Legislative Session number- 85

Bill Name: SF2171

3E Relating to human services

ARTICLE 1 - CHILD WELFARE POLICY

Modifying child
welfare provisions; expanding certain duties of the commissioner of human
services (DHS) to include children under the guardianship of a tribe in the
state recognized by the secretary of interior; modifying certain adoption
requirements for older children under the guardianship of the commissioner,
prohibiting refusal by a child to refuse or waive the efforts of an agent to
recruit, identify and place the child in an adoptive home or sign a document
relieving county social services agencies of all recruitment efforts on behalf
of the child; modifying certain provisions relating to referrals for
postplacement assessment; modifying certain court findings provisions; modifying
certain adoption assistance eligibility criteria; eliminating certain reasons
for deferral of the listing of a child with the state adoption exchange;
modifying the duty of the juvenile court to ensure placement prevention and
family reunification for permanent
alternative homes consideration purposes;
modifying child placement provisions for Indian children under the Minnesota
Indian preservation act, applying federal law (Indian child welfare act) and
state law in child custody proceedings, modifying Indian tribe jurisdiction and
court determinations of tribal affiliation of child provisions; requiring and
specifying certain placement procedures for the orderly and timely interstate
placement of children; modifying and clarifying certain requirements for
protecting or placing children in need of protection services; modifying review
of court ordered placement and permanent placement determination requirements;
modifying certain out of home placement plan documentation and health and
educational records information requirements; requiring a responsible social
services agency for children in placement to give a copy of the health and
education report to the child leaving foster care by reason of having attained
the age of majority; specifying certain review requirements for certain child
placements; excluding income of certain age children employed as part of an
independent living plan transitioning from foster care and cost of care
reimbursement to counties; modifying certain orders for terminating parental
rights; requiring local welfare agency responsibility for assessing or
investigating reports of sexual abuse under certain conditions; requiring local
law enforcement agency responsibility for investigating
maltreatment; modifying
certain duties of a local welfare agency and local law enforcement agency upon
receipt of a report involving substantial child endangerment and modifying the
definition of substantial child endangerment; modifying certain child
maltreatment reporting requirements and notice of determinations requirements;
specifying certain renumbering and cross reference change instructions to the
revisor of statutes

ARTICLE 2 - CHILDREN AND FAMILY

Expanding certain private
data disclosure requirements on individuals to include the child care assistance
program; prohibiting state interest charges on overpayments of assistance
benefits under child care funding; removing the requirement for the commissioner
to establish a certain amount of the annual state appropriation for the basic
sliding fee program under the at-home infant child care program; modifying child
care assistance program financial eligibility, rates provisions, assistance
eligibility requirements, payment of other child care expenses, the sliding fee,
the parent fee schedule and copayment; prohibiting persons found guilty of
wrongfully obtaining public assistance from being authorized as a legal
nonlicensed family child care provider; requiring the commissioner to annually
survey child care provider rates; limiting rates including special needs rate
charged by providers under school readiness service agreements; modifying the
family child care provider rate differential for accreditation qualification;
requiring provider payment billing authorization of care and billing form and
allowing a maximum amount of retroactive child care assistance payment;
modifying the number of absent days allowed for reimbursement to child care
providers under the child care assistance program, permitting child care center
directors, teachers, public health officials or nurses to verify illness in lieu
of medical practitioners; authorizing counties to pay for more absent days under
certain conditions; expanding child care services grants provisions; making
program integrity improvements and expanding certain duties of the department of
human services; requiring the commissioner of human services to establish an
advisory committee to identify ways to simplify and streamline human services
laws and administrative requirements; specifying certain membership
requirements; requiring a human services efficiency report to the legislature by
a certain date; authorizing the department of labor and industry to allow the
department of human services and county agencies direct access and data matching
on workers compensation claims information; requiring the commissioner to
administer compliance for the child care assistance program; providing for
reallocation of penalties withheld under the child care assistance program to
counties; requiring written applications for MinnesotaCare and child care
assistance to contain a declaration; providing for the expunging or storing off
line of food support benefits under certain condition of non use for a certain
period, requiring the commissioner to implement simplified reporting and
modifying food support recipient reporting requirements; requiring the
commissioner to establish a grant program to assist private and public agencies
and organizations in providing crisis nurseries to provide services and
temporary care to families experiencing crisis situations, specifying crisis
nurseries services requirements and providing for the distribution of funds;
prohibiting the commissioner from moving programs or activities funded with
Minnesota family investment program (MFIP) or temporary assistance for needy
families (TANF) funds to other funding sources without legislative approval;
authorizing the commissioner to administer and transfer block grant funds under
the deficit reduction act of 2005; modifying MFIP expenditures treatment,
participant definition, property limitations, income exclusions, recertification
for single caregiver households, rental subsidies, time limit, employment plan
contents and participant requirements, placing restrictions on sanctions,
prohibiting unpaid work performed for cash assistance, exception, requiring
assessments to include a determination for referral to family stabilization
services, removing the unsubsidized employment requirement for postsecondary
education approval and adding additional work activities under certain
conditions, establishing family stabilization services under MFIP to serve
families failing to make significant progress within MFIP due to certain
barriers to employment and to stabilize and improve the lives of families at
risk of long term welfare dependency, providing for a work participation bonus
for participants exiting the diversionary work program (DWP) or terminating
MFIP cash assistance with earnings, expanding MFIP consolidated fund uses,
permitting an innovative projects performance incentive, increasing performance
base funds allocation, modifying county performance management and DWP
eligibility; modifying funding provisions relating to the runaway and homeless
youth act; modifying adoption eligibility conditions relating to tribal law and
including children over a certain age; authorizing the commissioner of revenue
to disclose tax information to the commissioner of human services under the
child care assistance program; establishing a pilot MFIP in Stearns and Benton
counties to expand the Workforce U program administered by the Stearns Benton
employment and training council; requiring the commissioner to provide a
planning grant to address local and culturally relevant alcohol and drug
treatment for American Indian youth and to develop a plan for a family based
youth treatment center in the Leech lake area; simplifying application
procedures for certain citizens applying to the Minnesota food support program;
providing for inspection of legal unlicensed child care providers; requiring the
commissioner in cooperation with the commissioners of education and health to
develop and phase-in the implementation of a professional development system for
practitioners serving children in early childhood and school-age programs,
requiring the commissioner to develop and identify trainings qualifying for the
two-hour early childhood development training requirement for new child care
practitioners and requiring labor union input for family child care providers;
authorizing and providing for school readiness service agreements (SRSA) and
funding; establishing a family, friend and neighbor (FFN) grant program to
promote children's literacy, healthy development and school readiness and to
foster community partnerships to promote school readiness; requiring the
commissioner to study the implications of restricting the use of state subsidies
in center based child care to centers meeting state quality standards; requiring
the commissioner to offer a request for proposals to identify a research and
evaluation firm to monitor and evaluate the programs receiving funding;
prohibiting TANF grant reduction county penalty assessment due to unmet work
participation requirements; repealing certain county reporting and payments
termination of allocation requirements, the MFIP family cap, MFIP provisions
relating to ineligibility for state funded programs, supplemental security
income (SSI) as unearned income and a MFIP consolidated fund report requirement


ARTICLE 3 - LICENSING

Modifying department of human services unlicensed
emergency relative placement (foster care) county and private agencies licensing
responsibilities, background study requirements, disqualifications,
reconsiderations and commissioner notice; establishing adoption background study
requirements and child foster care, family child care and tribal organizations
background studies, modifying adoption home study requirements; exempting a
nonpublic school program for children a certain age or older from human services
licensing requirements until a certain date; requiring the commissioner to work
with counties to determine the costs and propose an ongoing funding allocation
for licensed family child care providers annual license review costs

ARTICLE 4
- HEALTH CARE POLICY

Authorizing health care access fund transfers to meet
prior basic health care grants rate increases; requiring the commissioner of
human services to fund voluntary outreach programs targeted at women delivering
children affected by prenatal alcohol or drug use; requiring individuals
enrolled in medical assistance (MA) and charged with a crime and incarcerated
for a certain amount of time to have eligibility suspended at the time of
incarceration and reinstated upon release; requiring income disregard treatment
for any monetary gift or portion received by MA applicants or enrollees for
uncovered prosthetic device purchases; requiring the commissioner to provide
notice prior to removal of a prescription drug used by a percentage of the fee
for service MA recipients from the drug formulary due to failure of manufacturer
to sign rebate agreements; allowing MA coverage for community health workers
under certain conditions; modifying a MinnesotaCare documentation requirement


ARTICLE 5 - HEALTH CARE

Authorizing health care access fund transfers to
meet prior basic health care grants rate increases; requiring the commissioner
to design and implement a statewide campaign to raise public awareness on the
availability of health coverage through medical assistance (MA), general
assistance medical care (GAMC) and MinnesotaCare, providing for outreach grants,
providing for a statewide toll free telephone number and incentive program,
requiring school districts to provide certain information; requiring the
commissioner to provide information on the small employer buy in option for
MinnesotaCare; requiring the commissioner to award a grant to implement a web
based primary access care pilot project in Hennepin and Ramsey counties to try
to divert nonemergency medical patients to community based appointments with a
more appropriate outpatient settings; requiring the commissioner to increase the
MA payments to a long term care hospital under certain conditions; adding as
medicaid disproportionate share hospital payments human services department paid
fee for service inpatient and outpatient hospital payments for hospital services
occurring between certain dates and certified public expenditures made by
Hennepin county medical center; modifying the inpatient hospital payment system
payment rate quarterly payment adjustment; authorizing the commissioner to
engage in competitive bidding for MA nonemergency medical transportation level
of need determinations and disbursements, prohibiting the commissioner from
utilizing volume purchases through competitive bidding and negotiation for
special transportation services; requiring health care professional
determination of level of need nonemergency medical transportation; modifying MA
eligibility verification and clarifying circumcision as a noncovered service,
extending MA coverage for home based intensive early intervention behavior
therapy for children with autism spectrum disorders and Medicare part D or
medicare advantage special needs plan prescription copayment coverage, extending
intensive early intervention behavior therapy services reporting, modifying MA
copayments and prohibiting MA reimbursement increase as a result of copayment
removal after a certain date; modifying the definition of participation in
reimbursable state health care programs for pediatric dentists to include
acceptance of new MA, GAMC and MinnesotaCare pediatric patients with special
health care needs, defining special health care needs; requiring the
commissioner to apply for MA federal matching funds; requiring children's
hospital services provided by a former state hospital to be paid using
methodology established for critical access hospitals under MA and increasing
the reimbursement rates for critical access dental providers and family planning
services; modifying GAMC eligibility and covered services; modifying
MinnesotaCare gross individual or family income, covered health services,
inpatient hospital services, copayments and coinsurance and single adults and
households without children guidelines, application assistance and availability,
enrollment by county agencies, commissioner determination of eligibility,
eligibility renewal, general requirements, critical access dental providers
payments, premium determination, the sliding fee scale and assets consideration,
restricting applicability for must not have access to employer subsidized
coverage to adults, modifying sliding fee scale exceptions and creating a small
employer buy-in option; creating a Hennepin county pilot project to demonstrate
alternative strategies effectiveness; requiring a pharmacy report on the fiscal
impact of the deficit reduction act; requiring the study of MA chiropractic
coverage expansion; requiring a Granite Falls MinnesotaCare application
processing center; repealing provisions relating to MinnesotaCare limited
benefits coverage for certain single adults and households without children and
access to health coverage postsecondary education students and MA copayments as
uncollected debt

ARTICLE 6 - CONTINUING CARE POLICY

Modifying continuing care
provisions, changing a nursing home biennial legislative report due date;
allowing support grant amount cost of living adjustments under services for
persons with disabilities; modifying the human services consumer support
program, the inpatient hospital payment system, long-term care facility and
client definitions; changing the title of the office of ombudsman for older
Minnesotans to the office of ombudsman for long-term care and modifying duties;
expanding the definition of long-term care facility to include licensed or
registered residential settings providing for home care services; conforming
changes to the older American act; authorizing the board on aging to conduct
electronic meetings; requiring the commissioner under medical assistance (MA) to
establish a process with centers for independent living allowing a person
residing in a state nursing facility to receive needed information, consultation
and assistance from the centers regarding available community support options to
enable the person to relocate to the community under certain conditions and
requiring the assistance to include information about the centers for
independent living, making clarifying changes for MA personal care assistant
services definitions, specifying assistant training requirements, provider
responsibilities, employment prohibitions and supervision, modifying MA
long-term care consultation services admission and screening requirements and
certified nursing facilities reimbursement waiver requests and permitting
provider withholding for delinquency, modifying the MA alternative care program
non-MA recipient funding eligibility, covered services, service definitions and
standards, individual care plan requirements and lead agency duty designation in
place of county designation, changing the MA adult foster care and family adult
day care reimbursement regulation to the medicaid waiver for elderly services
exclusively, changing MA quality assurance cost reporting on-site audits,
nursing facility rate determination notification and increase deadlines and the
replacement costs index, requiring the commissioner to provide the centers for
independent living with substantive changes to the MA disabilities services
provider manual prior to the effective date; extending an alternative care pilot
project and specifying a retroactive date; requiring the commissioner to grant
licenses with variances to certain nonresidential programs for youth with
disabilities under a certain age during nonschool hours

ARTICLE 7 - CONTINUING
CARE

Requiring the commissioner in cooperation with the commissioner of the
housing finance agency (HFA) to establish an information and referral system to
inform eligible persons regarding the availability of reverse mortgages and
available state incentives, requiring the commissioner of the HFA to establish
the reverse mortgage incentive program; providing additional criteria for
ranking nursing facility moratorium exception proposals; modifying certain
parental contribution requirements for the cost of services for children with
developmental disabilities; authorizing the commissioner to license a certain
number of level B intermediate care facilities for persons with developmental
disabilities (ICF/MR) to replace a city of Minneapolis level A facility not
accessible to persons with disabilities, requiring the new facilities to be
located in Hennepin county, specifying a payment rate; requiring the
commissioner to establish the disability linkage line for people with
disabilities and chronic illnesses; expanding requirements for the board on
aging statewide information and assistance service to incorporate certain
information about housing with services and consumer rights and financial
self-sufficiency; modifying MA eligibility asset limitations for aged, blind and
disabled individuals, expanding MA covered services to sign language interpreter
services, establishing the MA self directed supports option and including self
directed supports under covered services, modifying MA personal care provider
prior authorization time limits, personal care assistant services assessment
service updates, requirements and payment rates, allowing long-term placement
individual decision between nursing facility placement and community placement
after screening, permitting face to face assessment for certain MA programs
eligibility determination, specifying transition to housing with services MA
disclosure requirements, defining case management services and case aide duties
under MA medicaid waiver for elderly services, specifying the conversion rate
limit for conversions from nursing home to the elderly waiver with consumer
directed community support services, changing the assisted living service rate
and specifying service rate limits for 24 hour customized living services,
authorizing the expansion of the quality assurance system to include programs
for persons with disabilities and older adults, extending the expiration date,
developing a statewide quality assurance and improvement system for Minnesotans
receiving disability services, placing a nursing facility in Waseca county
providing ventilator dependent care in partnership with Mayo health systems into
a different geographic group for operating costs reimbursement purposes,
increasing MA nursing home allowable interest expense, authorizing nursing
facilities rate increases for complying with certain federal certification
standards or codes, authorizing a Chisago county nursing facilities operating
payment rates increase, increasing the MA nursing facility cost of living
adjustment (COLA), providing a method to determine costs reimbursement for
nursing facilities participating in the public employee retirement association
(PERA) and requiring commissioner determination using a certain formula,
authorizing the commissioner to approve a planned MA closure rate adjustment for
a Big Stone county nursing facility in Clinton for a facility in Graceville,
permitting rebasing of nursing facility operating cost payment rates, modifying
the MA value-based nursing facility reimburse system and classifying facility
type groups, increasing MA rate adjustments for intermediate care facilities for
persons with mental retardation and related conditions (ICF/MR), extending the
time for expansion of developmental disability pilot projects; providing a
single grant program for deaf blind persons services; modifying the group
residential housing (GRH) beds development moratorium for Hennepin, Stearns and
Crow Wing county facilities serving recovering and chemically dependent persons,
for a provider operating facilities in Hennepin and Ramsey counties providing
community support and supervision and for a Hennepin county facility licensed as
a board and lodging facility operating as a licensed chemical dependency
treatment program, authorizing Ramsey, Hennepin, Crow Wing, Stearns and St.
Louis counties to negotiate supplementary rates for certain facilities serving
chemically dependent persons and homeless persons; extending overspending
forgiveness under the waivered services program for persons with developmental
disabilities to Fillmore, Steele and St. Louis counties and delaying the
repayment due date for Carver county; requiring the council on disability to
facilitate a statewide study of the assistive technology needs of people with
disabilities and senior citizens; requiring the commissioner to increase
community service provider reimbursement rates or limits by a certain
percentage; requiring department of administration rules publication; requiring
the commissioner to conduct a study of housing with services establishments and
home care providers to assess spend down impact on public expenditures;
authorizing a provider rate increase to a St. Louis county day training and
habilitation provider; specifying instructions to the revisor of statuses;
repealing miscellaneous provisions relating to services for persons with
disabilities, inpatient hospital payment system reporting, the MA alternative
care program and the value-based nursing facility reimbursement system

ARTICLE
8 - MENTAL HEALTH

Requiring the commissioner of administration to reserve a
portion of janitorial contracts for rehabilitation programs and extended
employment providers; modifying alcohol and drug counselor licensure exception
provision and the definition of mental illness; clarifying county board
responsibility under the adult and children's mental health acts; requiring and
providing for the commissioner to undertake mental health service delivery and
finance reform; requiring county boards to provide or contract for sufficient
community support services to meet the needs of adults having an acute episode
regardless of insurance status, requiring the community support services program
to promote mental health stabilization and increase functioning, defining
community support services, requiring the use of all available funding streams
and requiring the commissioner to collect data on community support services
programs; providing for children's mental health grants; providing for examiners
for state residents admitted to bordering states; expanding the compulsive
gambling treatment program to residents in temporary or permanent residential
settings for mental health or chemical dependency, jails and correctional
facilities; requiring licensed child foster care providers to complete a certain
amount of mental health disorders training prior to licensure; modifying county
liability cost of care reimbursement for regional treatment centers or state
nursing facilities, specifying exceptions; requiring under civil commitment a
determination of petition and report necessity for sexual psychopathic
personalities and sexually dangerous persons upon receipt of a court petition
for civil commitment; requiring the commissioner to develop a directory
identifying key characteristics of each licensed chemical dependency treatment
program; authorizing and providing for the commissioner to establish a mental
health certified peer specialist program model to provide nonclinical peer
support counseling by certified peer specialists, requiring the commissioner to
develop a process to certify peer support specialist programs and to develop a
training and certification process for certified peer specialists; adding
intensive mental health outpatient treatment under covered services for medical
assistance (MA), modifying MA mental health case management covered services
county and state financial responsibilities; renewing treatment foster care
services MA coverage, requiring parent team training curricula to be approved in
advance by the commissioner, requiring provider per diem payment rates by
prepaid plans for services for children with severe emotional disturbance to be
a proportion of the per day contract rate and excluding group foster care costs
payment, modifying the limitation of choice exception for children with severe
emotional disturbance under the prepayment demonstration project, excluding
mental health services added as covered benefits from the MA payment for covered
services reductions, expanding the MA critical access mental health rate
increase to certain services; extending general assistance medical care (GAMC)
to MA covered mental health services and specifying a reduction exemption;
modifying MinnesotaCare covered health services, copayments and coinsurance to
not apply to mental health services and exempting mental health services from
rate reductions; requiring the commissioner to standardize reimbursement rates
for compulsive gambling assessments; requiring a legislative report on funds
transfer to counties for state registered nurses (RN) in community mental health
pilot projects; requiring the commissioner to develop change recommendations in
the adult mental health act related to case management; authorizing a regional
children's mental health initiative pilot project to improve children's mental
health service coordination, communication and processes in Blue Earth, Brown,
Faribault, Freeborn, Le Sueur, Martin, Nicollet, Rice, Sibley, Waseca and
Watonwan counties; requiring the commissioner to fund a pilot project to measure
the impact of children's mental health needs on Minnesota family investment
program (MFIP) participant ability to obtain and retain employment; requiring
the commissioner of revenue to study the costs of the truth in taxation property
tax program and the level of taxpayer participation; providing a revisor of
statutes instruction

ARTICLE 9 - DEPARTMENT OF HEALTH POLICY

Relating to
health care cost containment, modifying certain definitions relating to
expenditure reporting and defining specialty care, requiring hospitals,
outpatient surgical centers, diagnostic imaging centers and physician clinics to
report annually to the commissioner of health on all major spending commitments
and prescribing report contents, modifying prospective review and approval
requirements, certain exceptions relating to reporting requirements, cost
containment data collected by health care providers, certain billing procedures
and Minnesota uniform health care identification card organization; modifying
dental plans community-based health care coverage program approval and reporting
requirements and delaying the sunset; modifying diagnostic imaging facilities
and the providers of diagnostic imaging services reporting requirements to the
commissioner of health, the definition of diagnostic imaging facilities and
defining diagnostic imaging service and providing all reports be open to public
inspection; requiring hospitals to establish methicillin-resistant
staphylococcus aureus (MRSA) control programs; modifying the health care bill of
rights, establishing the right to visitation by an individual appointed by the
patient as the patient health care agent and the right to visitation and health
care decision making by an individual designated by the patient, requiring upon
facility admission the patient or patient representative to be given the
opportunity to designate an unrelated person with the status of patient next of
kin with respect to visitation and health care decision making, requiring
designation to be included in the patient health record, specifying health care
directive or health care agent appointment prevalence, permitting unrelated
person identification by patient or family of patient, allowing health care
agent visitation; modifying occupational therapist and therapy assistants
initial and renewal licensure fees; specifying certain physical therapist and
physical therapist assistant fees; ensuring in the patient bill of rights the
presence of a doula upon patient request; defining certain terms, requiring the
commissioner to establish a doula registry of certified doulas, specifying
qualifications and providing for renewal, fee imposition; modifying fees for
licensed professional counselors (LPC) and alcohol and drug counselors by the
board of behavioral health and therapy; establishing fees for licensed
professional clinical counselors (LPCC); establishing mortuary science fees and
increasing a certain filing fee; requiring the commissioner to present a
legislative injunctive relief report; delaying hearing aid dispenser fee
increases

ARTICLE 10 - DEPARTMENT OF HEALTH

Authorizing the commissioner of
health to award a demonstration project grant to a community based health care
initiative to develop and operate a community based health care coverage program
within Carlton, Cook, Lake, and St. Louis counties; ¿Minnesota Health Records
Act", defining certain terms, specifying certain patients rights regarding
access to patients health records, requiring providers to provide patients a
written notice concerning practices and rights with respect to health records,
specifying certain cost requirements, authorizing providers to withhold health
records from patients under certain conditions, providing for release or
disclosure of health records under certain conditions, specifying certain
conditions for the disclosure of health records relating to mental health by a
provider, limitations, permitting a provider or group purchaser to send patient
identifying information and information about the location of patient health
records to a record locator service without patient consent, requiring providers
to disclose mental health records to law enforcement agencies and family and
caretakers under certain conditions, providing for the release of health records
to an external researcher solely for purposes of medical or scientific research
under certain conditions, regulating the release of a videotape copy of a child
victim or alleged victim of physical or sexual abuse without a court order,
requiring providers to release health records created as part of an independent
medical examination to a third party, imposing penalties, providing for
allocation of liability and liability for a record locator service; modifying
the department of health interconnected electronic health record grants for data
exchange; increasing the housing with services registration fee; defining
federally qualified health centers and providing for subsidies allocation;
requiring the commissioner to develop a plan to fund and implement an ongoing
comprehensive health promotion program; requiring the commissioner to reconvene
the cervical cancer elimination study to conduct a study on the human papilloma
virus vaccine; providing a revisor instruction

ARTICLE 11 - MISCELLANEOUS
POLICY

Specifying data access governance for the prescription electronic
reporting system; authorizing registered nurses (RN) to dispense oral
contraceptives in family planning clinics; "Long Term Care Resident Access to
Pharmaceuticals Act", defining certain terms, authorizing long term care
facilities to administer and long term care pharmacies to dispense drugs
acquired from a drug source to patients under certain conditions; requiring
photographic identification (photo ID) for schedule II or III controlled
substance dispensing; requiring the board of pharmacy to establish an electronic
system for reporting on dispensed controlled substances schedule II and III
prescriptions, requiring the board to develop and maintain a database of
reported data, providing for access to reporting system data and the use of the
data by certain permissible users, providing for disciplinary action for
failure to submit data to the board; requiring counties to ensure mental health
screening for children receiving certain county services unless a diagnostic
assessment has been performed; eliminating certain rules relating to chemical
dependency care, modifying the chemical dependency treatment allocations
reserved for Native American tribes, the administrative adjustment of the
chemical dependency allocation process, the payment process for counties paying
their share of chemical dependency treatment costs and the billing procedure for
children's therapeutic services and supports; requiring providers to bill only
for direct service time; modifying the community action agency definition
qualification under community social services for family assets for
independence; authorizing the board of pharmacy to apply for federal grants and
other nonstate funds and prohibiting the board from increasing license fees of
pharmacists or pharmacies to fund the system; requiring the board of medical
practice to convene a work group to discuss controlled substances appropriate
prescribing; repealing certain department of human services obsolete provisions
and miscellaneous provisions relating alcohol and drug abuse treatment and the
Minnesota family investment program

ARTICLE 12 - MISCELLANEOUS

Requiring the
commissioner of administration to provide to the legislature at a certain time a
base budget detail for the department of human services and health; extending
dependent health care coverage to unmarried dependents up to a certain age
regardless of enrollment in an educational institution; requiring the
legislative commission on health care access to make legislative recommendations
on universal health coverage achievement, increasing commission membership,
expanding reporting requirements to the commission; requiring the commissioner
of health to provide the commissioner of finance with information necessary for
a legislative base budget detail; specifying criteria for prescriptions or drug
orders for legend drugs issued for a legitimate medical purpose arising from a
prescriber patient relationship to include a documented patient evaluation to
establish diagnoses and to identify underlying conditions, specifying as invalid
and without legitimate medical purpose online (web, internet) questionnaires or
consultations for prescriptions (medications); requiring photographic
identification (photo ID) for schedule II or III controlled substance dispensing
under certain conditions; modifying essential employee definition under public
employment labor relations (PELRA); requiring chemical use assessments to be
completed by the county of residence of the arrested person within a certain
time period; requiring the commissioner of human services to provide the
commissioner of finance with information necessary for a legislative base budget
detail; requiring the commissioner to develop and implement a plan to monitor
controlled substances prescriptions, to report potential patient abuse and
provide education to health plan enrollees; requiring the commissioner of health
to convene a work group to study the provision of interpreter services to
patients in medical and dental care settings; providing for an agricultural
cooperative health plan pilot project for farmers; providing for the creation of
a health plan purchasing pool study group to study and make recommendations
regarding the creation of a voluntary and statewide health plan purchasing pool
to contract directly with providers to provide affordable health coverage to
eligible residents; repealing certain provisions relating to group accident and
health coverage of full time students and health plan coverage
guarantees

ARTICLE 13 - CHILDREN'S HEALTH PROGRAMS; MINNESOTACARE

Extending
temporarily medical assistance (MA) coverage for certain recently ineligible
children due to excess income and providing MinnesotaCare automatic eligibility
and providing an exception to certain MinnesotaCare requirements upon automatic
eligibility, defining the children¿s health program and health care eligibility
for children, requiring commissioner assistance, requiring the commissioner to
seek federal waivers and approval necessary to implement MA and MinnesotaCare
coordination for children¿s coverage and maximize the federal MA match for
covered children

ARTICLE 14 - HEALTH CARE REFORM POLICY

Requiring the
Minnesota hospital association to report hospital performance on measures of
care developed to prevent hospital acquired infections, specifying infections to
be included, requiring the commissioner of health to provide a web link for
results, clarifying commissioner enforcement powers for noncompliance

ARTICLE
15 - HEALTH CARE REFORM

"Minnesota Health Insurance Exchange"; providing for
greater individual choice of health insurance products, specifying organization,
operation and requirements, requiring referral of all MinnesotaCare applicants;
requiring certain employers to offer section 125 plans; defining certain terms,
specifying certain employer requirements and certain section 125 eligible health
plans; specifying criteria for evidence-based health care guidelines; requiring
hospitals and health care providers to implement interoperable electronic health
records systems by a certain date; requiring the commissioner of finance to
establish and implement the electronic health record system revolving account
and loan program; specifying uniform electronic transactions and implementation
guide standards under the health care administrative simplification act of 1994;
modifying the definition of medical education full time equivalent (FTE)
trainees and medical education funds distribution, adding a supplemental public
program volume factor and removing a sponsoring institution reporting
requirement and a funds transfer requirement for federal financial participation
maximization for medical education and research (MERC); expanding estimated
payment required disclosures under the patient protection act; conforming small
employer insurance reform prohibited practice exception provisions for the
health insurance exchange and clarifying a prohibition; specifying health plan
companies and risk management services vendors provider performance evaluation
requirements; specifying a year for state universal health care coverage;
specifying department of health care cost information yearly report contents
requirements; requiring community health boards to work with schools, health
care providers and others to coordinate community health and wellness programs;
authorizing the commissioner of human services to receive federal matching money
made available through MA for managed care oversight contracted through vendors;
requiring the commissioner to develop and implement a patient incentive health
program to provide patient rewards under MA, GAMC and MinnesotaCare; requiring
the commissioner to develop and implement a provider directed care coordination
program for certain MA recipients; requiring the commissioners of employee
relations, human services, commerce and health to develop a health care payment
reform plan; establishing community initiatives to cover the uninsured and
underinsured population, requiring the commissioner of health to provide grants
and authorize up to a maximum number of partnerships, specifying community
partnership grant eligibility; requiring the commissioner of human services to
develop and administer up to four pilot projects for children and adults with
complex health care needs enrolled in fee-for-service MA, requiring a minimum
number to focus on children with autism or children with complex multi-diagnoses
physical conditions; requiring the commissioner of health to report on the MERC
distribution formula revisions; establishing a health care transformation task
force and requiring the development of a statewide action plan for transforming
the health care system to improve affordability, quality and access; repealing a
health care providers cost disclosure requirement and medical education
transfers from the university of Minnesota

ARTICLE 16 - PUBLIC HEALTH
POLICY

Requiring the commissioner of labor and industry to adopt rules for
window fall prevention devices as part of the state building code; increasing
certain well and well disclosure fees; prohibiting fee collection for certain
diagnostic laboratory services and increasing allowed fees; increasing fees for
infant tests for heritable and congenital disorders and hearing loss detection
through the early hearing detection and intervention program; modifying certain
provisions relating to the lead abatement program, specifying MA reimbursement
use for lead risk assessment services to not be used to replace or decrease
existing state or local funding for lead services; requiring the commissioner of
health to establish a newborn hearing screening advisory committee to advise
the
commissioners of health and education, requiring all hospitals to establish
a universal newborn hearing and infant screening (UNHS) program as a condition
of licensure, requiring the commissioner of health to exercise oversight
responsibility for UNHS programs, providing for immunity from civil and criminal
liability and penalties; modifying certain provisions relating to basic life
support ambulance services and interfacility transfers, increasing repayment
amounts for volunteer training and continuing education courses; authorizing the
board of veterinary medicine to charge certain fees; authorizing commissary
privileges to veterans homes employees under certain conditions; expanding MA
coverage to include lead risk assessments provided by assessors licensed by the
commissioner of health for children with certain blood lead levels; expanding
the definition of governmental unit to include nonprofit community health
clinics providing family planning services; restoring family planning grants
appropriations; requiring the commissioner of health in consultation with the
commissioner of human services, cities of the first class, health care providers
and other interested parties to conduct a study to evaluate blood lead testing
methods used to confirm elevated blood lead status; requiring commissioner of
health to create in the current department educational safety program a
component targeted at parents and caregivers of young children to provide
awareness of the need to take precautions to prevent children from falling
through open windows; providing a revisor instruction; repealing a fetal alcohol
spectrum disorder appropriation transfer

ARTICLE 17 - PUBLIC HEALTH

Requiring
the commissioner of health to make available to the parents a visit by a public
health nurse to interview parents on exposure to toxic substances and other
subjects; modifying community health family home visiting programs; requiring
private wells and public waters systems contaminants health risk limits to be
the more stringent of state and federal standards, requiring the commissioner of
health to publish notice of rule adoption intent by a certain date for drinking
water contaminants health risk limits and to review current scientific
information to establish health risk limits for commonly detected contaminants
in groundwater and private wells, requiring rule adoption and a legislative
report by certain dates; requiring the commissioner of health in conjunction
with the commissioner of the pollution control agency (PCA) to apply for federal
funding to renew and expand the environmental justice mapping capacity,
requiring the commissioner to coordinate the project with the PCA and the
department of agriculture to explore possible links between environmental health
and toxic exposures and to help create a system for environmental public health
tracking; requiring the commissioner of health in collaboration with the
commissioner of education and the Minneapolis board of education to create a
working group to recommend an education campaign in Minneapolis public schools
to inform students and parents about the potentially harmful effects of the use
of fragrance products in schools; requiring the commissioner of human services
to ensure the testing for arsenic is covered under MA

ARTICLE 18 - HUMAN
SERVICES FORECAST ADJUSTMENTS

Providing a department of human services forecast
adjustment for fiscal year ending June, 2007

ARTICLE 19 - HUMAN SERVICES
APPROPRIATIONS

Appropriating money to the department of human services for
systems projects, pay for performance, working family credit expenditures as
TANF/MOE, additional working family credit expenditures to the claimed for
TANF/MOE, capitation rate increase, agency management and operations, child care
licensing, revenue and pass-through expenditures, TANF transfer to federal child
care and development fund, MFIP/DWP and support services grants, a MFIP pilot
program, supported work, work study, integrated service projects, MFIP child
care assistance grants, basic sliding fee child care assistance grants, child
care development grants, child care services grants, early childhood
professional development system, the family friend and neighbor grant program,
increased child car provider connections, child support enforcement grants,
child support enforcement, children¿s services grants, county allocations for
rate increases, privatized adoption grants, adoption assistance incentive
grants, adoption assistance and relative custody assistance, adoption assistance
and relative custody assistance subsidy payment increase, crisis nurseries,
children¿s mental health grants, mental health crisis services, children¿s
mental health evidence-based and best practices, culturally specific mental
health treatment grants, mental health services for children with special
treatment needs, MFIP and children¿s mental health pilot project, regional
children¿s mental health initiative, fetal alcohol syndrome (FAS), prenatal
alcohol or drug use, children and community services grants, targeted case
management temporary funding, the American Indian child welfare project
expansion, GA grants, GA standard, emergency GA, Minnesota supplemental aid
grants, emergency Minnesota supplemental aid funds, group residential housing
grants (GRH), people incorporated, other children and economic assistance
grants, grants for programs serving young parents, alcohol and drug
intervention, homeless and runaway youth, transitional housing and emergency
services, foodshelf programs, community action grants, the tenant hotline
services program, children and economic assistance, financial institution data
match and payment of fees, MinnesotaCare grants, HealthMatch delay, MA basic
health care for families, children, elderly and disabled, provider-directed care
coordination, GAMC, a community-based health care demonstration project, health
care payment reform pilot, patient incentive programs, oral health care
innovation grants, state health policies grant, senior health options
reimbursement, disproportionate share hospital payment formulas, utilization
review, health care outreach funding, aging and adult services grants, senior
linkage line, senior companion program, volunteer senior citizens, foster
grandparent program, senior nutrition, the kinship navigator program, the
reverse mortgage incentive program, alternative care grants, long-term care,
nursing facilities, MA long-term care waivers and home care grants, mental
health crisis services, adult mental health evidence-based and best practices,
culturally specific mental health treatment grants, mental health services for
adults with special treatment needs, supportive housing services for adults with
mental illness, the national council on problem gambling, compulsive gambling
and study, hearing loss mentors, chemical dependency entitlement and
nonentitlement grants, methamphetamine abuse grants, the White Earth native
American juvenile treatment center, the Leech lake youth treatment center,
quality assurance system expansion, disability linkage line, home health
reimbursement study, Advocating Change Together for the remembering with dignity
project, community behavioral health hospitals, sex offender services, security
hospital and METO, to the commissioner of health for pay for performance, TANF,
loan forgiveness, MN ENABL, fetal alcohol spectrum disorder (FAS), deaf or
hearing loss support, heart disease and stroke prevention, family planning
grants, suicide prevention programs, the hearing aid and instrument loan bank,
the medical home learning collaborative, community collaboratives, a health care
access survey, MERC federal compliance, health information technology, the
health insurance exchange, uniform electronic transactions, federally qualified
health centers, pandemic influenza preparedness, an AIDS prevention initiative
focusing on foreign-born residents, lead abatement, water treatment evaluation,
HIV information, birth defects information system, disease surveillance and for
minority and multicultural home visiting, nutrition and infant mortality rates
disparities decrease, to the veterans nursing homes board for repair and
betterment and pay for performance, to the health-related boards, to the
emergency medical services board for regional grants, the longevity award and
incentive program and the health professional services program, to the council
on disability for assistive technology, to the ombudsman for mental health and
developmental disabilities and to the ombudsman for families; authorizing
certain nonfederal share transfer and certain other transfers, providing for a
TANF prior appropriation cancellation, certain base adjustments, county CADI
allocation adjustment, prohibiting expenditure on the at-home infant care
program and prohibiting mental health treatment services appropriations at the
regional treatment centers to be used for the sex offender program; specifying
deposit requirements for certain MinnesotaCare federal receipts; authorizing the
commissioner of human services to expend money appropriated from the health care
access fund for MinnesotaCare in either year of the biennium; requiring a
certain cancellation of balance in the excess police state-aid holding account;
appropriating food stamp performance bonus awards to the commissioner of human
services in the event of federal qualification; authorizing the commissioner of
human services to accept additional funding from sources other than state funds
for program costs and to use available grant appropriations to ensure systems
continuity; requiring TANF block grant expenditures to be expended in accordance
with federal guidelines; excepting food stamp benefits from aging of cash
benefits provisions; requiring payments to the commissioner from governmental
units, private enterprises and individual for services performed by the child
support payment center to be deposited in the state systems account; providing
for state employees compensation increase; providing for certain nongrant
operating balances carryforward; prohibiting the commissioners of health and
human services to use indirect cost allocations to pay for operational program
costs; providing an uncodified language sunset
(Ch. 58, 2007 - VETO)