Legislative Session number- 88

Bill Name: SF1034

2E Relating to health and human services

ARTICLE 1 - AFFORDABLE HEALTH CARE
ACT IMPLEMENTATION; BETTER HEALTH CARE FOR MORE MINNESOTANS

Dedicating
MinnesotaCare federal receipts; requiring federal authority to operate a health
coverage program for certain persons in poverty; adding and modifying medical
assistance (MA) definitions; conforming MA to certain federal requirements;
requiring a presumptive eligibility hospital MA determination; applying federal
definitions to MinnesotaCare and requiring federal approval to implement
MinnesotaCare as a basic health program and requiring Minnesota insurance
marketplace coordination; adding and modifying MinnesotaCare definitions;
requiring MinnesotaCare and MA coordination; requiring a competitive process for
MinnesotaCare service delivery; requiring MinnesotaCare funding adequacy
determination; repealing MinnesotaCare by a certain date; repealing certain MA
eligibilities

ARTICLE 2 - CONTINGENT REFORM 2020; REDESIGNING HOME AND
COMMUNITY-BASED SERVICES

Modifying home and community-based continuing care
services; requiring a one-time critical access study; designating the agencies
operating the Senior LinkAge line and the Disability Linage line as the state of
Minnesota aging and the disability resource centers under federal code;
requiring certain costs reimbursement claims incorporation into federal cost
reimbursement claiming processes; requiring nursing facility admission
preadmission screening; modifying the medical assistance (MA) reform waiver,
long-term care consultation services, the alternative care program, senior's
agenda for independent living (SAIL) projects, the long-term care quality
profile system, the value-based nursing facility reimbursement system, and the
home and community-based service waiver for disabled; establishing a community
first services and supports (CFSS) MA state plan option; modifying the group
residential housing supplementary service rate; requiring common entry point use
for vulnerable adult maltreatment reporting; specifying a federal approval
contingency for all provisions; repealing provisions relating to common entry
point vulnerable adult maltreatment reporting federal grants, SAIL, and
long-term care consultation services

ARTICLE 3 - SAFE AND HEALTHY DEVELOPMENT
OF CHILDREN, YOUTH AND FAMILIES

Modifying the Minnesota family investment
child care program (MFIP), child care rates, licensing sanctions, sudden infant
death syndrome (SIDS) risk reduction, abusive head trauma, sudden unexpected
infant death, family child care training requirements, children with
disabilities services contribution, foster care rates, the runaway and homeless
youth act, the vulnerable children and adults grant formula, relative custody
assistance, the adoption assistance program, juvenile delinquency and safety,
child support collection, and the electronic benefit transaction (EBT) subsidy;
requiring child care license holder liability insurance notification; allowing
temporary assistance for needy families (TANF) demonstration projects or waiver
from federal regulation; providing directives to the commissioner of human
services; repealing an MFIP family cap and juvenile prostitution diversion or
child protection proceedings

ARTICLE 4 - STRENGTHENING CHEMICAL AND MENTAL
HEALTH SERVICES

Modifying the adult and the children's mental health acts,
the state operated services account, commitment procedure administrative
requirements, chemical dependency pilot projects, foster care treatment, the
mental health services reimbursement, and the group residential housing
supplementary rate; providing medical assistance (MA) mental health certified
family peer specialist coverage, parenting skills, psychological services,
in-reach community-based service coordination, family psychoeducation, and
mental health clinical care consultation; defining mental health service plan
development and level II mental health behavioral aide; requiring state-operated
child and adolescent behavioral health services facility recommendations, a
pediatric services and children's mental health services pilot provider input
survey, and the mentally ill and dangerous commitments stakeholders group
convention for recommendations

ARTICLE 5 - DEPARTMENT OF HUMAN SERVICES
PROGRAM INTEGRITY AND OFFICE OF INSPECTOR GENERAL

Requiring a department of
human services electronic process for regular transfer of new criminal case
information added to the court information system; requiring agency review of
predatory offender registration background study and criminal case information
and requiring cost recovery through a study fee; establishing child care
provider and recipient fraud investigations within the child care assistance
program; modifying department of human services provider medical assistance (MA)
enrollment duties and requiring application fee collection; modifying MA
sanctions and monetary recovery; authorizing commissioner of human services
bureau of criminal apprehension database access; modifying the uniform probate
code for protection of persons under disability and their property for guardian
and conservator investigation purposes

ARTICLE 6 - HEALTH
CARE

Authorizing two deputy human services commissioners; increasing the
health maintenance organization (HMO) and community integrated service network
(CISN) surcharge, inpatient hospital services payment system percent, and the
physician and professional service rate; increasing the medical assistance (MA)
reimbursement for dental services , family planning services, and basic care
services; requiring payment adjustment for the early hearing detection and
intervention program; providing MA for correctional facility inmates during an
inpatient stay in a medical institution; authorizing MA coverage for certain
emergency medical conditions, Doula services, and electronic tablets; requiring
a preferred diabetic testing supply program; allowing same day mental health
multiple services payments and Hennepin county pilot program MA co-payment
waiver requirements; modifying Hennepin and Ramsey Counties health care delivery
network pilot programs; requiring a Hennepin county medical center
(HCMC)ambulance services upper payment limit; increasing medical education and
research fund (MERF) funding; requiring a risk corridor establishment, primary
care services and immunization payment, a work group to study emergency MA,
determination for adding 19 and 20 year olds and caretaker populations, a
provider prescription drugs reimbursement study, and a dental access and
reimbursement report

ARTICLE 7 - CONTINUING CARE

Modifying late or
nonsubmission resident reimbursement penalties, the child foster care licensing
moratorium, medical assistance (MA) covered services pharmacy payment rate
determination, elderly waiver cost limits, home and community-based services
excess spending responsibility, waivered services statewide priorities, quality
assurance system opt in, state quality council membership duration, value-based
nursing facility reimbursement system, home and community-based service waivers
for the disabled, and home and community-based setting for people with
disabilities; requiring a Nicollet county additional bed certification, mental
health consultations for avoidable behavioral crisis emergency room admissions,
psychiatric inpatient hospitalizations, and commitments reduction, a federal
1115 demonstration waiver, a nursing home level of care report, assistive
technology equipment recommendations, reimbursement and grant increases, a home
and community-based waiver services safety net, a shared living model, and money
follows the person grant submission; establishing individual community living
support (ICLS) on the elderly waiver; providing a nursing facility property rate
increase for nursing facilities in McLeod and Dakota counties, a Cottonwood
county intermediate care facility for persons with developmental disabilities
(ICF/DD) rate adjustment, an intermediate care facility for persons with mental
retardation (ICF/MR) rate increase, and an ICF/DD rate increase; removing a
commissioner of human services requirement for baseline assessments; clarifying
a previous appropriation; repealing provisions relating to the quality
management, assurance, and improvement systems for Minnesotans receiving
disability services, an ICF/DD rate decrease, and contingency provider rate and
grant reductions

ARTICLE 8 - WAIVER PROVIDER STANDARDS

Redesigning home
and community-based services, defining psychotropic medication monitoring
responsibility, providing emergency use of manual restraints, intensive support
services planning and delivery, establishing program coordination, evaluation,
and oversight, intervention services, record requirements, intensive support
services, facility licensure requirements, facility sanitation, community
residential settings, day services facilities, alternative licensing
inspections, and adult mental health certification standards, requiring
integrated licensing system for home care and home and community-based services;
repealing services for developmental disabilities and record
requirements

ARTICLE 9 - WAIVER PROVIDER STANDARDS TECHNICAL
CHANGES

Making technical changes; repealing home and community-based services
for the disabled services and supports

ARTICLE 10 - HEALTH-RELATED LICENSING
BOARDS

Classifying criminal history record information obtained by the
health-related licensing boards; decreasing licensed marriage and family
therapist licensure fees; changing licensing requirements for businesses
regulated by the board of pharmacy; making the changes to the prescription
monitoring; establishing a criminal background check process for individuals
licensed by the health-related licensing boards; requiring continuing education
requirements for health related licensed boards to include parental depression;
requiring inclusion of other health-related occupations to criminal background
checks

ARTICLE 11 - HOME CARE PROVIDERS

Classifying provider data and
regulating data release; modifying the home care program; establishing home care
provider, home care services, and home care provider licensure; providing
issuance of temporary license and license renewal, enforcement, background
studies, compliance, innovation variance, home care provider responsibilities,
medication management, treatment and therapy management, client record
requirements, orientation and training, transition period, home management
providers registration, an integrated licensing system for home care and home
and community-based services; requiring surveys and investigations, a home care
advisory council, a quality improvement program, and a correction order appeal
process study; repealing home care program licensure

ARTICLE 12 - HEALTH
DEPARTMENT

Modifying medical education, the essential community provider
designation, diagnostic laboratory services, infant testing for congenital
disorders, vital records, the early hearing detection and intervention program,
environmental laboratories accreditation fees, the statewide health improvement
program, the home visiting program, alkaline hydrolysis facility licensing, and
commissioner of health statutory requirements review of embalming; defining
bored geothermal heat exchanger, maternal depression, alkaline hydrolysis and
related terms; providing newborn screening for critical congenital heart
disease (CCHD), vital records amendment and correction; requiring vital records
system security, a laboratory assessors selection committee, a health facilities
construction plan fee, postpartum depression review ; establishing a system for
stroke response; extending the newborn hearing advisory committee; authorizing
certified lead firm administrative penalty imposition; repealing medical
research, a well boring definition, certain mortuary science statutes, and a
vital statistic statute

ARTICLE 13 - PAYMENT METHODOLOGIES FOR HOME AND
COMMUNITY-BASED SERVICES

Modifying medical assistance (MA) home and
community-based waivers providers payment methodology for services for persons
with developmental disabilities and the disabled; establishing a new home and
community-based waivers rate setting; repealing medical assistance (MA) payment
methodology development

ARTICLE 14 - HEALTH AND HUMAN SERVICES
APPROPRIATIONS

Appropriating money to the commissioner of human services for
supplemental nutrition assistance, temporary assistance for needy families
(TANF) maintenance of effort (MOE), working family credit expenditures, health
care, continuing care, chemical and mental health, the Minnesota family
investment program (MFIP) diversionary work program (DWP), child care
assistance, general assistance (GA), supplemental assistance, group residential
housing, MinnesotaCare, medical assistance (MA), deaf and hard-of-hearing
services, alternative care, CD treatment, work study, child support, adoption
assistance, child and economic support grants, health care grants, advocating
change together, adult and child mental health grants, the sex offender program,
to the commissioner of health for health improvement, compliance, health
protection, to the health-related boards, to the emergency medical services
regulatory board, to the council on disability, to the ombudsman for mental
health and developmental disabilities, and to the ombudsperson for families;
specifying federal administrative reimbursement use; authorizing certain
transfers and adjustments

ARTICLE 15 - REFORM 2020 CONTINGENT
APPROPRIATIONS

Appropriating money to the commissioner of human services for
continuing care, group residential housing, medical assistance (MA), alternative
care, child and community service grants, and aging and adult services grants;
specifying a federal approval contingency; requiring commissioner of management
and budget (MMB) appropriations adjustment

ARTICLE 16 - HUMAN SERVICES
FORECAST ADJUSTMENT

Appropriating money to the commissioner of human services
for the Minnesota family investment program (MFIP), diversionary work program
(DWIP), child care assistance, general assistance (GA), supplemental aid, group
residential housing, MinnesotaCare, medical assistance (MA), alternative care,
and CD entitlement
(rt)