SF 1744

as introduced - 88th Legislature (2013 - 2014) Posted on 03/06/2014 04:58pm

A bill for an act
relating to human services; making technical corrections to health and human
services appropriations and policy provisions; amending Minnesota Statutes
2013 Supplement, section 626.557, subdivision 9; Laws 2013, chapter 1, section
6, as amended; Laws 2013, chapter 108, article 14, sections 2, subdivision 6; 3,
subdivisions 1, 2, 4; 4, subdivision 8; 12.

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

Section 1.

Minnesota Statutes 2013 Supplement, section 626.557, subdivision 9,
is amended to read:

Subd. 9.

Common entry point designation.

(a) The commissioner of human
services shall establish a common entry point effective July 1, deleted text begin 2014 deleted text end new text begin 2015 new text end . The common
entry point is the unit responsible for receiving the report of suspected maltreatment
under this section.

(b) The common entry point must be available 24 hours per day to take calls from
reporters of suspected maltreatment. The common entry point shall use a standard intake
form that includes:

(1) the time and date of the report;

(2) the name, address, and telephone number of the person reporting;

(3) the time, date, and location of the incident;

(4) the names of the persons involved, including but not limited to, perpetrators,
alleged victims, and witnesses;

(5) whether there was a risk of imminent danger to the alleged victim;

(6) a description of the suspected maltreatment;

(7) the disability, if any, of the alleged victim;

(8) the relationship of the alleged perpetrator to the alleged victim;

(9) whether a facility was involved and, if so, which agency licenses the facility;

(10) any action taken by the common entry point;

(11) whether law enforcement has been notified;

(12) whether the reporter wishes to receive notification of the initial and final
reports; and

(13) if the report is from a facility with an internal reporting procedure, the name,
mailing address, and telephone number of the person who initiated the report internally.

(c) The common entry point is not required to complete each item on the form prior
to dispatching the report to the appropriate lead investigative agency.

(d) The common entry point shall immediately report to a law enforcement agency
any incident in which there is reason to believe a crime has been committed.

(e) If a report is initially made to a law enforcement agency or a lead investigative
agency, those agencies shall take the report on the appropriate common entry point intake
forms and immediately forward a copy to the common entry point.

(f) The common entry point staff must receive training on how to screen and
dispatch reports efficiently and in accordance with this section.

(g) The commissioner of human services shall maintain a centralized database
for the collection of common entry point data, lead investigative agency data including
maltreatment report disposition, and appeals data. The common entry point shall
have access to the centralized database and must log the reports into the database and
immediately identify and locate prior reports of abuse, neglect, or exploitation.

(h) When appropriate, the common entry point staff must refer calls that do not
allege the abuse, neglect, or exploitation of a vulnerable adult to other organizations
that might resolve the reporter's concerns.

(i) A common entry point must be operated in a manner that enables the
commissioner of human services to:

(1) track critical steps in the reporting, evaluation, referral, response, disposition,
and investigative process to ensure compliance with all requirements for all reports;

(2) maintain data to facilitate the production of aggregate statistical reports for
monitoring patterns of abuse, neglect, or exploitation;

(3) serve as a resource for the evaluation, management, and planning of preventative
and remedial services for vulnerable adults who have been subject to abuse, neglect,
or exploitation;

(4) set standards, priorities, and policies to maximize the efficiency and effectiveness
of the common entry point; and

(5) track and manage consumer complaints related to the common entry point.

(j) The commissioners of human services and health shall collaborate on the
creation of a system for referring reports to the lead investigative agencies. This system
shall enable the commissioner of human services to track critical steps in the reporting,
evaluation, referral, response, disposition, investigation, notification, determination, and
appeal processes.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2014.
new text end

Sec. 2.

Laws 2013, chapter 1, section 6, as amended by Laws 2013, chapter 108,
article 6, section 32, is amended to read:

Sec. 6. TRANSFER.

(a) The commissioner of management and budget shall transfer from the health care
access fund to the general fund up to $21,319,000 in fiscal year 2014; up to $42,314,000
in fiscal year 2015; up to $56,147,000 in fiscal year 2016; and up to $64,683,000 in fiscal
year 2017.

(b) The commissioner of human services shall determine the difference between the
actual or forecasted cost to the medical assistance program of adding 19- and 20-year-olds
and parents and relative caretaker populations with income between 100 and 138 percent of
the federal poverty guidelines and the cost of adding those populations that was estimated
during the 2013 legislative session based on the data from the February 2013 forecast.

(c) For each fiscal year from 2014 to 2017, the commissioner of human services shall
certify and report to the commissioner of management and budget the actual or deleted text begin forecasted
deleted text end new text begin estimated new text end cost difference of adding 19- and 20-year-olds and parents and relative caretaker
populations with income between 100 and 138 percent of the federal poverty guidelines,
as determined under paragraph (b), to the commissioner of management and budget at
least four weeks prior to the release of a forecast under Minnesota Statutes, section
16A.103, of each fiscal year.

(d) deleted text begin No later than three weeks before the release of the forecast deleted text end new text begin For fiscal years 2014 to
2017, forecasts new text end under Minnesota Statutes, section 16A.103, new text begin prepared by new text end the commissioner
of management and budget shall deleted text begin reduce the deleted text end new text begin include actual or estimated adjustments to
new text end health care access fund deleted text begin transfer deleted text end new text begin transfers new text end in paragraph (a), deleted text begin by the cumulative differences in
costs reported by the commissioner of human services under deleted text end new text begin according to new text end paragraph deleted text begin (c)
deleted text end new text begin (e) new text end . deleted text begin If, for any fiscal year, the amount of the cumulative cost differences determined under
paragraph (b) is positive, no change is made to the appropriation. If, for any fiscal year,
the amount of the cumulative cost differences determined under paragraph (b) is less than
the amount of the original appropriation, the appropriation for that year must be zero.
deleted text end

new text begin (e) For each fiscal year from 2014 to 2017, the commissioner of management and
budget must adjust the transfer amounts in paragraph (a) by the cumulative difference in
costs reported by the commissioner of human services under paragraph (c). If, for any
fiscal year, the amount of the cumulative difference in costs reported under paragraph (c)
is positive, no adjustment shall be made.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2013.
new text end

Sec. 3.

Laws 2013, chapter 108, article 14, section 2, subdivision 6, is amended to read:

Subd. 6. Grant Programs

The amounts that may be spent from this
appropriation for each purpose are as follows:

(a) Support Services Grants

Appropriations by Fund
General	8,915,000	13,333,000
Federal TANF	94,611,000	94,611,000

Paid Work Experience. $2,168,000
each year in fiscal years 2015 and 2016
is from the general fund for paid work
experience for long-term MFIP recipients.
Paid work includes full and partial wage
subsidies and other related services such as
job development, marketing, preworksite
training, job coaching, and postplacement
services. These are onetime appropriations.
Unexpended funds for fiscal year 2015 do not
cancel, but are available to the commissioner
for this purpose in fiscal year 2016.

Work Study Funding for MFIP
Participants. $250,000 each year in fiscal
years 2015 and 2016 is from the general fund
to pilot work study jobs for MFIP recipients
in approved postsecondary education
programs. This is a onetime appropriation.
Unexpended funds for fiscal year 2015 do
not cancel, but are available for this purpose
in fiscal year 2016.

Local Strategies to Reduce Disparities.
$2,000,000 each year in fiscal years 2015
and 2016 is from the general fund for
local projects that focus on services for
subgroups within the MFIP caseload
who are experiencing poor employment
outcomes. These are onetime appropriations.
Unexpended funds for fiscal year 2015 do not
cancel, but are available to the commissioner
for this purpose in fiscal year 2016.

Home Visiting Collaborations for MFIP
Teen Parents. $200,000 per year in fiscal
years 2014 and 2015 is from the general fund
and $200,000 in fiscal year 2016 is from the
federal TANF fund for technical assistance
and training to support local collaborations
that provide home visiting services for
MFIP teen parents. The general fund
appropriation is onetime. The federal TANF
fund appropriation is added to the base.

Performance Bonus Funds for Counties.
The TANF fund base is increased by
$1,500,000 each year in fiscal years 2016
and 2017. The commissioner must allocate
this amount each year to counties that exceed
their expected range of performance on the
annualized three-year self-support index
as defined in Minnesota Statutes, section
256J.751, subdivision 2, clause (6). This is a
permanent base adjustment. Notwithstanding
any contrary provisions in this article, this
provision expires June 30, 2016.

Base Adjustment. The general fund base is
decreased by $200,000 in fiscal year 2016
and $4,618,000 in fiscal year 2017. The
TANF fund base is increased by $1,700,000
in fiscal years 2016 and 2017.

(b) Basic Sliding Fee Child Care Assistance Grants

36,836,000

42,318,000

Base Adjustment. The general fund base is
increased by $3,778,000 in fiscal year 2016
and by $3,849,000 in fiscal year 2017.

(c) Child Care Development Grants

1,612,000

1,737,000

(d) Child Support Enforcement Grants

50,000

50,000

Federal Child Support Demonstration
Grants. Federal administrative
reimbursement resulting from the federal
child support grant expenditures authorized
under United States Code, title 42, section
1315, is appropriated to the commissioner
for this activity.

(e) Children's Services Grants

Appropriations by Fund
General	49,760,000	52,961,000
Federal TANF	140,000	140,000

Adoption Assistance and Relative Custody
Assistance. deleted text begin $37,453,000 deleted text end new text begin $36,456,000
new text end in fiscal year 2014 and deleted text begin $37,453,000
deleted text end new text begin $36,855,000 new text end in fiscal year 2015 is for the
adoption assistance and relative custody
assistance programs. The commissioner
shall determine with the commissioner of
Minnesota Management and Budget the
appropriation for Northstar Care for Children
effective January 1, 2015. The commissioner
may transfer appropriations for adoption
assistance, relative custody assistance, and
Northstar Care for Children between fiscal
years and among programs to adjust for
transfers across the programs.

Title IV-E Adoption Assistance. Additional
federal reimbursements to the state as a result
of the Fostering Connections to Success
and Increasing Adoptions Act's expanded
eligibility for Title IV-E adoption assistance
are appropriated for postadoption services,
including a parent-to-parent support network.

Privatized Adoption Grants. Federal
reimbursement for privatized adoption grant
and foster care recruitment grant expenditures
is appropriated to the commissioner for
adoption grants and foster care and adoption
administrative purposes.

Adoption Assistance Incentive Grants.
Federal funds available during fiscal years
2014 and 2015 for adoption incentive grants
are appropriated for postadoption services,
including a parent-to-parent support network.

Base Adjustment. The general fund base is
increased by $5,913,000 in fiscal year 2016
and by $10,297,000 in fiscal year 2017.

(f) Child and Community Service Grants

53,301,000

53,301,000

(g) Child and Economic Support Grants

21,047,000

20,848,000

Minnesota Food Assistance Program.
Unexpended funds for the Minnesota food
assistance program for fiscal year 2014 do
not cancel but are available for this purpose
in fiscal year 2015.

Transitional Housing. $250,000 each year
is for the transitional housing programs under
Minnesota Statutes, section 256E.33.

Emergency Services. $250,000 each year
is for emergency services grants under
Minnesota Statutes, section 256E.36.

Family Assets for Independence. $250,000
each year is for the Family Assets for
Independence Minnesota program. This
appropriation is available in either year of the
biennium and may be transferred between
fiscal years.

Food Shelf Programs. $375,000 in fiscal
year 2014 and $375,000 in fiscal year
2015 are for food shelf programs under
Minnesota Statutes, section 256E.34. If the
appropriation for either year is insufficient,
the appropriation for the other year is
available for it. Notwithstanding Minnesota
Statutes, section 256E.34, subdivision 4, no
portion of this appropriation may be used
by Hunger Solutions for its administrative
expenses, including but not limited to rent
and salaries.

Homeless Youth Act. $2,000,000 in fiscal
year 2014 and $2,000,000 in fiscal year 2015
is for purposes of Minnesota Statutes, section
256K.45.

Safe Harbor Shelter and Housing.
$500,000 in fiscal year 2014 and $500,000 in
fiscal year 2015 is for a safe harbor shelter
and housing fund for housing and supportive
services for youth who are sexually exploited.

new text begin new text begin High-risk adults. new text end $200,000 in fiscal
year 2014 is for a grant to the nonprofit
organization selected to administer the
demonstration project for high-risk adults
under Laws 2007, chapter 54, article 1,
section 19, in order to complete the project.
This is a onetime appropriation.
new text end

(h) Health Care Grants

Appropriations by Fund
General	190,000	190,000
Health Care Access	190,000	190,000

Emergency Medical Assistance Referral
and Assistance Grants. (a) The
commissioner of human services shall
award grants to nonprofit programs that
provide immigration legal services based
on indigency to provide legal services for
immigration assistance to individuals with
emergency medical conditions or complex
and chronic health conditions who are not
currently eligible for medical assistance
or other public health care programs, but
who may meet eligibility requirements with
immigration assistance.

(b) The grantees, in collaboration with
hospitals and safety net providers, shall
provide referral assistance to connect
individuals identified in paragraph (a) with
alternative resources and services to assist in
meeting their health care needs. $100,000
is appropriated in fiscal year 2014 and
$100,000 in fiscal year 2015. This is a
onetime appropriation.

Base Adjustment. The general fund is
decreased by $100,000 in fiscal year 2016
and $100,000 in fiscal year 2017.

(i) Aging and Adult Services Grants

14,827,000

15,010,000

Base Adjustment. The general fund is
increased by $1,150,000 in fiscal year 2016
and $1,151,000 in fiscal year 2017.

Community Service Development
Grants and Community Services Grants.
Community service development grants and
community services grants are reduced by
$1,150,000 each year. This is a onetime
reduction.

(j) Deaf and Hard-of-Hearing Grants

1,771,000

1,785,000

(k) Disabilities Grants

18,605,000

18,823,000

Advocating Change Together. $310,000 in
fiscal year 2014 is for a grant to Advocating
Change Together (ACT) to maintain and
promote services for persons with intellectual
and developmental disabilities throughout
the state. This appropriation is onetime. Of
this appropriation:

(1) $120,000 is for direct costs associated
with the delivery and evaluation of
peer-to-peer training programs administered
throughout the state, focusing on education,
employment, housing, transportation, and
voting;

(2) $100,000 is for delivery of statewide
conferences focusing on leadership and
skill development within the disability
community; and

(3) $90,000 is for administrative and general
operating costs associated with managing
or maintaining facilities, program delivery,
staff, and technology.

Base Adjustment. The general fund base
is increased by $535,000 in fiscal year 2016
and by $709,000 in fiscal year 2017.

(l) Adult Mental Health Grants

Appropriations by Fund
General	71,199,000	69,530,000
Health Care Access	750,000	750,000
Lottery Prize	1,733,000	1,733,000

Problem Gambling. $225,000 in fiscal year
2014 and $225,000 in fiscal year 2015 is
appropriated from the lottery prize fund for a
grant to the state affiliate recognized by the
National Council on Problem Gambling. The
affiliate must provide services to increase
public awareness of problem gambling,
education and training for individuals and
organizations providing effective treatment
services to problem gamblers and their
families, and research relating to problem
gambling.

Funding Usage. Up to 75 percent of a fiscal
year's appropriations for adult mental health
grants may be used to fund allocations in that
portion of the fiscal year ending December
31.

Base Adjustment. The general fund base is
decreased by $4,427,000 in fiscal years 2016
and 2017.

Mental Health Pilot Project. $230,000
each year is for a grant to the Zumbro
Valley Mental Health Center. The grant
shall be used to implement a pilot project
to test an integrated behavioral health care
coordination model. The grant recipient must
report measurable outcomes and savings
to the commissioner of human services
by January 15, 2016. This is a onetime
appropriation.

deleted text begin High-risk adults. deleted text end deleted text begin $200,000 in fiscal
year 2014 is for a grant to the nonprofit
organization selected to administer the
demonstration project for high-risk adults
under Laws 2007, chapter 54, article 1,
section 19, in order to complete the project.
This is a onetime appropriation.
deleted text end

(m) Child Mental Health Grants

18,246,000

20,636,000

Text Message Suicide Prevention
Program. $625,000 in fiscal year 2014 and
$625,000 in fiscal year 2015 is for a grant
to a nonprofit organization to establish and
implement a statewide text message suicide
prevention program. The program shall
implement a suicide prevention counseling
text line designed to use text messaging to
connect with crisis counselors and to obtain
emergency information and referrals to
local resources in the local community. The
program shall include training within schools
and communities to encourage the use of the
program.

Mental Health First Aid Training. $22,000
in fiscal year 2014 and $23,000 in fiscal
year 2015 is to train teachers, social service
personnel, law enforcement, and others who
come into contact with children with mental
illnesses, in children and adolescents mental
health first aid training.

Funding Usage. Up to 75 percent of a fiscal
year's appropriation for child mental health
grants may be used to fund allocations in that
portion of the fiscal year ending December
31.

(n) CD Treatment Support Grants

1,816,000

1,816,000

SBIRT Training. (1) $300,000 each year is
for grants to train primary care clinicians to
provide substance abuse brief intervention
and referral to treatment (SBIRT). This is a
onetime appropriation. The commissioner of
human services shall apply to SAMHSA for
an SBIRT professional training grant.

(2) If the commissioner of human services
receives a grant under clause (1) funds
appropriated under this clause, equal to
the grant amount, up to the available
appropriation, shall be transferred to the
Minnesota Organization on Fetal Alcohol
Syndrome (MOFAS). MOFAS must use
the funds for grants. Grant recipients must
be selected from communities that are
not currently served by federal Substance
Abuse Prevention and Treatment Block
Grant funds. Grant money must be used to
reduce the rates of fetal alcohol syndrome
and fetal alcohol effects, and the number of
drug-exposed infants. Grant money may be
used for prevention and intervention services
and programs, including, but not limited to,
community grants, professional eduction,
public awareness, and diagnosis.

Fetal Alcohol Syndrome Grant. $180,000
each year from the general fund is for a
grant to the Minnesota Organization on Fetal
Alcohol Syndrome (MOFAS) to support
nonprofit Fetal Alcohol Spectrum Disorders
(FASD) outreach prevention programs
in Olmsted County. This is a onetime
appropriation.

Base Adjustment. The general fund base is
decreased by $480,000 in fiscal year 2016
and $480,000 in fiscal year 2017.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2013.
new text end

Sec. 4.

Laws 2013, chapter 108, article 14, section 3, subdivision 1, is amended to read:

Subdivision 1. Total Appropriation

$

deleted text begin 169,326,000 deleted text end new text begin 169,148,000 new text end

$

deleted text begin 165,531,000 deleted text end new text begin 165,256,000 new text end

Appropriations by Fund
	2014	2015
General	deleted text begin 79,476,000 deleted text end new text begin 79,451,000 new text end	deleted text begin 74,256,000 deleted text end new text begin 74,281,000 new text end
State Government Special Revenue	deleted text begin 48,094,000 deleted text end new text begin 48,241,000 new text end	50,119,000
Health Care Access	29,743,000	29,143,000
Federal TANF	11,713,000	11,713,000
deleted text begin Special Revenue deleted text end	deleted text begin 300,000 deleted text end	deleted text begin 300,000 deleted text end

The amounts that may be spent for each
purpose are specified in the following
subdivisions.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2013.
new text end

Sec. 5.

Laws 2013, chapter 108, article 14, section 3, subdivision 2, is amended to read:

Subd. 2. Health Improvement

Appropriations by Fund
General	deleted text begin 52,864,000 deleted text end new text begin 52,839,000 new text end	deleted text begin 47,644,000 deleted text end new text begin 47,669,000 new text end
State Government Special Revenue	1,033,000	1,033,000
Health Care Access	17,500,000	17,500,000
Federal TANF	11,713,000	11,713,000

Notwithstanding the cancellation requirement
in Minnesota Statutes, section 256J.02,
subdivision 6, TANF funds awarded under
Minnesota Statutes, section 145.928, during
fiscal year 2013 to grantees determined
during the application process to have limited
financial capacity, are available until June
30, 2014.

Statewide Health Improvement Program.
$17,500,000 in fiscal year 2014 and
$17,500,000 in fiscal year 2015 is from the
health care access fund for the statewide
health improvement program under
Minnesota Statutes, section 145.986. Funds
appropriated under this paragraph are
available until expended. No more than 16
percent of the SHIP budget may be used
for administration, technical assistance,
and state-level evaluation costs. The
commissioner shall incorporate strategies
for improving health outcomes and reducing
health care costs in populations over age 60
to the menu of statewide health improvement
program strategies.

Statewide Cancer Surveillance System. Of
the general fund appropriation, $350,000 in
fiscal year 2014 and $350,000 in fiscal year
2015 is to develop and implement a new
cancer reporting system under Minnesota
Statutes, sections 144.671 to 144.69. Any
information technology development or
support costs necessary for the cancer
surveillance system must be incorporated
into the agency's service level agreement and
paid to the Office of Enterprise Technology.

Minnesota Poison Information Center.
$500,000 in fiscal year 2014 and $500,000
in fiscal year 2015 from the general fund
is for regional poison information centers
according to Minnesota Statutes, section
145.93.

Support Services for Deaf and
Hard-of-Hearing. (a) $365,000 in fiscal
year 2014 and $349,000 in fiscal year 2015
are for providing support services to families
as required under Minnesota Statutes, section
144.966, subdivision 3a.

(b) $164,000 in fiscal year 2014 and $156,000
in fiscal year 2015 are for home-based
education in American Sign Language for
families with children who are deaf or have
hearing loss, as required under Minnesota
Statutes, section 144.966, subdivision 3a.

Reproductive Health Strategic Plan to
Reduce Health Disparities for Somali
Women. To the extent funds are available
for fiscal years 2014 and 2015 for grants
provided pursuant to Minnesota Statutes,
section 145.928, the commissioner
shall provide a grant to a Somali-based
organization located in the metropolitan area
to develop a reproductive health strategic
plan to eliminate reproductive health
disparities for Somali women. The plan shall
develop initiatives to provide educational
and information resources to health care
providers, community organizations, and
Somali women to ensure effective interaction
with Somali culture and western medicine
and the delivery of appropriate health care
services, and the achievement of better health
outcomes for Somali women. The plan must
engage health care providers, the Somali
community, and Somali health-centered
organizations. The commissioner shall
submit a report to the chairs and ranking
minority members of the senate and house
committees with jurisdiction over health
policy on the strategic plan developed under
this grant for eliminating reproductive health
disparities for Somali women. The report
must be submitted by February 15, 2014.

Sexual Violence Prevention. Within
available appropriations, by January 15,
2015, the commissioner must report to the
legislature on its activities to prevent sexual
violence, including activities to promote
coordination of existing state programs and
services to achieve maximum impact on
addressing the root causes of sexual violence.

Safe Harbor for Sexually Exploited
Youth. (a) $375,000 in fiscal year 2014 and
$375,000 in fiscal year 2015 are for grants
to six regional navigators under Minnesota
Statutes, section 145.4717.

(b) $100,000 in fiscal year 2014 and $100,000
in fiscal year 2015 are for the director of
child sex trafficking prevention position.

(c) $50,000 in fiscal year 2015 is for program
evaluation required under Minnesota
Statutes, section 145.4718.

TANF Appropriations. (1) $1,156,000 of
the TANF funds is appropriated each year of
the biennium to the commissioner for family
planning grants under Minnesota Statutes,
section 145.925.

(2) $3,579,000 of the TANF funds is
appropriated each year of the biennium to
the commissioner for home visiting and
nutritional services listed under Minnesota
Statutes, section 145.882, subdivision 7,
clauses (6) and (7). Funds must be distributed
to community health boards according to
Minnesota Statutes, section 145A.131,
subdivision 1.

(3) $2,000,000 of the TANF funds is
appropriated each year of the biennium to
the commissioner for decreasing racial and
ethnic disparities in infant mortality rates
under Minnesota Statutes, section 145.928,
subdivision 7.

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

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

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

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2013.
new text end

Sec. 6.

Laws 2013, chapter 108, article 14, section 3, subdivision 4, is amended to read:

Subd. 4. Health Protection

Appropriations by Fund
General	9,201,000	9,201,000
State Government Special Revenue	deleted text begin 32,633,000 deleted text end new text begin 32,780,000 new text end	32,636,000
deleted text begin Special Revenue deleted text end	deleted text begin 300,000 deleted text end	deleted text begin 300,000 deleted text end

Infectious Disease Laboratory. Of the
general fund appropriation, $200,000 in
fiscal year 2014 and $200,000 in fiscal year
2015 are to monitor infectious disease trends
and investigate infectious disease outbreaks.

Surveillance for Elevated Blood Lead
Levels. Of the general fund appropriation,
$100,000 in fiscal year 2014 and $100,000
in fiscal year 2015 are for the blood lead
surveillance system under Minnesota
Statutes, section 144.9502.

Base Level Adjustment. The state
government special revenue base is increased
by $6,000 in fiscal year 2016 and by $13,000
in fiscal year 2017.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2013.
new text end

Sec. 7.

Laws 2013, chapter 108, article 14, section 4, subdivision 8, is amended to read:

Subd. 8. Board of Nursing Home Administrators

3,742,000

2,252,000

Administrative Services Unit - Operating
Costs. Of this appropriation, $676,000
in fiscal year 2014 and $626,000 in
fiscal year 2015 are for operating costs
of the administrative services unit. The
administrative services unit may receive
and expend reimbursements for services
performed by other agencies.

Administrative Services Unit - Volunteer
Health Care Provider Program. Of this
appropriation, $150,000 in fiscal year 2014
and $150,000 in fiscal year 2015 are to pay
for medical professional liability coverage
required under Minnesota Statutes, section
214.40.

Administrative Services Unit - Contested
Cases and Other Legal Proceedings. Of
this appropriation, $200,000 in fiscal year
2014 and $200,000 in fiscal year 2015 are
for costs of contested case hearings and other
unanticipated costs of legal proceedings
involving health-related boards funded
under this section. Upon certification of a
health-related board to the administrative
services unit that the costs will be incurred
and that there is insufficient money available
to pay for the costs out of money currently
available to that board, the administrative
services unit is authorized to transfer money
from this appropriation to the board for
payment of those costs with the approval
of the commissioner of management and
budget. new text begin This appropriation does not cancel
and is available until expended.
new text end

This appropriation includes $44,000 in
fiscal year 2014 for rulemaking. This is
a onetime appropriation. $1,441,000 in
fiscal year 2014 and $420,000 in fiscal year
2015 are for the development of a shared
disciplinary, regulatory, licensing, and
information management system. $391,000
in fiscal year 2014 is a onetime appropriation
for retirement costs in the health-related
boards. This funding may be transferred to
the health boards incurring retirement costs.
These funds are available either year of the
biennium.

This appropriation includes $16,000 in fiscal
years 2014 and 2015 for evening security,
$2,000 in fiscal years 2014 and 2015 for a
state vehicle lease, and $18,000 in fiscal
years 2014 and 2015 for shared office space
and administrative support. $205,000 in
fiscal year 2014 and $221,000 in fiscal year
2015 are for shared information technology
services, equipment, and maintenance.

The remaining balance of the state
government special revenue fund
appropriation in Laws 2011, First Special
Session chapter 9, article 10, section 8,
subdivision 8, for Board of Nursing Home
Administrators rulemaking, estimated to
be $44,000, is canceled, and the remaining
balance of the state government special
revenue fund appropriation in Laws 2011,
First Special Session chapter 9, article 10,
section 8, subdivision 8, for electronic
licensing system adaptors, estimated to be
$761,000, and for the development and
implementation of a disciplinary, regulatory,
licensing, and information management
system, estimated to be $1,100,000, are
canceled. This paragraph is effective the day
following final enactment.

Base Adjustment. The base is decreased by
$370,000 in fiscal years 2016 and 2017.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2013.
new text end

Sec. 8.

Laws 2013, chapter 108, article 14, section 12, is amended to read:

Sec. 12. APPROPRIATION ADJUSTMENTS.

(a) The general fund appropriation in section 2, subdivision 5, paragraph (g),
includes up to $53,391,000 in fiscal year 2014; $216,637,000 in fiscal year 2015;
$261,660,000 in fiscal year 2016; and $279,984,000 in fiscal year 2017, for medical
assistance eligibility and administration changes related to:

(1) eligibility for children age two to 18 with income up to 275 percent of the federal
poverty guidelines;

(2) eligibility for pregnant women with income up to 275 percent of the federal
poverty guidelines;

(3) Affordable Care Act enrollment and renewal processes, including elimination
of six-month renewals, ex parte eligibility reviews, preprinted renewal forms, changes
in verification requirements, and other changes in the eligibility determination and
enrollment and renewal process;

(4) automatic eligibility for children who turn 18 in foster care until they reach age 26;

(5) eligibility related to spousal impoverishment provisions for waiver recipients; and

(6) presumptive eligibility determinations by hospitals.

(b) the commissioner of human services shall determine the difference between the
actual or deleted text begin forecasted deleted text end new text begin estimated new text end costs to the medical assistance program attributable to
the program changes in paragraph (a), clauses (1) to (6), and the costs of paragraph (a),
clauses (1) to (6), that were estimated during the 2013 legislative session based on data
from the 2013 February forecast. deleted text begin The costs in this paragraph must be calculated between
January 1, 2014, and June 30, 2017.
deleted text end

(c) For each fiscal year from 2014 to 2017, the commissioner of human services
shall certify the actual or deleted text begin forecasted deleted text end new text begin estimated new text end cost differences to the medical assistance
program determined under paragraph (b), and report the difference in costs to the
commissioner of management and budget at least four weeks prior to a forecast under
Minnesota Statutes, section 16A.103. deleted text begin No later than three weeks before the release of
the forecast deleted text end new text begin For fiscal years 2014 to 2017, forecasts new text end under Minnesota Statutes, section
16A.103, new text begin prepared by new text end the commissioner of management and budget shall deleted text begin reduce deleted text end new text begin include
actual or estimated adjustments to new text end the health care access fund appropriation in section
2, subdivision 5, paragraph (g), deleted text begin by the cumulative difference in costs determined in
deleted text end new text begin according to new text end paragraph deleted text begin (b) deleted text end new text begin (d) new text end . deleted text begin If for any fiscal year, the amount of the cumulative cost
differences determined under paragraph (b) is positive, no adjustment shall be made to the
health care access fund appropriation. If for any fiscal year, the amount of the cumulative
cost differences determined under paragraph (b) is less than the original appropriation, the
appropriation for that fiscal year is zero.
deleted text end

(d) new text begin For each fiscal year from 2014 to 2017, the commissioner of management and
budget must adjust the health care access fund appropriation by the cumulative difference
in costs reported by the commissioner of human services under paragraph (b). If, for any
fiscal year, the amount of the cumulative difference in costs determined under paragraph
(b) is positive, no adjustment shall be made to the health care access fund appropriation.
new text end

new text begin (e) new text end This section expires on January 1, 2018.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2013.
new text end