as introduced - 90th Legislature (2017 - 2018) Posted on 03/10/2017 03:35pm
A bill for an act
relating to health and human services; adding advanced practice registered nurses
and physician assistants to certain statutes; amending Minnesota Statutes 2016,
sections 62Q.56, subdivision 1a; 144.213, subdivision 1; 144.441, subdivision 3;
145.7131; 145.867, subdivision 2; 252A.21, subdivision 2; 256.9365, subdivision
2; 256B.056, subdivision 2; 256B.057, subdivision 9; 256B.0575, subdivision 1;
256B.0625, subdivision 2; 256B.0653, subdivision 4; 256B.15, subdivision 1a;
256D.44, subdivisions 4, 5; 256R.04, subdivision 6; 514.981, subdivision 2;
626.556, subdivision 11d.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Minnesota Statutes 2016, section 62Q.56, subdivision 1a, is amended to read:
(a) If the contract
termination was not for cause and the contract was terminated by the health plan company,
the health plan company must provide the terminated provider and all enrollees being treated
by that provider with notification of the enrollees' rights to continuity of care with the
(b) The health plan company must provide, upon request, authorization to receive services
that are otherwise covered under the terms of the health plan through the enrollee's current
(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 beyond the first trimester of pregnancy;
(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 physiciannew text beginnew text endcertifies that the enrollee has an expected lifetime of 180 days or less.
For all requests for authorization to receive services under this paragraph, the health plan
company must grant the request unless the enrollee does not meet the criteria provided in
(c) 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 enrollees who
request continuity of care with their former provider, if the 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
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.
Minnesota Statutes 2016, section 144.213, subdivision 1, is amended to read:
shall establish an Office of Vital Records under the supervision of the state registrar. The
commissioner shall promulgate rules for the collection, filing, and registering of vital records
information by the state registrar, physicians, new text beginnew text endmorticians, and others. Except as otherwise provided in sections 144.211 to
144.227, rules previously promulgated by the commissioner relating to the collection, filing
and registering of vital records shall remain in effect until repealed, modified or superseded
by a rule promulgated by the commissioner.
Minnesota Statutes 2016, section 144.441, subdivision 3, is amended to read:
As determined by the commissioner under subdivision
2, no person may enroll or remain enrolled in any school which the commissioner has
designated under subdivision 2 until the person has submitted to the administrator or other
person having general control and supervision of the school, one of the following statements:
(1) a statement from a physiciannew text beginnew text end
or public clinic stating that the person has had a negative Mantoux test reaction within the
past year, provided that the person has no symptoms suggestive of tuberculosis or evidence
of a new exposure to active tuberculosis;
(2) a statement from a physiciannew text beginnew text end
or public clinic stating that a person who has a positive Mantoux test reaction has had a
negative chest roentgenogram (X-ray) for tuberculosis within the past year, provided that
the person has no symptoms suggestive of tuberculosis or evidence of a new exposure to
(3) a statement from a physiciannew text beginnew text end
or public health clinic stating that the person (i) has a history of adequately treated active
tuberculosis; (ii) is currently receiving tuberculosis preventive therapy; (iii) is currently
undergoing therapy for active tuberculosis and the person's presence in a school building
will not endanger the health of other people; or (iv) has completed a course of tuberculosis
preventive therapy or was intolerant to preventive therapy, provided the person has no
symptoms suggestive of tuberculosis or evidence of a new exposure to active tuberculosis;
(4) a notarized statement signed by the minor child's parent or guardian or by the
emancipated person stating that the person has not submitted the proof of tuberculosis
screening as required by this subdivision because of the conscientiously held beliefs of the
parent or guardian of the minor child or of the emancipated person. This statement must be
forwarded to the commissioner.
Minnesota Statutes 2016, section 145.7131, is amended to read:
Notwithstanding any practice to the contrary, in an emergency situation or in the case
of lost glasses, an optometrist deleted text beginordeleted text endnew text beginnew text end physiciannew text beginnew text end may authorize a new pair of prescription eyeglasses using the prescription from
the old lenses or the last prescription available.
Minnesota Statutes 2016, section 145.867, subdivision 2, is amended to read:
of health shall make special diet identification cards available to physiciansnew text beginnew text end and deleted text begintodeleted text end persons with diabetes and other
conditions requiring special diets. The identification card must contain spaces for: (1) the
person's name, address, and signature; (2) the physician'snew text beginnew text end name, phone number, and signature; (3) a description of the
person's medical condition; and (4) an expiration date. The card must also contain the
following provision, in identical or substantially similar language: "The owner of this card
is exempted by the commissioner of health from prohibitions on bringing outside food and
drink into a public facility." Persons with medical conditions requiring a special diet may
ask their physiciannew text beginnew text endto fill out and
sign the card. The physiciannew text beginnew text endshall
fill out and sign the card if, in the physician'snew text beginnew text endmedical judgment, the person has a medical condition that requires a
special diet. Persons with diabetes shall be automatically assumed by physiciansnew text beginnew text endto require special diets. Special diet
identification cards shall be valid for five years. Persons with a medical condition requiring
a special diet may request a new card from their physiciannew text beginnew text endup to six months before the expiration date.
Minnesota Statutes 2016, section 252A.21, subdivision 2, is amended to read:
The commissioner shall adopt rules to implement this chapter. The rules
must include standards for performance of guardianship or conservatorship duties including,
but not limited to: twice a year visits with the ward; a requirement that the duties of
guardianship or conservatorship and case management not be performed by the same person;
specific standards for action on "do not resuscitate" ordersdeleted text begin,deleted text endnew text beginnew text end sterilization requestsdeleted text begin,deleted text endnew text beginnew text end and
the use of psychotropic medication and aversive procedures.
Minnesota Statutes 2016, section 256.9365, subdivision 2, is amended to read:
To be eligible for the program, an applicant must
satisfy the following requirements:
(1) the applicant must provide a physician'snew text beginnew text endstatement verifying that the applicant is infected with HIV and is, or
within three months is likely to become, too ill to work in the applicant's current employment
because of HIV-related disease;
(2) the applicant's monthly gross family income must not exceed 300 percent of the
federal poverty guidelines, after deducting medical expenses and insurance premiums;
(3) the applicant must not own assets with a combined value of more than $25,000; and
(4) if applying for payment of group plan premiums, the applicant must be covered by
an employer's or former employer's group insurance plan.
Minnesota Statutes 2016, section 256B.056, subdivision 2, is amended to read:
homestead shall be excluded for the first six calendar months of a person's stay in a long-term
care facility and shall continue to be excluded for as long as the recipient can be reasonably
expected to return to the homestead. For purposes of this subdivision, "reasonably expected
to return to the homestead" means the recipient's attending physiciannew text beginnew text endhas certified that the expectation is reasonable, and
the recipient can show that the cost of care upon returning home will be met through medical
assistance or other sources. The homestead shall continue to be excluded for persons residing
in a long-term care facility if it is used as a primary residence by one of the following
(1) the spouse;
(2) a child under age 21;
(3) a child of any age who is blind or permanently and totally disabled as defined in the
Supplemental Security Income program;
(4) a sibling who has equity interest in the home and who resided in the home for at least
one year immediately before the date of the person's admission to the facility; or
(5) a child of any age or a grandchild of any age who resided in the home for at least
two years immediately before the date of the person's admission to the facility, and who
provided care to the person that permitted the person to reside at home rather than in an
Minnesota Statutes 2016, section 256B.057, subdivision 9, is amended to read:
(a) Medical assistance may be paid for
a person who is employed and who:
(1) but for excess earnings or assets, meets the definition of disabled under the
Supplemental Security Income program;
(2) meets the asset limits in paragraph (d); and
(3) pays a premium and other obligations under paragraph (e).
(b) For purposes of eligibility, there is a $65 earned income disregard. To be eligible
for medical assistance under this subdivision, a person must have more than $65 of earned
income. Earned income must have Medicare, Social Security, and applicable state and
federal taxes withheld. The person must document earned income tax withholding. Any
spousal income or assets shall be disregarded for purposes of eligibility and premium
(c) After the month of enrollment, a person enrolled in medical assistance under this
(1) is temporarily unable to work and without receipt of earned income due to a medical
condition, as verified by a physiciannew text beginnew text end; or
(2) loses employment for reasons not attributable to the enrollee, and is without receipt
of earned income may retain eligibility for up to four consecutive months after the month
of job loss. To receive a four-month extension, enrollees must verify the medical condition
or provide notification of job loss. All other eligibility requirements must be met and the
enrollee must pay all calculated premium costs for continued eligibility.
(d) For purposes of determining eligibility under this subdivision, a person's assets must
not exceed $20,000, excluding:
(1) all assets excluded under section 256B.056;
(2) retirement accounts, including individual accounts, 401(k) plans, 403(b) plans, Keogh
plans, and pension plans;
(3) medical expense accounts set up through the person's employer; and
(4) spousal assets, including spouse's share of jointly held assets.
(e) All enrollees must pay a premium to be eligible for medical assistance under this
subdivision, except as provided under clause (5).
(1) An enrollee must pay the greater of a $35 premium or the premium calculated based
on the person's gross earned and unearned income and the applicable family size using a
sliding fee scale established by the commissioner, which begins at one percent of income
at 100 percent of the federal poverty guidelines and increases to 7.5 percent of income for
those with incomes at or above 300 percent of the federal poverty guidelines.
(2) Annual adjustments in the premium schedule based upon changes in the federal
poverty guidelines shall be effective for premiums due in July of each year.
(3) All enrollees who receive unearned income must pay one-half of one percent of
unearned income in addition to the premium amount, except as provided under clause (5).
(4) Increases in benefits under title II of the Social Security Act shall not be counted as
income for purposes of this subdivision until July 1 of each year.
(5) Effective July 1, 2009, American Indians are exempt from paying premiums as
required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public
Law 111-5. For purposes of this clause, an American Indian is any person who meets the
definition of Indian according to Code of Federal Regulations, title 42, section 447.50.
(f) A person's eligibility and premium shall be determined by the local county agency.
Premiums must be paid to the commissioner. All premiums are dedicated to the
(g) Any required premium shall be determined at application and redetermined at the
enrollee's six-month income review or when a change in income or household size is reported.
Enrollees must report any change in income or household size within ten days of when the
change occurs. A decreased premium resulting from a reported change in income or
household size shall be effective the first day of the next available billing month after the
change is reported. Except for changes occurring from annual cost-of-living increases, a
change resulting in an increased premium shall not affect the premium amount until the
next six-month review.
(h) Premium payment is due upon notification from the commissioner of the premium
amount required. Premiums may be paid in installments at the discretion of the commissioner.
(i) Nonpayment of the premium shall result in denial or termination of medical assistance
unless the person demonstrates good cause for nonpayment. Good cause exists if the
requirements specified in Minnesota Rules, part 9506.0040, subpart 7, items B to D, are
met. Except when an installment agreement is accepted by the commissioner, all persons
disenrolled for nonpayment of a premium must pay any past due premiums as well as current
premiums due prior to being reenrolled. Nonpayment shall include payment with a returned,
refused, or dishonored instrument. The commissioner may require a guaranteed form of
payment as the only means to replace a returned, refused, or dishonored instrument.
(j) For enrollees whose income does not exceed 200 percent of the federal poverty
guidelines and who are also enrolled in Medicare, the commissioner shall reimburse the
enrollee for Medicare part B premiums under section 256B.0625, subdivision 15, paragraph
Minnesota Statutes 2016, section 256B.0575, subdivision 1, is amended to read:
When an institutionalized person is determined
eligible for medical assistance, the income that exceeds the deductions in paragraphs (a)
and (b) must be applied to the cost of institutional care.
(a) The following amounts must be deducted from the institutionalized person's income
in the following order:
(1) the personal needs allowance under section 256B.35 or, for a veteran who does not
have a spouse or child, or a surviving spouse of a veteran having no child, the amount of
an improved pension received from the veteran's administration not exceeding $90 per
(2) the personal allowance for disabled individuals under section 256B.36;
(3) if the institutionalized person has a legally appointed guardian or conservator, five
percent of the recipient's gross monthly income up to $100 as reimbursement for guardianship
or conservatorship services;
(4) a monthly income allowance determined under section 256B.058, subdivision 2, but
only to the extent income of the institutionalized spouse is made available to the community
(5) a monthly allowance for children under age 18 which, together with the net income
of the children, would provide income equal to the medical assistance standard for families
and children according to section 256B.056, subdivision 4, for a family size that includes
only the minor children. This deduction applies only if the children do not live with the
community spouse and only to the extent that the deduction is not included in the personal
needs allowance under section 256B.35, subdivision 1, as child support garnished under a
(6) a monthly family allowance for other family members, equal to one-third of the
difference between 122 percent of the federal poverty guidelines and the monthly income
for that family member;
(7) reparations payments made by the Federal Republic of Germany and reparations
payments made by the Netherlands for victims of Nazi persecution between 1940 and 1945;
(8) all other exclusions from income for institutionalized persons as mandated by federal
(9) amounts for reasonable expenses, as specified in subdivision 2, incurred for necessary
medical or remedial care for the institutionalized person that are recognized under state law,
not medical assistance covered expenses, and not subject to payment by a third party.
For purposes of clause (6), "other family member" means a person who resides with the
community spouse and who is a minor or dependent child, dependent parent, or dependent
sibling of either spouse. "Dependent" means a person who could be claimed as a dependent
for federal income tax purposes under the Internal Revenue Code.
(b) Income shall be allocated to an institutionalized person for a period of up to three
calendar months, in an amount equal to the medical assistance standard for a family size of
(1) a physiciannew text beginnew text endcertifies that
the person is expected to reside in the long-term care facility for three calendar months or
(2) if the person has expenses of maintaining a residence in the community; and
(3) if one of the following circumstances apply:
(i) the person was not living together with a spouse or a family member as defined in
paragraph (a) when the person entered a long-term care facility; or
(ii) the person and the person's spouse become institutionalized on the same date, in
which case the allocation shall be applied to the income of one of the spouses.
For purposes of this paragraph, a person is determined to be residing in a licensed nursing
home, regional treatment center, or medical institution if the person is expected to remain
for a period of one full calendar month or more.
Minnesota Statutes 2016, section 256B.0625, subdivision 2, is amended to read:
(a) Medical assistance covers skilled
nursing home services and services of intermediate care facilities, including training and
habilitation services, as defined in section 252.41, subdivision 3, for persons with
developmental disabilities who are residing in intermediate care facilities for persons with
developmental disabilities. Medical assistance must not be used to pay the costs of nursing
care provided to a patient in a swing bed as defined in section 144.562, unless (1) the facility
in which the swing bed is located is eligible as a sole community provider, as defined in
Code of Federal Regulations, title 42, section 412.92, or the facility is a public hospital
owned by a governmental entity with 15 or fewer licensed acute care beds; (2) the Centers
for Medicare and Medicaid Services approves the necessary state plan amendments; (3) the
patient was screened as provided by law; (4) the patient no longer requires acute care
services; and (5) no nursing home beds are available within 25 miles of the facility. The
commissioner shall exempt a facility from compliance with the sole community provider
requirement in clause (1) if, as of January 1, 2004, the facility had an agreement with the
commissioner to provide medical assistance swing bed services.
(b) Medical assistance also covers up to ten days of nursing care provided to a patient
in a swing bed if: (1) the patient's physiciannew text beginnew text endcertifies that the patient has a terminal illness or condition that is likely to result
in death within 30 days and that moving the patient would not be in the best interests of the
patient and patient's family; (2) no open nursing home beds are available within 25 miles
of the facility; and (3) no open beds are available in any Medicare hospice program within
50 miles of the facility. The daily medical assistance payment for nursing care for the patient
in the swing bed is the statewide average medical assistance skilled nursing care per diem
as computed annually by the commissioner on July 1 of each year.
Minnesota Statutes 2016, section 256B.0653, subdivision 4, is amended to read:
(a) Skilled nurse visit services must be provided
by a registered nurse or a licensed practical nurse under the supervision of a registered nurse,
according to the written plan of care and accepted standards of medical and nursing practice
according to chapter 148. Skilled nurse visit services must be ordered by a physiciannew text beginnew text endand documented in a plan of care
that is reviewed and approved by the ordering physiciannew text beginnew text endat least once every 60 days. All skilled nurse visits must be medically
necessary and provided in the recipient's home residence except as allowed under section
256B.0625, subdivision 6a.
(b) Skilled nurse visits include face-to-face and telehomecare visits with a limit of up
to two visits per day per recipient. All visits must be based on assessed needs.
(c) Telehomecare skilled nurse visits are allowed when the recipient's health status can
be accurately measured and assessed without a need for a face-to-face, hands-on encounter.
All telehomecare skilled nurse visits must have authorization and are paid at the same
allowable rates as face-to-face skilled nurse visits.
(d) The provision of telehomecare must be made via live, two-way interactive audiovisual
technology and may be augmented by utilizing store-and-forward technologies. Individually
identifiable patient data obtained through real-time or store-and-forward technology must
be maintained as health records according to sections 144.291 to 144.298. If the video is
used for research, training, or other purposes unrelated to the care of the patient, the identity
of the patient must be concealed.
(e) Authorization for skilled nurse visits must be completed under section 256B.0652.
A total of nine face-to-face skilled nurse visits per calendar year do not require authorization.
All telehomecare skilled nurse visits require authorization.
Minnesota Statutes 2016, section 256B.15, subdivision 1a, is amended to read:
(a) If a person receives medical assistance hereunder,
on the person's death, if single, or on the death of the survivor of a married couple, either
or both of whom received medical assistance, or as otherwise provided for in this section,
the amount paid for medical assistance as limited under subdivision 2 for the person and
spouse shall be filed as a claim against the estate of the person or the estate of the surviving
spouse in the court having jurisdiction to probate the estate or to issue a decree of descent
according to sections 525.31 to 525.313.
(b) For the purposes of this section, the person's estate must consist of:
(1) the person's probate estate;
(2) all of the person's interests or proceeds of those interests in real property the person
owned as a life tenant or as a joint tenant with a right of survivorship at the time of the
(3) all of the person's interests or proceeds of those interests in securities the person
owned in beneficiary form as provided under sections 524.6-301 to 524.6-311 at the time
of the person's death, to the extent the interests or proceeds of those interests become part
of the probate estate under section 524.6-307;
(4) all of the person's interests in joint accounts, multiple-party accounts, and pay-on-death
accounts, brokerage accounts, investment accounts, or the proceeds of those accounts, as
provided under sections 524.6-201 to 524.6-214 at the time of the person's death to the
extent the interests become part of the probate estate under section 524.6-207; and
(5) assets conveyed to a survivor, heir, or assign of the person through survivorship,
living trust, or other arrangements.
(c) For the purpose of this section and recovery in a surviving spouse's estate for medical
assistance paid for a predeceased spouse, the estate must consist of all of the legal title and
interests the deceased individual's predeceased spouse had in jointly owned or marital
property at the time of the spouse's death, as defined in subdivision 2b, and the proceeds of
those interests, that passed to the deceased individual or another individual, a survivor, an
heir, or an assign of the predeceased spouse through a joint tenancy, tenancy in common,
survivorship, life estate, living trust, or other arrangement. A deceased recipient who, at
death, owned the property jointly with the surviving spouse shall have an interest in the
(d) For the purpose of recovery in a single person's estate or the estate of a survivor of
a married couple, "other arrangement" includes any other means by which title to all or any
part of the jointly owned or marital property or interest passed from the predeceased spouse
to another including, but not limited to, transfers between spouses which are permitted,
prohibited, or penalized for purposes of medical assistance.
(e) A claim shall be filed if medical assistance was rendered for either or both persons
under one of the following circumstances:
(1) the person was over 55 years of age, and received services under this chapter prior
to January 1, 2014;
(2) the person resided in a medical institution for six months or longer, received services
under this chapter, and, at the time of institutionalization or application for medical assistance,
whichever is later, the person could not have reasonably been expected to be discharged
and returned home, as certified in writing by the person's treating physiciannew text beginnew text end. For purposes of this section only, a "medical
institution" means a skilled nursing facility, intermediate care facility, intermediate care
facility for persons with developmental disabilities, nursing facility, or inpatient hospital;
(3) the person received general assistance medical care services under the program
formerly codified under chapter 256D; or
(4) the person was 55 years of age or older and received medical assistance services on
or after January 1, 2014, that consisted of nursing facility services, home and
community-based services, or related hospital and prescription drug benefits.
(f) The claim shall be considered an expense of the last illness of the decedent for the
purpose of section 524.3-805. Notwithstanding any law or rule to the contrary, a state or
county agency with a claim under this section must be a creditor under section 524.6-307.
Any statute of limitations that purports to limit any county agency or the state agency, or
both, to recover for medical assistance granted hereunder shall not apply to any claim made
hereunder for reimbursement for any medical assistance granted hereunder. Notice of the
claim shall be given to all heirs and devisees of the decedent, and to other persons with an
ownership interest in the real property owned by the decedent at the time of the decedent's
death, whose identity can be ascertained with reasonable diligence. The notice must include
procedures and instructions for making an application for a hardship waiver under subdivision
5; time frames for submitting an application and determination; and information regarding
appeal rights and procedures. Counties are entitled to one-half of the nonfederal share of
medical assistance collections from estates that are directly attributable to county effort.
Counties are entitled to ten percent of the collections for alternative care directly attributable
to county effort.
Minnesota Statutes 2016, section 256D.44, subdivision 4, is amended to read:
For the purposes of this subdivision, "home"
means a residence owned or rented by a recipient or the recipient's spouse. Home does not
include a group residential housing facility. Assistance payments for recipients who are
temporarily absent from their home due to hospitalization for illness must continue at the
same level of payment during their absence if the following criteria are met:
(1) a physiciannew text beginnew text endcertifies that
the absence is not expected to continue for more than three months;
(2) a physiciannew text beginnew text endcertifies that
the recipient will be able to return to independent living; and
(3) the recipient has expenses associated with maintaining a residence in the community.
Minnesota Statutes 2016, section 256D.44, subdivision 5, is amended to read:
In addition to the state standards of assistance established in
subdivisions 1 to 4, payments are allowed for the following special needs of recipients of
Minnesota supplemental aid who are not residents of a nursing home, a regional treatment
center, or a group residential housing facility.
(a) The county agency shall pay a monthly allowance for medically prescribed diets if
the cost of those additional dietary needs cannot be met through some other maintenance
benefit. The need for special diets or dietary items must be prescribed by a licensed physiciannew text beginnew text end. Costs for special diets shall be
determined as percentages of the allotment for a one-person household under the thrifty
food plan as defined by the United States Department of Agriculture. The types of diets and
the percentages of the thrifty food plan that are covered are as follows:
(1) high protein diet, at least 80 grams daily, 25 percent of thrifty food plan;
(2) controlled protein diet, 40 to 60 grams and requires special products, 100 percent of
thrifty food plan;
(3) controlled protein diet, less than 40 grams and requires special products, 125 percent
of thrifty food plan;
(4) low cholesterol diet, 25 percent of thrifty food plan;
(5) high residue diet, 20 percent of thrifty food plan;
(6) pregnancy and lactation diet, 35 percent of thrifty food plan;
(7) gluten-free diet, 25 percent of thrifty food plan;
(8) lactose-free diet, 25 percent of thrifty food plan;
(9) antidumping diet, 15 percent of thrifty food plan;
(10) hypoglycemic diet, 15 percent of thrifty food plan; or
(11) ketogenic diet, 25 percent of thrifty food plan.
(b) Payment for nonrecurring special needs must be allowed for necessary home repairs
or necessary repairs or replacement of household furniture and appliances using the payment
standard of the AFDC program in effect on July 16, 1996, for these expenses, as long as
other funding sources are not available.
(c) A fee for guardian or conservator service is allowed at a reasonable rate negotiated
by the county or approved by the court. This rate shall not exceed five percent of the
assistance unit's gross monthly income up to a maximum of $100 per month. If the guardian
or conservator is a member of the county agency staff, no fee is allowed.
(d) The county agency shall continue to pay a monthly allowance of $68 for restaurant
meals for a person who was receiving a restaurant meal allowance on June 1, 1990, and
who eats two or more meals in a restaurant daily. The allowance must continue until the
person has not received Minnesota supplemental aid for one full calendar month or until
the person's living arrangement changes and the person no longer meets the criteria for the
restaurant meal allowance, whichever occurs first.
(e) A fee of ten percent of the recipient's gross income or $25, whichever is less, is
allowed for representative payee services provided by an agency that meets the requirements
under SSI regulations to charge a fee for representative payee services. This special need
is available to all recipients of Minnesota supplemental aid regardless of their living
(f)(1) Notwithstanding the language in this subdivision, an amount equal to the maximum
allotment authorized by the federal Food Stamp Program for a single individual which is
in effect on the first day of July of each year will be added to the standards of assistance
established in subdivisions 1 to 4 for adults under the age of 65 who qualify as shelter needy
and are: (i) relocating from an institution, or an adult mental health residential treatment
program under section 256B.0622; or (ii) home and community-based waiver recipients
living in their own home or rented or leased apartment which is not owned, operated, or
controlled by a provider of service not related by blood or marriage, unless allowed under
(2) Notwithstanding subdivision 3, paragraph (c), an individual eligible for the shelter
needy benefit under this paragraph is considered a household of one. An eligible individual
who receives this benefit prior to age 65 may continue to receive the benefit after the age
(3) "Shelter needy" means that the assistance unit incurs monthly shelter costs that exceed
40 percent of the assistance unit's gross income before the application of this special needs
standard. "Gross income" for the purposes of this section is the applicant's or recipient's
income as defined in section 256D.35, subdivision 10, or the standard specified in subdivision
3, paragraph (a) or (b), whichever is greater. A recipient of a federal or state housing subsidy,
that limits shelter costs to a percentage of gross income, shall not be considered shelter
needy for purposes of this paragraph.
(g) Notwithstanding this subdivision, to access housing and services as provided in
paragraph (f), the recipient may choose housing that may be owned, operated, or controlled
by the recipient's service provider. When housing is controlled by the service provider, the
individual may choose the individual's own service provider as provided in section 256B.49,
subdivision 23, clause (3). When the housing is controlled by the service provider, the
service provider shall implement a plan with the recipient to transition the lease to the
recipient's name. Within two years of signing the initial lease, the service provider shall
transfer the lease entered into under this subdivision to the recipient. In the event the landlord
denies this transfer, the commissioner may approve an exception within sufficient time to
ensure the continued occupancy by the recipient. This paragraph expires June 30, 2016.
Minnesota Statutes 2016, section 256R.04, subdivision 6, is amended to read:
A nursing facility is not eligible to receive medical
assistance payments unless it refrains from refusing, for more than 24 hours, to accept a
resident returning to the same bed or a bed certified for the same level of care, in accordance
with a physician'snew text beginnew text endorder
authorizing transfer, after receiving inpatient hospital services.
Minnesota Statutes 2016, section 514.981, subdivision 2, is amended to read:
(a) A medical assistance lien attaches and becomes enforceable
against specific real property as of the date when the following conditions are met:
(1) payments have been made by an agency for a medical assistance benefit;
(2) notice and an opportunity for a hearing have been provided under paragraph (b);
(3) a lien notice has been filed as provided in section 514.982;
(4) if the property is registered property, the lien notice has been memorialized on the
certificate of title of the property affected by the lien notice; and
(5) all restrictions against enforcement have ceased to apply.
(b) An agency may not file a medical assistance lien notice until the medical assistance
recipient or the recipient's legal representative has been sent, by certified or registered mail,
written notice of the agency's lien rights and there has been an opportunity for a hearing
under section 256.045. In addition, the agency may not file a lien notice unless the agency
determines as medically verified by the recipient's attending physiciannew text beginnew text endthat the medical assistance recipient cannot reasonably
be expected to be discharged from a medical institution and return home.
(c) An agency may not file a medical assistance lien notice against real property while
it is the home of the recipient's spouse.
(d) An agency may not file a medical assistance lien notice against real property that
was the homestead of the medical assistance recipient or the recipient's spouse when the
medical assistance recipient received medical institution services if any of the following
persons are lawfully residing in the property:
(1) a child of the medical assistance recipient if the child is under age 21 or is blind or
permanently and totally disabled according to the Supplemental Security Income criteria;
(2) a child of the medical assistance recipient if the child resided in the homestead for
at least two years immediately before the date the medical assistance recipient received
medical institution services, and the child provided care to the medical assistance recipient
that permitted the recipient to live without medical institution services; or
(3) a sibling of the medical assistance recipient if the sibling has an equity interest in
the property and has resided in the property for at least one year immediately before the
date the medical assistance recipient began receiving medical institution services.
(e) A medical assistance lien applies only to the specific real property described in the
Minnesota Statutes 2016, section 626.556, subdivision 11d, is amended to read:
(a) The definitions in
this paragraph apply to this section.
(1) "Child fatality" means the death of a child from child abuse or neglect.
(2) "Near fatality" means a case in which a physiciannew text beginnew text enddetermines that a child is in serious or critical condition as the result
of sickness or injury caused by child abuse or neglect.
(3) "Findings and information" means a written summary described in paragraph (c) of
actions taken or services rendered by a local social services agency following receipt of a
(b) Notwithstanding any other provision of law and subject to this subdivision, a public
agency shall disclose to the public, upon request, the findings and information related to a
child fatality or near fatality if:
(1) a person is criminally charged with having caused the child fatality or near fatality;
(2) a county attorney certifies that a person would have been charged with having caused
the child fatality or near fatality but for that person's death; or
(3) a child protection investigation resulted in a determination of child abuse or neglect.
(c) Findings and information disclosed under this subdivision consist of a written
summary that includes any of the following information the agency is able to provide:
(1) the cause and circumstances regarding the child fatality or near fatality;
(2) the age and gender of the child;
(3) information on any previous reports of child abuse or neglect that are pertinent to
the abuse or neglect that led to the child fatality or near fatality;
(4) information on any previous investigations that are pertinent to the abuse or neglect
that led to the child fatality or near fatality;
(5) the results of any investigations described in clause (4);
(6) actions of and services provided by the local social services agency on behalf of a
child that are pertinent to the child abuse or neglect that led to the child fatality or near
(7) the results of any review of the state child mortality review panel, a local child
mortality review panel, a local community child protection team, or any public agency.
(d) Nothing in this subdivision authorizes access to the private data in the custody of a
local social services agency, or the disclosure to the public of the records or content of any
psychiatric, psychological, or therapeutic evaluations, or the disclosure of information that
would reveal the identities of persons who provided information related to abuse or neglect
of the child.
(e) A person whose request is denied may apply to the appropriate court for an order
compelling disclosure of all or part of the findings and information of the public agency.
The application must set forth, with reasonable particularity, factors supporting the
application. The court has jurisdiction to issue these orders. Actions under this section must
be set down for immediate hearing, and subsequent proceedings in those actions must be
given priority by the appellate courts.
(f) A public agency or its employees acting in good faith in disclosing or declining to
disclose information under this section are immune from criminal or civil liability that might
otherwise be incurred or imposed for that action.
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