1.1 	A bill for an act
1.2 	relating to state government; modifying provisions relating to health-related 
1.3 	occupations, the Department of Health, human services health care, behavioral 
1.4 	health, the Department of Human Services Office of the Inspector General, the 
1.5 	medication repository program, drugs, the health care provider wellness program, 
1.6 	direct primary care services, emergency medical services, and children, youth, and 
1.7 	families; requiring a report;amending Minnesota Statutes 2024, sections 62A.01, 
1.8 	by adding a subdivision; 62A.011, subdivision 3; 62D.02, subdivision 7, by adding 
1.9 	a subdivision; 62D.08, subdivisions 5, 6; 62D.09, subdivisions 1, 5; 62D.124, 
1.10 	subdivision 6; 62J.17, subdivision 6a; 62J.2930, subdivision 1; 62J.497, subdivision 
1.11 	5; 62J.536, subdivision 2a; 62K.02, subdivision 2; 62K.03, subdivision 6; 62K.075; 
1.12 	62K.105; 62K.14; 62M.07, subdivision 2; 62Q.46, subdivision 1; 62V.05, 
1.13 	subdivision 7; 62V.13; 142A.43; 142B.10, subdivision 18; 142G.18, subdivision 
1.14 	1; 144.059, subdivision 8; 144.293, subdivision 7; 144.551, subdivision 1; 
1.15 	144E.123, subdivision 1, by adding a subdivision; 145.56, subdivision 5; 145.561, 
1.16 	subdivision 2; 145.882, by adding subdivisions; 145A.04, subdivision 15; 148.01, 
1.17 	subdivisions 1, 4, by adding subdivisions; 148.09; 148.10, by adding a subdivision; 
1.18 	148.102, subdivision 3; 148.105, subdivision 1; 148.517, subdivisions 1, 2; 
1.19 	148.5191, subdivision 4; 151.01, subdivision 35, by adding a subdivision; 151.065, 
1.20 	subdivisions 4a, 4b, by adding subdivisions; 151.14; 151.19, subdivision 1; 151.555, 
1.21 	subdivision 7; 214.41; 245.991, subdivision 3; 245.992, subdivisions 1, 2; 245C.04, 
1.22 	subdivision 1; 245D.04, subdivision 3, by adding a subdivision; 245D.10, 
1.23 	subdivision 4; 245I.04, by adding a subdivision; 245I.08, subdivision 4; 256B.055, 
1.24 	subdivision 17; 256B.057, subdivision 9; 256B.0624, subdivisions 6b, 7; 
1.25 	256B.0625, subdivisions 4, 47; 256B.0943, subdivision 6; 256B.0946, subdivision 
1.26 	4; 256B.0947, subdivision 5; 256D.05, subdivision 1; 256D.06, subdivision 2; 
1.27 	256D.54, subdivision 1; 256I.04, subdivision 2b; 256L.05, subdivision 3; 256L.06, 
1.28 	subdivision 3; 259.83, subdivision 1; 260.67, subdivision 1; 260C.190, subdivision 
1.29 	1; 260C.212, subdivision 4a; 260C.451, subdivisions 2, 3, 3a; 260E.02, subdivisions 
1.30 	1, 2, by adding a subdivision; Minnesota Statutes 2025 Supplement, sections 3.732, 
1.31 	subdivision 1; 62J.84, subdivisions 2, 3, 10, 11, 12, 13, 14; 62K.10, subdivision 
1.32 	2; 148.108, subdivision 5; 245.469, subdivision 1; 245.4889, subdivision 1; 
1.33 	245A.10, subdivision 4; 245A.142, subdivision 3; 245A.242, subdivision 2; 245I.04, 
1.34 	subdivision 17; 245I.23, subdivision 7; 254B.04, subdivision 1a; 256B.0625, 
1.35 	subdivision 5m; 256B.0943, subdivisions 1, 9; 256B.0947, subdivision 3a; 
1.36 	256B.695, subdivision 5; 256L.03, subdivision 5; 260C.451, subdivision 8; 
1.37 	260E.03, subdivision 6; 260E.11, subdivision 1; 260E.14, subdivision 1; 626.5572, 
1.38 	subdivision 13; Laws 2024, chapter 125, article 4, section 12, subdivision 5; Laws 
2.1 	2025, First Special Session chapter 3, article 22, section 20, subdivision 2; article 
2.2 	23, section 2, subdivision 12; proposing coding for new law in Minnesota Statutes, 
2.3 	chapters 62Q; 148; 151; 245; repealing Minnesota Statutes 2024, sections 13D.08, 
2.4 	subdivision 4; 62D.08, subdivision 7; 62D.181; 62J.06; 62J.156; 62J.2930, 
2.5 	subdivision 4; 62J.57; 62U.10, subdivision 4; 144.9821; 151.13; 256B.69, 
2.6 	subdivision 31a; 256D.024, subdivision 1; 256D.09, subdivisions 2a, 2b; Minnesota 
2.7 	Rules, parts 2500.0100, subparts 5b, 6, 12; 2500.1900; 2500.2020; 2500.2040; 
2.8 	2500.2100; 2500.2110; 6800.0400; 6800.1150.
2.9 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

2.10 	ARTICLE 1
2.11 	HEALTH-RELATED OCCUPATIONS

2.12 	Section 1. Minnesota Statutes 2024, section 148.01, subdivision 1, is amended to read:
2.13 		Subdivision 1.Definitions. For the purposes of sections 148.01 to 148.10:
2.14 	(1) "abnormal articulation" means the condition of opposing bony joint surfaces and 
2.15 	their related soft tissues that do not function normally, including subluxation, fixation, 
2.16 	adhesion, degeneration, deformity, dislocation, or other pathology that results in pain or 
2.17 	disturbances within the nervous system, results in postural alteration, inhibits motion, allows 
2.18 	excessive motion, alters direction of motion, or results in loss of axial loading efficiency, 
2.19 	or a combination of these;
2.20 	(2) "acupuncture" means a modality of treating abnormal physical conditions by 
2.21 	stimulating various points of the body or interruption of the cutaneous integrity by needle 
2.22 	insertion to secure a reflex relief of the symptoms by nerve stimulation as utilized as an 
2.23 	adjunct to chiropractic adjustment;
2.24 	(3) "animal chiropractic diagnosis and treatment" means treatment that includes 
2.25 	identification and resolution of vertebral subluxation complexes, spinal manipulation, and 
2.26 	manipulation of the extremity articulations of nonhuman vertebrates. Animal chiropractic 
2.27 	diagnosis and treatment does not include:
2.28 	(i) performing surgery;
2.29 	(ii) dispensing or administering medications; or
2.30 	(iii) performing traditional veterinary care and diagnosis;
2.31 	(1)(4) "chiropractic" means the health care discipline that recognizes the innate 
2.32 	recuperative power of the body to heal itself without the use of drugs or surgery by identifying 
2.33 	and caring for vertebral subluxations and other abnormal articulations by emphasizing the 
2.34 	relationship between structure and function as coordinated by the nervous system and how 
2.35 	that relationship affects the preservation and restoration of health;
3.1 	(2) (5) "chiropractic services" means the evaluation and facilitation of structural, 
3.2 	biomechanical, and neurological function and integrity through the use of adjustment, 
3.3 	manipulation, mobilization, or other procedures accomplished by manual or mechanical 
3.4 	forces applied to bones or joints and their related soft tissues for correction of vertebral 
3.5 	subluxation, other abnormal articulations, neurological disturbances, structural alterations, 
3.6 	or biomechanical alterations, and includes, but is not limited to, manual therapy and 
3.7 	mechanical therapy as defined in section 146.23;
3.8 	(3) "abnormal articulation" means the condition of opposing bony joint surfaces and 
3.9 	their related soft tissues that do not function normally, including subluxation, fixation, 
3.10 	adhesion, degeneration, deformity, dislocation, or other pathology that results in pain or 
3.11 	disturbances within the nervous system, results in postural alteration, inhibits motion, allows 
3.12 	excessive motion, alters direction of motion, or results in loss of axial loading efficiency, 
3.13 	or a combination of these;
3.14 	(4) (6) "diagnosis" means the physical, clinical, and laboratory examination of the patient, 
3.15 	and the use of diagnostic services for diagnostic purposes within the scope of the practice 
3.16 	of chiropractic described in sections 148.01 to 148.10;
3.17 	(5) (7) "diagnostic services" means clinical, physical, laboratory, and other diagnostic 
3.18 	measures, including diagnostic imaging that may be necessary to determine the presence 
3.19 	or absence of a condition, deficiency, deformity, abnormality, or disease as a basis for 
3.20 	evaluation of a health concern, diagnosis, differential diagnosis, treatment, further 
3.21 	examination, or referral;
3.22 	(8) "good standing" means that a license is not the subject of current disciplinary action 
3.23 	under section 148.10 or an equivalent disciplinary law in another jurisdiction;
3.24 	(9) "reinstatement" means the process by which a board-terminated license or voluntarily 
3.25 	retired license returns to active license status under section 148.071 or 148.076;
3.26 	(6) (10) "therapeutic services" means rehabilitative therapy as defined in Minnesota 
3.27 	Rules, part 2500.0100, subpart 11, and all of the therapeutic, rehabilitative, and preventive 
3.28 	sciences and procedures for which the licensee was subject to examination under section 
3.29 	148.06. When provided, therapeutic services must be performed within a practice where 
3.30 	the primary focus is the provision of chiropractic services, to prepare the patient for 
3.31 	chiropractic services, or to complement the provision of chiropractic services. The 
3.32 	administration of therapeutic services is the responsibility of the treating chiropractor and 
3.33 	must be rendered under the direct supervision of qualified staff; and
4.1 	(7) "acupuncture" means a modality of treating abnormal physical conditions by 
4.2 	stimulating various points of the body or interruption of the cutaneous integrity by needle 
4.3 	insertion to secure a reflex relief of the symptoms by nerve stimulation as utilized as an 
4.4 	adjunct to chiropractic adjustment. Acupuncture may not be used as an independent therapy 
4.5 	or separately from chiropractic services. Acupuncture is permitted under section 148.01
4.6 	only after registration with the board which requires completion of a board-approved course 
4.7 	of study and successful completion of a board-approved national examination on acupuncture. 
4.8 	Renewal of registration shall require completion of board-approved continuing education 
4.9 	requirements in acupuncture. The restrictions of section 147B.02, subdivision 2, apply to 
4.10 	individuals registered to perform acupuncture under this section; and
4.11 	(8) "animal chiropractic diagnosis and treatment" means treatment that includes 
4.12 	identifying and resolving vertebral subluxation complexes, spinal manipulation, and 
4.13 	manipulation of the extremity articulations of nonhuman vertebrates. Animal chiropractic 
4.14 	diagnosis and treatment does not include:
4.15 	(i) performing surgery;
4.16 	(ii) dispensing or administering of medications; or
4.17 	(iii) performing traditional veterinary care and diagnosis.
4.18 	(11) "voluntarily retired license" means a license held by a chiropractor who has changed 
4.19 	the chiropractor's license status to a voluntarily retired license under section 148.075.

4.20 	Sec. 2. Minnesota Statutes 2024, section 148.01, subdivision 4, is amended to read:
4.21 		Subd. 4.Practice of chiropractic. An individual licensed to practice under section 
4.22 	148.06 is authorized to perform chiropractic services, acupuncture, and therapeutic services, 
4.23 	and to provide diagnosis and to render opinions pertaining to those services for the purpose 
4.24 	of determining a course of action in the best interests of the patient, such as a treatment 
4.25 	plan, appropriate referral, or both.

4.26 	Sec. 3. Minnesota Statutes 2024, section 148.01, is amended by adding a subdivision to 
4.27 	read:
4.28 		Subd. 5.Practice of therapeutic services. Therapeutic services must be performed 
4.29 	within a practice where the primary focus is the provision of chiropractic services, preparing 
4.30 	the patient for chiropractic services, or complementing the provision of chiropractic services. 
4.31 	The administration of therapeutic services is the responsibility of the treating chiropractor 
4.32 	and must be rendered under the direct supervision of qualified staff.

5.1 	Sec. 4. Minnesota Statutes 2024, section 148.01, is amended by adding a subdivision to 
5.2 	read:
5.3 		Subd. 6.Practice of acupuncture. Acupuncture must not be used as an independent 
5.4 	therapy or separately from chiropractic services. Acupuncture is permitted under this section 
5.5 	only after registration with the board, which requires completing a board-approved course 
5.6 	of study and a board-approved national examination on acupuncture. Renewal of registration 
5.7 	requires completing board-approved continuing education requirements in acupuncture. 
5.8 	The restrictions of section 147B.02, subdivision 2, apply to individuals registered to perform 
5.9 	acupuncture under this section.

5.10 	Sec. 5. [148.071] REINSTATEMENT OF A LICENSE TERMINATED FOR 
5.11 	FAILING TO RENEW OR TO COMPLETE CONTINUING EDUCATION.
5.12 		Subdivision 1.Scope. This section applies to a chiropractor whose Minnesota license 
5.13 	was terminated by the board for failing to timely renew the license or complete annual 
5.14 	continuing education requirements.
5.15 		Subd. 2.Application requirements. At the time of application for reinstatement, the 
5.16 	applicant must:
5.17 	(1) submit an application for reinstatement and pay the application fee;
5.18 	(2) pay the current renewal fee;
5.19 	(3) complete a criminal background check as prescribed under section 214.075 and pay 
5.20 	the required fee;
5.21 	(4) submit license verification from each jurisdiction where the applicant holds or has 
5.22 	held a chiropractic license;
5.23 	(5) submit evidence of passing the board's jurisprudence exam;
5.24 	(6) submit evidence of correcting any outstanding requirements and paying any 
5.25 	outstanding fees that existed at the time the license was terminated; and
5.26 	(7) complete any additional applicable requirements established in subdivisions 3, 4, 5, 
5.27 	6, and 9.
5.28 		Subd. 3.Reinstatement of terminated license for licensee in good standing in another 
5.29 	jurisdiction. The board must reinstate the license of an applicant who is currently licensed 
5.30 	and in good standing in another jurisdiction if the applicant:
5.31 	(1) completes all requirements in subdivision 2;
6.1 	(2) provides verification of the active chiropractic license in good standing in another 
6.2 	jurisdiction; and
6.3 	(3) provides verification of completing 20 continuing education hours in the year 
6.4 	immediately preceding the application for reinstatement.
6.5 		Subd. 4.Reinstatement of terminated license after five years or less. The board must 
6.6 	reinstate the license of an applicant who does not meet the requirements of subdivision 3 
6.7 	and who applies for reinstatement five years or less after license termination in Minnesota 
6.8 	or another jurisdiction if the applicant:
6.9 	(1) completes all requirements in subdivision 2; and
6.10 	(2) provides verification of:
6.11 	(i) completing 20 continuing education hours for each year since the applicant last held 
6.12 	an active license in good standing in Minnesota or another jurisdiction and 20 continuing 
6.13 	education hours in the year immediately preceding the application for reinstatement; or
6.14 	(ii) passing the Special Purposes Examination for Chiropractic, or an alternate 
6.15 	examination the board determines is equivalent, within 12 months after application.
6.16 		Subd. 5.Reinstatement of terminated license after more than five years. The board 
6.17 	must reinstate the license of an applicant who does not meet the requirements of subdivision 
6.18 	3 and who applies for reinstatement more than five years after license termination in 
6.19 	Minnesota or another jurisdiction if the applicant:
6.20 	(1) completes all requirements in subdivision 2;
6.21 	(2) provides verification of completing 20 continuing education hours for each year 
6.22 	since the applicant last held an active license in good standing in Minnesota or another 
6.23 	jurisdiction and 20 continuing education hours in the year immediately preceding the 
6.24 	application for reinstatement, not to exceed a maximum of 100 required continuing education 
6.25 	hours; and
6.26 	(3) provides verification of passing the Special Purposes Examination for Chiropractic, 
6.27 	or an alternate examination the board determines is equivalent, within 12 months after 
6.28 	application.
6.29 		Subd. 6.Reinstatement within the same calendar year of continuing education 
6.30 	termination. The board must reinstate the license of an applicant whose license was 
6.31 	terminated for failing to submit the required number of continuing education hours if within 
6.32 	the same calendar year of termination the applicant:
7.1 	(1) completes the required number of continuing education hours and outstanding penalty 
7.2 	hours imposed by the board; and
7.3 	(2) pays all application fees and penalty fees.
7.4 		Subd. 7.Board authority. Applications for reinstatement and licenses reinstated under 
7.5 	this section are subject to the same board authority under sections 148.10 and 214.103 as 
7.6 	other applications and licenses issued by the board to deny, refuse to issue, revoke, suspend, 
7.7 	condition, or limit a license or to take disciplinary or corrective action against a licensee or 
7.8 	applicant for conduct that violates applicable law or professional standards.
7.9 		Subd. 8.Continuing education in year of reinstatement. A licensee must not use 
7.10 	continuing education hours obtained for the purpose of applying for reinstatement of a 
7.11 	terminated license under this section to meet the annual hour requirement for the year in 
7.12 	which the license is reinstated.
7.13 		Subd. 9.Previously terminated licenses. If a chiropractor's license was terminated 
7.14 	before July 1, 2026, and the chiropractor applies for reinstatement under this section, the 
7.15 	chiropractor is not required to repay any renewal fees that accrued before the license 
7.16 	reinstatement.

7.17 	EFFECTIVE DATE. This section is effective July 1, 2026.

7.18 	Sec. 6. [148.075] VOLUNTARILY RETIRED LICENSE.
7.19 		Subdivision 1.Application. A Minnesota licensed chiropractor in good standing and 
7.20 	with no continuing education audit deficiencies may apply to the board to voluntarily retire 
7.21 	a license by submitting an application on a form provided by the board and a signed affidavit 
7.22 	stating that the applicant will no longer actively practice chiropractic in Minnesota.
7.23 		Subd. 2.Grounds for denial. The board may deny an application to voluntarily retire 
7.24 	a license if the applicant's Minnesota license or license issued in another jurisdiction is not 
7.25 	in good standing or is subject to a pending disciplinary action.

7.26 	Sec. 7. [148.076] REINSTATEMENT OF A VOLUNTARILY RETIRED LICENSE.
7.27 		Subdivision 1.Scope. This section applies to a chiropractor who voluntarily retired a 
7.28 	Minnesota chiropractic license under section 148.075.
7.29 		Subd. 2.Application requirements. At the time of application for reinstatement, the 
7.30 	applicant must:
7.31 	(1) submit an application for reinstatement;
8.1 	(2) pay the current renewal fee;
8.2 	(3) complete a criminal background check as prescribed under section 214.075 and pay 
8.3 	the required fee;
8.4 	(4) submit license verification from each jurisdiction where the applicant holds or has 
8.5 	held a chiropractic license;
8.6 	(5) submit evidence of passing the board's jurisprudence exam;
8.7 	(6) submit evidence of correcting any outstanding requirements and paying any 
8.8 	outstanding fees that existed at the time the license was voluntarily retired; and
8.9 	(7) complete any additional applicable requirements in subdivisions 3, 4, 5, and 7.
8.10 		Subd. 3.Reinstatement of voluntarily retired license for licensee in good standing 
8.11 	in another jurisdiction. The board must reinstate the license of an applicant who is currently 
8.12 	licensed and in good standing in another jurisdiction if the applicant:
8.13 	(1) completes all requirements in subdivision 2;
8.14 	(2) provides verification of the active chiropractic license in good standing in another 
8.15 	jurisdiction; and
8.16 	(3) provides verification of completing 20 continuing education hours in the year 
8.17 	immediately preceding the application for reinstatement.
8.18 		Subd. 4.Reinstatement of voluntarily retired license after five years or less. The 
8.19 	board must reinstate the license of an applicant who does not meet the requirements of 
8.20 	subdivision 3 and who applies for reinstatement five years or less after voluntary license 
8.21 	retirement in Minnesota or the equivalent in another jurisdiction if the applicant:
8.22 	(1) completes all requirements in subdivision 2; and
8.23 	(2) provides verification of:
8.24 	(i) completing 20 continuing education hours for each year since the applicant last held 
8.25 	an active license in good standing in Minnesota or another jurisdiction and 20 continuing 
8.26 	education hours in the year immediately preceding the application for reinstatement; or
8.27 	(ii) passing the Special Purposes Examination for Chiropractic, or an alternate 
8.28 	examination the board determines is equivalent, within 12 months after application.
8.29 		Subd. 5.Reinstatement of voluntarily retired license after more than five years. The 
8.30 	board must reinstate the license of an applicant who does not meet the requirements of 
9.1 	subdivision 3 and who applies for reinstatement more than five years after voluntary license 
9.2 	retirement in Minnesota or the equivalent in another jurisdiction if the applicant:
9.3 	(1) completes all requirements in subdivision 2;
9.4 	(2) provides verification of completing 20 continuing education hours for each year 
9.5 	since the applicant last held an active license in good standing in Minnesota or another 
9.6 	jurisdiction and 20 continuing education hours in the year immediately preceding the 
9.7 	application for reinstatement, not to exceed a maximum of 100 required continuing education 
9.8 	hours; and
9.9 	(3) provides verification of passing the Special Purposes Examination for Chiropractic, 
9.10 	or an alternate examination the board determines is equivalent, within 12 months after 
9.11 	application.
9.12 		Subd. 6.Board authority. Applications for reinstatement and licenses reinstated under 
9.13 	this section are subject to the same board authority under sections 148.10 and 214.103 as 
9.14 	other applications and licenses issued by the board to deny, refuse to issue, revoke, suspend, 
9.15 	condition, or limit a license or to take disciplinary or corrective action against a licensee or 
9.16 	applicant for conduct that violates applicable law or professional standards.
9.17 		Subd. 7.Continuing education in year of reinstatement. A licensee must not use 
9.18 	continuing education hours obtained for the purpose of applying for reinstatement of a 
9.19 	voluntarily retired license under this section to meet the annual hour requirement for the 
9.20 	year the license is reinstated.
9.21 		Subd. 8.Previously voluntarily retired licensees. (a) If a chiropractor who voluntarily 
9.22 	retired before July 1, 2026, applies for reinstatement under this section, the chiropractor is 
9.23 	not required to repay any renewal fees that accrued before the license reinstatement.
9.24 	(b) Before reinstatement under this subdivision, the voluntarily retired licensee must 
9.25 	complete any outstanding continuing education hours due at the time the license was 
9.26 	voluntarily retired.

9.27 	EFFECTIVE DATE. This section is effective July 1, 2026.

9.28 	Sec. 8. Minnesota Statutes 2024, section 148.09, is amended to read:
9.29 	148.09 INDEPENDENT EXAMINATION.
9.30 		Subdivision 1.Requirements for examiners. (a) A doctor of chiropractic conducting 
9.31 	a physical examination of a patient or a review of records by a doctor of chiropractic, for 
9.32 	the purpose of generating a report or opinion to aid a reparation obligor under chapter 65B 
10.1 	in making a determination regarding the condition or further treatment of the patient, shall 
10.2 	meet the following requirements:
10.3 	(1) the doctor of chiropractic must either be an instructor at an accredited school of 
10.4 	chiropractic or have devoted not less than 50 percent of practice time to direct patient care 
10.5 	during the two years immediately preceding the examination;
10.6 	(2) the doctor of chiropractic must have completed any annual continuing education 
10.7 	requirements for chiropractors prescribed by the Board of Chiropractic Examiners;
10.8 	(3) the doctor of chiropractic must not accept a fee of more than $500 for each 
10.9 	independent exam conducted; and
10.10 	(4) the doctor of chiropractic must register with the Board of Chiropractic Examiners 
10.11 	as an independent examiner and adhere to all rules governing the practice of chiropractic.
10.12 	(b) The examiner must identify in the written report the source of all records reviewed 
10.13 	and the dates or period of services covered by those records. The examiner's notes and a 
10.14 	copy of the final written report must be retained for at least four years following the 
10.15 	examination.
10.16 	(c) Before conducting an independent examination, the examiner must provide written 
10.17 	disclosures to the examinee that clearly state the purpose of the examination and the 
10.18 	examinee's right to have a third party present under subdivision 2.
10.19 		Subd. 2.Third-party presence during examinations. (a) An examiner performing an 
10.20 	independent examination under this section must not prohibit the examinee from having a 
10.21 	third party of the examinee's choice present during the consultation and examination. The 
10.22 	examiner must not bar the presence of a third party based on the third party's training or 
10.23 	credentials. Advance notice to the examiner or to any other person, organization, or agency 
10.24 	is not required for the presence of a third party under this subdivision.
10.25 	(b) The third party must provide their name to the examiner. The examiner must document 
10.26 	the presence and stated identity of any third party in the written report of the examination.
10.27 	(c) A third party may make a written or audio recording of the consultation or examination 
10.28 	if the recording does not obstruct the conduct of the examination. A third party must not 
10.29 	make a video recording of the consultation or examination.
10.30 	(d) An examiner must not consider the examinee's exercise of rights under this subdivision 
10.31 	as failing to cooperate with the examination. If an examiner determines that the examination 
10.32 	has been obstructed, the examiner must describe in detail the nature of the obstruction in 
10.33 	the body of the written report. For purposes of this subdivision, "obstruct" means to hinder 
11.1 	the examination to the degree that the examination cannot be completed, unless the 
11.2 	obstruction is necessary for the safety or well-being of the patient.
11.3 		Subd. 3.Violation. A violation of this section constitutes unprofessional conduct under 
11.4 	section 148.10, subdivision 1, paragraph (e).

11.5 	Sec. 9. [148.095] ADMINISTRATIVE HOLD DURING COMPLAINT RESOLUTION 
11.6 	PROCESS.
11.7 		Subdivision 1.Administrative hold. (a) If there is a pending complaint against a licensee 
11.8 	and the licensee fails to pay required renewal fees, fails to renew the license, or fails to 
11.9 	complete required continuing education hours within the time prescribed by law, the board 
11.10 	must place the license on an administrative hold.
11.11 	(b) A license on an administrative hold:
11.12 	(1) is expired and does not authorize the licensee to engage in the practice of chiropractic; 
11.13 	and
11.14 	(2) remains under the board's full jurisdiction for all purposes under sections 148.10 and 
11.15 	214.103, including investigation, adjudication, and imposition of discipline.
11.16 		Subd. 2.Prohibition on status change while on administrative hold. (a) If the board 
11.17 	places a license on administrative hold, the board must not:
11.18 	(1) accept an application to voluntarily retire the license under section 148.075;
11.19 	(2) terminate the license for failing to renew or to complete continuing education 
11.20 	requirements; or
11.21 	(3) otherwise change the license status of the licensee in a manner that allows the licensee 
11.22 	to delay, avoid, or terminate the complaint resolution process.
11.23 	(b) The board must remove the administrative hold upon the resolution of all pending 
11.24 	complaints against the licensee.
11.25 		Subd. 3.Licensee obligations not suspended. An administrative hold on a license does 
11.26 	not relieve a licensee of the legal obligation to timely renew the license, pay renewal or 
11.27 	other required fees, or complete continuing education hours according to law.

12.1 	Sec. 10. Minnesota Statutes 2024, section 148.10, is amended by adding a subdivision to 
12.2 	read:
12.3 		Subd. 8.Loss and restoration of good standing. The pendency of a complaint does 
12.4 	not cause a license to lose good standing unless: (1) the complaint results in disciplinary 
12.5 	action under this section or an equivalent disciplinary law in another jurisdiction; or (2) a 
12.6 	stipulation and order or an equivalent order in another jurisdiction provides for the loss of 
12.7 	good standing. A license is restored to good standing upon the satisfactory completion, 
12.8 	expiration, or other agreed-upon termination of all terms of a stipulation and order or an 
12.9 	equivalent order in another jurisdiction. An agreement for corrective action as described 
12.10 	under section 214.103, subdivision 6, does not cause a license to lose good standing.

12.11 	Sec. 11. Minnesota Statutes 2024, section 148.102, subdivision 3, is amended to read:
12.12 		Subd. 3.Insurers. Two times each year(a) Every January 1 and July 1, each insurer 
12.13 	authorized to sell insurance described in section 60A.06, subdivision 1, clause (13), and 
12.14 	providing professional liability insurance to chiropractors shall submit to the board a report 
12.15 	concerning the chiropractors against whom malpractice settlements or awards have been 
12.16 	made to the plaintiff. The report must contain at least the following information:
12.17 	(1) the total number of malpractice settlements or awards made to the plaintiff;
12.18 	(2) the date the malpractice settlements or awards to the plaintiff were made;
12.19 	(3) the allegations contained in the claim or complaint leading to the settlements or 
12.20 	awards made to the plaintiff;
12.21 	(4) the dollar amount of each malpractice settlement or award;
12.22 	(5) the regular address of the practice of the doctor of chiropractic against whom an 
12.23 	award was made or with whom a settlement was made; and
12.24 	(6) the name of the doctor of chiropractic against whom an award was made or with 
12.25 	whom a settlement was made.
12.26 	(b) The insurance company shall, in addition to the above information, report to the 
12.27 	board any information it possesses which tends to substantiate a charge that a doctor of 
12.28 	chiropractic may have engaged in conduct violating section 148.10 and this section.

12.29 	Sec. 12. Minnesota Statutes 2024, section 148.105, subdivision 1, is amended to read:
12.30 		Subdivision 1.Generally. Any person who practices, or attempts to practice, chiropractic 
12.31 	or who uses any of the terms or letters "Doctors of Chiropractic," "Chiropractor," "DC," or 
13.1 	any other title or letters under any circumstances as to lead the public to believe that the 
13.2 	person who so uses the terms is engaged in the practice of chiropractic, without having 
13.3 	complied with the provisions of sections 148.01 to 148.104, is guilty of a gross misdemeanor; 
13.4 	and, upon conviction, fined not less than $1,000 nor more than $10,000 or be imprisoned 
13.5 	in the county jail for not less than 30 days nor more than six months or punished by both 
13.6 	fine and imprisonment, in the discretion of the court. It is the duty of the county attorney 
13.7 	of the county in which the person practices to prosecute. Nothing in sections 148.01 to 
13.8 	148.105 148.108 shall be considered as interfering with any person:
13.9 	(1) licensed by a health-related licensing board, as defined in section 214.01, subdivision 
13.10 	2, including psychological practitioners with respect to the use of hypnosis;
13.11 	(2) registered or licensed by the commissioner of health under section 214.13; or
13.12 	(3) engaged in other methods of healing regulated by law in the state of Minnesota;
13.13 	provided that the person confines activities within the scope of the license or other regulation 
13.14 	and does not practice or attempt to practice chiropractic.

13.15 	Sec. 13. Minnesota Statutes 2025 Supplement, section 148.108, subdivision 5, is amended 
13.16 	to read:
13.17 		Subd. 5.Chiropractic license fees. Fees for chiropractic licensure are the following 
13.18 	amounts but may be adjusted lower by board action:
13.19 	(1) initial application for licensure fee, $300;
13.20 	(2) annual renewal of an active license fee, $250;
13.21 	(3) annual renewal of an inactive license fee, 75 percent of the current active license 
13.22 	renewal fee under clause (2);
13.23 	(4) (3) late renewal penalty fee, $150 per month late; and
13.24 	(5) (4) application for reinstatement of a voluntarily retired or inactive terminated license 
13.25 	fee, $187.50. $100; and
13.26 	(5) penalty for failure to complete CE requirements at the time of license renewal:
13.27 	(i) at the first failure to complete CE requirements at the time of license renewal, the 
13.28 	amount of the fee for annual renewal of an active license under clause (2);
13.29 	(ii) at the second failure to complete CE requirements at the time of license renewal, 
13.30 	two times the amount of the fee for annual renewal of an active license under clause (2); 
13.31 	and
14.1 	(iii) at the third failure to complete CE requirements at the time of license renewal and 
14.2 	every subsequent failure, three times the amount of the fee for annual renewal of an active 
14.3 	license under clause (2).

14.4 	Sec. 14. [151.064] APPLICATION EXPIRATION.
14.5 	Unless otherwise exempted by this chapter or the rules of the board, an application for 
14.6 	initial license or registration, renewal, or reinstatement expires if an applicant, licensee, or 
14.7 	registrant fails to complete the application within 12 months of the date the board received 
14.8 	the application.

14.9 	Sec. 15. Minnesota Statutes 2024, section 151.065, subdivision 4a, is amended to read:
14.10 		Subd. 4a.Application and fee; relocation. A person who is registered with or licensed 
14.11 	by the board must submit a new application to the board before relocating the physical 
14.12 	location of the person's business. An application must be submitted for each affected license. 
14.13 	The application must set forth the proposed change of location on a form established by the 
14.14 	board. If the licensee or registrant remitted payment for the full amount during the state's 
14.15 	fiscal year, the relocation application fee is the same as the application fee in subdivision 
14.16 	1, except that the fees in subdivision 1, clauses (6) to (9) and (11) to (16) (15), are reduced 
14.17 	by $5,000 and the fee in subdivision 1, clause (16), is reduced by $55,000. If the application 
14.18 	is made within 60 90 days before the date of the original license or registration expiration, 
14.19 	the applicant must pay the full application fee provided in subdivision 1. Upon approval of 
14.20 	an application for a relocation, the board shall issue a new license or registration.

14.21 	Sec. 16. Minnesota Statutes 2024, section 151.065, subdivision 4b, is amended to read:
14.22 		Subd. 4b.Application and fee; change of ownership. (a) A person who is registered 
14.23 	with or licensed by the board must submit a new application to the board before changing 
14.24 	the ownership of the licensee or registrant. An application must be submitted for each 
14.25 	affected license. The application must set forth the proposed change of ownership on a form 
14.26 	established by the board. If the licensee or registrant remitted payment for the full amount 
14.27 	during the state's fiscal year, the application fee is the same as the application fee in 
14.28 	subdivision 1, except that the fees in subdivision 1, clauses (6) to (9) and (11) to (16) (15),
14.29 	are reduced by $5,000 and the fee in subdivision 1, clause (16), is reduced by $55,000. If 
14.30 	the application is made within 60 90 days before the date of the original license or registration 
14.31 	expiration, the applicant must pay the full application fee provided in subdivision 1. Upon 
14.32 	approval of an application for a change of ownership, the board shall issue a new license 
14.33 	or registration.
15.1 	(b) The following constitute a change in ownership:
15.2 	(1) the sale of all or substantially all of the assets of the licensee or registrant;
15.3 	(2) the addition or removal of one or more partners in a partnership to which a license 
15.4 	has been issued;
15.5 	(3) the transfer of 20 percent or more of the issued voting stock of the licensee or 
15.6 	registrant since the original issuance of the license or registration;
15.7 	(4) the transfer of 20 percent or more ownership interest in the licensee or registrant 
15.8 	since the original issuance of the license or registration;
15.9 	(5) a change in business structure of an owner who possesses 20 percent or more of the 
15.10 	issued voting stock of the licensee or registrant; and
15.11 	(6) a change in business structure of an owner who possesses 20 percent or more 
15.12 	ownership interest in the licensee or registrant.
15.13 	(c) Paragraph (b), clauses (3) and (4), do not apply if the issued voting stock of the 
15.14 	licensee or registrant is actively traded on any securities exchange or any over-the-counter 
15.15 	market.
15.16 	(d) "Change in business structure" means a change in the structure of a business between 
15.17 	a sole proprietorship, partnership, limited liability company, or corporation.

15.18 	Sec. 17. Minnesota Statutes 2024, section 151.065, is amended by adding a subdivision 
15.19 	to read:
15.20 		Subd. 4c.Application and fee; change in business structure. (a) A person who is 
15.21 	registered with or licensed by the board must submit a new application to the board before 
15.22 	changing the business structure of the licensee or registrant. A person must submit an 
15.23 	application for each affected license. The application must set forth the proposed change 
15.24 	of business structure on a form established by the board. If the licensee or registrant remitted 
15.25 	payment for the full amount during the state's fiscal year, the application fee is the same as 
15.26 	the application fee in subdivision 1, except that the fees in subdivision 1, clauses (6) to (9) 
15.27 	and (11) to (15), are reduced by $5,000 and the fee in subdivision 1, clause (16), is reduced 
15.28 	by $55,000. If the person submits the application within 90 days before the date of the 
15.29 	original license or registration expiration, the applicant must pay the full application fee 
15.30 	provided in subdivision 1. Upon approval of an application for a change in business structure, 
15.31 	the board shall issue a new license or registration.
16.1 	(b) "Changing the business structure" means a change in the structure of a business 
16.2 	between a sole proprietorship, partnership, limited liability company, or corporation.

16.3 	Sec. 18. Minnesota Statutes 2024, section 151.065, is amended by adding a subdivision 
16.4 	to read:
16.5 		Subd. 4d.Temporary use of license or registration. Unless otherwise exempted by 
16.6 	this chapter or the rules of the board, if the physical location of a person's business, the 
16.7 	ownership of the licensee or registrant, or the business structure of the licensee or registrant 
16.8 	changes under subdivision 4a, 4b, or 4c, the original license or registration expires when 
16.9 	the board issues a new license or registration or 30 days after the effective date of the change, 
16.10 	whichever is earlier. An expired license or registration is void. A licensee or registrant must 
16.11 	surrender an expired license or registration to the board.

16.12 	Sec. 19. [151.099] POSTING REQUIREMENT.
16.13 	A licensee or registrant must post the license or registration most recently issued by the 
16.14 	board in a conspicuous place within or adjacent to the licensed or registered facility at which 
16.15 	the licensee or registrant is employed.

16.16 	Sec. 20. [151.125] LICENSE AND REGISTRATION EXPIRATION AND 
16.17 	RENEWAL.
16.18 		Subdivision 1.License expiration and renewal. (a) A pharmacist license expires on 
16.19 	the last day of February each year. A pharmacist must renew the license annually by filing 
16.20 	an application for license renewal and submitting the fee established in section 151.065 on 
16.21 	or before February 1 each year. A pharmacist license renewal application received after 
16.22 	February 1 is subject to the late filing fee in section 151.065.
16.23 	(b) A pharmacy license expires June 30 each year. A pharmacy must renew the license 
16.24 	annually by filing an application for license renewal and submitting the fee established in 
16.25 	section 151.065 on or before June 1 each year. A pharmacy license renewal application 
16.26 	received after June 1 is subject to the late filing fee in section 151.065.
16.27 	(c) A manufacturer license expires May 31 each year. A manufacturer must renew the 
16.28 	license annually by filing an application for license renewal and submitting the fee established 
16.29 	in section 151.065 on or before May 1 each year. A manufacturer license renewal application 
16.30 	received after May 1 is subject to the late filing fee in section 151.065.
16.31 	(d) A wholesale distributor license expires May 31 each year. A wholesale distributor 
16.32 	must renew the license annually by filing an application for license renewal and submitting 
17.1 	the fee established in section 151.065 on or before May 1 each year. A wholesale distributor 
17.2 	license renewal application received after May 1 is subject to the late filing fee in section 
17.3 	151.065.
17.4 	(e) A third-party logistics provider license expires October 31 each year. A third-party 
17.5 	logistics provider must renew the license annually by filing an application for license renewal 
17.6 	and submitting the fee established in section 151.065 on or before October 1 each year. A 
17.7 	third-party logistics provider license renewal application received after October 1 is subject 
17.8 	to the late filing fee in section 151.065.
17.9 		Subd. 2.Registration and permit expiration and renewal. (a) A pharmacy technician 
17.10 	registration expires December 31 each year. A pharmacy technician must renew the 
17.11 	registration annually by filing an application for registration renewal and submitting the fee 
17.12 	established in section 151.065 on or before December 1 each year. A technician registration 
17.13 	renewal application received after December 1 is subject to the late filing fee in section 
17.14 	151.065.
17.15 	(b) A controlled substance researcher permit expires May 31 each year. A controlled 
17.16 	substance researcher must renew the permit annually by filing an application for permit 
17.17 	renewal and submitting the fee established in section 151.065 on or before May 1 each year. 
17.18 	A controlled substance researcher renewal application received after May 1 is subject to 
17.19 	the late filing fee in section 151.065.
17.20 	(c) A medical gas dispenser registration expires November 30 each year. A medical gas 
17.21 	dispenser must renew the registration annually by filing an application for registration 
17.22 	renewal and submitting the fee established in section 151.065 on or before November 1 
17.23 	each year. A medical gas dispenser registration renewal application received after November 
17.24 	1 is subject to the late filing fee in section 151.065.
17.25 		Subd. 3.Time limit for renewal. (a) Unless otherwise exempted in this chapter or by 
17.26 	the rules of the board, a pharmacist or pharmacy technician must not pursue renewal under 
17.27 	this section if a license or registration has been expired for more than 24 months and must 
17.28 	instead pursue reinstatement under section 151.14. A pharmacist may apply for renewal 
17.29 	within 24 months of expiration without examination.
17.30 	(b) Unless otherwise exempted by this chapter or by the rules of the board, a licensee 
17.31 	or registrant not subject to paragraph (a) must not pursue renewal under this section if a 
17.32 	license or registration has been expired for more than 12 months and must instead pursue 
17.33 	reinstatement under section 151.14.
18.1 		Subd. 4.Prohibition on practice. A licensee or registrant whose license or registration 
18.2 	has expired must not practice using that license or registration until the license or registration 
18.3 	is either renewed under this section or reinstated under section 151.14.

18.4 	Sec. 21. Minnesota Statutes 2024, section 151.14, is amended to read:
18.5 	151.14 REINSTATEMENTS.
18.6 	(a) Any person pharmacist or pharmacy technician who has been licensed or registered 
18.7 	by the board and has defaulted in the payment of the renewal fee may be reinstated within 
18.8 	two yearsapply for reinstatement after 24 months of such default without examination,
18.9 	upon payment of theany fees and late fees in arrears and upon compliance with the provisions 
18.10 	of section 151.13, subdivision 2 continuing education requirements under this chapter and 
18.11 	the rules of the board.
18.12 	(b) Unless otherwise exempted in this chapter or by the rules of the board, a licensee or 
18.13 	registrant not subject to paragraph (a) may apply for reinstatement of an expired license or 
18.14 	registration after 12 months from the expiration by paying all late and renewal fees and all 
18.15 	arrears in section 151.065.

18.16 	Sec. 22. [151.145] EXTENSION AND PRORATION OF INITIAL, LATE RENEWAL, 
18.17 	AND REINSTATEMENT APPLICATIONS.
18.18 	If the board receives an initial, late renewal, or reinstatement application within 90 days 
18.19 	before the applicable license or registration type expires under section 151.125, subdivision 
18.20 	1 or 2, the board may extend the license or registration date for that applicant to the 
18.21 	subsequent calendar year and prorate the application fee accordingly.

18.22 	Sec. 23. Minnesota Statutes 2024, section 151.19, subdivision 1, is amended to read:
18.23 		Subdivision 1.Pharmacy licensure requirements. (a) No person shall operate a 
18.24 	pharmacy without first obtaining a license from the board and paying any applicable fee 
18.25 	specified in section 151.065. The license shall be displayed in a conspicuous place in the 
18.26 	pharmacy for which it is issued and expires on June 30 following the date of issue. It is 
18.27 	unlawful for any person to operate a pharmacy unless the a license has been issued to the 
18.28 	person by the board.
18.29 	(b) Application for a pharmacy license under this section shall be made in a manner 
18.30 	specified by the board.
19.1 	(c) No license shall be issued or renewed for a pharmacy located within the state unless 
19.2 	the applicant agrees to operate the pharmacy in a manner prescribed by federal and state 
19.3 	law and according to rules adopted by the board. No license shall be issued or renewed for 
19.4 	a pharmacy located outside of the state unless the applicant agrees to operate the pharmacy 
19.5 	in a manner prescribed by federal law and, when dispensing medications for residents of 
19.6 	this state, the laws of this state, and Minnesota Rules.
19.7 	(d) No license shall be issued or renewed for a pharmacy that is required to be licensed 
19.8 	or registered by the state in which it is physically located unless the applicant supplies the 
19.9 	board with proof of such licensure or registration.
19.10 	(e) The board shall require a separate license for each pharmacy located within the state 
19.11 	and for each pharmacy located outside of the state at which any portion of the dispensing 
19.12 	process occurs for drugs dispensed to residents of this state.
19.13 	(f) Prior to the issuance of an initial or renewed license for a pharmacy, the board may 
19.14 	require the pharmacy to pass an inspection conducted by an authorized representative of 
19.15 	the board. In the case of a pharmacy located outside of the state, the board may require the 
19.16 	applicant to pay the cost of the inspection, in addition to the license fee in section 151.065, 
19.17 	unless the applicant furnishes must furnish the board with a report, issued by the appropriate 
19.18 	regulatory agency of the state in which the facility is located, of an inspection that has 
19.19 	occurred within the 24 months immediately preceding receipt of the license application by 
19.20 	the board. The board may deny licensure refuse to issue or renew any license or may deny 
19.21 	a category of license under Minnesota Rules, part 6800.0350, unless the applicant submits 
19.22 	documentation satisfactory to the board that any deficiencies noted in an inspection report 
19.23 	have been corrected.
19.24 	(g) The board shall not issue an initial or renewed license for a pharmacy located outside 
19.25 	of the state unless the applicant discloses and certifies:
19.26 	(1) the location, names, and titles of all principal corporate officers and all pharmacists 
19.27 	who are involved in dispensing drugs to residents of this state;
19.28 	(2) that it maintains its records of drugs dispensed to residents of this state so that the 
19.29 	records are readily retrievable from the records of other drugs dispensed;
19.30 	(3) that it agrees to cooperate with, and provide information to, the board concerning 
19.31 	matters related to dispensing drugs to residents of this state;
19.32 	(4) that, during its regular hours of operation, but no less than six days per week, for a 
19.33 	minimum of 40 hours per week, a toll-free telephone service is provided to facilitate 
20.1 	communication between patients in this state and a pharmacist at the pharmacy who has 
20.2 	access to the patients' records; the toll-free number must be disclosed on the label affixed 
20.3 	to each container of drugs dispensed to residents of this state; and
20.4 	(5) that, upon request of a resident of a long-term care facility located in this state, the 
20.5 	resident's authorized representative, or a contract pharmacy or licensed health care facility 
20.6 	acting on behalf of the resident, the pharmacy will dispense medications prescribed for the 
20.7 	resident in unit-dose packaging or, alternatively, comply with section 151.415, subdivision 
20.8 	5.
20.9 	(h) This subdivision does not apply to a manufacturer licensed under section 151.252, 
20.10 	subdivision 1, a wholesale drug distributor licensed under section 151.47, or a third-party 
20.11 	logistics provider, to the extent the manufacturer, wholesale drug distributor, or third-party 
20.12 	logistics provider is engaged in the distribution of dialysate or devices necessary to perform 
20.13 	home peritoneal dialysis on patients with end-stage renal disease, if:
20.14 	(1) the manufacturer or its agent leases or owns the licensed manufacturing or wholesaling 
20.15 	facility from which the dialysate or devices will be delivered;
20.16 	(2) the dialysate is comprised of dextrose or icodextrin and has been approved by the 
20.17 	United States Food and Drug Administration;
20.18 	(3) the dialysate is stored and delivered in its original, sealed, and unopened 
20.19 	manufacturer's packaging;
20.20 	(4) the dialysate or devices are delivered only upon:
20.21 	(i) receipt of a physician's order by a Minnesota licensed pharmacy; and
20.22 	(ii) the review and processing of the prescription by a pharmacist licensed by the state 
20.23 	in which the pharmacy is located, who is employed by or under contract to the pharmacy;
20.24 	(5) prescriptions, policies, procedures, and records of delivery are maintained by the 
20.25 	manufacturer for a minimum of three years and are made available to the board upon request; 
20.26 	and
20.27 	(6) the manufacturer or the manufacturer's agent delivers the dialysate or devices directly 
20.28 	to:
20.29 	(i) a patient with end-stage renal disease for whom the prescription was written or the 
20.30 	patient's designee, for the patient's self-administration of the dialysis therapy; or
20.31 	(ii) a health care provider or institution, for administration or delivery of the dialysis 
20.32 	therapy to a patient with end-stage renal disease for whom the prescription was written.

21.1 	Sec. 24. Minnesota Statutes 2024, section 214.41, is amended to read:
21.2 	214.41 PHYSICIAN HEALTH CARE PROVIDER WELLNESS PROGRAM.
21.3 		Subdivision 1.Definition Definitions. (a) For the purposes of this section, the following 
21.4 	terms have the meanings given.
21.5 	(b) "Health care provider" or "provider" means an individual who is licensed or registered 
21.6 	by the state to perform health care services within the provider's scope of practice and in 
21.7 	accordance with state law.
21.8 	(c) "physician Health care provider wellness program" means a program for health care 
21.9 	providers of evaluation, counseling, or other modality to address an issue related to career 
21.10 	fatigue or wellness related to work stress for physicians licensed under chapter 147 that is 
21.11 	administered by a statewide association that is exempt from taxation under United States 
21.12 	Code, title 26, section 501(c)(6), and that primarily represents physicians and osteopaths 
21.13 	of multiple specialties. Physician Health care provider wellness program does not include 
21.14 	the provision of services intended to monitor for impairment under the authority of section 
21.15 	214.31.
21.16 		Subd. 2.Confidentiality. Any record of a person's health care provider's participation 
21.17 	in a physician health care provider wellness program is confidential and not subject to 
21.18 	discovery, subpoena, or a reporting requirement to the applicable health-related licensing 
21.19 	board or to the commissioner of health, unless the person provider voluntarily provides for 
21.20 	written release of the information or the disclosure is required to meet the licensee's provider's
21.21 	obligation to report certain information to the applicable health-related licensing board or 
21.22 	the commissioner of health according to section 147.111 law governing the practice of the 
21.23 	provider's profession.
21.24 		Subd. 3.Civil liability. Any person, agency, institution, facility, or organization employed 
21.25 	by, contracting with, or operating a physician health care provider wellness program is 
21.26 	immune from civil liability for any action related to their duties in connection with a 
21.27 	physician health care provider wellness program when acting in good faith.

21.28 	Sec. 25. TRANSITION OF INACTIVE LICENSES.
 21.29 	On July 1, 2026, the Board of Chiropractic Examiners must administratively change all 
21.30 	chiropractic licenses put on inactive license status under Minnesota Rules, part 2500.2020, 
21.31 	before that date to a voluntarily retired license under Minnesota Statutes, section 148.075.

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

22.1 	Sec. 26. INTERIM CHIROPRACTIC ACUPUNCTURE REGISTRATION 
22.2 	REINSTATEMENT PROCEDURES.
 22.3 		Subdivision 1.Scope. This section applies to a chiropractor whose Minnesota chiropractic 
22.4 	acupuncture registration was canceled.
22.5 		Subd. 2.Application requirements. At the time of application for reinstatement of an 
22.6 	acupuncture registration, the applicant must:
22.7 	(1) hold an active Minnesota chiropractic license;
22.8 	(2) submit an application for reinstatement;
22.9 	(3) pay the current renewal fee;
22.10 	(4) submit license verification from each jurisdiction where the applicant holds or has 
22.11 	held a chiropractic license; and
22.12 	(5) complete any additional applicable requirements as established in subdivisions 3, 4, 
22.13 	and 5.
22.14 		Subd. 3.Reinstatement of canceled registration for registrant in good standing in 
22.15 	another jurisdiction. The Board of Chiropractic Examiners must reinstate the chiropractic 
22.16 	acupuncture registration of an applicant in good standing in another jurisdiction if the 
22.17 	applicant:
22.18 	(1) completes all requirements in subdivision 2;
22.19 	(2) provides verification of a chiropractic acupuncture credential in good standing from 
22.20 	each jurisdiction where the applicant is authorized to perform chiropractic acupuncture; and
22.21 	(3) provides verification of completing two continuing education units in acupuncture 
22.22 	or acupuncture-related subjects in the year immediately preceding the application for 
22.23 	reinstatement.
22.24 		Subd. 4.Reinstatement of canceled registration after five years or less. The board 
22.25 	must reinstate the chiropractic acupuncture registration of an applicant who does not meet 
22.26 	the requirements of subdivision 3 and who applies for reinstatement five years or less after 
22.27 	the Minnesota registration cancellation if the applicant:
22.28 	(1) completes all requirements in subdivision 2; and
22.29 	(2) provides verification of:
23.1 	(i) completing two continuing education hours in acupuncture or acupuncture-related 
23.2 	subjects for each year since the applicant last held an active chiropractic acupuncture 
23.3 	registration in Minnesota or credential in another jurisdiction; or
23.4 	(ii) passing the National Board of Chiropractic Examiners Acupuncture Examination or 
23.5 	the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) 
23.6 	Examination, or an alternate examination the board determines is equivalent, within 12 
23.7 	months after application.
23.8 		Subd. 5.Reinstatement of canceled registration license after more than five 
23.9 	years. The board must reinstate the chiropractic acupuncture registration of an applicant 
23.10 	who does not meet the requirements of subdivision 3 and who applies for reinstatement 
23.11 	more than five years after the Minnesota registration cancellation if the applicant:
23.12 	(1) completes all requirements in subdivision 2; and
23.13 	(2) provides verification of passing either the National Board of Chiropractic Examiners 
23.14 	Acupuncture Examination or the NCCAOM Examination, or an alternative examination 
23.15 	the board determines is equivalent, within 12 months after application.
23.16 		Subd. 6.Continuing education in year of reinstatement. A licensee must not use 
23.17 	continuing education units obtained for the purpose of applying for reinstatement of a 
23.18 	canceled registration under this section to meet the annual requirement for the year the 
23.19 	license is reinstated.
23.20 		Subd. 7.Board authority. Applications for reinstatement and registrations reinstated 
23.21 	under this section are subject to the same board authority under Minnesota Statutes, sections 
23.22 	148.10 and 214.103, as other applications and registrations issued by the board to deny, 
23.23 	refuse to issue, revoke, suspend, condition, or limit a license or to take disciplinary or 
23.24 	corrective action against a registrant or applicant for conduct that violates applicable law 
23.25 	or professional standards.
23.26 		Subd. 8.Expiration. This section expires on the date that rules adopted by the board 
23.27 	removing the inactive status for chiropractic acupuncture registration reinstatement and 
23.28 	establishing new chiropractic acupuncture registration reinstatement procedures become 
23.29 	effective.

23.30 	Sec. 27. INTERIM ANIMAL CHIROPRACTIC REGISTRATION 
23.31 	REINSTATEMENT PROCEDURES.
 23.32 		Subdivision 1.Scope. This section applies to a chiropractor whose Minnesota animal 
23.33 	chiropractic registration was canceled.
24.1 		Subd. 2.Application requirements. At the time of application for reinstatement of an 
24.2 	animal chiropractic registration, the applicant must:
24.3 	(1) hold an active Minnesota chiropractic license;
24.4 	(2) submit an application for reinstatement;
24.5 	(3) pay the current renewal fee;
24.6 	(4) submit license verification from each jurisdiction where the applicant holds or has 
24.7 	held a chiropractic license; and
24.8 	(5) complete any additional applicable requirements as established in subdivisions 3 and 
24.9 	4.
24.10 		Subd. 3.Reinstatement of canceled registration for registrant in good standing in 
24.11 	another jurisdiction. The Board of Chiropractic Examiners must reinstate the animal 
24.12 	chiropractic registration of an applicant who holds an animal chiropractic credential that is 
24.13 	equivalent to a Minnesota registration and in good standing in another jurisdiction if the 
24.14 	applicant:
24.15 	(1) completes all requirements in subdivision 2;
24.16 	(2) provides verification of an animal acupuncture credential in good standing from each 
24.17 	jurisdiction where the applicant is authorized to perform animal acupuncture; and
24.18 	(3) provides verification of completing six continuing education units in animal 
24.19 	chiropractic diagnosis and treatment in the year immediately preceding the application for 
24.20 	reinstatement.
24.21 		Subd. 4.Reinstatement of canceled registration for registrant with no animal 
24.22 	chiropractic credential in good standing in another jurisdiction. The board must reinstate 
24.23 	the registration of an applicant who does not meet the requirements of subdivision 3 if the 
24.24 	applicant:
24.25 	(1) completes all requirements in subdivision 2; and
24.26 	(2) provides verification of completing six continuing education units related to animal 
24.27 	chiropractic diagnosis and treatment for each year the applicant cannot verify an active 
24.28 	animal chiropractic credential that is equivalent to a Minnesota registration and in good 
24.29 	standing.
24.30 		Subd. 5.Continuing education in year of reinstatement. A licensee must not use 
24.31 	continuing education hours obtained for the purposes of applying for reinstatement of a 
25.1 	canceled registration under this section to meet the annual hour requirement for the year 
25.2 	the license is reinstated.
25.3 		Subd. 6.Board authority. Applications for reinstatement and registrations reinstated 
25.4 	under this section are subject to the same board authority under Minnesota Statutes, sections 
25.5 	148.10 and 214.103, as other applications and registrations issued by the board to deny, 
25.6 	refuse to issue, revoke, suspend, condition, or limit a license or to take disciplinary or 
25.7 	corrective action against a registrant or applicant for conduct that violates applicable law 
25.8 	or professional standards.
25.9 		Subd. 7.Expiration. This section expires on the date that rules adopted by the board 
25.10 	removing the inactive status for animal chiropractic registration reinstatement and establishing 
25.11 	new animal chiropractic registration reinstatement procedures become effective.

25.12 	Sec. 28. REVISOR INSTRUCTION.
 25.13 	The revisor of statutes shall renumber each provision of Minnesota Statutes listed in 
25.14 	column A to the number listed in column B. The revisor shall also make necessary 
25.15 	cross-reference changes consistent with the renumbering:

25.16	Column A
	Column B
	
25.17	148.01, subdivision 1a
	148.032, subdivision 1
	
25.18	148.01, subdivision 1b
	148.032, subdivision 2
	
25.19	148.01, subdivision 1c
	148.032, subdivision 3
	
25.20	148.01, subdivision 1d
	148.032, subdivision 4
	
25.2225.21
	148.032, paragraphs (a) and (b)
	148.032, subdivision 5, paragraphs (a) and 
(b)
	
25.2425.23
	148.032, paragraphs (c) and (d)
	148.032, subdivision 6, paragraphs (a) and 
(b)
	
25.25	148.032, paragraph (e)
	148.032, subdivision 7

25.26 	Sec. 29. REPEALER.
 25.27 	(a) Minnesota Statutes 2024, section 151.13, is repealed.
25.28 	(b) Minnesota Rules, parts 2500.0100, subparts 5b, 6, and 12; 2500.1900; 2500.2020; 
25.29 	2500.2040; 2500.2100; 2500.2110; 6800.0400; and 6800.1150, are repealed.

26.1 	ARTICLE 2
26.2 	DEPARTMENT OF HEALTH

26.3 	Section 1. Minnesota Statutes 2025 Supplement, section 3.732, subdivision 1, is amended 
26.4 	to read:
26.5 		Subdivision 1.Definitions. As used in this section and section 3.736 the terms defined 
26.6 	in this section have the meanings given them.
26.7 	(1) "State" includes each of the departments, boards, agencies, commissions, courts, and 
26.8 	officers in the executive, legislative, and judicial branches of the state of Minnesota and 
26.9 	includes but is not limited to the Housing Finance Agency, the Minnesota Office of Higher 
26.10 	Education, the Health and Education Facilities Authority, the Health Technology Advisory 
26.11 	Committee, the Armory Building Commission, the Zoological Board, the Department of 
26.12 	Iron Range Resources and Rehabilitation, the Minnesota Historical Society, the State 
26.13 	Agricultural Society, the University of Minnesota, the Minnesota State Colleges and 
26.14 	Universities, state hospitals, and state penal institutions. It does not include a city, town, 
26.15 	county, school district, or other local governmental body corporate and politic.
26.16 	(2) "Employee of the state" means all present or former officers, members, directors, or 
26.17 	employees of the state, members of the Minnesota National Guard, members of a bomb 
26.18 	disposal unit approved by the commissioner of public safety and employed by a municipality 
26.19 	defined in section 466.01 when engaged in the disposal or neutralization of bombs or other 
26.20 	similar hazardous explosives, as defined in section 299C.063, outside the jurisdiction of the 
26.21 	municipality but within the state, or persons acting on behalf of the state in an official 
26.22 	capacity, temporarily or permanently, with or without compensation. It does not include 
26.23 	either an independent contractor except, for purposes of this section and section 3.736 only, 
26.24 	a guardian ad litem acting under court appointment, or members of the Minnesota National 
26.25 	Guard while engaged in training or duty under United States Code, title 10, or title 32, 
26.26 	section 316, 502, 503, 504, or 505, as amended through December 31, 1983. Notwithstanding 
26.27 	sections 43A.02 and 611.263, for purposes of this section and section 3.736 only, "employee 
26.28 	of the state" includes a district public defender or assistant district public defender in the 
26.29 	Second or Fourth Judicial District, a member of the Health Technology Advisory Committee,
26.30 	and any officer, agent, or employee of the state of Wisconsin performing work for the state 
26.31 	of Minnesota pursuant to a joint state initiative.
26.32 	(3) "Scope of office or employment" means that the employee was acting on behalf of 
26.33 	the state in the performance of duties or tasks lawfully assigned by competent authority.
26.34 	(4) "Judicial branch" has the meaning given in section 43A.02, subdivision 25.

27.1 	Sec. 2. Minnesota Statutes 2024, section 62D.02, subdivision 7, is amended to read:
27.2 		Subd. 7.Comprehensive health maintenance services. "Comprehensive health 
27.3 	maintenance services" means a set of comprehensive health services which the enrollees 
27.4 	might reasonably require to be maintained in good health including as a minimum, but not 
27.5 	limited to, emergency care, emergency ground ambulance transportation services, inpatient 
27.6 	hospital and physician care, outpatient health services and preventive health items and
27.7 	services.

27.8 	Sec. 3. Minnesota Statutes 2024, section 62D.02, is amended by adding a subdivision to 
27.9 	read:
27.10 		Subd. 18.Service area. "Service area" means the geographic locations where the health 
27.11 	maintenance organization is approved by the commissioner to sell health maintenance 
27.12 	organization products. Geographic locations shall be identified according to recognized 
27.13 	political subdivisions such as cities, counties, and townships.

27.14 	Sec. 4. Minnesota Statutes 2024, section 62D.08, subdivision 5, is amended to read:
27.15 		Subd. 5.Changes in participating entities; penalty. Any cancellation or discontinuance 
27.16 	of any contract or agreement listed in section 62D.03, subdivision 4, clause (e), or listed 
27.17 	subsequently in accordance with this subdivision, shall be reported to the commissioner 
27.18 	120 days before the effective date. When the health maintenance organization terminates a 
27.19 	provider participating entity for cause, death, disability, or loss of license, the health 
27.20 	maintenance organization must notify the commissioner within ten working days of the 
27.21 	date the health maintenance organization sends out or receives the notice of cancellation, 
27.22 	discontinuance, or termination. Any health maintenance organization which fails to notify 
27.23 	the commissioner within the time periods prescribed in this subdivision shall be subject to 
27.24 	the levy of a fine up to $200 per contract for each day the notice is past due, accruing up to 
27.25 	the date the organization notifies the commissioner of the cancellation or discontinuance. 
27.26 	Any fine levied under this subdivision is subject to the contested case and judicial review 
27.27 	provisions of chapter 14. The levy of a fine does not preclude the commissioner from using 
27.28 	other penalties described in sections 62D.15 to 62D.17.

27.29 	Sec. 5. Minnesota Statutes 2024, section 62D.08, subdivision 6, is amended to read:
27.30 		Subd. 6.Quarterly financial statements. (a) A health maintenance organization shall 
27.31 	submit to the commissioner unaudited financial statements of the organization for the first 
27.32 	three quarters of the year on forms prescribed by the commissioner. The statements are due 
28.1 	30 days after the end of the quarter and shall be maintained as nonpublic data, as defined 
28.2 	by section 13.02, subdivision 9. Unaudited financial statements for the fourth quarter shall 
28.3 	be submitted at the request of the commissioner.
28.4 	(b) Every health maintenance organization must directly allocate administrative expenses 
28.5 	to specific lines of business or products when such information is available. Remaining 
28.6 	expenses that cannot be directly allocated must be allocated based on other methods, as 
28.7 	recommended by the Advisory Group on Administrative Expenses. Health maintenance 
28.8 	organizations must submit this information, including administrative expenses for dental 
28.9 	services, using the reporting template provided by the commissioner of health.
28.10 	(c) Every health maintenance organization must allocate investment income based on 
28.11 	cumulative net income over time by business line or product and must submit this 
28.12 	information, including investment income for dental services, using the reporting template 
28.13 	provided by the commissioner of health.

28.14 	Sec. 6. Minnesota Statutes 2024, section 62D.09, subdivision 1, is amended to read:
28.15 		Subdivision 1.Marketing requirements. (a) Any written marketing materials which 
28.16 	may be directed toward potential enrollees and which include a detailed description of 
28.17 	benefits provided by the health maintenance organization shall include a statement of enrollee 
28.18 	information and rights as described in section 62D.07, subdivision 3, clauses (2) and (3). 
28.19 	Prior to any oral marketing presentation, the agent marketing the plan must inform the 
28.20 	potential enrollees that any complaints concerning the material presented should be directed 
28.21 	to the health maintenance organization, the commissioner of health, or, if applicable, the 
28.22 	employer.
28.23 	(b) Detailed marketing materials must affirmatively disclose all exclusions and limitations 
28.24 	in the organization's services or kinds of services offered to the contracting party, including 
28.25 	but not limited to the following types of exclusions and limitations:
28.26 	(1) health care services not provided;
28.27 	(2) health care services requiring co-payments or deductibles paid by enrollees;
28.28 	(3) the fact that access to health care services does not guarantee access to a particular 
28.29 	provider or provider type; and
28.30 	(4) health care services that are or may be provided only by referral of a physician, 
28.31 	advanced practice registered nurse, or physician assistant.
29.1 	(c) No marketing materials may lead consumers to believe that all health care needs will 
29.2 	be covered. All marketing materials must alert consumers to possible uncovered expenses 
29.3 	with the following language in bold print: "THIS HEALTH CARE PLAN MAY NOT 
29.4 	COVER ALL YOUR HEALTH CARE EXPENSES; READ YOUR CONTRACT 
29.5 	CAREFULLY TO DETERMINE WHICH EXPENSES ARE COVERED." Immediately 
29.6 	following the disclosure required under paragraph (b), clause (3), consumers must be given 
29.7 	a telephone number to use to contact the health maintenance organization for specific 
29.8 	information about access to provider types.
29.9 	(d) The disclosures required in paragraphs (b) and (c) are not required on billboards or 
29.10 	image, and name identification advertisement.

29.11 	Sec. 7. Minnesota Statutes 2024, section 62D.09, subdivision 5, is amended to read:
29.12 		Subd. 5.Participating providers. (a) Health maintenance organizations shall provide 
29.13 	enrollees with a list of the names and locations of participating providers to whom enrollees 
29.14 	have direct access without referral no later than the effective date of enrollment or date the 
29.15 	evidence of coverage is issued and upon request publish an up-to-date, accurate, and complete 
29.16 	provider directory, including information on which providers are accepting new patients, 
29.17 	the provider's location, contact information, specialty, medical group, and any institutional 
29.18 	affiliations, in a manner that is easily accessible to enrollees and potential enrollees. Health 
29.19 	maintenance organizations need not provide the names of their employed providers. Health 
29.20 	maintenance organizations must notify enrollees and potential enrollees of the provider 
29.21 	directory and where it can be accessed.
29.22 	(b) Upon request, a health maintenance organization shall provide a hard copy of the 
29.23 	provider directory to enrollees or potential enrollees.

29.24 	Sec. 8. Minnesota Statutes 2024, section 62D.124, subdivision 6, is amended to read:
29.25 		Subd. 6.Provider network notifications. (a) A health maintenance organization must 
29.26 	provide on the organization's website the provider network for each product offered by the 
29.27 	organization, and must update the organization's website at least once a month with any 
29.28 	changes to the organization's provider network, including provider changes from in-network 
29.29 	status to out-of-network status. A health maintenance organization must also provide on 
29.30 	the organization's website, for each product offered by the organization, a list of the current 
29.31 	waivers of the requirements in subdivision 1 or 2, in a format that is easily accessed and 
29.32 	searchable by enrollees and prospective enrollees.
30.1 	(b) Upon notification from an enrollee, a health maintenance organization must reprocess 
30.2 	any claim for services provided by a provider whose status has changed from in-network 
30.3 	to out-of-network as an in-network claim if the service was provided after the network 
30.4 	change went into effect but before the change was posted as required under paragraph (a), 
30.5 	unless the health maintenance organization notified the enrollee of the network change prior 
30.6 	to the service being provided. This paragraph does not apply if the health maintenance 
30.7 	organization is able to verify that the health maintenance organization's website displayed 
30.8 	the correct provider network status on the health maintenance organization's website at the 
30.9 	time the service was provided.

30.10 	Sec. 9. Minnesota Statutes 2024, section 62J.17, subdivision 6a, is amended to read:
30.11 		Subd. 6a.Prospective review and approval. (a) No health care provider subject to 
30.12 	prospective review under this subdivision shall make a major spending commitment unless:
30.13 	(1) the provider has filed an application with the commissioner to proceed with the major 
30.14 	spending commitment and has provided all supporting documentation and evidence requested 
30.15 	by the commissioner; and
30.16 	(2) the commissioner determines, based upon this documentation and evidence, that the 
30.17 	major spending commitment is appropriate under the criteria provided in subdivision 5a in 
30.18 	light of the alternatives available to the provider.
30.19 	(b) A provider subject to prospective review and approval shall submit an application 
30.20 	to the commissioner before proceeding with any major spending commitment. The provider 
30.21 	may submit information, with supporting documentation, regarding why the major spending 
30.22 	commitment should be excepted from prospective review under subdivision 7.
30.23 	(c) The commissioner shall determine, based upon the information submitted, whether 
30.24 	the major spending commitment is appropriate under the criteria provided in subdivision 
30.25 	5a, or whether it should be excepted from prospective review under subdivision 7. In making 
30.26 	this determination, the commissioner may also consider relevant information from other 
30.27 	sources. At the request of the commissioner, the health technology advisory committee shall 
30.28 	convene an expert review panel made up of persons with knowledge and expertise regarding 
30.29 	medical equipment, specialized services, health care expenditures, and capital expenditures 
30.30 	to review applications and make recommendations to the commissioner. The commissioner 
30.31 	shall make a decision on the application within 60 days after an application is received.
30.32 	(d) The commissioner of health has the authority to issue fines, seek injunctions, and 
30.33 	pursue other remedies as provided by law.

31.1 	Sec. 10. Minnesota Statutes 2024, section 62J.2930, subdivision 1, is amended to read:
31.2 		Subdivision 1.Establishment. The commissioner of health shall establish an information 
31.3 	clearinghouse within the Department of Health to facilitate the ability of consumers, 
31.4 	employers, providers, health plan companies, and others to obtain information on health 
31.5 	reform activities in Minnesota. The commissioner shall make available through the 
31.6 	clearinghouse updates on federal and state health reform activities, including information 
31.7 	developed or collected by the Department of Health on cost containment or other research 
31.8 	initiatives, the development of voluntary purchasing pools, action plans submitted by health 
31.9 	plan companies, reports or recommendations of the Health Technology Advisory Committee 
31.10 	and other entities on technology assessments, and reports or recommendations from other 
31.11 	formal committees applicable to health reform activities. The clearinghouse shall also refer 
31.12 	requestors to sources of further information or assistance. The clearinghouse is subject to 
31.13 	chapter 13.

31.14 	Sec. 11. Minnesota Statutes 2024, section 62J.497, subdivision 5, is amended to read:
31.15 		Subd. 5.Electronic drug prior authorization standardization and transmission. (a) 
31.16 	The commissioner of health, in consultation with the Minnesota e-Health Advisory 
31.17 	Committee and the Minnesota Administrative Uniformity Committee, shall, by February 
31.18 	15, 2010, identify an outline on how best to standardize drug prior authorization request 
31.19 	transactions between providers and group purchasers with the goal of maximizing 
31.20 	administrative simplification and efficiency in preparation for electronic transmissions.
31.21 	(b) By January 1, 2014, the Minnesota Administrative Uniformity Committee shall 
31.22 	develop the standard companion guide by which providers and group purchasers will 
31.23 	exchange standard drug authorization requests using electronic data interchange standards, 
31.24 	if available, with the goal of alignment with standards that are or will potentially be used 
31.25 	nationally.
31.26 	(c) No later than January 1, 2016, drug prior authorization requests must be accessible 
31.27 	and submitted by health care providers, and accepted by group purchasers, electronically 
31.28 	through secure electronic transmissions. Facsimile shall not be considered electronic 
31.29 	transmission.
31.30 	(d) Starting January 1, 2027, providers and group purchasers must exchange prescription 
31.31 	drug prior authorization request transactions electronically using the NCPDP SCRIPT 
31.32 	Standard.

32.1 	Sec. 12. Minnesota Statutes 2024, section 62J.536, subdivision 2a, is amended to read:
32.2 		Subd. 2a.Group purchasers not covered by HIPAA. For transactions with Group 
32.3 	purchasers defined in section 62J.03, subdivision 6, that are not covered under United States 
32.4 	Code, title 42, sections 1320d to 1320d-8, the requirements of this section are modified as 
32.5 	follows: are exempt from the requirements of subdivision 1, paragraphs (a) and (b), to accept 
32.6 	and transmit the eligibility for a health plan transaction described in Code of Federal 
32.7 	Regulations, title 45, part 162, subpart L.
32.8 	(1) The group purchasers may be exempt from one or more of the requirements to 
32.9 	exchange claims and eligibility information electronically using the transactions, companion 
32.10 	guides, implementation guides, and timelines in subdivision 1 if the commissioner of health 
32.11 	determines that:
32.12 	(i) a transaction is incapable of exchanging data that are currently being exchanged on 
32.13 	paper and is necessary to accomplish the purpose of the transaction; or
32.14 	(ii) another national electronic transaction standard would be more appropriate and 
32.15 	effective to accomplish the purpose of the transaction.
32.16 	(2) If group purchasers are exempt from one or more of the requirements to exchange 
32.17 	claims and eligibility information electronically using the transactions, companion guides, 
32.18 	implementation guides, and timelines in subdivision 1, providers shall also be exempt from 
32.19 	exchanging those transactions with the group purchaser.
32.20 	(3) If the commissioner of health exempts a group purchaser from one or more of the 
32.21 	requirements because a transaction is incapable of exchanging data that are currently being 
32.22 	exchanged on paper and are necessary to accomplish the purpose of the transaction, the 
32.23 	commissioner shall review that exemption annually. If the commissioner determines that 
32.24 	the exemption is no longer necessary or appropriate, the commissioner of health shall adopt 
32.25 	rules pursuant to section 62J.61 establishing and requiring group purchasers and health care 
32.26 	providers to use the transactions and the uniform, standard companion guides required under 
32.27 	subdivision 1, paragraph (e). Group purchasers and providers shall have 12 months to 
32.28 	implement any rules adopted.
32.29 	(4) If the commissioner of health exempts a group purchaser from one or more of the 
32.30 	requirements because another national electronic transaction standard would be more 
32.31 	appropriate and effective to accomplish the purpose of the transaction, the commissioner 
32.32 	shall adopt rules pursuant to section 62J.61 establishing and requiring group purchasers and 
32.33 	health care providers to use the national electronic transaction standard. Group purchasers 
32.34 	and providers shall have 12 months to implement any rules adopted.
33.1 	(5) The requirement of paper claims attachments shall not indicate that a health care 
33.2 	claims or equivalent encounter information transaction described under Code of Federal 
33.3 	Regulations, title 45, part 162, subpart K, is incapable of exchanging data that are currently 
33.4 	being exchanged on paper provided that the electronic health care claims transaction has a 
33.5 	mechanism to link the paper attachments to the electronic claim.

33.6 	Sec. 13. Minnesota Statutes 2025 Supplement, section 62J.84, subdivision 2, is amended 
33.7 	to read:
33.8 		Subd. 2.Definitions. (a) For purposes of this section, the terms defined in this subdivision 
33.9 	have the meanings given.
33.10 	(b) "Biosimilar" means a drug that is produced or distributed pursuant to a biologics 
33.11 	license application approved under United States Code, title 42, section 262(K)(3).
33.12 	(c) "Brand name drug" means a drug that is produced or distributed pursuant to:
33.13 	(1) a new drug application approved under United States Code, title 21, section 355(c), 
33.14 	except for a generic drug as defined under Code of Federal Regulations, title 42, section 
33.15 	447.502; or
33.16 	(2) a biologics license application approved under United States Code, title 42, section 
33.17 	262(a)(c).
33.18 	(d) "Commissioner" means the commissioner of health.
33.19 	(e) "Generic drug" means a drug that is marketed or distributed pursuant to:
33.20 	(1) an abbreviated new drug application approved under United States Code, title 21, 
33.21 	section 355(j);
33.22 	(2) an authorized generic as defined under Code of Federal Regulations, title 42, section 
33.23 	447.502; or
33.24 	(3) a drug that entered the market the year before 1962 and was not originally marketed 
33.25 	under a new drug application.
33.26 	(f) "Manufacturer" means:
33.27 	(1) a drug manufacturer licensed under section 151.252.; or
33.28 	(2) an entity that sets the wholesale acquisition cost for prescription drugs that are 
33.29 	distributed in Minnesota.
34.1 	(g) "New prescription drug" or "new drug" means a prescription drug approved for 
34.2 	marketing by the United States Food and Drug Administration (FDA) for which no previous 
34.3 	wholesale acquisition cost has been established for comparison.
34.4 	(h) "Patient assistance program" means a program that a manufacturer offers to the public 
34.5 	in which a consumer may reduce the consumer's out-of-pocket costs for prescription drugs 
34.6 	by using coupons, discount cards, prepaid gift cards, manufacturer debit cards, or by other 
34.7 	means.
34.8 	(i) "Prescription drug" or "drug" has the meaning provided in section 151.441, subdivision 
34.9 	8.
34.10 	(j) "Price" means the wholesale acquisition cost as defined in United States Code, title 
34.11 	42, section 1395w-3a(c)(6)(B).
34.12 	(k) "30-day supply" means the total daily dosage units of a prescription drug 
34.13 	recommended by the prescribing label approved by the FDA for 30 days. If the 
34.14 	FDA-approved prescribing label includes more than one recommended daily dosage, the 
34.15 	30-day supply is based on the maximum recommended daily dosage on the FDA-approved 
34.16 	prescribing label.
34.17 	(l) "Course of treatment" means the total dosage of a single prescription for a prescription 
34.18 	drug recommended by the FDA-approved prescribing label. If the FDA-approved prescribing 
34.19 	label includes more than one recommended dosage for a single course of treatment, the 
34.20 	course of treatment is the maximum recommended dosage on the FDA-approved prescribing 
34.21 	label.
34.22 	(m) "Drug product family" means a group of one or more prescription drugs that share 
34.23 	a unique generic drug description or nontrade name and dosage form.
34.24 	(n) "National drug code" means the three-segment code maintained by the federal Food 
34.25 	and Drug Administration that includes a labeler code, a product code, and a package code 
34.26 	for a drug product and that has been converted to an 11-digit format consisting of five digits 
34.27 	in the first segment, four digits in the second segment, and two digits in the third segment. 
34.28 	A three-segment code shall be considered converted to an 11-digit format when, as necessary, 
34.29 	at least one "0" has been added to the front of each segment containing less than the specified 
34.30 	number of digits such that each segment contains the specified number of digits.
34.31 	(o) "Pharmacy" or "pharmacy provider" means a community/outpatient pharmacy as 
34.32 	defined in Minnesota Rules, part 6800.0100, subpart 2, that is also licensed as a pharmacy 
34.33 	by the Board of Pharmacy under section 151.19.
35.1 	(p) "Pharmacy benefit manager" or "PBM" means an entity licensed to act as a pharmacy 
35.2 	benefit manager under section 62W.03.
35.3 	(q) "Pricing unit" means a quantity of one of the smallest dispensable amount of a 
35.4 	prescription drug product that could be dispensed or administered standard unit of measure, 
35.5 	such as milliliter, gram, or each, of a prescription drug product.
35.6 	(r) "Rebate" means a discount, chargeback, or other price concession that affects the 
35.7 	price of a prescription drug product, regardless of whether conferred through regular 
35.8 	aggregate payments, on a claim-by-claim basis at the point of sale, as part of retrospective 
35.9 	financial reconciliations, including reconciliations that also reflect other contractual 
35.10 	arrangements, or by any other method. Rebate does not mean a bona fide service fee as 
35.11 	defined in Code of Federal Regulations, title 42, section 447.502.
35.12 	(s) "Reporting entity" means any manufacturer, pharmacy, pharmacy benefit manager, 
35.13 	wholesale drug distributor, or any other entity required to submit data under this section.
35.14 	(t) "Wholesale drug distributor" or "wholesaler" means an entity that is licensed to act 
35.15 	as a wholesale drug distributor under section 151.47.

35.16 	Sec. 14. Minnesota Statutes 2025 Supplement, section 62J.84, subdivision 3, is amended 
35.17 	to read:
35.18 		Subd. 3.Prescription drug price increases reporting. (a) Beginning January 1, 2022, 
35.19 	a drug manufacturer must submit to the commissioner the information described in paragraph 
35.20 	(b) for each prescription drug for which the price was $100 or greater for a 30-day supply 
35.21 	or for a course of treatment lasting less than 30 days and:
35.22 	(1) for brand name drugs where there is an increase of ten percent or greater in the price 
35.23 	over the previous 12-month period or an increase of 16 percent or greater in the price over 
35.24 	the previous 24-month period; and
35.25 	(2) for generic or biosimilar drugs where there is an increase of 50 percent or greater in 
35.26 	the price over the previous 12-month period.
35.27 	(b) For each of the drugs described in paragraph (a), the manufacturer shall submit to 
35.28 	the commissioner no later than 60 days after the price increase goes into effect, in the form 
35.29 	and manner prescribed by the commissioner, the following information, if applicable:
35.30 	(1) the description and price of the drug and the net increase, expressed as a percentage, 
35.31 	with the following listed separately:
35.32 	(i) the national drug code;
36.1 	(ii) the product name;
36.2 	(iii) the dosage form;
36.3 	(iv) the strength; and
36.4 	(v) the package size;
36.5 	(2) the factors that contributed to the price increase;
36.6 	(3) the name of any generic version of the prescription drug available on the market;
36.7 	(4) the year the prescription drug was introduced for sale in the United States;
36.8 	(5) the introductory price of the prescription drug when it was introduced for sale in the 
36.9 	United States and the price of the drug on the last day of each of the five calendar years 
36.10 	preceding the price increase;
36.11 	(6) the direct costs incurred during the previous 12-month period by the manufacturer 
36.12 	that are associated with the prescription drug, listed separately:
36.13 	(i) to manufacture the prescription drug;
36.14 	(ii) to market the prescription drug, including advertising costs; and
36.15 	(iii) to distribute the prescription drug;
36.16 	(7) the number of units of the prescription drug sold during the previous 12-month period;
36.17 	(8) the total sales revenue for the prescription drug during the previous 12-month period;
36.18 	(9) the total rebate payable amount accrued for the prescription drug during the previous 
36.19 	12-month period;
36.20 	(10) the manufacturer's net profit attributable to the prescription drug during the previous 
36.21 	12-month period;
36.22 	(11) the total amount of financial assistance the manufacturer has provided through 
36.23 	patient prescription assistance programs during the previous 12-month period, if applicable;
36.24 	(12) any agreement between a manufacturer and another entity contingent upon any 
36.25 	delay in offering to market a generic version of the prescription drug;
36.26 	(13) the patent expiration date of the prescription drug if it is under patent;
36.27 	(14) the name and location of the company that manufactured the drug;
36.28 	(15) if a brand name prescription drug, the highest price amount paid for a drug product 
36.29 	with the same generic drug description or nontrade name, dosage form, strength, and, where 
37.1 	available, package size of the prescription drug during the previous calendar year in the ten 
37.2 	countries, excluding the United States, that charged the highest single price amount for the 
37.3 	prescription drug; and. Where a package size equivalent is not available, the value provided 
37.4 	should represent the amount paid per unit of measure of the drug product multiplied by the 
37.5 	total package size in the United States of the prescription drug reported;
37.6 	(16) if the prescription drug was acquired by the manufacturer during the previous 
37.7 	12-month period, all of the following information:
37.8 	(i) price at acquisition;
37.9 	(ii) price in the calendar year prior to acquisition;
37.10 	(iii) name of the company from which the drug was acquired;
37.11 	(iv) date of acquisition; and
37.12 	(v) acquisition price.
37.13 	(c) The manufacturer may submit any documentation necessary to support the information 
37.14 	reported under this subdivision.

37.15 	Sec. 15. Minnesota Statutes 2025 Supplement, section 62J.84, subdivision 10, is amended 
37.16 	to read:
37.17 		Subd. 10.Notice of prescription drugs of substantial public interest. (a) No later than 
37.18 	January 31, 2024, and quarterlyat least annually thereafter, the commissioner shall produce 
37.19 	and post on the department's website a list of prescription drugs that the commissioner 
37.20 	determines to represent a substantial public interest and for which the commissioner intends 
37.21 	to request data under subdivisions 11 to 14, subject to paragraph (c). The commissioner 
37.22 	shall base its inclusion of prescription drugs on any information the commissioner determines 
37.23 	is relevant to providing greater consumer awareness of the factors contributing to the cost 
37.24 	of prescription drugs in the state, and the commissioner shall consider drug product families 
37.25 	that include prescription drugs:
37.26 	(1) that triggered reporting under subdivision 3 or 4 during the previous calendar quarter;
37.27 	(2) for which average claims paid amounts exceeded 125 percent of the price as of the 
37.28 	claim incurred date during the most recent calendar quarter for which claims paid amounts 
37.29 	are available; or
37.30 	(3) that are identified by members of the public during a public comment process.
38.1 	(b) Not sooner than 30 days after publicly posting the list of prescription drugs under 
38.2 	paragraph (a), the department shall notify, via email, reporting entities registered with the 
38.3 	department of:
38.4 	(1) the requirement to report under subdivisions 11 to 14; and
38.5 	(2) the reporting period for which data must be provided.
38.6 	(c) The commissioner must not designate more than 500 prescription drugs as having a 
38.7 	substantial public interest in any one notice.
38.8 	(d) Notwithstanding subdivision 16, the commissioner is exempt from chapter 14, 
38.9 	including section 14.386, in implementing this subdivision.

38.10 	Sec. 16. Minnesota Statutes 2025 Supplement, section 62J.84, subdivision 11, is amended 
38.11 	to read:
38.12 		Subd. 11.Manufacturer prescription drug substantial public interest reporting. (a) 
38.13 	Beginning January 1, 2024, a manufacturer must submit to the commissioner the information 
38.14 	described in paragraph (b) for any prescription drug:
38.15 	(1) included in a notification to report issued to the manufacturer by the department 
38.16 	under subdivision 10;
38.17 	(2) which the manufacturer manufactures or repackages;
38.18 	(3) for which the manufacturer sets the wholesale acquisition cost; and
38.19 	(4) for which the manufacturer has not submitted data under subdivision 3 during the 
38.20 	120-day period prior to the date of the notification to report.
38.21 	(b) For each of the drugs described in paragraph (a), the manufacturer shall submit to 
38.22 	the commissioner no later than 60 days after the date of the notification to report, in the 
38.23 	form and manner prescribed by the commissioner, the following information, if applicable:
38.24 	(1) a description of the drug with the following listed separately:
38.25 	(i) the national drug code;
38.26 	(ii) the product name;
38.27 	(iii) the dosage form;
38.28 	(iv) the strength; and
38.29 	(v) the package size;
38.30 	(2) the price of the drug product on the later of:
39.1 	(i) the day one year prior to the date of the notification to report;
39.2 	(ii) the introduced to market date; or
39.3 	(iii) the acquisition date;
39.4 	(3) the price of the drug product on the date of the notification to report;
39.5 	(4) the year the prescription drug was introduced for sale in the United States;
39.6 	(5) the introductory price of the prescription drug when it was introduced for sale in the 
39.7 	United States and the price of the drug on the last day of each of the five calendar years 
39.8 	preceding the date of the notification to report;
39.9 	(6) the direct costs incurred during the reporting period specified in the notification to 
39.10 	report by the manufacturers that are associated with the prescription drug, listed separately:
39.11 	(i) to manufacture the prescription drug;
39.12 	(ii) to market the prescription drug, including advertising costs; and
39.13 	(iii) to distribute the prescription drug;
39.14 	(7) the number of units of the prescription drug sold during the reporting period specified 
39.15 	in the notification to report;
39.16 	(8) the total sales revenue for the prescription drug during the reporting period specified 
39.17 	in the notification to report;
39.18 	(9) the total rebate payable amount accrued for the prescription drug during the reporting 
39.19 	period specified in the notification to report;
39.20 	(10) the manufacturer's net profit attributable to the prescription drug during the reporting 
39.21 	period specified in the notification to report;
39.22 	(11) the total amount of financial assistance the manufacturer has provided through 
39.23 	patient prescription assistance programs during the reporting period specified in the 
39.24 	notification to report, if applicable;
39.25 	(12) any agreement between a manufacturer and another entity contingent upon any 
39.26 	delay in offering to market a generic version of the prescription drug;
39.27 	(13) the patent expiration date of the prescription drug if the prescription drug is under 
39.28 	patent;
39.29 	(14) the name and location of the company that manufactured the drug;
40.1 	(15) if the prescription drug is a brand name prescription drug, the ten countries other 
40.2 	than the United States that paid the highest prices amounts for a drug product with the same 
40.3 	generic drug description or nontrade name, dosage form, strength, and, where available, 
40.4 	package size of the prescription drug during the previous calendar year and their prices
40.5 	amounts. Where a package size equivalent is not available, the value provided should 
40.6 	represent the amount paid per unit of measure of the drug product multiplied by the total 
40.7 	package size in the United States of the prescription drug reported; and
40.8 	(16) if the prescription drug was acquired by the manufacturer within the reporting period 
40.9 	specified in the notification to report, all of the following information:
40.10 	(i) the price at acquisition;
40.11 	(ii) the price in the calendar year prior to acquisition;
40.12 	(iii) the name of the company from which the drug was acquired;
40.13 	(iv) the date of acquisition; and
40.14 	(v) the acquisition price.
40.15 	(c) The manufacturer may submit any documentation necessary to support the information 
40.16 	reported under this subdivision.

40.17 	Sec. 17. Minnesota Statutes 2025 Supplement, section 62J.84, subdivision 12, is amended 
40.18 	to read:
40.19 		Subd. 12.Pharmacy prescription drug substantial public interest reporting. (a) 
40.20 	Beginning January 1, 2024, a pharmacy must submit to the commissioner the information 
40.21 	described in paragraph (b) for any prescription drug:
40.22 	(1) included in a notification to report issued to the pharmacy by the department under 
40.23 	subdivision 10; and
40.24 	(2) that the pharmacy dispensed in Minnesota or mailed to a Minnesota address.
40.25 	(b) For each of the drugs described in paragraph (a), the pharmacy shall submit to the 
40.26 	commissioner no later than 60 days after the date of the notification to report, in the form 
40.27 	and manner prescribed by the commissioner, the following information, if applicable:
40.28 	(1) a description of the drug with the following listed separately:
40.29 	(i) the national drug code;
40.30 	(ii) the product name;
41.1 	(iii) the dosage form;
41.2 	(iv) the strength; and
41.3 	(v) the package size;
41.4 	(2) the number of pricing units of the drug acquired during the reporting period specified 
41.5 	in the notification to report;
41.6 	(3) the total spent before rebates by the pharmacy to acquire the drug during the reporting 
41.7 	period specified in the notification to report;
41.8 	(4) the total rebate receivable amount accrued by the pharmacy for the drug during the 
41.9 	reporting period specified in the notification to report;
41.10 	(5) the number of pricing units of the drug dispensed by the pharmacy during the reporting 
41.11 	period specified in the notification to report;
41.12 	(6) the total payment receivable by the pharmacy for dispensing the drug including 
41.13 	ingredient cost, dispensing fee, and administrative fees during the reporting period specified 
41.14 	in the notification to report;
41.15 	(7) the total rebate payable amount accrued by the pharmacy for the drug during the 
41.16 	reporting period specified in the notification to report; and
41.17 	(8) the average cash price paid by consumers per pricing unit for prescriptions dispensed 
41.18 	where no claim was submitted to a health care service plan or health insurer during the 
41.19 	reporting period specified in the notification to report.
41.20 	(c) The pharmacy may submit any documentation necessary to support the information 
41.21 	reported under this subdivision.
41.22 	(d) The commissioner may grant extensions, exemptions, or both to compliance with 
41.23 	the requirements of paragraphs (a) and (b) by small or independent pharmacies, if compliance 
41.24 	with paragraphs (a) and (b) would represent a hardship or undue burden to the pharmacy. 
41.25 	The commissioner may establish procedures for small or independent pharmacies to request 
41.26 	extensions or exemptions under this paragraph.

41.27 	Sec. 18. Minnesota Statutes 2025 Supplement, section 62J.84, subdivision 13, is amended 
41.28 	to read:
41.29 		Subd. 13.PBM prescription drug substantial public interest reporting. (a) Beginning 
41.30 	January 1, 2024, a PBM must submit to the commissioner the information described in 
41.31 	paragraph (b) for any prescription drug:
42.1 	(1) included in a notification to report issued to the PBM by the department under 
42.2 	subdivision 10; and
42.3 	(2) for which the PBM fulfilled pharmacy benefit management duties for Minnesota 
42.4 	residents.
42.5 	(b) For each of the drugs described in paragraph (a), the PBM shall submit to the 
42.6 	commissioner no later than 60 days after the date of the notification to report, in the form 
42.7 	and manner prescribed by the commissioner, the following information, if applicable:
42.8 	(1) a description of the drug with the following listed separately:
42.9 	(i) the national drug code;
42.10 	(ii) the product name;
42.11 	(iii) the dosage form;
42.12 	(iv) the strength; and
42.13 	(v) the package size;
42.14 	(2) the number of pricing units of the drug product filled during the reporting period 
42.15 	specified in the notification to report;
42.16 	(3) the total reimbursement amount accrued and payable to pharmacies for pricing units 
42.17 	of the drug product filled during the reporting period specified in the notification to report;
42.18 	(4) the total reimbursement amount accrued and receivable from payers for pricing units 
42.19 	of the drug product filled during the reporting period specified in the notification to report;
42.20 	(5) the total administrative fee amount accrued and receivable from payers for pricing 
42.21 	units of the drug product filled during the reporting period specified in the notification to 
42.22 	report;
42.23 	(6) the total rebate receivable amount accrued by the PBM for the drug product during 
42.24 	the reporting period specified in the notification to report; and
42.25 	(7) the total rebate payable amount accrued by the PBM for the drug product during the 
42.26 	reporting period specified in the notification to report.;
42.27 	(8) the name of any entity, including but not limited to a group purchasing organization, 
42.28 	that the PBM contracts with or owns, in part or in full, that negotiates rebates for the drug 
42.29 	product during the reporting period specified in the notification to report;
43.1 	(9) the total amount accrued and receivable from all organizations reported under clause 
43.2 	(8) for the drug product during the reporting period specified in the notification to report; 
43.3 	and
43.4 	(10) of the amount reported under clause (9), the percentage that is accrued and payable 
43.5 	to health plan companies or other entities for the drug product during the reporting period 
43.6 	specified in the notification to report.
43.7 	(c) The PBM may submit any documentation necessary to support the information 
43.8 	reported under this subdivision.

43.9 	Sec. 19. Minnesota Statutes 2025 Supplement, section 62J.84, subdivision 14, is amended 
43.10 	to read:
43.11 		Subd. 14.Wholesale drug distributor prescription drug substantial public interest 
43.12 	reporting. (a) Beginning January 1, 2024, a wholesale drug distributor that distributes 
43.13 	prescription drugs, for which it is not the manufacturer, to persons or entities, or both, other 
43.14 	than a consumer or patient in the state, must submit to the commissioner the information 
43.15 	described in paragraph (b) for any prescription drug:
43.16 	(1) included in a notification to report issued to the wholesale drug distributor by the 
43.17 	department under subdivision 10; and
43.18 	(2) that the wholesale drug distributor distributed within or into Minnesota.
43.19 	(b) For each of the drugs described in paragraph (a), the wholesale drug distributor shall 
43.20 	submit to the commissioner no later than 60 days after the date of the notification to report, 
43.21 	in the form and manner prescribed by the commissioner, the following information, if 
43.22 	applicable:
43.23 	(1) a description of the drug with the following listed separately:
43.24 	(i) the national drug code;
43.25 	(ii) the product name;
43.26 	(iii) the dosage form;
43.27 	(iv) the strength; and
43.28 	(v) the package size;
43.29 	(2) the number of units of the drug product acquired by the wholesale drug distributor 
43.30 	during the reporting period specified in the notification to report;
44.1 	(3) the total spent before rebates by the wholesale drug distributor to acquire the drug 
44.2 	product during the reporting period specified in the notification to report;
44.3 	(4) the total rebate receivable amount accrued by the wholesale drug distributor for the 
44.4 	drug product during the reporting period specified in the notification to report;
44.5 	(5) the number of units of the drug product sold by the wholesale drug distributor during 
44.6 	the reporting period specified in the notification to report;
44.7 	(6) the gross revenue from sales in the United States generated by the wholesale drug 
44.8 	distributor for the drug product during the reporting period specified in the notification to 
44.9 	report; and
44.10 	(7) the total rebate payable amount accrued by the wholesale drug distributor for the 
44.11 	drug product during the reporting period specified in the notification to report.;
44.12 	(8) the name of any entity, including but not limited to a group purchasing organization 
44.13 	that the wholesaler contracts with or owns, in part or in full, that negotiates rebates for the 
44.14 	drug product during the reporting period specified in the notification to report;
44.15 	(9) the total receivable amount accrued from all organizations reported under clause (8) 
44.16 	for the drug product during the reporting period specified in the notification to report; and
44.17 	(10) of the amount reported under clause (9), the percentage that is accrued and payable 
44.18 	to other entities for the drug product during the reporting period specified in the notification 
44.19 	to report.
44.20 	(c) The wholesale drug distributor may submit any documentation necessary to support 
44.21 	the information reported under this subdivision.

44.22 	Sec. 20. Minnesota Statutes 2024, section 62K.02, subdivision 2, is amended to read:
44.23 		Subd. 2.Scope. (a) This chapter applies only to health plans offered in the individual 
44.24 	market or the small group market, including stand-alone dental plans sold on MNsure.
44.25 	(b) This chapter applies to health carriers with respect to individual health plans and 
44.26 	small group health plans, unless otherwise specified.
44.27 	(c) If a health carrier issues or renews individual or small group health plans in other 
44.28 	states, this chapter applies only to health plans issued or renewed in this state to a Minnesota 
44.29 	resident, or to cover a resident of the state, or issued or renewed to a small employer that 
44.30 	is actively engaged in business in this state, unless otherwise specified.
45.1 	(d) This chapter does not apply to short-term coverage as defined in section 62A.65, 
45.2 	subdivision 7, or grandfathered plan coverage as defined in section 62A.011, subdivision 
45.3 	1b.

45.4 	Sec. 21. Minnesota Statutes 2024, section 62K.03, subdivision 6, is amended to read:
45.5 		Subd. 6.Health plan. "Health plan" means a health plan as defined in section 62A.011, 
45.6 	subdivision 3, and includes stand-alone dental plans sold on MNsure.

45.7 	Sec. 22. Minnesota Statutes 2024, section 62K.075, is amended to read:
45.8 	62K.075 PROVIDER NETWORK NOTIFICATIONS.
45.9 	(a) A health carrier must provide on the carrier's website the provider network for each 
45.10 	product offered by the carrier, and must update the carrier's website at least once a month 
45.11 	with any changes to the carrier's provider network, including provider changes from 
45.12 	in-network status to out-of-network status. A health carrier must also provide on the carrier's 
45.13 	website, for each product offered by the carrier, a list of the current waivers of the 
45.14 	requirements in section 62K.10, subdivision 2or 3, in a format that is easily accessed and 
45.15 	searchable by enrollees and prospective enrollees.
45.16 	(b) Upon notification from an enrollee, a health carrier must reprocess any claim for 
45.17 	services provided by a provider whose status has changed from in-network to out-of-network 
45.18 	as an in-network claim if the service was provided after the network change went into effect 
45.19 	but before the change was posted as required under paragraph (a) unless the health carrier 
45.20 	notified the enrollee of the network change prior to the service being provided. This paragraph 
45.21 	does not apply if the health carrier is able to verify that the health carrier's website displayed 
45.22 	the correct provider network status on the health carrier's website at the time the service 
45.23 	was provided.
45.24 	(c) The limitations of section 62Q.56, subdivision 2a, shall apply to payments required 
45.25 	by paragraph (b).

45.26 	Sec. 23. Minnesota Statutes 2025 Supplement, section 62K.10, subdivision 2, is amended 
45.27 	to read:
45.28 		Subd. 2.Time and distance standards. Health carriers must meet the time and distance 
45.29 	standards under Code of Federal Regulations, title 45, section 155.1050, for all covered 
45.30 	health services, including dental, retail pharmacy, and specialty services.

46.1 	Sec. 24. Minnesota Statutes 2024, section 62K.105, is amended to read:
46.2 	62K.105 NETWORK ADEQUACY COMPLAINTS.
46.3 	The commissioner of health shall establish a clear, easily accessible process for accepting 
46.4 	complaints from enrollees regarding health carrier compliance with section 62K.10, 
46.5 	subdivision 2, 3, or 4. Using this process, an enrollee may file a complaint with the 
46.6 	commissioner that a health carrier is not in compliance with the requirements of section 
46.7 	62K.10, subdivision 2, 3, or 4. The commissioner of health shall investigate all complaints 
46.8 	received under this section.

46.9 	Sec. 25. Minnesota Statutes 2024, section 62K.14, is amended to read:
46.10 	62K.14 LIMITED-SCOPE PEDIATRIC DENTAL PLANS.
46.11 	(a) Limited-scope pediatric dental plans must be offered to the extent permitted under 
46.12 	the Affordable Care Act: (1) on a guaranteed issue and guaranteed renewable basis; (2) with 
46.13 	premiums rated on allowable rating factors used for health plans; and (3) without any 
46.14 	exclusions or limitations based on preexisting conditions.
46.15 	(b) Notwithstanding paragraph (a), a health carrier may discontinue a limited scope 
46.16 	pediatric dental plan at the end of a plan year if the health carrier provides written notice to 
46.17 	enrollees before coverage is to be discontinued that the particular plan is being discontinued 
46.18 	and the health carrier offers enrollees other dental plan options that are the same or 
46.19 	substantially similar to the dental plan being discontinued in terms of premiums, benefits, 
46.20 	cost-sharing requirements, and network adequacy. The written notice to enrollees must be 
46.21 	provided at least 105 days before the end of the plan year.
46.22 	(c) Limited-scope pediatric dental plans must ensure primary care dental services are 
46.23 	available within 60 miles or 60 minutes' travel time.
46.24 	(d) (c) If a stand-alone dental plan as defined under the Affordable Care Act or a 
46.25 	limited-scope pediatric dental plan is offered, either separately or in conjunction with a 
46.26 	health plan offered to individuals or small employers, the health plan shall not be considered 
46.27 	in noncompliance with the requirements of the essential benefit package in the Affordable 
46.28 	Care Act because the health plan does not offer coverage of pediatric dental benefits if these 
46.29 	benefits are covered through the stand-alone or limited-scope pediatric dental plan, to the 
46.30 	extent permitted under the Affordable Care Act.
46.31 	(e) (d) Health carriers offering limited-scope pediatric dental plans must comply with 
46.32 	this section and sections 62K.07, 62K.08, 62K.10,62K.13, and 62K.15.
47.1 	(f) (e) The commissioner of commerce shall enforce paragraphs (a) and (b). Any 
47.2 	limited-scope pediatric dental plan that is to be offered to replace a discontinued dental plan 
47.3 	under paragraph (b) must be approved by the commissioner of commerce in terms of cost 
47.4 	and benefit similarity, and the commissioner of health in terms of network adequacy 
47.5 	similarity. The commissioner of health shall enforce paragraph (c).

47.6 	Sec. 26. Minnesota Statutes 2024, section 62M.07, subdivision 2, is amended to read:
47.7 		Subd. 2.Prior authorization of certain services prohibited.  No utilization review 
47.8 	organization, health plan company, or claims administrator may conduct or require prior 
47.9 	authorization of:
47.10 	(1) emergency confinement or an emergency service. The enrollee or the enrollee's 
47.11 	authorized representative may be required to notify the health plan company, claims 
47.12 	administrator, or utilization review organization as soon as reasonably possible after the 
47.13 	beginning of the emergency confinement or emergency service;
47.14 	(2) outpatient mental health treatment or outpatient substance use disorder treatment, 
47.15 	except for treatment which is a medication. Prior authorizations required for medications 
47.16 	used for outpatient mental health treatment or outpatient substance use disorder treatment 
47.17 	must be processed according to section 62M.05, subdivision 3b, for initial determinations, 
47.18 	and according to section 62M.06, subdivision 2, for appeals;
47.19 	(3) antineoplastic cancer treatment that is consistent with guidelines of the National 
47.20 	Comprehensive Cancer Network, except for treatment which is a medication. Prior 
47.21 	authorizations required for medications used for antineoplastic cancer treatment must be 
47.22 	processed according to section 62M.05, subdivision 3b, for initial determinations, and 
47.23 	according to section 62M.06, subdivision 2, for appeals;
47.24 	(4) services that currently have a rating of A or B from the United States Preventive 
47.25 	Services Task Force, immunizations recommended by the Advisory Committee on 
47.26 	Immunization Practices of the Centers for Disease Control and Prevention required to be 
47.27 	covered under section 62Q.46, or preventive services and screenings provided to women 
47.28 	as described in Code of Federal Regulations, title 45, section 147.130;
47.29 	(5) pediatric hospice services provided by a hospice provider licensed under sections 
47.30 	144A.75 to 144A.755; and
47.31 	(6) treatment delivered through a neonatal abstinence program operated by pediatric 
47.32 	pain or palliative care subspecialists.
48.1 	Clauses (2) to (6) are effective January 1, 2026, and apply to health benefit plans offered, 
48.2 	sold, issued, or renewed on or after that date.

48.3 	Sec. 27. Minnesota Statutes 2024, section 62Q.46, subdivision 1, is amended to read:
48.4 		Subdivision 1.Coverage for preventive items and services. (a) "Preventive items and 
48.5 	services" has the meaning specified in the Affordable Care Act. Preventive items and services 
48.6 	includes:
48.7 	(1) evidence-based items or services that have in effect a rating of A or B in the current 
48.8 	recommendations of the United States Preventive Services Task Force with respect to the 
48.9 	individual involved;
48.10 	(2) immunizations for routine use in children, adolescents, and adults that have in effect 
48.11 	at least one of the following:
48.12 	(i) a recommendation from the Advisory Committee on Immunization Practices of the 
48.13 	Centers for Disease Control and Prevention with respect to the individual involved. For 
48.14 	purposes of this clause item, a recommendation from the Advisory Committee on 
48.15 	Immunization Practices of the Centers for Disease Control and Prevention is considered in 
48.16 	effect after the recommendation has been adopted by the Director of the Centers for Disease 
48.17 	Control and Prevention, and a recommendation is considered to be for routine use if the 
48.18 	recommendation is listed on the Immunization Schedules of the Centers for Disease Control 
48.19 	and Prevention; or
48.20 	(ii) a recommendation from at least one of the following organizations: the American 
48.21 	Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the 
48.22 	American College of Physicians, the American Academy of Family Physicians, or the 
48.23 	Infectious Disease Society of America. This item does not apply to managed care 
48.24 	organizations or county-based purchasing plans when the plan provides coverage to public 
48.25 	health care program enrollees under chapter 256B or 256L;
48.26 	(3) with respect to infants, children, and adolescents, evidence-informed preventive care 
48.27 	and screenings provided for in comprehensive guidelines supported by the Health Resources 
48.28 	and Services Administration;
48.29 	(4) with respect to women, additional preventive care and screenings that are not listed 
48.30 	with a rating of A or B by the United States Preventive Services Task Force but that are 
48.31 	provided for in comprehensive guidelines supported by the Health Resources and Services 
48.32 	Administration;
49.1 	(5) all contraceptive methods established in guidelines published by the United States 
49.2 	Food and Drug Administration;
49.3 	(6) screenings for human immunodeficiency virus for:
49.4 	(i) all individuals at least 15 years of age but less than 65 years of age; and
49.5 	(ii) all other individuals with increased risk of human immunodeficiency virus infection 
49.6 	according to guidance from the Centers for Disease Control;
49.7 	(7) all preexposure prophylaxis when used for the prevention or treatment of human 
49.8 	immunodeficiency virus, including but not limited to all preexposure prophylaxis, as defined 
49.9 	in any guidance by the United States Preventive Services Task Force or the Centers for 
49.10 	Disease Control, including the June 11, 2019, Preexposure Prophylaxis for the Prevention 
49.11 	of HIV Infection United States Preventive Services Task Force Recommendation Statement; 
49.12 	and
49.13 	(8) all postexposure prophylaxis when used for the prevention or treatment of human 
49.14 	immunodeficiency virus, including but not limited to all postexposure prophylaxis as defined 
49.15 	in any guidance by the United States Preventive Services Task Force or the Centers for 
49.16 	Disease Control.
49.17 	(b) A health plan company must provide coverage for preventive items and services at 
49.18 	a participating provider without imposing cost-sharing requirements, including a deductible, 
49.19 	coinsurance, or co-payment. Nothing in this section prohibits a health plan company that 
49.20 	has a network of providers from excluding coverage or imposing cost-sharing requirements 
49.21 	for preventive items or services that are delivered by an out-of-network provider.
49.22 	(c) A health plan company is not required to provide coverage for any items or services 
49.23 	specified in any recommendation or guideline described in paragraph (a) if the 
49.24 	recommendation or guideline is no longer included as a preventive item or service as defined 
49.25 	in paragraph (a). Annually, a health plan company must determine whether any additional 
49.26 	items or services must be covered without cost-sharing requirements or whether any items 
49.27 	or services are no longer required to be covered.
49.28 	(d) Nothing in this section prevents a health plan company from using reasonable medical 
49.29 	management techniques to determine the frequency, method, treatment, or setting for a 
49.30 	preventive item or service to the extent not specified in the recommendation or guideline.
49.31 	(e) A health plan shall not require prior authorization or step therapy for preexposure 
49.32 	prophylaxis or postexposure prophylaxis, except that: if the United States Food and Drug 
49.33 	Administration has approved one or more therapeutic equivalents of a drug, device, or 
50.1 	product for the prevention of HIV, this paragraph does not require a health plan to cover 
50.2 	all of the therapeutically equivalent versions without prior authorization or step therapy, if 
50.3 	at least one therapeutically equivalent version is covered without prior authorization or step 
50.4 	therapy.
50.5 	(f) This section does not apply to grandfathered plans.
50.6 	(g) This section does not apply to plans offered by the Minnesota Comprehensive Health 
50.7 	Association.

50.8 	Sec. 28. Minnesota Statutes 2024, section 144.059, subdivision 8, is amended to read:
50.9 		Subd. 8.Duties. (a) The council shall consult with and advise the commissioner on 
50.10 	matters related to the establishment, maintenance, operation, and outcomes evaluation of 
50.11 	palliative care initiatives in the state.
50.12 	(b) By February 15 of each odd-numbered year, the council shall submit to the chairs 
50.13 	and ranking minority members of the committees of the senate and the house of 
50.14 	representatives with primary jurisdiction over health care a report containing:
50.15 	(1) the advisory council's assessment of the availability of palliative care in the state;
50.16 	(2) the advisory council's analysis of barriers to greater access to palliative care; and
50.17 	(3) recommendations for legislative action, with draft legislation to implement the 
50.18 	recommendations.
50.19 	(c) The Department of Health shall publish the report each year on the department's 
50.20 	website.

50.21 	Sec. 29. Minnesota Statutes 2024, section 144.293, subdivision 7, is amended to read:
50.22 		Subd. 7.Exception to consent. Subdivision 2 does not apply to the release of health 
50.23 	records to the commissioner of health or the Health Data Institute under chapter 62J, provided 
50.24 	that the commissioner encrypts the patient identifier upon receipt of the data.

50.25 	Sec. 30. Minnesota Statutes 2024, section 144.551, subdivision 1, is amended to read:
50.26 		Subdivision 1.Restricted construction or modification. (a) The following construction 
50.27 	or modification may not be commenced:
50.28 	(1) any erection, building, alteration, reconstruction, modernization, improvement, 
50.29 	extension, lease, or other acquisition by or on behalf of a hospital that increases the bed 
50.30 	capacity of a hospital, relocates hospital beds from one physical facility, complex, or site 
51.1 	to another, or otherwise results in an increase or redistribution of hospital beds within the 
51.2 	state; and
51.3 	(2) the establishment of a new hospital.
51.4 	(b) This section does not apply to:
51.5 	(1) construction or relocation within a county by a hospital, clinic, or other health care 
51.6 	facility that is a national referral center engaged in substantial programs of patient care, 
51.7 	medical research, and medical education meeting state and national needs that receives more 
51.8 	than 40 percent of its patients from outside the state of Minnesota;
51.9 	(2) a project for construction or modification for which a health care facility held an 
51.10 	approved certificate of need on May 1, 1984, regardless of the date of expiration of the 
51.11 	certificate;
51.12 	(3) a project for which a certificate of need was denied before July 1, 1990, if a timely 
51.13 	appeal results in an order reversing the denial;
51.14 	(4) a project exempted from certificate of need requirements by Laws 1981, chapter 200, 
51.15 	section 2;
51.16 	(5) a project involving consolidation of pediatric specialty hospital services within the 
51.17 	Minneapolis-St. Paul metropolitan area that would not result in a net increase in the number 
51.18 	of pediatric specialty hospital beds among the hospitals being consolidated;
51.19 	(6) a project involving the temporary relocation of pediatric-orthopedic hospital beds to 
51.20 	an existing licensed hospital that will allow for the reconstruction of a new philanthropic, 
51.21 	pediatric-orthopedic hospital on an existing site and that will not result in a net increase in 
51.22 	the number of hospital beds. Upon completion of the reconstruction, the licenses of both 
51.23 	hospitals must be reinstated at the capacity that existed on each site before the relocation;
51.24 	(7) the relocation or redistribution of hospital beds within a hospital building or 
51.25 	identifiable complex of buildings provided the relocation or redistribution does not result 
51.26 	in: (i) an increase in the overall bed capacity at that site; (ii) relocation of hospital beds from 
51.27 	one physical site or complex to another; or (iii) redistribution of hospital beds within the 
51.28 	state or a region of the state;
51.29 	(8) relocation or redistribution of hospital beds within a hospital corporate system that 
51.30 	involves the transfer of beds from a closed facility site or complex to an existing site or 
51.31 	complex provided that: (i) no more than 50 percent of the capacity of the closed facility is 
51.32 	transferred; (ii) the capacity of the site or complex to which the beds are transferred does 
51.33 	not increase by more than 50 percent; (iii) the beds are not transferred outside of a federal 
52.1 	health systems agency boundary in place on July 1, 1983; (iv) the relocation or redistribution 
52.2 	does not involve the construction of a new hospital building; and (v) the transferred beds 
52.3 	are used first to replace within the hospital corporate system the total number of beds 
52.4 	previously used in the closed facility site or complex for mental health services and substance 
52.5 	use disorder services. Only after the hospital corporate system has fulfilled the requirements 
52.6 	of this item may the remainder of the available capacity of the closed facility site or complex 
52.7 	be transferred for any other purpose;
52.8 	(9) a construction project involving up to 35 new beds in a psychiatric hospital in Rice 
52.9 	County that primarily serves adolescents and that receives more than 70 percent of its 
52.10 	patients from outside the state of Minnesota;
52.11 	(10) a project to replace a hospital or hospitals with a combined licensed capacity of 
52.12 	130 beds or less if: (i) the new hospital site is located within five miles of the current site; 
52.13 	and (ii) the total licensed capacity of the replacement hospital, either at the time of 
52.14 	construction of the initial building or as the result of future expansion, will not exceed 100 
52.15 	licensed hospital beds, or the combined licensed capacity of the hospitals, whichever is less;
52.16 	(11) the relocation of licensed hospital beds from an existing state facility operated by 
52.17 	the Direct Care and Treatment executive board to a new or existing facility, building, or 
52.18 	complex operated by the Direct Care and Treatment executive board; from one regional 
52.19 	treatment center site to another; or from one building or site to a new or existing building 
52.20 	or site on the same campus;
52.21 	(12) the construction or relocation of hospital beds operated by a hospital having a 
52.22 	statutory obligation to provide hospital and medical services for the indigent that does not 
52.23 	result in a net increase in the number of hospital beds, notwithstanding section 144.552, 27 
52.24 	beds, of which 12 serve mental health needs, may be transferred from Hennepin County 
52.25 	Medical Center to Regions Hospital under this clause;
52.26 	(13) a construction project involving the addition of up to 31 new beds in an existing 
52.27 	nonfederal hospital in Beltrami County;
52.28 	(14) a construction project involving the addition of up to eight new beds in an existing 
52.29 	nonfederal hospital in Otter Tail County with 100 licensed acute care beds;
52.30 	(15) a construction project involving the addition of 20 new hospital beds in an existing 
52.31 	hospital in Carver County serving the southwest suburban metropolitan area;
53.1 	(16) a project for the construction or relocation of up to 20 hospital beds for the operation 
53.2 	of up to two psychiatric facilities or units for children provided that the operation of the 
53.3 	facilities or units have received the approval of the commissioner of human services;
53.4 	(17) a project involving the addition of 14 new hospital beds to be used for rehabilitation 
53.5 	services in an existing hospital in Itasca County;
53.6 	(18) a project to add 20 licensed beds in existing space at a hospital in Hennepin County 
53.7 	that closed 20 rehabilitation beds in 2002, provided that the beds are used only for 
53.8 	rehabilitation in the hospital's current rehabilitation building. If the beds are used for another 
53.9 	purpose or moved to another location, the hospital's licensed capacity is reduced by 20 beds;
53.10 	(19) a critical access hospital established under section 144.1483, clause (9), and section 
53.11 	1820 of the federal Social Security Act, United States Code, title 42, section 1395i-4, that 
53.12 	delicensed beds since enactment of the Balanced Budget Act of 1997, Public Law 105-33, 
53.13 	to the extent that the critical access hospital does not seek to exceed the maximum number 
53.14 	of beds permitted such hospital under federal law;
53.15 	(20) notwithstanding section 144.552, a project for the construction of a new hospital 
53.16 	in the city of Maple Grove with a licensed capacity of up to 300 beds provided that:
53.17 	(i) the project, including each hospital or health system that will own or control the entity 
53.18 	that will hold the new hospital license, is approved by a resolution of the Maple Grove City 
53.19 	Council as of March 1, 2006;
53.20 	(ii) the entity that will hold the new hospital license will be owned or controlled by one 
53.21 	or more not-for-profit hospitals or health systems that have previously submitted a plan or 
53.22 	plans for a project in Maple Grove as required under section 144.552, and the plan or plans 
53.23 	have been found to be in the public interest by the commissioner of health as of April 1, 
53.24 	2005;
53.25 	(iii) the new hospital's initial inpatient services must include, but are not limited to, 
53.26 	medical and surgical services, obstetrical and gynecological services, intensive care services, 
53.27 	orthopedic services, pediatric services, noninvasive cardiac diagnostics, behavioral health 
53.28 	services, and emergency room services;
53.29 	(iv) the new hospital:
53.30 	(A) will have the ability to provide and staff sufficient new beds to meet the growing 
53.31 	needs of the Maple Grove service area and the surrounding communities currently being 
53.32 	served by the hospital or health system that will own or control the entity that will hold the 
53.33 	new hospital license;
54.1 	(B) will provide uncompensated care;
54.2 	(C) will provide mental health services, including inpatient beds;
54.3 	(D) will be a site for workforce development for a broad spectrum of health-care-related 
54.4 	occupations and have a commitment to providing clinical training programs for physicians 
54.5 	and other health care providers;
54.6 	(E) will demonstrate a commitment to quality care and patient safety;
54.7 	(F) will have an electronic medical records system, including physician order entry;
54.8 	(G) will provide a broad range of senior services;
54.9 	(H) will provide emergency medical services that will coordinate care with regional 
54.10 	providers of trauma services and licensed emergency ambulance services in order to enhance 
54.11 	the continuity of care for emergency medical patients; and
54.12 	(I) will be completed by December 31, 2009, unless delayed by circumstances beyond 
54.13 	the control of the entity holding the new hospital license; and
54.14 	(v) as of 30 days following submission of a written plan, the commissioner of health 
54.15 	has not determined that the hospitals or health systems that will own or control the entity 
54.16 	that will hold the new hospital license are unable to meet the criteria of this clause;
54.17 	(21) a project approved under section 144.553;
54.18 	(22) a project for the construction of a hospital with up to 25 beds in Cass County within 
54.19 	a 20-mile radius of the state Ah-Gwah-Ching facility, provided the hospital's license holder 
54.20 	is approved by the Cass County Board;
54.21 	(23) a project for an acute care hospital in Fergus Falls that will increase the bed capacity 
54.22 	from 108 to 110 beds by increasing the rehabilitation bed capacity from 14 to 16 and closing 
54.23 	a separately licensed 13-bed skilled nursing facility;
54.24 	(24) notwithstanding section 144.552, a project for the construction and expansion of a 
54.25 	specialty psychiatric hospital in Hennepin County for up to 50 beds, exclusively for patients 
54.26 	who are under 21 years of age on the date of admission. The commissioner conducted a 
54.27 	public interest review of the mental health needs of Minnesota and the Twin Cities 
54.28 	metropolitan area in 2008. No further public interest review shall be conducted for the 
54.29 	construction or expansion project under this clause;
54.30 	(25) a project for a 16-bed psychiatric hospital in the city of Thief River Falls, if the 
54.31 	commissioner finds the project is in the public interest after the public interest review 
54.32 	conducted under section 144.552 is complete;
55.1 	(26)(i) a project for a 20-bed psychiatric hospital, within an existing facility in the city 
55.2 	of Maple Grove, exclusively for patients who are under 21 years of age on the date of 
55.3 	admission, if the commissioner finds the project is in the public interest after the public 
55.4 	interest review conducted under section 144.552 is complete;
55.5 	(ii) this project shall serve patients in the continuing care benefit program under section 
55.6 	256.9693. The project may also serve patients not in the continuing care benefit program; 
55.7 	and
55.8 	(iii) if the project ceases to participate in the continuing care benefit program, the 
55.9 	commissioner must complete a subsequent public interest review under section 144.552. If 
55.10 	the project is found not to be in the public interest, the license must be terminated six months 
55.11 	from the date of that finding. If the commissioner of human services terminates the contract 
55.12 	without cause or reduces per diem payment rates for patients under the continuing care 
55.13 	benefit program below the rates in effect for services provided on December 31, 2015, the 
55.14 	project may cease to participate in the continuing care benefit program and continue to 
55.15 	operate without a subsequent public interest review;
55.16 	(27) a project involving the addition of 21 new beds in an existing psychiatric hospital 
55.17 	in Hennepin County that is exclusively for patients who are under 21 years of age on the 
55.18 	date of admission;
55.19 	(28) a project to add 55 licensed beds in an existing safety net, level I trauma center 
55.20 	hospital in Ramsey County as designatedregulated under section 383A.91, subdivision 5, 
55.21 	of which 15 beds are to be used for inpatient mental health and 40 are to be used for other 
55.22 	services. In addition, five unlicensed observation mental health beds shall be added;
55.23 	(29) upon submission of a plan to the commissioner for public interest review under 
55.24 	section 144.552 and the addition of the 15 inpatient mental health beds specified in clause 
55.25 	(28), to its bed capacity, a project to add 45 licensed beds in an existing safety net, level I 
55.26 	trauma center hospital in Ramsey County as designatedregulated under section 383A.91, 
55.27 	subdivision 5. Five of the 45 additional beds authorized under this clause must be designated 
55.28 	for use for inpatient mental health and must be added to the hospital's bed capacity before 
55.29 	the remaining 40 beds are added. Notwithstanding section 144.552, the hospital may add 
55.30 	licensed beds under this clause prior to completion of the public interest review, provided 
55.31 	the hospital submits its plan by the 2021 deadline and adheres to the timelines for the public 
55.32 	interest review described in section 144.552;
55.33 	(30) upon submission of a plan to the commissioner for public interest review under 
55.34 	section 144.552, a project to add up to 30 licensed beds in an existing psychiatric hospital 
56.1 	in Hennepin County that exclusively provides care to patients who are under 21 years of 
56.2 	age on the date of admission. Notwithstanding section 144.552, the psychiatric hospital 
56.3 	may add licensed beds under this clause prior to completion of the public interest review, 
56.4 	provided the hospital submits its plan by the 2021 deadline and adheres to the timelines for 
56.5 	the public interest review described in section 144.552;
56.6 	(31) any project to add licensed beds in a hospital located in Cook County or Mahnomen 
56.7 	County that: (i) is designated as a critical access hospital under section 144.1483, clause 
56.8 	(9), and United States Code, title 42, section 1395i-4; (ii) has a licensed bed capacity of 
56.9 	fewer than 25 beds; and (iii) has an attached nursing home, so long as the total number of 
56.10 	licensed beds in the hospital after the bed addition does not exceed 25 beds. Notwithstanding 
56.11 	section 144.552, a public interest review is not required for a project authorized under this 
56.12 	clause;
56.13 	(32) upon submission of a plan to the commissioner for public interest review under 
56.14 	section 144.552, a project to add 22 licensed beds at a Minnesota freestanding children's 
56.15 	hospital in St. Paul that is part of an independent pediatric health system with freestanding 
56.16 	inpatient hospitals located in Minneapolis and St. Paul. The beds shall be utilized for pediatric 
56.17 	inpatient behavioral health services. Notwithstanding section 144.552, the hospital may add 
56.18 	licensed beds under this clause prior to completion of the public interest review, provided 
56.19 	the hospital submits its plan by the 2022 deadline and adheres to the timelines for the public 
56.20 	interest review described in section 144.552;
56.21 	(33) a project for a 144-bed psychiatric hospital on the site of the former Bethesda 
56.22 	hospital in the city of Saint Paul, Ramsey County, if the commissioner finds the project is 
56.23 	in the public interest after the public interest review conducted under section 144.552 is 
56.24 	complete. Following the completion of the construction project, the commissioner of health 
56.25 	shall monitor the hospital, including by assessing the hospital's case mix and payer mix, 
56.26 	patient transfers, and patient diversions. The hospital must have an intake and assessment 
56.27 	area. The hospital must accommodate patients with acute mental health needs, whether they 
56.28 	walk up to the facility, are delivered by ambulances or law enforcement, or are transferred 
56.29 	from other facilities. The hospital must comply with subdivision 1a, paragraph (b). The 
56.30 	hospital must annually submit de-identified data to the department in the format and manner 
56.31 	defined by the commissioner; or
56.32 	(34) a project involving the relocation of up to 26 licensed long-term acute care hospital 
56.33 	beds from an existing long-term care hospital located in Hennepin County with a licensed 
56.34 	capacity prior to the relocation of 92 beds to dedicated space on the campus of an existing 
56.35 	safety net, level I trauma center hospital in Ramsey County as designatedregulated under 
57.1 	section 383A.91, subdivision 5, provided both the commissioner finds the project is in the 
57.2 	public interest after the public interest review conducted under section 144.552 is complete 
57.3 	and the relocated beds continue to be used as long-term acute care hospital beds after the 
57.4 	relocation.; or
57.5 	(35) a project to add 85 licensed beds in an existing safety net, level I trauma center 
57.6 	hospital in Ramsey County as regulated under section 383A.91, subdivision 5.

57.7 	Sec. 31. Minnesota Statutes 2024, section 145.56, subdivision 5, is amended to read:
57.8 		Subd. 5.Periodic evaluations; biennial reports. To the extent funds are appropriated 
57.9 	for the purposes of this subdivision, the commissioner shall conduct periodic evaluations 
57.10 	of the impact of and outcomes from implementation of the state's suicide prevention plan 
57.11 	and each of the activities specified in this section. By July 1, 2002, and On July 1 of each 
57.12 	even-numbered year thereafter, the commissioner shall report the results of these evaluations 
57.13 	to the chairs of the policy and finance committees in the house of representatives and senate 
57.14 	with jurisdiction over health and human services issues.

57.15 	Sec. 32. Minnesota Statutes 2024, section 145.561, subdivision 2, is amended to read:
57.16 		Subd. 2.988 Lifeline. (a) The commissioner shall administer the designation of and 
57.17 	oversight for a 988 Lifeline center or a network of 988 Lifeline centers to answer contacts 
57.18 	from individuals accessing the Suicide and Crisis Lifeline from any jurisdiction within the 
57.19 	state 24 hours per day, seven days per week.
57.20 	(b) The designated 988 Lifeline Center must:
57.21 	(1) have an active agreement with the 988 Suicide and Crisis Lifeline program for 
57.22 	participation in the network and the department;
57.23 	(2) meet the 988 Lifeline program requirements and best practice guidelines for 
57.24 	operational and clinical standards;
57.25 	(3) provide data and reports, and participate in evaluations and related quality 
57.26 	improvement activities as required by the 988 Lifeline program and the department;
57.27 	(4) identify or adapt technology that is demonstrated to be interoperable across mobile 
57.28 	crisis and public safety answering points used in the state for the purpose of crisis care 
57.29 	coordination;
57.30 	(5) facilitate crisis and outgoing services, including mobile crisis teams in accordance 
57.31 	with guidelines established by the 988 Lifeline program and the department;
58.1 	(6) actively collaborate and coordinate service linkages with mental health and substance 
58.2 	use disorder treatment providers, local community mental health centers including certified 
58.3 	community behavioral health clinics and community behavioral health centers, mobile crisis 
58.4 	teams, and community based and hospital emergency departments;
58.5 	(7) offer follow-up services to individuals accessing the 988 Lifeline Center that are 
58.6 	consistent with guidance established by the 988 Lifeline program and the department; and
58.7 	(8) meet the requirements set by the 988 Lifeline program and the department for serving 
58.8 	at-risk and specialized populations.
58.9 	(c) The commissioner shall adopt rules to allow appropriate information sharing and 
58.10 	communication between and across crisis and emergency response systems.
58.11 	(d) The commissioner, having primary oversight of suicide prevention, shall work with 
58.12 	the 988 Lifeline program, veterans crisis line, and other SAMHSA-approved networks for 
58.13 	the purpose of ensuring consistency of public messaging about 988 services.
58.14 	(e) The commissioner shall work with representatives from 988 Lifeline Centers and 
58.15 	public safety answering points, other public safety agencies, and the commissioner of public 
58.16 	safety to facilitate the development of protocols and procedures for interactions between 
58.17 	988 and 911 services across Minnesota. Protocols and procedures shall be developed 
58.18 	following available national standards and guidelines.
58.19 	(f) The commissioner shall provide an annual a biennial public report on 988 Lifeline 
58.20 	usage by July 1 of each even-numbered year, including data on answer rates, abandoned 
58.21 	calls, and referrals to 911 emergency response. The biennial report may be included as a 
58.22 	section within the state suicide prevention report required under section 145.56.

58.23 	Sec. 33. Minnesota Statutes 2024, section 145.882, is amended by adding a subdivision 
58.24 	to read:
58.25 		Subd. 9.Contracting and procurement. The commissioner is exempt from the contract 
58.26 	term limits in chapter 16C for issuance of benefits under the Special Supplemental Nutrition 
58.27 	Program for Women, Infants and Children (WIC) through an electronic benefit transfer 
58.28 	(EBT) system and related services and contracts. The contracts may have an initial term of 
58.29 	up to five years, with extensions not to exceed a ten-year total contract duration.

59.1 	Sec. 34. Minnesota Statutes 2024, section 145.882, is amended by adding a subdivision 
59.2 	to read:
59.3 		Subd. 10.Management information systems; contracting and 
59.4 	procurement. Notwithstanding chapter 16C, WIC is exempt from the contract term limits 
59.5 	for the management information systems used for issuance of supplemental nutrition benefits 
59.6 	and the WIC EBT systems used for processing the redemptions of supplemental nutrition 
59.7 	benefits. The contracts may have an initial term of up to five years, with extensions not to 
59.8 	exceed a ten-year total contract duration.

59.9 	Sec. 35. Minnesota Statutes 2024, section 145A.04, subdivision 15, is amended to read:
59.10 		Subd. 15.State and local advisory committees. (a) A state community health services 
59.11 	advisory committee is established to advise, consult with, and make recommendations to 
59.12 	the commissioner on the development, maintenance, funding, and evaluation of local and 
59.13 	Tribal public health services. Each community health board may appoint a member to serve 
59.14 	on the committee. Each of Minnesota's federally recognized Tribal Nations may appoint a 
59.15 	member to the advisory committee established under this section. The committee must meet 
59.16 	at least quarterly, and special meetings may be called by the committee chair or a majority 
59.17 	of the members. A Tribal Nation may elect to participate at any time. Members or their 
59.18 	alternates may be reimbursed for travel and other necessary expenses while engaged in their 
59.19 	official duties.
59.20 	(b) Notwithstanding section 15.059, the State Community Health Services Advisory 
59.21 	Committee does not expire.
59.22 	(c) The city boards or county boards that have established or are members of a community 
59.23 	health board may appoint a community health advisory committee to advise, consult with, 
59.24 	and make recommendations to the community health board on the duties under subdivision 
59.25 	1a.

59.26 	Sec. 36. Minnesota Statutes 2024, section 148.517, subdivision 1, is amended to read:
59.27 		Subdivision 1.Applicability. An applicant who applies for licensure as a speech-language 
59.28 	pathologist or audiologist by reciprocity must meet the requirements of subdivisions 2 and 
59.29 	3. An applicant who applies for licensure as an audiologist by reciprocity must pass the 
59.30 	practical exam required under section 148.515, subdivision 6.

60.1 	Sec. 37. Minnesota Statutes 2024, section 148.517, subdivision 2, is amended to read:
60.2 		Subd. 2.Current credentials required. An applicant applying for licensure by 
60.3 	reciprocity must provide evidence to the commissioner that the applicant holds a current 
60.4 	and unrestricted credential for the practice of speech-language pathology or audiology in 
60.5 	another jurisdiction that has requirements equivalent to or higher than those in effect for 
60.6 	determining whether an applicant in this state is qualified to be licensed as a speech-language 
60.7 	pathologist or audiologist. An applicant who provides sufficient evidence need not meet 
60.8 	the requirements of section 148.515, except for subdivision 6, provided that the applicant 
60.9 	otherwise meets all other requirements of section 148.514.

60.10 	Sec. 38. Minnesota Statutes 2024, section 148.5191, subdivision 4, is amended to read:
60.11 		Subd. 4.Renewal deadline. Each license, including a temporary license provided under 
60.12 	section 148.5161, must state an expiration date. An application for licensure renewal must 
60.13 	be received by the Department of Health or postmarked at least 30 days before the expiration 
60.14 	date. If the postmark is illegible, the application shall be considered timely if received at 
60.15 	least 21 days before the expiration date.
60.16 	When the commissioner establishes the renewal schedule for an applicant, licensee, or 
60.17 	temporary licensee, if the period before the expiration date is less than two years, the fee 
60.18 	shall be prorated.

60.19 	Sec. 39. REVISOR INSTRUCTION.
 60.20 	The revisor of statutes shall renumber Minnesota Statutes, section 62Q.075, as Minnesota 
60.21 	Statutes, section 62D.081. The revisor shall also make necessary cross-reference changes 
60.22 	consistent with the renumbering.

60.23 	Sec. 40. REPEALER.
 60.24 	Minnesota Statutes 2024, sections 13D.08, subdivision 4; 62D.08, subdivision 7; 62D.181; 
60.25 	62J.06; 62J.156; 62J.2930, subdivision 4; 62J.57; and 144.9821, are repealed.

60.26 	ARTICLE 3
60.27 	HUMAN SERVICES HEALTH CARE

60.28 	Section 1. Minnesota Statutes 2024, section 256B.057, subdivision 9, is amended to read:
60.29 		Subd. 9.Employed persons with disabilities. (a) Medical assistance may be paid for 
60.30 	a person who is employed and who:
61.1 	(1) but for excess earnings or assets meets the definition of disabled under the 
61.2 	Supplemental Security Income program; and
61.3 	(2) pays a premium and other obligations under paragraph (d).
61.4 	(b) For purposes of eligibility, there is a $65 earned income disregard. To be eligible 
61.5 	for medical assistance under this subdivision, a person must have more than $65 of earned 
61.6 	income, be receiving an unemployment insurance benefit under chapter 268 that the person 
61.7 	began receiving while eligible under this subdivision, or be receiving family and medical 
61.8 	leave benefits under chapter 268B that the person began receiving while eligible under this 
61.9 	subdivision. A person who is self-employed must file and pay all applicable taxes. Any 
61.10 	spousal income shall be disregarded for purposes of eligibility and premium determinations.
61.11 	(c) After the month of enrollment, a person enrolled in medical assistance under this 
61.12 	subdivision who would otherwise be ineligible and be disenrolled due to one of the following 
61.13 	circumstances may retain eligibility for up to four consecutive months after a month of job 
61.14 	loss if the person:
61.15 	(1) is temporarily unable to work and without receipt of earned income due to a medical 
61.16 	condition, as verified by a physician, advanced practice registered nurse, or physician 
61.17 	assistant; or
61.18 	(2) loses employment for reasons not attributable to the enrollee, and is without receipt 
61.19 	of earned income.
61.20 	To receive a four-month extension of continued eligibility under this paragraph, enrollees 
61.21 	must verify the medical condition or provide notification of job loss, continue to meet all 
61.22 	other eligibility requirements, and continue to pay all calculated premium costs.
61.23 	(d) All enrollees must pay a premium to be eligible for medical assistance under this 
61.24 	subdivision, except as provided under clause (5).
61.25 	(1) An enrollee must pay the greater of a $35 premium or the premium calculated based 
61.26 	on the person's gross earned and unearned income and the applicable family size using a 
61.27 	sliding fee scale established by the commissioner, which begins at one percent of income 
61.28 	at 100 percent of the federal poverty guidelines and increases to 7.5 percent of income for 
61.29 	those with incomes at or above 300 percent of the federal poverty guidelines.
61.30 	(2) Annual adjustments in the premium schedule based upon changes in the federal 
61.31 	poverty guidelines shall be effective for premiums due in July of each year.
61.32 	(3) All enrollees who receive unearned income must pay one-half of one percent of 
61.33 	unearned income in addition to the premium amount, except as provided under clause (5).
62.1 	(4) Increases in benefits under title II of the Social Security Act shall not be counted as 
62.2 	income for purposes of this subdivision until July 1 of each year.
62.3 	(5) Effective July 1, 2009, American Indians are exempt from paying premiums as 
62.4 	required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public 
62.5 	Law 111-5. For purposes of this clause, an American Indian is any person who meets the 
62.6 	definition of Indian according to Code of Federal Regulations, title 42, section 447.50.
62.7 	(e) A person's eligibility and premium shall be determined by the local county agency. 
62.8 	Premiums must be paid to the commissioner. All premiums are dedicated to the 
62.9 	commissioner.
62.10 	(f) Any required premium shall be determined at application and redetermined at the 
62.11 	enrollee's 12-month income review or when a change in income or household size is reported. 
62.12 	Enrollees must report any change in income or household size within 30 days of when the 
62.13 	change occurs. A decreased premium resulting from a reported change in income or 
62.14 	household size shall be effective the first day of the next available billing month after the 
62.15 	change is reported. Except for changes occurring from annual cost-of-living increases, a 
62.16 	change resulting in an increased premium shall not affect the premium amount until the 
62.17 	next 12-month review.
62.18 	(g) Premium payment is due upon notification from the commissioner of the premium 
62.19 	amount required. Premiums may be paid in installments at the discretion of the commissioner.
62.20 	(h) Nonpayment of the premium shall result in denial or termination of medical assistance 
62.21 	unless the person demonstrates good cause for nonpayment. "Good cause" means an excuse 
62.22 	for the enrollee's failure to pay the required premium when due because the circumstances 
62.23 	were beyond the enrollee's control or not reasonably foreseeable. The commissioner shall 
62.24 	determine whether good cause exists based on the weight of the supporting evidence 
62.25 	submitted by the enrollee to demonstrate good cause. The commissioner must not determine 
62.26 	that good cause exists for a month for which the premium has already been paid. Except 
62.27 	when an installment agreement is accepted by the commissioner, all persons disenrolled 
62.28 	for nonpayment of a premium must pay any past due premiums as well as current premiums 
62.29 	due prior to being reenrolled. Nonpayment shall include payment with a returned, refused, 
62.30 	or dishonored instrument. The commissioner may require a guaranteed form of payment as 
62.31 	the only means to replace a returned, refused, or dishonored instrument.
62.32 	(i) For enrollees whose income does not exceed 200 percent of the federal poverty 
62.33 	guidelines and who are also enrolled in Medicare, the commissioner shall reimburse the 
63.1 	enrollee for Medicare part B premiums under section 256B.0625, subdivision 15, paragraph 
63.2 	(a).
63.3 	(j) The commissioner is authorized to determine that a premium amount was calculated 
63.4 	or billed in error, make corrections to financial records and billing systems, and refund 
63.5 	premiums collected in error.

63.6 	Sec. 2. Minnesota Statutes 2024, section 256B.0625, subdivision 4, is amended to read:
63.7 		Subd. 4.Outpatient and physician-directed clinic services. Medical assistance covers 
63.8 	outpatient hospital or physician-directed clinic services. The All services provided by
63.9 	physician-directed clinic staff shall include at least two physicians and all services shall
63.10 	must be provided under the direct supervision direction of a physician. Hospital outpatient 
63.11 	departments are subject to the same limitations and reimbursements as other enrolled vendors 
63.12 	for all services, except initial triage, emergency services, and services not provided or 
63.13 	immediately available in clinics, physicians' offices, or by other enrolled providers. 
63.14 	"Emergency services" means those medical services required for the immediate diagnosis 
63.15 	and treatment of medical conditions that, if not immediately diagnosed and treated, could 
63.16 	lead to serious physical or mental disability or death or are necessary to alleviate severe 
63.17 	pain. Neither the hospital, its employees, nor any physician or dentist, shall be liable in any 
63.18 	action arising out of a determination not to render emergency services or care if reasonable 
63.19 	care is exercised in determining the condition of the person, or in determining the 
63.20 	appropriateness of the facilities, or the qualifications and availability of personnel to render 
63.21 	these services consistent with this section.

63.22 	EFFECTIVE DATE. This section is effective upon federal approval.

63.23 	Sec. 3. Minnesota Statutes 2025 Supplement, section 256B.695, subdivision 5, is amended 
63.24 	to read:
63.25 		Subd. 5.CARMA enrollment. (a) Subject to paragraphs paragraph (d) and (e), eligible 
63.26 	individuals must be automatically enrolled in CARMA, but may decline enrollment. Eligible 
63.27 	individuals may enroll in fee-for-service medical assistance. Eligible individuals may change 
63.28 	their CARMA elections on an annual basis.
63.29 	(b) Eligible individuals must be able to enroll in CARMA through the selection process 
63.30 	in accordance with the election period established in section 256B.69, subdivision 4, 
63.31 	paragraph (e).
64.1 	(c) Enrollees who were not previously enrolled in the medical assistance program or 
64.2 	MinnesotaCare can change their selection once within the first year after enrollment in 
64.3 	CARMA. Enrollees who were not previously enrolled in CARMA have 90 days to make a 
64.4 	change and changes are allowed for additional special circumstances.
64.5 	(d) The commissioner may not offer a second health plan to eligible individuals other 
64.6 	than, and or in addition to, CARMA except that the commissioner may offer a second health 
64.7 	plan to eligible individuals when another health plan is enrolling in MinnesotaCare, if
64.8 	required by federal law or rule. Eligible individuals who do not select a health plan at the 
64.9 	time of enrollment must automatically be enrolled in CARMA.
64.10 	(e) The commissioner may offer a replacement plan to eligible individuals, as determined 
64.11 	by the commissioner, when counties administering CARMA have their contract terminated 
64.12 	for cause.
64.13 	(e) (f) The commissioner may, on a county-by-county basis, offer a health plan other 
64.14 	than, and in addition to, CARMA to individuals who are eligible for both Medicare and 
64.15 	medical assistance due to age, income, or disability if the commissioner deems it necessary 
64.16 	for enrollees to have another choice of health plan. Factors the commissioner must consider 
64.17 	when determining if the other health plan is necessary include the number of available 
64.18 	Medicare Advantage Plan options that are not special needs plans in the county, the size of 
64.19 	the enrolling population, the additional administrative burden placed on providers and 
64.20 	counties by multiple health plan options in a county, the need to ensure the viability and 
64.21 	success of the CARMA program, and the impact to the medical assistance program there 
64.22 	is not already a health plan available under CARMA.
64.23 	(f) In counties where the commissioner is required by federal law or elects to offer a 
64.24 	second health plan other than CARMA pursuant to paragraphs (d) and (e), eligible enrollees 
64.25 	who do not select a health plan at the time of enrollment must automatically be enrolled in 
64.26 	CARMA.
64.27 	(g) This subdivision supersedes section 256B.694.

64.28 	EFFECTIVE DATE. This section is effective January 1, 2027.

64.29 	Sec. 4. Minnesota Statutes 2024, section 256L.05, subdivision 3, is amended to read:
64.30 		Subd. 3.Effective date of coverage. (a) The effective date of coverage is the first day 
64.31 	of the month following the month in which eligibility is approved and the first premium 
64.32 	payment has been received. The effective date of coverage for new members added to the 
64.33 	family is the first day of the month following the month in which the change is reported. 
65.1 	All eligibility criteria must be met by the family at the time the new family member is added. 
65.2 	The income of the new family member is included with the family's modified adjusted gross 
65.3 	income and the adjusted premium begins in the month the new family member is added.
65.4 	(b) The initial premium must be received by the last working day of the month for 
65.5 	coverage to begin the first day of the following month.
65.6 	(c) Notwithstanding any other law to the contrary, benefits under sections 256L.01 to 
65.7 	256L.18 are secondary to a plan of insurance or benefit program under which an eligible 
65.8 	person may have coverage and the commissioner shall use cost avoidance techniques to 
65.9 	ensure coordination of any other health coverage for eligible persons. The commissioner 
65.10 	shall identify eligible persons who may have coverage or benefits under other plans of 
65.11 	insurance or who become eligible for medical assistance.
65.12 	(d) The effective date of coverage for individuals or families who are exempt from 
65.13 	paying premiums under section 256L.15, subdivision subdivisions 1, paragraph (c) and 2, 
65.14 	is the first day of the month following the month in which eligibility is approved.

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

65.16 	Sec. 5. Minnesota Statutes 2024, section 256L.06, subdivision 3, is amended to read:
65.17 		Subd. 3.Commissioner's duties and payment. (a) Premiums are dedicated to the 
65.18 	commissioner for MinnesotaCare.
65.19 	(b) The commissioner shall develop and implement procedures to: (1) require enrollees 
65.20 	to report changes in income; (2) adjust sliding scale premium payments, based upon both 
65.21 	increases and decreases in enrollee income, at the time the change in income is reported; 
65.22 	and (3) disenroll enrollees from MinnesotaCare for failure to pay required premiums. Failure 
65.23 	to pay includes payment with a dishonored check, a returned automatic bank withdrawal, 
65.24 	or a refused credit card or debit card payment. The commissioner may demand a guaranteed 
65.25 	form of payment, including a cashier's check or a money order, as the only means to replace 
65.26 	a dishonored, returned, or refused payment.
65.27 	(c) Premiums are calculated on a calendar month basis and may be paid on a monthly, 
65.28 	quarterly, or semiannual basis, with the first payment due upon notice from the commissioner 
65.29 	of the premium amount required. The commissioner shall inform applicants and enrollees 
65.30 	of these premium payment options. Premium payment is required before enrollment is 
65.31 	complete and to maintain eligibility coverage in MinnesotaCare. Premium payments received 
65.32 	before noon are credited the same day. Premium payments received after noon are credited 
65.33 	on the next working day.
66.1 	(d) Nonpayment of the premium will result in disenrollment from the plan effective for 
66.2 	the calendar month following the month for which the premium was due. Persons disenrolled 
66.3 	for nonpayment may not reenroll prior to the first day of the month following the payment 
66.4 	of an amount equal to two months' premiums one monthly premium.
66.5 	(e) The commissioner shall forgive the past-due premium for persons disenrolled under 
66.6 	paragraph (d) prior to issuing a premium invoice for the fourthnext month following 
66.7 	disenrollment.

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

66.9 	Sec. 6. Laws 2024, chapter 125, article 4, section 12, subdivision 5, is amended to read:
66.10 		Subd. 5.Report. By December 15, 2025 November 30, 2026, the commissioner must 
66.11 	provide a summary report on the pilot program to the chairs and ranking minority members 
66.12 	of the legislative committees with jurisdiction over mental health and county correctional 
66.13 	facilities.

66.14 	EFFECTIVE DATE. This section is effective retroactively from December 15, 2025.

66.15 	ARTICLE 4
66.16 	BEHAVIORAL HEALTH

66.17 	Section 1. Minnesota Statutes 2025 Supplement, section 245.469, subdivision 1, is amended 
66.18 	to read:
66.19 		Subdivision 1.Availability of emergency services. (a) County boards must provide or 
66.20 	contract for enough emergency services within the county to meet the needs of adults, 
66.21 	children, and families in the county who are experiencing an emotional crisis or mental 
66.22 	illness. Clients must not be charged for services provided and emergency service providers 
66.23 	must not delay or deny the timely provision of emergency services to a client due to payor 
66.24 	source for the services provided. Emergency service providers must meet the qualifications 
66.25 	under section 256B.0624, subdivision 4. Emergency services must include assessment, 
66.26 	crisis intervention, and appropriate case disposition. Emergency services must:
66.27 	(1) promote the safety and emotional stability of each client;
66.28 	(2) minimize further deterioration of each client;
66.29 	(3) help each client to obtain ongoing care and treatment;
66.30 	(4) prevent placement in settings that are more intensive, costly, or restrictive than 
66.31 	necessary and appropriate to meet client needs; and
67.1 	(5) provide support, psychoeducation, and referrals to each client's family members, 
67.2 	service providers, and other third parties on behalf of the client in need of emergency 
67.3 	services.
67.4 	(b) If a county provides engagement services under section 253B.041, the county's 
67.5 	emergency service providers must refer clients to engagement services when the client 
67.6 	meets the criteria for engagement services.

67.7 	Sec. 2. Minnesota Statutes 2025 Supplement, section 245.4889, subdivision 1, is amended 
67.8 	to read:
67.9 		Subdivision 1.Establishment and authority. (a) The commissioner is authorized to 
67.10 	make grants from available appropriations to assist:
67.11 	(1) counties;
67.12 	(2) Indian tribes;
67.13 	(3) children's collaboratives under section 142D.15 or 245.493; or
67.14 	(4) mental health service providers.
67.15 	(b) The following services are eligible for grants under this section:
67.16 	(1) services to children with mental illness as defined in section 245.4871, subdivision 
67.17 	15, and their families;
67.18 	(2) transition services under section 245.4875, subdivision 8, for young adults under 
67.19 	age 21 and their families;
67.20 	(3) respite care services for children with mental illness or serious mental illness who 
67.21 	are at risk of residential treatment or hospitalization; who are already in residential treatment 
67.22 	or therapeutic foster care or in family foster settings as defined in chapter 142B and at risk 
67.23 	of change in foster care or placement in a residential facility or other higher level of care; 
67.24 	who have utilized crisis services or emergency room services; or who have experienced a 
67.25 	loss of in-home staffing support. Allowable activities and expenses for respite care services 
67.26 	are defined under subdivision 4. A child is not required to have case management services 
67.27 	to receive respite care services. Counties must work to provide access to regularly scheduled 
67.28 	respite care;
67.29 	(4) children's mental health crisis services;
67.30 	(5) child-, youth-, and family-specific mobile response and stabilization services models;
68.1 	(6) mental health services for people from cultural and ethnic minorities, including 
68.2 	supervision of clinical trainees who are Black, indigenous, or people of color;
68.3 	(7) children's mental health screening and follow-up diagnostic assessment and treatment;
68.4 	(8) services to promote and develop the capacity of providers to use evidence-based 
68.5 	practices in providing children's mental health services;
68.6 	(9) school-linked mental health services under section 245.4901;
68.7 	(10) building evidence-based mental health intervention capacity for children birth to 
68.8 	age five;
68.9 	(11) suicide prevention and counseling services that use text messaging statewide;
68.10 	(12) mental health first aid training;
68.11 	(13) training for parents, collaborative partners, and mental health providers on the 
68.12 	impact of adverse childhood experiences and trauma and development of an interactive 
68.13 	website to share information and strategies to promote resilience and prevent trauma;
68.14 	(14) transition age services to develop or expand mental health treatment and supports 
68.15 	for adolescents and young adults 26 years of age or younger;
68.16 	(15) early childhood mental health consultation under section 245.4908;
68.17 	(16) evidence-based interventions for youth at risk of developing or experiencing a first 
68.18 	episode of psychosis, and a public awareness campaign on the signs and symptoms of 
68.19 	psychosis;
68.20 	(17) psychiatric consultation for primary care practitioners;
68.21 	(18) providers to begin operations and meet program requirements when establishing a 
68.22 	new children's mental health program. These may be start-up grants; and
68.23 	(19) evidence-based interventions for youth and young adults at risk of developing or 
68.24 	experiencing an early episode of bipolar disorder.
68.25 	(c) Services under paragraph (b) must be designed to help each child to function and 
68.26 	remain with the child's family in the community and delivered consistent with the child's 
68.27 	treatment plan. Transition services to eligible young adults under this paragraph must be 
68.28 	designed to foster independent living in the community.
68.29 	(d) As a condition of receiving grant funds, a grantee shall obtain all available third-party 
68.30 	reimbursement sources, if applicable.
69.1 	(e) The commissioner may establish and design a pilot program to expand the mobile 
69.2 	response and stabilization services model for children, youth, and families. The commissioner 
69.3 	may use grant funding to consult with a qualified expert entity to assist in the formulation 
69.4 	of measurable outcomes and explore and position the state to submit a Medicaid state plan 
69.5 	amendment to scale the model statewide.

69.6 	Sec. 3. [245.4908] EARLY CHILDHOOD MENTAL HEALTH CONSULTATION 
69.7 	GRANTS.
69.8 		Subdivision 1.Establishment. The commissioner of human services must establish an 
69.9 	early childhood mental health consultation grant program to support the delivery of 
69.10 	specialized mental health care to children five years of age or younger. The care may include 
69.11 	providing mental health consultation to child care professionals for the development of 
69.12 	knowledge and skills to provide child care to young children with significant mental health 
69.13 	needs.
69.14 		Subd. 2.Eligible applicants; third-party reimbursement. (a) An applicant is eligible 
69.15 	for an early childhood mental health consultation grant under this section if the applicant 
69.16 	is:
69.17 	(1) a mental health clinic certified under section 245I.20;
69.18 	(2) a community mental health center under section 256B.0625, subdivision 5;
69.19 	(3) an Indian health service facility or a facility owned and operated by a Tribe or Tribal 
69.20 	organization operating under United States Code, title 25, section 5321; or
69.21 	(4) a provider of children's therapeutic services and supports, as defined in section 
69.22 	256B.0943.
69.23 	(b) Grantees must obtain all available third-party reimbursement sources as a condition 
69.24 	of receiving a grant.
69.25 		Subd. 3.Allowable grant activities and related expenses. Grant money must be used 
69.26 	to provide early childhood mental health consultation, including but not limited to:
69.27 	(1) identifying and diagnosing mental health conditions for children five years of age 
69.28 	or younger;
69.29 	(2) training clinicians on evidence-based or evidence-informed clinical practices for 
69.30 	children five years of age or younger and their caregivers, including train-the-trainer models 
69.31 	to build capacity for grantees to train staff. The commissioner may recommend specific 
69.32 	clinical practices, modalities, and trainings under this clause;
70.1 	(3) providing direct consultation to child care providers in licensed child care centers, 
70.2 	Head Start, and licensed family child care settings; and
70.3 	(4) family psychoeducation and individual and group skills for families of children 
70.4 	receiving early childhood mental health services.
70.5 		Subd. 4.Data collection and outcome measurement. (a) The commissioner must 
70.6 	consult with grantees to develop ongoing outcome measures for program capacity and 
70.7 	performance.
70.8 	(b) Upon the commissioner's request, grantees must provide the data required under 
70.9 	paragraph (c) and may provide the data requested under paragraph (d) to the commissioner 
70.10 	for the purpose of evaluating the effectiveness of the grant program. The commissioner 
70.11 	must not request data from grantees more than twice per year.
70.12 	(c) Grantees must provide the following quantitative data to the commissioner:
70.13 	(1) number of clients served;
70.14 	(2) client demographics;
70.15 	(3) payor information; and
70.16 	(4) client-related clinical and ancillary services, including hours of direct client services 
70.17 	and hours of consultation provided in child care settings.
70.18 	(d) Grantees may collect and provide qualitative data to the commissioner to demonstrate 
70.19 	outcomes.
70.20 	(e) By July 1, 2027, and every July 1 thereafter, the commissioner must provide a report 
70.21 	to the chairs and ranking minority members of the legislative committees with jurisdiction 
70.22 	over behavioral health. The report must include the number of grantees receiving grant 
70.23 	money under this section, the number of individuals served under this section, data from 
70.24 	the evaluation conducted under this subdivision, and information on the use of state and 
70.25 	federal money for the services provided under this section. This paragraph expires June 30, 
70.26 	2037.

70.27 	EFFECTIVE DATE. This section is effective July 1, 2026.

70.28 	Sec. 4. Minnesota Statutes 2024, section 245D.04, subdivision 3, is amended to read:
70.29 		Subd. 3.Protection-related rights. (a) A person's protection-related rights include the 
70.30 	right to:
71.1 	(1) have personal, financial, service, health, and medical information kept private, and 
71.2 	be advised of disclosure of this information by the license holder;
71.3 	(2) access records and recorded information about the person in accordance with 
71.4 	applicable state and federal law, regulation, or rule;
71.5 	(3) be free from maltreatment;
71.6 	(4) be free from restraint, time out, seclusion, restrictive intervention, or other prohibited 
71.7 	procedure identified in section 245D.06, subdivision 5, or successor provisions, except for: 
71.8 	(i) emergency use of manual restraint to protect the person from imminent danger to self 
71.9 	or others according to the requirements in section 245D.061 or successor provisions; or (ii) 
71.10 	the use of safety interventions as part of a positive support transition plan under section 
71.11 	245D.06, subdivision 8, or successor provisions;
71.12 	(5) receive services in a clean and safe environment when the license holder is the owner, 
71.13 	lessor, or tenant of the service site;
71.14 	(6) be treated with courtesy and respect and receive respectful treatment of the person's 
71.15 	property;
71.16 	(7) reasonable observance of cultural and ethnic practice and religion;
71.17 	(8) be free from bias and harassment regarding race, gender, age, disability, spirituality, 
71.18 	and sexual orientation;
71.19 	(9) be informed of and use the license holder's grievance policy and procedures, including 
71.20 	knowing how to contact persons responsible for addressing problems and to appeal under 
71.21 	section 256.045;
71.22 	(10) know the name, telephone number, and the website, email, and street addresses of 
71.23 	protection and advocacy services, including the appropriate state-appointed ombudsman, 
71.24 	and a brief description of how to file a complaint with these offices;
71.25 	(11) assert these rights personally, or have them asserted by the person's family, 
71.26 	authorized representative, or legal representative, without retaliation;
71.27 	(12) give or withhold written informed consent to participate in any research or 
71.28 	experimental treatment;
71.29 	(13) associate with other persons of the person's choice in the community;
71.30 	(14) personal privacy, including the right to use the lock on the person's bedroom or unit 
71.31 	door;
72.1 	(15) engage in chosen activities; and
72.2 	(16) access to the person's personal possessions at any time, including financial resources.
72.3 	(b) For a person residing in a residential site licensed according to chapter 245A, or 
72.4 	where the license holder is the owner, lessor, or tenant of the residential service site, 
72.5 	protection-related rights also include the right to:
72.6 	(1) have daily, private access to and use of a non-coin-operated telephone for local calls 
72.7 	and long-distance calls made collect or paid for by the person;
72.8 	(2) receive and send, without interference, uncensored, unopened mail or electronic 
72.9 	correspondence or communication;
72.10 	(3) have use of and free access to common areas in the residence and the freedom to 
72.11 	come and go from the residence at will;
72.12 	(4) choose the person's visitors and time of visits and have privacy for visits with the 
72.13 	person's spouse, next of kin, legal counsel, religious adviser, or others, in accordance with 
72.14 	section 363A.09 of the Human Rights Act, including privacy in the person's bedroom;
72.15 	(5) have access to three nutritionally balanced meals and nutritious snacks between 
72.16 	meals each day;
72.17 	(6) have freedom and support to access food and potable water at any time;
72.18 	(7) have the freedom to furnish and decorate the person's bedroom or living unit;
72.19 	(8) a setting that is clean and free from accumulation of dirt, grease, garbage, peeling 
72.20 	paint, mold, vermin, and insects;
72.21 	(9) a setting that is free from hazards that threaten the person's health or safety; and
72.22 	(10) a setting that meets the definition of a dwelling unit within a residential occupancy 
72.23 	as defined in the State Fire Code.
72.24 	(c) Except as provided under subdivision 4, restriction of a person's rights under paragraph 
72.25 	(a), clauses (13) to (16), or paragraph (b) is allowed only if determined necessary to ensure 
72.26 	the health, safety, and well-being of the person. Any restriction of those rights must be 
72.27 	documented in the person's support plan or support plan addendum. The restriction must 
72.28 	be implemented in the least restrictive alternative manner necessary to protect the person 
72.29 	and provide support to reduce or eliminate the need for the restriction in the most integrated 
72.30 	setting and inclusive manner. The documentation must include the following information:
73.1 	(1) the justification for the restriction based on an assessment of the person's vulnerability 
73.2 	related to exercising the right without restriction;
73.3 	(2) the objective measures set as conditions for ending the restriction;
73.4 	(3) a schedule for reviewing the need for the restriction based on the conditions for 
73.5 	ending the restriction to occur semiannually from the date of initial approval, at a minimum, 
73.6 	or more frequently if requested by the person, the person's legal representative, if any, and 
73.7 	case manager; and
73.8 	(4) signed and dated approval for the restriction from the person, or the person's legal 
73.9 	representative, if any. A restriction may be implemented only when the required approval 
73.10 	has been obtained. Approval may be withdrawn at any time. If approval is withdrawn, the 
73.11 	right must be immediately and fully restored.

73.12 	Sec. 5. Minnesota Statutes 2024, section 245D.04, is amended by adding a subdivision to 
73.13 	read:
73.14 		Subd. 4.Rights of minor children. (a) For the purposes of this subdivision:
73.15 	(1) "developmentally appropriate" means, for a person under 18 years of age, activities 
73.16 	or items that are determined to be developmentally appropriate based on the development 
73.17 	of a person's cognitive, emotional, physical, and behavioral capacities that are typical for 
73.18 	the person's age or age group; and
73.19 	(2) "reasonable and prudent parenting" means, for a person under 18 years of age, the 
73.20 	standards characterized by careful and sensible parenting decisions that maintain a person's 
73.21 	health and safety; cultural, religious, and Tribal values; and best interests while encouraging 
73.22 	the person's emotional and developmental growth.
73.23 	(b) A person under 18 years of age who is receiving services under this chapter has a 
73.24 	right to:
73.25 	(1) participate in activities or events that are generally accepted as suitable for minor 
73.26 	children of the same chronological age or are developmentally appropriate; and
73.27 	(2) receive reasonable and prudent parenting.
73.28 	(c) Restriction of the rights under subdivision 3, paragraph (a), clauses (13) to (16), or 
73.29 	(b), clauses (1) to (4), for a person under 18 years of age is allowed only if determined 
73.30 	necessary to ensure the health, safety, and well-being of the person or pursuant to reasonable 
73.31 	and prudent parenting standards.

74.1 	Sec. 6. Minnesota Statutes 2025 Supplement, section 245I.04, subdivision 17, is amended 
74.2 	to read:
74.3 		Subd. 17.Mental health behavioral aide scope of practice. While under the treatment 
74.4 	supervision of a mental health professional, a mental health behavioral aide may practice 
74.5 	psychosocial skills with a child client according to the child's treatment plan and individual 
74.6 	behavior plan that a mental health professional, clinical trainee, or behavioral health 
74.7 	practitioner has previously taught to the child.

74.8 	Sec. 7. Minnesota Statutes 2024, section 245I.04, is amended by adding a subdivision to 
74.9 	read:
74.10 		Subd. 20.Limitation on affiliation across service lines. (a) A mental health professional 
74.11 	must not simultaneously serve in a clinical, supervisory, or designated role for more than 
74.12 	ten distinct, licensed provider organizations or service lines that deliver services in the 
74.13 	medical assistance program. A mental health professional must not provide clinical or 
74.14 	administrative supervision to more than 20 direct care or clinical staff across all affiliated 
74.15 	provider organizations and service lines, unless an exception is granted by the commissioner 
74.16 	under paragraph (c).
74.17 	(b) The commissioner must establish criteria and a standardized process for evaluating 
74.18 	exception requests under paragraph (c).
74.19 	(c) Upon written request, the commissioner may grant an exception if the requester 
74.20 	demonstrates that:
74.21 	(1) the mental health professional can effectively meet all clinical, supervisory, and 
74.22 	administrative responsibilities across affiliated programs;
74.23 	(2) the oversight of client care will not be compromised; and
74.24 	(3) the proposed arrangement complies with all applicable supervision, documentation, 
74.25 	and service delivery requirements.
74.26 	(d) In determining whether to grant an exception under paragraph (c), the commissioner 
74.27 	must consider:
74.28 	(1) the geographic distribution of services;
74.29 	(2) the complexity and acuity of client needs;
74.30 	(3) the mental health professional's other responsibilities, including direct service 
74.31 	provision; and
75.1 	(4) whether adequate supervision can be maintained in compliance with program 
75.2 	standards.
75.3 	(e) The commissioner must rescind approval of an exception granted under paragraph 
75.4 	(c) if the requester fails to comply with applicable program standards or with the terms of 
75.5 	the exception.
75.6 	(f) A mental health professional determined to be in violation of this subdivision may 
75.7 	be subject to corrective action, licensing sanctions, or administrative penalties in accordance 
75.8 	with chapter 245A and other applicable law.

75.9 	Sec. 8. Minnesota Statutes 2024, section 245I.08, subdivision 4, is amended to read:
75.10 		Subd. 4.Progress notes. A license holder must use a progress note to document each 
75.11 	occurrence of a mental health service that a staff person provides to a client. A progress 
75.12 	note must include the following:
75.13 	(1) the type of service;
75.14 	(2) the date of service;
75.15 	(3) the start and stop time of the service unless the license holder is licensed as a 
75.16 	residential program;
75.17 	(4) the location of the service;
75.18 	(5) the scope of the service, including: (i) the targeted goal and objective; (ii) the 
75.19 	intervention that the staff person provided to the client and the methods that the staff person 
75.20 	used; (iii) the client's response to the intervention; and (iv) the staff person's plan to take 
75.21 	future actions, including changes in treatment that the staff person will implement if the 
75.22 	intervention was ineffective;
75.23 	(6) the signature and credentials of the staff person who provided the service to the 
75.24 	client;
75.25 	(7) the dated signature and credentials of the treatment supervisor;
75.26 	(7) (8) the mental health provider travel documentation required by section 256B.0625, 
75.27 	if applicable; and
75.28 	(8) (9) significant observations by the staff person, if applicable, including: (i) the client's 
75.29 	current risk factors; (ii) emergency interventions by staff persons; (iii) consultations with 
75.30 	or referrals to other professionals, family, or significant others; and (iv) changes in the 
75.31 	client's mental or physical symptoms.

76.1 	Sec. 9. Minnesota Statutes 2025 Supplement, section 245I.23, subdivision 7, is amended 
76.2 	to read:
76.3 		Subd. 7.Intensive residential treatment services assessment and treatment 
76.4 	planning. (a) Within 12 hours of a client's admission, the license holder must evaluate and 
76.5 	document the client's immediate needs, including the client's:
76.6 	(1) health and safety, including the client's need for crisis assistance;
76.7 	(2) responsibilities for children, family and other natural supports, and employers; and
76.8 	(3) housing and legal issues.
76.9 	(b) Within 24 hours of the client's admission, the license holder must complete an initial 
76.10 	treatment plan for the client. The license holder must:
76.11 	(1) base the client's initial treatment plan on the client's referral information and an 
76.12 	assessment of the client's immediate needs;
76.13 	(2) consider crisis assistance strategies that have been effective for the client in the past;
76.14 	(3) identify the client's initial treatment goals, measurable treatment objectives, and 
76.15 	specific interventions that the license holder will use to help the client engage in treatment;
76.16 	(4) identify the participants involved in the client's treatment planning. The client must 
76.17 	be a participant; and
76.18 	(5) ensure that a treatment supervisor approves of the client's initial treatment plan if a 
76.19 	behavioral health practitioner or clinical trainee completes the client's treatment plan, 
76.20 	notwithstanding section 245I.08, subdivision 3.
76.21 	(c) According to section 245A.65, subdivision 2, paragraph (b), the license holder must 
76.22 	complete an individual abuse prevention plan as part of a client's initial treatment plan.
76.23 	(d) Within five days of the client's admission and again within 60 days after the client's 
76.24 	admission, the license holder must complete a level of care assessment of the client. If the 
76.25 	license holder determines that a client does not need a medically monitored level of service, 
76.26 	a treatment supervisor must document how the client's admission to and continued services 
76.27 	in intensive residential treatment services are medically necessary for the client.
76.28 	(e) Within ten days of a client's admission, excluding weekends and holidays, the license 
76.29 	holder must complete or review and update the client's standard diagnostic assessment.
76.30 	(f) Within ten days of a client's admission, the license holder must complete the client's 
76.31 	individual treatment plan, notwithstanding section 245I.10, subdivision 8. Within 40 days 
77.1 	after the client's admission and again within 70 days after the client's admission, the license 
77.2 	holder must update the client's individual treatment plan. The license holder must focus the 
77.3 	client's treatment planning on preparing the client for a successful transition from intensive 
77.4 	residential treatment services to another setting. In addition to the required elements of an 
77.5 	individual treatment plan under section 245I.10, subdivision 8, the license holder must 
77.6 	identify the following information in the client's individual treatment plan: (1) the client's 
77.7 	referrals and resources for the client's health and safety; and (2) the staff persons who are 
77.8 	responsible for following up with the client's referrals and resources. If the client does not 
77.9 	receive a referral or resource that the client needs, the license holder must document the 
77.10 	reason that the license holder did not make the referral or did not connect the client to a 
77.11 	particular resource. The license holder is responsible for determining whether additional 
77.12 	follow-up is required on behalf of the client.
77.13 	(g) Within 30 days of the client's admission, the license holder must complete a functional 
77.14 	assessment of the client. Within 60 days after the client's admission, the license holder must 
77.15 	update the client's functional assessment to include any changes in the client's functioning 
77.16 	and symptoms.
77.17 	(h) For a client with a current substance use disorder diagnosis and for a client whose 
77.18 	substance use disorder screening in the client's standard diagnostic assessment indicates the 
77.19 	possibility that the client has a substance use disorder, the license holder must complete a 
77.20 	written assessment of the client's substance use within 30 days of the client's admission. In 
77.21 	the substance use assessment, the license holder must: (1) evaluate the client's history of 
77.22 	substance use, relapses, and hospitalizations related to substance use; (2) assess the effects 
77.23 	of the client's substance use on the client's relationships including with family member and 
77.24 	others; (3) identify financial problems, health issues, housing instability, and unemployment; 
77.25 	(4) assess the client's legal problems, past and pending incarceration, violence, and 
77.26 	victimization; and (5) evaluate the client's suicide attempts, noncompliance with taking 
77.27 	prescribed medications, and noncompliance with psychosocial treatment.
77.28 	(i) On a weekly basis, a mental health professional or certified rehabilitation specialist 
77.29 	must review each client's treatment plan and individual abuse prevention plan. The license 
77.30 	holder must document in the client's file each weekly review of the client's treatment plan 
77.31 	and individual abuse prevention plan.

78.1 	Sec. 10. Minnesota Statutes 2025 Supplement, section 254B.04, subdivision 1a, is amended 
78.2 	to read:
78.3 		Subd. 1a.Client eligibility. (a) Persons eligible for benefits under Code of Federal 
78.4 	Regulations, title 25, part 20, who meet the income standards of section 256B.056, 
78.5 	subdivision 4, and are not enrolled in medical assistance, are entitled to behavioral health 
78.6 	fund services. State money appropriated for this paragraph must be placed in a separate 
78.7 	account established for this purpose.
78.8 	(b) Persons with dependent children who are determined to be in need of substance use 
78.9 	disorder treatment pursuant to an assessment under section 260E.20, subdivision 1, or in 
78.10 	need of chemical dependency treatment pursuant to a case plan under section 260C.201, 
78.11 	subdivision 6, or 260C.212, shall be assisted by the commissioner to access needed treatment 
78.12 	services. Treatment services must be appropriate for the individual or family, which may 
78.13 	include long-term care treatment or treatment in a facility that allows the dependent children 
78.14 	to stay in the treatment facility. The county shall pay for out-of-home placement costs, if 
78.15 	applicable.
78.16 	(c) Notwithstanding paragraph (a), any person enrolled in medical assistance or 
78.17 	MinnesotaCare is eligible for room and board services under section 254B.0505, subdivision 
78.18 	1, clause (9).
78.19 	(d) A client is eligible to have substance use disorder treatment paid for with funds from 
78.20 	the behavioral health fund when the client:
78.21 	(1) is eligible for MFIP as determined under chapter 142G;
78.22 	(2) is eligible for medical assistance as determined under Minnesota Rules, parts 
78.23 	9505.0010 to 9505.0140;
78.24 	(3) is eligible for general assistance, general assistance medical care, or work readiness 
78.25 	as determined under Minnesota Rules, parts 9500.1200 to 9500.1272; or
78.26 	(4) has income that is within current household size and income guidelines for entitled 
78.27 	persons, as defined in this subdivision and subdivision 7.
78.28 	(e) Clients who meet the financial eligibility requirement in paragraph (a) and who have 
78.29 	a third-party payment source are eligible for the behavioral health fund if the third-party 
78.30 	payment source pays less than 100 percent of the cost of treatment services for eligible 
78.31 	clients.
78.32 	(f) A client is ineligible to have substance use disorder treatment services paid for with 
78.33 	behavioral health fund money if the client:
79.1 	(1) has an income that exceeds current household size and income guidelines for entitled 
79.2 	persons as defined in this subdivision and subdivision 7; or
79.3 	(2) has an available third-party payment source that will pay the total cost of the client's 
79.4 	treatment.
79.5 	(g) A client who is disenrolled from a state prepaid health plan during a treatment episode 
79.6 	is eligible for continued treatment service that is paid for by the behavioral health fund until 
79.7 	the treatment episode is completed or the client is re-enrolled in a state prepaid health plan 
79.8 	if the client:
79.9 	(1) continues to be enrolled in MinnesotaCare, medical assistance, or general assistance 
79.10 	medical care; or
79.11 	(2) is eligible according to paragraphs (a) and (b) and is determined eligible by the 
79.12 	commissioner under section 254B.04.
79.13 	(h) When a county commits a client under chapter 253B to a regional treatment center 
79.14 	for substance use disorder services and the client is ineligible for the behavioral health fund, 
79.15 	the county is responsible for the payment to the regional treatment center according to 
79.16 	section 254B.0501, subdivision 3.
79.17 	(i) Notwithstanding any laws to the contrary, persons enrolled in MinnesotaCare or 
79.18 	medical assistance are eligible for room and board services when provided through intensive 
79.19 	residential treatment services and residential crisis services under section 256B.0632 and 
79.20 	chapter 245I.
79.21 	(j) A person is eligible for one 60-consecutive-calendar-day period per year. A person 
79.22 	may submit a request for additional eligibility to the commissioner. A person denied 
79.23 	additional eligibility under this paragraph may request a state agency hearing under section 
79.24 	256.045.

79.25 	Sec. 11. Minnesota Statutes 2024, section 256B.0624, subdivision 6b, is amended to read:
79.26 		Subd. 6b.Crisis intervention services. (a) If the crisis assessment determines mobile 
79.27 	crisis intervention services are needed, the crisis intervention services must be provided 
79.28 	promptly. As opportunity presents during the intervention, at least two members of the 
79.29 	mobile crisis intervention team must confer directly or by telephone about the crisis 
79.30 	assessment, crisis treatment plan, and actions taken and needed. At least one of the team 
79.31 	members must be providing face-to-face crisis intervention services. If providing crisis 
79.32 	intervention services, a clinical trainee or mental health practitioner must seek treatment 
79.33 	supervision as required in subdivision 9.
80.1 	(b) If a provider delivers crisis intervention services while the recipient is absent, the 
80.2 	provider must document the reason for delivering services while the recipient is absent.
80.3 	(c) The mobile crisis intervention team must develop a crisis treatment plan according 
80.4 	to subdivision 11.
80.5 	(d) The mobile crisis intervention team must document which crisis treatment plan goals 
80.6 	and objectives have been met and when no further crisis intervention services are required.
80.7 	(e) If the recipient's mental health crisis is stabilized, but the recipient needs a referral 
80.8 	to other services, the team must provide referrals to these services. If the recipient has a 
80.9 	case manager, planning for other services must be coordinated with the case manager. If 
80.10 	the recipient is unable to follow up on the referral, the team must link the recipient to the 
80.11 	service and follow up to ensure the recipient is receiving the service.
80.12 	(f) If the recipient's mental health crisis is stabilized and the recipient does not have an 
80.13 	advance directive, the case manager or crisis team shall offer to work with the recipient to 
80.14 	develop one.

80.15 	EFFECTIVE DATE. This section is effective upon federal approval.

80.16 	Sec. 12. Minnesota Statutes 2024, section 256B.0624, subdivision 7, is amended to read:
80.17 		Subd. 7.Crisis stabilization services. (a) Crisis stabilization services must be provided 
80.18 	by qualified staff of a crisis stabilization services provider entity and must meet the following 
80.19 	standards:
80.20 	(1) a crisis treatment plan must be developed that meets the criteria in subdivision 11;
80.21 	(2) staff must be qualified as defined in subdivision 8;
80.22 	(3) crisis stabilization services must be delivered according to the crisis treatment plan 
80.23 	and include face-to-face contact with the recipient by qualified staff for further assessment, 
80.24 	help with referrals, updating of the crisis treatment plan, skills training, and collaboration 
80.25 	with other service providers in the community; and
80.26 	(4) if a provider delivers crisis stabilization services while the recipient is absent, the 
80.27 	provider must document the reason for delivering services while the recipient is absent.; 
80.28 	and
80.29 	(5) for a recipient who is 18 years of age or older, the case manager or crisis team must 
80.30 	offer to work with the recipient to develop a health care directive, as defined in section 
80.31 	145C.01, subdivision 5a, or a declaration of preferences under section 253B.03, subdivision 
81.1 	6d, if the recipient's mental health crisis is stabilized and the recipient does not have a 
81.2 	directive or declaration.
81.3 	(b) If crisis stabilization services are provided in a supervised, licensed residential setting 
81.4 	that serves no more than four adult residents, and one or more individuals are present at the 
81.5 	setting to receive residential crisis stabilization, the residential staff must include, for at 
81.6 	least eight hours per day, at least one mental health professional, clinical trainee, certified 
81.7 	rehabilitation specialist, or mental health practitioner. The commissioner shallmust establish 
81.8 	a statewide per diem rate for crisis stabilization services provided under this paragraph to 
81.9 	medical assistance enrollees. The rate for a provider shallmust not exceed the rate charged 
81.10 	by that provider for the same service to other payers. Payment shallmust not be made to 
81.11 	more than one entity for each individual for services provided under this paragraph on a 
81.12 	given day. The commissioner shallmust set rates prospectively for the annual rate period. 
81.13 	The commissioner shallmust require providers to submit annual cost reports on a uniform 
81.14 	cost reporting form and shallmust use submitted cost reports to inform the rate-setting 
81.15 	process. The commissioner shallmust recalculate the statewide per diem every year.

81.16 	EFFECTIVE DATE. This section is effective upon federal approval.

81.17 	Sec. 13. Minnesota Statutes 2025 Supplement, section 256B.0625, subdivision 5m, is 
81.18 	amended to read:
81.19 		Subd. 5m.Certified community behavioral health clinic services. (a) Medical 
81.20 	assistance covers services provided by a not-for-profit certified community behavioral health 
81.21 	clinic (CCBHC) that meets the requirements of section 245.735, subdivision 3.
81.22 	(b) The commissioner shallmust reimburse CCBHCs on a per-day basis for each day 
81.23 	that an eligible service is delivered using the CCBHC daily bundled rate system for medical 
81.24 	assistance payments as described in paragraph (c). The commissioner shallmust include a 
81.25 	quality incentive payment in the CCBHC daily bundled rate system as described in paragraph 
81.26 	(e). There is no county share for medical assistance services when reimbursed through the 
81.27 	CCBHC daily bundled rate system.
81.28 	(c) The commissioner shallmust ensure that the CCBHC daily bundled rate system for 
81.29 	CCBHC payments under medical assistance meets the following requirements:
81.30 	(1) the CCBHC daily bundled rate shallmust be a provider-specific rate calculated for 
81.31 	each CCBHC, based on the daily cost of providing CCBHC services and the total annual 
81.32 	allowable CCBHC costs divided by the total annual number of CCBHC visits. For calculating 
81.33 	the payment rate, total annual visits include visits covered by medical assistance and visits 
82.1 	not covered by medical assistance. Allowable costs include but are not limited to the salaries 
82.2 	and benefits of medical assistance providers; the cost of CCBHC services provided under 
82.3 	section 245.735, subdivision 3, paragraph (a), clauses (6) and (7); and other costs such as 
82.4 	insurance or supplies needed to provide CCBHC services;
82.5 	(2) payment shallmust be limited to one payment per day per medical assistance enrollee 
82.6 	when an eligible CCBHC service is provided. A CCBHC visit is eligible for reimbursement 
82.7 	if at least one of the CCBHC services listed under section 245.735, subdivision 3, paragraph 
82.8 	(a), clause (6), is furnished to a medical assistance enrollee by a health care practitioner or 
82.9 	licensed agency employed by or under contract with a CCBHC;
82.10 	(3) initial CCBHC daily bundled rates for newly certified CCBHCs under section 245.735, 
82.11 	subdivision 3, shallmust be established by the commissioner using a provider-specific rate 
82.12 	based on the newly certified CCBHC's audited historical cost report data adjusted for the 
82.13 	expected cost of delivering CCBHC services. Estimates are subject to review by the 
82.14 	commissioner and must include the expected cost of providing the full scope of CCBHC 
82.15 	services and the expected number of visits for the rate period;
82.16 	(4) the commissioner shallmust rebase CCBHC rates once every two years following 
82.17 	the last rebasing and no less than 12 months following an initial rate or a rate change due 
82.18 	to a change in the scope of services. For CCBHCs certified after September 30, 2020, and 
82.19 	before January 1, 2021, the commissioner shall rebase rates according to this clause for 
82.20 	services provided on or after January 1, 2024;
82.21 	(5) the commissioner shallmust provide for a 60-day appeals process after notice of the 
82.22 	results of the rebasing;
82.23 	(6) an entity that receives a CCBHC daily bundled rate that overlaps with another federal 
82.24 	Medicaid rate is not eligible for the CCBHC rate methodology;
82.25 	(7) payments for CCBHC services to individuals enrolled in managed care shallmust
82.26 	be coordinated with the state's phase-out of CCBHC wrap payments. The commissioner 
82.27 	shallmust complete the phase-out of CCBHC wrap payments within 60 days of the 
82.28 	implementation of the CCBHC daily bundled rate system in the Medicaid Management 
82.29 	Information System (MMIS), for CCBHCs reimbursed under this chapter, with a final 
82.30 	settlement of payments due made payable to CCBHCs no later than 18 months thereafter;
82.31 	(8) the CCBHC daily bundled rate for each CCBHC shallmust be updated by trending 
82.32 	each provider-specific rate by the Medicare Economic Index for primary care services. This 
82.33 	update shallmust occur each year in between rebasing periods determined by the 
83.1 	commissioner in accordance with clause (4). CCBHCs must provide data on costs and visits 
83.2 	to the state annually using the CCBHC cost report established by the commissioner; and
83.3 	(9) a CCBHC may request a rate adjustment for changes in the CCBHC's scope of 
83.4 	services when such changes are expected to result in an adjustment to the CCBHC payment 
83.5 	rate by 2.5 percent or more. The CCBHC must provide the commissioner with information 
83.6 	regarding the changes in the scope of services, including the estimated cost of providing 
83.7 	the new or modified services and any projected increase or decrease in the number of visits 
83.8 	resulting from the change. Estimated costs are subject to review by the commissioner. Rate 
83.9 	adjustments for changes in scope shallmust occur no more than once per year in between 
83.10 	rebasing periods per CCBHC and are effective on the date of the annual CCBHC rate update.
83.11 	(d) Managed care plans and county-based purchasing plans shallmust reimburse CCBHC 
83.12 	providers at the CCBHC daily bundled rate. The commissioner shallmust monitor the effect 
83.13 	of this requirement on the rate of access to the services delivered by CCBHC providers. If, 
83.14 	for any contract year, federal approval is not received for this paragraph, the commissioner 
83.15 	must adjust the capitation rates paid to managed care plans and county-based purchasing 
83.16 	plans for that contract year to reflect the removal of this provision. Contracts between 
83.17 	managed care plans and county-based purchasing plans and providers to whom this paragraph 
83.18 	applies must allow recovery of payments from those providers if capitation rates are adjusted 
83.19 	in accordance with this paragraph. Payment recoveries must not exceed the amount equal 
83.20 	to any increase in rates that results from this provision. This paragraph expires if federal 
83.21 	approval is not received for this paragraph at any time.
83.22 	(e) The commissioner shallmust implement a quality incentive payment program for 
83.23 	CCBHCs that meets the following requirements:
83.24 	(1) a CCBHC shallmust receive a quality incentive payment upon meeting specific 
83.25 	numeric thresholds for performance metrics established by the commissioner, in addition 
83.26 	to payments for which the CCBHC is eligible under the CCBHC daily bundled rate system 
83.27 	described in paragraph (c);
83.28 	(2) a CCBHC must be certified and enrolled as a CCBHC for the entire measurement 
83.29 	year to be eligible for incentive payments;
83.30 	(3) each CCBHC shallmust receive written notice of the criteria that must be met in 
83.31 	order to receive quality incentive payments at least 90 days prior to the measurement year; 
83.32 	and
83.33 	(4) a CCBHC must provide the commissioner with data needed to determine incentive 
83.34 	payment eligibility within six months following the measurement year. The commissioner 
84.1 	shallmust notify CCBHC providers of their performance on the required measures and the 
84.2 	incentive payment amount within 12 months following the measurement year.
84.3 	(f) All claims to managed care plans for CCBHC services as provided under this section 
84.4 	shallmust be submitted directly to, and paid by, the commissioner on the dates specified 
84.5 	no later than January 1 of the following calendar year, if:
84.6 	(1) one or more managed care plans does not comply with the federal requirement for 
84.7 	payment of clean claims to CCBHCs, as defined in Code of Federal Regulations, title 42, 
84.8 	section 447.45(b), and the managed care plan does not resolve the payment issue within 30 
84.9 	days of noncompliance; and
84.10 	(2) the total amount of clean claims not paid in accordance with federal requirements 
84.11 	by one or more managed care plans is 50 percent of, or greater than, the total CCBHC claims 
84.12 	eligible for payment by managed care plans.
84.13 	If the conditions in this paragraph are met between January 1 and June 30 of a calendar 
84.14 	year, claims shallmust be submitted to and paid by the commissioner beginning on January 
84.15 	1 of the following year. If the conditions in this paragraph are met between July 1 and 
84.16 	December 31 of a calendar year, claims shallmust be submitted to and paid by the 
84.17 	commissioner beginning on July 1 of the following year.
84.18 	(g) Peer services provided by a CCBHC certified under section 245.735 are a covered 
84.19 	service under medical assistance when a licensed mental health professional or alcohol and 
84.20 	drug counselor determines that peer services are medically necessary. Eligibility under this 
84.21 	subdivision for peer services provided by a CCBHC supersede eligibility standards under 
84.22 	sections 256B.0615, 256B.0616, and 245G.07, subdivision 2a, paragraph (b), clause (2).

84.23 	Sec. 14. Minnesota Statutes 2024, section 256B.0625, subdivision 47, is amended to read:
84.24 		Subd. 47.Treatment foster care services. Effective July 1, 2011, and subject to federal 
84.25 	approval, Medical assistance covers treatment foster care children's intensive behavioral 
84.26 	health services according to section 256B.0946.

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

84.28 	Sec. 15. Minnesota Statutes 2025 Supplement, section 256B.0943, subdivision 1, is 
84.29 	amended to read:
84.30 		Subdivision 1.Definitions. (a) For purposes of this section, the following terms have 
84.31 	the meanings given them.
85.1 	(b) "Children's therapeutic services and supports" means the flexible package of mental 
85.2 	health services for children who require varying therapeutic and rehabilitative levels of 
85.3 	intervention to treat a diagnosed mental illness, as defined in section 245.462, subdivision 
85.4 	20, or 245.4871, subdivision 15. The services are time-limited interventions that are delivered 
85.5 	using various treatment modalities and combinations of services designed to reach treatment 
85.6 	outcomes identified in the individual treatment plan.
85.7 	(c) "Clinical trainee" means a staff person who is qualified according to section 245I.04, 
85.8 	subdivision 6.
85.9 	(d) "Crisis planning" has the meaning given in section 245.4871, subdivision 9a.
85.10 	(e) "Culturally competent provider" means a provider who understands and can utilize 
85.11 	to a client's benefit the client's culture when providing services to the client. A provider 
85.12 	may be culturally competent because the provider is of the same cultural or ethnic group 
85.13 	as the client or the provider has developed the knowledge and skills through training and 
85.14 	experience to provide services to culturally diverse clients.
85.15 	(f) "Day treatment program" for children means a site-based structured mental health 
85.16 	program consisting of psychotherapy for three two or more individuals and individual or 
85.17 	group skills training provided by a team, under the treatment supervision of a mental health 
85.18 	professional.
85.19 	(g) "Direct service time" means the time that a mental health professional, clinical trainee, 
85.20 	mental health practitioner, or mental health behavioral aide spends face-to-face with a client 
85.21 	and the client's family or providing covered services through telehealth as defined under 
85.22 	section 256B.0625, subdivision 3b. Direct service time includes time in which the provider 
85.23 	obtains a client's history, develops a client's treatment plan, records individual treatment 
85.24 	outcomes, or provides service components of children's therapeutic services and supports. 
85.25 	Direct service time does not include time doing work before and after providing direct 
85.26 	services, including scheduling or maintaining clinical records.
85.27 	(h) "Direction of mental health behavioral aide" means the activities of a mental health 
85.28 	professional, clinical trainee, or mental health practitioner in guiding the mental health 
85.29 	behavioral aide in providing services to a client. The direction of a mental health behavioral 
85.30 	aide must be based on the client's individual treatment plan and meet the requirements in 
85.31 	subdivision 6, paragraph (b), clause (7).
85.32 	(i) "Individual treatment plan" means the plan described in section 245I.10, subdivisions 
85.33 	7 and 8.
86.1 	(j) "Mental health behavioral aide services" means medically necessary one-on-one 
86.2 	activities performed by a mental health behavioral aide qualified according to section 
86.3 	245I.04, subdivision 16, to assist a child retain or generalize psychosocial skills as previously 
86.4 	trained by a mental health professional, clinical trainee, or mental health practitioner and 
86.5 	as described in the child's individual treatment plan and individual behavior plan. Activities 
86.6 	involve working directly with the child or child's family as provided in subdivision 9, 
86.7 	paragraph (b), clause (4).
86.8 	(k) "Mental health certified family peer specialist" means a staff person who is qualified 
86.9 	according to section 245I.04, subdivision 12.
86.10 	(l) "Mental health practitioner" means a staff person who is qualified according to section 
86.11 	245I.04, subdivision 4.
86.12 	(m) "Mental health professional" means a staff person who is qualified according to 
86.13 	section 245I.04, subdivision 2.
86.14 	(n) "Mental health service plan development" includes:
86.15 	(1) development and revision of a child's individual treatment plan; and
86.16 	(2) administering and reporting standardized outcome measurements approved by the 
86.17 	commissioner, as periodically needed to evaluate the effectiveness of treatment.
86.18 	(o) "Mental illness" has the meaning given in section 245.462, subdivision 20, paragraph 
86.19 	(a), for persons at least 18 years of age but under 21 years of age, and has the meaning given 
86.20 	in section 245.4871, subdivision 15, for children under 18 years of age.
86.21 	(p) "Psychotherapy" means the treatment described in section 256B.0671, subdivision 
86.22 	11.
86.23 	(q) "Rehabilitative services" or "psychiatric rehabilitation services" means interventions 
86.24 	to: (1) restore a child or adolescent to an age-appropriate developmental trajectory that had 
86.25 	been disrupted by a psychiatric illness; or (2) enable the child to self-monitor, compensate 
86.26 	for, cope with, counteract, or replace psychosocial skills deficits or maladaptive skills 
86.27 	acquired over the course of a psychiatric illness. Psychiatric rehabilitation services for 
86.28 	children combine coordinated psychotherapy to address internal psychological, emotional, 
86.29 	and intellectual processing deficits, and skills training to restore personal and social 
86.30 	functioning. Psychiatric rehabilitation services establish a progressive series of goals with 
86.31 	each achievement building upon a prior achievement.
86.32 	(r) "Skills training" means individual, family, or group training, delivered by or under 
86.33 	the supervision of a mental health professional, designed to facilitate the acquisition of 
87.1 	psychosocial skills that are medically necessary to rehabilitate the child to an age-appropriate 
87.2 	developmental trajectory heretofore disrupted by a psychiatric illness or to enable the child 
87.3 	to self-monitor, compensate for, cope with, counteract, or replace skills deficits or 
87.4 	maladaptive skills acquired over the course of a psychiatric illness. Skills training is subject 
87.5 	to the service delivery requirements under subdivision 9, paragraph (b), clause (2).
87.6 	(s) "Standard diagnostic assessment" means the assessment described in section 245I.10, 
87.7 	subdivision 6.
87.8 	(t) "Treatment supervision" means the supervision described in section 245I.06.

87.9 	Sec. 16. Minnesota Statutes 2024, section 256B.0943, subdivision 6, is amended to read:
87.10 		Subd. 6.Provider entity clinical infrastructure requirements. (a) To be an eligible 
87.11 	provider entity under this section, a provider entity must have a clinical infrastructure that 
87.12 	utilizes diagnostic assessment, individual treatment plans, service delivery, and individual 
87.13 	treatment plan review that are culturally competent, child-centered, and family-driven to 
87.14 	achieve maximum benefit for the client. The provider entity must review, and update as 
87.15 	necessary, the clinical policies and procedures every three two years, must distribute the 
87.16 	policies and procedures to staff initially and upon each subsequent update, and must train 
87.17 	staff accordingly.
87.18 	(b) The clinical infrastructure written policies and procedures must include policies and 
87.19 	procedures for meeting the requirements in this subdivision:
87.20 	(1) providing or obtaining a client's standard diagnostic assessment, including a standard 
87.21 	diagnostic assessment. When required components of the standard diagnostic assessment 
87.22 	are not provided in an outside or independent assessment or cannot be attained immediately, 
87.23 	the provider entity must determine the missing information within 30 days and amend the 
87.24 	child's standard diagnostic assessment or incorporate the information into the child's 
87.25 	individual treatment plan;
87.26 	(2) developing an individual treatment plan;
87.27 	(3) providing treatment supervision plans for staff according to section 245I.06. Treatment 
87.28 	supervision does not include the authority to make or terminate court-ordered placements 
87.29 	of the child. A treatment supervisor must be available for urgent consultation as required 
87.30 	by the individual client's needs or the situation;
87.31 	(4) requiring a mental health professional to determine the level of supervision for a 
87.32 	behavioral health aide and to document and sign the supervision determination in the 
87.33 	behavioral health aide's supervision plan;
88.1 	(5) ensuring the immediate accessibility of a mental health professional, clinical trainee, 
88.2 	or mental health practitioner to the behavioral aide during service delivery;
88.3 	(6) providing service delivery that implements the individual treatment plan and meets 
88.4 	the requirements under subdivision 9; and
88.5 	(7) individual treatment plan review. The review must determine the extent to which 
88.6 	the services have met each of the goals and objectives in the treatment plan. The review 
88.7 	must assess the client's progress and ensure that services and treatment goals continue to 
88.8 	be necessary and appropriate to the client and the client's family or foster family.

88.9 	Sec. 17. Minnesota Statutes 2025 Supplement, section 256B.0943, subdivision 9, is 
88.10 	amended to read:
88.11 		Subd. 9.Service delivery criteria. (a) In delivering services under this section, a certified 
88.12 	provider entity must ensure that:
88.13 	(1) the provider's caseload size should reasonably enable the provider to play an active 
88.14 	role in service planning, monitoring, and delivering services to meet the client's and client's 
88.15 	family's needs, as specified in each client's individual treatment plan;
88.16 	(2) site-based programs, including day treatment programs, provide staffing and facilities 
88.17 	to ensure the client's health, safety, and protection of rights, and that the programs are able 
88.18 	to implement each client's individual treatment plan; and
88.19 	(3) a day treatment program is provided to a group of clients by a team under the treatment 
88.20 	supervision of a mental health professional. The day treatment program must be provided 
88.21 	in and by: (i) an outpatient hospital accredited by the Joint Commission on Accreditation 
88.22 	of Health Organizations and licensed under sections 144.50 to 144.55; (ii) a community 
88.23 	mental health center under section 245.62; or (iii) an entity that is certified under subdivision 
88.24 	4 to operate a program that meets the requirements of section 245.4884, subdivision 2, and 
88.25 	Minnesota Rules, parts 9505.0170 to 9505.0475. The day treatment program must stabilize 
88.26 	the client's mental health status while developing and improving the client's independent 
88.27 	living and socialization skills. The goal of the day treatment program must be to reduce or 
88.28 	relieve the effects of mental illness and provide training to enable the client to live in the 
88.29 	community. The remainder of the structured treatment program may include patient and/or 
88.30 	family or group psychotherapy, and individual or group skills training, if included in the 
88.31 	client's individual treatment plan. Day treatment programs are not part of inpatient or 
88.32 	residential treatment services. When a day treatment group that meets the minimum group 
88.33 	size requirement temporarily falls below the minimum group size because of a member's 
89.1 	temporary absence, medical assistance covers a group session conducted for the group 
89.2 	members in attendance. A day treatment program may provide fewer than the minimally 
89.3 	required hours for a particular child during a billing period in which the child is transitioning 
89.4 	into, or out of, the program.
89.5 	(b) To be eligible for medical assistance payment, a provider entity must deliver at least 
89.6 	one of the service components of children's therapeutic services and supports in compliance 
89.7 	with the following requirements:
89.8 	(1) psychotherapy to address the child's underlying mental health disorder must be 
89.9 	documented as part of the child's ongoing treatment. A provider must deliver or arrange for 
89.10 	medically necessary psychotherapy unless the child's parent or caregiver chooses not to 
89.11 	receive it or the provider determines that psychotherapy is no longer medically necessary. 
89.12 	When a provider determines that psychotherapy is no longer medically necessary, the 
89.13 	provider must update required documentation, including but not limited to the individual 
89.14 	treatment plan, the child's medical record, or other authorizations, to include the 
89.15 	determination. When a provider determines that a child needs psychotherapy but 
89.16 	psychotherapy cannot be delivered due to a shortage of licensed mental health professionals 
89.17 	in the child's community, the provider must document the lack of access in the child's 
89.18 	medical record;
89.19 	(2) individual, family, or group skills training is subject to the following requirements:
89.20 	(i) a mental health professional, clinical trainee, or mental health practitioner shall provide 
89.21 	skills training;
89.22 	(ii) skills training delivered to a child or the child's family must be targeted to the specific 
89.23 	deficits or maladaptations of the child's mental health disorder and must be prescribed in 
89.24 	the child's individual treatment plan;
89.25 	(iii) group skills training may be provided to multiple recipients who, because of the 
89.26 	nature of their emotional, behavioral, or social dysfunction, can derive mutual benefit from 
89.27 	interaction in a group setting, which must be staffed as follows:
89.28 	(A) one mental health professional, clinical trainee, or mental health practitioner must 
89.29 	work with a group of three two to eight clients; or
89.30 	(B) any combination of two mental health professionals, clinical trainees, or mental 
89.31 	health practitioners must work with a group of nine to 12 clients;
90.1 	(iv) a mental health professional, clinical trainee, or mental health practitioner must have 
90.2 	taught the psychosocial skill before a mental health behavioral aide may practice that skill 
90.3 	with the client; and
90.4 	(v) for group skills training, when a skills group that meets the minimum group size 
90.5 	requirement temporarily falls below the minimum group size because of a group member's 
90.6 	temporary absence, the provider may conduct the session for the group members in 
90.7 	attendance;
90.8 	(3) crisis planning to a child and family must include development of a written plan that 
90.9 	anticipates the particular factors specific to the child that may precipitate a psychiatric crisis 
90.10 	for the child in the near future. The written plan must document actions that the family 
90.11 	should be prepared to take to resolve or stabilize a crisis, such as advance arrangements for 
90.12 	direct intervention and support services to the child and the child's family. Crisis planning 
90.13 	must include preparing resources designed to address abrupt or substantial changes in the 
90.14 	functioning of the child or the child's family when sudden change in behavior or a loss of 
90.15 	usual coping mechanisms is observed, or the child begins to present a danger to self or 
90.16 	others;
90.17 	(4) mental health behavioral aide services must be medically necessary treatment services, 
90.18 	identified in the child's individual treatment plan.
90.19 	To be eligible for medical assistance payment, mental health behavioral aide services must 
90.20 	be delivered to a child who has been diagnosed with a mental illness, as provided in 
90.21 	subdivision 1, paragraph (a). The mental health behavioral aide must document the delivery 
90.22 	of services in written progress notes. Progress notes must reflect implementation of the 
90.23 	treatment strategies, as performed by the mental health behavioral aide and the child's 
90.24 	responses to the treatment strategies; and
90.25 	(5) mental health service plan development must be performed in consultation with the 
90.26 	child's family and, when appropriate, with other key participants in the child's life by the 
90.27 	child's treating mental health professional or clinical trainee or by a mental health practitioner 
90.28 	and approved by the treating mental health professional. Treatment plan drafting consists 
90.29 	of development, review, and revision by face-to-face or electronic communication. The 
90.30 	provider must document events, including the time spent with the family and other key 
90.31 	participants in the child's life to approve the individual treatment plan. Medical assistance 
90.32 	covers service plan development before completion of the child's individual treatment plan. 
90.33 	Service plan development is covered only if a treatment plan is completed for the child. If 
91.1 	upon review it is determined that a treatment plan was not completed for the child, the 
91.2 	commissioner shall recover the payment for the service plan development.

91.3 	Sec. 18. Minnesota Statutes 2024, section 256B.0946, subdivision 4, is amended to read:
91.4 		Subd. 4.Service delivery payment requirements. (a) To be eligible for payment under 
91.5 	this section, a provider must develop and practice written policies and procedures for 
91.6 	children's intensive behavioral health services, consistent with subdivision 1, paragraph (b), 
91.7 	and comply with the following requirements in paragraphs (b) to (n).
91.8 	(b) Each previous and current mental health, school, and physical health treatment 
91.9 	provider must be contacted to request documentation of treatment and assessments that the 
91.10 	eligible client has received. This information must be reviewed and incorporated into the 
91.11 	standard diagnostic assessment and team consultation and treatment planning review process.
91.12 	(c) Each client receiving treatment must be assessed for a trauma history, and the client's 
91.13 	treatment plan must document how the results of the assessment will be incorporated into 
91.14 	treatment.
91.15 	(d) The level of care assessment as defined in section 245I.02, subdivision 19, and 
91.16 	functional assessment as defined in section 245I.02, subdivision 17, must be updated at 
91.17 	least every 180 days or prior to discharge from the service, whichever comes first.
91.18 	(e) Each client receiving treatment services must have an individual treatment plan that 
91.19 	is reviewed, evaluated, and approved every 180 days using the team consultation and 
91.20 	treatment planning process.
91.21 	(f) Clinical care consultation must be provided in accordance with the client's individual 
91.22 	treatment plan.
91.23 	(g) Each client must have a crisis plan within ten days of initiating services and must 
91.24 	have access to clinical phone support 24 hours per day, seven days per week, during the 
91.25 	course of treatment. The crisis plan must demonstrate coordination with the local or regional 
91.26 	mobile crisis intervention team.
91.27 	(h) Services must be delivered and documented at least three days per week, equaling 
91.28 	at least six hours of treatment per week. If the mental health professional, client, and family 
91.29 	agree, service units may be temporarily reduced for a period of no more than 60 days in 
91.30 	order to meet the needs of the client and family, or as part of transition or on a discharge 
91.31 	plan to another service or level of care. The reasons for service reduction must be identified,
91.32 	and documented, and included in the treatment plan or case file. Billing and payment are 
91.33 	prohibited for days on which no services are delivered and documented.
92.1 	(i) Location of service delivery must be in the client's home, day care setting, school, or 
92.2 	other community-based setting that is specified on the client's individualized treatment plan.
92.3 	(j) Treatment must be developmentally and culturally appropriate for the client.
92.4 	(k) Services must be delivered in continual collaboration and consultation with the 
92.5 	client's medical providers and, in particular, with prescribers of psychotropic medications, 
92.6 	including those prescribed on an off-label basis. Members of the service team must be aware 
92.7 	of the medication regimen and potential side effects.
92.8 	(l) Parents, siblings, foster parents, legal guardians, and members of the child's 
92.9 	permanency plan must be involved in treatment and service delivery unless otherwise noted 
92.10 	in the treatment plan.
92.11 	(m) Transition planning for the child must be conducted starting with the first treatment 
92.12 	plan and must be addressed throughout treatment to support the child's permanency plan 
92.13 	and postdischarge mental health service needs.
92.14 	(n) In order for a provider to receive the daily per-client encounter rate, at least one of 
92.15 	the services listed in subdivision 1, paragraph (b), clauses (1) to (3), must be provided. The 
92.16 	services listed in subdivision 1, paragraph (b), clauses (4) and (5), may be included as part 
92.17 	of the daily per-client encounter rate.

92.18 	Sec. 19. Minnesota Statutes 2025 Supplement, section 256B.0947, subdivision 3a, is 
92.19 	amended to read:
92.20 		Subd. 3a.Required service components. (a) Intensive nonresidential rehabilitative 
92.21 	mental health services, supports, and ancillary activities that are covered by a single daily 
92.22 	rate per client must include the following, as needed by the individual client:
92.23 	(1) individual, family, and group psychotherapy;
92.24 	(2) individual, family, and group skills training, as defined in section 256B.0943, 
92.25 	subdivision 1, paragraph (r);
92.26 	(3) crisis planning as defined in section 245.4871, subdivision 9a;
92.27 	(4) medication management provided by a physician, an advanced practice registered 
92.28 	nurse with certification in psychiatric and mental health care, or a physician assistant qualified 
92.29 	provider;
92.30 	(5) mental health case management as provided in section 256B.0625, subdivision 20;
92.31 	(6) medication education services as defined in this section;
93.1 	(7) care coordination by a client-specific lead worker assigned by and responsible to the 
93.2 	treatment team;
93.3 	(8) psychoeducation of and consultation and coordination with the client's biological, 
93.4 	adoptive, or foster family and, in the case of a youth living independently, the client's 
93.5 	immediate nonfamilial support network;
93.6 	(9) clinical consultation to a client's employer or school or to other service agencies or 
93.7 	to the courts to assist in managing the mental illness or co-occurring disorder and to develop 
93.8 	client support systems;
93.9 	(10) coordination with, or performance of, crisis intervention and stabilization services 
93.10 	as defined in section 256B.0624;
93.11 	(11) transition services;
93.12 	(12) co-occurring substance use disorder treatment as defined in section 245I.02, 
93.13 	subdivision 11; and
93.14 	(13) housing access support that assists clients to find, obtain, retain, and move to safe 
93.15 	and adequate housing. Housing access support does not provide monetary assistance for 
93.16 	rent, damage deposits, or application fees.
93.17 	(b) The provider shall ensure and document the following by means of performing the 
93.18 	required function or by contracting with a qualified person or entity: client access to crisis 
93.19 	intervention services, as defined in section 256B.0624, and available 24 hours per day and 
93.20 	seven days per week.

93.21 	EFFECTIVE DATE. This section is effective July 1, 2027, or upon federal approval, 
93.22 	whichever is later.

93.23 	Sec. 20. Minnesota Statutes 2024, section 256B.0947, subdivision 5, is amended to read:
93.24 		Subd. 5.Standards for intensive nonresidential rehabilitative providers. (a) Services 
93.25 	must meet the standards in this section and chapter 245I as required in section 245I.011, 
93.26 	subdivision 5.
93.27 	(b) The treatment team must have specialized training in providing services to the specific 
93.28 	age group of youth that the team serves. An individual treatment team must serve youth 
93.29 	who are: (1) at least eight years of age or older and under 16 years of age, or; (2) at least 
93.30 	14 years of age or older and under 21 years of age; or (3) if a treatment team demonstrates 
93.31 	to the commissioner expertise in meeting the developmental and clinical needs of an 
93.32 	expanded age range, at least eight years of age or older and under 21 years of age.
94.1 	(c) The treatment team for intensive nonresidential rehabilitative mental health services 
94.2 	comprises both permanently employed core team members and client-specific team members 
94.3 	as follows:
94.4 	(1) Based on professional qualifications and client needs, clinically qualified core team 
94.5 	members are assigned on a rotating basis as the client's lead worker to coordinate a client's 
94.6 	care. The core team must comprise at least four full-time equivalent direct care staff and 
94.7 	must minimally include:
94.8 	(i) a mental health professional who serves as team leader to provide administrative 
94.9 	direction and treatment supervision to the team;
94.10 	(ii) an advanced-practice registered nurse with certification in psychiatric or mental 
94.11 	health care or a board-certified child and adolescent psychiatrist, either of which must be 
94.12 	credentialed to prescribe medications a psychiatric care provider who is credentialed to 
94.13 	prescribe medications and who is either an advanced practice registered nurse with advanced 
94.14 	education and training in psychiatric and mental health care or a board-certified psychiatrist. 
94.15 	The psychiatric care provider must have demonstrated clinical experience and qualifications 
94.16 	for working with children and adolescents with serious mental illness and co-occurring 
94.17 	mental illness and substance use disorders;
94.18 	(iii) a mental health certified peer specialist who is qualified according to section 245I.04, 
94.19 	subdivision 10, and is also a former children's mental health consumer; and
94.20 	(iv) a co-occurring disorder specialist who meets the requirements under section 
94.21 	256B.0622, subdivision 7a, paragraph (a), clause (4), who will provide or facilitate the 
94.22 	provision of co-occurring disorder treatment to clients.
94.23 	(2) The core team may also include any of the following:
94.24 	(i) additional mental health professionals;
94.25 	(ii) a vocational specialist;
94.26 	(iii) an educational specialist with knowledge and experience working with youth 
94.27 	regarding special education requirements and goals, special education plans, and coordination 
94.28 	of educational activities with health care activities;
94.29 	(iv) a child and adolescent psychiatrist who may be retained on a consultant basis;
94.30 	(v) a clinical trainee qualified according to section 245I.04, subdivision 6;
94.31 	(vi) a mental health practitioner qualified according to section 245I.04, subdivision 4;
95.1 	(vii) a case management service provider, as defined in section 245.4871, subdivision 
95.2 	4;
95.3 	(viii) a housing access specialist; and
95.4 	(ix) a family peer specialist as defined in subdivision 2, paragraph (j).; and
95.5 	(x) a registered nurse, as defined in section 148.171, subdivision 20.
95.6 	(3) A treatment team may include, in addition to those in clause (1) or (2), ad hoc 
95.7 	members not employed by the team who consult on a specific client and who must accept 
95.8 	overall clinical direction from the treatment team for the duration of the client's placement 
95.9 	with the treatment team and must be paid by the provider agency at the rate for a typical 
95.10 	session by that provider with that client or at a rate negotiated with the client-specific 
95.11 	member. Client-specific treatment team members may include:
95.12 	(i) the mental health professional treating the client prior to placement with the treatment 
95.13 	team;
95.14 	(ii) the client's current substance use counselor, if applicable;
95.15 	(iii) a lead member of the client's individualized education program team or school-based 
95.16 	mental health provider, if applicable;
95.17 	(iv) a representative from the client's health care home or primary care clinic, as needed 
95.18 	to ensure integration of medical and behavioral health care;
95.19 	(v) the client's probation officer or other juvenile justice representative, if applicable; 
95.20 	and
95.21 	(vi) the client's current vocational or employment counselor, if applicable.
95.22 	(d) The treatment supervisor shall be an active member of the treatment team and shall 
95.23 	function as a practicing clinician at least on a part-time basis. The treatment team shall meet 
95.24 	with the treatment supervisor at least weekly to discuss recipients' progress and make rapid 
95.25 	adjustments to meet recipients' needs. The team meeting must include client-specific case 
95.26 	reviews and general treatment discussions among team members. Client-specific case 
95.27 	reviews and planning must be documented in the individual client's treatment record.
95.28 	(e) The staffing ratio must not exceed ten clients to one full-time equivalent treatment 
95.29 	team position.
95.30 	(f) The treatment team shall serve no more than 80 clients at any one time. Should local 
95.31 	demand exceed the team's capacity, an additional team must be established rather than 
95.32 	exceed this limit.
96.1 	(g) Nonclinical staff shall have prompt access in person or by telephone to a mental 
96.2 	health practitioner, clinical trainee, or mental health professional. The provider shall have 
96.3 	the capacity to promptly and appropriately respond to emergent needs and make any 
96.4 	necessary staffing adjustments to ensure the health and safety of clients.
96.5 	(h) The intensive nonresidential rehabilitative mental health services provider shall 
96.6 	participate in evaluation of the assertive community treatment for youth (Youth ACT) model 
96.7 	as conducted by the commissioner, including the collection and reporting of data and the 
96.8 	reporting of performance measures as specified by contract with the commissioner.
96.9 	(i) A regional treatment team may serve multiple counties.

96.10 	EFFECTIVE DATE. The amendment made to paragraph (c), clause (1), item (ii), of 
96.11 	this section is effective July 1, 2027, or upon federal approval, whichever is later.

96.12 	Sec. 21. Minnesota Statutes 2025 Supplement, section 256L.03, subdivision 5, is amended 
96.13 	to read:
96.14 		Subd. 5.Cost-sharing. (a) Co-payments, coinsurance, and deductibles do not apply to 
96.15 	children under the age of 21 and to American Indians as defined in Code of Federal 
96.16 	Regulations, title 42, section 600.5.
96.17 	(b) The commissioner must adjust co-payments, coinsurance, and deductibles for covered 
96.18 	services in a manner sufficient to maintain the actuarial value of the benefit to 94 percent. 
96.19 	The cost-sharing changes described in this paragraph do not apply to eligible recipients or 
96.20 	services exempt from cost-sharing under state law. The cost-sharing changes described in 
96.21 	this paragraph shall not be implemented prior to January 1, 2016.
96.22 	(c) The cost-sharing changes authorized under paragraph (b) must satisfy the requirements 
96.23 	for cost-sharing under the Basic Health Program as set forth in Code of Federal Regulations, 
96.24 	title 42, sections 600.510 and 600.520.
96.25 	(d) Cost-sharing for prescription drugs and related medical supplies to treat chronic 
96.26 	disease must comply with the requirements of section 62Q.481.
96.27 	(e) Co-payments, coinsurance, and deductibles do not apply to additional diagnostic 
96.28 	services or testing that a health care provider determines an enrollee requires after a 
96.29 	mammogram, as specified under section 62A.30, subdivision 5.
96.30 	(f) Cost-sharing must not apply to drugs used for tobacco and nicotine cessation or to 
96.31 	tobacco and nicotine cessation services covered under section 256B.0625, subdivision 68.
97.1 	(g) Co-payments, coinsurance, and deductibles do not apply to pre-exposure prophylaxis 
97.2 	(PrEP) and postexposure prophylaxis (PEP) medications when used for the prevention or 
97.3 	treatment of the human immunodeficiency virus (HIV).
97.4 	(h) Co-payments, coinsurance, and deductibles do not apply to mobile crisis intervention, 
97.5 	crisis stabilization provided in a community setting, or crisis assessment as defined in section 
97.6 	256B.0624, subdivision 2.

97.7 	Sec. 22. DIRECTION TO COMMISSIONER; CERTIFIED COMMUNITY 
97.8 	BEHAVIORAL HEALTH CLINIC REBASING.
 97.9 	Notwithstanding Minnesota Statutes, section 256B.0625, subdivision 5m, paragraph (c), 
97.10 	clause (4), for certified community behavioral health clinics certified on or after January 1, 
97.11 	2021, and before January 1, 2022, the commissioner of human services must rebase rates 
97.12 	for purposes of Minnesota Statutes, section 256B.0625, subdivision 5m, paragraph (c), 
97.13 	clause (4),  for services provided on or after January 1, 2026.

97.14 	ARTICLE 5
97.15 	DEPARTMENT OF HUMAN SERVICES HOUSING AND SUPPORT SERVICES

97.16 	Section 1. Minnesota Statutes 2024, section 245.991, subdivision 3, is amended to read:
97.17 		Subd. 3.Allowable grant activities. Grantees must provide homeless outreach and case 
97.18 	management services. Projects may provide clinical assessment, habilitation and rehabilitation 
97.19 	services, community mental health services, substance use disorder treatment, housing 
97.20 	transition and sustaining services, or direct assistance funding. Services must be provided 
97.21 	to individuals with a serious mental illness, substance use disorder, or with a co-occurring 
97.22 	substance use disorder, and who are homeless or at imminent risk of homelessness. 
97.23 	Individuals receiving homeless outreach services may be presumed eligible until a serious 
97.24 	mental illness can be verified.

97.25 	EFFECTIVE DATE. This section is effective July 1, 2026.

97.26 	Sec. 2. Minnesota Statutes 2024, section 245.992, subdivision 1, is amended to read:
97.27 		Subdivision 1.Establishment. The commissioner of human services must establish a 
97.28 	housing with support for adults with serious mental illness program to prevent or end 
97.29 	homelessness for people with serious mental illness, substance use disorder, or co-occurring 
97.30 	substance use disorder; to increase the availability of housing with support,; and to ensure 
98.1 	the commissioner may achieve the goals of the housing mission statement in section 245.461, 
98.2 	subdivision 4.

98.3 	EFFECTIVE DATE. This section is effective July 1, 2026.

98.4 	Sec. 3. Minnesota Statutes 2024, section 245.992, subdivision 2, is amended to read:
98.5 		Subd. 2.Eligible beneficiaries. Program activities must be provided to people with a 
98.6 	serious mental illness, substance use disorder, or with a co-occurring substance use disorder, 
98.7 	who meet homeless criteria determined by the commissioner.

98.8 	EFFECTIVE DATE. This section is effective July 1, 2026.

98.9 	Sec. 4. Minnesota Statutes 2024, section 256D.05, subdivision 1, is amended to read:
98.10 		Subdivision 1.Eligibility. (a) Each assistance unit with income and resources less than 
98.11 	the standard of assistance established by the commissioner and with a member who is a 
98.12 	resident of the state shallmust be eligible for and entitled to general assistance if the 
98.13 	assistance unit is:
98.14 	(1) a person who is suffering from a professionally certified permanent or temporary 
98.15 	illness, injury, or incapacity which is expected to continue for more than 45 days and which 
98.16 	prevents the person from obtaining or retaining employment;
98.17 	(2) a person whose presence in the home on a substantially continuous basis is required 
98.18 	because of the professionally certified illness, injury, incapacity, or the age of another 
98.19 	member of the household;
98.20 	(3) a person who has been placed in, and is residing in, a licensed or certified facility 
98.21 	for purposes of physical or mental health or rehabilitation, or in an approved substance use 
98.22 	disorder domiciliary facility, if the placement is based on illness or incapacity and is 
98.23 	according to a plan developed or approved by the county agency through its director or 
98.24 	designated representative;
98.25 	(4) a person not described in clause (1) or (3) who is diagnosed by a licensed physician, 
98.26 	psychological practitioner, or other qualified professional, as developmentally disabled or 
98.27 	mentally ill, and that condition prevents the person from obtaining or retaining employment;
98.28 	(5) a person who has an application pending for, or is appealing termination of benefits 
98.29 	from, the Social Security disability program or the program of Supplemental Security Income 
98.30 	for the aged, blind, and disabled, provided the person has a professionally certified permanent 
99.1 	or temporary illness, injury, or incapacity which is expected to continue for more than 30 
99.2 	days and which prevents the person from obtaining or retaining employment;
99.3 	(6) a person who is unable to obtain or retain employment because advanced age 
99.4 	significantly affects the person's ability to seek or engage in substantial work;
99.5 	(7) a person who has been assessed by a vocational specialist and, in consultation with 
99.6 	the county agency, has been determined to be unemployable for purposes of this clause; a 
99.7 	person is considered employable if there exist positions of employment in the local labor 
99.8 	market, regardless of the current availability of openings for those positions, that the person 
99.9 	is capable of performing. The person's eligibility under this category must be reassessed at 
99.10 	least annually. The county agency must provide notice to the person not later than 30 days 
99.11 	before annual eligibility under this item ends, informing the person of the date annual 
99.12 	eligibility will end and the need for vocational assessment if the person wishes to continue 
99.13 	eligibility under this clause. For purposes of establishing eligibility under this clause, it is 
99.14 	the applicant's or recipient's duty to obtain any needed vocational assessment;
99.15 	(8) a person who is determined by the county agency, according to permanent rules 
99.16 	adopted by the commissioner, to have a condition that qualifies under Minnesota's special 
99.17 	education rules as a specific learning disability, provided that a rehabilitation plan for the 
99.18 	person is developed or approved by the county agency, and the person is following the plan;
99.19 	(9) a child under the age of 18 who is not living with a parent, stepparent, or legal 
99.20 	custodian, and only if: the child is legally emancipated or living with an adult with the 
99.21 	consent of an agency acting as a legal custodian; the child is at least 16 years of age and the 
99.22 	general assistance grant is approved by the director of the county agency or a designated 
99.23 	representative as a component of a social services case plan for the child; or the child is 
99.24 	living with an adult with the consent of the child's legal custodian and the county agency. 
99.25 	For purposes of this clause, "legally emancipated" means a person under the age of 18 years 
99.26 	who: (i) has been married; (ii) is on active duty in the uniformed services of the United 
99.27 	States; (iii) has been emancipated by a court of competent jurisdiction; or (iv) is otherwise 
99.28 	considered emancipated under Minnesota law, and for whom county social services has not 
99.29 	determined that a social services case plan is necessary, for reasons other than the child has 
99.30 	failed or refuses to cooperate with the county agency in developing the plan;
99.31 	(10) a person who is eligible for displaced homemaker services, programs, or assistance 
99.32 	under section 116L.96, but only if that person is enrolled as a full-time student;
99.33 	(11) a person who is involved with protective or court-ordered services that prevent the 
99.34 	applicant or recipient from working at least four hours per day;
100.1 	(12) a person over age 18 whose primary language is not English and who is attending 
100.2 	high school at least half time; or
100.3 	(13) a person whose alcohol and drug addiction is a material factor that contributes to 
100.4 	the person's disability; applicants who assert this clause as a basis for eligibility must be 
100.5 	assessed by the county agency to determine if they are amenable to treatment; if the applicant 
100.6 	is determined to be not amenable to treatment, but is otherwise eligible for benefits, then 
100.7 	general assistance must be paid in vendor form, for the individual's shelter costs up to the 
100.8 	limit of the grant amount, with the residual, if any, paid according to section 256D.09, 
100.9 	subdivision 2a; if the applicant is determined to be amenable to treatment, then in order to 
100.10 	receive benefits, the applicant must be in a treatment program or on a waiting list and the 
100.11 	benefits must be paid in vendor form, for the individual's shelter costs, up to the limit of 
100.12 	the grant amount, with the residual, if any, paid according to section 256D.09, subdivision 
100.13 	2a.
100.14 	(b) As a condition of eligibility under paragraph (a), clauses (1), (3), (4), (7), and (8), 
100.15 	the recipient must complete an interim assistance agreement and must apply for other 
100.16 	maintenance benefits as specified in section 256D.06, subdivision 5, and must comply with 
100.17 	efforts to determine the recipient's eligibility for those other maintenance benefits.
100.18 	(c) The burden of providing documentation for a county agency to use to verify eligibility 
100.19 	for general assistance or for exemption from the Supplemental Nutrition Assistance Program 
100.20 	(SNAP) employment and training program is upon the applicant or recipient. The county 
100.21 	agency shallmust use documents already in its possession to verify eligibility, and shall
100.22 	must help the applicant or recipient obtain other existing verification necessary to determine 
100.23 	eligibility which the applicant or recipient does not have and is unable to obtain.

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

100.25 	Sec. 5. Minnesota Statutes 2024, section 256D.06, subdivision 2, is amended to read:
100.26 		Subd. 2.Emergency need. (a) Notwithstanding the provisions of subdivision 1, a grant 
100.27 	of emergency general assistance shallmust, to the extent funds are available, be made to 
100.28 	an eligible single adult, married couple, or family for an emergency need where the recipient 
100.29 	requests temporary assistance not exceeding 30 days if an emergency situation appears to 
100.30 	exist under written criteria adopted by the county agency and provided to the commissioner 
100.31 	annually. If an applicant or recipient relates facts to the county agency which may be 
100.32 	sufficient to constitute an emergency situation, the county agency shallmust, to the extent 
100.33 	funds are available, advise the person of the procedure for applying for assistance according 
100.34 	to this subdivision.
101.1 	(b) The applicant must be ineligible for assistance under chapter 142G, must have annual 
101.2 	net income no greater than 200 percent of the federal poverty guidelines for the previous 
101.3 	calendar year, and may receive an emergency assistance grant not more than once in any 
101.4 	12-month period.
101.5 	(c) Funding for an emergency general assistance program is limited to the appropriation. 
101.6 	Each fiscal year, the commissioner shallmust allocate to counties the money appropriated 
101.7 	for emergency general assistance grants based on each county agency's average share of 
101.8 	state's emergency general expenditures for the immediate past three fiscal years as determined 
101.9 	by the commissioner, and may reallocate any unspent amounts to other counties. No county 
101.10 	shall be allocated less than $1,000 for a fiscal year.
101.11 	(d) Any emergency general assistance expenditures by a county above the amount of 
101.12 	the commissioner's allocation to the county must be made from county funds.

101.13 	EFFECTIVE DATE. This section is effective August 1, 2026.

101.14 	Sec. 6. Minnesota Statutes 2024, section 256D.54, subdivision 1, is amended to read:
101.15 		Subdivision 1.Potential eligibility. An applicant or recipient who is otherwise eligible 
101.16 	for supplemental aid and who is potentially eligible for maintenance benefits from any other 
101.17 	source shallmust (1) apply for those benefits within 30 90 days of the county's determination 
101.18 	of potential eligibility for those benefits; and (2) execute an interim assistance authorization 
101.19 	agreement on a form as directed by the commissioner.

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

101.21 	Sec. 7. Minnesota Statutes 2024, section 256I.04, subdivision 2b, is amended to read:
101.22 		Subd. 2b.Housing support agreements. (a) Agreements between agencies and providers 
101.23 	of housing support must be in writing on a form developed and approved by the commissioner 
101.24 	and must specify the name and address under which the establishment subject to the 
101.25 	agreement does business and under which the establishment, or service provider, if different 
101.26 	from the establishment, is licensed by the Department of Health or the Department of Human 
101.27 	Services; the specific license or registration from the Department of Health or the Department 
101.28 	of Human Services held by the provider and the number of beds subject to that license; the 
101.29 	address of the location or locations at which housing support is provided under this 
101.30 	agreement; the per diem and monthly rates that are to be paid from housing support funds 
101.31 	for each eligible resident at each location; the number of beds at each location which are 
101.32 	subject to the agreement; whether the license holder is a not-for-profit corporation under 
102.1 	section 501(c)(3) of the Internal Revenue Code; and a statement that the agreement is subject 
102.2 	to the provisions of sections 256I.01 to 256I.06 and subject to any changes to those sections.
102.3 	(b) Providers are required to verify the following minimum requirements in the 
102.4 	agreement:
102.5 	(1) current license or registration, including authorization if managing or monitoring 
102.6 	medications;
102.7 	(2) all staff who have direct contact with recipients meet the staff qualifications;
102.8 	(3) the provision of housing support;
102.9 	(4) the provision of supplementary services, if applicable;
102.10 	(5) reports of adverse events, including recipient death or serious injury;
102.11 	(6) submission of residency requirements that could result in recipient eviction; and
102.12 	(7) confirmation that the provider will not limit or restrict the number of hours an 
102.13 	applicant or recipient chooses to be employed, as specified in subdivision 5.
102.14 	(c) Agreements may be terminated with or without cause by the commissioner, the 
102.15 	agency, or the provider with two calendar months prior notice. The commissioner may 
102.16 	immediately terminate an agreement under subdivision 2d.
102.17 	(d) Agencies must develop a process by which the agency seeks, reviews, and approves 
102.18 	housing support agreements. Agencies must report the processes and results to the 
102.19 	commissioner in a format determined by the commissioner and must make the processes 
102.20 	available to prospective housing support providers. For the purposes of this paragraph, 
102.21 	"results" includes the number of housing support agreements that are approved and denied, 
102.22 	and if denied, the reason for the denial.

102.23 	EFFECTIVE DATE. This section is effective July 1, 2026.

102.24 	Sec. 8. REPEALER.
 102.25 	Minnesota Statutes 2024, section 256D.09, subdivisions 2a and 2b, are repealed.

103.1 	ARTICLE 6
103.2 	DEPARTMENT OF HUMAN SERVICES OFFICE OF THE INSPECTOR GENERAL

103.3 	Section 1. Minnesota Statutes 2025 Supplement, section 245A.10, subdivision 4, is 
103.4 	amended to read:
103.5 		Subd. 4.License or certification fee for certain programs. (a)(1) A program licensed 
103.6 	to provide one or more of the home and community-based services and supports identified 
103.7 	under chapter 245D to persons with disabilities or age 65 and older, shall must pay an annual 
103.8 	nonrefundable license fee based on revenues derived from the provision of services that 
103.9 	would require licensure under chapter 245D during the calendar year immediately preceding 
103.10 	the year in which the license fee is paid, according to the following schedule:

103.11	License Holder Annual Revenue
		License Fee
	
103.12	less than or equal to $10,000
		$250
	
103.13
103.14	greater than $10,000 but less than or 
equal to $25,000
		$375
	
103.15
103.16	greater than $25,000 but less than or 
equal to $50,000
		$500
	
103.17
103.18	greater than $50,000 but less than or 
equal to $100,000
		$625
	
103.19
103.20	greater than $100,000 but less than or 
equal to $150,000
		$750
	
103.21
103.22	greater than $150,000 but less than or 
equal to $200,000
		$1,000
	
103.23
103.24	greater than $200,000 but less than or 
equal to $250,000
		$1,250
	
103.25
103.26	greater than $250,000 but less than or 
equal to $300,000
		$1,500
	
103.27
103.28	greater than $300,000 but less than or 
equal to $350,000
		$1,750
	
103.29
103.30	greater than $350,000 but less than or 
equal to $400,000
		$2,000
	
103.31
103.32	greater than $400,000 but less than or 
equal to $450,000
		$2,250
	
103.33
103.34	greater than $450,000 but less than or 
equal to $500,000
		$2,500
	
103.35
103.36	greater than $500,000 but less than or 
equal to $600,000
		$2,850
	
103.37
103.38	greater than $600,000 but less than or 
equal to $700,000
		$3,200
	
103.39
103.40	greater than $700,000 but less than or 
equal to $800,000
		$3,600
	
104.1
104.2	greater than $800,000 but less than or 
equal to $900,000
		$3,900
	
104.3
104.4	greater than $900,000 but less than or 
equal to $1,000,000
		$4,250
	
104.5
104.6	greater than $1,000,000 but less than or 
equal to $1,250,000
		$4,550
	
104.7
104.8	greater than $1,250,000 but less than or 
equal to $1,500,000
		$4,900
	
104.9104.10
	greater than $1,500,000 but less than or 
equal to $1,750,000
		$5,200
	
104.11
104.12	greater than $1,750,000 but less than or 
equal to $2,000,000
		$5,500
	
104.13
104.14	greater than $2,000,000 but less than or 
equal to $2,500,000
		$5,900
	
104.15
104.16	greater than $2,500,000 but less than or 
equal to $3,000,000
		$6,200
	
104.17
104.18	greater than $3,000,000 but less than or 
equal to $3,500,000
		$6,500
	
104.19
104.20	greater than $3,500,000 but less than or 
equal to $4,000,000
		$7,200
	
104.21
104.22	greater than $4,000,000 but less than or 
equal to $4,500,000
		$7,800
	
104.23
104.24	greater than $4,500,000 but less than or 
equal to $5,000,000
		$9,000
	
104.25
104.26	greater than $5,000,000 but less than or 
equal to $7,500,000
		$10,000
	
104.27
104.28	greater than $7,500,000 but less than or 
equal to $10,000,000
		$14,000
	
104.29
104.30	greater than $10,000,000 but less than or 
equal to $12,500,000
		$18,000
	
104.31
104.32	greater than $12,500,000 but less than or 
equal to $15,000,000
		$25,000
	
104.33
104.34	greater than $15,000,000 but less than or 
equal to $17,500,000
		$28,000
	
104.35
104.36	greater than $17,500,000 but less than or 
equal to $20,000,000
		$32,000
	
104.37
104.38	greater than $20,000,000 but less than or 
equal to $25,000,000
		$36,000
	
104.39
104.40	greater than $25,000,000 but less than or 
equal to $30,000,000
		$45,000
	
104.41
104.42	greater than $30,000,000 but less than or 
equal to $35,000,000
		$55,000
	
104.43	greater than $35,000,000
		$75,000
	
105.1 	(2) If requested, the license holder shall must provide the commissioner information to 
105.2 	verify the license holder's annual revenues or other information as needed, including copies 
105.3 	of documents submitted to the Department of Revenue.
105.4 	(3) At each annual renewal, a license holder may elect to pay the highest renewal fee, 
105.5 	and not provide annual revenue information to the commissioner.
105.6 	(4) A license holder that knowingly provides the commissioner incorrect revenue amounts 
105.7 	for the purpose of paying a lower license fee shall must be subject to a civil penalty in the 
105.8 	amount of double the fee the provider should have paid.
105.9 	(b) A substance use disorder treatment program licensed under chapter 245G, to provide 
105.10 	substance use disorder treatment shall must pay an annual nonrefundable license fee based 
105.11 	on the following schedule:

105.12		Licensed Capacity
	License Fee
	
105.13		1 to 24 persons
	$2,600
	
105.14		25 to 49 persons
	$3,000
	
105.15		50 to 74 persons
	$5,000
	
105.16		75 to 99 persons
	$10,000
	
105.17		100  to 199 persons
	$15,000
	
105.18		200 or more persons
	$20,000
	
105.19 	(c) A detoxification program licensed under Minnesota Rules, parts 9530.6510 to 
105.20 	9530.6590, or a withdrawal management program licensed under chapter 245Fshall must
105.21 	pay an annual nonrefundable license fee based on the following schedule:

105.22		Licensed Capacity
	License Fee
	
105.23		1 to 24 persons
	$2,600
	
105.24		25 to 49 persons
	$3,000
	
105.25		50 or more persons
	$5,000
	
105.26 	A detoxification program that also operates a withdrawal management program at the same 
105.27 	location shall must only pay one fee based upon the licensed capacity of the program with 
105.28 	the higher overall capacity.
105.29 	(d) A children's residential facility licensed under Minnesota Rules, chapter 2960, to 
105.30 	serve children shall pay an annual nonrefundable license fee based on the following schedule:

105.31		Licensed Capacity
	License Fee
	
105.32		1 to 24 persons
	$1,000
	
105.33		25 to 49 persons
	$1,100
	
105.34		50 to 74 persons
	$1,200
	
106.1		75 to 99 persons
	$1,300
	
106.2		100 or more persons
	$1,400
	
106.3 	(e) A residential facility licensed under section 245I.23 or Minnesota Rules, parts 
106.4 	9520.0500 to 9520.0670, to serve persons with mental illness shall must pay an annual 
106.5 	nonrefundable license fee based on the following schedule:

106.6		Licensed Capacity
	License Fee
	
106.7		1 to 24 persons
	$2,600
	
106.8		25  to 49 persons
	$3,000
	
106.9		50 or more persons
	$20,000
	
106.10 	(f) A residential facility licensed under Minnesota Rules, parts 9570.2000 to 9570.3400, 
106.11 	to serve persons with physical disabilities shall must pay an annual nonrefundable license 
106.12 	fee based on the following schedule:

106.13		Licensed Capacity
	License Fee
	
106.14		1 to 24 persons
	$450
	
106.15		25 to 49 persons
	$650
	
106.16		50 to 74 persons
	$850
	
106.17		75 to 99 persons
	$1,050
	
106.18		100 or more persons
	$1,250
	
106.19 	(g) A program licensed as an adult day care center licensed under Minnesota Rules, 
106.20 	parts 9555.9600 to 9555.9730, shall must pay an annual nonrefundable license fee based 
106.21 	on the following schedule:

106.22		Licensed Capacity
	License Fee
	
106.23		1 to 24 persons
	$2,600
	
106.24		25 to 49 persons
	$3,000
	
106.25		50 to 74 persons
	$5,000
	
106.26		75 to 99 persons
	$10,000
	
106.27		100  to 199 persons
	$15,000
	
106.28		200 or more persons
	$20,000
	
106.29 	(h) A program licensed to provide treatment services to persons with sexual psychopathic 
106.30 	personalities or sexually dangerous persons under Minnesota Rules, parts 9515.3000 to 
106.31 	9515.3110, shall must pay an annual nonrefundable license fee of $20,000.
106.32 	(i) A mental health clinic certified under section 245I.20shall must pay an annual 
106.33 	nonrefundable certification fee of $1,550. If the mental health clinic provides services at a 
107.1 	primary location with satellite facilities, the satellite facilities shall must be certified with 
107.2 	the primary location without an additional charge.
107.3 	(j) If a program subject to annual fees under paragraph (b) provides services at a primary 
107.4 	location with satellite facilities, the satellite facilities must be licensed with the primary 
107.5 	location and must be subject to an additional $500 annual nonrefundable license fee per 
107.6 	satellite facility.

107.7 	Sec. 2. Minnesota Statutes 2025 Supplement, section 245A.142, subdivision 3, is amended 
107.8 	to read:
107.9 		Subd. 3.Provisional license. (a) Beginning January 1, 2026, the commissioner shall
107.10 	must begin issuing provisional licenses to agencies enrolled under chapter 256B to provide 
107.11 	EIDBI services.
107.12 	(b) Agencies enrolled before July 1, 2025, have until May 31, 2026, to submit an 
107.13 	application for provisional licensure on the forms and in the manner prescribed by the 
107.14 	commissioner.
107.15 	(c) Beginning June 1, 2026, an agency must not operate if it has not submitted an 
107.16 	application for provisional licensure under this section. The commissioner shall disenroll 
107.17 	an agency from providing EIDBI services under chapter 256B if the agency fails to submit 
107.18 	an application for provisional licensure by May 31, 2026.
107.19 	(d) The commissioner must determine whether a provisional license applicant complies 
107.20 	with all applicable rules and laws and either issue a provisional license to the applicant or 
107.21 	deny the application by December 31, 2026.
107.22 	(e) A provisional license is effective until comprehensive EIDBI agency licensure 
107.23 	standards are in effect unless the provisional license is suspended or revoked.
107.24 	(f) Initial provisional license applications are subject to the application fee under section 
107.25 	245A.10, subdivision 3.

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

107.27 	Sec. 3. Minnesota Statutes 2025 Supplement, section 245A.242, subdivision 2, is amended 
107.28 	to read:
107.29 		Subd. 2.Emergency overdose treatment. (a) A license holder must maintain a supply 
107.30 	of opiate antagonists as defined in section 604A.04, subdivision 1, available for emergency 
107.31 	treatment of opioid overdose and. For administration via intramuscular injection, a license 
108.1 	holder must have a written standing order protocol by a physician who is licensed under 
108.2 	chapter 147, advanced practice registered nurse who is licensed under chapter 148, or 
108.3 	physician assistant who is licensed under chapter 147A, that permits the license holder to 
108.4 	maintain a supply of intramuscular injection opiate antagonists on site. A license holder 
108.5 	must require staff to undergo training in the specific mode of administration used at the 
108.6 	program, which may include intranasal administration, intramuscular injection, or both, 
108.7 	before the staff has direct contact, as defined in section 245C.02, subdivision 11, with a 
108.8 	person served by the program.
108.9 	(b) Notwithstanding any requirements to the contrary in Minnesota Rules, chapters 2960
108.10 	and 9530, and Minnesota Statutes, chapters 245F, 245G, and 245I:
108.11 	(1) emergency opiate antagonist medications are not required to be stored in a locked 
108.12 	area and staff and adult clients may carry this medication on them and store it in an unlocked 
108.13 	location;
108.14 	(2) staff persons who only administer emergency opiate antagonist medications only 
108.15 	require the training required by paragraph (a), which any knowledgeable trainer may provide. 
108.16 	The trainer is not required to be a registered nurse or part of an accredited educational 
108.17 	institution; and
108.18 	(3) nonresidential substance use disorder treatment programs that do not administer 
108.19 	client medications beyond emergency opiate antagonist medications are not required to 
108.20 	have the policies and procedures required in section 245G.08, subdivisions 5 and 6, and 
108.21 	must instead describe the program's procedures for administering opiate antagonist 
108.22 	medications in the license holder's description of health care services under section 245G.08, 
108.23 	subdivision 1.

108.24 	Sec. 4. Minnesota Statutes 2024, section 245D.04, subdivision 3, is amended to read:
108.25 		Subd. 3.Protection-related rights. (a) A person's protection-related rights include the 
108.26 	right to:
108.27 	(1) have personal, financial, service, health, and medical information kept private, and 
108.28 	be advised of disclosure of this information by the license holder;
108.29 	(2) access records and recorded information about the person in accordance with 
108.30 	applicable state and federal law, regulation, or rule;
108.31 	(3) be free from maltreatment;
109.1 	(4) be free from restraint, time out, seclusion, restrictive intervention, or other prohibited 
109.2 	procedure identified in section 245D.06, subdivision 5, or successor provisions, except for: 
109.3 	(i) emergency use of manual restraint to protect the person from imminent danger to self 
109.4 	or others according to the requirements in section 245D.061 or successor provisions; or (ii) 
109.5 	the use of safety interventions as part of a positive support transition plan under section 
109.6 	245D.06, subdivision 8, or successor provisions;
109.7 	(5) receive services in a clean and safe environment when the license holder is the owner, 
109.8 	lessor, or tenant of the service site;
109.9 	(6) be treated with courtesy and respect and receive respectful treatment of the person's 
109.10 	property;
109.11 	(7) reasonable observance of cultural and ethnic practice and religion;
109.12 	(8) be free from bias and harassment regarding race, gender, age, disability, spirituality, 
109.13 	and sexual orientation;
109.14 	(9) be informed of and use the license holder's grievance policy and procedures, including 
109.15 	knowing how to contact persons responsible for addressing problems and to appeal under 
109.16 	section 256.045;
109.17 	(10) know the name, telephone number, and the website, email, and street addresses of 
109.18 	protection and advocacy services, including the appropriate state-appointed ombudsman, 
109.19 	and a brief description of how to file a complaint with these offices;
109.20 	(11) assert these rights personally, or have them asserted by the person's family, 
109.21 	authorized representative, or legal representative, without retaliation;
109.22 	(12) give or withhold written informed consent to participate in any research or 
109.23 	experimental treatment;
109.24 	(13) associate with other persons of the person's choice in the community;
109.25 	(14) personal privacy, including the right to use the lock on the person's bedroom or unit 
109.26 	door;
109.27 	(15) engage in chosen activities; and
109.28 	(16) access to the person's personal possessions at any time, including financial resources.
109.29 	(b) For a person residing in a residential site licensed according to chapter 245A, or 
109.30 	where the license holder is the owner, lessor, or tenant of the residential service site, 
109.31 	protection-related rights also include the right to:
110.1 	(1) have daily, private access to and use of a non-coin-operated telephone for local calls 
110.2 	and long-distance calls made collect or paid for by the person;
110.3 	(2) receive and send, without interference, uncensored, unopened mail or electronic 
110.4 	correspondence or communication;
110.5 	(3) have use of and free access to common areas in the residence and the freedom to 
110.6 	come and go from the residence at will;
110.7 	(4) choose the person's visitors and time of visits and have privacy for visits with the 
110.8 	person's spouse, next of kin, legal counsel, religious adviser, or others, in accordance with 
110.9 	section 363A.09 of the Human Rights Act, including privacy in the person's bedroom;
110.10 	(5) have access to three nutritionally balanced meals and nutritious snacks between 
110.11 	meals each day;
110.12 	(6) have freedom and support to access food and potable water at any time;
110.13 	(7) have the freedom to furnish and decorate the person's bedroom or living unit;
110.14 	(8) a setting that is clean and free from accumulation of dirt, grease, garbage, peeling 
110.15 	paint, mold, vermin, and insects;
110.16 	(9) a setting that is free from hazards that threaten the person's health or safety; and
110.17 	(10) a setting that meets the definition of a dwelling unit within a residential occupancy 
110.18 	as defined in the State Fire Code.
110.19 	(c) Restriction of a person's rights under paragraph (a), clauses (13) to (16), or paragraph 
110.20 	(b), clauses (1) to (7), is allowed only if determined necessary to ensure the health, safety, 
110.21 	and well-being of the person. Any restriction of those rights must be documented in the 
110.22 	person's support plan or support plan addendum. The restriction must be implemented in 
110.23 	the least restrictive alternative manner necessary to protect the person and provide support 
110.24 	to reduce or eliminate the need for the restriction in the most integrated setting and inclusive 
110.25 	manner. The documentation must include the following information:
110.26 	(1) the justification for the restriction based on an assessment of the person's vulnerability 
110.27 	related to exercising the right without restriction;
110.28 	(2) the objective measures set as conditions for ending the restriction;
110.29 	(3) a schedule for reviewing the need for the restriction based on the conditions for 
110.30 	ending the restriction to occur semiannually from the date of initial approval, at a minimum, 
110.31 	or more frequently if requested by the person, the person's legal representative, if any, and 
110.32 	case manager; and
111.1 	(4) signed and dated approval for the restriction from the person, or the person's legal 
111.2 	representative, if any. A restriction may be implemented only when the required approval 
111.3 	has been obtained. Approval may be withdrawn at any time. If approval is withdrawn, the 
111.4 	right must be immediately and fully restored.

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

111.6 	Sec. 5. Minnesota Statutes 2024, section 245D.10, subdivision 4, is amended to read:
111.7 		Subd. 4.Availability of current written policies and procedures. (a) The license 
111.8 	holder must review and update, as needed, the written policies and procedures required 
111.9 	under this chapter.
111.10 	(b)(1) The license holder must inform the person, the person's legal representative, and 
111.11 	case manager of the policies and procedures affecting a person's rights under section 245D.04, 
111.12 	and provide copies of those policies and procedures, within five working days of service 
111.13 	initiation.
111.14 	(2) If a license holder only provides basic services and supports, this includes the:
111.15 	(i) grievance policy and procedure required under subdivision 2; and
111.16 	(ii) service suspension and termination policy and procedure required under subdivision 
111.17 	3.; and
111.18 	(iii) emergency use of manual restraints policy and procedure required under section 
111.19 	245D.061, subdivision 9, or successor provisions.
111.20 	(3) For all other license holders this includes the:
111.21 	(i) policies and procedures in clause (2); and
111.22 	(ii) emergency use of manual restraints policy and procedure required under section 
111.23 	245D.061, subdivision 9, or successor provisions; and
111.24 	(iii) (ii) data privacy requirements under section 245D.11, subdivision 3.
111.25 	(c) The license holder must provide a written notice to all persons or their legal 
111.26 	representatives and case managers at least 30 days before implementing any procedural 
111.27 	revisions to policies affecting a person's service-related or protection-related rights under 
111.28 	section 245D.04 and maltreatment reporting policies and procedures. The notice must 
111.29 	explain the revision that was made and include a copy of the revised policy and procedure. 
111.30 	The license holder must document the reasonable cause for not providing the notice at least 
111.31 	30 days before implementing the revisions.
112.1 	(d) Before implementing revisions to required policies and procedures, the license holder 
112.2 	must inform all employees of the revisions and provide training on implementation of the 
112.3 	revised policies and procedures.
112.4 	(e) The license holder must annually notify all persons, or their legal representatives, 
112.5 	and case managers of any procedural revisions to policies required under this chapter, other 
112.6 	than those in paragraph (c). Upon request, the license holder must provide the person, or 
112.7 	the person's legal representative, and case manager with copies of the revised policies and 
112.8 	procedures.

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

112.10 	Sec. 6. Minnesota Statutes 2025 Supplement, section 260E.03, subdivision 6, is amended 
112.11 	to read:
112.12 		Subd. 6.Facility. "Facility" means:
112.13 	(1) a licensed or unlicensed day care facility, certified license-exempt child care center, 
112.14 	residential facility, agency, psychiatric residential treatment facility, hospital, sanitarium, 
112.15 	or other facility or institution required to be licensed under sections 144.50 to 144.58, 
112.16 	241.021, or 245A.01 to 245A.16, or chapter 142B, 142C, 144H, or 245D;
112.17 	(2) a school as defined in section 120A.05, subdivisions 9, 11, and 13; and chapter 124E; 
112.18 	or
112.19 	(3) a nonlicensed personal care provider organization as defined in section 256B.0625, 
112.20 	subdivision 19a.

112.21 	Sec. 7. Minnesota Statutes 2025 Supplement, section 260E.11, subdivision 1, is amended 
112.22 	to read:
112.23 		Subdivision 1.Reports of maltreatment in facility. A person mandated to report child 
112.24 	maltreatment occurring within a licensed facility shall must report the information to the 
112.25 	agency responsible for licensing or certifying the facility under sections 144.50 to 144.58, 
112.26 	241.021, and 245A.01 to 245A.16 or chapter 142B, 142C, 144H, or 245D or to a nonlicensed 
112.27 	personal care provider organization as defined in section 256B.0625, subdivision 19a. A 
112.28 	person mandated to report child maltreatment occurring within a federally certified 
112.29 	psychiatric residential treatment facility must report the information to the Department of 
112.30 	Health.

113.1 	Sec. 8. Minnesota Statutes 2025 Supplement, section 260E.14, subdivision 1, is amended 
113.2 	to read:
113.3 		Subdivision 1.Facilities and schools. (a) The local welfare agency is the agency 
113.4 	responsible for investigating allegations of maltreatment in child foster care, family child 
113.5 	care, legally nonlicensed child care, and reports involving children served by an unlicensed 
113.6 	personal care provider organization under section 256B.0659. Copies of findings related to 
113.7 	personal care provider organizations under section 256B.0659 must be forwarded to the 
113.8 	Department of Human Services provider enrollment.
113.9 	(b) The Department of Human Services is the agency responsible for screening and 
113.10 	investigating allegations of maltreatment in juvenile correctional facilities listed under 
113.11 	section 241.021 located in the local welfare agency's county and in facilities licensed or 
113.12 	certified under chapters 245A and 245D, except federally certified psychiatric residential 
113.13 	treatment facilities.
113.14 	(c) The Department of Health is the agency responsible for screening and investigating 
113.15 	allegations of maltreatment in facilities licensed under sections 144.50 to 144.58 and 144A.43 
113.16 	to 144A.482 or chapter 144H, and federally certified as a psychiatric residential treatment 
113.17 	facility.
113.18 	(d) The Department of Education is the agency responsible for screening and investigating 
113.19 	allegations of maltreatment in a school as defined in section 120A.05, subdivisions 9, 11, 
113.20 	and 13, and chapter 124E. The Department of Education's responsibility to screen and 
113.21 	investigate includes allegations of maltreatment involving students 18 through 21 years of 
113.22 	age, including students receiving special education services, up to and including graduation 
113.23 	and the issuance of a secondary or high school diploma.
113.24 	(e) The Department of Human Services is the agency responsible for screening and 
113.25 	investigating allegations of maltreatment of minors in an EIDBI agency operating under 
113.26 	sections 245A.142 and 256B.0949.
113.27 	(f) A health or corrections agency receiving a report may request the local welfare agency 
113.28 	to provide assistance pursuant to this section and sections 260E.20 and 260E.22.
113.29 	(g) The Department of Children, Youth, and Families is the agency responsible for 
113.30 	screening and investigating allegations of maltreatment in facilities or programs not listed 
113.31 	in paragraph (a) that are licensed or certified under chapters 142B and 142C.

114.1 	Sec. 9. Minnesota Statutes 2025 Supplement, section 626.5572, subdivision 13, is amended 
114.2 	to read:
114.3 		Subd. 13.Lead investigative agency. "Lead investigative agency" is the primary 
114.4 	administrative agency responsible for investigating reports made under section 626.557.
114.5 	(a) The Department of Health is the lead investigative agency for facilities or services 
114.6 	licensed or required to be licensed as hospitals, home care providers, nursing homes, boarding 
114.7 	care homes, hospice providers, residential facilities that are also federally certified as 
114.8 	intermediate care facilities that serve people with developmental disabilities, federally 
114.9 	certified psychiatric residential treatment facilities, or any other facility or service not listed 
114.10 	in this subdivision that is licensed or required to be licensed by the Department of Health 
114.11 	for the care of vulnerable adults. "Home care provider" has the meaning provided in section 
114.12 	144A.43, subdivision 4, and applies when care or services are delivered in the vulnerable 
114.13 	adult's home.
114.14 	(b) The Department of Human Services is the lead investigative agency for facilities or 
114.15 	services licensed or required to be licensed as adult day care, adult foster care, community 
114.16 	residential settings, programs for people with disabilities, EIDBI agencies, family adult day 
114.17 	services, mental health programs, mental health clinics, substance use disorder programs, 
114.18 	the Minnesota Sex Offender Program, or any other facility or service not listed in this 
114.19 	subdivision that is licensed or required to be licensed by the Department of Human Services, 
114.20 	except federally certified psychiatric residential treatment facilities. The Department of 
114.21 	Human Services is also the lead investigative agency for unlicensed EIDBI agencies under 
114.22 	section 256B.0949.
114.23 	(c) The county social service agency or its designee is the lead investigative agency for 
114.24 	all other reports, including but not limited to reports involving vulnerable adults receiving 
114.25 	services from a personal care provider organization under section 256B.0659.

114.26 	ARTICLE 7
114.27 	CHILDREN, YOUTH, AND FAMILIES

114.28 	Section 1. Minnesota Statutes 2024, section 142A.43, is amended to read:
114.29 	142A.43 GRANTS-IN-AID GRANTS TO YOUTH INTERVENTION PROGRAMS.
114.30 		Subdivision 1.Grants. (a) The commissioner may must make grants to nonprofit agencies 
114.31 	administering youth intervention programs in communities where the programs are or may 
114.32 	be established. Grants under this section are limited to available appropriations. No grant 
114.33 	may exceed $75,000.
115.1 	(b) "Youth intervention program" means a nonresidential community-based program 
115.2 	providing advocacy, education, counseling, mentoring, and referral services to youth and 
115.3 	their families experiencing personal, familial, school, legal, or chemical problems with the 
115.4 	goal of resolving the present problems and preventing the occurrence of the problems in 
115.5 	the future. The intent of the youth intervention program is to provide an ongoing stable 
115.6 	funding source to community-based early intervention programs for youth. Program design 
115.7 	may be different for the grantees depending on youth service needs of the communities 
115.8 	being served.
115.9 	(c) A grant under this section is contingent upon the agency obtaining local matching 
115.10 	money equal to the amount of the grant from the community in which the youth intervention 
115.11 	program is established. The matching requirement is intended to leverage the investment 
115.12 	of state and community money in supporting the efforts of the grantees to provide early 
115.13 	intervention services to youth and their families.
115.14 		Subd. 2.Applications. Applications for a grant-in-aid shall grant must be made submitted
115.15 	by the administering agency to the commissioner. The commissioner must provide the 
115.16 	application form, procedures for submitting application forms, criteria for review of the 
115.17 	application, and a description of the kinds of contributions in addition to cash that qualify 
115.18 	as local matching money.
115.19 	The grant-in-aid is contingent upon the agency having obtained from the community in 
115.20 	which the youth intervention program is established local matching money equal to the 
115.21 	amount of the grant that is sought. The matching requirement is intended to leverage the 
115.22 	investment of state and community dollars in supporting the efforts of the grantees to provide 
115.23 	early intervention services to youth and their families.
115.24 	The commissioner shall provide the application form, procedures for making application 
115.25 	form, criteria for review of the application, and kinds of contributions in addition to cash 
115.26 	that qualify as local matching money. No grant to any agency may exceed $75,000.
115.27 		Subd. 3.Grant allocation formula Youth Intervention Programs Association 
115.28 	grant. Up to five six percent of the appropriations to the grants-in-aid to the youth 
115.29 	intervention program may appropriation for grants under this section must be used for a 
115.30 	grant to the Minnesota Youth Intervention Programs Association for expenses in providing 
115.31 	collaboration, program development, professional development training, technical assistance, 
115.32 	and tracking, and analyzing, and reporting outcome data for the community-based grantees 
115.33 	of the program. The Minnesota Youth Intervention Programs Association is not required 
115.34 	to meet the match obligation matching requirement under subdivision 2 1, paragraph (c).
116.1 		Subd. 4.Report. On or before March 31 of each year, the Minnesota Youth Intervention 
116.2 	Programs Association shall report to the chairs and ranking minority members of the 
116.3 	committees and divisions with jurisdiction over public safety policy and finance children 
116.4 	and youth on the implementation, use, and administration of the grant program created
116.5 	under this section. The report shall include information sent by agencies administering youth 
116.6 	intervention programs to the Minnesota Youth Intervention Programs Association and the 
116.7 	Office of Justice Programs. At a minimum, the report must identify:
116.8 	(1) the grant recipients;
116.9 	(2) the geographic location of the grant recipients;
116.10 	(3) the total number of individuals served by all grant recipients, disaggregated by race, 
116.11 	ethnicity, and gender;
116.12 	(4) the total number of individuals served by all grant recipients who successfully 
116.13 	completed programming, disaggregated by age, race, ethnicity, and gender;
116.14 	(5) the total amount of money awarded in grants and the total amount remaining to be 
116.15 	awarded from each appropriation;
116.16 	(6) the amount of money granted to each recipient;
116.17 	(7) grantee grant recipient workplan objectives;
116.18 	(8) how the grant was used based on grantee grant recipient quarterly narrative reports 
116.19 	and financial reports; and
116.20 	(9) summarized relevant youth intervention program outcome survey data measuring 
116.21 	the developmental assets of participants, based on Search Institute's Developmental Assets 
116.22 	Framework.
116.23 		Subd. 5.Administrative costs. The commissioner may use up to ten percent of the 
116.24 	biennial appropriation for grants-in-aid to the youth intervention program to pay costs 
116.25 	incurred by the department in administering the youth intervention program.

116.26 	Sec. 2. Minnesota Statutes 2024, section 142B.10, subdivision 18, is amended to read:
116.27 		Subd. 18.Adoption agency; additional requirements. In addition to the other 
116.28 	requirements of this section, an individual or organization applying for a license to place 
116.29 	children for adoption must:
116.30 	(1) incorporate as a nonprofit corporation under chapter 317A or a nonprofit limited 
116.31 	liability company under chapter 322C;
117.1 	(2) file with the application for licensure a copy of the disclosure form required under 
117.2 	section 259.37, subdivision 2;
117.3 	(3) provide evidence that a bond has been obtained and will be continuously maintained 
117.4 	throughout the entire operating period of the agency, to cover the cost of transfer of records 
117.5 	to and storage of records by the agency which has agreed, according to rule established by 
117.6 	the commissioner, to receive the applicant agency's records if the applicant agency voluntarily 
117.7 	or involuntarily ceases operation and fails to provide for proper transfer of the records. The 
117.8 	bond must be made in favor of the agency which has agreed to receive the records; and
117.9 	(4) submit a financial review completed by an accountant to the commissioner each year 
117.10 	the license is renewed as required under section 142B.05, subdivision 1.

117.11 	Sec. 3. Minnesota Statutes 2024, section 245C.04, subdivision 1, is amended to read:
117.12 		Subdivision 1.Licensed programs; other child care programs. (a) The commissioner 
117.13 	shall conduct a background study of an individual required to be studied under section 
117.14 	245C.03, subdivision 1, at least upon application for initial license for all license types.
117.15 	(b) The commissioner shall conduct a background study of an individual required to be 
117.16 	studied under section 245C.03, subdivision 1, including a child care background study 
117.17 	subject as defined in section 245C.02, subdivision 6a, in a family child care program, licensed 
117.18 	child care center, certified license-exempt child care center, or legal nonlicensed child care 
117.19 	provider, on a schedule determined by the commissioner. Except as provided in section 
117.20 	245C.05, subdivision 5a, a child care background study must include submission of 
117.21 	fingerprints for a national criminal history record check and a review of the information 
117.22 	under section 245C.08. A background study for a child care program must be repeated 
117.23 	within five years from the most recent study conducted under this paragraph.
117.24 	(c) At reauthorization or When a new background study is needed under section 142E.16, 
117.25 	subdivision 2, for a legal nonlicensed child care provider authorized under chapter 142E:
117.26 	(1) for a background study affiliated with a legal nonlicensed child care provider, the 
117.27 	individual shall provide information required under section 245C.05, subdivision 1, 
117.28 	paragraphs (a), (b), and (d), to the commissioner and be fingerprinted and photographed 
117.29 	under section 245C.05, subdivision 5; and
117.30 	(2) the commissioner shall verify the information received under clause (1) and submit 
117.31 	the request in NETStudy 2.0 to complete the background study.
117.32 	(d) At reapplication for a family child care license:
118.1 	(1) for a background study affiliated with a licensed family child care center, the 
118.2 	individual shall provide information required under section 245C.05, subdivision 1, 
118.3 	paragraphs (a), (b), and (d), to the county agency, and be fingerprinted and photographed 
118.4 	under section 245C.05, subdivision 5;
118.5 	(2) the county agency shall verify the information received under clause (1) and forward 
118.6 	the information to the commissioner and submit the request in NETStudy 2.0 to complete 
118.7 	the background study; and
118.8 	(3) the background study conducted by the commissioner under this paragraph must 
118.9 	include a review of the information required under section 245C.08.
118.10 	(e) The commissioner is not required to conduct a study of an individual at the time of 
118.11 	reapplication for a license if the individual's background study was completed by the 
118.12 	commissioner of human services and the following conditions are met:
118.13 	(1) a study of the individual was conducted either at the time of initial licensure or when 
118.14 	the individual became affiliated with the license holder;
118.15 	(2) the individual has been continuously affiliated with the license holder since the last 
118.16 	study was conducted; and
118.17 	(3) the last study of the individual was conducted on or after October 1, 1995.
118.18 	(f) The commissioner of human services shall conduct a background study of an 
118.19 	individual specified under section 245C.03, subdivision 1, paragraph (a), clauses (2) to (6), 
118.20 	who is newly affiliated with a child foster family setting license holder:
118.21 	(1) the county or private agency shall collect and forward to the commissioner the 
118.22 	information required under section 245C.05, subdivisions 1 and 5, when the child foster 
118.23 	family setting applicant or license holder resides in the home where child foster care services 
118.24 	are provided; and
118.25 	(2) the background study conducted by the commissioner of human services under this 
118.26 	paragraph must include a review of the information required under section 245C.08, 
118.27 	subdivisions 1, 3, and 4.
118.28 	(g) The commissioner shall conduct a background study of an individual specified under 
118.29 	section 245C.03, subdivision 1, paragraph (a), clauses (2) to (6), who is newly affiliated 
118.30 	with an adult foster care or family adult day services and with a family child care license 
118.31 	holder or a legal nonlicensed child care provider authorized under chapter 142E and:
119.1 	(1) except as provided in section 245C.05, subdivision 5a, the county shall collect and 
119.2 	forward to the commissioner the information required under section 245C.05, subdivision 
119.3 	1, paragraphs (a) and (b), and subdivision 5, paragraph (b), for background studies conducted 
119.4 	by the commissioner for all family adult day services, for adult foster care when the adult 
119.5 	foster care license holder resides in the adult foster care residence, and for family child care 
119.6 	and legal nonlicensed child care authorized under chapter 142E;
119.7 	(2) the license holder shall collect and forward to the commissioner the information 
119.8 	required under section 245C.05, subdivisions 1, paragraphs (a) and (b); and 5, paragraphs 
119.9 	(a) and (b), for background studies conducted by the commissioner for adult foster care 
119.10 	when the license holder does not reside in the adult foster care residence; and
119.11 	(3) the background study conducted by the commissioner under this paragraph must 
119.12 	include a review of the information required under section 245C.08, subdivision 1, paragraph 
119.13 	(a), and subdivisions 3 and 4.
119.14 	(h) Applicants for licensure, license holders, and other entities as provided in this chapter 
119.15 	must submit completed background study requests to the commissioner using the electronic 
119.16 	system known as NETStudy before individuals specified in section 245C.03, subdivision 
119.17 	1, begin positions allowing direct contact in any licensed program.
119.18 	(i) For an individual who is not on the entity's active roster, the entity must initiate a 
119.19 	new background study through NETStudy when:
119.20 	(1) an individual returns to a position requiring a background study following an absence 
119.21 	of 120 or more consecutive days; or
119.22 	(2) a program that discontinued providing licensed direct contact services for 120 or 
119.23 	more consecutive days begins to provide direct contact licensed services again.
119.24 	The license holder shall maintain a copy of the notification provided to the commissioner 
119.25 	under this paragraph in the program's files. If the individual's disqualification was previously 
119.26 	set aside for the license holder's program and the new background study results in no new 
119.27 	information that indicates the individual may pose a risk of harm to persons receiving 
119.28 	services from the license holder, the previous set-aside shall remain in effect.
119.29 	(j) For purposes of this section, a physician licensed under chapter 147, advanced practice 
119.30 	registered nurse licensed under chapter 148, or physician assistant licensed under chapter 
119.31 	147A is considered to be continuously affiliated upon the license holder's receipt from the 
119.32 	commissioner of health or human services of the physician's, advanced practice registered 
119.33 	nurse's, or physician assistant's background study results.
120.1 	(k) For purposes of family child care, a substitute caregiver must receive repeat 
120.2 	background studies at the time of each license renewal.
120.3 	(l) A repeat background study at the time of license renewal is not required if the family 
120.4 	child care substitute caregiver's background study was completed by the commissioner on 
120.5 	or after October 1, 2017, and the substitute caregiver is on the license holder's active roster 
120.6 	in NETStudy 2.0.
120.7 	(m) Before and after school programs authorized under chapter 142E, are exempt from 
120.8 	the background study requirements under section 123B.03, for an employee for whom a 
120.9 	background study under this chapter has been completed.

120.10 	Sec. 4. Minnesota Statutes 2024, section 256B.055, subdivision 17, is amended to read:
120.11 		Subd. 17.Adults who were in foster care at the age of 18, 19, or 20. (a) Medical 
120.12 	assistance may be paid for a person under 26 years of age who was in foster care under the 
120.13 	commissioner's responsibility on the date of attaining 18, 19, or 20 years of age or receiving 
120.14 	foster care benefits past 18 years of age under section 260C.451, and who was enrolled in 
120.15 	medical assistance under the state plan or a waiver of the plan while in foster care, in 
120.16 	accordance with section 2004 of the Affordable Care Act.
120.17 	(b) Medical assistance may be paid for a person under 26 years of age who was in foster 
120.18 	care and enrolled in any state's Medicaid program as provided by Public Law 115-271, 
120.19 	section 1002.
120.20 	(c) The commissioner shall must seek federal waiver approval under United States Code, 
120.21 	title 42, section 1315, to include youth who were in a state's foster care program and who 
120.22 	turned age 18 prior to January 1, 2023, without regard to potential eligibility under a Medicaid 
120.23 	mandatory group.

120.24 	Sec. 5. Minnesota Statutes 2024, section 259.83, subdivision 1, is amended to read:
120.25 		Subdivision 1.Services provided. (a) Agencies shallmust provide assistance and 
120.26 	counseling services upon receiving a request for current information from adoptive parents, 
120.27 	birth parents, adopted persons aged 18 years of age and older, or adult siblings of adopted 
120.28 	persons. The agency shallmust contact the other adult persons or the adoptive parents of a 
120.29 	minor child in a personal and confidential manner to determine whether there is a desire to 
120.30 	receive or share information or to have contact. If there is such a desire, the agency shall
120.31 	must provide the services requested. The agency shallmust complete the search request 
120.32 	within six months of the request being made. If the agency is unable to complete the search 
121.1 	request within the specified time frame, the agency shallmust inform the requester of the 
121.2 	status of the request and include a reasonable estimate of when the request can be completed.
121.3 	(b) Upon a request for assistance or services from an adoptive parent of a minor child, 
121.4 	birth parent, or an adopted person 18 years of age or older, the agency must inform the 
121.5 	person:
121.6 	(1) about the right of an adopted person to request and obtain a copy of the adopted 
121.7 	person's original birth record at the age and circumstances specified in section 144.2253
121.8 	144.2252; and
121.9 	(2) about the right of the birth parent named on the adopted person's original birth record 
121.10 	to file a contact preference form with the state registrar pursuant to section 144.2253.
121.11 	When making or supervising an adoptive placement, the agency must provide in writing to 
121.12 	the birth parents listed on the original birth record the information required under this 
121.13 	paragraph and section 259.37, subdivision 2, clause (7).

121.14 	Sec. 6. Minnesota Statutes 2024, section 260.67, subdivision 1, is amended to read:
121.15 		Subdivision 1.Preference for permanency placement with a relative. Consistent with 
121.16 	section 260C.513, if an African American or disproportionately represented child cannot 
121.17 	be returned to the child's parent, permanency placement with a relative is preferred. The 
121.18 	court shallmust consider the requirements of and responsibilities under section 260.012, 
121.19 	paragraph (a), and, if possible and if requirements under section 260C.515, subdivision 4, 
121.20 	are met, transfer permanent legal and physical custody of the child to:
121.21 	(1) a noncustodial parent under section 260C.515, subdivision 4, if the child cannot 
121.22 	return to the care of the parent or custodian from whom the child was removed or who had 
121.23 	legal custody at the time that the child was placed in foster care; or
121.24 	(2) a willing and able relative, according to the requirements of section 260C.515, 
121.25 	subdivision 4. When the responsible social services agency is the petitioner, prior to the 
121.26 	court ordering a transfer of permanent legal and physical custody to a relative, the responsible 
121.27 	social services agency must inform the relative of Northstar kinship assistance benefits and 
121.28 	eligibility requirements and of the relative's ability to apply for benefits on behalf of the 
121.29 	child under chapter 256N sections 142A.60 to 142A.612.

121.30 	Sec. 7. Minnesota Statutes 2024, section 260C.190, subdivision 1, is amended to read:
121.31 		Subdivision 1.Placement. (a) An agency with legal responsibility for a child under 
121.32 	section 260C.178, subdivision 1, paragraph (c), or legal custody of a child under section 
122.1 	260C.201, subdivision 1, paragraph (a), clause (3) (2), may colocate a child with a parent 
122.2 	who is receiving services in a licensed residential family-based substance use disorder 
122.3 	treatment program for up to 12 months.
122.4 	(b) During the child's placement under paragraph (a), the agency: (1) may visit the child 
122.5 	as the agency deems necessary and appropriate; (2) shallmust continue to have access to 
122.6 	information under section 260C.208; and (3) shallmust continue to provide appropriate 
122.7 	services to both the parent and the child.
122.8 	(c) The agency may terminate the child's placement under paragraph (a) to protect the 
122.9 	child's health, safety, or welfare and may remove the child to foster care without a prior 
122.10 	court order or authorization.

122.11 	Sec. 8. Minnesota Statutes 2024, section 260C.212, subdivision 4a, is amended to read:
122.12 		Subd. 4a.Monthly caseworker visits. (a) Every child in foster care or on a trial home 
122.13 	visit shallmust be visited by the child's caseworker or another person who has responsibility 
122.14 	for visitation of the child on a monthly basis, with the majority of visits occurring in the 
122.15 	child's residence. The responsible social services agency may designate another person 
122.16 	responsible for monthly case visits. For the purposes of this section, the following definitions 
122.17 	apply:
122.18 	(1) "visit" is defined as a face-to-face contact between a child and the child's caseworker. 
122.19 	For a youth 18 years of age or older, a visit may be conducted via video conference with 
122.20 	the youth's informed consent;
122.21 	(2) "visited on a monthly basis" is defined as at least one visit per calendar month;
122.22 	(3) "the child's caseworker" is defined as the person who has responsibility for managing 
122.23 	the child's foster care placement case as assigned by the responsible social services agency;
122.24 	(4) "another person" means the professional staff whom the responsible social services 
122.25 	agency has assigned in the out-of-home placement plan or case plan. Another person must 
122.26 	be professionally trained to assess the child's safety, permanency, well-being, and case 
122.27 	progress. The agency may not designate the guardian ad litem, the child foster care provider, 
122.28 	residential facility staff, or a qualified individual as defined in section 260C.007, 
122.29 	subdivision26b, as another person; and
122.30 	(5) "the child's residence" is defined as the home where the child is residing, and can 
122.31 	include the foster home, child care institution, or the home from which the child was removed 
122.32 	if the child is on a trial home visit.
123.1 	(b) Caseworker visits shallmust be of sufficient substance and duration to address issues 
123.2 	pertinent to case planning and service delivery to ensure the safety, permanency, and 
123.3 	well-being of the child, including whether the child is enrolled and attending school as 
123.4 	required by law.
123.5 	(c) Every effort shallmust be made by the responsible social services agency and 
123.6 	professional staff to have the monthly visit with the child outside the presence of the child's 
123.7 	parents, foster parents, or facility staff. There may be situations related to the child's needs 
123.8 	when a caseworker visit cannot occur with the child alone. The reason the caseworker visit 
123.9 	occurred in the presence of others must be documented in the case record and may include:
123.10 	(1) that the child exhibits intense emotion or behavior indicating that visiting without 
123.11 	the presence of the parent, foster parent, or facility staff would be traumatic for the child;
123.12 	(2) that despite a caseworker's efforts, the child declines to visit with the caseworker 
123.13 	outside the presence of the parent, foster parent, or facility staff; and
123.14 	(3) that the child has a specific developmental delay, physical limitation, incapacity, 
123.15 	medical device, or significant medical need, such that the parent, foster parent, or facility 
123.16 	staff is required to be present with the child during the visit.

123.17 	Sec. 9. Minnesota Statutes 2024, section 260C.451, subdivision 2, is amended to read:
123.18 		Subd. 2.Independent living plan. Upon the request of (a) For any child in foster care 
123.19 	who is 14 years of age or older, the responsible social services agency must, in conjunction 
123.20 	with the child and other appropriate parties, develop and update the child's independent 
123.21 	living plan required under section 260C.212, subdivision 1, paragraph (c), clause (12).
123.22 	(b) For any child in foster care immediately prior to the child's 18th birthday and who 
123.23 	is in foster care at the time of the request, the responsible social services agency shall must, 
123.24 	in conjunction with the child and other appropriate parties, update the child's independent 
123.25 	living plan required under section 260C.212, subdivision 1, paragraph (c), clause (12), 
123.26 	related to the child's employment, vocational, educational, social, or maturational needs and 
123.27 	submit it to the court as part of the required review under section 260C.202, subdivision 3. 
123.28 	The agency shall must provide continued services and foster care for the child including 
123.29 	those services that are necessary to implement the independent living plan.

123.30 	Sec. 10. Minnesota Statutes 2024, section 260C.451, subdivision 3, is amended to read:
123.31 		Subd. 3.Eligibility to continue in foster care. A child in foster care immediately prior 
123.32 	to the child's 18th birthday may continue in foster care past age 18 unless:
124.1 	(1) the child can safely return home; or
124.2 	(2) the child is in placement pursuant to the agency's duties under section 256B.092 and 
124.3 	Minnesota Rules, parts 9525.0004 to 9525.0016, to meet the child's needs due to a 
124.4 	developmental disability or related condition, and the child will be served as an adult under 
124.5 	section 256B.092 and Minnesota Rules, parts 9525.0004 to 9525.0016; or
124.6 	(3) the child can be adopted or have permanent legal and physical custody transferred 
124.7 	to a relative prior to the child's 18th birthday.

124.8 	Sec. 11. Minnesota Statutes 2024, section 260C.451, subdivision 3a, is amended to read:
124.9 		Subd. 3a.Eligibility criteria. The child must meet at least one of the following conditions 
124.10 	to be considered eligible to continue in or return to foster care and remain there to age 21. 
124.11 	The child must be:
124.12 	(1) completing secondary education or a program leading to an equivalent credential, 
124.13 	including transition programs through a public or private school;
124.14 	(2) enrolled in an institution that provides postsecondary or vocational education;
124.15 	(3) participating in a program or activity designed to promote or remove barriers to 
124.16 	employment;
124.17 	(4) employed for at least 80 hours per month, including receiving benefits under chapter 
124.18 	268B; or
124.19 	(5) incapable of doing any of the activities described in clauses (1) to (4) due to a medical 
124.20 	condition.

124.21 	Sec. 12. Minnesota Statutes 2025 Supplement, section 260C.451, subdivision 8, is amended 
124.22 	to read:
124.23 		Subd. 8.Notice of termination of foster care. When a child in foster care between the 
124.24 	ages of 18 and 21 ceases to meet one of the eligibility criteria of subdivision 3a, the 
124.25 	responsible social services agency shall must give the child written notice that foster care 
124.26 	will terminate 30 days from the date the notice is sent. The agency must send a copy of the 
124.27 	written notice to the commissioner of children, youth, and families. The child or the child's 
124.28 	guardian ad litem may file a motion asking the court to review the agency's determination 
124.29 	within 15 days of receiving the notice. The child shall must not be discharged from foster 
124.30 	care until the motion is heard. The agency shall work must engage with the child to develop 
124.31 	a transition out of foster care plan as required under section 260C.452, subdivision 4, 
125.1 	paragraph (d), that addresses the goals listed in section 260C.203, subdivision 4, clause (2). 
125.2 	The written notice of termination of benefits shall must be on a form prescribed by the 
125.3 	commissioner and shall must also give notice of the right to have the agency's determination 
125.4 	reviewed by the court in the proceeding where the court conducts the reviews required under 
125.5 	section 260C.203, 260C.317, or 260C.515, subdivision 5 or 6. A copy of the termination 
125.6 	notice shall must be sent to the child and the child's attorney, if any, the foster care provider, 
125.7 	the child's guardian ad litem, the commissioner of children, youth, and families, and the 
125.8 	court. The agency is not responsible for paying foster care benefits for any period of time 
125.9 	after the child actually leaves foster care.

125.10 	Sec. 13. Minnesota Statutes 2024, section 260E.02, subdivision 1, is amended to read:
125.11 		Subdivision 1.Establishment of team. A county shall establish a multidisciplinary 
125.12 	child protection team that may include but is not limited to the director of the local welfare 
125.13 	agency or designees, the county attorney or designees, the county sheriff or designees, 
125.14 	representatives of health and education, representatives of mental health, representatives of 
125.15 	agencies providing specialized services or responding to youth who experience or are at 
125.16 	risk of experiencing sex or labor trafficking or sexual exploitation or whose family members 
125.17 	have been identified as missing and murdered Indigenous relatives, or other appropriate 
125.18 	human services, children's services, or community-based agencies, and parent groups. As 
125.19 	used in this section, a "community-based agency" may include, but is not limited to, schools, 
125.20 	social services agencies, Tribal social services agencies, family service and mental health 
125.21 	collaboratives, children's advocacy centers, early childhood and family education programs, 
125.22 	Head Start, or other agencies serving children and families. A member of the team must be 
125.23 	designated as the lead person of the team responsible for the planning process to develop 
125.24 	standards for the team's activities with battered women's and domestic abuse programs and 
125.25 	services.

125.26 	Sec. 14. Minnesota Statutes 2024, section 260E.02, subdivision 2, is amended to read:
125.27 		Subd. 2.Duties of team. A multidisciplinary child protection team may provide public 
125.28 	and professional education, develop resources for prevention, intervention, and treatment, 
125.29 	and provide case consultation to the local welfare agency or other interested community-based 
125.30 	agencies. The community-based agencies may request case consultation from the 
125.31 	multidisciplinary child protection team regarding a child or family for whom the 
125.32 	community-based agency is providing services. As used in this section, "case consultation" 
125.33 	means a case review process in which recommendations are made concerning services to 
125.34 	be provided to the identified children and family. Case consultation may be performed by 
126.1 	a committee or subcommittee of members representing human services or children's services, 
126.2 	including mental health and substance use disorder providers; law enforcement, including 
126.3 	probation and parole; Tribal law enforcement; the county attorney; a children's advocacy 
126.4 	center; health care; education; community-based agencies and other necessary agencies; 
126.5 	and persons directly involved in an individual case as designated by other members 
126.6 	performing case consultation.

126.7 	Sec. 15. Minnesota Statutes 2024, section 260E.02, is amended by adding a subdivision 
126.8 	to read:
126.9 		Subd. 3a.Missing and murdered Indigenous relatives. A multidisciplinary child 
126.10 	protection team may assist the local welfare agency, the local law enforcement agency, or 
126.11 	an appropriate private organization in developing a responsive program for youth who are 
126.12 	at risk of going missing or being murdered, or whose family member has been identified 
126.13 	as a missing and murdered Indigenous relative. At least one representative of a nonprofit 
126.14 	agency serving youth who are at risk of going missing or being murdered, or an agency 
126.15 	serving families with missing and murdered Indigenous relatives, must be appointed to and 
126.16 	serve on the multidisciplinary child protection team in addition to the standing members of 
126.17 	the team.

126.18 	Sec. 16. Laws 2025, First Special Session chapter 3, article 22, section 20, subdivision 2, 
126.19 	is amended to read:

126.20
126.21	Subd. 2.Youth Intervention Programs 
Association Grant
 					
126.22 	Notwithstanding the percentage requirement 
126.23 	under Minnesota Statutes, section 142A.43, 
126.24 	subdivision 3, $355,000 in fiscal year 2026 
126.25 	and $355,000 in fiscal year 2027 are is for a 
126.26 	grant to the Minnesota Youth Intervention 
126.27 	Programs Association for collaboration, 
126.28 	program development, professional 
126.29 	development training, technical assistance, 
126.30 	tracking, and analyzing and reporting outcome 
126.31 	data for the community-based grantees of the 
126.32 	program.

127.1 	ARTICLE 8
127.2 	MNSURE POLICY

127.3 	Section 1. Minnesota Statutes 2024, section 62V.05, subdivision 7, is amended to read:
127.4 		Subd. 7.Agreements; consultation. (a) The board shall:
127.5 	(1) establish and maintain an agreement with the commissioner of human services for 
127.6 	cost allocation and services regarding eligibility determinations and enrollment for public 
127.7 	health care programs that use a modified adjusted gross income standard to determine 
127.8 	program eligibility. The board may establish and maintain an agreement with the 
127.9 	commissioner of human services for other services;
127.10 	(2) establish and maintain an agreement with the commissioners of commerce and health 
127.11 	for services regarding enforcement of MNsure certification requirements for health plans 
127.12 	and dental plans offered through MNsure. The board may establish and maintain agreements 
127.13 	with the commissioners of commerce and health for other services; and
127.14 	(3) establish interagency agreements to transfer funds to other state agencies for their 
127.15 	costs related to implementing and operating MNsure, excluding medical assistance allocatable 
127.16 	costs.
127.17 	(b) The board shall consult with the commissioners of commerce and health regarding 
127.18 	the operations of MNsure.
127.19 	(c) The board shall consult with Indian tribes and organizations regarding the operation 
127.20 	of MNsure.
127.21 	(d) Beginning March 15, 2016, and each March 15 thereafter, the board shall submit a 
127.22 	report to the chairs and ranking minority members of the committees in the senate and house 
127.23 	of representatives with primary jurisdiction over commerce, health, and human services on 
127.24 	all the agreements entered into with the chief information officer of the Department of 
127.25 	Information Technology Services, or the commissioners of human services, health, or 
127.26 	commerce in accordance with this subdivision. The report shall include the agency in which 
127.27 	the agreement is with; the time period of the agreement; the purpose of the agreement; and 
127.28 	a summary of the terms of the agreement. A copy of the agreement must be submitted to 
127.29 	the extent practicable.

128.1 	Sec. 2. Minnesota Statutes 2024, section 62V.13, is amended to read:
128.2 	62V.13 EASY ENROLLMENT HEALTH INSURANCE OUTREACH PROGRAM.
128.3 		Subdivision 1.Establishment. The board, in cooperation with the commissioner of 
128.4 	revenue, must establish the easy enrollment health insurance outreach program to:
128.5 	(1) reduce the number of uninsured Minnesotans and increase access to affordable health 
128.6 	insurance coverage;
128.7 	(2) allow the commissioner of revenue to provide return information, at the request of 
128.8 	the taxpayer, to MNsure to provide the taxpayer with information about the taxpayer's 
128.9 	potential eligibility for financial assistance and health insurance enrollment options through 
128.10 	MNsure;
128.11 	(3) allow MNsure to estimate taxpayer potential eligibility for financial assistance for 
128.12 	health insurance coverage provide general information regarding potential eligibility for 
128.13 	health insurance programs and financial assistance available through MNsure; and
128.14 	(4) allow MNsure to conduct targeted outreach to assist interested taxpayer households 
128.15 	in applying for and enrolling in affordable health insurance options through MNsure, 
128.16 	including connecting interested taxpayer households with a navigator or broker for free 
128.17 	enrollment assistance.
128.18 		Subd. 2.Screening for eligibility for insurance assistance. Upon receipt of and based 
128.19 	on return information received from the commissioner of revenue under section 270B.14, 
128.20 	subdivision 22, MNsure may make a projected assessment on whether the interested 
128.21 	taxpayer's household may qualify for a financial assistance program for health insurance 
128.22 	coverage review the information to identify households that may benefit from health coverage 
128.23 	through MNsure and provide general information on available coverage and financial 
128.24 	assistance programs.
128.25 		Subd. 3.Outreach letter and special enrollment period. (a) MNsure must provide a 
128.26 	written letter of the projected assessment under subdivision 2 with general information 
128.27 	about health insurance coverage and financial assistance available through MNsure to a 
128.28 	taxpayer who indicates to the commissioner of revenue that the taxpayer is interested in 
128.29 	obtaining information on access to health insurance.
128.30 	(b) MNsure must allow a special enrollment period for taxpayers who receive the outreach 
128.31 	letter in paragraph (a) and are determined eligible to enroll in a qualified health plan through 
128.32 	MNsure. The triggering event for the special enrollment period is the day the outreach letter 
128.33 	under this subdivision is mailed to the taxpayer. An eligible individual, and their dependents, 
129.1 	have 65 days from the triggering event to select a qualifying health plan and coverage for 
129.2 	the qualifying health plan is effective the first day of the month after plan selection.
129.3 	(c) Taxpayers who have a member of the taxpayer's household currently enrolled in a 
129.4 	qualified health plan through MNsure are not eligible for the special enrollment under 
129.5 	paragraph (b).
129.6 	(d) MNsure must provide information to the general public about the easy enrollment 
129.7 	health insurance outreach program and the special enrollment period described in this 
129.8 	subdivision.
129.9 		Subd. 4.Appeals. (a) Projected Any eligibility assessments for financial assistance under 
129.10 	this section are not appealable information provided under this section is not appealable.
129.11 	(b) Qualification for the special enrollment period under this section is appealable to 
129.12 	MNsure under this chapter and Minnesota Rules, chapter 7700.

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

129.14 	ARTICLE 9
129.15 	MISCELLANEOUS

129.16 	Section 1. Minnesota Statutes 2024, section 62A.01, is amended by adding a subdivision 
129.17 	to read:
129.18 		Subd. 5.Direct primary care service agreements. (a) A direct primary care service 
129.19 	agreement under section 62Q.20 is not insurance and is not subject to this chapter. Entering 
129.20 	into a direct primary care service agreement is not the business of insurance and is not 
129.21 	subject to this chapter or chapter 60A.
129.22 	(b) A health care provider or agent of a health care provider is not required to obtain a 
129.23 	certificate of authority or license under this chapter or chapter 60A, 62C, 62D, or 62N to 
129.24 	market, sell, or offer to sell a direct primary care service agreement that meets the 
129.25 	requirements of section 62Q.20.

129.26 	Sec. 2. Minnesota Statutes 2024, section 62A.011, subdivision 3, is amended to read:
129.27 		Subd. 3.Health plan. "Health plan" means a policy or certificate of accident and sickness 
129.28 	insurance as defined in section 62A.01 offered by an insurance company licensed under 
129.29 	chapter 60A; a subscriber contract or certificate offered by a nonprofit health service plan 
129.30 	corporation operating under chapter 62C; a health maintenance contract or certificate offered 
129.31 	by a health maintenance organization operating under chapter 62D; a health benefit certificate 
130.1 	offered by a fraternal benefit society operating under chapter 64B; or health coverage offered 
130.2 	by a joint self-insurance employee health plan operating under chapter 62H. Health plan 
130.3 	means individual and group coverage, unless otherwise specified. Health plan does not 
130.4 	include coverage that is:
130.5 	(1) limited to disability or income protection coverage;
130.6 	(2) automobile medical payment coverage;
130.7 	(3) liability insurance, including general liability insurance and automobile liability 
130.8 	insurance, or coverage issued as a supplement to liability insurance;
130.9 	(4) designed solely to provide payments on a per diem, fixed indemnity, or 
130.10 	non-expense-incurred basis, including coverage only for a specified disease or illness or 
130.11 	hospital indemnity or other fixed indemnity insurance, if the benefits are provided under a 
130.12 	separate policy, certificate, or contract for insurance; there is no coordination between the 
130.13 	provision of benefits and any exclusion of benefits under any group health plan maintained 
130.14 	by the same plan sponsor; and the benefits are paid with respect to an event without regard 
130.15 	to whether benefits are provided with respect to such an event under any group health plan 
130.16 	maintained by the same plan sponsor;
130.17 	(5) credit accident and health insurance as defined in section 62B.02;
130.18 	(6) designed solely to provide hearing, dental, or vision care;
130.19 	(7) blanket accident and sickness insurance as defined in section 62A.11;
130.20 	(8) accident-only coverage;
130.21 	(9) a long-term care policy as defined in section 62A.46 or 62S.01;
130.22 	(10) issued as a supplement to Medicare, as defined in sections 62A.3099 to 62A.44, or 
130.23 	policies, contracts, or certificates that supplement Medicare issued by health maintenance 
130.24 	organizations or those policies, contracts, or certificates governed by section 1833 or 1876, 
130.25 	section 1851, et seq.; or section 1860D-1, et seq., of title XVIII of the federal Social Security 
130.26 	Act, et seq., as amended;
130.27 	(11) workers' compensation insurance;
130.28 	(12) issued solely as a companion to a health maintenance contract as described in section 
130.29 	62D.12, subdivision 1a, so long as the health maintenance contract meets the definition of 
130.30 	a health plan;
130.31 	(13) coverage for on-site medical clinics; or
131.1 	(14) coverage supplemental to the coverage provided under United States Code, title 
131.2 	10, chapter 55, Civilian Health and Medical Program of the Uniformed Services 
131.3 	(CHAMPUS).; or
131.4 	(15) coverage provided under a direct primary care service agreement described under 
131.5 	section 62Q.20.

131.6 	Sec. 3. [62Q.20] DIRECT PRIMARY CARE SERVICE AGREEMENT.
131.7 		Subdivision 1.Definitions. (a) For purposes of this section, the following terms have 
131.8 	the meanings given.
131.9 	(b) "Direct fee" means a fee charged by a direct primary care practice as consideration 
131.10 	for being available to provide and for providing primary care services  to a direct patient as 
131.11 	specified in the direct agreement.
131.12 	(c) "Direct patient" means an individual who is party to a direct agreement and is entitled 
131.13 	to receive primary care services under the direct agreement from the direct primary care 
131.14 	practice.
131.15 	(d) "Direct primary care practice" or "direct practice" means a primary care provider 
131.16 	who furnishes primary care services through a direct agreement.
131.17 	(e) "Direct primary care service agreement" or "direct agreement" means a written 
131.18 	agreement  entered into between a direct primary care practice and a direct patient, or the 
131.19 	direct patient's legal representative, in which the primary care direct practice charges a direct 
131.20 	fee as consideration for being available to provide and for providing direct primary care 
131.21 	services to the direct patient.
131.22 	(f) "Primary care provider" means a physician who is licensed under chapter 147 or an 
131.23 	advanced practice registered nurse licensed under chapter 148, who is authorized to engage 
131.24 	in independent practice, and who is qualified to provide primary care services. This term 
131.25 	includes an individual primary care provider or a group of primary care providers.
131.26 	(g) "Primary care services" means:
131.27 	(1) routine health care services, including screening, assessment, diagnosis, and treatment 
131.28 	for the purpose of the promotion of health, and the detection and management of disease 
131.29 	or injury within the competency and training of the primary care provider;
131.30 	(2) medical supplies and prescription drugs that are administered or dispensed in the 
131.31 	primary care provider's office or clinic; and
132.1 	(3) laboratory work, including routine blood screening and routine pathology screening 
132.2 	performed by a laboratory that is either associated with the direct primary care practice or 
132.3 	is not associated with the direct primary care practice but has entered into a contract with 
132.4 	the practice to provide laboratory work without charging a fee to the patient for the laboratory 
132.5 	work.
132.6 		Subd. 2.Direct primary care services agreement requirements. (a) To be considered 
132.7 	a direct primary care service agreement for purposes of this section, the direct agreement 
132.8 	must:
132.9 	(1) be in writing;
132.10 	(2) be signed by the primary care provider or agent of the primary care practice and the 
132.11 	direct patient or the patient's legal representative;
132.12 	(3) allow either party to terminate the direct agreement upon written notice to the other 
132.13 	party according to subdivision 3;
132.14 	(4) describe the scope of the primary care services that are to be covered under the direct 
132.15 	agreement;
132.16 	(5) specify the fee to be paid on a monthly basis or as specified in the direct agreement; 
132.17 	and
132.18 	(6) specify the duration of the direct agreement.
132.19 	(b) The direct agreement must clearly state that a direct primary care service agreement: 
132.20 	is not considered health insurance and does not meet the requirements of federal law 
132.21 	mandating individuals to purchase health insurance and the fees charged in the agreement 
132.22 	may not be reimbursed or applied toward a deductible under a health plan offered through 
132.23 	a health plan company.
132.24 		Subd. 3.Acceptance and discontinuance of patients. (a) A direct practice may not 
132.25 	decline to accept a new patient or discontinue care to an existing patient solely on the basis 
132.26 	of the patient's health status. A direct practice may decline to accept a patient if:
132.27 	(1) the practice has reached its maximum capacity;
132.28 	(2) the patient's medical condition is such that the practice is unable to provide the level 
132.29 	and type of primary care services the patient requires; or
132.30 	(3) the patient has previously terminated a direct agreement with the direct practice 
132.31 	within the preceding year.
133.1 	(b) A direct patient or the patient's legal representative may terminate a direct agreement 
133.2 	for any reason by providing written notice to the direct practice. Termination of the direct 
133.3 	agreement is effective the first day of the month following the month the termination notice 
133.4 	is provided to the direct practice. A direct practice may subsequently decline to accept the 
133.5 	direct patient as a patient if the patient has terminated a previous direct agreement with the 
133.6 	direct practice within the preceding year.
133.7 	(c) A direct practice may terminate a direct agreement for any reason by providing 
133.8 	written notice to the direct patient or the direct patient's representative. A direct practice 
133.9 	must provide notice of termination at least 30 days prior to the effective date of termination.
133.10 	(d) A direct practice may discontinue care to a direct patient if the direct practice 
133.11 	discontinues operation as a direct primary care practice. Notice must be provided to the 
133.12 	direct patient or the patient's legal representative specifying the effective date of termination. 
133.13 	Notice must be sufficient to provide the patient with the opportunity to obtain care from 
133.14 	another provider.
133.15 		Subd. 4.Direct fees. (a) The direct fee charged must represent the total amount due for 
133.16 	all primary care services specified in the direct agreement provided to the direct patient 
133.17 	within the specified time period. The direct fee must not vary from patient to patient based 
133.18 	on the patient's health status or sex. The direct fee may be paid by the direct patient, by the 
133.19 	patient's legal representative, or on the patient's behalf by a third party. The direct fee may 
133.20 	be billed at the end of each monthly period or may be paid in advance for a period not to 
133.21 	exceed 12 months.
133.22 	(b) Upon receipt of a written notice of termination of the direct agreement from a direct 
133.23 	patient or the patient's legal representative, the direct practice must promptly refund the 
133.24 	unearned amount of the direct fees. If the direct practice discontinues care for any reason 
133.25 	described under subdivision 3, the direct practice must promptly refund to the direct patient 
133.26 	the unearned amount of the direct fees at a prorated amount of the direct fee earned for the 
133.27 	current month based on the date the notice for termination was sent to the direct patient or 
133.28 	the direct patient's legal representative.
133.29 	(c) A direct practice shall not increase the monthly fee that has been negotiated with an 
133.30 	existing direct patient more frequently than on an annual basis. A direct practice must 
133.31 	provide advance notice of at least 60 days to existing patients of any change in the direct 
133.32 	fee.
134.1 		Subd. 5.Conduct of business. (a) A direct practice must maintain appropriate accounts 
134.2 	regarding payments made and services received by a direct patient and upon request provide 
134.3 	any data requested to the direct patient or the patient's legal representative.
134.4 	(b) A direct practice must not submit a claim for payment to a health plan company for 
134.5 	a primary care service provided to a direct patient that is covered by a direct agreement.
134.6 	(c) No person shall make, publish, or disseminate any false, deceptive, or misleading 
134.7 	representation or advertising related to the business of a direct practice.
134.8 	(d) No person shall make, issue, or circulate, or cause to be made, issued, or circulated, 
134.9 	a misrepresentation of the terms of a direct agreement or the benefits or advantages promised, 
134.10 	or use the name or title of a direct agreement misrepresenting the nature of the direct 
134.11 	agreement.
134.12 		Subd. 6.Other care not prohibited. A direct primary care practice is not prohibited 
134.13 	from providing services to other patients under a separate contract with a health plan 
134.14 	company.
134.15 		Subd. 7.Enforcement. A violation of this section shall constitute unprofessional conduct 
134.16 	and may be grounds for disciplinary action under chapters 147 and 148.

134.17 	Sec. 4. Minnesota Statutes 2024, section 142G.18, subdivision 1, is amended to read:
134.18 		Subdivision 1.Person convicted of drug offenses. (a) An individual who has been 
134.19 	convicted of a felony level drug offense during the previous ten years from the date of 
134.20 	application or recertification is subject to the following: may, if otherwise eligible, receive 
134.21 	MFIP benefits.
134.22 	(1) Benefits for the entire assistance unit must be paid in vendor form for shelter and 
134.23 	utilities during any time the applicant is part of the assistance unit.
134.24 	(2) The convicted applicant or participant may be subject to random drug testing. 
134.25 	Following any positive test for an illegal controlled substance, the county must provide 
134.26 	information about substance use disorder treatment programs to the applicant or participant.
134.27 	(b) Applicants requesting only SNAP benefits or participants receiving only SNAP 
134.28 	benefits, who have been convicted of a felony-level drug offense during the previous ten 
134.29 	years from the date of application or recertification may, if otherwise eligible, receive SNAP 
134.30 	benefits. The convicted applicant or participant may be subject to random drug testing. 
134.31 	Following a positive test for an illegal controlled substance, the county must provide 
134.32 	information about substance use disorder treatment programs to the applicant or participant.
135.1 	(c) For the purposes of this subdivision, "drug offense" means a conviction that occurred 
135.2 	during the previous ten years from the date of application or recertification of sections 
135.3 	152.021 to 152.025, 152.0261, 152.0262, 152.096, or 152.137. Drug offense also means a 
135.4 	conviction in another jurisdiction of the possession, use, or distribution of a controlled 
135.5 	substance, or conspiracy to commit any of these offenses, if the conviction occurred during 
135.6 	the previous ten years from the date of application or recertification and the conviction is 
135.7 	for a crime that would be a felony if committed in Minnesota.
135.8 	(d) This subdivision does not apply for convictions or positive test results related to 
135.9 	cannabis, marijuana, or tetrahydrocannabinols.

135.10 	Sec. 5. Minnesota Statutes 2024, section 144E.123, subdivision 1, is amended to read:
135.11 		Subdivision 1.Collection and maintenance. A licensee shall collect and provide 
135.12 	prehospital care data to the director in a manner prescribed by the director. At a minimum, 
135.13 	the data must include the prehospital care data listed in subdivision 6, paragraph (b), and
135.14 	items identified by the director that are part of the National Uniform Emergency Medical 
135.15 	Services Data Set. A licensee shall maintain prehospital care data for every response.

135.16 	Sec. 6. Minnesota Statutes 2024, section 144E.123, is amended by adding a subdivision 
135.17 	to read:
135.18 		Subd. 6.Reporting to Office of Emergency Medical Services. (a) For purposes of this 
135.19 	subdivision, "municipality" means a town or a statutory or home rule charter city.
135.20 	(b) A licensee must annually collect the following prehospital care data for all emergency 
135.21 	responses provided by the licensee within the boundaries of each municipality in the licensee's 
135.22 	primary service area:
135.23 	(1) total number of emergency ambulance calls;
135.24 	(2) for each emergency ambulance call:
135.25 	(i) dispatch reason;
135.26 	(ii) type of emergency service requested;
135.27 	(iii) response mode to scene;
135.28 	(iv) response mode to hospital;
135.29 	(v) transport destination; and
135.30 	(vi) patient pay fee schedule;
136.1 	(3) percent transport disposition; and
136.2 	(4) mutual aid given and received, disaggregated by municipality.
136.3 	(c) A licensee must report the prehospital care data collected under paragraph (b) for 
136.4 	the previous calendar year to the director.
136.5 	(d) The director must make prehospital care data collected under paragraph (b) publicly 
136.6 	available annually.

136.7 	Sec. 7. Minnesota Statutes 2024, section 151.01, subdivision 35, is amended to read:
136.8 		Subd. 35.Compounding. "Compounding" means preparing, mixing, assembling, 
136.9 	packaging, and labeling a drug for an identified individual patient as a result of a practitioner's 
136.10 	prescription drug order. Compounding also includes anticipatory compounding, as defined 
136.11 	in this section, and the preparation of drugs in which all bulk drug substances and components 
136.12 	are nonprescription substances. Compounding does not include mixing or reconstituting a 
136.13 	drug according to the product's labeling or to the manufacturer's directions, provided that 
136.14 	such labeling has been approved by the United States Food and Drug Administration (FDA) 
136.15 	or the manufacturer is licensed under section 151.252. Compounding does not include the 
136.16 	preparation of a drug for the purpose of, or incident to, research, teaching, or chemical 
136.17 	analysis, provided that the drug is not prepared for dispensing or administration to patients. 
136.18 	All compounding, regardless of the type of product, must be done pursuant to a prescription 
136.19 	drug order unless otherwise permitted in this chapter or by the rules of the board. 
136.20 	Compounding does not include a minor deviation from such directions with regard to 
136.21 	radioactivity, volume, or stability, which is made by or under the supervision of a licensed 
136.22 	nuclear pharmacist or a physician, and which is necessary in order to accommodate 
136.23 	circumstances not contemplated in the manufacturer's instructions, such as the rate of 
136.24 	radioactive decay or geographical distance from the patient. Compounding does not include 
136.25 	the use of a flavoring agent to flavor a drug.

136.26 	Sec. 8. Minnesota Statutes 2024, section 151.01, is amended by adding a subdivision to 
136.27 	read:
136.28 		Subd. 44.Flavoring agent. "Flavoring agent" means a therapeutically inert, nonallergenic 
136.29 	substance consisting of inactive ingredients that is added to a drug to improve the drug's 
136.30 	taste and palatability.

137.1 	Sec. 9. Minnesota Statutes 2024, section 151.555, subdivision 7, is amended to read:
137.2 		Subd. 7.Standards and procedures for inspecting and storing donated drugs and 
137.3 	supplies. (a) A pharmacist or authorized practitioner who is employed by or under contract 
137.4 	with the central repository or a local repository shall inspect all donated drugs and supplies 
137.5 	before the drug or supply is dispensed to determine, to the extent reasonably possible in the 
137.6 	professional judgment of the pharmacist or practitioner, that the drug or supply is not 
137.7 	adulterated or misbranded, has not been tampered with, is safe and suitable for dispensing, 
137.8 	has not been subject to a recall, and meets the requirements for donation. If a local repository 
137.9 	receives drugs and supplies from the central repository, the local repository does not need 
137.10 	to reinspect the drugs and supplies.
137.11 	(b) The central repository and local repositories shall store donated drugs and supplies 
137.12 	in a secure storage area under environmental conditions appropriate for the drug or supply 
137.13 	being stored. Donated drugs and supplies may not be stored with nondonated inventory.
137.14 	(c) The central repository and local repositories shall dispose of all drugs and medical 
137.15 	supplies that are not suitable for donation in compliance with applicable federal and state 
137.16 	statutes, regulations, and rules concerning hazardous waste.
137.17 	(d) In the event that controlled substances or drugs that can only be dispensed to a patient 
137.18 	registered with the drug's manufacturer are shipped or delivered to a central or local repository 
137.19 	for donation, the shipment delivery must be documented by the repository and returned 
137.20 	immediately to the donor or the donor's representative that provided the drugs.
137.21 	(e) Each repository must develop drug and medical supply recall policies and procedures. 
137.22 	If a repository receives a recall notification, the repository shall destroy all of the drug or 
137.23 	medical supply in its inventory that is the subject of the recall and complete a record of 
137.24 	destruction form in accordance with paragraph (f). If a drug or medical supply that is the 
137.25 	subject of a Class I or Class II recall has been dispensed, the repository shall immediately 
137.26 	notify the recipient of the recalled drug or medical supply. A drug that potentially is subject 
137.27 	to a recall need not be destroyed if its packaging bears a lot number and that lot of the drug 
137.28 	is not subject to the recall. If no lot number is on the drug's packaging, it must be destroyed.
137.29 	(f) A record of destruction of accepted donated drugs and supplies that are not dispensed 
137.30 	under subdivision 8, are subject to a recall under paragraph (e), or are not suitable for 
137.31 	donation or are subject to a recall under paragraph (e) shall be maintained by the repository 
137.32 	for at least two years. For each drug or supply destroyed, The record shall include the 
137.33 	following information:
137.34 	(1) the date of destruction;
138.1 	(2) the name, strength, and quantity of the drug destroyed; and
138.2 	(3) the name of the person or firm that destroyed the drug.
138.3 	No other record of destruction is required.

138.4 	Sec. 10. Laws 2025, First Special Session chapter 3, article 23, section 2, subdivision 12, 
138.5 	is amended to read:

138.6	Subd. 12.Board of Pharmacy

138.7	Appropriations by Fund
	
138.8	General
	937,000
	937,000
	
138.9138.10
	State Government 
Special Revenue
	6,280,000
	6,280,000
	
138.11 	Medication Repository Program. $450,000 
138.12 	in fiscal year 2026 and $450,000 in fiscal year 
138.13 	2027 are from the general fund for the 
138.14 	medication repository program to purchase 
138.15 	prescription drugs under Minnesota Statutes, 
138.16 	section 151.555, subdivision 6, paragraph (g).

138.17 	Sec. 11. REPEALER.
 138.18 	Minnesota Statutes 2024, sections 62U.10, subdivision 4; 256B.69, subdivision 31a; 
138.19 	and 256D.024, subdivision 1, are repealed.

	ARTICLE 1	HEALTH-RELATED OCCUPATIONS........	Page.Ln 2.10	
	ARTICLE 2	DEPARTMENT OF HEALTH........	Page.Ln 26.1	
	ARTICLE 3	HUMAN SERVICES HEALTH CARE........	Page.Ln 60.26	
	ARTICLE 4	BEHAVIORAL HEALTH........	Page.Ln 66.15	
	ARTICLE 5	DEPARTMENT OF HUMAN SERVICES HOUSING AND SUPPORT SERVICES........	Page.Ln 97.14	
	ARTICLE 6	DEPARTMENT OF HUMAN SERVICES OFFICE OF THE INSPECTOR GENERAL........	Page.Ln 103.1	
	ARTICLE 7	CHILDREN, YOUTH, AND FAMILIES........	Page.Ln 114.26	
	ARTICLE 8	MNSURE POLICY........	Page.Ln 127.1	
	ARTICLE 9	MISCELLANEOUS........	Page.Ln 129.14	

APPENDIX 

Repealed Minnesota Statutes: S3295-2 

13D.08 OPEN MEETING LAW CODED ELSEWHERE.Subd. 4.Health Technology Advisory Committee. 
Certain meetings of the Health Technology Advisory Committee are governed by section 62J.156. 

62D.08 ANNUAL REPORT.Subd. 7.Consistent administrative expenses and investment income reporting. 
(a) Every health maintenance organization must directly allocate administrative expenses to specific lines of business or products when such information is available. Remaining expenses that cannot be directly allocated must be allocated based on other methods, as recommended by the Advisory Group on Administrative Expenses. Health maintenance organizations must submit this information, including administrative expenses for dental services, using the reporting template provided by the commissioner of health. 

(b) Every health maintenance organization must allocate investment income based on cumulative net income over time by business line or product and must submit this information, including investment income for dental services, using the reporting template provided by the commissioner of health. 

62D.181 INSOLVENCY; MCHA ALTERNATIVE COVERAGE.Subdivision 1.Definition. 
"Association" means the Minnesota Comprehensive Health Association created in section 62E.10. 

Subd. 2.Eligible individuals. 
An individual is eligible for alternative coverage under this section if: 

(1) the individual had individual health coverage through a health maintenance organization or community integrated service network, the coverage is no longer available due to the insolvency of the health maintenance organization or community integrated service network, and the individual has not obtained alternative coverage; or 

(2) the individual had group health coverage through a health maintenance organization or community integrated service network, the coverage is no longer available due to the insolvency of the health maintenance organization or community integrated service network, and the individual has not obtained alternative coverage. 

Subd. 3.Application and issuance. 
If a health maintenance organization or community integrated service network will be liquidated, individuals eligible for alternative coverage under subdivision 2 may apply to the association to obtain alternative coverage. Upon receiving an application and evidence that the applicant was enrolled in the health maintenance organization or community integrated service network at the time of an order for liquidation, the association shall issue policies to eligible individuals, without the limitation on preexisting conditions described in section 62E.14, subdivision 3. 

Subd. 4.Coverage. 
Alternative coverage issued under this section must be at least a number two qualified plan, as described in section 62E.06, subdivision 2, or for individuals over age 65, a basic Medicare supplement plan, as described in section 62A.316. 

Subd. 5.Premium. 
The premium for alternative coverage issued under this section must not exceed 80 percent of the premium for the comparable coverage offered by the association. 

Subd. 6.Duration. 
The duration of alternative coverage issued under this section is: 

(1) for individuals eligible under subdivision 2, clause (1), 90 days; and 

(2) for individuals eligible under subdivision 2, clause (2), 90 days or the length of time remaining in the group contract with the insolvent health maintenance organization or community integrated service network, whichever is greater. 

Subd. 7.Replacement coverage; limitations. 
The association is not obligated to offer replacement coverage under this chapter at the end of the periods specified in subdivision 6. Any continuation obligation arising under this chapter or chapter 62A will cease at the end of the periods specified in subdivision 6. 

Subd. 8.Claims expenses exceeding premiums. 
Claims expenses resulting from the operation of this section which exceed premiums received shall be borne by contributing members of the association in accordance with section 62E.11, subdivision 5. 

Subd. 9.Coordination of policies. 
If an insolvent health maintenance organization or community integrated service network has insolvency insurance coverage at the time of an order for liquidation, the association may coordinate the benefits of the policy issued under this section with those of the insolvency insurance policy available to the enrollees. The premium level for the combined association policy and the insolvency insurance policy may not exceed those described in subdivision 5. 

62J.06 IMMUNITY FROM LIABILITY.
No member of the Health Technology Advisory Committee shall be held civilly or criminally liable for an act or omission by that person if the act or omission was in good faith and within the scope of the member's responsibilities under this chapter. 

62J.156 CLOSED COMMITTEE HEARINGS.
Notwithstanding chapter 13D, the Health Technology Advisory Committee may meet in closed session to discuss a specific technology or procedure that involves data received that have been classified as nonpublic data, where disclosure of the data would cause harm to the competitive or economic position of the source of the data. 

62J.2930 INFORMATION CLEARINGHOUSE.Subd. 4.Coordination. 
To the extent possible, the commissioner shall coordinate the activities of the clearinghouse with the activities of the Minnesota Health Data Institute. 

62J.57 MINNESOTA CENTER FOR HEALTH CARE ELECTRONIC DATA INTERCHANGE.
(a) It is the intention of the legislature to support, to the extent of funds appropriated for that purpose, the creation of the Minnesota Center for Health Care Electronic Data Interchange as a broad-based effort of public and private organizations representing group purchasers, health care providers, and government programs to advance the use of health care electronic data interchange in the state. The center shall attempt to obtain private sector funding to supplement legislative appropriations, and shall become self-supporting by the end of the second year. 

(b) The Minnesota Center for Health Care Electronic Data Interchange shall facilitate the statewide implementation of electronic data interchange standards in the health care industry by: 

(1) coordinating and ensuring the availability of quality electronic data interchange education and training in the state; 

(2) developing an extensive, cohesive health care electronic data interchange education curriculum; 

(3) developing a communications and marketing plan to publicize electronic data interchange education activities, and the products and services available to support the implementation of electronic data interchange in the state; 

(4) administering a resource center that will serve as a clearinghouse for information relative to electronic data interchange, including the development and maintenance of a health care constituents database, health care directory and resource library, and a health care communications network through the use of electronic bulletin board services and other network communications applications; and 

(5) providing technical assistance in the development of implementation guides, and in other issues including legislative, legal, and confidentiality requirements. 

62U.10 HEALTH CARE TRANSFER, SAVINGS, AND REPAYMENT.Subd. 4.Repayment of transfer. 
When accumulated savings accruing to state-administered health care programs, as calculated under subdivision 3, meet or exceed $50,000,000, the commissioner of health shall certify that event to the commissioner of management and budget. In the next fiscal year following the certification, the commissioner of management and budget shall transfer $50,000,000 from the general fund to the health care access fund. The amount necessary to make the transfer is appropriated from the general fund to the commissioner of management and budget. 

144.9821 ADVANCING HEALTH EQUITY THROUGH CAPACITY BUILDING AND RESOURCE ALLOCATION.Subdivision 1.Establishment of grant program. 
(a) The commissioner of health shall establish an annual grant program to award infrastructure capacity building grants to help metro and rural community and faith-based organizations serving people of color, American Indians, LGBTQIA+ communities, and people living with disabilities in Minnesota who have been disproportionately impacted by health and other inequities to be better equipped and prepared for success in procuring grants and contracts at the department and addressing inequities. 

(b) The commissioner of health shall create a framework at the department to maintain equitable practices in grantmaking to ensure that internal grantmaking and procurement policies and practices prioritize equity, transparency, and accessibility to include: 

(1) a tracking system for the department to better monitor and evaluate equitable procurement and grantmaking processes and their impacts; and 

(2) technical assistance and coaching to department leadership in grantmaking and procurement processes and programs and providing tools and guidance to ensure equitable and transparent competitive grantmaking processes and award distribution across communities most impacted by inequities and develop measures to track progress over time. 

Subd. 2.Commissioner's duties. 
The commissioner of health shall: 

(1) in consultation with community stakeholders, community health boards and Tribal nations, develop a request for proposals for an infrastructure capacity building grant program to help community-based organizations, including faith-based organizations, to be better equipped and prepared for success in procuring grants and contracts at the department and beyond; 

(2) provide outreach, technical assistance, and program development support to increase capacity for new and existing community-based organizations and other service providers in order to better meet statewide needs particularly in greater Minnesota and areas where services to reduce health disparities have not been established; 

(3) in consultation with community stakeholders, review responses to requests for proposals and award grants under this section; 

(4) ensure communication with the ethnic councils, Minnesota Indian Affairs Council, Minnesota Council on Disability, Minnesota Commission of the Deaf, DeafBlind, and Hard of Hearing, and the governor's office on the request for proposal process; 

(5) in consultation with community stakeholders, establish a transparent and objective accountability process focused on outcomes that grantees agree to achieve; 

(6) maintain data on outcomes reported by grantees; and 

(7) establish a process or mechanism to evaluate the success of the capacity building grant program and to build the evidence base for effective community-based organizational capacity building in reducing disparities. 

Subd. 3.Eligible grantees. 
Organizations eligible to receive grant funding under this section include: organizations or entities that work with diverse communities such as people of color, American Indians, LGBTQIA+ communities, and people with disabilities in metro and rural communities. 

Subd. 4.Strategic consideration and priority of proposals; eligible populations; grant awards. 
(a) The commissioner, in consultation with community stakeholders, shall develop a request for proposals for equity in procurement and grantmaking capacity building grant program to help community-based organizations, including faith-based organizations to be better equipped and prepared for success in procuring grants and contracts at the department and addressing inequities. 

(b) In awarding the grants, the commissioner shall provide strategic consideration and give priority to proposals from organizations or entities led by populations of color or American Indians, and those serving communities of color, American Indians, LGBTQIA+ communities, and disability communities. 

Subd. 5.Geographic distribution of grants. 
The commissioner shall ensure that grant funds are prioritized and awarded to organizations and entities that are within counties that have a higher proportion of Black or African American, nonwhite Latino(a), LGBTQIA+, and disability communities to the extent possible. 

Subd. 6.Report. 
Grantees must report grant program outcomes to the commissioner on the forms and according to the timelines established by the commissioner. 

151.13 RENEWAL FEE; CONTINUING EDUCATION.Subdivision 1.Renewal fee. 
Every person licensed by the board as a pharmacist shall pay to the board the annual renewal fee specified in section 151.065. The board may charge the late fee specified in section 151.065 if the renewal fee and application are not received by the board prior to the date specified by the board. It shall be unlawful for any person licensed as a pharmacist who refuses or fails to pay any applicable renewal or late fee to practice pharmacy in this state. Every certificate and license shall expire at the time therein prescribed. 

Subd. 2.Continuing education. 
The board may appoint an advisory task force on continuing education, consisting of not more than ten members, to study continuing education programs and requirements and to submit its report and recommendations to the board. The task force shall expire, and the compensation and removal of members shall be as provided in section 15.059. 

256B.69 PREPAID HEALTH PLANS.Subd. 31a.Trend limit; calculation. 
(a) Beginning January 1, 2020, and ending June 30, 2024, the commissioner of human services may, to the extent practicable, limit the year over year increase in rates paid to managed care plans and county-based purchasing plans under this section and section 256B.692 by an amount equal to the value of a 0.8 percent reduction in rates in medical assistance across all products. Managed care rates must meet actuarial soundness and rate development requirements under Code of Federal Regulations, title 42, part 438, subpart A. Forecast expenditure growth assumptions cannot be part of the rate-setting process. 

(b) In the November 2019 forecast, the commissioner of human services, in consultation with the commissioner of management and budget, shall determine the extent to which the year over year change in managed care and county-based purchasing plan rates are forecasted to reduce medical assistance expenditures in fiscal years 2020 through 2024, relative to projected expenditures from the end of the 2019 legislative session that establish a budget for the Department of Human Services. To the extent the total value of the reduction is less than $145,150,000, the commissioner of management and budget shall transfer the difference from the premium security account established in section 62E.25, subdivision 1, to the general fund. 

256D.024 PERSONS PROHIBITED FROM RECEIVING BENEFITS.Subdivision 1.Person convicted of drug offenses. 
(a) An individual who has been convicted of a felony-level drug offense during the previous ten years from the date of application or recertification may be subject to random drug testing. The county must provide information about substance use disorder treatment programs to a person who tests positive for an illegal controlled substance. 

(b) For the purposes of this subdivision, "drug offense" means a conviction that occurred during the previous ten years from the date of application or recertification of sections 152.021 to 152.025, 152.0261, 152.0262, or 152.096. Drug offense also means a conviction in another jurisdiction of the possession, use, or distribution of a controlled substance, or conspiracy to commit any of these offenses, if the conviction occurred during the previous ten years from the date of application or recertification and the conviction is for a crime that would be a felony if committed in Minnesota. 

(c) This subdivision does not apply for convictions or positive test results related to cannabis, marijuana, or tetrahydrocannabinols. 

256D.09 PAYMENT; ASSESSMENT; OVERPAYMENT.Subd. 2a.Vendor payments for drug dependent persons. 
If, at the time of application or at any other time, there is a reasonable basis for questioning whether a person applying for or receiving financial assistance is drug dependent, as defined in section 254A.02, subdivision 5, the person shall be referred for a chemical health assessment, and only emergency assistance payments or general assistance vendor payments may be provided until the assessment is complete and the results of the assessment made available to the county agency. A reasonable basis for referring an individual for an assessment exists when: 

(1) the person has required detoxification two or more times in the past 12 months; 

(2) the person appears intoxicated at the county agency as indicated by two or more of the following: 

(i) the odor of alcohol; 

(ii) slurred speech; 

(iii) disconjugate gaze; 

(iv) impaired balance; 

(v) difficulty remaining awake; 

(vi) consumption of alcohol; 

(vii) responding to sights or sounds that are not actually present; 

(viii) extreme restlessness, fast speech, or unusual belligerence; 

(3) the person has been involuntarily committed for drug dependency at least once in the past 12 months; or 

(4) the person has received treatment, including domiciliary care, for drug abuse or dependency at least twice in the past 12 months. 

The assessment and determination of drug dependency, if any, must be made by an assessor qualified under section 245G.11, subdivisions 1 and 5, to perform an assessment of chemical use. The county shall only provide emergency general assistance or vendor payments to an otherwise eligible applicant or recipient who is determined to be drug dependent, except up to 15 percent of the grant amount the person would otherwise receive may be paid in cash. Notwithstanding subdivision 1, the commissioner of human services shall also require county agencies to provide assistance only in the form of vendor payments to all eligible recipients who assert substance use disorder as a basis for eligibility under section 256D.05, subdivision 1, paragraph (a), clauses (1) and (5). 

The determination of drug dependency shall be reviewed at least every 12 months. If the county determines a recipient is no longer drug dependent, the county may cease vendor payments and provide the recipient payments in cash. 

Subd. 2b.Disability verification; substance use disorder. 
If at any time there is verification that the client's disability is dependent upon the client's continued drug addiction or alcoholism, general assistance for rent and utilities must be made in the form of vendor payments. 

Verification of drug addiction or alcoholism can be received from: 

(1) denial of Social Security benefits based on drug addiction or alcoholism; 

(2) a statement from the state medical review team that the person's disability is dependent upon continued drug addiction or alcoholism; or 

(3) a doctor's statement that the person's disability is dependent upon continued drug addiction or alcoholism. 

2500.0100DEFINITIONS. Subp. 5b.Good standing.  
"Good standing" means any license which is not the subject of current disciplinary action as identified in Minnesota Statutes, section 148.10, subdivisions 1, 3, and 4. The pendency of a complaint shall not cause a license to lose good standing unless and until the complaint results in disciplinary action under Minnesota Statutes, section 148.10 or pursuant to a stipulation and order. A license shall be restored to good standing upon the satisfactory completion, expiration, or other agreed upon termination of all terms of a stipulation and order. An agreement for corrective action as described under Minnesota Statutes, section 214.103, subdivision 6, shall not cause a license to lose good standing. 

Subp. 6.Inactive license.  
"Inactive license" means a restricted license that allows the licensee to maintain a license but does not allow the licensee to actively practice in Minnesota. 

Subp. 12.Voluntarily retired license.  
"Voluntarily retired license" means a license which has been voluntarily surrendered by a chiropractor. It relinquishes all rights to practice chiropractic in Minnesota. 

2500.1900 LICENSE REINSTATEMENT.  
A license terminated by reason of the licensee's failure to comply with the continuing education requirements of parts 2500.1200 to 2500.2000, or failure to submit a completed application for license renewal as prescribed by the board, may be reinstated or restored to full status by following one of the applicable procedures in items A to E. 

A.
 An applicant whose license has been terminated for a period of less than five years, and who can verify continual practice elsewhere during that time, shall be reinstated by completing all interim continuing education and paying all interim licensure fees that would have been required for continual licensure, paying any accrued penalty fees established in part 2500.1100, subpart 3, and repairing any other deficiencies that led to the termination. 

B.
 An applicant whose license has been terminated for a period of greater than five years and who can verify continual practice elsewhere during that time must, in addition to following the procedures in item A, complete the board's jurisprudence examination. 

C.
 An applicant whose license has been terminated for a period of less than five years, and who cannot verify continual practice during that time, shall be reinstated by completing all interim continuing education that would have been required for continual licensure, completing an additional ten units of approved continuing education for each intervening renewal year, paying all accrued penalty fees and interim licensure fees required for continual licensure, and repairing any other deficiencies that led to the termination. 

D.
 An applicant whose license has been terminated for a period of greater than five years, and who cannot verify continual practice during that time, shall be reinstated by paying all accrued penalty fees and interim licensure fees that would have been required for continual licensure, repairing any other deficiencies that led to the termination, taking the board's jurisprudence examination, and completing the Special Purposes Examination in Chiropractic administered by the National Board of Chiropractic Examiners, or other examination approved by the board. 

E.
 At the election of the applicant, the board shall waive any of the continuing education requirements in items A to C upon successful completion of the Special Purposes Examination in Chiropractic administered by the National Board of Chiropractic Examiners, or any other examination approved by the board, within 12 months preceding the application. 

Any continuing education units acquired in another jurisdiction for the purposes of license renewal may be applied to item A, B, or C. None of the continuing education units obtained for the purpose of reinstating a terminated license apply to the current annual requirement. Applicants must complete a board-approved application for reinstatement. 

2500.2020INACTIVE LICENSE. 
A Minnesota licensed chiropractor may apply to the board for an inactive license according to items A to C. An inactive license is intended for those chiropractors who will be in active practice elsewhere. 

A.
 Applicants must complete a board-approved application which must include a signed affidavit stating that the applicant will no longer be actively practicing chiropractic in the state of Minnesota. 

B.
 Upon approval of an application, the board will modify the annual license certificate to indicate inactive licensure. 

C.
 The board may refuse to approve an application if: 

(1)
 a pending or final disciplinary action exists against an applicant's Minnesota license; 

(2)
 a pending or final disciplinary action exists against an applicant's license in another state where the applicant has been licensed to practice chiropractic; or 

(3)
 the applicant's Minnesota license is not current in fees and penalties paid, or in continuing education units obtained for annual license renewal. 

2500.2040 REINSTATEMENT OF INACTIVE LICENSE.  
An inactive license may be reinstated to an active license according to items A to E: 

A.
 completion of a board-approved application of reinstatement; 

B.
 payment of a reinstatement fee in the amount of $100; 

C.
 submission of a certification of good standing from each state the doctor was granted a license; 

D.
 submission of a notarized statement from the doctor stating: 

(1)
 that the doctor has remained in active practice in another state or country during the period of inactive license status in Minnesota; 

(2)
 that the doctor has met the continuing education requirements as approved by Minnesota or the states or countries in which the doctor practiced chiropractic, or has taken at least 12 units of continuing education each year of inactive license status, whichever is greater; and 

(3)
 the specific addresses of where the doctor has been in active practice; and 

E.
 completion of 20 units of continuing education as approved by the board the year prior to application for reinstatement. 

If any of the requirements of items A to E are not met by the doctor, the board will deny approval of the application for reinstatement. 

2500.2100VOLUNTARILY RETIRED LICENSE. 
Upon request of a Minnesota licensed chiropractor, the board may place a license in voluntary retirement unless: 

A.
 a pending or final disciplinary action exists against an applicant's Minnesota license; 

B.
 a pending or final disciplinary action exists against an applicant's license in another state where the applicant has been licensed to practice chiropractic; or 

C.
 the applicant's Minnesota license is not current in fees and penalties paid or in continuing education units obtained for annual license renewal. 

2500.2110 REINSTATEMENT OF VOLUNTARILY RETIRED LICENSE.  A.
 An applicant who has voluntarily retired a license may be reinstated or restored to full status by: 

(1)
 completing a board-approved application of reinstatement; 

(2)
 paying a reinstatement fee in the amount of $100; 

(3)
 submitting a certification of good standing from each state the doctor was granted a license; and 

(4)
 following one of the applicable procedures in items B to F. 

B.
 An applicant who has been voluntarily retired for a period of less than five years, and who can verify continual practice elsewhere during that time, shall be reinstated by completing all interim continuing education and paying all accrued penalty fees and interim licensure fees which would have been required for continual licensure, and repairing any deficiencies that occurred prior to retirement. 

C.
 An applicant who has been voluntarily retired for a period of greater than five years who can verify continual practice elsewhere during that time must, in addition to following the procedures in items A and B, complete the board's jurisprudence examination. 

D.
 An applicant who has been voluntarily retired for a period of less than five years, and who cannot verify continual practice during that time, shall be reinstated by completing all interim continuing education that would have been required for continual licensure, completing an additional ten units of approved continuing education for each intervening renewal year, paying all accrued penalty fees and interim licensure fees that would have been required for continual licensure, and repairing any deficiencies that occurred prior to retirement. 

E.
 An applicant who has been voluntarily retired for a period of greater than five years, and who cannot verify continual practice during that time, shall be reinstated by paying all accrued penalty fees and interim licensure fees that would have been required for continual licensure, repairing any other deficiencies that may have occurred prior to retirement, taking the board's jurisprudence examination, and completing the Special Purposes Examination in Chiropractic administered by the National Board of Chiropractic Examiners, or any other examination the board may deem appropriate. 

F.
 At the election of the applicant, the board shall waive any of the continuing education requirements in items B to D, upon successful completion of the Special Purposes Examination in Chiropractic administered by the National Board of Chiropractic Examiners, or other examination the board may deem appropriate, within the 12 months preceding the application. 

Any continuing education units acquired in another jurisdiction, for the purposes of license renewal, may be applied to items B, C, and D. None of the continuing education units obtained for the purpose of reinstating a voluntarily retired license apply to the current annual requirement. Applicants must complete a board-approved application of reinstatement. 

6800.0400ANNUAL LICENSE RENEWAL DATE AND FEES. 
Each pharmacy license shall expire on June 30 of each year and shall be renewed annually by filing an application for license renewal, on or before June 1 of each year, together with a fee established in Minnesota Statutes, chapter 151. Renewal applications received on or after July 1 are subject to a late filing fee of an amount equal to 50 percent of the renewal fee in addition to the renewal fee. 

6800.1150ANNUAL RENEWAL, FEES, AND POSTING. 
A pharmacist license expires on March 1 of each year and shall be renewed annually by filing an application for license renewal on or before February 1 of each year, together with a fee of $105. A pharmacist license renewal application received after March 1 is subject to a late filing fee of an amount equal to 50 percent of the renewal fee in addition to the renewal fee. 

A pharmacist shall post the license or renewal most recently issued by the board or a copy of it in a conspicuous place within the pharmacy in which the pharmacist is practicing. For community pharmacies, this place shall be a place which is readily visible to the public.