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Capital IconMinnesota Legislature
Office of the Revisor of Statutes

SF 7

as introduced - 94th Legislature, 2025 1st Special Session (2025 - 2025) Posted on 06/10/2025 09:35am

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

Current Version - as introduced

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 1.35 1.36 1.37 1.38 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 2.33 2.34 2.35 2.36 2.37 2.38 2.39 2.40 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 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 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 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 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 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 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 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 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 11.33 11.34 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
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
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
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 15.32 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 16.30
16.31 16.32 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 17.31 17.32 17.33 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 19.32 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 21.31 21.32 21.33 21.34 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 22.33 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 23.31 23.32 23.33 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 24.30 24.31 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
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
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 27.30 27.31 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
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 29.31 29.32
29.33
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 31.32 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 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 33.30 33.31 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 34.31 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 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
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 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 38.32 38.33 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 39.32 39.33 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 42.29 42.30 42.31 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 43.32 43.33
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 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
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 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 48.28 48.29 48.30 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 49.29 49.30 49.31 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 52.31 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 53.32 53.33 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 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 55.30 55.31 55.32 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 56.32
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 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 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 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
60.31
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 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 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 63.32 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 64.32 64.33 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 65.31 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 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
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 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
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 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 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 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 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 74.29 74.30 74.31 74.32 74.33 74.34 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 76.32 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 77.28 77.29 77.30 77.31 77.32 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
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 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 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 83.32 83.33
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
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 85.32 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
86.32
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 87.31 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 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
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 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
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 93.32 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 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 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 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 97.30 97.31 97.32 97.33 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 98.24 98.25 98.26 98.27 98.28 98.29 98.30 98.31 98.32 98.33 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 99.29 99.30 99.31 99.32 100.1 100.2 100.3 100.4 100.5 100.6 100.7 100.8 100.9 100.10 100.11 100.12 100.13 100.14 100.15 100.16 100.17 100.18 100.19 100.20 100.21 100.22 100.23 100.24 100.25 100.26 100.27 100.28 100.29 100.30 100.31 100.32 101.1 101.2 101.3
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
101.28 101.29 101.30 101.31 102.1 102.2 102.3
102.4
102.5 102.6 102.7 102.8 102.9 102.10 102.11
102.12
102.13 102.14 102.15 102.16 102.17 102.18 102.19 102.20 102.21 102.22 102.23 102.24 102.25 102.26 102.27 102.28 102.29 102.30 102.31 103.1 103.2 103.3 103.4 103.5 103.6 103.7 103.8 103.9 103.10
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
103.29 103.30 103.31 103.32 104.1 104.2 104.3 104.4 104.5 104.6 104.7 104.8 104.9 104.10 104.11 104.12 104.13 104.14 104.15 104.16 104.17 104.18 104.19 104.20 104.21 104.22 104.23 104.24 104.25 104.26 104.27 104.28 104.29 104.30 104.31 104.32 104.33 105.1 105.2 105.3 105.4 105.5 105.6 105.7
105.8
105.9 105.10 105.11 105.12 105.13 105.14 105.15 105.16 105.17 105.18 105.19 105.20 105.21 105.22 105.23 105.24 105.25 105.26 105.27 105.28
105.29 105.30 105.31 105.32
106.1 106.2 106.3 106.4 106.5 106.6 106.7 106.8 106.9 106.10
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
106.28 106.29 106.30 106.31 106.32 107.1 107.2
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
107.16 107.17 107.18 107.19 107.20 107.21 107.22 107.23 107.24 107.25 107.26 107.27 107.28 108.1 108.2 108.3 108.4 108.5 108.6 108.7 108.8 108.9 108.10 108.11 108.12 108.13
108.14
108.15 108.16 108.17 108.18 108.19 108.20 108.21 108.22 108.23 108.24 108.25 108.26 108.27 108.28 108.29 108.30 108.31 108.32 109.1 109.2 109.3 109.4 109.5 109.6 109.7 109.8 109.9 109.10 109.11 109.12 109.13 109.14 109.15 109.16 109.17 109.18 109.19 109.20 109.21 109.22 109.23 109.24 109.25 109.26 109.27 109.28 109.29 109.30 109.31 109.32 109.33 110.1 110.2 110.3 110.4 110.5 110.6 110.7 110.8 110.9 110.10 110.11 110.12 110.13 110.14 110.15 110.16 110.17 110.18 110.19 110.20 110.21 110.22 110.23 110.24 110.25 110.26 110.27 110.28 110.29 110.30 110.31 110.32 111.1 111.2 111.3 111.4 111.5 111.6 111.7 111.8 111.9 111.10 111.11 111.12 111.13 111.14 111.15 111.16 111.17 111.18 111.19 111.20 111.21 111.22 111.23 111.24 111.25 111.26 111.27 111.28 111.29 111.30 111.31 111.32 111.33 111.34 112.1 112.2 112.3 112.4 112.5 112.6 112.7 112.8 112.9 112.10 112.11 112.12
112.13 112.14
112.15 112.16 112.17 112.18 112.19 112.20 112.21 112.22 112.23 112.24 112.25 112.26 112.27 112.28 112.29 112.30 112.31 112.32 112.33 112.34 113.1 113.2 113.3 113.4 113.5 113.6 113.7 113.8 113.9 113.10 113.11 113.12 113.13 113.14 113.15 113.16 113.17 113.18 113.19 113.20 113.21 113.22 113.23 113.24 113.25 113.26 113.27 113.28 113.29 113.30 113.31 113.32 113.33 114.1 114.2 114.3 114.4 114.5 114.6 114.7 114.8 114.9 114.10 114.11 114.12 114.13 114.14 114.15 114.16 114.17 114.18 114.19 114.20 114.21 114.22 114.23 114.24 114.25 114.26 114.27 114.28 114.29
114.30 114.31 114.32
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
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
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
117.24 117.25 117.26 117.27 117.28 117.29 117.30 117.31 118.1 118.2 118.3 118.4 118.5 118.6 118.7 118.8 118.9 118.10 118.11 118.12 118.13 118.14 118.15 118.16 118.17 118.18 118.19 118.20 118.21 118.22 118.23 118.24 118.25 118.26 118.27 118.28 118.29 118.30 118.31 119.1 119.2 119.3 119.4 119.5 119.6 119.7 119.8 119.9 119.10 119.11 119.12 119.13 119.14 119.15
119.16 119.17 119.18
119.19 119.20 119.21 119.22 119.23 119.24 119.25 119.26 119.27 119.28 119.29 119.30 120.1 120.2 120.3 120.4 120.5 120.6 120.7 120.8 120.9 120.10 120.11 120.12 120.13 120.14 120.15 120.16 120.17 120.18 120.19 120.20 120.21
120.22 120.23 120.24
120.25 120.26 120.27 120.28 120.29 120.30 120.31 120.32 121.1 121.2 121.3 121.4 121.5 121.6 121.7 121.8 121.9 121.10 121.11 121.12 121.13
121.14 121.15 121.16
121.17 121.18 121.19 121.20 121.21 121.22 121.23 121.24 121.25 121.26 121.27 121.28 121.29 121.30 122.1 122.2 122.3 122.4 122.5
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
123.1 123.2 123.3 123.4 123.5 123.6 123.7 123.8 123.9 123.10 123.11 123.12 123.13 123.14 123.15 123.16 123.17 123.18 123.19 123.20 123.21 123.22 123.23 123.24 123.25 123.26 123.27 123.28 123.29 123.30 123.31 123.32 123.33 124.1 124.2 124.3 124.4 124.5 124.6 124.7 124.8 124.9 124.10 124.11 124.12 124.13 124.14 124.15 124.16 124.17 124.18 124.19 124.20 124.21 124.22 124.23 124.24 124.25 124.26 124.27 124.28 124.29
124.30 124.31 124.32
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
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
126.14 126.15 126.16 126.17 126.18 126.19 126.20 126.21 126.22 126.23 126.24 126.25 126.26 126.27 126.28 126.29 126.30 126.31 126.32 126.33 127.1 127.2 127.3 127.4
127.5 127.6 127.7
127.8 127.9 127.10 127.11 127.12 127.13 127.14 127.15
127.16
127.17 127.18 127.19 127.20 127.21 127.22
127.23 127.24 127.25
127.26 127.27 127.28 127.29 127.30 128.1 128.2 128.3 128.4 128.5 128.6 128.7
128.8
128.9 128.10 128.11 128.12 128.13 128.14 128.15
128.16
128.17 128.18 128.19 128.20 128.21 128.22 128.23 128.24 128.25 128.26 128.27 128.28 128.29 128.30 129.1 129.2 129.3 129.4 129.5 129.6 129.7 129.8 129.9
129.10
129.11 129.12 129.13 129.14 129.15
129.16
129.17 129.18 129.19 129.20 129.21 129.22 129.23 129.24 129.25 129.26 129.27 129.28 129.29 129.30 129.31 130.1 130.2 130.3 130.4 130.5 130.6 130.7 130.8 130.9 130.10 130.11 130.12 130.13 130.14 130.15 130.16 130.17 130.18 130.19 130.20 130.21 130.22 130.23 130.24 130.25 130.26 130.27 130.28 130.29 130.30 130.31 130.32 131.1 131.2 131.3 131.4 131.5 131.6 131.7 131.8 131.9
131.10 131.11
131.12 131.13 131.14 131.15 131.16
131.17
131.18 131.19 131.20 131.21 131.22 131.23 131.24 131.25 131.26 131.27 131.28 131.29 131.30 131.31 131.32 132.1 132.2 132.3 132.4 132.5 132.6 132.7 132.8 132.9 132.10 132.11 132.12 132.13 132.14 132.15 132.16 132.17 132.18 132.19 132.20 132.21 132.22 132.23 132.24 132.25 132.26 132.27 132.28 132.29 132.30 132.31 133.1 133.2 133.3
133.4
133.5 133.6 133.7 133.8 133.9 133.10 133.11
133.12
133.13 133.14 133.15 133.16 133.17 133.18 133.19 133.20 133.21 133.22 133.23 133.24 133.25 133.26 133.27 133.28 133.29 133.30 133.31 133.32 134.1 134.2 134.3 134.4 134.5 134.6 134.7 134.8 134.9 134.10 134.11 134.12 134.13 134.14 134.15 134.16 134.17 134.18 134.19 134.20 134.21 134.22 134.23 134.24 134.25 134.26 134.27 134.28 134.29 134.30 134.31 134.32 134.33 134.34 135.1 135.2 135.3 135.4 135.5 135.6 135.7 135.8 135.9 135.10 135.11 135.12 135.13 135.14 135.15 135.16 135.17 135.18 135.19 135.20 135.21 135.22 135.23 135.24 135.25 135.26 135.27 135.28 135.29 135.30 135.31 135.32 135.33 136.1 136.2 136.3 136.4 136.5 136.6 136.7 136.8 136.9 136.10 136.11 136.12 136.13 136.14 136.15 136.16 136.17 136.18 136.19 136.20 136.21 136.22 136.23 136.24 136.25 136.26 136.27 136.28 136.29 136.30 136.31
136.32 136.33 136.34
137.1 137.2 137.3 137.4 137.5 137.6 137.7 137.8 137.9 137.10 137.11 137.12 137.13 137.14 137.15 137.16 137.17 137.18 137.19 137.20 137.21 137.22 137.23 137.24 137.25 137.26 137.27 137.28 137.29 137.30 138.1 138.2 138.3 138.4 138.5 138.6 138.7 138.8 138.9 138.10 138.11 138.12 138.13 138.14 138.15 138.16 138.17 138.18
138.19
138.20 138.21 138.22 138.23 138.24 138.25 138.26 138.27 138.28 138.29 138.30 138.31 139.1 139.2 139.3 139.4 139.5 139.6 139.7 139.8 139.9 139.10 139.11 139.12 139.13 139.14 139.15 139.16 139.17 139.18 139.19 139.20 139.21 139.22 139.23 139.24 139.25 139.26 139.27 139.28 139.29 139.30 140.1 140.2 140.3 140.4 140.5 140.6 140.7 140.8 140.9 140.10 140.11 140.12 140.13 140.14 140.15 140.16 140.17 140.18 140.19 140.20 140.21 140.22 140.23 140.24 140.25 140.26 140.27 140.28 140.29 140.30 140.31 141.1 141.2 141.3 141.4 141.5 141.6 141.7 141.8 141.9 141.10 141.11 141.12 141.13 141.14 141.15 141.16 141.17 141.18 141.19 141.20 141.21 141.22 141.23 141.24 141.25 141.26 141.27 141.28 141.29 141.30 141.31 141.32 142.1 142.2 142.3 142.4 142.5 142.6 142.7 142.8 142.9 142.10 142.11 142.12 142.13 142.14 142.15 142.16 142.17 142.18 142.19 142.20 142.21 142.22 142.23 142.24 142.25 142.26 142.27 142.28 142.29
142.30 142.31 142.32 142.33
143.1 143.2 143.3 143.4 143.5 143.6 143.7 143.8 143.9 143.10 143.11 143.12 143.13 143.14 143.15 143.16 143.17 143.18
143.19 143.20 143.21
143.22 143.23 143.24 143.25 143.26 143.27 143.28 143.29 143.30 143.31 143.32 144.1 144.2 144.3 144.4 144.5 144.6 144.7 144.8 144.9 144.10 144.11 144.12 144.13 144.14 144.15 144.16
144.17 144.18 144.19 144.20 144.21 144.22
144.23
144.24 144.25 144.26 144.27 144.28 144.29 144.30 145.1 145.2 145.3 145.4 145.5 145.6 145.7 145.8 145.9 145.10 145.11 145.12 145.13 145.14 145.15 145.16 145.17 145.18 145.19 145.20 145.21 145.22 145.23 145.24 145.25 145.26 145.27 145.28 145.29 145.30 145.31 145.32 145.33 145.34 146.1 146.2 146.3 146.4 146.5 146.6 146.7 146.8 146.9 146.10 146.11 146.12 146.13 146.14 146.15 146.16 146.17
146.18 146.19 146.20
146.21 146.22 146.23 146.24 146.25 146.26 146.27 146.28 146.29 146.30 146.31 146.32 147.1 147.2 147.3 147.4 147.5 147.6 147.7 147.8 147.9 147.10 147.11 147.12 147.13 147.14 147.15 147.16 147.17 147.18 147.19 147.20 147.21
147.22
147.23 147.24 147.25 147.26 147.27 147.28 147.29 147.30 147.31 148.1 148.2 148.3 148.4 148.5 148.6 148.7 148.8 148.9 148.10 148.11 148.12 148.13 148.14 148.15 148.16 148.17 148.18 148.19 148.20 148.21 148.22 148.23 148.24 148.25 148.26 148.27 148.28 148.29 149.1 149.2 149.3 149.4 149.5 149.6 149.7 149.8 149.9 149.10 149.11 149.12 149.13 149.14 149.15 149.16 149.17 149.18 149.19 149.20 149.21 149.22 149.23 149.24 149.25 149.26 149.27 149.28 149.29 149.30 149.31 150.1 150.2 150.3 150.4 150.5 150.6 150.7 150.8 150.9 150.10 150.11 150.12 150.13 150.14 150.15 150.16 150.17
150.18
150.19 150.20 150.21 150.22 150.23 150.24 150.25 150.26 150.27 150.28 150.29 150.30 151.1 151.2 151.3 151.4 151.5 151.6 151.7 151.8 151.9 151.10 151.11 151.12 151.13 151.14 151.15
151.16
151.17 151.18 151.19 151.20 151.21 151.22 151.23 151.24 151.25 151.26 151.27 151.28 151.29 151.30 151.31 152.1 152.2 152.3 152.4 152.5 152.6 152.7 152.8 152.9 152.10 152.11 152.12 152.13 152.14 152.15 152.16 152.17 152.18
152.19
152.20 152.21 152.22 152.23 152.24 152.25 152.26 152.27 152.28 152.29 152.30 152.31 153.1 153.2 153.3 153.4 153.5 153.6 153.7 153.8 153.9 153.10 153.11 153.12 153.13 153.14 153.15 153.16 153.17 153.18 153.19 153.20 153.21 153.22 153.23 153.24 153.25 153.26 153.27 153.28 153.29 153.30 154.1 154.2 154.3 154.4 154.5 154.6 154.7 154.8 154.9 154.10 154.11 154.12 154.13 154.14 154.15 154.16 154.17 154.18 154.19 154.20 154.21 154.22 154.23 154.24 154.25 154.26 154.27 154.28 154.29 154.30 154.31 154.32 154.33 155.1 155.2 155.3 155.4 155.5 155.6 155.7 155.8 155.9 155.10 155.11 155.12 155.13 155.14 155.15 155.16 155.17 155.18
155.19
155.20 155.21 155.22 155.23 155.24 155.25 155.26 155.27 155.28 155.29 155.30 155.31 156.1 156.2 156.3 156.4 156.5 156.6 156.7 156.8 156.9 156.10 156.11 156.12 156.13 156.14 156.15 156.16 156.17 156.18
156.19
156.20 156.21 156.22 156.23 156.24 156.25 156.26 156.27 156.28 156.29 157.1 157.2
157.3
157.4 157.5 157.6 157.7 157.8 157.9 157.10 157.11 157.12 157.13 157.14 157.15 157.16 157.17 157.18 157.19 157.20 157.21 157.22 157.23 157.24 157.25 157.26 157.27 157.28 157.29 157.30 157.31 158.1 158.2 158.3 158.4 158.5 158.6 158.7 158.8 158.9 158.10 158.11 158.12 158.13 158.14 158.15 158.16 158.17 158.18 158.19 158.20 158.21 158.22 158.23 158.24 158.25 158.26 158.27 158.28 158.29 158.30 158.31 158.32 158.33 158.34 159.1 159.2
159.3 159.4 159.5 159.6 159.7 159.8 159.9 159.10 159.11 159.12 159.13 159.14 159.15 159.16 159.17 159.18 159.19 159.20 159.21 159.22 159.23 159.24 159.25 159.26 159.27 159.28 159.29 159.30 159.31 159.32 160.1 160.2 160.3 160.4 160.5 160.6 160.7 160.8 160.9 160.10 160.11 160.12 160.13 160.14 160.15 160.16 160.17 160.18 160.19 160.20 160.21 160.22 160.23 160.24 160.25 160.26 160.27 160.28 160.29 160.30 160.31 160.32 160.33 160.34 161.1 161.2 161.3 161.4 161.5 161.6 161.7 161.8 161.9 161.10 161.11 161.12 161.13 161.14 161.15 161.16 161.17 161.18 161.19 161.20 161.21 161.22 161.23 161.24 161.25 161.26 161.27 161.28 161.29 161.30 161.31 161.32 161.33 162.1 162.2 162.3 162.4 162.5 162.6 162.7 162.8 162.9
162.10 162.11 162.12
162.13 162.14 162.15 162.16 162.17 162.18 162.19 162.20 162.21 162.22 162.23 162.24 162.25 162.26 162.27 162.28 162.29 162.30 162.31 162.32 163.1 163.2 163.3 163.4 163.5 163.6 163.7 163.8
163.9 163.10 163.11
163.12 163.13 163.14 163.15 163.16 163.17 163.18 163.19 163.20 163.21 163.22 163.23 163.24 163.25 163.26 163.27 163.28 163.29 163.30 163.31 163.32 164.1 164.2 164.3 164.4 164.5 164.6 164.7 164.8 164.9 164.10 164.11 164.12 164.13 164.14 164.15 164.16 164.17 164.18 164.19 164.20 164.21 164.22 164.23 164.24 164.25 164.26 164.27 164.28 164.29 164.30 164.31 164.32 164.33 164.34 164.35 165.1 165.2 165.3 165.4 165.5
165.6 165.7 165.8 165.9 165.10 165.11 165.12 165.13 165.14 165.15 165.16 165.17 165.18 165.19 165.20 165.21 165.22 165.23 165.24 165.25 165.26 165.27 165.28 165.29 165.30 165.31 165.32 166.1 166.2 166.3 166.4 166.5 166.6 166.7 166.8 166.9 166.10 166.11 166.12 166.13 166.14 166.15 166.16 166.17 166.18 166.19 166.20
166.21 166.22 166.23 166.24 166.25 166.26 166.27 166.28
166.29
167.1 167.2 167.3 167.4 167.5 167.6 167.7 167.8 167.9 167.10 167.11 167.12 167.13 167.14 167.15 167.16 167.17 167.18 167.19 167.20 167.21 167.22 167.23 167.24 167.25 167.26 167.27 167.28 167.29 167.30 167.31 168.1 168.2 168.3 168.4 168.5 168.6 168.7 168.8 168.9 168.10 168.11 168.12 168.13
168.14 168.15 168.16 168.17 168.18 168.19 168.20 168.21 168.22 168.23
168.24 168.25 168.26 168.27 168.28 168.29 168.30 168.31 168.32
169.1 169.2 169.3
169.4 169.5 169.6 169.7 169.8 169.9 169.10 169.11 169.12 169.13 169.14
169.15 169.16 169.17 169.18 169.19 169.20 169.21 169.22 169.23 169.24 169.25 169.26 169.27 169.28 169.29 169.30 169.31 169.32 169.33 169.34 170.1 170.2 170.3 170.4 170.5 170.6 170.7 170.8 170.9 170.10 170.11 170.12 170.13 170.14 170.15 170.16 170.17 170.18 170.19 170.20 170.21 170.22 170.23 170.24 170.25 170.26 170.27 170.28 170.29 170.30 170.31 170.32
170.33 170.34 170.35 170.36
170.37 170.38 171.1 171.2 171.3 171.4
171.5 171.6 171.7 171.8
171.9 171.10
171.11 171.12 171.13 171.14 171.15 171.16 171.17 171.18 171.19 171.20 171.21 171.22 171.23 171.24 171.25 171.26 171.27 171.28 171.29 172.1 172.2 172.3 172.4 172.5 172.6 172.7 172.8 172.9 172.10 172.11
172.12
172.13 172.14 172.15 172.16 172.17 172.18 172.19 172.20 172.21 172.22 172.23 172.24 172.25 172.26 172.27 172.28 172.29 172.30 172.31 173.1 173.2 173.3 173.4
173.5
173.6 173.7 173.8 173.9 173.10 173.11 173.12 173.13 173.14 173.15 173.16 173.17 173.18 173.19 173.20 173.21 173.22 173.23 173.24 173.25 173.26 173.27 173.28
174.1 174.2 174.3 174.4 174.5 174.6 174.7 174.8 174.9 174.10 174.11 174.12 174.13 174.14 174.15 174.16 174.17 174.18 174.19 174.20 174.21 174.22 174.23 174.24 174.25 174.26 174.27 174.28 174.29 174.30 174.31 174.32 175.1 175.2 175.3 175.4 175.5 175.6 175.7 175.8 175.9 175.10 175.11 175.12 175.13 175.14 175.15 175.16 175.17 175.18 175.19 175.20 175.21 175.22 175.23 175.24 175.25 175.26 175.27 175.28 175.29 175.30 175.31 175.32 175.33 175.34 175.35 176.1 176.2 176.3 176.4 176.5 176.6 176.7 176.8 176.9 176.10 176.11 176.12 176.13 176.14 176.15 176.16 176.17 176.18 176.19
176.20 176.21 176.22 176.23 176.24 176.25 176.26 176.27 176.28 176.29 176.30 176.31
176.32
177.1 177.2 177.3 177.4 177.5 177.6 177.7
177.8
177.9 177.10 177.11 177.12 177.13 177.14 177.15 177.16 177.17 177.18 177.19 177.20 177.21
177.22
177.23 177.24 177.25 177.26 177.27 177.28 177.29 177.30 177.31 177.32 178.1 178.2 178.3 178.4 178.5 178.6 178.7 178.8
178.9
178.10 178.11 178.12 178.13 178.14 178.15 178.16 178.17 178.18 178.19 178.20 178.21 178.22 178.23
178.24 178.25 178.26 178.27
178.28 178.29 178.30 178.31 179.1 179.2 179.3 179.4 179.5 179.6 179.7 179.8 179.9 179.10 179.11 179.12 179.13 179.14 179.15 179.16 179.17 179.18 179.19 179.20 179.21 179.22 179.23 179.24 179.25 179.26 179.27 179.28 179.29 179.30 180.1 180.2 180.3 180.4 180.5 180.6 180.7 180.8 180.9 180.10 180.11 180.12 180.13 180.14 180.15 180.16 180.17 180.18 180.19 180.20 180.21 180.22 180.23 180.24 180.25 180.26 180.27 180.28 180.29 180.30 180.31 181.1 181.2 181.3 181.4 181.5 181.6 181.7 181.8 181.9 181.10 181.11 181.12 181.13 181.14 181.15 181.16 181.17 181.18 181.19 181.20
181.21 181.22 181.23 181.24 181.25 181.26 181.27 181.28 181.29 181.30
181.31
182.1 182.2
182.3 182.4 182.5 182.6 182.7 182.8 182.9 182.10 182.11 182.12 182.13 182.14 182.15 182.16 182.17 182.18 182.19 182.20 182.21 182.22 182.23 182.24 182.25 182.26 182.27 182.28 182.29 182.30 182.31 183.1 183.2 183.3 183.4 183.5 183.6 183.7 183.8 183.9 183.10 183.11 183.12 183.13 183.14 183.15 183.16 183.17 183.18 183.19
183.20
183.21 183.22 183.23 183.24 183.25 183.26 183.27 183.28
184.1 184.2 184.3 184.4 184.5 184.6 184.7 184.8
184.9 184.10 184.11 184.12 184.13 184.14 184.15 184.16 184.17 184.18 184.19 184.20 184.21 184.22 184.23 184.24 184.25 184.26 184.27 184.28 184.29 184.30 184.31 184.32 185.1 185.2 185.3 185.4 185.5 185.6 185.7 185.8 185.9 185.10 185.11 185.12 185.13 185.14 185.15 185.16 185.17 185.18 185.19 185.20 185.21 185.22 185.23 185.24 185.25 185.26 185.27 185.28 185.29
185.30
186.1 186.2 186.3 186.4 186.5 186.6 186.7 186.8 186.9 186.10 186.11 186.12 186.13 186.14 186.15 186.16 186.17 186.18 186.19 186.20 186.21 186.22 186.23 186.24 186.25 186.26 186.27 186.28 186.29 186.30 186.31 187.1 187.2 187.3 187.4 187.5 187.6 187.7 187.8 187.9 187.10 187.11 187.12 187.13 187.14 187.15
187.16
187.17 187.18 187.19 187.20 187.21 187.22 187.23 187.24 187.25 187.26 187.27 187.28 187.29 187.30 187.31 187.32 188.1 188.2 188.3 188.4 188.5 188.6 188.7 188.8 188.9 188.10 188.11 188.12 188.13 188.14 188.15 188.16 188.17 188.18 188.19 188.20 188.21 188.22 188.23 188.24 188.25 188.26 188.27 188.28 188.29 188.30 188.31 189.1 189.2 189.3 189.4 189.5 189.6 189.7 189.8 189.9 189.10 189.11 189.12 189.13 189.14 189.15 189.16 189.17 189.18 189.19 189.20 189.21 189.22 189.23 189.24 189.25 189.26 189.27 189.28 189.29 189.30 189.31 189.32 189.33 190.1 190.2 190.3 190.4 190.5 190.6 190.7 190.8 190.9 190.10 190.11 190.12 190.13 190.14 190.15 190.16 190.17 190.18 190.19 190.20 190.21 190.22 190.23 190.24 190.25 190.26 190.27 190.28 190.29 190.30 190.31 190.32 190.33 190.34 191.1 191.2 191.3 191.4 191.5 191.6 191.7 191.8 191.9 191.10 191.11 191.12 191.13
191.14
191.15 191.16 191.17 191.18 191.19 191.20 191.21 191.22 191.23 191.24 191.25 191.26 191.27 191.28 191.29 191.30 191.31 191.32 192.1 192.2 192.3 192.4 192.5 192.6 192.7 192.8 192.9 192.10 192.11 192.12 192.13 192.14 192.15 192.16 192.17 192.18 192.19 192.20 192.21 192.22 192.23 192.24 192.25 192.26 192.27 192.28 192.29 192.30 192.31 192.32 193.1 193.2 193.3 193.4 193.5 193.6 193.7 193.8 193.9 193.10 193.11 193.12 193.13 193.14 193.15 193.16 193.17 193.18 193.19 193.20 193.21 193.22 193.23 193.24 193.25 193.26 193.27 193.28 193.29 193.30
193.31
194.1 194.2 194.3 194.4 194.5 194.6 194.7 194.8 194.9 194.10 194.11 194.12 194.13 194.14 194.15 194.16 194.17 194.18 194.19 194.20 194.21 194.22 194.23 194.24 194.25 194.26 194.27 194.28 194.29 194.30 195.1 195.2 195.3 195.4 195.5 195.6 195.7 195.8 195.9 195.10 195.11 195.12 195.13 195.14 195.15 195.16 195.17 195.18 195.19 195.20 195.21 195.22 195.23 195.24 195.25 195.26 195.27 195.28 195.29 195.30 195.31 195.32 195.33 195.34 196.1 196.2 196.3 196.4 196.5 196.6 196.7 196.8 196.9 196.10 196.11 196.12
196.13
196.14 196.15 196.16 196.17 196.18 196.19 196.20 196.21 196.22 196.23 196.24 196.25 196.26 196.27 196.28 196.29 196.30 196.31 196.32 197.1 197.2 197.3 197.4 197.5 197.6 197.7 197.8 197.9 197.10 197.11 197.12 197.13 197.14 197.15 197.16 197.17 197.18 197.19 197.20 197.21 197.22 197.23 197.24 197.25 197.26 197.27 197.28 197.29 197.30 197.31 197.32 197.33 198.1 198.2 198.3 198.4 198.5 198.6 198.7 198.8 198.9 198.10 198.11 198.12 198.13 198.14 198.15 198.16 198.17 198.18 198.19 198.20 198.21 198.22 198.23 198.24 198.25 198.26 198.27 198.28 198.29 198.30 198.31 198.32 199.1 199.2 199.3 199.4 199.5 199.6 199.7 199.8 199.9 199.10 199.11 199.12 199.13 199.14 199.15
199.16
199.17 199.18 199.19 199.20 199.21 199.22 199.23 199.24 199.25 199.26 199.27 199.28 199.29 199.30 199.31 199.32 200.1 200.2 200.3 200.4 200.5 200.6 200.7 200.8 200.9 200.10 200.11 200.12 200.13 200.14 200.15 200.16 200.17 200.18 200.19 200.20 200.21 200.22 200.23 200.24 200.25 200.26 200.27 200.28 200.29 200.30 200.31 200.32 200.33 201.1 201.2 201.3 201.4 201.5 201.6 201.7 201.8 201.9 201.10 201.11 201.12 201.13 201.14 201.15 201.16 201.17 201.18 201.19 201.20 201.21 201.22 201.23 201.24 201.25 201.26 201.27 201.28 201.29 201.30 201.31 202.1
202.2
202.3 202.4 202.5 202.6 202.7 202.8 202.9 202.10 202.11 202.12 202.13 202.14 202.15 202.16 202.17 202.18 202.19 202.20 202.21 202.22 202.23 202.24 202.25 202.26 202.27 202.28 202.29 202.30 202.31 203.1 203.2 203.3 203.4 203.5 203.6 203.7 203.8 203.9 203.10 203.11 203.12 203.13 203.14 203.15 203.16 203.17 203.18 203.19 203.20 203.21 203.22 203.23 203.24 203.25 203.26 203.27 203.28 203.29 203.30 203.31 203.32 203.33 204.1 204.2 204.3 204.4 204.5 204.6 204.7 204.8
204.9
204.10 204.11 204.12 204.13 204.14 204.15 204.16 204.17 204.18 204.19 204.20 204.21 204.22
204.23
204.24 204.25 204.26 204.27 204.28 204.29 204.30 204.31 205.1 205.2 205.3 205.4 205.5
205.6
205.7 205.8 205.9 205.10 205.11 205.12 205.13 205.14 205.15 205.16 205.17 205.18 205.19 205.20 205.21 205.22 205.23 205.24 205.25 205.26 205.27 205.28 205.29 205.30 205.31 205.32 206.1 206.2 206.3
206.4
206.5 206.6 206.7 206.8 206.9 206.10 206.11 206.12 206.13 206.14 206.15 206.16 206.17 206.18 206.19 206.20 206.21 206.22 206.23 206.24 206.25 206.26
206.27
206.28 206.29 206.30 206.31 206.32 207.1 207.2 207.3 207.4 207.5 207.6 207.7 207.8 207.9 207.10 207.11 207.12 207.13 207.14 207.15 207.16 207.17 207.18 207.19 207.20 207.21 207.22
207.23 207.24 207.25 207.26 207.27 207.28 207.29
207.30
208.1 208.2 208.3 208.4 208.5
208.6 208.7
208.8
208.9 208.10
208.11 208.12 208.13 208.14 208.15 208.16 208.17 208.18 208.19 208.20 208.21 208.22 208.23 208.24 208.25 208.26
208.27 208.28 208.29 208.30 208.31 209.1 209.2
209.3 209.4 209.5
209.6 209.7 209.8 209.9 209.10 209.11 209.12 209.13 209.14 209.15 209.16 209.17 209.18 209.19 209.20 209.21 209.22 209.23 209.24 209.25 209.26 209.27 209.28 209.29 209.30 209.31 209.32 209.33 210.1 210.2 210.3
210.4 210.5 210.6 210.7 210.8 210.9 210.10 210.11
210.12 210.13 210.14 210.15 210.16 210.17 210.18
210.19 210.20 210.21 210.22 210.23 210.24 210.25
210.26 210.27 210.28 210.29 210.30 210.31 211.1 211.2 211.3 211.4 211.5 211.6 211.7 211.8 211.9 211.10 211.11 211.12 211.13 211.14 211.15 211.16 211.17 211.18 211.19 211.20 211.21 211.22 211.23 211.24 211.25 211.26 211.27 211.28 211.29 211.30 211.31 211.32 211.33 212.1 212.2 212.3 212.4 212.5 212.6 212.7 212.8 212.9 212.10 212.11 212.12 212.13 212.14 212.15 212.16 212.17 212.18 212.19 212.20 212.21 212.22 212.23 212.24 212.25 212.26 212.27 212.28 212.29 212.30 212.31 212.32 213.1 213.2 213.3 213.4 213.5 213.6 213.7 213.8 213.9 213.10 213.11 213.12 213.13 213.14 213.15 213.16 213.17 213.18 213.19 213.20 213.21 213.22 213.23 213.24 213.25 213.26 213.27 213.28 213.29 213.30 213.31 213.32 213.33 213.34 214.1 214.2 214.3 214.4 214.5 214.6 214.7 214.8 214.9 214.10 214.11 214.12 214.13 214.14 214.15 214.16 214.17 214.18 214.19
214.20
214.21 214.22 214.23 214.24 214.25 214.26 214.27 214.28 214.29 214.30 214.31 214.32 214.33 215.1 215.2 215.3 215.4 215.5 215.6 215.7 215.8 215.9 215.10 215.11 215.12 215.13
215.14 215.15 215.16 215.17 215.18 215.19 215.20 215.21 215.22 215.23 215.24 215.25 215.26 215.27 215.28 215.29 216.1 216.2 216.3 216.4 216.5 216.6 216.7 216.8 216.9 216.10 216.11 216.12 216.13 216.14 216.15 216.16 216.17 216.18
216.19 216.20 216.21 216.22 216.23 216.24 216.25 216.26 216.27 216.28 216.29 216.30 216.31 217.1 217.2 217.3 217.4 217.5 217.6 217.7 217.8 217.9 217.10 217.11 217.12 217.13 217.14 217.15
217.16 217.17 217.18 217.19 217.20 217.21 217.22 217.23 217.24 217.25 217.26 217.27 217.28 217.29 217.30 217.31 218.1 218.2 218.3 218.4 218.5 218.6 218.7 218.8 218.9 218.10 218.11 218.12 218.13 218.14
218.15 218.16 218.17 218.18 218.19 218.20 218.21 218.22 218.23 218.24 218.25 218.26 218.27 218.28 218.29 218.30 218.31 218.32 219.1 219.2 219.3 219.4 219.5
219.6 219.7 219.8 219.9 219.10 219.11 219.12 219.13 219.14 219.15 219.16 219.17 219.18 219.19 219.20 219.21 219.22 219.23 219.24 219.25 219.26 219.27 219.28 219.29 219.30
220.1 220.2 220.3 220.4 220.5 220.6 220.7 220.8 220.9 220.10 220.11 220.12 220.13 220.14 220.15 220.16 220.17 220.18 220.19
220.20 220.21 220.22
220.23 220.24 220.25 220.26 220.27 220.28 220.29 220.30 220.31 220.32 221.1 221.2 221.3
221.4 221.5 221.6
221.7 221.8 221.9 221.10 221.11 221.12 221.13 221.14 221.15 221.16 221.17 221.18 221.19
221.20 221.21 221.22 221.23 221.24 221.25 221.26 221.27 221.28 221.29 221.30 222.1 222.2
222.3 222.4 222.5 222.6 222.7 222.8 222.9 222.10 222.11 222.12 222.13 222.14 222.15 222.16 222.17 222.18 222.19 222.20 222.21 222.22 222.23 222.24 222.25 222.26 222.27 222.28 222.29 222.30
223.1 223.2 223.3 223.4 223.5 223.6 223.7 223.8 223.9 223.10 223.11 223.12 223.13 223.14 223.15 223.16 223.17 223.18 223.19 223.20 223.21 223.22 223.23 223.24 223.25 223.26 223.27 223.28 223.29
223.30 223.31 223.32 223.33 224.1 224.2 224.3 224.4 224.5 224.6 224.7 224.8 224.9 224.10 224.11 224.12 224.13 224.14 224.15 224.16 224.17 224.18 224.19 224.20
224.21 224.22 224.23 224.24 224.25 224.26 224.27 224.28 224.29
225.1 225.2 225.3 225.4 225.5 225.6 225.7 225.8 225.9 225.10 225.11 225.12 225.13 225.14 225.15 225.16 225.17 225.18 225.19 225.20 225.21 225.22 225.23 225.24 225.25
225.26 225.27 225.28 225.29 225.30 225.31 226.1 226.2 226.3 226.4 226.5 226.6 226.7
226.8 226.9 226.10 226.11 226.12 226.13 226.14 226.15 226.16
226.17 226.18 226.19 226.20 226.21 226.22 226.23 226.24 226.25
226.26 226.27 226.28
227.1 227.2
227.3 227.4 227.5 227.6 227.7 227.8 227.9 227.10 227.11 227.12 227.13 227.14 227.15 227.16 227.17 227.18 227.19 227.20 227.21 227.22 227.23 227.24 227.25 227.26 227.27 227.28 227.29 227.30 228.1 228.2 228.3 228.4 228.5 228.6 228.7 228.8 228.9 228.10 228.11 228.12
228.13 228.14 228.15 228.16 228.17 228.18 228.19 228.20 228.21 228.22 228.23 228.24 228.25 228.26 228.27 228.28 228.29 228.30 229.1 229.2 229.3 229.4 229.5 229.6 229.7 229.8 229.9 229.10 229.11 229.12 229.13 229.14 229.15 229.16 229.17 229.18 229.19 229.20 229.21 229.22 229.23 229.24 229.25 229.26 229.27 229.28 229.29 229.30 229.31 229.32 230.1 230.2 230.3 230.4 230.5 230.6 230.7 230.8 230.9 230.10 230.11 230.12 230.13 230.14 230.15 230.16 230.17 230.18 230.19 230.20 230.21 230.22 230.23 230.24 230.25 230.26 230.27 230.28 230.29
231.1 231.2 231.3 231.4 231.5 231.6 231.7 231.8 231.9 231.10 231.11 231.12 231.13 231.14 231.15 231.16 231.17 231.18 231.19 231.20 231.21 231.22 231.23 231.24 231.25 231.26 231.27 231.28 231.29 231.30 231.31 232.1 232.2 232.3 232.4 232.5 232.6 232.7 232.8 232.9 232.10 232.11 232.12 232.13 232.14 232.15 232.16 232.17 232.18 232.19 232.20 232.21 232.22 232.23 232.24 232.25 232.26 232.27 232.28 232.29 232.30 232.31 232.32 233.1 233.2 233.3 233.4 233.5 233.6 233.7 233.8 233.9 233.10 233.11 233.12 233.13 233.14 233.15 233.16 233.17 233.18 233.19 233.20 233.21
233.22 233.23 233.24
233.25 233.26 233.27 233.28 233.29 233.30 233.31 233.32 234.1 234.2 234.3 234.4 234.5 234.6 234.7 234.8 234.9 234.10 234.11 234.12 234.13 234.14 234.15 234.16 234.17 234.18 234.19 234.20 234.21 234.22 234.23 234.24 234.25 234.26 234.27 234.28 234.29 234.30 234.31 234.32 235.1 235.2 235.3
235.4 235.5 235.6 235.7 235.8 235.9 235.10 235.11 235.12 235.13 235.14 235.15 235.16 235.17 235.18 235.19 235.20
235.21 235.22 235.23 235.24 235.25 235.26 235.27
235.28 235.29 235.30 235.31 235.32 236.1 236.2 236.3 236.4 236.5 236.6 236.7 236.8 236.9 236.10 236.11 236.12 236.13 236.14 236.15 236.16 236.17 236.18 236.19 236.20 236.21 236.22 236.23 236.24 236.25 236.26
236.27 236.28 236.29 236.30 236.31 236.32 236.33 237.1 237.2
237.3 237.4 237.5 237.6 237.7 237.8 237.9 237.10 237.11 237.12 237.13 237.14 237.15 237.16 237.17 237.18 237.19 237.20 237.21 237.22 237.23 237.24 237.25 237.26 237.27
237.28 237.29 237.30 237.31 238.1 238.2 238.3 238.4 238.5 238.6 238.7 238.8 238.9 238.10 238.11 238.12 238.13 238.14 238.15 238.16 238.17 238.18 238.19 238.20
238.21 238.22 238.23 238.24 238.25 238.26
238.27 238.28 238.29 238.30 238.31 239.1 239.2 239.3 239.4 239.5 239.6 239.7 239.8 239.9 239.10 239.11 239.12 239.13 239.14 239.15 239.16 239.17 239.18 239.19 239.20 239.21 239.22 239.23 239.24 239.25 239.26 239.27 239.28 239.29 239.30 239.31 239.32 240.1 240.2 240.3 240.4 240.5 240.6 240.7 240.8 240.9 240.10 240.11 240.12 240.13 240.14 240.15 240.16 240.17 240.18 240.19 240.20 240.21
240.22 240.23 240.24 240.25 240.26 240.27 240.28 240.29 240.30 240.31 240.32 241.1 241.2 241.3 241.4
241.5 241.6 241.7 241.8 241.9 241.10 241.11 241.12 241.13 241.14 241.15 241.16
241.17 241.18
241.19 241.20 241.21 241.22 241.23 241.24 241.25 241.26 241.27 241.28 241.29 241.30 241.31 242.1 242.2 242.3 242.4 242.5 242.6 242.7 242.8 242.9 242.10 242.11 242.12 242.13 242.14 242.15 242.16 242.17 242.18 242.19 242.20 242.21 242.22 242.23 242.24 242.25 242.26 242.27 242.28 242.29 242.30 242.31 242.32 242.33 243.1 243.2 243.3 243.4 243.5 243.6 243.7 243.8 243.9 243.10 243.11 243.12 243.13 243.14 243.15 243.16 243.17 243.18 243.19 243.20 243.21 243.22 243.23 243.24 243.25 243.26 243.27 243.28 243.29 243.30 243.31 243.32 243.33 244.1 244.2
244.3 244.4 244.5 244.6 244.7 244.8 244.9 244.10 244.11 244.12 244.13 244.14 244.15 244.16 244.17 244.18 244.19 244.20 244.21 244.22 244.23 244.24 244.25 244.26 244.27 244.28 244.29 245.1 245.2 245.3 245.4 245.5 245.6 245.7 245.8 245.9 245.10 245.11 245.12 245.13 245.14 245.15 245.16 245.17 245.18 245.19 245.20 245.21 245.22 245.23 245.24 245.25 245.26 245.27 245.28 245.29 245.30 245.31 246.1 246.2 246.3 246.4 246.5 246.6 246.7 246.8 246.9 246.10 246.11 246.12 246.13 246.14 246.15 246.16 246.17
246.18 246.19
246.20 246.21 246.22 246.23 246.24 246.25 246.26 246.27 246.28 246.29 246.30 246.31 246.32 247.1 247.2 247.3 247.4 247.5 247.6 247.7 247.8 247.9 247.10 247.11 247.12 247.13 247.14 247.15 247.16 247.17 247.18 247.19 247.20 247.21 247.22 247.23 247.24 247.25 247.26
247.27 247.28 247.29 247.30 247.31 248.1 248.2 248.3 248.4
248.5 248.6 248.7 248.8 248.9 248.10 248.11 248.12 248.13 248.14 248.15 248.16 248.17 248.18 248.19 248.20 248.21 248.22
248.23 248.24 248.25 248.26 248.27 248.28 248.29 248.30 248.31
249.1 249.2
249.3 249.4 249.5 249.6 249.7
249.8 249.9
249.10 249.11 249.12 249.13 249.14 249.15 249.16 249.17 249.18 249.19 249.20 249.21 249.22 249.23 249.24 249.25 249.26 249.27 249.28 249.29 249.30 250.1 250.2 250.3
250.4 250.5 250.6 250.7 250.8 250.9 250.10 250.11 250.12 250.13 250.14 250.15 250.16 250.17 250.18 250.19 250.20 250.21 250.22 250.23 250.24 250.25 250.26 250.27 250.28 250.29 251.1 251.2 251.3 251.4 251.5 251.6 251.7 251.8 251.9 251.10 251.11 251.12 251.13 251.14 251.15 251.16 251.17 251.18 251.19 251.20 251.21 251.22 251.23 251.24 251.25 251.26 251.27 251.28 251.29 251.30 251.31 251.32 251.33 251.34 252.1 252.2 252.3 252.4 252.5 252.6 252.7 252.8 252.9 252.10 252.11 252.12 252.13 252.14 252.15 252.16 252.17 252.18 252.19 252.20 252.21 252.22 252.23 252.24 252.25 252.26 252.27 252.28
252.29 252.30
253.1 253.2 253.3 253.4 253.5 253.6 253.7 253.8 253.9
253.10 253.11 253.12 253.13 253.14 253.15
253.16
253.17 253.18 253.19 253.20 253.21 253.22 253.23 253.24 253.25 253.26 253.27 253.28 253.29 253.30
253.31
254.1 254.2 254.3 254.4 254.5 254.6 254.7 254.8 254.9 254.10 254.11 254.12 254.13 254.14 254.15 254.16 254.17 254.18 254.19 254.20
254.21
254.22 254.23 254.24 254.25 254.26 254.27 254.28 254.29 254.30 254.31 254.32
255.1
255.2 255.3 255.4 255.5 255.6 255.7 255.8 255.9 255.11 255.10 255.12 255.13 255.14 255.15 255.16 255.17 255.18 255.19 255.20 255.21 255.22 255.23 255.24 255.25 255.26 255.27 255.28 255.29 255.30 255.31 255.32 255.33 255.34 255.35 255.36 255.37 255.38 255.39 255.40 255.41 256.1 256.2 256.3 256.4 256.5 256.6 256.7 256.8 256.9 256.10 256.11 256.12 256.13 256.14 256.15 256.16 256.17 256.18 256.19 256.20 256.21 256.22 256.23 256.24 256.25 256.26 256.27 256.28 256.29 256.30 256.31 256.32 256.33 256.34 256.35 256.36 256.37 256.38 256.39 256.40 256.41 256.42 256.43 256.44 257.1 257.2 257.3 257.4 257.5 257.6 257.7 257.8 257.9 257.11 257.10 257.13 257.12 257.15 257.14 257.17 257.16 257.19 257.18 257.20 257.21 257.22 257.23 257.24 257.26 257.25 257.28 257.27 257.30 257.29 257.31 257.32 257.33 257.34 257.35 257.36 257.37 258.1 258.2 258.3 258.4 258.5 258.6 258.7 258.8 258.10 258.9 258.12 258.11 258.13 258.14 258.15 258.16 258.17 258.18 258.19 258.20 258.21 258.22 258.23 258.24 258.25 258.26 258.27 258.28 258.29 258.30 258.31 258.32 258.33 258.34 258.35 259.1 259.2 259.3 259.4 259.5 259.6 259.7 259.8
259.9
259.10 259.11 259.12 259.13 259.14 259.15
259.16
259.17 259.18 259.19 259.20 259.21 259.22 259.23 259.24 259.25
259.26
259.27 259.28 259.29 259.30 260.1 260.2
260.3
260.4 260.5
260.6 260.7 260.8 260.9 260.10 260.11 260.12 260.13 260.14 260.15 260.16
260.17 260.18 260.19 260.20 260.21 260.22 260.23 260.24 260.25 260.26 260.27 260.28 260.29 260.30 260.31 260.32 260.33 260.34 261.1 261.2 261.3 261.4 261.5 261.6 261.7 261.8 261.9 261.10 261.11 261.12 261.13
261.14 261.15
261.16 261.17
261.18 261.19 261.20 261.21 261.22 261.23 261.24 261.25 261.26 261.27 261.28 261.29
261.30 261.31 262.1 262.2 262.3 262.4 262.5 262.6 262.7 262.8 262.9 262.10 262.11 262.12 262.13 262.14 262.15 262.16 262.17 262.18 262.19 262.20 262.21 262.22 262.23 262.24 262.25 262.26 262.27 262.28 262.29 262.30 262.31 262.32 262.33 263.1 263.2
263.3 263.4 263.5 263.6 263.7 263.8 263.9 263.10 263.11 263.12 263.13 263.14 263.15 263.16 263.17 263.18 263.19 263.20 263.21 263.22 263.23 263.24 263.25 263.26 263.27 263.28 263.29 263.30
263.31
263.32 263.33 264.1 264.2 264.3 264.4 264.5 264.6 264.7 264.8 264.9 264.10 264.11 264.12 264.13 264.14 264.15 264.16 264.17 264.18 264.19 264.20 264.21 264.22 264.23 264.24 264.25 264.26 264.27 264.28 264.29 264.30 264.31 264.32 265.1 265.2 265.3 265.4 265.5 265.6 265.7 265.8 265.9 265.10 265.11 265.12 265.13 265.14
265.15 265.16 265.17 265.18 265.19 265.20 265.21 265.22 265.23 265.24 265.25 265.26 265.27
265.28 265.29 265.30 265.31 265.32 265.33 265.34 266.1 266.2 266.3 266.4 266.5 266.6
266.7 266.8 266.9 266.10 266.11 266.12
266.13 266.14
266.15 266.16 266.17 266.18 266.19 266.20 266.21
266.22 266.23 266.24 266.25 266.26 266.27
266.28 266.29
266.30 266.31 266.32 266.33 266.34 267.1 267.2 267.3 267.4 267.5
267.6 267.7 267.8 267.9 267.10 267.11 267.12 267.13 267.14 267.15 267.16
267.17 267.18 267.19 267.20 267.21 267.22 267.23 267.24 267.25 267.26 267.27 267.28 267.29 267.30 267.31 267.32 267.33 267.34 267.35 268.1 268.2 268.3 268.4
268.5 268.6 268.7 268.8 268.9 268.10 268.11 268.12 268.13 268.14 268.15 268.16 268.17
268.18 268.19
268.20 268.21 268.22 268.23 268.24 268.25 268.26 268.27 268.28 268.29 268.30 268.31 268.32 268.33 269.1 269.2 269.3 269.4 269.5 269.6 269.7 269.8 269.9 269.10 269.11 269.12 269.13 269.14 269.15 269.16 269.17 269.18 269.19 269.20 269.21 269.22 269.23 269.24 269.25 269.26 269.27 269.28 269.29 269.30 269.31
269.32 269.33 270.1 270.2 270.3 270.4 270.5 270.6 270.7 270.8 270.9 270.10 270.11 270.12 270.13 270.14 270.15 270.16 270.17 270.18 270.19 270.20 270.21 270.22 270.23 270.24 270.25 270.26 270.27
270.28 270.29 270.30 270.31 270.32 270.33 270.34 270.35 271.1 271.2
271.3 271.4 271.5 271.6 271.7 271.8 271.9 271.10 271.11 271.12 271.13 271.14 271.15 271.16 271.17 271.18 271.19 271.20 271.21 271.22 271.23 271.24 271.25 271.26 271.27 271.28 271.29 271.30 271.31 271.32 272.1 272.2 272.3 272.4 272.5 272.6 272.7 272.8 272.9 272.10 272.11 272.12 272.13 272.14 272.15 272.16 272.17 272.18 272.19 272.20 272.21 272.22 272.23 272.24 272.25 272.26
272.27 272.28 272.29 272.30 272.31 272.32 272.33 272.34 273.1 273.2 273.3 273.4 273.5 273.6 273.7 273.8 273.9 273.10 273.11 273.12 273.13 273.14 273.15 273.16 273.17 273.18 273.19 273.20 273.21 273.22 273.23 273.24 273.25 273.26 273.27 273.28 273.29 273.30 273.31 273.32 273.33 273.34 273.35 274.1 274.2 274.3 274.4 274.5 274.6 274.7 274.8 274.9 274.10 274.11
274.12
274.13 274.14 274.15 274.16 274.17 274.18 274.19 274.20 274.21 274.22 274.23 274.24 274.25 274.26 274.27 274.28 274.29 274.30 274.31 274.32 274.33 274.34 275.1 275.2 275.3 275.4 275.5 275.6 275.7 275.8 275.9 275.10 275.11 275.12 275.13 275.14 275.15 275.16 275.17 275.18 275.19 275.20 275.21 275.22 275.23 275.24 275.25 275.26 275.27 275.28 275.29 275.30 275.31 275.32 276.1 276.2 276.3
276.4
276.5 276.6 276.7 276.8 276.9 276.10 276.11 276.12 276.13 276.14 276.15 276.16 276.17 276.18 276.19 276.20 276.21 276.22 276.23 276.24 276.25 276.26 276.27 276.28 276.29 276.30 276.31 276.32 277.1 277.2 277.3 277.4 277.5 277.6 277.7 277.8 277.9 277.10 277.11 277.12 277.13 277.14 277.15 277.16 277.17 277.18 277.19 277.20 277.21 277.22 277.23 277.24 277.25 277.26 277.27 277.28 277.29 277.30 277.31 277.32 277.33 277.34 277.35 278.1 278.2 278.3 278.4 278.5 278.6 278.7 278.8 278.9 278.10 278.11 278.12 278.13 278.14 278.15 278.16 278.17 278.18 278.19 278.20 278.21 278.22 278.23 278.24 278.25 278.26 278.27 278.28 278.29 278.30 278.31 278.32 278.33 278.34 278.35 279.1 279.2 279.3 279.4 279.5 279.6 279.7 279.8 279.9 279.10 279.11 279.12 279.13 279.14 279.15 279.16 279.17 279.18 279.19 279.20 279.21 279.22 279.23 279.24 279.25 279.26 279.27 279.28 279.29 279.30 279.31 279.32 279.33 279.34 280.1 280.2 280.3 280.4 280.5 280.6 280.7 280.8 280.9 280.10 280.11 280.12 280.13 280.14 280.15 280.16 280.17 280.18 280.19 280.20 280.21 280.22 280.23 280.24 280.25 280.26 280.27 280.28 280.29 280.30 280.31 280.32 280.33 281.1 281.2 281.3 281.4 281.5 281.6 281.7 281.8 281.9 281.10 281.11 281.12 281.13 281.14 281.15 281.16 281.17 281.18 281.19 281.20 281.21 281.22 281.23 281.24 281.25 281.26 281.27 281.28 281.29 281.30 281.31 281.32 281.33 281.34
282.1
282.2 282.3 282.4 282.5 282.6 282.7 282.8 282.9 282.10 282.11 282.12 282.13 282.14 282.15 282.16 282.17 282.18 282.19 282.20 282.21 282.22
282.23 282.24 282.25 282.26 282.27 282.28 282.29 282.30 282.31 282.32 282.33 283.1 283.2 283.3 283.4 283.5 283.6 283.7 283.8 283.9 283.10 283.11 283.12 283.13 283.14 283.15 283.16 283.17 283.18 283.19 283.20 283.21 283.22 283.23 283.24 283.25 283.26 283.27 283.28 283.29 283.30 283.31 283.32 283.33 283.34 283.35 284.1 284.2 284.3 284.4 284.5 284.6 284.7 284.8 284.9 284.10 284.11 284.12 284.13 284.14 284.15 284.16 284.17 284.18 284.19 284.20 284.21 284.22 284.23 284.24 284.25 284.26 284.27 284.28 284.29 284.30 284.31 284.32 284.33 284.34 285.1 285.2 285.3 285.4 285.5 285.6 285.7 285.8 285.9 285.10 285.11 285.12 285.13 285.14 285.15 285.16 285.17 285.18 285.19 285.20 285.21 285.22 285.23 285.24 285.25 285.26 285.27 285.28 285.29 285.30 285.31 285.32 285.33 285.34 285.35 286.1 286.2 286.3 286.4 286.5 286.6 286.7 286.8 286.9 286.10 286.11 286.12 286.13 286.14 286.15 286.16 286.17 286.18 286.19 286.20 286.21 286.22 286.23 286.24 286.25 286.26 286.27 286.28 286.29 286.30 286.31 286.32 286.33 286.34 286.35 287.1 287.2 287.3 287.4 287.5 287.6 287.7 287.8 287.9 287.10 287.11 287.12 287.13 287.14 287.15
287.16 287.17 287.18 287.19 287.20 287.21 287.22 287.23 287.24 287.25 287.26 287.27 287.28 287.29 287.30 287.31 287.32 287.33 287.34 288.1 288.2 288.3 288.4 288.5 288.6 288.7 288.8 288.9 288.10 288.11 288.12 288.13 288.14 288.15 288.16 288.17 288.18 288.19 288.20 288.21 288.22 288.23 288.24 288.25 288.26 288.27 288.28 288.29 288.30 288.31 288.32 288.33 288.34 288.35 289.1 289.2 289.3 289.4 289.5 289.6 289.7 289.8 289.9 289.10 289.11 289.12 289.13 289.14 289.15 289.16 289.17 289.18 289.19 289.20 289.21 289.22 289.23 289.24 289.25 289.26
289.27 289.28 289.29 289.30 289.31 289.32 289.33 289.34 290.1 290.2 290.3 290.4 290.5 290.6 290.7 290.8 290.9 290.10 290.11 290.12 290.13 290.14
290.15
290.16 290.17 290.18 290.19 290.20 290.21 290.22 290.23 290.24 290.25 290.26 290.27 290.28 290.29 290.30 290.31 290.32 290.33 290.34 291.1 291.2 291.3 291.4 291.5 291.6 291.7 291.8 291.9 291.10 291.11 291.12 291.13 291.14 291.15 291.16 291.17 291.18 291.19 291.20 291.21 291.22 291.23 291.24 291.25 291.26 291.27 291.28 291.29 291.30 291.31 291.32 291.33 291.34 291.35 292.1 292.2 292.3 292.4 292.5 292.6 292.7 292.8 292.9 292.10 292.11 292.12 292.13 292.14 292.15 292.16 292.17 292.18 292.19 292.20 292.21 292.22 292.23 292.24 292.25 292.26 292.27 292.28 292.29 292.30 292.31 292.32 292.33 292.34 293.1 293.2 293.3 293.4 293.5 293.6 293.7 293.8 293.9 293.10 293.11 293.12 293.13 293.14 293.15 293.16 293.17 293.18 293.19 293.20 293.21 293.22 293.23 293.24 293.25 293.26 293.27 293.28 293.29
293.30 293.31 293.32 293.33 293.34 294.1 294.2 294.3 294.4 294.5 294.6 294.7 294.8 294.9 294.10 294.11 294.12 294.13 294.14 294.15 294.16 294.17 294.18 294.19 294.20 294.21 294.22 294.23 294.24 294.25 294.26 294.27 294.28 294.29 294.30 294.31 294.32 294.33 294.34 294.35 295.1 295.2 295.3 295.4 295.5 295.6 295.7 295.8 295.9
295.10
295.11 295.12 295.13 295.14 295.15 295.16 295.17 295.18 295.19 295.20 295.21 295.22 295.23 295.24 295.25 295.26 295.27 295.28 295.29 295.30 295.31 295.32 295.33 296.1 296.2 296.3 296.4 296.5 296.6 296.7 296.8 296.9 296.10 296.11 296.12 296.13 296.14 296.15 296.16 296.17 296.18 296.19 296.20 296.21 296.22 296.23 296.24 296.25 296.26 296.27 296.28 296.29 296.30 296.31 296.32 296.33 296.34 297.1 297.2 297.3 297.4 297.5 297.6 297.7 297.8 297.9 297.10 297.11 297.12 297.13 297.14 297.15 297.16 297.17
297.18 297.19 297.20 297.21 297.22 297.23 297.24 297.25 297.26 297.27 297.28 297.29 297.30 297.31 297.32 298.1 298.2 298.3 298.4 298.5 298.6 298.7 298.8 298.9 298.10 298.11 298.12 298.13 298.14 298.15 298.16 298.17 298.18 298.19 298.20 298.21 298.22 298.23 298.24 298.25 298.26 298.27 298.28 298.29
298.30
298.31 298.32 298.33 299.1 299.2 299.3 299.4 299.5 299.6 299.7 299.8 299.9 299.10 299.11 299.12 299.13 299.14 299.15 299.16 299.17 299.18 299.19 299.20 299.21
299.22 299.23 299.24 299.25
299.26 299.27 299.28
299.29 299.30
300.1 300.2
300.3 300.4 300.5 300.6 300.7 300.8 300.9 300.10 300.11 300.12 300.13 300.14
300.15 300.16 300.17 300.18 300.19
300.20 300.21 300.22 300.23 300.24 300.25 300.26 300.27 300.28 300.29 300.30 300.31 300.32 300.33
300.34
300.35
301.1
301.2 301.3 301.4 301.5 301.6 301.7 301.8 301.9 301.10 301.11 301.12 301.13 301.14 301.15 301.16 301.17 301.18 301.19 301.20 301.21 301.22 301.23 301.24 301.25 301.26 301.27 301.28 301.29 301.30 301.31 301.32 301.33 302.1 302.2 302.3 302.4 302.5 302.6 302.7 302.8 302.9 302.10
302.11 302.12 302.13 302.14 302.15 302.16 302.17 302.18 302.19 302.20 302.21 302.22 302.23 302.24 302.25 302.26 302.27 302.28 302.29 302.30 302.31 302.32 302.33 302.34 302.35 303.1 303.2 303.3 303.4
303.5
303.6 303.7 303.8 303.9 303.10 303.11 303.12 303.13 303.14 303.15 303.16 303.17 303.18 303.19 303.20 303.21 303.22 303.23 303.24 303.25 303.26 303.27 303.28 303.29 303.30 303.31 303.32 303.33 304.1 304.2 304.3 304.4 304.5
304.6 304.7 304.8 304.9
304.10 304.11 304.12
304.13 304.14
304.15 304.16
304.17 304.18 304.19 304.20 304.21 304.22 304.23 304.24 304.25 304.26 304.27 304.28
304.29 304.30 304.31 304.32
305.1 305.2 305.3 305.4 305.5 305.6 305.7 305.8
305.9 305.10 305.11 305.12 305.13 305.14 305.15 305.16 305.17
305.18 305.19 305.20 305.21 305.22 305.23 305.24 305.25
305.26 305.27 305.28
305.29 305.30
305.31 305.32 305.33 305.34 305.35 306.1 306.2 306.3 306.4 306.5 306.6 306.7 306.8 306.9 306.10 306.11 306.12 306.13
306.14 306.15 306.16 306.17
306.18 306.19 306.20
306.21 306.22

A bill for an act
 relating to human services; amending provisions on aging and older adult services,
disability services, health care, substance use disorder treatment, Direct Care and
Treatment, early intensive developmental and behavioral intervention program
reform, homelessness, and the Department of Health; making technical and
conforming changes; establishing task forces; requiring reports; making forecast
adjustments; appropriating money; amending Minnesota Statutes 2024, sections
144.0724, subdivision 11, as amended; 144A.01, subdivision 4; 144A.474,
subdivision 11; 144A.4799; 144G.08, subdivision 15; 144G.31, subdivision 8;
144G.52, subdivisions 1, 2, 3, 8; 144G.54, subdivisions 3, 7; 144G.55, subdivision
1; 179A.54, by adding a subdivision; 181.213, subdivision 2, by adding
subdivisions; 245.735, subdivision 3; 245.91, subdivision 4, as amended; 245A.03,
by adding a subdivision; 245A.04, subdivision 7, as amended; 245A.042, by adding
subdivisions; 245A.043, by adding a subdivision; 245A.06, subdivisions 1a, 2;
245A.10, subdivisions 1, 2, 3, 4, 8, by adding subdivisions; 245C.03, subdivisions
6, 15, by adding a subdivision; 245C.04, subdivision 6, by adding subdivisions;
245C.10, subdivision 6, by adding a subdivision; 245C.13, subdivision 2; 245C.16,
subdivision 1; 245D.091, subdivisions 2, as amended, 3, as amended; 245F.08,
subdivision 3; 245G.01, subdivision 13b, by adding subdivisions; 245G.02,
subdivision 2; 245G.07, subdivisions 1, 3, 4, by adding subdivisions; 245G.11,
subdivision 6, by adding a subdivision; 245G.22, subdivisions 11, 15, as amended;
246.54, subdivisions 1a, 1b; 246C.07, by adding a subdivision; 252.32, subdivision
3; 253B.10, subdivision 1, as amended; 254A.19, subdivision 4; 254B.01,
subdivisions 10, 11; 254B.02, subdivision 5; 254B.03, subdivisions 1, 3; 254B.04,
subdivisions 1a, as amended, 5, 6, 6a; 254B.05, subdivisions 1, as amended, 1a,
as amended, 5, as amended, by adding a subdivision; 254B.052, by adding a
subdivision; 254B.09, subdivision 2; 254B.19, subdivision 1; 256.01, by adding
a subdivision; 256.043, subdivision 3; 256.476, subdivision 4; 256.4792; 256.9657,
subdivision 1; 256.9752, subdivisions 2, 3; 256B.04, subdivision 21; 256B.051,
subdivisions 2, 5, 6, 8, by adding subdivisions; 256B.0625, subdivision 5m, as
amended; 256B.0659, subdivision 17a; 256B.0701, subdivisions 1, 2, by adding
subdivisions; 256B.0757, subdivision 4c; 256B.0911, subdivisions 1, 10, 13, 14,
17, 24, 30, by adding subdivisions; 256B.092, subdivisions 1a, as amended, 3, by
adding a subdivision; 256B.0924, subdivision 6; 256B.0949, subdivisions 2, 13,
15, 16, 16a, by adding a subdivision; 256B.431, subdivision 30; 256B.434,
subdivisions 4, 4k; 256B.49, subdivisions 13, as amended, 18, by adding a
subdivision; 256B.4914, subdivisions 3, 5, 5a, 5b, 8, 9, by adding subdivisions;
256B.761; 256B.766; 256B.85, subdivisions 2, 5, 7, 7a, 8, 8a, 11, 13, 16, 17a, by
adding a subdivision; 256B.851, subdivisions 5, 6, 7, by adding subdivisions;
256G.08, subdivisions 1, 2; 256G.09, subdivisions 1, 2, as amended; 256I.04,
subdivision 2a; 256I.05, by adding subdivisions; 256R.02, by adding subdivisions;
256R.23, subdivisions 7, 8; 256R.24, subdivision 3; 256R.25, as amended; 256R.26,
subdivision 9; 256R.27, subdivisions 2, 3; 256R.41; 256R.43; 256S.205,
subdivisions 2, 3, 5, 7, by adding subdivisions; 260E.14, subdivision 1, as amended;
325F.725; 611.43, by adding a subdivision; 626.5572, subdivision 13; Laws 2021,
First Special Session chapter 7, article 13, section 73; Laws 2023, chapter 61,
article 1, section 61, subdivision 4; article 9, section 2, subdivisions 13, 14, as
amended, 16, as amended, 17, 18, as amended; Laws 2024, chapter 125, article 4,
section 9, subdivisions 1, 8, 9, by adding a subdivision; article 6, section 1,
subdivision 7; article 8, section 2, subdivisions 12, 13, 14, 15, 19; proposing coding
for new law in Minnesota Statutes, chapters 145D; 245A; 245D; 254B; 256B;
256R; repealing Minnesota Statutes 2024, sections 245C.03, subdivision 13;
245C.10, subdivision 16; 245G.01, subdivision 20d; 245G.07, subdivision 2;
254B.01, subdivision 5; 254B.04, subdivision 2a; 254B.181; 256B.0949,
subdivision 9; 256R.02, subdivision 38; 256R.12, subdivision 10; 256R.23,
subdivision 6; 256R.36; Laws 2021, First Special Session chapter 7, article 13,
section 75, subdivisions 3, as amended, 6, as amended; Laws 2023, chapter 59,
article 3, section 11; Laws 2024, chapter 127, article 46, section 39.

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

ARTICLE 1

AGING AND OLDER ADULT SERVICES

Section 1.

Minnesota Statutes 2024, section 181.213, subdivision 2, is amended to read:


Subd. 2.

Investigation of market conditions.

(a) The board must investigate market
conditions and the existing wages, benefits, and working conditions of nursing home workers
for specific geographic areas of the state and specific nursing home occupations. Based on
this information, the board must seek to adopt minimum nursing home employment standards
that meet or exceed existing industry conditions for a majority of nursing home workers in
the relevant geographic area and nursing home occupation. Except for standards exceeding
the threshold determined in paragraph (d), initial employment standards established by the
board are effective beginning January 1, 2025, and shall remain in effect until any subsequent
standards are adopted by rules.

(b) The board must consider the following types of information in making determinations
that employment standards are reasonably necessary to protect the health and welfare of
nursing home workers:

(1) wage rate and benefit data collected by or submitted to the board for nursing home
workers in the relevant geographic area and nursing home occupations;

(2) statements showing wage rates and benefits paid to nursing home workers in the
relevant geographic area and nursing home occupations;

(3) signed collective bargaining agreements applicable to nursing home workers in the
relevant geographic area and nursing home occupations;

(4) testimony and information from current and former nursing home workers, worker
organizations, nursing home employers, and employer organizations;

(5) local minimum nursing home employment standards;

(6) information submitted by or obtained from state and local government entities; and

(7) any other information pertinent to establishing minimum nursing home employment
standards.

(c) In considering wage and benefit increases, the board must determine the impact of
new text begin the proposed standards onnew text end nursing home operating payment rates determined pursuant to
section 256R.21, subdivision 3, and the employee benefits portion of the external fixed
costs payment rate determined pursuant to section 256R.25. If the board, in consultation
with the commissioner of human services, determines the operating payment rate and
employee benefits portion of the external fixed costs payment rate will increase to comply
with the new employment standards, the board shall report to the legislature the increase in
funding needed to increase payment rates to comply with the new employment standards
and must make implementation of any new nursing home employment standards contingent
upon an appropriation, as determined by sections 256R.21 and 256R.25, to fund the rate
increase necessary to comply with the new employment standards.

(d) In evaluating the impact of the employment standards on payment rates determined
by sections 256R.21 and 256R.25, the board, in consultation with the commissioner of
human services, must consider the following:

(1) the statewide average wage rates for employees pursuant to section 256R.10,
subdivision 5, and benefit rates pursuant to section 256R.02, subdivisions 18 and 22, as
determined by the annual Medicaid cost report used to determine the operating payment
rate and the employee benefits portion of the external fixed costs payment rate for the first
day of the calendar year immediately following the date the board has established minimum
wage and benefit levels;

(2) compare the results of clause (1) to the operating payment rate and employee benefits
portion of the external fixed costs payment rate increase for the first day of the second
calendar year after the adoption of any nursing home employment standards included in the
most recent budget and economic forecast completed under section 16A.103; and

(3) if the established nursing home employment standards result in an increase in costs
that exceed the operating payment rate and external fixed costs payment rate increase
included in the most recent budget and economic forecast completed under section 16A.103,
effective on the proposed implementation date of the new nursing home employment
standards, the board must determine if the rates will need to be increased to meet the new
employment standards deleted text begin and the standards must not be effective until an appropriation sufficient
deleted text end deleted text begin to cover the rate increase and federal approval of the rate increase is obtaineddeleted text end .

(e) The budget and economic forecasts completed under section 16A.103 shall not
assume an increase in payment rates determined under chapter 256R resulting from the new
employment standards until the board certifies the rates will need to be increased and the
legislature appropriates funding for the increase in payment rates.

Sec. 2.

Minnesota Statutes 2024, section 181.213, is amended by adding a subdivision to
read:


new text begin Subd. 2a. new text end

new text begin Effective dates of new employment standards. new text end

new text begin (a) New employment standards
that do not meet the threshold determined in subdivision 2, paragraph (c) or (d), are effective
on the date determined by the board in rules.
 new text end

new text begin (b) New employment standards that exceed the threshold determined in subdivision 2,
paragraph (c) or (d), are effective upon federal approval or the following date, whichever
is later:
 new text end

new text begin (1) if subdivision 2b is in effect, the date the applicable rate adjustment under section
256R.495 is effective; or
 new text end

new text begin (2) if subdivision 2b is not in effect, the effective date of an enacted appropriation
sufficient to cover the rate increase.
 new text end

Sec. 3.

Minnesota Statutes 2024, section 181.213, is amended by adding a subdivision to
read:


new text begin Subd. 2b. new text end

new text begin Implementation of rate increases. new text end

new text begin (a) This paragraph is effective only for
those rate years, as defined in section 256R.02, during which both the CPI-U inflation limits
and the percentage increase limits under sections 256R.23, subdivisions 7 and 8, and 256R.24,
subdivision 3, are in effect.
 new text end

new text begin (b) For an increase in rates the board has determined under subdivision 2, paragraph (c)
or (d), is needed to cover the increased cost of compliance with new nursing home
employment standards, the appropriation sufficient to cover the rate increase must be made
in the form of a rate adjustment under section 256R.495.
 new text end

Sec. 4.

Minnesota Statutes 2024, section 256.4792, is amended to read:


256.4792 LONG-TERM SERVICES AND SUPPORTS LOAN PROGRAM.

Subdivision 1.

Long-term services and supports loan program.

The commissioner
of human services shall establish a deleted text begin competitivedeleted text end loan program to provide operating loans to
eligible long-term services and supports providers deleted text begin and facilitiesdeleted text end . The commissioner shall
initiate the application process for the loan described in this section deleted text begin at least once annually
if money is available. A second application process may be initiated each year at the
discretion of the commissionerdeleted text end new text begin on an ongoing basisnew text end .

Subd. 2.

Eligibility.

To be an eligible applicant for a loan under this section, a provider
must submit to the commissioner of human services a loan application in the form and
according to the timelines established by the commissioner. In its loan application, a loan
applicant must demonstrate the following:

deleted text begin (1) for nursing facilities with a medical assistance provider agreement that are licensed
as a nursing home or boarding care home according to section 256R.02, subdivision 33:
 deleted text end

deleted text begin (i) the total net income of the nursing facility is not generating sufficient revenue to
cover the nursing facility's operating expenses;
 deleted text end

deleted text begin (ii) the nursing facility is at risk of closure; and
 deleted text end

deleted text begin (iii) additional operating revenue is necessary to either preserve access to nursing facility
services within the community or support people with complex, high-acuity support needs;
and
 deleted text end

deleted text begin (2) for other long-term services and supports providers:
 deleted text end

deleted text begin (i) demonstrationdeleted text end new text begin (1)new text end that the provider is enrolled in a Minnesota health care program
and provides one or more of the following services in a Minnesota health care program:

deleted text begin (A)deleted text end new text begin (i)new text end home and community-based services under chapter 245D;

deleted text begin (B)deleted text end new text begin (ii)new text end personal care assistance services under section 256B.0659;

deleted text begin (C)deleted text end new text begin (iii)new text end community first services and supports under section 256B.85;

deleted text begin (D)deleted text end new text begin (iv)new text end early intensive developmental and behavioral intervention services under section
256B.0949;

deleted text begin (E)deleted text end new text begin (v)new text end home care services as defined under section 256B.0651, subdivision 1, paragraph
(d); or

deleted text begin (F)deleted text end new text begin (vi)new text end customized living services as defined in section 256S.02; and

deleted text begin (ii)deleted text end new text begin (2)new text end additional operating revenue is necessary to preserve access to services within
the community, expand services to people within the community, expand services to new
communities, or support people with complex, high-acuity support needs.

Subd. 2a.

Allowable uses of loan money.

deleted text begin (a) A loan awarded to a nursing facility under
subdivision 2, clause (1), must only be used to cover the facility's short-term operating
expenses. Nursing facilities receiving loans must not use the loan proceeds to pay related
organizations as defined in section 256R.02, subdivision 43.
 deleted text end

deleted text begin (b)deleted text end A loan awarded to a long-term services and supports provider under subdivision 2deleted text begin ,
clause (2),deleted text end must only be used to cover expenses related to achieving outcomes identified in
subdivision 2, clause (2)deleted text begin , item (ii)deleted text end .

Subd. 3.

Approving loans.

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

Subd. 4.

Disbursement schedule.

Successful loan applicants under this section may
receive loan disbursements as a lump sum or on an agreed upon disbursement schedule.
The commissioner shall approve disbursements to successful loan applicants through a
memorandum of understanding. Memoranda of understanding must specify the amount and
schedule of loan disbursements.

Subd. 5.

Loan administration.

The commissioner may contract with an independent
third party to administer the loan program under this section.

Subd. 6.

Loan payments.

The commissioner shall negotiate the terms of the loan
repayment, including the start of the repayment plan, the due date of the repayment, and
the frequency of the repayment installments. Repayment installments must not begin until
at least 18 months after the first disbursement date. The memoranda of understanding must
specify the amount and schedule of loan payments. The repayment term must not exceed
72 months. If any loan payment to the commissioner is not paid within the time specified
by the memoranda of understanding, the late payment must be assessed a penalty rate of
0.01 percent of the original loan amount each month the payment is past due. deleted text begin For nursing
facilities, this late fee is not an allowable cost on the department's cost report.deleted text end The
commissioner shall have the power to abate penalties when discrepancies occur resulting
from but not limited to circumstances of error and mail delivery.

Subd. 7.

Loan repayment.

(a) If a borrower is more than 60 calendar days delinquent
in the timely payment of a contractual payment under this section, the provisions in
paragraphs (b) to (e) apply.

(b) The commissioner may withhold some or all of the amount of the delinquent loan
payment, together with any penalties due and owing on those amounts, from any money
the department owes to the borrower. The commissioner may, at the commissioner's
discretion, also withhold future contractual payments from any money the commissioner
owes the provider as those contractual payments become due and owing. The commissioner
may continue this withholding until the commissioner determines there is no longer any
need to do so.

(c) The commissioner shall give prior notice of the commissioner's intention to withhold
by mail, facsimile, or email at least ten business days before the date of the first payment
period for which the withholding begins. The notice must be deemed received as of the date
of mailing or receipt of the facsimile or electronic notice. The notice mustnew text begin statenew text end :

(1) deleted text begin statedeleted text end the amount of the delinquent contractual payment;

(2) deleted text begin statedeleted text end the amount of the withholding per payment period;

(3) deleted text begin statedeleted text end the date on which the withholding is to begin;

(4) deleted text begin statedeleted text end whether the commissioner intends to withhold future installments of the
provider's contractual payments; and

(5) deleted text begin statedeleted text end other contents as the commissioner deems appropriate.

(d) The commissioner, or the commissioner's designee, may enter into written settlement
agreements with a provider to resolve disputes and other matters involving unpaid loan
contractual payments or future loan contractual payments.

(e) Notwithstanding any law to the contrary, all unpaid loans, plus any accrued penalties,
are overpayments for the purposes of section 256B.0641, subdivision 1. The current deleted text begin owner
of a nursing home, boarding care home, ordeleted text end long-term services and supports provider is liable
for the overpayment amount owed by a former owner for any deleted text begin facilitydeleted text end new text begin providernew text end sold,
transferred, or reorganized.

new text begin Subd. 7a. new text end

new text begin Nursing home loans. new text end

new text begin (a) All loans disbursed to nursing facilities under this
section prior to August 1, 2025, must follow the criteria and repayment terms outlined in
their executed loan agreements.
 new text end

new text begin (b) In the event of a facility's closure prior to repayment, the commissioner must attempt
to recover the unpaid amounts owed by the facility.
 new text end

new text begin (c) By January 15 of each year, the commissioner must provide a report to the chairs
and ranking minority members of the legislative committees with jurisdiction over nursing
facilities of all facilities that are delinquent in their repayments.
 new text end

Subd. 8.

Audit.

Loan money allocated under this section is subject to audit to determine
whether the money was spent as authorized under this section.

Subd. 8a.

Special revenue account.

A long-term services and supports loan account is
created in the special revenue fund in the state treasury. Money appropriated for the purposes
of this section must be transferred to the long-term services and supports loan account. All
payments received under subdivision 6, along with fees, penalties, and interest, must be
deposited into the special revenue account and are appropriated to the commissioner for the
purposes of this section.

Subd. 9.

Carryforward.

Notwithstanding section 16A.28, subdivision 3, money in the
long-term services and supports loan account for the purposes under this section carries
forward and does not lapse.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for memoranda of understanding executed
on or after August 1, 2025.
 new text end

Sec. 5.

Minnesota Statutes 2024, section 256.9657, subdivision 1, is amended to read:


Subdivision 1.

Nursing home license surcharge.

(a) deleted text begin Effective July 1, 1993,deleted text end Each
non-state-operated nursing home licensed under chapter 144A shall pay to the commissioner
an annual surcharge according to the schedule in subdivision 4. The surcharge shall be
calculated as deleted text begin $620deleted text end new text begin $2,815new text end per licensed bed. If the number of licensed beds is deleted text begin reduceddeleted text end new text begin
changednew text end , the surcharge shall be based on the number of deleted text begin remainingdeleted text end licensed beds deleted text begin the second
month following the receipt of timely notice by the commissioner of human services that
beds have been delicenseddeleted text end new text begin on the first day of the month following the change in number of
licensed bedsnew text end . The nursing home must notify the commissioner of health in writing when
beds are new text begin licensed or new text end delicensed. deleted text begin The commissioner of health must notify the commissioner
of human services within ten working days after receiving written notification. If the
notification is received by the commissioner of human services by the 15th of the month,
the invoice for the second following month must be reduced to recognize the delicensing
of beds. Beds on layaway status continue to be subject to the surcharge.deleted text end The commissioner
of human services must acknowledge a medical care surcharge appeal within deleted text begin 30deleted text end new text begin 90new text end days
of receipt of the written appeal from the provider.

(b) Effective deleted text begin July 1, 1994, the surcharge in paragraph (a) shall be increased to $625deleted text end new text begin
January 1, 2026, or the first day of the month following federal approval, whichever is later,
the surcharge under this subdivision shall be increased to $5,900new text end .

deleted text begin (c) Effective August 15, 2002, the surcharge under paragraph (b) shall be increased to
$990.
 deleted text end

deleted text begin (d) Effective July 15, 2003, the surcharge under paragraph (c) shall be increased to
$2,815.
 deleted text end

deleted text begin (e)deleted text end new text begin (c)new text end The commissioner deleted text begin may reduce, and may subsequently restore, the surcharge under
paragraph (d) based on the commissioner's determination of a permissible surchargedeleted text end new text begin must
decrease the amount under this subdivision as necessary to remain under the allowable
federal tax percent in Code of Federal Regulations, title 42, part 433new 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.

Minnesota Statutes 2024, section 256.9752, subdivision 2, is amended to read:


Subd. 2.

Authority.

The Minnesota Board on Aging shall allocate to area agencies on
aging the state and federal funds which are received for the senior nutrition programs of
congregate dining and home-delivered meals in a manner consistent with deleted text begin federal requirementsdeleted text end new text begin
the board's intrastate funding formulanew 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.

Minnesota Statutes 2024, section 256.9752, subdivision 3, is amended to read:


Subd. 3.

Nutrition support services.

(a) Funds allocated to an area agency on aging
for nutrition support services may be used for the following:

(1) transportation of home-delivered meals and purchased food and medications to the
residence of a senior citizen;

(2) expansion of home-delivered meals into unserved and underserved areas;

(3) transportation to supermarkets or delivery of groceries from supermarkets to homes;

(4) vouchers for food purchases at selected restaurants in isolated rural areas;

(5) the Supplemental Nutrition Assistance Program (SNAP) outreach;

(6) transportation of seniors to congregate dining sites;

(7) nutrition screening assessments and counseling as needed by individuals with special
dietary needs, performed by a licensed dietitian or nutritionist; deleted text begin and
deleted text end

(8) other appropriate services which support senior nutrition programs, including new
service delivery modelsnew text begin ; and
new text end

new text begin (9) innovative models of providing healthy and nutritious meals to seniors, including
through partnerships with schools, restaurants, and other community partnersnew text end .

(b) An area agency on aging may transfer unused funding for nutrition support services
to fund congregate dining services and home-delivered meals.

new text begin (c) State funds under this subdivision are subject to federal requirements in accordance
with the Minnesota Board on Aging's intrastate funding formula.
 new text end

Sec. 8.

Minnesota Statutes 2024, section 256B.431, subdivision 30, is amended to read:


Subd. 30.

Bed layaway and delicensure.

(a) For rate years beginning on or after July
1, 2000, a nursing facility reimbursed under this section which has placed beds on layaway
shall, for purposes of application of the downsizing incentive in subdivision 3a, paragraph
(c), and calculation of the rental per diem, have those beds given the same effect as if the
beds had been delicensed so long as the beds remain on layaway. new text begin Through December 31,
2026, new text end at the time of a layaway, a facility may change its single bed election for use in
calculating capacity days under Minnesota Rules, part 9549.0060, subpart 11. The property
payment rate increase shall be effective the first day of the month of January or July,
whichever occurs first following the date on which the layaway of the beds becomes effective
under section 144A.071, subdivision 4b.

(b) For rate years beginning on or after July 1, 2000, notwithstanding any provision to
the contrary under section 256B.434 or chapter 256R, a nursing facility reimbursed under
that section or chapter that has placed beds on layaway shall, for so long as the beds remain
on layaway, be allowed to:

(1) aggregate the applicable investment per bed limits based on the number of beds
licensed immediately prior to entering the alternative payment system;

(2) retain or change the facility's single bed election for use in calculating capacity days
under Minnesota Rules, part 9549.0060, subpart 11new text begin . Beginning January 1, 2027, a facility
is not allowed to change the facility's single bed electionnew text end ; and

(3) establish capacity days based on the number of beds immediately prior to the layaway
and the number of beds after the layaway.

The commissioner shall increase the facility's property payment rate by the incremental
increase in the rental per diem resulting from the recalculation of the facility's rental per
diem applying only the changes resulting from the layaway of beds and clauses (1), (2), and
(3). If a facility reimbursed under section 256B.434 or chapter 256R completes a moratorium
exception project after its base year, the base year property rate shall be the moratorium
project property rate. The base year rate shall be inflated by the factors in new text begin Minnesota Statutes
2024, new text end section 256B.434, subdivision 4deleted text begin , paragraph (c)deleted text end . The property payment rate increase
shall be effective the first day of the month of January or July, whichever occurs first
following the date on which the layaway of the beds becomes effective.

(c) If a nursing facility removes a bed from layaway status in accordance with section
144A.071, subdivision 4b, the commissioner shall establish capacity days based on the
number of licensed and certified beds in the facility not on layaway and shall reduce the
nursing facility's property payment rate in accordance with paragraph (b).

(d) For the rate years beginning on or after July 1, 2000, notwithstanding any provision
to the contrary under section 256B.434 or chapter 256R, a nursing facility reimbursed under
that section or chapter that has delicensed beds after July 1, 2000, by giving notice of the
delicensure to the commissioner of health according to the notice requirements in section
144A.071, subdivision 4b, shall be allowed to:

(1) aggregate the applicable investment per bed limits based on the number of beds
licensed immediately prior to entering the alternative payment system;

(2) retain or change the facility's single bed election for use in calculating capacity days
under Minnesota Rules, part 9549.0060, subpart 11new text begin . Beginning January 1, 2027, a facility
is not allowed to change the facility's single bed electionnew text end ; and

(3) establish capacity days based on the number of beds immediately prior to the
delicensure and the number of beds after the delicensure.

The commissioner shall increase the facility's property payment rate by the incremental
increase in the rental per diem resulting from the recalculation of the facility's rental per
diem applying only the changes resulting from the delicensure of beds and clauses (1), (2),
and (3). If a facility reimbursed under section 256B.434 completes a moratorium exception
project after its base year, the base year property rate shall be the moratorium project property
rate. The base year rate shall be inflated by the factors in new text begin Minnesota Statutes 2024, new text end section
256B.434, subdivision 4deleted text begin , paragraph (c)deleted text end . The property payment rate increase shall be effective
the first day of the month of January or July, whichever occurs first following the date on
which the delicensure of the beds becomes effective.

(e) For nursing facilities reimbursed under this section, section 256B.434, or chapter
256R, any beds placed on layaway shall not be included in calculating facility occupancy
as it pertains to leave days defined in Minnesota Rules, part 9505.0415.

(f) For nursing facilities reimbursed under this section, section 256B.434, or chapter
256R, the rental rate calculated after placing beds on layaway may not be less than the rental
rate prior to placing beds on layaway.

(g) A nursing facility receiving a rate adjustment as a result of this section shall comply
with section 256R.06, subdivision 5.

(h) A facility that does not utilize the space made available as a result of bed layaway
or delicensure under this subdivision to reduce the number of beds per room or provide
more common space for nursing facility uses or perform other activities related to the
operation of the nursing facility shall have its property rate increase calculated under this
subdivision reduced by the ratio of the square footage made available that is not used for
these purposes to the total square footage made available as a result of bed layaway or
delicensure.

new text begin (i) The commissioner must not adjust the property payment rates under this subdivision
for beds placed in or removed from layaway on or after January 1, 2027.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 9.

Minnesota Statutes 2024, section 256B.434, subdivision 4, is amended to read:


Subd. 4.

Alternate rates for nursing facilities.

Effective for the rate years beginning
on and after January 1, deleted text begin 2019deleted text end new text begin 2026new text end , a nursing facility's property payment rate deleted text begin for the second
and subsequent years of a facility's contractdeleted text end under this section deleted text begin aredeleted text end new text begin isnew text end the new text begin facility's new text end previous
rate year's property payment rate deleted text begin plus an inflation adjustment. The index for the inflation
adjustment must be based on the change in the Consumer Price Index-All Items (United
States City average) (CPI-U) forecasted by the Reports and Forecasts Division of the
Department of Human Services, as forecasted in the fourth quarter of the calendar year
preceding the rate year. The inflation adjustment must be based on the 12-month period
from the midpoint of the previous rate year to the midpoint of the rate year for which the
rate is being determineddeleted text end .

Sec. 10.

Minnesota Statutes 2024, section 256B.434, subdivision 4k, is amended to read:


Subd. 4k.

Property rate increase for certain nursing facilities.

(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 8deleted text begin , or May 31, 2026,
whichever is earlierdeleted text end .

(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.

(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.

(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.

deleted 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.
 deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 11.

Minnesota Statutes 2024, section 256R.02, is amended by adding a subdivision
to read:


new text begin Subd. 14a. new text end

new text begin CPI-U inflation. new text end

new text begin "CPI-U inflation" means the percentage change in the
Consumer Price Index-All Items (United States City average) (CPI-U) provided by the
Reports and Forecasts Division of the Department of Human Services in the fourth quarter
of the calendar year preceding the rate year based on the 12-month period ending with the
midpoint of the reporting period for which CPI-U inflation is being applied to determine
the rates and beginning with the midpoint of the previous reporting period.
 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. 12.

Minnesota Statutes 2024, section 256R.02, is amended by adding a subdivision
to read:


new text begin Subd. 36a. new text end

new text begin Patient driven payment model or PDPM. new text end

new text begin "Patient driven payment model"
or "PDPM" has the meaning given in section 144.0724, subdivision 2.
 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. 13.

Minnesota Statutes 2024, section 256R.02, is amended by adding a subdivision
to read:


new text begin Subd. 45a. new text end

new text begin Resource utilization group or RUG. new text end

new text begin "Resource utilization group" or "RUG"
has the meaning given in section 144.0724, subdivision 2.
 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. 14.

Minnesota Statutes 2024, section 256R.23, subdivision 7, is amended to read:


Subd. 7.

Determination of direct care payment rates.

A facility's direct care payment
rate equals the lesser of (1) the facility's direct care costs per standardized day, deleted text begin ordeleted text end (2) the
facility's direct care costs per standardized day divided by its cost to limit rationew text begin , (3) the
previous year's direct care payment rate times one plus CPI-U inflation, or (4) 104 percent
of the previous year's direct care payment ratenew text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 15.

Minnesota Statutes 2024, section 256R.23, subdivision 8, is amended to read:


Subd. 8.

Determination of other care-related payment rates.

A facility's other
care-related payment rate equals the lesser of (1) the facility's other care-related cost per
resident day, deleted text begin ordeleted text end (2) the facility's other care-related cost per resident day divided by its cost
to limit rationew text begin , (3) the previous year's other care-related rate times one plus CPI-U inflation,
or (4) 104 percent of the previous year's other care-related payment ratenew text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 16.

Minnesota Statutes 2024, section 256R.24, subdivision 3, is amended to read:


Subd. 3.

Determination of the other operating payment rate.

A facility's other
operating payment rate equalsnew text begin the lesser of (1)new text end 105 percent of the median other operating
cost per daynew text begin , (2) the previous year's other operating payment rate times one plus CPI-U
inflation, or (3) 104 percent of the previous year's other operating payment ratenew text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 17.

Minnesota Statutes 2024, section 256R.25, as amended by Laws 2025, chapter
38, article 1, section 27, is amended to read:


256R.25 EXTERNAL FIXED COSTS PAYMENT RATE.

new text begin Subd. 1. new text end

new text begin Determination of external fixed cost payment rate. new text end

deleted text begin (a)deleted text end The payment rate for
external fixed costs is the sum of the amounts in deleted text begin paragraphs (b) to (p)deleted text end new text begin subdivisions 2 to 17new text end .

new text begin Subd. 2. new text end

new text begin Provider surcharges. new text end

deleted text begin (b)deleted text end new text begin (a)new text end For a facility licensed as a nursing home, the
portion related to the provider surcharge under section 256.9657 is equal to deleted text begin $8.86deleted text end new text begin $19.02new text end
per resident day. For a facility licensed as both a nursing home and a boarding care home,
the portion related to the provider surcharge under section 256.9657 is equal to deleted text begin $8.86deleted text end new text begin $19.02new text end
per resident day multiplied by the result of its number of nursing home beds divided by its
total number of licensed beds.

new text begin (b) The commissioner must decrease the portion related to the provider surcharge as
necessary to conform to decreases in the nursing home license surcharge fee under section
256.9657.
 new text end

new text begin (c) The commissioner must reduce the portion related to the provider surcharge on
January 1 for each rate year the surcharge revenue received under section 256.9657,
subdivision 1, in the previous state fiscal year is less than the forecasted amount by 15
percent or more. The commissioner's computation must be based on the forecast published
most immediately prior to the beginning of the state fiscal year. A reduction of the portion
related to the provider surcharge under this paragraph is equal to the difference between
the forecasted amount and actual collections divided by total resident days from the most
recent cost reports, not to exceed a ten dollar reduction per resident day.
 new text end

new text begin Subd. 3. new text end

new text begin Licensure fees. new text end

deleted text begin (c)deleted text end The portion related to the licensure fee under section 144.122,
paragraph (d), is the amount of the fee divided by the sum of the facility's resident days.

new text begin Subd. 4. new text end

new text begin Advisory councils. new text end

deleted text begin (d)deleted text end The portion related to development and education of
resident and family advisory councils under section 144A.33 is $5 per resident day divided
by 365.

new text begin Subd. 5. new text end

new text begin Scholarships. new text end

deleted text begin (e)deleted text end The portion related to scholarships is determined under section
256R.37.

new text begin Subd. 6. new text end

new text begin Planned closures. new text end

deleted text begin (f)deleted text end The portion related to planned closure rate adjustments
is as determined under section 256R.40, subdivision 5, and Minnesota Statutes 2010, section
256B.436.

new text begin Subd. 7. new text end

new text begin Consolidations. new text end

deleted text begin (g)deleted text end The portion related to consolidation rate adjustments shall
be as determined under section 256R.405.

new text begin Subd. 8. new text end

new text begin Single-bed rooms. new text end

deleted text begin (h)deleted text end The portion related to single-bed room incentives is as
determined under section 256R.41.

new text begin Subd. 9. new text end

new text begin Taxes. new text end

deleted text begin (i)deleted text end The portions related to real estate taxes, special assessments, and
payments made in lieu of real estate taxes directly identified or allocated to the nursing
facility are the allowable amounts divided by the sum of the facility's resident days. Allowable
costs under this paragraph for payments made by a nonprofit nursing facility that are in lieu
of real estate taxes shall not exceed the amount which the nursing facility would have paid
to a city or township and county for fire, police, sanitation services, and road maintenance
costs had real estate taxes been levied on that property for those purposes.

new text begin Subd. 10. new text end

new text begin Health insurance. new text end

deleted text begin (j)deleted text end The portion related to employer health insurance costs
is the allowable costs divided by the sum of the facility's resident days.

new text begin Subd. 11. new text end

new text begin Public employees retirement. new text end

deleted text begin (k)deleted text end The portion related to the Public Employees
Retirement Association is the allowable costs divided by the sum of the facility's resident
days.

new text begin Subd. 12. new text end

new text begin Quality improvement incentives. new text end

deleted text begin (l)deleted text end The portion related to quality
improvement incentive payment rate adjustments is the amount determined under section
256R.39.

new text begin Subd. 13. new text end

new text begin Performance-based incentives. new text end

deleted text begin (m)deleted text end The portion related to performance-based
incentive payments is the amount determined under section 256R.38.

new text begin Subd. 14. new text end

new text begin Special diets. new text end

deleted text begin (n)deleted text end The portion related to special dietary needs is the amount
determined under section 256R.51.

new text begin Subd. 15. new text end

new text begin Border city facilities. new text end

deleted text begin (o)deleted text end The portion related to the rate adjustments for border
city facilities is the amount determined under section 256R.481.

new text begin Subd. 16. new text end

new text begin Critical access facilities. new text end

deleted text begin (p)deleted text end The portion related to the rate adjustment for
critical access nursing facilities is the amount determined under section 256R.47.

new text begin Subd. 17. new text end

new text begin Nursing home employment standards. new text end

new text begin The portion related to the rate
adjustment for nursing home employment standards is the amount determined under section
256R.495.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin The amendments to subdivisions 1 and 17 are effective January
1, 2026, or upon federal approval, whichever is later. The amendments to subdivision 2 are
effective January 1, 2026, or the first day of the month following 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. 18.

Minnesota Statutes 2024, section 256R.26, subdivision 9, is amended to read:


Subd. 9.

Transition period.

(a) A facility's property payment rate is the property rate
established for the facility under sections 256B.431 and 256B.434 until the facility's property
rate is transitioned upon completion of any project authorized under section 144A.071,
subdivision 3 or 4d; or 144A.073, subdivision 3, to the fair rental value property rate
calculated under this chapter.

(b) Effective the first day of the first month of the calendar quarter after the completion
of the project described in paragraph (a), the commissioner shall transition a facility to the
property payment rate calculated under this chapter. The initial rate year ends on December
31 and may be less than a full 12-month period. The commissioner shall schedule an appraisal
within 90 days of the commissioner receiving notification from the facility that the project
is completed. The commissioner shall apply the property payment rate determined after the
appraisal retroactively to the first day of the first month of the calendar quarter after the
completion of the project.

(c) Upon a facility's transition to the fair rental value property rates calculated under this
chapter, the facility's total property payment rate under subdivision 8 shall be the only
payment for costs related to capital assets, including depreciation, interest and lease expenses
for all depreciable assets, including movable equipment, land improvements, and land.
Facilities with property payment rates established under subdivisions 1 to 8 are not eligible
for planned closure rate adjustments under section 256R.40; consolidation rate adjustments
under section deleted text begin 144A.071, subdivisions 4c, paragraph (a), clauses (5) and (6), and 4ddeleted text end new text begin 256R.405new text end ;
single-bed room incentives under section 256R.41; and the property rate inflation adjustment
undernew text begin Minnesota Statutes 2024,new text end section 256B.434, subdivision 4. The commissioner shall
remove any of these incentives from the facility's existing rate upon the facility transitioning
to the fair rental value property rates calculated under this chapter.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 19.

Minnesota Statutes 2024, section 256R.27, subdivision 2, is amended to read:


Subd. 2.

Determination of interim payment rates.

(a) The nursing facility shall submit
an interim cost report in a format similar to the Minnesota Statistical and Cost Report and
other supporting information as required by this chapter for the reporting year in which the
nursing facility plans to begin operation at least 60 days before the first day a resident is
admitted to the newly constructed nursing facility bed. The interim cost report must include
the nursing facility's anticipated interim costs and anticipated interim resident days for each
resident class in the interim cost report. The anticipated interim resident days for each
resident class is multiplied by the weight for that resident class to determine the anticipated
interim standardized days as defined in section 256R.02, subdivision 50, and resident days
as defined in section 256R.02, subdivision 45, for the reporting period.

(b) The interim payment rates are determined according to sections 256R.21 to 256R.25,
except that:

(1) the anticipated interim costs and anticipated interim resident days reported on the
interim cost report and the anticipated interim standardized days as defined by section
256R.02, subdivision 50, must be used for the interim;

(2) the commissioner shall use anticipated interim costs and anticipated interim
standardized days in determining the allowable historical direct care cost per standardized
day as determined under section 256R.23, subdivision 2;

(3) the commissioner shall use anticipated interim costs and anticipated interim resident
days in determining the allowable historical other care-related cost per resident day as
determined under section 256R.23, subdivision 3;

(4) the commissioner shall use anticipated interim costs and anticipated interim resident
days to determine the allowable historical external fixed costs per day under section 256R.25,
deleted text begin paragraphs (b) to (k)deleted text end new text begin subdivisions 2 to 11new text end ;

(5) the total care-related payment rate limits established in section 256R.23, subdivision
5, and in effect at the beginning of the interim period must be increased by ten percent; and

(6) the other operating payment rate as determined under section 256R.24 in effect for
the rate year must be used for the other operating cost per day.

Sec. 20.

Minnesota Statutes 2024, section 256R.27, subdivision 3, is amended to read:


Subd. 3.

Determination of settle-up payment rates.

(a) When the interim payment
rates begin between May 1 and September 30, the nursing facility shall file settle-up cost
reports for the period from the beginning of the interim payment rates through September
30 of the following year.

(b) When the interim payment rates begin between October 1 and April 30, the nursing
facility shall file settle-up cost reports for the period from the beginning of the interim
payment rates to the first September 30 following the beginning of the interim payment
rates.

(c) The settle-up payment rates are determined according to sections 256R.21 to 256R.25,
except that:

(1) the allowable costs and resident days reported on the settle-up cost report and the
standardized days as defined by section 256R.02, subdivision 50, must be used for the
interim and settle-up period;

(2) the commissioner shall use the allowable costs and standardized days in clause (1)
to determine the allowable historical direct care cost per standardized day as determined
under section 256R.23, subdivision 2;

(3) the commissioner shall use the allowable costs and the allowable resident days to
determine both the allowable historical other care-related cost per resident day as determined
under section 256R.23, subdivision 3;

(4) the commissioner shall use the allowable costs and the allowable resident days to
determine the allowable historical external fixed costs per day under section 256R.25,
deleted text begin paragraphs (b) to (k)deleted text end new text begin subdivisions 2 to 11new text end ;

(5) the total care-related payment limits established in section 256R.23, subdivision 5,
are the limits for the settle-up reporting periods. If the interim period includes more than
one July 1 date, the commissioner shall use the total care-related payment rate limit
established in section 256R.23, subdivision 5, increased by ten percent for the second July
1 date; and

(6) the other operating payment rate as determined under section 256R.24 in effect for
the rate year must be used for the other operating cost per day.

Sec. 21.

Minnesota Statutes 2024, section 256R.41, is amended to read:


256R.41 SINGLE-BED ROOM INCENTIVE.

new text begin Subdivision 1. new text end

new text begin Single-bed incentive. new text end

deleted text begin (a) Beginning July 1, 2005,deleted text end The operating payment
rate for nursing facilities reimbursed under this chapter shall be increased by 20 percent
multiplied by the ratio of the number of new single-bed rooms created divided by the number
of active beds on July 1, 2005, for each bed closure that results in the creation of a single-bed
room after July 1, 2005. The commissioner may implement rate adjustments for up to 3,000
new single-bed rooms each yearnew text begin through June 30, 2030new text end . For eligible bed closures for which
the commissioner receives a notice from a facility that a bed has been delicensed and a new
single-bed room has been established, the rate adjustment in this paragraph shall be effective
on either the first day of the month of January or July, whichever occurs first following the
date of the bed delicensure.

new text begin Subd. 2. new text end

new text begin Single-bed incentive phase-out. new text end

new text begin (a) Beginning January 1, 2027, the
commissioner shall reduce the value of the single-bed incentive calculated under subdivision
1 as follows:
 new text end

new text begin (1) January 1, 2027, through December 31, 2027, the single-bed incentive is 80 percent
of the value calculated under subdivision 1;
 new text end

new text begin (2) January 1, 2028, through December 31, 2028, the single-bed incentive is 60 percent
of the value calculated under subdivision 1;
 new text end

new text begin (3) January 1, 2029, through December 31, 2029, the single-bed incentive is 40 percent
of the value calculated under subdivision 1;
 new text end

new text begin (4) January 1, 2030, through December 31, 2030, the single-bed incentive is 20 percent
of the value calculated under subdivision 1; and
 new text end

new text begin (5) on or after January 1, 2031, the single-bed incentive is zero.
 new text end

new text begin (b) The phase-out schedule in this subdivision applies to all existing and new rate
adjustment amounts determined under subdivision 1.
 new text end

new text begin Subd. 3. new text end

new text begin Discharge prohibition. new text end

deleted text begin (b)deleted text end A nursing facility is prohibited from discharging
residents for purposes of establishing single-bed rooms. A nursing facility must submit
documentation to the commissioner in a form prescribed by the commissioner, certifying
the occupancy status of beds closed to create single-bed rooms. In the event that the
commissioner determines that a facility has discharged a resident for purposes of establishing
a single-bed room, the commissioner shall not provide a rate adjustment under deleted text begin paragraph
(a)deleted text end new text begin this sectionnew 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. 22.

Minnesota Statutes 2024, section 256R.43, is amended to read:


256R.43 BED HOLDS.

The commissioner shall limit payment for leave days in a nursing facility to 30 percent
of that nursing facility's total payment rate for the involved resident, and shall allow this
payment only when the occupancy of the nursing facility, inclusive of bed hold days, is
equal to or greater than 96 percent, notwithstanding Minnesota Rules, part 9505.0415.new text begin For
the purpose of establishing leave day payments, the commissioner shall determine occupancy
based on the number of licensed and certified beds in the facility that are not in layaway
status.
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. 23.

new text begin [256R.495] RATE ADJUSTMENT FOR NURSING HOME EMPLOYMENT
STANDARDS.
 new text end

new text begin Subdivision 1. new text end

new text begin Nursing home employment standards rate adjustment. new text end

new text begin For each rate
year for which section 181.213, subdivision 2b, is in effect, and for which the legislature
appropriates money to fund a rate increase necessary to meet new employment standards
established under section 181.213, a nursing facility's rate under this chapter must include
a rate adjustment to pay for the nursing home employment standards promulgated by the
Nursing Home Workforce Standards Board if the facility complies with the requirements
in subdivision 2. To receive a rate adjustment under this section, a nursing facility must
report to the commissioner the wage rate for every worker and contracted worker below a
new minimum employment standard established by the board under section 181.213.
 new text end

new text begin Subd. 2. new text end

new text begin Application for rate adjustments. new text end

new text begin To receive a rate adjustment under this
section, a nursing facility must submit to the commissioner in a form and manner determined
by the commissioner an application for each rate year in which a rate adjustment is available.
The application must include data for a period beginning with the first pay period after June
1 of the year prior to the rate year in which the rate adjustment takes effect, including at
least two months of worker-compensated hours by wage rate and a spending plan that
describes how the money from the rate adjustment will be allocated for compensation to
workers as defined by Minnesota Rules, part 5200.2060, who are paid less than the general
wage standards defined in Minnesota Rules, part 5200.2080, and the wage standards for
certain positions defined by Minnesota Rules, part 5200.2090. A nursing facility must submit
the application by October 1 of the year prior to the rate year in which the rate adjustment
takes effect. The commissioner may request any additional information needed to determine
the rate adjustment. The nursing facility must provide any additional information requested
by the commissioner within 20 calendar days of receiving a request from the commissioner
for additional information. The commissioner may waive the deadlines in this subdivision
under extraordinary circumstances.
 new text end

new text begin Subd. 3. new text end

new text begin Rate adjustment timeline. new text end

new text begin Based on an approved application submitted under
subdivision 2, the commissioner must calculate the amount of the rate adjustment based on
the facility's approved application under subdivision 2 and include that amount in the facility's
external fixed cost payment rate under section 256R.25. For each rate year for which a
nursing facility receives approval of the application under subdivision 2, the facility must
receive a final rate adjustment according to the applicable subdivision of this section. The
final rate adjustment must be included in the external fixed costs payment rate under section
256R.25 for two rate years.
 new text end

new text begin Subd. 4. new text end

new text begin January 1, 2026, rate adjustment calculation. new text end

new text begin (a) For the rate year beginning
January 1, 2026, the commissioner must calculate the annualized compensation costs by
adding the totals of clauses (1) to (5). The result must be divided by the total resident days
from the most recently available cost report to determine the preliminary rate adjustment
for the nursing home employment standards:
 new text end

new text begin (1) for certified nursing assistants, the sum of the difference between $22.50 and any
hourly wage rate of less than $22.50 multiplied by the number of compensated hours at that
wage rate;
 new text end

new text begin (2) for trained medication aides, the sum of the difference between $23.50 and any hourly
wage rate of less than $23.50 multiplied by the number of compensated hours at that wage
rate;
 new text end

new text begin (3) for licensed practical nurses, the sum of the difference between $27 and any hourly
wage rate of less than $27 multiplied by the number of compensated hours at that wage
rate;
 new text end

new text begin (4) for all nursing home workers not included in clauses (1) to (3) who are subject to
the minimum wage standards established by the board under section 181.213, the sum of
the difference between $19 and any hourly wage rate less than $19 multiplied by the number
of compensated hours at that wage rate; and
 new text end

new text begin (5) the sum of the employer's share of FICA taxes, Medicare taxes, state and federal
unemployment taxes, workers' compensation, pensions, and contributions to employee
retirement accounts attributable to the amounts in clauses (1) to (4).
 new text end

new text begin (b) If the aggregate net general fund spending under this subdivision does not exceed
the increase in funding needed to increase payment rates to comply with the new employment
standards as reported to the legislature by the Nursing Home Workforce Standards Board
under section 181.213, the preliminary rate adjustment calculated under paragraph (a) is
the final rate adjustment for the nursing home employment standards.
 new text end

new text begin (c) If the aggregate net general fund spending under this subdivision exceeds the increase
in funding needed to increase payment rates necessary to comply with the new employment
standards as reported to the legislature by the Nursing Home Workforce Standards Board
under section 181.213, the commissioner must determine the final rate adjustment by
reducing all preliminary rate adjustments calculated under paragraph (a) by an equal
proportion such that the aggregate net general fund spending under this subdivision is equal
to the amount reported to the legislature by the Nursing Home Workforce Standards Board.
 new text end

new text begin Subd. 5. new text end

new text begin January 1, 2027, rate adjustment calculation. new text end

new text begin (a) For the rate year beginning
January 1, 2027, the commissioner must calculate the annualized compensation costs by
adding the totals of clauses (1) to (5). The result must be divided by the total resident days
from the most recently available cost report to determine the final rate adjustment for the
nursing home employment standards:
 new text end

new text begin (1) for certified nursing assistants, the sum of the difference between $24 and any hourly
wage rate of less than $24 multiplied by the number of compensated hours at that wage
rate;
 new text end

new text begin (2) for trained medication aides, the sum of the difference between $25 and any hourly
wage rate of less than $25 multiplied by the number of compensated hours at that wage
rate;
 new text end

new text begin (3) for licensed practical nurses, the sum of the difference between $28.50 and any hourly
wage rate of less than $28.50 multiplied by the number of compensated hours at that wage
rate;
 new text end

new text begin (4) for all nursing home workers not included in clauses (1) to (3) who are subject to
the minimum wage standards established by the board under section 181.213, the sum of
the difference between $20.50 and any hourly wage rate of less than $20.50 multiplied by
the number of compensated hours at that wage rate; and
 new text end

new text begin (5) the sum of the employer's share of FICA taxes, Medicare taxes, state and federal
unemployment taxes, workers' compensation, pensions, and contributions to employee
retirement accounts attributable to the amounts in clauses (1) to (4).
 new text end

new text begin (b) If the aggregate net general fund spending under this subdivision does not exceed
the increase in funding needed to increase payment rates necessary to comply with the new
employment standards as reported to the legislature by the Nursing Home Workforce
Standards Board under section 181.213, the preliminary rate adjustment calculated under
paragraph (a) is the final rate adjustment for the nursing home employment standards.
 new text end

new text begin (c) If the aggregate net general fund spending under this subdivision exceeds the increase
in funding needed to increase payment rates necessary to comply with the new employment
standards as reported to the legislature by the Nursing Home Workforce Standards Board
under section 181.213, the commissioner must determine the final rate adjustment by
reducing all preliminary rate adjustments calculated under paragraph (a) by an equal
proportion such that the aggregate net general fund spending under this subdivision is equal
to the amount reported to the legislature by the Nursing Home Workforce Standards Board.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 24.

new text begin [256R.531] PATIENT DRIVEN PAYMENT MODEL PHASE-IN.
 new text end

new text begin Subdivision 1. new text end

new text begin PDPM phase-in. new text end

new text begin Effective October 1, 2025, through December 31, 2028,
for each facility, the commissioner must determine an adjustment to its total payment rate
as determined under sections 256R.21 and 256R.27 to phase in the transition from the
RUG-IV case mix classification system to the patient driven payment model (PDPM) case
mix classification system.
 new text end

new text begin Subd. 1a. new text end

new text begin Definition. new text end

new text begin "Medical assistance facility average case mix index" means the
facility average case mix index for the subset of a facility's residents that includes only
medical assistance recipients.
 new text end

new text begin Subd. 2. new text end

new text begin PDPM phase-in rate adjustment. new text end

new text begin A facility's PDPM phase-in rate adjustment
to its total payment rate is equal to:
 new text end

new text begin (1) the blended medical assistance case mix adjusted direct care payment rate determined
in subdivision 6; minus
 new text end

new text begin (2) the PDPM medical assistance case mix adjusted direct care payment rate determined
in section 256R.23, subdivision 7.
 new text end

new text begin Subd. 3. new text end

new text begin RUG-IV standardized days and RUG-IV facility case mix index. new text end

new text begin (a) Effective
October 1, 2025, through December 31, 2027, for each facility, the commissioner must
determine the RUG-IV standardized days and RUG-IV medical assistance facility average
case mix index.
 new text end

new text begin (b) For the rate year beginning January 1, 2028, only:
 new text end

new text begin (1) for each facility, the commissioner must determine both the RUG-IV facility average
case mix index and the RUG-IV medical assistance facility average case mix index using
resident days by the case mix classification on the facility's September 30, 2025, Minnesota
Statistical and Cost Report; and
 new text end

new text begin (2) for each facility, the commissioner must determine the RUG-IV standardized days
by multiplying the facility's resident days on the facility's September 30, 2026, Minnesota
Statistical and Cost Report by the facility's RUG-IV facility average case mix index
determined under clause (1).
 new text end

new text begin Subd. 4. new text end

new text begin RUG-IV medical assistance case mix adjusted direct care payment rate. new text end

new text begin The
commissioner must determine a facility's RUG-IV medical assistance case mix adjusted
direct care payment rate as the product of:
 new text end

new text begin (1) the facility's RUG-IV direct care payment rate determined in section 256R.23,
subdivision 7, using the RUG-IV standardized days determined in subdivision 3; and
 new text end

new text begin (2) the corresponding RUG-IV medical assistance facility average case mix index
determined in subdivision 3.
 new text end

new text begin Subd. 5. new text end

new text begin PDPM medical assistance case mix adjusted direct care payment rate. new text end

new text begin The
commissioner must determine a facility's PDPM case mix adjusted direct care payment rate
as the product of:
 new text end

new text begin (1) the facility's direct care payment rate determined in section 256R.23, subdivision 7;
and
 new text end

new text begin (2) the corresponding medical assistance facility average case mix index.
 new text end

new text begin Subd. 6. new text end

new text begin Blended medical assistance case mix adjusted direct care payment rate. new text end

new text begin The
commissioner must determine a facility's blended medical assistance case mix adjusted
direct care payment rate as the sum of:
 new text end

new text begin (1) the RUG-IV medical assistance case mix adjusted direct care payment rate determined
in subdivision 4 multiplied by the following percentages:
 new text end

new text begin (i) October 1, 2025, through December 31, 2026, 75 percent;
 new text end

new text begin (ii) January 1, 2027, through December 31, 2027, 50 percent; and
 new text end

new text begin (iii) January 1, 2028, through December 31, 2028, 25 percent; and
 new text end

new text begin (2) the PDPM medical assistance case mix adjusted direct care payment rate determined
in subdivision 5 multiplied by the following percentages:
 new text end

new text begin (i) October 1, 2025, through December 31, 2026, 25 percent;
 new text end

new text begin (ii) January 1, 2027, through December 31, 2027, 50 percent; and
 new text end

new text begin (iii) January 1, 2028, through December 31, 2028, 75 percent.
 new text end

new text begin Subd. 7. new text end

new text begin Expiration. new text end

new text begin This section expires January 1, 2029.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 25.

Minnesota Statutes 2024, section 256S.205, subdivision 2, is amended to read:


Subd. 2.

Rate adjustment application.

(a) Effective through September 30, 2023, a
facility may apply to the commissioner for new text begin an initial new text end designation as a disproportionate share
facility. Applications must be submitted annually between September 1 and September 30.
The applying facility must apply in a manner determined by the commissioner. The applying
facility must document each of the following on the application:

(1) the number of customized living residents in the facility on September 1 of the
application year, broken out by specific waiver program; and

(2) the total number of people residing in the facility on September 1 of the application
year.

(b) Effective October 1, 2023, the commissioner must not process any new new text begin initial
new text end applications for disproportionate share facilities deleted text begin after the September 1 through September
30, 2023, application perioddeleted text end .

(c) A facility that deleted text begin receivesdeleted text end new text begin receivednew text end rate floor payments in rate year 2024 may submit
an new text begin annual new text end application under this subdivision to maintain its designation as a disproportionate
share facility deleted text begin for rate year 2025deleted text end .

Sec. 26.

Minnesota Statutes 2024, section 256S.205, subdivision 3, is amended to read:


Subd. 3.

Rate adjustment eligibility criteria.

(a) deleted text begin Effective through September 30, 2023,deleted text end
Only facilities satisfying all of the following conditions on September 1 of the application
year are eligible for designation as a disproportionate share facility:

(1) at least 83.5 percent of the residents of the facility are customized living residents;
and

(2) at least 70 percent of the customized living residents are elderly waiver participants.

(b) A facility determined eligible for the disproportionate share rate adjustment in
application year 2023 and receiving payments in rate year 2024 is eligible to receive payments
in rate deleted text begin year 2025deleted text end new text begin years beginning on or after January 1, 2025,new text end only if the commissioner
determines that the facility continues to meet the eligibility requirements under this
subdivision as determined by the application process under subdivision 2, paragraph (c).

Sec. 27.

Minnesota Statutes 2024, section 256S.205, subdivision 5, is amended to read:


Subd. 5.

Rate adjustment; rate floor.

(a) deleted text begin Effective through December 31, 2025,deleted text end
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 $141 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.

Sec. 28.

Minnesota Statutes 2024, section 256S.205, subdivision 7, is amended to read:


Subd. 7.

Expiration.

This section expires deleted text begin January 1, 2026deleted text end new text begin May 31, 2028new text end .

Sec. 29.

Minnesota Statutes 2024, section 256S.205, is amended by adding a subdivision
to read:


new text begin Subd. 8. new text end

new text begin Coercion prohibited. new text end

new text begin (a) A facility must not pressure, coerce, entice, or
otherwise unduly influence a resident to become an elderly waiver participant. Every six
months, each designated disproportionate share facility must submit a written attestation to
the commissioner affirming that neither the facility nor any of its owners, operators, or
employees pressured, coerced, enticed, or otherwise unduly influenced a resident to become
an elderly waiver participant. If a facility fails to submit the required attestation to the
commissioner within 60 days of the due date of the attestation, the commissioner must
terminate the facility's designation. The facility may appeal the decision of the commissioner
under section 256.045.
 new text end

new text begin (b) The commissioner shall terminate a facility's designation as a disproportionate share
facility upon a credible allegation of a facility violating this subdivision. The commissioner
may also impose other sanctions under chapter 256B as the commissioner deems appropriate.
The facility may appeal the decision of the commissioner under section 256.045.
 new text end

Sec. 30.

Minnesota Statutes 2024, section 256S.205, is amended by adding a subdivision
to read:


new text begin Subd. 9. new text end

new text begin Compensation requirements. new text end

new text begin (a) A provider receiving a rate floor must use
a minimum of 66 percent of the incremental increase in revenue generated by the rate floor
under this section for direct care staff compensation.
 new text end

new text begin (b) Compensation under this subdivision includes:
 new text end

new text begin (1) wages;
 new text end

new text begin (2) taxes and workers' compensation;
 new text end

new text begin (3) health insurance;
 new text end

new text begin (4) dental insurance;
 new text end

new text begin (5) vision insurance;
 new text end

new text begin (6) life insurance;
 new text end

new text begin (7) short-term disability insurance;
 new text end

new text begin (8) long-term disability insurance;
 new text end

new text begin (9) retirement spending;
 new text end

new text begin (10) tuition reimbursement;
 new text end

new text begin (11) wellness programs;
 new text end

new text begin (12) paid vacation time;
 new text end

new text begin (13) paid sick time; or
 new text end

new text begin (14) other items of monetary value provided to direct care staff.
 new text end

Sec. 31. new text begin LAWS EFFECTIVE DATE.
new text end

new text begin Notwithstanding any other law to the contrary, Laws 2025, chapter 38, article 1, section
30, is effective 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. 32. new text begin REPEALER.
new text end

new text begin (a) new text end new text begin Minnesota Statutes 2024, section 256R.02, subdivision 38, new text end new text begin is repealed.
 new text end

new text begin (b) new text end new text begin Minnesota Statutes 2024, sections 256R.12, subdivision 10; and 256R.36, new text end new text begin are repealed.
 new text end

new text begin (c) new text end new text begin Minnesota Statutes 2024, section 256R.23, subdivision 6, new text end new text begin is repealed.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin Paragraph (a) is effective January 1, 2026. Paragraph (b) is
effective the day following final enactment. Paragraph (c) is effective October 1, 2025.
 new text end

ARTICLE 2

DISABILITY SERVICES

Section 1.

Minnesota Statutes 2024, section 179A.54, is amended by adding a subdivision
to read:


new text begin Subd. 12. new text end

new text begin Minnesota Caregiver Retirement Fund Trust. new text end

new text begin (a) The state and an exclusive
representative certified pursuant to this section may establish a joint labor and management
trust, referred to as the Minnesota Caregiver Retirement Fund Trust, for the exclusive
purpose of creating, implementing, and administering a retirement program for individual
providers of direct support services who are represented by the exclusive representative.
 new text end

new text begin (b) The state must make financial contributions to the Minnesota Caregiver Retirement
Fund Trust pursuant to a collective bargaining agreement negotiated under this section. The
financial contributions by the state must be held in trust for the purpose of paying, from
principal, income, or both, the costs associated with creating, implementing, and
administering a defined contribution or other individual account retirement program for
individual providers of direct support services working under a collective bargaining
agreement and providing services through a covered program under section 256B.0711. A
board of trustees composed of an equal number of trustees appointed by the governor and
trustees appointed by the exclusive representative under this section must administer, manage,
and otherwise jointly control the Minnesota Caregiver Retirement Fund Trust. The trust
must not be an agent of either the state or the exclusive representative.
 new text end

new text begin (c) A third-party administrator, financial management institution, other appropriate
entity, or any combination thereof may provide trust administrative, management, legal,
and financial services to the board of trustees as designated by the board of trustees from
time to time. The services must be paid from the money held in trust and created by the
state's financial contributions to the Minnesota Caregiver Retirement Fund Trust.
 new text end

new text begin (d) The state is authorized to purchase liability insurance for members of the board of
trustees appointed by the governor.
 new text end

new text begin (e) Financial contributions to or participation in the management or administration of
the Minnesota Caregiver Retirement Fund Trust must not be considered an unfair labor
practice under section 179A.13, or a violation of Minnesota law.
 new text end

new text begin (f) Nothing in this section shall be construed to authorize the creation of a defined benefit
retirement plan or program.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 2.

Minnesota Statutes 2024, section 245A.042, is amended by adding a subdivision
to read:


new text begin Subd. 5. new text end

new text begin Compliance education required. new text end

new text begin The commissioner must make licensing
compliance education available to all license holders operating programs licensed under
both this chapter and chapter 245D. The licensing compliance education must include clear
and accessible explanations of achieving and maintaining compliance with the relevant
licensing requirements under this chapter and chapter 245D.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 3.

Minnesota Statutes 2024, section 245A.042, is amended by adding a subdivision
to read:


new text begin Subd. 6. new text end

new text begin Legal resources required. new text end

new text begin If requested by a license holder that is (1) subject
to an enforcement action under section 245A.06 or 245A.07, and (2) operating a program
licensed under this chapter and chapter 245D, the commissioner must provide the license
holder with a list of legal resources.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 4.

Minnesota Statutes 2024, section 245A.06, subdivision 1a, is amended to read:


Subd. 1a.

Correction orders and conditional licenses for programs licensed as home
and community-based services.

(a) For programs licensed under both this chapter and
chapter 245D, if the license holder operates more than one service site under a single license
governed by chapter 245D, the new text begin correction new text end order new text begin or order of conditional license new text end issued under
this section shall be specific to the service site or sites at which the violations of applicable
law or rules occurred. The order shall not apply to other service sites governed by chapter
245D and operated by the same license holder unless the commissioner has included in the
order the articulable basis for applying the order to another service site.

(b) If the commissioner has issued more than one license to the license holder under this
chapter, the deleted text begin conditions imposeddeleted text end new text begin order issuednew text end under this section shall be specific to the license
for the program at which the violations of applicable law or rules occurred and shall not
apply to other licenses held by the same license holder if those programs are being operated
in substantial compliance with applicable law and rules.

new text begin (c) Prior to issuing an order of conditional license under this section to a license holder
operating a program licensed under both this chapter and chapter 245D, the commissioner
must inform the license holder that the next audit or investigation may lead to an order of
conditional license if the provider fails to correct the violations specified in a prior correction
order or has any new violations. Nothing in this paragraph limits the commissioner's authority
to take immediate action under section 245A.07 to prevent or correct actions by the license
holder that imminently endanger the health, safety, or rights of the persons served by the
program.
 new text end

new text begin (d) The commissioner may reduce the length of time of a conditional license for a license
holder operating a program licensed under both this chapter and chapter 245D if the license
holder demonstrates compliance or progress toward compliance before the conditional
license period expires.
 new text end

new text begin (e) By January 1, 2027, and annually thereafter, the commissioner must provide a report
to the chairs and ranking minority members of the legislative committees with jurisdiction
over chapter 245D licensing on the number of correction orders and orders of conditional
license issued to license holders who operate programs licensed under both this chapter and
chapter 245D. The report must include aggregated data on the zip codes of locations, number
of employees, license effective dates for any license holders subject to correction orders
and orders of conditional license, and the commissioner's efforts to offer collaborative safety
process improvements to license holders under section 245A.042 and this subdivision.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 5.

Minnesota Statutes 2024, section 245A.06, subdivision 2, is amended to read:


Subd. 2.

Reconsideration of correction orders.

(a) If the applicant or license holder
believes that the contents of the commissioner's correction order are in error, the applicant
or license holder may ask the Department of Human Services to reconsider the parts of the
correction order that are alleged to be in error. The request for reconsideration must be made
in writing and must be postmarked and sent to the commissioner within 20 calendar days
after receipt of the correction order by the applicant or license holder or submitted in the
provider licensing and reporting hub within 20 calendar days from the date the commissioner
issued the order through the hub, and:

(1) specify the parts of the correction order that are alleged to be in error;

(2) explain why they are in error; and

(3) include documentation to support the allegation of error.

Upon implementation of the provider licensing and reporting hub, the provider must use
the hub to request reconsideration. A request for reconsideration does not stay any provisions
or requirements of the correction order. The commissioner's disposition of a request for
reconsideration is final and not subject to appeal under chapter 14.

deleted text begin (b) This paragraph applies only to licensed family child care providers. A licensed family
child care provider who requests reconsideration of a correction order under paragraph (a)
may also request, on a form and in the manner prescribed by the commissioner, that the
commissioner expedite the review if:
 deleted text end

deleted text begin (1) the provider is challenging a violation and provides a description of how complying
with the corrective action for that violation would require the substantial expenditure of
funds or a significant change to their program; and
 deleted text end

deleted text begin (2) describes what actions the provider will take in lieu of the corrective action ordered
to ensure the health and safety of children in care pending the commissioner's review of the
correction order.
 deleted text end

new text begin (b) Notwithstanding paragraph (a), when a request for reconsideration is denied, the
commissioner must offer the option of mediation for a license holder operating a program
licensed under both this chapter and chapter 245D, if a license holder further disputes the
commissioner's correction order. The costs of the mediation option under this paragraph
must be paid by the license holder.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 6.

Minnesota Statutes 2024, section 245D.091, subdivision 2, as amended by Laws
2025, chapter 20, section 202, is amended to read:


Subd. 2.

Positive support professional qualifications.

A positive support professional
providing positive support services as identified in section 245D.03, subdivision 1, paragraph
(c), clause (1), item (i), must have competencies in the following areas as required under
the brain injury, community access for disability inclusion, community alternative care, and
developmental disabilities waiver plans or successor plans:

(1) ethical considerations;

(2) functional assessment;

(3) functional analysis;

(4) measurement of behavior and interpretation of data;

(5) selecting intervention outcomes and strategies;

(6) behavior reduction and elimination strategies that promote least restrictive approved
alternatives;

(7) data collection;

(8) staff and caregiver training;

(9) support plan monitoring;

(10) co-occurring mental disorders or neurocognitive disorder;

(11) demonstrated expertise with populations being served; and

(12) must be a:

(i) psychologist licensed under sections 148.88 to 148.98, who has stated to the Board
of Psychology competencies in the above identified areas;

(ii) clinical social worker licensed as an independent clinical social worker under chapter
148E, or a person with a master's degree in social work from an accredited college or
university, with at least 4,000 hours of post-master's supervised experience in the delivery
of clinical services in the areas identified in clauses (1) to (11);

(iii) physician licensed under chapter 147 and certified by the American Board of
Psychiatry and Neurology or eligible for board certification in psychiatry with competencies
in the areas identified in clauses (1) to (11);

(iv) licensed professional clinical counselor licensed under sections 148B.29 to 148B.39
with at least 4,000 hours of post-master's supervised experience in the delivery of clinical
services who has demonstrated competencies in the areas identified in clauses (1) to (11);

(v) person with a master's degree from an accredited college or university in one of the
behavioral sciences or related fields, with at least 4,000 hours of post-master's supervised
experience in the delivery of clinical services with demonstrated competencies in the areas
identified in clauses (1) to (11);

(vi) person with a master's degree or PhD in one of the behavioral sciences or related
fields with demonstrated expertise in positive support services, as determined by the person's
needs as outlined in the person's assessment summary; deleted text begin or
deleted text end

(vii) registered nurse who is licensed under sections 148.171 to 148.285, and who is
certified as a clinical specialist or as a nurse practitioner in adult or family psychiatric and
mental health nursing by a national nurse certification organization, or who has a master's
degree in nursing or one of the behavioral sciences or related fields from an accredited
college or university or its equivalent, with at least 4,000 hours of post-master's supervised
experience in the delivery of clinical servicesdeleted text begin .deleted text end new text begin ; or
new text end

new text begin (viii) person who has completed a competency-based training program as determined
by the commissioner.
 new text end

Sec. 7.

Minnesota Statutes 2024, section 245D.091, subdivision 3, as amended by Laws
2025, chapter 38, article 1, section 5, is amended to read:


Subd. 3.

Positive support analyst qualifications.

(a) A positive support analyst providing
positive support services as identified in section 245D.03, subdivision 1, paragraph (c),
clause (1), item (i), must deleted text begin have competencies in one of the following areasdeleted text end new text begin satisfy one of the
following requirementsnew text end as required under the brain injury, community access for disability
inclusion, community alternative care, and developmental disabilities waiver plans or
successor plans:

(1) have obtained a baccalaureate degree, master's degree, or PhD in either a social
services discipline or nursing;

(2) meet the qualifications of a mental health practitioner as defined in section 245.462,
subdivision 17; deleted text begin or
deleted text end

(3) be a board-certified behavior analyst or board-certified assistant behavior analyst by
the Behavior Analyst Certification Board, Incorporateddeleted text begin .deleted text end new text begin ; or
new text end

new text begin (4) have completed a competency-based training program as determined by the
commissioner.
 new text end

(b) In addition, a positive support analyst must:

(1) either have two years of supervised experience conducting functional behavior
assessments and designing, implementing, and evaluating effectiveness of positive practices
behavior support strategies for people who exhibit challenging behaviors as well as
co-occurring mental disorders and neurocognitive disorder, or for those who have obtained
a baccalaureate degree in one of the behavioral sciences or related fields, demonstrated
expertise in positive support services;

(2) have received training prior to hire or within 90 calendar days of hire that includes:

(i) ten hours of instruction in functional assessment and functional analysis;

(ii) 20 hours of instruction in the understanding of the function of behavior;

(iii) ten hours of instruction on design of positive practices behavior support strategies;

(iv) 20 hours of instruction preparing written intervention strategies, designing data
collection protocols, training other staff to implement positive practice strategies,
summarizing and reporting program evaluation data, analyzing program evaluation data to
identify design flaws in behavioral interventions or failures in implementation fidelity, and
recommending enhancements based on evaluation data; and

(v) eight hours of instruction on principles of person-centered thinking;

(3) be determined by a positive support professional to have the training and prerequisite
skills required to provide positive practice strategies as well as behavior reduction approved
and permitted intervention to the person who receives positive support; and

(4) be under the direct supervision of a positive support professional.

(c) Meeting the qualifications for a positive support professional under subdivision 2
shall substitute for meeting the qualifications listed in paragraph (b).

Sec. 8.

new text begin [245D.13] OUT-OF-HOME RESPITE CARE 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 care services for children
may do so only in a licensed setting, unless exempt under subdivision 2. For purposes of
this section, "respite care services" has the meaning given in section 245A.02, subdivision
15.
 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) The exemption under this
subdivision does not apply to the provision of respite care services to a child in foster care
under chapter 260C or 260D.
 new text end

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

new text begin (1) all background studies are completed according to the requirements in chapter 245C;
 new text end

new text begin (2) a child's case manager conducts and documents an assessment of the residential
setting and the setting's 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 care services. The
assessment must be conducted and documented in the manner prescribed by the
commissioner;
 new text end

new text begin (3) 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 (4) the services are provided in a residential setting that is not licensed to provide any
other licensed services;
 new text end

new text begin (5) the services are provided to no more than four children at any one time. Each child
must have an individual bedroom, except two siblings may share a bedroom;
 new text end

new text begin (6) the 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 (7) the 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 (8) the license holder's license was not made conditional, suspended, or revoked during
the previous 24 months; and
 new text end

new text begin (9) 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 (c) A child may not receive out-of-home respite care services in more than two unlicensed
residential settings in a calendar year.
 new text end

new text begin (d) 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

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 inform the revisor of statutes
when federal approval is obtained.
 new text end

Sec. 9.

Minnesota Statutes 2024, section 252.32, subdivision 3, is amended to read:


Subd. 3.

Amount of support grant; use.

(a) Support grant amounts shall be determined
by the county social service agency. Services and items purchased with a support grant
must:

(1) be over and above the normal costs of caring for the dependent if the dependent did
not have a disabilitynew text begin , including adaptive or one-on-one swimming lessons for drowning
prevention for a dependent younger than 12 years of age whose disability puts the dependent
at a higher risk of drowning according to the Centers for Disease Control Vital Statistics
Systemnew text end ;

(2) be directly attributable to the dependent's disabling condition; and

(3) enable the family to delay or prevent the out-of-home placement of the dependent.

(b) The design and delivery of services and items purchased under this section must be
provided in the least restrictive environment possible, consistent with the needs identified
in the individual service plan.

(c) Items and services purchased with support grants must be those for which there are
no other public or private funds available to the family. Fees assessed to parents for health
or human services that are funded by federal, state, or county dollars are not reimbursable
through this program.

(d) In approving or denying applications, the county shall consider the following factors:

(1) the extent and areas of the functional limitations of a child with a disability;

(2) the degree of need in the home environment for additional support; and

(3) the potential effectiveness of the grant to maintain and support the person in the
family environment.

(e) The maximum monthly grant amount shall be $250 per eligible dependent, or $3,000
per eligible dependent per state fiscal year, within the limits of available funds and as
adjusted by any legislatively authorized cost of living adjustment. The county social service
agency may consider the dependent's Supplemental Security Income in determining the
amount of the support grant.

(f) Any adjustments to their monthly grant amount must be based on the needs of the
family and funding availability.

Sec. 10.

Minnesota Statutes 2024, section 256.476, subdivision 4, is amended to read:


Subd. 4.

Support grants; criteria and limitations.

(a) A county board may choose to
participate in the consumer support grant program. If a county has not chosen to participate
by July 1, 2002, the commissioner shall contract with another county or other entity to
provide access to residents of the nonparticipating county who choose the consumer support
grant option. The commissioner shall notify the county board in a county that has declined
to participate of the commissioner's intent to enter into a contract with another county or
other entity at least 30 days in advance of entering into the contract. The local agency shall
establish written procedures and criteria to determine the amount and use of support grants.
These procedures must include, at least, the availability of respite care, assistance with daily
living, and adaptive aids. The local agency may establish monthly or annual maximum
amounts for grants and procedures where exceptional resources may be required to meet
the health and safety needs of the person on a time-limited basis, however, the total amount
awarded to each individual may not exceed the limits established in subdivision 11.

(b) Support grants to a person, a person's legal representative, or other authorized
representative will be provided through a monthly subsidy payment and be in the form of
cash, voucher, or direct county payment to vendor. Support grant amounts must be determined
by the local agency. Each service and item purchased with a support grant must meet all of
the following criteria:

(1) it must be over and above the normal cost of caring for the person if the person did
not have functional limitationsnew text begin , including adaptive or one-on-one swimming lessons for
drowning prevention for a person younger than 12 years of age whose disability puts the
person at a higher risk of drowning according to the Centers for Disease Control Vital
Statistics Systemnew text end ;

(2) it must be directly attributable to the person's functional limitations;

(3) it must enable the person, a person's legal representative, or other authorized
representative to delay or prevent out-of-home placement of the person; and

(4) it must be consistent with the needs identified in the service agreement, when
applicable.

(c) Items and services purchased with support grants must be those for which there are
no other public or private funds available to the person, a person's legal representative, or
other authorized representative. Fees assessed to the person or the person's family for health
and human services are not reimbursable through the grant.

(d) In approving or denying applications, the local agency shall consider the following
factors:

(1) the extent and areas of the person's functional limitations;

(2) the degree of need in the home environment for additional support; and

(3) the potential effectiveness of the grant to maintain and support the person in the
family environment or the person's own home.

(e) At the time of application to the program or screening for other services, the person,
a person's legal representative, or other authorized representative shall be provided sufficient
information to ensure an informed choice of alternatives by the person, the person's legal
representative, or other authorized representative, if any. The application shall be made to
the local agency and shall specify the needs of the person or the person's legal representative
or other authorized representative, the form and amount of grant requested, the items and
services to be reimbursed, and evidence of eligibility for medical assistance.

(f) Upon approval of an application by the local agency and agreement on a support plan
for the person or the person's legal representative or other authorized representative, the
local agency shall make grants to the person or the person's legal representative or other
authorized representative. The grant shall be in an amount for the direct costs of the services
or supports outlined in the service agreement.

(g) Reimbursable costs shall not include costs for resources already available, such as
special education classes, day training and habilitation, case management, other services to
which the person is entitled, medical costs covered by insurance or other health programs,
or other resources usually available at no cost to the person or the person's legal representative
or other authorized representative.

(h) The state of Minnesota, the county boards participating in the consumer support
grant program, or the agencies acting on behalf of the county boards in the implementation
and administration of the consumer support grant program shall not be liable for damages,
injuries, or liabilities sustained through the purchase of support by the individual, the
individual's family, or the authorized representative under this section with funds received
through the consumer support grant program. Liabilities include but are not limited to:
workers' compensation liability, the Federal Insurance Contributions Act (FICA), or the
Federal Unemployment Tax Act (FUTA). For purposes of this section, participating county
boards and agencies acting on behalf of county boards are exempt from the provisions of
section 268.035.

Sec. 11.

Minnesota Statutes 2024, section 256B.0659, subdivision 17a, is amended to
read:


Subd. 17a.

Enhanced rate.

(a) An enhanced rate of 107.5 percent of the rate paid for
personal care assistance services shall be paid for services provided to persons who qualify
for ten or more hours of personal care assistance services per day when provided by a
personal care assistant who meets the requirements of subdivision 11, paragraph (d).new text begin This
paragraph expires upon the effective date of paragraph (b).
new text end

new text begin (b) Effective January 1, 2026, or upon federal approval, whichever is later, an enhanced
rate of 112.5 percent of the rate paid for personal care assistance services shall be paid for
services provided to persons who qualify for ten or more hours of personal care assistance
services per day when provided by a personal care assistant who meets the requirements of
subdivision 11, paragraph (d).
 new text end

deleted text begin (b)deleted text end new text begin (c)new text end A personal care assistance provider must use all additional revenue attributable
to the rate enhancements under this subdivision for the wages and wage-related costs of the
personal care assistants, including any corresponding increase in the employer's share of
FICA taxes, Medicare taxes, state and federal unemployment taxes, and workers'
compensation premiums. The agency must not use the additional revenue attributable to
any enhanced rate under this subdivision to pay for mileage reimbursement, health and
dental insurance, life insurance, disability insurance, long-term care insurance, uniform
allowance, contributions to employee retirement accounts, or any other employee benefits.

deleted text begin (c)deleted text end new text begin (d)new text end Any change in the eligibility criteria for the enhanced rate for personal care
assistance services as described in this subdivision and referenced in subdivision 11,
paragraph (d), does not constitute a change in a term or condition for individual providers
as defined in section 256B.0711, and is not subject to the state's obligation to meet and
negotiate under chapter 179A.

new text begin EFFECTIVE DATE. new text end

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

Sec. 12.

Minnesota Statutes 2024, section 256B.0911, subdivision 1, is amended to read:


Subdivision 1.

Purpose and goal.

(a) The purpose of long-term care consultation services
is to assist persons with long-term or chronic care needs in making care decisions and
selecting support and service options that meet their needs and reflect their preferences.
The availability of, and access to, information and other types of assistance, including
long-term care consultation assessment and support planning, is also intended to prevent
or delay institutional placements and to provide access to transition assistance after
placement. Further, the goal of long-term care consultation services is to contain costs
associated with unnecessary institutional admissions. Long-term care consultation services
must be available to any person regardless of public program eligibility.

(b) The commissioner of human services shall seek to maximize use of available federal
and state funds and establish the broadest program possible within the funding available.

(c) Long-term care consultation services must be coordinated with long-term care options
counseling, long-term care options counseling deleted text begin for assisted livingdeleted text end new text begin at critical care transitionsnew text end ,
the Disability Hub, and preadmission screening.

(d) A lead agency providing long-term care consultation services shall encourage the
use of volunteers from families, religious organizations, social clubs, and similar civic and
service organizations to provide community-based services.

Sec. 13.

Minnesota Statutes 2024, section 256B.0911, subdivision 10, is amended to read:


Subd. 10.

Definitions.

(a) For purposes of this section, the following definitions apply.

(b) "Available service and setting options" or "available options," with respect to the
home and community-based waivers under chapter 256S and sections 256B.092 and 256B.49,
means all services and settings defined under the waiver plan for which a waiver applicant
or waiver participant is eligible.

(c) "Competitive employment" means work in the competitive labor market that is
performed on a full-time or part-time basis in an integrated setting, and for which an
individual is compensated at or above the minimum wage, but not less than the customary
wage and level of benefits paid by the employer for the same or similar work performed by
individuals without disabilities.

(d) "Cost-effective" means community services and living arrangements that cost the
same as or less than institutional care. For an individual found to meet eligibility criteria
for home and community-based service programs under chapter 256S or section 256B.49,
"cost-effectiveness" has the meaning found in the federally approved waiver plan for each
program.

(e) "Independent living" means living in a setting that is not controlled by a provider.

(f) "Informed choice" has the meaning given in section 256B.4905, subdivision 1a.

(g) "Lead agency" means a county administering or a Tribe or health plan under contract
with the commissioner to administer long-term care consultation services.

(h) "Long-term care consultation services" means the activities described in subdivision
11.

(i) "Long-term care options counseling" means the services provided by sections 256.01,
subdivision 24, and 256.975, subdivision 7, and also includes telephone assistance and
follow-up after a long-term care consultation assessment has been completed.

(j) "Long-term care options counseling deleted text begin for assisted livingdeleted text end new text begin at critical care transitionsnew text end "
means the services provided under section 256.975, deleted text begin subdivisionsdeleted text end new text begin subdivisionnew text end 7e deleted text begin to 7gdeleted text end .

(k) "Minnesota health care programs" means the medical assistance program under this
chapter and the alternative care program under section 256B.0913.

(l) "Person-centered planning" is a process that includes the active participation of a
person in the planning of the person's services, including in making meaningful and informed
choices about the person's own goals, talents, and objectives, as well as making meaningful
and informed choices about the services the person receives, the settings in which the person
receives the services, and the setting in which the person lives.

(m) "Preadmission screening" means the services provided under section 256.975,
subdivisions 7a to 7c.

Sec. 14.

Minnesota Statutes 2024, 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 mustnew text begin have received training and certification specific
to assessment and consultation for long-term care services in the state and eithernew text end :

(1) deleted text begin eitherdeleted text end have deleted text begin a bachelor'sdeleted text end new text begin at least an associate'snew text end degree in deleted text begin social workdeleted text end new text begin human servicesnew text end ,new text begin
or other closely related field;
new text end

new text begin (2) have at least an associate's degree in new text end nursing with a public health nursing certificate,
or other closely related fieldnew text begin ;new text end or

new text begin (3)new text end be a registered nursedeleted text begin ; anddeleted text end new text begin .
new text end

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

(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, 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. 15.

Minnesota Statutes 2024, section 256B.0911, subdivision 14, is amended to read:


Subd. 14.

Use of MnCHOICES certified assessors required.

(a) Each lead agency
shall use MnCHOICES certified assessors who have completed MnCHOICES training and
the certification process determined by the commissioner in subdivision 13.

(b) Each lead agency must ensure that the lead agency has sufficient numbers of certified
assessors to provide long-term consultation assessment and support planning within the
timelines and parameters of the service.

(c) A lead agency may choose, according to departmental policies, to contract with a
qualified, certified assessor to conduct assessments and reassessments on behalf of the lead
agency.

(d) Tribes and health plans under contract with the commissioner must provide long-term
care consultation services as specified in the contract.

(e) A lead agency must provide the commissioner with an administrative contact for
communication purposes.

new text begin (f) A lead agency may contract under this subdivision with any hospital licensed under
sections 144.50 to 144.56 to conduct assessments of patients in the hospital on behalf of
the lead agency when the lead agency has failed to meet its obligations under subdivision
17. The contracted assessment must be conducted by a hospital employee who is a qualified,
certified assessor. The hospital employees who perform assessments under the contract
between the hospital and the lead agency may perform assessments in addition to other
duties assigned to the employee by the hospital, except the hospital employees who perform
the assessments under contract with the lead agency must not perform any waiver-related
tasks other than assessments. Hospitals are not eligible for reimbursement under subdivision
33. The lead agency that enters into a contract with a hospital under this paragraph is
responsible for oversight, compliance, and quality assurance for all assessments performed
under the contract.
 new text end

Sec. 16.

Minnesota Statutes 2024, section 256B.0911, subdivision 17, is amended to read:


Subd. 17.

MnCHOICES assessments.

(a) A deleted text begin person requesting long-term care
consultation services must be visited by adeleted text end long-term care consultation team new text begin must begin an
assessment of a person requesting long-term care consultation services or for whom long-term
care consultation services were recommended, including an estimated timeline to full
completion of the assessment, new text end within 20 working days after the date on which an assessment
was requested or recommended.

new text begin (b)new text end Assessments must be conducted according to this subdivision and subdivisions 19
to 21, 23, 24, and 29 to 31.

deleted text begin (b)deleted text end new text begin (c)new text end Lead agencies shall use certified assessors to conduct the assessment.

deleted text begin (c)deleted text end new text begin (d)new text end For a person with complex health care needs, a public health or registered nurse
from the team must be consulted.

deleted text begin (d)deleted text end new text begin (e)new text end 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.

deleted text begin (e)deleted text end new text begin (f)new text end 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 2024, section 256B.0911, subdivision 24, is amended to read:


Subd. 24.

Remote reassessments.

(a) Assessments performed according to subdivisions
17 to 20 and 23 must be in person unless the assessment is a reassessment meeting the
requirements of this subdivision. Remote reassessments conducted by interactive video or
telephone may substitute for in-person reassessments.

(b) For services provided by the developmental disabilities waiver under section
256B.092, and the community access for disability inclusion, community alternative care,
and brain injury waiver programs under section 256B.49, remote reassessments may be
substituted for deleted text begin twodeleted text end new text begin fournew text end consecutive reassessments if followed by an in-person reassessment.

(c) For services provided by alternative care under section 256B.0913, essential
community supports under section 256B.0922, and the elderly waiver under chapter 256S,
remote reassessments may be substituted for one reassessment if followed by an in-person
reassessment.

(d) For personal care assistance provided under section 256B.0659 and community first
services and supports provided under section 256B.85, remote reassessments may be
substituted for two consecutive reassessments if followed by an in-person reassessment.

(e) A remote reassessment is permitted only if the lead agency provides informed choice
and the person being reassessed or the person's legal representative provides informed
consent for a remote assessment. Lead agencies must document that informed choice was
offered.

(f) The person being reassessed, or the person's legal representative, may refuse a remote
reassessment at any time.

(g) During a remote reassessment, if the certified assessor determines an in-person
reassessment is necessary in order to complete the assessment, the lead agency shall schedule
an in-person reassessment.

(h) All other requirements of an in-person reassessment apply to a remote reassessment,
including updates to a person's support plan.

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. 18.

Minnesota Statutes 2024, section 256B.0911, is amended by adding a subdivision
to read:


new text begin Subd. 24a. new text end

new text begin Verbal attestation or alternative to replace required reassessment
signatures. new text end

new text begin (a) Effective January 1, 2026, or upon federal approval, whichever is later, the
commissioner shall allow for verbal attestation or another alternative to replace required
reassessment signatures for service initiation.
 new text end

new text begin (b) Within 30 days of completion of a reassessment, an assessor must send a request for
written attestation via mail to obtain a signature from the service recipient.
 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. 19.

Minnesota Statutes 2024, section 256B.0911, is amended by adding a subdivision
to read:


new text begin Subd. 25a. new text end

new text begin Attesting to no changes in needs or services. new text end

new text begin (a) A person who is older
than 21 years of age, under 65 years of age, and receiving home and community-based
waiver services under the developmental disabilities waiver program under section 256B.092;
community access for disability inclusion, community alternative care, and brain injury
waiver programs under section 256B.49; or community first services and supports under
section 256B.85 may attest that the person has unchanged needs from the most recent prior
assessment or reassessment for up to two consecutive reassessments if the lead agency
provides informed choice and the person being reassessed or the person's legal representative
provides informed consent. Lead agencies must document that informed choice was offered.
 new text end

new text begin (b) The person or person's legal representative must attest, verbally or through alternative
communications, that the information provided in the previous assessment or reassessment
is still accurate and applicable and that no changes in the person's circumstances have
occurred that would require changes from the most recent prior assessment or reassessment.
The person or the person's legal representative may request a full reassessment at any time.
 new text end

new text begin (c) The assessor must review the most recent prior assessment or reassessment as required
in subdivision 22, paragraphs (a) and (b), clause (1), before conducting the interview. The
certified assessor must confirm that the information from the previous assessment or
reassessment is current.
 new text end

new text begin (d) The assessment conducted under this section must:
 new text end

new text begin (1) verify current assessed support needs;
 new text end

new text begin (2) confirm continued need for the currently assessed level of care;
 new text end

new text begin (3) inform the person of alternative long-term services and supports available;
 new text end

new text begin (4) provide informed choice of institutional or home and community-based services;
and
 new text end

new text begin (5) identify changes in need that may require a full reassessment.
 new text end

new text begin (e) The assessor must ensure that any new assessment items or requirements mandated
by federal or state authority are addressed and the person must provide required information.
 new text end

new text begin (f) The person has appeal rights under section 256.045, subdivision 3, if the assessor
does not confirm that there are no changes in needs or services.
 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. 20.

Minnesota Statutes 2024, section 256B.0911, subdivision 30, is amended to read:


Subd. 30.

Assessment and support planning; supplemental information.

The lead
agency must give the person receiving long-term care consultation services or the person's
legal representative materials and forms supplied by the commissioner containing the
following information:

(1) written recommendations for community-based services and consumer-directed
options;

(2) documentation that the most cost-effective alternatives available were offered to the
person;

(3) the need for and purpose of preadmission screening conducted by long-term care
options counselors according to section 256.975, subdivisions 7a to 7c, if the person selects
nursing facility placement. If the person selects nursing facility placement, the lead agency
shall forward information needed to complete the level of care determinations and screening
for developmental disability and mental illness collected during the assessment to the
long-term care options counselor using forms provided by the commissioner;

(4) the role of long-term care consultation assessment and support planning in eligibility
determination for waiver and alternative care programs and state plan home care, case
management, and other services as defined in subdivision 11, clauses (7) to (10);

(5) information about Minnesota health care programs;

(6) the person's freedom to accept or reject the recommendations of the team;

(7) the person's right to confidentiality under the Minnesota Government Data Practices
Act, chapter 13;

(8) the certified assessor's decision regarding the person's need for institutional level of
care as determined under criteria established in subdivision 26 and regarding eligibility for
all services and programs as defined in subdivision 11, clauses (7) to (10);

(9) the person's right to appeal the certified assessor's decision regarding eligibility for
all services and programs as defined in subdivision 11, clauses (5), (7) to (10), and (15),
and the decision regarding the need for institutional level of carenew text begin , an attestation to no changes
in needs or services,new text end or the lead agency's final decisions regarding public programs eligibility
according to section 256.045, subdivision 3. The certified assessor must verbally
communicate this appeal right to the person and must visually point out where in the
document the right to appeal is stated; and

(10) documentation that available options for employment services, independent living,
and self-directed services and supports were described to the person.

Sec. 21.

Minnesota Statutes 2024, section 256B.0911, is amended by adding a subdivision
to read:


new text begin Subd. 34. new text end

new text begin Dashboard on assessment completions. new text end

new text begin (a) The commissioner shall maintain
a dashboard on the department's public website containing summary data on the completion
of assessments under this section. The commissioner must update the dashboard at least
twice per year.
 new text end

new text begin (b) The dashboard must include:
 new text end

new text begin (1) the total number of assessments performed since the previous reporting period, by
lead agency;
 new text end

new text begin (2) the total number of initial assessments performed since the previous reporting period,
by lead agency;
 new text end

new text begin (3) the total number of reassessments performed since the previous reporting period, by
lead agency;
 new text end

new text begin (4) the number and percentage of assessments completed within the required timeline,
by lead agency;
 new text end

new text begin (5) the average length of time to complete an assessment, by lead agency;
 new text end

new text begin (6) summary data of the location in which the assessments were performed, by lead
agency; and
 new text end

new text begin (7) other information the commissioner determines is valuable to assess the capacity of
lead agencies to complete assessments within the timelines prescribed by law.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 22.

Minnesota Statutes 2024, section 256B.092, subdivision 1a, as amended by Laws
2025, chapter 38, article 1, section 16, is amended to read:


Subd. 1a.

Case management services.

(a) Each recipient of a home and community-based
waiver shall be provided case management services by qualified vendors as described in
the federally approved waiver application.

(b) Case management service activities provided to or arranged for a person include:

(1) development of the person-centered support plan under subdivision 1b;

(2) informing the individual or the individual's legal guardian or conservator, or parent
if the person is a minor, of service options, including all service options available under the
waiver plan;

(3) consulting with relevant medical experts or service providers;

(4) assisting the person in the identification of potential providers of chosen services,
including:

(i) providers of services provided in a non-disability-specific setting;

(ii) employment service providers;

(iii) providers of services provided in settings that are not controlled by a provider; and

(iv) providers of financial management services;

(5) assisting the person to access services and assisting in appeals under section 256.045;

(6) coordination of services, if coordination is not provided by another service provider;

(7) evaluation and monitoring of the services identified in the support plan, which must
incorporate at least one annual face-to-face visit by the case manager with each person; and

(8) reviewing support plans and providing the lead agency with recommendations for
service authorization based upon the individual's needs identified in the support plan.

(c) Case management service activities that are provided to the person with a
developmental disability shall be provided directly by county agencies or under contract.
If a county agency contracts for case management services, the county agency must provide
each recipient of home and community-based services who is receiving contracted case
management services with the contact information the recipient may use to file a grievance
with the county agency about the quality of the contracted services the recipient is receiving
from a county-contracted case manager. If a county agency provides case management
under contracts with other individuals or agencies and the county agency utilizes a
competitive proposal process for the procurement of contracted case management services,
the competitive proposal process must include evaluation criteria to ensure that the county
maintains a culturally responsive program for case management services adequate to meet
the needs of the population of the county. For the purposes of this section, "culturally
responsive program" means a case management services program that: (1) ensures effective,
equitable, comprehensive, and respectful quality care services that are responsive to
individuals within a specific population's values, beliefs, practices, health literacy, preferred
language, and other communication needs; and (2) is designed to address the unique needs
of individuals who share a common language or racial, ethnic, or social background.

(d) Case management services must be provided by a public or private agency that is
enrolled as a medical assistance provider determined by the commissioner to meet all of
the requirements in the approved federal waiver plans. Case management services must not
be provided to a recipient by a private agency that has a financial interest in the provision
of any other services included in the recipient's support plan. For purposes of this section,
"private agency" means any agency that is not identified as a lead agency under section
256B.0911, subdivision 10.

(e) Case managers are responsible for service provisions listed in paragraphs (a) and
(b). Case managers shall collaborate with consumers, families, legal representatives, and
relevant medical experts and service providers in the development and annual review of the
person-centered support plan and habilitation plan.

(f) For persons who need a positive support transition plan as required in chapter 245D,
the case manager shall participate in the development and ongoing evaluation of the plan
with the expanded support team. At least quarterly, the case manager, in consultation with
the expanded support team, shall evaluate the effectiveness of the plan based on progress
evaluation data submitted by the licensed provider to the case manager. The evaluation must
identify whether the plan has been developed and implemented in a manner to achieve the
following within the required timelines:

(1) phasing out the use of prohibited procedures;

(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's
timeline; and

(3) accomplishment of identified outcomes.

If adequate progress is not being made, the case manager shall consult with the person's
expanded support team to identify needed modifications and whether additional professional
support is required to provide consultation.

(g) The Department of Human Services shall offer ongoing education in case management
to case managers. Case managers shall receive no less than 20 hours of case management
education and disability-related training each year. The education and training must include
new text begin appropriate service authorization, new text end person-centered planning, informed choice, informed
decision making, cultural competency, employment planning, community living planning,
self-direction options, and use of technology supports. Case managers must annually complete
an informed choice curriculum and pass a competency evaluation, in a form determined by
the commissioner, on informed decision-making standards. By August 1, 2024, all case
managers must complete an employment support training course identified by the
commissioner of human services. For case managers hired after August 1, 2024, this training
must be completed within the first six months of providing case management services. For
the purposes of this section, "person-centered planning" or "person-centered" has the meaning
given in section 256B.0911, subdivision 10. Case managers must document completion of
training in a system identified by the commissioner.

Sec. 23.

Minnesota Statutes 2024, section 256B.092, subdivision 3, is amended to read:


Subd. 3.

Authorization and termination of services.

County agency case managers,
under rules of the commissioner, shall authorize and terminate services of community and
regional treatment center providers according to support plans. new text begin Except as provided in
subdivision 3b, new text end services provided to persons with developmental disabilities may only be
authorized and terminated by case managers or certified assessors according to (1) rules of
the commissioner and (2) the support plan as defined in subdivision 1b. Medical assistance
services not needed shall not be authorized by county agencies or funded by the
commissioner. When purchasing or arranging for unlicensed respite care services for persons
with overriding health needs, the county agency shall seek the advice of a health care
professional in assessing provider staff training needs and skills necessary to meet the
medical needs of the person.

Sec. 24.

Minnesota Statutes 2024, section 256B.092, is amended by adding a subdivision
to read:


new text begin Subd. 3b. new text end

new text begin Service authorizations and service agreements. new text end

new text begin (a) Recipients must be
screened and authorized for services according to the federally approved waiver application
and its subsequent amendments.
 new text end

new text begin (b) The commissioner must require lead agency supervisors to review and accept all
service agreements entered by lead agency staff into the Medicaid management information
system (MMIS) prior to the commissioner's approval of the service agreement.
 new text end

new text begin (c) For a service agreement with a proposed total authorized amount that exceeds the
total authorized amount in the recipient's prior service agreement by more than the value
of legislatively enacted rate increases, the commissioner must manually review and manually
approve the service agreement in the MMIS. For purposes of this paragraph, "prior service
agreement" means the service agreement that was in effect 12 months prior to the start date
of the new proposed service agreement.
 new text end

new text begin (d) In a format prescribed by the commissioner, lead agencies must submit the following
information for all service agreements subject to the commissioner's approval in paragraph
(c):
 new text end

new text begin (1) changes in the number of units authorized;
 new text end

new text begin (2) new services authorized;
 new text end

new text begin (3) changes in the values used to calculate service rates under section 256B.4914, except
for automatic adjustments required under section 256B.4914, subdivisions 5 and 5b;
 new text end

new text begin (4) changes in the person's level of need that require an increase in the amount of services
authorized;
 new text end

new text begin (5) documentation detailing why the previous amount of services is not sufficient to
meet the person's needs; and
 new text end

new text begin (6) anticipated impact if the total service amount is not increased to the proposed amount.
 new text end

new text begin (e) Except for rate increases required under section 256B.4914, subdivisions 5 and 5b,
and rate changes authorized by the 2025 legislature, the commissioner must not approve
service agreements under paragraph (c) that are not the result of either a documented change
in a person's assessed needs or documented evidence that the previous level of service was
insufficient to meet the person's assessed needs.
 new text end

new text begin (f) This subdivision expires upon full implementation of waiver reimagine. The
commissioner must inform the revisor of statutes when waiver reimagine is fully
implemented.
 new text end

Sec. 25.

Minnesota Statutes 2024, section 256B.0924, subdivision 6, is amended to read:


Subd. 6.

Payment for targeted case management.

(a) Medical assistance and
MinnesotaCare payment for targeted case management shall be made on a monthly basis.
In order to receive payment for an eligible adult, the provider must document at least one
contact per month and not more than two consecutive months without a face-to-face contact
either in person or by interactive video that meets the requirements in section 256B.0625,
subdivision 20b, with the adult or the adult's legal representative, family, primary caregiver,
or other relevant persons identified as necessary to the development or implementation of
the goals of the personal service plan.

(b) new text begin Except as provided under paragraph (m), new text end payment for targeted case management
provided by county staff under this subdivision shall be based on the monthly rate
methodology under section 256B.094, subdivision 6, paragraph (b), calculated as one
combined average rate together with adult mental health case management under section
256B.0625, subdivision 20, except for calendar year 2002. In calendar year 2002, the rate
for case management under this section shall be the same as the rate for adult mental health
case management in effect as of December 31, 2001. Billing and payment must identify the
recipient's primary population group to allow tracking of revenues.

(c) Payment for targeted case management provided by county-contracted vendors shall
be based on a monthly rate calculated in accordance with section 256B.076, subdivision 2.
The rate must not exceed the rate charged by the vendor for the same service to other payers.
If the service is provided by a team of contracted vendors, the team shall determine how to
distribute the rate among its members. No reimbursement received by contracted vendors
shall be returned to the county, except to reimburse the county for advance funding provided
by the county to the vendor.

(d) If the service is provided by a team that includes contracted vendors and county staff,
the costs for county staff participation on the team shall be included in the rate for
county-provided services. In this case, the contracted vendor and the county may each
receive separate payment for services provided by each entity in the same month. In order
to prevent duplication of services, the county must document, in the recipient's file, the need
for team targeted case management and a description of the different roles of the team
members.

(e) Notwithstanding section 256B.19, subdivision 1, the nonfederal share of costs for
targeted case management shall be provided by the recipient's county of responsibility, as
defined in sections 256G.01 to 256G.12, from sources other than federal funds or funds
used to match other federal funds.

(f) The commissioner may suspend, reduce, or terminate reimbursement to a provider
that does not meet the reporting or other requirements of this section. The county of
responsibility, as defined in sections 256G.01 to 256G.12, is responsible for any federal
disallowances. The county may share this responsibility with its contracted vendors.

(g) The commissioner shall set aside five percent of the federal funds received under
this section for use in reimbursing the state for costs of developing and implementing this
section.

(h) Payments to counties for targeted case management expenditures under this section
shall only be made from federal earnings from services provided under this section. Payments
to contracted vendors shall include both the federal earnings and the county share.

(i) Notwithstanding section 256B.041, county payments for the cost of case management
services provided by county staff shall not be made to the commissioner of management
and budget. For the purposes of targeted case management services provided by county
staff under this section, the centralized disbursement of payments to counties under section
256B.041 consists only of federal earnings from services provided under this section.

(j) If the recipient is a resident of a nursing facility, intermediate care facility, or hospital,
and the recipient's institutional care is paid by medical assistance, payment for targeted case
management services under this subdivision is limited to the lesser of:

(1) the last 180 days of the recipient's residency in that facility; or

(2) the limits and conditions which apply to federal Medicaid funding for this service.

(k) Payment for targeted case management services under this subdivision shall not
duplicate payments made under other program authorities for the same purpose.

(l) Any growth in targeted case management services and cost increases under this
section shall be the responsibility of the counties.

new text begin (m) The commissioner may make payments for Tribes according to section 256B.0625,
subdivision 34, or other relevant federally approved rate setting methodologies for vulnerable
adult and developmental disability targeted case management provided by Indian health
services and facilities operated by a Tribe or Tribal organization.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 26.

Minnesota Statutes 2024, section 256B.49, subdivision 13, as amended by Laws
2025, chapter 38, article 1, section 18, is amended to read:


Subd. 13.

Case management.

(a) Each recipient of a home and community-based waiver
shall be provided case management services by qualified vendors as described in the federally
approved waiver application. The case management service activities provided must include:

(1) finalizing the person-centered written support plan within the timelines established
by the commissioner and section 256B.0911, subdivision 29;

(2) informing the recipient or the recipient's legal guardian or conservator of service
options, including all service options available under the waiver plans;

(3) assisting the recipient in the identification of potential service providers of chosen
services, including:

(i) available options for case management service and providers;

(ii) providers of services provided in a non-disability-specific setting;

(iii) employment service providers;

(iv) providers of services provided in settings that are not community residential settings;
and

(v) providers of financial management services;

(4) assisting the recipient to access services and assisting with appeals under section
256.045; and

(5) coordinating, evaluating, and monitoring of the services identified in the service
plan.

(b) The case manager may delegate certain aspects of the case management service
activities to another individual provided there is oversight by the case manager. The case
manager may not delegate those aspects which require professional judgment including:

(1) finalizing the person-centered support plan;

(2) ongoing assessment and monitoring of the person's needs and adequacy of the
approved person-centered support plan; and

(3) adjustments to the person-centered support plan.

(c) Case management services must be provided by a public or private agency that is
enrolled as a medical assistance provider determined by the commissioner to meet all of
the requirements in the approved federal waiver plans. If a county agency provides case
management under contracts with other individuals or agencies and the county agency
utilizes a competitive proposal process for the procurement of contracted case management
services, the competitive proposal process must include evaluation criteria to ensure that
the county maintains a culturally responsive program for case management services adequate
to meet the needs of the population of the county. For the purposes of this section, "culturally
responsive program" means a case management services program that: (1) ensures effective,
equitable, comprehensive, and respectful quality care services that are responsive to
individuals within a specific population's values, beliefs, practices, health literacy, preferred
language, and other communication needs; and (2) is designed to address the unique needs
of individuals who share a common language or racial, ethnic, or social background.

(d) Case management services must not be provided to a recipient by a private agency
that has any financial interest in the provision of any other services included in the recipient's
support plan. For purposes of this section, "private agency" means any agency that is not
identified as a lead agency under section 256B.0911, subdivision 10.

(e) For persons who need a positive support transition plan as required in chapter 245D,
the case manager shall participate in the development and ongoing evaluation of the plan
with the expanded support team. At least quarterly, the case manager, in consultation with
the expanded support team, shall evaluate the effectiveness of the plan based on progress
evaluation data submitted by the licensed provider to the case manager. The evaluation must
identify whether the plan has been developed and implemented in a manner to achieve the
following within the required timelines:

(1) phasing out the use of prohibited procedures;

(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's
timeline; and

(3) accomplishment of identified outcomes.

If adequate progress is not being made, the case manager shall consult with the person's
expanded support team to identify needed modifications and whether additional professional
support is required to provide consultation.

(f) The Department of Human Services shall offer ongoing education in case management
to case managers. Case managers shall receive no less than 20 hours of case management
education and disability-related training each year. The education and training must include
new text begin appropriate service authorization, new text end person-centered planning, informed choice, informed
decision making, cultural competency, employment planning, community living planning,
self-direction options, and use of technology supports. Case managers must annually complete
an informed choice curriculum and pass a competency evaluation, in a form determined by
the commissioner, on informed decision-making standards. By August 1, 2024, all case
managers must complete an employment support training course identified by the
commissioner of human services. For case managers hired after August 1, 2024, this training
must be completed within the first six months of providing case management services. For
the purposes of this section, "person-centered planning" or "person-centered" has the meaning
given in section 256B.0911, subdivision 10. Case managers shall document completion of
training in a system identified by the commissioner.

Sec. 27.

Minnesota Statutes 2024, section 256B.49, is amended by adding a subdivision
to read:


new text begin Subd. 17a. new text end

new text begin Service authorizations and service agreements. new text end

new text begin (a) Recipients must be
screened and authorized for services according to the federally approved waiver application
and its subsequent amendments.
 new text end

new text begin (b) The commissioner must require lead agency supervisors to review and accept all
service agreements entered by lead agency staff into the Medicaid management information
system (MMIS) prior to the commissioner's approval of the service agreement.
 new text end

new text begin (c) For a service agreement with a proposed total authorized amount that exceeds the
total authorized amount in the recipient's prior service agreement by more than the value
of legislatively enacted rate increases, the commissioner must manually review and manually
approve the service agreement in the MMIS. For purposes of this paragraph, "prior service
agreement" means the service agreement that was in effect 12 months prior to the start date
of the new proposed service agreement.
 new text end

new text begin (d) In a format prescribed by the commissioner, lead agencies must submit the following
information for all service agreements subject to the commissioner's approval in paragraph
(c):
 new text end

new text begin (1) changes in the number of units authorized;
 new text end

new text begin (2) new services authorized;
 new text end

new text begin (3) changes in the values used to calculate service rates under section 256B.4914, except
for automatic adjustments required under section 256B.4914, subdivisions 5 and 5b;
 new text end

new text begin (4) changes in the person's level of need that require an increase in the amount of services
authorized;
 new text end

new text begin (5) documentation detailing why the previous amount of services is not sufficient to
meet the person's needs; and
 new text end

new text begin (6) anticipated impact if the total service amount is not increased to the proposed amount.
 new text end

new text begin (e) Except for rate increases required under section 256B.4914, subdivisions 5 and 5b,
and rate changes authorized by the 2025 legislature, the commissioner must not approve
service agreements under paragraph (c) that are not the result of either a documented change
in a person's assessed needs or documented evidence that the previous level of service was
insufficient to meet the person's assessed needs.
 new text end

new text begin (f) This subdivision expires upon full implementation of waiver reimagine. The
commissioner must inform the revisor of statutes when waiver reimagine is fully
implemented.
 new text end

Sec. 28.

Minnesota Statutes 2024, section 256B.49, subdivision 18, is amended to read:


Subd. 18.

Payments.

The commissioner shall reimburse approved vendors from the
medical assistance account for the costs of providing home and community-based services
to eligible recipients using the invoice processing procedures of the Medicaid management
information system (MMIS). deleted text begin Recipients will be screened and authorized for services
according to the federally approved waiver application and its subsequent amendments.
deleted text end

Sec. 29.

new text begin [256B.4907] ADVISORY TASK FORCE ON WAIVER REIMAGINE.
 new text end

new text begin Subdivision 1. new text end

new text begin Membership; co-chairs. new text end

new text begin (a) The Advisory Task Force on Waiver
Reimagine 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;
 new text end

new text begin (2) one member of the house of representatives, appointed by the leader of the house of
representatives Democratic-Farmer-Labor caucus;
 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) four individuals currently receiving disability waiver services who are under the age
of 65, appointed by the governor;
 new text end

new text begin (6) one county employee who conducts long-term care consultation services assessments
for persons under the age of 65, appointed by the Minnesota Association of County Social
Services Administrators;
 new text end

new text begin (7) one representative of the Department of Human Services with knowledge of the
requirements for a provider to participate in disability waiver service programs and of the
administration of benefits, appointed by the commissioner of human services;
 new text end

new text begin (8) one employee of the Minnesota Council on Disability, appointed by the Minnesota
Council on Disability;
 new text end

new text begin (9) two representatives of disability advocacy organizations, appointed by the governor;
 new text end

new text begin (10) two family members of individuals who are receiving disability waiver services,
appointed by the governor;
 new text end

new text begin (11) two providers of disability waiver services for persons who are under the age of
65, appointed by the governor;
 new text end

new text begin (12) one employee from the Office of Ombudsman for Mental Health and Developmental
Disabilities, appointed by the ombudsman;
 new text end

new text begin (13) one employee from the Olmstead Implementation Office, appointed by the director
of the office;
 new text end

new text begin (14) the assistant commissioner of the Department of Human Services administration
that oversees disability services; and
 new text end

new text begin (15) a member of the Minnesota Disability Law Center, appointed by the executive
director of Mid-Minnesota Legal Aid.
 new text end

new text begin (b) Each appointing authority must make appointments by September 30, 2025.
Appointments made by an agency or commissioner may also be made by a designee.
 new text end

new text begin (c) In making task force appointments, the governor must ensure representation from
greater Minnesota.
 new text end

new text begin (d) The Office of Collaboration and Dispute Resolution must convene the task force.
 new text end

new text begin (e) The task force members must elect co-chairs from the membership of the task force
at the first task force meeting.
 new text end

new text begin Subd. 2. new text end

new text begin Meetings; administrative support. new text end

new text begin (a) The first meeting of the task force must
be convened no later than November 30, 2025. The task force must meet at least quarterly.
Meetings are subject to chapter 13D. The task force may meet by telephone or interactive
technology consistent with section 13D.015.
 new text end

new text begin (b) The Department of Human Services 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 findings and recommendations related
to Waiver Reimagine in Minnesota, including but not limited to the following:
 new text end

new text begin (1) consolidation of the existing four disability home and community-based waiver
service programs into two waiver programs;
 new text end

new text begin (2) budgets based on the needs of the individual that are not tied to location of services,
including resources beyond those required to meet assessed needs that may be necessary
for the individual to live in the least restrictive environment;
 new text end

new text begin (3) criteria and processes for provider rate exceptions and individualized budget
exceptions;
 new text end

new text begin (4) appropriate assessments, including the MnCHOICES 2.0 assessment tool, in
determining service needs and individualized budgets;
 new text end

new text begin (5) covered services under each disability waiver program, including any proposed
adjustments to the menu of services;
 new text end

new text begin (6) service planning and authorization processes for disability waiver services;
 new text end

new text begin (7) a plan of support, financial and otherwise, to live in the person's own home and in
the most integrated setting as defined under Title 2 of the Americans with Disabilities Act
Integration Mandate and in Minnesota's Olmstead Plan;
 new text end

new text begin (8) intended and unintended outcomes of Waiver Reimagine; and
 new text end

new text begin (9) other items related to Waiver Reimagine as necessary.
 new text end

new text begin (b) The task force must seek input from the public, counties, persons receiving disability
waiver services, families of persons receiving disability waiver services, providers, state
agencies, and advocacy groups.
 new text end

new text begin (c) The task force must hold public meetings to gather information to fulfill the purpose
of the task force. The meetings must be accessible by remote participants.
 new text end

new text begin (d) The Department of Human Services shall provide relevant data and research to the
task force to facilitate the task force's work.
 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 section 15.059, subdivision 3.
 new text end

new text begin Subd. 5. new text end

new text begin Report. new text end

new text begin (a) The task force shall submit a report to the chairs and ranking
minority members of the legislative committees with jurisdiction over disability waiver
services no later than January 15, 2027, that describes any concerns or recommendations
related to Waiver Reimagine as identified by the task force.
 new text end

new text begin (b) The report required under Laws 2021, First Special Session chapter 7, article 13,
section 75, subdivision 4, as amended by Laws 2024, chapter 108, article 1, section 28,
must be presented to the task force prior to December 15, 2026.
 new text end

new text begin Subd. 6. new text end

new text begin Task force does not expire. new text end

new text begin Notwithstanding section 15.059, subdivision 6,
the task force under this section does not expire.
 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. 30.

Minnesota Statutes 2024, section 256B.4914, subdivision 3, is amended to read:


Subd. 3.

Applicable services.

deleted text begin (a)deleted text end Applicable services are those authorized under the
state's home and community-based services waivers under sections 256B.092 and 256B.49,
including the following, as defined in the federally approved home and community-based
services plan:

(1) 24-hour customized living;

(2) adult day services;

(3) adult day services bath;

(4) community residential services;

(5) customized living;

(6) day support services;

(7) employment development services;

(8) employment exploration services;

(9) employment support services;

(10) family residential services;

(11) individualized home supports;

(12) individualized home supports with family training;

(13) individualized home supports with training;

(14) integrated community supports;

(15) life sharing;

(16) new text begin effective until the effective date of clauses (17) and (18), new text end night supervision;

new text begin (17) effective January 1, 2026, or upon federal approval, whichever is later, awake night
supervision;
 new text end

new text begin (18) effective January 1, 2026, or upon federal approval, whichever is later, asleep night
supervision;
 new text end

deleted text begin (17)deleted text end new text begin (19)new text end positive support services;

deleted text begin (18)deleted text end new text begin (20)new text end prevocational services;

deleted text begin (19)deleted text end new text begin (21)new text end residential support services;

deleted text begin (20) respite services;
 deleted text end

deleted text begin (21)deleted text end new text begin (22)new text end transportation services; and

deleted text begin (22)deleted text end new text begin (23)new text end other services as approved by the federal government in the state home and
community-based services waiver plan.

deleted text begin (b) Effective January 1, 2024, or upon federal approval, whichever is later, respite
services under paragraph (a), clause (20), are not an applicable service under this section.
 deleted 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. 31.

Minnesota Statutes 2024, section 256B.4914, subdivision 5, is amended to read:


Subd. 5.

Base wage index; establishment and updates.

(a) The base wage index is
established to determine staffing costs associated with providing services to individuals
receiving home and community-based services. For purposes of calculating the base wage,
Minnesota-specific wages taken from job descriptions and standard occupational
classification (SOC) codes from the Bureau of Labor Statistics as defined in the Occupational
Handbook must be used.

(b) The commissioner shall deleted text begin updatedeleted text end new text begin establishnew text end the base wage index in subdivision 5a,
publish these updated values, and load them into the rate management system deleted text begin as follows:
deleted text end

deleted text begin (1) on January 1, 2022, based on wage data by SOC from the Bureau of Labor Statistics
available as of December 31, 2019;
 deleted text end

deleted text begin (2)deleted text end on January 1, 2024, based on wage data by SOC from the Bureau of Labor Statistics
published in March 2022new text begin .new text end deleted text begin ; and
deleted text end

deleted text begin (3) on January 1, 2026, and every two years thereafter, based on wage data by SOC from
the Bureau of Labor Statistics published in the spring approximately 21 months prior to the
scheduled update.
 deleted 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. 32.

Minnesota Statutes 2024, section 256B.4914, subdivision 5a, is amended to read:


Subd. 5a.

Base wage index; calculations.

The base wage index must be calculated as
follows:

(1) for supervisory staff, 100 percent of the median wage for community and social
services specialist (SOC code 21-1099), with the exception of the supervisor of positive
supports professional, positive supports analyst, and positive supports specialist, which is
100 percent of the median wage for clinical counseling and school psychologist (SOC code
19-3031);

(2) for registered nurse staff, 100 percent of the median wage for registered nurses (SOC
code 29-1141);

(3) for licensed practical nurse staff, 100 percent of the median wage for licensed practical
nurses (SOC code 29-2061);

(4) for residential asleep-overnight staff, the minimum wage in Minnesota for large
employers;

(5) for residential direct care staff, the sum of:

(i) 15 percent of the subtotal of 50 percent of the median wage for home health and
personal care aide (SOC code 31-1120); 30 percent of the median wage for nursing assistant
(SOC code 31-1131); and 20 percent of the median wage for social and human services
aide (SOC code 21-1093); and

(ii) 85 percent of the subtotal of 40 percent of the median wage for home health and
personal care aide (SOC code 31-1120); 20 percent of the median wage for nursing assistant
(SOC code 31-1131); 20 percent of the median wage for psychiatric technician (SOC code
29-2053); and 20 percent of the median wage for social and human services aide (SOC code
21-1093);

(6) for adult day services staff, 70 percent of the median wage for nursing assistant (SOC
code 31-1131); and 30 percent of the median wage for home health and personal care aide
(SOC code 31-1120);

(7) for day support services staff and prevocational services staff, 20 percent of the
median wage for nursing assistant (SOC code 31-1131); 20 percent of the median wage for
psychiatric technician (SOC code 29-2053); and 60 percent of the median wage for social
and human services aide (SOC code 21-1093);

(8) for positive supports analyst staff, 100 percent of the median wage for substance
abuse, behavioral disorder, and mental health counselor (SOC code 21-1018);

(9) for positive supports professional staff, 100 percent of the median wage for clinical
counseling and school psychologist (SOC code 19-3031);

(10) for positive supports specialist staff, 100 percent of the median wage for psychiatric
technicians (SOC code 29-2053);

(11) for individualized home supports with family training staff, 20 percent of the median
wage for nursing aide (SOC code 31-1131); 30 percent of the median wage for community
social service specialist (SOC code 21-1099); 40 percent of the median wage for social and
human services aide (SOC code 21-1093); and ten percent of the median wage for psychiatric
technician (SOC code 29-2053);

(12) for individualized home supports with training services staff, 40 percent of the
median wage for community social service specialist (SOC code 21-1099); 50 percent of
the median wage for social and human services aide (SOC code 21-1093); and ten percent
of the median wage for psychiatric technician (SOC code 29-2053);

(13) for employment support services staff, 50 percent of the median wage for
rehabilitation counselor (SOC code 21-1015); and 50 percent of the median wage for
community and social services specialist (SOC code 21-1099);

(14) for employment exploration services staff, 50 percent of the median wage for
education, guidance, school, and vocational counselor (SOC code 21-1012); and 50 percent
of the median wage for community and social services specialist (SOC code 21-1099);

(15) for employment development services staff, 50 percent of the median wage for
education, guidance, school, and vocational counselors (SOC code 21-1012); and 50 percent
of the median wage for community and social services specialist (SOC code 21-1099);

(16) for individualized home support without training staff, 50 percent of the median
wage for home health and personal care aide (SOC code 31-1120); and 50 percent of the
median wage for nursing assistant (SOC code 31-1131); deleted text begin and
deleted text end

(17) new text begin effective until the effective date of clauses (18) and (19), new text end for night supervision staff,
40 percent of the median wage for home health and personal care aide (SOC code 31-1120);
20 percent of the median wage for nursing assistant (SOC code 31-1131); 20 percent of the
median wage for psychiatric technician (SOC code 29-2053); and 20 percent of the median
wage for social and human services aide (SOC code 21-1093)deleted text begin .deleted text end new text begin ;
new text end

new text begin (18) effective January 1, 2026, or upon federal approval, whichever is later, for awake
night supervision staff, 40 percent of the median wage for home health and personal care
aide (SOC code 31-1120); 20 percent of the median wage for nursing assistant (SOC code
31-1131); 20 percent the median wage for psychiatric technician (SOC code 29-2053); and
20 percent of the median wage for social and human services aid (SOC code 21-1093); and
 new text end

new text begin (19) effective January 1, 2026, or upon federal approval, whichever is later, for asleep
night supervision staff, the minimum wage in Minnesota for large employers.
 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. 33.

Minnesota Statutes 2024, section 256B.4914, subdivision 5b, is amended to read:


Subd. 5b.

Standard component value adjustments.

The commissioner shall update
the new text begin base wage index under subdivision 5a; new text end client and programming support, transportation,
and program facility cost component values as required in subdivisions 6 to 9new text begin ;new text end and the rates
identified in subdivision 19 for changes in the Consumer Price Index. new text begin If the result of this
update exceeds eight percent, the commissioner shall implement a change to the base wage
index, component values, and rates under subdivision 19 of eight percent. If the result of
this update is less than eight percent, the commissioner shall implement the full value of
the change. new text end The commissioner shall adjust these values higher or lower, publish these
updated values, and load them into the rate management system deleted text begin as follows:
deleted text end

deleted text begin (1) on January 1, 2022, by the percentage change in the CPI-U from the date of the
previous update to the data available on December 31, 2019;
 deleted text end

deleted text begin (2) on January 1, 2024, by the percentage change in the CPI-U from the date of the
previous update to the data available as of December 31, 2022; and
 deleted text end

deleted text begin (3)deleted text end on January 1, 2026, and every two years thereafter, by the percentage change in the
CPI-U from the date of the previous update to the data available 24 months and one day
prior to the scheduled update.

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. 34.

Minnesota Statutes 2024, section 256B.4914, subdivision 8, is amended to read:


Subd. 8.

Unit-based services with programming; component values and calculation
of payment rates.

(a) For the purpose of this section, unit-based services with programming
include employment exploration services, employment development services, employment
support services, individualized home supports with family training, individualized home
supports with training, and positive support services provided to an individual outside of
any service plan for a day program or residential support service.

(b) Component values for unit-based services with programming are:

(1) competitive workforce factor: 6.7 percent;

(2) supervisory span of control ratio: 11 percent;

(3) employee vacation, sick, and training allowance ratio: 8.71 percent;

(4) employee-related cost ratio: 23.6 percent;

(5) program plan support ratio: 15.5 percent;

(6) client programming and support ratio: 4.7 percent, updated as specified in subdivision
5b;

(7) general administrative support ratio: 13.25 percent;

(8) program-related expense ratio: 6.1 percent; and

(9) absence and utilization factor ratio: 3.9 percent.

(c) A unit of service for unit-based services with programming is 15 minutes.

(d) Payments for unit-based services with programming must be calculated as follows,
unless the services are reimbursed separately as part of a residential support services or day
program payment rate:

(1) determine the number of units of service to meet a recipient's needs;

(2) determine the appropriate hourly staff wage rates derived by the commissioner as
provided in subdivisions 5 and 5a;

(3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
product of one plus the competitive workforce factor;

(4) for a recipient requiring customization for deaf and hard-of-hearing language
accessibility under subdivision 12, add the customization rate provided in subdivision 12
to the result of clause (3);

(5) multiply the number of direct staffing hours by the appropriate staff wage;

(6) multiply the number of direct staffing hours by the product of the supervisory span
of control ratio and the appropriate supervisory staff wage in subdivision 5a, clause (1);

(7) combine the results of clauses (5) and (6), and multiply the result by one plus the
employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
rate;

(8) for program plan support, multiply the result of clause (7) by one plus the program
plan support ratio;

(9) for employee-related expenses, multiply the result of clause (8) by one plus the
employee-related cost ratio;

(10) for client programming and supports, multiply the result of clause (9) by one plus
the client programming and support ratio;

(11) this is the subtotal rate;

(12) sum the standard general administrative support ratio, the program-related expense
ratio, and the absence and utilization factor ratio;

(13) divide the result of clause (11) by one minus the result of clause (12). This is the
total payment amount;

(14) for services provided in a shared manner, divide the total payment in clause (13)
as follows:

(i) for employment exploration services, divide by the number of service recipients, not
to exceed five;

(ii) for employment support services, divide by the number of service recipients, not to
exceed six;

(iii) for individualized home supports with training and individualized home supports
with family training, divide by the number of service recipients, not to exceed three; and

(iv) for night supervision, divide by the number of service recipients, not to exceed two;
and

(15) adjust the result of clause (14) by a factor to be determined by the commissioner
to adjust for regional differences in the cost of providing services.

new text begin (e) Effective January 1, 2026, or upon federal approval, whichever is later, a provider
must not bill more than three consecutive hours and not more than six total hours per day
for individualized home supports with training and individualized home supports with family
training. This daily limit does not limit a person's use of other disability waiver services,
including individualized home supports, which may be provided on the same day by the
same provider providing individualized home supports with training or individualized home
supports with family training.
 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.

Minnesota Statutes 2024, section 256B.4914, subdivision 9, is amended to read:


Subd. 9.

Unit-based services without programming; component values and
calculation of payment rates.

(a) For the purposes of this section, unit-based services
without programming include individualized home supports without training and night
supervision provided to an individual outside of any service plan for a day program or
residential support service. Unit-based services without programming do not include respite.new text begin
This paragraph expires upon the effective date of paragraph (b).
new text end

new text begin (b) Effective January 1, 2026, or upon federal approval, whichever is later, for the
purposes of this section, unit-based services without programming include individualized
home supports without training, awake night supervision, and asleep night supervision
provided to an individual outside of any service plan for a day program or residential support
service.
 new text end

deleted text begin (b)deleted text end new text begin (c)new text end Component values for unit-based services without programming are:

(1) competitive workforce factor: 6.7 percent;

(2) supervisory span of control ratio: 11 percent;

(3) employee vacation, sick, and training allowance ratio: 8.71 percent;

(4) employee-related cost ratio: 23.6 percent;

(5) program plan support ratio: 7.0 percent;

(6) client programming and support ratio: 2.3 percent, updated as specified in subdivision
5b;

(7) general administrative support ratio: 13.25 percent;

(8) program-related expense ratio: 2.9 percent; and

(9) absence and utilization factor ratio: 3.9 percent.

deleted text begin (c)deleted text end new text begin (d)new text end A unit of service for unit-based services without programming is 15 minutes.

deleted text begin (d)deleted text end new text begin (e)new text end Payments for unit-based services without programming must be calculated as
follows unless the services are reimbursed separately as part of a residential support services
or day program payment rate:

(1) determine the number of units of service to meet a recipient's needs;

(2) determine the appropriate hourly staff wage rates derived by the commissioner as
provided in subdivisions 5 to 5a;

(3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
product of one plus the competitive workforce factor;

(4) for a recipient requiring customization for deaf and hard-of-hearing language
accessibility under subdivision 12, add the customization rate provided in subdivision 12
to the result of clause (3);

(5) multiply the number of direct staffing hours by the appropriate staff wage;

(6) multiply the number of direct staffing hours by the product of the supervisory span
of control ratio and the appropriate supervisory staff wage in subdivision 5a, clause (1);

(7) combine the results of clauses (5) and (6), and multiply the result by one plus the
employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
rate;

(8) for program plan support, multiply the result of clause (7) by one plus the program
plan support ratio;

(9) for employee-related expenses, multiply the result of clause (8) by one plus the
employee-related cost ratio;

(10) for client programming and supports, multiply the result of clause (9) by one plus
the client programming and support ratio;

(11) this is the subtotal rate;

(12) sum the standard general administrative support ratio, the program-related expense
ratio, and the absence and utilization factor ratio;

(13) divide the result of clause (11) by one minus the result of clause (12). This is the
total payment amount;

(14) for individualized home supports without training provided in a shared manner,
divide the total payment amount in clause (13) by the number of service recipients, not to
exceed three; and

(15) adjust the result of clause (14) by a factor to be determined by the commissioner
to adjust for regional differences in the cost of providing services.

new text begin EFFECTIVE DATE. new text end

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

Sec. 36.

Minnesota Statutes 2024, section 256B.4914, is amended by adding a subdivision
to read:


new text begin Subd. 14a. new text end

new text begin Limitations on rate exceptions for residential services. new text end

new text begin (a) Effective July
1, 2026, the commissioner must implement limitations on the rate exceptions for community
residential services, customized living services, family residential services, and integrated
community supports.
 new text end

new text begin (b) The commissioner must restrict rate exceptions to the absence and utilization factor
ratio to people temporarily receiving hospital or crisis respite services.
 new text end

new text begin (c) For rate exceptions related to behavioral needs, the lead agency must include:
 new text end

new text begin (1) a documented behavioral diagnosis; or
 new text end

new text begin (2) determined assessed needs for behavioral supports as identified in the person's most
recent assessment or reassessment under section 256B.0911.
 new text end

new text begin (d) Community residential services rate exceptions must not include positive support
services costs.
 new text end

new text begin (e) The commissioner must not approve rate exception requests related to increased
community time or transportation.
 new text end

new text begin (f) For the commissioner to approve a rate exception annual renewal, the person's most
recent assessment must indicate continued extraordinary needs in the areas cited in the
exception request. If a person's assessment continues to identify these extraordinary needs,
lead agencies requesting an annual renewal of rate exceptions must submit documentation
supporting the continuation of the exception. At a minimum, documentation must include:
 new text end

new text begin (1) payroll records for direct care wages cited in the request;
 new text end

new text begin (2) payment records or receipts for other costs cited in the request; and
 new text end

new text begin (3) documentation of expenses paid that were identified as necessary for the initial rate
exception.
 new text end

new text begin (g) The commissioner must not increase rate exception annual renewals that request an
exception to direct care or supervision wages more than the most recently implemented
base wage index determined under subdivision 5.
 new text end

new text begin (h) The commissioner must publish online an annual report detailing the impact of the
limitations under this subdivision on home and community-based services spending, including
but not limited to:
 new text end

new text begin (1) the number and percentage of rate exceptions granted and denied;
 new text end

new text begin (2) total spending on community residential setting services and rate exceptions;
 new text end

new text begin (3) trends in the percentage of spending attributable to rate exceptions; and
 new text end

new text begin (4) an evaluation of the effectiveness of the limitations in controlling spending growth.
 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. 37.

Minnesota Statutes 2024, section 256B.4914, is amended by adding a subdivision
to read:


new text begin Subd. 20. new text end

new text begin Sanctions and monetary recovery. new text end

new text begin Payments under this section are subject
to the sanctions and monetary recovery requirements under section 256B.064.
 new text end

Sec. 38.

Minnesota Statutes 2024, section 256B.85, subdivision 2, is amended to read:


Subd. 2.

Definitions.

(a) For the purposes of this section and section 256B.851, the terms
defined in this subdivision have the meanings given.

(b) "Activities of daily living" or "ADLs" means:

(1) dressing, including assistance with choosing, applying, and changing clothing and
applying special appliances, wraps, or clothing;

(2) grooming, including assistance with basic hair care, oral care, shaving, applying
cosmetics and deodorant, and care of eyeglasses and hearing aids. Grooming includes nail
care, except for recipients who are diabetic or have poor circulation;

(3) bathing, including assistance with basic personal hygiene and skin care;

(4) eating, including assistance with hand washing and applying orthotics required for
eating or feeding;

(5) transfers, including assistance with transferring the participant from one seating or
reclining area to another;

(6) mobility, including assistance with ambulation and use of a wheelchair. Mobility
does not include providing transportation for a participant;

(7) positioning, including assistance with positioning or turning a participant for necessary
care and comfort; and

(8) toileting, including assistance with bowel or bladder elimination and care, transfers,
mobility, positioning, feminine hygiene, use of toileting equipment or supplies, cleansing
the perineal area, inspection of the skin, and adjusting clothing.

(c) "Agency-provider model" means a method of CFSS under which a qualified agency
provides services and supports through the agency's own employees and policies. The agency
must allow the participant to have a significant role in the selection and dismissal of support
workers of their choice for the delivery of their specific services and supports.

(d) "Behavior" means a description of a need for services and supports used to determine
the home care rating and additional service units. The presence of Level I behavior is used
to determine the home care rating.

(e) "Budget model" means a service delivery method of CFSS that allows the use of a
service budget and assistance from a financial management services (FMS) provider for a
participant to directly employ support workers and purchase supports and goods.

(f) "Complex health-related needs" means an intervention listed in clauses (1) to (8) that
has been ordered by a physician, advanced practice registered nurse, or physician's assistant
and is specified in an assessment summary, including:

(1) tube feedings requiring:

(i) a gastrojejunostomy tube; or

(ii) continuous tube feeding lasting longer than 12 hours per day;

(2) wounds described as:

(i) stage III or stage IV;

(ii) multiple wounds;

(iii) requiring sterile or clean dressing changes or a wound vac; or

(iv) open lesions such as burns, fistulas, tube sites, or ostomy sites that require specialized
care;

(3) parenteral therapy described as:

(i) IV therapy more than two times per week lasting longer than four hours for each
treatment; or

(ii) total parenteral nutrition (TPN) daily;

(4) respiratory interventions, including:

(i) oxygen required more than eight hours per day;

(ii) respiratory vest more than one time per day;

(iii) bronchial drainage treatments more than two times per day;

(iv) sterile or clean suctioning more than six times per day;

(v) dependence on another to apply respiratory ventilation augmentation devices such
as BiPAP and CPAP; and

(vi) ventilator dependence under section 256B.0651;

(5) insertion and maintenance of catheter, including:

(i) sterile catheter changes more than one time per month;

(ii) clean intermittent catheterization, and including self-catheterization more than six
times per day; or

(iii) bladder irrigations;

(6) bowel program more than two times per week requiring more than 30 minutes to
perform each time;

(7) neurological intervention, including:

(i) seizures more than two times per week and requiring significant physical assistance
to maintain safety; or

(ii) swallowing disorders diagnosed by a physician, advanced practice registered nurse,
or physician's assistant and requiring specialized assistance from another on a daily basis;
and

(8) other congenital or acquired diseases creating a need for significantly increased direct
hands-on assistance and interventions in six to eight activities of daily living.

(g) "Community first services and supports" or "CFSS" means the assistance and supports
program under this section needed for accomplishing activities of daily living, instrumental
activities of daily living, and health-related tasks through hands-on assistance to accomplish
the task or constant supervision and cueing to accomplish the task, or the purchase of goods
as defined in subdivision 7, clause (3), that replace the need for human assistance.

(h) "Community first services and supports service delivery plan" or "CFSS service
delivery plan" means a written document detailing the services and supports chosen by the
participant to meet assessed needs that are within the approved CFSS service authorization,
as determined in subdivision 8. Services and supports are based on the support plan identified
in sections 256B.092, subdivision 1b, and 256S.10.

(i) "Consultation services" means deleted text begin a Minnesota health care program enrolled provider
organization that provides assistance to thedeleted text end new text begin assisting anew text end participant in making informed
choices about CFSS services in general and self-directed tasks in particular, and in developing
a person-centered CFSS service delivery plan to achieve quality service outcomes.

(j) "Critical activities of daily living" means transferring, mobility, eating, and toileting.

(k) "Dependency" in activities of daily living means a person requires hands-on assistance
or constant supervision and cueing to accomplish one or more of the activities of daily living
every day or on the days during the week that the activity is performed; however, a child
must not be found to be dependent in an activity of daily living if, because of the child's
age, an adult would either perform the activity for the child or assist the child with the
activity and the assistance needed is the assistance appropriate for a typical child of the
same age.

(l) "Extended CFSS" means CFSS services and supports provided under CFSS that are
included in the CFSS service delivery plan through one of the home and community-based
services waivers and as approved and authorized under chapter 256S and sections 256B.092,
subdivision 5, and 256B.49, which exceed the amount, duration, and frequency of the state
plan CFSS services for participants. Extended CFSS excludes the purchase of goods.

(m) "Financial management services provider" or "FMS provider" means a qualified
organization required for participants using the budget model under subdivision 13 that is
an enrolled provider with the department to provide vendor fiscal/employer agent financial
management services (FMS).

(n) "Health-related procedures and tasks" means procedures and tasks related to the
specific assessed health needs of a participant that can be taught or assigned by a
state-licensed health care or mental health professional and performed by a support worker.

(o) "Instrumental activities of daily living" means activities related to living independently
in the community, including but not limited to: meal planning, preparation, and cooking;
shopping for food, clothing, or other essential items; laundry; housecleaning; assistance
with medications; managing finances; communicating needs and preferences during activities;
arranging supports; and assistance with traveling around and participating in the community,
including traveling to medical appointments. For purposes of this paragraph, traveling
includes driving and accompanying the recipient in the recipient's chosen mode of
transportation and according to the individual CFSS service delivery plan.

(p) "Lead agency" has the meaning given in section 256B.0911, subdivision 10.

(q) "Legal representative" means parent of a minor, a court-appointed guardian, or
another representative with legal authority to make decisions about services and supports
for the participant. Other representatives with legal authority to make decisions include but
are not limited to a health care agent or an attorney-in-fact authorized through a health care
directive or power of attorney.

(r) "Level I behavior" means physical aggression toward self or others or destruction of
property that requires the immediate response of another person.

(s) "Medication assistance" means providing verbal or visual reminders to take regularly
scheduled medication, and includes any of the following supports listed in clauses (1) to
(3) and other types of assistance, except that a support worker must not determine medication
dose or time for medication or inject medications into veins, muscles, or skin:

(1) under the direction of the participant or the participant's representative, bringing
medications to the participant including medications given through a nebulizer, opening a
container of previously set-up medications, emptying the container into the participant's
hand, opening and giving the medication in the original container to the participant, or
bringing to the participant liquids or food to accompany the medication;

(2) organizing medications as directed by the participant or the participant's representative;
and

(3) providing verbal or visual reminders to perform regularly scheduled medications.

(t) "Participant" means a person who is eligible for CFSS.

(u) "Participant's representative" means a parent, family member, advocate, or other
adult authorized by the participant or participant's legal representative, if any, to serve as a
representative in connection with the provision of CFSS. If the participant is unable to assist
in the selection of a participant's representative, the legal representative shall appoint one.

(v) "Person-centered planning process" means a process that is directed by the participant
to plan for CFSS services and supports.

(w) "Service budget" means the authorized dollar amount used for the budget model or
for the purchase of goods.

(x) "Shared services" means the provision of CFSS services by the same CFSS support
worker to two or three participants who voluntarily enter into a written agreement to receive
services at the same time, in the same setting, and through the same agency-provider or
FMS provider.

(y) "Support worker" means a qualified and trained employee of the agency-provider
as required by subdivision 11b or of the participant employer under the budget model as
required by subdivision 14 who has direct contact with the participant and provides services
as specified within the participant's CFSS service delivery plan.

(z) "Unit" means the increment of service based on hours or minutes identified in the
service agreement.

(aa) "Vendor fiscal employer agent" means an agency that provides financial management
services.

(bb) "Wages and benefits" means the hourly wages and salaries, the employer's share
of FICA taxes, Medicare taxes, state and federal unemployment taxes, workers' compensation,
mileage reimbursement, health and dental insurance, life insurance, disability insurance,
long-term care insurance, uniform allowance, contributions to employee retirement accounts,
or other forms of employee compensation and benefits.

(cc) "Worker training and development" means services provided according to subdivision
18a for developing workers' skills as required by the participant's individual CFSS service
delivery plan that are arranged for or provided by the agency-provider or purchased by the
participant employer. These services include training, education, direct observation and
supervision, and evaluation and coaching of job skills and tasks, including supervision of
health-related tasks or behavioral supports.

Sec. 39.

Minnesota Statutes 2024, section 256B.85, subdivision 5, is amended to read:


Subd. 5.

Assessment requirements.

(a) The assessment of functional need must:

(1) be conducted by a certified assessor according to the criteria established in section
256B.0911, subdivisions 17 to 21, 23, 24, and 29 to 31;

(2) be conducted face-to-face, initially and at least annually thereafter, or when there is
a significant change in the participant's condition or a change in the need for services and
supports, or at the request of the participant when the participant experiences a change in
condition or needs a change in the services or supports; and

(3) be completed using the format established by the commissioner.

(b) The results of the assessment and any recommendations and authorizations for CFSS
must be determined and communicated in writing by the lead agency's assessor as defined
in section 256B.0911 to the participant or the participant's representative and chosen CFSS
providers within ten business days and must include the participant's right to appeal the
assessment under section 256.045, subdivision 3.

deleted text begin (c) The lead agency assessor may authorize a temporary authorization for CFSS services
to be provided under the agency-provider model. The lead agency assessor may authorize
a temporary authorization for CFSS services to be provided under the agency-provider
model without using the assessment process described in this subdivision. Authorization
for a temporary level of CFSS services under the agency-provider model is limited to the
time specified by the commissioner, but shall not exceed 45 days. The level of services
authorized under this paragraph shall have no bearing on a future authorization. For CFSS
services needed beyond the 45-day temporary authorization, the lead agency must conduct
an assessment as described in this subdivision and participants must use consultation services
to complete their orientation and selection of a service model.
 deleted text end

Sec. 40.

Minnesota Statutes 2024, section 256B.85, is amended by adding a subdivision
to read:


new text begin Subd. 5a. new text end

new text begin Temporary authorization without assessment. new text end

new text begin The lead agency assessor
may authorize a temporary authorization for CFSS services to be provided under the
agency-provider model. The lead agency assessor may authorize a temporary authorization
for CFSS services to be provided under the agency-provider model without using the
assessment process described in subdivision 5. Authorization for a temporary level of CFSS
services under the agency-provider model is limited to the time specified by the
commissioner, but shall not exceed 45 days. The level of services authorized under this
subdivision shall have no bearing on a future authorization. For CFSS services needed
beyond the 45-day temporary authorization, the lead agency must conduct an assessment
as described in subdivision 5 and participants must use consultation services to complete
their orientation and selection of a service model.
 new text end

Sec. 41.

Minnesota Statutes 2024, section 256B.85, subdivision 7, is amended to read:


Subd. 7.

Community first services and supports; covered services.

Services and
supports covered under CFSS include:

(1) assistance to accomplish activities of daily living (ADLs), instrumental activities of
daily living (IADLs), and health-related procedures and tasks through hands-on assistance
to accomplish the task or constant supervision and cueing to accomplish the task;

(2) assistance to acquire, maintain, or enhance the skills necessary for the participant to
accomplish activities of daily living, instrumental activities of daily living, or health-related
tasks;

(3) expenditures for items, services, supports, environmental modifications, or goods,
including assistive technology. These expenditures must:

(i) relate to a need identified in a participant's CFSS service delivery plan; and

(ii) increase independence or substitute for human assistance, to the extent that
expenditures would otherwise be made for human assistance for the participant's assessed
needs;

(4) observation and redirection for behavior or symptoms where there is a need for
assistance;

(5) back-up systems or mechanisms, such as the use of pagers or other electronic devices,
to ensure continuity of the participant's services and supports;

new text begin (6) swimming lessons for a participant younger than 12 years of age whose disability
puts the participant at a higher risk of drowning according to the Centers for Disease Control
Vital Statistics System;
 new text end

deleted text begin (6)deleted text end new text begin (7)new text end services new text begin described under subdivision 17 new text end provided by a consultation services
provider deleted text begin as defined under subdivision 17, that is under contract with the department and
enrolled as a Minnesota health care program providerdeleted text end new text begin meeting the requirements of subdivision
17anew text end ;

deleted text begin (7)deleted text end new text begin (8)new text end services provided by an FMS provider as defined under subdivision 13a, that is
an enrolled provider with the department;

deleted text begin (8)deleted text end new text begin (9)new text end CFSS services provided by a support worker who is a parent, stepparent, or legal
guardian of a participant under age 18, or who is the participant's spouse. Covered services
under this clause are subject to the limitations described in subdivision 7b; and

deleted text begin (9)deleted text end new text begin (10)new text end worker training and development services as described in subdivision 18a.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 42.

Minnesota Statutes 2024, section 256B.85, subdivision 7a, is amended to read:


Subd. 7a.

Enhanced rate.

(a) An enhanced rate of 107.5 percent of the rate paid for
CFSS must be paid for services provided to persons who qualify for ten or more hours of
CFSS per day when provided by a support worker who meets the requirements of subdivision
16, paragraph (e).new text begin This paragraph expires upon the effective date of paragraph (b).
new text end

new text begin (b) Effective January 1, 2026, or upon federal approval, whichever is later, an enhanced
rate of 112.5 percent of the rate paid for CFSS must be paid for services provided to persons
who qualify for ten or more hours of CFSS per day when provided by a support worker
who meets the requirements of subdivision 16, paragraph (e).
 new text end

deleted text begin (b)deleted text end new text begin (c)new text end An agency provider must use all additional revenue attributable to the rate
enhancements under this subdivision for the wages and wage-related costs of the support
workers, including any corresponding increase in the employer's share of FICA taxes,
Medicare taxes, state and federal unemployment taxes, and workers' compensation premiums.
The agency provider must not use the additional revenue attributable to any enhanced rate
under this subdivision to pay for mileage reimbursement, health and dental insurance, life
insurance, disability insurance, long-term care insurance, uniform allowance, contributions
to employee retirement accounts, or any other employee benefits.

deleted text begin (c)deleted text end new text begin (d)new text end Any change in the eligibility criteria for the enhanced rate for CFSS as described
in this subdivision and referenced in subdivision 16, paragraph (e), does not constitute a
change in a term or condition for individual providers as defined in section 256B.0711, and
is not subject to the state's obligation to meet and negotiate under chapter 179A.

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.

Minnesota Statutes 2024, section 256B.85, subdivision 8, is amended to read:


Subd. 8.

Determination of CFSS service authorization amount.

(a) All community
first services and supports must be authorized by the commissioner or the commissioner's
designee before services begin. The authorization for CFSS must be completed as soon as
possible following an assessment but no later than 40 calendar days from the date of the
assessment.

(b) The amount of CFSS authorized must be based on the participant's home care rating
described in paragraphs (d) and (e) and any additional service units for which the participant
qualifies as described in paragraph (f).

(c) The home care rating shall be determined by the commissioner or the commissioner's
designee based on information submitted to the commissioner identifying the following for
a participant:

(1) the total number of dependencies of activities of daily living;

(2) the presence of complex health-related needs; and

(3) the presence of Level I behavior.

(d) The methodology to determine the total service units for CFSS for each home care
rating is based on the median paid units per day for each home care rating from fiscal year
2007 data for the PCA program.

(e) Each home care rating is designated by the letters P through Z and EN and has the
following base number of service units assigned:

(1) P home care rating requires Level I behavior or one to three dependencies in ADLs
and qualifies the person for five service units;

(2) Q home care rating requires Level I behavior and one to three dependencies in ADLs
and qualifies the person for six service units;

(3) R home care rating requires a complex health-related need and one to three
dependencies in ADLs and qualifies the person for seven service units;

(4) S home care rating requires four to six dependencies in ADLs and qualifies the person
for ten service units;

(5) T home care rating requires four to six dependencies in ADLs and Level I behavior
and qualifies the person for 11 service units;

(6) U home care rating requires four to six dependencies in ADLs and a complex
health-related need and qualifies the person for 14 service units;

(7) V home care rating requires seven to eight dependencies in ADLs and qualifies the
person for 17 service units;

(8) W home care rating requires seven to eight dependencies in ADLs and Level I
behavior and qualifies the person for 20 service units;

(9) Z home care rating requires seven to eight dependencies in ADLs and a complex
health-related need and qualifies the person for 30 service units; and

(10) EN home care rating includes ventilator dependency as defined in section 256B.0651,
subdivision 1, paragraph (g). A person who meets the definition of ventilator-dependent
and the EN home care rating and utilize a combination of CFSS and home care nursing
services is limited to a total of 96 service units per day for those services in combination.
Additional units may be authorized when a person's assessment indicates a need for two
staff to perform activities. Additional time is limited to 16 service units per day.

(f) Additional service units are provided through the assessment and identification of
the following:

(1) 30 additional minutes per day for a dependency in each critical activity of daily
living;

(2) 30 additional minutes per day for each complex health-related need; and

(3) 30 additional minutes per day for each behavior under this clause that requires
assistance at least four times per week:

(i) level I behavior that requires the immediate response of another person;

(ii) increased vulnerability due to cognitive deficits or socially inappropriate behavior;
or

(iii) increased need for assistance for participants who are verbally aggressive or resistive
to care so that the time needed to perform activities of daily living is increased.

(g) The service budget for budget model participants shall be based on:

(1) assessed units as determined by the home care rating; and

(2) an adjustment needed for administrative expenses.new text begin This paragraph expires upon the
effective date of paragraph (h).
new text end

new text begin (h) Effective January 1, 2026, or upon federal approval, whichever is later, the service
budget for budget model participants shall be based on:
 new text end

new text begin (1) assessed units as determined by the home care rating and the payment methodologies
under section 256B.851; and
 new text end

new text begin (2) an adjustment needed for administrative expenses.
 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.

Minnesota Statutes 2024, section 256B.85, subdivision 8a, is amended to read:


Subd. 8a.

Authorization; exceptions.

All CFSS services must be authorized by the
commissioner or the commissioner's designee as described in subdivision 8 except when:

(1) the lead agency temporarily authorizes services in the agency-provider model as
described in subdivision deleted text begin 5, paragraph (c)deleted text end new text begin 5anew text end ;

(2) CFSS services in the agency-provider model were required to treat an emergency
medical condition that if not immediately treated could cause a participant serious physical
or mental disability, continuation of severe pain, or death. The CFSS agency provider must
request retroactive authorization from the lead agency no later than five working days after
providing the initial emergency service. The CFSS agency provider must be able to
substantiate the emergency through documentation such as reports, notes, and admission
or discharge histories. A lead agency must follow the authorization process in subdivision
5 after the lead agency receives the request for authorization from the agency provider;

(3) the lead agency authorizes a temporary increase to the amount of services authorized
in the agency or budget model to accommodate the participant's temporary higher need for
services. Authorization for a temporary level of CFSS services is limited to the time specified
by the commissioner, but shall not exceed 45 days. The level of services authorized under
this clause shall have no bearing on a future authorization;

(4) a participant's medical assistance eligibility has lapsed, is then retroactively reinstated,
and an authorization for CFSS services is completed based on the date of a current
assessment, eligibility, and request for authorization;

(5) a third-party payer for CFSS services has denied or adjusted a payment. Authorization
requests must be submitted by the provider within 20 working days of the notice of denial
or adjustment. A copy of the notice must be included with the request;

(6) the commissioner has determined that a lead agency or state human services agency
has made an error; or

(7) a participant enrolled in managed care experiences a temporary disenrollment from
a health plan, in which case the commissioner shall accept the current health plan
authorization for CFSS services for up to 60 days. The request must be received within the
first 30 days of the disenrollment. If the recipient's reenrollment in managed care is after
the 60 days and before 90 days, the provider shall request an additional 30-day extension
of the current health plan authorization, for a total limit of 90 days from the time of
disenrollment.

Sec. 45.

Minnesota Statutes 2024, section 256B.85, subdivision 11, is amended to read:


Subd. 11.

Agency-provider model.

(a) The agency-provider model includes services
provided by support workers and staff providing worker training and development services
who are employed by an agency-provider that meets the criteria established by the
commissioner, including required training.

(b) The agency-provider shall allow the participant to have a significant role in the
selection and dismissal of the support workers for the delivery of the services and supports
specified in the participant's CFSS service delivery plan. The agency must make a reasonable
effort to fulfill the participant's request for the participant's preferred support worker.

(c) A participant may use authorized units of CFSS services as needed within a service
agreement that is not greater than 12 months. Using authorized units in a flexible manner
in either the agency-provider model or the budget model does not increase the total amount
of services and supports authorized for a participant or included in the participant's CFSS
service delivery plan.

(d) A participant may share CFSS services. Two or three CFSS participants may share
services at the same time provided by the same support worker.

(e) The agency-provider must use a minimum of 72.5 percent of the revenue generated
by the medical assistance payment for CFSS for support worker wages and benefits, except
all of the revenue generated by a medical assistance rate increase due to a collective
bargaining agreement under section 179A.54 must be used for support worker wages and
benefits. The agency-provider must document how this requirement is being met. The
revenue generated by the worker training and development services and the reasonable costs
associated with the worker training and development services must not be used in making
this calculation.

(f) The agency-provider model must be used by participants who are restricted by the
Minnesota restricted recipient program under Minnesota Rules, parts 9505.2160 to
9505.2245.

(g) Participants purchasing goods under deleted text begin thisdeleted text end new text begin the agency-providernew text end model, along with
support worker services, must:

(1) specify the goods in the CFSS service delivery plan and detailed budget for
expenditures that must be approved by the lead agency, case manager, or care coordinator;
and

(2) use the FMS provider for the billing and payment of such goods.

(h) The agency provider is responsible for ensuring that any worker driving a participant
under subdivision 2, paragraph (o), has a valid driver's license and the vehicle used is
registered and insured according to Minnesota law.

Sec. 46.

Minnesota Statutes 2024, section 256B.85, subdivision 13, is amended to read:


Subd. 13.

Budget model.

(a) Under the budget model participants exercise responsibility
and control over the services and supports described and budgeted within the CFSS service
delivery plan. Participants must use new text begin consultation services specified in subdivision 17 and
new text end services specified in subdivision 13a provided by an FMS provider. Under this model,
participants may use their approved service budget allocation to:

(1) directly employ support workers, and pay wages, federal and state payroll taxes, and
premiums for workers' compensation, liability, family and medical benefit insurance, and
health insurance coverage; and

(2) obtain supports and goods as defined in subdivision 7.

(b) Participants who are unable to fulfill any of the functions listed in paragraph (a) may
authorize a legal representative or participant's representative to do so on their behalf.

(c) If two or more participants using the budget model live in the same household and
have the same support worker, the participants must use the same FMS provider.

(d) If the FMS provider advises that there is a joint employer in the budget model, all
participants associated with that joint employer must use the same FMS provider.

(e) The commissioner shall disenroll or exclude participants from the budget model and
transfer them to the agency-provider model under, but not limited to, the following
circumstances:

(1) when a participant has been restricted by the Minnesota restricted recipient program,
in which case the participant may be excluded for a specified time period under Minnesota
Rules, parts 9505.2160 to 9505.2245;

(2) when a participant exits the budget model during the participant's service plan year.
Upon transfer, the participant shall not access the budget model for the remainder of that
service plan year; or

(3) when the department determines that the participant or participant's representative
or legal representative is unable to fulfill the responsibilities under the budget model, as
specified in subdivision 14.

(f) A participant may appeal in writing to the department under section 256.045,
subdivision 3, to contest the department's decision under paragraph (e), clause (3), to disenroll
or exclude the participant from the budget model.

Sec. 47.

Minnesota Statutes 2024, section 256B.85, subdivision 16, is amended to read:


Subd. 16.

Support workers requirements.

(a) Support workers shall:

(1) enroll with the department as a support worker after a background study under chapter
245C has been completed and the support worker has received a notice from the
commissioner that the support worker:

(i) is not disqualified under section 245C.14; or

(ii) is disqualified, but has received a set-aside of the disqualification under section
245C.22;

(2) have the ability to effectively communicate with the participant or the participant's
representative;

(3) have the skills and ability to provide the services and supports according to the
participant's CFSS service delivery plan and respond appropriately to the participant's needs;

(4) complete the basic standardized CFSS training as determined by the commissioner
before completing enrollment. The training must be available in languages other than English
and to those who need accommodations due to disabilities. CFSS support worker training
must include successful completion of the following training components: basic first aid,
vulnerable adult, child maltreatment, OSHA universal precautions, basic roles and
responsibilities of support workers including information about basic body mechanics,
emergency preparedness, orientation to positive behavioral practices, orientation to
responding to a mental health crisis, fraud issues, time cards and documentation, and an
overview of person-centered planning and self-direction. Upon completion of the training
components, the support worker must pass the certification test to provide assistance to
participants;

(5) complete employer-directed training and orientation on the participant's individual
needs;

(6) maintain the privacy and confidentiality of the participant; and

(7) not independently determine the medication dose or time for medications for the
participant.

(b) The commissioner may deny or terminate a support worker's provider enrollment
and provider number if the support worker:

(1) does not meet the requirements in paragraph (a);

(2) fails to provide the authorized services required by the employer;

(3) has been intoxicated by alcohol or drugs while providing authorized services to the
participant or while in the participant's home;

(4) has manufactured or distributed drugs while providing authorized services to the
participant or while in the participant's home; or

(5) has been excluded as a provider by the commissioner of human services, or by the
United States Department of Health and Human Services, Office of Inspector General, from
participation in Medicaid, Medicare, or any other federal health care program.

(c) A support worker may appeal in writing to the commissioner to contest the decision
to terminate the support worker's provider enrollment and provider number.

(d) A support worker must not provide or be paid for more than 310 hours of CFSS per
month, regardless of the number of participants the support worker serves or the number
of agency-providers or participant employers by which the support worker is employed.
The department shall not disallow the number of hours per day a support worker works
unless it violates other law.

(e) CFSS qualify for an enhanced ratenew text begin or budgetnew text end if the support worker providing the
services:

(1) provides services, within the scope of CFSS described in subdivision 7, to a participant
who qualifies for ten or more hours per day of CFSS; and

(2) satisfies the current requirements of Medicare for training and competency or
competency evaluation of home health aides or nursing assistants, as provided in the Code
of Federal Regulations, title 42, section 483.151 or 484.36, or alternative state-approved
training or competency requirements.new text begin This paragraph expires upon the effective date of
paragraph (f).
new text end

new text begin (f) Effective January 1, 2026, or upon federal approval, whichever is later, CFSS qualify
for an enhanced rate or budget if the support worker providing the services:
 new text end

new text begin (1) provides services, within the scope of CFSS described in subdivision 7, to a participant
who qualifies for ten or more hours per day of CFSS; and
 new text end

new text begin (2) satisfies the current requirements of Medicare for training and competency or
competency evaluation of home health aides or nursing assistants, as provided in the Code
of Federal Regulations, title 42, section 483.151 or 484.36, or alternative state-approved
training or competency requirements.
 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. 48.

Minnesota Statutes 2024, section 256B.85, subdivision 17a, is amended to read:


Subd. 17a.

Consultation services provider qualifications and
requirements.

Consultation services providers must meet the following qualifications and
requirements:

(1) meet the requirements under subdivision 10, paragraph (a), excluding clauses (4)
and (5);

(2) deleted text begin aredeleted text end new text begin benew text end under contract with the departmentnew text begin and enrolled as a Minnesota health care
program providernew text end ;

(3) deleted text begin are notdeleted text end new text begin not benew text end the FMS provider, the lead agency, or the CFSS or home and
community-based services waiver vendor or agency-provider to the participant;

(4) meet the service standards as established by the commissioner;

(5) have proof of surety bond coverage. Upon new enrollment, or if the consultation
service provider's Medicaid revenue in the previous calendar year is less than or equal to
$300,000, the consultation service provider must purchase a surety bond of $50,000. If the
agency-provider's Medicaid revenue in the previous calendar year is greater than $300,000,
the consultation service provider must purchase a surety bond of $100,000. The surety bond
must be in a form approved by the commissioner, must be renewed annually, and must
allow for recovery of costs and fees in pursuing a claim on the bond;

(6) employ lead professional staff with a minimum of two years of experience in
providing services such as support planning, support broker, case management or care
coordination, or consultation services and consumer education to participants using a
self-directed program using FMS under medical assistance;

(7) report maltreatment as required under chapter 260E and section 626.557;

(8) comply with medical assistance provider requirements;

(9) understand the CFSS program and its policies;

(10) deleted text begin aredeleted text end new text begin benew text end knowledgeable about self-directed principles and the application of the
person-centered planning process;

(11) have general knowledge of the FMS provider duties and the vendor fiscal/employer
agent model, including all applicable federal, state, and local laws and regulations regarding
tax, labor, employment, and liability and workers' compensation coverage for household
workers; and

(12) have all employees, including lead professional staff, staff in management and
supervisory positions, and owners of the agency who are active in the day-to-day management
and operations of the agency, complete training as specified in the contract with the
department.

Sec. 49.

Minnesota Statutes 2024, section 256B.851, subdivision 5, is amended to read:


Subd. 5.

Payment rates; component values.

(a) The commissioner must use the
following component values:

(1) employee vacation, sick, and training factor, 8.71 percent;

(2) employer taxes and workers' compensation factor, 11.56 percent;

(3) employee benefits factor, 12.04 percent;

(4) client programming and supports factor, 2.30 percent;

(5) program plan support factor, 7.00 percent;

(6) general business and administrative expenses factor, 13.25 percent;

(7) program administration expenses factor, 2.90 percent; and

(8) absence and utilization factor, 3.90 percent.

deleted text begin (b) For purposes of implementation, the commissioner shall use the following
deleted text end deleted text begin implementation components:
 deleted text end

deleted text begin (1) personal care assistance services and CFSS: 88.19 percent;
 deleted text end

deleted text begin (2) enhanced rate personal care assistance services and enhanced rate CFSS: 88.19
deleted text end deleted text begin percent; and
 deleted text end

deleted text begin (3) qualified professional services and CFSS worker training and development: 88.19
deleted text end deleted text begin percent.
 deleted text end

deleted text begin (c)deleted text end new text begin (b)new text end Effective January 1, 2025, for purposes of implementation, the commissioner
shall use the following implementation components:

(1) personal care assistance services and CFSS: 92.08 percent;

(2) enhanced rate personal care assistance services and enhanced rate CFSS: 92.08
percent; and

(3) qualified professional services and CFSS worker training and development: 92.08
percent.new text begin This paragraph expires upon the effective date of subdivision 5a.
new text end

deleted text begin (d)deleted text end new text begin (c)new text end The commissioner shall use the following worker retention components:

(1) for workers who have provided fewer than 1,001 cumulative hours in personal care
assistance services or CFSS, the worker retention component is zero percent;

(2) for workers who have provided between 1,001 and 2,000 cumulative hours in personal
care assistance services or CFSS, the worker retention component is 2.17 percent;

(3) for workers who have provided between 2,001 and 6,000 cumulative hours in personal
care assistance services or CFSS, the worker retention component is 4.36 percent;

(4) for workers who have provided between 6,001 and 10,000 cumulative hours in
personal care assistance services or CFSS, the worker retention component is 7.35 percent;
and

(5) for workers who have provided more than 10,000 cumulative hours in personal care
assistance services or CFSS, the worker retention component is 10.81 percent.new text begin This paragraph
expires upon the effective date of subdivision 5b.
new text end

deleted text begin (e)deleted text end new text begin (d)new text end The commissioner shall define the appropriate worker retention component new text begin under
subdivision 5b or 5cnew text end based on the total number of units billed for services rendered by the
individual provider since July 1, 2017. The worker retention component must be determined
by the commissioner for each individual provider and is not subject to appeal.

new text begin EFFECTIVE DATE. new text end

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

Sec. 50.

Minnesota Statutes 2024, section 256B.851, is amended by adding a subdivision
to read:


new text begin Subd. 5a. new text end

new text begin Payment rates; implementation components. new text end

new text begin Effective January 1, 2026, or
upon federal approval, whichever is later, for purposes of implementation, the commissioner
shall use the following implementation components:
 new text end

new text begin (1) personal care assistance services and CFSS: 92.20 percent;
 new text end

new text begin (2) enhanced rate personal care assistance services and enhanced rate CFSS: 92.20
percent; and
 new text end

new text begin (3) qualified professional services and CFSS worker training and development: 92.20
percent.
 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. 51.

Minnesota Statutes 2024, section 256B.851, is amended by adding a subdivision
to read:


new text begin Subd. 5b. new text end

new text begin Payment rates; worker retention component. new text end

new text begin Effective January 1, 2026,
or upon federal approval, whichever is later, the commissioner shall use the following
worker retention components:
 new text end

new text begin (1) for workers who have provided fewer than 1,001 cumulative hours in personal care
assistance services or CFSS, the worker retention component is zero percent;
 new text end

new text begin (2) for workers who have provided between 1,001 and 2,000 cumulative hours in personal
care assistance services or CFSS, the worker retention component is 4.05 percent;
 new text end

new text begin (3) for workers who have provided between 2,001 and 6,000 cumulative hours in personal
care assistance services or CFSS, the worker retention component is 6.24 percent;
 new text end

new text begin (4) for workers who have provided between 6,001 and 10,000 cumulative hours in
personal care assistance services or CFSS, the worker retention component is 9.23 percent;
and
 new text end

new text begin (5) for workers who have provided more than 10,000 cumulative hours in personal care
assistance services or CFSS, the worker retention component is 12.69 percent.
 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. 52.

Minnesota Statutes 2024, section 256B.851, is amended by adding a subdivision
to read:


new text begin Subd. 5c. new text end

new text begin Payment rates; enhanced worker retention component. new text end

new text begin Effective January
1, 2027, or upon federal approval, whichever is later, the commissioner shall use the
following worker retention components if a worker has completed either the orientation for
individual providers offered through the Home Care Orientation Trust or an orientation
defined and offered by the commissioner:
 new text end

new text begin (1) for workers who have provided fewer than 1,001 cumulative hours in personal care
assistance services or CFSS, the worker retention component is 1.88 percent;
 new text end

new text begin (2) for workers who have provided between 1,001 and 2,000 cumulative hours in personal
care assistance services or CFSS, the worker retention component is 5.92 percent;
 new text end

new text begin (3) for workers who have provided between 2,001, and 6,000 cumulative hours in personal
care assistance services or CFSS, the worker retention component is 8.11 percent;
 new text end

new text begin (4) for workers who have provided between 6,001 and 10,000 cumulative hours in
personal care assistance services or CFSS, the worker retention component is 11.10 percent;
and
 new text end

new text begin (5) for workers who have provided more than 10,000 cumulative hours in personal care
assistance services or CFSS, the worker retention component is 14.56 percent.
 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. 53.

Minnesota Statutes 2024, section 256B.851, subdivision 6, is amended to read:


Subd. 6.

Payment rates; rate determination.

(a) The commissioner must determine
the rate for personal care assistance services, CFSS, extended personal care assistance
services, extended CFSS, enhanced rate personal care assistance services, enhanced rate
CFSS, qualified professional services, and CFSS worker training and development as
follows:

(1) multiply the appropriate total wage component value calculated in subdivision 4 by
one plus the employee vacation, sick, and training factor in subdivision 5;

(2) for program plan support, multiply the result of clause (1) by one plus the program
plan support factor in subdivision 5;

(3) for employee-related expenses, add the employer taxes and workers' compensation
factor in subdivision 5 and the employee benefits factor in subdivision 5. The sum is
employee-related expenses. Multiply the product of clause (2) by one plus the value for
employee-related expenses;

(4) for client programming and supports, multiply the product of clause (3) by one plus
the client programming and supports factor in subdivision 5;

(5) for administrative expenses, add the general business and administrative expenses
factor in subdivision 5, the program administration expenses factor in subdivision 5, and
the absence and utilization factor in subdivision 5;

(6) divide the result of clause (4) by one minus the result of clause (5). The quotient is
the hourly rate;

(7) multiply the hourly rate by the appropriate implementation component under
subdivision 5new text begin or 5anew text end . This is the adjusted hourly rate; and

(8) divide the adjusted hourly rate by four. The quotient is the total adjusted payment
rate.

(b) In processing new text begin personal care assistance provider agency and CFSS provider agency
new text end claims, the commissioner shall incorporate the new text begin applicable new text end worker retention deleted text begin componentdeleted text end new text begin
componentsnew text end specified in subdivision 5new text begin , 5b, or 5cnew text end , by multiplying one plus the total adjusted
payment rate by the appropriate worker retention component under subdivision 5, deleted text begin paragraph
(d)deleted text end new text begin 5b, or 5cnew text end .

(c) The commissioner must publish the total final payment rates.

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. 54.

Minnesota Statutes 2024, section 256B.851, subdivision 7, is amended to read:


Subd. 7.

Treatment of rate adjustments provided outside of cost components.

Any
rate adjustments applied to the service rates calculated under this section outside of the cost
components and rate methodology specified in this section, including but not limited to
those implemented to enable participant-employers and provider agencies to meet the terms
and conditions of any collective bargaining agreement negotiated under chapter 179A, shall
be applied as changes to the value of component values deleted text begin ordeleted text end new text begin ,new text end implementation componentsnew text begin ,
or worker retention componentsnew text end in deleted text begin subdivisiondeleted text end new text begin subdivisionsnew text end 5new text begin to 5cnew 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. 55.

Minnesota Statutes 2024, section 256B.851, is amended by adding a subdivision
to read:


new text begin Subd. 7a. new text end

new text begin Budget determinations. new text end

new text begin Effective January 1, 2026, the commissioner shall
increase the authorized amount for the CFSS budget model of those CFSS
participant-employers employing individual providers who have provided more than 1,000
hours of services. Effective January 1, 2027, the commissioner must increase the authorized
amount for the CFSS budget model of those CFSS participant-employers employing
individual providers who have provided more than 1,000 hours of services and providers
who have completed the orientation offered by the Home Care Orientation Trust or an
orientation defined and offered by the commissioner. The commissioner shall determine
the amount and method of the authorized amount increase.
 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. 56.

Laws 2021, First Special Session chapter 7, article 13, section 73, is amended to
read:


Sec. 73. WAIVER REIMAGINE PHASE II.

(a) new text begin Effective January 1, 2027, or upon federal approval, whichever is later, new text end the
commissioner of human services must implement a two-home and community-based services
waiver program structure, as authorized under section 1915(c) of the federal Social Security
Act, that serves persons who are determined by a certified assessor to require the levels of
care provided in a nursing home, a hospital, a neurobehavioral hospital, or an intermediate
care facility for persons with developmental disabilities.

(b) The commissioner of human services must implement an individualized budget
methodology, as authorized under section 1915(c) of the federal Social Security Act, that
serves persons who are determined by a certified assessor to require the levels of care
provided in a nursing home, a hospital, a neurobehavioral hospital, or an intermediate care
facility for persons with developmental disabilities.

new text begin (c) The commissioner must develop an individualized budget methodology exception
to support access to self-directed home care nursing services. Lead agencies must submit
budget exception requests to the commissioner in a manner identified by the commissioner.
Eligibility for the budget exception in this paragraph is limited to persons meeting all of the
following criteria in the person's most recent assessment:
 new text end

new text begin (1) the person is assessed to need the level of care delivered in a hospital setting as
evidenced by the submission of the Department of Human Services form 7096, primary
medical provider's documentation of medical monitoring and treatment needs;
 new text end

new text begin (2) the person is assessed to receive a support range budget of E or H; and
 new text end

new text begin (3) the person does not receive community residential services, family residential services,
integrated community supports services, or customized living services.
 new text end

new text begin (d) Home care nursing services funded through the budget exception developed under
paragraph (c) must be ordered by a physician, physician assistant, or advanced practice
registered nurse. If the participant chooses home care nursing, the home care nursing services
must be performed by a registered nurse or licensed practical nurse practicing within the
registered nurse's or licensed practical nurse's scope of practice as defined under Minnesota
Statutes, sections 148.171 to 148.285. If after a person's annual reassessment under Minnesota
Statutes, section 256B.0911, any requirements of this paragraph or paragraph (c) are no
longer met, the commissioner must terminate the budget exception.
 new text end

deleted text begin (c)deleted text end new text begin (e)new text end The commissioner of human services may seek all federal authority necessary to
implement this section.

deleted text begin (d)deleted text end new text begin (f)new text end The commissioner must ensure that the new waiver service menu and individual
budgets allow people to live in their own home, family home, or any home and
community-based setting of their choice. The commissioner must ensure, within available
resources and subject to state and federal regulations and law, that waiver reimagine does
not result in unintended service disruptions.

new text begin (g) No later than July 1, 2026, the commissioner must:
 new text end

new text begin (1) develop and implement an online support planning and tracking tool to provide
information in an accessible format to support informed choice for people using disability
waiver services that allows access to the total budget available to a person, the services for
which they are eligible, and the services they have chosen and used;
 new text end

new text begin (2) explore operability options that facilitate real-time tracking of a person's remaining
available budget throughout the service year; and
 new text end

new text begin (3) seek input from people with disabilities about the online support planning and tracking
tool prior to the tool's implementation.
 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. 57.

Laws 2023, chapter 61, article 1, section 61, subdivision 4, is amended to read:


Subd. 4.

Evaluation and report.

By December 1, 2024, the commissioner must submit
to the chairs and ranking minority members of the legislative committees with jurisdiction
over human services finance and policy an interim report on the impact and outcomes of
the grants, including the number of grants awarded and the organizations receiving the
grants. The interim report must include any available evidence of how grantees were able
to increase utilization of supported decision making and reduce or avoid more restrictive
forms of decision making such as guardianship and conservatorship. By December 1, deleted text begin 2025deleted text end new text begin
2026new text end , the commissioner must submit to the chairs and ranking minority members of the
legislative committees with jurisdiction over human services finance and policy a final
report on the impact and outcomes of the grants, including any updated information from
the interim report and the total number of people served by the grants. The final report must
also detail how the money was used to achieve the requirements in subdivision 3, paragraph
(b).

Sec. 58. new text begin LONG-TERM SERVICES AND SUPPORTS ADVISORY COUNCIL.
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 convene a
long-term services and supports advisory council to advise and assist the legislature and the
governor to reduce cost growth in long-term services and supports, build greater efficiencies
into the long-term care services system, and achieve better outcomes for Minnesotans with
long-term care needs.
 new text end

new text begin Subd. 2. new text end

new text begin Membership; appointment. new text end

new text begin (a) The advisory council consists of at least 30
members as follows:
 new text end

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

new text begin (2) the chief executive officer of direct care and treatment or a designee;
 new text end

new text begin (3) one individual receiving services under the elderly waiver, appointed by Elder Voices
Family Advocates;
 new text end

new text begin (4) two people with disabilities, one living in a community residential setting and one
living independently, appointed by the ARC Minnesota;
 new text end

new text begin (5) three family members of people with disabilities or older adults utilizing medical
assistance services, one of whom has professional experience with disability waiver services,
one of whom who has had experience in advocacy, and one of whom is a parent of a child
with autism, all appointed by the commissioner of human services from among the
membership of the Waiver Reimagine Advisory Committee;
 new text end

new text begin (6) two county representatives, one of whom must be from greater Minnesota and one
of whom must be from the Twin Cities metropolitan area, both appointed by the Association
of Minnesota Counties;
 new text end

new text begin (7) two county representatives, one of whom must be from greater Minnesota and one
of whom must be from the Twin Cities metropolitan area, both appointed by the Minnesota
Inter-County Association;
 new text end

new text begin (8) two county social services workers, one of whom must be from greater Minnesota
and one of whom must be from the Twin Cities metropolitan area, both appointed by the
Minnesota Association of County Social Service Administrators;
 new text end

new text begin (9) two representatives from Tribal Nations involved in the administration of social
services, appointed by the Minnesota Indian Affairs Council;
 new text end

new text begin (10) one provider of home care services, appointed by the Minnesota Home Care
Association;
 new text end

new text begin (11) one provider of nursing facility services to older adults and people with disabilities,
appointed by the Long-Term Care Imperative;
 new text end

new text begin (12) three providers of home and community-based disability services, one appointed
by MOHR, one appointed by Residential Providers Association of Minnesota, and one
appointed by ARRM. The appointing authorities under this clause must coordinate to ensure
that one day services provider, one community residential services provider, and one
own-home service provider is appointed;
 new text end

new text begin (13) two advocates for people with disabilities, one appointed by the Disability Law
Center and one appointed by the ARC Minnesota;
 new text end

new text begin (14) one advocate for older adults utilizing long-term care services, appointed by the
ombudsman for long-term care;
 new text end

new text begin (15) one advocate for people with mental illness or developmental disabilities utilizing
long-term services and supports, appointed by the ombudsman for mental health and
developmental disabilities;
 new text end

new text begin (16) one provider of long-term services and supports, appointed by Community Provider
Alliance;
 new text end

new text begin (17) one provider of community first services and supports, appointed by Minnesota
First Provider Alliance;
 new text end

new text begin (18) one member, appointed by the Service Employees International Union (SEIU)
Healthcare Minnesota & Iowa;
 new text end

new text begin (19) one member appointed by the American Federation of State, County, & Municipal
Employees (AFSCME);
 new text end

new text begin (20) one individual living with serious and persistent mental illness, appointed by National
Alliance on Mental Illness (NAMI) Minnesota; and
 new text end

new text begin (21) any other individuals the commissioner of human services chooses to appoint.
 new text end

new text begin (b) Each appointing authority must make appointments by September 1, 2025.
Appointments made by an agency or commissioner may also be made by a designee.
 new text end

new text begin (c) An appointing authority may designate an alternate member to attend and participate
in advisory council meetings in the appointed member's stead, including replacing an
appointed member at the appointing authority's discretion.
 new text end

new text begin (d) An appointing authority may replace any member who steps down from the advisory
council and replace any member who it appointed and who, in the judgment of the appointing
authority, fails to attend a sufficient number of advisory council meetings.
 new text end

new text begin Subd. 3. new text end

new text begin Chair. new text end

new text begin The commissioner of human services or the commissioner's designee
shall serve as chair of the advisory council. The commissioner of human services must
convene the first meeting no later than October 1, 2025.
 new text end

new text begin Subd. 4. new text end

new text begin Compensation; expenses; reimbursement. new text end

new text begin Public members shall be
compensated and reimbursed for expenses as provided in Minnesota Statutes, section
15.0575, subdivision 3.
 new text end

new text begin Subd. 5. new text end

new text begin Administrative support. new text end

new text begin (a) The commissioner of human services shall provide
meeting space and administrative support to the advisory council, including facilitating
public testimony before the advisory council and coordinating other forms of public
engagement with the advisory council.
 new text end

new text begin (b) The commissioner of human services must contract with a third party to provide
facilitation services for the advisory council. Use of a third party for this purpose is exempt
from state procurement process requirements under Minnesota Statutes, chapter 16C.
 new text end

new text begin (c) The commissioner of human services may contract with a third party or parties to
provide policy research and analysis, data analysis, and administrative support related to
drafting the action plan and supporting materials. Use of a third party for these purposes is
exempt from state procurement process requirements under Minnesota Statutes, chapter
16C.
 new text end

new text begin (d) The commissioner of human services shall compile and provide summary data and
existing information the advisory council requests in a manner consistent with Minnesota
Statutes, chapter 13.
 new text end

new text begin Subd. 6. new text end

new text begin Meetings. new text end

new text begin (a) The advisory council must meet at least once every two months
until the advisory council submits recommendations to the legislature required under
subdivision 7. The advisory council must provide opportunities for public input, including
oral public testimony.
 new text end

new text begin (b) The advisory council may form work groups as deemed necessary by the advisory
council.
 new text end

new text begin Subd. 7. new text end

new text begin Duties. new text end

new text begin (a) By March 15, 2026, the commissioner or designee must present a
progress update on the advisory council's work including any initial recommendations to
the legislative committees with jurisdiction over human services.
 new text end

new text begin (b) By December 1, 2026, the advisory council must submit to the legislature and the
governor recommendations to reduce cost growth in long-term services and supports, to
build greater efficiencies into the long-term care services system, and to promote better
outcomes for Minnesotans with long-term care needs. When developing the
recommendations, the advisory council must consider at least the following:
 new text end

new text begin (1) approaches to reducing human services expenditures, including identifying strategies
for addressing the significant cost drivers of state spending on long-term services and
supports;
 new text end

new text begin (2) cost-saving reforms, including reforms to:
 new text end

new text begin (i) licensing requirements, service standards, provider qualifications, and provider duties
and responsibilities;
 new text end

new text begin (ii) eligibility requirements for accessing long-term care;
 new text end

new text begin (iii) covered services, service authorizations, service limits, and budget limits;
 new text end

new text begin (iv) rate methodologies, rate enhancements and add-ons, rate exceptions, and rate limits;
or
 new text end

new text begin (v) any other cost-saving reforms to medical assistance long-term services and supports
and other programs serving Minnesotans with long-term care needs;
 new text end

new text begin (3) alternative service models to provide long-term services and supports to people with
limited dependencies, low-acuity assessed needs, or natural supports that may include:
tailoring available services to meet the needs of the target population; supplementing or
subsidizing family caregivers, religious organizations, social clubs, and similar civic and
service organizations; exercising the commissioner's authority under Minnesota Statutes,
section 256B.092, subdivision 4a; reexamining the provision of services under Minnesota
Statutes, section 245A.03, subdivision 9; reexamining the viability of a demonstration
project for the target population similar to the projects authorized under Minnesota Statutes,
sections 256B.69, subdivision 23, and 256B.77; modifying licensing and regulator
requirements to permit family or other natural supports to live with a person with long-term
needs in licensed settings, such as an assisted living facility or senior living setting; and tax
credits or other tax incentives to encourage intergenerational living arrangements, accessory
dwelling units, or other residential arrangements that permit easier access to natural supports;
 new text end

new text begin (4) strategies to increase administrative efficiencies and improve program simplification
within publicly funded long-term services and supports programs, including examining the
roles and experience of counties and Tribes in delivering services and identifying any
conflicting and duplicative roles and responsibilities among the Department of Human
Services, counties, Tribes, and other lead agencies; and
 new text end

new text begin (5) opportunities for reducing fraud and improving program integrity in long-term
services and supports.
 new text end

new text begin (c) The commissioner must continue to collaborate with the advisory council after the
December 1, 2026, recommendations are submitted under paragraph (b) until the advisory
council expires under subdivision 11.
 new text end

new text begin (d) The commissioner of human services may contract with a private entity or consultant
as necessary to complete the duties under this section. Use of a private entity or consultant
for this purpose is exempt from state procurement process requirements under Minnesota
Statutes, chapter 16C.
 new text end

new text begin (e) For all strategies included in the recommendations, the advisory council must include:
 new text end

new text begin (1) the estimated fiscal impact of the strategy;
 new text end

new text begin (2) the anticipated impact to people receiving services; and
 new text end

new text begin (3) the level of support among members of the advisory council or ranking of each
strategy determined by the advisory council.
 new text end

new text begin Subd. 8. new text end

new text begin Limitations. new text end

new text begin In developing the recommendations, the advisory council shall
take into consideration the impact of its recommendations on:
 new text end

new text begin (1) the existing capacity of state agencies, including staffing needs, technology resources,
and existing agency responsibilities; and
 new text end

new text begin (2) the capacity of county and Tribal partners.
 new text end

new text begin Subd. 9. new text end

new text begin Savings determinations. new text end

new text begin (a) When preparing the forecast for state revenue and
expenditures under Minnesota Statutes, section 16A.103, the commissioner of management
and budget must assume the following reductions of human services general fund spending
for the biennium beginning July 1, 2027, until the end of the legislative session that enacts
a budget for the commissioner of human services for the biennium beginning July 1, 2027:
 new text end

new text begin (1) if a bond appropriation for the replacement of the Miller Building on the Anoka
Metro Regional Treatment Center Campus is enacted during a 2025 special session,
$177,542,000; or
 new text end

new text begin (2) if a bond appropriation for the replacement of the Miller Building on the Anoka
Metro Regional Treatment Center Campus is not enacted during a 2025 special session,
$143,542,000.
 new text end

new text begin (b) Upon enactment of a budget for the commissioner of human services for the biennium
beginning July 1, 2027, the legislature must identify enacted provisions that were
recommended by the advisory council under subdivision 7.
 new text end

new text begin (c) To the extent the net savings attributable to the provisions identified by the legislature
under paragraph (b) for the biennium beginning July 1, 2027, are less than the assumed
savings in paragraph (a), the commissioner of human services must implement the contingent
spending reductions described in subdivision 10, beginning July 1, 2027, or upon federal
approval, whichever is later.
 new text end

new text begin Subd. 10. new text end

new text begin Contingent spending reductions. new text end

new text begin If upon enactment of a budget for the
commissioner of human services for the biennium beginning July 1, 2027, the net savings
for the biennium beginning July 1, 2027, attributable to the provisions identified by the
legislature under subdivision 9, paragraph (b), are less than the assumed savings in
subdivision 9, paragraph (a), beginning July 1, 2027, or upon federal approval, whichever
is later, the commissioner of human services must implement the following changes to
produce an amount of savings in the biennium beginning July 1, 2027, equal to the difference
between savings attributable to the enacted provisions identified under subdivision 9,
paragraph (b), and the applicable assumed savings in subdivision 9, paragraph (a):
 new text end

new text begin (1) if a bond appropriation for the replacement of the Miller Building on the Anoka
Metro Regional Treatment Center Campus is enacted during a 2025 special session:
 new text end

new text begin (i) adjust the value of the competitive workforce factors in Minnesota Statutes, section
256B.4914, subdivisions 6 to 9, to produce 49.58 percent of the required savings; and
 new text end

new text begin (ii) impose a county share of medical assistance costs not paid by federal funds for
services provided to a person receiving community residential services, family residential
services, customized living services, or integrated community supports reimbursed under
Minnesota Statutes, section 256B.4914, to produce 50.42 percent of the required savings;
or
 new text end

new text begin (2) if a bond appropriation for the replacement of the Miller Building on the Anoka
Metro Regional Treatment Center Campus is not enacted during a 2025 special session:
 new text end

new text begin (i) adjust the value of the competitive workforce factors in Minnesota Statutes, section
256B.4914, subdivisions 6 to 9, to produce 49.48 percent of the required savings; and
 new text end

new text begin (ii) impose a county share of medical assistance costs not paid by federal funds for
services provided to a person receiving community residential services, family residential
services, customized living services, or integrated community supports reimbursed under
Minnesota Statutes, section 256B.4914, to produce 50.52 percent of the required savings.
 new text end

new text begin Subd. 11. new text end

new text begin Expiration. new text end

new text begin The advisory council expires July 1, 2028.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 59. new text begin POSITIVE SUPPORTS COMPETENCY PROGRAM.
new text end

new text begin (a) The commissioner shall establish a positive supports competency program with the
money appropriated for this purpose.
 new text end

new text begin (b) When establishing the positive supports competency program, the commissioner
must use a community partner driven process to:
 new text end

new text begin (1) define the core activities associated with effective intervention services at the positive
support specialist, positive support analyst, and positive support professional level;
 new text end

new text begin (2) create tools providers may use to track whether the provider's positive support
specialists, positive support analysts, and positive support professionals are competently
performing the core activities associated with effective intervention services;
 new text end

new text begin (3) align existing training systems funded through the Department of Human Services
and develop free online modules for competency-based training to prepare positive support
specialists, positive support analysts, and positive support professionals to provide effective
intervention services;
 new text end

new text begin (4) assist providers interested in utilizing a competency-based training model to create
a career pathway for the positive support analysts and positive support specialists within
the provider's organizations by using experienced professionals;
 new text end

new text begin (5) create written guidelines, stories, and examples for providers that will be placed on
Department of Human Services websites promoting capacity building; and
 new text end

new text begin (6) disseminate resources and guidance to providers interested in meeting
competency-based qualifications for positive supports via preexisting regional networks of
experts, including communities of practice, and develop new avenues for disseminating
these resources and guidance, including through implementation of ECHO models.
 new text end

Sec. 60. new text begin BUDGET INCREASE FOR CONSUMER-DIRECTED COMMUNITY
SUPPORTS.
new text end

new text begin Effective January 1, 2026, or upon federal approval, whichever is later, the commissioner
of human services must increase the consumer-directed community support budgets identified
in the waiver plans under Minnesota Statutes, sections 256B.092 and 256B.49, and chapter
256S; and the alternative care program under Minnesota Statutes, section 256B.0913, by
0.13 percent.
 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. 61. new text begin ENHANCED BUDGET INCREASE FOR CONSUMER-DIRECTED
COMMUNITY SUPPORTS.
new text end

new text begin Effective January 1, 2026, or upon federal approval, whichever is later, the commissioner
of human services must increase the consumer-directed community supports budget
enhancement percentage identified in the waiver plans under Minnesota Statutes, sections
256B.092 and 256B.49, and chapter 256S; and the alternative care program under Minnesota
Statutes, section 256B.0913, from 7.5 to 12.5.
 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. 62. new text begin STIPEND PAYMENTS TO SEIU HEALTHCARE MINNESOTA & IOWA
BARGAINING UNIT MEMBERS.
new text end

new text begin (a) The commissioner of human services shall issue stipend payments to collective
bargaining unit members as required by the labor agreement between the state of Minnesota
and the Service Employees International Union (SEIU) Healthcare Minnesota & Iowa.
 new text end

new text begin (b) The definitions in Minnesota Statutes, section 290.01, apply to this section.
 new text end

new text begin (c) For the purposes of this section, "subtraction" has the meaning given in Minnesota
Statutes, section 290.0132, subdivision 1, and the rules in that subdivision apply to this
section.
 new text end

new text begin (d) The amount of stipend payments received by SEIU Healthcare Minnesota & Iowa
collective bargaining unit members under this section is a subtraction.
 new text end

new text begin (e) The amount of stipend payments received by SEIU Healthcare Minnesota & Iowa
collective bargaining unit members under this section is excluded from income as defined
in Minnesota Statutes, sections 290.0693, subdivision 1, paragraph (i), and 290A.03,
subdivision 3.
 new text end

new text begin (f) Notwithstanding any law to the contrary, stipend payments under this section must
not be considered income, assets, or personal property for purposes of determining or
recertifying eligibility for:
 new text end

new text begin (1) child care assistance programs under Minnesota Statutes, chapter 142E;
 new text end

new text begin (2) general assistance, Minnesota supplemental aid, and food support under Minnesota
Statutes, chapter 256D;
 new text end

new text begin (3) housing support under Minnesota Statutes, chapter 256I;
 new text end

new text begin (4) the Minnesota family investment program under Minnesota Statutes, chapter 142G;
and
 new text end

new text begin (5) economic assistance programs under Minnesota Statutes, chapter 256P.
 new text end

new text begin (g) The commissioner of human services must not consider stipend payments under this
section as income or assets under Minnesota Statutes, section 256B.056, subdivision 1a,
paragraph (a); 3; or 3c, or for persons with eligibility determined under Minnesota Statutes,
section 256B.057, subdivision 3, 3a, or 3b.
 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. 63. new text begin DIRECTION TO COMMISSIONER; COST REPORTING IMPROVEMENT
AND DIRECT CARE STAFF REVIEW.
new text end

new text begin (a) The commissioner of human services must consult with interested parties and make
recommendations to the legislature to clarify provider cost reporting obligations to promote
more uniform and meaningful data collection under Minnesota Statutes, section 256B.4914.
By February 15, 2026, the commissioner must submit to the chairs and ranking minority
members of the legislative committees with jurisdiction over health and human services
policy and finance draft legislation required to implement the commissioner's
recommendations.
 new text end

new text begin (b) The commissioner of human services must consult with interested parties and, based
on the results of the cost reporting completed for calendar year 2026, recommend what, if
any, encumbrance of medical assistance reimbursement is appropriate to support direct care
staff retention and the provision of quality services under Minnesota Statutes, section
256B.4914. By January 15, 2028, the commissioner must submit to the chairs and ranking
minority members of the legislative committees with jurisdiction over health and human
services policy and finance draft legislation required to implement the commissioner's
recommendations.
 new text end

Sec. 64. new text begin DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES;
LONG-TERM CARE CONSULTATION SERVICES PAYMENT REFORM.
new text end

new text begin Subdivision 1. new text end

new text begin Development of alternative payment methodology for long-term care
consultation services. new text end

new text begin (a) The commissioner of human services must develop a proposal
for a long-term care consultation services payment methodology that does not rely on a
time study to determine reimbursement to the counties for providing long-term care
consultation services under Minnesota Statutes, section 256B.0911. The new reimbursement
methodology must be a methodology that:
 new text end

new text begin (1) results in a flat reimbursement amount per long-term care consultation assessment
under Minnesota Statutes, section 256B.0911;
 new text end

new text begin (2) reduces expected general fund spending during the biennium beginning July 1, 2027,
by at least the amount assumed in subdivision 2, paragraph (a);
 new text end

new text begin (3) preserves the commissioner's ability to allocate to medical assistance costs incurred
by counties for providing long-term care consultation services; and
 new text end

new text begin (4) does not jeopardize the commissioner's ability to allocate other local administrative
costs to medical assistance or other federal programs.
 new text end

new text begin (b) By October 1, 2026, the commissioner must submit to the chairs and ranking minority
members of the legislative committees with jurisdiction over medical assistance long-term
services and supports the proposal developed under paragraph (a) and any draft legislation
required to implement the proposal.
 new text end

new text begin Subd. 2. new text end

new text begin Savings determination. new text end

new text begin (a) When preparing the forecast for state revenues and
expenditures under Minnesota Statutes, section 16A.103, the commissioner of management
and budget must assume a reduction of human services general fund spending of $18,000,000
for the biennium beginning July 1, 2027, until the end of the legislative session that enacts
a budget for the commissioner of human services for the biennium beginning July 1, 2027.
 new text end

new text begin (b) Upon enactment of a budget for the commissioner of human services for the biennium
beginning July 1, 2027, the legislature must identify enacted provisions that were
recommended by or based on the proposal submitted by the commissioner of human services
under subdivision 1.
 new text end

new text begin (c) To the extent the net savings attributable to the provisions identified by the legislature
under paragraph (b) for the biennium beginning July 1, 2027, are less than the assumed
savings in paragraph (a), the commissioner of human services shall implement the contingent
reductions in reimbursement to counties described in subdivision 3.
 new text end

new text begin Subd. 3. new text end

new text begin Contingent reimbursement reductions. new text end

new text begin If upon enactment of a budget for
the commissioner of human services for the biennium beginning July 1, 2027, the net savings
for the biennium beginning July 1, 2027, attributable to the provisions identified by the
legislature under subdivision 2, paragraph (b), are less than the assumed savings in
subdivision 2, paragraph (a), notwithstanding Minnesota Statutes, section 256B.0911,
subdivision 33, the commissioner of human services must reduce the percentage of the
nonfederal share for the provision of long-term care consultation services the state pays to
the counties as reimbursement to a value that will produce by June 30, 2029, a net reduction
in expected general fund expenditures equal to the difference between the savings attributable
to the provisions identified in subdivision 2, paragraph (b), and the assumed savings in
subdivision 2, paragraph (a).
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 65. new text begin COMMUNITY FIRST SERVICES AND SUPPORTS REIMBURSEMENT
DURING ACUTE CARE HOSPITAL STAYS.
new text end

new text begin (a) The commissioner of human services must seek to amend Minnesota's federally
approved community first services and supports program, authorized under United States
Code, title 42, sections 1915(i) and 1915(k), to reimburse for delivery of community first
services and supports under Minnesota Statutes, sections 256B.85 and 256B.851, during
an acute care stay in an acute care hospital setting that does not have the effect of isolating
individuals receiving community first services and supports from the broader community
of individuals not receiving community first services and supports, as permitted under Code
of Federal Regulations, title 42, section 441.530.
 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 preserve the person's functional abilities during a hospital stay for
acute care and to ensure smooth transitions between acute care settings and home and
community-based settings.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin Paragraph (a) is effective the day following final enactment.
Paragraph (b) 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. 66. new text begin DIRECTION TO COMMISSIONER; GUIDANCE TO COUNTIES.
new text end

new text begin Upon receipt of approval from the Centers for Medicare and Medicaid Services, the
commissioner of human services shall provide guidance to counties on the administration
of the family support program under Minnesota Statutes, section 252.32; the consumer
support program under Minnesota Statutes, section 256.476; disability waivers under
Minnesota Statutes, sections 256B.092 and 256B.49; and the community first services and
supports program under Minnesota Statutes, section 256B.85, to clarify that the cost of
adaptive or one-on-one swimming lessons provided to a person younger than 12 years of
age whose disability puts the person at a higher risk of drowning according to the Centers
for Disease Control Vital Statistics System is an allowable use of money.
 new text end

Sec. 67. new text begin DIRECTION TO COMMISSIONER; SWIMMING LESSONS COVERED
UNDER DISABILITY WAIVERS.
new text end

new text begin The commissioner of human services shall include swimming lessons for a participant
younger than 12 years of age whose disability puts the participant at a higher risk of drowning
as a covered service under the disability waivers, including the consumer-directed community
supports option, 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, 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. 68. new text begin DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES;
INCREASE TO PAYMENTS FOR FAMILY RESIDENTIAL AND LIFE SHARING
SERVICES.
new text end

new text begin Effective January 1, 2026, or upon federal approval, whichever is later, the commissioner
of human services must increase by 25.84 percent payment rates previously established
under Minnesota Statutes, section 256B.4914, subdivision 19, for family residential services.
Rates for life sharing services must be ten percent higher than the corresponding family
residential services rate established under this section.
 new text end

Sec. 69. new text begin DIRECTION TO COMMISSIONER OF HUMAN SERVICES; OPTIONAL
CONSULTATION SERVICES.
new text end

new text begin The commissioner of human services may submit a medical assistance state plan
amendment to permit consultation services that are currently required under the community
first services and supports program to be an optional service for individuals receiving waiver
case management services under Minnesota Statutes, sections 256B.0913, 256B.092,
256B.0922, and 256B.49, or Minnesota Statutes, chapter 256S.
 new text end

Sec. 70. new text begin REPEALER.
new text end

new text begin Subdivision 1. new text end

new text begin Direct care provider premiums. new text end

new text begin Laws 2023, chapter 59, article 3, section
11, new text end new text begin is repealed.
 new text end

new text begin Subd. 2. new text end

new text begin Legislative Task Force on Guardianship. new text end

new text begin Laws 2024, chapter 127, article
46, section 39, new text end new text begin is repealed.
 new text end

new text begin Subd. 3. new text end

new text begin Repealing laws. new text end

new text begin (a) new text end new text begin Laws 2021, First Special Session chapter 7, article 13,
section 75, subdivision 3, as amended by Laws 2024, chapter 108, article 1, section 28, new text end new text begin is
repealed.
 new text end

new text begin (b) new text end new text begin Laws 2021, First Special Session chapter 7, article 13, section 75, subdivision 6, as
amended by Laws 2024, chapter 108, article 1, section 28, 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, 2025.
 new text end

ARTICLE 3

HEALTH CARE

Section 1.

Minnesota Statutes 2024, section 256.01, is amended by adding a subdivision
to read:


new text begin Subd. 29a. new text end

new text begin State medical review team; expedited disability determinations. new text end

new text begin (a) The
commissioner must establish an expedited disability determination process within the state
medical review team for applicants in the following high-risk categories:
 new text end

new text begin (1) individuals in a facility who cannot be discharged without home and community-based
services or long-term care supports in place;
 new text end

new text begin (2) individuals experiencing life-threatening medical conditions requiring urgent access
to treatment or prescription medication;
 new text end

new text begin (3) individuals diagnosed with a condition listed on the Social Security Administration's
Compassionate Allowance List; and
 new text end

new text begin (4) children under the age of two who have screened positive for a rare disease recognized
by national medical registries or evidence-based standards.
 new text end

new text begin (b) Hospitals submitting requests under paragraph (a) must complete an application for
medical assistance prior to an expedited request and assist patients with returning required
documentation necessary to determine disability.
 new text end

new text begin (c) The commissioner must designate staff within the state medical review team to
coordinate expedited requests, communicate with county and tribal agencies, and ensure
timely electronic transmission of required documentation, including the use of electronic
signature platforms.
 new text end

new text begin (d) For applicants subject to expedited review, medical assistance providers must comply
with subdivision 29. If electronic health records are unavailable, requesting providers must
coordinate with the state medical review team to obtain the medical records necessary to
support the disability determination.
 new text end

new text begin (e) The commissioner must maintain a contract for electronic signature and document
transmission services to support expedited determinations.
 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. 2.

Minnesota Statutes 2024, section 256B.766, is amended to read:


256B.766 REIMBURSEMENT FOR BASIC CARE SERVICES.

new text begin Subdivision 1. new text end

new text begin Payment reductions for base care services effective July 1, 2009. new text end

deleted text begin (a)deleted text end
Effective for services provided on or after July 1, 2009, total payments for basic care services,
shall be reduced by three percent, except that for the period July 1, 2009, through June 30,
2011, total payments shall be reduced by 4.5 percent for the medical assistance and general
assistance medical care programs, prior to third-party liability and spenddown calculation.

new text begin Subd. 2. new text end

new text begin Classification of therapies as basic care services. new text end

deleted text begin Effective July 1, 2010,deleted text end The
commissioner shall classify physical therapy services, occupational therapy services, and
speech-language pathology and related services as basic care services. The reduction in deleted text begin this
paragraphdeleted text end new text begin subdivision 1new text end shall apply to physical therapy services, occupational therapy
services, and speech-language pathology and related services provided on or after July 1,
2010.

new text begin Subd. 3. new text end

new text begin Payment reductions to managed care plans effective October 1, 2009. new text end

deleted text begin (b)deleted text end
Payments made to managed care plans and county-based purchasing plans shall be reduced
for services provided on or after October 1, 2009, to reflect the reduction new text begin in subdivision 1
new text end effective July 1, 2009, and payments made to the plans shall be reduced effective October
1, 2010, to reflect the reduction new text begin in subdivision 1 new text end effective July 1, 2010.

new text begin Subd. 4. new text end

new text begin Temporary payment reductions effective September 1, 2011. new text end

deleted text begin (c)deleted text end new text begin (a)new text end Effective
for services provided on or after September 1, 2011, through June 30, 2013, total payments
for outpatient hospital facility fees shall be reduced by five percent from the rates in effect
on August 31, 2011.

deleted text begin (d)deleted text end new text begin (b)new text end Effective for services provided on or after September 1, 2011, through June 30,
2013, total payments for ambulatory surgery centers facility fees, medical supplies and
durable medical equipment not subject to a volume purchase contract, prosthetics and
orthotics, renal dialysis services, laboratory services, public health nursing services, physical
therapy services, occupational therapy services, speech therapy services, eyeglasses not
subject to a volume purchase contract, hearing aids not subject to a volume purchase contract,
and anesthesia services shall be reduced by three percent from the rates in effect on August
31, 2011.

new text begin Subd. 5. new text end

new text begin Payment increases effective September 1, 2014. new text end

deleted text begin (e)deleted text end new text begin (a)new text end Effective for services
provided on or after September 1, 2014, payments for ambulatory surgery centers facility
fees, hospice services, renal dialysis services, laboratory services, public health nursing
services, eyeglasses not subject to a volume purchase contract, and hearing aids not subject
to a volume purchase contract shall be increased by three percent and payments for outpatient
hospital facility fees shall be increased by three percent.

new text begin (b) new text end Payments made to managed care plans and county-based purchasing plans shall not
be adjusted to reflect payments under this deleted text begin paragraphdeleted text end new text begin subdivisionnew text end .

new text begin Subd. 6. new text end

new text begin Temporary payment reductions effective July 1, 2014. new text end

deleted text begin (f)deleted text end Payments for
medical supplies and durable medical equipment not subject to a volume purchase contract,
and prosthetics and orthotics, provided on or after July 1, 2014, through June 30, 2015, shall
be decreased by .33 percent.

new text begin Subd. 7. new text end

new text begin Payment increases effective July 1, 2015. new text end

new text begin (a) new text end Payments for medical supplies
and durable medical equipment not subject to a volume purchase contract, and prosthetics
and orthotics, provided on or after July 1, 2015, shall be increased by three percent from
the rates as determined under deleted text begin paragraphs (i) and (j)deleted text end new text begin subdivisions 9 and 10new text end .

deleted text begin (g)deleted text end new text begin (b)new text end Effective for services provided on or after July 1, 2015, payments for outpatient
hospital facility fees, medical supplies and durable medical equipment not subject to a
volume purchase contract, prosthetics, and orthotics to a hospital meeting the criteria specified
in section 62Q.19, subdivision 1, paragraph (a), clause (4), shall be increased by 90 percent
from the rates in effect on June 30, 2015.

new text begin (c) new text end Payments made to managed care plans and county-based purchasing plans shall not
be adjusted to reflect payments under deleted text begin thisdeleted text end paragraphnew text begin (b)new text end .

new text begin Subd. 8. new text end

new text begin Exempt services. new text end

deleted text begin (h)deleted text end This section does not apply to physician and professional
services, inpatient hospital services, family planning services, mental health services, dental
services, prescription drugs, medical transportation, federally qualified health centers, rural
health centers, Indian health services, and Medicare cost-sharing.

new text begin Subd. 9. new text end

new text begin Individually priced items. new text end

deleted text begin (i)deleted text end new text begin (a)new text end Effective for services provided on or after
July 1, 2015, the following categories of medical supplies and durable medical equipment
shall be individually priced items: customized and other specialized tracheostomy tubes
and supplies, electric patient lifts, and durable medical equipment repair and service.

new text begin (b) new text end This deleted text begin paragraphdeleted text end new text begin subdivisionnew text end does not apply to medical supplies and durable medical
equipment subject to a volume purchase contract, products subject to the preferred diabetic
testing supply program, and items provided to dually eligible recipients when Medicare is
the primary payer for the item.

new text begin (c) new text end The commissioner shall not apply any medical assistance rate reductions to durable
medical equipment as a result of Medicare competitive bidding.

new text begin Subd. 10. new text end

new text begin Rate increases effective July 1, 2015. new text end

deleted text begin (j)deleted text end new text begin (a)new text end Effective for services provided
on or after July 1, 2015, medical assistance payment rates for durable medical equipment,
prosthetics, orthotics, or supplies shall be increased as follows:

(1) payment rates for durable medical equipment, prosthetics, orthotics, or supplies that
were subject to the Medicare competitive bid that took effect in January of 2009 shall be
increased by 9.5 percent; and

(2) payment rates for durable medical equipment, prosthetics, orthotics, or supplies on
the medical assistance fee schedule, whether or not subject to the Medicare competitive bid
that took effect in January of 2009, shall be increased by 2.94 percent, with this increase
being applied after calculation of any increased payment rate under clause (1).

deleted text begin Thisdeleted text end new text begin (b)new text end Paragraph new text begin (a) new text end does not apply to medical supplies and durable medical equipment
subject to a volume purchase contract, products subject to the preferred diabetic testing
supply program, items provided to dually eligible recipients when Medicare is the primary
payer for the item, and individually priced items identified in deleted text begin paragraph (i)deleted text end new text begin subdivision 9new text end .

new text begin (c) new text end Payments made to managed care plans and county-based purchasing plans shall not
be adjusted to reflect the rate increases in this deleted text begin paragraphdeleted text end new text begin subdivisionnew text end .

new text begin Subd. 11. new text end

new text begin Rates for ventilators. new text end

deleted text begin (k)deleted text end new text begin (a)new text end Effective for nonpressure support ventilators
provided on or after January 1, 2016, the rate shall be the lower of the submitted charge or
the Medicare fee schedule rate.

new text begin (b) new text end Effective for pressure support ventilators provided on or after January 1, 2016, the
rate shall be the lower of the submitted charge or 47 percent above the Medicare fee schedule
rate.

new text begin (c) new text end For payments made in accordance with this deleted text begin paragraphdeleted text end new text begin subdivisionnew text end , if, and to the
extent that, the commissioner identifies that the state has received federal financial
participation for ventilators in excess of the amount allowed effective January 1, 2018,
under United States Code, title 42, section 1396b(i)(27), the state shall repay the excess
amount to the Centers for Medicare and Medicaid Services with state funds and maintain
the full payment rate under this deleted text begin paragraphdeleted text end new text begin subdivisionnew text end .

new text begin Subd. 12. new text end

new text begin Rates subject to the upper payment limit. new text end

deleted text begin (l)deleted text end Payment rates for durable
medical equipment, prosthetics, orthotics or supplies, that are subject to the upper payment
limit in accordance with section 1903(i)(27) of the Social Security Act, shall be paid the
Medicare rate. Rate increases provided in this chapter shall not be applied to the items listed
in this deleted text begin paragraphdeleted text end new text begin subdivisionnew text end .

new text begin Subd. 13. new text end

new text begin Temporary rates for enteral nutrition and supplies. new text end

deleted text begin (m)deleted text end new text begin (a)new text end For dates of
service on or after July 1, 2023, through June 30, deleted text begin 2025deleted text end new text begin 2027new text end , enteral nutrition and supplies
must be paid according to this deleted text begin paragraphdeleted text end new text begin subdivisionnew text end . If sufficient data exists for a product
or supply, payment must be based upon the 50th percentile of the usual and customary
charges per product code submitted to the commissioner, using only charges submitted per
unit. Increases in rates resulting from the 50th percentile payment method must not exceed
150 percent of the previous fiscal year's rate per code and product combination. Data are
sufficient if: (1) the commissioner has at least 100 paid claim lines by at least ten different
providers for a given product or supply; or (2) in the absence of the data in clause (1), the
commissioner has at least 20 claim lines by at least five different providers for a product or
supply that does not meet the requirements of clause (1). If sufficient data are not available
to calculate the 50th percentile for enteral products or supplies, the payment rate must be
the payment rate in effect on June 30, 2023.

new text begin (b) This subdivision expires June 30, 2027.
 new text end

new text begin Subd. 14. new text end

new text begin Rates for enteral nutrition and supplies. new text end

deleted text begin (n)deleted text end For dates of service on or after
July 1, deleted text begin 2025deleted text end new text begin 2027new text end , enteral nutrition and supplies must be paid according to this deleted text begin paragraphdeleted text end new text begin
subdivisionnew text end and updated annually each January 1. If sufficient data exists for a product or
supply, payment must be based upon the 50th percentile of the usual and customary charges
per product code submitted to the commissioner for the previous calendar year, using only
charges submitted per unit. Increases in rates resulting from the 50th percentile payment
method must not exceed 150 percent of the previous year's rate per code and product
combination. Data are sufficient if: (1) the commissioner has at least 100 paid claim lines
by at least ten different providers for a given product or supply; or (2) in the absence of the
data in clause (1), the commissioner has at least 20 claim lines by at least five different
providers for a product or supply that does not meet the requirements of clause (1). If
sufficient data are not available to calculate the 50th percentile for enteral products or
supplies, the payment must be the manufacturer's suggested retail price of that product or
supply minus 20 percent. If the manufacturer's suggested retail price is not available, payment
must be the actual acquisition cost of that product or supply plus 20 percent.

ARTICLE 4

SUBSTANCE USE DISORDER TREATMENT

Section 1.

Minnesota Statutes 2024, section 245.735, subdivision 3, is amended to read:


Subd. 3.

Certified community behavioral health clinics.

(a) The commissioner shall
establish state certification and recertification processes for certified community behavioral
health clinics (CCBHCs) that satisfy all federal requirements necessary for CCBHCs certified
under this section to be eligible for reimbursement under medical assistance, without service
area limits based on geographic area or region. The commissioner shall consult with CCBHC
stakeholders before establishing and implementing changes in the certification or
recertification process and requirements. Any changes to the certification or recertification
process or requirements must be consistent with the most recently issued Certified
Community Behavioral Health Clinic Certification Criteria published by the Substance
Abuse and Mental Health Services Administration. The commissioner must allow a transition
period for CCBHCs to meet the revised criteria on or before January 1, 2025. The
commissioner is authorized to amend the state's Medicaid state plan or the terms of the
demonstration to comply with federal requirements.

(b) As part of the state CCBHC certification and recertification processes, the
commissioner shall provide to entities applying for certification or requesting recertification
the standard requirements of the community needs assessment and the staffing plan that are
consistent with the most recently issued Certified Community Behavioral Health Clinic
Certification Criteria published by the Substance Abuse and Mental Health Services
Administration.

(c) The commissioner shall schedule a certification review that includes a site visit within
90 calendar days of receipt of an application for certification or recertification.

(d) Entities that choose to be CCBHCs must:

(1) complete a community needs assessment and complete a staffing plan that is
responsive to the needs identified in the community needs assessment and update both the
community needs assessment and the staffing plan no less frequently than every 36 months;

(2) comply with state licensing requirements and other requirements issued by the
commissioner;

(3) employ or contract with a medical director. A medical director must be a physician
licensed under chapter 147 and either certified by the American Board of Psychiatry and
Neurology, certified by the American Osteopathic Board of Neurology and Psychiatry, or
eligible for board certification in psychiatry. A registered nurse who is licensed under
sections 148.171 to 148.285 and is certified as a nurse practitioner in adult or family
psychiatric and mental health nursing by a national nurse certification organization may
serve as the medical director when a CCBHC is unable to employ or contract a qualified
physician;

(4) employ or contract for clinic staff who have backgrounds in diverse disciplines,
including licensed mental health professionals and licensed alcohol and drug counselors,
and staff who are culturally and linguistically trained to meet the needs of the population
the clinic serves;

(5) ensure that clinic services are available and accessible to individuals and families of
all ages and genders with access on evenings and weekends and that crisis management
services are available 24 hours per day;

(6) establish fees for clinic services for individuals who are not enrolled in medical
assistance using a sliding fee scale that ensures that services to patients are not denied or
limited due to an individual's inability to pay for services;

(7) comply with quality assurance reporting requirements and other reporting
requirements included in the most recently issued Certified Community Behavioral Health
Clinic Certification Criteria published by the Substance Abuse and Mental Health Services
Administration;

(8) provide crisis mental health and substance use services, withdrawal management
services, emergency crisis intervention services, and stabilization services through existing
mobile crisis services; screening, assessment, and diagnosis services, including risk
assessments and level of care determinations; person- and family-centered treatment planning;
outpatient mental health and substance use services; targeted case management; psychiatric
rehabilitation services; peer support and counselor services and family support services;
and intensive community-based mental health services, including mental health services
for members of the armed forces and veterans. CCBHCs must directly provide the majority
of these services to enrollees, but may coordinate some services with another entity through
a collaboration or agreement, pursuant to subdivision 3a;

(9) provide coordination of care across settings and providers to ensure seamless
transitions for individuals being served across the full spectrum of health services, including
acute, chronic, and behavioral needs;

(10) be certified as a mental health clinic under section 245I.20;

(11) comply with standards established by the commissioner relating to CCBHC
screenings, assessments, and evaluations that are consistent with this section;

(12) be licensed to provide substance use disorder treatment under chapter 245G;

(13) be certified to provide children's therapeutic services and supports under section
256B.0943;

(14) be certified to provide adult rehabilitative mental health services under section
256B.0623;

(15) be enrolled to provide mental health crisis response services under section
256B.0624;

(16) be enrolled to provide mental health targeted case management under section
256B.0625, subdivision 20;

(17) provide services that comply with the evidence-based practices described in
subdivision 3d;

(18) provide peer services as defined in sections 256B.0615, 256B.0616, and 245G.07,
subdivision deleted text begin 2deleted text end new text begin 2a, paragraph (b)new text end , clause deleted text begin (8)deleted text end new text begin (2)new text end , as applicable when peer services are provided;
and

(19) inform all clients upon initiation of care of the full array of services available under
the CCBHC model.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 2.

Minnesota Statutes 2024, section 245.91, subdivision 4, as amended by Laws 2025,
chapter 38, article 8, section 48, is amended to read:


Subd. 4.

Facility or program.

"Facility" or "program" means a nonresidential or
residential program as defined in section 245A.02, subdivisions 10 and 14, and any agency,
facility, or program that provides services or treatment for mental illness, developmental
disability, or substance use disorder that is required to be licensed, certified, or registered
by the commissioner of human services, health, or education; a deleted text begin sober homedeleted text end new text begin recovery
residencenew text end as defined in section 254B.01, subdivision 11; peer recovery support services
provided by a recovery community organization as defined in section 254B.01, subdivision
8; and an acute care inpatient facility that provides services or treatment for mental illness,
developmental disability, or substance use disorder.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 3.

Minnesota Statutes 2024, section 245F.08, subdivision 3, is amended to read:


Subd. 3.

Peer recovery support services.

Peer recovery support services must meet the
requirements in section 245G.07, subdivision deleted text begin 2deleted text end new text begin 2a, paragraph (b)new text end , clause deleted text begin (8)deleted text end new text begin (2)new text end , and must
be provided by a person who is qualified according to the requirements in section 245F.15,
subdivision 7.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 4.

Minnesota Statutes 2024, section 245G.01, subdivision 13b, is amended to read:


Subd. 13b.

Guest speaker.

new text begin (a) new text end "Guest speaker" means an individual who is not an alcohol
and drug counselor qualified according to section 245G.11, subdivision 5; is not qualified
according to the commissioner's list of professionals under section 245G.07, subdivision
3; and who works under the direct observation of an alcohol and drug counselor to present
to clients on topics in which the guest speaker has expertise and that the license holder has
determined to be beneficial to a client's recovery.

new text begin (b)new text end Tribally licensed programs have autonomy to identify the qualifications of their guest
speakers.

Sec. 5.

Minnesota Statutes 2024, section 245G.01, is amended by adding a subdivision to
read:


new text begin Subd. 13d. new text end

new text begin Individual counseling. new text end

new text begin "Individual counseling" means professionally led
psychotherapeutic treatment for substance use disorders that is delivered in a one-to-one
setting or in a setting with the client and the client's family and other natural supports.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 6.

Minnesota Statutes 2024, section 245G.01, is amended by adding a subdivision to
read:


new text begin Subd. 20f. new text end

new text begin Psychoeducation. new text end

new text begin "Psychoeducation" means the services described in section
245G.07, subdivision 1a, clause (2).
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 7.

Minnesota Statutes 2024, section 245G.01, is amended by adding a subdivision to
read:


new text begin Subd. 20g. new text end

new text begin Psychosocial treatment services. new text end

new text begin "Psychosocial treatment services" means
the services described in section 245G.07, subdivision 1a.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 8.

Minnesota Statutes 2024, section 245G.01, is amended by adding a subdivision to
read:


new text begin Subd. 20h. new text end

new text begin Recovery support services. new text end

new text begin "Recovery support services" means the services
described in section 245G.07, subdivision 2a, paragraph (b), clause (1).
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 9.

Minnesota Statutes 2024, section 245G.01, is amended by adding a subdivision to
read:


new text begin Subd. 26a. new text end

new text begin Treatment coordination. new text end

new text begin "Treatment coordination" means the services
described in section 245G.07, subdivision 1b.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 10.

Minnesota Statutes 2024, section 245G.02, subdivision 2, is amended to read:


Subd. 2.

Exemption from license requirement.

This chapter does not apply to a county
or recovery community organization that is providing a service for which the county or
recovery community organization is an eligible vendor under section 254B.05. This chapter
does not apply to an organization whose primary functions are information, referral,
diagnosis, case management, and assessment for the purposes of client placement, education,
support group services, or self-help programs. This chapter does not apply to the activities
of a licensed professional in private practice. A license holder providing the initial set of
substance use disorder services allowable under section 254A.03, subdivision 3, paragraph
(c), to an individual referred to a licensed nonresidential substance use disorder treatment
program after a positive screen for alcohol or substance misuse is exempt from sections
245G.05; 245G.06, subdivisions 1, 1a, and 4; 245G.07, deleted text begin subdivisions 1deleted text end deleted text begin , paragraph (a), clauses
(2) to (4), and 2, clauses (1) to (7)deleted text end new text begin subdivision 1a, clause (2)new text end ; and 245G.17.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 11.

Minnesota Statutes 2024, section 245G.07, subdivision 1, is amended to read:


Subdivision 1.

Treatment service.

(a) A licensed deleted text begin residentialdeleted text end treatment program must
offer the treatment services in deleted text begin clauses (1) to (5)deleted text end new text begin subdivisions 1a and 1b and may offer the
treatment services in subdivision 2new text end to each client, unless clinically inappropriate and the
justifying clinical rationale is documented. deleted text begin A nonresidentialdeleted text end new text begin Thenew text end treatment program must
deleted text begin offer all treatment services in clauses (1) to (5) anddeleted text end document in the individual treatment
plan the specific services for which a client has an assessed need and the plan to provide
the servicesdeleted text begin :deleted text end new text begin .
new text end

deleted text begin (1) individual and group counseling to help the client identify and address needs related
to substance use and develop strategies to avoid harmful substance use after discharge and
to help the client obtain the services necessary to establish a lifestyle free of the harmful
effects of substance use disorder;
 deleted text end

deleted text begin (2) client education strategies to avoid inappropriate substance use and health problems
related to substance use and the necessary lifestyle changes to regain and maintain health.
Client education must include information on tuberculosis education on a form approved
by the commissioner, the human immunodeficiency virus according to section 245A.19,
other sexually transmitted diseases, drug and alcohol use during pregnancy, and hepatitis;
 deleted text end

deleted text begin (3) a service to help the client integrate gains made during treatment into daily living
and to reduce the client's reliance on a staff member for support;
 deleted text end

deleted text begin (4) a service to address issues related to co-occurring disorders, including client education
on symptoms of mental illness, the possibility of comorbidity, and the need for continued
medication compliance while recovering from substance use disorder. A group must address
co-occurring disorders, as needed. When treatment for mental health problems is indicated,
the treatment must be integrated into the client's individual treatment plan; and
 deleted text end

deleted text begin (5) treatment coordination provided one-to-one by an individual who meets the staff
qualifications in section 245G.11, subdivision 7. Treatment coordination services include:
 deleted text end

deleted text begin (i) assistance in coordination with significant others to help in the treatment planning
process whenever possible;
 deleted text end

deleted text begin (ii) assistance in coordination with and follow up for medical services as identified in
the treatment plan;
 deleted text end

deleted text begin (iii) facilitation of referrals to substance use disorder services as indicated by a client's
medical provider, comprehensive assessment, or treatment plan;
 deleted text end

deleted text begin (iv) facilitation of referrals to mental health services as identified by a client's
comprehensive assessment or treatment plan;
 deleted text end

deleted text begin (v) assistance with referrals to economic assistance, social services, housing resources,
and prenatal care according to the client's needs;
 deleted text end

deleted text begin (vi) life skills advocacy and support accessing treatment follow-up, disease management,
and education services, including referral and linkages to long-term services and supports
as needed; and
 deleted text end

deleted text begin (vii) documentation of the provision of treatment coordination services in the client's
file.
 deleted text end

(b) A treatment service provided to a client must be provided according to the individual
treatment plan and must consider cultural differences and special needs of a client.

new text begin (c) A supportive service alone does not constitute a treatment service. Supportive services
include:
 new text end

new text begin (1) milieu management or supervising or monitoring clients without also providing a
treatment service identified in subdivision 1a, 1b, or 2a;
 new text end

new text begin (2) transporting clients;
 new text end

new text begin (3) waiting with clients for appointments at social service agencies, court hearings, and
similar activities; and
 new text end

new text begin (4) collecting urinalysis samples.
 new text end

new text begin (d) A treatment service provided in a group setting must be provided in a cohesive
manner and setting that allows every client receiving the service to interact and receive the
same service at the same time.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 12.

Minnesota Statutes 2024, section 245G.07, is amended by adding a subdivision
to read:


new text begin Subd. 1a. new text end

new text begin Psychosocial treatment service. new text end

new text begin Psychosocial treatment services must be
provided according to the hours identified in section 254B.19 for the ASAM level of care
provided to the client. A license holder must provide the following psychosocial treatment
services as a part of the client's individual treatment:
 new text end

new text begin (1) counseling services that provide a client with professional assistance in managing
substance use disorder and co-occurring conditions, either individually or in a group setting.
Counseling must:
 new text end

new text begin (i) use evidence-based techniques to help a client modify behavior, overcome obstacles,
and achieve and sustain recovery through techniques such as active listening, guidance,
discussion, feedback, and clarification;
 new text end

new text begin (ii) help the client to identify and address needs related to substance use, develop
strategies to avoid harmful substance use, and establish a lifestyle free of the harmful effects
of substance use disorder; and
 new text end

new text begin (iii) work to improve well-being and mental health, resolve or mitigate symptomatic
behaviors, beliefs, compulsions, thoughts, and emotions, and enhance relationships and
social skills, while addressing client-centered psychological and emotional needs; and
 new text end

new text begin (2) psychoeducation services to provide a client with information about substance use
and co-occurring conditions, either individually or in a group setting. Psychoeducation
includes structured presentations, interactive discussions, and practical exercises to help
clients understand and manage their conditions effectively. Topics include but are not limited
to:
 new text end

new text begin (i) the causes of substance use disorder and co-occurring disorders;
 new text end

new text begin (ii) behavioral techniques that help a client change behaviors, thoughts, and feelings;
 new text end

new text begin (iii) the importance of maintaining mental health, including understanding symptoms
of mental illness;
 new text end

new text begin (iv) medications for addiction and psychiatric disorders and the importance of medication
adherence;
 new text end

new text begin (v) the importance of maintaining physical health, health-related risk factors associated
with substance use disorder, and specific health education on tuberculosis, HIV, other
sexually transmitted diseases, drug and alcohol use during pregnancy, and hepatitis; and
 new text end

new text begin (vi) harm-reduction strategies.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 13.

Minnesota Statutes 2024, section 245G.07, is amended by adding a subdivision
to read:


new text begin Subd. 1b. new text end

new text begin Treatment coordination. new text end

new text begin (a) Treatment coordination must be provided to a
single client by an individual who meets the staff qualifications in section 245G.11,
subdivision 7. Treatment coordination services include:
 new text end

new text begin (1) coordinating directly with others involved in the client's treatment and recovery,
including the referral source, family or natural supports, social services agencies, and external
care providers;
 new text end

new text begin (2) providing clients with training and facilitating connections to community resources
that support recovery;
 new text end

new text begin (3) assisting clients in obtaining necessary resources and services such as financial
assistance, housing, food, clothing, medical care, education, harm reduction services,
vocational support, and recreational services that promote recovery;
 new text end

new text begin (4) helping clients connect and engage with self-help support groups and expand social
support networks with family, friends, and organizations; and
 new text end

new text begin (5) assisting clients in transitioning between levels of care, including providing direct
connections to ensure continuity of care.
 new text end

new text begin (b) Treatment coordination does not include coordinating services or communicating
with staff members within the licensed program.
 new text end

new text begin (c) Treatment coordination may be provided in a setting with the individual client and
others involved in the client's treatment and recovery.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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 2024, section 245G.07, is amended by adding a subdivision
to read:


new text begin Subd. 2a. new text end

new text begin Ancillary treatment service. new text end

new text begin (a) A license holder may provide ancillary
services in addition to the hours of psychosocial treatment services identified in section
254B.19 for the ASAM level of care provided to the client.
 new text end

new text begin (b) A license holder may provide the following ancillary treatment services as a part of
the client's individual treatment:
 new text end

new text begin (1) recovery support services provided individually or in a group setting, that include:
 new text end

new text begin (i) supporting clients in restoring daily living skills, such as health and health care
navigation and self-care to enhance personal well-being;
 new text end

new text begin (ii) providing resources and assistance to help clients restore life skills, including effective
parenting, financial management, pro-social behavior, education, employment, and nutrition;
 new text end

new text begin (iii) assisting clients in restoring daily functioning and routines affected by substance
use and supporting them in developing skills for successful community integration; and
 new text end

new text begin (iv) helping clients respond to or avoid triggers that threaten their community stability,
assisting the client in identifying potential crises and developing a plan to address them,
and providing support to restore the client's stability and functioning; and
 new text end

new text begin (2) peer recovery support services provided according to sections 254B.05, subdivision
5, and 254B.052.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 15.

Minnesota Statutes 2024, section 245G.07, subdivision 3, is amended to read:


Subd. 3.

deleted text begin Counselorsdeleted text end new text begin Treatment service providersnew text end .

new text begin (a) new text end All treatment servicesdeleted text begin , except
peer recovery support services and treatment coordination,deleted text end must be provided by an deleted text begin alcohol
and drug counselor qualified according to section 245G.11, subdivision 5, unless thedeleted text end
individual deleted text begin providing the service isdeleted text end specifically qualified according to the accepted credential
required to provide the service. deleted text begin The commissioner shall maintain a current list of
professionals qualified to provide treatment services.
deleted text end

new text begin (b) Psychosocial treatment services must be provided by an alcohol and drug counselor
qualified according to section 245G.11, subdivision 5, unless the individual providing the
service is specifically qualified according to the accepted credential required to provide the
service. The commissioner shall maintain a current list of professionals qualified to provide
psychosocial treatment services.
 new text end

new text begin (c) Treatment coordination must be provided by a treatment coordinator qualified
according to section 245G.11, subdivision 7.
 new text end

new text begin (d) Recovery support services must be provided by a behavioral health practitioner
qualified according to section 245G.11, subdivision 12.
 new text end

new text begin (e) Peer recovery support services must be provided by a recovery peer qualified
according to section 245I.04, subdivision 18.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 16.

Minnesota Statutes 2024, section 245G.07, subdivision 4, is amended to read:


Subd. 4.

Location of service provision.

(a) The license holder must provide all treatment
services a client receives at one of the license holder's substance use disorder treatment
licensed locations or at a location allowed under paragraphs (b) to (f). If the services are
provided at the locations in paragraphs (b) to (d), the license holder must document in the
client record the location services were provided.

(b) The license holder may provide nonresidential individual treatment services at a
client's home or place of residence.

(c) If the license holder provides treatment services by telehealth, the services must be
provided according to this paragraph:

(1) the license holder must maintain a licensed physical location in Minnesota where
the license holder must offer all treatment services in subdivision deleted text begin 1, paragraph (a), clauses
(1) to (4),deleted text end new text begin 1anew text end physically in-person to each client;

(2) the license holder must meet all requirements for the provision of telehealth in sections
254B.05, subdivision 5, paragraph (f), and 256B.0625, subdivision 3b. The license holder
must document all items in section 256B.0625, subdivision 3b, paragraph (c), for each client
receiving services by telehealth, regardless of payment type or whether the client is a medical
assistance enrollee;

(3) the license holder may provide treatment services by telehealth to clients individually;

(4) the license holder may provide treatment services by telehealth to a group of clients
that are each in a separate physical location;

(5) the license holder must not provide treatment services remotely by telehealth to a
group of clients meeting together in person, unless permitted under clause (7);

(6) clients and staff may join an in-person group by telehealth if a staff member qualified
to provide the treatment service is physically present with the group of clients meeting
together in person; and

(7) the qualified professional providing a residential group treatment service by telehealth
must be physically present on-site at the licensed residential location while the service is
being provided. If weather conditions or short-term illness prohibit a qualified professional
from traveling to the residential program and another qualified professional is not available
to provide the service, a qualified professional may provide a residential group treatment
service by telehealth from a location away from the licensed residential location. In such
circumstances, the license holder must ensure that a qualified professional does not provide
a residential group treatment service by telehealth from a location away from the licensed
residential location for more than one day at a time, must ensure that a staff person who
qualifies as a paraprofessional is physically present with the group of clients, and must
document the reason for providing the remote telehealth service in the records of clients
receiving the service. The license holder must document the dates that residential group
treatment services were provided by telehealth from a location away from the licensed
residential location in a central log and must provide the log to the commissioner upon
request.

(d) The license holder may provide the deleted text begin additionaldeleted text end new text begin ancillarynew text end treatment services under
subdivision deleted text begin 2, clauses (2) to (6) and (8),deleted text end new text begin 2anew text end away from the licensed location at a suitable
location appropriate to the treatment service.

(e) Upon written approval from the commissioner for each satellite location, the license
holder may provide nonresidential treatment services at satellite locations that are in a
school, jail, or nursing home. A satellite location may only provide services to students of
the school, inmates of the jail, or residents of the nursing home. Schools, jails, and nursing
homes are exempt from the licensing requirements in section 245A.04, subdivision 2a, to
document compliance with building codes, fire and safety codes, health rules, and zoning
ordinances.

(f) The commissioner may approve other suitable locations as satellite locations for
nonresidential treatment services. The commissioner may require satellite locations under
this paragraph to meet all applicable licensing requirements. The license holder may not
have more than two satellite locations per license under this paragraph.

(g) The license holder must provide the commissioner access to all files, documentation,
staff persons, and any other information the commissioner requires at the main licensed
location for all clients served at any location under paragraphs (b) to (f).

(h) Notwithstanding sections 245A.65, subdivision 2, and 626.557, subdivision 14, a
program abuse prevention plan is not required for satellite or other locations under paragraphs
(b) to (e). An individual abuse prevention plan is still required for any client that is a
vulnerable adult as defined in section 626.5572, subdivision 21.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 17.

Minnesota Statutes 2024, section 245G.11, subdivision 6, is amended to read:


Subd. 6.

Paraprofessionals.

A paraprofessional must have knowledge of client rights,
according to section 148F.165, and staff member responsibilities. A paraprofessional may
notnew text begin make decisions tonew text end admit, transfer, or discharge a client but maynew text begin perform tasks related
to intake and orientation. A paraprofessional maynew text end benew text begin thenew text end responsible deleted text begin for the delivery of
treatment servicedeleted text end new text begin staff membernew text end according to section 245G.10, subdivision 3.new text begin A
paraprofessional must not provide a treatment service unless qualified to do so according
to section 245G.07, subdivision 3.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 18.

Minnesota Statutes 2024, section 245G.11, is amended by adding a subdivision
to read:


new text begin Subd. 12. new text end

new text begin Behavioral health practitioners. new text end

new text begin (a) A behavioral health practitioner must
meet the qualifications in section 245I.04, subdivision 4.
 new text end

new text begin (b) A behavioral health practitioner working within a substance use disorder treatment
program licensed under this chapter has the following scope of practice:
 new text end

new text begin (1) a behavioral health practitioner may provide clients with recovery support services,
as defined in section 245G.07, subdivision 2a, paragraph (b), clause (1); and
 new text end

new text begin (2) a behavioral health practitioner must not provide treatment supervision to other staff
persons.
 new text end

new text begin (c) A behavioral health practitioner working within a substance use disorder treatment
program licensed under this chapter must receive at least one hour of supervision per month
on individual service delivery from an alcohol and drug counselor or a mental health
professional who has substance use treatment and assessments within the scope of their
practice.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 19.

Minnesota Statutes 2024, section 245G.22, subdivision 11, is amended to read:


Subd. 11.

Waiting list.

An opioid treatment program must have a waiting list system.
If the person seeking admission cannot be admitted within 14 days of the date of application,
each person seeking admission must be placed on the waiting list, unless the person seeking
admission is assessed by the program and found ineligible for admission according to this
chapter and Code of Federal Regulations, title 42, part 1, subchapter A, section 8.12 (e),
and title 45, parts 160 to 164. The waiting list must assign a unique client identifier for each
person seeking treatment while awaiting admission. A person seeking admission on a waiting
list who receives no services under section 245G.07, subdivision deleted text begin 1deleted text end new text begin 1a or 1bnew text end , must not be
considered a client as defined in section 245G.01, subdivision 9.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 20.

Minnesota Statutes 2024, section 245G.22, subdivision 15, as amended by Laws
2025, chapter 38, article 5, section 26, is amended to read:


Subd. 15.

Nonmedication treatment services; documentation.

(a) The program must
offer at least deleted text begin 50 consecutive minutesdeleted text end new text begin four 15-minute unitsnew text end of individual or group therapy
treatment services as defined in section 245G.07, subdivision deleted text begin 1deleted text end deleted text begin , paragraph (a)deleted text end new text begin 1anew text end , clause
(1), per week, for the first ten weeks following the day of service initiation, and at least deleted text begin 50
consecutive minutesdeleted text end new text begin four 15-minute unitsnew text end per month thereafter. deleted text begin As clinically appropriate,
the program may offer these services cumulatively and not consecutively in increments of
no less than 15 minutes over the required time period, and for a total of 60 minutes of
treatment services over the time period, and must document the reason for providing services
cumulatively in the client's record.deleted text end The program may offer additional levels of service when
deemed clinically necessary.

(b) The ten-week time frame may include a client's previous time at another opioid
treatment program licensed in Minnesota under this section if:

(1) the client was enrolled in the other opioid treatment program immediately prior to
admission to the license holder's program;

(2) the client did not miss taking a daily dose of medication to treat an opioid use disorder;
and

(3) the license holder obtains from the previous opioid treatment program the client's
number of days in comprehensive maintenance treatment, discharge summary, amount of
daily milligram dose of medication for opioid use disorder, and previous three drug abuse
test results.

(c) Notwithstanding the requirements of comprehensive assessments in section 245G.05,
the assessment must be completed within 21 days from the day of service initiation.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 21.

Minnesota Statutes 2024, section 254A.19, subdivision 4, is amended to read:


Subd. 4.

Civil commitments.

For the purposes of determining level of care, a
comprehensive assessment does not need to be completed for an individual being committed
as a chemically dependent person, as defined in section 253B.02, and for the duration of a
civil commitment under section 253B.09 or 253B.095 in order for deleted text begin a countydeleted text end new text begin the individualnew text end
to deleted text begin accessdeleted text end new text begin be eligible fornew text end the behavioral health fund under section 254B.04. The deleted text begin countydeleted text end new text begin
commissionernew text end must determine if the individual meets the financial eligibility requirements
for the behavioral health fund under section 254B.04.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2026.
 new text end

Sec. 22.

Minnesota Statutes 2024, section 254B.01, subdivision 10, is amended to read:


Subd. 10.

deleted text begin Skilleddeleted text end new text begin Psychosocialnew text end treatment services.

"deleted text begin Skilleddeleted text end new text begin Psychosocialnew text end treatment
services" includes the treatment services described in section 245G.07, deleted text begin subdivisions 1,
paragraph (a), clauses (1) to (4), and 2, clauses (1) to (6). Skilleddeleted text end new text begin subdivision 1a. Psychosocialnew text end
treatment services must be provided by qualified professionals as identified in section
245G.07, subdivision 3new text begin , paragraph (b)new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 23.

Minnesota Statutes 2024, section 254B.01, subdivision 11, is amended to read:


Subd. 11.

deleted text begin Sober homedeleted text end new text begin Recovery residencenew text end .

A deleted text begin sober homedeleted text end new text begin recovery residencenew text end is a
cooperative living residence, a room and board residence, an apartment, or any other living
accommodation that:

(1) provides temporary housing to persons with substance use disorders;

(2) stipulates that residents must abstain from using alcohol or other illicit drugs or
substances not prescribed by a physician;

(3) charges a fee for living there;

(4) does not provide counseling or treatment services to residents;

(5) promotes sustained recovery from substance use disorders; and

(6) follows the sober living guidelines published by the federal Substance Abuse and
Mental Health Services Administration.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 24.

Minnesota Statutes 2024, section 254B.02, subdivision 5, is amended to read:


Subd. 5.

deleted text begin Local agencydeleted text end new text begin Tribalnew text end allocation.

The commissioner may make payments to
deleted text begin local agenciesdeleted text end new text begin Tribal Nation servicing agenciesnew text end from money allocated under this section to
support individuals with substance use disordersnew text begin and determine eligibility for behavioral
health fund paymentsnew text end . The payment must not be less than 133 percent of the deleted text begin local agencydeleted text end new text begin
Tribal Nationsnew text end payment for the fiscal year ending June 30, 2009, adjusted in proportion to
the statewide change in the appropriation for this chapter.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2026.
 new text end

Sec. 25.

Minnesota Statutes 2024, section 254B.03, subdivision 1, is amended to read:


Subdivision 1.

deleted text begin Local agency dutiesdeleted text end new text begin Financial eligibility determinationsnew text end .

(a) deleted text begin Every
local agencydeleted text end new text begin The commissioner of human services or Tribal Nation servicing agenciesnew text end must
determine financial eligibility for substance use disorder services and provide substance
use disorder services to persons residing within its jurisdiction who meet criteria established
by the commissioner. Substance use disorder money must be administered by the local
agencies according to law and rules adopted by the commissioner under sections 14.001 to
14.69.

(b) In order to contain costs, the commissioner of human services shall select eligible
vendors of substance use disorder services who can provide economical and appropriate
treatment. deleted text begin Unless the local agency is a social services department directly administered by
a county or human services board, the local agency shall not be an eligible vendor under
section 254B.05.deleted text end The commissioner may approve proposals from county boards to provide
services in an economical manner or to control utilization, with safeguards to ensure that
necessary services are provided. If a county implements a demonstration or experimental
medical services funding plan, the commissioner shall transfer the money as appropriate.

(c) An individual may choose to obtain a comprehensive assessment as provided in
section 245G.05. Individuals obtaining a comprehensive assessment may access any enrolled
provider that is licensed to provide the level of service authorized pursuant to section
254A.19, subdivision 3. If the individual is enrolled in a prepaid health plan, the individual
must comply with any provider network requirements or limitations.

deleted text begin (d) Beginning July 1, 2022, local agencies shall not make placement location
determinations.
 deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2026.
 new text end

Sec. 26.

Minnesota Statutes 2024, section 254B.03, subdivision 3, is amended to read:


Subd. 3.

deleted text begin Local agenciesdeleted text end new text begin Countiesnew text end to pay state for county share.

deleted text begin Local agenciesdeleted text end new text begin
Countiesnew text end shall pay the state for the county share of the services authorized by the deleted text begin local
agencydeleted text end new text begin commissionernew text end , except when the payment is made according to section 254B.09,
subdivision 8.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2026.
 new text end

Sec. 27.

Minnesota Statutes 2024, section 254B.04, subdivision 1a, as amended by Laws
2025, chapter 38, article 7, section 4, is amended to read:


Subd. 1a.

Client eligibility.

(a) Persons eligible for benefits under Code of Federal
Regulations, title 25, part 20, who meet the income standards of section 256B.056,
subdivision 4, and are not enrolled in medical assistance, are entitled to behavioral health
fund services. State money appropriated for this paragraph must be placed in a separate
account established for this purpose.

(b) Persons with dependent children who are determined to be in need of substance use
disorder treatment pursuant to an assessment under section 260E.20, subdivision 1, or in
need of chemical dependency treatment pursuant to a case plan under section 260C.201,
subdivision 6, or 260C.212, shall be assisted by the deleted text begin local agencydeleted text end new text begin commissionernew text end to access
needed treatment services. Treatment services must be appropriate for the individual or
family, which may include long-term care treatment or treatment in a facility that allows
the dependent children to stay in the treatment facility. The county shall pay for out-of-home
placement costs, if applicable.

(c) Notwithstanding paragraph (a), any person enrolled in medical assistance or
MinnesotaCare is eligible for room and board services under section 254B.05, subdivision
5, paragraph (b), clause (9).

(d) A client is eligible to have substance use disorder treatment paid for with funds from
the behavioral health fund when the client:

(1) is eligible for MFIP as determined under chapter 142G;

(2) is eligible for medical assistance as determined under Minnesota Rules, parts
9505.0010 to deleted text begin 9505.0150deleted text end new text begin 9505.0140new text end ;

(3) is eligible for general assistance, general assistance medical care, or work readiness
as determined under Minnesota Rules, parts 9500.1200 to deleted text begin 9500.1318deleted text end new text begin 9500.1272new text end ; or

(4) has income that is within current household size and income guidelines for entitled
persons, as defined in this subdivision and subdivision 7.

(e) Clients who meet the financial eligibility requirement in paragraph (a) and who have
a third-party payment source are eligible for the behavioral health fund if the third-party
payment source pays less than 100 percent of the cost of treatment services for eligible
clients.

(f) A client is ineligible to have substance use disorder treatment services paid for with
behavioral health fund money if the client:

(1) has an income that exceeds current household size and income guidelines for entitled
persons as defined in this subdivision and subdivision 7; or

(2) has an available third-party payment source that will pay the total cost of the client's
treatment.

(g) A client who is disenrolled from a state prepaid health plan during a treatment episode
is eligible for continued treatment service that is paid for by the behavioral health fund until
the treatment episode is completed or the client is re-enrolled in a state prepaid health plan
if the client:

(1) continues to be enrolled in MinnesotaCare, medical assistance, or general assistance
medical care; or

(2) is eligible according to paragraphs (a) and (b) and is determined eligible by deleted text begin a local
agencydeleted text end new text begin the commissionernew text end under section 254B.04.

(h) When a county commits a client under chapter 253B to a regional treatment center
for substance use disorder services and the client is ineligible for the behavioral health fund,
the county is responsible for the payment to the regional treatment center according to
section 254B.05, subdivision 4.

(i) Persons enrolled in MinnesotaCare are eligible for room and board services when
provided through intensive residential treatment services and residential crisis services under
section 256B.0632.

new text begin (j) A person is eligible for one 60-consecutive-calendar-day period per year. A person
may submit a request for additional eligibility to the commissioner. A person denied
additional eligibility under this paragraph may request a state agency hearing under section
256.045.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin Paragraph (d) is effective July 1, 2025. Paragraphs (b), (g), and
(j) are effective July 1, 2026.
 new text end

Sec. 28.

Minnesota Statutes 2024, section 254B.04, subdivision 5, is amended to read:


Subd. 5.

deleted text begin Local agencydeleted text end new text begin Commissionernew text end responsibility to providenew text begin administrativenew text end
services.

The deleted text begin local agencydeleted text end new text begin commissioner of human servicesnew text end may employ individuals to
conduct administrative activities and facilitate access to substance use disorder treatment
services.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2026.
 new text end

Sec. 29.

Minnesota Statutes 2024, section 254B.04, subdivision 6, is amended to read:


Subd. 6.

deleted text begin Local agencydeleted text end new text begin Commissionernew text end to determine client financial eligibility.

(a)
The deleted text begin local agencydeleted text end new text begin commissionernew text end shall determine a client's financial eligibility for the
behavioral health fund according to section 254B.04, subdivision 1a, with the income
calculated prospectively for one year from the date of request. The deleted text begin local agencydeleted text end new text begin commissionernew text end
shall pay for eligible clients according to chapter 256G. Client eligibility must be determined
using only forms prescribed by the commissioner deleted text begin unless the local agency has a reasonable
basis for believing that the information submitted on a form is falsedeleted text end . To determine a client's
eligibility, the deleted text begin local agencydeleted text end new text begin commissionernew text end must determine the client's income, the size of
the client's household, the availability of a third-party payment source, and a responsible
relative's ability to pay for the client's substance use disorder treatment.

(b) A client who is a minor child must not be deemed to have income available to pay
for substance use disorder treatment, unless the minor child is responsible for payment under
section 144.347 for substance use disorder treatment services sought under section 144.343,
subdivision 1.

(c) The deleted text begin local agencydeleted text end new text begin commissionernew text end must determine the client's household size as follows:

(1) if the client is a minor child, the household size includes the following persons living
in the same dwelling unit:

(i) the client;

(ii) the client's birth or adoptive parents; and

(iii) the client's siblings who are minors; and

(2) if the client is an adult, the household size includes the following persons living in
the same dwelling unit:

(i) the client;

(ii) the client's spouse;

(iii) the client's minor children; and

(iv) the client's spouse's minor children.

For purposes of this paragraph, household size includes a person listed in clauses (1) and
(2) who is in an out-of-home placement if a person listed in clause (1) or (2) is contributing
to the cost of care of the person in out-of-home placement.

(d) The deleted text begin local agencydeleted text end new text begin commissionernew text end must determine the client's current prepaid health
plan enrollment, the availability of a third-party payment source, including the availability
of total payment, partial payment, and amount of co-payment.

deleted text begin (e) The local agency must provide the required eligibility information to the department
in the manner specified by the department.
 deleted text end

deleted text begin (f)deleted text end new text begin (e)new text end The deleted text begin local agencydeleted text end new text begin commissionernew text end shall require the client and policyholder to
conditionally assign to the department the client and policyholder's rights and the rights of
minor children to benefits or services provided to the client if the department is required to
collect from a third-party pay source.

deleted text begin (g)deleted text end new text begin (f)new text end The deleted text begin local agencydeleted text end new text begin commissionernew text end must deleted text begin redeterminedeleted text end new text begin determinenew text end a client's eligibility
for the behavioral health fund deleted text begin every 12 monthsdeleted text end new text begin for a 60-consecutive-calendar-day period
per calendar yearnew text end .

deleted text begin (h)deleted text end new text begin (g)new text end A client, responsible relative, and policyholder must provide income or wage
verification, household size verification, and must make an assignment of third-party payment
rights under paragraph deleted text begin (f)deleted text end new text begin (e)new text end . If a client, responsible relative, or policyholder does not
comply with the provisions of this subdivision, the client is ineligible for behavioral health
fund payment for substance use disorder treatment, and the client and responsible relative
must be obligated to pay for the full cost of substance use disorder treatment services
provided to the client.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2026.
 new text end

Sec. 30.

Minnesota Statutes 2024, section 254B.04, subdivision 6a, is amended to read:


Subd. 6a.

Span of eligibility.

The deleted text begin local agencydeleted text end new text begin commissionernew text end must enter the financial
eligibility span within five business days of a request. If the comprehensive assessment is
completed within the timelines required under chapter 245G, then the span of eligibility
must begin on the date services were initiated. If the comprehensive assessment is not
completed within the timelines required under chapter 245G, then the span of eligibility
must begin on the date the comprehensive assessment was completed.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2026.
 new text end

Sec. 31.

Minnesota Statutes 2024, section 254B.05, subdivision 1, as amended by Laws
2025, chapter 38, article 4, section 31, is amended to read:


Subdivision 1.

Licensure or certification required.

(a) Programs licensed by the
commissioner are eligible vendors. Hospitals may apply for and receive licenses to be
eligible vendors, notwithstanding the provisions of section 245A.03. American Indian
programs that provide substance use disorder treatment, extended care, transitional residence,
or outpatient treatment services, and are licensed by tribal government are eligible vendors.

(b) A licensed professional in private practice as defined in section 245G.01, subdivision
17, who meets the requirements of section 245G.11, subdivisions 1 and 4, is an eligible
vendor of a comprehensive assessment provided according to section 254A.19, subdivision
3, and treatment services provided according to sections 245G.06 and 245G.07, deleted text begin subdivision
1deleted text end deleted text begin , paragraphs (a), clauses (1) to (5), and (b); and subdivision 2, clauses (1) to (6)deleted text end new text begin subdivisions
1, 1a, and 1bnew text end .

(c) A county is an eligible vendor for a comprehensive assessment when provided by
an individual who meets the staffing credentials of section 245G.11, subdivisions 1 and 5,
and completed according to the requirements of section 254A.19, subdivision 3. A county
is an eligible vendor of deleted text begin caredeleted text end new text begin treatmentnew text end coordination services when provided by an individual
who meets the staffing credentials of section 245G.11, subdivisions 1 and 7, and provided
according to the requirements of section 245G.07, subdivision deleted text begin 1deleted text end deleted text begin , paragraph (a), clause (5)deleted text end new text begin
1bnew text end . A county is an eligible vendor of peer recovery services when the services are provided
by an individual who meets the requirements of section 245G.11, subdivision 8new text begin , and
according to section 254B.052new text end .

(d) A recovery community organization that meets the requirements of clauses (1) to
(15)new text begin , complies with the training requirements in section 254B.052, subdivision 4,new text end and meets
certification requirements of the Minnesota Alliance of Recovery Community Organizations
or another Minnesota statewide recovery organization identified by the commissioner is an
eligible vendor of peer recovery support services. If the commissioner does not identify
another statewide recovery organization, or the Minnesota Alliance of Recovery Community
Organizations or the statewide recovery organization identified by the commissioner is not
reasonably positioned to certify vendors, the commissioner must determine the eligibility
of a vendor of peer recovery support services. A Minnesota statewide recovery organization
identified by the commissioner must update recovery community organization applicants
for certification on the status of the application within 45 days of receipt. If the approved
statewide recovery organization denies an application, it must provide a written explanation
for the denial to the recovery community organization. Eligible vendors under this paragraph
must:

(1) be nonprofit organizations under section 501(c)(3) of the Internal Revenue Code, be
free from conflicting self-interests, and be autonomous in decision-making, program
development, peer recovery support services provided, and advocacy efforts for the purpose
of supporting the recovery community organization's mission;

(2) be led and governed by individuals in the recovery community, with more than 50
percent of the board of directors or advisory board members self-identifying as people in
personal recovery from substance use disorders;

(3) have a mission statement and conduct corresponding activities indicating that the
organization's primary purpose is to support recovery from substance use disorder;

(4) demonstrate ongoing community engagement with the identified primary region and
population served by the organization, including individuals in recovery and their families,
friends, and recovery allies;

(5) be accountable to the recovery community through documented priority-setting and
participatory decision-making processes that promote the engagement of, and consultation
with, people in recovery and their families, friends, and recovery allies;

(6) provide nonclinical peer recovery support services, including but not limited to
recovery support groups, recovery coaching, telephone recovery support, skill-building,
and harm-reduction activities, and provide recovery public education and advocacy;

(7) have written policies that allow for and support opportunities for all paths toward
recovery and refrain from excluding anyone based on their chosen recovery path, which
may include but is not limited to harm reduction paths, faith-based paths, and nonfaith-based
paths;

(8) maintain organizational practices to meet the needs of Black, Indigenous, and people
of color communities, LGBTQ+ communities, and other underrepresented or marginalized
communities. Organizational practices may include board and staff training, service offerings,
advocacy efforts, and culturally informed outreach and services;

(9) use recovery-friendly language in all media and written materials that is supportive
of and promotes recovery across diverse geographical and cultural contexts and reduces
stigma;

(10) establish and maintain a publicly available recovery community organization code
of ethics and grievance policy and procedures;

(11) not classify or treat any recovery peer hired on or after July 1, 2024, as an
independent contractor;

(12) not classify or treat any recovery peer as an independent contractor on or after
January 1, 2025;

(13) provide an orientation for recovery peers that includes an overview of the consumer
advocacy services provided by the Ombudsman for Mental Health and Developmental
Disabilities and other relevant advocacy services;

(14) provide notice to peer recovery support services participants that includes the
following statement: "If you have a complaint about the provider or the person providing
your peer recovery support services, you may contact the Minnesota Alliance of Recovery
Community Organizations. You may also contact the Office of Ombudsman for Mental
Health and Developmental Disabilities." The statement must also include:

(i) the telephone number, website address, email address, and mailing address of the
Minnesota Alliance of Recovery Community Organizations and the Office of Ombudsman
for Mental Health and Developmental Disabilities;

(ii) the recovery community organization's name, address, email, telephone number, and
name or title of the person at the recovery community organization to whom problems or
complaints may be directed; and

(iii) a statement that the recovery community organization will not retaliate against a
peer recovery support services participant because of a complaint; and

(15) comply with the requirements of section 245A.04, subdivision 15a.

(e) A recovery community organization approved by the commissioner before June 30,
2023, must have begun the application process as required by an approved certifying or
accrediting entity and have begun the process to meet the requirements under paragraph (d)
by September 1, 2024, in order to be considered as an eligible vendor of peer recovery
support services.

(f) A recovery community organization that is aggrieved by a certification determination
and believes it meets the requirements under paragraph (d) may appeal the determination
under section 256.045, subdivision 3, paragraph (a), clause (14), for reconsideration as an
eligible vendor. If the human services judge determines that the recovery community
organization meets the requirements under paragraph (d), the recovery community
organization is an eligible vendor of peer recovery support services for up to two years from
the date of the determination. After two years, the recovery community organization must
apply for certification under paragraph (d) to continue to be an eligible vendor of peer
recovery support services.

(g) All recovery community organizations must be certified by an entity listed in
paragraph (d) by June 30, 2027.

(h) Detoxification programs licensed under Minnesota Rules, parts 9530.6510 to
9530.6590, are not eligible vendors. Programs that are not licensed as a residential or
nonresidential substance use disorder treatment or withdrawal management program by the
commissioner or by tribal government or do not meet the requirements of subdivisions 1a
and 1b are not eligible vendors.

(i) Hospitals, federally qualified health centers, and rural health clinics are eligible
vendors of a comprehensive assessment when the comprehensive assessment is completed
according to section 254A.19, subdivision 3, and by an individual who meets the criteria
of an alcohol and drug counselor according to section 245G.11, subdivision 5. The alcohol
and drug counselor must be individually enrolled with the commissioner and reported on
the claim as the individual who provided the service.

(j) Any complaints about a recovery community organization or peer recovery support
services may be made to and reviewed or investigated by the ombudsperson for behavioral
health and developmental disabilities under sections 245.91 and 245.94.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 32.

Minnesota Statutes 2024, section 254B.05, subdivision 1a, as amended by Laws
2025, chapter 38, article 7, section 5, is amended to read:


Subd. 1a.

Room and board provider requirements.

(a) Vendors of room and board
are eligible for behavioral health fund payment if the vendor:

(1) has rules prohibiting residents bringing chemicals into the facility or using chemicals
while residing in the facility and provide consequences for infractions of those rules;

(2) is determined to meet applicable health and safety requirements;

(3) is not a jail or prison;

(4) is not concurrently receiving funds under chapter 256I for the recipient;

(5) admits individuals who are 18 years of age or older;

(6) is registered as a board and lodging or lodging establishment according to section
157.17;

(7) has awake staff on site whenever a client is present;

(8) has staff who are at least 18 years of age and meet the requirements of section
245G.11, subdivision 1, paragraph (b);

(9) has emergency behavioral procedures that meet the requirements of section 245G.16;

(10) meets the requirements of section 245G.08, subdivision 5, if administering
medications to clients;

(11) meets the abuse prevention requirements of section 245A.65, including a policy on
fraternization and the mandatory reporting requirements of section 626.557;

(12) documents coordination with the treatment provider to ensure compliance with
section 254B.03, subdivision 2;

(13) protects client funds and ensures freedom from exploitation by meeting the
provisions of section 245A.04, subdivision 13;

(14) has a grievance procedure that meets the requirements of section 245G.15,
subdivision 2; and

(15) has sleeping and bathroom facilities for men and women separated by a door that
is locked, has an alarm, or is supervised by awake staff.

(b) Programs licensed according to Minnesota Rules, chapter 2960, are exempt from
paragraph (a), clauses (5) to (15).

(c) Programs providing children's mental health crisis admissions and stabilization under
section 245.4882, subdivision 6, are eligible vendors of room and board.

(d) Programs providing children's residential services under section 245.4882, except
services for individuals who have a placement under chapter 260C or 260D, are eligible
vendors of room and board.

(e) Licensed programs providing intensive residential treatment services or residential
crisis stabilization services pursuant to section 256B.0624 or 256B.0632 are eligible vendors
of room and board and are exempt from paragraph (a), clauses (6) to (15).

(f) A vendor that is not licensed as a residential treatment program must have a policy
to address staffing coverage when a client may unexpectedly need to be present at the room
and board site.

new text begin (g) No new vendors for room and board services may be approved after June 30, 2025,
to receive payments from the behavioral health fund, under the provisions of section 254B.04,
subdivision 2a. Room and board vendors that were approved and operating prior to July 1,
2025, may continue to receive payments from the behavioral health fund for services provided
until June 30, 2027. Room and board vendors providing services in accordance with section
254B.04, subdivision 2a, will no longer be eligible to claim reimbursement for room and
board services provided on or after July 1, 2027.
 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. 33.

Minnesota Statutes 2024, section 254B.05, subdivision 5, as amended by Laws
2025, chapter 38, article 4, section 32, is amended to read:


Subd. 5.

Rate requirements.

(a) new text begin Subject to the requirements of subdivision 6, new text end the
commissioner shall establish rates for new text begin the following new text end substance use disorder new text begin treatment new text end services
deleted text begin and service enhancementsdeleted text end funded under this chapterdeleted text begin .deleted text end new text begin :
new text end

deleted text begin (b) Eligible substance use disorder treatment services include:
 deleted text end

(1) those licensed, as applicable, according to chapter 245G or applicable Tribal license
and provided according to the following ASAM levels of care:

(i) ASAM level 0.5 early intervention services provided according to section 254B.19,
subdivision 1, clause (1);

(ii) ASAM level 1.0 outpatient services provided according to section 254B.19,
subdivision 1, clause (2);

(iii) ASAM level 2.1 intensive outpatient services provided according to section 254B.19,
subdivision 1, clause (3);

(iv) ASAM level 2.5 partial hospitalization services provided according to section
254B.19, subdivision 1, clause (4);

(v) ASAM level 3.1 clinically managed low-intensity residential services provided
according to section 254B.19, subdivision 1, clause (5)deleted text begin . The commissioner shall use the
base payment rate of $79.84 per day for services provided under this itemdeleted text end ;

(vi) ASAM level 3.1 clinically managed low-intensity residential services provided
according to section 254B.19, subdivision 1, clause (5), at 15 or more hours of skilled
treatment services each weekdeleted text begin . The commissioner shall use the base payment rate of $166.13
per day for services provided under this itemdeleted text end ;

(vii) ASAM level 3.3 clinically managed population-specific high-intensity residential
services provided according to section 254B.19, subdivision 1, clause (6)deleted text begin . The commissioner
shall use the specified base payment rate of $224.06 per day for services provided under
this itemdeleted text end ; and

(viii) ASAM level 3.5 clinically managed high-intensity residential services provided
according to section 254B.19, subdivision 1, clause (7)deleted text begin . The commissioner shall use the
specified base payment rate of $224.06 per day for services provided under this itemdeleted text end ;

(2) comprehensive assessments provided according to section 254A.19, subdivision 3;

(3) treatment coordination services provided according to section 245G.07, subdivision
1, paragraph (a), clause (5);

(4) peer recovery support services provided according to section 245G.07, subdivision
deleted text begin 2deleted text end new text begin 2a, paragraph (b)new text end , clause deleted text begin (8)deleted text end new text begin (2)new text end ;

(5) withdrawal management services provided according to chapter 245F;

(6) hospital-based treatment services that are licensed according to sections 245G.01 to
245G.17 or applicable Tribal license and licensed as a hospital under sections 144.50 to
144.56;

(7) substance use disorder treatment services with medications for opioid use disorder
provided in an opioid treatment program licensed according to sections 245G.01 to 245G.17
and 245G.22, or under an applicable Tribal license;

(8) medium-intensity residential treatment services that provide 15 hours of skilled
treatment services each week and are licensed according to sections 245G.01 to 245G.17
and 245G.21 or applicable Tribal license;

(9) adolescent treatment programs that are licensed as outpatient treatment programs
according to sections 245G.01 to 245G.18 or as residential treatment programs according
to Minnesota Rules, parts 2960.0010 to 2960.0220, and 2960.0430 to 2960.0490, or
applicable Tribal license;

(10) ASAM 3.5 clinically managed high-intensity residential services that are licensed
according to sections 245G.01 to 245G.17 and 245G.21 or applicable Tribal license, which
provide ASAM level of care 3.5 according to section 254B.19, subdivision 1, clause (7),
and are provided by a state-operated vendor or to clients who have been civilly committed
to the commissioner, present the most complex and difficult care needs, and are a potential
threat to the community; and

(11) room and board facilities that meet the requirements of subdivision 1a.

deleted text begin (c)deleted text end new text begin (b)new text end The commissioner shall establish higher rates for programs that meet the
requirements of paragraph deleted text begin (b)deleted text end new text begin (a)new text end and deleted text begin one of the following additional requirements:deleted text end new text begin the
requirements of one clause in this paragraph.
new text end

(1) Programs that serve parents with their children new text begin are eligible for an enhanced payment
rate new text end if the program:

(i) provides on-site child care during the hours of treatment activity that:

(A) is licensed under chapter 245A as a child care center under Minnesota Rules, chapter
9503; or

(B) is licensed under chapter 245A and sections 245G.01 to 245G.19; or

(ii) arranges for off-site child care during hours of treatment activity at a facility that is
licensed under chapter 245A as:

(A) a child care center under Minnesota Rules, chapter 9503; or

(B) a family child care home under Minnesota Rules, chapter 9502deleted text begin ;deleted text end new text begin .
new text end

new text begin In order to be eligible for a higher rate under this clause, a program that provides
arrangements for off-site child care must maintain current documentation at the substance
use disorder facility of the child care provider's current licensure to provide child care
services.
 new text end

(2) Culturally specific or culturally responsive programs as defined in section 254B.01,
subdivision 4adeleted text begin ;deleted text end new text begin , are eligible for an enhanced payment rate.
new text end

(3) Disability responsive programs as defined in section 254B.01, subdivision 4bdeleted text begin ;deleted text end new text begin , are
eligible for an enhanced payment rate.
new text end

(4) Programs that offer medical services delivered by appropriately credentialed health
care staff in an amount equal to one hour per client per week new text begin are eligible for an enhanced
payment rate new text end if the medical needs of the client and the nature and provision of any medical
services provided are documented in the client filedeleted text begin ; ordeleted text end new text begin .
new text end

(5) Programs that offer services to individuals with co-occurring mental health and
substance use disorder problems new text begin are eligible for an enhanced payment rate new text end if:

(i) the program meets the co-occurring requirements in section 245G.20;

(ii) the program employs a mental health professional as defined in section 245I.04,
subdivision 2;

(iii) clients scoring positive on a standardized mental health screen receive a mental
health diagnostic assessment within ten days of admission, excluding weekends and holidays;

(iv) the program has standards for multidisciplinary case review that include a monthly
review for each client that, at a minimum, includes a licensed mental health professional
and licensed alcohol and drug counselor, and their involvement in the review is documented;

(v) family education is offered that addresses mental health and substance use disorder
and the interaction between the two; and

(vi) co-occurring counseling staff shall receive eight hours of co-occurring disorder
training annually.

deleted text begin (d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program
that provides arrangements for off-site child care must maintain current documentation at
the substance use disorder facility of the child care provider's current licensure to provide
child care services.
 deleted text end

deleted text begin (e)deleted text end Adolescent residential programs that meet the requirements of Minnesota Rules,
parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the requirements
in deleted text begin paragraph (c), clause (5),deleted text end items (i) to (iv).

deleted text begin (f)deleted text end new text begin (c)new text end Substance use disorder services that are otherwise covered as direct face-to-face
services may be provided via telehealth as defined in section 256B.0625, subdivision 3b.
The use of telehealth to deliver services must be medically appropriate to the condition and
needs of the person being served. Reimbursement shall be at the same rates and under the
same conditions that would otherwise apply to direct face-to-face services.

deleted text begin (g)deleted text end new text begin (d)new text end For the purpose of reimbursement under this section, substance use disorder
treatment services provided in a group setting without a group participant maximum or
maximum client to staff ratio under chapter 245G shall not exceed a client to staff ratio of
48 to one. At least one of the attending staff must meet the qualifications as established
under this chapter for the type of treatment service provided. A recovery peer may not be
included as part of the staff ratio.

deleted text begin (h)deleted text end new text begin (e)new text end Payment for outpatient substance use disorder services that are licensed according
to sections 245G.01 to 245G.17 is limited to six hours per day or 30 hours per week unless
prior authorization of a greater number of hours is obtained from the commissioner.

deleted text begin (i)deleted text end new text begin (f)new text end Payment for substance use disorder services under this section must start from the
day of service initiation, when the comprehensive assessment is completed within the
required timelines.

deleted text begin (j)deleted text end new text begin (g)new text end A license holder that is unable to provide all residential treatment services because
a client missed services remains eligible to bill for the client's intensity level of services
under this paragraph if the license holder can document the reason the client missed services
and the interventions done to address the client's absence.

deleted text begin (k)deleted text end new text begin (h)new text end Hours in a treatment week may be reduced in observance of federally recognized
holidays.

deleted text begin (l)deleted text end new text begin (i)new text end Eligible vendors of peer recovery support services must:

(1) submit to a review by the commissioner of up to ten percent of all medical assistance
and behavioral health fund claims to determine the medical necessity of peer recovery
support services for entities billing for peer recovery support services individually and not
receiving a daily rate; and

(2) limit an individual client to 14 hours per week for peer recovery support services
from an individual provider of peer recovery support services.

deleted text begin (m)deleted text end new text begin (j)new text end Peer recovery support services not provided in accordance with section 254B.052
are subject to monetary recovery under section 256B.064 as money improperly paid.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025, except for the change to
the new paragraph (a), clause (4), which is effective July 1, 2026, or upon federal approval,
whichever is later. The commissioner of human services must notify the revisor of statutes
when federal approval is obtained.
 new text end

Sec. 34.

Minnesota Statutes 2024, section 254B.05, is amended by adding a subdivision
to read:


new text begin Subd. 6. new text end

new text begin Rate adjustments. new text end

new text begin (a) Effective for services provided on or after January 1,
2026, the commissioner must implement the following base payment rates for substance
use disorder treatment services under subdivision 5, paragraph (a):
 new text end

new text begin (1) for low-intensity residential services, 100 percent of the modeled rate included in
the final report required by Laws 2021, First Special Session chapter 7, article 17, section
18;
 new text end

new text begin (2) for high-intensity residential services, 83 percent of the modeled rate included in the
final report required by Laws 2021, First Special Session chapter 7, article 17, section 18;
and
 new text end

new text begin (3) for treatment coordination services, 100 percent of the modeled rate included in the
final report required by Laws 2021, First Special Session chapter 7, article 17, section 18.
 new text end

new text begin (b) Effective January 1, 2027, and annually thereafter, the commissioner of human
services must adjust the payment rates under paragraph (a) according to the change from
the midpoint of the previous rate year to the midpoint of the rate year for which the rate is
being determined using the Centers for Medicare and Medicaid Services Medicare Economic
Index as forecasted in the fourth quarter of the calendar year before the rate year.
 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. 35.

Minnesota Statutes 2024, section 254B.052, is amended by adding a subdivision
to read:


new text begin Subd. 4. new text end

new text begin Recovery community organization vendor compliance training. new text end

new text begin (a) Effective
January 1, 2027, in order to enroll as an eligible vendor of peer recovery support services,
a recovery community organization must require all owners active in day-to-day management
and operations of the organization and managerial and supervisory employees to complete
compliance training before applying for enrollment and every three years thereafter.
Mandatory compliance training format and content must be determined by the commissioner,
and must include the following topics:
 new text end

new text begin (1) state and federal program billing, documentation, and service delivery requirements;
 new text end

new text begin (2) eligible vendor enrollment requirements;
 new text end

new text begin (3) provider program integrity, including fraud prevention, fraud detection, and penalties;
 new text end

new text begin (4) fair labor standards;
 new text end

new text begin (5) workplace safety requirements; and
 new text end

new text begin (6) recent changes in service requirements.
 new text end

new text begin (b) Any new owners active in day-to-day management and operations of the organization
and managerial and supervisory employees must complete the training under this subdivision
in order to be employed by or conduct management and operations activities for the
organization. If the individual moves to another recovery community organization and
serves in a similar ownership or employment capacity, the individual is not required to
repeat the training required under this subdivision if the individual documents completion
of the training within the past three years.
 new text end

new text begin (c) By July 1, 2026, the commissioner must make the training required under this
subdivision available in person, online, or by electronic remote connection.
 new text end

new text begin (d) A recovery community organization enrolled as an eligible vendor before January
1, 2027, must document completion of the compliance training as required under this
subdivision by January 1, 2028, and every three years thereafter.
 new text end

Sec. 36.

Minnesota Statutes 2024, section 254B.09, subdivision 2, is amended to read:


Subd. 2.

American Indian agreements.

The commissioner may enter into agreements
with federally recognized Tribal units to pay for substance use disorder treatment services
provided under Laws 1986, chapter 394, sections 8 to 20. The agreements must clarify how
the governing body of the Tribal unit fulfills deleted text begin local agencydeleted text end new text begin the Tribal unit'snew text end responsibilities
regarding the form and manner of invoicing.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2026.
 new text end

Sec. 37.

Minnesota Statutes 2024, section 254B.19, subdivision 1, is amended to read:


Subdivision 1.

Level of care requirements.

(a) For each client assigned an ASAM level
of care, eligible vendors must implement the standards set by the ASAM for the respective
level of care. Additionally, vendors must meet the following requirements:

(1) For ASAM level 0.5 early intervention targeting individuals who are at risk of
developing a substance-related problem but may not have a diagnosed substance use disorder,
early intervention services may include individual or group counseling, treatment
coordination, peer recovery support, screening brief intervention, and referral to treatment
provided according to section 254A.03, subdivision 3, paragraph (c).

(2) For ASAM level 1.0 outpatient clients, adults must receive up to eight hours per
week of deleted text begin skilleddeleted text end new text begin psychosocialnew text end treatment services and adolescents must receive up to five
hours per week. Services must be licensed according to section 245G.20 and meet
requirements under section 256B.0759. deleted text begin Peer recoverydeleted text end new text begin Ancillary servicesnew text end and treatment
coordination may be provided beyond the hourly deleted text begin skilleddeleted text end new text begin psychosocialnew text end treatment service
hours allowable per week.

(3) For ASAM level 2.1 intensive outpatient clients, adults must receive nine to 19 hours
per week of deleted text begin skilleddeleted text end new text begin psychosocialnew text end treatment services and adolescents must receive six or
more hours per week. Vendors must be licensed according to section 245G.20 and must
meet requirements under section 256B.0759. deleted text begin Peer recoverydeleted text end new text begin Ancillarynew text end services and treatment
coordination may be provided beyond the hourly deleted text begin skilleddeleted text end new text begin psychosocialnew text end treatment service
hours allowable per week. If clinically indicated on the client's treatment plan, this service
may be provided in conjunction with room and board according to section 254B.05,
subdivision 1a.

(4) For ASAM level 2.5 partial hospitalization clients, adults must receive 20 hours or
more of deleted text begin skilleddeleted text end new text begin psychosocialnew text end treatment services. Services must be licensed according to
section 245G.20 deleted text begin and must meet requirements under section 256B.0759deleted text end . Level 2.5 is for
clients who need daily monitoring in a structured setting, as directed by the individual
treatment plan and in accordance with the limitations in section 254B.05, subdivision 5,
paragraph (h). If clinically indicated on the client's treatment plan, this service may be
provided in conjunction with room and board according to section 254B.05, subdivision
1a.

(5) For ASAM level 3.1 clinically managed low-intensity residential clients, programs
must provide at least 5 hours of deleted text begin skilleddeleted text end new text begin psychosocialnew text end treatment services per week according
to each client's specific treatment schedule, as directed by the individual treatment plan.
Programs must be licensed according to section 245G.20 and must meet requirements under
section 256B.0759.

(6) For ASAM level 3.3 clinically managed population-specific high-intensity residential
clients, programs must be licensed according to section 245G.20 and must meet requirements
under section 256B.0759. Programs must have 24-hour staffing coverage. Programs must
be enrolled as a disability responsive program as described in section 254B.01, subdivision
4b, and must specialize in serving persons with a traumatic brain injury or a cognitive
impairment so significant, and the resulting level of impairment so great, that outpatient or
other levels of residential care would not be feasible or effective. Programs must provide,
at a minimum, daily deleted text begin skilleddeleted text end new text begin psychosocialnew text end treatment services seven days a week according
to each client's specific treatment schedule, as directed by the individual treatment plan.

(7) For ASAM level 3.5 clinically managed high-intensity residential clients, services
must be licensed according to section 245G.20 and must meet requirements under section
256B.0759. Programs must have 24-hour staffing coverage and provide, at a minimum,
daily deleted text begin skilleddeleted text end new text begin psychosocialnew text end treatment services seven days a week according to each client's
specific treatment schedule, as directed by the individual treatment plan.

(8) For ASAM level withdrawal management 3.2 clinically managed clients, withdrawal
management must be provided according to chapter 245F.

(9) For ASAM level withdrawal management 3.7 medically monitored clients, withdrawal
management must be provided according to chapter 245F.

(b) Notwithstanding the minimum daily deleted text begin skilleddeleted text end new text begin psychosocialnew text end treatment service
requirements under paragraph (a), clauses (6) and (7), ASAM level 3.3 and 3.5 vendors
must provide each client at least 30 hours of treatment services per week for the period
between January 1, 2024, through June 30, 2024.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 38.

new text begin [254B.21] DEFINITIONS.
 new text end

new text begin Subdivision 1. new text end

new text begin Scope. new text end

new text begin For the purposes of sections 254B.21 to 254B.216, the following
terms have the meanings given.
 new text end

new text begin Subd. 2. new text end

new text begin Applicant. new text end

new text begin "Applicant" means any individual, organization, or entity who has
applied for certification of a recovery residence.
 new text end

new text begin Subd. 3. new text end

new text begin Certified recovery residence. new text end

new text begin "Certified recovery residence" means a recovery
residence that has completed the application process and been approved for certification by
the commissioner.
 new text end

new text begin Subd. 4. new text end

new text begin Co-occurring disorders. new text end

new text begin "Co-occurring disorders" means a diagnosis of both
a substance use disorder and a mental health disorder.
 new text end

new text begin Subd. 5. new text end

new text begin Operator. new text end

new text begin "Operator" means the lawful owner or lessee of a recovery residence
or a person employed and designated by the owner or lessee of the recovery residence to
have primary responsibility for oversight of the recovery residence, including but not limited
to hiring and termination of recovery residence staff, recovery residence maintenance, and
responding to complaints being investigated by the commissioner.
 new text end

new text begin Subd. 6. new text end

new text begin Recovery residence. new text end

new text begin "Recovery residence" means a type of community residence
that provides a safe, healthy, family-like, substance-free living environment that supports
individuals in recovery from substance use disorder.
 new text end

new text begin Subd. 7. new text end

new text begin Recovery residence registry. new text end

new text begin "Recovery residence registry" means the list of
certified recovery residences maintained by the commissioner.
 new text end

new text begin Subd. 8. new text end

new text begin Resident. new text end

new text begin "Resident" means an individual who resides in a recovery residence.
 new text end

new text begin Subd. 9. new text end

new text begin Staff. new text end

new text begin "Staff" means employees, contractors, or volunteers who provide
monitoring, assistance, or other services for the use and benefit of a recovery residence and
the residence's residents.
 new text end

new text begin Subd. 10. new text end

new text begin Substance free. new text end

new text begin "Substance free" means being free from the use of alcohol,
illicit drugs, and the illicit use of prescribed drugs. This term does not prohibit medications
prescribed, dispensed, or administered by a licensed health care professional, such as
pharmacotherapies specifically approved by the United States Food and Drug Administration
(FDA) for treatment of a substance use disorder as well as other medications approved by
the FDA for the treatment of co-occurring disorders when taken as directed.
 new text end

new text begin Subd. 11. new text end

new text begin Substance use disorder. new text end

new text begin "Substance use disorder" has the meaning given in
the most recent edition of the Diagnostic and Statistical Manual of Disorders of the American
Psychiatric Association.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 39.

new text begin [254B.211] RESIDENCE REQUIREMENTS AND RESIDENT RIGHTS.
 new text end

new text begin Subdivision 1. new text end

new text begin Applicability. new text end

new text begin This section is applicable to all recovery residences
regardless of certification status.
 new text end

new text begin Subd. 2. new text end

new text begin Residence requirements. new text end

new text begin All recovery residences must:
 new text end

new text begin (1) comply with applicable state laws and regulations and local ordinances related to
maximum occupancy, fire safety, and sanitation;
 new text end

new text begin (2) have safety policies and procedures that, at a minimum, address:
 new text end

new text begin (i) safety inspections requiring periodic verification of smoke detectors, carbon monoxide
detectors, fire extinguishers, and emergency evacuation drills;
 new text end

new text begin (ii) exposure to bodily fluids and contagious disease; and
 new text end

new text begin (iii) emergency procedures posted in conspicuous locations in the residence;
 new text end

new text begin (3) maintain a supply of an opiate antagonist in the home, post information on proper
use, and train staff in opiate antagonist use;
 new text end

new text begin (4) have written policies regarding access to all prescribed medications and storage of
medications when requested by the resident;
 new text end

new text begin (5) have written policies regarding residency termination, including how length of stay
is determined and procedures in case of evictions;
 new text end

new text begin (6) return all property and medications to a person discharged from the home and retain
the items for a minimum of 60 days if the person did not collect the items upon discharge.
The owner must make an effort to contact persons listed as emergency contacts for the
discharged person so that the items are returned;
 new text end

new text begin (7) ensure separation of money of persons served by the program from money of the
program or program staff. The program and staff must not:
 new text end

new text begin (i) borrow money from a person served by the program;
 new text end

new text begin (ii) purchase personal items from a person served by the program;
 new text end

new text begin (iii) sell merchandise or personal services to a person served by the program;
 new text end

new text begin (iv) require a person served by the program to purchase items for which the program is
eligible for reimbursement; or
 new text end

new text begin (v) use money of persons served by the program to purchase items for which the program
is already receiving public or private payments;
 new text end

new text begin (8) document the names and contact information for persons to contact in case of an
emergency, upon discharge, or other circumstances designated by the resident, including
but not limited to death due to an overdose;
 new text end

new text begin (9) maintain contact information for emergency resources in the community, including
but not limited to local mental health crisis services and the 988 Lifeline, to address mental
health and health emergencies;
 new text end

new text begin (10) have policies on staff qualifications and a prohibition against relationships between
operators and residents;
 new text end

new text begin (11) permit residents to use, as directed by a licensed prescriber, legally prescribed and
dispensed or administered pharmacotherapies approved by the FDA for the treatment of
opioid use disorder, co-occurring substance use disorders, and mental health conditions;
 new text end

new text begin (12) have a fee schedule and refund policy;
 new text end

new text begin (13) have rules for residents, including on prohibited items;
 new text end

new text begin (14) have policies that promote resident participation in treatment, self-help groups, or
other recovery supports;
 new text end

new text begin (15) have policies requiring abstinence from alcohol and illicit drugs on the property.
If the program utilizes drug screening or toxicology, the procedures must be included in the
program's policies;
 new text end

new text begin (16) distribute the recovery resident bill of rights in subdivision 3, resident rules,
certification, and grievance process and post the documents in this clause in common areas;
 new text end

new text begin (17) have policies and procedures on person and room searches;
 new text end

new text begin (18) have code of ethics policies and procedures they are aligned with the NARR code
of ethics and document that the policies and procedures are read and signed by all those
associated with the operation of the recovery residence, including owners, operators, staff,
and volunteers;
 new text end

new text begin (19) have a description of how residents are involved with the governance of the
residence, including decision-making procedures, how residents are involved in setting and
implementing rules, and the role of peer leaders, if any; and
 new text end

new text begin (20) have procedures to maintain a respectful environment, including appropriate action
to stop intimidation, bullying, sexual harassment, or threatening behavior of residents, staff,
and visitors within the residence. Programs should consider trauma-informed and
resilience-promoting practices when determining action.
 new text end

new text begin Subd. 3. new text end

new text begin Resident bill of rights. new text end

new text begin An individual living in a recovery residence has the
right to:
 new text end

new text begin (1) have access to an environment that supports recovery;
 new text end

new text begin (2) have access to an environment that is safe and free from alcohol and other illicit
drugs or substances;
 new text end

new text begin (3) be free from physical and verbal abuse, neglect, financial exploitation, and all forms
of maltreatment covered under the Vulnerable Adults Act, sections 626.557 to 626.5572;
 new text end

new text begin (4) be treated with dignity and respect and to have personal property treated with respect;
 new text end

new text begin (5) have personal, financial, and medical information kept private and to be advised of
the recovery residence's policies and procedures regarding disclosure of the information;
 new text end

new text begin (6) access while living in the residence to other community-based support services as
needed;
 new text end

new text begin (7) be referred to appropriate services upon leaving the residence if necessary;
 new text end

new text begin (8) retain personal property that does not jeopardize the safety or health of the resident
or others;
 new text end

new text begin (9) assert the rights in this subdivision personally or have the rights asserted by the
individual's representative or by anyone on behalf of the individual without retaliation;
 new text end

new text begin (10) be provided with the name, address, and telephone number of the ombudsman for
mental health and developmental disabilities and the commissioner and be provided with
information about the right to file a complaint;
 new text end

new text begin (11) be fully informed of the rights and responsibilities in this section and program
policies and procedures; and
 new text end

new text begin (12) not be required to perform services for the residence that are not included in the
usual expectations for all residents.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 40.

new text begin [254B.212] COMPLAINTS AGAINST RECOVERY RESIDENCES.
 new text end

new text begin Subdivision 1. new text end

new text begin In general. new text end

new text begin Any complaints about a recovery residence may be made to
and reviewed or investigated by the commissioner.
 new text end

new text begin Subd. 2. new text end

new text begin Types of complaints. new text end

new text begin The commissioner must receive and review complaints
that concern:
 new text end

new text begin (1) the health and safety of residents;
 new text end

new text begin (2) management of the recovery residence, including but not limited to house
environment, financial procedures, staffing, house rules and regulations, improper handling
of resident terminations, and recovery support environment; or
 new text end

new text begin (3) illegal activities or threats.
 new text end

new text begin Subd. 3. new text end

new text begin Investigation. new text end

new text begin (a) Complaints regarding illegal activities or threats must be
immediately referred to law enforcement in the jurisdiction where the recovery residence
is located. The commissioner must continue to investigate complaints under subdivision 2,
clause (3), that have been referred to law enforcement unless law enforcement requests the
commissioner to stay the investigation.
 new text end

new text begin (b) The commissioner must investigate all other types of complaints under this section
and may take any action necessary to conduct an investigation, including but not limited to
interviewing the recovery residence operator, staff, and residents and inspecting the premises.
 new text end

new text begin Subd. 4. new text end

new text begin Anonymity. new text end

new text begin When making a complaint pursuant to this section, an individual
must disclose the individual's identity to the commissioner. Unless ordered by a court or
authorized by the complainant, the commissioner must not disclose the complainant's
identity.
 new text end

new text begin Subd. 5. new text end

new text begin Prohibition against retaliation. new text end

new text begin A recovery residence owner, operator, director,
staff member, or resident must not be subject to retaliation, including but not limited to
interference, threats, coercion, harassment, or discrimination for making any complaint
against a recovery residence or against a recovery residence owner, operator, or chief
financial officer.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 41.

new text begin [254B.213] CERTIFICATION.
 new text end

new text begin Subdivision 1. new text end

new text begin Voluntary certification. new text end

new text begin The commissioner must establish and provide
for the administration of a voluntary certification program based on best practices as outlined
by the American Society for Addiction Medicine and the Substance Abuse and Mental
Health Services Administration for recovery residences seeking certification under this
section.
 new text end

new text begin Subd. 2. new text end

new text begin Application requirements. new text end

new text begin An applicant for certification must, at a minimum,
submit the following documents on forms approved by the commissioner:
 new text end

new text begin (1) if the premises for the recovery residence is leased, documentation from the owner
that the applicant has permission from the owner to operate a recovery residence on the
premises;
 new text end

new text begin (2) all policies and procedures required under this chapter;
 new text end

new text begin (3) copies of all forms provided to residents, including but not limited to the recovery
residence's medication, drug-testing, return-to-use, refund, and eviction or transfer policies;
 new text end

new text begin (4) proof of insurance coverage necessary and, at a minimum:
 new text end

new text begin (i) employee dishonesty insurance in the amount of $10,000 if the vendor has or had
custody or control of money or property belonging to clients; and
 new text end

new text begin (ii) bodily injury and property damage insurance in the amount of $2,000,000 for each
occurrence; and
 new text end

new text begin (5) proof of completed background checks for the operator and residence staff.
 new text end

new text begin Subd. 3. new text end

new text begin Inspection pursuant to application. new text end

new text begin Upon receiving a completed application,
the commissioner must conduct an initial on-site inspection of the recovery residence to
ensure the residence is in compliance with the requirements of sections 254B.21 to 254B.216.
 new text end

new text begin Subd. 4. new text end

new text begin Certification. new text end

new text begin The commissioner must certify a recovery residence upon
approval of the application and after the initial on-site inspection. The certification
automatically terminates three years after issuance of the certification if the commissioner
does not renew the certification. Upon certification, the commissioner must issue the recovery
residence a proof of certification.
 new text end

new text begin Subd. 5. new text end

new text begin Display of proof of certification. new text end

new text begin A certified recovery residence must publicly
display a proof of certification in the recovery residence.
 new text end

new text begin Subd. 6. new text end

new text begin Nontransferability. new text end

new text begin Certifications issued pursuant to this section cannot be
transferred to an address other than the address in the application or to another certification
holder without prior approval from the commissioner.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 42.

new text begin [254B.214] MONITORING AND OVERSIGHT OF CERTIFIED
RECOVERY RESIDENCES.
 new text end

new text begin Subdivision 1. new text end

new text begin Monitoring and inspections. new text end

new text begin (a) The commissioner must conduct an
on-site certification review of the certified recovery residence every three years to determine
the certification holder's compliance with applicable rules and statutes.
 new text end

new text begin (b) The commissioner must offer the certification holder a choice of dates for an
announced certification review. A certification review must occur during regular business
hours.
 new text end

new text begin (c) The commissioner must make the results of certification reviews and the results of
investigations that result in a correction order publicly available on the department's website.
 new text end

new text begin Subd. 2. new text end

new text begin Commissioner's right of access. new text end

new text begin (a) When the commissioner is exercising the
powers conferred to the commissioner under this section, if the recovery residence is in
operation and the information is relevant to the commissioner's inspection or investigation,
the certification holder must provide the commissioner access to:
 new text end

new text begin (1) the physical facility and grounds where the residence is located;
 new text end

new text begin (2) documentation and records, including electronically maintained records;
 new text end

new text begin (3) residents served by the recovery residence;
 new text end

new text begin (4) staff persons of the recovery residence; and
 new text end

new text begin (5) personnel records of current and former staff of the recovery residence.
 new text end

new text begin (b) The applicant or certification holder must provide the commissioner with access to
the facility and grounds, documentation and records, residents, and staff without prior notice
and as often as the commissioner considers necessary if the commissioner is conducting an
inspection or investigating alleged maltreatment or a violation of a law or rule. When
conducting an inspection, the commissioner may request assistance from other state, county,
and municipal governmental agencies and departments. The applicant or certification holder
must allow the commissioner, at the commissioner's expense, to photocopy, photograph,
and make audio and video recordings during an inspection.
 new text end

new text begin Subd. 3. new text end

new text begin Correction orders. new text end

new text begin (a) If the applicant or certification holder fails to comply
with a law or rule, the commissioner may issue a correction order. The correction order
must state:
 new text end

new text begin (1) the condition that constitutes a violation of the law or rule;
 new text end

new text begin (2) the specific law or rule that the applicant or certification holder has violated; and
 new text end

new text begin (3) the time that the applicant or certification holder is allowed to correct each violation.
 new text end

new text begin (b) If the applicant or certification holder believes that the commissioner's correction
order is erroneous, the applicant or certification holder may ask the commissioner to
reconsider the correction order. An applicant or certification holder must make a request
for reconsideration in writing. The request must be sent via electronic communication to
the commissioner within 20 calendar days after the applicant or certification holder received
the correction order and must:
 new text end

new text begin (1) specify the part of the correction order that is allegedly erroneous;
 new text end

new text begin (2) explain why the specified part is erroneous; and
 new text end

new text begin (3) include documentation to support the allegation of error.
 new text end

new text begin (c) A request for reconsideration does not stay any provision or requirement of the
correction order. The commissioner's disposition of a request for reconsideration is final
and not subject to appeal.
 new text end

new text begin (d) If the commissioner finds that the applicant or certification holder failed to correct
the violation specified in the correction order, the commissioner may decertify the certified
recovery residence according to subdivision 4.
 new text end

new text begin (e) Nothing in this subdivision prohibits the commissioner from decertifying a recovery
residence according to subdivision 4.
 new text end

new text begin Subd. 4. new text end

new text begin Decertification. new text end

new text begin (a) The commissioner may decertify a recovery residence if
a certification holder:
 new text end

new text begin (1) failed to comply with an applicable law or rule; or
 new text end

new text begin (2) knowingly withheld relevant information from or gave false or misleading information
to the commissioner in connection with an application for certification, during an
investigation, or regarding compliance with applicable laws or rules.
 new text end

new text begin (b) When considering decertification of a recovery residence, the commissioner must
consider the nature, chronicity, or severity of the violation of law or rule and the effect of
the violation on the health, safety, or rights of residents.
 new text end

new text begin (c) If the commissioner decertifies a recovery residence, the order of decertification
must inform the certification holder of the right to have a contested case hearing under
chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. The certification holder
may appeal the decertification. The certification holder must appeal a decertification in
writing and send or deliver the appeal to the commissioner by certified mail or personal
service. If the certification holder mails the appeal, the appeal must be postmarked and sent
to the commissioner within ten calendar days after the certification holder receives the order
of decertification. If the certification holder delivers an appeal by personal service, the
commissioner must receive the appeal within ten calendar days after the certification holder
received the order. If the certification holder submits a timely appeal of an order of
decertification, the certification holder may continue to operate the program until the
commissioner issues a final order on the decertification.
 new text end

new text begin (d) If the commissioner decertifies a recovery residence pursuant to paragraph (a), clause
(1), based on a determination that the recovery residence was responsible for maltreatment
under chapter 260E or section 626.557, the final decertification determination is stayed until
the commissioner issues a final decision regarding the maltreatment appeal if the certification
holder appeals the decertification according to paragraph (c) and appeals the maltreatment
determination pursuant to chapter 260E or section 626.557.
 new text end

new text begin Subd. 5. new text end

new text begin Notifications required and noncompliance. new text end

new text begin (a) Changes in recovery residence
organization, staffing, services, or quality assurance procedures that affect the ability of the
certification holder to comply with the minimum standards of this chapter must be reported
in writing by the certification holder to the commissioner, in a manner approved by the
commissioner, within 15 days of the occurrence. The commissioner must review the change.
If the change would result in noncompliance in minimum standards, the commissioner must
give the recovery residence written notice and up to 180 days to correct the areas of
noncompliance before being decertified. The recovery residence must develop interim
procedures to resolve the noncompliance on a temporary basis and submit the interim
procedures in writing to the commissioner for approval within 30 days of the commissioner's
determination of the noncompliance. The commissioner must immediately decertify a
recovery residence that fails to report a change that results in noncompliance within 15 days,
fails to develop an approved interim procedure within 30 days of the determination of the
noncompliance, or does not resolve the noncompliance within 180 days.
 new text end

new text begin (b) The commissioner may require the recovery residence to submit written information
to document that the recovery residence has maintained compliance with this section.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 43.

new text begin [254B.215] CERTIFICATION LEVELS.
 new text end

new text begin Subdivision 1. new text end

new text begin Certification levels. new text end

new text begin When certifying a recovery residence, the
commissioner must specify whether the residence is a level-one or level-two certified
recovery residence.
 new text end

new text begin Subd. 2. new text end

new text begin Level-one certification. new text end

new text begin (a) The commissioner must designate a certified
residence as a level-one certified recovery residence when the residence is peer run. A
level-one certified recovery residence must:
 new text end

new text begin (1) not permit an allowance for on-site paid staff or operator of the recovery residence;
 new text end

new text begin (2) permit only nonpaid staff to live or work within the residence; and
 new text end

new text begin (3) ensure that decisions are made solely by residents.
 new text end

new text begin (b) Staff of a level-one certified recovery residence must not provide billable peer
recovery support services to residents of the recovery residence.
 new text end

new text begin Subd. 3. new text end

new text begin Level-two certification. new text end

new text begin (a) The commissioner must designate a certified
residence as a level-two certified recovery residence when the residence is managed by
someone other than the residents. A level-two certified recovery residence must have staff
to model and teach recovery skills and behaviors.
 new text end

new text begin (b) A level-two certified recovery residence must:
 new text end

new text begin (1) have written job descriptions for each staff member position, including position
responsibilities and qualifications;
 new text end

new text begin (2) have written policies and procedures for ongoing performance development of staff;
 new text end

new text begin (3) provide annual training on emergency procedures, resident bill of rights, grievance
policies and procedures, and code of ethics;
 new text end

new text begin (4) provide community or house meetings, peer supports, and involvement in self-help
or off-site treatment services;
 new text end

new text begin (5) have identified recovery goals;
 new text end

new text begin (6) maintain documentation that residents are linked with community resources such as
job search, education, family services, and health and housing programs; and
 new text end

new text begin (7) maintain documentation of referrals made for additional services.
 new text end

new text begin (c) Staff of a level-two certified recovery residence must not provide billable peer support
services to residents of the recovery residence.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 44.

new text begin [254B.216] RESIDENT RECORD.
 new text end

new text begin A certified recovery residence must maintain documentation with a resident's signature
stating that each resident received the following prior to or on the first day of residency:
 new text end

new text begin (1) the recovery resident bill of rights in section 254B.211, subdivision 3;
 new text end

new text begin (2) the residence's financial obligations and agreements, refund policy, and payments
from third-party payers for any fees paid on the resident's behalf;
 new text end

new text begin (3) a description of the services provided by the recovery residence;
 new text end

new text begin (4) relapse policies;
 new text end

new text begin (5) policies regarding personal property;
 new text end

new text begin (6) orientation to emergency procedures;
 new text end

new text begin (7) orientation to resident rules; and
 new text end

new text begin (8) all other applicable orientation materials identified in sections 254B.21 to 254B.216.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 45.

Minnesota Statutes 2024, 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 deleted text begin grantsdeleted text end new text begin direct
paymentsnew text end 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.new text begin Any evaluations of practices under this paragraph must be
designed cooperatively by the commissioner and Tribal nations or urban Indian communities.
The commissioner must not require recipients to provide the details of specific ceremonies
or identities of healers.
new text end

(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 children, youth, and families for distribution
to county social service agencies and Tribal social service agency initiative projects
authorized under section 256.01, subdivision 14b, to provide prevention and 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 projects through a formula based on intake data from the previous
three calendar years related to substance use and out-of-home placement episodes where
parental drug abuse is a reason for the out-of-home placement. 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
provide prevention and 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.

Sec. 46.

Minnesota Statutes 2024, section 256B.0625, subdivision 5m, as amended by
Laws 2025, chapter 20, section 208, is amended to read:


Subd. 5m.

Certified community behavioral health clinic services.

(a) Medical
assistance covers services provided by a not-for-profit certified community behavioral health
clinic (CCBHC) that meets the requirements of section 245.735, subdivision 3.

(b) The commissioner shall reimburse CCBHCs on a per-day basis for each day that an
eligible service is delivered using the CCBHC daily bundled rate system for medical
assistance payments as described in paragraph (c). The commissioner shall include a quality
incentive payment in the CCBHC daily bundled rate system as described in paragraph (e).
There is no county share for medical assistance services when reimbursed through the
CCBHC daily bundled rate system.

(c) The commissioner shall ensure that the CCBHC daily bundled rate system for CCBHC
payments under medical assistance meets the following requirements:

(1) the CCBHC daily bundled rate shall be a provider-specific rate calculated for each
CCBHC, based on the daily cost of providing CCBHC services and the total annual allowable
CCBHC costs divided by the total annual number of CCBHC visits. For calculating the
payment rate, total annual visits include visits covered by medical assistance and visits not
covered by medical assistance. Allowable costs include but are not limited to the salaries
and benefits of medical assistance providers; the cost of CCBHC services provided under
section 245.735, subdivision 3, paragraph (a), clauses (6) and (7); and other costs such as
insurance or supplies needed to provide CCBHC services;

(2) payment shall be limited to one payment per day per medical assistance enrollee
when an eligible CCBHC service is provided. A CCBHC visit is eligible for reimbursement
if at least one of the CCBHC services listed under section 245.735, subdivision 3, paragraph
(a), clause (6), is furnished to a medical assistance enrollee by a health care practitioner or
licensed agency employed by or under contract with a CCBHC;

(3) initial CCBHC daily bundled rates for newly certified CCBHCs under section 245.735,
subdivision 3, shall be established by the commissioner using a provider-specific rate based
on the newly certified CCBHC's audited historical cost report data adjusted for the expected
cost of delivering CCBHC services. Estimates are subject to review by the commissioner
and must include the expected cost of providing the full scope of CCBHC services and the
expected number of visits for the rate period;

(4) the commissioner shall rebase CCBHC rates once every two years following the last
rebasing and no less than 12 months following an initial rate or a rate change due to a change
in the scope of services. For CCBHCs certified after September 30, 2020, and before January
1, 2021, the commissioner shall rebase rates according to this clause for services provided
on or after January 1, 2024;

(5) the commissioner shall provide for a 60-day appeals process after notice of the results
of the rebasing;

(6) an entity that receives a CCBHC daily bundled rate that overlaps with another federal
Medicaid rate is not eligible for the CCBHC rate methodology;

(7) payments for CCBHC services to individuals enrolled in managed care shall be
coordinated with the state's phase-out of CCBHC wrap payments. The commissioner shall
complete the phase-out of CCBHC wrap payments within 60 days of the implementation
of the CCBHC daily bundled rate system in the Medicaid Management Information System
(MMIS), for CCBHCs reimbursed under this chapter, with a final settlement of payments
due made payable to CCBHCs no later than 18 months thereafter;

(8) the CCBHC daily bundled rate for each CCBHC shall be updated by trending each
provider-specific rate by the Medicare Economic Index for primary care services. This
update shall occur each year in between rebasing periods determined by the commissioner
in accordance with clause (4). CCBHCs must provide data on costs and visits to the state
annually using the CCBHC cost report established by the commissioner; and

(9) a CCBHC may request a rate adjustment for changes in the CCBHC's scope of
services when such changes are expected to result in an adjustment to the CCBHC payment
rate by 2.5 percent or more. The CCBHC must provide the commissioner with information
regarding the changes in the scope of services, including the estimated cost of providing
the new or modified services and any projected increase or decrease in the number of visits
resulting from the change. Estimated costs are subject to review by the commissioner. Rate
adjustments for changes in scope shall occur no more than once per year in between rebasing
periods per CCBHC and are effective on the date of the annual CCBHC rate update.

(d) Managed care plans and county-based purchasing plans shall reimburse CCBHC
providers at the CCBHC daily bundled rate. The commissioner shall monitor the effect of
this requirement on the rate of access to the services delivered by CCBHC providers. If, for
any contract year, federal approval is not received for this paragraph, the commissioner
must adjust the capitation rates paid to managed care plans and county-based purchasing
plans for that contract year to reflect the removal of this provision. Contracts between
managed care plans and county-based purchasing plans and providers to whom this paragraph
applies must allow recovery of payments from those providers if capitation rates are adjusted
in accordance with this paragraph. Payment recoveries must not exceed the amount equal
to any increase in rates that results from this provision. This paragraph expires if federal
approval is not received for this paragraph at any time.

(e) The commissioner shall implement a quality incentive payment program for CCBHCs
that meets the following requirements:

(1) a CCBHC shall receive a quality incentive payment upon meeting specific numeric
thresholds for performance metrics established by the commissioner, in addition to payments
for which the CCBHC is eligible under the CCBHC daily bundled rate system described in
paragraph (c);

(2) a CCBHC must be certified and enrolled as a CCBHC for the entire measurement
year to be eligible for incentive payments;

(3) each CCBHC shall receive written notice of the criteria that must be met in order to
receive quality incentive payments at least 90 days prior to the measurement year; and

(4) a CCBHC must provide the commissioner with data needed to determine incentive
payment eligibility within six months following the measurement year. The commissioner
shall notify CCBHC providers of their performance on the required measures and the
incentive payment amount within 12 months following the measurement year.

(f) All claims to managed care plans for CCBHC services as provided under this section
shall be submitted directly to, and paid by, the commissioner on the dates specified no later
than January 1 of the following calendar year, if:

(1) one or more managed care plans does not comply with the federal requirement for
payment of clean claims to CCBHCs, as defined in Code of Federal Regulations, title 42,
section 447.45(b), and the managed care plan does not resolve the payment issue within 30
days of noncompliance; and

(2) the total amount of clean claims not paid in accordance with federal requirements
by one or more managed care plans is 50 percent of, or greater than, the total CCBHC claims
eligible for payment by managed care plans.

If the conditions in this paragraph are met between January 1 and June 30 of a calendar
year, claims shall be submitted to and paid by the commissioner beginning on January 1 of
the following year. If the conditions in this paragraph are met between July 1 and December
31 of a calendar year, claims shall be submitted to and paid by the commissioner beginning
on July 1 of the following year.

(g) Peer services provided by a CCBHC certified under section 245.735 are a covered
service under medical assistance when a licensed mental health professional or alcohol and
drug counselor determines that peer services are medically necessary. Eligibility under this
subdivision for peer services provided by a CCBHC supersede eligibility standards under
sections 256B.0615, 256B.0616, and 245G.07, subdivision deleted text begin 2deleted text end new text begin 2a, paragraph (b)new text end , clause deleted text begin (8)deleted text end new text begin
(2)new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 47.

Minnesota Statutes 2024, section 256B.0757, subdivision 4c, is amended to read:


Subd. 4c.

Behavioral health home services staff qualifications.

(a) A behavioral health
home services provider must maintain staff with required professional qualifications
appropriate to the setting.

(b) If behavioral health home services are offered in a mental health setting, the
integration specialist must be a licensed nurse, as defined in section 148.171, subdivision
9.

(c) If behavioral health home services are offered in a primary care setting, the integration
specialist must be a mental health professional who is qualified according to section 245I.04,
subdivision 2.

(d) If behavioral health home services are offered in either a primary care setting or
mental health setting, the systems navigator must be a mental health practitioner who is
qualified according to section 245I.04, subdivision 4, or a community health worker as
defined in section 256B.0625, subdivision 49.

(e) If behavioral health home services are offered in either a primary care setting or
mental health setting, the qualified health home specialist must be one of the following:

(1) a mental health certified peer specialist who is qualified according to section 245I.04,
subdivision 10;

(2) a mental health certified family peer specialist who is qualified according to section
245I.04, subdivision 12;

(3) a case management associate as defined in section 245.462, subdivision 4, paragraph
(g), or 245.4871, subdivision 4, paragraph (j);

(4) a mental health rehabilitation worker who is qualified according to section 245I.04,
subdivision 14;

(5) a community paramedic as defined in section 144E.28, subdivision 9;

(6) a peer recovery specialist as defined in section deleted text begin 245G.07, subdivision 1, clause (5)deleted text end new text begin
245G.11, subdivision 8new text end ; or

(7) a community health worker as defined in section 256B.0625, subdivision 49.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 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. 48.

Minnesota Statutes 2024, section 256B.761, is amended to read:


256B.761 REIMBURSEMENT FOR MENTAL HEALTH SERVICES.

(a) Effective for services rendered on or after July 1, 2001, payment for medication
management provided to psychiatric patients, outpatient mental health services, day treatment
services, home-based mental health services, and family community support services shall
be paid at the lower of (1) submitted charges, or (2) 75.6 percent of the 50th percentile of
1999 charges.

(b) Effective July 1, 2001, the medical assistance rates for outpatient mental health
services provided by an entity that operates: (1) a Medicare-certified comprehensive
outpatient rehabilitation facility; and (2) a facility that was certified prior to January 1, 1993,
with at least 33 percent of the clients receiving rehabilitation services in the most recent
calendar year who are medical assistance recipients, will be increased by 38 percent, when
those services are provided within the comprehensive outpatient rehabilitation facility and
provided to residents of nursing facilities owned by the entity.

(c) In addition to rate increases otherwise provided, the commissioner may restructure
coverage policy and rates to improve access to adult rehabilitative mental health services
under section 256B.0623 and related mental health support services under section 256B.021,
subdivision 4, paragraph (f), clause (2). For state fiscal years 2015 and 2016, the projected
state share of increased costs due to this paragraph is transferred from adult mental health
grants under sections 245.4661 and 256K.10. The transfer for fiscal year 2016 is a permanent
base adjustment for subsequent fiscal years. Payments made to managed care plans and
county-based purchasing plans under sections 256B.69, 256B.692, and 256L.12 shall reflect
the rate changes described in this paragraph.

(d) Any ratables effective before July 1, 2015, do not apply to early intensive
developmental and behavioral intervention (EIDBI) benefits described in section 256B.0949.

(e) Effective for services rendered on or after January 1, 2024, payment rates for
behavioral health services included in the rate analysis required by Laws 2021, First Special
Session chapter 7, article 17, section 18, except for adult day treatment services under section
256B.0671, subdivision 3; early intensive developmental and behavioral intervention services
under section 256B.0949; and substance use disorder services under chapter 254B, must be
increased by three percent from the rates in effect on December 31, 2023. Effective for
services rendered on or after January 1, 2025, payment rates for behavioral health services
included in the rate analysis required by Laws 2021, First Special Session chapter 7, article
17, section 18deleted text begin ;deleted text end new text begin , exceptnew text end early intensive developmental behavioral intervention services under
section 256B.0949deleted text begin ;deleted text end and substance use disorder services under chapter 254B, must be annually
adjusted according to the change from the midpoint of the previous rate year to the midpoint
of the rate year for which the rate is being determined using the Centers for Medicare and
Medicaid Services Medicare Economic Index as forecasted in the fourth quarter of the
calendar year before the rate year. For payments made in accordance with this paragraph,
if and to the extent that the commissioner identifies that the state has received federal
financial participation for behavioral health services in excess of the amount allowed under
United States Code, title 42, section 447.321, the state shall repay the excess amount to the
Centers for Medicare and Medicaid Services with state money and maintain the full payment
rate under this paragraph. This paragraph does not apply to federally qualified health centers,
rural health centers, Indian health services, certified community behavioral health clinics,
cost-based rates, and rates that are negotiated with the county. This paragraph expires upon
legislative implementation of the new rate methodology resulting from the rate analysis
required by Laws 2021, First Special Session chapter 7, article 17, section 18.

(f) Effective January 1, 2024, the commissioner shall increase capitation payments made
to managed care plans and county-based purchasing plans to reflect the behavioral health
service rate increase provided in paragraph (e). Managed care and county-based purchasing
plans must use the capitation rate increase provided under this paragraph to increase payment
rates to behavioral health services providers. The commissioner must monitor the effect of
this rate increase on enrollee access to behavioral health services. If for any contract year
federal approval is not received for this paragraph, the commissioner must adjust the
capitation rates paid to managed care plans and county-based purchasing plans for that
contract year to reflect the removal of this provision. Contracts between managed care plans
and county-based purchasing plans and providers to whom this paragraph applies must
allow recovery of payments from those providers if capitation rates are adjusted in accordance
with this paragraph. Payment recoveries must not exceed the amount equal to any increase
in rates that results from this provision.

Sec. 49.

Minnesota Statutes 2024, section 256I.04, subdivision 2a, is amended to read:


Subd. 2a.

License required; staffing qualifications.

(a) Except as provided in paragraph
(b), an agency may not enter into an agreement with an establishment to provide housing
support unless:

(1) the establishment is licensed by the Department of Health as a hotel and restaurant;
a board and lodging establishment; a boarding care home before March 1, 1985; or a
supervised living facility, and the service provider for residents of the facility is licensed
under chapter 245A. However, an establishment licensed by the Department of Health to
provide lodging need not also be licensed to provide board if meals are being supplied to
residents under a contract with a food vendor who is licensed by the Department of Health;

(2) the residence is: (i) licensed by the commissioner of human services under Minnesota
Rules, parts 9555.5050 to 9555.6265; (ii) certified by a county human services agency prior
to July 1, 1992, using the standards under Minnesota Rules, parts 9555.5050 to 9555.6265;
(iii) licensed by the commissioner under Minnesota Rules, parts 2960.0010 to 2960.0120,
with a variance under section 245A.04, subdivision 9; or (iv) licensed under section 245D.02,
subdivision 4a, as a community residential setting by the commissioner of human services;
deleted text begin or
deleted text end

(3) the facility is licensed under chapter 144G and provides three meals a daydeleted text begin .deleted text end new text begin ; or
new text end

new text begin (4) effective January 1, 2027, the establishment is licensed by the Department of Health
as a board and lodging establishment and is certified by the commissioner as a recovery
residence in accordance with section 254B.215, subdivision 3, that is subject to the
requirements of section 256I.04, subdivisions 2a to 2f. The Department of Human Services
must serve as the lead agency for agreements entered into under this clause.
 new text end

(b) The requirements under paragraph (a) do not apply to establishments exempt from
state licensure because they are:

(1) located on Indian reservations and subject to tribal health and safety requirements;
or

(2) supportive housing establishments where an individual has an approved habitability
inspection and an individual lease agreement.

(c) Supportive housing establishments that serve individuals who have experienced
long-term homelessness and emergency shelters must participate in the homeless management
information system and a coordinated assessment system as defined by the commissioner.

(d) Effective July 1, 2016, an agency shall not have an agreement with a provider of
housing support unless all staff members who have direct contact with recipients:

(1) have skills and knowledge acquired through one or more of the following:

(i) a course of study in a health- or human services-related field leading to a bachelor
of arts, bachelor of science, or associate's degree;

(ii) one year of experience with the target population served;

(iii) experience as a mental health certified peer specialist according to section 256B.0615;
or

(iv) meeting the requirements for unlicensed personnel under sections 144A.43 to
144A.483;

(2) hold a current driver's license appropriate to the vehicle driven if transporting
recipients;

(3) complete training on vulnerable adults mandated reporting and child maltreatment
mandated reporting, where applicable; and

(4) complete housing support orientation training offered by the commissioner.

Sec. 50.

Minnesota Statutes 2024, section 325F.725, is amended to read:


325F.725 deleted text begin SOBER HOMEdeleted text end new text begin RECOVERY RESIDENCEnew text end TITLE PROTECTION.

No person or entity may use the phrase deleted text begin "sober home,"deleted text end new text begin "recovery residence,"new text end whether
alone or in combination with other words and whether orally or in writing, to advertise,
market, or otherwise describe, offer, or promote itself, or any housing, service, service
package, or program that it provides within this state, unless the person or entity meets the
definition of a deleted text begin sober homedeleted text end new text begin recovery residencenew text end in section 254B.01, subdivision 11, and meets
the requirements of deleted text begin section 254B.181deleted text end new text begin sections 254B.21 to 254B.216new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2027.
 new text end

Sec. 51. new text begin RECOVERY RESIDENCE WORK GROUP.
new text end

new text begin (a) The commissioner of human services must convene a work group to develop
recommendations specific to recovery residences. The work group must:
 new text end

new text begin (1) produce a report that examines how other states fund recovery residences, identifying
best practices and models that could be applicable to Minnesota;
 new text end

new text begin (2) engage with stakeholders to ensure meaningful collaboration with key external
stakeholders on the ideas being developed that will inform the final plan and
recommendations; and
 new text end

new text begin (3) create an implementable plan addressing housing needs for individuals in outpatient
substance use disorder treatment that includes:
 new text end

new text begin (i) clear strategies for aligning housing models with individual treatment needs;
 new text end

new text begin (ii) an assessment of funding streams, including potential federal funding sources;
 new text end

new text begin (iii) a timeline for implementation with key milestones and action steps;
 new text end

new text begin (iv) recommendations for future resource allocation to ensure long-term housing stability
for individuals in recovery;
 new text end

new text begin (v) specific recommendations for policy or legislative changes that may be required to
support sustainable recovery housing solutions, including challenges faced by recovery
residences resulting from state and local housing regulations and ordinances; and
 new text end

new text begin (vi) recommendations for potentially delegating the commissioner's recovery residence
certification duties under Minnesota Statutes, sections 254B.21 to 254B.216 to a third-party
organization.
 new text end

new text begin (b) The work group must include but is not limited to:
 new text end

new text begin (1) at least two designees from the Department of Human Services representing: (i)
behavioral health; and (ii) homelessness and housing and support services;
 new text end

new text begin (2) the commissioner of health or a designee;
 new text end

new text begin (3) two people who have experience living in a recovery residence;
 new text end

new text begin (4) representatives from at least three substance use disorder lodging facilities currently
operating in Minnesota;
 new text end

new text begin (5) three representatives from county social services agencies, at least one from inside
the seven-county metropolitan area and one from outside the seven-county metropolitan
area;
 new text end

new text begin (6) a representative from a Tribal social services agency;
 new text end

new text begin (7) representatives from the state affiliate of the National Alliance for Recovery
Residences; and
 new text end

new text begin (8) representatives from state mental health advocacy and adult mental health provider
organizations.
 new text end

new text begin (c) The work group must meet at least monthly and as necessary to fulfill its
responsibilities. The commissioner of human services must provide administrative support
and meeting space for the work group. The work group may conduct meetings remotely.
 new text end

new text begin (d) The commissioner of human services must make appointments to the work group
by October 1, 2025, and convene the first meeting of the work group by January 15, 2026.
 new text end

new text begin (e) The work group must submit a final report with recommendations to the chairs and
ranking minority members of the legislative committees with jurisdiction over health and
human services policy and finance on or before January 1, 2027.
 new text end

Sec. 52. new text begin DIRECTION TO COMMISSIONER; SUBSTANCE USE DISORDER
TREATMENT STAFF REPORT AND RECOMMENDATIONS.
new text end

new text begin The commissioner of human services must, in consultation with the Board of Nursing,
Board of Behavioral Health and Therapy, and Board of Medical Practice, conduct a study
and develop recommendations to the legislature for amendments to Minnesota Statutes,
chapter 245G, that would eliminate any limitations on licensed health professionals' ability
to provide substance use disorder treatment services while practicing within their licensed
or statutory scopes of practice. The commissioner must submit a report on the study and
recommendations to the chairs and ranking minority members of the legislative committees
with jurisdiction over human services finance and policy by January 15, 2027.
 new text end

Sec. 53. new text begin DIRECTION TO THE COMMISSIONER; SUBSTANCE USE DISORDER
TREATMENT BILLING UNITS.
new text end

new text begin The commissioner of human services must establish six new billing codes for
nonresidential substance use disorder individual and group counseling, individual and group
psychoeducation, and individual and group recovery support services. The commissioner
must identify reimbursement rates for the newly defined codes and update the substance
use disorder fee schedule. The new billing codes must correspond to a 15-minute unit and
become effective for services provided on or after July 1, 2026, or upon federal approval,
whichever is later.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 54. 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; and the Department of Human Services
shall make necessary cross-reference changes and remove statutory cross-references in
Minnesota Statutes to conform with the renumbering in 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 2025 regular legislative session or a special session. If a provision stricken
in this act is also amended in the 2025 regular legislative session or a special session by
other law, the revisor shall merge the amendment into the numbering, notwithstanding
Minnesota Statutes, section 645.30.
 new text end

Sec. 55. new text begin REVISOR INSTRUCTION.
new text end

new text begin 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. The revisor shall also
make necessary cross-reference changes consistent with the renumbering.
 new text end

new text begin Column A
 new text end 		new text begin Column B
 new text end
new text begin 254B.05, subdivision 1, paragraph (a)
 new text end 		new text begin 254B.0501, subdivision 1
 new text end
new text begin 254B.05, subdivision 1, paragraph (i)
 new text end 		new text begin 254B.0501, subdivision 2
 new text end
new text begin 254B.05, subdivision 4
 new text end 		new text begin 254B.0501, subdivision 3
 new text end
new text begin 254B.05, subdivision 1, paragraph (b)
 new text end 		new text begin 254B.0501, subdivision 4
 new text end
new text begin 254B.05, subdivision 1, paragraph (c)
 new text end 		new text begin 254B.0501, subdivision 5
 new text end
new text begin 254B.05, subdivision 1, paragraph (d)
 new text end 		new text begin 254B.0501, subdivision 6, paragraph (a)
 new text end
new text begin 254B.05, subdivision 1, paragraph (e)
 new text end 		new text begin 254B.0501, subdivision 6, paragraph (b)
 new text end
new text begin 254B.05, subdivision 1, paragraph (f)
 new text end 		new text begin 254B.0501, subdivision 6, paragraph (c)
 new text end
new text begin 254B.05, subdivision 1, paragraph (g)
 new text end 		new text begin 254B.0501, subdivision 6, paragraph (d)
 new text end
new text begin 254B.05, subdivision 1, paragraph (h)
 new text end 		new text begin 254B.0501, subdivision 7
 new text end
new text begin 254B.05, subdivision 1b
 new text end 		new text begin 254B.0501, subdivision 8
 new text end
new text begin 254B.05, subdivision 2
 new text end 		new text begin 254B.0501, subdivision 9
 new text end
new text begin 254B.05, subdivision 3
 new text end 		new text begin 254B.0501, subdivision 10
 new text end
new text begin 254B.05, subdivision 1a, paragraph (a)
 new text end 		new text begin 254B.0503, subdivision 1, paragraph (a)
 new text end
new text begin 254B.05, subdivision 1a, paragraph (c)
 new text end 		new text begin 254B.0503, subdivision 1, paragraph (b)
 new text end
new text begin 254B.05, subdivision 1a, paragraph (d)
 new text end 		new text begin 254B.0503, subdivision 1, paragraph (c)
 new text end
new text begin 254B.05, subdivision 1a, paragraph (e)
 new text end 		new text begin 254B.0503, subdivision 1, paragraph (d)
 new text end
new text begin 254B.05, subdivision1a, paragraph (b)
 new text end 		new text begin 254B.0503, subdivision 2, paragraph (a)
 new text end
new text begin 254B.05, subdivision 1a, paragraph (e)
 new text end 		new text begin 254B.0503, subdivision 2, paragraph (b)
 new text end
new text begin 254B.05, subdivision 5, paragraph (a)
 new text end 		new text begin 254B.0505, subdivision 1
 new text end
new text begin 254B.05, subdivision 5, paragraph (c)
 new text end 		new text begin 254B.0505, subdivision 2
 new text end
new text begin 254B.05, subdivision 5, paragraph (d)
 new text end 		new text begin 254B.0505, subdivision 3
 new text end
new text begin 254B.05, subdivision 5, paragraph (e)
 new text end 		new text begin 254B.0505, subdivision 4
 new text end
new text begin 254B.05, subdivision 5, paragraph (f)
 new text end 		new text begin 254B.0505, subdivision 5
 new text end
new text begin 254B.05, subdivision 5, paragraph (g)
 new text end 		new text begin 254B.0505, subdivision 6
 new text end
new text begin 254B.05, subdivision 5, paragraph (h)
 new text end 		new text begin 254B.0505, subdivision 7
 new text end
new text begin 254B.05, subdivision 5, paragraph (i)
 new text end 		new text begin 254B.0505, subdivision 8
 new text end
new text begin 254B.05, subdivision 5, paragraph (b), first
sentence
 new text end 		new text begin 254B.0507, subdivision 1
 new text end
new text begin 254B.05, subdivision 5, paragraph (b), clause
(1), items (i) and (ii)
 new text end 		new text begin 254B.0507, subdivision 2, paragraph (a)
 new text end
new text begin 254B.05, subdivision 5, paragraph (b), block
left paragraph
 new text end 		new text begin 254B.0507, subdivision 2, paragraph (b)
 new text end
new text begin 254B.05, subdivision 5, paragraph (b), clause
(2)
 new text end 		new text begin 254B.0507, subdivision 3
 new text end
new text begin 254B.05, subdivision 5, paragraph (b), clause
(3)
 new text end 		new text begin 254B.0507, subdivision 4
 new text end
new text begin 254B.05, subdivision 5, paragraph (b), clause
(4)
 new text end 		new text begin 254B.0507, subdivision 5
 new text end
new text begin 254B.05, subdivision 5, paragraph (b), clause
(5)
 new text end 		new text begin 254B.0507, subdivision 6, paragraph (a)
 new text end
new text begin 254B.05, subdivision 5, paragraph (b), clause
(5), block left paragraph
 new text end 		new text begin 254B.0507, subdivision 6, paragraph (b)
 new text end
new text begin 254B.05, subdivision 6, paragraph (a)
 new text end 		new text begin 254B.0509, subdivision 1
 new text end
new text begin 254B.05, subdivision 6, paragraph (b)
 new text end 		new text begin 254B.0509, subdivision 2
 new text end
new text begin 254B.05, subdivision 1, paragraph (j)
 new text end 		new text begin 254B.052, subdivision 4
 new text end
new text begin 254B.05, subdivision 5, paragraph (j)
 new text end 		new text begin 254B.052, subdivision 5
 new text end

Sec. 56. new text begin REVISOR INSTRUCTION.
new text end

new text begin The revisor of statutes shall change the terms "mental health practitioner" and "mental
health practitioners" to "behavioral health practitioner" or "behavioral health practitioners"
wherever they appear in Minnesota Statutes, chapter 245I.
 new text end

Sec. 57. new text begin REPEALER.
new text end

new text begin (a) new text end new text begin Minnesota Statutes 2024, section 254B.01, subdivision 5, new text end new text begin is repealed.
 new text end

new text begin (b) new text end new text begin Minnesota Statutes 2024, section 254B.04, subdivision 2a, new text end new text begin is repealed.
 new text end

new text begin (c) new text end new text begin Minnesota Statutes 2024, section 254B.181, new text end new text begin is repealed.
 new text end

new text begin (d) new text end new text begin Minnesota Statutes 2024, sections 245G.01, subdivision 20d; and 245G.07,
subdivision 2, new text end new text begin are repealed.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin Paragraph (a) is effective July 1, 2026, paragraph (b) is effective
July 1, 2027, paragraph (c) is effective January 1, 2027, and paragraph (d) is effective July
1, 2026, or upon federal approval, whichever is later. The commissioner of human services
must notify the revisor of statutes when federal approval is obtained.
 new text end

ARTICLE 5

DIRECT CARE AND TREATMENT

Section 1.

Minnesota Statutes 2024, section 246.54, subdivision 1a, is amended to read:


Subd. 1a.

Anoka-Metro Regional Treatment Center.

(a) A county's payment of the
cost of care provided at Anoka-Metro Regional Treatment Center shall be according to the
following schedule:

(1) zero percent for the first 30 days;

(2) 20 percent for days 31 and over if the stay is determined to be clinically appropriate
for the client; and

(3) 100 percent for each day during the stay, including the day of admission, when the
facility determines that it is clinically appropriate for the client to be discharged.

(b) If payments received by the state under sections 246.50 to 246.53 exceed 80 percent
of the cost of care for days over 31 for clients who meet the criteria in paragraph (a), clause
(2), the county shall be responsible for paying the state only the remaining amount. The
county shall not be entitled to reimbursement from the client, the client's estate, or from the
client's relatives, except as provided in section 246.53.

deleted text begin (c) Between July 1, 2023, and March 31, 2025, the county is not responsible for the cost
of care under paragraph (a), clause (3), for a person who is committed as a person who has
a mental illness and is dangerous to the public under section and who is awaiting
transfer to another state-operated facility or program. This paragraph expires March 31,
2025.
 deleted text end

deleted text begin (d) Between April 1, 2025, and June 30, 2025, The county is not responsible for the cost
of care under paragraph (a), clause (3), for a person who is civilly committed, if the client
is awaiting transfer:
 deleted text end

deleted text begin (1) to a facility operated by the Department of Corrections; or
 deleted text end

deleted text begin (2) to another state-operated facility or program, and the Direct Care and Treatment
executive medical director's office or a designee has determined that:
 deleted text end

deleted text begin (i) the client meets criteria for admission to that state-operated facility or program; and
 deleted text end

deleted text begin (ii) the state-operated facility or program is the only facility or program that can
reasonably serve the client. This paragraph expires June 30, 2025.
 deleted text end

deleted text begin (e)deleted text end new text begin (c)new text end Notwithstanding any law to the contrary, the client is not responsible for payment
of the cost of care under this subdivision.

new text begin EFFECTIVE DATE. new text end

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

Sec. 2.

Minnesota Statutes 2024, section 246.54, subdivision 1b, is amended to read:


Subd. 1b.

Community behavioral health hospitals.

(a) A county's payment of the cost
of care provided at state-operated community-based behavioral health hospitals for adults
and children shall be deleted text begin according to the following schedule:
deleted text end

deleted text begin (1)deleted text end 100 percent for each day during the stay, including the day of admission, when the
facility determines that it is clinically appropriate for the client to be dischargeddeleted text begin ; anddeleted text end new text begin .
new text end

deleted text begin (2)deleted text end new text begin (b)new text end The county shall not be entitled to reimbursement from the client, the client's
estate, or from the client's relatives, except as provided in section 246.53.

deleted text begin (b) Between July 1, 2023, and March 31, 2025, the county is not responsible for the cost
of care under paragraph (a), clause (1), for a person committed as a person who has a mental
illness and is dangerous to the public under section and who is awaiting transfer
to another state-operated facility or program. This paragraph expires March 31, 2025.
 deleted text end

deleted text begin (c) Between April 1, 2025, and June 30, 2025, The county is not responsible for the cost
of care under paragraph (a), clause (1), for a person who is civilly committed, if the client
is awaiting transfer:
 deleted text end

deleted text begin (1) to a facility operated by the Department of Corrections; or
 deleted text end

deleted text begin (2) to another state-operated facility or program, and the Direct Care and Treatment
executive medical director's office or a designee has determined that:
 deleted text end

deleted text begin (i) the client meets criteria for admission to that state-operated facility or program; and
 deleted text end

deleted text begin (ii) the state-operated facility or program is the only facility or program that can
reasonably serve the client. This paragraph expires June 30, 2025.
 deleted text end

deleted text begin (d)deleted text end new text begin (c)new text end Notwithstanding any law to the contrary, the client is not responsible for payment
of the cost of care under this subdivision.

new text begin EFFECTIVE DATE. new text end

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

Sec. 3.

Minnesota Statutes 2024, section 246C.07, is amended by adding a subdivision to
read:


new text begin Subd. 9. new text end

new text begin Public notice of admission metrics. new text end

new text begin (a) By January 1, 2026, the Direct Care
and Treatment executive board must publish on the agency's website a publicly accessible
dashboard regarding referrals under section 253B.10, subdivision 1, paragraph (b).
 new text end

new text begin (b) The dashboard required under paragraph (a) must include data on:
 new text end

new text begin (1) how many individuals are on the wait lists;
 new text end

new text begin (2) the length of the shortest, longest, and average wait times for admission to Direct
Care and Treatment facilities;
 new text end

new text begin (3) the number of referrals, admissions, and wait lists and the length of time individuals
have spent on wait lists; and
 new text end

new text begin (4) framework categories and referral sources.
 new text end

new text begin (c) Any published data must be de-identified.
 new text end

new text begin (d) Data on the dashboard is public data under section 13.03.
 new text end

new text begin (e) The executive board must update the dashboard quarterly.
 new text end

new text begin (f) The executive board must also include relevant admissions policies and contact
information for the Direct Care and Treatment central preadmissions office on the agency's
website.
 new text end

new text begin (g) The executive board must provide information about an individual's relative placement
on the wait list to the individual or the individual's legal representative, consistent with
section 13.04. Information about the individual's relative placement on the wait list must
be designated as confidential under section 13.02, subdivision 3, if the information
jeopardizes the health or well-being of the individual.
 new text end

Sec. 4.

Minnesota Statutes 2024, section 253B.10, subdivision 1, as amended by Laws
2025, chapter 38, article 3, section 41, 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 executive board shall prioritize civilly committed patients being admitted from
jail or a correctional institution or who are referred to a state-operated treatment facility for
competency attainment or a competency examination under sections 611.40 to 611.59 for
admission to a medically appropriate state-operated direct care and treatment bed 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 to:

(1) the length of time the person has been on a waiting list for admission to a
state-operated direct care and treatment program since the date of the order under paragraph
(a), or the date of an order issued under sections 611.40 to 611.59;

(2) the intensity of the treatment the person needs, based on medical acuity;

(3) the person's revoked provisional discharge status;

(4) the person's safety and safety of others in the person's current environment;

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

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

(7) any relevant federal prioritization requirements.

Patients described in this paragraph must be admitted to a state-operated treatment program
within the timelines specified in section 253B.1005. The commitment must be ordered by
the court as provided in section 253B.09, subdivision 1, paragraph (d). Patients committed
to a secure treatment facility or less restrictive setting as ordered by the court under section
253B.18, subdivisions 1 and 2, must be prioritized for admission to a state-operated treatment
program using the priority admissions framework in this paragraph.

(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 executive board 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 executive board, provide copies of
the patient's medical and behavioral records to the executive board 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) Within four business days of determining which state-operated direct care and
treatment program or programs are appropriate for an individual, the executive medical
deleted text begin director's officedeleted text end new text begin directornew text end or a designee must notify the source of the referral and the
responsible county human services agency, the individual being ordered to direct care and
treatment, and the district court that issued the order of the determination. The new text begin initial new text end notice
shall include deleted text begin which program or programs are appropriate for the person's priority statusdeleted text end new text begin the
individual's relative priority status by quartile and contact information for the Direct Care
and Treatment central preadmissions office. Detailed information on factors impacting the
individual's priority status is available from the central preadmissions office upon request,
consistent with section 13.04new text end . Any interested personnew text begin or the individual being ordered to direct
care and treatmentnew text end may provide additional information new text begin to new text end or request updated priority status
about the individual deleted text begin todeleted text end new text begin fromnew text end the executive medical deleted text begin director's officedeleted text end new text begin directornew text end or a designee
while the individual is awaiting admission. deleted text begin Updateddeleted text end Priority status deleted text begin ofdeleted text end new text begin information fornew text end an
individual will only be disclosed to interested persons who are legally authorized to receive
private information about the individualnew text begin , including the designated agency and the facility
to which the individual is awaiting admission. Specific updated priority status information
may be withheld from the individual being ordered to direct care and treatment if, in the
judgment of the physicians in the executive medical director's office, the information will
jeopardize the individual's health or well-beingnew text end . deleted text begin When an available bed has been identified,
the executive medical director's office or a designee must notify the designated agency and
the facility where the individual is awaiting admission that the individual has been accepted
for admission to a particular deleted text end deleted text begin state-operated direct care and treatment program and the earliest
possible date the admission can occur. The designated agency or facility where the individual
is awaiting admission must transport the individual to the admitting state-operated direct
care and treatment program no more than 48 hours after the offered admission date.
deleted text end

new text begin (f) For any individual not admitted to a state-operated direct care and treatment program
within 60 business days after the initial notice under paragraph (e), the executive medical
director or a designee must provide additional notice to the responsible county human
services agency, the individual being ordered to direct care and treatment, and the district
court that issued the order of the determination. The additional notice must include updates
to the same information provided in the previous notice.
 new text end

new text begin (g) When an available bed has been identified, the executive medical director or a
designee must notify the designated agency and the facility where the individual is awaiting
admission that the individual has been accepted for admission to a particular state-operated
direct care and treatment program and the earliest possible date the admission can occur.
The designated agency or facility where the individual is awaiting admission must transport
the individual to the admitting direct care and treatment program no more than 48 hours
after the offered admission date.
 new text end

Sec. 5.

Minnesota Statutes 2024, section 256G.08, subdivision 1, is amended to read:


Subdivision 1.

Commitment new text begin and competency new text end proceedings.

In cases of voluntary
admissionnew text begin ,new text end deleted text begin ordeleted text end commitment to state or other institutions, new text begin or criminal orders for inpatient
examination or participation in a competency attainment program under chapter 611, new text end the
committing county new text begin or the county from which the first criminal order for inpatient examination
or order for participation in a competency attainment program under chapter 611 is issued
new text end shall initially pay for all costs. This includes the expenses of the taking into custody,
confinement, emergency holds under sections 253B.051, subdivisions 1 and 2, and 253B.07,
examination, commitment, conveyance to the place of detention, rehearing, and hearings
under deleted text begin sectiondeleted text end new text begin sectionsnew text end 253B.092new text begin and 611.47new text end , including hearings held under deleted text begin that section
deleted text end deleted text begin whichdeleted text end new text begin those sections thatnew text end are venued outside the county of commitmentnew text begin or the county of
the chapter 611 competency proceedings ordernew text end .

new text begin EFFECTIVE DATE. new text end

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

Sec. 6.

Minnesota Statutes 2024, section 256G.08, subdivision 2, is amended to read:


Subd. 2.

Responsibility for nonresidents.

If a person committednew text begin ,new text end deleted text begin ordeleted text end voluntarily admitted
to a state institutionnew text begin , or ordered for inpatient examination or participation in a competency
attainment program under chapter 611new text end has no residence in this state, financial responsibility
belongs to the county of commitmentnew text begin or the county from which the first criminal order for
inpatient examination or order for participation in a competency attainment program under
chapter 611 was issuednew text end .

new text begin EFFECTIVE DATE. new text end

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

Sec. 7.

Minnesota Statutes 2024, section 256G.09, subdivision 1, is amended to read:


Subdivision 1.

General procedures.

If upon investigation the local agency decides that
the applicationnew text begin ,new text end deleted text begin ordeleted text end commitmentnew text begin , or first criminal order under chapter 611new text end was not filed in
the county of financial responsibility as defined by this chapter, but that the applicant is
otherwise eligible for assistance, it shall send a copy of the applicationnew text begin ,new text end deleted text begin ordeleted text end commitment
claim,new text begin or chapter 611 claimnew text end together with the record of any investigation it has made, to the
county it believes is financially responsible. The copy and record must be sent within 60
days of the date the application was approved or the claim was paid. The first local agency
shall provide assistance to the applicant until financial responsibility is transferred under
this section.

The county receiving the transmittal has 30 days to accept or reject financial
responsibility. A failure to respond within 30 days establishes financial responsibility by
the receiving county.

new text begin EFFECTIVE DATE. new text end

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

Sec. 8.

Minnesota Statutes 2024, section 256G.09, subdivision 2, as amended by Laws
2025, chapter 21, section 54, is amended to read:


Subd. 2.

Financial disputes.

(a) If the county receiving the transmittal does not believe
it is financially responsible, it should provide to the commissioner of human services and
the initially responsible county a statement of all facts and documents necessary for the
commissioner to make the requested determination of financial responsibility. The submission
must clearly state the program area in dispute and must state the specific basis upon which
the submitting county is denying financial responsibility.

(b) The initially responsible county then has 15 calendar days to submit its position and
any supporting evidence to the commissioner of human services. The absence of a submission
by the initially responsible county does not limit the right of the commissioner of human
services; the commissioner of children, youth, and families; or Direct Care and Treatment
executive board to issue a binding opinion based on the evidence actually submitted.

(c) A case must not be submitted until the local agency taking the applicationnew text begin ,new text end deleted text begin ordeleted text end making
the commitmentnew text begin , or residing in the county from which the first criminal order under chapter
611 was issuednew text end has made an initial determination about eligibility and financial responsibility,
and services have been initiated. This paragraph does not prohibit the submission of closed
cases that otherwise meet the applicable statute of limitations.

new text begin EFFECTIVE DATE. new text end

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

Sec. 9.

Minnesota Statutes 2024, section 611.43, is amended by adding a subdivision to
read:


new text begin Subd. 5. new text end

new text begin Costs related to confined treatment. new text end

new text begin (a) When a defendant is ordered to
participate in an examination in a treatment facility, a locked treatment facility, or a
state-operated treatment facility under subdivision 1, paragraph (b), the facility shall bill
the responsible health plan first. The county in which the criminal charges are filed is
responsible to pay any charges not covered by the health plan, including co-pays and
deductibles. If the defendant has health plan coverage and is confined in a hospital, but the
hospitalization does not meet the criteria in section 62M.07, subdivision 2, clause (1);
62Q.53; 62Q.535, subdivision 1; or 253B.045, subdivision 6, the county in which criminal
charges are filed is responsible for payment.
 new text end

new text begin (b) The Direct Care and Treatment executive board shall determine the cost of
confinement in a state-operated treatment facility based on the executive board's
determination of cost of care pursuant to section 246.50, subdivision 5.
 new text end

Sec. 10.

Laws 2024, chapter 125, article 6, section 1, subdivision 7, is amended to read:


Subd. 7.

Expiration.

Subdivisions 1 tonew text begin 3 expire June 30, 2027. Subdivisionnew text end 4 deleted text begin expiredeleted text end new text begin
expiresnew text end 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.

Sec. 11. new text begin PRIORITY ADMISSIONS REVIEW PANEL.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The Priority Admissions Review Panel is established.
 new text end

new text begin Subd. 2. new text end

new text begin Membership; compensation. new text end

new text begin (a) The review panel consists of the following
members:
 new text end

new text begin (1) one member appointed by the governor;
 new text end

new text begin (2) the commissioner of human services, or a designee;
 new text end

new text begin (3) one representative of Direct Care and Treatment, who has experience with civil
commitments, appointed by the Direct Care and Treatment executive medical director's
office;
 new text end

new text begin (4) the ombudsman for mental health and developmental disabilities;
 new text end

new text begin (5) one hospital representative, appointed by the Minnesota Hospital Association;
 new text end

new text begin (6) one county representative, appointed by the Association of Minnesota Counties;
 new text end

new text begin (7) one county social services representative, appointed by the Minnesota Association
of County Social Service Administrators;
 new text end

new text begin (8) one member appointed by the Hennepin County Commitment Defense Project;
 new text end

new text begin (9) one county attorney, appointed by the Minnesota County Attorneys Association;
 new text end

new text begin (10) one county sheriff, appointed by the Minnesota Sheriffs' Association;
 new text end

new text begin (11) one member appointed by the Minnesota Psychiatric Society;
 new text end

new text begin (12) one member appointed by the Minnesota Association of Community Mental Health
Programs;
 new text end

new text begin (13) one member appointed by the National Alliance on Mental Illness Minnesota;
 new text end

new text begin (14) the Minnesota attorney general or a designee;
 new text end

new text begin (15) three individuals from organizations representing racial and ethnic groups that are
overrepresented in the criminal justice system, appointed by the commissioner of corrections;
 new text end

new text begin (16) one member of the public with lived experience directly related to the review panel's
purposes, appointed by the governor; and
 new text end

new text begin (17) one member who has an active role as a union representative representing staff at
Direct Care and Treatment appointed by joint representatives of the American Federation
of State, County 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 (b) Individuals currently serving as members of the Priority Admissions Review Panel
established under Laws 2024, chapter 125, article 4, section 7, may continue to serve as
members of the Priority Admissions Review Panel. Any new appointments must be made
no later than September 1, 2025.
 new text end

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

new text begin (d) A member of the legislature must not serve as a member of the Priority Admissions
Review Panel.
 new text end

new text begin Subd. 3. new text end

new text begin Officers; meetings. new text end

new text begin (a) The attorney general and the commissioner of human
services or their designees must serve as co-chairs. The review panel may elect other officers
as necessary.
 new text end

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

new text begin Subd. 4. new text end

new text begin Administrative support. new text end

new text begin Direct Care and Treatment must provide administrative
support and staff assistance for the review panel.
 new text end

new text begin Subd. 5. 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 review panel is subject to the requirements of the Minnesota
Government Data Practices Act under Minnesota Statutes, chapter 13, and all other applicable
data privacy laws.
 new text end

new text begin Subd. 6. new text end

new text begin Duties. new text end

new text begin The panel must:
 new text end

new text begin (1) evaluate the 48-hour timelines for priority admissions required under Minnesota
Statutes, section 253B.1005, and measure progress toward implementing the
recommendations of the Task Force on Priority Admissions to State-Operated Treatment
Programs;
 new text end

new text begin (2) develop policy and legislative proposals related to the priority admissions timeline
that minimize litigation costs, maximize capacity in and access to direct care and treatment
programs, and address issues related to individuals awaiting admission to direct care and
treatment programs in jails and correctional institutions;
 new text end

new text begin (3) evaluate existing mobile crisis programs and funding and make recommendations
to improve access to mobile crisis services in Minnesota;
 new text end

new text begin (4) evaluate the county correctional facility long-acting injectable antipsychotic
medication pilot program established in Laws 2024, chapter 125, article 4, section 12, and
the Direct Care and Treatment county correctional facility support pilot program established
in Laws 2024, chapter 125, article 8, section 2, subdivision 20, paragraph (c), and make
recommendations related to the continuation of the pilot programs;
 new text end

new text begin (5) evaluate existing intensive residential treatment services and make recommendations
to improve access to intensive residential treatment services;
 new text end

new text begin (6) study local fiscal impacts and provide evaluation support consistent with Minnesota
Statutes, section 16A.055, subdivision 1a, of the limited capacity in and access to
state-operated treatment programs, non-state-operated treatment programs, competency
evaluation services, and competency attainment services; and
 new text end

new text begin (7) review quarterly data provided by the executive board to measure the impact of
changes, including:
 new text end

new text begin (i) priority admission wait list data, including the time each individual spends on the
wait list;
 new text end

new text begin (ii) data regarding engagement by the admissions team;
 new text end

new text begin (iii) priority notice data; and
 new text end

new text begin (iv) other similar data relating to admissions.
 new text end

new text begin Subd. 7. new text end

new text begin Report. new text end

new text begin By February 1, 2026, 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 that includes the results of the panel's evaluations
and study, and any legislative proposals to carry out the recommendations developed under
subdivision 6.
 new text end

Sec. 12. new text begin DIRECTION FOR LIMITED EXCEPTION FOR ADMISSIONS FROM
HOSPITAL SETTINGS.
new text end

new text begin (a) The commissioner of human services or a designee must immediately approve an
exception to add up to ten patients per fiscal year who have been civilly committed and are
in hospital settings to the admission wait list for medically appropriate direct care and
treatment beds under Minnesota Statutes, section 253B.10, subdivision 1, paragraph (b).
 new text end

new text begin (b) The Direct Care and Treatment executive board is subject to the requirement under
paragraph (a) upon and after the transfer of duties on July 1, 2025, from the commissioner
of human services to the executive board under Minnesota Statutes, section 246C.04.
 new text end

new text begin (c) This section expires June 30, 2027.
 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

ARTICLE 6

EIDBI REFORM

Section 1.

new text begin [245A.142] EARLY INTENSIVE DEVELOPMENTAL AND
BEHAVIORAL INTERVENTION PROVISIONAL LICENSURE.
 new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin The definitions in section 256B.0949, subdivision 2, apply
to this section.
 new text end

new text begin Subd. 2. new text end

new text begin Regulatory powers. new text end

new text begin The commissioner shall regulate early intensive
developmental and behavioral intervention (EIDBI) agencies pursuant to this section.
 new text end

new text begin Subd. 3. new text end

new text begin Provisional license. new text end

new text begin (a) Beginning January 1, 2026, the commissioner shall
begin issuing provisional licenses to agencies enrolled under chapter 256B to provide EIDBI
services.
 new text end

new text begin (b) Agencies enrolled before July 1, 2025, have until May 31, 2026, to submit an
application for provisional licensure on the forms and in the manner prescribed by the
commissioner.
 new text end

new text begin (c) Beginning June 1, 2026, an agency must not operate if it has not submitted an
application for provisional licensure under this section. The commissioner shall disenroll
an agency from providing EIDBI services under chapter 256B if the agency fails to submit
an application for provisional licensure by May 31, 2026.
 new text end

new text begin (d) The commissioner must determine whether a provisional license applicant complies
with all applicable rules and laws and either issue a provisional license to the applicant or
deny the application by December 31, 2026.
 new text end

new text begin (e) A provisional license is effective until comprehensive EIDBI agency licensure
standards are in effect unless the provisional license is suspended or revoked.
 new text end

new text begin Subd. 4. new text end

new text begin Provisional license regulatory functions. new text end

new text begin The commissioner may:
 new text end

new text begin (1) enter the physical premises of an agency and access the program without advance
notice in accordance with section 245A.04, subdivision 5;
 new text end

new text begin (2) investigate reports of maltreatment;
 new text end

new text begin (3) investigate complaints against EIDBI agencies;
 new text end

new text begin (4) take action on a license pursuant to sections 245A.06 and 245A.07;
 new text end

new text begin (5) deny an application for provisional licensure pursuant to section 245A.05; and
 new text end

new text begin (6) take other action reasonably required to accomplish the purposes of this section.
 new text end

new text begin Subd. 5. new text end

new text begin Provisional license requirements. new text end

new text begin A provisional license holder must:
 new text end

new text begin (1) identify all controlling individuals, as defined in section 245A.02, subdivision 5a,
of the agency;
 new text end

new text begin (2) provide documented disclosures surrounding the use of billing agencies or other
consultants, available to the department upon request;
 new text end

new text begin (3) establish provider policies and procedures related to staff training, staff qualifications,
quality assurance, and service activities;
 new text end

new text begin (4) document contracts with independent contractors, including the number of hours
contracted and responsibilities, available to the department upon request; and
 new text end

new text begin (5) comply with section 256B.0949, including exceptions to qualifications, standards,
and requirements granted by the commissioner under section 256B.0949, subdivision 17.
 new text end

new text begin Subd. 6. new text end

new text begin Reconsideration requests and appeals. new text end

new text begin An applicant or provisional license
holder has reconsideration and appeal rights under sections 245A.05, 245A.06, and 245A.07.
 new text end

new text begin Subd. 7. new text end

new text begin Disenrollment. new text end

new text begin The commissioner shall disenroll an agency from providing
EIDBI services under chapter 256B if:
 new text end

new text begin (1) the agency's application has been denied or the agency's provisional license has been
suspended or revoked; and
 new text end

new text begin (2) if the agency appealed the application denial or the provisional license suspension
or revocation, the commissioner has issued a final order on the appeal affirming the action.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 2.

Minnesota Statutes 2024, section 245C.03, subdivision 15, is amended to read:


Subd. 15.

Early intensive developmental and behavioral intervention providers.

The
commissioner shall conduct background studies according to this chapter deleted text begin when initiated by
andeleted text end new text begin on any individual who is an owner with at least a five percent ownership stake in, an
operator of, or an employee or volunteer who provides direct contact fornew text end early intensive
developmental and behavioral intervention deleted text begin providerdeleted text end new text begin servicesnew text end under section 256B.0949.new text begin For
the purposes of this subdivision, operator includes board members or other individuals who
oversee the billing, management, or policies of the services provided.
new text end

Sec. 3.

Minnesota Statutes 2024, section 245C.04, is amended by adding a subdivision to
read:


new text begin Subd. 12. new text end

new text begin Early intensive developmental and behavioral intervention
providers. new text end

new text begin Providers required to initiate background studies under section 245C.03,
subdivision 15, must initiate a study using the electronic system known as NETStudy 2.0
before the individual begins in a position allowing direct contact with persons served by
the provider or before the individual becomes an operator or acquires five percent or more
ownership.
 new text end

Sec. 4.

Minnesota Statutes 2024, section 245C.13, subdivision 2, is amended to read:


Subd. 2.

Activities pending completion of background study.

The subject of a
background study may not perform any activity requiring a background study under
paragraph (c) until the commissioner has issued one of the notices under paragraph (a).

(a) Notices from the commissioner required prior to activity under paragraph (c) include:

(1) a notice of the study results under section 245C.17 stating that:

(i) the individual is not disqualified; or

(ii) more time is needed to complete the study but the individual is not required to be
removed from direct contact or access to people receiving services prior to completion of
the study as provided under section 245C.17, subdivision 1, paragraph (b) or (c). The notice
that more time is needed to complete the study must also indicate whether the individual is
required to be under continuous direct supervision prior to completion of the background
study. When more time is necessary to complete a background study of an individual
affiliated with a Title IV-E eligible children's residential facility or foster residence setting,
the individual may not work in the facility or setting regardless of whether or not the
individual is supervised;

(2) a notice that a disqualification has been set aside under section 245C.23; or

(3) a notice that a variance has been granted related to the individual under section
245C.30.

(b) For a background study affiliated with a licensed child care center or certified
license-exempt child care center, the notice sent under paragraph (a), clause (1), item (ii),
must require the individual to be under continuous direct supervision prior to completion
of the background study except as permitted in subdivision 3.

(c) Activities prohibited prior to receipt of notice under paragraph (a) include:

(1) being issued a license;

(2) living in the household where the licensed program will be provided;

(3) providing direct contact services to persons served by a program unless the subject
is under continuous direct supervision;

(4) having access to persons receiving services if the background study was completed
under section 144.057, subdivision 1, or 245C.03, subdivision 1, paragraph (a), clause (2),
(5), or (6), unless the subject is under continuous direct supervision;

(5) for licensed child care centers and certified license-exempt child care centers,
providing direct contact services to persons served by the program;

(6) for children's residential facilities or foster residence settings, working in the facility
or setting; deleted text begin or
deleted text end

(7) for background studies affiliated with a personal care provider organization, except
as provided in section 245C.03, subdivision 3b, before a personal care assistant provides
services, the personal care assistance provider agency must initiate a background study of
the personal care assistant under this chapter and the personal care assistance provider
agency must have received a notice from the commissioner that the personal care assistant
is:

(i) not disqualified under section 245C.14; or

(ii) disqualified, but the personal care assistant has received a set aside of the
disqualification under section 245C.22deleted text begin .deleted text end new text begin ; or
new text end

new text begin (8) for background studies affiliated with an early intensive developmental and behavioral
intervention provider, before an individual provides services, the early intensive
developmental and behavioral intervention provider must initiate a background study for
the individual under this chapter and the early intensive developmental and behavioral
intervention provider must have received a notice from the commissioner that the individual
is:
 new text end

new text begin (i) not disqualified under section 245C.14; or
 new text end

new text begin (ii) disqualified, but the individual has received a set-aside of the disqualification under
section 245C.22.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 5, 2025.
 new text end

Sec. 5.

Minnesota Statutes 2024, section 245C.16, subdivision 1, is amended to read:


Subdivision 1.

Determining immediate risk of harm.

(a) If the commissioner determines
that the individual studied has a disqualifying characteristic, the commissioner shall review
the information immediately available and make a determination as to the subject's immediate
risk of harm to persons served by the program where the individual studied will have direct
contact with, or access to, people receiving services.

(b) The commissioner shall consider all relevant information available, including the
following factors in determining the immediate risk of harm:

(1) the recency of the disqualifying characteristic;

(2) the recency of discharge from probation for the crimes;

(3) the number of disqualifying characteristics;

(4) the intrusiveness or violence of the disqualifying characteristic;

(5) the vulnerability of the victim involved in the disqualifying characteristic;

(6) the similarity of the victim to the persons served by the program where the individual
studied will have direct contact;

(7) whether the individual has a disqualification from a previous background study that
has not been set aside;

(8) if the individual has a disqualification which may not be set aside because it is a
permanent bar under section 245C.24, subdivision 1, or the individual is a child care
background study subject who has a felony-level conviction for a drug-related offense in
the last five years, the commissioner may order the immediate removal of the individual
from any position allowing direct contact with, or access to, persons receiving services from
the program and from working in a children's residential facility or foster residence setting;
and

(9) if the individual has a disqualification which may not be set aside because it is a
permanent bar under section 245C.24, subdivision 2, or the individual is a child care
background study subject who has a felony-level conviction for a drug-related offense during
the last five years, the commissioner may order the immediate removal of the individual
from any position allowing direct contact with or access to persons receiving services from
the center and from working in a licensed child care center or certified license-exempt child
care center.

(c) This section does not apply when the subject of a background study is regulated by
a health-related licensing board as defined in chapter 214, and the subject is determined to
be responsible for substantiated maltreatment under section 626.557 or chapter 260E.

(d) This section does not apply to a background study related to an initial application
for a child foster family setting license.

(e) Except for paragraph (f), this section does not apply to a background study that is
also subject to the requirements under section 256B.0659, subdivisions 11 and 13, for a
personal care assistant or a qualified professional as defined in section 256B.0659,
subdivision 1new text begin , or to a background study for an individual providing early intensive
developmental and behavioral intervention services under section 256B.0949new text end .

(f) If the commissioner has reason to believe, based on arrest information or an active
maltreatment investigation, that an individual poses an imminent risk of harm to persons
receiving services, the commissioner may order that the person be continuously supervised
or immediately removed pending the conclusion of the maltreatment investigation or criminal
proceedings.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 6.

Minnesota Statutes 2024, section 256B.04, subdivision 21, is amended to read:


Subd. 21.

Provider enrollment.

(a) The commissioner shall enroll providers and conduct
screening activities as required by Code of Federal Regulations, title 42, section 455, subpart
E. A provider must enroll each provider-controlled location where direct services are
provided. The commissioner may deny a provider's incomplete application if a provider
fails to respond to the commissioner's request for additional information within 60 days of
the request. The commissioner must conduct a background study under chapter 245C,
including a review of databases in section 245C.08, subdivision 1, paragraph (a), clauses
(1) to (5), for a provider described in this paragraph. The background study requirement
may be satisfied if the commissioner conducted a fingerprint-based background study on
the provider that includes a review of databases in section 245C.08, subdivision 1, paragraph
(a), clauses (1) to (5).

(b) The commissioner shall revalidate deleted text begin eachdeleted text end :

(1)new text begin eachnew text end provider under this subdivision at least once every five years; deleted text begin and
deleted text end

(2) new text begin each new text end personal care assistance agencynew text begin , CFSS provider-agency, and CFSS financial
management services providernew text end under this subdivision new text begin at least new text end once every three yearsdeleted text begin .deleted text end new text begin ;
new text end

new text begin (3) each EIDBI agency under this subdivision at least once every three years; and
 new text end

new text begin (4) at the commissioner's discretion, any medical-assistance-only provider type the
commissioner deems "high-risk" under this subdivision.
 new text end

(c) The commissioner shall conduct revalidation as follows:

(1) provide 30-day notice of the revalidation due date including instructions for
revalidation and a list of materials the provider must submit;

(2) if a provider fails to submit all required materials by the due date, notify the provider
of the deficiency within 30 days after the due date and allow the provider an additional 30
days from the notification date to comply; and

(3) if a provider fails to remedy a deficiency within the 30-day time period, give 60-day
notice of termination and immediately suspend the provider's ability to bill. The provider
does not have the right to appeal suspension of ability to bill.

(d) If a provider fails to comply with any individual provider requirement or condition
of participation, the commissioner may suspend the provider's ability to bill until the provider
comes into compliance. The commissioner's decision to suspend the provider is not subject
to an administrative appeal.

(e) Correspondence and notifications, including notifications of termination and other
actions, may be delivered electronically to a provider's MN-ITS mailbox. This paragraph
does not apply to correspondences and notifications related to background studies.

(f) If the commissioner or the Centers for Medicare and Medicaid Services determines
that a provider is designated "high-risk," the commissioner may withhold payment from
providers within that category upon initial enrollment for a 90-day period. The withholding
for each provider must begin on the date of the first submission of a claim.

(g) An enrolled provider that is also licensed by the commissioner under chapter 245A,
is licensed as a home care provider by the Department of Health under chapter 144A, or is
licensed as an assisted living facility under chapter 144G and has a home and
community-based services designation on the home care license under section 144A.484,
must designate an individual as the entity's compliance officer. The compliance officer
must:

(1) develop policies and procedures to assure adherence to medical assistance laws and
regulations and to prevent inappropriate claims submissions;

(2) train the employees of the provider entity, and any agents or subcontractors of the
provider entity including billers, on the policies and procedures under clause (1);

(3) respond to allegations of improper conduct related to the provision or billing of
medical assistance services, and implement action to remediate any resulting problems;

(4) use evaluation techniques to monitor compliance with medical assistance laws and
regulations;

(5) promptly report to the commissioner any identified violations of medical assistance
laws or regulations; and

(6) within 60 days of discovery by the provider of a medical assistance reimbursement
overpayment, report the overpayment to the commissioner and make arrangements with
the commissioner for the commissioner's recovery of the overpayment.

The commissioner may require, as a condition of enrollment in medical assistance, that a
provider within a particular industry sector or category establish a compliance program that
contains the core elements established by the Centers for Medicare and Medicaid Services.

(h) The commissioner may revoke the enrollment of an ordering or rendering provider
for a period of not more than one year, if the provider fails to maintain and, upon request
from the commissioner, provide access to documentation relating to written orders or requests
for payment for durable medical equipment, certifications for home health services, or
referrals for other items or services written or ordered by such provider, when the
commissioner has identified a pattern of a lack of documentation. A pattern means a failure
to maintain documentation or provide access to documentation on more than one occasion.
Nothing in this paragraph limits the authority of the commissioner to sanction a provider
under the provisions of section 256B.064.

(i) The commissioner shall terminate or deny the enrollment of any individual or entity
if the individual or entity has been terminated from participation in Medicare or under the
Medicaid program or Children's Health Insurance Program of any other state. The
commissioner may exempt a rehabilitation agency from termination or denial that would
otherwise be required under this paragraph, if the agency:

(1) is unable to retain Medicare certification and enrollment solely due to a lack of billing
to the Medicare program;

(2) meets all other applicable Medicare certification requirements based on an on-site
review completed by the commissioner of health; and

(3) serves primarily a pediatric population.

(j) As a condition of enrollment in medical assistance, the commissioner shall require
that a provider designated "moderate" or "high-risk" by the Centers for Medicare and
Medicaid Services or the commissioner permit the Centers for Medicare and Medicaid
Services, its agents, or its designated contractors and the state agency, its agents, or its
designated contractors to conduct unannounced on-site inspections of any provider location.
The commissioner shall publish in the Minnesota Health Care Program Provider Manual a
list of provider types designated "limited," "moderate," or "high-risk," based on the criteria
and standards used to designate Medicare providers in Code of Federal Regulations, title
42, section 424.518. The list and criteria are not subject to the requirements of chapter 14.
The commissioner's designations are not subject to administrative appeal.

(k) As a condition of enrollment in medical assistance, the commissioner shall require
that a high-risk provider, or a person with a direct or indirect ownership interest in the
provider of five percent or higher, consent to criminal background checks, including
fingerprinting, when required to do so under state law or by a determination by the
commissioner or the Centers for Medicare and Medicaid Services that a provider is designated
high-risk for fraud, waste, or abuse.

(l)(1) Upon initial enrollment, reenrollment, and notification of revalidation, all durable
medical equipment, prosthetics, orthotics, and supplies (DMEPOS) medical suppliers
meeting the durable medical equipment provider and supplier definition in clause (3),
operating in Minnesota and receiving Medicaid funds must purchase a surety bond that is
annually renewed and designates the Minnesota Department of Human Services as the
obligee, and must be submitted in a form approved by the commissioner. For purposes of
this clause, the following medical suppliers are not required to obtain a surety bond: a
federally qualified health center, a home health agency, the Indian Health Service, a
pharmacy, and a rural health clinic.

(2) At the time of initial enrollment or reenrollment, durable medical equipment providers
and suppliers defined in clause (3) must purchase a surety bond of $50,000. If a revalidating
provider's Medicaid revenue in the previous calendar year is up to and including $300,000,
the provider agency must purchase a surety bond of $50,000. If a revalidating provider's
Medicaid revenue in the previous calendar year is over $300,000, the provider agency must
purchase a surety bond of $100,000. The surety bond must allow for recovery of costs and
fees in pursuing a claim on the bond.

(3) "Durable medical equipment provider or supplier" means a medical supplier that can
purchase medical equipment or supplies for sale or rental to the general public and is able
to perform or arrange for necessary repairs to and maintenance of equipment offered for
sale or rental.

(m) The Department of Human Services may require a provider to purchase a surety
bond as a condition of initial enrollment, reenrollment, reinstatement, or continued enrollment
if: (1) the provider fails to demonstrate financial viability, (2) the department determines
there is significant evidence of or potential for fraud and abuse by the provider, or (3) the
provider or category of providers is designated high-risk pursuant to paragraph (f) and as
per Code of Federal Regulations, title 42, section 455.450. The surety bond must be in an
amount of $100,000 or ten percent of the provider's payments from Medicaid during the
immediately preceding 12 months, whichever is greater. The surety bond must name the
Department of Human Services as an obligee and must allow for recovery of costs and fees
in pursuing a claim on the bond. This paragraph does not apply if the provider currently
maintains a surety bond under the requirements in section 256B.0659 or 256B.85.

new text begin EFFECTIVE DATE. new text end

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

Sec. 7.

Minnesota Statutes 2024, section 256B.0949, subdivision 2, is amended to read:


Subd. 2.

Definitions.

(a) The terms used in this section have the meanings given in this
subdivision.

(b) "Advanced certification" means a person who has completed advanced certification
in an approved modality under subdivision 13, paragraph (b).

(c) "Agency" means the legal entity that is enrolled with Minnesota health care programs
as a medical assistance provider according to Minnesota Rules, part 9505.0195, to provide
EIDBI services and that has the legal responsibility to ensure that its employees deleted text begin or contractorsdeleted text end
carry out the responsibilities defined in this section. Agency includes a licensed individual
professional who practices independently and acts as an agency.

(d) "Autism spectrum disorder or a related condition" or "ASD or a related condition"
means either autism spectrum disorder (ASD) as defined in the current version of the
Diagnostic and Statistical Manual of Mental Disorders (DSM) or a condition that is found
to be closely related to ASD, as identified under the current version of the DSM, and meets
all of the following criteria:

(1) is severe and chronic;

(2) results in impairment of adaptive behavior and function similar to that of a person
with ASD;

(3) requires treatment or services similar to those required for a person with ASD; and

(4) results in substantial functional limitations in three core developmental deficits of
ASD: social or interpersonal interaction; functional communication, including nonverbal
or social communication; and restrictive or repetitive behaviors or hyperreactivity or
hyporeactivity to sensory input; and may include deficits or a high level of support in one
or more of the following domains:

(i) behavioral challenges and self-regulation;

(ii) cognition;

(iii) learning and play;

(iv) self-care; or

(v) safety.

(e) deleted text begin "Person" means a person under 21 years of age.deleted text end new text begin "Behavior analyst" means an
individual licensed under sections 148.9981 to 148.9995 as a behavior analyst.
new text end

(f) "Clinical supervision" means the overall responsibility for the control and direction
of EIDBI service delivery, including individual treatment planning, staff supervision,
individual treatment plan progress monitoring, and treatment review for each person. Clinical
supervision is provided by a qualified supervising professional (QSP) who takes full
professional responsibility for the service provided by each superviseenew text begin and the clinical
effectiveness of all interventionsnew text end .

(g) "Commissioner" means the commissioner of human services, unless otherwise
specified.

(h) "Comprehensive multidisciplinary evaluation" or "CMDE" means a comprehensive
evaluation of a person to determine medical necessity for EIDBI services based on the
requirements in subdivision 5.

(i) "Department" means the Department of Human Services, unless otherwise specified.

(j) "Early intensive developmental and behavioral intervention benefit" or "EIDBI
benefit" means a variety of individualized, intensive treatment modalities approved and
published by the commissioner that are based in behavioral and developmental science
consistent with best practices on effectiveness.

new text begin (k) "Employee of an agency" or "employee" means any individual who is employed
temporarily, part time, or full time by the agency that is submitting claims or billing for the
work, services, supervision, or treatment performed by the individual. Employee does not
include an independent contractor, billing agency, or consultant who is not providing EIDBI
services. Employee does not include an individual who performs work, provides services,
supervises, or provides treatment for less than 80 hours in a 12-month period.
 new text end

deleted text begin (k)deleted text end new text begin (l)new text end "Generalizable goals" means results or gains that are observed during a variety
of activities over time with different people, such as providers, family members, other adults,
and people, and in different environments including, but not limited to, clinics, homes,
schools, and the community.

deleted text begin (l)deleted text end new text begin (m)new text end "Incident" means when any of the following occur:

(1) an illness, accident, or injury that requires first aid treatment;

(2) a bump or blow to the head; or

(3) an unusual or unexpected event that jeopardizes the safety of a person or staff,
including a person leaving the agency unattended.

deleted text begin (m)deleted text end new text begin (n)new text end "Individual treatment plan" or "ITP" means the person-centered, individualized
written plan of care that integrates and coordinates person and family information from the
CMDE for a person who meets medical necessity for the EIDBI benefit. An individual
treatment plan must meet the standards in subdivision 6.

deleted text begin (n)deleted text end new text begin (o)new text end "Legal representative" means the parent of a child who is under 18 years of age,
a court-appointed guardian, or other representative with legal authority to make decisions
about service for a person. For the purpose of this subdivision, "other representative with
legal authority to make decisions" includes a health care agent or an attorney-in-fact
authorized through a health care directive or power of attorney.

deleted text begin (o)deleted text end new text begin (p)new text end "Mental health professional" means a staff person who is qualified according to
section 245I.04, subdivision 2.

new text begin (q) "Person" means an individual under 21 years of age.
 new text end

deleted text begin (p)deleted text end new text begin (r)new text end "Person-centered" means a service that both responds to the identified needs,
interests, values, preferences, and desired outcomes of the person or the person's legal
representative and respects the person's history, dignity, and cultural background and allows
inclusion and participation in the person's community.

deleted text begin (q)deleted text end new text begin (s)new text end "Qualified EIDBI provider" means deleted text begin a persondeleted text end new text begin an individualnew text end who is a QSP or a level
I, level II, or level III treatment provider.

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.

Minnesota Statutes 2024, section 256B.0949, subdivision 13, is amended to read:


Subd. 13.

Covered services.

(a) The services described in paragraphs (b) to (l) are
eligible for reimbursement by medical assistance under this section. Services must be
provided by a qualified EIDBI provider and supervised by a QSP. An EIDBI service must
address the person's medically necessary treatment goals and must be targeted to develop,
enhance, or maintain the individual developmental skills of a person with ASD or a related
condition to improve functional communication, including nonverbal or social
communication, social or interpersonal interaction, restrictive or repetitive behaviors,
hyperreactivity or hyporeactivity to sensory input, behavioral challenges and self-regulation,
cognition, learning and play, self-care, and safety.

(b) EIDBI treatment must be delivered consistent with the standards of an approved
modality, as published by the commissioner. EIDBI modalities include:

(1) applied behavior analysis (ABA);

(2) developmental individual-difference relationship-based model (DIR/Floortime);

(3) early start Denver model (ESDM);new text begin or
new text end

deleted text begin (4) PLAY project;
 deleted text end

deleted text begin (5)deleted text end new text begin (4)new text end relationship development intervention (RDI)deleted text begin ; ordeleted text end new text begin .
new text end

deleted text begin (6) additional modalities not listed in clauses (1) to (5) upon approval by the
commissioner.
 deleted text end

(c) An EIDBI provider may use one or more of the EIDBI modalities in paragraph (b),
clauses (1) to deleted text begin (5)deleted text end new text begin (4)new text end , as the primary modality for treatment as a covered service, or several
EIDBI modalities in combination as the primary modality of treatment, as approved by the
commissioner. An EIDBI provider that identifies and provides assurance of qualifications
for a single specific treatment modality, including an EIDBI provider with advanced
certification overseeing implementation, must document the required qualifications to meet
fidelity to the specific model in a manner determined by the commissioner.

(d) Each qualified EIDBI provider must identify and provide assurance of qualifications
for professional licensure certification, or training in evidence-based treatment methods,
and must document the required qualifications outlined in subdivision 15 in a manner
determined by the commissioner.

(e) CMDE is a comprehensive evaluation of the person's developmental status to
determine medical necessity for EIDBI services and meets the requirements of subdivision
5. The services must be provided by a qualified CMDE provider.

(f) EIDBI intervention observation and direction is the clinical direction and oversight
of EIDBI services by the QSP, level I treatment provider, or level II treatment provider,
including developmental and behavioral techniques, progress measurement, data collection,
function of behaviors, and generalization of acquired skills for the direct benefit of a person.
EIDBI intervention observation and direction informs any modification of the current
treatment protocol to support the outcomes outlined in the ITP.

(g) Intervention is medically necessary direct treatment provided to a person with ASD
or a related condition as outlined in their ITP. All intervention services must be provided
under the direction of a QSP. Intervention may take place across multiple settings. The
frequency and intensity of intervention services are provided based on the number of
treatment goals, person and family or caregiver preferences, and other factors. Intervention
services may be provided individually or in a group. Intervention with a higher provider
ratio may occur when deemed medically necessary through the person's ITP.

(1) Individual intervention is treatment by protocol administered by a single qualified
EIDBI provider delivered to one person.

(2) Group intervention is treatment by protocol provided by one or more qualified EIDBI
providers, delivered to at least two people who receive EIDBI services.

(3) Higher provider ratio intervention is treatment with protocol modification provided
by two or more qualified EIDBI providers delivered to one person in an environment that
meets the person's needs and under the direction of the QSP or level I provider.

(h) ITP development and ITP progress monitoring is development of the initial, annual,
and progress monitoring of an ITP. ITP development and ITP progress monitoring documents
provide oversight and ongoing evaluation of a person's treatment and progress on targeted
goals and objectives and integrate and coordinate the person's and the person's legal
representative's information from the CMDE and ITP progress monitoring. This service
must be reviewed and completed by the QSP, and may include input from a level I provider
or a level II provider.

(i) Family caregiver training and counseling is specialized training and education for a
family or primary caregiver to understand the person's developmental status and help with
the person's needs and development. This service must be provided by the QSP, level I
provider, or level II provider.

(j) A coordinated care conference is a voluntary meeting with the person and the person's
family to review the CMDE or ITP progress monitoring and to integrate and coordinate
services across providers and service-delivery systems to develop the ITP. This service may
include the CMDE provider, QSP, a level I provider, or a level II provider.

(k) Travel time is allowable billing for traveling to and from the person's home, school,
a community setting, or place of service outside of an EIDBI center, clinic, or office from
a specified location to provide in-person EIDBI intervention, observation and direction, or
family caregiver training and counseling. The person's ITP must specify the reasons the
provider must travel to the person.

(l) Medical assistance covers medically necessary EIDBI services and consultations
delivered via telehealth, as defined under section 256B.0625, subdivision 3b, in the same
manner as if the service or consultation was delivered in person.

new text begin EFFECTIVE DATE. new text end

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

Sec. 9.

Minnesota Statutes 2024, section 256B.0949, subdivision 15, is amended to read:


Subd. 15.

EIDBI provider qualifications.

(a) A QSP must be employed by an agency
and be:

(1) new text begin eithernew text end a licensed mental health professional deleted text begin who hasdeleted text end new text begin or a licensed behavior analyst,
and havenew text end at least 2,000 hours of supervised clinical experience or training in examining or
treating people with ASD or a related condition or equivalent documented coursework at
the graduate level by an accredited university in ASD diagnostics, ASD developmental and
behavioral treatment strategies, and typical child development; or

(2) a developmental or behavioral pediatrician who has at least 2,000 hours of supervised
clinical experience or training in examining or treating people with ASD or a related condition
or equivalent documented coursework at the graduate level by an accredited university in
the areas of ASD diagnostics, ASD developmental and behavioral treatment strategies, and
typical child development.

(b) A level I treatment provider must be deleted text begin employed bydeleted text end new text begin an employee ofnew text end an agency and:

(1) have at least 2,000 hours of supervised clinical experience or training in examining
or treating people with ASD or a related condition or equivalent documented coursework
at the graduate level by an accredited university in ASD diagnostics, ASD developmental
and behavioral treatment strategies, and typical child development or an equivalent
combination of documented coursework or hours of experience; and

(2) deleted text begin have or be at leastdeleted text end new text begin meetnew text end one of the followingnew text begin requirementsnew text end :

(i) new text begin have new text end a master's degree in behavioral health or child development or related fields
including, but not limited to, mental health, special education, social work, psychology,
speech pathology, or occupational therapy from an accredited college or university;

(ii) new text begin have new text end a bachelor's degree in a behavioral health, child development, or related field
including, but not limited to, mental health, special education, social work, psychology,
speech pathology, or occupational therapy, from an accredited college or university, and
advanced certification in a treatment modality recognized by the department;

(iii) new text begin be new text end a board-certified behavior analyst as defined by the Behavior Analyst Certification
Board or a qualified behavior analyst as defined by the Qualified Applied Behavior Analysis
Credentialing Board; deleted text begin or
deleted text end

(iv) new text begin be new text end a board-certified assistant behavior analyst with 4,000 hours of supervised clinical
experience that meets all registration, supervision, and continuing education requirements
of the certificationdeleted text begin .deleted text end new text begin ;
new text end

new text begin (v) have a bachelor's degree from an accredited college or university in behavioral health,
child development, or a related field; have at least 6,000 hours of clinical experience
providing early intervention services in the modality the EIDBI agency uses; and have
completed the EIDBI level III provider training requirements; or
 new text end

new text begin (vi) be currently enrolled or have completed a master's degree program at an accredited
college or university in behavioral health, child development, or a related field and receive
intervention observation and direction from a qualified supervising professional at least
monthly until having completed 2,000 hours of supervised clinical experience.
 new text end

(c) A level II treatment provider must be deleted text begin employed bydeleted text end new text begin an employee ofnew text end an agency and
must be:

(1) a person who has a bachelor's degree from an accredited college or university in a
behavioral or child development science or related field including, but not limited to, mental
health, special education, social work, psychology, speech pathology, or occupational
therapy; and meets at least one of the following:

(i) has at least 1,000 hours of supervised clinical experience or training in examining or
treating people with ASD or a related condition or equivalent documented coursework at
the graduate level by an accredited university in ASD diagnostics, ASD developmental and
behavioral treatment strategies, and typical child development or a combination of
coursework or hours of experience;

(ii) has certification as a board-certified assistant behavior analyst from the Behavior
Analyst Certification Board or a qualified autism service practitioner from the Qualified
Applied Behavior Analysis Credentialing Board;

(iii) is a registered behavior technician as defined by the Behavior Analyst Certification
Board or an applied behavior analysis technician as defined by the Qualified Applied
Behavior Analysis Credentialing Board; or

(iv) is certified in one of the other treatment modalities recognized by the department;
deleted text begin or
deleted text end

(2) a person who has:

(i) an associate's degree in a behavioral or child development science or related field
including, but not limited to, mental health, special education, social work, psychology,
speech pathology, or occupational therapy from an accredited college or university; and

(ii) at least 2,000 hours of supervised clinical experience in delivering treatment to people
with ASD or a related condition. Hours worked as a mental health behavioral aide or level
III treatment provider may be included in the required hours of experience; deleted text begin or
deleted text end

(3) a person who has at least 4,000 hours of supervised clinical experience in delivering
treatment to people with ASD or a related condition. Hours worked as a mental health
behavioral aide or level III treatment provider may be included in the required hours of
experience; deleted text begin or
deleted text end

(4) a person who is a graduate student in a behavioral science, child development science,
or related field and is receiving clinical supervision by a QSP affiliated with an agency to
meet the clinical training requirements for experience and training with people with ASD
or a related condition; deleted text begin or
deleted text end

(5) a person who is at least 18 years of age and who:

(i) is fluent in a non-English language or is an individual certified by a Tribal Nation;

(ii) completed the level III EIDBI training requirements; and

(iii) receives observation and direction from a QSP or level I treatment provider at least
once a week until the person meets 1,000 hours of supervised clinical experiencedeleted text begin .deleted text end new text begin ;
new text end

new text begin (6) a person currently enrolled in a bachelor's degree program at an accredited college
or university in behavioral health, child development, or a related field who receives
intervention observation and direction from a QSP or level I provider at least twice monthly
until having completed 1,000 hours of supervised clinical experience; or
 new text end

new text begin (7) a person who is at least 18 years of age, holds a current certification in the treatment
modality of the EIDBI agency, receives intervention observation and direction from a
provider with an advance certification at least weekly until having completed 1,000 hours
of supervised clinical experience, and has completed the level III EIDBI training
requirements.
 new text end

(d) A level III treatment provider must be deleted text begin employed bydeleted text end new text begin an employee ofnew text end an agency, have
completed the level III training requirement, be at least 18 years of age, and have at least
one of the following:

(1) a high school diploma or commissioner of education-selected high school equivalency
certification;

(2) fluency in a non-English language or Tribal Nation certification;

(3) one year of experience as a primary personal care assistant, community health worker,
waiver service provider, or special education assistant to a person with ASD or a related
condition within the previous five years; or

(4) completion of all required EIDBI training within six months of employment.

new text begin EFFECTIVE DATE. new text end

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

Sec. 10.

Minnesota Statutes 2024, section 256B.0949, subdivision 15, is amended to read:


Subd. 15.

EIDBI provider qualifications.

(a) A QSP must be deleted text begin employed bydeleted text end new text begin an employee
ofnew text end an agency and be:

(1) a licensed mental health professional who has at least 2,000 hours of supervised
clinical experience or training in examining or treating people with ASD or a related condition
or equivalent documented coursework at the graduate level by an accredited university in
ASD diagnostics, ASD developmental and behavioral treatment strategies, and typical child
development; or

(2) a developmental or behavioral pediatrician who has at least 2,000 hours of supervised
clinical experience or training in examining or treating people with ASD or a related condition
or equivalent documented coursework at the graduate level by an accredited university in
the areas of ASD diagnostics, ASD developmental and behavioral treatment strategies, and
typical child development.

(b) A level I treatment provider must be employed by an agency and:

(1) have at least 2,000 hours of supervised clinical experience or training in examining
or treating people with ASD or a related condition or equivalent documented coursework
at the graduate level by an accredited university in ASD diagnostics, ASD developmental
and behavioral treatment strategies, and typical child development or an equivalent
combination of documented coursework or hours of experience; and

(2) have or be at least one of the following:

(i) a master's degree in behavioral health or child development or related fields including,
but not limited to, mental health, special education, social work, psychology, speech
pathology, or occupational therapy from an accredited college or university;

(ii) a bachelor's degree in a behavioral health, child development, or related field
including, but not limited to, mental health, special education, social work, psychology,
speech pathology, or occupational therapy, from an accredited college or university, and
advanced certification in a treatment modality recognized by the department;

(iii) a board-certified behavior analyst as defined by the Behavior Analyst Certification
Board or a qualified behavior analyst as defined by the Qualified Applied Behavior Analysis
Credentialing Board; or

(iv) a board-certified assistant behavior analyst with 4,000 hours of supervised clinical
experience that meets all registration, supervision, and continuing education requirements
of the certification.

(c) A level II treatment provider must be employed by an agency and must be:

(1) a person who has a bachelor's degree from an accredited college or university in a
behavioral or child development science or related field including, but not limited to, mental
health, special education, social work, psychology, speech pathology, or occupational
therapy; and meets at least one of the following:

(i) has at least 1,000 hours of supervised clinical experience or training in examining or
treating people with ASD or a related condition or equivalent documented coursework at
the graduate level by an accredited university in ASD diagnostics, ASD developmental and
behavioral treatment strategies, and typical child development or a combination of
coursework or hours of experience;

(ii) has certification as a board-certified assistant behavior analyst from the Behavior
Analyst Certification Board or a qualified autism service practitioner from the Qualified
Applied Behavior Analysis Credentialing Board;

(iii) is a registered behavior technician as defined by the Behavior Analyst Certification
Board or an applied behavior analysis technician as defined by the Qualified Applied
Behavior Analysis Credentialing Board; or

(iv) is certified in one of the other treatment modalities recognized by the department;
or

(2) a person who has:

(i) an associate's degree in a behavioral or child development science or related field
including, but not limited to, mental health, special education, social work, psychology,
speech pathology, or occupational therapy from an accredited college or university; and

(ii) at least 2,000 hours of supervised clinical experience in delivering treatment to people
with ASD or a related condition. Hours worked as a mental health behavioral aide or level
III treatment provider may be included in the required hours of experience; or

(3) a person who has at least 4,000 hours of supervised clinical experience in delivering
treatment to people with ASD or a related condition. Hours worked as a mental health
behavioral aide or level III treatment provider may be included in the required hours of
experience; or

(4) a person who is a graduate student in a behavioral science, child development science,
or related field and is receiving clinical supervision by a QSP affiliated with an agency to
meet the clinical training requirements for experience and training with people with ASD
or a related condition; or

(5) a person who is at least 18 years of age and who:

(i) is fluent in a non-English language or is an individual certified by a Tribal Nation;

(ii) completed the level III EIDBI training requirements; and

(iii) receives observation and direction from a QSP or level I treatment provider at least
once a week until the person meets 1,000 hours of supervised clinical experience.

(d) A level III treatment provider must be employed by an agency, have completed the
level III training requirement, be at least 18 years of age, and have at least one of the
following:

(1) a high school diploma or commissioner of education-selected high school equivalency
certification;

(2) fluency in a non-English language or Tribal Nation certification;

(3) one year of experience as a primary personal care assistant, community health worker,
waiver service provider, or special education assistant to a person with ASD or a related
condition within the previous five years; or

(4) completion of all required EIDBI training within six months of employment.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 11.

Minnesota Statutes 2024, section 256B.0949, subdivision 16, is amended to read:


Subd. 16.

Agency duties.

(a) An agency delivering an EIDBI service under this section
must:

(1) enroll as a medical assistance Minnesota health care program provider according to
Minnesota Rules, part 9505.0195, and section 256B.04, subdivision 21, and meet all
applicable provider standards and requirements;

(2) new text begin designate an individual as the agency's compliance officer who must perform the
duties described in section 256B.04, subdivision 21, paragraph (g);
new text end

new text begin (3) new text end demonstrate compliance with federal and state laws for new text begin the delivery of and billing
for new text end EIDBI service;

deleted text begin (3)deleted text end new text begin (4)new text end verify and maintain records of a service provided to the person or the person's
legal representative as required under Minnesota Rules, parts 9505.2175 and 9505.2197;

deleted text begin (4)deleted text end new text begin (5)new text end demonstrate that while enrolled or seeking enrollment as a Minnesota health care
program provider the agency did not have a lead agency contract or provider agreement
discontinued because of a conviction of fraud; or did not have an owner, board member, or
manager fail a state or federal criminal background check or appear on the list of excluded
individuals or entities maintained by the federal Department of Human Services Office of
Inspector General;

deleted text begin (5)deleted text end new text begin (6)new text end have established business practices including written policies and procedures,
internal controls, and a system that demonstrates the organization's ability to deliver quality
EIDBI servicesnew text begin , appropriately submit claims, conduct required staff training, document staff
qualifications, document service activities, and document service qualitynew text end ;

deleted text begin (6)deleted text end new text begin (7)new text end have an office located in Minnesota or a border state;

deleted text begin (7) conduct a criminal background check on an individual who has direct contact with
the person or the person's legal representative;
 deleted text end

new text begin (8) initiate a background study as required under subdivision 16a;
 new text end

deleted text begin (8)deleted text end new text begin (9)new text end report maltreatment according to section 626.557 and chapter 260E;

deleted text begin (9)deleted text end new text begin (10)new text end comply with any data requests consistent with the Minnesota Government Data
Practices Act, sections 256B.064 and 256B.27;

deleted text begin (10)deleted text end new text begin (11)new text end provide training for all agency staff on the requirements and responsibilities
listed in the Maltreatment of Minors Act, chapter 260E, and the Vulnerable Adult Protection
Act, section 626.557, including mandated and voluntary reporting, nonretaliation, and the
agency's policy for all staff on how to report suspected abuse and neglect;

deleted text begin (11)deleted text end new text begin (12)new text end have a written policy to resolve issues collaboratively with the person and the
person's legal representative when possible. The policy must include a timeline for when
the person and the person's legal representative will be notified about issues that arise in
the provision of services;

deleted text begin (12)deleted text end new text begin (13)new text end provide the person's legal representative with prompt notification if the person
is injured while being served by the agency. An incident report must be completed by the
agency staff member in charge of the person. A copy of all incident and injury reports must
remain on file at the agency for at least five years from the report of the incident; deleted text begin and
deleted text end

deleted text begin (13)deleted text end new text begin (14)new text end before starting a service, provide the person or the person's legal representative
a description of the treatment modality that the person shall receive, including the staffing
certification levels and training of the staff who shall provide a treatmentdeleted text begin .deleted text end new text begin ;
new text end

new text begin (15) provide clinical supervision for a minimum of one hour for every 16 hours of direct
treatment per person, unless otherwise authorized in the person's individual treatment plan;
and
 new text end

new text begin (16) provide required EIDBI intervention observation and direction at least once per
month. Notwithstanding subdivision 13, paragraph (l), required EIDBI intervention
observation and direction under this clause may be conducted via telehealth provided that
no more than two consecutive monthly required EIDBI intervention observation and direction
sessions under this clause are conducted via telehealth.
 new text end

new text begin (b) Upon request of the commissioner, an agency delivering services under this section
must:
 new text end

new text begin (1) identify the agency's controlling individuals, as defined under section 245A.02,
subdivision 5a;
 new text end

new text begin (2) provide disclosures of the use of billing agencies and other consultants who do not
provide EIDBI services; and
 new text end

new text begin (3) provide copies of any contracts with consultants or independent contractors who do
not provide EIDBI services, including hours contracted and responsibilities.
 new text end

deleted text begin (b)deleted text end new text begin (c)new text end When delivering the ITP, and annually thereafter, an agency must provide the
person or the person's legal representative with:

(1) a written copy and a verbal explanation of the person's or person's legal
representative's rights and the agency's responsibilities;

(2) documentation in the person's file the date that the person or the person's legal
representative received a copy and explanation of the person's or person's legal
representative's rights and the agency's responsibilities; and

(3) reasonable accommodations to provide the information in another format or language
as needed to facilitate understanding of the person's or person's legal representative's rights
and the agency's responsibilities.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 12.

Minnesota Statutes 2024, section 256B.0949, subdivision 16a, is amended to
read:


Subd. 16a.

Background studies.

new text begin (a) new text end An early intensive developmental and behavioral
intervention services agency must fulfill any background studies requirements under this
section by initiating a background study through the commissioner's NETStudy new text begin 2.0 new text end system
as provided under deleted text begin sections 245C.03, subdivision 15, and 245C.10, subdivision 17deleted text end new text begin chapter
245C and must maintain documentation of background study requests and resultsnew text end .

new text begin (b) Before an individual subject to the background study requirements under this
subdivision has direct contact with a person served by the provider, the agency must have
received a notice from the commissioner that the subject of the background study is:
 new text end

new text begin (1) not disqualified under section 245C.14; or
 new text end

new text begin (2) disqualified but the subject of the study has received a set-aside of the disqualification
under section 245C.22.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 13.

Minnesota Statutes 2024, section 256B.0949, is amended by adding a subdivision
to read:


new text begin Subd. 18. new text end

new text begin Site visits and sanctions. new text end

new text begin (a) The commissioner may conduct unannounced
on-site inspections of any and all EIDBI agencies and service locations to verify that
information submitted to the commissioner is accurate, determine compliance with all
enrollment requirements, investigate reports of maltreatment, determine compliance with
service delivery and billing requirements, and determine compliance with any other applicable
laws or rules.
 new text end

new text begin (b) The commissioner may withhold payment from an agency or suspend or terminate
the agency's enrollment number if the agency fails to provide access to the agency's service
locations or records or the commissioner determines the agency has failed to comply fully
with applicable laws or rules. The provider has the right to appeal the decision of the
commissioner under section 256B.064.
 new text end

new text begin EFFECTIVE DATE. new text end

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

Sec. 14.

Minnesota Statutes 2024, section 260E.14, subdivision 1, as amended by Laws
2025, chapter 20, section 221, is amended to read:


Subdivision 1.

Facilities and schools.

(a) The local welfare agency is the agency
responsible for investigating allegations of maltreatment in child foster care, family child
care, legally nonlicensed child care, and reports involving children served by an unlicensed
personal care provider organization under section 256B.0659. Copies of findings related to
personal care provider organizations under section 256B.0659 must be forwarded to the
Department of Human Services provider enrollment.

(b) The Department of Human Services is the agency responsible for screening and
investigating allegations of maltreatment in juvenile correctional facilities listed under
section 241.021 located in the local welfare agency's county and in facilities licensed or
certified under chapters 245A and 245D.

(c) The Department of Health is the agency responsible for screening and investigating
allegations of maltreatment in facilities licensed under sections 144.50 to 144.58 and 144A.43
to 144A.482 or chapter 144H.

(d) The Department of Education is the agency responsible for screening and investigating
allegations of maltreatment in a school as defined in section 120A.05, subdivisions 9, 11,
and 13, and chapter 124E. The Department of Education's responsibility to screen and
investigate includes allegations of maltreatment involving students 18 through 21 years of
age, including students receiving special education services, up to and including graduation
and the issuance of a secondary or high school diploma.

new text begin (e) The Department of Human Services is the agency responsible for screening and
investigating allegations of maltreatment of minors in an EIDBI agency operating under
sections 245A.142 and 256B.0949.
 new text end

deleted text begin (e)deleted text end new text begin (f)new text end A health or corrections agency receiving a report may request the local welfare
agency to provide assistance pursuant to this section and sections 260E.20 and 260E.22.

deleted text begin (f)deleted text end new text begin (g)new text end The Department of Children, Youth, and Families is the agency responsible for
screening and investigating allegations of maltreatment in facilities or programs not listed
in paragraph (a) that are licensed or certified under chapters 142B and 142C.

new text begin EFFECTIVE DATE. new text end

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

Sec. 15.

Minnesota Statutes 2024, section 626.5572, subdivision 13, is amended to read:


Subd. 13.

Lead investigative agency.

"Lead investigative agency" is the primary
administrative agency responsible for investigating reports made under section 626.557.

(a) The Department of Health is the lead investigative agency for facilities or services
licensed or required to be licensed as hospitals, home care providers, nursing homes, boarding
care homes, hospice providers, residential facilities that are also federally certified as
intermediate care facilities that serve people with developmental disabilities, or any other
facility or service not listed in this subdivision that is licensed or required to be licensed by
the Department of Health for the care of vulnerable adults. "Home care provider" has the
meaning provided in section 144A.43, subdivision 4, and applies when care or services are
delivered in the vulnerable adult's home.

(b) The Department of Human Services is the lead investigative agency for facilities or
services licensed or required to be licensed as adult day care, adult foster care, community
residential settings, programs for people with disabilities, new text begin EIDBI agencies, new text end family adult day
services, mental health programs, mental health clinics, substance use disorder programs,
the Minnesota Sex Offender Program, or any other facility or service not listed in this
subdivision that is licensed or required to be licensed by the Department of Human Services.new text begin
The Department of Human Services is also the lead investigative agency for unlicensed
EIDBI agencies under section 256B.0949.
new text end

(c) The county social service agency or its designee is the lead investigative agency for
all other reports, including, but not limited to, reports involving vulnerable adults receiving
services from a personal care provider organization under section 256B.0659.

new text begin EFFECTIVE DATE. new text end

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

Sec. 16. new text begin DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES;
DEVELOPMENT OF COMPREHENSIVE EIDBI LICENSE.
new text end

new text begin (a) By January 1, 2026, the commissioner of human services must collaborate with the
Early Intensive Developmental and Behavioral Advisory Council to develop comprehensive
EIDBI licensing standards and a plan to transition EIDBI agencies from the provisional
license established under Minnesota Statutes, section 245A.142, to a newly established
comprehensive EIDBI license. The advisory council must provide the commissioner with
advice on at least the following topics:
 new text end

new text begin (1) basic health and safety standards;
 new text end

new text begin (2) basic physical plant standards;
 new text end

new text begin (3) medication management and other ancillary services that might be provided by EIDBI
providers;
 new text end

new text begin (4) privacy and the use of cameras in settings where EIDBI services are being provided;
 new text end

new text begin (5) third-party billing procedures and requirements;
 new text end

new text begin (6) billing standards and policies regarding duplicative, simultaneous, and midpoint
billing practices;
 new text end

new text begin (7) measures of clinical effectiveness;
 new text end

new text begin (8) appropriate restrictions on the commissioner's authority under Minnesota Statutes,
section 256B.0949, subdivision 17, to issue exceptions to EIDBI provider qualifications,
medical assistance provider enrollment requirements, and EIDBI provider or agency standards
or requirements; and
 new text end

new text begin (9) the continuation or modification of existing exceptions under Minnesota Statutes,
section 256B.0949, subdivision 17.
 new text end

new text begin (b) By January 1, 2027, the commissioner must propose standards for a nonprovisional,
comprehensive EIDBI license or licenses and submit proposed draft legislation to the chairs
and ranking minority members of the legislative committees with jurisdiction over EIDBI
services.
 new text end

Sec. 17. new text begin DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES;
TEMPORARY MORATORIUM ON ENROLLMENT OF NEW EIDBI PROVIDERS.
new text end

new text begin Upon federal approval and subject to continued federal approval, beginning July 1, 2025,
the commissioner of human services must not enroll new EIDBI agencies to provide EIDBI
services under Minnesota Statutes, chapter 256B, unless the agency is licensed as an EIDBI
agency under Minnesota Statutes, chapter 245A, but may enroll new locations where EIDBI
services are provided by an agency that was enrolled before July 1, 2025.
 new 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. new text begin EXISTING EIDBI EXCEPTIONS.
new text end

new text begin Exceptions to the requirements of Minnesota Statutes, section 256B.0949, authorized
under Minnesota Statutes, section 256B.0949, subdivision 17, in effect on June 30, 2025,
must remain in effect until full implementation of a new comprehensive EIDBI license
under Minnesota Statutes, chapter 245A.
 new text end

Sec. 19. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2024, section 256B.0949, subdivision 9, 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, 2025.
 new text end

ARTICLE 7

HOMELESSNESS, HOUSING, AND SUPPORT SERVICES

Section 1.

Minnesota Statutes 2024, section 245C.03, subdivision 6, is amended to read:


Subd. 6.

Unlicensed home and community-based waiver providers of service to
seniors and individuals with disabilitiesnew text begin and providers of housing stabilization
servicesnew text end .

(a) deleted text begin The commissioner shall conduct background studies of any individual who
provides direct contact, as defined in section 245C.02, subdivision 11,deleted text end For new text begin providers of
new text end services specified in the federally approved home and community-based waiver plans under
section 256B.4912new text begin and providers of housing stabilization services under section 256B.051,
the commissioner shall conduct background studies on any individual who is an owner with
at least a five percent ownership stake in the provider, an operator of the provider, or an
employee or volunteer for the provider who has direct contact with people receiving the
servicesnew text end . The individual studied must meet the requirements of this chapter prior to providing
waiver services and as part of ongoing enrollment.

(b) The requirements in paragraph (a) apply to consumer-directed community supports
under section 256B.4911.

new text begin (c) For purposes of this section, "operator" includes but is not limited to a managerial
officer who oversees the billing, management, or policies of the services provided.
 new text end

Sec. 2.

Minnesota Statutes 2024, section 245C.03, is amended by adding a subdivision to
read:


new text begin Subd. 16. new text end

new text begin Providers of recuperative care. new text end

new text begin The commissioner shall conduct background
studies on any individual who is an owner with an ownership stake of at least five percent
in a recuperative care provider, an operator of a recuperative care provider, or an employee
or volunteer who has direct contact with people receiving recuperative care services under
section 256B.0701.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective upon implementation in NETStudy 2.0
or January 13, 2026, whichever is later. The commissioner of human services shall notify
the revisor of statutes when the commissioner implements the changes in NETStudy 2.0.
 new text end

Sec. 3.

Minnesota Statutes 2024, section 245C.04, subdivision 6, is amended to read:


Subd. 6.

Unlicensed home and community-based waiver providers of service to
seniors and individuals with disabilitiesnew text begin and providers of housing stabilization
servicesnew text end .

(a) Providers required to initiate background studies under section deleted text begin 256B.4912deleted text end new text begin
245C.03, subdivision 6,new text end must initiate a study using the electronic system known as NETStudy
new text begin 2.0 new text end before the individual begins in a position allowing direct contact with persons served
by the provider.new text begin New providers must initiate a study under this subdivision before initial
enrollment if the provider has not already initiated background studies as part of the service
licensure requirements.
new text end

(b) Except as provided in paragraphs (c) and (d), the providers must initiate a background
study annually of an individual required to be studied under section 245C.03, subdivision
6.

(c) After an initial background study under this subdivision is initiated on an individual
by a provider of both services licensed by the commissioner and the unlicensed services
under this subdivision, a repeat annual background study is not required if:

(1) the provider maintains compliance with the requirements of section 245C.07,
paragraph (a), regarding one individual with one address and telephone number as the person
to receive sensitive background study information for the multiple programs that depend
on the same background study, and that the individual who is designated to receive the
sensitive background information is capable of determining, upon the request of the
commissioner, whether a background study subject is providing direct contact services in
one or more of the provider's programs or services and, if so, at which location or locations;
and

(2) the individual who is the subject of the background study provides direct contact
services under the provider's licensed program for at least 40 hours per year so the individual
will be recognized by a probation officer or corrections agent to prompt a report to the
commissioner regarding criminal convictions as required under section 245C.05, subdivision
7.

deleted text begin (d) A provider who initiates background studies through NETStudy 2.0 is exempt from
the requirement to initiate annual background studies under paragraph (b) for individuals
who are on the provider's active roster.
 deleted text end

Sec. 4.

Minnesota Statutes 2024, section 245C.04, is amended by adding a subdivision to
read:


new text begin Subd. 13. new text end

new text begin Recuperative care providers. new text end

new text begin Providers required to initiate background
studies under section 245C.03, subdivision 16, must initiate a study using the electronic
system known as NETStudy 2.0 before the individual begins in a position allowing direct
contact with persons served by the provider, before the individual becomes an operator of
the provider, or before the individual acquires an ownership interest of at least five percent
in the provider.
 new text end

Sec. 5.

Minnesota Statutes 2024, section 245C.10, subdivision 6, is amended to read:


Subd. 6.

Unlicensed home and community-based waiver providers of service to
seniors and individuals with disabilitiesnew text begin and providers of housing stabilization
servicesnew text end .

The commissioner shall recover the cost of background studies initiated by
unlicensed home and community-based waiver providers of service to seniors and individuals
with disabilities under section 256B.4912new text begin and providers of housing stabilization services
under section 256B.051new text end through a fee of no more than $44 per study.

Sec. 6.

Minnesota Statutes 2024, section 245C.10, is amended by adding a subdivision to
read:


new text begin Subd. 22. new text end

new text begin Recuperative care providers. new text end

new text begin The commissioner shall recover the cost of
background studies required under section 245C.03, subdivision 16, for recuperative care
under section 256B.0701, through a fee of no more than $44 per study charged to the enrolled
provider. The fees collected under this subdivision are appropriated to the commissioner
for the purpose of conducting background studies.
 new text end

Sec. 7.

Minnesota Statutes 2024, section 256B.04, subdivision 21, is amended to read:


Subd. 21.

Provider enrollment.

(a) The commissioner shall enroll providers and conduct
screening activities as required by Code of Federal Regulations, title 42, section 455, subpart
E. A provider must enroll each provider-controlled location where direct services are
provided. The commissioner may deny a provider's incomplete application if a provider
fails to respond to the commissioner's request for additional information within 60 days of
the request. The commissioner must conduct a background study under chapter 245C,
including a review of databases in section 245C.08, subdivision 1, paragraph (a), clauses
(1) to (5), for a provider described in this paragraph. The background study requirement
may be satisfied if the commissioner conducted a fingerprint-based background study on
the provider that includes a review of databases in section 245C.08, subdivision 1, paragraph
(a), clauses (1) to (5).

(b) The commissioner shall revalidate each: (1) provider under this subdivision at least
once every five years; and (2) personal care assistance agency under this subdivision once
every three years.

(c) The commissioner shall conduct revalidation as follows:

(1) provide 30-day notice of the revalidation due date including instructions for
revalidation and a list of materials the provider must submit;

(2) if a provider fails to submit all required materials by the due date, notify the provider
of the deficiency within 30 days after the due date and allow the provider an additional 30
days from the notification date to comply; and

(3) if a provider fails to remedy a deficiency within the 30-day time period, give 60-day
notice of termination and immediately suspend the provider's ability to bill. The provider
does not have the right to appeal suspension of ability to bill.

(d) If a provider fails to comply with any individual provider requirement or condition
of participation, the commissioner may suspend the provider's ability to bill until the provider
comes into compliance. The commissioner's decision to suspend the provider is not subject
to an administrative appeal.

(e) Correspondence and notifications, including notifications of termination and other
actions, may be delivered electronically to a provider's MN-ITS mailbox. This paragraph
does not apply to correspondences and notifications related to background studies.

(f) If the commissioner or the Centers for Medicare and Medicaid Services determines
that a provider is designated "high-risk," the commissioner may withhold payment from
providers within that category upon initial enrollment for a 90-day period. The withholding
for each provider must begin on the date of the first submission of a claim.

(g) An enrolled provider that is also licensed by the commissioner under chapter 245A,
is licensed as a home care provider by the Department of Health under chapter 144A, or is
licensed as an assisted living facility under chapter 144G and has a home and
community-based services designation on the home care license under section 144A.484,
must designate an individual as the entity's compliance officer. The compliance officer
must:

(1) develop policies and procedures to assure adherence to medical assistance laws and
regulations and to prevent inappropriate claims submissions;

(2) train the employees of the provider entity, and any agents or subcontractors of the
provider entity including billers, on the policies and procedures under clause (1);

(3) respond to allegations of improper conduct related to the provision or billing of
medical assistance services, and implement action to remediate any resulting problems;

(4) use evaluation techniques to monitor compliance with medical assistance laws and
regulations;

(5) promptly report to the commissioner any identified violations of medical assistance
laws or regulations; and

(6) within 60 days of discovery by the provider of a medical assistance reimbursement
overpayment, report the overpayment to the commissioner and make arrangements with
the commissioner for the commissioner's recovery of the overpayment.

The commissioner may require, as a condition of enrollment in medical assistance, that a
provider within a particular industry sector or category establish a compliance program that
contains the core elements established by the Centers for Medicare and Medicaid Services.

(h) The commissioner may revoke the enrollment of an ordering or rendering provider
for a period of not more than one year, if the provider fails to maintain and, upon request
from the commissioner, provide access to documentation relating to written orders or requests
for payment for durable medical equipment, certifications for home health services, or
referrals for other items or services written or ordered by such provider, when the
commissioner has identified a pattern of a lack of documentation. A pattern means a failure
to maintain documentation or provide access to documentation on more than one occasion.
Nothing in this paragraph limits the authority of the commissioner to sanction a provider
under the provisions of section 256B.064.

(i) The commissioner shall terminate or deny the enrollment of any individual or entity
if the individual or entity has been terminated from participation in Medicare or under the
Medicaid program or Children's Health Insurance Program of any other state. The
commissioner may exempt a rehabilitation agency from termination or denial that would
otherwise be required under this paragraph, if the agency:

(1) is unable to retain Medicare certification and enrollment solely due to a lack of billing
to the Medicare program;

(2) meets all other applicable Medicare certification requirements based on an on-site
review completed by the commissioner of health; and

(3) serves primarily a pediatric population.

(j) As a condition of enrollment in medical assistance, the commissioner shall require
that a provider designated "moderate" or "high-risk" by the Centers for Medicare and
Medicaid Services or the commissioner permit the Centers for Medicare and Medicaid
Services, its agents, or its designated contractors and the state agency, its agents, or its
designated contractors to conduct unannounced on-site inspections of any provider location.
The commissioner shall publish in the Minnesota Health Care Program Provider Manual a
list of provider types designated "limited," "moderate," or "high-risk," based on the criteria
and standards used to designate Medicare providers in Code of Federal Regulations, title
42, section 424.518. The list and criteria are not subject to the requirements of chapter 14.
The commissioner's designations are not subject to administrative appeal.

(k) As a condition of enrollment in medical assistance, the commissioner shall require
that a high-risk provider, or a person with a direct or indirect ownership interest in the
provider of five percent or higher, consent to criminal background checks, including
fingerprinting, when required to do so under state law or by a determination by the
commissioner or the Centers for Medicare and Medicaid Services that a provider is designated
high-risk for fraud, waste, or abuse.

(l)(1) Upon initial enrollment, reenrollment, and notification of revalidation, all durable
medical equipment, prosthetics, orthotics, and supplies (DMEPOS) medical suppliers
meeting the durable medical equipment provider and supplier definition in clause (3),
operating in Minnesota and receiving Medicaid funds must purchase a surety bond that is
annually renewed and designates the Minnesota Department of Human Services as the
obligee, and must be submitted in a form approved by the commissioner. For purposes of
this clause, the following medical suppliers are not required to obtain a surety bond: a
federally qualified health center, a home health agency, the Indian Health Service, a
pharmacy, and a rural health clinic.

(2) At the time of initial enrollment or reenrollment, durable medical equipment providers
and suppliers defined in clause (3) must purchase a surety bond of $50,000. If a revalidating
provider's Medicaid revenue in the previous calendar year is up to and including $300,000,
the provider agency must purchase a surety bond of $50,000. If a revalidating provider's
Medicaid revenue in the previous calendar year is over $300,000, the provider agency must
purchase a surety bond of $100,000. The surety bond must allow for recovery of costs and
fees in pursuing a claim on the bond.

(3) "Durable medical equipment provider or supplier" means a medical supplier that can
purchase medical equipment or supplies for sale or rental to the general public and is able
to perform or arrange for necessary repairs to and maintenance of equipment offered for
sale or rental.

(m) The Department of Human Services may require a provider to purchase a surety
bond as a condition of initial enrollment, reenrollment, reinstatement, or continued enrollment
if: (1) the provider fails to demonstrate financial viability, (2) the department determines
there is significant evidence of or potential for fraud and abuse by the provider, or (3) the
provider or category of providers is designated high-risk pursuant to paragraph (f) and as
per Code of Federal Regulations, title 42, section 455.450. The surety bond must be in an
amount of $100,000 or ten percent of the provider's payments from Medicaid during the
immediately preceding 12 months, whichever is greater. The surety bond must name the
Department of Human Services as an obligee and must allow for recovery of costs and fees
in pursuing a claim on the bond. This paragraph does not apply if the provider currently
maintains a surety bond under the requirements in section new text begin 256B.051, new text end 256B.0659new text begin , 256B.0701,new text end
or 256B.85.

new text begin EFFECTIVE DATE. new text end

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

Sec. 8.

Minnesota Statutes 2024, section 256B.051, subdivision 2, is amended to read:


Subd. 2.

Definitions.

(a) For the purposes of this section, the terms defined in this
subdivision have the meanings given.

new text begin (b) "Agency" means the legal entity that is enrolled with Minnesota health care programs
as a medical assistance provider according to Minnesota Rules, part 9505.0195, to provide
housing stabilization services and that has the legal responsibility to ensure that its employees
carry out the responsibilities defined in this section.
 new text end

deleted text begin (b)deleted text end new text begin (c)new text end "At-risk of homelessness" means (1) an individual that is faced with a set of
circumstances likely to cause the individual to become homeless, or (2) an individual
previously homeless, who will be discharged from a correctional, medical, mental health,
or treatment center, who lacks sufficient resources to pay for housing and does not have a
permanent place to live.

deleted text begin (c)deleted text end new text begin (d)new text end "Commissioner" means the commissioner of human services.

new text begin (e) "Employee of an agency" or "employee" means any person who is employed by an
agency temporarily, part time, or full time and who performs work for at least 80 hours in
a year for that agency in Minnesota. Employee does not include an independent contractor.
 new text end

deleted text begin (d)deleted text end new text begin (f)new text end "Homeless" means an individual or family lacking a fixed, adequate nighttime
residence.

deleted text begin (e)deleted text end new text begin (g)new text end "Individual with a disability" means:

(1) an individual who is aged, blind, or disabled as determined by the criteria used by
the title 11 program of the Social Security Act, United States Code, title 42, section 416,
paragraph (i), item (1); or

(2) an individual who meets a category of eligibility under section 256D.05, subdivision
1, paragraph (a), clause (1), (4), (5) to (8), or (13).

deleted text begin (f)deleted text end new text begin (h)new text end "Institution" means a setting as defined in section 256B.0621, subdivision 2,
clause (3), and the Minnesota Security Hospital as defined in section 253.20.

Sec. 9.

Minnesota Statutes 2024, section 256B.051, subdivision 5, is amended to read:


Subd. 5.

Housing stabilization services.

(a) Housing stabilization services include
housing transition services deleted text begin anddeleted text end new text begin ,new text end housing and tenancy sustaining servicesnew text begin , housing consultation
services, and housing transition costsnew text end .

(b) Housing transition services are defined as:

(1) tenant screening and housing assessment;

(2) assistance with the housing search and application process;

(3) identifying resources to cover onetime moving expenses;

(4) ensuring a new living arrangement is safe and ready for move-in;

(5) assisting in arranging for and supporting details of a move; and

(6) developing a housing support crisis plan.

(c) Housing and tenancy sustaining services include:

(1) prevention and early identification of behaviors that may jeopardize continued stable
housing;

(2) education and training on roles, rights, and responsibilities of the tenant and the
property manager;

(3) coaching to develop and maintain key relationships with property managers and
neighbors;

(4) advocacy and referral to community resources to prevent eviction when housing is
at risk;

(5) assistance with housing recertification process;

(6) coordination with the tenant to regularly review, update, and modify the housing
support and crisis plan; and

(7) continuing training on being a good tenant, lease compliance, and household
management.

(d) deleted text begin A housing stabilization service may includedeleted text end new text begin Housing consultation services assist an
individual with developing anew text end person-centered deleted text begin planning for people who aredeleted text end new text begin plan when the
individual isnew text end not eligible to receive person-centered planning through any other servicedeleted text begin , if
the person-centered planning is provided by a consultation service provider that is under
contract with the department and enrolled as a Minnesota health care programdeleted text end .

(e) Housing transition costs are available to persons transitioning from a
provider-controlled setting to the person's own home and include:

(1) security deposits; and

(2) essential furnishings and supplies.

Sec. 10.

Minnesota Statutes 2024, section 256B.051, subdivision 6, is amended to read:


Subd. 6.

deleted text begin Providerdeleted text end new text begin Agencynew text end qualifications and duties.

deleted text begin A providerdeleted text end new text begin An agency is new text end eligible
for reimbursement under this section deleted text begin shalldeleted text end new text begin only if the agencynew text end :

new text begin (1) is confirmed by the commissioner as an eligible provider after a pre-enrollment risk
assessment under subdivision 6a;
 new text end

deleted text begin (1) enrolldeleted text end new text begin (2) is enrollednew text end as a medical assistance Minnesota health care program provider
and deleted text begin meetdeleted text end new text begin meetsnew text end all applicable provider standards and requirements;

deleted text begin (2) demonstratedeleted text end new text begin (3) demonstratesnew text end compliance with federal and state laws and policies
for housing stabilization services as determined by the commissioner;

deleted text begin (3) complydeleted text end new text begin (4) compliesnew text end with background study requirements under chapter 245C and
deleted text begin maintaindeleted text end new text begin maintainsnew text end documentation of background study requests and results;

new text begin (5) provides at the time of enrollment, reenrollment, and revalidation in a format
determined by the commissioner, proof of surety bond coverage for each business location
providing services. Upon new enrollment, or if the provider's medical assistance revenue
in the previous calendar year is $300,000 or less, the provider agency must purchase a surety
bond of $50,000. If the provider's medical assistance revenue in the previous year is over
$300,000, the provider agency must purchase a surety bond of $100,000. The surety bond
must be in a form approved by the commissioner, must be renewed annually, and must
allow for recovery of costs and fees in pursuing a claim on the bond. Any action to obtain
monetary recovery or sanctions from a surety bond must occur within six years from the
date the debt is affirmed by a final agency decision. An agency decision is final when the
right to appeal the debt has been exhausted or the time to appeal has expired under section
256B.064;
 new text end

deleted text begin (4)deleted text end new text begin (6)new text end directly deleted text begin providedeleted text end new text begin providesnew text end housing stabilization services new text begin using employees of the
agency new text end and not deleted text begin usedeleted text end new text begin by usingnew text end a subcontractor or reporting agent; deleted text begin and
deleted text end

deleted text begin (5) completedeleted text end new text begin (7) ensures all controlling individuals and employees of the agency completenew text end
annual vulnerable adult trainingdeleted text begin .deleted text end new text begin ; and
new text end

new text begin (8) completes compliance training as required under subdivision 6b.
 new text end

Sec. 11.

Minnesota Statutes 2024, section 256B.051, is amended by adding a subdivision
to read:


new text begin Subd. 6a. new text end

new text begin Pre-enrollment risk assessment. new text end

new text begin (a) Prior to enrolling a housing stabilization
services agency, the commissioner must complete a pre-enrollment risk assessment of the
agency seeking to enroll to confirm the agency's eligibility and the agency's ability to meet
the requirements of this section. In completing this assessment, the commissioner must
consider:
 new text end

new text begin (1) the potential agency's history of performing services similar to those required by this
section;
 new text end

new text begin (2) whether the services require the potential agency to perform duties at a significantly
increased scale and, if so, whether the potential agency has the capability and organizational
capacity to do so;
 new text end

new text begin (3) the potential agency's financial information and internal controls; and
 new text end

new text begin (4) the potential agency's compliance with other state and federal requirements, including
but not limited to debarment and suspension status, and standing with the secretary of state,
if applicable.
 new text end

new text begin (b) At any time when completing the pre-enrollment risk assessment, if the commissioner
determines that the potential agency does not have a history of performing similar duties,
the potential agency does not demonstrate the capability and capacity to perform the duties
at the scale and pace required, or the results of the financial information review raise concern,
then the commissioner may deem the potential agency ineligible and deny or rescind
enrollment. A potential agency may appeal a decision regarding its eligibility in writing
within 30 business days. The commissioner must notify each potential agency of the
commissioner's final decision regarding its eligibility.
 new text end

new text begin (c) This subdivision is effective July 1, 2025. Any housing stabilization services provider
enrolled before July 1, 2025, that billed for services on or after January 1, 2024, must
complete the pre-enrollment risk assessment on a schedule determined by the commissioner
and no later than July 1, 2026, to remain eligible. Any provider enrolled before July 1, 2025,
that has not billed for services on or after January 1, 2024, must complete the pre-enrollment
risk assessment to remain eligible.
 new text end

Sec. 12.

Minnesota Statutes 2024, section 256B.051, is amended by adding a subdivision
to read:


new text begin Subd. 6b. new text end

new text begin Requirements for provider enrollment. new text end

new text begin (a) Effective January 1, 2027, to
enroll as a housing stabilization services provider agency, an agency must require all owners
of the agency who are active in the day-to-day management and operations of the agency
and managerial and supervisory employees to complete compliance training before applying
for enrollment and every three years thereafter. Mandatory compliance training format and
content must be determined by the commissioner and must include the following topics:
 new text end

new text begin (1) state and federal program billing, documentation, and service delivery requirements;
 new text end

new text begin (2) enrollment requirements;
 new text end

new text begin (3) provider program integrity, including fraud prevention, detection, and penalties;
 new text end

new text begin (4) fair labor standards;
 new text end

new text begin (5) workplace safety requirements; and
 new text end

new text begin (6) recent changes in service requirements.
 new text end

new text begin (b) New owners active in day-to-day management and operations of the agency and new
managerial and supervisory employees must complete compliance training under this
subdivision to be employed by or conduct management and operations activities for the
agency. If an individual moves to another housing stabilization services provider agency
and serves in a similar ownership or employment capacity, the individual is not required to
repeat the training required under this subdivision if the individual documents completion
of the training within the past three years.
 new text end

new text begin (c) Any housing stabilization services provider agency enrolled before January 1, 2027,
must complete the compliance training by January 1, 2028, and every three years thereafter.
 new text end

Sec. 13.

Minnesota Statutes 2024, section 256B.051, subdivision 8, is amended to read:


Subd. 8.

Documentation requirements.

(a) deleted text begin Documentation may be collected and
maintaineddeleted text end new text begin An agency must document delivery of all services. The agency must collect and
maintain the required information eithernew text end electronically or in paper form deleted text begin by providersdeleted text end and
must deleted text begin be produceddeleted text end new text begin produce the documents containing the informationnew text end upon request by the
commissioner.

(b) Documentation of a delivered service must be in English and must be legible according
to the standard of a reasonable person.

(c) If the service is reimbursed at an hourly or specified minute-based rate, each
documentation of the provision of a service, unless otherwise specified, must include:

new text begin (1) the full name of the service recipient;
 new text end

deleted text begin (1)deleted text end new text begin (2)new text end the date the documentation occurred;

deleted text begin (2)deleted text end new text begin (3)new text end the day, month, and year the service was provided;

deleted text begin (3)deleted text end new text begin (4)new text end the start and stop times with a.m. and p.m. designations, except for deleted text begin person-centered
planning services described under subdivision 5, paragraph (d)deleted text end new text begin housing consultation servicesnew text end ;

deleted text begin (4)deleted text end new text begin (5)new text end the service name or description of the service providednew text begin for each date of servicenew text end ;
deleted text begin and
deleted text end

deleted text begin (5)deleted text end new text begin (6)new text end the name, signature, and title, if any, of the deleted text begin provider ofdeleted text end new text begin employee of the agency
that provided thenew text end service. If the service is provided by multiple deleted text begin staff membersdeleted text end new text begin employeesnew text end ,
the deleted text begin providerdeleted text end new text begin agencynew text end may designate deleted text begin a staff memberdeleted text end new text begin an employeenew text end responsible for verifying
services and completing the documentation required by this paragraphdeleted text begin .deleted text end new text begin ;
new text end

new text begin (7) the signature of the service recipient and a statement that the recipient's signature is
verification of the accuracy of the service documentation; and
 new text end

new text begin (8) a statement that it is a federal crime to provide false information on housing
stabilization services billings for medical assistance payments.
 new text end

Sec. 14.

Minnesota Statutes 2024, section 256B.051, is amended by adding a subdivision
to read:


new text begin Subd. 9. new text end

new text begin Service limits. new text end

new text begin (a) Housing stabilization services must not exceed the limits in
clauses (1) to (4):
 new text end

new text begin (1) housing transition services are limited to 100 hours annually per recipient and are
not billable when a recipient is concurrently receiving housing and tenancy sustaining
services;
 new text end

new text begin (2) housing and tenancy sustaining services are limited to 100 hours annually per recipient
and are not billable when a recipient is concurrently receiving housing transition services;
 new text end

new text begin (3) housing consultation services are available once annually per recipient and must be
provided in person. Additional sessions of housing consultation services may be authorized
by the commissioner if the recipient becomes homeless, the recipient experiences a significant
change in condition that impacts the recipient's housing, or the recipient requests an update
or change to the recipient's plan; and
 new text end

new text begin (4) housing transition costs are limited to $3,000 annually.
 new text end

new text begin (b) Remote support cannot be used for more than a total of 20 percent of all housing
transition services and housing and tenancy sustaining services provided to a recipient in a
calendar month and is limited to audio-only and accessible video-based platforms. A recipient
may refuse, stop, or suspend the use of remote support at any time.
 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. 15.

Minnesota Statutes 2024, section 256B.051, is amended by adding a subdivision
to read:


new text begin Subd. 10. new text end

new text begin Service limit exceptions. new text end

new text begin If a recipient requires services exceeding the limits
described in subdivision 9, a provider may request authorization for additional hours in a
format prescribed by the commissioner. Requests must specify the number of additional
hours being requested to meet the recipient's needs and include sufficient documentation
to justify the increase to billable hours. Exceptions to service limits are not allowed on the
sole basis of changing providers and are limited to recipients who:
 new text end

new text begin (1) become or are at risk of becoming homeless or institutionalized due to a significant
change in condition;
 new text end

new text begin (2) have a history of long-term homelessness;
 new text end

new text begin (3) have a history of domestic violence; or
 new text end

new text begin (4) have a criminal background that is a barrier to obtaining housing.
 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 must inform the revisor of statutes
when federal approval is obtained.
 new text end

Sec. 16.

Minnesota Statutes 2024, section 256B.0701, subdivision 1, is amended to read:


Subdivision 1.

Definitions.

(a) For purposes of this section, the following terms have
the meanings given.

new text begin (b) "Habitability inspection" means an inspection that meets the requirements of
subdivision 13.
 new text end

deleted text begin (b)deleted text end new text begin (c)new text end "Provider" means a recuperative care provider deleted text begin as defined bydeleted text end new text begin that meetsnew text end the
standards deleted text begin establisheddeleted text end new text begin for medical respite care programs most recently publishednew text end by the
National Institute for Medical Respite Carenew text begin .
new text end

deleted text begin (c)deleted text end new text begin (d)new text end "Recuperative care" means a model of care that prevents hospitalization or that
provides postacute medical care and support services for recipients experiencing
homelessness who are too ill or frail to recover from a physical illness or injury while living
in a shelter or are otherwise unhoused but who are not sick enough to be hospitalized or
remain hospitalized, or to need other levels of care.

Sec. 17.

Minnesota Statutes 2024, section 256B.0701, subdivision 2, is amended to read:


Subd. 2.

Recuperative care settings.

Recuperative care may be provided in any settingnew text begin
that meets the habitability inspection requirements in subdivision 13new text end , including but not
limited to homeless shelters, congregate care settings, single room occupancy settings, or
supportive housing, so long as the provider of recuperative care or provider of housing is
able to provide to the recipient within the designated setting, at a minimum:

(1) 24-hour access to a bed and bathroom;

(2) access to three meals a day;

(3) availability to environmental services;

(4) access to a telephone;

(5) a secure place to store belongings; and

(6) staff available within the setting to provide a wellness check as needed, but at a
minimum, at least once every 24 hours.

Sec. 18.

Minnesota Statutes 2024, section 256B.0701, is amended by adding a subdivision
to read:


new text begin Subd. 9. new text end

new text begin Provider qualifications and duties. new text end

new text begin A provider is eligible for reimbursement
under this section only if the provider:
 new text end

new text begin (1) is confirmed by the commissioner as an eligible provider after a pre-enrollment risk
assessment under subdivision 10;
 new text end

new text begin (2) is enrolled as a medical assistance Minnesota health care program provider and meets
all applicable provider standards and requirements;
 new text end

new text begin (3) demonstrates compliance with federal and state laws and policies for housing
stabilization services as determined by the commissioner;
 new text end

new text begin (4) complies with background study requirements under chapter 245C and maintains
documentation of background study requests and results;
 new text end

new text begin (5) provides at the time of enrollment, reenrollment, and revalidation in a format
determined by the commissioner, proof of surety bond coverage for each business location
providing services. Upon new enrollment, or if the provider's medical assistance revenue
in the previous calendar year is $300,000 or less, the provider agency must purchase a surety
bond of $50,000. If the provider's medical assistance revenue in the previous year is over
$300,000, the provider agency must purchase a surety bond of $100,000. The surety bond
must be in a form approved by the commissioner, must be renewed annually, and must
allow for recovery of costs and fees in pursuing a claim on the bond. Any action to obtain
monetary recovery or sanctions from a surety bond must occur within six years from the
date the debt is affirmed by a final agency decision. An agency decision is final when the
right to appeal the debt has been exhausted or the time to appeal has expired under section
256B.064;
 new text end

new text begin (6) ensures all controlling individuals and employees of the agency complete annual
vulnerable adult training;
 new text end

new text begin (7) completes compliance training as required under subdivision 11; and
 new text end

new text begin (8) complies with the habitability inspection requirements in subdivision 13.
 new text end

Sec. 19.

Minnesota Statutes 2024, section 256B.0701, is amended by adding a subdivision
to read:


new text begin Subd. 10. new text end

new text begin Pre-enrollment risk assessment. new text end

new text begin (a) Prior to enrolling a recuperative care
provider, the commissioner must complete a pre-enrollment risk assessment of the provider
seeking to enroll to confirm the provider's eligibility and the provider's ability to meet the
requirements of this section. In completing this assessment, the commissioner must consider:
 new text end

new text begin (1) the potential provider's history of performing services similar to those required by
this section;
 new text end

new text begin (2) whether the services require the potential provider to perform duties at a significantly
increased scale and, if so, whether the potential provider has the capability and organizational
capacity to do so;
 new text end

new text begin (3) the potential provider's financial information and internal controls; and
 new text end

new text begin (4) the potential provider's compliance with other state and federal requirements, including
but not limited to debarment and suspension status, and standing with the secretary of state,
if applicable.
 new text end

new text begin (b) At any time when completing the pre-enrollment risk assessment, if the commissioner
determines that the potential provider does not have a history of performing similar duties,
the potential provider does not demonstrate the capability and capacity to perform the duties
at the scale and pace required, or the results of the financial information review raise concern,
then the commissioner may deem the potential provider ineligible and deny or rescind
enrollment. A potential provider may appeal a decision regarding the provider's eligibility
in writing within 30 business days. The commissioner must notify each potential provider
of the commissioner's final decision regarding the provider's eligibility.
 new text end

new text begin (c) This subdivision is effective July 1, 2025. Any recuperative care provider enrolled
before July 1, 2025, that billed for services on or after January 1, 2024, must complete the
pre-enrollment risk assessment on a schedule determined by the commissioner and no later
than July 1, 2026, to remain eligible. Any provider enrolled before July 1, 2025, that has
not billed for services on or after January 1, 2024, must complete the pre-enrollment risk
assessment to remain eligible.
 new text end

Sec. 20.

Minnesota Statutes 2024, section 256B.0701, is amended by adding a subdivision
to read:


new text begin Subd. 11. new text end

new text begin Requirements for provider enrollment; compliance training. new text end

new text begin (a) Effective
January 1, 2027, to enroll as a recuperative care provider, a provider must require all owners
of the provider who are active in the day-to-day management and operations of the agency
and all managerial and supervisory employees to complete compliance training before
applying for enrollment and every three years thereafter. Mandatory compliance training
format and content must be determined by the commissioner and must include the following
topics:
 new text end

new text begin (1) state and federal program billing, documentation, and service delivery requirements;
 new text end

new text begin (2) enrollment requirements;
 new text end

new text begin (3) provider program integrity, including fraud prevention, detection, and penalties;
 new text end

new text begin (4) fair labor standards;
 new text end

new text begin (5) workplace safety requirements; and
 new text end

new text begin (6) recent changes in service requirements.
 new text end

new text begin (b) New owners active in day-to-day management and operations of the provider and
new managerial and supervisory employees must complete compliance training under this
subdivision to be employed by or conduct management and operations activities for the
provider. If an individual moves to another recuperative care provider and serves in a similar
ownership or employment capacity, the individual is not required to repeat the training
required under this subdivision if the individual documents completion of the training within
the past three years.
 new text end

new text begin (c) Any recuperative care provider enrolled before January 1, 2027, must complete the
compliance training by January 1, 2028, and every three years thereafter.
 new text end

Sec. 21.

Minnesota Statutes 2024, section 256B.0701, is amended by adding a subdivision
to read:


new text begin Subd. 12. new text end

new text begin Requirements for provider enrollment; documentation of habitability
inspection. new text end

new text begin (a) Effective July 1, 2025, to enroll as a recuperative care provider, a provider
must submit to the commissioner proof that a habitability inspection of the proposed service
setting has been performed and a qualified inspector has deemed the setting habitable.
 new text end

new text begin (b) Any recuperative care provider enrolled prior to July 1, 2025, must submit to the
commissioner by July 1, 2026, proof that a habitability inspection of the service setting has
been performed and a qualified inspector has deemed the setting habitable.
 new text end

Sec. 22.

Minnesota Statutes 2024, section 256B.0701, is amended by adding a subdivision
to read:


new text begin Subd. 13. new text end

new text begin Habitability inspection requirements. new text end

new text begin (a) A recuperative care provider
providing recuperative care services in an unlicensed setting must ensure that the unlicensed
setting is inspected by a qualified inspector with demonstrated knowledge of housing
inspection standards and professional experience conducting home inspections. The
habitability inspection must include an assessment of potential home-based health and safety
risks to ensure the living environment does not adversely affect the occupants' health and
safety. Inspectors must evaluate both the habitability and environmental safety of the
property, including but not limited to the following characteristics of the unlicensed setting:
 new text end

new text begin (1) adequacy of space for the individuals being served;
 new text end

new text begin (2) indoor air quality and ventilation;
 new text end

new text begin (3) adequacy of safe water supply;
 new text end

new text begin (4) cleanliness of the setting, including kitchen, bathroom, and living spaces;
 new text end

new text begin (5) adequacy of electrical service, outlets, and lighting and absence of electrical hazards;
 new text end

new text begin (6) potential lead exposure;
 new text end

new text begin (7) conditions that may affect health;
 new text end

new text begin (8) conditions that may affect safety;
 new text end

new text begin (9) condition of the building foundation and exterior, including accessibility; and
 new text end

new text begin (10) condition and functionality of equipment for heating, cooling, and ventilation and
plumbing.
 new text end

new text begin (b) A recuperative care provider must not provide services in an unlicensed setting prior
to receiving a habitability inspection and documentation that the inspector deems the setting
habitable. The recuperative care provider must maintain documentation that the inspection
occurred and the results of the inspection.
 new text end

Sec. 23.

Minnesota Statutes 2024, section 256I.05, is amended by adding a subdivision
to read:


new text begin Subd. 1v. new text end

new text begin Supplementary rate for certain facilities. new text end

new text begin Notwithstanding the provisions
of subdivisions 1a and 1c, beginning July 1, 2026, an agency shall negotiate a supplementary
rate in addition to the rate specified in subdivision 1 for a housing support provider operating
indoor communities with low barriers to access. The communities must: (1) be composed
of individual secure, private dwellings for persons experiencing unsheltered homelessness
with complex health needs including substance use disorder, serious mental illness, and
physical health conditions; and (2) provide 24-hour-a-day supervision with on-site support
services for 100 beds in the Twin Cities metropolitan area in a facility operating since 2020
and 48 beds in central Minnesota in a facility opening after 2025. The supplementary rate
must not exceed $975 per month, including any legislatively authorized inflationary
adjustments.
 new text end

Sec. 24.

Minnesota Statutes 2024, section 256I.05, is amended by adding a subdivision
to read:


new text begin Subd. 1w. new text end

new text begin Supplemental rate; Blue Earth County. new text end

new text begin Notwithstanding the provisions of
subdivisions 1a and 1c, beginning July 1, 2025, a county agency shall negotiate a
supplementary rate in addition to the rate specified in subdivision 1, not to exceed $750 per
month, including any legislatively authorized inflationary adjustments, for a housing support
provider located in Blue Earth County that operates a long-term residential facility that
opened in 2007 in Garden City with a total of 20 beds that serves chemically dependent
women and provides 24-hour-a-day supervision and other support services.
 new text end

Sec. 25.

Minnesota Statutes 2024, section 256I.05, is amended by adding a subdivision
to read:


new text begin Subd. 1x. new text end

new text begin Supplemental rate; Otter Tail County. new text end

new text begin Notwithstanding the provisions of
subdivisions 1a and 1c, beginning July 1, 2025, a county agency shall negotiate a
supplemental rate for up to 24 beds in addition to the rate specified in subdivision 1, not to
exceed the maximum rate allowed under subdivision 1a, including any legislatively
authorized inflationary adjustments, for housing support providers located in Otter Tail
County that operate facilities and provide room and board and supplementary services to
adults recovering from substance use disorder, mental illness, or housing instability.
 new text end

Sec. 26. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2024, sections 245C.03, subdivision 13; and 245C.10, subdivision
16, new text end new text begin are repealed.
 new text end

ARTICLE 8

DEPARTMENT OF HEALTH

Section 1.

Minnesota Statutes 2024, section 144A.01, subdivision 4, is amended to read:


Subd. 4.

Controlling person.

(a) "Controlling person" means an owner and the following
individuals and entities, if applicable:

(1) each officer of the organization, including the chief executive officer and the chief
financial officer;

(2) the nursing home administrator; deleted text begin and
deleted text end

(3) any managerial officialdeleted text begin .deleted text end new text begin ; and
new text end

new text begin (4) if no individual has at least a five percent ownership interest, every individual with
an ownership interest in a privately held corporation, limited liability company, or other
business entity, including a business entity that is publicly traded or nonpublicly traded,
that collects capital investments from individuals or entities.
 new text end

(b) "Controlling person" also means any entity or natural person who has any direct or
indirect ownership interest in:

(1) any corporation, partnership or other business association which is a controlling
person;

(2) the land on which a nursing home is located;

(3) the structure in which a nursing home is located;

(4) any entity with at least a five percent mortgage, contract for deed, deed of trust, or
other security interest in the land or structure comprising a nursing home; or

(5) any lease or sublease of the land, structure, or facilities comprising a nursing home.

(c) "Controlling person" does not include:

(1) a bank, savings bank, trust company, savings association, credit union, industrial
loan and thrift company, investment banking firm, or insurance company unless the entity
directly or through a subsidiary operates a nursing home;

(2) government and government-sponsored entities such as the United States Department
of Housing and Urban Development, Ginnie Mae, Fannie Mae, Freddie Mac, and the
Minnesota Housing Finance Agency which provide loans, financing, and insurance products
for housing sites;

(3) an individual who is a state or federal official, a state or federal employee, or a
member or employee of the governing body of a political subdivision of the state or federal
government that operates one or more nursing homes, unless the individual is also an officer,
owner, or managerial official of the nursing home, receives any remuneration from a nursing
home, or who is a controlling person not otherwise excluded in this subdivision;

(4) a natural person who is a member of a tax-exempt organization under section 290.05,
subdivision 2, unless the individual is also a controlling person not otherwise excluded in
this subdivision; and

(5) a natural person who owns less than five percent of the outstanding common shares
of a corporation:

(i) whose securities are exempt by virtue of section 80A.45, clause (6); or

(ii) whose transactions are exempt by virtue of section 80A.46, clause (7).

Sec. 2.

Minnesota Statutes 2024, section 144A.474, subdivision 11, is amended to read:


Subd. 11.

Fines.

(a) Fines and enforcement actions under this subdivision may be assessed
based on the level and scope of the violations described in paragraph (b) and imposed
immediately with no opportunity to correct the violation first as follows:

(1) Level 1, no fines or enforcement;

(2) Level 2, a fine of $500 per violation, in addition to any of the enforcement
mechanisms authorized in section 144A.475 for widespread violations;

(3) Level 3, a fine of $3,000 per incident, in addition to any of the enforcement
mechanisms authorized in section 144A.475;

(4) Level 4, a fine of $5,000 per incident, in addition to any of the enforcement
mechanisms authorized in section 144A.475;

(5) for maltreatment violations for which the licensee was determined to be responsible
for the maltreatment under section 626.557, subdivision 9c, paragraph (c), a fine of $1,000.
A fine of $5,000 may be imposed if the commissioner determines the licensee is responsible
for maltreatment consisting of sexual assault, death, or abuse resulting in serious injury;
and

(6) the fines in clauses (1) to (4) are increased and immediate fine imposition is authorized
for both surveys and investigations conducted.

When a fine is assessed against a facility for substantiated maltreatment, the commissioner
shall not also impose an immediate fine under this chapter for the same circumstance.

(b) Correction orders for violations are categorized by both level and scope and fines
shall be assessed as follows:

(1) level of violation:

(i) Level 1 is a violation that has no potential to cause more than a minimal impact on
the client and does not affect health or safety;

(ii) Level 2 is a violation that did not harm a client's health or safety but had the potential
to have harmed a client's health or safety, but was not likely to cause serious injury,
impairment, or death;

(iii) Level 3 is a violation that harmed a client's health or safety, not including serious
injury, impairment, or death, or a violation that has the potential to lead to serious injury,
impairment, or death; and

(iv) Level 4 is a violation that results in serious injury, impairment, or death;

(2) scope of violation:

(i) isolated, when one or a limited number of clients are affected or one or a limited
number of staff are involved or the situation has occurred only occasionally;

(ii) pattern, when more than a limited number of clients are affected, more than a limited
number of staff are involved, or the situation has occurred repeatedly but is not found to be
pervasive; and

(iii) widespread, when problems are pervasive or represent a systemic failure that has
affected or has the potential to affect a large portion or all of the clients.

(c) If the commissioner finds that the applicant or a home care provider has not corrected
violations by the date specified in the correction order or conditional license resulting from
a survey or complaint investigation, the commissioner shall provide a notice of
noncompliance with a correction order by email to the applicant's or provider's last known
email address. The noncompliance notice must list the violations not corrected.

(d) For every violation identified by the commissioner, the commissioner shall issue an
immediate fine pursuant to paragraph (a), clause (6). The license holder must still correct
the violation in the time specified. The issuance of an immediate fine can occur in addition
to any enforcement mechanism authorized under section 144A.475. The immediate fine
may be appealed as allowed under this subdivision.

(e) The license holder must pay the fines assessed on or before the payment date specified.
If the license holder fails to fully comply with the order, the commissioner may issue a
second fine or suspend the license until the license holder complies by paying the fine. A
timely appeal shall stay payment of the fine until the commissioner issues a final order.

(f) A license holder shall promptly notify the commissioner in writing when a violation
specified in the order is corrected. If upon reinspection the commissioner determines that
a violation has not been corrected as indicated by the order, the commissioner may issue a
second fine. The commissioner shall notify the license holder by mail to the last known
address in the licensing record that a second fine has been assessed. The license holder may
appeal the second fine as provided under this subdivision.

(g) A home care provider that has been assessed a fine under this subdivision has a right
to a reconsideration or a hearing under this section and chapter 14.

(h) When a fine has been assessed, the license holder may not avoid payment by closing,
selling, or otherwise transferring the licensed program to a third party. In such an event, the
license holder shall be liable for payment of the fine.

(i) In addition to any fine imposed under this section, the commissioner may assess a
penalty amount based on costs related to an investigation that results in a final order assessing
a fine or other enforcement action authorized by this chapter.

(j) Fines collected under paragraph (a), clauses (1) to (4), shall be deposited in a dedicated
special revenue account. On an annual basis, the balance in the special revenue account
shall be appropriated to the commissioner to implement the recommendations of the advisory
council established in section 144A.4799.new text begin The commissioner must publish on the department's
website an annual report on the fines assessed and collected, and how the appropriated
money was allocated.
new text end

deleted text begin (k) Fines collected under paragraph (a), clause (5), shall be deposited in a dedicated
special revenue account and appropriated to the commissioner to provide compensation
according to subdivision 14 to clients subject to maltreatment. A client may choose to receive
compensation from this fund, not to exceed $5,000 for each substantiated finding of
maltreatment, or take civil action. This paragraph expires July 31, 2021.
 deleted text end

Sec. 3.

Minnesota Statutes 2024, section 144A.4799, is amended to read:


144A.4799 deleted text begin DEPARTMENT OF HEALTH LICENSEDdeleted text end HOME CARE deleted text begin PROVIDERdeleted text end new text begin
AND ASSISTED LIVINGnew text end ADVISORY COUNCIL.

Subdivision 1.

Membership.

The commissioner of health shall appoint deleted text begin 13deleted text end new text begin 14new text end persons
to a home care and assisted living deleted text begin programdeleted text end advisory council consisting of the following:

(1) deleted text begin twodeleted text end new text begin fournew text end public members as defined in section 214.02 deleted text begin who shall be persons who are
currently receiving home care services, persons who have received home care services
within five years of the application date, persons who have family members receiving home
care services, or persons who have family members who have received home care services
within five years of the application datedeleted text end new text begin , one of whom must be a person who either is
receiving or has received home care services preferably within the five years prior to initial
appointment, one of whom must be a person who has or had a family member receiving
home care services preferably within the five years prior to initial appointment, one of whom
must be a person who either is or has been a resident in an assisted living facility preferably
within the five years prior to initial appointment, and one of whom must be a person who
has or had a family member residing in an assisted living facility preferably within the five
years prior to initial appointmentnew text end ;

(2) two Minnesota home care licensees representing basic and comprehensive levels of
licensure who may be a managerial official, an administrator, a supervising registered nurse,
or an unlicensed personnel performing home care tasks;

(3) one member representing the Minnesota Board of Nursing;

(4) one member representing the Office of Ombudsman for Long-Term Care;

(5) one member representing the Office of Ombudsman for Mental Health and
Developmental Disabilities;

(6) deleted text begin beginning July 1, 2021,deleted text end one member of a county health and human services or county
adult protection office;

(7) two Minnesota assisted living facility licensees representing assisted living facilities
and assisted living facilities with dementia care levels of licensure who may be the facility's
assisted living director, managerial official, or clinical nurse supervisor;

(8) one organization representing long-term care providers, home care providers, and
assisted living providers in Minnesota; and

(9) deleted text begin two public members as defined in section 214.02. One public member shall be a
person who either is or has been a resident in an assisted living facility and one public
member shall be a person who has or had a family member living in an assisted living
facility settingdeleted text end new text begin one representative of a consumer advocacy organization representing
individuals receiving long-term care from licensed home care providers or assisted living
facilitiesnew text end .

Subd. 2.

Organizations and meetings.

The advisory council shall be organized and
administered under section 15.059 with per diems and costs paid within the limits of available
appropriations. Meetings will be held quarterly and hosted by the department. Subcommittees
may be developed as necessary by the commissioner. Advisory council meetings are subject
to the Open Meeting Law under chapter 13D.

Subd. 3.

Duties.

(a) At the commissioner's request, the advisory council shall provide
advice regarding regulations of Department of Health licensed assisted living new text begin facilities new text end and
home care providers in this chapternew text begin and chapter 144Gnew text end , including advice on the following:

(1) community standards for home care practices;

(2) enforcement of licensing standards and whether certain disciplinary actions are
appropriate;

(3) ways of distributing information to licensees and consumers of new text begin .new text end home care and
assisted living services defined under chapter 144G;

(4) training standards;

(5) identifying emerging issues and opportunities in home care and assisted living services
defined under chapter 144G;

(6) identifying the use of technology in home and telehealth capabilities;

(7) allowable home care licensing modifications and exemptions, including a method
for an integrated license with an existing license for rural licensed nursing homes to provide
limited home care services in an adjacent independent living apartment building owned by
the licensed nursing home; and

(8) recommendations for studies using the data in section 62U.04, subdivision 4, including
but not limited to studies concerning costs related to dementia and chronic disease among
an elderly population over 60 and additional long-term care costsdeleted text begin , as described in section
62U.10, subdivision 6deleted text end .

(b) The advisory council shall perform other duties as directed by the commissioner.

(c) The advisory council shall deleted text begin annuallydeleted text end make recommendations new text begin annually new text end to the
commissioner for the purposes new text begin of allocating the appropriation new text end in deleted text begin sectiondeleted text end new text begin sectionsnew text end 144A.474,
subdivision 11, paragraph deleted text begin (i)deleted text end new text begin (j), and 144G.31, subdivision 8new text end . new text begin The commissioner shall act
upon the recommendations of the advisory council within one year of the advisory council
submitting its recommendations to the commissioner.new text end The recommendations shall address
ways the commissioner may improve protection of the public under existing statutes and
laws and new text begin improve quality of care. The council's recommendations may new text end include but are not
limited to new text begin special new text end projects new text begin or initiatives new text end thatnew text begin :
new text end

new text begin (1)new text end create and administer training of licensees and new text begin ongoing training for new text end their employees
to improvenew text begin clients' andnew text end residents' lives, deleted text begin supporting ways thatdeleted text end new text begin supportnew text end licenseesnew text begin ,new text end deleted text begin candeleted text end improve
and enhance quality carenew text begin ,new text end and deleted text begin ways todeleted text end provide technical assistance to licensees to improve
compliance;

new text begin (2) develop and implementnew text end information technology and data projects that analyze and
communicate information about trends deleted text begin ofdeleted text end new text begin innew text end violations or lead to ways of improving new text begin resident
and new text end client care;

new text begin (3) improvenew text end communications strategies to licensees and the publicnew text begin ;
new text end

new text begin (4) recruit and retain direct care staff;
 new text end

new text begin (5) recommend education related to the care of vulnerable adults in professional nursing
programs, nurse aide programs, and home health aide programsnew text end ; and

new text begin (6)new text end deleted text begin other projects or pilots thatdeleted text end benefit new text begin residents, new text end clients, families, and the publicnew text begin in other
waysnew text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025, and the amendments to
subdivision 1, clause (1), apply to members whose initial appointment occurs on or after
that date.
 new text end

Sec. 4.

Minnesota Statutes 2024, section 144G.08, subdivision 15, is amended to read:


Subd. 15.

Controlling individual.

(a) "Controlling individual" means an owner and the
following individuals and entities, if applicable:

(1) each officer of the organization, including the chief executive officer and chief
financial officer;

(2) each managerial official; deleted text begin and
deleted text end

(3) any entity with at least a five percent mortgage, deed of trust, or other security interest
in the facilitydeleted text begin .deleted text end new text begin ; and
new text end

new text begin (4) if no individual has at least a five percent ownership interest, every individual with
an ownership interest in a privately held corporation, limited liability company, or other
business entity, including a business entity that is publicly traded or nonpublicly traded,
that collects capital investments from individuals or entities.
 new text end

new text begin (b) Controlling individual also means any entity or natural person who has any direct
or indirect ownership interest in:
 new text end

new text begin (1) any corporation, partnership, or other business association such as a limited liability
company that is a controlling individual;
 new text end

new text begin (2) the land on which an assisted living facility is located; or
 new text end

new text begin (3) the structure in which an assisted living facility is located.
 new text end

deleted text begin (b)deleted text end new text begin (c)new text end Controlling individual does not include:

(1) a bank, savings bank, trust company, savings association, credit union, industrial
loan and thrift company, investment banking firm, or insurance company unless the entity
operates a program directly or through a subsidiary;

(2) government and government-sponsored entities such as the U.S. Department of
Housing and Urban Development, Ginnie Mae, Fannie Mae, Freddie Mac, and the Minnesota
Housing Finance Agency which provide loans, financing, and insurance products for housing
sites;

(3) an individual who is a state or federal official, a state or federal employee, or a
member or employee of the governing body of a political subdivision of the state or federal
government that operates one or more facilities, unless the individual is also an officer,
owner, or managerial official of the facility, receives remuneration from the facility, or
owns any of the beneficial interests not excluded in this subdivision;

(4) an individual who owns less than five percent of the outstanding common shares of
a corporation:

(i) whose securities are exempt under section 80A.45, clause (6); or

(ii) whose transactions are exempt under section 80A.46, clause (2);

(5) an individual who is a member of an organization exempt from taxation under section
290.05, unless the individual is also an officer, owner, or managerial official of the license
or owns any of the beneficial interests not excluded in this subdivision. This clause does
not exclude from the definition of controlling individual an organization that is exempt from
taxation; or

(6) an employee stock ownership plan trust, or a participant or board member of an
employee stock ownership plan, unless the participant or board member is a controlling
individual.

Sec. 5.

Minnesota Statutes 2024, section 144G.31, subdivision 8, is amended to read:


Subd. 8.

Deposit of fines.

Fines collected under this section shall be deposited in a
dedicated special revenue account. deleted text begin On an annual basis,deleted text end The balance in the special revenue
account deleted text begin shall bedeleted text end new text begin isnew text end appropriated to the commissioner for deleted text begin special projects to improvedeleted text end new text begin a
competitive grant program for special projects or initiatives for assisted living facilities
licensed under this chapter or other organizations or entities with experience in or knowledge
of assisted living operations, compliance, resident needs, or best practices for the purpose
of improvingnew text end resident quality of care and outcomes in assisted living facilities licensed
under this chapter in Minnesota deleted text begin as recommended by the advisory council established in
section 144A.4799.deleted text end new text begin , including those projects consistent with criteria in section 144A.4799,
subdivision 3, paragraph (c). A facility with a provisional license under this chapter is not
eligible to apply. The balance in the special revenue account as of January 1, 2026, must
be appropriated for grants within two years, provided there are enough grant requests totaling
the sum in the account. Thereafter, money in the special revenue account must be
appropriated annually. The minimum amount of a grant award is $10,000. The commissioner
may retain up to ten percent of the amount available to cover costs to administer the grants
under this section.
new text end

Sec. 6.

Minnesota Statutes 2024, section 144G.52, subdivision 1, is amended to read:


Subdivision 1.

Definition.

For purposes of sections 144G.52 to 144G.55, "termination"
means:

(1) a facility-initiated termination of deleted text begin housing provided to the resident under the contractdeleted text end new text begin
an assisted living contractnew text end ; or

(2) a facility-initiated termination deleted text begin or nonrenewaldeleted text end of all assisted living services the resident
receives from the facility under the new text begin assisted living new text end contract.

Sec. 7.

Minnesota Statutes 2024, section 144G.52, subdivision 2, is amended to read:


Subd. 2.

Prerequisite to termination of a contract.

(a) Before issuing a notice of
termination of an assisted living contract, a facility must schedule and participate in a meeting
with the resident and the resident's legal representative and designated representative. The
purposes of the meeting are to:

(1) explain in detail the reasons for the proposed termination; and

(2) identify and offer reasonable accommodations or modifications, interventions, or
alternatives to avoid the termination or enable the resident to remain in the facility, including
but not limited to securing services from another provider of the resident's choosing that
may allow the resident to avoid the termination. A facility is not required to offer
accommodations, modifications, interventions, or alternatives that fundamentally alter the
nature of the operation of the facility.

(b) new text begin For a termination pursuant to subdivision 3 or 4, new text end the meeting must be scheduled to
take place at least seven days before a notice of termination is issued. The facility must
make reasonable efforts to ensure that the resident, legal representative, and designated
representative are able to attend the meeting.

(c) new text begin For a termination pursuant to subdivision 5, the meeting must be scheduled to take
place at least five days before a notice of termination is issued. The facility must make
reasonable efforts to ensure that the resident, legal representative, and designated
representative are able to attend the meeting.
new text end

new text begin (d) new text end The facility must notify the resident that the resident may invite family members,
relevant health professionals, a representative of the Office of Ombudsman for Long-Term
Care, a representative of the Office of Ombudsman for Mental Health and Developmental
Disabilities, or other persons of the resident's choosing to participate in the meeting. For
residents who receive home and community-based waiver services under chapter 256S and
section 256B.49, the facility must notify the resident's case manager of the meeting.

deleted text begin (d)deleted text end new text begin (e)new text end In the event of an emergency relocation under subdivision 9, where the facility
intends to issue a notice of termination and an in-person meeting is impractical or impossible,
the facility must use telephone, video, or other electronic means to conduct and participate
in the meeting required under this subdivision and rules within Minnesota Rules, chapter
4659.

Sec. 8.

Minnesota Statutes 2024, section 144G.52, subdivision 3, is amended to read:


Subd. 3.

Termination for nonpayment.

(a) A facility may initiate a termination of
housing because of nonpayment of rent or a termination of services because of nonpayment
for services. Upon issuance of a notice of termination for nonpayment, the facility must
inform the resident that public benefits may be available and must provide contact
information for the Senior LinkAge Line under section 256.975, subdivision 7new text begin , or the
Disability Hub under section 256.01, subdivision 24new text end .

(b) An interruption to a resident's public benefits that lasts for no more than 60 days
does not constitute nonpayment.

Sec. 9.

Minnesota Statutes 2024, section 144G.52, subdivision 8, is amended to read:


Subd. 8.

Content of notice of termination.

The notice required under subdivision 7
must contain, at a minimum:

(1) the effective date of the termination of the assisted living contract;

(2) a detailed explanation of the basis for the termination, including the clinical or other
supporting rationale;

(3) a detailed explanation of the conditions under which a new or amended contract may
be executed;

(4) a statement that the resident has the right to appeal the termination by requesting a
hearing, and information concerning the time frame within which the request must be
submitted and the contact information for the agency to which the request must be submitted;

(5) a statement that the facility must participate in a coordinated move to another provider
or caregiver, as required under section 144G.55;

(6) the name and contact information of the person employed by the facility with whom
the resident may discuss the notice of termination;

(7) information on how to contact the Office of Ombudsman for Long-Term Care and
the Office of Ombudsman for Mental Health and Developmental Disabilities to request an
advocate to assist regarding the termination;

(8) information on how to contact the Senior LinkAge Line under section 256.975,
subdivision 7, new text begin or the Disability Hub under section 256.01, subdivision 24, new text end and an explanation
that the Senior LinkAge Line new text begin and the Disability Hub new text end may provide information about other
available housing or service options; and

(9) if the termination is only for services, a statement that the resident may remain in
the facility and may secure any necessary services from another provider of the resident's
choosing.

Sec. 10.

Minnesota Statutes 2024, section 144G.54, subdivision 3, is amended to read:


Subd. 3.

Appeals process.

(a) The Office of Administrative Hearings must conduct an
expedited hearing as soon as practicable under this section, but in no event later than 14
calendar days after the office receives the request, unless the parties agree otherwise or the
chief administrative law judge deems the timing to be unreasonable, given the complexity
of the issues presented.new text begin For terminations initiated pursuant to section 144G.52, subdivision
5, the Office of Administrative Hearings must conduct an expedited hearing as soon as
practicable but in no event later than ten calendar days after the office receives the request,
unless the parties agree otherwise. The Office of Administrative Hearings has discretion to
order a continuance.
new text end

(b) The hearing must be held at the facility where the resident lives, unless holding the
hearing at that location is impractical, the parties agree to hold the hearing at a different
location, or the chief administrative law judge grants a party's request to appear at another
location or by telephone or interactive video.

(c) The hearing is not a formal contested case proceeding, except when determined
necessary by the chief administrative law judge.

(d) Parties may but are not required to be represented by counsel. The appearance of a
party without counsel does not constitute the unauthorized practice of law.

(e) The hearing shall be limited to the amount of time necessary for the participants to
expeditiously present the facts about the proposed termination. The administrative law judge
shall issue a recommendation to the commissioner as soon as practicable, but in no event
later than ten business days after the hearingnew text begin related to a termination issued under section
144G.52, subdivision 3 or 4, or five business days for a hearing related to a termination
issued under section 144G.52, subdivision 5new text end .

Sec. 11.

Minnesota Statutes 2024, section 144G.54, subdivision 7, is amended to read:


Subd. 7.

Application of chapter 504B to appeals of terminations.

A resident may not
bring an action under chapter 504B to challenge a termination that has occurred and been
upheld under this section.new text begin A facility is entitled to a writ of recovery of premises and order
to vacate pursuant to section 504B.361 when a termination has been upheld under this
section and the facility has met its obligation under section 144G.55.
new text end

Sec. 12.

Minnesota Statutes 2024, section 144G.55, subdivision 1, is amended to read:


Subdivision 1.

Duties of facility.

(a) If a facility terminates an assisted living contract,
reduces services to the extent that a resident needs to move or obtain a new service provider
or the facility has its license restricted under section 144G.20, or the facility conducts a
planned closure under section 144G.57, the facility:

(1) must ensure, subject to paragraph (c), a coordinated move to a safe location that is
appropriate for the resident and that is identified by the facility prior to any hearing under
section 144G.54new text begin and document the samenew text end ;

(2) must ensure a coordinated move of the resident to an appropriate service provider
identified by the facility prior to any hearing under section 144G.54, provided services are
still needed and desired by the resident; and

(3) must consult and cooperate with the resident, legal representative, designated
representative, case manager for a resident who receives home and community-based waiver
services under chapter 256S and section 256B.49, relevant health professionals, and any
other persons of the resident's choosing to make arrangements to move the resident, including
consideration of the resident's goalsnew text begin and document the samenew text end .

(b) A facility may satisfy the requirements of paragraph (a), clauses (1) and (2), by
moving the resident to a different location within the same facility, if appropriate for the
resident.

(c) A resident may decline to move to the location the facility identifies or to accept
services from a service provider the facility identifies, and may choose instead to move to
a location of the resident's choosing or receive services from a service provider of the
resident's choosing within the timeline prescribed in the termination notice.

(d) new text begin A facility has met its obligations under this section, following a termination completed
in accordance with section 144G.52 if:
new text end

new text begin (1) for residents of facilities in the seven-county metropolitan area, the facility identifies
at least three other facilities willing and able to meet the individual's service needs, one of
which is within the seven-county metropolitan area;
 new text end

new text begin (2) for residents of facilities outside of the seven-county metropolitan area, the facility
identifies at least two other facilities willing and able to meet the individual's service needs,
and to the extent such facilities exist, one must be within two hours or 120 miles from the
resident's current location; and
 new text end

new text begin (3) the facility documents, in writing, the resident or the resident's designated
representative has:
 new text end

new text begin (i) consented to move; or
 new text end

new text begin (ii) expressly refused to relocate to any of the facilities identified in accordance with
this subdivision.
 new text end

new text begin (e) new text end Sixty days before the facility plans to reduce or eliminate one or more services for
a particular resident, the facility must provide written notice of the reduction that includes:

(1) a detailed explanation of the reasons for the reduction and the date of the reduction;

(2) the contact information for the Office of Ombudsman for Long-Term Care, the Office
of Ombudsman for Mental Health and Developmental Disabilities, and the name and contact
information of the person employed by the facility with whom the resident may discuss the
reduction of services;

(3) a statement that if the services being reduced are still needed by the resident, the
resident may remain in the facility and seek services from another provider; and

(4) a statement that if the reduction makes the resident need to move, the facility must
participate in a coordinated move of the resident to another provider or caregiver, as required
under this section.

deleted text begin (e)deleted text end new text begin (f)new text end In the event of an unanticipated reduction in services caused by extraordinary
circumstances, the facility must provide the notice required under paragraph deleted text begin (d)deleted text end new text begin (e)new text end as soon
as possible.

deleted text begin (f)deleted text end new text begin (g)new text end If the facility, a resident, a legal representative, or a designated representative
determines that a reduction in services will make a resident need to move to a new location,
the facility must ensure a coordinated move in accordance with this section, and must provide
notice to the Office of Ombudsman for Long-Term Care.

deleted text begin (g)deleted text end new text begin (h)new text end Nothing in this section affects a resident's right to remain in the facility and seek
services from another provider.

Sec. 13.

new text begin [145D.40] DEFINITIONS.
 new text end

new text begin Subdivision 1. new text end

new text begin Application. new text end

new text begin For purposes of sections 145D.40 to 145D.41, the following
terms have the meanings given.
 new text end

new text begin Subd. 2. new text end

new text begin Assisted living facility. new text end

new text begin "Assisted living facility" has the meaning given in
section 144G.08, subdivision 7. Assisted living facility includes an assisted living facility
with dementia care as defined in section 144G.08, subdivision 8.
 new text end

new text begin Subd. 3. new text end

new text begin Nursing home. new text end

new text begin "Nursing home" means a facility licensed as a nursing home
under chapter 144A.
 new text end

new text begin Subd. 4. new text end

new text begin Ownership or control. new text end

new text begin "Ownership or control" means the assumption of
governance or the acquisition of an ownership interest or direct or indirect control by a
for-profit entity over the operations of a nonprofit nursing home or a nonprofit assisted
living facility through any means, including but not limited to a purchase, lease, transfer,
exchange, option, conveyance, creation of a joint venture, or other manner of acquisition
of assets, governance, an ownership interest, or direct or indirect control of a nonprofit
nursing home or a nonprofit assisted living facility.
 new text end

Sec. 14.

new text begin [145D.41] NOTICE OF CERTAIN ACQUISITIONS OF NURSING HOMES
AND ASSISTED LIVING FACILITIES.
 new text end

new text begin Subdivision 1. new text end

new text begin Notice. new text end

new text begin At least 120 days prior to the transfer of ownership or control of
a nonprofit nursing home or nonprofit assisted living facility to a for-profit entity, the nursing
home or assisted living facility must provide written notice to the commissioner of health
and the commissioner of human services of its intent to transfer ownership or control to a
for-profit entity.
 new text end

new text begin Subd. 2. new text end

new text begin Information. new text end

new text begin Together with the notice, the for-profit entity seeking to acquire
ownership or control of the nonprofit nursing home or nonprofit assisted living facility must
provide to the attorney general, commissioner of health, and commissioner of human services
the names of each individual with an interest in the for-profit entity and the percentage of
interest each individual holds in the for-profit entity.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025, and applies to transfers of
ownership or control occurring on or after July 1, 2025.
 new text end

Sec. 15.

Minnesota Statutes 2024, section 256B.092, subdivision 1a, as amended by Laws
2025, chapter 38, article 1, section 16, is amended to read:


Subd. 1a.

Case management services.

(a) Each recipient of a home and community-based
waiver shall be provided case management services by qualified vendors as described in
the federally approved waiver application.

(b) Case management service activities provided to or arranged for a person include:

(1) development of the person-centered support plan under subdivision 1b;

(2) informing the individual or the individual's legal guardian or conservator, or parent
if the person is a minor, of service options, including all service options available under the
waiver plan;

(3) consulting with relevant medical experts or service providers;

(4) assisting the person in the identification of potential providers of chosen services,
including:

(i) providers of services provided in a non-disability-specific setting;

(ii) employment service providers;

(iii) providers of services provided in settings that are not controlled by a provider; and

(iv) providers of financial management services;

(5) assisting the person to access services and assisting in appeals under section 256.045;

(6) coordination of services, if coordination is not provided by another service provider;

(7) evaluation and monitoring of the services identified in the support plan, which must
incorporate at least one annual face-to-face visit by the case manager with each person; deleted text begin and
deleted text end

(8) reviewing support plans and providing the lead agency with recommendations for
service authorization based upon the individual's needs identified in the support plandeleted text begin .deleted text end new text begin ; and
new text end

new text begin (9) assisting and cooperating with facilities licensed under chapter 144G with the
licensee's obligations under section 144G.55.
 new text end

(c) Case management service activities that are provided to the person with a
developmental disability shall be provided directly by county agencies or under contract.
If a county agency contracts for case management services, the county agency must provide
each recipient of home and community-based services who is receiving contracted case
management services with the contact information the recipient may use to file a grievance
with the county agency about the quality of the contracted services the recipient is receiving
from a county-contracted case manager. If a county agency provides case management
under contracts with other individuals or agencies and the county agency utilizes a
competitive proposal process for the procurement of contracted case management services,
the competitive proposal process must include evaluation criteria to ensure that the county
maintains a culturally responsive program for case management services adequate to meet
the needs of the population of the county. For the purposes of this section, "culturally
responsive program" means a case management services program that: (1) ensures effective,
equitable, comprehensive, and respectful quality care services that are responsive to
individuals within a specific population's values, beliefs, practices, health literacy, preferred
language, and other communication needs; and (2) is designed to address the unique needs
of individuals who share a common language or racial, ethnic, or social background.

(d) Case management services must be provided by a public or private agency that is
enrolled as a medical assistance provider determined by the commissioner to meet all of
the requirements in the approved federal waiver plans. Case management services must not
be provided to a recipient by a private agency that has a financial interest in the provision
of any other services included in the recipient's support plan. For purposes of this section,
"private agency" means any agency that is not identified as a lead agency under section
256B.0911, subdivision 10.

(e) Case managers are responsible for service provisions listed in paragraphs (a) and
(b). Case managers shall collaborate with consumers, families, legal representatives, and
relevant medical experts and service providers in the development and annual review of the
person-centered support plan and habilitation plan.

(f) For persons who need a positive support transition plan as required in chapter 245D,
the case manager shall participate in the development and ongoing evaluation of the plan
with the expanded support team. At least quarterly, the case manager, in consultation with
the expanded support team, shall evaluate the effectiveness of the plan based on progress
evaluation data submitted by the licensed provider to the case manager. The evaluation must
identify whether the plan has been developed and implemented in a manner to achieve the
following within the required timelines:

(1) phasing out the use of prohibited procedures;

(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's
timeline; and

(3) accomplishment of identified outcomes.

If adequate progress is not being made, the case manager shall consult with the person's
expanded support team to identify needed modifications and whether additional professional
support is required to provide consultation.

(g) The Department of Human Services shall offer ongoing education in case management
to case managers. Case managers shall receive no less than 20 hours of case management
education and disability-related training each year. The education and training must include
person-centered planning, informed choice, informed decision making, cultural competency,
employment planning, community living planning, self-direction options, and use of
technology supports. Case managers must annually complete an informed choice curriculum
and pass a competency evaluation, in a form determined by the commissioner, on informed
decision-making standards. By August 1, 2024, all case managers must complete an
employment support training course identified by the commissioner of human services. For
case managers hired after August 1, 2024, this training must be completed within the first
six months of providing case management services. For the purposes of this section,
"person-centered planning" or "person-centered" has the meaning given in section 256B.0911,
subdivision 10. Case managers must document completion of training in a system identified
by the commissioner.

Sec. 16.

Minnesota Statutes 2024, section 256B.49, subdivision 13, as amended by Laws
2025, chapter 38, article 1, section 18, is amended to read:


Subd. 13.

Case management.

(a) Each recipient of a home and community-based waiver
shall be provided case management services by qualified vendors as described in the federally
approved waiver application. The case management service activities provided must include:

(1) finalizing the person-centered written support plan within the timelines established
by the commissioner and section 256B.0911, subdivision 29;

(2) informing the recipient or the recipient's legal guardian or conservator of service
options, including all service options available under the waiver plans;

(3) assisting the recipient in the identification of potential service providers of chosen
services, including:

(i) available options for case management service and providers;

(ii) providers of services provided in a non-disability-specific setting;

(iii) employment service providers;

(iv) providers of services provided in settings that are not community residential settings;
and

(v) providers of financial management services;

(4) assisting the recipient to access services and assisting with appeals under section
256.045; deleted text begin and
deleted text end

(5) coordinating, evaluating, and monitoring of the services identified in the service
plandeleted text begin .deleted text end new text begin ; and
new text end

new text begin (6) assisting and cooperating with facilities licensed under chapter 144G with the
licensee's obligations under section 144G.55.
 new text end

(b) The case manager may delegate certain aspects of the case management service
activities to another individual provided there is oversight by the case manager. The case
manager may not delegate those aspects which require professional judgment including:

(1) finalizing the person-centered support plan;

(2) ongoing assessment and monitoring of the person's needs and adequacy of the
approved person-centered support plan; and

(3) adjustments to the person-centered support plan.

(c) Case management services must be provided by a public or private agency that is
enrolled as a medical assistance provider determined by the commissioner to meet all of
the requirements in the approved federal waiver plans. If a county agency provides case
management under contracts with other individuals or agencies and the county agency
utilizes a competitive proposal process for the procurement of contracted case management
services, the competitive proposal process must include evaluation criteria to ensure that
the county maintains a culturally responsive program for case management services adequate
to meet the needs of the population of the county. For the purposes of this section, "culturally
responsive program" means a case management services program that: (1) ensures effective,
equitable, comprehensive, and respectful quality care services that are responsive to
individuals within a specific population's values, beliefs, practices, health literacy, preferred
language, and other communication needs; and (2) is designed to address the unique needs
of individuals who share a common language or racial, ethnic, or social background.

(d) Case management services must not be provided to a recipient by a private agency
that has any financial interest in the provision of any other services included in the recipient's
support plan. For purposes of this section, "private agency" means any agency that is not
identified as a lead agency under section 256B.0911, subdivision 10.

(e) For persons who need a positive support transition plan as required in chapter 245D,
the case manager shall participate in the development and ongoing evaluation of the plan
with the expanded support team. At least quarterly, the case manager, in consultation with
the expanded support team, shall evaluate the effectiveness of the plan based on progress
evaluation data submitted by the licensed provider to the case manager. The evaluation must
identify whether the plan has been developed and implemented in a manner to achieve the
following within the required timelines:

(1) phasing out the use of prohibited procedures;

(2) acquisition of skills needed to eliminate the prohibited procedures within the plan's
timeline; and

(3) accomplishment of identified outcomes.

If adequate progress is not being made, the case manager shall consult with the person's
expanded support team to identify needed modifications and whether additional professional
support is required to provide consultation.

(f) The Department of Human Services shall offer ongoing education in case management
to case managers. Case managers shall receive no less than 20 hours of case management
education and disability-related training each year. The education and training must include
person-centered planning, informed choice, informed decision making, cultural competency,
employment planning, community living planning, self-direction options, and use of
technology supports. Case managers must annually complete an informed choice curriculum
and pass a competency evaluation, in a form determined by the commissioner, on informed
decision-making standards. By August 1, 2024, all case managers must complete an
employment support training course identified by the commissioner of human services. For
case managers hired after August 1, 2024, this training must be completed within the first
six months of providing case management services. For the purposes of this section,
"person-centered planning" or "person-centered" has the meaning given in section 256B.0911,
subdivision 10. Case managers shall document completion of training in a system identified
by the commissioner.

ARTICLE 9

MISCELLANEOUS

Section 1.

Minnesota Statutes 2024, section 144.0724, subdivision 11, as amended by
Laws 2025, chapter 38, article 2, section 5, is amended to read:


Subd. 11.

Nursing facility level of care.

(a) For purposes of medical assistance payment
of long-term care services, a recipient must be determined, using assessments defined in
subdivision 4, to meet one of the following nursing facility level of care criteria:

(1) the person requires formal clinical monitoring at least once per day;

(2) the person needs the assistance of another person or constant supervision to begin
and complete at least four of the following activities of living: bathing, bed mobility, dressing,
eating, grooming, toileting, transferring, and walking;

(3) the person needs the assistance of another person or constant supervision to begin
and complete toileting, transferring, or positioning and the assistance cannot be scheduled;

(4) the person has significant difficulty with memory, using information, daily decision
making, or behavioral needs that require intervention;

(5) the person has had a qualifying nursing facility stay of at least 90 days;

(6) the person meets the nursing facility level of care criteria determined 90 days after
admission or on the first quarterly assessment after admission, whichever is later; or

(7) the person is determined to be at risk for nursing facility admission or readmission
through a face-to-face long-term care consultation assessment as specified in section
256B.0911, subdivision 17 to 21, 23, 24, 27, or 28, by a county, tribe, or managed care
organization under contract with the Department of Human Services. The person is
considered at risk under this clause if the person currently lives alone or will live alone or
be homeless without the person's current housing and also meets one of the following criteria:

(i) the person has experienced a fall resulting in a fracture;

(ii) the person has been determined to be at risk of maltreatment or neglect, including
self-neglect; or

(iii) the person has a sensory impairment that substantially impacts functional ability
and maintenance of a community residence.

(b) The assessment used to establish medical assistance payment for nursing facility
services must be the most recent assessment performed under subdivision 4, paragraph (b),
that occurred no more than 90 calendar days before the effective date of medical assistance
eligibility for payment of long-term care services. In no case shall medical assistance payment
for long-term care services occur prior to the date of the determination of nursing facility
level of care.

(c) The assessment used to establish medical assistance payment for long-term care
services provided under chapter 256S and section 256B.49 and alternative care payment
for services provided under section 256B.0913 must be the most recent face-to-face
assessment performed under section 256B.0911, subdivisions 17 to 21, 23, 24, 27, or 28,
that occurred no more than deleted text begin 60deleted text end new text begin onenew text end calendar deleted text begin daysdeleted text end new text begin yearnew text end before the effective date of medical
assistance eligibility for payment of long-term care services.

Sec. 2.

Laws 2024, chapter 125, article 4, section 9, subdivision 1, is amended to read:


Subdivision 1.

Establishment; purpose.

The Mentally Ill and Dangerous Civil
Commitment Reform Task Force is established tonew text begin :
new text end

new text begin (1)new text end evaluate current statutes related to mentally ill and dangerous civil commitments
deleted text begin anddeleted text end new text begin ;
new text end

new text begin (2) evaluate current statutes related to the process by which a former patient may seek
an order to expunge or vacate a prior commitment as mentally ill and dangerous; and
 new text end

new text begin (3)new text end develop recommendations to optimize the use of state-operated mental health
resources and increase equitable access and outcomes for patients.

Sec. 3.

Laws 2024, chapter 125, article 4, section 9, is amended by adding a subdivision
to read:


new text begin Subd. 7a. new text end

new text begin Duties; expungements and vacaturs. new text end

new text begin The task force must:
 new text end

new text begin (1) analyze current trends in civil commitments as mentally ill and dangerous,
expungements, and vacaturs, including but not limited to the frequency of expungements
and vacaturs in Minnesota as compared to other jurisdictions;
 new text end

new text begin (2) review national practices and criteria for expunging and vacating civil commitments
as mentally ill and dangerous;
 new text end

new text begin (3) develop recommended statutory changes necessary to provide clear direction to
former patients who are seeking to file a motion to expunge or vacate a civil commitment
as mentally ill and dangerous;
 new text end

new text begin (4) develop recommended statutory changes necessary to provide clear direction, criteria
to apply, and evidentiary standards to the courts when considering a motion from a former
patient to expunge or vacate a civil commitment as mentally ill and dangerous; and
 new text end

new text begin (5) develop recommended statutory changes to provide clear direction to former patients
and the courts to address situations in which an individual is civilly 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.
 new text end

Sec. 4.

Laws 2024, chapter 125, article 4, section 9, subdivision 8, is amended to read:


Subd. 8.

Report required.

new text begin (a) new text end 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 begin (b) By August 1, 2026, the task force shall submit to the chairs and ranking minority
members of the legislative committees with jurisdiction over civil commitments a written
report that includes the outcome of the duties in subdivision 7a, including but not limited
to recommended statutory changes.
 new text end

Sec. 5.

Laws 2024, chapter 125, article 4, section 9, subdivision 9, is amended to read:


Subd. 9.

Expiration.

The task force expires January 1, deleted text begin 2026deleted text end new text begin 2027new text end .

Sec. 6. new text begin REVISOR INSTRUCTION.
new text end

new text begin The revisor of statutes shall change the term "emotional disturbance" or similar terms
to "mental illness" or similar terms wherever the terms appear in Minnesota Statutes. The
revisor may make technical and other necessary changes to sentence structure to preserve
the meaning of the text.
 new text end

ARTICLE 10

DEPARTMENT OF HUMAN SERVICES PROGRAM INTEGRITY

Section 1.

Minnesota Statutes 2024, section 245A.03, is amended by adding a subdivision
to read:


new text begin Subd. 7a. new text end

new text begin Discretionary temporary licensing moratorium. new text end

new text begin (a) The commissioner must
not accept an application from or issue an initial license for an individual, organization, or
government entity seeking licensure under this chapter and must not add a new service to
an existing license when the commissioner determines that exceptional growth in applications
for licensure or requests to add new services exceeds the determined need for service
capacity. The determined need for service capacity may be limited to a specific region,
service focus, or other factors as determined by the commissioner. A temporary licensing
moratorium issued under this subdivision is effective for a period of up to 24 months from
the date the commissioner issues the moratorium.
 new text end

new text begin (b) Any applicant that will not receive a license due to a temporary licensing moratorium
issued under paragraph (a) may apply for a refund of licensing application fees for up to
one year from the date the commissioner issues the moratorium.
 new text end

new text begin (c) The commissioner must notify the chairs and ranking minority members of the
legislative committees with jurisdiction over health and human services at least 30 days
prior to issuing a temporary moratorium under this subdivision and publish notice of the
moratorium on the department's website. The notice must include:
 new text end

new text begin (1) a list of all license types to which the moratorium will apply;
 new text end

new text begin (2) the proposed start date of the moratorium; and
 new text end

new text begin (3) the anticipated duration of the moratorium.
 new text end

new text begin (d) The commissioner must establish and make publicly available the processes and
criteria the commissioner will use to grant exceptions to a temporary moratorium issued
under this subdivision.
 new text end

Sec. 2.

Minnesota Statutes 2024, section 245A.04, subdivision 7, as amended by Laws
2025, chapter 38, article 5, section 6, is amended to read:


Subd. 7.

Grant of license; license extension.

(a) If the commissioner determines that
the program complies with all applicable rules and laws, the commissioner shall issue a
license consistent with this section or, if applicable, a temporary change of ownership license
under section 245A.043. At minimum, the license shall state:

(1) the name of the license holder;

(2) the address of the program;

(3) the effective date and expiration date of the license;

(4) the type of licensenew text begin , and the specific service the license holder is licensed to providenew text end ;

(5) the maximum number and ages of persons that may receive services from the program;
and

(6) any special conditions of licensure.

(b) The commissioner may issue a license for a period not to exceed two years if:

(1) the commissioner is unable to conduct the observation required by subdivision 4,
paragraph (a), clause (3), because the program is not yet operational;

(2) certain records and documents are not available because persons are not yet receiving
services from the program; and

(3) the applicant complies with applicable laws and rules in all other respects.

(c) A decision by the commissioner to issue a license does not guarantee that any person
or persons will be placed or cared for in the licensed program.

(d) Except as provided in paragraphs (i) and (j), the commissioner shall not issue a
license if the applicant, license holder, or an affiliated controlling individual has:

(1) been disqualified and the disqualification was not set aside and no variance has been
granted;

(2) been denied a license under this chapter or chapter 142B within the past two years;

(3) had a license issued under this chapter or chapter 142B revoked within the past five
years; or

(4) failed to submit the information required of an applicant under subdivision 1,
paragraph (f), (g), or (h), after being requested by the commissioner.

When a license issued under this chapter or chapter 142B is revoked, the license holder
and each affiliated controlling individual with a revoked license may not hold any license
under chapter 245A for five years following the revocation, and other licenses held by the
applicant or license holder or licenses affiliated with each controlling individual shall also
be revoked.

(e) Notwithstanding paragraph (d), the commissioner may elect not to revoke a license
affiliated with a license holder or controlling individual that had a license revoked within
the past five years if the commissioner determines that (1) the license holder or controlling
individual is operating the program in substantial compliance with applicable laws and rules
and (2) the program's continued operation is in the best interests of the community being
served.

(f) Notwithstanding paragraph (d), the commissioner may issue a new license in response
to an application that is affiliated with an applicant, license holder, or controlling individual
that had an application denied within the past two years or a license revoked within the past
five years if the commissioner determines that (1) the applicant or controlling individual
has operated one or more programs in substantial compliance with applicable laws and rules
and (2) the program's operation would be in the best interests of the community to be served.

(g) In determining whether a program's operation would be in the best interests of the
community to be served, the commissioner shall consider factors such as the number of
persons served, the availability of alternative services available in the surrounding
community, the management structure of the program, whether the program provides
culturally specific services, and other relevant factors.

(h) The commissioner shall not issue or reissue a license under this chapter if an individual
living in the household where the services will be provided as specified under section
245C.03, subdivision 1, has been disqualified and the disqualification has not been set aside
and no variance has been granted.

(i) Pursuant to section 245A.07, subdivision 1, paragraph (b), when a license issued
under this chapter has been suspended or revoked and the suspension or revocation is under
appeal, the program may continue to operate pending a final order from the commissioner.
If the license under suspension or revocation will expire before a final order is issued, a
temporary provisional license may be issued provided any applicable license fee is paid
before the temporary provisional license is issued.

(j) Notwithstanding paragraph (i), when a revocation is based on the disqualification of
a controlling individual or license holder, and the controlling individual or license holder
is ordered under section 245C.17 to be immediately removed from direct contact with
persons receiving services or is ordered to be under continuous, direct supervision when
providing direct contact services, the program may continue to operate only if the program
complies with the order and submits documentation demonstrating compliance with the
order. If the disqualified individual fails to submit a timely request for reconsideration, or
if the disqualification is not set aside and no variance is granted, the order to immediately
remove the individual from direct contact or to be under continuous, direct supervision
remains in effect pending the outcome of a hearing and final order from the commissioner.

(k) Unless otherwise specified by statute, all licenses issued under this chapter expire
at 12:01 a.m. on the day after the expiration date stated on the license. A license holder must
comply with the requirements in section 245A.10 and be reissued a new license to operate
the program or the program must not be operated after the expiration date. Adult foster care,
family adult day services, child foster residence setting, and community residential services
license holders must apply for and be granted a new license to operate the program or the
program must not be operated after the expiration date. Upon implementation of the provider
licensing and reporting hub, licenses may be issued each calendar year.

(l) The commissioner shall not issue or reissue a license under this chapter if it has been
determined that a Tribal licensing authority has established jurisdiction to license the program
or service.

(m) The commissioner of human services may coordinate and share data with the
commissioner of children, youth, and families to enforce this section.

new text begin (n) For substance use disorder treatment programs, for the purposes of paragraph (a),
clause (5), the maximum number of persons who may receive services from the program
includes persons served at satellite locations.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025, except paragraph (n), which
is effective January 1, 2026.
 new text end

Sec. 3.

Minnesota Statutes 2024, section 245A.043, is amended by adding a subdivision
to read:


new text begin Subd. 2a. new text end

new text begin Review of change in ownership. new text end

new text begin (a) After a change in ownership under
subdivision 2, paragraph (a), the commissioner may complete a review for all new license
holders within 12 months after the new license is issued.
 new text end

new text begin (b) For all license holders subject to the exception in subdivision 2, paragraph (b), the
license holder must notify the commissioner of the date of the change in controlling
individuals pursuant to section 245A.04, subdivision 7a, and the commissioner may complete
a review within 12 months following the change.
 new text end

Sec. 4.

Minnesota Statutes 2024, section 245A.10, subdivision 1, is amended to read:


Subdivision 1.

Application or license fee requireddeleted text begin ; programs exempt from feedeleted text end .

deleted text begin (a)
Unless exempt under paragraph (b),deleted text end The commissioner shall charge a fee for evaluation of
applications and inspection of programs which are licensed under this chapter.

deleted text begin (b) Except as provided under subdivision 2, no application or license fee shall be charged
for a child foster residence setting, adult foster care, or a community residential setting.
 deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 5.

Minnesota Statutes 2024, section 245A.10, subdivision 2, is amended to read:


Subd. 2.

deleted text begin County fees for applications and licensing inspectionsdeleted text end new text begin Application or license
inspection fee required; programs with county oversightnew text end .

deleted text begin (a)deleted text end For purposes of adult foster
care and child foster residence setting licensingnew text begin , family adult day services, family adult
foster care,new text end and licensing the physical plant of a community residential settingnew text begin or residential
services facilitynew text end , under this chapter, deleted text begin a county agency maydeleted text end new text begin the commissioner shallnew text end charge a
fee to a deleted text begin corporate applicant or corporatedeleted text end license holder deleted text begin to recover the actual costdeleted text end new text begin for the
evaluationnew text end of deleted text begin licensingdeleted text end new text begin licenses andnew text end inspectionsdeleted text begin , not to exceed $500deleted text end new text begin of programs in the
amount of $2,100new text end annually.

deleted text begin (b) Counties may elect to reduce or waive the fees in paragraph (a) under the following
circumstances:
 deleted text end

deleted text begin (1) in cases of financial hardship;
 deleted text end

deleted text begin (2) if the county has a shortage of providers in the county's area; or
 deleted text end

deleted text begin (3) for new providers.
 deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 6.

Minnesota Statutes 2024, section 245A.10, subdivision 3, is amended to read:


Subd. 3.

Application fee for initial license or certification.

(a) new text begin Except as provided in
paragraphs (c) and (d), new text end for fees required under subdivision 1, an applicant for an initial
license or certification issued by the commissioner shall submit a deleted text begin $500deleted text end new text begin $2,100new text end application
fee with each new application required under this subdivision. deleted text begin An applicant for an initial
day services facility license under chapter deleted text end deleted text begin 245Ddeleted text end deleted text begin shall submit a $250 application fee with
each new application.deleted text end The application fee shall not be prorated, is nonrefundable, and is in
lieu of the annual license or certification fee that expires on December 31. The commissioner
shall not process an application until the application fee is paid.

(b) Except as provided in paragraph (c), an applicant shall apply for a license to provide
services at a specific location.

(c) For a license to provide home and community-based services to persons with
disabilities or age 65 and older under chapter 245D, an applicant shall submit an application
to provide services statewide.new text begin For fees required under subdivision 1, an applicant for an
initial license issued by the commissioner to provide home and community-based services
under chapter 245D shall submit a $4,200 application fee with each new application.
new text end

new text begin (d) For fees required under subdivision 1, an applicant for an initial license or certification
issued by the commissioner for children's residential facility or mental health clinic licensure
or certification shall submit a $500 application fee with each new application required under
this subdivision.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 7.

Minnesota Statutes 2024, section 245A.10, is amended by adding a subdivision to
read:


new text begin Subd. 3a. new text end

new text begin Fee for change of ownership exception. new text end

new text begin (a) A license holder must submit a
fee of $2,100 for each license subject to the change in ownership exception under section
245A.043, subdivision 2, paragraph (b).
 new text end

new text begin (b) License holders under chapter 245D must submit a fee of $4,200 for each license
subject to the change in ownership exception under section 245A.043, subdivision 2,
paragraph (b).
 new text end

new text begin (c) A license holder for a children's residential facility must submit a fee of $500 for
each license subject to the change in ownership exception under section 245A.043,
subdivision 2, paragraph (b).
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 8.

Minnesota Statutes 2024, section 245A.10, subdivision 4, is amended to read:


Subd. 4.

License or certification fee for certain programs.

(a)(1) A program licensed
to provide one or more of the home and community-based services and supports identified
under chapter 245D to persons with disabilities or age 65 and older, shall pay an annual
nonrefundable license fee based on revenues derived from the provision of services that
would require licensure under chapter 245D during the calendar year immediately preceding
the year in which the license fee is paid, according to the following schedule:

License Holder Annual Revenue
 License Fee
less than or equal to $10,000
 deleted text begin $200
 deleted text end new text begin $250
 new text end
greater than $10,000 but less than or
equal to $25,000
 deleted text begin $300
 deleted text end new text begin $375
 new text end
greater than $25,000 but less than or
equal to $50,000
 deleted text begin $400
 deleted text end new text begin $500
 new text end
greater than $50,000 but less than or
equal to $100,000
 deleted text begin $500
 deleted text end new text begin $625
 new text end
greater than $100,000 but less than or
equal to $150,000
 deleted text begin $600
 deleted text end new text begin $750
 new text end
greater than $150,000 but less than or
equal to $200,000
 deleted text begin $800
 deleted text end new text begin $1,000
 new text end
greater than $200,000 but less than or
equal to $250,000
 deleted text begin $1,000
 deleted text end new text begin $1,250
 new text end
greater than $250,000 but less than or
equal to $300,000
 deleted text begin $1,200
 deleted text end new text begin $1,500
 new text end
greater than $300,000 but less than or
equal to $350,000
 deleted text begin $1,400
 deleted text end new text begin $1,750
 new text end
greater than $350,000 but less than or
equal to $400,000
 deleted text begin $1,600
 deleted text end new text begin $2,000
 new text end
greater than $400,000 but less than or
equal to $450,000
 deleted text begin $1,800
 deleted text end new text begin $2,250
 new text end
greater than $450,000 but less than or
equal to $500,000
 deleted text begin $2,000
 deleted text end new text begin $2,500
 new text end
greater than $500,000 but less than or
equal to $600,000
 deleted text begin $2,250
 deleted text end new text begin $2,850
 new text end
greater than $600,000 but less than or
equal to $700,000
 deleted text begin $2,500
 deleted text end new text begin $3,200
 new text end
greater than $700,000 but less than or
equal to $800,000
 deleted text begin $2,750
 deleted text end new text begin $3,600
 new text end
greater than $800,000 but less than or
equal to $900,000
 deleted text begin $3,000
 deleted text end new text begin $3,900
 new text end
greater than $900,000 but less than or
equal to $1,000,000
 deleted text begin $3,250
 deleted text end new text begin $4,250
 new text end
greater than $1,000,000 but less than or
equal to $1,250,000
 deleted text begin $3,500
 deleted text end new text begin $4,550
 new text end
greater than $1,250,000 but less than or
equal to $1,500,000
 deleted text begin $3,750
 deleted text end new text begin $4,900
 new text end
greater than $1,500,000 but less than or
equal to $1,750,000
 deleted text begin $4,000
 deleted text end new text begin $5,200
 new text end
greater than $1,750,000 but less than or
equal to $2,000,000
 deleted text begin $4,250
 deleted text end new text begin $5,500
 new text end
greater than $2,000,000 but less than or
equal to $2,500,000
 deleted text begin $4,500
 deleted text end new text begin $5,900
 new text end
greater than $2,500,000 but less than or
equal to $3,000,000
 deleted text begin $4,750
 deleted text end new text begin $6,200
 new text end
greater than $3,000,000 but less than or
equal to $3,500,000
 deleted text begin $5,000
 deleted text end new text begin $6,500
 new text end
greater than $3,500,000 but less than or
equal to $4,000,000
 deleted text begin $5,500
 deleted text end new text begin $7,200
 new text end
greater than $4,000,000 but less than or
equal to $4,500,000
 deleted text begin $6,000
 deleted text end new text begin $7,800
 new text end
greater than $4,500,000 but less than or
equal to $5,000,000
 deleted text begin $6,500
 deleted text end new text begin $9,000
 new text end
greater than $5,000,000 but less than or
equal to $7,500,000
 deleted text begin $7,000
 deleted text end new text begin $10,000
 new text end
greater than $7,500,000 but less than or
equal to $10,000,000
 deleted text begin $8,500
 deleted text end new text begin $14,000
 new text end
greater than $10,000,000 but less than or
equal to $12,500,000
 deleted text begin $10,000
 deleted text end new text begin $18,000
 new text end
greater than $12,500,000 but less than or
equal to $15,000,000
 deleted text begin $14,000
 deleted text end new text begin $25,000
 new text end
greater than $15,000,000new text begin but less than or
equal to $17,500,000
new text end 		deleted text begin $18,000
 deleted text end new text begin $28,000
 new text end
new text begin greater than $17,500,000 but less than
$20,000,000
 new text end 		new text begin $32,000
 new text end
new text begin greater than $20,000,000 but less than
$25,000,000
 new text end 		new text begin $36,000
 new text end
new text begin greater than $25,000,000 but less than
$30,000,000
 new text end 		new text begin $45,000
 new text end
new text begin greater than $30,000,000 but less than
$35,000,000
 new text end 		new text begin $55,000
 new text end
new text begin greater than $35,000,000
 new text end 		new text begin $75,000
 new text end

(2) If requested, the license holder shall provide the commissioner information to verify
the license holder's annual revenues or other information as needed, including copies of
documents submitted to the Department of Revenue.

(3) At each annual renewal, a license holder may elect to pay the highest renewal fee,
and not provide annual revenue information to the commissioner.

(4) A license holder that knowingly provides the commissioner incorrect revenue amounts
for the purpose of paying a lower license fee shall be subject to a civil penalty in the amount
of double the fee the provider should have paid.

(b) A substance use disorder treatment program licensed under chapter 245G, to provide
substance use disorder treatment shall pay an annual nonrefundable license fee based on
the following schedule:

Licensed Capacity
 License Fee
1 to 24 persons
 deleted text begin $600
 deleted text end new text begin $2,600
 new text end
25 to 49 persons
 deleted text begin $800
 deleted text end new text begin $3,000
 new text end
50 to 74 persons
 deleted text begin $1,000
 deleted text end new text begin $5,000
 new text end
75 to 99 persons
 deleted text begin $1,200
 deleted text end new text begin $10,000
 new text end
100 deleted text begin or more personsdeleted text end new text begin to 199 persons
new text end 		deleted text begin $1,400
 deleted text end new text begin $15,000
 new text end
new text begin 200 or more persons
 new text end 		new text begin $20,000
 new text end

(c) A detoxification program licensed under Minnesota Rules, parts 9530.6510 to
9530.6590, or a withdrawal management program licensed under chapter 245F shall pay
an annual nonrefundable license fee based on the following schedule:

Licensed Capacity
 License Fee
1 to 24 persons
 deleted text begin $760
 deleted text end new text begin $2,600
 new text end
25 to 49 persons
 deleted text begin $960
 deleted text end new text begin $3,000
 new text end
50 or more persons
 deleted text begin $1,160
 deleted text end new text begin $5,000
 new text end

A detoxification program that also operates a withdrawal management program at the same
location shall only pay one fee based upon the licensed capacity of the program with the
higher overall capacity.

(d) A children's residential facility licensed under Minnesota Rules, chapter 2960, to
serve children shall pay an annual nonrefundable license fee based on the following schedule:

Licensed Capacity
 License Fee
1 to 24 persons
 $1,000
25 to 49 persons
 $1,100
50 to 74 persons
 $1,200
75 to 99 persons
 $1,300
100 or more persons
 $1,400

(e) A residential facility licensed under section 245I.23 or Minnesota Rules, parts
9520.0500 to 9520.0670, to serve persons with mental illness shall pay an annual
nonrefundable license fee based on the following schedule:

Licensed Capacity
 License Fee
1 to 24 persons
 deleted text begin $2,525
 deleted text end new text begin $2,600
 new text end
25 deleted text begin or more personsdeleted text end new text begin to 49 persons
new text end 		deleted text begin $2,725
 deleted text end new text begin $3,000
 new text end
new text begin 50 or more persons
 new text end 		new text begin $20,000
 new text end

(f) A residential facility licensed under Minnesota Rules, parts 9570.2000 to 9570.3400,
to serve persons with physical disabilities shall pay an annual nonrefundable license fee
based on the following schedule:

Licensed Capacity
 License Fee
1 to 24 persons
 $450
25 to 49 persons
 $650
50 to 74 persons
 $850
75 to 99 persons
 $1,050
100 or more persons
 $1,250

(g) A program licensed as an adult day care center licensed under Minnesota Rules,
parts 9555.9600 to 9555.9730, shall pay an annual nonrefundable license fee based on the
following schedule:

Licensed Capacity
 License Fee
1 to 24 persons
 deleted text begin $500 deleted text end new text begin $2,600
 new text end
25 to 49 persons
 deleted text begin $700 deleted text end new text begin $3,000
 new text end
50 to 74 persons
 deleted text begin $900 deleted text end new text begin $5,000
 new text end
75 to 99 persons
 deleted text begin $1,100 deleted text end new text begin $10,000
 new text end
100 deleted text begin or more personsdeleted text end new text begin to 199 persons
new text end 		deleted text begin $1,300 deleted text end new text begin $15,000
 new text end
new text begin 200 or more persons
 new text end 		new text begin $20,000
 new text end

(h) A program licensed to provide treatment services to persons with sexual psychopathic
personalities or sexually dangerous persons under Minnesota Rules, parts 9515.3000 to
9515.3110, shall pay an annual nonrefundable license fee of $20,000.

(i) A mental health clinic certified under section 245I.20 shall pay an annual
nonrefundable certification fee of $1,550. If the mental health clinic provides services at a
primary location with satellite facilities, the satellite facilities shall be certified with the
primary location without an additional charge.

new text begin (j) If a program subject to annual fees under paragraph (b) provides services at a primary
location with satellite facilities, the satellite facilities must be licensed with the primary
location and must be subject to an additional $500 annual nonrefundable license fee per
satellite facility.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 9.

Minnesota Statutes 2024, section 245A.10, subdivision 8, is amended to read:


Subd. 8.

Deposit of license fees.

A human services licensing new text begin and program integrity
new text end account is created in the state government special revenue fund. Fees collected under
subdivisionsnew text begin 2,new text end 3new text begin ,new text end and 4 must be deposited in the human services licensingnew text begin and program
integritynew text end account and are annually appropriated to the commissioner for licensing activities
authorized under this chapternew text begin and program integrity activitiesnew text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 10.

Minnesota Statutes 2024, section 245A.10, is amended by adding a subdivision
to read:


new text begin Subd. 8a. new text end

new text begin Deposit of county-delegated licensing application fees;
appropriation. new text end

new text begin Notwithstanding the provisions of any other law, the commissioner shall
deposit 50 percent of the fees collected pursuant to subdivision 2 for adult foster care, child
foster residence settings, family adult day services, family adult foster care, and licensing
the physical plant of a community residential setting or residential services facility into the
human services licensing and program integrity account and 50 percent to the credit of the
county licensing account in the special revenue fund of each county.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

Sec. 11.

Minnesota Statutes 2024, section 245A.10, is amended by adding a subdivision
to read:


new text begin Subd. 8b. new text end

new text begin Distribution to county; appropriation. new text end

new text begin On a quarterly basis, the amount
determined under subdivision 8a is appropriated to the commissioner to issue a payment
from the county licensing account in favor of the treasurer of each county for which the
commissioner collected a fee under subdivision 2.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2026.
 new text end

ARTICLE 11

FORECAST ADJUSTMENTS

Section 1. new text begin DEPARTMENT OF HUMAN SERVICES FORECAST ADJUSTMENT.
new text end

new text begin The dollar amounts shown in the columns marked "Appropriations" are added to or, if
shown in parentheses, are subtracted from the appropriations in Laws 2023, chapter 70,
article 20, from the general fund, or any other fund named, to the commissioner of human
services for the purposes specified in this article, to be available for the fiscal year indicated
for each purpose. The figure "2025" used in this article means that the appropriations listed
are available for the fiscal year ending June 30, 2025.
 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 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 114,527,000
 new text end
new text begin Appropriations by Fund
 new text end
new text begin 2025
 new text end
new text begin General
 new text end 		new text begin 136,895,000
 new text end
new text begin Health Care Access
 new text end 		new text begin (16,968,000)
 new text end
new text begin Federal TANF
 new text end 		new text begin (5,400,000)
 new text end

new text begin Subd. 2. new text end

new text begin Forecasted Programs
 new text end

new text begin (a) Minnesota Family
Investment Program
(MFIP)/Diversionary Work
Program (DWP)
 new text end
new text begin Appropriations by Fund
 new text end
new text begin 2025
 new text end
new text begin General
 new text end 		new text begin (5,951,000)
 new text end
new text begin Federal TANF
 new text end 		new text begin (5,400,000)
 new text end
new text begin (b) MFIP Child Care Assistance
 new text end 		new text begin (62,336,000)
 new text end
new text begin (c) General Assistance
 new text end 		new text begin 3,737,000
 new text end
new text begin (d) Minnesota Supplemental Aid
 new text end 		new text begin 3,428,000
 new text end
new text begin (e) Housing Support
 new text end 		new text begin 11,923,000
 new text end
new text begin (f) MinnesotaCare
 new text end 		new text begin (16,525,000)
 new text end

new text begin This appropriation is from the health care
access fund.
 new text end

new text begin (g) Medical Assistance
 new text end
new text begin Appropriations by Fund
 new text end
new text begin 2025
 new text end
new text begin General
 new text end 		new text begin 59,692,000
 new text end
new text begin Health Care Access
 new text end 		new text begin (443,000)
 new text end
new text begin (h) Behavioral Health Fund
 new text end 		new text begin 135,928,000
 new text end
new text begin (i) Northstar Care for Children
 new text end 		new text begin (9,526,000)
 new text end

Sec. 3. new text begin EFFECTIVE DATE.
new text end

new text begin Sections 1 and 2 are effective the day following final enactment.
 new text end

ARTICLE 12

DEPARTMENT OF HUMAN SERVICES APPROPRIATIONS

Section 1. new text begin HUMAN SERVICES APPROPRIATIONS.
new text end

new text begin The sums shown in the columns marked "Appropriations" are appropriated to the
commissioner of human services and for the purposes specified in this article. The
appropriations are from the general fund, or another named fund, and are available for the
fiscal years indicated for each purpose. The figures "2026" and "2027" used in this article
mean that the appropriations listed under them are available for the fiscal year ending June
30, 2026, or June 30, 2027, respectively. "The first year" is fiscal year 2026. "The second
year" is fiscal year 2027. "The biennium" is fiscal years 2026 and 2027.
 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 2026
 new text end 		new text begin 2027
 new text end

Sec. 2.

new text begin TOTAL APPROPRIATION
 new text end 		new text begin $
 new text end 		new text begin 7,793,334,000
 new text end 		new text begin $
 new text end 		new text begin 7,974,209,000
 new text end

new text begin Subdivision 1. new text end

new text begin Appropriations by Fund
 new text end

new text begin Appropriations by Fund
 new text end
new text begin 2026
 new text end 		new text begin 2027
 new text end
new text begin General
 new text end 		new text begin 7,791,601,000
 new text end 		new text begin 7,972,476,000
 new text end
new text begin Lottery Prize
 new text end 		new text begin 1,733,000
 new text end 		new text begin 1,733,000
 new text end

new text begin The amounts that may be spent for each
purpose are specified in the following sections
and subdivisions.
 new text end

new text begin Subd. 2. new text end

new text begin Information Technology Appropriations
 new text end

new text begin (a) IT Appropriations Generally
 new text end

new text begin This appropriation includes funds for
information technology projects, services, and
support. Funding for information technology
project costs must be incorporated into the
service-level agreement and paid to Minnesota
IT Services by the Department of Human
Services under the rates and mechanism
specified in that agreement.
 new text end

new text begin (b) Receipts for Systems Project
 new text end

new text begin Appropriations and federal receipts for
information technology systems projects for
MAXIS, PRISM, MMIS, ISDS, METS, and
SSIS must be deposited in the state systems
account authorized in Minnesota Statutes,
section 256.014. Money appropriated for
information technology projects approved by
the commissioner of Minnesota IT Services,
funded by the legislature, and approved by the
commissioner of management and budget may
be transferred from one project to another and
from development to operations as the
commissioner of human services deems
necessary. Any unexpended balance in the
appropriation for these projects does not
cancel and is available for ongoing
development and operations.
 new text end

Sec. 3. new text begin CENTRAL OFFICE; OPERATIONS
new text end

new text begin $
 new text end 		new text begin 7,273,000
 new text end 		new text begin $
 new text end 		new text begin 7,000,000
 new text end

new text begin Subdivision 1. new text end

new text begin Budget and Legislative Staff
 new text end

new text begin $805,000 in fiscal year 2026 and $955,000 in
fiscal year 2027 are for additional budget and
legislative staff, at least five of whom must be
full time. The commissioner must not supplant
existing spending on staff performing budget
and legislative functions and must not
supplement compensation of existing staff
performing budget and legislative functions,
but must use the money appropriated under
this subdivision only to hire additional staff.
This subdivision does not expire.
 new text end

new text begin Subd. 2. new text end

new text begin Self-Directed Bargaining Agreement;
IT Matching Systems
 new text end

new text begin $475,000 in fiscal year 2026 and $990,000 in
fiscal year 2027 are to hire a vendor to identify
an alternative system to replace the current IT
matching registry. The commissioner must
include two union representatives to be part
of the vendor selection process, which includes
involvement in writing request for proposal
requirements. This is a onetime appropriation
and is available until June 30, 2027.
 new text end

new text begin Subd. 3. new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this section is
$5,396,000 in fiscal year 2028 and $5,210,000
in fiscal year 2029.
 new text end

Sec. 4. new text begin CENTRAL OFFICE; HEALTH CARE
new text end

new text begin $
 new text end 		new text begin 1,075,000
 new text end 		new text begin $
 new text end 		new text begin 1,237,000
 new text end

Sec. 5. new text begin CENTRAL OFFICE; AGING AND
DISABILITY SERVICES
new text end

new text begin $
 new text end 		new text begin 10,561,000
 new text end 		new text begin $
 new text end 		new text begin 8,291,000
 new text end

new text begin Subdivision 1. new text end

new text begin Self-Directed Bargaining
Agreement; Health Care Study
 new text end

new text begin $300,000 in fiscal year 2026 is for a study to
examine health care options for individual
providers. This is a onetime appropriation.
 new text end

new text begin Subd. 2. new text end

new text begin Positive Supports Competency Program
 new text end

new text begin $1,000,000 in fiscal year 2026 is for the
positive supports competency program. This
is a onetime appropriation and is available
until June 30, 2029.
 new text end

new text begin Subd. 3. new text end

new text begin Cost Reporting Improvement and Direct
Care Staff Review
 new text end

new text begin $150,000 in fiscal year 2026 is to complete a
cost reporting improvement study and direct
care staffing review. This is a onetime
appropriation.
 new text end

new text begin Subd. 4. new text end

new text begin Budget and Legislative Analysis
 new text end

new text begin $458,000 in fiscal year 2026 and $540,000 in
fiscal year 2027 are for three additional
full-time staff solely supporting budget and
legislative analysis work. The commissioner
must not supplant existing spending on staff
performing budget and legislative analysis
functions and must not supplement
compensation of existing staff performing
budget and legislative analysis functions, but
must use the money appropriated under this
subdivision only to hire additional staff. The
general fund base for this appropriation is
$546,000 in fiscal year 2028 and $546,000 in
fiscal year 2029. This subdivision does not
expire.
 new text end

new text begin Subd. 5. new text end

new text begin Long-Term Services and Supports
Advisory Council
 new text end

new text begin $1,000,000 in fiscal year 2026 is for
administration of the long-term services and
supports advisory council, including but not
limited to providing administrative support,
facilitation, research and data analysis,
staffing, and council member compensation.
This is a onetime appropriation and is
available until June 30, 2028.
 new text end

new text begin Subd. 6. new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this section is
$5,178,000 in fiscal year 2028 and $2,882,000
in fiscal year 2029.
 new text end

Sec. 6. new text begin CENTRAL OFFICE; BEHAVIORAL
HEALTH
new text end

new text begin $
 new text end 		new text begin 1,377,000
 new text end 		new text begin $
 new text end 		new text begin 2,026,000
 new text end

new text begin Subdivision 1. new text end

new text begin Substance Use Disorder
Treatment Staff Report and Recommendations
 new text end

new text begin $100,000 in fiscal year 2026 and $50,000 in
fiscal year 2027 are for a substance use
disorder treatment staff report and
recommendations. This is a onetime
appropriation.
 new text end

new text begin Subd. 2. new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this section is
$2,050,000 in fiscal year 2028 and $2,050,000
in fiscal year 2029.
 new text end

Sec. 7. new text begin CENTRAL OFFICE; HOMELESSNESS,
HOUSING, AND SUPPORT SERVICES
new text end

new text begin $
 new text end 		new text begin 1,632,000
 new text end 		new text begin $
 new text end 		new text begin 780,000
 new text end

new text begin Subdivision 1. new text end

new text begin Minnesota Homeless Study
 new text end

new text begin $1,200,000 in fiscal year 2026 is for a contract
with the Amherst H. Wilder Foundation for
activities directly related to the triennial
Minnesota homeless study. This is a onetime
appropriation and is available until June 30,
2028.
 new text end

new text begin Subd. 2. new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this section is
$825,000 in fiscal year 2028 and $825,000 in
fiscal year 2029.
 new text end

Sec. 8. new text begin CENTRAL OFFICE; OFFICE OF
INSPECTOR GENERAL
new text end

new text begin $
 new text end 		new text begin 7,781,000
 new text end 		new text begin $
 new text end 		new text begin 10,636,000
 new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this section is
$10,893,000 in fiscal year 2028 and
$10,893,000 in fiscal year 2029.
 new text end

Sec. 9. new text begin FORECASTED PROGRAMS;
HOUSING SUPPORT
new text end

new text begin $
 new text end 		new text begin 323,000
 new text end 		new text begin $
 new text end 		new text begin 3,855,000
 new text end

Sec. 10. new text begin FORECASTED PROGRAMS;
MEDICAL ASSISTANCE
new text end

new text begin $
 new text end 		new text begin 7,455,980,000
 new text end 		new text begin $
 new text end 		new text begin 7,688,985,000
 new text end

new text begin Boundary Waters Care Center
 new text end

new text begin $250,000 in fiscal year 2026 is for the
Boundary Waters Care Center in Ely. This is
a onetime appropriation and must be paid
without federal matching money.
 new text end

Sec. 11. new text begin FORECASTED PROGRAMS;
ALTERNATIVE CARE
new text end

new text begin $
 new text end 		new text begin 55,694,000
 new text end 		new text begin $
 new text end 		new text begin 56,312,000
 new text end

new text begin Any money allocated to the alternative care
program that is not spent for the purposes
indicated does not cancel but must be
transferred to the medical assistance account.
 new text end

Sec. 12. new text begin FORECASTED PROGRAMS;
BEHAVIORAL HEALTH FUND
new text end

new text begin $
 new text end 		new text begin 140,025,000
 new text end 		new text begin $
 new text end 		new text begin 123,347,000
 new text end

Sec. 13. new text begin GRANT PROGRAMS; CHILD AND
COMMUNITY SERVICE GRANTS
new text end

new text begin $
 new text end 		new text begin (5,655,000)
 new text end 		new text begin $
 new text end 		new text begin (5,655,000)
 new text end

new text begin Fiscal Year 2026 and 2027 Reductions
 new text end

new text begin The reductions in the fiscal year 2026 and
fiscal year 2027 appropriations in this section
are subtracted from appropriations to the
Department of Human Services for child and
community service grants made in any other
law enacted by the ninety-fourth legislature
during the 2025 legislative session.
 new text end

Sec. 14. new text begin GRANT PROGRAMS; HEALTH
CARE GRANTS
new text end

new text begin $
 new text end 		new text begin 225,000
 new text end 		new text begin $
 new text end 		new text begin -0-
 new text end

new text begin Culturally Responsive Health Access Grant
 new text end

new text begin $225,000 in fiscal year 2026 is for a grant to
a minority-led clinic to deliver evidence-based,
culturally responsive, and holistic health
services. The grant is intended to improve
health care access, eliminate barriers to care,
and advance health literacy in underserved
communities. This is a onetime appropriation
and is available until June 30, 2028.
 new text end

Sec. 15. new text begin GRANT PROGRAMS; OTHER
LONG-TERM CARE GRANTS
new text end

new text begin $
 new text end 		new text begin 2,897,000
 new text end 		new text begin $
 new text end 		new text begin 2,075,000
 new text end

new text begin Subdivision 1. new text end

new text begin Health Awareness Hub Pilot
Project
 new text end

new text begin $150,000 in fiscal year 2026 and $150,000 in
fiscal year 2027 are for a grant to an
organization serving Liberians in Minnesota
for a health awareness hub pilot project. The
pilot project must 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 with a similar background and
by making appropriate referrals to culturally
competent programs, supports, and medical
care. This is a onetime appropriation and is
available until June 30, 2028.
 new text end

new text begin Subd. 2. new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this appropriation
is $1,925,000 in fiscal year 2028 and
$1,925,000 in fiscal year 2029.
 new text end

Sec. 16. new text begin GRANT PROGRAMS; AGING AND
ADULT SERVICES GRANTS
new text end

new text begin $
 new text end 		new text begin 39,766,000
 new text end 		new text begin $
 new text end 		new text begin 39,767,000
 new text end

new text begin Subdivision 1. new text end

new text begin Senior Nutrition Programs
 new text end

new text begin $250,000 in fiscal year 2026 and $250,000 in
fiscal year 2027 are for senior nutrition
programs under Minnesota Statutes, section
256.9752. The base for this appropriation is
$751,000 in fiscal year 2028 and $752,000 in
fiscal year 2029.
 new text end

new text begin Subd. 2. new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this section is
$40,268,000 in fiscal year 2028 and
$40,269,000 in fiscal year 2029.
 new text end

Sec. 17. new text begin DEAF, DEAFBLIND, AND HARD OF
HEARING GRANTS
new text end

new text begin $
 new text end 		new text begin 2,886,000
 new text end 		new text begin $
 new text end 		new text begin 2,886,000
 new text end

Sec. 18. new text begin GRANT PROGRAMS; DISABILITY
GRANTS
new text end

new text begin $
 new text end 		new text begin 65,439,000
 new text end 		new text begin $
 new text end 		new text begin 27,262,000
 new text end

new text begin Subdivision 1. new text end

new text begin Self-Directed Bargaining
Agreement; Orientation Start-Up Funds
 new text end

new text begin $3,000,000 in fiscal year 2026 is for
orientation program start-up costs as defined
by the SEIU collective bargaining agreement.
This is a onetime appropriation.
 new text end

new text begin Subd. 2. new text end

new text begin Self-Directed Bargaining Agreement;
Orientation Ongoing Funds
 new text end

new text begin $2,000,000 in fiscal year 2026 and $500,000
in fiscal year 2027 are for ongoing costs
related to the orientation program as defined
by the SEIU collective bargaining agreement.
 new text end

new text begin Subd. 3. new text end

new text begin Self-Directed Bargaining Agreement;
Training Stipends
 new text end

new text begin $2,250,000 in fiscal year 2026 is for onetime
stipends of $750 for each collective bargaining
unit member for training. This is a onetime
appropriation and is available until June 30,
2027.
 new text end

new text begin Subd. 4. new text end

new text begin Self-Directed Bargaining Agreement;
Retirement Trust Funds
 new text end

new text begin $350,000 in fiscal year 2026 is for a vendor
to create a retirement trust, as defined by the
SEIU collective bargaining agreement. This
is a onetime appropriation and is available
until June 30, 2027.
 new text end

new text begin Subd. 5. new text end

new text begin Self-Directed Bargaining Agreement;
Health Care Stipends
 new text end

new text begin $30,750,000 in fiscal year 2026 is for stipends
of $1,200 for each collective bargaining unit
member for retention and defraying any health
insurance costs the member may incur.
Stipends are available once per fiscal year per
member for fiscal year 2026 and fiscal year
2027. Of this amount, $30,000,000 in fiscal
year 2026 is for stipends and $750,000 in
fiscal year 2026 is for administration. This is
a onetime appropriation and is available until
June 30, 2027.
 new text end

new text begin Subd. 6. new text end

new text begin Base Level Adjustments
 new text end

new text begin The general fund base for this section is
$28,073,000 in fiscal year 2028 and
$28,073,000 in fiscal year 2029.
 new text end

Sec. 19. new text begin GRANT PROGRAMS; ADULT
MENTAL HEALTH GRANTS
new text end

new text begin $
 new text end 		new text begin 600,000
 new text end 		new text begin $
 new text end 		new text begin -0-
 new text end

new text begin Subdivision 1. new text end

new text begin New Americans Mental Health
Grant
 new text end

new text begin $400,000 in fiscal year 2026 is for a onetime
grant to a women-led organization providing
services and supports to New Americans in
Minneapolis. The grant must be used to
support mental health services and supports
for adults living with serious mental illness.
This is a onetime appropriation and is
available until June 30, 2028.
 new text end

new text begin Subd. 2. new text end

new text begin Intergenerational Social Service and
Health Grant
 new text end

new text begin $200,000 in fiscal year 2026 is for a grant to
a culturally specific, African American-led
nonprofit organization based in South
Minneapolis that provides intergenerational,
family-centered programming rooted in
African American traditions. The organization
must offer trauma-informed, community-based
services that promote family healing,
collective resilience, and youth leadership
through culturally responsive mental health
supports, parent coaching, housing and benefit
navigation, and programs that preserve and
share ancestral knowledge. This is a onetime
appropriation and is available until June 30,
2028.
 new text end

Sec. 20. new text begin GRANT PROGRAMS; CHILDREN'S
MENTAL HEALTH GRANTS
new text end

new text begin $
 new text end 		new text begin 50,000
 new text end 		new text begin $
 new text end 		new text begin -0-
 new text end

new text begin Youth Development and Leadership
Program
 new text end

new text begin $50,000 in fiscal year 2026 is for a grant to an
organization serving Ukrainians in Minnesota
to support a trauma-informed youth
development and leadership program. This is
a onetime appropriation and is available until
June 30, 2027.
 new text end

Sec. 21. new text begin GRANT PROGRAMS; CHEMICAL
DEPENDENCY TREATMENT SUPPORT
GRANTS
new text end

new text begin $
 new text end 		new text begin 5,405,000
 new text end 		new text begin $
 new text end 		new text begin 5,405,000
 new text end

new text begin Subdivision 1. new text end

new text begin Appropriations by Fund
 new text end

new text begin Appropriations by Fund
 new text end
new text begin 2026
 new text end 		new text begin 2027
 new text end
new text begin General
 new text end 		new text begin 3,672,000
 new text end 		new text begin 3,672,000
 new text end
new text begin Lottery Prize
 new text end 		new text begin 1,733,000
 new text end 		new text begin 1,733,000
 new text end

new text begin Subd. 2. new text end

new text begin Problem Gambling
 new text end

new text begin $225,000 in fiscal year 2026 and $225,000 in
fiscal year 2027 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.
 new text end

new text begin Subd. 3. new text end

new text begin Todd County Peer Support Grants
 new text end

new text begin $150,000 in fiscal year 2026 and $150,000 in
fiscal year 2027 are for a grant to an
organization in Todd County that provides
daily peer support and specialized sessions for
individuals in substance use recovery,
transitioning out of incarceration, or who have
experienced trauma. This is a onetime
appropriation and is available until June 30,
2028.
 new text end

new text begin Subd. 4. new text end

new text begin Opioid Overdose Crisis Grants
 new text end

new text begin $175,000 in fiscal year 2026 and $175,000 in
fiscal year 2027 are for grants to address the
opioid overdose crisis in communities and
populations that have been historically
underserved and disproportionately impacted
by opioid-related overdose deaths. Grant
funding must support culturally responsive
and community-based strategies that address
the intergenerational effects of substance use
disorder in African American, Native, and
African immigrant communities. This is a
onetime appropriation and is available until
June 30, 2028.
 new text end

new text begin Subd. 5. new text end

new text begin Beltrami Opioid Youth and Family
Grant
 new text end

new text begin $100,000 in fiscal year 2026 and $100,000 in
fiscal year 2027 are for a grant to Beltrami
County to support families and children
affected by the opioid epidemic. This is a
onetime appropriation and is available until
June 30, 2028.
 new text end

new text begin Subd. 6. new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this section is
$3,247,000 in fiscal year 2028 and $3,247,000
in fiscal year 2029.
 new text end

Sec. 22.

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.
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,
deleted text begin 2025deleted text end new text begin 2026new text end .

(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. 23.

Laws 2023, chapter 61, article 9, section 2, subdivision 14, as amended by Laws
2024, chapter 125, article 8, section 13, is amended to read:


Subd. 14.

Grant Programs; Aging and Adult
Services Grants

 164,626,000
 34,795,000

(a) Vulnerable Adult Act Redesign Phase
Two. $17,129,000 in fiscal year 2024 is for
adult protection grants to counties and Tribes
under Minnesota Statutes, section 256M.42.
Notwithstanding Minnesota Statutes, section
16A.28, this appropriation is available until
June 30, 2027. The base for this appropriation
is $866,000 in fiscal year 2026 and $867,000
in fiscal year 2027.

(b) Caregiver Respite Services Grants.
$1,800,000 in fiscal year 2025 is for caregiver
respite services grants under Minnesota
Statutes, section 256.9756. This is a onetime
appropriation.new text begin Notwithstanding Minnesota
Statutes, section 16A.28, subdivision 3, this
appropriation is available until June 30, 2027.
new text end

(c) Live Well at Home Grants. $4,575,000
in fiscal year 2024 is for live well at home
grants under Minnesota Statutes, section
256.9754, subdivision 3f. This is a onetime
appropriation and is available until June 30,
deleted text begin 2025deleted text end new text begin 2027new text end .

(d) Senior Nutrition Program. $10,552,000
in fiscal year 2024 is for the senior nutrition
program. Notwithstanding Minnesota Statutes,
section 16A.28, this appropriation is available
until June 30, 2027. This is a onetime
appropriation.

(e) Age-Friendly Community Grants.
$3,000,000 in fiscal year 2024 is for the
continuation of age-friendly community grants
under Laws 2021, First Special Session
chapter 7, article 17, section 8, subdivision 1.
Notwithstanding Minnesota Statutes, section
16A.28, this is a onetime appropriation and is
available until June 30, 2027.

(f) Age-Friendly Technical Assistance
Grants. $1,725,000 in fiscal year 2024 is for
the continuation of age-friendly technical
assistance grants under Laws 2021, First
Special Session chapter 7, article 17, section
8, subdivision 2. Notwithstanding Minnesota
Statutes, section 16A.28, this is a onetime
appropriation and is available until June 30,
2027.

(g) Long-Term Services and Supports Loan
Program. $93,200,000 in fiscal year 2024 is
for the long-term services and supports loan
program under Minnesota Statutes, section
256R.55, and is available as provided therein.

(h) Base Level Adjustment. The general fund
base is $33,861,000 in fiscal year 2026 and
$33,862,000 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. 24.

Laws 2023, chapter 61, article 9, section 2, subdivision 16, as amended by Laws
2023, chapter 70, article 15, section 8, and Laws 2024, chapter 125, article 8, section 14, 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 appropriation and is
available until June 30, 2025.

(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 deleted text begin isdeleted text end new text begin innew text end 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, deleted text begin 2025deleted text end new text begin 2027new text end .

(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, deleted text begin 2025deleted text end new text begin 2027new text end .

(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.
This is a onetime appropriation. 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. 25.

Laws 2023, chapter 61, article 9, section 2, subdivision 17, is amended to read:


Subd. 17.

Grant Programs; Adult Mental Health
Grants

 4,400,000
 -0-

(a) Training for Peer Workforce. $4,000,000
in fiscal year 2024 is for peer workforce
training grants. Notwithstanding Minnesota
Statutes, section 16A.28, this is a onetime
appropriation and is available until June 30,
2027.

(b) Family Enhancement Center Grant.
$400,000 in fiscal year 2024 is for a grant to
the Family Enhancement Center to develop,
maintain, and expand community-based social
engagement and connection programs to help
families dealing with trauma and mental health
issues develop connections with each other
and their communities, including the NEST
parent monitoring program, the cook to
connect program, and the call to movement
initiative. This appropriation is onetime and
is available until June 30, deleted text begin 2025deleted text end new text begin 2027new text end .

Sec. 26.

Laws 2023, chapter 61, article 9, section 2, subdivision 18, as amended by Laws
2024, chapter 125, article 8, section 15, 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. $0 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, deleted text begin 2025deleted text end new text begin 2027new text end .

(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 appropriationnew text begin
and is available until June 30, 2027new text end .

(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
and is available until June 30, 2027.

(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.

Sec. 27.

Laws 2024, chapter 125, article 8, section 2, subdivision 12, is amended to read:


Subd. 12.

Grant Programs; Other Long Term
Care Grants

 (2,500,000)
 1,962,000

(a) Health Awareness Hub Pilot Project.
$281,000 in fiscal year 2025 is for a payment
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. This is a onetime appropriation.

(b) Chapter 245D Compliance Support.
$219,000 in fiscal year 2025 is for a payment
to Black Business Enterprises Fund 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. This is a
onetime appropriation.

(c) Customized Living Technical Assistance.
$350,000 is for a payment to Propel
Nonprofits for 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. This is a onetime
appropriation.

(d) Linguistically and Culturally Specific
Training Pilot Project. $650,000 in fiscal
year 2025 is for a payment to Isuroon 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 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, Isuroon must
provide the commissioner with an evaluation
of the project as determined by the
commissioner. This is a onetime appropriationnew text begin
and is available until June 30, 2027new text end .

(e) Long-Term Services and Supports Loan
Program. (1) $462,000 in fiscal year 2025 is
from the general fund for the long-term
services and supports loan program established
under Minnesota Statutes, section 256R.55.
The base for this appropriation is $822,000 in
fiscal year 2026 and $0 in fiscal year 2027.

(2) The commissioner of management and
budget shall transfer $462,000 in fiscal year
2025 from the general fund to the long-term
services and supports loan account established
under Minnesota Statutes, section 256R.55.
The base for this transfer is $822,000 in fiscal
year 2026 and $0 in fiscal year 2027.

(f) Base Level Adjustment. The general fund
base is decreased by $1,202,000 in fiscal year
2026 and decreased by $2,024,000 in fiscal
year 2027.

Sec. 28.

Laws 2024, chapter 125, article 8, section 2, subdivision 13, is amended to read:


Subd. 13.

Grant Programs; Aging and Adult
Services Grants

 -0-
 4,500,000

(a) Caregiver Respite Services Grants.
$2,000,000 in fiscal year 2025 is for caregiver
respite services grants under Minnesota
Statutes, section 256.9756. This is a onetime
appropriation. Notwithstanding Minnesota
Statutes, section 16A.28, subdivision 3, this
appropriation is available until June 30, 2027.

(b) Caregiver Support Programs.
$2,500,000 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.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, deleted text begin 2027deleted text end new text begin 2028new 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. 29.

Laws 2024, chapter 125, article 8, section 2, subdivision 14, is amended to read:


Subd. 14.

Grant Programs; Disabilities Grants

 1,650,000
 9,574,000

(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.

(b) Dakota County Disability Services
Workforce Shortage Pilot Project. $500,000
in fiscal year 2025 is for a grant to Dakota
County for innovative solutions to the
disability services workforce shortage. Up to
$250,000 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
$250,000 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. This is a
onetime appropriation. Notwithstanding
Minnesota Statutes, section 16A.28,
subdivision 3, this appropriation is available
until June 30, 2027.

(c) Pediatric Hospital-to-Home Transition
Pilot Program. $1,040,000 in fiscal year 2025
is for the pediatric hospital-to-home pilot
program. This is a onetime appropriation.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027.

(d) Artists With Disabilities Support.
$690,000 in fiscal year 2025 is for a payment
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.
This is a onetime appropriation.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027.

(e) 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.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027.

(f) Self-Advocacy Grants for Persons with
Intellectual and Developmental Disabilities.
$250,000 in fiscal year 2025 is for
self-advocacy grants under Minnesota Statutes,
section 256.477, subdivision 1, paragraph (a),
clauses (5) to (7), and for administrative costs.
This isnew text begin anew text end onetime appropriationnew text begin and is
available until June 30, 2027new text end .

(g) Electronic Visit Verification
Implementation Grants. $864,000 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.

(h) Aging and Disability Services for
Immigrant and Refugee Communities.
$250,000 in fiscal year 2025 is for a payment
to SEWA-AIFW to address aging, disability,
and mental health needs for immigrant and
refugee communities. This is a onetime
appropriationnew text begin and is available until June 30,
2027new text end .

(i) License Transition Support for Small
Disability Waiver Providers. $3,150,000 in
fiscal year 2025 is for license transition
payments to small disability waiver providers.
This is a onetime appropriation.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2027.

(j) Own home services provider
capacity-building grants. $1,519,000 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.

(k) Continuation of Centers for
Independent Living HCBS Access Grants.
$311,000 in fiscal year 2024 is for continued
funding of grants awarded under Laws 2021,
First Special Session chapter 7, article 17,
section 19, as amended by Laws 2022, chapter
98, article 15, section 15. This is a onetime
appropriation and is available until June 30,
2025.

(l) Base Level Adjustment. The general fund
base is increased by $811,000 in fiscal year
2026 and increased by $811,000 in fiscal year
2027.

Sec. 30.

Laws 2024, chapter 125, article 8, section 2, subdivision 15, is amended to read:


Subd. 15.

Grant Programs; Adult Mental Health
Grants

 (8,900,000)
 2,364,000

(a) Locked Intensive Residential Treatment
Services. $1,000,000 in fiscal year 2025 is for
start-up funds to intensive residential treatment
services providers to provide treatment in
locked facilities for patients meeting medical
necessity criteria and who may also be referred
for competency attainment or a competency
examination under Minnesota Statutes,
sections 611.40 to 611.59. This is a onetime
appropriation. Notwithstanding Minnesota
Statutes, section 16A.28, subdivision 3, this
appropriation is available until June 30, 2027.

(b) Engagement Services Pilot Grants.
$1,500,000 in fiscal year 2025 is for
engagement services pilot grants. Of this
amount, $250,000 in fiscal year 2025 is for an
engagement services pilot grant to Otter Tail
County. This is a onetime appropriation.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, deleted text begin 2026deleted text end new text begin 2028new text end .

(c) Mental Health Innovation Grant
Program. $1,321,000 in fiscal year 2025 is
for the mental health innovation grant program
under Minnesota Statutes, section 245.4662.
This is a onetime appropriation.
Notwithstanding Minnesota Statutes, section
16A.28, subdivision 3, this appropriation is
available until June 30, 2026.

(d) Behavioral Health Services For
Immigrant And Refugee Communities.
$354,000 in fiscal year 2025 is for a payment
to African Immigrant Community Services to
provide culturally and linguistically
appropriate services to new Americans with
disabilities, mental health needs, and substance
use disorders and to connect such individuals
with appropriate alternative service providers
to ensure continuity of care. This is a onetime
appropriation. Notwithstanding Minnesota
Statutes, section 16A.28, subdivision 3, this
appropriation is available until June 30, 2027.

(e) Base Level Adjustment. The general fund
base is decreased by $1,811,000 in fiscal year
2026 and decreased by $1,811,000 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. 31. new text begin ADDITIONAL FEDERAL FUNDING AUTHORITY FOR MINNESOTA
BOARD ON AGING.
new text end

new text begin Subdivision 1. new text end

new text begin Purpose. new text end

new text begin This section is for legislative approval to fund additional federal
money awarded to the Minnesota Board on Aging for federal grants for fiscal years 2026
and 2027.
 new text end

new text begin Subd. 2. new text end

new text begin Older Americans Act Supportive Services grants. new text end

new text begin The commissioner of
human services is authorized to expend $6,830,000 in fiscal year 2026 and $6,830,000 in
fiscal year 2027 for Older Americans Act Supportive Services grants as described in the
award notice for Catalog of Federal Domestic Assistance 93.044. The total amount authorized
over the two years may be spent in either year of the biennium.
 new text end

new text begin Subd. 3. new text end

new text begin Older Americans Act Home Delivered Meals award. new text end

new text begin The commissioner of
human services is authorized to expend $8,099,000 in fiscal year 2026 and $8,099,000 in
fiscal year 2027 for Older Americans Act Home Delivered Meals grants as described in the
award notice for Catalog of Federal Domestic Assistance 93.045. The total amount authorized
over the two years may be spent in either year of the biennium.
 new text end

new text begin Subd. 4. new text end

new text begin Older Americans Act Elder Abuse Prevention award. new text end

new text begin The commissioner
of human services is authorized to expend $76,000 in fiscal year 2026 and $76,000 in fiscal
year 2027 for Older Americans Act Home Elder Abuse Prevention grants as described in
the award notice for Catalog of Federal Domestic Assistance 93.041. The total amount
authorized over the two years may be spent in either year of the biennium.
 new text end

new text begin Subd. 5. new text end

new text begin Minnesota Medical Care Demo Project award. new text end

new text begin The commissioner of human
services is authorized to expend $580,000 in fiscal year 2026 and $580,000 in fiscal year
2027 for Minnesota Medical Care Demo Project grants as described in the award notice for
Catalog of Federal Domestic Assistance 93.048. The total amount authorized over the two
years may be spent in either year of the biennium.
 new text end

new text begin Subd. 6. new text end

new text begin Older Americans Act Family Caregivers award. new text end

new text begin The commissioner of human
services is authorized to expend $4,658,000 in fiscal year 2026 and $3,191,000 in fiscal
year 2027 for Older Americans Act Family Caregivers grants as described in the award
notice for Catalog of Federal Domestic Assistance 93.052. The total amount authorized
over the two years may be spent in either year of the biennium.
 new text end

new text begin Subd. 7. new text end

new text begin Nutrition Services Incentive Program award. new text end

new text begin The commissioner of human
services is authorized to expend $1,475,000 in fiscal year 2026 and $1,475,000 in fiscal
year 2027 for Nutrition Services Incentive Program grants as described in the award notice
for Catalog of Federal Domestic Assistance 93.053. The total amount authorized over the
two years may be spent in either year of the biennium.
 new text end

new text begin Subd. 8. new text end

new text begin Older Americans Act Congregate Meals award. new text end

new text begin The commissioner of human
services is authorized to expend $7,464,000 in fiscal year 2026 and $7,464,000 in fiscal
year 2027 for Older Americans Act Congregate Meals grants as described in the award
notice for Catalog of Federal Domestic Assistance 93.045. The total amount authorized
over the two years may be spent in either year of the biennium.
 new text end

new text begin Subd. 9. new text end

new text begin Ombudsman supplement award. new text end

new text begin The commissioner of human services is
authorized to expend $434,000 in fiscal year 2026 and $363,000 in fiscal year 2027 for
additional ombudsman supplemental money as described in the award notice for Catalog
of Federal Domestic Assistance 93.042. The total amount authorized over the two years
may be spent in either year of the biennium.
 new text end

new text begin Subd. 10. new text end

new text begin Medicare Improvements for Patients and Providers Act Priority 2
award. new text end

new text begin The commissioner of human services is authorized to expend $319,000 in fiscal
year 2026 and $160,000 in fiscal year 2027 for additional Medicare Improvements for
Patients and Providers Act Priority 2 money as described in the award notice for Catalog
of Federal Domestic Assistance 93.071. The total amount authorized over the two years
may be spent in either year of the biennium.
 new text end

new text begin Subd. 11. new text end

new text begin Medicare Improvements for Patients and Providers Act Priority 3
award. new text end

new text begin The commissioner of human services is authorized to expend $172,000 in fiscal
year 2026 and $96,000 in fiscal year 2027 for additional Medicare Improvements for Patients
and Providers Act Priority 3 money as described in the award notice for Catalog of Federal
Domestic Assistance 93.071. The total amount authorized over the two years may be spent
in either year of the biennium.
 new text end

new text begin Subd. 12. new text end

new text begin American Rescue Plan Act Public Health Workforce award. new text end

new text begin The
commissioner of human services is authorized to expend $119,000 in fiscal year 2026 and
$0 in fiscal year 2027 for additional carryforward authority of American Rescue Plan Act
Public Health Workforce money as described in the award notice for Catalog of Federal
Domestic Assistance 93.044C. The total amount authorized over the two years may be spent
in either year of the biennium.
 new text end

new text begin Subd. 13. new text end

new text begin American Rescue Plan Act Long Term Care Ombudsman award. new text end

new text begin The
commissioner of human services is authorized to expend $154,000 in fiscal year 2026 and
$40,000 in fiscal year 2027 for additional carryforward authority of American Rescue Plan
Act Long Term Care Ombudsman money as described in the award notice for Catalog of
Federal Domestic Assistance 93.747C. The total amount authorized over the two years may
be spent in either year of the biennium.
 new text end

new text begin Subd. 14. new text end

new text begin Adult Protection Elder Justice Act award. new text end

new text begin The commissioner of human
services is authorized to expend $470,000 in fiscal year 2026 and $241,000 in fiscal year
2027 for additional carryforward authority of Adult Protection Elder Justice Act money as
described in the award notice for Catalog of Federal Domestic Assistance 93.698. The total
amount authorized over the two years may be spent in either year of the biennium.
 new text end

Sec. 32. new text begin TRANSFERS AND CANCELLATIONS.
new text end

new text begin Subdivision 1. new text end

new text begin Local planning grant. new text end

new text begin The fiscal year 2026 and fiscal year 2027 general
fund base appropriations for local planning grants for creating alternatives to congregate
living for individuals with lower needs first established under Laws 2011, First Special
Session chapter 9, article 10, section 3, subdivision 4, paragraph (k), are reduced from
$254,000 to $0.
 new text end

new text begin Subd. 2. new text end

new text begin Cancellation and transfer of family and medical benefit funding. new text end

new text begin (a)
$20,000,000 in fiscal year 2026 is canceled from the family and medical benefit account to
the family and medical benefit insurance fund.
 new text end

new text begin (b) An amount equal to the amount canceled under paragraph (a) is transferred from the
family and medical benefit insurance fund to the general fund.
 new text end

new text begin Subd. 3. new text end

new text begin Chemical dependency peer specialists grant cancellation. new text end

new text begin Any unencumbered
and unexpended amount of the fiscal year 2025 general fund appropriation for grants for
peer specialists first established under Laws 2016, chapter 189, article 23, section 2,
subdivision 4, paragraph (f), estimated to be $675,000, is canceled.
 new text end

new text begin Subd. 4. new text end

new text begin Community residential setting transitional grant cancellation. new text end

new text begin Any
unencumbered and unexpended amount of the fiscal year 2024 appropriation in Laws 2023,
chapter 61, article 9, section 2, subdivision 16, paragraph (a), for grants to assist small
customized living providers to transition to community residential services licensure or
integrated community supports licensure, estimated to be $5,450,000, is canceled.
 new text end

new text begin Subd. 5. new text end

new text begin Retention bonus cancellation. new text end

new text begin Any unencumbered and unexpended amount
of the fiscal year 2024 appropriation in Laws 2023, chapter 61, article 9, section 2,
subdivision 16, paragraph (g), for retention bonuses, estimated to be $27,000,000, is canceled.
 new text end

new text begin Subd. 6. new text end

new text begin Orientation payments cancellation. new text end

new text begin Any unencumbered and unexpended
amount of the fiscal year 2024 appropriation referenced in Laws 2023, chapter 61, article
9, section 2, subdivision 16, paragraph (i), for orientation payments, estimated to be
$1,830,000, is canceled.
 new text end

new text begin Subd. 7. new text end

new text begin Opioid overdose prevention grant cancellation. new text end

new text begin Any unencumbered and
unexpended amount of the fiscal year 2025 appropriation in Laws 2023, chapter 61, article
9, section 2, subdivision 18, paragraph (i), clause (1), for opioid overdose prevention
activities, estimated to be $96,000, is canceled.
 new text end

new text begin Subd. 8. new text end

new text begin Day training and habilitation facility grants. new text end

new text begin The fiscal year 2026 and fiscal
year 2027 general fund base appropriations for grant allocations to counties for day training
and habilitation services for adults with developmental disabilities when provided as a social
service under Minnesota Statutes, sections 252.41 to 252.46, are reduced from $811,000 to
$0. The general fund base for this purpose is $811,000 in fiscal year 2028 and $811,000 in
fiscal year 2029.
 new text end

new text begin Subd. 9. new text end

new text begin Transfer from the state government special revenue fund to the general
fund. new text end

new text begin The commissioner of management and budget must transfer $6,395,000 in fiscal year
2026 and $12,790,000 in fiscal year 2027 from the state government special revenue fund
to the general fund. The commissioner of management and budget must include a transfer
of $12,790,000 each year from the state government special revenue fund to the general
fund in each forecast prepared under Minnesota Statutes, section 16A.103, from the effective
date of this subdivision through the February 2027 forecast.
 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. 33. new text begin TRANSFER AUTHORITY.
new text end

new text begin Subdivision 1. new text end

new text begin Grants. new text end

new text begin The commissioner of human services, with the advance approval
of the commissioner of management and budget, may transfer unencumbered appropriation
balances for the biennium ending June 30, 2027, within fiscal years among general assistance,
medical assistance, MinnesotaCare, the Minnesota supplemental aid program, the housing
support program, and the entitlement portion of the behavioral health fund between fiscal
years of the biennium. The commissioner must submit to the chairs and ranking minority
members of the legislative committees with jurisdiction over health and human services a
quarterly grants transfer report. The report must include the amounts transferred and the
purpose of each transfer.
 new text end

new text begin Subd. 2. new text end

new text begin Administration; intra-agency transfers. new text end

new text begin Positions, salary money, and nonsalary
administrative money may be transferred within the Department of Human Services as the
commissioner deems necessary, with the advance approval of the commissioner of
management and budget. The commissioner must submit to the chairs and ranking minority
members of the legislative committees with jurisdiction over health and human services
finance a quarterly intra-agency transfer report. The report must include the amounts
transferred and the purpose of each transfer.
 new text end

new text begin Subd. 3. new text end

new text begin Administration; interagency transfers. new text end

new text begin During fiscal year 2026, with advance
approval of the commissioner of management and budget, administrative money may be
transferred between the Department of Human Services and Direct Care and Treatment as
the commissioner and executive board deem necessary. The commissioner and executive
board must submit to the chairs and ranking minority members of the legislative committees
with jurisdiction over human services and direct care and treatment an interagency transfers
report. The report must include the amounts transferred and the purpose of each transfer.
 new text end

Sec. 34. new text begin APPROPRIATIONS GIVEN EFFECT ONCE.
new text end

new text begin If an appropriation, transfer, or cancellation in this article is enacted more than once
during the 2025 first special session, the appropriation, transfer, or cancellation must be
given effect once.
 new text end

Sec. 35. new text begin EXPIRATION OF UNCODIFIED LANGUAGE.
new text end

new text begin All uncodified language contained in this article expires on June 30, 2027, unless a
different expiration date is explicit.
 new text end

Sec. 36. new text begin EFFECTIVE DATE.
new text end

new text begin This article is effective July 1, 2025, unless a different effective date is specified.
 new text end

ARTICLE 13

DIRECT CARE AND TREATMENT APPROPRIATIONS

Section 1. new text begin DIRECT CARE AND TREATMENT APPROPRIATIONS.
new text end

new text begin The sums shown in the columns marked "Appropriations" are appropriated to the
executive board of direct care and treatment and for the purposes specified in this article.
The appropriations are from the general fund, or another named fund, and are available for
the fiscal years indicated for each purpose. The figures "2026" and "2027" used in this
article mean that the appropriations listed under them are available for the fiscal year ending
June 30, 2026, or June 30, 2027, respectively. "The first year" is fiscal year 2026. "The
second year" is fiscal year 2027. "The biennium" is fiscal years 2026 and 2027.
 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 2026
 new text end 		new text begin 2027
 new text end

Sec. 2. new text begin EXECUTIVE BOARD OF DIRECT
CARE AND TREATMENT; TOTAL
APPROPRIATION
new text end

new text begin $
 new text end 		new text begin 577,459,000
 new text end 		new text begin $
 new text end 		new text begin 602,805,000
 new text end

new text begin The amounts that may be spent for each
purpose are specified in the following sections.
 new text end

Sec. 3. new text begin MENTAL HEALTH AND SUBSTANCE
ABUSE
new text end

new text begin $
 new text end 		new text begin 189,761,000
 new text end 		new text begin $
 new text end 		new text begin 194,840,000
 new text end

new text begin Base Level Adjustments
 new text end

new text begin The general fund base for this section is
$194,840,000 in fiscal year 2028 and
$236,500,000 in fiscal year 2029. The fiscal
year 2029 general fund base includes
$41,660,000 to operate the replacement facility
for the Miller Building on the Anoka Metro
Regional Treatment Center campus. If a
bonding appropriation for the replacement for
the Miller Building is not enacted during the
2025 first special session, the fiscal year 2029
general fund base is reduced by $41,660,000.
 new text end

Sec. 4. new text begin COMMUNITY-BASED SERVICES
new text end

new text begin $
 new text end 		new text begin 13,927,000
 new text end 		new text begin $
 new text end 		new text begin 14,170,000
 new text end

Sec. 5. new text begin FORENSIC SERVICES
new text end

new text begin $
 new text end 		new text begin 160,239,000
 new text end 		new text begin $
 new text end 		new text begin 164,094,000
 new text end

Sec. 6. new text begin SEX OFFENDER PROGRAM
new text end

new text begin $
 new text end 		new text begin 128,050,000
 new text end 		new text begin $
 new text end 		new text begin 131,351,000
 new text end

Sec. 7. new text begin ADMINISTRATION
new text end

new text begin $
 new text end 		new text begin 85,482,000
 new text end 		new text begin $
 new text end 		new text begin 98,350,000
 new text end

new text begin Subdivision 1. new text end

new text begin Locked Psychiatric Residential
Treatment Facility Planning
 new text end

new text begin (a) $100,000 in fiscal year 2026 is for planning
a build out of a locked psychiatric residential
treatment facility operated by Direct Care and
Treatment. This is a onetime appropriation
and is available until June 30, 2027.
 new text end

new text begin (b) By March 1, 2026, the executive board
must report to the chairs and ranking minority
members of the legislative committees with
jurisdiction over human services finance and
policy on the plan developed using the
appropriation in this section to build out a
locked psychiatric residential treatment facility
(PRTF) operated by Direct Care and
Treatment.
 new text end

new text begin (c) The report must include but is not limited
to the following information:
 new text end

new text begin (1) the risks and benefits of locating the locked
PRTF in a metropolitan or rural location;
 new text end

new text begin (2) the estimated cost for the build out of the
locked PRTF;
 new text end

new text begin (3) the estimated ongoing cost of maintaining
the locked PRTF; and
 new text end

new text begin (4) the estimated amount of costs that can be
recouped from medical assistance,
MinnesotaCare, and private insurance
payments.
 new text end

new text begin Subd. 2. new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this section is
$97,566,000 in fiscal year 2028 and
$101,736,000 in fiscal year 2029. The fiscal
year 2029 general fund base includes
$4,170,000 for administration and operational
support for the replacement facility for the
Miller Building on the Anoka Metro Regional
Treatment Center campus. If a bonding
appropriation for the replacement of the Miller
Building is not enacted during a 2025 special
session, the fiscal year 2029 general fund base
is reduced by $4,170,000.
 new text end

Sec. 8.

Laws 2024, chapter 125, article 8, section 2, subdivision 19, is amended to read:


Subd. 19.

Direct Care and Treatment - Forensic
Services

 -0-
 7,752,000

(a) Employee incentives. $1,000,000 in fiscal
year 2025 is for incentives related to the
transition of CARE St. Peter to the forensic
mental health program.new text begin Employee incentive
payments under this paragraph must be made
to all employees who transitioned from CARE
St. Peter to another direct care and treatment
program, including employees who
transitioned prior to the closure of CARE St.
Peter. Employee incentive payments must total
$30,000 per transitioned employee, subject to
the payment schedule and service requirements
in this paragraph. The first incentive payment
of $4,000 must be made after the employee
has completed six months of service as an
employee of another direct care and treatment
program, followed by $6,000 at 12 months of
completed service, $8,000 at 18 months of
completed service, and $12,000 at 24 months
of completed service.new text end This is a onetime
appropriationnew text begin and is available until June 30,
2027new text end .

(b) Base Level Adjustment. The general fund
base is increased by $6,612,000 in fiscal year
2026 and increased by $6,612,000 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 TRANSFER AUTHORITY.
new text end

new text begin Subdivision 1. new text end

new text begin Interprogrammatic transfers. new text end

new text begin Money appropriated for budget programs
in this article may be transferred between budget programs and between years of the biennium
with the approval of the commissioner of management and budget.
 new text end

new text begin Subd. 2. new text end

new text begin Security systems and information technology transfer. new text end

new text begin The Direct Care and
Treatment executive board, with the advance approval of the commissioner of management
and budget, may transfer money appropriated for Direct Care and Treatment into the special
revenue account for security systems and information technology projects, services, and
support. The executive board must submit to the chairs and ranking minority members of
the legislative committees with jurisdiction over Direct Care and Treatment a quarterly
security systems and information technology transfer report. The report must include the
amounts transferred in that period and the purpose of each transfer.
 new text end

new text begin Subd. 3. new text end

new text begin Facilities management transfer. new text end

new text begin The Direct Care and Treatment executive
board, with the advance approval of the commissioner of management and budget, may
transfer money appropriated for Direct Care and Treatment into the special revenue account
for facilities management. The executive board must submit to the chairs and ranking
minority members of the legislative committees with jurisdiction over Direct Care and
Treatment a quarterly facilities management transfer report. The report must include the
amounts transferred in that period and the purpose of each transfer.
 new text end

new text begin Subd. 4. new text end

new text begin Administration. new text end

new text begin Positions, salary money, and nonsalary administrative money
may be transferred within Direct Care and Treatment as the executive board considers
necessary, with the advance approval of the commissioner of management and budget. The
executive board must submit to the chairs and ranking minority members of the legislative
committees with jurisdiction over Direct Care and Treatment a quarterly intra-agency transfer
report. The report must include the amounts transferred in that period and the purpose of
each transfer.
 new text end

new text begin Subd. 5. new text end

new text begin Administration; interagency transfers. new text end

new text begin During fiscal year 2026, administrative
money may be transferred between the Department of Human Services and Direct Care and
Treatment as the commissioner and executive board deem necessary, with advance approval
of the commissioner of management and budget. The commissioner and executive board
shall submit to the chairs and ranking minority members of the legislative committees with
jurisdiction over human services and direct care and treatment an interagency transfers
report. The report must include the amounts transferred and the purpose of each transfer.
 new text end

Sec. 10. new text begin APPROPRIATIONS GIVEN EFFECT ONCE.
new text end

new text begin If an appropriation, transfer, or cancellation in this article is enacted more than once
during the 2025 first special session, the appropriation, transfer, or cancellation must be
given effect once.
 new text end

Sec. 11. new text begin EXPIRATION OF UNCODIFIED LANGUAGE.
new text end

new text begin All uncodified language contained in this article expires on June 30, 2027, unless a
different expiration date is explicit.
 new text end

Sec. 12. new text begin EFFECTIVE DATE.
new text end

new text begin This article is effective July 1, 2025, unless a different effective date is specified.
 new text end

ARTICLE 14

OTHER AGENCY APPROPRIATIONS

Section 1. new text begin OTHER AGENCY APPROPRIATIONS.
new text end

new text begin The sums shown in the columns marked "Appropriations" are appropriated to the agencies
and for the purposes specified in this article. The appropriations are from the general fund,
or another named fund, and are available for the fiscal years indicated for each purpose.
The figures "2026" and "2027" used in this article mean that the appropriations listed under
them are available for the fiscal year ending June 30, 2026, or June 30, 2027, respectively.
"The first year" is fiscal year 2026. "The second year" is fiscal year 2027. "The biennium"
is fiscal years 2026 and 2027.
 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 2026
 new text end 		new text begin 2027
 new text end

Sec. 2. new text begin COMMISSIONER OF HEALTH;
TOTAL APPROPRIATION
new text end

new text begin $
 new text end 		new text begin (45,000)
 new text end 		new text begin $
 new text end 		new text begin (247,000)
 new text end

new text begin The amounts that may be spent for each
purpose are specified in the following sections.
 new text end

Sec. 3. new text begin HEALTH IMPROVEMENT
new text end

new text begin $
 new text end 		new text begin (250,000)
 new text end 		new text begin $
 new text end 		new text begin (250,000)
 new text end

new text begin Reductions. The reductions in the fiscal year
2026 and 2027 appropriations in this section
are subtracted from appropriations to the
commissioner of health for health
improvements made in any other law enacted
by the 94th legislature during calendar year
2025.
 new text end

Sec. 4. new text begin HEALTH PROTECTION
new text end

new text begin $
 new text end 		new text begin 205,000
 new text end 		new text begin $
 new text end 		new text begin 3,000
 new text end

new text begin Skin-Lightening Product Awareness.
$200,000 in fiscal year 2026 is for a
competitive grant for public awareness and
education activities to address issues of
colorism, skin-lightening products, and
chemical exposures from skin-lightening
products. This is a onetime appropriation and
is available until June 30, 2027.
 new text end

Sec. 5. new text begin COUNCIL ON DISABILITY
new text end

new text begin $
 new text end 		new text begin 2,432,000
 new text end 		new text begin $
 new text end 		new text begin 2,457,000
 new text end

new text begin new text begin Legislative Task Force On Guardianship
Funding Cancellation.new text end Any unencumbered
and unexpended amount of the fiscal year
2025 appropriation referenced in Laws 2024,
chapter 125, article 8, section 4, for the
Legislative Task Force on Guardianship,
estimated to be $335,000, is canceled.
 new text end

Sec. 6. new text begin OFFICE OF THE OMBUDSMAN FOR
MENTAL HEALTH AND DEVELOPMENTAL
DISABILITIES
new text end

new text begin $
 new text end 		new text begin 3,706,000
 new text end 		new text begin $
 new text end 		new text begin 3,765,000
 new text end

Sec. 7. new text begin OFFICE OF ADMINISTRATIVE
HEARINGS
new text end

new text begin $
 new text end 		new text begin 272,000
 new text end 		new text begin $
 new text end 		new text begin 262,000
 new text end

Sec. 8. new text begin COMMISSIONER OF
ADMINISTRATION
new text end

new text begin $
 new text end 		new text begin 10,000,000
 new text end 		new text begin $
 new text end 		new text begin -0-
 new text end

new text begin Subdivision 1. new text end

new text begin Miller Building
 new text end

new text begin (a) $10,000,000 in fiscal year 2026 is to
supplement funds for the demolition, site
preparation, and construction of a replacement
facility for the Miller Building on the Anoka
Metro Regional Treatment Center campus.
The base for this appropriation is $10,000,000
in fiscal year 2028 and $0 in fiscal year 2029.
This appropriation and the fiscal year 2028
base, if appropriated, are available until June
30, 2030.
 new text end

new text begin (b) This subdivision expires June 30, 2030.
 new text end

new text begin Subd. 2. new text end

new text begin Base Level Adjustment
 new text end

new text begin The general fund base for this section is
$10,000,000 in fiscal year 2028 and $0 in
fiscal year 2029.
 new text end

Sec. 9. new text begin APPROPRIATIONS GIVEN EFFECT ONCE.
new text end

new text begin If an appropriation, transfer, or cancellation in this article is enacted more than once
during the 2025 first special session, the appropriation, transfer, or cancellation must be
given effect once.
 new text end

Sec. 10. new text begin EXPIRATION OF UNCODIFIED LANGUAGE.
new text end

new text begin All uncodified language contained in this article expires on June 30, 2027, unless a
different expiration date is explicit.
 new text end

Sec. 11. new text begin EFFECTIVE DATE.
new text end

new text begin This article is effective July 1, 2025, unless a different effective date is specified.
 new text end

APPENDIX

Repealed Minnesota Statutes: 25-05696

245C.03 BACKGROUND STUDY; INDIVIDUALS TO BE STUDIED.

Subd. 13.

Providers of housing stabilization services.

The commissioner shall conduct background studies of any provider of housing stabilization services required by section 256B.051 to have a background study completed under this chapter.

245C.10 BACKGROUND STUDY; FEES.

Subd. 16.

Providers of housing stabilization services.

The commissioner shall recover the cost of background studies initiated by providers of housing stabilization services under section 256B.051 through a fee of no more than $44 per study. The fees collected under this subdivision are appropriated to the commissioner for the purpose of conducting background studies.

245G.01 DEFINITIONS.

Subd. 20d.

Skilled treatment services.

"Skilled treatment services" has the meaning provided in section 254B.01, subdivision 10.

245G.07 TREATMENT SERVICE.

Subd. 2.

Additional treatment service.

A license holder may provide or arrange the following additional treatment service as a part of the client's individual treatment plan:

(1) relationship counseling provided by a qualified professional to help the client identify the impact of the client's substance use disorder on others and to help the client and persons in the client's support structure identify and change behaviors that contribute to the client's substance use disorder;

(2) therapeutic recreation to allow the client to participate in recreational activities without the use of mood-altering chemicals and to plan and select leisure activities that do not involve the inappropriate use of chemicals;

(3) stress management and physical well-being to help the client reach and maintain an appropriate level of health, physical fitness, and well-being;

(4) living skills development to help the client learn basic skills necessary for independent living;

(5) employment or educational services to help the client become financially independent;

(6) socialization skills development to help the client live and interact with others in a positive and productive manner;

(7) room, board, and supervision at the treatment site to provide the client with a safe and appropriate environment to gain and practice new skills; and

(8) peer recovery support services must be provided by a recovery peer qualified according to section 245I.04, subdivision 18. Peer recovery support services must be provided according to sections 254B.05, subdivision 5, and 254B.052.

254B.01 DEFINITIONS.

Subd. 5.

Local agency.

"Local agency" means the agency designated by a board of county commissioners, a local social services agency, or a human services board authorized under section 254B.03, subdivision 1, to determine financial eligibility for the behavioral health fund.

254B.04 ELIGIBILITY FOR BEHAVIORAL HEALTH FUND SERVICES.

Subd. 2a.

Eligibility for room and board services for persons in outpatient substance use disorder treatment.

A person eligible for room and board services under section 254B.05, subdivision 5, paragraph (b), must score at level 4 on assessment dimensions related to readiness to change, relapse, continued use, or recovery environment in order to be assigned to services with a room and board component reimbursed under this section. Whether a treatment facility has been designated an institution for mental diseases under United States Code, title 42, section 1396d, shall not be a factor in making placements.

254B.181 SOBER HOMES.

Subdivision 1.

Requirements.

All sober homes must comply with applicable state laws and regulations and local ordinances related to maximum occupancy, fire safety, and sanitation. In addition, all sober homes must:

(1) maintain a supply of an opiate antagonist in the home in a conspicuous location and post information on proper use;

(2) have written policies regarding access to all prescribed medications;

(3) have written policies regarding evictions;

(4) return all property and medications to a person discharged from the home and retain the items for a minimum of 60 days if the person did not collect them upon discharge. The owner must make an effort to contact persons listed as emergency contacts for the discharged person so that the items are returned;

(5) document the names and contact information for persons to contact in case of an emergency or upon discharge and notification of a family member, or other emergency contact designated by the resident under certain circumstances, including but not limited to death due to an overdose;

(6) maintain contact information for emergency resources in the community to address mental health and health emergencies;

(7) have policies on staff qualifications and prohibition against fraternization;

(8) permit residents to use, as directed by a licensed prescriber, legally prescribed and dispensed or administered pharmacotherapies approved by the United States Food and Drug Administration for the treatment of opioid use disorder;

(9) permit residents to use, as directed by a licensed prescriber, legally prescribed and dispensed or administered pharmacotherapies approved by the United States Food and Drug Administration to treat co-occurring substance use disorders and mental health conditions;

(10) have a fee schedule and refund policy;

(11) have rules for residents;

(12) have policies that promote resident participation in treatment, self-help groups, or other recovery supports;

(13) have policies requiring abstinence from alcohol and illicit drugs; and

(14) distribute the sober home bill of rights.

Subd. 2.

Bill of rights.

An individual living in a sober home has the right to:

(1) have access to an environment that supports recovery;

(2) have access to an environment that is safe and free from alcohol and other illicit drugs or substances;

(3) be free from physical and verbal abuse, neglect, financial exploitation, and all forms of maltreatment covered under the Vulnerable Adults Act, sections 626.557 to 626.5572;

(4) be treated with dignity and respect and to have personal property treated with respect;

(5) have personal, financial, and medical information kept private and to be advised of the sober home's policies and procedures regarding disclosure of such information;

(6) access, while living in the residence, to other community-based support services as needed;

(7) be referred to appropriate services upon leaving the residence, if necessary;

(8) retain personal property that does not jeopardize safety or health;

(9) assert these rights personally or have them asserted by the individual's representative or by anyone on behalf of the individual without retaliation;

(10) be provided with the name, address, and telephone number of the ombudsman for mental health, substance use disorder, and developmental disabilities and information about the right to file a complaint;

(11) be fully informed of these rights and responsibilities, as well as program policies and procedures; and

(12) not be required to perform services for the residence that are not included in the usual expectations for all residents.

Subd. 3.

Complaints; ombudsman for mental health and developmental disabilities.

Any complaints about a sober home may be made to and reviewed or investigated by the ombudsman for mental health and developmental disabilities, pursuant to sections 245.91 and 245.94.

Subd. 4.

Private right of action.

In addition to pursuing other remedies, an individual may bring an action to recover damages caused by a violation of this section.

256B.0949 EARLY INTENSIVE DEVELOPMENTAL AND BEHAVIORAL INTERVENTION BENEFIT.

Subd. 9.

Revision of treatment modalities.

(a) The commissioner may revise covered treatment modalities as needed based on outcome data and other evidence. EIDBI treatment modalities approved by the department must:

(1) cause no harm to the person or the person's family;

(2) be individualized and person-centered;

(3) be developmentally appropriate and highly structured, with well-defined goals and objectives that provide a strategic direction for treatment;

(4) be based in recognized principles of developmental and behavioral science;

(5) utilize sound practices that are replicable across providers and maintain the fidelity of the specific modality;

(6) demonstrate an evidentiary basis;

(7) have goals and objectives that are measurable, achievable, and regularly evaluated and adjusted to ensure that adequate progress is being made;

(8) be provided intensively with a high staff-to-person ratio; and

(9) include participation by the person and the person's legal representative in decision making, knowledge building and capacity building, and developing and implementing the person's ITP.

(b) Before revisions in department recognized treatment modalities become effective, the commissioner must provide public notice of the changes, the reasons for the change, and a 30-day public comment period to those who request notice through an electronic list accessible to the public on the department's website.

256R.02 DEFINITIONS.

Subd. 38.

Prior system operating cost payment rate.

"Prior system operating cost payment rate" means the operating cost payment rate in effect on December 31, 2015, under Minnesota Rules and Minnesota Statutes, inclusive of health insurance, plus property insurance costs from external fixed costs, minus any rate increases allowed under Minnesota Statutes 2015 Supplement, section 256B.441, subdivision 55a.

256R.12 COST ALLOCATION.

Subd. 10.

Allocation of self-insurance costs.

For the rate year beginning on July 1, 1998, a group of nursing facilities related by common ownership that self-insures group health, dental, or life insurance may allocate its directly identified costs of self-insuring its Minnesota nursing facility workers among those nursing facilities in the group that are reimbursed under this chapter. The method of cost allocation shall be based on the ratio of each nursing facility's total allowable salaries and wages to that of the nursing facility group's total allowable salaries and wages, then similarly allocated within each nursing facility's operating cost categories. The costs associated with the administration of the group's self-insurance plan must remain classified in the nursing facility's administrative cost category. A written request of the nursing facility group's election to use this alternate method of allocation of self-insurance costs must be received by the commissioner no later than May 1, 1998, to take effect July 1, 1998, or those self-insurance costs shall continue to be allocated under the existing cost allocation methods. Once a nursing facility group elects this method of cost allocation for its group health, dental, or life insurance self-insurance costs, it shall remain in effect until such time as the group no longer self-insures these costs.

256R.23 TOTAL CARE-RELATED PAYMENT RATES.

Subd. 6.

Payment rate limit reduction.

No facility shall be subject in any rate year to a care-related payment rate limit reduction greater than five percent of the median determined in subdivision 4.

256R.36 HOLD HARMLESS.

No nursing facility's operating payment rate, plus its employer health insurance costs portion of the external fixed costs payment rate, will be less than its prior system operating cost payment rate.

Repealed Minnesota Session Laws: 25-05696

Laws 2021, First Special Session chapter 7, article 13, section 75, as amended Subdivisions 3, 3as amended by Laws 2024, chapter 108, article 1, section 28; 6, 6as amended by Laws 2024, chapter 108, article 1, section 28;

Sec. 75. new text begin DIRECTION TO COMMISSIONER OF HUMAN SERVICES; WAIVER REIMAGINE AND INFORMED CHOICE STAKEHOLDER CONSULTATION.new text end

Sec. 28.

Laws 2021, First Special Session chapter 7, article 13, section 75, is amended to read:


Sec. 75. DIRECTION TO COMMISSIONER OF HUMAN SERVICES; WAIVER REIMAGINE AND INFORMED CHOICE STAKEHOLDER CONSULTATION.

Subdivision 1.

Stakeholder consultation; generally.

(a) The commissioner of human services must consult with and seek input and assistance from stakeholders concerning potential adjustments to the streamlined service menu from waiver reimagine phase I and to the existing rate exemption criteria and process.

(b) The commissioner of human services must consult with deleted text begin anddeleted text end new text begin ,new text end seek input and assistance fromnew text begin , and collaborate withnew text end stakeholders concerning the development and implementation of waiver reimagine phase II, including criteria and a process for individualized budget exemptions, and how waiver reimagine phase II can support and expand informed choice and informed decision making, including integrated employment, independent living, and self-direction, consistent with Minnesota Statutes, section 256B.4905.

new text begin (c) The commissioner of human services must consult with, seek input and assistance from, and collaborate with stakeholders concerning the implementation and revisions of the MnCHOICES 2.0 assessment tool. new text end

Subd. 2.

Public stakeholder engagement.

The commissioner must offer a public method to regularly receive input and concerns from people with disabilities and their families about waiver reimagine phase II. The commissioner shall provide deleted text begin regulardeleted text end new text begin quarterlynew text end public updates on policy development and on how new text begin recent new text end stakeholder input deleted text begin was used throughout thedeleted text end new text begin is being incorporated into the currentnew text end development and implementation of waiver reimagine phase II.

Subd. 3.

Waiver Reimagine Advisory Committee.

(a) The commissioner must convene, at regular intervals throughout the development and implementation of waiver reimagine phase II, a Waiver Reimagine Advisory Committee that consists of a group of diverse, representative stakeholders. The commissioner must solicit and endeavor to include racially, ethnically, and geographically diverse membership from each of the following groups:

(1) people with disabilities who use waiver services;

(2) family members of people who use waiver services;

(3) disability and behavioral health advocates;

(4) lead agency representatives; and

(5) waiver service providers.

(b) new text begin The assistant commissioner of aging and disability services must attend and participate in meetings of the Waiver Reimagine Advisory Committee.new text end

new text begin (c) new text end The Waiver Reimagine Advisory Committee must have the opportunity to deleted text begin assistdeleted text end new text begin collaborate in a meaningful waynew text end in developing and providing feedback on proposed plans for waiver reimagine components, including an individual budget methodology, criteria and a process for individualized budget exemptions, the consolidation of the four current home and community-based waiver service programs into two-waiver programs, new text begin the role of assessments and the MnCHOICES 2.0 assessment tool in determining service needs and individual budgets, new text end and other aspects of waiver reimagine phase II.

deleted text begin (c)deleted text end new text begin (d)new text end The Waiver Reimagine Advisory Committee must have an opportunity to assist in the development of and provide feedback on proposed adjustments and modifications to the streamlined menu of services and the existing rate exception criteria and process.

Subd. 4.

Required report.

Prior to seeking federal approval for any aspect of waiver reimagine phase II and in deleted text begin consultationdeleted text end new text begin collaborationnew text end with the Waiver Reimagine Advisory Committee, the commissioner must submit to the chairs and ranking minority members of the legislative committees and divisions with jurisdiction over health and human services a report on plans for waiver reimagine phase II. The report must also include any plans to adjust or modify the streamlined menu of services deleted text begin ordeleted text end new text begin ,new text end the existing rate exemption criteria or processnew text begin , the proposed individual budget ranges, and the role of MnCHOICES 2.0 assessment tool in determining service needs and individual budget rangesnew text end .

Subd. 5.

Transition process.

(a) Prior to implementation of wavier reimagine phase II, the commissioner must establish a process to assist people who use waiver services and lead agencies transition to a two-waiver system with an individual budget methodology.

(b) The commissioner must ensure that the new waiver service menu and individual budgets allow people to live in their own home, family home, or any home and community-based setting of their choice. The commissioner must ensure, deleted text begin within available resources anddeleted text end subject to state and federal regulations and law, that waiver reimagine does not result in unintended service disruptions.

Subd. 6.

Online support planning tool.

The commissioner must develop an online support planning and tracking tool for people using disability waiver services that allows access to the total budget available to the person, the services for which they are eligible, and the services they have chosen and used. The commissioner must explore operability options that would facilitate real-time tracking of a person's remaining available budget throughout the service year. The online support planning tool must provide information in an accessible format to support the person's informed choice. The commissioner must seek input from people with disabilities about the online support planning tool prior to its implementation.

Subd. 7.

Curriculum and training.

The commissioner must develop and implement a curriculum and training plan to ensure all lead agency assessors and case managers have the knowledge and skills necessary to comply with informed decision making for people who used home and community-based disability waivers. Training and competency evaluations must be completed annually by all staff responsible for case management as described in Minnesota Statutes, sections 256B.092, subdivision 1a, paragraph (f), and 256B.49, subdivision 13, paragraph (e).

Sec. 28.

Laws 2021, First Special Session chapter 7, article 13, section 75, is amended to read:


Sec. 75. DIRECTION TO COMMISSIONER OF HUMAN SERVICES; WAIVER REIMAGINE AND INFORMED CHOICE STAKEHOLDER CONSULTATION.

Subdivision 1.

Stakeholder consultation; generally.

(a) The commissioner of human services must consult with and seek input and assistance from stakeholders concerning potential adjustments to the streamlined service menu from waiver reimagine phase I and to the existing rate exemption criteria and process.

(b) The commissioner of human services must consult with deleted text begin anddeleted text end new text begin ,new text end seek input and assistance fromnew text begin , and collaborate withnew text end stakeholders concerning the development and implementation of waiver reimagine phase II, including criteria and a process for individualized budget exemptions, and how waiver reimagine phase II can support and expand informed choice and informed decision making, including integrated employment, independent living, and self-direction, consistent with Minnesota Statutes, section 256B.4905.

new text begin (c) The commissioner of human services must consult with, seek input and assistance from, and collaborate with stakeholders concerning the implementation and revisions of the MnCHOICES 2.0 assessment tool. new text end

Subd. 2.

Public stakeholder engagement.

The commissioner must offer a public method to regularly receive input and concerns from people with disabilities and their families about waiver reimagine phase II. The commissioner shall provide deleted text begin regulardeleted text end new text begin quarterlynew text end public updates on policy development and on how new text begin recent new text end stakeholder input deleted text begin was used throughout thedeleted text end new text begin is being incorporated into the currentnew text end development and implementation of waiver reimagine phase II.

Subd. 3.

Waiver Reimagine Advisory Committee.

(a) The commissioner must convene, at regular intervals throughout the development and implementation of waiver reimagine phase II, a Waiver Reimagine Advisory Committee that consists of a group of diverse, representative stakeholders. The commissioner must solicit and endeavor to include racially, ethnically, and geographically diverse membership from each of the following groups:

(1) people with disabilities who use waiver services;

(2) family members of people who use waiver services;

(3) disability and behavioral health advocates;

(4) lead agency representatives; and

(5) waiver service providers.

(b) new text begin The assistant commissioner of aging and disability services must attend and participate in meetings of the Waiver Reimagine Advisory Committee.new text end

new text begin (c) new text end The Waiver Reimagine Advisory Committee must have the opportunity to deleted text begin assistdeleted text end new text begin collaborate in a meaningful waynew text end in developing and providing feedback on proposed plans for waiver reimagine components, including an individual budget methodology, criteria and a process for individualized budget exemptions, the consolidation of the four current home and community-based waiver service programs into two-waiver programs, new text begin the role of assessments and the MnCHOICES 2.0 assessment tool in determining service needs and individual budgets, new text end and other aspects of waiver reimagine phase II.

deleted text begin (c)deleted text end new text begin (d)new text end The Waiver Reimagine Advisory Committee must have an opportunity to assist in the development of and provide feedback on proposed adjustments and modifications to the streamlined menu of services and the existing rate exception criteria and process.

Subd. 4.

Required report.

Prior to seeking federal approval for any aspect of waiver reimagine phase II and in deleted text begin consultationdeleted text end new text begin collaborationnew text end with the Waiver Reimagine Advisory Committee, the commissioner must submit to the chairs and ranking minority members of the legislative committees and divisions with jurisdiction over health and human services a report on plans for waiver reimagine phase II. The report must also include any plans to adjust or modify the streamlined menu of services deleted text begin ordeleted text end new text begin ,new text end the existing rate exemption criteria or processnew text begin , the proposed individual budget ranges, and the role of MnCHOICES 2.0 assessment tool in determining service needs and individual budget rangesnew text end .

Subd. 5.

Transition process.

(a) Prior to implementation of wavier reimagine phase II, the commissioner must establish a process to assist people who use waiver services and lead agencies transition to a two-waiver system with an individual budget methodology.

(b) The commissioner must ensure that the new waiver service menu and individual budgets allow people to live in their own home, family home, or any home and community-based setting of their choice. The commissioner must ensure, deleted text begin within available resources anddeleted text end subject to state and federal regulations and law, that waiver reimagine does not result in unintended service disruptions.

Subd. 6.

Online support planning tool.

The commissioner must develop an online support planning and tracking tool for people using disability waiver services that allows access to the total budget available to the person, the services for which they are eligible, and the services they have chosen and used. The commissioner must explore operability options that would facilitate real-time tracking of a person's remaining available budget throughout the service year. The online support planning tool must provide information in an accessible format to support the person's informed choice. The commissioner must seek input from people with disabilities about the online support planning tool prior to its implementation.

Subd. 7.

Curriculum and training.

The commissioner must develop and implement a curriculum and training plan to ensure all lead agency assessors and case managers have the knowledge and skills necessary to comply with informed decision making for people who used home and community-based disability waivers. Training and competency evaluations must be completed annually by all staff responsible for case management as described in Minnesota Statutes, sections 256B.092, subdivision 1a, paragraph (f), and 256B.49, subdivision 13, paragraph (e).

Laws 2023, chapter 59, article 3, section 11

Sec. 11. new text begin DIRECT CARE PROVIDER PREMIUMS THROUGH HCBS WORKFORCE INCENTIVE FUND.new text end

new text begin (a) $20,000,000 in fiscal year 2026 is added to the base appropriation from the family and medical benefit account to the commissioner of human services to provide reimbursement for premiums incurred for the paid family and medical leave program under this chapter. Funds shall be administered through the home and community-based workforce incentive fund under Minnesota Statutes, section 256.4764. new text end

new text begin (b) The commissioner of employment and economic development shall share premium payment data collected under this chapter to assist the commissioner of human services in the verification process of premiums paid under this section. new text end

new text begin (c) This amount is for the purposes of Minnesota Statutes, section 256.4764. This is a one-time appropriation and is available until June 30, 2027. new text end

Laws 2024, chapter 127, article 46, section 39

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

Minnesota Office of the Revisor of Statutes, Centennial Office Building, 3rd Floor, 658 Cedar Street, St. Paul, MN 55155