HF 4571

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

A bill for an act
relating to health; correcting an appropriation to the commissioner of health;
amending Laws 2023, chapter 70, article 20, section 3, subdivision 2.

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

Section 1.

Laws 2023, chapter 70, article 20, section 3, subdivision 2, is amended to read:

Subd. 2. Health Improvement

Appropriations by Fund
General	229,600,000	210,030,000
State Government Special Revenue	12,392,000	12,682,000
Health Care Access	49,051,000	53,290,000
Federal TANF	11,713,000	11,713,000

(a) Studies of telehealth expansion and
payment parity. $1,200,000 in fiscal year
2024 is from the general fund for studies of
telehealth expansion and payment parity. This
is a onetime appropriation and is available
until June 30, 2025.

(b) Advancing equity through capacity
building and resource allocation grant
program. $916,000 in fiscal year 2024 and
$916,000 in fiscal year 2025 are from the
general fund for grants under Minnesota
Statutes, section 144.9821. This is a onetime
appropriation.

(c) Grant to Minnesota Community Health
Worker Alliance. $971,000 in fiscal year
2024 and $971,000 in fiscal year 2025 are
from the general fund for Minnesota Statutes,
section 144.1462.

(d) Community solutions for healthy child
development grants. $2,730,000 in fiscal year
2024 and $2,730,000 in fiscal year 2025 are
from the general fund for grants under
Minnesota Statutes, section 145.9257. The
base for this appropriation is $2,415,000 in
fiscal year 2026 and $2,415,000 in fiscal year
2027.

(e) Comprehensive Overdose and Morbidity
Prevention Act. $9,794,000 in fiscal year
2024 and $10,458,000 in fiscal year 2025 are
from the general fund for comprehensive
overdose and morbidity prevention strategies
under Minnesota Statutes, section 144.0528.
The base for this appropriation is $10,476,000
in fiscal year 2026 and $10,476,000 in fiscal
year 2027.

(f) Emergency preparedness and response.
$10,486,000 in fiscal year 2024 and
$14,314,000 in fiscal year 2025 are from the
general fund for public health emergency
preparedness and response, the sustainability
of the strategic stockpile, and COVID-19
pandemic response transition. The base for
this appropriation is $11,438,000 in fiscal year
2026 and $11,362,000 in fiscal year 2027.

(g) Healthy Beginnings, Healthy Families.
(1) $8,440,000 in fiscal year 2024 and
$7,305,000 in fiscal year 2025 are from the
general fund for grants under Minnesota
Statutes, sections 145.9571 to 145.9576. The
base for this appropriation is $1,500,000 in
fiscal year 2026 and $1,500,000 in fiscal year
2027. (2) Of the amount in clause (1),
$400,000 in fiscal year 2024 is to support the
transition from implementation of activities
under Minnesota Statutes, section 145.4235,
to implementation of activities under
Minnesota Statutes, sections 145.9571 to
145.9576. The commissioner shall award four
sole-source grants of $100,000 each to Face
to Face, Cradle of Hope, Division of Indian
Work, and Minnesota Prison Doula Project.
The amount in this clause is a onetime
appropriation.

(h) Help Me Connect. $463,000 in fiscal year
2024 and $921,000 in fiscal year 2025 are
from the general fund for the Help Me
Connect program under Minnesota Statutes,
section 145.988.

(i) Home visiting. $2,000,000 in fiscal year
2024 and $2,000,000 in fiscal year 2025 are
from the general fund for home visiting under
Minnesota Statutes, section 145.87, to provide
home visiting to priority populations under
Minnesota Statutes, section 145.87,
subdivision 1, paragraph (e).

(j) No Surprises Act enforcement.
$1,210,000 in fiscal year 2024 and $1,090,000
in fiscal year 2025 are from the general fund
for implementation of the federal No Surprises
Act under Minnesota Statutes, section
62Q.021, and an assessment of the feasibility
of a statewide provider directory. The general
fund base for this appropriation is $855,000
in fiscal year 2026 and $855,000 in fiscal year
2027.

(k) Office of African American Health.
$1,000,000 in fiscal year 2024 and $1,000,000
in fiscal year 2025 are from the general fund
for grants under the authority of the Office of
African American Health under Minnesota
Statutes, section 144.0756.

(l) Office of American Indian Health.
$1,000,000 in fiscal year 2024 and $1,000,000
in fiscal year 2025 are from the general fund
for grants under the authority of the Office of
American Indian Health under Minnesota
Statutes, section 144.0757.

(m) Public health system transformation
grants. (1) $9,844,000 in fiscal year 2024 and
$9,844,000 in fiscal year 2025 are from the
general fund for grants under Minnesota
Statutes, section 145A.131, subdivision 1,
paragraph (f).

(2) $535,000 in fiscal year 2024 and $535,000
in fiscal year 2025 are from the general fund
for grants under Minnesota Statutes, section
145A.14, subdivision 2b.

(3) $321,000 in fiscal year 2024 and $321,000
in fiscal year 2025 are from the general fund
for grants under Minnesota Statutes, section
144.0759.

(n) Health care workforce. (1) $1,010,000
in fiscal year 2024 and $2,550,000 in fiscal
year 2025 are from the health care access fund
for rural training tracks and rural clinicals
grants under Minnesota Statutes, sections
144.1505 and 144.1507. The base for this
appropriation is $4,060,000 in fiscal year 2026
and $3,600,000 in fiscal year 2027.

(2) $420,000 in fiscal year 2024 and $420,000
in fiscal year 2025 are from the health care
access fund for immigrant international
medical graduate training grants under
Minnesota Statutes, section 144.1911.

(3) $5,654,000 in fiscal year 2024 and
$5,550,000 in fiscal year 2025 are from the
health care access fund for site-based clinical
training grants under Minnesota Statutes,
section 144.1508. The base for this
appropriation is $4,657,000 in fiscal year 2026
and $3,451,000 in fiscal year 2027.

(4) $1,000,000 in fiscal year 2024 and
$1,000,000 in fiscal year 2025 are from the
health care access fund for mental health for
health care professional grants. This is a
onetime appropriation and is available until
June 30, 2027.

(5) $502,000 in fiscal year 2024 and $502,000
in fiscal year 2025 are from the health care
access fund for workforce research and data
analysis of shortages, maldistribution of health
care providers in Minnesota, and the factors
that influence decisions of health care
providers to practice in rural areas of
Minnesota.

(o) School health. $800,000 in fiscal year
2024 and $1,300,000 in fiscal year 2025 are
from the general fund for grants under
Minnesota Statutes, section 145.903. The base
for this appropriation is $2,300,000 in fiscal
year 2026 and $2,300,000 in fiscal year 2027.

(p) Long COVID. $3,146,000 in fiscal year
2024 and $3,146,000 in fiscal year 2025 are
from the general fund for grants and to
implement Minnesota Statutes, section
145.361.

(q) Workplace safety grants. $4,400,000 in
fiscal year 2024 is from the general fund for
grants to health care entities to improve
employee safety or security. This is a onetime
appropriation and is available until June 30,
2027. The commissioner may use up to ten
percent of this appropriation for
administration.

(r) Clinical dental education innovation
grants. $1,122,000 in fiscal year 2024 and
$1,122,000 in fiscal year 2025 are from the
general fund for clinical dental education
innovation grants under Minnesota Statutes,
section 144.1913.

(s) Emmett Louis Till Victims Recovery
Program. $500,000 in fiscal year 2024 is from
the general fund for a grant to the Emmett
Louis Till Victims Recovery Program. The
commissioner must not use any of this
appropriation for administration. This is a
onetime appropriation and is available until
June 30, 2025.

(t) Center for health care affordability.
$2,752,000 in fiscal year 2024 and $3,989,000
in fiscal year 2025 are from the general fund
to establish a center for health care
affordability and to implement Minnesota
Statutes, section 62J.312. The general fund
base for this appropriation is $3,988,000 in
fiscal year 2026 and $3,988,000 in fiscal year
2027.

(u) Federally qualified health centers
apprenticeship program. $690,000 in fiscal
year 2024 and $690,000 in fiscal year 2025
are from the general fund for grants under
Minnesota Statutes, section 145.9272.

(v) Alzheimer's public information
program. $80,000 in fiscal year 2024 and
$80,000 in fiscal year 2025 are from the
general fund for grants to community-based
organizations to co-create culturally specific
messages to targeted communities and to
promote public awareness materials online
through diverse media channels.

(w) Keeping Nurses at the Bedside Act;
contingent appropriation. The appropriations
in this paragraph are contingent upon
legislative enactment of 2023 Senate File 1384
by the 93rd Legislature. The appropriations
in this paragraph are available until June 30,
2027.

(1) $5,317,000 in fiscal year 2024 and
$5,317,000 in fiscal year 2025 are from the
general fund for loan forgiveness under
Minnesota Statutes, section 144.1501, for
eligible nurses who have agreed to work as
hospital nurses in accordance with Minnesota
Statutes, section 144.1501, subdivision 2,
paragraph (a), clause (7).

(2) $66,000 in fiscal year 2024 and $66,000
in fiscal year 2025 are from the general fund
for loan forgiveness under Minnesota Statutes,
section 144.1501, for eligible nurses who have
agreed to teach in accordance with Minnesota
Statutes, section 144.1501, subdivision 2,
paragraph (a), clause (3).

(3) $545,000 in fiscal year 2024 and $879,000
in fiscal year 2025 are from the general fund
to administer Minnesota Statutes, section
144.7057; to perform the evaluation duties
described in Minnesota Statutes, section
144.7058; to continue prevention of violence
in health care program activities; to analyze
potential links between adverse events and
understaffing; to convene stakeholder groups
and create a best practices toolkit; and for a
report on the current status of the state's
nursing workforce employed by hospitals. The
base for this appropriation is $624,000 in fiscal
year 2026 and $454,000 in fiscal year 2027.

(x) Supporting healthy development of
babies. $260,000 in fiscal year 2024 and
$260,000 in fiscal year 2025 are from the
general fund for a grant to the Amherst H.
Wilder Foundation for the African American
Babies Coalition initiative. The base for this
appropriation is $520,000 in fiscal year 2026
and $0 in fiscal year 2027. Any appropriation
in fiscal year 2026 is available until June 30,
2027. This paragraph expires on June 30,
2027.

(y) Health professional education loan
forgiveness. $2,780,000 in fiscal year 2024
is from the general fund for eligible mental
health professional loan forgiveness under
Minnesota Statutes, section 144.1501. This is
a onetime appropriation. The commissioner
may use up to ten percent of this appropriation
for administration.

(z) Primary care residency expansion grant
program. $400,000 in fiscal year 2024 and
$400,000 in fiscal year 2025 are from the
general fund for a psychiatry resident under
Minnesota Statutes, section 144.1506.

(aa) Pediatric primary care mental health
training grant program. $1,000,000 in fiscal
year 2024 and $1,000,000 in fiscal year 2025
are from the general fund for grants under
Minnesota Statutes, section 144.1509. The
commissioner may use up to ten percent of
this appropriation for administration.

(bb) Mental health cultural community
continuing education grant program.
$500,000 in fiscal year 2024 and $500,000 in
fiscal year 2025 are from the general fund for
grants under Minnesota Statutes, section
144.1511. The commissioner may use up to
ten percent of this appropriation for
administration.

(cc) Labor trafficking services grant
program. $500,000 in fiscal year 2024 and
$500,000 in fiscal year 2025 are from the
general fund for grants under Minnesota
Statutes, section 144.3885.

(dd) Palliative Care Advisory Council.
$40,000 in fiscal year 2024 and $40,000 in
fiscal year 2025 are from the general fund for
grants under Minnesota Statutes, section
144.059.

(ee) Analysis of a universal health care
financing system. $1,815,000 in fiscal year
2024 and $580,000 in fiscal year 2025 are
from the general fund to the commissioner to
contract for an analysis of the benefits and
costs of a legislative proposal for a universal
health care financing system and a similar
analysis of the current health care financing
system. The base for this appropriation is
$580,000 in fiscal year 2026 and $0 in fiscal
year 2027. This appropriation is available until
June 30, 2027.

(ff) Charitable assets public interest review.
(1) The appropriations under this paragraph
are contingent upon legislative enactment of
2023 House File 402 by the 93rd Legislature.

(2) $1,584,000 in fiscal year 2024 and
$769,000 in fiscal year 2025 are from the
general fund to review certain health care
entity transactions; to conduct analyses of the
impacts of health care transactions on health
care cost, quality, and competition; and to
issue public reports on health care transactions
in Minnesota and their impacts. The base for
this appropriation is $710,000 in fiscal year
2026 and $710,000 in fiscal year 2027.

(gg) Study of the development of a statewide
registry for provider orders for
life-sustaining treatment. $365,000 in fiscal
year 2024 and $365,000 in fiscal year 2025
are from the general fund for a study of the
development of a statewide registry for
provider orders for life-sustaining treatment.
This is a onetime appropriation.

(hh) Task Force on Pregnancy Health and
Substance Use Disorders. $199,000 in fiscal
year 2024 and $100,000 in fiscal year 2025
are from the general fund for the Task Force
on Pregnancy Health and Substance Use
Disorders. This is a onetime appropriation and
is available until June 30, 2025.

(ii) 988 Suicide and crisis lifeline. $4,000,000
in fiscal year 2024 is from the general fund
for 988 national suicide prevention lifeline
grants under Minnesota Statutes, section
145.561. This is a onetime appropriation.

(jj) Equitable Health Care Task Force.
$779,000 in fiscal year 2024 and $749,000 in
fiscal year 2025 are from the general fund for
the Equitable Health Care Task Force. This is
a onetime appropriation.

(kk) Psychedelic Medicine Task Force.
$338,000 in fiscal year 2024 and $171,000 in
fiscal year 2025 are from the general fund for
the Psychedelic Medicine Task Force. This is
a onetime appropriation.

(ll) Medical education and research costs.
$300,000 in fiscal year 2024 and $300,000 in
fiscal year 2025 are from the general fund for
the medical education and research costs
program under Minnesota Statutes, section
62J.692.

(mm) Special Guerilla Unit Veterans grant
program. $250,000 in fiscal year 2024 and
$250,000 in fiscal year 2025 are from the
general fund for a grant to the Special
Guerrilla Units Veterans and Families of the
United States of America to offer
programming and culturally specific and
specialized assistance to support the health
and well-being of Special Guerilla Unit
Veterans. The base for this appropriation is
$500,000 in fiscal year 2026 and $0 in fiscal
year 2027. Any amount appropriated in fiscal
year 2026 is available until June 30, 2027.
This paragraph expires June 30, 2027.

(nn) Safe harbor regional navigator.
$300,000 in fiscal year 2024 and $300,000 in
fiscal year 2025 are for a regional navigator
in northwestern Minnesota. The commissioner
may use up to ten percent of this appropriation
for administration.

(oo) Network adequacy. $798,000 in fiscal
year 2024 and $491,000 in fiscal year 2025
are from the general fund for reviews of
provider networks under Minnesota Statutes,
section 62K.10, to determine network
adequacy.

new text begin (pp) Grant to Minnesota Alliance for
Volunteer Advancement. $278,000 in fiscal
year 2024 is from the general fund for a grant
to the Minnesota Alliance for Volunteer
Advancement to administer needs-based
volunteerism subgrants targeting
underresourced nonprofit organizations in
greater Minnesota. Subgrants must be used to
support the ongoing efforts of selected
organizations to address and minimize
disparities in access to human services through
increased volunteerism. Subgrant applicants
must demonstrate that the populations to be
served by the subgrantee are underserved or
suffer from or are at risk of homelessness,
hunger, poverty, lack of access to health care,
or deficits in education. The Minnesota
Alliance for Volunteer Advancement must
give priority to organizations that are serving
the needs of vulnerable populations. This is a
onetime appropriation and is available until
June 30, 2025.
new text end

deleted text begin (pp)(1) deleted text end new text begin (qq)(1) new text end TANF Appropriations. TANF
funds must be used as follows:

(i) $3,579,000 in fiscal year 2024 and
$3,579,000 in fiscal year 2025 are from the
TANF fund 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;

(ii) $2,000,000 in fiscal year 2024 and
$2,000,000 in fiscal year 2025 are from the
TANF fund for decreasing racial and ethnic
disparities in infant mortality rates under
Minnesota Statutes, section 145.928,
subdivision 7;

(iii) $4,978,000 in fiscal year 2024 and
$4,978,000 in fiscal year 2025 are from the
TANF fund for the family home visiting grant
program under Minnesota Statutes, section
145A.17. $4,000,000 of the funding in fiscal
year 2024 and $4,000,000 in fiscal year 2025
must be distributed to community health
boards under Minnesota Statutes, section
145A.131, subdivision 1. $978,000 of the
funding in fiscal year 2024 and $978,000 in
fiscal year 2025 must be distributed to Tribal
governments under Minnesota Statutes, section
145A.14, subdivision 2a;

(iv) $1,156,000 in fiscal year 2024 and
$1,156,000 in fiscal year 2025 are from the
TANF fund for sexual and reproductive health
services grants under Minnesota Statutes,
section 145.925; and

(v) the commissioner may use up to 6.23
percent of the funds appropriated from the
TANF fund each fiscal 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.

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

deleted text begin (qq) deleted text end new text begin (rr) new text end Base level adjustments. The general
fund base is $197,644,000 in fiscal year 2026
and $195,714,000 in fiscal year 2027. The
health care access fund base is $53,354,000
in fiscal year 2026 and $50,962,000 in fiscal
year 2027.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2023.
new text end