Engrossments
Introduction		Posted on 03/30/2022
1st Engrossment		Posted on 04/19/2022

Section 1.

new text begin [62J.811] PROVIDER BALANCE BILLING REQUIREMENTS.
new text end

new text begin Subdivision 1. new text end

new text begin Requirements. new text end

new text begin (a) Each health provider and health facility shall comply
with Division BB, Title I of the Consolidated Appropriations Act, 2021, also known as the
"No Surprises Act," including any federal regulations adopted under that act, to the extent
that it imposes requirements that apply in this state but are not required under the laws of
this state. This section does not require compliance with any provision of the No Surprises
Act before January 1, 2022.
new text end

new text begin (b) For the purposes of this section, "provider" or "facility" means any health care
provider or facility pursuant to section 62A.63, subdivision 2, or 62J.03, subdivision 8, that
is subject to relevant provisions of the No Surprises Act.
new text end

new text begin Subd. 2. new text end

new text begin Compliance and investigations. new text end

new text begin (a) The commissioner of health shall, to the
extent practicable, seek the cooperation of health care providers and facilities in obtaining
compliance with this section.
new text end

new text begin (b) A person who believes a health care provider or facility has not complied with the
requirements of the No Surprises Act or this section may file a complaint with the
commissioner of health. Complaints filed under this section must be filed in writing, either
on paper or electronically. The commissioner may prescribe additional procedures for the
filing of complaints.
new text end

new text begin (c) The commissioner may also conduct compliance reviews to determine whether health
care providers and facilities are complying with this section.
new text end

new text begin (d) The commissioner will investigate complaints filed under this section. The
commissioner may prioritize complaint investigations, compliance reviews, and the collection
of any possible civil monetary penalties under paragraph (g), clause (2), based on factors
such as repeat complaints or violations, the seriousness of the complaint or violation, and
other factors as determined by the commissioner.
new text end

new text begin (e) The commissioner shall inform the health care provider or facility of the complaint
or findings of a compliance review and shall provide an opportunity for the health care
provider or facility to submit information the health care provider or facility considers
relevant to further review and investigation of the complaint or the findings of the compliance
review. The health care provider or facility must submit any such information to the
commissioner within 30 days of receipt of notification of a complaint or compliance review
under this section.
new text end

new text begin (f) If, after reviewing any information described in paragraph (e) and the results of any
investigation, the commissioner determines that the provider or facility has not violated this
section, the commissioner shall notify the provider or facility as well as any relevant
complainant.
new text end

new text begin (g) If, after reviewing any information described in paragraph (e) and the results of any
investigation, the commissioner determines that the provider or facility is in violation of
this section, the commissioner shall notify the provider or facility and take the following
steps:
new text end

new text begin (1) in cases of noncompliance with this section, the commissioner shall first attempt to
achieve compliance through successful remediation on the part of the noncompliant provider
or facility including completion of a corrective action plan or other agreement; and
new text end

new text begin (2) if, after taking the action in clause (1) compliance has not been achieved, the
commissioner of health shall notify the provider or facility that the provider or facility is in
violation of this section and that the commissioner is imposing a civil monetary penalty. If
the commissioner determines that more than one health care provider or facility was
responsible for a violation, the commissioner may impose a civil money penalty against
each health care provider or facility. The amount of a civil money penalty shall be up to
$100 for each violation, but shall not exceed $25,000 for identical violations during a
calendar year; and
new text end

new text begin (3) no civil money penalty shall be imposed under this section for violations that occur
prior to January 1, 2023. Warnings must be issued and any compliance issues must be
referred to the federal government for enforcement pursuant to the federal No Surprises Act
or other applicable federal laws and regulations.
new text end

new text begin (h) A health care provider or facility may contest whether the finding of facts constitute
a violation of this section according to the contested case proceeding in sections 14.57 to
14.62, subject to appeal according to sections 14.63 to 14.68.
new text end

new text begin (i) When steps in paragraphs (b) to (h) have been completed as needed, the commissioner
shall notify the health care provider or facility and, if the matter arose from a complaint,
the complainant regarding the disposition of complaint or compliance review.
new text end

new text begin (j) Any data collected by the commissioner of health as part of an active investigation
or active compliance review under this section are classified as protected nonpublic data
pursuant to section 13.02, subdivision 13, in the case of data not on individuals and
confidential pursuant to section 13.02, subdivision 3, in the case of data on individuals.
Data describing the final disposition of an investigation or compliance review are classified
as public.
new text end

new text begin (k) Civil money penalties imposed and collected under this subdivision shall be deposited
into the general fund and are appropriated to the commissioner of health for the purposes
of this section, including the provision of compliance reviews and technical assistance.
new text end

new text begin (l) Any compliance and investigative action taken by the department under this section
shall only include potential violations that occur on or after the effective date of this section.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 2.

Minnesota Statutes 2020, section 62Q.021, is amended by adding a subdivision to
read:

new text begin Subd. 3. new text end

new text begin Compliance with 2021 federal law. new text end

new text begin Each health plan company, health provider,
and health facility shall comply with Division BB, Title I of the Consolidated Appropriations
Act, 2021, also known as the "No Surprises Act," including any federal regulations adopted
under that act, to the extent that it imposes requirements that apply in this state but are not
required under the laws of this state. This section does not require compliance with any
provision of the No Surprises Act before the effective date provided for that provision in
the Consolidated Appropriations Act. The commissioner shall enforce this subdivision.
new text end

Sec. 3.

Minnesota Statutes 2020, section 62Q.55, subdivision 5, is amended to read:

Subd. 5.

Coverage restrictions or limitations.

If emergency services are provided by
a nonparticipating provider, with or without prior authorization, the health plan company
shall not impose coverage restrictions or limitations that are more restrictive than apply to
emergency services received from a participating provider. Cost-sharing requirements that
apply to emergency services received out-of-network must be the same as the cost-sharing
requirements that apply to services received in-networknew text begin and shall count toward the in-network
deductible. All coverage and charges for emergency services must comply with all
requirements of Division BB, Title I of the Consolidated Appropriations Act, 2021, including
any federal regulations adopted under that actnew text end .

Sec. 4.

Minnesota Statutes 2020, section 62Q.556, is amended to read:

62Q.556 deleted text begin UNAUTHORIZED PROVIDER SERVICESdeleted text end new text begin CONSUMER
PROTECTIONS AGAINST BALANCE BILLINGnew text end .

Subdivision 1.

deleted text begin Unauthorized provider servicesdeleted text end new text begin Nonparticipating provider balance
billing prohibitionnew text end .

(a) Except as provided in paragraph deleted text begin (c)deleted text end new text begin (b)new text end , deleted text begin unauthorized provider
services occurdeleted text end new text begin balance billing is prohibitednew text end when an enrollee receives services:

(1) from a nonparticipating provider at a participating hospital or ambulatory surgical
center, deleted text begin when the services are rendered:deleted text end new text begin as described by Division BB, Title I of the
Consolidated Appropriations Act, 2021, including any federal regulations adopted under
that act;
new text end

deleted text begin (i) due to the unavailability of a participating provider;
deleted text end

deleted text begin (ii) by a nonparticipating provider without the enrollee's knowledge; or
deleted text end

deleted text begin (iii) due to the need for unforeseen services arising at the time the services are being
rendered; or
deleted text end

(2) from a participating provider that sends a specimen taken from the enrollee in the
participating provider's practice setting to a nonparticipating laboratory, pathologist, or other
medical testing facilitydeleted text begin .deleted text end new text begin ; or
new text end

deleted text begin (b) Unauthorized provider services do not include emergency services as defined in
section 62Q.55, subdivision 3.
deleted text end

new text begin (3) from a nonparticipating provider or facility providing emergency services as defined
in section 62Q.55, subdivision 3, and other services as described in the requirements of
Division BB, Title I of the Consolidated Appropriations Act, 2021, including any federal
regulations adopted under that act.
new text end

deleted text begin (c)deleted text end new text begin (b)new text end The services described in paragraph (a), deleted text begin clausedeleted text end new text begin clauses (1) andnew text end (2), new text begin as defined in
Division BB, Title I of the Consolidated Appropriations Act, 2021, and any federal
regulations adopted under that act, new text end are deleted text begin not unauthorized provider servicesdeleted text end new text begin subject to balance
billingnew text end if the enrollee deleted text begin gives advance writtendeleted text end new text begin informednew text end consent deleted text begin to thedeleted text end new text begin prior to receiving
services from the nonparticipatingnew text end provider acknowledging that the use of a provider, or
the services to be rendered, may result in costs not covered by the health plan.new text begin The informed
consent must comply with all requirements of Division BB, Title I of the Consolidated
Appropriations Act, 2021, including any federal regulations adopted under that act.
new text end

Subd. 2.

deleted text begin Prohibitiondeleted text end new text begin Cost-sharing requirements and independent dispute
resolutionnew text end .

(a) An enrollee's financial responsibility for the deleted text begin unauthorizeddeleted text end new text begin nonparticipatingnew text end
provider services new text begin described in subdivision 1, paragraph (a), new text end shall be the same cost-sharing
requirements, including co-payments, deductibles, coinsurance, coverage restrictions, and
coverage limitations, as those applicable to services received by the enrollee from a
participating provider. A health plan company must apply any enrollee cost sharing
requirements, including co-payments, deductibles, and coinsurance, for unauthorized provider
services to the enrollee's annual out-of-pocket limit to the same extent payments to a
participating provider would be applied.

(b) A health plan company deleted text begin must attempt to negotiate the reimbursement, less any
applicable enrollee cost sharing under paragraph (a), for the unauthorized provider services
with the nonparticipating provider. If a health plan company's and nonparticipating provider's
attempts to negotiate reimbursement for the health care services do not result in a resolution,
the health plan company or provider may elect to refer the matter for binding arbitration,
chosen in accordance with paragraph (c). A nondisclosure agreement must be executed by
both parties prior to engaging an arbitrator in accordance with this section. The cost of
arbitration must be shared equally between the partiesdeleted text end new text begin and nonparticipating provider shall
initiate open negotiations of disputed amounts. If there is no agreement, either party may
initiate the federal independent dispute resolution process pursuant to Division BB, Title I
of the Consolidated Appropriations Act, 2021, including any federal regulations adopted
under that actnew text end .

deleted text begin (c) The commissioner of health, in consultation with the commissioner of the Bureau
of Mediation Services, must develop a list of professionals qualified in arbitration, for the
purpose of resolving disputes between a health plan company and nonparticipating provider
arising from the payment for unauthorized provider services. The commissioner of health
shall publish the list on the Department of Health website, and update the list as appropriate.
deleted text end

deleted text begin (d) The arbitrator must consider relevant information, including the health plan company's
payments to other nonparticipating providers for the same services, the circumstances and
complexity of the particular case, and the usual and customary rate for the service based on
information available in a database in a national, independent, not-for-profit corporation,
and similar fees received by the provider for the same services from other health plans in
which the provider is nonparticipating, in reaching a decision.
deleted text end

new text begin Subd. 3. new text end

new text begin Annual data reporting. new text end

new text begin (a) Beginning April 1, 2023, a health plan company
must report annually to the commissioner:
new text end

new text begin (1) the total number of claims and total billed and paid amount for nonparticipating
provider services, by service and provider type, submitted to the health plan in the prior
calendar year; and
new text end

new text begin (2) the total number of enrollee complaints received regarding the rights and protections
established by Division BB, Title I of the Consolidated Appropriations Act, 2021, including
any federal regulations adopted under that act, in the prior calendar year.
new text end

new text begin (b) The commissioners of commerce and health may develop the form and manner for
health plan companies to comply with paragraph (a).
new text end

new text begin Subd. 4. new text end

new text begin Enforcement. new text end

new text begin (a) Any provider or facility, including a health care provider or
facility pursuant to section 62A.63, subdivision 2, or 62J.03, subdivision 8, that is subject
to relevant provisions of the No Surprises Act is subject to the requirements of this section.
new text end

new text begin (b) The commissioner of commerce or health may enforce this section.
new text end

new text begin (c) If the commissioner of health has cause to believe that any hospital or facility licensed
under chapter 144 has violated this section, the commissioner may investigate, examine,
and otherwise enforce this section pursuant to chapter 144 or may refer the potential violation
to the relevant licensing board with regulatory authority over the provider.
new text end

new text begin (d) If a health-related licensing board has cause to believe that a provider has violated
this section, it may further investigate and enforce the provisions of this section pursuant
to chapter 214.
new text end

Sec. 5.

Minnesota Statutes 2020, section 62Q.56, subdivision 2, is amended to read:

Subd. 2.

Change in health plans.

(a) If an enrollee is subject to a change in health plans,
the enrollee's new health plan company must provide, upon request, authorization to receive
services that are otherwise covered under the terms of the new health plan through the
enrollee's current provider:

(1) for up to 120 days if the enrollee is engaged in a current course of treatment for one
or more of the following conditions:

(i) an acute condition;

(ii) a life-threatening mental or physical illness;

(iii) pregnancy deleted text begin beyond the first trimester of pregnancydeleted text end ;

(iv) a physical or mental disability defined as an inability to engage in one or more major
life activities, provided that the disability has lasted or can be expected to last for at least
one year, or can be expected to result in death; or

(v) a disabling or chronic condition that is in an acute phase; or

(2) for the rest of the enrollee's life if a physician certifies that the enrollee has an expected
lifetime of 180 days or less.

For all requests for authorization under this paragraph, the health plan company must grant
the request for authorization unless the enrollee does not meet the criteria provided in this
paragraph.

(b) The health plan company shall prepare a written plan that provides a process for
coverage determinations regarding continuity of care of up to 120 days for new enrollees
who request continuity of care with their former provider, if the new enrollee:

(1) is receiving culturally appropriate services and the health plan company does not
have a provider in its preferred provider network with special expertise in the delivery of
those culturally appropriate services within the time and distance requirements of section
62D.124, subdivision 1; or

(2) does not speak English and the health plan company does not have a provider in its
preferred provider network who can communicate with the enrollee, either directly or through
an interpreter, within the time and distance requirements of section 62D.124, subdivision
1.

The written plan must explain the criteria that will be used to determine whether a need for
continuity of care exists and how it will be provided.

(c) This subdivision applies only to group coverage and continuation and conversion
coverage, and applies only to changes in health plans made by the employer.

Sec. 6.

Minnesota Statutes 2020, section 62Q.73, subdivision 7, is amended to read:

Subd. 7.

Standards of review.

(a) For an external review of any issue in an adverse
determination that does not require a medical necessity determination, the external review
must be based on whether the adverse determination was in compliance with the enrollee's
health benefit plannew text begin and any applicable state and federal lawnew text end .

(b) For an external review of any issue in an adverse determination by a health plan
company licensed under chapter 62D that requires a medical necessity determination, the
external review must determine whether the adverse determination was consistent with the
definition of medically necessary care in Minnesota Rules, part 4685.0100, subpart 9b.

(c) For an external review of any issue in an adverse determination by a health plan
company, other than a health plan company licensed under chapter 62D, that requires a
medical necessity determination, the external review must determine whether the adverse
determination was consistent with the definition of medically necessary care in section
62Q.53, subdivision 2.

(d) For an external review of an adverse determination involving experimental or
investigational treatment, the external review entity must base its decision on all documents
submitted by the health plan company and enrollee, including medical records, the attending
physician, advanced practice registered nurse, or health care professional's recommendation,
consulting reports from health care professionals, the terms of coverage, federal Food and
Drug Administration approval, and medical or scientific evidence or evidence-based
standards.

Sec. 7.

Minnesota Statutes 2020, section 62U.04, is amended by adding a subdivision to
read:

new text begin Subd. 5b. new text end

new text begin Non-claims-based payments. new text end

new text begin (a) Beginning in 2024, all health plan companies
and third-party administrators shall submit to a private entity designated by the commissioner
of health all non-claims-based payments made to health care providers. The data shall be
submitted in a form, manner, and frequency specified by the commissioner. Non-claims-based
payments are payments to health care providers designed to pay for value of health care
services over volume of health care services and include alternative payment models or
incentives, payments for infrastructure expenditures or investments, and payments for
workforce expenditures or investments. Non-claims-based payments submitted under this
subdivision must, to the extent possible, be attributed to a health care provider in the same
manner in which claims-based data are attributed to a health care provider and, where
appropriate, must be combined with data collected under subdivisions 4 and 5 in analyses
of health care spending.
new text end

new text begin (b) Data collected under this subdivision are nonpublic data as defined in section 13.02.
Notwithstanding the definition of summary data in section 13.02, subdivision 19, summary
data prepared under this subdivision may be derived from nonpublic data. The commissioner
shall establish procedures and safeguards to protect the integrity and confidentiality of any
data maintained by the commissioner.
new text end

new text begin (c) The commissioner shall consult with health plan companies, hospitals, and health
care providers in developing the data reported under this subdivision and standardized
reporting forms.
new text end

Sec. 8.

Minnesota Statutes 2020, section 62U.04, subdivision 11, is amended to read:

Subd. 11.

Restricted uses of the all-payer claims data.

(a) Notwithstanding subdivision
4, paragraph (b), and subdivision 5, paragraph (b), the commissioner or the commissioner's
designee shall only use the data submitted under subdivisions 4 deleted text begin anddeleted text end new text begin ,new text end 5new text begin , and 5bnew text end for the
following purposes:

(1) to evaluate the performance of the health care home program as authorized under
section 62U.03, subdivision 7;

(2) to study, in collaboration with the reducing avoidable readmissions effectively
(RARE) campaign, hospital readmission trends and rates;

(3) to analyze variations in health care costs, quality, utilization, and illness burden based
on geographical areas or populations;

(4) to evaluate the state innovation model (SIM) testing grant received by the Departments
of Health and Human Services, including the analysis of health care cost, quality, and
utilization baseline and trend information for targeted populations and communities; and

(5) to compile one or more public use files of summary data or tables that must:

(i) be available to the public for no or minimal cost by March 1, 2016, and available by
web-based electronic data download by June 30, 2019;

(ii) not identify individual patients, payers, or providers;

(iii) be updated by the commissioner, at least annually, with the most current data
available;

(iv) contain clear and conspicuous explanations of the characteristics of the data, such
as the dates of the data contained in the files, the absence of costs of care for uninsured
patients or nonresidents, and other disclaimers that provide appropriate context; and

(v) not lead to the collection of additional data elements beyond what is authorized under
this section as of June 30, 2015.

(b) The commissioner may publish the results of the authorized uses identified in
paragraph (a) so long as the data released publicly do not contain information or descriptions
in which the identity of individual hospitals, clinics, or other providers may be discerned.

(c) Nothing in this subdivision shall be construed to prohibit the commissioner from
using the data collected under subdivision 4 to complete the state-based risk adjustment
system assessment due to the legislature on October 1, 2015.

deleted text begin (d) The commissioner or the commissioner's designee may use the data submitted under
subdivisions 4 and 5 for the purpose described in paragraph (a), clause (3), until July 1,
2023.
deleted text end

deleted text begin (e)deleted text end new text begin (d)new text end The commissioner shall consult with the all-payer claims database work group
established under subdivision 12 regarding the technical considerations necessary to create
the public use files of summary data described in paragraph (a), clause (5).

Sec. 9.

Minnesota Statutes 2020, section 62U.10, subdivision 7, is amended to read:

Subd. 7.

Outcomes reporting; savings determination.

(a) deleted text begin Beginning November 1,
2016, anddeleted text end Each November 1 deleted text begin thereafterdeleted text end , the commissioner of health shall determine the
actual total private and public health care and long-term care spending for Minnesota
residents related to each health indicator projected in subdivision 6 for the most recent
calendar year available. The commissioner shall determine the difference between the
projected and actual spending for each health indicator and for each year, and determine
the savings attributable to changes in these health indicators. The assumptions and research
methods used to calculate actual spending must be determined to be appropriate by an
independent actuarial consultant. If the actual spending is less than the projected spending,
the commissioner, in consultation with the commissioners of human services and management
and budget, shall use the proportion of spending for state-administered health care programs
to total private and public health care spending for each health indicator for the calendar
year two years before the current calendar year to determine the percentage of the calculated
aggregate savings amount accruing to state-administered health care programs.

(b) The commissioner may use the data submitted under section 62U.04, subdivisions
4 deleted text begin anddeleted text end new text begin ,new text end 5, new text begin and 5b, new text end to complete the activities required under this section, but may only report
publicly on regional data aggregated to granularity of 25,000 lives or greater for this purpose.

Sec. 10.

new text begin [115.7411] ADVISORY COUNCIL ON WATER SUPPLY SYSTEMS AND
WASTEWATER TREATMENT FACILITIES.
new text end

new text begin Subdivision 1. new text end

new text begin Purpose; membership. new text end

new text begin The advisory council on water supply systems
and wastewater treatment facilities shall advise the commissioners of health and the Pollution
Control Agency regarding classification of water supply systems and wastewater treatment
facilities, qualifications and competency evaluation of water supply system operators and
wastewater treatment facility operators, and additional laws, rules, and procedures that may
be desirable for regulating the operation of water supply systems and of wastewater treatment
facilities. The advisory council is composed of 11 voting members, of whom:
new text end

new text begin (1) one member must be from the Department of Health, Division of Environmental
Health, appointed by the commissioner of health;
new text end

new text begin (2) one member must be from the Pollution Control Agency, appointed by the
commissioner of the Pollution Control Agency;
new text end

new text begin (3) three members must be certified water supply system operators, appointed by the
commissioner of health, one of whom must represent a nonmunicipal community or
nontransient noncommunity water supply system;
new text end

new text begin (4) three members must be certified wastewater treatment facility operators, appointed
by the commissioner of the Pollution Control Agency;
new text end

new text begin (5) one member must be a representative from an organization representing municipalities,
appointed by the commissioner of health with the concurrence of the commissioner of the
Pollution Control Agency; and
new text end

new text begin (6) two members must be members of the public who are not associated with water
supply systems or wastewater treatment facilities. One must be appointed by the
commissioner of health and the other by the commissioner of the Pollution Control Agency.
Consideration should be given to one of these members being a representative of academia
knowledgeable in water or wastewater matters.
new text end

new text begin Subd. 2. new text end

new text begin Geographic representation. new text end

new text begin At least one of the water supply system operators
and at least one of the wastewater treatment facility operators must be from outside the
seven-county metropolitan area, and one wastewater treatment facility operator must be
from the Metropolitan Council.
new text end

new text begin Subd. 3. new text end

new text begin Terms; compensation. new text end

new text begin The terms of the appointed members and the
compensation and removal of all members are governed by section 15.059.
new text end

new text begin Subd. 4. new text end

new text begin Officers. new text end

new text begin When new members are appointed to the council, a chair must be
elected at the next council meeting. The Department of Health representative shall serve as
secretary of the council.
new text end

Sec. 11.

Minnesota Statutes 2020, section 144.122, is amended to read:

144.122 LICENSE, PERMIT, AND SURVEY FEES.

(a) The state commissioner of health, by rule, may prescribe procedures and fees for
filing with the commissioner as prescribed by statute and for the issuance of original and
renewal permits, licenses, registrations, and certifications issued under authority of the
commissioner. The expiration dates of the various licenses, permits, registrations, and
certifications as prescribed by the rules shall be plainly marked thereon. Fees may include
application and examination fees and a penalty fee for renewal applications submitted after
the expiration date of the previously issued permit, license, registration, and certification.
The commissioner may also prescribe, by rule, reduced fees for permits, licenses,
registrations, and certifications when the application therefor is submitted during the last
three months of the permit, license, registration, or certification period. Fees proposed to
be prescribed in the rules shall be first approved by the Department of Management and
Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees shall be
in an amount so that the total fees collected by the commissioner will, where practical,
approximate the cost to the commissioner in administering the program. All fees collected
shall be deposited in the state treasury and credited to the state government special revenue
fund unless otherwise specifically appropriated by law for specific purposes.

(b) The commissioner may charge a fee for voluntary certification of medical laboratories
and environmental laboratories, and for environmental and medical laboratory services
provided by the department, without complying with paragraph (a) or chapter 14. Fees
charged for environment and medical laboratory services provided by the department must
be approximately equal to the costs of providing the services.

(c) The commissioner may develop a schedule of fees for diagnostic evaluations
conducted at clinics held by the services for children with disabilities program. All receipts
generated by the program are annually appropriated to the commissioner for use in the
maternal and child health program.

(d) The commissioner shall set license fees for hospitals and nursing homes that are not
boarding care homes at the following levels:

Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and American Osteopathic Association (AOA) hospitals	$7,655 plus $16 per bed
Non-JCAHO and non-AOA hospitals	$5,280 plus $250 per bed
Nursing home	$183 plus $91 per bed until June 30, 2018. $183 plus $100 per bed between July 1, 2018, and June 30, 2020. $183 plus $105 per bed beginning July 1, 2020.

The commissioner shall set license fees for outpatient surgical centers, boarding care
homes, supervised living facilities, assisted living facilities, and assisted living facilities
with dementia care at the following levels:

Outpatient surgical centers	$3,712
Boarding care homes	$183 plus $91 per bed
Supervised living facilities	$183 plus $91 per bed.
Assisted living facilities with dementia care	$3,000 plus $100 per resident.
Assisted living facilities	$2,000 plus $75 per resident.

Fees collected under this paragraph are nonrefundable. The fees are nonrefundable even if
received before July 1, 2017, for licenses or registrations being issued effective July 1, 2017,
or later.

(e) Unless prohibited by federal law, the commissioner of health shall charge applicants
the following fees to cover the cost of any initial certification surveys required to determine
a provider's eligibility to participate in the Medicare or Medicaid program:

Prospective payment surveys for hospitals	$	900
Swing bed surveys for nursing homes	$	1,200
Psychiatric hospitals	$	1,400
Rural health facilities	$	1,100
Portable x-ray providers	$	500
Home health agencies	$	1,800
Outpatient therapy agencies	$	800
End stage renal dialysis providers	$	2,100
Independent therapists	$	800
Comprehensive rehabilitation outpatient facilities	$	1,200
Hospice providers	$	1,700
Ambulatory surgical providers	$	1,800
Hospitals	$	4,200
Other provider categories or additional resurveys required to complete initial certification	Actual surveyor costs: average surveyor cost x number of hours for the survey process.

These fees shall be submitted at the time of the application for federal certification and
shall not be refunded. All fees collected after the date that the imposition of fees is not
prohibited by federal law shall be deposited in the state treasury and credited to the state
government special revenue fund.

(f) Notwithstanding section 16A.1283, the commissioner may adjust the fees assessed
on assisted living facilities and assisted living facilities with dementia care under paragraph
(d), in a revenue-neutral manner in accordance with the requirements of this paragraph:

(1) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
to ten percent lower than the applicable fee in paragraph (d) if residents who receive home
and community-based waiver services under chapter 256S and section 256B.49 comprise
more than 50 percent of the facility's capacity in the calendar year prior to the year in which
the renewal application is submitted; and

(2) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
to ten percent higher than the applicable fee in paragraph (d) if residents who receive home
and community-based waiver services under chapter 256S and section 256B.49 comprise
less than 50 percent of the facility's capacity during the calendar year prior to the year in
which the renewal application is submitted.

The commissioner may annually adjust the percentages in clauses (1) and (2), to ensure this
paragraph is implemented in a revenue-neutral manner. The commissioner shall develop a
method for determining capacity thresholds in this paragraph in consultation with the
commissioner of human services and must coordinate the administration of this paragraph
with the commissioner of human services for purposes of verification.

new text begin (g) The commissioner shall charge hospitals an annual licensing base fee of $1,150 per
hospital, plus an additional $15 per licensed bed/bassinet fee. Revenue shall be deposited
to the state government special revenue fund and credited toward trauma hospital designations
under sections 144.605 and 144.6071.
new text end

Sec. 12.

Minnesota Statutes 2021 Supplement, section 144.1501, subdivision 1, is amended
to read:

Subdivision 1.

Definitions.

(a) For purposes of this section, the following definitions
apply.

new text begin (b) "Acupuncture practitioner" means an individual licensed to practice acupuncture
under chapter 147B.
new text end

deleted text begin (b)deleted text end new text begin (c)new text end "Advanced dental therapist" means an individual who is licensed as a dental
therapist under section 150A.06, and who is certified as an advanced dental therapist under
section 150A.106.

new text begin (d) "Advanced practice provider" means a nurse practitioner, nurse-midwife, nurse
anesthetist, clinical nurse specialist, or physician assistant.
new text end

deleted text begin (c)deleted text end new text begin (e)new text end "Alcohol and drug counselor" means an individual who is licensed as an alcohol
and drug counselor under chapter 148F.

deleted text begin (d)deleted text end new text begin (f)new text end "Dental therapist" means an individual who is licensed as a dental therapist under
section 150A.06.

deleted text begin (e)deleted text end new text begin (g)new text end "Dentist" means an individual who is licensed to practice dentistry.

deleted text begin (f)deleted text end new text begin (h)new text end "Designated rural area" means a statutory and home rule charter city or township
that is outside the seven-county metropolitan area as defined in section 473.121, subdivision
2, excluding the cities of Duluth, Mankato, Moorhead, Rochester, and St. Cloud.

deleted text begin (g)deleted text end new text begin (i)new text end "Emergency circumstances" means those conditions that make it impossible for
the participant to fulfill the service commitment, including death, total and permanent
disability, or temporary disability lasting more than two years.

deleted text begin (h)deleted text end new text begin (j)new text end "Mental health professional" means an individual providing clinical services in
the treatment of mental illness who is qualified in at least one of the ways specified in section
245.462, subdivision 18.

deleted text begin (i)deleted text end new text begin (k)new text end "Medical resident" means an individual participating in a medical residency in
family practice, internal medicine, obstetrics and gynecology, pediatrics, or psychiatry.

deleted text begin (j) "Midlevel practitioner" means a nurse practitioner, nurse-midwife, nurse anesthetist,
advanced clinical nurse specialist, or physician assistant.
deleted text end

deleted text begin (k)deleted text end new text begin (l)new text end "Nurse" means an individual who has completed training and received all licensing
or certification necessary to perform duties as a licensed practical nurse or registered nurse.

deleted text begin (l)deleted text end new text begin (m)new text end "Nurse-midwife" means a registered nurse who has graduated from a program
of study designed to prepare registered nurses for advanced practice as nurse-midwives.

deleted text begin (m)deleted text end new text begin (n)new text end "Nurse practitioner" means a registered nurse who has graduated from a program
of study designed to prepare registered nurses for advanced practice as nurse practitioners.

deleted text begin (n)deleted text end new text begin (o)new text end "Pharmacist" means an individual with a valid license issued under chapter 151.

deleted text begin (o)deleted text end new text begin (p)new text end "Physician" means an individual who is licensed to practice medicine in the areas
of family practice, internal medicine, obstetrics and gynecology, pediatrics, or psychiatry.

deleted text begin (p)deleted text end new text begin (q)new text end "Physician assistant" means a person licensed under chapter 147A.

new text begin (r) "Public health employee" means an individual working in a local, Tribal, or state
public health department.
new text end

deleted text begin (q)deleted text end new text begin (s)new text end "Public health nurse" means a registered nurse licensed in Minnesota who has
obtained a registration certificate as a public health nurse from the Board of Nursing in
accordance with Minnesota Rules, chapter 6316.

deleted text begin (r)deleted text end new text begin (t)new text end "Qualified educational loan" means a government, commercial, or foundation loan
for actual costs paid for tuition, reasonable education expenses, and reasonable living
expenses related to the graduate or undergraduate education of a health care professional.

new text begin (u) "Underserved patient population" means patients who are 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.
new text end

deleted text begin (s)deleted text end new text begin (v)new text end "Underserved urban community" means a Minnesota urban area or population
included in the list of designated primary medical care health professional shortage areas
(HPSAs), medically underserved areas (MUAs), or medically underserved populations
(MUPs) maintained and updated by the United States Department of Health and Human
Services.

Sec. 13.

Minnesota Statutes 2021 Supplement, section 144.1501, subdivision 2, is amended
to read:

Subd. 2.

Creation of account.

(a) A health professional education loan forgiveness
program account is established. The commissioner of health shall use money from the
account to establish a loan forgiveness program:

(1) for medical residents, mental health professionals, and alcohol and drug counselors
agreeing to practice in designated rural areas ornew text begin innew text end underserved urban communitiesnew text begin , or
agreeing to provide at least 25 percent of the provider's yearly patient encounters to patients
in an underserved patient population,new text end or specializing in the area of pediatric psychiatry;

(2) for deleted text begin midlevel practitionersdeleted text end new text begin advanced practice providersnew text end agreeing to practice in
designated rural areas or to teach at least 12 credit hours, or 720 hours per year in the nursing
field in a postsecondary program at the undergraduate level or the equivalent at the graduate
level;

(3) for nurses who agree to practice in a Minnesota nursing home; an intermediate care
facility for persons with developmental disability; a hospital if the hospital owns and operates
a Minnesota nursing home and a minimum of 50 percent of the hours worked by the nurse
is in the nursing home; a housing with services establishment as defined in section 144D.01,
subdivision 4; new text begin a school district or charter school; new text end or for a home care provider as defined in
section 144A.43, subdivision 4; or agree to teach at least 12 credit hours, or 720 hours per
year in the nursing field in a postsecondary program at the undergraduate level or the
equivalent at the graduate level;

(4) for other health care technicians agreeing to teach at least 12 credit hours, or 720
hours per year in their designated field in a postsecondary program at the undergraduate
level or the equivalent at the graduate level. The commissioner, in consultation with the
Healthcare Education-Industry Partnership, shall determine the health care fields where the
need is the greatest, including, but not limited to, respiratory therapy, clinical laboratory
technology, radiologic technology, and surgical technology;

(5) for pharmacists, advanced dental therapists, dental therapists, new text begin acupuncture
practitioners, new text end and public health nurses who agree to practice in designated rural areas; deleted text begin and
deleted text end

(6) for dentists agreeing to deliver at least 25 percent of the dentist's yearly patient
encounters to deleted text begin 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 51, chapter 303.deleted text end new text begin patients in an underserved patient population;
new text end

new text begin (7) for mental health professionals agreeing to provide up to 768 hours per year of clinical
supervision in their designated field; and
new text end

new text begin (8) for public health employees serving in a local, Tribal, or state public health department
in an area of high need as determined by the commissioner.
new text end

(b) Appropriations made to the account do not cancel and are available until expended,
except that at the end of each biennium, any remaining balance in the account that is not
committed by contract and not needed to fulfill existing commitments shall cancel to the
fund.

Sec. 14.

Minnesota Statutes 2021 Supplement, section 144.1501, subdivision 3, is amended
to read:

Subd. 3.

Eligibility.

(a) To be eligible to participate in the loan forgiveness program, an
individual must:

(1) be a medical or dental resident; a licensed pharmacist; or be enrolled in a training or
education program to become a dentist, dental therapist, advanced dental therapist, mental
health professional, alcohol and drug counselor, pharmacist, new text begin public health employee, new text end public
health nurse, deleted text begin midlevel practitionerdeleted text end new text begin advanced practice providernew text end , new text begin acupuncture practitioner,
new text end registered nurse, or a licensed practical nurse. The commissioner may also consider
applications submitted by graduates in eligible professions who are licensed and in practice;
and

(2) submit an application to the commissioner of health.

(b) new text begin Except as provided in paragraph (c), new text end an applicant selected to participate must sign a
contract to agree to serve a minimum three-year full-time service obligation according to
subdivision 2, which shall begin no later than March 31 following completion of required
training, with the exception of a nurse, who must agree to serve a minimum two-year
full-time service obligation according to subdivision 2, which shall begin no later than
March 31 following completion of required training.

new text begin (c) An applicant selected to participate who is a public health employee is eligible for
loan forgiveness within three years after completion of required training. An applicant
selected to participate who is a nurse and who agrees to teach according to subdivision 2,
paragraph (a), clause (3), must sign a contract to agree to teach for a minimum of two years.
new text end

Sec. 15.

Minnesota Statutes 2020, section 144.1501, subdivision 4, is amended to read:

Subd. 4.

Loan forgiveness.

new text begin (a) new text end The commissioner of health may select applicants each
year for participation in the loan forgiveness program, within the limits of available funding.
new text begin For public health employees, available funds are limited to the appropriations funded in
fiscal year 2022. new text end In considering applicationsnew text begin from applicants who are mental health
professionals, the commissioner shall give preference to applicants who work in rural or
culturally specific organizations. In considering applications from all other applicantsnew text end , the
commissioner shall give preference to applicants who document diverse cultural
competencies. new text begin Except as provided in paragraph (b), new text end the commissioner shall distribute
available funds for loan forgiveness proportionally among the eligible professions according
to the vacancy rate for each profession in the required geographic area, facility type, teaching
area, patient group, or specialty type specified in subdivision 2. The commissioner shall
allocate funds for physician loan forgiveness so that 75 percent of the funds available are
used for rural physician loan forgiveness and 25 percent of the funds available are used for
underserved urban communitiesnew text begin , physicians agreeing to provide at least 25 percent of the
physician's yearly patient encounters to patients in an underserved patient population,new text end and
pediatric psychiatry loan forgiveness. If the commissioner does not receive enough qualified
applicants each year to use the entire allocation of funds for any eligible profession, the
remaining funds may be allocated proportionally among the other eligible professions
according to the vacancy rate for each profession in the required geographic area, patient
group, or facility type specified in subdivision 2. Applicants are responsible for securing
their own qualified educational loans. The commissioner shall select participants based on
their suitability for practice serving the required geographic area or facility type specified
in subdivision 2, as indicated by experience or training. The commissioner shall give
preference to applicants closest to completing their training. new text begin Except as specified in paragraph
(c), new text end for each year that a participant meets the service obligation required under subdivision
3, up to a maximum of four years, the commissioner shall make annual disbursements
directly to the participant equivalent to 15 percent of the average educational debt for
indebted graduates in their profession in the year closest to the applicant's selection for
which information is available, not to exceed the balance of the participant's qualifying
educational loans. Before receiving loan repayment disbursements and as requested, the
participant must complete and return to the commissioner a confirmation of practice form
provided by the commissioner verifying that the participant is practicing as required under
subdivisions 2 and 3. The participant must provide the commissioner with verification that
the full amount of loan repayment disbursement received by the participant has been applied
toward the designated loans. After each disbursement, verification must be received by the
commissioner and approved before the next loan repayment disbursement is made.
Participants who move their practice remain eligible for loan repayment as long as they
practice as required under subdivision 2.

new text begin (b) The commissioner shall distribute available funds for loan forgiveness for public
health employees according to areas of high need as determined by the commissioner.
new text end

new text begin (c) For each year that a participant who is a nurse and who has agreed to teach according
to subdivision 2 meets the teaching obligation required in subdivision 3, the commissioner
shall make annual disbursements directly to the participant equivalent to 15 percent of the
average annual educational debt for indebted graduates in the nursing profession in the year
closest to the participant's selection for which information is available, not to exceed the
balance of the participant's qualifying educational loans.
new text end

Sec. 16.

Minnesota Statutes 2020, section 144.1503, is amended to read:

144.1503 HOME AND COMMUNITY-BASED SERVICES EMPLOYEE
SCHOLARSHIP new text begin AND LOAN FORGIVENESS new text end PROGRAM.

Subdivision 1.

Creation.

The home and community-based services employee scholarship
new text begin and loan forgiveness new text end grant program is established deleted text begin for the purpose of assistingdeleted text end new text begin to assistnew text end
qualified provider applicants deleted text begin to funddeleted text end new text begin in fundingnew text end employee scholarships new text begin and qualified
educational loan repayments new text end for educationnew text begin , training, field experience, and examinationsnew text end in
nursing deleted text begin anddeleted text end new text begin ,new text end other health care fieldsnew text begin , and licensure as an assisted living director under section
144A.20, subdivision 4new text end .

new text begin Subd. 1a. new text end

new text begin Definition. new text end

new text begin For purposes of this section, "qualified educational loan" means
a government, commercial, or foundation loan secured by an employee of a qualifying
provider for actual costs paid for tuition, training, and examinations; reasonable education,
training, and field experience expenses; and reasonable living expenses related to the
employee's graduate or undergraduate education.
new text end

Subd. 2.

Provision of grants.

The commissioner shall make grants available to qualified
providers of older adult services. Grants must be used by home and community-based service
providers to recruit and train staff through the establishment of an employee scholarship
new text begin and loan forgiveness new text end fund.

Subd. 3.

Eligibility.

(a) Eligible providers must primarily provide services to individuals
who are 65 years of age and older in home and community-based settings, including housing
with services establishments as defined in section 144D.01, subdivision 4; new text begin assisted living
facilities as defined in section 144G.08, subdivision 7; new text end adult day care as defined in section
245A.02, subdivision 2a; and home care services as defined in section 144A.43, subdivision
3.

(b) Qualifying providers must establish a home and community-based services employee
scholarship new text begin and loan forgiveness new text end program, as specified in subdivision 4. Providers that
receive funding under this section must use the funds to award scholarships tonew text begin , and to repay
qualified educational loans of,new text end employees who work an average of at least 16 hours per
week for the provider.

Subd. 4.

Home and community-based services employee scholarship new text begin and loan
forgiveness new text end program.

Each qualifying provider under this section must propose a home
and community-based services employee scholarship new text begin and loan forgiveness new text end program. Providers
must establish criteria by which funds are to be distributed among employees. At a minimum,
the scholarship new text begin and loan forgiveness new text end program must cover employee costsnew text begin and repay qualified
educational loans of employeesnew text end related to a course of study that is expected to lead to career
advancement with the provider or in the field of long-term care, including home care, care
of persons with disabilities, deleted text begin ordeleted text end nursingnew text begin , or management as a licensed assisted living directornew text end .

Subd. 5.

Participating providers.

The commissioner shall publish a request for proposals
in the State Register, specifying provider eligibility requirements, criteria for a qualifying
employee scholarship new text begin and loan forgiveness new text end program, provider selection criteria,
documentation required for program participation, maximum award amount, and methods
of evaluation. The commissioner must publish additional requests for proposals each year
in which funding is available for this purpose.

Subd. 6.

Application requirements.

Eligible providers seeking a grant shall submit an
application to the commissioner. Applications must contain a complete description of the
employee scholarship new text begin and loan forgiveness new text end program being proposed by the applicant,
including the need for the organization to enhance the education of its workforce, the process
for determining which employees will be eligible for scholarshipsnew text begin or loan repaymentnew text end , any
other sources of funding for scholarshipsnew text begin or loan repaymentnew text end , the expected degrees or
credentials eligible for scholarshipsnew text begin or loan repaymentnew text end , the amount of funding sought for
the scholarship new text begin and loan forgiveness new text end program, a proposed budget detailing how funds will
be spent, and plans for retaining eligible employees after completion of their scholarshipnew text begin
or repayment of their loannew text end .

Subd. 7.

Selection process.

The commissioner shall determine a maximum award for
grants and make grant selections based on the information provided in the grant application,
including the demonstrated need for an applicant provider to enhance the education of its
workforce, the proposed employee scholarship new text begin and loan forgiveness new text end selection process, the
applicant's proposed budget, and other criteria as determined by the commissioner.
Notwithstanding any law or rule to the contrary, funds awarded to grantees in a grant
agreement do not lapse until the grant agreement expires.

Subd. 8.

Reporting requirements.

Participating providers shall submit an invoice for
reimbursement and a report to the commissioner on a schedule determined by the
commissioner and on a form supplied by the commissioner. The report shall include the
amount spent on scholarshipsnew text begin and loan repaymentnew text end ; the number of employees who received
scholarshipsnew text begin and the number of employees for whom loans were repaidnew text end ; and, for each
scholarship new text begin or loan forgiveness new text end recipient, the name of the recipient, the current position of
the recipient, the amount awardednew text begin or loan amount repaidnew text end , the educational institution attended,
the nature of the educational program, and the expected or actual program completion date.
During the grant period, the commissioner may require and collect from grant recipients
other information necessary to evaluate the program.

Sec. 17.

new text begin [144.1504] HOSPITAL NURSING LOAN FORGIVENESS PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Definition. new text end

new text begin (a) For purposes of this section, the following definitions
apply.
new text end

new text begin (b) "Nurse" means an individual who is licensed as a registered nurse and who is
providing direct patient care in a nonprofit hospital.
new text end

new text begin (c) "PSLF program" means the federal Public Student Loan Forgiveness program
established under Code of Federal Regulations, title 34, section 685.21.
new text end

new text begin Subd. 2. new text end

new text begin Eligibility. new text end

new text begin (a) To be eligible to participate in the hospital nursing loan
forgiveness program, a nurse must be:
new text end

new text begin (1) enrolled in the PSLF program;
new text end

new text begin (2) employed full time as a registered nurse by a nonprofit hospital that is an eligible
employer under the PSLF program; and
new text end

new text begin (3) providing direct care to patients at the nonprofit hospital.
new text end

new text begin (b) An applicant for loan forgiveness must submit to the commissioner of health:
new text end

new text begin (1) a completed application on forms provided by the commissioner;
new text end

new text begin (2) proof that the applicant is enrolled in the PSLF program; and
new text end

new text begin (3) confirmation that the applicant is employed full time as a registered nurse by a
nonprofit hospital and is providing direct patient care.
new text end

new text begin (c) The applicant selected to participate must sign a contract to agree to continue to
provide direct patient care as a registered nurse at a nonprofit hospital for the repayment
period of the participant's eligible loan under the PSLF program.
new text end

new text begin Subd. 3. new text end

new text begin Loan forgiveness. new text end

new text begin (a) The commissioner of health shall select applicants each
year for participation in the hospital nursing loan forgiveness program, within limits of
available funding. Applicants are responsible for applying for and maintaining eligibility
for the PSLF program.
new text end

new text begin (b) For each year that a participant meets the eligibility requirements described in
subdivision 2, the commissioner shall make an annual disbursement directly to the participant
in an amount equal to the minimum loan payments required to be paid by the participant
under the participant's repayment plan under the PSLF program for the previous loan year.
Before receiving the annual loan repayment disbursement, the participant must complete
and return to the commissioner a confirmation of practice form provided by the
commissioner, verifying that the participant continues to meet the eligibility requirements
under subdivision 2.
new text end

new text begin (c) The participant must provide the commissioner with verification that the full amount
of loan repayment disbursement received by the participant has been applied toward the
loan for which forgiveness is sought under the PSLF program.
new text end

new text begin Subd. 4. new text end

new text begin Penalty for nonfulfillment. new text end

new text begin If a participant does not fulfill the required
minimum commitment of service as required under subdivision 2, or the secretary of
education determines that the participant does not meet eligibility requirements for the PSLF
program, the commissioner shall collect from the participant the total amount paid to the
participant under the hospital nursing loan forgiveness program plus interest at a rate
established according to section 270C.40. The commissioner shall deposit the money
collected in the health care access fund to be credited to the health professional education
loan forgiveness program account established in section 144.1501, subdivision 2. The
commissioner shall allow waivers of all or part of the money owed to the commissioner as
a result of a nonfulfillment penalty if emergency circumstances prevent fulfillment of the
service commitment or if the PSLF program is discontinued before the participant's service
commitment is fulfilled.
new text end

Sec. 18.

Minnesota Statutes 2020, section 144.1505, is amended to read:

144.1505 HEALTH PROFESSIONALS CLINICAL TRAINING EXPANSION
new text begin AND RURAL AND UNDERSERVED CLINICAL ROTATIONS new text end GRANT deleted text begin PROGRAMdeleted text end new text begin
PROGRAMSnew text end .

Subdivision 1.

Definitions.

For purposes of this section, the following definitions apply:

(1) "eligible advanced practice registered nurse program" means a program that is located
in Minnesota and is currently accredited as a master's, doctoral, or postgraduate level
advanced practice registered nurse program by the Commission on Collegiate Nursing
Education or by the Accreditation Commission for Education in Nursing, or is a candidate
for accreditation;

new text begin (2) "eligible dental program" means a dental residency training program that is located
in Minnesota and is currently accredited by the accrediting body or is a candidate for
accreditation;
new text end

deleted text begin (2)deleted text end new text begin (3)new text end "eligible dental therapy program" means a dental therapy education program or
advanced dental therapy education program that is located in Minnesota and is either:

(i) approved by the Board of Dentistry; or

(ii) currently accredited by the Commission on Dental Accreditation;

deleted text begin (3)deleted text end new text begin (4)new text end "eligible mental health professional program" means a program that is located
in Minnesota and is listed as a mental health professional program by the appropriate
accrediting body for clinical social work, psychology, marriage and family therapy, or
licensed professional clinical counseling, or is a candidate for accreditation;

deleted text begin (4)deleted text end new text begin (5)new text end "eligible pharmacy program" means a program that is located in Minnesota and
is currently accredited as a doctor of pharmacy program by the Accreditation Council on
Pharmacy Education;

deleted text begin (5)deleted text end new text begin (6)new text end "eligible physician assistant program" means a program that is located in
Minnesota and is currently accredited as a physician assistant program by the Accreditation
Review Commission on Education for the Physician Assistant, or is a candidate for
accreditation;

new text begin (7) "eligible physician program" means a physician residency training program that is
located in Minnesota and is currently accredited by the accrediting body or is a candidate
for accreditation;
new text end

deleted text begin (6)deleted text end new text begin (8)new text end "mental health professional" means an individual providing clinical services in
the treatment of mental illness who meets one of the qualifications under section 245.462,
subdivision 18; and

deleted text begin (7)deleted text end new text begin (9)new text end "project" means a project to establish or expand clinical training for physician
assistants, advanced practice registered nurses, pharmacists, new text begin physicians, dentists, new text end dental
therapists, advanced dental therapists, or mental health professionals in Minnesota.

Subd. 2.

new text begin Health professionals clinical training expansion grant new text end program.

(a) The
commissioner of health shall award health professional training site grants to eligible
physician assistant, advanced practice registered nurse, pharmacy, dental therapy, and mental
health professional programs to plan and implement expanded clinical training. A planning
grant shall not exceed $75,000, and a training grant shall not exceed $150,000 for the first
year, $100,000 for the second year, and $50,000 for the third year per program.

(b) Funds may be used for:

(1) establishing or expanding clinical training for physician assistants, advanced practice
registered nurses, pharmacists, dental therapists, advanced dental therapists, and mental
health professionals in Minnesota;

(2) recruitment, training, and retention of students and faculty;

(3) connecting students with appropriate clinical training sites, internships, practicums,
or externship activities;

(4) travel and lodging for students;

(5) faculty, student, and preceptor salaries, incentives, or other financial support;

(6) development and implementation of cultural competency training;

(7) evaluations;

(8) training site improvements, fees, equipment, and supplies required to establish,
maintain, or expand a physician assistant, advanced practice registered nurse, pharmacy,
dental therapy, or mental health professional training program; and

(9) supporting clinical education in which trainees are part of a primary care team model.

new text begin Subd. 2a. new text end

new text begin Health professional rural and underserved clinical rotations grant
program. new text end

new text begin (a) The commissioner of health shall award health professional training site grants
to eligible physician, physician assistant, advanced practice registered nurse, pharmacy,
dentistry, dental therapy, and mental health professional programs to augment existing
clinical training programs by adding rural and underserved rotations or clinical training
experiences, such as credential or certificate rural tracks or other specialized training. For
physician and dentist training, the expanded training must include rotations in primary care
settings such as community clinics, hospitals, health maintenance organizations, or practices
in rural communities.
new text end

new text begin (b) Funds may be used for:
new text end

new text begin (1) establishing or expanding rotations and clinical trainings;
new text end

new text begin (2) recruitment, training, and retention of students and faculty;
new text end

new text begin (3) connecting students with appropriate clinical training sites, internships, practicums,
or externship activities;
new text end

new text begin (4) travel and lodging for students;
new text end

new text begin (5) faculty, student, and preceptor salaries, incentives, or other financial support;
new text end

new text begin (6) development and implementation of cultural competency training;
new text end

new text begin (7) evaluations;
new text end

new text begin (8) training site improvements, fees, equipment, and supplies required to establish,
maintain, or expand training programs; and
new text end

new text begin (9) supporting clinical education in which trainees are part of a primary care team model.
new text end

Subd. 3.

Applications.

Eligible physician assistant, advanced practice registered nurse,
pharmacy, dental therapy, deleted text begin anddeleted text end mental health professionalnew text begin , physician, and dentalnew text end programs
seeking a grant shall apply to the commissioner. Applications must include a description
of the number of additional students who will be trained using grant funds; attestation that
funding will be used to support an increase in the number of clinical training slots; a
description of the problem that the proposed project will address; a description of the project,
including all costs associated with the project, sources of funds for the project, detailed uses
of all funds for the project, and the results expected; and a plan to maintain or operate any
component included in the project after the grant period. The applicant must describe
achievable objectives, a timetable, and roles and capabilities of responsible individuals in
the organization.new text begin Applicants applying under subdivision 2a must also include information
about the length of training and training site settings, the geographic locations of rural sites,
and rural populations expected to be served.
new text end

Subd. 4.

Consideration of applications.

The commissioner shall review each application
to determine whether or not the application is complete and whether the program and the
project are eligible for a grant. In evaluating applications, the commissioner shall score each
application based on factors including, but not limited to, the applicant's clarity and
thoroughness in describing the project and the problems to be addressed, the extent to which
the applicant has demonstrated that the applicant has made adequate provisions to ensure
proper and efficient operation of the training program once the grant project is completed,
the extent to which the proposed project is consistent with the goal of increasing access to
primary care and mental health services for rural and underserved urban communities, the
extent to which the proposed project incorporates team-based primary care, and project
costs and use of funds.

Subd. 5.

Program oversight.

The commissioner shall determine the amount of a grant
to be given to an eligible program based on the relative score of each eligible program's
applicationnew text begin and rural locations if applicable under subdivision 2bnew text end , other relevant factors
discussed during the review, and the funds available to the commissioner. Appropriations
made to the program do not cancel and are available until expended. During the grant period,
the commissioner may require and collect from programs receiving grants any information
necessary to evaluate the program.

Sec. 19.

new text begin [144.1507] PRIMARY CARE RURAL RESIDENCY TRAINING GRANT
PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have
the meanings given.
new text end

new text begin (b) "Eligible program" means a program that meets the following criteria:
new text end

new text begin (1) is located in Minnesota;
new text end

new text begin (2) trains medical residents in the specialties of family medicine, general internal
medicine, general pediatrics, psychiatry, geriatrics, or general surgery; and
new text end

new text begin (3) is accredited by the Accreditation Council for Graduate Medical Education or presents
a credible plan to obtain accreditation.
new text end

new text begin (c) "Rural residency training program" means a residency program that utilizes local
clinics and community hospitals and that provides an initial year of training in an existing
accredited residency program in Minnesota. The subsequent years of the residency program
are based in rural communities with specialty rotations in nearby regional medical centers.
new text end

new text begin (d) "Eligible project" means a project to establish and maintain a rural residency training
program.
new text end

new text begin Subd. 2. new text end

new text begin Rural residency training program. new text end

new text begin (a) The commissioner of health shall
award rural residency training program grants to eligible programs to plan and implement
rural residency training programs. A rural residency training program grant shall not exceed
$250,000 per resident per year for the first year of planning and development, and $225,000
for each of the following years.
new text end

new text begin (b) Funds may be spent to cover the costs of:
new text end

new text begin (1) planning related to establishing an accredited rural residency training program;
new text end

new text begin (2) obtaining accreditation by the Accreditation Council for Graduate Medical Education
or another national body that accredits rural residency training programs;
new text end

new text begin (3) establishing new rural residency training programs;
new text end

new text begin (4) recruitment, training, and retention of new residents and faculty;
new text end

new text begin (5) travel and lodging for new residents;
new text end

new text begin (6) faculty, new resident, and preceptor salaries related to new rural residency training
program;
new text end

new text begin (7) training site improvements, fees, equipment, and supplies required for new rural
residency training program; and
new text end

new text begin (8) supporting clinical education in which trainees are part of a primary care team model.
new text end

new text begin Subd. 3. new text end

new text begin Applications for rural residency training program grants. new text end

new text begin (a) Eligible
programs seeking a grant shall apply to the commissioner. Applications must include: (1)
the number of new primary care rural residency training program slots planned, under
development, or under contract; (2) a description of the training program, including the
location of the established residency program and rural training sites; (3) a description of
the project, including all costs associated with the project; (4) all sources of funds for the
project; (5) detailed uses of all funds for the project; (6) the results expected; and (7) a plan
to seek federal funding for graduate medical education for the site if eligible.
new text end

new text begin (b) The applicant must describe achievable objectives, a timetable, and the roles and
capabilities of responsible individuals in the organization.
new text end

new text begin Subd. 4. new text end

new text begin Consideration of grant applications. new text end

new text begin The commissioner shall review each
application to determine if the residency program application is complete, if the proposed
rural residency program and residency slots are eligible for a grant, and if the program is
eligible for federal graduate medical education funding, and when funding becomes available.
The commissioner shall award grants to support training programs in family medicine,
general internal medicine, general pediatrics, psychiatry, geriatrics, and general surgery.
new text end

new text begin Subd. 5. new text end

new text begin Program oversight. new text end

new text begin During the grant period, the commissioner may require
and collect from grantees any information necessary to evaluate the program. Appropriations
made to the program do not cancel and are available until expended.
new text end

Sec. 20.

new text begin [144.1508] MENTAL HEALTH PROVIDER SUPERVISION GRANT
PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have
the meanings given.
new text end

new text begin (b) "Mental health professional" means an individual with a qualification specified in
section 245I.04, subdivision 2.
new text end

new text begin (c) "Underrepresented community" has the meaning given in section 148E.010,
subdivision 20.
new text end

new text begin Subd. 2. new text end

new text begin Grant program established. new text end

new text begin The commissioner of health shall award grants
to licensed or certified mental health providers who meet the criteria in subdivision 3 to
fund supervision of interns and clinical trainees who are working toward becoming a licensed
mental health professional and to subsidize the costs of mental health professional licensing
applications and examination fees for clinical trainees.
new text end

new text begin Subd. 3. new text end

new text begin Eligible providers. new text end

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

new text begin (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;
or
new text end

new text begin (2) primarily serve persons from communities of color or underrepresented communities.
new text end

new text begin Subd. 4. new text end

new text begin Application; grant award. new text end

new text begin A mental health provider seeking a grant under
this section must apply to the commissioner at a time and in a manner specified by the
commissioner. The commissioner shall review each application to determine if the application
is complete, the mental health provider is eligible for a grant, and the proposed project is
an allowable use of grant funds. The commissioner shall give preference to grant applicants
who work in rural or culturally specific organizations. The commissioner must determine
the grant amount awarded to applicants that the commissioner determines will receive a
grant.
new text end

new text begin Subd. 5. new text end

new text begin Allowable uses of grant funds. new text end

new text begin A mental health provider must use grant funds
received under this section for one or more of the following:
new text end

new text begin (1) to pay for direct supervision hours for interns and clinical trainees, in an amount up
to $7,500 per intern or clinical trainee;
new text end

new text begin (2) to establish a program to provide supervision to multiple interns or clinical trainees;
or
new text end

new text begin (3) to pay mental health professional licensing application and examination fees for
clinical trainees.
new text end

new text begin Subd. 6. new text end

new text begin Program oversight. new text end

new text begin During the grant period, the commissioner may require
grant recipients to provide the commissioner with information necessary to evaluate the
program.
new text end

Sec. 21.

new text begin [144.1509] MENTAL HEALTH PROFESSIONAL SCHOLARSHIP GRANT
PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have
the meanings given.
new text end

new text begin (b) "Mental health professional" means an individual with a qualification specified in
section 245I.04, subdivision 2.
new text end

new text begin (c) "Underrepresented community" has the meaning given in section 148E.010,
subdivision 20.
new text end

new text begin Subd. 2. new text end

new text begin Grant program established. new text end

new text begin A mental health professional scholarship program
is established to assist mental health providers in funding employee scholarships for master's
level education programs in order to create a pathway to becoming a mental health
professional.
new text end

new text begin Subd. 3. new text end

new text begin Provision of grants. new text end

new text begin The commissioner of health shall award grants to licensed
or certified mental health providers who meet the criteria in subdivision 4 to provide tuition
reimbursement for master's level programs and certain related costs for individuals who
have worked for the mental health provider for at least the past two years in one or more of
the following roles:
new text end

new text begin (1) a mental health behavioral aide who meets a qualification in section 245I.04,
subdivision 16;
new text end

new text begin (2) a mental health certified family peer specialist who meets the qualifications in section
245I.04, subdivision 12;
new text end

new text begin (3) a mental health certified peer specialist who meets the qualifications in section
245I.04, subdivision 10;
new text end

new text begin (4) a mental health practitioner who meets a qualification in section 245I.04, subdivision
4;
new text end

new text begin (5) a mental health rehabilitation worker who meets the qualifications in section 245I.04,
subdivision 14;
new text end

new text begin (6) an individual employed in a role in which the individual provides face-to-face client
services at a mental health center or certified community behavioral health center; or
new text end

new text begin (7) a staff person who provides care or services to residents of a residential treatment
facility.
new text end

new text begin Subd. 4. new text end

new text begin Eligibility. new text end

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

new text begin (1) primarily 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; or
new text end

new text begin (2) primarily serve people from communities of color or underrepresented communities.
new text end

new text begin Subd. 5. new text end

new text begin Request for proposals. new text end

new text begin The commissioner must publish a request for proposals
in the State Register specifying provider eligibility requirements, criteria for a qualifying
employee scholarship program, provider selection criteria, documentation required for
program participation, the maximum award amount, and methods of evaluation. The
commissioner must publish additional requests for proposals each year in which funding is
available for this purpose.
new text end

new text begin Subd. 6. new text end

new text begin Application requirements. new text end

new text begin An eligible provider seeking a grant under this
section must submit an application to the commissioner. An application must contain a
complete description of the employee scholarship program being proposed by the applicant,
including the need for the mental health provider to enhance the education of its workforce,
the process the mental health provider will use to determine which employees will be eligible
for scholarships, any other funding sources for scholarships, the amount of funding sought
for the scholarship program, a proposed budget detailing how funds will be spent, and plans
to retain eligible employees after completion of the education program.
new text end

new text begin Subd. 7. new text end

new text begin Selection process. new text end

new text begin The commissioner shall determine a maximum award amount
for grants and shall select grant recipients based on the information provided in the grant
application, including the demonstrated need for the applicant provider to enhance the
education of its workforce, the proposed process to select employees for scholarships, the
applicant's proposed budget, and other criteria as determined by the commissioner. The
commissioner shall give preference to grant applicants who work in rural or culturally
specific organizations.
new text end

new text begin Subd. 8. new text end

new text begin Grant agreements. new text end

new text begin Notwithstanding any law or rule to the contrary, funds
awarded to a grant recipient in a grant agreement do not lapse until the grant agreement
expires.
new text end

new text begin Subd. 9. new text end

new text begin Allowable uses of grant funds. new text end

new text begin A mental health provider receiving a grant
under this section must use the grant funds for one or more of the following:
new text end

new text begin (1) to provide employees with tuition reimbursement for a master's level program in a
discipline that will allow the employee to qualify as a mental health professional; or
new text end

new text begin (2) for resources and supports, such as child care and transportation, that allow an
employee to attend a master's level program specified in clause (1).
new text end

new text begin Subd. 10. new text end

new text begin Reporting requirements. new text end

new text begin A mental health provider receiving a grant under
this section shall submit to the commissioner an invoice for reimbursement and a report,
on a schedule determined by the commissioner and using a form supplied by the
commissioner. The report must include the amount spent on scholarships; the number of
employees who received scholarships; and, for each scholarship recipient, the recipient's
name, current position, amount awarded, educational institution attended, name of the
educational program, and expected or actual program completion date.
new text end

Sec. 22.

new text begin [144.1511] CLINICAL HEALTH CARE TRAINING.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have
the meanings given.
new text end

new text begin (b) "Accredited clinical training" means the clinical training provided by a medical
education program that is accredited through an organization recognized by the Department
of Education, the Centers for Medicare and Medicaid Services, or another national body
that reviews the accrediting organizations for multiple disciplines and whose standards for
recognizing accrediting organizations are reviewed and approved by the commissioner of
health.
new text end

new text begin (c) "Commissioner" means the commissioner of health.
new text end

new text begin (d) "Clinical medical education program" means the accredited clinical training of
physicians, medical students and residents, doctor of pharmacy practitioners, doctors of
chiropractic, dentists, advanced practice registered nurses, clinical nurse specialists, certified
registered nurse anesthetists, nurse practitioners, and certified nurse midwives, physician
assistants, dental therapists and advanced dental therapists, psychologists, clinical social
workers, community paramedics, community health workers, and other medical professions
as determined by the commissioner.
new text end

new text begin (e) "Eligible entity" means an organization that is located in Minnesota, provides a
clinical medical education experience, and hosts students, residents or other trainee types
as determined by the commissioner and are from an accredited Minnesota teaching program
and institution.
new text end

new text begin (f) "Teaching institution" means a hospital, medical center, clinic, or other organization
that conducts a clinical medical education program in Minnesota and which is accountable
to the accrediting body.
new text end

new text begin (g) "Trainee" means a student, resident, fellow, or other postgraduate involved in a
clinical medical education program from an accredited Minnesota teaching program and
institution.
new text end

new text begin (h) "Eligible trainee FTEs" means the number of trainees, as measured by full-time
equivalent counts, that are training in Minnesota at an entity with either currently active
medical assistance enrollment status and a National Provider Identification (NPI) number
or documentation that they provide sliding fee services. Training may occur in an inpatient
or ambulatory patient care setting or alternative setting as determined by the commissioner.
Training that occurs in nursing facility settings is not eligible for funding under this section.
new text end

new text begin Subd. 2. new text end

new text begin Application process. new text end

new text begin (a) An eligible entity hosting clinical trainees from a
clinical medical education program and teaching institution is eligible for funds under
subdivision 3 if the entity:
new text end

new text begin (1) is funded in part by sliding fee scale services or enrolled in the Minnesota health
care program;
new text end

new text begin (2) faces increased financial pressure as a result of competition with nonteaching patient
care entities; and
new text end

new text begin (3) emphasizes primary care or specialties that are in undersupply in rural or underserved
areas of Minnesota.
new text end

new text begin (b) An entity hosting a clinical medical education program for advanced practice nursing
is eligible for funds under subdivision 3 if the program meets the eligibility requirements
in paragraph (a) and is sponsored by the University of Minnesota Academic Health Center,
the Mayo Foundation, or an institution that is part of the Minnesota State Colleges and
Universities system or a member of the Minnesota Private College Council.
new text end

new text begin (c) An application must be submitted to the commissioner by an eligible entity or teaching
institution and contain the following information:
new text end

new text begin (1) the official name and address and the site address of the clinical medical education
program where eligible trainees are hosted;
new text end

new text begin (2) the name, title, and business address of those persons responsible for administering
the funds; and
new text end

new text begin (3) for each applicant: (i) the type and specialty orientation of trainees in the program;
(ii) the name, entity address, and medical assistance provider number and national provider
identification number of each training site used in the program, as appropriate; (iii) the
federal tax identification number of each training site, where available; (iv) the total number
of trainees at each training site; (v) the total number of eligible trainee FTEs at each site;
and (vi) other supporting information the commissioner deems necessary.
new text end

new text begin (d) An applicant that does not provide information requested by the commissioner shall
not be eligible for funds for the current funding cycle.
new text end

new text begin Subd. 3. new text end

new text begin Distribution of funds. new text end

new text begin (a) The commissioner may distribute funds for clinical
training in areas of Minnesota and for professions listed in subdivision 1, paragraph (d)
determined by the commissioner as a high need area and profession shortage. The
commissioner shall annually distribute medical education funds to qualifying applicants
under this section based on costs to train, service level needs, and profession or training site
shortages. Use of funds is limited to related clinical training costs for eligible programs.
new text end

new text begin (b) To ensure the quality of clinical training, eligible entities must demonstrate that they
hold contracts in good standing with eligible educational institutions that specify the terms,
expectations, and outcomes of the clinical training conducted at sites. Funds shall be
distributed in an administrative process determined by the commissioner to be efficient.
new text end

new text begin Subd. 4. new text end

new text begin Report. new text end

new text begin (a) Teaching institutions receiving funds under this section must sign
and submit a medical education grant verification report (GVR) to verify that the correct
grant amount was forwarded to each eligible entity. If the teaching institution fails to submit
the GVR by the stated deadline, or to request and meet the deadline for an extension, the
sponsoring institution is required to return the full amount of funds received to the
commissioner within 30 days of receiving notice from the commissioner. The commissioner
shall distribute returned funds to the appropriate training sites in accordance with the
commissioner's approval letter.
new text end

new text begin (b) Teaching institutions receiving funds under this section must provide any other
information the commissioner deems appropriate to evaluate the effectiveness of the use of
funds for medical education.
new text end

Sec. 23.

Minnesota Statutes 2020, section 144.1911, subdivision 4, is amended to read:

Subd. 4.

Career guidance and support services.

deleted text begin (a)deleted text end The commissioner shall award
grants to eligible nonprofit organizations new text begin and eligible postsecondary educational institutions,
including the University of Minnesota, new text end to provide career guidance and support services to
immigrant international medical graduates seeking to enter the Minnesota health workforce.
Eligible grant activities include the following:

(1) educational and career navigation, including information on training and licensing
requirements for physician and nonphysician health care professions, and guidance in
determining which pathway is best suited for an individual international medical graduate
based on the graduate's skills, experience, resources, and interests;

(2) support in becoming proficient in medical English;

(3) support in becoming proficient in the use of information technology, including
computer skills and use of electronic health record technology;

(4) support for increasing knowledge of and familiarity with the United States health
care system;

(5) support for other foundational skills identified by the commissioner;

(6) support for immigrant international medical graduates in becoming certified by the
Educational Commission on Foreign Medical Graduates, including help with preparation
for required licensing examinations and financial assistance for fees; and

(7) assistance to international medical graduates in registering with the program's
Minnesota international medical graduate roster.

deleted text begin (b) The commissioner shall award the initial grants under this subdivision by December
31, 2015.
deleted text end

Sec. 24.

new text begin [144.2182] CHANGE OF SEX.
new text end

new text begin Subdivision 1. new text end

new text begin Request to make change. new text end

new text begin A person whose birth is registered in Minnesota
may request that the commissioner change or remove the sex, if any, assigned to that person
on the person's original birth certificate. If the person is a minor, a parent or guardian may
make the request on behalf of the minor.
new text end

new text begin Subd. 2. new text end

new text begin Documentation required. new text end

new text begin A person making a request under this section must
submit any forms or fees required by the commissioner and provide acceptable documentation
to satisfy to the commissioner that granting the request will not harm the integrity and
accuracy of vital records. Acceptable documentation includes but is not limited to:
new text end

new text begin (1) a written statement from a provider of medical services that the requested change is
appropriate in their medical opinion;
new text end

new text begin (2) a certified copy of a court order from a court of competent jurisdiction in this or
another state granting the requested change; or
new text end

new text begin (3) a sworn statement provided by the person who is the subject of the birth certificate,
or by the parent or guardian of the minor who is the subject of the birth certificate, that the
request is not based upon an intent to defraud or mislead and is made in good faith and, if
the subject is a minor, that the change is in the minor's best interest.
new text end

new text begin Subd. 3. new text end

new text begin Court orders. new text end

new text begin A person may file a petition in district court to change or remove
the sex assigned on their original birth certificate. If the person is a minor, a parent or
guardian may file a petition on behalf of the minor. The court shall consider petitions filed
by persons over whom the court has jurisdiction for an order granting a change of sex on
an original birth certificate irrespective of the jurisdiction in which the original birth
certificate was issued. The court shall issue an order under this section upon a finding that
the request is not based upon an intent to defraud or mislead and is made in good faith and,
if the subject of the birth certificate is a minor, that the change is in the minor's best interest.
new text end

new text begin Subd. 4. new text end

new text begin Records sealed. new text end

new text begin When the commissioner has received the necessary information
and made the requested change on the birth certificate, the commissioner shall provide a
certified copy of the corrected birth certificate to the person requesting the change. Upon
issuance of a corrected birth certificate under this section, the original record of birth shall
be classified as confidential data pursuant to section 13.02, subdivision 3, and shall not be
disclosed except pursuant to court order or section 144.2252.
new text end

Sec. 25.

Minnesota Statutes 2020, section 144.383, is amended to read:

144.383 AUTHORITY OF COMMISSIONERnew text begin ; SAFE DRINKING WATERnew text end .

In order to deleted text begin insuredeleted text end new text begin ensurenew text end safe drinking water in all public water supplies, the commissioner
has the deleted text begin following powersdeleted text end new text begin power tonew text end :

deleted text begin (a) Todeleted text end new text begin (1)new text end approve the site, design, and construction and alteration of all public water
supplies and, for community and nontransient noncommunity water systems as defined in
Code of Federal Regulations, title 40, section 141.2, to approve documentation that
demonstrates the technical, managerial, and financial capacity of those systems to comply
with rules adopted under this section;

deleted text begin (b) Todeleted text end new text begin (2)new text end enter the premises of a public water supply, or part thereof, to inspect the
facilities and records kept pursuant to rules promulgated by the commissioner, to conduct
sanitary surveys and investigate the standard of operation and service delivered by public
water supplies;

deleted text begin (c) Todeleted text end new text begin (3)new text end contract with community health boards as defined in section 145A.02,
subdivision 5, for routine surveys, inspections, and testing of public water supply quality;

deleted text begin (d) Todeleted text end new text begin (4)new text end develop an emergency plan to protect the public when a decline in water
quality or quantity creates a serious health risk, and to issue emergency orders if a health
risk is imminent;

deleted text begin (e) Todeleted text end new text begin (5)new text end promulgate rules, pursuant to chapter 14 but no less stringent than federal
regulation, which may include the granting of variances and exemptionsdeleted text begin .deleted text end new text begin ; and
new text end

new text begin (6) maintain a database of lead service lines, provide technical assistance to community
water systems, and ensure the lead service inventory data is accessible to the public with
relevant educational materials about health risks related to lead and ways to reduce exposure.
new text end

Sec. 26.

Minnesota Statutes 2020, section 144.554, is amended to read:

144.554 HEALTH FACILITIES CONSTRUCTION PLAN SUBMITTAL AND
FEES.

For hospitals, nursing homes, boarding care homes, residential hospices, supervised
living facilities, freestanding outpatient surgical centers, and end-stage renal disease facilities,
the commissioner shall collect a fee for the review and approval of architectural, mechanical,
and electrical plans and specifications submitted before construction begins for each project
relative to construction of new buildings, additions to existing buildings, or remodeling or
alterations of existing buildings. All fees collected in this section shall be deposited in the
state treasury and credited to the state government special revenue fund. Fees must be paid
at the time of submission of final plans for review and are not refundable. The fee is
calculated as follows:

Construction project total estimated cost	Fee
$0 - $10,000	deleted text begin $30 deleted text end new text begin $45 new text end
$10,001 - $50,000	deleted text begin $150 deleted text end new text begin $225 new text end
$50,001 - $100,000	deleted text begin $300 deleted text end new text begin $450 new text end
$100,001 - $150,000	deleted text begin $450 deleted text end new text begin $675 new text end
$150,001 - $200,000	deleted text begin $600 deleted text end new text begin $900 new text end
$200,001 - $250,000	deleted text begin $750 deleted text end new text begin $1,125 new text end
$250,001 - $300,000	deleted text begin $900 deleted text end new text begin $1,350 new text end
$300,001 - $350,000	deleted text begin $1,050 deleted text end new text begin $1,575 new text end
$350,001 - $400,000	deleted text begin $1,200 deleted text end new text begin $1,800 new text end
$400,001 - $450,000	deleted text begin $1,350 deleted text end new text begin $2,025 new text end
$450,001 - $500,000	deleted text begin $1,500 deleted text end new text begin $2,250 new text end
$500,001 - $550,000	deleted text begin $1,650 deleted text end new text begin $2,475 new text end
$550,001 - $600,000	deleted text begin $1,800 deleted text end new text begin $2,700 new text end
$600,001 - $650,000	deleted text begin $1,950 deleted text end new text begin $2,925 new text end
$650,001 - $700,000	deleted text begin $2,100 deleted text end new text begin $3,150 new text end
$700,001 - $750,000	deleted text begin $2,250 deleted text end new text begin $3,375 new text end
$750,001 - $800,000	deleted text begin $2,400 deleted text end new text begin $3,600 new text end
$800,001 - $850,000	deleted text begin $2,550 deleted text end new text begin $3,825 new text end
$850,001 - $900,000	deleted text begin $2,700 deleted text end new text begin $4,050 new text end
$900,001 - $950,000	deleted text begin $2,850 deleted text end new text begin $4,275 new text end
$950,001 - $1,000,000	deleted text begin $3,000 deleted text end new text begin $4,500 new text end
$1,000,001 - $1,050,000	deleted text begin $3,150 deleted text end new text begin $4,725 new text end
$1,050,001 - $1,100,000	deleted text begin $3,300 deleted text end new text begin $4,950 new text end
$1,100,001 - $1,150,000	deleted text begin $3,450 deleted text end new text begin $5,175 new text end
$1,150,001 - $1,200,000	deleted text begin $3,600 deleted text end new text begin $5,400 new text end
$1,200,001 - $1,250,000	deleted text begin $3,750 deleted text end new text begin $5,625 new text end
$1,250,001 - $1,300,000	deleted text begin $3,900 deleted text end new text begin $5,850 new text end
$1,300,001 - $1,350,000	deleted text begin $4,050 deleted text end new text begin $6,075 new text end
$1,350,001 - $1,400,000	deleted text begin $4,200 deleted text end new text begin $6,300 new text end
$1,400,001 - $1,450,000	deleted text begin $4,350 deleted text end new text begin $6,525 new text end
$1,450,001 - $1,500,000	deleted text begin $4,500 deleted text end new text begin $6,750 new text end
$1,500,001 and over	deleted text begin $4,800 deleted text end new text begin $7,200 new text end

Sec. 27.

new text begin [144.7051] DEFINITIONS.
new text end

new text begin Subdivision 1. new text end

new text begin Applicability. new text end

new text begin For the purposes of sections 144.7051 to 144.7059, the
terms defined in this section have the meanings given.
new text end

new text begin Subd. 2. new text end

new text begin Commissioner. new text end

new text begin "Commissioner" means the commissioner of health.
new text end

new text begin Subd. 3. new text end

new text begin Daily staffing schedule. new text end

new text begin "Daily staffing schedule" means the actual number
of full-time equivalent nonmanagerial care staff assigned to an inpatient care unit and
providing care in that unit during a 24-hour period and the actual number of patients assigned
to each direct care registered nurse present and providing care in the unit.
new text end

new text begin Subd. 4. new text end

new text begin Direct care registered nurse. new text end

new text begin "Direct care registered nurse" means a registered
nurse, as defined in section 148.171, subdivision 20, who is nonsupervisory and
nonmanagerial and who directly provides nursing care to patients more than 60 percent of
the time.
new text end

new text begin Subd. 5. new text end

new text begin Hospital. new text end

new text begin "Hospital" means any setting that is licensed as a hospital under
sections 144.50 to 144.56.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective April 1, 2024.
new text end

Sec. 28.

new text begin [144.7053] HOSPITAL NURSE STAFFING COMMITTEES.
new text end

new text begin Subdivision 1. new text end

new text begin Hospital nurse staffing committee required. new text end

new text begin Each hospital must establish
and maintain a functioning hospital nurse staffing committee. A hospital may assign the
functions and duties of a hospital nurse staffing committee to an existing committee, provided
the existing committee meets the membership requirements applicable to a hospital nurse
staffing committee.
new text end

new text begin Subd. 2. new text end

new text begin Committee membership. new text end

new text begin (a) At least 35 percent of the committee's membership
must be direct care registered nurses typically assigned to a specific unit for an entire shift,
and at least 15 percent of the committee's membership must be other direct care workers
typically assigned to a specific unit for an entire shift. Direct care registered nurses and
other direct care workers who are members of a collective bargaining unit shall be appointed
or elected to the committee according to the guidelines of the applicable collective bargaining
agreement. If there is no collective bargaining agreement, direct care registered nurses shall
be elected to the committee by direct care registered nurses employed by the hospital, and
other direct care workers shall be elected to the committee by other direct care workers
employed by the hospital.
new text end

new text begin (b) The hospital shall appoint no more than 50 percent of the committee's membership.
new text end

new text begin Subd. 3. new text end

new text begin Compensation. new text end

new text begin A hospital must treat participation in committee meetings by
any hospital employee as scheduled work time and compensate each committee member at
the employee's existing rate of pay. A hospital must relieve all direct care registered nurse
members of the hospital nurse staffing committee of other work duties during the times at
which the committee meets.
new text end

new text begin Subd. 4. new text end

new text begin Meeting frequency. new text end

new text begin Each hospital nurse staffing committee must meet at least
quarterly.
new text end

new text begin Subd. 5. new text end

new text begin Committee duties. new text end

new text begin (a) Each hospital nurse staffing committee shall create,
implement, continuously evaluate, and update as needed evidence-based written core staffing
plans to guide the creation of daily staffing schedules for each inpatient care unit of the
hospital.
new text end

new text begin (b) Each hospital nurse staffing committee must:
new text end

new text begin (1) establish a secure and anonymous method for any hospital employee or patient to
submit directly to the committee any concerns related to safe staffing;
new text end

new text begin (2) review each concern related to safe staffing submitted directly to the committee;
new text end

new text begin (3) review the documentation of compliance maintained by the hospital under section
144.7056, subdivision 5;
new text end

new text begin (4) conduct a trend analysis of the data related to all reported concerns regarding safe
staffing;
new text end

new text begin (5) develop a mechanism for tracking and analyzing staffing trends within the hospital;
new text end

new text begin (6) submit to the commissioner a nurse staffing report; and
new text end

new text begin (7) record in the committee minutes for each meeting a summary of the discussions and
recommendations of the committee. Each committee must maintain the minutes, records,
and distributed materials for five years.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective April 1, 2024.
new text end

Sec. 29.

Minnesota Statutes 2020, section 144.7055, is amended to read:

144.7055 new text begin HOSPITAL CORE new text end STAFFING PLAN deleted text begin REPORTSdeleted text end .

Subdivision 1.

Definitions.

deleted text begin (a) For the purposes of this section, the following terms have
the meanings given.
deleted text end

deleted text begin (b)deleted text end new text begin (a)new text end "Core staffing plan" means deleted text begin the projected number of full-time equivalent
nonmanagerial care staff that will be assigned in a 24-hour period to an inpatient care unitdeleted text end new text begin
a plan described in subdivision 2new text end .

deleted text begin (c)deleted text end new text begin (b)new text end "Nonmanagerial care staff" means registered nurses, licensed practical nurses,
and other health care workers, which may include but is not limited to nursing assistants,
nursing aides, patient care technicians, and patient care assistants, who perform
nonmanagerial direct patient care functions for more than 50 percent of their scheduled
hours on a given patient care unit.

deleted text begin (d)deleted text end new text begin (c)new text end "Inpatient care unit"new text begin or "unit"new text end means a designated inpatient area for assigning
patients and staff for which a deleted text begin distinct staffing plandeleted text end new text begin daily staffing schedulenew text end exists and that
operates 24 hours per day, seven days per week in a hospital setting. Inpatient care unit does
not include any hospital-based clinic, long-term care facility, or outpatient hospital
department.

deleted text begin (e)deleted text end new text begin (d)new text end "Staffing hours per patient day" means the number of full-time equivalent
nonmanagerial care staff who will ordinarily be assigned to provide direct patient care
divided by the expected average number of patients upon which such assignments are based.

deleted text begin (f) "Patient acuity tool" means a system for measuring an individual patient's need for
nursing care. This includes utilizing a professional registered nursing assessment of patient
condition to assess staffing need.
deleted text end

Subd. 2.

Hospitalnew text begin corenew text end staffing deleted text begin reportdeleted text end new text begin plansnew text end .

(a) The deleted text begin chief nursing executive or nursing
designeedeleted text end new text begin hospital nurse staffing committeenew text end of every deleted text begin reportingdeleted text end hospital deleted text begin in Minnesota under
section 144.50 willdeleted text end new text begin mustnew text end develop a core staffing plan for each deleted text begin patientdeleted text end new text begin inpatientnew text end care unit.

(b) Core staffing plans deleted text begin shalldeleted text end new text begin mustnew text end specifynew text begin all of the following:
new text end

new text begin (1) new text end thenew text begin projected number ofnew text end full-time equivalent deleted text begin fordeleted text end new text begin nonmanagerial care staff that will
be assigned in a 24-hour period tonew text end each deleted text begin patientdeleted text end new text begin inpatientnew text end care unit deleted text begin for each 24-hour period.deleted text end new text begin ;
new text end

new text begin (2) the maximum number of patients on each inpatient care unit for whom a direct care
registered nurse can be assigned and for whom a licensed practical nurse or certified nursing
assistant can typically safely care;
new text end

new text begin (3) criteria for determining when circumstances exist on each inpatient care unit such
that a direct care nurse cannot safely care for the typical number of patients and when
assigning a lower number of patients to each nurse on the inpatient unit would be appropriate;
new text end

new text begin (4) a procedure for each inpatient care unit to make shift-to-shift adjustments in staffing
levels when such adjustments are required by patient acuity and nursing intensity in the
unit;
new text end

new text begin (5) a contingency plan for each inpatient unit to safely address circumstances in which
patient care needs unexpectedly exceed the staffing resources provided for in a daily staffing
schedule. A contingency plan must include a method to quickly identify for each daily
staffing schedule additional direct care registered nurses who are available to provide direct
care on the inpatient care unit; and
new text end

new text begin (6) strategies to enable direct care registered nurses to take breaks to which they are
entitled under law or under an applicable collective bargaining agreement.
new text end

(c) new text begin Core staffing plans must ensure that:
new text end

new text begin (1) the person creating a daily staffing schedule has sufficiently detailed information to
create a daily staffing schedule that meets the requirements of the plan;
new text end

new text begin (2) daily staffing nurse schedules do not rely on assigning individual nonmanagerial
care staff to work overtime hours in excess of 16 hours in a 24-hour period or to work
consecutive 24-hour periods requiring 16 or more hours;
new text end

new text begin (3) a direct care registered nurse is not required or expected to perform functions outside
the nurse's professional license;
new text end

new text begin (4) light duty direct care registered nurses are given appropriate assignments; and
new text end

new text begin (5) daily staffing schedules do not interfere with applicable collective bargaining
agreements.
new text end

new text begin Subd. 2a. new text end

new text begin Development of hospital core staffing plans. new text end

new text begin (a) new text end Prior to deleted text begin submittingdeleted text end new text begin
completing or updatingnew text end the core staffing plan, deleted text begin as required in subdivision 3, hospitals shalldeleted text end new text begin
a hospital nurse staffing committee mustnew text end consult with representatives of the hospital medical
staff, managerial and nonmanagerial care staff, and other relevant hospital personnel about
the core staffing plan and the expected average number of patients upon which thenew text begin corenew text end
staffing plan is based.

new text begin (b) When developing a core staffing plan, a hospital nurse staffing committee must
consider all of the following:
new text end

new text begin (1) the individual needs and expected census of each inpatient care unit;
new text end

new text begin (2) unit-specific patient acuity, including fall risk and behaviors requiring intervention,
such as physical aggression toward self or others, or destruction of property;
new text end

new text begin (3) unit-specific demands on direct care registered nurses' time, including: frequency of
admissions, discharges, and transfers; frequency and complexity of patient evaluations and
assessments; frequency and complexity of nursing care planning; planning for patient
discharge; assessing for patient referral; patient education; and implementing infectious
disease protocols;
new text end

new text begin (4) the architecture and geography of the inpatient care unit, including the placement of
patient rooms, treatment areas, nursing stations, medication preparation areas, and equipment;
new text end

new text begin (5) mechanisms and procedures to provide for one-to-one patient observation for patients
on psychiatric or other units;
new text end

new text begin (6) the stress under which direct care nurses are placed when required to work extreme
amounts of overtime, such as shifts in excess of 12 hours or multiple consecutive double
shifts;
new text end

new text begin (7) the need for specialized equipment and technology on the unit;
new text end

new text begin (8) other special characteristics of the unit or community patient population, including
age, cultural and linguistic diversity and needs, functional ability, communication skills,
and other relevant social and socioeconomic factors;
new text end

new text begin (9) the skill mix of personnel other than direct care registered nurses providing or
supporting direct patient care on the unit;
new text end

new text begin (10) mechanisms and procedures for identifying additional registered nurses who are
available for direct patient care when patients' unexpected needs exceed the planned workload
for direct care staff; and
new text end

new text begin (11) demands on direct care registered nurses' time not directly related to providing
direct care on a unit, such as involvement in quality improvement activities, professional
development, service to the hospital, including serving on the hospital nurse staffing
committee, and service to the profession.
new text end

Subd. 3.

Standard electronic reporting deleted text begin developeddeleted text end new text begin of core staffing plansnew text end .

deleted text begin (a) Hospitalsdeleted text end new text begin
Each hospitalnew text end must submit the core staffing plansnew text begin approved by the hospital's nurse staffing
committeenew text end to the Minnesota Hospital Association deleted text begin by January 1, 2014deleted text end . The Minnesota
Hospital Association shall include each deleted text begin reportingdeleted text end hospital's core staffing deleted text begin plandeleted text end new text begin plansnew text end on the
Minnesota Hospital Association's Minnesota Hospital Quality Report website deleted text begin by April 1,
2014deleted text end new text begin by June 1, 2024new text end . new text begin Hospitals shall submit to the Minnesota Hospital Association new text end any
substantial deleted text begin changesdeleted text end new text begin updatesnew text end to deleted text begin thedeleted text end new text begin anew text end core staffing plan deleted text begin shall be updateddeleted text end within 30 daysnew text begin of
the approval of the updates by the hospital's nurse staffing committee or of amendment
through arbitration. The Minnesota Hospital Association shall update the Minnesota Hospital
Quality Report website with the updated core staffing plans within 30 days of receipt of the
updated plannew text end .

new text begin Subd. 4. new text end

new text begin Standard electronic reporting of direct patient care report. new text end

deleted text begin (b)deleted text end The Minnesota
Hospital Association shall include on its website for each reporting hospital on a quarterly
basis the actual direct patient care hours per patient and per unit. Hospitals must submit the
direct patient care report to the Minnesota Hospital Association deleted text begin by July 1, 2014, anddeleted text end quarterly
deleted text begin thereafterdeleted text end .

new text begin Subd. 5. new text end

new text begin Mandatory submission of core staffing plan to commissioner. new text end

new text begin Each hospital
must submit the core staffing plans and any updates to the commissioner on the same
schedule described in subdivision 3. Core staffing plans held by the commissioner are public.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective April 1, 2024.
new text end

Sec. 30.

new text begin [144.7056] IMPLEMENTATION OF HOSPITAL CORE STAFFING PLANS.
new text end

new text begin Subdivision 1. new text end

new text begin Plan implementation required. new text end

new text begin A hospital must implement the core
staffing plans approved by a majority vote of the hospital nurse staffing committee.
new text end

new text begin Subd. 2. new text end

new text begin Public posting of core staffing plans. new text end

new text begin A hospital must post the core staffing
plan for the inpatient care unit in a public area on the unit.
new text end

new text begin Subd. 3. new text end

new text begin Public posting of compliance with plan. new text end

new text begin For each publicly posted core staffing
plan, a hospital must post a notice stating whether the current staffing on the unit complies
with the hospital's core staffing plan for that unit. The public notice of compliance must
include a list of the number of nonmanagerial care staff working on the unit during the
current shift and the number of patients assigned to each direct care registered nurse working
on the unit during the current shift. The list must enumerate the nonmanagerial care staff
by health care worker type. The public notice of compliance must be posted immediately
adjacent to the publicly posted core staffing plan.
new text end

new text begin Subd. 4. new text end

new text begin Public distribution of core staffing plan and notice of compliance. new text end

new text begin (a) A
hospital must include with the posted materials described in subdivisions 2 and 3, a statement
that individual copies of the posted materials are available upon request to any patient on
the unit or to any visitor of a patient on the unit. The statement must include specific
instructions for obtaining copies of the posted materials.
new text end

new text begin (b) A hospital must, within four hours after the request, provide individual copies of all
the posted materials described in subdivisions 2 and 3 to any patient on the unit or to any
visitor of a patient on the unit who requests the materials.
new text end

new text begin Subd. 5. new text end

new text begin Documentation of compliance. new text end

new text begin Each hospital must document compliance with
its core nursing plans and maintain records demonstrating compliance for each inpatient
care unit for five years. Each hospital must provide its nurse staffing committee with access
to all documentation required under this subdivision.
new text end

new text begin Subd. 6. new text end

new text begin Dispute resolution. new text end

new text begin (a) If hospital management objects to a core staffing plan
approved by a majority vote of the hospital nurse staffing committee, the hospital may elect
to attempt to amend the core staffing plan through arbitration.
new text end

new text begin (b) During an ongoing dispute resolution process, a hospital must continue to implement
the core staffing plan as written and approved by the hospital nurse staffing committee.
new text end

new text begin (c) If the dispute resolution process results in an amendment to the core staffing plan,
the hospital must implement the amended core staffing plan.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective June 1, 2024.
new text end

Sec. 31.

new text begin [144.7059] RETALIATION PROHIBITED.
new text end

new text begin Neither a hospital or nor a health-related licensing board may retaliate against or discipline
a hospital employee regulated by the health-related licensing board, either formally or
informally, for:
new text end

new text begin (1) challenging the process by which a hospital nurse staffing committee is formed or
conducts its business;
new text end

new text begin (2) challenging a core staffing plan approved by a hospital nurse staffing committee;
new text end

new text begin (3) objecting to or submitting a grievance related to a patient assignment that leads to a
direct care registered nurse violating medical restrictions recommended by the nurse's
medical provider; or
new text end

new text begin (4) submitting a report of unsafe staffing conditions.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective April 1, 2024.
new text end

Sec. 32.

new text begin [144.8611] DRUG OVERDOSE AND SUBSTANCE ABUSE PREVENTION.
new text end

new text begin Subdivision 1. new text end

new text begin Strategies. new text end

new text begin The commissioner of health shall support collaboration and
coordination between state and community partners to develop, refine, and expand
comprehensive funding to address the drug overdose epidemic by implementing three
strategies: (1) regional multidisciplinary overdose prevention teams to implement overdose
prevention in local communities and local public health organizations; (2) enhance supportive
services for the homeless who are at risk of overdose by providing emergency and short-term
housing subsidies through the Homeless Overdose Prevention Hub; and (3) enhance employer
resources to promote health and well-being of employees through the recovery friendly
workplace initiative. These strategies address the underlying social conditions that impact
health status.
new text end

new text begin Subd. 2. new text end

new text begin Regional teams. new text end

new text begin The commissioner of health shall establish community-based
prevention grants and contracts for the eight regional multidisciplinary overdose prevention
teams. These teams are geographically aligned with the eight emergency medical services
regions described in section 144E.52. The regional teams shall implement prevention
programs, policies, and practices that are specific to the challenges and responsive to the
data of the region.
new text end

new text begin Subd. 3. new text end

new text begin Homeless Overdose Prevention Hub. new text end

new text begin The commissioner of health shall
establish a community-based grant to enhance supportive services for the homeless who
are at risk of overdose by providing emergency and short-term housing subsidies through
the Homeless Overdose Prevention Hub. The Homeless Overdose Prevention Hub serves
primarily urban American Indians in Minneapolis and Saint Paul and is managed by the
Native American Community Clinic.
new text end

new text begin Subd. 4. new text end

new text begin Workplace health. new text end

new text begin The commissioner of health shall establish a grants and
contracts program to strengthen the recovery friendly workplace initiative. This initiative
helps create work environments that promote employee health, safety, and well-being by:
(1) preventing abuse and misuse of drugs in the first place; (2) providing training to
employers; and (3) reducing stigma and supporting recovery for people seeking services
and who are in recovery.
new text end

new text begin Subd. 5. new text end

new text begin Eligible grantees. new text end

new text begin (a) Organizations eligible to receive grant funding under
subdivision 4 include not-for-profit agencies or organizations with existing organizational
structure, capacity, trainers, facilities, and infrastructure designed to deliver model workplace
policies and practices; that have training and education for employees, supervisors, and
executive leadership of companies, businesses, and industry; and that have the ability to
evaluate the three goals of the workplace initiative specified in subdivision 4.
new text end

new text begin (b) At least one organization may be selected for a grant under subdivision 4 with
statewide reach and influence. Up to five smaller organizations may be selected to reach
specific geographic or population groups.
new text end

new text begin Subd. 6. new text end

new text begin Evaluation. new text end

new text begin The commissioner of health shall design, conduct, and evaluate
each of the components of the drug overdose and substance abuse prevention program using
measures such as mortality, morbidity, homelessness, workforce wellness, employee
retention, and program reach.
new text end

new text begin Subd. 7. new text end

new text begin Report. new text end

new text begin Grantees must report grant program outcomes to the commissioner on
the forms and according to the timelines established by the commissioner.
new text end

Sec. 33.

Minnesota Statutes 2020, section 144.9501, subdivision 9, is amended to read:

Subd. 9.

Elevated blood lead level.

"Elevated blood lead level" means a diagnostic
blood lead test with a result that is equal to or greater than deleted text begin tendeleted text end new text begin 3.5new text end micrograms of lead per
deciliter of whole blood in any person, unless the commissioner finds that a lower
concentration is necessary to protect public health.

Sec. 34.

new text begin [144.9981] CLIMATE RESILIENCY.
new text end

new text begin Subdivision 1. new text end

new text begin Climate resiliency program. new text end

new text begin The commissioner of health shall implement
a climate resiliency program to:
new text end

new text begin (1) increase awareness of climate change;
new text end

new text begin (2) track the public health impacts of climate change and extreme weather events;
new text end

new text begin (3) provide technical assistance and tools that support climate resiliency to local public
health, Tribal health, soil and water conservation districts, and other local governmental
and nongovernmental organizations; and
new text end

new text begin (4) coordinate with the commissioners of the pollution control agency, natural resources,
agriculture and other state agencies in climate resiliency related planning and implementation.
new text end

new text begin Subd. 2. new text end

new text begin Grants authorized; allocation. new text end

new text begin (a) The commissioner of health shall manage
a grant program for the purpose of climate resiliency planning. The commissioner shall
award grants through a request for proposals process to local public health organizations,
Tribal health organizations, soil and water conservation districts, or other local organizations
for planning for the health impacts of extreme weather events and developing adaptation
actions. Priority shall be given to small rural water systems and organizations incorporating
the needs of private water supplies into their planning. Priority shall also be given to
organizations that serve communities that are disproportionately impacted by climate change.
new text end

new text begin (b) Grantees must use the funds to develop a plan or implement strategies that will reduce
the risk of health impacts from extreme weather events. The grant application must include:
new text end

new text begin (1) a description of the plan or project for which the grant funds will be used;
new text end

new text begin (2) a description of the pathway between the plan or project and its impacts on health;
new text end

new text begin (3) a description of the objectives, a work plan, and a timeline for implementation; and
new text end

new text begin (4) the community or group the grant proposes to focus on.
new text end

Sec. 35.

new text begin [145.361] LONG COVID; SUPPORTING SURVIVORS AND MONITORING
IMPACT.
new text end

new text begin Subdivision 1. new text end

new text begin Definition. new text end

new text begin For the purpose of this section, "long COVID" means health
problems that people experience four or more weeks after being infected with SARS-CoV-2,
the virus that causes COVID-19. Long COVID is also called post COVID, long-haul COVID,
chronic COVID, post-acute COVID, or post-acute sequelae of COVID-19 (PASC).
new text end

new text begin Subd. 2. new text end

new text begin Statewide monitoring. new text end

new text begin The commissioner of health shall establish a program
to conduct community needs assessments, perform epidemiologic studies, and establish a
population-based surveillance system to address long COVID. The purpose of these
assessments, studies, and surveillance system is to:
new text end

new text begin (1) monitor trends in incidence, prevalence, mortality, care management, health outcomes,
quality of life, and needs of individuals with long COVID and to detect potential public
health problems, predict risks, and assist in investigating long COVID health disparities;
new text end

new text begin (2) more accurately target intervention resources for communities and patients and their
families;
new text end

new text begin (3) inform health professionals and citizens about risks, early detection, and treatment
of long COVID known to be elevated in their communities; and
new text end

new text begin (4) promote high quality studies to provide better information for long COVID prevention
and control and to address public concerns and questions about long COVID.
new text end

new text begin Subd. 3. new text end

new text begin Partnerships. new text end

new text begin The commissioner of health shall, in consultation with health
care professionals, the Department of Human Services, local public health organizations,
health insurers, employers, schools, long COVID survivors, and community organizations
serving people at high risk of long COVID, routinely identify priority actions and activities
to address the need for communication, services, resources, tools, strategies, and policies
to support long COVID survivors and their families.
new text end

new text begin Subd. 4. new text end

new text begin Grants and contracts. new text end

new text begin The commissioner of health shall coordinate and
collaborate with community and organizational partners to implement evidence-informed
priority actions, including through community-based grants and contracts.
new text end

new text begin Subd. 5. new text end

new text begin Grant recipient and contractor eligibility. new text end

new text begin The commissioner of health shall
award contracts and competitive grants to organizations that serve communities
disproportionately impacted by COVID-19 and long COVID including but not limited to
rural and low-income areas, Black and African Americans, African immigrants, American
Indians, Asian American-Pacific Islanders, Latino, LGBTQ+, and persons with disabilities.
Organizations may also address intersectionality within such groups.
new text end

new text begin Subd. 6. new text end

new text begin Grants and contracts authorized. new text end

new text begin The commissioner of health shall award
grants and contracts to eligible organizations to plan, construct, and disseminate resources
and information to support survivors of long COVID, their caregivers, health care providers,
ancillary health care workers, workplaces, schools, communities, local and Tribal public
health, and other entities deemed necessary.
new text end

Sec. 36.

Minnesota Statutes 2020, section 145.56, is amended by adding a subdivision to
read:

new text begin Subd. 6. new text end

new text begin 988; National Suicide Prevention Lifeline number. new text end

new text begin The National Suicide
Prevention Lifeline is expanded to improve the quality of care and access to behavioral
health crisis services and to further health equity and save lives.
new text end

Sec. 37.

Minnesota Statutes 2020, section 145.56, is amended by adding a subdivision to
read:

new text begin Subd. 7. new text end

new text begin Definitions. new text end

new text begin (a) For the purposes of this section, the following terms have the
meanings given.
new text end

new text begin (b) "National Suicide Prevention Lifeline" means a national network of certified local
crisis centers maintained by the Federal Substance Abuse and Mental Health Services
Administration that provides free and confidential emotional support to people in suicidal
crisis or emotional distress 24 hours a day, seven days a week.
new text end

new text begin (c) "988 Hotline" or "Lifeline Center" means a state identified center that is a member
of the National Suicide Prevention Lifeline network that responds to statewide or regional
988 contacts.
new text end

new text begin (d) "988 administrator" means the administrator of the 988 National Suicide Prevention
Lifeline.
new text end

new text begin (e) "Veterans Crisis Line" means the Veterans Crisis Line maintained by the Secretary
of Veterans Affairs under United States Code, title 38, section 170F(h).
new text end

new text begin (f) "Department" means the Department of Health.
new text end

new text begin (g) "Commissioner" means the commissioner of health.
new text end

Sec. 38.

Minnesota Statutes 2020, section 145.56, is amended by adding a subdivision to
read:

new text begin Subd. 8. new text end

new text begin 988 National Suicide Prevention Lifeline. new text end

new text begin (a) The commissioner of health
shall administer the designated lifeline and oversee a Lifeline Center or a network of Lifeline
Centers to answer contacts from individuals accessing the National Suicide Prevention
Lifeline 24 hours per day, seven days per week.
new text end

new text begin (b) The designated Lifeline Center(s) shall:
new text end

new text begin (1) have an active agreement with the administrator of the 988 National Suicide
Prevention Lifeline for participation within the network;
new text end

new text begin (2) meet the 988 administrator requirements and best practice guidelines for operational
and clinical standards;
new text end

new text begin (3) provide data, report, and participate in evaluations and related quality improvement
activities as required by the 988 administrator and the department;
new text end

new text begin (4) use technology that is interoperable across crisis and emergency response systems
used in the state, such as 911 systems, emergency medical services, and the National Suicide
Prevention Lifeline;
new text end

new text begin (5) deploy crisis and outgoing services, including mobile crisis teams in accordance with
guidelines established by the 988 administrator and the department;
new text end

new text begin (6) actively collaborate with local mobile crisis teams to coordinate linkages for persons
contacting the 988 Hotline for ongoing care needs;
new text end

new text begin (7) offer follow-up services to individuals accessing the Lifeline Center that are consistent
with guidance established by the 988 administrator and the department; and
new text end

new text begin (8) meet the requirements set by the 988 administrator and the department for serving
high risk and specialized populations.
new text end

new text begin (c) The department shall collaborate with the National Suicide Prevention Lifeline and
Veterans Crisis Line networks for the purpose of ensuring consistency of public messaging
about 988 services.
new text end

Sec. 39.

new text begin [145.871] UNIVERSAL, VOLUNTARY HOME VISITING PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Grant program. new text end

new text begin (a) The commissioner of health shall award grants to
eligible individuals and entities to establish voluntary home visiting services to families
expecting or caring for an infant, including families adopting an infant. The following
individuals and entities are eligible for a grant under this section: community health boards;
nonprofit organizations; Tribal Nations; and health care providers, including doulas,
community health workers, perinatal health educators, early childhood family education
home visiting providers, nurses, community health technicians, and local public health
nurses.
new text end

new text begin (b) The grant money awarded under this section must be used to establish home visiting
services that:
new text end

new text begin (1) provide a range of one to six visits that occur prenatally or within the first four months
of the expected birth or adoption of an infant; and
new text end

new text begin (2) improve outcomes in two or more of the following areas:
new text end

new text begin (i) maternal and newborn health;
new text end

new text begin (ii) school readiness and achievement;
new text end

new text begin (iii) family economic self-sufficiency;
new text end

new text begin (iv) coordination and referral for other community resources and supports;
new text end

new text begin (v) reduction in child injuries, abuse, or neglect; or
new text end

new text begin (vi) reduction in crime or domestic violence.
new text end

new text begin (c) The commissioner shall ensure that the voluntary home visiting services established
under this section are available to all families residing in the state by June 30, 2025. In
awarding grants prior to the home visiting services being available statewide, the
commissioner shall prioritize applicants serving high-risk or high-need populations of
pregnant women and families with infants, including populations with insufficient access
to prenatal care, high incidence of mental illness or substance use disorder, low
socioeconomic status, and other factors as determined by the commissioner.
new text end

new text begin Subd. 2. new text end

new text begin Home visiting services. new text end

new text begin (a) The home visiting services provided under this
section must, at a minimum:
new text end

new text begin (1) offer information on infant care, child growth and development, positive parenting,
preventing diseases, preventing exposure to environmental hazards, and support services
in the community;
new text end

new text begin (2) provide information on and referrals to health care services, including information
on and assistance in applying for health care coverage for which the child or family may
be eligible, and provide information on the availability of group prenatal care, preventative
services, developmental assessments, and public assistance programs as appropriate;
new text end

new text begin (3) include an assessment of the physical, social, and emotional factors affecting the
family and provide information and referrals to address each family's identified needs;
new text end

new text begin (4) connect families to additional resources available in the community, including early
care and education programs, health or mental health services, family literacy programs,
employment agencies, and social services, as needed;
new text end

new text begin (5) utilize appropriate racial, ethnic, and cultural approaches to providing home visiting
services; and
new text end

new text begin (6) be voluntary and free of charge to families.
new text end

new text begin (b) Home visiting services under this section may be provided through telephone or
video communication when the commissioner determines the methods are necessary to
protect the health and safety of individuals receiving the visits and the home visiting
workforce.
new text end

new text begin Subd. 3. new text end

new text begin Administrative costs. new text end

new text begin The commissioner may use up to seven percent of the
annual appropriation under this section to provide training and technical assistance, to
administer the program, and to conduct ongoing evaluations of the program. The
commissioner may contract for training, capacity-building support for grantees or potential
grantees, technical assistance, and evaluation support.
new text end

Sec. 40.

Minnesota Statutes 2020, section 145.924, is amended to read:

145.924 AIDS PREVENTION GRANTS.

(a) The commissioner may award grants to community health boards as defined in section
145A.02, subdivision 5, state agencies, state councils, or nonprofit corporations to provide
evaluation and counseling services to populations at risk for acquiring human
immunodeficiency virus infection, including, but not limited to, minorities, adolescents,
intravenous drug users, and homosexual men.

(b) The commissioner may award grants to agencies experienced in providing services
to communities of color, for the design of innovative outreach and education programs for
targeted groups within the community who may be at risk of acquiring the human
immunodeficiency virus infection, including intravenous drug users and their partners,
adolescents, gay and bisexual individuals and women. Grants shall be awarded on a request
for proposal basis and shall include funds for administrative costs. Priority for grants shall
be given to agencies or organizations that have experience in providing service to the
particular community which the grantee proposes to serve; that have policy makers
representative of the targeted population; that have experience in dealing with issues relating
to HIV/AIDS; and that have the capacity to deal effectively with persons of differing sexual
orientations. For purposes of this paragraph, the "communities of color" are: the
American-Indian community; the Hispanic community; the African-American community;
and the Asian-Pacific community.

(c) All state grants awarded under this section for programs targeted to adolescents shall
include the promotion of abstinence from sexual activity and drug use.

new text begin (d) The commissioner may manage a program and award grants to agencies experienced
in syringe services programs for expanding access to harm reduction services and improving
linkages to care to prevent HIV/AIDS, hepatitis, and other infectious diseases for those
experiencing homelessness or housing instability.
new text end

Sec. 41.

new text begin [145.9271] COMMUNITY SOLUTIONS FOR HEALTHY CHILD
DEVELOPMENT GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of health shall establish the community
solutions for a healthy child development grant program. The purposes of the program are
to:
new text end

new text begin (1) improve child development outcomes related to the well-being of children of color
and American Indian children from prenatal to grade 3 and their families, including but not
limited to the goals outlined by the Department of Human Service's early childhood systems
reform effort that include: early learning; health and well-being; economic security; and
safe, stable, nurturing relationships and environments, by funding community-based solutions
for challenges that are identified by the affected communities;
new text end

new text begin (2) reduce racial disparities in children's health and development from prenatal to grade
3; and
new text end

new text begin (3) promote racial and geographic equity.
new text end

new text begin Subd. 2. new text end

new text begin Commissioner's duties. new text end

new text begin The commissioner of health shall:
new text end

new text begin (1) develop a request for proposals for the healthy child development grant program in
consultation with the community solutions advisory council established in subdivision 3;
new text end

new text begin (2) provide outreach, technical assistance, and program development support to increase
capacity for new and existing service providers in order to better meet statewide needs,
particularly in greater Minnesota and areas where services to reduce health disparities have
not been established;
new text end

new text begin (3) review responses to requests for proposals, in consultation with the community
solutions advisory council, and award grants under this section;
new text end

new text begin (4) ensure communication with the ethnic councils, Minnesota Indian Affairs Council,
and the Children's Cabinet on the request for proposal process;
new text end

new text begin (5) establish a transparent and objective accountability process, in consultation with the
community solutions advisory council, focused on outcomes that grantees agree to achieve;
new text end

new text begin (6) provide grantees with access to data to assist grantees in establishing and
implementing effective community-led solutions;
new text end

new text begin (7) maintain data on outcomes reported by grantees; and
new text end

new text begin (8) contract with an independent third-party entity to evaluate the success of the grant
program and to build the evidence base for effective community solutions in reducing health
disparities of children of color and American Indian children from prenatal to grade 3.
new text end

new text begin Subd. 3. new text end

new text begin Community solutions advisory council; establishment; duties;
compensation. new text end

new text begin (a) The commissioner of health shall establish a community solutions
advisory council. By October 1, 2022, the commissioner shall convene a 12-member
community solutions advisory council. Members of the advisory council are:
new text end

new text begin (1) two members representing the African Heritage community;
new text end

new text begin (2) two members representing the Latino community;
new text end

new text begin (3) two members representing the Asian-Pacific Islander community;
new text end

new text begin (4) two members representing the American Indian community;
new text end

new text begin (5) two parents who are Black, indigenous, or nonwhite people of color with children
under nine years of age;
new text end

new text begin (6) one member with research or academic expertise in racial equity and healthy child
development; and
new text end

new text begin (7) one member representing an organization that advocates on behalf of communities
of color or American Indians.
new text end

new text begin (b) At least three of the 12 members of the advisory council must come from outside
the seven-county metropolitan area.
new text end

new text begin (c) The community solutions advisory council shall:
new text end

new text begin (1) advise the commissioner on the development of the request for proposals for
community solutions healthy child development grants. In advising the commissioner, the
council must consider how to build on the capacity of communities to promote child and
family well-being and address social determinants of healthy child development;
new text end

new text begin (2) review responses to requests for proposals and advise the commissioner on the
selection of grantees and grant awards;
new text end

new text begin (3) advise the commissioner on the establishment of a transparent and objective
accountability process focused on outcomes the grantees agree to achieve;
new text end

new text begin (4) advise the commissioner on ongoing oversight and necessary support in the
implementation of the program; and
new text end

new text begin (5) support the commissioner on other racial equity and early childhood grant efforts.
new text end

new text begin (d) Each advisory council member shall be compensated as provided in section 15.059,
subdivision 3.
new text end

new text begin Subd. 4. new text end

new text begin Eligible grantees. new text end

new text begin Organizations eligible to receive grant funding under this
section include:
new text end

new text begin (1) organizations or entities that work with Black, indigenous, and non-Black people of
color communities;
new text end

new text begin (2) Tribal nations and Tribal organizations as defined in section 658P of the Child Care
and Development Block Grant Act of 1990; and
new text end

new text begin (3) organizations or entities focused on supporting healthy child development.
new text end

new text begin Subd. 5. new text end

new text begin Strategic consideration and priority of proposals; eligible populations;
grant awards. new text end

new text begin (a) The commissioner, in consultation with the community solutions advisory
council, shall develop a request for proposals for healthy child development grants. In
developing the proposals and awarding the grants, the commissioner shall consider building
on the capacity of communities to promote child and family well-being and address social
determinants of healthy child development. Proposals must focus on increasing racial equity
and healthy child development and reducing health disparities experienced by children of
Black, nonwhite people of color, and American Indian communities from prenatal to grade
3 and their families.
new text end

new text begin (b) In awarding the grants, the commissioner shall provide strategic consideration and
give priority to proposals from:
new text end

new text begin (1) organizations or entities led by Black and other nonwhite people of color and serving
Black and nonwhite communities of color;
new text end

new text begin (2) organizations or entities led by American Indians and serving American Indians,
including Tribal nations and Tribal organizations;
new text end

new text begin (3) organizations or entities with proposals focused on healthy development from prenatal
to age three;
new text end

new text begin (4) organizations or entities with proposals focusing on multigenerational solutions;
new text end

new text begin (5) organizations or entities located in or with proposals to serve communities located
in counties that are moderate to high risk according to the Wilder Research Risk and Reach
Report; and
new text end

new text begin (6) community-based organizations that have historically served communities of color
and American Indians and have not traditionally had access to state grant funding.
new text end

new text begin (c) The advisory council may recommend additional strategic considerations and priorities
to the commissioner.
new text end

new text begin (d) The first round of grants must be awarded no later than April 15, 2023.
new text end

new text begin Subd. 6. new text end

new text begin Geographic distribution of grants. new text end

new text begin To the extent possible, the commissioner
and the advisory council shall ensure that grant funds are prioritized and awarded to
organizations and entities that are within counties that have a higher proportion of Black,
nonwhite people of color, and American Indians than the state average.
new text end

new text begin Subd. 7. new text end

new text begin Report. new text end

new text begin Grantees must report grant program outcomes to the commissioner on
the forms and according to the timelines established by the commissioner.
new text end

Sec. 42.

new text begin [145.9272] LEAD REMEDIATION IN SCHOOLS AND CHILD CARE
SETTINGS GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; purpose. new text end

new text begin The commissioner of health shall develop a
grant program for the purpose of remediating identified sources of lead in drinking water
in schools and child care settings.
new text end

new text begin Subd. 2. new text end

new text begin Grants authorized. new text end

new text begin The commissioner shall award grants through a request
for proposals process to schools and child care settings. Priority shall be given to schools
and child care settings with: (1) higher levels of lead detected in water samples; (2) evidence
of lead service lines or lead plumbing materials; and (3) school districts that serve
disadvantaged communities.
new text end

new text begin Subd. 3. new text end

new text begin Grant allocation. new text end

new text begin Grantees must use the funds to address sources of lead
contamination in their facilities including but not limited to service connections, premise
plumbing, and implementing best practices for water management within the building.
new text end

Sec. 43.

new text begin [145.9275] SKIN-LIGHTENING PRODUCTS PUBLIC AWARENESS AND
EDUCATION GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Grant program. new text end

new text begin The commissioner of health shall award grants through
a request for proposal process to community-based organizations that serve ethnic
communities and focus on public health outreach to Black and people of color communities
on the issues of colorism, skin-lightening products, and chemical exposures from these
products. Priority in awarding grants shall be given to organizations that have historically
provided services to ethnic communities on the skin-lightening and chemical exposure issue
for the past four years.
new text end

new text begin Subd. 2. new text end

new text begin Uses of grant funds. new text end

new text begin Grant recipients must use grant funds awarded under this
section to conduct public awareness and education activities that are culturally specific and
community-based and that focus on:
new text end

new text begin (1) increasing public awareness and providing education on the health dangers associated
with using skin-lightening creams and products that contain mercury and hydroquinone and
are manufactured in other countries, brought into this country, and sold illegally online or
in stores; the dangers of exposure to mercury through dermal absorption, inhalation,
hand-to-mouth contact, and contact with individuals who have used these skin-lightening
products; the health effects of mercury poisoning, including the permanent effects on the
central nervous system and kidneys; and the dangers to mothers and infants of using these
products or being exposed to these products during pregnancy and while breastfeeding;
new text end

new text begin (2) identifying products that contain mercury and hydroquinone by testing skin-lightening
products;
new text end

new text begin (3) developing a train the trainer curriculum to increase community knowledge and
influence behavior changes by training community leaders, cultural brokers, community
health workers, and educators;
new text end

new text begin (4) continuing to build the self-esteem and overall wellness of young people who are
using skin-lightening products or are at risk of starting the practice of skin lightening; and
new text end

new text begin (5) building the capacity of community-based organizations to continue to combat
skin-lightening practices and chemical exposure.
new text end

Sec. 44.

new text begin [145.9282] COMMUNITY HEALTH WORKERS; REDUCING HEALTH
DISPARITIES WITH COMMUNITY-LED CARE.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of health shall support collaboration
and coordination between state and community partners to develop, refine, and expand the
community health workers profession across the state equipping them to address health
needs and to improve health outcomes by addressing the social conditions that impact health
status. Community health professionals' work expands beyond health care to bring health
and racial equity into public safety, social services, youth and family services, schools,
neighborhood associations, and more.
new text end

new text begin Subd. 2. new text end

new text begin Grants authorized; eligibility. new text end

new text begin The commissioner of health shall establish a
community-based grant to expand and strengthen the community health workers workforce
across the state. The grantee must be a not-for-profit community organization serving,
convening, and supporting community health workers (CHW) statewide.
new text end

new text begin Subd. 3. new text end

new text begin Evaluation. new text end

new text begin The commissioner of health shall design, conduct, and evaluate
the CHW initiative using measures of workforce capacity, employment opportunity, reach
of services, and return on investment, as well as descriptive measures of the extant CHW
models as they compare with the national community health workers' landscape. These
more proximal measures are collected and analyzed as foundational to longer-term change
in social determinants of health and rates of death and injury by suicide, overdose, firearms,
alcohol, and chronic disease.
new text end

new text begin Subd. 4. new text end

new text begin Report. new text end

new text begin Grantees must report grant program outcomes to the commissioner on
the forms and according to the timelines established by the commissioner.
new text end

Sec. 45.

new text begin [145.9283] REDUCING HEALTH DISPARITIES AMONG PEOPLE WITH
DISABILITIES; GRANTS.
new text end

new text begin Subdivision 1. new text end

new text begin Goal and establishment. new text end

new text begin The commissioner of health shall support
collaboration and coordination between state and community partners to address equity
barriers to health care and preventative services for chronic diseases among people with
disabilities. The commissioner of health, in consultation with the Olmstead Implementation
Office, Department of Human Services, Board on Aging, health care professionals, local
public health, and other community organizations that serve people with disabilities, shall
routinely identify priorities and action steps to address identified gaps in services, resources,
and tools.
new text end

new text begin Subd. 2. new text end

new text begin Assessment and tracking. new text end

new text begin The commissioner of health shall conduct community
needs assessments and establish a health surveillance and tracking plan in collaboration
with community and organizational partners to identify and address health disparities.
new text end

new text begin Subd. 3. new text end

new text begin Grants authorized. new text end

new text begin The commissioner of health shall establish
community-based grants to support establishing inclusive evidence-based chronic disease
prevention and management services to address identified gaps and disparities.
new text end

new text begin Subd. 4. new text end

new text begin Technical assistance. new text end

new text begin The commissioner of health shall provide and evaluate
training and capacity-building technical assistance on accessible preventive health care for
public health and health care providers of chronic disease prevention and management
programs and services.
new text end

new text begin Subd. 5. new text end

new text begin Report. new text end

new text begin Grantees must report grant program outcomes to the commissioner on
the forms and according to the timelines established by the commissioner.
new text end

Sec. 46.

new text begin [145.9292] PUBLIC HEALTH AMERICORPS.
new text end

new text begin The commissioner may award a grant to a statewide, nonprofit organization to support
Public Health AmeriCorps members. The organization awarded the grant shall provide the
commissioner with any information needed by the commissioner to evaluate the program
in the form and at the timelines specified by the commissioner.
new text end

Sec. 47.

new text begin [145.987] HEALTHY BEGINNINGS, HEALTHY FAMILIES ACT.
new text end

new text begin Subdivision 1. new text end

new text begin Purpose. new text end

new text begin The purpose of the Healthy Beginnings, Healthy Families Act
is to: (1) address the significant disparities in early childhood outcomes and increase the
number of children who are school ready through establishing the Minnesota collaborative
to prevent infant mortality; (2) sustain the Help Me Connect online navigator; (3) improve
universal access to developmental and social-emotional screening and follow-up; and (4)
sustain and expand the model jail practices for children of incarcerated parents in Minnesota
jails.
new text end

new text begin Subd. 2. new text end

new text begin Minnesota collaborative to prevent infant mortality. new text end

new text begin (a) The Minnesota
collaborative to prevent infant mortality is established. The goal of the Minnesota
collaborative to prevent infant mortality program is to:
new text end

new text begin (1) build a statewide multisectoral partnership including the state government, local
public health organizations, Tribes, the private sector, and community nonprofit organizations
with the shared goal of decreasing infant mortality rates among populations with significant
disparities, including among Black, American Indian, other nonwhite communities, and
rural populations;
new text end

new text begin (2) address the leading causes of poor infant health outcomes such as premature birth,
infant sleep-related deaths, and congenital anomalies through strategies to change social
and environmental determinants of health; and
new text end

new text begin (3) promote the development, availability, and use of data-informed, community-driven
strategies to improve infant health outcomes.
new text end

new text begin (b) The commissioner of health shall establish a statewide partnership program to engage
communities, exchange best practices, share summary data on infant health, and promote
policies to improve birth outcomes and eliminate preventable infant mortality.
new text end

new text begin Subd. 3. new text end

new text begin Grants authorized. new text end

new text begin (a) The commissioner of health shall award grants to
eligible applicants to convene, coordinate, and implement data-driven strategies and culturally
relevant activities to improve infant health by reducing preterm births, sleep-related infant
deaths, and congenital malformations and by addressing social and environmental
determinants of health. Grants shall be awarded to support community nonprofit
organizations, Tribal governments, and community health boards. Grants shall be awarded
to all federally recognized Tribal governments whose proposals demonstrate the ability to
implement programs designed to achieve the purposes in subdivision 2 and other requirements
of this section. An eligible applicant must submit an application to the commissioner of
health on a form designated by the commissioner and by the deadline established by the
commissioner. The commissioner shall award grants to eligible applicants in metropolitan
and rural areas of the state and may consider geographic representation in grant awards.
new text end

new text begin (b) Grantee activities shall:
new text end

new text begin (1) address the leading cause or causes of infant mortality;
new text end

new text begin (2) be based on community input;
new text end

new text begin (3) be focused on policy, systems, and environmental changes that support infant health;
and
new text end

new text begin (4) address the health disparities and inequities that are experienced in the grantee's
community.
new text end

new text begin (c) The commissioner shall review each application to determine whether the application
is complete and whether the applicant and the project are eligible for a grant. In evaluating
applications under this subdivision, the commissioner shall establish criteria including but
not limited to: (1) the eligibility of the project; (2) the applicant's thoroughness and clarity
in describing the infant health issues grant funds are intended to address; (3) a description
of the applicant's proposed project; (4) a description of the population demographics and
service area of the proposed project; and (5) evidence of efficiencies and effectiveness
gained through collaborative efforts.
new text end

new text begin

HF 4706

Bill Text Versions

Current Version - 1st Engrossment

ARTICLE 1

DEPARTMENT OF HEALTH FINANCE

Section 1.

new text begin [62J.811] PROVIDER BALANCE BILLING REQUIREMENTS. new text end

new text begin Subdivision 1. new text end

new text begin Requirements. new text end

new text begin Subd. 2. new text end

new text begin Compliance and investigations. new text end

new text begin EFFECTIVE DATE. new text end

Sec. 2.

new text begin Subd. 3. new text end

new text begin Compliance with 2021 federal law. new text end

Sec. 3.

Subd. 5.

Coverage restrictions or limitations.

Sec. 4.

62Q.556 deleted text begin UNAUTHORIZED PROVIDER SERVICESdeleted text end new text begin CONSUMER PROTECTIONS AGAINST BALANCE BILLINGnew text end .

Subdivision 1.

deleted text begin Unauthorized provider servicesdeleted text end new text begin Nonparticipating provider balance billing prohibitionnew text end .

Subd. 2.

deleted text begin Prohibitiondeleted text end new text begin Cost-sharing requirements and independent dispute resolutionnew text end .

new text begin Subd. 3. new text end

new text begin Annual data reporting. new text end

new text begin Subd. 4. new text end

new text begin Enforcement. new text end

Sec. 5.

Subd. 2.

Change in health plans.

Sec. 6.

Subd. 7.

Standards of review.

Sec. 7.

new text begin Subd. 5b. new text end

new text begin Non-claims-based payments. new text end

Sec. 8.

Subd. 11.

Restricted uses of the all-payer claims data.

Sec. 9.

Subd. 7.

Outcomes reporting; savings determination.

Sec. 10.

new text begin [115.7411] ADVISORY COUNCIL ON WATER SUPPLY SYSTEMS AND WASTEWATER TREATMENT FACILITIES. new text end

new text begin Subdivision 1. new text end

new text begin Purpose; membership. new text end

new text begin Subd. 2. new text end

new text begin Geographic representation. new text end

new text begin Subd. 3. new text end

new text begin Terms; compensation. new text end

new text begin Subd. 4. new text end

new text begin Officers. new text end

Sec. 11.

144.122 LICENSE, PERMIT, AND SURVEY FEES.

Sec. 12.

Subdivision 1.

Definitions.

Sec. 13.

Subd. 2.

Creation of account.

Sec. 14.

Subd. 3.

Eligibility.

Sec. 15.

Subd. 4.

Loan forgiveness.

Sec. 16.

144.1503 HOME AND COMMUNITY-BASED SERVICES EMPLOYEE SCHOLARSHIP new text begin AND LOAN FORGIVENESS new text end PROGRAM.

Subdivision 1.

Creation.

new text begin Subd. 1a. new text end

new text begin Definition. new text end

Subd. 2.

Provision of grants.

Subd. 3.

Eligibility.

Subd. 4.

Home and community-based services employee scholarship new text begin and loan forgiveness new text end program.

Subd. 5.

new text begin [62J.811] PROVIDER BALANCE BILLING REQUIREMENTS.
new text end

62Q.556 deleted text begin UNAUTHORIZED PROVIDER SERVICESdeleted text end new text begin CONSUMER
PROTECTIONS AGAINST BALANCE BILLINGnew text end .

deleted text begin Unauthorized provider servicesdeleted text end new text begin Nonparticipating provider balance
billing prohibitionnew text end .

deleted text begin Prohibitiondeleted text end new text begin Cost-sharing requirements and independent dispute
resolutionnew text end .

new text begin [115.7411] ADVISORY COUNCIL ON WATER SUPPLY SYSTEMS AND
WASTEWATER TREATMENT FACILITIES.
new text end

144.1503 HOME AND COMMUNITY-BASED SERVICES EMPLOYEE
SCHOLARSHIP new text begin AND LOAN FORGIVENESS new text end PROGRAM.

Home and community-based services employee scholarship new text begin and loan
forgiveness new text end program.

new text begin [144.1504] HOSPITAL NURSING LOAN FORGIVENESS PROGRAM.
new text end

144.1505 HEALTH PROFESSIONALS CLINICAL TRAINING EXPANSION
new text begin AND RURAL AND UNDERSERVED CLINICAL ROTATIONS new text end GRANT deleted text begin PROGRAMdeleted text end new text begin
PROGRAMSnew text end .

new text begin Health professional rural and underserved clinical rotations grant
program. new text end

new text begin [144.1507] PRIMARY CARE RURAL RESIDENCY TRAINING GRANT
PROGRAM.
new text end

new text begin [144.1508] MENTAL HEALTH PROVIDER SUPERVISION GRANT
PROGRAM.
new text end

new text begin [144.1509] MENTAL HEALTH PROFESSIONAL SCHOLARSHIP GRANT
PROGRAM.
new text end