information means:

(1) a residential address of a judicial official;

(2) a residential address of the spouse, domestic partner, or children of a judicial official;

(3) a nonjudicial branch issued telephone number or email address of a judicial official;

(4) the name of any child of a judicial official; and

(5) the name of any child care facility or school that is attended by a child of a judicial
official if combined with an assertion that the named facility or school is attended by the
child of a judicial official.

(d) "Publicly available information" means information that is lawfully made available
through federal, state, or local government records or information that a business has a
reasonable basis to believe is lawfully made available to the general public through widely
distributed media, by a judicial official, or by a person to whom the judicial official has
disclosed the information, unless the judicial official has restricted the information to a
specific audience.

(e) "Law enforcement support organizations" do not include charitable organizations.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 29.

new text begin [609.542] HUMAN SERVICES PROGRAMS CRIMES.
new text end

new text begin Subdivision 1. new text end

new text begin Definition. new text end

new text begin For purposes of this section, "federal health care program"
has the meaning given in United States Code, title 42, section 1320a-7b(f).
new text end

new text begin Subd. 2. new text end

new text begin Prohibited payments made relating to human services programs. new text end

new text begin A person
is guilty of a crime and may be sentenced as provided in subdivision 5 if the person
intentionally offers or pays any remuneration, including any kickback, bribe, or rebate,
directly or indirectly, overtly or covertly, in cash or in kind, to another person:
new text end

new text begin (1) to induce that person to apply for, receive, or induce another person to apply for or
receive an item or service for which payment may be made in whole or in part under a
federal health care program, state behavioral health program under section 254B.04, or
family program under chapter 142E; or
new text end

new text begin (2) in return for purchasing, leasing, ordering, or arranging for or inducing the purchasing,
leasing, or ordering of any good, facility, service, or item for which payment may be made
in whole or in part, or which is administered in whole or in part under a federal health care
program, state behavioral health program under section 254B.04, or family program under
chapter 142E.
new text end

new text begin Subd. 3. new text end

new text begin Receipt of prohibited payments relating to human services programs. new text end

new text begin A
person is guilty of a crime and may be sentenced as provided in subdivision 5 if the person
intentionally solicits or receives any remuneration, including any kickback, bribe, or rebate,
directly or indirectly, overtly or covertly, in cash or in kind:
new text end

new text begin (1) in return for applying for or receiving a human services benefit, service, or grant for
which payment may be made in whole or in part under a federal health care program, state
behavioral health program under section 254B.04, or family program under chapter 142E;
or
new text end

new text begin (2) in return for purchasing, leasing, ordering, or arranging for or inducing the purchasing,
leasing, or ordering of any good, facility, service, or item for which payment may be made
in whole or in part under a federal health care program, state behavioral health program
under section 254B.04, or family program under chapter 142E.
new text end

new text begin Subd. 4. new text end

new text begin Exemptions. new text end

new text begin (a) This section does not apply to remuneration exempted under
the Anti-Kickback Statute, United States Code, title 42, section 1320a-7b(b)(3), or payment
made under a federal health care program which is exempt from liability by United States
Code, title 42, section 1001.952.
new text end

new text begin (b) This section does not apply to:
new text end

new text begin (1) any amount paid by an employer to a bona fide employee for providing covered
items or services under chapter 142E while acting in the course and scope of employment;
or
new text end

new text begin (2) child care provider discounts, scholarships, or other financial assistance to families
allowed under section 142E.17, subdivision 7.
new text end

new text begin Subd. 5. new text end

new text begin Sentence. new text end

new text begin (a) A person convicted under subdivision 2 or 3 may be sentenced
pursuant to section 609.52, subdivision 3.
new text end

new text begin (b) For purposes of sentencing a violation of subdivision 2, "value" means the fair market
value of the good, facility, service, or item that was obtained as a direct or indirect result
of the prohibited payment.
new text end

new text begin (c) For purposes of sentencing a violation of subdivision 3, "value" means the amount
of the prohibited payment solicited or received.
new text end

new text begin (d) As a matter of law, a claim for any good, facility, service, or item rendered or claimed
to have been rendered in violation of this section is noncompensable and unenforceable at
the time the claim is made.
new text end

new text begin Subd. 6. new text end

new text begin Aggregation. new text end

new text begin In a prosecution under this section, the value of the money,
property, or benefit received or solicited by the defendant within a six-month period may
be aggregated and the defendant charged accordingly in applying the provisions of
subdivision 5.
new text end

new text begin Subd. 7. new text end

new text begin False claims. new text end

new text begin In addition to the penalties provided for in this section, a claim,
as defined in section 15C.01, subdivision 2, that includes items or services resulting from
a violation of this section constitutes a false or fraudulent claim for purposes of section
15C.02.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2025, and applies to crimes
committed on or after that date.
new text end

Sec. 30. new text begin MODIFICATION OF DEFINITIONS.
new text end

new text begin For the purposes of implementing the provider licensing and reporting hub, the
commissioner of human services may modify definitions in Minnesota Statutes, chapters
142B, 245A, 245D, 245F, 245G, and 245I, and Minnesota Rules, chapters 2960, 9502,
9520, 9530, 9543, 9555, and 9570. Definitions changed pursuant to this section do not affect
the rights, responsibilities, or duties of the commissioner; the Department of Human Services;
programs administered, licensed, certified, or funded by the commissioner; or the programs'
employees or clients. This section expires August 31, 2028.
new text end

Sec. 31. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2024, section 245A.11, subdivision 8, new text end new text begin is repealed.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2025.
new text end

ARTICLE 6

CHILDREN AND FAMILIES OFFICE OF THE INSPECTOR GENERAL

Section 1.

Minnesota Statutes 2024, section 142B.10, subdivision 14, is amended to read:

Subd. 14.

Grant of license; license extension.

(a) If the commissioner determines that
the program complies with all applicable rules and laws, the commissioner shall issue a
license consistent with this section or, if applicable, a temporary change of ownership license
under section 142B.11. At minimum, the license shall state:

(1) the name of the license holder;

(2) the address of the program;

(3) the effective date and expiration date of the license;

(4) the type of license;

(5) the maximum number and ages of persons that may receive services from the program;
and

(6) any special conditions of licensure.

(b) The commissioner may issue a license for a period not to exceed two years if:

(1) the commissioner is unable to conduct the observation required by subdivision 11,
paragraph (a), clause (3), because the program is not yet operational;

(2) certain records and documents are not available because persons are not yet receiving
services from the program; and

(3) the applicant complies with applicable laws and rules in all other respects.

(c) A decision by the commissioner to issue a license does not guarantee that any person
or persons will be placed or cared for in the licensed program.

(d) Except as provided in paragraphs (i) and (j), the commissioner shall not issue a
license if the applicant, license holder, or an affiliated controlling individual has:

(1) been disqualified and the disqualification was not set aside and no variance has been
granted;

(2) been denied a license under this chapter or chapter 245A within the past two years;

(3) had a license issued under this chapter or chapter 245A revoked within the past five
years; or

(4) failed to submit the information required of an applicant under subdivision 1,
paragraph (f), (g), or (h), after being requested by the commissioner.

When a license issued under this chapter or chapter 245A is revoked, the license holder
and each affiliated controlling individual with a revoked license may not hold any license
under chapter 142B for five years following the revocation, and other licenses held by the
applicant or license holder or licenses affiliated with each controlling individual shall also
be revoked.

(e) Notwithstanding paragraph (d), the commissioner may elect not to revoke a license
affiliated with a license holder or controlling individual that had a license revoked within
the past five years if the commissioner determines that (1) the license holder or controlling
individual is operating the program in substantial compliance with applicable laws and rules
and (2) the program's continued operation is in the best interests of the community being
served.

(f) Notwithstanding paragraph (d), the commissioner may issue a new license in response
to an application that is affiliated with an applicant, license holder, or controlling individual
that had an application denied within the past two years or a license revoked within the past
five years if the commissioner determines that (1) the applicant or controlling individual
has operated one or more programs in substantial compliance with applicable laws and rules
and (2) the program's operation would be in the best interests of the community to be served.

(g) In determining whether a program's operation would be in the best interests of the
community to be served, the commissioner shall consider factors such as the number of
persons served, the availability of alternative services available in the surrounding
community, the management structure of the program, whether the program provides
culturally specific services, and other relevant factors.

(h) The commissioner shall not issue or reissue a license under this chapter if an individual
living in the household where the services will be provided as specified under section
245C.03, subdivision 1, has been disqualified and the disqualification has not been set aside
and no variance has been granted.

(i) Pursuant to section 142B.18, subdivision 1, paragraph (b), when a license issued
under this chapter has been suspended or revoked and the suspension or revocation is under
appeal, the program may continue to operate pending a final order from the commissioner.
If the license under suspension or revocation will expire before a final order is issued, a
temporary provisional license may be issued provided any applicable license fee is paid
before the temporary provisional license is issued.

(j) Notwithstanding paragraph (i), when a revocation is based on the disqualification of
a controlling individual or license holder, and the controlling individual or license holder
is ordered under section 245C.17 to be immediately removed from direct contact with
persons receiving services or is ordered to be under continuous, direct supervision when
providing direct contact services, the program may continue to operate only if the program
complies with the order and submits documentation demonstrating compliance with the
order. If the disqualified individual fails to submit a timely request for reconsideration, or
if the disqualification is not set aside and no variance is granted, the order to immediately
remove the individual from direct contact or to be under continuous, direct supervision
remains in effect pending the outcome of a hearing and final order from the commissioner.

(k) For purposes of reimbursement for meals only, under the Child and Adult Care Food
Program, Code of Federal Regulations, title 7, subtitle B, chapter II, subchapter A, part 226,
relocation within the same county by a licensed family day care provider, shall be considered
an extension of the license for a period of no more than 30 calendar days or until the new
license is issued, whichever occurs first, provided the county agency has determined the
family day care provider meets licensure requirements at the new location.

(l) Unless otherwise specified by statute, all licenses issued under this chapter expire at
12:01 a.m. on the day after the expiration date stated on the license. A license holder must
deleted text begin apply for and be granted deleted text end new text begin comply with the requirements in section 142B.12 and be reissued new text end
a new license to operate the program or the program must not be operated after the expiration
date. new text begin Child foster care license holders must apply for and be granted a new license to operate
the program or the program must not be operated after the expiration date. Upon
implementation of the provider licensing and reporting hub, licenses may be issued each
calendar year.
new text end

(m) The commissioner shall not issue or reissue a license under this chapter if it has
been determined that a tribal licensing authority has established jurisdiction to license the
program or service.

(n) The commissioner of children, youth, and families shall coordinate and share data
with the commissioner of human services to enforce this section.

Sec. 2.

Minnesota Statutes 2024, section 142B.30, subdivision 1, is amended to read:

Subdivision 1.

Delegation of authority to agencies.

(a) County agencies and private
agencies that have been designated or licensed by the commissioner to perform licensing
functions and activities under section 142B.10; to recommend denial of applicants under
section 142B.15; to issue correction orders, to issue variances, and to recommend a
conditional license under section 142B.16; or to recommend suspending or revoking a
license or issuing a fine under section 142B.18, shall comply with rules and directives of
the commissioner governing those functions and with this section. The following variances
are excluded from the delegation of variance authority and may be issued only by the
commissioner:

(1) dual licensure of family child care and family child foster care;

(2) child foster care maximum age requirement;

(3) variances regarding disqualified individuals;

(4) variances to requirements relating to chemical use problems of a license holder or a
household member of a license holder; and

(5) variances to section 142B.74 for a time-limited period. If the commissioner grants
a variance under this clause, the license holder must provide notice of the variance to all
parents and guardians of the children in care.

(b) The commissioners of human services and children, youth, and families must both
approve a variance for dual licensure of family child foster care and family adult foster care
or family adult foster care and family child care. Variances under this paragraph are excluded
from the delegation of variance authority and may be issued only by both commissioners.

(c) Except as provided in section 142B.41, subdivision 4, paragraph (e), a county agency
must not grant a license holder a variance to exceed the maximum allowable family child
care license capacity of 14 children.

(d) A county agency that has been designated by the commissioner to issue family child
care variances must:

(1) publish the county agency's policies and criteria for issuing variances on the county's
public website and update the policies as necessary; and

(2) annually distribute the county agency's policies and criteria for issuing variances to
all family child care license holders in the county.

(e) Before the implementation of NETStudy 2.0, county agencies must report information
about disqualification reconsiderations under sections 245C.25 and 245C.27, subdivision
2, paragraphs (a) and (b), and variances granted under paragraph (a), clause (5), to the
commissioner at least monthly in a format prescribed by the commissioner.

(f) For family child care programs, the commissioner shall require a county agency to
conduct one unannounced licensing review at least annually.

(g) A new text begin child foster care new text end license issued under this section may be issued for up to two years new text begin
until implementation of the provider licensing and reporting hub. Upon implementation of
the provider licensing and reporting hub, licenses may be issued each calendar year new text end .

(h) A county agency shall report to the commissioner, in a manner prescribed by the
commissioner, the following information for a licensed family child care program:

(1) the results of each licensing review completed, including the date of the review, and
any licensing correction order issued;

(2) any death, serious injury, or determination of substantiated maltreatment; and

(3) any fires that require the service of a fire department within 48 hours of the fire. The
information under this clause must also be reported to the state fire marshal within two
business days of receiving notice from a licensed family child care provider.

Sec. 3.

Minnesota Statutes 2024, section 142B.51, subdivision 2, is amended to read:

Subd. 2.

Child passenger restraint systems; training requirement.

(a) Programs
licensed by the Department of Human Services under chapter 245A or the Department of
Children, Youth, and Families under this chapter and Minnesota Rules, chapter 2960, that
serve a child or children under deleted text begin eight deleted text end new text begin nine new text end years of age must document training that fulfills
the requirements in this subdivision.

(b) Before a license holder, staff person, or caregiver transports a child or children under
age deleted text begin eight deleted text end new text begin nine new text end in a motor vehicle, the person transporting the child must satisfactorily
complete training on the proper use and installation of child restraint systems in motor
vehicles. Training completed under this section may be used to meet initial or ongoing
training under Minnesota Rules, part 2960.3070, subparts 1 and 2.

(c) Training required under this section must be completed at orientation or initial training
and repeated at least once every five years. At a minimum, the training must address the
proper use of child restraint systems based on the child's size, weight, and age, and the
proper installation of a car seat or booster seat in the motor vehicle used by the license
holder to transport the child or children.

(d) Training under paragraph (c) must be provided by individuals who are certified and
approved by the Office of Traffic Safety within the Department of Public Safety. License
holders may obtain a list of certified and approved trainers through the Department of Public
Safety website or by contacting the agency.

deleted text begin (e) Notwithstanding paragraph (a), for an emergency relative placement under section
142B.06, the commissioner may grant a variance to the training required by this subdivision
for a relative who completes a child seat safety check up. The child seat safety check up
trainer must be approved by the Department of Public Safety, Office of Traffic Safety, and
must provide one-on-one instruction on placing a child of a specific age in the exact child
passenger restraint in the motor vehicle in which the child will be transported. Once granted
a variance, and if all other licensing requirements are met, the relative applicant may receive
a license and may transport a relative foster child younger than eight years of age. A child
seat safety check up must be completed each time a child requires a different size car seat
according to car seat and vehicle manufacturer guidelines. A relative license holder must
complete training that meets the other requirements of this subdivision prior to placement
of another foster child younger than eight years of age in the home or prior to the renewal
of the child foster care license.
deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
new text end

Sec. 4.

Minnesota Statutes 2024, section 142B.65, subdivision 8, is amended to read:

Subd. 8.

Child passenger restraint systems; training requirement.

(a) Before a license
holder transports a child or children under age deleted text begin eight deleted text end new text begin nine new text end in a motor vehicle, the person
placing the child or children in a passenger restraint must satisfactorily complete training
on the proper use and installation of child restraint systems in motor vehicles.

(b) Training required under this subdivision must be repeated at least once every five
years. At a minimum, the training must address the proper use of child restraint systems
based on the child's size, weight, and age, and the proper installation of a car seat or booster
seat in the motor vehicle used by the license holder to transport the child or children.

(c) Training required under this subdivision must be provided by individuals who are
certified and approved by the Department of Public Safety, Office of Traffic Safety. License
holders may obtain a list of certified and approved trainers through the Department of Public
Safety website or by contacting the agency.

(d) Child care providers that only transport school-age children as defined in section
142B.01, subdivision 25, in child care buses as defined in section 169.448, subdivision 1,
paragraph (e), are exempt from this subdivision.

(e) Training completed under this subdivision may be used to meet in-service training
requirements under subdivision 9. Training completed within the previous five years is
transferable upon a staff person's change in employment to another child care center.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
new text end

Sec. 5.

Minnesota Statutes 2024, section 142B.66, subdivision 3, is amended to read:

Subd. 3.

Emergency preparedness.

(a) A licensed child care center must have a written
emergency plan for emergencies that require evacuation, sheltering, or other protection of
a child, such as fire, natural disaster, intruder, or other threatening situation that may pose
a health or safety hazard to a child. The plan must be written on a form developed by the
commissioner and must include:

(1) procedures for an evacuation, relocation, shelter-in-place, or lockdown;

(2) a designated relocation site and evacuation route;

(3) procedures for notifying a child's parent or legal guardian of the evacuation, relocation,
shelter-in-place, or lockdown, including procedures for reunification with families;

(4) accommodations for a child with a disability or a chronic medical condition;

(5) procedures for storing a child's medically necessary medicine that facilitates easy
removal during an evacuation or relocation;

(6) procedures for continuing operations in the period during and after a crisis;

(7) procedures for communicating with local emergency management officials, law
enforcement officials, or other appropriate state or local authorities; and

(8) accommodations for infants and toddlers.

(b) The license holder must train staff persons on the emergency plan at orientation,
when changes are made to the plan, and at least once each calendar year. Training must be
documented in each staff person's personnel file.

(c) The license holder must conduct drills according to the requirements in Minnesota
Rules, part 9503.0110, subpart 3. The date and time of the drills must be documented.

(d) The license holder must review and update the emergency plan deleted text begin annually deleted text end new text begin each calendar
year new text end . Documentation of the deleted text begin annual deleted text end new text begin yearly new text end emergency plan review shall be maintained in
the program's administrative records.

(e) The license holder must include the emergency plan in the program's policies and
procedures as specified under section 142B.10, subdivision 21. The license holder must
provide a physical or electronic copy of the emergency plan to the child's parent or legal
guardian upon enrollment.

(f) The relocation site and evacuation route must be posted in a visible place as part of
the written procedures for emergencies and accidents in Minnesota Rules, part 9503.0140,
subpart 21.

Sec. 6.

Minnesota Statutes 2024, section 142B.70, subdivision 7, is amended to read:

Subd. 7.

Child passenger restraint systems; training requirement.

(a) A license
holder must comply with all seat belt and child passenger restraint system requirements
under section 169.685.

(b) Family and group family child care programs licensed by the Department of Children,
Youth, and Families that serve a child or children under deleted text begin eight deleted text end new text begin nine new text end years of age must
document training that fulfills the requirements in this subdivision.

(1) Before a license holder, second adult caregiver, substitute, or helper transports a
child or children under age deleted text begin eight deleted text end new text begin nine new text end in a motor vehicle, the person placing the child or
children in a passenger restraint must satisfactorily complete training on the proper use and
installation of child restraint systems in motor vehicles. Training completed under this
subdivision may be used to meet initial training under subdivision 1 or ongoing training
under subdivision 8.

(2) Training required under this subdivision must be at least one hour in length, completed
at initial training, and repeated at least once every five years. At a minimum, the training
must address the proper use of child restraint systems based on the child's size, weight, and
age, and the proper installation of a car seat or booster seat in the motor vehicle used by the
license holder to transport the child or children.

(3) Training under this subdivision must be provided by individuals who are certified
and approved by the Department of Public Safety, Office of Traffic Safety. License holders
may obtain a list of certified and approved trainers through the Department of Public Safety
website or by contacting the agency.

(c) Child care providers that only transport school-age children as defined in section
142B.01, subdivision 13, paragraph (f), in child care buses as defined in section 169.448,
subdivision 1, paragraph (e), are exempt from this subdivision.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
new text end

Sec. 7.

Minnesota Statutes 2024, section 142C.06, is amended by adding a subdivision to
read:

new text begin Subd. 4. new text end

new text begin Requirement to post conditional certification. new text end

new text begin Upon receipt of any order of
conditional certification issued by the commissioner under this section, and notwithstanding
a pending request for reconsideration of the order of conditional certification by the
certification holder, the certification holder shall post the order of conditional certification
in a place that is conspicuous to the people receiving services and all visitors to the facility
for the duration of the conditional certification. When the order of conditional certification
is accompanied by a maltreatment investigation memorandum prepared under chapter 260E,
the investigation memoranda must be posted with the order of conditional certification.
new text end

Sec. 8.

Minnesota Statutes 2024, section 142C.11, subdivision 8, is amended to read:

Subd. 8.

Required policies.

A certified center must have written policies for health and
safety items in subdivisions 1 to 6 new text begin , 9, and 10 new text end .

Sec. 9.

Minnesota Statutes 2024, section 142C.12, subdivision 1, is amended to read:

Subdivision 1.

First aid and cardiopulmonary resuscitation.

(a) Before having
unsupervised direct contact with a child, but within 90 days after the first date of direct
contact with a child, the director, all staff persons, substitutes, and unsupervised volunteers
must successfully complete pediatric first aid and pediatric cardiopulmonary resuscitation
(CPR) training, unless the training has been completed within the previous two calendar
years. Staff must complete the pediatric first aid and pediatric CPR training at least every
other calendar year and the center must document the training in the staff person's personnel
record.

(b) Training completed under this subdivision may be used to meet the in-service training
requirements under subdivision 6.

new text begin (c) Training must include CPR and techniques for providing immediate care to people
experiencing life-threatening cardiac emergencies, choking, bleeding, fractures and sprains,
head injuries, poisoning, and burns. Training developed by the American Heart Association,
the American Red Cross, or another organization that uses nationally recognized,
evidence-based guidelines meets these requirements.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
new text end

Sec. 10.

Minnesota Statutes 2024, section 245A.18, subdivision 1, is amended to read:

Subdivision 1.

Seat belt and child passenger restraint system use.

All license holders
that transport children must comply with the requirements of section 142B.51, subdivision
1, and license holders that transport a child or children under deleted text begin eight deleted text end new text begin nine new text end years of age must
document training that fulfills the requirements in section 142B.51, subdivision 2.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
new text end

APPENDIX

Repealed Minnesota Statutes: 25-00311

245.4862 MENTAL HEALTH URGENT CARE AND PSYCHIATRIC CONSULTATION.

Subdivision 1.

Mental health urgent care and psychiatric consultation.

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

Subd. 2.

Definitions.

For purposes of this section:

(a) Mental health urgent care includes:

(1) initial mental health screening;

(2) mobile crisis assessment and intervention;

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

(4) nonhospital crisis stabilization residential beds; and

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

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

Subd. 3.

Rapid access to psychiatry.

The commissioner shall develop rapid access to psychiatric services based on the following criteria:

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

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

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

Subd. 4.

Collaborative psychiatric consultation.

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

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

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

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

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

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

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

Subd. 5.

Phased availability.

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

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

Subd. 6.

Limited appropriations.

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

Subd. 7.

Flexible implementation.

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

245A.11 SPECIAL CONDITIONS FOR RESIDENTIAL PROGRAMS.

Subd. 8.

Community residential setting license.

(a) The commissioner shall establish provider standards for residential support services that integrate service standards and the residential setting under one license. The commissioner shall propose statutory language and an implementation plan for licensing requirements for residential support services to the legislature by January 15, 2012, as a component of the quality outcome standards recommendations required by Laws 2010, chapter 352, article 1, section 24.

(b) Providers licensed under chapter 245B, and providing, contracting, or arranging for services in settings licensed as adult foster care under Minnesota Rules, parts 9555.5105 to 9555.6265; and meeting the provisions of section 245D.02, subdivision 4a, must be required to obtain a community residential setting license.

246.015 CONSULTATIVE SERVICES; AFTERCARE OF PATIENTS.

Subd. 3.

Authorization.

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

246.50 CARE OF CLIENTS AT STATE FACILITIES; DEFINITIONS.

Subd. 2.

Commissioner.

"Commissioner" means the commissioner of human services of the state of Minnesota.

246B.04 RULES; EVALUATION.

Subd. 1a.

Program evaluation.

The executive board shall establish an evaluation process to measure outcomes and behavioral changes as a result of treatment compared with incarceration without treatment to determine the value, if any, of treatment in protecting the public.

Repealed Minnesota Session Laws: 25-00311

Laws 2024, chapter 79, article 1, section 15

Sec. 15.

Minnesota Statutes 2022, section 246.41, subdivision 1, is amended to read:

Subdivision 1.

Acceptance.

The deleted text begin commissioner of human services deleted text end new text begin executive board new text end is authorized to accept, for and deleted text begin in deleted text end new text begin on new text end behalf of the state, contributions of money for the use and benefit of persons with developmental disabilities.

Laws 2024, chapter 79, article 1, section 16

Sec. 16.

Minnesota Statutes 2022, section 246.41, subdivision 2, is amended to read:

Subd. 2.

Special welfare fund.

new text begin The executive board shall deposit new text end any money deleted text begin so deleted text end received by the deleted text begin commissioner shall be deposited deleted text end new text begin executive board under paragraph (a) new text end with the commissioner of management and budget in a special welfare fund deleted text begin , which fund is deleted text end to be used by the deleted text begin commissioner of human services deleted text end new text begin executive board new text end for the benefit of persons with developmental disabilities within the state, including those within state hospitals. deleted text begin And, without excluding other possible uses, deleted text end new text begin Allowable uses of the money by the executive board include but are not limited to new text end research relating to persons with developmental disabilities deleted text begin shall be considered an appropriate use of such funds; deleted text end but deleted text begin such funds shall not deleted text end deleted text begin be used for deleted text end new text begin must not include creation of new text end any structures or installations which deleted text begin by their nature deleted text end would require state expenditures for their new text begin ongoing new text end operation or maintenance without specific legislative enactment deleted text begin therefor deleted text end new text begin for such a project new text end .

Laws 2024, chapter 79, article 1, section 17

Sec. 17.

Minnesota Statutes 2022, section 246.41, subdivision 3, is amended to read:

Subd. 3.

Appropriation.

deleted text begin There is hereby appropriated from deleted text end new text begin The amount in new text end the special welfare fund deleted text begin in the state treasury to such persons as are entitled thereto to carry out the provisions stated in deleted text end new text begin is annually appropriated to the executive board for the purposes of new text end this section.