1.1 A bill for an act
1.2 relating to human services; appropriating money;
1.3 changing provisions for long-term care, health care
1.4 programs, and provisions including MA and GAMC,
1.5 MinnesotaCare, welfare reform, work first, compulsive
1.6 gambling, child welfare modifications and child
1.7 support, and regional treatment centers; providing
1.8 administrative penalties; providing for the recording
1.9 and reporting of abortion data; amending Minnesota
1.10 Statutes 1996, sections 62A.65, subdivision 5;
1.11 62D.042, subdivision 2; 62E.16; 62J.321, by adding a
1.12 subdivision; 62Q.095, subdivision 3; 144.226,
1.13 subdivision 3; 144.701, subdivisions 1, 2, and 4;
1.14 144.702, subdivisions 1, 2, and 8; 144.9501,
1.15 subdivisions 1, 17, 18, 20, 23, 30, 32, and by adding
1.16 subdivisions; 144.9502, subdivisions 3, 4, and 9;
1.17 144.9503, subdivisions 4, 6, and 7; 144.9504,
1.18 subdivisions 1, 3, 4, 5, 6, 7, 8, 9, and 10; 144.9505,
1.19 subdivisions 1, 4, and 5; 144.9506, subdivision 2;
1.20 144.9507, subdivisions 2, 3, and 4; 144.9508,
1.21 subdivisions 1, 3, 4, and by adding a subdivision;
1.22 144.9509, subdivision 2; 144.99, subdivision 1;
1.23 144A.04, subdivision 5; 144A.09, subdivision 1;
1.24 144A.44, subdivision 2; 145.11, by adding a
1.25 subdivision; 145A.15, subdivision 2; 157.15,
1.26 subdivisions 9, 12, 12a, 13, and 14; 214.03; 245.462,
1.27 subdivisions 4 and 8; 245.4871, subdivision 4;
1.28 245A.03, by adding subdivisions; 245A.035, subdivision
1.29 4; 245A.14, subdivision 4; 254A.17, subdivision 1, and
1.30 by adding a subdivision; 256.01, subdivision 12, and
1.31 by adding subdivisions; 256.014, subdivision 1;
1.32 256.969, subdivisions 16 and 17; 256B.03, subdivision
1.33 3; 256B.055, subdivision 7, and by adding a
1.34 subdivision; 256B.057, subdivision 3a, and by adding
1.35 subdivisions; 256B.0625, subdivisions 7, 17, 19a, 20,
1.36 34, 38, and by adding subdivisions; 256B.0627,
1.37 subdivision 4; 256B.0911, subdivision 4; 256B.0916;
1.38 256B.41, subdivision 1; 256B.431, subdivisions 2b, 2i,
1.39 4, 11, 22, and by adding subdivisions; 256B.501,
1.40 subdivisions 2 and 12; 256B.69, subdivision 22, and by
1.41 adding subdivisions; 256D.03, subdivision 4, and by
1.42 adding a subdivision; 256D.051, by adding a
1.43 subdivision; 256D.46, subdivision 2; 256I.04,
1.44 subdivisions 1, 3, and by adding a subdivision;
1.45 256I.05, subdivision 2; 257.42; 257.43; 259.24,
1.46 subdivision 1; 259.37, subdivision 2; 259.67,
2.1 subdivision 1; 260.011, subdivision 2; 260.141, by
2.2 adding a subdivision; 260.172, subdivision 1; 260.221,
2.3 as amended; 268.88; 268.92, subdivision 4; 609.115,
2.4 subdivision 9; and 626.556, by adding a subdivision;
2.5 Minnesota Statutes 1997 Supplement, sections 13.99, by
2.6 adding a subdivision; 60A.15, subdivision 1; 62D.11,
2.7 subdivision 1; 62J.69, subdivisions 1, 2, and by
2.8 adding subdivisions; 62J.71, subdivisions 1, 3, and 4;
2.9 62J.72, subdivision 1; 62J.75; 62Q.105, subdivision 1;
2.10 62Q.30; 103I.208, subdivision 2; 119B.01, subdivision
2.11 16; 119B.02; 123.70, subdivision 10, as amended;
2.12 144.1494, subdivision 1; 144.218, subdivision 2;
2.13 144.226, subdivision 4; 144.9504, subdivision 2;
2.14 144.9506, subdivision 1; 144A.071, subdivision 4a;
2.15 144A.4605, subdivision 4; 157.16, subdivision 3;
2.16 171.29, subdivision 2; 214.32, subdivision 1; 245A.03,
2.17 subdivision 2; 245A.04, subdivisions 3b and 3d;
2.18 245B.06, subdivision 2; 256.01, subdivision 2;
2.19 256.031, subdivision 6; 256.741, by adding a
2.20 subdivision; 256.82, subdivision 2; 256.9657,
2.21 subdivision 3; 256.9685, subdivision 1; 256.9864;
2.22 256B.04, subdivision 18; 256B.056, subdivisions 1a and
2.23 4; 256B.06, subdivision 4; 256B.062; 256B.0625,
2.24 subdivision 31a; 256B.0627, subdivisions 5 and 8;
2.25 256B.0635, by adding a subdivision; 256B.0645;
2.26 256B.0911, subdivisions 2 and 7; 256B.0913,
2.27 subdivision 14; 256B.0915, subdivisions 1d and 3;
2.28 256B.0951, by adding a subdivision; 256B.431,
2.29 subdivisions 3f and 26; 256B.433, subdivision 3a;
2.30 256B.434, subdivision 10; 256B.69, subdivisions 2 and
2.31 3a; 256B.692, subdivisions 2 and 5; 256B.77,
2.32 subdivisions 3, 7a, 10, and 12; 256D.03, subdivision
2.33 3; 256D.05, subdivision 8; 256F.05, subdivision 8;
2.34 256J.02, subdivision 4; 256J.03; 256J.08, subdivisions
2.35 11, 26, 28, 40, 60, 68, 73, 83, and by adding
2.36 subdivisions; 256J.09, subdivisions 6 and 9; 256J.11,
2.37 subdivision 2, as amended; 256J.12; 256J.14; 256J.15,
2.38 subdivision 2; 256J.20, subdivisions 2 and 3; 256J.21;
2.39 256J.24, subdivisions 1, 2, 3, 4, 7, and by adding
2.40 subdivisions; 256J.26, subdivisions 1, 2, 3, and 4;
2.41 256J.28, subdivisions 1, 2, and by adding a
2.42 subdivision; 256J.30, subdivisions 10 and 11; 256J.31,
2.43 subdivisions 5, 10, and by adding a subdivision;
2.44 256J.32, subdivisions 4, 6, and by adding a
2.45 subdivision; 256J.33, subdivisions 1 and 4; 256J.35;
2.46 256J.36; 256J.37, subdivisions 1, 2, 9, and by adding
2.47 subdivisions; 256J.38, subdivision 1; 256J.39,
2.48 subdivision 2; 256J.395; 256J.42; 256J.43; 256J.45,
2.49 subdivisions 1, 2, and by adding a subdivision;
2.50 256J.46, subdivisions 1, 2, and 2a; 256J.47,
2.51 subdivision 4; 256J.48, subdivisions 2 and 3; 256J.49,
2.52 subdivision 4; 256J.50, subdivision 5, and by adding
2.53 subdivisions; 256J.515; 256J.52, subdivision 4, and by
2.54 adding subdivisions; 256J.54, subdivisions 2, 3, 4,
2.55 and 5; 256J.55, subdivision 5; 256J.56; 256J.57,
2.56 subdivision 1; 256J.645, subdivision 3; 256J.74,
2.57 subdivision 2, and by adding a subdivision; 256K.03,
2.58 subdivision 5; 256L.01; 256L.02, subdivision 3, and by
2.59 adding a subdivision; 256L.03, subdivisions 1, 3, 4,
2.60 5, and by adding subdivisions; 256L.04, subdivisions
2.61 1, 2, 7, 8, 9, 10, and by adding subdivisions;
2.62 256L.05, subdivisions 2, 3, 4, and by adding
2.63 subdivisions; 256L.06, subdivision 3; 256L.07;
2.64 256L.09, subdivisions 2, 4, and 6; 256L.11,
2.65 subdivision 6; 256L.12, subdivision 5; 256L.15;
2.66 256L.17, by adding a subdivision; 257.071, subdivision
2.67 1d; 257.85, subdivision 5; 259.22, subdivision 4;
2.68 259.47, subdivision 3; 259.58; 259.60, subdivision 2;
2.69 260.012; 260.015, subdivisions 2a and 29; 260.161,
2.70 subdivision 2; 260.191, subdivisions 1, 1a, 3a, and
2.71 3b; 260.241, subdivision 3; and 270A.03, subdivision
3.1 5; Laws 1994, chapter 633, article 7, section 3; Laws
3.2 1997, chapter 195, section 5; chapter 203, article 4,
3.3 section 64; article 9, section 21; chapter 207,
3.4 section 7; chapter 225, article 2, section 64; and
3.5 chapter 248, section 46, as amended; proposing coding
3.6 for new law in Minnesota Statutes, chapters 62J; 62Q;
3.7 144; 145; 245; 256; 256B; 256D; and 256J; repealing
3.8 Minnesota Statutes 1996, sections 62J.685; 144.0721,
3.9 subdivision 3a; 144.491; 144.9501, subdivisions 12,
3.10 14, and 16; 144.9503, subdivisions 5, 8, and 9;
3.11 157.15, subdivision 15; 256.031, subdivisions 1, 2, 3,
3.12 and 4; 256.032; 256.033, subdivisions 2, 3, 4, 5, and
3.13 6; 256.034; 256.035; 256.036; 256.0361; 256.047;
3.14 256.0475; 256.048; and 256.049; Minnesota Statutes
3.15 1997 Supplement, sections 62D.042, subdivision 3;
3.16 144.0721, subdivision 3; 256.031, subdivisions 5 and
3.17 6; 256.033, subdivisions 1 and 1a; 256B.057,
3.18 subdivision 1a; 256B.062; 256B.0913, subdivision 15;
3.19 256J.25; 256J.28, subdivision 4; 256J.32, subdivision
3.20 5; 256J.34, subdivision 5; 256L.04, subdivisions 3, 4,
3.21 5, and 6; 256L.06, subdivisions 1 and 2; 256L.08;
3.22 256L.09, subdivision 3; 256L.13; and 256L.14; Laws
3.23 1997, chapter 85, article 1, sections 61 and 71; and
3.24 article 3, section 55.
3.25 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
3.26 ARTICLE 1
3.27 APPROPRIATIONS
3.28 Section 1. [HEALTH AND HUMAN SERVICES APPROPRIATIONS.]
3.29 The sums shown in the columns marked "APPROPRIATIONS" are
3.30 appropriated from the general fund, or any other fund named, to
3.31 the agencies and for the purposes specified in the following
3.32 sections of this article, to be available for the fiscal years
3.33 indicated for each purpose. The figures "1998" and "1999" where
3.34 used in this article, mean that the appropriation or
3.35 appropriations listed under them are available for the fiscal
3.36 year ending June 30, 1998, or June 30, 1999, respectively.
3.37 Where a dollar amount appears in parentheses, it means a
3.38 reduction of an appropriation.
3.39 SUMMARY BY FUND
3.40 APPROPRIATIONS BIENNIAL
3.41 1998 1999 TOTAL
3.42 General $ (139,959,000)$ (161,811,000)$ (301,770,000)
3.43 State Government
3.44 Special Revenue 113,000 231,000 344,000
3.45 Health Care Access
3.46 Fund (3,130,000) (14,203,000) (17,333,000)
3.47 TOTAL $ (142,976,000)$ (175,783,000)$ (318,759,000)
3.48 APPROPRIATIONS
3.49 Available for the Year
3.50 Ending June 30
4.1 1998 1999
4.2 Sec. 2. COMMISSIONER OF
4.3 HUMAN SERVICES
4.4 Subdivision 1. Total
4.5 Appropriation $ (143,089,000)$ (196,131,000)
4.6 Summary by Fund
4.7 General (139,959,000) (181,669,000)
4.8 Health Care Access (3,130,000) (14,462,000)
4.9 This appropriation is taken from the
4.10 appropriation in Laws 1997, chapter
4.11 203, article 1, section 2.
4.12 The amounts that are added to or
4.13 reduced from the appropriation for each
4.14 program are specified in the following
4.15 subdivisions.
4.16 Subd. 2. Children's Grants
4.17 -0- 1,618,000
4.18 [CRISIS NURSERY PROGRAMS.] Of this
4.19 appropriation, $200,000 in fiscal year
4.20 1999 is from the general fund to the
4.21 commissioner to contract for technical
4.22 assistance with counties and private
4.23 nonprofit agencies that are interested
4.24 in developing a crisis nursery
4.25 program. The technical assistance must
4.26 be designed to assist interested
4.27 counties in building capacity to
4.28 develop and maintain a crisis nursery
4.29 program in the county. The grant
4.30 amounts must not exceed $20,000. To be
4.31 eligible to receive a grant under this
4.32 program, the county must not have an
4.33 existing crisis nursery program and
4.34 must not be a metropolitan county, as
4.35 that term is defined in Minnesota
4.36 Statutes, section 473.121. Grants must
4.37 be distributed by award letters to
4.38 agencies demonstrating a need for
4.39 crisis nursery services and documenting
4.40 community support for these efforts.
4.41 This appropriation shall not become
4.42 part of base level funding for the
4.43 2000-2001 biennium.
4.44 [CHILDREN'S MENTAL HEALTH SERVICES.]
4.45 (a) Of this appropriation, $300,000 in
4.46 fiscal year 1999 is from the general
4.47 fund for the commissioner to award
4.48 grants to counties that have a
4.49 relatively low net tax capacity to
4.50 provide children's mental health
4.51 services to children and families
4.52 residing outside of a metropolitan
4.53 statistical area, as that term is
4.54 defined by the United States Census
4.55 Bureau. Funds shall be used to provide
4.56 services according to an individual
4.57 family community support plan as
4.58 described in Minnesota Statutes,
4.59 section 245.4881, subdivision 4. The
4.60 plan must be developed using a process
5.1 that enhances consumer empowerment.
5.2 Counties with an approved children's
5.3 mental health collaborative may
5.4 integrate funds appropriated for fiscal
5.5 years 1998 and 1999 with existing funds
5.6 to meet the needs identified in the
5.7 child's individual family community
5.8 support plan.
5.9 (b) In awarding grants to counties
5.10 under this provision, the commissioner
5.11 shall follow the process established in
5.12 Minnesota Statutes, section 245.4886,
5.13 subdivision 2. The commissioner shall
5.14 give priority for funding to counties
5.15 that continued to spend for mental
5.16 health services specified in Minnesota
5.17 Statutes, sections 245.461 to 245.486
5.18 and 245.487 to 245.4888, according to
5.19 generally accepted accounting
5.20 principles, in an amount equal to the
5.21 total expenditures shown in the
5.22 county's approved 1987 CSSA plan for
5.23 services to persons with mental illness
5.24 plus the comparable figure for
5.25 facilities licensed under Minnesota
5.26 Rules, chapter 9545, for target
5.27 populations other than mental illness
5.28 in the county's approved 1989 CSSA
5.29 plan. The commissioner shall ensure
5.30 that grant funds are not used to
5.31 replace existing funds.
5.32 [PRIMARY SUPPORT TO IMPLEMENT THE
5.33 INDIAN FAMILY PRESERVATION ACT.] For
5.34 fiscal year 1998, $100,000 of federal
5.35 funds are transferred from the state's
5.36 federal TANF block grant and added to
5.37 the state's allocation of federal Title
5.38 XX block grant funds. Notwithstanding
5.39 the provisions of Minnesota Statutes
5.40 1997 Supplement, section 256E.07, the
5.41 commissioner shall use $100,000 of the
5.42 state's Title XX block grant funds for
5.43 a grant under Minnesota Statutes,
5.44 section 257.3571, subdivision 1, to an
5.45 Indian organization licensed as an
5.46 adoption agency. The grant must be
5.47 used to provide primary support for
5.48 implementation of the Minnesota Indian
5.49 Family Preservation Act and compliance
5.50 with the Indian Child Welfare Act.
5.51 This appropriation must be used
5.52 according to the requirements of United
5.53 States Code, title 42, section
5.54 604(d)(3)(B). This appropriation is
5.55 available until June 30, 1999.
5.56 [ADOPTION ASSISTANCE CARRYFORWARD.] Of
5.57 the appropriation in Laws 1997, chapter
5.58 203, section 2, subdivision 3, for
5.59 children's grants for fiscal year 1998,
5.60 $600,000 of the amount appropriated for
5.61 the adoption assistance program is
5.62 available for the same purpose in
5.63 fiscal year 1999. The amount carried
5.64 forward shall become part of the base
5.65 for the adoption assistance program in
5.66 the 2000-2001 biennial budget.
5.67 [FAMILY PRESERVATION PROGRAM FUNDING.]
6.1 $10,200,000 is transferred in fiscal
6.2 year 1999 from the state's federal TANF
6.3 block grant to the state's federal
6.4 Title XX block grant. Notwithstanding
6.5 the provisions of Minnesota Statutes
6.6 1997 Supplement, section 256E.07, in
6.7 fiscal year 1999 the commissioner shall
6.8 transfer $10,000,000 of the state's
6.9 Title XX block grant funds to the
6.10 family preservation program under
6.11 Minnesota Statutes, chapter 256F. The
6.12 commissioner shall transfer $200,000 to
6.13 the commissioner of health for the
6.14 program under Minnesota Statutes,
6.15 section 145A.15, that funds home
6.16 visiting projects; these transferred
6.17 funds are available until expended.
6.18 The commissioners shall ensure that
6.19 money allocated to counties under this
6.20 provision must be used in accordance
6.21 with the requirements of United States
6.22 Code, title 42, section 604(d)(3)(B).
6.23 These are one-time appropriations that
6.24 shall not be added to the base for
6.25 these programs for the 2000-2001
6.26 biennial budget.
6.27 Subd. 3. Basic Health Care Grants
6.28 (97,529,000) (146,802,000)
6.29 Summary by Fund
6.30 General (94,591,000) (128,833,000)
6.31 Health Care Access (2,938,000) (17,969,000)
6.32 The amounts that may be spent from this
6.33 appropriation for each purpose are as
6.34 follows:
6.35 (a) Minnesota Care Grants
6.36 Health Care Access Fund
6.37 (2,938,000) (17,969,000)
6.38 [SUBSIDIZED FAMILY HEALTH COVERAGE.] Of
6.39 this appropriation, $500,000 from the
6.40 health care access fund in fiscal year
6.41 1999 is to implement the
6.42 employer-subsidized health coverage
6.43 program described in article 5, section
6.44 45.
6.45 (b) MA Basic Health Care Grants-
6.46 Families and Children
6.47 General (32,047,000) (65,249,000)
6.48 [FETAL ALCOHOL SYNDROME MEDICAL
6.49 ASSISTANCE FEDERAL MATCH.] The
6.50 commissioner shall claim all available
6.51 federal match under Title XIX for the
6.52 fetal alcohol syndrome/fetal alcohol
6.53 effect initiatives. Grants and
6.54 projects shall be developed which focus
6.55 treatment on community-based options
6.56 which consider the availability of
6.57 federal match.
6.58 (c) MA Basic Health Care Grants-
7.1 Elderly and Disabled
7.2 General (25,643,000) (40,952,000)
7.3 (d) General Assistance Medical Care
7.4 General (36,901,000) (22,632,000)
7.5 [PRESCRIPTION DRUG BENEFIT.] (a) If, by
7.6 September 15, 1998, federal approval is
7.7 obtained to provide a prescription drug
7.8 benefit for qualified Medicare
7.9 beneficiaries at no less than 100
7.10 percent of the federal poverty
7.11 guidelines and service-limited Medicare
7.12 beneficiaries under Minnesota Statutes,
7.13 section 256B.057, subdivision 3a, at no
7.14 less than 120 percent of federal
7.15 poverty guidelines, the commissioner of
7.16 human services shall not implement the
7.17 senior citizen drug program under
7.18 Minnesota Statutes, section 256.955,
7.19 but shall implement a drug benefit in
7.20 accordance with the approved waiver.
7.21 Upon approval of this waiver, the total
7.22 appropriation for the senior citizen
7.23 drug program under Laws 1997, chapter
7.24 225, article 7, section 2, shall be
7.25 transferred to the medical assistance
7.26 account to fund the federally approved
7.27 coverage for eligible persons for
7.28 fiscal year 1999.
7.29 (b) The commissioner may seek approval
7.30 for a higher copayment for eligible
7.31 persons above 100 percent of the
7.32 federal poverty guidelines.
7.33 (c) The commissioner shall report by
7.34 October 15, 1998, to the chairs of the
7.35 health and human services policy and
7.36 fiscal committees of the house and
7.37 senate whether the waiver referred to
7.38 in paragraph (a) has been approved and
7.39 will be implemented or whether the
7.40 state senior citizen drug program will
7.41 be implemented.
7.42 (d) If the commissioner does not
7.43 receive federal waiver approval at or
7.44 above the level of eligibility defined
7.45 in paragraph (a), the commissioner
7.46 shall implement the program under
7.47 Minnesota Statutes, section 256.955.
7.48 [HEALTH CARE ACCESS FUND TRANSFERS TO
7.49 THE GENERAL FUND.] Notwithstanding Laws
7.50 1997, chapter 203, article 1, section
7.51 2, subdivision 5, the commissioner
7.52 shall transfer funds from the health
7.53 care access fund to the general fund to
7.54 offset the projected savings to general
7.55 assistance medical care (GAMC) that
7.56 would result from the transition of
7.57 GAMC parents and adults without
7.58 children to MinnesotaCare. For fiscal
7.59 year 1998, the amount transferred from
7.60 the health care access fund to the
7.61 general fund shall be $13,700,000. The
7.62 amount of transfer for fiscal year 1999
7.63 shall be $2,659,000.
8.1 Subd. 4. Basic Health Care Management
8.2 (192,000) 2,448,000
8.3 Summary by Fund
8.4 General -0- 25,000
8.5 Health Care Access (192,000) 2,423,000
8.6 The amounts that may be spent from this
8.7 appropriation for each purpose are as
8.8 follows:
8.9 (a) Health Care Policy Administration
8.10 General -0- 25,000
8.11 Health Care Access (192,000) 354,000
8.12 [DELAY IN TRANSFERRING GAMC CLIENTS.]
8.13 Due to delaying the transfer of GAMC
8.14 clients to MinnesotaCare until January
8.15 1, 2000, $192,000 in fiscal year 1998
8.16 health care access fund administrative
8.17 funds, appropriated in Laws 1997,
8.18 chapter 225, article 7, section 2,
8.19 subdivision 1, are canceled.
8.20 [HEALTH CARE MANUAL PRODUCTION COSTS.]
8.21 For the biennium ending June 30, 1999,
8.22 the commissioner may charge a fee for
8.23 the health care manual. The difference
8.24 between the cost of producing and
8.25 distributing the department of human
8.26 services health care manual, and the
8.27 fees paid by individuals and private
8.28 entities on January 1, 1998, is
8.29 appropriated to the commissioner to
8.30 defray manual production and
8.31 distribution costs. The commissioner
8.32 must provide the health care manual to
8.33 government agencies and nonprofit
8.34 agencies serving the legal and social
8.35 service needs of clients at no cost to
8.36 those agencies.
8.37 [TRANSFER.] For fiscal years 2000 and
8.38 2001, the commissioner of finance shall
8.39 transfer from the health care access
8.40 fund to the general fund an amount to
8.41 cover the expenditures associated with
8.42 the services provided to pregnant women
8.43 and children under the age of two
8.44 enrolled in the MinnesotaCare program.
8.45 Notwithstanding section 7, this
8.46 provision expires on July 1, 2001.
8.47 [FEDERAL CONTINGENCY RESERVE LIMIT.]
8.48 Notwithstanding Minnesota Statutes,
8.49 section 16A.76, subdivision 2, the
8.50 federal contingency reserve limit shall
8.51 be reduced for fiscal years 1999, 2000,
8.52 and 2001 by the cumulative amount of
8.53 the expenditures associated with
8.54 services provided to pregnant women and
8.55 children enrolled in the MinnesotaCare
8.56 program in these fiscal years.
8.57 Notwithstanding section 7, this
8.58 provision expires on July 1, 2001.
9.1 [MINNESOTACARE OUTREACH FEDERAL
9.2 MATCHING FUNDS.] Any federal matching
9.3 funds received as a result of the
9.4 MinnesotaCare outreach activities
9.5 authorized by Laws 1997, chapter 225,
9.6 article 7, section 2, subdivision 1,
9.7 shall be deposited in the health care
9.8 access fund and dedicated to the
9.9 commissioner of human services to be
9.10 used for those outreach purposes.
9.11 (b) Health Care Operations
9.12 Health Care Access -0- 2,069,000
9.13 [MINNESOTACARE OUTREACH.] Unexpended
9.14 money in fiscal year 1998 for
9.15 MinnesotaCare outreach activities
9.16 appropriated in Laws 1997, chapter 225,
9.17 article 7, section 2, subdivision 1,
9.18 does not cancel, but is available for
9.19 those purposes in fiscal year 1999.
9.20 Subd. 5. State-Operated Services
9.21 -0- (254,000)
9.22 The amounts that may be spent from this
9.23 appropriation for each purpose are as
9.24 follows:
9.25 (a) RTC Facilities
9.26 -0- 700,000
9.27 [LEAVE LIABILITIES.] The accrued leave
9.28 liabilities of state employees
9.29 transferred to state-operated community
9.30 services programs may be paid from the
9.31 appropriation for state-operated
9.32 services in Laws 1997, chapter 203,
9.33 article 1, section 2, subdivision 7,
9.34 paragraph (a). Funds set aside for
9.35 this purpose shall not exceed the
9.36 amount of the actual leave liability
9.37 calculated as of June 30, 1999, and
9.38 shall be available until expended.
9.39 This provision is effective the day
9.40 following final enactment.
9.41 [GRAVE MARKERS.] Of the $195,000
9.42 retained by the commissioner from the
9.43 $200,000 appropriation in Laws 1997,
9.44 chapter 203, article 1, section 2,
9.45 subdivision 7, paragraph (a), for grave
9.46 markers at regional treatment centers,
9.47 $29,250 is for community organizing,
9.48 coordination, fundraising, and
9.49 administration.
9.50 [RTC BUILDING AND SPACE ANALYSIS.] Of
9.51 this appropriation, $50,000 from the
9.52 general fund in fiscal year 1999 is for
9.53 the commissioner to conduct an analysis
9.54 of surplus land and buildings on the
9.55 regional treatment center campuses and
9.56 to develop recommendations for future
9.57 utilization of this property. The
9.58 commissioner shall report to the
9.59 legislature by January 15, 1999, with
9.60 recommendations for an orderly process
10.1 to sell, lease, demolish, transfer, or
10.2 otherwise dispose of unneeded buildings
10.3 and land.
10.4 (b) State-Operated Community
10.5 Services - DD
10.6 -0- (954,000)
10.7 Subd. 6. Continuing Care and
10.8 Community Support Grants
10.9 (36,806,000) (9,289,000)
10.10 The amounts that may be spent from this
10.11 appropriation for each purpose are as
10.12 follows:
10.13 (a) Community Services Block Grants
10.14 130,000 846,000
10.15 [WILKIN COUNTY FLOOD COSTS.] Of this
10.16 appropriation, $130,000 for fiscal year
10.17 1998 is to reimburse Wilkin county for
10.18 flood-related human service and public
10.19 health costs which cannot be reimbursed
10.20 through any other source.
10.21 (b) Aging Adult Service Grants
10.22 -0- 250,000
10.23 [METROPOLITAN AREA AGENCY ON AGING.] Of
10.24 this appropriation, $100,000 in fiscal
10.25 year 1999 from the general fund is for
10.26 the commissioner for the metropolitan
10.27 area agency on aging to provide
10.28 technical support and planning services
10.29 to enable older adults to remain living
10.30 in the community. This appropriation
10.31 shall not cancel but is available until
10.32 expended.
10.33 [HOME SHARING.] Of this appropriation,
10.34 $150,000 in fiscal year 1999 is from
10.35 the general fund to the commissioner
10.36 for the home-sharing program under
10.37 Minnesota Statutes, section 256.973,
10.38 which links elderly, disabled, and
10.39 families together to share a home.
10.40 (c) Deaf and Hard-of-Hearing
10.41 Services Grants
10.42 -0- 234,000
10.43 [SERVICES FOR DEAF-BLIND PERSONS.] Of
10.44 this appropriation, $150,000 in fiscal
10.45 year 1999 is for the following:
10.46 (1) $100,000 for a grant to Deaf Blind
10.47 Services Minnesota, Inc., in order to
10.48 provide services to deaf-blind children
10.49 and their families. The services
10.50 include providing intervenors to assist
10.51 deaf-blind children in participating in
10.52 their community and providing family
10.53 education specialists to teach siblings
10.54 and parents skills to support the
10.55 deaf-blind child in the family.
11.1 (2) $50,000 is for a grant to Deaf
11.2 Blind Services Minnesota, Inc., and
11.3 Duluth Lighthouse for the Blind, Inc.,
11.4 in order to provide assistance to
11.5 deaf-blind persons who are working
11.6 toward establishing and maintaining
11.7 independence.
11.8 (d) Mental Health Grants
11.9 100,000 1,803,000
11.10 [DD CRISIS INTERVENTION PROJECT.] Of
11.11 this appropriation, $125,000 in fiscal
11.12 year 1999 is from the general fund to
11.13 the commissioner for start-up operating
11.14 and training costs for the action,
11.15 support, and prevention project of
11.16 southeastern Minnesota. This
11.17 appropriation is to provide crisis
11.18 intervention through community-based
11.19 services in the private sector to
11.20 persons with developmental disabilities
11.21 under Laws 1995, chapter 207, article
11.22 3, section 22. This appropriation
11.23 shall not become part of base level
11.24 funding for the 2000-2001 biennium.
11.25 [FLOOD COSTS.] Of this appropriation,
11.26 $100,000 for fiscal year 1998 and
11.27 $700,000 for fiscal year 1999 is to pay
11.28 for flood-related mental health
11.29 services and to reimburse mental health
11.30 centers for the cost of disruptions in
11.31 the mental health centers' other
11.32 services that were caused by diversion
11.33 of staff to flood efforts. Funding is
11.34 limited to costs for services which
11.35 cannot be reimbursed through any other
11.36 source in counties officially declared
11.37 as disaster areas.
11.38 [COMPULSIVE GAMBLING CARRYFORWARD.]
11.39 Unexpended funds appropriated to the
11.40 commissioner for compulsive gambling
11.41 programs for fiscal year 1998 do not
11.42 cancel but are available for these
11.43 purposes for fiscal year 1999.
11.44 (e) Developmental Disabilities
11.45 Support Grants
11.46 -0- 162,000
11.47 (f) Medical Assistance Long-Term
11.48 Care Waivers and Home Care
11.49 (3,936,000) (2,435,000)
11.50 [JULY 1, 1998, PROVIDER RATE INCREASE.]
11.51 (1) Effective for services rendered on
11.52 or after July 1, 1998, the commissioner
11.53 shall increase reimbursement or
11.54 allocation rates by three percent, and
11.55 county boards shall adjust provider
11.56 contracts as needed, for home and
11.57 community-based waiver services for
11.58 persons with mental retardation or
11.59 related conditions under Minnesota
11.60 Statutes, section 256B.501; home and
11.61 community-based waiver services for the
12.1 elderly under Minnesota Statutes,
12.2 section 256B.0915; waivered services
12.3 under community alternatives for
12.4 disabled individuals under Minnesota
12.5 Statutes, section 256B.49; community
12.6 alternative care waivered services
12.7 under Minnesota Statutes, section
12.8 256B.49; traumatic brain injury
12.9 waivered services under Minnesota
12.10 Statutes, section 256B.49; nursing
12.11 services and home health services under
12.12 Minnesota Statutes, section 256B.0625,
12.13 subdivision 6a; personal care services
12.14 and nursing supervision of personal
12.15 care services under Minnesota Statutes,
12.16 section 256B.0625, subdivision 19a;
12.17 private duty nursing services under
12.18 Minnesota Statutes, section 256B.0625,
12.19 subdivision 7; day training and
12.20 habilitation services for adults with
12.21 mental retardation or related
12.22 conditions under Minnesota Statutes,
12.23 sections 252.40 to 252.46; physical
12.24 therapy services under Minnesota
12.25 Statutes, sections 256B.0625,
12.26 subdivision 8, and 256D.03, subdivision
12.27 4; occupational therapy services under
12.28 Minnesota Statutes, sections 256B.0625,
12.29 subdivision 8a, and 256D.03,
12.30 subdivision 4; speech-language therapy
12.31 services under Minnesota Statutes,
12.32 section 256D.03, subdivision 4, and
12.33 Minnesota Rules, part 9505.0390;
12.34 respiratory therapy services under
12.35 Minnesota Statutes, section 256D.03,
12.36 subdivision 4, and Minnesota Rules,
12.37 part 9505.0295; dental services under
12.38 Minnesota Statutes, sections 256B.0625,
12.39 subdivision 9, and 256D.03, subdivision
12.40 4; alternative care services under
12.41 Minnesota Statutes, section 256B.0913;
12.42 adult residential program grants under
12.43 Minnesota Rules, parts 9535.2000 to
12.44 9535.3000; adult and family community
12.45 support grants under Minnesota Rules,
12.46 parts 9535.1700 to 9535.1760;
12.47 semi-independent living services under
12.48 Minnesota Statutes, section 252.275,
12.49 including SILS funding under county
12.50 social services grants formerly funded
12.51 under Minnesota Statutes, chapter 256I;
12.52 day treatment under Minnesota Rules,
12.53 part 9505.0323; the skills training
12.54 component of (a) family community
12.55 support services under Minnesota
12.56 Statutes, section 256B.0625,
12.57 subdivisions 5 and 35, (b) therapeutic
12.58 support of foster care under Minnesota
12.59 Statutes, section 256B.0625,
12.60 subdivisions 5 and 36, and (c)
12.61 home-based treatment under Minnesota
12.62 Rules, part 9505.0324; and community
12.63 support services for deaf and
12.64 hard-of-hearing adults with mental
12.65 illness who use or wish to use sign
12.66 language as their primary means of
12.67 communication.
12.68 (2) Effective January 1, 1999, the
12.69 commissioner shall increase capitation
12.70 rates in the prepaid medical assistance
13.1 program, prepaid general assistance
13.2 medical care program, and prepaid
13.3 MinnesotaCare program as appropriate to
13.4 reflect the rate increases in paragraph
13.5 (l).
13.6 (3) It is the intention of the
13.7 legislature that the compensation
13.8 packages of staff within each service
13.9 be increased by three percent.
13.10 (4) Section 7, sunset of uncodified
13.11 language, does not apply to this
13.12 provision.
13.13 (g) Medical Assistance Long-Term
13.14 Care Facilities
13.15 (24,318,000) (16,911,000)
13.16 [ICFs/MR AND NURSING FACILITY
13.17 FLOOD-RELATED REPORTING.] For the
13.18 reporting year ending December 31,
13.19 1997, for ICFs/MR that temporarily
13.20 admitted victims of the flood of 1997,
13.21 the resident days related to the
13.22 temporary placement of persons not
13.23 formally admitted who continued to be
13.24 billed under the evacuated facility's
13.25 provider number shall not be counted in
13.26 the cost report submitted to calculate
13.27 October 1, 1998, rates, and the
13.28 additional expenditures shall be
13.29 considered nonallowable.
13.30 For the reporting year ending September
13.31 30, 1997, for nursing facilities that
13.32 temporarily admitted victims of the
13.33 flood of 1997, the resident days
13.34 related to the temporary placement of
13.35 persons not formally admitted who
13.36 continued to be billed under the
13.37 evacuated facility's provider number
13.38 shall not be counted in the cost report
13.39 submitted to calculate July 1, 1998,
13.40 rates, and the additional expenditures
13.41 shall be considered nonallowable.
13.42 [ICF/MR DISALLOWANCES.] Of this
13.43 appropriation, $65,000 in fiscal year
13.44 1999 is from the general fund to the
13.45 commissioner for the purpose of
13.46 reimbursing a 12-bed ICF/MR in Stearns
13.47 county and a 12-bed ICF/MR in Sherburne
13.48 county for disallowances resulting from
13.49 field audit findings. The commissioner
13.50 shall exempt these facilities from the
13.51 provisions of Minnesota Statutes,
13.52 section 256B.501, subdivision 5b,
13.53 paragraph (d), clause (6), for the rate
13.54 years beginning October 1, 1997, and
13.55 October 1, 1998. Section 10, sunset of
13.56 uncodified language, does not apply to
13.57 this provision.
13.58 [NURSING HOME MORATORIUM EXCEPTIONS.]
13.59 Base level funding for medical
13.60 assistance long-term care facilities is
13.61 increased by $255,000 in fiscal year
13.62 2000 and by $278,000 in fiscal year
13.63 2001 for the additional medical
14.1 assistance costs of the nursing home
14.2 moratorium exceptions under Minnesota
14.3 Statutes 1997 Supplement, section
14.4 144A.071, subdivision 4a, paragraphs
14.5 (w) and (x). Notwithstanding the
14.6 provisions of section 7, sunset of
14.7 uncodified language, this provision
14.8 shall not expire.
14.9 (h) Alternative Care Grants
14.10 -0- 22,663,000
14.11 (i) Group Residential Housing
14.12 (8,782,000) (8,408,000)
14.13 [SERVICES TO DEAF PERSONS WITH MENTAL
14.14 ILLNESS.] Of this appropriation,
14.15 $65,000 in fiscal year 1999 is from the
14.16 general fund to the commissioner for a
14.17 grant to a nonprofit agency that
14.18 currently serves deaf and
14.19 hard-of-hearing adults with mental
14.20 illness through residential programs
14.21 and supported housing outreach
14.22 activities. The grant must be used to
14.23 continue or maintain community support
14.24 services for deaf and hard-of-hearing
14.25 adults with mental illness who use or
14.26 wish to use sign language as their
14.27 primary means of communication. This
14.28 appropriation is in addition to the
14.29 appropriation in Laws 1997, chapter
14.30 203, article 1, section 2, subdivision
14.31 8, paragraph (d), for a grant to this
14.32 nonprofit agency. This appropriation
14.33 shall not become part of base level
14.34 funding for the 2000-2001 biennium.
14.35 (j) Chemical Dependency
14.36 Entitlement Grants
14.37 -0- (7,893,000)
14.38 [CHEMICAL DEPENDENCY RESERVE ACCOUNT.]
14.39 For fiscal year 1999, $3,000,000 is
14.40 canceled from the chemical dependency
14.41 reserve account within the consolidated
14.42 chemical dependency treatment fund to
14.43 the general fund.
14.44 (k) Chemical Dependency
14.45 Nonentitlement Grants
14.46 -0- 400,000
14.47 [MATCHING GRANT FOR YOUTH ALCOHOL
14.48 TREATMENT.] Of this appropriation,
14.49 $400,000 in fiscal year 1999 is from
14.50 the general fund for the commissioner
14.51 to provide a grant to the board of
14.52 directors of the Minnesota Indian
14.53 Primary Residential Treatment Center,
14.54 Inc., to build a youth alcohol
14.55 treatment wing at the Mash-Ka-Wisen
14.56 Treatment Center. This appropriation
14.57 is available only if matched by a
14.58 $1,500,000 federal grant and a $100,000
14.59 grant from state Indian bands.
15.1 [MATCHING GRANT FOR PROJECT TURNABOUT.]
15.2 If money is appropriated in fiscal year
15.3 1999 to the commissioner from the
15.4 lottery prize fund, the money shall be
15.5 used to provide a grant for capital
15.6 improvements to Project Turnabout in
15.7 Granite Falls. A local match is
15.8 required before the commissioner may
15.9 release this appropriation to the
15.10 facility. The facility shall receive
15.11 state funds equal to the amount of
15.12 local matching funds provided, up to
15.13 the limit of this appropriation.
15.14 Subd. 7. Continuing Care and
15.15 Community Support Management
15.16 -0- 25,000
15.17 [REGION 10 COMMISSION CARRYOVER
15.18 AUTHORITY.] Any unspent portion of the
15.19 appropriation to the commissioner in
15.20 Laws 1997, chapter 203, article 1,
15.21 section 2, subdivision 9, for the
15.22 region 10 quality assurance commission
15.23 for fiscal year 1998 shall not cancel
15.24 but shall be available for the
15.25 commission for fiscal year 1999.
15.26 [STUDY OF DAY TRAINING CAPITAL NEEDS.]
15.27 (a) Of this appropriation, $25,000 in
15.28 fiscal year 1999 is from the general
15.29 fund to the commissioner to conduct a
15.30 study to:
15.31 (1) determine the extent to which day
15.32 training and habilitation programs have
15.33 unmet capital improvement needs;
15.34 (2) ascertain the degree to which these
15.35 unmet capital needs impact consumers of
15.36 day training and habilitation programs;
15.37 (3) determine the state's role and
15.38 responsibility in meeting the capital
15.39 improvement needs of day training and
15.40 habilitation programs; and
15.41 (4) examine the relationship among the
15.42 state, counties, and community
15.43 resources in meeting the capital
15.44 improvement needs of day training and
15.45 habilitation programs.
15.46 (b) The commissioner shall report to
15.47 the legislature by January 15, 1999,
15.48 the results of the study along with
15.49 recommendations for involving the
15.50 state, counties, and community
15.51 resources in collaborative initiatives
15.52 to assist in meeting the capital
15.53 improvement needs of day training and
15.54 habilitation programs.
15.55 (c) This appropriation shall not become
15.56 part of base level funding for the
15.57 2000-2001 biennium.
15.58 Subd. 8. Economic Support Grants
15.59 (8,562,000) (44,961,000)
16.1 The amounts that may be spent from this
16.2 appropriation for each purpose are as
16.3 follows:
16.4 (a) Assistance to Families Grants
16.5 1,173,000 (32,282,000)
16.6 [FEDERAL TANF FUNDS.] Notwithstanding
16.7 any contrary provisions of Laws 1997,
16.8 chapter 203, article 1, section 2,
16.9 subdivision 12, federal TANF block
16.10 grant funds are appropriated to the
16.11 commissioner in amounts up to
16.12 $230,200,000 in fiscal year 1998 and
16.13 $285,990,000 in fiscal year 1999.
16.14 Additional federal TANF funds may be
16.15 expended but only to the extent that an
16.16 equal amount of state funds have been
16.17 transferred to the TANF reserve under
16.18 Minnesota Statutes, section 256J.03.
16.19 [TRANSFER OF STATE MONEY FROM TANF
16.20 RESERVE.] For fiscal year 1999,
16.21 $5,416,000 is appropriated from the
16.22 state money in the TANF reserve to the
16.23 commissioner for the purposes of
16.24 funding the Minnesota food assistance
16.25 program under Minnesota Statutes,
16.26 section 256D.053, and the eligibility
16.27 of legal noncitizens who were not
16.28 Minnesota residents on March 1, 1997,
16.29 for the general assistance program
16.30 under the amendments to Minnesota
16.31 Statutes, section 256D.05, subdivision
16.32 8, in article 6.
16.33 [TRANSFER OF FEDERAL TANF FUNDS TO
16.34 CHILD CARE DEVELOPMENT FUND.] $791,000
16.35 is transferred in fiscal year 1999 from
16.36 the state's federal TANF block grant to
16.37 the state's child care development
16.38 fund, and is appropriated to the
16.39 commissioner of children, families, and
16.40 learning for the purposes of Minnesota
16.41 Statutes, section 119B.05.
16.42 [TRANSFER FROM STATE TANF RESERVE.]
16.43 Notwithstanding the provisions of
16.44 Minnesota Statutes, section 256J.03,
16.45 $7,799,000 is transferred from the
16.46 state TANF reserve account to the
16.47 general fund in fiscal year 2000.
16.48 Notwithstanding section 7, this
16.49 provision expires on July 1, 2000.
16.50 (b) Work Grants
16.51 -0- (1,000,000)
16.52 [FOOD STAMP EMPLOYMENT AND TRAINING
16.53 APPROPRIATION REDUCTION.] The
16.54 appropriation in Laws 1997, chapter
16.55 203, article 1, section 2, subdivision
16.56 10, paragraph (b), for fiscal year 1999
16.57 for work grants is reduced by
16.58 $1,000,000. This reduction shall be
16.59 taken from the fiscal year 1999
16.60 appropriation for the food stamp
16.61 employment and training program.
17.1 (c) Child Support Enforcement
17.2 -0- (1,100,000)
17.3 [CHILD SUPPORT CARRYOVER AUTHORITY.]
17.4 Any unspent portion of the
17.5 appropriation to the commissioner in
17.6 Laws 1997, chapter 203, article 1,
17.7 section 2, subdivision 10, for child
17.8 support enforcement activities for
17.9 fiscal year 1998 shall not cancel but
17.10 shall be available to the commissioner
17.11 for fiscal year 1999. The
17.12 appropriation in Laws 1997, chapter
17.13 203, article 1, section 2, subdivision
17.14 10, for child support enforcement
17.15 activities for fiscal year 1999 is
17.16 reduced by $1,100,000. This reduction
17.17 shall not reduce base level funding for
17.18 these activities for the 2000-2001
17.19 biennium.
17.20 (d) General Assistance
17.21 (6,933,000) (6,321,000)
17.22 (e) Minnesota Supplemental Aid
17.23 (2,802,000) (4,258,000)
17.24 Subd. 9. Economic Support
17.25 Management
17.26 Health Care Access -0- 1,084,000
17.27 [ASSESSMENT OF AFFORDABLE HOUSING
17.28 SUPPLY.] The commissioner of human
17.29 services shall assess the statewide
17.30 supply of affordable housing for all
17.31 MFIP-S and GA recipients, and report to
17.32 the legislature by January 15, 1999, on
17.33 the results of this assessment.
17.34 Sec. 3. COMMISSIONER OF HEALTH
17.35 Subdivision 1. Total
17.36 Appropriation -0- 20,147,000
17.37 Summary by Fund
17.38 General -0- 19,780,000
17.39 State Government
17.40 Special Revenue -0- 108,000
17.41 Health Care Access -0- 259,000
17.42 This appropriation is added to the
17.43 appropriation in Laws 1997, chapter
17.44 203, article 1, section 3.
17.45 The amounts that may be spent from this
17.46 appropriation for each program are
17.47 specified in the following subdivisions.
17.48 Subd. 2. Health Systems
17.49 and Special Populations -0- 15,459,000
17.50 Summary by Fund
17.51 General -0- 15,200,000
18.1 Health Care Access -0- 259,000
18.2 [FETAL ALCOHOL SYNDROME.] (a) Of this
18.3 appropriation, $5,000,000 in fiscal
18.4 year 1999 is from the general fund to
18.5 the commissioner for the fetal alcohol
18.6 syndrome/fetal alcohol effect (FAS/FAE)
18.7 initiatives specified in paragraphs (b)
18.8 to (k).
18.9 (b) Of the amount in paragraph (a),
18.10 $200,000 is transferred to the
18.11 commissioner of children, families, and
18.12 learning for school-based pilot
18.13 programs to identify and implement
18.14 effective educational strategies for
18.15 individuals with FAS/FAE.
18.16 (c) Of the amount in paragraph (a),
18.17 $800,000 is for the public awareness
18.18 campaign under Minnesota Statutes,
18.19 section 145.9266, subdivision 1.
18.20 (d) Of the amount in paragraph (a),
18.21 $400,000 is to develop a statewide
18.22 network of regional FAS diagnostic
18.23 clinics under Minnesota Statutes,
18.24 section 145.9266, subdivision 2.
18.25 (e) Of the amount in paragraph (a),
18.26 $150,000 is for professional training
18.27 about FAS under Minnesota Statutes,
18.28 section 145.9266, subdivision 3.
18.29 (f) Of the amount in paragraph (a),
18.30 $350,000 is for the fetal alcohol
18.31 coordinating board under Minnesota
18.32 Statutes, section 145.9266, subdivision
18.33 6.
18.34 (g) Of the amount in paragraph (a),
18.35 $800,000 is transferred to the
18.36 commissioner of human services to
18.37 expand the maternal and child health
18.38 social service programs under Minnesota
18.39 Statutes, section 254A.17, subdivision
18.40 1. Of this amount, $184,000 shall be
18.41 used by the commissioner of human
18.42 services to eliminate the asset
18.43 standards for medical assistance
18.44 eligibility for pregnant women.
18.45 (h) Of the amount in paragraph (a),
18.46 $200,000 is for the commissioner to
18.47 study the extent of fetal alcohol
18.48 syndrome in the state.
18.49 (i) Of the amount in paragraph (a),
18.50 $400,000 is transferred to the
18.51 commissioner of human services for the
18.52 intervention and advocacy program under
18.53 Minnesota Statutes, section 254A.17,
18.54 subdivision 1b.
18.55 (j) Of the amount in paragraph (a),
18.56 $850,000 is for the FAS community grant
18.57 program under Minnesota Statutes,
18.58 section 145.9266, subdivision 4.
18.59 (k) Of the amount in paragraph (a),
18.60 $850,000 is transferred to the
19.1 commissioner of human services to
19.2 expand treatment services and halfway
19.3 houses for pregnant women and women
19.4 with children who abuse alcohol during
19.5 pregnancy.
19.6 [RURAL PHYSICIAN LOAN FORGIVENESS
19.7 BUDGET REQUEST.] The budget request for
19.8 the rural physician loan forgiveness
19.9 program in the 2000-2001 biennial
19.10 budget shall detail the amount of funds
19.11 carried forward and obligations
19.12 canceled.
19.13 [CONSUMER ADVISORY BOARD.] Of the
19.14 general fund appropriation for fiscal
19.15 year 1999, $50,000 is to the
19.16 commissioner to reimburse members of
19.17 the consumer advisory board for travel,
19.18 food, and lodging expenses incurred by
19.19 board members in the course of
19.20 conducting board duties.
19.21 [MEDICAL EDUCATION AND RESEARCH TRUST
19.22 FUND.] Of the general fund
19.23 appropriation, $10,000,000 in fiscal
19.24 year 1999 is to the commissioner for
19.25 the medical education and research
19.26 trust fund. Of this amount, $5,000,000
19.27 shall become part of base level funding
19.28 for the biennium beginning July 1, 1999.
19.29 [MERC FEDERAL FINANCIAL PARTICIPATION.]
19.30 (1) The commissioner of human services
19.31 shall seek to maximize federal
19.32 financial participation for payments
19.33 for medical education and research
19.34 costs.
19.35 (2) If the commissioner of human
19.36 services determines that federal
19.37 financial participation is available
19.38 for the fiscal year 1999 appropriation
19.39 for the medical education and research
19.40 trust fund under this subdivision, the
19.41 commissioner of health shall transfer
19.42 to the commissioner of human services
19.43 the amount of state funds necessary to
19.44 maximize the federal funds.
19.45 (3) The transferred amount, plus the
19.46 federal financial participation amount,
19.47 shall be distributed to medical
19.48 assistance providers according to the
19.49 distribution methodology of the medical
19.50 education research trust fund
19.51 established under Minnesota Statutes,
19.52 section 62J.69.
19.53 [DIABETES PREVENTION.] Of this
19.54 appropriation, $50,000 in fiscal year
19.55 1999 from the general fund is to the
19.56 commissioner for statewide activities
19.57 related to general diabetes prevention,
19.58 the development and dissemination of
19.59 prevention materials to health care
19.60 providers, and for other statewide
19.61 activities related to diabetes
19.62 prevention and control for targeted
19.63 populations who are at high risk for
19.64 developing diabetes or health
20.1 complications from diabetes.
20.2 Subd. 3. Health Protection -0- 4,688,000
20.3 Summary by Fund
20.4 General -0- 4,580,000
20.5 State Government
20.6 Special Revenue -0- 108,000
20.7 [FOOD, BEVERAGE, AND LODGING PROGRAM
20.8 STAFF RESTORATION.] Of the
20.9 appropriation from the state government
20.10 special revenue fund, $101,000 in
20.11 fiscal year 1999 is for the
20.12 commissioner to restore staffing for
20.13 the food, beverage, and lodging program.
20.14 [OCCUPATIONAL RESPIRATORY DISEASE
20.15 INFORMATION SYSTEM.] Of the general
20.16 fund appropriation, $250,000 in fiscal
20.17 year 1999 is to design an occupational
20.18 respiratory disease information
20.19 system. This appropriation is
20.20 available until expended. This
20.21 appropriation is added to the base for
20.22 the 2000-2001 biennial budget.
20.23 [LEAD-SAFE PROPERTY CERTIFICATION
20.24 PROGRAM.] Of this appropriation,
20.25 $75,000 in fiscal year 1999 is from the
20.26 general fund to the commissioner for
20.27 the purposes of the lead-safe property
20.28 certification program under Minnesota
20.29 Statutes, section 144.9511.
20.30 [INFECTION CONTROL.] Of the general
20.31 fund appropriation, $200,000 in fiscal
20.32 year 1999 is for infection control
20.33 activities, including training and
20.34 technical assistance of health care
20.35 personnel to prevent and control
20.36 disease outbreaks, and for hospital and
20.37 public health laboratory testing and
20.38 other activities to monitor trends in
20.39 drug-resistant infections.
20.40 [CANCER SCREENING.] Of the general fund
20.41 appropriation, $1,255,000 in fiscal
20.42 year 1999 is for increased cancer
20.43 screening and diagnostic services for
20.44 women, particularly underserved women,
20.45 and to improve cancer screening rates
20.46 for the general population. Of this
20.47 amount, at least $855,000 is for grants
20.48 to support local boards of health in
20.49 providing outreach and coordination and
20.50 to reimburse health care providers for
20.51 screening and diagnostic tests, and up
20.52 to $400,000 is for technical
20.53 assistance, consultation, and outreach.
20.54 [SEXUALLY TRANSMITTED DISEASE.] (a) of
20.55 this appropriation, $300,000 in fiscal
20.56 year 1999 is from the general fund to
20.57 the commissioner to do the following,
20.58 in consultation with the HIV/STD
20.59 prevention task force and the
20.60 commissioner of children, families, and
20.61 learning:
21.1 (1) $100,000 to conduct a statewide
21.2 assessment of need and capacity to
21.3 prevent and treat sexually transmitted
21.4 diseases and prepare a comprehensive
21.5 plan for how to prevent and treat
21.6 sexually transmitted diseases,
21.7 including strategies for reducing
21.8 infection and for increasing access to
21.9 treatment;
21.10 (2) $150,000 to conduct research on the
21.11 prevalence of sexually transmitted
21.12 diseases among populations at highest
21.13 risk for infection. The research may
21.14 be done in collaboration with the
21.15 University of Minnesota and nonprofit
21.16 community health clinics; and
21.17 (3) $50,000 to conduct laboratory
21.18 screenings for sexually transmitted
21.19 diseases at no charge to patients
21.20 participating in epidemiological
21.21 research activities specified in clause
21.22 (2).
21.23 (b) This appropriation shall not become
21.24 part of the base for the 2000-2001
21.25 biennium.
21.26 Sec. 4. HEALTH-RELATED BOARDS
21.27 Subdivision 1. Total
21.28 Appropriation 113,000 123,000
21.29 This appropriation is added to the
21.30 appropriation in Laws 1997, chapter
21.31 203, article 1, section 5.
21.32 The appropriations in this section are
21.33 from the state government special
21.34 revenue fund.
21.35 [NO SPENDING IN EXCESS OF REVENUES.]
21.36 The commissioner of finance shall not
21.37 permit the allotment, encumbrance, or
21.38 expenditure of money appropriated in
21.39 this section in excess of the
21.40 anticipated biennial revenues or
21.41 accumulated surplus revenues from fees
21.42 collected by the boards. Neither this
21.43 provision nor Minnesota Statutes,
21.44 section 214.06, applies to transfers
21.45 from the general contingent account.
21.46 Subd. 2. Board of Medical
21.47 Practice 80,000 90,000
21.48 This appropriation is added to the
21.49 appropriation in Laws 1997, chapter
21.50 203, article 1, section 5, subdivision
21.51 6, and is for the health professional
21.52 services activity.
21.53 Subd. 3. Board of Veterinary
21.54 Medicine 33,000 33,000
21.55 This appropriation is added to the
21.56 appropriation in Laws 1997, chapter
21.57 203, article 1, section 5, subdivision
21.58 14, and is for national examination
21.59 costs.
22.1 Sec. 5. EMERGENCY MEDICAL
22.2 SERVICES BOARD
22.3 General -0- 78,000
22.4 This appropriation is added to the
22.5 appropriation in Laws 1997, chapter
22.6 203, article 1, section 6.
22.7 [EMERGENCY MEDICAL SERVICES
22.8 COMMUNICATIONS NEEDS ASSESSMENT.] (a)
22.9 Of this appropriation, $78,000 in
22.10 fiscal year 1999 is from the general
22.11 fund to the board to conduct an
22.12 emergency medical services needs
22.13 assessment for areas outside the
22.14 seven-county metropolitan area. The
22.15 assessment shall determine the current
22.16 status of and need for emergency
22.17 medical services communications
22.18 equipment. All regional emergency
22.19 medical services programs designated by
22.20 the board under Minnesota Statutes 1997
22.21 Supplement, section 144E.50, shall
22.22 cooperate in the preparation of the
22.23 assessment.
22.24 (b) The appropriation for this project
22.25 shall be distributed through the
22.26 emergency medical services system fund
22.27 under Minnesota Statutes, section
22.28 144E.50, through a request-for-proposal
22.29 process. The board must select a
22.30 regional EMS program that receives at
22.31 least 20 percent of its funding from
22.32 nonstate sources to conduct the
22.33 assessment. The request for proposals
22.34 must be issued by August 1, 1998.
22.35 (c) A final report with recommendations
22.36 shall be presented to the board and the
22.37 legislature by July 1, 1999.
22.38 (d) This appropriation shall not become
22.39 part of base level funding for the
22.40 2000-2001 biennium.
22.41 Sec. 6. [CARRYOVER LIMITATION.] None
22.42 of the appropriations in this act which
22.43 are allowed to be carried forward from
22.44 fiscal year 1998 to fiscal year 1999
22.45 shall become part of the base level
22.46 funding for the 2000-2001 biennial
22.47 budget, unless specifically directed by
22.48 the legislature.
22.49 Sec. 7. [SUNSET OF UNCODIFIED
22.50 LANGUAGE.] All uncodified language
22.51 contained in this article expires on
22.52 June 30, 1999, unless a different
22.53 expiration date is explicit.
22.54 Sec. 8. [EFFECTIVE DATE.]
22.55 The appropriations and reductions for fiscal year 1998 in
22.56 this article are effective the day following final enactment.
22.57 ARTICLE 2
22.58 HEALTH DEPARTMENT AND HEALTH PROFESSIONALS
23.1 Section 1. Minnesota Statutes 1997 Supplement, section
23.2 13.99, is amended by adding a subdivision to read:
23.3 Subd. 19m. [DATA HELD BY OFFICE OF HEALTH CARE CONSUMER
23.4 ASSISTANCE, ADVOCACY, AND INFORMATION.] Consumer complaint data
23.5 collected or maintained by the office of health care consumer
23.6 assistance, advocacy, and information under sections 62J.77 and
23.7 62J.80 are classified under section 62J.79, subdivision 4.
23.8 Sec. 2. Minnesota Statutes 1997 Supplement, section
23.9 62D.11, subdivision 1, is amended to read:
23.10 Subdivision 1. [ENROLLEE COMPLAINT SYSTEM.] Every health
23.11 maintenance organization shall establish and maintain a
23.12 complaint system, as required under section 62Q.105 to provide
23.13 reasonable procedures for the resolution of written complaints
23.14 initiated by or on behalf of enrollees concerning the provision
23.15 of health care services. "Provision of health services"
23.16 includes, but is not limited to, questions of the scope of
23.17 coverage, quality of care, and administrative operations. The
23.18 health maintenance organization must inform enrollees that they
23.19 may choose to use alternative dispute resolution arbitration to
23.20 appeal a health maintenance organization's internal appeal
23.21 decision. The health maintenance organization must also inform
23.22 enrollees that they have the right to use arbitration to appeal
23.23 a health maintenance organization's internal appeal decision not
23.24 to certify an admission, procedure, service, or extension of
23.25 stay under section 62M.06. If an enrollee chooses to use an
23.26 alternative dispute resolution process arbitration, the health
23.27 maintenance organization must participate.
23.28 Sec. 3. Minnesota Statutes 1996, section 62J.321, is
23.29 amended by adding a subdivision to read:
23.30 Subd. 5a. [PRESCRIPTION DRUG PRICE DISCLOSURE
23.31 DATA.] Notwithstanding subdivisions 1 and 5, data collected
23.32 under section 62J.381 shall be classified as public data.
23.33 Sec. 4. [62J.381] [PRESCRIPTION DRUG PRICE DISCLOSURE.]
23.34 By April 1, 1999, and annually thereafter, hospitals
23.35 licensed under chapter 144 and group purchasers required to file
23.36 a full report under section 62J.38 and the rules promulgated
24.1 thereunder, must submit to the commissioner of health the total
24.2 amount of:
24.3 (1) aggregate purchases of or payments for prescription
24.4 drugs; and
24.5 (2) aggregate cash rebates, discounts, other payments
24.6 received, and any fees associated with education, data
24.7 collection, research, training, or market share movement, which
24.8 are received during the previous calendar year from a
24.9 manufacturer as defined under section 151.44, paragraph (c), or
24.10 wholesale drug distributor as defined under section 151.44,
24.11 paragraph (d).
24.12 The data collected under this section shall be distributed
24.13 through the information clearinghouse under section 62J.2930.
24.14 The identification of individual manufacturers or wholesalers or
24.15 specific drugs shall not be required under this section.
24.16 Sec. 5. Minnesota Statutes 1997 Supplement, section
24.17 62J.69, subdivision 1, is amended to read:
24.18 Subdivision 1. [DEFINITIONS.] For purposes of this
24.19 section, the following definitions apply:
24.20 (a) "Medical education" means the accredited clinical
24.21 training of physicians (medical students and residents), doctor
24.22 of pharmacy practitioners, doctors of chiropractic, dentists,
24.23 advanced practice nurses (clinical nurse specialist, certified
24.24 registered nurse anesthetists, nurse practitioners, and
24.25 certified nurse midwives), and physician assistants.
24.26 (b) "Clinical training" means accredited training for the
24.27 health care practitioners listed in paragraph (a) that is funded
24.28 and was historically funded in part by inpatient patient care
24.29 revenues and that occurs in both either an inpatient and or
24.30 ambulatory patient care settings training site.
24.31 (c) "Trainee" means students involved in an accredited
24.32 clinical training program for medical education as defined in
24.33 paragraph (a).
24.34 (d) "Eligible trainee" means a student involved in an
24.35 accredited training program for medical education as defined in
24.36 paragraph (a), which meets the definition of clinical training
25.1 in paragraph (b), who is in a training site that is located in
25.2 Minnesota and which has a medical assistance provider number.
25.3 (e) "Health care research" means approved clinical,
25.4 outcomes, and health services investigations that are funded by
25.5 patient out-of-pocket expenses or a third-party payer.
25.6 (e) (f) "Commissioner" means the commissioner of health.
25.7 (f) (g) "Teaching institutions" means any hospital, medical
25.8 center, clinic, or other organization that currently sponsors or
25.9 conducts accredited medical education programs or clinical
25.10 research in Minnesota.
25.11 (h) "Accredited training" means training provided by a
25.12 program that is accredited through an organization recognized by
25.13 the department of education or the health care financing
25.14 administration as the official accrediting body for that program.
25.15 (i) "Sponsoring institution" means a hospital, school, or
25.16 consortium located in Minnesota that sponsors and maintains
25.17 primary organizational and financial responsibility for an
25.18 accredited medical education program in Minnesota and which is
25.19 accountable to the accrediting body.
25.20 Sec. 6. Minnesota Statutes 1997 Supplement, section
25.21 62J.69, subdivision 2, is amended to read:
25.22 Subd. 2. [ALLOCATION AND FUNDING FOR MEDICAL EDUCATION AND
25.23 RESEARCH.] (a) The commissioner may establish a trust fund for
25.24 the purposes of funding medical education and research
25.25 activities in the state of Minnesota.
25.26 (b) By January 1, 1997, the commissioner may appoint an
25.27 advisory committee to provide advice and oversight on the
25.28 distribution of funds from the medical education and research
25.29 trust fund. If a committee is appointed, the commissioner
25.30 shall: (1) consider the interest of all stakeholders when
25.31 selecting committee members; (2) select members that represent
25.32 both urban and rural interest; and (3) select members that
25.33 include ambulatory care as well as inpatient perspectives. The
25.34 commissioner shall appoint to the advisory committee
25.35 representatives of the following groups: medical researchers,
25.36 public and private academic medical centers, managed care
26.1 organizations, Blue Cross and Blue Shield of Minnesota,
26.2 commercial carriers, Minnesota Medical Association, Minnesota
26.3 Nurses Association, medical product manufacturers, employers,
26.4 and other relevant stakeholders, including consumers. The
26.5 advisory committee is governed by section 15.059, for membership
26.6 terms and removal of members and will sunset on June 30, 1999.
26.7 (c) Eligible applicants for funds are accredited medical
26.8 education teaching institutions, consortia, and programs
26.9 operating in Minnesota. Applications must be submitted by the
26.10 sponsoring institution on behalf of the teaching program, and
26.11 must be received by September 30 of each year for distribution
26.12 in January of the following year. An application for funds must
26.13 include the following:
26.14 (1) the official name and address of the sponsoring
26.15 institution and the official name and address of the facility or
26.16 program programs on whose behalf the institution is applying for
26.17 funding;
26.18 (2) the name, title, and business address of those persons
26.19 responsible for administering the funds;
26.20 (3) the total number, type, and specialty orientation of
26.21 eligible Minnesota-based trainees in for each accredited medical
26.22 education program for which funds are being sought the type and
26.23 specialty orientation of trainees in the program, the name,
26.24 address, and medical assistance provider number of each training
26.25 site used in the program, the total number of trainees at each
26.26 site, and the total number of eligible trainees at each training
26.27 site;
26.28 (4) audited clinical training costs per trainee for each
26.29 medical education program where available or estimates of
26.30 clinical training costs based on audited financial data;
26.31 (5) a description of current sources of funding for medical
26.32 education costs including a description and dollar amount of all
26.33 state and federal financial support, including Medicare direct
26.34 and indirect payments;
26.35 (6) other revenue received for the purposes of clinical
26.36 training; and
27.1 (7) a statement identifying unfunded costs; and
27.2 (8) other supporting information the commissioner, with
27.3 advice from the advisory committee, determines is necessary for
27.4 the equitable distribution of funds.
27.5 (d) The commissioner shall distribute medical education
27.6 funds to all qualifying applicants based on the following basic
27.7 criteria: (1) total medical education funds available; (2)
27.8 total eligible trainees in each eligible education program; and
27.9 (3) the statewide average cost per trainee, by type of trainee,
27.10 in each medical education program. Funds distributed shall not
27.11 be used to displace current funding appropriations from federal
27.12 or state sources. Funds shall be distributed to the sponsoring
27.13 institutions indicating the amount to be paid to each of the
27.14 sponsor's medical education programs based on the criteria in
27.15 this paragraph. Sponsoring institutions which receive funds
27.16 from the trust fund must distribute approved funds to the
27.17 medical education program according to the commissioner's
27.18 approval letter. Further, programs must distribute funds among
27.19 the sites of training based on the percentage of total program
27.20 training performed at each site. as specified in the
27.21 commissioner's approval letter. Any funds not distributed as
27.22 directed by the commissioner's approval letter shall be returned
27.23 to the medical education and research trust fund within 30 days
27.24 of a notice from the commissioner. The commissioner shall
27.25 distribute returned funds to the appropriate entities in
27.26 accordance with the commissioner's approval letter.
27.27 (e) Medical education programs receiving funds from the
27.28 trust fund must submit annual cost and program reports a medical
27.29 education and research grant verification report (GVR) through
27.30 the sponsoring institution based on criteria established by the
27.31 commissioner. If the sponsoring institution fails to submit the
27.32 GVR by the stated deadline, or to request and meet the deadline
27.33 for an extension, the sponsoring institution is required to
27.34 return the full amount of the medical education and research
27.35 trust fund grant to the medical education and research trust
27.36 fund within 30 days of a notice from the commissioner. The
28.1 commissioner shall distribute returned funds to the appropriate
28.2 entities in accordance with the commissioner's approval letter.
28.3 The reports must include:
28.4 (1) the total number of eligible trainees in the program;
28.5 (2) the programs and residencies funded, the amounts of
28.6 trust fund payments to each program, and within each program,
28.7 the percentage dollar amount distributed to each training site;
28.8 and
28.9 (3) the average cost per trainee and a detailed breakdown
28.10 of the components of those costs;
28.11 (4) other state or federal appropriations received for the
28.12 purposes of clinical training;
28.13 (5) other revenue received for the purposes of clinical
28.14 training; and
28.15 (6) other information the commissioner, with advice from
28.16 the advisory committee, deems appropriate to evaluate the
28.17 effectiveness of the use of funds for clinical training.
28.18 The commissioner, with advice from the advisory committee,
28.19 will provide an annual summary report to the legislature on
28.20 program implementation due February 15 of each year.
28.21 (f) The commissioner is authorized to distribute funds made
28.22 available through:
28.23 (1) voluntary contributions by employers or other entities;
28.24 (2) allocations for the department of human services to
28.25 support medical education and research; and
28.26 (3) other sources as identified and deemed appropriate by
28.27 the legislature for inclusion in the trust fund.
28.28 (g) The advisory committee shall continue to study and make
28.29 recommendations on:
28.30 (1) the funding of medical research consistent with work
28.31 currently mandated by the legislature and under way at the
28.32 department of health; and
28.33 (2) the costs and benefits associated with medical
28.34 education and research.
28.35 Sec. 7. Minnesota Statutes 1997 Supplement, section
28.36 62J.69, is amended by adding a subdivision to read:
29.1 Subd. 4. [TRANSFERS FROM THE COMMISSIONER OF HUMAN
29.2 SERVICES.] (a) The amount transferred according to section
29.3 256B.69, subdivision 5c, shall be distributed to qualifying
29.4 applicants based on a distribution formula that reflects a
29.5 summation of two factors:
29.6 (1) an education factor, which is determined by the total
29.7 number of eligible trainees and the total statewide average
29.8 costs per trainee, by type of trainee, in each program; and
29.9 (2) a public program volume factor, which is determined by
29.10 the total volume of public program revenue received by each
29.11 training site as a percentage of all public program revenue
29.12 received by all training sites in the trust fund pool.
29.13 In this formula, the education factor shall be weighted at
29.14 50 percent and the public program volume factor shall be
29.15 weighted at 50 percent.
29.16 (b) Public program revenue for the formula in paragraph (a)
29.17 shall include revenue from medical assistance, prepaid medical
29.18 assistance, general assistance medical care, and prepaid general
29.19 assistance medical care.
29.20 (c) Training sites that receive no public program revenue
29.21 shall be ineligible for payments from the prepaid medical
29.22 assistance program transfer pool.
29.23 Sec. 8. Minnesota Statutes 1997 Supplement, section
29.24 62J.69, is amended by adding a subdivision to read:
29.25 Subd. 5. [REVIEW OF ELIGIBLE PROVIDERS.] (a) Provider
29.26 groups added after January 1, 1998, to the list of providers
29.27 eligible for the trust fund shall not receive funding from the
29.28 trust fund without prior evaluation by the commissioner and the
29.29 medical education and research costs advisory committee. The
29.30 evaluation shall consider the degree to which the training of
29.31 the provider group:
29.32 (1) takes place in patient care settings, which are
29.33 consistent with the purposes of this section;
29.34 (2) is funded with patient care revenues;
29.35 (3) takes place in patient care settings, which face
29.36 increased financial pressure as a result of competition with
30.1 nonteaching patient care entities; and
30.2 (4) emphasizes primary care or specialties, which are in
30.3 undersupply in Minnesota.
30.4 Results of this evaluation shall be reported to the
30.5 legislative commission on health care access. The legislative
30.6 commission on health care access must approve funding for the
30.7 provider group prior to their receiving any funding from the
30.8 trust fund. In the event that a reviewed provider group is not
30.9 approved by the legislative commission on health care access,
30.10 trainees in that provider group shall be considered ineligible
30.11 trainees for the trust fund distribution.
30.12 (b) The commissioner and the medical education and research
30.13 costs advisory committee may also review provider groups, which
30.14 were added to the eligible list of provider groups prior to
30.15 January 1, 1998, to assure that the trust fund money continues
30.16 to be distributed consistent with the purpose of this section.
30.17 The results of any such reviews must be reported to the
30.18 legislative commission on health care access. Trainees in
30.19 provider groups, which were added prior to January 1, 1998, and
30.20 which are reviewed by the commissioner and the medical education
30.21 and research costs advisory committee, shall be considered
30.22 eligible trainees for purposes of the trust fund distribution
30.23 unless and until the legislative commission on health care
30.24 access disapproves their eligibility, in which case they shall
30.25 be considered ineligible trainees.
30.26 Sec. 9. [62J.701] [GOVERNMENTAL PROGRAMS.]
30.27 Beginning January 1, 1999, the provisions in paragraphs (a)
30.28 to (d) apply.
30.29 (a) For purposes of sections 62J.695 to 62J.80, the
30.30 requirements and other provisions that apply to health plan
30.31 companies also apply to governmental programs.
30.32 (b) For purposes of this section, "governmental programs"
30.33 means the medical assistance program, the MinnesotaCare program,
30.34 the general assistance medical care program, the state employee
30.35 group insurance program, the public employees insurance program
30.36 under section 43A.316, and coverage provided by political
31.1 subdivisions under section 471.617.
31.2 (c) Notwithstanding paragraph (a), section 62J.72 does not
31.3 apply to the fee-for-service programs under medical assistance,
31.4 MinnesotaCare, and general assistance medical care.
31.5 (d) If a state commissioner or local unit of government
31.6 contracts with a health plan company or a third party
31.7 administrator, the contract may assign any obligations under
31.8 paragraph (a) to the health plan company or third party
31.9 administrator. Nothing in this paragraph shall be construed to
31.10 remove or diminish any enforcement responsibilities of the
31.11 commissioners of health or commerce provided in sections 62J.695
31.12 to 62J.80.
31.13 Sec. 10. Minnesota Statutes 1997 Supplement, section
31.14 62J.71, subdivision 1, is amended to read:
31.15 Subdivision 1. [PROHIBITED AGREEMENTS AND DIRECTIVES.] The
31.16 following types of agreements and directives are contrary to
31.17 state public policy, are prohibited under this section, and are
31.18 null and void:
31.19 (1) any agreement or directive that prohibits a health care
31.20 provider from communicating with an enrollee with respect to the
31.21 enrollee's health status, health care, or treatment options, if
31.22 the health care provider is acting in good faith and within the
31.23 provider's scope of practice as defined by law;
31.24 (2) any agreement or directive that prohibits a health care
31.25 provider from making a recommendation regarding the suitability
31.26 or desirability of a health plan company, health insurer, or
31.27 health coverage plan for an enrollee, unless the provider has a
31.28 financial conflict of interest in the enrollee's choice of
31.29 health plan company, health insurer, or health coverage plan;
31.30 (3) any agreement or directive that prohibits a provider
31.31 from providing testimony, supporting or opposing legislation, or
31.32 making any other contact with state or federal legislators or
31.33 legislative staff or with state and federal executive branch
31.34 officers or staff;
31.35 (4) any agreement or directive that prohibits a health care
31.36 provider from disclosing accurate information about whether
32.1 services or treatment will be paid for by a patient's health
32.2 plan company or health insurer or health coverage plan; and
32.3 (5) any agreement or directive that prohibits a health care
32.4 provider from informing an enrollee about the nature of the
32.5 reimbursement methodology used by an enrollee's health plan
32.6 company, health insurer, or health coverage plan to pay the
32.7 provider.
32.8 Sec. 11. Minnesota Statutes 1997 Supplement, section
32.9 62J.71, subdivision 3, is amended to read:
32.10 Subd. 3. [RETALIATION PROHIBITED.] No person, health plan
32.11 company, or other organization may take retaliatory action
32.12 against a health care provider solely on the grounds that the
32.13 provider:
32.14 (1) refused to enter into an agreement or provide services
32.15 or information in a manner that is prohibited under this section
32.16 or took any of the actions listed in subdivision 1;
32.17 (2) disclosed accurate information about whether a health
32.18 care service or treatment is covered by an enrollee's health
32.19 plan company, health insurer, or health coverage plan; or
32.20 (3) discussed diagnostic, treatment, or referral options
32.21 that are not covered or are limited by the enrollee's health
32.22 plan company, health insurer, or health coverage plan;
32.23 (4) criticized coverage of the enrollee's health plan
32.24 company, health insurer, or health coverage plan; or
32.25 (5) expressed personal disagreement with a decision made by
32.26 a person, organization, or health care provider regarding
32.27 treatment or coverage provided to a patient of the provider, or
32.28 assisted or advocated for the patient in seeking reconsideration
32.29 of such a decision, provided the health care provider makes it
32.30 clear that the provider is acting in a personal capacity and not
32.31 as a representative of or on behalf of the entity that made the
32.32 decision.
32.33 Sec. 12. Minnesota Statutes 1997 Supplement, section
32.34 62J.71, subdivision 4, is amended to read:
32.35 Subd. 4. [EXCLUSION.] (a) Nothing in this section
32.36 prohibits a health plan an entity that is subject to this
33.1 section from taking action against a provider if the health plan
33.2 entity has evidence that the provider's actions are illegal,
33.3 constitute medical malpractice, or are contrary to accepted
33.4 medical practices.
33.5 (b) Nothing in this section prohibits a contract provision
33.6 or directive that requires any contracting party to keep
33.7 confidential or to not use or disclose the specific amounts paid
33.8 to a provider, provider fee schedules, provider salaries, and
33.9 other proprietary information of a specific health plan or
33.10 health plan company entity that is subject to this section.
33.11 Sec. 13. Minnesota Statutes 1997 Supplement, section
33.12 62J.72, subdivision 1, is amended to read:
33.13 Subdivision 1. [WRITTEN DISCLOSURE.] (a) A health plan
33.14 company, as defined under section 62J.70, subdivision 3, a
33.15 health care network cooperative as defined under section 62R.04,
33.16 subdivision 3, and a health care provider as defined under
33.17 section 62J.70, subdivision 2, shall, during open enrollment,
33.18 upon enrollment, and annually thereafter, provide enrollees with
33.19 a description of the general nature of the reimbursement
33.20 methodologies used by the health plan company, health insurer,
33.21 or health coverage plan to pay providers. The description must
33.22 explain clearly any aspect of the reimbursement methodology that
33.23 creates a financial incentive for the health care provider to
33.24 limit or restrict the health care provided to enrollees. An
33.25 entity required to disclose shall also disclose if no
33.26 reimbursement methodology is used that creates a financial
33.27 incentive for the health care provider to limit or restrict the
33.28 health care provided to enrollees. This description may be
33.29 incorporated into the member handbook, subscriber contract,
33.30 certificate of coverage, or other written enrollee
33.31 communication. The general reimbursement methodology shall be
33.32 made available to employers at the time of open enrollment.
33.33 (b) Health plan companies, health care network
33.34 cooperatives, and providers must, upon request, provide an
33.35 enrollee with specific information regarding the reimbursement
33.36 methodology, including, but not limited to, the following
34.1 information:
34.2 (1) a concise written description of the provider payment
34.3 plan, including any incentive plan applicable to the enrollee;
34.4 (2) a written description of any incentive to the provider
34.5 relating to the provision of health care services to enrollees,
34.6 including any compensation arrangement that is dependent on the
34.7 amount of health coverage or health care services provided to
34.8 the enrollee, or the number of referrals to or utilization of
34.9 specialists; and
34.10 (3) a written description of any incentive plan that
34.11 involves the transfer of financial risk to the health care
34.12 provider.
34.13 (c) The disclosure statement describing the general nature
34.14 of the reimbursement methodologies must comply with the
34.15 Readability of Insurance Policies Act in chapter 72C.
34.16 Notwithstanding any other law to the contrary, the disclosure
34.17 statement may voluntarily be filed with the commissioner for
34.18 approval and must be filed with and approved by the commissioner
34.19 prior to its use.
34.20 (d) A disclosure statement that has voluntarily been filed
34.21 with the commissioner for approval under chapter 72C or
34.22 voluntarily filed with the commissioner for approval for
34.23 purposes other than pursuant to chapter 72C paragraph (c) is
34.24 deemed approved 30 days after the date of filing, unless
34.25 approved or disapproved by the commissioner on or before the end
34.26 of that 30-day period.
34.27 (e) The disclosure statement describing the general nature
34.28 of the reimbursement methodologies must be provided upon request
34.29 in English, Spanish, Vietnamese, and Hmong. In addition,
34.30 reasonable efforts must be made to provide information contained
34.31 in the disclosure statement to other non-English-speaking
34.32 enrollees.
34.33 (f) Health plan companies and providers may enter into
34.34 agreements to determine how to respond to enrollee requests
34.35 received by either the provider or the health plan company.
34.36 This subdivision does not require disclosure of specific amounts
35.1 paid to a provider, provider fee schedules, provider salaries,
35.2 or other proprietary information of a specific health plan
35.3 company or health insurer or health coverage plan or provider.
35.4 Sec. 14. Minnesota Statutes 1997 Supplement, section
35.5 62J.75, is amended to read:
35.6 62J.75 [CONSUMER ADVISORY BOARD.]
35.7 (a) The consumer advisory board consists of 18 members
35.8 appointed in accordance with paragraph (b). All members must be
35.9 public, consumer members who:
35.10 (1) do not have and never had a material interest in either
35.11 the provision of health care services or in an activity directly
35.12 related to the provision of health care services, such as health
35.13 insurance sales or health plan administration;
35.14 (2) are not registered lobbyists; and
35.15 (3) are not currently responsible for or directly involved
35.16 in the purchasing of health insurance for a business or
35.17 organization.
35.18 (b) The governor, the speaker of the house of
35.19 representatives, and the subcommittee on committees of the
35.20 committee on rules and administration of the senate shall each
35.21 appoint two six members. The Indian affairs council, the
35.22 council on affairs of Chicano/Latino people, the council on
35.23 Black Minnesotans, the council on Asian-Pacific Minnesotans,
35.24 mid-Minnesota legal assistance, and the Minnesota chamber of
35.25 commerce shall each appoint one member. The member appointed by
35.26 the Minnesota chamber of commerce must represent small business
35.27 interests. The health care campaign of Minnesota, Minnesotans
35.28 for affordable health care, and consortium for citizens with
35.29 disabilities shall each appoint two members. Members serve
35.30 without compensation or reimbursement for expenses. Members may
35.31 be compensated in accordance with section 15.059, subdivision 3,
35.32 except that members shall not receive per diem compensation or
35.33 reimbursements for child care expenses.
35.34 (c) The board shall advise the commissioners of health and
35.35 commerce on the following:
35.36 (1) the needs of health care consumers and how to better
36.1 serve and educate the consumers on health care concerns and
36.2 recommend solutions to identified problems; and
36.3 (2) consumer protection issues in the self-insured market,
36.4 including, but not limited to, public education needs.
36.5 The board also may make recommendations to the legislature
36.6 on these issues.
36.7 (d) The board and this section expire June 30, 2001.
36.8 Sec. 15. [62J.77] [DEFINITIONS.]
36.9 Subdivision 1. [APPLICABILITY.] For purposes of sections
36.10 62J.77 to 62J.80, the terms defined in this section have the
36.11 meanings given them.
36.12 Subd. 2. [ENROLLEE.] "Enrollee" means a natural person
36.13 covered by a health plan company, health insurance, or health
36.14 coverage plan and includes an insured, policyholder, subscriber,
36.15 contract holder, member, covered person, or certificate holder.
36.16 Subd. 3. [PATIENT.] "Patient" means a former, current, or
36.17 prospective patient of a health care provider.
36.18 Subd. 4. [COMMISSIONER.] "Commissioner" means the
36.19 commissioner of health.
36.20 Sec. 16. [62J.78] [ESTABLISHMENT; ORGANIZATION.]
36.21 Subdivision 1. [GENERAL.] The commissioner shall establish
36.22 within the department of health the office of health care
36.23 consumer assistance, advocacy, and information to provide
36.24 assistance, advocacy, and information to all health care
36.25 consumers within the state. The office shall have no regulatory
36.26 power or authority, shall be separated from all regulatory
36.27 functions within the department of health, and shall not provide
36.28 legal representation in a court of law.
36.29 Subd. 2. [EXECUTIVE DIRECTOR.] An executive director shall
36.30 be appointed by the commissioner, in consultation with the
36.31 consumer advisory board, and shall report directly to the
36.32 commissioner. The executive director must be selected without
36.33 regard to political affiliation and must be a person who has
36.34 knowledge and experience concerning the needs and rights of
36.35 health care consumers and must be qualified to analyze questions
36.36 of law, administrative functions, and public policy. No person
37.1 may serve as executive director while holding another public
37.2 office. The director shall serve in the unclassified service.
37.3 Subd. 3. [STAFF.] The executive director shall appoint at
37.4 least nine consumer advocates to discharge the responsibilities
37.5 and duties of the office.
37.6 Subd. 4. [TRAINING.] The executive director shall ensure
37.7 that the consumer advocates are adequately trained.
37.8 Subd. 5. [STATEWIDE ADVOCACY.] The executive director
37.9 shall assign a consumer advocate to represent each regional
37.10 coordinating board's geographic area.
37.11 Subd. 6. [FINANCIAL INTEREST.] The executive director and
37.12 staff must not have any direct personal financial interest in
37.13 the health care system, except as an individual consumer of
37.14 health care services.
37.15 Subd. 7. [ADMINISTRATION.] To the extent practical, the
37.16 office of health care consumer assistance, advocacy, and
37.17 information and all ombudsman offices with health care
37.18 responsibilities shall have their telephone systems linked in
37.19 order to facilitate immediate referrals.
37.20 Sec. 17. [62J.79] [DUTIES AND POWERS OF THE OFFICE OF
37.21 HEALTH CARE CONSUMER ASSISTANCE, ADVOCACY, AND INFORMATION.]
37.22 Subdivision 1. [DUTIES.] (a) The office of health care
37.23 consumer assistance, advocacy, and information shall provide
37.24 information and assistance to all health care consumers by:
37.25 (1) assisting patients and enrollees in understanding and
37.26 asserting their contractual and legal rights, including the
37.27 rights under an alternative dispute resolution process. This
37.28 assistance may include advocacy for enrollees in administrative
37.29 proceedings or other formal or informal dispute resolution
37.30 processes;
37.31 (2) assisting enrollees in obtaining health care referrals
37.32 under their health plan company, health insurance, or health
37.33 coverage plan;
37.34 (3) assisting patients and enrollees in accessing the
37.35 services of governmental agencies, regulatory boards, and other
37.36 state consumer assistance programs, ombudsman, or advocacy
38.1 services whenever appropriate so that the patient or enrollee
38.2 can take full advantage of existing mechanisms for resolving
38.3 complaints;
38.4 (4) referring patients and enrollees to governmental
38.5 agencies and regulatory boards for the investigation of health
38.6 care complaints and for enforcement action;
38.7 (5) educating and training enrollees about their health
38.8 plan company, health insurance, or health coverage plan in order
38.9 to enable them to assert their rights and to understand their
38.10 responsibilities;
38.11 (6) assisting enrollees in receiving a timely resolution of
38.12 their complaints;
38.13 (7) monitoring health care complaints addressed by the
38.14 office to identify specific complaint patterns or areas of
38.15 potential improvement;
38.16 (8) recommending to health plan companies ways to identify
38.17 and remove any barriers that might delay or impede the health
38.18 plan company's effort to resolve consumer complaints; and
38.19 (9) in performing the duties specified in clauses (1) to
38.20 (8), taking into consideration the special situations of
38.21 patients and enrollees who have unique culturally defined needs.
38.22 (b) The executive director shall prioritize the duties
38.23 listed in this subdivision within the appropriations allocated.
38.24 Subd. 2. [COMMUNICATION.] (a) The executive director shall
38.25 meet at least six times per year with the consumer advisory
38.26 board. The executive director shall share all public
38.27 information obtained by the office of health care consumer
38.28 assistance, advocacy, and information with the consumer advisory
38.29 board in order to assist the consumer advisory board in its role
38.30 of advising the commissioners of health and commerce and the
38.31 legislature in accordance with section 62J.75.
38.32 (b) The executive director shall have the authority to make
38.33 recommendations to the legislature on any issue related to the
38.34 needs and interests of health care consumers.
38.35 Subd. 3. [REPORTS.] Beginning July 1, 1999, the executive
38.36 director, on at least a quarterly basis, shall provide data from
39.1 the health care complaints addressed by the office to the
39.2 commissioners of health and commerce, the consumer advisory
39.3 board, the Minnesota council of health plans, and the Insurance
39.4 Federation of Minnesota. Beginning January 15, 2000, the
39.5 executive director must make an annual written report to the
39.6 legislature regarding activities of the office, including
39.7 recommendations on improving health care consumer assistance and
39.8 complaint resolution processes.
39.9 Subd. 4. [DATA PRIVACY.] (a) Consumer complaint data,
39.10 including medical records and other documentation, provided by a
39.11 patient or enrollee to the office of health care consumer
39.12 assistance, advocacy, and information shall be classified as
39.13 private data on individuals under section 13.02, subdivision 12.
39.14 (b) Except as provided in paragraph (a), all data collected
39.15 or maintained by the office in the course of assisting a patient
39.16 or enrollee in resolving a complaint, including data collected
39.17 or maintained for the purpose of assistance during a formal or
39.18 informal dispute resolution process, shall be classified as
39.19 investigative data under section 13.39 except that inactive
39.20 investigative data shall be classified as private data on
39.21 individuals under section 13.02, subdivision 12.
39.22 Sec. 18. [62J.80] [RETALIATION.]
39.23 A health plan company or health care provider shall not
39.24 retaliate or take adverse action against an enrollee or patient
39.25 who, in good faith, makes a complaint against a health plan
39.26 company or health care provider. If retaliation is suspected,
39.27 the executive director may report it to the appropriate
39.28 regulatory authority.
39.29 Sec. 19. Minnesota Statutes 1996, section 62Q.095,
39.30 subdivision 3, is amended to read:
39.31 Subd. 3. [MANDATORY OFFERING TO ENROLLEES.] (a) Each
39.32 health plan company shall offer to enrollees the option of
39.33 receiving covered services through the expanded network of
39.34 allied independent health providers established under
39.35 subdivisions 1 and 2. This expanded network option may be
39.36 offered as a separate health plan. The network may establish
40.1 separate premium rates and cost-sharing requirements for this
40.2 expanded network plan, as long as these premium rates and
40.3 cost-sharing requirements are actuarially justified and approved
40.4 by the commissioner. This subdivision does not apply to
40.5 Medicare, medical assistance, general assistance medical care,
40.6 and MinnesotaCare. This subdivision is effective January 1,
40.7 1995, and applies to health plans issued or renewed, or offers
40.8 of health plans to be issued or renewed, on or after January 1,
40.9 1995, except that this subdivision is effective January 1, 1996,
40.10 for collective bargaining agreements of the department of
40.11 employee relations and the University of Minnesota.
40.12 (b) Information on this expanded provider network option
40.13 must be provided by each health plan company during open
40.14 enrollment and upon enrollment.
40.15 Sec. 20. Minnesota Statutes 1997 Supplement, section
40.16 62Q.105, subdivision 1, is amended to read:
40.17 Subdivision 1. [ESTABLISHMENT.] Each health plan company
40.18 shall establish and make available to enrollees, by July 1, 1998
40.19 1999, an informal complaint resolution process that meets the
40.20 requirements of this section. A health plan company must make
40.21 reasonable efforts to resolve enrollee complaints, and must
40.22 inform complainants in writing of the company's decision within
40.23 30 days of receiving the complaint. The complaint resolution
40.24 process must treat the complaint and information related to it
40.25 as required under sections 72A.49 to 72A.505.
40.26 Sec. 21. [62Q.107] [PROHIBITED PROVISION; EFFECT OF DENIAL
40.27 OF CLAIM.]
40.28 Beginning January 1, 1999, no health plan, including the
40.29 coverages described in section 62A.011, subdivision 3, clauses
40.30 (7) and (10), may specify a standard of review upon which a
40.31 court may review denial of a claim or of any other decision made
40.32 by a health plan company with respect to an enrollee. This
40.33 section prohibits limiting court review to a determination of
40.34 whether the health plan company's decision is arbitrary and
40.35 capricious, an abuse of discretion, or any other standard less
40.36 favorable to the enrollee than a preponderance of the evidence.
41.1 Sec. 22. Minnesota Statutes 1997 Supplement, section
41.2 62Q.30, is amended to read:
41.3 62Q.30 [EXPEDITED FACT FINDING AND DISPUTE RESOLUTION
41.4 PROCESS.]
41.5 The commissioner shall establish an expedited fact finding
41.6 and dispute resolution process to assist enrollees of health
41.7 plan companies with contested treatment, coverage, and service
41.8 issues to be in effect July 1, 1998 1999. If the disputed issue
41.9 relates to whether a service is appropriate and necessary, the
41.10 commissioner shall issue an order only after consulting with
41.11 appropriate experts knowledgeable, trained, and practicing in
41.12 the area in dispute, reviewing pertinent literature, and
41.13 considering the availability of satisfactory alternatives. The
41.14 commissioner shall take steps including but not limited to
41.15 fining, suspending, or revoking the license of a health plan
41.16 company that is the subject of repeated orders by the
41.17 commissioner that suggests a pattern of inappropriate
41.18 underutilization.
41.19 Sec. 23. Minnesota Statutes 1997 Supplement, section
41.20 103I.208, subdivision 2, is amended to read:
41.21 Subd. 2. [PERMIT FEE.] The permit fee to be paid by a
41.22 property owner is:
41.23 (1) for a well that is not in use under a maintenance
41.24 permit, $100 annually;
41.25 (2) for construction of a monitoring well, $120, which
41.26 includes the state core function fee;
41.27 (3) for a monitoring well that is unsealed under a
41.28 maintenance permit, $100 annually;
41.29 (4) for monitoring wells used as a leak detection device at
41.30 a single motor fuel retail outlet or, a single petroleum bulk
41.31 storage site excluding tank farms, or a single agricultural
41.32 chemical facility site, the construction permit fee is $120,
41.33 which includes the state core function fee, per site regardless
41.34 of the number of wells constructed on the site, and the annual
41.35 fee for a maintenance permit for unsealed monitoring wells is
41.36 $100 per site regardless of the number of monitoring wells
42.1 located on site;
42.2 (5) for a groundwater thermal exchange device, in addition
42.3 to the notification fee for wells, $120, which includes the
42.4 state core function fee;
42.5 (6) for a vertical heat exchanger, $120;
42.6 (7) for a dewatering well that is unsealed under a
42.7 maintenance permit, $100 annually for each well, except a
42.8 dewatering project comprising more than five wells shall be
42.9 issued a single permit for $500 annually for wells recorded on
42.10 the permit; and
42.11 (8) for excavating holes for the purpose of installing
42.12 elevator shafts, $120 for each hole.
42.13 Sec. 24. Minnesota Statutes 1997 Supplement, section
42.14 123.70, subdivision 10, as amended by Laws 1998, chapter 305,
42.15 section 4, is amended to read:
42.16 Subd. 10. A statement required to be submitted under
42.17 subdivisions 1, 2, and 4 to document evidence of immunization
42.18 shall include month, day, and year for immunizations
42.19 administered after January 1, 1990.
42.20 (a) For persons enrolled in grades 7 and 12 during the
42.21 1996-1997 school term, the statement must indicate that the
42.22 person has received a dose of tetanus and diphtheria toxoid no
42.23 earlier than 11 years of age.
42.24 (b) Except as specified in paragraph (e), for persons
42.25 enrolled in grades 7, 8, and 12 during the 1997-1998 school
42.26 term, the statement must indicate that the person has received a
42.27 dose of tetanus and diphtheria toxoid no earlier than 11 years
42.28 of age.
42.29 (c) Except as specified in paragraph (e), for persons
42.30 enrolled in grades 7 through 12 during the 1998-1999 school term
42.31 and for each year thereafter, the statement must indicate that
42.32 the person has received a dose of tetanus and diphtheria toxoid
42.33 no earlier than 11 years of age.
42.34 (d) For persons enrolled in grades 7 through 12 during the
42.35 1996-1997 school year and for each year thereafter, the
42.36 statement must indicate that the person has received at least
43.1 two doses of vaccine against measles, mumps, and rubella, given
43.2 alone or separately and given not less than one month apart.
43.3 (e) A person who has received at least three doses of
43.4 tetanus and diphtheria toxoids, with the most recent dose given
43.5 after age six and before age 11, is not required to have
43.6 additional immunization against diphtheria and tetanus until ten
43.7 years have elapsed from the person's most recent dose of tetanus
43.8 and diphtheria toxoid.
43.9 (f) The requirement for hepatitis B vaccination shall apply
43.10 to persons enrolling in kindergarten beginning with the
43.11 2000-2001 school term.
43.12 (g) The requirement for hepatitis B vaccination shall apply
43.13 to persons enrolling in kindergarten through grade 7 beginning
43.14 with the 2007-2008 2001-2002 school term.
43.15 Sec. 25. Minnesota Statutes 1997 Supplement, section
43.16 144.1494, subdivision 1, is amended to read:
43.17 Subdivision 1. [CREATION OF ACCOUNT.] A rural physician
43.18 education account is established in the health care access
43.19 fund. The commissioner shall use money from the account to
43.20 establish a loan forgiveness program for medical residents
43.21 agreeing to practice in designated rural areas, as defined by
43.22 the commissioner. Appropriations made to this account do not
43.23 cancel and are available until expended, except that at the end
43.24 of each biennium the commissioner shall cancel to the health
43.25 care access fund any remaining unobligated balance in this
43.26 account.
43.27 Sec. 26. [144.6905] [OCCUPATIONAL RESPIRATORY DISEASE
43.28 INFORMATION SYSTEM ADVISORY GROUP.]
43.29 Subdivision 1. [ADVISORY GROUP.] The commissioner of
43.30 health shall convene an occupational respiratory disease
43.31 advisory group and shall consult with the group on the
43.32 development, implementation, and ongoing operation of an
43.33 occupational respiratory disease information system. Membership
43.34 in the group shall include representatives of academia,
43.35 government, industry, labor, medicine, and consumers from areas
43.36 of the state targeted by the information system. From members
44.1 of the advisory group, the commissioner shall form a technical
44.2 and medical committee to create information system protocols and
44.3 a legal and policy committee to address data privacy issues.
44.4 The advisory group is governed by section 15.059, except that
44.5 members shall not receive per diem compensation.
44.6 Subd. 2. [DATA PROVISIONS.] No individually identifying
44.7 data shall be collected or entered into the occupational
44.8 respiratory disease information system without further action of
44.9 the legislature.
44.10 Sec. 27. Minnesota Statutes 1996, section 144.701,
44.11 subdivision 1, is amended to read:
44.12 Subdivision 1. [CONSUMER INFORMATION.] The commissioner of
44.13 health shall ensure that the total costs, total
44.14 revenues, overall utilization, and total services of each
44.15 hospital and each outpatient surgical center are reported to the
44.16 public in a form understandable to consumers.
44.17 Sec. 28. Minnesota Statutes 1996, section 144.701,
44.18 subdivision 2, is amended to read:
44.19 Subd. 2. [DATA FOR POLICY MAKING.] The commissioner of
44.20 health shall compile relevant financial and accounting,
44.21 utilization, and services data concerning hospitals and
44.22 outpatient surgical centers in order to have statistical
44.23 information available for legislative policy making.
44.24 Sec. 29. Minnesota Statutes 1996, section 144.701,
44.25 subdivision 4, is amended to read:
44.26 Subd. 4. [FILING FEES.] Each report which is required to
44.27 be submitted to the commissioner of health under sections
44.28 144.695 to 144.703 and which is not submitted to a voluntary,
44.29 nonprofit reporting organization in accordance with section
44.30 144.702 shall be accompanied by a filing fee in an amount
44.31 prescribed by rule of the commissioner of health. Fees received
44.32 pursuant to this subdivision shall be deposited in the general
44.33 fund of the state treasury. Upon the withdrawal of approval of
44.34 a reporting organization, or the decision of the commissioner to
44.35 not renew a reporting organization, fees collected under section
44.36 144.702 shall be submitted to the commissioner and deposited in
45.1 the general fund. Fees received under this subdivision shall be
45.2 deposited in a revolving fund and are appropriated to the
45.3 commissioner of health for the purposes of sections 144.695 to
45.4 144.703. The commissioner shall report the termination or
45.5 nonrenewal of the voluntary reporting organization to the chair
45.6 of the health and human services subdivision of the
45.7 appropriations committee of the house of representatives, to the
45.8 chair of the health and human services division of the finance
45.9 committee of the senate, and the commissioner of finance.
45.10 Sec. 30. Minnesota Statutes 1996, section 144.702,
45.11 subdivision 1, is amended to read:
45.12 Subdivision 1. [REPORTING THROUGH A REPORTING
45.13 ORGANIZATION.] A hospital or outpatient surgical center may
45.14 agree to submit its financial, utilization, and services reports
45.15 to a voluntary, nonprofit reporting organization whose reporting
45.16 procedures have been approved by the commissioner of health in
45.17 accordance with this section. Each report submitted to the
45.18 voluntary, nonprofit reporting organization under this section
45.19 shall be accompanied by a filing fee.
45.20 Sec. 31. Minnesota Statutes 1996, section 144.702,
45.21 subdivision 2, is amended to read:
45.22 Subd. 2. [APPROVAL OF ORGANIZATION'S REPORTING
45.23 PROCEDURES.] The commissioner of health may approve voluntary
45.24 reporting procedures consistent with written operating
45.25 requirements for the voluntary, nonprofit reporting organization
45.26 which shall be established annually by the commissioner. These
45.27 written operating requirements shall specify reports, analyses,
45.28 and other deliverables to be produced by the voluntary,
45.29 nonprofit reporting organization, and the dates on which those
45.30 deliverables must be submitted to the commissioner. These
45.31 written operating requirements shall specify deliverable dates
45.32 sufficient to enable the commissioner of health to process and
45.33 report health care cost information system data to the
45.34 commissioner of human services by August 15 of each year. The
45.35 commissioner of health shall, by rule, prescribe standards for
45.36 submission of data by hospitals and outpatient surgical centers
46.1 to the voluntary, nonprofit reporting organization or to the
46.2 commissioner. These standards shall provide for:
46.3 (a) the filing of appropriate financial, utilization, and
46.4 services information with the reporting organization;
46.5 (b) adequate analysis and verification of that financial,
46.6 utilization, and services information; and
46.7 (c) timely publication of the costs, revenues, and rates of
46.8 individual hospitals and outpatient surgical centers prior to
46.9 the effective date of any proposed rate increase. The
46.10 commissioner of health shall annually review the procedures
46.11 approved pursuant to this subdivision.
46.12 Sec. 32. Minnesota Statutes 1996, section 144.702,
46.13 subdivision 8, is amended to read:
46.14 Subd. 8. [TERMINATION OR NONRENEWAL OF REPORTING
46.15 ORGANIZATION.] The commissioner may withdraw approval of any
46.16 voluntary, nonprofit reporting organization for failure on the
46.17 part of the voluntary, nonprofit reporting organization to
46.18 comply with the written operating requirements under subdivision
46.19 2. Upon the effective date of the withdrawal, all funds
46.20 collected by the voluntary, nonprofit reporting organization
46.21 under section 144.701, subdivision 4 1, but not expended shall
46.22 be deposited in the general fund a revolving fund and are
46.23 appropriated to the commissioner of health for the purposes of
46.24 sections 144.695 to 144.703.
46.25 The commissioner may choose not to renew approval of a
46.26 voluntary, nonprofit reporting organization if the organization
46.27 has failed to perform its obligations satisfactorily under the
46.28 written operating requirements under subdivision 2.
46.29 Sec. 33. [144.7022] [ADMINISTRATIVE PENALTY ORDERS FOR
46.30 REPORTING ORGANIZATIONS.]
46.31 Subdivision 1. [AUTHORIZATION.] The commissioner may issue
46.32 an order to the voluntary, nonprofit reporting organization
46.33 requiring violations to be corrected and administratively assess
46.34 monetary penalties for violations of sections 144.695 to 144.703
46.35 or rules, written operating requirements, orders, stipulation
46.36 agreements, settlements, or compliance agreements adopted,
47.1 enforced, or issued by the commissioner.
47.2 Subd. 2. [CONTENTS OF ORDER.] An order assessing an
47.3 administrative penalty under this section must include:
47.4 (1) a concise statement of the facts alleged to constitute
47.5 a violation;
47.6 (2) a reference to the section of law, rule, written
47.7 operating requirement, order, stipulation agreement, settlement,
47.8 or compliance agreement that has been violated;
47.9 (3) a statement of the amount of the administrative penalty
47.10 to be imposed and the factors upon which the penalty is based;
47.11 (4) a statement of the corrective actions necessary to
47.12 correct the violation; and
47.13 (5) a statement of the right to request a hearing according
47.14 to sections 14.57 to 14.62.
47.15 Subd. 3. [CONCURRENT CORRECTIVE ORDER.] The commissioner
47.16 may issue an order assessing an administrative penalty and
47.17 requiring the violations cited in the order be corrected within
47.18 30 calendar days from the date the order is received. Before
47.19 the 31st day after the order was received, the voluntary,
47.20 nonprofit reporting organization that is subject to the order
47.21 shall provide the commissioner with information demonstrating
47.22 that the violation has been corrected or that a corrective plan
47.23 acceptable to the commissioner has been developed. The
47.24 commissioner shall determine whether the violation has been
47.25 corrected and notify the voluntary, nonprofit reporting
47.26 organization of the commissioner's determination.
47.27 Subd. 4. [PENALTY.] If the commissioner determines that
47.28 the violation has been corrected or an acceptable corrective
47.29 plan has been developed, the penalty may be forgiven, except
47.30 where there are repeated or serious violations, the commissioner
47.31 may issue an order with a penalty that will not be forgiven
47.32 after corrective action is taken. Unless there is a request for
47.33 review of the order under subdivision 6 before the penalty is
47.34 due, the penalty is due and payable:
47.35 (1) on the 31st calendar day after the order was received,
47.36 if the voluntary, nonprofit reporting organization fails to
48.1 provide information to the commissioner showing that the
48.2 violation has been corrected or that appropriate steps have been
48.3 taken toward correcting the violation;
48.4 (2) on the 20th day after the voluntary, nonprofit
48.5 reporting organization receives the commissioner's determination
48.6 that the information provided is not sufficient to show that
48.7 either the violation has been corrected or that appropriate
48.8 steps have been taken toward correcting the violation; or
48.9 (3) on the 31st day after the order was received where the
48.10 penalty is for repeated or serious violations and according to
48.11 the order issued, the penalty will not be forgiven after
48.12 corrective action is taken.
48.13 All penalties due under this section are payable to the
48.14 treasurer, state of Minnesota, and shall be deposited in the
48.15 general fund.
48.16 Subd. 5. [AMOUNT OF PENALTY; CONSIDERATIONS.] (a) The
48.17 maximum amount of an administrative penalty order is $5,000 for
48.18 each specific violation identified in an inspection,
48.19 investigation, or compliance review, up to an annual maximum
48.20 total for all violations of ten percent of the fees collected by
48.21 the voluntary, nonprofit reporting organization under section
48.22 144.702, subdivision 1. The annual maximum is based on a
48.23 reporting year.
48.24 (b) In determining the amount of the administrative
48.25 penalty, the commissioner shall consider the following:
48.26 (1) the willfulness of the violation;
48.27 (2) the gravity of the violation;
48.28 (3) the history of past violations;
48.29 (4) the number of violations;
48.30 (5) the economic benefit gained by the person allowing or
48.31 committing the violation; and
48.32 (6) other factors as justice may require, if the
48.33 commissioner specifically identifies the additional factors in
48.34 the commissioner's order.
48.35 (c) In determining the amount of a penalty for a violation
48.36 subsequent to an initial violation under paragraph (a), the
49.1 commissioner shall also consider:
49.2 (1) the similarity of the most recent previous violation
49.3 and the violation to be penalized;
49.4 (2) the time elapsed since the last violation; and
49.5 (3) the response of the voluntary, nonprofit reporting
49.6 organization to the most recent previous violation.
49.7 Subd. 6. [REQUEST FOR HEARING; HEARING; AND FINAL
49.8 ORDER.] A request for hearing must be in writing, delivered to
49.9 the commissioner by certified mail within 20 calendar days after
49.10 the receipt of the order, and specifically state the reasons for
49.11 seeking review of the order. The commissioner must initiate a
49.12 hearing within 30 calendar days from the date of receipt of the
49.13 written request for hearing. The hearing shall be conducted
49.14 pursuant to the contested case procedures in sections 14.57 to
49.15 14.62. No earlier than ten calendar days after and within 30
49.16 calendar days of receipt of the presiding administrative law
49.17 judge's report, the commissioner shall, based on all relevant
49.18 facts, issue a final order modifying, vacating, or making the
49.19 original order permanent. If, within 20 calendar days of
49.20 receipt of the original order, the voluntary, nonprofit
49.21 reporting organization fails to request a hearing in writing,
49.22 the order becomes the final order of the commissioner.
49.23 Subd. 7. [REVIEW OF FINAL ORDER AND PAYMENT OF
49.24 PENALTY.] Once the commissioner issues a final order, any
49.25 penalty due under that order shall be paid within 30 calendar
49.26 days after the date of the final order, unless review of the
49.27 final order is requested. The final order of the commissioner
49.28 may be appealed in the manner prescribed in sections 14.63 to
49.29 14.69. If the final order is reviewed and upheld, the penalty
49.30 shall be paid 30 calendar days after the date of the decision of
49.31 the reviewing court. Failure to request an administrative
49.32 hearing pursuant to subdivision 6 shall constitute a waiver of
49.33 the right to further agency or judicial review of the final
49.34 order.
49.35 Subd. 8. [REINSPECTIONS AND EFFECT OF NONCOMPLIANCE.] If,
49.36 upon reinspection, or in the determination of the commissioner,
50.1 it is found that any deficiency specified in the order has not
50.2 been corrected or an acceptable corrective plan has not been
50.3 developed, the voluntary, nonprofit reporting organization is in
50.4 noncompliance. The commissioner shall issue a notice of
50.5 noncompliance and may impose any additional remedy available
50.6 under this chapter.
50.7 Subd. 9. [ENFORCEMENT.] The attorney general may proceed
50.8 on behalf of the commissioner to enforce penalties that are due
50.9 and payable under this section in any manner provided by law for
50.10 the collection of debts.
50.11 Subd. 10. [TERMINATION OR NONRENEWAL OF REPORTING
50.12 ORGANIZATION.] The commissioner may withdraw or not renew
50.13 approval of any voluntary, nonprofit reporting organization for
50.14 failure on the part of the voluntary, nonprofit reporting
50.15 organization to pay penalties owed under this section.
50.16 Subd. 11. [CUMULATIVE REMEDY.] The authority of the
50.17 commissioner to issue an administrative penalty order is in
50.18 addition to other lawfully available remedies.
50.19 Subd. 12. [MEDIATION.] In addition to review under
50.20 subdivision 6, the commissioner is authorized to enter into
50.21 mediation concerning an order issued under this section if the
50.22 commissioner and the voluntary, nonprofit reporting organization
50.23 agree to mediation.
50.24 Sec. 34. Minnesota Statutes 1996, section 144.9501,
50.25 subdivision 1, is amended to read:
50.26 Subdivision 1. [CITATION.] Sections 144.9501 to 144.9509
50.27 may be cited as the "childhood Lead Poisoning Prevention Act."
50.28 Sec. 35. Minnesota Statutes 1996, section 144.9501, is
50.29 amended by adding a subdivision to read:
50.30 Subd. 4a. [ASSESSING AGENCY.] "Assessing agency" means the
50.31 commissioner or a board of health with authority and
50.32 responsibility to conduct lead risk assessments in response to
50.33 reports of children or pregnant women with elevated blood lead
50.34 levels.
50.35 Sec. 36. Minnesota Statutes 1996, section 144.9501, is
50.36 amended by adding a subdivision to read:
51.1 Subd. 6b. [CLEARANCE INSPECTION.] "Clearance inspection"
51.2 means a visual identification of deteriorated paint and bare
51.3 soil and a resampling and analysis of interior dust lead
51.4 concentrations in a residence to ensure that the lead standards
51.5 established in rules adopted under section 144.9508 are not
51.6 exceeded.
51.7 Sec. 37. Minnesota Statutes 1996, section 144.9501,
51.8 subdivision 17, is amended to read:
51.9 Subd. 17. [LEAD HAZARD REDUCTION.] "Lead hazard reduction"
51.10 means action undertaken in response to a lead order to make a
51.11 residence, child care facility, school, or playground lead-safe
51.12 by complying with the lead standards and methods adopted under
51.13 section 144.9508, by:
51.14 (1) a property owner or lead contractor complying persons
51.15 hired by the property owner to comply with a lead order issued
51.16 under section 144.9504; or
51.17 (2) a swab team service provided in response to a lead
51.18 order issued under section 144.9504; or
51.19 (3) a renter residing at a rental property or one or more
51.20 volunteers to comply with a lead order issued under section
51.21 144.9504.
51.22 Sec. 38. Minnesota Statutes 1996, section 144.9501, is
51.23 amended by adding a subdivision to read:
51.24 Subd. 17a. [LEAD HAZARD SCREEN.] "Lead hazard screen"
51.25 means visual identification of the existence and location of any
51.26 deteriorated paint, collection and analysis of dust samples, and
51.27 visual identification of the existence and location of bare soil.
51.28 Sec. 39. Minnesota Statutes 1996, section 144.9501,
51.29 subdivision 18, is amended to read:
51.30 Subd. 18. [LEAD INSPECTION.] "Lead inspection" means a
51.31 qualitative or quantitative analytical inspection of a residence
51.32 for deteriorated paint or bare soil and the collection of
51.33 samples of deteriorated paint, bare soil, dust, or drinking
51.34 water for analysis to determine if the lead concentrations in
51.35 the samples exceed standards adopted under section 144.9508.
51.36 Lead inspection includes the clearance inspection after the
52.1 completion of a lead order measurement of the lead content of
52.2 paint and a visual identification of the existence and location
52.3 of bare soil.
52.4 Sec. 40. Minnesota Statutes 1996, section 144.9501,
52.5 subdivision 20, is amended to read:
52.6 Subd. 20. [LEAD ORDER.] "Lead order" means a legal
52.7 instrument to compel a property owner to engage in lead hazard
52.8 reduction according to the specifications given by the
52.9 inspecting assessing agency.
52.10 Sec. 41. Minnesota Statutes 1996, section 144.9501, is
52.11 amended by adding a subdivision to read:
52.12 Subd. 20a. [LEAD PROJECT DESIGNER.] "Lead project designer"
52.13 means an individual who is responsible for planning the
52.14 site-specific performance of lead abatement or lead hazard
52.15 reduction and who has been licensed by the commissioner under
52.16 section 144.9505.
52.17 Sec. 42. Minnesota Statutes 1996, section 144.9501, is
52.18 amended by adding a subdivision to read:
52.19 Subd. 20b. [LEAD RISK ASSESSMENT.] "Lead risk assessment"
52.20 means a quantitative measurement of the lead content of paint,
52.21 interior dust, and bare soil to determine compliance with the
52.22 standards established under section 144.9508.
52.23 Sec. 43. Minnesota Statutes 1996, section 144.9501, is
52.24 amended by adding a subdivision to read:
52.25 Subd. 20c. [LEAD RISK ASSESSOR.] "Lead risk assessor"
52.26 means an individual who performs lead risk assessments or lead
52.27 inspections and who has been licensed by the commissioner under
52.28 section 144.9506.
52.29 Sec. 44. Minnesota Statutes 1996, section 144.9501, is
52.30 amended by adding a subdivision to read:
52.31 Subd. 22a. [LEAD SUPERVISOR.] "Lead supervisor" means an
52.32 individual who is responsible for the on-site performance of
52.33 lead abatement or lead hazard reduction and who has been
52.34 licensed by the commissioner under section 144.9505.
52.35 Sec. 45. Minnesota Statutes 1996, section 144.9501,
52.36 subdivision 23, is amended to read:
53.1 Subd. 23. [LEAD WORKER.] "Lead worker" means any person
53.2 who is certified an individual who performs lead abatement or
53.3 lead hazard reduction and who has been licensed by the
53.4 commissioner under section 144.9505.
53.5 Sec. 46. Minnesota Statutes 1996, section 144.9501, is
53.6 amended by adding a subdivision to read:
53.7 Subd. 25a. [PLAY AREA.] "Play area" means any established
53.8 area where children play, or on residential property, any
53.9 established area where children play or bare soil is accessible
53.10 to children.
53.11 Sec. 47. Minnesota Statutes 1996, section 144.9501, is
53.12 amended by adding a subdivision to read:
53.13 Subd. 28a. [STANDARD.] "Standard" means a quantitative
53.14 assessment of lead in any environmental media or consumer
53.15 product, or a work practice or method that reduces the
53.16 likelihood of lead exposure.
53.17 Sec. 48. Minnesota Statutes 1996, section 144.9501,
53.18 subdivision 30, is amended to read:
53.19 Subd. 30. [SWAB TEAM WORKER.] "Swab team worker" means a
53.20 person who is certified an individual who performs swab team
53.21 services and who has been licensed by the commissioner as a lead
53.22 worker under section 144.9505.
53.23 Sec. 49. Minnesota Statutes 1996, section 144.9501,
53.24 subdivision 32, is amended to read:
53.25 Subd. 32. [VOLUNTARY LEAD HAZARD REDUCTION.] "Voluntary
53.26 lead hazard reduction" means action undertaken by a property
53.27 owner with the intention to engage in lead hazard reduction or
53.28 abatement lead hazard reduction activities defined in
53.29 subdivision 17, but not undertaken in response to the issuance
53.30 of a lead order.
53.31 Sec. 50. Minnesota Statutes 1996, section 144.9502,
53.32 subdivision 3, is amended to read:
53.33 Subd. 3. [REPORTS OF BLOOD LEAD ANALYSIS REQUIRED.] (a)
53.34 Every hospital, medical clinic, medical laboratory, or other
53.35 facility, or individual performing blood lead analysis shall
53.36 report the results after the analysis of each specimen analyzed,
54.1 for both capillary and venous specimens, and epidemiologic
54.2 information required in this section to the commissioner of
54.3 health, within the time frames set forth in clauses (1) and (2):
54.4 (1) within two working days by telephone, fax, or
54.5 electronic transmission, with written or electronic confirmation
54.6 within one month, for a venous blood lead level equal to or
54.7 greater than 15 micrograms of lead per deciliter of whole blood;
54.8 or
54.9 (2) within one month in writing or by electronic
54.10 transmission, for a any capillary result or for a venous blood
54.11 lead level less than 15 micrograms of lead per deciliter of
54.12 whole blood.
54.13 (b) If a blood lead analysis is performed outside of
54.14 Minnesota and the facility performing the analysis does not
54.15 report the blood lead analysis results and epidemiological
54.16 information required in this section to the commissioner, the
54.17 provider who collected the blood specimen must satisfy the
54.18 reporting requirements of this section. For purposes of this
54.19 section, "provider" has the meaning given in section 62D.02,
54.20 subdivision 9.
54.21 (c) The commissioner shall coordinate with hospitals,
54.22 medical clinics, medical laboratories, and other facilities
54.23 performing blood lead analysis to develop a universal reporting
54.24 form and mechanism.
54.25 The reporting requirements of this subdivision shall expire
54.26 on December 31, 1997. Beginning January 1, 1998, every
54.27 hospital, medical clinic, medical laboratory, or other facility
54.28 performing blood lead analysis shall report the results within
54.29 two working days by telephone, fax, or electronic transmission,
54.30 with written or electronic confirmation within one month, for
54.31 capillary or venous blood lead level equal to the level for
54.32 which reporting is recommended by the Center for Disease Control.
54.33 Sec. 51. Minnesota Statutes 1996, section 144.9502,
54.34 subdivision 4, is amended to read:
54.35 Subd. 4. [BLOOD LEAD ANALYSES AND EPIDEMIOLOGIC
54.36 INFORMATION.] The blood lead analysis reports required in this
55.1 section must specify:
55.2 (1) whether the specimen was collected as a capillary or
55.3 venous sample;
55.4 (2) the date the sample was collected;
55.5 (3) the results of the blood lead analysis;
55.6 (4) the date the sample was analyzed;
55.7 (5) the method of analysis used;
55.8 (6) the full name, address, and phone number of the
55.9 laboratory performing the analysis;
55.10 (7) the full name, address, and phone number of the
55.11 physician or facility requesting the analysis;
55.12 (8) the full name, address, and phone number of the person
55.13 with the elevated blood lead level, and the person's birthdate,
55.14 gender, and race.
55.15 Sec. 52. Minnesota Statutes 1996, section 144.9502,
55.16 subdivision 9, is amended to read:
55.17 Subd. 9. [CLASSIFICATION OF DATA.] Notwithstanding any law
55.18 to the contrary, including section 13.05, subdivision 9, data
55.19 collected by the commissioner of health about persons with
55.20 elevated blood lead levels, including analytic results from
55.21 samples of paint, soil, dust, and drinking water taken from the
55.22 individual's home and immediate property, shall be private and
55.23 may only be used by the commissioner of health, the commissioner
55.24 of labor and industry, authorized agents of Indian tribes, and
55.25 authorized employees of local boards of health for the purposes
55.26 set forth in this section.
55.27 Sec. 53. Minnesota Statutes 1996, section 144.9503,
55.28 subdivision 4, is amended to read:
55.29 Subd. 4. [SWAB TEAM SERVICES.] Primary prevention must
55.30 include the use of swab team services in census tracts
55.31 identified at high risk for toxic lead exposure as identified by
55.32 the commissioner under this section. The swab team services may
55.33 be provided based on visual inspections lead hazard screens
55.34 whenever possible and must at least include lead
55.35 hazard management reduction for deteriorated interior lead-based
55.36 paint, bare soil, and dust.
56.1 Sec. 54. Minnesota Statutes 1996, section 144.9503,
56.2 subdivision 6, is amended to read:
56.3 Subd. 6. [VOLUNTARY LEAD ABATEMENT OR LEAD HAZARD
56.4 REDUCTION.] The commissioner shall monitor the lead abatement or
56.5 lead hazard reduction methods adopted under section 144.9508 in
56.6 cases of voluntary lead abatement or lead hazard reduction. All
56.7 contractors persons hired to do voluntary lead abatement or lead
56.8 hazard reduction must be licensed lead contractors by the
56.9 commissioner under section 144.9505 or 144.9506. Renters and
56.10 volunteers performing lead abatement or lead hazard reduction
56.11 must be trained and licensed as lead supervisors or lead
56.12 workers. If a property owner does not use a lead contractor
56.13 hire a person for voluntary lead abatement or lead hazard
56.14 reduction, the property owner shall provide the commissioner
56.15 with a work plan for lead abatement or lead hazard reduction at
56.16 least ten working days before beginning the lead abatement or
56.17 lead hazard reduction. The work plan must include the details
56.18 required in section 144.9505, and notice as to when
56.19 lead abatement or lead hazard reduction activities will begin.
56.20 Within the limits of appropriations, the commissioner shall
56.21 review work plans and shall approve or disapprove them as to
56.22 compliance with the requirements in section 144.9505. No
56.23 penalty shall be assessed against a property owner for
56.24 discontinuing voluntary lead hazard reduction before completion
56.25 of the work plan, provided that the property owner discontinues
56.26 the plan lead hazard reduction in a manner that leaves the
56.27 property in a condition no more hazardous than its condition
56.28 before the work plan implementation.
56.29 Sec. 55. Minnesota Statutes 1996, section 144.9503,
56.30 subdivision 7, is amended to read:
56.31 Subd. 7. [LEAD-SAFE INFORMATIONAL DIRECTIVES.] (a) By July
56.32 1, 1995, and amended and updated as necessary, the commissioner
56.33 shall develop in cooperation with the commissioner of
56.34 administration provisions and procedures to define
56.35 lead-safe informational directives for residential remodeling,
56.36 renovation, installation, and rehabilitation activities that are
57.1 not lead hazard reduction, but may disrupt lead-based paint
57.2 surfaces.
57.3 (b) The provisions and procedures shall define lead-safe
57.4 directives for nonlead hazard reduction activities including
57.5 preparation, cleanup, and disposal procedures. The directives
57.6 shall be based on the different levels and types of work
57.7 involved and the potential for lead hazards. The directives
57.8 shall address activities including painting; remodeling;
57.9 weatherization; installation of cable, wire, plumbing, and gas;
57.10 and replacement of doors and windows. The commissioners of
57.11 health and administration shall consult with representatives of
57.12 builders, weatherization providers, nonprofit rehabilitation
57.13 organizations, each of the affected trades, and housing and
57.14 redevelopment authorities in developing the directives and
57.15 procedures. This group shall also make recommendations for
57.16 consumer and contractor education and training. The
57.17 commissioner of health shall report to the legislature by
57.18 February 15, 1996, regarding development of the provisions
57.19 required under this subdivision paragraph.
57.20 (c) By January 1, 1999, the commissioner, in cooperation
57.21 with interested and informed persons and using the meeting
57.22 structure and format developed in paragraph (b), shall develop
57.23 lead-safe informational directives on the following topics:
57.24 (1) maintaining floors, walls, and ceilings;
57.25 (2) maintaining and repairing porches;
57.26 (3) conducting a risk evaluation for lead; and
57.27 (4) prohibited practices when working with lead.
57.28 The commissioner shall report to the legislature by January 1,
57.29 1999, regarding development of the provisions required under
57.30 this paragraph.
57.31 Sec. 56. Minnesota Statutes 1996, section 144.9504,
57.32 subdivision 1, is amended to read:
57.33 Subdivision 1. [JURISDICTION.] (a) A board of health
57.34 serving cities of the first class must conduct lead inspections
57.35 risk assessments for purposes of secondary prevention, according
57.36 to the provisions of this section. A board of health not
58.1 serving cities of the first class must conduct lead inspections
58.2 risk assessments for the purposes of secondary prevention,
58.3 unless they certify certified in writing to the commissioner by
58.4 January 1, 1996, that they desire desired to relinquish these
58.5 duties back to the commissioner. At the discretion of the
58.6 commissioner, a board of health may relinquish the authority and
58.7 duty to perform lead risk assessments for secondary prevention
58.8 by so certifying in writing to the commissioner by December 31,
58.9 1999. At the discretion of the commissioner, a board of health
58.10 may, upon written request to the commissioner, resume these
58.11 duties.
58.12 (b) Inspections Lead risk assessments must be conducted by
58.13 a board of health serving a city of the first class. The
58.14 commissioner must conduct lead inspections risk assessments in
58.15 any area not including cities of the first class where a board
58.16 of health has relinquished to the commissioner the
58.17 responsibility for lead inspections risk assessments. The
58.18 commissioner shall coordinate with the board of health to ensure
58.19 that the requirements of this section are met.
58.20 (c) The commissioner may assist boards of health by
58.21 providing technical expertise, equipment, and personnel to
58.22 boards of health. The commissioner may provide laboratory or
58.23 field lead-testing equipment to a board of health or may
58.24 reimburse a board of health for direct costs associated with
58.25 lead inspections risk assessments.
58.26 (d) The commissioner shall enforce the rules under section
58.27 144.9508 in cases of voluntary lead hazard reduction.
58.28 Sec. 57. Minnesota Statutes 1997 Supplement, section
58.29 144.9504, subdivision 2, is amended to read:
58.30 Subd. 2. [LEAD INSPECTION RISK ASSESSMENT.] (a)
58.31 An inspecting assessing agency shall conduct a lead inspection
58.32 risk assessment of a residence according to the venous blood
58.33 lead level and time frame set forth in clauses (1) to (5) for
58.34 purposes of secondary prevention:
58.35 (1) within 48 hours of a child or pregnant female in the
58.36 residence being identified to the agency as having a venous
59.1 blood lead level equal to or greater than 70 micrograms of lead
59.2 per deciliter of whole blood;
59.3 (2) within five working days of a child or pregnant female
59.4 in the residence being identified to the agency as having a
59.5 venous blood lead level equal to or greater than 45 micrograms
59.6 of lead per deciliter of whole blood;
59.7 (3) within ten working days of a child in the residence
59.8 being identified to the agency as having a venous blood lead
59.9 level equal to or greater than 20 micrograms of lead per
59.10 deciliter of whole blood;
59.11 (4) within ten working days of a child in the residence
59.12 being identified to the agency as having a venous blood lead
59.13 level that persists in the range of 15 to 19 micrograms of lead
59.14 per deciliter of whole blood for 90 days after initial
59.15 identification; or
59.16 (5) within ten working days of a pregnant female in the
59.17 residence being identified to the agency as having a venous
59.18 blood lead level equal to or greater than ten micrograms of lead
59.19 per deciliter of whole blood.
59.20 (b) Within the limits of available state and federal
59.21 appropriations, an inspecting assessing agency may also conduct
59.22 a lead inspection risk assessment for children with any elevated
59.23 blood lead level.
59.24 (c) In a building with two or more dwelling units, an
59.25 inspecting assessing agency shall inspect the individual unit in
59.26 which the conditions of this section are met and shall also
59.27 inspect all common areas. If a child visits one or more other
59.28 sites such as another residence, or a residential or commercial
59.29 child care facility, playground, or school, the inspecting
59.30 assessing agency shall also inspect the other sites.
59.31 The inspecting assessing agency shall have one additional day
59.32 added to the time frame set forth in this subdivision to
59.33 complete the lead inspection risk assessment for each additional
59.34 site.
59.35 (d) Within the limits of appropriations, the inspecting
59.36 assessing agency shall identify the known addresses for the
60.1 previous 12 months of the child or pregnant female with venous
60.2 blood lead levels of at least 20 micrograms per deciliter for
60.3 the child or at least ten micrograms per deciliter for the
60.4 pregnant female; notify the property owners, landlords, and
60.5 tenants at those addresses that an elevated blood lead level was
60.6 found in a person who resided at the property; and give them a
60.7 copy of the lead inspection risk assessment guide. The
60.8 inspecting assessing agency shall provide the notice required by
60.9 this subdivision without identifying the child or pregnant
60.10 female with the elevated blood lead level. The inspecting
60.11 assessing agency is not required to obtain the consent of the
60.12 child's parent or guardian or the consent of the pregnant female
60.13 for purposes of this subdivision. This information shall be
60.14 classified as private data on individuals as defined under
60.15 section 13.02, subdivision 12.
60.16 (e) The inspecting assessing agency shall conduct the lead
60.17 inspection risk assessment according to rules adopted by the
60.18 commissioner under section 144.9508. An inspecting assessing
60.19 agency shall have lead inspections risk assessments performed by
60.20 lead inspectors risk assessors licensed by the commissioner
60.21 according to rules adopted under section 144.9508. If a
60.22 property owner refuses to allow an inspection a lead risk
60.23 assessment, the inspecting assessing agency shall begin legal
60.24 proceedings to gain entry to the property and the time frame for
60.25 conducting a lead inspection risk assessment set forth in this
60.26 subdivision no longer applies. An inspector A lead risk
60.27 assessor or inspecting assessing agency may observe the
60.28 performance of lead hazard reduction in progress and shall
60.29 enforce the provisions of this section under section 144.9509.
60.30 Deteriorated painted surfaces, bare soil, and dust, and drinking
60.31 water must be tested with appropriate analytical equipment to
60.32 determine the lead content, except that deteriorated painted
60.33 surfaces or bare soil need not be tested if the property owner
60.34 agrees to engage in lead hazard reduction on those
60.35 surfaces. The lead content of drinking water must be measured
60.36 if a probable source of lead exposure is not identified by
61.1 measurement of lead in paint, bare soil, or dust. Within a
61.2 standard metropolitan statistical area, an assessing agency may
61.3 order lead hazard reduction of bare soil without measuring the
61.4 lead content of the bare soil if the property is in a census
61.5 tract in which soil sampling has been performed according to
61.6 rules established by the commissioner and at least 25 percent of
61.7 the soil samples contain lead concentrations above the standard
61.8 in section 144.9508.
61.9 (f) A lead inspector risk assessor shall notify the
61.10 commissioner and the board of health of all violations of lead
61.11 standards under section 144.9508, that are identified in a
61.12 lead inspection risk assessment conducted under this section.
61.13 (g) Each inspecting assessing agency shall establish an
61.14 administrative appeal procedure which allows a property owner to
61.15 contest the nature and conditions of any lead order issued by
61.16 the inspecting assessing agency. Inspecting Assessing agencies
61.17 must consider appeals that propose lower cost methods that make
61.18 the residence lead safe.
61.19 (h) Sections 144.9501 to 144.9509 neither authorize nor
61.20 prohibit an inspecting assessing agency from charging a property
61.21 owner for the cost of a lead inspection risk assessment.
61.22 Sec. 58. Minnesota Statutes 1996, section 144.9504,
61.23 subdivision 3, is amended to read:
61.24 Subd. 3. [LEAD EDUCATION STRATEGY.] At the time of a
61.25 lead inspection risk assessment or following a lead order, the
61.26 inspecting assessing agency shall ensure that a family will
61.27 receive a visit at their residence by a swab team worker or
61.28 public health professional, such as a nurse, sanitarian, public
61.29 health educator, or other public health professional. The swab
61.30 team worker or public health professional shall inform the
61.31 property owner, landlord, and the tenant of the health-related
61.32 aspects of lead exposure; nutrition; safety measures to minimize
61.33 exposure; methods to be followed before, during, and after the
61.34 lead hazard reduction process; and community, legal, and housing
61.35 resources. If a family moves to a temporary residence during
61.36 the lead hazard reduction process, lead education services
62.1 should be provided at the temporary residence whenever feasible.
62.2 Sec. 59. Minnesota Statutes 1996, section 144.9504,
62.3 subdivision 4, is amended to read:
62.4 Subd. 4. [LEAD INSPECTION RISK ASSESSMENT GUIDES.] (a) The
62.5 commissioner of health shall develop or purchase lead inspection
62.6 risk assessment guides that enable parents and other caregivers
62.7 to assess the possible lead sources present and that suggest
62.8 lead hazard reduction actions. The guide must provide
62.9 information on lead hazard reduction and disposal methods,
62.10 sources of equipment, and telephone numbers for additional
62.11 information to enable the persons to either select a lead
62.12 contractor persons licensed by the commissioner under section
62.13 144.9505 or 144.9506 to perform lead hazard reduction or perform
62.14 the lead hazard reduction themselves. The guides must explain:
62.15 (1) the requirements of this section and rules adopted
62.16 under section 144.9508;
62.17 (2) information on the administrative appeal procedures
62.18 required under this section;
62.19 (3) summary information on lead-safe directives;
62.20 (4) be understandable at an eighth grade reading level; and
62.21 (5) be translated for use by non-English-speaking persons.
62.22 (b) An inspecting assessing agency shall provide the lead
62.23 inspection risk assessment guides at no cost to:
62.24 (1) parents and other caregivers of children who are
62.25 identified as having blood lead levels of at least ten
62.26 micrograms of lead per deciliter of whole blood;
62.27 (2) all property owners who are issued housing code or lead
62.28 orders requiring lead hazard reduction of lead sources and all
62.29 occupants of those properties; and
62.30 (3) occupants of residences adjacent to the inspected
62.31 property.
62.32 (c) An inspecting assessing agency shall provide the lead
62.33 inspection risk assessment guides on request to owners or
62.34 occupants of residential property, builders, contractors,
62.35 inspectors, and the public within the jurisdiction of
62.36 the inspecting assessing agency.
63.1 Sec. 60. Minnesota Statutes 1996, section 144.9504,
63.2 subdivision 5, is amended to read:
63.3 Subd. 5. [LEAD ORDERS.] An inspecting assessing agency,
63.4 after conducting a lead inspection risk assessment, shall order
63.5 a property owner to perform lead hazard reduction on all lead
63.6 sources that exceed a standard adopted according to section
63.7 144.9508. If lead inspections risk assessments and lead orders
63.8 are conducted at times when weather or soil conditions do not
63.9 permit the lead inspection risk assessment or lead hazard
63.10 reduction, external surfaces and soil lead shall be inspected,
63.11 and lead orders complied with, if necessary, at the first
63.12 opportunity that weather and soil conditions allow. If the
63.13 paint standard under section 144.9508 is violated, but the paint
63.14 is intact, the inspecting assessing agency shall not order the
63.15 paint to be removed unless the intact paint is a known source of
63.16 actual lead exposure to a specific person. Before the
63.17 inspecting assessing agency may order the intact paint to be
63.18 removed, a reasonable effort must be made to protect the child
63.19 and preserve the intact paint by the use of guards or other
63.20 protective devices and methods. Whenever windows and doors or
63.21 other components covered with deteriorated lead-based paint have
63.22 sound substrate or are not rotting, those components should be
63.23 repaired, sent out for stripping or be planed down to remove
63.24 deteriorated lead-based paint or covered with protective guards
63.25 instead of being replaced, provided that such an activity is the
63.26 least cost method. However, a property owner who has been
63.27 ordered to perform lead hazard reduction may choose any method
63.28 to address deteriorated lead-based paint on windows, doors, or
63.29 other components, provided that the method is approved in rules
63.30 adopted under section 144.9508 and that it is appropriate to the
63.31 specific property. Lead orders must require that any source of
63.32 damage, such as leaking roofs, plumbing, and windows, be
63.33 repaired or replaced, as needed, to prevent damage to
63.34 lead-containing interior surfaces. The inspecting assessing
63.35 agency is not required to pay for lead hazard reduction. Lead
63.36 orders must be issued within 30 days of receiving the blood lead
64.1 level analysis. The inspecting assessing agency shall enforce
64.2 the lead orders issued to a property owner under this section.
64.3 A copy of the lead order must be forwarded to the commissioner.
64.4 Sec. 61. Minnesota Statutes 1996, section 144.9504,
64.5 subdivision 6, is amended to read:
64.6 Subd. 6. [SWAB TEAM SERVICES.] After a lead inspection
64.7 risk assessment or after issuing lead orders, the inspecting
64.8 assessing agency, within the limits of appropriations and
64.9 availability, shall offer the property owner the services of a
64.10 swab team free of charge and, if accepted, shall send a swab
64.11 team within ten working days to the residence to perform swab
64.12 team services as defined in section 144.9501. If the inspecting
64.13 assessing agency provides swab team services after a
64.14 lead inspection risk assessment, but before the issuance of a
64.15 lead order, swab team services do not need to be repeated after
64.16 the issuance of the lead order if the swab team services
64.17 fulfilled the lead order. Swab team services are not considered
64.18 completed until the clearance inspection required under this
64.19 section shows that the property is lead safe.
64.20 Sec. 62. Minnesota Statutes 1996, section 144.9504,
64.21 subdivision 7, is amended to read:
64.22 Subd. 7. [RELOCATION OF RESIDENTS.] (a) Within the limits
64.23 of appropriations, the inspecting assessing agency shall ensure
64.24 that residents are relocated from rooms or dwellings during a
64.25 lead hazard reduction process that generates leaded dust, such
64.26 as removal or disruption of lead-based paint or plaster that
64.27 contains lead. Residents shall not remain in rooms or dwellings
64.28 where the lead hazard reduction process is occurring. An
64.29 inspecting assessing agency is not required to pay for
64.30 relocation unless state or federal funding is available for this
64.31 purpose. The inspecting assessing agency shall make an effort
64.32 to assist the resident in locating resources that will provide
64.33 assistance with relocation costs. Residents shall be allowed to
64.34 return to the residence or dwelling after completion of the lead
64.35 hazard reduction process. An inspecting assessing agency shall
64.36 use grant funds under section 144.9507 if available, in
65.1 cooperation with local housing agencies, to pay for moving costs
65.2 and rent for a temporary residence for any low-income resident
65.3 temporarily relocated during lead hazard reduction. For
65.4 purposes of this section, "low-income resident" means any
65.5 resident whose gross household income is at or below 185 percent
65.6 of federal poverty level.
65.7 (b) A resident of rental property who is notified by an
65.8 inspecting assessing agency to vacate the premises during lead
65.9 hazard reduction, notwithstanding any rental agreement or lease
65.10 provisions:
65.11 (1) shall not be required to pay rent due the landlord for
65.12 the period of time the tenant vacates the premises due to lead
65.13 hazard reduction;
65.14 (2) may elect to immediately terminate the tenancy
65.15 effective on the date the tenant vacates the premises due to
65.16 lead hazard reduction; and
65.17 (3) shall not, if the tenancy is terminated, be liable for
65.18 any further rent or other charges due under the terms of the
65.19 tenancy.
65.20 (c) A landlord of rental property whose tenants vacate the
65.21 premises during lead hazard reduction shall:
65.22 (1) allow a tenant to return to the dwelling unit after
65.23 lead hazard reduction and clearance inspection, required under
65.24 this section, is completed, unless the tenant has elected to
65.25 terminate the tenancy as provided for in paragraph (b); and
65.26 (2) return any security deposit due under section 504.20
65.27 within five days of the date the tenant vacates the unit, to any
65.28 tenant who terminates tenancy as provided for in paragraph (b).
65.29 Sec. 63. Minnesota Statutes 1996, section 144.9504,
65.30 subdivision 8, is amended to read:
65.31 Subd. 8. [PROPERTY OWNER RESPONSIBILITY.] Property owners
65.32 shall comply with lead orders issued under this section within
65.33 60 days or be subject to enforcement actions as provided under
65.34 section 144.9509. For orders or portions of orders concerning
65.35 external lead hazards, property owners shall comply within 60
65.36 days, or as soon thereafter as weather permits. If the property
66.1 owner does not use a lead contractor hire a person licensed by
66.2 the commissioner under section 144.9505 for compliance with the
66.3 lead orders, the property owner shall submit a work plan to
66.4 the inspecting assessing agency within 30 days after receiving
66.5 the orders. The work plan must include the details required in
66.6 section 144.9505 as to how the property owner intends to comply
66.7 with the lead orders and notice as to when lead hazard reduction
66.8 activities will begin. Within the limits of appropriations, the
66.9 commissioner shall review plans and shall approve or disapprove
66.10 them as to compliance with the requirements in section 144.9505,
66.11 subdivision 5. Renters and volunteers performing lead abatement
66.12 or lead hazard reduction must be trained and licensed as lead
66.13 supervisors or lead workers under section 144.9505.
66.14 Sec. 64. Minnesota Statutes 1996, section 144.9504,
66.15 subdivision 9, is amended to read:
66.16 Subd. 9. [CLEARANCE INSPECTION.] After completion of swab
66.17 team services and compliance with the lead orders by the
66.18 property owner, including any repairs ordered by a local housing
66.19 or building inspector, the inspecting assessing agency shall
66.20 conduct a clearance inspection by visually inspecting the
66.21 residence for visual identification of deteriorated paint and
66.22 bare soil and retest the dust lead concentration in the
66.23 residence to assure that violations of the lead standards under
66.24 section 144.9508 no longer exist. The inspecting assessing
66.25 agency is not required to test a dwelling unit after lead hazard
66.26 reduction that was not ordered by the inspecting assessing
66.27 agency.
66.28 Sec. 65. Minnesota Statutes 1996, section 144.9504,
66.29 subdivision 10, is amended to read:
66.30 Subd. 10. [CASE CLOSURE.] A lead inspection risk
66.31 assessment is completed and the responsibility of the inspecting
66.32 assessing agency ends when all of the following conditions are
66.33 met:
66.34 (1) lead orders are written on all known sources of
66.35 violations of lead standards under section 144.9508;
66.36 (2) compliance with all lead orders has been completed; and
67.1 (3) clearance inspections demonstrate that no deteriorated
67.2 lead paint, bare soil, or lead dust levels exist that exceed the
67.3 standards adopted under section 144.9508.
67.4 Sec. 66. Minnesota Statutes 1996, section 144.9505,
67.5 subdivision 1, is amended to read:
67.6 Subdivision 1. [LICENSING AND CERTIFICATION.] (a) Lead
67.7 contractors A person shall, before performing abatement or lead
67.8 hazard reduction or providing planning services for lead
67.9 abatement or lead hazard reduction, obtain a license from the
67.10 commissioner as a lead supervisor, lead worker, or lead project
67.11 designer. Workers for lead contractors shall obtain
67.12 certification from the commissioner. The commissioner shall
67.13 specify training and testing requirements for licensure and
67.14 certification as required in section 144.9508 and shall charge a
67.15 fee for the cost of issuing a license or certificate and for
67.16 training provided by the commissioner. Fees collected under
67.17 this section shall be set in amounts to be determined by the
67.18 commissioner to cover but not exceed the costs of adopting rules
67.19 under section 144.9508, the costs of licensure, certification,
67.20 and training, and the costs of enforcing licenses and
67.21 certificates under this section. License fees shall be
67.22 nonrefundable and must be submitted with each application in the
67.23 amount of $50 for each lead supervisor, lead worker, or lead
67.24 inspector and $100 for each lead project designer, lead risk
67.25 assessor, or certified firm. All fees received shall be paid
67.26 into the state treasury and credited to the lead abatement
67.27 licensing and certification account and are appropriated to the
67.28 commissioner to cover costs incurred under this section and
67.29 section 144.9508.
67.30 (b) Contractors Persons shall not advertise or otherwise
67.31 present themselves as lead contractors supervisors, lead
67.32 workers, or lead project designers unless they have lead
67.33 contractor licenses issued by the department of health
67.34 commissioner under section 144.9505.
67.35 Sec. 67. Minnesota Statutes 1996, section 144.9505,
67.36 subdivision 4, is amended to read:
68.1 Subd. 4. [NOTICE OF LEAD ABATEMENT OR LEAD HAZARD
68.2 REDUCTION WORK.] (a) At least five working days before starting
68.3 work at each lead abatement or lead hazard reduction worksite,
68.4 the person performing the lead abatement or lead hazard
68.5 reduction work shall give written notice and an approved work
68.6 plan as required in this section to the commissioner and the
68.7 appropriate board of health. Within the limits of
68.8 appropriations, the commissioner shall review plans and shall
68.9 approve or disapprove them as to compliance with the
68.10 requirements in subdivision 5.
68.11 (b) This provision does not apply to swab team workers
68.12 performing work under an order of an inspecting assessing agency.
68.13 Sec. 68. Minnesota Statutes 1996, section 144.9505,
68.14 subdivision 5, is amended to read:
68.15 Subd. 5. [ABATEMENT OR LEAD HAZARD REDUCTION WORK PLANS.]
68.16 (a) A lead contractor person who performs lead abatement or lead
68.17 hazard reduction shall present a lead abatement or lead hazard
68.18 reduction work plan to the property owner with each bid or
68.19 estimate for lead abatement or lead hazard reduction work.
68.20 The work plan does not replace or supersede more stringent
68.21 contractual agreements. A written lead abatement or lead hazard
68.22 reduction work plan must be prepared which describes the
68.23 equipment and procedures to be used throughout the lead
68.24 abatement or lead hazard reduction work project. At a minimum,
68.25 the work plan must describe:
68.26 (1) the building area and building components to be worked
68.27 on;
68.28 (2) the amount of lead-containing material to be removed,
68.29 encapsulated, or enclosed;
68.30 (3) the schedule to be followed for each work stage;
68.31 (4) the workers' personal protection equipment and
68.32 clothing;
68.33 (5) the dust suppression and debris containment methods;
68.34 (6) the lead abatement or lead hazard reduction methods to
68.35 be used on each building component;
68.36 (7) cleaning methods;
69.1 (8) temporary, on-site waste storage, if any; and
69.2 (9) the methods for transporting waste material and its
69.3 destination.
69.4 (b) A lead contractor The work plan shall itemize the costs
69.5 for each item listed in paragraph (a) and for any other expenses
69.6 associated with the lead abatement or lead hazard reduction work
69.7 and shall present these costs be presented to the property owner
69.8 with any bid or estimate for lead abatement or lead hazard
69.9 reduction work.
69.10 (c) A lead contractor The person performing the lead
69.11 abatement or lead hazard reduction shall keep a copy of the work
69.12 plan readily available at the worksite for the duration of the
69.13 project and present it to the inspecting assessing agency on
69.14 demand.
69.15 (d) A lead contractor The person performing the lead
69.16 abatement or lead hazard reduction shall keep a copy of the work
69.17 plan on record for one year after completion of the project and
69.18 shall present it to the inspecting assessing agency on demand.
69.19 (e) This provision does not apply to swab team workers
69.20 performing work under an order of an inspecting assessing agency
69.21 or providing services at no cost to a property owner with
69.22 funding under a state or federal grant.
69.23 Sec. 69. Minnesota Statutes 1997 Supplement, section
69.24 144.9506, subdivision 1, is amended to read:
69.25 Subdivision 1. [LICENSE REQUIRED.] (a) A lead
69.26 inspector person shall obtain a license as a lead inspector or a
69.27 lead risk assessor before performing lead inspections, lead
69.28 hazard screens, or lead risk assessments and shall renew
69.29 it annually as required in rules adopted under section 144.9508.
69.30 The commissioner shall charge a fee and require annual refresher
69.31 training, as specified in this section. A lead inspector or
69.32 lead risk assessor shall have the lead inspector's license or
69.33 lead risk assessor's license readily available at all times
69.34 at an a lead inspection site or lead risk assessment site and
69.35 make it available, on request, for inspection examination by the
69.36 inspecting assessing agency with jurisdiction over the site. A
70.1 license shall not be transferred. License fees shall be
70.2 nonrefundable and must be submitted with each application in the
70.3 amount of $50 for each lead inspector and $100 for each lead
70.4 risk assessor.
70.5 (b) Individuals shall not advertise or otherwise present
70.6 themselves as lead inspectors or lead risk assessors unless
70.7 licensed by the commissioner.
70.8 (c) An individual may use sodium rhodizonate to test paint
70.9 for the presence of lead without obtaining a lead inspector or
70.10 lead risk assessor license, but must not represent the test as a
70.11 lead inspection or lead risk assessment.
70.12 Sec. 70. Minnesota Statutes 1996, section 144.9506,
70.13 subdivision 2, is amended to read:
70.14 Subd. 2. [LICENSE APPLICATION.] An application for a
70.15 license or license renewal shall be on a form provided by the
70.16 commissioner and shall include:
70.17 (1) a $50 nonrefundable fee, in a form approved by the
70.18 commissioner; and
70.19 (2) evidence that the applicant has successfully completed
70.20 a lead inspector training course approved under this section or
70.21 from another state with which the commissioner has established
70.22 reciprocity. The fee required in this section is waived for
70.23 federal, state, or local government employees within Minnesota.
70.24 Sec. 71. Minnesota Statutes 1996, section 144.9507,
70.25 subdivision 2, is amended to read:
70.26 Subd. 2. [LEAD INSPECTION RISK ASSESSMENT CONTRACTS.] The
70.27 commissioner shall, within available federal or state
70.28 appropriations, contract with boards of health to conduct
70.29 lead inspections risk assessments to determine sources of lead
70.30 contamination and to issue and enforce lead orders according to
70.31 section 144.9504.
70.32 Sec. 72. Minnesota Statutes 1996, section 144.9507,
70.33 subdivision 3, is amended to read:
70.34 Subd. 3. [TEMPORARY LEAD-SAFE HOUSING CONTRACTS.] The
70.35 commissioner shall, within the limits of available
70.36 appropriations, contract with boards of health for temporary
71.1 housing, to be used in meeting relocation requirements in
71.2 section 144.9504, and award grants to boards of health for the
71.3 purposes of paying housing and relocation costs under section
71.4 144.9504. The commissioner may use up to 15 percent of the
71.5 available appropriations to provide temporary lead-safe housing
71.6 in areas of the state in which the commissioner has the duty
71.7 under section 144.9504 to perform secondary prevention.
71.8 Sec. 73. Minnesota Statutes 1996, section 144.9507,
71.9 subdivision 4, is amended to read:
71.10 Subd. 4. [LEAD CLEANUP EQUIPMENT AND MATERIAL GRANTS TO
71.11 NONPROFIT ORGANIZATIONS.] (a) The commissioner shall, within the
71.12 limits of available state or federal appropriations, provide
71.13 funds for lead cleanup equipment and materials under a grant
71.14 program to nonprofit community-based organizations in areas at
71.15 high risk for toxic lead exposure, as provided for in section
71.16 144.9503.
71.17 (b) Nonprofit community-based organizations in areas at
71.18 high risk for toxic lead exposure may apply for grants from the
71.19 commissioner to purchase lead cleanup equipment and materials
71.20 and to pay for training for staff and volunteers for lead
71.21 licensure under sections 144.9505 and 144.9506.
71.22 (c) For purposes of this section, lead cleanup equipment
71.23 and materials means high efficiency particle accumulator (HEPA)
71.24 and wet vacuum cleaners, wash water filters, mops, buckets,
71.25 hoses, sponges, protective clothing, drop cloths, wet scraping
71.26 equipment, secure containers, dust and particle containment
71.27 material, and other cleanup and containment materials to remove
71.28 loose paint and plaster, patch plaster, control household dust,
71.29 wax floors, clean carpets and sidewalks, and cover bare soil.
71.30 (d) The grantee's staff and volunteers may make lead
71.31 cleanup equipment and materials available to residents and
71.32 property owners and instruct them on the proper use of the
71.33 equipment. Lead cleanup equipment and materials must be made
71.34 available to low-income households, as defined by federal
71.35 guidelines, on a priority basis at no fee. Other households may
71.36 be charged on a sliding fee scale.
72.1 (e) The grantee shall not charge a fee for services
72.2 performed using the equipment or materials.
72.3 (f) Any funds appropriated for purposes of this subdivision
72.4 that are not awarded, due to a lack of acceptable proposals for
72.5 the full amount appropriated, may be used for any purpose
72.6 authorized in this section.
72.7 Sec. 74. Minnesota Statutes 1996, section 144.9508,
72.8 subdivision 1, is amended to read:
72.9 Subdivision 1. [SAMPLING AND ANALYSIS.] The commissioner
72.10 shall adopt, by rule, visual inspection and sampling and
72.11 analysis methods for:
72.12 (1) lead inspections under section 144.9504, lead hazard
72.13 screens, lead risk assessments, and clearance inspections;
72.14 (2) environmental surveys of lead in paint, soil, dust, and
72.15 drinking water to determine census tracts that are areas at high
72.16 risk for toxic lead exposure;
72.17 (3) soil sampling for soil used as replacement soil; and
72.18 (4) drinking water sampling, which shall be done in
72.19 accordance with lab certification requirements and analytical
72.20 techniques specified by Code of Federal Regulations, title 40,
72.21 section 141.89; and
72.22 (5) sampling to determine whether at least 25 percent of
72.23 the soil samples collected from a census tract within a standard
72.24 metropolitan statistical area contain lead in concentrations
72.25 that exceed 100 parts per million.
72.26 Sec. 75. Minnesota Statutes 1996, section 144.9508, is
72.27 amended by adding a subdivision to read:
72.28 Subd. 2a. [LEAD STANDARDS FOR EXTERIOR SURFACES AND STREET
72.29 DUST.] The commissioner may, by rule, establish lead standards
72.30 for exterior horizontal surfaces, concrete or other impervious
72.31 surfaces, and street dust on residential property to protect the
72.32 public health and the environment.
72.33 Sec. 76. Minnesota Statutes 1996, section 144.9508,
72.34 subdivision 3, is amended to read:
72.35 Subd. 3. [LEAD CONTRACTORS AND WORKERS LICENSURE AND
72.36 CERTIFICATION.] The commissioner shall adopt rules to license
73.1 lead contractors and to certify supervisors, lead workers of
73.2 lead contractors who perform lead abatement or lead hazard
73.3 reduction, lead project designers, lead inspectors, and lead
73.4 risk assessors. The commissioner shall also adopt rules
73.5 requiring certification of firms that perform lead abatement,
73.6 lead hazard reduction, lead hazard screens, or lead risk
73.7 assessments. The commissioner shall require periodic renewal of
73.8 licenses and certificates and shall establish the renewal
73.9 periods.
73.10 Sec. 77. Minnesota Statutes 1996, section 144.9508,
73.11 subdivision 4, is amended to read:
73.12 Subd. 4. [LEAD TRAINING COURSE.] The commissioner shall
73.13 establish by rule a permit fee to be paid by a training course
73.14 provider on application for a training course permit or renewal
73.15 period for each lead-related training course required for
73.16 certification or licensure. The commissioner shall establish
73.17 criteria in rules for the content and presentation of training
73.18 courses intended to qualify trainees for licensure under
73.19 subdivision 3. Training course permit fees shall be
73.20 nonrefundable and must be submitted with each application in the
73.21 amount of $500 for an initial training course, $250 for renewal
73.22 of a permit for an initial training course, $250 for a refresher
73.23 training course, and $125 for renewal of a permit of a refresher
73.24 training course.
73.25 Sec. 78. Minnesota Statutes 1996, section 144.9509,
73.26 subdivision 2, is amended to read:
73.27 Subd. 2. [DISCRIMINATION.] A person who discriminates
73.28 against or otherwise sanctions an employee who complains to or
73.29 cooperates with the inspecting assessing agency in administering
73.30 sections 144.9501 to 144.9509 is guilty of a petty misdemeanor.
73.31 Sec. 79. [144.9511] [LEAD-SAFE PROPERTY CERTIFICATION.]
73.32 Subdivision 1. [LEAD-SAFE PROPERTY CERTIFICATION PROGRAM
73.33 ESTABLISHED.] (a) The commissioner shall establish, within the
73.34 limits of available appropriations, recommended protocols for a
73.35 voluntary lead-safe property certification program for
73.36 residential properties. This program shall involve an initial
74.1 property certification process, a property condition report, and
74.2 a lead-safe property certification booklet.
74.3 (b) The commissioner shall establish recommended protocols
74.4 for an initial property certification process composed of the
74.5 following:
74.6 (1) a lead hazard screen, which shall include a visual
74.7 evaluation of a residential property for both deteriorated paint
74.8 and bare soil; and
74.9 (2) a quantitative measure of lead in dust within the
74.10 structure and in common areas as determined by rule adopted
74.11 under authority of section 144.9508.
74.12 (c) The commissioner shall establish forms, checklists, and
74.13 protocols for conducting a property condition report. A
74.14 property condition report is an evaluation of property
74.15 components, without regard to aesthetic considerations, to
74.16 determine whether any of the following conditions are likely to
74.17 occur within one year of the report:
74.18 (1) that paint will become chipped, flaked, or cracked;
74.19 (2) that structural defects in the roof, windows, or
74.20 plumbing will fail and cause paint to deteriorate;
74.21 (3) that window wells or window troughs will not be
74.22 cleanable and washable;
74.23 (4) that windows will generate dust due to friction;
74.24 (5) that cabinet, room, and threshold doors will rub
74.25 against casings or have repeated contact with painted surfaces;
74.26 (6) that floors will not be smooth and cleanable and
74.27 carpeted floors will not be cleanable;
74.28 (7) that soil will not remain covered;
74.29 (8) that bare soil in vegetable and flower gardens will not
74.30 (i) be inaccessible to children or (ii) be tested to determine
74.31 if it is below the soil standard under section 144.9508;
74.32 (9) that parking areas will not remain covered by an
74.33 impervious surface or gravel;
74.34 (10) that covered soil will erode, particularly in play
74.35 areas; and
74.36 (11) that gutters and down spouts will not function
75.1 correctly.
75.2 (d) The commissioner shall develop a lead-safe property
75.3 certification booklet that contains the following:
75.4 (1) information on how property owners and their
75.5 maintenance personnel can perform essential maintenance
75.6 practices to correct any of the property component conditions
75.7 listed in paragraph (c) that may occur;
75.8 (2) the lead-safe work practices fact sheets created under
75.9 section 144.9503, subdivision 7;
75.10 (3) forms, checklists, and copies of recommended lead-safe
75.11 property certification certificates; and
75.12 (4) an educational sheet for landlords to give to tenants
75.13 on the importance of having tenants inform property owners or
75.14 designated maintenance staff of one or more of the conditions
75.15 listed in paragraph (c).
75.16 Subd. 2. [CONDITIONS FOR CERTIFICATION.] A property shall
75.17 be certified as lead safe only if the following conditions are
75.18 met:
75.19 (1) the property passes the initial certification process
75.20 in subdivision 1;
75.21 (2) the property owner agrees in writing to perform
75.22 essential maintenance practices;
75.23 (3) the property owner agrees in writing to use lead-safe
75.24 work practices, as provided for under section 144.9503,
75.25 subdivision 7;
75.26 (4) the property owner performs essential maintenance as
75.27 the need arises or uses maintenance personnel who have completed
75.28 a U.S. Environmental Protection Agency- or Minnesota department
75.29 of health-approved maintenance training program or course to
75.30 perform essential maintenance;
75.31 (5) the lead-safe property certification booklet is
75.32 distributed to the property owner, maintenance personnel, and
75.33 tenants at the completion of the initial certification process;
75.34 and
75.35 (6) a copy of the lead-safe property certificate is filed
75.36 with the commissioner along with a $5 filing fee.
76.1 Subd. 3. [LEAD STANDARDS.] Lead standards used in this
76.2 section shall be those approved by the commissioner under
76.3 section 144.9508.
76.4 Subd. 4. [LEAD RISK ASSESSORS.] Lead-safe property
76.5 certifications shall only be performed by lead risk assessors
76.6 licensed by the commissioner under section 144.9506.
76.7 Subd. 5. [EXPIRATION.] Lead-safe property certificates are
76.8 valid for one year.
76.9 Subd. 6. [LIST OF CERTIFIED PROPERTIES.] Within the limits
76.10 of available appropriations, the commissioner shall maintain a
76.11 list of all properties certified as lead-safe under this section
76.12 and make it freely available to the public.
76.13 Subd. 7. [RE-APPLICATION.] Properties failing the initial
76.14 property certification may re-apply for a lead-safe property
76.15 certification by having a new initial certification process
76.16 performed and by correcting any condition listed by the licensed
76.17 lead risk assessor in the property condition report. Properties
76.18 that fail the initial property certification process must have
76.19 the condition corrected by the property owner, by trained
76.20 maintenance staff, or by a contractor with personnel licensed
76.21 for lead hazard reduction or lead abatement work by the
76.22 commissioner under section 144.9505, in order to have the
76.23 property certified.
76.24 Sec. 80. Minnesota Statutes 1996, section 144.99,
76.25 subdivision 1, is amended to read:
76.26 Subdivision 1. [REMEDIES AVAILABLE.] The provisions of
76.27 chapters 103I and 157 and sections 115.71 to 115.77; 144.12,
76.28 subdivision 1, paragraphs (1), (2), (5), (6), (10), (12), (13),
76.29 (14), and (15); 144.121; 144.1222; 144.35; 144.381 to 144.385;
76.30 144.411 to 144.417; 144.491; 144.495; 144.71 to 144.74; 144.9501
76.31 to 144.9509; 144.992; 326.37 to 326.45; 326.57 to 326.785;
76.32 327.10 to 327.131; and 327.14 to 327.28 and all rules, orders,
76.33 stipulation agreements, settlements, compliance agreements,
76.34 licenses, registrations, certificates, and permits adopted or
76.35 issued by the department or under any other law now in force or
76.36 later enacted for the preservation of public health may, in
77.1 addition to provisions in other statutes, be enforced under this
77.2 section.
77.3 Sec. 81. Minnesota Statutes 1996, section 144A.44,
77.4 subdivision 2, is amended to read:
77.5 Subd. 2. [INTERPRETATION AND ENFORCEMENT OF RIGHTS.] These
77.6 rights are established for the benefit of persons who receive
77.7 home care services. "Home care services" means home care
77.8 services as defined in section 144A.43, subdivision 3. A home
77.9 care provider may not require a person to surrender these rights
77.10 as a condition of receiving services. A guardian or conservator
77.11 or, when there is no guardian or conservator, a designated
77.12 person, may seek to enforce these rights. This statement of
77.13 rights does not replace or diminish other rights and liberties
77.14 that may exist relative to persons receiving home care services,
77.15 persons providing home care services, or providers licensed
77.16 under Laws 1987, chapter 378. A copy of these rights must be
77.17 provided to an individual at the time home care services are
77.18 initiated. The copy shall also contain the address and phone
77.19 number of the office of health facility complaints and the
77.20 office of the ombudsman for older Minnesotans and a brief
77.21 statement describing how to file a complaint with that office
77.22 these offices. Information about how to contact the office of
77.23 the ombudsman for older Minnesotans shall be included in notices
77.24 of change in client fees and in notices where home care
77.25 providers initiate transfer or discontinuation of services.
77.26 Sec. 82. Minnesota Statutes 1997 Supplement, section
77.27 144A.4605, subdivision 4, is amended to read:
77.28 Subd. 4. [LICENSE REQUIRED.] (a) A housing with services
77.29 establishment registered under chapter 144D that is required to
77.30 obtain a home care license must obtain an assisted living home
77.31 care license according to this section or a class A or class E
77.32 license according to rule. A housing with services
77.33 establishment that obtains a class E license under this
77.34 subdivision remains subject to the payment limitations in
77.35 sections 256B.0913, subdivision 5, paragraph (h), and 256B.0915,
77.36 subdivision 3, paragraph (g).
78.1 (b) A board and lodging establishment registered for
78.2 special services as of December 31, 1996, and also registered as
78.3 a housing with services establishment under chapter 144D, must
78.4 deliver home care services according to sections 144A.43 to
78.5 144A.49, and may apply for a waiver from requirements under
78.6 Minnesota Rules, parts 4668.0002 to 4668.0240, to operate a
78.7 licensed agency under the standards of section 157.17. Such
78.8 waivers as may be granted by the department will expire upon
78.9 promulgation of home care rules implementing section 144A.4605.
78.10 (c) An adult foster care provider licensed by the
78.11 department of human services and registered under chapter 144D
78.12 may continue to provide health-related services under its foster
78.13 care license until the promulgation of home care rules
78.14 implementing this section.
78.15 Sec. 83. [145.905] [LOCATION FOR BREAST-FEEDING.]
78.16 A mother may breast-feed in any location, public or
78.17 private, where the mother and child are otherwise authorized to
78.18 be, irrespective of whether the nipple of the mother's breast is
78.19 uncovered during or incidental to the breast-feeding.
78.20 Sec. 84. [145.926] [ABSTINENCE EDUCATION GRANT PROGRAM.]
78.21 The commissioner of health shall expend federal funds for
78.22 abstinence education programs provided under United States Code,
78.23 title 42, section 710, and state matching funds for abstinence
78.24 education programs only to an abstinence education program that
78.25 complies with the state plan that has been submitted to and
78.26 approved by the federal Department of Health and Human Services.
78.27 Sec. 85. [145.9266] [FETAL ALCOHOL SYNDROME.]
78.28 Subdivision 1. [PUBLIC AWARENESS.] The commissioner of
78.29 health shall design and implement an ongoing statewide campaign
78.30 to raise public awareness about fetal alcohol syndrome and other
78.31 effects of prenatal alcohol exposure. The campaign shall
78.32 include messages directed to the general population as well as
78.33 culturally specific and community-based messages. A toll-free
78.34 resource and referral telephone line shall be included in the
78.35 messages. The commissioner of health shall conduct an
78.36 evaluation to determine the effectiveness of the campaign.
79.1 Subd. 2. [STATEWIDE NETWORK OF FAS DIAGNOSTIC CLINICS.] A
79.2 statewide network of regional fetal alcohol syndrome diagnostic
79.3 clinics shall be developed between the department of health and
79.4 the University of Minnesota. This collaboration shall be based
79.5 on a statewide needs assessment and shall include involvement
79.6 from consumers, providers, and payors. By the end of calendar
79.7 year 1998, a plan shall be developed for the clinic network, and
79.8 shall include a comprehensive evaluation component. Sites shall
79.9 be established in calendar year 1999. The commissioner shall
79.10 not access or collect individually identifiable data for the
79.11 statewide network of regional fetal alcohol syndrome diagnostic
79.12 clinics. Data collected at the clinics shall be maintained
79.13 according to applicable data privacy laws, including section
79.14 144.335.
79.15 Subd. 3. [PROFESSIONAL TRAINING ABOUT FAS.] (a) The
79.16 commissioner of health, in collaboration with the board of
79.17 medical practice, the board of nursing, and other professional
79.18 boards and state agencies, shall develop curricula and materials
79.19 about fetal alcohol syndrome for professional training of health
79.20 care providers, social service providers, educators, and
79.21 judicial and corrections systems professionals. The training
79.22 and curricula shall increase knowledge and develop practical
79.23 skills of professionals to help them address the needs of
79.24 at-risk pregnant women and the needs of individuals affected by
79.25 fetal alcohol syndrome or fetal alcohol effects and their
79.26 families.
79.27 (b) Training for health care providers shall focus on skill
79.28 building for screening, counseling, referral, and follow-up for
79.29 women using or at risk of using alcohol while pregnant.
79.30 Training for health care professionals shall include methods for
79.31 diagnosis and evaluation of fetal alcohol syndrome and fetal
79.32 alcohol effects. Training for education, judicial, and
79.33 corrections professionals shall involve effective education
79.34 strategies, methods to identify the behaviors and learning
79.35 styles of children with alcohol-related birth defects, and
79.36 methods to identify available referral and community resources.
80.1 (c) Training for social service providers shall focus on
80.2 resources for assessing, referring, and treating at-risk
80.3 pregnant women, changes in the mandatory reporting and
80.4 commitment laws, and resources for affected children and their
80.5 families.
80.6 Subd. 4. [FAS COMMUNITY GRANT PROGRAM.] The commissioner
80.7 of health shall administer a grant program to provide money to
80.8 community organizations and coalitions to collaborate on fetal
80.9 alcohol syndrome prevention and intervention strategies and
80.10 activities. The commissioner shall disburse grant money through
80.11 a request for proposal process or sole-source distribution where
80.12 appropriate, and shall include at least one grant award for
80.13 transitional skills and services for individuals with fetal
80.14 alcohol syndrome or fetal alcohol effects.
80.15 Subd. 5. [SCHOOL PILOT PROGRAMS.] (a) The commissioner of
80.16 children, families, and learning shall award up to four grants
80.17 to schools for pilot programs to identify and implement
80.18 effective educational strategies for individuals with fetal
80.19 alcohol syndrome and other alcohol-related birth defects.
80.20 (b) One grant shall be awarded in each of the following age
80.21 categories:
80.22 (1) birth to three years;
80.23 (2) three to five years;
80.24 (3) six to 12 years; and
80.25 (4) 13 to 18 years.
80.26 (c) Grant proposals must include an evaluation plan,
80.27 demonstrate evidence of a collaborative or multisystem approach,
80.28 provide parent education and support, and show evidence of a
80.29 child- and family-focused approach consistent with
80.30 research-based educational practices and other guidelines
80.31 developed by the department of children, families, and learning.
80.32 (d) Children participating in the pilot program sites may
80.33 be identified through child find activities or a diagnostic
80.34 clinic. No identification activity may be undertaken without
80.35 the consent of a child's parent or guardian.
80.36 Subd. 6. [FETAL ALCOHOL COORDINATING BOARD; DUTIES.] (a)
81.1 The fetal alcohol coordinating board consists of:
81.2 (1) the commissioners of health, human services,
81.3 corrections, public safety, economic security, and children,
81.4 families, and learning;
81.5 (2) the director of the office of strategic and long-range
81.6 planning;
81.7 (3) the chair of the maternal and child health advisory
81.8 task force established by section 145.881, or the chair's
81.9 designee;
81.10 (4) a representative of the University of Minnesota
81.11 academic health center, appointed by the provost;
81.12 (5) five members from the general public appointed by the
81.13 governor, one of whom must be a family member of an individual
81.14 with fetal alcohol syndrome or fetal alcohol effect; and
81.15 (6) one member from the judiciary appointed by the chief
81.16 justice of the supreme court.
81.17 Terms, compensation, removal, and filling of vacancies of
81.18 appointed members are governed by section 15.0575. The board
81.19 shall elect a chair from its membership to serve a one-year
81.20 term. The commissioner of health shall provide staff and
81.21 consultant support for the board. Support must be provided
81.22 based on an annual budget and work plan developed by the board.
81.23 The board shall contract with the department of health for
81.24 necessary administrative services. Administrative services
81.25 include personnel, budget, payroll, and contract
81.26 administration. The board shall adopt an annual budget and work
81.27 program.
81.28 (b) Board duties include:
81.29 (1) reviewing programs of state agencies that involve fetal
81.30 alcohol syndrome and coordinating those that are
81.31 interdepartmental in nature;
81.32 (2) providing an integrated and comprehensive approach to
81.33 fetal alcohol syndrome prevention and intervention strategies
81.34 both at a local and statewide level;
81.35 (3) approving on an annual basis the statewide public
81.36 awareness campaign as designed and implemented by the
82.1 commissioner of health under subdivision 1;
82.2 (4) reviewing fetal alcohol syndrome community grants
82.3 administered by the commissioner of health under subdivision 4;
82.4 and
82.5 (5) submitting a report to the governor on January 15 of
82.6 each odd-numbered year summarizing board operations, activities,
82.7 findings, and recommendations, and fetal alcohol syndrome
82.8 activities throughout the state.
82.9 (c) The board expires on January 1, 2001.
82.10 Subd. 7. [FEDERAL FUNDS; CONTRACTS; DONATIONS.] The fetal
82.11 alcohol coordinating board may apply for, receive, and disburse
82.12 federal funds made available to the state by federal law or
82.13 rules adopted for any purpose related to the powers and duties
82.14 of the board. The board shall comply with any requirements of
82.15 federal law, rules, and regulations in order to apply for,
82.16 receive, and disburse funds. The board may contract with or
82.17 provide grants to public and private nonprofit entities. The
82.18 board may accept donations or grants from any public or private
82.19 entity. Money received by the board must be deposited in a
82.20 separate account in the state treasury and invested by the state
82.21 board of investment. The amount deposited, including investment
82.22 earnings, is appropriated to the board to carry out its duties.
82.23 Money deposited in the state treasury shall not cancel.
82.24 Sec. 86. Minnesota Statutes 1996, section 145A.15,
82.25 subdivision 2, is amended to read:
82.26 Subd. 2. [GRANT RECIPIENTS.] (a) The commissioner is
82.27 authorized to award grants to programs that meet the
82.28 requirements of subdivision 3 and include a strong child abuse
82.29 and neglect prevention focus for families in need of services.
82.30 Priority will be given to families considered to be in need of
82.31 additional services. These families include, but are not
82.32 limited to, families with:
82.33 (1) adolescent parents;
82.34 (2) a history of alcohol and other drug abuse;
82.35 (3) a history of child abuse, domestic abuse, or other
82.36 types of violence in the family of origin;
83.1 (4) a history of domestic abuse, rape, or other forms of
83.2 victimization;
83.3 (5) reduced cognitive functioning;
83.4 (6) a lack of knowledge of child growth and development
83.5 stages;
83.6 (7) low resiliency to adversities and environmental
83.7 stresses; or
83.8 (8) lack of sufficient financial resources to meet their
83.9 needs.
83.10 (b) Grants made under this section shall be used to fund
83.11 existing and new home visiting programs. In awarding grants
83.12 under this section, the commissioner shall give priority to new
83.13 home visiting programs with local matching funds.
83.14 Sec. 87. Minnesota Statutes 1996, section 157.15,
83.15 subdivision 9, is amended to read:
83.16 Subd. 9. [MOBILE FOOD UNIT.] "Mobile food unit" means a
83.17 food and beverage service establishment that is a vehicle
83.18 mounted unit, either motorized or trailered, operating no more
83.19 than 14 21 days annually at any one place or is operated in
83.20 conjunction with a permanent business licensed under this
83.21 chapter or chapter 28A at the site of the permanent business by
83.22 the same individual or company, and readily movable, without
83.23 disassembling, for transport to another location.
83.24 Sec. 88. Minnesota Statutes 1996, section 157.15,
83.25 subdivision 12, is amended to read:
83.26 Subd. 12. [RESTAURANT.] "Restaurant" means a food and
83.27 beverage service establishment, whether the establishment serves
83.28 alcoholic or nonalcoholic beverages, which operates from a
83.29 location for more than 14 21 days annually. Restaurant does not
83.30 include a food cart or a mobile food unit.
83.31 Sec. 89. Minnesota Statutes 1996, section 157.15,
83.32 subdivision 12a, is amended to read:
83.33 Subd. 12a. [SEASONAL PERMANENT FOOD STAND.] "Seasonal
83.34 permanent food stand" means a food and beverage service
83.35 establishment which is a permanent food service stand or
83.36 building, but which operates no more than 14 21 days annually.
84.1 Sec. 90. Minnesota Statutes 1996, section 157.15,
84.2 subdivision 13, is amended to read:
84.3 Subd. 13. [SEASONAL TEMPORARY FOOD STAND.] "Seasonal
84.4 temporary food stand" means a food and beverage service
84.5 establishment that is a food stand which is disassembled and
84.6 moved from location to location, but which operates no more than
84.7 14 21 days annually at any one location.
84.8 Sec. 91. Minnesota Statutes 1996, section 157.15,
84.9 subdivision 14, is amended to read:
84.10 Subd. 14. [SPECIAL EVENT FOOD STAND.] "Special event food
84.11 stand" means a food and beverage service establishment which is
84.12 used in conjunction with celebrations and special events, and
84.13 which operates once or twice no more than three times annually
84.14 for no more than seven ten total days.
84.15 Sec. 92. Minnesota Statutes 1997 Supplement, section
84.16 157.16, subdivision 3, is amended to read:
84.17 Subd. 3. [ESTABLISHMENT FEES; DEFINITIONS.] (a) The
84.18 following fees are required for food and beverage service
84.19 establishments, hotels, motels, lodging establishments, and
84.20 resorts licensed under this chapter. Food and beverage service
84.21 establishments must pay the highest applicable fee under
84.22 paragraph (e), clause (1), (2), (3), or (4), and establishments
84.23 serving alcohol must pay the highest applicable fee under
84.24 paragraph (e), clause (6) or (7).
84.25 (b) All food and beverage service establishments, except
84.26 special event food stands, and all hotels, motels, lodging
84.27 establishments, and resorts shall pay an annual base fee of $100.
84.28 (c) A special event food stand shall pay a flat fee
84.29 of $60 $30 annually. "Special event food stand" means a fee
84.30 category where food is prepared or served in conjunction with
84.31 celebrations, county fairs, or special events from a special
84.32 event food stand as defined in section 157.15.
84.33 (d) A special event food stand-limited shall pay a flat fee
84.34 of $30.
84.35 (e) In addition to the base fee in paragraph (b), each food
84.36 and beverage service establishment, other than a special event
85.1 food stand, and each hotel, motel, lodging establishment, and
85.2 resort shall pay an additional annual fee for each fee category
85.3 as specified in this paragraph:
85.4 (1) Limited food menu selection, $30. "Limited food menu
85.5 selection" means a fee category that provides one or more of the
85.6 following:
85.7 (i) prepackaged food that receives heat treatment and is
85.8 served in the package;
85.9 (ii) frozen pizza that is heated and served;
85.10 (iii) a continental breakfast such as rolls, coffee, juice,
85.11 milk, and cold cereal;
85.12 (iv) soft drinks, coffee, or nonalcoholic beverages; or
85.13 (v) cleaning for eating, drinking, or cooking utensils,
85.14 when the only food served is prepared off site.
85.15 (2) Small establishment, including boarding establishments,
85.16 $55. "Small establishment" means a fee category that has no
85.17 salad bar and meets one or more of the following:
85.18 (i) possesses food service equipment that consists of no
85.19 more than a deep fat fryer, a grill, two hot holding containers,
85.20 and one or more microwave ovens;
85.21 (ii) serves dipped ice cream or soft serve frozen desserts;
85.22 (iii) serves breakfast in an owner-occupied bed and
85.23 breakfast establishment;
85.24 (iv) is a boarding establishment; or
85.25 (v) meets the equipment criteria in clause (3), item (i) or
85.26 (ii), and has a maximum patron seating capacity of not more than
85.27 50.
85.28 (3) Medium establishment, $150. "Medium establishment"
85.29 means a fee category that meets one or more of the following:
85.30 (i) possesses food service equipment that includes a range,
85.31 oven, steam table, salad bar, or salad preparation area;
85.32 (ii) possesses food service equipment that includes more
85.33 than one deep fat fryer, one grill, or two hot holding
85.34 containers; or
85.35 (iii) is an establishment where food is prepared at one
85.36 location and served at one or more separate locations.
86.1 Establishments meeting criteria in clause (2), item (v),
86.2 are not included in this fee category.
86.3 (4) Large establishment, $250. "Large establishment" means
86.4 either:
86.5 (i) a fee category that (A) meets the criteria in clause
86.6 (3), items (i) or (ii), for a medium establishment, (B) seats
86.7 more than 175 people, and (C) offers the full menu selection an
86.8 average of five or more days a week during the weeks of
86.9 operation; or
86.10 (ii) a fee category that (A) meets the criteria in clause
86.11 (3), item (iii), for a medium establishment, and (B) prepares
86.12 and serves 500 or more meals per day.
86.13 (5) Other food and beverage service, including food carts,
86.14 mobile food units, seasonal temporary food stands, and seasonal
86.15 permanent food stands, $30.
86.16 (6) Beer or wine table service, $30. "Beer or wine table
86.17 service" means a fee category where the only alcoholic beverage
86.18 service is beer or wine, served to customers seated at tables.
86.19 (7) Alcoholic beverage service, other than beer or wine
86.20 table service, $75.
86.21 "Alcohol beverage service, other than beer or wine table
86.22 service" means a fee category where alcoholic mixed drinks are
86.23 served or where beer or wine are served from a bar.
86.24 (8) Lodging per sleeping accommodation unit, $4, including
86.25 hotels, motels, lodging establishments, and resorts, up to a
86.26 maximum of $400. "Lodging per sleeping accommodation unit"
86.27 means a fee category including the number of guest rooms,
86.28 cottages, or other rental units of a hotel, motel, lodging
86.29 establishment, or resort; or the number of beds in a dormitory.
86.30 (9) First public swimming pool, $100; each additional
86.31 public swimming pool, $50. "Public swimming pool" means a fee
86.32 category that has the meaning given in Minnesota Rules, part
86.33 4717.0250, subpart 8.
86.34 (10) First spa, $50; each additional spa, $25. "Spa pool"
86.35 means a fee category that has the meaning given in Minnesota
86.36 Rules, part 4717.0250, subpart 9.
87.1 (11) Private sewer or water, $30. "Individual private
87.2 water" means a fee category with a water supply other than a
87.3 community public water supply as defined in Minnesota Rules,
87.4 chapter 4720. "Individual private sewer" means a fee category
87.5 with an individual sewage treatment system which uses subsurface
87.6 treatment and disposal.
87.7 (f) (e) A fee is not required for a food and beverage
87.8 service establishment operated by a school as defined in
87.9 sections 120.05 and 120.101.
87.10 (g) (f) A fee of $150 for review of the construction plans
87.11 must accompany the initial license application for food and
87.12 beverage service establishments, hotels, motels, lodging
87.13 establishments, or resorts.
87.14 (h) (g) When existing food and beverage service
87.15 establishments, hotels, motels, lodging establishments, or
87.16 resorts are extensively remodeled, a fee of $150 must be
87.17 submitted with the remodeling plans.
87.18 (i) (h) Seasonal temporary food stands, and special event
87.19 food stands, and special event food stands-limited are not
87.20 required to submit construction or remodeling plans for review.
87.21 Sec. 93. Minnesota Statutes 1996, section 214.03, is
87.22 amended to read:
87.23 214.03 [STANDARDIZED TESTS.]
87.24 Subdivision 1. [STANDARDIZED TESTS USED.] All state
87.25 examining and licensing boards, other than the state board of
87.26 law examiners, the state board of professional responsibility or
87.27 any other board established by the supreme court to regulate the
87.28 practice of law and judicial functions, shall use national
87.29 standardized tests for the objective, nonpractical portion of
87.30 any examination given to prospective licensees to the extent
87.31 that such national standardized tests are appropriate, except
87.32 when the subject matter of the examination relates to the
87.33 application of Minnesota law to the profession or calling being
87.34 licensed.
87.35 Subd. 2. [HEALTH-RELATED BOARDS; SPECIAL ACCOUNT.] An
87.36 account is established in the special revenue fund where a
88.1 health-related licensing board may deposit applicants' payments
88.2 for national or regional standardized tests. Money in the
88.3 account is appropriated to each board that has deposited monies
88.4 into the account, in an amount equal to the amount deposited by
88.5 the board, to pay for the use of national or regional
88.6 standardized tests.
88.7 Sec. 94. Minnesota Statutes 1997 Supplement, section
88.8 214.32, subdivision 1, is amended to read:
88.9 Subdivision 1. [MANAGEMENT.] (a) A health professionals
88.10 services program committee is established, consisting of one
88.11 person appointed by each participating board, with each
88.12 participating board having one vote. The committee shall
88.13 designate one board to provide administrative management of the
88.14 program, set the program budget and the pro rata share of
88.15 program expenses to be borne by each participating board,
88.16 provide guidance on the general operation of the program,
88.17 including hiring of program personnel, and ensure that the
88.18 program's direction is in accord with its authority. No more
88.19 than half plus one of the members of the committee may be of one
88.20 gender. If the participating boards change which board is
88.21 designated to provide administrative management of the program,
88.22 any appropriation remaining for the program shall transfer to
88.23 the newly designated board on the effective date of the change.
88.24 The participating boards must inform the appropriate legislative
88.25 committees and the commissioner of finance of any change in the
88.26 administrative management of the program, and the amount of any
88.27 appropriation transferred under this provision.
88.28 (b) The designated board, upon recommendation of the health
88.29 professional services program committee, shall hire the program
88.30 manager and employees and pay expenses of the program from funds
88.31 appropriated for that purpose. The designated board may apply
88.32 for grants to pay program expenses and may enter into contracts
88.33 on behalf of the program to carry out the purposes of the
88.34 program. The participating boards shall enter into written
88.35 agreements with the designated board.
88.36 (c) An advisory committee is established to advise the
89.1 program committee consisting of:
89.2 (1) one member appointed by each of the following: the
89.3 Minnesota Academy of Physician Assistants, the Minnesota Dental
89.4 Association, the Minnesota Chiropractic Association, the
89.5 Minnesota Licensed Practical Nurse Association, the Minnesota
89.6 Medical Association, the Minnesota Nurses Association, and the
89.7 Minnesota Podiatric Medicine Association;
89.8 (2) one member appointed by each of the professional
89.9 associations of the other professions regulated by a
89.10 participating board not specified in clause (1); and
89.11 (3) two public members, as defined by section 214.02.
89.12 Members of the advisory committee shall be appointed for two
89.13 years and members may be reappointed.
89.14 No more than half plus one of the members of the committee
89.15 may be of one gender.
89.16 The advisory committee expires June 30, 2001.
89.17 Sec. 95. Minnesota Statutes 1996, section 254A.17,
89.18 subdivision 1, is amended to read:
89.19 Subdivision 1. [MATERNAL AND CHILD SERVICE PROGRAMS.] (a)
89.20 The commissioner shall fund maternal and child health and social
89.21 service programs designed to improve the health and functioning
89.22 of children born to mothers using alcohol and controlled
89.23 substances. Comprehensive programs shall include immediate and
89.24 ongoing intervention, treatment, and coordination of medical,
89.25 educational, and social services through a child's preschool
89.26 years. Programs shall also include research and evaluation to
89.27 identify methods most effective in improving outcomes among this
89.28 high-risk population. The commissioner shall ensure that the
89.29 programs are available on a statewide basis to the extent
89.30 possible with available funds.
89.31 (b) The commissioner of human services shall develop models
89.32 for the treatment of children ages 6 to 12 who are in need of
89.33 chemical dependency treatment. The commissioner shall fund at
89.34 least two pilot projects with qualified providers to provide
89.35 nonresidential treatment for children in this age group. Model
89.36 programs must include a component to monitor and evaluate
90.1 treatment outcomes.
90.2 Sec. 96. Minnesota Statutes 1996, section 254A.17, is
90.3 amended by adding a subdivision to read:
90.4 Subd. 1b. [INTERVENTION AND ADVOCACY PROGRAM.] Within the
90.5 limits of money available, the commissioner of human services
90.6 shall fund voluntary hospital-based outreach programs targeted
90.7 at women who deliver children affected by prenatal alcohol or
90.8 drug use. The program shall help women obtain treatment, stay
90.9 in recovery, and plan any future pregnancies. An advocate shall
90.10 be assigned to each woman in the program to provide guidance and
90.11 advice with respect to treatment programs, child safety and
90.12 parenting, housing, family planning, and any other personal
90.13 issues that are barriers to remaining free of chemical
90.14 dependence. The commissioner shall develop an evaluation
90.15 component and provide centralized coordination of the evaluation
90.16 process.
90.17 Sec. 97. Minnesota Statutes 1996, section 268.92,
90.18 subdivision 4, is amended to read:
90.19 Subd. 4. [LEAD CONTRACTORS SUPERVISOR OR CERTIFIED FIRM.]
90.20 (a) Eligible organizations and lead contractors supervisors or
90.21 certified firms may participate in the swab team program. An
90.22 eligible organization receiving a grant under this section must
90.23 assure that all participating lead contractors supervisors or
90.24 certified firms are licensed and that all swab team workers are
90.25 certified by the department of health under section 144.9505.
90.26 Eligible organizations and lead contractors supervisors or
90.27 certified firms may distinguish between interior and exterior
90.28 services in assigning duties and may participate in the program
90.29 by:
90.30 (1) providing on-the-job training for swab team workers;
90.31 (2) providing swab team services to meet the requirements
90.32 of sections 144.9503, subdivision 4, and 144.9504, subdivision
90.33 6;
90.34 (3) providing a removal and replacement component using
90.35 skilled craft workers under subdivision 7;
90.36 (4) providing lead testing according to subdivision 7a;
91.1 (5) providing lead dust cleaning supplies, as described in
91.2 section 144.9503 144.9507, subdivision 5 4,
91.3 paragraph (b) (c), to residents; or
91.4 (6) having a swab team worker instruct residents and
91.5 property owners on appropriate lead control techniques,
91.6 including the lead-safe directives developed by the commissioner
91.7 of health.
91.8 (b) Participating lead contractors supervisors or certified
91.9 firms must:
91.10 (1) demonstrate proof of workers' compensation and general
91.11 liability insurance coverage;
91.12 (2) be knowledgeable about lead abatement requirements
91.13 established by the Department of Housing and Urban Development
91.14 and the Occupational Safety and Health Administration and lead
91.15 hazard reduction requirements and lead-safe directives of the
91.16 commissioner of health;
91.17 (3) demonstrate experience with on-the-job training
91.18 programs;
91.19 (4) demonstrate an ability to recruit employees from areas
91.20 at high risk for toxic lead exposure; and
91.21 (5) demonstrate experience in working with low-income
91.22 clients.
91.23 Sec. 98. [REPORT BY THE UNIVERSITY OF MINNESOTA ACADEMIC
91.24 HEALTH CENTER.]
91.25 The University of Minnesota academic health center, after
91.26 consultation with the health care community and the medical
91.27 education and research costs advisory committee, is requested to
91.28 report to the commissioner of health and the legislative
91.29 commission on health care access by January 15, 1999, on plans
91.30 for the strategic direction and vision of the academic health
91.31 center. The report shall address plans for the ongoing
91.32 assessment of health provider workforce needs; plans for the
91.33 ongoing assessment of the educational needs of health
91.34 professionals and the implications for their education and
91.35 training programs; and plans for ongoing, meaningful input from
91.36 the health care community on health-related research and
92.1 education programs administered by the academic health center.
92.2 Sec. 99. [ADVICE AND RECOMMENDATIONS.]
92.3 The commissioners of health and commerce shall convene an
92.4 ad hoc advisory panel of selected representatives of health plan
92.5 companies, purchasers, and provider groups engaged in the
92.6 practice of health care in Minnesota, and interested
92.7 legislators. This advisory panel shall meet and assist the
92.8 commissioners in developing measures to prevent discrimination
92.9 against providers and provider groups in managed care in
92.10 Minnesota and clarify the requirements of Minnesota Statutes,
92.11 section 62Q.23, paragraph (c). Any such measures shall be
92.12 reported to the legislature prior to November 15, 1998.
92.13 Sec. 100. [OMBUDSMAN STUDY.]
92.14 The ombudsman for mental health and mental retardation and
92.15 the ombudsman for older Minnesotans shall convene a work group
92.16 to develop recommendations for interagency cooperation and/or
92.17 the consolidation of all health-related ombudsman and advocacy
92.18 programs provided by state agencies and to address issues to
92.19 improve ombudsmen and advocacy services to health care
92.20 consumers, including ease of access, timeliness of response, and
92.21 quality of outcome. In developing its recommendations, the work
92.22 group shall consider the unique needs of different populations
92.23 of health care consumers. It shall also consider:
92.24 (1) seamless access for health care consumers;
92.25 (2) consumer outreach methods;
92.26 (3) opportunities to share resources and training;
92.27 (4) nonduplication of effort; and
92.28 (5) the feasibility of colocation.
92.29 In developing its recommendations, the work group shall
92.30 confer with and have representatives of consumers, advocacy
92.31 organizations, the consumer advisory board, the office of health
92.32 care consumer assistance, advocacy, and information, affected
92.33 state agencies, the board on aging, and the advisory committee
92.34 to the ombudsman for mental health and mental retardation. The
92.35 work group shall make recommendations on how to better
92.36 coordinate consumer services and submit a report to the
93.1 legislature by December 15, 1999.
93.2 Sec. 101. [COMPLAINT PROCESS STUDY.]
93.3 The complaint process work group established by the
93.4 commissioners of health and commerce as required under Laws
93.5 1997, chapter 237, section 20, shall continue to meet to develop
93.6 a complaint resolution process for health plan companies to make
93.7 available to enrollees as required under Minnesota Statutes,
93.8 sections 62Q.105, 62Q.11, and 62Q.30. The commissioners of
93.9 health and commerce shall submit a progress report to the
93.10 legislative commission on health care access by September 15,
93.11 1998, and shall submit final recommendations to the legislature,
93.12 including draft legislation on developing such a process by
93.13 November 15, 1998. The recommendations must also include, in
93.14 consultation with the work group, a permanent method of
93.15 financing the office of health care consumer assistance,
93.16 advocacy, and information.
93.17 Sec. 102. [RESIDENTIAL HOSPICE ADVISORY TASK FORCE.]
93.18 The commissioner of health shall convene an advisory task
93.19 force to study issues related to the building codes and safety
93.20 standards that residential hospice facilities must meet for
93.21 licensure and to make recommendations on changes to these
93.22 standards. Task force membership shall include representatives
93.23 of residential hospices, pediatric residential hospices, the
93.24 Minnesota hospice organization, the Minnesota department of
93.25 health, and other interested parties. The task force is
93.26 governed by Minnesota Statutes, section 15.059, subdivision 6.
93.27 The task force shall submit recommendations and any draft
93.28 legislation to the legislature by January 15, 1999.
93.29 Sec. 103. [TEMPORARY LICENSURE WAIVER FOR DIETITIANS.]
93.30 Until October 31, 1998, the board of dietetics and
93.31 nutrition practice may waive the requirements for licensure as a
93.32 dietitian established in Minnesota Statutes, section 148.624,
93.33 subdivision 1, clause (1), and may issue a license to an
93.34 applicant who meets the qualifications for licensure specified
93.35 in Minnesota Statutes, section 148.627, subdivision 1. A waiver
93.36 may be granted in cases in which unusual or extraordinary
94.1 job-related circumstances prevented an applicant from applying
94.2 for licensure during the transition period specified in
94.3 Minnesota Statutes, section 148.627, subdivision 1. An
94.4 applicant must request a waiver in writing and must explain the
94.5 circumstances that prevented the applicant from applying for
94.6 licensure during the transition period.
94.7 Sec. 104. [UNITED STATES NUCLEAR REGULATORY COMMISSION
94.8 AGREEMENT.]
94.9 Subdivision 1. [AGREEMENT AUTHORIZED.] In order to have a
94.10 comprehensive program to protect the public from radiation
94.11 hazards, the governor may enter into an agreement with the
94.12 United States Nuclear Regulatory Commission, under the Atomic
94.13 Energy Act of 1954, United States Code, title 42, section 2021,
94.14 paragraph (b). The agreement may allow the state to assume
94.15 regulation over nonpower plant radiation hazards including
94.16 certain by-product, source, and special nuclear materials not
94.17 sufficient to form a critical mass. The agreement must be
94.18 approved in law prior to being implemented.
94.19 Subd. 2. [HEALTH DEPARTMENT DESIGNATED LEAD.] The
94.20 department of health is designated as the lead agency to pursue
94.21 an agreement on behalf of the governor, and for any assumption
94.22 of specified licensing and regulatory authority from the Nuclear
94.23 Regulatory Commission under an agreement. The commissioner may
94.24 enter into negotiations with the Nuclear Regulatory Commission
94.25 for that purpose. The commissioner of health shall establish an
94.26 advisory group to assist in preparing the state to meet the
94.27 requirements for achieving an agreement.
94.28 Subd. 3. [RULES.] The commissioner of health may adopt
94.29 rules for the state assumption of regulation under an agreement
94.30 under this section, including the licensing and regulation of
94.31 by-product, source, and special nuclear material not sufficient
94.32 to form a critical mass.
94.33 Subd. 4. [TRANSITION.] A person who, on the effective date
94.34 of an agreement under this section, possesses a Nuclear
94.35 Regulatory Commission license that is subject to the agreement
94.36 shall be deemed to possess a similar license issued by the
95.1 department of health. Licenses shall expire on the expiration
95.2 date specified in the federal license.
95.3 Subd. 5. [SUNSET.] An agreement entered into before August
95.4 2, 2002, shall remain in effect until terminated or suspended
95.5 under the Atomic Energy Act of 1954, United States Code, title
95.6 42, section 2021, paragraph (j). The governor may not enter
95.7 into an initial agreement with the Nuclear Regulatory Commission
95.8 after August 1, 2002. If an agreement is not entered into, any
95.9 rules adopted under this section are repealed on that date.
95.10 Sec. 105. [STUDY OF EXTENT OF FETAL ALCOHOL SYNDROME.]
95.11 The commissioner of health shall conduct a study of the
95.12 incidence and prevalence of fetal alcohol syndrome in Minnesota.
95.13 The commissioner shall not collect individually identifiable
95.14 data for this study.
95.15 Sec. 106. [MEDICAL EDUCATION AND RESEARCH TRUST FUND
95.16 STUDY.]
95.17 The commissioner of health shall review the current medical
95.18 education and research costs advisory committee structure and
95.19 composition and recommend methods to ensure balanced and
95.20 appropriate representation of major training programs. The
95.21 commissioner shall also review the statutory formula for the
95.22 prepaid medical assistance carve out to determine if any
95.23 adjustments should be made to correct existing or potential
95.24 inequities on current training programs. The commissioner shall
95.25 determine if there should be other criteria for weighting future
95.26 distributions of medical education and research funds beyond the
95.27 current statutory criteria, including the criteria that trainees
95.28 continue to practice in Minnesota. The commissioner shall
95.29 report the findings and recommendations to the legislative
95.30 commission on health care access by December 15, 1998.
95.31 Sec. 107. [FUNDING FOR IMMUNIZATIONS.]
95.32 The commissioner of health, in consultation with the
95.33 commissioner of children, families, and learning,
95.34 representatives of school nurses, and other interested parties,
95.35 shall develop recommendations on how to provide ongoing funding
95.36 for school districts to implement the provisions of Minnesota
96.1 Statutes, section 123.70. These recommendations shall specify
96.2 any statutory changes needed for their implementation. The
96.3 commissioners of health and of children, families, and learning
96.4 shall consider the recommendations in developing their budget
96.5 requests for the 2000-2001 biennial budget. The recommendations
96.6 and any draft legislation needed to implement the
96.7 recommendations shall be submitted to the chairs of the senate
96.8 health and family security budget division, the house health and
96.9 human services finance division, the senate K-12 education
96.10 budget division, and the house K-12 education finance division
96.11 by December 15, 1998.
96.12 Sec. 108. [BOARD OF REHABILITATION THERAPY.]
96.13 The commissioner of health shall convene a work group to
96.14 study the feasibility and need of creating a separate board of
96.15 rehabilitation therapy to regulate rehabilitation therapy
96.16 occupations, including physical therapists, occupational
96.17 therapists, speech-language pathologists, audiologists, and
96.18 hearing instrument dispensers. The work group shall consist of
96.19 members representing physical therapists, occupational
96.20 therapists, speech-language pathologists, audiologists, hearing
96.21 instrument dispensers, and any other related occupation group
96.22 that the commissioner determines should be included. The
96.23 commissioner, in consultation with the work group, shall submit
96.24 to the legislature by January 15, 1999, recommendations on
96.25 establishing a board of rehabilitation therapy and on the
96.26 appropriate occupational groups to be regulated by this board.
96.27 Sec. 109. [REPEALER.]
96.28 Minnesota Statutes 1996, sections 62J.685; 144.491;
96.29 144.9501, subdivisions 12, 14, and 16; and 144.9503,
96.30 subdivisions 5, 8, and 9; and 157.15, subdivision 15, are
96.31 repealed.
96.32 Sec. 110. [EFFECTIVE DATES.]
96.33 (a) Sections 2, 8, 20, 22, 34 to 80, 93, 94, and 97 to 108
96.34 are effective the day following final enactment.
96.35 (b) Sections 9 to 13, 21, and 81 are effective January 1,
96.36 1999.
97.1 ARTICLE 3
97.2 LONG-TERM CARE
97.3 Section 1. Minnesota Statutes 1996, section 144A.04,
97.4 subdivision 5, is amended to read:
97.5 Subd. 5. [ADMINISTRATORS.] Except as otherwise provided by
97.6 this subdivision, a nursing home must have a full time licensed
97.7 nursing home administrator serving the facility. In any nursing
97.8 home of less than 25 31 beds, the director of nursing services
97.9 may also serve as the licensed nursing home administrator. Two
97.10 nursing homes under common ownership having a total of 150 beds
97.11 or less and located within 75 miles of each other may share the
97.12 services of a licensed administrator if the administrator
97.13 divides full-time work week between the two facilities in
97.14 proportion to the number of beds in each facility. Every
97.15 nursing home shall have a person-in-charge on the premises at
97.16 all times in the absence of the licensed administrator. The
97.17 name of the person in charge must be posted in a conspicuous
97.18 place in the facility. The commissioner of health shall by rule
97.19 promulgate minimum education and experience requirements for
97.20 persons-in-charge, and may promulgate rules specifying the times
97.21 of day during which a licensed administrator must be on the
97.22 nursing home's premises. In the absence of rules adopted by the
97.23 commissioner governing the division of an administrator's time
97.24 between two nursing homes, the administrator shall designate and
97.25 post the times the administrator will be on site in each home on
97.26 a regular basis. A nursing home may employ as its administrator
97.27 the administrator of a hospital licensed pursuant to sections
97.28 144.50 to 144.56 if the individual is licensed as a nursing home
97.29 administrator pursuant to section 144A.20 and the nursing home
97.30 and hospital have a combined total of 150 beds or less and are
97.31 located within one mile of each other. A nonproprietary
97.32 retirement home having fewer than 15 licensed nursing home beds
97.33 may share the services of a licensed administrator with a
97.34 nonproprietary nursing home, having fewer than 150 licensed
97.35 nursing home beds, that is located within 25 miles of the
97.36 retirement home. A nursing home which is located in a facility
98.1 licensed as a hospital pursuant to sections 144.50 to 144.56,
98.2 may employ as its administrator the administrator of the
98.3 hospital if the individual meets minimum education and long term
98.4 care experience criteria set by rule of the commissioner of
98.5 health.
98.6 Sec. 2. Minnesota Statutes 1997 Supplement, section
98.7 144A.071, subdivision 4a, is amended to read:
98.8 Subd. 4a. [EXCEPTIONS FOR REPLACEMENT BEDS.] It is in the
98.9 best interest of the state to ensure that nursing homes and
98.10 boarding care homes continue to meet the physical plant
98.11 licensing and certification requirements by permitting certain
98.12 construction projects. Facilities should be maintained in
98.13 condition to satisfy the physical and emotional needs of
98.14 residents while allowing the state to maintain control over
98.15 nursing home expenditure growth.
98.16 The commissioner of health in coordination with the
98.17 commissioner of human services, may approve the renovation,
98.18 replacement, upgrading, or relocation of a nursing home or
98.19 boarding care home, under the following conditions:
98.20 (a) to license or certify beds in a new facility
98.21 constructed to replace a facility or to make repairs in an
98.22 existing facility that was destroyed or damaged after June 30,
98.23 1987, by fire, lightning, or other hazard provided:
98.24 (i) destruction was not caused by the intentional act of or
98.25 at the direction of a controlling person of the facility;
98.26 (ii) at the time the facility was destroyed or damaged the
98.27 controlling persons of the facility maintained insurance
98.28 coverage for the type of hazard that occurred in an amount that
98.29 a reasonable person would conclude was adequate;
98.30 (iii) the net proceeds from an insurance settlement for the
98.31 damages caused by the hazard are applied to the cost of the new
98.32 facility or repairs;
98.33 (iv) the new facility is constructed on the same site as
98.34 the destroyed facility or on another site subject to the
98.35 restrictions in section 144A.073, subdivision 5;
98.36 (v) the number of licensed and certified beds in the new
99.1 facility does not exceed the number of licensed and certified
99.2 beds in the destroyed facility; and
99.3 (vi) the commissioner determines that the replacement beds
99.4 are needed to prevent an inadequate supply of beds.
99.5 Project construction costs incurred for repairs authorized under
99.6 this clause shall not be considered in the dollar threshold
99.7 amount defined in subdivision 2;
99.8 (b) to license or certify beds that are moved from one
99.9 location to another within a nursing home facility, provided the
99.10 total costs of remodeling performed in conjunction with the
99.11 relocation of beds does not exceed $750,000;
99.12 (c) to license or certify beds in a project recommended for
99.13 approval under section 144A.073;
99.14 (d) to license or certify beds that are moved from an
99.15 existing state nursing home to a different state facility,
99.16 provided there is no net increase in the number of state nursing
99.17 home beds;
99.18 (e) to certify and license as nursing home beds boarding
99.19 care beds in a certified boarding care facility if the beds meet
99.20 the standards for nursing home licensure, or in a facility that
99.21 was granted an exception to the moratorium under section
99.22 144A.073, and if the cost of any remodeling of the facility does
99.23 not exceed $750,000. If boarding care beds are licensed as
99.24 nursing home beds, the number of boarding care beds in the
99.25 facility must not increase beyond the number remaining at the
99.26 time of the upgrade in licensure. The provisions contained in
99.27 section 144A.073 regarding the upgrading of the facilities do
99.28 not apply to facilities that satisfy these requirements;
99.29 (f) to license and certify up to 40 beds transferred from
99.30 an existing facility owned and operated by the Amherst H. Wilder
99.31 Foundation in the city of St. Paul to a new unit at the same
99.32 location as the existing facility that will serve persons with
99.33 Alzheimer's disease and other related disorders. The transfer
99.34 of beds may occur gradually or in stages, provided the total
99.35 number of beds transferred does not exceed 40. At the time of
99.36 licensure and certification of a bed or beds in the new unit,
100.1 the commissioner of health shall delicense and decertify the
100.2 same number of beds in the existing facility. As a condition of
100.3 receiving a license or certification under this clause, the
100.4 facility must make a written commitment to the commissioner of
100.5 human services that it will not seek to receive an increase in
100.6 its property-related payment rate as a result of the transfers
100.7 allowed under this paragraph;
100.8 (g) to license and certify nursing home beds to replace
100.9 currently licensed and certified boarding care beds which may be
100.10 located either in a remodeled or renovated boarding care or
100.11 nursing home facility or in a remodeled, renovated, newly
100.12 constructed, or replacement nursing home facility within the
100.13 identifiable complex of health care facilities in which the
100.14 currently licensed boarding care beds are presently located,
100.15 provided that the number of boarding care beds in the facility
100.16 or complex are decreased by the number to be licensed as nursing
100.17 home beds and further provided that, if the total costs of new
100.18 construction, replacement, remodeling, or renovation exceed ten
100.19 percent of the appraised value of the facility or $200,000,
100.20 whichever is less, the facility makes a written commitment to
100.21 the commissioner of human services that it will not seek to
100.22 receive an increase in its property-related payment rate by
100.23 reason of the new construction, replacement, remodeling, or
100.24 renovation. The provisions contained in section 144A.073
100.25 regarding the upgrading of facilities do not apply to facilities
100.26 that satisfy these requirements;
100.27 (h) to license as a nursing home and certify as a nursing
100.28 facility a facility that is licensed as a boarding care facility
100.29 but not certified under the medical assistance program, but only
100.30 if the commissioner of human services certifies to the
100.31 commissioner of health that licensing the facility as a nursing
100.32 home and certifying the facility as a nursing facility will
100.33 result in a net annual savings to the state general fund of
100.34 $200,000 or more;
100.35 (i) to certify, after September 30, 1992, and prior to July
100.36 1, 1993, existing nursing home beds in a facility that was
101.1 licensed and in operation prior to January 1, 1992;
101.2 (j) to license and certify new nursing home beds to replace
101.3 beds in a facility condemned acquired by the Minneapolis
101.4 community development agency as part of an economic
101.5 redevelopment plan activities in a city of the first class,
101.6 provided the new facility is located within one mile three miles
101.7 of the site of the old facility. Operating and property costs
101.8 for the new facility must be determined and allowed
101.9 under existing reimbursement rules section 256B.431 or 256B.434;
101.10 (k) to license and certify up to 20 new nursing home beds
101.11 in a community-operated hospital and attached convalescent and
101.12 nursing care facility with 40 beds on April 21, 1991, that
101.13 suspended operation of the hospital in April 1986. The
101.14 commissioner of human services shall provide the facility with
101.15 the same per diem property-related payment rate for each
101.16 additional licensed and certified bed as it will receive for its
101.17 existing 40 beds;
101.18 (l) to license or certify beds in renovation, replacement,
101.19 or upgrading projects as defined in section 144A.073,
101.20 subdivision 1, so long as the cumulative total costs of the
101.21 facility's remodeling projects do not exceed $750,000;
101.22 (m) to license and certify beds that are moved from one
101.23 location to another for the purposes of converting up to five
101.24 four-bed wards to single or double occupancy rooms in a nursing
101.25 home that, as of January 1, 1993, was county-owned and had a
101.26 licensed capacity of 115 beds;
101.27 (n) to allow a facility that on April 16, 1993, was a
101.28 106-bed licensed and certified nursing facility located in
101.29 Minneapolis to layaway all of its licensed and certified nursing
101.30 home beds. These beds may be relicensed and recertified in a
101.31 newly-constructed teaching nursing home facility affiliated with
101.32 a teaching hospital upon approval by the legislature. The
101.33 proposal must be developed in consultation with the interagency
101.34 committee on long-term care planning. The beds on layaway
101.35 status shall have the same status as voluntarily delicensed and
101.36 decertified beds, except that beds on layaway status remain
102.1 subject to the surcharge in section 256.9657. This layaway
102.2 provision expires July 1, 1998;
102.3 (o) to allow a project which will be completed in
102.4 conjunction with an approved moratorium exception project for a
102.5 nursing home in southern Cass county and which is directly
102.6 related to that portion of the facility that must be repaired,
102.7 renovated, or replaced, to correct an emergency plumbing problem
102.8 for which a state correction order has been issued and which
102.9 must be corrected by August 31, 1993;
102.10 (p) to allow a facility that on April 16, 1993, was a
102.11 368-bed licensed and certified nursing facility located in
102.12 Minneapolis to layaway, upon 30 days prior written notice to the
102.13 commissioner, up to 30 of the facility's licensed and certified
102.14 beds by converting three-bed wards to single or double
102.15 occupancy. Beds on layaway status shall have the same status as
102.16 voluntarily delicensed and decertified beds except that beds on
102.17 layaway status remain subject to the surcharge in section
102.18 256.9657, remain subject to the license application and renewal
102.19 fees under section 144A.07 and shall be subject to a $100 per
102.20 bed reactivation fee. In addition, at any time within three
102.21 years of the effective date of the layaway, the beds on layaway
102.22 status may be:
102.23 (1) relicensed and recertified upon relocation and
102.24 reactivation of some or all of the beds to an existing licensed
102.25 and certified facility or facilities located in Pine River,
102.26 Brainerd, or International Falls; provided that the total
102.27 project construction costs related to the relocation of beds
102.28 from layaway status for any facility receiving relocated beds
102.29 may not exceed the dollar threshold provided in subdivision 2
102.30 unless the construction project has been approved through the
102.31 moratorium exception process under section 144A.073;
102.32 (2) relicensed and recertified, upon reactivation of some
102.33 or all of the beds within the facility which placed the beds in
102.34 layaway status, if the commissioner has determined a need for
102.35 the reactivation of the beds on layaway status.
102.36 The property-related payment rate of a facility placing
103.1 beds on layaway status must be adjusted by the incremental
103.2 change in its rental per diem after recalculating the rental per
103.3 diem as provided in section 256B.431, subdivision 3a, paragraph
103.4 (d). The property-related payment rate for a facility
103.5 relicensing and recertifying beds from layaway status must be
103.6 adjusted by the incremental change in its rental per diem after
103.7 recalculating its rental per diem using the number of beds after
103.8 the relicensing to establish the facility's capacity day
103.9 divisor, which shall be effective the first day of the month
103.10 following the month in which the relicensing and recertification
103.11 became effective. Any beds remaining on layaway status more
103.12 than three years after the date the layaway status became
103.13 effective must be removed from layaway status and immediately
103.14 delicensed and decertified;
103.15 (q) to license and certify beds in a renovation and
103.16 remodeling project to convert 12 four-bed wards into 24 two-bed
103.17 rooms, expand space, and add improvements in a nursing home
103.18 that, as of January 1, 1994, met the following conditions: the
103.19 nursing home was located in Ramsey county; had a licensed
103.20 capacity of 154 beds; and had been ranked among the top 15
103.21 applicants by the 1993 moratorium exceptions advisory review
103.22 panel. The total project construction cost estimate for this
103.23 project must not exceed the cost estimate submitted in
103.24 connection with the 1993 moratorium exception process;
103.25 (r) to license and certify up to 117 beds that are
103.26 relocated from a licensed and certified 138-bed nursing facility
103.27 located in St. Paul to a hospital with 130 licensed hospital
103.28 beds located in South St. Paul, provided that the nursing
103.29 facility and hospital are owned by the same or a related
103.30 organization and that prior to the date the relocation is
103.31 completed the hospital ceases operation of its inpatient
103.32 hospital services at that hospital. After relocation, the
103.33 nursing facility's status under section 256B.431, subdivision
103.34 2j, shall be the same as it was prior to relocation. The
103.35 nursing facility's property-related payment rate resulting from
103.36 the project authorized in this paragraph shall become effective
104.1 no earlier than April 1, 1996. For purposes of calculating the
104.2 incremental change in the facility's rental per diem resulting
104.3 from this project, the allowable appraised value of the nursing
104.4 facility portion of the existing health care facility physical
104.5 plant prior to the renovation and relocation may not exceed
104.6 $2,490,000;
104.7 (s) to license and certify two beds in a facility to
104.8 replace beds that were voluntarily delicensed and decertified on
104.9 June 28, 1991;
104.10 (t) to allow 16 licensed and certified beds located on July
104.11 1, 1994, in a 142-bed nursing home and 21-bed boarding care home
104.12 facility in Minneapolis, notwithstanding the licensure and
104.13 certification after July 1, 1995, of the Minneapolis facility as
104.14 a 147-bed nursing home facility after completion of a
104.15 construction project approved in 1993 under section 144A.073, to
104.16 be laid away upon 30 days' prior written notice to the
104.17 commissioner. Beds on layaway status shall have the same status
104.18 as voluntarily delicensed or decertified beds except that they
104.19 shall remain subject to the surcharge in section 256.9657. The
104.20 16 beds on layaway status may be relicensed as nursing home beds
104.21 and recertified at any time within five years of the effective
104.22 date of the layaway upon relocation of some or all of the beds
104.23 to a licensed and certified facility located in Watertown,
104.24 provided that the total project construction costs related to
104.25 the relocation of beds from layaway status for the Watertown
104.26 facility may not exceed the dollar threshold provided in
104.27 subdivision 2 unless the construction project has been approved
104.28 through the moratorium exception process under section 144A.073.
104.29 The property-related payment rate of the facility placing
104.30 beds on layaway status must be adjusted by the incremental
104.31 change in its rental per diem after recalculating the rental per
104.32 diem as provided in section 256B.431, subdivision 3a, paragraph
104.33 (d). The property-related payment rate for the facility
104.34 relicensing and recertifying beds from layaway status must be
104.35 adjusted by the incremental change in its rental per diem after
104.36 recalculating its rental per diem using the number of beds after
105.1 the relicensing to establish the facility's capacity day
105.2 divisor, which shall be effective the first day of the month
105.3 following the month in which the relicensing and recertification
105.4 became effective. Any beds remaining on layaway status more
105.5 than five years after the date the layaway status became
105.6 effective must be removed from layaway status and immediately
105.7 delicensed and decertified;
105.8 (u) to license and certify beds that are moved within an
105.9 existing area of a facility or to a newly constructed addition
105.10 which is built for the purpose of eliminating three- and
105.11 four-bed rooms and adding space for dining, lounge areas,
105.12 bathing rooms, and ancillary service areas in a nursing home
105.13 that, as of January 1, 1995, was located in Fridley and had a
105.14 licensed capacity of 129 beds;
105.15 (v) to relocate 36 beds in Crow Wing county and four beds
105.16 from Hennepin county to a 160-bed facility in Crow Wing county,
105.17 provided all the affected beds are under common ownership;
105.18 (w) to license and certify a total replacement project of
105.19 up to 49 beds located in Norman county that are relocated from a
105.20 nursing home destroyed by flood and whose residents were
105.21 relocated to other nursing homes. The operating cost payment
105.22 rates for the new nursing facility shall be determined based on
105.23 the interim and settle-up payment provisions of Minnesota Rules,
105.24 part 9549.0057, and the reimbursement provisions of section
105.25 256B.431, except that subdivision 26, paragraphs (a) and (b),
105.26 shall not apply until the second rate year after the settle-up
105.27 cost report is filed. Property-related reimbursement rates
105.28 shall be determined under section 256B.431, taking into account
105.29 any federal or state flood-related loans or grants provided to
105.30 the facility;
105.31 (x) to license and certify a total replacement project of
105.32 up to 129 beds located in Polk county that are relocated from a
105.33 nursing home destroyed by flood and whose residents were
105.34 relocated to other nursing homes. The operating cost payment
105.35 rates for the new nursing facility shall be determined based on
105.36 the interim and settle-up payment provisions of Minnesota Rules,
106.1 part 9549.0057, and the reimbursement provisions of section
106.2 256B.431, except that subdivision 26, paragraphs (a) and (b),
106.3 shall not apply until the second rate year after the settle-up
106.4 cost report is filed. Property-related reimbursement rates
106.5 shall be determined under section 256B.431, taking into account
106.6 any federal or state flood-related loans or grants provided to
106.7 the facility; or
106.8 (y) to license and certify beds in a renovation and
106.9 remodeling project to convert 13 three-bed wards into 13 two-bed
106.10 rooms and 13 single-bed rooms, expand space, and add
106.11 improvements in a nursing home that, as of January 1, 1994, met
106.12 the following conditions: the nursing home was located in
106.13 Ramsey county, was not owned by a hospital corporation, had a
106.14 licensed capacity of 64 beds, and had been ranked among the top
106.15 15 applicants by the 1993 moratorium exceptions advisory review
106.16 panel. The total project construction cost estimate for this
106.17 project must not exceed the cost estimate submitted in
106.18 connection with the 1993 moratorium exception process.;
106.19 (z) to license and certify up to 150 nursing home beds to
106.20 replace an existing 285 bed nursing facility located in St.
106.21 Paul. The replacement project shall include both the renovation
106.22 of existing buildings and the construction of new facilities at
106.23 the existing site. The reduction in the licensed capacity of
106.24 the existing facility shall occur during the construction
106.25 project as beds are taken out of service due to the construction
106.26 process. Prior to the start of the construction process, the
106.27 facility shall provide written information to the commissioner
106.28 of health describing the process for bed reduction, plans for
106.29 the relocation of residents, and the estimated construction
106.30 schedule. The relocation of residents shall be in accordance
106.31 with the provisions of law and rule; or
106.32 (aa) to allow the commissioner of human services to license
106.33 an additional 36 beds to provide residential services for the
106.34 physically handicapped under Minnesota Rules, parts 9570.2000 to
106.35 9570.3400, in a 198-bed nursing home located in Red Wing,
106.36 provided that the total number of licensed and certified beds at
107.1 the facility does not increase.
107.2 Sec. 3. Minnesota Statutes 1996, section 144A.09,
107.3 subdivision 1, is amended to read:
107.4 Subdivision 1. [SPIRITUAL MEANS FOR HEALING.] No rule
107.5 established Sections 144A.04, subdivision 5, and 144A.18 to
107.6 144A.27, and rules adopted under sections 144A.01 to 144A.16
107.7 other than a rule relating to sanitation and safety of premises,
107.8 to cleanliness of operation, or to physical equipment shall do
107.9 not apply to a nursing home conducted by and for the adherents
107.10 of any recognized church or religious denomination for the
107.11 purpose of providing care and treatment for those who select and
107.12 depend upon spiritual means through prayer alone, in lieu of
107.13 medical care, for healing.
107.14 Sec. 4. Minnesota Statutes 1996, section 256B.431,
107.15 subdivision 2i, is amended to read:
107.16 Subd. 2i. [OPERATING COSTS AFTER JULY 1, 1988.] (a)
107.17 [OTHER OPERATING COST LIMITS.] For the rate year beginning July
107.18 1, 1988, the commissioner shall increase the other operating
107.19 cost limits established in Minnesota Rules, part 9549.0055,
107.20 subpart 2, item E, to 110 percent of the median of the array of
107.21 allowable historical other operating cost per diems and index
107.22 these limits as in Minnesota Rules, part 9549.0056, subparts 3
107.23 and 4. The limits must be established in accordance with
107.24 subdivision 2b, paragraph (d). For rate years beginning on or
107.25 after July 1, 1989, the adjusted other operating cost limits
107.26 must be indexed as in Minnesota Rules, part 9549.0056, subparts
107.27 3 and 4. For the rate period beginning October 1, 1992, and for
107.28 rate years beginning after June 30, 1993, the amount of the
107.29 surcharge under section 256.9657, subdivision 1, shall be
107.30 included in the plant operations and maintenance operating cost
107.31 category. The surcharge shall be an allowable cost for the
107.32 purpose of establishing the payment rate.
107.33 (b) [CARE-RELATED OPERATING COST LIMITS.] For the rate
107.34 year beginning July 1, 1988, the commissioner shall increase the
107.35 care-related operating cost limits established in Minnesota
107.36 Rules, part 9549.0055, subpart 2, items A and B, to 125 percent
108.1 of the median of the array of the allowable historical case mix
108.2 operating cost standardized per diems and the allowable
108.3 historical other care-related operating cost per diems and index
108.4 those limits as in Minnesota Rules, part 9549.0056, subparts 1
108.5 and 2. The limits must be established in accordance with
108.6 subdivision 2b, paragraph (d). For rate years beginning on or
108.7 after July 1, 1989, the adjusted care-related limits must be
108.8 indexed as in Minnesota Rules, part 9549.0056, subparts 1 and 2.
108.9 (c) [SALARY ADJUSTMENT PER DIEM.] For the rate period
108.10 Effective October July 1, 1988 1998, to June 30, 1990
108.11 2000, the commissioner shall add the appropriate make available
108.12 the salary adjustment per diem calculated in clause (1) or (2)
108.13 to the total operating cost payment rate of each nursing
108.14 facility reimbursed under this section or section 256B.434. The
108.15 salary adjustment per diem for each nursing facility must be
108.16 determined as follows:
108.17 (1) For each nursing facility that reports salaries for
108.18 registered nurses, licensed practical nurses, and aides,
108.19 orderlies and attendants separately, the commissioner shall
108.20 determine the salary adjustment per diem by multiplying the
108.21 total salaries, payroll taxes, and fringe benefits allowed in
108.22 each operating cost category, except management fees and
108.23 administrator and central office salaries and the related
108.24 payroll taxes and fringe benefits, by 3.5 3.0 percent and then
108.25 dividing the resulting amount by the nursing facility's actual
108.26 resident days; and.
108.27 (2) For each nursing facility that does not report salaries
108.28 for registered nurses, licensed practical nurses, aides,
108.29 orderlies, and attendants separately, the salary adjustment per
108.30 diem is the weighted average salary adjustment per diem increase
108.31 determined under clause (1).
108.32 Each nursing facility that receives a salary adjustment per
108.33 diem pursuant to this subdivision shall adjust nursing facility
108.34 employee salaries by a minimum of the amount determined in
108.35 clause (1) or (2). The commissioner shall review allowable
108.36 salary costs, including payroll taxes and fringe benefits, for
109.1 the reporting year ending September 30, 1989, to determine
109.2 whether or not each nursing facility complied with this
109.3 requirement. The commissioner shall report the extent to which
109.4 each nursing facility complied with the legislative commission
109.5 on long-term care by August 1, 1990.
109.6 (3) A nursing facility may apply for the salary adjustment
109.7 per diem calculated under clauses (1) and (2). The application
109.8 must be made to the commissioner and contain a plan by which the
109.9 nursing facility will distribute the salary adjustment to
109.10 employees of the nursing facility. In order to apply for a
109.11 salary adjustment, a nursing facility reimbursed under section
109.12 256B.434, must report the information required by clause (1) or
109.13 (2) in the application, in the manner specified by the
109.14 commissioner. For nursing facilities in which the employees are
109.15 represented by an exclusive bargaining representative, an
109.16 agreement negotiated and agreed to by the employer and the
109.17 exclusive bargaining representative, after July 1, 1998, may
109.18 constitute the plan for the salary distribution. The
109.19 commissioner shall review the plan to ensure that the salary
109.20 adjustment per diem is used solely to increase the compensation
109.21 of nursing home facility employees. To be eligible, a facility
109.22 must submit its plan for the salary distribution by December 31,
109.23 1998. If a facility's plan for salary distribution is effective
109.24 for its employees after July 1, 1998, the salary adjustment cost
109.25 per diem shall be effective the same date as its plan.
109.26 (4) Additional costs incurred by nursing facilities as a
109.27 result of this salary adjustment are not allowable costs for
109.28 purposes of the September 30, 1998, cost report.
109.29 (d) [NEW BASE YEAR.] The commissioner shall establish new
109.30 base years for both the reporting year ending September 30,
109.31 1989, and the reporting year ending September 30, 1990. In
109.32 establishing new base years, the commissioner must take into
109.33 account:
109.34 (1) statutory changes made in geographic groups;
109.35 (2) redefinitions of cost categories; and
109.36 (3) reclassification, pass-through, or exemption of certain
110.1 costs such as public employee retirement act contributions.
110.2 (e) [NEW BASE YEAR.] The commissioner shall establish a
110.3 new base year for the reporting years ending September 30, 1991,
110.4 and September 30, 1992. In establishing a new base year, the
110.5 commissioner must take into account:
110.6 (1) statutory changes made in geographic groups;
110.7 (2) redefinitions of cost categories; and
110.8 (3) reclassification, pass-through, or exemption of certain
110.9 costs.
110.10 Sec. 5. Minnesota Statutes 1996, section 256B.431, is
110.11 amended by adding a subdivision to read:
110.12 Subd. 2s. [NONALLOWABLE COST.] Costs incurred for any
110.13 activities which are directed at or are intended to influence or
110.14 dissuade employees in the exercise of their legal rights to
110.15 freely engage in the process of selecting an exclusive
110.16 representative for the purpose of collective bargaining with
110.17 their employer shall not be allowable for purposes of setting
110.18 payment rates.
110.19 Sec. 6. Minnesota Statutes 1997 Supplement, section
110.20 256B.431, subdivision 3f, is amended to read:
110.21 Subd. 3f. [PROPERTY COSTS AFTER JULY 1, 1988.] (a)
110.22 [INVESTMENT PER BED LIMIT.] For the rate year beginning July 1,
110.23 1988, the replacement-cost-new per bed limit must be $32,571 per
110.24 licensed bed in multiple bedrooms and $48,857 per licensed bed
110.25 in a single bedroom. For the rate year beginning July 1, 1989,
110.26 the replacement-cost-new per bed limit for a single bedroom must
110.27 be $49,907 adjusted according to Minnesota Rules, part
110.28 9549.0060, subpart 4, item A, subitem (1). Beginning January 1,
110.29 1990, the replacement-cost-new per bed limits must be adjusted
110.30 annually as specified in Minnesota Rules, part 9549.0060,
110.31 subpart 4, item A, subitem (1). Beginning January 1, 1991, the
110.32 replacement-cost-new per bed limits will be adjusted annually as
110.33 specified in Minnesota Rules, part 9549.0060, subpart 4, item A,
110.34 subitem (1), except that the index utilized will be the Bureau
110.35 of the Census: Composite fixed-weighted price index as
110.36 published in the C30 Report, Value of New Construction Put in
111.1 Place.
111.2 (b) [RENTAL FACTOR.] For the rate year beginning July 1,
111.3 1988, the commissioner shall increase the rental factor as
111.4 established in Minnesota Rules, part 9549.0060, subpart 8, item
111.5 A, by 6.2 percent rounded to the nearest 100th percent for the
111.6 purpose of reimbursing nursing facilities for soft costs and
111.7 entrepreneurial profits not included in the cost valuation
111.8 services used by the state's contracted appraisers. For rate
111.9 years beginning on or after July 1, 1989, the rental factor is
111.10 the amount determined under this paragraph for the rate year
111.11 beginning July 1, 1988.
111.12 (c) [OCCUPANCY FACTOR.] For rate years beginning on or
111.13 after July 1, 1988, in order to determine property-related
111.14 payment rates under Minnesota Rules, part 9549.0060, for all
111.15 nursing facilities except those whose average length of stay in
111.16 a skilled level of care within a nursing facility is 180 days or
111.17 less, the commissioner shall use 95 percent of capacity days.
111.18 For a nursing facility whose average length of stay in a skilled
111.19 level of care within a nursing facility is 180 days or less, the
111.20 commissioner shall use the greater of resident days or 80
111.21 percent of capacity days but in no event shall the divisor
111.22 exceed 95 percent of capacity days.
111.23 (d) [EQUIPMENT ALLOWANCE.] For rate years beginning on
111.24 July 1, 1988, and July 1, 1989, the commissioner shall add ten
111.25 cents per resident per day to each nursing facility's
111.26 property-related payment rate. The ten-cent property-related
111.27 payment rate increase is not cumulative from rate year to rate
111.28 year. For the rate year beginning July 1, 1990, the
111.29 commissioner shall increase each nursing facility's equipment
111.30 allowance as established in Minnesota Rules, part 9549.0060,
111.31 subpart 10, by ten cents per resident per day. For rate years
111.32 beginning on or after July 1, 1991, the adjusted equipment
111.33 allowance must be adjusted annually for inflation as in
111.34 Minnesota Rules, part 9549.0060, subpart 10, item E. For the
111.35 rate period beginning October 1, 1992, the equipment allowance
111.36 for each nursing facility shall be increased by 28 percent. For
112.1 rate years beginning after June 30, 1993, the allowance must be
112.2 adjusted annually for inflation.
112.3 (e) [POST CHAPTER 199 RELATED-ORGANIZATION DEBTS AND
112.4 INTEREST EXPENSE.] For rate years beginning on or after July 1,
112.5 1990, Minnesota Rules, part 9549.0060, subpart 5, item E, shall
112.6 not apply to outstanding related organization debt incurred
112.7 prior to May 23, 1983, provided that the debt was an allowable
112.8 debt under Minnesota Rules, parts 9510.0010 to 9510.0480, the
112.9 debt is subject to repayment through annual principal payments,
112.10 and the nursing facility demonstrates to the commissioner's
112.11 satisfaction that the interest rate on the debt was less than
112.12 market interest rates for similar arms-length transactions at
112.13 the time the debt was incurred. If the debt was incurred due to
112.14 a sale between family members, the nursing facility must also
112.15 demonstrate that the seller no longer participates in the
112.16 management or operation of the nursing facility. Debts meeting
112.17 the conditions of this paragraph are subject to all other
112.18 provisions of Minnesota Rules, parts 9549.0010 to 9549.0080.
112.19 (f) [BUILDING CAPITAL ALLOWANCE FOR NURSING FACILITIES
112.20 WITH OPERATING LEASES.] For rate years beginning on or after
112.21 July 1, 1990, a nursing facility with operating lease costs
112.22 incurred for the nursing facility's buildings shall receive its
112.23 building capital allowance computed in accordance with Minnesota
112.24 Rules, part 9549.0060, subpart 8. If an operating lease
112.25 provides that the lessee's rent is adjusted to recognize
112.26 improvements made by the lessor and related debt, the costs for
112.27 capital improvements and related debt shall be allowed in the
112.28 computation of the lessee's building capital allowance, provided
112.29 that reimbursement for these costs under an operating lease
112.30 shall not exceed the rate otherwise paid.
112.31 Sec. 7. Minnesota Statutes 1996, section 256B.431,
112.32 subdivision 4, is amended to read:
112.33 Subd. 4. [SPECIAL RATES.] (a) For the rate years beginning
112.34 July 1, 1983, and July 1, 1984, a newly constructed nursing
112.35 facility or one with a capacity increase of 50 percent or more
112.36 may, upon written application to the commissioner, receive an
113.1 interim payment rate for reimbursement for property-related
113.2 costs calculated pursuant to the statutes and rules in effect on
113.3 May 1, 1983, and for operating costs negotiated by the
113.4 commissioner based upon the 60th percentile established for the
113.5 appropriate group under subdivision 2a, to be effective from the
113.6 first day a medical assistance recipient resides in the facility
113.7 or for the added beds. For newly constructed nursing facilities
113.8 which are not included in the calculation of the 60th percentile
113.9 for any group, subdivision 2f, the commissioner shall establish
113.10 by rule procedures for determining interim operating cost
113.11 payment rates and interim property-related cost payment rates.
113.12 The interim payment rate shall not be in effect for more than 17
113.13 months. The commissioner shall establish, by emergency and
113.14 permanent rules, procedures for determining the interim rate and
113.15 for making a retroactive cost settle-up after the first year of
113.16 operation; the cost settled operating cost per diem shall not
113.17 exceed 110 percent of the 60th percentile established for the
113.18 appropriate group. Until procedures determining operating cost
113.19 payment rates according to mix of resident needs are
113.20 established, the commissioner shall establish by rule procedures
113.21 for determining payment rates for nursing facilities which
113.22 provide care under a lesser care level than the level for which
113.23 the nursing facility is certified.
113.24 (b) For the rate years beginning on or after July 1, 1985,
113.25 a newly constructed nursing facility or one with a capacity
113.26 increase of 50 percent or more may, upon written application to
113.27 the commissioner, receive an interim payment rate for
113.28 reimbursement for property related costs, operating costs, and
113.29 real estate taxes and special assessments calculated under rules
113.30 promulgated by the commissioner.
113.31 (c) For rate years beginning on or after July 1, 1983, the
113.32 commissioner may exclude from a provision of 12 MCAR S 2.050 any
113.33 facility that is licensed by the commissioner of health only as
113.34 a boarding care home, certified by the commissioner of health as
113.35 an intermediate care facility, is licensed by the commissioner
113.36 of human services under Minnesota Rules, parts 9520.0500 to
114.1 9520.0690, and has less than five percent of its licensed
114.2 boarding care capacity reimbursed by the medical assistance
114.3 program. Until a permanent rule to establish the payment rates
114.4 for facilities meeting these criteria is promulgated, the
114.5 commissioner shall establish the medical assistance payment rate
114.6 as follows:
114.7 (1) The desk audited payment rate in effect on June 30,
114.8 1983, remains in effect until the end of the facility's fiscal
114.9 year. The commissioner shall not allow any amendments to the
114.10 cost report on which this desk audited payment rate is based.
114.11 (2) For each fiscal year beginning between July 1, 1983,
114.12 and June 30, 1985, the facility's payment rate shall be
114.13 established by increasing the desk audited operating cost
114.14 payment rate determined in clause (1) at an annual rate of five
114.15 percent.
114.16 (3) For fiscal years beginning on or after July 1, 1985,
114.17 but before January 1, 1988, the facility's payment rate shall be
114.18 established by increasing the facility's payment rate in the
114.19 facility's prior fiscal year by the increase indicated by the
114.20 consumer price index for Minneapolis and St. Paul.
114.21 (4) For the fiscal year beginning on January 1, 1988, the
114.22 facility's payment rate must be established using the following
114.23 method: The commissioner shall divide the real estate taxes and
114.24 special assessments payable as stated in the facility's current
114.25 property tax statement by actual resident days to compute a real
114.26 estate tax and special assessment per diem. Next, the prior
114.27 year's payment rate must be adjusted by the higher of (1) the
114.28 percentage change in the consumer price index (CPI-U U.S. city
114.29 average) as published by the Bureau of Labor Statistics between
114.30 the previous two Septembers, new series index (1967-100), or (2)
114.31 2.5 percent, to determine an adjusted payment rate. The
114.32 facility's payment rate is the adjusted prior year's payment
114.33 rate plus the real estate tax and special assessment per diem.
114.34 (5) For fiscal years beginning on or after January 1, 1989,
114.35 the facility's payment rate must be established using the
114.36 following method: The commissioner shall divide the real estate
115.1 taxes and special assessments payable as stated in the
115.2 facility's current property tax statement by actual resident
115.3 days to compute a real estate tax and special assessment per
115.4 diem. Next, the prior year's payment rate less the real estate
115.5 tax and special assessment per diem must be adjusted by the
115.6 higher of (1) the percentage change in the consumer price index
115.7 (CPI-U U.S. city average) as published by the Bureau of Labor
115.8 Statistics between the previous two Septembers, new series index
115.9 (1967-100), or (2) 2.5 percent, to determine an adjusted payment
115.10 rate. The facility's payment rate is the adjusted payment rate
115.11 plus the real estate tax and special assessment per diem.
115.12 (6) For the purpose of establishing payment rates under
115.13 this paragraph, the facility's rate and reporting years coincide
115.14 with the facility's fiscal year.
115.15 (d) A facility that meets the criteria of paragraph (c)
115.16 shall submit annual cost reports on forms prescribed by the
115.17 commissioner.
115.18 (e) (c) For the rate year beginning July 1, 1985, each
115.19 nursing facility total payment rate must be effective two
115.20 calendar months from the first day of the month after the
115.21 commissioner issues the rate notice to the nursing facility.
115.22 From July 1, 1985, until the total payment rate becomes
115.23 effective, the commissioner shall make payments to each nursing
115.24 facility at a temporary rate that is the prior rate year's
115.25 operating cost payment rate increased by 2.6 percent plus the
115.26 prior rate year's property-related payment rate and the prior
115.27 rate year's real estate taxes and special assessments payment
115.28 rate. The commissioner shall retroactively adjust the
115.29 property-related payment rate and the real estate taxes and
115.30 special assessments payment rate to July 1, 1985, but must not
115.31 retroactively adjust the operating cost payment rate.
115.32 (f) (d) For the purposes of Minnesota Rules, part
115.33 9549.0060, subpart 13, item F, the following types of
115.34 transactions shall not be considered a sale or reorganization of
115.35 a provider entity:
115.36 (1) the sale or transfer of a nursing facility upon death
116.1 of an owner;
116.2 (2) the sale or transfer of a nursing facility due to
116.3 serious illness or disability of an owner as defined under the
116.4 social security act;
116.5 (3) the sale or transfer of the nursing facility upon
116.6 retirement of an owner at 62 years of age or older;
116.7 (4) any transaction in which a partner, owner, or
116.8 shareholder acquires an interest or share of another partner,
116.9 owner, or shareholder in a nursing facility business provided
116.10 the acquiring partner, owner, or shareholder has less than 50
116.11 percent ownership after the acquisition;
116.12 (5) a sale and leaseback to the same licensee which does
116.13 not constitute a change in facility license;
116.14 (6) a transfer of an interest to a trust;
116.15 (7) gifts or other transfers for no consideration;
116.16 (8) a merger of two or more related organizations;
116.17 (9) a transfer of interest in a facility held in
116.18 receivership;
116.19 (10) a change in the legal form of doing business other
116.20 than a publicly held organization which becomes privately held
116.21 or vice versa;
116.22 (11) the addition of a new partner, owner, or shareholder
116.23 who owns less than 20 percent of the nursing facility or the
116.24 issuance of stock; or
116.25 (12) an involuntary transfer including foreclosure,
116.26 bankruptcy, or assignment for the benefit of creditors.
116.27 Any increase in allowable debt or allowable interest
116.28 expense or other cost incurred as a result of the foregoing
116.29 transactions shall be a nonallowable cost for purposes of
116.30 reimbursement under Minnesota Rules, parts 9549.0010 to
116.31 9549.0080.
116.32 Sec. 8. Minnesota Statutes 1996, section 256B.431,
116.33 subdivision 11, is amended to read:
116.34 Subd. 11. [SPECIAL PROPERTY RATE SETTING PROCEDURES FOR
116.35 CERTAIN NURSING FACILITIES.] (a) Notwithstanding Minnesota
116.36 Rules, part 9549.0060, subpart 13, item H, to the contrary, for
117.1 the rate year beginning July 1, 1990, a nursing facility leased
117.2 prior to January 1, 1986, and currently subject to adverse
117.3 licensure action under section 144A.04, subdivision 4, paragraph
117.4 (a), or section 144A.11, subdivision 2, and whose ownership
117.5 changes prior to July 1, 1990, shall be allowed a
117.6 property-related payment equal to the lesser of its current
117.7 lease obligation divided by its capacity days as determined in
117.8 Minnesota Rules, part 9549.0060, subpart 11, as modified by
117.9 subdivision 3f, paragraph (c), or the frozen property-related
117.10 payment rate in effect for the rate year beginning July 1,
117.11 1989. For rate years beginning on or after July 1, 1991, the
117.12 property-related payment rate shall be its rental rate computed
117.13 using the previous owner's allowable principal and interest
117.14 expense as allowed by the department prior to that prior owner's
117.15 sale and lease-back transaction of December 1985.
117.16 (b) Notwithstanding other provisions of applicable law, a
117.17 nursing facility licensed for 122 beds on January 1, 1998, and
117.18 located in Columbia Heights shall have its property-related
117.19 payment rate set under this subdivision. The commissioner shall
117.20 make a rate adjustment by adding $2.41 to the facility's July 1,
117.21 1997, property-related payment rate. The adjusted
117.22 property-related payment rate shall be effective for rate years
117.23 beginning on or after July 1, 1998. The adjustment in this
117.24 paragraph shall remain in effect so long as the facility's rates
117.25 are set under this section. If the facility participates in the
117.26 alternative payment system under section 256B.434, the
117.27 adjustment in this paragraph shall be included in the facility's
117.28 contract payment rate. If historical rates or property costs
117.29 recognized under this section become the basis for future
117.30 medical assistance payments to the facility under a managed
117.31 care, capitation, or other alternative payment system, the
117.32 adjustment in this paragraph shall be included in the
117.33 computation of the facility's payments.
117.34 Sec. 9. Minnesota Statutes 1996, section 256B.431,
117.35 subdivision 22, is amended to read:
117.36 Subd. 22. [CHANGES TO NURSING FACILITY REIMBURSEMENT.] The
118.1 nursing facility reimbursement changes in paragraphs (a) to (e)
118.2 apply to Minnesota Rules, parts 9549.0010 to 9549.0080, and this
118.3 section, and are effective for rate years beginning on or after
118.4 July 1, 1993, unless otherwise indicated.
118.5 (a) In addition to the approved pension or profit sharing
118.6 plans allowed by the reimbursement rule, the commissioner shall
118.7 allow those plans specified in Internal Revenue Code, sections
118.8 403(b) and 408(k).
118.9 (b) The commissioner shall allow as workers' compensation
118.10 insurance costs under section 256B.421, subdivision 14, the
118.11 costs of workers' compensation coverage obtained under the
118.12 following conditions:
118.13 (1) a plan approved by the commissioner of commerce as a
118.14 Minnesota group or individual self-insurance plan as provided in
118.15 section 79A.03;
118.16 (2) a plan in which:
118.17 (i) the nursing facility, directly or indirectly, purchases
118.18 workers' compensation coverage in compliance with section
118.19 176.181, subdivision 2, from an authorized insurance carrier;
118.20 (ii) a related organization to the nursing facility
118.21 reinsures the workers' compensation coverage purchased, directly
118.22 or indirectly, by the nursing facility; and
118.23 (iii) all of the conditions in clause (4) are met;
118.24 (3) a plan in which:
118.25 (i) the nursing facility, directly or indirectly, purchases
118.26 workers' compensation coverage in compliance with section
118.27 176.181, subdivision 2, from an authorized insurance carrier;
118.28 (ii) the insurance premium is calculated retrospectively,
118.29 including a maximum premium limit, and paid using the paid loss
118.30 retro method; and
118.31 (iii) all of the conditions in clause (4) are met;
118.32 (4) additional conditions are:
118.33 (i) the costs of the plan are allowable under the federal
118.34 Medicare program;
118.35 (ii) the reserves for the plan are maintained in an account
118.36 controlled and administered by a person which is not a related
119.1 organization to the nursing facility;
119.2 (iii) the reserves for the plan cannot be used, directly or
119.3 indirectly, as collateral for debts incurred or other
119.4 obligations of the nursing facility or related organizations to
119.5 the nursing facility;
119.6 (iv) if the plan provides workers' compensation coverage
119.7 for non-Minnesota nursing facilities, the plan's cost
119.8 methodology must be consistent among all nursing facilities
119.9 covered by the plan, and if reasonable, is allowed
119.10 notwithstanding any reimbursement laws regarding cost allocation
119.11 to the contrary;
119.12 (v) central, affiliated, corporate, or nursing facility
119.13 costs related to their administration of the plan are costs
119.14 which must remain in the nursing facility's administrative cost
119.15 category and must not be allocated to other cost categories; and
119.16 (vi) required security deposits, whether in the form of
119.17 cash, investments, securities, assets, letters of credit, or in
119.18 any other form are not allowable costs for purposes of
119.19 establishing the facilities payment rate.; and
119.20 (vii) for the rate year beginning on July 1, 1998, a group
119.21 of nursing facilities related by common ownership that
119.22 self-insures workers' compensation may allocate its directly
119.23 identified costs of self-insuring its Minnesota nursing facility
119.24 workers among those nursing facilities in the group that are
119.25 reimbursed under this section or section 256B.434. The method
119.26 of cost allocation shall be based on the ratio of each nursing
119.27 facility's total allowable salaries and wages to that of the
119.28 nursing facility group's total allowable salaries and wages,
119.29 then similarly allocated within each nursing facility's
119.30 operating cost categories. The costs associated with the
119.31 administration of the group's self-insurance plan must remain
119.32 classified in the nursing facility's administrative cost
119.33 category. A written request of the nursing facility group's
119.34 election to use this alternate method of allocation of
119.35 self-insurance costs must be received by the commissioner no
119.36 later than May 1, 1998, to take effect July 1, 1998, or such
120.1 costs shall continue to be allocated under the existing cost
120.2 allocation methods. Once a nursing facility group elects this
120.3 method of cost allocation for its workers' compensation
120.4 self-insurance costs, it shall remain in effect until such time
120.5 as the group no longer self-insures these costs;
120.6 (5) any costs allowed pursuant to clauses (1) to (3) are
120.7 subject to the following requirements:
120.8 (i) if the nursing facility is sold or otherwise ceases
120.9 operations, the plan's reserves must be subject to an
120.10 actuarially based settle-up after 36 months from the date of
120.11 sale or the date on which operations ceased. The facility's
120.12 medical assistance portion of the total excess plan reserves
120.13 must be paid to the state within 30 days following the date on
120.14 which excess plan reserves are determined;
120.15 (ii) any distribution of excess plan reserves made to or
120.16 withdrawals made by the nursing facility or a related
120.17 organization are applicable credits and must be used to reduce
120.18 the nursing facility's workers' compensation insurance costs in
120.19 the reporting period in which a distribution or withdrawal is
120.20 received;
120.21 (iii) if reimbursement for the plan is sought under the
120.22 federal Medicare program, and is audited pursuant to the
120.23 Medicare program, the nursing facility must provide a copy of
120.24 Medicare's final audit report, including attachments and
120.25 exhibits, to the commissioner within 30 days of receipt by the
120.26 nursing facility or any related organization. The commissioner
120.27 shall implement the audit findings associated with the plan upon
120.28 receipt of Medicare's final audit report. The department's
120.29 authority to implement the audit findings is independent of its
120.30 authority to conduct a field audit.
120.31 (c) In the determination of incremental increases in the
120.32 nursing facility's rental rate as required in subdivisions 14 to
120.33 21, except for a refinancing permitted under subdivision 19, the
120.34 commissioner must adjust the nursing facility's property-related
120.35 payment rate for both incremental increases and decreases in
120.36 recomputations of its rental rate;
121.1 (d) A nursing facility's administrative cost limitation
121.2 must be modified as follows:
121.3 (1) if the nursing facility's licensed beds exceed 195
121.4 licensed beds, the general and administrative cost category
121.5 limitation shall be 13 percent;
121.6 (2) if the nursing facility's licensed beds are more than
121.7 150 licensed beds, but less than 196 licensed beds, the general
121.8 and administrative cost category limitation shall be 14 percent;
121.9 or
121.10 (3) if the nursing facility's licensed beds is less than
121.11 151 licensed beds, the general and administrative cost category
121.12 limitation shall remain at 15 percent.
121.13 (e) The care related operating rate shall be increased by
121.14 eight cents to reimburse facilities for unfunded federal
121.15 mandates, including costs related to hepatitis B vaccinations.
121.16 (f) For the rate year beginning on July 1, 1998, a group of
121.17 nursing facilities related by common ownership that self-insures
121.18 group health, dental, or life insurance may allocate its
121.19 directly identified costs of self-insuring its Minnesota nursing
121.20 facility workers among those nursing facilities in the group
121.21 that are reimbursed under this section or section 256B.434. The
121.22 method of cost allocation shall be based on the ratio of each
121.23 nursing facility's total allowable salaries and wages to that of
121.24 the nursing facility group's total allowable salaries and wages,
121.25 then similarly allocated within each nursing facility's
121.26 operating cost categories. The costs associated with the
121.27 administration of the group's self-insurance plan must remain
121.28 classified in the nursing facility's administrative cost
121.29 category. A written request of the nursing facility group's
121.30 election to use this alternate method of allocation of
121.31 self-insurance costs must be received by the commissioner no
121.32 later than May 1, 1998, to take effect July 1, 1998, or those
121.33 self-insurance costs shall continue to be allocated under the
121.34 existing cost allocation methods. Once a nursing facility group
121.35 elects this method of cost allocation for its group health,
121.36 dental, or life insurance self-insurance costs, it shall remain
122.1 in effect until such time as the group no longer self-insures
122.2 these costs.
122.3 Sec. 10. Minnesota Statutes 1997 Supplement, section
122.4 256B.431, subdivision 26, is amended to read:
122.5 Subd. 26. [CHANGES TO NURSING FACILITY REIMBURSEMENT
122.6 BEGINNING JULY 1, 1997.] The nursing facility reimbursement
122.7 changes in paragraphs (a) to (f) shall apply in the sequence
122.8 specified in Minnesota Rules, parts 9549.0010 to 9549.0080, and
122.9 this section, beginning July 1, 1997.
122.10 (a) For rate years beginning on or after July 1, 1997, the
122.11 commissioner shall limit a nursing facility's allowable
122.12 operating per diem for each case mix category for each rate year.
122.13 The commissioner shall group nursing facilities into two groups,
122.14 freestanding and nonfreestanding, within each geographic group,
122.15 using their operating cost per diem for the case mix A
122.16 classification. A nonfreestanding nursing facility is a nursing
122.17 facility whose other operating cost per diem is subject to the
122.18 hospital attached, short length of stay, or the rule 80 limits.
122.19 All other nursing facilities shall be considered freestanding
122.20 nursing facilities. The commissioner shall then array all
122.21 nursing facilities in each grouping by their allowable case mix
122.22 A operating cost per diem. In calculating a nursing facility's
122.23 operating cost per diem for this purpose, the commissioner shall
122.24 exclude the raw food cost per diem related to providing special
122.25 diets that are based on religious beliefs, as determined in
122.26 subdivision 2b, paragraph (h). For those nursing facilities in
122.27 each grouping whose case mix A operating cost per diem:
122.28 (1) is at or below the median of the array, the
122.29 commissioner shall limit the nursing facility's allowable
122.30 operating cost per diem for each case mix category to the lesser
122.31 of the prior reporting year's allowable operating cost per diem
122.32 as specified in Laws 1996, chapter 451, article 3, section 11,
122.33 paragraph (h), plus the inflation factor as established in
122.34 paragraph (d), clause (2), increased by two percentage points,
122.35 or the current reporting year's corresponding allowable
122.36 operating cost per diem; or
123.1 (2) is above the median of the array, the commissioner
123.2 shall limit the nursing facility's allowable operating cost per
123.3 diem for each case mix category to the lesser of the prior
123.4 reporting year's allowable operating cost per diem as specified
123.5 in Laws 1996, chapter 451, article 3, section 11, paragraph (h),
123.6 plus the inflation factor as established in paragraph (d),
123.7 clause (2), increased by one percentage point, or the current
123.8 reporting year's corresponding allowable operating cost per diem.
123.9 For purposes of paragraph (a), if a nursing facility
123.10 reports on its cost report a reduction in cost due to a refund
123.11 or credit for a rate year beginning on or after July 1, 1998,
123.12 the commissioner shall increase that facility's spend-up limit
123.13 for the rate year following the current rate year by the amount
123.14 of the cost reduction divided by its resident days for the
123.15 reporting year preceding the rate year in which the adjustment
123.16 is to be made.
123.17 (b) For rate years beginning on or after July 1, 1997, the
123.18 commissioner shall limit the allowable operating cost per diem
123.19 for high cost nursing facilities. After application of the
123.20 limits in paragraph (a) to each nursing facility's operating
123.21 cost per diem, the commissioner shall group nursing facilities
123.22 into two groups, freestanding or nonfreestanding, within each
123.23 geographic group. A nonfreestanding nursing facility is a
123.24 nursing facility whose other operating cost per diem are subject
123.25 to hospital attached, short length of stay, or rule 80 limits.
123.26 All other nursing facilities shall be considered freestanding
123.27 nursing facilities. The commissioner shall then array all
123.28 nursing facilities within each grouping by their allowable case
123.29 mix A operating cost per diem. In calculating a nursing
123.30 facility's operating cost per diem for this purpose, the
123.31 commissioner shall exclude the raw food cost per diem related to
123.32 providing special diets that are based on religious beliefs, as
123.33 determined in subdivision 2b, paragraph (h). For those nursing
123.34 facilities in each grouping whose case mix A operating cost per
123.35 diem exceeds 1.0 standard deviation above the median, the
123.36 commissioner shall reduce their allowable operating cost per
124.1 diem by three percent. For those nursing facilities in each
124.2 grouping whose case mix A operating cost per diem exceeds 0.5
124.3 standard deviation above the median but is less than or equal to
124.4 1.0 standard deviation above the median, the commissioner shall
124.5 reduce their allowable operating cost per diem by two percent.
124.6 However, in no case shall a nursing facility's operating cost
124.7 per diem be reduced below its grouping's limit established at
124.8 0.5 standard deviations above the median.
124.9 (c) For rate years beginning on or after July 1, 1997, the
124.10 commissioner shall determine a nursing facility's efficiency
124.11 incentive by first computing the allowable difference, which is
124.12 the lesser of $4.50 or the amount by which the facility's other
124.13 operating cost limit exceeds its nonadjusted other operating
124.14 cost per diem for that rate year. The commissioner shall
124.15 compute the efficiency incentive by:
124.16 (1) subtracting the allowable difference from $4.50 and
124.17 dividing the result by $4.50;
124.18 (2) multiplying 0.20 by the ratio resulting from clause
124.19 (1), and then;
124.20 (3) adding 0.50 to the result from clause (2); and
124.21 (4) multiplying the result from clause (3) times the
124.22 allowable difference.
124.23 The nursing facility's efficiency incentive payment shall
124.24 be the lesser of $2.25 or the product obtained in clause (4).
124.25 (d) For rate years beginning on or after July 1, 1997, the
124.26 forecasted price index for a nursing facility's allowable
124.27 operating cost per diem shall be determined under clauses (1)
124.28 and (2) using the change in the Consumer Price Index-All Items
124.29 (United States city average) (CPI-U) as forecasted by Data
124.30 Resources, Inc. The commissioner shall use the indices as
124.31 forecasted in the fourth quarter of the calendar year preceding
124.32 the rate year, subject to subdivision 2l, paragraph (c).
124.33 (1) The CPI-U forecasted index for allowable operating cost
124.34 per diem shall be based on the 21-month period from the midpoint
124.35 of the nursing facility's reporting year to the midpoint of the
124.36 rate year following the reporting year.
125.1 (2) For rate years beginning on or after July 1, 1997, the
125.2 forecasted index for operating cost limits referred to in
125.3 subdivision 21, paragraph (b), shall be based on the CPI-U for
125.4 the 12-month period between the midpoints of the two reporting
125.5 years preceding the rate year.
125.6 (e) After applying these provisions for the respective rate
125.7 years, the commissioner shall index these allowable operating
125.8 cost per diem by the inflation factor provided for in paragraph
125.9 (d), clause (1), and add the nursing facility's efficiency
125.10 incentive as computed in paragraph (c).
125.11 (f) For rate years beginning on or after July 1, 1997, the
125.12 total operating cost payment rates for a nursing facility shall
125.13 be the greater of the total operating cost payment rates
125.14 determined under this section or the total operating cost
125.15 payment rates in effect on June 30, 1997, subject to rate
125.16 adjustments due to field audit or rate appeal resolution. This
125.17 provision shall not apply to subsequent field audit adjustments
125.18 of the nursing facility's operating cost rates for rate years
125.19 beginning on or after July 1, 1997.
125.20 (g) For the rate years beginning on July 1, 1997, and July
125.21 1, 1998, and July 1, 1999, a nursing facility licensed for 40
125.22 beds effective May 1, 1992, with a subsequent increase of 20
125.23 Medicare/Medicaid certified beds, effective January 26, 1993, in
125.24 accordance with an increase in licensure is exempt from
125.25 paragraphs (a) and (b).
125.26 (h) For a nursing facility whose construction project was
125.27 authorized according to section 144A.073, subdivision 5,
125.28 paragraph (g), the operating cost payment rates for the third
125.29 location shall be determined based on Minnesota Rules, part
125.30 9549.0057. Paragraphs (a) and (b) shall not apply until the
125.31 second rate year after the settle-up cost report is filed.
125.32 Notwithstanding subdivision 2b, paragraph (g), real estate taxes
125.33 and special assessments payable by the third location, a
125.34 501(c)(3) nonprofit corporation, shall be included in the
125.35 payment rates determined under this subdivision for all
125.36 subsequent rate years.
126.1 (i) For the rate year beginning July 1, 1997, the
126.2 commissioner shall compute the payment rate for a nursing
126.3 facility licensed for 94 beds on September 30, 1996, that
126.4 applied in October 1993 for approval of a total replacement
126.5 under the moratorium exception process in section 144A.073, and
126.6 completed the approved replacement in June 1995, with other
126.7 operating cost spend-up limit under paragraph (a), increased by
126.8 $3.98, and after computing the facility's payment rate according
126.9 to this section, the commissioner shall make a one-year positive
126.10 rate adjustment of $3.19 for operating costs related to the
126.11 newly constructed total replacement, without application of
126.12 paragraphs (a) and (b). The facility's per diem, before the
126.13 $3.19 adjustment, shall be used as the prior reporting year's
126.14 allowable operating cost per diem for payment rate calculation
126.15 for the rate year beginning July 1, 1998. A facility described
126.16 in this paragraph is exempt from paragraph (b) for the rate
126.17 years beginning July 1, 1997, and July 1, 1998.
126.18 (j) For the purpose of applying the limit stated in
126.19 paragraph (a), a nursing facility in Kandiyohi county licensed
126.20 for 86 beds that was granted hospital-attached status on
126.21 December 1, 1994, shall have the prior year's allowable
126.22 care-related per diem increased by $3.207 and the prior year's
126.23 other operating cost per diem increased by $4.777 before adding
126.24 the inflation in paragraph (d), clause (2), for the rate year
126.25 beginning on July 1, 1997.
126.26 (k) For the purpose of applying the limit stated in
126.27 paragraph (a), a 117 bed nursing facility located in Pine county
126.28 shall have the prior year's allowable other operating cost per
126.29 diem increased by $1.50 before adding the inflation in paragraph
126.30 (d), clause (2), for the rate year beginning on July 1, 1997.
126.31 (l) For the purpose of applying the limit under paragraph
126.32 (a), a nursing facility in Hibbing licensed for 192 beds shall
126.33 have the prior year's allowable other operating cost per diem
126.34 increased by $2.67 before adding the inflation in paragraph (d),
126.35 clause (2), for the rate year beginning July 1, 1997.
126.36 Sec. 11. Minnesota Statutes 1996, section 256B.431, is
127.1 amended by adding a subdivision to read:
127.2 Subd. 27. [CHANGES TO NURSING FACILITY REIMBURSEMENT
127.3 BEGINNING JULY 1, 1998.] (a) For the purpose of applying the
127.4 limit stated in subdivision 26, paragraph (a), a nursing
127.5 facility in Hennepin county licensed for 181 beds on September
127.6 30, 1996, shall have the prior year's allowable care-related per
127.7 diem increased by $1.455 and the prior year's other operating
127.8 cost per diem increased by $0.439 before adding the inflation in
127.9 subdivision 26, paragraph (d), clause (2), for the rate year
127.10 beginning on July 1, 1998.
127.11 (b) For the purpose of applying the limit stated in
127.12 subdivision 26, paragraph (a), a nursing facility in Hennepin
127.13 county licensed for 161 beds on September 30, 1996, shall have
127.14 the prior year's allowable care-related per diem increased by
127.15 $1.154 and the prior year's other operating cost per diem
127.16 increased by $0.256 before adding the inflation in subdivision
127.17 26, paragraph (d), clause (2), for the rate year beginning on
127.18 July 1, 1998.
127.19 (c) For the purpose of applying the limit stated in
127.20 subdivision 26, paragraph (a), a nursing facility in Ramsey
127.21 county licensed for 176 beds on September 30, 1996, shall have
127.22 the prior year's allowable care-related per diem increased by
127.23 $0.803 and the prior year's other operating cost per diem
127.24 increased by $0.272 before adding the inflation in subdivision
127.25 26, paragraph (d), clause (2), for the rate year beginning on
127.26 July 1, 1998.
127.27 (d) For the purpose of applying the limit stated in
127.28 subdivision 26, paragraph (a), a nursing facility in Brown
127.29 county licensed for 86 beds on September 30, 1996, shall have
127.30 the prior year's allowable care-related per diem increased by
127.31 $0.850 and the prior year's other operating cost per diem
127.32 increased by $0.275 before adding the inflation in subdivision
127.33 26, paragraph (d), clause (2), for the rate year beginning on
127.34 July 1, 1998.
127.35 (e) For the rate year beginning July 1, 1998, the
127.36 commissioner shall compute the payment rate for a nursing
128.1 facility, which was licensed for 110 beds on May 1, 1997, was
128.2 granted approval in January 1994 for a replacement and
128.3 remodeling project under the moratorium exception process in
128.4 section 144A.073, and completed the approved replacement and
128.5 remodeling project on March 14, 1997, by increasing the other
128.6 operating cost spend-up limit under paragraph (a) by $1.64.
128.7 After computing the facility's payment rate for the rate year
128.8 beginning July 1, 1998, according to this section, the
128.9 commissioner shall make a one-year positive rate adjustment of
128.10 48 cents for increased real estate taxes resulting from
128.11 completion of the moratorium exception project, without
128.12 application of paragraphs (a) and (b).
128.13 (f) For the rate year beginning July 1, 1998, the
128.14 commissioner shall compute the payment rate for a nursing
128.15 facility exempted from care-related limits under subdivision 2b,
128.16 paragraph (d), clause (2), with a minimum of three-quarters of
128.17 its beds licensed to provide residential services for the
128.18 physically handicapped under Minnesota Rules, parts 9570.2000 to
128.19 9570.3400, with the care-related spend-up limit under
128.20 subdivision 26, paragraph (a), increased by $13.21 for the rate
128.21 year beginning July 1, 1998, without application of subdivision
128.22 26, paragraph (b). For rate years beginning on or after July 1,
128.23 1999, the commissioner shall exclude that amount in calculating
128.24 the facility's operating cost per diem for purposes of applying
128.25 subdivision 26, paragraph (b).
128.26 (g) For the rate year beginning July 1, 1998, a nursing
128.27 facility in Canby, Minnesota, licensed for 75 beds shall be
128.28 reimbursed without the limitation imposed under subdivision 26,
128.29 paragraph (a), and for rate years beginning on or after July 1,
128.30 1999, its base costs shall be calculated on the basis of its
128.31 September 30, 1997, cost report.
128.32 (h) The nursing facility reimbursement changes in
128.33 paragraphs (i) and (j) shall apply in the sequence specified in
128.34 this section and Minnesota Rules, parts 9549.0010 to 9549.0080,
128.35 beginning July 1, 1998.
128.36 (i) For rate years beginning on or after July 1, 1998, the
129.1 operating cost limits established in subdivisions 2, 2b, 2i, 3c,
129.2 and 22, paragraph (d), and any previously effective
129.3 corresponding limits in law or rule shall not apply, except that
129.4 these cost limits shall still be calculated for purposes of
129.5 determining efficiency incentive per diems. For rate years
129.6 beginning on or after July 1, 1998, the total operating cost
129.7 payment rates for a nursing facility shall be the greater of the
129.8 total operating cost payment rates determined under this section
129.9 or the total operating cost payment rates in effect on June 30,
129.10 1998, subject to rate adjustments due to field audit or rate
129.11 appeal resolution.
129.12 (j) For rate years beginning on or after July 1, 1998, the
129.13 operating cost per diem referred to in subdivision 26, paragraph
129.14 (a), clauses (1) and (2), is the sum of the care-related and
129.15 other operating per diems for a given case mix class. Any
129.16 reductions to the combined operating per diem shall be divided
129.17 proportionately between the care-related and other operating per
129.18 diems.
129.19 (k) For rate years beginning on or after July 1, 1998, the
129.20 commissioner shall modify the determination of the spend-up
129.21 limits referred to in subdivision 26, paragraph (a), by indexing
129.22 each group's previous year's median value by the factor in
129.23 subdivision 26, paragraph (d), clause (2), plus one percentage
129.24 point.
129.25 (l) For rate years beginning on or after July 1, 1998, the
129.26 commissioner shall modify the determination of the high cost
129.27 limits referred to in subdivision 26, paragraph (b), by indexing
129.28 each group's previous year's high cost per diem limits at .5 and
129.29 one standard deviations above the median by the factor in
129.30 subdivision 26, paragraph (d), clause (2), plus one percentage
129.31 point.
129.32 Sec. 12. Minnesota Statutes 1997 Supplement, section
129.33 256B.433, subdivision 3a, is amended to read:
129.34 Subd. 3a. [EXEMPTION FROM REQUIREMENT FOR SEPARATE THERAPY
129.35 BILLING.] The provisions of subdivision 3 do not apply to
129.36 nursing facilities that are reimbursed according to the
130.1 provisions of section 256B.431 and are located in a county
130.2 participating in the prepaid medical assistance
130.3 program. Nursing facilities that are reimbursed according to
130.4 the provisions of section 256B.434 and are located in a county
130.5 participating in the prepaid medical assistance program are
130.6 exempt from the maximum therapy rent revenue provisions of
130.7 subdivision 3, paragraph (c).
130.8 Sec. 13. Minnesota Statutes 1997 Supplement, section
130.9 256B.434, subdivision 10, is amended to read:
130.10 Subd. 10. [EXEMPTIONS.] (a) To the extent permitted by
130.11 federal law, (1) a facility that has entered into a contract
130.12 under this section is not required to file a cost report, as
130.13 defined in Minnesota Rules, part 9549.0020, subpart 13, for any
130.14 year after the base year that is the basis for the calculation
130.15 of the contract payment rate for the first rate year of the
130.16 alternative payment demonstration project contract; and (2) a
130.17 facility under contract is not subject to audits of historical
130.18 costs or revenues, or paybacks or retroactive adjustments based
130.19 on these costs or revenues, except audits, paybacks, or
130.20 adjustments relating to the cost report that is the basis for
130.21 calculation of the first rate year under the contract.
130.22 (b) A facility that is under contract with the commissioner
130.23 under this section is not subject to the moratorium on licensure
130.24 or certification of new nursing home beds in section 144A.071,
130.25 unless the project results in a net increase in bed capacity or
130.26 involves relocation of beds from one site to another. Contract
130.27 payment rates must not be adjusted to reflect any additional
130.28 costs that a nursing facility incurs as a result of a
130.29 construction project undertaken under this paragraph. In
130.30 addition, as a condition of entering into a contract under this
130.31 section, a nursing facility must agree that any future medical
130.32 assistance payments for nursing facility services will not
130.33 reflect any additional costs attributable to the sale of a
130.34 nursing facility under this section and to construction
130.35 undertaken under this paragraph that otherwise would not be
130.36 authorized under the moratorium in section 144A.073. Nothing in
131.1 this section prevents a nursing facility participating in the
131.2 alternative payment demonstration project under this section
131.3 from seeking approval of an exception to the moratorium through
131.4 the process established in section 144A.073, and if approved the
131.5 facility's rates shall be adjusted to reflect the cost of the
131.6 project. Nothing in this section prevents a nursing facility
131.7 participating in the alternative payment demonstration project
131.8 from seeking legislative approval of an exception to the
131.9 moratorium under section 144A.071, and, if enacted, the
131.10 facility's rates shall be adjusted to reflect the cost of the
131.11 project.
131.12 (c) Notwithstanding section 256B.48, subdivision 6,
131.13 paragraphs (c), (d), and (e), and pursuant to any terms and
131.14 conditions contained in the facility's contract, a nursing
131.15 facility that is under contract with the commissioner under this
131.16 section is in compliance with section 256B.48, subdivision 6,
131.17 paragraph (b), if the facility is Medicare certified.
131.18 (d) Notwithstanding paragraph (a), if by April 1, 1996, the
131.19 health care financing administration has not approved a required
131.20 waiver, or the health care financing administration otherwise
131.21 requires cost reports to be filed prior to the waiver's
131.22 approval, the commissioner shall require a cost report for the
131.23 rate year.
131.24 (e) A facility that is under contract with the commissioner
131.25 under this section shall be allowed to change therapy
131.26 arrangements from an unrelated vendor to a related vendor during
131.27 the term of the contract. The commissioner may develop
131.28 reasonable requirements designed to prevent an increase in
131.29 therapy utilization for residents enrolled in the medical
131.30 assistance program.
131.31 Sec. 14. [256B.435] [NURSING FACILITY REIMBURSEMENT SYSTEM
131.32 EFFECTIVE JULY 1, 2000.]
131.33 Subdivision 1. [IN GENERAL.] Effective July 1, 2000, the
131.34 commissioner shall implement a performance-based contracting
131.35 system to replace the current method of setting operating cost
131.36 payment rates under sections 256B.431 and 256B.434 and Minnesota
132.1 Rules, parts 9549.0010 to 9549.0080. A nursing facility in
132.2 operation on May 1, 1998, with payment rates not established
132.3 under section 256B.431 or 256B.434 on that date, is ineligible
132.4 for this performance-based contracting system. In determining
132.5 prospective payment rates of nursing facility services, the
132.6 commissioner shall distinguish between operating costs and
132.7 property-related costs. The commissioner of finance shall
132.8 include an annual inflationary adjustment in operating costs for
132.9 nursing facilities using the inflation factor specified in
132.10 subdivision 3 as a budget change request in each biennial
132.11 detailed expenditure budget submitted to the legislature under
132.12 section 16A.11. Property related payment rates, including real
132.13 estate taxes and special assessments, shall be determined under
132.14 section 256B.431 or 256B.434 or under a new property-related
132.15 reimbursement system, if one is implemented by the commissioner
132.16 under subdivision 3.
132.17 Subd. 2. [CONTRACT PROVISIONS.] (a) The performance-based
132.18 contract with each nursing facility must include provisions that:
132.19 (1) apply the resident case mix assessment provisions of
132.20 Minnesota Rules, parts 9549.0051, 9549.0058, and 9549.0059, or
132.21 another assessment system, with the goal of moving to a single
132.22 assessment system;
132.23 (2) monitor resident outcomes through various methods, such
132.24 as quality indicators based on the minimum data set and other
132.25 utilization and performance measures;
132.26 (3) require the establishment and use of a continuous
132.27 quality improvement process that integrates information from
132.28 quality indicators and regular resident and family satisfaction
132.29 interviews;
132.30 (4) require annual reporting of facility statistical
132.31 information, including resident days by case mix category,
132.32 productive nursing hours, wages and benefits, and raw food costs
132.33 for use by the commissioner in the development of facility
132.34 profiles that include trends in payment and service utilization;
132.35 (5) require from each nursing facility an annual certified
132.36 audited financial statement consisting of a balance sheet,
133.1 income and expense statements, and an opinion from either a
133.2 licensed or certified public accountant, if a certified audit
133.3 was prepared, or unaudited financial statements if no certified
133.4 audit was prepared; and
133.5 (6) establish additional requirements and penalties for
133.6 nursing facilities not meeting the standards set forth in the
133.7 performance-based contract.
133.8 (b) The commissioner may develop additional incentive-based
133.9 payments for achieving outcomes specified in each contract. The
133.10 specified facility-specific outcomes must be measurable and
133.11 approved by the commissioner.
133.12 (c) The commissioner may also contract with nursing
133.13 facilities in other ways through requests for proposals,
133.14 including contracts on a risk or nonrisk basis, with nursing
133.15 facilities or consortia of nursing facilities, to provide
133.16 comprehensive long-term care coverage on a premium or capitated
133.17 basis.
133.18 Subd. 3. [PAYMENT RATE PROVISIONS.] (a) For rate years
133.19 beginning on or after July 1, 2000, within the limits of
133.20 appropriations specifically for this purpose, the commissioner
133.21 shall determine operating cost payment rates for each licensed
133.22 and certified nursing facility by indexing its operating cost
133.23 payment rates in effect on June 30, 2000, for inflation. The
133.24 inflation factor to be used must be based on the change in the
133.25 Consumer Price Index-All Items, United States city average
133.26 (CPI-U) as forecasted by Data Resources, Inc. in the fourth
133.27 quarter preceding the rate year. The CPI-U forecasted index for
133.28 operating cost payment rates shall be based on the 12-month
133.29 period from the midpoint of the nursing facility's prior rate
133.30 year to the midpoint of the rate year for which the operating
133.31 payment rate is being determined.
133.32 (b) Beginning July 1, 2000, each nursing facility subject
133.33 to a performance-based contract under this section shall choose
133.34 one of two methods of payment for property related costs:
133.35 (1) the method established in section 256B.434; or
133.36 (2) the method established in section 256B.431.
134.1 Once the nursing facility has made the election in paragraph
134.2 (b), that election shall remain in effect for at least four
134.3 years or until an alternative property payment system is
134.4 developed.
134.5 (c) For rate years beginning on or after July 1, 2000, the
134.6 commissioner may implement a new method of payment for property
134.7 related costs that addresses the capital needs of nursing
134.8 facilities. Notwithstanding paragraph (b), the new property
134.9 payment system or systems, if implemented, shall replace the
134.10 current method of setting property payment rates under sections
134.11 256B.431 and 256B.434.
134.12 Sec. 15. Minnesota Statutes 1996, section 256B.501,
134.13 subdivision 12, is amended to read:
134.14 Subd. 12. [ICF/MR SALARY ADJUSTMENTS.] For the rate period
134.15 beginning January Effective July 1, 1992 1998, and ending
134.16 September 30, 1993 to September 30, 2000, the commissioner shall
134.17 add make available the appropriate salary adjustment cost per
134.18 diem calculated in paragraphs (a) to (d) (e) to the total
134.19 operating cost payment rate of each facility subject to
134.20 reimbursement under this section and Laws 1993 First Special
134.21 Session, chapter 1, article 4, section 11. The salary
134.22 adjustment cost per diem must be determined as follows:
134.23 (a) [COMPUTATION AND REVIEW GUIDELINES.] Except as
134.24 provided in paragraph (c), A state-operated community service,
134.25 and any facility whose payment rates are governed by closure
134.26 agreements, receivership agreements, or Minnesota Rules, part
134.27 9553.0075, are is not eligible for a salary adjustment otherwise
134.28 granted under this subdivision. For purposes of the salary
134.29 adjustment per diem computation and reviews in this subdivision,
134.30 the term "salary adjustment cost" means the facility's allowable
134.31 program operating cost category employee training expenses, and
134.32 the facility's allowable salaries, payroll taxes, and fringe
134.33 benefits. The term does not include these same salary-related
134.34 costs for both administrative or central office employees.
134.35 For the purpose of determining the amount of salary
134.36 adjustment to be granted under this subdivision, the
135.1 commissioner must use the reporting year ending December 31,
135.2 1990 1996, as the base year for the salary adjustment per diem
135.3 computation. For the purpose of both years' salary adjustment
135.4 cost review, the commissioner must use the facility's salary
135.5 adjustment cost for the reporting year ending December 31, 1991,
135.6 as the base year. If the base year and the reporting years
135.7 subject to review include salary cost reclassifications made by
135.8 the department, the commissioner must reconcile those
135.9 differences before completing the salary adjustment per diem
135.10 review.
135.11 (b) [SALARY ADJUSTMENT PER DIEM COMPUTATION.] For the rate
135.12 period beginning January 1, 1992 July 1, 1998, each facility
135.13 shall receive a salary adjustment cost per diem equal to its
135.14 salary adjustment costs multiplied by 1-1/2 3.0 percent, and
135.15 then divided by the facility's resident days.
135.16 (c) [ADJUSTMENTS FOR NEW FACILITIES.] For newly
135.17 constructed or newly established facilities, except for
135.18 state-operated community services, whose payment rates are
135.19 governed by Minnesota Rules, part 9553.0075, if the settle-up
135.20 cost report includes a reporting year which is subject to review
135.21 under this subdivision, the commissioner shall adjust the rule
135.22 provision governing the maximum settle-up payment rate by
135.23 increasing the .4166 percent for each full month of the
135.24 settle-up cost report to .7083. For any subsequent rate period
135.25 which is authorized for salary adjustments under this
135.26 subdivision, the commissioner shall compute salary adjustment
135.27 cost per diems by annualizing the salary adjustment costs for
135.28 the settle-up cost report period and treat that period as the
135.29 base year for purposes of reviewing salary adjustment cost per
135.30 diems.
135.31 (d) [SALARY ADJUSTMENT PER DIEM REVIEW.] The commissioner
135.32 shall review the implementation of the salary adjustments on a
135.33 per diem basis. For reporting years ending December 31, 1992,
135.34 and December 31, 1993, the commissioner must review and
135.35 determine the amount of change in salary adjustment costs in
135.36 both of the above reporting years over the base year after the
136.1 reporting year ending December 31, 1993. The commissioner must
136.2 inflate the base year's salary adjustment costs by the
136.3 cumulative percentage increase granted in paragraph (b), plus
136.4 three percentage points for each of the two years reviewed. The
136.5 commissioner must then compare each facility's salary adjustment
136.6 costs for the reporting year divided by the facility's resident
136.7 days for both reporting years to the base year's inflated salary
136.8 adjustment cost divided by the facility's resident days for the
136.9 base year. If the facility has had a one-time program operating
136.10 cost adjustment settle-up during any of the reporting years
136.11 subject to review, the commissioner must remove the per diem
136.12 effect of the one-time program adjustment before completing the
136.13 review and per diem comparison.
136.14 The review and per diem comparison must be done by the
136.15 commissioner after the reporting year ending December 31, 1993.
136.16 If the salary adjustment cost per diem for the reporting years
136.17 being reviewed is less than the base year's inflated salary
136.18 adjustment cost per diem, the commissioner must recover the
136.19 difference within 120 days after the date of written notice.
136.20 The amount of the recovery shall be equal to the per diem
136.21 difference multiplied by the facility's resident days in the
136.22 reporting years being reviewed. Written notice of the amount
136.23 subject to recovery must be given by the commissioner following
136.24 both reporting years reviewed. Interest charges must be
136.25 assessed by the commissioner after the 120th day of that notice
136.26 at the same interest rate the commissioner assesses for other
136.27 balance outstanding.
136.28 (c) [SUBMITTAL OF PLAN.] A facility may apply for the
136.29 salary adjustment per diem calculated under this subdivision.
136.30 The application must be made to the commissioner and contain a
136.31 plan by which the facility will distribute the salary adjustment
136.32 to employees of the facility. For facilities in which the
136.33 employees are represented by an exclusive bargaining
136.34 representative, an agreement negotiated and agreed to by the
136.35 employer and the exclusive bargaining representative, after July
136.36 1, 1998, may constitute the plan for the salary distribution.
137.1 The commissioner shall review the plan to ensure that the salary
137.2 adjustment per diem is used solely to increase the compensation
137.3 of facility employees. To be eligible, a facility must submit
137.4 its plan for the salary distribution by December 31, 1998. If a
137.5 facility's plan for salary distribution is effective for its
137.6 employees after July 1, 1998, the salary adjustment cost per
137.7 diem shall be effective the same date as its plan.
137.8 (d) [COST REPORT.] Additional costs incurred by facilities
137.9 as a result of this salary adjustment are not allowable costs
137.10 for purposes of the December 31, 1998, cost report.
137.11 (e) [SALARY ADJUSTMENT.] In order to apply for a salary
137.12 adjustment, a facility reimbursed under Laws 1993, First Special
137.13 Session chapter 1, article 4, section 11, must report the
137.14 information referred to in paragraph (a) in the application, in
137.15 the manner specified by the commissioner.
137.16 Sec. 16. [256B.5011] [ICF/MR REIMBURSEMENT SYSTEM
137.17 EFFECTIVE OCTOBER 1, 2000.]
137.18 Subdivision 1. [IN GENERAL.] Effective October 1, 2000,
137.19 the commissioner shall implement a performance-based contracting
137.20 system to replace the current method of setting total cost
137.21 payment rates under section 256B.501 and Minnesota Rules, parts
137.22 9553.0010 to 9553.0080. In determining prospective payment
137.23 rates of intermediate care facilities for persons with mental
137.24 retardation or related conditions, the commissioner shall index
137.25 each facility's total payment rate by an inflation factor as
137.26 described in subdivision 3. The commissioner of finance shall
137.27 include annual inflation adjustments in operating costs for
137.28 intermediate care facilities for persons with mental retardation
137.29 and related conditions as a budget change request in each
137.30 biennial detailed expenditure budget submitted to the
137.31 legislature under section 16A.11.
137.32 Subd. 2. [CONTRACT PROVISIONS.] The performance-based
137.33 contract with each intermediate care facility must include
137.34 provisions for:
137.35 (1) modifying payments when significant changes occur in
137.36 the needs of the consumers;
138.1 (2) monitoring service quality using performance indicators
138.2 that measure consumer outcomes;
138.3 (3) the establishment and use of continuous quality
138.4 improvement processes using the results attained through service
138.5 quality monitoring;
138.6 (4) the annual reporting of facility statistical
138.7 information on all supervisory personnel, direct care personnel,
138.8 specialized support personnel, hours, wages and benefits,
138.9 staff-to-consumer ratios, and staffing patterns;
138.10 (5) annual aggregate facility financial information or an
138.11 annual certified audited financial statement, including a
138.12 balance sheet and income and expense statements for each
138.13 facility, if a certified audit was prepared; and
138.14 (6) additional requirements and penalties for intermediate
138.15 care facilities not meeting the standards set forth in the
138.16 performance-based contract.
138.17 Subd. 3. [PAYMENT RATE PROVISIONS.] For rate years
138.18 beginning on or after October 1, 2000, within the limits of
138.19 appropriations specifically for this purpose, the commissioner
138.20 shall determine the total payment rate for each licensed and
138.21 certified intermediate care facility by indexing the total
138.22 payment rate in effect on September 30, 2000, for inflation.
138.23 The inflation factor to be used must be based on the change in
138.24 the Consumer Price Index-All Items, United States city average
138.25 (CPI-U) as forecasted by Data Resources, Inc. in the first
138.26 quarter of the calendar year during which the rate year begins.
138.27 The CPI-U forecasted index for total payment rates shall be
138.28 based on the 12-month period from the midpoint of the facility's
138.29 prior rate year to the midpoint of the rate year for which the
138.30 operating payment rate is being determined.
138.31 Sec. 17. Minnesota Statutes 1996, section 256B.69, is
138.32 amended by adding a subdivision to read:
138.33 Subd. 26. [CONTINUATION OF PAYMENTS THROUGH DISCHARGE.] In
138.34 the event a medical assistance recipient or beneficiary enrolled
138.35 in a health plan under this section is denied nursing facility
138.36 services after residing in the facility for more than 180 days,
139.1 any denial of medical assistance payment to a provider under
139.2 this section shall be prospective only and payments to the
139.3 provider shall continue until the resident is discharged or 30
139.4 days after the effective date of the service denial, whichever
139.5 is sooner.
139.6 Sec. 18. Minnesota Statutes 1996, section 256I.04,
139.7 subdivision 1, is amended to read:
139.8 Subdivision 1. [INDIVIDUAL ELIGIBILITY REQUIREMENTS.] An
139.9 individual is eligible for and entitled to a group residential
139.10 housing payment to be made on the individual's behalf if the
139.11 county agency has approved the individual's residence in a group
139.12 residential housing setting and the individual meets the
139.13 requirements in paragraph (a) or (b).
139.14 (a) The individual is aged, blind, or is over 18 years of
139.15 age and disabled as determined under the criteria used by the
139.16 title II program of the Social Security Act, and meets the
139.17 resource restrictions and standards of the supplemental security
139.18 income program, and the individual's countable income after
139.19 deducting the (1) exclusions and disregards of the SSI
139.20 program and, (2) the medical assistance personal needs allowance
139.21 under section 256B.35, and (3) an amount equal to the income
139.22 actually made available to a community spouse by an elderly
139.23 waiver recipient under the provisions of sections 256B.0575,
139.24 paragraph (a), clause (4), and 256B.058, subdivision 2, is less
139.25 than the monthly rate specified in the county agency's agreement
139.26 with the provider of group residential housing in which the
139.27 individual resides.
139.28 (b) The individual meets a category of eligibility under
139.29 section 256D.05, subdivision 1, paragraph (a), and the
139.30 individual's resources are less than the standards specified by
139.31 section 256D.08, and the individual's countable income as
139.32 determined under sections 256D.01 to 256D.21, less the medical
139.33 assistance personal needs allowance under section 256B.35 is
139.34 less than the monthly rate specified in the county agency's
139.35 agreement with the provider of group residential housing in
139.36 which the individual resides.
140.1 Sec. 19. Minnesota Statutes 1996, section 256I.04,
140.2 subdivision 3, is amended to read:
140.3 Subd. 3. [MORATORIUM ON THE DEVELOPMENT OF GROUP
140.4 RESIDENTIAL HOUSING BEDS.] (a) County agencies shall not enter
140.5 into agreements for new group residential housing beds with
140.6 total rates in excess of the MSA equivalent rate except: (1)
140.7 for group residential housing establishments meeting the
140.8 requirements of subdivision 2a, clause (2) with department
140.9 approval; (2) for group residential housing establishments
140.10 licensed under Minnesota Rules, parts 9525.0215 to 9525.0355,
140.11 provided the facility is needed to meet the census reduction
140.12 targets for persons with mental retardation or related
140.13 conditions at regional treatment centers; (3) to ensure
140.14 compliance with the federal Omnibus Budget Reconciliation Act
140.15 alternative disposition plan requirements for inappropriately
140.16 placed persons with mental retardation or related conditions or
140.17 mental illness; (4) up to 80 beds in a single, specialized
140.18 facility located in Hennepin county that will provide housing
140.19 for chronic inebriates who are repetitive users of
140.20 detoxification centers and are refused placement in emergency
140.21 shelters because of their state of intoxication., and planning
140.22 for the specialized facility must have been initiated before
140.23 July 1, 1991, in anticipation of receiving a grant from the
140.24 housing finance agency under section 462A.05, subdivision 20a,
140.25 paragraph (b); or (5) notwithstanding the provisions of
140.26 subdivision 2a, for up to 180 190 supportive housing units in
140.27 Anoka, Dakota, Hennepin, or Ramsey county for homeless adults
140.28 with a mental illness, a history of substance abuse, or human
140.29 immunodeficiency virus or acquired immunodeficiency syndrome.
140.30 For purposes of this section, "homeless adult" means a person
140.31 who is living on the street or in a shelter or is evicted from a
140.32 dwelling unit or discharged from a regional treatment center,
140.33 community hospital, or residential treatment program and has no
140.34 appropriate housing available and lacks the resources and
140.35 support necessary to access appropriate housing. At least 70
140.36 percent of the supportive housing units must serve homeless
141.1 adults with mental illness, substance abuse problems, or human
141.2 immunodeficiency virus or acquired immunodeficiency syndrome who
141.3 are about to be or, within the previous six months, has been
141.4 discharged from a regional treatment center, or a
141.5 state-contracted psychiatric bed in a community hospital, or a
141.6 residential mental health or chemical dependency treatment
141.7 program. If a person meets the requirements of subdivision 1,
141.8 paragraph (a), and receives a federal Section 8 or state housing
141.9 subsidy, the group residential housing rate for that person is
141.10 limited to the supplementary rate under section 256I.05,
141.11 subdivision 1a, and is determined by subtracting the amount of
141.12 the person's countable income that exceeds the MSA equivalent
141.13 rate from the group residential housing supplementary rate. A
141.14 resident in a demonstration project site who no longer
141.15 participates in the demonstration program shall retain
141.16 eligibility for a group residential housing payment in an amount
141.17 determined under section 256I.06, subdivision 8, using the MSA
141.18 equivalent rate. Service funding under section 256I.05,
141.19 subdivision 1a, will end June 30, 1997, if federal matching
141.20 funds are available and the services can be provided through a
141.21 managed care entity. If federal matching funds are not
141.22 available, then service funding will continue under section
141.23 256I.05, subdivision 1a.
141.24 (b) A county agency may enter into a group residential
141.25 housing agreement for beds with rates in excess of the MSA
141.26 equivalent rate in addition to those currently covered under a
141.27 group residential housing agreement if the additional beds are
141.28 only a replacement of beds with rates in excess of the MSA
141.29 equivalent rate which have been made available due to closure of
141.30 a setting, a change of licensure or certification which removes
141.31 the beds from group residential housing payment, or as a result
141.32 of the downsizing of a group residential housing setting. The
141.33 transfer of available beds from one county to another can only
141.34 occur by the agreement of both counties.
141.35 Sec. 20. Minnesota Statutes 1996, section 256I.04, is
141.36 amended by adding a subdivision to read:
142.1 Subd. 4. [RENTAL ASSISTANCE.] For participants in the
142.2 Minnesota supportive housing demonstration program under
142.3 subdivision 3, paragraph (a), clause (5), notwithstanding the
142.4 provisions of section 256I.06, subdivision 8, the amount of the
142.5 group residential housing payment for room and board must be
142.6 calculated by subtracting 30 percent of the recipient's adjusted
142.7 income as defined by the United States Department of Housing and
142.8 Urban Development for the Section 8 program from the fair market
142.9 rent established for the recipient's living unit by the federal
142.10 Department of Housing and Urban Development. This payment shall
142.11 be regarded as a state housing subsidy for the purposes of
142.12 subdivision 3. Notwithstanding the provisions of section
142.13 256I.06, subdivision 6, the recipient's countable income will
142.14 only be adjusted when a change of greater than $100 in a month
142.15 occurs or upon annual redetermination of eligibility, whichever
142.16 is sooner. The commissioner is directed to study the
142.17 feasibility of developing a rental assistance program to serve
142.18 persons traditionally served in group residential housing
142.19 settings and report to the legislature by February 15, 1999.
142.20 Sec. 21. Minnesota Statutes 1996, section 256I.05,
142.21 subdivision 2, is amended to read:
142.22 Subd. 2. [MONTHLY RATES; EXEMPTIONS.] The maximum group
142.23 residential housing rate does not apply to a residence that on
142.24 August 1, 1984, was licensed by the commissioner of health only
142.25 as a boarding care home, certified by the commissioner of health
142.26 as an intermediate care facility, and licensed by the
142.27 commissioner of human services under Minnesota Rules, parts
142.28 9520.0500 to 9520.0690. Notwithstanding the provisions of
142.29 subdivision 1c, the rate paid to a facility reimbursed under
142.30 this subdivision shall be determined under Minnesota Rules,
142.31 parts 9510.0010 to 9510.0480 section 256B.431, or under section
142.32 256B.434 if the facility is accepted by the commissioner for
142.33 participation in the alternative payment demonstration project.
142.34 Sec. 22. Laws 1997, chapter 207, section 7, is amended to
142.35 read:
142.36 Sec. 7. [PRIVATE SALE OF TAX-FORFEITED LAND; CARLTON
143.1 COUNTY.]
143.2 (a) Notwithstanding Minnesota Statutes, sections 92.45 and
143.3 282.018, subdivision 1, and the public sale provisions of
143.4 Minnesota Statutes, chapter 282, Carlton county may sell by
143.5 private sale the tax-forfeited land described in paragraph (d)
143.6 under the remaining provisions of Minnesota Statutes, chapter
143.7 282.
143.8 (b) The land described in paragraph (d) may be sold by
143.9 private sale. The consideration for the conveyance must include
143.10 the taxes due on the property and any penalties, interest, and
143.11 costs shall be the appraised value of the land. If the lands
143.12 are sold, the conveyance must reserve to the state a
143.13 conservation perpetual easement, in a form prescribed by the
143.14 commissioner of natural resources, for the land within 100 feet
143.15 of the ordinary high water level of Slaughterhouse creek for
143.16 public angler access and stream habitat protection and
143.17 enhancement for the benefit of the state of Minnesota,
143.18 department of natural resources, over the following lands:
143.19 A strip of land lying in the North 6.66 acres of the West
143.20 Half of the Northeast Quarter of the Southwest Quarter of
143.21 Section 6, Township 48 North, Range 16 West, Carlton county.
143.22 Said strip lying 100 feet on each side of the centerline of
143.23 Slaughterhouse Creek.
143.24 (c) The conveyance must be in a form approved by the
143.25 attorney general.
143.26 (d) The land to be conveyed is located in Carlton county
143.27 and is described as:
143.28 North 6.66 acres of the West Half of the Northeast Quarter
143.29 of the Southwest Quarter, subject to pipeline easement, Section
143.30 6, Township 48 North, Range 16 West, City of Carlton.
143.31 (e) Carlton county has determined that this sale best
143.32 serves the land management interests of Carlton county.
143.33 Sec. 23. [RECOMMENDATIONS TO IMPLEMENT NEW REIMBURSEMENT
143.34 SYSTEM.]
143.35 (a) By January 15, 1999, the commissioner shall make
143.36 recommendations to the chairs of the health and human services
144.1 policy and fiscal committees on the repeal of specific statutes
144.2 and rules as well as any other additional recommendations
144.3 related to implementation of sections 11 and 12.
144.4 (b) In developing recommendations for nursing facility
144.5 reimbursement, the commissioner shall consider making each
144.6 nursing facility's total payment rates, both operating and
144.7 property rate components, prospective. The commissioner shall
144.8 involve nursing facility industry and consumer representatives
144.9 in the development of these recommendations.
144.10 (c) In making recommendations for ICF/MR reimbursement, the
144.11 commissioner may consider methods of establishing payment rates
144.12 that take into account individual client costs and needs,
144.13 include provisions to establish links between performance
144.14 indicators and reimbursement and other performance incentives,
144.15 and allow local control over resources necessary for local
144.16 agencies to set rates and contract with ICF/MR facilities. In
144.17 addition, the commissioner may establish methods that provide
144.18 information to consumers regarding service quality as measured
144.19 by performance indicators. The commissioner shall involve
144.20 ICF/MR industry and consumer representatives in the development
144.21 of these recommendations.
144.22 Sec. 24. [APPROVAL EXTENDED.]
144.23 Notwithstanding Minnesota Statutes, section 144A.073,
144.24 subdivision 3, the commissioner of health shall grant an
144.25 additional 18 months of approval for a proposed exception to the
144.26 nursing home licensure and certification moratorium, if the
144.27 proposal is to replace a 96-bed nursing home facility in Carlton
144.28 county and if initial approval for the proposal was granted in
144.29 November 1996.
144.30 Sec. 25. [EFFECTIVE DATE.]
144.31 Sections 1, 3, 22, and 24 are effective the day following
144.32 final enactment.
144.33 ARTICLE 4
144.34 HEALTH CARE PROGRAMS, INCLUDING MA AND GAMC
144.35 Section 1. Minnesota Statutes 1997 Supplement, section
144.36 171.29, subdivision 2, is amended to read:
145.1 Subd. 2. [FEES, ALLOCATION.] (a) A person whose driver's
145.2 license has been revoked as provided in subdivision 1, except
145.3 under section 169.121 or 169.123, shall pay a $30 fee before the
145.4 driver's license is reinstated.
145.5 (b) A person whose driver's license has been revoked as
145.6 provided in subdivision 1 under section 169.121 or 169.123 shall
145.7 pay a $250 fee plus a $10 surcharge before the driver's license
145.8 is reinstated. The $250 fee is to be credited as follows:
145.9 (1) Twenty percent shall be credited to the trunk highway
145.10 fund.
145.11 (2) Fifty-five percent shall be credited to the general
145.12 fund.
145.13 (3) Eight percent shall be credited to a separate account
145.14 to be known as the bureau of criminal apprehension account.
145.15 Money in this account may be appropriated to the commissioner of
145.16 public safety and the appropriated amount shall be apportioned
145.17 80 percent for laboratory costs and 20 percent for carrying out
145.18 the provisions of section 299C.065.
145.19 (4) Twelve percent shall be credited to a separate account
145.20 to be known as the alcohol-impaired driver education account.
145.21 Money in the account is appropriated as follows:
145.22 (i) The first $200,000 in a fiscal year is to the
145.23 commissioner of children, families, and learning for programs in
145.24 elementary and secondary schools.
145.25 (ii) The remainder credited in a fiscal year is
145.26 appropriated to the commissioner of transportation to be spent
145.27 as grants to the Minnesota highway safety center at St. Cloud
145.28 State University for programs relating to alcohol and highway
145.29 safety education in elementary and secondary schools.
145.30 (5) Five percent shall be credited to a separate account to
145.31 be known as the traumatic brain injury and spinal cord injury
145.32 account. $100,000 is annually appropriated from the account to
145.33 the commissioner of human services for traumatic brain injury
145.34 case management services. The remaining money in the account is
145.35 annually appropriated to the commissioner of health to be used
145.36 as follows: 35 percent for a contract with a qualified
146.1 community-based organization to provide information, resources,
146.2 and support to assist persons with traumatic brain injury and
146.3 their families to access services, and 65 percent to establish
146.4 and maintain the traumatic brain injury and spinal cord injury
146.5 registry created in section 144.662 and to reimburse the
146.6 commissioner of economic security for the reasonable cost of
146.7 services provided under section 268A.03, clause (o). For the
146.8 purposes of this clause, a "qualified community-based
146.9 organization" is a private, not-for-profit organization of
146.10 consumers of traumatic brain injury services and their family
146.11 members. The organization must be registered with the United
146.12 States Internal Revenue Service under the provisions of section
146.13 501(c)(3) as a tax exempt organization and must have as its
146.14 purposes:
146.15 (i) the promotion of public, family, survivor, and
146.16 professional awareness of the incidence and consequences of
146.17 traumatic brain injury;
146.18 (ii) the provision of a network of support for persons with
146.19 traumatic brain injury, their families, and friends;
146.20 (iii) the development and support of programs and services
146.21 to prevent traumatic brain injury;
146.22 (iv) the establishment of education programs for persons
146.23 with traumatic brain injury; and
146.24 (v) the empowerment of persons with traumatic brain injury
146.25 through participation in its governance.
146.26 No patient's name, identifying information or identifiable
146.27 medical data will be disclosed to the organization without the
146.28 informed voluntary written consent of the patient or patient's
146.29 guardian, or if the patient is a minor, of the parent or
146.30 guardian of the patient.
146.31 (c) The $10 surcharge shall be credited to a separate
146.32 account to be known as the remote electronic alcohol monitoring
146.33 pilot program account. The commissioner shall transfer the
146.34 balance of this account to the commissioner of finance on a
146.35 monthly basis for deposit in the general fund.
146.36 Sec. 2. Minnesota Statutes 1996, section 245.462,
147.1 subdivision 4, is amended to read:
147.2 Subd. 4. [CASE MANAGER.] (a) "Case manager" means an
147.3 individual employed by the county or other entity authorized by
147.4 the county board to provide case management services specified
147.5 in section 245.4711. A case manager must have a bachelor's
147.6 degree in one of the behavioral sciences or related fields from
147.7 an accredited college or university and have at least 2,000
147.8 hours of supervised experience in the delivery of services to
147.9 adults with mental illness, must be skilled in the process of
147.10 identifying and assessing a wide range of client needs, and must
147.11 be knowledgeable about local community resources and how to use
147.12 those resources for the benefit of the client. The case manager
147.13 shall meet in person with a mental health professional at least
147.14 once each month to obtain clinical supervision of the case
147.15 manager's activities. Case managers with a bachelor's degree
147.16 but without 2,000 hours of supervised experience in the delivery
147.17 of services to adults with mental illness must complete 40 hours
147.18 of training approved by the commissioner of human services in
147.19 case management skills and in the characteristics and needs of
147.20 adults with serious and persistent mental illness and must
147.21 receive clinical supervision regarding individual service
147.22 delivery from a mental health professional at least once each
147.23 week until the requirement of 2,000 hours of supervised
147.24 experience is met. Clinical supervision must be documented in
147.25 the client record.
147.26 Until June 30, 1999, a refugee an immigrant who does not
147.27 have the qualifications specified in this subdivision may
147.28 provide case management services to adult refugees immigrants
147.29 with serious and persistent mental illness who are members of
147.30 the same ethnic group as the case manager if the person: (1) is
147.31 actively pursuing credits toward the completion of a bachelor's
147.32 degree in one of the behavioral sciences or a related field from
147.33 an accredited college or university; (2) completes 40 hours of
147.34 training as specified in this subdivision; and (3) receives
147.35 clinical supervision at least once a week until the requirements
147.36 of obtaining a bachelor's degree and 2,000 hours of supervised
148.1 experience this subdivision are met.
148.2 (b) The commissioner may approve waivers submitted by
148.3 counties to allow case managers without a bachelor's degree but
148.4 with 6,000 hours of supervised experience in the delivery of
148.5 services to adults with mental illness if the person:
148.6 (1) meets the qualifications for a mental health
148.7 practitioner in subdivision 26;
148.8 (2) has completed 40 hours of training approved by the
148.9 commissioner in case management skills and in the
148.10 characteristics and needs of adults with serious and persistent
148.11 mental illness; and
148.12 (3) demonstrates that the 6,000 hours of supervised
148.13 experience are in identifying functional needs of persons with
148.14 mental illness, coordinating assessment information and making
148.15 referrals to appropriate service providers, coordinating a
148.16 variety of services to support and treat persons with mental
148.17 illness, and monitoring to ensure appropriate provision of
148.18 services. The county board is responsible to verify that all
148.19 qualifications, including content of supervised experience, have
148.20 been met.
148.21 Sec. 3. Minnesota Statutes 1996, section 245.462,
148.22 subdivision 8, is amended to read:
148.23 Subd. 8. [DAY TREATMENT SERVICES.] "Day treatment," "day
148.24 treatment services," or "day treatment program" means a
148.25 structured program of treatment and care provided to an adult in
148.26 or by: (1) a hospital accredited by the joint commission on
148.27 accreditation of health organizations and licensed under
148.28 sections 144.50 to 144.55; (2) a community mental health center
148.29 under section 245.62; or (3) an entity that is under contract
148.30 with the county board to operate a program that meets the
148.31 requirements of section 245.4712, subdivision 2, and Minnesota
148.32 Rules, parts 9505.0170 to 9505.0475. Day treatment consists of
148.33 group psychotherapy and other intensive therapeutic services
148.34 that are provided at least one day a week for a minimum
148.35 three-hour time block by a multidisciplinary staff under the
148.36 clinical supervision of a mental health professional. The
149.1 services are aimed at stabilizing the adult's mental health
149.2 status, providing mental health services, and developing and
149.3 improving the adult's independent living and socialization
149.4 skills. The goal of day treatment is to reduce or relieve
149.5 mental illness and to enable the adult to live in the
149.6 community. Day treatment services are not a part of inpatient
149.7 or residential treatment services. Day treatment services are
149.8 distinguished from day care by their structured therapeutic
149.9 program of psychotherapy services. The commissioner may limit
149.10 medical assistance reimbursement for day treatment to 15 hours
149.11 per week per person instead of the three hours per day per
149.12 person specified in Minnesota Rules, part 9505.0323, subpart 15.
149.13 Sec. 4. Minnesota Statutes 1996, section 245.4871,
149.14 subdivision 4, is amended to read:
149.15 Subd. 4. [CASE MANAGER.] (a) "Case manager" means an
149.16 individual employed by the county or other entity authorized by
149.17 the county board to provide case management services specified
149.18 in subdivision 3 for the child with severe emotional disturbance
149.19 and the child's family. A case manager must have experience and
149.20 training in working with children.
149.21 (b) A case manager must:
149.22 (1) have at least a bachelor's degree in one of the
149.23 behavioral sciences or a related field from an accredited
149.24 college or university;
149.25 (2) have at least 2,000 hours of supervised experience in
149.26 the delivery of mental health services to children;
149.27 (3) have experience and training in identifying and
149.28 assessing a wide range of children's needs; and
149.29 (4) be knowledgeable about local community resources and
149.30 how to use those resources for the benefit of children and their
149.31 families.
149.32 (c) The case manager may be a member of any professional
149.33 discipline that is part of the local system of care for children
149.34 established by the county board.
149.35 (d) The case manager must meet in person with a mental
149.36 health professional at least once each month to obtain clinical
150.1 supervision.
150.2 (e) Case managers with a bachelor's degree but without
150.3 2,000 hours of supervised experience in the delivery of mental
150.4 health services to children with emotional disturbance must:
150.5 (1) begin 40 hours of training approved by the commissioner
150.6 of human services in case management skills and in the
150.7 characteristics and needs of children with severe emotional
150.8 disturbance before beginning to provide case management
150.9 services; and
150.10 (2) receive clinical supervision regarding individual
150.11 service delivery from a mental health professional at least once
150.12 each week until the requirement of 2,000 hours of experience is
150.13 met.
150.14 (f) Clinical supervision must be documented in the child's
150.15 record. When the case manager is not a mental health
150.16 professional, the county board must provide or contract for
150.17 needed clinical supervision.
150.18 (g) The county board must ensure that the case manager has
150.19 the freedom to access and coordinate the services within the
150.20 local system of care that are needed by the child.
150.21 (h) Until June 30, 1999, a refugee an immigrant who does
150.22 not have the qualifications specified in this subdivision may
150.23 provide case management services to child refugees immigrants
150.24 with severe emotional disturbance of the same ethnic group as
150.25 the refugee immigrant if the person:
150.26 (1) is actively pursuing credits toward the completion of a
150.27 bachelor's degree in one of the behavioral sciences or related
150.28 fields at an accredited college or university;
150.29 (2) completes 40 hours of training as specified in this
150.30 subdivision; and
150.31 (3) receives clinical supervision at least once a week
150.32 until the requirements of obtaining a bachelor's degree and
150.33 2,000 hours of supervised experience are met.
150.34 (i) The commissioner may approve waivers submitted by
150.35 counties to allow case managers without a bachelor's degree but
150.36 with 6,000 hours of supervised experience in the delivery of
151.1 services to children with severe emotional disturbance if the
151.2 person:
151.3 (1) meets the qualifications for a mental health
151.4 practitioner in subdivision 26;
151.5 (2) has completed 40 hours of training approved by the
151.6 commissioner in case management skills and in the
151.7 characteristics and needs of children with severe emotional
151.8 disturbance; and
151.9 (3) demonstrates that the 6,000 hours of supervised
151.10 experience are in identifying functional needs of children with
151.11 severe emotional disturbance, coordinating assessment
151.12 information and making referrals to appropriate service
151.13 providers, coordinating a variety of services to support and
151.14 treat children with severe emotional disturbance, and monitoring
151.15 to ensure appropriate provision of services. The county board
151.16 is responsible to verify that all qualifications, including
151.17 content of supervised experience, have been met.
151.18 Sec. 5. Minnesota Statutes 1996, section 256.01, is
151.19 amended by adding a subdivision to read:
151.20 Subd. 15. [INFORMATION FOR PERSONS WITH LIMITED
151.21 ENGLISH-LANGUAGE PROFICIENCY.] By July 1, 1998, the commissioner
151.22 shall implement a procedure for public assistance applicants and
151.23 recipients to identify a language preference other than English
151.24 in order to receive information pertaining to the public
151.25 assistance programs in that preferred language.
151.26 Sec. 6. [256.9364] [POST-KIDNEY TRANSPLANT DRUG PROGRAM.]
151.27 Subdivision 1. [ESTABLISHMENT.] The commissioner of human
151.28 services shall establish and administer a program to pay for
151.29 costs of drugs prescribed exclusively for post-kidney transplant
151.30 maintenance when those costs are not otherwise reimbursed by a
151.31 third-party payer. The commissioner may contract with a
151.32 nonprofit entity to administer this program.
151.33 Subd. 2. [ELIGIBILITY REQUIREMENTS.] To be eligible for
151.34 the program, an applicant must satisfy the following
151.35 requirements:
151.36 (1) the applicant's family gross income must not exceed 275
152.1 percent of the federal poverty level; and
152.2 (2) the applicant must be a Minnesota resident who has
152.3 resided in Minnesota for at least 12 months.
152.4 An applicant shall not be excluded because the applicant
152.5 received the transplant outside the state of Minnesota, so long
152.6 as the other requirements are met.
152.7 Subd. 3. [PAYMENT AMOUNTS.] (a) The amount of the payments
152.8 made for each eligible recipient shall be based on the following:
152.9 (1) available funds; and
152.10 (2) the cost of the post-kidney transplant maintenance
152.11 drugs.
152.12 (b) The payment rate under this program must be no greater
152.13 than the medical assistance reimbursement rate for the
152.14 prescribed drug.
152.15 (c) Payments shall be made to or on behalf of an eligible
152.16 recipient for the cost of the post-kidney transplant maintenance
152.17 drugs that is not covered, reimbursed, or eligible for
152.18 reimbursement by any other third party or government entity,
152.19 including, but not limited to, private or group health
152.20 insurance, medical assistance, Medicare, the Veterans
152.21 Administration, the senior citizen drug program established
152.22 under section 256.955, or under any waiver arrangement received
152.23 by the state to provide a prescription drug benefit for
152.24 qualified Medicare beneficiaries or service-limited Medicare
152.25 beneficiaries.
152.26 (d) The commissioner may restrict or categorize payments to
152.27 meet the appropriation allocated for this program.
152.28 (e) Any cost of the post-kidney transplant maintenance
152.29 drugs that is not reimbursed under this program is the
152.30 responsibility of the program recipient.
152.31 Subd. 4. [DRUG FORMULARY.] The commissioner shall maintain
152.32 a drug formulary that includes all drugs eligible for
152.33 reimbursement by the program. The commissioner may use the drug
152.34 formulary established under section 256B.0625, subdivision 13.
152.35 The commissioner shall establish an internal review procedure
152.36 for updating the formulary that allows for the addition and
153.1 deletion of drugs to the formulary. The drug formulary must be
153.2 reviewed at least quarterly per fiscal year.
153.3 Subd. 5. [PRIVATE DONATIONS.] The commissioner may accept
153.4 funding from other public or private sources.
153.5 Subd. 6. [SUNSET.] This program expires on July 1, 2000.
153.6 Sec. 7. Minnesota Statutes 1997 Supplement, section
153.7 256.9657, subdivision 3, is amended to read:
153.8 Subd. 3. [HEALTH MAINTENANCE ORGANIZATION; COMMUNITY
153.9 INTEGRATED SERVICE NETWORK SURCHARGE.] (a) Effective October 1,
153.10 1992, each health maintenance organization with a certificate of
153.11 authority issued by the commissioner of health under chapter 62D
153.12 and each community integrated service network licensed by the
153.13 commissioner under chapter 62N shall pay to the commissioner of
153.14 human services a surcharge equal to six-tenths of one percent of
153.15 the total premium revenues of the health maintenance
153.16 organization or community integrated service network as reported
153.17 to the commissioner of health according to the schedule in
153.18 subdivision 4.
153.19 (b) For purposes of this subdivision, total premium revenue
153.20 means:
153.21 (1) premium revenue recognized on a prepaid basis from
153.22 individuals and groups for provision of a specified range of
153.23 health services over a defined period of time which is normally
153.24 one month, excluding premiums paid to a health maintenance
153.25 organization or community integrated service network from the
153.26 Federal Employees Health Benefit Program;
153.27 (2) premiums from Medicare wrap-around subscribers for
153.28 health benefits which supplement Medicare coverage;
153.29 (3) Medicare revenue, as a result of an arrangement between
153.30 a health maintenance organization or a community integrated
153.31 service network and the health care financing administration of
153.32 the federal Department of Health and Human Services, for
153.33 services to a Medicare beneficiary, excluding Medicare revenue
153.34 that states are prohibited from taxing under sections 4001 and
153.35 4002 of Public Law Number 105-33 received by a health
153.36 maintenance organization or community integrated service network
154.1 through risk sharing or Medicare Choice Plus contracts; and
154.2 (4) medical assistance revenue, as a result of an
154.3 arrangement between a health maintenance organization or
154.4 community integrated service network and a Medicaid state
154.5 agency, for services to a medical assistance beneficiary.
154.6 If advance payments are made under clause (1) or (2) to the
154.7 health maintenance organization or community integrated service
154.8 network for more than one reporting period, the portion of the
154.9 payment that has not yet been earned must be treated as a
154.10 liability.
154.11 (c) When a health maintenance organization or community
154.12 integrated service network merges or consolidates with or is
154.13 acquired by another health maintenance organization or community
154.14 integrated service network, the surviving corporation or the new
154.15 corporation shall be responsible for the annual surcharge
154.16 originally imposed on each of the entities or corporations
154.17 subject to the merger, consolidation, or acquisition, regardless
154.18 of whether one of the entities or corporations does not retain a
154.19 certificate of authority under chapter 62D or a license under
154.20 chapter 62N.
154.21 (d) Effective July 1 of each year, the surviving
154.22 corporation's or the new corporation's surcharge shall be based
154.23 on the revenues earned in the second previous calendar year by
154.24 all of the entities or corporations subject to the merger,
154.25 consolidation, or acquisition regardless of whether one of the
154.26 entities or corporations does not retain a certificate of
154.27 authority under chapter 62D or a license under chapter 62N until
154.28 the total premium revenues of the surviving corporation include
154.29 the total premium revenues of all the merged entities as
154.30 reported to the commissioner of health.
154.31 (e) When a health maintenance organization or community
154.32 integrated service network, which is subject to liability for
154.33 the surcharge under this chapter, transfers, assigns, sells,
154.34 leases, or disposes of all or substantially all of its property
154.35 or assets, liability for the surcharge imposed by this chapter
154.36 is imposed on the transferee, assignee, or buyer of the health
155.1 maintenance organization or community integrated service network.
155.2 (f) In the event a health maintenance organization or
155.3 community integrated service network converts its licensure to a
155.4 different type of entity subject to liability for the surcharge
155.5 under this chapter, but survives in the same or substantially
155.6 similar form, the surviving entity remains liable for the
155.7 surcharge regardless of whether one of the entities or
155.8 corporations does not retain a certificate of authority under
155.9 chapter 62D or a license under chapter 62N.
155.10 (g) The surcharge assessed to a health maintenance
155.11 organization or community integrated service network ends when
155.12 the entity ceases providing services for premiums and the
155.13 cessation is not connected with a merger, consolidation,
155.14 acquisition, or conversion.
155.15 Sec. 8. Minnesota Statutes 1997 Supplement, section
155.16 256.9685, subdivision 1, is amended to read:
155.17 Subdivision 1. [AUTHORITY.] The commissioner shall
155.18 establish procedures for determining medical assistance and
155.19 general assistance medical care payment rates under a
155.20 prospective payment system for inpatient hospital services in
155.21 hospitals that qualify as vendors of medical assistance. The
155.22 commissioner shall establish, by rule, procedures for
155.23 implementing this section and sections 256.9686, 256.969, and
155.24 256.9695. The medical assistance payment rates must be based on
155.25 methods and standards that the commissioner finds are adequate
155.26 to provide for the costs that must be incurred for the care of
155.27 recipients in efficiently and economically operated hospitals.
155.28 Services must meet the requirements of section 256B.04,
155.29 subdivision 15, or 256D.03, subdivision 7, paragraph (b), to be
155.30 eligible for payment.
155.31 Sec. 9. Minnesota Statutes 1996, section 256.969,
155.32 subdivision 16, is amended to read:
155.33 Subd. 16. [INDIAN HEALTH SERVICE FACILITIES.] Indian
155.34 health service Facilities of the Indian health service and
155.35 facilities operated by a tribe or tribal organization under
155.36 funding authorized by title III of the Indian Self-Determination
156.1 and Education Assistance Act, Public Law Number 93-638, or by
156.2 United States Code, title 25, chapter 14, subchapter II,
156.3 sections 450f to 450n, are exempt from the rate establishment
156.4 methods required by this section and shall be reimbursed at
156.5 charges as limited to the amount allowed under federal law paid
156.6 according to the rate published by the United States assistant
156.7 secretary for health under authority of United States Code,
156.8 title 42, sections 248A and 248B.
156.9 Sec. 10. Minnesota Statutes 1996, section 256.969,
156.10 subdivision 17, is amended to read:
156.11 Subd. 17. [OUT-OF-STATE HOSPITALS IN LOCAL TRADE AREAS.]
156.12 Out-of-state hospitals that are located within a Minnesota local
156.13 trade area and that have more than 20 admissions in the base
156.14 year shall have rates established using the same procedures and
156.15 methods that apply to Minnesota hospitals. For this subdivision
156.16 and subdivision 18, local trade area means a county contiguous
156.17 to Minnesota and located in a metropolitan statistical area as
156.18 determined by Medicare for October 1 prior to the most current
156.19 rebased rate year. Hospitals that are not required by law to
156.20 file information in a format necessary to establish rates shall
156.21 have rates established based on the commissioner's estimates of
156.22 the information. Relative values of the diagnostic categories
156.23 shall not be redetermined under this subdivision until required
156.24 by rule. Hospitals affected by this subdivision shall then be
156.25 included in determining relative values. However, hospitals
156.26 that have rates established based upon the commissioner's
156.27 estimates of information shall not be included in determining
156.28 relative values. This subdivision is effective for hospital
156.29 fiscal years beginning on or after July 1, 1988. A hospital
156.30 shall provide the information necessary to establish rates under
156.31 this subdivision at least 90 days before the start of the
156.32 hospital's fiscal year.
156.33 Sec. 11. Minnesota Statutes 1996, section 256B.03,
156.34 subdivision 3, is amended to read:
156.35 Subd. 3. [AMERICAN INDIAN HEALTH FUNDING TRIBAL PURCHASING
156.36 MODEL.] (a) Notwithstanding subdivision 1 and sections 256B.0625
157.1 and 256D.03, subdivision 4, paragraph (f) (i), the commissioner
157.2 may make payments to federally recognized Indian tribes with a
157.3 reservation in the state to provide medical assistance and
157.4 general assistance medical care to Indians, as defined under
157.5 federal law, who reside on or near the reservation. The
157.6 payments may be made in the form of a block grant or other
157.7 payment mechanism determined in consultation with the tribe.
157.8 Any alternative payment mechanism agreed upon by the tribes and
157.9 the commissioner under this subdivision is not dependent upon
157.10 county or health plan agreement but is intended to create a
157.11 direct payment mechanism between the state and the tribe for the
157.12 administration of the medical assistance program and general
157.13 assistance medical care programs, and for covered services.
157.14 (b) A tribe that implements a purchasing model under this
157.15 subdivision shall report to the commissioner at least annually
157.16 on the operation of the model. The commissioner and the tribe
157.17 shall cooperatively determine the data elements, format, and
157.18 timetable for the report.
157.19 (c) For purposes of this subdivision, "Indian tribe" means
157.20 a tribe, band, or nation, or other organized group or community
157.21 of Indians that is recognized as eligible for the special
157.22 programs and services provided by the United States to Indians
157.23 because of their status as Indians and for which a reservation
157.24 exists as is consistent with Public Law Number 100-485, as
157.25 amended.
157.26 (d) Payments under this subdivision may not result in an
157.27 increase in expenditures that would not otherwise occur in the
157.28 medical assistance program under this chapter or the general
157.29 assistance medical care program under chapter 256D.
157.30 Sec. 12. [256B.038] [PROVIDER RATE INCREASES AFTER JUNE
157.31 30, 1999.]
157.32 (a) For fiscal years beginning on or after July 1, 1999,
157.33 the commissioner of finance shall include an annual inflationary
157.34 adjustment in payment rates for the services listed in paragraph
157.35 (b) as a budget change request in each biennial detailed
157.36 expenditure budget submitted to the legislature under section
158.1 16A.11. The adjustment shall be accomplished by indexing the
158.2 rates in effect for inflation based on the change in the
158.3 Consumer Price Index-All Items (United States city
158.4 average)(CPI-U) as forecasted by Data Resources, Inc., in the
158.5 fourth quarter of the prior year for the calendar year during
158.6 which the rate increase occurs.
158.7 (b) Within the limits of appropriations specifically for
158.8 this purpose, the commissioner shall apply the rate increases in
158.9 paragraph (a) to home and community-based waiver services for
158.10 persons with mental retardation or related conditions under
158.11 section 256B.501; home and community-based waiver services for
158.12 the elderly under section 256B.0915; waivered services under
158.13 community alternatives for disabled individuals under section
158.14 256B.49; community alternative care waivered services under
158.15 section 256B.49; traumatic brain injury waivered services under
158.16 section 256B.49; nursing services and home health services under
158.17 section 256B.0625, subdivision 6a; personal care services and
158.18 nursing supervision of personal care services under section
158.19 256B.0625, subdivision 19a; private duty nursing services under
158.20 section 256B.0625, subdivision 7; day training and habilitation
158.21 services for adults with mental retardation or related
158.22 conditions under sections 252.40 to 252.46; physical therapy
158.23 services under sections 256B.0625, subdivision 8, and 256D.03,
158.24 subdivision 4; occupational therapy services under sections
158.25 256B.0625, subdivision 8a, and 256D.03, subdivision 4;
158.26 speech-language therapy services under section 256D.03,
158.27 subdivision 4, and Minnesota Rules, part 9505.0390; respiratory
158.28 therapy services under section 256D.03, subdivision 4, and
158.29 Minnesota Rules, part 9505.0295; physician services under
158.30 section 256B.0625, subdivision 3; dental services under sections
158.31 256B.0625, subdivision 9, and 256D.03, subdivision 4;
158.32 alternative care services under section 256B.0913; adult
158.33 residential program grants under Minnesota Rules, parts
158.34 9535.2000 to 9535.3000; adult and family community support
158.35 grants under Minnesota Rules, parts 9535.1700 to 9535.1760; and
158.36 semi-independent living services under section 252.275,
159.1 including SILS funding under county social services grants
159.2 formerly funded under chapter 256I.
159.3 (c) The commissioner shall increase prepaid medical
159.4 assistance program capitation rates as appropriate to reflect
159.5 the rate increases in this section.
159.6 (d) In implementing this section, the commissioner shall
159.7 consider proposing a schedule to equalize rates paid by
159.8 different programs for the same service.
159.9 Sec. 13. Minnesota Statutes 1996, section 256B.055,
159.10 subdivision 7, is amended to read:
159.11 Subd. 7. [AGED, BLIND, OR DISABLED PERSONS.] Medical
159.12 assistance may be paid for a person who meets the categorical
159.13 eligibility requirements of the supplemental security income
159.14 program or, who would meet those requirements except for excess
159.15 income or assets, and who meets the other eligibility
159.16 requirements of this section.
159.17 Effective February 1, 1989, and to the extent allowed by
159.18 federal law the commissioner shall deduct state and federal
159.19 income taxes and federal insurance contributions act payments
159.20 withheld from the individual's earned income in determining
159.21 eligibility under this subdivision.
159.22 Sec. 14. Minnesota Statutes 1996, section 256B.055, is
159.23 amended by adding a subdivision to read:
159.24 Subd. 7a. [SPECIAL CATEGORY FOR DISABLED
159.25 CHILDREN.] Medical assistance may be paid for a person who is
159.26 under age 18 and who meets income and asset eligibility
159.27 requirements of the Supplemental Security Income program if the
159.28 person was receiving Supplemental Security Income payments on
159.29 the date of enactment of section 211(a) of Public Law Number
159.30 104-193, the Personal Responsibility and Work Opportunity Act of
159.31 1996, and the person would have continued to receive the
159.32 payments except for the change in the childhood disability
159.33 criteria in section 211(a) of Public Law Number 104-193.
159.34 Sec. 15. Minnesota Statutes 1997 Supplement, section
159.35 256B.056, subdivision 1a, is amended to read:
159.36 Subd. 1a. [INCOME AND ASSETS GENERALLY.] Unless
160.1 specifically required by state law or rule or federal law or
160.2 regulation, the methodologies used in counting income and assets
160.3 to determine eligibility for medical assistance for persons
160.4 whose eligibility category is based on blindness, disability, or
160.5 age of 65 or more years, the methodologies for the supplemental
160.6 security income program shall be used, except that payments made
160.7 according to a court order for the support of children shall be
160.8 excluded from income in an amount not to exceed the difference
160.9 between the applicable income standard used in the state's
160.10 medical assistance program for aged, blind, and disabled persons
160.11 and the applicable income standard used in the state's medical
160.12 assistance program for families with children. Exclusion of
160.13 court-ordered child support payments is subject to the condition
160.14 that if there has been a change in the financial circumstances
160.15 of the person with the legal obligation to pay support since the
160.16 support order was entered, the person with the legal obligation
160.17 to pay support has petitioned for modification of the support
160.18 order. For families and children, which includes all other
160.19 eligibility categories, the methodologies under the state's AFDC
160.20 plan in effect as of July 16, 1996, as required by the Personal
160.21 Responsibility and Work Opportunity Reconciliation Act of 1996
160.22 (PRWORA), Public Law Number 104-193, shall be used. Effective
160.23 upon federal approval, in-kind contributions to, and payments
160.24 made on behalf of, a recipient, by an obligor, in satisfaction
160.25 of or in addition to a temporary or permanent order for child
160.26 support or maintenance, shall be considered income to the
160.27 recipient. For these purposes, a "methodology" does not include
160.28 an asset or income standard, or accounting method, or method of
160.29 determining effective dates.
160.30 Sec. 16. Minnesota Statutes 1997 Supplement, section
160.31 256B.056, subdivision 4, is amended to read:
160.32 Subd. 4. [INCOME.] To be eligible for medical assistance,
160.33 a person must not have, or anticipate receiving, semiannual
160.34 income in excess of 120 percent of the income standards by
160.35 family size used under the aid to families with dependent
160.36 children state plan as of July 16, 1996, as required by the
161.1 Personal Responsibility and Work Opportunity Reconciliation Act
161.2 of 1996 (PRWORA), Public Law Number 104-193, except
161.3 that eligible under section 256B.055, subdivision 7, and
161.4 families and children may have an income up to 133-1/3 percent
161.5 of the AFDC income standard in effect under the July 16, 1996,
161.6 AFDC state plan. For rate years beginning on or after July 1,
161.7 1999, the commissioner shall consider increasing the base AFDC
161.8 standard in effect July 16, 1996, by an amount equal to the
161.9 percent change in the Consumer Price Index for all urban
161.10 consumers for the previous October compared to one year
161.11 earlier. In computing income to determine eligibility of
161.12 persons who are not residents of long-term care facilities, the
161.13 commissioner shall disregard increases in income as required by
161.14 Public Law Numbers 94-566, section 503; 99-272; and 99-509.
161.15 Veterans aid and attendance benefits and Veterans Administration
161.16 unusual medical expense payments are considered income to the
161.17 recipient.
161.18 Sec. 17. Minnesota Statutes 1996, section 256B.057,
161.19 subdivision 3a, is amended to read:
161.20 Subd. 3a. [ELIGIBILITY FOR PAYMENT OF MEDICARE PART B
161.21 PREMIUMS.] A person who would otherwise be eligible as a
161.22 qualified Medicare beneficiary under subdivision 3, except the
161.23 person's income is in excess of the limit, is eligible for
161.24 medical assistance reimbursement of Medicare Part B premiums if
161.25 the person's income is less than 110 120 percent of the official
161.26 federal poverty guidelines for the applicable family size. The
161.27 income limit shall increase to 120 percent of the official
161.28 federal poverty guidelines for the applicable family size on
161.29 January 1, 1995.
161.30 Sec. 18. Minnesota Statutes 1996, section 256B.057, is
161.31 amended by adding a subdivision to read:
161.32 Subd. 3b. [QUALIFYING INDIVIDUALS.] Beginning July 1,
161.33 1998, to the extent of the federal allocation to Minnesota, a
161.34 person, who would otherwise be eligible as a qualified Medicare
161.35 beneficiary under subdivision 3, except that the person's income
161.36 is in excess of the limit, is eligible as a qualifying
162.1 individual according to the following criteria:
162.2 (1) if the person's income is greater than 120 percent, but
162.3 less than 135 percent of the official federal poverty guidelines
162.4 for the applicable family size, the person is eligible for
162.5 medical assistance reimbursement of Medicare Part B premiums; or
162.6 (2) if the person's income is equal to or greater than 135
162.7 percent but less than 175 percent of the official federal
162.8 poverty guidelines for the applicable family size, the person is
162.9 eligible for medical assistance reimbursement of that portion of
162.10 the Medicare Part B premium attributable to an increase in Part
162.11 B expenditures which resulted from the shift of home care
162.12 services from Medicare Part A to Medicare Part B under Public
162.13 Law Number 105-33, section 4732, the Balanced Budget Act of 1997.
162.14 The commissioner shall limit enrollment of qualifying
162.15 individuals under this subdivision according to the requirements
162.16 of Public Law Number 105-33, section 4732.
162.17 Sec. 19. Minnesota Statutes 1997 Supplement, section
162.18 256B.06, subdivision 4, is amended to read:
162.19 Subd. 4. [CITIZENSHIP REQUIREMENTS.] (a) Eligibility for
162.20 medical assistance is limited to citizens of the United States,
162.21 qualified noncitizens as defined in this subdivision, and other
162.22 persons residing lawfully in the United States.
162.23 (b) "Qualified noncitizen" means a person who meets one of
162.24 the following immigration criteria:
162.25 (1) admitted for lawful permanent residence according to
162.26 United States Code, title 8;
162.27 (2) admitted to the United States as a refugee according to
162.28 United States Code, title 8, section 1157;
162.29 (3) granted asylum according to United States Code, title
162.30 8, section 1158;
162.31 (4) granted withholding of deportation according to United
162.32 States Code, title 8, section 1253(h);
162.33 (5) paroled for a period of at least one year according to
162.34 United States Code, title 8, section 1182(d)(5);
162.35 (6) granted conditional entrant status according to United
162.36 States Code, title 8, section 1153(a)(7); or
163.1 (7) determined to be a battered noncitizen by the United
163.2 States Attorney General according to the Illegal Immigration
163.3 Reform and Immigrant Responsibility Act of 1996, title V of the
163.4 Omnibus Consolidated Appropriations Bill, Public Law Number
163.5 104-200;
163.6 (8) is a child of a noncitizen determined to be a battered
163.7 noncitizen by the United States Attorney General according to
163.8 the Illegal Immigration Reform and Immigrant Responsibility Act
163.9 of 1996, title V, of the Omnibus Consolidated Appropriations
163.10 Bill, Public Law Number 104-200; or
163.11 (9) determined to be a Cuban or Haitian entrant as defined
163.12 in section 501(e) of Public Law Number 96-422, the Refugee
163.13 Education Assistance Act of 1980.
163.14 (c) All qualified noncitizens who were residing in the
163.15 United States before August 22, 1996, who otherwise meet the
163.16 eligibility requirements of chapter 256B, are eligible for
163.17 medical assistance with federal financial participation.
163.18 (d) All qualified noncitizens who entered the United States
163.19 on or after August 22, 1996, and who otherwise meet the
163.20 eligibility requirements of chapter 256B, are eligible for
163.21 medical assistance with federal financial participation through
163.22 November 30, 1996.
163.23 Beginning December 1, 1996, qualified noncitizens who
163.24 entered the United States on or after August 22, 1996, and who
163.25 otherwise meet the eligibility requirements of chapter 256B are
163.26 eligible for medical assistance with federal participation for
163.27 five years if they meet one of the following criteria:
163.28 (i) refugees admitted to the United States according to
163.29 United States Code, title 8, section 1157;
163.30 (ii) persons granted asylum according to United States
163.31 Code, title 8, section 1158;
163.32 (iii) persons granted withholding of deportation according
163.33 to United States Code, title 8, section 1253(h);
163.34 (iv) veterans of the United States Armed Forces with an
163.35 honorable discharge for a reason other than noncitizen status,
163.36 their spouses and unmarried minor dependent children; or
164.1 (v) persons on active duty in the United States Armed
164.2 Forces, other than for training, their spouses and unmarried
164.3 minor dependent children.
164.4 Beginning December 1, 1996, qualified noncitizens who do
164.5 not meet one of the criteria in items (i) to (v) are eligible
164.6 for medical assistance without federal financial participation
164.7 as described in paragraph (j).
164.8 (e) Noncitizens who are not qualified noncitizens as
164.9 defined in paragraph (b), who are lawfully residing in the
164.10 United States and who otherwise meet the eligibility
164.11 requirements of chapter 256B, are eligible for medical
164.12 assistance under clauses (1) to (3). These individuals must
164.13 cooperate with the Immigration and Naturalization Service to
164.14 pursue any applicable immigration status, including citizenship,
164.15 that would qualify them for medical assistance with federal
164.16 financial participation.
164.17 (1) Persons who were medical assistance recipients on
164.18 August 22, 1996, are eligible for medical assistance with
164.19 federal financial participation through December 31, 1996.
164.20 (2) Beginning January 1, 1997, persons described in clause
164.21 (1) are eligible for medical assistance without federal
164.22 financial participation as described in paragraph (j).
164.23 (3) Beginning December 1, 1996, persons residing in the
164.24 United States prior to August 22, 1996, who were not receiving
164.25 medical assistance and persons who arrived on or after August
164.26 22, 1996, are eligible for medical assistance without federal
164.27 financial participation as described in paragraph (j).
164.28 (f) Nonimmigrants who otherwise meet the eligibility
164.29 requirements of chapter 256B are eligible for the benefits as
164.30 provided in paragraphs (g) to (i). For purposes of this
164.31 subdivision, a "nonimmigrant" is a person in one of the classes
164.32 listed in United States Code, title 8, section 1101(a)(15).
164.33 (g) Payment shall also be made for care and services that
164.34 are furnished to noncitizens, regardless of immigration status,
164.35 who otherwise meet the eligibility requirements of chapter 256B,
164.36 if such care and services are necessary for the treatment of an
165.1 emergency medical condition, except for organ transplants and
165.2 related care and services and routine prenatal care.
165.3 (h) For purposes of this subdivision, the term "emergency
165.4 medical condition" means a medical condition that meets the
165.5 requirements of United States Code, title 42, section 1396b(v).
165.6 (i) Pregnant noncitizens who are undocumented or
165.7 nonimmigrants, who otherwise meet the eligibility requirements
165.8 of chapter 256B, are eligible for medical assistance payment
165.9 without federal financial participation for care and services
165.10 through the period of pregnancy, and 60 days postpartum, except
165.11 for labor and delivery.
165.12 (j) Qualified noncitizens as described in paragraph (d),
165.13 and all other noncitizens lawfully residing in the United States
165.14 as described in paragraph (e), who are ineligible for medical
165.15 assistance with federal financial participation and who
165.16 otherwise meet the eligibility requirements of chapter 256B and
165.17 of this paragraph, are eligible for medical assistance without
165.18 federal financial participation. Qualified noncitizens as
165.19 described in paragraph (d) are only eligible for medical
165.20 assistance without federal financial participation for five
165.21 years from their date of entry into the United States.
165.22 (k) The commissioner shall submit to the legislature by
165.23 December 31, 1998, a report on the number of recipients and cost
165.24 of coverage of care and services made according to paragraphs
165.25 (i) and (j).
165.26 Sec. 20. Minnesota Statutes 1996, section 256B.0625, is
165.27 amended by adding a subdivision to read:
165.28 Subd. 3a. [GENDER REASSIGNMENT SURGERY.] Gender
165.29 reassignment surgery and other gender reassignment medical
165.30 procedures including drug therapy for gender reassignment are
165.31 not covered unless the individual began receiving gender
165.32 reassignment services prior to July 1, 1998.
165.33 Sec. 21. Minnesota Statutes 1996, section 256B.0625,
165.34 subdivision 7, is amended to read:
165.35 Subd. 7. [PRIVATE DUTY NURSING.] Medical assistance covers
165.36 private duty nursing services in a recipient's home. Recipients
166.1 who are authorized to receive private duty nursing services in
166.2 their home may use approved hours outside of the home during
166.3 hours when normal life activities take them outside of their
166.4 home and when, without the provision of private duty nursing,
166.5 their health and safety would be jeopardized. To use private
166.6 duty nursing services at school, the recipient or responsible
166.7 party must provide written authorization in the care plan
166.8 identifying the chosen provider and the daily amount of services
166.9 to be used at school. Medical assistance does not cover private
166.10 duty nursing services for residents of a hospital, nursing
166.11 facility, intermediate care facility, or a health care facility
166.12 licensed by the commissioner of health, except as authorized in
166.13 section 256B.64 for ventilator-dependent recipients in hospitals
166.14 or unless a resident who is otherwise eligible is on leave from
166.15 the facility and the facility either pays for the private duty
166.16 nursing services or forgoes the facility per diem for the leave
166.17 days that private duty nursing services are used. Total hours
166.18 of service and payment allowed for services outside the home
166.19 cannot exceed that which is otherwise allowed in an in-home
166.20 setting according to section 256B.0627. All private duty
166.21 nursing services must be provided according to the limits
166.22 established under section 256B.0627. Private duty nursing
166.23 services may not be reimbursed if the nurse is the spouse of the
166.24 recipient or the parent or foster care provider of a recipient
166.25 who is under age 18, or the recipient's legal guardian.
166.26 Sec. 22. Minnesota Statutes 1996, section 256B.0625,
166.27 subdivision 17, is amended to read:
166.28 Subd. 17. [TRANSPORTATION COSTS.] (a) Medical assistance
166.29 covers transportation costs incurred solely for obtaining
166.30 emergency medical care or transportation costs incurred by
166.31 nonambulatory persons in obtaining emergency or nonemergency
166.32 medical care when paid directly to an ambulance company, common
166.33 carrier, or other recognized providers of transportation
166.34 services. For the purpose of this subdivision, a person who is
166.35 incapable of transport by taxicab or bus shall be considered to
166.36 be nonambulatory.
167.1 (b) Medical assistance covers special transportation, as
167.2 defined in Minnesota Rules, part 9505.0315, subpart 1, item F,
167.3 if the provider receives and maintains a current physician's
167.4 order by the recipient's attending physician certifying that the
167.5 recipient has a physical or mental impairment that would
167.6 prohibit the recipient from safely accessing and using a bus,
167.7 taxi, other commercial transportation, or private automobile.
167.8 Special transportation includes driver-assisted service to
167.9 eligible individuals. Driver-assisted service includes
167.10 passenger pickup at and return to the individual's residence or
167.11 place of business, assistance with admittance of the individual
167.12 to the medical facility, and assistance in passenger securement
167.13 or in securing of wheelchairs or stretchers in the vehicle. The
167.14 commissioner shall establish maximum medical assistance
167.15 reimbursement rates for special transportation services for
167.16 persons who need a wheelchair lift van or stretcher-equipped
167.17 vehicle and for those who do not need a wheelchair lift van or
167.18 stretcher-equipped vehicle. The average of these two rates per
167.19 trip must not exceed $14 $15 for the base rate and $1.10 $1.20
167.20 per mile. Special transportation provided to nonambulatory
167.21 persons who do not need a wheelchair lift van or
167.22 stretcher-equipped vehicle, may be reimbursed at a lower rate
167.23 than special transportation provided to persons who need a
167.24 wheelchair lift van or stretcher-equipped vehicle.
167.25 Sec. 23. Minnesota Statutes 1996, section 256B.0625, is
167.26 amended by adding a subdivision to read:
167.27 Subd. 17a. [PAYMENT FOR AMBULANCE SERVICES.] Effective for
167.28 services rendered on or after July 1, 1999, medical assistance
167.29 payments for ambulance services shall be increased by five
167.30 percent.
167.31 Sec. 24. Minnesota Statutes 1996, section 256B.0625,
167.32 subdivision 19a, is amended to read:
167.33 Subd. 19a. [PERSONAL CARE SERVICES.] Medical assistance
167.34 covers personal care services in a recipient's home. To qualify
167.35 for personal care services, recipients or responsible parties
167.36 must be able to identify the recipient's needs, direct and
168.1 evaluate task accomplishment, and provide for health and
168.2 safety. Approved hours may be used outside the home when normal
168.3 life activities take them outside the home and when, without the
168.4 provision of personal care, their health and safety would be
168.5 jeopardized. To use personal care services at school, the
168.6 recipient or responsible party must provide written
168.7 authorization in the care plan identifying the chosen provider
168.8 and the daily amount of services to be used at school. Total
168.9 hours for services, whether actually performed inside or outside
168.10 the recipient's home, cannot exceed that which is otherwise
168.11 allowed for personal care services in an in-home setting
168.12 according to section 256B.0627. Medical assistance does not
168.13 cover personal care services for residents of a hospital,
168.14 nursing facility, intermediate care facility, health care
168.15 facility licensed by the commissioner of health, or unless a
168.16 resident who is otherwise eligible is on leave from the facility
168.17 and the facility either pays for the personal care services or
168.18 forgoes the facility per diem for the leave days that personal
168.19 care services are used. All personal care services must be
168.20 provided according to section 256B.0627. Personal care services
168.21 may not be reimbursed if the personal care assistant is the
168.22 spouse or legal guardian of the recipient or the parent of a
168.23 recipient under age 18, or the responsible party or the foster
168.24 care provider of a recipient who cannot direct the recipient's
168.25 own care unless, in the case of a foster care provider, a county
168.26 or state case manager visits the recipient as needed, but not
168.27 less than every six months, to monitor the health and safety of
168.28 the recipient and to ensure the goals of the care plan are met.
168.29 Parents of adult recipients, adult children of the recipient or
168.30 adult siblings of the recipient may be reimbursed for personal
168.31 care services if they are not the recipient's legal guardian and
168.32 are granted a waiver under section 256B.0627.
168.33 Sec. 25. Minnesota Statutes 1996, section 256B.0625,
168.34 subdivision 20, is amended to read:
168.35 Subd. 20. [MENTAL ILLNESS HEALTH CASE MANAGEMENT.] (a) To
168.36 the extent authorized by rule of the state agency, medical
169.1 assistance covers case management services to persons with
169.2 serious and persistent mental illness or subject to federal
169.3 approval, and children with severe emotional disturbance.
169.4 Services provided under this section must meet the relevant
169.5 standards in sections 245.461 to 245.4888, the Comprehensive
169.6 Adult and Children's Mental Health Acts, Minnesota Rules, parts
169.7 9520.0900 to 9520.0926, and 9505.0322, excluding subpart 10.
169.8 (b) Entities meeting program standards set out in rules
169.9 governing family community support services as defined in
169.10 section 245.4871, subdivision 17, are eligible for medical
169.11 assistance reimbursement for case management services for
169.12 children with severe emotional disturbance when these services
169.13 meet the program standards in Minnesota Rules, parts 9520.0900
169.14 to 9520.0926 and 9505.0322, excluding subpart 6 subparts 6 and
169.15 10.
169.16 (b) In counties where fewer than 50 percent of children
169.17 estimated to be eligible under medical assistance to receive
169.18 case management services for children with severe emotional
169.19 disturbance actually receive these services in state fiscal year
169.20 1995, community mental health centers serving those counties,
169.21 entities meeting program standards in Minnesota Rules, parts
169.22 9520.0570 to 9520.0870, and other entities authorized by the
169.23 commissioner are eligible for medical assistance reimbursement
169.24 for case management services for children with severe emotional
169.25 disturbance when these services meet the program standards in
169.26 Minnesota Rules, parts 9520.0900 to 9520.0926 and 9505.0322,
169.27 excluding subpart 6.
169.28 (c) Medical assistance and MinnesotaCare payment for mental
169.29 health case management shall be made on a monthly basis. In
169.30 order to receive payment for an eligible child, the provider
169.31 must document at least a face-to-face contact with the child,
169.32 the child's parents, or the child's legal representative. To
169.33 receive payment for an eligible adult, the provider must
169.34 document at least a face-to-face contact with the adult or the
169.35 adult's legal representative.
169.36 (d) Payment for mental health case management provided by
170.1 county or state staff shall be based on the monthly rate
170.2 methodology under section 256B.094, subdivision 6, paragraph
170.3 (b), with separate rates calculated for child welfare and mental
170.4 health, and within mental health, separate rates for children
170.5 and adults.
170.6 (e) Payment for mental health case management provided by
170.7 county-contracted vendors shall be based on a monthly rate
170.8 negotiated by the host county. The negotiated rate must not
170.9 exceed the rate charged by the vendor for the same service to
170.10 other payers. If the service is provided by a team of
170.11 contracted vendors, the county may negotiate a team rate with a
170.12 vendor who is a member of the team. The team shall determine
170.13 how to distribute the rate among its members. No reimbursement
170.14 received by contracted vendors shall be returned to the county,
170.15 except to reimburse the county for advance funding provided by
170.16 the county to the vendor.
170.17 (f) If the service is provided by a team which includes
170.18 contracted vendors and county or state staff, the costs for
170.19 county or state staff participation in the team shall be
170.20 included in the rate for county-provided services. In this
170.21 case, the contracted vendor and the county may each receive
170.22 separate payment for services provided by each entity in the
170.23 same month. In order to prevent duplication of services, the
170.24 county must document, in the recipient's file, the need for team
170.25 case management and a description of the roles of the team
170.26 members.
170.27 (g) The commissioner shall calculate the nonfederal share
170.28 of actual medical assistance and general assistance medical care
170.29 payments for each county, based on the higher of calendar year
170.30 1995 or 1996, by service date, project that amount forward to
170.31 1999, and transfer one-half of the result from medical
170.32 assistance and general assistance medical care to each county's
170.33 mental health grants under sections 245.4886 and 256E.12 for
170.34 calendar year 1999. The annualized minimum amount added to each
170.35 county's mental health grant shall be $3,000 per year for
170.36 children and $5,000 per year for adults. The commissioner may
171.1 reduce the statewide growth factor in order to fund these
171.2 minimums. The annualized total amount transferred shall become
171.3 part of the base for future mental health grants for each county.
171.4 (h) Any net increase in revenue to the county as a result
171.5 of the change in this section must be used to provide expanded
171.6 mental health services as defined in sections 245.461 to
171.7 245.4888, the Comprehensive Adult and Children's Mental Health
171.8 Acts, excluding inpatient and residential treatment. For
171.9 adults, increased revenue may also be used for services and
171.10 consumer supports which are part of adult mental health projects
171.11 approved under Laws 1997, chapter 203, article 7, section 25.
171.12 For children, increased revenue may also be used for respite
171.13 care and nonresidential individualized rehabilitation services
171.14 as defined in section 245.492, subdivisions 17 and 23.
171.15 "Increased revenue" has the meaning given in Minnesota Rules,
171.16 part 9520.0903, subpart 3.
171.17 (i) Notwithstanding section 256B.19, subdivision 1, the
171.18 nonfederal share of costs for mental health case management
171.19 shall be provided by the recipient's county of responsibility,
171.20 as defined in sections 256G.01 to 256G.12, from sources other
171.21 than federal funds or funds used to match other federal funds.
171.22 (j) The commissioner may suspend, reduce, or terminate the
171.23 reimbursement to a provider that does not meet the reporting or
171.24 other requirements of this section. The county of
171.25 responsibility, as defined in sections 256G.01 to 256G.12, is
171.26 responsible for any federal disallowances. The county may share
171.27 this responsibility with its contracted vendors.
171.28 (k) The commissioner shall set aside a portion of the
171.29 federal funds earned under this section to repay the special
171.30 revenue maximization account under section 256.01, subdivision
171.31 2, clause (15). The repayment is limited to:
171.32 (1) the costs of developing and implementing this section;
171.33 and
171.34 (2) programming the information systems.
171.35 (l) Notwithstanding section 256.025, subdivision 2,
171.36 payments to counties for case management expenditures under this
172.1 section shall only be made from federal earnings from services
172.2 provided under this section. Payments to contracted vendors
172.3 shall include both the federal earnings and the county share.
172.4 (m) Notwithstanding section 256B.041, county payments for
172.5 the cost of mental health case management services provided by
172.6 county or state staff shall not be made to the state treasurer.
172.7 For the purposes of mental health case management services
172.8 provided by county or state staff under this section, the
172.9 centralized disbursement of payments to counties under section
172.10 256B.041 consists only of federal earnings from services
172.11 provided under this section.
172.12 (n) Case management services under this subdivision do not
172.13 include therapy, treatment, legal, or outreach services.
172.14 (o) If the recipient is a resident of a nursing facility,
172.15 intermediate care facility, or hospital, and the recipient's
172.16 institutional care is paid by medical assistance, payment for
172.17 case management services under this subdivision is limited to
172.18 the last 30 days of the recipient's residency in that facility
172.19 and may not exceed more than two months in a calendar year.
172.20 (p) Payment for case management services under this
172.21 subdivision shall not duplicate payments made under other
172.22 program authorities for the same purpose.
172.23 (q) By July 1, 2000, the commissioner shall evaluate the
172.24 effectiveness of the changes required by this section, including
172.25 changes in number of persons receiving mental health case
172.26 management, changes in hours of service per person, and changes
172.27 in caseload size.
172.28 (r) For each calendar year beginning with the calendar year
172.29 2001, the annualized amount of state funds for each county
172.30 determined under paragraph (g) shall be adjusted by the county's
172.31 percentage change in the average number of clients per month who
172.32 received case management under this section during the fiscal
172.33 year that ended six months prior to the calendar year in
172.34 question, in comparison to the prior fiscal year.
172.35 Sec. 26. Minnesota Statutes 1997 Supplement, section
172.36 256B.0625, subdivision 31a, is amended to read:
173.1 Subd. 31a. [AUGMENTATIVE AND ALTERNATIVE COMMUNICATION
173.2 SYSTEMS.] (a) Medical assistance covers augmentative and
173.3 alternative communication systems consisting of electronic or
173.4 nonelectronic devices and the related components necessary to
173.5 enable a person with severe expressive communication limitations
173.6 to produce or transmit messages or symbols in a manner that
173.7 compensates for that disability.
173.8 (b) By January 1, 1998, the commissioner, in cooperation
173.9 with the commissioner of administration, shall establish an
173.10 augmentative and alternative communication system purchasing
173.11 program within a state agency or by contract with a qualified
173.12 private entity. The purpose of this service is to facilitate
173.13 ready availability of the augmentative and alternative
173.14 communication systems needed to meet the needs of persons with
173.15 severe expressive communication limitations in an efficient and
173.16 cost-effective manner. This program shall:
173.17 (1) coordinate purchase and rental of augmentative and
173.18 alternative communication systems;
173.19 (2) negotiate agreements with manufacturers and vendors for
173.20 purchase of components of these systems, for warranty coverage,
173.21 and for repair service;
173.22 (3) when efficient and cost-effective, maintain and
173.23 refurbish if needed, an inventory of components of augmentative
173.24 and alternative communication systems for short- or long-term
173.25 loan to recipients;
173.26 (4) facilitate training sessions for service providers,
173.27 consumers, and families on augmentative and alternative
173.28 communication systems; and
173.29 (5) develop a recycling program for used augmentative and
173.30 alternative communications systems to be reissued and used for
173.31 trials and short-term use, when appropriate.
173.32 The availability of components of augmentative and
173.33 alternative communication systems through this program is
173.34 subject to prior authorization requirements established under
173.35 subdivision 25 Until the volume of systems purchased increases
173.36 to allow a discount price, the commissioner shall reimburse
174.1 augmentative and alternative communication manufacturers and
174.2 vendors at the manufacturer's suggested retail price for
174.3 augmentative and alternative communication systems and related
174.4 components. The commissioner shall separately reimburse
174.5 providers for purchasing and integrating individual
174.6 communication systems which are unavailable as a package from an
174.7 augmentative and alternative communication vendor.
174.8 (c) Reimbursement rates established by this purchasing
174.9 program are not subject to Minnesota Rules, part 9505.0445, item
174.10 S or T.
174.11 Sec. 27. Minnesota Statutes 1996, section 256B.0625,
174.12 subdivision 34, is amended to read:
174.13 Subd. 34. [AMERICAN INDIAN HEALTH SERVICES FACILITIES.]
174.14 Medical assistance payments to American Indian health services
174.15 facilities for outpatient medical services billed after June 30,
174.16 1990, must be facilities of the Indian health service and
174.17 facilities operated by a tribe or tribal organization under
174.18 funding authorized by United States Code, title 25, sections
174.19 450f to 450n, or title III of the Indian Self-Determination and
174.20 Education Assistance Act, Public Law Number 93-638, shall be at
174.21 the option of the facility in accordance with the rate published
174.22 by the United States Assistant Secretary for Health under the
174.23 authority of United States Code, title 42, sections 248(a) and
174.24 249(b). General assistance medical care payments to facilities
174.25 of the American Indian health services and facilities operated
174.26 by a tribe or tribal organization for the provision of
174.27 outpatient medical care services billed after June 30, 1990,
174.28 must be in accordance with the general assistance medical care
174.29 rates paid for the same services when provided in a facility
174.30 other than an American a facility of the Indian health
174.31 service or a facility operated by a tribe or tribal organization.
174.32 Sec. 28. Minnesota Statutes 1996, section 256B.0625,
174.33 subdivision 38, is amended to read:
174.34 Subd. 38. [PAYMENTS FOR MENTAL HEALTH SERVICES.] Payments
174.35 for mental health services covered under the medical assistance
174.36 program that are provided by masters-prepared mental health
175.1 professionals shall be 80 percent of the rate paid to
175.2 doctoral-prepared professionals. Payments for mental health
175.3 services covered under the medical assistance program that are
175.4 provided by masters-prepared mental health professionals
175.5 employed by community mental health centers shall be 100 percent
175.6 of the rate paid to doctoral-prepared professionals. For
175.7 purposes of reimbursement of mental health professionals under
175.8 the medical assistance program, all social workers who:
175.9 (1) have received a master's degree in social work from a
175.10 program accredited by the council on social work education;
175.11 (2) are licensed at the level of graduate social worker or
175.12 independent social worker; and
175.13 (3) are practicing clinical social work under appropriate
175.14 supervision, as defined by section 148B.18; meet all
175.15 requirements under Minnesota Rules, part 9505.0323, subpart 24,
175.16 and shall be paid accordingly.
175.17 Sec. 29. Minnesota Statutes 1996, section 256B.0627,
175.18 subdivision 4, is amended to read:
175.19 Subd. 4. [PERSONAL CARE SERVICES.] (a) The personal care
175.20 services that are eligible for payment are the following:
175.21 (1) bowel and bladder care;
175.22 (2) skin care to maintain the health of the skin;
175.23 (3) repetitive maintenance range of motion, muscle
175.24 strengthening exercises, and other tasks specific to maintaining
175.25 a recipient's optimal level of function;
175.26 (4) respiratory assistance;
175.27 (5) transfers and ambulation;
175.28 (6) bathing, grooming, and hairwashing necessary for
175.29 personal hygiene;
175.30 (7) turning and positioning;
175.31 (8) assistance with furnishing medication that is
175.32 self-administered;
175.33 (9) application and maintenance of prosthetics and
175.34 orthotics;
175.35 (10) cleaning medical equipment;
175.36 (11) dressing or undressing;
176.1 (12) assistance with eating and meal preparation and
176.2 necessary grocery shopping;
176.3 (13) accompanying a recipient to obtain medical diagnosis
176.4 or treatment;
176.5 (14) assisting, monitoring, or prompting the recipient to
176.6 complete the services in clauses (1) to (13);
176.7 (15) redirection, monitoring, and observation that are
176.8 medically necessary and an integral part of completing the
176.9 personal care services described in clauses (1) to (14);
176.10 (16) redirection and intervention for behavior, including
176.11 observation and monitoring;
176.12 (17) interventions for seizure disorders, including
176.13 monitoring and observation if the recipient has had a seizure
176.14 that requires intervention within the past three months; and
176.15 (18) tracheostomy suctioning using a clean procedure if the
176.16 procedure is properly delegated by a registered nurse. Before
176.17 this procedure can be delegated to a personal care assistant, a
176.18 registered nurse must determine that the tracheostomy suctioning
176.19 can be accomplished utilizing a clean rather than a sterile
176.20 procedure and must ensure that the personal care assistant has
176.21 been taught the proper procedure; and
176.22 (19) incidental household services that are an integral
176.23 part of a personal care service described in clauses (1) to
176.24 (17) (18).
176.25 For purposes of this subdivision, monitoring and observation
176.26 means watching for outward visible signs that are likely to
176.27 occur and for which there is a covered personal care service or
176.28 an appropriate personal care intervention. For purposes of this
176.29 subdivision, a clean procedure refers to a procedure that
176.30 reduces the numbers of microorganisms or prevents or reduces the
176.31 transmission of microorganisms from one person or place to
176.32 another. A clean procedure may be used beginning 14 days after
176.33 insertion.
176.34 (b) The personal care services that are not eligible for
176.35 payment are the following:
176.36 (1) services not ordered by the physician;
177.1 (2) assessments by personal care provider organizations or
177.2 by independently enrolled registered nurses;
177.3 (3) services that are not in the service plan;
177.4 (4) services provided by the recipient's spouse, legal
177.5 guardian for an adult or child recipient, or parent of a
177.6 recipient under age 18;
177.7 (5) services provided by a foster care provider of a
177.8 recipient who cannot direct the recipient's own care, unless
177.9 monitored by a county or state case manager under section
177.10 256B.0625, subdivision 19a;
177.11 (6) services provided by the residential or program license
177.12 holder in a residence for more than four persons;
177.13 (7) services that are the responsibility of a residential
177.14 or program license holder under the terms of a service agreement
177.15 and administrative rules;
177.16 (8) sterile procedures;
177.17 (9) injections of fluids into veins, muscles, or skin;
177.18 (10) services provided by parents of adult recipients,
177.19 adult children or adult siblings of the recipient, unless these
177.20 relatives meet one of the following hardship criteria and the
177.21 commissioner waives this requirement:
177.22 (i) the relative resigns from a part-time or full-time job
177.23 to provide personal care for the recipient;
177.24 (ii) the relative goes from a full-time to a part-time job
177.25 with less compensation to provide personal care for the
177.26 recipient;
177.27 (iii) the relative takes a leave of absence without pay to
177.28 provide personal care for the recipient;
177.29 (iv) the relative incurs substantial expenses by providing
177.30 personal care for the recipient; or
177.31 (v) because of labor conditions or intermittent hours of
177.32 care needed, the relative is needed in order to provide an
177.33 adequate number of qualified personal care assistants to meet
177.34 the medical needs of the recipient;
177.35 (11) homemaker services that are not an integral part of a
177.36 personal care services;
178.1 (12) home maintenance, or chore services;
178.2 (13) services not specified under paragraph (a); and
178.3 (14) services not authorized by the commissioner or the
178.4 commissioner's designee.
178.5 Sec. 30. Minnesota Statutes 1997 Supplement, section
178.6 256B.0627, subdivision 5, is amended to read:
178.7 Subd. 5. [LIMITATION ON PAYMENTS.] Medical assistance
178.8 payments for home care services shall be limited according to
178.9 this subdivision.
178.10 (a) [LIMITS ON SERVICES WITHOUT PRIOR AUTHORIZATION.] A
178.11 recipient may receive the following home care services during a
178.12 calendar year:
178.13 (1) any initial assessment;
178.14 (2) up to two reassessments per year done to determine a
178.15 recipient's need for personal care services; and
178.16 (3) up to five skilled nurse visits.
178.17 (b) [PRIOR AUTHORIZATION; EXCEPTIONS.] All home care
178.18 services above the limits in paragraph (a) must receive the
178.19 commissioner's prior authorization, except when:
178.20 (1) the home care services were required to treat an
178.21 emergency medical condition that if not immediately treated
178.22 could cause a recipient serious physical or mental disability,
178.23 continuation of severe pain, or death. The provider must
178.24 request retroactive authorization no later than five working
178.25 days after giving the initial service. The provider must be
178.26 able to substantiate the emergency by documentation such as
178.27 reports, notes, and admission or discharge histories;
178.28 (2) the home care services were provided on or after the
178.29 date on which the recipient's eligibility began, but before the
178.30 date on which the recipient was notified that the case was
178.31 opened. Authorization will be considered if the request is
178.32 submitted by the provider within 20 working days of the date the
178.33 recipient was notified that the case was opened;
178.34 (3) a third-party payor for home care services has denied
178.35 or adjusted a payment. Authorization requests must be submitted
178.36 by the provider within 20 working days of the notice of denial
179.1 or adjustment. A copy of the notice must be included with the
179.2 request;
179.3 (4) the commissioner has determined that a county or state
179.4 human services agency has made an error; or
179.5 (5) the professional nurse determines an immediate need for
179.6 up to 40 skilled nursing or home health aide visits per calendar
179.7 year and submits a request for authorization within 20 working
179.8 days of the initial service date, and medical assistance is
179.9 determined to be the appropriate payer.
179.10 (c) [RETROACTIVE AUTHORIZATION.] A request for retroactive
179.11 authorization will be evaluated according to the same criteria
179.12 applied to prior authorization requests.
179.13 (d) [ASSESSMENT AND SERVICE PLAN.] Assessments under
179.14 section 256B.0627, subdivision 1, paragraph (a), shall be
179.15 conducted initially, and at least annually thereafter, in person
179.16 with the recipient and result in a completed service plan using
179.17 forms specified by the commissioner. Within 30 days of
179.18 recipient or responsible party request for home care services,
179.19 the assessment, the service plan, and other information
179.20 necessary to determine medical necessity such as diagnostic or
179.21 testing information, social or medical histories, and hospital
179.22 or facility discharge summaries shall be submitted to the
179.23 commissioner. For personal care services:
179.24 (1) The amount and type of service authorized based upon
179.25 the assessment and service plan will follow the recipient if the
179.26 recipient chooses to change providers.
179.27 (2) If the recipient's medical need changes, the
179.28 recipient's provider may assess the need for a change in service
179.29 authorization and request the change from the county public
179.30 health nurse. Within 30 days of the request, the public health
179.31 nurse will determine whether to request the change in services
179.32 based upon the provider assessment, or conduct a home visit to
179.33 assess the need and determine whether the change is appropriate.
179.34 (3) To continue to receive personal care services when the
179.35 recipient displays no significant change, the county public
179.36 health nurse has the option to review with the commissioner, or
180.1 the commissioner's designee, the service plan on record and
180.2 receive authorization for up to an additional 12 months at a
180.3 time for up to three years. after the first year, the recipient
180.4 or the responsible party, in conjunction with the public health
180.5 nurse, may complete a service update on forms developed by the
180.6 commissioner. The service update may substitute for the annual
180.7 reassessment described in subdivision 1.
180.8 (e) [PRIOR AUTHORIZATION.] The commissioner, or the
180.9 commissioner's designee, shall review the assessment, the
180.10 service plan, and any additional information that is submitted.
180.11 The commissioner shall, within 30 days after receiving a
180.12 complete request, assessment, and service plan, authorize home
180.13 care services as follows:
180.14 (1) [HOME HEALTH SERVICES.] All home health services
180.15 provided by a licensed nurse or a home health aide must be prior
180.16 authorized by the commissioner or the commissioner's designee.
180.17 Prior authorization must be based on medical necessity and
180.18 cost-effectiveness when compared with other care options. When
180.19 home health services are used in combination with personal care
180.20 and private duty nursing, the cost of all home care services
180.21 shall be considered for cost-effectiveness. The commissioner
180.22 shall limit nurse and home health aide visits to no more than
180.23 one visit each per day.
180.24 (2) [PERSONAL CARE SERVICES.] (i) All personal care
180.25 services and registered nurse supervision must be prior
180.26 authorized by the commissioner or the commissioner's designee
180.27 except for the assessments established in paragraph (a). The
180.28 amount of personal care services authorized must be based on the
180.29 recipient's home care rating. A child may not be found to be
180.30 dependent in an activity of daily living if because of the
180.31 child's age an adult would either perform the activity for the
180.32 child or assist the child with the activity and the amount of
180.33 assistance needed is similar to the assistance appropriate for a
180.34 typical child of the same age. Based on medical necessity, the
180.35 commissioner may authorize:
180.36 (A) up to two times the average number of direct care hours
181.1 provided in nursing facilities for the recipient's comparable
181.2 case mix level; or
181.3 (B) up to three times the average number of direct care
181.4 hours provided in nursing facilities for recipients who have
181.5 complex medical needs or are dependent in at least seven
181.6 activities of daily living and need physical assistance with
181.7 eating or have a neurological diagnosis; or
181.8 (C) up to 60 percent of the average reimbursement rate, as
181.9 of July 1, 1991, for care provided in a regional treatment
181.10 center for recipients who have Level I behavior, plus any
181.11 inflation adjustment as provided by the legislature for personal
181.12 care service; or
181.13 (D) up to the amount the commissioner would pay, as of July
181.14 1, 1991, plus any inflation adjustment provided for home care
181.15 services, for care provided in a regional treatment center for
181.16 recipients referred to the commissioner by a regional treatment
181.17 center preadmission evaluation team. For purposes of this
181.18 clause, home care services means all services provided in the
181.19 home or community that would be included in the payment to a
181.20 regional treatment center; or
181.21 (E) up to the amount medical assistance would reimburse for
181.22 facility care for recipients referred to the commissioner by a
181.23 preadmission screening team established under section 256B.0911
181.24 or 256B.092; and
181.25 (F) a reasonable amount of time for the provision of
181.26 nursing supervision of personal care services.
181.27 (ii) The number of direct care hours shall be determined
181.28 according to the annual cost report submitted to the department
181.29 by nursing facilities. The average number of direct care hours,
181.30 as established by May 1, 1992, shall be calculated and
181.31 incorporated into the home care limits on July 1, 1992. These
181.32 limits shall be calculated to the nearest quarter hour.
181.33 (iii) The home care rating shall be determined by the
181.34 commissioner or the commissioner's designee based on information
181.35 submitted to the commissioner by the county public health nurse
181.36 on forms specified by the commissioner. The home care rating
182.1 shall be a combination of current assessment tools developed
182.2 under sections 256B.0911 and 256B.501 with an addition for
182.3 seizure activity that will assess the frequency and severity of
182.4 seizure activity and with adjustments, additions, and
182.5 clarifications that are necessary to reflect the needs and
182.6 conditions of recipients who need home care including children
182.7 and adults under 65 years of age. The commissioner shall
182.8 establish these forms and protocols under this section and shall
182.9 use an advisory group, including representatives of recipients,
182.10 providers, and counties, for consultation in establishing and
182.11 revising the forms and protocols.
182.12 (iv) A recipient shall qualify as having complex medical
182.13 needs if the care required is difficult to perform and because
182.14 of recipient's medical condition requires more time than
182.15 community-based standards allow or requires more skill than
182.16 would ordinarily be required and the recipient needs or has one
182.17 or more of the following:
182.18 (A) daily tube feedings;
182.19 (B) daily parenteral therapy;
182.20 (C) wound or decubiti care;
182.21 (D) postural drainage, percussion, nebulizer treatments,
182.22 suctioning, tracheotomy care, oxygen, mechanical ventilation;
182.23 (E) catheterization;
182.24 (F) ostomy care;
182.25 (G) quadriplegia; or
182.26 (H) other comparable medical conditions or treatments the
182.27 commissioner determines would otherwise require institutional
182.28 care.
182.29 (v) A recipient shall qualify as having Level I behavior if
182.30 there is reasonable supporting evidence that the recipient
182.31 exhibits, or that without supervision, observation, or
182.32 redirection would exhibit, one or more of the following
182.33 behaviors that cause, or have the potential to cause:
182.34 (A) injury to the recipient's own body;
182.35 (B) physical injury to other people; or
182.36 (C) destruction of property.
183.1 (vi) Time authorized for personal care relating to Level I
183.2 behavior in subclause (v), items (A) to (C), shall be based on
183.3 the predictability, frequency, and amount of intervention
183.4 required.
183.5 (vii) A recipient shall qualify as having Level II behavior
183.6 if the recipient exhibits on a daily basis one or more of the
183.7 following behaviors that interfere with the completion of
183.8 personal care services under subdivision 4, paragraph (a):
183.9 (A) unusual or repetitive habits;
183.10 (B) withdrawn behavior; or
183.11 (C) offensive behavior.
183.12 (viii) A recipient with a home care rating of Level II
183.13 behavior in subclause (vii), items (A) to (C), shall be rated as
183.14 comparable to a recipient with complex medical needs under
183.15 subclause (iv). If a recipient has both complex medical needs
183.16 and Level II behavior, the home care rating shall be the next
183.17 complex category up to the maximum rating under subclause (i),
183.18 item (B).
183.19 (3) [PRIVATE DUTY NURSING SERVICES.] All private duty
183.20 nursing services shall be prior authorized by the commissioner
183.21 or the commissioner's designee. Prior authorization for private
183.22 duty nursing services shall be based on medical necessity and
183.23 cost-effectiveness when compared with alternative care options.
183.24 The commissioner may authorize medically necessary private duty
183.25 nursing services in quarter-hour units when:
183.26 (i) the recipient requires more individual and continuous
183.27 care than can be provided during a nurse visit; or
183.28 (ii) the cares are outside of the scope of services that
183.29 can be provided by a home health aide or personal care assistant.
183.30 The commissioner may authorize:
183.31 (A) up to two times the average amount of direct care hours
183.32 provided in nursing facilities statewide for case mix
183.33 classification "K" as established by the annual cost report
183.34 submitted to the department by nursing facilities in May 1992;
183.35 (B) private duty nursing in combination with other home
183.36 care services up to the total cost allowed under clause (2);
184.1 (C) up to 16 hours per day if the recipient requires more
184.2 nursing than the maximum number of direct care hours as
184.3 established in item (A) and the recipient meets the hospital
184.4 admission criteria established under Minnesota Rules, parts
184.5 9505.0500 to 9505.0540.
184.6 The commissioner may authorize up to 16 hours per day of
184.7 medically necessary private duty nursing services or up to 24
184.8 hours per day of medically necessary private duty nursing
184.9 services until such time as the commissioner is able to make a
184.10 determination of eligibility for recipients who are
184.11 cooperatively applying for home care services under the
184.12 community alternative care program developed under section
184.13 256B.49, or until it is determined by the appropriate regulatory
184.14 agency that a health benefit plan is or is not required to pay
184.15 for appropriate medically necessary health care services.
184.16 Recipients or their representatives must cooperatively assist
184.17 the commissioner in obtaining this determination. Recipients
184.18 who are eligible for the community alternative care program may
184.19 not receive more hours of nursing under this section than would
184.20 otherwise be authorized under section 256B.49.
184.21 (4) [VENTILATOR-DEPENDENT RECIPIENTS.] If the recipient is
184.22 ventilator-dependent, the monthly medical assistance
184.23 authorization for home care services shall not exceed what the
184.24 commissioner would pay for care at the highest cost hospital
184.25 designated as a long-term hospital under the Medicare program.
184.26 For purposes of this clause, home care services means all
184.27 services provided in the home that would be included in the
184.28 payment for care at the long-term hospital.
184.29 "Ventilator-dependent" means an individual who receives
184.30 mechanical ventilation for life support at least six hours per
184.31 day and is expected to be or has been dependent for at least 30
184.32 consecutive days.
184.33 (f) [PRIOR AUTHORIZATION; TIME LIMITS.] The commissioner
184.34 or the commissioner's designee shall determine the time period
184.35 for which a prior authorization shall be effective. If the
184.36 recipient continues to require home care services beyond the
185.1 duration of the prior authorization, the home care provider must
185.2 request a new prior authorization. Under no circumstances,
185.3 other than the exceptions in paragraph (b), shall a prior
185.4 authorization be valid prior to the date the commissioner
185.5 receives the request or for more than 12 months. A recipient
185.6 who appeals a reduction in previously authorized home care
185.7 services may continue previously authorized services, other than
185.8 temporary services under paragraph (h), pending an appeal under
185.9 section 256.045. The commissioner must provide a detailed
185.10 explanation of why the authorized services are reduced in amount
185.11 from those requested by the home care provider.
185.12 (g) [APPROVAL OF HOME CARE SERVICES.] The commissioner or
185.13 the commissioner's designee shall determine the medical
185.14 necessity of home care services, the level of caregiver
185.15 according to subdivision 2, and the institutional comparison
185.16 according to this subdivision, the cost-effectiveness of
185.17 services, and the amount, scope, and duration of home care
185.18 services reimbursable by medical assistance, based on the
185.19 assessment, primary payer coverage determination information as
185.20 required, the service plan, the recipient's age, the cost of
185.21 services, the recipient's medical condition, and diagnosis or
185.22 disability. The commissioner may publish additional criteria
185.23 for determining medical necessity according to section 256B.04.
185.24 (h) [PRIOR AUTHORIZATION REQUESTS; TEMPORARY SERVICES.]
185.25 The agency nurse, the independently enrolled private duty nurse,
185.26 or county public health nurse may request a temporary
185.27 authorization for home care services by telephone. The
185.28 commissioner may approve a temporary level of home care services
185.29 based on the assessment, and service or care plan information,
185.30 and primary payer coverage determination information as required.
185.31 Authorization for a temporary level of home care services
185.32 including nurse supervision is limited to the time specified by
185.33 the commissioner, but shall not exceed 45 days, unless extended
185.34 because the county public health nurse has not completed the
185.35 required assessment and service plan, or the commissioner's
185.36 determination has not been made. The level of services
186.1 authorized under this provision shall have no bearing on a
186.2 future prior authorization.
186.3 (i) [PRIOR AUTHORIZATION REQUIRED IN FOSTER CARE SETTING.]
186.4 Home care services provided in an adult or child foster care
186.5 setting must receive prior authorization by the department
186.6 according to the limits established in paragraph (a).
186.7 The commissioner may not authorize:
186.8 (1) home care services that are the responsibility of the
186.9 foster care provider under the terms of the foster care
186.10 placement agreement and administrative rules. Requests for home
186.11 care services for recipients residing in a foster care setting
186.12 must include the foster care placement agreement and
186.13 determination of difficulty of care;
186.14 (2) personal care services when the foster care license
186.15 holder is also the personal care provider or personal care
186.16 assistant unless the recipient can direct the recipient's own
186.17 care, or case management is provided as required in section
186.18 256B.0625, subdivision 19a;
186.19 (3) personal care services when the responsible party is an
186.20 employee of, or under contract with, or has any direct or
186.21 indirect financial relationship with the personal care provider
186.22 or personal care assistant, unless case management is provided
186.23 as required in section 256B.0625, subdivision 19a;
186.24 (4) home care services when the number of foster care
186.25 residents is greater than four unless the county responsible for
186.26 the recipient's foster placement made the placement prior to
186.27 April 1, 1992, requests that home care services be provided, and
186.28 case management is provided as required in section 256B.0625,
186.29 subdivision 19a; or
186.30 (5) home care services when combined with foster care
186.31 payments, other than room and board payments that exceed the
186.32 total amount that public funds would pay for the recipient's
186.33 care in a medical institution.
186.34 Sec. 31. Minnesota Statutes 1997 Supplement, section
186.35 256B.0627, subdivision 8, is amended to read:
186.36 Subd. 8. [PERSONAL CARE ASSISTANT SERVICES; SHARED CARE.]
187.1 (a) Medical assistance payments for personal care assistance
187.2 shared care shall be limited according to this subdivision.
187.3 (b) Recipients of personal care assistant services may
187.4 share staff and the commissioner shall provide a rate system for
187.5 shared personal care assistant services. For two persons
187.6 sharing care, the rate system paid to a provider shall not
187.7 exceed 1-1/2 times the amount rate paid for providing services
187.8 to one person serving a single individual, and shall increase
187.9 incrementally by one-half the cost of serving a single person,
187.10 for each person served. A personal care assistant may not serve
187.11 more than three children in a single setting. for three persons
187.12 sharing care, the rate paid to a provider shall not exceed twice
187.13 the rate paid for serving a single individual. These rates
187.14 apply only to situations in which all recipients were present
187.15 and received shared care on the date for which the service is
187.16 billed. No more than three persons may receive shared care from
187.17 a personal care assistant in a single setting.
187.18 (c) Shared care is the provision of personal care services
187.19 by a personal care assistant to two or three recipients at the
187.20 same time and in the same setting. For the purposes of this
187.21 subdivision, "setting" means:
187.22 (1) the home or foster care home of one of the individual
187.23 recipients; or
187.24 (2) a child care program in which all recipients served by
187.25 one personal care assistant are participating, which is licensed
187.26 under chapter 245A or operated by a local school district or
187.27 private school.
187.28 The provisions of this subdivision do not apply when a
187.29 personal care assistant is caring for multiple recipients in
187.30 more than one setting.
187.31 (d) The recipient or the recipient's responsible party, in
187.32 conjunction with the county public health nurse, shall determine:
187.33 (1) whether shared care is an appropriate option based on
187.34 the individual needs and preferences of the recipient; and
187.35 (2) the amount of shared care allocated as part of the
187.36 overall authorization of personal care services.
188.1 The recipient or the responsible party, in conjunction with
188.2 the supervising registered nurse, shall approve the setting,
188.3 grouping, and arrangement of shared care based on the individual
188.4 needs and preferences of the recipients. Decisions on the
188.5 selection of recipients to share care must be based on the ages
188.6 of the recipients, compatibility, and coordination of their care
188.7 needs.
188.8 (e) The following items must be considered by the recipient
188.9 or the responsible party and the supervising nurse, and
188.10 documented in the recipient's care plan:
188.11 (1) the additional qualifications needed by the personal
188.12 care assistant to provide care to several recipients in the same
188.13 setting;
188.14 (2) the additional training and supervision needed by the
188.15 personal care assistant to ensure that the needs of the
188.16 recipient are met appropriately and safely. The provider must
188.17 provide on-site supervision by a registered nurse within the
188.18 first 14 days of shared care, and monthly thereafter;
188.19 (3) the setting in which the shared care will be provided;
188.20 (4) the ongoing monitoring and evaluation of the
188.21 effectiveness and appropriateness of the service and process
188.22 used to make changes in service or setting; and
188.23 (5) a contingency plan which accounts for absence of the
188.24 recipient in a shared care setting due to illness or other
188.25 circumstances and staffing contingencies.
188.26 (f) The provider must offer the recipient or the
188.27 responsible party the option of shared or individual personal
188.28 care assistant care. The recipient or the responsible party can
188.29 withdraw from participating in a shared care arrangement at any
188.30 time.
188.31 (g) In addition to documentation requirements under
188.32 Minnesota Rules, part 9505.2175, a personal care provider must
188.33 meet documentation requirements for shared personal care
188.34 services and must document the following in the health service
188.35 record for each individual recipient sharing care:
188.36 (1) authorization by the recipient or the recipient's
189.1 responsible party, if any, for the maximum number of shared care
189.2 hours per week chosen by the recipient;
189.3 (2) authorization by the recipient or the recipient's
189.4 responsible party, if any, for personal care services provided
189.5 outside the recipient's residence;
189.6 (3) authorization by the recipient or the recipient's
189.7 responsible party, if any, for others to receive shared care in
189.8 the recipient's residence;
189.9 (4) revocation by the recipient or the recipient's
189.10 responsible party, if any, of the shared care authorization, or
189.11 the shared care to be provided to others in the recipient's
189.12 residence, or the shared care to be provided outside the
189.13 recipient's residence;
189.14 (5) supervision of the shared care by the supervisory
189.15 nurse, including the date, time of day, number of hours spent
189.16 supervising the provision of shared care services, whether the
189.17 supervision was face-to-face or another method of supervision,
189.18 changes in the recipient's condition, shared care scheduling
189.19 issues and recommendations;
189.20 (6) documentation by the personal care assistant of
189.21 telephone calls or other discussions with the supervisory nurse
189.22 regarding services being provided to the recipient; and
189.23 (7) daily documentation of the shared care services
189.24 provided by each identified personal care assistant including:
189.25 (i) the names of each recipient receiving shared care
189.26 together;
189.27 (ii) the setting for the day's care, including the starting
189.28 and ending times that the recipient received shared care; and
189.29 (iii) notes by the personal care assistant regarding
189.30 changes in the recipient's condition, problems that may arise
189.31 from the sharing of care, scheduling issues, care issues, and
189.32 other notes as required by the supervising nurse.
189.33 (h) Unless otherwise provided in this subdivision, all
189.34 other statutory and regulatory provisions relating to personal
189.35 care services apply to shared care services.
189.36 Nothing in this subdivision shall be construed to reduce
190.1 the total number of hours authorized for an individual recipient.
190.2 Sec. 32. Minnesota Statutes 1997 Supplement, section
190.3 256B.0645, is amended to read:
190.4 256B.0645 [PROVIDER PAYMENTS; RETROACTIVE CHANGES IN
190.5 ELIGIBILITY.]
190.6 Payment to a provider for a health care service provided to
190.7 a general assistance medical care recipient who is later
190.8 determined eligible for medical assistance or MinnesotaCare
190.9 according to section 256L.14 256L.03, subdivision 1a, for the
190.10 period in which the health care service was provided, shall be
190.11 considered payment in full, and shall not may be adjusted due to
190.12 the change in eligibility. This section applies does not apply
190.13 to both fee-for-service payments and payments made to health
190.14 plans on a prepaid capitated basis.
190.15 Sec. 33. Minnesota Statutes 1997 Supplement, section
190.16 256B.0911, subdivision 2, is amended to read:
190.17 Subd. 2. [PERSONS REQUIRED TO BE SCREENED; EXEMPTIONS.]
190.18 All applicants to Medicaid certified nursing facilities must be
190.19 screened prior to admission, regardless of income, assets, or
190.20 funding sources, except the following:
190.21 (1) patients who, having entered acute care facilities from
190.22 certified nursing facilities, are returning to a certified
190.23 nursing facility;
190.24 (2) residents transferred from other certified nursing
190.25 facilities located within the state of Minnesota;
190.26 (3) individuals who have a contractual right to have their
190.27 nursing facility care paid for indefinitely by the veteran's
190.28 administration;
190.29 (4) individuals who are enrolled in the Ebenezer/Group
190.30 Health social health maintenance organization project, or
190.31 enrolled in a demonstration project under section 256B.69,
190.32 subdivision 18 8, at the time of application to a nursing home;
190.33 (5) individuals previously screened and currently being
190.34 served under the alternative care program or under a home and
190.35 community-based services waiver authorized under section 1915(c)
190.36 of the Social Security Act; or
191.1 (6) individuals who are admitted to a certified nursing
191.2 facility for a short-term stay, which, based upon a physician's
191.3 certification, is expected to be 14 days or less in duration,
191.4 and who have been screened and approved for nursing facility
191.5 admission within the previous six months. This exemption
191.6 applies only if the screener determines at the time of the
191.7 initial screening of the six-month period that it is appropriate
191.8 to use the nursing facility for short-term stays and that there
191.9 is an adequate plan of care for return to the home or
191.10 community-based setting. If a stay exceeds 14 days, the
191.11 individual must be referred no later than the first county
191.12 working day following the 14th resident day for a screening,
191.13 which must be completed within five working days of the
191.14 referral. Payment limitations in subdivision 7 will apply to an
191.15 individual found at screening to not meet the level of care
191.16 criteria for admission to a certified nursing facility.
191.17 Regardless of the exemptions in clauses (2) to (6), persons
191.18 who have a diagnosis or possible diagnosis of mental illness,
191.19 mental retardation, or a related condition must receive a
191.20 preadmission screening before admission unless the admission
191.21 prior to screening is authorized by the local mental health
191.22 authority or the local developmental disabilities case manager,
191.23 or unless authorized by the county agency according to Public
191.24 Law Number 101-508.
191.25 Before admission to a Medicaid certified nursing home or
191.26 boarding care home, all persons must be screened and approved
191.27 for admission through an assessment process. The nursing
191.28 facility is authorized to conduct case mix assessments which are
191.29 not conducted by the county public health nurse under Minnesota
191.30 Rules, part 9549.0059. The designated county agency is
191.31 responsible for distributing the quality assurance and review
191.32 form for all new applicants to nursing homes.
191.33 Other persons who are not applicants to nursing facilities
191.34 must be screened if a request is made for a screening.
191.35 Sec. 34. Minnesota Statutes 1996, section 256B.0911,
191.36 subdivision 4, is amended to read:
192.1 Subd. 4. [RESPONSIBILITIES OF THE COUNTY AND THE SCREENING
192.2 TEAM.] (a) The county shall:
192.3 (1) provide information and education to the general public
192.4 regarding availability of the preadmission screening program;
192.5 (2) accept referrals from individuals, families, human
192.6 service and health professionals, and hospital and nursing
192.7 facility personnel;
192.8 (3) assess the health, psychological, and social needs of
192.9 referred individuals and identify services needed to maintain
192.10 these persons in the least restrictive environments;
192.11 (4) determine if the individual screened needs nursing
192.12 facility level of care;
192.13 (5) assess specialized service needs based upon an
192.14 evaluation by:
192.15 (i) a qualified independent mental health professional for
192.16 persons with a primary or secondary diagnosis of a serious
192.17 mental illness; and
192.18 (ii) a qualified mental retardation professional for
192.19 persons with a primary or secondary diagnosis of mental
192.20 retardation or related conditions. For purposes of this clause,
192.21 a qualified mental retardation professional must meet the
192.22 standards for a qualified mental retardation professional in
192.23 Code of Federal Regulations, title 42, section 483.430;
192.24 (6) make recommendations for individuals screened regarding
192.25 cost-effective community services which are available to the
192.26 individual;
192.27 (7) make recommendations for individuals screened regarding
192.28 nursing home placement when there are no cost-effective
192.29 community services available;
192.30 (8) develop an individual's community care plan and provide
192.31 follow-up services as needed; and
192.32 (9) prepare and submit reports that may be required by the
192.33 commissioner of human services.
192.34 (b) The screener shall document that the most
192.35 cost-effective alternatives available were offered to the
192.36 individual or the individual's legal representative. For
193.1 purposes of this section, "cost-effective alternatives" means
193.2 community services and living arrangements that cost the same or
193.3 less than nursing facility care.
193.4 (c) Screeners shall adhere to the level of care criteria
193.5 for admission to a certified nursing facility established under
193.6 section 144.0721.
193.7 (d) For persons who are eligible for medical assistance or
193.8 who would be eligible within 180 days of admission to a nursing
193.9 facility and who are admitted to a nursing facility, the nursing
193.10 facility must include a screener or the case manager in the
193.11 discharge planning process for those individuals who the team
193.12 has determined have discharge potential. The screener or the
193.13 case manager must ensure a smooth transition and follow-up for
193.14 the individual's return to the community.
193.15 Screeners shall cooperate with other public and private
193.16 agencies in the community, in order to offer a variety of
193.17 cost-effective services to the disabled and elderly. The
193.18 screeners shall encourage the use of volunteers from families,
193.19 religious organizations, social clubs, and similar civic and
193.20 service organizations to provide services.
193.21 Sec. 35. Minnesota Statutes 1997 Supplement, section
193.22 256B.0911, subdivision 7, is amended to read:
193.23 Subd. 7. [REIMBURSEMENT FOR CERTIFIED NURSING FACILITIES.]
193.24 (a) Medical assistance reimbursement for nursing facilities
193.25 shall be authorized for a medical assistance recipient only if a
193.26 preadmission screening has been conducted prior to admission or
193.27 the local county agency has authorized an exemption. Medical
193.28 assistance reimbursement for nursing facilities shall not be
193.29 provided for any recipient who the local screener has determined
193.30 does not meet the level of care criteria for nursing facility
193.31 placement or, if indicated, has not had a level II PASARR
193.32 evaluation completed unless an admission for a recipient with
193.33 mental illness is approved by the local mental health authority
193.34 or an admission for a recipient with mental retardation or
193.35 related condition is approved by the state mental retardation
193.36 authority. The county preadmission screening team may deny
194.1 certified nursing facility admission using the level of care
194.2 criteria established under section 144.0721 and deny medical
194.3 assistance reimbursement for certified nursing facility care.
194.4 Persons receiving care in a certified nursing facility or
194.5 certified boarding care home who are reassessed by the
194.6 commissioner of health according to section 144.0722 and
194.7 determined to no longer meet the level of care criteria for a
194.8 certified nursing facility or certified boarding care home may
194.9 no longer remain a resident in the certified nursing facility or
194.10 certified boarding care home and must be relocated to the
194.11 community if the persons were admitted on or after July 1, 1998.
194.12 (b) Persons receiving services under section 256B.0913,
194.13 subdivisions 1 to 14, or 256B.0915 who are reassessed and found
194.14 to not meet the level of care criteria for admission to a
194.15 certified nursing facility or certified boarding care home may
194.16 no longer receive these services if persons were admitted to the
194.17 program on or after July 1, 1998. The commissioner shall make a
194.18 request to the health care financing administration for a waiver
194.19 allowing screening team approval of Medicaid payments for
194.20 certified nursing facility care. An individual has a choice and
194.21 makes the final decision between nursing facility placement and
194.22 community placement after the screening team's recommendation,
194.23 except as provided in paragraphs (b) and (c).
194.24 (c) The local county mental health authority or the state
194.25 mental retardation authority under Public Law Numbers 100-203
194.26 and 101-508 may prohibit admission to a nursing facility, if the
194.27 individual does not meet the nursing facility level of care
194.28 criteria or needs specialized services as defined in Public Law
194.29 Numbers 100-203 and 101-508. For purposes of this section,
194.30 "specialized services" for a person with mental retardation or a
194.31 related condition means "active treatment" as that term is
194.32 defined in Code of Federal Regulations, title 42, section
194.33 483.440(a)(1).
194.34 (d) Upon the receipt by the commissioner of approval by the
194.35 Secretary of Health and Human Services of the waiver requested
194.36 under paragraph (a), the local screener shall deny medical
195.1 assistance reimbursement for nursing facility care for an
195.2 individual whose long-term care needs can be met in a
195.3 community-based setting and whose cost of community-based home
195.4 care services is less than 75 percent of the average payment for
195.5 nursing facility care for that individual's case mix
195.6 classification, and who is either:
195.7 (i) a current medical assistance recipient being screened
195.8 for admission to a nursing facility; or
195.9 (ii) an individual who would be eligible for medical
195.10 assistance within 180 days of entering a nursing facility and
195.11 who meets a nursing facility level of care.
195.12 (e) Appeals from the screening team's recommendation or the
195.13 county agency's final decision shall be made according to
195.14 section 256.045, subdivision 3.
195.15 Sec. 36. Minnesota Statutes 1997 Supplement, section
195.16 256B.0913, subdivision 14, is amended to read:
195.17 Subd. 14. [REIMBURSEMENT AND RATE ADJUSTMENTS.] (a)
195.18 Reimbursement for expenditures for the alternative care services
195.19 as approved by the client's case manager shall be through the
195.20 invoice processing procedures of the department's Medicaid
195.21 Management Information System (MMIS). To receive reimbursement,
195.22 the county or vendor must submit invoices within 12 months
195.23 following the date of service. The county agency and its
195.24 vendors under contract shall not be reimbursed for services
195.25 which exceed the county allocation.
195.26 (b) If a county collects less than 50 percent of the client
195.27 premiums due under subdivision 12, the commissioner may withhold
195.28 up to three percent of the county's final alternative care
195.29 program allocation determined under subdivisions 10 and 11.
195.30 (c) For fiscal years beginning on or after July 1, 1993,
195.31 the commissioner of human services shall not provide automatic
195.32 annual inflation adjustments for alternative care services. The
195.33 commissioner of finance shall include as a budget change request
195.34 in each biennial detailed expenditure budget submitted to the
195.35 legislature under section 16A.11 annual adjustments in
195.36 reimbursement rates for alternative care services based on the
196.1 forecasted percentage change in the Home Health Agency Market
196.2 Basket of Operating Costs, for the fiscal year beginning July 1,
196.3 compared to the previous fiscal year, unless otherwise adjusted
196.4 by statute. The Home Health Agency Market Basket of Operating
196.5 Costs is published by Data Resources, Inc. The forecast to be
196.6 used is the one published for the calendar quarter beginning
196.7 January 1, six months prior to the beginning of the fiscal year
196.8 for which rates are set.
196.9 (d) The county shall negotiate individual rates with
196.10 vendors and may be reimbursed for actual costs up to the greater
196.11 of the county's current approved rate or 60 percent of the
196.12 maximum rate in fiscal year 1994 and 65 percent of the maximum
196.13 rate in fiscal year 1995 for each alternative care service.
196.14 Notwithstanding any other rule or statutory provision to the
196.15 contrary, the commissioner shall not be authorized to increase
196.16 rates by an annual inflation factor, unless so authorized by the
196.17 legislature.
196.18 (e) (d) On July 1, 1993, the commissioner shall increase
196.19 the maximum rate for home delivered meals to $4.50 per meal.
196.20 Sec. 37. Minnesota Statutes 1997 Supplement, section
196.21 256B.0915, subdivision 1d, is amended to read:
196.22 Subd. 1d. [POSTELIGIBILITY TREATMENT OF INCOME AND
196.23 RESOURCES FOR ELDERLY WAIVER.] (a) Notwithstanding the
196.24 provisions of section 256B.056, the commissioner shall make the
196.25 following amendment to the medical assistance elderly waiver
196.26 program effective July 1, 1997 1999, or upon federal approval,
196.27 whichever is later.
196.28 A recipient's maintenance needs will be an amount equal to
196.29 the Minnesota supplemental aid equivalent rate as defined in
196.30 section 256I.03, subdivision 5, plus the medical assistance
196.31 personal needs allowance as defined in section 256B.35,
196.32 subdivision 1, paragraph (a), when applying posteligibility
196.33 treatment of income rules to the gross income of elderly waiver
196.34 recipients, except for individuals whose income is in excess of
196.35 the special income standard according to Code of Federal
196.36 Regulations, title 42, section 435.236. Recipient maintenance
197.1 needs shall be adjusted under this provision each July 1.
197.2 (b) The commissioner of human services shall secure
197.3 approval of additional elderly waiver slots sufficient to serve
197.4 persons who will qualify under the revised income standard
197.5 described in paragraph (a) before implementing section
197.6 256B.0913, subdivision 16.
197.7 (c) In implementing this subdivision, the commissioner
197.8 shall consider allowing persons who would otherwise be eligible
197.9 for the alternative care program but would qualify for the
197.10 elderly waiver with a spenddown to remain on the alternative
197.11 care program.
197.12 Sec. 38. Minnesota Statutes 1997 Supplement, section
197.13 256B.0915, subdivision 3, is amended to read:
197.14 Subd. 3. [LIMITS OF CASES, RATES, REIMBURSEMENT, AND
197.15 FORECASTING.] (a) The number of medical assistance waiver
197.16 recipients that a county may serve must be allocated according
197.17 to the number of medical assistance waiver cases open on July 1
197.18 of each fiscal year. Additional recipients may be served with
197.19 the approval of the commissioner.
197.20 (b) The monthly limit for the cost of waivered services to
197.21 an individual waiver client shall be the statewide average
197.22 payment rate of the case mix resident class to which the waiver
197.23 client would be assigned under the medical assistance case mix
197.24 reimbursement system. If medical supplies and equipment or
197.25 adaptations are or will be purchased for an elderly waiver
197.26 services recipient, the costs may be prorated on a monthly basis
197.27 throughout the year in which they are purchased. If the monthly
197.28 cost of a recipient's other waivered services exceeds the
197.29 monthly limit established in this paragraph, the annual cost of
197.30 the waivered services shall be determined. In this event, the
197.31 annual cost of waivered services shall not exceed 12 times the
197.32 monthly limit calculated in this paragraph. The statewide
197.33 average payment rate is calculated by determining the statewide
197.34 average monthly nursing home rate, effective July 1 of the
197.35 fiscal year in which the cost is incurred, less the statewide
197.36 average monthly income of nursing home residents who are age 65
198.1 or older, and who are medical assistance recipients in the month
198.2 of March of the previous state fiscal year. The annual cost
198.3 divided by 12 of elderly or disabled waivered services for a
198.4 person who is a nursing facility resident at the time of
198.5 requesting a determination of eligibility for elderly or
198.6 disabled waivered services shall be the greater of the monthly
198.7 payment for: (i) the resident class assigned under Minnesota
198.8 Rules, parts 9549.0050 to 9549.0059, for that resident in the
198.9 nursing facility where the resident currently resides; or (ii)
198.10 the statewide average payment of the case mix resident class to
198.11 which the resident would be assigned under the medical
198.12 assistance case mix reimbursement system, provided that the
198.13 limit under this clause only applies to persons discharged from
198.14 a nursing facility and found eligible for waivered services on
198.15 or after July 1, 1997. The following costs must be included in
198.16 determining the total monthly costs for the waiver client:
198.17 (1) cost of all waivered services, including extended
198.18 medical supplies and equipment; and
198.19 (2) cost of skilled nursing, home health aide, and personal
198.20 care services reimbursable by medical assistance.
198.21 (c) Medical assistance funding for skilled nursing
198.22 services, private duty nursing, home health aide, and personal
198.23 care services for waiver recipients must be approved by the case
198.24 manager and included in the individual care plan.
198.25 (d) For both the elderly waiver and the nursing facility
198.26 disabled waiver, a county may purchase extended supplies and
198.27 equipment without prior approval from the commissioner when
198.28 there is no other funding source and the supplies and equipment
198.29 are specified in the individual's care plan as medically
198.30 necessary to enable the individual to remain in the community
198.31 according to the criteria in Minnesota Rules, part 9505.0210,
198.32 items A and B. A county is not required to contract with a
198.33 provider of supplies and equipment if the monthly cost of the
198.34 supplies and equipment is less than $250.
198.35 (e) For the fiscal year beginning on July 1, 1993, and for
198.36 subsequent fiscal years, the commissioner of human services
199.1 shall not provide automatic annual inflation adjustments for
199.2 home and community-based waivered services. The commissioner of
199.3 finance shall include as a budget change request in each
199.4 biennial detailed expenditure budget submitted to the
199.5 legislature under section 16A.11, annual adjustments in
199.6 reimbursement rates for home and community-based waivered
199.7 services, based on the forecasted percentage change in the Home
199.8 Health Agency Market Basket of Operating Costs, for the fiscal
199.9 year beginning July 1, compared to the previous fiscal year,
199.10 unless otherwise adjusted by statute. The Home Health Agency
199.11 Market Basket of Operating Costs is published by Data Resources,
199.12 Inc. The forecast to be used is the one published for the
199.13 calendar quarter beginning January 1, six months prior to the
199.14 beginning of the fiscal year for which rates are set. The adult
199.15 foster care rate shall be considered a difficulty of care
199.16 payment and shall not include room and board.
199.17 (f) The adult foster care daily rate for the elderly and
199.18 disabled waivers shall be negotiated between the county agency
199.19 and the foster care provider. The rate established under this
199.20 section shall not exceed the state average monthly nursing home
199.21 payment for the case mix classification to which the individual
199.22 receiving foster care is assigned; the rate must allow for other
199.23 waiver and medical assistance home care services to be
199.24 authorized by the case manager.
199.25 (g) (f) The assisted living and residential care service
199.26 rates for elderly and community alternatives for disabled
199.27 individuals (CADI) waivers shall be made to the vendor as a
199.28 monthly rate negotiated with the county agency based on an
199.29 individualized service plan for each resident. The rate shall
199.30 not exceed the nonfederal share of the greater of either the
199.31 statewide or any of the geographic groups' weighted average
199.32 monthly medical assistance nursing facility payment rate of the
199.33 case mix resident class to which the elderly or disabled client
199.34 would be assigned under Minnesota Rules, parts 9549.0050 to
199.35 9549.0059, unless the services are provided by a home care
199.36 provider licensed by the department of health and are provided
200.1 in a building that is registered as a housing with services
200.2 establishment under chapter 144D and that provides 24-hour
200.3 supervision. For alternative care assisted living projects
200.4 established under Laws 1988, chapter 689, article 2, section
200.5 256, monthly rates may not exceed 65 percent of the greater of
200.6 either the statewide or any of the geographic groups' weighted
200.7 average monthly medical assistance nursing facility payment rate
200.8 for the case mix resident class to which the elderly or disabled
200.9 client would be assigned under Minnesota Rules, parts 9549.0050
200.10 to 9549.0059. The rate may not cover direct rent or food costs.
200.11 (h) (g) The county shall negotiate individual rates with
200.12 vendors and may be reimbursed for actual costs up to the greater
200.13 of the county's current approved rate or 60 percent of the
200.14 maximum rate in fiscal year 1994 and 65 percent of the maximum
200.15 rate in fiscal year 1995 for each service within each program.
200.16 (i) (h) On July 1, 1993, the commissioner shall increase
200.17 the maximum rate for home-delivered meals to $4.50 per meal.
200.18 (j) (i) Reimbursement for the medical assistance recipients
200.19 under the approved waiver shall be made from the medical
200.20 assistance account through the invoice processing procedures of
200.21 the department's Medicaid Management Information System (MMIS),
200.22 only with the approval of the client's case manager. The budget
200.23 for the state share of the Medicaid expenditures shall be
200.24 forecasted with the medical assistance budget, and shall be
200.25 consistent with the approved waiver.
200.26 (k) (j) Beginning July 1, 1991, the state shall reimburse
200.27 counties according to the payment schedule in section 256.025
200.28 for the county share of costs incurred under this subdivision on
200.29 or after January 1, 1991, for individuals who are receiving
200.30 medical assistance.
200.31 (l) (k) For the community alternatives for disabled
200.32 individuals waiver, and nursing facility disabled waivers,
200.33 county may use waiver funds for the cost of minor adaptations to
200.34 a client's residence or vehicle without prior approval from the
200.35 commissioner if there is no other source of funding and the
200.36 adaptation:
201.1 (1) is necessary to avoid institutionalization;
201.2 (2) has no utility apart from the needs of the client; and
201.3 (3) meets the criteria in Minnesota Rules, part 9505.0210,
201.4 items A and B.
201.5 For purposes of this subdivision, "residence" means the client's
201.6 own home, the client's family residence, or a family foster
201.7 home. For purposes of this subdivision, "vehicle" means the
201.8 client's vehicle, the client's family vehicle, or the client's
201.9 family foster home vehicle.
201.10 (m) (l) The commissioner shall establish a maximum rate
201.11 unit for baths provided by an adult day care provider that are
201.12 not included in the provider's contractual daily or hourly rate.
201.13 This maximum rate must equal the home health aide extended rate
201.14 and shall be paid for baths provided to clients served under the
201.15 elderly and disabled waivers.
201.16 Sec. 39. Minnesota Statutes 1996, section 256B.0916, is
201.17 amended to read:
201.18 256B.0916 [EXPANSION OF HOME AND COMMUNITY-BASED SERVICES;
201.19 MANAGEMENT AND ALLOCATION RESPONSIBILITIES.]
201.20 (a) The commissioner shall expand availability of home and
201.21 community-based services for persons with mental retardation and
201.22 related conditions to the extent allowed by federal law and
201.23 regulation and shall assist counties in transferring persons
201.24 from semi-independent living services to home and
201.25 community-based services. The commissioner may transfer funds
201.26 from the state semi-independent living services account
201.27 available under section 252.275, subdivision 8, and state
201.28 community social services aids available under section 256E.15
201.29 to the medical assistance account to pay for the nonfederal
201.30 share of nonresidential and residential home and community-based
201.31 services authorized under section 256B.092 for persons
201.32 transferring from semi-independent living services.
201.33 (b) Upon federal approval, county boards are not
201.34 responsible for funding semi-independent living services as a
201.35 social service for those persons who have transferred to the
201.36 home and community-based waiver program as a result of the
202.1 expansion under this subdivision. The county responsibility for
202.2 those persons transferred shall be assumed under section
202.3 256B.092. Notwithstanding the provisions of section 252.275,
202.4 the commissioner shall continue to allocate funds under that
202.5 section for semi-independent living services and county boards
202.6 shall continue to fund services under sections 256E.06 and
202.7 256E.14 for those persons who cannot access home and
202.8 community-based services under section 256B.092.
202.9 (c) Eighty percent of the state funds made available to the
202.10 commissioner under section 252.275 as a result of persons
202.11 transferring from the semi-independent living services program
202.12 to the home and community-based services program shall be used
202.13 to fund additional persons in the semi-independent living
202.14 services program.
202.15 (d) Beginning August 1, 1998, the commissioner shall issue
202.16 an annual report on the home and community-based waiver for
202.17 persons with mental retardation or related conditions, that
202.18 includes a list of the counties in which less than 95 percent of
202.19 the allocation provided, excluding the county waivered services
202.20 reserve, has been committed for two or more quarters during the
202.21 previous state fiscal year. For each listed county, the report
202.22 shall include the amount of funds allocated but not used, the
202.23 number and ages of individuals screened and waiting for
202.24 services, the services needed, a description of the technical
202.25 assistance provided by the commissioner to assist the counties
202.26 in jointly planning with other counties in order to serve more
202.27 persons, and additional actions which will be taken to serve
202.28 those screened and waiting for services.
202.29 (e) The commissioner shall make available to interested
202.30 parties, upon request, financial information by county including
202.31 the amount of resources allocated for the home and
202.32 community-based waiver for persons with mental retardation and
202.33 related conditions, the resources committed, the number of
202.34 persons screened and waiting for services, the type of services
202.35 requested by those waiting, and the amount of allocated
202.36 resources not committed.
203.1 Sec. 40. Minnesota Statutes 1997 Supplement, section
203.2 256B.0951, is amended by adding a subdivision to read:
203.3 Subd. 7. [WAIVER OF RULES.] The commissioner of health may
203.4 exempt residents of intermediate care facilities for persons
203.5 with mental retardation (ICFs/MR) who participate in the
203.6 three-year quality assurance pilot project established in
203.7 section 256B.095 from the requirements of Minnesota Rules,
203.8 chapter 4665, upon approval by the federal government of a
203.9 waiver of federal certification requirements for ICFs/MR. The
203.10 commissioners of health and human services shall apply for any
203.11 necessary waivers as soon as practicable and shall submit the
203.12 concept paper to the federal government by June 1, 1998.
203.13 Sec. 41. Minnesota Statutes 1996, section 256B.41,
203.14 subdivision 1, is amended to read:
203.15 Subdivision 1. [AUTHORITY.] The commissioner shall
203.16 establish, by rule, procedures for determining rates for care of
203.17 residents of nursing facilities which qualify as vendors of
203.18 medical assistance, and for implementing the provisions of this
203.19 section and sections 256B.421, 256B.431, 256B.432, 256B.433,
203.20 256B.47, 256B.48, 256B.50, and 256B.502. The procedures shall
203.21 be based on methods and standards that the commissioner finds
203.22 are adequate to provide for the costs that must be incurred for
203.23 the care of residents in efficiently and economically operated
203.24 nursing facilities and shall specify the costs that are
203.25 allowable for establishing payment rates through medical
203.26 assistance.
203.27 Sec. 42. Minnesota Statutes 1996, section 256B.431,
203.28 subdivision 2b, is amended to read:
203.29 Subd. 2b. [OPERATING COSTS, AFTER JULY 1, 1985.] (a) For
203.30 rate years beginning on or after July 1, 1985, the commissioner
203.31 shall establish procedures for determining per diem
203.32 reimbursement for operating costs.
203.33 (b) The commissioner shall contract with an econometric
203.34 firm with recognized expertise in and access to national
203.35 economic change indices that can be applied to the appropriate
203.36 cost categories when determining the operating cost payment rate.
204.1 (c) The commissioner shall analyze and evaluate each
204.2 nursing facility's cost report of allowable operating costs
204.3 incurred by the nursing facility during the reporting year
204.4 immediately preceding the rate year for which the payment rate
204.5 becomes effective.
204.6 (d) The commissioner shall establish limits on actual
204.7 allowable historical operating cost per diems based on cost
204.8 reports of allowable operating costs for the reporting year that
204.9 begins October 1, 1983, taking into consideration relevant
204.10 factors including resident needs, geographic location, and size
204.11 of the nursing facility, and the costs that must be incurred for
204.12 the care of residents in an efficiently and economically
204.13 operated nursing facility. In developing the geographic groups
204.14 for purposes of reimbursement under this section, the
204.15 commissioner shall ensure that nursing facilities in any county
204.16 contiguous to the Minneapolis-St. Paul seven-county metropolitan
204.17 area are included in the same geographic group. The limits
204.18 established by the commissioner shall not be less, in the
204.19 aggregate, than the 60th percentile of total actual allowable
204.20 historical operating cost per diems for each group of nursing
204.21 facilities established under subdivision 1 based on cost reports
204.22 of allowable operating costs in the previous reporting year.
204.23 For rate years beginning on or after July 1, 1989, facilities
204.24 located in geographic group I as described in Minnesota Rules,
204.25 part 9549.0052, on January 1, 1989, may choose to have the
204.26 commissioner apply either the care related limits or the other
204.27 operating cost limits calculated for facilities located in
204.28 geographic group II, or both, if either of the limits calculated
204.29 for the group II facilities is higher. The efficiency incentive
204.30 for geographic group I nursing facilities must be calculated
204.31 based on geographic group I limits. The phase-in must be
204.32 established utilizing the chosen limits. For purposes of these
204.33 exceptions to the geographic grouping requirements, the
204.34 definitions in Minnesota Rules, parts 9549.0050 to 9549.0059
204.35 (Emergency), and 9549.0010 to 9549.0080, apply. The limits
204.36 established under this paragraph remain in effect until the
205.1 commissioner establishes a new base period. Until the new base
205.2 period is established, the commissioner shall adjust the limits
205.3 annually using the appropriate economic change indices
205.4 established in paragraph (e). In determining allowable
205.5 historical operating cost per diems for purposes of setting
205.6 limits and nursing facility payment rates, the commissioner
205.7 shall divide the allowable historical operating costs by the
205.8 actual number of resident days, except that where a nursing
205.9 facility is occupied at less than 90 percent of licensed
205.10 capacity days, the commissioner may establish procedures to
205.11 adjust the computation of the per diem to an imputed occupancy
205.12 level at or below 90 percent. The commissioner shall establish
205.13 efficiency incentives as appropriate. The commissioner may
205.14 establish efficiency incentives for different operating cost
205.15 categories. The commissioner shall consider establishing
205.16 efficiency incentives in care related cost categories. The
205.17 commissioner may combine one or more operating cost categories
205.18 and may use different methods for calculating payment rates for
205.19 each operating cost category or combination of operating cost
205.20 categories. For the rate year beginning on July 1, 1985, the
205.21 commissioner shall:
205.22 (1) allow nursing facilities that have an average length of
205.23 stay of 180 days or less in their skilled nursing level of care,
205.24 125 percent of the care related limit and 105 percent of the
205.25 other operating cost limit established by rule; and
205.26 (2) exempt nursing facilities licensed on July 1, 1983, by
205.27 the commissioner to provide residential services for the
205.28 physically handicapped under Minnesota Rules, parts 9570.2000 to
205.29 9570.3600, from the care related limits and allow 105 percent of
205.30 the other operating cost limit established by rule.
205.31 For the purpose of calculating the other operating cost
205.32 efficiency incentive for nursing facilities referred to in
205.33 clause (1) or (2), the commissioner shall use the other
205.34 operating cost limit established by rule before application of
205.35 the 105 percent.
205.36 (e) The commissioner shall establish a composite index or
206.1 indices by determining the appropriate economic change
206.2 indicators to be applied to specific operating cost categories
206.3 or combination of operating cost categories.
206.4 (f) Each nursing facility shall receive an operating cost
206.5 payment rate equal to the sum of the nursing facility's
206.6 operating cost payment rates for each operating cost category.
206.7 The operating cost payment rate for an operating cost category
206.8 shall be the lesser of the nursing facility's historical
206.9 operating cost in the category increased by the appropriate
206.10 index established in paragraph (e) for the operating cost
206.11 category plus an efficiency incentive established pursuant to
206.12 paragraph (d) or the limit for the operating cost category
206.13 increased by the same index. If a nursing facility's actual
206.14 historic operating costs are greater than the prospective
206.15 payment rate for that rate year, there shall be no retroactive
206.16 cost settle-up. In establishing payment rates for one or more
206.17 operating cost categories, the commissioner may establish
206.18 separate rates for different classes of residents based on their
206.19 relative care needs.
206.20 (g) The commissioner shall include the reported actual real
206.21 estate tax liability or payments in lieu of real estate tax of
206.22 each nursing facility as an operating cost of that nursing
206.23 facility. Allowable costs under this subdivision for payments
206.24 made by a nonprofit nursing facility that are in lieu of real
206.25 estate taxes shall not exceed the amount which the nursing
206.26 facility would have paid to a city or township and county for
206.27 fire, police, sanitation services, and road maintenance costs
206.28 had real estate taxes been levied on that property for those
206.29 purposes. For rate years beginning on or after July 1, 1987,
206.30 the reported actual real estate tax liability or payments in
206.31 lieu of real estate tax of nursing facilities shall be adjusted
206.32 to include an amount equal to one-half of the dollar change in
206.33 real estate taxes from the prior year. The commissioner shall
206.34 include a reported actual special assessment, and reported
206.35 actual license fees required by the Minnesota department of
206.36 health, for each nursing facility as an operating cost of that
207.1 nursing facility. For rate years beginning on or after July 1,
207.2 1989, the commissioner shall include a nursing facility's
207.3 reported public employee retirement act contribution for the
207.4 reporting year as apportioned to the care-related operating cost
207.5 categories and other operating cost categories multiplied by the
207.6 appropriate composite index or indices established pursuant to
207.7 paragraph (e) as costs under this paragraph. Total adjusted
207.8 real estate tax liability, payments in lieu of real estate tax,
207.9 actual special assessments paid, the indexed public employee
207.10 retirement act contribution, and license fees paid as required
207.11 by the Minnesota department of health, for each nursing facility
207.12 (1) shall be divided by actual resident days in order to compute
207.13 the operating cost payment rate for this operating cost
207.14 category, (2) shall not be used to compute the care-related
207.15 operating cost limits or other operating cost limits established
207.16 by the commissioner, and (3) shall not be increased by the
207.17 composite index or indices established pursuant to paragraph
207.18 (e), unless otherwise indicated in this paragraph.
207.19 (h) For rate years beginning on or after July 1, 1987, the
207.20 commissioner shall adjust the rates of a nursing facility that
207.21 meets the criteria for the special dietary needs of its
207.22 residents and the requirements in section 31.651. The
207.23 adjustment for raw food cost shall be the difference between the
207.24 nursing facility's allowable historical raw food cost per diem
207.25 and 115 percent of the median historical allowable raw food cost
207.26 per diem of the corresponding geographic group.
207.27 The rate adjustment shall be reduced by the applicable
207.28 phase-in percentage as provided under subdivision 2h.
207.29 (i) For the cost report year ending September 30, 1996, and
207.30 for all subsequent reporting years, certified nursing facilities
207.31 must identify, differentiate, and record resident day statistics
207.32 for residents in case mix classification A who, on or after July
207.33 1, 1996, meet the modified level of care criteria in section
207.34 144.0721. The resident day statistics shall be separated into
207.35 case mix classification A-1 for any resident day meeting the
207.36 high-function class A level of care criteria and case mix
208.1 classification A-2 for other case mix class A resident days.
208.2 Sec. 43. Minnesota Statutes 1996, section 256B.501,
208.3 subdivision 2, is amended to read:
208.4 Subd. 2. [AUTHORITY.] The commissioner shall establish
208.5 procedures and rules for determining rates for care of residents
208.6 of intermediate care facilities for persons with mental
208.7 retardation or related conditions which qualify as providers of
208.8 medical assistance and waivered services. Approved rates shall
208.9 be established on the basis of methods and standards that the
208.10 commissioner finds adequate to provide for the costs that must
208.11 be incurred for the quality care of residents in efficiently and
208.12 economically operated facilities and services. The procedures
208.13 shall specify the costs that are allowable for payment through
208.14 medical assistance. The commissioner may use experts from
208.15 outside the department in the establishment of the procedures.
208.16 Sec. 44. Minnesota Statutes 1997 Supplement, section
208.17 256B.69, subdivision 2, is amended to read:
208.18 Subd. 2. [DEFINITIONS.] For the purposes of this section,
208.19 the following terms have the meanings given.
208.20 (a) "Commissioner" means the commissioner of human services.
208.21 For the remainder of this section, the commissioner's
208.22 responsibilities for methods and policies for implementing the
208.23 project will be proposed by the project advisory committees and
208.24 approved by the commissioner.
208.25 (b) "Demonstration provider" means a health maintenance
208.26 organization or, community integrated service network, or
208.27 accountable provider network authorized and operating under
208.28 chapter 62D or, 62N, or 62T that participates in the
208.29 demonstration project according to criteria, standards, methods,
208.30 and other requirements established for the project and approved
208.31 by the commissioner. Notwithstanding the above, Itasca county
208.32 may continue to participate as a demonstration provider until
208.33 July 1, 2000.
208.34 (c) "Eligible individuals" means those persons eligible for
208.35 medical assistance benefits as defined in sections 256B.055,
208.36 256B.056, and 256B.06.
209.1 (d) "Limitation of choice" means suspending freedom of
209.2 choice while allowing eligible individuals to choose among the
209.3 demonstration providers.
209.4 (e) This paragraph supersedes paragraph (c) as long as the
209.5 Minnesota health care reform waiver remains in effect. When the
209.6 waiver expires, this paragraph expires and the commissioner of
209.7 human services shall publish a notice in the State Register and
209.8 notify the revisor of statutes. "Eligible individuals" means
209.9 those persons eligible for medical assistance benefits as
209.10 defined in sections 256B.055, 256B.056, and 256B.06.
209.11 Notwithstanding sections 256B.055, 256B.056, and 256B.06, an
209.12 individual who becomes ineligible for the program because of
209.13 failure to submit income reports or recertification forms in a
209.14 timely manner, shall remain enrolled in the prepaid health plan
209.15 and shall remain eligible to receive medical assistance coverage
209.16 through the last day of the month following the month in which
209.17 the enrollee became ineligible for the medical assistance
209.18 program.
209.19 Sec. 45. Minnesota Statutes 1997 Supplement, section
209.20 256B.69, subdivision 3a, is amended to read:
209.21 Subd. 3a. [COUNTY AUTHORITY.] (a) The commissioner, when
209.22 implementing the general assistance medical care, or medical
209.23 assistance prepayment program within a county, must include the
209.24 county board in the process of development, approval, and
209.25 issuance of the request for proposals to provide services to
209.26 eligible individuals within the proposed county. County boards
209.27 must be given reasonable opportunity to make recommendations
209.28 regarding the development, issuance, review of responses, and
209.29 changes needed in the request for proposals. The commissioner
209.30 must provide county boards the opportunity to review each
209.31 proposal based on the identification of community needs under
209.32 chapters 145A and 256E and county advocacy activities. If a
209.33 county board finds that a proposal does not address certain
209.34 community needs, the county board and commissioner shall
209.35 continue efforts for improving the proposal and network prior to
209.36 the approval of the contract. The county board shall make
210.1 recommendations regarding the approval of local networks and
210.2 their operations to ensure adequate availability and access to
210.3 covered services. The provider or health plan must respond
210.4 directly to county advocates and the state prepaid medical
210.5 assistance ombudsperson regarding service delivery and must be
210.6 accountable to the state regarding contracts with medical
210.7 assistance and general assistance medical care funds. The
210.8 county board may recommend a maximum number of participating
210.9 health plans after considering the size of the enrolling
210.10 population; ensuring adequate access and capacity; considering
210.11 the client and county administrative complexity; and considering
210.12 the need to promote the viability of locally developed health
210.13 plans. The county board or a single entity representing a group
210.14 of county boards and the commissioner shall mutually select
210.15 health plans for participation at the time of initial
210.16 implementation of the prepaid medical assistance program in that
210.17 county or group of counties and at the time of contract renewal.
210.18 The commissioner shall also seek input for contract requirements
210.19 from the county or single entity representing a group of county
210.20 boards at each contract renewal and incorporate those
210.21 recommendations into the contract negotiation process. The
210.22 commissioner, in conjunction with the county board, shall
210.23 actively seek to develop a mutually agreeable timetable prior to
210.24 the development of the request for proposal, but counties must
210.25 agree to initial enrollment beginning on or before January 1,
210.26 1999, in either the prepaid medical assistance and general
210.27 assistance medical care programs or county-based purchasing
210.28 under section 256B.692. At least 90 days before enrollment in
210.29 the medical assistance and general assistance medical care
210.30 prepaid programs begins in a county in which the prepaid
210.31 programs have not been established, the commissioner shall
210.32 provide a report to the chairs of senate and house committees
210.33 having jurisdiction over state health care programs which
210.34 verifies that the commissioner complied with the requirements
210.35 for county involvement that are specified in this subdivision.
210.36 (b) The commissioner shall seek a federal waiver to allow a
211.1 fee-for-service plan option to MinnesotaCare enrollees. The
211.2 commissioner shall develop an increase of the premium fees
211.3 required under section 256L.06 up to 20 percent of the premium
211.4 fees for the enrollees who elect the fee-for-service option.
211.5 Prior to implementation, the commissioner shall submit this fee
211.6 schedule to the chair and ranking minority member of the senate
211.7 health care committee, the senate health care and family
211.8 services funding division, the house of representatives health
211.9 and human services committee, and the house of representatives
211.10 health and human services finance division.
211.11 (c) At the option of the county board, the board may
211.12 develop contract requirements related to the achievement of
211.13 local public health goals to meet the health needs of medical
211.14 assistance and general assistance medical care enrollees. These
211.15 requirements must be reasonably related to the performance of
211.16 health plan functions and within the scope of the medical
211.17 assistance and general assistance medical care benefit sets. If
211.18 the county board and the commissioner mutually agree to such
211.19 requirements, the department shall include such requirements in
211.20 all health plan contracts governing the prepaid medical
211.21 assistance and general assistance medical care programs in that
211.22 county at initial implementation of the program in that county
211.23 and at the time of contract renewal. The county board may
211.24 participate in the enforcement of the contract provisions
211.25 related to local public health goals.
211.26 (d) For counties in which prepaid medical assistance and
211.27 general assistance medical care programs have not been
211.28 established, the commissioner shall not implement those programs
211.29 if a county board submits acceptable and timely preliminary and
211.30 final proposals under section 256B.692, until county-based
211.31 purchasing is no longer operational in that county. For
211.32 counties in which prepaid medical assistance and general
211.33 assistance medical care programs are in existence on or after
211.34 September 1, 1997, the commissioner must terminate contracts
211.35 with health plans according to section 256B.692, subdivision 5,
211.36 if the county board submits and the commissioner accepts
212.1 preliminary and final proposals according to that subdivision.
212.2 The commissioner is not required to terminate contracts that
212.3 begin on or after September 1, 1997, according to section
212.4 256B.692 until two years have elapsed from the date of initial
212.5 enrollment.
212.6 (e) In the event that a county board or a single entity
212.7 representing a group of county boards and the commissioner
212.8 cannot reach agreement regarding: (i) the selection of
212.9 participating health plans in that county; (ii) contract
212.10 requirements; or (iii) implementation and enforcement of county
212.11 requirements including provisions regarding local public health
212.12 goals, the commissioner shall resolve all disputes after taking
212.13 into account the recommendations of a three-person mediation
212.14 panel. The panel shall be composed of one designee of the
212.15 president of the association of Minnesota counties, one designee
212.16 of the commissioner of human services, and one designee of the
212.17 commissioner of health.
212.18 (f) If a county which elects to implement county-based
212.19 purchasing ceases to implement county-based purchasing, it is
212.20 prohibited from assuming the responsibility of county-based
212.21 purchasing for a period of five years from the date it
212.22 discontinues purchasing.
212.23 (g) Notwithstanding the requirement in this subdivision
212.24 that a county must agree to initial enrollment on or before
212.25 January 1, 1999, the commissioner shall grant a delay of up to
212.26 nine months in the implementation of the county-based purchasing
212.27 authorized in section 256B.692 if the county or group of
212.28 counties has submitted a preliminary proposal for county-based
212.29 purchasing by September 1, 1997, has not already implemented the
212.30 prepaid medical assistance program before January 1, 1998, and
212.31 has submitted a written request for the delay to the
212.32 commissioner by July 1, 1998. In order for the delay to be
212.33 continued, the county or group of counties must also submit to
212.34 the commissioner the following information by December 1, 1998.
212.35 The information must:
212.36 (1) identify the proposed date of implementation, not later
213.1 than October 1, 1999;
213.2 (2) include copies of the county board resolutions which
213.3 demonstrate the continued commitment to the implementation of
213.4 county-based purchasing by the proposed date. County board
213.5 authorization may remain contingent on the submission of a final
213.6 proposal which meets the requirements of section 256B.692,
213.7 subdivision 5, paragraph (b);
213.8 (3) demonstrate actions taken for the establishment of a
213.9 governance structure between the participating counties and
213.10 describe how the fiduciary responsibilities of county-based
213.11 purchasing will be allocated between the counties, if more than
213.12 one county is involved in the proposal;
213.13 (4) describe how the risk of a deficit will be managed in
213.14 the event expenditures are greater than total capitation
213.15 payments. This description must identify how any of the
213.16 following strategies will be used:
213.17 (i) risk contracts with licensed health plans;
213.18 (ii) risk arrangements with providers who are not licensed
213.19 health plans;
213.20 (iii) risk arrangements with other licensed insurance
213.21 entities; and
213.22 (iv) funding from other county resources;
213.23 (5) include, if county-based purchasing will not contract
213.24 with licensed health plans or provider networks, letters of
213.25 interest from local providers in at least the categories of
213.26 hospital, physician, mental health, and pharmacy which express
213.27 interest in contracting for services. These letters must
213.28 recognize any risk transfer identified in clause (4), item (ii);
213.29 and
213.30 (6) describe the options being considered to obtain the
213.31 administrative services required in section 256B.692,
213.32 subdivision 3, clauses (3) and (5).
213.33 (h) For counties which receive a delay under this
213.34 subdivision, the final proposals required under section
213.35 256B.692, subdivision 5, paragraph (b), must be submitted at
213.36 least six months prior to the requested implementation date.
214.1 Authority to implement county-based purchasing remains
214.2 contingent on approval of the final proposal as required under
214.3 section 256B.692.
214.4 (i) If the commissioner is unable to provide
214.5 county-specific, individual-level fee-for-service claims to
214.6 counties by June 4, 1998, the commissioner shall grant a delay
214.7 under paragraph (g) of up to 12 months in the implementation of
214.8 county-based purchasing, and shall require implementation not
214.9 later than January 1, 2000. In order to receive an extension of
214.10 the proposed date of implementation under this paragraph, a
214.11 county or group of counties must submit a written request for
214.12 the extension to the commissioner by August 1, 1998, must submit
214.13 the information required under paragraph (g) by December 1,
214.14 1998, and must submit a final proposal as provided under
214.15 paragraph (h).
214.16 Sec. 46. Minnesota Statutes 1996, section 256B.69,
214.17 subdivision 22, is amended to read:
214.18 Subd. 22. [IMPACT ON PUBLIC OR TEACHING HOSPITALS AND
214.19 COMMUNITY CLINICS.] (a) Before implementing prepaid programs in
214.20 counties with a county operated or affiliated public teaching
214.21 hospital or a hospital or clinic operated by the University of
214.22 Minnesota, the commissioner shall consider the risks the prepaid
214.23 program creates for the hospital and allow the county or
214.24 hospital the opportunity to participate in the program, provided
214.25 the terms of participation in the program are competitive with
214.26 the terms of other participants.
214.27 (b) Prepaid health plans serving counties with a nonprofit
214.28 community clinic or community health services agency must
214.29 contract with the clinic or agency to provide services to
214.30 clients who choose to receive services from the clinic or
214.31 agency, if the clinic or agency agrees to payment rates that are
214.32 competitive with rates paid to other health plan providers for
214.33 the same or similar services.
214.34 (c) For purposes of this subdivision, "nonprofit community
214.35 clinic" includes, but is not limited to, a community mental
214.36 health center as defined in sections 245.62 and 256B.0625,
215.1 subdivision 5.
215.2 Sec. 47. Minnesota Statutes 1996, section 256B.69, is
215.3 amended by adding a subdivision to read:
215.4 Subd. 25. [AMERICAN INDIAN RECIPIENTS.] (a) Beginning on
215.5 or after January 1, 1999, for American Indian recipients of
215.6 medical assistance who are required to enroll with a
215.7 demonstration provider under subdivision 4 or in a county-based
215.8 purchasing entity, if applicable, under section 256B.692,
215.9 medical assistance shall cover health care services provided at
215.10 American Indian health services facilities and facilities
215.11 operated by a tribe or tribal organization under funding
215.12 authorized by United States Code, title 25, sections 450f to
215.13 450n, or title III of the Indian Self-Determination and
215.14 Education Assistance Act, Public Law Number 93-638, if those
215.15 services would otherwise be covered under section 256B.0625.
215.16 Payments for services provided under this subdivision shall be
215.17 made on a fee-for-service basis, and may, at the option of the
215.18 tribe or tribal organization, be made according to rates
215.19 authorized under sections 256.969, subdivision 16, and
215.20 256B.0625, subdivision 34. Implementation of this purchasing
215.21 model is contingent on federal approval.
215.22 (b) The commissioner of human services, in consultation
215.23 with the tribal governments, shall develop a plan for tribes to
215.24 assist in the enrollment process for American Indian recipients
215.25 enrolled in the prepaid medical assistance program under this
215.26 section or the prepaid general assistance medical care program
215.27 under section 256D.03, subdivision 4, paragraph (d). This plan
215.28 also shall address how tribes will be included in ensuring the
215.29 coordination of care for American Indian recipients between
215.30 Indian health service or tribal providers and other providers.
215.31 (c) For purposes of this subdivision, "American Indian" has
215.32 the meaning given to persons to whom services will be provided
215.33 for in Code of Federal Regulations, title 42, section 36.12.
215.34 (d) This subdivision also applies to American Indian
215.35 recipients of general assistance medical care and to the prepaid
215.36 general assistance medical care program under section 256D.03,
216.1 subdivision 4, paragraph (d).
216.2 Sec. 48. Minnesota Statutes 1996, section 256B.69, is
216.3 amended by adding a subdivision to read:
216.4 Subd. 26. [INFORMATION FOR PERSONS WITH LIMITED
216.5 ENGLISH-LANGUAGE PROFICIENCY.] Managed care contracts entered
216.6 into under this section and sections 256D.03, subdivision 4,
216.7 paragraph (d), and 256L.12 must require demonstration providers
216.8 to inform enrollees that upon request the enrollee can obtain a
216.9 certificate of coverage in the following languages: Spanish,
216.10 Hmong, Laotian, Russian, Somali, Vietnamese, or Cambodian. Upon
216.11 request, the demonstration provider must provide the enrollee
216.12 with a certificate of coverage in the specified language of
216.13 preference.
216.14 Sec. 49. Minnesota Statutes 1997 Supplement, section
216.15 256B.692, subdivision 2, is amended to read:
216.16 Subd. 2. [DUTIES OF THE COMMISSIONER OF HEALTH.]
216.17 Notwithstanding chapters 62D and 62N, a county that elects to
216.18 purchase medical assistance and general assistance medical care
216.19 in return for a fixed sum without regard to the frequency or
216.20 extent of services furnished to any particular enrollee is not
216.21 required to obtain a certificate of authority under chapter 62D
216.22 or 62N. A county that elects to purchase medical assistance and
216.23 general assistance medical care services under this section must
216.24 satisfy the commissioner of health that the requirements of
216.25 chapter 62D, applicable to health maintenance organizations, or
216.26 chapter 62N, applicable to community integrated service
216.27 networks, will be met. A county must also assure the
216.28 commissioner of health that the requirements of section sections
216.29 62J.041; 62J.48; 62J.71 to 62J.73; 62M.01 to 62M.16; all
216.30 applicable provisions of chapter 62Q, including sections 62Q.07;
216.31 62Q.075; 62Q.105; 62Q.1055; 62Q.106; 62Q.11; 62Q.12; 62Q.135;
216.32 62Q.14; 62Q.145; 62Q.19; 62Q.23, paragraph (c); 62Q.30; 62Q.43;
216.33 62Q.47; 62Q.50; 62Q.52 to 62Q.56; 62Q.58; 62Q.64; and 72A.201
216.34 will be met. All enforcement and rulemaking powers available
216.35 under chapters 62D and, 62J, 62M, 62N, and 62Q are hereby
216.36 granted to the commissioner of health with respect to counties
217.1 that purchase medical assistance and general assistance medical
217.2 care services under this section.
217.3 Sec. 50. Minnesota Statutes 1997 Supplement, section
217.4 256B.692, subdivision 5, is amended to read:
217.5 Subd. 5. [COUNTY PROPOSALS.] (a) On or before September 1,
217.6 1997, a county board that wishes to purchase or provide health
217.7 care under this section must submit a preliminary proposal that
217.8 substantially demonstrates the county's ability to meet all the
217.9 requirements of this section in response to criteria for
217.10 proposals issued by the department on or before July 1, 1997.
217.11 Counties submitting preliminary proposals must establish a local
217.12 planning process that involves input from medical assistance and
217.13 general assistance medical care recipients, recipient advocates,
217.14 providers and representatives of local school districts, labor,
217.15 and tribal government to advise on the development of a final
217.16 proposal and its implementation.
217.17 (b) The county board must submit a final proposal on or
217.18 before July 1, 1998, that demonstrates the ability to meet all
217.19 the requirements of this section, including beginning enrollment
217.20 on January 1, 1999, unless a delay has been granted under
217.21 section 256B.69, subdivision 3a, paragraph (g).
217.22 (c) After January 1, 1999, for a county in which the
217.23 prepaid medical assistance program is in existence, the county
217.24 board must submit a preliminary proposal at least 15 months
217.25 prior to termination of health plan contracts in that county and
217.26 a final proposal six months prior to the health plan contract
217.27 termination date in order to begin enrollment after the
217.28 termination. Nothing in this section shall impede or delay
217.29 implementation or continuation of the prepaid medical assistance
217.30 and general assistance medical care programs in counties for
217.31 which the board does not submit a proposal, or submits a
217.32 proposal that is not in compliance with this section.
217.33 (d) The commissioner is not required to terminate contracts
217.34 for the prepaid medical assistance and prepaid general
217.35 assistance medical care programs that begin on or after
217.36 September 1, 1997, in a county for which a county board has
218.1 submitted a proposal under this paragraph, until two years have
218.2 elapsed from the date of initial enrollment in the prepaid
218.3 medical assistance and prepaid general assistance medical care
218.4 programs.
218.5 Sec. 51. Minnesota Statutes 1997 Supplement, section
218.6 256B.77, subdivision 3, is amended to read:
218.7 Subd. 3. [ASSURANCES TO THE COMMISSIONER OF HEALTH.] A
218.8 county authority that elects to participate in a demonstration
218.9 project for people with disabilities under this section is not
218.10 required to obtain a certificate of authority under chapter 62D
218.11 or 62N. A county authority that elects to participate in a
218.12 demonstration project for people with disabilities under this
218.13 section must assure the commissioner of health that the
218.14 requirements of chapters 62D and 62N, and section 256B.692,
218.15 subdivision 2, are met. All enforcement and rulemaking powers
218.16 available under chapters 62D and, 62J, 62M, 62N, and 62Q are
218.17 granted to the commissioner of health with respect to the county
218.18 authorities that contract with the commissioner to purchase
218.19 services in a demonstration project for people with disabilities
218.20 under this section.
218.21 Sec. 52. Minnesota Statutes 1997 Supplement, section
218.22 256B.77, subdivision 7a, is amended to read:
218.23 Subd. 7a. [ELIGIBLE INDIVIDUALS.] (a) Persons are eligible
218.24 for the demonstration project as provided in this subdivision.
218.25 (b) "Eligible individuals" means those persons living in
218.26 the demonstration site who are eligible for medical assistance
218.27 and are disabled based on a disability determination under
218.28 section 256B.055, subdivisions 7 and 12, or who are eligible for
218.29 medical assistance and have been diagnosed as having:
218.30 (1) serious and persistent mental illness as defined in
218.31 section 245.462, subdivision 20;
218.32 (2) severe emotional disturbance as defined in section
218.33 245.487, subdivision 6; or
218.34 (3) mental retardation, or being a mentally retarded person
218.35 as defined in section 252A.02, or a related condition as defined
218.36 in section 252.27, subdivision 1a.
219.1 Other individuals may be included at the option of the county
219.2 authority based on agreement with the commissioner.
219.3 (c) Eligible individuals residing on a federally recognized
219.4 Indian reservation may be excluded from participation in the
219.5 demonstration project at the discretion of the tribal government
219.6 based on agreement with the commissioner, in consultation with
219.7 the county authority.
219.8 (d) Eligible individuals include individuals in excluded
219.9 time status, as defined in chapter 256G. Enrollees in excluded
219.10 time at the time of enrollment shall remain in excluded time
219.11 status as long as they live in the demonstration site and shall
219.12 be eligible for 90 days after placement outside the
219.13 demonstration site if they move to excluded time status in a
219.14 county within Minnesota other than their county of financial
219.15 responsibility.
219.16 (e) A person who is a sexual psychopathic personality as
219.17 defined in section 253B.02, subdivision 18a, or a sexually
219.18 dangerous person as defined in section 253B.02, subdivision 18b,
219.19 is excluded from enrollment in the demonstration project.
219.20 Sec. 53. Minnesota Statutes 1997 Supplement, section
219.21 256B.77, subdivision 10, is amended to read:
219.22 Subd. 10. [CAPITATION PAYMENT.] (a) The commissioner shall
219.23 pay a capitation payment to the county authority and, when
219.24 applicable under subdivision 6, paragraph (a), to the service
219.25 delivery organization for each medical assistance eligible
219.26 enrollee. The commissioner shall develop capitation payment
219.27 rates for the initial contract period for each demonstration
219.28 site in consultation with an independent actuary, to ensure that
219.29 the cost of services under the demonstration project does not
219.30 exceed the estimated cost for medical assistance services for
219.31 the covered population under the fee-for-service system for the
219.32 demonstration period. For each year of the demonstration
219.33 project, the capitation payment rate shall be based on 96
219.34 percent of the projected per person costs that would otherwise
219.35 have been paid under medical assistance fee-for-service during
219.36 each of those years. Rates shall be adjusted within the limits
220.1 of the available risk adjustment technology, as mandated by
220.2 section 62Q.03. In addition, the commissioner shall implement
220.3 appropriate risk and savings sharing provisions with county
220.4 administrative entities and, when applicable under subdivision
220.5 6, paragraph (a), service delivery organizations within the
220.6 projected budget limits. Capitation rates shall be adjusted, at
220.7 least annually, to include any rate increases and payments for
220.8 expanded or newly covered services for eligible individuals.
220.9 The initial demonstration project rate shall include an amount
220.10 in addition to the fee-for-service payments to adjust for
220.11 underutilization of dental services. Any savings beyond those
220.12 allowed for the county authority, county administrative entity,
220.13 or service delivery organization shall be first used to meet the
220.14 unmet needs of eligible individuals. Payments to providers
220.15 participating in the project are exempt from the requirements of
220.16 sections 256.966 and 256B.03, subdivision 2.
220.17 (b) The commissioner shall monitor and evaluate annually
220.18 the effect of the discount on consumers, the county authority,
220.19 and providers of disability services. Findings shall be
220.20 reported and recommendations made, as appropriate, to ensure
220.21 that the discount effect does not adversely affect the ability
220.22 of the county administrative entity or providers of services to
220.23 provide appropriate services to eligible individuals, and does
220.24 not result in cost shifting of eligible individuals to the
220.25 county authority.
220.26 Sec. 54. Minnesota Statutes 1997 Supplement, section
220.27 256B.77, subdivision 12, is amended to read:
220.28 Subd. 12. [SERVICE COORDINATION.] (a) For purposes of this
220.29 section, "service coordinator" means an individual selected by
220.30 the enrollee or the enrollee's legal representative and
220.31 authorized by the county administrative entity or service
220.32 delivery organization to work in partnership with the enrollee
220.33 to develop, coordinate, and in some instances, provide supports
220.34 and services identified in the personal support plan. Service
220.35 coordinators may only provide services and supports if the
220.36 enrollee is informed of potential conflicts of interest, is
221.1 given alternatives, and gives informed consent. Eligible
221.2 service coordinators are individuals age 18 or older who meet
221.3 the qualifications as described in paragraph (b). Enrollees,
221.4 their legal representatives, or their advocates are eligible to
221.5 be service coordinators if they have the capabilities to perform
221.6 the activities and functions outlined in paragraph (b).
221.7 Providers licensed under chapter 245A to provide residential
221.8 services, or providers who are providing residential services
221.9 covered under the group residential housing program may not act
221.10 as service coordinator for enrollees for whom they provide
221.11 residential services. This does not apply to providers of
221.12 short-term detoxification services. Each county administrative
221.13 entity or service delivery organization may develop further
221.14 criteria for eligible vendors of service coordination during the
221.15 demonstration period and shall determine whom it contracts with
221.16 or employs to provide service coordination. County
221.17 administrative entities and service delivery organizations may
221.18 pay enrollees or their advocates or legal representatives for
221.19 service coordination activities.
221.20 (b) The service coordinator shall act as a facilitator,
221.21 working in partnership with the enrollee to ensure that their
221.22 needs are identified and addressed. The level of involvement of
221.23 the service coordinator shall depend on the needs and desires of
221.24 the enrollee. The service coordinator shall have the knowledge,
221.25 skills, and abilities to, and is responsible for:
221.26 (1) arranging for an initial assessment, and periodic
221.27 reassessment as necessary, of supports and services based on the
221.28 enrollee's strengths, needs, choices, and preferences in life
221.29 domain areas;
221.30 (2) developing and updating the personal support plan based
221.31 on relevant ongoing assessment;
221.32 (3) arranging for and coordinating the provisions of
221.33 supports and services, including knowledgeable and skilled
221.34 specialty services and prevention and early intervention
221.35 services, within the limitations negotiated with the county
221.36 administrative entity or service delivery organization;
222.1 (4) assisting the enrollee and the enrollee's legal
222.2 representative, if any, to maximize informed choice of and
222.3 control over services and supports and to exercise the
222.4 enrollee's rights and advocate on behalf of the enrollee;
222.5 (5) monitoring the progress toward achieving the enrollee's
222.6 outcomes in order to evaluate and adjust the timeliness and
222.7 adequacy of the implementation of the personal support plan;
222.8 (6) facilitating meetings and effectively collaborating
222.9 with a variety of agencies and persons, including attending
222.10 individual family service plan and individual education plan
222.11 meetings when requested by the enrollee or the enrollee's legal
222.12 representative;
222.13 (7) soliciting and analyzing relevant information;
222.14 (8) communicating effectively with the enrollee and with
222.15 other individuals participating in the enrollee's plan;
222.16 (9) educating and communicating effectively with the
222.17 enrollee about good health care practices and risk to the
222.18 enrollee's health with certain behaviors;
222.19 (10) having knowledge of basic enrollee protection
222.20 requirements, including data privacy;
222.21 (11) informing, educating, and assisting the enrollee in
222.22 identifying available service providers and accessing needed
222.23 resources and services beyond the limitations of the medical
222.24 assistance benefit set covered services; and
222.25 (12) providing other services as identified in the personal
222.26 support plan.
222.27 (c) For the demonstration project, the qualifications and
222.28 standards for service coordination in this section shall replace
222.29 comparable existing provisions of existing statutes and rules
222.30 governing case management for eligible individuals.
222.31 (d) The provisions of this subdivision apply only to the
222.32 demonstration sites that begin implementation on July 1,
222.33 1998 designated by the commissioner under subdivision 5. All
222.34 other demonstration sites must comply with laws and rules
222.35 governing case management services for eligible individuals in
222.36 effect when the site begins the demonstration project.
223.1 Sec. 55. Minnesota Statutes 1996, section 256D.03,
223.2 subdivision 4, is amended to read:
223.3 Subd. 4. [GENERAL ASSISTANCE MEDICAL CARE; SERVICES.] (a)
223.4 For a person who is eligible under subdivision 3, paragraph (a),
223.5 clause (3), general assistance medical care covers, except as
223.6 provided in paragraph (c):
223.7 (1) inpatient hospital services;
223.8 (2) outpatient hospital services;
223.9 (3) services provided by Medicare certified rehabilitation
223.10 agencies;
223.11 (4) prescription drugs and other products recommended
223.12 through the process established in section 256B.0625,
223.13 subdivision 13;
223.14 (5) equipment necessary to administer insulin and
223.15 diagnostic supplies and equipment for diabetics to monitor blood
223.16 sugar level;
223.17 (6) eyeglasses and eye examinations provided by a physician
223.18 or optometrist;
223.19 (7) hearing aids;
223.20 (8) prosthetic devices;
223.21 (9) laboratory and X-ray services;
223.22 (10) physician's services;
223.23 (11) medical transportation;
223.24 (12) chiropractic services as covered under the medical
223.25 assistance program;
223.26 (13) podiatric services;
223.27 (14) dental services;
223.28 (15) outpatient services provided by a mental health center
223.29 or clinic that is under contract with the county board and is
223.30 established under section 245.62;
223.31 (16) day treatment services for mental illness provided
223.32 under contract with the county board;
223.33 (17) prescribed medications for persons who have been
223.34 diagnosed as mentally ill as necessary to prevent more
223.35 restrictive institutionalization;
223.36 (18) case management services for a person with serious and
224.1 persistent mental illness who would be eligible for medical
224.2 assistance except that the person resides in an institution for
224.3 mental diseases;
224.4 (19) psychological services, medical supplies and
224.5 equipment, and Medicare premiums, coinsurance and deductible
224.6 payments;
224.7 (20) (19) medical equipment not specifically listed in this
224.8 paragraph when the use of the equipment will prevent the need
224.9 for costlier services that are reimbursable under this
224.10 subdivision;
224.11 (21) (20) services performed by a certified pediatric nurse
224.12 practitioner, a certified family nurse practitioner, a certified
224.13 adult nurse practitioner, a certified obstetric/gynecological
224.14 nurse practitioner, or a certified geriatric nurse practitioner
224.15 in independent practice, if the services are otherwise covered
224.16 under this chapter as a physician service, and if the service is
224.17 within the scope of practice of the nurse practitioner's license
224.18 as a registered nurse, as defined in section 148.171; and
224.19 (22) (21) services of a certified public health nurse or a
224.20 registered nurse practicing in a public health nursing clinic
224.21 that is a department of, or that operates under the direct
224.22 authority of, a unit of government, if the service is within the
224.23 scope of practice of the public health nurse's license as a
224.24 registered nurse, as defined in section 148.171.
224.25 (b) Except as provided in paragraph (c), for a recipient
224.26 who is eligible under subdivision 3, paragraph (a), clause (1)
224.27 or (2), general assistance medical care covers the services
224.28 listed in paragraph (a) with the exception of special
224.29 transportation services.
224.30 (c) Gender reassignment surgery and related services are
224.31 not covered services under this subdivision unless the
224.32 individual began receiving gender reassignment services prior to
224.33 July 1, 1995.
224.34 (d) In order to contain costs, the commissioner of human
224.35 services shall select vendors of medical care who can provide
224.36 the most economical care consistent with high medical standards
225.1 and shall where possible contract with organizations on a
225.2 prepaid capitation basis to provide these services. The
225.3 commissioner shall consider proposals by counties and vendors
225.4 for prepaid health plans, competitive bidding programs, block
225.5 grants, or other vendor payment mechanisms designed to provide
225.6 services in an economical manner or to control utilization, with
225.7 safeguards to ensure that necessary services are provided.
225.8 Before implementing prepaid programs in counties with a county
225.9 operated or affiliated public teaching hospital or a hospital or
225.10 clinic operated by the University of Minnesota, the commissioner
225.11 shall consider the risks the prepaid program creates for the
225.12 hospital and allow the county or hospital the opportunity to
225.13 participate in the program in a manner that reflects the risk of
225.14 adverse selection and the nature of the patients served by the
225.15 hospital, provided the terms of participation in the program are
225.16 competitive with the terms of other participants considering the
225.17 nature of the population served. Payment for services provided
225.18 pursuant to this subdivision shall be as provided to medical
225.19 assistance vendors of these services under sections 256B.02,
225.20 subdivision 8, and 256B.0625. For payments made during fiscal
225.21 year 1990 and later years, the commissioner shall consult with
225.22 an independent actuary in establishing prepayment rates, but
225.23 shall retain final control over the rate methodology.
225.24 Notwithstanding the provisions of subdivision 3, an individual
225.25 who becomes ineligible for general assistance medical care
225.26 because of failure to submit income reports or recertification
225.27 forms in a timely manner, shall remain enrolled in the prepaid
225.28 health plan and shall remain eligible for general assistance
225.29 medical care coverage through the last day of the month in which
225.30 the enrollee became ineligible for general assistance medical
225.31 care.
225.32 (e) The commissioner of human services may reduce payments
225.33 provided under sections 256D.01 to 256D.21 and 261.23 in order
225.34 to remain within the amount appropriated for general assistance
225.35 medical care, within the following restrictions.:
225.36 (i) For the period July 1, 1985 to December 31, 1985,
226.1 reductions below the cost per service unit allowable under
226.2 section 256.966, are permitted only as follows: payments for
226.3 inpatient and outpatient hospital care provided in response to a
226.4 primary diagnosis of chemical dependency or mental illness may
226.5 be reduced no more than 30 percent; payments for all other
226.6 inpatient hospital care may be reduced no more than 20 percent.
226.7 Reductions below the payments allowable under general assistance
226.8 medical care for the remaining general assistance medical care
226.9 services allowable under this subdivision may be reduced no more
226.10 than ten percent.
226.11 (ii) For the period January 1, 1986 to December 31, 1986,
226.12 reductions below the cost per service unit allowable under
226.13 section 256.966 are permitted only as follows: payments for
226.14 inpatient and outpatient hospital care provided in response to a
226.15 primary diagnosis of chemical dependency or mental illness may
226.16 be reduced no more than 20 percent; payments for all other
226.17 inpatient hospital care may be reduced no more than 15 percent.
226.18 Reductions below the payments allowable under general assistance
226.19 medical care for the remaining general assistance medical care
226.20 services allowable under this subdivision may be reduced no more
226.21 than five percent.
226.22 (iii) For the period January 1, 1987 to June 30, 1987,
226.23 reductions below the cost per service unit allowable under
226.24 section 256.966 are permitted only as follows: payments for
226.25 inpatient and outpatient hospital care provided in response to a
226.26 primary diagnosis of chemical dependency or mental illness may
226.27 be reduced no more than 15 percent; payments for all other
226.28 inpatient hospital care may be reduced no more than ten
226.29 percent. Reductions below the payments allowable under medical
226.30 assistance for the remaining general assistance medical care
226.31 services allowable under this subdivision may be reduced no more
226.32 than five percent.
226.33 (iv) For the period July 1, 1987 to June 30, 1988,
226.34 reductions below the cost per service unit allowable under
226.35 section 256.966 are permitted only as follows: payments for
226.36 inpatient and outpatient hospital care provided in response to a
227.1 primary diagnosis of chemical dependency or mental illness may
227.2 be reduced no more than 15 percent; payments for all other
227.3 inpatient hospital care may be reduced no more than five percent.
227.4 Reductions below the payments allowable under medical assistance
227.5 for the remaining general assistance medical care services
227.6 allowable under this subdivision may be reduced no more than
227.7 five percent.
227.8 (v) For the period July 1, 1988 to June 30, 1989,
227.9 reductions below the cost per service unit allowable under
227.10 section 256.966 are permitted only as follows: payments for
227.11 inpatient and outpatient hospital care provided in response to a
227.12 primary diagnosis of chemical dependency or mental illness may
227.13 be reduced no more than 15 percent; payments for all other
227.14 inpatient hospital care may not be reduced. Reductions below
227.15 the payments allowable under medical assistance for the
227.16 remaining general assistance medical care services allowable
227.17 under this subdivision may be reduced no more than five percent.
227.18 (f) There shall be no copayment required of any recipient
227.19 of benefits for any services provided under this subdivision. A
227.20 hospital receiving a reduced payment as a result of this section
227.21 may apply the unpaid balance toward satisfaction of the
227.22 hospital's bad debts.
227.23 (f) (g) Any county may, from its own resources, provide
227.24 medical payments for which state payments are not made.
227.25 (g) (h) Chemical dependency services that are reimbursed
227.26 under chapter 254B must not be reimbursed under general
227.27 assistance medical care.
227.28 (h) (i) The maximum payment for new vendors enrolled in the
227.29 general assistance medical care program after the base year
227.30 shall be determined from the average usual and customary charge
227.31 of the same vendor type enrolled in the base year.
227.32 (i) (j) The conditions of payment for services under this
227.33 subdivision are the same as the conditions specified in rules
227.34 adopted under chapter 256B governing the medical assistance
227.35 program, unless otherwise provided by statute or rule.
227.36 Sec. 56. Minnesota Statutes 1996, section 256D.03, is
228.1 amended by adding a subdivision to read:
228.2 Subd. 9. [PAYMENT FOR AMBULANCE SERVICES.] Effective for
228.3 services rendered on or after July 1, 1999, general assistance
228.4 medical care payments for ambulance services shall be increased
228.5 by five percent.
228.6 Sec. 57. Laws 1997, chapter 195, section 5, is amended to
228.7 read:
228.8 Sec. 5. [PERSONAL CARE ASSISTANT PROVIDERS.]
228.9 The commissioner of health shall create a unique category
228.10 of licensure as appropriate for providers offering, providing,
228.11 or arranging personal care assistant services to more than one
228.12 individual. The commissioner shall work with the department of
228.13 human services, providers, consumers, and advocates in
228.14 developing the licensure standards. The licensure standards
228.15 must include requirements for providers to provide consumers
228.16 advance written notice of service termination, a service
228.17 transition plan, and an appeal process. If the commissioner
228.18 determines there are costs related to rulemaking under this
228.19 section, the commissioner shall include a budget request for
228.20 this item in the 2000-2001 biennial budget. Prior to
228.21 promulgating the rule, the commissioner shall submit the
228.22 proposed rule to the legislature by January 15, 1999.
228.23 Sec. 58. Laws 1997, chapter 203, article 4, section 64, is
228.24 amended to read:
228.25 Sec. 64. [STUDY OF ELDERLY WAIVER EXPANSION.]
228.26 The commissioner of human services shall appoint a task
228.27 force that includes representatives of counties, health plans,
228.28 consumers, and legislators to study the impact of the expansion
228.29 of the elderly waiver program under section 4 and to make
228.30 recommendations for any changes in law necessary to facilitate
228.31 an efficient and equitable relationship between the elderly
228.32 waiver program and the Minnesota senior health options project.
228.33 Based on the results of the task force study, the commissioner
228.34 may seek any federal waivers needed to improve the relationship
228.35 between the elderly waiver and the Minnesota senior health
228.36 options project. The commissioner shall report the results of
229.1 the task force study to the legislature by January 15, 1998 July
229.2 1, 2000.
229.3 Sec. 59. [OFFSET OF HMO SURCHARGE.]
229.4 Beginning October 1, 1998, and ending December 31, 1998,
229.5 the commissioner of human services shall offset monthly charges
229.6 for the health maintenance organization surcharge by the monthly
229.7 amount the health maintenance organization overpaid from August
229.8 1, 1997, to September 30, 1998, due to taxation of Medicare
229.9 revenues prohibited by Minnesota Statutes, section 256.9657,
229.10 subdivision 3.
229.11 Sec. 60. [MR/RC WAIVER PROPOSAL.]
229.12 By November 15, 1998, the commissioner of human services
229.13 shall provide to the chairs of the house health and human
229.14 services finance division and the senate health and family
229.15 security finance division a detailed budget proposal for
229.16 providing services under the home and community-based waiver for
229.17 persons with mental retardation or related conditions to those
229.18 individuals who are screened and waiting for services.
229.19 Sec. 61. [HIV HEALTH CARE ACCESS STUDY.]
229.20 The commissioner of human services shall study, in
229.21 consultation with the commissioner of health and a task force of
229.22 affected community stakeholders, the impact of positive patient
229.23 responses to new HIV treatment on re-entry to the workplace,
229.24 including, but not limited to, addressing continued access to
229.25 health care and disability benefits. The commissioner shall
229.26 submit a report on the study with recommendations to the
229.27 legislature by January 15, 1999.
229.28 Sec. 62. [MENTAL HEALTH REPORT.]
229.29 (a) By December 1, 1998, the commissioner of human services
229.30 shall report to the legislature on recommendations to maximize
229.31 federal funding for mental health services for children and
229.32 adults. In developing the recommendations, the commissioner
229.33 shall seek advice from a children's and adults' mental health
229.34 services stakeholders advisory group including representatives
229.35 of state and county government, private and state-operated
229.36 mental health providers, mental health consumers, family
230.1 members, and advocates.
230.2 (b) The report shall include a proposal developed in
230.3 conjunction with the counties that does not shift caseload
230.4 growth to counties after July 1, 1999, and recommendations on
230.5 whether the state should directly participate in medical
230.6 assistance mental health case management by funding a portion of
230.7 the nonfederal share of Medicaid.
230.8 Sec. 63. [CONSUMER PRICE INDEX REPORT.]
230.9 By January 15, 1999, and each year thereafter, the
230.10 commissioner of human services shall report to the chair of the
230.11 senate health and family security budget division and the chair
230.12 of the house health and human services budget division on the
230.13 cost of increasing the income standard under Minnesota Statutes,
230.14 section 256B.056, subdivision 4, and the provider rates under
230.15 Minnesota Statutes, section 256B.038, by an amount equal to the
230.16 percent change in the Consumer Price Index for all urban
230.17 consumers for the previous October compared to one year earlier.
230.18 Sec. 64. [TRANSLATING AND INTERPRETING INFORMATION FOR
230.19 PERSONS WITH LIMITED ENGLISH-LANGUAGE PROFICIENCY.]
230.20 (a) The commissioner shall develop a plan to serve public
230.21 assistance applicants and recipients who have limited
230.22 English-language proficiency that ensures that the state is in
230.23 compliance with title VI of the Civil Rights Act and Minnesota
230.24 Statutes, section 363.073, and any other laws or regulations
230.25 that prohibit discrimination.
230.26 (b) The commissioner shall convene an advisory committee
230.27 that consists of members of bilingual community groups, county
230.28 human service agencies, health plans, health care providers,
230.29 advocacy groups, and other state agencies to assist in
230.30 developing the plan.
230.31 (c) The commissioner shall submit the plan and any fiscal
230.32 estimates necessary to implement the plan to the chairs of the
230.33 health and human services policy and finance divisions by
230.34 December 15, 1998.
230.35 (d) Until the plan under paragraph (c) is implemented, the
230.36 commissioner is required to include a language block on notices
231.1 from county agencies that deny, reduce, or terminate benefits
231.2 which states:
231.3 "IMPORTANT! This notice affects your rights and should be
231.4 translated immediately. If you need help translating this
231.5 notice, call your county worker."
231.6 Notices from MinnesotaCare that deny, reduce, or terminate
231.7 benefits must include a language block which states:
231.8 "IMPORTANT! This notice affects your rights and should be
231.9 translated immediately. If you need help translating this
231.10 notice, call your enrollment representative."
231.11 The notice must include a telephone number for the MinnesotaCare
231.12 enrollment representative.
231.13 (e) Until the plan under paragraph (c) is implemented, the
231.14 commissioner shall require a managed care plan under contract
231.15 with the commissioner of human services that issues a notice
231.16 that denies, reduces, or terminates coverage to include a
231.17 language block, which states:
231.18 "IMPORTANT! This notice affects your rights and should be
231.19 translated immediately."
231.20 The notice shall include the telephone number of a person to
231.21 contact who can assist the enrollee in translating the notice.
231.22 Sec. 65. [UNCOMPENSATED CARE STUDY.]
231.23 The commissioner of health, in consultation with the
231.24 commissioner of human services, associations representing
231.25 Minnesota counties, consumer advocates, associations
231.26 representing health care providers and institutions, and
231.27 representatives of institutions providing a disproportionate
231.28 share of uncompensated medical care shall submit to the
231.29 legislature by January 15, 1999, a report and recommendations on
231.30 the provision and financing of uncompensated care in Minnesota.
231.31 The report must:
231.32 (1) document the extent of uncompensated care provided in
231.33 Minnesota;
231.34 (2) discuss the feasibility of and evaluate options for
231.35 financing uncompensated care, including but not limited to:
231.36 (i) modifying the eligibility standards for the
232.1 MinnesotaCare and general assistance medical care programs; and
232.2 (ii) allowing providers to bill other counties for
232.3 uncompensated care provided to residents of those counties;
232.4 (3) evaluate approaches used by other states to monitor and
232.5 finance uncompensated care; and
232.6 (4) describe alternative approaches to encourage health
232.7 care coverage.
232.8 Sec. 66. [COVERAGE OF REHABILITATIVE AND THERAPEUTIC
232.9 SERVICES.]
232.10 (a) The threshold limits for fee-for-service medical
232.11 assistance rehabilitative and therapeutic services for January
232.12 1, 1998 through June 30, 1999, shall be the limits prescribed in
232.13 the department of human services health care programs provider
232.14 manual for calendar year 1997. Rehabilitative and therapeutic
232.15 services are: occupational therapy services provided to medical
232.16 assistance recipients pursuant to Minnesota Statutes, section
232.17 256B.0625, subdivision 8a; physical therapy services provided to
232.18 medical assistance recipients pursuant to Minnesota Statutes,
232.19 section 256B.0625, subdivision 8; and speech language pathology
232.20 services provided to medical assistance recipients pursuant to
232.21 Minnesota Rules, part 9505.0390.
232.22 (b) The commissioner of human services, in consultation
232.23 with the department of human services rehabilitative work group,
232.24 shall report to the chair of the senate health and family
232.25 security committee and the chair of the house health and human
232.26 services committee by January 15, 1999, recommendations and
232.27 proposed legislation for the appropriate level of rehabilitative
232.28 services delivered to medical assistance recipients before prior
232.29 authorization. The recommendations shall also include proposed
232.30 legislation to clarify the rehabilitative and therapeutic
232.31 benefit set for medical assistance, as well as the appropriate
232.32 response time for requests for prior authorization.
232.33 Sec. 67. [DENTAL SERVICES REIMBURSEMENT AND ACCESS STUDY.]
232.34 (a) The commissioner of human services, in consultation
232.35 with the commissioner of health, shall report to the legislature
232.36 by December 15, 1998, on the costs of providing dental care
233.1 services to recipients of the medical assistance, general
233.2 assistance medical care and MinnesotaCare programs and the
233.3 reimbursement level of those programs under fee-for-service and
233.4 under managed care plans. Costs shall include both base level
233.5 and incremental costs of providing services to public program
233.6 recipients. In completing the study, the commissioner shall
233.7 review existing dental practice literature on dental practice
233.8 expenses, and conduct a random survey of dental practices in the
233.9 state to establish usual and customary fees for a subset of
233.10 common dental procedures. The commissioner shall compare
233.11 private insurance reimbursement for a subset of common dental
233.12 procedures with reimbursement levels for public programs. In
233.13 determining private insurance reimbursement, the commissioner
233.14 may obtain reimbursement data from health plans insuring or
233.15 providing dental care services. Data obtained by the
233.16 commissioner shall be nonpublic and subject to Minnesota
233.17 Statutes, section 62J.321. The commissioner may include in the
233.18 report related information on the costs of other health care
233.19 professionals and reimbursement levels by public and private
233.20 payers.
233.21 (b) The commissioner of human services shall present
233.22 recommendations to the legislature by February 1, 1999, on how
233.23 access to dental services for medical assistance, general
233.24 assistance medical care, and MinnesotaCare recipients can be
233.25 expanded. The commissioner shall also determine which areas of
233.26 the state are experiencing a significant access problem. In
233.27 developing recommendations, the commissioner shall evaluate the
233.28 feasibility of a disproportionate share adjustment for dental
233.29 services.
233.30 Sec. 68. [RECYCLING PILOT PROJECT.]
233.31 The commissioner of human services, in cooperation with the
233.32 system of technology to achieve results (STAR) program, shall
233.33 award a grant on a competitive basis to a qualified agency for
233.34 the establishment of a pilot project to:
233.35 (1) obtain, refurbish, and recycle augmentative and
233.36 alternative communication systems in order to allow their reuse
234.1 for trials and short-term use by persons with severe expressive
234.2 communication limitations; and
234.3 (2) provide training related to the use of augmentative and
234.4 alternative communication systems.
234.5 The commissioner shall award the grant as soon as possible after
234.6 July 1, 1998, and shall report to the legislature by January 15,
234.7 1999, on the activities of the grantee.
234.8 Sec. 69. [REPEALER.]
234.9 Minnesota Statutes 1996, section 144.0721, subdivision 3a;
234.10 and Minnesota Statutes 1997 Supplement, sections 144.0721,
234.11 subdivision 3; and 256B.0913, subdivision 15, are repealed.
234.12 Sec. 70. [EFFECTIVE DATES.]
234.13 (a) Sections 5, 31, 40, 45, 50, and 66 are effective the
234.14 day following final enactment.
234.15 (b) Sections 10 and 48 are effective January 1, 1999.
234.16 (c) Sections 23, 25, 55, and 56 are effective July 1, 1999.
234.17 (d) Sections 14 and 19 are effective retroactive to July 1,
234.18 1997.
234.19 (e) Section 7 is effective retroactive to August 1, 1997.
234.20 (f) Sections 3 and 44 are effective 30 days following final
234.21 enactment.
234.22 (g) Section 32 is effective for changes in eligibility that
234.23 occur on or after July 1, 1998.
234.24 ARTICLE 5
234.25 MINNESOTACARE
234.26 Section 1. Minnesota Statutes 1997 Supplement, section
234.27 60A.15, subdivision 1, is amended to read:
234.28 Subdivision 1. [DOMESTIC AND FOREIGN COMPANIES.] (a) On or
234.29 before April 1, June 1, and December 1 of each year, every
234.30 domestic and foreign company, including town and farmers' mutual
234.31 insurance companies, domestic mutual insurance companies, marine
234.32 insurance companies, health maintenance organizations, community
234.33 integrated service networks, and nonprofit health service plan
234.34 corporations, shall pay to the commissioner of revenue
234.35 installments equal to one-third of the insurer's total estimated
234.36 tax for the current year. Except as provided in paragraphs (d),
235.1 (e), (h), and (i), installments must be based on a sum equal to
235.2 two percent of the premiums described in paragraph (b).
235.3 (b) Installments under paragraph (a), (d), or (e) are
235.4 percentages of gross premiums less return premiums on all direct
235.5 business received by the insurer in this state, or by its agents
235.6 for it, in cash or otherwise, during such year.
235.7 (c) Failure of a company to make payments of at least
235.8 one-third of either (1) the total tax paid during the previous
235.9 calendar year or (2) 80 percent of the actual tax for the
235.10 current calendar year shall subject the company to the penalty
235.11 and interest provided in this section, unless the total tax for
235.12 the current tax year is $500 or less.
235.13 (d) For health maintenance organizations, nonprofit health
235.14 service plan corporations, and community integrated service
235.15 networks, the installments must be based on an amount determined
235.16 under paragraph (h) or (i).
235.17 (e) For purposes of computing installments for town and
235.18 farmers' mutual insurance companies and for mutual property
235.19 casualty companies with total assets on December 31, 1989, of
235.20 $1,600,000,000 or less, the following rates apply:
235.21 (1) for all life insurance, two percent;
235.22 (2) for town and farmers' mutual insurance companies and
235.23 for mutual property and casualty companies with total assets of
235.24 $5,000,000 or less, on all other coverages, one percent; and
235.25 (3) for mutual property and casualty companies with total
235.26 assets on December 31, 1989, of $1,600,000,000 or less, on all
235.27 other coverages, 1.26 percent.
235.28 (f) If the aggregate amount of premium tax payments under
235.29 this section and the fire marshal tax payments under section
235.30 299F.21 made during a calendar year is equal to or exceeds
235.31 $120,000, all tax payments in the subsequent calendar year must
235.32 be paid by means of a funds transfer as defined in section
235.33 336.4A-104, paragraph (a). The funds transfer payment date, as
235.34 defined in section 336.4A-401, must be on or before the date the
235.35 payment is due. If the date the payment is due is not a funds
235.36 transfer business day, as defined in section 336.4A-105,
236.1 paragraph (a), clause (4), the payment date must be on or before
236.2 the funds transfer business day next following the date the
236.3 payment is due.
236.4 (g) Premiums under medical assistance, general assistance
236.5 medical care, the MinnesotaCare program, and the Minnesota
236.6 comprehensive health insurance plan and all payments, revenues,
236.7 and reimbursements received from the federal government for
236.8 Medicare-related coverage as defined in section 62A.31,
236.9 subdivision 3, paragraph (e), are not subject to tax under this
236.10 section.
236.11 (h) For calendar years 1998 and 1999, the installments for
236.12 health maintenance organizations, community integrated service
236.13 networks, and nonprofit health service plan corporations must be
236.14 based on an amount equal to one percent of premiums described
236.15 under paragraph (b). Health maintenance organizations,
236.16 community integrated service networks, and nonprofit health
236.17 service plan corporations that have met the cost containment
236.18 goals established under section 62J.04 in the individual and
236.19 small employer market for calendar year 1996 are exempt from
236.20 payment of the tax imposed under this section for premiums paid
236.21 after March 30, 1997, and before April 1, 1998. Health
236.22 maintenance organizations, community integrated service
236.23 networks, and nonprofit health service plan corporations that
236.24 have met the cost containment goals established under section
236.25 62J.04 in the individual and small employer market for calendar
236.26 year 1997 are exempt from payment of the tax imposed under this
236.27 section for premiums paid after March 30, 1998, and before April
236.28 1, 1999.
236.29 (i) For calendar years after 1999, the commissioner of
236.30 finance shall determine the balance of the health care access
236.31 fund on September 1 of each year beginning September 1, 1999.
236.32 If the commissioner determines that there is no structural
236.33 deficit for the next fiscal year, no tax shall be imposed under
236.34 paragraph (d) for the following calendar year. If the
236.35 commissioner determines that there will be a structural deficit
236.36 in the fund for the following fiscal year, then the
237.1 commissioner, in consultation with the commissioner of revenue,
237.2 shall determine the amount needed to eliminate the structural
237.3 deficit and a tax shall be imposed under paragraph (d) for the
237.4 following calendar year. The commissioner shall determine the
237.5 rate of the tax as either one-quarter of one percent, one-half
237.6 of one percent, three-quarters of one percent, or one percent of
237.7 premiums described in paragraph (b), whichever is the lowest of
237.8 those rates that the commissioner determines will produce
237.9 sufficient revenue to eliminate the projected structural
237.10 deficit. The commissioner of finance shall publish in the State
237.11 Register by October 1 of each year the amount of tax to be
237.12 imposed for the following calendar year. In determining the
237.13 structural balance of the health care access fund for fiscal
237.14 years 2000 and 2001, the commissioner shall disregard the
237.15 transfer amount from the health care access fund to the general
237.16 fund for expenditures associated with the services provided to
237.17 pregnant women and children under the age of two enrolled in the
237.18 MinnesotaCare program.
237.19 (j) In approving the premium rates as required in sections
237.20 62L.08, subdivision 8, and 62A.65, subdivision 3, the
237.21 commissioners of health and commerce shall ensure that any
237.22 exemption from the tax as described in paragraphs (h) and (i) is
237.23 reflected in the premium rate.
237.24 Sec. 2. Minnesota Statutes 1997 Supplement, section
237.25 256B.04, subdivision 18, is amended to read:
237.26 Subd. 18. [APPLICATIONS FOR MEDICAL ASSISTANCE.] The state
237.27 agency may take applications for medical assistance and conduct
237.28 eligibility determinations for MinnesotaCare enrollees who are
237.29 required to apply for medical assistance according to section
237.30 256L.03, subdivision 3, paragraph (b).
237.31 Sec. 3. Minnesota Statutes 1996, section 256B.057, is
237.32 amended by adding a subdivision to read:
237.33 Subd. 1c. [NO ASSET TEST FOR PREGNANT WOMEN.] Beginning
237.34 September 30, 1998, eligibility for medical assistance for a
237.35 pregnant woman must be determined without regard to asset
237.36 standards established in section 256B.056, subdivision 3.
238.1 Sec. 4. Minnesota Statutes 1996, section 256B.057, is
238.2 amended by adding a subdivision to read:
238.3 Subd. 7. [WAIVER OF MAINTENANCE OF EFFORT
238.4 REQUIREMENT.] Unless a federal waiver of the maintenance of
238.5 effort requirement of section 2105(d) of title XXI of the
238.6 Balanced Budget Act of 1997, Public Law Number 105-33, Statutes
238.7 at Large, volume 111, page 251, is granted by the federal
238.8 Department of Health and Human Services by September 30, 1998,
238.9 eligibility for children under age 21 must be determined without
238.10 regard to asset standards established in section 256B.056,
238.11 subdivision 3. The commissioner of human services shall publish
238.12 a notice in the State Register upon receipt of a federal waiver.
238.13 Sec. 5. Minnesota Statutes 1996, section 256B.057, is
238.14 amended by adding a subdivision to read:
238.15 Subd. 8. [CHILDREN UNDER AGE TWO.] Medical assistance may
238.16 be paid for a child under two years of age whose countable
238.17 family income is above 275 percent of the federal poverty
238.18 guidelines for the same size family but less than or equal to
238.19 280 percent of the federal poverty guidelines for the same size
238.20 family.
238.21 Sec. 6. Minnesota Statutes 1997 Supplement, section
238.22 256D.03, subdivision 3, is amended to read:
238.23 Subd. 3. [GENERAL ASSISTANCE MEDICAL CARE; ELIGIBILITY.]
238.24 (a) General assistance medical care may be paid for any person
238.25 who is not eligible for medical assistance under chapter 256B,
238.26 including eligibility for medical assistance based on a
238.27 spenddown of excess income according to section 256B.056,
238.28 subdivision 5, or MinnesotaCare as defined in clause
238.29 (4) paragraph (b), except as provided in paragraph (b) (c); and:
238.30 (1) who is receiving assistance under section 256D.05,
238.31 except for families with children who are eligible under
238.32 Minnesota family investment program-statewide (MFIP-S), who is
238.33 having a payment made on the person's behalf under sections
238.34 256I.01 to 256I.06, or who resides in group residential housing
238.35 as defined in chapter 256I and can meet a spenddown using the
238.36 cost of remedial services received through group residential
239.1 housing; or
239.2 (2)(i) who is a resident of Minnesota; and whose equity in
239.3 assets is not in excess of $1,000 per assistance unit. Exempt
239.4 assets, the reduction of excess assets, and the waiver of excess
239.5 assets must conform to the medical assistance program in chapter
239.6 256B, with the following exception: the maximum amount of
239.7 undistributed funds in a trust that could be distributed to or
239.8 on behalf of the beneficiary by the trustee, assuming the full
239.9 exercise of the trustee's discretion under the terms of the
239.10 trust, must be applied toward the asset maximum; and
239.11 (ii) who has countable income not in excess of the
239.12 assistance standards established in section 256B.056,
239.13 subdivision 4, or whose excess income is spent down according to
239.14 section 256B.056, subdivision 5, using a six-month budget
239.15 period. The method for calculating earned income disregards and
239.16 deductions for a person who resides with a dependent child under
239.17 age 21 shall follow section 256B.056, subdivision 1a. However,
239.18 if a disregard of $30 and one-third of the remainder has been
239.19 applied to the wage earner's income, the disregard shall not be
239.20 applied again until the wage earner's income has not been
239.21 considered in an eligibility determination for general
239.22 assistance, general assistance medical care, medical assistance,
239.23 or MFIP-S for 12 consecutive months. The earned income and work
239.24 expense deductions for a person who does not reside with a
239.25 dependent child under age 21 shall be the same as the method
239.26 used to determine eligibility for a person under section
239.27 256D.06, subdivision 1, except the disregard of the first $50 of
239.28 earned income is not allowed; or
239.29 (3) who would be eligible for medical assistance except
239.30 that the person resides in a facility that is determined by the
239.31 commissioner or the federal Health Care Financing Administration
239.32 to be an institution for mental diseases.; or
239.33 (4) who is ineligible for medical assistance under chapter
239.34 256B or general assistance medical care under any other
239.35 provision of this section, and is receiving care and
239.36 rehabilitation services from a nonprofit center established to
240.1 serve victims of torture. These individuals are eligible for
240.2 general assistance medical care only for the period during which
240.3 they are receiving services from the center. During this period
240.4 of eligibility, individuals eligible under this clause shall not
240.5 be required to participate in prepaid general assistance medical
240.6 care.
240.7 (4) (b) Beginning July 1, 1998 January 1, 2000, applicants
240.8 or recipients who meet all eligibility requirements of
240.9 MinnesotaCare as defined in sections 256L.01 to 256L.16, and are:
240.10 (i) adults with dependent children under 21 whose gross
240.11 family income is equal to or less than 275 percent of the
240.12 federal poverty guidelines; or
240.13 (ii) adults without children with earned income and whose
240.14 family gross income is between 75 percent of the federal poverty
240.15 guidelines and the amount set by section 256L.04, subdivision 7,
240.16 shall be terminated from general assistance medical care upon
240.17 enrollment in MinnesotaCare.
240.18 (b) (c) For services rendered on or after July 1, 1997,
240.19 eligibility is limited to one month prior to application if the
240.20 person is determined eligible in the prior month. A
240.21 redetermination of eligibility must occur every 12 months.
240.22 Beginning July 1, 1998 January 1, 2000, Minnesota health care
240.23 program applications completed by recipients and applicants who
240.24 are persons described in paragraph (a) (b), clause (4), may be
240.25 returned to the county agency to be forwarded to the department
240.26 of human services or sent directly to the department of human
240.27 services for enrollment in MinnesotaCare. If all other
240.28 eligibility requirements of this subdivision are met,
240.29 eligibility for general assistance medical care shall be
240.30 available in any month during which a MinnesotaCare eligibility
240.31 determination and enrollment are pending. Upon notification of
240.32 eligibility for MinnesotaCare, notice of termination for
240.33 eligibility for general assistance medical care shall be sent to
240.34 an applicant or recipient. If all other eligibility
240.35 requirements of this subdivision are met, eligibility for
240.36 general assistance medical care shall be available until
241.1 enrollment in MinnesotaCare subject to the provisions of
241.2 paragraph (d) (e).
241.3 (c) (d) The date of an initial Minnesota health care
241.4 program application necessary to begin a determination of
241.5 eligibility shall be the date the applicant has provided a name,
241.6 address, and social security number, signed and dated, to the
241.7 county agency or the department of human services. If the
241.8 applicant is unable to provide an initial application when
241.9 health care is delivered due to a medical condition or
241.10 disability, a health care provider may act on the person's
241.11 behalf to complete the initial application. The applicant must
241.12 complete the remainder of the application and provide necessary
241.13 verification before eligibility can be determined. The county
241.14 agency must assist the applicant in obtaining verification if
241.15 necessary.
241.16 (d) (e) County agencies are authorized to use all automated
241.17 databases containing information regarding recipients' or
241.18 applicants' income in order to determine eligibility for general
241.19 assistance medical care or MinnesotaCare. Such use shall be
241.20 considered sufficient in order to determine eligibility and
241.21 premium payments by the county agency.
241.22 (e) (f) General assistance medical care is not available
241.23 for a person in a correctional facility unless the person is
241.24 detained by law for less than one year in a county correctional
241.25 or detention facility as a person accused or convicted of a
241.26 crime, or admitted as an inpatient to a hospital on a criminal
241.27 hold order, and the person is a recipient of general assistance
241.28 medical care at the time the person is detained by law or
241.29 admitted on a criminal hold order and as long as the person
241.30 continues to meet other eligibility requirements of this
241.31 subdivision.
241.32 (f) (g) General assistance medical care is not available
241.33 for applicants or recipients who do not cooperate with the
241.34 county agency to meet the requirements of medical assistance.
241.35 General assistance medical care is limited to payment of
241.36 emergency services only for applicants or recipients as
242.1 described in paragraph (a) (b), clause (4), whose MinnesotaCare
242.2 coverage is denied or terminated for nonpayment of premiums as
242.3 required by sections 256L.06 to 256L.08 and 256L.07.
242.4 (g) (h) In determining the amount of assets of an
242.5 individual, there shall be included any asset or interest in an
242.6 asset, including an asset excluded under paragraph (a), that was
242.7 given away, sold, or disposed of for less than fair market value
242.8 within the 60 months preceding application for general
242.9 assistance medical care or during the period of eligibility.
242.10 Any transfer described in this paragraph shall be presumed to
242.11 have been for the purpose of establishing eligibility for
242.12 general assistance medical care, unless the individual furnishes
242.13 convincing evidence to establish that the transaction was
242.14 exclusively for another purpose. For purposes of this
242.15 paragraph, the value of the asset or interest shall be the fair
242.16 market value at the time it was given away, sold, or disposed
242.17 of, less the amount of compensation received. For any
242.18 uncompensated transfer, the number of months of ineligibility,
242.19 including partial months, shall be calculated by dividing the
242.20 uncompensated transfer amount by the average monthly per person
242.21 payment made by the medical assistance program to skilled
242.22 nursing facilities for the previous calendar year. The
242.23 individual shall remain ineligible until this fixed period has
242.24 expired. The period of ineligibility may exceed 30 months, and
242.25 a reapplication for benefits after 30 months from the date of
242.26 the transfer shall not result in eligibility unless and until
242.27 the period of ineligibility has expired. The period of
242.28 ineligibility begins in the month the transfer was reported to
242.29 the county agency, or if the transfer was not reported, the
242.30 month in which the county agency discovered the transfer,
242.31 whichever comes first. For applicants, the period of
242.32 ineligibility begins on the date of the first approved
242.33 application.
242.34 (h) (i) When determining eligibility for any state benefits
242.35 under this subdivision, the income and resources of all
242.36 noncitizens shall be deemed to include their sponsor's income
243.1 and resources as defined in the Personal Responsibility and Work
243.2 Opportunity Reconciliation Act of 1996, title IV, Public Law
243.3 Number 104-193, sections 421 and 422, and subsequently set out
243.4 in federal rules.
243.5 (i) (j)(1) An undocumented noncitizen or a nonimmigrant is
243.6 ineligible for general assistance medical care other than
243.7 emergency services. For purposes of this subdivision, a
243.8 nonimmigrant is an individual in one or more of the classes
243.9 listed in United States Code, title 8, section 1101(a)(15), and
243.10 an undocumented noncitizen is an individual who resides in the
243.11 United States without the approval or acquiescence of the
243.12 Immigration and Naturalization Service.
243.13 (j) (2) This paragraph does not apply to a child under age
243.14 18, to a Cuban or Haitian entrant as defined in Public Law
243.15 Number 96-422, section 501(e)(1) or (2)(a), or to a noncitizen
243.16 who is aged, blind, or disabled as defined in Code of Federal
243.17 Regulations, title 42, sections 435.520, 435.530, 435.531,
243.18 435.540, and 435.541, or effective October 1, 1998, to an
243.19 individual eligible for general assistance medical care under
243.20 paragraph (a), clause (4), who cooperates with the Immigration
243.21 and Naturalization Service to pursue any applicable immigration
243.22 status, including citizenship, that would qualify the individual
243.23 for medical assistance with federal financial participation.
243.24 (k) (3) For purposes of paragraphs (f) and (i) this
243.25 paragraph, "emergency services" has the meaning given in Code of
243.26 Federal Regulations, title 42, section 440.255(b)(1), except
243.27 that it also means services rendered because of suspected or
243.28 actual pesticide poisoning.
243.29 (l) (k) Notwithstanding any other provision of law, a
243.30 noncitizen who is ineligible for medical assistance due to the
243.31 deeming of a sponsor's income and resources, is ineligible for
243.32 general assistance medical care.
243.33 Sec. 7. Minnesota Statutes 1997 Supplement, section
243.34 256L.01, is amended to read:
243.35 256L.01 [DEFINITIONS.]
243.36 Subdivision 1. [SCOPE.] For purposes of sections 256L.01
244.1 to 256L.10 256L.18, the following terms shall have the meanings
244.2 given them.
244.3 Subd. 1a. [CHILD.] "Child" means an individual under 21
244.4 years of age, including the unborn child of a pregnant woman, an
244.5 emancipated minor, and an emancipated minor's spouse.
244.6 Subd. 2. [COMMISSIONER.] "Commissioner" means the
244.7 commissioner of human services.
244.8 Subd. 3. [ELIGIBLE PROVIDERS.] "Eligible providers" means
244.9 those health care providers who provide covered health services
244.10 to medical assistance recipients under rules established by the
244.11 commissioner for that program.
244.12 Subd. 3a. [FAMILY WITH CHILDREN.] (a) "Family with
244.13 children" means:
244.14 (1) parents, their children, and dependent siblings
244.15 residing in the same household; or
244.16 (2) grandparents, foster parents, relative caretakers as
244.17 defined in the medical assistance program, or legal guardians;
244.18 their wards who are children; and dependent siblings residing in
244.19 the same household.
244.20 (b) The term includes children and dependent siblings who
244.21 are temporarily absent from the household in settings such as
244.22 schools, camps, or visitation with noncustodial parents.
244.23 (c) For purposes of this subdivision, a dependent sibling
244.24 means an unmarried child who is a full-time student under the
244.25 age of 25 years who is financially dependent upon a parent,
244.26 grandparent, foster parent, relative caretaker, or legal
244.27 guardian. Proof of school enrollment is required.
244.28 Subd. 4. [GROSS INDIVIDUAL OR GROSS FAMILY INCOME.] "Gross
244.29 individual or gross family income" for farm and nonfarm
244.30 self-employed means income calculated using as the baseline the
244.31 adjusted gross income reported on the applicant's federal income
244.32 tax form for the previous year and adding back in reported
244.33 depreciation, carryover loss, and net operating loss amounts
244.34 that apply to the business in which the family is currently
244.35 engaged. Applicants shall report the most recent financial
244.36 situation of the family if it has changed from the period of
245.1 time covered by the federal income tax form. The report may be
245.2 in the form of percentage increase or decrease.
245.3 Subd. 5. [INCOME.] "Income" has the meaning given for
245.4 earned and unearned income for families and children in the
245.5 medical assistance program, according to the state's aid to
245.6 families with dependent children plan in effect as of July 16,
245.7 1996. The definition does not include medical assistance income
245.8 methodologies and deeming requirements. The earned income of
245.9 full-time and part-time students under age 19 is not counted as
245.10 income. Public assistance payments and supplemental security
245.11 income are not excluded income.
245.12 Sec. 8. Minnesota Statutes 1997 Supplement, section
245.13 256L.02, subdivision 3, is amended to read:
245.14 Subd. 3. [FINANCIAL MANAGEMENT.] (a) The commissioner
245.15 shall manage spending for the MinnesotaCare program in a manner
245.16 that maintains a minimum reserve in accordance with section
245.17 16A.76. As part of each state revenue and expenditure forecast,
245.18 the commissioner must make a quarterly an assessment of the
245.19 expected expenditures for the covered services for the remainder
245.20 of the current biennium and for the following biennium. The
245.21 estimated expenditure, including the reserve requirements
245.22 described in section 16A.76, shall be compared to an estimate of
245.23 the revenues that will be deposited available in the health care
245.24 access fund. Based on this comparison, and after consulting
245.25 with the chairs of the house ways and means committee and the
245.26 senate finance committee, and the legislative commission on
245.27 health care access, the commissioner shall, as necessary, make
245.28 the adjustments specified in paragraph (b) to ensure that
245.29 expenditures remain within the limits of available revenues for
245.30 the remainder of the current biennium and for the following
245.31 biennium. The commissioner shall not hire additional staff
245.32 using appropriations from the health care access fund until the
245.33 commissioner of finance makes a determination that the
245.34 adjustments implemented under paragraph (b) are sufficient to
245.35 allow MinnesotaCare expenditures to remain within the limits of
245.36 available revenues for the remainder of the current biennium and
246.1 for the following biennium.
246.2 (b) The adjustments the commissioner shall use must be
246.3 implemented in this order: first, stop enrollment of single
246.4 adults and households without children; second, upon 45 days'
246.5 notice, stop coverage of single adults and households without
246.6 children already enrolled in the MinnesotaCare program; third,
246.7 upon 90 days' notice, decrease the premium subsidy amounts by
246.8 ten percent for families with gross annual income above 200
246.9 percent of the federal poverty guidelines; fourth, upon 90 days'
246.10 notice, decrease the premium subsidy amounts by ten percent for
246.11 families with gross annual income at or below 200 percent; and
246.12 fifth, require applicants to be uninsured for at least six
246.13 months prior to eligibility in the MinnesotaCare program. If
246.14 these measures are insufficient to limit the expenditures to the
246.15 estimated amount of revenue, the commissioner shall further
246.16 limit enrollment or decrease premium subsidies.
246.17 Sec. 9. Minnesota Statutes 1997 Supplement, section
246.18 256L.02, is amended by adding a subdivision to read:
246.19 Subd. 4. [FUNDING FOR PREGNANT WOMEN AND CHILDREN UNDER
246.20 AGE TWO.] For fiscal years beginning on or after July 1, 1999,
246.21 the state cost of health care services provided to MinnesotaCare
246.22 enrollees who are pregnant women or children under age two shall
246.23 be paid out of the general fund rather than the health care
246.24 access fund. If the commissioner of finance decides to pay for
246.25 these costs using a source other than the general fund, the
246.26 commissioner shall include the change as a budget initiative in
246.27 the biennial or supplemental budget, and shall not change the
246.28 funding source through a forecast modification.
246.29 Sec. 10. Minnesota Statutes 1997 Supplement, section
246.30 256L.03, subdivision 1, is amended to read:
246.31 Subdivision 1. [COVERED HEALTH SERVICES.] "Covered health
246.32 services" means the health services reimbursed under chapter
246.33 256B, with the exception of inpatient hospital services, special
246.34 education services, private duty nursing services, adult dental
246.35 care services other than preventive services, orthodontic
246.36 services, nonemergency medical transportation services, personal
247.1 care assistant and case management services, nursing home or
247.2 intermediate care facilities services, inpatient mental health
247.3 services, and chemical dependency services. Effective July 1,
247.4 1998, adult dental care for nonpreventive services with the
247.5 exception of orthodontic services is available to persons who
247.6 qualify under section 256L.04, subdivisions 1 to 7, or 256L.13,
247.7 with family gross income equal to or less than 175 percent of
247.8 the federal poverty guidelines. Outpatient mental health
247.9 services covered under the MinnesotaCare program are limited to
247.10 diagnostic assessments, psychological testing, explanation of
247.11 findings, medication management by a physician, day treatment,
247.12 partial hospitalization, and individual, family, and group
247.13 psychotherapy.
247.14 No public funds shall be used for coverage of abortion
247.15 under MinnesotaCare except where the life of the female would be
247.16 endangered or substantial and irreversible impairment of a major
247.17 bodily function would result if the fetus were carried to term;
247.18 or where the pregnancy is the result of rape or incest.
247.19 Covered health services shall be expanded as provided in
247.20 this section.
247.21 Sec. 11. Minnesota Statutes 1997 Supplement, section
247.22 256L.03, is amended by adding a subdivision to read:
247.23 Subd. 1a. [COVERED SERVICES FOR PREGNANT WOMEN AND
247.24 CHILDREN UNDER MINNESOTACARE HEALTH CARE REFORM WAIVER.]
247.25 Beginning January 1, 1999, children and pregnant women are
247.26 eligible for coverage of all services that are eligible for
247.27 reimbursement under the medical assistance program according to
247.28 chapter 256B, except that abortion services under MinnesotaCare
247.29 shall be limited as provided under section 256L.03, subdivision
247.30 1. Pregnant women and children are exempt from the provisions
247.31 of subdivision 5, regarding copayments. Pregnant women and
247.32 children who are lawfully residing in the United States but who
247.33 are not "qualified noncitizens" under title IV of the Personal
247.34 Responsibility and Work Opportunity Reconciliation Act of 1996,
247.35 Public Law Number 104-193, Statutes at Large, volume 110, page
247.36 2105, are eligible for coverage of all services provided under
248.1 the medical assistance program according to chapter 256B.
248.2 Sec. 12. Minnesota Statutes 1997 Supplement, section
248.3 256L.03, is amended by adding a subdivision to read:
248.4 Subd. 1b. [PREGNANT WOMEN; ELIGIBILITY FOR FULL MEDICAL
248.5 ASSISTANCE SERVICES.] Beginning January 1, 1999, a woman who is
248.6 enrolled in MinnesotaCare when her pregnancy is diagnosed is
248.7 eligible for coverage of all services provided under the medical
248.8 assistance program according to chapter 256B retroactive to the
248.9 date the pregnancy is medically diagnosed. Copayments totaling
248.10 $30 or more, paid after the date the pregnancy is diagnosed,
248.11 shall be refunded.
248.12 Sec. 13. Minnesota Statutes 1997 Supplement, section
248.13 256L.03, subdivision 3, is amended to read:
248.14 Subd. 3. [INPATIENT HOSPITAL SERVICES.] (a) Beginning July
248.15 1, 1993, Covered health services shall include inpatient
248.16 hospital services, including inpatient hospital mental health
248.17 services and inpatient hospital and residential chemical
248.18 dependency treatment, subject to those limitations necessary to
248.19 coordinate the provision of these services with eligibility
248.20 under the medical assistance spenddown. Prior to July 1, 1997,
248.21 the inpatient hospital benefit for adult enrollees is subject to
248.22 an annual benefit limit of $10,000. Effective July 1, 1997, The
248.23 inpatient hospital benefit for adult enrollees who qualify under
248.24 section 256L.04, subdivision 7, or who qualify under section
248.25 256L.04, subdivisions 1 to 6 and 2, or 256L.13 with family gross
248.26 income that exceeds 175 percent of the federal poverty
248.27 guidelines and who are not pregnant, is subject to an annual
248.28 limit of $10,000.
248.29 (b) Enrollees who qualify under section 256L.04,
248.30 subdivision 7, or who qualify under section 256L.04,
248.31 subdivisions 1 to 6, or 256L.13 with family gross income that
248.32 exceeds 175 percent of the federal poverty guidelines and who
248.33 are not pregnant, and are determined by the commissioner to have
248.34 a basis of eligibility for medical assistance shall apply for
248.35 and cooperate with the requirements of medical assistance by the
248.36 last day of the third month following admission to an inpatient
249.1 hospital. If an enrollee fails to apply for medical assistance
249.2 within this time period, the enrollee and the enrollee's family
249.3 shall be disenrolled from the plan and they may not reenroll
249.4 until 12 calendar months have elapsed. Enrollees and enrollees'
249.5 families disenrolled for not applying for or not cooperating
249.6 with medical assistance may not reenroll.
249.7 (c) Admissions for inpatient hospital services paid for
249.8 under section 256L.11, subdivision 3, must be certified as
249.9 medically necessary in accordance with Minnesota Rules, parts
249.10 9505.0500 to 9505.0540, except as provided in clauses (1) and
249.11 (2):
249.12 (1) all admissions must be certified, except those
249.13 authorized under rules established under section 254A.03,
249.14 subdivision 3, or approved under Medicare; and
249.15 (2) payment under section 256L.11, subdivision 3, shall be
249.16 reduced by five percent for admissions for which certification
249.17 is requested more than 30 days after the day of admission. The
249.18 hospital may not seek payment from the enrollee for the amount
249.19 of the payment reduction under this clause.
249.20 (d) Any enrollee or family member of an enrollee who has
249.21 previously been permanently disenrolled from MinnesotaCare for
249.22 not applying for and cooperating with medical assistance shall
249.23 be eligible to reenroll if 12 calendar months have elapsed since
249.24 the date of disenrollment.
249.25 Sec. 14. Minnesota Statutes 1997 Supplement, section
249.26 256L.03, is amended by adding a subdivision to read:
249.27 Subd. 3a. [INTERPRETER SERVICES.] Covered services include
249.28 sign and spoken language interpreter services that assist an
249.29 enrollee in obtaining covered health care services.
249.30 Sec. 15. Minnesota Statutes 1997 Supplement, section
249.31 256L.03, subdivision 4, is amended to read:
249.32 Subd. 4. [COORDINATION WITH MEDICAL ASSISTANCE.] The
249.33 commissioner shall coordinate the provision of hospital
249.34 inpatient services under the MinnesotaCare program with enrollee
249.35 eligibility under the medical assistance spenddown, and shall
249.36 apply to the secretary of health and human services for any
250.1 necessary federal waivers or approvals.
250.2 Sec. 16. Minnesota Statutes 1997 Supplement, section
250.3 256L.03, subdivision 5, is amended to read:
250.4 Subd. 5. [COPAYMENTS AND COINSURANCE.] The MinnesotaCare
250.5 benefit plan shall include the following copayments and
250.6 coinsurance requirements:
250.7 (1) ten percent of the paid charges for inpatient hospital
250.8 services for adult enrollees not eligible for medical
250.9 assistance, subject to an annual inpatient out-of-pocket maximum
250.10 of $1,000 per individual and $3,000 per family;
250.11 (2) $3 per prescription for adult enrollees;
250.12 (3) $25 for eyeglasses for adult enrollees; and
250.13 (4) effective July 1, 1998, 50 percent of the
250.14 fee-for-service rate for adult dental care services other than
250.15 preventive care services for persons eligible under section
250.16 256L.04, subdivisions 1 to 7, or 256L.13, with income equal to
250.17 or less than 175 percent of the federal poverty guidelines.
250.18 Prior to July 1, 1997, enrollees who are not eligible for
250.19 medical assistance with or without a spenddown shall be
250.20 financially responsible for the coinsurance amount and amounts
250.21 which exceed the $10,000 benefit limit. Effective July 1, 1997,
250.22 adult enrollees who qualify under section 256L.04, subdivision
250.23 7, or who qualify under section 256L.04, subdivisions 1 to 6, or
250.24 256L.13 with family gross income that exceeds 175 percent of the
250.25 federal poverty guidelines and who are not pregnant, and who are
250.26 not eligible for medical assistance with or without a spenddown,
250.27 shall be financially responsible for the coinsurance amount and
250.28 amounts which exceed the $10,000 inpatient hospital benefit
250.29 limit.
250.30 When a MinnesotaCare enrollee becomes a member of a prepaid
250.31 health plan, or changes from one prepaid health plan to another
250.32 during a calendar year, any charges submitted towards the
250.33 $10,000 annual inpatient benefit limit, and any out-of-pocket
250.34 expenses incurred by the enrollee for inpatient services, that
250.35 were submitted or incurred prior to enrollment, or prior to the
250.36 change in health plans, shall be disregarded.
251.1 Sec. 17. Minnesota Statutes 1997 Supplement, section
251.2 256L.04, subdivision 1, is amended to read:
251.3 Subdivision 1. [CHILDREN; EXPANSION AND CONTINUATION OF
251.4 ELIGIBILITY FAMILIES WITH CHILDREN.] (a) [CHILDREN.] Prior to
251.5 October 1, 1992, "eligible persons" means children who are one
251.6 year of age or older but less than 18 years of age who have
251.7 gross family incomes that are equal to or less than 185 percent
251.8 of the federal poverty guidelines and who are not eligible for
251.9 medical assistance without a spenddown under chapter 256B and
251.10 who are not otherwise insured for the covered services. The
251.11 period of eligibility extends from the first day of the month in
251.12 which the child's first birthday occurs to the last day of the
251.13 month in which the child becomes 18 years old. Families with
251.14 children with family income equal to or less than 275 percent of
251.15 the federal poverty guidelines for the applicable family size
251.16 shall be eligible for MinnesotaCare according to this section.
251.17 All other provisions of sections 256L.01 to 256L.18, including
251.18 the insurance-related barriers to enrollment under section
251.19 256L.07, shall apply unless otherwise specified.
251.20 (b) [EXPANSION OF ELIGIBILITY.] Eligibility for
251.21 MinnesotaCare shall be expanded as provided in subdivisions 3 to
251.22 7, except children who meet the criteria in this subdivision
251.23 shall continue to be enrolled pursuant to this subdivision. The
251.24 enrollment requirements in this paragraph apply to enrollment
251.25 under subdivisions 1 to 7. Parents who enroll in the
251.26 MinnesotaCare program must also enroll their children and
251.27 dependent siblings, if the children and their dependent siblings
251.28 are eligible. Children and dependent siblings may be enrolled
251.29 separately without enrollment by parents. However, if one
251.30 parent in the household enrolls, both parents must enroll,
251.31 unless other insurance is available. If one child from a family
251.32 is enrolled, all children must be enrolled, unless other
251.33 insurance is available. If one spouse in a household enrolls,
251.34 the other spouse in the household must also enroll, unless other
251.35 insurance is available. Families cannot choose to enroll only
251.36 certain uninsured members. For purposes of this section, a
252.1 "dependent sibling" means an unmarried child who is a full-time
252.2 student under the age of 25 years who is financially dependent
252.3 upon a parent. Proof of school enrollment will be required.
252.4 (c) [CONTINUATION OF ELIGIBILITY.] Individuals who
252.5 initially enroll in the MinnesotaCare program under the
252.6 eligibility criteria in subdivisions 3 to 7 remain eligible for
252.7 the MinnesotaCare program, regardless of age, place of
252.8 residence, or the presence or absence of children in the same
252.9 household, as long as all other eligibility criteria are met and
252.10 residence in Minnesota and continuous enrollment in the
252.11 MinnesotaCare program or medical assistance are maintained. In
252.12 order for either parent or either spouse in a household to
252.13 remain enrolled, both must remain enrolled, unless other
252.14 insurance is available.
252.15 Sec. 18. Minnesota Statutes 1997 Supplement, section
252.16 256L.04, subdivision 2, is amended to read:
252.17 Subd. 2. [COOPERATION IN ESTABLISHING THIRD PARTY
252.18 LIABILITY, PATERNITY, AND OTHER MEDICAL SUPPORT.] (a) To be
252.19 eligible for MinnesotaCare, individuals and families must
252.20 cooperate with the state agency to identify potentially liable
252.21 third party payers and assist the state in obtaining third party
252.22 payments. "Cooperation" includes, but is not limited to,
252.23 identifying any third party who may be liable for care and
252.24 services provided under MinnesotaCare to the enrollee, providing
252.25 relevant information to assist the state in pursuing a
252.26 potentially liable third party, and completing forms necessary
252.27 to recover third party payments.
252.28 (b) A parent, guardian, or child enrolled in the
252.29 MinnesotaCare program must cooperate with the department of
252.30 human services and the local agency in establishing the
252.31 paternity of an enrolled child and in obtaining medical care
252.32 support and payments for the child and any other person for whom
252.33 the person can legally assign rights, in accordance with
252.34 applicable laws and rules governing the medical assistance
252.35 program. A child shall not be ineligible for or disenrolled
252.36 from the MinnesotaCare program solely because the child's parent
253.1 or guardian fails to cooperate in establishing paternity or
253.2 obtaining medical support.
253.3 Sec. 19. Minnesota Statutes 1997 Supplement, section
253.4 256L.04, subdivision 7, is amended to read:
253.5 Subd. 7. [ADDITION OF SINGLE ADULTS AND HOUSEHOLDS WITH NO
253.6 CHILDREN.] (a) Beginning October 1, 1994, the definition of
253.7 "eligible persons" is expanded to include all individuals and
253.8 households with no children who have gross family incomes that
253.9 are equal to or less than 125 percent of the federal poverty
253.10 guidelines and who are not eligible for medical assistance
253.11 without a spenddown under chapter 256B.
253.12 (b) Beginning July 1, 1997, The definition of eligible
253.13 persons is expanded to include includes all individuals and
253.14 households with no children who have gross family incomes that
253.15 are equal to or less than 175 percent of the federal poverty
253.16 guidelines and who are not eligible for medical assistance
253.17 without a spenddown under chapter 256B.
253.18 (c) All eligible persons under paragraphs (a) and (b) are
253.19 eligible for coverage through the MinnesotaCare program but must
253.20 pay a premium as determined under sections 256L.07 and 256L.08.
253.21 Individuals and families whose income is greater than the limits
253.22 established under section 256L.08 may not enroll in the
253.23 MinnesotaCare program.
253.24 Sec. 20. Minnesota Statutes 1997 Supplement, section
253.25 256L.04, is amended by adding a subdivision to read:
253.26 Subd. 7a. [INELIGIBILITY.] Applicants whose income is
253.27 greater than the limits established under this section may not
253.28 enroll in the MinnesotaCare program.
253.29 Sec. 21. Minnesota Statutes 1997 Supplement, section
253.30 256L.04, subdivision 8, is amended to read:
253.31 Subd. 8. [APPLICANTS POTENTIALLY ELIGIBLE FOR MEDICAL
253.32 ASSISTANCE.] (a) Individuals who apply for MinnesotaCare receive
253.33 supplemental security income or retirement, survivors, or
253.34 disability benefits due to a disability, or other
253.35 disability-based pension, who qualify under section 256L.04,
253.36 subdivision 7, but who are potentially eligible for medical
254.1 assistance without a spenddown shall be allowed to enroll in
254.2 MinnesotaCare for a period of 60 days, so long as the applicant
254.3 meets all other conditions of eligibility. The commissioner
254.4 shall identify and refer the applications of such individuals to
254.5 their county social service agency. The county and the
254.6 commissioner shall cooperate to ensure that the individuals
254.7 obtain medical assistance coverage for any months for which they
254.8 are eligible.
254.9 (b) The enrollee must cooperate with the county social
254.10 service agency in determining medical assistance eligibility
254.11 within the 60-day enrollment period. Enrollees who do not apply
254.12 for and cooperate with medical assistance within the 60-day
254.13 enrollment period, and their other family members, shall be
254.14 disenrolled from the plan within one calendar month. Persons
254.15 disenrolled for nonapplication for medical assistance may not
254.16 reenroll until they have obtained a medical assistance
254.17 eligibility determination for the family member or members who
254.18 were referred to the county agency. Persons disenrolled for
254.19 noncooperation with medical assistance may not reenroll until
254.20 they have cooperated with the county agency and have obtained a
254.21 medical assistance eligibility determination.
254.22 (c) Beginning January 1, 2000, counties that choose to
254.23 become MinnesotaCare enrollment sites shall consider
254.24 MinnesotaCare applications of individuals described in paragraph
254.25 (a) to also be applications for medical assistance and shall
254.26 first determine whether medical assistance eligibility exists.
254.27 Adults with children with family income under 175 percent of the
254.28 federal poverty guidelines for the applicable family size,
254.29 pregnant women, and children who qualify under subdivision 1 who
254.30 are potentially eligible for medical assistance without a
254.31 spenddown may choose to enroll in either MinnesotaCare or
254.32 medical assistance.
254.33 (d) The commissioner shall redetermine provider payments
254.34 made under MinnesotaCare to the appropriate medical assistance
254.35 payments for those enrollees who subsequently become eligible
254.36 for medical assistance.
255.1 Sec. 22. Minnesota Statutes 1997 Supplement, section
255.2 256L.04, subdivision 9, is amended to read:
255.3 Subd. 9. [GENERAL ASSISTANCE MEDICAL CARE.] A person
255.4 cannot have coverage under both MinnesotaCare and general
255.5 assistance medical care in the same month. Eligibility for
255.6 MinnesotaCare cannot be replaced by eligibility for general
255.7 assistance medical care, and eligibility for general assistance
255.8 medical care cannot be replaced by eligibility for MinnesotaCare.
255.9 Sec. 23. Minnesota Statutes 1997 Supplement, section
255.10 256L.04, subdivision 10, is amended to read:
255.11 Subd. 10. [SPONSOR'S INCOME AND RESOURCES DEEMED
255.12 AVAILABLE; DOCUMENTATION.] When determining eligibility for any
255.13 federal or state benefits under sections 256L.01 to 256L.16
255.14 256L.18, the income and resources of all noncitizens whose
255.15 sponsor signed an affidavit of support as defined under United
255.16 States Code, title 8, section 1183a, shall be deemed to include
255.17 their sponsors' income and resources as defined in the Personal
255.18 Responsibility and Work Opportunity Reconciliation Act of 1996,
255.19 title IV, Public Law Number 104-193, sections 421 and 422, and
255.20 subsequently set out in federal rules. To be eligible for the
255.21 program, noncitizens must provide documentation of their
255.22 immigration status.
255.23 Sec. 24. Minnesota Statutes 1997 Supplement, section
255.24 256L.04, is amended by adding a subdivision to read:
255.25 Subd. 12. [PERSONS IN DETENTION.] Beginning January 1,
255.26 1999, an applicant residing in a correctional or detention
255.27 facility is not eligible for MinnesotaCare. An enrollee
255.28 residing in a correctional or detention facility is not eligible
255.29 at renewal of eligibility under section 256L.05, subdivision 3b.
255.30 Sec. 25. Minnesota Statutes 1997 Supplement, section
255.31 256L.04, is amended by adding a subdivision to read:
255.32 Subd. 13. [FAMILIES WITH GRANDPARENTS, RELATIVE
255.33 CARETAKERS, FOSTER PARENTS, OR LEGAL GUARDIANS.] Beginning
255.34 January 1, 1999, in families that include a grandparent,
255.35 relative caretaker as defined in the medical assistance program,
255.36 foster parent, or legal guardian, the grandparent, relative
256.1 caretaker, foster parent, or legal guardian may apply as a
256.2 family or may apply separately for the children. If the
256.3 caretaker applies separately for the children, only the
256.4 children's income is counted. If the grandparent, relative
256.5 caretaker, foster parent, or legal guardian applies with the
256.6 children, their income is included in the gross family income
256.7 for determining eligibility and premium amount.
256.8 Sec. 26. Minnesota Statutes 1997 Supplement, section
256.9 256L.05, is amended by adding a subdivision to read:
256.10 Subd. 1a. [PERSON AUTHORIZED TO APPLY ON APPLICANT'S
256.11 BEHALF.] Beginning January 1, 1999, a family member who is age
256.12 18 or over or who is an authorized representative, as defined in
256.13 the medical assistance program, may apply on an applicant's
256.14 behalf.
256.15 Sec. 27. Minnesota Statutes 1997 Supplement, section
256.16 256L.05, subdivision 2, is amended to read:
256.17 Subd. 2. [COMMISSIONER'S DUTIES.] The commissioner shall
256.18 use individuals' social security numbers as identifiers for
256.19 purposes of administering the plan and conduct data matches to
256.20 verify income. Applicants shall submit evidence of individual
256.21 and family income, earned and unearned, including such as the
256.22 most recent income tax return, wage slips, or other
256.23 documentation that is determined by the commissioner as
256.24 necessary to verify income eligibility. The commissioner shall
256.25 perform random audits to verify reported income and
256.26 eligibility. The commissioner may execute data sharing
256.27 arrangements with the department of revenue and any other
256.28 governmental agency in order to perform income verification
256.29 related to eligibility and premium payment under the
256.30 MinnesotaCare program.
256.31 Sec. 28. Minnesota Statutes 1997 Supplement, section
256.32 256L.05, subdivision 3, is amended to read:
256.33 Subd. 3. [EFFECTIVE DATE OF COVERAGE.] The effective date
256.34 of coverage is the first day of the month following the month in
256.35 which eligibility is approved and the first premium payment has
256.36 been received. As provided in section 256B.057, coverage for
257.1 newborns is automatic from the date of birth and must be
257.2 coordinated with other health coverage. The effective date of
257.3 coverage for eligible newborns or eligible newly adoptive
257.4 children added to a family receiving covered health services is
257.5 the date of entry into the family. The effective date of
257.6 coverage for other new recipients added to the family receiving
257.7 covered health services is the first day of the month following
257.8 the month in which eligibility is approved and the first premium
257.9 payment has been received or at renewal, whichever the family
257.10 receiving covered health services prefers. All eligibility
257.11 criteria must be met by the family at the time the new family
257.12 member is added. The income of the new family member is
257.13 included with the family's gross income and the adjusted premium
257.14 begins in the month the new family member is added. The premium
257.15 must be received eight working days prior to the end of the
257.16 month for coverage to begin the following month. Benefits are
257.17 not available until the day following discharge if an enrollee
257.18 is hospitalized on the first day of coverage. Notwithstanding
257.19 any other law to the contrary, benefits under sections 256L.01
257.20 to 256L.10 256L.18 are secondary to a plan of insurance or
257.21 benefit program under which an eligible person may have coverage
257.22 and the commissioner shall use cost avoidance techniques to
257.23 ensure coordination of any other health coverage for eligible
257.24 persons. The commissioner shall identify eligible persons who
257.25 may have coverage or benefits under other plans of insurance or
257.26 who become eligible for medical assistance.
257.27 Sec. 29. Minnesota Statutes 1997 Supplement, section
257.28 256L.05, is amended by adding a subdivision to read:
257.29 Subd. 3a. [RENEWAL OF ELIGIBILITY.] Beginning January 1,
257.30 1999, an enrollee's eligibility must be renewed every 12
257.31 months. The 12-month period begins in the month after the month
257.32 the application is approved.
257.33 Sec. 30. Minnesota Statutes 1997 Supplement, section
257.34 256L.05, is amended by adding a subdivision to read:
257.35 Subd. 3b. [REAPPLICATION.] Beginning January 1, 1999,
257.36 families and individuals must reapply after a lapse in coverage
258.1 of one calendar month or more and must meet all eligibility
258.2 criteria.
258.3 Sec. 31. Minnesota Statutes 1997 Supplement, section
258.4 256L.05, subdivision 4, is amended to read:
258.5 Subd. 4. [APPLICATION PROCESSING.] The commissioner of
258.6 human services shall determine an applicant's eligibility for
258.7 MinnesotaCare no more than 30 days from the date that the
258.8 application is received by the department of human services.
258.9 Beginning January 1, 2000, this requirement also applies to
258.10 local county human services agencies that determine eligibility
258.11 for MinnesotaCare. To prevent processing delays, applicants
258.12 who, from the information provided on the application, appear to
258.13 meet eligibility requirements shall be enrolled. The enrollee
258.14 must provide all required verifications within 30 days of
258.15 enrollment or coverage from the program shall be terminated.
258.16 Enrollees who are determined to be ineligible when verifications
258.17 are provided shall be disenrolled from the program.
258.18 Sec. 32. Minnesota Statutes 1997 Supplement, section
258.19 256L.06, subdivision 3, is amended to read:
258.20 Subd. 3. [ADMINISTRATION AND COMMISSIONER'S DUTIES.] (a)
258.21 Premiums are dedicated to the commissioner for MinnesotaCare.
258.22 The commissioner shall make an annual redetermination of
258.23 continued eligibility and identify people who may become
258.24 eligible for medical assistance.
258.25 (b) The commissioner shall develop and implement procedures
258.26 to: (1) require enrollees to report changes in income; (2)
258.27 adjust sliding scale premium payments, based upon changes in
258.28 enrollee income; and (3) disenroll enrollees from MinnesotaCare
258.29 for failure to pay required premiums. Beginning July 1, 1998,
258.30 failure to pay includes payment with a dishonored check and the
258.31 commissioner may demand a guaranteed form of payment as the only
258.32 means to replace a dishonored check.
258.33 (c) Premiums are calculated on a calendar month basis and
258.34 may be paid on a monthly, quarterly, or annual basis, with the
258.35 first payment due upon notice from the commissioner of the
258.36 premium amount required. The commissioner shall inform
259.1 applicants and enrollees of these premium payment options.
259.2 Premium payment is required before enrollment is complete and to
259.3 maintain eligibility in MinnesotaCare.
259.4 (d) Nonpayment of the premium will result in disenrollment
259.5 from the plan within one calendar month after the due date.
259.6 Persons disenrolled for nonpayment or who voluntarily terminate
259.7 coverage from the program may not reenroll until four calendar
259.8 months have elapsed. Persons disenrolled for nonpayment or who
259.9 voluntarily terminate coverage from the program may not reenroll
259.10 for four calendar months unless the person demonstrates good
259.11 cause for nonpayment. Good cause does not exist if a person
259.12 chooses to pay other family expenses instead of the premium.
259.13 The commissioner shall define good cause in rule.
259.14 Sec. 33. Minnesota Statutes 1997 Supplement, section
259.15 256L.07, is amended to read:
259.16 256L.07 [ELIGIBILITY FOR SUBSIDIZED PREMIUMS BASED ON
259.17 SLIDING SCALE.]
259.18 Subdivision 1. [GENERAL REQUIREMENTS.] Families and
259.19 individuals who enroll on or after October 1, 1992, are eligible
259.20 for subsidized premium payments based on a sliding scale under
259.21 section 256L.08 only if the family or individual meets the
259.22 requirements in subdivisions 2 and 3. Children already enrolled
259.23 in the children's health plan as of September 30, 1992, eligible
259.24 under section 256L.04, subdivision 1, paragraph (a), children
259.25 who enroll in the MinnesotaCare program after September 30,
259.26 1992, pursuant to Laws 1992, chapter 549, article 4, section 17,
259.27 and children who enroll under section 256L.04, subdivision 6,
259.28 are eligible for subsidized premium payments without meeting
259.29 these requirements, as long as they maintain continuous coverage
259.30 in the MinnesotaCare plan or medical assistance. (a) Children
259.31 enrolled in the original children's health plan as of September
259.32 30, 1992, children who enrolled in the MinnesotaCare program
259.33 after September 30, 1992, pursuant to Laws 1992, chapter 549,
259.34 article 4, section 17, and children who have family gross
259.35 incomes that are equal to or less than 150 percent of the
259.36 federal poverty guidelines are eligible for subsidized premium
260.1 payments without meeting the requirements of subdivision 2, as
260.2 long as they maintain continuous coverage in the MinnesotaCare
260.3 program or medical assistance. Children who apply for
260.4 MinnesotaCare on or after the implementation date of the
260.5 employer-subsidized health coverage program as described in
260.6 section 45, who have family gross incomes that are equal to or
260.7 less than 150 percent of the federal poverty guidelines, must
260.8 meet the requirements of subdivision 2 to be eligible for
260.9 MinnesotaCare.
260.10 (b) Families and individuals who initially enrolled in
260.11 MinnesotaCare under section 256L.04, and whose income increases
260.12 above the limits established in section 256L.08, may continue
260.13 enrollment and pay the full cost of coverage. Families enrolled
260.14 in MinnesotaCare under section 256L.04, subdivision 1, whose
260.15 income increases above 275 percent of the federal poverty
260.16 guidelines, are no longer eligible for the program and shall be
260.17 disenrolled by the commissioner. Individuals enrolled in
260.18 MinnesotaCare under section 256L.04, subdivision 7, whose income
260.19 increases above 175 percent of the federal poverty guidelines
260.20 are no longer eligible for the program and shall be disenrolled
260.21 by the commissioner. For persons disenrolled under this
260.22 subdivision, MinnesotaCare coverage terminates the last day of
260.23 the calendar month following the month in which the commissioner
260.24 determines that the income of a family or individual, determined
260.25 over a four-month period as required by section 256L.15,
260.26 subdivision 2, exceeds program income limits.
260.27 (c) Notwithstanding paragraph (b), individuals and families
260.28 may remain enrolled in MinnesotaCare if ten percent of their
260.29 annual income is less than the annual premium for a policy with
260.30 a $500 deductible available through the Minnesota comprehensive
260.31 health association. Individuals and families who are no longer
260.32 eligible for MinnesotaCare under this subdivision shall be given
260.33 an 18-month notice period from the date that ineligibility is
260.34 determined before disenrollment.
260.35 Subd. 2. [MUST NOT HAVE ACCESS TO EMPLOYER-SUBSIDIZED
260.36 COVERAGE.] (a) To be eligible for subsidized premium payments
261.1 based on a sliding scale, a family or individual must not have
261.2 access to subsidized health coverage through an employer, and
261.3 must not have had access to subsidized health coverage through
261.4 an employer for the 18 months prior to application for
261.5 subsidized coverage under the MinnesotaCare program. The
261.6 requirement that the family or individual must not have had
261.7 access to employer-subsidized coverage during the previous 18
261.8 months does not apply if: (1) employer-subsidized coverage was
261.9 lost due to the death of an employee or divorce; (2)
261.10 employer-subsidized coverage was lost because an individual
261.11 became ineligible for coverage as a child or dependent; or (3)
261.12 employer-subsidized coverage was lost for reasons that would not
261.13 disqualify the individual for unemployment benefits under
261.14 section 268.09 and the family or individual has not had access
261.15 to employer-subsidized coverage since the loss of coverage. If
261.16 employer-subsidized coverage was lost for reasons that
261.17 disqualify an individual for unemployment benefits under section
261.18 268.09, children of that individual are exempt from the
261.19 requirement of no access to employer subsidized coverage for the
261.20 18 months prior to application, as long as the children have not
261.21 had access to employer subsidized coverage since the
261.22 disqualifying event. The requirement that the. A family or
261.23 individual must not have had access to employer-subsidized
261.24 coverage during the previous 18 months does apply if whose
261.25 employer-subsidized coverage is lost due to an employer
261.26 terminating health care coverage as an employee benefit during
261.27 the previous 18 months is not eligible.
261.28 (b) For purposes of this requirement, subsidized health
261.29 coverage means health coverage for which the employer pays at
261.30 least 50 percent of the cost of coverage for the employee,
261.31 excluding dependent coverage or dependent, or a higher
261.32 percentage as specified by the commissioner. Children are
261.33 eligible for employer-subsidized coverage through either parent,
261.34 including the noncustodial parent. The commissioner must treat
261.35 employer contributions to Internal Revenue Code Section 125
261.36 plans and any other employer benefits intended to pay health
262.1 care costs as qualified employer subsidies toward the cost of
262.2 health coverage for employees for purposes of this subdivision.
262.3 Subd. 3. [PERIOD UNINSURED OTHER HEALTH COVERAGE.] To be
262.4 eligible for subsidized premium payments based on a sliding
262.5 scale, (a) Families and individuals initially enrolled in the
262.6 MinnesotaCare program under section 256L.04, subdivisions 5 and
262.7 7, must have had no health coverage while enrolled or for at
262.8 least four months prior to application and renewal. Children
262.9 enrolled in the original children's health plan and children in
262.10 families with income equal to or less than 150 percent of the
262.11 federal poverty guidelines, who have other health insurance, are
262.12 eligible if the other health coverage meets the requirements of
262.13 Minnesota Rules, part 9506.0020, subpart 3, item B. The
262.14 commissioner may change this eligibility criterion for sliding
262.15 scale premiums in order to remain within the limits of available
262.16 appropriations. The requirement of at least four months of no
262.17 health coverage prior to application for the MinnesotaCare
262.18 program does not apply to: newborns.
262.19 (1) families, children, and individuals who apply for the
262.20 MinnesotaCare program upon termination from or as required by
262.21 the medical assistance program, general assistance medical care
262.22 program, or coverage under a regional demonstration project for
262.23 the uninsured funded under section 256B.73, the Hennepin county
262.24 assured care program, or the Group Health, Inc., community
262.25 health plan;
262.26 (2) families and individuals initially enrolled under
262.27 section 256L.04, subdivisions 1, paragraph (a), and 3;
262.28 (3) children enrolled pursuant to Laws 1992, chapter 549,
262.29 article 4, section 17; or
262.30 (4) individuals currently serving or who have served in the
262.31 military reserves, and dependents of these individuals, if these
262.32 individuals: (i) reapply for MinnesotaCare coverage after a
262.33 period of active military service during which they had been
262.34 covered by the Civilian Health and Medical Program of the
262.35 Uniformed Services (CHAMPUS); (ii) were covered under
262.36 MinnesotaCare immediately prior to obtaining coverage under
263.1 CHAMPUS; and (iii) have maintained continuous coverage.
263.2 (b) For purposes of this section, medical assistance,
263.3 general assistance medical care, and civilian health and medical
263.4 program of the uniformed service, CHAMPUS, are not considered
263.5 insurance or health coverage.
263.6 (c) For purposes of this section, Medicare part A or B
263.7 coverage under title XVIII of the Social Security Act, United
263.8 States Code, title 42, sections 1395c to 1395w-4, is considered
263.9 health coverage. An applicant or enrollee may not refuse
263.10 Medicare coverage to establish eligibility for MinnesotaCare.
263.11 Sec. 34. Minnesota Statutes 1997 Supplement, section
263.12 256L.09, subdivision 2, is amended to read:
263.13 Subd. 2. [RESIDENCY REQUIREMENT.] (a) Prior to July 1,
263.14 1997, to be eligible for health coverage under the MinnesotaCare
263.15 program, families and individuals must be permanent residents of
263.16 Minnesota.
263.17 (b) Effective July 1, 1997, To be eligible for health
263.18 coverage under the MinnesotaCare program, adults without
263.19 children must be permanent residents of Minnesota.
263.20 (c) Effective July 1, 1997, (b) To be eligible for health
263.21 coverage under the MinnesotaCare program, pregnant women,
263.22 families, and children must meet the residency requirements as
263.23 provided by Code of Federal Regulations, title 42, section
263.24 435.403, except that the provisions of section 256B.056,
263.25 subdivision 1, shall apply upon receipt of federal approval.
263.26 Sec. 35. Minnesota Statutes 1997 Supplement, section
263.27 256L.09, subdivision 4, is amended to read:
263.28 Subd. 4. [ELIGIBILITY AS MINNESOTA RESIDENT.] (a) For
263.29 purposes of this section, a permanent Minnesota resident is a
263.30 person who has demonstrated, through persuasive and objective
263.31 evidence, that the person is domiciled in the state and intends
263.32 to live in the state permanently.
263.33 (b) To be eligible as a permanent resident, all applicants
263.34 an applicant must demonstrate the requisite intent to live in
263.35 the state permanently by:
263.36 (1) showing that the applicant maintains a residence at a
264.1 verified address other than a place of public accommodation,
264.2 through the use of evidence of residence described in section
264.3 256D.02, subdivision 12a, clause (1);
264.4 (2) demonstrating that the applicant has been continuously
264.5 domiciled in the state for no less than 180 days immediately
264.6 before the application; and
264.7 (3) signing an affidavit declaring that (A) the applicant
264.8 currently resides in the state and intends to reside in the
264.9 state permanently; and (B) the applicant did not come to the
264.10 state for the primary purpose of obtaining medical coverage or
264.11 treatment.
264.12 (c) A person who is temporarily absent from the state does
264.13 not lose eligibility for MinnesotaCare. "Temporarily absent
264.14 from the state" means the person is out of the state for a
264.15 temporary purpose and intends to return when the purpose of the
264.16 absence has been accomplished. A person is not temporarily
264.17 absent from the state if another state has determined that the
264.18 person is a resident for any purpose. If temporarily absent
264.19 from the state, the person must follow the requirements of the
264.20 health plan in which he or she is enrolled to receive services.
264.21 Sec. 36. Minnesota Statutes 1997 Supplement, section
264.22 256L.09, subdivision 6, is amended to read:
264.23 Subd. 6. [12-MONTH PREEXISTING EXCLUSION.] If the 180-day
264.24 requirement in subdivision 4, paragraph (b), clause (2), is
264.25 determined by a court to be unconstitutional, the commissioner
264.26 of human services shall impose a 12-month preexisting condition
264.27 exclusion on coverage for persons who have been domiciled in the
264.28 state for less than 180 days.
264.29 Sec. 37. Minnesota Statutes 1997 Supplement, section
264.30 256L.11, subdivision 6, is amended to read:
264.31 Subd. 6. [ENROLLEES 18 OR OLDER.] Payment by the
264.32 MinnesotaCare program for inpatient hospital services provided
264.33 to MinnesotaCare enrollees eligible under section 256L.04,
264.34 subdivision 7, or who qualify under section 256L.04,
264.35 subdivisions 1 to 6 and 2, or 256L.13 with family gross income
264.36 that exceeds 175 percent of the federal poverty guidelines and
265.1 who are not pregnant, who are 18 years old or older on the date
265.2 of admission to the inpatient hospital must be in accordance
265.3 with paragraphs (a) and (b). Payment for adults who are not
265.4 pregnant and are eligible under section 256L.04, subdivisions
265.5 1 to 6 and 2, or 256L.13, and whose incomes are equal to or less
265.6 than 175 percent of the federal poverty guidelines, shall be as
265.7 provided for under paragraph (c).
265.8 (a) If the medical assistance rate minus any copayment
265.9 required under section 256L.03, subdivision 4, is less than or
265.10 equal to the amount remaining in the enrollee's benefit limit
265.11 under section 256L.03, subdivision 3, payment must be the
265.12 medical assistance rate minus any copayment required under
265.13 section 256L.03, subdivision 4. The hospital must not seek
265.14 payment from the enrollee in addition to the copayment. The
265.15 MinnesotaCare payment plus the copayment must be treated as
265.16 payment in full.
265.17 (b) If the medical assistance rate minus any copayment
265.18 required under section 256L.03, subdivision 4, is greater than
265.19 the amount remaining in the enrollee's benefit limit under
265.20 section 256L.03, subdivision 3, payment must be the lesser of:
265.21 (1) the amount remaining in the enrollee's benefit limit;
265.22 or
265.23 (2) charges submitted for the inpatient hospital services
265.24 less any copayment established under section 256L.03,
265.25 subdivision 4.
265.26 The hospital may seek payment from the enrollee for the
265.27 amount by which usual and customary charges exceed the payment
265.28 under this paragraph. If payment is reduced under section
265.29 256L.03, subdivision 3, paragraph (c) (b), the hospital may not
265.30 seek payment from the enrollee for the amount of the reduction.
265.31 (c) For admissions occurring during the period of July 1,
265.32 1997, through June 30, 1998, for adults who are not pregnant and
265.33 are eligible under section 256L.04, subdivisions 1 to 6 and
265.34 2, or 256L.13, and whose incomes are equal to or less than 175
265.35 percent of the federal poverty guidelines, the commissioner
265.36 shall pay hospitals directly, up to the medical assistance
266.1 payment rate, for inpatient hospital benefits in excess of the
266.2 $10,000 annual inpatient benefit limit.
266.3 Sec. 38. Minnesota Statutes 1997 Supplement, section
266.4 256L.12, subdivision 5, is amended to read:
266.5 Subd. 5. [ELIGIBILITY FOR OTHER STATE PROGRAMS.]
266.6 MinnesotaCare enrollees who become eligible for medical
266.7 assistance or general assistance medical care will remain in the
266.8 same managed care plan if the managed care plan has a contract
266.9 for that population. Effective January 1, 1998, MinnesotaCare
266.10 enrollees who were formerly eligible for general assistance
266.11 medical care pursuant to section 256D.03, subdivision 3, within
266.12 six months of MinnesotaCare enrollment and were enrolled in a
266.13 prepaid health plan pursuant to section 256D.03, subdivision 4,
266.14 paragraph (d), must remain in the same managed care plan if the
266.15 managed care plan has a contract for that population. Contracts
266.16 between the department of human services and managed care plans
266.17 must include MinnesotaCare, and medical assistance and may, at
266.18 the option of the commissioner of human services, also include
266.19 general assistance medical care. Managed care plans must
266.20 participate in the MinnesotaCare and general assistance medical
266.21 care programs under a contract with the department of human
266.22 services in service areas where they participate in the medical
266.23 assistance program.
266.24 Sec. 39. Minnesota Statutes 1997 Supplement, section
266.25 256L.15, is amended to read:
266.26 256L.15 [PREMIUMS.]
266.27 Subdivision 1. [PREMIUM DETERMINATION.] Families and with
266.28 children enrolled according to sections 256L.13 to 256L.16 and
266.29 individuals shall pay a premium determined according to a
266.30 sliding fee based on the cost of coverage as a percentage of the
266.31 family's gross family income. Pregnant women and children under
266.32 age two are exempt from the provisions of section 256L.06,
266.33 subdivision 3, paragraph (b), clause (3), requiring
266.34 disenrollment for failure to pay premiums. For pregnant women,
266.35 this exemption continues until the first day of the month
266.36 following the 60th day postpartum. Women who remain enrolled
267.1 during pregnancy or the postpartum period, despite nonpayment of
267.2 premiums, shall be disenrolled on the first of the month
267.3 following the 60th day postpartum for the penalty period that
267.4 otherwise applies under section 256L.06, unless they begin
267.5 paying premiums.
267.6 Subd. 1a. [PAYMENT OPTIONS.] The commissioner may offer
267.7 the following payment options to an enrollee:
267.8 (1) payment by check;
267.9 (2) payment by credit card;
267.10 (3) payment by recurring automatic checking withdrawal;
267.11 (4) payment by one-time electronic transfer of funds;
267.12 (5) payment by wage withholding with the consent of the
267.13 employer and the employee; or
267.14 (6) payment by using state tax refund payments.
267.15 At application or reapplication, a MinnesotaCare applicant
267.16 or enrollee may authorize the commissioner to use the Revenue
267.17 Recapture Act in chapter 270A to collect funds from the
267.18 applicant's or enrollee's state income tax refund for the
267.19 purposes of meeting all or part of the applicant's or enrollee's
267.20 MinnesotaCare premium obligation for the forthcoming year. The
267.21 applicant or enrollee may authorize the commissioner to apply
267.22 for the state working family tax credit on behalf of the
267.23 applicant or enrollee. The setoff due under this subdivision
267.24 shall not be subject to the $10 fee under section 270A.07,
267.25 subdivision 1.
267.26 Subd. 1b. [PAYMENTS NONREFUNDABLE.] MinnesotaCare premiums
267.27 are not refundable.
267.28 Subd. 2. [SLIDING SCALE TO DETERMINE PERCENTAGE OF GROSS
267.29 INDIVIDUAL OR FAMILY INCOME.] The commissioner shall establish a
267.30 sliding fee scale to determine the percentage of
267.31 gross individual or family income that households at different
267.32 income levels must pay to obtain coverage through the
267.33 MinnesotaCare program. The sliding fee scale must be based on
267.34 the enrollee's gross individual or family income during the
267.35 previous four months. The sliding fee scale begins with a
267.36 premium of 1.5 percent of gross individual or family income for
268.1 individuals or families with incomes below the limits for the
268.2 medical assistance program for families and children and
268.3 proceeds through the following evenly spaced steps: 1.8, 2.3,
268.4 3.1, 3.8, 4.8, 5.9, 7.4, and 8.8 percent. These percentages are
268.5 matched to evenly spaced income steps ranging from the medical
268.6 assistance income limit for families and children to 275 percent
268.7 of the federal poverty guidelines for the applicable family
268.8 size. The sliding fee scale and percentages are not subject to
268.9 the provisions of chapter 14. If a family or individual reports
268.10 increased income after enrollment, premiums shall not be
268.11 adjusted until eligibility renewal.
268.12 Subd. 3. [EXCEPTIONS TO SLIDING SCALE.] An annual premium
268.13 of $48 is required for all children who are eligible according
268.14 to section 256L.13, subdivision 4 in families with income at or
268.15 less than 150 percent of federal poverty guidelines.
268.16 Sec. 40. Minnesota Statutes 1997 Supplement, section
268.17 256L.17, is amended by adding a subdivision to read:
268.18 Subd. 6. [WAIVER OF MAINTENANCE OF EFFORT
268.19 REQUIREMENT.] Unless a federal waiver of the maintenance of
268.20 effort requirements of section 2105(d) of title XXI of the
268.21 Balanced Budget Act of 1997, Public Law Number 105-33, Statutes
268.22 at Large, volume 111, page 251, is granted by the federal
268.23 Department of Health and Human Services by September 30, 1998,
268.24 this section does not apply to children. The commissioner shall
268.25 publish a notice in the State Register upon receipt of a federal
268.26 waiver.
268.27 Sec. 41. Minnesota Statutes 1997 Supplement, section
268.28 270A.03, subdivision 5, is amended to read:
268.29 Subd. 5. [DEBT.] "Debt" means a legal obligation of a
268.30 natural person to pay a fixed and certain amount of money, which
268.31 equals or exceeds $25 and which is due and payable to a claimant
268.32 agency. The term includes criminal fines imposed under section
268.33 609.10 or 609.125 and restitution. A debt may arise under a
268.34 contractual or statutory obligation, a court order, or other
268.35 legal obligation, but need not have been reduced to judgment.
268.36 A debt includes any legal obligation of a current recipient
269.1 of assistance which is based on overpayment of an assistance
269.2 grant where that payment is based on a client waiver or an
269.3 administrative or judicial finding of an intentional program
269.4 violation; or where the debt is owed to a program wherein the
269.5 debtor is not a client at the time notification is provided to
269.6 initiate recovery under this chapter and the debtor is not a
269.7 current recipient of food stamps, transitional child care, or
269.8 transitional medical assistance.
269.9 A debt does not include any legal obligation to pay a
269.10 claimant agency for medical care, including hospitalization if
269.11 the income of the debtor at the time when the medical care was
269.12 rendered does not exceed the following amount:
269.13 (1) for an unmarried debtor, an income of $6,400 or less;
269.14 (2) for a debtor with one dependent, an income of $8,200 or
269.15 less;
269.16 (3) for a debtor with two dependents, an income of $9,700
269.17 or less;
269.18 (4) for a debtor with three dependents, an income of
269.19 $11,000 or less;
269.20 (5) for a debtor with four dependents, an income of $11,600
269.21 or less; and
269.22 (6) for a debtor with five or more dependents, an income of
269.23 $12,100 or less.
269.24 The income amounts in this subdivision shall be adjusted
269.25 for inflation for debts incurred in calendar years 1991 and
269.26 thereafter. The dollar amount of each income level that applied
269.27 to debts incurred in the prior year shall be increased in the
269.28 same manner as provided in section 290.06, subdivision 2d, for
269.29 the expansion of the tax rate brackets.
269.30 Debt also includes an agreement to pay a MinnesotaCare
269.31 premium, regardless of the dollar amount of the premium
269.32 authorized under section 256L.15, subdivision 1a.
269.33 Sec. 42. Laws 1997, chapter 225, article 2, section 64, is
269.34 amended to read:
269.35 Sec. 64. [EFFECTIVE DATE.]
269.36 Section 8 is effective for payments made for MinnesotaCare
270.1 services on or after July 1, 1996. Section 23 is effective the
270.2 day following final enactment. Section 46 is effective January
270.3 1, 1998, and applies to high deductible health plans issued or
270.4 renewed on or after that date.
270.5 Sec. 43. [FEDERAL EARNED INCOME TAX CREDIT.]
270.6 The commissioner of human services shall seek a federal
270.7 waiver from the appropriate federal agency to allow the state to
270.8 use the federal earned income tax credit for payment of state
270.9 subsidized health care premiums.
270.10 Sec. 44. [INPATIENT HOSPITAL COPAYMENT.]
270.11 If federal approval of a waiver to obtain federal Medicaid
270.12 funding for coverage provided to parents enrolled in the
270.13 MinnesotaCare program is contingent upon not applying the
270.14 inpatient hospital services copayment under Minnesota Statutes,
270.15 section 256L.03, subdivision 5, clause (1), then the inpatient
270.16 hospital services copayment shall not be applied to enrollees
270.17 for whom the state receives federal Medicaid funding.
270.18 Sec. 45. [EMPLOYER-SUBSIDIZED HEALTH COVERAGE PROGRAM.]
270.19 Subdivision 1. [PLAN SUBMITTAL.] The commissioner of human
270.20 services shall submit to the health care financing
270.21 administration a plan to obtain federal funding, according to
270.22 section 2105(c)(3) of the Balanced Budget Act of 1997, Public
270.23 Law Number 105-33, to subsidize health insurance coverage for
270.24 families who are ineligible for the MinnesotaCare program, due
270.25 to the availability of employer-subsidized insurance as defined
270.26 in Minnesota Statutes, section 256L.07, subdivision 2. The
270.27 program shall pay the difference between:
270.28 (1) what the family would have paid under the sliding
270.29 premium scale specified in Minnesota Statutes, section 256L.15,
270.30 subdivision 2, up to a maximum of five percent of the family's
270.31 income, had the family been covered under MinnesotaCare; and
270.32 (2) the required employee contribution for
270.33 employer-subsidized health coverage.
270.34 Subd. 2. [CONSULTATION AND PLAN SUBMITTAL.] In developing
270.35 the plan, the commissioner shall consult with the legislative
270.36 commission on health care access. The commissioner shall submit
271.1 the plan and draft legislation to the legislature by December
271.2 15, 1998, and shall not implement the plan without legislative
271.3 approval.
271.4 Subd. 3. [PHASE-OUT OF MINNESOTACARE ELIGIBILITY.] As part
271.5 of the plan submitted to the legislature under subdivision 2,
271.6 the commissioner shall include a process to phase out
271.7 MinnesotaCare eligibility for children who have access to
271.8 employer-subsidized health coverage as defined under Minnesota
271.9 Statutes, section 256L.07, subdivision 2, and who:
271.10 (1) enrolled in the original children's health plan as of
271.11 September 30, 1992;
271.12 (2) enrolled in the MinnesotaCare program after September
271.13 30, 1992, according to Laws 1992, chapter 549, article 4,
271.14 section 17; or
271.15 (3) have family gross incomes that are equal to or less
271.16 than 150 percent of the federal poverty guidelines.
271.17 Sec. 46. [STATE CHILDREN'S HEALTH INSURANCE PROGRAM.]
271.18 Subdivision 1. [AUTHORITY.] The commissioner is authorized
271.19 to claim enhanced federal matching funds under sections
271.20 2105(a)(2) and 2110 of the Balanced Budget Act of 1997, Public
271.21 Law Number 105-33, for any and all state or local expenditures
271.22 eligible as child health assistance for targeted low-income
271.23 children and health service initiatives for low-income
271.24 children. If required by federal law or regulations, the
271.25 commissioner is authorized to establish accounts, make
271.26 appropriate payments, and receive reimbursement from state and
271.27 local entities providing child health assistance or health
271.28 services for low-income children, in order to obtain enhanced
271.29 federal matching funds. Enhanced federal matching funds
271.30 received as a result of providing health care coverage
271.31 authorized under this section shall be deposited in the health
271.32 care access fund. Enhanced federal matching funds received as a
271.33 result of outreach activities described in subdivision 2, clause
271.34 (2), shall be dedicated to the commissioner of human services to
271.35 be used for those outreach purposes.
271.36 Subd. 2. [ENHANCED MATCHING FUNDS FOR CHILDREN'S HEALTH
272.1 CARE INITIATIVES.] The commissioner shall submit to the health
272.2 care financing administration all plans and waiver requests
272.3 necessary to obtain enhanced matching funds under the state
272.4 children's health insurance program established as Title 21 of
272.5 the Balanced Budget Act of 1997, Public Law Number 105-33, for:
272.6 (1) expenditures made under Minnesota Statutes, section
272.7 256B.057, subdivision 8;
272.8 (2) MinnesotaCare outreach activities authorized by Laws
272.9 1997, chapter 225, article 7, section 2, subdivision 1; and
272.10 (3) expenditures made under the MinnesotaCare program, the
272.11 medical assistance program, or any initiative authorized by the
272.12 legislature including an initiative to subsidize health
272.13 insurance coverage for families who are ineligible for
272.14 MinnesotaCare due to the availability of employer-subsidized
272.15 insurance.
272.16 The commissioner shall submit to the legislature, by
272.17 January 15, 1999, all statutory changes necessary to receive
272.18 enhanced federal matching funds.
272.19 Sec. 47. [REVISOR'S INSTRUCTION.]
272.20 In each section of Minnesota Statutes referred to in column
272.21 A, the revisor of statutes shall delete the reference in column
272.22 B and insert the reference in column C.
272.23 Column A Column B Column C
272.24 256B.057, subd. 1a 256L.08 256L.15
272.25 256B.0645 256L.14 256L.03, subd. 1a
272.26 256L.16 256L.14 256L.03, subd. 1a
272.27 Sec. 48. [REPEALER.]
272.28 Minnesota Statutes 1997 Supplement, sections 256B.057,
272.29 subdivision 1a; 256L.04, subdivisions 3, 4, 5, and 6; 256L.06,
272.30 subdivisions 1 and 2; 256L.08; 256L.09, subdivision 3; 256L.13;
272.31 and 256L.14, are repealed.
272.32 Sec. 49. [EFFECTIVE DATES.]
272.33 (a) Sections 2, 7, 8, 10, 13, 15, 16, 17 to 23, 27, 28, 31
272.34 to 39, 41, 47, and 48 are effective January 1, 1999.
272.35 (b) Sections 4, 5, and 40 are effective September 30, 1998.
272.36 (c) Section 6 is effective July 1, 1998, except paragraph
273.1 (a), clause (4), which is effective October 1, 1998.
273.2 (d) Sections 14 and 42 to 46 are effective the day
273.3 following final enactment.
273.4 ARTICLE 6
273.5 WELFARE REFORM; WORK FIRST; ASSISTANCE PROGRAM
273.6 AND CHILD SUPPORT CHANGES; AND LICENSING
273.7 Section 1. Minnesota Statutes 1997 Supplement, section
273.8 119B.01, subdivision 16, is amended to read:
273.9 Subd. 16. [TRANSITION YEAR FAMILIES.] "Transition year
273.10 families" means families who have received AFDC, or who were
273.11 eligible to receive AFDC after choosing to discontinue receipt
273.12 of the cash portion of MFIP-S assistance under section 256J.31,
273.13 subdivision 12, for at least three of the last six months before
273.14 losing eligibility for AFDC due to increased hours of
273.15 employment, or increased income from employment or child or
273.16 spousal support, or the loss of income disregards due to time
273.17 limitations.
273.18 Sec. 2. Minnesota Statutes 1997 Supplement, section
273.19 119B.02, is amended to read:
273.20 119B.02 [DUTIES OF COMMISSIONER.]
273.21 Subdivision 1. [CHILD CARE SERVICES.] The commissioner
273.22 shall develop standards for county and human services boards to
273.23 provide child care services to enable eligible families to
273.24 participate in employment, training, or education programs.
273.25 Within the limits of available appropriations, the commissioner
273.26 shall distribute money to counties to reduce the costs of child
273.27 care for eligible families. The commissioner shall adopt rules
273.28 to govern the program in accordance with this section. The
273.29 rules must establish a sliding schedule of fees for parents
273.30 receiving child care services. The rules shall provide that
273.31 funds received as a lump sum payment of child support arrearages
273.32 shall not be counted as income to a family in the month received
273.33 but shall be prorated over the 12 months following receipt and
273.34 added to the family income during those months. In the rules
273.35 adopted under this section, county and human services boards
273.36 shall be authorized to establish policies for payment of child
274.1 care spaces for absent children, when the payment is required by
274.2 the child's regular provider. The rules shall not set a maximum
274.3 number of days for which absence payments can be made, but
274.4 instead shall direct the county agency to set limits and pay for
274.5 absences according to the prevailing market practice in the
274.6 county. County policies for payment of absences shall be
274.7 subject to the approval of the commissioner. The commissioner
274.8 shall maximize the use of federal money in section 256.736 and
274.9 other programs that provide federal or state reimbursement for
274.10 child care services for low-income families who are in
274.11 education, training, job search, or other activities allowed
274.12 under those programs. Money appropriated under this section
274.13 must be coordinated with the programs that provide federal
274.14 reimbursement for child care services to accomplish this
274.15 purpose. Federal reimbursement obtained must be allocated to
274.16 the county that spent money for child care that is federally
274.17 reimbursable under programs that provide federal reimbursement
274.18 for child care services. The counties shall use the federal
274.19 money to expand child care services. The commissioner may adopt
274.20 rules under chapter 14 to implement and coordinate federal
274.21 program requirements.
274.22 Subd. 2. [CONTRACTUAL AGREEMENTS WITH TRIBES.] The
274.23 commissioner may enter into contractual agreements with a
274.24 federally recognized Indian tribe with a reservation in
274.25 Minnesota to carry out the responsibilities of county human
274.26 service agencies to the extent necessary for the tribe to
274.27 operate child care assistance programs under sections 119B.03
274.28 and 119B.05. An agreement may allow for the tribe to be
274.29 reimbursed for child care assistance services provided under
274.30 section 119B.05. The commissioner shall consult with the
274.31 affected county or counties in the contractual agreement
274.32 negotiations, if the county or counties wish to be included, in
274.33 order to avoid the duplication of county and tribal child care
274.34 services. Funding to support services under section 119B.03 may
274.35 be transferred to the federally recognized Indian tribe with a
274.36 reservation in Minnesota from allocations available to counties
275.1 in which reservation boundaries lie. When funding is
275.2 transferred under section 119B.03, the amount shall be
275.3 commensurate to estimates of the proportion of reservation
275.4 residents with characteristics identified in section 119B.03,
275.5 subdivision 6, to the total population of county residents with
275.6 those same characteristics.
275.7 Sec. 3. Minnesota Statutes 1996, section 245A.03, is
275.8 amended by adding a subdivision to read:
275.9 Subd. 2b. [EXCEPTION.] The provision in subdivision 2,
275.10 clause (2), does not apply to:
275.11 (1) a child care provider who as an applicant for licensure
275.12 or as a license holder has received a license denial under
275.13 section 245A.05, a fine under section 245A.06, or a sanction
275.14 under section 245A.07 from the commissioner that has not been
275.15 reversed on appeal; or
275.16 (2) a child care provider, or a child care provider who has
275.17 a household member who, as a result of a licensing process, has
275.18 a disqualification under this chapter that has not been set
275.19 aside by the commissioner.
275.20 Sec. 4. Minnesota Statutes 1996, section 245A.03, is
275.21 amended by adding a subdivision to read:
275.22 Subd. 4. [EXCLUDED CHILD CARE PROGRAMS; RIGHT TO SEEK
275.23 LICENSURE.] Nothing in this section shall prohibit a child care
275.24 program that is excluded from licensure under subdivision 2,
275.25 clause (2), or under Laws 1997, chapter 248, section 46, as
275.26 amended by Laws 1997, First Special Session chapter 5, section
275.27 10, from seeking a license under this chapter. The commissioner
275.28 shall ensure that any application received from such an excluded
275.29 provider is processed in the same manner as all other
275.30 applications for licensed family day care.
275.31 Sec. 5. Minnesota Statutes 1996, section 245A.14,
275.32 subdivision 4, is amended to read:
275.33 Subd. 4. [SPECIAL FAMILY DAY CARE HOMES.] Nonresidential
275.34 child care programs serving 14 or fewer children that are
275.35 conducted at a location other than the license holder's own
275.36 residence shall be licensed under this section and the rules
276.1 governing family day care or group family day care if:
276.2 (a) the license holder is the primary provider of care;
276.3 (b) and the nonresidential child care program is conducted
276.4 in a dwelling that is located on a residential lot; and or
276.5 (c) the license holder complies with all other requirements
276.6 of sections 245A.01 to 245A.15 and the rules governing family
276.7 day care or group family day care.
276.8 (b) the license holder is an employer who may or may not be
276.9 the primary provider of care, and the purpose for the child care
276.10 program is to provide child care services to children of the
276.11 license holder's employees.
276.12 Sec. 6. Minnesota Statutes 1997 Supplement, section
276.13 245B.06, subdivision 2, is amended to read:
276.14 Subd. 2. [RISK MANAGEMENT PLAN.] The license holder must
276.15 develop and document in writing a risk management plan that
276.16 incorporates the individual abuse prevention plan as required in
276.17 chapter 245C section 245A.65. License holders jointly providing
276.18 services to a consumer shall coordinate and use the resulting
276.19 assessment of risk areas for the development of this plan. Upon
276.20 initiation of services, the license holder will have in place an
276.21 initial risk management plan that identifies areas in which the
276.22 consumer is vulnerable, including health, safety, and
276.23 environmental issues and the supports the provider will have in
276.24 place to protect the consumer and to minimize these risks. The
276.25 plan must be changed based on the needs of the individual
276.26 consumer and reviewed at least annually.
276.27 Sec. 7. Minnesota Statutes 1997 Supplement, section
276.28 256.01, subdivision 2, is amended to read:
276.29 Subd. 2. [SPECIFIC POWERS.] Subject to the provisions of
276.30 section 241.021, subdivision 2, the commissioner of human
276.31 services shall:
276.32 (1) Administer and supervise all forms of public assistance
276.33 provided for by state law and other welfare activities or
276.34 services as are vested in the commissioner. Administration and
276.35 supervision of human services activities or services includes,
276.36 but is not limited to, assuring timely and accurate distribution
277.1 of benefits, completeness of service, and quality program
277.2 management. In addition to administering and supervising human
277.3 services activities vested by law in the department, the
277.4 commissioner shall have the authority to:
277.5 (a) require county agency participation in training and
277.6 technical assistance programs to promote compliance with
277.7 statutes, rules, federal laws, regulations, and policies
277.8 governing human services;
277.9 (b) monitor, on an ongoing basis, the performance of county
277.10 agencies in the operation and administration of human services,
277.11 enforce compliance with statutes, rules, federal laws,
277.12 regulations, and policies governing welfare services and promote
277.13 excellence of administration and program operation;
277.14 (c) develop a quality control program or other monitoring
277.15 program to review county performance and accuracy of benefit
277.16 determinations;
277.17 (d) require county agencies to make an adjustment to the
277.18 public assistance benefits issued to any individual consistent
277.19 with federal law and regulation and state law and rule and to
277.20 issue or recover benefits as appropriate;
277.21 (e) delay or deny payment of all or part of the state and
277.22 federal share of benefits and administrative reimbursement
277.23 according to the procedures set forth in section 256.017; and
277.24 (f) make contracts with and grants to public and private
277.25 agencies and organizations, both profit and nonprofit, and
277.26 individuals, using appropriated funds; and
277.27 (g) enter into contractual agreements with federally
277.28 recognized Indian tribes with a reservation in Minnesota to the
277.29 extent necessary for the tribe to operate a federally approved
277.30 family assistance program or any other program under the
277.31 supervision of the commissioner. The commissioner shall consult
277.32 with the affected county or counties in the contractual
277.33 agreement negotiations, if the county or counties wish to be
277.34 included, in order to avoid the duplication of county and tribal
277.35 assistance program services. The commissioner may establish
277.36 necessary accounts for the purposes of receiving and disbursing
278.1 funds as necessary for the operation of the programs.
278.2 (2) Inform county agencies, on a timely basis, of changes
278.3 in statute, rule, federal law, regulation, and policy necessary
278.4 to county agency administration of the programs.
278.5 (3) Administer and supervise all child welfare activities;
278.6 promote the enforcement of laws protecting handicapped,
278.7 dependent, neglected and delinquent children, and children born
278.8 to mothers who were not married to the children's fathers at the
278.9 times of the conception nor at the births of the children;
278.10 license and supervise child-caring and child-placing agencies
278.11 and institutions; supervise the care of children in boarding and
278.12 foster homes or in private institutions; and generally perform
278.13 all functions relating to the field of child welfare now vested
278.14 in the state board of control.
278.15 (4) Administer and supervise all noninstitutional service
278.16 to handicapped persons, including those who are visually
278.17 impaired, hearing impaired, or physically impaired or otherwise
278.18 handicapped. The commissioner may provide and contract for the
278.19 care and treatment of qualified indigent children in facilities
278.20 other than those located and available at state hospitals when
278.21 it is not feasible to provide the service in state hospitals.
278.22 (5) Assist and actively cooperate with other departments,
278.23 agencies and institutions, local, state, and federal, by
278.24 performing services in conformity with the purposes of Laws
278.25 1939, chapter 431.
278.26 (6) Act as the agent of and cooperate with the federal
278.27 government in matters of mutual concern relative to and in
278.28 conformity with the provisions of Laws 1939, chapter 431,
278.29 including the administration of any federal funds granted to the
278.30 state to aid in the performance of any functions of the
278.31 commissioner as specified in Laws 1939, chapter 431, and
278.32 including the promulgation of rules making uniformly available
278.33 medical care benefits to all recipients of public assistance, at
278.34 such times as the federal government increases its participation
278.35 in assistance expenditures for medical care to recipients of
278.36 public assistance, the cost thereof to be borne in the same
279.1 proportion as are grants of aid to said recipients.
279.2 (7) Establish and maintain any administrative units
279.3 reasonably necessary for the performance of administrative
279.4 functions common to all divisions of the department.
279.5 (8) Act as designated guardian of both the estate and the
279.6 person of all the wards of the state of Minnesota, whether by
279.7 operation of law or by an order of court, without any further
279.8 act or proceeding whatever, except as to persons committed as
279.9 mentally retarded. For children under the guardianship of the
279.10 commissioner whose interests would be best served by adoptive
279.11 placement, the commissioner may contract with a licensed
279.12 child-placing agency to provide adoption services. A contract
279.13 with a licensed child-placing agency must be designed to
279.14 supplement existing county efforts and may not replace existing
279.15 county programs, unless the replacement is agreed to by the
279.16 county board and the appropriate exclusive bargaining
279.17 representative or the commissioner has evidence that child
279.18 placements of the county continue to be substantially below that
279.19 of other counties.
279.20 (9) Act as coordinating referral and informational center
279.21 on requests for service for newly arrived immigrants coming to
279.22 Minnesota.
279.23 (10) The specific enumeration of powers and duties as
279.24 hereinabove set forth shall in no way be construed to be a
279.25 limitation upon the general transfer of powers herein contained.
279.26 (11) Establish county, regional, or statewide schedules of
279.27 maximum fees and charges which may be paid by county agencies
279.28 for medical, dental, surgical, hospital, nursing and nursing
279.29 home care and medicine and medical supplies under all programs
279.30 of medical care provided by the state and for congregate living
279.31 care under the income maintenance programs.
279.32 (12) Have the authority to conduct and administer
279.33 experimental projects to test methods and procedures of
279.34 administering assistance and services to recipients or potential
279.35 recipients of public welfare. To carry out such experimental
279.36 projects, it is further provided that the commissioner of human
280.1 services is authorized to waive the enforcement of existing
280.2 specific statutory program requirements, rules, and standards in
280.3 one or more counties. The order establishing the waiver shall
280.4 provide alternative methods and procedures of administration,
280.5 shall not be in conflict with the basic purposes, coverage, or
280.6 benefits provided by law, and in no event shall the duration of
280.7 a project exceed four years. It is further provided that no
280.8 order establishing an experimental project as authorized by the
280.9 provisions of this section shall become effective until the
280.10 following conditions have been met:
280.11 (a) The secretary of health, education, and welfare of the
280.12 United States has agreed, for the same project, to waive state
280.13 plan requirements relative to statewide uniformity.
280.14 (b) A comprehensive plan, including estimated project
280.15 costs, shall be approved by the legislative advisory commission
280.16 and filed with the commissioner of administration.
280.17 (13) According to federal requirements, establish
280.18 procedures to be followed by local welfare boards in creating
280.19 citizen advisory committees, including procedures for selection
280.20 of committee members.
280.21 (14) Allocate federal fiscal disallowances or sanctions
280.22 which are based on quality control error rates for the aid to
280.23 families with dependent children, Minnesota family investment
280.24 program-statewide, medical assistance, or food stamp program in
280.25 the following manner:
280.26 (a) One-half of the total amount of the disallowance shall
280.27 be borne by the county boards responsible for administering the
280.28 programs. For the medical assistance, MFIP-S, and AFDC
280.29 programs, disallowances shall be shared by each county board in
280.30 the same proportion as that county's expenditures for the
280.31 sanctioned program are to the total of all counties'
280.32 expenditures for the AFDC, MFIP-S, and medical assistance
280.33 programs. For the food stamp program, sanctions shall be shared
280.34 by each county board, with 50 percent of the sanction being
280.35 distributed to each county in the same proportion as that
280.36 county's administrative costs for food stamps are to the total
281.1 of all food stamp administrative costs for all counties, and 50
281.2 percent of the sanctions being distributed to each county in the
281.3 same proportion as that county's value of food stamp benefits
281.4 issued are to the total of all benefits issued for all
281.5 counties. Each county shall pay its share of the disallowance
281.6 to the state of Minnesota. When a county fails to pay the
281.7 amount due hereunder, the commissioner may deduct the amount
281.8 from reimbursement otherwise due the county, or the attorney
281.9 general, upon the request of the commissioner, may institute
281.10 civil action to recover the amount due.
281.11 (b) Notwithstanding the provisions of paragraph (a), if the
281.12 disallowance results from knowing noncompliance by one or more
281.13 counties with a specific program instruction, and that knowing
281.14 noncompliance is a matter of official county board record, the
281.15 commissioner may require payment or recover from the county or
281.16 counties, in the manner prescribed in paragraph (a), an amount
281.17 equal to the portion of the total disallowance which resulted
281.18 from the noncompliance, and may distribute the balance of the
281.19 disallowance according to paragraph (a).
281.20 (15) Develop and implement special projects that maximize
281.21 reimbursements and result in the recovery of money to the
281.22 state. For the purpose of recovering state money, the
281.23 commissioner may enter into contracts with third parties. Any
281.24 recoveries that result from projects or contracts entered into
281.25 under this paragraph shall be deposited in the state treasury
281.26 and credited to a special account until the balance in the
281.27 account reaches $1,000,000. When the balance in the account
281.28 exceeds $1,000,000, the excess shall be transferred and credited
281.29 to the general fund. All money in the account is appropriated
281.30 to the commissioner for the purposes of this paragraph.
281.31 (16) Have the authority to make direct payments to
281.32 facilities providing shelter to women and their children
281.33 according to section 256D.05, subdivision 3. Upon the written
281.34 request of a shelter facility that has been denied payments
281.35 under section 256D.05, subdivision 3, the commissioner shall
281.36 review all relevant evidence and make a determination within 30
282.1 days of the request for review regarding issuance of direct
282.2 payments to the shelter facility. Failure to act within 30 days
282.3 shall be considered a determination not to issue direct payments.
282.4 (17) Have the authority to establish and enforce the
282.5 following county reporting requirements:
282.6 (a) The commissioner shall establish fiscal and statistical
282.7 reporting requirements necessary to account for the expenditure
282.8 of funds allocated to counties for human services programs.
282.9 When establishing financial and statistical reporting
282.10 requirements, the commissioner shall evaluate all reports, in
282.11 consultation with the counties, to determine if the reports can
282.12 be simplified or the number of reports can be reduced.
282.13 (b) The county board shall submit monthly or quarterly
282.14 reports to the department as required by the commissioner.
282.15 Monthly reports are due no later than 15 working days after the
282.16 end of the month. Quarterly reports are due no later than 30
282.17 calendar days after the end of the quarter, unless the
282.18 commissioner determines that the deadline must be shortened to
282.19 20 calendar days to avoid jeopardizing compliance with federal
282.20 deadlines or risking a loss of federal funding. Only reports
282.21 that are complete, legible, and in the required format shall be
282.22 accepted by the commissioner.
282.23 (c) If the required reports are not received by the
282.24 deadlines established in clause (b), the commissioner may delay
282.25 payments and withhold funds from the county board until the next
282.26 reporting period. When the report is needed to account for the
282.27 use of federal funds and the late report results in a reduction
282.28 in federal funding, the commissioner shall withhold from the
282.29 county boards with late reports an amount equal to the reduction
282.30 in federal funding until full federal funding is received.
282.31 (d) A county board that submits reports that are late,
282.32 illegible, incomplete, or not in the required format for two out
282.33 of three consecutive reporting periods is considered
282.34 noncompliant. When a county board is found to be noncompliant,
282.35 the commissioner shall notify the county board of the reason the
282.36 county board is considered noncompliant and request that the
283.1 county board develop a corrective action plan stating how the
283.2 county board plans to correct the problem. The corrective
283.3 action plan must be submitted to the commissioner within 45 days
283.4 after the date the county board received notice of noncompliance.
283.5 (e) The final deadline for fiscal reports or amendments to
283.6 fiscal reports is one year after the date the report was
283.7 originally due. If the commissioner does not receive a report
283.8 by the final deadline, the county board forfeits the funding
283.9 associated with the report for that reporting period and the
283.10 county board must repay any funds associated with the report
283.11 received for that reporting period.
283.12 (f) The commissioner may not delay payments, withhold
283.13 funds, or require repayment under paragraph (c) or (e) if the
283.14 county demonstrates that the commissioner failed to provide
283.15 appropriate forms, guidelines, and technical assistance to
283.16 enable the county to comply with the requirements. If the
283.17 county board disagrees with an action taken by the commissioner
283.18 under paragraph (c) or (e), the county board may appeal the
283.19 action according to sections 14.57 to 14.69.
283.20 (g) Counties subject to withholding of funds under
283.21 paragraph (c) or forfeiture or repayment of funds under
283.22 paragraph (e) shall not reduce or withhold benefits or services
283.23 to clients to cover costs incurred due to actions taken by the
283.24 commissioner under paragraph (c) or (e).
283.25 (18) Allocate federal fiscal disallowances or sanctions for
283.26 audit exceptions when federal fiscal disallowances or sanctions
283.27 are based on a statewide random sample for the foster care
283.28 program under title IV-E of the Social Security Act, United
283.29 States Code, title 42, in direct proportion to each county's
283.30 title IV-E foster care maintenance claim for that period.
283.31 (19) Be responsible for ensuring the detection, prevention,
283.32 investigation, and resolution of fraudulent activities or
283.33 behavior by applicants, recipients, and other participants in
283.34 the human services programs administered by the department.
283.35 (20) Require county agencies to identify overpayments,
283.36 establish claims, and utilize all available and cost-beneficial
284.1 methodologies to collect and recover these overpayments in the
284.2 human services programs administered by the department.
284.3 (21) Have the authority to administer a drug rebate program
284.4 for drugs purchased pursuant to the senior citizen drug program
284.5 established under section 256.955 after the beneficiary's
284.6 satisfaction of any deductible established in the program. The
284.7 commissioner shall require a rebate agreement from all
284.8 manufacturers of covered drugs as defined in section 256B.0625,
284.9 subdivision 13. For each drug, the amount of the rebate shall
284.10 be equal to the basic rebate as defined for purposes of the
284.11 federal rebate program in United States Code, title 42, section
284.12 1396r-8(c)(1). This basic rebate shall be applied to
284.13 single-source and multiple-source drugs. The manufacturers must
284.14 provide full payment within 30 days of receipt of the state
284.15 invoice for the rebate within the terms and conditions used for
284.16 the federal rebate program established pursuant to section 1927
284.17 of title XIX of the Social Security Act. The manufacturers must
284.18 provide the commissioner with any information necessary to
284.19 verify the rebate determined per drug. The rebate program shall
284.20 utilize the terms and conditions used for the federal rebate
284.21 program established pursuant to section 1927 of title XIX of the
284.22 Social Security Act.
284.23 Sec. 8. Minnesota Statutes 1996, section 256.014,
284.24 subdivision 1, is amended to read:
284.25 Subdivision 1. [ESTABLISHMENT OF SYSTEMS.] The
284.26 commissioner of human services shall establish and enhance
284.27 computer systems necessary for the efficient operation of the
284.28 programs the commissioner supervises, including:
284.29 (1) management and administration of the food stamp and
284.30 income maintenance programs, including the electronic
284.31 distribution of benefits;
284.32 (2) management and administration of the child support
284.33 enforcement program; and
284.34 (3) administration of medical assistance and general
284.35 assistance medical care.
284.36 The commissioner shall distribute the nonfederal share of
285.1 the costs of operating and maintaining the systems to the
285.2 commissioner and to the counties participating in the system in
285.3 a manner that reflects actual system usage, except that the
285.4 nonfederal share of the costs of the MAXIS computer system and
285.5 child support enforcement systems shall be borne entirely by the
285.6 commissioner. Development costs must not be assessed against
285.7 county agencies.
285.8 The commissioner may enter into contractual agreements with
285.9 federally recognized Indian tribes with a reservation in
285.10 Minnesota to participate in state-operated computer systems
285.11 related to the management and administration of the food stamp,
285.12 income maintenance, child support enforcement, and medical
285.13 assistance and general assistance medical care programs to the
285.14 extent necessary for the tribe to operate a federally approved
285.15 family assistance program or any other program under the
285.16 supervision of the commissioner.
285.17 Sec. 9. Minnesota Statutes 1997 Supplement, section
285.18 256.031, subdivision 6, is amended to read:
285.19 Subd. 6. [END OF FIELD TRIALS.] (a) Upon agreement with
285.20 the federal government, the field trials of the Minnesota family
285.21 investment plan will end June 30, 1998.
285.22 (b) Families in the comparison group under subdivision 3,
285.23 paragraph (d), clause (i), receiving aid to families with
285.24 dependent children under sections 256.72 to 256.87, and STRIDE
285.25 services under section 256.736 will continue in those programs
285.26 until June 30, 1998. After June 30, 1998, families who cease
285.27 receiving assistance under the Minnesota family investment plan
285.28 and comparison group families who cease receiving assistance
285.29 under AFDC and STRIDE who are eligible for the Minnesota family
285.30 investment program-statewide (MFIP-S), medical assistance,
285.31 general assistance medical care, or the food stamp program shall
285.32 be placed with their consent on the programs for which they are
285.33 eligible.
285.34 (c) Families who cease receiving assistance under the MFIP
285.35 and comparison families who cease receiving assistance under
285.36 AFDC and STRIDE who are ineligible for MFIP-S due to increased
286.1 income from employment, or increased child or spousal support or
286.2 a combination of employment income and child or spousal support,
286.3 shall be eligible for transition year child care under section
286.4 119B.05, and extended medical assistance under section
286.5 256B.0635. For the purpose of assistance for transition year
286.6 child care and determining receipt of extended medical
286.7 assistance, receipt of AFDC and MFIP shall be considered to be
286.8 the same as receipt of MFIP-S.
286.9 Sec. 10. Minnesota Statutes 1997 Supplement, section
286.10 256.741, is amended by adding a subdivision to read:
286.11 Subd. 2a. [FAMILIES-FIRST DISTRIBUTION OF CHILD SUPPORT
286.12 ARREARAGES.] When the public authority collects support
286.13 arrearages on behalf of an individual who is receiving
286.14 assistance provided under MFIP or MFIP-R under this chapter,
286.15 MFIP-S under chapter 256J, or work first under chapter 256K, and
286.16 the public authority has the option of applying the collection
286.17 to arrears permanently assigned to the state or to arrears
286.18 temporarily assigned to the state, the public authority shall
286.19 first apply the collection to satisfy those arrears that are
286.20 permanently assigned to the state.
286.21 Sec. 11. Minnesota Statutes 1997 Supplement, section
286.22 256.9864, is amended to read:
286.23 256.9864 [REPORTS BY RECIPIENT.]
286.24 (a) An assistance unit with a recent work history or with
286.25 earned income shall report monthly to the county agency on
286.26 income received and other circumstances affecting eligibility or
286.27 assistance amounts. All other assistance units shall report on
286.28 income and other circumstances affecting eligibility and
286.29 assistance amounts, as specified by the state agency.
286.30 (b) An assistance unit required to submit a report on the
286.31 form designated by the commissioner and within ten days of the
286.32 due date or the date of the significant change, whichever is
286.33 later, or otherwise report significant changes which would
286.34 affect eligibility or assistance amounts, is considered to have
286.35 continued its application for assistance effective the date the
286.36 required report is received by the county agency, if a complete
287.1 report is received within a calendar month in which assistance
287.2 was received, except that no assistance shall be paid for the
287.3 period beginning with the end of the month in which the report
287.4 was due and ending with the date the report was received by the
287.5 county agency.
287.6 Sec. 12. Minnesota Statutes 1997 Supplement, section
287.7 256B.062, is amended to read:
287.8 256B.062 [CONTINUED ELIGIBILITY.]
287.9 Medical assistance may be paid for persons who received aid
287.10 to families with dependent children in at least three of the six
287.11 months preceding the month in which the person became ineligible
287.12 for aid to families with dependent children, if the
287.13 ineligibility was due to an increase in hours of employment or
287.14 employment income or due to the loss of an earned income
287.15 disregard. A person who is eligible for extended medical
287.16 assistance is entitled to six months of assistance without
287.17 reapplication, unless the assistance unit ceases to include a
287.18 dependent child. For a person under 21 years of age, medical
287.19 assistance may not be discontinued within the six-month period
287.20 of extended eligibility until it has been determined that the
287.21 person is not otherwise eligible for medical assistance.
287.22 Medical assistance may be continued for an additional six months
287.23 if the person meets all requirements for the additional six
287.24 months, according to Title XIX of the Social Security Act, as
287.25 amended by section 303 of the Family Support Act of 1988, Public
287.26 Law Number 100-485. This section is repealed effective March 31
287.27 July 1, 1998.
287.28 Sec. 13. Minnesota Statutes 1997 Supplement, section
287.29 256B.0635, is amended by adding a subdivision to read:
287.30 Subd. 3. [MEDICAL ASSISTANCE FOR MFIP-S PARTICIPANTS WHO
287.31 OPT TO DISCONTINUE MONTHLY CASH ASSISTANCE.] Upon federal
287.32 approval, medical assistance is available to persons who
287.33 received MFIP-S in at least three of the six months preceding
287.34 the month in which the person opted to discontinue receiving
287.35 MFIP-S cash assistance under section 256J.31, subdivision 12. A
287.36 person who is eligible for medical assistance under this section
288.1 may receive medical assistance without reapplication as long as
288.2 the person meets MFIP-S eligibility requirements, unless the
288.3 assistance unit does not include a dependent child. Medical
288.4 assistance may be paid pursuant to subdivisions 1 and 2 for
288.5 persons who are no longer eligible for MFIP-S due to increased
288.6 employment or child support. A person may be eligible for
288.7 MinnesotaCare due to increased employment or child support, and
288.8 as such must be informed of the option to transition onto
288.9 MinnesotaCare.
288.10 Sec. 14. Minnesota Statutes 1997 Supplement, section
288.11 256D.05, subdivision 8, is amended to read:
288.12 Subd. 8. [CITIZENSHIP.] (a) Effective July 1, 1997,
288.13 citizenship requirements for applicants and recipients under
288.14 sections 256D.01 to 256D.03, subdivision 2, and 256D.04 to
288.15 256D.21 shall be determined the same as under section 256J.11,
288.16 except that legal noncitizens who are applicants or recipients
288.17 must have been residents of Minnesota on March 1, 1997. Legal
288.18 noncitizens who arrive in Minnesota after March 1, 1997, and
288.19 become elderly or disabled after that date, and are otherwise
288.20 eligible for general assistance can receive benefits under this
288.21 section. The income and assets of sponsors of noncitizens shall
288.22 be deemed available to general assistance applicants and
288.23 recipients according to the Personal Responsibility and Work
288.24 Opportunity Reconciliation Act of 1996, Public Law Number
288.25 104-193, title IV, sections 421 and 422, and subsequently set
288.26 out in federal rules.
288.27 (b) As a condition of eligibility, each legal adult
288.28 noncitizen in the assistance unit who has resided in the country
288.29 for four years or more and who is under 70 years of age must:
288.30 (1) be enrolled in a literacy class, English as a second
288.31 language class, or a citizen class;
288.32 (2) be applying for admission to a literacy class, English
288.33 as a second language class, and is on a waiting list;
288.34 (3) be in the process of applying for a waiver from the
288.35 Immigration and Naturalization Service of the English language
288.36 or civics requirements of the citizenship test;
289.1 (4) have submitted an application for citizenship to the
289.2 Immigration and Naturalization Service and is waiting for a
289.3 testing date or a subsequent swearing in ceremony; or
289.4 (5) have been denied citizenship due to a failure to pass
289.5 the test after two attempts or because of an inability to
289.6 understand the rights and responsibilities of becoming a United
289.7 States citizen, as documented by the Immigration and
289.8 Naturalization Service or the county.
289.9 If the county social service agency determines that a legal
289.10 noncitizen subject to the requirements of this subdivision will
289.11 require more than one year of English language training, then
289.12 the requirements of clause (1) or (2) shall be imposed after the
289.13 legal noncitizen has resided in the country for three years.
289.14 Individuals who reside in a facility licensed under chapter
289.15 144A, 144D, 245A, or 256I are exempt from the requirements of
289.16 this section.
289.17 Sec. 15. Minnesota Statutes 1996, section 256D.051, is
289.18 amended by adding a subdivision to read:
289.19 Subd. 18. [WAIVER OF SERVICE COST REIMBURSEMENT LIMIT FOR
289.20 PARTICIPANTS WITH SIGNIFICANT BARRIERS TO EMPLOYMENT.]
289.21 (a) To the extent of available resources, the commissioner
289.22 may waive the $400 service cost limit specified in subdivision 6
289.23 for county agencies who propose to provide enhanced services
289.24 under the food stamp employment and training program to
289.25 hard-to-employ individuals. A "hard-to-employ individual" is
289.26 defined as:
289.27 (1) a recipient of general assistance under chapter 256D;
289.28 or
289.29 (2) an individual with at least one of the following three
289.30 barriers to employment:
289.31 (i) the individual has not completed secondary school or
289.32 obtained a general equivalency development diploma or an adult
289.33 diploma, and has low skills in reading or mathematics;
289.34 (ii) the individual requires substance abuse treatment for
289.35 employment; and
289.36 (iii) the individual has a poor work history.
290.1 (b) To obtain a waiver, the county agency must submit a
290.2 waiver request to the commissioner. The request must specify:
290.3 (1) the number of hard-to-employ individuals the agency
290.4 plans to serve;
290.5 (2) the nature of the enhanced employment and training
290.6 services the agency will provide; and
290.7 (3) the agency's plan for providing referrals for substance
290.8 abuse assessment and treatment for hard-to-employ individuals
290.9 who require substance abuse treatment for employment.
290.10 Sec. 16. [256D.053] [MINNESOTA FOOD ASSISTANCE PROGRAM.]
290.11 Subdivision 1. [PROGRAM ESTABLISHED.] For the period of
290.12 July 1, 1998, to June 30, 1999, the Minnesota food assistance
290.13 program is established to provide food assistance to legal
290.14 noncitizens residing in this state who are ineligible to
290.15 participate in the federal Food Stamp Program solely due to the
290.16 provisions of section 402 or 403 of Public Law Number 104-193,
290.17 as authorized by Title VII of the 1997 Emergency Supplemental
290.18 Appropriations Act, Public Law Number 105-18.
290.19 Subd. 2. [ELIGIBILITY REQUIREMENTS.] To be eligible for
290.20 the Minnesota food assistance program, all of the following
290.21 conditions must be met:
290.22 (1) the applicant must meet the initial and ongoing
290.23 eligibility requirements for the federal Food Stamp Program,
290.24 except for the applicant's ineligible immigration status;
290.25 (2) the applicant must be either a qualified noncitizen as
290.26 defined in section 256J.08, subdivision 73, or a noncitizen
290.27 otherwise residing lawfully in the United States;
290.28 (3) the applicant must be a resident of the state; and
290.29 (4) the applicant must not be receiving assistance under
290.30 the MFIP-S or the work first program.
290.31 Subd. 3. [PROGRAM ADMINISTRATION.] (a) The rules for the
290.32 Minnesota food assistance program shall follow exactly the
290.33 regulations for the federal Food Stamp Program, except for the
290.34 provisions pertaining to immigration status under sections 402
290.35 or 403 of Public Law Number 104-193.
290.36 (b) The county agency shall use the income, budgeting, and
291.1 benefit allotment regulations of the federal Food Stamp Program
291.2 to calculate an eligible recipient's monthly Minnesota food
291.3 assistance program benefit. Until September 30, 1998, eligible
291.4 recipients under this subdivision shall receive the average per
291.5 person food stamp issuance in Minnesota in the fiscal year
291.6 ending June 30, 1997. Beginning October 1, 1998, eligible
291.7 recipients shall receive the same level of benefits as those
291.8 provided by the federal Food Stamp Program to similarly situated
291.9 citizen recipients. The monthly Minnesota food assistance
291.10 program benefits shall not exceed an amount equal to the amount
291.11 of federal Food Stamp Program benefits the household would
291.12 receive if all members of the household were eligible for the
291.13 federal Food Stamp Program.
291.14 (c) Minnesota food assistance program benefits must be
291.15 disregarded as income in all programs that do not count food
291.16 stamps as income.
291.17 (d) The county agency must redetermine a Minnesota food
291.18 assistance program recipient's eligibility for the federal Food
291.19 Stamp Program when the agency receives information that the
291.20 recipient's legal immigration status has changed in such a way
291.21 that would make the recipient potentially eligible for the
291.22 federal Food Stamp Program.
291.23 (e) Until October 1, 1998, the commissioner may provide
291.24 benefits under this section in cash.
291.25 Subd. 4. [STATE PLAN REQUIRED.] The commissioner shall
291.26 submit a state plan to the secretary of agriculture to allow the
291.27 commissioner to purchase federal Food Stamp Program benefits for
291.28 each Minnesota food assistance program recipient who is
291.29 ineligible to participate in the federal Food Stamp Program
291.30 solely due to the provisions of section 402 or 403 of Public Law
291.31 Number 104-193, as authorized by Title VII of the 1997 Emergency
291.32 Supplemental Appropriations Act, Public Law Number 105-18. The
291.33 commissioner shall enter into a contract as necessary with the
291.34 secretary to use the existing federal Food Stamp Program
291.35 benefits delivery system for the purposes of administering the
291.36 Minnesota food assistance program under this section.
292.1 Sec. 17. Minnesota Statutes 1996, section 256D.46,
292.2 subdivision 2, is amended to read:
292.3 Subd. 2. [INCOME AND RESOURCE TEST.] All income and
292.4 resources available to the recipient must be considered in
292.5 determining the recipient's ability to meet the emergency need.
292.6 Property that can be liquidated in time to resolve the emergency
292.7 and income, (excluding Minnesota supplemental aid issued for
292.8 current month's need) an amount equal to the Minnesota
292.9 supplemental aid standard of assistance, that is normally
292.10 disregarded or excluded under the Minnesota supplemental aid
292.11 program must be considered available to meet the emergency need.
292.12 Sec. 18. Minnesota Statutes 1997 Supplement, section
292.13 256J.02, subdivision 4, is amended to read:
292.14 Subd. 4. [AUTHORITY TO TRANSFER.] Subject to limitations
292.15 of title I of Public Law Number 104-193, the Personal
292.16 Responsibility and Work Opportunity Reconciliation Act of
292.17 1996, as amended, the legislature may transfer money from the
292.18 TANF block grant to the child care fund under chapter 119B, or
292.19 the Title XX block grant under section 256E.07.
292.20 Sec. 19. Minnesota Statutes 1997 Supplement, section
292.21 256J.03, is amended to read:
292.22 256J.03 [TANF RESERVE ACCOUNT.]
292.23 Subdivision 1. The Minnesota family investment
292.24 program-statewide/TANF TANF reserve account is created in the
292.25 state treasury. Funds retained or deposited in the TANF reserve
292.26 shall include: (1) funds designated by the legislature and; (2)
292.27 unexpended state funds resulting from the acceleration of TANF
292.28 expenditures under subdivision 2; (3) earnings available from
292.29 the federal TANF block grant appropriated to the commissioner
292.30 but not expended in the biennium beginning July 1, 1997, shall
292.31 be retained; and (4) TANF funds available in fiscal years 1998,
292.32 1999, 2000, and 2001 that are not spent or not budgeted to be
292.33 spent in those years.
292.34 Funds deposited in the reserve account to must be expended
292.35 for the Minnesota family investment program-statewide in fiscal
292.36 year 2000 and subsequent fiscal years and directly related state
293.1 programs for the purposes in subdivision 3.
293.2 Subd. 2. [AUTHORIZATION TO ACCELERATE EXPENDITURE OF TANF
293.3 FUNDS.] The commissioner may expend federal TANF block grant
293.4 funds in excess of appropriated levels for the purpose of
293.5 accelerating federal funding of the MFIP program. By the end of
293.6 the fiscal year in which the additional federal expenditures are
293.7 made, the commissioner must deposit into the reserve account an
293.8 amount of unexpended state funds appropriated for assistance to
293.9 families grants, AFDC, and MFIP equal to the additional federal
293.10 expenditures. Reserve funds may be spent as TANF appropriations
293.11 if insufficient TANF funds are available because of acceleration.
293.12 Subd. 3. [ALLOWED TRANSFER PURPOSE.] Funds from the
293.13 reserve account may be used for the following purposes:
293.14 (1) unanticipated TANF block grant maintenance of effort
293.15 shortfalls;
293.16 (2) MFIP cost increases due to reduced federal revenues and
293.17 federal law changes;
293.18 (3) one-half of the MFIP general fund cost increase in
293.19 fiscal year 2000 and subsequent fiscal years due to caseload
293.20 increases over fiscal year 1999; and
293.21 (4) transfers allowed under section 256J.02, subdivision 4.
293.22 Sec. 20. Minnesota Statutes 1997 Supplement, section
293.23 256J.08, subdivision 11, is amended to read:
293.24 Subd. 11. [CAREGIVER.] "Caregiver" means a minor child's
293.25 natural or adoptive parent or parents and stepparent who live in
293.26 the home with the minor child. For purposes of determining
293.27 eligibility for this program, caregiver also means any of the
293.28 following individuals, if adults, who live with and provide care
293.29 and support to a minor child when the minor child's natural or
293.30 adoptive parent or parents or stepparents do not reside in the
293.31 same home: legal custodians custodian or guardian, grandfather,
293.32 grandmother, brother, sister, stepfather, stepmother,
293.33 stepbrother, stepsister, uncle, aunt, first cousin or first
293.34 cousin once removed, nephew, niece, person of preceding
293.35 generation as denoted by prefixes of "great," "great-great," or
293.36 "great-great-great," or a spouse of any person named in the
294.1 above groups even after the marriage ends by death or divorce.
294.2 Sec. 21. Minnesota Statutes 1997 Supplement, section
294.3 256J.08, is amended by adding a subdivision to read:
294.4 Subd. 24a. [DISQUALIFIED.] "Disqualified" means being
294.5 ineligible to receive MFIP-S due to noncooperation with program
294.6 requirements. Except for persons whose disqualification is
294.7 based on fraud, a disqualified person can take action to correct
294.8 the reason for ineligibility.
294.9 Sec. 22. Minnesota Statutes 1997 Supplement, section
294.10 256J.08, subdivision 26, is amended to read:
294.11 Subd. 26. [EARNED INCOME.] "Earned income" means cash or
294.12 in-kind income earned through the receipt of wages, salary,
294.13 commissions, profit from employment activities, net profit from
294.14 self-employment activities, payments made by an employer for
294.15 regularly accrued vacation or sick leave, and any other profit
294.16 from activity earned through effort or labor. The income must
294.17 be in return for, or as a result of, legal activity.
294.18 Sec. 23. Minnesota Statutes 1997 Supplement, section
294.19 256J.08, subdivision 28, is amended to read:
294.20 Subd. 28. [EMERGENCY.] "Emergency" means a situation or a
294.21 set of circumstances that causes or threatens to cause
294.22 destitution to a minor child family with a child under age 21.
294.23 Sec. 24. Minnesota Statutes 1997 Supplement, section
294.24 256J.08, subdivision 40, is amended to read:
294.25 Subd. 40. [GROSS EARNED INCOME.] "Gross earned income"
294.26 means earned income from employment before mandatory and
294.27 voluntary payroll deductions. Gross earned income includes
294.28 salaries, wages, tips, gratuities, commissions, incentive
294.29 payments from work or training programs, payments made by an
294.30 employer for regularly accrued vacation or sick leave, and
294.31 profits from other activity earned by an individual's effort or
294.32 labor. Gross earned income includes uniform and meal allowances
294.33 if federal income tax is deducted from the allowance. Gross
294.34 earned income includes flexible work benefits received from an
294.35 employer if the employee has the option of receiving the benefit
294.36 or benefits in cash. For self-employment, gross earned income
295.1 is the nonexcluded income minus expenses for the business.
295.2 Sec. 25. Minnesota Statutes 1997 Supplement, section
295.3 256J.08, is amended by adding a subdivision to read:
295.4 Subd. 50a. [INTERSTATE TRANSITIONAL STANDARD.] "Interstate
295.5 transitional standard" means a combination of the cash
295.6 assistance a family with no other income would have received in
295.7 the state of previous residence and the Minnesota food portion
295.8 for the appropriate size family.
295.9 Sec. 26. Minnesota Statutes 1997 Supplement, section
295.10 256J.08, is amended by adding a subdivision to read:
295.11 Subd. 51a. [LEGAL CUSTODIAN.] "Legal custodian" means any
295.12 person who is under a legal obligation to provide care for a
295.13 minor and who is in fact providing care for a minor. For an
295.14 Indian child, "custodian" means any Indian person who has legal
295.15 custody of an Indian child under tribal law or custom, under
295.16 state law, or to whom temporary physical care, custody, and
295.17 control has been transferred by the parent of the child, as
295.18 provided in section 257.351, subdivision 8.
295.19 Sec. 27. Minnesota Statutes 1997 Supplement, section
295.20 256J.08, subdivision 60, is amended to read:
295.21 Subd. 60. [MINOR CHILD.] "Minor child" means a child who
295.22 is living in the same home of a parent or other caregiver, is
295.23 not the parent of a child in the home, and is either less than
295.24 18 years of age or is under the age of 19 years and is regularly
295.25 attending as a full-time student and is expected to complete a
295.26 high school or in a secondary school or pursuing a full-time
295.27 secondary level course of vocational or technical training
295.28 designed to fit students for gainful employment before reaching
295.29 age 19.
295.30 Sec. 28. Minnesota Statutes 1997 Supplement, section
295.31 256J.08, is amended by adding a subdivision to read:
295.32 Subd. 61a. [NONCUSTODIAL PARENT.] "Noncustodial parent"
295.33 means a minor child's parent who does not live in the same home
295.34 as the child.
295.35 Sec. 29. Minnesota Statutes 1997 Supplement, section
295.36 256J.08, subdivision 68, is amended to read:
296.1 Subd. 68. [PERSONAL PROPERTY.] "Personal property" means
296.2 an item of value that is not real property, including the value
296.3 of a contract for deed held by a seller, assets held in trust on
296.4 behalf of members of an assistance unit, cash surrender value of
296.5 life insurance, value of a prepaid burial, savings account,
296.6 value of stocks and bonds, and value of retirement accounts.
296.7 Sec. 30. Minnesota Statutes 1997 Supplement, section
296.8 256J.08, subdivision 73, is amended to read:
296.9 Subd. 73. [QUALIFIED NONCITIZEN.] "Qualified noncitizen"
296.10 means a person:
296.11 (1) who was lawfully admitted for permanent residence
296.12 pursuant to United States Code, title 8;
296.13 (2) who was admitted to the United States as a refugee
296.14 pursuant to United States Code, title 8; section 1157;
296.15 (3) whose deportation is being withheld pursuant to United
296.16 States Code, title 8, section 1253(h);
296.17 (4) who was paroled for a period of at least one year
296.18 pursuant to United States Code, title 8, section 1182(d)(5);
296.19 (5) who was granted conditional entry pursuant to United
296.20 State Code, title 8, section 1153(a)(7);
296.21 (6) who was granted asylum pursuant to United States Code,
296.22 title 8, section 1158; or
296.23 (7) determined to be a battered noncitizen by the United
296.24 States Attorney General according to the Illegal Immigration
296.25 Reform and Immigrant Responsibility Act of 1996, Title V of the
296.26 Omnibus Consolidated Appropriations Bill, Public Law Number
296.27 104-208;
296.28 (8) who is a child of a noncitizen determined to be a
296.29 battered noncitizen by the United States Attorney General
296.30 according to the Illegal Immigration Reform and Responsibility
296.31 Act of 1996, title V, Public Law Number 104-200; or
296.32 (9) who was admitted as a Cuban or Haitian entrant.
296.33 Sec. 31. Minnesota Statutes 1997 Supplement, section
296.34 256J.08, is amended by adding a subdivision to read:
296.35 Subd. 82a. [SHARED HOUSEHOLD STANDARD.] "Shared household
296.36 standard" means the basic standard used when the household
297.1 includes an unrelated member. The cash portion of the shared
297.2 household standard is equal to 90 percent of the cash portion of
297.3 the transitional standard. The cash portion of the shared
297.4 household standard plus the food portion equals the full shared
297.5 household standard.
297.6 Sec. 32. Minnesota Statutes 1997 Supplement, section
297.7 256J.08, is amended by adding a subdivision to read:
297.8 Subd. 82b. [SHELTER COSTS.] "Shelter costs" means rent,
297.9 manufactured home lot rental costs, or monthly principal,
297.10 interest, insurance premiums, and property taxes due for
297.11 mortgages or contracts for deed.
297.12 Sec. 33. Minnesota Statutes 1997 Supplement, section
297.13 256J.08, subdivision 83, is amended to read:
297.14 Subd. 83. [SIGNIFICANT CHANGE.] "Significant change" means
297.15 a decline in gross income of 35 36 percent or more from the
297.16 income used to determine the grant for the current month.
297.17 Sec. 34. Minnesota Statutes 1997 Supplement, section
297.18 256J.08, is amended by adding a subdivision to read:
297.19 Subd. 86a. [UNRELATED MEMBER.] "Unrelated member" means an
297.20 individual in the household who does not meet the definition of
297.21 an eligible caregiver, but does not include an individual who
297.22 provides child care to a child in the assistance unit.
297.23 Sec. 35. Minnesota Statutes 1997 Supplement, section
297.24 256J.09, subdivision 6, is amended to read:
297.25 Subd. 6. [INVALID REASON FOR DELAY.] A county agency must
297.26 not delay a decision on eligibility or delay issuing the
297.27 assistance payment except to establish state residence as
297.28 provided in section 256J.12 by:
297.29 (1) treating the 30-day processing period as a waiting
297.30 period;
297.31 (2) delaying approval or issuance of the assistance payment
297.32 pending the decision of the county board; or
297.33 (3) awaiting the result of a referral to a county agency in
297.34 another county when the county receiving the application does
297.35 not believe it is the county of financial responsibility.
297.36 Sec. 36. Minnesota Statutes 1997 Supplement, section
298.1 256J.09, subdivision 9, is amended to read:
298.2 Subd. 9. [ADDENDUM TO AN EXISTING APPLICATION.] (a) An
298.3 addendum to an existing application must be used to add persons
298.4 to an assistance unit regardless of whether the persons being
298.5 added are required to be in the assistance unit. When a person
298.6 is added by addendum to an assistance unit, eligibility for that
298.7 person begins on the first of the month the addendum was filed
298.8 except as provided in section 256J.74, subdivision 2, clause (1).
298.9 (b) An overpayment must be determined when a change in
298.10 household composition is not reported within the deadlines in
298.11 section 256J.30, subdivision 9. Any overpayment must be
298.12 calculated from the month of the change including the needs,
298.13 income, and assets of any individual who is required to be
298.14 included in the assistance unit under section 256J.24,
298.15 subdivision 2. Individuals not included in the assistance unit
298.16 who are identified in section 256J.37, subdivisions 1 to 2, must
298.17 have their income and assets considered when determining the
298.18 amount of the overpayment.
298.19 Sec. 37. Minnesota Statutes 1997 Supplement, section
298.20 256J.11, subdivision 2, as amended by Laws 1997, Third Special
298.21 Session chapter 1, is amended to read:
298.22 Subd. 2. [NONCITIZENS; FOOD PORTION.] (a) For the period
298.23 September 1, 1997, to October 31, 1997, noncitizens who do not
298.24 meet one of the exemptions in section 412 of the Personal
298.25 Responsibility and Work Opportunity Reconciliation Act of 1996,
298.26 but were residing in this state as of July 1, 1997, are eligible
298.27 for the 6/10 of the average value of food stamps for the same
298.28 family size and composition until MFIP-S is operative in the
298.29 noncitizen's county of financial responsibility and thereafter,
298.30 the 6/10 of the food portion of MFIP-S. However, federal food
298.31 stamp dollars cannot be used to fund the food portion of MFIP-S
298.32 benefits for an individual under this subdivision.
298.33 (b) For the period November 1, 1997, to June 30, 1998 1999,
298.34 noncitizens who do not meet one of the exemptions in section 412
298.35 of the Personal Responsibility and Work Opportunity
298.36 Reconciliation Act of 1996, but were residing in this state as
299.1 of July 1, 1997, and are receiving cash assistance under the
299.2 AFDC, family general assistance, MFIP or MFIP-S programs are
299.3 eligible for the average value of food stamps for the same
299.4 family size and composition until MFIP-S is operative in the
299.5 noncitizen's county of financial responsibility and thereafter,
299.6 the food portion of MFIP-S. However, federal food stamp dollars
299.7 cannot be used to fund the food portion of MFIP-S benefits for
299.8 an individual under this subdivision. The assistance provided
299.9 under this subdivision, which is designated as a supplement to
299.10 replace lost benefits under the federal food stamp program, must
299.11 be disregarded as income in all programs that do not count food
299.12 stamps as income where the commissioner has the authority to
299.13 make the income disregard determination for the program.
299.14 (c) The commissioner shall submit a state plan to the
299.15 secretary of agriculture to allow the commissioner to purchase
299.16 federal Food Stamp Program benefits in an amount equal to the
299.17 MFIP-S food portion for each legal noncitizen receiving MFIP-S
299.18 assistance who is ineligible to participate in the federal Food
299.19 Stamp Program solely due to the provisions of section 402 or 403
299.20 of Public Law Number 104-193, as authorized by Title VII of the
299.21 1997 Emergency Supplemental Appropriations Act, Public Law
299.22 Number 105-18. The commissioner shall enter into a contract as
299.23 necessary with the secretary to use the existing federal Food
299.24 Stamp Program benefits delivery system for the purposes of
299.25 administering the food portion of MFIP-S under this subdivision.
299.26 Sec. 38. Minnesota Statutes 1997 Supplement, section
299.27 256J.12, is amended to read:
299.28 256J.12 [MINNESOTA RESIDENCE.]
299.29 Subdivision 1. [SIMPLE RESIDENCY.] To be eligible for AFDC
299.30 or MFIP-S, whichever is in effect, a family an assistance unit
299.31 must have established residency in this state which means
299.32 the family assistance unit is present in the state and intends
299.33 to remain here. A person who lives in this state and who
299.34 entered this state with a job commitment or to seek employment
299.35 in this state, whether or not that person is currently employed,
299.36 meets the criteria in this subdivision.
300.1 Subd. 1a. [30-DAY RESIDENCY REQUIREMENT.] A family An
300.2 assistance unit is considered to have established residency in
300.3 this state only when a child or caregiver has resided in this
300.4 state for at least 30 days with the intention of making the
300.5 person's home here and not for any temporary purpose. The birth
300.6 of a child in Minnesota to a member of the assistance unit does
300.7 not automatically establish the residency in this state under
300.8 this subdivision of the other members of the assistance unit.
300.9 Time spent in a shelter for battered women shall count toward
300.10 satisfying the 30-day residency requirement.
300.11 Subd. 2. [EXCEPTIONS.] (a) A county shall waive the 30-day
300.12 residency requirement where unusual hardship would result from
300.13 denial of assistance.
300.14 (b) For purposes of this section, unusual hardship means a
300.15 family an assistance unit:
300.16 (1) is without alternative shelter; or
300.17 (2) is without available resources for food.
300.18 (c) For purposes of this subdivision, the following
300.19 definitions apply (1) "metropolitan statistical area" is as
300.20 defined by the U.S. Census Bureau; (2) "alternative shelter"
300.21 includes any shelter that is located within the metropolitan
300.22 statistical area containing the county and for which the family
300.23 is eligible, provided the family assistance unit does not have
300.24 to travel more than 20 miles to reach the shelter and has access
300.25 to transportation to the shelter. Clause (2) does not apply to
300.26 counties in the Minneapolis-St. Paul metropolitan statistical
300.27 area.
300.28 (d) Applicants are considered to meet the residency
300.29 requirement under subdivision 1a if they once resided in
300.30 Minnesota and:
300.31 (1) joined the United States armed services, returned to
300.32 Minnesota within 30 days of leaving the armed services, and
300.33 intend to remain in Minnesota; or
300.34 (2) left to attend school in another state, paid
300.35 nonresident tuition or Minnesota tuition rates under a
300.36 reciprocity agreement, and returned to Minnesota within 30 days
301.1 of graduation with the intent to remain in Minnesota.
301.2 (e) The 30-day residence requirement is met when:
301.3 (1) a minor child or a minor caregiver moves from another
301.4 state to the residence of a relative caregiver;
301.5 (2) the minor caregiver applies for and receives family
301.6 cash assistance;
301.7 (3) the relative caregiver chooses not to be part of the
301.8 MFIP-S assistance unit; and
301.9 (4) the relative caregiver has resided in Minnesota for at
301.10 least 30 days prior to the date the assistance unit applies for
301.11 cash assistance.
301.12 (f) Ineligible mandatory unit members who have resided in
301.13 Minnesota for 12 months immediately before the unit's date of
301.14 application establish the other assistance unit members'
301.15 eligibility for the MFIP-S transitional standard.
301.16 Subd. 2a. [MIGRANT WORKERS.] Migrant workers, as defined
301.17 in section 256J.08, and their immediate families are exempt from
301.18 the requirements of subdivisions 1 and 1a, provided the migrant
301.19 worker provides verification that the migrant family worked in
301.20 this state within the last 12 months and earned at least $1,000
301.21 in gross wages during the time the migrant worker worked in this
301.22 state.
301.23 Subd. 3. [PAYMENT PLAN FOR NEW RESIDENTS.] Assistance paid
301.24 to an eligible family assistance unit in which all members have
301.25 resided in this state for fewer than 12 consecutive calendar
301.26 months immediately preceding the date of application shall be at
301.27 the standard and in the form specified in section 256J.43.
301.28 Subd. 4. [SEVERABILITY CLAUSE.] If any subdivision in this
301.29 section is enjoined from implementation or found
301.30 unconstitutional by any court of competent jurisdiction, the
301.31 remaining subdivisions shall remain valid and shall be given
301.32 full effect.
301.33 Sec. 39. Minnesota Statutes 1997 Supplement, section
301.34 256J.14, is amended to read:
301.35 256J.14 [ELIGIBILITY FOR PARENTING OR PREGNANT MINORS.]
301.36 (a) The definitions in this paragraph only apply to this
302.1 subdivision.
302.2 (1) "Household of a parent, legal guardian, or other adult
302.3 relative" means the place of residence of:
302.4 (i) a natural or adoptive parent;
302.5 (ii) a legal guardian according to appointment or
302.6 acceptance under section 260.242, 525.615, or 525.6165, and
302.7 related laws; or
302.8 (iii) a caregiver as defined in section 256J.08,
302.9 subdivision 11; or
302.10 (iv) an appropriate adult relative designated by a county
302.11 agency.
302.12 (2) "Adult-supervised supportive living arrangement" means
302.13 a private family setting which assumes responsibility for the
302.14 care and control of the minor parent and minor child, or other
302.15 living arrangement, not including a public institution, licensed
302.16 by the commissioner of human services which ensures that the
302.17 minor parent receives adult supervision and supportive services,
302.18 such as counseling, guidance, independent living skills
302.19 training, or supervision.
302.20 (b) A minor parent and the minor child who is in the care
302.21 of the minor parent must reside in the household of a parent,
302.22 legal guardian, other appropriate adult relative, or other
302.23 caregiver, or in an adult-supervised supportive living
302.24 arrangement in order to receive MFIP-S unless:
302.25 (1) the minor parent has no living parent, other
302.26 appropriate adult relative, or legal guardian whose whereabouts
302.27 is known;
302.28 (2) no living parent, other appropriate adult relative, or
302.29 legal guardian of the minor parent allows the minor parent to
302.30 live in the parent's, appropriate other adult relative's, or
302.31 legal guardian's home;
302.32 (3) the minor parent lived apart from the minor parent's
302.33 own parent or legal guardian for a period of at least one year
302.34 before either the birth of the minor child or the minor parent's
302.35 application for MFIP-S;
302.36 (4) the physical or emotional health or safety of the minor
303.1 parent or minor child would be jeopardized if the minor parent
303.2 and the minor child resided in the same residence with the minor
303.3 parent's parent, other appropriate adult relative, or legal
303.4 guardian; or
303.5 (5) an adult supervised supportive living arrangement is
303.6 not available for the minor parent and the dependent child in
303.7 the county in which the minor parent and child currently resides
303.8 reside. If an adult supervised supportive living arrangement
303.9 becomes available within the county, the minor parent and child
303.10 must reside in that arrangement.
303.11 (c) Minor applicants must be informed orally and in writing
303.12 about the eligibility requirements and their rights and
303.13 obligations under the MFIP-S program. The county must advise
303.14 the minor of the possible exemptions and specifically ask
303.15 whether one or more of these exemptions is applicable. If the
303.16 minor alleges one or more of these exemptions, then the county
303.17 must assist the minor in obtaining the necessary verifications
303.18 to determine whether or not these exemptions apply.
303.19 (d) If the county worker has reason to suspect that the
303.20 physical or emotional health or safety of the minor parent or
303.21 minor child would be jeopardized if they resided with the minor
303.22 parent's parent, other adult relative, or legal guardian, then
303.23 the county worker must make a referral to child protective
303.24 services to determine if paragraph (b), clause (4), applies. A
303.25 new determination by the county worker is not necessary if one
303.26 has been made within the last six months, unless there has been
303.27 a significant change in circumstances which justifies a new
303.28 referral and determination.
303.29 (e) If a minor parent is not living with a parent or, legal
303.30 guardian, or other adult relative due to paragraph (b), clause
303.31 (1), (2), or (4), the minor parent must reside, when possible,
303.32 in a living arrangement that meets the standards of paragraph
303.33 (a), clause (2).
303.34 (f) When a minor parent and minor child live with another a
303.35 parent, other adult relative, legal guardian, or in an
303.36 adult-supervised supportive living arrangement, MFIP-S must be
304.1 paid, when possible, in the form of a protective payment on
304.2 behalf of the minor parent and minor child in accordance with
304.3 according to section 256J.39, subdivisions 2 to 4.
304.4 Sec. 40. Minnesota Statutes 1997 Supplement, section
304.5 256J.15, subdivision 2, is amended to read:
304.6 Subd. 2. [ELIGIBILITY DURING LABOR DISPUTES.] To receive
304.7 assistance under MFIP-S, when a member of an assistance unit who
304.8 is on strike, or when an individual identified under section
304.9 256J.37, subdivisions 1 to 2, whose income and assets must be
304.10 considered when determining the unit's eligibility is on strike,
304.11 the assistance unit must have been an receiving MFIP-S
304.12 participant on the day before the strike, or have been eligible
304.13 for MFIP-S on the day before the strike.
304.14 The county agency must count the striker's prestrike
304.15 earnings as current earnings. When A significant change cannot
304.16 be invoked when a member of an assistance unit, or an individual
304.17 identified under section 256J.37, subdivisions 1 to 2, is on
304.18 strike. A member of an assistance unit who, or an individual
304.19 identified under section 256J.37, subdivisions 1 to 2, is not
304.20 considered a striker when that person is not in the bargaining
304.21 unit that voted for the strike and does not cross the picket
304.22 line for fear of personal injury, the assistance unit member is
304.23 not a striker. Except for a member of an assistance unit who is
304.24 not in the bargaining unit that voted for the strike and who
304.25 does not cross the picket line for fear of personal injury, a
304.26 significant change cannot be invoked as a result of a labor
304.27 dispute.
304.28 Sec. 41. Minnesota Statutes 1997 Supplement, section
304.29 256J.20, subdivision 2, is amended to read:
304.30 Subd. 2. [REAL PROPERTY LIMITATIONS.] Ownership of real
304.31 property by an applicant or participant is subject to the
304.32 limitations in paragraphs (a) and (b).
304.33 (a) A county agency shall exclude the homestead of an
304.34 applicant or participant according to clauses (1) to (4) (5):
304.35 (1) an applicant or participant who is purchasing real
304.36 property through a contract for deed and using that property as
305.1 a home is considered the owner of real property;
305.2 (2) the total amount of land that can be excluded under
305.3 this subdivision is limited to surrounding property which is not
305.4 separated from the home by intervening property owned by
305.5 others. Additional property must be assessed as to its legal
305.6 and actual availability according to subdivision 1;
305.7 (3) when real property that has been used as a home by a
305.8 participant is sold, the county agency must treat the cash
305.9 proceeds from the sale as excluded property for six months when
305.10 the participant intends to reinvest the proceeds in another home
305.11 and maintains those proceeds, unused for other purposes, in a
305.12 separate account; and
305.13 (4) when the homestead is jointly owned, but the client
305.14 does not reside in it because of legal separation, pending
305.15 divorce, or battering or abuse by the spouse or partner, the
305.16 homestead is excluded.; and
305.17 (5) the homestead shall continue to be excluded if it is
305.18 temporarily unoccupied due to employment, illness, or as the
305.19 result of compliance with a county-approved employability plan.
305.20 The education, training, or job search must be within the state,
305.21 but can be outside the immediate geographic area. A homestead
305.22 temporarily unoccupied because it is not habitable due to a
305.23 casualty or natural disaster is excluded. The homestead is
305.24 excluded during periods only if the client intends to return to
305.25 it.
305.26 (b) The equity value of real property that is not excluded
305.27 under paragraph (a) and which is legally available must be
305.28 applied against the limits in subdivision 3. When the equity
305.29 value of the real property exceeds the limits under subdivision
305.30 3, the applicant or participant may qualify to receive
305.31 assistance when the applicant or participant continues to make a
305.32 good faith effort to sell the property and signs a legally
305.33 binding agreement to repay the amount of assistance, less child
305.34 support collected by the agency. Repayment must be made within
305.35 five working days after the property is sold. Repayment to the
305.36 county agency must be in the amount of assistance received or
306.1 the proceeds of the sale, whichever is less.
306.2 Sec. 42. Minnesota Statutes 1997 Supplement, section
306.3 256J.20, subdivision 3, is amended to read:
306.4 Subd. 3. [OTHER PROPERTY LIMITATIONS.] To be eligible for
306.5 MFIP-S, the equity value of all nonexcluded real and personal
306.6 property of the assistance unit must not exceed $2,000 for
306.7 applicants and $5,000 for ongoing recipients participants. The
306.8 value of assets in clauses (1) to (18) (20) must be excluded
306.9 when determining the equity value of real and personal property:
306.10 (1) a licensed vehicles vehicle up to a total market loan
306.11 value of less than or equal to $7,500. The county agency shall
306.12 apply any excess market loan value as if it were equity value to
306.13 the asset limit described in this section. If the assistance
306.14 unit owns more than one licensed vehicle, the county agency
306.15 shall determine the vehicle with the highest market loan value
306.16 and count only the market loan value over $7,500. The county
306.17 agency shall count the market loan value of all other vehicles
306.18 and apply this amount as if it were equity value to the asset
306.19 limit described in this section. The value of special equipment
306.20 for a handicapped member of the assistance unit is excluded. To
306.21 establish the market loan value of vehicles, a county agency
306.22 must use the N.A.D.A. Official Used Car Guide, Midwest Edition,
306.23 for newer model cars. The N.A.D.A. Official Used Car Guide,
306.24 Midwest Edition, is incorporated by reference. When a vehicle
306.25 is not listed in the guidebook, or when the applicant or
306.26 participant disputes the loan value listed in the guidebook as
306.27 unreasonable given the condition of the particular vehicle, the
306.28 county agency may require the applicant or participant to
306.29 document the loan value by securing a written statement from a
306.30 motor vehicle dealer licensed under section 168.27, stating the
306.31 amount that the dealer would pay to purchase the vehicle. The
306.32 county agency shall reimburse the applicant or participant for
306.33 the cost of a written statement that documents a lower loan
306.34 value;
306.35 (2) the value of life insurance policies for members of the
306.36 assistance unit;
307.1 (3) one burial plot per member of an assistance unit;
307.2 (4) the value of personal property needed to produce earned
307.3 income, including tools, implements, farm animals, inventory,
307.4 business loans, business checking and savings accounts used at
307.5 least annually and used exclusively for the operation of a
307.6 self-employment business, and any motor vehicles if the vehicles
307.7 are essential for the self-employment business;
307.8 (5) the value of personal property not otherwise specified
307.9 which is commonly used by household members in day-to-day living
307.10 such as clothing, necessary household furniture, equipment, and
307.11 other basic maintenance items essential for daily living;
307.12 (6) the value of real and personal property owned by a
307.13 recipient of Supplemental Security Income or Minnesota
307.14 supplemental aid;
307.15 (7) the value of corrective payments, but only for the
307.16 month in which the payment is received and for the following
307.17 month;
307.18 (8) a mobile home used by an applicant or participant as
307.19 the applicant's or participant's home;
307.20 (9) money in a separate escrow account that is needed to
307.21 pay real estate taxes or insurance and that is used for this
307.22 purpose;
307.23 (10) money held in escrow to cover employee FICA, employee
307.24 tax withholding, sales tax withholding, employee worker
307.25 compensation, business insurance, property rental, property
307.26 taxes, and other costs that are paid at least annually, but less
307.27 often than monthly;
307.28 (11) monthly assistance and, emergency assistance, and
307.29 diversionary payments for the current month's needs;
307.30 (12) the value of school loans, grants, or scholarships for
307.31 the period they are intended to cover;
307.32 (13) payments listed in section 256J.21, subdivision 2,
307.33 clause (9), which are held in escrow for a period not to exceed
307.34 three months to replace or repair personal or real property;
307.35 (14) income received in a budget month through the end of
307.36 the budget payment month;
308.1 (15) savings from earned income of a minor child or a minor
308.2 parent that are set aside in a separate account designated
308.3 specifically for future education or employment costs;
308.4 (16) the federal earned income tax credit and, Minnesota
308.5 working family credit, state and federal income tax refunds,
308.6 state homeowners and renters credits under chapter 290A,
308.7 property tax rebates under Laws 1997, chapter 231, article 1,
308.8 section 16, and other federal or state tax rebates in the month
308.9 received and the following month;
308.10 (17) payments excluded under federal law as long as those
308.11 payments are held in a separate account from any nonexcluded
308.12 funds; and
308.13 (18) money received by a participant of the corps to career
308.14 program under section 84.0887, subdivision 2, paragraph (b), as
308.15 a postservice benefit under the federal Americorps Act;
308.16 (19) the assets of children ineligible to receive MFIP-S
308.17 benefits because foster care or adoption assistance payments are
308.18 made on their behalf; and
308.19 (20) the assets of persons whose income is excluded under
308.20 section 256J.21, subdivision 2, clause 43.
308.21 Sec. 43. Minnesota Statutes 1997 Supplement, section
308.22 256J.21, is amended to read:
308.23 256J.21 [INCOME LIMITATIONS.]
308.24 Subdivision 1. [INCOME INCLUSIONS.] To determine MFIP-S
308.25 eligibility, the county agency must evaluate income received by
308.26 members of an assistance unit, or by other persons whose income
308.27 is considered available to the assistance unit, and only count
308.28 income that is available to the member of the assistance unit.
308.29 Income is available if the individual has legal access to the
308.30 income. All payments, unless specifically excluded in
308.31 subdivision 2, must be counted as income.
308.32 Subd. 2. [INCOME EXCLUSIONS.] (a) The following must be
308.33 excluded in determining a family's available income:
308.34 (1) payments for basic care, difficulty of care, and
308.35 clothing allowances received for providing family foster care to
308.36 children or adults under Minnesota Rules, parts 9545.0010 to
309.1 9545.0260 and 9555.5050 to 9555.6265, and payments received and
309.2 used for care and maintenance of a third-party beneficiary who
309.3 is not a household member;
309.4 (2) reimbursements for employment training received through
309.5 the Job Training Partnership Act, United States Code, title 29,
309.6 chapter 19, sections 1501 to 1792b;
309.7 (3) reimbursement for out-of-pocket expenses incurred while
309.8 performing volunteer services, jury duty, or employment;
309.9 (4) all educational assistance, except the county agency
309.10 must count graduate student teaching assistantships,
309.11 fellowships, and other similar paid work as earned income and,
309.12 after allowing deductions for any unmet and necessary
309.13 educational expenses, shall count scholarships or grants awarded
309.14 to graduate students that do not require teaching or research as
309.15 unearned income;
309.16 (5) loans, regardless of purpose, from public or private
309.17 lending institutions, governmental lending institutions, or
309.18 governmental agencies;
309.19 (6) loans from private individuals, regardless of purpose,
309.20 provided an applicant or participant documents that the lender
309.21 expects repayment;
309.22 (7)(i) state and federal income tax refunds; and
309.23 (ii) federal income tax refunds;
309.24 (8)(i) state and federal earned income credits;
309.25 (ii) Minnesota working family credits;
309.26 (iii) state homeowners and renters credits under chapter
309.27 290A;
309.28 (iv) property tax rebates under Laws 1997, chapter 231,
309.29 article 1, section 16; and
309.30 (v) other federal or state tax rebates;
309.31 (9) funds received for reimbursement, replacement, or
309.32 rebate of personal or real property when these payments are made
309.33 by public agencies, awarded by a court, solicited through public
309.34 appeal, or made as a grant by a federal agency, state or local
309.35 government, or disaster assistance organizations, subsequent to
309.36 a presidential declaration of disaster;
310.1 (10) the portion of an insurance settlement that is used to
310.2 pay medical, funeral, and burial expenses, or to repair or
310.3 replace insured property;
310.4 (11) reimbursements for medical expenses that cannot be
310.5 paid by medical assistance;
310.6 (12) payments by a vocational rehabilitation program
310.7 administered by the state under chapter 268A, except those
310.8 payments that are for current living expenses;
310.9 (13) in-kind income, including any payments directly made
310.10 by a third party to a provider of goods and services;
310.11 (14) assistance payments to correct underpayments, but only
310.12 for the month in which the payment is received;
310.13 (15) emergency assistance payments;
310.14 (16) funeral and cemetery payments as provided by section
310.15 256.935;
310.16 (17) nonrecurring cash gifts of $30 or less, not exceeding
310.17 $30 per participant in a calendar month;
310.18 (18) any form of energy assistance payment made through
310.19 Public Law Number 97-35, Low-Income Home Energy Assistance Act
310.20 of 1981, payments made directly to energy providers by other
310.21 public and private agencies, and any form of credit or rebate
310.22 payment issued by energy providers;
310.23 (19) Supplemental Security Income, including retroactive
310.24 payments;
310.25 (20) Minnesota supplemental aid, including retroactive
310.26 payments;
310.27 (21) proceeds from the sale of real or personal property;
310.28 (22) adoption assistance payments under section 259.67;
310.29 (23) state-funded family subsidy program payments made
310.30 under section 252.32 to help families care for children with
310.31 mental retardation or related conditions;
310.32 (24) interest payments and dividends from property that is
310.33 not excluded from and that does not exceed the asset limit;
310.34 (25) rent rebates;
310.35 (26) income earned by a minor caregiver or minor child who
310.36 is at least a half-time student in an approved secondary
311.1 education program;
311.2 (27) income earned by a caregiver under age 20 who is at
311.3 least a half-time student in an approved secondary education
311.4 program;
311.5 (28) MFIP-S child care payments under section 119B.05;
311.6 (29) all other payments made through MFIP-S to support a
311.7 caregiver's pursuit of greater self-support;
311.8 (30) income a participant receives related to shared living
311.9 expenses;
311.10 (31) reverse mortgages;
311.11 (32) benefits provided by the Child Nutrition Act of 1966,
311.12 United States Code, title 42, chapter 13A, sections 1771 to
311.13 1790;
311.14 (33) benefits provided by the women, infants, and children
311.15 (WIC) nutrition program, United States Code, title 42, chapter
311.16 13A, section 1786;
311.17 (34) benefits from the National School Lunch Act, United
311.18 States Code, title 42, chapter 13, sections 1751 to 1769e;
311.19 (35) relocation assistance for displaced persons under the
311.20 Uniform Relocation Assistance and Real Property Acquisition
311.21 Policies Act of 1970, United States Code, title 42, chapter 61,
311.22 subchapter II, section 4636, or the National Housing Act, United
311.23 States Code, title 12, chapter 13, sections 1701 to 1750jj;
311.24 (36) benefits from the Trade Act of 1974, United States
311.25 Code, title 19, chapter 12, part 2, sections 2271 to 2322;
311.26 (37) war reparations payments to Japanese Americans and
311.27 Aleuts under United States Code, title 50, sections 1989 to
311.28 1989d;
311.29 (38) payments to veterans or their dependents as a result
311.30 of legal settlements regarding Agent Orange or other chemical
311.31 exposure under Public Law Number 101-239, section 10405,
311.32 paragraph (a)(2)(E);
311.33 (39) income that is otherwise specifically excluded from
311.34 the MFIP-S program consideration in federal law, state law, or
311.35 federal regulation;
311.36 (40) security and utility deposit refunds;
312.1 (41) American Indian tribal land settlements excluded under
312.2 Public Law Numbers 98-123, 98-124, and 99-377 to the Mississippi
312.3 Band Chippewa Indians of White Earth, Leech Lake, and Mille Lacs
312.4 reservations and payments to members of the White Earth Band,
312.5 under United States Code, title 25, chapter 9, section 331, and
312.6 chapter 16, section 1407;
312.7 (42) all income of the minor parent's parent and stepparent
312.8 when determining the grant for the minor parent in households
312.9 that include a minor parent living with a parent or stepparent
312.10 on MFIP-S with other dependent children; and
312.11 (43) income of the minor parent's parent and stepparent
312.12 equal to 200 percent of the federal poverty guideline for a
312.13 family size not including the minor parent and the minor
312.14 parent's child in households that include a minor parent living
312.15 with a parent or stepparent not on MFIP-S when determining the
312.16 grant for the minor parent. The remainder of income is deemed
312.17 as specified in section 256J.37, subdivision 1 1b;
312.18 (44) payments made to children eligible for relative
312.19 custody assistance under section 257.85;
312.20 (45) vendor payments for goods and services made on behalf
312.21 of a client unless the client has the option of receiving the
312.22 payment in cash; and
312.23 (46) the principal portion of a contract for deed payment.
312.24 Subd. 3. [INITIAL INCOME TEST.] The county agency shall
312.25 determine initial eligibility by considering all earned and
312.26 unearned income that is not excluded under subdivision 2. To be
312.27 eligible for MFIP-S, the assistance unit's countable income
312.28 minus the disregards in paragraphs (a) and (b) must be below the
312.29 transitional standard of assistance according to section 256J.24
312.30 for that size assistance unit.
312.31 (a) The initial eligibility determination must disregard
312.32 the following items:
312.33 (1) the employment disregard is 18 percent of the gross
312.34 earned income whether or not the member is working full time or
312.35 part time;
312.36 (2) dependent care costs must be deducted from gross earned
313.1 income for the actual amount paid for dependent care up to the a
313.2 maximum disregard allowed of $200 per month for each child less
313.3 than two years of age, and $175 per month for each child two
313.4 years of age and older under this chapter and chapter 119B; and
313.5 (3) all payments made according to a court order
313.6 for spousal support or the support of children not living in the
313.7 assistance unit's household shall be disregarded from the income
313.8 of the person with the legal obligation to pay support, provided
313.9 that, if there has been a change in the financial circumstances
313.10 of the person with the legal obligation to pay support since the
313.11 support order was entered, the person with the legal obligation
313.12 to pay support has petitioned for a modification of the support
313.13 order; and
313.14 (4) an allocation for the unmet need of an ineligible
313.15 spouse or an ineligible child under the age of 21 for whom the
313.16 caregiver is financially responsible and who lives with the
313.17 caregiver according to section 256J.36.
313.18 (b) Notwithstanding paragraph (a), when determining initial
313.19 eligibility for applicants who have applicant units when at
313.20 least one member has received AFDC, family general assistance,
313.21 MFIP, MFIP-R, work first, or MFIP-S in this state within four
313.22 months of the most recent application for MFIP-S, the employment
313.23 disregard for all unit members is 36 percent of the gross earned
313.24 income.
313.25 After initial eligibility is established, the assistance
313.26 payment calculation is based on the monthly income test.
313.27 Subd. 4. [MONTHLY INCOME TEST AND DETERMINATION OF
313.28 ASSISTANCE PAYMENT.] The county agency shall determine ongoing
313.29 eligibility and the assistance payment amount according to the
313.30 monthly income test. To be eligible for MFIP-S, the result of
313.31 the computations in paragraphs (a) to (e) must be at least $1.
313.32 (a) Apply a 36 percent income disregard to gross earnings
313.33 and subtract this amount from the family wage level. If the
313.34 difference is equal to or greater than the transitional
313.35 standard, the assistance payment is equal to the transitional
313.36 standard. If the difference is less than the transitional
314.1 standard, the assistance payment is equal to the difference.
314.2 The employment disregard in this paragraph must be deducted
314.3 every month there is earned income.
314.4 (b) All payments made according to a court order
314.5 for spousal support or the support of children not living in the
314.6 assistance unit's household must be disregarded from the income
314.7 of the person with the legal obligation to pay support, provided
314.8 that, if there has been a change in the financial circumstances
314.9 of the person with the legal obligation to pay support since the
314.10 support order was entered, the person with the legal obligation
314.11 to pay support has petitioned for a modification of the court
314.12 order.
314.13 (c) An allocation for the unmet need of an ineligible
314.14 spouse or an ineligible child under the age of 21 for whom the
314.15 caregiver is financially responsible and who lives with the
314.16 caregiver must be made according to section 256J.36.
314.17 (d) Subtract unearned income dollar for dollar from the
314.18 transitional standard to determine the assistance payment amount.
314.19 (d) (e) When income is both earned and unearned, the amount
314.20 of the assistance payment must be determined by first treating
314.21 gross earned income as specified in paragraph (a). After
314.22 determining the amount of the assistance payment under paragraph
314.23 (a), unearned income must be subtracted from that amount dollar
314.24 for dollar to determine the assistance payment amount.
314.25 (e) (f) When the monthly income is greater than the
314.26 transitional or family wage level standard after applicable
314.27 deductions and the income will only exceed the standard for one
314.28 month, the county agency must suspend the assistance payment for
314.29 the payment month.
314.30 Subd. 5. [DISTRIBUTION OF INCOME.] The income of all
314.31 members of the assistance unit must be counted. Income may also
314.32 be deemed from ineligible persons to the assistance unit.
314.33 Income must be attributed to the person who earns it or to the
314.34 assistance unit according to paragraphs (a) to (c).
314.35 (a) Funds distributed from a trust, whether from the
314.36 principal holdings or sale of trust property or from the
315.1 interest and other earnings of the trust holdings, must be
315.2 considered income when the income is legally available to an
315.3 applicant or participant. Trusts are presumed legally available
315.4 unless an applicant or participant can document that the trust
315.5 is not legally available.
315.6 (b) Income from jointly owned property must be divided
315.7 equally among property owners unless the terms of ownership
315.8 provide for a different distribution.
315.9 (c) Deductions are not allowed from the gross income of a
315.10 financially responsible household member or by the members of an
315.11 assistance unit to meet a current or prior debt.
315.12 Sec. 44. Minnesota Statutes 1997 Supplement, section
315.13 256J.24, subdivision 1, is amended to read:
315.14 Subdivision 1. [MFIP-S ASSISTANCE UNIT.] An MFIP-S
315.15 assistance unit is either a group of individuals with at least
315.16 one minor child who live together whose needs, assets, and
315.17 income are considered together and who receive MFIP-S
315.18 assistance, or a pregnant woman and her spouse who receives
315.19 receive MFIP-S assistance.
315.20 Individuals identified in subdivision 2 must be included in
315.21 the MFIP-S assistance unit. Individuals identified in
315.22 subdivision 3 must be excluded from the assistance unit are
315.23 ineligible to receive MFIP-S. Individuals identified in
315.24 subdivision 4 may be included in the assistance unit at their
315.25 option. Individuals not included in the assistance unit who are
315.26 identified in section 256J.37, subdivision subdivisions 1 or to
315.27 2, must have their income and assets considered when determining
315.28 eligibility and benefits for an MFIP-S assistance unit. All
315.29 assistance unit members, whether mandatory or elective, who live
315.30 together and for whom one caregiver or two caregivers apply must
315.31 be included in a single assistance unit.
315.32 Sec. 45. Minnesota Statutes 1997 Supplement, section
315.33 256J.24, subdivision 2, is amended to read:
315.34 Subd. 2. [MANDATORY ASSISTANCE UNIT COMPOSITION.] Except
315.35 for minor caregivers and their children who are must be in a
315.36 separate assistance unit from the other persons in the
316.1 household, when the following individuals live together, they
316.2 must be included in the assistance unit:
316.3 (1) a minor child, including a pregnant minor;
316.4 (2) the minor child's siblings, half-siblings, and
316.5 step-siblings; and
316.6 (3) the minor child's natural, adoptive parents, and
316.7 stepparents; and
316.8 (4) the spouse of a pregnant woman.
316.9 Sec. 46. Minnesota Statutes 1997 Supplement, section
316.10 256J.24, subdivision 3, is amended to read:
316.11 Subd. 3. [INDIVIDUALS WHO MUST BE EXCLUDED FROM AN
316.12 ASSISTANCE UNIT.] (a) The following individuals must be excluded
316.13 from an assistance unit who are part of the assistance unit
316.14 determined under subdivision 2 are ineligible to receive MFIP-S:
316.15 (1) individuals receiving Supplemental Security Income or
316.16 Minnesota supplemental aid;
316.17 (2) individuals living at home while performing
316.18 court-imposed, unpaid community service work due to a criminal
316.19 conviction;
316.20 (3) individuals disqualified from the food stamp program or
316.21 MFIP-S, until the disqualification ends;
316.22 (4) children on whose behalf federal, state or local foster
316.23 care payments under title IV-E of the Social Security Act are
316.24 made, except as provided in section sections 256J.13,
316.25 subdivision 2, and 256J.74, subdivision 2; and
316.26 (5) children receiving ongoing monthly adoption assistance
316.27 payments under section 269.67 259.67.
316.28 (b) The exclusion of a person under this subdivision does
316.29 not alter the mandatory assistance unit composition.
316.30 Sec. 47. Minnesota Statutes 1997 Supplement, section
316.31 256J.24, subdivision 4, is amended to read:
316.32 Subd. 4. [INDIVIDUALS WHO MAY ELECT TO BE INCLUDED IN THE
316.33 ASSISTANCE UNIT.] (a) The minor child's eligible caregiver may
316.34 choose to be in the assistance unit, if the caregiver is not
316.35 required to be in the assistance unit under subdivision 2. If
316.36 the relative eligible caregiver chooses to be in the assistance
317.1 unit, that person's spouse must also be in the unit.
317.2 (b) Any minor child not related as a sibling, stepsibling,
317.3 or adopted sibling to the minor child in the unit, but for whom
317.4 there is an eligible caregiver may elect to be in the unit.
317.5 (c) A foster care provider of a minor child who is
317.6 receiving federal, state, or local foster care maintenance
317.7 payments may elect to receive MFIP-S if the provider meets the
317.8 definition of caregiver under section 256J.08, subdivision 11.
317.9 If the provider chooses to receive MFIP-S, the spouse of the
317.10 provider must also be included in the assistance unit with the
317.11 provider. The provider and spouse are eligible for assistance
317.12 even if the only minor child living in the provider's home is
317.13 receiving foster care maintenance payments.
317.14 (d) The adult caregiver or caregivers of a minor parent are
317.15 eligible to be a separate assistance unit from the minor parent
317.16 and the minor parent's child when:
317.17 (1) the adult caregiver or caregivers have no other minor
317.18 children in the household;
317.19 (2) the minor parent and the minor parent's child are
317.20 living together with the adult caregiver or caregivers; and
317.21 (3) the minor parent and the minor parent's child receive
317.22 MFIP-S, or would be eligible to receive MFIP-S, if they were not
317.23 receiving SSI benefits.
317.24 Sec. 48. Minnesota Statutes 1997 Supplement, section
317.25 256J.24, is amended by adding a subdivision to read:
317.26 Subd. 5a. [FOOD PORTION OF MFIP-S TRANSITIONAL
317.27 STANDARD.] The commissioner shall adjust the food portion of the
317.28 MFIP-S transitional standard by October 1 each year beginning
317.29 October 1998 to reflect the cost-of-living adjustments to the
317.30 Food Stamp Program. The commissioner shall annually publish in
317.31 the State Register the transitional standard for an assistance
317.32 unit of sizes 1 to 10.
317.33 Sec. 49. Minnesota Statutes 1997 Supplement, section
317.34 256J.24, subdivision 7, is amended to read:
317.35 Subd. 7. [FAMILY WAGE LEVEL STANDARD.] The family wage
317.36 level standard is 110 percent of the transitional standard under
318.1 subdivision 5 and is the standard used when there is earned
318.2 income in the assistance unit. As specified in section 256J.21,
318.3 earned income is subtracted from the family wage level to
318.4 determine the amount of the assistance payment. Assistance
318.5 payments may not exceed the shared household standard or the
318.6 transitional standard for the assistance unit, whichever is less.
318.7 Sec. 50. Minnesota Statutes 1997 Supplement, section
318.8 256J.24, is amended by adding a subdivision to read:
318.9 Subd. 8. [ASSISTANCE PAID TO ELIGIBLE ASSISTANCE
318.10 UNITS.] Payments for shelter up to the amount of the cash
318.11 portion of MFIP-S benefits for which the assistance unit is
318.12 eligible shall be vendor paid for as many months as the
318.13 assistance unit is eligible or six months, whichever comes
318.14 first. The residual amount of the grant after vendor payment,
318.15 if any, must be paid to the MFIP-S caregiver.
318.16 Sec. 51. Minnesota Statutes 1997 Supplement, section
318.17 256J.24, is amended by adding a subdivision to read:
318.18 Subd. 9. [SHARED HOUSEHOLD STANDARD; MFIP-S.] (a) Except
318.19 as prohibited in paragraph (b), the county agency must use the
318.20 shared household standard when the household includes one or
318.21 more unrelated members, as that term is defined in section
318.22 256J.08, subdivision 86a. The county agency must use the shared
318.23 household standard, unless a member of the assistance unit is a
318.24 victim of domestic violence and has an approved safety plan,
318.25 regardless of the number of unrelated members in the household.
318.26 (b) The county agency must not use the shared household
318.27 standard when all unrelated members are one of the following:
318.28 (1) a recipient of public assistance benefits, including
318.29 food stamps, Supplemental Security Income, adoption assistance,
318.30 relative custody assistance, or foster care payments;
318.31 (2) a roomer or boarder, or a person to whom the assistance
318.32 unit is paying room or board;
318.33 (3) a minor;
318.34 (4) a minor caregiver living with the minor caregiver's
318.35 parents or in an approved supervised living arrangement; or
318.36 (5) a caregiver who is not the parent of the minor child in
319.1 the assistance unit.
319.2 (c) The shared household standard must be discontinued if
319.3 it is not approved by the United States Department of
319.4 Agriculture under the MFIP-S waiver.
319.5 Sec. 52. Minnesota Statutes 1997 Supplement, section
319.6 256J.26, subdivision 1, is amended to read:
319.7 Subdivision 1. [PERSON CONVICTED OF DRUG OFFENSES.] (a)
319.8 Applicants or recipients participants who have been convicted of
319.9 a drug offense after July 1, 1997, may, if otherwise eligible,
319.10 receive AFDC or MFIP-S benefits subject to the following
319.11 conditions:
319.12 (1) Benefits for the entire assistance unit must be paid in
319.13 vendor form for shelter and utilities during any time the
319.14 applicant is part of the assistance unit;.
319.15 (2) The convicted applicant or recipient participant shall
319.16 be subject to random drug testing as a condition of continued
319.17 eligibility and is subject to sanctions under section 256J.46
319.18 following any positive test for an illegal controlled substance,
319.19 except that the grant must continue to be vendor paid under
319.20 clause (1).
319.21 For purposes of this subdivision, section 256J.46 is
319.22 effective July 1, 1997.
319.23 This subdivision also applies to persons who receive food
319.24 stamps under section 115 of the Personal Responsibility and Work
319.25 Opportunity Reconciliation Act of 1996. is subject to the
319.26 following sanctions:
319.27 (i) for failing a drug test the first time, the
319.28 participant's grant shall be reduced by ten percent of the
319.29 MFIP-S transitional standard, the shared household standard, or
319.30 the interstate transitional standard, whichever is applicable
319.31 prior to making vendor payments for shelter and utility costs;
319.32 or
319.33 (ii) for failing a drug test two or more times, the
319.34 residual amount of the participant's grant after making vendor
319.35 payments for shelter and utility costs, if any, must be reduced
319.36 by an amount equal to 30 percent of the MFIP-S transitional
320.1 standard, the shared household standard, or the interstate
320.2 transitional standard, whichever is applicable.
320.3 (b) Applicants or participants who have been convicted of a
320.4 drug offense after July 1, 1997, may, if otherwise eligible,
320.5 receive food stamps if the convicted applicant or participant is
320.6 subject to random drug testing as a condition of continued
320.7 eligibility. Following a positive test for an illegal
320.8 controlled substance, the applicant is subject to the following
320.9 sanctions:
320.10 (1) for failing a drug test the first time, food stamps
320.11 shall be reduced by ten percent of the applicable food stamp
320.12 allotment; and
320.13 (2) for failing a drug test two or more times, food stamps
320.14 shall be reduced by an amount equal to 30 percent of the
320.15 applicable food stamp allotment.
320.16 (b) (c) For the purposes of this subdivision, "drug offense"
320.17 means a conviction that occurred after July 1, 1997, of sections
320.18 152.021 to 152.025, 152.0261, or 152.096. Drug offense also
320.19 means a conviction in another jurisdiction of the possession,
320.20 use, or distribution of a controlled substance, or conspiracy to
320.21 commit any of these offenses, if the offense occurred after July
320.22 1, 1997, and the conviction is a felony offense in that
320.23 jurisdiction, or in the case of New Jersey, a high misdemeanor.
320.24 Sec. 53. Minnesota Statutes 1997 Supplement, section
320.25 256J.26, subdivision 2, is amended to read:
320.26 Subd. 2. [PAROLE VIOLATORS.] An individual violating a
320.27 condition of probation or parole or supervised release imposed
320.28 under federal law or the law of any state is ineligible to
320.29 receive disqualified from receiving AFDC or MFIP-S.
320.30 Sec. 54. Minnesota Statutes 1997 Supplement, section
320.31 256J.26, subdivision 3, is amended to read:
320.32 Subd. 3. [FLEEING FELONS.] An individual who is fleeing to
320.33 avoid prosecution, or custody, or confinement after conviction
320.34 for a crime that is a felony under the laws of the jurisdiction
320.35 from which the individual flees, or in the case of New Jersey,
320.36 is a high misdemeanor, is ineligible to receive disqualified
321.1 from receiving AFDC or MFIP-S.
321.2 Sec. 55. Minnesota Statutes 1997 Supplement, section
321.3 256J.26, subdivision 4, is amended to read:
321.4 Subd. 4. [DENIAL OF ASSISTANCE FOR TEN YEARS TO A PERSON
321.5 FOUND TO HAVE FRAUDULENTLY MISREPRESENTED RESIDENCY.] An
321.6 individual who is convicted in federal or state court of having
321.7 made a fraudulent statement or representation with respect to
321.8 the place of residence of the individual in order to receive
321.9 assistance simultaneously from two or more states is ineligible
321.10 to receive disqualified from receiving AFDC or MFIP-S for ten
321.11 years beginning on the date of the conviction.
321.12 Sec. 56. Minnesota Statutes 1997 Supplement, section
321.13 256J.28, subdivision 1, is amended to read:
321.14 Subdivision 1. [EXPEDITED ISSUANCE OF FOOD STAMP
321.15 ASSISTANCE.] The following households are entitled to expedited
321.16 issuance of food stamp assistance:
321.17 (1) households with less than $150 in monthly gross income
321.18 provided their liquid assets do not exceed $100;
321.19 (2) migrant or seasonal farm worker households who are
321.20 destitute as defined in Code of Federal Regulations, title 7,
321.21 subtitle B, chapter 2, subchapter C, part 273, section 273.10,
321.22 paragraph (e)(3), provided their liquid assets do not exceed
321.23 $100; and
321.24 (3) eligible households whose combined monthly gross income
321.25 and liquid resources are less than the household's monthly rent
321.26 or mortgage and utilities.
321.27 The benefits issued through expedited issuance of food
321.28 stamp assistance must be deducted from the amount of the full
321.29 monthly MFIP-S assistance payment and a supplemental payment for
321.30 the difference must be issued. For any month an individual
321.31 receives expedited Food Stamp Program benefits, the individual
321.32 is not eligible for the MFIP-S food portion of assistance.
321.33 Sec. 57. Minnesota Statutes 1997 Supplement, section
321.34 256J.28, subdivision 2, is amended to read:
321.35 Subd. 2. [FOOD STAMPS FOR HOUSEHOLD MEMBERS NOT IN THE
321.36 ASSISTANCE UNIT.] (a) For household members who purchase and
322.1 prepare food with the MFIP-S assistance unit but are not part of
322.2 the assistance unit, the county agency must determine a separate
322.3 food stamp benefit based on regulations agreed upon with the
322.4 United States Department of Agriculture.
322.5 (b) This subdivision does not apply to optional members who
322.6 have chosen not to be in the assistance unit.
322.7 (c) (b) Fair hearing requirements for persons who receive
322.8 food stamps under this subdivision are governed by section
322.9 256.045, and Code of Federal Regulations, title 7, subtitle B,
322.10 chapter II, part 273, section 273.15.
322.11 Sec. 58. Minnesota Statutes 1997 Supplement, section
322.12 256J.28, is amended by adding a subdivision to read:
322.13 Subd. 5. [FOOD STAMPS FOR PERSONS RESIDING IN A BATTERED
322.14 WOMAN'S SHELTER.] Members of an MFIP-S assistance unit residing
322.15 in a battered woman's shelter may receive food stamps or the
322.16 food portion twice in a month if the unit that initially
322.17 received the food stamps or food portion included the alleged
322.18 abuser.
322.19 Sec. 59. Minnesota Statutes 1997 Supplement, section
322.20 256J.30, subdivision 10, is amended to read:
322.21 Subd. 10. [COOPERATION WITH HEALTH CARE BENEFITS.] (a) The
322.22 caregiver of a minor child must cooperate with the county agency
322.23 to identify and provide information to assist the county agency
322.24 in pursuing third-party liability for medical services.
322.25 (b) A caregiver must assign to the department any rights to
322.26 health insurance policy benefits the caregiver has during the
322.27 period of MFIP-S eligibility.
322.28 (c) A caregiver must identify any third party who may be
322.29 liable for care and services available under the medical
322.30 assistance program on behalf of the applicant or participant and
322.31 all other assistance unit members.
322.32 (d) When a participant refuses to identify any third party
322.33 who may be liable for care and services, the recipient must be
322.34 sanctioned as provided in section 256J.46, subdivision 1. The
322.35 recipient is also ineligible for medical assistance for a
322.36 minimum of one month and until the recipient cooperates with the
323.1 requirements of this subdivision.
323.2 Sec. 60. Minnesota Statutes 1997 Supplement, section
323.3 256J.30, subdivision 11, is amended to read:
323.4 Subd. 11. [REQUIREMENT TO ASSIGN SUPPORT AND MAINTENANCE
323.5 RIGHTS.] To be eligible An assistance unit is ineligible for
323.6 MFIP-S, unless the caregiver must assign assigns all rights to
323.7 child support and spousal maintenance benefits according
323.8 to sections 256.74, subdivision 5, and section 256.741, if
323.9 enacted.
323.10 Sec. 61. Minnesota Statutes 1997 Supplement, section
323.11 256J.31, subdivision 5, is amended to read:
323.12 Subd. 5. [MAILING OF NOTICE.] The notice of adverse action
323.13 shall be issued according to paragraphs (a) to (c).
323.14 (a) A county agency shall mail a notice of adverse action
323.15 at least ten days before the effective date of the adverse
323.16 action, except as provided in paragraphs (b) and (c).
323.17 (b) A county agency must mail a notice of adverse action at
323.18 least five days before the effective date of the adverse action
323.19 when the county agency has factual information that requires an
323.20 action to reduce, suspend, or terminate assistance based on
323.21 probable fraud.
323.22 (c) A county agency shall mail a notice of adverse action
323.23 before or on the effective date of the adverse action when the
323.24 county agency:
323.25 (1) receives the caregiver's signed monthly MFIP-S
323.26 household report form that includes information that requires
323.27 payment reduction, suspension, or termination;
323.28 (2) is informed of the death of a participant or the payee;
323.29 (3) receives a signed statement from the caregiver that
323.30 assistance is no longer wanted;
323.31 (4) receives a signed statement from the caregiver that
323.32 provides information that requires the termination or reduction
323.33 of assistance;
323.34 (5) verifies that a member of the assistance unit is absent
323.35 from the home and does not meet temporary absence provisions in
323.36 section 256J.13;
324.1 (6) verifies that a member of the assistance unit has
324.2 entered a regional treatment center or a licensed residential
324.3 facility for medical or psychological treatment or
324.4 rehabilitation;
324.5 (7) verifies that a member of an assistance unit has been
324.6 placed in foster care, and the provisions of section 256J.13,
324.7 subdivision 2, paragraph (b) (c), clause (2), do not apply;
324.8 (8) verifies that a member of an assistance unit has been
324.9 approved to receive assistance by another state; or
324.10 (9) cannot locate a caregiver.
324.11 Sec. 62. Minnesota Statutes 1997 Supplement, section
324.12 256J.31, subdivision 10, is amended to read:
324.13 Subd. 10. [PROTECTION FROM GARNISHMENT.] MFIP-S grants or
324.14 earnings of a caregiver while participating in full or part-time
324.15 employment or training shall be protected from garnishment.
324.16 This protection for earnings shall extend for a period of six
324.17 months from the date of termination from MFIP-S.
324.18 Sec. 63. Minnesota Statutes 1997 Supplement, section
324.19 256J.31, is amended by adding a subdivision to read:
324.20 Subd. 12. [RIGHT TO DISCONTINUE CASH ASSISTANCE.] A
324.21 participant may discontinue receipt of the cash assistance
324.22 portion of MFIP-S assistance and retain eligibility for child
324.23 care assistance under section 119B.05 and for medical assistance
324.24 under sections 256B.055, subdivision 3a, and 256B.0635.
324.25 Sec. 64. Minnesota Statutes 1997 Supplement, section
324.26 256J.32, subdivision 4, is amended to read:
324.27 Subd. 4. [FACTORS TO BE VERIFIED.] The county agency shall
324.28 verify the following at application:
324.29 (1) identity of adults;
324.30 (2) presence of the minor child in the home, if
324.31 questionable;
324.32 (3) relationship of a minor child to caregivers in the
324.33 assistance unit;
324.34 (4) age, if necessary to determine MFIP-S eligibility;
324.35 (5) immigration status;
324.36 (6) social security number in accordance with according to
325.1 the requirements of section 256J.30, subdivision 12;
325.2 (7) income;
325.3 (8) self-employment expenses used as a deduction;
325.4 (9) source and purpose of deposits and withdrawals from
325.5 business accounts;
325.6 (10) spousal support and child support payments made to
325.7 persons outside the household;
325.8 (11) real property;
325.9 (12) vehicles;
325.10 (13) checking and savings accounts;
325.11 (14) savings certificates, savings bonds, stocks, and
325.12 individual retirement accounts;
325.13 (15) pregnancy, if related to eligibility;
325.14 (16) inconsistent information, if related to eligibility;
325.15 (17) medical insurance;
325.16 (18) anticipated graduation date of an 18-year-old;
325.17 (19) burial accounts;
325.18 (20) school attendance, if related to eligibility; and
325.19 (21) residence;
325.20 (22) a claim of domestic violence if used as a basis for a
325.21 deferral or exemption from the 60-month time limit in section
325.22 256J.42 or employment and training services requirements in
325.23 section 256J.56; and
325.24 (23) disability if used as an exemption from employment and
325.25 training services requirements under section 256J.56.
325.26 Sec. 65. Minnesota Statutes 1997 Supplement, section
325.27 256J.32, subdivision 6, is amended to read:
325.28 Subd. 6. [RECERTIFICATION.] The county agency shall
325.29 recertify eligibility in an annual face-to-face interview with
325.30 the participant and verify the following:
325.31 (1) presence of the minor child in the home, if
325.32 questionable;
325.33 (2) income, unless excluded, including self-employment
325.34 expenses used as a deduction or deposits or withdrawals from
325.35 business accounts;
325.36 (3) assets when the value is within $200 of the asset
326.1 limit; and
326.2 (4) inconsistent information, if related to eligibility.
326.3 Sec. 66. Minnesota Statutes 1997 Supplement, section
326.4 256J.32, is amended by adding a subdivision to read:
326.5 Subd. 7. [NOTICE TO UNDOCUMENTED PERSONS; RELEASE OF
326.6 PRIVATE DATA.] County agencies in consultation with the
326.7 commissioner of human services shall provide notification to
326.8 undocumented persons regarding the release of personal data to
326.9 the Immigration and Naturalization Service and develop protocol
326.10 regarding the release or sharing of data about undocumented
326.11 persons with the Immigration and Naturalization Service as
326.12 required under sections 404, 434, and 411A of the Personal
326.13 Responsibility and Work Opportunity Reconciliation Act of 1996.
326.14 Sec. 67. Minnesota Statutes 1997 Supplement, section
326.15 256J.33, subdivision 1, is amended to read:
326.16 Subdivision 1. [DETERMINATION OF ELIGIBILITY.] A county
326.17 agency must determine MFIP-S eligibility prospectively for a
326.18 payment month based on retrospectively assessing income and the
326.19 county agency's best estimate of the circumstances that will
326.20 exist in the payment month.
326.21 Except as described in section 256J.34, subdivision 1, when
326.22 prospective eligibility exists, a county agency must calculate
326.23 the amount of the assistance payment using retrospective
326.24 budgeting. To determine MFIP-S eligibility and the assistance
326.25 payment amount, a county agency must apply countable income,
326.26 described in section 256J.37, subdivisions 3 to 10, received by
326.27 members of an assistance unit or by other persons whose income
326.28 is counted for the assistance unit, described under sections
326.29 256J.21 and 256J.37, subdivisions 1 and to 2.
326.30 This income must be applied to the transitional standard,
326.31 shared household standard, or family wage standard subject to
326.32 this section and sections 256J.34 to 256J.36. Income received
326.33 in a calendar month and not otherwise excluded under section
326.34 256J.21, subdivision 2, must be applied to the needs of an
326.35 assistance unit.
326.36 Sec. 68. Minnesota Statutes 1997 Supplement, section
327.1 256J.33, subdivision 4, is amended to read:
327.2 Subd. 4. [MONTHLY INCOME TEST.] A county agency must apply
327.3 the monthly income test retrospectively for each month of MFIP-S
327.4 eligibility. An assistance unit is not eligible when the
327.5 countable income equals or exceeds the transitional standard,
327.6 the shared household standard, or the family wage level for the
327.7 assistance unit. The income applied against the monthly income
327.8 test must include:
327.9 (1) gross earned income from employment, prior to mandatory
327.10 payroll deductions, voluntary payroll deductions, wage
327.11 authorizations, and after the disregards in section 256J.21,
327.12 subdivision 3 4, and the allocations in section 256J.36, unless
327.13 the employment income is specifically excluded under section
327.14 256J.21, subdivision 2;
327.15 (2) gross earned income from self-employment less
327.16 deductions for self-employment expenses in section 256J.37,
327.17 subdivision 5, but prior to any reductions for personal or
327.18 business state and federal income taxes, personal FICA, personal
327.19 health and life insurance, and after the disregards in section
327.20 256J.21, subdivision 3 4, and the allocations in section
327.21 256J.36;
327.22 (3) unearned income after deductions for allowable expenses
327.23 in section 256J.37, subdivision 9, and allocations in section
327.24 256J.36, unless the income has been specifically excluded in
327.25 section 256J.21, subdivision 2;
327.26 (4) gross earned income from employment as determined under
327.27 clause (1) which is received by a member of an assistance unit
327.28 who is a minor child or minor caregiver and less than a
327.29 half-time student;
327.30 (5) child support and spousal support received or
327.31 anticipated to be received by an assistance unit;
327.32 (6) the income of a parent when that parent is not included
327.33 in the assistance unit;
327.34 (7) the income of an eligible relative and spouse who seek
327.35 to be included in the assistance unit; and
327.36 (8) the unearned income of a minor child included in the
328.1 assistance unit.
328.2 Sec. 69. Minnesota Statutes 1997 Supplement, section
328.3 256J.35, is amended to read:
328.4 256J.35 [AMOUNT OF ASSISTANCE PAYMENT.]
328.5 Except as provided in paragraphs (a) to (c) (d), the amount
328.6 of an assistance payment is equal to the difference between the
328.7 transitional standard, shared household standard, or the
328.8 Minnesota family wage level in section 256J.24, whichever is
328.9 less, and countable income.
328.10 (a) When MFIP-S eligibility exists for the month of
328.11 application, the amount of the assistance payment for the month
328.12 of application must be prorated from the date of application or
328.13 the date all other eligibility factors are met for that
328.14 applicant, whichever is later. This provision applies when an
328.15 applicant loses at least one day of MFIP-S eligibility.
328.16 (b) MFIP-S overpayments to an assistance unit must be
328.17 recouped according to section 256J.38, subdivision 4.
328.18 (c) An initial assistance payment must not be made to an
328.19 applicant who is not eligible on the date payment is made.
328.20 (d) An individual whose needs have been otherwise provided
328.21 for in another state, in whole or in part by county, state, or
328.22 federal dollars during a month, is ineligible to receive MFIP-S
328.23 for the month.
328.24 Sec. 70. Minnesota Statutes 1997 Supplement, section
328.25 256J.36, is amended to read:
328.26 256J.36 [ALLOCATION FOR UNMET NEED OF OTHER HOUSEHOLD
328.27 MEMBERS.]
328.28 Except as prohibited in paragraphs (a) and (b), an
328.29 allocation of income is allowed from the caregiver's income to
328.30 meet the unmet need of an ineligible spouse or an ineligible
328.31 child under the age of 21 for whom the caregiver is financially
328.32 responsible who also lives with the caregiver. An allocation is
328.33 allowed from the caregiver's income to meet the need of an
328.34 ineligible or excluded person. That allocation is allowed in an
328.35 amount up to the difference between the MFIP-S family allowance
328.36 transitional standard for the assistance unit when that excluded
329.1 or ineligible person is included in the assistance unit and the
329.2 MFIP-S family allowance for the assistance unit when
329.3 the excluded or ineligible person is not included in the
329.4 assistance unit. These allocations must be deducted from the
329.5 caregiver's counted earnings and from unearned income subject to
329.6 paragraphs (a) and (b).
329.7 (a) Income of a minor child in the assistance unit must not
329.8 be allocated to meet the need of a an ineligible person who is
329.9 not a member of the assistance unit, including the child's
329.10 parent, even when that parent is the payee of the child's income.
329.11 (b) Income of an assistance unit a caregiver must not be
329.12 allocated to meet the needs of a disqualified person ineligible
329.13 for failure to cooperate with program requirements including
329.14 child support requirements, a person ineligible due to fraud, or
329.15 a relative caregiver and the caregiver's spouse who opt out of
329.16 the assistance unit.
329.17 Sec. 71. Minnesota Statutes 1997 Supplement, section
329.18 256J.37, subdivision 1, is amended to read:
329.19 Subdivision 1. [DEEMED INCOME FROM INELIGIBLE HOUSEHOLD
329.20 MEMBERS.] Unless otherwise provided under subdivision 1a or 1b,
329.21 the income of ineligible household members must be deemed after
329.22 allowing the following disregards:
329.23 (1) the first 18 percent of the excluded ineligible family
329.24 member's gross earned income;
329.25 (2) amounts the ineligible person actually paid to
329.26 individuals not living in the same household but whom the
329.27 ineligible person claims or could claim as dependents for
329.28 determining federal personal income tax liability;
329.29 (3) child or spousal support paid to a person who lives
329.30 outside of the household all payments made by the ineligible
329.31 person according to a court order for spousal support or the
329.32 support of children not living in the assistance unit's
329.33 household, provided that, if there has been a change in the
329.34 financial circumstances of the ineligible person since the
329.35 support order was entered, the ineligible person has petitioned
329.36 for a modification of the support order; and
330.1 (4) an amount for the needs of the ineligible person and
330.2 other persons who live in the household but are not included in
330.3 the assistance unit and are or could be claimed by an ineligible
330.4 person as dependents for determining federal personal income tax
330.5 liability. This amount is equal to the difference between the
330.6 MFIP-S need transitional standard when the excluded ineligible
330.7 person is included in the assistance unit and the MFIP-S need
330.8 transitional standard when the excluded ineligible person is not
330.9 included in the assistance unit.
330.10 Sec. 72. Minnesota Statutes 1997 Supplement, section
330.11 256J.37, is amended by adding a subdivision to read:
330.12 Subd. 1a. [DEEMED INCOME FROM DISQUALIFIED MEMBERS.] The
330.13 income of disqualified members must be deemed after allowing the
330.14 following disregards:
330.15 (1) the first 18 percent of the disqualified member's gross
330.16 earned income;
330.17 (2) amounts the disqualified member actually paid to
330.18 individuals not living in the same household but whom the
330.19 disqualified member claims or could claim as dependents for
330.20 determining federal personal income tax liability;
330.21 (3) all payments made by the disqualified member according
330.22 to a court order for spousal support or the support of children
330.23 not living in the assistance unit's household, provided that, if
330.24 there has been a change in the financial circumstances of the
330.25 disqualified member's legal obligation to pay support since the
330.26 support order was entered, the disqualified member has
330.27 petitioned for a modification of the support order; and
330.28 (4) an amount for the needs of other persons who live in
330.29 the household but are not included in the assistance unit and
330.30 are or could be claimed by the disqualified member as dependents
330.31 for determining federal personal income tax liability. This
330.32 amount is equal to the difference between the MFIP-S
330.33 transitional standard when the ineligible person is included in
330.34 the assistance unit and the MFIP-S transitional standard when
330.35 the ineligible person is not included in the assistance unit.
330.36 An amount shall not be allowed for the needs of a disqualified
331.1 member.
331.2 Sec. 73. Minnesota Statutes 1997 Supplement, section
331.3 256J.37, is amended by adding a subdivision to read:
331.4 Subd. 1b. [DEEMED INCOME FROM PARENTS OF MINOR
331.5 CAREGIVERS.] In households where minor caregivers live with a
331.6 parent or parents who do not receive MFIP-S, the income of the
331.7 parents must be deemed after allowing the following disregards:
331.8 (1) income of the parents equal to 200 percent of the
331.9 federal poverty guideline for a family size not including the
331.10 minor parent and the minor parent's child in the household
331.11 according to section 256J.21, subdivision 2, clause (43);
331.12 (2) 18 percent of the parents' gross earned income;
331.13 (3) amounts the parents actually paid to individuals not
331.14 living in the same household but whom the parents claim or could
331.15 claim as dependents for determining federal personal income tax
331.16 liability; and
331.17 (4) all payments made by parents according to a court order
331.18 for spousal support or the support of children not living in the
331.19 parent's household, provided that, if there has been a change in
331.20 the financial circumstances of the parent's legal obligation to
331.21 pay support since the support order was entered, the parents
331.22 have petitioned for a modification of the support order.
331.23 Sec. 74. Minnesota Statutes 1997 Supplement, section
331.24 256J.37, subdivision 2, is amended to read:
331.25 Subd. 2. [DEEMED INCOME AND ASSETS OF SPONSOR OF
331.26 NONCITIZENS.] All income and assets of a sponsor, or sponsor's
331.27 spouse, who executed an affidavit of support for a noncitizen
331.28 must be deemed to be unearned income of the noncitizen as
331.29 specified in the Personal Responsibility and Work Opportunity
331.30 Reconciliation Act of 1996, title IV, Public Law Number 104-193,
331.31 sections 421 and 422, and subsequently set out in federal
331.32 rules. If a noncitizen applies for or receives MFIP-S, the
331.33 county must deem the income and assets of the noncitizen's
331.34 sponsor and the sponsor's spouse who have signed an affidavit of
331.35 support for the noncitizen as specified in Public Law Number
331.36 104-193, title IV, sections 421 and 422, the Personal
332.1 Responsibility and Work Opportunity Reconciliation Act of 1996.
332.2 The income of a sponsor and the sponsor's spouse is considered
332.3 unearned income of the noncitizen. The assets of a sponsor and
332.4 the sponsor's spouse are considered available assets of the
332.5 noncitizen.
332.6 Sec. 75. Minnesota Statutes 1997 Supplement, section
332.7 256J.37, subdivision 9, is amended to read:
332.8 Subd. 9. [UNEARNED INCOME.] (a) The county agency must
332.9 apply unearned income, including housing subsidies as in
332.10 paragraph (b), to the transitional standard. When determining
332.11 the amount of unearned income, the county agency must deduct the
332.12 costs necessary to secure payments of unearned income. These
332.13 costs include legal fees, medical fees, and mandatory deductions
332.14 such as federal and state income taxes.
332.15 (b) Effective July 1, 1998 1999, the county agency shall
332.16 count $100 of the value of public and assisted rental subsidies
332.17 provided through the Department of Housing and Urban Development
332.18 (HUD) as unearned income. The full amount of the subsidy must
332.19 be counted as unearned income when the subsidy is less than $100.
332.20 Sec. 76. Minnesota Statutes 1997 Supplement, section
332.21 256J.38, subdivision 1, is amended to read:
332.22 Subdivision 1. [SCOPE OF OVERPAYMENT.] When a participant
332.23 or former participant receives an overpayment due to agency,
332.24 client, or ATM error, or due to assistance received while an
332.25 appeal is pending and the participant or former participant is
332.26 determined ineligible for assistance or for less assistance than
332.27 was received, the county agency must recoup or recover the
332.28 overpayment under using the conditions of this
332.29 section. following methods:
332.30 (1) reconstruct each affected budget month and
332.31 corresponding payment month;
332.32 (2) use the policies and procedures that were in effect for
332.33 the payment month; and
332.34 (3) do not allow employment disregards in section 256J.21,
332.35 subdivision 3 or 4, in the calculation of the overpayment when
332.36 the unit has not reported within two calendar months following
333.1 the end of the month in which the income was received.
333.2 Sec. 77. Minnesota Statutes 1997 Supplement, section
333.3 256J.39, subdivision 2, is amended to read:
333.4 Subd. 2. [PROTECTIVE AND VENDOR PAYMENTS.] Alternatives to
333.5 paying assistance directly to a participant may be used when:
333.6 (1) a county agency determines that a vendor payment is the
333.7 most effective way to resolve an emergency situation pertaining
333.8 to basic needs;
333.9 (2) a caregiver makes a written request to the county
333.10 agency asking that part or all of the assistance payment be
333.11 issued by protective or vendor payments for shelter and utility
333.12 service only. The caregiver may withdraw this request in
333.13 writing at any time;
333.14 (3) a caregiver has exhibited a continuing pattern of
333.15 mismanaging funds as determined by the county agency;
333.16 (4) the vendor payment is part of a sanction under section
333.17 256J.46, subdivision 2; or
333.18 (5) (4) the vendor payment is required under section
333.19 256J.24, subdivision 8, 256J.26, or 256J.43;
333.20 (5) protective payments are required for minor parents
333.21 under section 256J.14; or
333.22 (6) a caregiver has exhibited a continuing pattern of
333.23 mismanaging funds as determined by the county agency.
333.24 The director of a county agency must approve a proposal for
333.25 protective or vendor payment for money mismanagement when there
333.26 is a pattern of mismanagement under clause (6). During the time
333.27 a protective or vendor payment is being made, the county agency
333.28 must provide services designed to alleviate the causes of the
333.29 mismanagement.
333.30 The continuing need for and method of payment must be
333.31 documented and reviewed every 12 months. The director of a
333.32 county agency must approve the continuation of protective or
333.33 vendor payments. when it appears that the need for protective or
333.34 vendor payments will continue or is likely to continue beyond
333.35 two years because the county agency's efforts have not resulted
333.36 in sufficiently improved use of assistance on behalf of the
334.1 minor child, judicial appointment of a legal guardian or other
334.2 legal representative must be sought by the county agency.
334.3 Sec. 78. Minnesota Statutes 1997 Supplement, section
334.4 256J.395, is amended to read:
334.5 256J.395 [VENDOR PAYMENT OF RENT SHELTER COSTS AND
334.6 UTILITIES.]
334.7 Subdivision 1. [VENDOR PAYMENT.] (a) Effective July 1,
334.8 1997, when a county is required to provide assistance to
334.9 a recipient participant in vendor form for rent shelter costs
334.10 and utilities under this chapter, or chapter 256, 256D, or 256K,
334.11 the cost of utilities for a given family may be assumed to be:
334.12 (1) the average of the actual monthly cost of utilities for
334.13 that family for the prior 12 months at the family's current
334.14 residence, if applicable;
334.15 (2) the monthly plan amount, if any, set by the local
334.16 utilities for that family at the family's current residence; or
334.17 (3) the estimated monthly utility costs for the dwelling in
334.18 which the family currently resides.
334.19 (b) For purposes of this section, "utility" means any of
334.20 the following: municipal water and sewer service; electric,
334.21 gas, or heating fuel service; or wood, if that is the heating
334.22 source.
334.23 (c) In any instance where a vendor payment for rent is
334.24 directed to a landlord not legally entitled to the payment, the
334.25 county social services agency shall immediately institute
334.26 proceedings to collect the amount of the vendored rent payment,
334.27 which shall be considered a debt under section 270A.03,
334.28 subdivision 5.
334.29 Subd. 2. [VENDOR PAYMENT NOTIFICATION.] (a) When a county
334.30 agency is required to provide assistance to a participant in
334.31 vendor payment form for shelter costs or utilities under
334.32 subdivision 1, and the participant does not give the agency the
334.33 information needed to pay the vendor, the county agency shall
334.34 notify the participant of the intent to terminate assistance by
334.35 mail at least ten days before the effective date of the adverse
334.36 action.
335.1 (b) The notice of action shall include a request for
335.2 information about:
335.3 (1) the amount of the participant's shelter costs or
335.4 utilities;
335.5 (2) the due date of the shelter costs or utilities; and
335.6 (3) the name and address of the landlord, contract for deed
335.7 holder, mortgage company, and utility vendor.
335.8 (c) If the participant fails to provide the requested
335.9 information by the effective date of the adverse action, the
335.10 county must terminate the MFIP-S grant. If the applicant or
335.11 participant verifies they do not have shelter costs or utility
335.12 obligations, the county shall not terminate assistance if the
335.13 assistance unit is otherwise eligible.
335.14 Subd. 3. [DISCONTINUING VENDOR PAYMENTS DUE TO DISPUTE
335.15 WITH LANDLORD.] The county agency shall discontinue vendor
335.16 payments for shelter costs imposed under this chapter when the
335.17 vendor payment interferes with the participant's right to
335.18 withhold rent due to a dispute with the participant's landlord
335.19 in accordance with federal, state, or local housing laws.
335.20 Sec. 79. Minnesota Statutes 1997 Supplement, section
335.21 256J.42, is amended to read:
335.22 256J.42 [60-MONTH TIME LIMIT.]
335.23 Subdivision 1. [TIME LIMIT.] (a) Except for the exemptions
335.24 in this section and in section 256J.11, subdivision 2, an
335.25 assistance unit in which any adult caregiver has received 60
335.26 months of cash assistance funded in whole or in part by the TANF
335.27 block grant in this or any other state or United States
335.28 territory, MFIP-S, AFDC, or family general assistance, funded in
335.29 whole or in part by state appropriations, is ineligible to
335.30 receive MFIP-S. Any cash assistance funded with TANF dollars in
335.31 this or any other state or United States territory, or MFIP-S
335.32 assistance funded in whole or in part by state appropriations,
335.33 that was received by the unit on or after the date TANF was
335.34 implemented, including any assistance received in states or
335.35 United States territories of prior residence, counts toward the
335.36 60-month limitation. The 60-month limit applies to a minor who
336.1 is the head of a household or who is married to the head of a
336.2 household except under subdivision 5. The 60-month time period
336.3 does not need to be consecutive months for this provision to
336.4 apply.
336.5 (b) Months before July 1998 in which individuals receive
336.6 assistance as part of an MFIP, MFIP-R, or MFIP or MFIP-R
336.7 comparison group family under sections 256.031 to 256.0361 or
336.8 sections 256.047 to 256.048 are not included in the 60-month
336.9 time limit.
336.10 Subd. 2. [ASSISTANCE FROM ANOTHER STATE.] An individual
336.11 whose needs have been otherwise provided for in another state,
336.12 in whole or in part by the TANF block grant during a month, is
336.13 ineligible to receive MFIP-S for the month.
336.14 Subd. 3. [ADULTS LIVING ON AN INDIAN RESERVATION.] In
336.15 determining the number of months for which an adult has received
336.16 assistance under MFIP-S, the county agency must disregard any
336.17 month during which the adult lived on an Indian reservation if,
336.18 during the month:
336.19 (1) at least 1,000 individuals were living on the
336.20 reservation; and
336.21 (2) at least 50 percent of the adults living on the
336.22 reservation were unemployed not employed.
336.23 Subd. 4. [VICTIMS OF DOMESTIC VIOLENCE.] Any cash
336.24 assistance received by an assistance unit in a month when a
336.25 caregiver is complying with a safety plan under the MFIP-S
336.26 employment and training component does not count toward the
336.27 60-month limitation on assistance.
336.28 Subd. 5. [EXEMPTION FOR CERTAIN FAMILIES.] (a) Any cash
336.29 assistance received by an assistance unit does not count toward
336.30 the 60-month limit on assistance during a month in which
336.31 the parental caregiver is in the category in section 256J.56,
336.32 clause (1). The exemption applies for the period of time the
336.33 caregiver belongs to one of the categories specified in this
336.34 subdivision.
336.35 (b) From July 1, 1997, until the date MFIP-S is operative
336.36 in the caregiver's county of financial responsibility, any cash
337.1 assistance received by a caregiver who is complying with
337.2 sections 256.73, subdivision 5a, and 256.736, if applicable,
337.3 does not count toward the 60-month limit on assistance.
337.4 Thereafter, any cash assistance received by a minor caregiver
337.5 who is complying with the requirements of sections 256J.14 and
337.6 256J.54, if applicable, does not count towards the 60-month
337.7 limit on assistance.
337.8 (c) Any diversionary assistance or emergency assistance
337.9 received does not count toward the 60-month limit.
337.10 (d) Any cash assistance received by an 18- or 19-year-old
337.11 caregiver who is complying with the requirements of section
337.12 256J.54 does not count toward the 60-month limit.
337.13 Sec. 80. Minnesota Statutes 1997 Supplement, section
337.14 256J.43, is amended to read:
337.15 256J.43 [INTERSTATE PAYMENT STANDARDS.]
337.16 Subdivision 1. [PAYMENT.] (a) Effective July 1, 1997, the
337.17 amount of assistance paid to an eligible family unit in which
337.18 all members have resided in this state for fewer than 12
337.19 consecutive calendar months immediately preceding the date of
337.20 application shall be the lesser of either the payment interstate
337.21 transitional standard that would have been received by
337.22 the family assistance unit from the state of immediate prior
337.23 residence, or the amount calculated in accordance with AFDC or
337.24 MFIP-S standards. The lesser payment must continue until
337.25 the family assistance unit meets the 12-month requirement. An
337.26 assistance unit that has not resided in Minnesota for 12 months
337.27 from the date of application is not exempt from the interstate
337.28 payment provisions solely because a child is born in Minnesota
337.29 to a member of the assistance unit. Payment must be calculated
337.30 by applying this state's budgeting policies, and the unit's net
337.31 income must be deducted from the payment standard in the other
337.32 state or in this state, whichever is lower. Payment shall be
337.33 made in vendor form for rent shelter and utilities, up to the
337.34 limit of the grant amount, and residual amounts, if any, shall
337.35 be paid directly to the assistance unit.
337.36 (b) During the first 12 months a family an assistance unit
338.1 resides in this state, the number of months that a family unit
338.2 is eligible to receive AFDC or MFIP-S benefits is limited to the
338.3 number of months the family assistance unit would have been
338.4 eligible to receive similar benefits in the state of immediate
338.5 prior residence.
338.6 (c) This policy applies whether or not the family
338.7 assistance unit received similar benefits while residing in the
338.8 state of previous residence.
338.9 (d) When a family an assistance unit moves to this state
338.10 from another state where the family assistance unit has
338.11 exhausted that state's time limit for receiving benefits under
338.12 that state's TANF program, the family unit will not be eligible
338.13 to receive any AFDC or MFIP-S benefits in this state for 12
338.14 months from the date the family assistance unit moves here.
338.15 (e) For the purposes of this section, "state of immediate
338.16 prior residence" means:
338.17 (1) the state in which the applicant declares the applicant
338.18 spent the most time in the 30 days prior to moving to this
338.19 state; or
338.20 (2) the state in which an applicant who is a migrant worker
338.21 maintains a home.
338.22 (f) The commissioner shall annually verify and update all
338.23 other states' payment standards as they are to be in effect in
338.24 July of each year.
338.25 (g) Applicants must provide verification of their state of
338.26 immediate prior residence, in the form of tax statements, a
338.27 driver's license, automobile registration, rent receipts, or
338.28 other forms of verification approved by the commissioner.
338.29 (h) Migrant workers, as defined in section 256J.08, and
338.30 their immediate families are exempt from this section, provided
338.31 the migrant worker provides verification that the migrant family
338.32 worked in this state within the last 12 months and earned at
338.33 least $1,000 in gross wages during the time the migrant worker
338.34 worked in this state.
338.35 Subd. 2. [TEMPORARY ABSENCE FROM MINNESOTA.] (a) For an
338.36 assistance unit that has met the requirements of section
339.1 256J.12, the number of months that the assistance unit receives
339.2 benefits under the interstate payment standards in this section
339.3 is not affected by an absence from Minnesota for fewer than 30
339.4 consecutive days.
339.5 (b) For an assistance unit that has met the requirements of
339.6 section 256J.12, the number of months that the assistance unit
339.7 receives benefits under the interstate payment standards in this
339.8 section is not affected by an absence from Minnesota for more
339.9 than 30 consecutive days but fewer than 90 consecutive days,
339.10 provided the assistance unit continues to maintain a residence
339.11 in Minnesota during the period of absence.
339.12 Subd. 3. [EXCEPTIONS TO THE INTERSTATE PAYMENT
339.13 POLICY.] Applicants who lived in another state in the 12 months
339.14 prior to applying for assistance are exempt from the interstate
339.15 payment policy for the months that a member of the unit:
339.16 (1) served in the United States armed services, provided
339.17 the person returned to Minnesota within 30 days of leaving the
339.18 armed forces, and intends to remain in Minnesota;
339.19 (2) attended school in another state, paid nonresident
339.20 tuition or Minnesota tuition rates under a reciprocity
339.21 agreement, provided the person left Minnesota specifically to
339.22 attend school and returned to Minnesota within 30 days of
339.23 graduation with the intent to remain in Minnesota; or
339.24 (3) meets the following criteria:
339.25 (i) a minor child or a minor caregiver moves from another
339.26 state to the residence of a relative caregiver;
339.27 (ii) the minor caregiver applies for and receives family
339.28 cash assistance;
339.29 (iii) the relative caregiver chooses not to be part of the
339.30 MFIP-S assistance unit; and
339.31 (iv) the relative caregiver has resided in Minnesota for at
339.32 least 12 months from the date the assistance unit applies for
339.33 cash assistance.
339.34 Subd. 4. [INELIGIBLE MANDATORY UNIT MEMBERS.] Ineligible
339.35 mandatory unit members who have resided in Minnesota for 12
339.36 months immediately before the unit's date of application
340.1 establish the other assistance unit members' eligibility for the
340.2 MFIP-S transitional standard.
340.3 Sec. 81. Minnesota Statutes 1997 Supplement, section
340.4 256J.45, subdivision 1, is amended to read:
340.5 Subdivision 1. [COUNTY AGENCY TO PROVIDE ORIENTATION.] A
340.6 county agency must provide each MFIP-S caregiver with a
340.7 face-to-face orientation. The caregiver must attend the
340.8 orientation. The county agency must inform the caregiver that
340.9 failure to attend the orientation is considered a first an
340.10 occurrence of noncompliance with program requirements, and will
340.11 result in the imposition of a sanction under section
340.12 256J.46. If the client complies with the orientation
340.13 requirement prior to the first day of the month in which the
340.14 grant reduction is proposed to occur, the orientation sanction
340.15 shall be lifted.
340.16 Sec. 82. Minnesota Statutes 1997 Supplement, section
340.17 256J.45, subdivision 2, is amended to read:
340.18 Subd. 2. [GENERAL INFORMATION.] The MFIP-S orientation
340.19 must consist of a presentation that informs caregivers of:
340.20 (1) the necessity to obtain immediate employment;
340.21 (2) the work incentives under MFIP-S;
340.22 (3) the requirement to comply with the employment plan and
340.23 other requirements of the employment and training services
340.24 component of MFIP-S, including a description of the range of
340.25 work and training activities that are allowable under MFIP-S to
340.26 meet the individual needs of participants;
340.27 (4) the consequences for failing to comply with the
340.28 employment plan and other program requirements, and that the
340.29 county agency may not impose a sanction when failure to comply
340.30 is due to the unavailability of child care or other
340.31 circumstances where the participant has good cause under section
340.32 256J.45, subdivision 3;
340.33 (5) the rights, responsibilities, and obligations of
340.34 participants;
340.35 (6) the types and locations of child care services
340.36 available through the county agency;
341.1 (7) the availability and the benefits of the early
341.2 childhood health and developmental screening under sections
341.3 123.701 to 123.74;
341.4 (8) the caregiver's eligibility for transition year child
341.5 care assistance under section 119B.05;
341.6 (9) the caregiver's eligibility for extended medical
341.7 assistance when the caregiver loses eligibility for MFIP-S due
341.8 to increased earnings or increased child or spousal support; and
341.9 (10) the caregiver's option to choose an employment and
341.10 training provider and information about each provider, including
341.11 but not limited to, services offered, program components, job
341.12 placement rates, job placement wages, and job retention rates;
341.13 (11) the caregiver's option to request approval of an
341.14 education and training plan according to section 256J.52; and
341.15 (12) the work study programs available under the higher
341.16 educational system.
341.17 Sec. 83. Minnesota Statutes 1997 Supplement, section
341.18 256J.45, is amended by adding a subdivision to read:
341.19 Subd. 3. [GOOD CAUSE EXEMPTIONS FOR NOT ATTENDING
341.20 ORIENTATION.] (a) The county agency shall not impose the
341.21 sanction under section 256J.46 if it determines that the
341.22 participant has good cause for failing to attend orientation.
341.23 Good cause exists when:
341.24 (1) appropriate child care is not available;
341.25 (2) the participant is ill or injured;
341.26 (3) a family member is ill and needs care by the
341.27 participant that prevents the participant from attending
341.28 orientation;
341.29 (4) the caregiver is unable to secure necessary
341.30 transportation;
341.31 (5) the caregiver is in an emergency situation that
341.32 prevents orientation attendance;
341.33 (6) the orientation conflicts with the caregiver's work,
341.34 training, or school schedule; or
341.35 (7) the caregiver documents other verifiable impediments to
341.36 orientation attendance beyond the caregiver's control.
342.1 (b) Counties must work with clients to provide child care
342.2 and transportation necessary to ensure a caregiver has every
342.3 opportunity to attend orientation.
342.4 Sec. 84. Minnesota Statutes 1997 Supplement, section
342.5 256J.46, subdivision 1, is amended to read:
342.6 Subdivision 1. [SANCTIONS FOR PARTICIPANTS NOT COMPLYING
342.7 WITH PROGRAM REQUIREMENTS.] (a) A participant who fails without
342.8 good cause to comply with the requirements of this chapter, and
342.9 who is not subject to a sanction under subdivision 2, shall be
342.10 subject to a sanction as provided in this subdivision.
342.11 A sanction under this subdivision becomes effective ten
342.12 days after the month following the month in which a required
342.13 notice is given. A sanction must not be imposed when a
342.14 participant comes into compliance with the requirements for
342.15 orientation under section 256J.45 or third party liability for
342.16 medical services under section 256J.30, subdivision 10, prior to
342.17 the effective date of the sanction. A sanction must not be
342.18 imposed when a participant comes into compliance with the
342.19 requirements for employment and training services under sections
342.20 256J.49 to 256J.72 ten days prior to the effective date of the
342.21 sanction. For purposes of this subdivision, each month that a
342.22 participant fails to comply with a requirement of this chapter
342.23 shall be considered a separate occurrence of noncompliance. A
342.24 participant who has had one or more sanctions imposed must
342.25 remain in compliance with the provisions of this chapter for six
342.26 months in order for a subsequent occurrence of noncompliance to
342.27 be considered a first occurrence.
342.28 (b) Sanctions for noncompliance shall be imposed as follows:
342.29 (1) For the first occurrence of noncompliance by a
342.30 participant in a single-parent household or by one participant
342.31 in a two-parent household, the participant's assistance unit's
342.32 grant shall be reduced by ten percent of the applicable MFIP-S
342.33 transitional standard, the shared household standard, or the
342.34 interstate transitional standard for an assistance unit of the
342.35 same size, whichever is applicable, with the residual paid to
342.36 the participant. The reduction in the grant amount must be in
343.1 effect for a minimum of one month and shall be removed in the
343.2 month following the month that the participant returns to
343.3 compliance.
343.4 (2) For a second or subsequent occurrence of noncompliance,
343.5 or when both participants in a two-parent household are out of
343.6 compliance at the same time, the participant's rent assistance
343.7 unit's shelter costs shall be vendor paid up to the amount of
343.8 the cash portion of the MFIP-S grant for which the participant's
343.9 assistance unit is eligible. At county option,
343.10 the participant's assistance unit's utilities may also be vendor
343.11 paid up to the amount of the cash portion of the MFIP-S grant
343.12 remaining after vendor payment of the participant's rent
343.13 assistance unit's shelter costs. The vendor payment of rent
343.14 and, if in effect, utilities, must be in effect for six months
343.15 from the date that a sanction is imposed under this clause. The
343.16 residual amount of the grant after vendor payment, if any, must
343.17 be reduced by an amount equal to 30 percent of the applicable
343.18 MFIP-S transitional standard, the shared household standard, or
343.19 the interstate transitional standard for an assistance unit of
343.20 the same size, whichever is applicable, before the residual is
343.21 paid to the participant assistance unit. The reduction in the
343.22 grant amount must be in effect for a minimum of one month and
343.23 shall be removed in the month following the month that the a
343.24 participant in a one-parent household returns to compliance. In
343.25 a two-parent household, the grant reduction must be in effect
343.26 for a minimum of one month and shall be removed in the month
343.27 following the month both participants return to compliance. The
343.28 vendor payment of rent shelter costs and, if applicable,
343.29 utilities shall be removed six months after the month in which
343.30 the participant returns or participants return to compliance.
343.31 (c) No later than during the second month that a sanction
343.32 under paragraph (b), clause (2), is in effect due to
343.33 noncompliance with employment services, the participant's case
343.34 file must be reviewed to determine if:
343.35 (i) the continued noncompliance can be explained and
343.36 mitigated by providing a needed preemployment activity, as
344.1 defined in section 256J.49, subdivision 13, clause (16);
344.2 (ii) the participant qualifies for a good cause exception
344.3 under section 256J.57; or
344.4 (iii) the participant qualifies for an exemption under
344.5 section 256J.56.
344.6 If the lack of an identified activity can explain the
344.7 noncompliance, the county must work with the participant to
344.8 provide the identified activity, and the county must restore the
344.9 participant's grant amount to the full amount for which the
344.10 assistance unit is eligible. The grant must be restored
344.11 retroactively to the first day of the month in which the
344.12 participant was found to lack preemployment activities or to
344.13 qualify for an exemption or good cause exception.
344.14 If the participant is found to qualify for a good cause
344.15 exception or an exemption, the county must restore the
344.16 participant's grant to the full amount for which the assistance
344.17 unit is eligible. If the participant's grant is restored under
344.18 this paragraph, the vendor payment of rent and if applicable,
344.19 utilities, shall be removed six months after the month in which
344.20 the sanction was imposed and the county must consider a
344.21 subsequent occurrence of noncompliance to be a first occurrence.
344.22 Sec. 85. Minnesota Statutes 1997 Supplement, section
344.23 256J.46, subdivision 2, is amended to read:
344.24 Subd. 2. [SANCTIONS FOR REFUSAL TO COOPERATE WITH SUPPORT
344.25 REQUIREMENTS.] The grant of an MFIP-S caregiver who refuses to
344.26 cooperate, as determined by the child support enforcement
344.27 agency, with support requirements under section 256.741, if
344.28 enacted, shall be subject to sanction as specified in this
344.29 subdivision. The assistance unit's grant must be reduced by 25
344.30 percent of the applicable transitional standard. The residual
344.31 amount of the grant, if any, must be paid to the caregiver. A
344.32 sanction under this subdivision becomes effective ten days after
344.33 the first month following the month in which a required notice
344.34 is given. A sanction must not be imposed when a caregiver comes
344.35 into compliance with the requirements under section 256.741
344.36 prior to the effective date of the sanction. The sanction must
345.1 be in effect for a minimum of one month and shall be removed
345.2 only when in the month following the month that the caregiver
345.3 cooperates with the support requirements. Each month that an
345.4 MFIP-S caregiver fails to comply with the requirements of
345.5 section 256.741 must be considered a separate occurrence of
345.6 noncompliance. An MFIP-S caregiver who has had one or more
345.7 sanctions imposed must remain in compliance with the
345.8 requirements of section 256.741 for six months in order for a
345.9 subsequent sanction to be considered a first occurrence.
345.10 Sec. 86. Minnesota Statutes 1997 Supplement, section
345.11 256J.46, subdivision 2a, is amended to read:
345.12 Subd. 2a. [DUAL SANCTIONS.] (a) Notwithstanding the
345.13 provisions of subdivisions 1 and 2, for a participant subject to
345.14 a sanction for refusal to comply with child support requirements
345.15 under subdivision 2 and subject to a concurrent sanction for
345.16 refusal to cooperate with other program requirements under
345.17 subdivision 1, sanctions shall be imposed in the manner
345.18 prescribed in this subdivision.
345.19 A participant who has had one or more sanctions imposed
345.20 under this subdivision must remain in compliance with the
345.21 provisions of this chapter for six months in order for a
345.22 subsequent occurrence of noncompliance to be considered a first
345.23 occurrence. Any vendor payment of rent shelter costs or
345.24 utilities under this subdivision must remain in effect for six
345.25 months after the month in which the participant is no longer
345.26 subject to sanction under subdivision 1.
345.27 (b) If the participant was subject to sanction for:
345.28 (i) noncompliance under subdivision 1 before being subject
345.29 to sanction for noncooperation under subdivision 2; or
345.30 (ii) noncooperation under subdivision 2 before being
345.31 subject to sanction for noncompliance under subdivision 1;
345.32 the participant shall be sanctioned as provided in subdivision
345.33 1, paragraph (b), clause (2), and the requirement that the
345.34 county conduct a review as specified in subdivision 1, paragraph
345.35 (c), remains in effect.
345.36 (c) A participant who first becomes subject to sanction
346.1 under both subdivisions 1 and 2 in the same month is subject to
346.2 sanction as follows:
346.3 (i) in the first month of noncompliance and noncooperation,
346.4 the participant's grant must be reduced by 25 percent of the
346.5 applicable transitional standard, with any residual amount paid
346.6 to the participant;
346.7 (ii) in the second and subsequent months of noncompliance
346.8 and noncooperation, the participant shall be sanctioned as
346.9 provided in subdivision 1, paragraph (b), clause (2).
346.10 The requirement that the county conduct a review as
346.11 specified in subdivision 1, paragraph (c), remains in effect.
346.12 (d) A participant remains subject to sanction under
346.13 subdivision 2 if the participant:
346.14 (i) returns to compliance and is no longer subject to
346.15 sanction under subdivision 1; or
346.16 (ii) has the sanction under subdivision 1, paragraph (b),
346.17 removed upon completion of the review under subdivision 1,
346.18 paragraph (c).
346.19 A participant remains subject to sanction under subdivision
346.20 1, paragraph (b), if the participant cooperates and is no longer
346.21 subject to sanction under subdivision 2.
346.22 Sec. 87. Minnesota Statutes 1997 Supplement, section
346.23 256J.47, subdivision 4, is amended to read:
346.24 Subd. 4. [INELIGIBILITY FOR MFIP-S; EMERGENCY ASSISTANCE;
346.25 AND EMERGENCY GENERAL ASSISTANCE.] Upon receipt of diversionary
346.26 assistance, the family is ineligible for MFIP-S, emergency
346.27 assistance, and emergency general assistance for a period of
346.28 time. To determine the period of ineligibility, the county
346.29 shall use the following formula: regardless of household
346.30 changes, the county agency must calculate the number of days of
346.31 ineligibility by dividing the diversionary assistance issued by
346.32 the transitional standard a family of the same size and
346.33 composition would have received under MFIP-S, or if applicable
346.34 the interstate transitional standard, multiplied by 30,
346.35 truncating the result. The ineligibility period begins the date
346.36 the diversionary assistance is issued.
347.1 Sec. 88. Minnesota Statutes 1997 Supplement, section
347.2 256J.48, subdivision 2, is amended to read:
347.3 Subd. 2. [ELIGIBILITY.] Notwithstanding other eligibility
347.4 provisions of this chapter, any family without resources
347.5 immediately available to meet emergency needs identified in
347.6 subdivision 3 shall be eligible for an emergency grant under the
347.7 following conditions:
347.8 (1) a family member has resided in this state for at least
347.9 30 days;
347.10 (2) the family is without resources immediately available
347.11 to meet emergency needs;
347.12 (3) assistance is necessary to avoid destitution or provide
347.13 emergency shelter arrangements; and
347.14 (4) the family's destitution or need for shelter or
347.15 utilities did not arise because the child or relative caregiver
347.16 refused without good cause under section 256J.57 to accept
347.17 employment or training for employment in this state or another
347.18 state; and
347.19 (5) at least one child or pregnant woman in the emergency
347.20 assistance unit meets MFIP-S citizenship requirements in section
347.21 256J.11.
347.22 Sec. 89. Minnesota Statutes 1997 Supplement, section
347.23 256J.48, subdivision 3, is amended to read:
347.24 Subd. 3. [EMERGENCY NEEDS.] Emergency needs are limited to
347.25 the following:
347.26 (a) [RENT.] A county agency may deny assistance to prevent
347.27 eviction from rented or leased shelter of an otherwise eligible
347.28 applicant when the county agency determines that an applicant's
347.29 anticipated income will not cover continued payment for shelter,
347.30 subject to conditions in clauses (1) to (3):
347.31 (1) a county agency must not deny assistance when an
347.32 applicant can document that the applicant is unable to locate
347.33 habitable shelter, unless the county agency can document that
347.34 one or more habitable shelters are available in the community
347.35 that will result in at least a 20 percent reduction in monthly
347.36 expense for shelter and that this shelter will be cost-effective
348.1 for the applicant;
348.2 (2) when no alternative shelter can be identified by either
348.3 the applicant or the county agency, the county agency shall not
348.4 deny assistance because anticipated income will not cover rental
348.5 obligation; and
348.6 (3) when cost-effective alternative shelter is identified,
348.7 the county agency shall issue assistance for moving expenses as
348.8 provided in paragraph (d) (e).
348.9 (b) [DEFINITIONS.] For purposes of paragraph (a), the
348.10 following definitions apply (1) "metropolitan statistical area"
348.11 is as defined by the United States Census Bureau; (2)
348.12 "alternative shelter" includes any shelter that is located
348.13 within the metropolitan statistical area containing the county
348.14 and for which the applicant is eligible, provided the applicant
348.15 does not have to travel more than 20 miles to reach the shelter
348.16 and has access to transportation to the shelter. Clause (2)
348.17 does not apply to counties in the Minneapolis-St. Paul
348.18 metropolitan statistical area.
348.19 (c) [MORTGAGE AND CONTRACT FOR DEED ARREARAGES.] A county
348.20 agency shall issue assistance for mortgage or contract for deed
348.21 arrearages on behalf of an otherwise eligible applicant
348.22 according to clauses (1) to (4):
348.23 (1) assistance for arrearages must be issued only when a
348.24 home is owned, occupied, and maintained by the applicant;
348.25 (2) assistance for arrearages must be issued only when no
348.26 subsequent foreclosure action is expected within the 12 months
348.27 following the issuance;
348.28 (3) assistance for arrearages must be issued only when an
348.29 applicant has been refused refinancing through a bank or other
348.30 lending institution and the amount payable, when combined with
348.31 any payments made by the applicant, will be accepted by the
348.32 creditor as full payment of the arrearage;
348.33 (4) costs paid by a family which are counted toward the
348.34 payment requirements in this clause are: principal and interest
348.35 payments on mortgages or contracts for deed, balloon payments,
348.36 homeowner's insurance payments, manufactured home lot rental
349.1 payments, and tax or special assessment payments related to the
349.2 homestead. Costs which are not counted include closing costs
349.3 related to the sale or purchase of real property.
349.4 To be eligible for assistance for costs specified in clause
349.5 (4) which are outstanding at the time of foreclosure, an
349.6 applicant must have paid at least 40 percent of the family's
349.7 gross income toward these costs in the month of application and
349.8 the 11-month period immediately preceding the month of
349.9 application.
349.10 When an applicant is eligible under clause (4), a county
349.11 agency shall issue assistance up to a maximum of four times the
349.12 MFIP-S transitional standard for a comparable assistance unit.
349.13 (d) [DAMAGE OR UTILITY DEPOSITS.] A county agency shall
349.14 issue assistance for damage or utility deposits when necessary
349.15 to alleviate the emergency. The county may require that
349.16 assistance paid in the form of a damage deposit or a utility
349.17 deposit, less any amount retained by the landlord to remedy a
349.18 tenant's default in payment of rent or other funds due to the
349.19 landlord under a rental agreement, or to restore the premises to
349.20 the condition at the commencement of the tenancy, ordinary wear
349.21 and tear excepted, be returned to the county when the individual
349.22 vacates the premises or be paid to the recipient's new landlord
349.23 as a vendor payment. The county may require that assistance
349.24 paid in the form of a utility deposit less any amount retained
349.25 to satisfy outstanding utility costs be returned to the county
349.26 when the person vacates the premises, or be paid for the
349.27 person's new housing unit as a vendor payment. The vendor
349.28 payment of returned funds shall not be considered a new use of
349.29 emergency assistance.
349.30 (e) [MOVING EXPENSES.] A county agency shall issue
349.31 assistance for expenses incurred when a family must move to a
349.32 different shelter according to clauses (1) to (4):
349.33 (1) moving expenses include the cost to transport personal
349.34 property belonging to a family, the cost for utility connection,
349.35 and the cost for securing different shelter;
349.36 (2) moving expenses must be paid only when the county
350.1 agency determines that a move is cost-effective;
350.2 (3) moving expenses must be paid at the request of an
350.3 applicant, but only when destitution or threatened destitution
350.4 exists; and
350.5 (4) moving expenses must be paid when a county agency
350.6 denies assistance to prevent an eviction because the county
350.7 agency has determined that an applicant's anticipated income
350.8 will not cover continued shelter obligation in paragraph (a).
350.9 (f) [HOME REPAIRS.] A county agency shall pay for repairs
350.10 to the roof, foundation, wiring, heating system, chimney, and
350.11 water and sewer system of a home that is owned and lived in by
350.12 an applicant.
350.13 The applicant shall document, and the county agency shall
350.14 verify the need for and method of repair.
350.15 The payment must be cost-effective in relation to the
350.16 overall condition of the home and in relation to the cost and
350.17 availability of alternative housing.
350.18 (g) [UTILITY COSTS.] Assistance for utility costs must be
350.19 made when an otherwise eligible family has had a termination or
350.20 is threatened with a termination of municipal water and sewer
350.21 service, electric, gas or heating fuel service, or lacks wood
350.22 when that is the heating source, subject to the conditions in
350.23 clauses (1) and (2):
350.24 (1) a county agency must not issue assistance unless the
350.25 county agency receives confirmation from the utility provider
350.26 that assistance combined with payment by the applicant will
350.27 continue or restore the utility; and
350.28 (2) a county agency shall not issue assistance for utility
350.29 costs unless a family paid at least eight percent of the
350.30 family's gross income toward utility costs due during the
350.31 preceding 12 months.
350.32 Clauses (1) and (2) must not be construed to prevent the
350.33 issuance of assistance when a county agency must take immediate
350.34 and temporary action necessary to protect the life or health of
350.35 a child.
350.36 (h) [SPECIAL DIETS.] Effective January 1, 1998, a county
351.1 shall pay for special diets or dietary items for MFIP-S
351.2 participants. Persons receiving emergency assistance funds for
351.3 special diets or dietary items are also eligible to receive
351.4 emergency assistance for shelter and utility emergencies, if
351.5 otherwise eligible. The need for special diets or dietary items
351.6 must be prescribed by a licensed physician. Costs for special
351.7 diets shall be determined as percentages of the allotment for a
351.8 one-person household under the Thrifty Food Plan as defined by
351.9 the United States Department of Agriculture. The types of diets
351.10 and the percentages of the Thrifty Food Plan that are covered
351.11 are as follows:
351.12 (1) high protein diet, at least 80 grams daily, 25 percent
351.13 of Thrifty Food Plan;
351.14 (2) controlled protein diet, 40 to 60 grams and requires
351.15 special products, 100 percent of Thrifty Food Plan;
351.16 (3) controlled protein diet, less than 40 grams and
351.17 requires special products, 125 percent of Thrifty Food Plan;
351.18 (4) low cholesterol diet, 25 percent of Thrifty Food Plan;
351.19 (5) high residue diet, 20 percent of Thrifty Food Plan;
351.20 (6) pregnancy and lactation diet, 35 percent of Thrifty
351.21 Food Plan;
351.22 (7) gluten-free diet, 25 percent of Thrifty Food Plan;
351.23 (8) lactose-free diet, 25 percent of Thrifty Food Plan;
351.24 (9) antidumping diet, 15 percent of Thrifty Food Plan;
351.25 (10) hypoglycemic diet, 15 percent of Thrifty Food Plan; or
351.26 (11) ketogenic diet, 25 percent of Thrifty Food Plan.
351.27 Sec. 90. Minnesota Statutes 1997 Supplement, section
351.28 256J.49, subdivision 4, is amended to read:
351.29 Subd. 4. [EMPLOYMENT AND TRAINING SERVICE PROVIDER.]
351.30 "Employment and training service provider" means:
351.31 (1) a public, private, or nonprofit employment and training
351.32 agency certified by the commissioner of economic security under
351.33 sections 268.0122, subdivision 3, and 268.871, subdivision 1, or
351.34 is approved under section 256J.51 and is included in the county
351.35 plan submitted under section 256J.50, subdivision 7; or
351.36 (2) a public, private, or nonprofit agency that is not
352.1 certified by the commissioner under clause (1), but with which a
352.2 county has contracted to provide employment and training
352.3 services and which is included in the county's plan submitted
352.4 under section 256J.50, subdivision 7; or
352.5 (3) a county agency, if the county is certified under
352.6 clause (1) has opted to provide employment and training services
352.7 and the county has indicated that fact in the plan submitted
352.8 under section 256J.50, subdivision 7.
352.9 Notwithstanding section 268.871, an employment and training
352.10 services provider meeting this definition may deliver employment
352.11 and training services under this chapter.
352.12 Sec. 91. Minnesota Statutes 1997 Supplement, section
352.13 256J.50, subdivision 5, is amended to read:
352.14 Subd. 5. [PARTICIPATION REQUIREMENTS FOR SINGLE-PARENT AND
352.15 TWO-PARENT CASES.] (a) A county must establish a uniform
352.16 schedule for requiring participation by single parents.
352.17 Mandatory participation must be required within six months of
352.18 eligibility for cash assistance. For two-parent cases,
352.19 participation is required concurrent with the receipt of MFIP-S
352.20 cash assistance.
352.21 (b) Beginning January 1, 1998, with the exception of
352.22 caregivers required to attend high school under the provisions
352.23 of section 256J.54, subdivision 5, MFIP caregivers, upon
352.24 completion of the secondary assessment, must develop an
352.25 employment plan and participate in work activities.
352.26 (c) Upon completion of the secondary assessment:
352.27 (1) In single-parent families with no children under six
352.28 years of age, the job counselor and the caregiver must develop
352.29 an employment plan that includes 20 to 35 hours per week of work
352.30 activities for the period January 1, 1998, to September 30,
352.31 1998; 25 to 35 hours of work activities per week in federal
352.32 fiscal year 1999; and 30 to 35 hours per week of work activities
352.33 in federal fiscal year 2000 and thereafter.
352.34 (2) In single-parent families with a child under six years
352.35 of age, the job counselor and the caregiver must develop an
352.36 employment plan that includes 20 to 35 hours per week of work
353.1 activities.
353.2 (3) In two-parent families, the job counselor and the
353.3 caregivers must develop employment plans which result in a
353.4 combined total of at least 55 hours per week of work activities.
353.5 Sec. 92. Minnesota Statutes 1997 Supplement, section
353.6 256J.50, is amended by adding a subdivision to read:
353.7 Subd. 10. [REQUIRED NOTIFICATION TO VICTIMS OF DOMESTIC
353.8 VIOLENCE.] County agencies and their contractors must provide
353.9 universal notification to all applicants and recipients of
353.10 MFIP-S that:
353.11 (1) referrals to counseling and supportive services are
353.12 available for victims of domestic violence;
353.13 (2) nonpermanent resident battered individuals married to
353.14 United States citizens or permanent residents may be eligible to
353.15 petition for permanent residency under the federal Violence
353.16 Against Women Act, and that referrals to appropriate legal
353.17 services are available;
353.18 (3) victims of domestic violence are exempt from the
353.19 60-month limit on assistance while the individual is complying
353.20 with an approved safety plan, as defined in section 256J.49,
353.21 subdivision 11; and
353.22 (4) victims of domestic violence may choose to be exempt or
353.23 deferred from work requirements for up to 12 months while the
353.24 individual is complying with an approved safety plan as defined
353.25 in section 256J.49, subdivision 11.
353.26 Notification must be in writing and orally at the time of
353.27 application and recertification, when the individual is referred
353.28 to the title IV-D child support agency, and at the beginning of
353.29 any job training or work placement assistance program.
353.30 Sec. 93. Minnesota Statutes 1997 Supplement, section
353.31 256J.50, is amended by adding a subdivision to read:
353.32 Subd. 11. [COORDINATION.] The county agency and the county
353.33 agency's employment and training providers must consult and
353.34 coordinate with other providers of employment and training
353.35 services to identify existing resources, in order to prevent
353.36 duplication of services, to assure that other programs' services
354.1 are available to enable participants to achieve
354.2 self-sufficiency, and to assure that costs for these other
354.3 services for which participants are eligible are not incurred by
354.4 MFIP-S. At a minimum, the county agency and its providers must
354.5 coordinate with Jobs Training and Partnership Act providers and
354.6 with any other relevant employment, training, and education
354.7 programs in the county.
354.8 Sec. 94. Minnesota Statutes 1997 Supplement, section
354.9 256J.515, is amended to read:
354.10 256J.515 [OVERVIEW OF EMPLOYMENT AND TRAINING SERVICES.]
354.11 During the first meeting with participants, job counselors
354.12 must ensure that an overview of employment and training services
354.13 is provided that: (1) stresses the necessity and opportunity of
354.14 immediate employment,; (2) outlines the job search resources
354.15 offered,; (3) outlines education or training opportunities
354.16 available; (4) describes the range of work activities, including
354.17 activities under section 256J.49, subdivision 13, clause (18),
354.18 that are allowable under MFIP-S to meet the individual needs of
354.19 participants; (5) explains the requirements to comply with an
354.20 employment plan and; (6) explains the consequences for failing
354.21 to comply,; and (7) explains the services that are available to
354.22 support job search and work and education.
354.23 Sec. 95. Minnesota Statutes 1997 Supplement, section
354.24 256J.52, subdivision 4, is amended to read:
354.25 Subd. 4. [SECONDARY ASSESSMENT.] (a) The job counselor
354.26 must conduct a secondary assessment for those participants who:
354.27 (1) in the judgment of the job counselor, have barriers to
354.28 obtaining employment that will not be overcome with a job search
354.29 support plan under subdivision 3;
354.30 (2) have completed eight weeks of job search under
354.31 subdivision 3 without obtaining suitable employment; or
354.32 (3) have not received a secondary assessment, are working
354.33 at least 20 hours per week, and the participant, job counselor,
354.34 or county agency requests a secondary assessment; or
354.35 (4) have an existing job search plan or employment plan
354.36 developed for another program or are already involved in
355.1 training or education activities under section 256J.55,
355.2 subdivision 5.
355.3 (b) In the secondary assessment the job counselor must
355.4 evaluate the participant's skills and prior work experience,
355.5 family circumstances, interests and abilities, need for
355.6 preemployment activities, supportive or educational services,
355.7 and the extent of any barriers to employment. The job counselor
355.8 must use the information gathered through the secondary
355.9 assessment to develop an employment plan under subdivision 5.
355.10 (c) The provider shall make available to participants
355.11 information regarding additional vendors or resources which
355.12 provide employment and training services that may be available
355.13 to the participant under a plan developed under this section.
355.14 The information must include a brief summary of services
355.15 provided and related performance indicators. Performance
355.16 indicators must include, but are not limited to, the average
355.17 time to complete program offerings, placement rates, entry and
355.18 average wages, and retention rates. To be included in the
355.19 information given to participants, a vendor or resource must
355.20 provide counties with relevant information in the format
355.21 required by the county.
355.22 Sec. 96. Minnesota Statutes 1997 Supplement, section
355.23 256J.52, is amended by adding a subdivision to read:
355.24 Subd. 8. [ADMINISTRATIVE SUPPORT FOR POSTEMPLOYMENT
355.25 EDUCATION AND TRAINING.] After a caregiver receiving MFIP-S has
355.26 been employed for six consecutive months, during which time the
355.27 caregiver works on average more than 20 hours per week, the
355.28 caregiver's job counselor shall inform the caregiver that the
355.29 caregiver may request a secondary assessment described in
355.30 subdivision 4 and shall provide information about:
355.31 (1) part-time education and training options available to
355.32 the caregiver; and
355.33 (2) child care and transportation resources available to
355.34 support postemployment education and training.
355.35 Sec. 97. Minnesota Statutes 1997 Supplement, section
355.36 256J.52, is amended by adding a subdivision to read:
356.1 Subd. 9. [TRAINING CONCURRENT WITH EMPLOYMENT.] An MFIP
356.2 caregiver who is meeting the minimum hourly work participation
356.3 requirements under the Personal Responsibility and Work
356.4 Opportunity Reconciliation Act of 1996 through employment must
356.5 be allowed to meet any additional MFIP-S hourly work
356.6 participation requirements through training or education that
356.7 meets the requirements of section 256J.53.
356.8 Sec. 98. Minnesota Statutes 1997 Supplement, section
356.9 256J.54, subdivision 2, is amended to read:
356.10 Subd. 2. [RESPONSIBILITY FOR ASSESSMENT AND EMPLOYMENT
356.11 PLAN.] For caregivers who are under age 18 without a high school
356.12 diploma or its equivalent, the assessment under subdivision 1
356.13 and the employment plan under subdivision 3 must be completed by
356.14 the social services agency under section 257.33. For caregivers
356.15 who are age 18 or 19 without a high school diploma or its
356.16 equivalent, the assessment under subdivision 1 and the
356.17 employment plan under subdivision 3 must be completed by the job
356.18 counselor. The social services agency or the job counselor
356.19 shall consult with representatives of educational agencies that
356.20 are required to assist in developing educational plans under
356.21 section 126.235.
356.22 Sec. 99. Minnesota Statutes 1997 Supplement, section
356.23 256J.54, subdivision 3, is amended to read:
356.24 Subd. 3. [EDUCATIONAL OPTION DEVELOPED.] If the job
356.25 counselor or county social services agency identifies an
356.26 appropriate educational option for a caregiver under the age of
356.27 20 without a high school diploma or its equivalent, it the job
356.28 counselor or agency must develop an employment plan which
356.29 reflects the identified option. The plan must specify that
356.30 participation in an educational activity is required, what
356.31 school or educational program is most appropriate, the services
356.32 that will be provided, the activities the caregiver will take
356.33 part in, including child care and supportive services, the
356.34 consequences to the caregiver for failing to participate or
356.35 comply with the specified requirements, and the right to appeal
356.36 any adverse action. The employment plan must, to the extent
357.1 possible, reflect the preferences of the caregiver.
357.2 Sec. 100. Minnesota Statutes 1997 Supplement, section
357.3 256J.54, subdivision 4, is amended to read:
357.4 Subd. 4. [NO APPROPRIATE EDUCATIONAL OPTION.] If the job
357.5 counselor determines that there is no appropriate educational
357.6 option for a caregiver who is age 18 or 19 without a high school
357.7 diploma or its equivalent, the job counselor must develop an
357.8 employment plan, as defined in section 256J.49, subdivision 5,
357.9 for the caregiver. If the county social services agency
357.10 determines that school attendance is not appropriate for a
357.11 caregiver under age 18 without a high school diploma or its
357.12 equivalent, the county agency shall refer the caregiver to
357.13 social services for services as provided in section 257.33.
357.14 Sec. 101. Minnesota Statutes 1997 Supplement, section
357.15 256J.54, subdivision 5, is amended to read:
357.16 Subd. 5. [SCHOOL ATTENDANCE REQUIRED.] (a) Notwithstanding
357.17 the provisions of section 256J.56, minor parents, or 18- or
357.18 19-year-old parents without a high school diploma or its
357.19 equivalent must attend school unless:
357.20 (1) transportation services needed to enable the caregiver
357.21 to attend school are not available;
357.22 (2) appropriate child care services needed to enable the
357.23 caregiver to attend school are not available;
357.24 (3) the caregiver is ill or incapacitated seriously enough
357.25 to prevent attendance at school; or
357.26 (4) the caregiver is needed in the home because of the
357.27 illness or incapacity of another member of the household. This
357.28 includes a caregiver of a child who is younger than six weeks of
357.29 age.
357.30 (b) The caregiver must be enrolled in a secondary school
357.31 and meeting the school's attendance requirements. The county,
357.32 social service agency, or job counselor must verify at least
357.33 once per quarter that the caregiver is meeting the school's
357.34 attendance requirements. An enrolled caregiver is considered to
357.35 be meeting the attendance requirements when the school is not in
357.36 regular session, including during holiday and summer breaks.
358.1 Sec. 102. Minnesota Statutes 1997 Supplement, section
358.2 256J.55, subdivision 5, is amended to read:
358.3 Subd. 5. [OPTION TO UTILIZE EXISTING PLAN.] With job
358.4 counselor approval, if a participant is already complying with a
358.5 job search support or employment plan that was developed for a
358.6 different program or is already involved in education or
358.7 training activities, the participant may utilize continue that
358.8 plan and that program's services, subject to the requirements of
358.9 subdivision 3, to be in compliance with sections 256J.52 to
358.10 256J.57 so long as or activity if the plan meets, or is modified
358.11 to meet, the requirements of those sections 256J.52 to 256J.57,
358.12 and if the participant is concurrently employed and the
358.13 combination of the hours spent in education or training and
358.14 employment meets the hourly participation requirements. The
358.15 participant is not required to be employed if the number of
358.16 hours per week the participant is in education or training meets
358.17 the hourly work participation requirements.
358.18 Sec. 103. Minnesota Statutes 1997 Supplement, section
358.19 256J.56, is amended to read:
358.20 256J.56 [EMPLOYMENT AND TRAINING SERVICES COMPONENT;
358.21 EXEMPTIONS.]
358.22 (a) An MFIP-S caregiver is exempt from the requirements of
358.23 sections 256J.52 to 256J.55 if the caregiver belongs to any of
358.24 the following groups:
358.25 (1) individuals who are age 60 or older;
358.26 (2) individuals who are suffering from a professionally
358.27 certified permanent or temporary illness, injury, or incapacity
358.28 which is expected to continue for more than 30 days and which
358.29 prevents the person from obtaining or retaining employment.
358.30 Persons in this category with a temporary illness, injury, or
358.31 incapacity must be reevaluated at least quarterly;
358.32 (3) caregivers whose presence in the home is required
358.33 because of the professionally certified illness or incapacity of
358.34 another member in the assistance unit, a relative in the
358.35 household, or a foster child in the household;
358.36 (4) women who are pregnant, if the pregnancy has resulted
359.1 in a professionally certified incapacity that prevents the woman
359.2 from obtaining or retaining employment;
359.3 (5) caregivers of a child under the age of one year who
359.4 personally provide full-time care for the child. This exemption
359.5 may be used for only 12 months in a lifetime. In two-parent
359.6 households, only one parent or other relative may qualify for
359.7 this exemption;
359.8 (6) individuals who are single parents, or one parent in a
359.9 two-parent family, employed at least 40 hours per week or at
359.10 least 30 hours per week and engaged in job search for at least
359.11 an additional ten 35 hours per week;
359.12 (7) individuals experiencing a personal or family crisis
359.13 that makes them incapable of participating in the program, as
359.14 determined by the county agency. If the participant does not
359.15 agree with the county agency's determination, the participant
359.16 may seek professional certification, as defined in section
359.17 256J.08, that the participant is incapable of participating in
359.18 the program.
359.19 Persons in this exemption category must be reevaluated
359.20 every 60 days; or
359.21 (8) second parents in two-parent families, provided the
359.22 second parent is employed for 20 or more hours per week,
359.23 provided the first parent is employed at least 35 hours per week.
359.24 A caregiver who is exempt under clause (5) must enroll in
359.25 and attend an early childhood and family education class, a
359.26 parenting class, or some similar activity, if available, during
359.27 the period of time the caregiver is exempt under this section.
359.28 Notwithstanding section 256J.46, failure to attend the required
359.29 activity shall not result in the imposition of a sanction.
359.30 (b) The county agency must provide employment and training
359.31 services to MFIP-S caregivers who are exempt under this section,
359.32 but who volunteer to participate. Exempt volunteers may request
359.33 approval for any work activity under section 256J.49,
359.34 subdivision 13. The hourly participation requirements for
359.35 nonexempt caregivers under section 256J.50, subdivision 5, do
359.36 not apply to exempt caregivers who volunteer to participate.
360.1 Sec. 104. Minnesota Statutes 1997 Supplement, section
360.2 256J.57, subdivision 1, is amended to read:
360.3 Subdivision 1. [GOOD CAUSE FOR FAILURE TO COMPLY.] The
360.4 county agency shall not impose the sanction under section
360.5 256J.46 if it determines that the participant has good cause for
360.6 failing to comply with the requirements of section 256J.45 or
360.7 sections 256J.52 to 256J.55. Good cause exists when:
360.8 (1) appropriate child care is not available;
360.9 (2) the job does not meet the definition of suitable
360.10 employment;
360.11 (3) the participant is ill or injured;
360.12 (4) a family member of the assistance unit, a relative in
360.13 the household, or a foster child in the household is ill and
360.14 needs care by the participant that prevents the participant from
360.15 complying with the job search support plan or employment plan;
360.16 (5) the parental caregiver is unable to secure necessary
360.17 transportation;
360.18 (6) the parental caregiver is in an emergency situation
360.19 that prevents compliance with the job search support plan or
360.20 employment plan;
360.21 (7) the schedule of compliance with the job search support
360.22 plan or employment plan conflicts with judicial proceedings;
360.23 (8) the parental caregiver is already participating in
360.24 acceptable work activities;
360.25 (9) the employment plan requires an educational program for
360.26 a caregiver under age 20, but the educational program is not
360.27 available;
360.28 (10) activities identified in the job search support plan
360.29 or employment plan are not available;
360.30 (11) the parental caregiver is willing to accept suitable
360.31 employment, but suitable employment is not available; or
360.32 (12) the parental caregiver documents other verifiable
360.33 impediments to compliance with the job search support plan or
360.34 employment plan beyond the parental caregiver's control.
360.35 Sec. 105. Minnesota Statutes 1997 Supplement, section
360.36 256J.645, subdivision 3, is amended to read:
361.1 Subd. 3. [FUNDING.] If the commissioner and an Indian
361.2 tribe are parties to an agreement under this subdivision, the
361.3 agreement may annually provide to the Indian tribe the funding
361.4 amount in clause (1) or (2):
361.5 (1) if the Indian tribe operated a tribal STRIDE program
361.6 during state fiscal year 1997, the amount to be provided is the
361.7 amount the Indian tribe received from the state for operation of
361.8 its tribal STRIDE program in state fiscal year 1997, except that
361.9 the amount provided for a fiscal year may increase or decrease
361.10 in the same proportion that the total amount of state and
361.11 federal funds available for MFIP-S employment and training
361.12 services increased or decreased that fiscal year; or
361.13 (2) if the Indian tribe did not operate a tribal STRIDE
361.14 program during state fiscal year 1997, the commissioner may
361.15 provide to the Indian tribe for the first year of operations the
361.16 amount determined by multiplying the state allocation for MFIP-S
361.17 employment and training services to each county agency in the
361.18 Indian tribe's service delivery area by the percentage of MFIP-S
361.19 recipients in that county who were members of the Indian tribe
361.20 during the previous state fiscal year. The resulting amount
361.21 shall also be the amount that the commissioner may provide to
361.22 the Indian tribe annually thereafter through an agreement under
361.23 this subdivision, except that the amount provided for a fiscal
361.24 year may increase or decrease in the same proportion that the
361.25 total amount of state and federal funds available for MFIP-S
361.26 employment and training services increased or decreased that
361.27 fiscal year.
361.28 Sec. 106. Minnesota Statutes 1997 Supplement, section
361.29 256J.74, subdivision 2, is amended to read:
361.30 Subd. 2. [CONCURRENT ELIGIBILITY, LIMITATIONS.] A county
361.31 agency must not count an applicant or participant as a member of
361.32 more than one assistance unit in a given payment month, except
361.33 as provided in clauses (1) and (2).
361.34 (1) A participant who is a member of an assistance unit in
361.35 this state is eligible to be included in a second assistance
361.36 unit in the first full month that after the month the
362.1 participant leaves the first assistance unit and lives with
362.2 a joins the second assistance unit.
362.3 (2) An applicant whose needs are met through foster care
362.4 that is reimbursed under title IV-E of the Social Security Act
362.5 for the first part of an application month is eligible to
362.6 receive assistance for the remaining part of the month in which
362.7 the applicant returns home. Title IV-E payments and adoption
362.8 assistance payments must be considered prorated payments rather
362.9 than a duplication of MFIP-S need.
362.10 Sec. 107. Minnesota Statutes 1997 Supplement, section
362.11 256J.74, is amended by adding a subdivision to read:
362.12 Subd. 5. [FOOD STAMPS.] For any month an individual
362.13 receives Food Stamp Program benefits, the individual is not
362.14 eligible for the MFIP-S food portion of assistance, except as
362.15 provided under section 256J.28, subdivision 5.
362.16 Sec. 108. [256J.77] [AGING OF CASH BENEFITS.]
362.17 Cash benefits under chapters 256D, 256J, and 256K by
362.18 warrants or electronic benefit transfer that have not been
362.19 accessed within 90 days of issuance shall be canceled. Cash
362.20 benefits may be replaced after they are canceled, for up to one
362.21 year after the date of issuance, if failure to do so would place
362.22 the client or family at risk. For purposes of this section,
362.23 "accessed" means cashing a warrant or making at least one
362.24 withdrawal from benefits deposited in an electronic benefit
362.25 account.
362.26 Sec. 109. Minnesota Statutes 1997 Supplement, section
362.27 256K.03, subdivision 5, is amended to read:
362.28 Subd. 5. [EXEMPTION CATEGORIES.] (a) The applicant will be
362.29 exempt from the job search requirements and development of a job
362.30 search plan and an employability development plan under
362.31 subdivisions 3, 4, and 8 if the applicant belongs to any of the
362.32 following groups:
362.33 (1) caregivers under age 20 who have not completed a high
362.34 school education and are attending high school on a full-time
362.35 basis;
362.36 (2) individuals who are age 60 or older;
363.1 (3) (2) individuals who are suffering from a professionally
363.2 certified permanent or temporary illness, injury, or incapacity
363.3 which is expected to continue for more than 30 days and which
363.4 prevents the person from obtaining or retaining employment.
363.5 Persons in this category with a temporary illness, injury, or
363.6 incapacity must be reevaluated at least quarterly;
363.7 (4) (3) caregivers whose presence in the home is needed
363.8 because of the professionally certified illness or incapacity of
363.9 another member in the assistance unit, a relative in the
363.10 household, or a foster child in the household;
363.11 (5) (4) women who are pregnant, if it the pregnancy has
363.12 been medically verified resulted in a professionally certified
363.13 incapacity that the child is expected to be born within the next
363.14 six months prevents the woman from obtaining and retaining
363.15 employment;
363.16 (6) (5) caregivers or other caregiver relatives of a child
363.17 under the age of three one year who personally provide full-time
363.18 care for the child. This exemption may be used for only 12
363.19 months in a lifetime. In two-parent households, only one parent
363.20 or other relative may qualify for this exemption;
363.21 (7) (6) individuals who are single parents or one parent in
363.22 a two-parent family employed at least 30 35 hours per week;
363.23 (8) individuals for whom participation would require a
363.24 round trip commuting time by available transportation of more
363.25 than two hours, excluding transporting of children for child
363.26 care;
363.27 (9) individuals for whom lack of proficiency in English is
363.28 a barrier to employment, provided such individuals are
363.29 participating in an intensive program which lasts no longer than
363.30 six months and is designed to remedy their language deficiency;
363.31 (10) individuals who, because of advanced age or lack of
363.32 ability, are incapable of gaining proficiency in English, as
363.33 determined by the county social worker, shall continue to be
363.34 exempt under this subdivision and are not subject to the
363.35 requirement that they be participating in a language program;
363.36 (11) (7) individuals under such duress that they are
364.1 incapable of participating in the program, as determined by the
364.2 county social worker experiencing a personal or family crisis
364.3 that makes them incapable of participating in the program, as
364.4 determined by the county agency. If the participant does not
364.5 agree with the county agency's determination, the participant
364.6 may seek professional certification, as defined in section
364.7 256J.08, that the participant is incapable of participating in
364.8 the program. Persons in this exemption category must be
364.9 reevaluated every 60 days; or
364.10 (12) individuals in need of refresher courses for purposes
364.11 of obtaining professional certification or licensure.
364.12 (b) In a two-parent family, only one caregiver may be
364.13 exempted under paragraph (a), clauses (4) and (6).
364.14 (8) second parents in two-parent families employed for 20
364.15 or more hours per week provided the first parent is employed at
364.16 least 35 hours per week.
364.17 (b) A caregiver who is exempt under clause (5) must enroll
364.18 in and attend an early childhood and family education class, a
364.19 parenting class, or some similar activity, if available, during
364.20 the period of time the caregiver is exempt under this section.
364.21 Notwithstanding section 256J.46, failure to attend the required
364.22 activity shall not result in the imposition of a sanction.
364.23 Sec. 110. Minnesota Statutes 1996, section 268.88, is
364.24 amended to read:
364.25 268.88 [LOCAL SERVICE UNIT PLANS.]
364.26 (a) By April 15, 1991 1999, and by April 15 of each second
364.27 year thereafter, local service units shall prepare and submit to
364.28 the commissioner a plan that covers the next two state fiscal
364.29 years. At least 30 days prior to submission of the plan, the
364.30 local service unit shall solicit comments from the public on the
364.31 contents of the proposed plan. The commissioner shall notify
364.32 each local service unit within 60 days of receipt of its plan
364.33 that the plan has been approved or disapproved. The plan must
364.34 include:
364.35 (1) a statement of objectives for the employment and
364.36 training services the local service unit administers;
365.1 (2) the establishment of job placement and job retention
365.2 goals, the establishment of public assistance caseload reduction
365.3 goals, and the strategies and programs that will be used to
365.4 achieve these goals;
365.5 (3) a statement of whether the goals from the preceding
365.6 year were met and an explanation if the local service unit
365.7 failed to meet the goals;
365.8 (4) the amount proposed to be allocated to each employment
365.9 and training service;
365.10 (5) the proposed types of employment and training services
365.11 the local service unit plans to utilize;
365.12 (6) a description of how the local service unit will use
365.13 funds provided under section 256.736 to meet the requirements of
365.14 that section. The description must include the two work
365.15 programs required by section 256.736, subdivision 10, paragraph
365.16 (a), clause (13), what services will be provided, number of
365.17 clients served, per service expenditures, type of clients
365.18 served, and projected outcomes chapter 256J to meet the
365.19 requirements of that chapter. The description must include what
365.20 services will be provided, per service expenditures, an estimate
365.21 of how many employment and training slots the local service unit
365.22 will provide, how many dollars the local service unit will
365.23 provide per slot per provider, how many participants per slot,
365.24 an estimate of the ratio of participants per job counselor, and
365.25 proposed uses for any residual funds not included in slot
365.26 allocations to providers;
365.27 (7) a report on the use of wage subsidies, grant
365.28 diversions, community investment programs, and other services
365.29 administered under this chapter;
365.30 (8) a performance review of the employment and training
365.31 service providers delivering employment and training services
365.32 for the local service unit;
365.33 (9) a copy of any contract between the local service unit
365.34 and an employment and training service provider including
365.35 expected outcomes and service levels for public assistance
365.36 clients; and
366.1 (10) a copy of any other agreements between educational
366.2 institutions, family support services, and child care providers;
366.3 and
366.4 (11) a description of how the local service unit ensures
366.5 compliance with section 256J.06, requiring community involvement
366.6 in the administration of MFIP-S.
366.7 (b) In counties with a city of the first class, the county
366.8 and the city shall develop and submit a joint plan. The plan
366.9 may not be submitted until agreed to by both the city and the
366.10 county. The plan must provide for the direct allocation of
366.11 employment and training money to the city and the county unless
366.12 waived by either. If the county and the city cannot concur on a
366.13 plan, the commissioner shall resolve their dispute. In counties
366.14 in which a federally recognized Indian tribe is operating an
366.15 employment and training program under an agreement with the
366.16 commissioner of human services, the plan must provide that the
366.17 county will coordinate its employment and training programs,
366.18 including developing a system for referrals, sanctions, and the
366.19 provision of supporting services such as access to child care
366.20 funds and transportation with programs operated by the Indian
366.21 tribe. The plan may not be given final approval by the
366.22 commissioner until the tribal unit and county have submitted
366.23 written agreement on these provisions in the plan. If the
366.24 county and Indian tribe cannot agree on these provisions, the
366.25 local service unit shall notify the commissioner of economic
366.26 security and the commissioners of economic security and human
366.27 services shall resolve the dispute.
366.28 (c) The commissioner may withhold the distribution of
366.29 employment and training money from a local service unit that
366.30 does not submit a plan to the commissioner by the date set by
366.31 this section, and shall withhold the distribution of employment
366.32 and training money from a local service unit whose plan has been
366.33 disapproved by the commissioner until an acceptable amended plan
366.34 has been submitted.
366.35 (d) Beginning April 15, 1992, and by April 15 of each
366.36 second year thereafter, local service units must prepare and
367.1 submit to the commissioner an interim year plan update that
367.2 deals with performance in that state fiscal year and changes
367.3 anticipated for the second year of the biennium. The update
367.4 must include information about employment and training programs
367.5 addressed in the local service unit's two-year plan and shall be
367.6 completed in accordance with criteria established by the
367.7 commissioner.
367.8 Sec. 111. Laws 1997, chapter 203, article 9, section 21,
367.9 is amended to read:
367.10 Sec. 21. [INELIGIBILITY FOR STATE FUNDED PROGRAMS.]
367.11 (a) Beginning July 1, 1999 2000, the following persons will
367.12 be ineligible for general assistance and general assistance
367.13 medical care under Minnesota Statutes, chapter 256D, group
367.14 residential housing under Minnesota Statutes, chapter 256I, and
367.15 MFIP-S assistance under Minnesota Statutes, chapter 256J, funded
367.16 with state money:
367.17 (1) persons who are terminated from or denied Supplemental
367.18 Security Income due to the 1996 changes in the federal law
367.19 making persons whose alcohol or drug addiction is a material
367.20 factor contributing to the person's disability ineligible for
367.21 Supplemental Security Income, and are eligible for general
367.22 assistance under Minnesota Statutes, section 256D.05,
367.23 subdivision 1, paragraph (a), clause (17), general assistance
367.24 medical care under Minnesota Statutes, chapter 256D, or group
367.25 residential housing under Minnesota Statutes, chapter 256I;
367.26 (2) legal noncitizens who are ineligible for Supplemental
367.27 Security Income due to the 1996 changes in federal law making
367.28 certain noncitizens ineligible for these programs due to their
367.29 noncitizen status; and
367.30 (3) legal noncitizens who are eligible for MFIP-S
367.31 assistance, either the cash assistance portion or the food
367.32 assistance portion, funded entirely with state money.
367.33 (b) State money that remains unspent on June 30, 1999, due
367.34 to changes in federal law enacted after May 12, 1997, that
367.35 reduce state spending for legal noncitizens or for persons whose
367.36 alcohol or drug addiction is a material factor contributing to
368.1 the person's disability, or enacted after February 1, 1998, that
368.2 reduce state spending for food benefits for legal noncitizens
368.3 shall not cancel and shall be deposited in the TANF reserve
368.4 account.
368.5 Sec. 112. Laws 1997, chapter 248, section 46, as amended
368.6 by Laws 1997, First Special Session chapter 5, section 10, is
368.7 amended to read:
368.8 Sec. 46. [UNLICENSED CHILD CARE PROVIDERS; INTERIM
368.9 EXPANSION.]
368.10 (a) Notwithstanding Minnesota Statutes, section 245A.03,
368.11 subdivision 2, clause (2), until June 30, 1999, nonresidential
368.12 child care programs or services that are provided by an
368.13 unrelated individual to persons from two or three other
368.14 unrelated families are excluded from the licensure provisions of
368.15 Minnesota Statutes, chapter 245A, provided that:
368.16 (1) the individual provides services at any one time to no
368.17 more than four children who are unrelated to the individual;
368.18 (2) no more than two of the children are under two years of
368.19 age; and
368.20 (3) the total number of children being cared for at any one
368.21 time does not exceed five.
368.22 (b) Paragraph (a), clauses (1) to (3), do not apply to:
368.23 (1) nonresidential programs that are provided by an
368.24 unrelated individual to persons from a single related family.;
368.25 (2) a child care provider whose child care services meet
368.26 the criteria in paragraph (a), clauses (1) to (3), but who
368.27 chooses to apply for licensure;
368.28 (3) a child care provider who, as an applicant for
368.29 licensure or as a license holder, has received a license denial
368.30 under Minnesota Statutes, section 245A.05, a fine under
368.31 Minnesota Statutes, section 245A.06, or a sanction under
368.32 Minnesota Statutes, section 245A.07, from the commissioner that
368.33 has not been reversed on appeal; or
368.34 (4) a child care provider, or a child care provider who has
368.35 a household member who, as a result of a licensing process, has
368.36 a disqualification under Minnesota Statutes, chapter 245A, that
369.1 has not been set aside by the commissioner.
369.2 Sec. 113. [REPORT REQUIRED.]
369.3 Beginning January 1, 1999, the commissioner shall report
369.4 annually to the legislature on January 15 on the percent, for
369.5 each of the four quarters of the immediate preceding year, of
369.6 the MFIP-S caseload participants who are exempt from work under
369.7 the provisions of Minnesota Statutes, section 256J.56, clause
369.8 (2) or (3).
369.9 Sec. 114. [REPORT; NONCERTIFIED PROVIDERS.]
369.10 Beginning January 15, 1999, the commissioner of economic
369.11 security, in conjunction with the commissioner of human
369.12 services, shall report annually on the use in MFIP-S of
369.13 employment and training providers. The report shall include
369.14 information on the number and types of noncertified providers.
369.15 Sec. 115. [SCREENING AND REFERRAL GUIDELINES FOR
369.16 PARTICIPANTS WITH DRUG AND ALCOHOL PROBLEMS.]
369.17 The commissioner of human services shall develop guidelines
369.18 for county agencies and their contractors to identify
369.19 participants who have alcohol or drug problems that require
369.20 treatment. The guidelines must provide for:
369.21 (1) the use of simplified written and verbal screening
369.22 tools as part of the intake process;
369.23 (2) referral for clinical assessment and appropriate
369.24 treatment, if needed; and
369.25 (3) training for caseworkers to administer the screening
369.26 protocols and refer participants to services.
369.27 Sec. 116. [EBT TRANSACTION COSTS; APPROVAL FROM
369.28 LEGISLATURE.]
369.29 The commissioner of human services shall request and
369.30 receive approval from the legislature before adjusting the
369.31 payment to retailers for electronic benefit transfer transaction
369.32 costs.
369.33 Sec. 117. [STUDY; MFIP-S EXIT LEVEL; ELIMINATION OF
369.34 SHELTER EXPENSE DEDUCTION.]
369.35 The commissioner shall consider recommending to the 1999
369.36 legislature:
370.1 (1) adjustments to the MFIP-S earned income disregard,
370.2 family wage level, or transitional standard, which will ensure
370.3 that participants do not lose eligibility for MFIP-S until their
370.4 income reaches at least 120 percent of the 1999 federal poverty
370.5 level; and
370.6 (2) proposals responding to the effect of the elimination
370.7 of the food stamp shelter expense deduction on food spending and
370.8 food sufficiency of MFIP-S families paying greater than 50
370.9 percent of their income toward housing costs. The
370.10 commissioner's recommendations should include information on the
370.11 number of families losing greater than 20 percent of their food
370.12 benefits, the number losing between ten percent and 20 percent
370.13 and the number losing zero percent to ten percent, and the
370.14 characteristics of families receiving less food assistance under
370.15 MFIP-S. The commissioner may collaborate with private or
370.16 nonprofit entities, if necessary, to provide this information.
370.17 Sec. 118. [REPEALER.]
370.18 (a) Minnesota Statutes 1997 Supplement, section 256J.28,
370.19 subdivision 4, is repealed effective January 1, 1998.
370.20 (b) Minnesota Statutes 1997 Supplement, section 256J.25;
370.21 and Laws 1997, chapter 85, article 1, sections 61 and 71, and
370.22 article 3, section 55, are repealed.
370.23 (c) Minnesota Statutes 1996, sections 256.031, subdivisions
370.24 1, 2, 3, and 4; 256.032; 256.033, subdivisions 2, 3, 4, 5, and
370.25 6; 256.034; 256.035; 256.036; 256.0361; 256.047; 256.0475;
370.26 256.048; and 256.049; and Minnesota Statutes 1997 Supplement,
370.27 sections 256.031, subdivisions 5 and 6; 256.033, subdivisions 1
370.28 and 1a; 256B.062; 256J.32, subdivision 5; and 256J.34,
370.29 subdivision 5, are repealed effective July 1, 1998.
370.30 (d) Minnesota Rules (Exempt), parts 9500.9100; 9500.9110;
370.31 9500.9120; 9500.9130; 9500.9140; 9500.9150; 9500.9160;
370.32 9500.9170; 9500.9180; 9500.9190; 9500.9200; 9500.9210; and
370.33 9500.9220, are repealed effective July 1, 1998.
370.34 Sec. 119. [EFFECTIVE DATES.]
370.35 (a) Sections 2, 4, 7, 8, 19, 90, 95, and 102 are effective
370.36 the day following final enactment.
371.1 (b) Section 9 is effective June 1, 1998.
371.2 (c) Section 10 is effective October 1, 1998.
371.3 (d) Section 50 is effective for all applications for MFIP-S
371.4 made on or after July 1, 1998.
371.5 (e) Section 12 is effective March 30, 1998.
371.6 (f) Section 51 is effective for MFIP-S applications
371.7 received on or after January 1, 1999, and for all MFIP-S
371.8 recertifications occurring on or after January 1, 1999.
371.9 ARTICLE 7
371.10 REGIONAL TREATMENT CENTERS
371.11 Section 1. [CONVEYANCE OF STATE LAND; ANOKA COUNTY.]
371.12 Subdivision 1. [CONVEYANCE AUTHORIZED.] Notwithstanding
371.13 Minnesota Statutes, sections 92.45, 94.09, 94.10, and 103F.335,
371.14 subdivision 3, or any other law to the contrary, the
371.15 commissioner of administration may convey all, or any part of,
371.16 the land and associated buildings described in subdivision 3 to
371.17 Anoka county after the commissioner of human services declares
371.18 said property surplus to its needs.
371.19 Subd. 2. [FORM.] (a) The conveyance shall be in a form
371.20 approved by the attorney general.
371.21 (b) The conveyance is subject to a scenic easement, as
371.22 defined in Minnesota Statutes, section 103F.311, subdivision 6,
371.23 to be under the custodial control of the commissioner of natural
371.24 resources, on that portion of the conveyed land that is
371.25 designated for inclusion in the wild and scenic river system
371.26 under Minnesota Statutes, section 103F.325. The scenic easement
371.27 shall allow for continued use of the structures located within
371.28 the easement and for development of a walking path within the
371.29 easement.
371.30 (c) The conveyance shall restrict use of the land to
371.31 governmental, including recreational, purposes and shall provide
371.32 that ownership of any portion of the land that ceases to be used
371.33 for such purposes shall revert to the state of Minnesota.
371.34 (d) The commissioner of administration may convey any part
371.35 of the property described in subdivision 3 any time after the
371.36 land is declared surplus by the commissioner of human services
372.1 and the execution and recording of the scenic easement under
372.2 paragraph (b) has been completed.
372.3 (e) Notwithstanding any law, regulation, or ordinance to
372.4 the contrary, the instrument of conveyance to Anoka county may
372.5 be recorded in the office of the Anoka county recorder without
372.6 compliance with any subdivision requirement.
372.7 Subd. 3. [LAND DESCRIPTION.] Subject to right-of-way for
372.8 Grant Street, Northview Lane, Garfield Street, 5th Avenue, and
372.9 state trunk highway No. 288, also known as 4th Avenue, the land
372.10 to be conveyed may include all, or part of, that which is
372.11 described as follows:
372.12 (1) all that part of Government Lots 3 and 4 and that part
372.13 of the Southeast Quarter of the Southwest Quarter, all in
372.14 Section 31, Township 32 North, Range 24 West, Anoka county,
372.15 Minnesota, described as follows:
372.16 Beginning at the southwest corner of said Southeast Quarter
372.17 of the Southwest Quarter of Section 31; thence North 13
372.18 degrees 16 minutes 11 seconds East, assumed bearing, 473.34
372.19 feet; thence North 07 degrees 54 minutes 43 seconds East
372.20 186.87 feet; thence North 14 degrees 08 minutes 33 seconds
372.21 West 154.77 feet; thence North 62 degrees 46 minutes 44
372.22 seconds West 526.92 feet; thence North 25 degrees 45
372.23 minutes 30 seconds East 74.43 feet; thence northerly 88.30
372.24 feet along a tangential curve concave to the west having a
372.25 radius of 186.15 feet and a central angle of 27 degrees 10
372.26 minutes 50 seconds; thence North 01 degrees 25 minutes 20
372.27 seconds West, tangent to said curve, 140.53 feet; thence
372.28 North 71 degrees 56 minutes 34 seconds West to the
372.29 southeasterly shoreline of the Rum river; thence
372.30 southwesterly along said shoreline to the south line of
372.31 said Government Lot 4; thence easterly along said south
372.32 line to the point of beginning. For the purpose of this
372.33 description the south line of said Southeast Quarter of the
372.34 Southwest Quarter of Section 31 has an assumed bearing of
372.35 North 89 degrees 08 minutes 19 seconds East;
372.36 (2) Government Lot 1, Section 6, Township 31 North, Range
373.1 24 West, Anoka county, Minnesota; EXCEPT that part platted as
373.2 Grant Properties, Anoka county, Minnesota; ALSO EXCEPT that part
373.3 lying southerly of the westerly extension of the south line of
373.4 Block 6, Woodbury's Addition to the city of Anoka, Anoka county,
373.5 Minnesota, and lying westerly of the west line of said plat of
373.6 Grant Properties, said line also being the centerline of 4th
373.7 Avenue;
373.8 (3) all that part of said Block 6, Woodbury's Addition to
373.9 the city of Anoka lying westerly of Northview 1st Addition,
373.10 Anoka county, Minnesota;
373.11 (4) all that part of said Northview 1st Addition lying
373.12 westerly of the east line of Lots 11 through 20, Block 1,
373.13 inclusive, thereof; and
373.14 (5) all that part of the Northeast Quarter of the Northwest
373.15 Quarter of said Section 6, Township 31 North, Range 24 West,
373.16 Anoka county, Minnesota, lying northerly of the centerline of
373.17 Grant Street as defined by said plat of Grant Properties and
373.18 lying westerly of said east line of Lots 11 through 20, Block 1,
373.19 inclusive, Northview 1st Addition and said line's extension
373.20 north and south.
373.21 Subd. 4. [DETERMINATION.] The commissioner of human
373.22 services has determined that the land described in subdivision 3
373.23 will no longer be needed for the Anoka metro regional treatment
373.24 center upon the completion of the state facilities currently
373.25 under construction and the completion of renovation work to
373.26 state buildings that are not located on the land described in
373.27 subdivision 3. The state's land and building management
373.28 interests may best be served by conveying all, or part of, the
373.29 land and associated buildings located on the land described in
373.30 subdivision 3.
373.31 Sec. 2. [CONVEYANCE OF STATE LAND; CROW WING COUNTY.]
373.32 Subdivision 1. [CONVEYANCE AUTHORIZED.] Notwithstanding
373.33 Minnesota Statutes, sections 92.45, 94.09, 94.10, and 103F.335,
373.34 subdivision 3, or any other law to the contrary, the
373.35 commissioner of administration may convey all, or any part of,
373.36 the land and the state building located on the land described in
374.1 subdivision 3, to Crow Wing county after the commissioner of
374.2 human services declares the property surplus to its needs.
374.3 Subd. 2. [FORM.] (a) The conveyance shall be in a form
374.4 approved by the attorney general.
374.5 (b) The conveyance shall restrict use of the land to county
374.6 governmental purposes, including community corrections programs,
374.7 and shall provide that ownership of any portion of the land or
374.8 building that ceases to be used for such purposes shall revert
374.9 to the state of Minnesota.
374.10 Subd. 3. [LAND DESCRIPTION.] That part of the Northeast
374.11 Quarter (NE l/4) of Section 30, Township 45 North, Range 30
374.12 West, Crow Wing county, Minnesota, described as follows:
374.13 Commencing at the southeast corner of said Northeast
374.14 quarter; thence North 00 degrees 46 minutes 05 seconds
374.15 West, bearing based on the Crow Wing county Coordinate
374.16 Database NAD 83/94, 1520.06 feet along the east line of
374.17 said Northeast quarter to the point of beginning; thence
374.18 continue North 00 degrees 46 minutes 05 seconds West 634.14
374.19 feet along said east line of the Northeast quarter; thence
374.20 South 89 degrees 13 minutes 20 seconds West 550.00 feet;
374.21 thence South 18 degrees 57 minutes 23 seconds East 115.59
374.22 feet; thence South 42 degrees 44 minutes 39 seconds East
374.23 692.37 feet; thence South 62 degrees 46 minutes 19 seconds
374.24 East 20.24 feet; thence North 89 degrees 13 minutes 55
374.25 seconds East 33.00 feet to the point of beginning.
374.26 Containing 4.69 acres, more or less. Subject to the
374.27 right-of-way of the Township road along the east side
374.28 thereof, subject to other easements, reservations, and
374.29 restrictions of record, if any.
374.30 Subd. 4. [DETERMINATION.] The commissioner of human
374.31 services has determined that the land described in subdivision 3
374.32 and the building on the land will not be needed for future
374.33 operations of the Brainerd regional human services center. The
374.34 state's land management interests would best be served by
374.35 conveying the land to Crow Wing county for governmental use.
374.36 ARTICLE 8
375.1 COMPULSIVE GAMBLING AND MISCELLANEOUS
375.2 Section 1. Minnesota Statutes 1996, section 62A.65,
375.3 subdivision 5, is amended to read:
375.4 Subd. 5. [PORTABILITY OF COVERAGE.] (a) No individual
375.5 health plan may be offered, sold, issued, or with respect to
375.6 children age 18 or under renewed, to a Minnesota resident that
375.7 contains a preexisting condition limitation, preexisting
375.8 condition exclusion, or exclusionary rider, unless the
375.9 limitation or exclusion is permitted under this subdivision,
375.10 provided that, except for children age 18 or under, underwriting
375.11 restrictions may be retained on individual contracts that are
375.12 issued without evidence of insurability as a replacement for
375.13 prior individual coverage that was sold before May 17, 1993.
375.14 The individual may be subjected to an 18-month preexisting
375.15 condition limitation, unless the individual has maintained
375.16 continuous coverage as defined in section 62L.02. The
375.17 individual must not be subjected to an exclusionary rider. An
375.18 individual who has maintained continuous coverage may be
375.19 subjected to a one-time preexisting condition limitation of up
375.20 to 12 months, with credit for time covered under qualifying
375.21 coverage as defined in section 62L.02, at the time that the
375.22 individual first is covered under an individual health plan by
375.23 any health carrier. Credit must be given for all qualifying
375.24 coverage with respect to all preexisting conditions, regardless
375.25 of whether the conditions were preexisting with respect to any
375.26 previous qualifying coverage. The individual must not be
375.27 subjected to an exclusionary rider. Thereafter, the individual
375.28 must not be subject to any preexisting condition limitation,
375.29 preexisting condition exclusion, or exclusionary rider under an
375.30 individual health plan by any health carrier, except an
375.31 unexpired portion of a limitation under prior coverage, so long
375.32 as the individual maintains continuous coverage as defined in
375.33 section 62L.02.
375.34 (b) A health carrier must offer an individual health plan
375.35 to any individual previously covered under a group health plan
375.36 issued by that health carrier, regardless of the size of the
376.1 group, so long as the individual maintained continuous coverage
376.2 as defined in section 62L.02. Beginning January 1, 1999, if the
376.3 individual has available any continuation coverage provided
376.4 under sections 62A.146; 62A.148; 62A.17, subdivisions 1 and 2;
376.5 62A.20; 62A.21; 62C.142; 62D.101; or 62D.105, or continuation
376.6 coverage provided under federal law, the health carrier need not
376.7 offer coverage under this paragraph until the individual has
376.8 exhausted the continuation coverage. The offer must not be
376.9 subject to underwriting, except as permitted under this
376.10 paragraph. A health plan issued under this paragraph must be a
376.11 qualified plan as defined in section 62E.02 and must not contain
376.12 any preexisting condition limitation, preexisting condition
376.13 exclusion, or exclusionary rider, except for any unexpired
376.14 limitation or exclusion under the previous coverage. The
376.15 individual health plan must cover pregnancy on the same basis as
376.16 any other covered illness under the individual health plan. The
376.17 initial premium rate for the individual health plan must comply
376.18 with subdivision 3. The premium rate upon renewal must comply
376.19 with subdivision 2. In no event shall the premium rate exceed
376.20 90 percent of the premium charged for comparable individual
376.21 coverage by the Minnesota comprehensive health association, and
376.22 the premium rate must be less than that amount if necessary to
376.23 otherwise comply with this section. An individual health plan
376.24 offered under this paragraph to a person satisfies the health
376.25 carrier's obligation to offer conversion coverage under section
376.26 62E.16, with respect to that person. Coverage issued under this
376.27 paragraph must provide that it cannot be canceled or nonrenewed
376.28 as a result of the health carrier's subsequent decision to leave
376.29 the individual, small employer, or other group market. Section
376.30 72A.20, subdivision 28, applies to this paragraph.
376.31 Sec. 2. Minnesota Statutes 1996, section 62D.042,
376.32 subdivision 2, is amended to read:
376.33 Subd. 2. [BEGINNING ORGANIZATIONS NET WORTH REQUIREMENTS.]
376.34 (a) Beginning organizations shall maintain net worth of at least
376.35 8-1/3 percent of the sum of all expenses expected to be incurred
376.36 in the 12 months following the date the certificate of authority
377.1 is granted, or $1,500,000, whichever is greater.
377.2 (b) After the first full calendar year of operation,
377.3 organizations shall maintain net worth of at least 8-1/3 percent
377.4 and at most 16-2/3 25 percent of the sum of all expenses
377.5 incurred during the most recent calendar year, but in no case
377.6 shall net worth fall below $1,000,000.
377.7 (c) Notwithstanding paragraphs (a) and (b), any health
377.8 maintenance organization owned by a political subdivision of
377.9 this state, which has a higher than average percentage of
377.10 enrollees who are enrolled in medical assistance or general
377.11 assistance medical care, may exceed the maximum net worth limits
377.12 provided in paragraphs (a) and (b), with the advance approval of
377.13 the commissioner.
377.14 Sec. 3. Minnesota Statutes 1996, section 62E.16, is
377.15 amended to read:
377.16 62E.16 [POLICY CONVERSION RIGHTS.]
377.17 Every program of self-insurance, policy of group accident
377.18 and health insurance or contract of coverage by a health
377.19 maintenance organization written or renewed in this state, shall
377.20 include, in addition to the provisions required by section
377.21 62A.17, the right to convert to an individual coverage qualified
377.22 plan without the addition of underwriting restrictions if after
377.23 the individual insured has exhausted any continuation coverage
377.24 provided under section 62A.146; 62A.148; 62A.17, subdivisions 1
377.25 and 2; 62A.20; 62A.21; 62C.142; 62D.101; or 62D.105, or
377.26 continuation coverage provided under federal law, if any
377.27 continuation coverage is available to the individual, and then
377.28 leaves the group regardless of the reason for leaving the group
377.29 or if an employer member of a group ceases to remit payment so
377.30 as to terminate coverage for its employees, or upon cancellation
377.31 or termination of the coverage for the group except where
377.32 uninterrupted and continuous group coverage is otherwise
377.33 provided to the group. If the health maintenance organization
377.34 has canceled coverage for the group because of a loss of
377.35 providers in a service area, the health maintenance organization
377.36 shall arrange for other health maintenance or indemnity
378.1 conversion options that shall be offered to enrollees without
378.2 the addition of underwriting restrictions. The required
378.3 conversion contract must treat pregnancy the same as any other
378.4 covered illness under the conversion contract. The person may
378.5 exercise this right to conversion within 30 days of exhausting
378.6 any continuation coverage provided under section 62A.146;
378.7 62A.148; 62A.17, subdivisions 1 and 2; 62A.20; or 62A.21, or
378.8 continuation coverage provided under federal law, and then
378.9 leaving the group or within 30 days following receipt of due
378.10 notice of cancellation or termination of coverage of the group
378.11 or of the employer member of the group and upon payment of
378.12 premiums from the date of termination or cancellation. Due
378.13 notice of cancellation or termination of coverage for a group or
378.14 of the employer member of the group shall be provided to each
378.15 employee having coverage in the group by the insurer,
378.16 self-insurer or health maintenance organization canceling or
378.17 terminating the coverage except where reasonable evidence
378.18 indicates that uninterrupted and continuous group coverage is
378.19 otherwise provided to the group. Every employer having a policy
378.20 of group accident and health insurance, group subscriber or
378.21 contract of coverage by a health maintenance organization shall,
378.22 upon request, provide the insurer or health maintenance
378.23 organization a list of the names and addresses of covered
378.24 employees. Plans of health coverage shall also include a
378.25 provision which, upon the death of the individual in whose name
378.26 the contract was issued, permits every other individual then
378.27 covered under the contract to elect, within the period specified
378.28 in the contract, to continue coverage under the same or a
378.29 different contract without the addition of underwriting
378.30 restrictions until the individual would have ceased to have been
378.31 entitled to coverage had the individual in whose name the
378.32 contract was issued lived. An individual conversion contract
378.33 issued by a health maintenance organization shall not be deemed
378.34 to be an individual enrollment contract for the purposes of
378.35 section 62D.10. An individual health plan offered under section
378.36 62A.65, subdivision 5, paragraph (b), to a person satisfies the
379.1 health carrier's obligation to offer conversion coverage under
379.2 this section with respect to that person.
379.3 Sec. 4. [62Q.096] [CREDENTIALING OF PROVIDERS.]
379.4 If a health plan company has initially credentialed, as
379.5 providers in its provider network, individual providers employed
379.6 by or under contract with an entity that: (1) is authorized to
379.7 bill under section 256B.0625, subdivision 5; (2) meets the
379.8 requirements of Minnesota Rules, parts 9520.0750 to 9520.0870;
379.9 (3) is designated an essential community provider under section
379.10 62Q.19; and (4) is under contract with the health plan company
379.11 to provide mental health services, the health plan company must
379.12 continue to credential at least the same number of providers
379.13 from that entity, as long as those providers meet the health
379.14 plan company's credentialing standards. A health plan company
379.15 shall not refuse to credential these providers on the grounds
379.16 that their provider network has a sufficient number of providers
379.17 of that type.
379.18 Sec. 5. [245.982] [PROGRAM SUPPORT.]
379.19 In order to address the problem of gambling in this state,
379.20 the compulsive gambling fund should attempt to assess the
379.21 beneficiaries of gambling, on a percentage basis according to
379.22 the revenue they receive from gambling, for the costs of
379.23 programs to help problem gamblers and their families. In that
379.24 light, the governor is requested to contact the chairs of the 11
379.25 tribal governments in this state and request a contribution of
379.26 funds for the compulsive gambling program. The governor should
379.27 seek a total supplemental contribution of $643,000. Funds
379.28 received from the tribal governments in this state shall be
379.29 deposited in the Indian gaming revolving account.
379.30 Sec. 6. Minnesota Statutes 1997 Supplement, section
379.31 256F.05, subdivision 8, is amended to read:
379.32 Subd. 8. [USES OF FAMILY PRESERVATION FUND GRANTS.] (a) A
379.33 county which has not demonstrated that year that its family
379.34 preservation core services are developed as provided in
379.35 subdivision 1a, must use its family preservation fund grant
379.36 exclusively for family preservation services defined in section
380.1 256F.03, subdivision 5, paragraphs (a), (b), (c), and (e).
380.2 (b) A county which has demonstrated that year that its
380.3 family preservation core services are developed becomes eligible
380.4 either to continue using its family preservation fund grant as
380.5 provided in paragraph (a), or to exercise the expanded service
380.6 option under paragraph (c).
380.7 (c) The expanded service option permits an eligible county
380.8 to use its family preservation fund grant for child welfare
380.9 preventive services. For purposes of this section, child
380.10 welfare preventive services are those services directed toward a
380.11 specific child or family that further the goals of section
380.12 256F.01 and include assessments, family preservation services,
380.13 service coordination, community-based treatment, crisis nursery
380.14 services when the parents retain custody and there is no
380.15 voluntary placement agreement with a child-placing agency,
380.16 respite care except when it is provided under a medical
380.17 assistance waiver, home-based services, and other related
380.18 services. For purposes of this section, child welfare
380.19 preventive services shall not include shelter care or other
380.20 placement services under the authority of the court or public
380.21 agency to address an emergency. To exercise this option, an
380.22 eligible county must notify the commissioner in writing of its
380.23 intention to do so no later than 30 days into the quarter during
380.24 which it intends to begin or in its county plan, as provided in
380.25 section 256F.04, subdivision 2. Effective with the first day of
380.26 that quarter, the county must maintain its base level of
380.27 expenditures for child welfare preventive services and use the
380.28 family preservation fund to expand them. The base level of
380.29 expenditures for a county shall be that established under
380.30 section 256F.10, subdivision 7. For counties which have no such
380.31 base established, a comparable base shall be established with
380.32 the base year being the calendar year ending at least two
380.33 calendar quarters before the first calendar quarter in which the
380.34 county exercises its expanded service option. The commissioner
380.35 shall, at the request of the counties, reduce, suspend, or
380.36 eliminate either or both of a county's obligations to continue
381.1 the base level of expenditures and to expand child welfare
381.2 preventive services under extraordinary circumstances.
381.3 (d) Notwithstanding paragraph (a), a county that is
381.4 participating in the child protection assessments or
381.5 investigations community collaboration pilot program under
381.6 section 626.5560, or in the concurrent permanency planning pilot
381.7 program under section 257.0711, may use its family preservation
381.8 fund grant for those programs.
381.9 Sec. 7. Minnesota Statutes 1996, section 609.115,
381.10 subdivision 9, is amended to read:
381.11 Subd. 9. [COMPULSIVE GAMBLING ASSESSMENT REQUIRED.] (a) If
381.12 a person is convicted of a felony for theft under section
381.13 609.52, embezzlement of public funds under section 609.54, or
381.14 forgery under section 609.625, 609.63, or 609.631, the probation
381.15 officer shall determine in the report prepared under subdivision
381.16 1 whether or not compulsive gambling contributed to the
381.17 commission of the offense. If so, the report shall contain the
381.18 results of a compulsive gambling assessment conducted in
381.19 accordance with this subdivision. The probation officer shall
381.20 make an appointment for the offender to undergo the assessment
381.21 if so indicated.
381.22 (b) The compulsive gambling assessment report must include
381.23 a recommended level of treatment for the offender if the
381.24 assessor concludes that the offender is in need of compulsive
381.25 gambling treatment. The assessment must be conducted by an
381.26 assessor qualified under section 245.98, subdivision 2a, to
381.27 perform these assessments or to provide compulsive gambling
381.28 treatment. An assessor providing a compulsive gambling
381.29 assessment may not have any direct or shared financial interest
381.30 or referral relationship resulting in shared financial gain with
381.31 a treatment provider. If an independent assessor is not
381.32 available, the probation officer may use the services of an
381.33 assessor with a financial interest or referral relationship as
381.34 authorized under rules adopted by the commissioner of human
381.35 services under section 245.98, subdivision 2a.
381.36 (c) The commissioner of human services shall reimburse the
382.1 assessor for the costs associated with a compulsive gambling
382.2 assessment at a rate established by the commissioner up to a
382.3 maximum of $100 for each assessment. The commissioner shall
382.4 reimburse these costs after receiving written verification from
382.5 the probation officer that the assessment was performed and
382.6 found acceptable.
382.7 Sec. 8. Laws 1994, chapter 633, article 7, section 3, is
382.8 amended to read:
382.9 Sec. 3. [INDIAN GAMING REVOLVING ACCOUNT.]
382.10 Funds received from the attorney general Indian tribal
382.11 governments and the Minnesota state lottery shall deposit be
382.12 deposited in a separate account in the state treasury all money
382.13 received from Indian tribal governments for the purpose of
382.14 defraying the attorney general's costs in providing legal
382.15 services with respect to Indian gaming. Money in the account is
382.16 appropriated to the attorney general for that
382.17 purpose contributing to the compulsive gambling program.
382.18 Sec. 9. [PREVALENCE STUDY.]
382.19 If funding is available, the compulsive gambling program
382.20 shall provide baseline prevalence studies to identify those at
382.21 highest risk of developing a compulsive gambling problem,
382.22 including a replication in 1999 of the 1994 adult prevalence
382.23 survey.
382.24 Sec. 10. [EXTENDING ASSESSMENTS TO BANKRUPTCY AND FAMILY
382.25 COURT PROCEEDINGS.]
382.26 If funding is available, the commissioner of human services
382.27 shall study whether problem gambling assessments should be
382.28 provided or required for individuals involved in bankruptcy or
382.29 family court proceedings, and report to the legislature by
382.30 December 15, 1998.
382.31 Sec. 11. [COMPULSIVE GAMBLING APPROPRIATION.]
382.32 (a) In addition to any other appropriations, $340,000 is
382.33 appropriated annually from the Minnesota lottery prize fund to
382.34 the Indian gaming revolving account in Laws 1994, chapter 633,
382.35 article 7, section 3, and transferred to the commissioner of
382.36 human services for the compulsive gambling program. The funds
383.1 provided under Minnesota Statutes, section 245.982, are to be
383.2 transferred from the Indian gaming revolving account to the
383.3 commissioner of human services for purposes of paragraph (d).
383.4 (b) Of the funds appropriated under this section, $290,000
383.5 in fiscal year 1999 is appropriated for the establishment of
383.6 fee-for-service projects. Fee-for-service funds under this
383.7 appropriation may be awarded on a per-client basis to existing
383.8 treatment centers and may be in addition to grants the centers
383.9 currently receive. Baseline grants based on the last fiscal
383.10 year client numbers and units of services provided constitute
383.11 minimum appropriations to existing treatment centers, and upon
383.12 meeting the contracted level of services, the treatment centers
383.13 are eligible for fee-for-service funds on a per-client basis in
383.14 addition to grants.
383.15 (c) Of the funds appropriated under this section, $50,000
383.16 in fiscal year 1999 is appropriated for the operation of
383.17 prevention and education programs aimed at helping adult and
383.18 adolescent gamblers.
383.19 (d) Of the funds provided under Minnesota Statutes, section
383.20 245.982, up to $30,000 in fiscal year 1999 may be used for the
383.21 completion of the prevalence study in section 9, up to $10,000
383.22 in fiscal year 1999 may be used for the study in section 10
383.23 related to extending assessments to bankruptcy and family court
383.24 proceedings, and up to $50,000 in fiscal year 1999 may be used
383.25 for the operation of the hotline. The commissioner may
383.26 prioritize the initiatives under this paragraph as the
383.27 commissioner deems appropriate. Any funding remaining must be
383.28 used for purposes of treatment under paragraph (b) and
383.29 prevention under paragraph (c), and the funds must be
383.30 appropriated at a two-to-one ratio, respectively.
383.31 Sec. 12. [TOWN OF WHITE, ST. LOUIS COUNTY.]
383.32 Subdivision 1. [TRANSFER.] Notwithstanding any provision
383.33 of Minnesota Statutes to the contrary, the town of White is
383.34 hereby authorized to transfer the following property and any
383.35 buildings, equipment, and other improvements located thereon to
383.36 the White community hospital corporation, a nonprofit
384.1 corporation organized and existing under Minnesota Statutes,
384.2 chapter 317:
384.3 That part of the southeast quarter of southwest quarter (SE
384.4 1/4 of SW 1/4), section 10, township 58 north of range 15 west
384.5 of the fourth principal meridian, according to the United States
384.6 government survey thereof, St. Louis county, Minnesota,
384.7 described as follows:
384.8 Commencing at the southeast corner of said SE 1/4 of SW
384.9 1/4, section 10, township 58, range 15, thence proceeding north
384.10 along the east line thereof for a distance of 550 feet; thence
384.11 west and parallel to the south line thereof for a distance of
384.12 800 feet; thence south and parallel to the east line thereof,
384.13 for a distance of 550 feet to the south line; thence east along
384.14 said south line thereof, for a distance of 800 feet to the point
384.15 of beginning.
384.16 Subd. 2. [NO CONSIDERATION OR ELECTION REQUIRED.] The
384.17 transfer authorized by subdivision 1 shall be without
384.18 consideration and no vote of the electors of the town of White
384.19 or city of Aurora shall be required.
384.20 Subd. 3. [USE; PUBLIC PROPERTY.] The property legally
384.21 described in subdivision 1 shall be used for health care and
384.22 related purposes and shall be considered public property for
384.23 purposes of Minnesota Statutes, section 16A.695. The activities
384.24 conducted on the property described in subdivision 1 by the
384.25 White community hospital corporation, its successors and assigns
384.26 shall be considered a governmental program as authorized by
384.27 Minnesota Statutes, chapter 447.
384.28 Subd. 4. [NAME.] The public name of the buildings and
384.29 improvements located on the real property legally described in
384.30 subdivision 1 shall always include the words "White community."
384.31 Sec. 13. [CITY OF EVELETH; LOAN FORGIVENESS.]
384.32 Notwithstanding the provisions of any other law or charter,
384.33 the city of Eveleth may, by resolution of its city council,
384.34 forgive all or any portion of the principal and interest due or
384.35 to become due to the city, pursuant to any loan or loans made by
384.36 the city, in an amount not exceeding $100,000, prior to January
385.1 1, 1998, to any hospital, nursing home, other health care
385.2 facility or corporation, partnership, or limited liability
385.3 company operating such a facility within the city of Eveleth.
385.4 Sec. 14. [REPEALER.]
385.5 (a) Minnesota Rules, part 2740.1600, subpart 1, is repealed.
385.6 (b) Minnesota Statutes 1997 Supplement, section 62D.042,
385.7 subdivision 3, is repealed.
385.8 Sec. 15. [EFFECTIVE DATES.]
385.9 (a) Sections 2 and 4 are effective January 1, 1999.
385.10 (b) Section 3 is effective January 1, 1999, and applies to
385.11 any individual who has continuation coverage available on or
385.12 after that date.
385.13 (c) Section 12 is effective upon compliance with Minnesota
385.14 Statutes, section 645.021, subdivision 2.
385.15 (d) Section 13 is effective the day following final
385.16 enactment without local approval according to Minnesota
385.17 Statutes, section 645.023, subdivision 1, clause (a).
385.18 (e) Section 14, paragraph (a), is effective January 1, 1999.
385.19 (f) Section 14, paragraph (b), is effective the day
385.20 following final enactment.
385.21 ARTICLE 9
385.22 CHILD WELFARE MODIFICATIONS
385.23 Section 1. Minnesota Statutes 1997 Supplement, section
385.24 144.218, subdivision 2, is amended to read:
385.25 Subd. 2. [ADOPTION OF FOREIGN PERSONS.] In proceedings for
385.26 the adoption of a person who was born in a foreign country, the
385.27 court, upon evidence presented by the commissioner of human
385.28 services from information secured at the port of entry, or upon
385.29 evidence from other reliable sources, may make findings of fact
385.30 as to the date and place of birth and parentage. Upon receipt
385.31 of certified copies of the court findings and the order or
385.32 decree of adoption or a certified copy of a decree issued under
385.33 section 259.60, the state registrar shall register a birth
385.34 certificate in the new name of the adopted person. The
385.35 certified copies of the court findings and the order or, decree
385.36 of adoption, or decree issued under section 259.60 are
386.1 confidential, pursuant to section 13.02, subdivision 3, and
386.2 shall not be disclosed except pursuant to court order or section
386.3 144.1761. The birth certificate shall state the place of birth
386.4 as specifically as possible, and that the certificate is not
386.5 evidence of United States citizenship.
386.6 Sec. 2. Minnesota Statutes 1996, section 144.226,
386.7 subdivision 3, is amended to read:
386.8 Subd. 3. [BIRTH CERTIFICATE COPY SURCHARGE.] In addition
386.9 to any fee prescribed under subdivision 1, there shall be a
386.10 surcharge of $3 for each certified copy of a birth certificate,
386.11 and for a certification that the record cannot be found. The
386.12 local or state registrar shall forward this amount to the
386.13 commissioner of finance for deposit into the account for the
386.14 children's trust fund for the prevention of child abuse
386.15 established under section 119A.12. This surcharge shall not be
386.16 charged under those circumstances in which no fee for a
386.17 certified copy of a birth certificate is permitted under
386.18 subdivision 1, paragraph (a). Upon certification by the
386.19 commissioner of finance that the assets in that fund exceed
386.20 $20,000,000, this surcharge shall be discontinued.
386.21 Sec. 3. Minnesota Statutes 1997 Supplement, section
386.22 144.226, subdivision 4, is amended to read:
386.23 Subd. 4. [VITAL RECORDS SURCHARGE.] In addition to any fee
386.24 prescribed under subdivision 1, there is a nonrefundable
386.25 surcharge of $3 for each certified and noncertified birth or
386.26 death record, and for a certification that the record cannot be
386.27 found. The local or state registrar shall forward this amount
386.28 to the state treasurer to be deposited into the state government
386.29 special revenue fund. This surcharge shall not be charged under
386.30 those circumstances in which no fee for a birth or death record
386.31 is permitted under subdivision 1, paragraph (a). This surcharge
386.32 requirement expires June 30, 2002.
386.33 Sec. 4. Minnesota Statutes 1997 Supplement, section
386.34 245A.03, subdivision 2, is amended to read:
386.35 Subd. 2. [EXCLUSION FROM LICENSURE.] Sections 245A.01 to
386.36 245A.16 do not apply to:
387.1 (1) residential or nonresidential programs that are
387.2 provided to a person by an individual who is related unless the
387.3 residential program is a child foster care placement made by a
387.4 local social services agency or a licensed child-placing agency,
387.5 except as provided in subdivision 2a;
387.6 (2) nonresidential programs that are provided by an
387.7 unrelated individual to persons from a single related family;
387.8 (3) residential or nonresidential programs that are
387.9 provided to adults who do not abuse chemicals or who do not have
387.10 a chemical dependency, a mental illness, mental retardation or a
387.11 related condition, a functional impairment, or a physical
387.12 handicap;
387.13 (4) sheltered workshops or work activity programs that are
387.14 certified by the commissioner of economic security;
387.15 (5) programs for children enrolled in kindergarten to the
387.16 12th grade and prekindergarten special education in a school as
387.17 defined in section 120.101, subdivision 4, and programs serving
387.18 children in combined special education and regular
387.19 prekindergarten programs that are operated or assisted by the
387.20 commissioner of children, families, and learning;
387.21 (6) nonresidential programs primarily for children that
387.22 provide care or supervision, without charge for ten or fewer
387.23 days a year, and for periods of less than three hours a day
387.24 while the child's parent or legal guardian is in the same
387.25 building as the nonresidential program or present within another
387.26 building that is directly contiguous to the building in which
387.27 the nonresidential program is located;
387.28 (7) nursing homes or hospitals licensed by the commissioner
387.29 of health except as specified under section 245A.02;
387.30 (8) board and lodge facilities licensed by the commissioner
387.31 of health that provide services for five or more persons whose
387.32 primary diagnosis is mental illness who have refused an
387.33 appropriate residential program offered by a county agency.
387.34 This exclusion expires on July 1, 1990;
387.35 (9) homes providing programs for persons placed there by a
387.36 licensed agency for legal adoption, unless the adoption is not
388.1 completed within two years;
388.2 (10) programs licensed by the commissioner of corrections;
388.3 (11) recreation programs for children or adults that
388.4 operate for fewer than 40 calendar days in a calendar year or
388.5 programs operated by a park and recreation board of a city of
388.6 the first class whose primary purpose is to provide social and
388.7 recreational activities to school age children, provided the
388.8 program is approved by the park and recreation board;
388.9 (12) programs operated by a school as defined in section
388.10 120.101, subdivision 4, whose primary purpose is to provide
388.11 child care to school-age children, provided the program is
388.12 approved by the district's school board;
388.13 (13) Head Start nonresidential programs which operate for
388.14 less than 31 days in each calendar year;
388.15 (14) noncertified boarding care homes unless they provide
388.16 services for five or more persons whose primary diagnosis is
388.17 mental illness or mental retardation;
388.18 (15) nonresidential programs for nonhandicapped children
388.19 provided for a cumulative total of less than 30 days in any
388.20 12-month period;
388.21 (16) residential programs for persons with mental illness,
388.22 that are located in hospitals, until the commissioner adopts
388.23 appropriate rules;
388.24 (17) the religious instruction of school-age children;
388.25 Sabbath or Sunday schools; or the congregate care of children by
388.26 a church, congregation, or religious society during the period
388.27 used by the church, congregation, or religious society for its
388.28 regular worship;
388.29 (18) camps licensed by the commissioner of health under
388.30 Minnesota Rules, chapter 4630;
388.31 (19) mental health outpatient services for adults with
388.32 mental illness or children with emotional disturbance;
388.33 (20) residential programs serving school-age children whose
388.34 sole purpose is cultural or educational exchange, until the
388.35 commissioner adopts appropriate rules;
388.36 (21) unrelated individuals who provide out-of-home respite
389.1 care services to persons with mental retardation or related
389.2 conditions from a single related family for no more than 90 days
389.3 in a 12-month period and the respite care services are for the
389.4 temporary relief of the person's family or legal representative;
389.5 (22) respite care services provided as a home and
389.6 community-based service to a person with mental retardation or a
389.7 related condition, in the person's primary residence;
389.8 (23) community support services programs as defined in
389.9 section 245.462, subdivision 6, and family community support
389.10 services as defined in section 245.4871, subdivision 17;
389.11 (24) the placement of a child by a birth parent or legal
389.12 guardian in a preadoptive home for purposes of adoption as
389.13 authorized by section 259.47; or
389.14 (25) settings registered under chapter 144D which provide
389.15 home care services licensed by the commissioner of health to
389.16 fewer than seven adults.
389.17 For purposes of clause (6), a building is directly
389.18 contiguous to a building in which a nonresidential program is
389.19 located if it shares a common wall with the building in which
389.20 the nonresidential program is located or is attached to that
389.21 building by skyway, tunnel, atrium, or common roof.
389.22 Sec. 5. Minnesota Statutes 1996, section 245A.035,
389.23 subdivision 4, is amended to read:
389.24 Subd. 4. [APPLICANT STUDY.] When the county agency has
389.25 received the information required by section 245A.04,
389.26 subdivision 3, paragraph (b), the county agency shall begin an
389.27 applicant study according to the procedures in section 245A.04,
389.28 subdivision 3. The commissioner may issue an emergency license
389.29 upon recommendation of the county agency once the initial
389.30 inspection has been successfully completed and the information
389.31 necessary to begin the applicant background study has been
389.32 provided. If the county agency does not recommend that the
389.33 emergency license be granted, the agency shall notify the
389.34 relative in writing that the agency is recommending denial to
389.35 the commissioner; shall remove any child who has been placed in
389.36 the home prior to licensure; and shall inform the relative in
390.1 writing of the procedure to request review pursuant to
390.2 subdivision 6. An emergency license shall be effective until a
390.3 child foster care license is granted or denied, but shall in no
390.4 case remain in effect more than 90 120 days from the date of
390.5 placement.
390.6 Sec. 6. Minnesota Statutes 1997 Supplement, section
390.7 245A.04, subdivision 3b, is amended to read:
390.8 Subd. 3b. [RECONSIDERATION OF DISQUALIFICATION.] (a) The
390.9 individual who is the subject of the disqualification may
390.10 request a reconsideration of the disqualification.
390.11 The individual must submit the request for reconsideration
390.12 to the commissioner in writing. A request for reconsideration
390.13 for an individual who has been sent a notice of disqualification
390.14 under subdivision 3a, paragraph (b), clause (1) or (2), must be
390.15 submitted within 30 calendar days of the disqualified
390.16 individual's receipt of the notice of disqualification. A
390.17 request for reconsideration for an individual who has been sent
390.18 a notice of disqualification under subdivision 3a, paragraph
390.19 (b), clause (3), must be submitted within 15 calendar days of
390.20 the disqualified individual's receipt of the notice of
390.21 disqualification. Removal of a disqualified individual from
390.22 direct contact shall be ordered if the individual does not
390.23 request reconsideration within the prescribed time, and for an
390.24 individual who submits a timely request for reconsideration, if
390.25 the disqualification is not set aside. The individual must
390.26 present information showing that:
390.27 (1) the information the commissioner relied upon is
390.28 incorrect or inaccurate. If the basis of a reconsideration
390.29 request is that a maltreatment determination or disposition
390.30 under section 626.556 or 626.557 is incorrect, and the
390.31 commissioner has issued a final order in an appeal of that
390.32 determination or disposition under section 256.045, the
390.33 commissioner's order is conclusive on the issue of maltreatment;
390.34 or
390.35 (2) the subject of the study does not pose a risk of harm
390.36 to any person served by the applicant or license holder.
391.1 (b) The commissioner may set aside the disqualification
391.2 under this section if the commissioner finds that the
391.3 information the commissioner relied upon is incorrect or the
391.4 individual does not pose a risk of harm to any person served by
391.5 the applicant or license holder. In determining that an
391.6 individual does not pose a risk of harm, the commissioner shall
391.7 consider the consequences of the event or events that lead to
391.8 disqualification, whether there is more than one disqualifying
391.9 event, the vulnerability of the victim at the time of the event,
391.10 the time elapsed without a repeat of the same or similar event,
391.11 documentation of successful completion by the individual studied
391.12 of training or rehabilitation pertinent to the event, and any
391.13 other information relevant to reconsideration. In reviewing a
391.14 disqualification under this section, the commissioner shall give
391.15 preeminent weight to the safety of each person to be served by
391.16 the license holder or applicant over the interests of the
391.17 license holder or applicant.
391.18 (c) Unless the information the commissioner relied on in
391.19 disqualifying an individual is incorrect, the commissioner may
391.20 not set aside the disqualification of an individual in
391.21 connection with a license to provide family day care for
391.22 children, foster care for children in the provider's own home,
391.23 or foster care or day care services for adults in the provider's
391.24 own home if:
391.25 (1) less than ten years have passed since the discharge of
391.26 the sentence imposed for the offense; and the individual has
391.27 been convicted of a violation of any offense listed in sections
391.28 609.20 (manslaughter in the first degree), 609.205 (manslaughter
391.29 in the second degree), criminal vehicular homicide under 609.21
391.30 (criminal vehicular homicide and injury), 609.215 (aiding
391.31 suicide or aiding attempted suicide), felony violations under
391.32 609.221 to 609.2231 (assault in the first, second, third, or
391.33 fourth degree), 609.713 (terroristic threats), 609.235 (use of
391.34 drugs to injure or to facilitate crime), 609.24 (simple
391.35 robbery), 609.245 (aggravated robbery), 609.25 (kidnapping),
391.36 609.255 (false imprisonment), 609.561 or 609.562 (arson in the
392.1 first or second degree), 609.71 (riot), burglary in the first or
392.2 second degree under 609.582 (burglary), 609.66 (dangerous
392.3 weapon), 609.665 (spring guns), 609.67 (machine guns and
392.4 short-barreled shotguns), 609.749 (harassment; stalking),
392.5 152.021 or 152.022 (controlled substance crime in the first or
392.6 second degree), 152.023, subdivision 1, clause (3) or (4), or
392.7 subdivision 2, clause (4) (controlled substance crime in the
392.8 third degree), 152.024, subdivision 1, clause (2), (3), or (4)
392.9 (controlled substance crime in the fourth degree), 609.224,
392.10 subdivision 2, paragraph (c) (fifth-degree assault by a
392.11 caregiver against a vulnerable adult), 609.228 (great bodily
392.12 harm caused by distribution of drugs), 609.23 (mistreatment of
392.13 persons confined), 609.231 (mistreatment of residents or
392.14 patients), 609.2325 (criminal abuse of a vulnerable adult),
392.15 609.233 (criminal neglect of a vulnerable adult), 609.2335
392.16 (financial exploitation of a vulnerable adult), 609.234 (failure
392.17 to report), 609.265 (abduction), 609.2664 to 609.2665
392.18 (manslaughter of an unborn child in the first or second degree),
392.19 609.267 to 609.2672 (assault of an unborn child in the first,
392.20 second, or third degree), 609.268 (injury or death of an unborn
392.21 child in the commission of a crime), 617.293 (disseminating or
392.22 displaying harmful material to minors), 609.378 (neglect or
392.23 endangerment of a child), a gross misdemeanor offense under
392.24 609.377 (malicious punishment of a child), 609.72, subdivision 3
392.25 (disorderly conduct against a vulnerable adult); or an attempt
392.26 or conspiracy to commit any of these offenses, as each of these
392.27 offenses is defined in Minnesota Statutes; or an offense in any
392.28 other state, the elements of which are substantially similar to
392.29 the elements of any of the foregoing offenses;
392.30 (2) regardless of how much time has passed since the
392.31 discharge of the sentence imposed for the offense, the
392.32 individual was convicted of a violation of any offense listed in
392.33 sections 609.185 to 609.195 (murder in the first, second, or
392.34 third degree), 609.2661 to 609.2663 (murder of an unborn child
392.35 in the first, second, or third degree), a felony offense under
392.36 609.377 (malicious punishment of a child), 609.322
393.1 (solicitation, inducement, and promotion of prostitution),
393.2 609.323 (receiving profit derived from prostitution), 609.342 to
393.3 609.345 (criminal sexual conduct in the first, second, third, or
393.4 fourth degree), 609.352 (solicitation of children to engage in
393.5 sexual conduct), 617.246 (use of minors in a sexual
393.6 performance), 617.247 (possession of pictorial representations
393.7 of a minor), 609.365 (incest), a felony offense under 609.2242
393.8 and 609.2243 (domestic assault), a felony offense of spousal
393.9 abuse, a felony offense of child abuse or neglect, a felony
393.10 offense of a crime against children, or an attempt or conspiracy
393.11 to commit any of these offenses as defined in Minnesota
393.12 Statutes, or an offense in any other state, the elements of
393.13 which are substantially similar to any of the foregoing
393.14 offenses;
393.15 (3) within the seven years preceding the study, the
393.16 individual committed an act that constitutes maltreatment of a
393.17 child under section 626.556, subdivision 10e, and that resulted
393.18 in substantial bodily harm as defined in section 609.02,
393.19 subdivision 7a, or substantial mental or emotional harm as
393.20 supported by competent psychological or psychiatric evidence; or
393.21 (4) within the seven years preceding the study, the
393.22 individual was determined under section 626.557 to be the
393.23 perpetrator of a substantiated incident of maltreatment of a
393.24 vulnerable adult that resulted in substantial bodily harm as
393.25 defined in section 609.02, subdivision 7a, or substantial mental
393.26 or emotional harm as supported by competent psychological or
393.27 psychiatric evidence.
393.28 In the case of any ground for disqualification under
393.29 clauses (1) to (4), if the act was committed by an individual
393.30 other than the applicant or license holder residing in the
393.31 applicant's or license holder's home, the applicant or license
393.32 holder may seek reconsideration when the individual who
393.33 committed the act no longer resides in the home.
393.34 The disqualification periods provided under clauses (1),
393.35 (3), and (4) are the minimum applicable disqualification
393.36 periods. The commissioner may determine that an individual
394.1 should continue to be disqualified from licensure because the
394.2 license holder or applicant poses a risk of harm to a person
394.3 served by that individual after the minimum disqualification
394.4 period has passed.
394.5 (d) The commissioner shall respond in writing or by
394.6 electronic transmission to all reconsideration requests for
394.7 which the basis for the request is that the information relied
394.8 upon by the commissioner to disqualify is incorrect or
394.9 inaccurate within 30 working days of receipt of a request and
394.10 all relevant information. If the basis for the request is that
394.11 the individual does not pose a risk of harm, the commissioner
394.12 shall respond to the request within 15 working days after
394.13 receiving the request for reconsideration and all relevant
394.14 information. If the disqualification is set aside, the
394.15 commissioner shall notify the applicant or license holder in
394.16 writing or by electronic transmission of the decision.
394.17 (e) Except as provided in subdivision 3c, the
394.18 commissioner's decision to disqualify an individual, including
394.19 the decision to grant or deny a rescission or set aside a
394.20 disqualification under this section, is the final administrative
394.21 agency action and shall not be subject to further review in a
394.22 contested case under chapter 14 involving a negative licensing
394.23 appeal taken in response to the disqualification or involving an
394.24 accuracy and completeness appeal under section 13.04.
394.25 Sec. 7. Minnesota Statutes 1997 Supplement, section
394.26 245A.04, subdivision 3d, is amended to read:
394.27 Subd. 3d. [DISQUALIFICATION.] When a background study
394.28 completed under subdivision 3 shows any of the following: a
394.29 conviction of one or more crimes listed in clauses (1) to (4);
394.30 the individual has admitted to or a preponderance of the
394.31 evidence indicates the individual has committed an act or acts
394.32 that meet the definition of any of the crimes listed in clauses
394.33 (1) to (4); or an administrative determination listed under
394.34 clause (4), the individual shall be disqualified from any
394.35 position allowing direct contact with persons receiving services
394.36 from the license holder:
395.1 (1) regardless of how much time has passed since the
395.2 discharge of the sentence imposed for the offense, and unless
395.3 otherwise specified, regardless of the level of the conviction,
395.4 the individual was convicted of any of the following offenses:
395.5 sections 609.185 (murder in the first degree); 609.19 (murder in
395.6 the second degree); 609.195 (murder in the third degree);
395.7 609.2661 (murder of an unborn child in the first degree);
395.8 609.2662 (murder of an unborn child in the second degree);
395.9 609.2663 (murder of an unborn child in the third degree);
395.10 609.322 (solicitation, inducement, and promotion of
395.11 prostitution); 609.323 (receiving profit derived from
395.12 prostitution); 609.342 (criminal sexual conduct in the first
395.13 degree); 609.343 (criminal sexual conduct in the second degree);
395.14 609.344 (criminal sexual conduct in the third degree); 609.345
395.15 (criminal sexual conduct in the fourth degree); 609.352
395.16 (solicitation of children to engage in sexual conduct); 609.365
395.17 (incest); felony offense under 609.377 (malicious punishment of
395.18 a child); 617.246 (use of minors in sexual performance
395.19 prohibited); 617.247 (possession of pictorial representations of
395.20 minors); a felony offense under 609.2242 and 609.2243 (domestic
395.21 assault), a felony offense of spousal abuse, a felony offense of
395.22 child abuse or neglect, a felony offense of a crime against
395.23 children; or attempt or conspiracy to commit any of these
395.24 offenses as defined in Minnesota Statutes, or an offense in any
395.25 other state or country, where the elements are substantially
395.26 similar to any of the offenses listed in this clause;
395.27 (2) if less than 15 years have passed since the discharge
395.28 of the sentence imposed for the offense; and the individual has
395.29 received a felony conviction for a violation of any of these
395.30 offenses: sections 609.20 (manslaughter in the first degree);
395.31 609.205 (manslaughter in the second degree); 609.21 (criminal
395.32 vehicular homicide and injury); 609.215 (suicide); 609.221 to
395.33 609.2231 (assault in the first, second, third, or fourth
395.34 degree); repeat offenses under 609.224 (assault in the fifth
395.35 degree); 609.2242 and 609.2243 (domestic assault; sentencing;
395.36 repeat domestic assault); repeat offenses under 609.3451
396.1 (criminal sexual conduct in the fifth degree); 609.713
396.2 (terroristic threats); 609.235 (use of drugs to injure or
396.3 facilitate crime); 609.24 (simple robbery); 609.245 (aggravated
396.4 robbery); 609.25 (kidnapping); 609.255 (false imprisonment);
396.5 609.561 (arson in the first degree); 609.562 (arson in the
396.6 second degree); 609.563 (arson in the third degree); repeat
396.7 offenses under 617.23 (indecent exposure; penalties); repeat
396.8 offenses under 617.241 (obscene materials and performances;
396.9 distribution and exhibition prohibited; penalty); 609.71 (riot);
396.10 609.66 (dangerous weapons); 609.67 (machine guns and
396.11 short-barreled shotguns); 609.749 (harassment; stalking;
396.12 penalties); 609.228 (great bodily harm caused by distribution of
396.13 drugs); 609.2325 (criminal abuse of a vulnerable adult);
396.14 609.2664 (manslaughter of an unborn child in the first degree);
396.15 609.2665 (manslaughter of an unborn child in the second degree);
396.16 609.267 (assault of an unborn child in the first degree);
396.17 609.2671 (assault of an unborn child in the second degree);
396.18 609.268 (injury or death of an unborn child in the commission of
396.19 a crime); 609.378 (neglect or endangerment of a child); 609.324,
396.20 subdivision 1 (other prohibited acts); 609.52 (theft); 609.2335
396.21 (financial exploitation of a vulnerable adult); 609.521
396.22 (possession of shoplifting gear); 609.582 (burglary); 609.625
396.23 (aggravated forgery); 609.63 (forgery); 609.631 (check forgery;
396.24 offering a forged check); 609.635 (obtaining signature by false
396.25 pretense); 609.27 (coercion); 609.275 (attempt to coerce);
396.26 609.687 (adulteration); 260.221 (grounds for termination of
396.27 parental rights); and chapter 152 (drugs; controlled
396.28 substance). An attempt or conspiracy to commit any of these
396.29 offenses, as each of these offenses is defined in Minnesota
396.30 Statutes; or an offense in any other state or country, the
396.31 elements of which are substantially similar to the elements of
396.32 the offenses in this clause. If the individual studied is
396.33 convicted of one of the felonies listed in this clause, but the
396.34 sentence is a gross misdemeanor or misdemeanor disposition, the
396.35 look-back period for the conviction is the period applicable to
396.36 the disposition, that is the period for gross misdemeanors or
397.1 misdemeanors;
397.2 (3) if less than ten years have passed since the discharge
397.3 of the sentence imposed for the offense; and the individual has
397.4 received a gross misdemeanor conviction for a violation of any
397.5 of the following offenses: sections 609.224 (assault in the
397.6 fifth degree); 609.2242 and 609.2243 (domestic assault);
397.7 violation of an order for protection under 518B.01, subdivision
397.8 14; 609.3451 (criminal sexual conduct in the fifth degree);
397.9 repeat offenses under 609.746 (interference with privacy);
397.10 repeat offenses under 617.23 (indecent exposure); 617.241
397.11 (obscene materials and performances); 617.243 (indecent
397.12 literature, distribution); 617.293 (harmful materials;
397.13 dissemination and display to minors prohibited); 609.71 (riot);
397.14 609.66 (dangerous weapons); 609.749 (harassment; stalking;
397.15 penalties); 609.224, subdivision 2, paragraph (c) (assault in
397.16 the fifth degree by a caregiver against a vulnerable adult);
397.17 609.23 (mistreatment of persons confined); 609.231 (mistreatment
397.18 of residents or patients); 609.2325 (criminal abuse of a
397.19 vulnerable adult); 609.233 (criminal neglect of a vulnerable
397.20 adult); 609.2335 (financial exploitation of a vulnerable adult);
397.21 609.234 (failure to report maltreatment of a vulnerable adult);
397.22 609.72, subdivision 3 (disorderly conduct against a vulnerable
397.23 adult); 609.265 (abduction); 609.378 (neglect or endangerment of
397.24 a child); 609.377 (malicious punishment of a child); 609.324,
397.25 subdivision 1a (other prohibited acts; minor engaged in
397.26 prostitution); 609.33 (disorderly house); 609.52 (theft);
397.27 609.582 (burglary); 609.631 (check forgery; offering a forged
397.28 check); 609.275 (attempt to coerce); or an attempt or conspiracy
397.29 to commit any of these offenses, as each of these offenses is
397.30 defined in Minnesota Statutes; or an offense in any other state
397.31 or country, the elements of which are substantially similar to
397.32 the elements of any of the offenses listed in this clause. If
397.33 the defendant is convicted of one of the gross misdemeanors
397.34 listed in this clause, but the sentence is a misdemeanor
397.35 disposition, the look-back period for the conviction is the
397.36 period applicable to misdemeanors; or
398.1 (4) if less than seven years have passed since the
398.2 discharge of the sentence imposed for the offense; and the
398.3 individual has received a misdemeanor conviction for a violation
398.4 of any of the following offenses: sections 609.224 (assault in
398.5 the fifth degree); 609.2242 (domestic assault); violation of an
398.6 order for protection under 518B.01 (Domestic Abuse Act);
398.7 violation of an order for protection under 609.3232 (protective
398.8 order authorized; procedures; penalties); 609.746 (interference
398.9 with privacy); 609.79 (obscene or harassing phone calls);
398.10 609.795 (letter, telegram, or package; opening; harassment);
398.11 617.23 (indecent exposure; penalties); 609.2672 (assault of an
398.12 unborn child in the third degree); 617.293 (harmful materials;
398.13 dissemination and display to minors prohibited); 609.66
398.14 (dangerous weapons); 609.665 (spring guns); 609.2335 (financial
398.15 exploitation of a vulnerable adult); 609.234 (failure to report
398.16 maltreatment of a vulnerable adult); 609.52 (theft); 609.27
398.17 (coercion); or an attempt or conspiracy to commit any of these
398.18 offenses, as each of these offenses is defined in Minnesota
398.19 Statutes; or an offense in any other state or country, the
398.20 elements of which are substantially similar to the elements of
398.21 any of the offenses listed in this clause; failure to make
398.22 required reports under section 626.556, subdivision 3, or
398.23 626.557, subdivision 3, for incidents in which: (i) the final
398.24 disposition under section 626.556 or 626.557 was substantiated
398.25 maltreatment, and (ii) the maltreatment was recurring or
398.26 serious; or substantiated serious or recurring maltreatment of a
398.27 minor under section 626.556 or of a vulnerable adult under
398.28 section 626.557 for which there is a preponderance of evidence
398.29 that the maltreatment occurred, and that the subject was
398.30 responsible for the maltreatment. For the purposes of this
398.31 section, serious maltreatment means sexual abuse; maltreatment
398.32 resulting in death; or maltreatment resulting in serious injury
398.33 or harm which reasonably requires the care of a physician
398.34 whether or not the care of a physician was sought, including:;
398.35 or abuse resulting in serious injury. For purposes of this
398.36 section, abuse resulting in serious injury means: bruises,
399.1 bites, skin laceration or tissue damage; fractures;
399.2 dislocations; evidence of internal injuries; head injuries with
399.3 loss of consciousness; extensive second-degree or third-degree
399.4 burns and other burns for which complications are
399.5 present; extensive second-degree or third-degree frostbite, and
399.6 others for which complications are present; irreversible
399.7 mobility or avulsion of teeth; injuries to the eyeball;
399.8 ingestion of foreign substances and objects that are harmful;
399.9 near drowning; and heat exhaustion or sunstroke. For purposes
399.10 of this section, "care of a physician" is treatment received or
399.11 ordered by a physician, but does not include diagnostic testing,
399.12 assessment, or observation. For the purposes of this section,
399.13 recurring maltreatment means more than one incident of
399.14 maltreatment for which there is a preponderance of evidence that
399.15 the maltreatment occurred, and that the subject was responsible
399.16 for the maltreatment.
399.17 Sec. 8. Minnesota Statutes 1996, section 256.01,
399.18 subdivision 12, is amended to read:
399.19 Subd. 12. [CHILD MORTALITY REVIEW PANEL.] (a) The
399.20 commissioner shall establish a child mortality review panel for
399.21 reviewing to review deaths of children in Minnesota, including
399.22 deaths attributed to maltreatment or in which maltreatment may
399.23 be a contributing cause and to review near fatalities as defined
399.24 in section 626.556, subdivision 11d. The commissioners of
399.25 health, children, families, and learning, and public safety and
399.26 the attorney general shall each designate a representative to
399.27 the child mortality review panel. Other panel members shall be
399.28 appointed by the commissioner, including a board-certified
399.29 pathologist and a physician who is a coroner or a medical
399.30 examiner. The purpose of the panel shall be to make
399.31 recommendations to the state and to county agencies for
399.32 improving the child protection system, including modifications
399.33 in statute, rule, policy, and procedure.
399.34 (b) The commissioner may require a county agency to
399.35 establish a local child mortality review panel. The
399.36 commissioner may establish procedures for conducting local
400.1 reviews and may require that all professionals with knowledge of
400.2 a child mortality case participate in the local review. In this
400.3 section, "professional" means a person licensed to perform or a
400.4 person performing a specific service in the child protective
400.5 service system. "Professional" includes law enforcement
400.6 personnel, social service agency attorneys, educators, and
400.7 social service, health care, and mental health care providers.
400.8 (c) If the commissioner of human services has reason to
400.9 believe that a child's death was caused by maltreatment or that
400.10 maltreatment was a contributing cause, the commissioner has
400.11 access to not public data under chapter 13 maintained by state
400.12 agencies, statewide systems, or political subdivisions that are
400.13 related to the child's death or circumstances surrounding the
400.14 care of the child. The commissioner shall also have access to
400.15 records of private hospitals as necessary to carry out the
400.16 duties prescribed by this section. Access to data under this
400.17 paragraph is limited to police investigative data; autopsy
400.18 records and coroner or medical examiner investigative data;
400.19 hospital, public health, or other medical records of the child;
400.20 hospital and other medical records of the child's parent that
400.21 relate to prenatal care; and records created by social service
400.22 agencies that provided services to the child or family within
400.23 three years preceding the child's death. A state agency,
400.24 statewide system, or political subdivision shall provide the
400.25 data upon request of the commissioner. Not public data may be
400.26 shared with members of the state or local child mortality review
400.27 panel in connection with an individual case.
400.28 (d) Notwithstanding the data's classification in the
400.29 possession of any other agency, data acquired by a local or
400.30 state child mortality review panel in the exercise of its duties
400.31 is protected nonpublic or confidential data as defined in
400.32 section 13.02, but may be disclosed as necessary to carry out
400.33 the purposes of the review panel. The data is not subject to
400.34 subpoena or discovery. The commissioner may disclose
400.35 conclusions of the review panel, but shall not disclose data
400.36 that was classified as confidential or private data on
401.1 decedents, under section 13.10, or private, confidential, or
401.2 protected nonpublic data in the disseminating agency, except
401.3 that the commissioner may disclose local social service agency
401.4 data as provided in section 626.556, subdivision 11d, on
401.5 individual cases involving a fatality or near fatality of a
401.6 person served by the local social service agency prior to the
401.7 date of death.
401.8 (e) A person attending a child mortality review panel
401.9 meeting shall not disclose what transpired at the meeting,
401.10 except to carry out the purposes of the mortality review panel.
401.11 The proceedings and records of the mortality review panel are
401.12 protected nonpublic data as defined in section 13.02,
401.13 subdivision 13, and are not subject to discovery or introduction
401.14 into evidence in a civil or criminal action against a
401.15 professional, the state or a county agency, arising out of the
401.16 matters the panel is reviewing. Information, documents, and
401.17 records otherwise available from other sources are not immune
401.18 from discovery or use in a civil or criminal action solely
401.19 because they were presented during proceedings of the review
401.20 panel. A person who presented information before the review
401.21 panel or who is a member of the panel shall not be prevented
401.22 from testifying about matters within the person's knowledge.
401.23 However, in a civil or criminal proceeding a person shall not be
401.24 questioned about the person's presentation of information to the
401.25 review panel or opinions formed by the person as a result of the
401.26 review meetings.
401.27 Sec. 9. Minnesota Statutes 1996, section 256.01, is
401.28 amended by adding a subdivision to read:
401.29 Subd. 15. [CITIZEN REVIEW PANELS.] (a) The commissioner
401.30 shall establish a minimum of three citizen review panels to
401.31 examine the policies and procedures of state and local welfare
401.32 agencies to evaluate the extent to which the agencies are
401.33 effectively discharging their child protection
401.34 responsibilities. Local social service agencies shall cooperate
401.35 and work with the citizen review panels. Where appropriate, the
401.36 panels may examine specific cases to evaluate the effectiveness
402.1 of child protection activities. The panels must examine the
402.2 extent to which the state and local agencies are meeting the
402.3 requirements of the federal Child Abuse Prevention and Treatment
402.4 Act and the Reporting of Maltreatment of Minors Act. The
402.5 commissioner may authorize mortality review panels or child
402.6 protection teams to carry out the duties of a citizen review
402.7 panel if membership meets or is expanded to meet the
402.8 requirements of this section.
402.9 (b) The panel membership must include volunteers who
402.10 broadly represent the community in which the panel is
402.11 established, including members who have expertise in the
402.12 prevention and treatment of child abuse and neglect, child
402.13 protection advocates, and representatives of the councils of
402.14 color and ombudsperson for families.
402.15 (c) A citizen review panel has access to the following data
402.16 for specific case review under this paragraph: police
402.17 investigative data; autopsy records and coroner or medical
402.18 examiner investigative data; hospital, public health, or other
402.19 medical records of the child; hospital and other medical records
402.20 of the child's parent that relate to prenatal care; records
402.21 created by social service agencies that provided services to the
402.22 child or family; and personnel data related to an employee's
402.23 performance in discharging child protection responsibilities. A
402.24 state agency, statewide system, or political subdivision shall
402.25 provide the data upon request of the commissioner. Not public
402.26 data may be shared with members of the state or local citizen
402.27 review panel in connection with an individual case.
402.28 (d) Notwithstanding the data's classification in the
402.29 possession of any other agency, data acquired by a local or
402.30 state citizen review panel in the exercise of its duties are
402.31 protected nonpublic or confidential data as defined in section
402.32 13.02, but may be disclosed as necessary to carry out the
402.33 purposes of the review panel. The data are not subject to
402.34 subpoena or discovery. The commissioner may disclose
402.35 conclusions of the review panel, but may not disclose data on
402.36 individuals that were classified as confidential or private data
403.1 on individuals in the possession of the state agency, statewide
403.2 system, or political subdivision from which the data were
403.3 received, except that the commissioner may disclose local social
403.4 service agency data as provided in section 626.556, subdivision
403.5 11d, on individual cases involving a fatality or near fatality
403.6 of a person served by the local social service agency prior to
403.7 the date of death.
403.8 (e) A person attending a citizen review panel meeting may
403.9 not disclose what transpired at the meeting, except to carry out
403.10 the purposes of the review panel. The proceedings and records
403.11 of the review panel are protected nonpublic data as defined in
403.12 section 13.02, subdivision 13, and are not subject to discovery
403.13 or introduction into evidence in a civil or criminal action
403.14 against a professional, the state, or county agency arising out
403.15 of the matters the panel is reviewing. Information, documents,
403.16 and records otherwise available from other sources are not
403.17 immune from discovery or use in a civil or criminal action
403.18 solely because they were presented during proceedings of the
403.19 review panel. A person who presented information before the
403.20 review panel or who is a member of the panel is not prevented
403.21 from testifying about matters within the person's knowledge.
403.22 However, in a civil or criminal proceeding, a person must not be
403.23 questioned about the person's presentation of information to the
403.24 review panel or opinions formed by the person as a result of the
403.25 review panel meetings.
403.26 Sec. 10. Minnesota Statutes 1997 Supplement, section
403.27 256.82, subdivision 2, is amended to read:
403.28 Subd. 2. [FOSTER CARE MAINTENANCE PAYMENTS.]
403.29 Notwithstanding subdivision 1, for the purposes of foster care
403.30 maintenance payments under title IV-E of the federal Social
403.31 Security Act, United States Code, title 42, sections 670 to 676,
403.32 during the period beginning July 1, 1985, and ending December
403.33 31, 1985, the county paying the maintenance costs shall be
403.34 reimbursed for the costs from those federal funds available for
403.35 that purpose together with an amount of state funds equal to a
403.36 percentage of the difference between the total cost and the
404.1 federal funds made available for payment. This percentage shall
404.2 not exceed the percentage specified in subdivision 1 for the aid
404.3 to families with dependent children program. In the event that
404.4 the state appropriation for this purpose is less than the state
404.5 percentage set in subdivision 1, the reimbursement shall be
404.6 ratably reduced to the county. Beginning January 1, 1986, for
404.7 the purpose of foster care maintenance payments under title IV-E
404.8 of the Social Security Act, United States Code, title 42,
404.9 sections 670 to 676, the county paying the maintenance costs
404.10 must be reimbursed for the costs from the federal money
404.11 available for the purpose. Beginning July 1, 1997, for the
404.12 purposes of determining a child's eligibility under title IV-E
404.13 of the Social Security Act, the placing agency shall use AFDC
404.14 requirements in effect on June 1, 1995 July 16, 1996.
404.15 Sec. 11. Minnesota Statutes 1997 Supplement, section
404.16 257.071, subdivision 1d, is amended to read:
404.17 Subd. 1d. [RELATIVE SEARCH; NATURE.] (a) Within six months
404.18 after a child is initially placed in a residential facility, the
404.19 local social service agency shall identify any relatives of the
404.20 child and notify them of the need for a foster care home for the
404.21 child and of the possibility of the need for a permanent
404.22 out-of-home placement of the child, and. Relatives should also
404.23 be notified that a decision not to be a placement resource at
404.24 the beginning of the case may affect the relative's right to
404.25 have relative being considered for placement of the child placed
404.26 with that relative later. The relatives must be notified that
404.27 they must keep the local social service agency informed of their
404.28 current address in order to receive notice of any that a
404.29 permanent placement hearing is being sought for the child. A
404.30 relative who fails to provide a current address to the local
404.31 social service agency forfeits the right to notice of the
404.32 possibility of permanent placement.
404.33 (b) Unless relieved of this duty by the court because the
404.34 child is placed with an appropriate relative who wishes to
404.35 provide a permanent home for the child, when the agency
404.36 determines that it is necessary to prepare for the permanent
405.1 placement determination hearing, or in anticipation of filing a
405.2 termination of parental rights petition, the agency shall send
405.3 notice to the relatives, any adult with whom the child is
405.4 currently residing, any adult with whom the child has resided
405.5 for one year or longer in the past, and any adults who have
405.6 maintained a relationship or exercised visitation with the child
405.7 as identified in the agency case plan. The notice must state
405.8 that a permanent home is sought for the child and that the
405.9 individuals receiving the notice may indicate to the agency
405.10 their interest in providing a permanent home. The notice must
405.11 contain an advisory that if the relative chooses not to be a
405.12 placement resource at the beginning of the case, this may affect
405.13 the relative's rights to have the child placed with that
405.14 relative permanently later on. The notice must state that
405.15 within 30 days of receipt of the notice an individual receiving
405.16 the notice must indicate to the agency the individual's interest
405.17 in providing a permanent home for the child or that the
405.18 individual may lose the opportunity to be considered for a
405.19 permanent placement. This notice need not be sent if the child
405.20 is placed with an appropriate relative who wishes to provide a
405.21 permanent home for the child.
405.22 Sec. 12. Minnesota Statutes 1996, section 257.42, is
405.23 amended to read:
405.24 257.42 [APPROPRIATE PUBLIC AUTHORITY DEFINED.]
405.25 The "appropriate public authorities" as used in article 3
405.26 of the interstate compact on the placement of children shall,
405.27 with reference to this state, mean the Minnesota department
405.28 commissioner of human services and said department. The
405.29 commissioner of human services or the commissioner's delegate
405.30 shall receive and act with reference to notices required by said
405.31 article 3.
405.32 Sec. 13. Minnesota Statutes 1996, section 257.43, is
405.33 amended to read:
405.34 257.43 [APPROPRIATE AUTHORITY IN RECEIVING STATE DEFINED.]
405.35 As used in paragraph (a) of article 5 of the interstate
405.36 compact on the placement of children, the phrase "appropriate
406.1 authority in the receiving state" with reference to this state
406.2 shall mean the commissioner of human services or the
406.3 commissioner's delegate.
406.4 Sec. 14. Minnesota Statutes 1997 Supplement, section
406.5 257.85, subdivision 5, is amended to read:
406.6 Subd. 5. [RELATIVE CUSTODY ASSISTANCE AGREEMENT.] (a) A
406.7 relative custody assistance agreement will not be effective,
406.8 unless it is signed by the local agency and the relative
406.9 custodian no later than 30 days after the date of the order
406.10 establishing permanent legal and physical custody with the
406.11 relative, except that a local agency may enter into a relative
406.12 custody assistance agreement with a relative custodian more than
406.13 30 days after the date of the order if it certifies that the
406.14 delay in entering the agreement was through no fault of the
406.15 relative custodian. There must be a separate agreement for each
406.16 child for whom the relative custodian is receiving relative
406.17 custody assistance.
406.18 (b) Regardless of when the relative custody assistance
406.19 agreement is signed by the local agency and relative custodian,
406.20 the effective date of the agreement shall be the first day of
406.21 the month following the date of the order establishing permanent
406.22 legal and physical custody or the date that the last party signs
406.23 the agreement, whichever occurs later.
406.24 (c) If MFIP-S is not the applicable program for a child at
406.25 the time that a relative custody assistance agreement is entered
406.26 on behalf of the child, when MFIP-S becomes the applicable
406.27 program, if the relative custodian had been receiving custody
406.28 assistance payments calculated based upon a different program,
406.29 the amount of relative custody assistance payment under
406.30 subdivision 7 shall be recalculated under the MFIP-S program.
406.31 (d) The relative custody assistance agreement shall be in a
406.32 form specified by the commissioner and shall include provisions
406.33 relating to the following:
406.34 (1) the responsibilities of all parties to the agreement;
406.35 (2) the payment terms, including the financial
406.36 circumstances of the relative custodian, the needs of the child,
407.1 the amount and calculation of the relative custody assistance
407.2 payments, and that the amount of the payments shall be
407.3 reevaluated annually;
407.4 (3) the effective date of the agreement, which shall also
407.5 be the anniversary date for the purpose of submitting the annual
407.6 affidavit under subdivision 8;
407.7 (4) that failure to submit the affidavit as required by
407.8 subdivision 8 will be grounds for terminating the agreement;
407.9 (5) the agreement's expected duration, which shall not
407.10 extend beyond the child's eighteenth birthday;
407.11 (6) any specific known circumstances that could cause the
407.12 agreement or payments to be modified, reduced, or terminated and
407.13 the relative custodian's appeal rights under subdivision 9;
407.14 (7) that the relative custodian must notify the local
407.15 agency within 30 days of any of the following:
407.16 (i) a change in the child's status;
407.17 (ii) a change in the relationship between the relative
407.18 custodian and the child;
407.19 (iii) a change in composition or level of income of the
407.20 relative custodian's family;
407.21 (iv) a change in eligibility or receipt of benefits under
407.22 AFDC, MFIP-S, or other assistance program; and
407.23 (v) any other change that could affect eligibility for or
407.24 amount of relative custody assistance;
407.25 (8) that failure to provide notice of a change as required
407.26 by clause (7) will be grounds for terminating the agreement;
407.27 (9) that the amount of relative custody assistance is
407.28 subject to the availability of state funds to reimburse the
407.29 local agency making the payments;
407.30 (10) that the relative custodian may choose to temporarily
407.31 stop receiving payments under the agreement at any time by
407.32 providing 30 days' notice to the local agency and may choose to
407.33 begin receiving payments again by providing the same notice but
407.34 any payments the relative custodian chooses not to receive are
407.35 forfeit; and
407.36 (11) that the local agency will continue to be responsible
408.1 for making relative custody assistance payments under the
408.2 agreement regardless of the relative custodian's place of
408.3 residence.
408.4 Sec. 15. Minnesota Statutes 1997 Supplement, section
408.5 259.22, subdivision 4, is amended to read:
408.6 Subd. 4. [TIME FOR FILING PETITION.] A petition shall be
408.7 filed not later than 24 12 months after a child is placed in a
408.8 prospective adoptive home. If a petition is not filed by that
408.9 time, the agency that placed the child, or, in a direct adoptive
408.10 placement, the agency that is supervising the placement shall
408.11 file with the district court in the county where the prospective
408.12 adoptive parent resides a motion for an order and a report
408.13 recommending one of the following:
408.14 (1) that the time for filing a petition be extended because
408.15 of the child's special needs as defined under title IV-E of the
408.16 Social Security Act, United States Code, title 42, section 673;
408.17 (2) that, based on a written plan for completing filing of
408.18 the petition, including a specific timeline, to which the
408.19 prospective adoptive parents have agreed, the time for filing a
408.20 petition be extended long enough to complete the plan because
408.21 such an extension is in the best interests of the child and
408.22 additional time is needed for the child to adjust to the
408.23 adoptive home; or
408.24 (3) that the child be removed from the prospective adoptive
408.25 home.
408.26 The prospective adoptive parent must reimburse an agency
408.27 for the cost of preparing and filing the motion and report under
408.28 this section, unless the costs are reimbursed by the
408.29 commissioner under section 259.67 or 259.73.
408.30 Sec. 16. Minnesota Statutes 1996, section 259.24,
408.31 subdivision 1, is amended to read:
408.32 Subdivision 1. [EXCEPTIONS.] No child shall be adopted
408.33 without the consent of the child's parents and the child's
408.34 guardian, if there be one, except in the following instances:
408.35 (a) Consent shall not be required of a parent not entitled
408.36 to notice of the proceedings.
409.1 (b) Consent shall not be required of a parent who has
409.2 abandoned the child, or of a parent who has lost custody of the
409.3 child through a divorce decree or a decree of dissolution, and
409.4 upon whom notice has been served as required by section 259.49.
409.5 (c) Consent shall not be required of a parent whose
409.6 parental rights to the child have been terminated by a juvenile
409.7 court or who has lost custody of a child through a final
409.8 commitment of the juvenile court or through a decree in a prior
409.9 adoption proceeding.
409.10 (d) If there be no parent or guardian qualified to consent
409.11 to the adoption, the consent may be given by the commissioner.
409.12 (e) The commissioner or agency having authority to place a
409.13 child for adoption pursuant to section 259.25, subdivision 1,
409.14 shall have the exclusive right to consent to the adoption of
409.15 such child. Notwithstanding any rule to the contrary, the
409.16 commissioner may delegate the right to consent to the adoption
409.17 or separation of siblings, if it is in the child's best
409.18 interest, to a local social services agency.
409.19 Sec. 17. Minnesota Statutes 1996, section 259.37,
409.20 subdivision 2, is amended to read:
409.21 Subd. 2. [DISCLOSURE TO BIRTH PARENTS AND ADOPTIVE
409.22 PARENTS.] An agency shall provide a disclosure statement written
409.23 in clear, plain language to be signed by the prospective
409.24 adoptive parents and birth parents, except that in intercountry
409.25 adoptions, the signatures of birth parents are not required.
409.26 The disclosure statement must contain the following information:
409.27 (1) fees charged to the adoptive parent, including any
409.28 policy on sliding scale fees or fee waivers and an itemization
409.29 of the amount that will be charged for the adoption study,
409.30 counseling, postplacement services, family of origin searches,
409.31 birth parent expenses authorized under section 259.55, or any
409.32 other services;
409.33 (2) timeline for the adoptive parent to make fee payments;
409.34 (3) likelihood, given the circumstances of the prospective
409.35 adoptive parent and any specific program to which the
409.36 prospective adoptive parent is applying, that an adoptive
410.1 placement may be made and the estimated length of time for
410.2 making an adoptive placement. These estimates must be based on
410.3 adoptive placements made with prospective parents in similar
410.4 circumstances applying to a similar program with the agency
410.5 during the immediately preceding three to five years. If an
410.6 agency has not been in operation for at least three years, it
410.7 must provide summary data based on whatever adoptive placements
410.8 it has made and may include a statement about the kind of
410.9 efforts it will make to achieve an adoptive placement, including
410.10 a timetable it will follow in seeking a child. The estimates
410.11 must include a statement that the agency cannot guarantee
410.12 placement of a child or a time by which a child will be placed;
410.13 (4) a statement of the services the agency will provide the
410.14 birth and adoptive parents;
410.15 (5) a statement prepared by the commissioner under section
410.16 259.39 that explains the child placement and adoption process
410.17 and the respective legal rights and responsibilities of the
410.18 birth parent and prospective adoptive parent during the process
410.19 including a statement that the prospective adoptive parent is
410.20 responsible for filing an adoption petition not later than 24 12
410.21 months after the child is placed in the prospective adoptive
410.22 home;
410.23 (6) a statement regarding any information the agency may
410.24 have about attorney referral services, or about obtaining
410.25 assistance with completing legal requirements for an adoption;
410.26 and
410.27 (7) an acknowledgment to be signed by the birth parent and
410.28 prospective adoptive parent that they have received, read, and
410.29 had the opportunity to ask questions of the agency about the
410.30 contents of the disclosure statement.
410.31 Sec. 18. Minnesota Statutes 1997 Supplement, section
410.32 259.47, subdivision 3, is amended to read:
410.33 Subd. 3. [PREADOPTIVE CUSTODY ORDER.] (a) Before a child
410.34 is placed in a prospective adoptive home by a birth parent or
410.35 legal guardian, other than an agency, the placement must be
410.36 approved by the district court in the county where the
411.1 prospective adoptive parent resides. An order under this
411.2 subdivision or subdivision 6 shall state that the prospective
411.3 adoptive parent's right to custody of the child is subject to
411.4 the birth parent's right to custody until the consents to the
411.5 child's adoption become irrevocable. At the time of placement,
411.6 prospective adoptive parents must have for the child qualifying
411.7 existing coverage as defined in section 62L.02, subdivision 24,
411.8 or other similar comprehensive health care coverage. The
411.9 preadoptive custody order must include any agreement reached
411.10 between the prospective adoptive parent and the birth parent
411.11 regarding authority to make decisions for medical care of the
411.12 child and responsibility for payment not provided by the
411.13 adoptive parent's existing health care coverage. The
411.14 prospective adoptive parent must meet the residence requirements
411.15 of section 259.22, subdivision 1, and must file with the court
411.16 an affidavit of intent to remain a resident of the state for at
411.17 least three months after the child is placed in the prospective
411.18 adoptive home. The prospective adoptive parent shall file with
411.19 the court a notice of intent to file an adoption petition and
411.20 submit a written motion seeking an order granting temporary
411.21 preadoptive custody. The notice and motion required under this
411.22 subdivision may be considered by the court ex parte, without a
411.23 hearing. The prospective adoptive parent shall serve a copy of
411.24 the notice and motion upon any parent whose consent is required
411.25 under section 259.24 or who is named in the affidavit required
411.26 under paragraph (b) if that person's mailing address is known.
411.27 The motion may be filed up to 60 days before the placement is to
411.28 be made and must include:
411.29 (1) the adoption study required under section 259.41;
411.30 (2) affidavits from the birth parents indicating their
411.31 support of the motion, or, if there is no affidavit from the
411.32 birth father, an affidavit from the birth mother under paragraph
411.33 (b);
411.34 (3) an itemized statement of expenses that have been paid
411.35 and an estimate of expenses that will be paid by the prospective
411.36 adoptive parents to the birth parents, any agency, attorney, or
412.1 other party in connection with the prospective adoption;
412.2 (4) the name of counsel for each party, if any;
412.3 (5) a statement that the birth parents:
412.4 (i) have provided the social and medical history required
412.5 under section 259.43 to the prospective adoptive parent;
412.6 (ii) have received the written statement of their legal
412.7 rights and responsibilities under section 259.39; and
412.8 (iii) have been notified of their right to receive
412.9 counseling under subdivision 4; and
412.10 (6) the name of the agency chosen by the adoptive parent to
412.11 supervise the adoptive placement and complete the postplacement
412.12 assessment required by section 259.53, subdivision 2.
412.13 The court shall review the expense statement submitted
412.14 under this subdivision to determine whether payments made or to
412.15 be made by the prospective adoptive parent are lawful and in
412.16 accordance with section 259.55, subdivision 1.
412.17 (b) If the birth mother submits the affidavit required in
412.18 paragraph (a), clause (2), but the birth father fails to do so,
412.19 the birth mother must submit an additional affidavit that
412.20 describes her good faith efforts or efforts made on her behalf
412.21 to identify and locate the birth father for purposes of securing
412.22 his consent. In the following circumstances the birth mother
412.23 may instead submit an affidavit stating on which ground she is
412.24 exempt from making efforts to identify and locate the father:
412.25 (1) the child was conceived as the result of incest or
412.26 rape;
412.27 (2) efforts to locate the father by the affiant or anyone
412.28 acting on the affiant's behalf could reasonably result in
412.29 physical harm to the birth mother or child; or
412.30 (3) efforts to locate the father by the affiant or anyone
412.31 acting on the affiant's behalf could reasonably result in severe
412.32 emotional distress of the birth mother or child.
412.33 A court shall consider the motion for temporary preadoptive
412.34 custody within 30 days of receiving the motion or by the
412.35 anticipated placement date stated in the motion, whichever comes
412.36 sooner.
413.1 Sec. 19. Minnesota Statutes 1997 Supplement, section
413.2 259.58, is amended to read:
413.3 259.58 [COMMUNICATION OR CONTACT AGREEMENTS.]
413.4 Adoptive parents and a birth relative may enter an
413.5 agreement regarding communication with or contact between an
413.6 adopted minor, adoptive parents, and a birth relative under this
413.7 section. An agreement may be entered between:
413.8 (1) adoptive parents and a birth parent;
413.9 (2) adoptive parents and a any other birth relative with
413.10 whom the child resided before being adopted; or
413.11 (2) (3) adoptive parents and any other birth relative if
413.12 the child is adopted by a birth relative upon the death of both
413.13 birth parents.
413.14 For purposes of this section, "birth relative" means a
413.15 parent, stepparent, grandparent, brother, sister, uncle, or aunt
413.16 of a minor adoptee. This relationship may be by blood or
413.17 marriage. For an Indian child, birth relative includes members
413.18 of the extended family as defined by the law or custom of the
413.19 Indian child's tribe or, in the absence of laws or custom,
413.20 nieces, nephews, or first or second cousins, as provided in the
413.21 Indian Child Welfare Act, United States Code, title 25, section
413.22 1903.
413.23 (a) An agreement regarding communication with or contact
413.24 between minor adoptees, adoptive parents, and a birth relative
413.25 is not legally enforceable unless the terms of the agreement are
413.26 contained in a written court order entered in accordance with
413.27 this section. An order must be sought at the same time a
413.28 petition for adoption is filed. The court shall not enter a
413.29 proposed order unless the terms of the order have been approved
413.30 in writing by the prospective adoptive parents, a birth relative
413.31 who desires to be a party to the agreement, and, if the child is
413.32 in the custody of or under the guardianship of an agency, a
413.33 representative of the agency. An agreement under this section
413.34 need not disclose the identity of the parties to be legally
413.35 enforceable. The court shall not enter a proposed order unless
413.36 the court finds that the communication or contact between the
414.1 minor adoptee, the adoptive parents, and a birth relative as
414.2 agreed upon and contained in the proposed order would be in the
414.3 minor adoptee's best interests.
414.4 (b) Failure to comply with the terms of an agreed order
414.5 regarding communication or contact that has been entered by the
414.6 court under this section is not grounds for:
414.7 (1) setting aside an adoption decree; or
414.8 (2) revocation of a written consent to an adoption after
414.9 that consent has become irrevocable.
414.10 (c) An agreed order entered under this section may be
414.11 enforced by filing a petition or motion with the family court
414.12 that includes a certified copy of the order granting the
414.13 communication, contact, or visitation, but only if the petition
414.14 or motion is accompanied by an affidavit that the parties have
414.15 mediated or attempted to mediate any dispute under the agreement
414.16 or that the parties agree to a proposed modification. The
414.17 prevailing party may be awarded reasonable attorney's fees and
414.18 costs. The court shall not modify an agreed order under this
414.19 section unless it finds that the modification is necessary to
414.20 serve the best interests of the minor adoptee, and:
414.21 (1) the modification is agreed to by the adoptive parent
414.22 and the birth relative; or
414.23 (2) exceptional circumstances have arisen since the agreed
414.24 order was entered that justify modification of the order.
414.25 Sec. 20. Minnesota Statutes 1997 Supplement, section
414.26 259.60, subdivision 2, is amended to read:
414.27 Subd. 2. [AMENDED BIRTH CERTIFICATE; PROCEDURE AND ORDER;
414.28 DECREE RECOGNIZING ADOPTION.] (a) Under the procedures in
414.29 paragraph (b), a person, whose adoption of a child under the
414.30 laws of a foreign country is valid in this state under
414.31 subdivision 1, may petition the district court in the county
414.32 where the adoptive parent resides for a decree confirming and
414.33 recognizing the adoption, changing the child's legal name, if
414.34 requested in the petition, and for authorizing the commissioner
414.35 of health to issue a new birth certificate for the child under
414.36 section 144.218, subdivision 2.
415.1 (b) A court shall issue the decree and birth
415.2 certificate described in paragraph (a) upon receipt of the
415.3 following documents:
415.4 (1) a petition by the adoptive parent requesting that the
415.5 court issue a Minnesota birth certificate, and stating that the
415.6 adoptive parent completed adoption of the child under the laws
415.7 of a foreign country and that the adoption is valid in this
415.8 state under subdivision 1 and requesting that the court issue a
415.9 decree confirming and recognizing the adoption, changing the
415.10 child's legal name, if desired, and authorizing the commissioner
415.11 of health to issue a new birth certificate for the child under
415.12 section 144.218, subdivision 2. The petition must be in the
415.13 form of a signed, sworn, and notarized statement;
415.14 (2) a copy of the child's original birth certificate, if
415.15 available;
415.16 (3) a copy of the final adoption certificate or equivalent
415.17 as issued by the foreign jurisdiction;
415.18 (4) a copy of the child's passport including the United
415.19 States visa indicating IR-3 immigration status; and
415.20 (5) certified English translations of any of the documents
415.21 in clauses (2) to (4) that are not written in the English
415.22 language.
415.23 (c) Upon issuing a decree under this section, the court
415.24 shall forward to the commissioners of health and human services
415.25 a copy of the decree. The court shall also complete and forward
415.26 to the commissioner of health the certificate of adoption,
415.27 unless another form has been specified by the commissioner of
415.28 health.
415.29 Sec. 21. Minnesota Statutes 1996, section 259.67,
415.30 subdivision 1, is amended to read:
415.31 Subdivision 1. [ADOPTION ASSISTANCE.] (a) The commissioner
415.32 of human services shall enter into an adoption assistance
415.33 agreement with an adoptive parent or parents who adopt a child
415.34 who meets the eligibility requirements under title IV-E of the
415.35 Social Security Act, United States Code, title 42, sections 670
415.36 to 679a, or who otherwise meets the requirements in subdivision
416.1 4.
416.2 (b) Notwithstanding any provision to the contrary, no child
416.3 on whose behalf federal title IV-E adoption assistance payments
416.4 are to be made may be placed in an adoptive home unless a
416.5 criminal background check under section 259.41, subdivision 3,
416.6 paragraph (b), has been completed on the prospective adoptive
416.7 parents and no disqualifying condition exists. A disqualifying
416.8 condition exists if:
416.9 (1) a criminal background check reveals a felony conviction
416.10 for child abuse; for spousal abuse; for a crime against children
416.11 (including child pornography); or for a crime involving
416.12 violence, including rape, sexual assault, or homicide, but not
416.13 including other physical assault or battery; or
416.14 (2) a criminal background check reveals a felony conviction
416.15 within the past five years for physical assault, battery, or a
416.16 drug-related offense.
416.17 Sec. 22. Minnesota Statutes 1996, section 260.011,
416.18 subdivision 2, is amended to read:
416.19 Subd. 2. (a) The paramount consideration in all
416.20 proceedings concerning a child alleged or found to be in need of
416.21 protection or services is the health, safety, and best interests
416.22 of the child. In proceedings involving an American Indian
416.23 child, as defined in section 257.351, subdivision 6, the best
416.24 interests of the child must be determined consistent with
416.25 sections 257.35 to 257.3579 and the Indian Child Welfare Act,
416.26 United States Code, title 25, sections 1901 to 1923. The
416.27 purpose of the laws relating to juvenile courts is to secure for
416.28 each child alleged or adjudicated in need of protection or
416.29 services and under the jurisdiction of the court, the care and
416.30 guidance, preferably in the child's own home, as will best serve
416.31 the spiritual, emotional, mental, and physical welfare of the
416.32 child; to provide judicial procedures which protect the welfare
416.33 of the child; to preserve and strengthen the child's family ties
416.34 whenever possible and in the child's best interests, removing
416.35 the child from the custody of parents only when the child's
416.36 welfare or safety cannot be adequately safeguarded without
417.1 removal; and, when removal from the child's own family is
417.2 necessary and in the child's best interests, to secure for the
417.3 child custody, care and discipline as nearly as possible
417.4 equivalent to that which should have been given by the parents.
417.5 (b) The purpose of the laws relating to termination of
417.6 parental rights is to ensure that:
417.7 (1) reasonable efforts have been made by the social service
417.8 agency to reunite the child with the child's parents in a
417.9 placement that is safe and permanent; and
417.10 (2) if placement with the parents is not reasonably
417.11 foreseeable, to secure for the child a safe and permanent
417.12 placement, preferably with adoptive parents.
417.13 Nothing in this section requires reasonable efforts to be
417.14 made in circumstances where the court has determined that the
417.15 child has been subjected to egregious harm or the parental
417.16 rights of the parent to a sibling have been involuntarily
417.17 terminated.
417.18 The paramount consideration in all proceedings for the
417.19 termination of parental rights is the best interests of the
417.20 child. In proceedings involving an American Indian child, as
417.21 defined in section 257.351, subdivision 6, the best interests of
417.22 the child must be determined consistent with the Indian Child
417.23 Welfare Act of 1978, United States Code, title 25, section 1901,
417.24 et seq.
417.25 (c) The purpose of the laws relating to children alleged or
417.26 adjudicated to be delinquent is to promote the public safety and
417.27 reduce juvenile delinquency by maintaining the integrity of the
417.28 substantive law prohibiting certain behavior and by developing
417.29 individual responsibility for lawful behavior. This purpose
417.30 should be pursued through means that are fair and just, that
417.31 recognize the unique characteristics and needs of children, and
417.32 that give children access to opportunities for personal and
417.33 social growth.
417.34 (d) The laws relating to juvenile courts shall be liberally
417.35 construed to carry out these purposes.
417.36 Sec. 23. Minnesota Statutes 1997 Supplement, section
418.1 260.012, is amended to read:
418.2 260.012 [DUTY TO ENSURE PLACEMENT PREVENTION AND FAMILY
418.3 REUNIFICATION; REASONABLE EFFORTS.]
418.4 (a) If a child in need of protection or services is under
418.5 the court's jurisdiction, the court shall ensure that reasonable
418.6 efforts including culturally appropriate services by the social
418.7 service agency are made to prevent placement or to eliminate the
418.8 need for removal and to reunite the child with the child's
418.9 family at the earliest possible time, consistent with the best
418.10 interests, safety, and protection of the child. The court may,
418.11 upon motion and hearing, order the cessation of reasonable
418.12 efforts if the court finds that provision of services or further
418.13 services for the purpose of rehabilitation and reunification is
418.14 futile and therefore unreasonable under the circumstances. In
418.15 determining reasonable efforts to be made with respect to a
418.16 child and in making those reasonable efforts, the child's health
418.17 and safety must be of paramount concern. Reasonable efforts are
418.18 not required if the court determines that:
418.19 (1) a termination of parental rights petition has been
418.20 filed stating a prima facie case that the parent has subjected
418.21 the child to egregious harm as defined in section 260.015,
418.22 subdivision 29, or the parental rights of the parent to a
418.23 sibling have been terminated involuntarily; or
418.24 (2) a determination not to proceed with a termination of
418.25 parental rights petition on these grounds was made under section
418.26 260.221, subdivision 1b, paragraph (b), and a permanency hearing
418.27 is held within 30 days of the determination.
418.28 In the case of an Indian child, in proceedings under sections
418.29 260.172, 260.191, and 260.221 the juvenile court must make
418.30 findings and conclusions consistent with the Indian Child
418.31 Welfare Act of 1978, United States Code, title 25, section 1901
418.32 et seq., as to the provision of active efforts. If a child is
418.33 under the court's delinquency jurisdiction, it shall be the duty
418.34 of the court to ensure that reasonable efforts are made to
418.35 reunite the child with the child's family at the earliest
418.36 possible time, consistent with the best interests of the child
419.1 and the safety of the public.
419.2 (b) "Reasonable efforts" means the exercise of due
419.3 diligence by the responsible social service agency to use
419.4 appropriate and available services to meet the needs of the
419.5 child and the child's family in order to prevent removal of the
419.6 child from the child's family; or upon removal, services to
419.7 eliminate the need for removal and reunite the family. Services
419.8 may include those listed under section 256F.07, subdivision 3,
419.9 and other appropriate services available in the community. The
419.10 social service agency has the burden of demonstrating that it
419.11 has made reasonable efforts or that provision of services or
419.12 further services for the purpose of rehabilitation and
419.13 reunification is futile and therefore unreasonable under the
419.14 circumstances. Reunification of a surviving child with a parent
419.15 is not required if the parent has been convicted of:
419.16 (1) a violation of, or an attempt or conspiracy to commit a
419.17 violation of, sections 609.185 to 609.20; 609.222, subdivision
419.18 2; or 609.223 in regard to another child of the parent;
419.19 (2) a violation of section 609.222, subdivision 2; or
419.20 609.223, in regard to the surviving child; or
419.21 (3) a violation of, or an attempt or conspiracy to commit a
419.22 violation of, United States Code, title 18, section 1111(a) or
419.23 1112(a), in regard to another child of the parent.
419.24 (c) The juvenile court, in proceedings under sections
419.25 260.172, 260.191, and 260.221 shall make findings and
419.26 conclusions as to the provision of reasonable efforts. When
419.27 determining whether reasonable efforts have been made, the court
419.28 shall consider whether services to the child and family were:
419.29 (1) relevant to the safety and protection of the child;
419.30 (2) adequate to meet the needs of the child and family;
419.31 (3) culturally appropriate;
419.32 (4) available and accessible;
419.33 (5) consistent and timely; and
419.34 (6) realistic under the circumstances.
419.35 In the alternative, the court may determine that provision
419.36 of services or further services for the purpose of
420.1 rehabilitation is futile and therefore unreasonable under the
420.2 circumstances or that reasonable efforts are not required as
420.3 provided in paragraph (a).
420.4 (d) This section does not prevent out-of-home placement for
420.5 treatment of a child with a mental disability when the child's
420.6 diagnostic assessment or individual treatment plan indicates
420.7 that appropriate and necessary treatment cannot be effectively
420.8 provided outside of a residential or inpatient treatment program.
420.9 (e) If continuation of reasonable efforts described in
420.10 paragraph (b) is determined to be inconsistent with the
420.11 permanency plan for the child, reasonable efforts must be made
420.12 to place the child in a timely manner in accordance with the
420.13 permanency plan and to complete whatever steps are necessary to
420.14 finalize the permanency plan for the child.
420.15 (f) Reasonable efforts to place a child for adoption or in
420.16 another permanent placement may be made concurrently with
420.17 reasonable efforts as described in paragraphs (a) and (b).
420.18 Sec. 24. Minnesota Statutes 1997 Supplement, section
420.19 260.015, subdivision 2a, is amended to read:
420.20 Subd. 2a. [CHILD IN NEED OF PROTECTION OR SERVICES.]
420.21 "Child in need of protection or services" means a child who is
420.22 in need of protection or services because the child:
420.23 (1) is abandoned or without parent, guardian, or custodian;
420.24 (2)(i) has been a victim of physical or sexual abuse, (ii)
420.25 resides with or has resided with a victim of domestic child
420.26 abuse as defined in subdivision 24, (iii) resides with or would
420.27 reside with a perpetrator of domestic child abuse or child abuse
420.28 as defined in subdivision 28, or (iv) is a victim of emotional
420.29 maltreatment as defined in subdivision 5a;
420.30 (3) is without necessary food, clothing, shelter,
420.31 education, or other required care for the child's physical or
420.32 mental health or morals because the child's parent, guardian, or
420.33 custodian is unable or unwilling to provide that care;
420.34 (4) is without the special care made necessary by a
420.35 physical, mental, or emotional condition because the child's
420.36 parent, guardian, or custodian is unable or unwilling to provide
421.1 that care;
421.2 (5) is medically neglected, which includes, but is not
421.3 limited to, the withholding of medically indicated treatment
421.4 from a disabled infant with a life-threatening condition. The
421.5 term "withholding of medically indicated treatment" means the
421.6 failure to respond to the infant's life-threatening conditions
421.7 by providing treatment, including appropriate nutrition,
421.8 hydration, and medication which, in the treating physician's or
421.9 physicians' reasonable medical judgment, will be most likely to
421.10 be effective in ameliorating or correcting all conditions,
421.11 except that the term does not include the failure to provide
421.12 treatment other than appropriate nutrition, hydration, or
421.13 medication to an infant when, in the treating physician's or
421.14 physicians' reasonable medical judgment:
421.15 (i) the infant is chronically and irreversibly comatose;
421.16 (ii) the provision of the treatment would merely prolong
421.17 dying, not be effective in ameliorating or correcting all of the
421.18 infant's life-threatening conditions, or otherwise be futile in
421.19 terms of the survival of the infant; or
421.20 (iii) the provision of the treatment would be virtually
421.21 futile in terms of the survival of the infant and the treatment
421.22 itself under the circumstances would be inhumane;
421.23 (6) is one whose parent, guardian, or other custodian for
421.24 good cause desires to be relieved of the child's care and
421.25 custody;
421.26 (7) has been placed for adoption or care in violation of
421.27 law;
421.28 (8) is without proper parental care because of the
421.29 emotional, mental, or physical disability, or state of
421.30 immaturity of the child's parent, guardian, or other custodian;
421.31 (9) is one whose behavior, condition, or environment is
421.32 such as to be injurious or dangerous to the child or others. An
421.33 injurious or dangerous environment may include, but is not
421.34 limited to, the exposure of a child to criminal activity in the
421.35 child's home;
421.36 (10) has engaged in prostitution as defined in section
422.1 609.321, subdivision 9;
422.2 (10) (11) has committed a delinquent act before becoming
422.3 ten years old;
422.4 (11) (12) is a runaway;
422.5 (12) (13) is an habitual truant;
422.6 (13) (14) has been found incompetent to proceed or has been
422.7 found not guilty by reason of mental illness or mental
422.8 deficiency in connection with a delinquency proceeding, a
422.9 certification under section 260.125, an extended jurisdiction
422.10 juvenile prosecution, or a proceeding involving a juvenile petty
422.11 offense;
422.12 (14) (15) is one whose custodial parent's parental rights
422.13 to another child have been involuntarily terminated within the
422.14 past five years; or
422.15 (15) (16) has been found by the court to have committed
422.16 domestic abuse perpetrated by a minor under Laws 1997, chapter
422.17 239, article 10, sections 2 to 26, has been ordered excluded
422.18 from the child's parent's home by an order for protection/minor
422.19 respondent, and the parent or guardian is either unwilling or
422.20 unable to provide an alternative safe living arrangement for the
422.21 child.
422.22 Sec. 25. Minnesota Statutes 1997 Supplement, section
422.23 260.015, subdivision 29, is amended to read:
422.24 Subd. 29. [EGREGIOUS HARM.] "Egregious harm" means the
422.25 infliction of bodily harm to a child or neglect of a child which
422.26 demonstrates a grossly inadequate ability to provide minimally
422.27 adequate parental care. The egregious harm need not have
422.28 occurred in the state or in the county where a termination of
422.29 parental rights action is otherwise properly venued. Egregious
422.30 harm includes, but is not limited to:
422.31 (1) conduct towards a child that constitutes a violation of
422.32 sections 609.185 to 609.21, 609.222, subdivision 2, 609.223, or
422.33 any other similar law of any other state;
422.34 (2) the infliction of "substantial bodily harm" to a child,
422.35 as defined in section 609.02, subdivision 8;
422.36 (3) conduct towards a child that constitutes felony
423.1 malicious punishment of a child under section 609.377;
423.2 (4) conduct towards a child that constitutes felony
423.3 unreasonable restraint of a child under section 609.255,
423.4 subdivision 3;
423.5 (5) conduct towards a child that constitutes felony neglect
423.6 or endangerment of a child under section 609.378;
423.7 (6) conduct towards a child that constitutes assault under
423.8 section 609.221, 609.222, or 609.223;
423.9 (7) conduct towards a child that constitutes solicitation,
423.10 inducement, or promotion of prostitution under section 609.322;
423.11 (8) conduct towards a child that constitutes receiving
423.12 profit derived from prostitution under section 609.323; or
423.13 (9) conduct toward a child that constitutes a violation of
423.14 murder or voluntary manslaughter as defined by United States
423.15 Code, title 18, section 1111(a) or 1112(a); or
423.16 (10) conduct toward a child that constitutes aiding or
423.17 abetting, attempting, conspiring, or soliciting to commit a
423.18 murder or voluntary manslaughter that constitutes a violation of
423.19 United States Code, title 18, section 1111(a) or 1112(a).
423.20 Sec. 26. Minnesota Statutes 1996, section 260.141, is
423.21 amended by adding a subdivision to read:
423.22 Subd. 4. [NOTICE TO FOSTER PARENTS AND PREADOPTIVE PARENTS
423.23 AND RELATIVES.] The foster parents, if any, of a child and any
423.24 preadoptive parent or relative providing care for the child must
423.25 be provided notice of and an opportunity to be heard in any
423.26 review or hearing to be held with respect to the child. Any
423.27 other relative may also request, and must be granted, a notice
423.28 and the opportunity to be heard under this section. This
423.29 subdivision does not require that a foster parent, preadoptive
423.30 parent, or relative providing care for the child be made a party
423.31 to a review or hearing solely on the basis of the notice and
423.32 opportunity to be heard.
423.33 Sec. 27. Minnesota Statutes 1997 Supplement, section
423.34 260.161, subdivision 2, is amended to read:
423.35 Subd. 2. [PUBLIC INSPECTION OF RECORDS.] Except as
423.36 otherwise provided in this section, and except for (a) Legal
424.1 records arising from proceedings or portions of proceedings that
424.2 are public under section 260.155, subdivision 1, are open to
424.3 public inspection.
424.4 (b) The following records from proceedings or portions of
424.5 proceedings involving a child in need of protection or services
424.6 that are open to the public as authorized by supreme court order
424.7 and court rules are accessible to the public unless the court
424.8 determines that access should be restricted because of the
424.9 intensely personal nature of the information:
424.10 (1) the summons and petition;
424.11 (2) affidavits of publication and service;
424.12 (3) certificates of representation;
424.13 (4) court orders;
424.14 (5) hearing and trial notices, witness lists, and
424.15 subpoenas;
424.16 (6) motions and legal memoranda;
424.17 (7) exhibits introduced at hearings or trial that are not
424.18 inaccessible under paragraph (c);
424.19 (8) birth certificates; and
424.20 (9) all other documents not listed as inaccessible to the
424.21 public under paragraph (c).
424.22 (c) The following records are not accessible to the public
424.23 under paragraph (b):
424.24 (1) written, audiotaped, or videotaped information from the
424.25 social service agency, except to the extent the information
424.26 appears in the petition, court orders, or other documents that
424.27 are accessible under paragraph (b);
424.28 (2) child protection intake or screening notes;
424.29 (3) documents identifying reporters of maltreatment, unless
424.30 the names and other identifying information are redacted;
424.31 (4) guardian ad litem reports;
424.32 (5) victim statements and addresses and telephone numbers;
424.33 (6) documents identifying nonparty witnesses under the age
424.34 of 18, unless the names and other identifying information are
424.35 redacted;
424.36 (7) transcripts of testimony taken during closed hearing;
425.1 (8) fingerprinting materials;
425.2 (9) psychological, psychiatric, and chemical dependency
425.3 evaluations;
425.4 (10) presentence evaluations of juveniles and probation
425.5 reports;
425.6 (11) medical records and test results;
425.7 (12) reports issued by sexual predator programs;
425.8 (13) diversion records of juveniles; and
425.9 (14) any document which the court, upon its own motion or
425.10 upon motion of a party, orders inaccessible to serve the best
425.11 interests of the child.
425.12 In addition, records that are accessible to the public
425.13 under paragraph (b) become inaccessible to the public if one
425.14 year has elapsed since either the proceeding was dismissed or
425.15 the court's jurisdiction over the matter was terminated.
425.16 (d) Except as otherwise provided by this section, none of
425.17 the records of the juvenile court and none of the records
425.18 relating to an appeal from a nonpublic juvenile court
425.19 proceeding, except the written appellate opinion, shall be open
425.20 to public inspection or their contents disclosed except (a) by
425.21 order of a court, (b) as required by sections 245A.04, 611A.03,
425.22 611A.04, 611A.06, and 629.73, or (c) the name of a juvenile who
425.23 is the subject of a delinquency petition shall be released to
425.24 the victim of the alleged delinquent act upon the victim's
425.25 request; unless it reasonably appears that the request is
425.26 prompted by a desire on the part of the requester to engage in
425.27 unlawful activities. The records of juvenile probation officers
425.28 and county home schools are records of the court for the
425.29 purposes of this subdivision. Court services data relating to
425.30 delinquent acts that are contained in records of the juvenile
425.31 court may be released as allowed under section 13.84,
425.32 subdivision 5a. This subdivision applies to all proceedings
425.33 under this chapter, including appeals from orders of the
425.34 juvenile court, except that this subdivision does not apply to
425.35 proceedings under section 260.255, 260.261, or 260.315 when the
425.36 proceeding involves an adult defendant. The court shall
426.1 maintain the confidentiality of adoption files and records in
426.2 accordance with the provisions of laws relating to adoptions.
426.3 In juvenile court proceedings any report or social history
426.4 furnished to the court shall be open to inspection by the
426.5 attorneys of record and the guardian ad litem a reasonable time
426.6 before it is used in connection with any proceeding before the
426.7 court.
426.8 (e) When a judge of a juvenile court, or duly authorized
426.9 agent of the court, determines under a proceeding under this
426.10 chapter that a child has violated a state or local law,
426.11 ordinance, or regulation pertaining to the operation of a motor
426.12 vehicle on streets and highways, except parking violations, the
426.13 judge or agent shall immediately report the violation to the
426.14 commissioner of public safety. The report must be made on a
426.15 form provided by the department of public safety and must
426.16 contain the information required under section 169.95.
426.17 Sec. 28. Minnesota Statutes 1996, section 260.172,
426.18 subdivision 1, is amended to read:
426.19 Subdivision 1. [HEARING AND RELEASE REQUIREMENTS.] (a) If
426.20 a child was taken into custody under section 260.165,
426.21 subdivision 1, clause (a) or (c)(2), the court shall hold a
426.22 hearing within 72 hours of the time the child was taken into
426.23 custody, excluding Saturdays, Sundays, and holidays, to
426.24 determine whether the child should continue in custody.
426.25 (b) In all other cases, the court shall hold a detention
426.26 hearing:
426.27 (1) within 36 hours of the time the child was taken into
426.28 custody, excluding Saturdays, Sundays, and holidays, if the
426.29 child is being held at a juvenile secure detention facility or
426.30 shelter care facility; or
426.31 (2) within 24 hours of the time the child was taken into
426.32 custody, excluding Saturdays, Sundays, and holidays, if the
426.33 child is being held at an adult jail or municipal lockup.
426.34 (c) Unless there is reason to believe that the child would
426.35 endanger self or others, not return for a court hearing, run
426.36 away from the child's parent, guardian, or custodian or
427.1 otherwise not remain in the care or control of the person to
427.2 whose lawful custody the child is released, or that the child's
427.3 health or welfare would be immediately endangered, the child
427.4 shall be released to the custody of a parent, guardian,
427.5 custodian, or other suitable person, subject to reasonable
427.6 conditions of release including, but not limited to, a
427.7 requirement that the child undergo a chemical use assessment as
427.8 provided in section 260.151, subdivision 1. In determining
427.9 whether the child's health or welfare would be immediately
427.10 endangered, the court shall consider whether the child would
427.11 reside with a perpetrator of domestic child abuse. In a
427.12 proceeding regarding a child in need of protection or services,
427.13 the court, before determining whether a child should continue in
427.14 custody, shall also make a determination, consistent with
427.15 section 260.012 as to whether reasonable efforts, or in the case
427.16 of an Indian child, active efforts, according to the Indian
427.17 Child Welfare Act of 1978, United States Code, title 25, section
427.18 1912(d), were made to prevent placement or to reunite the child
427.19 with the child's family, or that reasonable efforts were not
427.20 possible. The court shall also determine whether there are
427.21 available services that would prevent the need for further
427.22 detention.
427.23 If the court finds the social services agency's preventive
427.24 or reunification efforts have not been reasonable but further
427.25 preventive or reunification efforts could not permit the child
427.26 to safely remain at home, the court may nevertheless authorize
427.27 or continue the removal of the child.
427.28 The court may determine at the detention hearing, or at any
427.29 time prior to an adjudicatory hearing, that reasonable efforts
427.30 are not required because the facts, if proved, will demonstrate
427.31 that the parent has subjected the child to egregious harm as
427.32 defined in section 260.015, subdivision 29, or the parental
427.33 rights of the parent to a sibling of the child have been
427.34 terminated involuntarily.
427.35 Sec. 29. Minnesota Statutes 1997 Supplement, section
427.36 260.191, subdivision 1, is amended to read:
428.1 Subdivision 1. [DISPOSITIONS.] (a) If the court finds that
428.2 the child is in need of protection or services or neglected and
428.3 in foster care, it shall enter an order making any of the
428.4 following dispositions of the case:
428.5 (1) place the child under the protective supervision of the
428.6 local social services agency or child-placing agency in the
428.7 child's own home under conditions prescribed by the court
428.8 directed to the correction of the child's need for protection or
428.9 services;
428.10 (2) transfer legal custody to one of the following:
428.11 (i) a child-placing agency; or
428.12 (ii) the local social services agency.
428.13 In placing a child whose custody has been transferred under
428.14 this paragraph, the agencies shall follow the order of
428.15 preference stated in section 260.181, subdivision 3;
428.16 (3) if the child is in need of special treatment and care
428.17 for reasons of physical or mental health, the court may order
428.18 the child's parent, guardian, or custodian to provide it. If
428.19 the parent, guardian, or custodian fails or is unable to provide
428.20 this treatment or care, the court may order it provided. The
428.21 court shall not transfer legal custody of the child for the
428.22 purpose of obtaining special treatment or care solely because
428.23 the parent is unable to provide the treatment or care. If the
428.24 court's order for mental health treatment is based on a
428.25 diagnosis made by a treatment professional, the court may order
428.26 that the diagnosing professional not provide the treatment to
428.27 the child if it finds that such an order is in the child's best
428.28 interests; or
428.29 (4) if the court believes that the child has sufficient
428.30 maturity and judgment and that it is in the best interests of
428.31 the child, the court may order a child 16 years old or older to
428.32 be allowed to live independently, either alone or with others as
428.33 approved by the court under supervision the court considers
428.34 appropriate, if the county board, after consultation with the
428.35 court, has specifically authorized this dispositional
428.36 alternative for a child.
429.1 (b) If the child was adjudicated in need of protection or
429.2 services because the child is a runaway or habitual truant, the
429.3 court may order any of the following dispositions in addition to
429.4 or as alternatives to the dispositions authorized under
429.5 paragraph (a):
429.6 (1) counsel the child or the child's parents, guardian, or
429.7 custodian;
429.8 (2) place the child under the supervision of a probation
429.9 officer or other suitable person in the child's own home under
429.10 conditions prescribed by the court, including reasonable rules
429.11 for the child's conduct and the conduct of the parents,
429.12 guardian, or custodian, designed for the physical, mental, and
429.13 moral well-being and behavior of the child; or with the consent
429.14 of the commissioner of corrections, place the child in a group
429.15 foster care facility which is under the commissioner's
429.16 management and supervision;
429.17 (3) subject to the court's supervision, transfer legal
429.18 custody of the child to one of the following:
429.19 (i) a reputable person of good moral character. No person
429.20 may receive custody of two or more unrelated children unless
429.21 licensed to operate a residential program under sections 245A.01
429.22 to 245A.16; or
429.23 (ii) a county probation officer for placement in a group
429.24 foster home established under the direction of the juvenile
429.25 court and licensed pursuant to section 241.021;
429.26 (4) require the child to pay a fine of up to $100. The
429.27 court shall order payment of the fine in a manner that will not
429.28 impose undue financial hardship upon the child;
429.29 (5) require the child to participate in a community service
429.30 project;
429.31 (6) order the child to undergo a chemical dependency
429.32 evaluation and, if warranted by the evaluation, order
429.33 participation by the child in a drug awareness program or an
429.34 inpatient or outpatient chemical dependency treatment program;
429.35 (7) if the court believes that it is in the best interests
429.36 of the child and of public safety that the child's driver's
430.1 license or instruction permit be canceled, the court may order
430.2 the commissioner of public safety to cancel the child's license
430.3 or permit for any period up to the child's 18th birthday. If
430.4 the child does not have a driver's license or permit, the court
430.5 may order a denial of driving privileges for any period up to
430.6 the child's 18th birthday. The court shall forward an order
430.7 issued under this clause to the commissioner, who shall cancel
430.8 the license or permit or deny driving privileges without a
430.9 hearing for the period specified by the court. At any time
430.10 before the expiration of the period of cancellation or denial,
430.11 the court may, for good cause, order the commissioner of public
430.12 safety to allow the child to apply for a license or permit, and
430.13 the commissioner shall so authorize;
430.14 (8) order that the child's parent or legal guardian deliver
430.15 the child to school at the beginning of each school day for a
430.16 period of time specified by the court; or
430.17 (9) require the child to perform any other activities or
430.18 participate in any other treatment programs deemed appropriate
430.19 by the court.
430.20 To the extent practicable, the court shall enter a
430.21 disposition order the same day it makes a finding that a child
430.22 is in need of protection or services or neglected and in foster
430.23 care, but in no event more than 15 days after the finding unless
430.24 the court finds that the best interests of the child will be
430.25 served by granting a delay. If the child was under eight years
430.26 of age at the time the petition was filed, the disposition order
430.27 must be entered within ten days of the finding and the court may
430.28 not grant a delay unless good cause is shown and the court finds
430.29 the best interests of the child will be served by the delay.
430.30 (c) If a child who is 14 years of age or older is
430.31 adjudicated in need of protection or services because the child
430.32 is a habitual truant and truancy procedures involving the child
430.33 were previously dealt with by a school attendance review board
430.34 or county attorney mediation program under section 260A.06 or
430.35 260A.07, the court shall order a cancellation or denial of
430.36 driving privileges under paragraph (b), clause (7), for any
431.1 period up to the child's 18th birthday.
431.2 (d) In the case of a child adjudicated in need of
431.3 protection or services because the child has committed domestic
431.4 abuse and been ordered excluded from the child's parent's home,
431.5 the court shall dismiss jurisdiction if the court, at any time,
431.6 finds the parent is able or willing to provide an alternative
431.7 safe living arrangement for the child, as defined in Laws 1997,
431.8 chapter 239, article 10, section 2.
431.9 Sec. 30. Minnesota Statutes 1997 Supplement, section
431.10 260.191, subdivision 1a, is amended to read:
431.11 Subd. 1a. [WRITTEN FINDINGS.] Any order for a disposition
431.12 authorized under this section shall contain written findings of
431.13 fact to support the disposition ordered, and shall also set
431.14 forth in writing the following information:
431.15 (a) Why the best interests of the child are served by the
431.16 disposition ordered;
431.17 (b) What alternative dispositions were considered by the
431.18 court and why such dispositions were not appropriate in the
431.19 instant case;
431.20 (c) How the court's disposition complies with the
431.21 requirements of section 260.181, subdivision 3; and
431.22 (d) Whether reasonable efforts consistent with section
431.23 260.012 were made to prevent or eliminate the necessity of the
431.24 child's removal and to reunify the family after removal. The
431.25 court's findings must include a brief description of what
431.26 preventive and reunification efforts were made and why further
431.27 efforts could not have prevented or eliminated the necessity of
431.28 removal or that reasonable efforts were not required under
431.29 section 260.012 or 260.172, subdivision 1.
431.30 If the court finds that the social services agency's
431.31 preventive or reunification efforts have not been reasonable but
431.32 that further preventive or reunification efforts could not
431.33 permit the child to safely remain at home, the court may
431.34 nevertheless authorize or continue the removal of the child.
431.35 Sec. 31. Minnesota Statutes 1997 Supplement, section
431.36 260.191, subdivision 3a, is amended to read:
432.1 Subd. 3a. [COURT REVIEW OF OUT-OF-HOME PLACEMENTS.] (a) If
432.2 the court places a child in a residential facility, as defined
432.3 in section 257.071, subdivision 1, the court shall review the
432.4 out-of-home placement at least every six months to determine
432.5 whether continued out-of-home placement is necessary and
432.6 appropriate or whether the child should be returned home. The
432.7 court shall review agency efforts pursuant to section 257.072,
432.8 subdivision 1, and order that the efforts continue if the agency
432.9 has failed to perform the duties under that section. The court
432.10 shall review the case plan and may modify the case plan as
432.11 provided under subdivisions 1e and 2. If the court orders
432.12 continued out-of-home placement, the court shall notify the
432.13 parents of the provisions of subdivision 3b.
432.14 (b) When the court determines that a permanent placement
432.15 hearing is necessary because there is a likelihood that the
432.16 child will not return to a parent's care, the court may
432.17 authorize the agency with custody of the child to send the
432.18 notice provided in this paragraph to any adult with whom the
432.19 child is currently residing, any adult with whom the child has
432.20 resided for one year or longer in the past, any adult who has
432.21 maintained a relationship or exercised visitation with the child
432.22 as identified in the agency case plan for the child or
432.23 demonstrated an interest in the child, and any relative who has
432.24 provided a current address to the local social service agency.
432.25 This notice must not be provided to a parent whose parental
432.26 rights to the child have been terminated under section 260.221,
432.27 subdivision 1. The notice must state that a permanent home is
432.28 sought for the child and that individuals receiving the notice
432.29 may indicate to the agency within 30 days their interest in
432.30 providing a permanent home section 257.071, subdivision 1d,
432.31 paragraph (b), or may modify the requirements of the agency
432.32 under section 257.071, subdivision 1d, paragraph (b), or may
432.33 completely relieve the responsible social service agency of the
432.34 requirements of section 257.071, subdivision 1d, paragraph (b),
432.35 when the child is placed with an appropriate relative who wishes
432.36 to provide a permanent home for the child. The actions ordered
433.1 by the court under this section must be consistent with the best
433.2 interests, safety, and welfare of the child.
433.3 Sec. 32. Minnesota Statutes 1997 Supplement, section
433.4 260.191, subdivision 3b, is amended to read:
433.5 Subd. 3b. [REVIEW OF COURT ORDERED PLACEMENTS; PERMANENT
433.6 PLACEMENT DETERMINATION.] (a) The court shall conduct a hearing
433.7 to determine the permanent status of a child not later than 12
433.8 months after the child is placed out of the home of the parent,
433.9 except that if the child was under eight years of age at the
433.10 time a petition that the child is in need of protection or
433.11 services was filed, the hearing must be conducted no later than
433.12 six months after the child is placed out of the home of the
433.13 parents.
433.14 For purposes of this subdivision, the date of the child's
433.15 placement out of the home of the parent is the earlier of the
433.16 first court-ordered placement or the first court-approved
433.17 placement under section 257.071, subdivision 3, of a child who
433.18 had been in voluntary placement 60 days after the date on which
433.19 the child has been voluntarily placed out of the home.
433.20 For purposes of this subdivision, 12 months is calculated
433.21 as follows:
433.22 (1) during the pendency of a petition alleging that a child
433.23 is in need of protection or services, all time periods when a
433.24 child is placed out of the home of the parent are cumulated;
433.25 (2) if a child has been placed out of the home of the
433.26 parent within the previous five years in connection with one or
433.27 more prior petitions for a child in need of protection or
433.28 services, the lengths of all prior time periods when the child
433.29 was placed out of the home within the previous five years and
433.30 under the current petition, are cumulated. If a child under
433.31 this clause has been out of the home for 12 months or more, the
433.32 court, if it is in the best interests of the child, may extend
433.33 the total time the child may continue out of the home under the
433.34 current petition up to an additional six months before making a
433.35 permanency determination.
433.36 (b) Not later than ten days prior to this hearing, the
434.1 responsible social service agency shall file pleadings to
434.2 establish the basis for the permanent placement determination.
434.3 Notice of the hearing and copies of the pleadings must be
434.4 provided pursuant to section 260.141. If a termination of
434.5 parental rights petition is filed before the date required for
434.6 the permanency planning determination, no hearing need be
434.7 conducted under this subdivision. The court shall determine
434.8 whether the child is to be returned home or, if not, what
434.9 permanent placement is consistent with the child's best
434.10 interests. The "best interests of the child" means all relevant
434.11 factors to be considered and evaluated.
434.12 (c) At a hearing under this subdivision, if the child was
434.13 under eight years of age at the time a petition that the child
434.14 is in need of protection or services was filed, the court shall
434.15 review the progress of the case and the case plan, including the
434.16 provision of services. The court may order the local social
434.17 service agency to show cause why it should not file a
434.18 termination of parental rights petition. Cause may include, but
434.19 is not limited to, the following conditions:
434.20 (1) the parents or guardians have maintained regular
434.21 contact with the child, the parents are complying with the
434.22 court-ordered case plan, and the child would benefit from
434.23 continuing this relationship;
434.24 (2) grounds for termination under section 260.221 do not
434.25 exist; or
434.26 (3) the permanent plan for the child is transfer of
434.27 permanent legal and physical custody to a relative.
434.28 (d) If the child is not returned to the home, the
434.29 dispositions available for permanent placement determination are:
434.30 (1) permanent legal and physical custody to a relative in
434.31 the best interests of the child. In transferring permanent
434.32 legal and physical custody to a relative, the juvenile court
434.33 shall follow the standards and procedures applicable under
434.34 chapter 257 or 518. An order establishing permanent legal or
434.35 physical custody under this subdivision must be filed with the
434.36 family court. A transfer of legal and physical custody includes
435.1 responsibility for the protection, education, care, and control
435.2 of the child and decision making on behalf of the child. The
435.3 social service agency may petition on behalf of the proposed
435.4 custodian;
435.5 (2) termination of parental rights and adoption; the social
435.6 service agency shall file a petition for termination of parental
435.7 rights under section 260.231 and all the requirements of
435.8 sections 260.221 to 260.245 remain applicable. An adoption
435.9 completed subsequent to a determination under this subdivision
435.10 may include an agreement for communication or contact under
435.11 section 259.58; or
435.12 (3) long-term foster care; transfer of legal custody and
435.13 adoption are preferred permanency options for a child who cannot
435.14 return home. The court may order a child into long-term foster
435.15 care only if it finds that neither an award of legal and
435.16 physical custody to a relative, nor termination of parental
435.17 rights nor adoption is in the child's best interests. Further,
435.18 the court may only order long-term foster care for the child
435.19 under this section if it finds the following:
435.20 (i) the child has reached age 12 and reasonable efforts by
435.21 the responsible social service agency have failed to locate an
435.22 adoptive family for the child; or
435.23 (ii) the child is a sibling of a child described in clause
435.24 (i) and the siblings have a significant positive relationship
435.25 and are ordered into the same long-term foster care home; or
435.26 (4) foster care for a specified period of time may be
435.27 ordered only if:
435.28 (i) the sole basis for an adjudication that a child is in
435.29 need of protection or services is that the child is a runaway,
435.30 is an habitual truant, or committed a delinquent act before age
435.31 ten; and
435.32 (ii) the court finds that foster care for a specified
435.33 period of time is in the best interests of the child.
435.34 (d) In ordering a permanent placement of a child, the court
435.35 must be governed by the best interests of the child, including a
435.36 review of the relationship between the child and relatives and
436.1 the child and other important persons with whom the child has
436.2 resided or had significant contact.
436.3 (e) Once a permanent placement determination has been made
436.4 and permanent placement has been established, further court
436.5 reviews and dispositional hearings are only necessary if the
436.6 placement is made under paragraph (c), clause (4), review is
436.7 otherwise required by federal law, an adoption has not yet been
436.8 finalized, or there is a disruption of the permanent or
436.9 long-term placement.
436.10 (f) An order under this subdivision must include the
436.11 following detailed findings:
436.12 (1) how the child's best interests are served by the order;
436.13 (2) the nature and extent of the responsible social service
436.14 agency's reasonable efforts, or, in the case of an Indian child,
436.15 active efforts, to reunify the child with the parent or parents;
436.16 (3) the parent's or parents' efforts and ability to use
436.17 services to correct the conditions which led to the out-of-home
436.18 placement;
436.19 (4) whether the conditions which led to the out-of-home
436.20 placement have been corrected so that the child can return home;
436.21 and
436.22 (5) if the child cannot be returned home, whether there is
436.23 a substantial probability of the child being able to return home
436.24 in the next six months.
436.25 (g) An order for permanent legal and physical custody of a
436.26 child may be modified under sections 518.18 and 518.185. The
436.27 social service agency is a party to the proceeding and must
436.28 receive notice. An order for long-term foster care is
436.29 reviewable upon motion and a showing by the parent of a
436.30 substantial change in the parent's circumstances such that the
436.31 parent could provide appropriate care for the child and that
436.32 removal of the child from the child's permanent placement and
436.33 the return to the parent's care would be in the best interest of
436.34 the child.
436.35 Sec. 33. Minnesota Statutes 1996, section 260.221, as
436.36 amended by Laws 1997, chapters 218, sections 10 and 11, and 239,
437.1 article 6, section 30, is amended to read:
437.2 260.221 [GROUNDS FOR TERMINATION OF PARENTAL RIGHTS.]
437.3 Subdivision 1. [VOLUNTARY AND INVOLUNTARY.] The juvenile
437.4 court may upon petition, terminate all rights of a parent to a
437.5 child:
437.6 (a) with the written consent of a parent who for good cause
437.7 desires to terminate parental rights; or
437.8 (b) if it finds that one or more of the following
437.9 conditions exist:
437.10 (1) that the parent has abandoned the child; or
437.11 (2) that the parent has substantially, continuously, or
437.12 repeatedly refused or neglected to comply with the duties
437.13 imposed upon that parent by the parent and child relationship,
437.14 including but not limited to providing the child with necessary
437.15 food, clothing, shelter, education, and other care and control
437.16 necessary for the child's physical, mental, or emotional health
437.17 and development, if the parent is physically and financially
437.18 able, and reasonable efforts by the social service agency have
437.19 failed to correct the conditions that formed the basis of the
437.20 petition; or
437.21 (3) that a parent has been ordered to contribute to the
437.22 support of the child or financially aid in the child's birth and
437.23 has continuously failed to do so without good cause. This
437.24 clause shall not be construed to state a grounds for termination
437.25 of parental rights of a noncustodial parent if that parent has
437.26 not been ordered to or cannot financially contribute to the
437.27 support of the child or aid in the child's birth; or
437.28 (4) that a parent is palpably unfit to be a party to the
437.29 parent and child relationship because of a consistent pattern of
437.30 specific conduct before the child or of specific conditions
437.31 directly relating to the parent and child relationship either of
437.32 which are determined by the court to be of a duration or nature
437.33 that renders the parent unable, for the reasonably foreseeable
437.34 future, to care appropriately for the ongoing physical, mental,
437.35 or emotional needs of the child. It is presumed that a parent
437.36 is palpably unfit to be a party to the parent and child
438.1 relationship upon a showing that:
438.2 (i) the child was adjudicated in need of protection or
438.3 services due to circumstances described in section 260.015,
438.4 subdivision 2a, clause (1), (2), (3), (5), or (8); and
438.5 (ii) the parent's parental rights to one or more other
438.6 children were involuntarily terminated under clause (1), (2),
438.7 (4), or (7), or under clause (5) if the child was initially
438.8 determined to be in need of protection or services due to
438.9 circumstances described in section 260.015, subdivision 2a,
438.10 clause (1), (2), (3), (5), or (8); or
438.11 (5) that following upon a determination of neglect or
438.12 dependency, or of a child's need for protection or services,
438.13 reasonable efforts, under the direction of the court, have
438.14 failed to correct the conditions leading to the determination.
438.15 It is presumed that reasonable efforts under this clause have
438.16 failed upon a showing that:
438.17 (i) a child has resided out of the parental home under
438.18 court order for a cumulative period of more than one year within
438.19 a five-year period following an adjudication of dependency,
438.20 neglect, need for protection or services under section 260.015,
438.21 subdivision 2a, clause (1), (2), (3), (6), (8), or (9), or
438.22 neglected and in foster care, and an order for disposition under
438.23 section 260.191, including adoption of the case plan required by
438.24 section 257.071;
438.25 (ii) conditions leading to the determination will not be
438.26 corrected within the reasonably foreseeable future. It is
438.27 presumed that conditions leading to a child's out-of-home
438.28 placement will not be corrected in the reasonably foreseeable
438.29 future upon a showing that the parent or parents have not
438.30 substantially complied with the court's orders and a reasonable
438.31 case plan, and the conditions which led to the out-of-home
438.32 placement have not been corrected; and
438.33 (iii) reasonable efforts have been made by the social
438.34 service agency to rehabilitate the parent and reunite the family.
438.35 This clause does not prohibit the termination of parental
438.36 rights prior to one year after a child has been placed out of
439.1 the home.
439.2 It is also presumed that reasonable efforts have failed
439.3 under this clause upon a showing that:
439.4 (i) the parent has been diagnosed as chemically dependent
439.5 by a professional certified to make the diagnosis;
439.6 (ii) the parent has been required by a case plan to
439.7 participate in a chemical dependency treatment program;
439.8 (iii) the treatment programs offered to the parent were
439.9 culturally, linguistically, and clinically appropriate;
439.10 (iv) the parent has either failed two or more times to
439.11 successfully complete a treatment program or has refused at two
439.12 or more separate meetings with a caseworker to participate in a
439.13 treatment program; and
439.14 (v) the parent continues to abuse chemicals.
439.15 Provided, that this presumption applies only to parents required
439.16 by a case plan to participate in a chemical dependency treatment
439.17 program on or after July 1, 1990; or
439.18 (6) that a child has experienced egregious harm in the
439.19 parent's care which is of a nature, duration, or chronicity that
439.20 indicates a lack of regard for the child's well-being, such that
439.21 a reasonable person would believe it contrary to the best
439.22 interest of the child or of any child to be in the parent's
439.23 care; or
439.24 (7) that in the case of a child born to a mother who was
439.25 not married to the child's father when the child was conceived
439.26 nor when the child was born the person is not entitled to notice
439.27 of an adoption hearing under section 259.49 and the person has
439.28 not registered with the putative fathers' adoption registry
439.29 under section 259.52; or
439.30 (8) that the child is neglected and in foster care; or
439.31 (9) that the parent has been convicted of a crime listed in
439.32 section 260.012, paragraph (b), clauses (1) to (3).
439.33 In an action involving an American Indian child, sections
439.34 257.35 to 257.3579 and the Indian Child Welfare Act, United
439.35 States Code, title 25, sections 1901 to 1923, control to the
439.36 extent that the provisions of this section are inconsistent with
440.1 those laws.
440.2 Subd. 1a. [EVIDENCE OF ABANDONMENT.] For purposes of
440.3 subdivision 1, paragraph (b), clause (1):
440.4 (a) Abandonment is presumed when:
440.5 (1) the parent has had no contact with the child on a
440.6 regular basis and not demonstrated consistent interest in the
440.7 child's well-being for six months; and
440.8 (2) the social service agency has made reasonable efforts
440.9 to facilitate contact, unless the parent establishes that an
440.10 extreme financial or physical hardship or treatment for mental
440.11 disability or chemical dependency or other good cause prevented
440.12 the parent from making contact with the child. This presumption
440.13 does not apply to children whose custody has been determined
440.14 under chapter 257 or 518. The court is not prohibited from
440.15 finding abandonment in the absence of this presumption; or
440.16 (2) the child is an infant under two years of age and has
440.17 been deserted by the parent under circumstances that show an
440.18 intent not to return to care for the child.
440.19 (b) The following are prima facie evidence of abandonment
440.20 where adoption proceedings are pending and there has been a
440.21 showing that the person was not entitled to notice of an
440.22 adoption proceeding under section 259.49:
440.23 (1) failure to register with the putative fathers' adoption
440.24 registry under section 259.52; or
440.25 (2) if the person registered with the putative fathers'
440.26 adoption registry under section 259.52:
440.27 (i) filing a denial of paternity within 30 days of receipt
440.28 of notice under section 259.52, subdivision 8;
440.29 (ii) failing to timely file an intent to claim parental
440.30 rights with entry of appearance form within 30 days of receipt
440.31 of notice under section 259.52, subdivision 10; or
440.32 (iii) timely filing an intent to claim parental rights with
440.33 entry of appearance form within 30 days of receipt of notice
440.34 under section 259.52, subdivision 10, but failing to initiate a
440.35 paternity action within 30 days of receiving the putative
440.36 fathers' adoption registry notice where there has been no
441.1 showing of good cause for the delay.
441.2 Subd. 1b. [REQUIRED TERMINATION OF PARENTAL RIGHTS.] (a)
441.3 The county attorney shall file a termination of parental rights
441.4 petition within 30 days of a child's placement in out-of-home
441.5 care if the child has been subjected to egregious harm as
441.6 defined in section 260.015, subdivision 29, is the sibling of
441.7 another child of the parent who was subjected to egregious harm,
441.8 or is an abandoned infant as defined in subdivision 1a,
441.9 paragraph (a), clause (2). The local social services agency
441.10 shall concurrently identify, recruit, process, and approve an
441.11 adoptive family for the child. If a termination of parental
441.12 rights petition has been filed by another party the local social
441.13 services agency shall be joined as a party to the petition. If
441.14 criminal charges have been filed against a parent arising out of
441.15 the conduct alleged to constitute egregious harm, the county
441.16 attorney shall determine which matter should proceed to trial
441.17 first, consistent with the best interests of the child and
441.18 subject to the defendant's right to a speedy trial.
441.19 (b) This requirement does not apply if the county attorney
441.20 determines and files with the court its determination that a
441.21 transfer of permanent legal and physical custody to a relative
441.22 is in the best interests of the child or there is a compelling
441.23 reason documented by the local social services agency that
441.24 filing the petition would not be in the best interests of the
441.25 child.
441.26 Subd. 1c. [CURRENT FOSTER CARE CHILDREN.] The county
441.27 attorney shall file a termination of parental rights petition or
441.28 other permanent placement proceeding under section 260.191,
441.29 subdivision 3b, for all children determined to be in need of
441.30 protection or services who are placed in out-of-home care for
441.31 reasons other than care or treatment of the child's disability,
441.32 and who are in out-of-home placement on the day following final
441.33 enactment of this section, and have been in out-of-home care for
441.34 15 of the most recent 22 months.
441.35 Subd. 2. [ADOPTIVE PARENT.] For purposes of subdivision 1,
441.36 clause (a), an adoptive parent may not terminate parental rights
442.1 to an adopted child for a reason that would not apply to a birth
442.2 parent seeking termination of parental rights to a child under
442.3 subdivision 1, clause (a).
442.4 Subd. 3. [WHEN PRIOR FINDING REQUIRED.] For purposes of
442.5 subdivision 1, clause (b), no prior judicial finding of
442.6 dependency, neglect, need for protection or services, or
442.7 neglected and in foster care is required, except as provided in
442.8 subdivision 1, clause (b), item (5).
442.9 Subd. 4. [BEST INTERESTS OF CHILD PARAMOUNT.] In any
442.10 proceeding under this section, the best interests of the child
442.11 must be the paramount consideration, provided that the
442.12 conditions in subdivision 1, clause (a), or at least one
442.13 condition in subdivision 1, clause (b), are found by the court.
442.14 In proceedings involving an American Indian child, as defined in
442.15 section 257.351, subdivision 6, the best interests of the child
442.16 must be determined consistent with the Indian Child Welfare Act
442.17 of 1978, United States Code, title 25, section 1901, et seq.
442.18 Where the interests of parent and child conflict, the interests
442.19 of the child are paramount.
442.20 Subd. 5. [FINDINGS REGARDING REASONABLE EFFORTS.] In any
442.21 proceeding under this section, the court shall make specific
442.22 findings:
442.23 (1) regarding the nature and extent of efforts made by the
442.24 social service agency to rehabilitate the parent and reunite the
442.25 family;
442.26 (2) that provision of services or further services for the
442.27 purpose of rehabilitation and reunification is futile and
442.28 therefore unreasonable under the circumstances; or
442.29 (3) that reasonable efforts at reunification is are not
442.30 required because the parent has been convicted of a crime listed
442.31 in section 260.012, paragraph (b), clauses (1) to (3) as
442.32 provided under section 260.012.
442.33 Sec. 34. Minnesota Statutes 1997 Supplement, section
442.34 260.241, subdivision 3, is amended to read:
442.35 Subd. 3. [ORDER; RETENTION OF JURISDICTION.] (a) A
442.36 certified copy of the findings and the order terminating
443.1 parental rights, and a summary of the court's information
443.2 concerning the child shall be furnished by the court to the
443.3 commissioner or the agency to which guardianship is
443.4 transferred. The orders shall be on a document separate from
443.5 the findings. The court shall furnish the individual to whom
443.6 guardianship is transferred a copy of the order terminating
443.7 parental rights.
443.8 (b) The court shall retain jurisdiction in a case where
443.9 adoption is the intended permanent placement disposition. The
443.10 guardian ad litem and counsel for the child shall continue on
443.11 the case until an adoption decree is entered. A hearing must be
443.12 held every 90 days following termination of parental rights for
443.13 the court to review progress toward an adoptive placement and
443.14 the specific recruitment efforts the agency has taken to find an
443.15 adoptive family or other placement living arrangement for the
443.16 child and to finalize the adoption or other permanency plan.
443.17 (c) The court shall retain jurisdiction in a case where
443.18 long-term foster care is the permanent disposition. The
443.19 guardian ad litem and counsel for the child must be dismissed
443.20 from the case on the effective date of the permanent placement
443.21 order. However, the foster parent and the child, if of
443.22 sufficient age, must be informed how they may contact a guardian
443.23 ad litem if the matter is subsequently returned to court.
443.24 Sec. 35. Minnesota Statutes 1996, section 626.556, is
443.25 amended by adding a subdivision to read:
443.26 Subd. 11d. [DISCLOSURE IN CHILD FATALITY OR NEAR FATALITY
443.27 CASES.] (a) The definitions in this paragraph apply to this
443.28 section.
443.29 (1) "Child fatality" means the death of a child from
443.30 suspected abuse, neglect, or maltreatment.
443.31 (2) "Near fatality" means a case in which a physician
443.32 determines that a child is in serious or critical condition as
443.33 the result of sickness or injury caused by suspected abuse,
443.34 neglect, or maltreatment.
443.35 (3) "Findings and information" means a written summary
443.36 described in paragraph (c) of actions taken or services rendered
444.1 by a local social services agency following receipt of a report.
444.2 (b) Notwithstanding any other provision of law and subject
444.3 to this subdivision, a public agency shall disclose to the
444.4 public, upon request, the findings and information related to a
444.5 child fatality or near fatality if:
444.6 (1) a person is criminally charged with having caused the
444.7 child fatality or near fatality; or
444.8 (2) a county attorney certifies that a person would have
444.9 been charged with having caused the child fatality or near
444.10 fatality but for that person's death.
444.11 (c) Findings and information disclosed under this
444.12 subdivision consist of a written summary that includes any of
444.13 the following information the agency is able to provide:
444.14 (1) the dates, outcomes, and results of any actions taken
444.15 or services rendered;
444.16 (2) the results of any review of the state child mortality
444.17 review panel, a local child mortality review panel, a local
444.18 community child protection team, or any public agency; and
444.19 (3) confirmation of the receipt of all reports, accepted or
444.20 not accepted, by the local welfare agency for assessment of
444.21 suspected child abuse, neglect, or maltreatment, including
444.22 confirmation that investigations were conducted, the results of
444.23 the investigations, a description of the conduct of the most
444.24 recent investigation and the services rendered, and a statement
444.25 of the basis for the agency's determination.
444.26 (d) Nothing in this subdivision authorizes access to the
444.27 private data in the custody of a local social services agency,
444.28 or the disclosure to the public of the records or content of any
444.29 psychiatric, psychological, or therapeutic evaluations, or the
444.30 disclosure of information that would reveal the identities of
444.31 persons who provided information related to suspected abuse,
444.32 neglect, or maltreatment of the child.
444.33 (e) A person whose request is denied may apply to the
444.34 appropriate court for an order compelling disclosure of all or
444.35 part of the findings and information of the public agency. The
444.36 application must set forth, with reasonable particularity,
445.1 factors supporting the application. The court has jurisdiction
445.2 to issue these orders. Actions under this section must be set
445.3 down for immediate hearing, and subsequent proceedings in those
445.4 actions must be given priority by the appellate courts.
445.5 (f) A public agency or its employees acting in good faith
445.6 in disclosing or declining to disclose information under this
445.7 section are immune from criminal or civil liability that might
445.8 otherwise be incurred or imposed for that action.
445.9 Sec. 36. [EFFECTIVE DATE.]
445.10 Sections 1 to 18, and 20 to 35 are effective the day
445.11 following final enactment. Section 19 is effective retroactive
445.12 to July 1, 1997, and applies to communication or contact
445.13 agreements entered into on or after that date.
445.14 ARTICLE 10
445.15 HEALTH DATA REPORTING
445.16 Section 1. Minnesota Statutes 1996, section 145.411, is
445.17 amended by adding a subdivision to read:
445.18 Subd. 6. [COMMISSIONER.] "Commissioner" means the
445.19 commissioner of health.
445.20 Sec. 2. [145.4131] [RECORDING AND REPORTING ABORTION
445.21 DATA.]
445.22 Subdivision 1. [FORMS.] (a) Within 90 days of the
445.23 effective date of this section, the commissioner shall prepare a
445.24 reporting form for use by physicians or facilities performing
445.25 abortions. A copy of this section shall be attached to the
445.26 form. A physician or facility performing an abortion shall
445.27 obtain a form from the commissioner.
445.28 (b) The form shall require the following information:
445.29 (1) the number of abortions performed by the physician in
445.30 the previous calendar year, reported by month;
445.31 (2) the method used for each abortion;
445.32 (3) the approximate gestational age expressed in one of the
445.33 following increments:
445.34 (i) less than nine weeks;
445.35 (ii) nine to ten weeks;
445.36 (iii) 11 to 12 weeks;
446.1 (iv) 13 to 15 weeks;
446.2 (v) 16 to 20 weeks;
446.3 (vi) 21 to 24 weeks;
446.4 (vii) 25 to 30 weeks;
446.5 (viii) 31 to 36 weeks; or
446.6 (ix) 37 weeks to term;
446.7 (4) the age of the woman at the time the abortion was
446.8 performed;
446.9 (5) the specific reason for the abortion, including, but
446.10 not limited to, the following:
446.11 (i) the pregnancy was a result of rape;
446.12 (ii) the pregnancy was a result of incest;
446.13 (iii) economic reasons;
446.14 (iv) the woman does not want children at this time;
446.15 (v) the woman's emotional health is at stake;
446.16 (vi) the woman's physical health is at stake;
446.17 (vii) the woman will suffer substantial and irreversible
446.18 impairment of a major bodily function if the pregnancy
446.19 continues;
446.20 (viii) the pregnancy resulted in fetal anomalies; or
446.21 (ix) unknown or the woman refused to answer;
446.22 (6) the number of prior induced abortions;
446.23 (7) the number of prior spontaneous abortions;
446.24 (8) whether the abortion was paid for by:
446.25 (i) private coverage;
446.26 (ii) public assistance health coverage; or
446.27 (iii) self-pay;
446.28 (9) whether coverage was under:
446.29 (i) a fee-for-service plan;
446.30 (ii) a capitated private plan; or
446.31 (iii) other;
446.32 (10) complications, if any, for each abortion and for the
446.33 aftermath of each abortion. Space for a description of any
446.34 complications shall be available on the form; and
446.35 (11) the medical specialty of the physician performing the
446.36 abortion.
447.1 Subd. 2. [SUBMISSION.] A physician performing an abortion
447.2 or a facility at which an abortion is performed shall complete
447.3 and submit the form to the commissioner no later than April 1
447.4 for abortions performed in the previous calendar year. The
447.5 annual report to the commissioner shall include the methods used
447.6 to dispose of fetal tissue and remains.
447.7 Subd. 3. [ADDITIONAL REPORTING.] Nothing in this section
447.8 shall be construed to preclude the voluntary or required
447.9 submission of other reports or forms regarding abortions.
447.10 Sec. 3. [145.4132] [RECORDING AND REPORTING ABORTION
447.11 COMPLICATION DATA.]
447.12 Subdivision 1. [FORMS.] (a) Within 90 days of the
447.13 effective date of this section, the commissioner shall prepare
447.14 an abortion complication reporting form for all physicians
447.15 licensed and practicing in the state. A copy of this section
447.16 shall be attached to the form.
447.17 (b) The board of medical practice shall ensure that the
447.18 abortion complication reporting form is distributed:
447.19 (1) to all physicians licensed to practice in the state,
447.20 within 120 days after the effective date of this section and by
447.21 December 1 of each subsequent year; and
447.22 (2) to a physician who is newly licensed to practice in the
447.23 state, at the same time as official notification to the
447.24 physician that the physician is so licensed.
447.25 Subd. 2. [REQUIRED REPORTING.] A physician licensed and
447.26 practicing in the state who knowingly encounters an illness or
447.27 injury that, in the physician's medical judgment, is related to
447.28 an induced abortion or the facility where the illness or injury
447.29 is encountered shall complete and submit an abortion
447.30 complication reporting form to the commissioner.
447.31 Subd. 3. [SUBMISSION.] A physician or facility required to
447.32 submit an abortion complication reporting form to the
447.33 commissioner shall do so as soon as practicable after the
447.34 encounter with the abortion related illness or injury.
447.35 Subd. 4. [ADDITIONAL REPORTING.] Nothing in this section
447.36 shall be construed to preclude the voluntary or required
448.1 submission of other reports or forms regarding abortion
448.2 complications.
448.3 Sec. 4. [145.4133] [REPORTING OUT-OF-STATE ABORTIONS.]
448.4 The commissioner of human services shall report to the
448.5 commissioner by April 1 each year the following information
448.6 regarding abortions paid for with state funds and performed out
448.7 of state in the previous calendar year:
448.8 (1) the total number of abortions performed out of state
448.9 and partially or fully paid for with state funds through the
448.10 medical assistance, general assistance medical care, or
448.11 MinnesotaCare program, or any other program;
448.12 (2) the total amount of state funds used to pay for the
448.13 abortions and expenses incidental to the abortions; and
448.14 (3) the gestational age at the time of abortion.
448.15 Sec. 5. [145.4134] [COMMISSIONER'S PUBLIC REPORT.]
448.16 (a) By July 1 of each year, except for 1998 and 1999
448.17 information, the commissioner shall issue a public report
448.18 providing statistics for the previous calendar year compiled
448.19 from the data submitted under sections 145.4131 to 145.4133.
448.20 For 1998 and 1999 information, the report shall be issued
448.21 October 1, 2000. Each report shall provide the statistics for
448.22 all previous calendar years, adjusted to reflect any additional
448.23 information from late or corrected reports. The commissioner
448.24 shall ensure that none of the information included in the public
448.25 reports can reasonably lead to identification of an individual
448.26 having performed or having had an abortion. All data included
448.27 on the forms under sections 145.4131 to 145.4133 must be
448.28 included in the public report except that the commissioner shall
448.29 maintain as confidential, data which alone or in combination may
448.30 constitute information from which an individual having performed
448.31 or having had an abortion may be identified using epidemiologic
448.32 principles. The commissioner shall submit the report to the
448.33 senate health and family security committee and the house health
448.34 and human services committee.
448.35 (b) The commissioner may, by rules adopted under chapter
448.36 14, alter the submission dates established under sections
449.1 145.4131 to 145.4133 for administrative convenience, fiscal
449.2 savings, or other valid reason, provided that physicians or
449.3 facilities and the commissioner of human services submit the
449.4 required information once each year and the commissioner issues
449.5 a report once each year.
449.6 Sec. 6. [145.4135] [ENFORCEMENT; PENALTIES.]
449.7 (a) If the commissioner finds that a physician or facility
449.8 has failed to submit the required form under section 145.4131
449.9 within 60 days following the due date, the commissioner shall
449.10 notify the physician or facility that the form is late. A
449.11 physician or facility who fails to submit the required form
449.12 under section 145.4131 within 30 days following notification
449.13 from the commissioner that a report is late is subject to a late
449.14 fee of $500 for each 30-day period, or portion thereof, that the
449.15 form is overdue. If a physician or facility required to report
449.16 under this section does not submit a report, or submits only an
449.17 incomplete report, more than one year following the due date,
449.18 the commissioner may take action to fine the physician or
449.19 facility or may bring an action to require that the physician or
449.20 facility be directed by a court of competent jurisdiction to
449.21 submit a complete report within a period stated by court order
449.22 or be subject to sanctions for civil contempt. Notwithstanding
449.23 section 13.39 to the contrary, action taken by the commissioner
449.24 to enforce the provision of this section shall be treated as
449.25 private if the data related to this action, alone or in
449.26 combination, may constitute information from which an individual
449.27 having performed or having had an abortion may be identified
449.28 using epidemiologic principles.
449.29 (b) If the commissioner fails to issue the public report
449.30 required under section 145.4134 or fails in any way to enforce
449.31 this section, a group of 100 or more citizens of the state may
449.32 seek an injunction in a court of competent jurisdiction against
449.33 the commissioner requiring that a complete report be issued
449.34 within a period stated by court order or requiring that
449.35 enforcement action be taken.
449.36 (c) A physician or facility reporting in good faith and
450.1 exercising due care shall have immunity from civil, criminal, or
450.2 administrative liability that might otherwise result from
450.3 reporting. A physician who knowingly or recklessly submits a
450.4 false report under this section is guilty of a misdemeanor.
450.5 (d) The commissioner may take reasonable steps to ensure
450.6 compliance with sections 145.4131 to 145.4133 and to verify data
450.7 provided, including but not limited to, inspection of places
450.8 where abortions are performed in accordance with chapter 14.
450.9 (e) The commissioner shall develop recommendations on
450.10 appropriate penalties and methods of enforcement for physicians
450.11 or facilities who fail to submit the report required under
450.12 section 145.4132, submit an incomplete report, or submit a late
450.13 report. The commissioner shall also assess the effectiveness of
450.14 the enforcement methods and penalties provided in paragraph (a)
450.15 and shall recommend appropriate changes, if any. These
450.16 recommendations shall be reported to the chairs of the senate
450.17 health and family security committee and the house health and
450.18 human services committee by November 15, 1998.
450.19 Sec. 7. [145.4136] [SEVERABILITY.]
450.20 If any one or more provision, section, subdivision,
450.21 sentence, clause, phrase, or word in sections 145.4131 to
450.22 145.4135, or the application thereof to any person or
450.23 circumstance is found to be unconstitutional, the same is hereby
450.24 declared to be severable and the balance of sections 145.4131 to
450.25 145.4135 shall remain effective notwithstanding such
450.26 unconstitutionality. The legislature hereby declares that it
450.27 would have passed sections 145.4131 to 145.4135, and each
450.28 provision, section, subdivision, sentence, clause, phrase, or
450.29 word thereof, irrespective of the fact that any one or more
450.30 provision, section, subdivision, sentence, clause, phrase, or
450.31 word be declared unconstitutional.