Relating to the state budget;

ARTICLE 1 - SUMMARY

Voiding 2009 allotment reductions made by the commissioner of management and budget (MMB)

ARTICLE 2 - CASH FLOW

Balancing proposed general fund spending and anticipated general fund revenue; modifying certain aids and credits payments to improve cash flow; modifying certain state payment and liability payment schedules for the university of Minnesota, state property taxes and sales and use taxes

ARTICLE 3 - E-12 EDUCATION

Adjusting the education aid payment schedule; decreasing general education aid, educate parents partnership, kindergarten entrance assessment initiative and intervention and the department of education appropriation

ARTICLE 4 - E-12 EDUCATION FORECAST ADJUSTMENTS

Providing a debt service appropriation; modifying prior appropriations for abatement revenue, consolidation transition, nonpublic pupil education aid, nonpublic pupil transportation, charter school building lease aid, charter school startup aid, integration aid, success for the future, tribal contract schools, regular and excess special education, travel for home-based services, health and safety revenue, debt service equalization, alternative facilities bonding aid, deferred maintenance aid, kindergarten milk, basic system support, multicounty, multitype library systems, regional library telecommunications aid, school readiness, early childhood family education aid, health and developmental screening aid, community education aid, adults with disabilities program aid and adult basic education aid

ARTICLE 5 - HIGHER EDUCATION

Making reductions in appropriations in higher education for the office of higher education, the Minnesota state colleges and universities (MnSCU) board of trustees and the university of Minnesota board of regents

ARTICLE 6 - ENVIRONMENT AND NATURAL RESOURCES

Making reductions in appropriations for environment and natural resources for the pollution control agency (PCA) and the department of natural resources (DNR); modifying a prior transfer to the metropolitan council

ARTICLE 7 - ENERGY

Modifying certain department of commerce appropriations for administrative services and market assurance

ARTICLE 8 - AGRICULTURE

Modifying certain appropriations for protection services, agricultural marketing and development, administration and financial assistance

ARTICLE 9 - ECONOMIC DEVELOPMENT

Appropriating money to the department of employment and economic development (DEED); modifying certain housing finance agency appropriations for housing rehabilitation program rental housing developments; modifying certain appropriations for the department of labor and industry labor standards/apprenticeship, the bureau of mediation services, the Minnesota historical society for education outreach and
preservation and access

ARTICLE 10 - TRANSPORTATION

Modifying certain transportation appropriations for multimodal systems
transit improvement administration, the freight rail service plan and electronic communication for Roosevelt Tower; modifying certain metropolitan council appropriations for bus system and rail operations

ARTICLE 11 - PUBLIC SAFETY

Modifying certain human rights appropriations

ARTICLE 12 - STATE GOVERNMENT

Modifying certain appropriations for certain expenses of the governor and
lieutenant governor, the office of enterprise technology for information
technology security, administration including the government and citizen
services program, management and budget, revenue including the tax system management program; authorizing transfers; requiring the MMB commissioner to transfer up to a certain amount from the health care access fund to the general fund

ARTICLE 13 - AIDS, CREDITS, REFUNDS

Imposing certain 2009 and 2010 aid reductions and defining certain terms; eliminating the political contributions refund for contributions after a certain date and before a certain date; modifying the property tax refund; providing a levy validation and prohibiting special levies for lost revenues due to aid and credit reimbursement reductions; providing a refund payment delay for overpayments of corporate franchise tax and sales tax

ARTICLE 14 - SPECIAL REVENUE FUND

Providing for postsecondary education board payments by Minnesota State Colleges and Universities (MnSCU) to the legislative auditor to pay audit expenses for audits requested by the board of trustees; providing for funds of the attorney general for interagency legal services; costs for providing copies of data; state surplus property net proceeds of the sale of surplus state property by the department of administration for state agencies; providing for money received by the board of water and soil resources (BWSR); providing for fees received by the department of natural resources (DNR) for underground storage are credited to an account in the natural resources fund; providing for federal reimbursements received by the department of military affairs; providing for guardian ad litem legal fees money deposited by the commissioner of management and budget for supreme court guardian ad litem reimbursement; providing for money deposited by the commissioner of revenue from a county for the contaminated site cleanup and development grant account in the department of employment and economic development (DEED); providing for money collected by the commissioner of public safety in conjunction with the criminal justice data communications network; providing for fees received by the commissioner of public safety for contract services by the capitol complex security division; providing for application fees for the credit enhancement program collected by the public facilities authority; providing for money received by the commissioner of management and
budget from county treasurers for tax increment financing (TIF) and appropriated to the state auditor for reporting and auditing TIF; providing for a fine above the statutory minimum imposed by a court for violation of the prostitution solicitation statute and appropriated to the commissioner of public safety; providing for repayment to the commissioner of management and budget of public defender costs by persons determined to have ability to pay and appropriated to the board of public defense; providing for sale of wildlife lands with proceeds of certain lands sold by the commissioner of administration to deposited into an account in the natural resources fund and appropriated to natural resources

ARTICLE 15 - HEALTH AND HUMAN SERVICES

Modifying certain department of human services appropriations relating to agency management and financial operations, children and economic assistance grants including child support enforcement grants, children's services grants, American Indian child welfare projects, child and community services grants, general assistance grants, emergency general assistance, Minnesota supplemental aid grants, emergency Minnesota supplemental aid funds and group residential housing grants, basic health care grants including medical assistance basic health care grants for families and children, medical assistance basic health care grants for the elderly and disabled, delaying hospital and nonhospital fee-for-service payments, general assistance grants, health care management and administration, including the incentive program and outreach grants and base adjustment, continuing care grants including aging and adult services grants, medical assistance long-term care facilities grants, medical assistance long-term care waivers and home care grants, adult mental health grants, deaf and hard-of-hearing grants, chemical dependency entitlement and nonentitlement grants, other continuing care grants, providing certain delays, continuing care management including county maintenance of effort and adult mental health state-operated services; modifying certain department of health appropriations for community and family health promotion, policy quality and compliance, health protection, administrative support services; modifying payments for substance abuse treatments and health
protection appropriations for pentachlorophenol and the PFC citizens advisory group; reducing the personal care assistant paid hour maximum; prohibiting nursing facility operating payment rate adjustments; increasing the commissioner withholding for managed care plan payments; further reducing the payment rate for physician and professional services; prohibiting critical access dental services payments; further reducing the basic care services reimbursement for medical assistance (MA) and general assistance medical care (GAMC); requiring the commissioner of human services (DHS) to decrease the group residential housing (GRH) supplementary service rate

ARTICLE 16 - HEALTH CARE

Requiring review and evaluation of all department of human services (DHS) studies; allowing long-term hospital to be rebased; changing nonemergency medical transportation level of need determination to annual; expanding medical assistance (MA) eligibility to certain adults without children; requiring commissioner approval for certain physical and occupational therapy services and speech language pathology and audiology services beyond certain thresholds; limiting chiropractic services payments; modifying medical assistance (MA) coverage for medication (prescription) therapy management services by allowing services via two-way interactive video in regional areas lacking pharmacists under certain conditions; requiring oral language interpreter used by health care providers to be listed in the registry; allowing the commissioner to set medical supplies reimbursement rates below the medicare payment rate; reducing the MA co-payment for hospital-based emergency room non-emergency visits; clarifying the schedule for MA reimbursement; authorizing a health care delivery systems demonstration project to develop and test alternative and innovative health care delivery systems and establishing a pilot project in Hennepin and Ramsey counties; requiring commissioner of human services to reduce a health plan's emergency room utilization rate for state health care program enrollees; requiring actuarial soundness for managed care plans rate payments; requiring an additional payment rate reduction for physician and professional services, specifying exceptions; requiring medicare principles of reimbursement for state operated dental clinic payments; requiring commissioner designation of critical access dental providers and the commissioner to classify physical and occupational therapy and speech language pathology and related services as basic care services; providing a medicare payment limit; specifying coverage and duration for GAMC covered services; modifying GAMC payment rates and contact under certain conditions; modifying MinnesotaCare co-payments and reimbursements; permitting volunteer firefighters and ambulance attendants to enroll in MinnesotaCare at full cost; requiring the commissioner to withhold an additional amount for managed care or county-based purchasing plan payments; providing MA coverage for asthma environmental assessments and education; extending the temporary hospital uncompensated care pool coverage for certain people; requiring the commissioner to offer certain contract terms for a coordinated care delivery system; requiring hospitals to allocated an initial amount and specifying and reducing amounts; requiring submission of a Medicaid state plan amendment and waiver to receive federal fund participation for certain adults without children; repealing certain provisions contingent upon other enactments

ARTICLE 17 - CONTINUING CARE

Changing housing with services registration information and contract contents disclosure requirements; requiring a uniform consumer information guide for residents and requiring ombudsman for long-term care contact information upon termination of lease notification; specifying medicare information disclosure in the uniform consumer information guide; changing the computation method for the parental contribution for children with disabilities services MA; authorizing a legislative report from the Minnesota State Council on Disability, the Minnesota Consortium for Citizens with Disabilities and the Arc of Minnesota regarding effectiveness of state programs serving people with disabilities; modifying Senior LinkAge Line information requirements; requiring notice regarding asset requirements in certain circumstances with regard to MA for employed persons with disabilities (MA-EPD) asset limits; decreasing the hour maximum for which personal care assistants may be paid; providing a rate reduction for customized living and 24-hour customized living; prohibiting operating payment rate adjustments; ceasing enrollment and operation of the Minnesota disability health options (MnDHO) program; requiring the commissioner to consider a review of the definition of home and community services and appropriate settings for persons with disabilities housing options; requiring the commissioner to seek federal financial participation for eligible activity related to certain grants to Advocating Change Together (ACT) for a self-advocacy network; increasing the daily rate for a Clearwater county intermediate care facility for the developmentally disabled (ICF/MR)

ARTICLE 18 - CHILDREN AND FAMILY SERVICES

Eliminating the food stamp asset limit; modifying the Minnesota family investment program (MFIP) qualification for hard-to-employ participants and reducing the work participation cash benefit; increasing the group residential housing supplemental rate for a provider in Mahnomen County for a certain time period

ARTICLE 19 - MISCELLANEOUS

Providing health plan coverage for private duty nursing services; establishing a couples on the brink project; expanding and modifying the controlled substances prescription electronic reporting system and clarifying funding options; establishing a chemical and mental health services transformation advisory task force; requiring commissioner of human services (DHS) legislature notification of changes in the state-operated services programs and requiring legislative approval for certain closures; establishing a state-operated services account; changing the chemical dependency treatment allocation, the administrative adjustment, division of costs, allocation of collections; authorizing the commissioner to approve and implement chemical health care pilot projects; increasing the marriage license application fee and changing the disposition of fees collected to provide for the couples on the brink project; requiring the chemical and mental health services transformation advisory task force to recommend metro area community-based services; requiring a Minnesota management and budget (MMB) legislative report on human services fiscal notes; requiring the board of pharmacy to study prescription drug waste reduction and the issue of controlled substances diversion from veterinary practice; requiring data collection on health disparities by the commissioners of health and human services

ARTICLE 20 - DEPARTMENT OF HEALTH
Collecting data on individuals with major traumatic injury; requiring reporting of certain health maintenance organization (HMO) administrative expense data; establishing the advisory group on administrative expenses; specifying certain duties and membership requirements; sunset provision; prohibiting data collecting on individuals regarding lawful firearm ownership or data; establishing a certified birth record surcharge; requiring the commissioner to designate six levels of trauma hospitals and two levels of pediatric trauma hospitals, classifying data on individuals as private, establishing a trauma registry, modifying trauma advisory council membership; establishing a licensure requirement for birth centers, providing temporary licensing; requiring the commissioner to revise clinical and case management guidelines to include recommendations for elevated blood lead levels in children; allowing state health plans and county-based purchasing plans to complete an inventory of existing data collection and reporting requirements and submit; providing hospital and clinic vendor accreditation simplification; providing an open application process for health information exchange; transferring emergency medical services regulatory board powers and duties with regard to comprehensive advanced life-support educational program to the commissioner of health; repealing the trauma registry

ARTICLE 21 - PUBLIC HEALTH

Modifying base fees for recreational camping areas and youth camps; specifying use of a portion of the Academic Health Center's MERC funds for a program to assist internationally trained physicians committed to serve in underserved areas; requiring the commissioner of human Services to seek a federal waiver to increase the eligibility requirement for the supplemental nutrition assistance program

ARTICLE 22 - HEALTH CARE REFORM

Requiring the commissioner of commerce and the Minnesota comprehensive health association to coordinate efforts to obtain federal funds for the implementation of the federal high-risk pool in Minnesota; requiring the commissioner of human services to implement the coordination of care for enrollees with chronic conditions through a health care home in compliance with federal requirements to ensure federal funding; requiring the commissioner to seek participation in available demonstration projects under federal health care reform; establishing a health care reform task force; requiring the state to apply for any available planning grants for establishing a health exchange

ARTICLE 23 - HUMAN SERVICES FORECAST ADJUSTMENTS

Adjusting appropriations for fiscal years 2010 and 2011 to recognize forecast adjustments

ARTICLE 24 - HUMAN SERVICES CONTINGENT APPROPRIATIONS

Providing a variety of appropriations contingent on extension of enhanced
federal Medicaid match; incrementing policy changes necessary to satisfy enhanced match requirements

ARTICLE 25 - HEALTH AND HUMAN SERVICES APPROPRIATIONS

Summarizing health and human services appropriations, by fund; appropriating money for health and human services, the health-related boards and the department of veterans affairs; providing for certain base adjustments, funding reductions, fund transfers, carryforwards, reimbursements and payment rates; specifying poverty guidelines; requiring the commissioner human services (DHS) to manage certain program growth; authorizing the volunteer health care provider program administrative services unit to prorate payments or limit participation due to insurance cost overrun; expanding temporary assistance to needy families/maintenance of effort (TANF/MOE) qualifying expenditures to education credit; modifying working family credit expenditures to be claimed for TANF/MOE, the TANF appropriation for the Minnesota family investment program (MFIP), transition year child care, and the TANF summer youth program wage subsidies for MFIP youth and caregivers; eliminating the TANF fund base increase; requiring certain general fund reimbursements; providing for TANF summer food programs; increasing fraud prevention grant funding for counties, volunteer health care provider program funding and general assistance medical care (GAMC) funding; modifying payments for substance abuse treatment; specifying an expiration date for uncodified language
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