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Capital IconMinnesota Legislature

HF 3

as introduced - 84th Legislature, 2005 1st Special Session (2005 - 2005) Posted on 12/15/2009 12:00am

KEY: stricken = removed, old language.
underscored = added, new language.

Bill Text Versions

Engrossments
Introduction Posted on 05/26/2005

Current Version - as introduced

Line numbers 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 1.24 1.25 1.26 1.27 1.28 1.29 1.30 1.31 1.32 1.33 1.34 1.35 1.36 1.37 1.38 1.39 1.40 1.41 1.42 1.43 1.44 1.45 1.46 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.21 2.22 2.23 2.24 2.25 2.26 2.27 2.28 2.29 2.30 2.31 2.32 2.33 2.34 2.35 2.36 2.37 2.38 2.39 2.40 2.41 2.42 2.43 2.44 2.45 2.46 2.47 2.48 2.49 2.50 2.51 2.52 2.53 2.54 2.55 2.56 2.57 2.58 2.59 2.60 2.61 2.62 2.63 2.64 2.65 2.66 2.67 2.68 2.69 2.70 2.71 3.1
3.2 3.3
3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25
3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 3.34
3.35 3.36 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8
4.9 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.23 4.24 4.25 4.26 4.27 4.28 4.29 4.30
4.31 4.32
4.33 4.34 4.35 4.36 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13 5.14 5.15 5.16 5.17 5.18 5.19 5.20
5.21 5.22 5.23 5.24 5.25 5.26 5.27 5.28 5.29 5.30 5.31 5.32 5.33 5.34 5.35 5.36 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 6.10 6.11 6.12 6.13 6.14 6.15 6.16 6.17 6.18 6.19 6.20 6.21 6.22 6.23 6.24 6.25 6.26 6.27 6.28 6.29 6.30
6.31 6.32 6.33 6.34 6.35 6.36 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 7.11 7.12 7.13 7.14 7.15 7.16 7.17 7.18
7.19 7.20 7.21 7.22 7.23 7.24 7.25 7.26 7.27 7.28 7.29 7.30 7.31 7.32 7.33
7.34 7.35
7.36 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 8.10 8.11 8.12 8.13 8.14 8.15 8.16 8.17 8.18 8.19 8.20 8.21 8.22 8.23 8.24 8.25 8.26 8.27
8.28
8.29 8.30 8.31 8.32 8.33 8.34 8.35 8.36 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 9.10 9.11 9.12 9.13 9.14 9.15 9.16 9.17 9.18 9.19 9.20 9.21 9.22 9.23 9.24 9.25 9.26 9.27 9.28 9.29 9.30 9.31 9.32 9.33 9.34 9.35 9.36 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 10.10 10.11 10.12 10.13 10.14 10.15 10.16 10.17 10.18 10.19 10.20 10.21 10.22 10.23 10.24 10.25 10.26 10.27 10.28 10.29 10.30 10.31 10.32 10.33 10.34 10.35 10.36 11.1 11.2 11.3 11.4 11.5 11.6 11.7 11.8 11.9 11.10 11.11 11.12 11.13 11.14 11.15 11.16 11.17 11.18 11.19 11.20 11.21 11.22 11.23 11.24 11.25 11.26 11.27 11.28 11.29 11.30 11.31 11.32 11.33 11.34 11.35 11.36 12.1 12.2 12.3 12.4 12.5 12.6 12.7 12.8 12.9 12.10 12.11 12.12 12.13 12.14 12.15 12.16 12.17 12.18 12.19 12.20 12.21 12.22 12.23 12.24 12.25 12.26 12.27 12.28 12.29 12.30 12.31 12.32 12.33 12.34 12.35 12.36 13.1 13.2 13.3 13.4 13.5 13.6 13.7 13.8 13.9 13.10 13.11 13.12 13.13 13.14 13.15 13.16 13.17 13.18 13.19 13.20 13.21 13.22 13.23 13.24 13.25 13.26 13.27 13.28 13.29 13.30 13.31 13.32 13.33 13.34 13.35 13.36 14.1 14.2 14.3 14.4 14.5 14.6 14.7 14.8 14.9 14.10 14.11 14.12 14.13 14.14 14.15 14.16 14.17 14.18 14.19 14.20 14.21 14.22 14.23 14.24 14.25 14.26 14.27 14.28 14.29 14.30 14.31 14.32 14.33 14.34 14.35 14.36 15.1 15.2 15.3 15.4 15.5 15.6 15.7 15.8 15.9 15.10 15.11 15.12 15.13 15.14 15.15 15.16 15.17 15.18 15.19 15.20 15.21 15.22 15.23 15.24 15.25 15.26 15.27 15.28 15.29 15.30 15.31 15.32 15.33 15.34 15.35 15.36 16.1 16.2 16.3 16.4 16.5 16.6 16.7 16.8 16.9 16.10 16.11 16.12 16.13 16.14 16.15 16.16 16.17 16.18 16.19 16.20 16.21 16.22 16.23 16.24 16.25 16.26 16.27 16.28 16.29 16.30 16.31 16.32 16.33 16.34 16.35 16.36 17.1 17.2 17.3 17.4 17.5 17.6 17.7 17.8 17.9 17.10 17.11 17.12 17.13 17.14 17.15 17.16 17.17 17.18 17.19 17.20 17.21 17.22 17.23 17.24 17.25 17.26 17.27 17.28 17.29 17.30 17.31 17.32 17.33 17.34 17.35 17.36 18.1 18.2 18.3 18.4 18.5 18.6 18.7 18.8 18.9 18.10 18.11 18.12 18.13 18.14 18.15 18.16 18.17 18.18 18.19 18.20 18.21 18.22 18.23 18.24 18.25 18.26 18.27 18.28 18.29 18.30 18.31 18.32 18.33 18.34 18.35 18.36 19.1 19.2 19.3 19.4 19.5 19.6 19.7 19.8 19.9 19.10 19.11 19.12 19.13 19.14 19.15 19.16 19.17 19.18 19.19 19.20 19.21 19.22 19.23 19.24 19.25 19.26 19.27 19.28 19.29 19.30 19.31 19.32 19.33 19.34 19.35 19.36
20.1 20.2 20.3 20.4 20.5 20.6 20.7 20.8 20.9 20.10 20.11 20.12 20.13 20.14 20.15 20.16 20.17 20.18
20.19 20.20 20.21 20.22 20.23 20.24 20.25 20.26 20.27 20.28 20.29 20.30 20.31 20.32 20.33 20.34 20.35 20.36 21.1 21.2 21.3 21.4 21.5
21.6 21.7 21.8 21.9 21.10 21.11 21.12 21.13 21.14 21.15 21.16 21.17 21.18 21.19 21.20 21.21 21.22 21.23 21.24 21.25 21.26 21.27 21.28 21.29 21.30 21.31 21.32 21.33 21.34 21.35 21.36 22.1 22.2 22.3 22.4 22.5 22.6 22.7 22.8 22.9 22.10 22.11 22.12 22.13 22.14 22.15 22.16 22.17 22.18 22.19 22.20 22.21 22.22 22.23 22.24 22.25 22.26 22.27 22.28 22.29 22.30 22.31 22.32 22.33 22.34 22.35 22.36 23.1 23.2 23.3 23.4 23.5 23.6 23.7 23.8 23.9 23.10 23.11 23.12 23.13 23.14 23.15 23.16 23.17 23.18 23.19 23.20 23.21 23.22 23.23 23.24 23.25 23.26 23.27 23.28 23.29 23.30 23.31
23.32 23.33 23.34 23.35 23.36 24.1 24.2 24.3 24.4 24.5 24.6 24.7 24.8 24.9 24.10 24.11 24.12 24.13 24.14 24.15 24.16 24.17 24.18 24.19 24.20 24.21 24.22 24.23 24.24 24.25 24.26 24.27 24.28 24.29 24.30 24.31 24.32 24.33 24.34 24.35 24.36 25.1 25.2 25.3 25.4 25.5 25.6 25.7
25.8 25.9 25.10 25.11 25.12 25.13 25.14 25.15 25.16 25.17 25.18 25.19 25.20 25.21 25.22 25.23 25.24 25.25 25.26 25.27 25.28 25.29 25.30 25.31 25.32 25.33 25.34
25.35 25.36 26.1 26.2 26.3 26.4 26.5 26.6 26.7 26.8 26.9 26.10 26.11 26.12 26.13 26.14 26.15 26.16 26.17 26.18 26.19 26.20 26.21 26.22 26.23 26.24 26.25 26.26 26.27 26.28 26.29 26.30 26.31 26.32 26.33 26.34 26.35 26.36 27.1 27.2 27.3 27.4 27.5 27.6 27.7 27.8 27.9 27.10 27.11 27.12 27.13 27.14 27.15 27.16 27.17 27.18 27.19 27.20 27.21 27.22 27.23 27.24 27.25 27.26 27.27 27.28 27.29 27.30 27.31 27.32 27.33 27.34 27.35 27.36
28.1 28.2 28.3 28.4 28.5 28.6 28.7 28.8 28.9 28.10 28.11 28.12 28.13 28.14 28.15 28.16 28.17 28.18 28.19 28.20 28.21 28.22 28.23 28.24 28.25 28.26 28.27 28.28 28.29 28.30 28.31 28.32 28.33 28.34 28.35 28.36 29.1 29.2 29.3 29.4 29.5 29.6 29.7 29.8 29.9 29.10 29.11 29.12 29.13 29.14 29.15 29.16 29.17 29.18 29.19 29.20 29.21 29.22 29.23 29.24 29.25 29.26 29.27 29.28 29.29 29.30 29.31 29.32 29.33 29.34
29.35 29.36 30.1 30.2 30.3 30.4 30.5 30.6 30.7 30.8 30.9 30.10 30.11 30.12 30.13 30.14 30.15 30.16 30.17 30.18 30.19 30.20 30.21 30.22 30.23 30.24 30.25 30.26 30.27 30.28 30.29 30.30 30.31 30.32 30.33 30.34 30.35 30.36 31.1 31.2
31.3 31.4 31.5 31.6 31.7 31.8 31.9 31.10
31.11 31.12 31.13 31.14 31.15 31.16 31.17 31.18 31.19 31.20 31.21
31.22 31.23 31.24 31.25 31.26 31.27 31.28 31.29 31.30 31.31 31.32 31.33 31.34 31.35 31.36 32.1 32.2 32.3 32.4 32.5 32.6 32.7 32.8 32.9 32.10
32.11 32.12 32.13 32.14 32.15 32.16 32.17 32.18 32.19 32.20 32.21 32.22 32.23 32.24 32.25 32.26 32.27 32.28 32.29 32.30 32.31 32.32 32.33 32.34 32.35 32.36 33.1
33.2
33.3 33.4 33.5 33.6 33.7 33.8 33.9 33.10 33.11 33.12
33.13
33.14 33.15 33.16 33.17 33.18 33.19 33.20 33.21 33.22
33.23
33.24 33.25 33.26 33.27 33.28 33.29 33.30 33.31 33.32 33.33 33.34
33.35
33.36 34.1 34.2 34.3 34.4 34.5 34.6 34.7 34.8 34.9 34.10 34.11 34.12 34.13 34.14 34.15 34.16 34.17 34.18 34.19 34.20 34.21 34.22 34.23 34.24 34.25 34.26 34.27 34.28 34.29 34.30 34.31 34.32 34.33 34.34 34.35 34.36 35.1 35.2
35.3 35.4 35.5 35.6 35.7 35.8 35.9 35.10 35.11 35.12 35.13 35.14 35.15 35.16 35.17 35.18 35.19 35.20 35.21 35.22 35.23
35.24 35.25 35.26 35.27 35.28 35.29
35.30 35.31 35.32 35.33 35.34 35.35 35.36 36.1 36.2 36.3 36.4 36.5 36.6 36.7 36.8 36.9 36.10 36.11 36.12 36.13 36.14 36.15 36.16 36.17 36.18 36.19 36.20 36.21 36.22 36.23 36.24 36.25 36.26 36.27 36.28 36.29 36.30 36.31 36.32 36.33 36.34 36.35 36.36 37.1 37.2 37.3 37.4 37.5 37.6 37.7 37.8 37.9 37.10 37.11 37.12 37.13 37.14 37.15 37.16 37.17 37.18 37.19 37.20 37.21 37.22 37.23 37.24 37.25 37.26 37.27 37.28 37.29 37.30 37.31 37.32 37.33 37.34 37.35 37.36 38.1
38.2 38.3 38.4 38.5 38.6 38.7 38.8 38.9 38.10 38.11 38.12 38.13 38.14 38.15 38.16 38.17 38.18 38.19 38.20 38.21 38.22 38.23 38.24 38.25 38.26 38.27 38.28 38.29 38.30 38.31 38.32 38.33 38.34 38.35 38.36 39.1 39.2 39.3 39.4 39.5 39.6 39.7 39.8 39.9 39.10 39.11 39.12 39.13 39.14 39.15 39.16 39.17 39.18 39.19 39.20 39.21 39.22 39.23 39.24 39.25 39.26 39.27 39.28 39.29 39.30 39.31 39.32 39.33 39.34 39.35 39.36 40.1 40.2 40.3 40.4 40.5 40.6 40.7
40.8
40.9 40.10 40.11 40.12 40.13 40.14 40.15 40.16 40.17 40.18 40.19 40.20 40.21 40.22 40.23 40.24 40.25 40.26 40.27 40.28 40.29 40.30 40.31 40.32 40.33 40.34 40.35 40.36 41.1 41.2 41.3 41.4 41.5 41.6 41.7 41.8 41.9 41.10 41.11 41.12 41.13 41.14 41.15 41.16 41.17 41.18 41.19 41.20 41.21 41.22 41.23 41.24 41.25 41.26 41.27 41.28 41.29 41.30 41.31 41.32 41.33 41.34 41.35 41.36 42.1 42.2 42.3 42.4 42.5 42.6 42.7 42.8 42.9 42.10 42.11 42.12 42.13 42.14 42.15 42.16 42.17 42.18 42.19 42.20 42.21 42.22 42.23 42.24 42.25 42.26 42.27 42.28 42.29 42.30 42.31 42.32 42.33 42.34 42.35 42.36 43.1 43.2 43.3 43.4 43.5 43.6 43.7 43.8 43.9 43.10 43.11 43.12 43.13 43.14 43.15 43.16 43.17 43.18 43.19 43.20 43.21 43.22 43.23 43.24 43.25 43.26 43.27 43.28
43.29 43.30 43.31 43.32 43.33 43.34 43.35 43.36
44.1 44.2 44.3 44.4 44.5 44.6 44.7
44.8 44.9 44.10 44.11 44.12 44.13 44.14
44.15
44.16 44.17 44.18 44.19 44.20 44.21 44.22 44.23 44.24 44.25 44.26 44.27 44.28 44.29 44.30 44.31 44.32 44.33
44.34 44.35 44.36 45.1 45.2 45.3 45.4 45.5 45.6 45.7 45.8 45.9 45.10 45.11 45.12 45.13 45.14 45.15
45.16 45.17 45.18 45.19 45.20 45.21 45.22 45.23 45.24 45.25 45.26 45.27
45.28 45.29 45.30 45.31 45.32 45.33 45.34 45.35 45.36 46.1 46.2 46.3 46.4 46.5 46.6 46.7 46.8 46.9 46.10 46.11 46.12 46.13 46.14 46.15 46.16 46.17 46.18 46.19 46.20 46.21 46.22 46.23 46.24 46.25 46.26 46.27 46.28 46.29 46.30 46.31 46.32 46.33 46.34 46.35 46.36 47.1 47.2
47.3 47.4 47.5 47.6 47.7 47.8 47.9 47.10 47.11 47.12 47.13 47.14 47.15 47.16 47.17 47.18 47.19 47.20 47.21 47.22 47.23 47.24 47.25 47.26 47.27 47.28 47.29 47.30 47.31 47.32 47.33 47.34 47.35 47.36 48.1 48.2 48.3 48.4 48.5 48.6 48.7 48.8 48.9 48.10 48.11 48.12 48.13 48.14 48.15 48.16 48.17 48.18 48.19 48.20 48.21 48.22 48.23 48.24 48.25 48.26 48.27 48.28 48.29 48.30 48.31 48.32 48.33 48.34 48.35
48.36 49.1 49.2 49.3 49.4 49.5 49.6 49.7 49.8 49.9 49.10 49.11 49.12 49.13 49.14 49.15 49.16 49.17 49.18 49.19 49.20 49.21 49.22 49.23 49.24 49.25 49.26 49.27
49.28 49.29 49.30 49.31 49.32 49.33 49.34 49.35 49.36 50.1 50.2 50.3 50.4 50.5 50.6 50.7 50.8 50.9 50.10 50.11 50.12 50.13 50.14 50.15 50.16 50.17 50.18 50.19 50.20 50.21 50.22 50.23 50.24 50.25 50.26 50.27 50.28 50.29 50.30 50.31 50.32 50.33 50.34 50.35 50.36 51.1 51.2 51.3 51.4 51.5 51.6 51.7 51.8 51.9 51.10 51.11 51.12 51.13 51.14 51.15 51.16 51.17 51.18 51.19 51.20 51.21 51.22 51.23 51.24 51.25 51.26 51.27 51.28 51.29 51.30 51.31 51.32 51.33 51.34 51.35 51.36 52.1 52.2 52.3 52.4 52.5 52.6 52.7 52.8 52.9 52.10
52.11 52.12 52.13 52.14 52.15 52.16 52.17 52.18 52.19 52.20 52.21 52.22 52.23 52.24 52.25 52.26 52.27 52.28 52.29 52.30 52.31 52.32 52.33 52.34 52.35 52.36 53.1 53.2 53.3 53.4 53.5 53.6 53.7 53.8 53.9 53.10 53.11 53.12 53.13 53.14 53.15 53.16 53.17 53.18 53.19 53.20 53.21 53.22 53.23 53.24 53.25 53.26 53.27 53.28 53.29 53.30 53.31 53.32 53.33 53.34 53.35 53.36 54.1 54.2 54.3 54.4 54.5 54.6
54.7
54.8 54.9 54.10 54.11 54.12 54.13 54.14 54.15 54.16 54.17 54.18 54.19 54.20 54.21 54.22 54.23 54.24 54.25 54.26 54.27 54.28 54.29 54.30 54.31 54.32 54.33 54.34 54.35 54.36 55.1 55.2 55.3 55.4 55.5 55.6 55.7 55.8 55.9 55.10 55.11 55.12 55.13 55.14 55.15 55.16 55.17 55.18 55.19 55.20 55.21 55.22 55.23 55.24 55.25 55.26 55.27 55.28 55.29 55.30 55.31 55.32 55.33 55.34 55.35 55.36 56.1 56.2 56.3 56.4 56.5 56.6 56.7 56.8 56.9 56.10 56.11 56.12 56.13 56.14 56.15 56.16 56.17 56.18 56.19 56.20 56.21 56.22
56.23 56.24 56.25 56.26 56.27 56.28 56.29 56.30 56.31 56.32 56.33 56.34 56.35 56.36 57.1 57.2 57.3 57.4 57.5 57.6 57.7 57.8 57.9 57.10 57.11 57.12 57.13 57.14 57.15 57.16 57.17 57.18 57.19 57.20 57.21 57.22 57.23 57.24 57.25
57.26 57.27 57.28 57.29 57.30 57.31 57.32 57.33 57.34 57.35 57.36 58.1 58.2 58.3 58.4 58.5 58.6 58.7 58.8 58.9 58.10 58.11 58.12 58.13 58.14 58.15 58.16 58.17 58.18 58.19 58.20 58.21 58.22 58.23 58.24 58.25 58.26 58.27 58.28 58.29 58.30 58.31 58.32 58.33 58.34 58.35 58.36 59.1 59.2 59.3 59.4 59.5 59.6 59.7 59.8 59.9 59.10 59.11 59.12 59.13 59.14 59.15 59.16 59.17 59.18 59.19 59.20 59.21 59.22
59.23 59.24 59.25 59.26 59.27 59.28 59.29 59.30 59.31 59.32 59.33 59.34 59.35 59.36 60.1 60.2 60.3 60.4 60.5 60.6 60.7 60.8 60.9 60.10 60.11 60.12 60.13 60.14 60.15 60.16 60.17 60.18 60.19 60.20 60.21
60.22 60.23 60.24 60.25 60.26 60.27 60.28 60.29 60.30 60.31 60.32 60.33 60.34 60.35 60.36 61.1 61.2 61.3 61.4 61.5 61.6 61.7 61.8 61.9 61.10 61.11 61.12 61.13 61.14 61.15 61.16 61.17 61.18 61.19 61.20 61.21 61.22 61.23 61.24 61.25 61.26 61.27 61.28 61.29 61.30 61.31
61.32 61.33 61.34 61.35 61.36 62.1 62.2 62.3 62.4 62.5 62.6 62.7 62.8 62.9 62.10 62.11 62.12
62.13 62.14 62.15 62.16 62.17 62.18 62.19 62.20 62.21 62.22 62.23 62.24 62.25 62.26 62.27 62.28 62.29 62.30 62.31 62.32 62.33 62.34 62.35 62.36 63.1 63.2 63.3 63.4 63.5 63.6 63.7 63.8 63.9 63.10 63.11 63.12 63.13 63.14 63.15 63.16 63.17 63.18 63.19 63.20 63.21 63.22 63.23 63.24 63.25 63.26 63.27 63.28 63.29 63.30 63.31 63.32 63.33 63.34 63.35 63.36 64.1 64.2 64.3 64.4 64.5 64.6 64.7 64.8 64.9 64.10 64.11 64.12 64.13 64.14
64.15
64.16 64.17 64.18 64.19 64.20 64.21 64.22 64.23 64.24 64.25 64.26 64.27 64.28 64.29 64.30 64.31 64.32 64.33 64.34 64.35 64.36 65.1 65.2 65.3 65.4 65.5 65.6 65.7 65.8 65.9 65.10 65.11 65.12 65.13 65.14 65.15 65.16 65.17 65.18 65.19 65.20 65.21 65.22 65.23 65.24 65.25 65.26 65.27 65.28 65.29 65.30 65.31 65.32 65.33 65.34 65.35 65.36 66.1 66.2 66.3 66.4 66.5 66.6 66.7 66.8 66.9 66.10 66.11 66.12 66.13 66.14 66.15 66.16 66.17 66.18 66.19 66.20 66.21 66.22 66.23 66.24 66.25 66.26 66.27 66.28 66.29
66.30 66.31 66.32 66.33 66.34 66.35 66.36 67.1 67.2 67.3 67.4 67.5 67.6 67.7 67.8 67.9 67.10 67.11 67.12 67.13 67.14 67.15 67.16 67.17 67.18 67.19 67.20 67.21 67.22 67.23 67.24
67.25 67.26 67.27 67.28 67.29 67.30 67.31 67.32 67.33 67.34 67.35 67.36 68.1 68.2 68.3 68.4 68.5 68.6 68.7 68.8 68.9 68.10 68.11 68.12 68.13 68.14 68.15 68.16 68.17 68.18 68.19 68.20 68.21 68.22 68.23 68.24 68.25 68.26 68.27 68.28 68.29 68.30 68.31 68.32 68.33 68.34 68.35 68.36 69.1 69.2 69.3 69.4 69.5 69.6 69.7 69.8 69.9 69.10 69.11 69.12 69.13 69.14 69.15 69.16 69.17 69.18 69.19 69.20 69.21 69.22 69.23 69.24 69.25 69.26 69.27 69.28 69.29 69.30 69.31
69.32 69.33 69.34 69.35 69.36 70.1 70.2 70.3 70.4 70.5 70.6
70.7 70.8 70.9 70.10 70.11 70.12 70.13 70.14 70.15 70.16 70.17 70.18 70.19 70.20 70.21 70.22 70.23 70.24 70.25 70.26 70.27 70.28 70.29 70.30 70.31 70.32 70.33 70.34 70.35 70.36 71.1 71.2 71.3 71.4 71.5 71.6 71.7 71.8 71.9 71.10 71.11 71.12 71.13 71.14 71.15 71.16 71.17 71.18 71.19 71.20 71.21 71.22 71.23 71.24 71.25 71.26 71.27 71.28
71.29 71.30 71.31 71.32 71.33 71.34 71.35 71.36 72.1 72.2 72.3 72.4 72.5 72.6 72.7 72.8 72.9 72.10 72.11 72.12 72.13 72.14 72.15 72.16 72.17 72.18 72.19 72.20 72.21 72.22 72.23 72.24 72.25 72.26 72.27 72.28 72.29 72.30 72.31 72.32 72.33 72.34 72.35 72.36 73.1 73.2 73.3 73.4 73.5 73.6 73.7 73.8 73.9 73.10 73.11 73.12 73.13 73.14 73.15 73.16 73.17 73.18 73.19 73.20 73.21 73.22 73.23 73.24 73.25 73.26 73.27 73.28 73.29 73.30 73.31 73.32 73.33 73.34 73.35 73.36 74.1 74.2 74.3 74.4 74.5 74.6 74.7 74.8 74.9 74.10 74.11 74.12 74.13 74.14 74.15 74.16 74.17 74.18 74.19 74.20 74.21 74.22 74.23 74.24 74.25 74.26 74.27 74.28 74.29 74.30 74.31 74.32 74.33 74.34 74.35 74.36 75.1 75.2 75.3 75.4 75.5 75.6 75.7 75.8 75.9 75.10 75.11 75.12 75.13 75.14 75.15 75.16 75.17 75.18 75.19 75.20 75.21 75.22 75.23 75.24 75.25 75.26 75.27 75.28 75.29 75.30 75.31 75.32 75.33 75.34 75.35
75.36 76.1 76.2 76.3 76.4 76.5 76.6 76.7 76.8 76.9 76.10 76.11 76.12 76.13 76.14 76.15 76.16 76.17 76.18 76.19 76.20 76.21 76.22 76.23 76.24 76.25 76.26 76.27 76.28 76.29 76.30 76.31 76.32 76.33 76.34 76.35 76.36 77.1 77.2 77.3 77.4 77.5 77.6 77.7 77.8 77.9 77.10 77.11 77.12 77.13 77.14 77.15 77.16 77.17 77.18 77.19 77.20 77.21 77.22 77.23 77.24 77.25 77.26 77.27 77.28 77.29 77.30 77.31 77.32 77.33 77.34 77.35 77.36 78.1 78.2 78.3 78.4 78.5 78.6 78.7 78.8 78.9 78.10 78.11 78.12 78.13 78.14 78.15 78.16 78.17 78.18 78.19 78.20 78.21 78.22 78.23 78.24 78.25 78.26 78.27 78.28 78.29 78.30 78.31 78.32 78.33 78.34 78.35 78.36 79.1 79.2 79.3 79.4 79.5 79.6 79.7 79.8 79.9 79.10 79.11 79.12 79.13 79.14 79.15 79.16 79.17 79.18 79.19 79.20 79.21 79.22 79.23 79.24 79.25 79.26 79.27 79.28 79.29 79.30 79.31 79.32 79.33 79.34 79.35 79.36 80.1 80.2 80.3 80.4 80.5 80.6 80.7 80.8 80.9 80.10 80.11 80.12 80.13 80.14 80.15 80.16 80.17
80.18 80.19
80.20 80.21 80.22 80.23 80.24 80.25
80.26 80.27 80.28 80.29 80.30
80.31 80.32 80.33 80.34 80.35 80.36 81.1 81.2 81.3 81.4 81.5 81.6 81.7 81.8 81.9
81.10 81.11
81.12 81.13 81.14 81.15 81.16 81.17 81.18 81.19 81.20 81.21 81.22 81.23 81.24 81.25 81.26
81.27 81.28 81.29 81.30 81.31 81.32
81.33 81.34 81.35 81.36 82.1 82.2 82.3 82.4 82.5 82.6 82.7 82.8 82.9 82.10 82.11 82.12 82.13 82.14 82.15 82.16 82.17 82.18 82.19 82.20 82.21 82.22 82.23
82.24
82.25 82.26 82.27 82.28 82.29 82.30 82.31 82.32 82.33 82.34 82.35 82.36 83.1 83.2 83.3 83.4 83.5
83.6 83.7 83.8 83.9 83.10 83.11 83.12 83.13 83.14 83.15 83.16 83.17 83.18 83.19 83.20 83.21 83.22 83.23 83.24 83.25 83.26 83.27 83.28 83.29 83.30 83.31 83.32 83.33 83.34
83.35 83.36 84.1 84.2 84.3 84.4 84.5 84.6 84.7 84.8 84.9 84.10 84.11 84.12 84.13 84.14 84.15 84.16 84.17 84.18 84.19 84.20 84.21 84.22 84.23 84.24 84.25 84.26 84.27 84.28
84.29 84.30 84.31 84.32 84.33 84.34 84.35 84.36 85.1 85.2 85.3 85.4 85.5 85.6 85.7 85.8 85.9 85.10 85.11 85.12 85.13 85.14 85.15 85.16 85.17 85.18 85.19 85.20 85.21 85.22 85.23 85.24 85.25 85.26 85.27 85.28 85.29 85.30 85.31 85.32 85.33 85.34 85.35 85.36 86.1 86.2 86.3 86.4 86.5 86.6 86.7
86.8 86.9
86.10 86.11 86.12 86.13 86.14
86.15 86.16 86.17 86.18 86.19 86.20 86.21 86.22 86.23 86.24 86.25 86.26 86.27 86.28 86.29 86.30 86.31 86.32 86.33 86.34 86.35 86.36 87.1 87.2 87.3 87.4 87.5 87.6 87.7 87.8 87.9 87.10 87.11 87.12 87.13
87.14 87.15 87.16 87.17 87.18 87.19 87.20 87.21 87.22 87.23 87.24 87.25 87.26 87.27 87.28 87.29 87.30
87.31
87.32 87.33 87.34 87.35 87.36 88.1 88.2 88.3 88.4 88.5 88.6 88.7 88.8 88.9 88.10 88.11 88.12 88.13 88.14 88.15 88.16 88.17 88.18 88.19 88.20
88.21 88.22 88.23 88.24 88.25 88.26 88.27 88.28 88.29
88.30
88.31 88.32 88.33 88.34 88.35 88.36 89.1 89.2 89.3 89.4 89.5 89.6 89.7 89.8 89.9 89.10 89.11 89.12 89.13 89.14 89.15 89.16 89.17 89.18 89.19 89.20 89.21 89.22 89.23 89.24 89.25 89.26 89.27 89.28 89.29 89.30 89.31
89.32 89.33 89.34 89.35 89.36 90.1 90.2 90.3 90.4 90.5 90.6 90.7 90.8 90.9 90.10 90.11 90.12 90.13 90.14 90.15 90.16
90.17 90.18 90.19 90.20 90.21 90.22
90.23 90.24 90.25 90.26 90.27 90.28 90.29 90.30 90.31 90.32 90.33 90.34 90.35 90.36 91.1 91.2 91.3 91.4 91.5 91.6 91.7 91.8 91.9 91.10 91.11 91.12 91.13 91.14 91.15 91.16 91.17 91.18 91.19 91.20 91.21 91.22
91.23
91.24 91.25 91.26 91.27 91.28 91.29 91.30 91.31 91.32 91.33 91.34 91.35 91.36 92.1 92.2 92.3 92.4 92.5 92.6 92.7
92.8
92.9 92.10 92.11 92.12 92.13 92.14 92.15 92.16 92.17 92.18 92.19 92.20 92.21 92.22 92.23 92.24 92.25 92.26 92.27 92.28
92.29 92.30 92.31 92.32 92.33 92.34 92.35 92.36 93.1 93.2 93.3 93.4 93.5 93.6 93.7 93.8 93.9 93.10 93.11 93.12 93.13 93.14 93.15 93.16 93.17 93.18 93.19 93.20 93.21 93.22 93.23 93.24 93.25 93.26 93.27 93.28 93.29 93.30 93.31 93.32 93.33
93.34 93.35 93.36 94.1 94.2 94.3
94.4 94.5 94.6 94.7 94.8 94.9 94.10 94.11 94.12 94.13 94.14 94.15 94.16 94.17 94.18 94.19 94.20 94.21 94.22 94.23 94.24 94.25 94.26 94.27 94.28 94.29 94.30 94.31 94.32 94.33 94.34 94.35 94.36 95.1 95.2 95.3 95.4 95.5 95.6 95.7 95.8 95.9 95.10 95.11 95.12 95.13 95.14 95.15 95.16 95.17 95.18 95.19 95.20 95.21 95.22 95.23 95.24 95.25 95.26 95.27 95.28 95.29 95.30 95.31 95.32 95.33
95.34
95.35 95.36 96.1 96.2 96.3 96.4 96.5 96.6 96.7 96.8 96.9 96.10 96.11 96.12 96.13 96.14 96.15 96.16 96.17 96.18 96.19 96.20 96.21 96.22 96.23 96.24 96.25 96.26 96.27 96.28 96.29 96.30 96.31 96.32 96.33 96.34 96.35 96.36 97.1 97.2 97.3 97.4 97.5 97.6 97.7 97.8 97.9 97.10 97.11
97.12 97.13 97.14 97.15 97.16 97.17 97.18 97.19 97.20 97.21 97.22 97.23 97.24 97.25 97.26 97.27
97.28 97.29 97.30 97.31 97.32 97.33 97.34 97.35 97.36 98.1 98.2 98.3
98.4 98.5 98.6 98.7 98.8 98.9 98.10 98.11 98.12 98.13 98.14 98.15 98.16 98.17 98.18 98.19 98.20 98.21 98.22 98.23 98.24 98.25 98.26 98.27 98.28 98.29 98.30 98.31 98.32 98.33 98.34 98.35 98.36 99.1 99.2 99.3 99.4 99.5 99.6 99.7 99.8 99.9 99.10 99.11 99.12 99.13 99.14
99.15 99.16 99.17 99.18 99.19 99.20 99.21 99.22 99.23
99.24 99.25 99.26 99.27 99.28 99.29
99.30 99.31 99.32 99.33 99.34 99.35 99.36 100.1 100.2 100.3 100.4 100.5 100.6 100.7 100.8 100.9 100.10 100.11 100.12 100.13 100.14 100.15 100.16 100.17 100.18 100.19 100.20 100.21 100.22 100.23 100.24 100.25 100.26 100.27 100.28 100.29 100.30 100.31 100.32 100.33 100.34 100.35 100.36 101.1 101.2 101.3 101.4 101.5 101.6 101.7 101.8 101.9 101.10 101.11 101.12
101.13 101.14 101.15 101.16 101.17 101.18 101.19 101.20 101.21 101.22
101.23 101.24 101.25 101.26 101.27 101.28 101.29
101.30 101.31 101.32
101.33 101.34 101.35 101.36 102.1 102.2 102.3 102.4 102.5 102.6 102.7 102.8 102.9 102.10 102.11 102.12 102.13 102.14 102.15 102.16 102.17 102.18 102.19 102.20 102.21 102.22 102.23 102.24 102.25 102.26 102.27 102.28 102.29 102.30 102.31 102.32 102.33 102.34 102.35 102.36 103.1 103.2 103.3 103.4 103.5 103.6 103.7 103.8 103.9 103.10 103.11
103.12 103.13 103.14 103.15 103.16 103.17 103.18 103.19 103.20 103.21 103.22 103.23 103.24 103.25 103.26 103.27 103.28 103.29 103.30 103.31 103.32 103.33 103.34 103.35 103.36 104.1 104.2 104.3 104.4 104.5 104.6 104.7 104.8 104.9 104.10 104.11 104.12 104.13 104.14 104.15 104.16 104.17 104.18 104.19 104.20 104.21 104.22 104.23 104.24 104.25 104.26 104.27 104.28 104.29 104.30 104.31 104.32 104.33 104.34 104.35 104.36 105.1 105.2 105.3 105.4 105.5 105.6 105.7 105.8 105.9 105.10 105.11 105.12 105.13 105.14 105.15 105.16 105.17 105.18 105.19 105.20 105.21 105.22 105.23 105.24 105.25 105.26 105.27 105.28 105.29 105.30 105.31 105.32 105.33 105.34 105.35 105.36 106.1 106.2 106.3 106.4 106.5 106.6 106.7 106.8 106.9 106.10 106.11 106.12 106.13 106.14 106.15 106.16
106.17
106.18 106.19 106.20 106.21 106.22 106.23 106.24 106.25 106.26 106.27 106.28 106.29 106.30 106.31 106.32 106.33 106.34 106.35 106.36 107.1 107.2 107.3 107.4 107.5 107.6 107.7 107.8 107.9 107.10 107.11 107.12 107.13 107.14 107.15 107.16 107.17 107.18 107.19 107.20 107.21 107.22 107.23 107.24 107.25
107.26 107.27 107.28 107.29 107.30 107.31 107.32 107.33 107.34 107.35 107.36 108.1 108.2 108.3 108.4 108.5 108.6
108.7 108.8 108.9 108.10 108.11 108.12 108.13 108.14 108.15 108.16 108.17 108.18 108.19 108.20
108.21 108.22 108.23 108.24 108.25 108.26 108.27 108.28 108.29 108.30 108.31 108.32 108.33 108.34
108.35 108.36 109.1 109.2 109.3 109.4 109.5 109.6 109.7 109.8 109.9
109.10 109.11 109.12 109.13 109.14 109.15 109.16
109.17 109.18 109.19 109.20 109.21 109.22 109.23 109.24 109.25 109.26 109.27 109.28 109.29 109.30 109.31 109.32 109.33 109.34 109.35 109.36 110.1 110.2 110.3 110.4 110.5 110.6 110.7 110.8 110.9 110.10 110.11 110.12 110.13 110.14 110.15 110.16 110.17
110.18
110.19 110.20 110.21 110.22 110.23 110.24 110.25 110.26 110.27 110.28 110.29 110.30 110.31 110.32 110.33 110.34 110.35 110.36 111.1 111.2 111.3 111.4 111.5 111.6 111.7 111.8 111.9 111.10 111.11 111.12 111.13 111.14 111.15 111.16 111.17 111.18 111.19 111.20 111.21 111.22
111.23 111.24
111.25 111.26 111.27 111.28 111.29 111.30 111.31
111.32 111.33
111.34 111.35 111.36 112.1 112.2 112.3 112.4 112.5 112.6 112.7 112.8
112.9 112.10 112.11
112.12 112.13 112.14 112.15 112.16 112.17 112.18 112.19 112.20 112.21 112.22 112.23 112.24 112.25 112.26 112.27 112.28 112.29 112.30 112.31 112.32 112.33 112.34 112.35 112.36 113.1 113.2 113.3 113.4 113.5 113.6 113.7 113.8 113.9 113.10 113.11 113.12 113.13 113.14 113.15 113.16 113.17 113.18 113.19 113.20 113.21 113.22 113.23 113.24 113.25 113.26 113.27 113.28 113.29 113.30 113.31 113.32 113.33 113.34 113.35 113.36 114.1 114.2 114.3 114.4 114.5 114.6 114.7 114.8 114.9 114.10 114.11 114.12 114.13 114.14 114.15 114.16 114.17 114.18 114.19 114.20 114.21 114.22 114.23 114.24 114.25 114.26 114.27 114.28 114.29 114.30 114.31 114.32 114.33 114.34 114.35 114.36 115.1 115.2 115.3 115.4 115.5 115.6 115.7 115.8 115.9 115.10 115.11 115.12 115.13 115.14 115.15 115.16 115.17 115.18 115.19 115.20 115.21 115.22 115.23 115.24 115.25 115.26 115.27 115.28 115.29 115.30 115.31 115.32 115.33 115.34 115.35 115.36 116.1 116.2 116.3 116.4 116.5 116.6 116.7 116.8 116.9 116.10 116.11 116.12 116.13 116.14 116.15 116.16 116.17 116.18 116.19 116.20 116.21 116.22 116.23 116.24 116.25 116.26 116.27 116.28 116.29 116.30 116.31 116.32 116.33 116.34 116.35 116.36 117.1 117.2 117.3 117.4 117.5 117.6 117.7 117.8 117.9 117.10 117.11 117.12 117.13 117.14 117.15 117.16 117.17 117.18 117.19 117.20 117.21 117.22 117.23 117.24 117.25 117.26 117.27 117.28 117.29 117.30 117.31 117.32 117.33 117.34 117.35 117.36 118.1 118.2 118.3 118.4 118.5 118.6 118.7 118.8 118.9 118.10 118.11 118.12 118.13 118.14 118.15 118.16 118.17 118.18 118.19 118.20 118.21 118.22 118.23 118.24 118.25 118.26 118.27 118.28 118.29 118.30 118.31 118.32 118.33 118.34 118.35 118.36 119.1 119.2 119.3 119.4 119.5 119.6 119.7 119.8 119.9 119.10 119.11 119.12 119.13 119.14 119.15 119.16 119.17 119.18 119.19 119.20 119.21 119.22 119.23 119.24 119.25 119.26 119.27 119.28 119.29 119.30 119.31 119.32 119.33 119.34 119.35 119.36 120.1 120.2 120.3 120.4 120.5 120.6 120.7 120.8 120.9 120.10 120.11 120.12 120.13 120.14 120.15 120.16 120.17 120.18 120.19 120.20 120.21 120.22 120.23 120.24 120.25 120.26 120.27 120.28 120.29 120.30 120.31 120.32 120.33 120.34 120.35 120.36 121.1 121.2 121.3 121.4 121.5 121.6 121.7 121.8 121.9 121.10 121.11 121.12 121.13 121.14 121.15 121.16 121.17 121.18 121.19 121.20 121.21 121.22 121.23 121.24 121.25 121.26 121.27 121.28 121.29 121.30 121.31 121.32 121.33 121.34 121.35 121.36 122.1 122.2 122.3 122.4 122.5 122.6 122.7 122.8 122.9 122.10 122.11 122.12 122.13 122.14 122.15 122.16 122.17 122.18 122.19 122.20 122.21 122.22 122.23 122.24 122.25 122.26 122.27 122.28 122.29 122.30 122.31 122.32 122.33 122.34 122.35 122.36 123.1 123.2 123.3 123.4 123.5 123.6 123.7 123.8 123.9 123.10 123.11 123.12 123.13 123.14 123.15 123.16 123.17 123.18 123.19 123.20 123.21 123.22 123.23 123.24 123.25 123.26 123.27 123.28 123.29 123.30 123.31 123.32 123.33 123.34 123.35 123.36 124.1 124.2 124.3 124.4 124.5 124.6 124.7 124.8 124.9 124.10 124.11 124.12 124.13 124.14 124.15 124.16
124.17 124.18 124.19 124.20 124.21 124.22 124.23 124.24 124.25
124.26 124.27 124.28 124.29 124.30 124.31 124.32 124.33 124.34 124.35 124.36 125.1 125.2 125.3 125.4 125.5 125.6 125.7 125.8 125.9 125.10 125.11 125.12 125.13 125.14 125.15 125.16 125.17 125.18 125.19 125.20 125.21 125.22 125.23 125.24 125.25 125.26 125.27 125.28 125.29 125.30 125.31 125.32 125.33 125.34 125.35 125.36 126.1 126.2 126.3 126.4 126.5 126.6 126.7 126.8 126.9 126.10 126.11 126.12 126.13 126.14 126.15 126.16 126.17 126.18 126.19 126.20 126.21 126.22 126.23 126.24 126.25 126.26 126.27 126.28 126.29 126.30 126.31 126.32 126.33 126.34 126.35 126.36 127.1 127.2 127.3 127.4 127.5 127.6 127.7 127.8 127.9 127.10 127.11 127.12 127.13 127.14 127.15 127.16 127.17 127.18 127.19 127.20 127.21 127.22 127.23 127.24 127.25 127.26 127.27 127.28 127.29 127.30 127.31 127.32 127.33 127.34 127.35 127.36 128.1 128.2 128.3 128.4 128.5 128.6 128.7 128.8 128.9 128.10 128.11 128.12 128.13 128.14 128.15 128.16 128.17 128.18 128.19 128.20 128.21 128.22 128.23 128.24 128.25 128.26 128.27 128.28 128.29 128.30 128.31
128.32 128.33 128.34 128.35 128.36 129.1 129.2 129.3 129.4 129.5 129.6 129.7 129.8 129.9 129.10 129.11 129.12 129.13 129.14 129.15 129.16 129.17
129.18 129.19 129.20 129.21 129.22 129.23 129.24 129.25 129.26 129.27 129.28 129.29 129.30 129.31 129.32 129.33 129.34
129.35 129.36 130.1 130.2 130.3 130.4 130.5 130.6 130.7 130.8 130.9 130.10 130.11 130.12 130.13 130.14 130.15 130.16 130.17 130.18 130.19 130.20 130.21 130.22 130.23 130.24
130.25 130.26 130.27 130.28 130.29 130.30 130.31 130.32 130.33 130.34 130.35 130.36 131.1 131.2 131.3 131.4 131.5 131.6
131.7 131.8 131.9 131.10 131.11 131.12 131.13 131.14 131.15 131.16 131.17 131.18 131.19 131.20 131.21 131.22 131.23 131.24 131.25 131.26 131.27 131.28 131.29 131.30 131.31 131.32 131.33 131.34 131.35 131.36 132.1 132.2 132.3 132.4 132.5 132.6 132.7 132.8 132.9 132.10 132.11 132.12 132.13 132.14 132.15 132.16 132.17
132.18 132.19 132.20 132.21 132.22 132.23 132.24
132.25 132.26 132.27 132.28 132.29 132.30 132.31 132.32 132.33 132.34 132.35 132.36 133.1 133.2 133.3 133.4 133.5 133.6 133.7 133.8 133.9 133.10 133.11 133.12 133.13 133.14 133.15 133.16 133.17 133.18
133.19 133.20 133.21 133.22 133.23 133.24 133.25 133.26 133.27 133.28 133.29 133.30 133.31 133.32 133.33 133.34 133.35 133.36 134.1 134.2 134.3 134.4 134.5 134.6 134.7 134.8 134.9 134.10 134.11 134.12 134.13 134.14 134.15 134.16 134.17 134.18 134.19 134.20 134.21 134.22 134.23 134.24
134.25 134.26 134.27 134.28 134.29 134.30 134.31 134.32 134.33 134.34 134.35 134.36 135.1 135.2 135.3 135.4 135.5 135.6 135.7 135.8
135.9 135.10 135.11 135.12 135.13 135.14 135.15 135.16 135.17 135.18 135.19 135.20 135.21 135.22 135.23 135.24 135.25 135.26 135.27 135.28 135.29 135.30 135.31 135.32 135.33 135.34 135.35 135.36 136.1 136.2 136.3 136.4 136.5
136.6 136.7 136.8 136.9 136.10 136.11 136.12 136.13 136.14 136.15 136.16 136.17 136.18 136.19 136.20 136.21 136.22 136.23 136.24 136.25 136.26 136.27 136.28 136.29 136.30 136.31 136.32 136.33 136.34 136.35 136.36 137.1 137.2 137.3 137.4 137.5 137.6 137.7 137.8 137.9 137.10 137.11 137.12 137.13 137.14 137.15 137.16 137.17 137.18 137.19 137.20 137.21 137.22 137.23 137.24 137.25 137.26 137.27 137.28 137.29 137.30 137.31 137.32 137.33
137.34 137.35 137.36 138.1 138.2 138.3 138.4 138.5 138.6 138.7 138.8 138.9 138.10 138.11 138.12 138.13 138.14 138.15 138.16 138.17 138.18 138.19 138.20 138.21 138.22 138.23 138.24 138.25 138.26 138.27 138.28 138.29 138.30 138.31 138.32 138.33 138.34
138.35 138.36 139.1 139.2 139.3 139.4 139.5 139.6 139.7 139.8 139.9 139.10 139.11 139.12 139.13 139.14 139.15 139.16 139.17 139.18 139.19 139.20 139.21 139.22 139.23 139.24 139.25 139.26 139.27 139.28 139.29 139.30 139.31 139.32 139.33 139.34 139.35 139.36 140.1 140.2 140.3 140.4 140.5 140.6 140.7
140.8 140.9 140.10 140.11 140.12 140.13 140.14 140.15 140.16 140.17 140.18 140.19 140.20 140.21
140.22 140.23 140.24 140.25 140.26 140.27 140.28 140.29 140.30 140.31 140.32 140.33 140.34 140.35
140.36 141.1 141.2 141.3 141.4 141.5 141.6 141.7 141.8 141.9
141.10 141.11 141.12 141.13 141.14 141.15 141.16 141.17
141.18 141.19 141.20 141.21 141.22 141.23 141.24 141.25 141.26 141.27 141.28 141.29 141.30 141.31 141.32 141.33 141.34 141.35 141.36 142.1 142.2 142.3 142.4
142.5 142.6 142.7 142.8 142.9 142.10 142.11 142.12 142.13 142.14 142.15 142.16 142.17 142.18 142.19 142.20 142.21 142.22 142.23 142.24 142.25 142.26 142.27 142.28 142.29 142.30 142.31 142.32 142.33 142.34 142.35 142.36 143.1 143.2 143.3 143.4 143.5 143.6 143.7 143.8 143.9 143.10 143.11 143.12 143.13 143.14 143.15 143.16 143.17 143.18 143.19 143.20 143.21 143.22 143.23 143.24 143.25 143.26 143.27 143.28 143.29 143.30 143.31 143.32 143.33 143.34 143.35 143.36 144.1 144.2 144.3 144.4 144.5 144.6 144.7 144.8 144.9 144.10 144.11 144.12 144.13 144.14 144.15 144.16 144.17 144.18 144.19 144.20 144.21 144.22 144.23 144.24 144.25 144.26 144.27 144.28 144.29 144.30 144.31 144.32 144.33 144.34 144.35 144.36 145.1 145.2 145.3 145.4 145.5 145.6 145.7 145.8 145.9 145.10 145.11 145.12 145.13 145.14 145.15 145.16 145.17 145.18 145.19 145.20 145.21 145.22 145.23 145.24 145.25 145.26 145.27 145.28 145.29 145.30 145.31 145.32 145.33 145.34 145.35 145.36 146.1 146.2 146.3 146.4 146.5 146.6 146.7 146.8 146.9 146.10 146.11 146.12 146.13 146.14 146.15 146.16 146.17 146.18 146.19 146.20 146.21 146.22 146.23 146.24 146.25 146.26 146.27 146.28 146.29 146.30 146.31 146.32 146.33 146.34 146.35 146.36 147.1 147.2 147.3 147.4 147.5 147.6 147.7 147.8 147.9 147.10 147.11 147.12 147.13 147.14 147.15 147.16 147.17 147.18 147.19 147.20 147.21 147.22 147.23 147.24 147.25 147.26 147.27 147.28 147.29 147.30 147.31 147.32 147.33 147.34 147.35 147.36 148.1 148.2 148.3 148.4 148.5 148.6 148.7 148.8 148.9 148.10 148.11 148.12 148.13 148.14 148.15 148.16 148.17 148.18 148.19 148.20 148.21 148.22 148.23 148.24 148.25 148.26 148.27 148.28 148.29 148.30 148.31 148.32 148.33 148.34 148.35 148.36 149.1 149.2 149.3 149.4 149.5 149.6 149.7 149.8 149.9 149.10 149.11 149.12 149.13 149.14 149.15 149.16 149.17 149.18 149.19 149.20 149.21 149.22 149.23 149.24 149.25 149.26 149.27 149.28 149.29 149.30 149.31 149.32 149.33 149.34 149.35 149.36 150.1 150.2 150.3 150.4 150.5 150.6 150.7 150.8 150.9 150.10 150.11 150.12 150.13 150.14 150.15 150.16 150.17 150.18 150.19 150.20 150.21 150.22 150.23 150.24 150.25 150.26 150.27 150.28 150.29 150.30 150.31 150.32 150.33 150.34 150.35 150.36 151.1 151.2 151.3 151.4 151.5 151.6 151.7 151.8 151.9 151.10 151.11 151.12 151.13 151.14 151.15 151.16 151.17 151.18 151.19 151.20 151.21 151.22 151.23 151.24 151.25 151.26 151.27 151.28 151.29 151.30 151.31 151.32 151.33 151.34 151.35 151.36 152.1 152.2 152.3 152.4 152.5 152.6 152.7 152.8 152.9 152.10 152.11 152.12 152.13 152.14 152.15 152.16 152.17 152.18 152.19 152.20 152.21 152.22 152.23 152.24 152.25 152.26 152.27 152.28 152.29 152.30 152.31 152.32 152.33 152.34 152.35 152.36 153.1 153.2 153.3 153.4 153.5 153.6 153.7 153.8 153.9 153.10 153.11 153.12 153.13 153.14 153.15 153.16 153.17 153.18 153.19 153.20 153.21 153.22 153.23 153.24 153.25 153.26 153.27 153.28 153.29 153.30 153.31 153.32 153.33 153.34 153.35 153.36 154.1 154.2 154.3 154.4 154.5 154.6 154.7 154.8 154.9 154.10 154.11 154.12 154.13 154.14 154.15 154.16 154.17 154.18 154.19 154.20 154.21 154.22 154.23 154.24 154.25 154.26 154.27 154.28 154.29 154.30 154.31 154.32 154.33 154.34 154.35 154.36 155.1 155.2 155.3 155.4 155.5 155.6 155.7 155.8 155.9 155.10 155.11 155.12 155.13 155.14 155.15 155.16 155.17 155.18 155.19 155.20 155.21 155.22 155.23 155.24 155.25 155.26 155.27 155.28 155.29 155.30 155.31 155.32 155.33 155.34 155.35 155.36 156.1 156.2 156.3 156.4 156.5 156.6 156.7 156.8 156.9 156.10 156.11 156.12 156.13 156.14 156.15 156.16 156.17 156.18 156.19 156.20 156.21 156.22 156.23 156.24 156.25 156.26 156.27 156.28 156.29 156.30 156.31 156.32 156.33 156.34 156.35 156.36 157.1 157.2 157.3 157.4 157.5 157.6 157.7 157.8 157.9 157.10 157.11 157.12 157.13 157.14 157.15 157.16 157.17 157.18 157.19 157.20 157.21 157.22 157.23 157.24 157.25 157.26 157.27 157.28 157.29 157.30 157.31 157.32 157.33 157.34 157.35 157.36 158.1 158.2 158.3 158.4 158.5 158.6 158.7 158.8 158.9 158.10 158.11 158.12 158.13 158.14 158.15 158.16 158.17 158.18 158.19 158.20 158.21 158.22 158.23 158.24 158.25 158.26 158.27 158.28 158.29 158.30 158.31 158.32 158.33 158.34 158.35 158.36 159.1 159.2 159.3 159.4 159.5 159.6 159.7 159.8 159.9 159.10 159.11 159.12 159.13 159.14 159.15 159.16 159.17 159.18 159.19 159.20 159.21 159.22 159.23 159.24 159.25 159.26 159.27 159.28 159.29 159.30 159.31 159.32 159.33 159.34 159.35 159.36 160.1 160.2 160.3 160.4 160.5 160.6 160.7 160.8 160.9 160.10 160.11 160.12 160.13 160.14 160.15 160.16 160.17 160.18 160.19 160.20 160.21 160.22 160.23 160.24 160.25 160.26 160.27 160.28 160.29 160.30 160.31 160.32 160.33 160.34 160.35 160.36 161.1 161.2 161.3 161.4 161.5 161.6 161.7 161.8 161.9 161.10 161.11 161.12 161.13 161.14 161.15 161.16 161.17 161.18 161.19 161.20 161.21 161.22 161.23 161.24 161.25 161.26 161.27 161.28 161.29 161.30 161.31 161.32 161.33 161.34 161.35 161.36 162.1 162.2 162.3 162.4 162.5 162.6 162.7 162.8 162.9 162.10 162.11 162.12 162.13 162.14 162.15 162.16 162.17 162.18 162.19 162.20 162.21 162.22 162.23 162.24 162.25 162.26 162.27 162.28 162.29 162.30 162.31 162.32 162.33 162.34 162.35 162.36 163.1 163.2 163.3 163.4 163.5 163.6 163.7 163.8 163.9 163.10 163.11 163.12 163.13 163.14 163.15 163.16 163.17 163.18 163.19 163.20 163.21 163.22 163.23 163.24 163.25 163.26 163.27 163.28 163.29
163.30 163.31 163.32 163.33 163.34 163.35 163.36 164.1 164.2 164.3 164.4 164.5 164.6 164.7 164.8 164.9 164.10 164.11 164.12 164.13 164.14 164.15 164.16 164.17 164.18 164.19
164.20 164.21 164.22 164.23 164.24 164.25 164.26 164.27
164.28 164.29 164.30 164.31 164.32 164.33 164.34 164.35
164.36 165.1 165.2 165.3 165.4 165.5 165.6 165.7 165.8 165.9
165.10 165.11
165.12 165.13 165.14 165.15 165.16 165.17 165.18 165.19 165.20 165.21 165.22 165.23 165.24 165.25 165.26 165.27 165.28 165.29 165.30 165.31 165.32 165.33 165.34 165.35 165.36 166.1 166.2 166.3 166.4 166.5 166.6 166.7 166.8 166.9 166.10 166.11 166.12 166.13 166.14 166.15 166.16 166.17 166.18 166.19 166.20 166.21 166.22 166.23 166.24 166.25 166.26 166.27 166.28 166.29 166.30 166.31 166.32 166.33 166.34 166.35 166.36 167.1 167.2 167.3 167.4 167.5 167.6 167.7 167.8 167.9 167.10 167.11 167.12 167.13 167.14 167.15 167.16 167.17 167.18 167.19 167.20 167.21 167.22 167.23 167.24 167.25 167.26 167.27 167.28 167.29 167.30 167.31 167.32 167.33 167.34 167.35 167.36 168.1 168.2 168.3 168.4 168.5 168.6 168.7 168.8 168.9 168.10 168.11 168.12 168.13 168.14 168.15 168.16 168.17 168.18 168.19 168.20 168.21 168.22 168.23 168.24 168.25 168.26 168.27 168.28 168.29 168.30 168.31 168.32 168.33 168.34 168.35
168.36 169.1 169.2 169.3 169.4 169.5 169.6 169.7 169.8 169.9 169.10 169.11 169.12 169.13 169.14 169.15 169.16 169.17 169.18 169.19
169.20 169.21 169.22 169.23 169.24 169.25 169.26 169.27 169.28 169.29 169.30 169.31 169.32 169.33 169.34 169.35 169.36 170.1 170.2 170.3 170.4 170.5 170.6 170.7 170.8 170.9 170.10 170.11 170.12 170.13 170.14 170.15 170.16 170.17 170.18 170.19 170.20 170.21 170.22 170.23 170.24 170.25 170.26 170.27 170.28 170.29 170.30 170.31 170.32 170.33 170.34 170.35 170.36 171.1 171.2 171.3 171.4 171.5 171.6 171.7 171.8 171.9 171.10 171.11 171.12 171.13 171.14 171.15 171.16 171.17 171.18 171.19 171.20 171.21 171.22 171.23 171.24 171.25 171.26 171.27 171.28 171.29 171.30 171.31 171.32 171.33 171.34 171.35 171.36 172.1 172.2 172.3 172.4 172.5 172.6 172.7 172.8 172.9 172.10
172.11 172.12 172.13 172.14 172.15 172.16 172.17 172.18 172.19 172.20 172.21 172.22 172.23 172.24 172.25 172.26 172.27 172.28 172.29 172.30 172.31 172.32 172.33 172.34 172.35 172.36 173.1 173.2 173.3 173.4 173.5 173.6 173.7 173.8 173.9 173.10 173.11 173.12 173.13 173.14 173.15 173.16 173.17 173.18 173.19 173.20 173.21 173.22 173.23 173.24 173.25 173.26 173.27 173.28 173.29 173.30 173.31 173.32 173.33 173.34 173.35 173.36 174.1 174.2 174.3 174.4 174.5 174.6 174.7 174.8 174.9 174.10 174.11 174.12 174.13 174.14 174.15 174.16 174.17 174.18 174.19 174.20 174.21 174.22 174.23 174.24 174.25 174.26 174.27 174.28 174.29 174.30 174.31 174.32 174.33 174.34 174.35 174.36 175.1 175.2 175.3 175.4 175.5 175.6 175.7 175.8 175.9 175.10 175.11 175.12 175.13 175.14 175.15 175.16 175.17
175.18 175.19 175.20 175.21 175.22 175.23 175.24 175.25 175.26 175.27 175.28 175.29 175.30 175.31 175.32 175.33 175.34 175.35 175.36 176.1 176.2 176.3 176.4 176.5 176.6 176.7 176.8 176.9 176.10 176.11 176.12
176.13 176.14 176.15 176.16 176.17 176.18 176.19 176.20 176.21 176.22 176.23 176.24 176.25
176.26 176.27 176.28 176.29 176.30 176.31 176.32 176.33 176.34 176.35 176.36 177.1 177.2 177.3 177.4 177.5 177.6 177.7 177.8 177.9 177.10 177.11 177.12 177.13 177.14 177.15 177.16 177.17 177.18 177.19 177.20 177.21 177.22 177.23 177.24 177.25 177.26 177.27 177.28 177.29
177.30 177.31 177.32 177.33 177.34 177.35 177.36 178.1 178.2 178.3 178.4 178.5 178.6 178.7 178.8 178.9 178.10 178.11 178.12 178.13 178.14 178.15 178.16 178.17 178.18 178.19 178.20 178.21 178.22 178.23 178.24 178.25 178.26 178.27 178.28 178.29 178.30 178.31 178.32 178.33 178.34 178.35 178.36 179.1 179.2 179.3 179.4 179.5 179.6 179.7 179.8
179.9 179.10 179.11 179.12 179.13 179.14 179.15 179.16 179.17 179.18 179.19 179.20 179.21 179.22 179.23 179.24 179.25 179.26 179.27 179.28 179.29 179.30 179.31 179.32 179.33 179.34 179.35 179.36 180.1 180.2 180.3 180.4 180.5 180.6 180.7 180.8 180.9 180.10 180.11 180.12
180.13 180.14 180.15 180.16 180.17 180.18 180.19 180.20 180.21 180.22 180.23 180.24 180.25 180.26 180.27 180.28 180.29 180.30 180.31 180.32 180.33 180.34 180.35 180.36 181.1 181.2 181.3 181.4 181.5 181.6 181.7 181.8 181.9 181.10 181.11 181.12 181.13 181.14 181.15 181.16 181.17
181.18 181.19 181.20 181.21 181.22 181.23 181.24 181.25 181.26 181.27 181.28
181.29 181.30 181.31 181.32 181.33 181.34 181.35 181.36 182.1 182.2 182.3 182.4 182.5 182.6 182.7 182.8 182.9 182.10 182.11 182.12 182.13 182.14 182.15 182.16 182.17 182.18 182.19 182.20 182.21 182.22 182.23 182.24 182.25 182.26 182.27 182.28 182.29
182.30 182.31 182.32
182.33 182.34 182.35 182.36 183.1 183.2 183.3
183.4 183.5 183.6 183.7 183.8 183.9 183.10 183.11 183.12 183.13 183.14 183.15 183.16 183.17 183.18 183.19 183.20 183.21 183.22 183.23 183.24 183.25 183.26 183.27 183.28 183.29 183.30 183.31 183.32 183.33 183.34 183.35 183.36 184.1 184.2 184.3 184.4 184.5 184.6 184.7 184.8 184.9 184.10 184.11 184.12 184.13 184.14 184.15 184.16 184.17 184.18 184.19 184.20 184.21 184.22 184.23 184.24 184.25 184.26 184.27 184.28 184.29 184.30 184.31 184.32 184.33 184.34 184.35 184.36 185.1 185.2 185.3 185.4 185.5 185.6 185.7 185.8 185.9 185.10 185.11 185.12 185.13 185.14 185.15 185.16
185.17 185.18 185.19 185.20 185.21 185.22 185.23 185.24 185.25 185.26 185.27 185.28 185.29 185.30 185.31 185.32 185.33
185.34 185.35
185.36 186.1 186.2 186.3 186.4 186.5 186.6 186.7 186.8 186.9 186.10 186.11 186.12 186.13 186.14 186.15 186.16 186.17 186.18 186.19 186.20 186.21 186.22 186.23 186.24 186.25 186.26 186.27 186.28 186.29 186.30 186.31 186.32 186.33 186.34 186.35 186.36
187.1 187.2 187.3 187.4 187.5 187.6 187.7 187.8 187.9 187.10 187.11 187.12 187.13 187.14 187.15 187.16 187.17 187.18 187.19 187.20 187.21
187.22 187.23 187.24 187.25 187.26 187.27 187.28 187.29 187.30 187.31 187.32 187.33 187.34 187.35 187.36 188.1 188.2
188.3 188.4 188.5 188.6 188.7 188.8 188.9 188.10 188.11 188.12 188.13 188.14 188.15
188.16 188.17 188.18 188.19 188.20 188.21 188.22 188.23 188.24 188.25 188.26 188.27 188.28 188.29 188.30 188.31 188.32 188.33 188.34 188.35 188.36 189.1 189.2 189.3 189.4 189.5 189.6 189.7 189.8 189.9 189.10 189.11 189.12 189.13 189.14 189.15 189.16 189.17 189.18 189.19 189.20
189.21
189.22 189.23 189.24 189.25 189.26 189.27 189.28 189.29 189.30 189.31 189.32 189.33 189.34 189.35 189.36 190.1 190.2 190.3 190.4 190.5 190.6 190.7 190.8 190.9 190.10 190.11 190.12 190.13 190.14 190.15 190.16 190.17 190.18 190.19 190.20 190.21 190.22 190.23 190.24 190.25 190.26 190.27 190.28 190.29 190.30
190.31 190.32
190.33 190.34 190.35 190.36 191.1 191.2 191.3 191.4 191.5 191.6 191.7 191.8 191.9 191.10
191.11 191.12 191.13 191.14 191.15 191.16 191.17 191.18 191.19 191.20 191.21 191.22 191.23 191.24 191.25 191.26 191.27 191.28 191.29 191.30 191.31 191.32 191.33 191.34 191.35 191.36 192.1 192.2 192.3 192.4 192.5 192.6 192.7 192.8 192.9 192.10 192.11 192.12 192.13 192.14 192.15 192.16 192.17 192.18 192.19 192.20 192.21 192.22 192.23 192.24 192.25 192.26 192.27 192.28 192.29 192.30 192.31 192.32 192.33 192.34 192.35 192.36 193.1 193.2 193.3 193.4 193.5 193.6 193.7 193.8 193.9 193.10 193.11 193.12 193.13 193.14 193.15 193.16 193.17 193.18 193.19 193.20 193.21 193.22 193.23 193.24 193.25 193.26 193.27 193.28 193.29 193.30 193.31 193.32 193.33 193.34 193.35 193.36 194.1 194.2 194.3 194.4 194.5 194.6 194.7 194.8 194.9 194.10 194.11 194.12 194.13 194.14 194.15 194.16 194.17 194.18 194.19 194.20 194.21 194.22 194.23 194.24 194.25 194.26 194.27 194.28
194.29 194.30 194.31 194.32 194.33 194.34 194.35 194.36 195.1 195.2 195.3 195.4
195.5 195.6 195.7 195.8 195.9 195.10 195.11 195.12 195.13 195.14 195.15 195.16 195.17 195.18 195.19 195.20 195.21 195.22 195.23 195.24 195.25 195.26 195.27 195.28 195.29 195.30 195.31 195.32 195.33 195.34 195.35 195.36 196.1 196.2 196.3 196.4 196.5 196.6 196.7 196.8 196.9 196.10 196.11 196.12 196.13 196.14 196.15 196.16 196.17 196.18 196.19 196.20 196.21 196.22 196.23 196.24 196.25 196.26 196.27 196.28 196.29 196.30 196.31
196.32 196.33 196.34 196.35 196.36 197.1 197.2 197.3 197.4 197.5 197.6 197.7 197.8 197.9 197.10 197.11 197.12 197.13 197.14 197.15 197.16 197.17 197.18 197.19 197.20 197.21 197.22 197.23 197.24 197.25
197.26 197.27
197.28 197.29 197.30 197.31 197.32 197.33 197.34 197.35 197.36 198.1 198.2 198.3 198.4 198.5 198.6 198.7 198.8 198.9 198.10 198.11 198.12 198.13
198.14 198.15 198.16 198.17 198.18 198.19 198.20 198.21 198.22 198.23 198.24 198.25 198.26 198.27 198.28 198.29 198.30 198.31 198.32 198.33 198.34 198.35 198.36 199.1 199.2 199.3
199.4 199.5 199.6 199.7 199.8 199.9 199.10 199.11
199.12 199.13 199.14 199.15
199.16 199.17
199.18 199.19 199.20 199.21 199.22 199.23 199.24 199.25 199.26 199.27 199.28 199.29 199.30 199.31 199.32 199.33 199.34 199.35 199.36
200.1 200.2
200.3 200.4 200.5 200.6 200.7 200.8 200.9 200.10
200.11 200.12 200.13 200.14 200.15 200.16 200.17 200.18 200.19 200.20 200.21 200.22
200.23 200.24 200.25 200.26 200.27 200.28 200.29 200.30 200.31 200.32 200.33 200.34 200.35 200.36 201.1 201.2 201.3 201.4 201.5 201.6 201.7 201.8 201.9 201.10 201.11 201.12 201.13 201.14 201.15 201.16 201.17 201.18 201.19 201.20 201.21 201.22 201.23 201.24 201.25 201.26 201.27
201.28 201.29 201.30 201.31 201.32 201.33 201.34 201.35 201.36 202.1 202.2 202.3 202.4 202.5 202.6 202.7 202.8
202.9 202.10
202.11 202.12 202.13 202.14 202.15 202.16 202.17 202.18 202.19 202.20 202.21 202.22 202.23 202.24 202.25 202.26 202.27 202.28 202.29 202.30 202.31 202.32 202.33 202.34 202.35 202.36 203.1 203.2 203.3 203.4 203.5 203.6 203.7 203.8 203.9 203.10 203.11 203.12 203.13 203.14 203.15 203.16 203.17 203.18 203.19 203.20 203.21 203.22 203.23 203.24 203.25 203.26 203.27 203.28 203.29 203.30 203.31 203.32 203.33 203.34 203.35 203.36 204.1 204.2 204.3 204.4 204.5 204.6 204.7 204.8 204.9 204.10 204.11 204.12 204.13 204.14 204.15 204.16 204.17 204.18 204.19 204.20 204.21 204.22 204.23 204.24 204.25 204.26 204.27 204.28 204.29 204.30 204.31 204.32 204.33 204.34 204.35 204.36 205.1 205.2 205.3 205.4 205.5 205.6 205.7 205.8 205.9 205.10 205.11 205.12 205.13 205.14 205.15 205.16 205.17 205.18 205.19 205.20 205.21 205.22 205.23 205.24 205.25 205.26 205.27 205.28 205.29 205.30 205.31 205.32 205.33 205.34 205.35 205.36 206.1 206.2 206.3 206.4 206.5 206.6 206.7 206.8 206.9 206.10 206.11 206.12 206.13 206.14 206.15 206.16 206.17 206.18 206.19 206.20 206.21 206.22 206.23 206.24 206.25 206.26 206.27 206.28 206.29 206.30 206.31 206.32 206.33 206.34 206.35 206.36 207.1 207.2 207.3 207.4 207.5 207.6 207.7 207.8 207.9 207.10 207.11 207.12 207.13 207.14 207.15 207.16 207.17 207.18 207.19 207.20 207.21 207.22 207.23 207.24 207.25 207.26 207.27 207.28 207.29 207.30 207.31 207.32 207.33 207.34 207.35 207.36 208.1 208.2 208.3 208.4 208.5 208.6 208.7 208.8 208.9 208.10 208.11 208.12 208.13 208.14 208.15 208.16 208.17 208.18 208.19 208.20 208.21 208.22 208.23 208.24 208.25 208.26 208.27 208.28 208.29 208.30 208.31 208.32 208.33 208.34 208.35 208.36 209.1 209.2 209.3 209.4 209.5 209.6 209.7 209.8 209.9 209.10 209.11 209.12 209.13 209.14 209.15 209.16 209.17 209.18 209.19 209.20 209.21 209.22 209.23 209.24 209.25 209.26 209.27 209.28 209.29 209.30 209.31 209.32 209.33 209.34 209.35 209.36 210.1 210.2 210.3 210.4 210.5 210.6 210.7 210.8 210.9 210.10 210.11 210.12 210.13 210.14 210.15 210.16 210.17 210.18 210.19 210.20 210.21 210.22 210.23 210.24 210.25 210.26 210.27 210.28 210.29 210.30 210.31 210.32 210.33 210.34 210.35 210.36 211.1 211.2 211.3 211.4 211.5 211.6 211.7 211.8 211.9 211.10 211.11 211.12 211.13 211.14 211.15 211.16 211.17 211.18 211.19 211.20 211.21 211.22 211.23 211.24 211.25 211.26 211.27 211.28 211.29 211.30 211.31 211.32 211.33 211.34 211.35 211.36 212.1 212.2 212.3 212.4 212.5 212.6 212.7 212.8 212.9 212.10 212.11 212.12 212.13 212.14 212.15 212.16
212.17 212.18 212.19 212.20 212.21 212.22 212.23 212.24 212.25 212.26 212.27
212.28 212.29 212.30 212.31 212.32 212.33 212.34 212.35 212.36 213.1 213.2
213.3 213.4
213.5 213.6 213.7 213.8 213.9 213.10 213.11 213.12 213.13 213.14 213.15 213.16 213.17 213.18 213.19 213.20 213.21 213.22 213.23 213.24 213.25 213.26 213.27 213.28 213.29 213.30 213.31 213.32 213.33 213.34 213.35 213.36 214.1 214.2 214.3 214.4 214.5 214.6 214.7 214.8 214.9 214.10 214.11 214.12 214.13 214.14 214.15 214.16 214.17 214.18 214.19 214.20 214.21 214.22 214.23 214.24 214.25 214.26 214.27 214.28 214.29 214.30 214.31 214.32 214.33 214.34 214.35 214.36 215.1 215.2 215.3 215.4 215.5 215.6
215.7 215.8 215.9 215.10 215.11 215.12 215.13 215.14 215.15
215.16 215.17 215.18 215.19 215.20 215.21 215.22 215.23 215.24 215.25 215.26 215.27 215.28 215.29 215.30 215.31 215.32 215.33 215.34 215.35 215.36 216.1
216.2 216.3 216.4 216.5 216.6 216.7 216.8 216.9 216.10 216.11 216.12 216.13 216.14 216.15
216.16 216.17 216.18 216.19 216.20 216.21 216.22 216.23 216.24 216.25 216.26 216.27
216.28 216.29 216.30 216.31 216.32 216.33
216.34 216.35 216.36 217.1 217.2 217.3 217.4 217.5 217.6 217.7 217.8 217.9
217.10 217.11 217.12 217.13 217.14 217.15 217.16 217.17 217.18 217.19 217.20 217.21 217.22 217.23 217.24 217.25 217.26 217.27 217.28 217.29 217.30 217.31 217.32 217.33 217.34 217.35 217.36 218.1 218.2 218.3
218.4 218.5 218.6 218.7 218.8 218.9 218.10 218.11 218.12 218.13 218.14 218.15 218.16 218.17 218.18 218.19 218.20 218.21 218.22 218.23 218.24 218.25 218.26 218.27 218.28 218.29 218.30 218.31 218.32 218.33 218.34 218.35 218.36 219.1 219.2 219.3 219.4 219.5 219.6 219.7 219.8 219.9 219.10 219.11 219.12 219.13 219.14 219.15 219.16 219.17 219.18 219.19 219.20 219.21 219.22 219.23 219.24 219.25 219.26 219.27 219.28 219.29 219.30 219.31 219.32 219.33 219.34 219.35 219.36 220.1 220.2 220.3 220.4 220.5 220.6 220.7 220.8 220.9 220.10 220.11 220.12 220.13 220.14 220.15 220.16 220.17 220.18 220.19 220.20 220.21 220.22 220.23 220.24 220.25 220.26 220.27 220.28 220.29 220.30 220.31 220.32 220.33 220.34 220.35 220.36 221.1 221.2 221.3 221.4
221.5 221.6 221.7 221.8 221.9 221.10 221.11 221.12 221.13 221.14 221.15 221.16 221.17 221.18 221.19 221.20 221.21 221.22 221.23 221.24 221.25 221.26 221.27 221.28 221.29 221.30 221.31 221.32 221.33 221.34 221.35 221.36 222.1 222.2 222.3 222.4 222.5 222.6 222.7 222.8 222.9 222.10 222.11 222.12 222.13 222.14 222.15 222.16 222.17 222.18 222.19 222.20 222.21 222.22 222.23 222.24 222.25 222.26 222.27 222.28 222.29 222.30 222.31 222.32 222.33 222.34 222.35 222.36 223.1 223.2 223.3 223.4 223.5 223.6 223.7 223.8 223.9 223.10 223.11 223.12 223.13 223.14 223.15 223.16 223.17 223.18 223.19 223.20 223.21 223.22 223.23 223.24 223.25 223.26 223.27 223.28 223.29 223.30 223.31 223.32 223.33 223.34 223.35 223.36 224.1 224.2 224.3 224.4 224.5 224.6 224.7 224.8 224.9 224.10 224.11 224.12 224.13 224.14 224.15 224.16 224.17 224.18 224.19 224.20 224.21 224.22 224.23 224.24 224.25 224.26 224.27 224.28 224.29 224.30 224.31 224.32 224.33 224.34 224.35 224.36 225.1 225.2 225.3 225.4 225.5 225.6 225.7 225.8 225.9 225.10 225.11 225.12 225.13 225.14 225.15
225.16 225.17 225.18 225.19 225.20 225.21 225.22 225.23 225.24 225.25 225.26 225.27 225.28 225.29 225.30 225.31 225.32 225.33 225.34 225.35 225.36 226.1 226.2 226.3 226.4 226.5 226.6 226.7 226.8 226.9 226.10 226.11 226.12 226.13 226.14 226.15 226.16 226.17 226.18 226.19 226.20 226.21 226.22 226.23 226.24 226.25 226.26 226.27 226.28 226.29 226.30 226.31 226.32 226.33 226.34 226.35 226.36 227.1 227.2 227.3 227.4 227.5 227.6 227.7 227.8 227.9 227.10 227.11 227.12 227.13 227.14 227.15 227.16 227.17 227.18 227.19 227.20 227.21 227.22 227.23 227.24 227.25 227.26 227.27 227.28 227.29 227.30 227.31 227.32 227.33 227.34 227.35 227.36 228.1 228.2 228.3 228.4 228.5 228.6 228.7 228.8 228.9 228.10 228.11 228.12 228.13 228.14 228.15 228.16 228.17 228.18 228.19 228.20 228.21 228.22 228.23 228.24 228.25 228.26 228.27 228.28 228.29 228.30 228.31 228.32 228.33 228.34 228.35 228.36 229.1 229.2 229.3 229.4 229.5 229.6 229.7 229.8 229.9 229.10 229.11 229.12 229.13 229.14 229.15 229.16 229.17 229.18 229.19 229.20 229.21 229.22 229.23 229.24 229.25 229.26 229.27 229.28 229.29 229.30 229.31 229.32 229.33 229.34 229.35 229.36
230.1 230.2 230.3 230.4 230.5 230.6 230.7 230.8 230.9 230.10 230.11 230.12 230.13 230.14 230.15 230.16 230.17 230.18 230.19 230.20 230.21 230.22 230.23 230.24 230.25 230.26 230.27 230.28 230.29
230.30 230.31
230.32 230.33 230.34 230.35 230.36
231.1 231.2 231.3 231.4 231.5 231.6 231.7 231.8 231.9 231.10 231.11 231.12 231.13 231.14 231.15 231.16 231.17 231.18 231.19 231.20 231.21 231.22 231.23 231.24 231.25 231.26 231.27 231.28 231.29 231.30 231.31 231.32 231.33 231.34 231.35 231.36 232.1 232.2 232.3 232.4 232.5 232.6 232.7 232.8 232.9 232.10
232.11 232.12 232.13 232.14 232.15 232.16 232.17 232.18
232.19 232.20 232.21 232.22 232.23 232.24 232.25 232.26 232.27 232.28 232.29 232.30 232.31 232.32 232.33 232.34 232.35
232.36 233.1 233.2 233.3 233.4 233.5 233.6 233.7 233.8 233.9 233.10 233.11 233.12 233.13 233.14 233.15 233.16 233.17 233.18 233.19 233.20 233.21 233.22 233.23 233.24 233.25 233.26 233.27 233.28 233.29 233.30
233.31 233.32 233.33 233.34 233.35 233.36 234.1 234.2 234.3 234.4 234.5 234.6 234.7 234.8 234.9 234.10 234.11 234.12 234.13 234.14 234.15 234.16 234.17 234.18 234.19 234.20 234.21 234.22 234.23 234.24 234.25 234.26 234.27 234.28 234.29 234.30 234.31 234.32 234.33 234.34 234.35 234.36 235.1 235.2 235.3 235.4 235.5 235.6 235.7 235.8 235.9 235.10 235.11 235.12 235.13 235.14 235.15 235.16 235.17 235.18 235.19 235.20 235.21 235.22 235.23 235.24 235.25 235.26 235.27 235.28 235.29 235.30 235.31 235.32 235.33 235.34 235.35 235.36 236.1 236.2 236.3 236.4 236.5 236.6 236.7 236.8 236.9 236.10 236.11 236.12 236.13 236.14 236.15 236.16 236.17 236.18 236.19 236.20 236.21 236.22 236.23 236.24 236.25 236.26 236.27 236.28 236.29 236.30 236.31 236.32 236.33 236.34 236.35 236.36 237.1 237.2 237.3 237.4 237.5 237.6 237.7 237.8 237.9
237.10 237.11 237.12 237.13 237.14 237.15 237.16 237.17 237.18 237.19 237.20 237.21 237.22 237.23 237.24 237.25 237.26 237.27 237.28 237.29 237.30 237.31 237.32 237.33 237.34 237.35 237.36 238.1 238.2 238.3 238.4
238.5 238.6 238.7 238.8 238.9 238.10 238.11 238.12 238.13 238.14 238.15 238.16 238.17 238.18 238.19 238.20 238.21 238.22 238.23 238.24 238.25 238.26 238.27 238.28 238.29 238.30 238.31 238.32 238.33 238.34 238.35 238.36 239.1 239.2 239.3 239.4 239.5 239.6 239.7 239.8 239.9 239.10 239.11 239.12 239.13 239.14 239.15 239.16 239.17 239.18 239.19 239.20 239.21 239.22 239.23 239.24 239.25 239.26 239.27 239.28 239.30 239.32 239.34 239.36 239.38 239.40 239.42 239.44 240.1 240.2 240.4 240.6 240.8 240.10 240.11 240.12 240.13 240.14 240.15 240.16 240.17 240.18 240.19
240.20 240.21 240.22 240.23 240.24 240.25 240.26 240.27 240.28 240.29 240.30 240.31
240.32 240.33 240.34 240.35 240.36 240.37 240.38 240.39 240.40 240.41 240.42 241.1 241.2 241.3 241.4 241.5 241.6 241.7 241.8 241.9 241.10 241.11 241.12 241.13 241.14 241.15 241.16 241.17 241.18 241.19 241.20 241.21 241.22 241.23 241.24 241.25 241.26
241.27 241.28 241.29 241.30 241.31 241.32 241.33 241.34 241.35 241.36 242.1 242.2 242.3 242.4 242.5 242.6 242.7 242.8 242.9 242.10 242.11 242.12 242.13 242.14 242.15 242.16 242.17 242.18 242.19 242.20 242.21 242.22 242.23 242.24 242.25 242.26 242.27 242.28 242.29 242.30 242.31 242.32 242.33 242.34 242.35 242.36 243.1 243.2 243.3 243.4 243.5 243.6 243.7 243.8 243.9 243.10 243.11 243.12 243.13 243.14 243.15 243.16 243.17 243.18 243.19 243.20 243.21 243.22 243.23 243.24 243.25 243.26 243.27 243.28 243.29 243.30 243.31 243.32 243.33 243.34 243.35 243.36 244.1 244.2 244.3 244.4 244.5 244.6 244.7 244.8 244.9 244.10 244.11 244.12 244.13 244.14 244.15 244.16 244.17 244.18 244.19 244.20 244.21 244.22 244.23 244.24 244.25
244.26 244.27 244.28 244.29 244.30 244.31 244.32 244.33 244.34 244.35 244.36 245.1 245.2 245.3 245.4 245.5 245.6 245.7
245.8 245.9 245.10 245.11 245.12 245.13 245.14 245.15 245.16 245.17 245.18 245.19 245.20 245.21 245.22 245.23 245.24 245.25 245.26 245.27 245.28 245.29 245.30 245.31 245.32 245.33 245.34 245.35 245.36 246.1 246.2 246.3 246.4 246.5 246.6 246.7 246.8 246.9 246.10 246.11 246.12 246.13 246.14 246.15 246.16 246.17 246.18 246.19 246.20 246.21 246.22 246.23 246.24 246.25 246.26 246.27 246.28 246.29 246.30 246.31 246.32 246.33 246.34 246.35 246.36 247.1 247.2 247.3 247.4 247.5
247.6 247.7 247.8 247.9 247.10 247.11 247.12 247.13 247.14 247.15 247.16 247.17 247.18 247.19 247.20 247.21 247.22 247.23 247.24 247.25 247.26 247.27 247.28 247.29 247.30 247.31 247.32 247.33 247.34 247.35 247.36 248.1 248.2 248.3 248.4 248.5 248.6 248.7 248.8 248.9 248.10 248.11 248.12 248.13 248.14 248.15 248.16 248.17 248.18 248.19 248.20 248.21 248.22
248.23 248.24 248.25 248.26 248.27 248.28 248.29 248.30 248.31 248.32 248.33 248.34 248.35 248.36 249.1 249.2 249.3 249.4 249.5 249.6 249.7 249.8 249.9
249.10 249.11 249.12 249.13 249.14 249.15 249.16 249.17 249.18 249.19 249.20 249.21 249.22 249.23 249.24 249.25 249.26
249.27 249.28 249.29 249.30 249.31 249.32 249.33 249.34 249.35 249.36 250.1 250.2 250.3 250.4 250.5 250.6 250.7 250.8 250.9 250.10 250.11 250.12 250.13 250.14 250.15 250.16 250.17 250.18 250.19 250.20 250.21 250.22 250.23 250.24 250.25 250.26 250.27 250.28 250.29 250.30 250.31 250.32 250.33 250.34 250.35 250.36 251.1
251.2 251.3 251.4 251.5 251.6 251.7 251.8 251.9 251.10 251.11 251.12 251.13 251.14 251.15 251.16 251.17 251.18 251.19 251.20 251.21 251.22 251.23 251.24 251.25 251.26 251.27 251.28 251.29 251.30 251.31 251.32 251.33 251.34 251.35 251.36 252.1 252.2 252.3 252.4 252.5 252.6 252.7 252.8
252.9 252.10 252.11 252.12 252.13 252.14 252.15 252.16 252.17 252.18 252.19
252.20 252.21 252.22 252.23 252.24 252.25 252.26 252.27
252.28 252.29 252.30 252.31 252.32
252.33 252.34 252.35 252.36 253.1 253.2 253.3 253.4 253.5 253.6 253.7 253.8 253.9 253.10 253.11 253.12 253.13 253.14 253.15 253.16 253.17 253.18 253.19 253.20 253.21 253.22 253.23 253.24 253.25 253.26 253.27 253.28 253.29 253.30 253.31 253.32 253.33 253.34 253.35 253.36 254.1 254.2 254.3 254.4 254.5 254.6 254.7 254.8 254.9 254.10 254.11 254.12 254.13 254.14 254.15 254.16 254.17 254.18 254.19 254.20 254.21 254.22 254.23 254.24 254.25 254.26 254.27 254.28 254.29 254.30 254.31 254.32 254.33 254.34 254.35 254.36 255.1 255.2 255.3 255.4 255.5 255.6 255.7 255.8 255.9 255.10 255.11 255.12 255.13 255.14 255.15 255.16 255.17 255.18 255.19 255.20 255.21 255.22 255.23 255.24 255.25 255.26 255.27 255.28 255.29 255.30 255.31 255.32 255.33 255.34 255.35 255.36 256.1 256.2 256.3 256.4 256.5 256.6 256.7 256.8 256.9 256.10 256.11 256.12 256.13 256.14 256.15 256.16 256.17 256.18 256.19 256.20 256.21 256.22 256.23 256.24 256.25 256.26 256.27 256.28 256.29 256.30 256.31 256.32 256.33 256.34 256.35 256.36 257.1 257.2 257.3 257.4 257.5 257.6 257.7 257.8 257.9 257.10 257.11 257.12 257.13 257.14 257.15 257.16 257.17 257.18 257.19 257.20 257.21 257.22 257.23
257.24 257.25 257.26 257.27 257.28 257.29 257.30 257.31 257.32 257.33
257.34 257.35 257.36 258.1 258.2 258.3 258.4 258.5 258.6 258.7 258.8 258.9 258.10 258.11 258.12 258.13 258.14 258.15 258.16 258.17 258.18 258.19 258.20 258.21 258.22 258.23 258.24 258.25 258.26 258.27 258.28 258.29 258.30 258.31 258.32 258.33 258.34 258.35 258.36 259.1 259.2 259.3 259.4 259.5 259.6 259.7 259.8 259.9 259.10 259.11 259.12 259.13 259.14 259.15 259.16 259.17 259.18 259.19 259.20 259.21 259.22 259.23 259.24 259.25 259.26 259.27 259.28 259.29 259.30 259.31 259.32 259.33 259.34 259.35 259.36 260.1 260.2 260.3 260.4 260.5 260.6 260.7 260.8 260.9 260.10 260.11 260.12 260.13 260.14 260.15 260.16 260.17 260.18 260.19 260.20 260.21 260.22 260.23 260.24 260.25 260.26 260.27 260.28 260.29 260.30 260.31 260.32 260.33 260.34 260.35 260.36 261.1 261.2 261.3 261.4 261.5
261.6 261.7 261.8 261.9 261.10 261.11 261.12 261.13 261.14 261.15 261.16 261.17 261.18 261.19 261.20 261.21 261.22 261.23 261.24 261.25 261.26 261.27 261.28 261.29 261.30 261.31 261.32 261.33 261.34 261.35 261.36 262.1 262.2 262.3 262.4 262.5 262.6 262.7 262.8 262.9 262.10 262.11 262.12 262.13 262.14 262.15 262.16
262.17 262.18 262.19 262.20 262.21 262.22 262.23 262.24 262.25 262.26 262.27 262.28 262.29 262.30 262.31 262.32 262.33 262.34 262.35 262.36 263.1 263.2 263.3 263.4 263.5 263.6 263.7 263.8 263.9 263.10 263.11
263.12 263.13 263.14 263.15 263.16 263.17 263.18 263.19 263.20 263.21
263.22 263.23 263.24 263.25 263.26 263.27 263.28 263.29 263.30 263.31 263.32 263.33 263.34 263.35 263.36 264.1 264.2
264.3 264.4 264.5 264.6 264.7 264.8 264.9 264.10 264.11 264.12 264.13 264.14 264.15 264.16 264.17 264.18 264.19 264.20 264.21 264.22 264.23 264.24 264.25 264.26 264.27 264.28 264.29 264.30 264.31 264.32 264.33 264.34 264.35
264.36 265.1 265.2 265.3 265.4 265.5 265.6 265.7 265.8 265.9 265.10 265.11 265.12 265.13 265.14 265.15 265.16 265.17 265.18 265.19
265.20 265.21 265.22 265.23 265.24 265.25 265.26 265.27 265.28 265.29 265.30 265.31 265.32 265.33 265.34 265.35 265.36 266.1 266.2 266.3 266.4 266.5 266.6 266.7 266.8 266.9 266.10 266.11 266.12 266.13 266.14 266.15 266.16 266.17 266.18 266.19 266.20 266.21 266.22 266.23 266.24 266.25 266.26 266.27 266.28 266.29 266.30 266.31 266.32 266.33 266.34 266.35 266.36 267.1 267.2 267.3 267.4 267.5 267.6 267.7 267.8 267.9 267.10 267.11 267.12 267.13 267.14 267.15 267.16 267.17 267.18 267.19 267.20 267.21 267.22 267.23 267.24 267.25 267.26 267.27 267.28 267.29 267.30 267.31 267.32
267.33 267.34 267.35 267.36 268.1 268.2 268.3 268.4 268.5 268.6 268.7 268.8 268.9 268.10 268.11 268.12 268.13 268.14 268.15 268.16 268.17 268.18 268.19 268.20 268.21 268.22
268.23 268.24 268.25 268.26 268.27 268.28 268.29 268.30 268.31 268.32 268.33
268.34 268.35 268.36 269.1 269.2 269.3 269.4 269.5 269.6 269.7 269.8 269.9 269.10 269.11 269.12 269.13 269.14 269.15 269.16 269.17 269.18 269.19 269.20 269.21 269.22 269.23 269.24 269.25 269.26 269.27 269.28 269.29 269.30 269.31 269.32 269.33 269.34 269.35 269.36 270.1 270.2 270.3 270.4 270.5 270.6 270.7 270.8 270.9 270.10 270.11 270.12 270.13 270.14 270.15 270.16 270.17 270.18 270.19 270.20 270.21 270.22 270.23 270.24 270.25 270.26 270.27 270.28 270.29 270.30 270.31 270.32 270.33 270.34 270.35 270.36 271.1 271.2 271.3 271.4 271.5 271.6 271.7 271.8 271.9 271.10 271.11 271.12
271.13 271.14 271.15 271.16 271.17 271.18 271.19 271.20 271.21 271.22 271.23 271.24 271.25 271.26 271.27 271.28 271.29 271.30 271.31 271.32 271.33 271.34 271.35 271.36 272.1 272.2 272.3 272.4 272.5 272.6 272.7 272.8 272.9 272.10 272.11 272.12 272.13 272.14 272.15 272.16 272.17 272.18 272.19 272.20 272.21 272.22 272.23 272.24 272.25 272.26 272.27 272.28 272.29 272.30 272.31 272.32 272.33 272.34 272.35 272.36 273.1 273.2 273.3 273.4 273.5 273.6 273.7 273.8 273.9 273.10 273.11 273.12 273.13 273.14 273.15 273.16 273.17 273.18 273.19 273.20 273.21 273.22 273.23 273.24 273.25 273.26 273.27 273.28 273.29 273.30 273.31 273.32 273.33 273.34 273.35 273.36 274.1 274.2 274.3 274.4 274.5 274.6 274.7 274.8 274.9 274.10 274.11 274.12 274.13 274.14 274.15 274.16 274.17 274.18 274.19 274.20 274.21 274.22 274.23 274.24 274.25 274.26 274.27 274.28 274.29 274.30 274.31 274.32 274.33 274.34 274.35 274.36 275.1 275.2 275.3 275.4 275.5 275.6 275.7 275.8 275.9 275.10 275.11 275.12 275.13 275.14 275.15 275.16 275.17 275.18 275.19 275.20 275.21 275.22 275.23 275.24 275.25 275.26 275.27 275.28 275.29 275.30 275.31 275.32 275.33 275.34 275.35 275.36 276.1 276.2 276.3 276.4 276.5 276.6 276.7 276.8 276.9 276.10 276.11 276.12 276.13 276.14 276.15 276.16 276.17 276.18 276.19 276.20 276.21 276.22 276.23 276.24 276.25 276.26 276.27 276.28 276.29 276.30 276.31 276.32 276.33 276.34 276.35 276.36 277.1 277.2 277.3 277.4 277.5 277.6 277.7 277.8 277.9 277.10 277.11 277.12 277.13 277.14 277.15 277.16 277.17 277.18 277.19 277.20 277.21 277.22 277.23 277.24 277.25 277.26 277.27 277.28 277.29 277.30 277.31 277.32 277.33 277.34 277.35 277.36 278.1 278.2
278.3 278.4 278.5 278.6 278.7 278.8 278.9 278.10 278.11 278.12 278.13 278.14 278.15 278.16 278.17 278.18 278.19 278.20 278.21 278.22 278.23 278.24 278.25 278.26 278.27 278.28 278.29 278.30 278.31 278.32 278.33 278.34 278.35 278.36 279.1 279.2 279.3 279.4 279.5 279.6 279.7 279.8 279.9 279.10 279.11 279.12 279.13 279.14 279.15 279.16 279.17 279.18 279.19 279.20 279.21 279.22 279.23 279.24 279.25 279.26 279.27 279.28 279.29 279.30 279.31 279.32 279.33 279.34 279.35 279.36 280.1 280.2 280.3 280.4 280.5 280.6 280.7 280.8 280.9 280.10 280.11 280.12 280.13 280.14 280.15 280.16 280.17 280.18 280.19 280.20 280.21 280.22 280.23 280.24 280.25 280.26 280.27
280.28 280.29 280.30 280.31 280.32 280.33 280.34 280.35 280.36 281.1 281.2 281.3 281.4 281.5 281.6 281.7 281.8 281.9 281.10 281.11 281.12 281.13 281.14 281.15 281.16 281.17 281.18 281.19 281.20 281.21 281.22 281.23 281.24 281.25 281.26 281.27 281.28 281.29 281.30 281.31 281.32 281.33 281.34 281.35 281.36 282.1 282.2 282.3 282.4 282.5 282.6 282.7 282.8 282.9 282.10 282.11 282.12 282.13 282.14 282.15
282.16 282.17 282.18 282.19 282.20 282.21 282.22 282.23 282.24 282.25
282.26 282.27 282.28 282.29 282.30 282.31 282.32 282.33 282.34 282.35 282.36 283.1 283.2 283.3 283.4 283.5 283.6 283.7 283.8 283.9 283.10 283.11 283.12 283.13 283.14 283.15 283.16 283.17 283.18 283.19 283.20 283.21 283.22 283.23 283.24 283.25 283.26 283.27 283.28 283.29 283.30 283.31 283.32 283.33 283.34 283.35 283.36 284.1 284.2 284.3 284.4 284.5 284.6 284.7 284.8 284.9 284.10 284.11 284.12 284.13 284.14 284.15 284.16 284.17 284.18 284.19 284.20 284.21 284.22 284.23 284.24 284.25 284.26 284.27 284.28 284.29 284.30 284.31 284.32 284.33 284.34 284.35 284.36 285.1 285.2 285.3 285.4 285.5 285.6 285.7 285.8 285.9 285.10 285.11 285.12 285.13 285.14 285.15 285.16 285.17 285.18 285.19 285.20 285.21 285.22 285.23 285.24 285.25 285.26 285.27 285.28 285.29 285.30 285.31 285.32 285.33 285.34 285.35 285.36 286.1
286.2 286.3 286.4 286.5 286.6 286.7 286.8 286.9 286.10 286.11 286.12 286.13 286.14 286.15 286.16 286.17 286.18 286.19 286.20 286.21 286.22 286.23 286.24 286.25 286.26 286.27 286.28 286.29 286.30 286.31 286.32 286.33 286.34 286.35 286.36 287.1 287.2 287.3 287.4 287.5 287.6 287.7 287.8 287.9 287.10 287.11 287.12 287.13 287.14 287.15 287.16 287.17 287.18 287.19 287.20 287.21 287.22 287.23 287.24 287.25 287.26 287.27 287.28 287.29 287.30 287.31 287.32 287.33 287.34 287.35 287.36 288.1 288.2 288.3 288.4 288.5 288.6 288.7 288.8 288.9 288.10 288.11 288.12 288.13 288.14 288.15 288.16 288.17 288.18 288.19 288.20 288.21 288.22 288.23 288.24 288.25 288.26 288.27 288.28 288.29 288.30 288.31 288.32 288.33 288.34 288.35 288.36
289.1 289.2 289.3 289.4 289.5 289.6 289.7 289.8 289.9 289.10 289.11 289.12 289.13 289.14 289.15 289.16 289.17 289.18 289.19 289.20 289.21 289.22 289.23 289.24 289.25 289.26 289.27 289.28 289.29 289.30 289.31 289.32 289.33 289.34 289.35 289.36 290.1 290.2 290.3 290.4 290.5 290.6 290.7 290.8 290.9 290.10 290.11 290.12 290.13 290.14 290.15 290.16 290.17 290.18 290.19 290.20 290.21 290.22 290.23 290.24 290.25 290.26 290.27 290.28 290.29 290.30 290.31 290.32 290.33 290.34 290.35 290.36 291.1 291.2 291.3 291.4 291.5 291.6 291.7 291.8 291.9 291.10 291.11 291.12 291.13 291.14 291.15 291.16 291.17 291.18 291.19
291.20 291.21 291.22 291.23 291.24 291.25 291.26 291.27 291.28 291.29 291.30 291.31 291.32 291.33 291.34 291.35 291.36 292.1 292.2 292.3 292.4
292.5 292.6 292.7 292.8 292.9 292.10 292.11 292.12 292.13 292.14 292.15 292.16
292.17 292.18 292.19 292.20 292.21 292.22 292.23 292.24 292.25 292.26 292.27 292.28 292.29 292.30 292.31 292.32 292.33
292.34 292.35 292.36 293.1 293.2 293.3 293.4 293.5 293.6 293.7 293.8 293.9 293.10 293.11 293.12 293.13 293.14 293.15 293.16 293.17 293.18 293.19 293.20 293.21 293.22 293.23 293.24 293.25 293.26 293.27 293.28 293.29 293.30 293.31
293.32 293.33 293.34 293.35 293.36 294.1 294.2 294.3 294.4 294.5 294.6 294.7 294.8 294.9 294.10 294.11 294.12 294.13 294.14 294.15 294.16 294.17 294.18 294.19 294.20 294.21 294.22 294.23 294.24 294.25 294.26 294.27 294.28 294.29 294.30 294.31 294.32 294.33 294.34 294.35 294.36 295.1 295.2 295.3 295.4 295.5 295.6 295.7 295.8 295.9 295.10 295.11 295.12 295.13 295.14 295.15 295.16 295.17 295.18 295.19 295.20 295.21 295.22 295.23 295.24 295.25 295.26 295.27 295.28 295.29 295.30 295.31 295.32 295.33 295.34 295.35 295.36 296.1 296.2 296.3 296.4 296.5 296.6 296.7 296.8 296.9 296.10 296.11 296.12 296.13 296.14 296.15 296.16 296.17 296.18 296.19 296.20 296.21 296.22 296.23 296.24 296.25 296.26 296.27 296.28 296.29 296.30 296.31 296.32 296.33 296.34 296.35
296.36 297.1 297.2 297.3 297.4 297.5 297.6 297.7 297.8 297.9 297.10 297.11 297.12 297.13 297.14 297.15 297.16 297.17 297.18 297.19 297.20 297.21 297.22 297.23 297.24 297.25 297.26 297.27 297.28 297.29 297.30 297.31 297.32 297.33 297.34 297.35 297.36 298.1 298.2 298.3 298.4 298.5 298.6 298.7 298.8 298.9 298.10 298.11 298.12 298.13 298.14 298.15 298.16 298.17 298.18 298.19 298.20 298.21 298.22 298.23 298.24 298.25 298.26 298.27 298.28 298.29 298.30 298.31 298.32 298.33 298.34 298.35 298.36 299.1 299.2 299.3 299.4 299.5 299.6 299.7 299.8 299.9 299.10 299.11 299.12 299.13 299.14
299.15 299.16 299.17 299.18 299.19 299.20 299.21 299.22 299.23 299.24 299.25 299.26 299.27 299.28 299.29 299.30 299.31 299.32 299.33 299.34 299.35 299.36
300.1 300.2 300.3 300.4 300.5 300.6 300.7 300.8 300.9 300.10 300.11 300.12 300.13 300.14 300.15 300.16 300.17 300.18 300.19 300.20 300.21 300.22 300.23 300.24 300.25 300.26 300.27 300.28 300.29
300.30 300.31 300.32 300.33 300.34 300.35
300.36 301.1 301.2 301.3 301.4 301.5 301.6 301.7 301.8
301.9 301.10 301.11 301.12 301.13 301.14 301.15 301.16 301.17 301.18 301.19 301.20 301.21 301.22 301.23 301.24 301.25 301.26 301.27 301.28 301.29 301.30
301.31 301.32 301.33 301.34 301.35 301.36
302.1 302.2 302.3 302.4 302.5 302.6 302.7 302.8 302.9 302.10 302.11 302.12 302.13 302.14 302.15 302.16 302.17 302.18 302.19 302.20 302.21 302.22 302.23 302.24 302.25 302.26 302.27 302.28 302.29 302.30 302.31 302.32 302.33 302.34 302.35 302.36 303.1 303.2 303.3 303.4 303.5 303.6 303.7 303.8 303.9 303.10 303.11 303.12 303.13 303.14 303.15 303.16 303.17 303.18 303.19 303.20 303.21 303.22 303.23 303.24 303.25 303.26 303.27 303.28 303.29 303.30 303.31 303.32 303.33 303.34 303.35 303.36 304.1 304.2 304.3 304.4 304.5 304.6 304.7 304.8 304.9 304.10 304.11 304.12 304.13 304.14 304.15 304.16 304.17 304.18 304.19 304.20 304.21 304.22 304.23 304.24 304.25 304.26 304.27 304.28 304.29 304.30 304.31 304.32 304.33 304.34 304.35 304.36 305.1 305.2 305.3 305.4 305.5 305.6 305.7 305.8 305.9 305.10 305.11 305.12 305.13 305.14 305.15 305.16 305.17 305.18 305.19 305.20 305.21 305.22 305.23 305.24 305.25
305.26 305.27 305.28 305.29 305.30 305.31 305.32 305.33 305.34 305.35 305.36 306.1 306.2
306.3 306.4 306.5 306.6 306.7 306.8 306.9 306.10 306.11 306.12 306.13
306.14 306.15 306.16 306.17 306.18 306.19 306.20 306.21 306.22 306.23 306.24 306.25 306.26 306.27 306.28 306.29 306.30 306.31 306.32 306.33 306.34 306.35 306.36 307.1 307.2 307.3 307.4 307.5 307.6 307.7 307.8 307.9 307.10 307.11 307.12
307.13 307.14 307.15 307.16 307.17 307.18 307.19 307.20 307.21 307.22 307.23 307.24 307.25 307.26 307.27 307.28 307.29 307.30 307.31 307.32 307.33 307.34 307.35 307.36 308.1
308.2 308.3 308.4 308.5 308.6 308.7 308.8 308.9 308.10 308.11 308.12 308.13 308.14 308.15 308.16 308.17 308.18 308.19 308.20 308.21 308.22 308.23 308.24 308.25 308.26 308.27 308.28 308.29 308.30 308.31
308.32 308.33 308.34 308.35 308.36 309.1 309.2 309.3 309.4
309.5 309.6 309.7 309.8 309.9 309.10 309.11 309.12 309.13 309.14 309.15 309.16 309.17
309.18 309.19 309.20 309.21 309.22 309.23 309.24 309.25 309.26 309.27 309.28 309.29 309.30 309.31 309.32 309.33 309.34 309.35 309.36 310.1 310.2 310.3 310.4 310.5 310.6 310.7 310.8 310.9 310.10 310.11 310.12 310.13 310.14 310.15 310.16 310.17 310.18 310.19 310.20 310.21 310.22 310.23 310.24 310.25 310.26 310.27 310.28 310.29 310.30
310.31 310.32 310.33 310.34 310.35 310.36 311.1 311.2 311.3
311.4 311.5 311.6 311.7 311.8 311.9 311.10 311.11
311.12 311.13 311.14 311.15 311.16 311.17 311.18 311.19 311.20 311.21
311.22 311.23 311.24 311.25 311.26 311.27 311.28 311.29 311.30 311.31 311.32 311.33 311.34 311.35 311.36 312.1 312.2 312.3 312.4 312.5 312.6 312.7 312.8 312.9 312.10 312.11 312.12 312.13 312.14 312.15 312.16 312.17 312.18 312.19 312.20 312.21 312.22 312.23 312.24 312.25 312.26 312.27 312.28 312.29
312.30 312.31 312.32 312.33 312.34 312.35 312.36 313.1 313.2 313.3
313.4 313.5 313.6
313.7 313.8
313.9 313.10 313.11 313.12 313.13 313.14 313.15 313.16 313.17 313.18 313.19 313.20 313.21 313.22 313.23 313.24 313.25
313.26 313.27 313.28 313.29 313.30 313.31 313.32 313.33 313.34 313.35 313.36 314.1 314.2 314.3 314.4 314.5 314.6 314.7 314.8 314.9 314.10 314.11 314.12 314.13 314.14 314.15 314.16 314.17 314.18 314.19 314.20 314.21 314.22 314.23
314.24 314.25
314.26 314.27 314.28 314.29 314.30 314.31 314.32 314.33 314.34 314.35 314.36 314.37 314.38 315.1 315.2 315.3 315.4 315.5 315.6 315.7 315.8 315.9 315.10 315.11 315.12
315.13 315.14 315.15 315.16 315.17 315.18 315.19 315.20 315.21 315.22 315.23 315.24 315.25 315.26 315.27 315.28 315.29 315.30 315.31 315.32 315.33 315.34 315.35 315.36 315.37 315.38 315.39 315.40 315.41 315.42 315.43 315.44 315.45 315.46 315.47 315.48 315.49 315.50 315.51 315.52 315.53 315.54 315.55 316.1 316.2 316.3 316.4 316.5 316.6 316.7 316.8 316.9 316.10 316.11 316.12 316.13 316.14 316.15 316.16 316.17 316.18 316.19 316.20 316.21 316.22 316.23 316.24 316.25 316.26 316.27 316.28 316.29 316.30 316.31 316.32 316.33 316.34 316.35 316.36 316.37 316.38 316.39 316.40 316.41 316.42 316.43 316.44 316.45 316.46 316.47 316.48 316.49 316.50 316.51 316.52 316.53 316.54 316.55 316.56 316.57 316.58 316.59 316.60 316.61 316.62 316.63 317.1 317.2 317.3 317.4 317.5 317.6 317.7 317.8 317.9 317.10 317.11 317.12 317.13 317.14 317.15 317.16 317.17 317.18 317.19 317.20 317.21 317.22 317.23 317.24 317.25 317.26 317.27 317.28 317.29 317.30 317.31 317.32 317.33 317.34 317.35 317.36 317.37 317.38 317.39 317.40 317.41 317.42 317.43 317.44 318.1 318.2 318.3 318.4 318.5 318.6 318.7 318.8 318.9 318.10 318.11 318.12 318.13 318.14 318.15 318.16 318.17 318.18 318.19 318.20 318.21 318.22 318.23 318.24 318.25 318.26 318.27 318.28 318.29 318.30 318.31 318.32 318.33 318.34 318.35 318.36 318.37 318.38 318.39 318.40 318.41 318.42 318.43 318.44 318.45 318.46 318.47 318.48 318.49 318.50 318.51 318.52 318.53 318.54 318.55 318.56 318.57 319.1 319.2 319.3 319.4 319.5 319.6 319.7 319.8 319.9 319.10 319.11 319.12 319.13 319.14 319.15 319.16 319.17 319.18 319.19 319.20 319.21 319.22 319.23 319.24 319.25 319.26 319.27 319.28 319.29 319.30 319.31 319.32 319.33 319.34 319.35 319.36 319.37 319.38 319.39 319.40 319.41 319.42 319.43 319.44 319.45 319.46 319.47 319.48 319.49 319.50 319.51 319.52 319.53 320.1 320.2 320.3 320.4 320.5 320.6 320.7 320.8 320.9 320.10 320.11 320.12 320.13 320.14 320.15 320.16 320.17 320.18 320.19 320.20 320.21 320.22 320.23 320.24 320.25 320.26 320.27 320.28 320.29 320.30 320.31 320.32 320.33 320.34 320.35 320.36 320.37 320.38 320.39 320.40 320.41 320.42 320.43 320.44 320.45 320.46 320.47 320.48 320.49 320.50 320.51 320.52 320.53 320.54 320.55 320.56 321.1 321.2 321.3 321.4 321.5 321.6 321.7 321.8 321.9 321.10 321.11 321.12 321.13 321.14 321.15 321.16 321.17 321.18 321.19 321.20 321.21 321.22 321.23 321.24 321.25 321.26 321.27 321.28 321.29 321.30 321.31 321.32 321.33 321.34 321.35 321.36 321.37 321.38 321.39 321.40 321.41 321.42 321.43 321.44 321.45 321.46 321.47 321.48 321.49 321.50 321.51 321.52 321.53 321.54 321.55 322.1 322.2 322.3 322.4 322.5 322.6 322.7 322.8 322.9 322.10 322.11 322.12 322.13 322.14 322.15 322.16 322.17 322.18 322.19 322.20 322.21 322.22 322.23 322.24 322.25 322.26 322.27 322.28 322.29 322.30 322.31 322.32 322.33 322.34 322.35 322.36 322.37 322.38 322.39 322.40 322.41 322.42 322.43 322.44 322.45 322.46 322.47 322.48 322.49 322.50 322.51 322.52 322.53 322.54 322.55 322.56 322.57 322.58 322.59 322.60 322.61 322.62 322.63 322.64 323.1 323.2 323.3 323.4 323.5 323.6 323.7 323.8 323.9 323.10 323.11 323.12 323.13 323.14 323.15 323.16 323.17 323.18 323.19 323.20 323.21 323.22 323.23 323.24 323.25 323.26 323.27 323.28 323.29 323.30 323.31 323.32 323.33 323.34 323.35 323.36 323.37 323.38 323.39 323.40 323.41 323.42 323.43 323.44 323.45 323.46 323.47 323.48 323.49 323.50 323.51 323.52 323.53 323.54 323.55 323.56 323.57 324.1 324.2 324.3 324.4 324.5 324.6 324.7 324.8 324.9 324.10 324.11 324.12 324.13 324.14 324.15 324.16 324.17 324.18 324.19 324.20 324.21 324.22 324.23 324.24 324.25 324.26 324.27 324.28 324.29 324.30 324.31 324.32 324.33 324.34 324.35 324.36 324.37 324.38 324.39 324.40 324.41 324.42 324.43 324.44 324.45 324.46 324.47 324.48 324.49 324.50 324.51 324.52 324.53 324.54
324.55 324.56 324.57 325.1 325.2 325.3 325.4 325.5 325.6 325.7 325.8 325.9 325.10 325.11 325.12 325.13 325.14 325.15 325.16 325.17 325.18 325.19 325.20 325.21 325.22 325.23 325.24 325.25 325.26 325.27 325.28 325.29 325.30 325.31 325.32 325.33 325.34 325.35 325.36 325.37 325.38 325.39 325.40 325.41 325.42 325.43 325.44 325.45 325.46 325.47 325.48 325.49 325.50 325.51 325.52 325.53 325.54 325.55 326.1 326.2 326.3 326.4 326.5 326.6 326.7 326.8 326.9 326.10 326.11 326.12 326.13 326.14 326.15 326.16 326.17 326.18 326.19 326.20 326.21 326.22 326.23 326.24 326.25 326.26 326.27 326.28 326.29 326.30 326.31 326.32 326.33 326.34 326.35 326.36 326.37 326.38 326.39 326.40 326.41 326.42 326.43 326.44 326.45 326.46 326.47 326.48
326.49 327.1 327.2 327.3 327.4 327.5 327.6 327.7 327.8 327.9 327.10 327.11 327.12
327.13 327.14 327.15 327.16 327.17 327.18 327.19 327.20 327.21 327.22 327.23 327.24 327.25 327.26 327.27 327.28 327.29 327.30 327.31 327.32 327.33 327.34 327.35 327.36 327.37 327.38 327.39 327.40 327.41 327.42 327.43 327.44 327.45 327.46 327.47 327.48 327.49 327.50 327.51 327.52 327.53 327.54 328.1 328.2 328.3 328.4 328.5 328.6 328.7 328.8 328.9 328.10 328.11 328.12 328.13 328.14 328.15 328.16 328.17 328.18 328.19 328.20 328.21 328.22 328.23 328.24 328.25 328.26 328.27 328.28 328.29 328.30 328.31 328.32 328.33 328.34 328.35 328.36 328.37 328.38 328.39 328.40 328.41 328.42 328.43 328.44 328.45 328.46 328.47 328.48 328.49 328.50 328.51 328.52 329.1 329.2 329.3 329.4 329.5 329.6 329.7 329.8 329.9 329.10 329.11 329.12 329.13 329.14 329.15 329.16 329.17 329.18 329.19 329.20 329.21
329.22 329.23 329.24 329.25 329.26 329.27 329.28 329.29 329.30 329.31 329.32 329.33
329.34 329.35
329.36 329.37 329.38
329.39 329.40
329.41 329.42 329.43 329.44 329.45 329.46 330.1 330.2 330.3 330.4 330.5 330.6 330.7 330.8 330.9 330.10 330.11 330.12 330.13 330.14 330.15 330.16 330.17 330.18 330.19 330.20
330.21 330.22 330.23 330.24
330.25 330.26 330.27
330.28 330.29 330.30
330.31 330.32
330.33 330.34 330.35 330.36 331.1 331.2
331.3 331.4 331.5 331.6 331.7 331.8 331.9 331.10 331.11 331.12 331.13 331.14 331.15 331.16 331.17 331.18 331.19 331.20 331.21 331.22 331.23 331.24 331.25 331.26 331.27 331.28 331.29 331.30 331.31 331.32 331.33 331.34 331.35 331.36 332.1 332.2 332.3 332.4 332.5 332.6 332.7 332.8 332.9 332.10 332.11 332.12 332.13 332.14 332.15 332.16 332.17 332.18 332.19 332.20 332.21 332.22 332.23 332.24 332.25 332.26 332.27 332.28 332.29 332.30 332.31 332.32 332.33 332.34 332.35 332.36 333.1 333.2 333.3 333.4 333.5 333.6 333.7 333.8 333.9 333.10 333.11 333.12 333.13 333.14 333.15 333.16 333.17 333.18 333.19 333.20 333.21 333.22 333.23 333.24 333.25 333.26 333.27 333.28 333.29 333.30 333.31 333.32 333.33 333.34 333.35 333.36 334.1 334.2 334.3 334.4 334.5 334.6 334.7 334.8 334.9 334.10 334.11 334.12 334.13 334.14 334.15 334.16 334.17 334.18 334.19 334.20 334.21 334.22 334.23 334.24 334.25 334.26 334.27 334.28 334.29 334.30 334.31 334.32 334.33 334.34 334.35 334.36 335.1 335.2 335.3 335.4 335.5 335.6 335.7 335.8 335.9
335.10 335.11 335.12 335.13 335.14 335.15 335.16 335.17 335.18 335.19 335.20 335.21 335.22 335.23 335.24 335.25 335.26 335.27 335.28 335.29 335.30 335.31 335.32 335.33 335.34 335.35 335.36 336.1 336.2 336.3
336.4 336.5 336.6 336.7 336.8 336.9 336.10 336.11 336.12 336.13 336.14 336.15 336.16 336.17 336.18 336.19 336.20 336.21 336.22 336.23 336.24 336.25 336.26 336.27 336.28 336.29 336.30 336.31 336.32 336.33 336.34 336.35 336.36 337.1 337.2 337.3 337.4 337.5 337.6 337.7 337.8 337.9 337.10 337.11 337.12 337.13 337.14 337.15 337.16 337.17 337.18
337.19 337.20 337.21 337.22 337.23 337.24 337.25 337.26 337.27 337.28 337.29 337.30 337.31 337.32 337.33 337.34 337.35 337.36 338.1 338.2 338.3 338.4 338.5 338.6 338.7 338.8 338.9 338.10 338.11 338.12 338.13 338.14 338.15 338.16 338.17
338.18 338.19 338.20 338.21 338.22 338.23 338.24 338.25 338.26 338.27 338.28 338.29 338.30 338.31 338.32 338.33 338.34 338.35 338.36 339.1 339.2 339.3 339.4 339.5 339.6 339.7 339.8 339.9 339.10 339.11 339.12 339.13 339.14 339.15 339.16 339.17 339.18 339.19 339.20 339.21 339.22 339.23 339.24 339.25 339.26 339.27
339.28 339.29 339.30 339.31 339.32 339.33 339.34 339.35
339.36 340.1 340.2 340.3 340.4 340.5
340.6 340.7 340.8
340.9 340.10 340.11 340.12 340.13 340.14 340.15 340.16
340.17 340.18 340.19 340.20 340.21 340.22 340.23 340.24
340.25 340.26 340.27 340.28

A bill for an act
relating to the operation of state government; making
changes to health and human services programs;
changing licensing and state-operated services
provisions; changing provisions in state health care
programs, changing MinnesotaCare to a forecasted
program and changing eligibility requirements and
payments, allowing transfer of excess health care
access funds to the general fund, allowing the
commissioner to withhold for delinquent nursing home
provider surcharges, allowing reduction of excess
assets for MA and changing other MA provisions,
reducing payments to managed care plans, establishing
medical necessity standards for state health care
programs, allowing the state to recover payment for
long-term care from trusts and life estates or joint
tenancy interests, and establishing a health services
policy committee and medication therapy management;
establishing a value-based nursing facility
reimbursement system and changing other provisions for
nursing facilities; changing continuing care for the
elderly and disabled provisions and establishing the
Minnesota partnership for long-term care programs,
increasing rate reimbursement for ICF/MR facilities,
health care services, and provider rate increases,
requiring a study for dental access, establishing an
interagency work group on disability services;
changing provisions for mental health services,
allowing payment for mental health telemedicine,
providing treatment foster care services and
transitional youth intensive rehabilitative mental
health services; modifying health policy, establishing
a Health Information Technology and Infrastructure
Advisory Committee, establishing a rural pharmacy
planning and transition grant program, requiring a
report from physicians and facilities performing
abortions, classifying data in abortion notification
reports, providing education on shaking infants and
children, establishing a voluntary trauma system,
trauma registry, and trauma advisory council,
establishing a cancer drug repository program,
prohibiting family grant funds to subsidize abortion
services, promoting positive abortion alternatives,
establishing the unborn child pain prevention act,
providing education on postpartum depression,
adjusting certain fees, providing civil and criminal
penalties; making forecast adjustments; appropriating
money; and providing for alternative funding; amending
Minnesota Statutes 2004, sections 13.3806, by adding a
subdivision; 16A.724; 103I.101, subdivision 6;
103I.208, subdivisions 1, 2; 103I.235, subdivision 1;
103I.601, subdivision 2; 144.122; 144.147,
subdivisions 1, 2; 144.148, subdivision 1; 144.1483;
144.1501, subdivisions 1, 2, 3, 4; 144.226,
subdivisions 1, 4, by adding subdivisions; 144.3831,
subdivision 1; 144.551, subdivision 1; 144.562,
subdivision 2; 144.9504, subdivision 2; 144.98,
subdivision 3; 144A.071, subdivision 4a; 144A.073, by
adding a subdivision; 144E.101, by adding a
subdivision; 145.56, subdivisions 2, 5; 145.924;
145.9268; 146A.11, subdivision 1; 147A.08; 150A.22;
157.011, by adding a subdivision; 157.15, by adding a
subdivision; 157.16, subdivisions 2, 3, by adding
subdivisions; 157.20, subdivisions 2, 2a; 214.01,
subdivision 2; 214.06, subdivision 1, by adding a
subdivision; 245.4661, subdivisions 2, 6; 245.4885,
subdivisions 1, 2, by adding a subdivision; 245A.10,
subdivision 5; 245C.10, subdivisions 2, 3; 245C.32,
subdivision 2; 246.0136, subdivision 1; 252.27,
subdivision 2a; 253.20; 253B.02, subdivision 7;
256.01, subdivision 2, by adding subdivisions;
256.019, subdivision 1; 256.045, subdivisions 3, 3a;
256.046, subdivision 1; 256.9657, by adding a
subdivision; 256.969, subdivisions 3a, 26; 256B.02,
subdivision 12; 256B.04, by adding a subdivision;
256B.056, subdivisions 5, 5a, 5b, 7, by adding
subdivisions; 256B.057, subdivision 9; 256B.0575;
256B.0595, subdivision 2; 256B.06, subdivision 4;
256B.0621, subdivisions 2, 3, 4, 5, 6, 7, by adding a
subdivision; 256B.0625, subdivisions 2, 3a, 13, 13a,
13c, 13e, 13f, 17, by adding subdivisions; 256B.0644;
256B.075, subdivision 2; 256B.0913, subdivisions 2, 4;
256B.0916, by adding a subdivision; 256B.0943,
subdivision 3; 256B.095; 256B.0951, subdivision 1;
256B.0952, subdivision 5; 256B.0953, subdivision 1;
256B.15, subdivision 1; 256B.19, subdivision 1;
256B.195, subdivision 3; 256B.32, subdivision 1;
256B.431, subdivisions 28, 29, 35, by adding
subdivisions; 256B.432, subdivisions 1, 2, 5, by
adding subdivisions; 256B.434, subdivisions 3, 4, 4a,
4b, 4c, 4d, by adding subdivisions; 256B.438,
subdivision 3; 256B.47, subdivision 2; 256B.49,
subdivision 16; 256B.5012, by adding a subdivision;
256B.69, subdivisions 4, 23, by adding a subdivision;
256B.75; 256B.765; 256D.03, subdivisions 3, 4, by
adding subdivisions; 256D.045; 256L.01, subdivisions
1a, 4, 5; 256L.03, subdivisions 1, 3, 5, by adding a
subdivision; 256L.04, subdivisions 1, 2, 8, by adding
subdivisions; 256L.05, subdivisions 2, 3, 3a, 5;
256L.06, subdivision 3; 256L.07, subdivisions 1, 3, by
adding a subdivision; 256L.09, subdivision 2; 256L.11,
subdivision 6; 256L.12, subdivision 6, by adding a
subdivision; 256L.15, subdivisions 2, 3; 326.42,
subdivision 2; 471.61, by adding a subdivision;
514.981, subdivision 6; Laws 2003, First Special
Session chapter 14, article 12, section 93; proposing
coding for new law in Minnesota Statutes, chapters
62J; 144; 145; 245A; 256B; 501B; repealing Minnesota
Statutes 2004, sections 13.383, subdivision 3; 13.411,
subdivision 3; 144.1486; 144.1502; 145.925; 146A.01,
subdivisions 2, 5; 146A.02; 146A.03; 146A.04; 146A.05;
146A.06; 146A.07; 146A.08; 146A.09; 146A.10; 157.215;
256.955; 256B.075, subdivision 5; 256L.035; 256L.04,
subdivisions 7, 11; 256L.09, subdivisions 1, 4, 5, 6,
7; 295.581; Minnesota Rules, parts 4700.1900;
4700.2000; 4700.2100; 4700.2200; 4700.2210; 4700.2300;
4700.2400; 4700.2410; 4700.2420; 4700.2500.

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

ARTICLE 1

LICENSING

Section 1.

Minnesota Statutes 2004, section 245A.10,
subdivision 5, is amended to read:


Subd. 5.

Annual license or certification fee for programs
without a licensed capacity.

(a) Except as provided
in deleted text beginparagraph deleted text endnew text beginparagraphs new text end(b) new text beginand (c)new text end, a program without a stated
licensed capacity shall pay a license or certification fee of
$400.

(b) A mental health center or mental health clinic
requesting certification for purposes of insurance and
subscriber contract reimbursement under Minnesota Rules, parts
9520.0750 to 9520.0870, shall pay a certification fee of $1,000
per year. If the mental health center or mental health clinic
provides services at a primary location with satellite
facilities, the satellite facilities shall be certified with the
primary location without an additional charge.

new text begin (c) A program licensed to provide residential-based
habilitation services under the home and community-based waiver
for persons with developmental disabilities shall pay an annual
license fee that includes a base rate of $250 plus $38 times the
number of clients served on the first day of August of the
current license year. State-operated programs are exempt from
the license fee under this paragraph.
new text end

Sec. 2.

Minnesota Statutes 2004, section 245C.10,
subdivision 2, is amended to read:


Subd. 2.

Supplemental nursing services agencies.

The
commissioner shall recover the cost of the background studies
initiated by supplemental nursing services agencies registered
under section 144A.71, subdivision 1, through a fee of no more
than deleted text begin$8 deleted text endnew text begin$20 new text endper study charged to the agency. The fees collected
under this subdivision are appropriated to the commissioner for
the purpose of conducting background studies.

Sec. 3.

Minnesota Statutes 2004, section 245C.10,
subdivision 3, is amended to read:


Subd. 3.

Personal care provider organizations.

The
commissioner shall recover the cost of background studies
initiated by a personal care provider organization under section
256B.0627 through a fee of no more than deleted text begin$12 deleted text endnew text begin$20 new text endper study
charged to the organization responsible for submitting the
background study form. The fees collected under this
subdivision are appropriated to the commissioner for the purpose
of conducting background studies.

Sec. 4.

Minnesota Statutes 2004, section 245C.32,
subdivision 2, is amended to read:


Subd. 2.

Use.

(a) The commissioner may also use these
systems and records to obtain and provide criminal history data
from the Bureau of Criminal Apprehension, criminal history data
held by the commissioner, and data about substantiated
maltreatment under section 626.556 or 626.557, for other
purposes, provided that:

(1) the background study is specifically authorized in
statute; or

(2) the request is made with the informed consent of the
subject of the study as provided in section 13.05, subdivision 4.

(b) An individual making a request under paragraph (a),
clause (2), must agree in writing not to disclose the data to
any other individual without the consent of the subject of the
data.

(c) The commissioner may recover the cost of obtaining and
providing background study data by charging the individual or
entity requesting the study a fee of no more than deleted text begin$12 deleted text endnew text begin$20 new text endper
study. The fees collected under this paragraph are appropriated
to the commissioner for the purpose of conducting background
studies.

ARTICLE 2

STATE-OPERATED SERVICES

Section 1.

Minnesota Statutes 2004, section 245.4661,
subdivision 2, is amended to read:


Subd. 2.

Program design and implementation.

(a) The
pilot projects shall be established to design, plan, and improve
the mental health service delivery system for adults with
serious and persistent mental illness that would:

(1) provide an expanded array of services from which
clients can choose services appropriate to their needs;

(2) be based on purchasing strategies that improve access
and coordinate services without cost shifting;

(3) incorporate existing state facilities and resources
into the community mental health infrastructure through creative
partnerships with local vendors; and

(4) utilize existing categorical funding streams and
reimbursement sources in combined and creative ways, except
appropriations to regional treatment centers and all funds that
are attributable to the operation of state-operated services are
excluded unless appropriated specifically by the legislature for
a purpose consistent with this section new text beginor section 246.0136,
subdivision 1
new text end.

(b) All projects funded by January 1, 1997, must complete
the planning phase and be operational by June 30, 1997; all
projects funded by January 1, 1998, must be operational by June
30, 1998.

Sec. 2.

Minnesota Statutes 2004, section 245.4661,
subdivision 6, is amended to read:


Subd. 6.

Duties of commissioner.

(a) For purposes of the
pilot projects, the commissioner shall facilitate integration of
funds or other resources as needed and requested by each
project. These resources may include:

(1) residential services funds administered under Minnesota
Rules, parts 9535.2000 to 9535.3000, in an amount to be
determined by mutual agreement between the project's managing
entity and the commissioner of human services after an
examination of the county's historical utilization of facilities
located both within and outside of the county and licensed under
Minnesota Rules, parts 9520.0500 to 9520.0690;

(2) community support services funds administered under
Minnesota Rules, parts 9535.1700 to 9535.1760;

(3) other mental health special project funds;

(4) medical assistance, general assistance medical care,
MinnesotaCare and group residential housing if requested by the
project's managing entity, and if the commissioner determines
this would be consistent with the state's overall health care
reform efforts; and

(5) regional treatment center deleted text beginnonfiscal deleted text endresources deleted text beginto the
extent agreed to by the project's managing entity and the
regional treatment center
deleted text endnew text beginconsistent with section 246.0136,
subdivision 1
new text end.

(b) The commissioner shall consider the following criteria
in awarding start-up and implementation grants for the pilot
projects:

(1) the ability of the proposed projects to accomplish the
objectives described in subdivision 2;

(2) the size of the target population to be served; and

(3) geographical distribution.

(c) The commissioner shall review overall status of the
projects initiatives at least every two years and recommend any
legislative changes needed by January 15 of each odd-numbered
year.

(d) The commissioner may waive administrative rule
requirements which are incompatible with the implementation of
the pilot project.

(e) The commissioner may exempt the participating counties
from fiscal sanctions for noncompliance with requirements in
laws and rules which are incompatible with the implementation of
the pilot project.

(f) The commissioner may award grants to an entity
designated by a county board or group of county boards to pay
for start-up and implementation costs of the pilot project.

Sec. 3.

Minnesota Statutes 2004, section 246.0136,
subdivision 1, is amended to read:


Subdivision 1.

Planning for enterprise activities.

The
commissioner of human services is directed to study and make
recommendations to the legislature on establishing enterprise
activities within state-operated services. Before implementing
an enterprise activity, the commissioner must obtain statutory
authorization for its implementation, except that the
commissioner has authority to implement enterprise activities
for new text beginadult mental health,new text endadolescent servicesnew text begin,new text endand to establish a
public group practice without statutory authorization.
Enterprise activities are defined as the range of services,
which are delivered by state employees, needed by people with
disabilities and are fully funded by public or private
third-party health insurance or other revenue sources available
to clients that provide reimbursement for the services
provided. Enterprise activities within state-operated services
shall specialize in caring for vulnerable people for whom no
other providers are available or for whom state-operated
services may be the provider selected by the payer. In
subsequent biennia after an enterprise activity is established
within a state-operated service, the base state appropriation
for that state-operated service shall be reduced proportionate
to the size of the enterprise activity.

Sec. 4.

Minnesota Statutes 2004, section 253.20, is
amended to read:


253.20 MINNESOTA SECURITY HOSPITAL.

The commissioner of human services shall erect, equip, and
maintain in St. Peter deleted text begina deleted text endnew text beginand other geographic locations under the
control of the commissioner of human services
new text endsuitable
deleted text begin building deleted text endnew text beginbuildings new text endto be known as the Minnesota Security
Hospital, for the purpose of providing a secure treatment
facility as defined in section 253B.02, subdivision 18a, for
persons who may be committed there by courts, or otherwise, or
transferred there by the commissioner of human services, and for
persons who are found to be mentally ill while confined in any
correctional facility, or who may be found to be mentally ill
and dangerous, and the commissioner shall supervise and manage
the same as in the case of other state hospitals.

ARTICLE 3

HEALTH CARE

Section 1.

Minnesota Statutes 2004, section 16A.724, is
amended to read:


16A.724 HEALTH CARE ACCESS FUND.

new text begin Subdivision 1. new text end

new text begin Creation of fund. new text end

new text begin(a) new text endA health care
access fund is created in the state treasury. The fund is a
direct appropriated special revenue fund. The commissioner
shall deposit to the credit of the fund money made available to
the fund. Notwithstanding section 11A.20, after June 30, 1997,
all investment income and all investment losses attributable to
the investment of the health care access fund not currently
needed shall be credited to the health care access fund.

new text begin (b) Effective July 1, 2006, the commissioner of finance
shall deposit revenues collected from section 256.9657,
subdivisions 2 and 3, into the health care access fund.
new text end

new text begin Subd. 2.new text end

new text beginTransfers.new text end

new text beginTo the extent available resources in
the health care access fund exceed expenditures in that fund,
starting in fiscal year 2005, the commissioner of finance shall
transfer the excess funds from the health care access fund to
the general fund on June 30 of each year.
new text end

new text begin (a) In fiscal year 2005, transfers may not exceed
$192,442,000. For fiscal year 2008 and thereafter, the transfer
may not exceed $50,000,000.
new text end

new text begin (b) For fiscal years 2005 to 2007, MinnesotaCare shall be a
forecasted program and, if necessary, the commissioner shall
reduce transfers to meet expenditures and shall transfer
sufficient funds from the general fund to the health care access
fund to meet annual expenditures.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day
following final enactment.
new text end

Sec. 2.

Minnesota Statutes 2004, section 256.01,
subdivision 2, is amended to read:


Subd. 2.

Specific powers.

Subject to the provisions of
section 241.021, subdivision 2, the commissioner of human
services shall carry out the specific duties in paragraphs (a)
through deleted text begin(aa) deleted text endnew text begin(cc)new text end:

(a) Administer and supervise all forms of public assistance
provided for by state law and other welfare activities or
services as are vested in the commissioner. Administration and
supervision of human services activities or services includes,
but is not limited to, assuring timely and accurate distribution
of benefits, completeness of service, and quality program
management. In addition to administering and supervising human
services activities vested by law in the department, the
commissioner shall have the authority to:

(1) require county agency participation in training and
technical assistance programs to promote compliance with
statutes, rules, federal laws, regulations, and policies
governing human services;

(2) monitor, on an ongoing basis, the performance of county
agencies in the operation and administration of human services,
enforce compliance with statutes, rules, federal laws,
regulations, and policies governing welfare services and promote
excellence of administration and program operation;

(3) develop a quality control program or other monitoring
program to review county performance and accuracy of benefit
determinations;

(4) require county agencies to make an adjustment to the
public assistance benefits issued to any individual consistent
with federal law and regulation and state law and rule and to
issue or recover benefits as appropriate;

(5) delay or deny payment of all or part of the state and
federal share of benefits and administrative reimbursement
according to the procedures set forth in section 256.017;

(6) make contracts with and grants to public and private
agencies and organizations, both profit and nonprofit, and
individuals, using appropriated funds; and

(7) enter into contractual agreements with federally
recognized Indian tribes with a reservation in Minnesota to the
extent necessary for the tribe to operate a federally approved
family assistance program or any other program under the
supervision of the commissioner. The commissioner shall consult
with the affected county or counties in the contractual
agreement negotiations, if the county or counties wish to be
included, in order to avoid the duplication of county and tribal
assistance program services. The commissioner may establish
necessary accounts for the purposes of receiving and disbursing
funds as necessary for the operation of the programs.

(b) Inform county agencies, on a timely basis, of changes
in statute, rule, federal law, regulation, and policy necessary
to county agency administration of the programs.

(c) Administer and supervise all child welfare activities;
promote the enforcement of laws protecting handicapped,
dependent, neglected and delinquent children, and children born
to mothers who were not married to the children's fathers at the
times of the conception nor at the births of the children;
license and supervise child-caring and child-placing agencies
and institutions; supervise the care of children in boarding and
foster homes or in private institutions; and generally perform
all functions relating to the field of child welfare now vested
in the State Board of Control.

(d) Administer and supervise all noninstitutional service
to handicapped persons, including those who are visually
impaired, hearing impaired, or physically impaired or otherwise
handicapped. The commissioner may provide and contract for the
care and treatment of qualified indigent children in facilities
other than those located and available at state hospitals when
it is not feasible to provide the service in state hospitals.

(e) Assist and actively cooperate with other departments,
agencies and institutions, local, state, and federal, by
performing services in conformity with the purposes of Laws
1939, chapter 431.

(f) Act as the agent of and cooperate with the federal
government in matters of mutual concern relative to and in
conformity with the provisions of Laws 1939, chapter 431,
including the administration of any federal funds granted to the
state to aid in the performance of any functions of the
commissioner as specified in Laws 1939, chapter 431, and
including the promulgation of rules making uniformly available
medical care benefits to all recipients of public assistance, at
such times as the federal government increases its participation
in assistance expenditures for medical care to recipients of
public assistance, the cost thereof to be borne in the same
proportion as are grants of aid to said recipients.

(g) Establish and maintain any administrative units
reasonably necessary for the performance of administrative
functions common to all divisions of the department.

(h) Act as designated guardian of both the estate and the
person of all the wards of the state of Minnesota, whether by
operation of law or by an order of court, without any further
act or proceeding whatever, except as to persons committed as
mentally retarded. For children under the guardianship of the
commissioner whose interests would be best served by adoptive
placement, the commissioner may contract with a licensed
child-placing agency or a Minnesota tribal social services
agency to provide adoption services. A contract with a licensed
child-placing agency must be designed to supplement existing
county efforts and may not replace existing county programs,
unless the replacement is agreed to by the county board and the
appropriate exclusive bargaining representative or the
commissioner has evidence that child placements of the county
continue to be substantially below that of other counties.
Funds encumbered and obligated under an agreement for a specific
child shall remain available until the terms of the agreement
are fulfilled or the agreement is terminated.

(i) Act as coordinating referral and informational center
on requests for service for newly arrived immigrants coming to
Minnesota.

(j) The specific enumeration of powers and duties as
hereinabove set forth shall in no way be construed to be a
limitation upon the general transfer of powers herein contained.

(k) Establish county, regional, or statewide schedules of
maximum fees and charges which may be paid by county agencies
for medical, dental, surgical, hospital, nursing and nursing
home care and medicine and medical supplies under all programs
of medical care provided by the state and for congregate living
care under the income maintenance programs.

(l) Have the authority to conduct and administer
experimental projects to test methods and procedures of
administering assistance and services to recipients or potential
recipients of public welfare. To carry out such experimental
projects, it is further provided that the commissioner of human
services is authorized to waive the enforcement of existing
specific statutory program requirements, rules, and standards in
one or more counties. The order establishing the waiver shall
provide alternative methods and procedures of administration,
shall not be in conflict with the basic purposes, coverage, or
benefits provided by law, and in no event shall the duration of
a project exceed four years. It is further provided that no
order establishing an experimental project as authorized by the
provisions of this section shall become effective until the
following conditions have been met:

(1) the secretary of health and human services of the
United States has agreed, for the same project, to waive state
plan requirements relative to statewide uniformity; and

(2) a comprehensive plan, including estimated project
costs, shall be approved by the Legislative Advisory Commission
and filed with the commissioner of administration.

(m) According to federal requirements, establish procedures
to be followed by local welfare boards in creating citizen
advisory committees, including procedures for selection of
committee members.

(n) Allocate federal fiscal disallowances or sanctions
which are based on quality control error rates for the aid to
families with dependent children program formerly codified in
sections 256.72 to 256.87, medical assistance, or food stamp
program in the following manner:

(1) one-half of the total amount of the disallowance shall
be borne by the county boards responsible for administering the
programs. For the medical assistance and the AFDC program
formerly codified in sections 256.72 to 256.87, disallowances
shall be shared by each county board in the same proportion as
that county's expenditures for the sanctioned program are to the
total of all counties' expenditures for the AFDC program
formerly codified in sections 256.72 to 256.87, and medical
assistance programs. For the food stamp program, sanctions
shall be shared by each county board, with 50 percent of the
sanction being distributed to each county in the same proportion
as that county's administrative costs for food stamps are to the
total of all food stamp administrative costs for all counties,
and 50 percent of the sanctions being distributed to each county
in the same proportion as that county's value of food stamp
benefits issued are to the total of all benefits issued for all
counties. Each county shall pay its share of the disallowance
to the state of Minnesota. When a county fails to pay the
amount due hereunder, the commissioner may deduct the amount
from reimbursement otherwise due the county, or the attorney
general, upon the request of the commissioner, may institute
civil action to recover the amount due; and

(2) notwithstanding the provisions of clause (1), if the
disallowance results from knowing noncompliance by one or more
counties with a specific program instruction, and that knowing
noncompliance is a matter of official county board record, the
commissioner may require payment or recover from the county or
counties, in the manner prescribed in clause (1), an amount
equal to the portion of the total disallowance which resulted
from the noncompliance, and may distribute the balance of the
disallowance according to clause (1).

(o) Develop and implement special projects that maximize
reimbursements and result in the recovery of money to the
state. For the purpose of recovering state money, the
commissioner may enter into contracts with third parties. Any
recoveries that result from projects or contracts entered into
under this paragraph shall be deposited in the state treasury
and credited to a special account until the balance in the
account reaches $1,000,000. When the balance in the account
exceeds $1,000,000, the excess shall be transferred and credited
to the general fund. All money in the account is appropriated
to the commissioner for the purposes of this paragraph.

(p) Have the authority to make direct payments to
facilities providing shelter to women and their children
according to section 256D.05, subdivision 3. Upon the written
request of a shelter facility that has been denied payments
under section 256D.05, subdivision 3, the commissioner shall
review all relevant evidence and make a determination within 30
days of the request for review regarding issuance of direct
payments to the shelter facility. Failure to act within 30 days
shall be considered a determination not to issue direct payments.

(q) Have the authority to establish and enforce the
following county reporting requirements:

(1) the commissioner shall establish fiscal and statistical
reporting requirements necessary to account for the expenditure
of funds allocated to counties for human services programs.
When establishing financial and statistical reporting
requirements, the commissioner shall evaluate all reports, in
consultation with the counties, to determine if the reports can
be simplified or the number of reports can be reduced;

(2) the county board shall submit monthly or quarterly
reports to the department as required by the commissioner.
Monthly reports are due no later than 15 working days after the
end of the month. Quarterly reports are due no later than 30
calendar days after the end of the quarter, unless the
commissioner determines that the deadline must be shortened to
20 calendar days to avoid jeopardizing compliance with federal
deadlines or risking a loss of federal funding. Only reports
that are complete, legible, and in the required format shall be
accepted by the commissioner;

(3) if the required reports are not received by the
deadlines established in clause (2), the commissioner may delay
payments and withhold funds from the county board until the next
reporting period. When the report is needed to account for the
use of federal funds and the late report results in a reduction
in federal funding, the commissioner shall withhold from the
county boards with late reports an amount equal to the reduction
in federal funding until full federal funding is received;

(4) a county board that submits reports that are late,
illegible, incomplete, or not in the required format for two out
of three consecutive reporting periods is considered
noncompliant. When a county board is found to be noncompliant,
the commissioner shall notify the county board of the reason the
county board is considered noncompliant and request that the
county board develop a corrective action plan stating how the
county board plans to correct the problem. The corrective
action plan must be submitted to the commissioner within 45 days
after the date the county board received notice of
noncompliance;

(5) the final deadline for fiscal reports or amendments to
fiscal reports is one year after the date the report was
originally due. If the commissioner does not receive a report
by the final deadline, the county board forfeits the funding
associated with the report for that reporting period and the
county board must repay any funds associated with the report
received for that reporting period;

(6) the commissioner may not delay payments, withhold
funds, or require repayment under clause (3) or (5) if the
county demonstrates that the commissioner failed to provide
appropriate forms, guidelines, and technical assistance to
enable the county to comply with the requirements. If the
county board disagrees with an action taken by the commissioner
under clause (3) or (5), the county board may appeal the action
according to sections 14.57 to 14.69; and

(7) counties subject to withholding of funds under clause
(3) or forfeiture or repayment of funds under clause (5) shall
not reduce or withhold benefits or services to clients to cover
costs incurred due to actions taken by the commissioner under
clause (3) or (5).

(r) Allocate federal fiscal disallowances or sanctions for
audit exceptions when federal fiscal disallowances or sanctions
are based on a statewide random sample for the foster care
program under title IV-E of the Social Security Act, United
States Code, title 42, in direct proportion to each county's
title IV-E foster care maintenance claim for that period.

(s) Be responsible for ensuring the detection, prevention,
investigation, and resolution of fraudulent activities or
behavior by applicants, recipients, and other participants in
the human services programs administered by the department.

(t) Require county agencies to identify overpayments,
establish claims, and utilize all available and cost-beneficial
methodologies to collect and recover these overpayments in the
human services programs administered by the department.

(u) Have the authority to administer a drug rebate program
for drugs purchased pursuant to the prescription drug program
established under section 256.955 after the beneficiary's
satisfaction of any deductible established in the program. The
commissioner shall require a rebate agreement from all
manufacturers of covered drugs as defined in section 256B.0625,
subdivision 13. Rebate agreements for prescription drugs
delivered on or after July 1, 2002, must include rebates for
individuals covered under the prescription drug program who are
under 65 years of age. For each drug, the amount of the rebate
shall be equal to the rebate as defined for purposes of the
federal rebate program in United States Code, title 42, section
1396r-8. The manufacturers must provide full payment within 30
days of receipt of the state invoice for the rebate within the
terms and conditions used for the federal rebate program
established pursuant to section 1927 of title XIX of the Social
Security Act. The manufacturers must provide the commissioner
with any information necessary to verify the rebate determined
per drug. The rebate program shall utilize the terms and
conditions used for the federal rebate program established
pursuant to section 1927 of title XIX of the Social Security Act.

(v) Have the authority to administer the federal drug
rebate program for drugs purchased under the medical assistance
program as allowed by section 1927 of title XIX of the Social
Security Act and according to the terms and conditions of
section 1927. Rebates shall be collected for all drugs that
have been dispensed or administered in an outpatient setting and
that are from manufacturers who have signed a rebate agreement
with the United States Department of Health and Human Services.

(w) Have the authority to administer a supplemental drug
rebate program for drugs purchased under the medical assistance
program. The commissioner may enter into supplemental rebate
contracts with pharmaceutical manufacturers and may require
prior authorization for drugs that are from manufacturers that
have not signed a supplemental rebate contract. Prior
authorization of drugs shall be subject to the provisions of
section 256B.0625, subdivision 13.

(x) Operate the department's communication systems account
established in Laws 1993, First Special Session chapter 1,
article 1, section 2, subdivision 2, to manage shared
communication costs necessary for the operation of the programs
the commissioner supervises. A communications account may also
be established for each regional treatment center which operates
communications systems. Each account must be used to manage
shared communication costs necessary for the operations of the
programs the commissioner supervises. The commissioner may
distribute the costs of operating and maintaining communication
systems to participants in a manner that reflects actual usage.
Costs may include acquisition, licensing, insurance,
maintenance, repair, staff time and other costs as determined by
the commissioner. Nonprofit organizations and state, county,
and local government agencies involved in the operation of
programs the commissioner supervises may participate in the use
of the department's communications technology and share in the
cost of operation. The commissioner may accept on behalf of the
state any gift, bequest, devise or personal property of any
kind, or money tendered to the state for any lawful purpose
pertaining to the communication activities of the department.
Any money received for this purpose must be deposited in the
department's communication systems accounts. Money collected by
the commissioner for the use of communication systems must be
deposited in the state communication systems account and is
appropriated to the commissioner for purposes of this section.

(y) Receive any federal matching money that is made
available through the medical assistance program for the
consumer satisfaction survey. Any federal money received for
the survey is appropriated to the commissioner for this
purpose. The commissioner may expend the federal money received
for the consumer satisfaction survey in either year of the
biennium.

(z) Designate community information and referral call
centers and incorporate cost reimbursement claims from the
designated community information and referral call centers into
the federal cost reimbursement claiming processes of the
department according to federal law, rule, and regulations.
Existing information and referral centers provided by Greater
Twin Cities United Way or existing call centers for which
Greater Twin Cities United Way has legal authority to represent,
shall be included in these designations upon review by the
commissioner and assurance that these services are accredited
and in compliance with national standards. Any reimbursement is
appropriated to the commissioner and all designated information
and referral centers shall receive payments according to normal
department schedules established by the commissioner upon final
approval of allocation methodologies from the United States
Department of Health and Human Services Division of Cost
Allocation or other appropriate authorities.

(aa) Develop recommended standards for foster care homes
that address the components of specialized therapeutic services
to be provided by foster care homes with those services.

new text begin (bb) Have the authority to administer a drug rebate program
for drugs purchased for persons eligible for general assistance
medical care under section 256D.03, subdivision 3. The
commissioner shall require a rebate agreement from all
manufacturers of covered drugs as defined in section 256B.0625,
subdivisions 13 and 13d. For each drug, the amount of the
rebate shall be equal to the rebate as defined for purposes of
the federal rebate program in United States Code, title 42,
section 1396r-8. The manufacturers must provide payment within
the terms and conditions used for the federal rebate program
established under section 1927 of title XIX of the Social
Security Act. The manufacturers must provide the commissioner
with any information necessary to verify the rebate determined
per drug. The rebate program shall utilize the terms and
conditions used for the federal rebate program established under
section 1927 of title XIX of the Social Security Act.
new text end

new text begin Effective January 1, 2006, drug coverage under general
assistance medical care shall be limited to those prescription
drugs that:
new text end

new text begin (1) are covered under the medical assistance program as
described in section 256B.0625, subdivisions 13 and 13d; and
new text end

new text begin (2) are provided by manufacturers that have fully executed
general assistance medical care rebate agreements with the
commissioner and comply with such agreements. Prescription drug
coverage under general assistance medical care shall conform to
coverage under the medical assistance program according to
section 256B.0625, subdivisions 13 to 13g.
new text end

new text begin The rebate revenues collected under the drug rebate program
are dedicated to funding the pharmaceutical assistance program
established under paragraph (cc).
new text end

new text begin (cc) Have the authority to administer a pharmaceutical
assistance program. The pharmaceutical assistance program may
include:
new text end

new text begin (1) a drug discount card;
new text end

new text begin (2) assistance to the program administered by the Minnesota
Board on Aging under section 256.975, subdivision 9; and
new text end

new text begin (3) other efforts designed to assist citizens of the state
who are not eligible for prescription drug coverage to obtain
free or discounted prescription drugs.
new text end

new text begin The commissioner shall have authority to administer a drug
rebate program for any discount card program established under
this paragraph. The rebates collected under this paragraph
shall be used to provide a discount on the prescription drugs
dispensed to enrollees of the discount card program.
new text end

Sec. 3.

Minnesota Statutes 2004, section 256.01, is
amended by adding a subdivision to read:


new text begin Subd. 2a. new text end

new text begin Authorization for test sites for health care
programs.
new text end

new text begin In coordination with the development and
implementation of HealthMatch, an automated eligibility system
for medical assistance, general assistance medical care, and
MinnesotaCare, the commissioner, in cooperation with county
agencies, is authorized to test and compare a variety of
administrative models to demonstrate and evaluate outcomes of
integrating health care program business processes and points of
access. The models will be evaluated for ease of enrollment for
health care program applicants and recipients and administrative
efficiencies. Test sites will combine the administration of all
three programs and will include both local county and
centralized statewide customer assistance. The duration of each
approved test site shall be no more than one year. Based on the
evaluation, the commissioner shall recommend the most efficient
and effective administrative model for statewide implementation.
new text end

Sec. 4.

Minnesota Statutes 2004, section 256.019,
subdivision 1, is amended to read:


Subdivision 1.

Retention rates.

When an assistance
recovery amount is collected and posted by a county agency under
the provisions governing public assistance programs including
general assistance medical care, general assistance, and
Minnesota supplemental aid, the county may keep one-half of the
recovery made by the county agency using any method other than
recoupment. For medical assistance, if the recovery is made by
a county agency using any method other than recoupment, the
county may keep one-half of the nonfederal share of the recovery.
new text begin For MinnesotaCare, if the recovery is collected and posted by
the county agency, the county may keep one-half of the
nonfederal share of the recovery.
new text end

This does not apply to recoveries from medical providers or
to recoveries begun by the Department of Human Services'
Surveillance and Utilization Review Division, State Hospital
Collections Unit, and the Benefit Recoveries Division or, by the
attorney general's office, or child support collections. In the
food stamp or food support program, the nonfederal share of
recoveries in the federal tax offset program only will be
divided equally between the state agency and the involved county
agency.

Sec. 5.

Minnesota Statutes 2004, section 256.045,
subdivision 3, is amended to read:


Subd. 3.

State agency hearings.

(a) State agency
hearings are available for the following: (1) any person
applying for, receiving or having received public assistance,
medical care, or a program of social services granted by the
state agency or a county agency or the federal Food Stamp Act
whose application for assistance is denied, not acted upon with
reasonable promptness, or whose assistance is suspended,
reduced, terminated, or claimed to have been incorrectly paid;
(2) any patient or relative aggrieved by an order of the
commissioner under section 252.27; (3) a party aggrieved by a
ruling of a prepaid health plan; (4) except as provided under
chapter 245C, any individual or facility determined by a lead
agency to have maltreated a vulnerable adult under section
626.557 after they have exercised their right to administrative
reconsideration under section 626.557; (5) any person whose
claim for foster care payment according to a placement of the
child resulting from a child protection assessment under section
626.556 is denied or not acted upon with reasonable promptness,
regardless of funding source; (6) any person to whom a right of
appeal according to this section is given by other provision of
law; (7) an applicant aggrieved by an adverse decision to an
application for a hardship waiver under section 256B.15; (8) new text beginan
applicant aggrieved by an adverse decision to an application or
redetermination for a Medicare Part D prescription drug subsidy
under section 256B.04, subdivision 4a; (9)
new text endexcept as provided
under chapter 245A, an individual or facility determined to have
maltreated a minor under section 626.556, after the individual
or facility has exercised the right to administrative
reconsideration under section 626.556; or deleted text begin(9) deleted text endnew text begin(10) new text endexcept as
provided under chapter 245C, an individual disqualified under
sections 245C.14 and 245C.15, on the basis of serious or
recurring maltreatment; a preponderance of the evidence that the
individual has committed an act or acts that meet the definition
of any of the crimes listed in section 245C.15, subdivisions 1
to 4; or for failing to make reports required under section
626.556, subdivision 3, or 626.557, subdivision 3. Hearings
regarding a maltreatment determination under clause (4)
or deleted text begin(8) deleted text endnew text begin(9) new text endand a disqualification under this clause in which the
basis for a disqualification is serious or recurring
maltreatment, which has not been set aside under sections
245C.22 and 245C.23, shall be consolidated into a single fair
hearing. In such cases, the scope of review by the human
services referee shall include both the maltreatment
determination and the disqualification. The failure to exercise
the right to an administrative reconsideration shall not be a
bar to a hearing under this section if federal law provides an
individual the right to a hearing to dispute a finding of
maltreatment. Individuals and organizations specified in this
section may contest the specified action, decision, or final
disposition before the state agency by submitting a written
request for a hearing to the state agency within 30 days after
receiving written notice of the action, decision, or final
disposition, or within 90 days of such written notice if the
applicant, recipient, patient, or relative shows good cause why
the request was not submitted within the 30-day time limit.

The hearing for an individual or facility under clause (4),
deleted text begin (8) deleted text endnew text begin(9)new text end, or deleted text begin(9) deleted text endnew text begin(10) new text endis the only administrative appeal to the
final agency determination specifically, including a challenge
to the accuracy and completeness of data under section 13.04.
Hearings requested under clause (4) apply only to incidents of
maltreatment that occur on or after October 1, 1995. Hearings
requested by nursing assistants in nursing homes alleged to have
maltreated a resident prior to October 1, 1995, shall be held as
a contested case proceeding under the provisions of chapter 14.
Hearings requested under clause deleted text begin(8) deleted text endnew text begin(9) new text endapply only to incidents
of maltreatment that occur on or after July 1, 1997. A hearing
for an individual or facility under clause deleted text begin(8) deleted text endnew text begin(9) new text endis only
available when there is no juvenile court or adult criminal
action pending. If such action is filed in either court while
an administrative review is pending, the administrative review
must be suspended until the judicial actions are completed. If
the juvenile court action or criminal charge is dismissed or the
criminal action overturned, the matter may be considered in an
administrative hearing.

For purposes of this section, bargaining unit grievance
procedures are not an administrative appeal.

The scope of hearings involving claims to foster care
payments under clause (5) shall be limited to the issue of
whether the county is legally responsible for a child's
placement under court order or voluntary placement agreement
and, if so, the correct amount of foster care payment to be made
on the child's behalf and shall not include review of the
propriety of the county's child protection determination or
child placement decision.

(b) A vendor of medical care as defined in section 256B.02,
subdivision 7, or a vendor under contract with a county agency
to provide social services is not a party and may not request a
hearing under this section, except if assisting a recipient as
provided in subdivision 4.

(c) An applicant or recipient is not entitled to receive
social services beyond the services included in the amended
community social services plan.

(d) The commissioner may summarily affirm the county or
state agency's proposed action without a hearing when the sole
issue is an automatic change due to a change in state or federal
law.

Sec. 6.

Minnesota Statutes 2004, section 256.045,
subdivision 3a, is amended to read:


Subd. 3a.

Prepaid health plan appeals.

(a) All prepaid
health plans under contract to the commissioner under chapter
256B or 256D must provide for a complaint system according to
section 62D.11. When a prepaid health plan denies, reduces, or
terminates a health service or denies a request to authorize a
previously authorized health service, the prepaid health plan
must notify the recipient of the right to file a complaint or an
appeal. The notice must include the name and telephone number
of the ombudsman and notice of the recipient's right to request
a hearing under paragraph (b). deleted text beginWhen a complaint is filed, the
prepaid health plan must notify the ombudsman within three
working days.
deleted text endRecipients may request the assistance of the
ombudsman in the complaint system process. The prepaid health
plan must issue a written resolution of the complaint to the
recipient within 30 days after the complaint is filed with the
prepaid health plan. A recipient is not required to exhaust the
complaint system procedures in order to request a hearing under
paragraph (b).

(b) Recipients enrolled in a prepaid health plan under
chapter 256B or 256D may contest a prepaid health plan's denial,
reduction, or termination of health services, a prepaid health
plan's denial of a request to authorize a previously authorized
health service, or the prepaid health plan's written resolution
of a complaint by submitting a written request for a hearing
according to subdivision 3. A state human services referee
shall conduct a hearing on the matter and shall recommend an
order to the commissioner of human services. The commissioner
need not grant a hearing if the sole issue raised by a recipient
is the commissioner's authority to require mandatory enrollment
in a prepaid health plan in a county where prepaid health plans
are under contract with the commissioner. The state human
services referee may order a second medical opinion from the
prepaid health plan or may order a second medical opinion from a
nonprepaid health plan provider at the expense of the prepaid
health plan. Recipients may request the assistance of the
ombudsman in the appeal process.

(c) In the written request for a hearing to appeal from a
prepaid health plan's denial, reduction, or termination of a
health service, a prepaid health plan's denial of a request to
authorize a previously authorized service, or the prepaid health
plan's written resolution to a complaint, a recipient may
request an expedited hearing. If an expedited appeal is
warranted, the state human services referee shall hear the
appeal and render a decision within a time commensurate with the
level of urgency involved, based on the individual circumstances
of the case.

Sec. 7.

Minnesota Statutes 2004, section 256.046,
subdivision 1, is amended to read:


Subdivision 1.

Hearing authority.

A local agency must
initiate an administrative fraud disqualification hearing for
individuals, including child care providers caring for children
receiving child care assistance, accused of wrongfully obtaining
assistance or intentional program violations, in lieu of a
criminal action when it has not been pursued, in the aid to
families with dependent children program formerly codified in
sections 256.72 to 256.87, MFIP, the diversionary work program,
child care assistance programs, general assistance, family
general assistance program formerly codified in section 256D.05,
subdivision 1, clause (15), Minnesota supplemental aid, food
stamp programs, general assistance medical care, MinnesotaCare
for adults without children, and upon federal approval, all
categories of medical assistance and remaining categories of
MinnesotaCare except for children through age 18. new text beginThe
Department of Human Services, in lieu of a local agency, may
initiate an administrative fraud disqualification hearing when
the state agency is directly responsible for administration of
the health care program for which benefits were wrongfully
obtained.
new text endThe hearing is subject to the requirements of section
256.045 and the requirements in Code of Federal Regulations,
title 7, section 273.16, for the food stamp program and title
45, section 235.112, as of September 30, 1995, for the cash
grant, medical care programs, and child care assistance under
chapter 119B.

Sec. 8.

Minnesota Statutes 2004, section 256.9657, is
amended by adding a subdivision to read:


new text begin Subd. 7a. new text end

new text begin Withholding. new text end

new text begin If any provider obligated to pay
an annual surcharge under this section is more than two months
delinquent in the timely payment of a monthly surcharge
installment payment, the provisions in paragraphs (a) to (f)
apply.
new text end

new text begin (a) The department may withhold some or all of the amount
of the delinquent surcharge, together with any interest and
penalties due and owing on those amounts, from any money the
department owes to the provider. The department may, at its
discretion, also withhold future surcharge installment payments
from any money the department owes the provider as those
installments become due and owing. The department may continue
this withholding until the department determines there in no
longer any need to do so.
new text end

new text begin (b) The department shall give prior notice of the
department's intention to withhold by mailing a written notice
to the provider at the address to which remittance advices are
mailed or faxing a copy of the notice to the provider at least
ten business days before the date of the first payment period
for which the withholding begins. The notice may be sent by
ordinary or certified mail, or facsimile, and shall be deemed
received as of the date of mailing or receipt of the facsimile.
The notice shall:
new text end

new text begin (i) state the amount of the delinquent surcharge;
new text end

new text begin (ii) state the amount of the withholding per payment
period;
new text end

new text begin (iii) state the date on which the withholding is to begin;
new text end

new text begin (iv) state whether the department intends to withhold
future installments of the provider's surcharge payments;
new text end

new text begin (v) inform the provider of their rights to informally
object to the proposed withholding and to appeal the withholding
as provided for in this subdivision;
new text end

new text begin (vi) state that the provider may prevent the withholding
during the pendancy of their appeal by posting a bond; and
new text end

new text begin (vii) state other contents as the department deems
appropriate.
new text end

new text begin (c) The provider may informally object to the withholding
in writing anytime before the withholding begins. An informal
objection shall not stay or delay the commencement of the
withholding. The department may postpone the commencement of
the withholding as deemed appropriate and shall not be required
to give another notice at the end of the postponement and before
commencing the withholding. The provider shall have the right
to appeal any withholding from remittances by filing an appeal
with Ramsey County District Court and serving notice of the
appeal on the department within 30 days of the date of the
written notice of the withholding. Notice shall be given and
the appeal shall be heard no later than 45 days after the appeal
is filed. In a hearing of the appeal, the department's action
shall be sustained if the department proves the amount of the
delinquent surcharges or overpayment the provider owes, plus any
accrued interest and penalties, has not been repaid. The
department may continue withholding for delinquent and current
surcharge installment payments during the pendancy of an appeal
unless the provider posts a bond from a surety company licensed
to do business in Minnesota in favor of the department in an
amount equal to two times the provider's total annual surcharge
payment for the fiscal year in which the appeal is filed with
the department.
new text end

new text begin (d) The department shall refund any amounts due to the
provider under any final administrative or judicial order or
decree which fully and finally resolves the appeal together with
interest on those amounts at the rate of three percent per annum
simple interest computed from the date of each withholding, as
soon as practical after entry of the order or decree.
new text end

new text begin (e) The commissioner, or the commissioner's designee, may
enter into written settlement agreements with a provider to
resolve disputes and other matters involving unpaid surcharge
installment payments or future surcharge installment payments.
new text end

new text begin (f) Notwithstanding any law to the contrary, all unpaid
surcharges, plus any accrued interest and penalties, shall be
overpayments for purposes of section 256B.0641.
new text end

Sec. 9.

Minnesota Statutes 2004, section 256.969,
subdivision 3a, is amended to read:


Subd. 3a.

Payments.

(a) Acute care hospital billings
under the medical assistance program must not be submitted until
the recipient is discharged. However, the commissioner shall
establish monthly interim payments for inpatient hospitals that
have individual patient lengths of stay over 30 days regardless
of diagnostic category. Except as provided in section 256.9693,
medical assistance reimbursement for treatment of mental illness
shall be reimbursed based on diagnostic classifications.
Individual hospital payments established under this section and
sections 256.9685, 256.9686, and 256.9695, in addition to third
party and recipient liability, for discharges occurring during
the rate year shall not exceed, in aggregate, the charges for
the medical assistance covered inpatient services paid for the
same period of time to the hospital. This payment limitation
shall be calculated separately for medical assistance and
general assistance medical care services. The limitation on
general assistance medical care shall be effective for
admissions occurring on or after July 1, 1991. Services that
have rates established under subdivision 11 or 12, must be
limited separately from other services. After consulting with
the affected hospitals, the commissioner may consider related
hospitals one entity and may merge the payment rates while
maintaining separate provider numbers. The operating and
property base rates per admission or per day shall be derived
from the best Medicare and claims data available when rates are
established. The commissioner shall determine the best Medicare
and claims data, taking into consideration variables of recency
of the data, audit disposition, settlement status, and the
ability to set rates in a timely manner. The commissioner shall
notify hospitals of payment rates by December 1 of the year
preceding the rate year. The rate setting data must reflect the
admissions data used to establish relative values. Base year
changes from 1981 to the base year established for the rate year
beginning January 1, 1991, and for subsequent rate years, shall
not be limited to the limits ending June 30, 1987, on the
maximum rate of increase under subdivision 1. The commissioner
may adjust base year cost, relative value, and case mix index
data to exclude the costs of services that have been
discontinued by the October 1 of the year preceding the rate
year or that are paid separately from inpatient services.
Inpatient stays that encompass portions of two or more rate
years shall have payments established based on payment rates in
effect at the time of admission unless the date of admission
preceded the rate year in effect by six months or more. In this
case, operating payment rates for services rendered during the
rate year in effect and established based on the date of
admission shall be adjusted to the rate year in effect by the
hospital cost index.

(b) For fee-for-service admissions occurring on or after
July 1, 2002, the total payment, before third-party liability
and spenddown, made to hospitals for inpatient services is
reduced by .5 percent from the current statutory rates.

(c) In addition to the reduction in paragraph (b), the
total payment for fee-for-service admissions occurring on or
after July 1, 2003, made to hospitals for inpatient services
before third-party liability and spenddown, is reduced five
percent from the current statutory rates. Mental health
services within diagnosis related groups 424 to 432, and
facilities defined under subdivision 16 are excluded from this
paragraph.

new text begin (d) In addition to the reduction in paragraphs (b) and (c)
and section 256D.03, subdivision 4, paragraph (k), the total
payment for fee-for-service admissions occurring on or after
July 1, 2005, made to hospitals for inpatient services before
third-party liability and spenddown, is reduced five percent
from the current statutory rates. Mental health services within
diagnosis related groups 424 to 432 and facilities defined under
subdivision 16 are excluded from this paragraph.
new text end

Sec. 10.

Minnesota Statutes 2004, section 256.969,
subdivision 26, is amended to read:


Subd. 26.

Greater minnesota payment adjustment after june
30, 2001.

(a) For admissions occurring after June 30, 2001, the
commissioner shall pay fee-for-service inpatient admissions for
the diagnosis-related groups specified in paragraph (b) at
hospitals located outside of the seven-county metropolitan area
at the higher of:

(1) the hospital's current payment rate for the diagnostic
category to which the diagnosis-related group belongs, exclusive
of disproportionate population adjustments received under
subdivision 9 and hospital payment adjustments received under
subdivision 23; or

(2) 90 percent of the average payment rate for that
diagnostic category for hospitals located within the
seven-county metropolitan area, exclusive of disproportionate
population adjustments received under subdivision 9 and hospital
payment adjustments received under subdivisions 20 and 23. deleted text beginThe
commissioner may adjust this percentage each year so that the
estimated payment increases under this paragraph are equal to
the funding provided under section 256B.195 for this purpose.
deleted text end

(b) The payment increases provided in paragraph (a) apply
to the following diagnosis-related groups, as they fall within
the diagnostic categories:

(1) 370 cesarean section with complicating diagnosis;

(2) 371 cesarean section without complicating diagnosis;

(3) 372 vaginal delivery with complicating diagnosis;

(4) 373 vaginal delivery without complicating diagnosis;

(5) 386 extreme immaturity and respiratory distress
syndrome, neonate;

(6) 388 full-term neonates with other problems;

(7) 390 prematurity without major problems;

(8) 391 normal newborn;

(9) 385 neonate, died or transferred to another acute care
facility;

(10) 425 acute adjustment reaction and psychosocial
dysfunction;

(11) 430 psychoses;

(12) 431 childhood mental disorders; and

(13) 164-167 appendectomy.

Sec. 11.

Minnesota Statutes 2004, section 256B.02,
subdivision 12, is amended to read:


Subd. 12.

Thirdnew text begin-new text endparty payer.

"Thirdnew text begin-new text endparty payer" means a
person, entity, or agency or government program that has a
probable obligation to pay all or part of the costs of a medical
assistance recipient's health services. new text beginThird-party payer
includes an entity under contract with the recipient to cover
all or part of the recipient's medical costs.
new text end

Sec. 12.

Minnesota Statutes 2004, section 256B.04, is
amended by adding a subdivision to read:


new text begin Subd. 4a. new text end

new text begin Medicare prescription drug subsidy. new text end

new text begin The
commissioner shall perform all duties necessary to administer
eligibility determinations for the Medicare Part D prescription
drug subsidy and facilitate the enrollment of eligible medical
assistance recipients into Medicare prescription drug plans as
required by the Medicare Prescription Drug, Improvement and
Modernization Act of 2003 (MMA), Public Law 108-173, and Code of
Federal Regulations, title 42, sections 423.30 through 423.56
and 423.771 through 423.800.
new text end

Sec. 13.

Minnesota Statutes 2004, section 256B.056, is
amended by adding a subdivision to read:


new text begin Subd. 3d. new text end

new text begin Reduction of excess assets. new text end

new text begin Assets in excess
of the limits set forth in subdivisions 3 to 3c may be reduced
to allowable limits as follows:
new text end

new text begin (a) Assets may be reduced in any of the three calendar
months before the month of application in which the applicant
seeks coverage by:
new text end

new text begin (1) designating burial funds up to $1500 for each
applicant, spouse, and MA-eligible dependent child; and
new text end

new text begin (2) paying health service bills incurred in the retroactive
period for which the applicant seeks eligibility, starting with
the oldest bill. After assets are reduced to allowable limits,
eligibility begins with the next dollar of MA-covered health
services incurred in the retroactive period. Applicants
reducing assets under this subdivision who also have excess
income shall first spend excess assets to pay health service
bills and may meet the income spenddown on remaining bills.
new text end

new text begin (b) Assets may be reduced beginning the month of
application by:
new text end

new text begin (1) paying bills for health services that would otherwise
be paid by medical assistance; and
new text end

new text begin (2) using any means other than a transfer of assets for
less than fair market value as defined in section 256B.0595,
subdivision 1, paragraph (b).
new text end

Sec. 14.

Minnesota Statutes 2004, section 256B.056,
subdivision 5, is amended to read:


Subd. 5.

Excess income.

A person who has excess income
is eligible for medical assistance if the person has expenses
for medical care that are more than the amount of the person's
excess income, computed by deducting incurred medical expenses
from the excess income to reduce the excess to the income
standard specified in subdivision 5c. The person shall elect to
have the medical expenses deducted at the beginning of a
one-month budget period or at the beginning of a six-month
budget period. The commissioner shall allow persons eligible
for assistance on a one-month spenddown basis under this
subdivision to elect to pay the monthly spenddown amount in
advance of the month of eligibility to the state agency in order
to maintain eligibility on a continuous basis. If the recipient
does not pay the spenddown amount on or before the deleted text begin20th deleted text endnew text beginlast
business day
new text endof the month, the recipient is ineligible for this
option for the following month. The local agency shall code the
Medicaid Management Information System (MMIS) to indicate that
the recipient has elected this option. The state agency shall
convey recipient eligibility information relative to the
collection of the spenddown to providers through the Electronic
Verification System (EVS). A recipient electing advance payment
must pay the state agency the monthly spenddown amount on or
before new text beginnoon on new text endthe deleted text begin20th deleted text endnew text beginlast business day new text endof the month in order
to be eligible for this option in the following month.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 15.

Minnesota Statutes 2004, section 256B.056,
subdivision 5a, is amended to read:


Subd. 5a.

Individuals on fixed or excluded income.

Recipients of medical assistance who receive only fixed unearned
or excluded income, when that income is excluded from
consideration as income or unvarying in amount and timing of
receipt throughout the year, shall report and verify their
income deleted text beginannually deleted text endnew text beginevery 12 months. The 12-month period begins
with the month of application
new text end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 16.

Minnesota Statutes 2004, section 256B.056,
subdivision 5b, is amended to read:


Subd. 5b.

Individuals with low income.

Recipients of
medical assistance not residing in a long-term care facility who
have slightly fluctuating income which is below the medical
assistance income limit shall report and verify their income deleted text beginon
a semiannual basis
deleted text endnew text beginevery six months. The six-month period
begins the month of application
new text end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 17.

Minnesota Statutes 2004, section 256B.056,
subdivision 7, is amended to read:


Subd. 7.

Period of eligibility.

Eligibility is available
for the month of application and for three months prior to
application if the person was eligible in those prior
months. new text beginEligibility for months prior to application is
determined independently from eligibility for the month of
application and future months.
new text endA redetermination of eligibility
must occur every 12 months. new text beginThe 12-month period begins with the
month of application.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 18.

Minnesota Statutes 2004, section 256B.056, is
amended by adding a subdivision to read:


new text begin Subd. 9. new text end

new text begin Notice. new text end

new text begin The state agency must be given notice
of monetary claims against a person, entity, or corporation that
may be liable to pay all or part of the cost of medical care
when the state agency has paid or becomes liable for the cost of
that care. Notice must be given according to paragraphs (a) to
(d).
new text end

new text begin (a) An applicant for medical assistance shall notify the
state or local agency of any possible claims when the applicant
submits the application. A recipient of medical assistance
shall notify the state or local agency of any possible claims
when those claims arise.
new text end

new text begin (b) A person providing medical care services to a recipient
of medical assistance shall notify the state agency when the
person has reason to believe that a third party may be liable
for payment of the cost of medical care.
new text end

new text begin (c) A party to a claim that may be assigned to the state
agency under this section shall notify the state agency of its
potential assignment claim in writing at each of the following
stages of a claim:
new text end

new text begin (1) when a claim is filed;
new text end

new text begin (2) when an action is commenced; and
new text end

new text begin (3) when a claim is concluded by payment, award, judgment,
settlement, or otherwise.
new text end

new text begin (d) Every party involved in any stage of a claim under this
subdivision is required to provide notice to the state agency at
that stage of the claim. However, when one of the parties to
the claim provides notice at that stage, every other party to
the claim is deemed to have provided the required notice for
that stage of the claim. If the required notice under this
paragraph is not provided to the state agency, all parties to
the claim are deemed to have failed to provide the required
notice. A party to the claim includes the injured person or the
person's legal representative, the plaintiff, the defendants, or
persons alleged to be responsible for compensating the injured
person or plaintiff, and any other party to the cause of action
or claim, regardless of whether the party knows the state agency
has a potential or actual assignment claim.
new text end

Sec. 19.

Minnesota Statutes 2004, section 256B.056, is
amended by adding a subdivision to read:


new text begin Subd. 10.new text end

new text beginEligibility verification.new text end

new text begin(a) The commissioner
shall require women who are applying for the continuation of
medical assistance coverage following the end of the 60-day
postpartum period to complete a renewal form and verify assets.
new text end

new text begin (b) The commissioner shall determine the eligibility of
private-sector health care coverage for infants less than one
year of age eligible under section 256B.055, subdivision 10, or
256B.057, subdivision 1, paragraph (d), and shall pay for
private-sector coverage if this is determined to be
cost-effective.
new text end

new text begin (c) The commissioner shall modify the application for
Minnesota health care programs to require more detailed
information related to verification of assets and income, and
shall verify assets and income for all applicants, and for all
recipients upon renewal.
new text end

new text begin (d) The commissioner shall require recipients to report and
verify new employment income within ten days of the change, and
shall disenroll recipients who fail to provide verification.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2005.
Prior to the implementation of HealthMatch, the commissioner
shall implement this section to the fullest extent possible,
including the use of manual processing. Upon implementation of
HealthMatch, the commissioner shall implement this section in a
manner consistent with the procedures and requirements of
HealthMatch.
new text end

Sec. 20.

Minnesota Statutes 2004, section 256B.0575, is
amended to read:


256B.0575 AVAILABILITY OF INCOME FOR INSTITUTIONALIZED
PERSONS.

When an institutionalized person is determined eligible for
medical assistance, the income that exceeds the deductions in
paragraphs (a) and (b) must be applied to the cost of
institutional care.

(a) The following amounts must be deducted from the
institutionalized person's income in the following order:

(1) the personal needs allowance under section 256B.35 or,
for a veteran who does not have a spouse or child, or a
surviving spouse of a veteran having no child, the amount of an
improved pension received from the veteran's administration not
exceeding $90 per month;

(2) the personal allowance for disabled individuals under
section 256B.36;

(3) if the institutionalized person has a legally appointed
guardian or conservator, five percent of the recipient's gross
monthly income up to $100 as reimbursement for guardianship or
conservatorship services;

(4) a monthly income allowance determined under section
256B.058, subdivision 2, but only to the extent income of the
institutionalized spouse is made available to the community
spouse;

(5) a monthly allowance for children under age 18 which,
together with the net income of the children, would provide
income equal to the medical assistance standard for families and
children according to section 256B.056, subdivision 4, for a
family size that includes only the minor children. This
deduction applies only if the children do not live with the
community spouse and only to the extent that the deduction is
not included in the personal needs allowance under section
256B.35, subdivision 1, as child support garnished under a court
order;

(6) a monthly family allowance for other family members,
equal to one-third of the difference between 122 percent of the
federal poverty guidelines and the monthly income for that
family member;

(7) reparations payments made by the Federal Republic of
Germany and reparations payments made by the Netherlands for
victims of Nazi persecution between 1940 and 1945;

(8) all other exclusions from income for institutionalized
persons as mandated by federal law; and

(9) amounts for reasonable expenses incurred for necessary
medical or remedial care for the institutionalized person that
are not medical assistance covered expenses and that are not
subject to payment by a third party.

new text begin Reasonable expenses are limited to expenses that have not
been previously used as a deduction from income and are incurred
during the enrollee's current period of eligibility, including
retroactive months associated with the current period of
eligibility, for medical assistance payment of long-term care
services.
new text end

For purposes of clause (6), "other family member" means a
person who resides with the community spouse and who is a minor
or dependent child, dependent parent, or dependent sibling of
either spouse. "Dependent" means a person who could be claimed
as a dependent for federal income tax purposes under the
Internal Revenue Code.

(b) Income shall be allocated to an institutionalized
person for a period of up to three calendar months, in an amount
equal to the medical assistance standard for a family size of
one if:

(1) a physician certifies that the person is expected to
reside in the long-term care facility for three calendar months
or less;

(2) if the person has expenses of maintaining a residence
in the community; and

(3) if one of the following circumstances apply:

(i) the person was not living together with a spouse or a
family member as defined in paragraph (a) when the person
entered a long-term care facility; or

(ii) the person and the person's spouse become
institutionalized on the same date, in which case the allocation
shall be applied to the income of one of the spouses.

For purposes of this paragraph, a person is determined to be
residing in a licensed nursing home, regional treatment center,
or medical institution if the person is expected to remain for a
period of one full calendar month or more.

Sec. 21.

Minnesota Statutes 2004, section 256B.0595,
subdivision 2, is amended to read:


Subd. 2.

Period of ineligibility.

(a) For any
uncompensated transfer occurring on or before August 10, 1993,
the number of months of ineligibility for long-term care
services shall be the lesser of 30 months, or the uncompensated
transfer amount divided by the average medical assistance rate
for nursing facility services in the state in effect on the date
of application. The amount used to calculate the average
medical assistance payment rate shall be adjusted each July 1 to
reflect payment rates for the previous calendar year. The
period of ineligibility begins with the month in which the
assets were transferred. If the transfer was not reported to
the local agency at the time of application, and the applicant
received long-term care services during what would have been the
period of ineligibility if the transfer had been reported, a
cause of action exists against the transferee for the cost of
long-term care services provided during the period of
ineligibility, or for the uncompensated amount of the transfer,
whichever is less. The action may be brought by the state or
the local agency responsible for providing medical assistance
under chapter 256G. The uncompensated transfer amount is the
fair market value of the asset at the time it was given away,
sold, or disposed of, less the amount of compensation received.

(b) For uncompensated transfers made after August 10, 1993,
the number of months of ineligibility for long-term care
services shall be the total uncompensated value of the resources
transferred divided by the average medical assistance rate for
nursing facility services in the state in effect on the date of
application. The amount used to calculate the average medical
assistance payment rate shall be adjusted each July 1 to reflect
payment rates for the previous calendar year. The period of
ineligibility begins with the first day of the month after the
month in which the assets were transferred except that if one or
more uncompensated transfers are made during a period of
ineligibility, the total assets transferred during the
ineligibility period shall be combined and a penalty period
calculated to begin on the first day of the month after the
month in which the first uncompensated transfer was made. If
the new text begintransfer was reported to the local agency after the date
that advance notice of a period of ineligibility that affects
the next month could be provided to the recipient and the
recipient received medical assistance services or the
new text endtransfer
was not reported to the local agency, and the applicant new text beginor
recipient
new text endreceived medical assistance services during what would
have been the period of ineligibility if the transfer had been
reported, a cause of action exists against the transferee for
the cost of medical assistance services provided during the
period of ineligibility, or for the uncompensated amount of the
transfer, whichever is less. The action may be brought by the
state or the local agency responsible for providing medical
assistance under chapter 256G. The uncompensated transfer
amount is the fair market value of the asset at the time it was
given away, sold, or disposed of, less the amount of
compensation received. Effective for transfers made on or after
March 1, 1996, involving persons who apply for medical
assistance on or after April 13, 1996, no cause of action exists
for a transfer unless:

(1) the transferee knew or should have known that the
transfer was being made by a person who was a resident of a
long-term care facility or was receiving that level of care in
the community at the time of the transfer;

(2) the transferee knew or should have known that the
transfer was being made to assist the person to qualify for or
retain medical assistance eligibility; or

(3) the transferee actively solicited the transfer with
intent to assist the person to qualify for or retain eligibility
for medical assistance.

(c) If a calculation of a penalty period results in a
partial month, payments for long-term care services shall be
reduced in an amount equal to the fraction, except that in
calculating the value of uncompensated transfers, if the total
value of all uncompensated transfers made in a month not
included in an existing penalty period does not exceed $200,
then such transfers shall be disregarded for each month prior to
the month of application for or during receipt of medical
assistance.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for transfers
occurring on or after July 1, 2005.
new text end

Sec. 22.

Minnesota Statutes 2004, section 256B.06,
subdivision 4, is amended to read:


Subd. 4.

Citizenship requirements.

(a) Eligibility for
medical assistance is limited to citizens of the United States,
qualified noncitizens as defined in this subdivision, and other
persons residing lawfully in the United States.

(b) "Qualified noncitizen" means a person who meets one of
the following immigration criteria:

(1) admitted for lawful permanent residence according to
United States Code, title 8;

(2) admitted to the United States as a refugee according to
United States Code, title 8, section 1157;

(3) granted asylum according to United States Code, title
8, section 1158;

(4) granted withholding of deportation according to United
States Code, title 8, section 1253(h);

(5) paroled for a period of at least one year according to
United States Code, title 8, section 1182(d)(5);

(6) granted conditional entrant status according to United
States Code, title 8, section 1153(a)(7);

(7) determined to be a battered noncitizen by the United
States Attorney General according to the Illegal Immigration
Reform and Immigrant Responsibility Act of 1996, title V of the
Omnibus Consolidated Appropriations Bill, Public Law 104-200;

(8) is a child of a noncitizen determined to be a battered
noncitizen by the United States Attorney General according to
the Illegal Immigration Reform and Immigrant Responsibility Act
of 1996, title V, of the Omnibus Consolidated Appropriations
Bill, Public Law 104-200; or

(9) determined to be a Cuban or Haitian entrant as defined
in section 501(e) of Public Law 96-422, the Refugee Education
Assistance Act of 1980.

(c) All qualified noncitizens who were residing in the
United States before August 22, 1996, who otherwise meet the
eligibility requirements of this chapter, are eligible for
medical assistance with federal financial participation.

(d) All qualified noncitizens who entered the United States
on or after August 22, 1996, and who otherwise meet the
eligibility requirements of this chapter, are eligible for
medical assistance with federal financial participation through
November 30, 1996.

Beginning December 1, 1996, qualified noncitizens who
entered the United States on or after August 22, 1996, and who
otherwise meet the eligibility requirements of this chapter are
eligible for medical assistance with federal participation for
five years if they meet one of the following criteria:

(i) refugees admitted to the United States according to
United States Code, title 8, section 1157;

(ii) persons granted asylum according to United States
Code, title 8, section 1158;

(iii) persons granted withholding of deportation according
to United States Code, title 8, section 1253(h);

(iv) veterans of the United States armed forces with an
honorable discharge for a reason other than noncitizen status,
their spouses and unmarried minor dependent children; or

(v) persons on active duty in the United States armed
forces, other than for training, their spouses and unmarried
minor dependent children.

Beginning December 1, 1996, qualified noncitizens who do
not meet one of the criteria in items (i) to (v) are eligible
for medical assistance without federal financial participation
as described in paragraph (j).

(e) Noncitizens who are not qualified noncitizens as
defined in paragraph (b), who are lawfully residing in the
United States and who otherwise meet the eligibility
requirements of this chapter, are eligible for medical
assistance under clauses (1) to (3). These individuals must
cooperate with the Immigration and Naturalization Service to
pursue any applicable immigration status, including citizenship,
that would qualify them for medical assistance with federal
financial participation.

(1) Persons who were medical assistance recipients on
August 22, 1996, are eligible for medical assistance with
federal financial participation through December 31, 1996.

(2) Beginning January 1, 1997, persons described in clause
(1) are eligible for medical assistance without federal
financial participation as described in paragraph (j).

(3) Beginning December 1, 1996, persons residing in the
United States prior to August 22, 1996, who were not receiving
medical assistance and persons who arrived on or after August
22, 1996, are eligible for medical assistance without federal
financial participation as described in paragraph (j).

(f) Nonimmigrants who otherwise meet the eligibility
requirements of this chapter are eligible for the benefits as
provided in paragraphs (g) to (i). For purposes of this
subdivision, a "nonimmigrant" is a person in one of the classes
listed in United States Code, title 8, section 1101(a)(15).

(g) Payment shall also be made for care and services that
are furnished to noncitizens, regardless of immigration status,
who otherwise meet the eligibility requirements of this chapter,
if such care and services are necessary for the treatment of an
emergency medical condition, except for organ transplants and
related care and services and routine prenatal care.

(h) For purposes of this subdivision, the term "emergency
medical condition" means a medical condition that meets the
requirements of United States Code, title 42, section 1396b(v).

(i) Pregnant noncitizens who are undocumented deleted text beginor deleted text endnew text begin,
new text end nonimmigrants, new text beginor eligible for medical assistance as described
in paragraph (j), and who are not covered by a group health plan
or health insurance coverage according to Code of Federal
Regulations, title 42, section 457.310, and
new text endwho otherwise meet
the eligibility requirements of this chapter, are eligible for
medical assistance deleted text beginpayment without federal financial
participation for care and services
deleted text endthrough the period of
pregnancy, deleted text beginand deleted text endnew text beginincluding labor and delivery, to the extent
federal funds are available under Title XXI of the Social
Security Act, and the state children's health insurance program,
followed by
new text end60 days postpartumdeleted text begin, except for labor and
delivery
deleted text endnew text beginwithout federal financial participationnew text end.

(j) Qualified noncitizens as described in paragraph (d),
and all other noncitizens lawfully residing in the United States
as described in paragraph (e), who are ineligible for medical
assistance with federal financial participation and who
otherwise meet the eligibility requirements of chapter 256B and
of this paragraph, are eligible for medical assistance without
federal financial participation. Qualified noncitizens as
described in paragraph (d) are only eligible for medical
assistance without federal financial participation for five
years from their date of entry into the United States.

(k) Beginning October 1, 2003, persons who are receiving
care and rehabilitation services from a nonprofit center
established to serve victims of torture and are otherwise
ineligible for medical assistance under this chapter are
eligible for medical assistance without federal financial
participation. These individuals are eligible only for the
period during which they are receiving services from the
center. Individuals eligible under this paragraph shall not be
required to participate in prepaid medical assistance.

Sec. 23.

Minnesota Statutes 2004, section 256B.0625, is
amended by adding a subdivision to read:


new text begin Subd. 1a. new text end

new text begin Services provided in a hospital emergency
room.
new text end

new text begin Medical assistance does not cover visits to a hospital
emergency room that are not for emergency and emergency
poststabilization care or urgent care, and does not pay for any
services provided in a hospital emergency room that are not for
emergency and emergency poststabilization care or urgent care.
new text end

Sec. 24.

Minnesota Statutes 2004, section 256B.0625,
subdivision 3a, is amended to read:


Subd. 3a.

deleted text begingender deleted text endnew text beginsex new text endreassignment surgery.

deleted text beginGender deleted text endnew text beginSex
new text end reassignment surgery deleted text beginand other gender reassignment medical
procedures including drug therapy for gender reassignment are
deleted text endnew text beginis
new text end not covered deleted text beginunless the individual began receiving gender
reassignment services prior to July 1, 1998
deleted text end.

Sec. 25.

Minnesota Statutes 2004, section 256B.0625, is
amended by adding a subdivision to read:


new text begin Subd. 3c.new text end

new text beginCircumcision for newborns.new text end

new text beginNewborn
circumcision is not covered, unless the procedure is medically
necessary or required because of a well-established religious
practice.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2005,
and applies to services provided on or after that date.
new text end

Sec. 26.

Minnesota Statutes 2004, section 256B.0625, is
amended by adding a subdivision to read:


new text begin Subd. 3d. new text end

new text begin Health services policy committee. new text end

new text begin The
commissioner, after receiving recommendations from professional
physician associations, professional associations representing
licensed nonphysician health care professionals, and consumer
groups, shall establish an 11-member Health Services Policy
Committee which will consist of ten voting members and one
nonvoting member. The Health Services Policy Committee will
advise the commissioner regarding health services issues
pertaining to the administration of health care benefits covered
under the medical assistance, general assistance medical care,
and MinnesotaCare programs. The Health Services Policy
Committee shall meet at least quarterly. The Health Services
Policy Committee shall annually elect a physician chair from
among its members, who will work directly with the
commissioner's medical director, to establish the agenda for
each meeting.
new text end

Sec. 27.

Minnesota Statutes 2004, section 256B.0625, is
amended by adding a subdivision to read:


new text begin Subd. 3e. new text end

new text begin Health services policy committee members. new text end

new text begin The
Health Services Policy Committee shall be comprised of:
new text end

new text begin (1) six voting members who are licensed physicians actively
engaged in the practice of medicine in Minnesota, one of whom
must be actively engaged in the treatment of persons with mental
illness and three of whom must represent health plans currently
under contract to serve medical assistance recipients;
new text end

new text begin (2) three voting members who are nonphysician health care
professionals licensed in their profession and actively engaged
in the practice of their profession in Minnesota;
new text end

new text begin (3) the commissioner's medical director who will serve as a
nonvoting member; and
new text end

new text begin (4) one consumer who shall serve as a voting member.
new text end

new text begin Members of the Health Services Policy Committee shall not
be employed by the Department of Human Services, except for the
medical director.
new text end

Sec. 28.

Minnesota Statutes 2004, section 256B.0625, is
amended by adding a subdivision to read:


new text begin Subd. 3f. new text end

new text begin Health services policy committee terms and
compensation.
new text end

new text begin Committee members shall serve staggered
three-year terms, with one-third of the voting members' terms
expiring annually. Members may be reappointed by the
commissioner. The commissioner may require more frequent Health
Services Policy Committee meetings as needed. An honorarium of
$200 per meeting and reimbursement for mileage and parking shall
be paid to each committee member in attendance except the
medical director. The Health Services Policy Committee does not
expire as provided in section 15.059, subdivision 6.
new text end

Sec. 29.

Minnesota Statutes 2004, section 256B.0625,
subdivision 13, is amended to read:


Subd. 13.

Drugs.

(a) Medical assistance covers drugs,
except for fertility drugs when specifically used to enhance
fertility, if prescribed by a licensed practitioner and
dispensed by a licensed pharmacist, by a physician enrolled in
the medical assistance program as a dispensing physician, or by
a physician or a nurse practitioner employed by or under
contract with a community health board as defined in section
145A.02, subdivision 5, for the purposes of communicable disease
control.

(b) The dispensed quantity of a prescription drug must not
exceed a 34-day supply, unless authorized by the commissioner.

(c) Medical assistance covers the following
over-the-counter drugs when prescribed by a licensed
practitioner or by a licensed pharmacist who meets standards
established by the commissioner, in consultation with the board
of pharmacy: antacids, acetaminophen, family planning products,
aspirin, insulin, products for the treatment of lice, vitamins
for adults with documented vitamin deficiencies, vitamins for
children under the age of seven and pregnant or nursing women,
and any other over-the-counter drug identified by the
commissioner, in consultation with the formulary committee, as
necessary, appropriate, and cost-effective for the treatment of
certain specified chronic diseases, conditions, or disorders,
and this determination shall not be subject to the requirements
of chapter 14. A pharmacist may prescribe over-the-counter
medications as provided under this paragraph for purposes of
receiving reimbursement under Medicaid. When prescribing
over-the-counter drugs under this paragraph, licensed
pharmacists must consult with the recipient to determine
necessity, provide drug counseling, review drug therapy for
potential adverse interactions, and make referrals as needed to
other health care professionals.

new text begin (d) Effective January 1, 2006, medical assistance shall not
cover drugs that are coverable under Medicare Part D as defined
in the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003, Public Law 108-173, section
1860D-2(e), for individuals eligible for drug coverage as
defined in the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003, Public Law 108-173, section
1860D-1(a)(3)(A). For such individuals, medical assistance may
cover drugs from the drug classes listed in United States Code,
title 42, section 1396r-8(d)(2), subject to the provisions of
this subdivision and subdivisions 13a to 13g, except that drugs
listed in United States Code, title 42, section
1396r-8(d)(2)(E), shall not be covered.
new text end

Sec. 30.

Minnesota Statutes 2004, section 256B.0625,
subdivision 13a, is amended to read:


Subd. 13a.

Drug utilization review board.

new text beginThe
commissioner, after receiving recommendations from professional
medical associations, professional pharmacy associations, and
consumer groups shall designate
new text enda nine-member Drug Utilization
Review Board deleted text beginis establisheddeleted text end. The board deleted text beginis deleted text endnew text beginshall be new text endcomprised of
at least three but no more than four licensed physicians
actively engaged in the practice of medicine in Minnesota; at
least three licensed pharmacists actively engaged in the
practice of pharmacy in Minnesota; and one consumer
representative; the remainder to be made up of health care
professionals who are licensed in their field and have
recognized knowledge in the clinically appropriate prescribing,
dispensing, and monitoring of covered outpatient drugs. The
board shall be staffed by an employee of the department who
shall serve as an ex officio nonvoting member of the board. new text beginThe
department's medical director shall also serve as an ex officio,
nonvoting member of the board.
new text endThe members of the board shall
be appointed by the commissioner and shall serve three-year
terms. deleted text beginThe members shall be selected from lists submitted by
professional associations.
deleted text endThe commissioner shall appoint the
initial members of the board for terms expiring as follows:
three members for terms expiring June 30, 1996; three members
for terms expiring June 30, 1997; and three members for terms
expiring June 30, 1998. Members may be reappointed deleted text beginonce deleted text endnew text beginby the
commissioner
new text end. The board shall annually elect a chair from among
the members.

The commissioner shall, with the advice of the board:

(1) implement a medical assistance retrospective and
prospective drug utilization review program as required by
United States Code, title 42, section 1396r-8(g)(3);

(2) develop and implement the predetermined criteria and
practice parameters for appropriate prescribing to be used in
retrospective and prospective drug utilization review;

(3) develop, select, implement, and assess interventions
for physicians, pharmacists, and patients that are educational
and not punitive in nature;

(4) establish a grievance and appeals process for
physicians and pharmacists under this section;

(5) publish and disseminate educational information to
physicians and pharmacists regarding the board and the review
program;

(6) adopt and implement procedures designed to ensure the
confidentiality of any information collected, stored, retrieved,
assessed, or analyzed by the board, staff to the board, or
contractors to the review program that identifies individual
physicians, pharmacists, or recipients;

(7) establish and implement an ongoing process to (i)
receive public comment regarding drug utilization review
criteria and standards, and (ii) consider the comments along
with other scientific and clinical information in order to
revise criteria and standards on a timely basis; and

(8) adopt any rules necessary to carry out this section.

The board may establish advisory committees. The
commissioner may contract with appropriate organizations to
assist the board in carrying out the board's duties. The
commissioner may enter into contracts for services to develop
and implement a retrospective and prospective review program.

The board shall report to the commissioner annually on the
date the Drug Utilization Review Annual Report is due to the
Centers for Medicare and Medicaid Services. This report is to
cover the preceding federal fiscal year. The commissioner shall
make the report available to the public upon request. The
report must include information on the activities of the board
and the program; the effectiveness of implemented interventions;
administrative costs; and any fiscal impact resulting from the
program. An honorarium of $100 per meeting and reimbursement
for mileage shall be paid to each board member in attendance.

Sec. 31.

Minnesota Statutes 2004, section 256B.0625,
subdivision 13c, is amended to read:


Subd. 13c.

Formulary committee.

The commissioner, after
receiving recommendations from professional medical associations
and professional pharmacy associations, and consumer groups
shall designate a Formulary Committee to carry out duties as
described in subdivisions 13 to 13g. The Formulary Committee
shall be comprised of four licensed physicians actively engaged
in the practice of medicine in Minnesota one of whom must be
actively engaged in the treatment of persons with mental
illness; at least three licensed pharmacists actively engaged in
the practice of pharmacy in Minnesota; and one consumer
representative; the remainder to be made up of health care
professionals who are licensed in their field and have
recognized knowledge in the clinically appropriate prescribing,
dispensing, and monitoring of covered outpatient drugs. Members
of the Formulary Committee shall not be employed by the
Department of Human Servicesnew text begin, but the committee shall be staffed
by an employee of the department who shall serve as an ex
officio, nonvoting member of the board. The department's
medical director shall also serve as an ex officio, nonvoting
member for the committee
new text end. Committee members shall serve
three-year terms and may be reappointed by the commissioner.
The Formulary Committee shall meet at least quarterly. The
commissioner may require more frequent Formulary Committee
meetings as needed. An honorarium of $100 per meeting and
reimbursement for mileage shall be paid to each committee member
in attendance.

Sec. 32.

Minnesota Statutes 2004, section 256B.0625,
subdivision 13e, is amended to read:


Subd. 13e.

Payment rates.

(a) The basis for determining
the amount of payment shall be the lower of the actual
acquisition costs of the drugs plus a fixed dispensing fee; the
maximum allowable cost set by the federal government or by the
commissioner plus the fixed dispensing fee; or the usual and
customary price charged to the public. The amount of payment
basis must be reduced to reflect all discount amounts applied to
the charge by any provider/insurer agreement or contract for
submitted charges to medical assistance programs. The net
submitted charge may not be greater than the patient liability
for the service. The pharmacy dispensing fee shall be $3.65,
except that the dispensing fee for intravenous solutions which
must be compounded by the pharmacist shall be $8 per bag, $14
per bag for cancer chemotherapy products, and $30 per bag for
total parenteral nutritional products dispensed in one liter
quantities, or $44 per bag for total parenteral nutritional
products dispensed in quantities greater than one liter. Actual
acquisition cost includes quantity and other special discounts
except time and cash discounts. The actual acquisition cost of
a drug shall be estimated by the commissioner, at average
wholesale price minus deleted text begin11.5 deleted text endnew text begin12 new text endpercentdeleted text begin, except that where a drug
has had its wholesale price reduced as a result of the actions
of the National Association of Medicaid Fraud Control Units, the
estimated actual acquisition cost shall be the reduced average
wholesale price, without the 11.5 percent deduction
deleted text end. The
maximum allowable cost of a multisource drug may be set by the
commissioner and it shall be comparable to, but no higher than,
the maximum amount paid by other third-party payors in this
state who have maximum allowable cost programs. Establishment
of the amount of payment for drugs shall not be subject to the
requirements of the Administrative Procedure Act.

(b) An additional dispensing fee of $.30 may be added to
the dispensing fee paid to pharmacists for legend drug
prescriptions dispensed to residents of long-term care
facilities when a unit dose blister card system, approved by the
department, is used. Under this type of dispensing system, the
pharmacist must dispense a 30-day supply of drug. The National
Drug Code (NDC) from the drug container used to fill the blister
card must be identified on the claim to the department. The
unit dose blister card containing the drug must meet the
packaging standards set forth in Minnesota Rules, part
6800.2700, that govern the return of unused drugs to the
pharmacy for reuse. The pharmacy provider will be required to
credit the department for the actual acquisition cost of all
unused drugs that are eligible for reuse. Over-the-counter
medications must be dispensed in the manufacturer's unopened
package. The commissioner may permit the drug clozapine to be
dispensed in a quantity that is less than a 30-day supply.

(c) Whenever a generically equivalent product is available,
payment shall be on the basis of the actual acquisition cost of
the generic drug, or on the maximum allowable cost established
by the commissioner.

(d) The basis for determining the amount of payment for
drugs administered in an outpatient setting shall be the lower
of the usual and customary cost submitted by the providerdeleted text begin, the
average wholesale price minus five percent, or the maximum
allowable cost set by the federal government under United States
Code, title 42, chapter 7, section 1396r-8(e), and Code of
Federal Regulations, title 42, section 447.332, or by the
commissioner under paragraphs (a) to (c)
deleted text endnew text beginor the amount
established for Medicare by the United States Department of
Health and Human Services pursuant to the Social Security Act,
title XVIII, section 1847a
new text end.

new text begin (e) The commissioner may negotiate lower reimbursement
rates for specialty pharmacy products than the rates specified
in paragraph (a). The commissioner may require individuals
enrolled in the health care programs administered by the
department to obtain specialty pharmacy products from providers
with whom the commissioner has negotiated lower reimbursement
rates. Specialty pharmacy products are defined as those used by
a small number of recipients or recipients with complex and
chronic diseases that require expensive and challenging drug
regimens. Examples of such conditions include, but are not
limited to: multiple sclerosis, HIV/AIDS, transplantation,
hepatitis C, growth hormone deficiency, Crohn's Disease,
rheumatoid arthritis, and certain forms of cancer. Specialty
pharmaceutical products commonly include injectable and infusion
therapies, biotechnology drugs, high-cost therapies, and
therapies that require complex care. The commissioner shall
consult with the formulary committee to develop a list of
specialty pharmacy products subject to this paragraph.
new text end

new text begin (f) The commissioner may require individuals enrolled in
the health care programs administered by the department to
obtain drugs used to treat hemophilia from a comprehensive
hemophilia diagnostic treatment center as defined in United
States Code, title 42, section 256b(a)(4)(G); provided that the
hemophilia treatment center is enrolled as a covered entity in
the drug pricing program, commonly known as the 340B program,
that is established under that section.
new text end

Sec. 33.

Minnesota Statutes 2004, section 256B.0625,
subdivision 13f, is amended to read:


Subd. 13f.

Prior authorization.

(a) The Formulary
Committee shall review and recommend drugs which require prior
authorization. The Formulary Committee shall establish general
criteria to be used for the prior authorization of brand-name
drugs for which generically equivalent drugs are available, but
the committee is not required to review each brand-name drug for
which a generically equivalent drug is available.

(b) Prior authorization may be required by the commissioner
before certain formulary drugs are eligible for payment. The
Formulary Committee may recommend drugs for prior authorization
directly to the commissioner. The commissioner may also request
that the Formulary Committee review a drug for prior
authorization. Before the commissioner may require prior
authorization for a drug:

(1) the commissioner must provide information to the
Formulary Committee on the impact that placing the drug on prior
authorization may have on the quality of patient care and on
program costs, information regarding whether the drug is subject
to clinical abuse or misuse, and relevant data from the state
Medicaid program if such data is available;

(2) the Formulary Committee must review the drug, taking
into account medical and clinical data and the information
provided by the commissioner; and

(3) the Formulary Committee must hold a public forum and
receive public comment for an additional 15 days.

The commissioner must provide a 15-day notice period before
implementing the prior authorization.

(c) Prior authorization shall not be required or utilized
for any atypical antipsychotic drug prescribed for the treatment
of mental illness if:

(1) there is no generically equivalent drug available; and

(2) the drug was initially prescribed for the recipient
prior to July 1, 2003; or

(3) the drug is part of the recipient's current course of
treatment.

This paragraph applies to any multistate preferred drug list or
supplemental drug rebate program established or administered by
the commissioner. new text beginPrior authorization shall automatically be
granted for 60 days for brand name drugs prescribed for
treatment of mental illness within 60 days of when a generically
equivalent drug becomes available.
new text end

(d) Prior authorization shall not be required or utilized
for any antihemophilic factor drug prescribed for the treatment
of hemophilia and blood disorders where there is no generically
equivalent drug available if the prior authorization is used in
conjunction with any supplemental drug rebate program or
multistate preferred drug list established or administered by
the commissioner. deleted text beginThis paragraph expires July 1, 2005.
deleted text end

(e) The commissioner may require prior authorization for
brand name drugs whenever a generically equivalent product is
available, even if the prescriber specifically indicates
"dispense as written-brand necessary" on the prescription as
required by section 151.21, subdivision 2.

new text begin (f) Notwithstanding the provisions of this subdivision, the
commissioner may automatically require prior authorization, for
a period not to exceed 180 days, for any drug that is approved
by the United States Food and Drug Administration on or after
July 1, 2005. The 180-day period shall begin no later than the
first day that a drug is available for shipment to pharmacies
within the state. The Formulary Committee shall recommend to
the commissioner general criteria to be used for the prior
authorization of such drugs, but the committee is not required
to review each individual drug. In order to continue prior
authorizations for a drug after the 180-day period has expired,
the commissioner must follow the provisions of this subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin The amendment to paragraph (d) is
effective June 30, 2005.
new text end

Sec. 34.

Minnesota Statutes 2004, section 256B.0625, is
amended by adding a subdivision to read:


new text begin Subd. 13h. new text end

new text begin Medication therapy management care. new text end

new text begin (a)
Medical assistance and general assistance medical care cover
medication therapy management services for a recipient taking
four or more prescriptions to treat or prevent two or more
chronic medical conditions, or a recipient with a drug therapy
problem that is identified or prior authorized by the
commissioner that has resulted or is likely to result in
significant nondrug program costs. The commissioner may cover
medical therapy management services under MinnesotaCare if the
commissioner determines this is cost-effective. For purposes of
this subdivision, "medication therapy management" means the
provision of the following pharmaceutical care services by a
licensed pharmacist to optimize the therapeutic outcomes of the
patient's medications:
new text end

new text begin (1) performing or obtaining necessary assessments of the
patient's health status;
new text end

new text begin (2) formulating a medication treatment plan;
new text end

new text begin (3) monitoring and evaluating the patient's response to
therapy, including safety and effectiveness;
new text end

new text begin (4) performing a comprehensive medication review to
identify, resolve, and prevent medication-related problems,
including adverse drug events;
new text end

new text begin (5) documenting the care delivered and communicating
essential information to the patient's other primary care
providers;
new text end

new text begin (6) providing verbal education and training designed to
enhance patient understanding and appropriate use of the
patient's medications;
new text end

new text begin (7) providing information, support services, and resources
designed to enhance patient adherence with the patient's
therapeutic regimens; and
new text end

new text begin (8) coordinating and integrating medication therapy
management services within the broader health care management
services being provided to the patient.
new text end

new text begin Nothing in this subdivision shall be construed to expand or
modify the scope of practice of the pharmacist as defined in
section 151.01, subdivision 27.
new text end

new text begin (b) To be eligible for reimbursement for services under
this subdivision, a pharmacist must meet the following
requirements:
new text end

new text begin (1) have a valid license issued under chapter 151;
new text end

new text begin (2) have graduated from an accredited college of pharmacy
on or after May 1996, or completed a structured and
comprehensive education program approved by the Board of
Pharmacy and the American Council of Pharmaceutical Education
for the provision and documentation of pharmaceutical care
management services that has both clinical and didactic
elements;
new text end

new text begin (3) be practicing in an ambulatory care setting as part of
a multidisciplinary team or have developed a structured patient
care process that is offered in a private or semiprivate patient
care area that is separate from the commercial business that
also occurs in the setting; and
new text end

new text begin (4) make use of an electronic patient record system that
meets state standards.
new text end

new text begin (c) For purposes of reimbursement for medication therapy
management services, the commissioner may enroll individual
pharmacists as medical assistance and general assistance medical
care providers. The commissioner may also establish contact
requirements between the pharmacist and recipient, including
limiting the number of reimbursable consultations per recipient.
new text end

new text begin (d) The commissioner, after receiving recommendations from
professional medical associations, professional pharmacy
associations, and consumer groups, shall convene an 11-member
Medication Therapy Management Advisory Committee to advise the
commissioner on the implementation and administration of
medication therapy management services. The committee shall be
comprised of: two licensed physicians; two licensed
pharmacists; two consumer representatives; two health plan
company representatives; and three members with expertise in the
area of medication therapy management, who may be licensed
physicians or licensed pharmacists. The committee is governed
by section 15.059, except that committee members do not receive
compensation or reimbursement for expenses. The advisory
committee expires on June 30, 2007.
new text end

new text begin (e) The commissioner shall evaluate the effect of
medication therapy management on quality of care, patient
outcomes, and program costs, and shall include a description of
any savings generated in the medical assistance and general
assistance medical care programs that can be attributable to
this coverage. The evaluation shall be submitted to the
legislature by December 15, 2007. The commissioner may contract
with a vendor or an academic institution that has expertise in
evaluating health care outcomes for the purpose of completing
the evaluation.
new text end

Sec. 35.

Minnesota Statutes 2004, section 256B.0625,
subdivision 17, is amended to read:


Subd. 17.

Transportation costs.

(a) Medical assistance
covers transportation costs incurred solely for obtaining
emergency medical care or transportation costs incurred by
eligible persons in obtaining emergency or nonemergency medical
care when paid directly to an ambulance company, common carrier,
or other recognized providers of transportation services.

(b) Medical assistance covers special transportation, as
defined in Minnesota Rules, part 9505.0315, subpart 1, item F,
if the recipient has a physical or mental impairment that would
prohibit the recipient from safely accessing and using a bus,
taxi, other commercial transportation, or private automobile.

The commissioner may use an order by the recipient's attending
physician to certify that the recipient requires special
transportation services. Special transportation includes
driver-assisted service to eligible individuals.
Driver-assisted service includes passenger pickup at and return
to the individual's residence or place of business, assistance
with admittance of the individual to the medical facility, and
assistance in passenger securement or in securing of wheelchairs
or stretchers in the vehicle. Special transportation providers
must obtain written documentation from the health care service
provider who is serving the recipient being transported,
identifying the time that the recipient arrived. Special
transportation providers may not bill for separate base rates
for the continuation of a trip beyond the original destination.
Special transportation providers must take recipients to the
nearest appropriate health care provider, using the most direct
route available. The maximum medical assistance reimbursement
rates for special transportation services are:

(1) $18 for the base rate and $1.40 per mile for services
to eligible persons who need a wheelchair-accessible van;

(2) $12 for the base rate and $1.35 per mile for services
to eligible persons who do not need a wheelchair-accessible van;
and

(3) deleted text begin$36 deleted text endnew text begin$60 new text endfor the base rate and deleted text begin$1.40 deleted text endnew text begin$2.40 new text endper mile, and
an attendant rate of $9 per trip, for services to eligible
persons who need a stretcher-accessible vehicle.

Sec. 36.

new text begin [256B.0632] MEDICALLY NECESSARY ITEMS AND
SERVICES.
new text end

new text begin Subdivision 1. new text end

new text begin General requirement for
coverage.
new text end

new text begin Enrollees under the medical assistance program are
eligible to receive, and medical assistance shall provide
payment for, only those medical items and services that are:
new text end

new text begin (1) within the scope of defined benefits for which the
enrollee is eligible under the medical assistance program; and
new text end

new text begin (2) determined by the medical assistance program to be
medically necessary.
new text end

new text begin Subd. 2. new text end

new text begin Medical necessity. new text end

new text begin (a) To be determined to be
medically necessary, a medical item or service must be
recommended by a physician who is treating the enrollee or other
licensed health care provider practicing within the scope of
their practice and must satisfy each of the criteria in this
section.
new text end

new text begin (b) It must be required in order to diagnose or treat an
enrollee's medical condition. The convenience of an enrollee,
the enrollee's family, or a provider, shall not be a factor or
justification in determining that a medical item or service is
medically necessary.
new text end

new text begin (c) It must be safe and effective. To qualify as safe and
effective, the type and level of medical item or service must be
consistent with the symptoms or diagnosis and treatment of the
particular medical condition, and the reasonably anticipated
medical benefits of the item or service must outweigh the
reasonably anticipated medical risks based on the enrollee's
condition and scientifically supported evidence.
new text end

new text begin (d) It must be the least costly alternative course of
diagnosis or treatment that is adequate for the medical
condition of the enrollee. When applied to medical items or
services delivered in an inpatient setting, it further means
that the medical item or service cannot be safely provided for
the same or lesser cost to the person in an outpatient setting.
Where there are less costly alternative courses of diagnosis or
treatment, including less costly alternative settings, that are
adequate for the medical condition of the enrollee, more costly
alternative courses of diagnosis or treatment are not medically
necessary. An alternative course of diagnosis or treatment may
include observation, lifestyle or behavioral changes, or where
appropriate, no treatment at all.
new text end

new text begin Subd. 3. new text end

new text begin Determination of commissioner. new text end

new text begin It is the
responsibility of the commissioner ultimately to determine what
medical items and services are medically necessary for the
medical assistance program. The fact that a provider has
prescribed, recommended, or approved a medical item or service
does not, in itself, make such item or service medically
necessary.
new text end

new text begin Subd. 4. new text end

new text begin Applicability. new text end

new text begin The medical necessity standard
in this section shall govern the delivery of all services and
items to all enrollees or classes of beneficiaries in the
medical assistance program. The commissioner is authorized to
make limited special provisions for particular items or
services, such as long-term care, or such as may be required for
compliance with federal law.
new text end

new text begin Subd. 5. new text end

new text begin Medical protocols. new text end

new text begin Medical protocols developed
using evidence-based medicine that are authorized by the
commissioner shall satisfy the standard of medical necessity.
Such protocols shall be appropriately published to all medical
assistance providers and managed care organizations.
new text end

new text begin Subd. 6. new text end

new text begin Rulemaking. new text end

new text begin The commissioner is authorized to
adopt any rules necessary to implement this section.
new text end

new text begin Subd. 7. new text end

new text begin Application. new text end

new text begin This section does not apply if the
medical necessity standard, or medical protocols authorized
under subdivision 5, authorize or recommend denial of treatment,
food, or fluids necessary to sustain life on the basis of the
patient's age or expected length of life, or the patient's
present or predicted disability, degree of medical dependency,
or quality of life.
new text end

Sec. 37.

new text begin [256B.0633] LIMITING COVERAGE OF HEALTH CARE
SERVICES FOR PUBLIC PROGRAMS.
new text end

new text begin Subdivision 1. new text end

new text begin Prior authorization of services. new text end

new text begin (a)
Effective July 1, 2005, prior authorization is required for the
services described in subdivision 2 for reimbursement under
chapters 256B, 256D, and 256L. Effective July 1, 2005, prepaid
health plans shall use prior authorization for the services
described in subdivision 2 unless the prepaid health plan is
otherwise using evidence-based practices to address these
services.
new text end

new text begin (b) Prior authorization shall be conducted under the
direction of the medical director of the Department of Human
Services in conjunction with the Health Services Policy
Committee. To the extent available, the medical director shall
use publicly available evidence-based guidelines developed by an
independent, nonprofit organization or by the professional
association of the specialty that typically provides the service
or by a multistate Medicaid evidence-based practice center. If
the commissioner does not have a medical director and medical
policy in place, the commissioner shall contract prior
authorization to a Minnesota-licensed utilization review
organization or an organization federally certified as a peer
review organization-like entity eligible to operate in Minnesota.
new text end

new text begin Subd. 2. new text end

new text begin Services requiring prior authorization. new text end

new text begin The
following services require prior authorization:
new text end

new text begin (1) elective outpatient high technology imaging to include
positive emission tomography (PET) scans, magnetic resonance
imaging (MRI), computed tomography (CT), and nuclear cardiology;
new text end

new text begin (2) spinal fusion, unless in an emergency situation related
to trauma;
new text end

new text begin (3) bariatric surgery;
new text end

new text begin (4) orthodontia;
new text end

new text begin (5) cesarean section or insertion of tympanostomy tubes
except in an emergency situation; and
new text end

new text begin (6) hysterectomy.
new text end

Sec. 38.

Minnesota Statutes 2004, section 256B.0644, is
amended to read:


256B.0644 PARTICIPATION REQUIRED FOR REIMBURSEMENT UNDER
OTHER STATE HEALTH CARE PROGRAMS.

A vendor of medical care, as defined in section 256B.02,
subdivision 7, and a health maintenance organization, as defined
in chapter 62D, must participate as a provider or contractor in
the medical assistance program, general assistance medical care
program, and MinnesotaCare as a condition of participating as a
provider in health insurance plans and programs or contractor
for state employees established under section 43A.18, the public
employees insurance program under section 43A.316, for health
insurance plans offered to local statutory or home rule charter
city, county, and school district employees, the workers'
compensation system under section 176.135, and insurance plans
provided through the Minnesota Comprehensive Health Association
under sections 62E.01 to 62E.19. new text beginThis section does not apply to
any person providing dental services.
new text endThe limitations on
insurance plans offered to local government employees shall not
be applicable in geographic areas where provider participation
is limited by managed care contracts with the Department of
Human Services. For providers other than health maintenance
organizations, participation in the medical assistance program
means that deleted text begin(1) deleted text endthe provider accepts new medical assistance,
general assistance medical care, and MinnesotaCare patients deleted text beginor
(2) for providers other than dental service providers
deleted text end, new text beginand new text endat
least 20 percent of the provider's patients are covered by
medical assistance, general assistance medical care, and
MinnesotaCare as their primary source of coveragedeleted text begin, or (3) for
dental service providers, at least ten percent of the provider's
patients are covered by medical assistance, general assistance
medical care, and MinnesotaCare as their primary source of
coverage
deleted text end. Patients seen on a volunteer basis by the provider at
a location other than the provider's usual place of practice may
be considered in meeting this participation requirement. The
commissioner shall establish participation requirements for
health maintenance organizations. The commissioner shall
provide lists of participating medical assistance providers on a
quarterly basis to the commissioner of employee relations, the
commissioner of labor and industry, and the commissioner of
commerce. Each of the commissioners shall develop and implement
procedures to exclude as participating providers in the program
or programs under their jurisdiction those providers who do not
participate in the medical assistance program. The commissioner
of employee relations shall implement this section through
contracts with participating health deleted text beginand dental deleted text endcarriers.

Sec. 39.

Minnesota Statutes 2004, section 256B.075,
subdivision 2, is amended to read:


Subd. 2.

Fee-for-service.

(a) The commissioner shall
develop and implement a disease management program for medical
assistance and general assistance medical care recipients who
are not enrolled in the prepaid medical assistance or prepaid
general assistance medical care programs and who are receiving
services on a fee-for-service basis. The commissioner may
contract with an outside organization to provide these services.

(b) The commissioner shall seek any federal approval
necessary to implement this section and to obtain federal
matching funds.

new text begin (c) The commissioner shall develop and implement a pilot
intensive care management program for medical assistance
children with complex and chronic medical issues who are not
able to participate in the metro-based U Special Kids program
due to geographic distance.
new text end

Sec. 40.

Minnesota Statutes 2004, section 256B.15,
subdivision 1, is amended to read:


Subdivision 1.

Policy, applicability, purpose, and
construction; definition.

(a) It is the policy of this state
that individuals or couples, either or both of whom participate
in the medical assistance program, use their own assets to pay
their share of the total cost of their care during or after
their enrollment in the program according to applicable federal
law and the laws of this state. The following provisions apply:

(1) subdivisions 1c to 1k shall not apply to claims arising
under this section which are presented under section 525.313;

(2) the provisions of subdivisions 1c to 1k expanding the
interests included in an estate for purposes of recovery under
this section give effect to the provisions of United States
Code, title 42, section 1396p, governing recoveries, but do not
give rise to any express or implied liens in favor of any other
parties not named in these provisions;

(3) the continuation of a recipient's life estate or joint
tenancy interest in real property after the recipient's death
for the purpose of recovering medical assistance under this
section modifies common law principles holding that these
interests terminate on the death of the holder;

(4) all laws, rules, and regulations governing or involved
with a recovery of medical assistance shall be liberally
construed to accomplish their intended purposes;

(5) a deceased recipient's life estate and joint tenancy
interests continued under this section shall be owned by the
remaindermen or surviving joint tenants as their interests may
appear on the date of the recipient's death. They shall not be
merged into the remainder interest or the interests of the
surviving joint tenants by reason of ownership. They shall be
subject to the provisions of this section. Any conveyance,
transfer, sale, assignment, or encumbrance by a remainderman, a
surviving joint tenant, or their heirs, successors, and assigns
shall be deemed to include all of their interest in the deceased
recipient's life estate or joint tenancy interest continued
under this section; and

(6) the provisions of subdivisions 1c to 1k continuing a
recipient's joint tenancy interests in real property after the
recipient's death do not apply to a homestead owned of record,
on the date the recipient dies, by the recipient and the
recipient's spouse as joint tenants with a right of
survivorship. Homestead means the real property occupied by the
surviving joint tenant spouse as their sole residence on the
date the recipient dies and classified and taxed to the
recipient and surviving joint tenant spouse as homestead
property for property tax purposes in the calendar year in which
the recipient dies. For purposes of this exemption, real
property the recipient and their surviving joint tenant spouse
purchase solely with the proceeds from the sale of their prior
homestead, own of record as joint tenants, and qualify as
homestead property under section 273.124 in the calendar year in
which the recipient dies and prior to the recipient's death
shall be deemed to be real property classified and taxed to the
recipient and their surviving joint tenant spouse as homestead
property in the calendar year in which the recipient dies. The
surviving spouse, or any person with personal knowledge of the
facts, may provide an affidavit describing the homestead
property affected by this clause and stating facts showing
compliance with this clause. The affidavit shall be prima facie
evidence of the facts it states.

(b) For purposes of this section, "medical assistance"
includes the medical assistance program under this chapter and
the general assistance medical care program under chapter 256D
and alternative care for nonmedical assistance recipients under
section 256B.0913.

new text begin (c) All provisions in this subdivision, and subdivisions
1d, 1f, 1g, 1h, 1i, and 1j, related to the continuation of a
recipient's life estate or joint tenancy interests in real
property after the recipient's death for the purpose of
recovering medical assistance, are effective only for life
estates and joint tenancy interests established on or after
August 1, 2003.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively
from August 1, 2003.
new text end

Sec. 41.

Minnesota Statutes 2004, section 256B.195,
subdivision 3, is amended to read:


Subd. 3.

Payments to certain safety net providers.

(a)
Effective July 15, 2001, the commissioner shall make the
following payments to the hospitals indicated after noon on the
15th of each month:

(1) to Hennepin County Medical Center, any federal matching
funds available to match the payments received by the medical
center under subdivision 2, to increase payments for medical
assistance admissions and to recognize higher medical assistance
costs in institutions that provide high levels of charity care;
and

(2) to Regions Hospital, any federal matching funds
available to match the payments received by the hospital under
subdivision 2, to increase payments for medical assistance
admissions and to recognize higher medical assistance costs in
institutions that provide high levels of charity care.

(b) Effective July 15, 2001, the following percentages of
the transfers under subdivision 2 shall be retained by the
commissioner for deposit each month into the general fund:

(1) 18 percent, plus any federal matching funds, shall be
allocated for the following purposes:

(i) during the fiscal year beginning July 1, 2001, of the
amount available under this clause, 39.7 percent shall be
allocated to make increased hospital payments under section
256.969, subdivision 26; 34.2 percent shall be allocated to fund
the amounts due from small rural hospitals, as defined in
section 144.148, for overpayments under section 256.969,
subdivision 5a, resulting from a determination that medical
assistance and general assistance payments exceeded the charge
limit during the period from 1994 to 1997; and 26.1 percent
shall be allocated to the commissioner of health for rural
hospital capital improvement grants under section 144.148; and

(ii) during fiscal years beginning on or after July 1,
2002, of the amount available under this clause, 55 percent
shall be allocated to make increased hospital payments under
section 256.969, subdivision 26, and 45 percent shall be
allocated to the commissioner of health for rural hospital
capital improvement grants under section 144.148; and

(2) 11 percent shall be allocated to the commissioner of
health to fund community clinic grants under section 145.9268.

(c) This subdivision shall apply to fee-for-service
payments only and shall not increase capitation payments or
payments made based on average rates. new text beginThe allocation in
paragraph (b), clause (1), item (ii), to increase hospital
payments under section 256.969, subdivision 26, shall not limit
payments under that section.
new text end

(d) Medical assistance rate or payment changes, including
those required to obtain federal financial participation under
section 62J.692, subdivision 8, shall precede the determination
of intergovernmental transfer amounts determined in this
subdivision. Participation in the intergovernmental transfer
program shall not result in the offset of any health care
provider's receipt of medical assistance payment increases other
than limits resulting from hospital-specific charge limits and
limits on disproportionate share hospital payments.

(e) Effective July 1, 2003, if the amount available for
allocation under paragraph (b) is greater than the amounts
available during March 2003, after any increase in
intergovernmental transfers and payments that result from
section 256.969, subdivision 3a, paragraph (c), are paid to the
general fund, any additional amounts available under this
subdivision after reimbursement of the transfers under
subdivision 2 shall be allocated to increase medical assistance
payments, subject to hospital-specific charge limits and limits
on disproportionate share hospital payments, as follows:

(1) if the payments under subdivision 5 are approved, the
amount shall be paid to the largest ten percent of hospitals as
measured by 2001 payments for medical assistance, general
assistance medical care, and MinnesotaCare in the nonstate
government hospital category. Payments shall be allocated
according to each hospital's proportionate share of the 2001
payments; or

(2) if the payments under subdivision 5 are not approved,
the amount shall be paid to the largest ten percent of hospitals
as measured by 2001 payments for medical assistance, general
assistance medical care, and MinnesotaCare in the nonstate
government category and to the largest ten percent of hospitals
as measured by payments for medical assistance, general
assistance medical care, and MinnesotaCare in the nongovernment
hospital category. Payments shall be allocated according to
each hospital's proportionate share of the 2001 payments in
their respective category of nonstate government and
nongovernment. The commissioner shall determine which hospitals
are in the nonstate government and nongovernment hospital
categories.

Sec. 42.

Minnesota Statutes 2004, section 256B.32,
subdivision 1, is amended to read:


Subdivision 1.

Facility fee payment.

(a) The
commissioner shall establish a facility fee payment mechanism
that will pay a facility fee to all enrolled outpatient
hospitals for each emergency room or outpatient clinic visit
provided on or after July 1, 1989. This payment mechanism may
not result in an overall increase in outpatient payment rates.
This section does not apply to federally mandated maximum
payment limits, department-approved program packages, or
services billed using a nonoutpatient hospital provider number.

(b) For fee-for-service services provided on or after July
1, 2002, the total payment, before third-party liability and
spenddown, made to hospitals for outpatient hospital facility
services is reduced by .5 percent from the current statutory
rates.

(c) In addition to the reduction in paragraph (b), the
total payment for fee-for-service services provided on or after
July 1, 2003, made to hospitals for outpatient hospital facility
services before third-party liability and spenddown, is reduced
five percent from the current statutory rates. Facilities
defined under section 256.969, subdivision 16, are excluded from
this paragraph.

new text begin (d) In addition to the reduction in paragraphs (b) and (c)
and section 256D.03, subdivision 4, paragraph (k), the total
payment for fee-for-service services provided on or after July
1, 2005, made to hospitals for outpatient hospital facility
services before third-party liability and spenddown, is reduced
five percent from the current statutory rates. Facilities
defined under section 256.969, subdivision 16, are excluded from
this paragraph.
new text end

Sec. 43.

Minnesota Statutes 2004, section 256B.69,
subdivision 4, is amended to read:


Subd. 4.

Limitation of choice.

(a) The commissioner
shall develop criteria to determine when limitation of choice
may be implemented in the experimental counties. The criteria
shall ensure that all eligible individuals in the county have
continuing access to the full range of medical assistance
services as specified in subdivision 6.

(b) The commissioner shall exempt the following persons
from participation in the project, in addition to those who do
not meet the criteria for limitation of choice:

(1) persons eligible for medical assistance according to
section 256B.055, subdivision 1;

(2) persons eligible for medical assistance due to
blindness or disability as determined by the Social Security
Administration or the state medical review team, unless:

(i) they are 65 years of age or older; or

(ii) they reside in Itasca County or they reside in a
county in which the commissioner conducts a pilot project under
a waiver granted pursuant to section 1115 of the Social Security
Act;

(3) recipients who currently have private coverage through
a health maintenance organization;

(4) recipients who are eligible for medical assistance by
spending down excess income for medical expenses other than the
nursing facility per diem expense;

(5) recipients who receive benefits under the Refugee
Assistance Program, established under United States Code, title
8, section 1522(e);

(6) children who are both determined to be severely
emotionally disturbed and receiving case management services
according to section 256B.0625, subdivision 20;

(7) adults who are both determined to be seriously and
persistently mentally ill and received case management services
according to section 256B.0625, subdivision 20;

(8) persons eligible for medical assistance according to
section 256B.057, subdivision 10; and

(9) persons with access to cost-effective
employer-sponsored private health insurance or persons enrolled
in deleted text beginan deleted text endnew text begina non-Medicare new text endindividual health plan determined to be
cost-effective according to section 256B.0625, subdivision 15.

Children under age 21 who are in foster placement may enroll in
the project on an elective basis. Individuals excluded under
clauses (1), (6), and (7) may choose to enroll on an elective
basis. The commissioner may enroll recipients in the prepaid
medical assistance program for seniors who are (1) age 65 and
over, and (2) eligible for medical assistance by spending down
excess income.

(c) The commissioner may allow persons with a one-month
spenddown who are otherwise eligible to enroll to voluntarily
enroll or remain enrolled, if they elect to prepay their monthly
spenddown to the state.

(d) The commissioner may require those individuals to
enroll in the prepaid medical assistance program who otherwise
would have been excluded under paragraph (b), clauses (1), (3),
and (8), and under Minnesota Rules, part 9500.1452, subpart 2,
items H, K, and L.

(e) Before limitation of choice is implemented, eligible
individuals shall be notified and after notification, shall be
allowed to choose only among demonstration providers. The
commissioner may assign an individual with private coverage
through a health maintenance organization, to the same health
maintenance organization for medical assistance coverage, if the
health maintenance organization is under contract for medical
assistance in the individual's county of residence. After
initially choosing a provider, the recipient is allowed to
change that choice only at specified times as allowed by the
commissioner. If a demonstration provider ends participation in
the project for any reason, a recipient enrolled with that
provider must select a new provider but may change providers
without cause once more within the first 60 days after
enrollment with the second provider.

(f) An infant born to a woman who is eligible for and
receiving medical assistance and who is enrolled in the prepaid
medical assistance program shall be retroactively enrolled to
the month of birth in the same managed care plan as the mother
once the child is enrolled in medical assistance unless the
child is determined to be excluded from enrollment in a prepaid
plan under this section.

Sec. 44.

Minnesota Statutes 2004, section 256B.69, is
amended by adding a subdivision to read:


new text begin Subd. 5i. new text end

new text begin Payment reduction. new text end

new text begin In addition to the
reduction in subdivisions 5g and 5h and section 256D.03,
subdivision 4, paragraph (m), the total payment made to managed
care plans is reduced 2.01 percent under the medical assistance
program and 2.20 percent under the general assistance medical
care program for services provided on or after January 1, 2006.
This provision excludes payments for nursing home services, home
and community-based waivers, and payments to demonstration
projects for persons with disabilities.
new text end

Sec. 45.

Minnesota Statutes 2004, section 256B.75, is
amended to read:


256B.75 HOSPITAL OUTPATIENT REIMBURSEMENT.

(a) For outpatient hospital facility fee payments for
services rendered on or after October 1, 1992, the commissioner
of human services shall pay the lower of (1) submitted charge,
or (2) 32 percent above the rate in effect on June 30, 1992,
except for those services for which there is a federal maximum
allowable payment. Effective for services rendered on or after
January 1, 2000, payment rates for nonsurgical outpatient
hospital facility fees and emergency room facility fees shall be
increased by eight percent over the rates in effect on December
31, 1999, except for those services for which there is a federal
maximum allowable payment. Services for which there is a
federal maximum allowable payment shall be paid at the lower of
(1) submitted charge, or (2) the federal maximum allowable
payment. Total aggregate payment for outpatient hospital
facility fee services shall not exceed the Medicare upper
limit. If it is determined that a provision of this section
conflicts with existing or future requirements of the United
States government with respect to federal financial
participation in medical assistance, the federal requirements
prevail. The commissioner may, in the aggregate, prospectively
reduce payment rates to avoid reduced federal financial
participation resulting from rates that are in excess of the
Medicare upper limitations.

(b) Notwithstanding paragraph (a), payment for outpatient,
emergency, and ambulatory surgery hospital facility fee services
for critical access hospitals designated under section 144.1483,
clause (11), shall be paid on a cost-based payment system that
is based on the cost-finding methods and allowable costs of the
Medicare program.

(c) Effective for services provided on or after July 1,
2003, rates that are based on the Medicare outpatient
prospective payment system shall be replaced by a budget neutral
prospective payment system that is derived using medical
assistance data. The commissioner shall provide a proposal to
the 2003 legislature to define and implement this provision.

(d) For fee-for-service services provided on or after July
1, 2002, the total payment, before third-party liability and
spenddown, made to hospitals for outpatient hospital facility
services is reduced by .5 percent from the current statutory
rate.

(e) In addition to the reduction in paragraph (d), the
total payment for fee-for-service services provided on or after
July 1, 2003, made to hospitals for outpatient hospital facility
services before third-party liability and spenddown, is reduced
five percent from the current statutory rates. Facilities
defined under section 256.969, subdivision 16, are excluded from
this paragraph.

new text begin (f) In addition to the reduction in paragraphs (d) and (e)
and section 256D.03, subdivision 4, paragraph (k), the total
payment for fee-for-service services provided on or after July
1, 2005, made to hospitals for outpatient hospital facility
services before third-party liability and spenddown, is reduced
five percent from the current statutory rates. Facilities
defined under section 256.969, subdivision 16, are excluded from
this paragraph.
new text end

Sec. 46.

Minnesota Statutes 2004, section 256D.03,
subdivision 3, is amended to read:


Subd. 3.

General assistance medical care; eligibility.

(a) General assistance medical care may be paid for any person
who is not eligible for medical assistance under chapter 256B,
including eligibility for medical assistance based on a
spenddown of excess income according to section 256B.056,
subdivision 5, or MinnesotaCare as defined in paragraph (b),
except as provided in paragraph (c), and:

(1) who is receiving assistance under section 256D.05,
except for families with children who are eligible under
Minnesota family investment program (MFIP), deleted text beginor deleted text endwho is having a
payment made on the person's behalf under sections 256I.01 to
256I.06new text begin, or who resides in group residential housing as defined
in chapter 256I and can meet a spenddown using the cost of
remedial services received through group residential housing
new text end; or

(2) new text begin(i) new text endwho is a resident of Minnesotadeleted text begin;deleted text endand

deleted text begin (i) who has gross countable income not in excess of 75
percent of the federal poverty guidelines for the family size,
using a six-month budget period and
deleted text endwhose equity in assets is
not in excess of $1,000 per assistance unit. Exempt assets, the
reduction of excess assets, and the waiver of excess assets must
conform to the medical assistance program in section 256B.056,
subdivision 3, with the following exception: the maximum amount
of undistributed funds in a trust that could be distributed to
or on behalf of the beneficiary by the trustee, assuming the
full exercise of the trustee's discretion under the terms of the
trust, must be applied toward the asset maximum; deleted text beginor deleted text endnew text beginand
new text end

(ii) who has gross countable income deleted text beginabove 75 percent deleted text endnew text beginnot in
excess
new text endof new text begin75 percent of new text endthe federal poverty guidelines deleted text beginbut not
in excess of 175 percent of the federal poverty guidelines
deleted text endfor
the family size, using a six-month budget period, new text beginor new text endwhose
deleted text begin equity in assets is not in excess of the limits in section
256B.056, subdivision 3c, and who applies during an inpatient
hospitalization
deleted text endnew text beginexcess income is spent down to 50 percent of the
federal poverty guidelines using a six-month budget period
new text end.

(b) General assistance medical care may not be paid for
applicants or recipients who meet all eligibility requirements
of MinnesotaCare as defined in sections 256L.01 to 256L.16, and
are adults with dependent children under 21 whose gross family
income is equal to or less than deleted text begin275 deleted text endnew text begin175 new text endpercent of the federal
poverty guidelines.

(c) deleted text beginFor applications received on or after October 1, 2003,
deleted text end Eligibility may begin no earlier than the date of application.
For individuals eligible under paragraph (a), clause (2), deleted text beginitem
(i),
deleted text enda redetermination of eligibility must occur every 12
months. deleted text beginIndividuals are eligible under paragraph (a), clause
(2), item (ii), only during inpatient hospitalization but may
reapply if there is a subsequent period of inpatient
hospitalization.
deleted text endBeginning January 1, 2000, Minnesota health
care program applications completed by recipients and applicants
who are persons described in paragraph (b), may be returned to
the county agency to be forwarded to the Department of Human
Services or sent directly to the Department of Human Services
for enrollment in MinnesotaCare. If all other eligibility
requirements of this subdivision are met, eligibility for
general assistance medical care shall be available in any month
during which a MinnesotaCare eligibility determination and
enrollment are pending. Upon notification of eligibility for
MinnesotaCare, notice of termination for eligibility for general
assistance medical care shall be sent to an applicant or
recipient. If all other eligibility requirements of this
subdivision are met, eligibility for general assistance medical
care shall be available until enrollment in MinnesotaCare
subject to the provisions of paragraph (e).

(d) The date of an initial Minnesota health care program
application necessary to begin a determination of eligibility
shall be the date the applicant has provided a name, address,
and Social Security number, signed and dated, to the county
agency or the Department of Human Services. If the applicant is
unable to provide a name, address, Social Security number, and
signature when health care is delivered due to a medical
condition or disability, a health care provider may act on an
applicant's behalf to establish the date of an initial Minnesota
health care program application by providing the county agency
or Department of Human Services with provider identification and
a temporary unique identifier for the applicant. The applicant
must complete the remainder of the application and provide
necessary verification before eligibility can be determined.
The county agency must assist the applicant in obtaining
verification if necessary.

(e) County agencies are authorized to use all automated
databases containing information regarding recipients' or
applicants' income in order to determine eligibility for general
assistance medical care or MinnesotaCare. Such use shall be
considered sufficient in order to determine eligibility and
premium payments by the county agency.

(f) General assistance medical care is not available for a
person in a correctional facility unless the person is detained
by law for less than one year in a county correctional or
detention facility as a person accused or convicted of a crime,
or admitted as an inpatient to a hospital on a criminal hold
order, and the person is a recipient of general assistance
medical care at the time the person is detained by law or
admitted on a criminal hold order and as long as the person
continues to meet other eligibility requirements of this
subdivision.

(g) General assistance medical care is not available for
applicants or recipients who do not cooperate with the county
agency to meet the requirements of medical assistance.

(h) In determining the amount of assets of an individual
eligible under paragraph (a), clause (2), deleted text beginitem (i),deleted text endthere shall
be included any asset or interest in an asset, including an
asset excluded under paragraph (a), that was given away, sold,
or disposed of for less than fair market value within the 60
months preceding application for general assistance medical care
or during the period of eligibility. Any transfer described in
this paragraph shall be presumed to have been for the purpose of
establishing eligibility for general assistance medical care,
unless the individual furnishes convincing evidence to establish
that the transaction was exclusively for another purpose. For
purposes of this paragraph, the value of the asset or interest
shall be the fair market value at the time it was given away,
sold, or disposed of, less the amount of compensation received.
For any uncompensated transfer, the number of months of
ineligibility, including partial months, shall be calculated by
dividing the uncompensated transfer amount by the average
monthly per person payment made by the medical assistance
program to skilled nursing facilities for the previous calendar
year. The individual shall remain ineligible until this fixed
period has expired. The period of ineligibility may exceed 30
months, and a reapplication for benefits after 30 months from
the date of the transfer shall not result in eligibility unless
and until the period of ineligibility has expired. The period
of ineligibility begins in the month the transfer was reported
to the county agency, or if the transfer was not reported, the
month in which the county agency discovered the transfer,
whichever comes first. For applicants, the period of
ineligibility begins on the date of the first approved
application.

(i) When determining eligibility for any state benefits
under this subdivision, the income and resources of all
noncitizens shall be deemed to include their sponsor's income
and resources as defined in the Personal Responsibility and Work
Opportunity Reconciliation Act of 1996, title IV, Public Law
104-193, sections 421 and 422, and subsequently set out in
federal rules.

(j) Undocumented noncitizens and nonimmigrants are
ineligible for general assistance medical care. For purposes of
this subdivision, a nonimmigrant is an individual in one or more
of the classes listed in United States Code, title 8, section
1101(a)(15), and an undocumented noncitizen is an individual who
resides in the United States without the approval or
acquiescence of the Immigration and Naturalization Service.

(k) Notwithstanding any other provision of law, a
noncitizen who is ineligible for medical assistance due to the
deeming of a sponsor's income and resources, is ineligible for
general assistance medical care.

(l) Effective July 1, 2003, general assistance medical care
emergency services end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective October 1, 2005.
new text end

Sec. 47.

Minnesota Statutes 2004, section 256D.03,
subdivision 4, is amended to read:


Subd. 4.

General assistance medical care; services.

(a) deleted text begin(i) deleted text endFor a person who is eligible under subdivision 3,
paragraph (a), deleted text beginclause (2), item (i),deleted text endgeneral assistance medical
care covers, except as provided in paragraph (c):

(1) inpatient hospital services;

(2) outpatient hospital services;

(3) services provided by Medicare certified rehabilitation
agencies;

(4) prescription drugs and other products recommended
through the process established in section 256B.0625,
subdivision 13;

(5) equipment necessary to administer insulin and
diagnostic supplies and equipment for diabetics to monitor blood
sugar level;

(6) eyeglasses and eye examinations provided by a physician
or optometrist;

(7) hearing aids;

(8) prosthetic devices;

(9) laboratory and X-ray services;

(10) physician's services;

(11) medical transportation except special transportation;

(12) chiropractic services as covered under the medical
assistance program;

(13) podiatric services;

(14) dental services and dentures, subject to the
limitations specified in section 256B.0625, subdivision 9;

(15) outpatient services provided by a mental health center
or clinic that is under contract with the county board and is
established under section 245.62;

(16) day treatment services for mental illness provided
under contract with the county board;

(17) prescribed medications for persons who have been
diagnosed as mentally ill as necessary to prevent more
restrictive institutionalization;

(18) psychological services, medical supplies and
equipment, and Medicare premiums, coinsurance and deductible
payments;

(19) medical equipment not specifically listed in this
paragraph when the use of the equipment will prevent the need
for costlier services that are reimbursable under this
subdivision;

(20) services performed by a certified pediatric nurse
practitioner, a certified family nurse practitioner, a certified
adult nurse practitioner, a certified obstetric/gynecological
nurse practitioner, a certified neonatal nurse practitioner, or
a certified geriatric nurse practitioner in independent
practice, if (1) the service is otherwise covered under this
chapter as a physician service, (2) the service provided on an
inpatient basis is not included as part of the cost for
inpatient services included in the operating payment rate, and
(3) the service is within the scope of practice of the nurse
practitioner's license as a registered nurse, as defined in
section 148.171;

(21) services of a certified public health nurse or a
registered nurse practicing in a public health nursing clinic
that is a department of, or that operates under the direct
authority of, a unit of government, if the service is within the
scope of practice of the public health nurse's license as a
registered nurse, as defined in section 148.171; and

(22) telemedicine consultations, to the extent they are
covered under section 256B.0625, subdivision 3b.

deleted text begin (ii) Effective October 1, 2003, for a person who is
eligible under subdivision 3, paragraph (a), clause (2), item
(ii), general assistance medical care coverage is limited to
inpatient hospital services, including physician services
provided during the inpatient hospital stay. A $1,000
deductible is required for each inpatient hospitalization.
deleted text end

(b) deleted text beginGender deleted text endnew text beginSex new text endreassignment surgery deleted text beginand related services
are
deleted text endnew text beginis new text endnot covered deleted text beginservices deleted text endunder this subdivision deleted text beginunless the
individual began receiving gender reassignment services prior to
July 1, 1995
deleted text end.

(c) In order to contain costs, the commissioner of human
services shall select vendors of medical care who can provide
the most economical care consistent with high medical standards
and shall where possible contract with organizations on a
prepaid capitation basis to provide these services. The
commissioner shall consider proposals by counties and vendors
for prepaid health plans, competitive bidding programs, block
grants, or other vendor payment mechanisms designed to provide
services in an economical manner or to control utilization, with
safeguards to ensure that necessary services are provided.
Before implementing prepaid programs in counties with a county
operated or affiliated public teaching hospital or a hospital or
clinic operated by the University of Minnesota, the commissioner
shall consider the risks the prepaid program creates for the
hospital and allow the county or hospital the opportunity to
participate in the program in a manner that reflects the risk of
adverse selection and the nature of the patients served by the
hospital, provided the terms of participation in the program are
competitive with the terms of other participants considering the
nature of the population served. Payment for services provided
pursuant to this subdivision shall be as provided to medical
assistance vendors of these services under sections 256B.02,
subdivision 8, and 256B.0625. For payments made during fiscal
year 1990 and later years, the commissioner shall consult with
an independent actuary in establishing prepayment rates, but
shall retain final control over the rate methodology.

(d) Recipients eligible under subdivision 3, paragraph (a),
deleted text begin clause (2), item (i),deleted text endshall pay the following co-payments for
services provided on or after October 1, 2003:

(1) $3 per nonpreventive visit. For purposes of this
subdivision, a visit means an episode of service which is
required because of a recipient's symptoms, diagnosis, or
established illness, and which is delivered in an ambulatory
setting by a physician or physician ancillary, chiropractor,
podiatrist, nurse midwife, advanced practice nurse, audiologist,
optician, or optometrist;

(2) $25 for eyeglasses;

(3) $25 for nonemergency visits to a hospital-based
emergency room;

(4) $3 per brand-name drug prescription and $1 per generic
drug prescription, subject to a $20 per month maximum for
prescription drug co-payments. No co-payments shall apply to
antipsychotic drugs when used for the treatment of mental
illness; and

(5) 50 percent coinsurance on restorative dental services.

(e) Co-payments shall be limited to one per day per
provider for nonpreventive visits, eyeglasses, and nonemergency
visits to a hospital-based emergency room. Recipients of
general assistance medical care are responsible for all
co-payments in this subdivision. The general assistance medical
care reimbursement to the provider shall be reduced by the
amount of the co-payment, except that reimbursement for
prescription drugs shall not be reduced once a recipient has
reached the $20 per month maximum for prescription drug
co-payments. The provider collects the co-payment from the
recipient. Providers may not deny services to recipients who
are unable to pay the co-payment, except as provided in
paragraph (f).

(f) If it is the routine business practice of a provider to
refuse service to an individual with uncollected debt, the
provider may include uncollected co-payments under this
section. A provider must give advance notice to a recipient
with uncollected debt before services can be denied.

(g) Any county may, from its own resources, provide medical
payments for which state payments are not made.

(h) Chemical dependency services that are reimbursed under
chapter 254B must not be reimbursed under general assistance
medical care.

(i) The maximum payment for new vendors enrolled in the
general assistance medical care program after the base year
shall be determined from the average usual and customary charge
of the same vendor type enrolled in the base year.

(j) The conditions of payment for services under this
subdivision are the same as the conditions specified in rules
adopted under chapter 256B governing the medical assistance
program, unless otherwise provided by statute or rule.

(k) Inpatient and outpatient payments shall be reduced by
five percent, effective July 1, 2003. This reduction is in
addition to the five percent reduction effective July 1, 2003,
and incorporated by reference in paragraph (i).

(l) Payments for all other health services except
inpatient, outpatient, and pharmacy services shall be reduced by
five percent, effective July 1, 2003.

(m) Payments to managed care plans shall be reduced by five
percent for services provided on or after October 1, 2003.

(n) A hospital receiving a reduced payment as a result of
this section may apply the unpaid balance toward satisfaction of
the hospital's bad debts.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2005,
except the amendment to paragraph (a), item (ii), is effective
October 1, 2005.
new text end

Sec. 48.

Minnesota Statutes 2004, section 256D.03, is
amended by adding a subdivision to read:


new text begin Subd. 4a. new text end

new text begin General assistance medical care; medical
necessity.
new text end

new text begin In order to be covered under general assistance
medical care, a medical item or service must meet the medical
necessity standards in section 256B.0632.
new text end

Sec. 49.

Minnesota Statutes 2004, section 256D.03, is
amended by adding a subdivision to read:


new text begin Subd. 10. new text end

new text begin Payments after october 1, 2005. new text end

new text begin General
assistance medical care payments made on or after October 1,
2005, shall be made from the health care access fund.
new text end

Sec. 50.

Minnesota Statutes 2004, section 256D.045, is
amended to read:


256D.045 SOCIAL SECURITY NUMBER REQUIRED.

To be eligible for general assistance under sections
256D.01 to 256D.21, an individual must provide the individual's
Social Security number to the county agency or submit proof that
an application has been made. new text beginAn individual who refuses to
provide a Social Security number because of a well-established
religious objection as described in Code of Federal Regulations,
title 42, section 435.910, may be eligible for general
assistance medical care under section 256D.03.
new text endThe provisions
of this section do not apply to the determination of eligibility
for emergency general assistance under section 256D.06,
subdivision 2. This provision applies to eligible children
under the age of 18 effective July 1, 1997.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 51.

Minnesota Statutes 2004, section 256L.01,
subdivision 1a, is amended to read:


Subd. 1a.

Child.

new text begin(a) new text end"Child" means an individual under
21 years of age new text beginwho is not enrolled in a program of study at a
postsecondary education institution
new text end, including the unborn child
of a pregnant woman, an emancipated minor, and an emancipated
minor's spouse.

new text begin (b) For an individual enrolled in a program of study at a
postsecondary education institution, child means an individual
under 19 years of age, including an emancipated minor, and an
emancipated minor's spouse, except that an individual with
access to health coverage through the postsecondary education
institution or the individual's parent does not qualify as a
child under this paragraph.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2005,
or upon federal approval, whichever is later. Prior to the
implementation of HealthMatch, the commissioner shall implement
this section to the fullest extent possible, including the use
of manual processing. Upon implementation of HealthMatch, the
commissioner shall implement this section in a manner consistent
with the procedures and requirements of HealthMatch.
new text end

Sec. 52.

Minnesota Statutes 2004, section 256L.01,
subdivision 4, is amended to read:


Subd. 4.

Gross individual or gross family income.

(a)
"Gross individual or gross family income" for nonfarm
self-employed means income calculated new text beginfor the six-month period
of eligibility
new text endusing as the baseline the adjusted gross income
reported on the applicant's federal income tax form for the
previous year and deleted text beginadding back in reported depreciation,
carryover loss, and net operating loss amounts that apply to the
business in which the family is currently engaged
deleted text endnew text beginusing the
medical assistance families with children methodology for
determining allowable and nonallowable self-employment expenses
and countable income
new text end.

(b) "Gross individual or gross family income" for farm
self-employed means income calculated new text beginfor the six-month period
of eligibility
new text endusing as the baseline the adjusted gross income
reported on the applicant's federal income tax form for the
previous year and adding back in reported depreciation amounts
that apply to the business in which the family is currently
engaged.

(c) deleted text beginApplicants shall report the most recent financial
situation of the family if it has changed from the period of
time covered by the federal income tax form. The report may be
in the form of percentage increase or decrease
deleted text endnew text begin"Gross individual
or gross family income" means the total income for all family
members, calculated for the six-month period of eligibility
new text end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 53.

Minnesota Statutes 2004, section 256L.01,
subdivision 5, is amended to read:


Subd. 5.

Income.

new text begin(a) new text end"Income" has the meaning given for
earned and unearned income for families and children in the
medical assistance program, according to the state's aid to
families with dependent children plan in effect as of July 16,
1996. The definition does not include medical assistance income
methodologies and deeming requirements. The earned income of
full-time and part-time students under age 19 is not counted as
income. Public assistance payments and supplemental security
income are not excluded income.

new text begin (b) For purposes of this subdivision, and unless otherwise
specified in this section, the commissioner shall use reasonable
methods to calculate gross earned and unearned income including,
but not limited to, projecting income based on income received
within the past 30 days, the last 90 days, or the last 12 months.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2005.
new text end

Sec. 54.

Minnesota Statutes 2004, section 256L.03,
subdivision 1, is amended to read:


Subdivision 1.

Covered health services.

deleted text beginFor individuals
under section 256L.04, subdivision 7, with income no greater
than 75 percent of the federal poverty guidelines or
deleted text endFor
families with children under section 256L.04, subdivision 1, all
subdivisions of this section apply. "Covered health services"
means the health services reimbursed under chapter 256B, with
the exception of inpatient hospital services, special education
services, private duty nursing services, adult dental care
services other than services covered under section 256B.0625,
subdivision 9, paragraph (b), orthodontic services, nonemergency
medical transportation services, personal care assistant and
case management services, nursing home or intermediate care
facilities services, inpatient mental health services, and
chemical dependency services. Outpatient mental health services
covered under the MinnesotaCare program are limited to
diagnostic assessments, psychological testing, explanation of
findings, medication management by a physician, day treatment,
partial hospitalization, and individual, family, and group
psychotherapy.

No public funds shall be used for coverage of abortion
under MinnesotaCare except where the life of the female would be
endangered or substantial and irreversible impairment of a major
bodily function would result if the fetus were carried to term;
or where the pregnancy is the result of rape or incest.

Covered health services shall be expanded as provided in
this section.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective October 1, 2005.
new text end

Sec. 55.

Minnesota Statutes 2004, section 256L.03,
subdivision 3, is amended to read:


Subd. 3.

Inpatient hospital services.

(a) Covered health
services shall include inpatient hospital services, including
inpatient hospital mental health services and inpatient hospital
and residential chemical dependency treatment, subject to those
limitations necessary to coordinate the provision of these
services with eligibility under the medical assistance
spenddown. deleted text beginPrior to July 1, 1997, the inpatient hospital
benefit for adult enrollees is subject to an annual benefit
limit of $10,000. The inpatient hospital benefit for adult
enrollees who qualify under section 256L.04, subdivision 7, or
who qualify under section 256L.04, subdivisions 1 and 2, with
family gross income that exceeds 175 percent of the federal
poverty guidelines and who are not pregnant, is subject to an
annual limit of $10,000.
deleted text end

(b) Admissions for inpatient hospital services paid for
under section 256L.11, subdivision 3, must be certified as
medically necessary in accordance with Minnesota Rules, parts
9505.0500 to 9505.0540, except as provided in clauses (1) and
(2):

(1) all admissions must be certified, except those
authorized under rules established under section 254A.03,
subdivision 3, or approved under Medicare; and

(2) payment under section 256L.11, subdivision 3, shall be
reduced by five percent for admissions for which certification
is requested more than 30 days after the day of admission. The
hospital may not seek payment from the enrollee for the amount
of the payment reduction under this clause.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective October 1, 2005.
new text end

Sec. 56.

Minnesota Statutes 2004, section 256L.03,
subdivision 5, is amended to read:


Subd. 5.

Co-payments and coinsurance.

(a) Except as
provided in paragraphs (b) and (c), the MinnesotaCare benefit
plan shall include the following co-payments and coinsurance
requirements for all enrollees:

(1) ten percent of the paid charges for inpatient hospital
services for adult enrollees, subject to an annual inpatient
out-of-pocket maximum of $1,000 per individual and $3,000 per
family;

(2) $3 per prescription for adult enrollees;

(3) $25 for eyeglasses for adult enrollees; deleted text beginand
deleted text end

(4) new text begin$3 per nonpreventive visit. For purposes of this
subdivision, a visit means an episode of service which is
required because of an enrollee's symptoms, diagnosis, or
established illness, and which is delivered in an ambulatory
setting by a physician or physician ancillary, chiropractor,
podiatrist, advanced practice nurse, audiologist, optician, or
optometrist;
new text end

new text begin (5) $6 for nonemergency visits to a hospital-based
emergency room; and
new text end

new text begin (6) new text end50 percent of the fee-for-service rate for adult dental
care services other than preventive care services for persons
eligible under section 256L.04, subdivisions 1 to 7, with income
equal to or less than 175 percent of the federal poverty
guidelines.

(b) Paragraph (a), clause (1), does not apply to parents
and relative caretakers of children under the age of 21 in
households with family income equal to or less than 175 percent
of the federal poverty guidelines. deleted text beginParagraph (a), clause (1),
does not apply to parents and relative caretakers of children
under the age of 21 in households with family income greater
than 175 percent of the federal poverty guidelines for inpatient
hospital admissions occurring on or after January 1, 2001.
deleted text end

(c) Paragraph (a), clauses (1) to deleted text begin(4) deleted text endnew text begin(6)new text end, do not apply to
pregnant women and children under the age of 21.

(d) Adult enrollees with family gross income that exceeds
175 percent of the federal poverty guidelines and who are not
pregnant shall be financially responsible for the coinsurance
amount, if applicable, and amounts which exceed the $10,000
inpatient hospital benefit limit.

(e) When a MinnesotaCare enrollee becomes a member of a
prepaid health plan, or changes from one prepaid health plan to
another during a calendar year, any charges submitted towards
the $10,000 annual inpatient benefit limit, and any
out-of-pocket expenses incurred by the enrollee for inpatient
services, that were submitted or incurred prior to enrollment,
or prior to the change in health plans, shall be disregarded.

new text begin (f) Paragraph (a), clauses (4) and (5), are limited to one
co-payment per day per provider.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1,
2006, except the amendment to paragraph (b) is effective October
1, 2005.
new text end

Sec. 57.

Minnesota Statutes 2004, section 256L.03, is
amended by adding a subdivision to read:


new text begin Subd. 7. new text end

new text begin Medical necessity. new text end

new text begin In order to be covered under
MinnesotaCare, a medical item or service must meet the medical
necessity standards in section 256B.0632.
new text end

Sec. 58.

Minnesota Statutes 2004, section 256L.04,
subdivision 1, is amended to read:


Subdivision 1.

Families with children.

(a) new text beginThrough
September 30, 2005,
new text endfamilies with children with family income
equal to or less than 275 percent of the federal poverty
guidelines for the applicable family size shall be eligible for
MinnesotaCare according to this section. new text beginBeginning October 1,
2005, children and pregnant women with family income equal to or
less than 275 percent of the federal poverty guidelines for the
applicable family size shall be eligible for MinnesotaCare
according to this section. Beginning October 1, 2005, parents,
grandparents, foster parents, relative caretakers, and legal
guardians ages 21 and over are not eligible for MinnesotaCare if
their gross income exceeds 175 percent of the federal poverty
guidelines for the applicable family size.
new text endAll other provisions
of sections 256L.01 to 256L.18, including the insurance-related
barriers to enrollment under section 256L.07, shall apply unless
otherwise specified.

(b) Parents who enroll in the MinnesotaCare program must
also enroll their children, if the children are eligible.
Children may be enrolled separately without enrollment by
parents. However, if one parent in the household enrolls, both
parents must enroll, unless other insurance is available. If
one child from a family is enrolled, all children must be
enrolled, unless other insurance is available. If one spouse in
a household enrolls, the other spouse in the household must also
enroll, unless other insurance is available. Families cannot
choose to enroll only certain uninsured members.

(c) deleted text beginBeginning October 1, 2003, the dependent sibling
definition no longer applies to the MinnesotaCare program.
These persons are no longer counted in the parental household
and may apply as a separate household.
deleted text end

deleted text begin (d) deleted text endBeginning July 1, 2003, or upon federal approval,
whichever is later, parents are not eligible for MinnesotaCare
if their gross income exceeds $50,000.

Sec. 59.

Minnesota Statutes 2004, section 256L.04, is
amended by adding a subdivision to read:


new text begin Subd. 1a.new text end

new text beginSocial security number required.new text end

new text begin(a)
Individuals and families applying for MinnesotaCare coverage
must provide a Social Security number.
new text end

new text begin (b) The commissioner shall not deny eligibility to an
otherwise eligible applicant who has applied for a Social
Security number and is awaiting issuance of that Social Security
number.
new text end

new text begin (c) Newborns enrolled under section 256L.05, subdivision 3,
are exempt from the requirements of this subdivision.
new text end

new text begin (d) Individuals who refuse to provide a Social Security
number because of well-established religious objections are
exempt from the requirements of this subdivision. The term
"well-established religious objections" has the meaning given in
Code of Federal Regulations, title 42, section 435.910.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 60.

Minnesota Statutes 2004, section 256L.04,
subdivision 2, is amended to read:


Subd. 2.

Cooperation in establishing third-party
liability, paternity, and other medical support.

(a) To be
eligible for MinnesotaCare, individuals and families must
cooperate with the state agency to identify potentially liable
third-party payers and assist the state in obtaining third-party
payments. "Cooperation" includes, but is not limited
to, new text begincomplying with the notice requirements in section 256B.056,
subdivision 9,
new text endidentifying any third party who may be liable for
care and services provided under MinnesotaCare to the enrollee,
providing relevant information to assist the state in pursuing a
potentially liable third party, and completing forms necessary
to recover third-party payments.

(b) A parent, guardian, relative caretaker, or child
enrolled in the MinnesotaCare program must cooperate with the
Department of Human Services and the local agency in
establishing the paternity of an enrolled child and in obtaining
medical care support and payments for the child and any other
person for whom the person can legally assign rights, in
accordance with applicable laws and rules governing the medical
assistance program. A child shall not be ineligible for or
disenrolled from the MinnesotaCare program solely because the
child's parent, relative caretaker, or guardian fails to
cooperate in establishing paternity or obtaining medical support.

Sec. 61.

Minnesota Statutes 2004, section 256L.04, is
amended by adding a subdivision to read:


new text begin Subd. 2a.new text end

new text beginApplications for other benefits.new text end

new text beginTo be
eligible for MinnesotaCare, individuals and families must take
all necessary steps to obtain other benefits as described in
Code of Federal Regulations, title 42, section 435.608.
Applicants and enrollees must apply for other benefits within 30
days of notification.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 62.

Minnesota Statutes 2004, section 256L.04,
subdivision 8, is amended to read:


Subd. 8.

Applicants potentially eligible for medical
assistance.

deleted text begin(a) Individuals who receive supplemental security
income or retirement, survivors, or disability benefits due to a
disability, or other disability-based pension, who qualify under
subdivision 7, but who are potentially eligible for medical
assistance without a spenddown shall be allowed to enroll in
MinnesotaCare for a period of 60 days, so long as the applicant
meets all other conditions of eligibility. The commissioner
shall identify and refer the applications of such individuals to
their county social service agency. The county and the
commissioner shall cooperate to ensure that the individuals
obtain medical assistance coverage for any months for which they
are eligible.
deleted text end

deleted text begin (b) The enrollee must cooperate with the county social
service agency in determining medical assistance eligibility
within the 60-day enrollment period. Enrollees who do not
cooperate with medical assistance within the 60-day enrollment
period shall be disenrolled from the plan within one calendar
month. Persons disenrolled for nonapplication for medical
assistance may not reenroll until they have obtained a medical
assistance eligibility determination. Persons disenrolled for
noncooperation with medical assistance may not reenroll until
they have cooperated with the county agency and have obtained a
medical assistance eligibility determination.
deleted text end

deleted text begin (c) deleted text endBeginning January 1, 2000, counties that choose to
become MinnesotaCare enrollment sites shall consider
MinnesotaCare applications to also be applications for medical
assistance. Applicants who are potentially eligible for medical
assistancedeleted text begin, except for those described in paragraph (a),deleted text endmay
choose to enroll in either MinnesotaCare or medical assistance.

deleted text begin (d) The commissioner shall redetermine provider payments
made under MinnesotaCare to the appropriate medical assistance
payments for those enrollees who subsequently become eligible
for medical assistance.
deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective October 1, 2005.
new text end

Sec. 63.

Minnesota Statutes 2004, section 256L.05,
subdivision 2, is amended to read:


Subd. 2.

Commissioner's duties.

new text begin(a) new text endThe commissioner or
county agency shall use electronic verification as the primary
method of income verification. If there is a discrepancy
between reported income and electronically verified income, an
individual may be required to submit additional verification.
In addition, the commissioner shall perform random audits to
verify reported income and eligibility. The commissioner may
execute data sharing arrangements with the Department of Revenue
and any other governmental agency in order to perform income
verification related to eligibility and premium payment under
the MinnesotaCare program.

new text begin (b) In determining eligibility for MinnesotaCare, the
commissioner shall require applicants and enrollees seeking
renewal of eligibility to verify both earned and unearned
income. The commissioner shall also require applicants and
enrollees to submit to their employers, if employed, a form to
verify whether the applicant or enrollee, and any dependents,
are eligible for employer subsidized coverage.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2005.
Prior to the implementation of HealthMatch, the commissioner
shall implement this section to the fullest extent possible,
including the use of manual processing. Upon implementation of
HealthMatch, the commissioner shall implement this section in a
manner consistent with the procedures and requirements of
HealthMatch.
new text end

Sec. 64.

Minnesota Statutes 2004, section 256L.05,
subdivision 3, is amended to read:


Subd. 3.

Effective date of coverage.

(a) The effective
date of coverage is the first day of the month following the
month in which eligibility is approved and the first premium
payment has been received. As provided in section 256B.057,
coverage for newborns is automatic from the date of birth and
must be coordinated with other health coverage. The effective
date of coverage for eligible newly adoptive children added to a
family receiving covered health services is the deleted text begindate of entry
into the family
deleted text endnew text beginmonth of placement or the month placement is
reported, whichever is later
new text end. The effective date of coverage
for other new deleted text beginrecipients deleted text endnew text beginmembers new text endadded to the family deleted text beginreceiving
covered health services
deleted text endis the first day of the month following
the month in which deleted text begineligibility is approved or at renewal,
whichever the family receiving covered health services
prefers
deleted text endnew text beginthe change is reportednew text end. All eligibility criteria must
be met by the family at the time the new family member is
added. The income of the new family member is included with the
family's gross income and the adjusted premium begins in the
month the new family member is added.

(b) The initial premium must be received by the last
working day of the month for coverage to begin the first day of
the following month.

(c) Benefits are not available until the day following
discharge if an enrollee is hospitalized on the first day of
coverage.

(d) Notwithstanding any other law to the contrary, benefits
under sections 256L.01 to 256L.18 are secondary to a plan of
insurance or benefit program under which an eligible person may
have coverage and the commissioner shall use cost avoidance
techniques to ensure coordination of any other health coverage
for eligible persons. The commissioner shall identify eligible
persons who may have coverage or benefits under other plans of
insurance or who become eligible for medical assistance.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 65.

Minnesota Statutes 2004, section 256L.05,
subdivision 3a, is amended to read:


Subd. 3a.

Renewal of eligibility.

(a) Beginning January
1, 1999, an enrollee's eligibility must be renewed every 12
months. The 12-month period begins in the month after the month
the application is approved.

(b) Beginning October 1, 2004, an enrollee's eligibility
must be renewed every six months. The first six-month period of
eligibility begins deleted text beginin the month after deleted text endthe month the application
is deleted text beginapproved deleted text endnew text beginreceived by the commissionernew text end. new text beginThe effective date of
coverage within the first six-month period of eligibility is as
provided in section 256L.05, subdivision 3.
new text endEach new period of
eligibility must take into account any changes in circumstances
that impact eligibility and premium amount. An enrollee must
provide all the information needed to redetermine eligibility by
the first day of the month that ends the eligibility period.
The premium for the new period of eligibility must be received
as provided in section 256L.06 in order for eligibility to
continue.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 66.

Minnesota Statutes 2004, section 256L.05,
subdivision 5, is amended to read:


Subd. 5.

Availability of private insurance.

The
commissioner, in consultation with the commissioners of health
and commerce, shall provide information regarding the
availability of private health insurance coverage and the
possibility of disenrollment under section 256L.07, subdivision
1, deleted text beginparagraphs (b) and (c), to all: (1) deleted text endnew text beginto new text endfamilies enrolled in
the MinnesotaCare program whose gross family income is equal to
or more than 225 percent of the federal poverty guidelinesdeleted text begin; and
(2) single adults and households without children enrolled in
the MinnesotaCare program whose gross family income is equal to
or more than 165 percent of the federal poverty guidelines
deleted text end.
This information must be provided upon initial enrollment and
annually thereafter. The commissioner shall also include
information regarding the availability of private health
insurance coverage in the notice of ineligibility provided to
persons subject to disenrollment under section 256L.07,
subdivision 1deleted text begin, paragraphs (b) and (c)deleted text end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective October 1, 2005.
new text end

Sec. 67.

Minnesota Statutes 2004, section 256L.06,
subdivision 3, is amended to read:


Subd. 3.

Commissioner's duties and payment.

(a) Premiums
are dedicated to the commissioner for MinnesotaCare.

(b) The commissioner shall develop and implement procedures
to: (1) require enrollees to report changes in income; (2)
adjust sliding scale premium payments, based upon deleted text beginchanges deleted text endnew text beginboth
increases and decreases
new text endin enrollee incomenew text begin, at the time the
change in income is reported
new text end; and (3) disenroll enrollees from
MinnesotaCare for failure to pay required premiums. Failure to
pay includes payment with a dishonored check, a returned
automatic bank withdrawal, or a refused credit card or debit
card payment. The commissioner may demand a guaranteed form of
payment, including a cashier's check or a money order, as the
only means to replace a dishonored, returned, or refused payment.

(c) Premiums are calculated on a calendar month basis and
may be paid on a monthly, quarterly, or semiannual basis, with
the first payment due upon notice from the commissioner of the
premium amount required. The commissioner shall inform
applicants and enrollees of these premium payment options.
Premium payment is required before enrollment is complete and to
maintain eligibility in MinnesotaCare. Premium payments
received before noon are credited the same day. Premium
payments received after noon are credited on the next working
day.

(d) Nonpayment of the premium will result in disenrollment
from the plan effective for the calendar month for which the
premium was due. Persons disenrolled for nonpayment or who
voluntarily terminate coverage from the program may not reenroll
until four calendar months have elapsed. Persons disenrolled
for nonpayment who pay all past due premiums as well as current
premiums due, including premiums due for the period of
disenrollment, within 20 days of disenrollment, shall be
reenrolled retroactively to the first day of disenrollment.
Persons disenrolled for nonpayment or who voluntarily terminate
coverage from the program may not reenroll for four calendar
months unless the person demonstrates good cause for
nonpayment. Good cause does not exist if a person chooses to
pay other family expenses instead of the premium. The
commissioner shall define good cause in rule.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2005.
Prior to the implementation of HealthMatch, the commissioner
shall implement this section to the fullest extent possible,
including the use of manual processing. Upon implementation of
HealthMatch, the commissioner shall implement this section in a
manner consistent with the procedures and requirements of
HealthMatch.
new text end

Sec. 68.

Minnesota Statutes 2004, section 256L.07,
subdivision 1, is amended to read:


Subdivision 1.

General requirements.

(a) Children
enrolled in the original children's health plan as of September
30, 1992, children who enrolled in the MinnesotaCare program
after September 30, 1992, pursuant to Laws 1992, chapter 549,
article 4, section 17, and children who have family gross
incomes that are equal to or less than 150 percent of the
federal poverty guidelines are eligible without meeting the
requirements of subdivision 2 and the four-month requirement in
subdivision 3, as long as they maintain continuous coverage in
the MinnesotaCare program or medical assistance. Children who
apply for MinnesotaCare on or after the implementation date of
the employer-subsidized health coverage program as described in
Laws 1998, chapter 407, article 5, section 45, who have family
gross incomes that are equal to or less than 150 percent of the
federal poverty guidelines, must meet the requirements of
subdivision 2 to be eligible for MinnesotaCare.

(b) new text beginThrough September 30, 2005,new text endfamilies enrolled in
MinnesotaCare under section 256L.04, subdivision 1, whose income
increases above 275 percent of the federal poverty guidelines,
are no longer eligible for the program and shall be disenrolled
by the commissioner. deleted text beginIndividuals deleted text endnew text beginBeginning October 1, 2005,
children
new text endenrolled in MinnesotaCare under section 256L.04,
subdivision deleted text begin7 deleted text endnew text begin1new text end, whose income increases above deleted text begin175 deleted text endnew text begin275 new text endpercent of
the federal poverty guidelinesnew text begin,new text endare no longer eligible for the
program and shall be disenrolled by the commissioner. new text beginPregnant
women enrolled in MinnesotaCare whose income increases above 275
percent of the federal poverty guidelines remain eligible
through the end of the 60-day postpartum period. Beginning
October 1, 2005, parents, grandparents, foster parents, relative
caretakers, and legal guardians ages 21 and over are no longer
eligible for MinnesotaCare if their gross income exceeds 175
percent of the federal poverty guidelines for the applicable
family size.
new text endFor persons disenrolled under this subdivision,
MinnesotaCare coverage terminates the last day of the calendar
month following the month in which the commissioner determines
that the income of a family or individual exceeds program income
limits.

(c) deleted text begin(1) Notwithstanding paragraph (b), families enrolled in
MinnesotaCare under section 256L.04, subdivision 1, may remain
enrolled in MinnesotaCare if ten percent of their annual income
is less than the annual premium for a policy with a $500
deductible available through the Minnesota Comprehensive Health
Association. Families who are no longer eligible for
MinnesotaCare under this subdivision shall be given an 18-month
notice period from the date that ineligibility is determined
before disenrollment. This clause expires February 1, 2004.
deleted text end

deleted text begin (2) deleted text endEffective February 1, 2004, notwithstanding paragraph
(b), children may remain enrolled in MinnesotaCare if ten
percent of their deleted text beginannual deleted text endnew text begingross individual or gross new text endfamily income
new text begin as defined in section 256L.01, subdivision 4,new text endis less than the
deleted text begin annual deleted text endpremium for a new text beginsix-month new text endpolicy with a $500 deductible
available through the Minnesota Comprehensive Health
Association. Children who are no longer eligible for
MinnesotaCare under this clause shall be given a deleted text begin12-month
deleted text endnew text begin six-month new text endnotice period from the date that ineligibility is
determined before disenrollment. The premium for children
remaining eligible under this clause shall be the maximum
premium determined under section 256L.15, subdivision 2,
paragraph (b).

(d) Effective July 1, 2003, notwithstanding paragraphs (b)
and (c), parents are no longer eligible for MinnesotaCare if
gross household income exceeds deleted text begin$50,000 deleted text endnew text begin$25,000 for the six-month
period of eligibility
new text end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon HealthMatch implementation, whichever is later.
new text end

Sec. 69.

Minnesota Statutes 2004, section 256L.07,
subdivision 3, is amended to read:


Subd. 3.

Other health coverage.

(a) Families and
individuals enrolled in the MinnesotaCare program must have no
health coverage while enrolled or for at least four months prior
to application and renewal. Children enrolled in the original
children's health plan and children in families with income
equal to or less than 150 percent of the federal poverty
guidelines, who have other health insurance, are eligible if the
coverage:

(1) lacks two or more of the following:

(i) basic hospital insurance;

(ii) medical-surgical insurance;

(iii) prescription drug coverage;

(iv) dental coverage; or

(v) vision coverage;

(2) requires a deductible of $100 or more per person per
year; or

(3) lacks coverage because the child has exceeded the
maximum coverage for a particular diagnosis or the policy
excludes a particular diagnosis.

The commissioner may change this eligibility criterion for
sliding scale premiums in order to remain within the limits of
available appropriations. The requirement of no health coverage
does not apply to newborns.

(b) Medical assistance, general assistance medical care,
and the Civilian Health and Medical Program of the Uniformed
Service, CHAMPUS, or other coverage provided under United States
Code, title 10, subtitle A, part II, chapter 55, are not
considered insurance or health coverage for purposes of the
four-month requirement described in this subdivision.

(c) For purposes of this subdivision, new text beginan applicant or
enrollee who is entitled to
new text endMedicare Part A or new text beginenrolled in
Medicare Part
new text endB coverage under title XVIII of the Social
Security Act, United States Code, title 42, sections 1395c
to deleted text begin1395w-4 deleted text endnew text begin1395w-152new text end, is considered new text beginto have new text endhealth coverage. An
applicant or enrollee new text beginwho is entitled to premium free Medicare
Part A
new text endmay not refuse new text beginto apply for or enroll in new text endMedicare
coverage to establish eligibility for MinnesotaCare.

(d) Applicants who were recipients of medical assistance or
general assistance medical care within one month of application
must meet the provisions of this subdivision and subdivision 2.

(e) deleted text beginEffective October 1, 2003, applicants who were
recipients of medical assistance and had
deleted text endCost-effective health
insurance deleted text beginwhich deleted text endnew text beginthat new text endwas paid for by medical assistance deleted text beginare
exempt from
deleted text endnew text beginis not considered health coverage for purposes of
new text end the four-month requirement under this sectionnew text begin, except if the
insurance continued after medical assistance no longer
considered it cost-effective or after medical assistance closed
new text end.

Sec. 70.

Minnesota Statutes 2004, section 256L.07, is
amended by adding a subdivision to read:


new text begin Subd. 5.new text end

new text beginVoluntary disenrollment for members of
military.
new text end

new text beginNotwithstanding section 256L.05, subdivision 3b,
MinnesotaCare enrollees who are members of the military and
their families, who choose to voluntarily disenroll from the
program when one or more family members are called to active
duty, may reenroll during or following that member's tour of
active duty. Those individuals and families shall be considered
to have good cause for voluntary termination under section
256L.06, subdivision 3, paragraph (d). Income and asset
increases reported at the time of reenrollment shall be
disregarded. All provisions of sections 256L.01 to 256L.18,
shall apply to individuals and families enrolled under this
subdivision upon six-month renewal.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2005.
new text end

Sec. 71.

Minnesota Statutes 2004, section 256L.09,
subdivision 2, is amended to read:


Subd. 2.

Residency requirement.

deleted text begin(a) To be eligible for
health coverage under the MinnesotaCare program, adults without
children must be permanent residents of Minnesota.
deleted text end

deleted text begin (b) deleted text endTo be eligible for health coverage under the
MinnesotaCare program, pregnant women, families, and children
must meet the residency requirements as provided by Code of
Federal Regulations, title 42, section 435.403deleted text begin, except that the
provisions of section 256B.056, subdivision 1, shall apply upon
receipt of federal approval
deleted text end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective October 1, 2005.
new text end

Sec. 72.

Minnesota Statutes 2004, section 256L.11,
subdivision 6, is amended to read:


Subd. 6.

Enrollees 18 or older.

deleted text beginPayment by the
MinnesotaCare program for inpatient hospital services provided
to MinnesotaCare enrollees eligible under section 256L.04,
subdivision 7, or who qualify under section 256L.04,
subdivisions 1 and 2, with family gross income that exceeds 175
percent of the federal poverty guidelines and who are not
pregnant, who are 18 years old or older on the date of admission
to the inpatient hospital must be in accordance with paragraphs
(a) and (b).
deleted text endPayment for adults who are not pregnant and are
eligible under section 256L.04, subdivisions 1 and 2, and whose
incomes are equal to or less than 175 percent of the federal
poverty guidelines, shall be as provided for under deleted text beginparagraph (c)
deleted text endnew text begin this subdivisionnew text end.

deleted text begin (a) If the medical assistance rate minus any co-payment
required under section 256L.03, subdivision 4, is less than or
equal to the amount remaining in the enrollee's benefit limit
under section 256L.03, subdivision 3, payment must be the
medical assistance rate minus any co-payment required under
section 256L.03, subdivision 4. The hospital must not seek
payment from the enrollee in addition to the co-payment. The
MinnesotaCare payment plus the co-payment must be treated as
payment in full.
deleted text end

deleted text begin (b) If the medical assistance rate minus any co-payment
required under section 256L.03, subdivision 4, is greater than
the amount remaining in the enrollee's benefit limit under
section 256L.03, subdivision 3, payment must be the lesser of:
deleted text end

deleted text begin (1) the amount remaining in the enrollee's benefit limit;
or
deleted text end

deleted text begin (2) charges submitted for the inpatient hospital services
less any co-payment established under section 256L.03,
subdivision 4.
deleted text end

deleted text begin The hospital may seek payment from the enrollee for the
amount by which usual and customary charges exceed the payment
under this paragraph. If payment is reduced under section
256L.03, subdivision 3, paragraph (b), the hospital may not seek
payment from the enrollee for the amount of the reduction.
deleted text end

deleted text begin (c) deleted text endFor admissions occurring during the period of July 1,
1997, through June 30, 1998, for adults who are not pregnant and
are eligible under section 256L.04, subdivisions 1 and 2, and
whose incomes are equal to or less than 175 percent of the
federal poverty guidelines, the commissioner shall pay hospitals
directly, up to the medical assistance payment rate, for
inpatient hospital benefits in excess of the $10,000 annual
inpatient benefit limit.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective October 1, 2005.
new text end

Sec. 73.

Minnesota Statutes 2004, section 256L.12,
subdivision 6, is amended to read:


Subd. 6.

Co-payments and benefit limits.

Enrollees are
responsible for all co-payments in deleted text beginsections deleted text endnew text beginsection new text end256L.03,
subdivision 5, deleted text beginand 256L.035,deleted text endand shall pay co-payments to the
managed care plan or to its participating providers. The
enrollee is also responsible for payment of inpatient hospital
charges which exceed the MinnesotaCare benefit limit.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective October 1, 2005.
new text end

Sec. 74.

Minnesota Statutes 2004, section 256L.12, is
amended by adding a subdivision to read:


new text begin Subd. 9b. new text end

new text begin Rate setting; ratable reduction. new text end

new text begin In addition
to the reduction in subdivision 9a, the total payment made to
managed care plans under the MinnesotaCare program is reduced
1.83 percent for services provided on or after January 1, 2006.
new text end

Sec. 75.

Minnesota Statutes 2004, section 256L.15,
subdivision 2, is amended to read:


Subd. 2.

Sliding fee scale to determine percentage of
new text begin monthly new text endgross individual or family income.

(a) The commissioner
shall establish a sliding fee scale to determine the percentage
of new text beginmonthly new text endgross individual or family income that households at
different income levels must pay to obtain coverage through the
MinnesotaCare program. The sliding fee scale must be based on
the enrollee's new text beginmonthly new text endgross individual or family income. The
sliding fee scale must contain separate tables based on
enrollment of one, two, or three or more persons. The sliding
fee scale begins with a premium of 1.5 percent of new text beginmonthly new text endgross
individual or family income for individuals or families with
incomes below the limits for the medical assistance program for
families and children in effect on January 1, 1999, and proceeds
through the following evenly spaced steps: 1.8, 2.3, 3.1, 3.8,
4.8, 5.9, 7.4, and 8.8 percent. These percentages are matched
to evenly spaced income steps ranging from the medical
assistance income limit for families and children in effect on
January 1, 1999, to 275 percent of the federal poverty
guidelines for the applicable family size, up to a family size
of five. The sliding fee scale for a family of five must be
used for families of more than five. Effective October 1, 2003,
the commissioner shall increase each percentage by 0.5
percentage points for enrollees with income greater than 100
percent but not exceeding 200 percent of the federal poverty
guidelines and shall increase each percentage by 1.0 percentage
points for families and children with incomes greater than 200
percent of the federal poverty guidelines. The sliding fee
scale and percentages are not subject to the provisions of
chapter 14. If a family or individual reports increased income
after enrollment, premiums shall deleted text beginnot deleted text endbe adjusted deleted text beginuntil
eligibility renewal
deleted text endnew text beginat the time the change in income is reportednew text end.

(b)(1) Enrolled families whose gross annual income
increases above 275 percent of the federal poverty guideline
shall pay the maximum premium. This clause expires effective
February 1, 2004.

(2) Effective February 1, 2004, children in families whose
gross income is above 275 percent of the federal poverty
guidelines shall pay the maximum premium.

(3) The maximum premium is defined as a base charge for
one, two, or three or more enrollees so that if all
MinnesotaCare cases paid the maximum premium, the total revenue
would equal the total cost of MinnesotaCare medical coverage and
administration. In this calculation, administrative costs shall
be assumed to equal ten percent of the total. The costs of
medical coverage for pregnant women and children under age two
and the enrollees in these groups shall be excluded from the
total. The maximum premium for two enrollees shall be twice the
maximum premium for one, and the maximum premium for three or
more enrollees shall be three times the maximum premium for one.

new text begin (c) After calculating the percentage of premium each
enrollee shall pay under paragraph (a), ten percent shall be
added to the premium effective July 1, 2005.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin The amendment to paragraph (a) changing
gross family or individual income to monthly gross family or
individual income is effective March 1, 2006, or upon
implementation of HealthMatch, whichever is later. The
amendment to paragraph (a) related to premium adjustments and
changes of income is effective July 1, 2005. Prior to the
implementation of HealthMatch, the commissioner shall implement
this section to the fullest extent possible, including the use
of manual processing. Upon implementation of HealthMatch, the
commissioner shall implement this section in a manner consistent
with the procedures and requirements of HealthMatch.
new text end

Sec. 76.

Minnesota Statutes 2004, section 256L.15,
subdivision 3, is amended to read:


Subd. 3.

Exceptions to sliding scale.

deleted text beginAn annual premium
of $48 is required for all
deleted text endChildren in families with income at
or deleted text beginless than deleted text endnew text beginbelow new text end150 percent of new text beginthe new text endfederal poverty guidelines
new text begin pay a monthly premium of $5new text end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective March 1, 2006,
or upon implementation of HealthMatch, whichever is later,
except that the increase in the monthly premium shall be
effective July 1, 2005.
new text end

Sec. 77.

new text begin [501B.895] PUBLIC HEALTH CARE PROGRAMS AND
CERTAIN TRUSTS.
new text end

new text begin (a) It is the public policy of this state that individuals
use all available resources to pay for the cost of long-term
care services, as defined in section 256B.0595, before turning
to Minnesota health care program funds, and that trust
instruments should not be permitted to shield available
resources of an individual or an individual's spouse from such
use. Any irrevocable inter-vivos trust or any legal instrument,
device, or arrangement similar to an irrevocable inter-vivos
trust created on or after July 1, 2005, containing assets or
income of an individual or an individual's spouse, including
those created by a person, court, or administrative body with
legal authority to act in place of, at the direction of, upon
the request of, or on behalf of the individual or individual's
spouse, becomes revocable by operation of law for the sole
purpose of a state or local human services agency determination
on an application by the individual or the individual's spouse
for payment of long-term care services through a Minnesota
public health care program pursuant to chapter 256B. For
purposes of this section, any inter-vivos trust and any legal
instrument, device, or arrangement similar to an inter-vivos
trust:
new text end

new text begin (1) shall be deemed to be located in and subject to the
laws of this state; and
new text end

new text begin (2) is created as of the date it is fully executed by or on
behalf of all of the settlors or others.
new text end

new text begin (b) For purposes of this section, a legal instrument,
device, or arrangement similar to an irrevocable inter-vivos
trust means any instrument, device, or arrangement which
involves a grantor who transfers or whose property is
transferred by another including, but not limited to, any court,
administrative body, or anyone else with authority to act on
their behalf or at their direction, to an individual or entity
with fiduciary, contractual, or legal obligations to the grantor
or others to be held, managed, or administered by the individual
or entity for the benefit of the grantor or others. These legal
instruments, devices, or other arrangements are irrevocable
inter-vivos trusts for purposes of this section.
new text end

new text begin (c) In the event of a conflict between this section and the
provisions of an irrevocable trust created on or after July 1,
2005, this section shall control.
new text end

new text begin (d) This section does not apply to trusts that qualify as
supplemental needs trusts under section 501B.89 or to trusts
meeting the criteria of United States Code, title 42, section
1396p (d)(4)(a) and (c) for purposes of eligibility for medical
assistance.
new text end

new text begin (e) This section applies to all trusts first created on or
after July 1, 2005, and to all interests in real or personal
property regardless of the date on which the interest was
created, reserved, or acquired.
new text end

Sec. 78.

Minnesota Statutes 2004, section 514.981,
subdivision 6, is amended to read:


Subd. 6.

Time limits; claim limits; liens on life estates
and joint tenancies.

(a) A medical assistance lien is a lien on
the real property it describes for a period of ten years from
the date it attaches according to section 514.981, subdivision
2, paragraph (a), except as otherwise provided for in sections
514.980 to 514.985. The agency may renew a medical assistance
lien for an additional ten years from the date it would
otherwise expire by recording or filing a certificate of renewal
before the lien expires. The certificate shall be recorded or
filed in the office of the county recorder or registrar of
titles for the county in which the lien is recorded or filed.
The certificate must refer to the recording or filing data for
the medical assistance lien it renews. The certificate need not
be attested, certified, or acknowledged as a condition for
recording or filing. The registrar of titles or the recorder
shall file, record, index, and return the certificate of renewal
in the same manner as provided for medical assistance liens in
section 514.982, subdivision 2.

(b) A medical assistance lien is not enforceable against
the real property of an estate to the extent there is a
determination by a court of competent jurisdiction, or by an
officer of the court designated for that purpose, that there are
insufficient assets in the estate to satisfy the agency's
medical assistance lien in whole or in part because of the
homestead exemption under section 256B.15, subdivision 4, the
rights of the surviving spouse or minor children under section
524.2-403, paragraphs (a) and (b), or claims with a priority
under section 524.3-805, paragraph (a), clauses (1) to (4). For
purposes of this section, the rights of the decedent's adult
children to exempt property under section 524.2-403, paragraph
(b), shall not be considered costs of administration under
section 524.3-805, paragraph (a), clause (1).

(c) Notwithstanding any law or rule to the contrary, the
provisions in clauses (1) to (7) apply if a life estate subject
to a medical assistance lien ends according to its terms, or if
a medical assistance recipient who owns a life estate or any
interest in real property as a joint tenant that is subject to a
medical assistance lien dies.

(1) The medical assistance recipient's life estate or joint
tenancy interest in the real property shall not end upon the
recipient's death but shall merge into the remainder interest or
other interest in real property the medical assistance recipient
owned in joint tenancy with others. The medical assistance lien
shall attach to and run with the remainder or other interest in
the real property to the extent of the medical assistance
recipient's interest in the property at the time of the
recipient's death as determined under this section.

(2) If the medical assistance recipient's interest was a
life estate in real property, the lien shall be a lien against
the portion of the remainder equal to the percentage factor for
the life estate of a person the medical assistance recipient's
age on the date the life estate ended according to its terms or
the date of the medical assistance recipient's death as listed
in the Life Estate Mortality Table in the health care program's
manual.

(3) If the medical assistance recipient owned the interest
in real property in joint tenancy with others, the lien shall be
a lien against the portion of that interest equal to the
fractional interest the medical assistance recipient would have
owned in the jointly owned interest had the medical assistance
recipient and the other owners held title to that interest as
tenants in common on the date the medical assistance recipient
died.

(4) The medical assistance lien shall remain a lien against
the remainder or other jointly owned interest for the length of
time and be renewable as provided in paragraph (a).

(5) Subdivision 5, paragraph (a), clause (4), paragraph
(b), clauses (1) and (2); and subdivision 6, paragraph (b), do
not apply to medical assistance liens which attach to interests
in real property as provided under this subdivision.

(6) The continuation of a medical assistance recipient's
life estate or joint tenancy interest in real property after the
medical assistance recipient's death for the purpose of
recovering medical assistance provided for in sections 514.980
to 514.985 modifies common law principles holding that these
interests terminate on the death of the holder.

(7) Notwithstanding any law or rule to the contrary, no
release, satisfaction, discharge, or affidavit under section
256B.15 shall extinguish or terminate the life estate or joint
tenancy interest of a medical assistance recipient subject to a
lien under sections 514.980 to 514.985 on the date the recipient
dies.

(8) The provisions of clauses (1) to (7) do not apply to a
homestead owned of record, on the date the recipient dies, by
the recipient and the recipient's spouse as joint tenants with a
right of survivorship. Homestead means the real property
occupied by the surviving joint tenant spouse as their sole
residence on the date the recipient dies and classified and
taxed to the recipient and surviving joint tenant spouse as
homestead property for property tax purposes in the calendar
year in which the recipient dies. For purposes of this
exemption, real property the recipient and their surviving joint
tenant spouse purchase solely with the proceeds from the sale of
their prior homestead, own of record as joint tenants, and
qualify as homestead property under section 273.124 in the
calendar year in which the recipient dies and prior to the
recipient's death shall be deemed to be real property classified
and taxed to the recipient and their surviving joint tenant
spouse as homestead property in the calendar year in which the
recipient dies. The surviving spouse, or any person with
personal knowledge of the facts, may provide an affidavit
describing the homestead property affected by this clause and
stating facts showing compliance with this clause. The
affidavit shall be prima facie evidence of the facts it states.
new text begin All provisions in this paragraph related to the continuation of
a recipient's life estate or joint tenancy interests in real
property after the recipient's death, for the purpose of
recovering medical assistance, are effective only for life
estates and joint tenancy interests established on or after
August 1, 2003.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively
from August 1, 2003.
new text end

Sec. 79.

Laws 2003, First Special Session chapter 14,
article 12, section 93, is amended to read:


Sec. 93deleted text beginREVIEW OF SPECIAL TRANSPORTATION ELIGIBILITY
CRITERIA AND POTENTIAL COST SAVINGS
deleted text endnew text beginUSE OF A BROKER TO MANAGE
SPECIAL TRANSPORTATION SERVICES.
new text end

deleted text begin The commissioner of human services, in consultation with
the commissioner of transportation and special transportation
service providers, shall review eligibility criteria for medical
assistance special transportation services and shall evaluate
whether the level of special transportation services provided
should be based on the degree of impairment of the client, as
well as the medical diagnosis. The commissioner shall also
evaluate methods for reducing the cost of special transportation
services, including, but not limited to:
deleted text end

deleted text begin (1) requiring providers to maintain a daily log book
confirming delivery of clients to medical facilities;
deleted text end

deleted text begin (2) requiring providers to implement commercially available
computer mapping programs to calculate mileage for purposes of
reimbursement;
deleted text end

deleted text begin (3) restricting special transportation service from being
provided solely for trips to pharmacies;
deleted text end

deleted text begin (4) modifying eligibility for special transportation;
deleted text end

deleted text begin (5) expanding alternatives to the use of special
transportation services;
deleted text end

deleted text begin (6) improving the process of certifying persons as eligible
for special transportation services; and
deleted text end

deleted text begin (7) examining the feasibility and benefits of licensing
special transportation providers.
deleted text end

deleted text begin The commissioner shall present recommendations for changes
in the eligibility criteria and potential cost-savings for
special transportation services to the chairs and ranking
minority members of the house and senate committees having
jurisdiction over health and human services spending by January
15, 2004.
deleted text endThe commissioner is prohibited from using a broker or
coordinator to manage special transportation services new text beginfor
fee-for-service enrollees residing in a nursing home licensed
under Minnesota Statutes, chapter 144A, until July 1, 2006, and
for all other fee-for-service enrollees
new text enduntil July 1, 2005,
except for the purposes of checking for recipient eligibility,
authorizing recipients for appropriate level of transportation,
and monitoring provider compliance with Minnesota Statutes,
section 256B.0625, subdivision 17. This prohibition does not
apply to the purchase or management of common carrier
transportation.

Sec. 80. new text beginADVISORY COMMITTEE ON NONEMERGENCY
TRANSPORTATION SERVICES.
new text end

new text begin The commissioner of human services shall establish a
seven-member advisory committee on medical assistance
nonemergency transportation services. The committee shall
consist of: a representative of the commissioner of human
services, who shall serve as chair; two special transportation
service providers, appointed by the trade associations
representing special transportation service providers; one
representative of nursing facilities; one representative of the
disability community; and one house and one senate member,
appointed respectively by the chairs of the house and senate
committees with jurisdiction over medical assistance funding.
The advisory committee shall monitor and evaluate the provision
of medical assistance nonemergency medical transportation
services, and present recommendations for any necessary changes
to the commissioner.
new text end

Sec. 81. new text beginPLANNING PROCESS FOR MANAGED CARE.
new text end

new text begin The commissioner of human services shall develop a planning
process for the purposes of implementing at least one additional
managed care arrangement to provide medical assistance services,
excluding continuing care services, to recipients enrolled in
the medical assistance fee-for-service program, effective
January 1, 2007. This planning process shall include an
advisory committee composed of current fee-for-service
consumers, consumer advocates, and providers, as well as
representatives of health plans and other provider organizations
qualified to provide basic health care services to persons with
disabilities. The department shall seek any additional federal
authority necessary to provide basic health care services
through contracted managed care arrangements.
new text end

Sec. 82. new text beginFEDERAL APPROVAL RELATED TO MEDICAL ASSISTANCE
INCOME LIMIT FOR PREGNANT WOMEN AND SPECIAL WORK EXPENSE
DEDUCTION.
new text end

new text begin The commissioner of human services, by July 1, 2005, shall
apply for any federal waivers and approvals necessary to retain
the medical assistance income limit for pregnant women at 200
percent of the federal poverty guidelines, and to not apply the
special work expense deductions for infants and pregnant women,
while continuing to receive federal funding under the state
children's health insurance program (SCHIP). The commissioner
shall update the chairs and ranking minority members of the
house and senate committees with jurisdiction over the medical
assistance program of the status of the request for federal
waivers and approvals.
new text end

Sec. 83. new text beginFEDERAL APPROVAL.
new text end

new text begin (a) The commissioner of human services shall seek federal
waivers and approvals necessary to allow the commissioner to
charge medical assistance recipients sliding scale premiums,
based on the sliding scale used for the MinnesotaCare program
under Minnesota Statutes, section 256L.15.
new text end

new text begin (b) The commissioner of human services shall seek federal
waivers and approvals necessary to modify the definition of
household and family income under MinnesotaCare, to include the
earned and unearned income of all persons residing in the
household or family, including unrelated persons.
new text end

Sec. 84. new text beginHEALTH CARE FINANCING REPORT.
new text end

new text begin The commissioner of human services shall develop
recommendations on simplifying publicly funded health care
program financing. The commissioner shall report the
recommendations to the chairs of the house and senate committees
with jurisdiction over health care financing during the 2007
legislative session.
new text end

Sec. 85. new text beginGENERAL PROVISIONS GOVERNING CHANGE IN EFFECTIVE
DATE FOR LIFE ESTATE AND JOINT TENANCY INTEREST PROVISIONS.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment of life estate or joint
tenancy interest.
new text end

new text begin For purposes of the amendments to Minnesota
Statutes, sections 256B.15, subdivision 1, and 514.981,
subdivision 6, a life estate or joint tenancy interest is
established upon the earlier of:
new text end

new text begin (1) the date the instrument creating the interest is
recorded or filed in the office of the county recorder or
registrar of titles where the real estate interest it describes
is located;
new text end

new text begin (2) the date of delivery by the grantor to the grantee of
the signed instrument as stated in an affidavit made by a person
with knowledge of the facts;
new text end

new text begin (3) the date on which the judicial order creating the
interest was issued by the court; or
new text end

new text begin (4) the date upon which the interest devolves under
Minnesota Statutes, section 524.3-101.
new text end

new text begin Subd. 2. new text end

new text begin Medical assistance. new text end

new text begin For purposes of the
amendments to Minnesota Statutes, sections 256B.15, subdivision
1, and 514.981, subdivision 6, the term medical assistance means
medical assistance as defined in Minnesota Statutes 2004,
section 256B.15, subdivision 1.
new text end

new text begin Subd. 3.new text end

new text beginLien notices.new text end

new text beginMedical assistance liens and
liens under notices of potential claims that are of record
against life estate or joint tenancy interests established prior
to August 1, 2003, shall end and become unenforceable upon the
death of the person named in the lien, or a notice of potential
claim shall be disregarded by examiners of title after the death
of the life tenant or joint tenant, and shall not be carried
forward to a subsequent certificate of title. This subdivision
shall not apply to life estates that continue to exist after the
death of the person named in the lien or notice of potential
claim under the terms of the instrument creating or reserving
the life estate until the life estate ends as provided for in
the instrument.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively
from August 1, 2003.
new text end

Sec. 86. new text beginCOMMISSIONER'S DUTIES RELATED TO CHANGE IN
EFFECTIVE DATE FOR LIFE ESTATE AND JOINT TENANCY INTEREST
PROVISIONS.
new text end

new text begin (a) The commissioner of human services or a county agency
that has recovered medical assistance or alternative care
payments for recipients after they die from their life estates
or jointly owned interests in real property that were
established prior to August 1, 2003, and that were continued in
existence or merged into another interest in real property after
their death due solely to the provisions of section 256B.15 or
514.981, subdivision 6, paragraph (c), as those provisions
existed prior to the amendments in this act, shall refund those
recoveries, without interest. The refunds shall be paid to the
surviving record owners of the real property in which the
recipient had a life estate or a jointly owned interest on the
date of the recipient's death in proportion to their record
interests on that date. The commissioner and a county agency
are not required to refund any other recoveries attributable to
any other interests or assets of the deceased recipient.
new text end

new text begin (b) If the commissioner of human services or a county
agency determines a person entitled to any refund under this act
is dead, they may pay the refund due that person to their estate
if it is still open. If the person's estate is closed or if a
court has entered a decree of distribution for that person under
section 525.312 that is a final decree, the commissioner or the
county agency may, in their absolute discretion, pay the
person's refund to their heirs or devisees as finally determined
in any completed probate or under any final decree of
distribution. In all other cases including, but not limited to,
those in which the commissioner or a county agency determines
they cannot identify or locate a person entitled to a refund
under this section, they may, at their discretion, declare such
person's refund to be abandoned property and pay and deliver it
to the commissioner of commerce. The commissioner of commerce
shall administer and dispose of the refunds according to
sections 345.31 to 345.60. Neither the commissioner of human
services, the Department of Human Services, a county agency, or
the employees of the department or agency, shall be liable to
anyone with respect to the refund after paying or delivering the
refund as provided for in this section.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively
from August 1, 2003.
new text end

Sec. 87. new text beginIMMUNITY.
new text end

new text begin The commissioner of human services, county agencies, and
elected officials and their employees are immune from all
liability for any action taken implementing Laws 2003, First
Special Session chapter 14, article 12, sections 40 to 52 and
90, as those laws existed at the time the action was taken, and
sections 1 to 4 of this act.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively
from August 1, 2003.
new text end

Sec. 88. new text beginREPEALER.
new text end

new text begin (a) Minnesota Statutes 2004, sections 256L.035; 256L.04,
subdivision 7; and 256L.09, subdivisions 1, 4, 5, 6, and 7, are
repealed effective October 1, 2005.
new text end

new text begin (b) Minnesota Statutes 2004, section 256.955, is repealed
effective January 1, 2006.
new text end

new text begin (c) Minnesota Statutes 2004, sections 256B.075, subdivision
5, and 295.581, are repealed the day following final enactment.
new text end

new text begin (d) Minnesota Statutes 2004, section 256L.04, subdivision
11, MinnesotaCare outreach grants, is repealed effective July 1,
2005.
new text end

ARTICLE 4

NURSING FACILITY REIMBURSEMENT SYSTEM
AND OTHER PROVISIONS

Section 1.

Minnesota Statutes 2004, section 144A.071,
subdivision 4a, is amended to read:


Subd. 4a.

Exceptions for replacement beds.

It is in the
best interest of the state to ensure that nursing homes and
boarding care homes continue to meet the physical plant
licensing and certification requirements by permitting certain
construction projects. Facilities should be maintained in
condition to satisfy the physical and emotional needs of
residents while allowing the state to maintain control over
nursing home expenditure growth.

The commissioner of health in coordination with the
commissioner of human services, may approve the renovation,
replacement, upgrading, or relocation of a nursing home or
boarding care home, under the following conditions:

(a) to license or certify beds in a new facility
constructed to replace a facility or to make repairs in an
existing facility that was destroyed or damaged after June 30,
1987, by fire, lightning, or other hazard provided:

(i) destruction was not caused by the intentional act of or
at the direction of a controlling person of the facility;

(ii) at the time the facility was destroyed or damaged the
controlling persons of the facility maintained insurance
coverage for the type of hazard that occurred in an amount that
a reasonable person would conclude was adequate;

(iii) the net proceeds from an insurance settlement for the
damages caused by the hazard are applied to the cost of the new
facility or repairs;

(iv) the new facility is constructed on the same site as
the destroyed facility or on another site subject to the
restrictions in section 144A.073, subdivision 5;

(v) the number of licensed and certified beds in the new
facility does not exceed the number of licensed and certified
beds in the destroyed facility; and

(vi) the commissioner determines that the replacement beds
are needed to prevent an inadequate supply of beds.

Project construction costs incurred for repairs authorized under
this clause shall not be considered in the dollar threshold
amount defined in subdivision 2;

(b) to license or certify beds that are moved from one
location to another within a nursing home facility, provided the
total costs of remodeling performed in conjunction with the
relocation of beds does not exceed $1,000,000;

(c) to license or certify beds in a project recommended for
approval under section 144A.073;

(d) to license or certify beds that are moved from an
existing state nursing home to a different state facility,
provided there is no net increase in the number of state nursing
home beds;

(e) to certify and license as nursing home beds boarding
care beds in a certified boarding care facility if the beds meet
the standards for nursing home licensure, or in a facility that
was granted an exception to the moratorium under section
144A.073, and if the cost of any remodeling of the facility does
not exceed $1,000,000. If boarding care beds are licensed as
nursing home beds, the number of boarding care beds in the
facility must not increase beyond the number remaining at the
time of the upgrade in licensure. The provisions contained in
section 144A.073 regarding the upgrading of the facilities do
not apply to facilities that satisfy these requirements;

(f) to license and certify up to 40 beds transferred from
an existing facility owned and operated by the Amherst H. Wilder
Foundation in the city of St. Paul to a new unit at the same
location as the existing facility that will serve persons with
Alzheimer's disease and other related disorders. The transfer
of beds may occur gradually or in stages, provided the total
number of beds transferred does not exceed 40. At the time of
licensure and certification of a bed or beds in the new unit,
the commissioner of health shall delicense and decertify the
same number of beds in the existing facility. As a condition of
receiving a license or certification under this clause, the
facility must make a written commitment to the commissioner of
human services that it will not seek to receive an increase in
its property-related payment rate as a result of the transfers
allowed under this paragraph;

(g) to license and certify nursing home beds to replace
currently licensed and certified boarding care beds which may be
located either in a remodeled or renovated boarding care or
nursing home facility or in a remodeled, renovated, newly
constructed, or replacement nursing home facility within the
identifiable complex of health care facilities in which the
currently licensed boarding care beds are presently located,
provided that the number of boarding care beds in the facility
or complex are decreased by the number to be licensed as nursing
home beds and further provided that, if the total costs of new
construction, replacement, remodeling, or renovation exceed ten
percent of the appraised value of the facility or $200,000,
whichever is less, the facility makes a written commitment to
the commissioner of human services that it will not seek to
receive an increase in its property-related payment rate by
reason of the new construction, replacement, remodeling, or
renovation. The provisions contained in section 144A.073
regarding the upgrading of facilities do not apply to facilities
that satisfy these requirements;

(h) to license as a nursing home and certify as a nursing
facility a facility that is licensed as a boarding care facility
but not certified under the medical assistance program, but only
if the commissioner of human services certifies to the
commissioner of health that licensing the facility as a nursing
home and certifying the facility as a nursing facility will
result in a net annual savings to the state general fund of
$200,000 or more;

(i) to certify, after September 30, 1992, and prior to July
1, 1993, existing nursing home beds in a facility that was
licensed and in operation prior to January 1, 1992;

(j) to license and certify new nursing home beds to replace
beds in a facility acquired by the Minneapolis Community
Development Agency as part of redevelopment activities in a city
of the first class, provided the new facility is located within
three miles of the site of the old facility. Operating and
property costs for the new facility must be determined and
allowed under section 256B.431 or 256B.434;

(k) to license and certify up to 20 new nursing home beds
in a community-operated hospital and attached convalescent and
nursing care facility with 40 beds on April 21, 1991, that
suspended operation of the hospital in April 1986. The
commissioner of human services shall provide the facility with
the same per diem property-related payment rate for each
additional licensed and certified bed as it will receive for its
existing 40 beds;

(l) to license or certify beds in renovation, replacement,
or upgrading projects as defined in section 144A.073,
subdivision 1, so long as the cumulative total costs of the
facility's remodeling projects do not exceed $1,000,000;

(m) to license and certify beds that are moved from one
location to another for the purposes of converting up to five
four-bed wards to single or double occupancy rooms in a nursing
home that, as of January 1, 1993, was county-owned and had a
licensed capacity of 115 beds;

(n) to allow a facility that on April 16, 1993, was a
106-bed licensed and certified nursing facility located in
Minneapolis to layaway all of its licensed and certified nursing
home beds. These beds may be relicensed and recertified in a
newly constructed teaching nursing home facility affiliated with
a teaching hospital upon approval by the legislature. The
proposal must be developed in consultation with the interagency
committee on long-term care planning. The beds on layaway
status shall have the same status as voluntarily delicensed and
decertified beds, except that beds on layaway status remain
subject to the surcharge in section 256.9657. This layaway
provision expires July 1, 1998;

(o) to allow a project which will be completed in
conjunction with an approved moratorium exception project for a
nursing home in southern Cass County and which is directly
related to that portion of the facility that must be repaired,
renovated, or replaced, to correct an emergency plumbing problem
for which a state correction order has been issued and which
must be corrected by August 31, 1993;

(p) to allow a facility that on April 16, 1993, was a
368-bed licensed and certified nursing facility located in
Minneapolis to layaway, upon 30 days prior written notice to the
commissioner, up to 30 of the facility's licensed and certified
beds by converting three-bed wards to single or double
occupancy. Beds on layaway status shall have the same status as
voluntarily delicensed and decertified beds except that beds on
layaway status remain subject to the surcharge in section
256.9657, remain subject to the license application and renewal
fees under section 144A.07 and shall be subject to a $100 per
bed reactivation fee. In addition, at any time within three
years of the effective date of the layaway, the beds on layaway
status may be:

(1) relicensed and recertified upon relocation and
reactivation of some or all of the beds to an existing licensed
and certified facility or facilities located in Pine River,
Brainerd, or International Falls; provided that the total
project construction costs related to the relocation of beds
from layaway status for any facility receiving relocated beds
may not exceed the dollar threshold provided in subdivision 2
unless the construction project has been approved through the
moratorium exception process under section 144A.073;

(2) relicensed and recertified, upon reactivation of some
or all of the beds within the facility which placed the beds in
layaway status, if the commissioner has determined a need for
the reactivation of the beds on layaway status.

The property-related payment rate of a facility placing
beds on layaway status must be adjusted by the incremental
change in its rental per diem after recalculating the rental per
diem as provided in section 256B.431, subdivision 3a, paragraph
(c). The property-related payment rate for a facility
relicensing and recertifying beds from layaway status must be
adjusted by the incremental change in its rental per diem after
recalculating its rental per diem using the number of beds after
the relicensing to establish the facility's capacity day
divisor, which shall be effective the first day of the month
following the month in which the relicensing and recertification
became effective. Any beds remaining on layaway status more
than three years after the date the layaway status became
effective must be removed from layaway status and immediately
delicensed and decertified;

(q) to license and certify beds in a renovation and
remodeling project to convert 12 four-bed wards into 24 two-bed
rooms, expand space, and add improvements in a nursing home
that, as of January 1, 1994, met the following conditions: the
nursing home was located in Ramsey County; had a licensed
capacity of 154 beds; and had been ranked among the top 15
applicants by the 1993 moratorium exceptions advisory review
panel. The total project construction cost estimate for this
project must not exceed the cost estimate submitted in
connection with the 1993 moratorium exception process;

(r) to license and certify up to 117 beds that are
relocated from a licensed and certified 138-bed nursing facility
located in St. Paul to a hospital with 130 licensed hospital
beds located in South St. Paul, provided that the nursing
facility and hospital are owned by the same or a related
organization and that prior to the date the relocation is
completed the hospital ceases operation of its inpatient
hospital services at that hospital. After relocation, the
nursing facility's status under section 256B.431, subdivision
2j, shall be the same as it was prior to relocation. The
nursing facility's property-related payment rate resulting from
the project authorized in this paragraph shall become effective
no earlier than April 1, 1996. For purposes of calculating the
incremental change in the facility's rental per diem resulting
from this project, the allowable appraised value of the nursing
facility portion of the existing health care facility physical
plant prior to the renovation and relocation may not exceed
$2,490,000;

(s) to license and certify two beds in a facility to
replace beds that were voluntarily delicensed and decertified on
June 28, 1991;

(t) to allow 16 licensed and certified beds located on July
1, 1994, in a 142-bed nursing home and 21-bed boarding care home
facility in Minneapolis, notwithstanding the licensure and
certification after July 1, 1995, of the Minneapolis facility as
a 147-bed nursing home facility after completion of a
construction project approved in 1993 under section 144A.073, to
be laid away upon 30 days' prior written notice to the
commissioner. Beds on layaway status shall have the same status
as voluntarily delicensed or decertified beds except that they
shall remain subject to the surcharge in section 256.9657. The
16 beds on layaway status may be relicensed as nursing home beds
and recertified at any time within five years of the effective
date of the layaway upon relocation of some or all of the beds
to a licensed and certified facility located in Watertown,
provided that the total project construction costs related to
the relocation of beds from layaway status for the Watertown
facility may not exceed the dollar threshold provided in
subdivision 2 unless the construction project has been approved
through the moratorium exception process under section 144A.073.

The property-related payment rate of the facility placing
beds on layaway status must be adjusted by the incremental
change in its rental per diem after recalculating the rental per
diem as provided in section 256B.431, subdivision 3a, paragraph
(c). The property-related payment rate for the facility
relicensing and recertifying beds from layaway status must be
adjusted by the incremental change in its rental per diem after
recalculating its rental per diem using the number of beds after
the relicensing to establish the facility's capacity day
divisor, which shall be effective the first day of the month
following the month in which the relicensing and recertification
became effective. Any beds remaining on layaway status more
than five years after the date the layaway status became
effective must be removed from layaway status and immediately
delicensed and decertified;

(u) to license and certify beds that are moved within an
existing area of a facility or to a newly constructed addition
which is built for the purpose of eliminating three- and
four-bed rooms and adding space for dining, lounge areas,
bathing rooms, and ancillary service areas in a nursing home
that, as of January 1, 1995, was located in Fridley and had a
licensed capacity of 129 beds;

(v) to relocate 36 beds in Crow Wing County and four beds
from Hennepin County to a 160-bed facility in Crow Wing County,
provided all the affected beds are under common ownership;

(w) to license and certify a total replacement project of
up to 49 beds located in Norman County that are relocated from a
nursing home destroyed by flood and whose residents were
relocated to other nursing homes. The operating cost payment
rates for the new nursing facility shall be determined based on
the interim and settle-up payment provisions of Minnesota Rules,
part 9549.0057, and the reimbursement provisions of section
256B.431, except that subdivision 26, paragraphs (a) and (b),
shall not apply until the second rate year after the settle-up
cost report is filed. Property-related reimbursement rates
shall be determined under section 256B.431, taking into account
any federal or state flood-related loans or grants provided to
the facility;

(x) to license and certify a total replacement project of
up to 129 beds located in Polk County that are relocated from a
nursing home destroyed by flood and whose residents were
relocated to other nursing homes. The operating cost payment
rates for the new nursing facility shall be determined based on
the interim and settle-up payment provisions of Minnesota Rules,
part 9549.0057, and the reimbursement provisions of section
256B.431, except that subdivision 26, paragraphs (a) and (b),
shall not apply until the second rate year after the settle-up
cost report is filed. Property-related reimbursement rates
shall be determined under section 256B.431, taking into account
any federal or state flood-related loans or grants provided to
the facility;

(y) to license and certify beds in a re