SF 2895

as introduced - 81st Legislature (1999 - 2000) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act 
  1.2             relating to health; modifying maternal and child 
  1.3             health provisions; amending Minnesota Statutes 1998, 
  1.4             sections 145.881, subdivision 2; 145.882, subdivision 
  1.5             7, and by adding a subdivision; and 145.885, 
  1.6             subdivision 2; repealing Minnesota Statutes 1998, 
  1.7             section 145.882, subdivisions 3 and 4. 
  1.8   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.9      Section 1.  Minnesota Statutes 1998, section 145.881, 
  1.10  subdivision 2, is amended to read: 
  1.11     Subd. 2.  [DUTIES.] The advisory task force shall meet on a 
  1.12  regular basis to perform the following duties:  
  1.13     (a) review and report on the health care needs of mothers 
  1.14  and children throughout the state of Minnesota; 
  1.15     (b) review and report on the type, frequency and impact of 
  1.16  maternal and child health care services provided to mothers and 
  1.17  children under existing maternal and child health care programs, 
  1.18  including programs administered by the commissioner of health; 
  1.19     (c) establish, review, and report to the commissioner a 
  1.20  list of program guidelines and criteria which the advisory task 
  1.21  force considers essential to providing an effective maternal and 
  1.22  child health care program to low income populations and high 
  1.23  risk persons and fulfilling the purposes defined in section 
  1.24  145.88; 
  1.25     (d) review staff recommendations of the department of 
  1.26  health regarding maternal and child health grant awards before 
  2.1   the awards are made; 
  2.2      (e) make recommendations to the commissioner for the use of 
  2.3   other federal and state funds available to meet maternal and 
  2.4   child health needs; 
  2.5      (f) make recommendations to the commissioner of health on 
  2.6   priorities for funding the following maternal and child health 
  2.7   services:  (1) prenatal, delivery and postpartum care, (2) 
  2.8   comprehensive health care for children, especially from birth 
  2.9   through five years of age, (3) adolescent health services, (4) 
  2.10  family planning services, (5) preventive dental care, (6) 
  2.11  special services for chronically ill and handicapped children 
  2.12  and (7) any other services which promote the health of mothers 
  2.13  and children; and 
  2.14     (g) make recommendations to the commissioner of health on 
  2.15  the process to distribute, award and administer the maternal and 
  2.16  child health block grant funds; and 
  2.17     (h) review the measures that are used to define the 
  2.18  variables of the funding distribution formula in section 
  2.19  145.882, subdivision 4a, every two years and make 
  2.20  recommendations to the commissioner of health for changes based 
  2.21  upon principles established by the advisory task force for this 
  2.22  purpose.  
  2.23     Sec. 2.  Minnesota Statutes 1998, section 145.882, is 
  2.24  amended by adding a subdivision to read: 
  2.25     Subd. 4a.  [ALLOCATION TO COMMUNITY HEALTH BOARDS.] (a) 
  2.26  Federal maternal and child health block grant money remaining 
  2.27  after distributions made under subdivision 2 and money 
  2.28  appropriated for allocation to community health boards must be 
  2.29  allocated according to paragraphs (b) to (d) to community health 
  2.30  boards as defined in section 145A.02, subdivision 5. 
  2.31     (b) All community health boards must receive 95 percent of 
  2.32  the funding awarded to them for the 1998-1999 funding cycle.  If 
  2.33  the amount of state and federal funding available is less than 
  2.34  95 percent of the amount awarded to community health boards for 
  2.35  the 1998-1999 funding cycle, the available funding must be 
  2.36  apportioned to reflect a proportional decrease for each 
  3.1   recipient. 
  3.2      (c) The federal and state funding remaining after 
  3.3   distributions made under paragraph (b) must be allocated to each 
  3.4   community health board based on the following three variables: 
  3.5      (1) 25 percent based on the maternal and child population 
  3.6   in the area served by the community health board; 
  3.7      (2) 50 percent based on the health risk factors of the 
  3.8   maternal and child population in the area served by the 
  3.9   community health board; and 
  3.10     (3) 25 percent based on the income of the maternal and 
  3.11  child population in the area served by the community health 
  3.12  board. 
  3.13     (d) Each variable must be expressed as a city or county 
  3.14  score consisting of the city or county frequency of each 
  3.15  variable divided by the statewide frequency of the variable.  A 
  3.16  total score for each city or county jurisdiction must be 
  3.17  computed by totaling the scores of the three factors.  Each 
  3.18  community health board must be allocated an amount equal to the 
  3.19  total score obtained for the city, county, or counties in its 
  3.20  area multiplied by the amount of money available. 
  3.21     Sec. 3.  Minnesota Statutes 1998, section 145.882, 
  3.22  subdivision 7, is amended to read: 
  3.23     Subd. 7.  [USE OF BLOCK GRANT MONEY.] (a) Maternal and 
  3.24  child health block grant money allocated to a community health 
  3.25  board or community health services area under this section must 
  3.26  be used for qualified programs for high risk and low-income 
  3.27  individuals.  Block grant money must be used for programs that: 
  3.28     (1) specifically address the highest risk populations, 
  3.29  particularly low-income and minority groups with a high rate of 
  3.30  infant mortality and children with low birth weight, by 
  3.31  providing services, including prepregnancy family planning 
  3.32  services, calculated to produce measurable decreases in infant 
  3.33  mortality rates, instances of children with low birth weight, 
  3.34  and medical complications associated with pregnancy and 
  3.35  childbirth, including infant mortality, low birth rates, and 
  3.36  medical complications arising from chemical abuse by a mother 
  4.1   during pregnancy; 
  4.2      (2) specifically target pregnant women whose age, medical 
  4.3   condition, maternal history, or chemical abuse substantially 
  4.4   increases the likelihood of complications associated with 
  4.5   pregnancy and childbirth or the birth of a child with an 
  4.6   illness, disability, or special medical needs; 
  4.7      (3) specifically address the health needs of young children 
  4.8   who have or are likely to have a chronic disease or disability 
  4.9   or special medical needs, including physical, neurological, 
  4.10  emotional, and developmental problems that arise from chemical 
  4.11  abuse by a mother during pregnancy; 
  4.12     (4) provide family planning and preventive medical care for 
  4.13  specifically identified target populations, such as minority and 
  4.14  low-income teenagers, in a manner calculated to decrease the 
  4.15  occurrence of inappropriate pregnancy and minimize the risk of 
  4.16  complications associated with pregnancy and childbirth; or 
  4.17     (5) specifically address the frequency and severity of 
  4.18  childhood injuries in high risk target populations by providing 
  4.19  services calculated to produce measurable decreases in mortality 
  4.20  and morbidity.  However, money may be used for this purpose only 
  4.21  if the community health board's application includes program 
  4.22  components for the purposes in clauses (1) to (4) in the 
  4.23  proposed geographic service area and the total expenditure for 
  4.24  injury-related programs under this clause does not exceed ten 
  4.25  percent of the total allocation under subdivision 3. 
  4.26     (b) Maternal and child health block grant money may be used 
  4.27  for purposes other than the purposes listed in this subdivision 
  4.28  only under the following conditions:  
  4.29     (1) the community health board or community health services 
  4.30  area can demonstrate that existing programs fully address the 
  4.31  needs of the highest risk target populations described in this 
  4.32  subdivision; or 
  4.33     (2) the money is used to continue projects that received 
  4.34  funding before creation of the maternal and child health block 
  4.35  grant in 1981. 
  4.36     (c) Projects that received funding before creation of the 
  5.1   maternal and child health block grant in 1981, must be allocated 
  5.2   at least the amount of maternal and child health special project 
  5.3   grant funds received in 1989, unless (1) the local board of 
  5.4   health provides equivalent alternative funding for the project 
  5.5   from another source; or (2) the local board of health 
  5.6   demonstrates that the need for the specific services provided by 
  5.7   the project has significantly decreased as a result of changes 
  5.8   in the demographic characteristics of the population, or other 
  5.9   factors that have a major impact on the demand for services.  If 
  5.10  the amount of federal funding to the state for the maternal and 
  5.11  child health block grant is decreased, these projects must 
  5.12  receive a proportional decrease as required in subdivision 1.  
  5.13  Increases in allocation amounts to local boards of health under 
  5.14  subdivision 4 may be used to increase funding levels for these 
  5.15  projects may be continued at the discretion of the community 
  5.16  health board. 
  5.17     Sec. 4.  Minnesota Statutes 1998, section 145.885, 
  5.18  subdivision 2, is amended to read: 
  5.19     Subd. 2.  [ADDITIONAL REQUIREMENTS FOR COMMUNITY BOARDS OF 
  5.20  HEALTH.] Applications by community health boards as defined in 
  5.21  section 145A.02, subdivision 5, under section 145.882, 
  5.22  subdivision 3 4a, must also contain a summary of the process 
  5.23  used to develop the local program, including evidence that the 
  5.24  community health board notified local public and private 
  5.25  providers of the availability of funding through the community 
  5.26  health board for maternal and child health services; a list of 
  5.27  all public and private agency requests for grants submitted to 
  5.28  the community health board indicating which requests were 
  5.29  included in the grant application; and an explanation of how 
  5.30  priorities were established for selecting the requests to be 
  5.31  included in the grant application.  The community health board 
  5.32  shall include, with the grant application, a written statement 
  5.33  of the criteria to be applied to public and private agency 
  5.34  requests for funding. 
  5.35     Sec. 5.  [REPEALER.] 
  5.36     Minnesota Statutes 1998, section 145.882, subdivisions 3 
  6.1   and 4, are repealed.