HF 5088

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/20/2024 11:22am

A bill for an act
relating to human services; establishing a residential crisis stabilization for children
medical assistance covered service; directing the commissioner of human services
to request federal approval; requiring a report; amending Minnesota Statutes 2022,
section 256B.0625, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2022, section 256B.0625, is amended by adding a subdivision
to read:

new text begin Subd. 72. new text end

new text begin Residential crisis stabilization for children. new text end

new text begin (a) Effective January 1, 2027,
or upon federal approval, whichever is later, medical assistance covers residential crisis
stabilization for children.
new text end

new text begin (b) For the purposes of this subdivision, "child" means a person 20 years of age or
younger.
new text end

new text begin (c) Medical assistance coverage of residential crisis stabilization for children includes
but is not limited to:
new text end

new text begin (1) an assessment of the child's immediate needs and factors that led to the mental health
crisis;
new text end

new text begin (2) individualized care developed with the child's family to address immediate needs
and restore the child to a precrisis level of functioning;
new text end

new text begin (3) an individual crisis stabilization plan developed by community-based mental health
professionals and the child's family;
new text end

new text begin (4) 24-hour on-site staff and assistance;
new text end

new text begin (5) supportive counseling and clinical services provided to the child and the child's
family;
new text end

new text begin (6) skills training and positive support services provided to the child and the child's
family, as identified in the child's individual crisis stabilization plan;
new text end

new text begin (7) referrals to other service providers in the community as needed and to support the
child's transition out of residential crisis stabilization services;
new text end

new text begin (8) an individualized and culturally responsive crisis response action plan; and
new text end

new text begin (9) assistance in accessing and storing medication.
new text end

new text begin (d) The commissioner must ensure that the services provided under paragraph (c):
new text end

new text begin (1) consist of evidence-based, promising practices and culturally responsive treatment
services for children experiencing a mental health crisis;
new text end

new text begin (2) embody an integrative care model that supports individuals experiencing a mental
health crisis who may also be experiencing co-occurring conditions;
new text end

new text begin (3) qualify for federal financial participation; and
new text end

new text begin (4) include services that support both children and their families.
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. new text begin DIRECTION TO COMMISSIONER; REPORT AND
RECOMMENDATIONS.
new text end

new text begin (a) No later than October 1, 2025, the commissioner must submit a state plan amendment
to the Centers for Medicare and Medicaid Services for residential crisis stabilization for
children established under Minnesota Statutes, section 256B.0625, subdivision 72.
new text end

new text begin (b) No later than January 15, 2026, the commissioner of human services must submit
to the chairs and ranking minority members of the legislative committees with jurisdiction
over human services policy and finance a report proposing the following for residential
crisis stabilization for children established under Minnesota Statutes, section 256B.0625,
subdivision 72:
new text end

new text begin (1) eligibility criteria;
new text end

new text begin (2) clinical and service requirements;
new text end

new text begin (3) provider standards;
new text end

new text begin (4) licensing requirements;
new text end

new text begin (5) reimbursement rates;
new text end

new text begin (6) methods for providers to receive additional funding to cover room and board; and
new text end

new text begin (7) draft legislation with statutory changes necessary to implement the recommendations
of the commissioner in clauses (1) to (6).
new text end

new text begin (c) The commissioner's process in reporting and making recommendations on the topics
in paragraph (b) must include:
new text end

new text begin (1) community engagement and input from providers, advocates, Tribal Nations, counties,
people with lived experience, and other interested community members;
new text end

new text begin (2) study of crisis models from other states; and
new text end

new text begin (3) consultation or contracting with rate setting experts to develop a prospective,
data-based rate methodology for paragraph (b), clause (5).
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