SF 4595

Introduction - 94th Legislature (2025 - 2026)

Posted on 03/19/2026 09:27 a.m.

A bill for an act
relating to human services; establishing the Department of Human Services home
and community-based services early and often licensor and compliance team;
amending Minnesota Statutes 2024, section 245A.042, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2024, section 245A.042, is amended by adding a subdivision
to read:

new text begin Subd. 7. new text end

new text begin Department of Human Services home and community-based services early
and often licensor and compliance team. new text end

new text begin (a) The commissioner must establish and maintain
a home and community-based services early and often licensor and compliance team to
deliver proactive and coordinated support to applicants through the application process and
to license holders during the first year of operation of the licensed home and
community-based program. The commissioner must ensure that the home and
community-based services early and often licensor and compliance team has sufficient staff
and resources to perform the functions required under this subdivision. The commissioner
must ensure that the licensor and compliance team has members with expertise in licensing
requirements and members with expertise in medical assistance enrollment requirements,
medical assistance service delivery requirements, and medical assistance billing requirements.
new text end

new text begin (b) The home and community-based services early and often licensor and compliance
team must provide technical assistance to applicants regarding completing and submitting
license applications under this chapter and chapter 256D and medical assistance provider
enrollment applications under section 256B.04, subdivision 21.
new text end

new text begin (c) The home and community-based services early and often licensor and compliance
team must conduct an initial scheduled technical assistance visit three months after the
effective date of an initial license for the purpose of providing technical assistance to the
license holder. The team must provide technical assistance related to achieving and
maintaining compliance with the applicable laws, rules, and regulations governing the
provision of and reimbursement for home and community-based services under this chapter
and chapters 245D, 256B, and 256S and waiver plans.
new text end

new text begin (d) The home and community-based services early and often licensor and compliance
team must conduct three unscheduled visits after the beginning of the sixth calendar month
following the effective date of an initial license and before the end of the eighteenth month
following the effective date of an initial license.
new text end

new text begin (e) If during the technical assistance visit or during the following three unannounced
visits, the team finds that the license holder has failed to achieve compliance with an
applicable law, rule, or regulation, and the failure does not imminently endanger the health,
safety, or rights of persons served by the program, the team may issue a licensing and
compliance review report with recommendations for achieving and maintaining compliance.
new text end

new text begin (f) Nothing in this subdivision shall be construed to limit the commissioner's authority
to:
new text end

new text begin (1) suspend or revoke a license or issue a fine at any time under section 245A.07 or issue
correction orders and make a license conditional for failure to comply with applicable laws,
rules, or regulations under section 245A.06 based on the nature, chronicity, or severity of
the violation of a law, rule, or regulation and the effect of the violation on the health, safety,
or rights of persons served by the program; or
new text end

new text begin (2) impose a sanction under section 256B.064 based on the nature, chronicity, or severity
of the violation of law, rule, or regulation.
new text end