HF 3743

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/13/2024 12:43pm

A bill for an act
relating to behavioral health; modifying community support services program
standards; modifying the first episode of psychosis grant program; adding
occupational therapists to adult rehabilitative mental health services provider staff;
modifying medical assistance reimbursement rates for nonemergency transportation
services; adding option for contact via secure electronic message for mental health
case management payment; establishing protected transport start-up grants;
establishing engagement services pilot grants; establishing an early episode of
bipolar disorder grant program; requiring the commissioner of human services to
make recommendations for a formula-based allocation for mental health grant
services; requiring reports; appropriating money; amending Minnesota Statutes
2022, sections 245.462, subdivision 6; 245.4905; 256B.0623, subdivision 5;
256B.0625, subdivision 20; Minnesota Statutes 2023 Supplement, section
256B.0625, subdivision 17; Laws 2023, chapter 70, article 20, section 2, subdivision
29; proposing coding for new law in Minnesota Statutes, chapters 245; 253B.

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

Section 1.

Minnesota Statutes 2022, section 245.462, subdivision 6, is amended to read:

Subd. 6.

Community support services program.

"Community support services program"
means services, other than inpatient or residential treatment services, provided or coordinated
by an identified program and staff under the treatment supervision of a mental health
professional designed to help adults with serious and persistent mental illness to function
and remain in the community. A community support services program includes:

(1) client outreach,

(2) medication monitoring,

(3) assistance in independent living skills,

(4) development of employability and work-related opportunities,

(5) crisis assistance,

(6) psychosocial rehabilitation,

(7) help in applying for government benefits, and

(8) housing support services.

The community support services program must be coordinated with the case management
services specified in section 245.4711. new text begin A program that meets the accreditation standards
for Clubhouse International model programs meets the requirements of this subdivision.
new text end

Sec. 2.

Minnesota Statutes 2022, section 245.4905, is amended to read:

245.4905 FIRST EPISODE OF PSYCHOSIS GRANT PROGRAM.

Subdivision 1.

Creation.

The first episode of psychosis grant program is established in
the Department of Human Services to fund evidence-based interventions for youth new text begin and
young adults new text end at risk of developing or experiencing deleted text begin a deleted text end new text begin an early or new text end first episode of psychosis
deleted text begin and a public awareness campaign on the signs and symptoms of psychosis deleted text end . First episode of
psychosis services are eligible for children's mental health grants as specified in section
245.4889, subdivision 1, paragraph (b), clause (15). new text begin The Department of Human Services
must seek to fund eligible providers of first episode of psychosis services and assist with
program establishment throughout the state.
new text end

Subd. 2.

Activities.

(a) All first episode of psychosis grant programs must:

(1) provide intensive treatment and support for adolescents and new text begin young new text end adults experiencing
or at risk of experiencing deleted text begin a deleted text end new text begin an early or new text end first psychotic episode. Intensive treatment and
support includes medication management, psychoeducation for an individual and an
individual's family, case management, employment support, education support, cognitive
behavioral approaches, social skills training, peer support, new text begin family peer support, new text end crisis
planning, and stress management;

(2) conduct outreach and provide training and guidance to mental health and health care
professionals, including postsecondary health clinicians, on early psychosis symptoms,
screening tools, new text begin the first episode of psychosis program, new text end and best practices;

(3) ensure access for individuals to first psychotic episode services under this section deleted text begin ,
including access for individuals who live in rural areas deleted text end ; and

(4) use all available funding streams.

(b) Grant money may also be used to pay for housing or travel expenses for individuals
receiving services or to address other barriers preventing individuals and their families from
participating in first psychotic episode services.

Subd. 3.

Eligibility.

Program activities must be provided to people 15 to 40 years old
deleted text begin with deleted text end new text begin who have new text end early signs of psychosis new text begin or who have experienced an early or first episode
of psychosis new text end .

Subd. 4.

Outcomes.

Evaluation of program activities must utilize evidence-based
practices and must include the following outcome evaluation criteria:

(1) whether individuals experience a reduction in psychotic symptoms;

(2) whether individuals experience a decrease in inpatient mental health hospitalizations new text begin
or interactions with the criminal justice system new text end ; and

(3) whether individuals experience an increase in educational attainment new text begin or employment new text end .

Subd. 5.

Federal aid or grants.

new text begin (a) new text end The commissioner of human services must comply
with all conditions and requirements necessary to receive federal aid or grants.

new text begin (b) The commissioner must provide an annual report to the chairs and ranking minority
members of the legislative committees with jurisdiction over health and human services
policy and finance, the senate Finance Committee, and the house of representatives Ways
and Means Committee detailing the use of state and federal funds for the first episode of
psychosis grant program, the number of programs funded, the number of individuals served
across all grant-funded programs, and outcome and evaluation data.
new text end

Sec. 3.

new text begin [245.4908] EARLY EPISODE OF BIPOLAR DISORDER GRANT
PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Creation. new text end

new text begin The early episode of bipolar disorder grant program is
established in the Department of Human Services, to fund evidence-based interventions for
youth and young adults at risk of developing or experiencing an early episode of bipolar
disorder. Early episode of bipolar disorder services are eligible for children's mental health
grants as specified in section 245.4889, subdivision 1, paragraph (b), clause (15). The
Department of Human Services must seek to fund eligible programs throughout the state.
new text end

new text begin Subd. 2. new text end

new text begin Activities. new text end

new text begin (a) All early episode of bipolar grant program recipients must:
new text end

new text begin (1) provide intensive treatment and support for adolescents and young adults experiencing
or at risk of experiencing early episode of bipolar disorder. Intensive treatment and support
includes medication management, psychoeducation for an individual and an individual's
family, case management, employment support, education support, cognitive behavioral
approaches, social skills training, peer and family peer support, crisis planning, and stress
management;
new text end

new text begin (2) conduct outreach and provide training and guidance to mental health and health care
professionals, including postsecondary health clinicians, on bipolar disorder symptoms,
screening tools, the recipient's program, and best practices; and
new text end

new text begin (3) use all available funding streams.
new text end

new text begin (b) Grant money may also be used to pay for housing or travel expenses for individuals
receiving services or to address other barriers preventing individuals and their families from
participating in early episode of bipolar disorder services.
new text end

new text begin Subd. 3. new text end

new text begin Service eligibility. new text end

new text begin A grant recipient's program activities must be provided to
individuals between 15 and 40 years of age who have early signs of or are experiencing
bipolar disorder.
new text end

new text begin Subd. 4. new text end

new text begin Outcomes. new text end

new text begin Evaluation of program activities must utilize evidence-based
practices and must include the following outcome evaluation criteria:
new text end

new text begin (1) whether individuals experience a reduction in symptoms;
new text end

new text begin (2) whether individuals experience a decrease in inpatient mental health hospitalizations
or interactions with the criminal justice system; and
new text end

new text begin (3) whether individuals experience an increase in educational attainment or employment.
new text end

new text begin Subd. 5. new text end

new text begin Federal aid or grants. new text end

new text begin (a) The commissioner of human services must comply
with all conditions and requirements necessary to receive federal aid or grants.
new text end

new text begin (b) The commissioner must provide an annual report to the chairs and ranking minority
members of the legislative committees with jurisdiction over health and human services
policy and finance, the senate Finance Committee, and the house of representatives Ways
and Means Committee detailing the use of state and federal funds for the early episode of
bipolar disorder grant program, the number of programs funded, the number of individuals
served across all grant-funded programs, and outcome and evaluation data.
new text end

Sec. 4.

new text begin [253B.042] ENGAGEMENT SERVICES PILOT GRANTS.
new text end

new text begin Subdivision 1. new text end

new text begin Creation. new text end

new text begin The engagement services pilot grant program is established
in the Department of Human Services, to provide grants to counties or certified community
behavioral health centers to provide engagement services under section 253B.041.
Engagement services provide early interventions to prevent an individual from meeting the
criteria for civil commitment and promote positive outcomes.
new text end

new text begin Subd. 2. new text end

new text begin Allowable grant activities. new text end

new text begin (a) Grantees must use grant funding to:
new text end

new text begin (1) develop a system to respond to requests for engagement services;
new text end

new text begin (2) provide the following engagement services, taking into account an individual's
preferences for treatment services and supports:
new text end

new text begin (i) assertive attempts to engage an individual in voluntary treatment for mental illness
for at least 90 days;
new text end

new text begin (ii) efforts to engage an individual's existing support systems and interested persons,
including but not limited to providing education on restricting means of harm and suicide
prevention, when the provider determines that such engagement would be helpful; and
new text end

new text begin (iii) collaboration with the individual to meet the individual's immediate needs, including
but not limited to housing access, food and income assistance, disability verification,
medication management, and medical treatment;
new text end

new text begin (3) conduct outreach to families and providers; and
new text end

new text begin (4) evaluate the impact of engagement services on decreasing civil commitments,
increasing engagement in treatment, decreasing police involvement with individuals
exhibiting symptoms of serious mental illness, and other measures.
new text end

new text begin (b) Engagement services staff must have completed training on person-centered care.
Staff may include but are not limited to mobile crisis providers under section 256B.0624,
certified peer specialists under section 256B.0615, community-based treatment programs
staff, and homeless outreach workers.
new text end

new text begin Subd. 3. new text end

new text begin Outcome evaluation. new text end

new text begin The commissioner of management and budget must
formally evaluate outcomes of grants awarded under this section, using an experimental or
quasi-experimental design. The commissioner shall consult with the commissioner of
management and budget to ensure that grants are administered to facilitate this evaluation.
Grantees must collect and provide the information needed to the commissioner of human
services to complete the evaluation. The commissioner must provide the information collected
to the commissioner of management and budget to conduct the evaluation. The commissioner
of management and budget may obtain additional relevant data to support the evaluation
study pursuant to section 15.08.
new text end

Sec. 5.

Minnesota Statutes 2022, section 256B.0623, subdivision 5, is amended to read:

Subd. 5.

Qualifications of provider staff.

Adult rehabilitative mental health services
must be provided by qualified individual provider staff of a certified provider entity.
Individual provider staff must be qualified as:

(1) a mental health professional who is qualified according to section 245I.04, subdivision
2;

(2) a certified rehabilitation specialist who is qualified according to section 245I.04,
subdivision 8;

(3) a clinical trainee who is qualified according to section 245I.04, subdivision 6;

(4) a mental health practitioner qualified according to section 245I.04, subdivision 4;

(5) a mental health certified peer specialist who is qualified according to section 245I.04,
subdivision 10; deleted text begin or
deleted text end

(6) a mental health rehabilitation worker who is qualified according to section 245I.04,
subdivision 14 deleted text begin . deleted text end new text begin ; or
new text end

new text begin (7) a licensed occupational therapist, as defined in section 148.6402, subdivision 14.
new text end

Sec. 6.

Minnesota Statutes 2023 Supplement, section 256B.0625, subdivision 17, is
amended to read:

Subd. 17.

Transportation costs.

(a) "Nonemergency medical transportation service"
means motor vehicle transportation provided by a public or private person that serves
Minnesota health care program beneficiaries who do not require emergency ambulance
service, as defined in section 144E.001, subdivision 3, to obtain covered medical services.

(b) For purposes of this subdivision, "rural urban commuting area" or "RUCA" means
a census-tract based classification system under which a geographical area is determined
to be urban, rural, or super rural.

(c) Medical assistance covers medical 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,
nonemergency medical transportation company, or other recognized providers of
transportation services. Medical transportation must be provided by:

(1) nonemergency medical transportation providers who meet the requirements of this
subdivision;

(2) ambulances, as defined in section 144E.001, subdivision 2;

(3) taxicabs that meet the requirements of this subdivision;

(4) public transit, as defined in section 174.22, subdivision 7; or

(5) not-for-hire vehicles, including volunteer drivers, as defined in section 65B.472,
subdivision 1, paragraph (h).

(d) Medical assistance covers nonemergency medical transportation provided by
nonemergency medical transportation providers enrolled in the Minnesota health care
programs. All nonemergency medical transportation providers must comply with the
operating standards for special transportation service as defined in sections 174.29 to 174.30
and Minnesota Rules, chapter 8840, and all drivers must be individually enrolled with the
commissioner and reported on the claim as the individual who provided the service. All
nonemergency medical transportation providers shall bill for nonemergency medical
transportation services in accordance with Minnesota health care programs criteria. Publicly
operated transit systems, volunteers, and not-for-hire vehicles are exempt from the
requirements outlined in this paragraph.

(e) An organization may be terminated, denied, or suspended from enrollment if:

(1) the provider has not initiated background studies on the individuals specified in
section 174.30, subdivision 10, paragraph (a), clauses (1) to (3); or

(2) the provider has initiated background studies on the individuals specified in section
174.30, subdivision 10, paragraph (a), clauses (1) to (3), and:

(i) the commissioner has sent the provider a notice that the individual has been
disqualified under section 245C.14; and

(ii) the individual has not received a disqualification set-aside specific to the special
transportation services provider under sections 245C.22 and 245C.23.

(f) The administrative agency of nonemergency medical transportation must:

(1) adhere to the policies defined by the commissioner;

(2) pay nonemergency medical transportation providers for services provided to
Minnesota health care programs beneficiaries to obtain covered medical services;

(3) provide data monthly to the commissioner on appeals, complaints, no-shows, canceled
trips, and number of trips by mode; and

(4) by July 1, 2016, in accordance with subdivision 18e, utilize a web-based single
administrative structure assessment tool that meets the technical requirements established
by the commissioner, reconciles trip information with claims being submitted by providers,
and ensures prompt payment for nonemergency medical transportation services.

(g) Until the commissioner implements the single administrative structure and delivery
system under subdivision 18e, clients shall obtain their level-of-service certificate from the
commissioner or an entity approved by the commissioner that does not dispatch rides for
clients using modes of transportation under paragraph (l), clauses (4), (5), (6), and (7).

(h) The commissioner may use an order by the recipient's attending physician, advanced
practice registered nurse, physician assistant, or a medical or mental health professional to
certify that the recipient requires nonemergency medical transportation services.
Nonemergency medical transportation providers shall perform driver-assisted services for
eligible individuals, when appropriate. 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, child seats, or stretchers in the vehicle.

(i) Nonemergency medical transportation providers must take clients to the health care
provider using the most direct route, and must not exceed 30 miles for a trip to a primary
care provider or 60 miles for a trip to a specialty care provider, unless the client receives
authorization from the local agency.

(j) Nonemergency medical transportation providers may not bill for separate base rates
for the continuation of a trip beyond the original destination. Nonemergency medical
transportation providers must maintain trip logs, which include pickup and drop-off times,
signed by the medical provider or client, whichever is deemed most appropriate, attesting
to mileage traveled to obtain covered medical services. Clients requesting client mileage
reimbursement must sign the trip log attesting mileage traveled to obtain covered medical
services.

(k) The administrative agency shall use the level of service process established by the
commissioner to determine the client's most appropriate mode of transportation. If public
transit or a certified transportation provider is not available to provide the appropriate service
mode for the client, the client may receive a onetime service upgrade.

(l) The covered modes of transportation are:

(1) client reimbursement, which includes client mileage reimbursement provided to
clients who have their own transportation, or to family or an acquaintance who provides
transportation to the client;

(2) volunteer transport, which includes transportation by volunteers using their own
vehicle;

(3) unassisted transport, which includes transportation provided to a client by a taxicab
or public transit. If a taxicab or public transit is not available, the client can receive
transportation from another nonemergency medical transportation provider;

(4) assisted transport, which includes transport provided to clients who require assistance
by a nonemergency medical transportation provider;

(5) lift-equipped/ramp transport, which includes transport provided to a client who is
dependent on a device and requires a nonemergency medical transportation provider with
a vehicle containing a lift or ramp;

(6) protected transport, which includes transport provided to a client who has received
a prescreening that has deemed other forms of transportation inappropriate and who requires
a provider: (i) with a protected vehicle that is not an ambulance or police car and has safety
locks, a video recorder, and a transparent thermoplastic partition between the passenger and
the vehicle driver; and (ii) who is certified as a protected transport provider; and

(7) stretcher transport, which includes transport for a client in a prone or supine position
and requires a nonemergency medical transportation provider with a vehicle that can transport
a client in a prone or supine position.

(m) The local agency shall be the single administrative agency and shall administer and
reimburse for modes defined in paragraph (l) according to paragraphs (p) and (q) when the
commissioner has developed, made available, and funded the web-based single administrative
structure, assessment tool, and level of need assessment under subdivision 18e. The local
agency's financial obligation is limited to funds provided by the state or federal government.

(n) The commissioner shall:

(1) verify that the mode and use of nonemergency medical transportation is appropriate;

(2) verify that the client is going to an approved medical appointment; and

(3) investigate all complaints and appeals.

(o) The administrative agency shall pay for the services provided in this subdivision and
seek reimbursement from the commissioner, if appropriate. As vendors of medical care,
local agencies are subject to the provisions in section 256B.041, the sanctions and monetary
recovery actions in section 256B.064, and Minnesota Rules, parts 9505.2160 to 9505.2245.

(p) Payments for nonemergency medical transportation must be paid based on the client's
assessed mode under paragraph (k), not the type of vehicle used to provide the service. The
medical assistance reimbursement rates for nonemergency medical transportation services
that are payable by or on behalf of the commissioner for nonemergency medical
transportation services are:

(1) $0.22 per mile for client reimbursement;

(2) up to 100 percent of the Internal Revenue Service business deduction rate for volunteer
transport;

(3) equivalent to the standard fare for unassisted transport when provided by public
transit, and $12.10 for the base rate and $1.43 per mile when provided by a nonemergency
medical transportation provider;

(4) $14.30 for the base rate and $1.43 per mile for assisted transport;

(5) $19.80 for the base rate and $1.70 per mile for lift-equipped/ramp transport;

(6) $75 for the base rate new text begin for the first 100 miles, with an additional $75 for any trip over
100 miles, new text end and $2.40 per mile for protected transport; and

(7) $60 for the base rate and $2.40 per mile for stretcher transport, and $9 per trip for
an additional attendant if deemed medically necessary.

(q) The base rate for nonemergency medical transportation services in areas defined
under RUCA to be super rural is equal to 111.3 percent of the respective base rate in
paragraph (p), clauses (1) to (7). The mileage rate for nonemergency medical transportation
services in areas defined under RUCA to be rural or super rural areas is:

(1) for a trip equal to 17 miles or less, equal to 125 percent of the respective mileage
rate in paragraph (p), clauses (1) to (7); and

(2) for a trip between 18 and 50 miles, equal to 112.5 percent of the respective mileage
rate in paragraph (p), clauses (1) to (7).

(r) For purposes of reimbursement rates for nonemergency medical transportation services
under paragraphs (p) and (q), the zip code of the recipient's place of residence shall determine
whether the urban, rural, or super rural reimbursement rate applies.

(s) The commissioner, when determining reimbursement rates for nonemergency medical
transportation under paragraphs (p) and (q), shall exempt all modes of transportation listed
under paragraph (l) from Minnesota Rules, part 9505.0445, item R, subitem (2).

(t) Effective for the first day of each calendar quarter in which the price of gasoline as
posted publicly by the United States Energy Information Administration exceeds $3.00 per
gallon, the commissioner shall adjust the rate paid per mile in paragraph (p) by one percent
up or down for every increase or decrease of ten cents for the price of gasoline. The increase
or decrease must be calculated using a base gasoline price of $3.00. The percentage increase
or decrease must be calculated using the average of the most recently available price of all
grades of gasoline for Minnesota as posted publicly by the United States Energy Information
Administration.

Sec. 7.

Minnesota Statutes 2022, section 256B.0625, subdivision 20, is amended to read:

Subd. 20.

Mental health case management.

(a) To the extent authorized by rule of the
state agency, medical assistance covers case management services to persons with serious
and persistent mental illness and children with severe emotional disturbance. Services
provided under this section must meet the relevant standards in sections 245.461 to 245.4887,
the Comprehensive Adult and Children's Mental Health Acts, Minnesota Rules, parts
9520.0900 to 9520.0926, and 9505.0322, excluding subpart 10.

(b) Entities meeting program standards set out in rules governing family community
support services as defined in section 245.4871, subdivision 17, are eligible for medical
assistance reimbursement for case management services for children with severe emotional
disturbance when these services meet the program standards in Minnesota Rules, parts
9520.0900 to 9520.0926 and 9505.0322, excluding subparts 6 and 10.

(c) Medical assistance and MinnesotaCare payment for mental health case management
shall be made on a monthly basis. In order to receive payment for an eligible child, the
provider must document at least a face-to-face contact either in person or by interactive
video that meets the requirements of subdivision 20b with the child, the child's parents, or
the child's legal representative. To receive payment for an eligible adult, the provider must
document:

(1) at least a face-to-face contact with the adult or the adult's legal representative either
in person or by interactive video that meets the requirements of subdivision 20b; or

(2) at least a telephone contact new text begin or contact via secure electronic message, if preferred by
the adult client, new text end with the adult or the adult's legal representative and document a face-to-face
contact either in person or by interactive video that meets the requirements of subdivision
20b with the adult or the adult's legal representative within the preceding two months.

(d) Payment for mental health case management provided by county or state staff shall
be based on the monthly rate methodology under section 256B.094, subdivision 6, paragraph
(b), with separate rates calculated for child welfare and mental health, and within mental
health, separate rates for children and adults.

(e) Payment for mental health case management provided by Indian health services or
by agencies operated by Indian tribes may be made according to this section or other relevant
federally approved rate setting methodology.

(f) Payment for mental health case management provided by vendors who contract with
a county must be calculated in accordance with section 256B.076, subdivision 2. Payment
for mental health case management provided by vendors who contract with a Tribe must
be based on a monthly rate negotiated by the Tribe. The rate must not exceed the rate charged
by the vendor for the same service to other payers. If the service is provided by a team of
contracted vendors, the team shall determine how to distribute the rate among its members.
No reimbursement received by contracted vendors shall be returned to the county or tribe,
except to reimburse the county or tribe for advance funding provided by the county or tribe
to the vendor.

(g) If the service is provided by a team which includes contracted vendors, tribal staff,
and county or state staff, the costs for county or state staff participation in the team shall be
included in the rate for county-provided services. In this case, the contracted vendor, the
tribal agency, and the county may each receive separate payment for services provided by
each entity in the same month. In order to prevent duplication of services, each entity must
document, in the recipient's file, the need for team case management and a description of
the roles of the team members.

(h) Notwithstanding section 256B.19, subdivision 1, the nonfederal share of costs for
mental health case management shall be provided by the recipient's county of responsibility,
as defined in sections 256G.01 to 256G.12, from sources other than federal funds or funds
used to match other federal funds. If the service is provided by a tribal agency, the nonfederal
share, if any, shall be provided by the recipient's tribe. When this service is paid by the state
without a federal share through fee-for-service, 50 percent of the cost shall be provided by
the recipient's county of responsibility.

(i) Notwithstanding any administrative rule to the contrary, prepaid medical assistance
and MinnesotaCare include mental health case management. When the service is provided
through prepaid capitation, the nonfederal share is paid by the state and the county pays no
share.

(j) The commissioner may suspend, reduce, or terminate the reimbursement to a provider
that does not meet the reporting or other requirements of this section. The county of
responsibility, as defined in sections 256G.01 to 256G.12, or, if applicable, the tribal agency,
is responsible for any federal disallowances. The county or tribe may share this responsibility
with its contracted vendors.

(k) The commissioner shall set aside a portion of the federal funds earned for county
expenditures under this section to repay the special revenue maximization account under
section 256.01, subdivision 2, paragraph (o). The repayment is limited to:

(1) the costs of developing and implementing this section; and

(2) programming the information systems.

(l) Payments to counties and tribal agencies for case management expenditures under
this section shall only be made from federal earnings from services provided under this
section. When this service is paid by the state without a federal share through fee-for-service,
50 percent of the cost shall be provided by the state. Payments to county-contracted vendors
shall include the federal earnings, the state share, and the county share.

(m) Case management services under this subdivision do not include therapy, treatment,
legal, or outreach services.

(n) If the recipient is a resident of a nursing facility, intermediate care facility, or hospital,
and the recipient's institutional care is paid by medical assistance, payment for case
management services under this subdivision is limited to the lesser of:

(1) the last 180 days of the recipient's residency in that facility and may not exceed more
than six months in a calendar year; or

(2) the limits and conditions which apply to federal Medicaid funding for this service.

(o) Payment for case management services under this subdivision shall not duplicate
payments made under other program authorities for the same purpose.

(p) If the recipient is receiving care in a hospital, nursing facility, or residential setting
licensed under chapter 245A or 245D that is staffed 24 hours a day, seven days a week,
mental health targeted case management services must actively support identification of
community alternatives for the recipient and discharge planning.

Sec. 8.

Laws 2023, chapter 70, article 20, section 2, subdivision 29, is amended to read:

Subd. 29. Grant Programs; Adult Mental Health Grants

132,327,000

121,270,000

(a) Mobile crisis grants to Tribal Nations.
$1,000,000 in fiscal year 2024 and $1,000,000
in fiscal year 2025 are for mobile crisis grants
under Minnesota Statutes section 245.4661,
subdivision 9, paragraph (b), clause (15), to
Tribal Nations.

(b) Mental health provider supervision
grant program. $1,500,000 in fiscal year
2024 and $1,500,000 in fiscal year 2025 are
for the mental health provider supervision
grant program under Minnesota Statutes,
section 245.4663.

(c) Minnesota State University, Mankato
community behavioral health center.
$750,000 in fiscal year 2024 and $750,000 in
fiscal year 2025 are for a grant to the Center
for Rural Behavioral Health at Minnesota State
University, Mankato to establish a community
behavioral health center and training clinic.
The community behavioral health center must
provide comprehensive, culturally specific,
trauma-informed, practice- and
evidence-based, person- and family-centered
mental health and substance use disorder
treatment services in Blue Earth County and
the surrounding region to individuals of all
ages, regardless of an individual's ability to
pay or place of residence. The community
behavioral health center and training clinic
must also provide training and workforce
development opportunities to students enrolled
in the university's training programs in the
fields of social work, counseling and student
personnel, alcohol and drug studies,
psychology, and nursing. Upon request, the
commissioner must make information
regarding the use of this grant funding
available to the chairs and ranking minority
members of the legislative committees with
jurisdiction over behavioral health. This is a
onetime appropriation and is available until
June 30, 2027.

(d) White Earth Nation; adult mental health
initiative. $300,000 in fiscal year 2024 and
$300,000 in fiscal year 2025 are for adult
mental health initiative grants to the White
Earth Nation. This is a onetime appropriation.

(e) Mobile crisis grants. $8,472,000 in fiscal
year 2024 and deleted text begin $8,380,000 deleted text end new text begin $8,472,000 new text end in fiscal
year 2025 are for the mobile crisis grants
under Minnesota Statutes, section 245.4661,
subdivision 9, paragraph (b), clause (15). This
deleted text begin is a onetime deleted text end appropriation deleted text begin and deleted text end is available
until June 30, 2027. new text begin This funding is added to
the base.
new text end

(f) Base level adjustment. The general fund
base is $121,980,000 in fiscal year 2026 and
$121,980,000 in fiscal year 2027.

Sec. 9. new text begin MENTAL HEALTH SERVICES FORMULA-BASED ALLOCATION.
new text end

new text begin The commissioner of human services shall consult with the commissioner of management
and budget, counties, Tribes, mental health providers, and advocacy organizations to develop
recommendations for moving from the children's and adult mental health grant funding
structure to a formula-based allocation structure for mental health service. The
recommendations must consider formula-based allocations for grants for respite care,
school-linked behavioral health, mobile crisis teams, and first episode of psychosis programs.
new text end

Sec. 10. new text begin APPROPRIATION; ENGAGEMENT SERVICES PILOT GRANTS.
new text end

new text begin $2,000,000 in fiscal year 2025 is appropriated from the general fund to the commissioner
of human services for engagement services pilot grants under Minnesota Statutes, section
253B.042. This funding is added to the base.
new text end

Sec. 11. new text begin APPROPRIATION; EARLY EPISODE OF BIPOLAR GRANT PROGRAM.
new text end

new text begin $....... in fiscal year 2025 is appropriated from the general fund to the commissioner of
human services for the early episode of bipolar grant program under Minnesota Statutes,
section 245.4908. This funding is added to the base.
new text end

Sec. 12. new text begin APPROPRIATION; FIRST EPISODE OF PSYCHOSIS GRANT
PROGRAM.
new text end

new text begin $2,000,000 in fiscal year 2025 is appropriated from the general fund to the commissioner
of human services for the first episode of psychosis grant program under Minnesota Statutes,
section 245.4905. This funding is added to the base. The commissioner may distribute this
funding to fully fund current grantee programs, increase a current grantee program's capacity,
and to expand grants for programs to outside the seven-county metropolitan area. The
commissioner must continue to fund current grantee programs to ensure stability and
continuity of care, if the current grantee programs have met requirements for usage of grant
funds previously received.
new text end

Sec. 13. new text begin APPROPRIATION; HOUSING WITH SUPPORTS FOR ADULTS WITH
SERIOUS MENTAL ILLNESS.
new text end

new text begin $2,000,000 in fiscal year 2025 is appropriated from the general fund to the commissioner
of human services for adult mental health grants under Minnesota Statutes, section 245.4661,
subdivision 9, paragraph (a), clause (2), to support increased availability of housing options
with supports for adults with serious mental illness. This funding is added to the base.
new text end

Sec. 14. new text begin APPROPRIATION; PROTECTED TRANSPORT START-UP GRANTS.
new text end

new text begin $500,000 in fiscal year 2025 is appropriated from the general fund to the commissioner
of human services to provide start-up grants to nonemergency medical transportation
providers to configure vehicles to meet protected transport requirements. This funding is
added to the base.
new text end