1.1                          A bill for an act 
  1.2             relating to health and human services; appropriating 
  1.3             money.  
  1.4   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.5                              ARTICLE 1
  1.6                            APPROPRIATIONS
  1.7   Section 1.  [HEALTH AND HUMAN SERVICES APPROPRIATIONS.] 
  1.8      The sums shown in the columns marked "APPROPRIATIONS" are 
  1.9   appropriated from the general fund, or any other fund named, to 
  1.10  the agencies and for the purposes specified in this act, to be 
  1.11  available for the fiscal years indicated for each purpose.  The 
  1.12  figures "2000" and "2001"  mean that the appropriation or 
  1.13  appropriations listed under them are available for the fiscal 
  1.14  year ending June 30, 2000, or June 30, 2001, respectively, and 
  1.15  if an earlier appropriation was made for that purpose for that 
  1.16  year, the appropriation in this act is added to it.  Where a 
  1.17  dollar amount appears in parenthesis, it means a reduction of an 
  1.18  earlier appropriation for that purpose for that year. 
  1.19                          SUMMARY BY FUND 
  1.20  APPROPRIATIONS                                      BIENNIAL
  1.21                            2000          2001           TOTAL
  1.22  General            $   16,128,000 $   90,867,000 $  106,995,000
  1.23  State Government
  1.24  Special Revenue           150,000        -0-            150,000
  1.25  Health Care Access 
  1.26  Fund                    1,266,000      3,694,000      4,960,000 
  2.1   Lottery Prize Fund        -0-            248,000        248,000
  2.2   TOTAL              $   17,544,000 $   94,809,000 $  112,353,000 
  2.3                                              APPROPRIATIONS 
  2.4                                          Available for the Year 
  2.5                                              Ending June 30 
  2.6                                             2000         2001 
  2.7   Sec. 2.  COMMISSIONER OF 
  2.8   HUMAN SERVICES 
  2.9   Subdivision 1.  Total 
  2.10  Appropriation                     $   17,394,000 $   93,769,000 
  2.11                Summary by Fund
  2.12  General              16,128,000    89,827,000 
  2.13  Health Care Access    1,266,000     3,694,000 
  2.14  Lottery                 -0-           248,000
  2.15  This appropriation is added to the 
  2.16  appropriation in Laws 1999, chapter 
  2.17  245, article 1, section 2. 
  2.18  The amounts that are added to or 
  2.19  reduced from the appropriation for each 
  2.20  program are specified in the following 
  2.21  subdivisions. 
  2.22  Subd. 2.  Children's Grants  
  2.23       1,130,000      3,309,000
  2.24  [ADOPTION ASSISTANCE.] Of this 
  2.25  appropriation, $674,000 in fiscal year 
  2.26  2000 and $1,800,000 in fiscal year 2001 
  2.27  is for the adoption assistance program 
  2.28  under Minnesota Statutes, section 
  2.29  259.67, and $456,000 in fiscal year 
  2.30  2000 and $900,000 in fiscal year 2001 
  2.31  is for the relative custody assistance 
  2.32  program under Minnesota Statutes, 
  2.33  section 257.85. 
  2.34  Subd. 3.  Basic Health Care Grants
  2.35      14,984,000     51,984,000 
  2.36                Summary by Fund
  2.37  General              13,718,000    48,290,000 
  2.38  Health Care Access    1,266,000     3,694,000 
  2.39  The amounts that may be spent from this 
  2.40  appropriation for each purpose are as 
  2.41  follows: 
  2.42  (a) Minnesota Care Grants
  2.43  Health Care Access Fund
  2.44       1,266,000      3,694,000 
  2.45  (b) MA Basic Health Care Grants - 
  2.46  Families and Children
  2.47  General  22,751,000    23,864,000 
  3.1   [ADVANCE CAPITATION PAYMENTS.] The 
  3.2   commissioner shall provide an advance 
  3.3   of $500,000 in June of 2001 and June of 
  3.4   2002, not to exceed the total monthly 
  3.5   per capita payment due for services 
  3.6   provided in June, to county-based 
  3.7   purchasing sites operating under 
  3.8   Minnesota Statutes, section 256B.692.  
  3.9   These advances shall be recovered from 
  3.10  the following month's per capita 
  3.11  payments.  Notwithstanding section ..., 
  3.12  this paragraph expires on June 30, 2002.
  3.13  (c) MA Basic Health Care Grants - 
  3.14  Elderly and  Disabled
  3.15  General  (3,730,000)   14,134,000 
  3.16  [SPECIAL TRANSPORTATION.] Of the 
  3.17  general fund appropriation for the 
  3.18  fiscal year beginning July 1, 2000, 
  3.19  $109,000 is for the commissioner to 
  3.20  increase mileage reimbursement for 
  3.21  special transportation under Minnesota 
  3.22  Statutes, section 256B.0625, 
  3.23  subdivision 17, by five cents per mile 
  3.24  for services rendered from July 1, 
  3.25  2000, to December 31, 2000. 
  3.26  (d) General Assistance Medical Care
  3.27  General  (5,303,000)   10,292,000 
  3.28  Subd. 4.  Continuing Care and 
  3.29  Community Support Grants
  3.30     (35,029,000)     8,053,000 
  3.31                Summary by Fund
  3.32  General             (35,029,000)    7,805,000
  3.33  Lottery                 -0-           248,000
  3.34  The amounts that may be spent from this 
  3.35  appropriation for each purpose are as 
  3.36  follows: 
  3.37  (a) Community Services Block Grants
  3.38         -0-            928,000 
  3.39  (b) Aging Adult Service Grants
  3.40         -0-            200,000 
  3.41  [EPILEPSY.] Of the general fund 
  3.42  appropriation, $9,000 in fiscal year 
  3.43  2001 is to the commissioner to provide 
  3.44  a three percent reimbursement increase 
  3.45  to living skills training programs for 
  3.46  persons with intractable epilepsy who 
  3.47  need assistance in the transition to 
  3.48  independent living. 
  3.49  (c) Deaf and Hard-of-Hearing 
  3.50  Services Grants
  3.51         -0-             21,000 
  3.52  (d) Mental Health Grants
  4.1   General                 -0-         1,920,000
  4.2   Lottery                 -0-           248,000
  4.3   [SERVICES FOR FARMERS.] Of the 
  4.4   appropriation from the general fund for 
  4.5   the fiscal year beginning July 1, 2000, 
  4.6   $450,000 is to the commissioner for the 
  4.7   following purposes: 
  4.8   (1) $300,000 is to be transferred to 
  4.9   the commissioner of agriculture for 
  4.10  grants to organizations participating 
  4.11  in the farm wrap network and the rural 
  4.12  help network.  The grants may be used 
  4.13  for mental health services and 
  4.14  emergency services for farmers.  
  4.15  (2) $150,000 is to be transferred to 
  4.16  the board of trustees of the Minnesota 
  4.17  state colleges and universities for 
  4.18  mental health counseling support to 
  4.19  farm families and business operators 
  4.20  through the farm business management 
  4.21  program at Central Lakes college and 
  4.22  Ridgewater college. 
  4.23  [COMPULSIVE GAMBLING TREATMENT.] For 
  4.24  the fiscal year beginning July 1, 2000, 
  4.25  $248,000 is appropriated from the 
  4.26  lottery prize fund to the commissioner 
  4.27  for the compulsive gambling treatment 
  4.28  program.  Of this appropriation, 
  4.29  $143,000 is for a grant to gamblers 
  4.30  intervention services in Duluth to be 
  4.31  spent as follows: 
  4.32  (1) $100,000 is to establish an 
  4.33  outpatient gambling treatment program 
  4.34  in Brainerd; and 
  4.35  (2) $43,000 is to make treatment center 
  4.36  building improvements to accommodate 
  4.37  expanded group services. 
  4.38  $75,000 is for a grant to the Minnesota 
  4.39  arrowhead region gambling treatment 
  4.40  alliance to provide extended outreach 
  4.41  and family counseling through its 
  4.42  Virginia center. 
  4.43  The remaining $30,000 is for a grant to 
  4.44  gamblers choice in Minneapolis to make 
  4.45  treatment center building improvements 
  4.46  to accommodate expanded group services. 
  4.47  These are one-time appropriations and 
  4.48  shall not become part of base-level 
  4.49  funding for the 2002-2003 biennium. 
  4.50  (e) Developmental Disabilities
  4.51  Support Grants
  4.52         -0-            210,000 
  4.53  (f) Medical Assistance Long-Term 
  4.54  Care Waivers and Home Care
  4.55     (12,385,000)     2,948,000  
  4.56  (g) Medical Assistance Long-Term
  5.1   Care Facilities
  5.2      (20,790,000)    (2,163,000)                 
  5.3   (h) Alternative Care Grants  
  5.4          -0-          1,566,000                
  5.5   (i) Group Residential Housing
  5.6       (1,854,000)      (295,000)                
  5.7   (j) Chemical Dependency
  5.8   Entitlement Grants
  5.9          -0-          2,470,000                 
  5.10  Subd. 5.  Economic Support Grants
  5.11      36,309,000     30,423,000                 
  5.12  The amounts that may be spent from this 
  5.13  appropriation for each purpose are as 
  5.14  follows: 
  5.15  (a) Assistance to Families Grants
  5.16      35,428,000     22,500,000                 
  5.17  [APPROPRIATIONS OF FEDERAL TANF FUNDS.] 
  5.18  (a) In addition to the TANF funds 
  5.19  provided in Laws 1999, chapter 245, 
  5.20  article 1, section 2, subdivision 10, 
  5.21  federal TANF block grant funds are 
  5.22  appropriated to the commissioner in 
  5.23  amounts of ($4,413,000) in fiscal year 
  5.24  2000 and $63,027,000 in fiscal year 
  5.25  2001. 
  5.26  (b) Of the funds appropriated to the 
  5.27  commissioner for state fiscal year 
  5.28  2001, $9,500,000 shall be added to the 
  5.29  appropriation for the MFIP employment 
  5.30  services program for local 
  5.31  interventions for family employment; 
  5.32  $1,500,000 shall be appropriated for 
  5.33  the purpose of training job counselors, 
  5.34  evaluating the effectiveness of the 
  5.35  interventions, and identifying 
  5.36  improvements needed; and $1,000,000 is 
  5.37  appropriated to the commissioner for 
  5.38  the following purposes: 
  5.39  (1) $750,000 to be transferred to the 
  5.40  job skills partnership board for the 
  5.41  health care and human services worker 
  5.42  training and retention program created 
  5.43  under Minnesota Statutes, section 
  5.44  116L.10; and 
  5.45  (2) $250,000 to be transferred to the 
  5.46  board of trustees of the Minnesota 
  5.47  state colleges and universities to 
  5.48  provide tuition waivers to employees of 
  5.49  health care and human services 
  5.50  providers located in the state that are 
  5.51  members of qualifying consortia 
  5.52  operating under Minnesota Statutes, 
  5.53  sections 116L.10 to 116L.15. 
  5.54  The appropriations in clauses (1) and 
  6.1   (2) shall become part of the base-level 
  6.2   funding for the commissioner and shall 
  6.3   be transferred on an annual basis to 
  6.4   the job skills partnership board and 
  6.5   the board of trustees of the Minnesota 
  6.6   state colleges and universities for the 
  6.7   purposes indicated. 
  6.8   (c) Notwithstanding Minnesota Statutes 
  6.9   1998, sections 119B.01, subdivision 12, 
  6.10  and 119B.05, subdivision 1, a county 
  6.11  may use local interventions for family 
  6.12  employment funds for child care 
  6.13  assistance provided to MFIP families 
  6.14  participating in preemployment 
  6.15  activities required as part of their 
  6.16  employment plan and defined as work 
  6.17  activities under Minnesota Statutes, 
  6.18  section 256J.49; 
  6.19  (d) A county may provide child care 
  6.20  assistance to families that have 
  6.21  completed their transition year of 
  6.22  child care assistance and are on the 
  6.23  waiting list for basic sliding fee 
  6.24  child care; 
  6.25  (e) A county may use local 
  6.26  interventions for family employment 
  6.27  funds for that part of the match for 
  6.28  access to jobs federal funds that is 
  6.29  TANF eligible; 
  6.30     <bl40N> (f) A county may use local 
  6.31  interventions for family employment 
  6.32  funds to enhance transportation choices 
  6.33  for eligible recipients up to 150 
  6.34  percent of the federal poverty 
  6.35  guideline; 
  6.36  (g) Reimbursements for child care under 
  6.37  paragraphs (c) and (d) shall be made to 
  6.38  the commissioner of children, families, 
  6.39  and learning.  Reimbursements shall be 
  6.40  made quarterly through transfers under 
  6.41  Minnesota Statutes, section 256J.02, 
  6.42  subdivision 4, or direct TANF payments. 
  6.43  (h) No reimbursement may be made with 
  6.44  respect to paragraphs (e) to (g) that 
  6.45  would meet the federal definition of 
  6.46  assistance under Code of Federal 
  6.47  Regulations, title 45, chapter II, part 
  6.48  260.31(a), as excepted by Code of 
  6.49  Federal Regulations, title 45, chapter 
  6.50  II, part 260.31(b)(7). 
  6.51  (i) Of the funds appropriated to the 
  6.52  commissioner for state fiscal year 
  6.53  2001, up to $5,311,000 shall be used to 
  6.54  reimburse the federal government for 
  6.55  the federal share of the child support 
  6.56  recoveries passed through to custodial 
  6.57  parents. 
  6.58  (j) Of the amounts in paragraph (a), 
  6.59  $299,000 in fiscal year 2001 is 
  6.60  transferred from the state's federal 
  6.61  TANF block grant to the state's federal 
  6.62  child care and development fund block 
  6.63  grant, and is appropriated to the 
  7.1   commissioner of children, families, and 
  7.2   learning for the purposes of Minnesota 
  7.3   Statutes, section 119B.05. 
  7.4   (k) When preparing the governor's 
  7.5   budget for the 2002-2003 biennium, the 
  7.6   commissioner of finance shall ensure 
  7.7   that the base-level funding for the 
  7.8   local interventions for family 
  7.9   employment includes $22,000,000 in 
  7.10  fiscal year 2002 and $22,000,000 in 
  7.11  fiscal year 2003.  These appropriations 
  7.12  shall not become part of the base for 
  7.13  the 2004-2005 biennium. 
  7.14  [EXTENDED LEARNING INITIATIVE.] (a) For 
  7.15  fiscal year 2001, the commissioner 
  7.16  shall use $10,000,000 of the general 
  7.17  funds appropriated under Laws 1999, 
  7.18  chapter 245, article 1, section 2, 
  7.19  subdivision 10, for the extended 
  7.20  learning initiative.  Under the 
  7.21  extended learning initiative, grants 
  7.22  shall be provided on a competitive 
  7.23  basis to community or nonprofit 
  7.24  organizations, political subdivisions, 
  7.25  or school-based programs for the 
  7.26  purpose of establishing or expanding 
  7.27  after-school and summer school programs 
  7.28  to assist low-income children and 
  7.29  families.  The commissioner shall 
  7.30  emphasize to the entities that are 
  7.31  implementing this program the 
  7.32  importance of not separating or 
  7.33  stigmatizing children who are 
  7.34  participating in this program.  
  7.35  (b) Of the amount in paragraph (a), at 
  7.36  least $700,000 is for the commissioner 
  7.37  to transfer to the commissioner of 
  7.38  children, families, and learning to 
  7.39  reinstate funding for after-school 
  7.40  enrichment grants under Laws 1996, 
  7.41  chapter 412, article 4, section 30, as 
  7.42  follows:  at least $500,000 to the 
  7.43  Whittier and Phillips neighborhoods and 
  7.44  at least $200,000 to the Lyndale 
  7.45  neighborhood.  This appropriation is 
  7.46  available until expended. 
  7.47  (c) Grants must not supplant any 
  7.48  existing program funding targeted at a 
  7.49  similar population and must be used to 
  7.50  provide high-quality, academic-based 
  7.51  after-school and summer school 
  7.52  educational services to TANF-eligible 
  7.53  students to enable their parents to 
  7.54  participate in training or employment 
  7.55  activities.  Grant recipients must 
  7.56  demonstrate that their program will: 
  7.57  (1) provide low-income students with a 
  7.58  high-quality, extended learning program 
  7.59  that has clear, measurable goals and 
  7.60  includes an assessment of each 
  7.61  student's knowledge before and after 
  7.62  participation in the program; and 
  7.63  (2) include a parent and family 
  7.64  involvement component with 
  7.65  supplementary materials and activities, 
  8.1   and a measurement of parental 
  8.2   involvement for participating students 
  8.3   and the parent's level of satisfaction 
  8.4   with the program's content and results. 
  8.5   (d) This appropriation shall not become 
  8.6   part of the base for the 2002-2003 
  8.7   biennium. 
  8.8   [TANF MAINTENANCE OF EFFORT TRANSFERS 
  8.9   TO MINNESOTA HOUSING FINANCE AGENCY.] 
  8.10  By June 30, 2001, the commissioner 
  8.11  shall transfer $54,500,000 of the 
  8.12  general funds appropriated under Laws 
  8.13  1999, chapter 245, article 1, section 
  8.14  2, subdivision 10, to the Minnesota 
  8.15  housing finance agency for transfer to 
  8.16  the housing development fund.  Up to 
  8.17  $25,800,000 may be transferred in 
  8.18  fiscal year 2000. 
  8.19  [TANF TRANSFER TO SOCIAL SERVICES.] 
  8.20  $10,000,000 is transferred from the 
  8.21  state's federal TANF block grant to the 
  8.22  state's federal Title XX block grant 
  8.23  for purposes of increasing services for 
  8.24  families with children whose incomes 
  8.25  are at or below 200 percent of the 
  8.26  federal poverty guidelines. 
  8.27  [WORKING FAMILY CREDIT.] (a) On a 
  8.28  regular basis, the commissioner of 
  8.29  revenue, with the assistance of the 
  8.30  commissioner of human services, shall 
  8.31  calculate the value of the refundable 
  8.32  portion of the Minnesota working family 
  8.33  credits provided under Minnesota 
  8.34  Statutes, section 290.0671, that 
  8.35  qualify for federal reimbursement from 
  8.36  the temporary assistance to needy 
  8.37  families block grant.  The commissioner 
  8.38  of revenue shall provide the 
  8.39  commissioner of human services with 
  8.40  such expenditure records and 
  8.41  information as are necessary to support 
  8.42  draws of federal funds. 
  8.43  (b) The commissioner of human services 
  8.44  shall draw federal TANF funds based on 
  8.45  calculations under paragraph (a) of 
  8.46  working family tax credit expenditures 
  8.47  that qualify for reimbursement from the 
  8.48  TANF block grant for tax year 1999 
  8.49  income tax refunds payable in federal 
  8.50  fiscal year 2000.  The draws shall be 
  8.51  made on a regular basis based on 
  8.52  calculations of credit expenditures by 
  8.53  the commissioner of revenue.  During 
  8.54  state fiscal years 2000 to 2003, 
  8.55  federal TANF draws shall be limited to 
  8.56  the lesser of eligible TANF 
  8.57  expenditures, or the following 
  8.58  amounts:  fiscal year 2000, 
  8.59  $33,100,000; fiscal year 2001, 
  8.60  $58,700,000; fiscal year 2002, 
  8.61  $6,500,000; and fiscal year 2003, 
  8.62  $11,200,000. 
  8.63  (b) AFDC and Other Assistance
  8.64          -0-        10,734,000 
  9.1   (c) General Assistance
  9.2           557,000    (3,134,000)
  9.3   (d) Minnesota Supplemental Aid
  9.4           324,000       323,000 
  9.5   Sec. 3.  COMMISSIONER OF HEALTH 
  9.6   Subdivision 1.  Total 
  9.7   Appropriation                            -0-          1,040,000
  9.8                 Summary by Fund
  9.9   General                 -0-         1,040,000
  9.10  This appropriation is added to the 
  9.11  appropriation in Laws 1999, chapter 
  9.12  245, article 1, section 3. 
  9.13  The amounts that may be spent from this 
  9.14  appropriation for each program are 
  9.15  specified in the following subdivisions.
  9.16  Subd. 2.  Health Systems
  9.17  and Special Populations                  -0-             75,000
  9.18                Summary by Fund
  9.19  General                 -0-            75,000
  9.20  [FUNERAL SERVICES COMPLAINTS.] Of the 
  9.21  appropriation from the general fund for 
  9.22  the fiscal year beginning July 1, 2000, 
  9.23  $75,000 is for the commissioner to 
  9.24  respond to complaints about funeral 
  9.25  services as required under Minnesota 
  9.26  Statutes, chapter 149A.  To the extent 
  9.27  that resources are available, the 
  9.28  commissioner shall also provide 
  9.29  information and technical assistance to 
  9.30  the organizations regulated under 
  9.31  Minnesota Statutes, chapter 149A.  The 
  9.32  appropriation shall not become part of 
  9.33  base-level funding for the 2002-2003 
  9.34  biennium. 
  9.35  Subd. 3.  Health Protection             -0-            965,000
  9.36                Summary by Fund
  9.37  General                 -0-           965,000
  9.38  [POISON INFORMATION CENTERS.] Of the 
  9.39  general fund appropriation for the 
  9.40  fiscal year beginning July 1, 2000, 
  9.41  $790,000 is to the commissioner for the 
  9.42  operation of poison information centers 
  9.43  authorized under Minnesota Statutes, 
  9.44  section 145.93. 
  9.45  [SEXUALLY TRANSMITTED INFECTIONS.] Of 
  9.46  the general fund appropriation for the 
  9.47  fiscal year beginning July 1, 2000, 
  9.48  $175,000 is to the commissioner to 
  9.49  expand access to free screening and 
  9.50  testing for sexually transmitted 
  9.51  infections.  The appropriation must be 
  9.52  used in accordance with Minnesota 
  9.53  Statutes, section 144.065.  This is a 
 10.1   one-time appropriation and shall not 
 10.2   become part of base-level funding for 
 10.3   the 2002-2003 biennium. 
 10.4   Sec. 4.  HEALTH-RELATED BOARDS 
 10.5   Subdivision 1.  Total       
 10.6   Appropriation                            150,000        -0-     
 10.7   This appropriation is added to the 
 10.8   appropriation in Laws 1999, chapter 
 10.9   205, article 1, section 5. 
 10.10  The appropriations in this section are 
 10.11  from the state government special 
 10.12  revenue fund. 
 10.13  [NO SPENDING IN EXCESS OF REVENUES.] 
 10.14  The commissioner of finance shall not 
 10.15  permit the allotment, encumbrance, or 
 10.16  expenditure of money appropriated in 
 10.17  this section in excess of the 
 10.18  anticipated biennial revenues or 
 10.19  accumulated surplus revenues from fees 
 10.20  collected by the boards.  Neither this 
 10.21  provision nor Minnesota Statutes, 
 10.22  section 214.06, applies to transfers 
 10.23  from the general contingent account. 
 10.24  Subd. 2.  BOARD OF PSYCHOLOGY            150,000        -0-    
 10.25  [LEGAL COSTS.] Of this appropriation, 
 10.26  $150,000 for the fiscal year beginning 
 10.27  July 1, 1999, is to the board to pay 
 10.28  for extraordinary legal costs.  This is 
 10.29  a one-time appropriation and shall not 
 10.30  become part of base-level funding for 
 10.31  the 2002-2003 biennium. 
 10.32  Sec. 5.  CARRYOVER LIMITATION 
 10.33  None of the appropriations in this act 
 10.34  which are allowed to be carried forward 
 10.35  from fiscal year 2000 to fiscal year 
 10.36  2001 shall become part of the 
 10.37  base-level funding for the 2002-2003 
 10.38  biennial budget, unless specifically 
 10.39  directed by the legislature. 
 10.40  Sec. 6.  SUNSET OF UNCODIFIED LANGUAGE 
 10.41  All uncodified language contained in 
 10.42  this article expires on June 30, 2001, 
 10.43  unless a different expiration date is 
 10.44  explicit. 
 10.45     Sec. 7.  [EFFECTIVE DATE.] 
 10.46     The appropriations and reductions for fiscal year 2000 in 
 10.47  this article are effective the day following final enactment.