Introduction - 94th Legislature (2025 - 2026)
Posted on 07/18/2025 01:30 p.m.
A bill for an act
relating to behavioral health; modifying substance use disorder comprehensive
assessment requirements and treatment provider qualifications; requiring a study
and report on substance use disorder treatment practice limitations; amending
Minnesota Statutes 2024, sections 245G.05, subdivision 1; 245G.11, subdivision
7.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Minnesota Statutes 2024, section 245G.05, subdivision 1, is amended to read:
new text begin (a) new text end A comprehensive assessment of the
client's substance use disorder must be administered face-to-face deleted text begin by an alcohol and drug
counselordeleted text end 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. deleted text begin 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 received a
comprehensive assessment that authorized the treatment service, 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.
deleted text end
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(b) A comprehensive assessment must be administered by:
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(1) an alcohol and drug counselor;
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(2) a mental health professional who meets the qualifications under section 245I.04,
subdivision 2, practices within the scope of their professional licensure, and has training in
addiction, co-occurring disorders, and substance use disorder diagnosis and treatment
according to the requirements in section 245G.13, subdivision 2, paragraph (f);
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(3) a clinical trainee who meets the qualifications under section 245I.04, subdivision 6,
practicing under the supervision of a mental health professional who meets the requirements
of clause (2); or
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(4) a licensed registered nurse as defined in section 148.171, subdivision 20, who practices
within the scope of their professional licensure and has training in addiction, co-occurring
disorders, and substance use disorder diagnosis and treatment according to the requirements
in section 245G.13, subdivision 2, paragraph (f).
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(c) 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 received a comprehensive assessment that authorized the
treatment service, an alcohol and drug counselor may use the comprehensive assessment
to meet the 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. A staff member
qualified under paragraph (b) must sign and date the comprehensive assessment review and
update.
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Minnesota Statutes 2024, section 245G.11, subdivision 7, is amended to read:
(a) Treatment coordination
must be provided by qualified staff. An individual is qualified to provide treatment
coordination if the individual meets the qualifications of an alcohol and drug counselor
under subdivision 5 or if the individual:
(1) is skilled in the process of identifying and assessing a wide range of client needs;
(2) is knowledgeable about local community resources and how to use those resources
for the benefit of the client;
(3) has deleted text begin successfullydeleted text end completed deleted text begin 30 hours of classroom instruction on treatment
coordination for an individual with substance use disorderdeleted text end new text begin specific training on substance
use disorder and co-occurring disorders that is consistent with national evidence-based
practicesnew text end ;new text begin and
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(4) deleted text begin has eitherdeleted text end new text begin meets one of the following criterianew text end :
(i) new text begin has new text end a bachelor's degree in one of the behavioral sciences or related fieldsnew text begin and at least
1,000 hours of supervised experience working with individuals with substance use disordernew text end ;
deleted text begin or
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(ii)new text begin hasnew text end current certification as an alcohol and drug counselor, level I, by the Upper
Midwest Indian Council on Addictive Disorders; deleted text begin anddeleted text end new text begin or
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(iii) is a mental health practitioner who meets the qualifications under section 245I.04,
subdivision 4.
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(5) has at least 2,000 hours of supervised experience working with individuals with
substance use disorder.
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(b) A treatment coordinator must receive at least one hour of supervision regarding
individual service delivery from an alcohol and drug counselor, or a mental health
professional who has substance use treatment and assessments within the scope of their
practice, on a monthly basis.
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The commissioner of human services must, in consultation with the Board of Nursing,
Board of Behavioral Health and Therapy, and Board of Medical Practice, conduct a study
and develop recommendations to the legislature for amendments to Minnesota Statutes,
chapter 245G, that would eliminate any limitations on licensed health professionals' ability
to provide substance use disorder treatment services while practicing within their licensed
or statutory scopes of practice. The commissioner must submit a report on the study and
recommendations to the chairs and ranking minority members of the legislative committees
with jurisdiction over human services finance and policy by January 15, 2027.
new text end