SF 1766

as introduced - 86th Legislature (2009 - 2010) Posted on 02/09/2010 02:23am

A bill for an act
relating to human services; creating chemical health pilot projects; requiring
reports.

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

Section 1. new text begin STATE-COUNTY CHEMICAL HEALTH CARE HOME PILOT
PROJECT.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; purpose. new text end

new text begin There is established a state-county
chemical health care home pilot project. The purpose of the pilot project is to redesign the
structural relationship between the state and counties to promote greater accountability,
productivity, and results in the delivery of state chemical dependency services. The pilot
project must give counties authority to design and operate a new state-county governance
model for the delivery of chemical health services.
new text end

new text begin Subd. 2. new text end

new text begin Requirements. new text end

new text begin (a) The pilot projects established under this section must
meet the requirements in this subdivision.
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new text begin (b) For the purposes of this section, "county" or "counties" means either an
individual county or a voluntary multicounty entity.
new text end

new text begin (c) Counties participating in the pilot projects must develop binding agreements
with the Department of Human Services that clarifies the roles, responsibilities, and
performance outcomes of the delivery of chemical health services. These agreements
must include a:
new text end

new text begin (1) governance agreement that redefines the respective authority, powers, roles,
and responsibilities of the state and participating counties. As part of the governance
agreement, the participating counties must be held accountable for improving targeted
performance outcomes and through the use of the waivers described in paragraph (e), be
granted greater local control and flexibility to determine the most cost-effective means of
achieving those outcomes;
new text end

new text begin (2) performance agreement that defines measurable goals in key operational areas.
This agreement must identify: dependencies and requirements necessary for the state and
participating counties to maintain service outcomes; respective resource commitments;
funding or expenditure flexibilities which may include exemptions to requirements in
section 254B.02; and essential reporting and accountability measures; and
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new text begin (3) service level agreement that specifies the expectations and responsibilities of
each entity regarding administrative and information technology support required to
achieve the measurable goals as defined in the performance agreement.
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new text begin (d) Counties are responsible for meeting the outcomes, goals, and responsibilities
described in the agreements made in paragraph (c) using the payments in subdivision 4.
Counties accept any financial responsibility above and beyond those payments. Counties
may retain any funds not spent or any savings incurred as a result of these pilot projects,
so long as funds are reinvested in chemical health service delivery.
new text end

new text begin (e) In order to grant greater local control and flexibility to determine the most
cost-effective means of achieving performance outcomes, the pilot projects in this section
are exempt from any state or federal requirements on the use of consolidated chemical
dependency treatment funds.
new text end

new text begin Subd. 3. new text end

new text begin Waivers. new text end

new text begin The commissioner of human services shall seek any necessary
federal waivers to carry out this section.
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new text begin Subd. 4. new text end

new text begin Capitated payment. new text end

new text begin (a) Participating counties must be allocated funds
from the consolidated chemical dependency treatment (CCDT) fund as provided in this
subdivision.
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new text begin (b) The average of CCDT funds allocated to participating counties for calendar years
2006 through 2008 must be allocated to counties in the form of a capitated payment.
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new text begin (c) Counties are required to offset the capitated payment in paragraph (b) with
a contribution of each participating county's average of the contributed amount of
maintenance of effort for calendar years 2006 through 2008.
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new text begin (d) When managed care contracts are renegotiated, the portion of the capitated
payment earmarked for chemical dependency services must be redirected to participating
counties.
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new text begin Subd. 5. new text end

new text begin Report. new text end

new text begin Each pilot project shall report back to the legislative committees
having jurisdiction over chemical health by January 15, 2011, evaluating the effectiveness
of pilot projects, including recommendations for how to implement the pilot projects
on a statewide basis.
new text end

new text begin Subd. 6. new text end

new text begin Expiration. new text end

new text begin These pilot projects expire ......
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new text begin EFFECTIVE DATE. new text end

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