Skip to main content Skip to office menu Skip to footer
Capital IconMinnesota Legislature

Legislative Session number- 81

Bill Name: SF2225

E Relating to the organization, operation and financing of state government,
appropriating money for certain health and human services programs ARTICLE 1 -
APPROPRIATIONS Appropriating money to the commissioner of human services for
financial, legal, regulation and management operations, for children's services
management, for MinnesotaCare and medical assistance (MA) basic health care
grants including community dental clinic start up grants, for general assistance
medical care (GAMC), for a Clay county dental clinic access grant, for basic
health care management, for health care policy administration, for health care
operations including MinnesotaCare staff and the social security administration
work incentives demonstration project for the disabled, for state operated and
northeast Minnesota mental health services, for continuing care and community
support grants including community social services block and consumer support
grants, living at home block nurse programs, the Minnesota senior service corps
and health insurance counseling, for services to deaf persons with mental
illness, for deaf blind orientation and mobility services, for the adult mental
illness crisis housing assistance program, for the St. Louis county statewide
adolescent compulsive gambling prevention and education project, for the crisis
intervention project in southeastern Minnesota for persons with developmental
disabilities, for semi-independent living services (SILS), for the family
support program for persons with mental retardation, for medical assistance home
and community based waivered services and group residential housing (GRH)
supplement service rate increases, for increased availability of home and
community based waivered services for persons with mental retardation or related
conditions, for nursing facility bed moratorium exceptions, for a nursing
facility operated by the Red Lake band of Chippewa Indians, for reimbursement to
a Ramsey county intermediate care facility for persons with mental retardation
(ICF MR) for certain disallowances, for alternative care grants, for certain
chemical dependency services, for the Minnesota senior health options project,
for a camping program for adults and children with mental illness, for the
region 10 quality assurance commission, for economic support grants including
grants to the new chance, parents fair share, Minnesota family investment
program employment and training and child care programs and supportive living
arrangements for minor parents participating in MFIP, for family assistance and
work grants, for child support enforcement, for general assistance (GA) and
Minnesota supplement aid (MSA), for refugee services and for economic support
management and policy administration, to the commissioner of health for a
suicide prevention study, for the Duluth family practice residency and rural
hospital capital improvement grant programs, for health care purchasing
alliances, for the development of guidelines and standards for special case
autopsies, for populations of color health needs assessments and for a year 2000
problems survey of health facilities and water supply systems, to the veterans
nursing homes and health related licensing boards, to the emergency medical
services (EMS) board to establish a comprehensive advanced life support (CALS)
educational program and for grants to regional emergency medical services
programs, to the council on disability and to the ombudsmen for mental health
and mental retardation and families; prohibiting the commissioner of human
services and health from using indirect cost allocations for program operational
costs; specifying certain fund, account and appropriation transfer reporting
requirements; authorizing and providing for certain fund transfers and providing
for the availability of federal funds including TANF block grant awards for
certain programs and services; authorizing the commissioner of human services to
require hospitals to refund certain inpatient copayments; requiring the
commissioner to set the monthly general assistance standard, to reduce quarterly
food stamp administrative reimbursements to counties and to appeal certain
federal surcharge compliance determinations; providing for the funding of fraud
prevention and control initiatives and for the resolution of certain blood
products litigation claims; requiring a commissioner telemedicine cost savings
and benefits report to the legislature by a certain date; providing for the
continuity of human services programs payments in the event of disruption of
technical systems or computer operations; ensuring access to day training and
habilitation services for persons with mental retardation; providing for the
payment of accrued leave liabilities of state employees transferred to state
operated community services programs and of wages for project labor and for
collective bargaining protection under regional treatment center (RTC)
restructuring; providing for the distribution of appropriations under the
community social services act to counties and requirement the commissioner to
study the CSSA formula limits and report recommendations for revision of the
formula to the legislature by a certain date; continuing the nursing facility
preadmission screening payment to counties; authorizing a certain group
residential facility for women in Ramsey county to negotiate a supplementary
service rate; requiring the commissioner to study and report to the legislature
by a certain date on the status of persons with brain injuries residing in
institutions and to apply to the federal health care financing administration
for a grant for a demonstration project to transition disabled persons out of
nursing homes; requiring the commissioner of health to study and report to the
legislature by a certain date on uncompensated health care and to work to obtain
access to minimum data set (MDS) data electronically transmitted by nursing
facilities to the health department; requiring the commissioners of health and
human services to analyze the adequacy of the supply of nursing home beds;
reducing the base level appropriation for tobacco prevention and control
programs; regulating the use of portable wading pools in child care settings;
requiring the commissioner of health to report to the legislature by a certain
date with a plan to create a single point of entry for health care consumer
assistance and advocacy services; providing for certain veterans home
improvements; limiting the use and carryover of certain appropriations;
sunsetting certain uncodified language; providing for the availability of funds
encumbered and obligated under agreements for specific children under
guardianship of the commissioner of human services; providing for the operation
of the department of human services communication systems account and for
funding of the issuance operations center; requiring the commissioner of human
services to receive federal matching money under the medical assistance program
for the consumer satisfaction survey and to incorporate cost reimbursement
claims from First Call Minnesota into the federal cost reimbursement claiming
processes of the department; authorizing the commissioner to issue MFIP cash
assistance grant payments before the first day of the month; repealing the TANF
(temporary assistance for needy families) reserve account ARTICLE 2 - HEALTH
DEPARTMENT Extending the expiration date of the public programs risk adjustment
work group; accelerating the expiration date of health care regional
coordinating boards; requiring the commissioners of health and commerce to adopt
uniform billing requirements for health care claims transactions and requiring
health care providers compliance with the requirements; providing for funding of
medical education and research, establishing a medical education and research
advisory committee to provide advice and oversight on the distribution of funds;
providing for risk adjustment of the prepaid medical assistance (MA) and general
assistance medical care (GAMC) and MinnesotaCare programs; authorizing contracts
between health provider cooperatives and purchasers to provide for payment by
fee for service or other financial arrangements; providing for prevention and
treatment of sexually transmitted infections; codifying and modifying the
authorized agreement between the governor and the federal nuclear regulatory
commission for regulation of certain nuclear materials and granting the
commissioner of health certain enforcement authority; exempting certain bone
densitometer operators from x-ray operator examination requirements; modifying
and extending the rural hospital capital improvement grant and loan program;
expanding eligibility for designation as a critical access hospital; clarifying
the application of the clean indoor air act to public schools and applying the
provisions to factories and warehouses; prohibiting the commissioner from
adopting or enforcing rules limiting noncertified boarding care homes registered
as housing with services establishments from providing home care services;
modifying certain assisted living home care client records requirements;
requiring state grants for HIV AIDS prevention programs targeted to adolescents
to include the promotion of abstinence from sexual activity and drug use and the
Minnesota education now and babies later program to promote sexual abstinence
until marriage, transferring the responsibility for the MN ENABL media and
public relations campaign from the attorney general to the commissioner;
increasing the biennial registration fees and late application penalty for
speech language pathologists and audiologists and imposing a temporary surcharge
fee; making mandatory and increasing the surety bond requirement for plumbing
contractors and requiring a commissioner study relating to the expansion of
plumber licensure and plumbing inspection requirements; providing for case
studies to develop standards for autopsy practice in special cases, requiring a
report to the legislature by a certain date; repealing the health care consumer
assistance, advocacy and information office, the medical education and research
trust fund, lead related funding for nonprofit organizations and the lead safe
property certification and dental health education programs ARTICLE 3 - LONG
TERM CARE Modifying a certain previously approved proposal providing an
exception to the nursing home bed moratorium for relocation purposes; requiring
the commissioner of health to establish and implement a prescribed process and
program to provide training and education to licensed nursing facility
providers, to make available certain nursing home survey data and to grant
waivers for continuation of approved nurse aide training and competency
evaluation programs losing approval, restricting commissioner issuance of
findings of immediate jeopardy, establishing an informal dispute resolution
process and requiring the commissioner to examine rules and regulations
governing licensed nursing facility care; excluding only certified boarding care
homes from the definition of housing with services establishment; exempting
residential services and changes in ownership from the needs determination
process for certain programs serving persons with developmental disabilities;
establishing a local system needs planning process for intermediate care
facilities for persons with mental retardation; requiring the commissioner of
human services to grant a license to a new ICF MR facility at Lake Owasso
replacing an existing facility in Ramsey county and establishing the medical
assistance (MA) payment rate for the facility; requiring the commissioner to
include the total annual payment for preadmission screening in nursing facility
payment rates; expanding the alternative care program under medical assistance,
authorizing direct cash payments to clients, providing a method for distributing
alternative care funds to counties under certain inadequacy conditions,
increasing the asset limit for client premiums determination purposes and
modifying the requirement for transfer of current clients to the elderly waiver
program; establishing new cost per bed limits for total nursing facility
replacement projects approved after a certain date, allowing use of the limits
for a certain previously approved project in Carlton county and modifying the
reimbursement provision for a certain previously approved nursing home bed
moratorium exception relocation project; increasing nursing facility medical
assistance operating cost payment rates, requiring certain salary adjustments
for nonmanagerial employees; providing a special increase for certain facilities
in Carver, Faribault, Houston, Chisago, Murray and Hennepin counties; modifying
the advance notice requirement for termination of contracts under the
alternative contractual payment demonstration project and clarifying the
renegotiation requirement, restricting a certain inflation adjustment
requirement to property related payment rates, providing rate increases for
certain facilities in Becker and Chisago counties and in the cities of Canby,
Golden Valley and Park Rapids, extending the payment system reform advisory
committee and eliminating certain commissioner transition plan development and
implementation requirements; modifying the performance based contracting
reimbursement system, modifying certain contract content requirements,
authorizing the commissioner to negotiate different contract terms for different
facilities, prescribing the contract term and specifying certain consumer
protection agreement requirements of nursing facilities entering into the
contracts; modifying certain prohibited practices for medical assistance
reimbursement eligibility purposes; allowing nursing facilities terminating
medical assistance certification to continue to receive medical assistance
payments until relocation of all residents under medical assistance; requiring
separate payment of fees and costs awarded to facilities for successful appeal;
eliminating the requirement for performance based contracting under the new
reimbursement system for intermediate care facilities for persons with mental
retardation, modifying certain contract requirements and restricting inflation
adjustments to the operating payment rate; establishing a newer yet ICF MR
payment system, providing for certain payment rate adjustments and specifying
certain facility financial reporting requirements; requiring the payment of
training and habilitation costs on a pass through basis; reducing the coverage
duration requirement of health plans under the medical assistance prepayment
demonstration project, eliminating coverage of elderly waiver services and
providing for coverage of both elderly and home and community based waiver
services under the Minnesota senior health options project; creating an
exception to the moratorium on the development of group residential housing beds
for settings used exclusively for recipients of certain waiver services
previously residing in nursing facilities, specifying a rate limit; modifying
the conditions for negotiation and approval of GRH supplementary payment rates,
specifying a combined supplementary service and room and board rate maximum and
providing a special supplementary rate for a certain facility in Hennepin
county; modifying a certain provision providing for certification of a certain
ICF MR in Northfield; extending the deadline for a certain previously approved
nursing facility total replacement project in Carlton county; requiring
incontinent nursing home residents to be checked according to a specific time
interval in the resident care plan; requiring a commissioner group residential
housing study and report to the legislature by a certain date; authorizing and
providing for the commissioner to authorize a project to reconfigure a certain
number of existing ICF MRs on the same campus in Carver county; requiring the
commissioner to exempt certain ICF MRs from certain payment rate reductions and
to array facilities within certain groupings by the cost per resident day for
spend up limit purposes, prohibiting the application of certain rate limits;
repealing the ICF MR client reimbursement classifications, the client assessment
requirements under the community based services reimbursement rate system, a
certain ICF MR total payment rate inflation adjustment requirement of the
commissioner and a certain prepaid medical assistance enrollment requirement
exemption for certain persons eligible for home and community based waivered
services ARTICLE 4 - HEALTH CARE PROGRAMS Modifying the subrogation rights of
the department of human services to collect from third parties for health care
provided through government health programs; requiring the board of teaching to
adopt rules for licensing public school teachers providing health related
services for disabled children consistent with license or registration
requirements of the commissioner of health and the health related licensing
boards, coordination requirement; delaying the effective date for certain school
district obligations relating to providing special instruction and services for
students with disabilities; authorizing individual education plan teams to
authorize services covered by medical assistance, requiring and providing for
the commissioner of human services to reimburse school districts for the federal
share of individual education plan health related services qualifying for MA
reimbursement and eliminating certain responsibility of contracted health plans
for medical assistance services; providing for the inclusion of costs expended
by school districts for the nonfederal share of medical assistance services in
the special education base revenue formula; requiring the commissioner of
children, families and learning to monitor the costs of health related special
education services provided by public schools; establishing the adult mental
illness crisis housing assistance program in the department of human services;
eliminating certain background study notice requirements of the commissioner of
human services for individuals seeking licensure for certain day or foster care
services and authorizing county licensing agencies to develop alternative
systems to determine the immediate risk of harm to program clients; prohibiting
applicants denied licensure from licensing for a certain number of years
following the denial, exception; clarifying certain death or serious injury
reporting requirements of licensed providers of services to persons with
developmental disabilities and requiring demonstration of ability for staff
administration of medications; modifying the notice requirement for temporary
termination of services to persons with disabilities; modifying certain
requirements for the management of personal funds or property; requiring the
allocation of remaining family support program funds to counties for the support
of children in the family home; expanding the definition of state agency for
public assistance lien rights purposes and authorizing certain agencies to
retain legal representation for enforcement purposes; prohibiting the counting
of federal or state tax rebates as income or assets for public assistance
programs eligibility determination purposes; modifying the senior citizen drug
program and imposing a cost limit; authorizing physician or hospital requests
for reconsideration of certain medical nonnecessity decisions under the
inpatient hospital payment system and providing inflationary increases for
medical assistance hospital payments, reducing the hospital cost index for
calendar year 2000 to recover certain overprojections; requiring the
commissioner to establish a performance data reporting unit under medical
assistance; eliminating the 100 hour rule for medical assistance coverage for
families eligible for the Minnesota family investment program; increasing
certain income standards for medical assistance eligibility purposes and
providing eligibility for certain employed persons with disabilities; providing
for all income exclusions for institutionalized persons mandated by federal law
and for eligibility for certain medical assistance applicants in the month of
application; providing medical assistance coverage for telemedicine
consultations, for home health services for residents of certain health care
facilities, for specialized maintenance physical or occupational therapy, for
speech language pathology services and for certain certified neonatal nurse
practitioner services; establishing one time thresholds for rehabilitation
services, requiring a care management approach for authorization of services
beyond the threshold and the commissioner to implement an expedited turnaround
time to review authorization requests for recipients in need of emergency
services exhausting the threshold limit; providing limited medical assistance
coverage for anorectics and eliminating the prohibition on coverage of drugs
from manufacturers not signing an agreement under the senior citizen drug
program, requiring the commissioner to set maximum allowable costs for certain
multisource drugs; modifying the supervision requirement for coverage of
personal care services; expanding covered special education services, nonfederal
share of costs for the services to be the responsibility of the local school
district, specifying certain commissioner payment structure development and
implementation requirements; limiting payments to federally qualified health
centers and rural health clinics; eliminating the nutritional supplementation
products advisory committee; expanding medical assistance coverage for family
community support and home care services; clarifying the assessment procedures
for coverage of personal care assistant services, requiring face to face
assessment of certain recipients; modifying a certain hardship exception to the
exclusion from coverage for personal care services provided by certain relatives
and the limit on services without prior authorization, requiring commissioner
review of service updates and temporary service requests; changing personal care
assistant shared care services to shared personal care assistant services;
providing for the flexible use of personal care assistant hours; providing a
fiscal agent option for personal care assistant services and authorizing the
sharing of private duty nursing care; specifying the reimbursement rates for
public health nurse visits relating to the provision of personal care services;
clarifying the eligibility of MFIP participants discontinuing cash assistance
for continued medical assistance eligibility; providing for federally required
restrictions on conflicts of interest relating to medicaid expenditures;
providing for reduction of the waiting list for home and community based
waivered services for persons with mental retardation or related conditions,
eliminating certain language relating to commissioner expansion of availability
of the services; expanding the living at home block nurse grant program;
increasing the membership and expanding the duties of the region 10 quality
assurance commission; authorizing nursing facilities to require residents to use
certain pharmacies; modifying medical assistance coverage for crisis
intervention services for residents of intermediate care facilities for persons
with mental retardation; modifying the implementation date for county based
purchasing under the medical assistance prepayment demonstration project,
requiring the commissioner to provide certain information to county boards for
county based purchasing purposes; requiring the commissioner to seek federal
approval for exclusion of medical assistance special education services from the
prepaid and MinnesotaCare programs; requiring prepaid health plans providing
coverage under the medical assistance, general assistance medical care and
MinnesotaCare programs to comply with managed care program requirements; setting
capitation rates for nonmetropolitan counties under the prepaid medical
assistance program; protecting hospitals from liability for payments to the
medical education and research trust fund above the charge limit under the
inpatient hospital payment system; designating county boards as the governing
bodies of county based purchasing programs and requiring participating counties
to satisfy certain consumer and provider protection and fiscal solvency
requirements, requiring the commissioner to develop administrative and financial
reporting requirements for the purchasing programs; increasing medical
assistance payment rates for nonsurgical outpatient hospital and emergency room
facility fees, requiring payment for outpatient, emergency and ambulatory
surgery hospital facility fee services for critical access hospitals on a cost
based payment system; increasing medical assistance payment rates for physician,
professional and dental services, providing for commissioner grants to increase
dental services to public program recipients; establishing a methodology for
granting inflation adjustments to certain community based and waiver service
providers; providing medical assistance coverage for health care services
provided at American Indian health services facilities to medical assistance
recipients required to enroll with a county administrative entity or service
delivery organization; subjecting enrollees under the coordinated service
delivery system demonstration project for persons with disabilities choosing not
to develop a personal support plan to network and prior authorization
requirements of the county administrative entity or service delivery
organization; providing for risk sharing under the capitation payment system;
modifying the funding for external advocacy services; providing for
demonstration sites to implement service coordination provisions; providing
eligibility for general assistance medical care in the month of application for
certain applicants and providing GAMC coverage for certain certified neonatal
nurse practitioner services and telemedicine consultations; eliminating
MinnesotaCare copayment and coinsurance requirements for certain enrollees and
requiring relative caretakers to cooperate with efforts to establish third party
liability, paternity and medical support to be eligible for MinnesotaCare;
clarifying eligibility of certain applicants for either the medical assistance
or MinnesotaCare programs; expanding the authority of the commissioner to
terminate MinnesotaCare outreach grants; modifying the eligibility of
grandparents to apply for the program with children; providing for retroactive
coverage for certain families and individuals terminated from medical assistance
or GAMC; clarifying the application process for MinnesotaCare and the definition
of failure to pay, providing for retroactive reenrollment of persons disenrolled
for nonpayment under certain conditions; modifying eligibility for the
MinnesotaCare program; allowing the refund of certain premiums; requiring the
sliding fee scale to contain separate tables and enrolled individuals and
families with a certain annual income to pay the maximum premium; imposing a
time limit on administrative reconsideration of final determinations of child
maltreatment; clarifying the requirement for the commissioner to seek a federal
waiver to implement a medical assistance work incentive for disabled persons;
eliminating the monetary limit on the senior drug program; requiring the
commissioner of health to collect data on uncompensated care in hospitals,
surgical centers and health care clinics and to study the extent and type of
medicare supplemental coverage for low income seniors; requiring the
commissioner of human services to simplify the MinnesotaCare application form,
to examine opportunities to expand the scope of providers eligible for medical
assistance reimbursement for special education services, to amend certain rules
for home based mental health and family community support services, to study
programs for senior citizens for combination, simplification or coordination
purposes and dental access issues and to report to the legislature by certain
dates on rate setting and risk adjustment for prepaid health care programs, on
methods for implementing county board authority under the prepaid medical
assistance program, on the conversion of medical assistance physician and
professional services payment methodology to resource based relative value
scale, on definitions of specialized maintenance therapy, on alternative
resource allocation methods for the home and community based waiver for persons
with mental retardation and on conditions for reimbursement of parents of minors
for certain services; authorizing the commissioner to develop demonstration
projects using dental hygienists to provide services to limited access patients;
requiring the commissioner of health or the commissioner of human services to
seek a federal waiver to exempt residents of ICF MRs participating in the
quality assurance pilot project from certain requirements; repealing a certain
provision providing for medical assistance reimbursement for certain physician
services and the mental illness crisis housing assistance account ARTICLE 5 -
STATE OPERATED SERVICES; CHEMICAL DEPENDENCY; MENTAL HEALTH; LAND CONVEYANCES
Changing the exemption from the state procurement program solicitation process
for goods and services used by community based residential to goods and services
used by community based facilities; modifying certain provisions under the adult
and children mental health acts relating to case management and day treatment
services; directing the commissioner of human services to study and to make
recommendations to the legislature on establishing enterprise activities within
state operated services for persons with disabilities; requiring state operated
programs or services established and operated as enterprise activities to retain
revenues earned in an interest bearing account, exception; modifying the
criteria for granting variances from day training and habilitation payment
rates; requiring health plan companies to provide coverage for certain court
ordered medically necessary services provided to enrollees under temporary
confinement under the civil commitment act; imposing responsibility on the state
for arranging and funding aftercare and case management services for persons
committed as sexual psychopathic personalities or sexually dangerous persons;
modifying the conditions for payments to hospitals for chemical dependency
treatment services and providing for payments to certain vendors of room and
board; providing a per diem payment for consumer and family members of
legislatively authorized state level advisory task forces; expanding a certain
provision providing for medical assistance payments for mental health case
management services; modifying the pilot project to provide alternatives to or
enhance coordination of the delivery of adult mental health services; delaying
the transition to the fee for service model for certain individuals receiving
compulsive gambling treatment; correcting the description of certain land in
Crow Wing county for conveyance purposes; authorizing and providing for the
commissioner of human services to establish a supportive housing and managed
care pilot project for homeless persons under certain funding availability
conditions; authorizing and providing for the conveyance of certain state lands
to Isanti county and to the city of Cambridge and for the conveyance of certain
land in the city of Cambridge to the state; repealing the inhalant abuse
demonstration project ARTICLE 6 - ASSISTANCE PROGRAMS Modifying the funding of
food stamp employment and training programs under general assistance (GA),
requiring the commissioner of human services to reimburse counties for the
actual costs of providing the services; making permanent and limiting the scope
of the Minnesota food assistance program for legal noncitizens; requiring the
commissioner to review general assistance maintenance benefits application
denials and authorizing the commissioner to require general assistance
recipients to file denial appeals; modifying certain provisions under the
Minnesota family investment program-statewide; expanding the authorized uses of
temporary assistance for needy families block grant money; eliminating the
sunset and modifying the funding for the noncitizens food portion; requiring
lawful permanent residency for benefits eligibility purposes and clarifying the
residency duration requirement; clarifying MFIP eligibility for parenting or
pregnant minors; expanding the property limit exclusion for vehicles, excluding
reimbursement for expenses incurred in informal carpooling arrangements relating
to employment from income limits and expanding the income limit exclusion for
income earned by minor children for eligibility purposes; clarifying and
modifying assistance unit composition requirements; prohibiting assistance
payments from exceeding the MFIP standard of need; excluding assistance units
with nonparental caregivers from shelter vendor payment requirements;
prohibiting use of the shared household standard for individuals providing child
care to a child in the assistance unit; providing for commissioner determination
and adjustment of the earned income disregard; modifying certain conditions of
eligibility for persons convicted of drug offenses; requiring acceptance of
benefits from other programs upon eligibility; modifying certain reporting and
notice requirements; restricting the right to discontinue cash assistance to
participants not on vendor payment status and providing for the continued
accrual of months of eligibility for child care and medical assistance (MA) by
participants choosing to discontinue the receipt of cash assistance; modifying
certain verification and recertification requirements for eligibility purposes;
expanding the county agency prospective budgeting requirement; providing for
supplemental assistance payments in lieu of budget adjustments for significant
changes in gross income; modifying the formula for deemed income and assets of
sponsors of noncitizens; delaying the effective date for the counting of a
certain portion of the value of public and assisted rental subsidies as unearned
income; including tribal TANF program assistance in the 60 month time limit and
modifying the time limit exemption for certain families; modifying certain
orientation requirements; clarifying eligibility for emergency assistance and
expanding emergency needs to refuse removal service; modifying or clarifying
certain assistance standards; requiring counties to provide employment and
training services to certain mandated participants; imposing sanctions for
failure to attend the overview of employment and training services without good
cause or to complete secondary assessments; expanding job search support or
employment plan options; authorizing job counselors to require participants to
complete a chemical use or psychological assessment under certain conditions and
requiring providers to make certain information available to employment and
training program participants; authorizing the involvement of social service
agencies in educational assessments of and employment plans for minor parents;
requiring both parents in two parent families to choose the same employment and
training service provider, exception; creating a good cause exemption for
mandatory MFIP meetings, rescheduling requirement; providing for the allocation
of employment and training services block grants to eligible tribal providers
and for the allocation of funds on a caseload basis; extending eligibility for
support services for participants achieving employment goals; requiring periodic
commissioner reports to counties on performance management; providing for
commissioner review and adjustment of county administrative aid under certain
conditions and for allocation of the aid, authorizing reallocation from one
county to another under certain insufficiency conditions; requiring certain
commissioner recommendations relating to the 60 month limit and a review of the
supplemental aid special diet allowance for a rate update report to the
legislature; requiring the commissioner to submit to the legislature a proposal
for creating an MFIP incentive bonus program for high performing counties, to
develop protocols for implementation of chemical use and psychological
assessments and to waive certain program requirements to provide for the
disbursement of child support payments under the FATHER project to obligees and
to exclude the disbursements as income under MFIP, sunset ARTICLE 7 - CHILD
SUPPORT Authorizing the exchange of welfare data among the departments of human
services, revenue, health and economic security and other state agencies to
evaluate child support program performance and to identify and prevent fraud in
the child support program; requiring continuing support contribution orders to
include the names and social security numbers of the father, mother and child or
children; expanding the authority of public authorities responsible for child
support to request information for parental location purposes; providing for the
payment of support payments by alleged fathers to the public authority under
certain conditions; including lost wages of the mother due to medical necessity
in pregnancy and confinement costs for appropriate party payment purposes under
the parentage act; modifying the time limit for filing revocations of
recognition of parentage with the state registrar of vital statistics; requiring
petitions for marriage dissolution or legal separation to include the social
security numbers of the children; providing for the suspension of recreational
(hunting and fishing) licenses of certain obligors in arrears in court ordered
child support or maintenance payments; central collections unit not to be liable
for creditor collections, authorizing the commissioner of human services to
establish a revolving account to cover funds issued in error; authorizing
support or maintenance order modifications to retroactively include accrued
interest; modifying certain judgment entry and docketing procedures; expanding
the authority of the court to order interest on child support debt to stop
accruing; requiring the department of human services to continue to plan a
demonstration project of child support assurance and to examine the feasibility
of forgiving child support arrears in a fair and consistent manner and to
develop child support arrearage forgiveness policies; repealing a certain
provision providing for docketed judgment automatic increases ARTICLE 8 - CHILD
PROTECTION AND RELATED MAXIMIZATION OF FEDERAL FUNDS Modifying certain
provisions relating to child welfare and placement; requiring the state
registrar to provide copies of original birth certificates of adopted persons to
authorized representatives of federally recognized American Indian tribes to
determine eligibility of the adopted persons for enrollment or membership in the
tribe, restricting use to provide information to the adopted person on the birth
parents; requiring entities outside the state placing juveniles in residential
facilities for children with severe emotional disturbance to pay the medical
expenses of the juveniles; requiring the commissioner of human services to
explore and experiment with different chemical dependency service models for
parents with children found to be in need of chemical dependency treatment under
certain maltreatment, foster care placement or disposition assessments,
providing for chemical dependency fund services for children found to be in
need; providing medical assistance (MA) coverage for residential facility
rehabilitative services for children with severe emotional disturbance;
expanding child welfare targeted case management services under medical
assistance to tribal social services and contracted case managers and providing
for negotiated payment rates and modifying certain provisions under the
Minnesota family preservation act to provide for the services; requiring local
social services agencies to make diligent efforts to identify, locate and offer
services to both parents of children placed in residential facilities by court
order or by voluntary release by the parents and providing for day to day care
and for agency petitions on behalf of noncustodial parents for custody under
certain conditions; expanding case plan content requirements; creating a
preference for placing siblings together in foster care and adoption situations;
requiring local social services agencies to inform parents considering voluntary
placement on issues relating to permanent placement; modifying certain relative
search and placement review requirements; expanding the scope of relative
custody assistance to important friends and modifying certain definitions, the
relationship between relative custody assistance and certain other assistance
programs and the appeal process; clarifying the right of appeal under the
adoption assistance program and authorizing reimbursement for adoption services
expenses to child placing agencies licensed in other states; specifying certain
conditions for the reimbursement of nonrecurring adoption expenses; expanding
eligibility and certification statement requirements for postadoption assistance
grants; modifying certain provisions regulating the duty to reunify the family
under the juvenile court act; expanding the definition of egregious harm to
include conduct constituting criminal sexual conduct; modifying and clarifying
the procedures for review of foster care status; simplifying the procedures for
petitions and temporary orders relating to domestic child abuse; expanding
certain court notice requirements relating to children in need of protection or
services; prohibiting court waiver of the appointment of guardians ad litem for
cases of alleged abuse or neglect; eliminating the requirement for waivers to be
given to the guardian ad litem for children not represented by counsel;
specifying certain court detention hearing determination requirements and
certain case plan requirements; modifying certain disposition requirements,
authorizing court orders for placement of the child into the home and dismissal
of responsible social services agencies from the case under certain conditions
and modifying certain provisions providing for review of court ordered
placements and permanent placement determinations; modifying certain
requirements for the termination of parental rights; authorizing counties to
establish alternative response programs for child protection assessments or
investigations and providing for assessments and investigations under the
established alternative programs; modifying or clarifying certain definitions
for child maltreatment reporting purposes and clarifying or expanding certain
reporting requirements and the liability immunity provision; expanding the
duties of local welfare agencies relating to substance abuse and chemical use
assessments; expanding certain duties relating to neglect or abuse of children
in facilities to the commissioner of health and certain notice requirements;
eliminating the maltreatment of minors advisory committee; enumerating mandated
reporters; requiring designation of a member of multidisciplinary child
protection teams as the lead person responsible for coordinating team activities
with battered women programs and services; requiring the commissioner of human
services to amend chemical dependency assessment criteria under certain rules to
include assessment criteria addressing issues relating to parents with open
child protection cases due to chemical abuse and pregnancy as a factor in
determining the need for chemical dependency treatment and to design proposals
to add rehabilitation services to the state medical assistance plan for adults
with mental illness or other debilitating conditions and to provide medical
assistance coverage for targeted case management services for certain adults
receiving services through county or state agencies for submission to the
legislature; specifying certain reference substitution instructions to the
revisor of statutes; repealing certain rulemaking requirements of the
commissioner of human services relating to the placement of children in foster
homes ARTICLE 9 - HEALTH OCCUPATIONS Modifying certain provisions governing
emergency medical services (EMS); eliminating the authority of the emergency
medical services regulatory board to set license fees and to adopt rules
governing license expiration and renewal; specifying certain ambulance and air
ambulance service, equipment and license renewal requirements; providing for
data collection and classification; providing standards for interhospital
transfer; eliminating certain rule application requirements; modifying certain
board ambulance services inspection authority; granting the board certain
license, registration or certification denial, suspension, revocation or
conditions placement authority; establishing qualifications for and specifying
responsibilities of ambulance service medical directors; providing for board
certification of emergency medical technicians, emergency medical
technicians-intermediate and emergency medical technicians-paramedic;
establishing qualifications for EMT instructors and testing examiners;
prescribing standards for EMT, EMT-I and EMT-P training programs, requiring
board approval; prescribing certain fees; providing for voluntary and mandatory
reporting of misconduct, liability immunity provision; providing for board
issuance of correction orders and imposition of fines and imposing a criminal
penalty for certain violations; requiring the board to establish a comprehensive
advanced life support (CALS) education program to train rural medical personnel
in a team approach; requiring audits of regional emergency medical services
boards; establishing the state board of physical therapy and transferring
certain duties relating to physical therapy from the state board of medical
practice to the board and providing for licensure of physical therapists in lieu
of registration, prohibiting practice without a license; specifying certain
reference substitution instructions to the revisor of statutes; repealing
existing provisions regulating ambulance services and certain rules ARTICLE 10 -
OTHER PROVISIONS Requiring the commissioners of health and commerce in approving
certain individual and small employer market health insurance rates to ensure
the reflection of appropriations to reduce annual assessments on contributing
members to cover the costs of the Minnesota comprehensive health insurance plan
in the premium rates charged by the members; establishing a health care and
human services worker training and retention program to be administered by the
job skills partnership program to alleviate critical worker shortages in certain
areas of the state and to increase opportunities for current and potential
direct care employees to qualify for advanced employment in the health care or
human services fields; sunsetting the program providing specialized child
welfare services to minor refugees and the home sharing grant program for the
elderly, persons with physical or developmental disabilities and single parent
families; repealing the sunset of certain prior provisions prohibiting medical
assistance (MA) or general assistance medical care (GAMC) coverage for premiums
under qualified or medicare supplement plans issued by MCHA ARTICLE 11 - TOBACCO
SETTLEMENT PAYMENTS Establishing the tobacco settlement fund for the crediting
of certain tobacco litigation settlement payments; creating the medical
education and tobacco use prevention and local public health endowment funds,
transferring certain percentages from the tobacco settlement fund to and
providing for investment of and expenditures from the endowment funds; providing
for use of the medical education endowment fund for university of Minnesota
health professional programs and for distribution by the commissioner of health
for medical education, requesting the board of regents of the university of
Minnesota to adopt a biennial budget plan for expenditures from the endowment
fund as part of the biennial budget request; providing for use of the tobacco
use prevention and local public health endowment fund for grants for state and
local tobacco prevention measures and efforts and other public health
initiatives to be distributed by the commissioner, requiring annual reports to
the legislature; sunsetting the funds (mk, ja)