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Capital IconMinnesota Legislature
Office of the Revisor of Statutes

SF 5335

3rd Engrossment - 93rd Legislature (2023 - 2024) Posted on 04/30/2024 05:20pm

KEY: stricken = removed, old language.
underscored = added, new language.
Version List Authors and Status
Pdf Rtf

Current Version - 3rd Engrossment

Line numbers 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 1.24 1.25 1.26 1.27 1.28 1.29 1.30 1.31 1.32 1.33 1.34 2.1
2.2 2.3
2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.21 2.22 2.23 2.24 2.25 2.26 2.27 2.28 2.29 2.30 2.31 2.32 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.23 4.24 4.25 4.26 4.27 4.28 4.29 4.30 4.31 4.32 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13 5.14 5.15 5.16 5.17 5.18 5.19 5.20 5.21 5.22 5.23 5.24 5.25 5.26 5.27 5.28 5.29 5.30 5.31 5.32 5.33 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 6.10 6.11 6.12 6.13 6.14 6.15 6.16 6.17 6.18 6.19 6.20 6.21 6.22 6.23 6.24 6.25 6.26 6.27 6.28 6.29 6.30 6.31 6.32 6.33 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 7.11 7.12 7.13 7.14 7.15 7.16 7.17 7.18 7.19
7.20 7.21 7.22 7.23 7.24 7.25 7.26
7.27 7.28 7.29 7.30 7.31 7.32 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 8.10
8.11 8.12 8.13 8.14 8.15 8.16 8.17 8.18 8.19 8.20 8.21 8.22 8.23 8.24 8.25 8.26 8.27 8.28 8.29 8.30 8.31 8.32 8.33 8.34 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 9.10 9.11 9.12 9.13 9.14 9.15 9.16 9.17 9.18 9.19 9.20 9.21 9.22 9.23 9.24 9.25 9.26 9.27 9.28 9.29 9.30 9.31 9.32 9.33 9.34 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 10.10 10.11 10.12 10.13 10.14 10.15 10.16 10.17 10.18 10.19 10.20 10.21 10.22 10.23 10.24 10.25 10.26 10.27 10.28 10.29 10.30 10.31 10.32 10.33 10.34 11.1 11.2 11.3 11.4 11.5 11.6 11.7
11.8
11.9 11.10 11.11 11.12 11.13 11.14 11.15 11.16 11.17 11.18 11.19 11.20 11.21 11.22 11.23 11.24 11.25 11.26 11.27 11.28 11.29 11.30 11.31 11.32 12.1 12.2 12.3 12.4 12.5 12.6 12.7 12.8 12.9 12.10 12.11 12.12 12.13 12.14 12.15 12.16 12.17 12.18 12.19 12.20 12.21 12.22 12.23 12.24 12.25 12.26 12.27 12.28 12.29 12.30 12.31 12.32 13.1 13.2 13.3 13.4 13.5 13.6 13.7 13.8 13.9 13.10 13.11 13.12 13.13 13.14 13.15 13.16
13.17
13.18 13.19 13.20 13.21 13.22 13.23 13.24 13.25 13.26 13.27 13.28 13.29 13.30 13.31 14.1 14.2 14.3 14.4 14.5 14.6 14.7 14.8 14.9 14.10 14.11 14.12 14.13 14.14 14.15 14.16 14.17 14.18 14.19 14.20 14.21 14.22 14.23 14.24 14.25 14.26 14.27 14.28 14.29 14.30 14.31
15.1 15.2 15.3 15.4 15.5 15.6 15.7 15.8 15.9 15.10 15.11 15.12 15.13 15.14 15.15
15.16 15.17 15.18 15.19 15.20 15.21 15.22 15.23 15.24 15.25 15.26
15.27 15.28 15.29 15.30 15.31 16.1 16.2 16.3 16.4 16.5 16.6 16.7 16.8 16.9 16.10 16.11 16.12 16.13 16.14 16.15 16.16 16.17 16.18
16.19 16.20 16.21 16.22 16.23 16.24 16.25 16.26
16.27 16.28 16.29 17.1 17.2 17.3 17.4 17.5 17.6 17.7 17.8 17.9 17.10 17.11 17.12 17.13 17.14 17.15 17.16 17.17 17.18 17.19 17.20 17.21 17.22 17.23
17.24 17.25 17.26 17.27 17.28 17.29 17.30 18.1 18.2 18.3 18.4 18.5 18.6 18.7 18.8 18.9 18.10 18.11 18.12 18.13 18.14 18.15 18.16 18.17 18.18 18.19 18.20 18.21 18.22 18.23 18.24
18.25 18.26 18.27 18.28 18.29 18.30 18.31 18.32 19.1 19.2 19.3 19.4 19.5 19.6 19.7 19.8 19.9
19.10 19.11 19.12 19.13 19.14 19.15 19.16 19.17
19.18 19.19 19.20 19.21 19.22 19.23 19.24 19.25 19.26 19.27 19.28 19.29 19.30 19.31 20.1
20.2
20.3 20.4 20.5 20.6 20.7 20.8 20.9 20.10 20.11 20.12 20.13 20.14 20.15 20.16 20.17 20.18
20.19 20.20 20.21 20.22 20.23 20.24 20.25 20.26 20.27 20.28 20.29 20.30 20.31 20.32 21.1 21.2 21.3 21.4
21.5
21.6 21.7 21.8 21.9 21.10 21.11 21.12 21.13 21.14 21.15 21.16 21.17 21.18 21.19 21.20
21.21 21.22 21.23 21.24 21.25 21.26 21.27 21.28 21.29 21.30 22.1 22.2 22.3 22.4 22.5 22.6 22.7 22.8 22.9 22.10 22.11 22.12 22.13 22.14 22.15 22.16 22.17 22.18 22.19 22.20 22.21
22.22
22.23 22.24 22.25 22.26 22.27 22.28 22.29 22.30 22.31 22.32 23.1 23.2 23.3 23.4
23.5 23.6 23.7 23.8 23.9 23.10 23.11 23.12 23.13
23.14 23.15 23.16 23.17 23.18 23.19 23.20 23.21 23.22 23.23 23.24 23.25 23.26 23.27 23.28 23.29 23.30 24.1 24.2 24.3 24.4 24.5 24.6 24.7 24.8 24.9 24.10 24.11 24.12 24.13
24.14 24.15 24.16 24.17 24.18 24.19 24.20 24.21 24.22 24.23 24.24 24.25 24.26 24.27 24.28 24.29 25.1 25.2 25.3 25.4 25.5 25.6
25.7 25.8 25.9 25.10 25.11 25.12 25.13 25.14 25.15 25.16 25.17 25.18 25.19 25.20 25.21 25.22 25.23 25.24 25.25 25.26 25.27 25.28 25.29 25.30 25.31 25.32 25.33 26.1 26.2 26.3 26.4 26.5 26.6 26.7 26.8 26.9 26.10 26.11 26.12 26.13 26.14 26.15 26.16 26.17 26.18 26.19 26.20 26.21 26.22 26.23 26.24 26.25 26.26 26.27 26.28
26.29 26.30 26.31 26.32 27.1 27.2
27.3 27.4 27.5 27.6 27.7 27.8 27.9 27.10 27.11 27.12 27.13 27.14 27.15 27.16 27.17 27.18
27.19
27.20 27.21 27.22 27.23 27.24 27.25 27.26 27.27 27.28 27.29
28.1 28.2 28.3 28.4 28.5 28.6 28.7 28.8 28.9 28.10 28.11 28.12
28.13 28.14 28.15
28.16 28.17 28.18 28.19 28.20 28.21 28.22 28.23 28.24
28.25 28.26 28.27 28.28 28.29 29.1 29.2 29.3 29.4 29.5 29.6 29.7 29.8 29.9 29.10 29.11 29.12 29.13 29.14 29.15 29.16 29.17 29.18 29.19 29.20 29.21 29.22 29.23 29.24 29.25 29.26 29.27 29.28 29.29 29.30 30.1 30.2 30.3 30.4 30.5 30.6 30.7 30.8 30.9 30.10 30.11 30.12 30.13 30.14 30.15 30.16 30.17 30.18 30.19 30.20 30.21 30.22 30.23 30.24 30.25 30.26 30.27 30.28 30.29 30.30 30.31 30.32 31.1 31.2 31.3 31.4 31.5
31.6
31.7 31.8 31.9 31.10 31.11 31.12 31.13 31.14 31.15 31.16 31.17 31.18 31.19 31.20 31.21 31.22 31.23 31.24 31.25 31.26
31.27 31.28 31.29 31.30 31.31 32.1 32.2 32.3 32.4 32.5 32.6 32.7 32.8 32.9 32.10 32.11 32.12 32.13 32.14 32.15 32.16
32.17 32.18 32.19 32.20 32.21 32.22 32.23 32.24 32.25 32.26 32.27 32.28 32.29 32.30
32.31
33.1 33.2 33.3 33.4 33.5 33.6 33.7 33.8 33.9 33.10 33.11 33.12 33.13 33.14 33.15 33.16
33.17 33.18 33.19
33.20 33.21 33.22 33.23 33.24 33.25 33.26 33.27 33.28 33.29 34.1 34.2 34.3 34.4 34.5 34.6 34.7 34.8 34.9 34.10
34.11 34.12 34.13 34.14 34.15 34.16 34.17 34.18 34.19 34.20 34.21 34.22 34.23 34.24 34.25 34.26 34.27 34.28 34.29 34.30 35.1 35.2 35.3 35.4 35.5 35.6
35.7 35.8 35.9 35.10 35.11 35.12 35.13 35.14 35.15 35.16 35.17 35.18 35.19 35.20 35.21 35.22 35.23 35.24 35.25 35.26 35.27 35.28 35.29 35.30 35.31 35.32 36.1 36.2 36.3 36.4 36.5 36.6 36.7
36.8 36.9 36.10 36.11 36.12 36.13 36.14 36.15 36.16 36.17 36.18 36.19 36.20 36.21 36.22 36.23 36.24 36.25 36.26 36.27 36.28 36.29 36.30 36.31 37.1 37.2 37.3 37.4 37.5 37.6 37.7 37.8 37.9 37.10 37.11 37.12 37.13 37.14 37.15 37.16 37.17 37.18 37.19 37.20 37.21 37.22 37.23 37.24 37.25 37.26 37.27 37.28 37.29 37.30 37.31 37.32 38.1 38.2 38.3 38.4 38.5 38.6 38.7 38.8 38.9 38.10 38.11 38.12 38.13 38.14 38.15 38.16 38.17 38.18 38.19 38.20 38.21 38.22 38.23 38.24 38.25 38.26 38.27 38.28 38.29 38.30 38.31 39.1 39.2 39.3 39.4 39.5 39.6 39.7 39.8
39.9
39.10 39.11 39.12 39.13 39.14 39.15 39.16 39.17 39.18 39.19 39.20 39.21 39.22 39.23 39.24 39.25 39.26 39.27 39.28 39.29 39.30 39.31 40.1
40.2 40.3 40.4 40.5 40.6 40.7 40.8 40.9 40.10 40.11 40.12 40.13 40.14 40.15 40.16 40.17 40.18 40.19 40.20 40.21 40.22 40.23 40.24 40.25 40.26 40.27
40.28 40.29 40.30 40.31 40.32 41.1 41.2 41.3 41.4 41.5 41.6 41.7 41.8
41.9 41.10
41.11 41.12 41.13 41.14 41.15
41.16 41.17 41.18
41.19 41.20 41.21 41.22 41.23 41.24 41.25 41.26 41.27 41.28 41.29 41.30 41.31 41.32
42.1
42.2 42.3 42.4 42.5 42.6
42.7
42.8 42.9
42.10 42.11 42.12 42.13 42.14 42.15 42.16 42.17 42.18 42.19 42.20 42.21 42.22 42.23 42.24 42.25 42.26 42.27 42.28 43.1 43.2 43.3 43.4 43.5 43.6 43.7 43.8 43.9 43.10 43.11 43.12 43.13 43.14 43.15 43.16 43.17 43.18 43.19 43.20 43.21 43.22 43.23 43.24 43.25 43.26 43.27 43.28 43.29 43.30 43.31 44.1 44.2 44.3 44.4 44.5 44.6 44.7 44.8 44.9 44.10 44.11 44.12 44.13 44.14 44.15 44.16
44.17 44.18 44.19 44.20 44.21 44.22 44.23 44.24 44.25 44.26 44.27 44.28 44.29 44.30 44.31 44.32 45.1 45.2 45.3 45.4 45.5 45.6 45.7 45.8 45.9 45.10 45.11 45.12 45.13 45.14 45.15 45.16 45.17 45.18 45.19 45.20 45.21 45.22
45.23 45.24 45.25 45.26 45.27 45.28 45.29 45.30 45.31 45.32 46.1 46.2 46.3 46.4 46.5 46.6 46.7
46.8 46.9 46.10 46.11 46.12 46.13 46.14 46.15 46.16 46.17 46.18 46.19 46.20 46.21 46.22 46.23 46.24 46.25 46.26
46.27 46.28 46.29 46.30
46.31
47.1 47.2 47.3 47.4 47.5 47.6 47.7 47.8 47.9 47.10 47.11 47.12 47.13 47.14 47.15 47.16 47.17 47.18 47.19 47.20 47.21 47.22 47.23 47.24 47.25 47.26 47.27 47.28 47.29 47.30 47.31 47.32 47.33 48.1 48.2 48.3 48.4 48.5 48.6 48.7 48.8 48.9 48.10 48.11 48.12 48.13 48.14 48.15 48.16 48.17
48.18
48.19 48.20 48.21 48.22 48.23 48.24 48.25 48.26 48.27
49.1 49.2 49.3 49.4 49.5
49.6 49.7 49.8 49.9 49.10 49.11 49.12 49.13 49.14 49.15 49.16 49.17 49.18 49.19 49.20 49.21 49.22 49.23 49.24 49.25 49.26 49.27 49.28 50.1 50.2 50.3 50.4 50.5 50.6 50.7 50.8 50.9
50.10 50.11 50.12
50.13 50.14 50.15 50.16 50.17 50.18 50.19 50.20 50.21 50.22 50.23 50.24 50.25 50.26 50.27 50.28 50.29 50.30 50.31 50.32 50.33 51.1 51.2 51.3 51.4 51.5 51.6 51.7 51.8 51.9 51.10 51.11 51.12 51.13
51.14 51.15 51.16
51.17 51.18 51.19 51.20 51.21 51.22 51.23 51.24 51.25 51.26 51.27 51.28 51.29 51.30 51.31
51.32
52.1 52.2 52.3 52.4 52.5 52.6 52.7 52.8 52.9 52.10 52.11
52.12 52.13 52.14 52.15 52.16 52.17 52.18 52.19 52.20 52.21 52.22 52.23 52.24 52.25 52.26 52.27 52.28 52.29 52.30 53.1 53.2 53.3 53.4 53.5 53.6 53.7
53.8 53.9 53.10
53.11 53.12 53.13 53.14 53.15 53.16 53.17 53.18 53.19 53.20 53.21 53.22 53.23 53.24 53.25
53.26
53.27 53.28 53.29 53.30 53.31 54.1 54.2 54.3 54.4 54.5 54.6 54.7 54.8 54.9 54.10 54.11
54.12 54.13
54.14 54.15 54.16 54.17 54.18 54.19 54.20 54.21 54.22 54.23 54.24 54.25 54.26 54.27 54.28 54.29 54.30 54.31 54.32 55.1 55.2 55.3 55.4 55.5 55.6 55.7 55.8 55.9 55.10 55.11 55.12 55.13 55.14 55.15 55.16 55.17 55.18 55.19 55.20 55.21 55.22 55.23 55.24 55.25 55.26 55.27 55.28 55.29 56.1 56.2 56.3 56.4 56.5 56.6 56.7 56.8 56.9 56.10 56.11 56.12 56.13 56.14 56.15 56.16 56.17 56.18 56.19
56.20
56.21 56.22 56.23 56.24 56.25 56.26 56.27 56.28 56.29 56.30 56.31 57.1 57.2 57.3 57.4 57.5 57.6 57.7 57.8 57.9 57.10 57.11 57.12 57.13 57.14 57.15 57.16 57.17 57.18 57.19 57.20 57.21 57.22 57.23 57.24 57.25 57.26 57.27 57.28 57.29 57.30 57.31 57.32 57.33 58.1 58.2 58.3 58.4 58.5 58.6 58.7 58.8 58.9 58.10 58.11 58.12 58.13 58.14 58.15 58.16 58.17 58.18
58.19 58.20
58.21 58.22 58.23 58.24 58.25 58.26 58.27 58.28 58.29 58.30 58.31 58.32 59.1 59.2 59.3 59.4 59.5 59.6 59.7 59.8 59.9 59.10 59.11 59.12 59.13 59.14 59.15 59.16 59.17 59.18 59.19 59.20 59.21 59.22 59.23 59.24 59.25 59.26 59.27 59.28 59.29 59.30 59.31 59.32 59.33 60.1 60.2 60.3 60.4 60.5 60.6 60.7 60.8 60.9
60.10
60.11 60.12 60.13 60.14 60.15 60.16 60.17 60.18 60.19 60.20 60.21 60.22 60.23 60.24 60.25 60.26 60.27 60.28 60.29
60.30
61.1 61.2 61.3 61.4 61.5 61.6 61.7 61.8 61.9 61.10 61.11 61.12 61.13 61.14 61.15 61.16 61.17 61.18 61.19 61.20 61.21 61.22 61.23 61.24 61.25 61.26 61.27 61.28 61.29 61.30 61.31 61.32 61.33
62.1
62.2 62.3 62.4 62.5 62.6 62.7 62.8 62.9 62.10 62.11 62.12 62.13 62.14 62.15 62.16 62.17 62.18 62.19 62.20 62.21 62.22 62.23 62.24 62.25
62.26 62.27 62.28 62.29 62.30 62.31 63.1 63.2 63.3 63.4
63.5
63.6 63.7 63.8 63.9 63.10 63.11 63.12 63.13 63.14 63.15 63.16 63.17 63.18 63.19 63.20 63.21 63.22 63.23 63.24 63.25 63.26 63.27 63.28 63.29 63.30 63.31 64.1 64.2 64.3 64.4 64.5 64.6 64.7 64.8 64.9 64.10 64.11 64.12 64.13 64.14 64.15 64.16 64.17 64.18 64.19 64.20 64.21 64.22 64.23 64.24 64.25 64.26 64.27 64.28 64.29 64.30 64.31 65.1 65.2 65.3 65.4 65.5 65.6 65.7 65.8 65.9 65.10 65.11 65.12 65.13 65.14 65.15 65.16 65.17 65.18 65.19 65.20 65.21 65.22
65.23
65.24 65.25 65.26 65.27 65.28 65.29 65.30 66.1 66.2 66.3 66.4 66.5 66.6 66.7 66.8 66.9 66.10 66.11 66.12 66.13 66.14 66.15 66.16 66.17 66.18 66.19 66.20 66.21 66.22 66.23 66.24 66.25 66.26 66.27 66.28 66.29 66.30 66.31 66.32
66.33
67.1 67.2
67.3 67.4 67.5 67.6 67.7 67.8 67.9 67.10 67.11 67.12 67.13 67.14 67.15 67.16 67.17 67.18 67.19 67.20 67.21 67.22 67.23 67.24 67.25 67.26 67.27 67.28 67.29 67.30 67.31 67.32 67.33 68.1 68.2 68.3 68.4 68.5 68.6 68.7 68.8
68.9
68.10 68.11 68.12 68.13 68.14 68.15 68.16 68.17 68.18 68.19 68.20 68.21 68.22 68.23 68.24 68.25 68.26 68.27 68.28 68.29 68.30 68.31 68.32 68.33 69.1 69.2 69.3 69.4 69.5 69.6 69.7
69.8
69.9 69.10 69.11 69.12 69.13 69.14 69.15 69.16 69.17 69.18 69.19 69.20 69.21 69.22 69.23 69.24 69.25 69.26 69.27 69.28 69.29 69.30 69.31 70.1 70.2 70.3 70.4 70.5 70.6 70.7 70.8 70.9 70.10 70.11 70.12 70.13 70.14 70.15 70.16 70.17 70.18 70.19 70.20 70.21 70.22 70.23 70.24 70.25 70.26 70.27 70.28 70.29 70.30 70.31 70.32 70.33 70.34 71.1 71.2 71.3 71.4 71.5 71.6 71.7 71.8 71.9 71.10 71.11 71.12 71.13 71.14 71.15 71.16 71.17 71.18 71.19 71.20 71.21 71.22 71.23 71.24 71.25 71.26 71.27 71.28 71.29 71.30 71.31 71.32 72.1 72.2 72.3 72.4 72.5 72.6 72.7 72.8 72.9 72.10 72.11 72.12 72.13 72.14 72.15 72.16 72.17 72.18 72.19 72.20 72.21 72.22 72.23 72.24 72.25 72.26 72.27 72.28 72.29 72.30 72.31 73.1 73.2 73.3 73.4 73.5 73.6 73.7 73.8 73.9 73.10 73.11 73.12 73.13 73.14 73.15 73.16 73.17 73.18 73.19 73.20 73.21 73.22 73.23 73.24 73.25 73.26 73.27 73.28 73.29 73.30 73.31 73.32 74.1 74.2 74.3 74.4 74.5 74.6 74.7 74.8 74.9 74.10 74.11 74.12 74.13 74.14 74.15 74.16 74.17 74.18 74.19 74.20 74.21 74.22 74.23 74.24 74.25 74.26 74.27
74.28
75.1 75.2 75.3 75.4 75.5 75.6 75.7 75.8 75.9 75.10 75.11 75.12 75.13 75.14 75.15 75.16 75.17 75.18 75.19 75.20 75.21 75.22 75.23 75.24
75.25
75.26 75.27 75.28 75.29 75.30 75.31 76.1 76.2 76.3 76.4 76.5 76.6 76.7
76.8
76.9 76.10 76.11 76.12 76.13 76.14 76.15 76.16 76.17 76.18 76.19
76.20
76.21 76.22 76.23 76.24 76.25 76.26 76.27 76.28 76.29 76.30 76.31 77.1 77.2 77.3 77.4 77.5 77.6 77.7 77.8 77.9 77.10 77.11 77.12 77.13 77.14 77.15 77.16 77.17 77.18 77.19 77.20 77.21 77.22 77.23 77.24 77.25 77.26 77.27 78.1
78.2 78.3 78.4 78.5 78.6 78.7 78.8 78.9
78.10 78.11 78.12 78.13 78.14 78.15 78.16 78.17 78.18 78.19 78.20 78.21 78.22 78.23 78.24 78.25 78.26 78.27 78.28 78.29 78.30 78.31 78.32 78.33
79.1 79.2 79.3 79.4 79.5 79.6 79.7
79.8 79.9 79.10 79.11 79.12 79.13 79.14 79.15 79.16 79.17 79.18 79.19 79.20 79.21 79.22 79.23 79.24 79.25 79.26 79.27 79.28 79.29 79.30 79.31 79.32 80.1 80.2 80.3 80.4 80.5 80.6 80.7 80.8 80.9 80.10 80.11 80.12 80.13 80.14 80.15 80.16 80.17 80.18 80.19 80.20 80.21 80.22 80.23 80.24
80.25
80.26 80.27 80.28 80.29 80.30 80.31 81.1 81.2 81.3 81.4 81.5 81.6 81.7 81.8 81.9 81.10 81.11 81.12 81.13 81.14 81.15 81.16 81.17 81.18 81.19 81.20 81.21 81.22 81.23 81.24 81.25
81.26
81.27 81.28 81.29 81.30 81.31 81.32 82.1 82.2 82.3 82.4 82.5 82.6 82.7 82.8 82.9 82.10 82.11 82.12 82.13 82.14 82.15 82.16 82.17 82.18 82.19 82.20 82.21 82.22 82.23 82.24 82.25 82.26 82.27 82.28 82.29 82.30 82.31 82.32 82.33 83.1 83.2 83.3 83.4 83.5 83.6 83.7 83.8 83.9 83.10 83.11 83.12 83.13 83.14 83.15 83.16 83.17 83.18 83.19 83.20 83.21 83.22 83.23 83.24 83.25 83.26 83.27 83.28 83.29 83.30
83.31
84.1 84.2 84.3 84.4 84.5 84.6 84.7 84.8 84.9 84.10 84.11 84.12 84.13 84.14 84.15
84.16
84.17 84.18 84.19 84.20 84.21 84.22 84.23 84.24 84.25 84.26 84.27 84.28 84.29 84.30 84.31 84.32 85.1 85.2 85.3 85.4 85.5 85.6 85.7 85.8 85.9 85.10 85.11 85.12 85.13 85.14 85.15 85.16 85.17 85.18 85.19 85.20 85.21 85.22 85.23 85.24 85.25 85.26 85.27 85.28 85.29 85.30 85.31 86.1 86.2 86.3 86.4 86.5 86.6 86.7 86.8
86.9
86.10 86.11 86.12 86.13 86.14 86.15 86.16 86.17 86.18 86.19
86.20
86.21 86.22 86.23 86.24 86.25 86.26 86.27 86.28 86.29 86.30 86.31 87.1 87.2
87.3
87.4 87.5 87.6
87.7
87.8 87.9 87.10 87.11 87.12 87.13 87.14 87.15 87.16 87.17 87.18 87.19 87.20 87.21 87.22 87.23 87.24 87.25 87.26 87.27 87.28 87.29 87.30 88.1 88.2 88.3 88.4 88.5 88.6
88.7
88.8 88.9 88.10 88.11 88.12 88.13 88.14 88.15 88.16 88.17 88.18 88.19 88.20 88.21 88.22 88.23 88.24 88.25 88.26 88.27 88.28 88.29 88.30 88.31 88.32 88.33 89.1 89.2 89.3 89.4 89.5 89.6 89.7 89.8 89.9 89.10 89.11 89.12 89.13 89.14 89.15 89.16 89.17
89.18
89.19 89.20 89.21 89.22 89.23 89.24 89.25 89.26 89.27 89.28 89.29 89.30 89.31 89.32 90.1 90.2 90.3 90.4 90.5 90.6 90.7 90.8 90.9 90.10 90.11 90.12 90.13 90.14 90.15 90.16 90.17 90.18 90.19 90.20 90.21 90.22 90.23 90.24 90.25 90.26 90.27 90.28 90.29 90.30 90.31 90.32 90.33 90.34 91.1 91.2 91.3
91.4
91.5 91.6 91.7 91.8 91.9 91.10 91.11 91.12 91.13 91.14 91.15 91.16 91.17 91.18 91.19 91.20 91.21 91.22 91.23 91.24 91.25 91.26 91.27 91.28 91.29 91.30 91.31 92.1 92.2 92.3 92.4 92.5 92.6 92.7 92.8 92.9 92.10 92.11 92.12 92.13 92.14 92.15 92.16 92.17 92.18 92.19 92.20 92.21 92.22 92.23 92.24 92.25 92.26 92.27 92.28 92.29 92.30 92.31 92.32 93.1 93.2 93.3 93.4 93.5 93.6 93.7 93.8 93.9 93.10 93.11 93.12 93.13 93.14 93.15 93.16 93.17 93.18 93.19 93.20 93.21 93.22 93.23 93.24 93.25 93.26
93.27
93.28 93.29 93.30 93.31 94.1 94.2 94.3 94.4 94.5 94.6 94.7 94.8 94.9 94.10 94.11 94.12 94.13 94.14 94.15
94.16
94.17 94.18 94.19 94.20 94.21 94.22 94.23 94.24 94.25 94.26 94.27 94.28 94.29 94.30 94.31 94.32 94.33 94.34 95.1 95.2 95.3 95.4 95.5 95.6 95.7 95.8 95.9 95.10 95.11 95.12 95.13 95.14 95.15 95.16 95.17 95.18 95.19 95.20 95.21
95.22
95.23 95.24 95.25 95.26 95.27 95.28 95.29 95.30 95.31 95.32 95.33
96.1
96.2 96.3 96.4 96.5 96.6 96.7 96.8 96.9 96.10 96.11 96.12 96.13 96.14 96.15 96.16
96.17
96.18 96.19 96.20 96.21 96.22 96.23 96.24 96.25 96.26 96.27 96.28 96.29 96.30 96.31 96.32 96.33 97.1 97.2 97.3 97.4 97.5 97.6 97.7 97.8 97.9
97.10
97.11 97.12 97.13 97.14 97.15 97.16 97.17 97.18 97.19 97.20 97.21 97.22 97.23 97.24 97.25 97.26 97.27 97.28
97.29
98.1 98.2 98.3 98.4 98.5 98.6 98.7 98.8 98.9 98.10 98.11 98.12 98.13 98.14 98.15 98.16 98.17 98.18 98.19 98.20
98.21
98.22
98.23
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98.25
98.26
98.27
98.28
98.29
99.1 99.2 99.3 99.4 99.5 99.6 99.7 99.8 99.9 99.10 99.11 99.12 99.13 99.14 99.15 99.16 99.17 99.18 99.19 99.20 99.21 99.22 99.23 99.24 99.25 99.26 99.27
99.28
100.1 100.2 100.3 100.4 100.5 100.6 100.7 100.8 100.9 100.10 100.11 100.12 100.13 100.14 100.15 100.16 100.17 100.18 100.19 100.20 100.21 100.22 100.23 100.24 100.25 100.26 100.27 100.28 100.29 100.30 100.31 100.32 101.1 101.2 101.3 101.4 101.5 101.6 101.7 101.8 101.9 101.10 101.11 101.12 101.13 101.14 101.15 101.16 101.17 101.18 101.19 101.20 101.21 101.22 101.23 101.24 101.25 101.26 101.27 101.28 101.29 101.30 101.31 101.32 101.33 101.34 101.35 102.1 102.2 102.3 102.4 102.5 102.6 102.7 102.8 102.9 102.10 102.11 102.12 102.13 102.14 102.15 102.16 102.17 102.18 102.19 102.20 102.21 102.22 102.23 102.24 102.25 102.26 102.27 102.28 102.29 102.30 102.31 102.32 102.33 103.1 103.2 103.3 103.4 103.5 103.6 103.7 103.8 103.9 103.10 103.11 103.12 103.13 103.14 103.15 103.16 103.17 103.18 103.19 103.20 103.21 103.22 103.23 103.24 103.25 103.26 103.27 103.28 103.29 103.30 103.31 103.32 103.33 104.1 104.2 104.3 104.4 104.5 104.6 104.7 104.8 104.9 104.10 104.11 104.12 104.13 104.14
104.15
104.16 104.17 104.18 104.19 104.20 104.21 104.22 104.23 104.24 104.25 104.26 104.27 104.28
104.29
105.1 105.2 105.3 105.4 105.5 105.6
105.7
105.8 105.9 105.10 105.11 105.12 105.13 105.14 105.15 105.16 105.17 105.18 105.19 105.20 105.21 105.22 105.23 105.24 105.25 105.26 105.27 105.29 105.28 105.30 105.31 105.32 105.33 105.34 106.1 106.2 106.3 106.5 106.4 106.6 106.7 106.9 106.8 106.10 106.11 106.12 106.13 106.14 106.15 106.16 106.17 106.18 106.19 106.20 106.21 106.22 106.23 106.24 106.25 106.26 106.27 106.28 106.29 106.30 106.31 106.32 106.33 106.34 106.35 106.36 106.37 106.38 106.39 106.40 107.1 107.2 107.3 107.4 107.5 107.6 107.7 107.8 107.9 107.10 107.11 107.12 107.13
107.14 107.15 107.16 107.17 107.18
107.19 107.20 107.21 107.22 107.23 107.24 107.25 107.26 107.27 107.28 107.29 107.30 107.31 108.1 108.2 108.3 108.4 108.5 108.6 108.7 108.8 108.9 108.10 108.11 108.12 108.13 108.14 108.15 108.16 108.17 108.18 108.19 108.20 108.21 108.22
108.23
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108.30
109.1 109.2 109.3 109.4 109.5 109.6
109.7
109.8 109.9 109.10 109.11 109.12 109.13 109.14
109.15
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109.19
109.20 109.21
109.22 109.23 109.24 109.25 109.26 109.27 109.28 109.29 110.1 110.2 110.3 110.4 110.5 110.6 110.7 110.8 110.9 110.10 110.11 110.12 110.13 110.14 110.15 110.16 110.17 110.18 110.19 110.20 110.21 110.22 110.23 110.24 110.25 110.26 110.27 110.28 110.29 110.30 110.31 111.1 111.2 111.3 111.4 111.5 111.6 111.7 111.8 111.9 111.10 111.11 111.12 111.13 111.14 111.15 111.16 111.17
111.18 111.19 111.20 111.21 111.22 111.23 111.24 111.25 111.26 111.27 111.28 111.29 111.30 112.1 112.2 112.3 112.4 112.5 112.6 112.7 112.8 112.9 112.10 112.11 112.12 112.13 112.14 112.15 112.16 112.17
112.18
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112.23 112.24
112.25 112.26 112.27 112.28 112.29
113.1 113.2 113.3 113.4 113.5 113.6 113.7 113.8 113.9
113.10
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113.15 113.16
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114.1 114.2 114.3 114.4 114.5 114.6 114.7 114.8 114.9 114.10 114.11 114.12 114.13 114.14 114.15 114.16 114.17 114.18 114.19 114.20 114.21 114.22 114.23 114.24 114.25 114.26 114.27 114.28 114.29 114.30 114.31 114.32 114.33 114.34 115.1 115.2 115.3 115.4 115.5 115.6 115.7 115.8 115.9 115.10 115.11 115.12 115.13 115.14 115.15 115.16 115.17 115.18 115.19 115.20 115.21 115.22 115.23 115.24 115.25 115.26 115.27 115.28 115.29 115.30 115.31 115.32 115.33 115.34 115.35 115.36 116.1 116.2 116.3 116.4 116.5 116.6 116.7 116.8 116.9 116.10 116.11 116.12 116.13 116.14 116.15 116.16 116.17 116.18 116.19 116.20 116.21 116.22 116.23 116.24 116.25 116.26 116.27 116.28 116.29 116.30 116.31 116.32 116.33 116.34 116.35 117.1 117.2 117.3 117.4 117.5 117.6 117.7 117.8 117.9 117.10 117.11 117.12 117.13 117.14 117.15 117.16 117.17 117.18 117.19 117.20 117.21 117.22 117.23 117.24 117.25 117.26 117.27 117.28 117.29 117.30 117.31 117.32 117.33 117.34 117.35 118.1 118.2 118.3 118.4 118.5 118.6 118.7 118.8 118.9 118.10 118.11 118.12 118.13 118.14 118.15 118.16 118.17 118.18 118.19 118.20 118.21 118.22 118.23 118.24 118.25 118.26 118.27 118.28 118.29 118.30 118.31 118.32 118.33 118.34 118.35 119.1 119.2 119.3 119.4 119.5 119.6 119.7 119.8 119.9 119.10 119.11 119.12 119.13 119.14 119.15 119.16 119.17 119.18 119.19 119.20 119.21 119.22 119.23 119.24 119.25 119.26 119.27 119.28 119.29 119.30 119.31 119.32 119.33 119.34 119.35 120.1 120.2 120.3 120.4 120.5 120.6 120.7 120.8 120.9 120.10 120.11 120.12 120.13 120.14 120.15 120.16 120.17 120.18 120.19 120.20 120.21 120.22 120.23 120.24 120.25 120.26 120.27 120.28 120.29 120.30 120.31 120.32 120.33 120.34 121.1 121.2 121.3 121.4 121.5 121.6 121.7 121.8 121.9 121.10 121.11 121.12 121.13 121.14 121.15 121.16 121.17 121.18 121.19 121.20 121.21 121.22 121.23 121.24 121.25 121.26 121.27 121.28 121.29 121.30 121.31 121.32 121.33 122.1 122.2 122.3 122.4 122.5 122.6 122.7 122.8 122.9 122.10 122.11 122.12 122.13 122.14 122.15
122.16
122.17 122.18 122.19 122.20 122.21 122.22 122.23 122.24 122.25 122.26 122.27 122.28 122.29 122.30 122.31 122.32 123.1 123.2 123.3 123.4 123.5 123.6 123.7 123.8 123.9 123.10 123.11 123.12 123.13 123.14 123.15 123.16 123.17 123.18 123.19 123.20 123.21 123.22 123.23 123.24 123.25 123.26 123.27 123.28 123.29 123.30 123.31 123.32 123.33 123.34 124.1 124.2 124.3 124.4 124.5 124.6 124.7 124.8 124.9
124.10
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124.18 124.19 124.20 124.21 124.22 124.23 124.24 124.25 124.26 124.27 124.28 124.29 124.30 124.31
125.1
125.2 125.3 125.4 125.5 125.6 125.7 125.8 125.9 125.10 125.11 125.12 125.13 125.14 125.15 125.16 125.17 125.18 125.19 125.20 125.21 125.22 125.23 125.24 125.25 125.26 125.27 125.28 125.29 125.30 125.31 125.32 125.33 125.34 126.1 126.2 126.3 126.4 126.5 126.6 126.7 126.8 126.9 126.10 126.11 126.12 126.13 126.14 126.15 126.16 126.17 126.18 126.19 126.20 126.21 126.22 126.23 126.24 126.25 126.26 126.27 126.28 126.29 126.30 126.31 126.32 126.33
126.34
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132.33
133.1 133.2 133.3 133.4 133.5 133.6 133.7 133.8 133.9 133.10 133.11 133.12 133.13 133.14 133.15 133.16 133.17 133.18 133.19 133.20 133.21 133.22 133.23 133.24 133.25 133.26 133.27 133.28 133.29 133.30 133.31 133.32 133.33 133.34 133.35 134.1 134.2 134.3 134.4 134.5 134.6 134.7 134.8 134.9 134.10 134.11 134.12 134.13 134.14 134.15 134.16 134.17 134.18 134.19 134.20 134.21 134.22 134.23 134.24 134.25 134.26 134.27 134.28 134.29 134.30 134.31 134.32 134.33 134.34 135.1 135.2 135.3 135.4 135.5 135.6 135.7 135.8 135.9 135.10 135.11 135.12 135.13 135.14 135.15 135.16 135.17 135.18 135.19 135.20 135.21 135.22 135.23 135.24 135.25 135.26 135.27 135.28 135.29 135.30 135.31 135.32 135.33 135.34 136.1 136.2 136.3 136.4 136.5 136.6 136.7 136.8 136.9 136.10 136.11 136.12 136.13 136.14 136.15 136.16 136.17 136.18 136.19 136.20 136.21 136.22 136.23 136.24 136.25 136.26 136.27 136.28 136.29 136.30 136.31 136.32 136.33 136.34 137.1 137.2 137.3 137.4 137.5 137.6 137.7 137.8 137.9 137.10 137.11 137.12 137.13 137.14 137.15 137.16 137.17 137.18 137.19 137.20 137.21 137.22 137.23 137.24 137.25 137.26
137.27
137.28 137.29 137.30

A bill for an act
 relating to human services; the human services omnibus budget bill; modifying
provisions related to disability services, aging services, substance use disorder
treatment services, priority admissions to state-operated programs and civil
commitment, and Direct Care and Treatment; modifying provisions related to
licensing of assisted living facilities; making technical changes; appropriating
money; amending Minnesota Statutes 2022, sections 13.46, subdivisions 1, as
amended, 10, as amended; 144G.41, subdivision 1, by adding subdivisions;
144G.63, subdivisions 1, 4; 145.61, subdivision 5; 245.821, subdivision 1; 245.825,
subdivision 1; 245A.11, subdivision 2a; 246.018, subdivision 3, as amended;
246.13, subdivision 2, as amended; 246.234, as amended; 246.36, as amended;
246.511, as amended; 252.27, subdivision 2b; 252.282, subdivision 1, by adding
a subdivision; 256.88; 256.89; 256.90; 256.91; 256.92; 256B.02, subdivision 11;
256B.073, subdivision 4; 256B.0911, subdivisions 12, 17, 20; 256B.0913,
subdivision 5a; 256B.0924, subdivision 3; 256B.434, by adding a subdivision;
256B.49, subdivision 16; 256B.4911, by adding subdivisions; 256B.77, subdivision
7a; 256R.53, by adding a subdivision; 256S.205, subdivision 5; 447.42, subdivision
1; Minnesota Statutes 2023 Supplement, sections 10.65, subdivision 2; 13.46,
subdivision 2, as amended; 15.01; 15.06, subdivision 1; 15A.0815, subdivision 2;
15A.082, subdivisions 1, 3, 7; 43A.08, subdivisions 1, 1a; 245A.03, subdivision
7, as amended; 246.0135, as amended; 246C.01; 246C.02, as amended; 246C.04,
as amended; 246C.05, as amended; 253B.10, subdivision 1; 256.042, subdivision
2; 256.043, subdivision 3; 256.9756, subdivisions 1, 2; 256B.073, subdivision 3;
256B.0911, subdivision 13; 256B.0913, subdivision 5; 256B.4914, subdivision
10d; 256R.55, subdivision 9; 270B.14, subdivision 1; Laws 2021, First Special
Session chapter 7, article 13, section 68; article 17, section 19, as amended; Laws
2023, chapter 61, article 1, sections 59, subdivisions 2, 3; 60, subdivisions 1, 2;
67, subdivision 3; article 4, section 11; article 8, sections 1; 2; 3; 8; article 9, section
2, subdivisions 13, 16, as amended, 18; Laws 2024, chapter 79, article 1, sections
18; 23; 24; 25, subdivision 3; article 10, sections 1; 6; proposing coding for new
law in Minnesota Statutes, chapters 144G; 245D; 246C; 256S; repealing Minnesota
Statutes 2022, sections 246.41; 252.021; 252.27, subdivisions 1a, 2, 3, 4a, 5, 6;
256B.0916, subdivision 10; Minnesota Statutes 2023 Supplement, sections 246C.03;
252.27, subdivision 2a.

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

ARTICLE 1

DISABILITY SERVICES

Section 1.

Minnesota Statutes 2023 Supplement, section 13.46, subdivision 2, as amended
by Laws 2024, chapter 80, article 8, section 2, is amended to read:


Subd. 2.

General.

(a) Data on individuals collected, maintained, used, or disseminated
by the welfare system are private data on individuals, and shall not be disclosed except:

(1) according to section 13.05;

(2) according to court order;

(3) according to a statute specifically authorizing access to the private data;

(4) to an agent of the welfare system and an investigator acting on behalf of a county,
the state, or the federal government, including a law enforcement person or attorney in the
investigation or prosecution of a criminal, civil, or administrative proceeding relating to the
administration of a program;

(5) to personnel of the welfare system who require the data to verify an individual's
identity; determine eligibility, amount of assistance, and the need to provide services to an
individual or family across programs; coordinate services for an individual or family;
evaluate the effectiveness of programs; assess parental contribution amounts; and investigate
suspected fraud;

(6) to administer federal funds or programs;

(7) between personnel of the welfare system working in the same program;

(8) to the Department of Revenue to deleted text begin assess parental contribution amounts for purposes
of section 252.27, subdivision 2a,deleted text end administer and evaluate tax refund or tax credit programs
and to identify individuals who may benefit from these programs, and prepare the databases
for reports required under section 270C.13 and Laws 2008, chapter 366, article 17, section
6. The following information may be disclosed under this paragraph: an individual's and
their dependent's names, dates of birth, Social Security or individual taxpayer identification
numbers, income, addresses, and other data as required, upon request by the Department
of Revenue. Disclosures by the commissioner of revenue to the commissioner of human
services for the purposes described in this clause are governed by section 270B.14,
subdivision 1. Tax refund or tax credit programs include, but are not limited to, the dependent
care credit under section 290.067, the Minnesota working family credit under section
290.0671, the property tax refund under section 290A.04, and the Minnesota education
credit under section 290.0674;

(9) between the Department of Human Services; the Department of Employment and
Economic Development; the Department of Children, Youth, and Families; and, when
applicable, the Department of Education, for the following purposes:

(i) to monitor the eligibility of the data subject for unemployment benefits, for any
employment or training program administered, supervised, or certified by that agency;

(ii) to administer any rehabilitation program or child care assistance program, whether
alone or in conjunction with the welfare system;

(iii) to monitor and evaluate the Minnesota family investment program or the child care
assistance program by exchanging data on recipients and former recipients of Supplemental
Nutrition Assistance Program (SNAP) benefits, cash assistance under chapter 256, 256D,
256J, or 256K, child care assistance under chapter 119B, medical programs under chapter
256B or 256L; and

(iv) to analyze public assistance employment services and program utilization, cost,
effectiveness, and outcomes as implemented under the authority established in Title II,
Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999.
Health records governed by sections 144.291 to 144.298 and "protected health information"
as defined in Code of Federal Regulations, title 45, section 160.103, and governed by Code
of Federal Regulations, title 45, parts 160-164, including health care claims utilization
information, must not be exchanged under this clause;

(10) to appropriate parties in connection with an emergency if knowledge of the
information is necessary to protect the health or safety of the individual or other individuals
or persons;

(11) data maintained by residential programs as defined in section 245A.02 may be
disclosed to the protection and advocacy system established in this state according to Part
C of Public Law 98-527 to protect the legal and human rights of persons with developmental
disabilities or other related conditions who live in residential facilities for these persons if
the protection and advocacy system receives a complaint by or on behalf of that person and
the person does not have a legal guardian or the state or a designee of the state is the legal
guardian of the person;

(12) to the county medical examiner or the county coroner for identifying or locating
relatives or friends of a deceased person;

(13) data on a child support obligor who makes payments to the public agency may be
disclosed to the Minnesota Office of Higher Education to the extent necessary to determine
eligibility under section 136A.121, subdivision 2, clause (5);

(14) participant Social Security or individual taxpayer identification numbers and names
collected by the telephone assistance program may be disclosed to the Department of
Revenue to conduct an electronic data match with the property tax refund database to
determine eligibility under section 237.70, subdivision 4a;

(15) the current address of a Minnesota family investment program participant may be
disclosed to law enforcement officers who provide the name of the participant and notify
the agency that:

(i) the participant:

(A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after
conviction, for a crime or attempt to commit a crime that is a felony under the laws of the
jurisdiction from which the individual is fleeing; or

(B) is violating a condition of probation or parole imposed under state or federal law;

(ii) the location or apprehension of the felon is within the law enforcement officer's
official duties; and

(iii) the request is made in writing and in the proper exercise of those duties;

(16) the current address of a recipient of general assistance may be disclosed to probation
officers and corrections agents who are supervising the recipient and to law enforcement
officers who are investigating the recipient in connection with a felony level offense;

(17) information obtained from a SNAP applicant or recipient households may be
disclosed to local, state, or federal law enforcement officials, upon their written request, for
the purpose of investigating an alleged violation of the Food and Nutrition Act, according
to Code of Federal Regulations, title 7, section 272.1(c);

(18) the address, Social Security or individual taxpayer identification number, and, if
available, photograph of any member of a household receiving SNAP benefits shall be made
available, on request, to a local, state, or federal law enforcement officer if the officer
furnishes the agency with the name of the member and notifies the agency that:

(i) the member:

(A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a
crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;

(B) is violating a condition of probation or parole imposed under state or federal law;
or

(C) has information that is necessary for the officer to conduct an official duty related
to conduct described in subitem (A) or (B);

(ii) locating or apprehending the member is within the officer's official duties; and

(iii) the request is made in writing and in the proper exercise of the officer's official duty;

(19) the current address of a recipient of Minnesota family investment program, general
assistance, or SNAP benefits may be disclosed to law enforcement officers who, in writing,
provide the name of the recipient and notify the agency that the recipient is a person required
to register under section 243.166, but is not residing at the address at which the recipient is
registered under section 243.166;

(20) certain information regarding child support obligors who are in arrears may be
made public according to section 518A.74;

(21) data on child support payments made by a child support obligor and data on the
distribution of those payments excluding identifying information on obligees may be
disclosed to all obligees to whom the obligor owes support, and data on the enforcement
actions undertaken by the public authority, the status of those actions, and data on the income
of the obligor or obligee may be disclosed to the other party;

(22) data in the work reporting system may be disclosed under section 256.998,
subdivision 7;

(23) to the Department of Education for the purpose of matching Department of Education
student data with public assistance data to determine students eligible for free and
reduced-price meals, meal supplements, and free milk according to United States Code,
title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and state
funds that are distributed based on income of the student's family; and to verify receipt of
energy assistance for the telephone assistance plan;

(24) the current address and telephone number of program recipients and emergency
contacts may be released to the commissioner of health or a community health board as
defined in section 145A.02, subdivision 5, when the commissioner or community health
board has reason to believe that a program recipient is a disease case, carrier, suspect case,
or at risk of illness, and the data are necessary to locate the person;

(25) to other state agencies, statewide systems, and political subdivisions of this state,
including the attorney general, and agencies of other states, interstate information networks,
federal agencies, and other entities as required by federal regulation or law for the
administration of the child support enforcement program;

(26) to personnel of public assistance programs as defined in section 256.741, for access
to the child support system database for the purpose of administration, including monitoring
and evaluation of those public assistance programs;

(27) to monitor and evaluate the Minnesota family investment program by exchanging
data between the Departments of Human Services; Children, Youth, and Families; and
Education, on recipients and former recipients of SNAP benefits, cash assistance under
chapter 256, 256D, 256J, or 256K, child care assistance under chapter 119B, medical
programs under chapter 256B or 256L, or a medical program formerly codified under chapter
256D;

(28) to evaluate child support program performance and to identify and prevent fraud
in the child support program by exchanging data between the Department of Human Services;
Department of Children, Youth, and Families; Department of Revenue under section 270B.14,
subdivision 1, paragraphs (a) and (b), without regard to the limitation of use in paragraph
(c); Department of Health; Department of Employment and Economic Development; and
other state agencies as is reasonably necessary to perform these functions;

(29) counties and the Department of Children, Youth, and Families operating child care
assistance programs under chapter 119B may disseminate data on program participants,
applicants, and providers to the commissioner of education;

(30) child support data on the child, the parents, and relatives of the child may be
disclosed to agencies administering programs under titles IV-B and IV-E of the Social
Security Act, as authorized by federal law;

(31) to a health care provider governed by sections 144.291 to 144.298, to the extent
necessary to coordinate services;

(32) to the chief administrative officer of a school to coordinate services for a student
and family; data that may be disclosed under this clause are limited to name, date of birth,
gender, and address;

(33) to county correctional agencies to the extent necessary to coordinate services and
diversion programs; data that may be disclosed under this clause are limited to name, client
demographics, program, case status, and county worker information; or

(34) between the Department of Human Services and the Metropolitan Council for the
following purposes:

(i) to coordinate special transportation service provided under section 473.386 with
services for people with disabilities and elderly individuals funded by or through the
Department of Human Services; and

(ii) to provide for reimbursement of special transportation service provided under section
473.386.

The data that may be shared under this clause are limited to the individual's first, last, and
middle names; date of birth; residential address; and program eligibility status with expiration
date for the purposes of informing the other party of program eligibility.

(b) Information on persons who have been treated for substance use disorder may only
be disclosed according to the requirements of Code of Federal Regulations, title 42, sections
2.1 to 2.67.

(c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16),
(17), or (18), or paragraph (b), are investigative data and are confidential or protected
nonpublic while the investigation is active. The data are private after the investigation
becomes inactive under section 13.82, subdivision 7, clause (a) or (b).

(d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but are
not subject to the access provisions of subdivision 10, paragraph (b).

For the purposes of this subdivision, a request will be deemed to be made in writing if
made through a computer interface system.

Sec. 2.

Minnesota Statutes 2022, section 245.821, subdivision 1, is amended to read:


Subdivision 1.

Notice required.

Notwithstanding any law to the contrary, no private or
public facility for the treatment, housing, or counseling of more than five persons with
mental illness, physical disability, developmental disability, deleted text begin as defined in section 252.27,
subdivision 1a,deleted text end substance use disorder, or another form of dependency, nor any correctional
facility for more than five persons, shall be established without 30 days' written notice to
the affected municipality or other political subdivision.

Sec. 3.

Minnesota Statutes 2022, section 245.825, subdivision 1, is amended to read:


Subdivision 1.

Rules governing aversive and deprivation procedures.

The
commissioner of human services shall by October, 1983, promulgate rules governing the
use of aversive and deprivation procedures in all licensed facilities and licensed services
serving persons with developmental disabilitiesdeleted text begin , as defined in section 252.27, subdivision
1adeleted text end . No provision of these rules shall encourage or require the use of aversive and deprivation
procedures. The rules shall prohibit: (1) the application of certain aversive and deprivation
procedures in facilities except as authorized and monitored by the commissioner; (2) the
use of aversive and deprivation procedures that restrict the consumers' normal access to
nutritious diet, drinking water, adequate ventilation, necessary medical care, ordinary hygiene
facilities, normal sleeping conditions, and necessary clothing; and (3) the use of faradic
shock without a court order. The rule shall further specify that consumers may not be denied
ordinary access to legal counsel and next of kin. In addition, the rule may specify other
prohibited practices and the specific conditions under which permitted practices are to be
carried out. For any persons receiving faradic shock, a plan to reduce and eliminate the use
of faradic shock shall be in effect upon implementation of the procedure.

Sec. 4.

Minnesota Statutes 2023 Supplement, section 245A.03, subdivision 7, as amended
by Laws 2024, chapter 80, article 2, section 37, and Laws 2024, chapter 85, section 53, is
amended to read:


Subd. 7.

Licensing moratorium.

(a) The commissioner shall not issue an initial license
for child foster care licensed under Minnesota Rules, parts 2960.3000 to 2960.3340, or adult
foster care licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, under this chapter
for a physical location that will not be the primary residence of the license holder for the
entire period of licensure. If a family adult foster care home license is issued during this
moratorium, and the license holder changes the license holder's primary residence away
from the physical location of the foster care license, the commissioner shall revoke the
license according to section 245A.07. The commissioner shall not issue an initial license
for a community residential setting licensed under chapter 245D. When approving an
exception under this paragraph, the commissioner shall consider the resource need
determination process in paragraph (h), the availability of foster care licensed beds in the
geographic area in which the licensee seeks to operate, the results of a person's choices
during their annual assessment and service plan review, and the recommendation of the
local county board. The determination by the commissioner is final and not subject to appeal.
Exceptions to the moratorium include:

(1) a license for a person in a foster care setting that is not the primary residence of the
license holder and where at least 80 percent of the residents are 55 years of age or older;

(2) foster care licenses replacing foster care licenses in existence on May 15, 2009, or
community residential setting licenses replacing adult foster care licenses in existence on
December 31, 2013, and determined to be needed by the commissioner under paragraph
(b);

(3) new foster care licenses or community residential setting licenses determined to be
needed by the commissioner under paragraph (b) for the closure of a nursing facility, ICF/DD,
or regional treatment center; restructuring of state-operated services that limits the capacity
of state-operated facilities; or allowing movement to the community for people who no
longer require the level of care provided in state-operated facilities as provided under section
256B.092, subdivision 13, or 256B.49, subdivision 24; deleted text begin or
deleted text end

(4) new foster care licenses or community residential setting licenses determined to be
needed by the commissioner under paragraph (b) for persons requiring hospital-level caredeleted text begin .deleted text end new text begin ;
or
new text end

new text begin (5) new community residential setting licenses determined necessary by the commissioner
for people affected by the closure of homes with a capacity of five or six beds currently
licensed as supervised living facilities licensed under Minnesota Rules, chapter 4665, but
not designated as intermediate care facilities. This exception is available until June 30, 2025.
 new text end

(b) The commissioner shall determine the need for newly licensed foster care homes or
community residential settings as defined under this subdivision. As part of the determination,
the commissioner shall consider the availability of foster care capacity in the area in which
the licensee seeks to operate, and the recommendation of the local county board. The
determination by the commissioner must be final. A determination of need is not required
for a change in ownership at the same address.

(c) When an adult resident served by the program moves out of a foster home that is not
the primary residence of the license holder according to section 256B.49, subdivision 15,
paragraph (f), or the adult community residential setting, the county shall immediately
inform the Department of Human Services Licensing Division. The department may decrease
the statewide licensed capacity for adult foster care settings.

(d) Residential settings that would otherwise be subject to the decreased license capacity
established in paragraph (c) shall be exempt if the license holder's beds are occupied by
residents whose primary diagnosis is mental illness and the license holder is certified under
the requirements in subdivision 6a or section 245D.33.

(e) A resource need determination process, managed at the state level, using the available
data required by section 144A.351, and other data and information shall be used to determine
where the reduced capacity determined under section 256B.493 will be implemented. The
commissioner shall consult with the stakeholders described in section 144A.351, and employ
a variety of methods to improve the state's capacity to meet the informed decisions of those
people who want to move out of corporate foster care or community residential settings,
long-term service needs within budgetary limits, including seeking proposals from service
providers or lead agencies to change service type, capacity, or location to improve services,
increase the independence of residents, and better meet needs identified by the long-term
services and supports reports and statewide data and information.

(f) At the time of application and reapplication for licensure, the applicant and the license
holder that are subject to the moratorium or an exclusion established in paragraph (a) are
required to inform the commissioner whether the physical location where the foster care
will be provided is or will be the primary residence of the license holder for the entire period
of licensure. If the primary residence of the applicant or license holder changes, the applicant
or license holder must notify the commissioner immediately. The commissioner shall print
on the foster care license certificate whether or not the physical location is the primary
residence of the license holder.

(g) License holders of foster care homes identified under paragraph (f) that are not the
primary residence of the license holder and that also provide services in the foster care home
that are covered by a federally approved home and community-based services waiver, as
authorized under chapter 256S or section 256B.092 or 256B.49, must inform the human
services licensing division that the license holder provides or intends to provide these
waiver-funded services.

(h) The commissioner may adjust capacity to address needs identified in section
144A.351. Under this authority, the commissioner may approve new licensed settings or
delicense existing settings. Delicensing of settings will be accomplished through a process
identified in section 256B.493.

(i) The commissioner must notify a license holder when its corporate foster care or
community residential setting licensed beds are reduced under this section. The notice of
reduction of licensed beds must be in writing and delivered to the license holder by certified
mail or personal service. The notice must state why the licensed beds are reduced and must
inform the license holder of its right to request reconsideration by the commissioner. The
license holder's request for reconsideration must be in writing. If mailed, the request for
reconsideration must be postmarked and sent to the commissioner within 20 calendar days
after the license holder's receipt of the notice of reduction of licensed beds. If a request for
reconsideration is made by personal service, it must be received by the commissioner within
20 calendar days after the license holder's receipt of the notice of reduction of licensed beds.

(j) The commissioner shall not issue an initial license for children's residential treatment
services licensed under Minnesota Rules, parts 2960.0580 to 2960.0700, under this chapter
for a program that Centers for Medicare and Medicaid Services would consider an institution
for mental diseases. Facilities that serve only private pay clients are exempt from the
moratorium described in this paragraph. The commissioner has the authority to manage
existing statewide capacity for children's residential treatment services subject to the
moratorium under this paragraph and may issue an initial license for such facilities if the
initial license would not increase the statewide capacity for children's residential treatment
services subject to the moratorium under this paragraph.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2024.
 new text end

Sec. 5.

Minnesota Statutes 2022, section 245A.11, subdivision 2a, is amended to read:


Subd. 2a.

Adult foster care and community residential setting license capacity.

(a)
The commissioner shall issue adult foster care and community residential setting licenses
with a maximum licensed capacity of four beds, including nonstaff roomers and boarders,
except that the commissioner may issue a license with a capacity of five beds, including
roomers and boarders, according to paragraphs (b) to deleted text begin (g)deleted text end new text begin (h)new text end .

(b) The license holder may have a maximum license capacity of five if all persons in
care are age 55 or over and do not have a serious and persistent mental illness or a
developmental disability.

(c) The commissioner may grant variances to paragraph (b) to allow a facility with a
licensed capacity of up to five persons to admit an individual under the age of 55 if the
variance complies with section 245A.04, subdivision 9, and approval of the variance is
recommended by the county in which the licensed facility is located.

(d) The commissioner may grant variances to paragraph (a) to allow the use of an
additional bed, up to six, for emergency crisis services for a person with serious and persistent
mental illness or a developmental disability, regardless of age, if the variance complies with
section 245A.04, subdivision 9, and approval of the variance is recommended by the county
in which the licensed facility is located.

(e) The commissioner may grant a variance to paragraph (b) to allow for the use of an
additional bed, up to six, for respite services, as defined in section 245A.02, for persons
with disabilities, regardless of age, if the variance complies with sections 245A.03,
subdivision 7, and 245A.04, subdivision 9, and approval of the variance is recommended
by the county in which the licensed facility is located. Respite care may be provided under
the following conditions:

(1) staffing ratios cannot be reduced below the approved level for the individuals being
served in the home on a permanent basis;

(2) no more than two different individuals can be accepted for respite services in any
calendar month and the total respite days may not exceed 120 days per program in any
calendar year;

(3) the person receiving respite services must have his or her own bedroom, which could
be used for alternative purposes when not used as a respite bedroom, and cannot be the
room of another person who lives in the facility; and

(4) individuals living in the facility must be notified when the variance is approved. The
provider must give 60 days' notice in writing to the residents and their legal representatives
prior to accepting the first respite placement. Notice must be given to residents at least two
days prior to service initiation, or as soon as the license holder is able if they receive notice
of the need for respite less than two days prior to initiation, each time a respite client will
be served, unless the requirement for this notice is waived by the resident or legal guardian.

(f) The commissioner may issue an adult foster care or community residential setting
license with a capacity of five adults if the fifth bed does not increase the overall statewide
capacity of licensed adult foster care or community residential setting beds in homes that
are not the primary residence of the license holder, as identified in a plan submitted to the
commissioner by the county, when the capacity is recommended by the county licensing
agency of the county in which the facility is located and if the recommendation verifies
that:

(1) the facility meets the physical environment requirements in the adult foster care
licensing rule;

(2) the five-bed living arrangement is specified for each resident in the resident's:

(i) individualized plan of care;

(ii) individual service plan under section 256B.092, subdivision 1b, if required; or

(iii) individual resident placement agreement under Minnesota Rules, part 9555.5105,
subpart 19, if required;

(3) the license holder obtains written and signed informed consent from each resident
or resident's legal representative documenting the resident's informed choice to remain
living in the home and that the resident's refusal to consent would not have resulted in
service termination; and

(4) the facility was licensed for adult foster care before March 1, 2016.

(g) The commissioner shall not issue a new adult foster care license under paragraph (f)
after December 31, 2020. The commissioner shall allow a facility with an adult foster care
license issued under paragraph (f) before December 31, 2020, to continue with a capacity
of five adults if the license holder continues to comply with the requirements in paragraph
(f).

new text begin (h) The commissioner may issue an adult foster care or community residential setting
license with a capacity of five or six adults to facilities meeting the criteria in section
245A.03, subdivision 7, paragraph (a), clause (5), and grant variances to paragraph (b) to
allow the facility to admit an individual under the age of 55 if the variance complies with
section 245A.04, subdivision 9, and approval of the variance is recommended by the county
in which the licensed facility is located.
 new text end

deleted text begin (h)deleted text end new text begin (i)new text end Notwithstanding Minnesota Rules, part 9520.0500, adult foster care and community
residential setting licenses with a capacity of up to six adults as allowed under this subdivision
are not required to be licensed as an adult mental health residential program according to
Minnesota Rules, parts 9520.0500 to 9520.0670.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2024.
 new text end

Sec. 6.

new text begin [245D.13] OUT-OF-HOME RESPITE SERVICES FOR CHILDREN.
 new text end

new text begin Subdivision 1. new text end

new text begin Licensed setting required. new text end

new text begin A license holder with a home and
community-based services license providing out-of-home respite services for children must
do so only in a licensed setting, unless exempt under subdivision 2.
 new text end

new text begin Subd. 2. new text end

new text begin Exemption from licensed setting requirement. new text end

new text begin (a) A license holder with a
home and community-based services license may provide out-of-home respite services for
children in an unlicensed residential setting if:
 new text end

new text begin (1) the child has not been placed in foster care under Minnesota Rules, part 9560.0529;
 new text end

new text begin (2) all background studies are completed according to the requirements in chapter 245C;
 new text end

new text begin (3) a child's case manager conducts and documents an assessment of the residential
setting and its environment before services are provided and at least once each calendar
year thereafter if services continue to be provided at that residence. The assessment must
ensure that the setting is suitable for the child receiving respite services. The assessment
must be conducted and documented in the manner prescribed by the commissioner;
 new text end

new text begin (4) the child's legal representative visits the residence and signs and dates a statement
authorizing services in the residence before services are provided and at least once each
calendar year thereafter if services continue to be provided at that residence;
 new text end

new text begin (5) the services are provided in a residential setting that is not licensed to provide any
other licensed services;
 new text end

new text begin (6) the services are provided to no more than four children at any one time. Each child
must have an individual bedroom, with the exception of two siblings who may share a
bedroom;
 new text end

new text begin (7) services are not provided to children and adults over the age of 21 in the same
residence at the same time;
 new text end

new text begin (8) services are not provided to a single family for more than 46 calendar days in a
calendar year and no more than ten consecutive days;
 new text end

new text begin (9) the license holder's license was not made conditional, suspended, or revoked during
the previous 24 months; and
 new text end

new text begin (10) each individual in the residence at the time services are provided, other than
individuals receiving services, is an employee, as defined under section 245C.02, of the
license holder and has had a background study completed under chapter 245C. No other
household members or other individuals may be present in the residence while services are
provided.
 new text end

new text begin (b) A child may not receive out-of-home respite services in more than two unlicensed
residential settings in a calendar year.
 new text end

new text begin (c) The license holder must ensure the requirements in this section are met.
 new text end

new text begin Subd. 3. new text end

new text begin Documentation requirements. new text end

new text begin The license holder must maintain documentation
of the following:
 new text end

new text begin (1) background studies completed under chapter 245C;
 new text end

new text begin (2) service recipient records indicating the calendar dates and times when services were
provided;
 new text end

new text begin (3) the case manager's initial residential setting assessment and each residential assessment
completed thereafter; and
 new text end

new text begin (4) the legal representative's approval of the residential setting before services are
provided and each year thereafter.
 new text end

Sec. 7.

Minnesota Statutes 2022, section 246.511, as amended by Laws 2024, chapter 79,
article 2, section 39, is amended to read:


246.511 RELATIVE RESPONSIBILITY.

Except for substance use disorder services paid for with money provided under chapter
254B, the executive board must not require under section 246.51 a client's relatives to pay
more than the following: (1) for services provided in a community-based service, the
noncovered cost of care as determined under the ability to pay determination; and (2) for
services provided at a regional treatment center operated by state-operated services, 20
percent of the cost of care, unless the relatives reside outside the state. deleted text begin The executive board
deleted text end deleted text begin must determine the responsibility of parents of children in state facilities to pay according
deleted text end deleted text begin to deleted text end deleted text begin section deleted text begin 252.27, subdivision 2deleted text end , or indeleted text end deleted text begin rules adopted under chapter 254B if the cost of care
deleted text end deleted text begin is paid under chapter 254B.deleted text end The executive board may accept voluntary payments in excess
of 20 percent. The executive board may require full payment of the full per capita cost of
care in state facilities for clients whose parent, parents, spouse, guardian, or conservator do
not reside in Minnesota.

Sec. 8.

Minnesota Statutes 2022, section 252.27, subdivision 2b, is amended to read:


Subd. 2b.

deleted text begin Child's responsibilitydeleted text end new text begin Parental or guardian reimbursement to countiesnew text end .

new text begin (a)
Parental or guardian new text end responsibility deleted text begin ofdeleted text end new text begin fornew text end the deleted text begin child for thedeleted text end new text begin child'snew text end cost of carenew text begin incurred by
countiesnew text end shall be up to the maximum amount of the total income and resources attributed
to the child except for the clothing and personal needs allowance as provided in section
256B.35, subdivision 1. Reimbursement by the parents deleted text begin and childdeleted text end new text begin or guardians residing
outside of Minnesotanew text end shall be made to the county making any payments for services. The
county board may require payment of the full cost of caring for children whose parents or
guardians do not reside in this state.

new text begin (b) new text end To the extent that a child described in subdivision 1 is eligible for benefits under
chapter 62A, 62C, 62D, 62E, or 64B, the county is not liable for the cost of services.

Sec. 9.

Minnesota Statutes 2022, section 252.282, subdivision 1, is amended to read:


Subdivision 1.

Host county responsibility.

deleted text begin (a) For purposes of this section, "local system
needs planning" means the determination of need for ICF/DD services by program type,
location, demographics, and size of licensed services for persons with developmental
disabilities or related conditions.
 deleted text end

deleted text begin (b)deleted text end new text begin (a)new text end This section does not apply to semi-independent living services and
residential-based habilitation services funded as home and community-based services.

deleted text begin (c)deleted text end new text begin (b)new text end In collaboration with the commissioner and ICF/DD providers, counties shall
complete a local system needs planning process for each ICF/DD facility. Counties shall
evaluate the preferences and needs of persons with developmental disabilities to determine
resource demands through a systematic assessment and planning process by May 15, 2000,
and by July 1 every two years thereafter beginning in 2001.

deleted text begin (d)deleted text end new text begin (c)new text end A local system needs planning process shall be undertaken more frequently when
the needs or preferences of consumers change significantly to require reformation of the
resources available to persons with developmental disabilities.

deleted text begin (e)deleted text end new text begin (d)new text end A local system needs plan shall be amended anytime recommendations for
modifications to existing ICF/DD services are made to the host county, including
recommendations for:

(1) closure;

(2) relocation of services;

(3) downsizing; or

(4) modification of existing services for which a change in the framework of service
delivery is advocated.

Sec. 10.

Minnesota Statutes 2022, section 252.282, is amended by adding a subdivision
to read:


new text begin Subd. 1a. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the terms in this subdivision have
the meanings given.
 new text end

new text begin (b) "Local system needs planning" means the determination of need for ICF/DD services
by program type, location, demographics, and size of licensed services for persons with
developmental disabilities or related conditions.
 new text end

new text begin (c) "Related condition" has the meaning given in section 256B.02, subdivision 11.
 new text end

Sec. 11.

Minnesota Statutes 2022, section 256B.02, subdivision 11, is amended to read:


Subd. 11.

Related condition.

"Related condition" means deleted text begin that condition defined in section
252.27, subdivision 1adeleted text end new text begin a condition:
new text end

new text begin (1) that is found to be closely related to a developmental disability, including but not
limited to cerebral palsy, epilepsy, autism, fetal alcohol spectrum disorder, and Prader-Willi
syndrome; and
 new text end

new text begin (2) that meets all of the following criteria:
 new text end

new text begin (i) is severe and chronic;
 new text end

new text begin (ii) results in impairment of general intellectual functioning or adaptive behavior similar
to that of persons with developmental disabilities;
 new text end

new text begin (iii) requires treatment or services similar to those required for persons with
developmental disabilities;
 new text end

new text begin (iv) is manifested before the person reaches 22 years of age;
 new text end

new text begin (v) is likely to continue indefinitely;
 new text end

new text begin (vi) results in substantial functional limitations in three or more of the following areas
of major life activity:
 new text end

new text begin (A) self-care;
 new text end

new text begin (B) understanding and use of language;
 new text end

new text begin (C) learning;
 new text end

new text begin (D) mobility;
 new text end

new text begin (E) self-direction; or
 new text end

new text begin (F) capacity for independent living; and
 new text end

new text begin (vii) is not attributable to mental illness as defined in section 245.462, subdivision 20,
or an emotional disturbance as defined in section 245.4871, subdivision 15. For purposes
of this item, notwithstanding section 245.462, subdivision 20, or 245.4871, subdivision 15,
"mental illness" does not include autism or other pervasive developmental disordersnew text end .

Sec. 12.

Minnesota Statutes 2023 Supplement, section 256B.073, subdivision 3, is amended
to read:


Subd. 3.

Requirements.

(a) In developing implementation requirements for electronic
visit verification, the commissioner shall ensure that the requirements:

(1) are minimally administratively and financially burdensome to a provider;

(2) are minimally burdensome to the service recipient and the least disruptive to the
service recipient in receiving and maintaining allowed services;

(3) consider existing best practices and use of electronic visit verification;

(4) are conducted according to all state and federal laws;

(5) are effective methods for preventing fraud when balanced against the requirements
of clauses (1) and (2); and

(6) are consistent with the Department of Human Services' policies related to covered
services, flexibility of service use, and quality assurance.

(b) The commissioner shall make training available to providers on the electronic visit
verification system requirements.

(c) The commissioner shall establish baseline measurements related to preventing fraud
and establish measures to determine the effect of electronic visit verification requirements
on program integrity.

(d) The commissioner shall make a state-selected electronic visit verification system
available to providers of services.

(e) The commissioner shall make available and publish on the agency website the name
and contact information for the vendor of the state-selected electronic visit verification
system and the other vendors that offer alternative electronic visit verification systems. The
information provided must state that the state-selected electronic visit verification system
is offered at no cost to the provider of services and that the provider may choose an alternative
system that may be at a cost to the provider.

new text begin (f) The commissioner must make data access through direct electronic means available
to all vendors of electronic visit verification systems offered in the state. The commissioner
must make the data available to the same extent and on the same terms to all vendors,
regardless of whether the vendor is providing the state-selected electronic verification system
or providing an alternative system at a cost to the provider.
 new text end

Sec. 13.

Minnesota Statutes 2022, section 256B.073, subdivision 4, is amended to read:


Subd. 4.

Provider requirements.

(a) A provider of services may select any electronic
visit verification system that meets the requirements established by the commissioner.

(b) All electronic visit verification systems used by providers to comply with the
requirements established by the commissioner must provide data to the commissioner in a
format and at a frequency to be established by the commissioner.

(c) Providers must implement the electronic visit verification systems required under
this section by a date established by the commissioner to be set after the state-selected
electronic visit verification systems for personal care services and home health services are
in production. For purposes of this paragraph, "personal care services" and "home health
services" have the meanings given in United States Code, title 42, section 1396b(l)(5).
Reimbursement rates for providers must not be reduced as a result of federal action to reduce
the federal medical assistance percentage under the 21st Century Cures Act, Public Law
114-255.

new text begin (d) For services provided in the service provider's own home, a service provider may
electronically document the services on a weekly basis provided the documentation contains
the elements listed under subdivision 2, paragraph (b), clauses (1) to (6).
 new text end

Sec. 14.

Minnesota Statutes 2022, section 256B.0911, subdivision 12, is amended to read:


Subd. 12.

Exception to use of MnCHOICES assessment; contracted assessors.

deleted text begin (a)deleted text end
A lead agency that has not implemented MnCHOICES assessments and uses contracted
assessors as of January 1, 2022, is not subject to the requirements of subdivisions 11, clauses
(7) to (9); 13; 14, paragraphs (a) to (c); 16 to 21; 23; 24; and 29 to 31.

deleted text begin (b) This subdivision expires upon statewide implementation of MnCHOICES assessments.
The commissioner shall notify the revisor of statutes when statewide implementation has
occurred.
 deleted text end

Sec. 15.

Minnesota Statutes 2023 Supplement, section 256B.0911, subdivision 13, is
amended to read:


Subd. 13.

MnCHOICES assessor qualifications, training, and certification.

(a) The
commissioner shall develop and implement a curriculum and an assessor certification
process.

(b) MnCHOICES certified assessors must:

(1) either have a bachelor's degree in social work, nursing with a public health nursing
certificate, or other closely related field or be a registered nurse deleted text begin with at least two years of
home and community-based experiencedeleted text end ; and

(2) have received training and certification specific to assessment and consultation for
long-term care services in the state.

(c) Certified assessors shall demonstrate best practices in assessment and support
planning, including person-centered planning principles, and have a common set of skills
that ensures consistency and equitable access to services statewide.

(d) Certified assessors must be recertified every three years.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 16.

Minnesota Statutes 2022, section 256B.0911, subdivision 17, is amended to read:


Subd. 17.

MnCHOICES assessments.

(a) A person requesting long-term care
consultation services must be visited by a long-term care consultation team within 20
deleted text begin calendardeleted text end new text begin workingnew text end days after the date on which an assessment was requested or recommended.
Assessments must be conducted according to this subdivision and subdivisions 19 to 21,
23, 24, and 29 to 31.

(b) Lead agencies shall use certified assessors to conduct the assessment.

(c) For a person with complex health care needs, a public health or registered nurse from
the team must be consulted.

(d) The lead agency must use the MnCHOICES assessment provided by the commissioner
to complete a comprehensive, conversation-based, person-centered assessment. The
assessment must include the health, psychological, functional, environmental, and social
needs of the individual necessary to develop a person-centered assessment summary that
meets the individual's needs and preferences.

(e) Except as provided in subdivision 24, an assessment must be conducted by a certified
assessor in an in-person conversational interview with the person being assessed.

Sec. 17.

Minnesota Statutes 2022, section 256B.0911, subdivision 20, is amended to read:


Subd. 20.

MnCHOICES assessments; duration of validity.

(a) An assessment that is
completed as part of an eligibility determination for multiple programs for the alternative
care, elderly waiver, developmental disabilities, community access for disability inclusion,
community alternative care, and brain injury waiver programs under chapter 256S and
sections 256B.0913, 256B.092, and 256B.49 is valid to establish service eligibility for no
more than deleted text begin 60 calendardeleted text end new text begin 365new text end days after the date of the assessment.

(b) The effective eligibility start date for programs in paragraph (a) can never be prior
to the date of assessment. deleted text begin If an assessment was completed more than 60 days before the
effective waiver or alternative care program eligibility start date, assessment and support
plan information must be updated and documented in the department's Medicaid Management
Information System (MMIS).deleted text end Notwithstanding retroactive medical assistance coverage of
state plan services, the effective date of eligibility for programs included in paragraph (a)
cannot be prior to the completion date of the most recent updated assessment.

deleted text begin (c) If an eligibility update is completed within 90 days of the previous assessment and
documented in the department's Medicaid Management Information System (MMIS), the
effective date of eligibility for programs included in paragraph (a) is the date of the previous
in-person assessment when all other eligibility requirements are met.
 deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
 new text end

Sec. 18.

Minnesota Statutes 2022, section 256B.0924, subdivision 3, is amended to read:


Subd. 3.

Eligibility.

Persons are eligible to receive targeted case management services
under this section if the requirements in paragraphs (a) and (b) are met.

(a) The person must be assessed and determined by the local county agency to:

(1) be age 18 or older;

(2) be receiving medical assistance;

(3) have significant functional limitations; and

(4) be in need of service coordination to attain or maintain living in an integrated
community setting.

(b) The person must be a vulnerable adult in need of adult protection as defined in section
626.5572, or is an adult with a developmental disability as defined in section 252A.02,
subdivision 2, or a related condition as defined in section deleted text begin 252.27, subdivision 1adeleted text end new text begin 256B.02,
subdivision 11new text end , and is not receiving home and community-based waiver services, or is an
adult who lacks a permanent residence and who has been without a permanent residence
for at least one year or on at least four occasions in the last three years.

Sec. 19.

Minnesota Statutes 2022, section 256B.49, subdivision 16, is amended to read:


Subd. 16.

Services and supports.

(a) Services and supports included in the home and
community-based waivers for persons with disabilities must meet the requirements set out
in United States Code, title 42, section 1396n. The services and supports, which are offered
as alternatives to institutional care, must promote consumer choice, community inclusion,
self-sufficiency, and self-determination.

(b) The commissioner must simplify and improve access to home and community-based
deleted text begin waivereddeleted text end new text begin waivernew text end services, to the extent possible, through the establishment of a common
service menu that is available to eligible recipients regardless of age, disability type, or
waiver program.

(c) Consumer-directed community supports must be offered as an option to all persons
eligible for services under subdivision 11.

(d) Services and supports must be arranged and provided consistent with individualized
written plans of care for eligible waiver recipients.

deleted text begin (e) A transitional supports allowance must be available to all persons under a home and
community-based waiver who are moving from a licensed setting to a community setting.
"Transitional supports allowance" means a onetime payment of up to $3,000, to cover the
costs, not covered by other sources, associated with moving from a licensed setting to a
community setting. Covered costs include:
 deleted text end

deleted text begin (1) lease or rent deposits;
 deleted text end

deleted text begin (2) security deposits;
 deleted text end

deleted text begin (3) utilities setup costs, including telephone;
 deleted text end

deleted text begin (4) essential furnishings and supplies; and
 deleted text end

deleted text begin (5) personal supports and transports needed to locate and transition to community settings.
 deleted text end

deleted text begin (f)deleted text end new text begin (e)new text end The state of Minnesota and county agencies that administer home and
community-based deleted text begin waivereddeleted text end new text begin waivernew text end services for persons with disabilities must not be liable
for damages, injuries, or liabilities sustained through the purchase of supports by the
individual, the individual's family, legal representative, or the authorized representative
with funds received through consumer-directed community supports under this section.
Liabilities include but are not limited to workers' compensation liability, the Federal Insurance
Contributions Act (FICA), or the Federal Unemployment Tax Act (FUTA).

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025.
 new text end

Sec. 20.

Minnesota Statutes 2022, section 256B.4911, is amended by adding a subdivision
to read:


new text begin Subd. 7. new text end

new text begin Budget procedures. new text end

new text begin When a lead agency authorizes or reauthorizes
consumer-directed community supports services for a home and community-based services
waiver participant, the lead agency must provide to the waiver participant and the waiver
participant's legal representative the following information in an accessible format and in
a manner that meets the participant's needs:
 new text end

new text begin (1) an explanation of how the participant's consumer-directed community supports
services budget was calculated, including a detailed explanation of the variables used in the
budget formula;
 new text end

new text begin (2) a copy of the formula used to calculate the participant's consumer-directed community
supports services budget; and
 new text end

new text begin (3) information about the participant's right to appeal the consumer-directed community
supports services budget in accordance with sections 256.045 and 256.0451.
 new text end

Sec. 21.

Minnesota Statutes 2022, section 256B.4911, is amended by adding a subdivision
to read:


new text begin Subd. 8. new text end

new text begin Consumer-directed community supports policy. new text end

new text begin Policies governing the
consumer-directed community supports program must be created solely by the commissioner.
Lead agencies must not create or implement any policies that are in addition to or inconsistent
with policies created by the commissioner or federal or state laws. Any handbooks,
procedures, or other guidance documents maintained by a lead agency do not have the force
or effect of law, and must not be given deference if introduced in a state fair hearing
conducted under sections 256.045 and 256.0451.
 new text end

Sec. 22.

Minnesota Statutes 2023 Supplement, section 256B.4914, subdivision 10d, is
amended to read:


Subd. 10d.

Direct care staff; compensation.

(a) A provider paid with rates determined
under subdivision 6 must use a minimum of 66 percent of the revenue generated by rates
determined under that subdivision for direct care staff compensationnew text begin and technology costsnew text end .

(b) A provider paid with rates determined under subdivision 7 must use a minimum of
45 percent of the revenue generated by rates determined under that subdivision for direct
care staff compensationnew text begin and technology costsnew text end .

(c) A provider paid with rates determined under subdivision 8 or 9 must use a minimum
of 60 percent of the revenue generated by rates determined under those subdivisions for
direct care staff compensationnew text begin and technology costsnew text end .

(d) Compensation under this subdivision includes:

(1) wages;

(2) taxes and workers' compensation;

(3) health insurance;

(4) dental insurance;

(5) vision insurance;

(6) life insurance;

(7) short-term disability insurance;

(8) long-term disability insurance;

(9) retirement spending;

(10) tuition reimbursement;

(11) wellness programs;

(12) paid vacation time;

(13) paid sick time; or

(14) other items of monetary value provided to direct care staff.

new text begin (e) Technology costs under this subdivision include:
 new text end

new text begin (1) costs related to providing remote support, including payments made to third-party
vendors; or
 new text end

new text begin (2) costs of technology to support individuals remotely.
 new text end

Sec. 23.

Minnesota Statutes 2022, section 256B.77, subdivision 7a, is amended to read:


Subd. 7a.

Eligible individuals.

(a) Persons are eligible for the demonstration project as
provided in this subdivision.

(b) "Eligible individuals" means those persons living in the demonstration site who are
eligible for medical assistance and are disabled based on a disability determination under
section 256B.055, subdivisions 7 and 12, or who are eligible for medical assistance and
have been diagnosed as having:

(1) serious and persistent mental illness as defined in section 245.462, subdivision 20;

(2) severe emotional disturbance as defined in section 245.4871, subdivision 6; or

(3) developmental disability, or being a person with a developmental disability as defined
in section 252A.02, or a related condition as defined in section deleted text begin 252.27, subdivision 1adeleted text end new text begin
256B.02, subdivision 11new text end .

Other individuals may be included at the option of the county authority based on agreement
with the commissioner.

(c) Eligible individuals include individuals in excluded time status, as defined in chapter
256G. Enrollees in excluded time at the time of enrollment shall remain in excluded time
status as long as they live in the demonstration site and shall be eligible for 90 days after
placement outside the demonstration site if they move to excluded time status in a county
within Minnesota other than their county of financial responsibility.

(d) A person who is a sexual psychopathic personality as defined in section 253D.02,
subdivision 15, or a sexually dangerous person as defined in section 253D.02, subdivision
16, is excluded from enrollment in the demonstration project.

Sec. 24.

Minnesota Statutes 2023 Supplement, section 270B.14, subdivision 1, is amended
to read:


Subdivision 1.

Disclosure to commissioner of human services.

(a) On the request of
the commissioner of human services, the commissioner shall disclose return information
regarding taxes imposed by chapter 290, and claims for refunds under chapter 290A, to the
extent provided in paragraph (b) and for the purposes set forth in paragraph (c).

(b) Data that may be disclosed are limited to data relating to the identity, whereabouts,
employment, income, and property of a person owing or alleged to be owing an obligation
of child support.

(c) The commissioner of human services may request data only for the purposes of
carrying out the child support enforcement program and to assist in the location of parents
who have, or appear to have, deserted their children. Data received may be used only as set
forth in section 256.978.

(d) The commissioner shall provide the records and information necessary to administer
the supplemental housing allowance to the commissioner of human services.

(e) At the request of the commissioner of human services, the commissioner of revenue
shall electronically match the Social Security or individual taxpayer identification numbers
and names of participants in the telephone assistance plan operated under sections 237.69
to 237.71, with those of property tax refund filers under chapter 290A or renter's credit filers
under section 290.0693, and determine whether each participant's household income is
within the eligibility standards for the telephone assistance plan.

(f) The commissioner may provide records and information collected under sections
295.50 to 295.59 to the commissioner of human services for purposes of the Medicaid
Voluntary Contribution and Provider-Specific Tax Amendments of 1991, Public Law
102-234. Upon the written agreement by the United States Department of Health and Human
Services to maintain the confidentiality of the data, the commissioner may provide records
and information collected under sections 295.50 to 295.59 to the Centers for Medicare and
Medicaid Services section of the United States Department of Health and Human Services
for purposes of meeting federal reporting requirements.

(g) The commissioner may provide records and information to the commissioner of
human services as necessary to administer the early refund of refundable tax credits.

(h) The commissioner may disclose information to the commissioner of human services
as necessary for income verification for eligibility and premium payment under the
MinnesotaCare program, under section 256L.05, subdivision 2, as well as the medical
assistance program under chapter 256B.

(i) The commissioner may disclose information to the commissioner of human services
necessary to verify whether applicants or recipients for the Minnesota family investment
program, general assistance, the Supplemental Nutrition Assistance Program (SNAP),
Minnesota supplemental aid program, and child care assistance have claimed refundable
tax credits under chapter 290 and the property tax refund under chapter 290A, and the
amounts of the credits.

deleted text begin (j) The commissioner may disclose information to the commissioner of human services
necessary to verify income for purposes of calculating parental contribution amounts under
section 252.27, subdivision 2a.
 deleted text end

deleted text begin (k)deleted text end new text begin (j)new text end At the request of the commissioner of human services and when authorized in
writing by the taxpayer, the commissioner of revenue may match the business legal name
or individual legal name, and the Minnesota tax identification number, federal Employer
Identification Number, or Social Security number of the applicant under section 245A.04,
subdivision 1; 245I.20; or 245H.03; or license or certification holder. The commissioner of
revenue may share the matching with the commissioner of human services. The matching
may only be used by the commissioner of human services to determine eligibility for provider
grant programs and to facilitate the regulatory oversight of license and certification holders
as it relates to ownership and public funds program integrity. This paragraph applies only
if the commissioner of human services and the commissioner of revenue enter into an
interagency agreement for the purposes of this paragraph.

Sec. 25.

Minnesota Statutes 2022, section 447.42, subdivision 1, is amended to read:


Subdivision 1.

Establishment.

Notwithstanding any provision of Minnesota Statutes
to the contrary, any city, county, town, or nonprofit corporation approved by the
commissioner of human services, or any combination of them may establish and operate a
community residential facility for persons with developmental disabilities or related
conditions, as defined in section deleted text begin 252.27, subdivision 1adeleted text end new text begin 256B.02, subdivision 11new text end .

Sec. 26.

Laws 2021, First Special Session chapter 7, article 13, section 68, is amended to
read:


Sec. 68. DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES;
DIRECT CARE SERVICES DURING SHORT-TERM ACUTE HOSPITAL VISITS.

The commissioner of human services, in consultation with stakeholders, shall develop
a new coverednew text begin state plannew text end service under Minnesota Statutes, chapter 256B, or develop
modifications to existing coverednew text begin state plannew text end servicesdeleted text begin , that permits receipt of direct care
services in an acute care hospital in a manner consistent with the requirements ofdeleted text end new text begin for people
eligible for home care services as identified in Minnesota Statutes, section 256B.0651, and
community first services and supports as identified in Minnesota Statutes, section 256B.85,
for the purposes of support during acute care hospital stays, as authorized undernew text end United
States Code, title 42, section 1396a(h). By deleted text begin August 31, 2022deleted text end new text begin January 1, 2025new text end , the
commissioner must provide to the chairs and ranking minority members of the house of
representatives and senate committees deleted text begin and divisionsdeleted text end with jurisdiction over direct care services
any draft legislation as may be necessary to implement the new or modified covered new text begin state
plan new text end service.

new text begin EFFECTIVE DATE. new text end

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

Sec. 27.

Laws 2023, chapter 61, article 1, section 59, subdivision 2, is amended to read:


Subd. 2.

Eligibility.

An eligible applicant for the capacity grants under subdivision 1 is
an organization or provider that serves, or will serve, rural or underserved communities
and:

(1) provides, or will provide, home and community-based services in the state; deleted text begin or
deleted text end

(2) serves, or will serve, as a connector for communities to available home and
community-based servicesnew text begin ; or
new text end

new text begin (3) conducts culturally specific outreach and education campaigns targeting existing
providers that might more appropriately serve their clients under a different home and
community-based services program or licensenew text end .

Sec. 28.

Laws 2023, chapter 61, article 1, section 59, subdivision 3, is amended to read:


Subd. 3.

Allowable grant activities.

Grants under this section must be used by recipients
for the following activities:

(1) expanding existing services;

(2) increasing access in rural or underserved areas;

(3) creating new home and community-based organizations;

(4) connecting underserved communities to benefits and available services; deleted text begin or
deleted text end

(5) building new or expanded infrastructure to access medical assistance reimbursementnew text begin ;
or
new text end

new text begin (6) conducting culturally specific outreach and education campaigns targeting existing
providers that might more appropriately serve their clients under a different home and
community-based services program or licensenew text end .

Sec. 29.

Laws 2023, chapter 61, article 1, section 60, subdivision 1, is amended to read:


Subdivision 1.

Definition.

"New American" means an individual born abroad and the
individual's childrendeleted text begin , irrespective of immigration statusdeleted text end .

Sec. 30.

Laws 2023, chapter 61, article 1, section 60, subdivision 2, is amended to read:


Subd. 2.

Grant program established.

The commissioner of human services shall
establish a new American legal, social services, and long-term care workforce grant program
for organizations that serve and support new Americans:

(1) in seeking or maintaining legal or citizenship status deleted text begin to legally obtain or retaindeleted text end new text begin and
obtaining or retaining legal authorization fornew text end employment new text begin in the United States new text end in any field
or industry; or

(2) to provide specialized services and supports to new Americans to enter the long-term
care workforce.

Sec. 31. new text begin ADVISORY TASK FORCE ON FAMILY RESIDENTIAL SERVICES.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; purpose. new text end

new text begin The Advisory Task Force on Family Residential
Services is established to evaluate pending family residential services rate modifications
and the impact any pending payment methodology would have on existing family residential
services and licensed adult family foster care providers.
 new text end

new text begin Subd. 2. new text end

new text begin Membership. new text end

new text begin (a) The Advisory Task Force on Family Residential Services
must consist of the members appointed as follows:
 new text end

new text begin (1) two licensed adult family foster care providers, appointed by the commissioner of
human services;
 new text end

new text begin (2) two licensed adult family foster care providers, appointed by ARRM;
 new text end

new text begin (3) one member representing the Department of Human Services who has experience
with adult family foster care providers and family residential services, appointed by the
commissioner of human services;
 new text end

new text begin (4) one additional member representing the Department of Human Services who has
experience with disability waiver rate setting, appointed by the commissioner of human
services;
 new text end

new text begin (5) one member representing lead agencies, appointed by the Association of Minnesota
Counties;
 new text end

new text begin (6) one member representing ARRM, appointed by ARRM;
 new text end

new text begin (7) one person receiving family residential services; and
 new text end

new text begin (8) one person receiving life sharing services.
 new text end

new text begin (b) Appointments must be made no later than September 1, 2024.
 new text end

new text begin (c) Notwithstanding Minnesota Statutes, section 15.059, subdivision 6, member
compensation and reimbursement for expenses are governed by Minnesota Statutes, section
15.059, subdivision 3.
 new text end

new text begin Subd. 3. new text end

new text begin Meetings. new text end

new text begin (a) The commissioner of human services must convene the first
meeting of the advisory task force no later than October 1, 2024.
 new text end

new text begin (b) Advisory task force meetings are subject to the Minnesota Open Meeting Law under
Minnesota Statutes, chapter 13D.
 new text end

new text begin (c) Advisory task force meetings must be conducted by telephone or interactive
technology according to Minnesota Statutes, section 13D.015.
 new text end

new text begin Subd. 4. new text end

new text begin Administrative support. new text end

new text begin (a) The commissioner of human services must provide
administrative support and staff assistance for the advisory task force.
 new text end

new text begin (b) The commissioner of human services must provide the advisory task force with data,
fiscal estimates, rate models, draft waiver amendments, implementation updates, estimated
impacts, and other information the advisory task force requires to fulfill its duties under
subdivisions 5 and 6.
 new text end

new text begin Subd. 5. new text end

new text begin Duties. new text end

new text begin (a) Prior to issuing the report required under subdivision 6, paragraph
(a), the advisory task force must evaluate multiple family residential service rate models
and the impact the proposed rate models would have on family residential services and adult
family foster care providers. The evaluations must include:
 new text end

new text begin (1) case studies demonstrating rate changes adult family foster care providers would
experience under each rate model;
 new text end

new text begin (2) an estimate of the median rate change family residential services adult family foster
care providers will experience under each model;
 new text end

new text begin (3) the number of adult family foster care providers operating in Minnesota; and
 new text end

new text begin (4) the number of individuals receiving family residential services from licensed adult
family foster care providers.
 new text end

new text begin (b) Prior to issuing the report required under subdivision 6, paragraph (b), the advisory
task force must monitor the development and implementation of the family residential
service rate methodology and the impact of the rate methodology on family residential
services and adult family foster care providers.
 new text end

new text begin Subd. 6. new text end

new text begin Reports. new text end

new text begin (a) No later than March 15, 2025, the advisory task force must submit
to the chairs and ranking minority members of the legislative committees with jurisdiction
over licensed adult foster care providers and family residential services reimbursement rates
a written report that includes recommendations on:
 new text end

new text begin (1) a payment rate methodology for family residential services;
 new text end

new text begin (2) a payment rate methodology for life sharing services;
 new text end

new text begin (3) any additional recommended changes to family residential services and life sharing
services;
 new text end

new text begin (4) any legislative language required to implement the recommendations of the advisory
task force; and
 new text end

new text begin (5) any legislative modifications to the duties or authorities of the advisory task force
required to adequately monitor the implementation of new rates for family residential
services and life sharing services.
 new text end

new text begin (b) No later than June 30, 2027, the advisory task force must submit to the chairs and
ranking minority members of the legislative committees with jurisdiction over licensed
adult foster care providers and family residential services reimbursement rates a written
report that includes an assessment of the development and implementation of the family
residential service rate methodology and the impact of the rate methodology on family
residential services and adult family foster care providers.
 new text end

new text begin Subd. 7. new text end

new text begin Expiration. new text end

new text begin The advisory task force expires June 30, 2027.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 32. new text begin ASSISTIVE TECHNOLOGY LEAD AGENCY PARTNERSHIPS.
new text end

new text begin (a) Lead agencies may establish partnerships with enrolled medical assistance providers
of home and community-based services under Minnesota Statutes, section 256B.0913,
256B.092, 256B.093, or 256B.49, or Minnesota Statutes, chapter 256S, to evaluate the
benefits of informed choice in accessing the following existing assistive technology home
and community-based waiver services:
 new text end

new text begin (1) assistive technology;
 new text end

new text begin (2) specialized equipment and supplies;
 new text end

new text begin (3) environmental accessibility adaptations; and
 new text end

new text begin (4) 24-hour emergency assistance.
 new text end

new text begin (b) Lead agencies may identify eligible individuals who desire to participate in the
partnership authorized by this section using existing home and community-based waiver
criteria under Minnesota Statutes, chapters 256B and 256S.
 new text end

new text begin (c) Lead agencies must ensure individuals who choose to participate have informed
choice in accessing the services and must adhere to conflict-free case management
requirements.
 new text end

new text begin (d) Lead agencies may identify efficiencies for service authorizations, provide
evidence-based cost data and quality analysis to the commissioner, and collect feedback on
the use of technology systems from home and community-based waiver services recipients,
family caregivers, and any other interested community partners.
 new text end

Sec. 33. new text begin DIRECTION TO COMMISSIONER; CONSUMER-DIRECTED
COMMUNITY SUPPORTS.
new text end

new text begin By December 31, 2024, the commissioner of human services shall seek any necessary
changes to home and community-based services waiver plans regarding consumer-directed
community supports in order to:
 new text end

new text begin (1) clarify that allowable goods and services for a consumer-directed community supports
participant do not need to be for the sole benefit of the participant, and that goods and
services may benefit others if there is also a direct benefit to the participant based on the
participant's assessed needs;
 new text end

new text begin (2) clarify that goods or services that support the participant's assessed needs for
community integration and inclusion are allowable under the consumer-directed community
supports program;
 new text end

new text begin (3) clarify that the rate authorized for services approved under the consumer-directed
community supports personal assistance category may exceed the reasonable range of similar
services in the participant's community if the participant has an assessed need for an enhanced
rate; and
 new text end

new text begin (4) clarify that a participant's spouse or a parent of a minor participant, as defined in the
waiver plans, may be paid for consumer-directed community support services at a rate that
exceeds that which would otherwise be paid to a provider of a similar service or that exceeds
what is allowed by the commissioner for the payment of personal care assistance services
if the participant has an assessed need for an enhanced rate.
 new text end

Sec. 34. new text begin DIRECTION TO COMMISSIONER OF HUMAN SERVICES;
REIMBURSEMENT FOR PERSONAL CARE ASSISTANTS AND
COMMUNITY-FIRST SERVICES AND SUPPORTS WORKERS.
new text end

new text begin By January 1, 2025, the commissioner of human services shall provide draft legislation
to the chairs and ranking minority members of the legislative committees with jurisdiction
over human services finance proposing the statutory changes needed to permit reimbursement
of personal care assistants and support workers to provide:
 new text end

new text begin (1) up to eight hours of overtime per week per worker beyond the current maximum
number of reimbursable hours per month;
 new text end

new text begin (2) asleep overnight and awake overnight staffing in the same manner as direct support
professionals under the brain injury waiver, community alternative care waiver, community
access for disability inclusion waiver, and developmental disabilities waiver; and
 new text end

new text begin (3) services in shifts of up to 80 consecutive hours when otherwise compliant with federal
and state labor laws.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 35. new text begin DISABILITY HOME AND COMMUNITY-BASED SERVICES
REIMBURSEMENT IN ACUTE CARE HOSPITAL STAYS.
new text end

new text begin (a) The commissioner of human services must seek approval to amend Minnesota's
federally approved disability waiver plans under Minnesota Statutes, sections 256B.092
and 256B.49, to reimburse for delivery of unit-based services under Minnesota Statutes,
section 256B.4914, in acute care hospital settings, as authorized under United States Code,
title 42, section 1396a(h).
 new text end

new text begin (b) Reimbursed services must:
 new text end

new text begin (1) be identified in an individual's person-centered support plan as required under
Minnesota Statutes, section 256B.0911;
 new text end

new text begin (2) be provided to meet the needs of the person that are not met through the provision
of hospital services;
 new text end

new text begin (3) not substitute services that the hospital is obligated to provide as required under state
and federal law; and
 new text end

new text begin (4) be designed to ensure smooth transitions between acute care settings and home and
community-based settings and to preserve the person's functional abilities.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin Paragraph (b) is effective January 1, 2025, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.
 new text end

Sec. 36. new text begin DISABILITY SERVICES CONTINUOUS IMPROVEMENT STUDY;
DIRECTION TO COMMISSIONER.
new text end

new text begin (a) By August 1, 2024, the commissioner of human services shall issue a request for
proposals for the design, implementation, and administration of a continuous improvement
study of access to disability services.
 new text end

new text begin (b) The continuous improvement study must assess access to the range of disability
services programs:
 new text end

new text begin (1) in metropolitan, suburban, and rural counties; and
 new text end

new text begin (2) by non-English-speaking communities and by various populations, including but not
limited to Black, Indigenous, and People of Color.
 new text end

new text begin (c) To be eligible to respond to the request for proposals, an entity must demonstrate
that it has worked successfully with other organizations on continuous improvement studies
and journey mapping of processes from beginning to end.
 new text end

new text begin (d) In developing the request for proposals, the commissioner shall consult with disability
services providers, county human services agencies, disability advocacy organizations, and
individuals with lived experience in accessing disability services.
 new text end

new text begin (e) The commissioner shall report the results of the continuous improvement study and
any recommendations to improve access to disability services to the chairs and ranking
minority members of the legislative committees with jurisdiction over disability services
by December 15, 2026.
 new text end

Sec. 37. new text begin ELECTRONIC VISIT VERIFICATION IMPLEMENTATION GRANT.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of human services must establish a
onetime grant program to assist home care service providers with a portion of the costs of
implementation of electronic visit verification.
 new text end

new text begin Subd. 2. new text end

new text begin Eligible grant recipients. new text end

new text begin Eligible grant recipients must:
 new text end

new text begin (1) be providers of home care services licensed under Minnesota Statutes, chapter 144A;
 new text end

new text begin (2) have an average daily census of at least 30 individuals; and
 new text end

new text begin (3) have an average daily census of medical assistance and MinnesotaCare enrollees of
20 percent or higher in the 12 months prior to application.
 new text end

new text begin Subd. 3. new text end

new text begin Allowable uses. new text end

new text begin Allowable uses of grant money include:
 new text end

new text begin (1) administrative implementation of an electronic visit verification system, including
but not limited to staff costs for loading patient information into the portal, programming,
and training staff;
 new text end

new text begin (2) electronic visit verification operations and maintenance, including but not limited
to staff costs for addressing system flaws related to geographical location and clocking in
and out;
 new text end

new text begin (3) purchase and monthly fees for an upgraded electronic visit verification system;
 new text end

new text begin (4) purchase of or reimbursement for cell phones and electronic tablets to be used by
staff and the monthly fee for the phone service; and
 new text end

new text begin (5) other activities approved by the commissioner.
 new text end

new text begin Subd. 4. new text end

new text begin Application for and distribution of grant money. new text end

new text begin In order to receive a grant
under this section, providers must apply to the commissioner by November 1, 2024. Grants
must be distributed no later than February 1, 2025. Grant amounts awarded to each approved
applicant must be determined by the total number of approved grantees and each approved
applicant's medical assistance and MinnesotaCare average daily census.
 new text end

new text begin Subd. 5. new text end

new text begin Expiration. new text end

new text begin This section expires June 30, 2026.
 new text end

Sec. 38. new text begin EMERGENCY RELIEF GRANTS FOR RURAL EARLY INTENSIVE
DEVELOPMENTAL AND BEHAVIORAL INTERVENTION PROVIDERS.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment and purpose. new text end

new text begin (a) The commissioner of human services
shall award grants to financially distressed organizations that provide early intensive
developmental and behavioral intervention services to rural communities. For the purposes
of this section, "rural communities" means communities outside the metropolitan counties
listed in Minnesota Statutes, section 473.121, subdivision 4, and outside the cities of Duluth,
Mankato, Moorhead, Rochester, and St. Cloud.
 new text end

new text begin (b) The commissioner shall conduct community engagement, provide technical assistance,
and work with the commissioners of management and budget and administration to mitigate
barriers in accessing grant money.
 new text end

new text begin (c) The commissioner shall limit expenditures under this section to the amount
appropriated for this purpose.
 new text end

new text begin Subd. 2. new text end

new text begin Eligibility. new text end

new text begin (a) To be an eligible applicant for a grant under this section, a
provider of early intensive developmental and behavioral intervention services must submit
to the commissioner of human services a grant application in the form and according to the
timelines established by the commissioner.
 new text end

new text begin (b) In a grant application, an applicant must demonstrate that:
 new text end

new text begin (1) the total net income of the provider of early intensive developmental and behavioral
intervention services is not generating sufficient revenue to cover the provider's operating
expenses;
 new text end

new text begin (2) the provider is at risk of closure or ceasing to provide early intensive developmental
and behavioral intervention services; and
 new text end

new text begin (3) additional emergency operating revenue is necessary to preserve access to early
intensive developmental and behavioral intervention services within the rural community
the provider serves.
 new text end

new text begin (c) In a grant application, the applicant must make a request based on the information
submitted under paragraph (b) for the minimal funding amount sufficient to preserve access
to early intensive developmental and behavioral intervention services within the rural
community the provider serves.
 new text end

new text begin Subd. 3. new text end

new text begin Approving grants. new text end

new text begin The commissioner must evaluate all grant applications on
a competitive basis and award grants to successful applicants within available appropriations
for this purpose. The commissioner's decisions are final and not subject to appeal.
 new text end

Sec. 39. new text begin LEGISLATIVE TASK FORCE ON GUARDIANSHIP.
new text end

new text begin Subdivision 1. new text end

new text begin Membership. new text end

new text begin (a) The Legislative Task Force on Guardianship consists
of the following members:
 new text end

new text begin (1) one member of the house of representatives, appointed by the speaker of the house
of representatives;
 new text end

new text begin (2) one member of the house of representatives, appointed by the minority leader of the
house of representatives;
 new text end

new text begin (3) one member of the senate, appointed by the senate majority leader;
 new text end

new text begin (4) one member of the senate, appointed by the senate minority leader;
 new text end

new text begin (5) one judge who has experience working on guardianship cases, appointed by the chief
justice of the supreme court;
 new text end

new text begin (6) two individuals presently or formerly under guardianship or emergency guardianship,
appointed by the Minnesota Council on Disability;
 new text end

new text begin (7) one private, professional guardian, appointed by the Minnesota Council on Disability;
 new text end

new text begin (8) one private, nonprofessional guardian, appointed by the Minnesota Council on
Disability;
 new text end

new text begin (9) one representative of the Department of Human Services with knowledge of public
guardianship issues, appointed by the commissioner of human services;
 new text end

new text begin (10) one member appointed by the Minnesota Council on Disability;
 new text end

new text begin (11) two members of two different disability advocacy organizations, appointed by the
Minnesota Council on Disability;
 new text end

new text begin (12) one member of a professional or advocacy group representing the interests of the
guardian who has experience working in the judicial system on guardianship cases, appointed
by the Minnesota Council on Disability;
 new text end

new text begin (13) one member of a professional or advocacy group representing the interests of persons
subject to guardianship who has experience working in the judicial system on guardianship
cases, appointed by the Minnesota Council on Disability;
 new text end

new text begin (14) two members of two different advocacy groups representing the interests of older
Minnesotans who are or may find themselves subject to guardianship, appointed by the
Minnesota Council on Disability;
 new text end

new text begin (15) one employee acting as the Disability Systems Planner in the Center for Health
Equity at the Minnesota Department of Health, appointed by the commissioner of health;
 new text end

new text begin (16) one member appointed by the Minnesota Indian Affairs Council;
 new text end

new text begin (17) one member from the Commission of the Deaf, Deafblind, and Hard-of-Hearing,
appointed by the executive director of the commission;
 new text end

new text begin (18) one member of the Council on Developmental Disabilities, appointed by the
executive director of the council;
 new text end

new text begin (19) one employee from the Office of Ombudsman for Mental Health and Developmental
Disabilities, appointed by the ombudsman;
 new text end

new text begin (20) one employee from the Office of Ombudsman for Long Term Care, appointed by
the ombudsman;
 new text end

new text begin (21) one member appointed by the Minnesota Association of County Social Services
Administrators (MACSSA);
 new text end

new text begin (22) one employee from the Olmstead Implementation Office, appointed by the director
of the office; and
 new text end

new text begin (23) one member representing an organization dedicated to supported decision-making
alternatives to guardianship, appointed by the Minnesota Council on Disability.
 new text end

new text begin (b) Appointees to the task force must be named by each appointing authority by June
30, 2025. Appointments made by an agency or commissioner may also be made by a
designee.
 new text end

new text begin (c) The member from the Minnesota Council on Disability serves as chair of the task
force. The chair must designate a member to serve as secretary.
 new text end

new text begin Subd. 2. new text end

new text begin Meetings; administrative support. new text end

new text begin The first meeting of the task force must
be convened by the chair no later than September 1, 2025, if an appropriation is made by
that date for the task force. The task force must meet at least quarterly. Meetings are subject
to Minnesota Statutes, chapter 13D. The task force may meet by telephone or interactive
technology consistent with Minnesota Statutes, section 13D.015. The Minnesota Council
on Disability shall provide meeting space and administrative and research support to the
task force.
 new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin (a) The task force must make recommendations to address concerns
and gaps related to guardianships and less restrictive alternatives to guardianships in
Minnesota, including but not limited to:
 new text end

new text begin (1) developing efforts to sustain and increase the number of qualified guardians;
 new text end

new text begin (2) increasing compensation for in forma pauperis (IFP) guardians by studying current
funding streams to develop approaches to ensure that the funding streams are consistent
across the state and sufficient to serve the needs of persons subject to guardianship;
 new text end

new text begin (3) securing ongoing funding for guardianships and less restrictive alternatives;
 new text end

new text begin (4) establishing guardian certification or licensure;
 new text end

new text begin (5) identifying standards of practice for guardians and options for providing education
to guardians on standards and less restrictive alternatives;
 new text end

new text begin (6) securing ongoing funding for the guardian and conservator administrative complaint
process;
 new text end

new text begin (7) identifying and understanding alternatives to guardianship whenever possible to meet
the needs of patients and the challenges of providers in the delivery of health care, behavioral
health care, and residential and home-based care services;
 new text end

new text begin (8) expanding supported decision-making alternatives to guardianships and
conservatorships;
 new text end

new text begin (9) reducing the removal of civil rights when appointing a guardian, including by ensuring
guardianship is only used as a last resort; and
 new text end

new text begin (10) identifying ways to preserve and to maximize the civil rights of the person, including
due process considerations.
 new text end

new text begin (b) The task force must seek input from the public, the judiciary, people subject to
guardianship, guardians, advocacy groups, and attorneys. The task force must hold hearings
to gather information to fulfill the purpose of the task force.
 new text end

new text begin Subd. 4. new text end

new text begin Compensation; expenses. new text end

new text begin Members of the task force may receive compensation
and expense reimbursement as provided in Minnesota Statutes, section 15.059, subdivision
3.
 new text end

new text begin Subd. 5. new text end

new text begin Report; expiration. new text end

new text begin The task force shall submit a report to the chairs and
ranking minority members of the legislative committees with jurisdiction over guardianship
issues no later than January 15, 2027. The report must describe any concerns about the
current guardianship system identified by the task force and recommend policy options to
address those concerns and to promote less restrictive alternatives to guardianship. The
report must include draft legislation to implement recommended policy.
 new text end

new text begin Subd. 6. new text end

new text begin Expiration. new text end

new text begin The task force expires upon submission of its report, or January
16, 2027, whichever is earlier.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 40. new text begin OWN HOME SERVICES PROVIDER CAPACITY-BUILDING GRANTS.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of human services shall establish a
onetime grant program to incentivize providers to support individuals to move out of
congregate living settings and into an individual's own home as described in Minnesota
Statutes, section 256B.492, subdivision 3.
 new text end

new text begin Subd. 2. new text end

new text begin Eligible grant recipients. new text end

new text begin Eligible grant recipients are providers of home and
community-based services under Minnesota Statutes, chapter 245D.
 new text end

new text begin Subd. 3. new text end

new text begin Grant application. new text end

new text begin In order to receive a grant under this section, providers
must apply to the commissioner on the forms and according to the timelines established by
the commissioner.
 new text end

new text begin Subd. 4. new text end

new text begin Allowable uses of grant money. new text end

new text begin Allowable uses of grant money include:
 new text end

new text begin (1) enhancing resources and staffing to support people and families in understanding
housing options;
 new text end

new text begin (2) housing expenses related to moving an individual into their own home that are not
covered by other housing services for which the individual is eligible;
 new text end

new text begin (3) moving expenses that are not covered by other housing services for which the
individual is eligible;
 new text end

new text begin (4) implementing and testing innovative approaches to better support people with
disabilities and their families in living in their own homes;
 new text end

new text begin (5) financial incentives for providers that have successfully moved an individual out of
congregate living and into their own home; and
 new text end

new text begin (6) other activities approved by the commissioner.
 new text end

new text begin Subd. 5. new text end

new text begin Expiration. new text end

new text begin This section expires June 30, 2026.
 new text end

Sec. 41. new text begin PEDIATRIC HOSPITAL-TO-HOME TRANSITION PILOT PROGRAM.
new text end

new text begin (a) The commissioner of human services shall establish a single competitive grant to a
home care nursing provider to develop and implement, in coordination with the commissioner
of human services, Fairview Masonic Children's Hospital, Gillette Children's Specialty
Healthcare, and Children's Minnesota of St. Paul and Minneapolis, a pilot program to
expedite and facilitate pediatric hospital-to-home discharges for patients receiving services
in this state under medical assistance, including under the community alternative care waiver,
community access for disability inclusion waiver, and developmental disabilities waiver.
 new text end

new text begin (b) Grant money awarded under this section must be used only to support the
administrative, training, and auxiliary services necessary to reduce: (1) delayed discharge
days due to unavailability of home care nursing staffing to accommodate complex pediatric
patients; (2) avoidable rehospitalization days for pediatric patients; (3) unnecessary
emergency department utilization by pediatric patients following discharge; (4) long-term
nursing needs for pediatric patients; and (5) the number of school days missed by pediatric
patients.
 new text end

new text begin (c) Grant money must not be used to supplement payment rates for services covered
under Minnesota Statutes, chapter 256B.
 new text end

new text begin (d) No later than December 15, 2026, the commissioner must prepare a report
summarizing the impact of the pilot program that includes but is not limited to: (1) the
number of delayed discharge days eliminated; (2) the number of rehospitalization days
eliminated; (3) the number of unnecessary emergency department admissions eliminated;
(4) the number of missed school days eliminated; and (5) an estimate of the return on
investment of the pilot program.
 new text end

new text begin (e) The commissioner must submit the report under paragraph (d) to the chairs and
ranking minority members of the legislative committees with jurisdiction over health and
human services.
 new text end

Sec. 42. new text begin PERSONAL CARE ASSISTANCE COMPENSATION FOR SERVICES
PROVIDED BY A PARENT OR SPOUSE.
new text end

new text begin (a) Notwithstanding Minnesota Statutes, section 256B.0659, subdivision 3, paragraph
(a), clause (1); subdivision 11, paragraph (c); and subdivision 19, paragraph (b), clause (3),
beginning October 1, 2024, a parent, stepparent, or legal guardian of a minor who is a
personal care assistance recipient or the spouse of a personal care assistance recipient may
provide and be paid for providing personal care assistance services under medical assistance.
The commissioner shall seek federal approval for these payments. The commissioner shall
make payments for services rendered without federal financial participation until federal
approval is obtained, and if federal approval is denied, until this section expires.
 new text end

new text begin (b) This section expires upon full implementation of community first services and
supports under Minnesota Statutes, section 256B.85. The commissioner of human services
shall notify the revisor of statutes when this section expires.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for services rendered on or after October
1, 2024.
 new text end

Sec. 43. new text begin TRANSITIONAL SUPPORTS ALLOWANCE INCREASE.
new text end

new text begin Upon federal approval, the commissioner of human services must increase to $4,114
the transitional supports allowance under Minnesota's federally approved home and
community-based service waiver plans authorized under Minnesota Statutes, sections
256B.092 and 256B.49.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
 new text end

Sec. 44. new text begin TRIBAL VULNERABLE ADULT AND DEVELOPMENTAL DISABILITY
TARGETED CASE MANAGEMENT MEDICAL ASSISTANCE BENEFIT.
new text end

new text begin (a) The commissioner of human services must engage with Minnesota's
federally-recognized Tribal Nations and urban American Indian providers and leaders to
design and recommend a Tribal-specific vulnerable adult and developmental disability
medical assistance targeted case management benefit to meet community needs and reduce
disparities experienced by Tribal members and urban American Indian populations. The
commissioner must honor and uphold Tribal sovereignty as part of this engagement, ensuring
Tribal Nations are equitably and authentically included in planning and policy discussions.
 new text end

new text begin (b) By January 1, 2025, the commissioner must report recommendations to the chairs
and ranking minority members of the legislative committees with jurisdiction over health
and human services finance and policy. Recommendations must include a description of
engagement with Tribal Nations, Tribal perspectives shared throughout the engagement
process, service design, and reimbursement methodology.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 45. new text begin REPEALER.
new text end

new text begin (a) new text end new text begin Minnesota Statutes 2022, sections 252.021; and 252.27, subdivisions 1a, 2, 3, 4a, 5,
and 6, new text end new text begin are repealed.
 new text end

new text begin (b) new text end new text begin Minnesota Statutes 2022, section 256B.0916, subdivision 10, new text end new text begin is repealed.
 new text end

new text begin (c) new text end new text begin Minnesota Statutes 2023 Supplement, section 252.27, subdivision 2a, new text end new text begin is repealed.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin Paragraph (b) is effective January 1, 2025.
 new text end

ARTICLE 2

AGING SERVICES

Section 1.

Minnesota Statutes 2022, section 144G.41, subdivision 1, is amended to read:


Subdivision 1.

Minimum requirements.

All assisted living facilities shall:

(1) distribute to residents the assisted living bill of rights;

(2) provide services in a manner that complies with the Nurse Practice Act in sections
148.171 to 148.285;

(3) utilize a person-centered planning and service delivery process;

(4) have and maintain a system for delegation of health care activities to unlicensed
personnel by a registered nurse, including supervision and evaluation of the delegated
activities as required by the Nurse Practice Act in sections 148.171 to 148.285;

(5) provide a means for residents to request assistance for health and safety needs 24
hours per day, seven days per week;

(6) allow residents the ability to furnish and decorate the resident's unit within the terms
of the assisted living contract;

(7) permit residents access to food at any time;

(8) allow residents to choose the resident's visitors and times of visits;

(9) allow the resident the right to choose a roommate if sharing a unit;

(10) notify the resident of the resident's right to have and use a lockable door to the
resident's unit. The licensee shall provide the locks on the unit. Only a staff member with
a specific need to enter the unit shall have keys, and advance notice must be given to the
resident before entrance, when possible. An assisted living facility must not lock a resident
in the resident's unit;

(11) develop and implement a staffing plan for determining its staffing level that:

(i) includes an evaluation, to be conducted at least twice a year, of the appropriateness
of staffing levels in the facility;

(ii) ensures sufficient staffing at all times to meet the scheduled and reasonably
foreseeable unscheduled needs of each resident as required by the residents' assessments
and service plans on a 24-hour per day basis; and

(iii) ensures that the facility can respond promptly and effectively to individual resident
emergencies and to emergency, life safety, and disaster situations affecting staff or residents
in the facility;

(12) ensure that one or more persons are available 24 hours per day, seven days per
week, who are responsible for responding to the requests of residents for assistance with
health or safety needs. Such persons must be:

(i) awake;

(ii) located in the same building, in an attached building, or on a contiguous campus
with the facility in order to respond within a reasonable amount of time;

(iii) capable of communicating with residents;

(iv) capable of providing or summoning the appropriate assistance; and

(v) capable of following directions; new text begin and
new text end

deleted text begin (13) offer to provide or make available at least the following services to residents:
 deleted text end

deleted text begin (i) at least three nutritious meals daily with snacks available seven days per week,
deleted text end deleted text begin according to the recommended dietary allowances in the United States Department of
deleted text end deleted text begin Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables. The
deleted text end deleted text begin following apply:
 deleted text end

deleted text begin (A) menus must be prepared at least one week in advance, and made available to all
deleted text end deleted text begin residents. The facility must encourage residents' involvement in menu planning. Meal
deleted text end deleted text begin substitutions must be of similar nutritional value if a resident refuses a food that is served.
deleted text end deleted text begin Residents must be informed in advance of menu changes;
 deleted text end

deleted text begin (B) deleted text end deleted text begin food must be prepared and served according to deleted text end deleted text begin the Minnesota Food Code, Minnesota
Rules, chapter deleted text end deleted text begin 4626 deleted text end deleted text begin ; and
 deleted text end

deleted text begin (C) deleted text end deleted text begin the facility cannot require a resident to include and pay for meals in their contract;
 deleted text end

deleted text begin (ii) deleted text end deleted text begin weekly housekeeping;
 deleted text end

deleted text begin (iii) deleted text end deleted text begin weekly laundry service;
 deleted text end

deleted text begin (iv) deleted text end deleted text begin upon the request of the resident, provide direct or reasonable assistance with deleted text end deleted text begin arranging
for transportation to medical and social services appointments, shopping, and deleted text end deleted text begin other recreation,
and provide the name of or other identifying information about the persons deleted text end deleted text begin responsible for
providing this assistance;
 deleted text end

deleted text begin (v) deleted text end deleted text begin upon the request of the resident, provide reasonable assistance with accessing
deleted text end deleted text begin community resources and social services available in the community, and provide the name
deleted text end deleted text begin of or other identifying information about persons responsible for providing this assistance;
 deleted text end

deleted text begin (vi) deleted text end deleted text begin provide culturally sensitive programs; deleted text end deleted text begin and
 deleted text end

deleted text begin (vii) deleted text end deleted text begin have a daily program of social and recreational activities that are based upon
deleted text end deleted text begin individual and group interests, physical, mental, and psychosocial needs, and that creates
deleted text end deleted text begin opportunities for active participation in the community at large; deleted text end deleted text begin and
 deleted text end

deleted text begin (14)deleted text end new text begin (13)new text end provide staff access to an on-call registered nurse 24 hours per day, seven days
per week.

Sec. 2.

Minnesota Statutes 2022, section 144G.41, is amended by adding a subdivision to
read:


new text begin Subd. 1a. new text end

new text begin Minimum requirements; required food services. new text end

new text begin (a) All assisted living
facilities must offer to provide or make available at least three nutritious meals daily with
snacks available seven days per week, according to the recommended dietary allowances
in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh
fruit and fresh vegetables. The menus must be prepared at least one week in advance, and
made available to all residents. The facility must encourage residents' involvement in menu
planning. Meal substitutions must be of similar nutritional value if a resident refuses a food
that is served. Residents must be informed in advance of menu changes. The facility must
not require a resident to include and pay for meals in the resident's contract. Except as
provided in paragraph (b), food must be prepared and served according to the Minnesota
Food Code, Minnesota Rules, chapter 4626.
 new text end

new text begin (b) For an assisted living facility with a licensed capacity of ten or fewer residents:
 new text end

new text begin (1) notwithstanding Minnesota Rules, part 4626.0033, item A, the facility may share a
certified food protection manager (CFPM) with one other facility located within a 60-mile
radius and under common management provided the CFPM is present at each facility
frequently enough to effectively administer, manage, and supervise each facility's food
service operation;
 new text end

new text begin (2) notwithstanding Minnesota Rules, part 4626.0545, item A, kick plates that are not
removable or cannot be rotated open are allowed unless the facility has been issued repeated
correction orders for violations of Minnesota Rules, part 4626.1565 or 4626.1570;
 new text end

new text begin (3) notwithstanding Minnesota Rules, part 4626.0685, item A, the facility is not required
to provide integral drainboards, utensil racks, or tables large enough to accommodate soiled
and clean items that may accumulate during hours of operation provided soiled items do
not contaminate clean items, surfaces, or food, and clean equipment and dishes are air dried
in a manner that prevents contamination before storage;
 new text end

new text begin (4) notwithstanding Minnesota Rules, part 4626.1070, item A, the facility is not required
to install a dedicated handwashing sink in its existing kitchen provided it designates one
well of a two-compartment sink for use only as a handwashing sink;
 new text end

new text begin (5) notwithstanding Minnesota Rules, parts 4626.1325, 4626.1335, and 4626.1360, item
A, existing floor, wall, and ceiling finishes are allowed provided the facility keeps them
clean and in good condition;
 new text end

new text begin (6) notwithstanding Minnesota Rules, part 4626.1375, shielded or shatter-resistant
lightbulbs are not required, but if a light bulb breaks, the facility must discard all exposed
food and fully clean all equipment, dishes, and surfaces to remove any glass particles; and
 new text end

new text begin (7) notwithstanding Minnesota Rules, part 4626.1390, toilet rooms are not required to
be provided with a self-closing door.
 new text end

Sec. 3.

Minnesota Statutes 2022, section 144G.41, is amended by adding a subdivision to
read:


new text begin Subd. 1b. new text end

new text begin Minimum requirements; other required services. new text end

new text begin All assisted living facilities
must offer to provide or make available the following services to residents:
 new text end

new text begin (1) weekly housekeeping;
 new text end

new text begin (2) weekly laundry service;
 new text end

new text begin (3) upon the request of the resident, provide direct or reasonable assistance with arranging
for transportation to medical and social services appointments, shopping, and other recreation,
and provide the name of or other identifying information about the persons responsible for
providing this assistance;
 new text end

new text begin (4) upon the request of the resident, provide reasonable assistance with accessing
community resources and social services available in the community, and provide the name
of or other identifying information about persons responsible for providing this assistance;
 new text end

new text begin (5) provide culturally sensitive programs; and
 new text end

new text begin (6) have a daily program of social and recreational activities that are based upon individual
and group interests, physical, mental, and psychosocial needs, and that creates opportunities
for active participation in the community at large.
 new text end

Sec. 4.

Minnesota Statutes 2022, section 144G.63, subdivision 1, is amended to read:


Subdivision 1.

Orientation of staff and supervisors.

new text begin (a) new text end All staff providing and
supervising direct services must complete an orientation to assisted living facility licensing
requirements and regulations before providing assisted living services to residents. The
orientation may be incorporated into the training required under subdivision 5. The orientation
need only be completed once for each staff person and is not transferable to another facilitynew text begin ,
except as provided in paragraph (b)new text end .

new text begin (b) A staff person is not required to repeat the orientation required under subdivision 2
if the staff person transfers from one licensed assisted living facility to another facility
operated by the same licensee or by a licensee affiliated with the same corporate organization
as the licensee of the first facility, or to another facility managed by the same entity managing
the first facility. The facility to which the staff person transfers must document that the staff
person completed the orientation at the prior facility. The facility to which the staff person
transfers must nonetheless provide the transferred staff person with supplemental orientation
specific to the facility and document that the supplemental orientation was provided. The
supplemental orientation must include the types of assisted living services the staff person
will be providing, the facility's category of licensure, and the facility's emergency procedures.
A staff person cannot transfer to an assisted living facility with dementia care without
satisfying the additional training requirements under section 144G.83.
 new text end

Sec. 5.

Minnesota Statutes 2022, section 144G.63, subdivision 4, is amended to read:


Subd. 4.

Training required relating to dementianew text begin , mental illness, and de-escalationnew text end .

All
direct care staff and supervisors providing direct services must demonstrate an understanding
of the training specified in deleted text begin sectiondeleted text end new text begin sectionsnew text end 144G.64new text begin and 144G.65new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025.
 new text end

Sec. 6.

new text begin [144G.65] TRAINING IN MENTAL ILLNESS AND DE-ESCALATION.
 new text end

new text begin Subdivision 1. new text end

new text begin Training for supervisors. new text end

new text begin (a) Within 90 calendar days of the employment
start date, all supervisors of direct care staff must complete at least eight hours of initial
training on the topics specified in subdivision 6.
 new text end

new text begin (b) New supervisors may satisfy the training required under this subdivision by producing
written proof of previously completed required training within the past 18 months.
 new text end

new text begin Subd. 2. new text end

new text begin Training for direct care staff. new text end

new text begin (a) Within 90 calendar days of the employment
start date, all direct care staff must complete at least eight hours of initial training on the
topics specified in subdivision 6. Until the initial training is complete, a direct care staff
member must not provide direct care unless someone is available who can act as a resource,
can assist if issues arise, and is either another direct care staff member who has completed
the eight hours of required training and is on-site or is a supervisor.
 new text end

new text begin (b) New direct care employees may satisfy the training required under this subdivision
by producing written proof of previously completed required training within the past 18
months.
 new text end

new text begin Subd. 3. new text end

new text begin Training for staff who do not provide direct care. new text end

new text begin (a) Within 90 calendar
days of the employment start date, all assisted living facility employees who do not provide
direct care, including maintenance, housekeeping, and food service staff, must complete at
least four hours of initial training on all the topics specified in subdivision 6.
 new text end

new text begin (b) New staff members may satisfy the training required under this subdivision by
producing written proof of previously completed required training within the past 18 months.
 new text end

new text begin Subd. 4. new text end

new text begin Annual training for all staff. new text end

new text begin All assisted living staff required to complete
initial training under subdivisions 1 to 3 must complete at least two hours of additional
training for each year of employment following completion of the initial training. Annual
training must cover some, but is not required to cover all, of the topics listed under
subdivision 6.
 new text end

new text begin Subd. 5. new text end

new text begin New staff members. new text end

new text begin A supervisor who has completed the training required
under subdivision 1 or a person who conducts the initial training must be available for
consultation with a new staff member on issues related to mental illness and de-escalation
during the first 90 calendar days of the new staff member's employment start date.
 new text end

new text begin Subd. 6. new text end

new text begin Content of training. new text end

new text begin The initial training on mental illness and de-escalation
required under this section must include:
 new text end

new text begin (1) an explanation of the principles of trauma-informed care;
 new text end

new text begin (2) instruction on incorporating knowledge about trauma into care plans, policies,
procedures, and practices to avoid retraumatization;
 new text end

new text begin (3) de-escalation techniques and communication;
 new text end

new text begin (4) crisis resolution, including a procedure for contacting county crisis response teams;
 new text end

new text begin (5) suicide prevention, including use of the 988 suicide and crisis lifeline;
 new text end

new text begin (6) recognizing symptoms of common mental illness diagnoses, including but not limited
to mood disorders, anxiety disorders, trauma and stressor-related disorders, personality and
psychotic disorders, substance use disorder, and substance misuse;
 new text end

new text begin (7) creating and executing person-centered care plans for residents with mental illness;
 new text end

new text begin (8) information on medications and their side effects, the risks of overmedication or
improper use of medications, and nonpharmacological interventions; and
 new text end

new text begin (9) support strategies, resources, and referral sources for residents experiencing diagnoses
co-occurring with mental illness, including dementia.
 new text end

new text begin Subd. 7. new text end

new text begin Information to prospective residents. new text end

new text begin The facility must provide to prospective
residents in written or electronic form a description of its training program on mental illness
and de-escalation, the categories of staff trained, the frequency and amount of training, and
the basic topics covered.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025.
 new text end

Sec. 7.

Minnesota Statutes 2023 Supplement, section 256.9756, subdivision 1, is amended
to read:


Subdivision 1.

Caregiver respite services grant program established.

The Minnesota
Board on Aging must establish a caregiver respite services grant program to increase the
availability of respite services for family caregivers of people with dementia deleted text begin and older adultsdeleted text end
and to provide information, education, and training to respite caregivers and volunteers
regarding caring for people with dementia. From the money made available for this purpose,
the board must award grants on a competitive basis to respite service providers, giving
priority to areas of the state where there is a high need of respite services.

Sec. 8.

Minnesota Statutes 2023 Supplement, section 256.9756, subdivision 2, is amended
to read:


Subd. 2.

Eligible uses.

Grant recipients awarded grant money under this section must
use a portion of the grant award as determined by the board to provide free or subsidized
respite services for family caregivers of people with dementia deleted text begin and older adultsdeleted text end .

Sec. 9.

Minnesota Statutes 2023 Supplement, section 256B.0913, subdivision 5, is amended
to read:


Subd. 5.

Services covered under alternative care.

Alternative care funding may be
used for payment of costs of:

(1) adult day services and adult day services bath;

(2) home care;

(3) homemaker services;

(4) personal care;

(5) case management and conversion case management;

(6) respite care;

(7) specialized supplies and equipment;

(8) home-delivered meals;

(9) nonmedical transportation;

(10) nursing services;

(11) chore services;

(12) companion services;

(13) nutrition services;

(14) family caregiver training and education;

(15) coaching and counseling;

(16) telehome care to provide services in their own homes in conjunction with in-home
visits;

(17) consumer-directed community supports;

(18) environmental accessibility and adaptations; deleted text begin and
deleted text end

new text begin (19) transitional services; and
 new text end

deleted text begin (19)deleted text end new text begin (20)new text end discretionary services, for which lead agencies may make payment from their
alternative care program allocation for services not otherwise defined in this section or
section 256B.0625, following approval by the commissioner.

Total annual payments for discretionary services for all clients served by a lead agency
must not exceed 25 percent of that lead agency's annual alternative care program base
allocation, except that when alternative care services receive federal financial participation
under the 1115 waiver demonstration, funding shall be allocated in accordance with
subdivision 17.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
 new text end

Sec. 10.

Minnesota Statutes 2022, section 256B.0913, subdivision 5a, is amended to read:


Subd. 5a.

Services; service definitions; service standards.

(a) Unless specified in
statute, the services, service definitions, and standards for alternative care services shall be
the same as the services, service definitions, and standards specified in the federally approved
elderly waiver plan, except alternative care does not cover deleted text begin transitional support services,deleted text end
assisted living services, adult foster care services, and residential care and benefits defined
under section 256B.0625 that meet primary and acute health care needs.

(b) The lead agency must ensure that the funds are not used to supplant or supplement
services available through other public assistance or services programs, including
supplementation of client co-pays, deductibles, premiums, or other cost-sharing arrangements
for health-related benefits and services or entitlement programs and services that are available
to the person, but in which they have elected not to enroll. The lead agency must ensure
that the benefit department recovery system in the Medicaid Management Information
System (MMIS) has the necessary information on any other health insurance or third-party
insurance policy to which the client may have access. Supplies and equipment may be
purchased from a vendor not certified to participate in the Medicaid program if the cost for
the item is less than that of a Medicaid vendor.

(c) Personal care services must meet the service standards defined in the federally
approved elderly waiver plan, except that a lead agency may authorize services to be provided
by a client's relative who meets the relative hardship waiver requirements or a relative who
meets the criteria and is also the responsible party under an individual service plan that
ensures the client's health and safety and supervision of the personal care services by a
qualified professional as defined in section 256B.0625, subdivision 19c. Relative hardship
is established by the lead agency when the client's care causes a relative caregiver to do any
of the following: resign from a paying job, reduce work hours resulting in lost wages, obtain
a leave of absence resulting in lost wages, incur substantial client-related expenses, provide
services to address authorized, unstaffed direct care time, or meet special needs of the client
unmet in the formal service plan.

(d) Alternative care covers sign language interpreter services and spoken language
interpreter services for recipients eligible for alternative care when the services are necessary
to help deaf and hard-of-hearing recipients or recipients with limited English proficiency
obtain covered services. Coverage for face-to-face spoken language interpreter services
shall be provided only if the spoken language interpreter used by the enrolled health care
provider is listed in the registry or roster established under section 144.058.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
 new text end

Sec. 11.

Minnesota Statutes 2022, section 256B.434, is amended by adding a subdivision
to read:


new text begin Subd. 4k. new text end

new text begin Property rate increase for certain nursing facilities. new text end

new text begin (a) A rate increase
under this subdivision ends upon the effective date of the transition of the facility's property
rate to a property payment rate under section 256R.26, subdivision 8.
 new text end

new text begin (b) The commissioner shall increase the property rate of a nursing facility located in the
city of St. Paul at 1415 Almond Avenue in Ramsey County by $10.65 on January 1, 2025.
 new text end

new text begin (c) The commissioner shall increase the property rate of a nursing facility located in the
city of Duluth at 3111 Church Place in St. Louis County by $20.81 on January 1, 2025.
 new text end

new text begin (d) The commissioner shall increase the property rate of a nursing facility located in the
city of Chatfield at 1102 Liberty Street SE in Fillmore County by $21.35 on January 1,
2025.
 new text end

new text begin (e) Effective January 1, 2025, through June 30, 2025, the commissioner shall increase
the property rate of a nursing facility located in the city of Fergus Falls at 1131 South
Mabelle Avenue in Ottertail County by $38.56.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025.
 new text end

Sec. 12.

Minnesota Statutes 2022, section 256R.53, is amended by adding a subdivision
to read:


new text begin Subd. 4. new text end

new text begin Nursing facility in Minnetonka. new text end

new text begin (a) For a nursing facility located in Minnetonka
and licensed for 21 beds as of February 1, 2024, the commissioner shall use funding from
the moratorium exceptions process under section 144A.073 to calculate the facility's property
rate beginning January 1, 2025.
 new text end

new text begin (b) For the purposes of determining the total property payment rate under section 256R.26
for the facility described in paragraph (a), for a project completed in 2023, the final building
valuation is equal to the lesser of the limited depreciated replacement cost as determined
under section 256R.26, subdivision 3, or 105 percent of the estimated building valuation of
$6,650,000.
 new text end

Sec. 13.

new text begin [256S.191] ELDERLY WAIVER BUDGET AND RATE EXCEPTIONS;
HIGH-NEED PARTICIPANTS.
 new text end

new text begin Subdivision 1. new text end

new text begin Eligibility for budget and rate exceptions. new text end

new text begin A participant is eligible to
request an elderly waiver budget and rate exception when:
 new text end

new text begin (1) hospitalization of the participant is no longer medically necessary but the participant
has not been discharged to the community due to lack of community care options;
 new text end

new text begin (2) the participant requires a support plan that exceeds elderly waiver budgets and rates
due to the participant's specific assessed needs; and
 new text end

new text begin (3) the participant meets all eligibility criteria for the elderly waiver.
 new text end

new text begin Subd. 2. new text end

new text begin Requests for budget and rate exceptions. new text end

new text begin (a) A participant eligible under
subdivision 1 may request, in a format prescribed by the commissioner, an elderly waiver
budget and rate exception when requesting an eligibility determination for elderly waiver
services. The participant may request an exception to the elderly waiver case mix caps, the
customized living service rate limits, service rates, or any combination of the three.
 new text end

new text begin (b) The participant must document in the request that the participant's needs cannot be
met within the existing case mix caps, customized living service rate limits, or service rates
and how an exception to any of the three will meet the participant's needs.
 new text end

new text begin (c) The participant must include in the request the basis for the underlying costs used to
determine the overall cost of the proposed service plan.
 new text end

new text begin (d) The commissioner must respond to all exception requests, whether the request is
granted, denied, or granted as modified. The commissioner must include in the response
the basis for the action and provide notification of the right to appeal.
 new text end

new text begin (e) Participants granted exceptions under this section must apply annually in a format
prescribed by the commissioner to continue or modify the exception.
 new text end

new text begin (f) A participant no longer qualifies for an exception when the participant's needs can
be met within standard elderly waiver budgets and rates.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
 new text end

Sec. 14.

Minnesota Statutes 2022, section 256S.205, subdivision 5, is amended to read:


Subd. 5.

Rate adjustment; rate floor.

(a) Notwithstanding the 24-hour customized
living monthly service rate limits under section 256S.202, subdivision 2, and the component
service rates established under section 256S.201, subdivision 4, the commissioner must
establish a rate floor equal to deleted text begin $119deleted text end new text begin $141new text end per resident per day for 24-hour customized living
services provided to an elderly waiver participant in a designated disproportionate share
facility.

(b) The commissioner must apply the rate floor to the services described in paragraph
(a) provided during the rate year.

deleted text begin (c) The commissioner must adjust the rate floor by the same amount and at the same
time as any adjustment to the 24-hour customized living monthly service rate limits under
section 256S.202, subdivision 2.
 deleted text end

deleted text begin (d) The commissioner shall not implement the rate floor under this section if the
customized living rates established under sections 256S.21 to 256S.215 will be implemented
at 100 percent on January 1 of the year following an application year.
 deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025.
 new text end

Sec. 15. new text begin DIRECTION TO COMMISSIONER; HOME AND COMMUNITY-BASED
SERVICES SYSTEM REFORM ANALYSIS.
new text end

new text begin (a) The commissioner of human services must study Minnesota's existing home and
community-based services system for older adults and evaluate options to meet the needs
of older adults with high support needs that cannot be addressed by services or individual
participant budgets available under the elderly waiver. The commissioner must propose
reforms to the home and community-based services system to meet the following goals:
 new text end

new text begin (1) address the needs of older adults with high support needs, including older adults with
high support needs currently residing in the community;
 new text end

new text begin (2) develop provider capacity to meet the needs of older adults with high support needs;
and
 new text end

new text begin (3) ensure access to a full range of services and supports necessary to address the needs
of older adults with high support needs.
 new text end

new text begin (b) The commissioner must submit a report with recommendations to meet the goals in
paragraph (a) to the chairs and ranking minority members of the legislative committees with
jurisdiction over human services finance and policy by December 31, 2025.
 new text end

ARTICLE 3

SUBSTANCE USE DISORDER SERVICES

Section 1.

Minnesota Statutes 2023 Supplement, section 256.042, subdivision 2, is amended
to read:


Subd. 2.

Membership.

(a) The council shall consist of the following 20 voting members,
appointed by the commissioner of human services except as otherwise specified, and deleted text begin threedeleted text end new text begin
fournew text end nonvoting members:

(1) two members of the house of representatives, appointed in the following sequence:
the first from the majority party appointed by the speaker of the house and the second from
the minority party appointed by the minority leader. Of these two members, one member
must represent a district outside of the seven-county metropolitan area, and one member
must represent a district that includes the seven-county metropolitan area. The appointment
by the minority leader must ensure that this requirement for geographic diversity in
appointments is met;

(2) two members of the senate, appointed in the following sequence: the first from the
majority party appointed by the senate majority leader and the second from the minority
party appointed by the senate minority leader. Of these two members, one member must
represent a district outside of the seven-county metropolitan area and one member must
represent a district that includes the seven-county metropolitan area. The appointment by
the minority leader must ensure that this requirement for geographic diversity in appointments
is met;

(3) one member appointed by the Board of Pharmacy;

(4) one member who is a physician appointed by the Minnesota Medical Association;

(5) one member representing opioid treatment programs, sober living programs, or
substance use disorder programs licensed under chapter 245G;

(6) one member appointed by the Minnesota Society of Addiction Medicine who is an
addiction psychiatrist;

(7) one member representing professionals providing alternative pain management
therapies, including, but not limited to, acupuncture, chiropractic, or massage therapy;

(8) one member representing nonprofit organizations conducting initiatives to address
the opioid epidemic, with the commissioner's initial appointment being a member
representing the Steve Rummler Hope Network, and subsequent appointments representing
this or other organizations;

(9) one member appointed by the Minnesota Ambulance Association who is serving
with an ambulance service as an emergency medical technician, advanced emergency
medical technician, or paramedic;

(10) one member representing the Minnesota courts who is a judge or law enforcement
officer;

(11) one public member who is a Minnesota resident and who is in opioid addiction
recovery;

(12) two members representing Indian tribes, one representing the Ojibwe tribes and
one representing the Dakota tribes;

(13) one member representing an urban American Indian community;

(14) one public member who is a Minnesota resident and who is suffering from chronic
pain, intractable pain, or a rare disease or condition;

(15) one mental health advocate representing persons with mental illness;

(16) one member appointed by the Minnesota Hospital Association;

(17) one member representing a local health department; deleted text begin and
deleted text end

(18) the commissioners of human services, health, and corrections, or their designees,
who shall be ex officio nonvoting members of the councildeleted text begin .deleted text end new text begin ; and
new text end

new text begin (19) the director of the Office of Addiction and Recovery, as specified under section
4.046, subdivision 6, or their designee, who shall be an ex officio nonvoting member of the
council.
 new text end

(b) The commissioner of human services shall coordinate the commissioner's
appointments to provide geographic, racial, and gender diversity, and shall ensure that at
least one-third of council members appointed by the commissioner reside outside of the
seven-county metropolitan area. Of the members appointed by the commissioner, to the
extent practicable, at least one member must represent a community of color
disproportionately affected by the opioid epidemic.

(c) The council is governed by section 15.059, except that members of the council shall
serve three-year terms and shall receive no compensation other than reimbursement for
expenses. Notwithstanding section 15.059, subdivision 6, the council shall not expire.

(d) The chair shall convene the council at least quarterly, and may convene other meetings
as necessary. The chair shall convene meetings at different locations in the state to provide
geographic access, and shall ensure that at least one-half of the meetings are held at locations
outside of the seven-county metropolitan area.

(e) The commissioner of human services shall provide staff and administrative services
for the advisory council.

(f) The council is subject to chapter 13D.

new text begin EFFECTIVE DATE. new text end

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

Sec. 2.

Minnesota Statutes 2023 Supplement, section 256.043, subdivision 3, is amended
to read:


Subd. 3.

Appropriations from registration and license fee account.

(a) The
appropriations in paragraphs (b) to (n) shall be made from the registration and license fee
account on a fiscal year basis in the order specified.

(b) The appropriations specified in Laws 2019, chapter 63, article 3, section 1, paragraphs
(b), (f), (g), and (h), as amended by Laws 2020, chapter 115, article 3, section 35, shall be
made accordingly.

(c) $100,000 is appropriated to the commissioner of human services for grants for opiate
antagonist distribution. Grantees may utilize funds for opioid overdose prevention,
community asset mapping, education, and opiate antagonist distribution.

(d) $2,000,000 is appropriated to the commissioner of human services for grants to Tribal
nations and five urban Indian communities for traditional healing practices for American
Indians and to increase the capacity of culturally specific providers in the behavioral health
workforce.

(e) $400,000 is appropriated to the commissioner of human services for competitive
grants for opioid-focused Project ECHO programs.

(f) $277,000 in fiscal year 2024 and $321,000 each year thereafter is appropriated to the
commissioner of human services to administer the funding distribution and reporting
requirements in paragraph (o).

(g) $3,000,000 in fiscal year 2025 and $3,000,000 each year thereafter is appropriated
to the commissioner of human services for safe recovery sites start-up and capacity building
grants under section 254B.18.

(h) $395,000 in fiscal year 2024 and $415,000 each year thereafter is appropriated to
the commissioner of human services for the opioid overdose surge alert system under section
245.891.

(i) $300,000 is appropriated to the commissioner of management and budget for
evaluation activities under section 256.042, subdivision 1, paragraph (c).

(j) $261,000 is appropriated to the commissioner of human services for the provision of
administrative services to the Opiate Epidemic Response Advisory Council and for the
administration of the grants awarded under paragraph (n).

(k) $126,000 is appropriated to the Board of Pharmacy for the collection of the registration
fees under section 151.066.

(l) $672,000 is appropriated to the commissioner of public safety for the Bureau of
Criminal Apprehension. Of this amount, $384,000 is for drug scientists and lab supplies
and $288,000 is for special agent positions focused on drug interdiction and drug trafficking.

(m) After the appropriations in paragraphs (b) to (l) are made, 50 percent of the remaining
amount is appropriated to the commissioner of human services for distribution to county
social service agencies and Tribal social service agency initiative projects authorized under
section 256.01, subdivision 14b, to providenew text begin prevention andnew text end child protection services to
children and families who are affected by addiction. The commissioner shall distribute this
money proportionally to county social service agencies and Tribal social service agency
initiative projectsnew text begin through a formulanew text end based onnew text begin intake data from the previous three calendar
years related to substance use andnew text end out-of-home placement episodes where parental drug
abuse is deleted text begin the primarydeleted text end new text begin anew text end reason for the out-of-home placement deleted text begin using data from the previous
calendar yeardeleted text end . County social service agencies and Tribal social service agency initiative
projects receiving funds from the opiate epidemic response fund must annually report to
the commissioner on how the funds were used to providenew text begin prevention andnew text end child protection
services, including measurable outcomes, as determined by the commissioner. County social
service agencies and Tribal social service agency initiative projects must not use funds
received under this paragraph to supplant current state or local funding received for child
protection services for children and families who are affected by addiction.

(n) After the appropriations in paragraphs (b) to (m) are made, the remaining amount in
the account is appropriated to the commissioner of human services to award grants as
specified by the Opiate Epidemic Response Advisory Council in accordance with section
256.042, unless otherwise appropriated by the legislature.

(o) Beginning in fiscal year 2022 and each year thereafter, funds for county social service
agencies and Tribal social service agency initiative projects under paragraph (m) and grant
funds specified by the Opiate Epidemic Response Advisory Council under paragraph (n)
may be distributed on a calendar year basis.

(p) Notwithstanding section 16A.28, subdivision 3, funds appropriated in paragraphs
(c), (d), (e), (g), (m), and (n) are available for three years after the funds are appropriated.

ARTICLE 4

PRIORITY ADMISSIONS AND CIVIL COMMITMENT

Section 1.

Minnesota Statutes 2023 Supplement, section 253B.10, subdivision 1, is amended
to read:


Subdivision 1.

Administrative requirements.

(a) When a person is committed, the
court shall issue a warrant or an order committing the patient to the custody of the head of
the treatment facility, state-operated treatment program, or community-based treatment
program. The warrant or order shall state that the patient meets the statutory criteria for
civil commitment.

(b) The commissioner shall prioritize patients being admitted from jail or a correctional
institution deleted text begin who aredeleted text end new text begin for admission to a medically appropriate direct care and treatment
program based on the decisions of physicians in the executive medical director's office,
using a priority admissions framework. The framework must account for a range of factors
for priority admission, including but not limited tonew text end :

(1) deleted text begin ordered confined in a state-operated treatment program for an examination under
Minnesota Rules of Criminal Procedure,deleted text end deleted text begin rules 20.01, subdivision 4deleted text end deleted text begin , paragraph (a), and
deleted text end deleted text begin 20.02, subdivision 2deleted text end new text begin the length of time the person has been on a waiting list for admission
to a direct care and treatment program since the date of the order under paragraph (a)new text end ;

(2) deleted text begin under civil commitment for competency treatment and continuing supervision under
Minnesota Rules of Criminal Procedure, deleted text end deleted text begin rule 20.01, subdivision 7deleted text end new text begin the intensity of the
treatment the person needs, based on medical acuitynew text end ;

(3) deleted text begin found not guilty by reason of mental illness under Minnesota Rules of Criminal
Procedure, deleted text end deleted text begin rule 20.02, subdivision 8deleted text end deleted text begin , and under civil commitment or are ordered to be
detained in a state-operated treatment program pending completion of the civil commitment
proceedings; ordeleted text end new text begin the person's revoked provisional discharge status;
new text end

(4) deleted text begin committed under this chapter to the commissioner after dismissal of the patient's
criminal charges.deleted text end new text begin the person's safety and safety of others in the person's current environment;
new text end

new text begin (5) whether the person has access to necessary or court-ordered treatment;
 new text end

new text begin (6) distinct and articulable negative impacts of an admission delay on the facility referring
the individual for treatment; and
 new text end

new text begin (7) any relevant federal prioritization requirements.
 new text end

Patients described in this paragraph must be admitted to a state-operated treatment program
within 48 hours. The commitment must be ordered by the court as provided in section
253B.09, subdivision 1, paragraph (d).

(c) Upon the arrival of a patient at the designated treatment facility, state-operated
treatment program, or community-based treatment program, the head of the facility or
program shall retain the duplicate of the warrant and endorse receipt upon the original
warrant or acknowledge receipt of the order. The endorsed receipt or acknowledgment must
be filed in the court of commitment. After arrival, the patient shall be under the control and
custody of the head of the facility or program.

(d) Copies of the petition for commitment, the court's findings of fact and conclusions
of law, the court order committing the patient, the report of the court examiners, and the
prepetition report, and any medical and behavioral information available shall be provided
at the time of admission of a patient to the designated treatment facility or program to which
the patient is committed. Upon a patient's referral to the commissioner of human services
for admission pursuant to subdivision 1, paragraph (b), any inpatient hospital, treatment
facility, jail, or correctional facility that has provided care or supervision to the patient in
the previous two years shall, when requested by the treatment facility or commissioner,
provide copies of the patient's medical and behavioral records to the Department of Human
Services for purposes of preadmission planning. This information shall be provided by the
head of the treatment facility to treatment facility staff in a consistent and timely manner
and pursuant to all applicable laws.

(e) Patients described in paragraph (b) must be admitted to a state-operated treatment
program within 48 hours of the Office of Medical Director, under section 246.018, or a
designee determining that a medically appropriate bed is available. This paragraph expires
on June 30, 2025.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 2.

Minnesota Statutes 2023 Supplement, section 246.0135, as amended by Laws
2024, chapter 79, article 1, section 3, is amended to read:


246.0135 OPERATION OF REGIONAL TREATMENT CENTERS.

(a) The executive board is prohibited from closing any regional treatment center or
state-operated nursing home deleted text begin ordeleted text end new text begin , from closingnew text end any program at any of the regional treatment
centers or state-operated nursing homes,new text begin and from closing the community addiction recovery
new text end new text begin enterprise program located in the city of Carlton or modifying the population served by the
program,new text end without specific legislative authorization.

(b) Prior to closing or downsizing a regional treatment center, the executive board is
responsible for assuring that community-based alternatives developed in response are
adequate to meet the program needs identified by each county within the catchment area
and do not require additional local county property tax expenditures.

(c) The nonfederal share of the cost of alternative treatment or care developed as the
result of the closure of a regional treatment center, including costs associated with fulfillment
of responsibilities under chapter 253B must be paid from state money appropriated for
purposes specified in section 246C.11.

(d) The executive board must not divert state money used for providing for care or
treatment of persons residing in a regional treatment center for purposes unrelated to the
care and treatment of such persons.

new text begin EFFECTIVE DATE. new text end

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

Sec. 3. new text begin DIRECTION TO COMMISSIONER OF HUMAN SERVICES;
REIMBURSEMENT TO BELTRAMI COUNTY AND TODD COUNTY FOR
CERTAIN COST OF CARE PAYMENTS.
new text end

new text begin (a) Notwithstanding Minnesota Statutes 2021 Supplement, section 246.54, subdivisions
1a and 1b; Minnesota Statutes 2022, section 246.54, subdivisions 1a and 1b; or any other
law to the contrary, the commissioner of human services must not sanction or otherwise
seek payment from Beltrami County for outstanding debts for the cost of care provided
between July 1, 2022, and June 30, 2023, under:
 new text end

new text begin (1) Minnesota Statutes, section 246.54, subdivision 1a, paragraph (a), clause (3), to a
person committed as a person who has a mental illness and is dangerous to the public under
Minnesota Statutes, section 253B.18, and who was awaiting transfer from Anoka-Metro
Regional Treatment Center to another state-operated facility or program; or
 new text end

new text begin (2) Minnesota Statutes, section 246.54, subdivision 1b, paragraph (a), clause (1), to a
person committed as a person who has a mental illness and is dangerous to the public under
Minnesota Statutes, section 253B.18, and who was awaiting transfer from a state-operated
community-based behavioral health hospital to another state-operated facility or program.
 new text end

new text begin (b) Notwithstanding Minnesota Statutes 2021 Supplement, section 246.54, subdivision
1a; Minnesota Statutes 2022, section 246.54, subdivision 1a; or any other law to the contrary,
the commissioner of human services must not sanction or otherwise seek payment from
Todd County for outstanding debts for the cost of care provided in Anoka-Metro Regional
Treatment Center from August 22, 2023, to February 3, 2024, not to exceed $387,000.
 new text end

new text begin (c) The commissioner must reimburse Beltrami County and Todd County with state-only
money any amount previously paid to the state or otherwise recovered by the commissioner
from Beltrami County or Todd County for the cost of care identified in paragraphs (a) and
(b).
 new text end

new text begin (d) Nothing in this section prohibits the commissioner from seeking reimbursement from
Beltrami County for the cost of care provided in Anoka-Metro Regional Treatment Center
or a state-operated community-based behavioral health hospital for care not described in
paragraph (a).
 new text end

new text begin (e) Nothing in this section prohibits the commissioner of human services from seeking
reimbursement from Todd County for the cost of care provided in Anoka-Metro Regional
Treatment Center or by any state-operated facility or program in excess of the amount
specified in paragraph (b).
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 4. new text begin ENGAGEMENT SERVICES PILOT PROJECT.
new text end

new text begin Subdivision 1. new text end

new text begin Creation. new text end

new text begin The commissioner of human services shall provide a grant to
Otter Tail county to conduct a pilot project involving the provision of engagement services
under Minnesota Statutes, section 253B.041.
 new text end

new text begin Subd. 2. new text end

new text begin Allowable grant activities. new text end

new text begin (a) The grantee must use grant money to:
 new text end

new text begin (1) develop a system to respond to requests for engagement services;
 new text end

new text begin (2) provide the following engagement services, taking into account an individual's
preferences for treatment services and supports:
 new text end

new text begin (i) assertive attempts to engage an individual in voluntary treatment for mental illness
for at least 90 days;
 new text end

new text begin (ii) efforts to engage an individual's existing support systems and interested persons,
including but not limited to providing education on restricting means of harm and suicide
prevention, when the provider determines that such engagement would be helpful; and
 new text end

new text begin (iii) collaboration with the individual to meet the individual's immediate needs, including
but not limited to housing access, food and income assistance, disability verification,
medication management, and medical treatment;
 new text end

new text begin (3) conduct outreach to families and providers; and
 new text end

new text begin (4) evaluate the impact of engagement services on decreasing civil commitments,
increasing engagement in treatment, decreasing police involvement with individuals
exhibiting symptoms of serious mental illness, and other measures.
 new text end

new text begin (b) Engagement services staff must have completed training on person-centered care.
Staff may include but are not limited to mobile crisis providers under Minnesota Statutes,
section 256B.0624; certified peer specialists under Minnesota Statutes, section 256B.0615;
community-based treatment programs staff; and homeless outreach workers.
 new text end

Sec. 5. new text begin HOSPITAL ADMISSION EXCEPTION TO CURRENT PRIORITY
ADMISSION.
new text end

new text begin (a) Notwithstanding Minnesota Statutes, section 253B.10, subdivision 1, paragraph (b),
the commissioner of human services must admit to a medically appropriate state-operated
treatment program ten civilly committed patients who are awaiting admission in hospital
settings. Admissions of patients awaiting admission in hospital settings must be managed
according to the priority admissions framework under Minnesota Statutes, section 253B.10,
subdivision 1, paragraph (b).
 new text end

new text begin (b) This section expires upon admission of the tenth patient who has been civilly
committed and is awaiting admission in a hospital setting.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 6. new text begin MENTALLY ILL AND DANGEROUS CIVIL COMMITMENT REFORM
TASK FORCE.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; purpose. new text end

new text begin The Mentally Ill and Dangerous Civil
Commitment Reform Task Force is established to evaluate current statutes related to mentally
ill and dangerous civil commitments and develop recommendations to optimize the use of
state-operated mental health resources and increase equitable access and outcomes for
patients.
 new text end

new text begin Subd. 2. new text end

new text begin Membership. new text end

new text begin (a) The Mentally Ill and Dangerous Civil Commitment Reform
Task Force consists of the members appointed as follows:
 new text end

new text begin (1) the commissioner of human services or a designee;
 new text end

new text begin (2) two members representing the Department of Direct Care and Treatment who have
experience with mentally ill and dangerous civil commitments, appointed by the
commissioner of human services;
 new text end

new text begin (3) the ombudsman for mental health and developmental disabilities;
 new text end

new text begin (4) a judge with experience presiding over mentally ill and dangerous civil commitments,
appointed by the state court administrator;
 new text end

new text begin (5) a court examiner with experience participating in mentally ill and dangerous civil
commitments, appointed by the state court administrator;
 new text end

new text begin (6) a member of the Special Review Board, appointed by the state court administrator;
 new text end

new text begin (7) a county representative, appointed by the Association of Minnesota Counties;
 new text end

new text begin (8) a representative appointed by the Minnesota Association of County Social Service
Administrators;
 new text end

new text begin (9) a county attorney with experience participating in mentally ill and dangerous civil
commitments, appointed by the Minnesota County Attorneys Association;
 new text end

new text begin (10) an attorney with experience representing respondents in mentally ill and dangerous
civil commitments, appointed by the governor;
 new text end

new text begin (11) a member appointed by the Minnesota Association of Community Mental Health
Programs;
 new text end

new text begin (12) a member appointed by the National Alliance on Mental Illness Minnesota;
 new text end

new text begin (13) a licensed independent practitioner with experience treating individuals subject to
a mentally ill and dangerous civil commitment; and
 new text end

new text begin (14) an individual with lived experience under civil commitment as mentally ill and
dangerous and who is on a provisional discharge or has been discharged from commitment.
 new text end

new text begin (b) A member of the legislature may not serve as a member of the task force.
 new text end

new text begin (c) Appointments to the task force must be made no later than July 30, 2024.
 new text end

new text begin Subd. 3. new text end

new text begin Compensation; removal; vacancy. new text end

new text begin (a) Notwithstanding Minnesota Statutes,
section 15.059, subdivision 6, members of the task force may be compensated as provided
under Minnesota Statutes, section 15.059, subdivision 3.
 new text end

new text begin (b) A member may be removed by the appointing authority at any time at the pleasure
of the appointing authority. In the case of a vacancy on the task force, the appointing authority
shall appoint an individual to fill the vacancy for the remainder of the unexpired term.
 new text end

new text begin Subd. 4. new text end

new text begin Officers; meetings. new text end

new text begin (a) The commissioner of human services shall convene
the first meeting of the task force no later than September 1, 2024.
 new text end

new text begin (b) The task force must elect a chair and vice-chair from among its members and may
elect other officers as necessary.
 new text end

new text begin (c) The task force is subject to Minnesota Statutes, chapter 13D.
 new text end

new text begin Subd. 5. new text end

new text begin Staff. new text end

new text begin The commissioner of human services must provide staff assistance to
support the work of the task force.
 new text end

new text begin Subd. 6. new text end

new text begin Data usage and privacy. new text end

new text begin Any data provided by executive agencies as part of
the work and report of the task force are subject to the requirements of Minnesota Statutes,
chapter 13, and all other applicable data privacy laws.
 new text end

new text begin Subd. 7. new text end

new text begin Duties. new text end

new text begin The task force must:
 new text end

new text begin (1) analyze current trends in mentally ill and dangerous civil commitments, including
but not limited to the length of stay for individuals committed in Minnesota as compared
to other jurisdictions;
 new text end

new text begin (2) review national practices and criteria for civil commitment of individuals who have
a mental illness and represent a danger to the public;
 new text end

new text begin (3) develop recommended statutory changes necessary to provide services to the high
number of mentally ill and dangerous civilly committed individuals;
 new text end

new text begin (4) develop funding and statutory recommendations for alternatives to the current mentally
ill and dangerous civil commitment process;
 new text end

new text begin (5) identify what types of placements and services are necessary to serve individuals
civilly committed as mentally ill and dangerous in the community;
 new text end

new text begin (6) make recommendations to reduce barriers to discharge from the forensic mental
health program for individuals civilly committed as mentally ill and dangerous;
 new text end

new text begin (7) develop recommended plain language statutory changes to clarify operational
definitions for terms used within Minnesota Statutes, section 253B.18;
 new text end

new text begin (8) develop recommended statutory changes to provide clear direction to the
commissioner of human services and facilities to which individuals are civilly committed
to address situations in which an individual is committed as mentally ill and dangerous and
is later determined to not have an organic disorder of the brain or a substantial psychiatric
disorder of thought, mood, perception, orientation, or memory; and
 new text end

new text begin (9) evaluate and make statutory and funding recommendations for the voluntary return
of individuals civilly committed as mentally ill and dangerous to community facilities.
 new text end

new text begin Subd. 8. new text end

new text begin Report required. new text end

new text begin By August 1, 2025, the task force shall submit to the chairs
and ranking minority members of the legislative committees with jurisdiction over mentally
ill and dangerous civil commitments a written report that includes the outcome of the duties
in subdivision 7, including but not limited to recommended statutory changes.
 new text end

new text begin Subd. 9. new text end

new text begin Expiration. new text end

new text begin The task force expires January 1, 2026.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 7. new text begin PRIORITY ADMISSIONS REVIEW PANEL.
new text end

new text begin (a) The commissioner shall appoint all members who served on the Task Force on Priority
Admissions to State-Operated Treatment Programs under Laws 2023, chapter 61, article 8,
section 13, subdivision 2, to the priority admissions review panel. The panel must:
 new text end

new text begin (1) evaluate the requirement under Minnesota Statutes, section 253B.10, subdivision 1,
paragraph (b), that patients being admitted from jail or a correctional institution be admitted
to a state-operated treatment program within 48 hours;
 new text end

new text begin (2) develop policy and legislative proposals related to the eventual expiration of the
48-hour timeline, prioritizing individuals based on medical need for admission into
state-operated treatment programs, minimizing litigation costs, maximizing capacity in and
access to state-operated treatment programs in order to implement admissions criteria passed
on medical need, and addressing issues related to individuals awaiting admission to
state-operated treatment programs in jails, correctional institutions, community hospitals,
and community settings; and
 new text end

new text begin (3) develop a plan to expand direct care and treatment capacity. The plan must include
clear definitions of what constitutes expanded capacity; an estimate of the capital,
administrative, staffing, and programmatic costs of expanding capacity; an expansion
implementation and workforce plan developed in consultation with the employees of direct
care and treatment; and a proposal for the expiration of the 48-hour rule contingent on
meeting a measurable capacity expansion goal.
 new text end

new text begin (b) By December 31, 2024, the review panel must submit a written report to the chairs
and ranking minority members of the legislative committees with jurisdiction over public
safety and human services finance and policy that includes legislative proposals to amend
Minnesota Statutes, section 253B.10, subdivision 1, paragraph (b), to establish admissions
criteria to state-operated treatment programs based on medical need.
 new text end

new text begin (c) The panel appointed under paragraph (a) must also advise the commissioner on the
effectiveness of the framework and priority admissions generally and review de-identified
data quarterly for one year following the implementation of the priority admissions
framework to ensure that the framework is implemented and applied equitably. If the panel
requests to review data that is classified as private or confidential and the commissioner
determines the data requested is necessary for the scope of the panel's review, the
commissioner is authorized to disclose private or confidential data to the panel under this
paragraph and pursuant to Minnesota Statutes, section 13.05, subdivision 4, paragraph (b),
for private or confidential data collected prior to the effective date of this section.
 new text end

new text begin (d) After the panel completes its year of review, a quality committee established by the
Department of Direct Care and Treatment executive board will continue to review data,
seek input from counties, hospitals, community providers, and advocates, and provide a
routine report to the executive board on the effectiveness of the framework and priority
admissions.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

ARTICLE 5

DIRECT CARE AND TREATMENT

Section 1.

Minnesota Statutes 2023 Supplement, section 10.65, subdivision 2, is amended
to read:


Subd. 2.

Definitions.

As used in this section, the following terms have the meanings
given:

(1) "agency" means the Department of Administration; Department of Agriculture;
Department of Children, Youth, and Families; Department of Commerce; Department of
Corrections; Department of Education; Department of Employment and Economic
Development; Department of Health; Office of Higher Education; Housing Finance Agency;
Department of Human Rights; Department of Human Services; Department of Information
Technology Services; Department of Iron Range Resources and Rehabilitation; Department
of Labor and Industry; Minnesota Management and Budget; Bureau of Mediation Services;
Department of Military Affairs; Metropolitan Council; Department of Natural Resources;
Pollution Control Agency; Department of Public Safety; Department of Revenue; Department
of Transportation; Department of Veterans Affairs; new text begin Direct Care and Treatment; new text end Gambling
Control Board; Racing Commission; the Minnesota Lottery; the Animal Health Board; and
the Board of Water and Soil Resources;

(2) "consultation" means the direct and interactive involvement of the Minnesota Tribal
governments in the development of policy on matters that have Tribal implications.
Consultation is the proactive, affirmative process of identifying and seeking input from
appropriate Tribal governments and considering their interest as a necessary and integral
part of the decision-making process. This definition adds to statutorily mandated notification
procedures. During a consultation, the burden is on the agency to show that it has made a
good faith effort to elicit feedback. Consultation is a formal engagement between agency
officials and the governing body or bodies of an individual Minnesota Tribal government
that the agency or an individual Tribal government may initiate. Formal meetings or
communication between top agency officials and the governing body of a Minnesota Tribal
government is a necessary element of consultation;

(3) "matters that have Tribal implications" means rules, legislative proposals, policy
statements, or other actions that have substantial direct effects on one or more Minnesota
Tribal governments, or on the distribution of power and responsibilities between the state
and Minnesota Tribal governments;

(4) "Minnesota Tribal governments" means the federally recognized Indian Tribes located
in Minnesota including: Bois Forte Band; Fond Du Lac Band; Grand Portage Band; Leech
Lake Band; Mille Lacs Band; White Earth Band; Red Lake Nation; Lower Sioux Indian
Community; Prairie Island Indian Community; Shakopee Mdewakanton Sioux Community;
and Upper Sioux Community; and

(5) "timely and meaningful" means done or occurring at a favorable or useful time that
allows the result of consultation to be included in the agency's decision-making process for
a matter that has Tribal implications.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 2.

Minnesota Statutes 2022, section 13.46, subdivision 1, as amended by Laws 2024,
chapter 79, article 9, section 1, and Laws 2024, chapter 80, article 8, section 1, is amended
to read:


Subdivision 1.

Definitions.

As used in this section:

(a) "Individual" means an individual according to section 13.02, subdivision 8, but does
not include a vendor of services.

(b) "Program" includes all programs for which authority is vested in a component of the
welfare system according to statute or federal law, including but not limited to Native
American Tribe programs that provide a service component of the welfare system, the
Minnesota family investment program, medical assistance, general assistance, general
assistance medical care formerly codified in chapter 256D, the child care assistance program,
and child support collections.

(c) "Welfare system" includes the Department of Human Services; deleted text begin the Department ofdeleted text end
Direct Care and Treatment; the Department of Children, Youth, and Families; local social
services agencies; county welfare agencies; county public health agencies; county veteran
services agencies; county housing agencies; private licensing agencies; the public authority
responsible for child support enforcement; human services boards; community mental health
center boards, state hospitals, state nursing homes, the ombudsman for mental health and
developmental disabilities; Native American Tribes to the extent a Tribe provides a service
component of the welfare system; and persons, agencies, institutions, organizations, and
other entities under contract to any of the above agencies to the extent specified in the
contract.

(d) "Mental health data" means data on individual clients and patients of community
mental health centers, established under section 245.62, mental health divisions of counties
and other providers under contract to deliver mental health services, deleted text begin Department ofdeleted text end Direct
Care and Treatment mental health services, or the ombudsman for mental health and
developmental disabilities.

(e) "Fugitive felon" means a person who has been convicted of a felony and who has
escaped from confinement or violated the terms of probation or parole for that offense.

(f) "Private licensing agency" means an agency licensed by the commissioner of children,
youth, and families under chapter 142B to perform the duties under section 142B.30.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 3.

Minnesota Statutes 2023 Supplement, section 13.46, subdivision 2, as amended
by Laws 2024, chapter 80, article 8, section 2, is amended to read:


Subd. 2.

General.

(a) Data on individuals collected, maintained, used, or disseminated
by the welfare system are private data on individuals, and shall not be disclosed except:

(1) according to section 13.05;

(2) according to court order;

(3) according to a statute specifically authorizing access to the private data;

(4) to an agent of the welfare system and an investigator acting on behalf of a county,
the state, or the federal government, including a law enforcement person or attorney in the
investigation or prosecution of a criminal, civil, or administrative proceeding relating to the
administration of a program;

(5) to personnel of the welfare system who require the data to verify an individual's
identity; determine eligibility, amount of assistance, and the need to provide services to an
individual or family across programs; coordinate services for an individual or family;
evaluate the effectiveness of programs; assess parental contribution amounts; and investigate
suspected fraud;

(6) to administer federal funds or programs;

(7) between personnel of the welfare system working in the same program;

(8) to the Department of Revenue to assess parental contribution amounts for purposes
of section 252.27, subdivision 2a, administer and evaluate tax refund or tax credit programs
and to identify individuals who may benefit from these programs, and prepare the databases
for reports required under section 270C.13 and Laws 2008, chapter 366, article 17, section
6. The following information may be disclosed under this paragraph: an individual's and
their dependent's names, dates of birth, Social Security or individual taxpayer identification
numbers, income, addresses, and other data as required, upon request by the Department
of Revenue. Disclosures by the commissioner of revenue to the commissioner of human
services for the purposes described in this clause are governed by section 270B.14,
subdivision 1. Tax refund or tax credit programs include, but are not limited to, the dependent
care credit under section 290.067, the Minnesota working family credit under section
290.0671, the property tax refund under section 290A.04, and the Minnesota education
credit under section 290.0674;

(9) between the Department of Human Services; the Department of Employment and
Economic Development; the Department of Children, Youth, and Families; new text begin Direct Care and
Treatment; new text end and, when applicable, the Department of Education, for the following purposes:

(i) to monitor the eligibility of the data subject for unemployment benefits, for any
employment or training program administered, supervised, or certified by that agency;

(ii) to administer any rehabilitation program or child care assistance program, whether
alone or in conjunction with the welfare system;

(iii) to monitor and evaluate the Minnesota family investment program or the child care
assistance program by exchanging data on recipients and former recipients of Supplemental
Nutrition Assistance Program (SNAP) benefits, cash assistance under chapter 256, 256D,
256J, or 256K, child care assistance under chapter 119B, medical programs under chapter
256B or 256L; and

(iv) to analyze public assistance employment services and program utilization, cost,
effectiveness, and outcomes as implemented under the authority established in Title II,
Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999.
Health records governed by sections 144.291 to 144.298 and "protected health information"
as defined in Code of Federal Regulations, title 45, section 160.103, and governed by Code
of Federal Regulations, title 45, parts 160-164, including health care claims utilization
information, must not be exchanged under this clause;

(10) to appropriate parties in connection with an emergency if knowledge of the
information is necessary to protect the health or safety of the individual or other individuals
or persons;

(11) data maintained by residential programs as defined in section 245A.02 may be
disclosed to the protection and advocacy system established in this state according to Part
C of Public Law 98-527 to protect the legal and human rights of persons with developmental
disabilities or other related conditions who live in residential facilities for these persons if
the protection and advocacy system receives a complaint by or on behalf of that person and
the person does not have a legal guardian or the state or a designee of the state is the legal
guardian of the person;

(12) to the county medical examiner or the county coroner for identifying or locating
relatives or friends of a deceased person;

(13) data on a child support obligor who makes payments to the public agency may be
disclosed to the Minnesota Office of Higher Education to the extent necessary to determine
eligibility under section 136A.121, subdivision 2, clause (5);

(14) participant Social Security or individual taxpayer identification numbers and names
collected by the telephone assistance program may be disclosed to the Department of
Revenue to conduct an electronic data match with the property tax refund database to
determine eligibility under section 237.70, subdivision 4a;

(15) the current address of a Minnesota family investment program participant may be
disclosed to law enforcement officers who provide the name of the participant and notify
the agency that:

(i) the participant:

(A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after
conviction, for a crime or attempt to commit a crime that is a felony under the laws of the
jurisdiction from which the individual is fleeing; or

(B) is violating a condition of probation or parole imposed under state or federal law;

(ii) the location or apprehension of the felon is within the law enforcement officer's
official duties; and

(iii) the request is made in writing and in the proper exercise of those duties;

(16) the current address of a recipient of general assistance may be disclosed to probation
officers and corrections agents who are supervising the recipient and to law enforcement
officers who are investigating the recipient in connection with a felony level offense;

(17) information obtained from a SNAP applicant or recipient households may be
disclosed to local, state, or federal law enforcement officials, upon their written request, for
the purpose of investigating an alleged violation of the Food and Nutrition Act, according
to Code of Federal Regulations, title 7, section 272.1(c);

(18) the address, Social Security or individual taxpayer identification number, and, if
available, photograph of any member of a household receiving SNAP benefits shall be made
available, on request, to a local, state, or federal law enforcement officer if the officer
furnishes the agency with the name of the member and notifies the agency that:

(i) the member:

(A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a
crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;

(B) is violating a condition of probation or parole imposed under state or federal law;
or

(C) has information that is necessary for the officer to conduct an official duty related
to conduct described in subitem (A) or (B);

(ii) locating or apprehending the member is within the officer's official duties; and

(iii) the request is made in writing and in the proper exercise of the officer's official duty;

(19) the current address of a recipient of Minnesota family investment program, general
assistance, or SNAP benefits may be disclosed to law enforcement officers who, in writing,
provide the name of the recipient and notify the agency that the recipient is a person required
to register under section 243.166, but is not residing at the address at which the recipient is
registered under section 243.166;

(20) certain information regarding child support obligors who are in arrears may be
made public according to section 518A.74;

(21) data on child support payments made by a child support obligor and data on the
distribution of those payments excluding identifying information on obligees may be
disclosed to all obligees to whom the obligor owes support, and data on the enforcement
actions undertaken by the public authority, the status of those actions, and data on the income
of the obligor or obligee may be disclosed to the other party;

(22) data in the work reporting system may be disclosed under section 256.998,
subdivision 7;

(23) to the Department of Education for the purpose of matching Department of Education
student data with public assistance data to determine students eligible for free and
reduced-price meals, meal supplements, and free milk according to United States Code,
title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and state
funds that are distributed based on income of the student's family; and to verify receipt of
energy assistance for the telephone assistance plan;

(24) the current address and telephone number of program recipients and emergency
contacts may be released to the commissioner of health or a community health board as
defined in section 145A.02, subdivision 5, when the commissioner or community health
board has reason to believe that a program recipient is a disease case, carrier, suspect case,
or at risk of illness, and the data are necessary to locate the person;

(25) to other state agencies, statewide systems, and political subdivisions of this state,
including the attorney general, and agencies of other states, interstate information networks,
federal agencies, and other entities as required by federal regulation or law for the
administration of the child support enforcement program;

(26) to personnel of public assistance programs as defined in section 256.741, for access
to the child support system database for the purpose of administration, including monitoring
and evaluation of those public assistance programs;

(27) to monitor and evaluate the Minnesota family investment program by exchanging
data between the Departments of Human Services; Children, Youth, and Families; and
Education, on recipients and former recipients of SNAP benefits, cash assistance under
chapter 256, 256D, 256J, or 256K, child care assistance under chapter 119B, medical
programs under chapter 256B or 256L, or a medical program formerly codified under chapter
256D;

(28) to evaluate child support program performance and to identify and prevent fraud
in the child support program by exchanging data between the Department of Human Services;
Department of Children, Youth, and Families; Department of Revenue under section 270B.14,
subdivision 1, paragraphs (a) and (b), without regard to the limitation of use in paragraph
(c); Department of Health; Department of Employment and Economic Development; and
other state agencies as is reasonably necessary to perform these functions;

(29) counties and the Department of Children, Youth, and Families operating child care
assistance programs under chapter 119B may disseminate data on program participants,
applicants, and providers to the commissioner of education;

(30) child support data on the child, the parents, and relatives of the child may be
disclosed to agencies administering programs under titles IV-B and IV-E of the Social
Security Act, as authorized by federal law;

(31) to a health care provider governed by sections 144.291 to 144.298, to the extent
necessary to coordinate services;

(32) to the chief administrative officer of a school to coordinate services for a student
and family; data that may be disclosed under this clause are limited to name, date of birth,
gender, and address;

(33) to county correctional agencies to the extent necessary to coordinate services and
diversion programs; data that may be disclosed under this clause are limited to name, client
demographics, program, case status, and county worker information; or

(34) between the Department of Human Services and the Metropolitan Council for the
following purposes:

(i) to coordinate special transportation service provided under section 473.386 with
services for people with disabilities and elderly individuals funded by or through the
Department of Human Services; and

(ii) to provide for reimbursement of special transportation service provided under section
473.386.

The data that may be shared under this clause are limited to the individual's first, last, and
middle names; date of birth; residential address; and program eligibility status with expiration
date for the purposes of informing the other party of program eligibility.

(b) Information on persons who have been treated for substance use disorder may only
be disclosed according to the requirements of Code of Federal Regulations, title 42, sections
2.1 to 2.67.

(c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16),
(17), or (18), or paragraph (b), are investigative data and are confidential or protected
nonpublic while the investigation is active. The data are private after the investigation
becomes inactive under section 13.82, subdivision 7, clause (a) or (b).

(d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but are
not subject to the access provisions of subdivision 10, paragraph (b).

For the purposes of this subdivision, a request will be deemed to be made in writing if
made through a computer interface system.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 4.

Minnesota Statutes 2022, section 13.46, subdivision 10, as amended by Laws 2024,
chapter 79, article 9, section 2, is amended to read:


Subd. 10.

Responsible authority.

(a) Notwithstanding any other provision of this chapter
to the contrary, the responsible authority for each component of the welfare system listed
in subdivision 1, clause (c), shall be as follows:

(1) the responsible authority for the Department of Human Services is the commissioner
of human services;

(2) the responsible authority of a county welfare agency is the director of the county
welfare agency;

(3) the responsible authority for a local social services agency, human services board,
or community mental health center board is the chair of the board;

(4) the responsible authority of any person, agency, institution, organization, or other
entity under contract to any of the components of the welfare system listed in subdivision
1, clause (c), is the person specified in the contract;

(5) the responsible authority of the public authority for child support enforcement is the
head of the public authority for child support enforcement;

(6) the responsible authority for county veteran services is the county veterans service
officer pursuant to section 197.603, subdivision 2; and

(7) the responsible authority for deleted text begin the Department ofdeleted text end Direct Care and Treatment is the
new text begin chief executive officer of new text end Direct Care and Treatment deleted text begin executive boarddeleted text end .

(b) A responsible authority shall allow another responsible authority in the welfare
system access to data classified as not public data when access is necessary for the
administration and management of programs, or as authorized or required by statute or
federal law.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 5.

Minnesota Statutes 2023 Supplement, section 15.01, is amended to read:


15.01 DEPARTMENTS OF THE STATE.

The following agencies are designated as the departments of the state government: the
Department of Administration; the Department of Agriculture; the Department of Children,
Youth, and Families; the Department of Commerce; the Department of Corrections; deleted text begin the
Department of Direct Care and Treatment;deleted text end the Department of Education; the Department
of Employment and Economic Development; the Department of Health; the Department of
Human Rights; the Department of Human Services; the Department of Information
Technology Services; the Department of Iron Range Resources and Rehabilitation; the
Department of Labor and Industry; the Department of Management and Budget; the
Department of Military Affairs; the Department of Natural Resources; the Department of
Public Safety; the Department of Revenue; the Department of Transportation; the Department
of Veterans Affairs; and their successor departments.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 6.

Minnesota Statutes 2023 Supplement, section 15.06, subdivision 1, is amended to
read:


Subdivision 1.

Applicability.

This section applies to the following departments or
agencies: the Departments of Administration; Agriculture; Children, Youth, and Families;
Commerce; Corrections; deleted text begin Direct Care and Treatment;deleted text end Education; Employment and Economic
Development; Health; Human Rights; Human Services; Labor and Industry; Management
and Budget; Natural Resources; Public Safety; Revenue; Transportation; and Veterans
Affairs; the Housing Finance and Pollution Control Agencies; the Office of Commissioner
of Iron Range Resources and Rehabilitation; the Department of Information Technology
Services; the Bureau of Mediation Services; and their successor departments and agencies.
The heads of the foregoing departments or agencies are "commissioners."

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 7.

Minnesota Statutes 2023 Supplement, section 15A.0815, subdivision 2, is amended
to read:


Subd. 2.

Agency head salaries.

The salary for a position listed in this subdivision shall
be determined by the Compensation Council under section 15A.082. The commissioner of
management and budget must publish the salaries on the department's website. This
subdivision applies to the following positions:

Commissioner of administration;

Commissioner of agriculture;

Commissioner of education;

Commissioner of children, youth, and families;

Commissioner of commerce;

Commissioner of corrections;

Commissioner of health;

Commissioner, Minnesota Office of Higher Education;

Commissioner, Minnesota IT Services;

Commissioner, Housing Finance Agency;

Commissioner of human rights;

Commissioner of human services;

Commissioner of labor and industry;

Commissioner of management and budget;

Commissioner of natural resources;

Commissioner, Pollution Control Agency;

Commissioner of public safety;

Commissioner of revenue;

Commissioner of employment and economic development;

Commissioner of transportation;

Commissioner of veterans affairs;

Executive director of the Gambling Control Board;

Executive director of the Minnesota State Lottery;

Commissioner of Iron Range resources and rehabilitation;

Commissioner, Bureau of Mediation Services;

Ombudsman for mental health and developmental disabilities;

Ombudsperson for corrections;

Chair, Metropolitan Council;

Chair, Metropolitan Airports Commission;

School trust lands director;

Executive director of pari-mutuel racing; deleted text begin and
deleted text end

Commissioner, Public Utilities Commissionnew text begin ; and
new text end

new text begin Chief Executive Officer, Direct Care and Treatmentnew text end .

Sec. 8.

Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 1, is amended
to read:


Subdivision 1.

Creation.

A Compensation Council is created each odd-numbered year
to establish the compensation of constitutional officers and the heads of state and metropolitan
agencies identified in section 15A.0815, deleted text begin anddeleted text end to assist the legislature in establishing the
compensation of justices of the supreme court and judges of the court of appeals and district
courtnew text begin , and to determine the daily compensation for voting members of the Direct Care and
Treatment executive boardnew text end .

Sec. 9.

Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 3, is amended
to read:


Subd. 3.

Submission of recommendations and determination.

(a) By April 1 in each
odd-numbered year, the Compensation Council shall submit to the speaker of the house and
the president of the senate salary recommendations for justices of the supreme court, and
judges of the court of appeals and district court. The recommended salaries take effect on
July 1 of that year and July 1 of the subsequent even-numbered year and at whatever interval
the council recommends thereafter, unless the legislature by law provides otherwise. The
salary recommendations take effect if an appropriation of money to pay the recommended
salaries is enacted after the recommendations are submitted and before their effective date.
Recommendations may be expressly modified or rejected.

(b) By April 1 in each odd-numbered year, the Compensation Council must prescribe
salaries for constitutional officers, and for the agency and metropolitan agency heads
identified in section 15A.0815. The prescribed salary for each office must take effect July
1 of that year and July 1 of the subsequent even-numbered year and at whatever interval
the council determines thereafter, unless the legislature by law provides otherwise. An
appropriation by the legislature to fund the relevant office, branch, or agency of an amount
sufficient to pay the salaries prescribed by the council constitutes a prescription by law as
provided in the Minnesota Constitution, article V, sections 4 and 5.

new text begin (c) By April 1 in each odd-numbered year, the Compensation Council must prescribe
daily compensation for voting members of the Direct Care and Treatment executive board.
The recommended daily compensation takes effect on July 1 of that year and July 1 of the
subsequent even-numbered year and at whatever interval the council recommends thereafter,
unless the legislature by law provides otherwise.
 new text end

Sec. 10.

Minnesota Statutes 2023 Supplement, section 15A.082, subdivision 7, is amended
to read:


Subd. 7.

No ex parte communications.

Members may not have any communication
with a constitutional officer, a head of a state agency, deleted text begin ordeleted text end new text begin anew text end member of the judiciarynew text begin , or a
member of the Direct Care and Treatment executive boardnew text end during the period after the first
meeting is convened under this section and the date the prescribed and recommended salariesnew text begin
and daily compensationnew text end are submitted under subdivision 3.

Sec. 11.

Minnesota Statutes 2023 Supplement, section 43A.08, subdivision 1, is amended
to read:


Subdivision 1.

Unclassified positions.

Unclassified positions are held by employees
who are:

(1) chosen by election or appointed to fill an elective office;

(2) heads of agencies required by law to be appointed by the governor or other elective
officers, and the executive or administrative heads of departments, bureaus, divisions, and
institutions specifically established by law in the unclassified service;

(3) deputy and assistant agency heads and one confidential secretary in the agencies
listed in subdivision 1a;

(4) the confidential secretary to each of the elective officers of this state and, for the
secretary of state and state auditor, an additional deputy, clerk, or employee;

(5) intermittent help employed by the commissioner of public safety to assist in the
issuance of vehicle licenses;

(6) employees in the offices of the governor and of the lieutenant governor and one
confidential employee for the governor in the Office of the Adjutant General;

(7) employees of the Washington, D.C., office of the state of Minnesota;

(8) employees of the legislature and of legislative committees or commissions; provided
that employees of the Legislative Audit Commission, except for the legislative auditor, the
deputy legislative auditors, and their confidential secretaries, shall be employees in the
classified service;

(9) presidents, vice-presidents, deans, other managers and professionals in academic
and academic support programs, administrative or service faculty, teachers, research
assistants, and student employees eligible under terms of the federal Economic Opportunity
Act work study program in the Perpich Center for Arts Education and the Minnesota State
Colleges and Universities, but not the custodial, clerical, or maintenance employees, or any
professional or managerial employee performing duties in connection with the business
administration of these institutions;

(10) officers and enlisted persons in the National Guard;

(11) attorneys, legal assistants, and three confidential employees appointed by the attorney
general or employed with the attorney general's authorization;

(12) judges and all employees of the judicial branch, referees, receivers, jurors, and
notaries public, except referees and adjusters employed by the Department of Labor and
Industry;

(13) members of the State Patrol; provided that selection and appointment of State Patrol
troopers must be made in accordance with applicable laws governing the classified service;

(14) examination monitors and intermittent training instructors employed by the
Departments of Management and Budget and Commerce and by professional examining
boards and intermittent staff employed by the technical colleges for the administration of
practical skills tests and for the staging of instructional demonstrations;

(15) student workers;

(16) executive directors or executive secretaries appointed by and reporting to any
policy-making board or commission established by statute;

(17) employees unclassified pursuant to other statutory authority;

(18) intermittent help employed by the commissioner of agriculture to perform duties
relating to pesticides, fertilizer, and seed regulation; new text begin and
new text end

(19) the administrators and the deputy administrators at the State Academies for the
Deaf and the Blinddeleted text begin ; anddeleted text end new text begin .
new text end

deleted text begin (20) deleted text end deleted text begin chief executive deleted text end deleted text begin officers in the Department of Human Services deleted text end deleted text begin .
 deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
 new text end

Sec. 12.

Minnesota Statutes 2023 Supplement, section 43A.08, subdivision 1a, is amended
to read:


Subd. 1a.

Additional unclassified positions.

Appointing authorities for the following
agencies may designate additional unclassified positions according to this subdivision: the
Departments of Administration; Agriculture; Children, Youth, and Families; Commerce;
Corrections; deleted text begin Direct Care and Treatment;deleted text end Education; Employment and Economic
Development; Explore Minnesota Tourism; Management and Budget; Health; Human
Rights; Human Services; Labor and Industry; Natural Resources; Public Safety; Revenue;
Transportation; and Veterans Affairs; the Housing Finance and Pollution Control Agencies;
the State Lottery; the State Board of Investment; the Office of Administrative Hearings; the
Department of Information Technology Services; the Offices of the Attorney General,
Secretary of State, and State Auditor; the Minnesota State Colleges and Universities; the
Minnesota Office of Higher Education; the Perpich Center for Arts Education; new text begin Direct Care
and Treatment; new text end and the Minnesota Zoological Board.

A position designated by an appointing authority according to this subdivision must
meet the following standards and criteria:

(1) the designation of the position would not be contrary to other law relating specifically
to that agency;

(2) the person occupying the position would report directly to the agency head or deputy
agency head and would be designated as part of the agency head's management team;

(3) the duties of the position would involve significant discretion and substantial
involvement in the development, interpretation, and implementation of agency policy;

(4) the duties of the position would not require primarily personnel, accounting, or other
technical expertise where continuity in the position would be important;

(5) there would be a need for the person occupying the position to be accountable to,
loyal to, and compatible with, the governor and the agency head, the employing statutory
board or commission, or the employing constitutional officer;

(6) the position would be at the level of division or bureau director or assistant to the
agency head; and

(7) the commissioner has approved the designation as being consistent with the standards
and criteria in this subdivision.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 13.

Minnesota Statutes 2022, section 145.61, subdivision 5, is amended to read:


Subd. 5.

Review organization.

"Review organization" means a nonprofit organization
acting according to clause (l), a committee as defined under section 144E.32, subdivision
2, or a committee whose membership is limited to professionals, administrative staff, and
consumer directors, except where otherwise provided for by state or federal law, and which
is established by one or more of the following: a hospital, a clinic, a nursing home, an
ambulance service or first responder service regulated under chapter 144E, one or more
state or local associations of professionals, an organization of professionals from a particular
area or medical institution, a health maintenance organization as defined in chapter 62D, a
community integrated service network as defined in chapter 62N, a nonprofit health service
plan corporation as defined in chapter 62C, a preferred provider organization, a professional
standards review organization established pursuant to United States Code, title 42, section
1320c-1 et seq., a medical review agent established to meet the requirements of section
256B.04, subdivision 15, the Department of Human Services, new text begin Direct Care and Treatment,
new text end or a nonprofit corporation that owns, operates, or is established by one or more of the above
referenced entities, to gather and review information relating to the care and treatment of
patients for the purposes of:

(a) evaluating and improving the quality of health care;

(b) reducing morbidity or mortality;

(c) obtaining and disseminating statistics and information relative to the treatment and
prevention of diseases, illness and injuries;

(d) developing and publishing guidelines showing the norms of health care in the area
or medical institution or in the entity or organization that established the review organization;

(e) developing and publishing guidelines designed to keep within reasonable bounds the
cost of health care;

(f) developing and publishing guidelines designed to improve the safety of care provided
to individuals;

(g) reviewing the safety, quality, or cost of health care services provided to enrollees of
health maintenance organizations, community integrated service networks, health service
plans, preferred provider organizations, and insurance companies;

(h) acting as a professional standards review organization pursuant to United States
Code, title 42, section 1320c-1 et seq.;

(i) determining whether a professional shall be granted staff privileges in a medical
institution, membership in a state or local association of professionals, or participating status
in a nonprofit health service plan corporation, health maintenance organization, community
integrated service network, preferred provider organization, or insurance company, or
whether a professional's staff privileges, membership, or participation status should be
limited, suspended or revoked;

(j) reviewing, ruling on, or advising on controversies, disputes or questions between:

(1) health insurance carriers, nonprofit health service plan corporations, health
maintenance organizations, community integrated service networks, self-insurers and their
insureds, subscribers, enrollees, or other covered persons;

(2) professional licensing boards and health providers licensed by them;

(3) professionals and their patients concerning diagnosis, treatment or care, or the charges
or fees therefor;

(4) professionals and health insurance carriers, nonprofit health service plan corporations,
health maintenance organizations, community integrated service networks, or self-insurers
concerning a charge or fee for health care services provided to an insured, subscriber,
enrollee, or other covered person;

(5) professionals or their patients and the federal, state, or local government, or agencies
thereof;

(k) providing underwriting assistance in connection with professional liability insurance
coverage applied for or obtained by dentists, or providing assistance to underwriters in
evaluating claims against dentists;

(l) acting as a medical review agent under section 256B.04, subdivision 15;

(m) providing recommendations on the medical necessity of a health service, or the
relevant prevailing community standard for a health service;

(n) providing quality assurance as required by United States Code, title 42, sections
1396r(b)(1)(b) and 1395i-3(b)(1)(b) of the Social Security Act;

(o) providing information to group purchasers of health care services when that
information was originally generated within the review organization for a purpose specified
by this subdivision;

(p) providing information to other, affiliated or nonaffiliated review organizations, when
that information was originally generated within the review organization for a purpose
specified by this subdivision, and as long as that information will further the purposes of a
review organization as specified by this subdivision; or

(q) participating in a standardized incident reporting system, including Internet-based
applications, to share information for the purpose of identifying and analyzing trends in
medical error and iatrogenic injury.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 14.

Minnesota Statutes 2022, section 246.018, subdivision 3, as amended by Laws
2024, chapter 79, article 1, section 6, is amended to read:


Subd. 3.

Duties.

The executive medical director shall:

(1) oversee the clinical provision of inpatient mental health services provided in the
state's regional treatment centers;

(2) recruit and retain psychiatrists to serve on the direct care and treatment medical staff
established in subdivision 4;

(3) consult with the executive board,new text begin the chief executive officer, andnew text end community mental
health center directorsdeleted text begin , and the state-operated services governing bodydeleted text end to develop standards
for treatment and care of patients in state-operated service programs;

(4) develop and oversee a continuing education program for members of the medical
staff; and

(5) participate and cooperate in the development and maintenance of a quality assurance
program for state-operated services that assures that residents receive continuous quality
inpatient, outpatient, and postdischarge care.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 15.

Minnesota Statutes 2022, section 246.13, subdivision 2, as amended by Laws
2024, chapter 79, article 2, section 4, is amended to read:


Subd. 2.

Definitions; risk assessment and management.

(a) As used in this section:

(1) "appropriate and necessary medical and other records" includes patient medical
records and other protected health information as defined by Code of Federal Regulations,
title 45, section 164.501, relating to a patient in a state-operated services facility including
but not limited to the patient's treatment plan and abuse prevention plan pertinent to the
patient's ongoing care, treatment, or placement in a community-based treatment facility or
a health care facility that is not operated by state-operated services, including information
describing the level of risk posed by a patient when the patient enters the facility;

(2) "community-based treatment" means the community support services listed in section
253B.02, subdivision 4b;

(3) "criminal history data" means data maintained or used by the Departments of
Corrections and Public Safety and by the supervisory authorities listed in section 13.84,
subdivision 1, that relate to an individual's criminal history or propensity for violence,
including data in the:

(i) Corrections Offender Management System (COMS);

(ii) Statewide Supervision System (S3);

(iii) Bureau of Criminal Apprehension criminal history data as defined in section 13.87;

(iv) Integrated Search Service as defined in section 13.873; and

(v) Predatory Offender Registration (POR) system;

(4) "designated agency" means the agency defined in section 253B.02, subdivision 5;

(5) "law enforcement agency" means the law enforcement agency having primary
jurisdiction over the location where the offender expects to reside upon release;

(6) "predatory offender" and "offender" mean a person who is required to register as a
predatory offender under section 243.166; and

(7) "treatment facility" means a facility as defined in section 253B.02, subdivision 19.

(b)new text begin To promote public safety and for the purposes and subject to the requirements of
this paragraph,new text end the executive board or the executive board's designee shall have access to,
and may review and disclose, medical and criminal history data as provided by this section,
as necessary to comply with Minnesota Rules, part 1205.0400, to:

(1) determine whether a patient is required under state law to register as a predatory
offender according to section 243.166;

(2) facilitate and expedite the responsibilities of the special review board and
end-of-confinement review committees by corrections institutions and state treatment
facilities;

(3) prepare, amend, or revise the abuse prevention plans required under section 626.557,
subdivision 14, and individual patient treatment plans required under section 253B.03,
subdivision 7;

(4) facilitate the custody, supervision, and transport of individuals transferred between
the Department of Corrections and deleted text begin the Department ofdeleted text end Direct Care and Treatment; and

(5) effectively monitor and supervise individuals who are under the authority of the
Department of Corrections, deleted text begin the Department ofdeleted text end Direct Care and Treatment, and the supervisory
authorities listed in section 13.84, subdivision 1.

(c) The state-operated services treatment facility or a designee must make a good faith
effort to obtain written authorization from the patient before releasing information from the
patient's medical record.

(d) If the patient refuses or is unable to give informed consent to authorize the release
of information required under this subdivision, the chief executive officer deleted text begin for state-operated
servicesdeleted text end or a designee shall provide the appropriate and necessary medical and other records.
The chief executive officer or a designee shall comply with the minimum necessary privacy
requirements.

(e) The executive board may have access to the National Crime Information Center
(NCIC) database through the Department of Public Safety in support of the public safety
functions described in paragraph (b).

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 16.

Minnesota Statutes 2022, section 246.234, as amended by Laws 2024, chapter
79, article 1, section 11, is amended to read:


246.234 RECIPROCAL EXCHANGE OF CERTAIN PERSONS.

The executive board is deleted text begin herebydeleted text end authorized with the approval of the governor to enter into
reciprocal agreements with duly authorized authorities of deleted text begin any otherdeleted text end new text begin anothernew text end state or states
regarding the mutual exchange, return, and transportation of persons with a mental illness
or developmental disability who are within the confines of one state but have legal residence
or legal settlement for the purposes of relief in another state. deleted text begin Such agreementsdeleted text end new text begin Any agreement
entered into under this subdivisionnew text end must not contain deleted text begin provisions conflictingdeleted text end new text begin any provision
that conflictsnew text end with any deleted text begin law of thisdeleted text end statenew text begin lawnew text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 17.

Minnesota Statutes 2022, section 246.36, as amended by Laws 2024, chapter 79,
article 1, section 14, is amended to read:


246.36 ACCEPTANCE OF VOLUNTARY, UNCOMPENSATED SERVICES.

For the purpose of carrying out a duty, the executive board deleted text begin shall have authority todeleted text end new text begin maynew text end
accept uncompensated and voluntary services and deleted text begin todeleted text end new text begin maynew text end enter into contracts or agreements
with private or public agencies, organizations, or persons for uncompensated and voluntary
services as the executive board deems practicable. Uncompensated and voluntary services
do not include services mandated by licensure and certification requirements for health care
facilities. The volunteer agencies, organizations, or persons who provide services to residents
of state facilities operated under the authority of the executive board are not subject to the
procurement requirements of chapters 16A and 16C. deleted text begin The agencies, organizations, or persons
may purchase supplies, services, and equipment to be used in providing services to residents
of state facilities through the Department of Administration.
deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 18.

Minnesota Statutes 2023 Supplement, section 246C.01, is amended to read:


246C.01 TITLE.

This chapter may be cited as the "deleted text begin Department ofdeleted text end Direct Care and Treatment Act."

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 19.

Minnesota Statutes 2023 Supplement, section 246C.02, as amended by Laws
2024, chapter 79, article 1, section 19, is amended to read:


246C.02 deleted text begin DEPARTMENT OFdeleted text end DIRECT CARE AND TREATMENT;
ESTABLISHMENT.

Subdivision 1.

Establishment.

deleted text begin The Department ofdeleted text end Direct Care and Treatment is creatednew text begin
as an agency headed by an executive boardnew text end . deleted text begin An executive board shall head the Department
of Direct Care and Treatment.
deleted text end

deleted text begin Subd. 2. deleted text end

deleted text begin Mission. deleted text end

deleted text begin (a) The executive board shall develop and maintain direct care and
treatment in a manner consistent with applicable law, including chapters deleted text end deleted text begin 13 deleted text end deleted text begin , deleted text end deleted text begin 245 deleted text end deleted text begin , deleted text end deleted text begin 246 deleted text end deleted text begin , deleted text end deleted text begin 246B deleted text end deleted text begin ,
deleted text end deleted text begin 252 deleted text end deleted text begin , deleted text end deleted text begin 253 deleted text end deleted text begin , deleted text end deleted text begin 253B deleted text end deleted text begin , deleted text end deleted text begin 253C deleted text end deleted text begin , deleted text end deleted text begin 253D deleted text end deleted text begin , deleted text end deleted text begin 254A deleted text end deleted text begin , deleted text end deleted text begin 254B deleted text end deleted text begin , and deleted text end deleted text begin 256 deleted text end deleted text begin .
 deleted text end

deleted text begin (b) The executive board shall provide direct care and treatment services in coordination
with the commissioner of human services, counties, and other vendors.
deleted text end

Subd. 3.

Direct care and treatment services.

Direct Care and Treatment deleted text begin servicesdeleted text end shall
new text begin provide direct care and treatment services that new text end include specialized inpatient programs at
secure treatment facilities, community preparation services, regional treatment centers,
enterprise services, consultative services, aftercare services, community-based services and
programs, transition services, nursing home services, and other services consistent with deleted text begin the
mission of the Department of Direct Care and Treatmentdeleted text end new text begin state law, including this chapter
and chapters 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256. Direct
Care and Treatment shall provide direct care and treatment services in coordination with
the commissioner of human services, counties, and other vendorsnew text end .

Subd. 4.

Statewide services.

(a) The administrative structure of state-operated services
must be statewide in character.

(b) The state-operated services staff may deliver services at any location throughout the
state.

Subd. 5.

Department of Human Services as state agency.

The commissioner of human
services continues to constitute the "state agency" as defined by the Social Security Act of
the United States and the laws of this state for all purposes relating to mental health and
mental hygiene.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 20.

Minnesota Statutes 2023 Supplement, section 246C.04, as amended by Laws
2024, chapter 79, article 1, section 21, is amended to read:


246C.04 TRANSFER OF DUTIES.

Subdivision 1.

Transfer of duties.

(a) Section 15.039 applies to the transfer of deleted text begin dutiesdeleted text end new text begin
responsibilities from the Department of Human Services to Direct Care and Treatmentnew text end
required by this chapter.

(b) The commissioner of administration, with the governor's approval, shall issue
reorganization orders under section 16B.37 as necessary to carry out the transfer of duties
required by deleted text begin section 246C.03deleted text end new text begin this chapternew text end . The provision of section 16B.37, subdivision 1,
stating that transfers under section 16B.37 may only be to an agency that has existed for at
least one year does not apply to transfers to an agency created by this chapter.

deleted text begin (c) The initial salary for the health systems chief executive officer of the Department of
Direct Care and Treatment is the same as the salary for the health systems chief executive
officer of direct care and treatment at the Department of Human Services immediately before
July 1, 2024.
 deleted text end

Subd. 2.

Transfer of custody of civilly committed persons.

new text begin The commissioner of
human services shall continue to exercise all authority and responsibility for and retain
custody of persons subject to civil commitment under chapter 253B or 253D until July 1,
2025. Effective July 1, 2025, new text end custody of persons subject to civil commitment under chapter
253B or 253D and in the custody of the commissioner of human services new text begin as of that date new text end is
hereby transferred to the executive board without any further act or proceeding. Authority
and responsibility for the commitment of such persons is transferred to the executive boardnew text begin
July 1, 2025new text end .

Subd. 3.

Control of direct care and treatment.

new text begin The commissioner of human services
shall continue to exercise all authorities and responsibilities under this chapter and chapters
13, 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256, with reference to
any state-operated service, program, or facility subject to transfer under this act until July
1, 2025.new text end new text begin Effective July 1, 2025, new text end the powers and duties vested in or imposed upon the
commissioner of human services with reference to any state-operated service, program, or
facility are hereby transferred to, vested in, and imposed upon the executive board according
to this chapternew text begin and applicable state lawnew text end . new text begin Effective July 1, 2025, new text end the executive board deleted text begin is hereby
charged with anddeleted text end has the exclusive power of administration and management of all state
hospitals for persons with a developmental disability, mental illness, or substance use
disorder. new text begin Effective July 1, 2025, new text end the executive board has the power and authority to determine
all matters relating to the development of all of the foregoing institutions and of such other
institutions vested in the executive board. new text begin Effective July 1, 2025, new text end the powers, functions, and
authority vested in the commissioner of human services relative to such state institutions
are deleted text begin herebydeleted text end transferred to the executive board according to this chapternew text begin and applicable state
lawnew text end .

Subd. 4.

Appropriations.

There is hereby appropriated to such persons or institutions
as are entitled to such sums as are provided for in this section, from the fund or account in
the state treasury to which the money was credited, an amount sufficient to make such
payment.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 21.

Minnesota Statutes 2023 Supplement, section 246C.05, as amended by Laws
2024, chapter 79, article 1, section 22, is amended to read:


246C.05 EMPLOYEE PROTECTIONS FOR ESTABLISHING deleted text begin THE NEW
DEPARTMENT OFdeleted text end DIRECT CARE AND TREATMENT.

(a) Personnel whose duties relate to the functions assigned to the executive board in
deleted text begin section 246C.03deleted text end new text begin this chapternew text end are transferred to deleted text begin the Department ofdeleted text end Direct Care and Treatment
effective 30 days after approval by the commissioner of management and budget.

(b) Before the executive board is appointed, personnel whose duties relate to the functions
in this deleted text begin sectiondeleted text end new text begin chapternew text end may be transferred beginning July 1, 2024, with 30 days' notice from
the commissioner of management and budget.

(c) The following protections shall apply to employees who are transferred from the
Department of Human Services to deleted text begin the Department ofdeleted text end Direct Care and Treatment:

(1) No transferred employee new text begin other than the chief executive officernew text end shall have their
employment status and job classification altered as a result of the transfer.

(2) Transferred employees who were represented by an exclusive representative prior
to the transfer shall continue to be represented by the same exclusive representative after
the transfer.

(3) The applicable collective bargaining agreements with exclusive representatives shall
continue in full force and effect for such transferred employees after the transfer.

(4) The state shall have the obligation to meet and negotiate with the exclusive
representatives of the transferred employees about any proposed changes affecting or relating
to the transferred employees' terms and conditions of employment to the extent such changes
are not addressed in the applicable collective bargaining agreement.

(5) When an employee in a temporary unclassified position is transferred to deleted text begin the
Department ofdeleted text end Direct Care and Treatment, the total length of time that the employee has
served in the appointment shall include all time served in the appointment at the transferring
agency and the time served in the appointment at deleted text begin the Department ofdeleted text end Direct Care and
Treatment. An employee in a temporary unclassified position who was hired by a transferring
agency through an open competitive selection process in accordance with a policy enacted
by Minnesota Management and Budget shall be considered to have been hired through such
process after the transfer.

(6) In the event that the state transfers ownership or control of any of the facilities,
services, or operations of deleted text begin the Department ofdeleted text end Direct Care and Treatment to another entity,
whether private or public, by subcontracting, sale, assignment, lease, or other transfer, the
state shall require as a written condition of such transfer of ownership or control the following
provisions:

(i) Employees who perform work in transferred facilities, services, or operations must
be offered employment with the entity acquiring ownership or control before the entity
offers employment to any individual who was not employed by the transferring agency at
the time of the transfer.

(ii) The wage and benefit standards of such transferred employees must not be reduced
by the entity acquiring ownership or control through the expiration of the collective
bargaining agreement in effect at the time of the transfer or for a period of two years after
the transfer, whichever is longer.

(d) There is no liability on the part of, and no cause of action arises against, the state of
Minnesota or its officers or agents for any action or inaction of any entity acquiring ownership
or control of any facilities, services, or operations of deleted text begin the Department ofdeleted text end Direct Care and
Treatment.

(e) This section expires upon the completion of the transfer of duties to the executive
board under deleted text begin section 246C.03deleted text end new text begin this chapternew text end . The commissioner of human services shall notify
the revisor of statutes when the transfer of duties is complete.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 22.

new text begin [246C.07] POWERS AND DUTIES OF EXECUTIVE BOARD.
 new text end

new text begin Subdivision 1. new text end

new text begin Generally. new text end

new text begin (a) The executive board must operate the agency according
to this chapter and applicable state and federal law. The overall management and control
of the agency is vested in the executive board in accordance with this chapter.
 new text end

new text begin (b) The executive board may delegate duties imposed by this chapter and under applicable
state and federal law as deemed appropriate by the board and in accordance with this chapter.
Any delegation of a specified statutory duty or power to an employee of Direct Care and
Treatment other than the chief executive officer must be made by written order and filed
with the secretary of state. Only the chief executive officer shall have the powers and duties
of the executive board as specified in section 246C.08.
 new text end

new text begin Subd. 2. new text end

new text begin Principles. new text end

new text begin The executive board, in undertaking its duties and responsibilities
and within Direct Care and Treatment resources, shall act according to the following
principles:
 new text end

new text begin (1) prevent the waste or unnecessary spending of public money;
 new text end

new text begin (2) use innovative fiscal and human resource practices to manage the state's resources
and operate the agency as efficiently as possible;
 new text end

new text begin (3) coordinate Direct Care and Treatment activities wherever appropriate with the
activities of other governmental agencies;
 new text end

new text begin (4) use technology where appropriate to increase agency productivity, improve customer
service, increase public access to information about government, and increase public
participation in the business of government; and
 new text end

new text begin (5) utilize constructive and cooperative labor management practices to the extent
otherwise required by chapter 43A or 179A.
 new text end

new text begin Subd. 3. new text end

new text begin Powers and duties. new text end

new text begin (a) The executive board has the power and duty to:
 new text end

new text begin (1) set the overall strategic direction for Direct Care and Treatment, ensuring that Direct
Care and Treatment delivers exceptional care and supports the well-being of all individuals
served by Direct Care and Treatment;
 new text end

new text begin (2) establish policies and procedures to govern the operation of the facilities, programs,
and services under the direct authority of Direct Care and Treatment;
 new text end

new text begin (3) employ personnel and delegate duties and responsibilities to personnel as deemed
appropriate by the executive board, subject to chapters 43A and 179A and in accordance
with this chapter;
 new text end

new text begin (4) review and approve the operating budget proposal for Direct Care and Treatment;
 new text end

new text begin (5) accept and use gifts, grants, or contributions from any nonstate source or refuse to
accept any gift, grant, or contribution if acceptance would not be in the best interest of the
state;
 new text end

new text begin (6) deposit all money received as gifts, grants, or contributions pursuant to section
246C.091, subdivision 1;
 new text end

new text begin (7) expend or use any gift, grant, or contribution as nearly in accordance with the
conditions of the gift, grant, or contribution identified by the donor for a certain institution
or purpose, compatible with the best interests of the individuals under the jurisdiction of
the executive board and of the state;
 new text end

new text begin (8) comply with all conditions and requirements necessary to receive federal aid or block
grants with respect to the establishment, construction, maintenance, equipment, or operation
of adequate facilities and services consistent with the mission of Direct Care and Treatment;
 new text end

new text begin (9) enter into information-sharing agreements with federal and state agencies and other
entities, provided the agreements include adequate protections with respect to the
confidentiality and integrity of the information to be shared and comply with all applicable
state and federal laws, regulations, and rules;
 new text end

new text begin (10) enter into interagency or service level agreements with a state department listed in
section 15.01; a multimember state agency described in section 15.012, paragraph (a); or
the Department of Information Technology Services;
 new text end

new text begin (11) enter into contractual agreements with federally recognized Indian Tribes with a
reservation in Minnesota;
 new text end

new text begin (12) enter into contracts with public and private agencies, private and nonprofit
organizations, and individuals, using appropriated money;
 new text end

new text begin (13) establish and maintain any administrative units reasonably necessary for the
performance of administrative functions common to all programs or divisions of Direct
Care and Treatment;
 new text end

new text begin (14) authorize the method of payment to or from Direct Care and Treatment as part of
programs administered by Direct Care and Treatment, including authorization of the receipt
or disbursement of money held by Direct Care and Treatment in a fiduciary capacity as part
of the programs administered by Direct Care and Treatment;
 new text end

new text begin (15) inform Tribal Nations and county agencies, on a timely basis, of changes in statute,
rule, federal law, regulation, and policy necessary to Tribal or county agency administration
of Direct Care and Treatment programs and services;
 new text end

new text begin (16) report to the legislature on the performance of Direct Care and Treatment operations
and the accomplishment of Direct Care and Treatment goals in its biennial budget in
accordance with section 16A.10, subdivision 1;
 new text end

new text begin (17) recommend to the legislature appropriate changes in law necessary to carry out the
principles and improve the performance of Direct Care and Treatment; and
 new text end

new text begin (18) exercise all powers reasonably necessary to implement and administer the
requirements of this chapter and applicable state and federal law.
 new text end

new text begin (b) The specific enumeration of powers and duties as set forth in this section shall not
be construed as a limitation upon the general transfer of Direct Care and Treatment facilities,
programs, and services from the Department of Human Services to Direct Care and Treatment
under this chapter.
 new text end

new text begin Subd. 4. new text end

new text begin Powers and duties vested exclusively in the chair of the executive board. new text end

new text begin The
chair of the executive board has exclusive and solely independent authority to exercise the
executive board's powers and duties under sections 253B.18, 253B.19, 253D.23, and 253D.28
that involve any person subject to civil commitment under chapter 253B or 253D as a person
who has a mental illness and is dangerous to the public, as a sexually dangerous person, or
as a sexual psychopathic personality.
 new text end

new text begin Subd. 5. new text end

new text begin Creation of bylaws. new text end

new text begin The board may establish bylaws governing its operations
and the operations of Direct Care and Treatment in accordance with this chapter.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 23.

new text begin [246C.08] CHIEF EXECUTIVE OFFICER; SERVICE; DUTIES.
 new text end

new text begin Subdivision 1. new text end

new text begin Service. new text end

new text begin The Direct Care and Treatment chief executive officer is
appointed by the governor with the advice and consent of the senate and serves at the pleasure
of the governor.
 new text end

new text begin Subd. 2. new text end

new text begin Powers and duties. new text end

new text begin (a) The chief executive officer shall serve as chair of the
executive board. The chief executive officer is responsible for the administrative and
operational management of the agency in accordance with this chapter.
 new text end

new text begin (b) The chief executive officer shall have all the powers of the executive board unless
the executive board directs otherwise. The chief executive officer shall have the authority
to speak for the executive board and Direct Care and Treatment within and outside the
agency.
 new text end

new text begin (c) In the event that a vacancy occurs for any reason within the chief executive officer
position, the executive medical director appointed under section 246.018 shall immediately
become the temporary chief executive officer until the governor appoints a new chief
executive officer. During this period, the executive medical director shall have all the powers
and authority delegated to the chief executive officer by the board and specified in this
chapter except those specified in section 246C.07, subdivision 4. During this period, the
governor has the exclusive and solely independent authority to exercise the powers and
duties specified under section 246C.07, subdivision 4.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 24.

new text begin [246C.091] DIRECT CARE AND TREATMENT ACCOUNTS.
 new text end

new text begin Subdivision 1. new text end

new text begin Gifts, grants, and contributions account. new text end

new text begin (a) A gifts, grants, and
contributions account is created in the special revenue fund in the state treasury. All money
received by the executive board as a gift, grant, or contribution must be deposited in the
gifts, grants, and contributions account. Beginning July 1, 2025, except as provided in
paragraph (b), money in the account is annually appropriated to the Direct Care and
Treatment executive board to accomplish the purposes of this chapter. Gifts, grants, or
contributions received by the executive board exceeding current agency needs must be
invested by the State Board of Investment in accordance with section 11A.24. Disbursements
from the gifts, grants, and contributions account must be made in the manner provided for
the issuance of other state payments.
 new text end

new text begin (b) If the gift or contribution is designated for a certain person, institution, or purpose,
the Direct Care and Treatment executive board must use the gift or contribution as specified
in accordance with the conditions of the gift or contribution if compatible with the best
interests of the person and the state. If a gift or contribution is accepted for the use and
benefit of a person with a developmental disability, including those within a state hospital,
research relating to persons with a developmental disability must be considered an appropriate
use of the gift or contribution. Such money must not be used for any structures or installations
which by their nature would require state expenditures for their operation or maintenance
without specific legislative enactment.
 new text end

new text begin Subd. 2. new text end

new text begin Facilities management account. new text end

new text begin A facilities management account is created
in the special revenue fund of the state treasury. Beginning July 1, 2025, money in the
account is appropriated to the Direct Care and Treatment executive board and may be used
to maintain buildings, acquire facilities, renovate existing buildings, or acquire land for the
design and construction of buildings for Direct Care and Treatment use. Money received
for maintaining state property under control of the executive board may be deposited into
this account.
 new text end

new text begin Subd. 3. new text end

new text begin Direct Care and Treatment systems account. new text end

new text begin (a) The Direct Care and
Treatment systems account is created in the special revenue fund of the state treasury.
Beginning July 1, 2025, money in the account is appropriated to the Direct Care and
Treatment executive board and may be used for security systems and information technology
projects, services, and support under the control of the executive board.
 new text end

new text begin (b) The commissioner of human services shall transfer all money allocated to the Direct
Care and Treatment systems projects under section 256.014 to the Direct Care and Treatment
systems account by June 30, 2026.
 new text end

new text begin Subd. 4. new text end

new text begin Cemetery maintenance account. new text end

new text begin The cemetery maintenance account is created
in the special revenue fund of the state treasury. Money in the account is appropriated to
the executive board for the maintenance of cemeteries under control of the executive board.
Money allocated to Direct Care and Treatment cemeteries may be transferred to this account.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 25.

Minnesota Statutes 2022, section 256.88, is amended to read:


256.88 SOCIAL WELFARE FUND ESTABLISHED.

Except as otherwise expressly provided, all moneys and funds held by the commissioner
of human servicesnew text begin , the Direct Care and Treatment executive board,new text end and the local social
services agencies of the several counties in trust or for the benefit of children with a disability
and children who are dependent, neglected, or delinquent, children born to mothers who
were not married to the children's fathers at the times of the conception nor at the births of
the children, persons determined to have developmental disability, mental illness, or substance
use disorder, or other wards or beneficiaries, under any law, shall be kept in a single fund
to be known as the "social welfare fund" which shall be deposited at interest, held, or
disbursed as provided in sections 256.89 to 256.92.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 26.

Minnesota Statutes 2022, section 256.89, is amended to read:


256.89 FUND DEPOSITED IN STATE TREASURY.

The social welfare fund and all accretions thereto shall be deposited in the state treasury,
as a separate and distinct fund, to the credit of the commissioner of human servicesnew text begin and the
Direct Care and Treatment executive boardnew text end as deleted text begin trusteedeleted text end new text begin trusteesnew text end for deleted text begin thedeleted text end new text begin their respectivenew text end
beneficiaries deleted text begin thereofdeleted text end in proportion to deleted text begin theirdeleted text end new text begin the beneficiaries'new text end several interests. The
commissioner of management and budget shall be responsible only to the commissioner of
human services new text begin and the Direct Care and Treatment executive board new text end for the sum total of the
fund, and shall have no duties nor direct obligations toward the beneficiaries thereof
individually. Subject to the new text begin applicable new text end rules of the commissioner of human services new text begin or the
Direct Care and Treatment executive board, new text end money so received by a local social services
agency may be deposited by the executive secretary of the local social services agency in
a local bank carrying federal deposit insurance, designated by the local social services
agency for this purpose. The amount of such deposit in each such bank at any one time shall
not exceed the amount protected by federal deposit insurance.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 27.

Minnesota Statutes 2022, section 256.90, is amended to read:


256.90 SOCIAL WELFARE FUND; USE; DISPOSITION; DEPOSITORIES.

The commissioner of human servicesnew text begin , in consultation with the Direct Care and Treatment
executive board,new text end at least 30 days before the first day of January and the first day of July in
each year shall file with the commissioner of management and budget an estimate of the
amount of the social welfare fund to be held in the treasury during the succeeding six-month
period, subject to current disbursement. Such portion of the remainder thereof as may be at
any time designated by the request of the commissioner of human services may be invested
by the commissioner of management and budget in bonds in which the permanent trust
funds of the state of Minnesota may be invested, upon approval by the State Board of
Investment. The portion of such remainder not so invested shall be placed by the
commissioner of management and budget at interest for the period of six months, or when
directed by the commissioner of human services, for the period of 12 months thereafter at
the highest rate of interest obtainable in a bank, or banks, designated by the board of deposit
as a suitable depository therefor. All the provisions of law relative to the designation and
qualification of depositories of other state funds shall be applicable to sections 256.88 to
256.92, except as herein otherwise provided. Any bond given, or collateral assigned or both,
to secure a deposit hereunder may be continuous in character to provide for the repayment
of any moneys belonging to the fund theretofore or thereafter at any time deposited in such
bank until its designation as such depository is revoked and the security thereof shall be not
impaired by any subsequent agreement or understanding as to the rate of interest to be paid
upon such deposit, or as to time for its repayment. The amount of money belonging to the
fund deposited in any bank, including other state deposits, shall not at any time exceed the
amount of the capital stock thereof. In the event of the closing of the bank any sum deposited
therein shall immediately become due and payable.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 28.

Minnesota Statutes 2022, section 256.91, is amended to read:


256.91 PURPOSES.

From that part of the social welfare fund held in the state treasury subject to disbursement
as provided in section 256.90 the commissioner of human servicesnew text begin or the Direct Care and
Treatment executive boardnew text end at any time may pay out such amounts as the commissionernew text begin or
executive boardnew text end deems proper for the support, maintenance, or other legal benefit of any of
the children with a disability and children who are dependent, neglected, or delinquent,
children born to mothers who were not married to the children's fathers at the times of the
conception nor at the births of the children, persons with developmental disability, substance
use disorder, or mental illness, or other wards or persons entitled thereto, not exceeding in
the aggregate to or for any person the principal amount previously received for the benefit
of the person, together with the increase in it from an equitable apportionment of interest
realized from the social welfare fund.

When any such person dies or is finally discharged from the guardianship, care, custody,
and control of the commissioner of human servicesnew text begin or the Direct Care and Treatment
executive boardnew text end , the amount then remaining subject to use for the benefit of the person shall
be paid as soon as may be from the social welfare fund to the persons thereto entitled by
law.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 29.

Minnesota Statutes 2022, section 256.92, is amended to read:


256.92 COMMISSIONER OF HUMAN SERVICESnew text begin AND DIRECT CARE AND
TREATMENTnew text end , ACCOUNTS.

It shall be the duty of the commissioner of human servicesnew text begin , the Direct Care and Treatment
executive board,new text end and deleted text begin ofdeleted text end the local social services agencies of the several counties of this state
to cause to be deposited with the commissioner of management and budget all moneys and
funds in their possession or under their control and designated by section 256.91 as and for
the social welfare fund; and all such moneys and funds shall be so deposited in the state
treasury as soon as received. The commissioner of human servicesnew text begin , in consultation with the
Direct Care and Treatment executive board,new text end shall keep books of account or other records
showing separately the principal amount received and deposited in the social welfare fund
for the benefit of any person, together with the name of such person, and the name and
address, if known to the commissioner of human servicesnew text begin or the Direct Care and Treatment
executive boardnew text end , of the person from whom such money was received; and, at least once
every two years, the amount of interest, if any, which the money has earned in the social
welfare fund shall be apportioned thereto and posted in the books of account or records to
the credit of such beneficiary.

The provisions of sections 256.88 to 256.92 shall not apply to any fund or money now
or hereafter deposited or otherwise disposed of pursuant to the lawful orders, decrees,
judgments, or other directions of any district court having jurisdiction thereof.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 30.

Laws 2023, chapter 61, article 8, section 1, the effective date, is amended to read:


EFFECTIVE DATE.

This section is effective deleted text begin Januarydeleted text end new text begin Julynew text end 1, deleted text begin 2025deleted text end new text begin 2024new text end .

Sec. 31.

Laws 2023, chapter 61, article 8, section 2, the effective date, is amended to read:


EFFECTIVE DATE.

This section is effective deleted text begin Januarydeleted text end new text begin Julynew text end 1, deleted text begin 2025deleted text end new text begin 2024new text end .

Sec. 32.

Laws 2023, chapter 61, article 8, section 3, the effective date, is amended to read:


EFFECTIVE DATE.

This section is effective deleted text begin Januarydeleted text end new text begin Julynew text end 1, deleted text begin 2025deleted text end new text begin 2024new text end .

Sec. 33.

Laws 2023, chapter 61, article 8, section 8, the effective date, is amended to read:


EFFECTIVE DATE.

This section is effective deleted text begin Januarydeleted text end new text begin Julynew text end 1, deleted text begin 2025deleted text end new text begin 2024new text end .

Sec. 34.

Laws 2024, chapter 79, article 1, section 18, is amended to read:


Sec. 18.

246C.015 DEFINITIONS.

Subdivision 1.

Scope.

For purposes of this chapter, the following terms have the meanings
given.

Subd. 2.

Chief executive officer.

"Chief executive officer" means the deleted text begin Department ofdeleted text end
Direct Care and Treatment chief executive officer appointed according to section 246C.08.

Subd. 3.

Commissioner.

"Commissioner" means the commissioner of human services.

Subd. 4.

Community preparation services.

"Community preparation services" means
specialized inpatient or outpatient services operated outside of a secure environment but
administered by a secure treatment facility.

Subd. 5.

County of financial responsibility.

"County of financial responsibility" has
the meaning given in section 256G.02, subdivision 4.

new text begin Subd. 5a. new text end

new text begin Direct Care and Treatment. new text end

new text begin "Direct Care and Treatment" means the agency
of Direct Care and Treatment established under this chapter.
 new text end

Subd. 6.

Executive board.

"Executive board" means the deleted text begin Department ofdeleted text end Direct Care and
Treatment executive board established under section 246C.06.

Subd. 7.

Executive medical director.

"Executive medical director" means the licensed
physician serving as executive medical director in deleted text begin the Department ofdeleted text end Direct Care and
Treatment under section 246C.09.

Subd. 8.

Head of the facility or head of the program.

"Head of the facility" or "head
of the program" means the person who is charged with overall responsibility for the
professional program of care and treatment of the facility or program.

Subd. 9.

Indian.

"Indian" has the meaning given in section 260.755, subdivision 7.

Subd. 10.

Secure treatment facility.

"Secure treatment facility" means a facility as
defined in section 253B.02, subdivision 18a, or 253D.02, subdivision 13.

Subd. 11.

Tobacco; tobacco-related device.

"Tobacco" and "tobacco-related device"
have the meanings given in section 609.685, subdivision 1.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 35.

Laws 2024, chapter 79, article 1, section 23, is amended to read:


Sec. 23.

246C.06 EXECUTIVE BOARD; deleted text begin POWERS AND DUTIESdeleted text end new text begin MEMBERSHIP;
GOVERNANCEnew text end .

Subdivision 1.

Establishment.

The new text begin Direct Care and Treatment new text end executive board deleted text begin of the
Department of Direct Care and Treatmentdeleted text end is established.

Subd. 2.

Membership deleted text begin of the executive boarddeleted text end .

deleted text begin The executive board shall consist of no
more than five members, all appointed by the governor. deleted text end new text begin (a) The Direct Care and Treatment
executive board consists of ten members with eight voting members and two nonvoting
members. The eight voting members must include six members appointed by the governor
with the advice and consent of the senate in accordance with paragraph (b), the chief
executive officer, and the commissioner of human services or a designee. The two nonvoting
members must be appointed in accordance with paragraph (c). Section 15.0597 applies to
all executive board appointments except for the commissioner of human services and the
chief executive officer.
 new text end

new text begin (b) The executive board voting members appointed by the governor other than the
commissioner of human services and the chief executive officer must meet the following
qualifications:
 new text end

new text begin (1) one member must be a licensed physician who is a psychiatrist or has experience in
serving behavioral health patients;
 new text end

new text begin (2) two members must have experience serving on a hospital or nonprofit board; and
 new text end

new text begin (3) three members must have experience working: (i) as a public labor union
representative; (ii) in the delivery of behavioral health services or care coordination or in
traditional healing practices; (iii) as a licensed health care professional; (iv) within health
care administration; or (v) with residential services.
 new text end

new text begin (c) The executive board nonvoting members must be appointed as follows:
 new text end

new text begin (1) one member appointed by the Association of Counties; and
 new text end

new text begin (2) one member who has an active role as a union representative representing staff at
Direct Care and Treatment appointed by joint representatives of the following unions:
American Federation of State and Municipal Employees (AFSCME); Minnesota Association
of Professional Employees (MAPE); Minnesota Nurses Association (MNA); Middle
Management Association (MMA); and State Residential Schools Education Association
(SRSEA).
 new text end

new text begin (d) Membership on the board must include representation from outside the seven-county
metropolitan area, as defined in section 473.121, subdivision 2.
 new text end

new text begin (e) A voting member of the executive board must not be or must not have been within
one year prior to appointment: (1) an employee of Direct Care and Treatment; (2) an
employee of a county, including a county commissioner; (3) an active employee or
representative of a labor union that represents employees of Direct Care and Treatment; or
(4) a member of the state legislature. This paragraph does not apply to the nonvoting
members, the chief executive officer, or the commissioner of human services or designee.
 new text end

Subd. 3.

deleted text begin Qualifications of membersdeleted text end new text begin Proceduresnew text end .

deleted text begin An executive board member's
qualifications must be appropriate for overseeing a complex behavioral health system, such
as experience serving on a hospital or nonprofit board, serving as a public sector labor union
representative, delivering behavioral health services or care coordination, or working as a
licensed health care provider in an allied health profession or in health care administration. deleted text end new text begin
Except as otherwise provided for in this section, the membership terms and removal and
filling of vacancies for the executive board are governed by section 15.0575.
 new text end

Subd. 4.

deleted text begin Accepting contributions or giftsdeleted text end new text begin Compensationnew text end .

(a) deleted text begin The executive board has
the power and authority to accept, on behalf of the state, contributions and gifts of money
and personal property for the use and benefit of the residents of the public institutions under
the executive board's control. All money and securities received must be deposited in the
state treasury subject to the order of the executive board.deleted text end new text begin Notwithstanding section 15.0575,
subdivision 3, paragraph (a), the nonvoting members of the executive board must not receive
daily compensation for executive board activities. Nonvoting members of the executive
board may receive expenses in the same manner and amount as authorized by the
commissioner's plan adopted under section 43A.18, subdivision 2. Nonvoting members
who, as a result of time spent attending board meetings, incur child care expenses that would
not otherwise have been incurred, may be reimbursed for those expenses upon board
authorization.
new text end

(b) deleted text begin If the gift or contribution is designated by the donor for a certain institution or purpose,
the executive board shall expend or use the money as nearly in accordance with the conditions
of the gift or contribution, compatible with the best interests of the individuals under the
jurisdiction of the executive board and the state.deleted text end new text begin Notwithstanding section 15.0575, subdivision
3, paragraph (a), the Compensation Council under section 15A.082 must determine the
compensation for voting members of the executive board per day spent on executive board
activities authorized by the executive board. Voting members of the executive board may
also receive the expenses in the same manner and amount as authorized by the commissioner's
plan adopted under section 43A.18, subdivision 2. Voting members who, as a result of time
spent attending board meetings, incur child care expenses that would not otherwise have
been incurred, may be reimbursed for those expenses upon board authorization.
new text end

new text begin (c) The commissioner of management and budget must publish the daily compensation
rate for voting members of the executive board determined under paragraph (b) on the
Department of Management and Budget's website.
 new text end

new text begin (d) Voting members of the executive board must adopt internal standards prescribing
what constitutes a day spent on board activities for the purposes of making payments
authorized under paragraph (b).
 new text end

new text begin (e) All other requirements under section 15.0575, subdivision 3, apply to the
compensation of executive board members.
 new text end

new text begin (f) This subdivision does not apply to the chief executive officer or the commissioner
of human services or the commissioner's designee.
 new text end

Subd. 5.

deleted text begin Federal aid or block grantsdeleted text end new text begin Chair; officersnew text end .

deleted text begin The executive board may comply
with all conditions and requirements necessary to receive federal aid or block grants with
respect to the establishment, constructions, maintenance, equipment, or operation of adequate
facilities and services consistent with the mission of the Department of Direct Care and
Treatment. deleted text end new text begin (a) The chief executive officer shall serve as the chair.
 new text end

new text begin (b) The executive board must elect officers from among the voting membership appointed
by the governor. The elected officers shall serve for one year.
 new text end

Subd. 6.

deleted text begin Operation of a communication systems accountdeleted text end new text begin Termsnew text end .

(a) deleted text begin The executive
board may operate a communications systems account established in Laws 1993, First
Special Session chapter 1, article 1, section 2, subdivision 2, to manage shared
communication costs necessary for the operation of the regional treatment centers the
executive board supervises.deleted text end new text begin Except for the commissioner of human services and the chief
executive officer, executive board members must not serve more than two consecutive terms
unless service beyond two consecutive terms is approved by the majority of voting members.
The chief executive officer and the commissioner of human services or designee shall serve
until replaced by the governor.
new text end

(b) deleted text begin Each account must be used to manage shared communication costs necessary for the
operations of the regional treatment centers the executive board supervises. The executive
board may distribute the costs of operating and maintaining communication systems to
participants in a manner that reflects actual usage. Costs may include acquisition, licensing,
insurance, maintenance, repair, staff time, and other costs as determined by the executive
board.deleted text end new text begin An executive board member may resign at any time by giving written notice to the
executive board.
new text end

(c) deleted text begin Nonprofit organizations and state, county, and local government agencies involved
in the operation of regional treatment centers the executive board supervises may participate
in the use of the executive board's communication technology and share in the cost of
operation.deleted text end new text begin The initial term of the member appointed under subdivision 2, paragraph (b),
clause (1), is two years. The initial term of the members appointed under subdivision 2,
paragraph (b), clause (2), is three years. The initial term of the members appointed under
subdivision 2, paragraph (b), clause (3), and the members appointed under subdivision 2,
paragraph (c), is four years.
new text end

(d) deleted text begin The executive board may accept on behalf of the state any gift, bequest, devise,
personal property of any kind, or money tendered to the state for any lawful purpose
pertaining to the communication activities under this section. Any money received for this
purpose must be deposited into the executive board's communication systems account.
Money collected by the executive board for the use of communication systems must be
deposited into the state communication systems account and is appropriated to the executive
board for purposes of this section.deleted text end new text begin After the initial term, the term length of all appointed
executive board members is four years.
new text end

new text begin Subd. 7. new text end

new text begin Conflicts of interest. new text end

new text begin Executive board members must recuse themselves from
discussion of and voting on an official matter if the executive board member has a conflict
of interest. A conflict of interest means an association, including a financial or personal
association, that has the potential to bias or have the appearance of biasing an executive
board member's decision in matters related to Direct Care and Treatment or the conduct of
activities under this chapter.
 new text end

new text begin Subd. 8. new text end

new text begin Meetings. new text end

new text begin The executive board must meet at least four times per fiscal year at
a place and time determined by the executive board.
 new text end

new text begin Subd. 9. new text end

new text begin Quorum. new text end

new text begin A majority of the voting members of the executive board constitutes
a quorum. The affirmative vote of a majority of the voting members of the executive board
is necessary and sufficient for action taken by the executive board.
 new text end

new text begin Subd. 10. new text end

new text begin Immunity; indemnification. new text end

new text begin (a) Members of the executive board are immune
from civil liability for any act or omission occurring within the scope of the performance
of their duties under this chapter.
 new text end

new text begin (b) When performing executive board duties or actions, members of the executive board
are employees of the state for purposes of indemnification under section 3.736, subdivision
9.
 new text end

new text begin Subd. 11. new text end

new text begin Rulemaking. new text end

new text begin (a) The executive board is authorized to adopt, amend, and
repeal rules in accordance with chapter 14 under the executive board's authority to implement
this chapter or any responsibilities of Direct Care and Treatment specified in state law.
 new text end

new text begin (b) Until July 1, 2030, the executive board may adopt rules using the expedited
rulemaking process in section 14.389.
 new text end

new text begin (c) All orders, rules, delegations, permits, and other privileges issued or granted by the
Department of Human Services with respect to any function of Direct Care and Treatment
and in effect at the time of the establishment of Direct Care and Treatment shall continue
in effect as if such establishment had not occurred. The executive board may amend or
repeal rules applicable to Direct Care and Treatment that were established by the Department
of Human Services in accordance with chapter 14.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 36.

Laws 2024, chapter 79, article 1, section 24, is amended to read:


Sec. 24.

246C.10 FORENSIC SERVICES.

Subdivision 1.

Maintenance of forensic services.

(a) The executive board shall create
and maintain forensic services programs.

(b) The executive board must provide forensic services in coordination with counties
and other vendors.

(c) Forensic services must include specialized inpatient programs at secure treatment
facilities, consultive services, aftercare services, community-based services and programs,
transition services, nursing home services, or other services consistent with the mission of
deleted text begin the Department ofdeleted text end Direct Care and Treatment.

(d) The executive board deleted text begin shalldeleted text end new text begin maynew text end adopt rules to carry out the provision of this section
and to govern the operation of the services and programs under the direct administrative
authority of the executive board.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 37.

Laws 2024, chapter 79, article 1, section 25, subdivision 3, is amended to read:


Subd. 3.

Comprehensive system of services.

The establishment of state-operated,
community-based programs must be within the context of a comprehensive definition of
the role of state-operated services in the state. The role of state-operated services must be
defined within the context of a comprehensive system of services new text begin for persons new text end with
developmental disability.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 38.

Laws 2024, chapter 79, article 10, section 1, is amended to read:


Section 1. REVISOR INSTRUCTION.

The revisor of statutes shall renumber each provision of Minnesota Statutes listed in
column A as amended in this act to the number listed in column B.

Column A
 Column B
245.036
 		246C.16, subdivision 1
245.037
 		246C.16, subdivision 2
245.041
 		246C.15
245.474, subdivision 1
 		246C.12, subdivision 1
245.474, subdivision 2
 		246C.12, subdivision 2
245.474, subdivision 3
 		246C.12, subdivision 3
245.474, subdivision 4
 		246C.12, subdivision 4
246.0135, paragraph (a)
 246C.18, subdivision 2, paragraph (a)
246.0135, paragraph (b)
 246C.18, subdivision 2, paragraph (b)
246.0135, paragraph (c)
 246C.18, subdivision 2, paragraph (c)
246.0135, paragraph (d)
 246C.18, subdivision 3
246.018, subdivision 1
 		246C.09, subdivision 1
246.018, subdivision 2
 		246C.09, subdivision 2
246.018, subdivision 3
 		246C.09, subdivision 3
246.018, subdivision 4
 		246C.09, subdivision 4
246.12
 		deleted text begin 246C.06, subdivision 7 deleted text end new text begin 246C.07,
subdivision 7
 new text end
246.128
 		246C.18, subdivision 1
246.129
 		246C.18, subdivision 4
246.14
 		246C.16, subdivision 3
246.23, subdivision 2
 		246.555, subdivision 1
246.23, subdivision 3
 		246.555, subdivision 2
246.23, subdivision 4
 		246.555, subdivision 3
246.23, subdivision 5
 		246.555, subdivision 4
246.23, subdivision 6
 		246.555, subdivision 5
246.234
 		deleted text begin 246C.06, subdivision 8 deleted text end new text begin 246C.07,
subdivision 5
 new text end
246.24
 		246C.16, subdivision 4
246.27
 		246C.19
246.36
 		deleted text begin 246C.06, subdivision 9 deleted text end new text begin 246C.07,
subdivision 6
 new text end
deleted text begin 246.41, subdivision 1
 deleted text end 		deleted text begin 246C.06, subdivision 10 deleted text end deleted text begin , paragraph
(a)
 deleted text end
deleted text begin 246.41, subdivision 2
 deleted text end 		deleted text begin 246C.06, subdivision 10 deleted text end deleted text begin , paragraph
(b)
 deleted text end
deleted text begin 246.41, subdivision 3
 deleted text end 		deleted text begin 246C.06, subdivision 10 deleted text end deleted text begin , paragraph
(c)
 deleted text end
246.70
 		246C.18, subdivision 5
246B.02
 		246C.13
251.012, subdivision 1
 		246.575, subdivision 1
251.012, subdivision 2
 		246.575, subdivision 2
251.012, subdivision 3
 		246.575, subdivision 3
251.012, subdivision 4
 		246.575, subdivision 4
251.041
 		176.87
251.042
 		176.871
251.043, subdivision 1
 		176.872, subdivision 1
251.043, subdivision 1a
 		176.872, subdivision 2
251.043, subdivision 1b
 		176.872, subdivision 3
251.043, subdivision 2
 		176.872, subdivision 4
251.043, subdivision 3
 		176.872, subdivision 5
251.044
 		176.873
251.051
 		176.874
251.052
 		176.875
251.053
 		176.876
251.15, subdivision 1
 		176.872, subdivision 6, paragraph (a)
251.15, subdivision 2
 		176.872, subdivision 6, paragraph (b)
251.17
 		246C.14
252.50, subdivision 2
 		246C.16, subdivision 5
252.50, subdivision 4
 		246C.10, subdivision 2
252.50, subdivision 6
 		246.65
252.50, subdivision 7
 		246.585
252.50, subdivision 8
 		246.588
252.50, subdivision 10
 		246.611
253.015, subdivision 1
 		253B.10, subdivision 6
253.016
 		246.554
253.017, subdivision 1
 		246.591
253.017, subdivision 2
 		246C.10, subdivision 3
253.017, subdivision 3
 		246C.10, subdivision 4
253.13
 		253.245
253C.01, subdivision 1
 		245A.27, subdivision 1
253C.01, subdivision 2
 		245A.27, subdivision 2
253C.01, subdivision 3
 		245A.27, subdivision 3
256.0121, subdivision 1
 		246.595, subdivision 1
256.0121, subdivision 2
 		246.595, subdivision 2
256.0121, subdivision 3
 		246.595, subdivision 3

Sec. 39.

Laws 2024, chapter 79, article 10, section 6, is amended to read:


Sec. 6. EFFECTIVE DATE.

deleted text begin (a) Article 1, section 23, is effective July 1, 2024. deleted text end new text begin This act is effective July 1, 2024.
 new text end

deleted text begin (b) Article 1, sections 1 to 22 and 24 to 31, and articles 2 to 10 are effective January 1,
2025.
 deleted text end

Sec. 40. new text begin INITIAL APPOINTMENTS AND COMPENSATION OF THE DIRECT
CARE AND TREATMENT EXECUTIVE BOARD AND CHIEF EXECUTIVE
OFFICER.
new text end

new text begin Subdivision 1. new text end

new text begin Executive board. new text end

new text begin (a) The initial appointments of the members of the
Direct Care and Treatment executive board under Minnesota Statutes, section 246C.06,
must be made by January 1, 2025.
 new text end

new text begin (b) Prior to the first Compensation Council determination of the daily compensation rate
for voting members of the executive board under Minnesota Statutes, section 246C.06,
subdivision 4, paragraph (b), voting members of the executive board must be paid the per
diem rate provided for in Minnesota Statutes, section 15.0575, subdivision 3, paragraph (a).
 new text end

new text begin (c) The executive board is exempt from Minnesota Statutes, section 13D.01, until the
authority and responsibilities for Direct Care and Treatment are transferred to the executive
board in accordance with Minnesota Statutes, section 246C.04.
 new text end

new text begin Subd. 2. new text end

new text begin Chief executive officer. new text end

new text begin (a) No later than October 1, 2024, the governor shall
appoint a chief executive officer designee of Direct Care and Treatment. The individual
appointed as the chief executive officer designee of Direct Care and Treatment shall become
the governor's appointee as chief executive officer of Direct Care and Treatment on January
1, 2025, and shall serve as the chair of the executive board effective January 1, 2025.
 new text end

new text begin (b) Prior to the first Compensation Council determination under Minnesota Statutes,
section 15A.082, of the salary of the chief executive officer, the salary of the chief executive
officer must equal the amount paid to the chief executive officer of the direct care and
treatment division of the Department of Human Services as of June 30, 2025.
 new text end

new text begin (c) Between October 1, 2024, and June 30, 2025, the chief executive officer designee
shall receive the same per diem that voting members of the executive board receive under
subdivision 1, paragraph (b), except on any day the designee is an employee of the state,
the designee must not receive a per diem.
 new text end

new text begin Subd. 3. new text end

new text begin Commissioner of human services to consult. new text end

new text begin In preparing the budget estimates
required under Minnesota Statutes, section 16A.10, for the direct care and treatment division
for the 2026-2027 biennial budget and any legislative proposals for the 2025 legislative
session that involve direct care and treatment operations, the commissioner of human services
must consult with the chief executive officer designee and the Direct Care and Treatment
executive board before submitting the budget estimates or legislative proposals. If the
executive board is not appointed by the date the budget estimates must be submitted to the
commissioner of management and budget, the commissioner of human services must provide
the executive board with a summary of the budget estimates that were submitted.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 41. new text begin REVISOR INSTRUCTION.
new text end

new text begin The revisor of statutes shall change the term "Department of Human Services" to "Direct
Care and Treatment" wherever the term appears in respect to the governmental entity with
programmatic direction and fiscal control over state-operated services, programs, or facilities
under Minnesota Statutes, chapter 246C. The revisor may make technical and other necessary
changes to sentence structure to preserve the meaning of the text.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 42. new text begin REVISOR INSTRUCTION.
new text end

new text begin The revisor of statutes shall change the term "Department of Direct Care and Treatment"
to "Direct Care and Treatment" wherever the term appears in respect to the governmental
entity with programmatic direction and fiscal control over state-operated services, programs,
or facilities under Minnesota Statutes, chapter 246C. The revisor may make technical and
other necessary changes to sentence structure to preserve the meaning of the text.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 43. new text begin REVISOR INSTRUCTION.
new text end

new text begin The revisor of statutes, in consultation with the House Research Department; the Office
of Senate Counsel, Research, and Fiscal Analysis; the Department of Human Services; and
Direct Care and Treatment, shall make necessary cross-reference changes to conform with
this act. The revisor may make technical and other necessary changes to sentence structure
to preserve the meaning of the text. The revisor may alter the coding in this act to incorporate
statutory changes made by other law in the 2024 regular legislative session.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 44. new text begin REPEALER.
new text end

new text begin (a) new text end new text begin Minnesota Statutes 2022, section 246.41, new text end new text begin is repealed.
 new text end

new text begin (b) new text end new text begin Minnesota Statutes 2023 Supplement, section 246C.03, new text end new text begin is repealed.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

ARTICLE 6

MISCELLANEOUS

Section 1.

new text begin FREE COMMUNICATION SERVICES.
 new text end

new text begin Subdivision 1. new text end

new text begin Free communication services. new text end

new text begin (a) A facility must provide patients and
clients with voice communication services. A facility may supplement voice communication
services with other communication services, including but not limited to video
communication and email or electronic messaging services. A facility must continue to
offer the services the facility offered as of January 1, 2024.
 new text end

new text begin (b) To the extent that voice or other communication services are provided, which must
not be limited beyond program participation and routine facility policies and procedures,
neither the individual initiating the communication nor the individual receiving the
communication must be charged for the service.
 new text end

new text begin Subd. 2. new text end

new text begin Communication services restrictions. new text end

new text begin Nothing in this section allows a patient
or client to violate an active protection order, harassment restraining order, or other no-contact
order or directive. Nothing in this section entitles a civilly committed person to
communication services restricted or limited under Minnesota Statutes, section 253B.03,
subdivision 3, or 253D.19.
 new text end

new text begin Subd. 3. new text end

new text begin Revenue prohibited. new text end

new text begin Direct Care and Treatment must not receive revenue
from the provision of voice communication services or any other communication services
under this section.
 new text end

new text begin Subd. 4. new text end

new text begin Visitation programs. new text end

new text begin (a) Facilities shall maintain in-person visits for patients
or clients. Communication services, including video calls, must not be used to replace a
facility's in-person visitation program or be counted toward a patient's or client's in-person
visitation limit.
 new text end

new text begin (b) Notwithstanding paragraph (a), the Direct Care and Treatment executive board may
waive the in-person visitation program requirement under this subdivision if there is:
 new text end

new text begin (1) a declared emergency under Minnesota Statutes, section 12.31; or
 new text end

new text begin (2) a local-, state-, or federal-declared natural disaster.
 new text end

new text begin Subd. 5. new text end

new text begin Reporting. new text end

new text begin (a) By January 15, 2027, the Direct Care and Treatment executive
board must report the information described in paragraph (b) to the commissioner of
corrections. By March 15, 2027, the commissioner of corrections must submit a summary
of the information submitted under this paragraph to the chairs and ranking minority members
of the legislative committees having jurisdiction over corrections and human services policy
and finance.
 new text end

new text begin (b) The Direct Care and Treatment executive board must include the following
information covering fiscal year 2025 in its annual report to the commissioner of corrections
required under paragraph (a):
 new text end

new text begin (1) the status of all the agency's communication contracts; efforts to renegotiate the
agency's communication contracts, including the rates the agency is paying or charging
confined people or community members for any and all services in the contracts; and plans
to consolidate the agency's communication contracts to maximize purchasing power;
 new text end

new text begin (2) a complete and detailed accounting of how appropriated funds for communication
services are spent, including spending on expenses previously covered by commissions;
and
 new text end

new text begin (3) summary data on usage of all communication services, including monthly call and
message volume.
 new text end

new text begin Subd. 6. new text end

new text begin Definitions. new text end

new text begin For the purposes of this section, the following terms have the
meanings given:
 new text end

new text begin (1) "voice communications" means real-time, audio-only communication services,
namely phone calls made over wireline telephony, voice over Internet protocol, or any other
technology infrastructure;
 new text end

new text begin (2) "other communication services" means communication services other than voice
communications, including but not limited to video calls and electronic messages; and
 new text end

new text begin (3) "facility" means any facility, setting, or program owned, operated, or under the
programmatic or fiscal control of Direct Care and Treatment.
 new text end

new text begin Subd. 7. new text end

new text begin Expiration. new text end

new text begin Subdivisions 1 to 4 expire June 30, 2026. Subdivisions 5 and 6
expire upon submission by the Direct Care and Treatment executive board of the report to
the legislature required under subdivision 5.
 new text end

Sec. 2. new text begin COMMUNITY CARE HUB PLANNING GRANT.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of health shall establish a single grant
to develop and design programs to expand and strengthen the community care hub model,
which organizes and supports a network of health and social care service providers to address
health-related social needs.
 new text end

new text begin Subd. 2. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have the
meanings given.
 new text end

new text begin (b) "Community-based organization" means a public or private nonprofit organization
of demonstrated effectiveness that is representative of a community or significant segments
of a community and provides educational or related services to individuals in the community.
 new text end

new text begin (c) "Community care hub" means a nonprofit organization that provides a centralized
administrative and operational interface between health care institutions and a network of
community-based organizations that provide health promotion and social care services.
 new text end

new text begin (d) "Health-related social needs" means the individual-level, adverse social conditions
that can negatively impact a person's health or health care, such as poor health literacy, food
insecurity, housing instability, and lack of access to transportation.
 new text end

new text begin (e) "Social care services" means culturally informed services to address health-related
social needs and community-informed health promotion programs.
 new text end

new text begin Subd. 3. new text end

new text begin Eligible applicants. new text end

new text begin To be eligible for the single grant available under this
section, a grant applicant must:
 new text end

new text begin (1) be recognized as a selected community care hub by the federal Administration for
Community Living and the Centers for Disease Control and Prevention;
 new text end

new text begin (2) hold contracts with health plans within Minnesota that allow the applicant to provide
social care services to a plan's covered member population; and
 new text end

new text begin (3) demonstrate active engagement in providing, coordinating, and aiding health care
and social care services at the community level.
 new text end

new text begin Subd. 4. new text end

new text begin Eligible uses. new text end

new text begin The grantee must use awarded funding to develop and design
programs that support the development of a social care network that provides services to
address health-related social needs. Activities eligible for funding under this section include
but are not limited to education activities, feasibility studies, program design, and pilots.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2024.
 new text end

Sec. 3. new text begin DIRECTION TO COMMISSIONER; WAIVER TO NURSE STAFFING
REQUIREMENTS.
new text end

new text begin The commissioner of health must submit a request for a waiver to the requirement that
nursing homes have a registered nurse on site 24 hours per day.
 new text end

ARTICLE 7

TECHNICAL CORRECTIONS

Section 1.

Minnesota Statutes 2023 Supplement, section 256R.55, subdivision 9, is amended
to read:


Subd. 9.

Carryforward.

Notwithstanding section 16A.28, subdivision 3, any
appropriation for the purposes under this section deleted text begin carries forward and does not lapse until
the close of the fiscal year in which this section expiresdeleted text end new text begin is available until June 30, 2029new text end .

Sec. 2.

Laws 2023, chapter 61, article 1, section 67, subdivision 3, is amended to read:


Subd. 3.

Evaluation and report.

(a) The Metropolitan Center for Independent Living
must contract with a third party to evaluate the pilot project's impact on health care costs,
retention of personal care assistants, and patients' and providers' satisfaction of care. The
evaluation must include the number of participants, the hours of care provided by participants,
and the retention of participants from semester to semester.

(b) By January 15, deleted text begin 2025deleted text end new text begin 2026new text end , the Metropolitan Center for Independent Living must
report the findings under paragraph (a) to the chairs and ranking minority members of the
legislative committees with jurisdiction over human services finance and policy.

new text begin EFFECTIVE DATE. new text end

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

Sec. 3.

Laws 2023, chapter 61, article 4, section 11, the effective date, is amended to read:


EFFECTIVE DATE.

This section is effective January 1, deleted text begin 2024deleted text end new text begin 2025new text end , or upon federal
approval, whichever is later. The commissioner shall notify the revisor of statutes when
federal approval is obtained.

ARTICLE 8

APPROPRIATIONS

Section 1. new text begin HUMAN SERVICES APPROPRIATION.
new text end

new text begin The sums shown in the columns marked "Appropriations" are added to or, if shown in
parentheses, subtracted from the appropriations in Laws 2023, chapter 61, article 9; Laws
2023, chapter 70, article 20; and Laws 2023, chapter 74, section 6, to the agencies and for
the purposes specified in this article. The appropriations are from the general fund or other
named fund and are available for the fiscal years indicated for each purpose. The figures
"2024" and "2025" used in this article mean that the addition to or subtraction from the
appropriation listed under them is available for the fiscal year ending June 30, 2024, or June
30, 2025, respectively. Base adjustments mean the increase or decrease of the base level
adjustment set in Laws 2023, chapter 61, article 9; Laws 2023, chapter 70, article 20; and
Laws 2023, chapter 74, section 6. Supplemental appropriations and reductions to
appropriations for the fiscal year ending June 30, 2024, are effective the day following final
enactment unless a different effective date is explicit.
 new text end

new text begin APPROPRIATIONS
 new text end
new text begin Available for the Year
 new text end
new text begin Ending June 30
 new text end
new text begin 2024
 new text end 		new text begin 2025
 new text end

Sec. 2. new text begin COMMISSIONER OF HUMAN
SERVICES
new text end

new text begin Subdivision 1. new text end

new text begin Total Appropriation
 new text end

new text begin $
 new text end 		new text begin (5,261,000)
 new text end 		new text begin $
 new text end 		new text begin 50,055,000
 new text end

new text begin The amounts that may be spent for each
purpose are specified in the following
subdivisions.
 new text end

new text begin Subd. 2. new text end

new text begin Central Office; Operations
 new text end

new text begin (3,030,000)
 new text end 		new text begin 2,165,000
 new text end

new text begin (a) Carryforward Authority.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, $1,682,000 in fiscal
year 2025 is available until June 30, 2027.
 new text end

new text begin (b) Base Level Adjustment. The general fund
base is increased by $175,000 in fiscal year
2026 and $175,000 in fiscal year 2027.
 new text end

new text begin Subd. 3. new text end

new text begin Central Office; Aging and Disability
Services
 new text end

new text begin (1,731,000)
 new text end 		new text begin 5,435,000
 new text end

new text begin (a) Tribal Vulnerable Adult and
Developmental Disabilities Targeted Case
Management Medical Assistance Benefit.
$200,000 in fiscal year 2025 is for a contract
to develop a Tribal vulnerable adult and
developmental disabilities targeted case
management medical assistance benefit under
Minnesota Statutes, section 256B.0924. This
is a onetime appropriation.
 new text end

new text begin (b) Carryforward Authority.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, $455,000 in fiscal year
2025 is available until June 30, 2026, and
$4,193,000 in fiscal year 2025 is available
until June 30, 2027.
 new text end

new text begin (c) Base Level Adjustment. The general fund
base is increased by $177,000 in fiscal year
2026 and $177,000 in fiscal year 2027.
 new text end

new text begin Subd. 4. new text end

new text begin Central Office; Behavioral Health,
Housing, and Deaf and Hard-of-Hearing
Services
 new text end

new text begin -0-
 new text end 		new text begin 1,265,000
 new text end

new text begin Carryforward Authority. Notwithstanding
Minnesota Statutes, section 16A.28,
subdivision 3, $935,000 in fiscal year 2025 is
available until June 30, 2027.
 new text end

new text begin Subd. 5. new text end

new text begin Forecasted Programs; Medical
Assistance
 new text end

new text begin -0-
 new text end 		new text begin 7,994,000
 new text end

new text begin Critical Access Nursing Facility Rate
Adjustments. $3,277,000 is for rate
adjustments for critical access nursing
facilities under Minnesota Statutes, section
256R.47. Notwithstanding Minnesota Statutes,
section 16A.28, subdivision 3, this
appropriation is available until June 30, 2027.
This is a onetime appropriation.
 new text end

new text begin Subd. 6. new text end

new text begin Forecasted Programs; Alternative Care
 new text end

new text begin -0-
 new text end 		new text begin 49,000
 new text end

new text begin Subd. 7. new text end

new text begin Forecasted Programs; Behavioral
Health Fund
 new text end

new text begin -0-
 new text end 		new text begin 1,519,000
 new text end

new text begin Subd. 8. new text end

new text begin Grant Programs; Other Long Term
Care Grants
 new text end

new text begin -0-
 new text end 		new text begin 1,675,000
 new text end

new text begin (a) Health Awareness Hub Pilot Project.
$575,000 in fiscal year 2025 is for a grant to
the Organization for Liberians in Minnesota
for a health awareness hub pilot project. The
pilot project must seek to address health care
education and the physical and mental
wellness needs of elderly individuals within
the African immigrant community by offering
culturally relevant support, resources, and
preventive care education from medical
practitioners who have a similar background,
and by making appropriate referrals to
culturally competent programs, supports, and
medical care. Within six months of the
conclusion of the pilot project, the
Organization for Liberians in Minnesota must
provide the commissioner with an evaluation
of the project as determined by the
commissioner. Notwithstanding Minnesota
Statutes, section 16A.28, subdivision 3, this
appropriation is available until June 30, 2027.
This is a onetime appropriation.
 new text end

new text begin (b) Chapter 245D Compliance Support
Grant. $450,000 in fiscal year 2025 is for a
grant to Equitable Development Action to
support minority providers licensed under
Minnesota Statutes, chapter 245D, as intensive
support services providers to build skills and
the infrastructure needed to increase the
quality of services provided to the people the
providers serve while complying with the
requirements of Minnesota Statutes, chapter
245D, and to enable the providers to accept
clients with high behavioral needs.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.
 new text end

new text begin (c) Linguistically and Culturally Specific
Training Pilot Project. $650,000 in fiscal
year 2025 is for a grant to the Minnesota
Ethnic Providers Network to collaborate with
the commissioner of human services to
develop and implement a pilot program to
provide: (1) linguistically and culturally
specific in-person training to bilingual
individuals, particularly bilingual women,
from diverse ethnic backgrounds; and (2)
technical assistance to Minnesota Ethnic
Provider Network member providers to ensure
successful implementation of the pilot
program, including training, resources, and
ongoing support. Within six months of the
conclusion of the pilot project, the Minnesota
Ethnic Providers Network must provide the
commissioner with an evaluation of the project
as determined by the commissioner.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.
 new text end

new text begin Subd. 9. new text end

new text begin Grant Programs; Aging and Adult
Services Grants
 new text end

new text begin -0-
 new text end 		new text begin 8,922,000
 new text end

new text begin (a) Caregiver Respite Services Grants.
$3,922,000 in fiscal year 2025 is for caregiver
respite services grants under Minnesota
Statutes, section 256.9756. Notwithstanding
Minnesota Statutes, section 16A.28,
subdivision 3, this appropriation is available
until June 30, 2027. This is a onetime
appropriation.
 new text end

new text begin (b) Caregiver Support Programs.
$5,000,000 in fiscal year 2025 is for the
Minnesota Board on Aging for the purposes
of the caregiver support programs under
Minnesota Statutes, section 256.9755.
Programs receiving funding under this
paragraph must include an ALS-specific
respite service in their caregiver support
program. This is a onetime appropriation.
 new text end

new text begin Subd. 10. new text end

new text begin Grant Programs; Disabilities Grants
 new text end

new text begin 8,900,000
 new text end 		new text begin 13,535,000
 new text end

new text begin (a) Capital Improvement for Accessibility.
$400,000 in fiscal year 2025 is for a payment
to Anoka County to make capital
improvements to existing space in the Anoka
County Human Services building in the city
of Blaine, including making bathrooms fully
compliant with the Americans with Disabilities
Act with adult changing tables and ensuring
barrier-free access for the purposes of
improving and expanding the services an
existing building tenant can provide to adults
with developmental disabilities. This is a
onetime appropriation.
 new text end

new text begin (b) Own Home Services Provider
Capacity-Building Grants. $5,000,000 in
fiscal year 2025 is for the own home services
provider capacity-building grant program.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.
 new text end

new text begin (c) Dakota County Disability Services
Workforce Shortage Pilot Project.
$1,000,000 in fiscal year 2025 is for a grant
to Dakota County for innovative solutions to
the disability services workforce shortage. Up
to $500,000 of this amount must be used to
develop and test an online application for
matching requests for services from people
with disabilities to available staff, and up to
$500,000 of this amount must be used to
develop a communities-for-all program that
engages businesses, community organizations,
neighbors, and informal support systems to
promote community inclusion of people with
disabilities. By October 1, 2026, the
commissioner shall report the outcomes and
recommendations of these pilot projects to the
chairs and ranking minority members of the
legislative committees with jurisdiction over
human services finance and policy.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.
 new text end

new text begin (d) Pediatric Hospital-to-Home Transition
Pilot Program. $1,040,000 in fiscal year 2025
is for the pediatric hospital-to-home pilot
program. Notwithstanding Minnesota Statutes,
section 16A.28, subdivision 3, this
appropriation is available until June 30, 2027.
This is a onetime appropriation.
 new text end

new text begin (e) Artists With Disabilities Support Grant.
$690,000 in fiscal year 2025 is for a grant to
a nonprofit organization licensed under
Minnesota Statutes, chapter 245D, located on
Minnehaha Avenue West in Saint Paul, and
that supports artists with disabilities in creating
visual and performing art that challenges
society's views of persons with disabilities.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.
 new text end

new text begin (f) Emergency Relief Grants for Rural
EIDBI Providers. $600,000 in fiscal year
2025 is for emergency relief grants for EIDBI
providers. This is a onetime appropriation.
 new text end

new text begin (g) Accessible Space, Inc. $250,000 in fiscal
year 2025 is for a grant to Accessible Space,
Inc. for nursing services provided in integrated
community supports settings, but not
otherwise reimbursed under Minnesota
Statutes, section 256B.4914. This is a onetime
appropriation.
 new text end

new text begin (h) Self-Advocacy Grants for Persons with
Intellectual and Developmental Disabilities.
$648,000 in fiscal year 2025 is for
self-advocacy grants under Minnesota Statutes,
section 256.477. Of these amounts, $438,000
in fiscal year 2025 is for the activities under
Minnesota Statutes, section 256.477,
subdivision 1, paragraph (a), clauses (5) to (7),
and for administrative costs, and $210,000 in
fiscal year 2025 is for the activities under
Minnesota Statutes, section 256.477,
subdivision 2. This is onetime appropriation.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027.
 new text end

new text begin (i) Electronic Visit Verification
Implementation Grants. $1,596,000 in fiscal
year 2025 is for electronic visit verification
implementation grants. This is a onetime
appropriation. Notwithstanding Minnesota
Statutes, section 16A.28, subdivision 3, this
appropriation is available until June 30, 2027.
 new text end

new text begin (j) SEWA-AIFW. $500,000 in fiscal year
2025 is for a grant to SEWA-AIFW. Of this
amount, $150,000 is for SEWA-AIFW's South
Asian persons of neurodiverse abilities
(SAPNA) program and $350,000 is for
SEWA-AIFW's senior program. This is a
onetime appropriation. Notwithstanding
Minnesota Statutes, section 16A.28,
subdivision 3, this appropriation is available
until June 30, 2027.
 new text end

new text begin (k) Base Level Adjustment. The general fund
base is increased by $1,811,000 in fiscal year
2026 and $1,811,000 in fiscal year 2027.
 new text end

new text begin Subd. 11. new text end

new text begin Grant Programs; Adult Mental Health
Grants
 new text end

new text begin (8,900,000)
 new text end 		new text begin (1,561,000)
 new text end

new text begin Engagement Services Pilot Project.
$250,000 in fiscal year 2025 is for the
engagement services pilot project.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.
 new text end

new text begin Base Level Adjustment. The general fund
base is decreased by $1,811,000 in fiscal year
2026 and $1,811,000 in fiscal year 2027.
 new text end

new text begin Subd. 12. new text end

new text begin Grant Programs; Chemical
Dependency Treatment Support Grants
 new text end

new text begin (500,000)
 new text end 		new text begin -0-
 new text end

new text begin Subd. 13. new text end

new text begin Direct Care and Treatment - Mental
Health and Substance Abuse
 new text end

new text begin -0-
 new text end 		new text begin 977,000
 new text end

new text begin Subd. 14. new text end

new text begin Direct Care and Treatment - Forensic
Services
 new text end

new text begin -0-
 new text end 		new text begin 7,182,000
 new text end

new text begin Base Level Adjustment. The general fund
base is increased by $6,612,000 in fiscal year
2026 and $6,612,000 in fiscal year 2027.
 new text end

new text begin Subd. 15. new text end

new text begin Direct Care and Treatment -
Operations
 new text end

new text begin -0-
 new text end 		new text begin 898,000
 new text end

new text begin (a) Free Communication Services for
Patients and Clients. $292,000 in fiscal year
2025 is for free communication services under
article 6, section 1. This is a onetime
appropriation. Notwithstanding Minnesota
Statutes, section 16A.28, subdivision 3, this
appropriation is available until June 30, 2026.
 new text end

new text begin (b) Base Level Adjustment. The general fund
base is increased by $617,000 in fiscal year
2026 and $586,000 in fiscal year 2027.
 new text end

new text begin Subd. 16. new text end

new text begin Grant Administration Costs
 new text end

new text begin Notwithstanding Minnesota Statutes, section
16B.98, subdivision 14, the commissioner of
human services must not use any of the grant
amounts appropriated under this section for
administrative costs.
 new text end

new text begin Subd. 17. new text end

new text begin Grantee Evaluation Requirement
 new text end

new text begin For all new grants for which money is
appropriated in this act, the commissioner of
human services must comply with the grantee
evaluation requirements under Minnesota
Statutes, section 16B.98, subdivision 12.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 3. new text begin COMMISSIONER OF HEALTH
new text end

new text begin Subdivision 1. new text end

new text begin Total Appropriation
 new text end

new text begin $
 new text end 		new text begin -0-
 new text end 		new text begin $
 new text end 		new text begin 986,000
 new text end
new text begin Appropriations by Fund
 new text end
new text begin 2024
 new text end 		new text begin 2025
 new text end
new text begin General
 new text end 		new text begin -0-
 new text end 		new text begin 724,000
 new text end
new text begin State Government
Special Revenue
 new text end 		new text begin -0-
 new text end 		new text begin 262,000
 new text end

new text begin The amounts that may be spent for each
purpose are specified in the following
subdivisions.
 new text end

new text begin Subd. 2. new text end

new text begin Health Improvement
 new text end

new text begin -0-
 new text end 		new text begin 554,000
 new text end

new text begin (a) Community Care Hub Grant. $500,000
in fiscal year 2025 is from the general fund
for the community care hub planning grant.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.
 new text end

new text begin (b) Carryforward Authority.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, $54,000 in fiscal year
2025 is available for administration expenses
until June 30, 2026.
 new text end

new text begin Subd. 3. new text end

new text begin Health Protection
 new text end

new text begin -0-
 new text end 		new text begin 432,000
 new text end
new text begin Appropriations by Fund
 new text end
new text begin General
 new text end 		new text begin -0-
 new text end 		new text begin 170,000
 new text end
new text begin State Government
Special Revenue
 new text end 		new text begin -0-
 new text end 		new text begin 262,000
 new text end

new text begin (a) Chapter 144G Compliance Support
Grant. $250,000 in fiscal year 2025 is from
the dedicated special revenue account
established under Minnesota Statutes, section
144A.474, subdivision 11, paragraph (j), and
$170,000 in fiscal year 2025 is from the
general fund for a grant to a nonprofit
organization to conduct culturally specific
outreach and education for small assisted
living providers seeking to improve
understanding and compliance with physical
plant and client-focused licensing
requirements under chapter 144G and rules
promulgated thereunder. This is a onetime
appropriation.
 new text end

new text begin (b) Base Level Adjustments. The state
government special revenue base is increased
by $24,000 in fiscal year 2026 and increased
by $24,000 in fiscal year 2027.
 new text end

new text begin Subd. 4. new text end

new text begin Grant Administration Costs
 new text end

new text begin Notwithstanding Minnesota Statutes, section
16B.98, subdivision 14, the commissioner of
health must not use any of the grant amounts
appropriated under this section for
administrative costs.
 new text end

new text begin Subd. 5. new text end

new text begin Grantee Evaluation Requirement
 new text end

new text begin For all new grants for which money is
appropriated in this act, the commissioner of
health must comply with the grantee
evaluation requirements under Minnesota
Statutes, section 16B.98, subdivision 12.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 4. new text begin COUNCIL ON DISABILITY
new text end

new text begin $
 new text end 		new text begin 0
 new text end 		new text begin $
 new text end 		new text begin 400,000
 new text end

new text begin $400,000 in fiscal year 2025 is for the
Legislative Task Force on Guardianship.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.
 new text end

Sec. 5.

Laws 2021, First Special Session chapter 7, article 17, section 19, as amended by
Laws 2022, chapter 98, article 15, section 15, is amended to read:


Sec. 19. CENTERS FOR INDEPENDENT LIVING HCBS ACCESS GRANT.

(a) This act includes $1,200,000 in fiscal year 2022 and $1,200,000 in fiscal year 2023
for grants to expand services to support people with disabilities from underserved
communities who are ineligible for medical assistance to live in their own homes and
communities by providing accessibility modifications, independent living services, and
public health program facilitation. The commissioner of human services must award the
grants in equal amounts to grantees. To be eligible, a grantee must be an organization defined
in Minnesota Statutes, section 268A.01, subdivision 8. Any unexpended amount in fiscal
year 2022 is available through June 30, 2023. The general fund base included in this act for
this purpose is $0 in fiscal year 2024 and $0 in fiscal year 2025.

(b) All grant activities must be completed by deleted text begin March 31, 2024deleted text end new text begin June 30, 2025new text end .

(c) This section expires June 30, deleted text begin 2024deleted text end new text begin 2025new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from March 31, 2024.
 new text end

Sec. 6.

Laws 2023, chapter 61, article 9, section 2, subdivision 13, is amended to read:


Subd. 13.

Grant Programs; Other Long-Term
Care Grants

 152,387,000
 1,925,000

(a) Provider Capacity Grant for Rural and
Underserved Communities. $17,148,000 in
fiscal year 2024 is for provider capacity grants
for rural and underserved communities.new text begin Of
this amount, $250,000 is for a competitive
grant to a nonprofit organization to conduct a
culturally specific outreach and education
campaign toward existing customized living
providers that might more appropriately serve
their clients under a different home and
community-based services program or license.
For all grants under this paragraph issued on
or after April 1, 2024, the commissioner of
human services must comply with the grantee
evaluation requirements under Minnesota
Statutes, section 16B.98, subdivision 12.new text end
Notwithstanding Minnesota Statutes, section
16A.28, this appropriation is available until
June 30, 2027. This is a onetime appropriation.

(b) New American Legal, Social Services,
and Long-Term Care Grant Program.
$28,316,000 in fiscal year 2024 is for
long-term care workforce grants for new
Americans. Notwithstanding Minnesota
Statutes, section 16A.28, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.

(c) Supported Decision Making Programs.
$4,000,000 in fiscal year 2024 is for supported
decision making grants. This is a onetime
appropriation and is available until June 30,
2025.

(d) Direct Support Professionals
Employee-Owned Cooperative Program.
$350,000 in fiscal year 2024 is for a grant to
the Metropolitan Consortium of Community
Developers for the Direct Support
Professionals Employee-Owned Cooperative
program. The grantee must use the grant
amount for outreach and engagement,
managing a screening and selection process,
providing one-on-one technical assistance,
developing and providing training curricula
related to cooperative development and home
and community-based waiver services,
administration, reporting, and program
evaluation. This is a onetime appropriation
and is available until June 30, 2025.

(e) Long-Term Services and Supports
Workforce Incentive Grants. $83,560,000
in fiscal year 2024 is for long-term services
and supports workforce incentive grants
administered according to Minnesota Statutes,
section 256.4764. Notwithstanding Minnesota
Statutes, section 16A.28, this appropriation is
available until June 30, 2029. This is a onetime
appropriation.

(f) Base Level Adjustment. The general fund
base is $3,949,000 in fiscal year 2026 and
$3,949,000 in fiscal year 2027. Of these
amounts, $2,024,000 in fiscal year 2026 and
$2,024,000 in fiscal year 2027 are for PCA
background study grants.

new text begin EFFECTIVE DATE. new text end

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

Sec. 7.

Laws 2023, chapter 61, article 9, section 2, subdivision 16, as amended by Laws
2023, chapter 70, article 15, section 8, is amended to read:


Subd. 16.

Grant Programs; Disabilities Grants

 113,684,000
 30,377,000

(a) Temporary Grants for Small
Customized Living Providers. $5,450,000
in fiscal year 2024 is for grants to assist small
customized living providers to transition to
community residential services licensure or
integrated community supports licensure.
Notwithstanding Minnesota Statutes, section
16A.28, this appropriation is available until
June 30, 2027. This is a onetime appropriation.

(b) Lead Agency Capacity Building Grants.
$444,000 in fiscal year 2024 and $2,396,000
in fiscal year 2025 are for grants to assist
organizations, counties, and Tribes to build
capacity for employment opportunities for
people with disabilities. The base for this
appropriation is $2,413,000 in fiscal year 2026
and $2,411,000 in fiscal year 2027.

(c) Employment and Technical Assistance
Center Grants. $450,000 in fiscal year 2024
and $1,800,000 in fiscal year 2025 are for
employment and technical assistance grants
to assist organizations and employers in
promoting a more inclusive workplace for
people with disabilities.

(d) Case Management Training Grants.
$37,000 in fiscal year 2024 and $123,000 in
fiscal year 2025 are for grants to provide case
management training to organizations and
employers to support the state's disability
employment supports system. The base for
this appropriation is $45,000 in fiscal year
2026 and $45,000 in fiscal year 2027.

(e) Self-Directed Bargaining Agreement;
Electronic Visit Verification Stipends.
$6,095,000 in fiscal year 2024 is for onetime
stipends of $200 to bargaining members to
offset the potential costs related to people
using individual devices to access the
electronic visit verification system. Of this
amount, $5,600,000 is for stipends and
$495,000 is for administration. This is a
onetime appropriation and is available until
June 30, 2025.

(f) Self-Directed Collective Bargaining
Agreement; Temporary Rate Increase
Memorandum of Understanding. $1,600,000
in fiscal year 2024 is for onetime stipends for
individual providers covered by the SEIU
collective bargaining agreement based on the
memorandum of understanding related to the
temporary rate increase in effect between
December 1, 2020, and February 7, 2021. Of
this amount, $1,400,000 of the appropriation
is for stipends and $200,000 is for
administration. This is a onetime
appropriation.

(g) Self-Directed Collective Bargaining
Agreement; Retention Bonuses. $50,750,000
in fiscal year 2024 is for onetime retention
bonuses covered by the SEIU collective
bargaining agreement. Of this amount,
$50,000,000 is for retention bonuses and
$750,000 is for administration of the bonuses.
This is a onetime appropriation and is
available until June 30, 2025.

(h) Self-Directed Bargaining Agreement;
Training Stipends. $2,100,000 in fiscal year
2024 and $100,000 in fiscal year 2025 are for
onetime stipends of $500 for collective
bargaining unit members who complete
designated, voluntary trainings made available
through or recommended by the State Provider
Cooperation Committee. Of this amount,
$2,000,000 in fiscal year 2024 is for stipends,
and $100,000 in fiscal year 2024 and $100,000
in fiscal year 2025 are for administration. This
is a onetime appropriation.

(i) Self-Directed Bargaining Agreement;
Orientation Program. $2,000,000 in fiscal
year 2024 and $2,000,000 in fiscal year 2025
are for onetime $100 payments to collective
bargaining unit members who complete
voluntary orientation requirements. Of this
amount, $1,500,000 in fiscal year 2024 and
$1,500,000 in fiscal year 2025 are for the
onetime $100 payments, and $500,000 in
fiscal year 2024 and $500,000 in fiscal year
2025 are for orientation-related costs. This is
a onetime appropriation.

(j) Self-Directed Bargaining Agreement;
Home Care Orientation Trust. $1,000,000
in fiscal year 2024 is for the Home Care
Orientation Trust under Minnesota Statutes,
section 179A.54, subdivision 11. The
commissioner shall disburse the appropriation
to the board of trustees of the Home Care
Orientation Trust for deposit into an account
designated by the board of trustees outside the
state treasury and state's accounting system.
This is a onetime appropriationnew text begin and is
available until June 30, 2025new text end .

(k) HIV/AIDS Supportive Services.
$12,100,000 in fiscal year 2024 is for grants
to community-based HIV/AIDS supportive
services providers as defined in Minnesota
Statutes, section 256.01, subdivision 19, and
for payment of allowed health care costs as
defined in Minnesota Statutes, section
256.9365. This is a onetime appropriation and
is available until June 30, 2025.

(l) Motion Analysis Advancements Clinical
Study and Patient Care. $400,000 is fiscal
year 2024 is for a grant to the Mayo Clinic
Motion Analysis Laboratory and Limb Lab
for continued research in motion analysis
advancements and patient care. This is a
onetime appropriation and is available through
June 30, 2025.

(m) Grant to Family Voices in Minnesota.
$75,000 in fiscal year 2024 and $75,000 in
fiscal year 2025 are for a grant to Family
Voices in Minnesota under Minnesota
Statutes, section 256.4776.

(n) Parent-to-Parent Programs.

(1) $550,000 in fiscal year 2024 and $550,000
in fiscal year 2025 are for grants to
organizations that provide services to
underserved communities with a high
prevalence of autism spectrum disorder. This
is a onetime appropriation and is available
until June 30, 2025.

(2) The commissioner shall give priority to
organizations that provide culturally specific
and culturally responsive services.

(3) Eligible organizations must:

(i) conduct outreach and provide support to
newly identified parents or guardians of a child
with special health care needs;

(ii) provide training to educate parents and
guardians in ways to support their child and
navigate the health, education, and human
services systems;

(iii) facilitate ongoing peer support for parents
and guardians from trained volunteer support
parents; and

(iv) communicate regularly with other
parent-to-parent programs and national
organizations to ensure that best practices are
implemented.

(4) Grant recipients must use grant money for
the activities identified in clause (3).

(5) For purposes of this paragraph, "special
health care needs" means disabilities, chronic
illnesses or conditions, health-related
educational or behavioral problems, or the risk
of developing disabilities, illnesses, conditions,
or problems.

(6) Each grant recipient must report to the
commissioner of human services annually by
January 15 with measurable outcomes from
programs and services funded by this
appropriation the previous year including the
number of families served and the number of
volunteer support parents trained by the
organization's parent-to-parent program.

(o) Self-Advocacy Grants for Persons with
Intellectual and Developmental Disabilities.
$323,000 in fiscal year 2024 and $323,000 in
fiscal year 2025 are for self-advocacy grants
under Minnesota Statutes, section 256.477.
new text begin This is a onetime appropriation. new text end Of these
amounts, $218,000 in fiscal year 2024 and
$218,000 in fiscal year 2025 are for the
activities under Minnesota Statutes, section
256.477, subdivision 1, paragraph (a), clauses
(5) to (7), and for administrative costs, and
$105,000 in fiscal year 2024 and $105,000 in
fiscal year 2025 are for the activities under
Minnesota Statutes, section 256.477,
subdivision 2.

(p) Technology for Home Grants. $300,000
in fiscal year 2024 and $300,000 in fiscal year
2025 are for technology for home grants under
Minnesota Statutes, section 256.4773.

(q) Community Residential Setting
Transition. $500,000 in fiscal year 2024 is
for a grant to Hennepin County to expedite
approval of community residential setting
licenses subject to the corporate foster care
moratorium exception under Minnesota
Statutes, section 245A.03, subdivision 7,
paragraph (a), clause (5).

(r) Base Level Adjustment. The general fund
base is $27,343,000 in fiscal year 2026 and
$27,016,000 in fiscal year 2027.

new text begin EFFECTIVE DATE. new text end

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

Sec. 8.

Laws 2023, chapter 61, article 9, section 2, subdivision 18, is amended to read:


Subd. 18.

Grant Programs; Chemical
Dependency Treatment Support Grants
Appropriations by Fund
General
 54,691,000
 5,342,000
Lottery Prize
 1,733,000
 1,733,000

(a) Culturally Specific Recovery
Community Organization Start-Up Grants.
$4,000,000 in fiscal year 2024 is for culturally
specific recovery community organization
start-up grants. Notwithstanding Minnesota
Statutes, section 16A.28, this appropriation is
available until June 30, 2027. This is a onetime
appropriation.

(b) Safe Recovery Sites. $14,537,000 in fiscal
year 2024 is from the general fund for start-up
and capacity-building grants for organizations
to establish safe recovery sites.
Notwithstanding Minnesota Statutes, section
16A.28, this appropriation is onetime and is
available until June 30, 2029.

(c) Technical Assistance for Culturally
Specific Organizations; Culturally Specific
Services Grants. $4,000,000 in fiscal year
2024 is for grants to culturally specific
providers for technical assistance navigating
culturally specific and responsive substance
use and recovery programs. Notwithstanding
Minnesota Statutes, section 16A.28, this
appropriation is available until June 30, 2027.

(d) Technical Assistance for Culturally
Specific Organizations; Culturally Specific
Grant Development Training. $400,000 in
fiscal year 2024 is for grants for up to four
trainings for community members and
culturally specific providers for grant writing
training for substance use and recovery-related
grants. Notwithstanding Minnesota Statutes,
section 16A.28, this is a onetime appropriation
and is available until June 30, 2027.

(e) Harm Reduction Supplies for Tribal and
Culturally Specific Programs. $7,597,000
in fiscal year 2024 is from the general fund to
provide sole source grants to culturally
specific communities to purchase syringes,
testing supplies, and opiate antagonists.
Notwithstanding Minnesota Statutes, section
16A.28, this appropriation is available until
June 30, 2027. This is a onetime appropriation.

(f) Families and Family Treatment
Capacity-Building and Start-Up Grants.
$10,000,000 in fiscal year 2024 is from the
general fund for start-up and capacity-building
grants for family substance use disorder
treatment programs. Notwithstanding
Minnesota Statutes, section 16A.28, this
appropriation is available until June 30, 2029.
This is a onetime appropriation.

(g) Start-Up and Capacity Building Grants
for Withdrawal Management. deleted text begin $500,000deleted text end new text begin $0new text end
in fiscal year 2024 and $1,000,000 in fiscal
year 2025 are for start-up and capacity
building grants for withdrawal management.

(h) Recovery Community Organization
Grants. $4,300,000 in fiscal year 2024 is from
the general fund for grants to recovery
community organizations, as defined in
Minnesota Statutes, section 254B.01,
subdivision 8, that are current grantees as of
June 30, 2023. This is a onetime appropriation
and is available until June 30, 2025.

(i) Opioid Overdose Prevention Grants.

(1) $125,000 in fiscal year 2024 and $125,000
in fiscal year 2025 are from the general fund
for a grant to Ka Joog, a nonprofit organization
in Minneapolis, Minnesota, to be used for
collaborative outreach, education, and training
on opioid use and overdose, and distribution
of opiate antagonist kits in East African and
Somali communities in Minnesota. This is a
onetime appropriation.

(2) $125,000 in fiscal year 2024 and $125,000
in fiscal year 2025 are from the general fund
for a grant to the Steve Rummler Hope
Network to be used for statewide outreach,
education, and training on opioid use and
overdose, and distribution of opiate antagonist
kits. This is a onetime appropriation.

(3) $250,000 in fiscal year 2024 and $250,000
in fiscal year 2025 are from the general fund
for a grant to African Career Education and
Resource, Inc. to be used for collaborative
outreach, education, and training on opioid
use and overdose, and distribution of opiate
antagonist kits. This is a onetime
appropriation.

(j) Problem Gambling. $225,000 in fiscal
year 2024 and $225,000 in fiscal year 2025
are from the lottery prize fund for a grant to a
state affiliate recognized by the National
Council on Problem Gambling. The affiliate
must provide services to increase public
awareness of problem gambling, education,
training for individuals and organizations that
provide effective treatment services to problem
gamblers and their families, and research
related to problem gambling.

(k) Project ECHO. $1,310,000 in fiscal year
2024 and $1,295,000 in fiscal year 2025 are
from the general fund for a grant to Hennepin
Healthcare to expand the Project ECHO
program. The grant must be used to establish
at least four substance use disorder-focused
Project ECHO programs at Hennepin
Healthcare, expanding the grantee's capacity
to improve health and substance use disorder
outcomes for diverse populations of
individuals enrolled in medical assistance,
including but not limited to immigrants,
individuals who are homeless, individuals
seeking maternal and perinatal care, and other
underserved populations. The Project ECHO
programs funded under this section must be
culturally responsive, and the grantee must
contract with culturally and linguistically
appropriate substance use disorder service
providers who have expertise in focus areas,
based on the populations served. Grant funds
may be used for program administration,
equipment, provider reimbursement, and
staffing hours. This is a onetime appropriation.

(l) White Earth Nation Substance Use
Disorder Digital Therapy Tool. $3,000,000
in fiscal year 2024 is from the general fund
for a grant to the White Earth Nation to
develop an individualized Native American
centric digital therapy tool with Pathfinder
Solutions. This is a onetime appropriation.
The grant must be used to:

(1) develop a mobile application that is
culturally tailored to connecting substance use
disorder resources with White Earth Nation
members;

(2) convene a planning circle with White Earth
Nation members to design the tool;

(3) provide and expand White Earth
Nation-specific substance use disorder
services; and

(4) partner with an academic research
institution to evaluate the efficacy of the
program.

(m) Wellness in the Woods. $300,000 in
fiscal year 2024 and $300,000 in fiscal year
2025 are from the general fund for a grant to
Wellness in the Woods for daily peer support
and special sessions for individuals who are
in substance use disorder recovery, are
transitioning out of incarceration, or who have
experienced trauma. These are onetime
appropriations.

(n) Base Level Adjustment. The general fund
base is $3,247,000 in fiscal year 2026 and
$3,247,000 in fiscal year 2027.

new text begin EFFECTIVE DATE. new text end

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

Sec. 9. new text begin EXPIRATION OF UNCODIFIED LANGUAGE.
new text end

new text begin All uncodified language contained in this article expires on June 30, 2025, unless a
different expiration date is explicit.
 new text end

APPENDIX

Repealed Minnesota Statutes: S5335-3

246.41 BENEFIT FOR PERSONS WITH DEVELOPMENTAL DISABILITIES.

Subdivision 1.

Acceptance.

The commissioner of human services is authorized to accept, for and in behalf of the state, contributions of money for the use and benefit of persons with developmental disabilities.

Subd. 2.

Special welfare fund.

Any money so received by the commissioner shall be deposited with the commissioner of management and budget in a special welfare fund, which fund is to be used by the commissioner of human services for the benefit of persons with developmental disabilities within the state, including those within state hospitals. And, without excluding other possible uses, research relating to persons with developmental disabilities shall be considered an appropriate use of such funds; but such funds shall not be used for any structures or installations which by their nature would require state expenditures for their operation or maintenance without specific legislative enactment therefor.

Subd. 3.

Appropriation.

There is hereby appropriated from the special welfare fund in the state treasury to such persons as are entitled thereto to carry out the provisions stated in this section.

246C.03 TRANSITION OF AUTHORITY; DEVELOPMENT OF A BOARD.

Subdivision 1.

Authority until board is developed and powers defined.

On July 1, 2023, the commissioner of human services shall continue to exercise all authorities and responsibilities under chapters 13, 245, 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256, until legislation is effective that develops the Department of Direct Care and Treatment executive board and defines the responsibilities and powers of the Department of Direct Care and Treatment and its executive board.

Subd. 2.

Development of Department of Direct Care and Treatment Board.

(a) The commissioner of human services shall prepare legislation for introduction during the 2024 legislative session, with input from stakeholders the commissioner deems necessary, proposing legislation for the creation and implementation of the Direct Care and Treatment executive board and defining the responsibilities, powers, and function of the Department of Direct Care and Treatment executive board.

(b) The Department of Direct Care and Treatment executive board shall consist of no more than five members, all appointed by the governor.

(c) An executive board member's qualifications must be appropriate for overseeing a complex behavioral health system, such as experience serving on a hospital or non-profit board, serving as a public sector labor union representative, experience in delivery of behavioral health services or care coordination, or working as a licensed health care provider, in an allied health profession, or in health care administration.

252.021 DEFINITION.

For the purposes of this chapter, the term "related condition" has the meaning given in section 252.27, subdivision 1a.

252.27 CHILDREN'S SERVICES; PARENTAL CONTRIBUTION.

Subd. 1a.

Definitions.

A "related condition" is a condition: (1) that is found to be closely related to a developmental disability, including, but not limited to, cerebral palsy, epilepsy, autism, fetal alcohol spectrum disorder, and Prader-Willi syndrome; and (2) that meets all of the following criteria:

(i) is severe and chronic;

(ii) results in impairment of general intellectual functioning or adaptive behavior similar to that of persons with developmental disabilities;

(iii) requires treatment or services similar to those required for persons with developmental disabilities;

(iv) is manifested before the person reaches 22 years of age;

(v) is likely to continue indefinitely;

(vi) results in substantial functional limitations in three or more of the following areas of major life activity: (A) self-care, (B) understanding and use of language, (C) learning, (D) mobility, (E) self-direction, or (F) capacity for independent living; and

(vii) is not attributable to mental illness as defined in section 245.462, subdivision 20, or an emotional disturbance as defined in section 245.4871, subdivision 15.

For purposes of item (vii), notwithstanding section 245.462, subdivision 20, or 245.4871, subdivision 15, "mental illness" does not include autism or other pervasive developmental disorders.

Subd. 2.

Parental responsibility.

Responsibility of the parents for the cost of services shall be based upon ability to pay. The state agency shall adopt rules to determine responsibility of the parents for the cost of services when:

(1) insurance or other health care benefits pay some but not all of the cost of services; and

(2) no insurance or other health care benefits are available.

Subd. 2a.

Contribution amount.

(a) The natural or adoptive parents of a minor child, not including a child determined eligible for medical assistance without consideration of parental income under the Tax Equity and Fiscal Responsibility Act (TEFRA) option or a child accessing home and community-based waiver services, must contribute to the cost of services used by making monthly payments on a sliding scale based on income, unless the child is married or has been married, parental rights have been terminated, or the child's adoption is subsidized according to chapter 259A or through title IV-E of the Social Security Act. The parental contribution is a partial or full payment for medical services provided for diagnostic, therapeutic, curing, treating, mitigating, rehabilitation, maintenance, and personal care services as defined in United States Code, title 26, section 213, needed by the child with a chronic illness or disability.

(b) For households with adjusted gross income equal to or greater than 275 percent of federal poverty guidelines, the parental contribution shall be computed by applying the following schedule of rates to the adjusted gross income of the natural or adoptive parents:

(1) if the adjusted gross income is equal to or greater than 275 percent of federal poverty guidelines and less than or equal to 545 percent of federal poverty guidelines, the parental contribution shall be determined using a sliding fee scale established by the commissioner of human services which begins at 1.65 percent of adjusted gross income at 275 percent of federal poverty guidelines and increases to 4.5 percent of adjusted gross income for those with adjusted gross income up to 545 percent of federal poverty guidelines;

(2) if the adjusted gross income is greater than 545 percent of federal poverty guidelines and less than 675 percent of federal poverty guidelines, the parental contribution shall be 4.5 percent of adjusted gross income;

(3) if the adjusted gross income is equal to or greater than 675 percent of federal poverty guidelines and less than 975 percent of federal poverty guidelines, the parental contribution shall be determined using a sliding fee scale established by the commissioner of human services which begins at 4.5 percent of adjusted gross income at 675 percent of federal poverty guidelines and increases to 5.99 percent of adjusted gross income for those with adjusted gross income up to 975 percent of federal poverty guidelines; and

(4) if the adjusted gross income is equal to or greater than 975 percent of federal poverty guidelines, the parental contribution shall be 7.49 percent of adjusted gross income.

If the child lives with the parent, the annual adjusted gross income is reduced by $2,400 prior to calculating the parental contribution. If the child resides in an institution specified in section 256B.35, the parent is responsible for the personal needs allowance specified under that section in addition to the parental contribution determined under this section. The parental contribution is reduced by any amount required to be paid directly to the child pursuant to a court order, but only if actually paid.

(c) The household size to be used in determining the amount of contribution under paragraph (b) includes natural and adoptive parents and their dependents, including the child receiving services. Adjustments in the contribution amount due to annual changes in the federal poverty guidelines shall be implemented on the first day of July following publication of the changes.

(d) For purposes of paragraph (b), "income" means the adjusted gross income of the natural or adoptive parents determined according to the previous year's federal tax form, except, effective retroactive to July 1, 2003, taxable capital gains to the extent the funds have been used to purchase a home shall not be counted as income.

(e) The contribution shall be explained in writing to the parents at the time eligibility for services is being determined. The contribution shall be made on a monthly basis effective with the first month in which the child receives services. Annually upon redetermination or at termination of eligibility, if the contribution exceeded the cost of services provided, the local agency or the state shall reimburse that excess amount to the parents, either by direct reimbursement if the parent is no longer required to pay a contribution, or by a reduction in or waiver of parental fees until the excess amount is exhausted. All reimbursements must include a notice that the amount reimbursed may be taxable income if the parent paid for the parent's fees through an employer's health care flexible spending account under the Internal Revenue Code, section 125, and that the parent is responsible for paying the taxes owed on the amount reimbursed.

(f) The monthly contribution amount must be reviewed at least every 12 months; when there is a change in household size; and when there is a loss of or gain in income from one month to another in excess of ten percent. The local agency shall mail a written notice 30 days in advance of the effective date of a change in the contribution amount. A decrease in the contribution amount is effective in the month that the parent verifies a reduction in income or change in household size.

(g) Parents of a minor child who do not live with each other shall each pay the contribution required under paragraph (a). An amount equal to the annual court-ordered child support payment actually paid on behalf of the child receiving services shall be deducted from the adjusted gross income of the parent making the payment prior to calculating the parental contribution under paragraph (b).

(h) The contribution under paragraph (b) shall be increased by an additional five percent if the local agency determines that insurance coverage is available but not obtained for the child. For purposes of this section, "available" means the insurance is a benefit of employment for a family member at an annual cost of no more than five percent of the family's annual income. For purposes of this section, "insurance" means health and accident insurance coverage, enrollment in a nonprofit health service plan, health maintenance organization, self-insured plan, or preferred provider organization.

Parents who have more than one child receiving services shall not be required to pay more than the amount for the child with the highest expenditures. There shall be no resource contribution from the parents. The parent shall not be required to pay a contribution in excess of the cost of the services provided to the child, not counting payments made to school districts for education-related services. Notice of an increase in fee payment must be given at least 30 days before the increased fee is due.

(i) The contribution under paragraph (b) shall be reduced by $300 per fiscal year if, in the 12 months prior to July 1:

(1) the parent applied for insurance for the child;

(2) the insurer denied insurance;

(3) the parents submitted a complaint or appeal, in writing to the insurer, submitted a complaint or appeal, in writing, to the commissioner of health or the commissioner of commerce, or litigated the complaint or appeal; and

(4) as a result of the dispute, the insurer reversed its decision and granted insurance.

For purposes of this section, "insurance" has the meaning given in paragraph (h).

A parent who has requested a reduction in the contribution amount under this paragraph shall submit proof in the form and manner prescribed by the commissioner or county agency, including but not limited to the insurer's denial of insurance, the written letter or complaint of the parents, court documents, and the written response of the insurer approving insurance. The determinations of the commissioner or county agency under this paragraph are not rules subject to chapter 14.

Subd. 3.

Civil actions.

If the parent fails to make appropriate reimbursement as required in subdivisions 2a and 2b, the attorney general, at the request of the commissioner, may institute or direct the appropriate county attorney to institute civil action to recover the required reimbursement.

Subd. 4a.

Order of payment.

If the parental contribution is for reimbursement for the cost of services to both the local agency and the medical assistance program, the local agency shall be reimbursed for its expenses first and the remainder must be deposited in the medical assistance account.

Subd. 5.

Determination; redetermination; notice.

A determination order and notice of parental fee shall be mailed to the parent at least annually, or more frequently as provided in Minnesota Rules, parts 9550.6220 to 9550.6229. The determination order and notice shall contain the following information:

(1) the amount the parent is required to contribute;

(2) notice of the right to a redetermination and appeal; and

(3) the telephone number of the division at the Department of Human Services that is responsible for redeterminations.

Subd. 6.

Appeals.

A parent may appeal the determination or redetermination of an obligation to make a contribution under this section, according to section 256.045. The parent must make a request for a hearing in writing within 30 days of the date the determination or redetermination order is mailed, or within 90 days of such written notice if the parent shows good cause why the request was not submitted within the 30-day time limit. The commissioner must provide the parent with a written notice that acknowledges receipt of the request and notifies the parent of the date of the hearing. While the appeal is pending, the parent has the rights regarding making payment that are provided in Minnesota Rules, part 9550.6235. If the commissioner's determination or redetermination is affirmed, the parent shall, within 90 calendar days after the date an order is issued under section 256.045, subdivision 5, pay the total amount due from the effective date of the notice of determination or redetermination that was appealed by the parent. If the commissioner's order under this subdivision results in a decrease in the parental fee amount, any payments made by the parent that result in an overpayment shall be credited to the parent as provided in Minnesota Rules, part 9550.6235, subpart 3.

256B.0916 EXPANSION OF HOME AND COMMUNITY-BASED SERVICES.

Subd. 10.

Transitional supports allowance.

A transitional supports allowance shall be available to all persons under a home and community-based waiver who are moving from a licensed setting to a community setting. "Transitional supports allowance" means a onetime payment of up to $3,000, to cover the costs, not covered by other sources, associated with moving from a licensed setting to a community setting. Covered costs include:

(1) lease or rent deposits;

(2) security deposits;

(3) utilities setup costs, including telephone;

(4) essential furnishings and supplies; and

(5) personal supports and transports needed to locate and transition to community settings.