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HF 4563

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/04/2024 02:28pm

KEY: stricken = removed, old language.
underscored = added, new language.
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A bill for an act
relating to human services; establishing the Mental Health and Substance Use
Disorder Education Center and the youth care professional training program;
modifying rules for mental health providers; amending Minnesota Statutes 2022,
sections 245.4663, subdivision 2; 245I.04, subdivision 6; proposing coding for
new law in Minnesota Statutes, chapters 144; 245.

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

Section 1.

new text begin [144.88] MENTAL HEALTH AND SUBSTANCE USE DISORDER
EDUCATION CENTER.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The Mental Health and Substance Use Disorder Education
Center is established in the Department of Health. The purposes of the center are to increase
the number of professionals, practitioners, and peers working in mental health and substance
use disorder treatment; increase the diversity of professionals, practitioners, and peers
working in mental health and substance use disorder treatment; and facilitate a culturally
informed and responsive mental health and substance use disorder treatment workforce.
new text end

new text begin Subd. 2. new text end

new text begin Activities. new text end

new text begin The Mental Health and Substance Use Disorder Education Center
must:
new text end

new text begin (1) analyze the geographic and demographic availability of licensed mental health and
substance use disorder treatment professionals, identify gaps, and prioritize the need for
additional licensed professionals by type, location, and demographics;
new text end

new text begin (2) create a program that exposes high school and college students to careers in the
mental health and substance use disorder fields;
new text end

new text begin (3) create a website for individuals considering becoming a mental health provider that
clearly labels the steps necessary to achieve licensure and certification in the various mental
health fields and lists resources and links for more information;
new text end

new text begin (4) create a job board for organizations seeking employees to provide mental health and
substance use disorder treatment, services, and supports;
new text end

new text begin (5) track the number of students at the undergraduate and graduate levels who are
graduating from programs in Minnesota that could facilitate a career as a mental health or
substance use disorder treatment practitioner or professional and work with Minnesota
colleges and universities to support the students in obtaining licensure;
new text end

new text begin (6) identify barriers to mental health professional licensure and make recommendations
to address the barriers;
new text end

new text begin (7) establish learning collaborative partnerships with mental health and substance use
disorder treatment providers, schools, criminal justice agencies, and others;
new text end

new text begin (8) promote and expand loan forgiveness programs, funds for professionals to become
supervisors, funding to pay for supervision, and funding for pathways to licensure;
new text end

new text begin (9) identify barriers to using loan forgiveness programs and develop recommendations
to address the barriers;
new text end

new text begin (10) work to expand Medicaid graduate medical education to other mental health
professionals;
new text end

new text begin (11) identify current sites for internships and practicums and assess the need for additional
sites;
new text end

new text begin (12) develop training to increase the knowledge about mental health and substance use
disorders for other health care professionals, including but not limited to community health
workers, pediatricians, primary care physicians, physician assistants, and nurses; and
new text end

new text begin (13) support training for integrated mental health and primary care in rural areas.
new text end

new text begin Subd. 3. new text end

new text begin Reports. new text end

new text begin Beginning January 1, 2025, the commissioner of health shall submit
an annual report to the chairs and ranking minority members of the legislative committees
with jurisdiction over health summarizing the center's activities and progress in addressing
the mental health and substance use disorder treatment workforce shortage.
new text end

Sec. 2.

Minnesota Statutes 2022, section 245.4663, subdivision 2, is amended to read:


Subd. 2.

Eligible providers.

In order to be eligible for a grant under this section, a mental
health provider must:

(1) provide at least 25 percent of the provider's yearly patient encounters to state public
program enrollees or patients receiving sliding fee schedule discounts through a formal
sliding fee schedule meeting the standards established by the United States Department of
Health and Human Services under Code of Federal Regulations, title 42, section 51c.303;
deleted text begin or
deleted text end

(2) primarily serve underrepresented communities as defined in section 148E.010,
subdivision 20deleted text begin .deleted text end new text begin ; or
new text end

new text begin (3) provide services to people in a city or township that is not within the seven-county
metropolitan area as defined in section 473.121, subdivision 2, and is not the city of Duluth,
Mankato, Moorhead, Rochester, or St. Cloud.
new text end

Sec. 3.

new text begin [245.4908] YOUTH CARE PROFESSIONAL TRAINING PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The youth care professional training program is
established in the Department of Human Services to provide training and ongoing support
for direct care staff in children's mental health treatment settings described in section
256B.0941 and Minnesota Rules, chapter 2960, and day treatment services described in
section 256B.0943.
new text end

new text begin Subd. 2. new text end

new text begin Program activities. new text end

new text begin (a) The commissioner of human services shall contract
with a provider to establish curricula, administration, and implementation.
new text end

new text begin (b) Training courses must be based in trauma-informed care and cover:
new text end

new text begin (1) Minnesota Rules, chapter 2960;
new text end

new text begin (2) maltreatment of minors;
new text end

new text begin (3) resident rights;
new text end

new text begin (4) emergency procedures;
new text end

new text begin (5) policy and procedures for physical holds and de-escalation techniques;
new text end

new text begin (6) physical and nonphysical intervention;
new text end

new text begin (7) positive behavior supports;
new text end

new text begin (8) fundamentals of child and adolescent development;
new text end

new text begin (9) mental illness and symptoms of mental illness; and
new text end

new text begin (10) cultural responsiveness and family engagement.
new text end

new text begin (c) At the completion of the training requirements, a participant and the completion date
must be listed in the youth worker professional registry held and maintained by the
commissioner of human services.
new text end

new text begin (d) Expert stakeholders from children's mental health treatment must be involved in
curriculum development.
new text end

Sec. 4.

Minnesota Statutes 2022, section 245I.04, subdivision 6, is amended to read:


Subd. 6.

Clinical trainee qualifications.

(a) A clinical trainee is a staff person who: (1)
is enrolled in an accredited graduate program of study to prepare the staff person for
independent licensure as a mental health professional and who is participating in a practicum
or internship with the license holder through the individual's graduate program; deleted text begin ordeleted text end (2) has
completed an accredited graduate program of study to prepare the staff person for independent
licensure as a mental health professional and who is in compliance with the requirements
of the applicable health-related licensing board, including requirements for supervised
practicedeleted text begin .deleted text end new text begin ; or (3) has completed an accredited graduate program of study to prepare the staff
person for independent licensure as a mental health professional and has completed a
practicum or internship and has not yet taken or received the results from the required test
or is waiting for the final licensure decision.
new text end

(b) A clinical trainee is responsible for notifying and applying to a health-related licensing
board to ensure that the trainee meets the requirements of the health-related licensing board.
As permitted by a health-related licensing board, treatment supervision under this chapter
may be integrated into a plan to meet the supervisory requirements of the health-related
licensing board but does not supersede those requirements.