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HF 4113

as introduced - 90th Legislature (2017 - 2018) Posted on 03/21/2018 12:01pm

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

Bill Text Versions

Engrossments
Introduction Posted on 03/21/2018

Current Version - as introduced

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A bill for an act
relating to health; modifying an appropriation to the commissioner of health for
home visiting programs for families with young children; amending Laws 2017,
First Special Session chapter 6, article 18, section 3, subdivision 2.

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

Section 1.

Laws 2017, First Special Session chapter 6, article 18, section 3, subdivision
2, is amended to read:


Subd. 2.

Health Improvement

Appropriations by Fund
General
81,438,000
78,100,000
State Government
Special Revenue
6,215,000
6,182,000
Health Care Access
36,643,000
36,258,000
Federal TANF
11,713,000
11,713,000

(a) TANF Appropriations. (1) $3,579,000
of the TANF fund each year is for home
visiting and nutritional services listed under
Minnesota Statutes, section 145.882,
subdivision 7
, clauses (6) and (7). Funds must
be distributed to community health boards
according to Minnesota Statutes, section
145A.131, subdivision 1.

(2) $2,000,000 of the TANF fund each year
is for decreasing racial and ethnic disparities
in infant mortality rates under Minnesota
Statutes, section 145.928, subdivision 7.

(3) $4,978,000 of the TANF fund each year
is for the family home visiting grant program
according to Minnesota Statutes, section
145A.17. $4,000,000 of the funding must be
distributed to community health boards
according to Minnesota Statutes, section
145A.131, subdivision 1. $978,000 of the
funding must be distributed to tribal
governments according to Minnesota Statutes,
section 145A.14, subdivision 2a.

(4) $1,156,000 of the TANF fund each year
is for family planning grants under Minnesota
Statutes, section 145.925.

(5) The commissioner may use up to 6.23
percent of the funds appropriated each year to
conduct the ongoing evaluations required
under Minnesota Statutes, section 145A.17,
subdivision 7
, and training and technical
assistance as required under Minnesota
Statutes, section 145A.17, subdivisions 4 and
5.

(b) TANF Carryforward. Any unexpended
balance of the TANF appropriation in the first
year of the biennium does not cancel but is
available for the second year.

(c) deleted text begin Evidence-Baseddeleted text end Home Visitingnew text begin to
Families with Young Children
new text end .
$6,000,000
in fiscal year 2018 and $6,000,000 new text begin plus an
additional $.......
new text end in fiscal year 2019 are from
the general fund to start up or expand
deleted text begin evidence-baseddeleted text end home visiting programsnew text begin to
families with young children
new text end . The
commissioner shall award grants to
community health boards, nonprofits, or tribal
nations in urban and rural areas of the state.
Grant funds must be used to start up or expand
evidence-based new text begin or targeted new text end home visiting
programs in the county, reservation, or region
to serve families, such as parents with high
risk or high needs, parents with a history of
mental illness, domestic abuse, or substance
abuse, or first-time mothers prenatally until
the child is four years of age, who are eligible
for medical assistance under Minnesota
Statutes, chapter 256B, or the federal Special
Supplemental Nutrition Program for Women,
Infants, and Children. new text begin The commissioner shall
allocate at least 75 percent of the fiscal year
2019 appropriation to evidence-based home
visiting programs and up to 25 percent to other
targeted home visiting programs in order to
promote innovation and serve high-need
families.
new text end Priority for grants to rural areas shall
be given to community health boards,
nonprofits, and tribal nations that expand
services within regional partnerships that
provide deleted text begin the evidence-baseddeleted text end home visiting
programs. This funding shall only be used to
supplement, not to replace, funds being used
for evidence-based new text begin or targeted new text end home visiting
services as of June 30, 2017. Up to seven
percent of the appropriation may be used for
training, technical assistance, evaluation, and
other costs to administer the grants. The
general fund base for this program is
$16,500,000 in fiscal year 2020 and
$16,500,000 in fiscal year 2021.

(d) Safe Harbor for Sexually Exploited
Youth Services.
$250,000 in fiscal year 2018
and $250,000 in fiscal year 2019 are from the
general fund for trauma-informed, culturally
specific services for sexually exploited youth.
Youth 24 years of age or younger are eligible
for services under this paragraph.

(e) Safe Harbor Program Technical
Assistance and Evaluation.
$200,000 in
fiscal year 2018 and $200,000 in fiscal year
2019 are from the general fund for training,
technical assistance, protocol implementation,
and evaluation activities related to the safe
harbor program. Of these amounts:

(1) $90,000 each fiscal year is for providing
training and technical assistance to individuals
and organizations that provide safe harbor
services and receive funds for that purpose
from the commissioner of human services or
commissioner of health;

(2) $90,000 each fiscal year is for protocol
implementation, which includes providing
technical assistance in establishing best
practices-based systems for effectively
identifying, interacting with, and referring
sexually exploited youth to appropriate
resources; and

(3) $20,000 each fiscal year is for program
evaluation activities in compliance with
Minnesota Statutes, section 145.4718.

(f) Promoting Safe Harbor Capacity. In
funding services and activities under
paragraphs (d) and (e), the commissioner shall
emphasize activities that promote
capacity-building and development of
resources in greater Minnesota.

(g) Administration of Safe Harbor
Program.
$60,000 in fiscal year 2018 and
$60,000 in fiscal year 2019 are for
administration of the safe harbor for sexually
exploited youth program.

(h) Palliative Care Advisory Council.
$44,000 in fiscal year 2018 and $44,000 in
fiscal year 2019 are from the general fund for
the Palliative Care Advisory Council under
Minnesota Statutes, section 144.059. This is
a onetime appropriation.

(i) Transfer; Minnesota Biomedicine and
Bioethics Innovation Grants.
$2,500,000 in
fiscal year 2018 is from the general fund for
transfer to the Board of Regents of the
University of Minnesota for Minnesota
biomedicine and bioethics innovation grants
under Minnesota Statutes, section 137.67. The
full amount of the appropriation is for grants,
and the University of Minnesota shall not use
any portion for administrative or monitoring
expenses. The steering committee of the
University of Minnesota and Mayo Foundation
partnership must submit a preliminary report
by April 1, 2018, and a final report by April
1, 2019, on all grant activities funded under
Minnesota Statutes, section 137.67, to the
chairs and ranking minority members of the
legislative committees with jurisdiction over
health and human services finance. This is a
onetime appropriation and is available until
June 30, 2021.

(j) Statewide Strategic Plan for Victims of
Sex Trafficking.
$73,000 in fiscal year 2018
is from the general fund for the development
of a comprehensive statewide strategic plan
and report to address the needs of sex
trafficking victims statewide. This is a onetime
appropriation.

(k) Home and Community-Based Services
Employee Scholarship Program.
$500,000
in fiscal year 2018 and $500,000 in fiscal year
2019 are from the general fund for the home
and community-based services employee
scholarship program under Minnesota Statutes,
section 144.1503.

(l) Comprehensive Advanced Life Support
Educational Program.
$100,000 in fiscal
year 2018 and $100,000 in fiscal year 2019
are from the general fund for the
comprehensive advanced life support
educational program under Minnesota Statutes,
section 144.6062. This is a onetime
appropriation.

(m) Opioid Abuse Prevention. $1,028,000
in fiscal year 2018 is to establish and evaluate
accountable community for health opioid
abuse prevention pilot projects. $28,000 of
this amount is for administration. This is a
onetime appropriation and is available until
June 30, 2021.

(n) Advanced Care Planning. $250,000 in
fiscal year 2018 and $250,000 in fiscal year
2019 are from the general fund for a grant to
a statewide advanced care planning resource
organization that has expertise in convening
and coordinating community-based strategies
to encourage individuals, families, caregivers,
and health care providers to begin
conversations regarding end-of-life care
choices that express an individual's health care
values and preferences and are based on
informed health care decisions. Of this
amount, $9,000 each year is for administration.
This is a onetime appropriation.

(o) Health Professionals Clinical Training
Expansion Grant Program.
$526,000 in
fiscal year 2018 and $526,000 in fiscal year
2019 are from the general fund for the primary
care and mental health professions clinical
training expansion grant program under
Minnesota Statutes, section 144.1505. Of this
amount, $26,000 each year is for
administration.

(p) Federally Qualified Health Centers.
$500,000 in fiscal year 2018 and $500,000 in
fiscal year 2019 are from the general fund to
provide subsidies to federally qualified health
centers under Minnesota Statutes, section
145.9269. This is a onetime appropriation.

(q) Base Level Adjustments. The general
fund base is $87,656,000 in fiscal year 2020
and $87,706,000 in fiscal year 2021. The
health care access fund base is $36,858,000
in fiscal year 2020 and $36,258,000 in fiscal
year 2021.