HF 1276

1st Committee Engrossment - 86th Legislature (2009 - 2010) Posted on 03/19/2013 07:28pm

A bill for an act
relating to health and human services; relieving counties of certain mandates;
allowing counties to place children for treatment in bordering states; modifying
county payment of funeral expenses; modifying certain nursing facility rules;
providing an alternative licensing method for day training and habilitation
services; accepting certain independent audits; modifying renewal notice
requirements; modifying health care program information that school district
or charter school must provide; amending Minnesota Statutes 2008, sections
62Q.37, subdivision 3; 144A.04, subdivision 11, by adding a subdivision;
144A.45, subdivision 1; 245.4882, subdivisions 1, 2; 245.4885, subdivision 1a;
245A.09, subdivision 7; 256.935, subdivision 1; 256.962, subdivisions 6, 7;
256B.0625, subdivision 41; 256B.0945, subdivision 1; 256F.13, subdivision
1; 260C.212, subdivisions 4a, 11; 261.035; 471.61, subdivision 1; repealing
Minnesota Rules, part 4668.0110, subpart 5.

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

ARTICLE 1

HUMAN SERVICES

Section 1.

Minnesota Statutes 2008, section 245.4882, subdivision 1, is amended to
read:

Subdivision 1.

Availability of residential treatment services.

County boards must
provide or contract for enough residential treatment services to meet the needs of each
child with severe emotional disturbance residing in the county and needing this level of
care. Length of stay is based on the child's residential treatment need and shall be subject
to the six-month review process established in section 260C.212, deleted text begin subdivisions 7 and 9 deleted text end
new text begin subdivision 7, and for children in voluntary placement for treatment, the court review
process in section 260D.06
new text end . Services must be appropriate to the child's age and treatment
needs and must be made available as close to the county as possible new text begin , that may include
residential treatment services provided in bordering states new text end . Residential treatment must
be designed to:

(1) prevent placement in settings that are more intensive, costly, or restrictive than
necessary and appropriate to meet the child's needs;

(2) help the child improve family living and social interaction skills;

(3) help the child gain the necessary skills to return to the community;

(4) stabilize crisis admissions; and

(5) work with families throughout the placement to improve the ability of the
families to care for children with severe emotional disturbance in the home.

Sec. 2.

Minnesota Statutes 2008, section 245.4882, subdivision 2, is amended to read:

Subd. 2.

Specific requirements.

A provider of residential services to children must
be licensed under applicable rules adopted by the commissioner and must be clinically
supervised by a mental health professional. new text begin The child may be placed in a facility that is
located in a state that borders Minnesota if:
new text end

new text begin (1) the facility is the closest facility to the child's home, which provides the
appropriate level of care; and
new text end

new text begin (2) the state has certified that the facility meets the applicable Minnesota licensing
and provider standards.
new text end

Sec. 3.

Minnesota Statutes 2008, section 245.4885, subdivision 1a, is amended to read:

Subd. 1a.

Emergency admission.

Effective July 1, 2006, if a child is admitted to
a treatment foster care setting, residential treatment facility, or acute care hospital for
emergency treatment or held for emergency care by a regional treatment center under
section 253B.05, subdivision 1, the level of care determination must occur within deleted text begin three deleted text end new text begin
five new text end working days of admission.

Sec. 4.

Minnesota Statutes 2008, section 256.935, subdivision 1, is amended to read:

Subdivision 1.

new text begin Cremation and new text end funeral expenses.

On the death of any person
receiving public assistance through MFIP, the county agency shall deleted text begin pay deleted text end new text begin attempt to contact
the decedent's spouse or next of kin. If the agency is not able to contact a spouse or
next of kin, the agency shall pay for cremation of the person's remains. If the county
agency contacts the decedent's spouse or next of kin and it is determined that cremation is
not in accordance with the religious and moral beliefs of the decedent or the decedent's
spouse or the decedent's next of kin, the county agency shall pay new text end an amount for funeral
expenses new text begin including the transportation of the body into or out of the community in which
the deceased resided new text end not exceeding the amount paid for comparable services under
section 261.035 plus actual cemetery charges. No new text begin cremation or new text end funeral expenses shall
be paid if the estate of the deceased is sufficient to pay such expenses or if the spouse,
who was legally responsible for the support of the deceased while living, is able to pay
such expenses deleted text begin ; provided, that the additional payment or donation of the cost of cemetery
lot, interment, religious service, or for the transportation of the body into or out of the
community in which the deceased resided, shall not limit payment by the county agency as
herein authorized deleted text end . Freedom of choice in the selection of a funeral director shall be granted
to persons lawfully authorized to make arrangements for the new text begin cremation or new text end burial of any
such deceased recipient. In determining the sufficiency of such estate, due regard shall be
had for the nature and marketability of the assets of the estate. The county agency may
grant new text begin cremation or new text end funeral expenses where the sale would cause undue loss to the estate.
Any amount paid for new text begin cremation or new text end funeral expenses shall be a prior claim against the
estate, as provided in section 524.3-805, and any amount recovered shall be reimbursed to
the agency which paid the expenses. The commissioner shall specify requirements for
reports, including fiscal reports, according to section 256.01, subdivision 2, paragraph deleted text begin (17) deleted text end new text begin
(q) new text end . The state share shall pay the entire amount of county agency expenditures. Benefits
shall be issued to recipients by the state or county subject to provisions of section 256.017.

Sec. 5.

Minnesota Statutes 2008, section 256B.0625, subdivision 41, is amended to
read:

Subd. 41.

Residential services for children with severe emotional disturbance.

Medical assistance covers rehabilitative services in accordance with section 256B.0945
that are provided by a county through a residential facility, new text begin including a facility in a
bordering state if it meets the requirements under section 245.4882, subdivision 2, new text end for
children who have been diagnosed with severe emotional disturbance and have been
determined to require the level of care provided in a residential facility.

Sec. 6.

Minnesota Statutes 2008, section 256B.0945, subdivision 1, is amended to read:

Subdivision 1.

Residential services; provider qualifications.

Counties must
arrange to provide residential services for children with severe emotional disturbance
according to sections 245.4882, 245.4885, and this section. Services must be provided
by a facility that is licensed according to section 245.4882 and administrative rules
promulgated thereunder, and under contract with the county. new text begin The child may be placed in a
facility that is located in a state that borders Minnesota if:
new text end

new text begin (1) the facility is the closest facility to the child's home, providing the appropriate
level of care; and
new text end

new text begin (2) the state has certified that the facility meets the applicable Minnesota licensing
and provider standards.
new text end

Sec. 7.

Minnesota Statutes 2008, section 256F.13, subdivision 1, is amended to read:

Subdivision 1.

Federal revenue enhancement.

(a) The commissioner of human
services may enter into an agreement with one or more family services collaboratives
to enhance federal reimbursement under title IV-E of the Social Security Act and
federal administrative reimbursement under title XIX of the Social Security Act. The
commissioner may contract with the Department of Education for purposes of transferring
the federal reimbursement to the commissioner of education to be distributed to the
collaboratives according to clause (2). The commissioner shall have the following
authority and responsibilities regarding family services collaboratives:

(1) the commissioner shall submit amendments to state plans and seek waivers as
necessary to implement the provisions of this section;

(2) the commissioner shall pay the federal reimbursement earned under this
subdivision to each collaborative based on their earnings. Payments to collaboratives for
expenditures under this subdivision will only be made of federal earnings from services
provided by the collaborative;

(3) the commissioner shall review expenditures of family services collaboratives
using reports specified in the agreement with the collaborative to ensure that the base level
of expenditures is continued and new federal reimbursement is used to expand education,
social, health, or health-related services to young children and their families;

(4) the commissioner may reduce, suspend, or eliminate a family services
collaborative's obligations to continue the base level of expenditures or expansion of
services if the commissioner determines that one or more of the following conditions
apply:

(i) imposition of levy limits that significantly reduce available funds for social,
health, or health-related services to families and children;

(ii) reduction in the net tax capacity of the taxable property eligible to be taxed by
the lead county or subcontractor that significantly reduces available funds for education,
social, health, or health-related services to families and children;

(iii) reduction in the number of children under age 19 in the county, collaborative
service delivery area, subcontractor's district, or catchment area when compared to the
number in the base year using the most recent data provided by the State Demographer's
Office; or

(iv) termination of the federal revenue earned under the family services collaborative
agreement;

(5) the commissioner shall not use the federal reimbursement earned under this
subdivision in determining the allocation or distribution of other funds to counties or
collaboratives;

(6) the commissioner may suspend, reduce, or terminate the federal reimbursement
to a provider that does not meet the reporting or other requirements of this subdivision;

(7) the commissioner shall recover from the family services collaborative any federal
fiscal disallowances or sanctions for audit exceptions directly attributable to the family
services collaborative's actions in the integrated fund, or the proportional share if federal
fiscal disallowances or sanctions are based on a statewide random sample; and

(8) the commissioner shall establish criteria for the family services collaborative
for the accounting and financial management system that will support claims for federal
reimbursement.

(b) The family services collaborative shall have the following authority and
responsibilities regarding federal revenue enhancement:

(1) the family services collaborative shall be the party with which the commissioner
contracts. A lead county shall be designated as the fiscal agency for reporting, claiming,
and receiving payments;

(2) the family services collaboratives may enter into subcontracts with other
counties, school districts, special education cooperatives, municipalities, and other public
and nonprofit entities for purposes of identifying and claiming eligible expenditures to
enhance federal reimbursement, or to expand education, social, health, or health-related
services to families and children;

(3) deleted text begin the family services collaborative must continue the base level of expenditures for
education, social, health, or health-related services to families and children from any state,
county, federal, or other public or private funding source which, in the absence of the new
federal reimbursement earned under this subdivision, would have been available for those
services, except as provided in paragraph (a), clause (4). The base year for purposes of this
subdivision shall be the four-quarter calendar year ending at least two calendar quarters
before the first calendar quarter in which the new federal reimbursement is earned;
deleted text end

deleted text begin (4) deleted text end the family services collaborative must use all new federal reimbursement
resulting from federal revenue enhancement to expand expenditures for education, social,
health, or health-related services to families and children beyond the base level, except
as provided in paragraph (a), clause (4);

deleted text begin (5) deleted text end new text begin (4) new text end the family services collaborative must ensure that expenditures submitted
for federal reimbursement are not made from federal funds or funds used to match other
federal funds. Notwithstanding section 256B.19, subdivision 1, for the purposes of family
services collaborative expenditures under agreement with the department, the nonfederal
share of costs shall be provided by the family services collaborative from sources other
than federal funds or funds used to match other federal funds;

deleted text begin (6) deleted text end new text begin (5) new text end the family services collaborative must develop and maintain an accounting
and financial management system adequate to support all claims for federal reimbursement,
including a clear audit trail and any provisions specified in the agreement; and

deleted text begin (7) deleted text end new text begin (6) new text end the family services collaborative shall submit an annual report to the
commissioner as specified in the agreement.

Sec. 8.

Minnesota Statutes 2008, section 260C.212, subdivision 4a, is amended to read:

Subd. 4a.

Monthly caseworker visits.

(a) Every child in foster care or on a trial
home visit shall be visited by the child's caseworker new text begin or the licensor new text end on a monthly basis,
with the majority of visits occurring in the child's residence. For the purposes of this
section, the following definitions apply:

(1) "visit" is defined as a face-to-face contact between a child and the child's
caseworker;

(2) "visited on a monthly basis" is defined as at least one visit per calendar month;

(3) "the child's caseworker" is defined as the person who has responsibility for
managing the child's foster care placement case as assigned by the responsible social
service agency; deleted text begin and
deleted text end

(4) "the child's residence" is defined as the home where the child is residing, and
can include the foster home, child care institution, or the home from which the child was
removed if the child is on a trial home visit new text begin ; and
new text end

new text begin (5) "the licensor" is defined as the representative from the agency that has the
responsibility for foster care licensing oversight new text end .

(b) Caseworker visits shall be of sufficient substance and duration to address issues
pertinent to case planning and service delivery to ensure the safety, permanency, and
well-being of the child.

Sec. 9.

Minnesota Statutes 2008, section 260C.212, subdivision 11, is amended to read:

Subd. 11.

Rules; family and group foster care.

deleted text begin The commissioner shall revise deleted text end
deleted text begin Minnesota Rules, parts 9545.0010 to 9545.0260, the rules setting standards for family and
deleted text end deleted text begin group family foster care. deleted text end The commissioner shall:

(1) require that, as a condition of licensure, foster care providers attend training on
understanding and validating the cultural heritage of all children in their care, and on the
importance of the Indian Child Welfare Act, United States Code, title 25, sections 1901 to
1923, and the Minnesota Indian Family Preservation Act, sections 260.751 to 260.835; deleted text begin and
deleted text end

(2) review and, where necessary, revise foster care rules to reflect sensitivity to
cultural diversity and differing lifestyles. Specifically, the commissioner shall examine
whether space and other requirements discriminate against single-parent, minority, or
low-income families who may be able to provide quality foster care reflecting the values
of their own respective cultures new text begin ; and
new text end

new text begin (3) relieve relative foster care providers of the requirements promulgated as a result
of clauses (1) and (2) when the safety of the child is not jeopardized and as allowed
under federal law new text end .

Sec. 10.

Minnesota Statutes 2008, section 261.035, is amended to read:

261.035 new text begin CREMATION AND new text end FUNERALS AT EXPENSE OF COUNTY.

When a person dies in any county without apparent means to provide for that
person's funeral or final disposition, the county board shall first investigate to determine
whether that person had contracted for any prepaid funeral arrangements. If new text begin prepaid
new text end arrangements have been made, the county shall authorize arrangements to be implemented
in accord with the instructions of the deceased. If it is determined that the person did not
leave sufficient means to defray the necessary expenses of a funeral and final disposition,
nor any spouse of sufficient ability to procure the burial, the county board shall provide
for deleted text begin a funeral and final disposition deleted text end new text begin cremation new text end of the person's remains deleted text begin to be made deleted text end at the
expense of the county. new text begin If it is determined that cremation is not in accordance with the
religious and moral beliefs of the decedent or the decedent's spouse or the decedent's next
of kin, the county board shall provide for a funeral. Counties may establish a maximum
rate for funeral expenses. new text end Any funeral and final disposition provided at the expense of
the county shall be in accordance with religious and moral beliefs of the decedent or
the decedent's spouse or the decedent's next of kin. If the wishes of the decedent are
not known and the county has no information about the existence of or location of any
next of kin, the county deleted text begin may determine the method of final disposition deleted text end new text begin may provide for
cremation of the person's remains new text end .

ARTICLE 2

HEALTH CARE

Section 1.

Minnesota Statutes 2008, section 62Q.37, subdivision 3, is amended to read:

Subd. 3.

Audits.

(a) The commissioner may conduct routine audits and
investigations as prescribed under the commissioner's respective state authorizing statutes.
If a nationally recognized independent organization has conducted an audit of the health
plan company using audit procedures that are comparable to or more stringent than the
commissioner's audit procedures:

(1) the commissioner deleted text begin may deleted text end new text begin shall new text end accept the independent audit new text begin , including standards
and audit practices, new text end and require no further audit if the results of the independent audit
show that the performance standard being audited meets or exceeds state standards;

(2) the commissioner may accept the independent audit and limit further auditing
if the results of the independent audit show that the performance standard being audited
partially meets state standards;

(3) the health plan company must demonstrate to the commissioner that the
nationally recognized independent organization that conducted the audit is qualified and
that the results of the audit demonstrate that the particular performance standard partially
or fully meets state standards; and

(4) if the commissioner has partially or fully accepted an independent audit of the
performance standard, the commissioner may use the finding of a deficiency with regard
to statutes or rules by an independent audit as the basis for a targeted audit or enforcement
action.

(b) If a health plan company has formally delegated activities that are required
under either state law or contract to another organization that has undergone an audit by
a nationally recognized independent organization, that health plan company may use
the nationally recognized accrediting body's determination on its own behalf under this
section.

Sec. 2.

Minnesota Statutes 2008, section 144A.04, subdivision 11, is amended to read:

Subd. 11.

Incontinent residents.

Notwithstanding Minnesota Rules, part
4658.0520, an incontinent resident must be deleted text begin checked according to a specific time interval
written in the resident's deleted text end new text begin treated according to the comprehensive assessment and new text end care plan.
deleted text begin The resident's attending physician must authorize in writing any interval longer than
two hours unless the resident, if competent, or a family member or legally appointed
conservator, guardian, or health care agent of a resident who is not competent, agrees in
writing to waive physician involvement in determining this interval, and this waiver
is documented in the resident's care plan.
deleted text end

Sec. 3.

Minnesota Statutes 2008, section 144A.04, is amended by adding a subdivision
to read:

new text begin Subd. 12. new text end

new text begin Resident positioning. new text end

new text begin Notwithstanding Minnesota Rules, part 4658.0525,
subpart 4, the position of residents unable to change their own position must be changed
based on the comprehensive assessment and care plan.
new text end

Sec. 4.

Minnesota Statutes 2008, section 144A.45, subdivision 1, is amended to read:

Subdivision 1.

Rules.

The commissioner shall adopt rules for the regulation of
home care providers pursuant to sections 144A.43 to 144A.47. The rules shall include
the following:

(1) provisions to assure, to the extent possible, the health, safety and well-being, and
appropriate treatment of persons who receive home care services;

(2) requirements that home care providers furnish the commissioner with specified
information necessary to implement sections 144A.43 to 144A.47;

(3) standards of training of home care provider personnel, which may vary according
to the nature of the services provided or the health status of the consumer;

(4) standards for medication management which may vary according to the nature of
the services provided, the setting in which the services are provided, or the status of the
consumer. Medication management includes the central storage, handling, distribution,
and administration of medications;

(5) standards for supervision of home care services requiring supervision by a
registered nurse or other appropriate health care professional which must occur on site
at least every 62 days, or more frequently if indicated by a clinical assessment, and in
accordance with sections 148.171 to 148.285 and rules adopted thereunder, except that deleted text begin ,
notwithstanding the provisions of Minnesota Rules, part 4668.0110, subpart 5, item B,
supervision of deleted text end a person performing home care aide tasks for a class B licensee providing
paraprofessional services deleted text begin must occur only every 180 days, or more frequently if indicated
by a clinical assessment deleted text end new text begin does not require nursing supervision new text end ;

(6) standards for client evaluation or assessment which may vary according to the
nature of the services provided or the status of the consumer;

(7) requirements for the involvement of a consumer's physician, the documentation
of physicians' orders, if required, and the consumer's treatment plan, and the maintenance
of accurate, current clinical records;

(8) the establishment of different classes of licenses for different types of providers
and different standards and requirements for different kinds of home care services; and

(9) operating procedures required to implement the home care bill of rights.

Sec. 5.

Minnesota Statutes 2008, section 245A.09, subdivision 7, is amended to read:

Subd. 7.

Regulatory methods.

(a) Where appropriate and feasible the commissioner
shall identify and implement alternative methods of regulation and enforcement to the
extent authorized in this subdivision. These methods shall include:

(1) expansion of the types and categories of licenses that may be granted;

(2) when the standards of another state or federal governmental agency or an
independent accreditation body have been shown to require the same standards, methods,
or alternative methods to achieve substantially the same intended outcomes as the
licensing standards, the commissioner shall consider compliance with the governmental
or accreditation standards to be equivalent to partial compliance with the licensing
standards; deleted text begin and
deleted text end

(3) use of an abbreviated inspection that employs key standards that have been
shown to predict full compliance with the rules new text begin ; and
new text end

new text begin (4) for day training and habilitation service providers, the commissioner shall deem
three-year accreditation by the Commission on Rehabilitation Facilities as equivalent to
compliance with the licensing standards new text end .

(b) If the commissioner accepts accreditation as documentation of compliance with a
licensing standard under paragraph (a), the commissioner shall continue to investigate
complaints related to noncompliance with all licensing standards. The commissioner
may take a licensing action for noncompliance under this chapter and shall recognize all
existing appeal rights regarding any licensing actions taken under this chapter.

(c) The commissioner shall work with the commissioners of health, public
safety, administration, and education in consolidating duplicative licensing and
certification rules and standards if the commissioner determines that consolidation is
administratively feasible, would significantly reduce the cost of licensing, and would
not reduce the protection given to persons receiving services in licensed programs.
Where administratively feasible and appropriate, the commissioner shall work with the
commissioners of health, public safety, administration, and education in conducting joint
agency inspections of programs.

(d) The commissioner shall work with the commissioners of health, public safety,
administration, and education in establishing a single point of application for applicants
who are required to obtain concurrent licensure from more than one of the commissioners
listed in this clause.

(e) Unless otherwise specified in statute, the commissioner may conduct routine
inspections biennially.

Sec. 6.

Minnesota Statutes 2008, section 256.962, subdivision 6, is amended to read:

Subd. 6.

School districts new text begin and charter schools new text end .

(a) At the beginning of each school
year, a school district new text begin or charter school new text end shall provide information to each student on the
availability of health care coverage through the Minnesota health care programs.

(b) deleted text begin For each child who is determined to be eligible for the free and reduced-price
school lunch program, the district shall provide the child's family with information on how
to obtain an application for the Minnesota health care programs and application assistance.
deleted text end

deleted text begin (c) deleted text end A new text begin school new text end district new text begin or charter school new text end shall also ensure that applications and
information on application assistance are available at early childhood education sites and
public schools located within the district's jurisdiction.

deleted text begin (d) Each district shall designate an enrollment specialist to provide application
assistance and follow-up services with families who have indicated an interest in receiving
information or an application for the Minnesota health care program. A district is eligible
for the application assistance bonus described in subdivision 5.
deleted text end

deleted text begin (e) Each deleted text end new text begin (c) If a school district or charter school maintains a district Web site, the new text end
school district new text begin or charter school new text end shall provide on deleted text begin their deleted text end new text begin its new text end Web site a link to information on
how to obtain an application and application assistance.

Sec. 7.

Minnesota Statutes 2008, section 256.962, subdivision 7, is amended to read:

Subd. 7.

Renewal notice.

(a) deleted text begin Beginning December 1, 2007, deleted text end The commissioner shall
mail a renewal notice to enrollees notifying the enrollees that the enrollees eligibility must
be renewed. A notice shall be sent at least deleted text begin 90 days prior to the renewal date and at least deleted text end
60 days prior to the renewal date.

(b) deleted text begin For enrollees who are receiving services through managed care plans, the
managed care plan must provide a follow-up renewal call at least 60 days prior to the
enrollees' renewal dates.
deleted text end

deleted text begin (c) deleted text end The commissioner shall include the end of coverage dates on the monthly rosters
of enrollees provided to managed care organizations.

Sec. 8.

Minnesota Statutes 2008, section 471.61, subdivision 1, is amended to read:

Subdivision 1.

Officers, employees.

A county, municipal corporation, town, school
district, county extension committee, other political subdivision or other body corporate
and politic of this state, other than the state or any department of the state, through its
governing body, and any two or more subdivisions acting jointly through their governing
bodies, may insure or protect its or their officers and employees, and their dependents, or
any class or classes of officers, employees, or dependents, under a policy or policies or
contract or contracts of group insurance or benefits covering life, health, and accident, in
the case of employees, and medical and surgical benefits and hospitalization insurance
or benefits for both employees and dependents or dependents of an employee whose
death was due to causes arising out of and in the course of employment, or any one or
more of those forms of insurance or protection. A governmental unit, including county
extension committees and those paying their employees, may pay all or any part of
the premiums or charges on the insurance or protection. A payment is deemed to be
additional compensation paid to the officers or employees, but for purposes of determining
contributions or benefits under a public pension or retirement system it is not deemed
to be additional compensation. One or more governmental units may determine that
a person is an officer or employee if the person receives income from the governmental
subdivisions without regard to the manner of election or appointment, including but not
limited to employees of county historical societies that receive funding from the county
and employees of the Minnesota Inter-county Association. The appropriate officer of
the governmental unit, or those disbursing county extension funds, shall deduct from
the salary or wages of each officer and employee who elects to become insured or so
protected, on the officer's or employee's written order, all or part of the officer's or
employee's share of premiums or charges and remit the share or portion to the insurer or
company issuing the policy or contract.

A governmental unit, other than a school district, that pays all or part of the premiums
or charges is authorized to levy and collect a tax, if necessary, in the next annual tax levy
for the purpose of providing the necessary money for the payment of the premiums or
charges, and the sums levied and appropriated are not, in the event the sum exceeds the
maximum sum allowed by the charter of a municipal corporation, considered part of
the cost of government of the governmental unit as defined in any levy or expenditure
limitation; provided at least 50 percent of the cost of benefits on dependents must be
contributed by the employee or be paid by levies within existing charter tax limitations.

The word "dependents" as used in this subdivision means spouse and minor
unmarried children under the age of 18 years actually dependent upon the employee.

new text begin Notwithstanding any other law to the contrary, a political subdivision described in
this subdivision may provide health benefits to its employees, dependents, and other
eligible persons through negotiated contributions to self-funded multiemployer health
and welfare funds.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment;
applies to contributions made before, on, or after that date; and is intended as a clarification
of existing law.
new text end

Sec. 9. new text begin REPEALER.
new text end

new text begin Minnesota Rules, part 4668.0110, subpart 5, new text end new text begin is repealed.
new text end